So woate radiopharmaceuticals ho asɛm? Momma yensua wɔn ho ade wɔ ɔkwan a ɛnyɛ den so!

So wo duruyɛfo aka wo pɛn sɛ wonyɛ scan titiriw te sɛ PET scan? Anaasɛ ɔkaa aduru titiriw bi a wɔde twitwiw nipadua no mu sɛ kokoram ayaresa ho asɛm? Afei ebia wobɛte ehu nka kakra bere a wote asɛmfua "radioactive" no. Nanso mma nsuro. Ɛnnɛ yɛreka aduruyɛ nwonwaso yi a ɛkɔ anim yiye wɔ aduruyɛ ho nyansahu mu, a wɔde hwehwɛ nyarewa na wɔsa no ho asɛm.

Dɛn ne nnuru a wɔde yɛ radiopharmaceuticals yi?

Sɛ yɛbɛka no tiawa a, eyinom yɛ nnuru titiriw a wɔayɛ sɛ wɔmfa nni dwuma wɔ nnuruyɛ mu, a mframa a ano yɛ den kakraa bi pɛ na wɔahyɛ so. Sɛ yɛbɛka no katee a, eyinom yɛ nnuru bi. Nanso saa aduru yi mu no biribi te sɛ "tracker" ketewa bi wɔ hɔ. Yebetumi de mfoninitwa mfiri soronko ahwɛ ahoɔden a efi mu ba no.

Nnipa a wɔanya ntetee titiriw wɔ saa beae yi na wɔyɛ eyinom, wɔkyekyɛ, na wɔde di dwuma. Sɛ nhwɛso no, nuklea nnuruyɛfo, radiologists, ne radiation oncologists de ahwɛyiye kɛse di dwuma.

Dɛn na wɔde saa nnuru yi di dwuma?

Nneɛma atitiriw abien na wɔde saa Radiopharmaceuticals yi di dwuma. Biako ne sɛ wobehu nyarewa (Diagnostic) , na biako nso ne sɛ wɔbɛsa nyarewa (Therapeutic) . Fa no sɛ sɛ yɛde mfiridwuma koro no ara di dwuma a, yɛn baanu nyinaa betumi ahu ɔhaw bi wɔ nipadua no mu na yɛadi saa ɔhaw no ho dwuma. Momma yɛnhwɛ abien yi wɔ ɔkwan soronko so.

1. Sɛnea wɔboa ma wohu nyarewa (Diagnostic Radiopharmaceuticals) .

Eyi ne ɔkwan a wɔtaa fa so de nnuru yi di dwuma. Nea ɛkɔ so wɔ ha ne sɛ wonom, wohome, anaasɛ wode aduru a ɛma mframa bɔne yi kakraa bi pɛ na ahobammɔ wom gu wo nipadua mu. Yɛsan frɛ saa radiotracer ahorow yi .

Sɛ aduru yi kɔ nipadua no mu pɛ a, ɛkɔ baabi a yare, ɔyare mmoawa, anaa ɔhaw bi wɔ no. Afei, wɔde mfoninitwa afiri soronko bi te sɛ gamma mfoninitwa mfiri twa mmeae a aduru no aboaboa ano no ho mfonini. Oduruyɛfo no betumi afi mfonini ahorow yi mu ahu sɛnea w’akwaa ahorow no reyɛ adwuma, sɛnea wo mogya no sen, anaa sɛ ebia kokoram nkwammoaa bi wɔ hɔ no pɛpɛɛpɛ.

• Nhwɛso ahorow:
• PET scans (Positron Emission Tomography scans): Wɔtaa de aduru bi a wɔfrɛ no `Fluorine-18` di dwuma ma eyi.
• Nnompe, mmerɛbo, ne asaabo mu nhwehwɛmu: Aduru `Technetium 99m` na wɔde di dwuma kɛse wɔ wiase de yɛ eyi.
• Ahurututu mu dwumadi ho sɔhwɛ:Wɔhome aduru bi a wɔfrɛ no `Xenon-133`.
• Koma ntini mu nhwehwɛmu: Wɔde aduru bi a wɔfrɛ no `Rubidium-82` gu ntini bi mu.

2. Radiopharmaceuticals a wɔde sa yare

Saa kwan yi yɛ ɔkwan foforo koraa, nanso etu mpɔn yiye a wɔfa so sa kokoram, titiriw wɔ kokoram ho. Nea ɛka ho ne sɛ wɔde aduru bi a ano yɛ den kakra gu nipadua no mu sen nea wɔde ma de hu yare no.

Eyi te sɛ aprɛm a ɛkɔ baabi a wɔde wɔn ani asi so no tẽẽ. Saa aduru yi hwehwɛ kokoram nkwammoaa tẽẽ, bata ho, na ɛsɛe wɔn. Mfaso kɛse a ɛwɔ eyi so ne sɛ nkwaboaa afoforo a ɛwɔ apɔwmuden a ɛwɔ nipadua no mu no sɛe kakraa bi pɛ. Efisɛ saa ayaresa yi de n’ani si kokoram nkwammoaa no nkutoo so tẽẽ. Eyi yɛ soronko wɔ ayaresa kwan a wɔfa so de mframa a efi abɔnten di dwuma (`External Beam Radiation Therapy`).

Nsonsonoe a ɛda nneɛma atitiriw abien a wɔde di dwuma no ntam

Sɛnea ɛbɛyɛ a yɛbɛte ase ntɛm no, momma yɛnhwɛ nsonsonoe a ɛda nneɛma abien a wɔde di dwuma yi ntam.

Dɛn ne radiopharmaceuticals a wɔde sa kokoram?

Mprempren radiopharmaceuticals pii a etu mpɔn kɛse wɔ hɔ a wɔapene so sɛ wɔmfa nsa kokoram.

• PLUVICTO® (`lutetium Lu 177 aduru a ɛma nipadua no yɛ adwuma`):Wɔde sa prostate kokoram a atrɛw akɔ mmeae afoforo (metastatic) no bi.
• LutatheraTM (`Lutetium Lu 177 dotatate`): Wɔde eyi sa neuroendocrine akisikuru bi a ɛba yafunu, dwensɔtwaa, ne dwensɔtwaa mu.
• Iodine-131: Wɔde sa thyroid kokoram ne tebea horow a ɛma thyroid hormone ahorow te sɛ Graves yare no yɛ kɛse dodo.
• Radium-223: Sɛ prostate kokoram atrɛw (atrɛw) akɔ nnompe no mu a, eyi tu mpɔn kɛse wɔ kokoram nkwammoaa a ɛwɔ saa nnompe no mu a ɛsɛe no mu.

Afei nso, mprempren wɔreyɛ nnuruyɛ mu sɔhwɛ ahorow a wɔde bedi dwuma wɔ nnuru yi mu ama kokoram ahorow afoforo dodow bi, a ɛkyerɛ sɛ eyi bɛyɛ kokoram ayaresa fã a ɛho hia yiye daakye.

So nnuru yi yɛ nea asiane biara nni ho ankasa? So ɛsɛ sɛ yesuro?

Eyi ne asɛmmisa kɛse a obiara wɔ. Ɛyɛ ade a ɛfata sɛ yesuro bere a yɛte asɛmfua "radioactive" no. Nanso eyi ne nokware no.

Fa no sɛ, nnuru dodow a wɔde ma de hu nyarewa no sua araa ma ɛrempira wo nipadua. Wobeyi afi wo nipadua mu koraa wɔ nnɔnhwerew anaa nna kakraa bi mu.

Aduru dodow a wɔde ma de sa yare no mu yɛ den kakra sen saa. Enti, nsunsuanso bɔne bi betumi aba. Nanso sɛnea ɛte wɔ aduru biara ho no, ɛha nso, nnuruyɛfo hwɛ sɛ ebia mfaso a ɛwɔ aduru no so no boro nea efi mu ba no so anaa. Sɛ wɔde toto hokwan a ɛwɔ hɔ sɛ wɔbɛsa yare a emu yɛ den te sɛ kokoram ho a, wobetumi adi saa nsunsuanso bɔne no ho dwuma.

Sɛ wɔkyerɛw wo aduru anaa sɔhwɛ bi a ɛte sɛɛ a, wo duruyɛfo bɛkyerɛkyerɛ biribiara mu akyerɛ wo afa ho, mfaso a ɛwɔ so, ne nea ebetumi afi mu aba. Bisa nsɛmmisa anaa dadwen biara a ebia wowɔ saa bere no ho asɛm.