Yini i-Perflutren (Uhlobo Lwephrotheni A Microsphere): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Perflutren iyisithako esisetshenziselwa ukubonisa ngesikhathi sokuhlolwa kwenhliziyo nge-ultrasound ukusiza odokotela ukuthi babone inhliziyo yakho ngokucacile. Yenziwe ngamabhamuza amancane agcwele igesi ahamba ngemithambo yakho yegazi futhi asebenza njengokukhanya, okwenza ingaphakathi lenhliziyo yakho livele kangcono esikrinini se-ultrasound.

Lo muthi unikezwa nge-IV engalweni yakho ngesikhathi sohlobo olukhethekile lwe-echocardiogram olubizwa nge-contrast echocardiogram. Ama-microspheres amancane asiza udokotela wakho ukuthi athole umfanekiso ocacile wokuthi inhliziyo yakho iphampa igazi kahle kangakanani nokuthi zonke izindawo zomzimba wakho wenhliziyo zisebenza kahle yini.

Yini i-Perflutren Esetshenziselwa Yona?

I-Perflutren isiza odokotela ukuthi bathole izinkinga zenhliziyo lapho ama-ultrasound avamile engahlinzeki ngemifanekiso ecacile ngokwanele. Isebenza ikakhulukazi lapho udokotela wakho edinga ukubona i-left ventricle, okuyigumbi elikhulu lokumpompa inhliziyo yakho, ngemininingwane eyengeziwe.

Lesi sithako sokubonisa sisiza ikakhulukazi abantu abanemifanekiso yenhliziyo enzima ukuyibona kahle ngenxa yosayizi womzimba, izimo zamaphaphu, noma ukushuba kodonga lwesifuba. Ingadalula izindawo zenhliziyo yakho ezingase zingatholi ukuhamba kwegazi okwanele, isize odokotela ukuthi babone ukuvinjelwa okungenzeka noma ukulimala.

Udokotela wakho angase futhi asebenzise i-perflutren ukuhlola ukuthi imisipha yenhliziyo yakho isebenza kahle kangakanani ngemva kokuhlaselwa yinhliziyo noma ukuhlola isifo senhliziyo esisoliswayo. Ukuthuthukiswa kwesithombe kubasiza ukuthi benze ukuxilongwa okunembile kanye nezinqumo zokwelashwa esimweni sakho esithile.

Isebenza Kanjani i-Perflutren?

I-Perflutren isebenza ngokudala umehluko we-acoustic ngesikhathi se-ultrasound yakho yenhliziyo. Lapho ama-microspheres amancane agcwele igesi engena emithanjeni yakho yegazi, abonisa amaza e-ultrasound kangcono kakhulu kunegazi lakho elivamile nezicubu.

Cabanga ngakho njengokufaka i-highlighter embhalweni - ama-microspheres enza izindawo ezithile zenhliziyo yakho zigqame ngokucacile esikrinini se-ultrasound. Njengoba la mabhubhubhu ehamba ngamagumbi enhliziyo yakho nemithambo yegazi, akha izithombe eziqhakazile, ezicacile ezisiza udokotela wakho ukuthi abone kahle ukuthi inhliziyo yakho isebenza kanjani.

Ama-microspheres mancane ngokwanele ukuthi adlule emithanjeni yakho emincane yegazi kodwa makhulu ngokwanele ukubonisa amaza e-ultrasound ngempumelelo. Lokhu kunikeza udokotela wakho umbono onemininingwane, wesikhathi sangempela wokusebenza kwenhliziyo yakho kanye namaphethini okuhamba kwegazi.

Kufanele Ngiyithathe Kanjani I-Perflutren?

Awuzithatheli wena i-perflutren - inikezwa uchwepheshe wezempilo ngomugqa we-IV ngesikhathi senqubo yakho ye-echocardiogram. Umuthi ulungiswa futhi unikezwe esibhedlela noma ekliniki ngaphansi kokugadwa kwezokwelapha okucophelelayo.

Ngaphambi kwenqubo yakho, ngokuvamile akudingeki ukuthi ugweme ukudla noma ukuphuza, nakuba udokotela wakho angakunika imiyalelo ethile. I-ejenti yokuqhathanisa ixutshwe nesixazululo se-saline futhi inikezwe kancane ngomugqa wakho we-IV ngenkathi i-ultrasound yenziwa.

Ngesikhathi sokujova, uzolala etafuleni lokuhlolwa ngenkathi uchwepheshe we-ultrasound ethatha izithombe zenhliziyo yakho. Inqubo yonke ivame ukuthatha imizuzu engaba ngu-30 kuya kwengama-60, futhi uzoqashwa kuyo yonke inqubo ukuze uthole ukuphepha kwakho nokunethezeka kwakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Perflutren?

I-Perflutren inikezwa njengesijovo esisodwa ngesikhathi senqubo yakho ye-echocardiogram. Awuthathi lo muthi ekhaya noma isikhathi eside njengeminye imithi yenhliziyo.

I-ejenti yokuqhathanisa isebenza ngokushesha uma isijovwe futhi isuswa ohlelweni lwakho ngokwemvelo phakathi namahora ambalwa. Amabhubhubhu egesi aqedwa ngamaphaphu akho uma uphefumula, futhi igobolondo lamaprotheni licutshungulwa yizinhlelo zomzimba wakho zokukhipha imfucuza ezivamile.

Uma udokotela wakho edinga ezinye izithombe zokuhlolwa ngekusasa, bangase batusa omunye umjovo we-perflutren ngesikhathi se-echocardiogram elandelayo. Lokhu kungaba inqubo ehlukile ehlelelwe ukuthi isekelwe ezidingweni zakho ezithile zezokwelapha.

Ziyini Imiphumela Eceleni ye-Perflutren?

Abantu abaningi bayakwazi ukumelana ne-perflutren kahle, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi ukusabela okukhulu akuvamile, futhi abahlinzeki bezempilo baqeqeshwe ukuthi baqaphele futhi baphathe noma yiziphi izinkinga ezingase zivele.

Imiphumela emibi ejwayelekile abanye abantu abayitholayo ihlanganisa:

• Ikhanda noma isiyezi esincane
• Ukucasuka noma ukuzwa ukugula
• Ukubomvu noma ukushisa ebusweni bakho
• Ubuhlungu obuncane emhlane noma ukungakhululeki
• Ushintsho lokunambitheka emlonyeni wakho
• Ukuzizwa ukhathele ngemva kwenqubo

Lezi zimpawu zivame ukuba mnene futhi zinyamalale zodwa emahoreni ambalwa. Ithimba lakho lezempilo lizokuqapha eduze ngesikhathi nangemva komjovo ukuze liqinisekise ukuthi uzizwa ukhululekile.

Imiphumela emibi engathi sína ingenzeka kodwa ayivamile. Lokhu kungase kuhlanganise ubunzima bokuphefumula, ukusabela okukhulu komzimba, noma izinguquko zesigqi senhliziyo. Ithimba lakho lezokwelapha lilungele ukubhekana nalezi zimo ngokushesha uma zenzeka.

Abanye abantu bangase bazwe ubuhlungu besifuba noma ukuphefumula kanzima ngesikhathi noma ngemva komjovo. Nakuba lokhu kungase kukhathaze, ngokuvamile kuhlobene nomuthi osetshenziselwa ukuhlolwa futhi ngokuvamile kulungiswa ngokushesha ngokunakekelwa okufanele kwezokwelapha.

Ubani Ongafanele Athole I-Perflutren?

I-Perflutren ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokutuswa kwalo muthi osetshenziselwa ukuhlolwa. Izimo ezithile zenhliziyo namaphaphu zenza lo muthi ungaphephile kwabanye abantu.

Akufanele uthole i-perflutren uma une:

• Ukungezwani okwaziwayo ne-perflutren noma ama-ejenti afanayo okuqhathanisa
• Ukuhluleka kwenhliziyo okukhulu noma ukushaya kwenhliziyo okungazinzile
• Ukunqanyulwa kwenhliziyo kwamuva (ngaphakathi kwezinsuku ezingama-30)
• Izinkinga zokuphefumula ezinzima noma isifo samaphaphu
• Ama-shunts enhliziyo avela ngakwesokudla kuya ngakwesokunxele noma izici ezithile zenhliziyo ezizalwe nayo
• I-Pulmonary hypertension noma izinkinga ezinzima zokucindezela kwamaphaphu

Udokotela wakho uzophinda aqaphele ukusebenzisa i-perflutren uma ukhulelwe, uncelisa, noma unezinkinga zezinso. Bazohlola izinzuzo ngokumelene nezingozi ezingaba khona ngokusekelwe esimweni sakho sezokwelapha esithile.

Uma unokukhathazeka mayelana nokungezwani komzimba noma ukusabela kwangaphambilini kuma-ejenti okuqhathanisa, qiniseka ukuthi uxoxa ngalokhu nethimba lakho lezempilo ngaphambi kwenqubo. Bangasiza ekunqumeni ukuthi i-perflutren iyisinqumo esifanele kuwe.

Amagama Omkhiqizo we-Perflutren

I-Perflutren iyatholakala ngaphansi kwegama lomkhiqizo elithi Optison e-United States. Lolu uhlobo olusetshenziswa kakhulu lwe-perflutren ezinqubweni ze-echocardiography yokuqhathanisa.

Udokotela wakho noma isikhungo sezempilo bangase bakubize nganoma yiliphi igama - i-perflutren noma i-Optison - kodwa yimithi efanayo. Uhlobo lwegama lomkhiqizo luqukethe isithako esifanayo esisebenzayo futhi lusebenza ngendlela efanayo.

Lapho uhlela inqubo yakho noma uxoxa nge-ejenti yokuqhathanisa nenkampani yakho yomshuwalense, ungase uhlangane nanoma yiliphi igama. Ungakhathazeki - bakhuluma nge-ejenti yokuqhathanisa efanayo ephephile nephumelelayo.

Ezinye Izindlela ze-Perflutren

Uma i-perflutren ingakulungele, udokotela wakho unezinye izinto zokuqhathanisa ezitholakalayo zokuthwebula izithombe zenhliziyo. Lezi ezinye izindlela zisebenza ngendlela efanayo kodwa zingase zibe namaphrofayili okuphepha ahlukene noma zifanele kangcono izidingo zakho zezokwelapha ezithile.

Ezinye izinto zokuqhathanisa ze-ultrasound zihlanganisa ama-microbubbles e-sulfur hexafluoride kanye nezinto zokuqhathanisa ezisekelwe ku-lipid. Ngayinye inezinzuzo zayo kanye nokucatshangelwa kwayo, futhi udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe esimweni sakho sempilo kanye nohlobo lokuthwebula izithombe oludingekayo.

Kwezinye izimo, udokotela wakho angase ancome ezinye izindlela zokuthwebula izithombe ngokuphelele, njenge-cardiac MRI enokuhlukahluka noma ukuhlolwa kokucindezeleka kwenyukliya. Lezi zindlela ezihlukene zingahlinzeka ngolwazi olufanayo lokuxilonga ngobuchwepheshe obuhlukene.

Ingabe i-Perflutren ingcono kunezinye izinto ezihlukile?

I-Perflutren isetshenziswe ngempumelelo iminyaka eminingi futhi inerekhodi elihle lokuphepha le-contrast echocardiography. Noma ngabe "ingcono" kunezinye izinto ezihlukile kuncike esimweni sakho sezokwelapha kanye nalokho udokotela wakho azama ukukubona.

Uma iqhathaniswa nezinto ezintsha ezihlukile, i-perflutren inikeza ukuthuthukiswa okuhle kwesithombe futhi ifundwe kabanzi emithini. Isebenza kahle ikakhulukazi ekuhloleni umsebenzi we-ventricular wesobunxele nokuthola ukungajwayelekile kokunyakaza kodonga.

Udokotela wakho uzokhetha into ehlukile efaneleka kakhulu izidingo zakho ezithile, ecabangela izinto ezinjengomlando wakho wezokwelapha, uhlobo lokuthwebula izithombe oludingekayo, nanoma yikuphi ukungezwani komzimba noma izinto ezingavumelekile ongase ube nazo.

Imibuzo Evame Ukubuzwa Nge-Perflutren

Ingabe i-Perflutren iphephile kubantu abanesifo sikashukela?

Yebo, i-perflutren ngokuvamile iphephile kubantu abanesifo sikashukela. Le nto ehlukile ayithinti amazinga kashukela egazini noma isebenzisane nemithi yesifo sikashukela efana ne-insulin noma i-metformin.

Noma kunjalo, udokotela wakho uzobuye abukeze umlando wakho wezokwelapha ophelele, okuhlanganisa ukuphathwa kwakho kwesifo sikashukela kanye nanoma yiziphi izinkinga ezihlobene njengezinkinga zezinso. Uma unesifo senhliziyo esinesifo sikashukela noma ezinye izinkinga zenhliziyo nemithambo yegazi, bazothatha izinyathelo zokuphepha ezengeziwe ngesikhathi senqubo yakho.

Ngingenzani uma ngithola imiphumela emibi ngemva kwe-Perflutren?

Uma uthola imiphumela emibi emincane efana nekhanda noma isicanucanu ngemva kwenqubo yakho, lezi zivame ukuzixazulula zodwa phakathi namahora ambalwa. Phumula futhi uhlale unamanzi ngenkathi umzimba wakho usebenza ngento ehlukile.

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uba nezimpawu ezinzima njengokuphefumula kanzima, ubuhlungu besifuba, isiyezi esikhulu, noma izimpawu zokungezwani komzimba. Izikhungo eziningi zezokwelapha zizokuqapha okungenani imizuzu engama-30 ngemuva komjovo ukuze zibheke noma yiziphi izimpendulo eziphuthumayo.

Kufanele ngenzeni uma ngiba nokusabela ngesikhathi somjovo?

Uma uzwa noma yikuphi ukungakhululeki noma izimpawu ezingavamile ngesikhathi somjovo we-perflutren, tshela ithimba lakho lezempilo ngokushesha. Baqeqeshwe ukubona nokuphatha izimpendulo zokungafani ngokushesha nangempumelelo.

Abasebenzi bezokwelapha bazokuqapha kuyo yonke inqubo futhi bangamisa umjovo uma kudingeka. Banemithi nemishini etholakalayo kalula ukwelapha noma yiziphi izimpendulo ezingase zenzeke ngesikhathi noma ngemuva kokuphathwa kokungafani.

Ngingaqala nini kabusha imisebenzi ejwayelekile ngemuva kwe-Perflutren?

Abantu abaningi bangaqala kabusha imisebenzi ejwayelekile ngokushesha ngemuva kwe-echocardiogram yabo yokungafani nge-perflutren. I-ejenti yokungafani iyasuswa ohlelweni lwakho ngokwemvelo kungakapheli amahora ambalwa ngokuphefumula okujwayelekile nezinqubo zomzimba.

Udokotela wakho angase ancome ukugwema ukuzivocavoca okunzima ngosuku olusele, ikakhulukazi uma ube nemiphumela emibi. Uma uzizwa ukhathele noma unezinhlungu ezincane zekhanda, kulungile ngokuphelele ukuthatha kalula kuze kube yilapho lezi zimpawu zixazululwa.

Ngingakwazi yini ukushayela ngiya ekhaya ngemuva kokuthola i-Perflutren?

Ezimweni eziningi, ungashayela uye ekhaya ngemuva kwe-echocardiogram yakho yokungafani, kodwa lokhu kuncike ekutheni uzizwa kanjani ngemuva kwenqubo. Uma uzwa isiyezi, isicanucanu, noma uzizwa ungaphilile, kuphephe kakhulu ukuthi omunye umuntu akuqhubele ekhaya.

Ithimba lakho lezempilo lizohlola ukuthi uzizwa kanjani ngaphambi kokuthi uhambe futhi lizokweluleka uma ukushayela kuphephile. Uma ungabaza, ukuba nomngane noma ilungu lomndeni elitholakalayo ukukushayela ekhaya ngaso sonke isikhathi kuyisu elihle lokusekela.