Ðe wowɔ MRI-dɔdamɔnu na wò kpɔa? Ɣeaɖewoɣi la, ɖɔkta la gblɔna be, ‘Ehiã be míana amadede si to vovo na wo nɔewo wò be nàte ŋu akpɔ wò ŋutilã ƒe akpa si le eme la nyuie,’ alo? Zi geɖe la, esia le dedie ŋutɔ. Gake egbea míele nu ƒom tso kuxi aɖe si mebɔ kura o ŋu, vevietɔ na amesi ŋu ayikudɔ le. Mègavɔ̃ esia o, elabena ebɔ ale gbegbe be mègakpɔnɛ o. Gake ele vevie be nànya.
Kpuie ko la, nukae nye Nephrogenic Systemic Fibrosis (NSF)?
Nephrogenic Systemic Fibrosis (NSF) nye dɔléle si mebɔ kura o. Zi geɖe la, edzɔna ɖe amesiwo ŋu ayikudɔ le dzi ne wona amadede ƒomevi aɖe si woyɔna be `gadolinium-based contrast agents (GBCAs) vɔ megbe. Gadolinium nye atike si le amadede sia me. Ðɔktawo zãa amadede sia si dea vovototo wo nɔewo me tsɔ kpɔa nɔnɔmetata siwo me kɔ wu le fotoɖeɖewo abe Magnetic Resonance Imaging (MRI) ene me.
Ne ayiku gblẽ le ŋuwò la, esesẽna na wò ayiku be woaɖe GBCA siawo ɖa le wò ʋu me, si tae NSF le afɔku me ɖo.
Dɔléle sia ate ŋu ana wò ŋutigbalẽ naƒo, asẽ, avuvu, eye wòaƒo . Ɣeaɖewoɣi la, nɔnɔme aɖe si woyɔna be `joint contracture` ateŋu adzɔ. Esia fia be wò lãmekawo kple lãkusiwo va nɔa teƒe ɖeka (wobɔbɔna alo kekena). NSF ate ŋu akpɔ ŋusẽ ɖe ŋutinu ememetɔwo abe wò dzi kple lãkusi ene hã dzi. Esia le alea elabena lãmekawo kple lãmeka siwo le wò akɔta ate ŋu asẽ. Fifia la, atike aɖeke meli si woatsɔ atɔ te dɔléle sia ƒe ŋgɔyiyi alo atrɔ eƒe ŋusẽkpɔɖeamedziwo o.
Gake ɖo ŋku esia dzi: Fifia si amesiame nya nu tso afɔku sia ŋu la, wodzudzɔ amadede siwo me afɔku le nana amesiwo ŋu ayikudɔ le. Esia tae womese dɔléle sia ŋkɔ fifia o kloe.
Aleke gbegbee dɔléle sia bɔ ŋutɔŋutɔe?
Esia nye dɔléle si mebɔ kura o. Le nyateƒe me la, womekpɔ ame yeye aɖeke si ŋu dɔléle sia le o ƒe 10 kple edzivɔe nye sia. Le ƒe 2006 megbe, esi atikewɔlawo va nya kadodo si le GBCA kple ayikudɔ dome la, dɔléle sia xɔxɔ dzi ɖe kpɔtɔ ŋutɔ. Eyata, esia ɖee fia be megahiã be woavɔ̃ esia o.
Nukae nye NSF ƒe dzesiwo?
Dzesiawo ate ŋu adze le gbesigbe wodo amadede si to vovo na wo nɔewo alo le ɣleti geɖe megbe. Zi geɖe la, dzesiawo dzena le kwasiɖa ʋɛ aɖewo megbe.
Mina míalé ŋku ɖe dzesi veviawo ŋu.
| Dzesiwo ƒe hatsotso | Numeɖeɖe |
|---|---|
| Ŋutilã ƒe tɔtrɔ | Wò ŋutigbalẽ vuvu, tsina, eye wòƒona. Esia dzɔna zi geɖe le abɔwo, afɔwo, kple akɔta. Ƒã hafi wògblẽa nu le mo ŋu. |
| Ŋutilã ƒe dzedzeme | Teƒe dovivitiwo alo ƒuƒu siwo le ŋutigbalẽa ŋu. Le ɣeyiɣi aɖe megbe la, ŋutigbalẽa ate ŋu adze abe do ene, abe amititsetse ƒe aŋgba ene. |
| Ŋutilã ƒe seselelãme | Ŋutilã si le ʋuʋum, le dzo dam, alo le veve sem. |
| Ʋuʋu sesẽ | Esi ŋutigbalẽa le ƒoƒom hele vuvu la, lãmekawo kple ƒunukpeƒewo mete ŋu ʋãna nyuie o. |
| Ŋusẽkpɔɖeamedzi siwo le ememe | Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ sesẽ. Lãmetsiwo ƒe sesẽ nana abɔa mete ŋu bɔbɔna alo dzrana nyuie o (Loss of range of motion). |
Ne fibrosis le ŋgɔ yim la, ate ŋu ana abi ƒe lãkusiwo nadzɔ ɖe lãmekawo, lãkusiwo, nuɖuɖutome, ŋkuwo, kple dzi me. Esia ate ŋu agblẽ nu le ŋutinu siawo ƒe dɔwɔwɔ ŋu. Ate ŋu ana ame nazu nuwɔametɔ ɣeyiɣi didi eye wòanɔ anyi ɖaa, eye le ame aɖewo gome la, ate ŋu awu ame.
Nukatae NSF ƒe nɔnɔme sia dzɔna?
Woka nya ta be NSF ƒe dɔléle akpa gãtɔ le gadolinium-based contrast agents (GBCAs) zazã vɔ megbe. Womenya alesi tututu atike si nye gadolinium hea NSF vɛ haɖe o. Gake kadodo si dze ƒã le ayikudɔ kple GBCA dome. Azɔ hã, edze abe afɔkua lolo wu ne wona gadolinium agbɔsɔsɔme geɖe wò alo ne èzã GBCA aɖewo (xoxowo) ene.
Nɔnɔme sia dzɔna zi geɖe le amesiwo ŋu ayikudɔléle si nɔa anyi didi (CKD) le alo amesiwo le ʋumenugbagbeviɣidɔ wɔm ŋu.
Gake megagblɔ ake be, mègavɔ̃ o. Ƒe 15 kloe enye sia si ame yeye aɖeke megakpɔ esia le o. Nusitae nye be fifia ɖɔktawo nya afɔku sia nyuie. Esia tae womenaa GBCA xoxo siwo me afɔku le ame siwo ŋu ayikudɔ le o. Fifia wozãa atike siwo le dedie wu, siwo nye nu yeye siwo dea vovototo wo nɔewo dome.
Nukawoe nye atike siwo wozãna na NSF?
Fifia la, womeda asi ɖe atikewɔwɔ aɖeke koŋ dzi na NSF o. Esi wònye be dɔlélea mebɔ o ta la, numekuku siwo wowɔna le atikewɔwɔ ŋu mesɔ gbɔ o. Gake atikewɔwɔ vovovowo li siwo na gbɔdzɔe aɖe ame aɖewo:
- Dialysis: Dialysis kpena ɖe ŋuwò nèɖea gadolinium ɖa le wò ŋutilã me le MRI wɔwɔ vɔ megbe. Esia ate ŋu aɖe vi na amesiwo ŋu ayikudɔ le. Gake kakaɖedzi aɖeke meli be esia ana NSF nagatsi o.
- Lãmesẽnyawo Gbɔkpɔkpɔ: Lãmesẽfefewɔwɔ ate ŋu akpe ɖe ŋuwò be wò ƒunukpeƒewo nate ŋu aʋuʋu eye woate ŋu atrɔ ɖe nɔnɔmewo ŋu.
- Ayiku Dodo: Esia ate ŋu anye tiatia na NSF dɔnɔ aɖewo.
Nu vevitɔe nye be nàƒo asa na gadolinium zazã ne ayikudɔ le ŋuwò. Gake ɣeaɖewoɣi la, gadolinium ate ŋu ahiã be woakpɔ nɔnɔmetata nyuitɔwo kekeake tso MRI me. Le nɔnɔme mawo me la, wò ɖɔkta ada MRI ƒe viɖewo akpɔ kple afɔku sue ŋutɔ siwo le gadolinium me .
Ɣekaɣie wòle be makpɔ ɖɔkta?
Le dedienɔnɔ ƒe ɖoɖo siwo li fifia ta la, mɔnukpɔkpɔ si li be nàxɔ NSF la mede naneke kloe o. Gake ne ayikudɔ le ŋuwò eye woɖoe be woawɔ MRI la, anyo wu be nàƒo nu tso eŋu na wò ɖɔkta.
Ɣeyiɣi siwo me wòle be nàkpɔ wò ɖɔktae nye esi.
| Ɖoƒe | Nusi woawɔ |
|---|---|
Ne ayikudɔ le ŋuwò eye dzesi siwo gbɔna dze le ŋuwò le amadede si to vovo na wo nɔewo xɔxɔ na wò hena MRI wɔwɔ vɔ megbe:
| Kpɔ wò ɖɔkta enumake. Ðe wò dzesiwo me nyuie. |
| Ne ayikudɔ le ŋuwò eye wò ɖɔkta bia be woawɔ MRI kple amadede si to vovo na wo nɔewo. | Ƒo nu kple wò ɖɔkta tso afɔku si le NSF me ŋu. Bia be, "Ðe afɔku aɖe le vovototo sia me le esi ayiku me kuxiwo le ŋunyea?" Gblɔ wò lãmesẽ ŋutinya bliboa nɛ. |
Togbɔ be aɖi mele GBCA yeyeawo me o eye edze abe wole dedie ene hã la, anyo ɣesiaɣi be nàgblɔ wò lãmesẽ ŋutinya na wò ɖɔkta eye nàdzro afɔku ɖesiaɖe me.
Gbedasi si Wotsɔ Yi Aƒeme
- Nephrogenic Systemic Fibrosis (NSF) nye dɔléle si mebɔ kura fifia o si dzɔna ne wona amadede xoxo siwo to vovo na wo nɔewo amesiwo ŋu ayikudɔ le hena MRI.
- Esia ate ŋu ana ŋutigbalẽa naƒo eye wòasesẽ, eye wòagblẽ nu le ƒunukpeƒewo kple ŋutinu ememetɔwo ŋu.
- Esi wònye be ɖɔktawo nya afɔku sia nyuie wu fifia eye wozãa amadede yeye siwo le dedie wu siwo to vovo na wo nɔewo ta la, womekpɔ NSF ƒe dɔléle yeye aɖeke le ƒe 10 kple edzivɔ me o.
- Esi atike aɖeke meli koŋ na esia o ta la, mɔxexe ɖe enue nye nu vevitɔ kekeake.
- Ne ayikudɔ le ŋuwò eye wòhiã be woawɔ MRI kple amadede si to vovo na wo nɔewo la, ƒo nu kple wò ɖɔkta ɣesiaɣi tso afɔku siwo ate ŋu ado tso eme ŋu.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee