Chii chinonzi Fluorescein (Nzira yeIntravenous): Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Fluorescein idhayi yeyero-orenji inopenya iyo vanachiremba vanobaya mutsinga dzako kuti vabatsire kuongorora matambudziko emaziso nenyaya dzemidzi yeropa. Kana iyi dhayi yakakosha ichifamba nemutsinga dzako dzeropa, inoita kuti mamwe mativi emuviri wako apenye pasi pemwenje yakakosha, zvichibvumira chiremba wako kuti aone zvinhu zvingadai zvisingaonekwe.

Funga nezvazvo semuenzaniso wekuhighlighter wemidzi yeropa rako. Dhayi inobatsira chikwata chako chehutano kuona matambudziko nekukurumidza uye kuita zvirongwa zvakarurama zvinogona kuchengetedza chiono chako uye hutano hwese.

Chii chinonzi Fluorescein?

Fluorescein idhayi yekuongorora yakachengeteka, yakatenderwa neFDA iyo yave ichishandiswa mumishonga kwemakumi emakore. Ikomboni inonyungudika mumvura iyo inopenya yeyero-girini kana ichisangana nemwenje webhuruu, zvichiita kuti ive yakakwana pakuongorora kwekurapa.

Mishonga iyi inouya semhinduro yakachena iyo inobayiwa zvakananga mumutsinga dzako dzeropa kuburikidza neIV line. Kana yanga iri mumuviri wako, inokurumidza kufamba kuenda kumidzi yako yeropa yese, kusanganisira iyo midiki mumaziso ako nemamwe nhengo.

Muviri wako unogadzirisa iyi dhayi zvakasikwa uye inoibvisa kuburikidza neitsvo dzako mukati me24 kusvika kumaawa makumi mana nemasere. Vanhu vazhinji vanoigamuchira zvakanaka, uye maitiro akakomba haawanzoitika.

Chii chinonzi Fluorescein chinoshandiswa?

Vanachiremba vanonyanya kushandisa intravenous fluorescein kuongorora mamiriro emaziso, kunyanya matambudziko ane retina kumashure kweziso rako. Iyi bvunzo, inonzi fluorescein angiography, inobatsira kuziva nyaya dzinogona kukanganisa chiono chako.

Chiremba wako angakurudzira iyi bvunzo kana uri kusangana nekuchinja kwechiono, kurwadziwa kwemaziso, kana kana uine mamiriro akaita sediabetes anogona kukanganisa maziso ako. Dhayi inobatsira kuratidza midzi yeropa yakakuvadzwa, tsinga dzakavharika, kana nzvimbo dziri kubuda mvura.

Heano mamiriro makuru ayo bvunzo iyi inobatsira kuongorora:

• Retinopathy yeDiabetic (kukuvara kweziso kubva ku diabetes)
• Kukwegura-kunokonzerwa macular degeneration
• Retinal vein kana artery blockages
• Kuzvimba mu macula (pakati pe retina yako)
• Retinal misodzi kana detachments
• Zvirwere zvinopisa ziso
• Tumors mukati kana kutenderedza ziso

Dzimwe nguva vanachiremba vanoshandisawo fluorescein kuti vatarise kuyerera kweropa mune dzimwe nhengo dzemuviri wako, kunyangwe izvi zvisingawanzoitiki. Muedzo uyu unopa ruzivo runokosha runobatsira chikwata chako chehutano kuronga kurapwa kwakanakisa kwechinhu chako chaicho.

Fluorescein Inoshanda Sei?

Fluorescein inoshanda nekushanda semuteveri anovhenekera midzi yeropa yako pasi pemidziyo yakakosha yekutora mifananidzo. Kana ruvara rwacho rwapinda muropa rako, runofamba kwese kunoenda ropa rako, kusanganisira network yakaoma yemidzi yeropa mumaziso ako.

Mashiripiti anoitika kana chiremba wako achivhenekera chiedza chebhuruu uye otora mifananidzo nekukurumidza yeziso rako. Midzi yeropa ine hutano inobvumira ruvara kuyerera zvakanaka, nepo nzvimbo dzakakuvadzwa dzichiratidza semavara akajeka, mapatch erima, kana nzvimbo dzinobuda ruvara.

Izvi zvinoonekwa sechishandiso chinoshanda zvakanyanya chekuongorora nekuti chinopa chaiyo-nguva, mifananidzo yakadzama yemaitiro ekuyerera kweropa. Chiremba wako anogona kuona chaizvo kwakaitika matambudziko uye kuti angave akakomba sei.

Ruvara pacharo harurape chero mamiriro - ndeyekuongorora chete. Zvisinei, ruzivo rwaanopa rwakakosha pakusarudza chirongwa chakarurama chekurapa mamiriro ako chaiwo.

Ndinofanira Sei Kutora Fluorescein?

Hauchadi chaizvo "kutora" fluorescein mupfungwa yechinyakare - inopiwa sejojo zvakananga mutsinga muruoko rwako. Nyanzvi yehutano ichagara ichipa mushonga uyu munzvimbo yekurapa senge chipatara kana kiriniki yeziso.

Usati wagadzwa, unogona kudya nekunwa zvakajairika kunze kwekunge chiremba wako akupa mirairo chaiyo. Haufaniri kutsanya kana kudzivisa chero chikafu chakati wandei usati waita bvunzo.

Izvi zvinowanzoitika panguva yekuongorora:

1. Mukoti kana tekinishani achaisa mutsetse mudiki weIV muruoko rwako
2. Uchagara pamberi pekamera yakakosha yakagadzirirwa kutora mapikicha emaziso ako
3. Mhinduro ye fluorescein inobayiwa nekukurumidza kuburikidza neIV
4. Mapikicha anotora nekukurumidza uye anoenderera mberi kwemaminitsi akati wandei
5. Nzira yese inowanzo tora maminitsi gumi nemashanu kusvika makumi matatu

Unogona kunzwa kunzwa kupisa kwenguva pfupi kana kusvotwa zvishoma kana ruvara rwebhuruu rwave kubayiwa, asi izvi zvinowanzoenda nekukurumidza. Vanhu vazhinji vanowana bvunzo iyi ichinyanya kugadzikana kupfuura zvavaitarisira.

Ndingatora Fluorescein Kwenguva Yakareba Sei?

Fluorescein ibayi rimwe chete, kwete mushonga waunotora kakawanda. Dose rese rinopihwa panguva yekugadzwa kwako kwekuongorora, uye bvunzo inowanzoitwa mukati memaminitsi makumi matatu.

Muviri wako unobvisa ruvara rwebhuruu mukati me24 kusvika 48 maawa kuburikidza nematsvo ako. Haufaniri kuita chero chinhu chakakosha kubatsira iyi nzira - ingonwa mvura yakawanda sezvaungaita zvakajairika.

Kana chiremba wako achida kudzokorora bvunzo kuti aongorore mamiriro ako nekufamba kwenguva, vachaita zvirongwa zvekusangana zvakasiyana. Vamwe vanhu vangangoda kutevera fluorescein angiograms mwedzi mishoma kana makore, zvichienderana nemamiriro avo eziso.

Ndezvipi Zvipingamupinyi zveFluorescein?

Vanhu vazhinji vanowana zvipingamupinyi zvishoma kubva kufluorescein, uye vazhinji havana zvipingamupinyi zvachose. Mhinduro inowanzoitika ndeyekuchinja kwenguva pfupi kweganda rako neweti, izvo zvakajairika uye hazvina njodzi.

Heano zvipingamupinyi zvishoma zvaungacherechedza:

• Weti yeyero kana orenji kwemaawa makumi maviri nemana kusvika makumi mana nemasere
• Ruvara rweyero rwakapfava paganda rako rinopera mukati meawa
• Kusvotwa kwenguva pfupi kana kunzwa kupisa panguva yekubaya
• Kuravira kwesimbi kwenguva pfupi mumuromo mako
• Dizziness yakapfava inopfuura nekukurumidza

Mhedzisiro iyi ndeyenguva pfupi uye hairatidzi matambudziko. Ruvara rweyero mumweti wako ingori dhayi iri kubviswa mumuviri wako zvakasikwa.

Mhedzisiro yakakomba inowanzoitika asi inogona kusanganisira:

• Maitiro ekuita allergic ane hives, kutsvuka, kana kuoma kufema
• Kurwara zvakanyanya kana kurutsa
• Kupererwa kana dzungu rakanyanya
• Kuzvimba kwechiso chako, miromo, kana huro

Chikwata chako chehutano chinokutarisa zvakanyanya panguva uye mushure mejekiseni kuti uone chero maitiro asingawanzoitiki. Vakagadzirira kubata chero matambudziko anogona kumuka, kunyangwe matambudziko akakomba asingawanzoitiki.

Ndiani Asingafaniri Kutora Fluorescein?

Nepo fluorescein ichiwanzoita zvakanaka kune vanhu vazhinji, pane dzimwe nguva apo chiremba wako angasarudza imwe nzira yekuongorora. Vanhu vane chirwere chakakomba cheitsvo vangangoda kufunga kwakakosha sezvo dhayi richibviswa nemitsvo.

Chiremba wako achatarisa nhoroondo yako yekurapa zvakanyatsonaka asati akurudzira bvunzo iyi. Vachada kuziva nezve chero maitiro ekare ekuita allergic kune madhayi, mishonga, kana vamiririri vakasiyana.

Mamiriro anoda kungwarira kwakawedzerwa anosanganisira:

• Nhoroondo yemaitiro akakomba ekuita allergic kune chero mishonga
• Chirwere chakakosha cheitsvo kana kukundikana kweitsvo
• Mamiriro emoyo akakomba anogona kukuitai kuti unzwe zvakanyanya kumhedzisiro
• Maitiro akaipa ekare ekuita fluorescein kana madhayi akafanana

Kuzvitakura kunoda kufunga kwakakosha, kunyangwe fluorescein ichigona kushandiswa kana mabhenefiti achipfuura njodzi. Chiremba wako achakurukura izvi newe kana wakazvitakura kana ungave wakazvitakura.

Kana uri kuyamwisa, unogona kurairwa kuti upombe uye urase mukaka wemazamu kwemaawa makumi maviri nemana mushure mebvunzo, kunyangwe huwandu hwedhayi hunopinda mumukaka wemazamu hudiki kwazvo.

Mazita eBrand eFluorescein

Fluorescein inowanikwa pasi pemazita akati wandei emhando, kunyangwe mushonga wacho pachako wakafanana zvisinei nemugadziri. Mazita emhando akajairika anosanganisira Fluorescite, AK-Fluor, uye Funduscein.

Kukosheswa uye kugadzirwa zvinogona kusiyana zvishoma pakati pemhando, asi zvese zvine chinhu chimwe chete chinoshanda - fluorescein sodium. Nzvimbo yako yekutarisira hutano ichasarudza mhando inoshanda zvakanyanya pamidziyo yavo uye maitiro.

Mamwe magadzirirwo anouya semhinduro dzakagadzirira kushandiswa, nepo mamwe achida kusanganiswa vasati vapiwa jekiseni. Izvi hazvikanganisi kuchengeteka kana kushanda kwechiyero chako - ingori nyaya yekugadzirira nyore nyore yechikwata chako chekutarisira hutano.

Zvimwe Zvinhu Zviri Panzvimbo yeFluorescein

Nepo fluorescein angiography iri goridhe remazhinji ekuongorora maziso, kune dzimwe nzira dzekuongorora dzinogona kufungwa nachiremba wako zvichienderana nemamiriro ako chaiwo.

OCT (Optical Coherence Tomography) inogona kupa mifananidzo yakadzama ye retina yako pasina kushandisa chero dhayi zvachose. Chiyero ichi chinoshandisa mafungu echiedza kugadzira mifananidzo yechikamu che retina yako, kunyangwe isingaratidze kuyerera kweropa sezvinoita fluorescein.

Zvimwe zvinhu zvinosanganisira:

• Indocyanine green angiography (inoshandisa dhayi rakasiyana)
• Fundus photography (inotora mifananidzo isina dhayi)
• OCT angiography (inoratidza midzi yeropa isina jekiseni)
• Ultrasonography yezvimwe zvirwere zvemaziso

Chiremba wako achasarudza chiyero chakanakisa zvichienderana nezvavanoda kuongorora uye mamiriro ako ehutano ega. Dzimwe nguva zviyero zvakawanda zvinodiwa kuti uwane mufananidzo wakakwana wehutano hwemaziso ako.

Ko Fluorescein Zviri Nani Pane Indocyanine Green?

Zvese fluorescein uye indocyanine green idhayi dzakanaka dzekuongorora, asi imwe neimwe ine zvakanakira zvakakosha kune mhando dzakasiyana dzezvirwere zvemaziso. Fluorescein iri nani pakuongorora midzi yeropa yepamusoro mu retina yako uye ndiyo chiyero chinowanzo shandiswa.

Indocyanine green inopinda zvakadzika mumashwashwa emeso uye inogona kuratidza tsinga dzeropa idzo fluorescein ingatadza kuona. Inonyanya kubatsira kune mamwe marudzi e macular degeneration uye matambudziko akadzama emeso.

Hezvino zvavanofananidzwa:

• Fluorescein: Zviri nani kune tsinga dzeropa dzepamusoro retina, haina kudhura, inowanikwa zvakanyanya
• Indocyanine green: Zviri nani kune tsinga dzeropa dzakadzama, inodhura, inoda midziyo yakakosha
• Fluorescein: Inokonzera ruvara rweyero rwemunguva pfupi
• Indocyanine green: Haina ruvara paganda, asi ine mhedzisiro yakasiyana

Chiremba wako achasarudza bvunzo inogona kupa ruzivo runodiwa kune mamiriro ako chaiwo. Dzimwe nguva bvunzo dzese dzinoitwa pazuva rimwechete kuti uwane mufananidzo wakakwana.

Mibvunzo Inowanzo Bvunzwa Nezve Fluorescein

Fluorescein Yakachengeteka Here Kune Vanhu vane Chirwere cheShuga?

Hongu, fluorescein inowanzova yakachengeteka zvikuru kune vanhu vane chirwere cheshuga. Muchokwadi, vanhu vazhinji vane chirwere cheshuga vanogamuchira nguva dzose fluorescein angiograms kuti vatarise hutano hwavo hwemaziso, sezvo chirwere cheshuga chinogona kukonzera matambudziko akakomba emeso nekufamba kwenguva.

Bvunzo iyi haina kukanganisa mazinga eshuga yeropa rako kana kukanganisa mishonga yechirwere cheshuga. Zvisinei, kana uine matambudziko eitsvo ane chokuita nechirwere cheshuga, chiremba wako angada kutora matanho ekuwedzera kana kukutarisa zvakanyanya panguva yebvunzo.

Ita shuwa kuti unoudza timu yako yehutano nezve chirwere chako cheshuga uye chero matambudziko aunogona kunge uine. Vachachinja nzira yavo yekutarisa uye yekutarisira zvinoenderana kuti vave nechokwadi chekuchengeteka kwako panguva yese yebasa.

Ndoita Sei Kana Ndikawana Fluorescein Yakawandisa Netsaona?

Sezvo fluorescein ichipiwa nenyanzvi dzekurapa dzakadzidziswa munzvimbo dzakadzorwa, overdoses netsaona hazviwanzoitiki. Madosi akajairika anoverengwa zvakanyatsonaka zvichienderana nehuremu hwako uye bvunzo chaiyo iri kuitwa.

Kana uine hanya nekuti wakagamuchira ruvara rwakawanda sei, taura nechikwata chako chehutano nekukasira. Vanogona kukutarisa chero zviratidzo zvisingawanzoitiki uye kukupa rubatsiro kana zvichidikanwa.

Zviratidzo zvingaratidza kuti wakawana ruvara rwakawanda zvinosanganisira kusvotwa kwakanyanya, kurutsa kusingagumi, kana dzungu risingawanzoitiki risingavandudzi. Zvisinei, matambudziko akakomba kubva kufluorescein haawanzoitiki, kunyange nemadosi makuru.

Ndingaita Sei Kana Ndikakanganwa Dosi yeFluorescein?

Mubvunzo uyu haushande zvachose kufluorescein sezvo ichipiwa sejojo rimwe chete panguva yekuongorora, kwete semushonga wenguva dzose waunotora kumba.

Kana ukakanganwa kugadzwa kwako kwefluorescein angiography, ingofona kuhofisi yachiremba wako kuti ugarise. Nguva yebvunzo inowanzove yakasununguka kunze kwekunge uine matambudziko emaziso anokurumidza.

Chiremba wako achashanda newe kuti awane nguva yekugadzwa itsva inoenderana nehurongwa hwako. Hapana chikonzero chekunetseka nekukanganwa

Asi, kana wakapiwa madonhwe eziso kuti akure vadzidzi vako, unogona kuva nekuona kusina kujeka uye kunzwa chiedza kwemaawa akati wandei. Muchiitiko ichi, unofanira kuronga kuti mumwe munhu akutyairire kumba.

Bvunza chikwata chako chehutano usati waita bvunzo kana uchizoda kufambiswa kumba. Vanogona kukuudza chaizvo zvekutarisira zvichibva pamaitiro chaiwo akarongerwa musangano wako.