Ingabe udokotela ukutshelile wena noma ingane yakho ukuthi nihlolwe izinso nge-'MAG3'? Ingabe uzizwe wesaba noma unelukuluku lapho uzwa lelo gama? Kuvamile ukuthi noma ubani azizwe ekhathazekile kancane, ikakhulukazi uma kuthiwa kusetshenziswa into 'esebenzisa imisebe' kulolu vivinyo. Kodwa ungakhathazeki. Empeleni lokhu kuhlolwa kuphephile kakhulu, futhi kusinika ulwazi oluningi oluwusizo mayelana nokusebenza kwezinso. Namuhla, sizoxoxa ngokuthi lokhu kuhlolwa kwe-'MAG3' kuyini, kungani kwenziwa, ukuthi kwenziwa kanjani, nakho konke okudingeka ukwazi ngakho ngendlela elula kakhulu , ngendlela ongayiqonda.
Kalula nje, kuyini ukuskena kwe-MAG3?
I-`MAG3` scan iyisivivinyo esikhethekile esenziwa ukuze kubonwe ukuthi izinso zakho zisebenza kahle kangakanani. Iyingxenye yesigaba esibizwa ngokuthi i-Nuclear Medicine. Manje, ukuzwa lelo gama kungakwenza uzizwe wesaba kakhulu, kodwa ungesabi.
Okwenzekayo lapha kulula kakhulu. Into encane kakhulu, engenangozi enemisebe (esiyibiza ngokuthi i-'tracer' noma i-'radiotracer') ifakwa emthanjeni wakho. Ngemuva kwalokho, esebenzisa ikhamera ekhethekile, ebizwa ngokuthi i-'gamma camera', udokotela uthatha izithombe zomuthi njengoba udlula ezinso zakho.
Cabanga ngakho njengokubuka ividiyo 'ebukhoma' yalokho okwenzeka ngaphakathi kwezinso zakho. Le khamera ingabuka 'i-tracer' ihamba ezinso zakho bese isuka lapho iye kwesinye. Lokhu kuvumela odokotela bakho ukuthi bathole isithombe esicacile sendlela izinso zakho ezisebenza ngayo.
Yiziphi izinto odokotela abasebenzisa lesi sikeni ukuze bazibheke?
Kunezizathu eziningana zokuthi kungani udokotela engase ancome lokhu kuskena. Eziyinhloko ukuthola ulwazi mayelana nalokhu:
- Umsebenzi wezinso zakho: Ungahlola ukuthi izinso zakho ezimbili noma ezimbili zisebenza kahle kangakanani futhi zihlanza igazi lakho.
- Ukuthi kukhona yini ukuvaleka endaweni ethile ohlelweni lomchamo: Lokhu kusiza ukuthola ukuthi kukhona yini ukuvaleka emapayipini athwala umchamo usuka ezinso uye kwesinye (ama-ureter) noma kwenye indawo.
- Ukugeleza kwamanzi: Ngezinye izikhathi umchamo ungahlala ezinso esikhundleni sokugeleza kahle. Lokhu kungasiza ekuboneni izimo ezinjalo.
- Ukugeleza kwegazi ezinso: Lokhu kuskena kubalulekile futhi ukuhlola ukuthi izinso zithola inani elidingekayo legazi nokuthi ngabe kukhona yini izinkinga ngemithambo yegazi.
- Hlola ukufakelwa kwezinso: Ngemva kokufakelwa izinso, lokhu kuhlolwa kusetshenziselwa nokubona ukuthi izinso ezintsha zisebenza kahle kangakanani emzimbeni.
Futhi, ukuskena kwe-`MAG3` kubaluleke kakhulu ekuxilongeni ngokunembile izimo ezithile zezokwelapha. Isibonelo:
- I-Hydronephrosis: Kalula nje, lesi yisimo lapho umchamo ungaphumi kahle futhi uqongelela ezinso, okubangela ukuba izinso zivuvuke.
- I-acute tubular necrosis: Ukulimala kwamapayipi amancane ngaphakathi kwezinso.
- I-Renal artery stenosis: Ukuncipha komthambo wegazi oyinhloko ohlinzeka ngegazi ezinso.
Uyini umehluko phakathi kokuskena kwe-MAG3 kanye ne-DTPA?
Kungenzeka ukuthi uke wezwa nangokuskena kwe-'DTPA'. Kokubili ukuhlolwa kwemithi yenuzi okubheka izinso. Kodwa umehluko omkhulu phakathi kwalokhu okubili yi-'radiotracer' esetshenziswayo, okuwumuthi okhethekile.
I-DTPA nayo iyi-tracer esetshenziswa kulezi zivivinyo. Kodwa-ke, kwabanye abantu, ikakhulukazi izingane ezincane kanye nalabo abanenkinga yokusebenza kwezinso ebuthakathaka kakhulu , izithombe ezitholwe nge-DTPA azicacile kahle.
Kodwa uma kusetshenziswa i-'tracer' ebizwa ngokuthi i-'MAG3' (igama lamakhemikhali lalokhu yi-'mercaptoacetyltriglycine' - angidingi ukukhumbula igama, ngisanda kulisho), kungathola izithombe ezicacile nezinemininingwane ngisho nalabo bantu. Yingakho odokotela bevame ukuncoma ama-'MAG3' scan ukuze bahlole izinso zezingane ezincane kunabantu abadala.
Kufanele ngilungiselele kanjani ngaphambi kokuskena?
Lena yingxenye engcono kakhulu. Ukuskena kwe-`MAG3` ngokuvamile akudingi ukulungiswa okukhethekile.
- Ungadla futhi uphuze ngendlela evamile.
- Uma unemithi oyiphuza nsuku zonke, ungayithatha njengenjwayelo, ngaphandle kokuthi udokotela wakho ekweluleke ngenye indlela.
Into ebaluleke kakhulu ukuphuza amanzi amaningi ngaphambi kokuhlolwa. Lokhu kusiza izinso ukuthi zisebenze kahle, okwenza imiphumela yokuhlolwa ibe nembaba kakhulu.
Uma ingane yakho ihlolwa...
Ingane ingesaba uma itshelwa ngalolu hlobo lokuhlolwa. Ngakho-ke kubalulekile ukuchaza ngendlela elula engayiqonda. Ungasho into elula njengokuthi, "Udokotela ubheka izinso zengane esiswini sakho ngekhamera encane ukuze abone ukuthi zisebenza kahle yini."
- Letha into efana nethoyizi noma incwadi ethandwa yingane yakho.
- Izibhedlela eziningi zivumela izingane ukuthi zibukele ikhathuni eziyithandayo.
- Okubaluleke kakhulu, ungaba nomntwana wakho kulo lonke uvivinyo. Lokho kuyisikhuthazo esikhulu enganeni.
Uma ungumama okhulelwe, qiniseka ukuthi wazisa abasebenzi bezokwelapha. Bazokunikeza imiyalelo ekhethekile yokunciphisa ukuchayeka emisebeni okungadingekile.
Kwenzekani ngesikhathi sokuskena?
Ake sibheke kancane kancane ukuthi kwenzekani ngosuku lokuhlolwa. Lena inqubo evame ukuthatha phakathi kwehora elilodwa namabili.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukukhipha isinye | Okokuqala, uzocelwa ukuthi uchame futhi ukhiphe konke okunye esinyini sakho (kumntwana omncane, ipayipi elincane, noma i-catheter, ingafakwa okwesikhashana ngale njongo). |
| 2. Ukulala embhedeni | Uzocelwa ukuba ulale embhedeni wokuhlolwa. |
| 3. Ukubeka i-catheter ye-IV | Ithubhu elincane (i-IV catheter), elifana ne-cannula, lifakwa emthanjeni osengalweni. Umuthi okhethekile unikezwa umzimba ngalokhu. |
| 4. Umjovo we-Tracer | Umuthi we-`MAG3` (i-tracer) ufakwa emzimbeni ngaleyo tube ye-IV. Ngeke uzwe mehluko noma ubuhlungu kulokhu. |
| 5. Ukuthatha izithombe | Lapho nje umuthi usufakwe, ikhamera ye-gamma iqala ukuthatha izithombe. Le khamera izungeza umzimba wakho, kodwa ayithinti umzimba wakho. Kubaluleke kakhulu ukuhlala unganyakazi imizuzu engama-20 kuya kwengama-40 phakathi nalesi sikhathi. |
| 6. Ukukhipha isinye futhi | Ngemva kokuthathwa kwezithombe ezimbalwa zokuqala, uzocelwa ukuthi ukhiphe futhi esinyeni sakho. |
| 7. Isithombe sokugcina | Ngemva kokukhipha isisu, kuthathwa isithombe sokugcina. |
Kwezinye izimo, uma udokotela efuna ukubona ukuthi umchamo ukhishwa ngokushesha kangakanani ezinso, anganikeza umuthi obizwa ngokuthi i-diuretic (ebangela ukuthi umchamo omningi udluliselwe esikhathini esifushane) nge-IV bese ethatha izithombe ngesikhathi esifanayo. Udokotela wakho uzochaza lokhu kusengaphambili.
Ake sifunde ngezingozi nangemva kokuskena.
Ngemva kokuthi ukuskena sekuqediwe, uchwepheshe uzobuyekeza izithombe. Uma konke kulungile, ungaya ekhaya. Ungaqhubeka nemisebenzi yakho yansuku zonke ngokushesha.
Manje ake sixoxe ngombuzo osengqondweni yawo wonke umuntu: Ingabe kukhona ingozi kulokhu?
Ungesabi igama elithi "radioactive." Umthamo wezinto ezisebenzisa imisebe ezisetshenziswe ekuhlolweni kwe-MAG3 mncane kakhulu. Cishe ulingana nokuvezwa kwemisebe njenge-X-ray yesifuba, noma ngaphansi kwalokho.
Lo 'mkhondo' awusebenzi emzimbeni zingakapheli amahora ambalwa futhi ukhishwa ngokuphelele emzimbeni ngomchamo wakho. Ngakho-ke, ukuphuza amanzi amaningi phakathi nosuku ngemva kokuskena kungasheshisa le nqubo.
Ingabe lokhu kubuhlungu? Ingabe kuphephile ngempela?
Cha. Ukuskena kwe-`MAG3` akusona isivivinyo esibuhlungu. Okuwukuphela kokungakhululeki ozokuzwa umuzwa wokuhlaba kancane lapho i-cannula ifakwa okokuqala engalweni yakho. Ngemva kwalokho, ngeke uzwe ubuhlungu phakathi nokuhlolwa konke. Ikhamera ngeke ithinte umzimba wakho.
Ngokuphathelene nokuphepha, lokhu kuwukuhlolwa okunengozi encane kakhulu. Ikhamera ye-gamma ayikhiphi imisebe. I-tracer nayo ine-radioactivity ephansi kakhulu. Uma inikezwa ngesilinganiso esifanele, le tracer iphephile ezinsaneni, ezinganeni ezincane nakubantu abadala ngokufanayo.
Kuvamile ukuzizwa ukhathazekile uma utshelwa ukuthi udinga ukuskena kwe-MAG3. Kodwa khumbula, kuwukuhlolwa okungenabuhlungu nokuphephile. Kuphinde kunikeze udokotela wakho ulwazi olubalulekile mayelana nempilo yesistimu yakho yomchamo. Ngokusekelwe kulolo lwazi, bangakusiza ukunquma ukuthi udinga ukwelashwa yini nokuthi, uma kunjalo, uhlobo luni.
Umlayezo Wokuya Nawe Ekhaya
- Isikeni se-`MAG3` siyindlela ephephile kakhulu futhi engenabuhlungu yokubona ukuthi izinso zisebenza kanjani.
- Lokhu kusebenzisa inani elincane kakhulu, elingenangozi lomuthi onemisebe (i-tracer), okhishwa ngokuphelele emzimbeni ngomchamo emahoreni ambalwa.
- Akukho ukulungiselela okukhethekile okudingekayo ngaphambi kokuhlolwa, kodwa kubaluleke kakhulu ukuphuza amanzi amaningi.
- Ukuphela kokungakhululeki okuzwakalayo ngesikhathi sokuhlolwa umuzwa wokuhlaba kancane lapho i-cannula ifakwa engalweni.
- Lokhu kuskena kuwusizo kakhulu ekutholeni ulwazi olucacile mayelana nezinso, ikakhulukazi ezinganeni ezincane kanye nalabo abangasebenzi kahle kwezinso.
- Uma uneminye imibuzo noma ukukhathazeka mayelana nalolu vivinyo, ungalokothi unqikaze ukukhuluma ngokukhululekile nodokotela wakho ngakho.
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