Ua makaʻu iki paha ʻoe a hopohopo paha i ka wā i ʻōlelo aku ai kāu kauka iā ʻoe e hana i kahi PSMA PET scan? He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me, "He aha kēia? E ʻeha anei? E hoʻoulu anei i ka maʻi koʻikoʻi?" Hiki i kekahi ke hopohopo iki ke lohe lākou e pili ana i kahi hoʻokolohua lapaʻau. Akā, ʻaʻohe kumu e makaʻu ai. He hoʻokolohua koʻikoʻi loa kēia, palekana, a ʻeha ʻole i hoʻohana ʻia i kēia manawa no ka ʻike ʻana a me ka ʻike hou aku e pili ana i ka maʻi ʻaʻai prostate. No laila, i kēia lā e pane mākou i kāu mau nīnau a pau e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha ka PSMA PET scan?
ʻAe, e hoʻomaʻalahi kākou i kēia. E noʻonoʻo he mau hunaola kanesa prostate kāu e peʻe ana i loko o kou kino. ʻAʻole hiki iā mākou ke ʻike iā lākou me ko mākou mau maka. No laila, ua like kēia PSMA PET scan me kahi kāmela kūikawā. Hiki i kēia kāmela ke hoʻoluʻu nani i nā wahi e peʻe ai kēlā mau hunaola kanesa.
E maʻalahi hoʻi inā ʻoe e wehewehe i ke ʻano o kēia inoa:
- PSMA: ʻO kēia ke kū nei no ka Prostate-Specific Membrane Antigen . Mai hopohopo i kēia huaʻōlelo nui. I ka ʻōlelo maʻalahi, he protein kūikawā kēia i loaʻa ma ka ʻili o nā hunaola kanesa prostate. Ua like ia me kahi lole kūikawā a nā hunaola kanesa e ʻaʻahu ai. He kakaikahi a ʻaʻohe paha o ia mea i nā hunaola olakino.
- PET: ʻO kēia ke ʻano o Positron Emission Tomography . ʻO kēia ke kāmela kūikawā, ka scanner.
No laila, ma kēia hoʻāʻo ʻana, ua hoʻokomo ʻia kahi liʻiliʻi o ka mea radioactive ("radiotracer)"), e like me kahi "dye" kūikawā, i loko o kou kino. Hele kēia "dye" ma ke kino a hoʻopili i kahi protein i kapa ʻia ʻo PSMA ma nā hunaola kanesa. A laila hiki i ka mīkini scan PET ke ʻike pololei i kahi i hoʻopili ʻia ai kēia "dye". ʻO ia hoʻi, ua kala maikaʻi ʻia nā wahi i loaʻa ai nā hunaola kanesa i ke kiʻi scan. No ka mea he "scan kino piha" kēia, hiki iā ia ke ʻike pololei inā ua pālahalaha ke kanesa ma ʻō aku o ka prostate gland.
I nā hihia hea e ʻōlelo ai ke kauka i kēia scan?
ʻElua mau kumu nui e noi ai ke kauka iā ʻoe e hana i kahi PSMA PET scan.
1. Ke ʻike mua ʻia ʻoe me ka maʻi ʻaʻai prostate:
Ke ʻike ʻia ʻoe he maʻi kanesa, ʻo ka mea nui e pono ai e ʻike, ʻo ia ka mamao o ka laha ʻana o ke kanesa a me kona koʻikoʻi. Hoʻohana nā kauka i nā mea e like me ka helu Gleason e hana i kēia. No laila, inā manaʻo ke kauka ua laha ka maʻi kanesa (metastasized) i nā ʻāpana ʻē aʻe o ke kino, e hana lākou i kēia scan e hōʻoia i mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
2. Ma hope o ka pau ʻana o ka mālama ʻana i ka maʻi kanesa:
I kekahi manawa, ma hope o ka mālama ʻia ʻana a me ka hoʻōla ʻia ʻana o ke kanesa prostate, hiki i ka maʻi ke hoʻi hou mai (`(recurrence)`). I kēlā manawa, e piʻi hou ka pae PSA (`Prostate-Specific Antigen`) i loko o kou koko. I kēlā mau manawa, he mea kōkua nui kēia PSMA PET scan i ka ʻike pono ʻana i kahi o ke kino i hoʻi mai ai ke kanesa.
ʻO ka mea nui loa, hiki i kēia scan ke ʻike i kahi puʻupuʻu liʻiliʻi loa o nā hunaola kanesa. No laila, he kōkua nui kēia i ka ʻike mua ʻana i ka maʻi a me ka mālama mua ʻana.
Hiki i kēia scan ke ʻike i nā maʻi ʻaʻai ʻē aʻe?
Hoʻohana pinepine ʻia ia e ʻimi i ke kanesa prostate. Eia nō naʻe, he mea kākaʻikahi loa, hiki i nā cell i loko o kekahi mau ʻano kanesa ʻē aʻe ke loaʻa i nā liʻiliʻi o ka protein PSMA. No ka laʻana, ʻo nā kanesa i loko o nā ʻōpū e like me nā kelepa salivary, ke kelepa thyroid, ke akepaʻa, nā puʻupaʻa, ka lolo, ka umauma a i ʻole ka māmā hiki ke ʻike iki ʻia ma kēia scan. Akā he mea kākaʻikahi loa kēia.
He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke scan?
E noʻonoʻo ua noi ʻia ko mākou ʻanakala ʻo Siripala e ke kauka e hana i kēia scan. Ua makaʻu iki ʻo ia, e like me ʻoe. E nānā kākou pehea i kū ai ʻo ʻana o ʻanakala Siripala i kēia. ʻO ka ʻike ʻana i kēia mau ʻanuʻu e kōkua nui iā ʻoe e hōʻemi i kou makaʻu.
| Kahua | He aha ka mea e hana nei a me nā mea e pono ai ʻoe e ʻike |
|---|---|
| Ma mua o ke scan | E nānā ke kauka iā ʻoe ma hope o ka lawe ʻana i kāu mōʻaukala olakino. Inā he makaʻu kou i nā nila (trypanophobia) a i ʻole ka makaʻu i ka noho ʻana i nā wahi paʻa (claustrophobia), e hōʻoia e haʻi i kāu kauka . E kōkua lākou iā ʻoe e hoʻomanawanui iā ia, a hāʻawi paha iā ʻoe i kahi lāʻau lapaʻau e hōʻoluʻolu iā ʻoe. ʻO ka mea maikaʻi loa, ʻaʻole pono ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o kēia scan, ʻaʻole hoʻi ʻoe e pono e hoʻōki i ka lawe ʻana i kāu mau lāʻau lapaʻau maʻamau. E ʻaʻahu i nā lole māmā a ʻoluʻolu hoʻi. ʻOi aku ka maikaʻi o ka waiho ʻana i nā mea hao e like me nā apo pepeiao, nā lei, nā apo, a me nā aniani ma ka home. |
| I ka wā o ke scan |
|
| Ka huina manawa e scan ai | ʻAʻole ʻoi aku ma mua o ʻelua hola ke kaʻina hana holoʻokoʻa. Ma kahi o hoʻokahi hola e komo ai ka lāʻau lapaʻau i loko o ke kino a ma kahi o 30 mau minuke no ke scan. |
| Ma hope o ke scan | Ke pau ka nānā ʻana, e nānā ke loea i ka maopopo o nā kiʻi a laila e hoʻokuʻu iā ʻoe e hoʻi i ka home. Hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. E hala kekahi mau lā e loaʻa ai nā hopena. E kāhea aku ke kauka iā ʻoe e hoʻomaopopo iā ʻoe. |
Aia kekahi mau hopena ʻaoʻao i kēia?
He hoʻāʻo palekana loa kēia no ka hapa nui o nā kānaka. Eia nō naʻe, he mea kakaikahi loa, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi a manawa pōkole. ʻO kēia mau mea:
- Manaʻo luhi loa (`(fatigue)`)
- ʻEha poʻo
- Ka loli o ka ʻono i loko o ka waha (dysgeusia)
- ʻO kahi hopena alerika iki (e.g., kahi ʻulaʻula iki o ka ʻili)
Inā hana ʻia kekahi mea e like me kēia, e nalo koke ia. Akā inā ʻoluʻolu ʻole ʻoe, e haʻi i kāu kauka.
He aha ka mea e hana ma hope o ka hiki ʻana mai o nā hopena?
Nānā kekahi radiologist i aʻo kūikawā ʻia i kāu mau kiʻi scan. ʻO nā wahi i loko o nā kiʻi kahi i nui ai ka protein PSMA, ʻo ia hoʻi, nā wahi i hoʻopili ʻia ai ka ``(radiotracer)``, ua waihoʻoluʻu nani ʻia.
- He aha ke ʻano o ka PSMA maikaʻi?
ʻO ia hoʻi, ua loaʻa i kāu scan nā wahi o PSMA. He maʻi kanesa paha ia. Eia nō naʻe, pono paha i kāu kauka ke hana i nā hoʻokolohua hou aʻe a kamaʻilio hou aku paha me ʻoe e hōʻoia iā ia 100% a hoʻoholo paha i kona koʻikoʻi.
- He aha inā he ʻano ʻē nā hopena?
Inā hōʻike ka scan i ke kanesa, mai hopohopo. E hoʻohana kāu kauka i kēia ʻike e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa a kūpono loa iā ʻoe. E hilinaʻi kēia i nā mea e like me kou olakino holoʻokoʻa, ka nui o ke kanesa, a me ka wikiwiki o kona laha ʻana. He mea nui ka ʻike mua ʻana. Hiki ke ho'ōla loa ʻia ke kanesa prostate inā ʻike mua ʻia.
Leka Lawe-Home
- He hoʻāʻo holomua loa ka PSMA PET scan, palekana, a pono hoʻi i hoʻohana ʻia no ka ʻike ʻana i ka maʻi kanesa prostate.
- He mea nui loa kēia i ka wā i ʻike hou ʻia ai kahi maʻi kanesa e ʻike ai inā ua pālahalaha a e ʻike inā ua hoʻi hou mai ma hope o ka mālama ʻana.
- ʻAʻole paʻakikī ka hoʻāʻo e like me kou manaʻo. ʻO kāu wale nō e hana ai, ʻo ia ke kiʻi i kahi inikini liʻiliʻi a moe mālie no kekahi manawa.
- Inā makaʻu ʻoe i nā nila inikini a i ʻole nā wahi i ʻūmiʻi ʻia, e haʻi mua i kāu kauka a loea paha. ʻAʻohe mea e hilahila ai.
- Ma muli o nā hopena o kēia hoʻāʻo, e hoʻomohala kāu kauka i ka hoʻolālā lapaʻau kūpono loa nāu. No laila, he ʻanuʻu koʻikoʻi kēia i kāu huakaʻi hoʻōla.
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