Mpweya wonyezimira scintiscan

Mafuta a impso scintiscan ndi mayeso a mankhwala a nyukiliya. Amagwiritsa ntchito pang'ono pokha poizoniyu kuti apange chithunzi cha impso.

Mudzafunsidwa kuti muzimwa mankhwala a magazi otchedwa ACE inhibitor. Mankhwalawa amatha kumwa pakamwa, kapena kuperekedwa kudzera mumitsempha (IV). Mankhwalawa amachititsa kuyezetsa molondola.

Mudzagona pansi pa tebulo lamakina mukangomaliza kumwa mankhwalawo. Wothandizira zaumoyo adzalowetsa pang'ono radioactive zinthu (radioisotope) mu umodzi mwamitsempha yanu. Zithunzi za impso zanu zimatengedwa pamene zinthu zowulutsa radioactive zimadutsa m'mitsempha yamderalo. Muyenera kukhala chete pakuyesa konse. Kuwunika kumatenga pafupifupi mphindi 30.

Pafupifupi mphindi 10 mutalandira mankhwala a radioactive, mupatsidwa diuretic ("mapiritsi amadzi") kudzera mumitsempha. Mankhwalawa amathandizanso kuti mayeso akhale olondola kwambiri.

Mutha kubwerera kuzinthu zachilendo mukamaliza mayeso. Muyenera kumwa madzi ambiri kuti muthandizire kuchotsa zinthu zakuthupi mthupi lanu. Mayesowo amakupangitsani kukodza pafupipafupi kwa maola angapo mutayesedwa.

Mudzafunsidwa kumwa madzi ambiri musanayezedwe.

Ngati pakadali pano mukumwa choletsa cha ACE chothana ndi kuthamanga kwa magazi, mudzafunsidwa kuti musiye kumwa mankhwala anu mayeso asanayesedwe. Nthawi zonse lankhulani ndi omwe akukuthandizani musanasiye mankhwala anu aliwonse.

Mutha kupemphedwa kuvala chovala chaku chipatala. Chotsani zodzikongoletsera zonse ndi zinthu zachitsulo musanajambulire.

Mutha kumva kuwawa pang'ono singano ikalowetsedwa.

Muyenera kukhalabe chete pakuwunika. Mudzauzidwa nthawi yomwe muyenera kusintha maudindo.

Pakhoza kukhala zovuta zina pamene chikhodzodzo chanu chimadzaza ndi mkodzo mkati mwa mayeso. Uzani amene akuyesa mayeso ngati mukuyenera kukodza kusanachitike.

Kuyesaku kumawunikira kuthamanga kwa magazi mpaka impso. Amagwiritsidwa ntchito pofufuza kuchepa kwa mitsempha yomwe imapereka impso. Izi ndizomwe zimatchedwa a renal artery stenosis. Mitsempha yotupa kwambiri yotchedwa stenosis imatha kukhala chifukwa cha kuthamanga kwa magazi komanso mavuto amphongo.

Magazi othamangira ku impso amawoneka abwinobwino.

Zotsatira zosazolowereka pazowunikira zitha kukhala chizindikiro cha aimpso artery stenosis. Kafukufuku wofananira yemwe sagwiritsa ntchito ACE inhibitor atha kuchitidwa kuti atsimikizire matendawa.

Ngati muli ndi pakati kapena mukuyamwitsa, omwe akukuthandizani angafune kuyimitsa mayeso. Pali zoopsa zina zomwe zimakhudzidwa ndi ACE inhibitors. Amayi oyembekezera sayenera kumwa mankhwalawa.

Kuchuluka kwa radioactivity mu jakisoni ndikochepa kwambiri. Pafupifupi ma radioactivity onse achoka m'thupi mkati mwa maola 24.

Zomwe zimachitika pazomwe amagwiritsa ntchito poyeserazi ndizosowa, koma zimatha kuphatikizira, kutupa, kapena anaphylaxis.

Zowopsa za ndodo ya singano ndizochepa, koma zimaphatikizapo matenda ndikutuluka magazi.

Mayesowa sangakhale olondola kwenikweni kwa anthu omwe ali ndi matenda a impso. Lankhulani ndi omwe amakupatsani kuti muwone ngati ili mayeso oyenera kwa inu. Njira zina pakuyesaku ndi MRI kapena CT angiogram.

Zowonongeka kwa impso; Radionuclide aimpso perfusion scan; Perfusion scintiscan - impso; Scintiscan - mafuta opatsirana

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo
• Pyelogram yolowera

Rottenberg G, Andi AC. Kusintha kwa mphuno: kulingalira. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Kuzindikira Mafilimu. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chap 37.

Zolemba pa SC. Matenda oopsa kwambiri komanso ischemic nephropathy. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 48.