Tsarin halayen jigilar jini
Rashin murmushi (IV) dye (dye da aka ba ta hanyar) - abin da aka sani da jaridar radiocontrast (RCM) - an yi amfani dashi a Amurka don aikace-aikace na rediyo, irin su angiograms, radiyoyin x, hasken fuska na magnetic (MRI), da kuma lissafin kwaikwayo (CT) ya yi nazari. Hanyoyin halayen zuwa RCM suna da mahimmanci, ko da yake allergies sun fi raguwa.
Irin Radiocontrast Media
Gaba ɗaya, akwai nau'i nau'i biyu na RCM na intravenous da ake amfani da su don yawancin nazarin rediyo.
Sun hada da:
- Ionic high-osmolality bambanci kafofin watsa labarai (HOCM)
- Magungunan bambanci mai ƙananan ƙananan osmolality (LOCM)
LOCM ya zama hanyar da aka fi sani da IV a cikin 'yan shekarun nan, ya ba da mafi kyawun rikodi. Duk da haka, yana da tsada fiye da HOCM.
Ayyuka da zasu iya faruwa tare da Dye
Waɗannan su ne halayen da zasu iya faruwa lokacin da aka gudanar da ku RCM:
- Maganganu masu kyau: Wadannan su ne na kowa, suna faruwa a cikin kashi 3 zuwa kashi 15 cikin dari na mutanen da suke karbar su. Yawancin wadannan halayen suna da taushi kuma sun hada da jin dadi, tashin zuciya, da zubar da jini. Kullum, wadannan bayyanar cututtuka suna faruwa ne kawai don ɗan gajeren lokaci kuma basu buƙatar magani.
- Hanyoyin haɓaka: Wadannan sun hada da mummunan zubar da ciki, amya, da kumburi, kuma yana faruwa a kimanin kashi 0.02 zuwa kashi 2 na mutanen da ke karɓar RCM. Suna buƙatar magani.
- Abubuwa mai tsanani, haɗarin rai: Wannan ya hada da anaphylaxis , kuma waɗannan suna faruwa a kashi 0.04 zuwa kashi00 na mutanen da ke karbar RCM, tare da mutuwar mutum 1 a kowace 170,000.
Da alama yiwuwar yin wani abu ga LOCM ya fi ƙasa da wannan tare da HOCM, ko da yake yawancin halayen da suka fi tsanani, ciki har da mutuwar, an ruwaito su faru a irin wannan yanayin tare da nau'i daban-daban.
Abun Lurawa ga Dye Dubu Ba Yayi Mutaba ba
Kuna iya mamakin sanin cewa rashin lafiyar jiki ga RCM ba su da rashin lafiyar jiki, ma'anar cewa babu wani mai cutar rashin lafiyar wanda ke haifar dashi.
Maimakon haka, RCM tana aiki da labaran histamine da wasu sinadarai daga sassan mast .
Risks for Reactions to IV Dye
Wadannan dalilai sun nuna cewa sa mutane su fi haɗari ga halayen RCM:
- Bayanin da suka gabata zuwa RCM
- Asthma
- Tarihin allergies
- Tarihin cututtukan zuciya
- Tarihin cutar koda
- Shan beta-blockers
- Mata
- Tsofaffi (ya bayyana ya zama babban haɗari ga haɗari mai tsanani)
Tsibirin Tsuntsaye
Duk da labari mai ban sha'awa, cin nama da kifi da ƙuƙwalwar ƙwayar cuta ba ya sanya ka a cikin haɗari mai haɗari na samun ci gaban RCM. Sanyayyar daɗaɗɗa mai laushi shine saboda abun ciki na gina jiki daga cikin wadannan abincin, ba abun ciki na iodine ba. Bugu da ƙari, idan kuna da rashin lafiyar mai tsabta mai iodine ko iodides, ba ku da haɗari ga halayen RCM.
Bincike da rashin lafiya ga IV Dye
Abin takaici, babu gwajin da za'a samo asibiti ga RCM. Binciken fata da gwajin radioallergosorbent (RAST) ba a nuna su zama masu taimako a cikin ganewar asali ba. Ƙananan, gwajin gwaji ma ba da taimako, tare da rahotanni mai tsanani, masu haɗari na rayuwa da ke faruwa bayan ƙananan yawan RCM da aka ba, da halayen haɗari tare da ƙwayar ƙwayar RCM bayan mutum ya jure ƙananan ƙwayar IV.
Saboda haka, ganewar asali na rashin lafiyan RCM ne kawai aka yi bayan bayan bayyanar cututtuka sun faru.
In ba haka ba, yana yiwuwa ne kawai don ƙayyade cewa mutum yana cikin haɗarin haɗari ga RCM bisa ga abubuwan haɗari kamar yadda aka tsara a sama.
Jiyya ga marasa lafiya zuwa IV Dye
Yin jiyya ga wani mummunan dauki zuwa RCM yana kama da na anaphylaxis daga kowane dalili. Jiyya na iya haɗawa da epinephrin injectable da antihistamines , kazalika da yin amfani da ruwa mai kwakwalwa don ƙananan jini da girgiza.
Tsayar da Maganganu zuwa Dye
Idan ka yi da'awar RCM, hana halayen RCM na gaba ya kamata ya haɗa da wadannan:
- Tattauna wa likitanka game da hadari da kuma amfani da yin gwajin tare da RCM kuma ko akwai wasu zabi
- Amfani da LOCM maimakon HOCM
- Amfani da magunguna kafin gudanar da RCM don hana ko rage damar halayen, ciki har da:
- Prednisone, 50mg don balagagge, an dauki baki a 13 hours, 7 hours, da kuma 1 hour kafin samun RCM
- Diphenhydramine (Benadryl), 50mg don balagagge, ya dauki baki 1 hour kafin karbar RCM
Sources:
> Baerlocher MO, Asch M, Myers A. Yin Amfani da Mitar Media. CMAJ: Jaridar Ƙungiyar Magunguna ta Kanada . 2010; 182 (7): 697. Doi: 10.1503 / cmaj.090118.
> Baig M, Farag A, Sajid J, Potluri R, Irwin RB, Khalid HMI. Lafiya ta Shellfish da Haɗuwa da Maɗaukaki Tsarin Gida: Ƙasar Birtaniya. World Journal of Cardiology . 2014; 6 (3): 107-111. Doi: 10.4330 / wjc.v6.i3.107.
> Hong SJ, Cochran ST. Ra'ayoyin Harkokin Kuskuren Gaggawa zuwa Rediyo Radiocontrast: Rigakafin Yanayin Saukewa. Na zamani. Updated Satumba 1, 2017.
> Lieberman P, Nicklas RA, Randolph C, et al. Anaphylaxis-Sabunta Sabis na Ɗaukakawa 2015. Annals na Allergy, Asthma & Immunology. Nuwamba 2015; 115 (5): 341-84.
> Pasternak JJ, Williamson EE. Magungunan Harkokin Kasuwancin Clinical, Amfani, da Ayyukan Kuskuren Ayyukan Ayyukan Maɗaukaki: Mahimmanci ga Masu Rashin Gida. Mayo Clinic Proceedings . 2012; 87 (4): 390-402. Doi: 10.1016 / j.mayocp.2012.01.012.