Magnetic resonance imaging (MRI) ndiyo yegoridhe yakaenzana yekuongorora uye kuongorora kufambira mberi kwe multiple multiple sclerosis . Chinhu chikuru pamusoro peMMIs ndechekuti vanogona kupa ruzivo runokosha pamusoro pehutano hwemunhu pasina kuparadza.
Chimwe chikamu chinokosha cheMRI chinosanganisira kurongedza dhayi yakasiyana. Dhayi iyi gadolinium-based inopikisa mujeri anopiwa kuburikidza nemweya wemunhu.
Icho chinovhenekera maVS mazoni paMRI, zvichibvumira nyanzvi yehutano kuti aone kana MS yemunhu ari kushanda, sekunge kana vari iye zvino kana kuti munguva pfupi yapfuura akadzoka zvakare .
Ubongo hweBongo uye Gadolinium-Based Based Dyes Dyes
Kunyange zvazvo gadolinium-yakasiyana-siyana yakasiyana inogona kukonzera migumisiro yakaoma seyomusoro, kushungurudza, chirungu, kana kunzwa kunotonhora kana inorohwa, chimwe chinhu chikuru chinoshungurudza chakasvike ndechokuti kusiyana kwegadolinium hakugoni kubviswa zvachose kubva mumuviri wemunhu mushure mekugamuchira .
Zvechokwadi, muna 2015, mushure mokunge zvidzidzo zvaitwa, FDA yakabudisa kuchengetedzwa kwekuchengetedza inoratidza kuti vanhu vane MS vanowana maMMIs akawanda akasiyana vanogona kuwana zvishoma zvomugadolinium-based difference agent anowanikwa kune dzimwe nzvimbo dzehupi hwavo.
Zvisati zvinyatsozivikanwa kuti izvi zvinorevei zvinorevei, sekunge kuchengetedza kwavo kuchakuvadza munhu mune ramangwana ravo. Mukuwedzera, hazvisi zvachose zvakajeka kana mamwe gadolinium-based-shandiswa maitiro anoshoma kana kupfuura kuti aiswe muuropi kupfuura mamwe.
Nhau dzakanaka ndeyekuti vatsvakurudzi vari kutsvaga nekushingaira kutsvaga kutsva uku kutsva. Chidzidzo muInvestigative Radiology chakawana kuti kutungamira kwegadolinium-based contrast dyes kwaive-inotendesa (inoreva kuti nguva dzakawanda munhu akagamuchira kusiyana, huropi huripo hungave huripo).
Chidzidzo chacho chakagumisawo kuti pakanga pasina kuwirirana pakati pehupi hwekugadziriswa kwegadolinium-based contrast agents uye basa rehupi remunhu, zera, zvepabonde kana nguva yenguva pakati pekuparadzaniswa kwavo (MRI yavo yekupedzisira) nerufu.
Zvakakoshawo kuziva kuti pfupa inogona kuitika inogona kuitikawo, chaizvoizvo, tsvakurudzo inoratidza kuti pfupa yepamusoro inowanzoonekwa kupfuura hutori hwehupi.
Pasi pose, iyo huru yekutora pamba pano ndeyekuti vatsvakurudzi vanoda kuramba vachidzidza izvi zvinoshamisa kuti vaone kuti inogona kukuvadza.
Zvimwe Kusiyanisa Dhayi Dambudziko Rakaita neMRI
Kazhinji, dzimwe mhando dzegadolinium kusiyana dzinogona kukonzera chirwere chakakomba chinonzi nephrogenic systemic fibrosis kune vanhu vane hutano husina kunaka. Izvi zvinokonzera ganda kuti riomere uye rinokonzera kukanganisa kwemuviri.
Ichi ndicho chikonzero zvakakosha kutaurira chiremba wako pamusoro pezvinetso zvepi zvepimpano musati MRI yako. Chiremba wako angada kuedza kuongororwa ropa kuti aongorore basa rako rehso, zvakare.
Izvi zvose zvinotaurwa, nekushandiswa kwekusina kusiyana kweMMIs, kuderedza madhigiri evanhu vanosiyanisa, uye vari pasi-panjodzi yekusiyanisa, iyo mamiriro acho ishoma zvikuru ikozvino.
Uyewo kazhinji, vamwe vanhu vane chirwere chakasiyana-siyana kune gadolinium kusiyana. Kazhinji, zvavanoita zvinyoro uye zvinosanganisira kugunzva ganda. Kazhinji kazhinji, munhu anogona kukura zvakanyanya zvinokonzera kugadziriswa kune gadolinium.
Ko MRI inogona Kuitwa Zvisingaenzaniswi muSMS here?
Zvechokwadi, MRI inoongorora inogona kuitwa kana kuti pasina dye yakasiyana.
Asi muSMS, dye yakasiyana "inotungidza" mavara emagetsi, zvichiita kuti zvive nyore nyore kuziva uye kuverenga zvipembenene . Zvipfeko zvinopenya nekusiyana kwehutongi zvinoratidza kuvhiringidzika kwekuita.
Semuenzaniso, munhu ane mhosva yekuti MS relapse angave achinyunyuta nezvekuona zvakashata uye kurwadziwa paanenge achifambisa maziso eziso (zviratidzo zvinokurudzira optic neuritis ). Chirwere chitsva pamagetsi echip optic, seinoonekwa sechiedza chakajeka paMRI nechinopikisana, chinogona kugadzirisa izvi zvinganetseka.
Izvozvo zvichiti, kana chiremba wako asingakanganisi kuputika kwekushanda uye ari kungoona kuenderera mberi kwechirwere chepachirwere chako, kusiyana hakuwanzodiwi.
Zvimwe Zvingave Zvimwe Ngozi dzeMMIs
MRI kufungidzira inoshandisa magnetism uye mafungu eredhiyo kuti aumbe mifananidzo yeurimukati. Kusiyana ne-X-rays, iyo inogona kuenzanisa zvipfeko zvakaoma zvakadai semapfupa, MRI inogona kuumba mifananidzo yezvivako zvishoma uye masukisi. Nezvo, zvisinei, zvinodzivirira, mapfupa emapfupa kana masangano, uye kunyange IUD zvinogona kukonzera matambudziko, sezvo MRI inoshandisa magetsi zvakasimba kuti zvigadzire mifananidzo.
Mukuwedzera, mishini yeMRI inosanganawo nezvinetso kune vanhu vane claustrophobia, kunyange zvazvo dzimwe nzvimbo dzekufungidzira dziri kushandisa MRI yakasununguka iyo inowedzera kushungurudzika kuduku.
Kana iwe uri kuine MRI, iva nechokwadi chekuudza chiremba wako uye weMRI technikist kana une simbi, claustrophobia, chirwere chetachiona, kana zvinetso zvepvo. Vachakwanisa kukuudza kuti chii uye chisina kuchengetedzeka uye kuti chii chakanaka chichienderera mberi.
Shoko Rinobva
Nokuti gadolinium ndiyo inozivikanwa zvikuru yekucherechedza kufambira mberi kweSMS, ichiri kushandiswa muzviitiko zvakawanda. Izvozvo zvichiti, kana iwe une hanya, nzira yakanakisisa ndeyokukurukura zvingaitwa nachiremba wako. Kunyange zvazvo zvichibvira kuva neMRI isina kusiyanisa, haikwanisi kubatsira kuona kushandiswa kweMMS kuvhiringidza, sezvakaonekwa panguva yekudzoka zvakare.
> Sources
> McDonald RJ et al. Intracranial gadolinium gadziriro mushure mekusiyana-kusimbiswa MR imaging. Radiology . 2015 Jun; 275 (3): 772-82.
> Murata N et al. Macrocyclic nedzimwe dzisiri boka 1 gadolinium kusiyana mazai anoisa mazana akaderera e gadolinium muuropi uye mapfupa emapfupa: Kutangira mhinduro kubva ku 9 varwere vane chirwere chinowanzoitwa renal. Invest Radiol. 2016 Jul; 51 (7): 447-53.
> National Multiple Sclerosis Society. (Nyama 2015). FDA Yokudzidza Zvimwe Zvimwe Zvinetso Zvinowanzoenderana Nezvaiwanzoshandisa MRI Kusiyanisa Agent.
> Ramalho et al. Gadolinium-based contrast agent kuunganidza uye chepfu: An update. AJNR Am J Neuroradiol. 2016 Jul; 37 (7): 1192-8
> US Food and Drug Administration. (July 2015). FDA Mishonga Yekuchengetedzwa Kwemishonga Kukurukurirana: FDA kuongororwa nengozi yeuropi inogadziriswa nekushandiswa kwakawanda kwegadolinium-based contrast agents kune magnetic resonance imaging (MRI).