Yala aw bɛ PSMA PET sɛgɛsɛgɛli dɔn min bɛ kɛ ka ɲɛgɛnɛsira kansɛri dɔn wa? (PSMA PET Scan) .

N’a sɔrɔ aw ye daɲɛw mɛn `(PSMA PET scan)`, walima dɔgɔtɔrɔ dɔ y’a fɔ aw ye ko aw ka nin kɛ. O la, a bɛnnen don ka siran dɔɔni ani ka ɲininkali kɛ ni aw ye nin sɛgɛsɛgɛli suguya in mɛn. Nka aw kana aw hakili ɲagami, nin ye sɛgɛsɛgɛli ye min farati tɛ mɔgɔ fanba bolo, wa a ye sɛgɛsɛgɛli ye min nafa ka bon kosɛbɛ ka ɲɛgɛnɛsira kansɛri dɔn. An ka kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

PSMA PET scan ye mun ye? N'an y'a fɔ cogo nɔgɔman na...

N’an y’a fɔ cogo nɔgɔman na, PSMA PET scan ye sɛgɛsɛgɛli ye min bɛ ja kɛrɛnkɛrɛnnenw ta. O bɛ a to dɔgɔtɔrɔ ka se k’a dɔn ni kansɛri bɛ aw la ani ni o don, a bɛ yɔrɔ min na. O ye ka fɛnɲɛnamafagalan (radiotracer) dɔɔni pikiri kɛ aw fari la. O fɛn in bɛ nɔrɔ farikolojɔlifɛn kɛrɛnkɛrɛnnen dɔ la min bɛ wele ko Prostate-Specific Membrane Antigen (PSMA) min bɛ ɲɛgɛnɛsira kansɛribanakisɛw sanfɛ. O kɔfɛ, skanɛrɛ bɛ ja ta, fɛn min bɛ kɛ ni radiyowaati ye, o bɛ yɔrɔ min na.

Miiri a la i n'a fɔ `GPS` tracker fitinin. A bɛ kansɛribanakisɛw sɔrɔ, k’a jira an na u bɛ yɔrɔ min na.

Nin sɛgɛsɛgɛli sugu bɛ se ka kɛ siranfɛn ye dɔɔni. Nka PSMA PET scan farati ka bon kosɛbɛ. Aw bɛna fɛn kelen min ye, o ye sɔgɔsɔgɔninjɛ dɔɔni ye ni radiyowaati pikiri kɛra aw fari la. N’o tɛ, i ka kan ka min kɛ sɛgɛsɛgɛli kɛtuma na, o ye ka to yɔrɔ kelen na walasa jaw ka se ka ta ka jɛya.

Nin daɲɛ ninnu kɔrɔ ye mun ye PSMA PET?

• PSMA: Nin kɔrɔ ye `(Prostate-Specific Membrane Antigen)` ye. N’an y’a fɔ cogo nɔgɔman na, nin ye farikolojɔlifɛn kɛrɛnkɛrɛnnen ye min bɛ sɔrɔ ɲɛgɛnɛsira kansɛribanakisɛw sanfɛ. PSMA ye `(Antigen)` ye, o kɔrɔ ye ko a ye banakisɛfagalan ye. `(Antigène)` suguya minnu bɛ i n’a fɔ nin, olu bɛ an farikolo tangacogo lawuli. I n'a fo:
• Banakisɛw
• Virus (banakisɛfagalanw).
• Alɛrijini (alrégènes).
• Tumu banakisɛw (cellules).
• Tuma dɔw la, farikolokisɛ nɔgɔmanw fana bɛ se ka kɛ ``Antigènes'' ye.

• PET: Nin kɔrɔ ye `(Positron Emission Tomography)` ye. Nin ye o skanɛrɛ in ka fɛɛrɛ ye. Nin masin in bɛ se ka yɔrɔw sɔrɔ yɔrɔ minnu na, fɛn min bɛ wele ko radiyowazi `(Radiotracer)`, o minɛna ka caya, o kɔrɔ ye ko banakisɛ bananenw bɛ yɔrɔ minnu na. O de b’a jira gɛlɛya bɛ se ka kɛ yɔrɔ min na.

Yala nin ye farikolo bɛɛ lajɛlen sɛgɛsɛgɛli ye wa?

Ɔwɔ, PSMA PET sɛgɛsɛgɛli bɛ i farikolo bɛɛ sɛgɛsɛgɛ. O kɔrɔ ye ko a tɛ se ka ɲɛgɛnɛsira dɔrɔn ye, nka a bɛ se ka a ye fana ni kansɛri jɛnsɛnna yɔrɔ wɛrɛw la.

PSMA PET sɛgɛsɛgɛli bɛ kɛ tuma jumɛn?

Ko damadɔ bɛ yen dɔgɔtɔrɔ bɛ se k’a ɲini aw fɛ aw ka PSMA PET scan kɛ:

1. Ni a sɔrɔla ko kansɛri bɛ aw la:Nin sɛgɛsɛgɛli in bɛ se ka kɛ sani furakɛli ka daminɛ, kɛrɛnkɛrɛnnenya la ni kansɛri taabolo dɔnni (a bɛ wele ko Gleason score), ani ni a bɛ miiri ko kansɛri bɛ se ka jɛnsɛn farikolo yɔrɔ wɛrɛw la (metastasizing).

2. Ni aw ka PSA (Prostate-Specific Antigen) hakɛ wulila tuguni ɲɛgɛnɛsira kansɛri furakɛli kɔfɛ: Ni PSA hakɛ cayara, o bɛ se ka kɛ kansɛri seginni taamasiɲɛ ye. Nin sɛgɛsɛgɛli in fana bɛ se ka dɛmɛ don ka o dafa.

Yala nin sɛgɛsɛgɛli in bɛ se ka kansɛri suguya wɛrɛw dɔn wa?

A ka ca a la, PSMA PET scan bɛ kɛ ka ɲɛgɛnɛsira kansɛri dɔn. Nka a man teli kosɛbɛ, kansɛri suguya wɛrɛw fana bɛ se ka PSMA hakɛ dɔgɔyali lase mɔgɔ ma. N’o don, u bɛ se ka ye fana nin sɛgɛsɛgɛli in na. Nin kansɛri suguya ninnu ye:

• Kansɛri bɛ sɔrɔ sɔgɔsɔgɔninjɛ la
• Kansɛri min bɛ sɔrɔ sɔgɔsɔgɔninjɛ la
• Sugunɛ kansɛri
• Sugunɛ kansɛri
• Sugunɛ kansɛri
• Sinna kansɛri
• Fogonfogon kansɛri `(Fogonfogonw)`

Nka a nafa ka bon ka aw hakili to a la ko nin ye ɲɛgɛnɛsira sɛgɛsɛgɛli ye fɔlɔ .

PSMA PET scan bɛ baara kɛ cogo di?

Nin ye sɛgɛsɛgɛli sugu ye min bɛ wele ko ``Nuclear Medicine Imaging.'' O kɔrɔ ye ko fɛn fitinin dɔ bɛ kɛ ka PSMA yɔrɔw sɔrɔ, min tɛ mɔgɔ tɔɔrɔ. Dɔgɔtɔrɔ walima fɛɛrɛtigi kalanlen dɔ bɛna nin fɛnɲɛnamafagalan ``Radiotracer'' in di aw ma i n'a fɔ pikiri fitini dɔ ka don aw bolokɔni jolisira dɔ la ``Peripheral IV''.

Nin `(Radiotracer)` bɛ taa ka `(a siri)` kansɛribanakisɛw la minnu bɛ ɲɛgɛnɛsira la. O kɔfɛ, PET scanner bɛ nin `(Radiotracer)` in bɛ yɔrɔw sɔrɔ, ka i ka ɲɛgɛnɛsira ja jɛlenw dilan ani yɔrɔ wɛrɛw la, kansɛri bɛ se ka jɛnsɛn yɔrɔ minnu na.

Tuma dɔw la, CT scan walima MRI bɛ se ka kɛ ɲɔgɔn fɛ ni PSMA PET scan ye walasa ka ja jɛlenw sɔrɔ, minnu bɛ ɲɛfɔ ka ɲɛ.

Mun bɛ se ka kɛ sani PSMA PET sɛgɛsɛgɛli ka kɛ?

Sani sɛgɛsɛgɛli ka kɛ, dɔgɔtɔrɔ bɛna i ka furakɛli tariku bɛɛ ta ka farikolo sɛgɛsɛgɛli kɛ. PSMA PET scan bɛ kɛ ni pikirijikɛlan ye walasa ka radiotracer don a kɔnɔ, wa scanner bɛ i n’a fɔ tunɛri fitinin. O la, ni siran bɛ aw la pikirijikɛlanw ɲɛ (Trypanophobia) walima ni siran bɛ aw la ka kɛ yɔrɔ fitininw na, yɔrɔ minnu datugulen don kosɛbɛ (Claustrophobie), aw bɛ kɔn ka o fɔ aw ka dɔgɔtɔrɔ ye. O kɔfɛ, u bɛna aw kalan a kunbɛncogo la, walima u bɛ se ka hakiliɲagamifura di aw ma walasa ka aw hakili sigi.

Ladilikan kɛrɛnkɛrɛnnen si tɛ yen walasa ka nin sɛgɛsɛgɛli in labɛn. A tɛ i n’a fɔ sɛgɛsɛgɛli suguya wɛrɛw, aw man kan ka dumuni walima fura si tali dabila. Nka, a ka ɲi ka fini ɲumanw don ani ka nɛgɛdaga fɛn o fɛn bɔ (i n’a fɔ tulolanɛgɛw, nɛgɛberew, bololanɛgɛw) k’u to so kɔnɔ. Ni aw bɛ lunɛti don, aw ka kan ka u bɔ sɛgɛsɛgɛli kɛtuma na.

Mun bɛ kɛ PSMA PET sɛgɛsɛgɛli senfɛ?

Fɛn dɔw filɛ nin ye minnu bɛ kɛ sɛgɛsɛgɛli don na:

1. PSMA PET sɛgɛsɛgɛli fɛɛrɛtigi dɔ min ye kalan kɛrɛnkɛrɛnnen sɔrɔ o ko la, o de bɛna sɛgɛsɛgɛli kɛ. A bɛna radiyo-tracer (radiotracer) hakɛ dantigɛlen dɔ pikiri kɛ aw bolokɔni jolisira dɔ la. Radiotracers minnu bɛ kɛ ka caya, olu ye Gallium-68 PSMA 11 (68Ga-PSMA-11) walima Piflufolastat F-18 (18F-DCFPyL walima PyL) ye.

2. O kɔ, aw ka kan ka lɛri kelen ɲɔgɔn makɔnɔ walasa nin PSMA in ka jɛnsɛn aw fari fan bɛɛ la.

3. O kɔfɛ, fɛɛrɛtigi bɛna a fɔ aw ye ko aw ka taa sanuyaso la ka koli kɛ.

4. O kɔfɛ, aw bɛna aw da dilan kan skanɛri kɔnɔ. Nin dilan in de bɛ don ka bɔ skanɛrɛ kɔnɔ. Scaner bɛ i n’a fɔ tunɛri fitinin walima donut.

5. A nafa ka bon kosɛbɛ ka to yɔrɔ kelen na o waati kɔnɔ. Hali ni i lamaga dɔɔnin, o bɛ se ka jaw kɛ fɛn yebali ye.

6. I bɛ se ka "buzz... click..." mankan mɛn ni skanɛrɛ bɛ i farikolo ja ta. O ye ko ye min tɛ kojugu ye.

Sani aw ka taa, fɛɛrɛtigi bɛna ja minnu ta, olu lajɛ walasa k’a dɔn ni u jɛlen don walima ni u ma jɛya.

PSMA PET sɛgɛsɛgɛli bɛ waati joli ta?

A ka ca a la, PSMA PET sɛgɛsɛgɛli tɛ sanga fila bɔ. A bɛ lɛri kelen ɲɔgɔn ta walasa arajo-tracer (radiotracer) ka don farikolo la, ani miniti 30 ɲɔgɔn ka sɔrɔ ka sɛgɛsɛgɛli kɛ. Ka fara o kan, fɛɛrɛtigi bɛ waati dɔɔnin ta ka ja ninnu jɛlen lajɛ.

Mun bɛ se ka kɛ sɛgɛsɛgɛli kɔfɛ?

Aw bɛ se ka taa so PSMA PET sɛgɛsɛgɛli kɔfɛ. A ka ca a la, dɔgɔtɔrɔ bɛna aw wele tile damadɔ kɔnɔ walasa ka aw ladɔnniya a nɔfɛkow la.

Farati jumɛnw bɛ PSMA PET sɛgɛsɛgɛli la?

Mɔgɔ fanba fɛ, PSMA PET sɛgɛsɛgɛli farati tɛ. Nka, kɔlɔlɔ bɛ se ka kɛ mɔgɔ dɔw la waati dɔɔni kɔnɔ. Olu dɔw ye:

• Sɛgɛnba sɔrɔli (Sɛgɛn) .
• Kungolodimi (yan, a ka fisa ka fɔ ko "kungolodimi") - kungolodimi
• Yɛlɛma donna dumuni duman na (Dysgeusia) (hakilila min b’a jira ko dumuni daji tɛ kelen ye) .
• Farikoloɲɛnajɛ nɔgɔman

A ka ca a la, ninnu tɛ kojugu ye, wa u bɛna kɛnɛya tile damadɔ kɔnɔ.

O nɔ ye mun ye?

Radiologist dɔ, min dege kɛrɛnkɛrɛnnenya la ka jaw kalan, o bɛ jaw lajɛ. Yɔrɔ minnu na PSMA hakɛ ka ca, arajo-tracer bɛ siri PSMA la, ka ja kɔnɔ yɔrɔw kɛ yeelen ye, i n’a fɔ ka kulɛri fara ja nɛrɛma ni finman kan .

"PSMA positive" kɔrɔ ye mun ye?

`(PSMA positive)` jaabi kɔrɔ ye ko PSMA sɔrɔla i ka `(PSMA PET scan)` kan. Ni o kɛra, aw ka dɔgɔtɔrɔ bɛ se ka yamaruya di sɛgɛsɛgɛli wɛrɛw ma walasa ka a dɔn ni kansɛri bɛ aw la, walima ka a jira ko nin `(Positive)` jaabi in bɛnnen don.

Yala PSMA bɛ se ka dɔn ni PET scan ye, hali ni PSA hakɛ dɔgɔyara cogo o cogo wa?

Cɛ minnu ka kansɛri daminɛna, PSA hakɛ bɛ se ka dɔn mililitiri kelen kɔnɔ (ng/mL) fo ka se nanogaramu 0,2 walima 0,3 ma ni PSMA PET sɛgɛsɛgɛli ye. Nanogaramu ye garamu miliyari kelen ye, mililitiri kelen ye litiri ba kelen ye. Miiri k’a filɛ o ka dɔgɔ cogo min na!

Ni PSA hakɛ bɛ 0,5 ng/mL lamini, a bɛ se ka kɛ 50% ɲɔgɔn ye ka kuru dɔ sɔrɔ min ka dɔgɔn fo milimɛtɛrɛ 5 (mm).

A bɛ waati joli ta walasa ka PSMA PET sɛgɛsɛgɛli jaabiw dɔn?

Dɔgɔtɔrɔ ka kan ka aw wele tile damadɔ kɔnɔ walasa ka `(PSMA PET scan)` jaabiw fɔ aw ye.

Ni a nɔfɛkow ma kɛ cogo la, aw bɛ mun kɛ o kɔfɛ?

Ni PSMA sɔrɔla aw ka PSMA PET sɛgɛsɛgɛli la, aw ka dɔgɔtɔrɔ bɛna baara kɛ ni Gleason score ye, o min ye kansɛri taamasiɲɛ ye, walasa ka aw ka ɲɛgɛnɛsira kansɛri juguya dɔn ani aw mago bɛ furakɛli min na. Aw bɛ furakɛli min kɛ, o bɛ se ka bɔ fɛn caman na:

• Aw ka kɛnɛya cogoya bɛɛ lajɛlen
• Ni kansɛri jɛnsɛnna farikolo yɔrɔ wɛrɛw la
• Kansɛri bɛ jɛnsɛn hakɛ min na

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni aw ka PSMA PET sɛgɛsɛgɛli jaabiw bɛ waati jan ta ka tɛmɛ aw tun bɛ miiri min na, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ. Ni a sɔrɔcogo ka ɲi, a nafa ka bon ka tugu-tugu-ɲɔgɔn kɔ lajɛw boloda tuma bɛɛ ni dɔgɔtɔrɔ ye.

Yala PSMA PET scan ka fisa ni MRI ye wa?

Cogo si t’a la k’a fɔ ko PSMA PET scan ka fisa walima ka jugu ni MRI ye. Kɔrɔbɔli fila bɛɛ bɛ fɛn kɛrɛnkɛrɛnnen fila de kɛ. U fila bɛɛ bɛ dɔgɔtɔrɔw dɛmɛ ka ɲɛgɛnɛsira kansɛri dɔn ani k’a kɔlɔsi. PSMA PET scan bɛ se ka dɔgɔtɔrɔw dɛmɛ ka PSMA yɔrɔw sɔrɔ farikolo la. Nka MRI bɛ se k’u dɛmɛ ka aw farikolo yɔrɔw cogoya ye walima ka farikolo yɔrɔ kɛnɛmanw jateminɛ.

PSMA PET/CT scan ye mun ye?

PSMA PET/CT scan ye PSMA PET scan ni CT scan faralen ye ɲɔgɔn kan. CT scan ye ja sɛgɛsɛgɛli wɛrɛ ye. A bɛ ja caman ta ani ka ja saba (3D) dilan i farikolo kɔnɔ fɛnw kan. A bɛ dɔgɔtɔrɔw dɛmɛ ka kansɛri ni kuru suguya dɔw sɔrɔ.

A laban na, an ka kan ka to an hakili la min na (Take-Home Message) .

PSMA PET scan ye sɛgɛsɛgɛli ye min tɛ mɔgɔ tɔɔrɔ ani min nafa ka bon, min bɛ dɛmɛ ka ɲɛgɛnɛsira kansɛri dɔn ani ka a dɔn ni a jɛnsɛnna farikolo yɔrɔ wɛrɛw la.Aw bɛ se ka ɲininkali caman kɛ ani ka jɔrɔ dɔɔni ka kɔn nin ɲɔgɔnna sɛgɛsɛgɛli ɲɛ. O ye ko ye min tɛ kojugu ye. Dɔgɔtɔrɔw b’o faamu. U b’a dɔn ko ni a sɔrɔla ko kansɛri bɛ u la, o ye ko ye min bɛ mɔgɔ ka ɲɛnamaya Changer.

Nka, ni i ye ɲɛgɛnɛsira kansɛri dɔn joona, o bɛ se ka danfaraba don. Ni a dɔnna joona ani ni a furakɛra ka ɲɛ, o ye bana ye min bɛ se ka furakɛ tuma caman na. O la, aw kana siran, aw bɛ aw ka dɔgɔtɔrɔ ka kuma lamɛn, ka sɛgɛsɛgɛli wajibiyalenw kɛ. I kelen tɛ, dɔgɔtɔrɔ dɔw bɛ yen minnu bɛ se k’i dɛmɛ.

` PSMA PET scan, kansɛri, kansɛri, kansɛri dɔnni, fɛnɲɛnamafagalan, PSA hakɛ, kansɛri furakɛli, cɛw ka kɛnɛya