I-renf perfusion scintiscan

I-scintiscan ye-renal perfusion ukuhlolwa kwemithi yenuzi. Isebenzisa inani elincane lezinto ezinemisebe yokwenza isithombe sezinso.

Uzocelwa ukuthi uthathe umuthi womfutho wegazi obizwa nge-ACE inhibitor. Umuthi ungathathwa ngomlomo, noma unikezwe ngomthambo (IV). Umuthi wenza isivivinyo sinembe kakhudlwana.

Uzolala phansi etafuleni lesithwebuli ngemuva nje kokudla umuthi. Umhlinzeki wezokunakekelwa kwempilo uzojova inani elincane le-radioactive material (radioisotope) kolunye lwemithambo yakho. Izithombe zezinso zakho zithathwa njengoba impahla enemisebe igeleza ngemithambo esendaweni. Uzodinga ukuhlala umile kulo lonke uvivinyo. Ukuskena kuthatha imizuzu engama-30.

Cishe emizuzwini eyi-10 ngemuva kokuthola okokusebenza okukhipha imisebe, uzonikezwa isisu ("iphilisi lamanzi" ngomthambo. Lo muthi ubuye usize ukwenza ukuhlolwa kunembe kakhudlwana.

Ungabuyela emisebenzini ejwayelekile ngemuva kokuhlolwa. Kufanele uphuze uketshezi oluningi ukusiza ukukhipha okokusebenza okukhipha imisebe emzimbeni wakho. Ukuhlolwa kuzokwenza uchame kaningi amahora amaningi ngemuva kokuhlolwa.

Uzocelwa ukuthi uphuze amanzi amaningi ngaphambi kokuhlolwa.

Uma njengamanje uthatha i-ACE inhibitor yomfutho wegazi ophezulu, ungacelwa ukuthi uyeke ukuthatha umuthi wakho ngaphambi kokuhlolwa. Hlala ukhuluma nomhlinzeki wakho ngaphambi kokumisa noma imuphi umuthi wakho.

Ungacelwa ukuthi ugqoke ingubo yasesibhedlela. Susa konke ubucwebe nezinto zensimbi ngaphambi kokuskena.

Ungase uzwe ubuhlungu obuncane lapho inaliti ifakiwe.

Kufanele uhlale unganyakazi ngesikhathi sokuskena. Uzotshelwa lapho udinga ukushintsha izikhundla.

Kungaba khona ukungakhululeki njengoba isinye sakho sigcwalisa umchamo ngesikhathi sokuhlolwa. Tshela umuntu owenza isivivinyo uma kufanele uchame ngaphambi kokuthi kuqedwe ukuskena.

Ukuhlolwa kuhlola ukugeleza kwegazi kuya ezinso. Isetshenziselwa ukuxilonga ukuncipha kwemithambo ehambisa izinso. Lesi yisimo esibizwa nge-renal artery stenosis. I-artery stenosis ebalulekile yezinso ingaba imbangela yengcindezi ephezulu yegazi nezinkinga zezinso.

Ukugeleza kwegazi kuya ezinso kubonakala kuyinto ejwayelekile.

Ukutholwa okungajwayelekile kuskena kungaba uphawu lwe-renal artery stenosis. Ucwaningo olufanayo olungasebenzisi i-ACE inhibitor lungenziwa ukuqinisekisa ukuxilongwa.

Uma ukhulelwe noma unesi, umhlinzeki wakho angafuna ukuhlehlisa isivivinyo. Kunezingozi ezithile ezithintekayo kuma-ACE inhibitors. Abesifazane abakhulelwe akufanele bayithathe le mithi.

Inani le-radioactivity kumjovo lincane kakhulu. Cishe yonke imisebe ye-radioactivity isukile emzimbeni kungakapheli amahora angama-24.

Ukusabela ezintweni ezisetshenziswe phakathi naloluhlolo akuvamile, kepha kungabandakanya ukuqubuka, ukuvuvukala, noma i-anaphylaxis.

Izingozi zenduku yenaliti zincane, kepha zifaka ukutheleleka nokopha.

Lokhu kuhlolwa kungenzeka kunganembi kangako kubantu asebevele benesifo sezinso. Khuluma nomhlinzeki wakho ukunquma ukuthi lesi isivivinyo esifanele yini kuwe. Ezinye izindlela zalolu vivinyo yi-MRI noma i-CT angiogram.

I-scintigraphy ye-renal perfusion; Ukuskena kwe-Radionuclide renal perfusion; I-perfusion scintiscan - i-renal; I-Scintiscan - i-perfusion yezinso

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo
• I-pyelogram efakwa ngaphakathi

URottenberg G, Andi AC. Ukufakelwa kabusha kwe-renal: imaging. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology. Umhlaka 6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 37.

Umbhalo SC. Ukuqina komfutho wegazi ophakeme kanye nephropathy ye-ischemic. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 48.