Kudzivirira kugadzirisa kuvhara IV
Intravenous (IV) dye (dye yakapiwa kuburikidza nemuviri) -iyo inozivikanwa semushumo weRoocontrast (RCM)-inoshandiswa zvakanyanya muUnited States nokuda kwezvidzidzo zvakasiyana-siyana zvehurodhi, zvakadai seangiograms, x-ray, magnetic resonance imaging (MRI), uye computed tomography (CT) inoongorora. Kukanganisa kwakashata kuRCM kunowanzoshamisa, kunyange zvazvo kuora mwoyo kwakasiyana.
Mitauro yeRadioocontrast Media
Pakati pese, kune maviri maitiro ezvinyorwa zvemukati weRCM anoshandiswa pakuwanda kwezvidzidzo zvehurosio.
Dzinosanganisira:
- Ionic high-osmolality kusiyana media (HOCM)
- Non-ionic low-osmolality kusiyana media (LOCM)
LOCM yakave iyo inofanirwa kuve yevheta yeVi mumakore achangobva kupfuura, yakapiwa zvinyorwa zvayo zvakachengeteka. Zvisinei, zvinodhura kupfuura HOCM.
Kugadzirisa Kunogona Kuitika neDye Dye
Izvi ndizvo zvinogona kuitika kana iwe uchitungamirirwa neRCM:
- Kunyatsopindirana: Izvi zvinowanzojairika, zvinowanikwa mumapfumbamwe kusvika ku15 muzana yevanhu vanovawana. Zvizhinji zvezviitiko izvi zvinyoro uye zvinosanganisira manzwiro ekudziya, kushushikana, uye kurutsa. Kazhinji, zviratidzo izvi zvinongoitika kwenguva pfupi uye hazvidi kurapa.
- Kugadzirisa kwakanaka: Izvi zvinosanganisira kurutsa kwakakomba, mikoko, uye kuzvimba, uye zvinoitika inenge inofungidzirwa ne02 kusvika kune 2 muzana yevanhu vanogamuchira RCM. Vanowanzoda kurapwa.
- Kuwedzera, kutyisa upenyu: Izvi zvinosanganisira anaphylaxis , uye izvi zvinowanikwa muna 0.04 muzana kusvika ku02 muzana yevanhu vanogamuchira RCM, vane chiyero chekufa kwevanhu 1 mu 170 000.
Mikana yekugadzirisa kuLOCM yakaderera zvikuru kupfuura iyo neHOCM, kunyange zvazvo kupindira kwakaipisisa, kusanganisira kufa, kwakataurwa kuti kuitika pamatanho akafanana nemhando dzose dzekusiyana kwemashoko.
Chirwere Chetachiona Chekudya Zvine Zvokudya Hazvirevi Zvechokwadi
Iwe unogona kushamisika kuziva kuti kugadzirisa kweanoric kune RCM haisi kunyatsokonzera zvirwere muzvisikwa, zvichireva kuti hapana gorosi inorasikirwa nemunhu aripo inoita kuti zviitike.
Pane kudaro, RCM inoshandisa kusunungura zvakananga histamine nemamwe makemikari kubva mumasero mashoma .
Ngozi dzeKubvuma kuDye Dye
Zvinhu izvi zvinoratidzika kuisa vanhu pangozi yakakwirira yekuita maitiro kune RCM:
- Zvakaitika kare kune RCM
- Asthma
- Nhoroondo yemakumbo
- Nhoroondo yezvirwere zvemoyo
- Nhoroondo yezvirwere zvepyiyo
- Kutora beta-blockers
- Females
- Vakwegura (vanoita kunge vari pangozi yakakura yekuita zvakanyanya)
The Myfood Sea
Pasinei nedzidziso yakakurumbira, kuva nechikafu chegungwa uye shellfish zvinokonzerwa nehutachiona hazvikuisi iwe pahuwandu hwekuita neRCM. Shellfish allergy inokonzerwa neprotini yezvokudya izvi, kwete iodine yehuwandu. Uyezve, kana iwe uine zvirwere zvekunyora iodine cleaners kana iodides, iwe hauna ngozi yakawanda yekuita maitiro kuRCM.
Kuongorora chirwere chezveramende kuDye IV
Zvinosuruvarisa, hapana chiyero chinowanikwa kuti chiongorore kusarudzwa kweRCM. Kuongorora kweganda uye test radioallergosorbent (RAST) hazvina kuratidzirwa kuti inobatsira pakutsvaga. Zviduku, miedzo inoshandiswawo haibatsiri, nemishumo yekukurira, kutyisidzira kwehupenyu kunoitika pashure pezvishoma zvishoma zveRCM zvakapiwa, pamwe nekushushikana kwakakomba nemaitiro makuru eRCM anoitika mushure mekunge munhu akamirira kaduku kaduku kaDhayi.
Nokudaro, kuongororwa kweRCM kurwisana kunoitwa chete kana zviratidzo zvaitika.
Kana zvisina kudaro, zvinongogoneka kuziva kuti munhu ari pangozi yakawanda yekutarisana neRCM inotarisana nezviitiko zvinopisa sezvakataurwa pamusoro apa.
Mishonga yeAllergy kune IV Dye
Kurapa kwemaitiro akaoma kuRCM kwakafanana neyeanaphylaxis kubva kune chero chinokonzera. Mishonga inogona kusanganisira injectable epinephrine uye antihistamines , uyewo kushandiswa kwemvura inopisa kwekudzivirira kweropa uye kushamiswa.
Kuchengetedza Mhinduro kune Dye IV
Kana iwe wakave nemhinduro kune RCM, kudzivirira ramangwana reRCM inofanira kusanganisira zvinotevera:
- Kutaura nachiremba wako pamusoro pezvipingamupinyi uye zvikwereti zvekuita muedzo neRCM uye kana dzimwe nzira dziripo
- Kushandisa LOCM pane HOCM
- Kushandisa mishonga vasati vatungamirirwa neRCM kudzivirira kana kuderedza mukana wekupindura, kusanganisira:
- Prednisone, 50mg kune munhu mukuru, muromo wakatorwa paawa 13, maawa manomwe, uye 1 awa asati agamuchira RCM
- Diphenhydramine (Benadryl), 50mg kune munhu mukuru, akatorwa nemuromo maawa 1 asati agamuchira RCM
Sources:
> Baerlocher MO, Asch M, Myers A. Kushandiswa kweChipasimusi Media. CMAJ: Canadian Medical Association Journal . 2010; 182 (7): 697. doi: 10.1503 / cmaj.090118.
> Baig M, Farag A, Sajid J, Potluri R, Irwin RB, Khalid HMI. Shellfish Allergy uye Kuenderana neIodinated Kusiyana neMedia: United Kingdom Survey. World Journal of Cardiology . 2014; 6 (3): 107-111. doi: 10.4330 / wjc.v6.i3.107.
> Hong SJ, Cochran ST. Kushandisa Hypersensitivity Pakarepo Kuchinja Kwakaitwa Radiocontrast Mharidzo: Kudzivirira Kuitika Kwakaitika zvakare. Kusvika pari zvino. Yakapedzwa musi waSeptember 1, 2017.
> Lieberman P, Nicklas RA, Randolph C, et al. Anaphylaxis-A Practice Parameter Update 2015. Annals of Allergy, Asthma & Immunology. November 2015; 115 (5): 341-84.
> Pasternak JJ, Williamson EE. Clinical Pharmacology, Uses, uye Zvakaipa Kushushikana kweIodinated Kusiyana Kwevashandi: A Primer kune Non-radiologist. Mayo Clinic Proceedings . 2012; 87 (4): 390-402. doi: 10.1016 / j.mayocp.2012.01.012.