MRI scan i nei tawh em? A châng chuan doctor chuan, ‘I taksa chhûng lam chiang taka hmuh theih nân contrast dye kan pe che a ngai a ni,’ a ti ṭhin a ni lawm ni? A tam zawkah chuan hei hi a him hle. Mahse vawiinah hian harsatna awm lo tak tak kan sawi dawn a, a bik takin kal natna nei tan chuan. Hei hi hlau suh, a chhan chu a tlem em em a, i hmu tawh lo. Mahse hriat a pawimawh.
A awlsam zawngin sawi ila, Nephrogenic Systemic Fibrosis (NSF) hi eng nge ni?
Nephrogenic Systemic Fibrosis (NSF) hi a awm lo hle a, a natna hi a awm lo hle. Kidney natna nei te hi contrast dye chi khat `gadolinium-based contrast agents (GBCAs) an tih chu pek an nih hnuah a thleng tam ber. He dye ah hian gadolinium hi chemical a awm a. Doctor-te chuan he contrast dye hi Magnetic Resonance Imaging (MRI) ang chi scan-naah hian thlalak chiang zawk an hmuh theih nan an hmang a ni.
Kidney chhiatna i neih chuan i kal hian heng GBCA te hi i thisen atanga filter a harsat a, chuvang chuan NSF vei theihna i nei a ni.
He natna hian i vun a ti thim thei a, a tikhauh thei a, a ti hring thei a, a ti na thei bawk . A châng chuan, `joint contracture` an tih dinhmun a awm thei bawk. Chumi awmzia chu i taksa ruh leh ruhte chu hmun khatah (bent emaw extended emaw) a lock ta tihna a ni. NSF hian i thinlung leh lung ang chi internal organs te pawh a nghawng thei bawk. Hei hi a chhan chu i rilru chhunga tissue leh muscle te chu a nghet thei a ni. Tunah hian he natna zual zel tur tihtawp theihna tur emaw, a nghawng tihdanglam theihna tur damdawi a la awm lo.
Mahse hei hi hre reng ang che: Tunah chuan mi zawng zawngin he hlauhawmna hi an hre tawh a, kal natna vei te hnenah contrast dye hlauhawm tak tak pek an chawlhsan ta a ni. Chuvang chuan he natna hi tunah chuan hriat tur a awm tawh lo tluk a ni.
He natna hi engtiang chiahin nge a hluar tak tak?
Hei hi natna hmuh tur awm lo tak a ni tih rin theih a ni. Dik tak chuan kum 10 chuang zet chu he natna vei thar an awm lo. Kum 2006 hnu lama damdawi lam pawlin GBCA leh kal natna inzawmna an hriat chuan he natna vei hi nasa takin an tlahniam a ni. Chuvangin, hei hian hei hi hlauh a ngai tawh lo tih a tilang a ni.
NSF natna lanchhuahna chu engte nge ni?
Contrast dye pek ni vek emaw, thla engemaw zat hnuah emaw symptoms a lang thei. Kar tlemte chhungin symptoms a lang tlangpui.
A lan chhuah dan bulpui te han thlir ila.
| Symptom category hrang hrang a awm | Hrilhfiahna |
|---|---|
| Vun a inthlak danglam thin | I vun chu a hring a, a tight a, a thim bawk. Hei hi kut, ke leh taksa peng hrang hrangah a thleng tam ber. Hmai hi a nghawng tlem hle. |
| Vun hmel lan dan | Vunah hmun dum emaw, bumps emaw a awm. Hun a kal zel a, vun hian dimpled angin a lang thei a, orange peel ang chiah a ni. |
| Vun sensation a awm | Vun na, kang emaw, na emaw. |
| Hmasawnna harsa tak | Vun a thim a, a hring a, taksa ruh leh ruhte chu a pangngaiin a che thei lo. |
| Chhungril lama nghawng nei | Muscle chak lohna nasa tak. Muscle stiffness vangin ke ruh chu a ben thei lo va, a dinglam thei lo bawk (Loss of range of motion). |
Fibrosis a lo zual zel chuan taksa ruh, lung, chaw kawng, mit leh thinlungah te scar tissue a siam thei a ni. Hei hian heng taksa peng hrang hrangte hnathawh a tichhe thei a ni. Hun rei tak chhung leh chatuan atan rualbanlohna a thlen thei a, mi thenkhatah chuan thihna a thlen thei bawk.
Engvangin nge hetiang NSF dinhmun hi a lo awm?
NSF vei tam zawk hi gadolinium-based contrast agents (GBCAs) an hman hnuah an awm tih hmuhchhuah a ni. Chemical gadolinium hian engtin nge NSF a thlen tih chiang takin a la chiang lo. Mahse, kal natna leh GBCA te hi inzawmna chiang tak a awm a ni. Tin, gadolinium dose sang tak pek i nih emaw, GBCA thenkhat (hlui zawk) i hman chuan a hlauhawmna a sang zawk niin a lang bawk.
Hetiang dinhmun hi chronic kidney disease (CKD) nei emaw, dialysis hmang mek emaw zingah a awm tam ber.
Mahse ka ti leh a, hlau suh. Kum 15 dawn lai chu hetiang hi kai thar a la awm lo. A chhan chu tunah chuan doctor ten he hlauhawmna hi an hre chiang hle a ni. Chuvang chuan kal natna nei te hnenah GBCA hlui, risky tak tak an pe lo. Tunah chuan contrast agent him zawk, thar zawk an hmang ta a ni.
NSF enkawlna tur engte nge ni?
Tunah hian NSF tan hian enkawlna bik pawm a la awm lo. He natna hi a tlem em avangin a enkawl dan tur zirchianna a tlem hle. Mahse, mi thenkhat tan chuan hahdamna engemaw zat pe thei enkawlna engemaw zat a awm a:
- Dialysis: Dialysis hian MRI hnuah i taksa atanga gadolinium a paih chhuak thei a. Hei hi kal natna nei tan chuan a \angkai thei hle. Mahse, hei hian NSF hmasawnna a titawp dawn tih erawh a chiang lo.
- Physical Therapy: Physical therapy hian i ruhte chu a che thei lo a, a inthlak danglam thei bawk.
- Kidney Transplant: Hei hi NSF vei thenkhat tan chuan duhthlan tur a ni thei.
A pawimawh ber chu kal natna i neih chuan gadolinium nena inhriat loh hi a ni. Mahse a chang chuan MRI atanga thlalak tha ber ber hmuh theih nan gadolinium hi a ngai mai thei. Chutiang hunah chuan i doctor chuan MRI hlawkna chu gadolinium -a hlauhawmna tlemte tak takte nen a teh ang .
Engtikah nge Doctor ka hmuh ang?
Tuna himna dan hman mek hmang hian NSF i neih theihna chance chu zero vel a ni. Amaherawhchu kal natna i neih a, MRI neih tura ruahman i nih chuan i doctor nen sawiho a tha ber.
Hetah hian doctor i hmuh hun tur a awm.
| Nihna | Eng nge tih tur |
|---|---|
Kidney natna i neih a, MRI atana contrast dye i pek hnua a hnuaia symptoms te hi i neih chuan:
| Doctor hmu nghal rawh. I natna lan chhuah dan chiang takin sawi rawh. |
| Kidney natna i neih a, i doctor-in contrast dye hmanga MRI a tih chuan. | NSF hlauhawmna chungchang hi i doctor nen sawiho rawh. "He contrast hi ka kidney lama harsatna ka neih avangin risk a awm em?" I hriselna chanchin kimchang hrilh rawh. |
GBCA thar zawkte hi non-toxic leh him anga lang mahse, i hriselna chanchin chu doctor hnenah sawi la, a hlauhawmna awm thei te sawipui a tha fo.
Take-Home Thuchah a ni
- Tunah chuan Nephrogenic Systemic Fibrosis (NSF) hi natna hmuh tur awm lo tak a ni a, kal natna nei te chu MRI atan contrast dye hlui pek an nih khan a lo awm thin a ni.
- Hei hian vun a ti thim a, a tikhauh thei a, ruh leh taksa peng hrang hrang a nghawng thei bawk.
- Tunah chuan doctor-te chuan he hlauhawmna hi an hre chiang zawk a, contrast dye him zawk, thar zawk an hman avangin kum 10 chuang chhungin NSF vei thar an awm lo.
- Hemi atana enkawlna bik a awm loh avangin invenna hi a pawimawh ber a ni.
- Kidney natna i neih a, contrast dye hmanga MRI neih a ngai a nih chuan i doctor nen a hlauhawm theih dan tur sawipui fo ang che .
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