Ingabe udokotela wakho ukutshelile wena noma ingane yakho ukuthi nihlolwe izinso nge-MAG3? Kuvamile ukuzizwa nisaba kancane uma nizwa igama, ikakhulukazi uma nizwa igama elithi "radioactive." Kodwa empeleni akulona neze into okufanele niyesabe. Lokhu ukuhlolwa okubaluleke kakhulu futhi okuphephile okuhlola ukuthi izinso zakho zisebenza kahle kangakanani, ukuthi zithola igazi kangakanani kuzo, nokuthi umchamo wakheka futhi ugeleza kahle kangakanani esinyeni.
Kalula nje, kuyini ukuskena kwe-MAG3?
Ukuskena kwe-MAG3 kuwukuhlolwa okukhethekile okungokomuthi wenuzi. Kulungile, ungesabi lelo gama. Kalula nje, nakhu okwenzekayo:
Inani elincane kakhulu lento ekhipha imisebe (esiyibiza ngokuthi i-'tracer' noma i-'radiotracer') lifakwa emzimbeni wakho. Leli yinani elincane kakhulu, eliphephile. Leli 'tracer' lihamba emzimbeni wakho wonke egazini lakho, futhi ekugcineni lihlungwa yizinso zakho bese likhishwa emchameni wakho.
Uma le 'tracer' ingaphakathi emzimbeni, ikhipha imisebe emincane kakhulu (imisebe ye-gamma). Amehlo ethu awakwazi ukuyibona. Kodwa-ke, le misebe ingatholakala kusetshenziswa ikhamera ekhethekile (ikhamera ye-gamma) . Ikhamera ithatha izithombe zezinso ngale misebe. Kufana nokuthumela ukukhanya okuncane emzimbeni bese uthatha izithombe ngalolo kukhanya.
Kungani odokotela bencoma lokhu kuskena?
Kunezizathu eziningana zokuthi kungani udokotela engase ancome lokhu kuskena. Eziyinhloko yilezi:
- Thola ukuthi izinso zakho zisebenza kanjani kahle .
- Hlola ukuthi kukhona yini ukuvinjelwa noma ukuvaleka noma kuphi ohlelweni lwakho lomchamo.
- Hlola ukuthi umchamo okhiqizwa ezinso ugeleza kahle yini uye esinyeni .
- Qiniseka ukuthi igazi eliya ezinso lisebenza kahle.
- Ngemva kokufakelwa izinso, hlola ukuthi zisebenza kahle yini.
Ngaphezu kwalokho, lokhu kuhlolwa kusetshenziselwa nokuxilonga izimo ezithile zezokwelapha. Isibonelo:
- I-Hydronephrosis: Lesi yisimo lapho izinso zivuvukala khona ngenxa yomchamo.
- I-acute tubular necrosis: Ukulimala okungazelelwe kwezinso ngenxa yesizathu esithile.
- I-Renal artery stenosis: Ukuncishiswa komthambo wegazi oyinhloko othwala igazi liye ezinso.
Uyini umehluko phakathi kokuskena kwe-MAG3 kanye ne-DTPA?
Kungenzeka ukuthi uke wezwa nangokuskena kwe-DTPA. Lolu olunye uhlobo lokuskena olubheka izinso. Umehluko usekusetshenzisweni 'kwe-tracer'. Kwabanye abantu, ikakhulukazi izingane ezincane kanye nabantu abangasebenzi kahle kakhulu kwezinso, izithombe ezivela ku-DTPA azicacile kahle.
I-MAG3 yigama lamakhemikhali elithi 'tracer' elisetshenziselwa lokhu (`Mercaptoacetyltriglycine`). Le 'tracer' ikhiqiza izithombe ezicacile kakhulu, ngisho nakulabo asebevele beyishilo.Ungayithatha. Yingakho lolu vivinyo lwenziwa kakhulu ezinganeni ezincane.
Ingabe udinga ukulungiselela lolu vivinyo kusenesikhathi?
Lokhu ngokuvamile akudingi noma yikuphi ukulungiselela okukhethekile . Ngaphandle kokuthi udokotela wakho ekweluleke ngenye indlela, ungadla, uphuze, futhi uphuze imithi yakho njengokujwayelekile.
Into ebaluleke kakhulu ukuphuza amanzi amaningi ngaphambi kokuhlolwa. Lokhu kuzosiza izinso zakho ukuthi zisebenze kahle futhi zithole izithombe ezicacile.
Uma ingane yakho ithwetshulwa, chaza ngendlela eyiqondayo. Ungasho into efana nokuthi, "Udokotela uthatha isithombe sezinso esiswini, ngeke kube buhlungu." Bangaletha nethoyizi noma incwadi abayithandayo. Izibhedlela eziningi zivumela izingane ukuthi zibukele ikhathuni abayithandayo. Into ebaluleke kakhulu ukuthi ungahlala nengane yakho kuyo yonke inqubo.
Uma ukhulelwe noma kungenzeka ukuthi ukhulelwe, kufanele wazise udokotela kanye nabasebenzi abenza ukuhlolwa .
Kwenzekani ngesikhathi sokuskena?
Ake sibheke kancane kancane ukuthi lokhu kuhlolwa kusebenza kanjani. Lena inqubo evame ukuthatha cishe ihora noma amabili.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukukhipha isinye | Okokuqala, uzocelwa ukuthi uchame futhi ukhiphe konke okusesinyeni sakho (ezinganeni ezincane, lokhu ngezinye izikhathi kungadinga i-catheter). |
| 2. Ukuphumula embhedeni | Uzolaliswa embhedeni wokuhlolwa. |
| 3. Ukufaka i-cannula (umugqa we-IV) | I-cannula encane ifakwa emthanjeni engalweni. Lesi yisikhathi kuphela lapho uzwa noma yini. |
| 4. Ukubhoboza i-Tracer | I-MAG3 tracer okukhulunywe ngayo ngaphambili ifakwa emzimbeni nge-cannula. Awuzwa lutho uma ifakwa. |
| 5. Ukuthatha izithombe | Manje ikhamera ye-gamma izobekwa eduze kwesisu sakho bese iqala ukuthatha izithombe. Kubaluleke kakhulu ukuthi uhlale unganyakazi phakathi nalesi sikhathi. Lokhu kungathatha imizuzu ephakathi kuka-20 no-40. |
| 6. Ukuchama okuphindaphindiwe | Uma izithombe seziqediwe, uzocelwa ukuthi uphinde uchame bese ukhipha isinye sakho. |
| 7. Isithombe sokugcina | Bese kuthathwa isithombe sokugcina ngesinyi esingenalutho. |
Kwezinye izimo, uma udokotela ethanda, ungafakwa umuthi wokukhipha isisu esinyeni sakho bese uthwetshulwa izithombe ngenkathi uchama. Ungakhathazeki, abasebenzi bazochaza lokhu kusengaphambili.
Ingabe kukhona ingozi kulokhu?
Nakuba igama elithi "radioactive" lingase lizwakale lesabisa, i-MAG3 scan iyisivivinyo esiphephile kakhulu .
- I-tracer esetshenziswayo inezinga eliphansi kakhulu le-radioactivity , okungase kube ngaphansi kokuvezwa yi-X-ray evamile.
- Lo `tracer' uba yinto engasebenzi emahoreni ambalwa futhi ukhishwa ngokuphelele emzimbeni ngomchamo .
- Ikhamera ye-gamma ethatha izithombe ayikhiphi imisebe . Ibamba kuphela imisebe evela ngaphakathi emzimbeni.
Uma le 'tracer' inikezwa ngesilinganiso esifanele, akukho bungozi, ngisho nakusana olusanda kuzalwa.
Kwenzekani ngemva kokuhlolwa?
Ungabuyela emisebenzini yakho evamile ngokushesha nje lapho ukuskena sekuphelile. Akukho okukhethekile ongakwenza. Ukuphuza amanzi engeziwe usuku lonke kuzosiza i-tracer ukuthi idlule emzimbeni wakho ngokushesha.
Ngokuvamile uzothola imiphumela yokuhlolwa (umbiko) zingakapheli izinsuku ezimbili kuya kwezintathu. Esimweni esiphuthumayo, ungathola imiphumela ngalolo suku. Udokotela we-X-ray uzobuyekeza ama-scan akho, alungiselele umbiko, bese ewuthumela kudokotela wakho okwelaphayo. Udokotela wakho uzobe esekuchazela umbiko.
Umlayezo Wokuya Nawe Ekhaya
- I-MAG3 scan iyisivivinyo esiphephile kakhulu futhi esingenabuhlungu sokuhlola ukusebenza kwezinso zakho.
- Umthamo wezinto ezisebenzisa imisebe (tracer) ezisetshenziswa kulokhu uphansi kakhulu. Ukhishwa ngokuphelele emzimbeni ngomchamo zingakapheli amahora ambalwa.
- Lokhu ngokuvamile akudingi ukulungiswa okukhethekile, kodwa kubalulekile ukuphuza amanzi amaningi ngaphambi kokuhlolwa.
- Ukuhlala unganyakazi ngesikhathi sokuhlolwa kusiza kakhulu ukuthola izithombe ezicacile.
- Uma unemibuzo noma ukukhathazeka ngalokhu, ungesabi ukubuza udokotela wakho ngakho.
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