Ngaba ugqirha ukuxelele wena okanye umntwana wakho ukuba niye kuskena izintso nge-'MAG3'? Ngaba uzive usoyika okanye unomdla xa usiva elo gama? Kuqhelekile ukuba nabani na azive enovalo kancinci, ingakumbi xa kusithiwa kusetyenziswa into 'esebenzisa imisebe' kolu vavanyo. Kodwa ungakhathazeki. Olu luvavanyo olukhuselekileyo ngokwenene, kwaye lusinika ulwazi oluninzi oluxabisekileyo malunga nokusebenza kwezintso. Namhlanje, siza kuthetha ngokuba yintoni le 'MAG3' scan, isizathu sokuba yenziwe, indlela eyenziwa ngayo, kunye nayo yonke into ekufuneka uyazi ngayo ngendlela elula kakhulu , ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-MAG3 scan?
I-'MAG3' scan luvavanyo olukhethekileyo olwenziwayo ukuze kubonwe ukuba izintso zakho zisebenza kakuhle kangakanani. Ikwicandelo elibizwa ngokuba yiNuclear Medicine. Ngoku, ukuva elo gama kunokukwenza uzive usoyika nangakumbi, kodwa musa ukoyika.
Okwenzekayo apha kulula kakhulu. Into encinci kakhulu, engenabungozi ene-radioactive (esiyibiza ngokuba yi-'tracer' okanye 'radiotracer') ifakwa emthanjeni wakho. Emva koko, esebenzisa ikhamera ekhethekileyo, ebizwa ngokuba yi-'gamma camera', ugqirha uthatha imifanekiso yeyeza njengoko lidlula kwizintso zakho.
Cinga nje ngokubukela ividiyo 'ephilayo' yoko kwenzekayo ngaphakathi kwezintso zakho. Le khamera inokubukela 'i-tracer' ihamba kwizintso zakho ize isuke apho iye kwisinyi sakho. Oku kuvumela oogqirha bakho ukuba bafumane umfanekiso ocacileyo wendlela ezisebenza ngayo izintso zakho.
Ziziphi izinto ezisetyenziswa ngoogqirha xa bejonga olu vavanyo?
Kukho izizathu ezahlukeneyo zokuba ugqirha angacebisa olu vavanyo. Ezona ziphambili kukufumana ulwazi malunga noku:
- Umsebenzi opheleleyo wezintso zakho: Ungajonga ukuba zisebenza kakuhle kangakanani na izintso zakho okanye zombini kwaye zicoca igazi lakho.
- Nokuba kukho ukuvaleka kwenye indawo kwinkqubo yomchamo: Oku kunceda ekufumaneni ukuba kukho ukuvaleka kwimibhobho ethwala umchamo ukusuka kwizintso ukuya kwisinyi (ureters) okanye kwenye indawo.
- Ukukhupha amanzi: Ngamanye amaxesha umchamo ungahlala kwizintso endaweni yokuba ugeleze kakuhle. Oku kunokunceda ekuchongeni ezo meko.
- Ukuhamba kwegazi ukuya kwizintso: Olu vavanyo lubalulekile ukujonga ukuba izintso zifumana igazi elifunekayo na nokuba kukho naziphi na iingxaki kwimithambo yegazi.
- Vavanya ukufakelwa kwezintso: Emva kokufakelwa kwezintso, olu vavanyo lukwasetyenziselwa ukubona ukuba izintso ezintsha zisebenza kakuhle kangakanani emzimbeni.
Kwakhona, iskeni ye-`MAG3` ibaluleke kakhulu ekuxilongeni ngokuchanekileyo iimeko ezithile zonyango. Umzekelo:
- I-Hydronephrosis: Ngamafutshane, le yimeko apho umchamo ungaphumi kakuhle kwaye uqokelelana kwizintso, nto leyo ebangela ukuba izintso zidumbe.
- I-Acute tubular necrosis: Ukonakala kwimibhobho emincinci ngaphakathi kwezintso.
- I-Renal artery stenosis: Ukuncitshiswa komthambo wegazi ophambili ohambisa igazi kwizintso.
Yintoni umahluko phakathi kwe-MAG3 kunye ne-DTPA scans?
Usenokuba ukhe weva nge-'DTPA' scan. Zombini ziimvavanyo zonyango lwenyukliya ezijonga izintso. Kodwa umahluko ophambili phakathi kwezi zimbini yi-'radiotracer' esetyenziswayo, eliyeyona chiza likhethekileyo.
I-DTPA ikwayindlela yokulandelela esetyenziswa kwezi mvavanyo. Nangona kunjalo, kwabanye abantu, ingakumbi abantwana abancinci kunye nabo bangasebenzi kakuhle kwezintso , imifanekiso efunyenwe nge-DTPA ayicacanga kakuhle.
Kodwa xa kusetyenziswa i-'tracer' ebizwa ngokuba yi-'MAG3' (igama lekhemikhali lale nto yi-'mercaptoacetyltriglycine' - andidingi kulikhumbula igama, ndilikhankanyile nje), inokufumana imifanekiso ecacileyo neneenkcukacha zabo bantu. Yiyo loo nto oogqirha bedla ngokucebisa ukuba kusetyenziswe i-'MAG3' scans ukujonga izintso zabantwana abancinci kunokuba kusetyenziswe abantu abadala.
Ndingazilungiselela njani ngaphambi kokuba ndiskene?
Le yeyona nxalenye ilungileyo. I-scan ye-`MAG3` ayidingi kulungiswa okukhethekileyo.
- Ungatya kwaye usele ngokwesiqhelo.
- Ukuba unamayeza owasela yonke imihla, ungawasela njengesiqhelo, ngaphandle kokuba ugqirha wakho ecebise ngenye indlela.
Eyona nto ibalulekileyo kukusela amanzi amaninzi ngaphambi kovavanyo. Oku kunceda izintso zisebenze kakuhle, nto leyo eyenza iziphumo zovavanyo zibe zezichanekileyo ngakumbi.
Ukuba umntwana wakho uyaskenwa...
Umntwana unokoyika xa exelelwa ngolu hlobo lovavanyo. Ngoko ke kubalulekile ukulichaza ngendlela elula ukuze aliqonde. Ungatsho into elula efana nokuthi, "Ugqirha ujonga izintso zomntwana esiswini sakho ngekhamera encinci ukuze abone ukuba zisebenza kakuhle na."
- Zisa into efana nethoyi okanye incwadi ayithandayo umntwana wakho.
- Izibhedlele ezininzi zivumela abantwana ukuba babukele iikhathuni abazithandayo.
- Okona kubaluleke kakhulu, unokuba nomntwana wakho kulo lonke uvavanyo. Loo nto inamandla amakhulu kumntwana.
Ukuba ungumama okhulelweyo, qiniseka ukuba uyabazisa abasebenzi bezonyango. Baza kukunika imiyalelo ekhethekileyo yokunciphisa ukuvezwa kwimitha engeyomfuneko.
Kwenzeka ntoni ngexesha leskeni?
Masiqwalasele inyathelo ngenyathelo okwenzekayo ngomhla wovavanyo. Le yinkqubo edla ngokuthatha phakathi kweyure enye neyesibini.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukukhupha isinyi | Okokuqala, uya kucelwa ukuba uchame kwaye ukhuphe yonke into kwisinyi sakho (kumntwana omncinci, ityhubhu encinci, okanye i-catheter, inokufakwa okwethutyana ngenxa yale njongo). |
| 2. Ukulala ebhedini | Uza kucelwa ukuba ulale ebhedini yovavanyo. |
| 3. Ukubeka i-IV catheter | Ityhubhu encinci (i-IV catheter), efana ne-cannula, ifakwa emthanjeni osengalweni. Eli yeza likhethekileyo linikwa umzimba ngale nto. |
| 4. Inaliti yeTracer | Iyeza elithi `MAG3` (tracer) lifakwa emzimbeni ngaloo mbhobho ye-IV. Awuyi kuva mahluko okanye iintlungu ngenxa yoku. |
| 5. Ukufota | Kwangoko nje emva kokuba iyeza lifakwe, ikhamera ye-gamma iqala ukuthatha imifanekiso. Le khamera ijikeleza umzimba wakho, kodwa ayiwuchukumisi umzimba wakho. Kubaluleke kakhulu ukuhlala ungashukumi imizuzu engama-20 ukuya kwengama-40 ngeli xesha. |
| 6. Ukukhupha isinyi kwakhona | Emva kokuba imifanekiso embalwa yokuqala ithathiwe, uya kucelwa ukuba ukhuphe isinyi sakho kwakhona. |
| 7. Umfanekiso wokugqibela | Emva kokukhupha isinyi, kuthathwa umfanekiso wokugqibela. |
Kwezinye iimeko, ukuba ugqirha ufuna ukubona ukuba umchamo uphuma ngokukhawuleza kangakanani kwizintso, unokunika iyeza elibizwa ngokuba yi-diuretic (elibangela ukuba umchamo omninzi udlule ngexesha elifutshane) nge-IV aze athathe imifanekiso ngaxeshanye. Ugqirha wakho uza kukuchazela oku kwangaphambili.
Masifunde ngeengozi nasemva kokuskena.
Emva kokuba iskeni igqityiwe, ingcali iya kujonga imifanekiso. Ukuba yonke into ilungile, ungagoduka. Ungaqhubeka nemisebenzi yakho yemihla ngemihla ngoko nangoko.
Ngoku masithethe ngombuzo osezingqondweni zomntu wonke: Ngaba kukho umngcipheko koku?
Musa ukoyika igama elithi "radioactive." Umthamo wezinto ezisebenzisa i-radioactive ezisetyenzisiweyo kuvavanyo lwe-MAG3 uncinci kakhulu. Ulingana nomlinganiselo wokuvezwa kwe-radiation njenge-X-ray yesifuba, okanye ungaphantsi koko.
Le 'tracer' ayisebenzi emzimbeni kwiiyure ezimbalwa kwaye ikhutshwa ngokupheleleyo emzimbeni kumchamo wakho. Ngoko ke, ukusela amanzi amaninzi emini emva kokuhlolwa kunokuyikhawulezisa le nkqubo.
Ingaba oku kubuhlungu? Ngaba kukhuselekile ngokwenene?
Hayi. I-'MAG3' scan ayilovavanyo olubuhlungu. Ukuphela kokungakhululeki oza kukuva kukuhlaba kancinci xa i-cannula ifakwa okokuqala engalweni yakho. Emva koko, awuyi kuva ntlungu ngexesha lonke lovavanyo. Ikhamera ayizukuchukumisa umzimba wakho.
Ngokuphathelele ukhuseleko, olu luvavanyo olungenamngcipheko uphantsi kakhulu. Ikhamera ye-gamma ayikhuphi naluphi na umbane. I-tracer ikwanomlinganiselo omncinci kakhulu we-radioactivity. Xa inikwe idosi efanelekileyo, le tracer ikhuselekile kwiintsana, abantwana abancinci, kunye nabantu abadala ngokufanayo.
Kuqhelekile ukuba novalo xa uxelelwa ukuba kufuneka wenze i-MAG3 scan. Kodwa khumbula, luvavanyo olungenabuhlungu nolukhuselekileyo. Lukwanika ugqirha wakho ulwazi oluxabisekileyo malunga nempilo yenkqubo yakho yomchamo. Ngokusekelwe kolo lwazi, banokukunceda ugqibe ukuba ufuna unyango na, kwaye ukuba kunjalo, loluphi uhlobo.
Umyalezo Wokuya Ekhaya
- Iskeni ethi `MAG3` luvavanyo olukhuselekileyo nolungenabuhlungu ukuze kubonwe ukuba izintso zisebenza njani.
- Oku kusebenzisa isixa esincinci kakhulu, esingenabungozi samayeza anemisebe (tracer), esisuswa ngokupheleleyo emzimbeni ngomchamo kwiiyure ezimbalwa.
- Akukho mfuneko yokulungiselela okukhethekileyo ngaphambi kovavanyo, kodwa kubaluleke kakhulu ukusela amanzi amaninzi.
- Ukuphela kokungakhululeki okuvakalayo ngexesha lovavanyo kukuhlatywa kancinci xa i-cannula ifakwa engalweni.
- Olu vavanyo luluncedo kakhulu ekufumaneni ulwazi olucacileyo malunga nezintso, ingakumbi kubantwana abancinci nakwabo bangasebenzi kakuhle kwezintso.
- Ukuba uneminye imibuzo okanye iinkxalabo malunga nolu vavanyo, ungaze ungathandabuzi ukuthetha ngokukhululekileyo nogqirha wakho ngalo.
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