Ua ʻike anei ʻoe i ka PSMA PET scan no ka maʻi ʻaʻai prostate? (PSMA PET Scan)

Ua lohe paha ʻoe i nā huaʻōlelo `(PSMA PET scan)`, a ua haʻi aku paha ke kauka iā ʻoe e hana i kēia. No laila, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi ke lohe ʻoe e pili ana i kēia ʻano hoʻāʻo. Akā, mai hopohopo, he hoʻāʻo palekana kēia no ka hapa nui o ka poʻe, a he hoʻāʻo koʻikoʻi loa ia no ka ʻike ʻana i ka maʻi ʻaʻai prostate. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka PSMA PET scan? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he hoʻāʻo ka PSMA PET scan e lawe i nā kiʻi kūikawā. Hiki i kāu kauka ke ʻike inā loaʻa iā ʻoe ka maʻi kanesa prostate a, inā pēlā, ma hea ia. Pili kēia i ka hoʻokomo ʻana i kahi liʻiliʻi o ka mea radioactive (radiotracer) i loko o kou kino. Hoʻopili kēia mea i kahi protein kūikawā i kapa ʻia ʻo Prostate-Specific Membrane Antigen (PSMA) ma luna o nā hunaola kanesa prostate. A laila lawe ka scanner i nā kiʻi o kahi o ka mea radioactive.

E noʻonoʻo iā ia e like me kahi mea hahai 'GPS' liʻiliʻi. Loaʻa ia i nā hunaola kanesa a hōʻike iā mākou i ko lākou wahi.

Hiki i kēia ʻano hoʻāʻo ke lilo i mea weliweli iki. Akā, palekana loa ka PSMA PET scan. ʻO ka mea wale nō āu e ʻike ai, he ʻano ʻeha iki ia ke hoʻokomo ʻia ka mea radioactive i loko o kou kino. Ma waho aʻe o kēlā, ʻo ka mea wale nō āu e hana ai i ka wā o ka scan, ʻo ia ke noho mālie e like me ka hiki ke kiʻi maopopo ʻia nā kiʻi.

He aha ka manaʻo o kēia mau huaʻōlelo PSMA PET?

• PSMA: ʻO kēia ke kū nei no `(Prostate-Specific Membrane Antigen)`. I ka ʻōlelo maʻalahi, he protein kūikawā kēia i loaʻa ma luna o ka ʻili o nā hunaola kanesa prostate. ʻO PSMA kahi `(Antigen)`, ʻo ia hoʻi he antibody. ʻO nā ʻano `(Antigen)` e like me kēia e hoʻoulu ai i kā mākou ʻōnaehana pale. Eia kekahi laʻana:
• Bacteria
• Nā maʻi ʻino
• Nā mea hoʻonāukiuki
• Nā pūnaewele puʻupuʻu
• I kekahi manawa hiki i nā pūnaewele maʻamau ke hana ma ke ʻano he "Antigens".

• PET: ʻO kēia ke kū nei no `(Positron Emission Tomography)`. ʻO kēia ka ʻenehana o kēlā scanner. Hiki i kēia mīkini ke ʻimi i nā wahi i omo nui ʻia ai ka mea radioactive `(Radiotracer)`, ʻo ia hoʻi, kahi i loaʻa ai nā cell maʻi. ʻO ia ka mea e hōʻike ana i kahi e loaʻa ai kahi pilikia.

He scan kino holoʻokoʻa kēia?

ʻAe, nānā kahi PSMA PET scan i kou kino holoʻokoʻa. ʻO ke ʻano kēia hiki iā ia ke ʻike ʻaʻole wale i ka prostate, akā inā paha ua laha ke kanesa i nā wahi ʻē aʻe.

I ka manawa hea e hana ʻia ai kahi PSMA PET scan?

Aia kekahi mau kūlana e noi aku ai ke kauka iā ʻoe e hana i kahi `(PSMA PET scan)`:

1. Ma hope o kou ʻike ʻia ʻana he maʻi ʻaʻai prostate:Hiki ke hana ʻia kēia scan ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoiai ke hoʻoholo ʻana i ke kahua o ke kanesa (i kapa ʻia ʻo ka helu Gleason), a inā manaʻo ʻia he manawa kūpono ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastasizing).

2. Inā piʻi hou kāu mau pae PSA (Prostate-Specific Antigen) ma hope o ka mālama ʻana no ka maʻi kanesa prostate: ʻO ka piʻi ʻana o nā pae PSA he hōʻailona paha ia o ka hoʻi hou ʻana o ke kanesa. Hiki i kēia scan ke kōkua i ka hōʻoia ʻana i kēia.

Hiki i kēia scan ke ʻike i nā ʻano maʻi ʻē aʻe?

Hoʻohana pinepine ʻia ka PSMA PET scan no ka ʻike ʻana i ke kanesa prostate. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi mau ʻano kanesa ʻē aʻe ke hana i nā pae haʻahaʻa o PSMA. Inā pēlā, hiki ke ʻike ʻia lākou ma kēia scan. ʻO kēia mau ʻano kanesa:

• Ka maʻi ʻaʻai o nā kelepa salivary
• Ka maʻi ʻaʻai thyroid
• Ka maʻi ʻaʻai ate
• Ka maʻi ʻaʻai puʻupaʻa
• Ka maʻi ʻaʻai lolo
• Ka maʻi ʻaʻai umauma
• Ka maʻi ʻaʻai māmā `(Lungs)`

Akā, he mea nui e hoʻomanaʻo he hoʻokolohua prostate kēia ma ke ʻano nui .

Pehea e hana ai ke kiʻi PSMA PET?

He ʻano hoʻāʻo kēia i kapa ʻia ʻo "Nuclear Medicine Imaging." ʻO ia hoʻi, hoʻohana ʻia kahi mea radioactive liʻiliʻi a palekana e ʻike ai i nā wahi o PSMA. E hāʻawi aku kekahi kauka a loea paha i aʻo ʻia iā ʻoe i kēia mea radioactive "Radiotracer" ma ke ʻano he inikini liʻiliʻi i loko o kahi aʻa ma kou lima "Peripheral IV".

Hele kēia `(Radiotracer)` a `(nakinaki)` i nā hunaola kanesa ma ka prostate gland. A laila, ʻike ka mīkini nānā PET i nā wahi o kēia `(Radiotracer)`, e hana ana i nā kiʻi maopopo o kou prostate gland a me nā wahi ʻē aʻe kahi i laha ai paha ke kanesa.

I kekahi manawa, hiki ke hana pū ʻia kahi CT scan a i ʻole MRI me kahi PSMA PET scan e kiʻi i nā kiʻi ʻoi aku ka maopopo a me nā kikoʻī.

He aha kāu e manaʻo ai ma mua o ka nānā ʻana o ka PSMA PET?

Ma mua o ke scan, e lawe ke kauka i kāu mōʻaukala olakino piha a hana i kahi hoʻokolokolo kino. Hoʻohana kahi scan PSMA PET i kahi nila e hoʻokomo i ka radiotracer, a ua like ka scanner me kahi tunnel liʻiliʻi. No laila, inā he makaʻu kou i nā nila (Trypanophobia) a i ʻole ka makaʻu i ka noho ʻana i nā wahi liʻiliʻi loa a paʻa (Claustrophobia), e haʻi mua i kāu kauka . A laila e aʻo lākou iā ʻoe pehea e hoʻoponopono ai, a i ʻole e hāʻawi paha lākou iā ʻoe i kahi mea hoʻomaha e hōʻoluʻolu iā ʻoe.

ʻAʻohe ʻōlelo kūikawā no ka hoʻomākaukau ʻana no kēia scan. ʻAʻole e like me kekahi mau ʻano scan ʻē aʻe, ʻaʻole pono ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka lawe ʻana i kekahi lāʻau lapaʻau. Eia nō naʻe, he manaʻo maikaʻi ke komo ʻana i nā lole ʻoluʻolu a wehe i nā mea hoʻonani metala (e like me nā apo pepeiao, nā lei, nā apo) a waiho iā lākou ma ka home. Inā ʻoe e komo i nā aniani, pono ʻoe e wehe iā lākou i ka wā o ka scan.

He aha ka mea e hana ʻia i ka wā o ka PSMA PET scan?

Eia kekahi mau mea e hana ʻia i ka lā o ke scan:

1. ʻO kahi loea scan PSMA PET i loaʻa i ka hoʻomaʻamaʻa kūikawā ma kēia wahi e hana i ka scan. E hoʻokomo ʻo ia i kahi mahele maʻamau o ka radiotracer i loko o kahi aa koko ma kou lima. ʻO nā radiotracers i hoʻohana pinepine ʻia ʻo Gallium-68 PSMA 11 (68Ga-PSMA-11) a i ʻole Piflufolastat F-18 (18F-DCFPyL a i ʻole PyL).

2. A laila pono ʻoe e kali ma kahi o hoʻokahi hola no kēia PSMA e pālahalaha a puni kou kino.

3. A laila, e haʻi aku ke loea iā ʻoe e hele i ka lua a mimi.

4. A laila e moe ʻoe ma luna o kahi moe i loko o ka mīkini nānā. ʻO kēia moe ka mea e komo ai a puka i waho o ka mīkini nānā. Ua like ke ʻano o ka mīkini nānā me kahi tunnel liʻiliʻi a i ʻole kahi donut.

5. He mea nui loa ia e noho mālie e like me ka hiki i kēia manawa. ʻOiai kahi neʻe iki hiki ke hoʻopōʻele i nā kiʻi.

6. E lohe paha ʻoe i kahi leo "buzz... click..." i ka wā e kiʻi ai ka scanner i nā kiʻi o kou kino. He mea maʻamau kēia.

Ma mua o kou haʻalele ʻana, e nānā ke loea i nā kiʻi i lawe ʻia e ʻike inā he moakāka a he palalulu paha.

ʻEhia ka lōʻihi o ka hana ʻana o kahi PSMA PET scan?

ʻO ka maʻamau , ʻaʻole i ʻelua hola ka lōʻihi o ka nānā ʻana o ka PSMA PET. Ma kahi o hoʻokahi hola e komo ai ka radiotracer i loko o ke kino, a ma kahi o 30 mau minuke e hana ʻia ai ke nānā ʻana. Eia kekahi, lawe ka loea i kahi manawa iki e nānā i ka moakāka o nā kiʻi.

He aha ka mea e manaʻo ai ma hope o ke scan?

Hiki iā ʻoe ke hoʻi i ka home ma hope o ka PSMA PET scan. I ka hapanui o nā hihia, e kāhea aku ke kauka iā ʻoe i loko o kekahi mau lā e hoʻomaopopo iā ʻoe i nā hopena.

He aha nā pilikia o kahi scan PSMA PET?

No ka hapa nui o nā kānaka, palekana ka PSMA PET scan. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao no ka manawa pōkole. ʻO kēia mau mea:

• Manaʻo luhi loa (Fatigue)
• ʻEha poʻo (eia ke kūpono ke ʻōlelo "ʻeha poʻo") - ʻeha poʻo
• Nā loli o ka ʻono (Dysgeusia) (manaʻo he ʻokoʻa ka ʻono o ka meaʻai)
• Ka hopena alerika iki

ʻAʻole koʻikoʻi kēia mau mea a e hoʻomaikaʻi ʻia i loko o kekahi mau lā.

He aha nā hopena?

ʻO kahi radiologist, ka mea i hoʻomaʻamaʻa kūikawā ʻia e heluhelu i nā kiʻi, nānā i nā kiʻi. Ma nā wahi i kiʻekiʻe ai nā pae PSMA, hoʻopaʻa ka radiotracer i ka PSMA a hoʻolilo i kēlā mau wahi i ke kiʻi i ʻoi aku ka mālamalama, e like me ka hoʻohui ʻana i ke kala i kahi kiʻi ʻeleʻele a keʻokeʻo.

He aha ka manaʻo o ka "PSMA maikaʻi"?

ʻO ka hopena `(PSMA maikaʻi)` ʻo ia hoʻi ua loaʻa ʻo PSMA ma kāu `(PSMA PET scan)`. Inā hana ʻia kēia, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e hōʻoia inā he maʻi kanesa prostate kou, a i ʻole e hōʻoia i ka pololei o kēia hopena `(Positive)`.

Hiki ke ʻike ʻia ka PSMA e ka PET scan, ʻaʻohe mea pehea ka haʻahaʻa o ka pae PSA?

I nā kāne me ke kanesa prostate mua, hiki ke ʻike ʻia nā pae PSA haʻahaʻa e like me 0.2 a i ʻole 0.3 nanograms no milliliter (ng/mL) e kahi PSMA PET scan. ʻO ka nanogram he hoʻokahi piliona o ka gram, a ʻo ka milliliter he hoʻokahi tausani o ka lita. E noʻonoʻo i ka liʻiliʻi o ia mea!

Ke pae ka PSA ma kahi o 0.5 ng/mL, aia ma kahi o 50% ka manawa e loaʻa ai kahi puʻupuʻu liʻiliʻi e like me 5 millimeters (mm).

ʻEhia ka lōʻihi e ʻike ai i nā hopena o ka PSMA PET scan?

Pono ke kauka e kāhea iā ʻoe i loko o kekahi mau lā e haʻi iā ʻoe i nā hopena o ka `(PSMA PET scan)`.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

Inā loaʻa ka PSMA ma kāu PSMA PET scan, e hoʻohana kāu kauka i ka helu Gleason, ʻo ia ke kahua o ke kanesa, e hoʻoholo ai i ke koʻikoʻi o kou kanesa prostate a me ke ʻano o ka lāʻau lapaʻau āu e pono ai. Hiki ke hilinaʻi ʻia ka lāʻau lapaʻau āu e loaʻa ai ma luna o kekahi mau kumu:

• Kou kūlana olakino holoʻokoʻa
• Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino
• ʻO ka wikiwiki o ka laha ʻana o ke kanesa

Āhea wau e ʻike ai i ke kauka?

Inā lōʻihi ka lōʻihi o kāu mau hopena PSMA PET scan ma mua o ka mea i manaʻo ʻia, e kamaʻilio me kāu kauka. Inā maikaʻi nā hopena, he mea nui e hoʻonohonoho i nā manawa hoʻopaʻa maʻamau me kāu kauka.

He ʻoi aku ka maikaʻi o ka PSMA PET scan ma mua o ka MRI?

ʻAʻohe ala e ʻōlelo ai he ʻoi aku ka maikaʻi a ʻoi aku ka maikaʻi ʻole o ka PSMA PET scan ma mua o ka MRI. Hana nā hoʻokolohua ʻelua i ʻelua mau mea kikoʻī. Kōkua lāua ʻelua i nā kauka e ʻike a nānā i ke kanesa prostate. Hiki i ka PSMA PET scan ke kōkua i nā kauka e ʻike i nā wahi o PSMA i loko o ke kino. Akā hiki i ka MRI ke kōkua iā lākou e ʻike i ke ʻano o kou mau kino a i ʻole e loiloi i nā ʻiʻo maikaʻi ʻole.

He aha ke ʻano o ka PSMA PET/CT scan?

ʻO ka PSMA PET/CT scan he hui pū ʻana o ka PSMA PET scan a me ka CT scan. ʻO ka CT scan kekahi hoʻāʻo kiʻi. Lawe ia i nā kiʻi he nui a hana i nā kiʻi ʻekolu-dimensional (3D) o nā ʻano i loko o kou kino. Kōkua ia i nā kauka e ʻike i kekahi mau ʻano maʻi kanesa a me nā puʻupuʻu.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He hoʻāʻo palekana a pono hoʻi ka PSMA PET scan e kōkua ai i ka ʻike ʻana i ka maʻi prostate a ʻike inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino.Nui paha kāu mau nīnau a me kahi hopohopo iki ma mua o kahi hoʻokolohua e like me kēia. He mea maʻamau kēlā. Hoʻomaopopo nā kauka i kēlā. Ua ʻike lākou he hanana hoʻololi ola ka ʻike ʻia ʻana o ka maʻi ʻaʻai prostate.

Eia nō naʻe, hiki i ka ʻike mua ʻana i ke kanesa prostate ke hana i kahi ʻokoʻa nui. Inā ʻike mua ʻia a mālama pono ʻia, he maʻi kēia e hiki ke ho'ōla pinepine ʻia. No laila, mai makaʻu, e hoʻolohe i ka ʻōlelo a kāu kauka, a e kiʻi i nā hoʻokolohua e pono ai. ʻAʻole ʻoe hoʻokahi, aia nā kauka e hiki ke kōkua iā ʻoe.

ʻO ka nānā ʻana o ka PSMA PET, ka maʻi ʻaʻai prostate, ka ʻike ʻana i ke kanesa, nā mea radioactive, ka pae PSA, ka mālama ʻana i ke kanesa, ke olakino o nā kāne