Yini i-Gadofosveset: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Gadofosveset iyisithako esikhethekile esisetshenziswa ngesikhathi sokuskena kwe-MRI ukusiza odokotela ukuthi babone imithambo yakho yegazi ngokusobala. Cabanga ngayo njengomaka ogqamisa imithambo yakho nemithambo yegazi ekuskeneni, okuvumela ithimba lakho lezokwelapha ukuthi libone noma yiziphi izinkinga ezingase zicashe.

Lo muthi ungoweqembu elibizwa ngokuthi ama-ejenti ahlukile asekelwe ku-gadolinium. Yenzelwe ngqo ukuhlala emithanjeni yakho yegazi isikhathi eside kunezidayi ezijwayelekile zokuhlukanisa, inikeze odokotela isikhathi esiningi sokuthwebula izithombe ezinemininingwane yesistimu yakho yokujikeleza.

Yini i-Gadofosveset Esetshenziselwa Yona?

I-Gadofosveset isiza odokotela ukuthi bathole izinkinga ngemithambo yakho yegazi, ikakhulukazi uma besola ukuvaleka noma ezinye izinkinga zokujikeleza. Ivame kakhulu ukusetshenziswa lapho udokotela wakho edinga ukuhlola imithambo yakho nemithambo yegazi ngemininingwane eminingi.

Isizathu esikhulu sokuthi ungase uthole lo muthi ukuhlolwa kwe-magnetic resonance angiography, noma i-MRA. Lolu uhlobo olukhethekile lwe-MRI olugxile ngqo emithanjeni yakho yegazi. Udokotela wakho angase ancome leli hlola uma unezimpawu ezinjengobuhlungu emlenzeni lapho uhamba, ukuvuvukala okungavamile, noma uma esola ukuthi unesifo semithambo engaphandle.

Ngezinye izikhathi odokotela basebenzisa i-gadofosveset lapho bedinga ukuhlola ukuthi igazi lihamba kahle kangakanani ezindaweni ezithile zomzimba wakho. Lokhu kungabasiza ukuthi bahlele ukwelashwa noma baqaphe ukuthi ukwelashwa kwangaphambilini kusebenza kahle kangakanani.

Isebenza Kanjani i-Gadofosveset?

I-Gadofosveset isebenza ngokubopha okwesikhashana kuphrotheni egazini lakho ebizwa nge-albumin. Le nqubo yokubopha yikho okuyenza ihluke kwamanye ama-ejenti ahlukile futhi ivumele ukuthi ihlale egazini lakho isikhathi eside.

Lapho umshini we-MRI udala inkambu yawo kazibuthe, i-gadofosveset iphendula ngokuthuthukisa umehluko phakathi kwemithambo yakho yegazi nezicubu ezizungezile. Lokhu kudala izithombe ezicacile kakhulu, ezinemininingwane eminingi ezisiza udokotela wakho ukuthi abone kahle ukuthi kwenzekani ngaphakathi ohlelweni lwakho lokujikeleza.

Umuthi uthathwa njengomuthi olinganiselwe wokuqhathanisa. Unamandla ngokwanele ukuhlinzeka ngesithombe esihle kodwa uthambile ngokwanele ukuthi abantu abaningi bawuthole kahle. Ukubopha ku-albumin kusho ukuthi awuphumi emithanjeni yakho yegazi ngokushesha njengeminye imithi yokuqhathanisa, unikeza odokotela isikhathi esiningi sokuthwebula izithombe abazidingayo.

Ngingawuthatha Kanjani U-Gadofosveset?

Ngeke uwuthathe ngempela u-gadofosveset ngokwakho. Esikhundleni salokho, uchwepheshe wezempilo oqeqeshiwe uzokunika wona ngomugqa we-IV engalweni yakho ngesikhathi sokuqokwa kwakho kwe-MRI.

Ngaphambi kokuskena kwakho, awudingi ukugwema ukudla noma iziphuzo ngaphandle uma udokotela wakho ekutshela ngqo ngenye indlela. Kodwa-ke, kuyasiza ukuhlala unamanzi ngokwanele ngokuphuza amanzi amaningi ezinsukwini eziholela esivivinyweni sakho. Lokhu kungasiza izinso zakho ukuthi zicubungule umuthi wokuqhathanisa kalula.

Ukujova ngokwako kuvame ukuthatha imizuzu embalwa nje. Ungase uzwe umuzwa opholile omncane njengoba umuthi ungena egazini lakho, kodwa lokhu kujwayelekile ngokuphelele futhi akukho okumele ukhathazeke ngakho.

Ngingawuthatha Isikhathi Esingakanani U-Gadofosveset?

I-Gadofosveset iyisibhamu esisodwa esinikezwa kuphela ngesikhathi sokuskena kwakho kwe-MRI. Ngeke kudingeke uqhubeke nokuyithatha ekhaya noma ezinsukwini eziningana njengeminye imithi.

Umuthi uhlala usebenza ohlelweni lwakho cishe amahora angu-3-4 ngemva kokujova, okunikeza odokotela isikhathi esiningi sokuthwebula zonke izithombe abazidingayo. Okuningi kwawo kuzosuswa emzimbeni wakho ngomchamo wakho phakathi kwamahora angu-24-48.

Uma udokotela wakho edinga ukuskena okwengeziwe esikhathini esizayo, bazokunika umjovo omusha ngaleso sikhathi. Ngokuvamile akudingeki imithamo ephindwayo ngesikhathi esifanayo sokuskena.

Yiziphi Imiphumela Eceleni Ye-Gadofosveset?

Abantu abaningi bayakuthola kahle i-gadofosveset, abaningi abangabi nayo imiphumela emibi nhlobo. Lapho imiphumela emibi yenzeka, ivame ukuba mnene futhi ihlale isikhashana.

Imiphumela eseceleni evame kakhulu ongase uyizwe ihlanganisa umuzwa omfushane wokufudumala noma ukupholisa ngesikhathi sokujova, isicanucanu esincane, noma ikhanda elincane. Lezi zimpawu ngokuvamile zizixazulula zodwa phakathi namahora ambalwa futhi azidingi ukwelashwa okukhethekile.

Abanye abantu baqaphela umuzwa omncane wokusha noma wokuluma endaweni yokujova. Lokhu kuvamile futhi kufanele kuphele ngokushesha. Ungase futhi uzwe ukunambitheka kwensimbi emlonyeni wakho ngesikhathi noma ngemuva kokujova, okungokwesikhashana futhi akuyingozi.

Imiphumela eseceleni engavamile kodwa esalawulekayo ihlanganisa isiyezi, ukukhathala, noma ukucasuka kwesikhumba okuncane. Le miphumela ngokuvamile imfushane futhi ayiphazamisi imisebenzi yakho yansuku zonke uma usuka emtholampilo.

Imiphumela eseceleni engathi sína ayivamile kodwa ingahlanganisa ukusabela okukhulu komzimba. Izimpawu okufanele uziqaphele zihlanganisa ubunzima bokuphefumula, ukuvuvukala okukhulu, noma ukuqubuka okusabalale. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa usizo lwezokwelapha ngokushesha.

Kukhona futhi isimo esingavamile esibizwa ngokuthi i-nephrogenic systemic fibrosis esingenzeka kubantu abanezinkinga ezinzima zezinso. Yingakho udokotela wakho ezohlola ukusebenza kwezinso zakho ngaphambi kokukunika i-gadofosveset.

Ubani Ongafanele Athole I-Gadofosveset?

I-Gadofosveset ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyincoma. Okukhathaza kakhulu ukusebenza kwezinso, njengoba abantu abanezifo ezinzima zezinso babhekene nezingozi eziphakeme.

Akufanele uthole i-gadofosveset uma unezifo ezinzima zezinso noma use-dialysis. Udokotela wakho cishe uzo-oda ukuhlolwa kwegazi ukuze ahlolisise ukusebenza kwezinso zakho ngaphambi kokuhlela ukuskena kwakho. Abantu abanezinkinga zezinso bangase badinge izindlela zokuthwebula ezingezinye noma izinyathelo zokuphepha ezikhethekile.

Uma ukhulelwe noma ungase ukhulelwe, yazisa udokotela wakho ngokushesha. Ngenkathi i-gadofosveset ingakaze iboniswe ukuthi ilimaza ngesikhathi sokukhulelwa, odokotela ngokuvamile bakhetha ukugwema ama-ejenti okuqhathanisa ngaphandle kokuthi kudingeke ngempela empilweni kamama.

Abantu abaziwa ukuthi bane-allergy ku-gadolinium noma yiziphi izinto eziqukethe i-gadofosveset akufanele bathole lo muthi. Uma uke waba nokusabela kuma-ejenti okuqhathanisa esikhathini esidlule, qiniseka ukuthi ithimba lakho lezokwelapha liyazi ngalomlando.

Ezinye izimo zezokwelapha zidinga ukuqapha okwengeziwe, okuhlanganisa isifo senhliziyo esibi, izinkinga zesibindi, noma umlando wokuhlaselwa yizithuthwane. Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona kulezi zimo.

Amagama Omkhiqizo we-Gadofosveset

I-Gadofosveset ivame ukwaziwa ngegama layo lomkhiqizo elithi Ablavar e-United States. Kwamanye amazwe, ingatholakala ngaphansi kwamanye amagama omkhiqizo, nakuba ukutholakala kungahluka ngokuya ngendawo.

Udokotela wakho noma isikhungo sokuthwebula izithombe sizokwazisa ngqo ukuthi iyiphi ifomula abayisebenzisayo. Into ebalulekile ukuthi zonke izinhlobo ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo.

Lapho uhlela i-aphoyintimenti yakho noma uxoxa ngenqubo, ungase uzwe abahlinzeki bezempilo bekhuluma ngayo ngegama layo elivamile (gadofosveset) noma igama lomkhiqizo (Ablavar). Le yimithi efanayo.

Ezinye izindlela ze-Gadofosveset

Ezinye izinto eziqhathanisayo zingasetshenziswa kuma-MRI scans, nakuba ngalinye linokusetshenziswa kwalo okuthile nezici zalo. Udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe kulokho abadinga ukukubona nesimo sakho sempilo.

Ezinye izinto eziqhathanisayo ezisekelwe ku-gadolinium zihlanganisa i-gadoteridol, i-gadobutrol, ne-gadoterate meglumine. Lezi zisebenza ngendlela efanayo ne-gadofosveset kodwa azihlanganisi ne-albumin, ngakho zihamba ngokushesha ohlelweni lwakho.

Ngezinhlobo ezithile zokuthwebula imithambo yegazi, odokotela bangasebenzisa amasu ahlukene ngokuphelele. Lokhu kungabandakanya i-CT angiography enokungafani okusekelwe ku-iodine noma ngisho nokuthwebula izithombe nge-ultrasound, kuye ngokuthi yiluphi ulwazi abaludingayo.

Ezimweni ezithile, udokotela wakho angase ancome i-MRI ngaphandle kwanoma iyiphi i-ejenti yokungafani nakancane. Ubuchwepheshe be-MRI banamuhla ngezinye izikhathi bungahlinzeka ngezithombe ezanele ngaphandle kokungafani, ikakhulukazi ekuhlolweni kokuqala noma ekuhlolweni okulandelayo.

Ingabe i-Gadofosveset Ingcono Kunezinye Izinto Zokungafani?

I-Gadofosveset inezinzuzo eziyingqayizivele zezinhlobo ezithile zokuthwebula izithombe, ikakhulukazi lapho odokotela bedinga imininingwane enemininingwane, imibono ende yemithambo yakho yegazi. Ikhono layo lokubopha ne-albumin lenza libe usizo kakhulu ezimweni ezithile zokuxilonga.

Uma kuqhathaniswa nama-ejenti ajwayelekile e-gadolinium contrast, i-gadofosveset ihlala emithanjeni yakho yegazi isikhathi eside, okuvumela ukuthwebula izithombe ezinemininingwane emincane yemithambo yegazi nokuhlola okungcono kwamaphethini okuhamba kwegazi. Lokhu kungaba usizo ikakhulukazi lapho kuhlaziywa isifo semithambo esingaphandle noma ukuhlela izinqubo zemithambo.

Nokho,

Udktela wakho cishe uzo-oda ukuhlolwa kwegazi ukuze ahlole ukuthi izinso zakho zisebenza kahle kangakanani ngaphambi kokuhlela ukuskena kwakho. Uma ukusebenza kwezinso zakho kujwayelekile, ukuba nesifo sikashukela akufanele kukuvimbele ekutholeni i-gadofosveset. Kodwa-ke, uma unesifo sezinso esibangelwa isifo sikashukela, udokotela wakho angase akhethe indlela ehlukile yokuthwebula izithombe noma athathe izinyathelo ezikhethekile.

Ngingenzani Uma Ngithola I-Gadofosveset Eningi Ngengozi?

Ukweqisa kwe-gadofosveset akunakwenzeka kakhulu ngoba inikezwa ochwepheshe bezokwelapha abaqeqeshiwe endaweni elawulwayo. Abahlinzeki bezempilo babala ngokucophelela umthamo oqondile ngokuya ngesisindo somzimba wakho kanye nohlobo lokuskena olwenziwayo.

Uma ukhathazekile ngobuningi obutholile, khuluma nethimba lakho lezokwelapha ngokushesha. Bangakwazi ukukuqapha nganoma yiziphi izimpawu ezingavamile futhi bathathe izinyathelo ezifanele uma kudingeka. Izindaba ezinhle ukuthi i-gadofosveset ikhishwa emzimbeni wakho ngokwemvelo ngezinsu zakho, ngakho ukuphuza amanzi amaningi kungasiza ukusekela le nqubo.

Ngingenzani Uma Nginemiphumela Eceleni Ngemva Kwe-Gadofosveset?

Imiphumela eminingi eceleni evela ku-gadofosveset imnene futhi iyazixazulula yodwa emahoreni ambalwa. Uma unezimpawu ezincane ezinjengokucasuka, ikhanda elibuhlungu, noma ukunambitheka kwensimbi, lokhu kujwayelekile futhi akudingi ukwelashwa okukhethekile.

Kodwa-ke, uma uthuthukisa izimpawu ezinjengobunzima bokuphefumula, ukuvuvukala okukhulu, ukuqubuka okusabalalele, noma isiyezi esikhulu, funa ukwelashwa ngokushesha. Lezi kungaba izimpawu zokungezwani komzimba okukhulu. Xhumana nodokotela wakho uma unokukhathazeka nganoma yiziphi izimpawu ezibonakala zingavamile noma ziqhubeka isikhathi eside kunalokho obekulindelekile.

Ngingaqala Nini Imisebenzi Ejwayelekile Ngemva Kwe-Gadofosveset?

Ngokuvamile ungaqala kabusha yonke imisebenzi ejwayelekile ngokushesha ngemva kokuthola i-gadofosveset. Umuthi awuthinti ikhono lakho lokushayela, ukusebenza, noma ukuhlanganyela emisebenzini yakho yansuku zonke.

Ukunconywa kuphela ukuthi uphuze amanzi amaningi usuku lonke ukuze usize izinso zakho zikhiphe i-ejenti elihlukile. Akukho mingcele yokudla noma imikhawulo yomsebenzi ngaphandle uma udokotela wakho ekweluleka ngokuqondile ngenye indlela ngokusekelwe esimweni sakho somuntu siqu.

Ihlala isikhathi esingakanani i-Gadofosveset esistemini sami?

I-Gadofosveset iqala ukukhishwa emzimbeni wakho kungakapheli amahora okujovwa, iningi layo selihambile kungakapheli amahora angu-24-48. Umuthi ucubungulwa izinso zakho futhi ukhishwe ngomchamo wakho.

Ngenkathi umphumela wokuhlukahluka uhlala amahora amaningana ngesikhathi sokuthwebula izithombe, umuthi wangempela awenzi ngaphezulu esistemini lakho noma ubangele izinguquko zesikhathi eside. Izinqubo zemvelo zomzimba wakho zokukhipha zisingatha ukususwa ngempumelelo, yingakho ukuhlala unamanzi kahle kusiza ukusekela le nqubo.