Fluorescein ni iki (inzira yo mu nshinge): Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Fluorescein ni irangi ry'umuhondo-umukara ryaka cyane abaganga batera mu mitsi yawe kugira ngo bafashe kumenya indwara zo mu maso n'ibibazo by'imitsi y'amaraso. Iri rangi ryihariye iyo rigendera mu maraso yawe, rituma ibice bimwe na bimwe by'umubiri wawe byaka iyo bimurikwa n'urumuri rwihariye, bigatuma muganga wawe abona ibintu bitagaragara.

Bitekereze nk'ikaramu yandika y'imitsi yawe y'amaraso. Iri rangi rifasha ikipe y'ubuvuzi kumenya ibibazo hakiri kare no gutanga ubuvuzi bwizewe bushobora kurengera ijisho ryawe n'ubuzima bwawe muri rusange.

Fluorescein ni iki?

Fluorescein ni irangi ryemewe n'ikigo gishinzwe imiti muri Amerika (FDA) rifasha kumenya indwara, rikaba rikoreshwa mu buvuzi kuva mu myaka myinshi ishize. Ni ikinyabutabire gishonga mu mazi cyaka umuhondo-icyatsi iyo gihuye n'urumuri rw'ubururu, bigatuma gikwiriye cyane mu gukoreshwa mu gushushanya mu buvuzi.

Uyu muti uza mu buryo bw'umuti utagira mikorobe uterwa mu maraso yawe unyuze mu muyoboro wa IV. Iyo ugeze mu mubiri wawe, wihutira kujya mu mitsi yawe yose y'amaraso, harimo n'ito ryo mu maso yawe n'izindi ngingo.

Umubiri wawe ukoresha iri rangi mu buryo busanzwe ukaryohereza binyuze mu mpyisi zawe mu masaha 24 kugeza kuri 48. Abantu benshi bararyihanganira cyane, kandi ingaruka zikomeye ni gake cyane zibaho.

Fluorescein ikoreshwa mu iki?

Abaganga bakoresha cyane fluorescein yo mu nshinge kugira ngo bamenye indwara zo mu maso, cyane cyane ibibazo bya retina iri inyuma y'ijisho ryawe. Iri geragezwa, ryitwa fluorescein angiography, rifasha kumenya ibibazo bishobora guteza akaga ku iyerekwa ryawe.

Muganga wawe ashobora kugusaba iri geragezwa niba ufite impinduka mu iyerekwa, kubabara mu jisho, cyangwa niba ufite indwara nka diyabete ishobora kugira ingaruka ku maso yawe. Iri rangi rifasha kugaragaza imitsi y'amaraso yangiritse, imitsi y'amaraso yazibye, cyangwa ahantu amazi ava.

Dore indwara z'ingenzi iri geragezwa rifasha kumenya:

• Retinopathy ya diyabete (ibyangiritse by'amaso biturutse kuri diyabete)
• Uburwayi bwa macula buterwa n'imyaka yo gusaza
• Ibyuma by'imitsi y'amaso byazibye cyangwa imitsi y'amaso yafunze
• Ukubyimba muri macula (hagati ya retina yawe)
• Imiryanjo ya retina cyangwa gutandukana
• Indwara zifata amaso ziterwa n'uburwayi bwo mu mubiri
• Ibimeme mu jisho cyangwa hafi yaryo

Rimwe na rimwe abaganga bakoresha fluorescein kugira ngo barebe uko amaraso atembera mu bindi bice by'umubiri wawe, nubwo ibyo bidakunze gukorwa. Icyo kizamini gitanga amakuru y'agaciro afasha ikipe y'abaganga gutegura uburyo bwiza bwo kuvura indwara yawe yihariye.

Fluorescein ikora ite?

Fluorescein ikora nk'ikintu gikurikiranwa gituma imitsi yawe y'amaraso imurikira munsi y'ibikoresho byihariye byo gufotora. Iyo irangi rinjiye mu maraso yawe, rigenda hose amaraso yawe agera, harimo n'imitsi yoroheje y'amaso yawe.

Ibyo bitangira iyo muganga wawe amurikisha urumuri rw'ubururu akanafotora vuba amaso yawe. Imitsi y'amaraso yuzuye ituma irangi ritembera neza, mu gihe ahantu hangiritse hagaragara nk'ahantu hatukura cyane, ahantu h'umwijima, cyangwa ahantu irangi riviramo.

Ibi bifatwa nk'igikoresho cyiza cyane cyo gupima indwara kuko gitanga amashusho y'igihe nyacyo, arambuye y'uko amaraso atembera. Muganga wawe ashobora kureba neza aho ibibazo biri kubera n'uburemere bwabyo.

Irangi ubwaryo ntirivura indwara iyo ari yo yose - ni ukugira ngo bimenyekane. Ariko, amakuru ritanga ni ingenzi mu gushyiraho gahunda yo kuvura neza indwara yawe yihariye.

Nkwiriye gufata fluorescein nte?

Mu by'ukuri ntabwo "ufata" fluorescein mu buryo busanzwe - itangwa nk'urushinge ruturutse mu urugingo rwo mu kuboko kwawe. Umuganga azahora atanga uyu muti ahantu hakorerwa ibijyanye n'ubuvuzi nko mu bitaro cyangwa mu ivuriro ry'amaso.

Mbere yo kujya mu kigo cy'ubuvuzi, urashobora kurya no kunywa ibisanzwe keretse muganga wawe akugiriye izindi nama. Ntabwo ukeneye kwirinda kurya cyangwa kwirinda ibiryo runaka mbere y'ikizamini.

Ibi bikunda kuba byabaho igihe cyo gukora iki gikorwa:

1. Umuforomo cyangwa umukanishi azashyira umuyoboro muto wa IV mu kuboko kwawe
2. Uzicara imbere ya kamera idasanzwe yagenewe gufotora amaso yawe
3. Umuti wa fluorescein uterwa vuba na vuba binyuze muri IV
4. Amafoto afatwa ako kanya kandi akomeza mu minota myinshi
5. Uburyo bwose hamwe busanzwe bufata iminota 15 kugeza kuri 30

Ushobora kumva ubushyuhe bugufi cyangwa isesemi gato igihe umuti uterwa, ariko ibi bikunda gushira vuba. Abantu benshi basanga ikizamini gishimishije kurusha uko babyiteze.

Nkwiriye Gufata Fluorescein Igihe Kingana Gite?

Fluorescein ni urushinge rumwe, ntabwo ari umuti ufata kenshi. Dose yose itangwa mugihe cyo guhura kwawe kwa diagnostic, kandi ikizamini gikunda kurangira mumunota 30.

Umubiri wawe usanzwe ukuraho irangi mumasaha 24 kugeza kuri 48 unyuze mu mpyiko zawe. Nta kintu na kimwe ugomba gukora kugirango ufashishe iyi nzira - nywa amazi menshi nkuko bisanzwe.

Niba muganga wawe akeneye gusubiramo ikizamini kugirango akurikirane uko ubuzima bwawe buhagaze uko bwagiye buhinduka, bazategura gahunda zitandukanye. Abantu bamwe bashobora gukenera gukurikiranwa na fluorescein angiograms buri mezi make cyangwa imyaka, bitewe n'uburwayi bwabo bwihariye bw'amaso.

Ni Iyihe Miterere Ibyara Fluorescein?

Abantu benshi bahura n'ingaruka zoroheje za fluorescein, kandi benshi ntibagira ingaruka na zimwe. Igisubizo gikunze kugaragara ni ibara ry'uruhu rwawe n'inkari ry'igihe gito, risanzwe kandi ridafite ingaruka.

Dore ingaruka zoroheje ushobora kubona:

• Inkari y'umuhondo cyangwa y'icyatsi mumasaha 24 kugeza kuri 48
• Ibara ry'umuhondo gato kuruhu rwawe rushira mumasaha
• Isesemi ngufi cyangwa kumva ushyushye mugihe cyo guterwa urushinge
• Uburyohe bw'icyuma bw'igihe gito mumunwa wawe
• Umuvumo woroshye ushira vuba

Ibi bintu birashobora gushira kandi ntibigaragaza ikibazo icyo aricyo cyose. Ivara ry'umuhondo riri mu nkari zawe ni irangi risohoka mu mubiri wawe mu buryo busanzwe.

Ingaruka zikomeye ziraboneka gake ariko zishobora kuba zirimo:

• Uburwayi bwo kwibasirwa n'umubiri bufite imitsi, kuribwa, cyangwa guhumeka bigoranye
• Urugimbu rukabije cyangwa kuruka
• Guta ubwenge cyangwa kuribwa cyane
• Kubyimba mu maso, iminwa, cyangwa umuhogo wawe

Itsinda ry'abaganga bakurikirana hafi igihe cyose cyo guterwa urushinge no nyuma yarwo kugira ngo barebe niba hari ibintu bidasanzwe bibaho. Biteguye guhangana n'ibibazo byose bishobora kuvuka, nubwo ibibazo bikomeye bidakunze kubaho.

Ninde utagomba gufata Fluorescein?

Nubwo fluorescein ikunda kugirirwa neza abantu benshi, hariho ibintu bimwe na bimwe aho muganga wawe ashobora guhitamo uburyo butandukanye bwo gupima. Abantu bafite indwara ikomeye y'impyiko bashobora gukenera kwitabwaho by'umwihariko kuko irangi risohoka binyuze mu mpyiko.

Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kugusaba iri pima. Bazashaka kumenya ibyerekeye ibintu byose byabayeho byo kwibasirwa n'umubiri ku marangi, imiti, cyangwa ibintu bitandukanye.

Ibyo bintu bisaba kwitonda by'umwihariko birimo:

• Amateka yo kwibasirwa n'umubiri bikomeye ku miti iyo ari yo yose
• Indwara ikomeye y'impyiko cyangwa kunanirwa kw'impyiko
• Indwara zikomeye z'umutima zishobora gutuma wumva cyane ingaruka ziterwa
• Uko byagenze mbere bibi kuri fluorescein cyangwa amabara asa nayo

Gusama bisaba kwitonderwa by'umwihariko, nubwo fluorescein ishobora gukoreshwa iyo inyungu ziruta ibyago. Muganga wawe azabiganiraho nawe niba utwite cyangwa ushobora kuba utwite.

Niba uri konka, ushobora kugirwa inama yo kuvoma no kumenagura amata y'ibere mu masaha 24 nyuma yo gupimwa, nubwo umubare w'irangi rijyana mu mata y'ibere ari muto cyane.

Amazina y'ubwoko bwa Fluorescein

Fluorescein iboneka mu mazina menshi y'ubucuruzi, nubwo umuti ubwawo ari umwe hatitawe ku uwawukoze. Amazina asanzwe y'ubucuruzi arimo Fluorescite, AK-Fluor, na Funduscein.

Ubwiza n'imikorere bishobora gutandukana gato hagati y'amoko, ariko yose arimo ikintu kimwe gikora - fluorescein sodium. Ikigo cy'ubuzima cyawe kizahitamo ubwoko bukora neza ku bikoresho byabo n'amabwiriza.

Imitegurire imwe iza nk'ibisobanuro byiteguye gukoreshwa, mu gihe ibindi bisaba kuvangwa mbere yo guterwa. Ibi ntibigira ingaruka ku mutekano cyangwa imikorere y'igeragezwa ryawe - ni ikibazo cyoroshye cyo gutegura ikipe yawe y'ubuzima.

Uburyo bwo gusimbuza Fluorescein

Mugihe fluorescein angiography ariyo nzira nziza yo gukora isuzuma ryinshi ry'amaso, hariho ubundi buryo bwo gupima bw'ubuvuzi muganga wawe ashobora gutekereza bitewe n'uko ubuzima bwawe bumeze.

OCT (Optical Coherence Tomography) ishobora gutanga amashusho arambuye ya retina yawe hatagize irangi na rimwe rikoreshwa. Iri geragezwa rikoresha imiraba y'urumuri kugirango ireme amashusho y'urwego rwa retina yawe, nubwo ntigaragaza imigezi y'amaraso nkuko fluorescein ibikora.

Uburyo bwo gusimbuza burimo:

• Indocyanine green angiography (ikoresha irangi ritandukanye)
• Ifoto ya Fundus (ifata amafoto hatarimo irangi)
• OCT angiography (igaragaza imitsi y'amaraso hatarimo guterwa)
• Ultrasonography kubera uburwayi bumwe bw'amaso

Muganga wawe azahitamo igeragezwa ryiza rishingiye ku cyo barimo gushaka kumenya no ku buzima bwawe bwite. Rimwe na rimwe igeragezwa ryinshi rirakenewe kugirango ubone ishusho yuzuye y'ubuzima bw'amaso yawe.

Ese Fluorescein iruta Indocyanine Green?

Fluorescein na indocyanine green ni amarangi meza yo gupima, ariko buri kimwe gifite inyungu zihariye kubera ubwoko butandukanye bw'ibibazo by'amaso. Fluorescein iruta mu gusuzuma imitsi y'amaraso yo hejuru muri retina yawe kandi ni igeragezwa rikoreshwa cyane.

Icyaniro ry'icyatsi kibisi rinjira kure mu bice by'ijisho kandi rishobora kugaragaza imitsi y'amaraso fluorescein ishobora kutabona. Bifitiye akamaro cyane ubwoko bumwe bwa macular degeneration n'ibibazo by'ijisho byimbitse.

Uku niko bigereranwa:

• Fluorescein: Birakwiriye imitsi y'amaraso yo hejuru ya retina, ntibidahenze, biboneka cyane
• Icyatsi kibisi cya Indocyanine: Birakwiriye imitsi y'amaraso yimbitse, bihenze, bisaba ibikoresho byihariye
• Fluorescein: Bitera ibara ry'umuhondo ry'agateganyo
• Icyatsi kibisi cya Indocyanine: Ntabwo bitera ibara ry'uruhu, ariko bifite ingaruka zitandukanye

Muganga wawe azahitamo ikizamini gishobora gutanga amakuru akenewe kubijyanye n'uburwayi bwawe bwihariye. Rimwe na rimwe ibizamini byombi bikorwa kumunsi umwe kugirango ubone ishusho yuzuye.

Ibikunze Kubazwa Kubijyanye na Fluorescein

Ese Fluorescein irakwiriye abantu barwaye diyabete?

Yego, fluorescein muri rusange irakwiriye cyane kubantu barwaye diyabete. Mubyukuri, abantu benshi barwaye diyabete bakira angiograms ya fluorescein buri gihe kugirango bakurikirane ubuzima bw'amaso yabo, kuko diyabete ishobora gutera ibibazo bikomeye by'amaso uko igihe kigenda.

Ikizamini ntigihindura urugero rw'isukari mu maraso yawe cyangwa ngo kibangamire imiti ya diyabete. Ariko, niba ufite ibibazo bya diyabete bifitanye isano n'impyiko, muganga wawe ashobora gushaka gufata ingamba zidasanzwe cyangwa kugukurikiranira hafi mugihe cyikizamini.

Kora neza kubwira ikipe yawe y'ubuzima ibijyanye na diyabete yawe n'ibibazo byose ushobora kugira. Bazahindura uburyo bwabo bwo gukurikirana no kwita kugirango bakwemeze umutekano wawe mugihe cyose cy'inzira.

Nkwiriye gukora iki niba mbonye fluorescein nyinshi bitunguranye?

Kubera ko fluorescein itangwa nabaganga bafite imyitozo mumashami agenzurwa, guhura na overdoses bitunguranye biragoye cyane. Urugero rusanzwe rurabarwa neza hashingiwe kuburemere bwawe n'ikizamini gikorwa.

Niba ufite impungenge ku kintu cy'irangi wahawe, vugana n'ikipe yawe y'ubuvuzi ako kanya. Bashobora kugukurikiranira ibimenyetso bidasanzwe kandi bagatanga ubufasha niba bikenewe.

Ibimenyetso bishobora kugaragaza ko wahawe irangi ryinshi harimo isesemi ikabije, kuruka bidahagarara, cyangwa isereri ridasanzwe ritagira icyo ritanga. Ariko, ingorane zikomeye ziterwa na fluorescein ntizisanzwe, kabone niyo waba warahawe doze nini.

Nkwiriye gukora iki niba nciwe doze ya Fluorescein?

Iki kibazo ntigisobanura kuri fluorescein kuko itangwa nk'urushinge rumwe mugihe cyo gukora isuzuma, ntabwo ari umuti usanzwe ufata murugo.

Niba ucikanwe n'igihe cyagenwe cyo gukora fluorescein angiography, hamagara icyicaro cy'abaganga bawe kugirango wongere utegure. Igihe cyo gukora ikizamini mubisanzwe kiroroshye keretse niba ufite ibibazo byihutirwa by'amaso.

Muganga wawe azakorana nawe kugirango abone igihe gishya cyo gutegura kigendanye n'igihe cyawe. Ntakintu na kimwe cyo guhangayika kubijyanye no gucikanwa na

Ariko, niba wakiriye amavuta yo mu maso kugira ngo yagure abanyeshuri bawe, ushobora kugira icyerekezo kidafite umwimerere no kumva urumuri mu masaha menshi. Muri iki gihe, ugomba guteganya ko undi muntu aguha urugendo rwo kugutwara.

Baza ikipe yawe y'ubuzima mbere y'ikizamini niba uzakenera urugendo rwo gutaha. Barashobora kukubwira neza icyo witegura gishingiye ku buryo bwihariye buteganyirijwe igihe cyawe.