Ua lohe anei ʻoe i nā radiopharmaceuticals? E aʻo kākou e pili ana iā lākou ma ke ʻano maʻalahi!

Ua noi aku anei kāu kauka iā ʻoe e hana i kahi scan kūikawā, e like me ka PET scan? A i ʻole ua kamaʻilio e pili ana i kahi inikini kūikawā ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa? A laila paha e makaʻu iki ʻoe ke lohe ʻoe i ka huaʻōlelo "radioactive." Akā, mai makaʻu. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano lāʻau lapaʻau kupaianaha i holomua loa i ka ʻepekema lapaʻau, i hoʻohana ʻia e ʻike a mālama i nā maʻi.

He aha kēia mau lāʻau radiopharmaceuticals?

I ka ʻōlelo maʻalahi, he mau lāʻau lapaʻau kūikawā kēia i hoʻolālā ʻia no ka hoʻohana ʻana i ka lāʻau lapaʻau, me nā nui liʻiliʻi loa a kāohi ʻia o ka radiation. ʻO ka ʻōlelo pololei, he ʻano lāʻau lapaʻau kēia. Akā i loko o kēia lāʻau lapaʻau aia kekahi mea e like me kahi "tracker" liʻiliʻi. Hiki iā mākou ke nānā i ka ikehu i hoʻopuka ʻia e ia me nā kāmela kūikawā.

Hana ʻia, hoʻolaha ʻia, a hoʻohana ʻia kēia mau mea e ka poʻe i loaʻa i ke aʻo kūikawā ma kēia wahi. No ka laʻana, hoʻohana pono nā kauka lāʻau lapaʻau nukelea, nā radiologists, a me nā oncologists radiation iā lākou.

He aha ka mea e hoʻohana ʻia ai kēia mau lāʻau lapaʻau?

ʻElua mau hoʻohana nui o kēia mau Radiopharmaceuticals. ʻO kekahi e ʻike i nā maʻi (Diagnostic) , a ʻo kekahi e mālama i nā maʻi (Therapeutic) . E noʻonoʻo me ka hoʻohana ʻana i ka ʻenehana like, hiki iā kākou ke ʻike i kahi pilikia i loko o ke kino a mālama i kēlā pilikia. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.

1. Pehea e kōkua ai i ka ʻike ʻana i nā maʻi (Diagnostic Radiopharmaceuticals)

ʻO kēia ke ala maʻamau e hoʻohana ʻia ai kēia mau lāʻau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke inu ʻoe, hanu, a hoʻokomo paha i kahi liʻiliʻi a palekana o kēia lāʻau radioactive i loko o kou kino. Kāhea pū mākou i kēia mau radiotracers .

Ke komo i loko o ke kino, hele kēia lāʻau lapaʻau i kahi i loaʻa ai kahi maʻi, ka maʻi, a i ʻole ka pilikia. A laila, hoʻohana ʻia kahi kāmela kūikawā, e like me ke kāmela gamma, e kiʻi i nā kiʻi o nā wahi i hōʻiliʻili ʻia ai ka lāʻau lapaʻau. Mai kēia mau kiʻi, hiki i ke kauka ke ʻike pololei i ke ʻano o ka hana ʻana o kou mau kino, pehea e kahe ai kou koko, a i ʻole inā he mau hunaola kanesa.

• Nā Laʻana:
• Nā scan PET (Positron Emission Tomography scans): Hoʻohana pinepine ʻia kahi lāʻau i kapa ʻia ʻo 'Fluorine-18' no kēia.
• Ka hoʻāʻo ʻana i ka iwi, ke akepaʻa, a me nā puʻupaʻa: ʻO ka lāʻau lapaʻau ʻo 'Technetium 99m' ka mea i hoʻohana nui ʻia ma ka honua no kēia kumu.
• Hoʻāʻo hana māmā:Ua hanu lākou i kahi lāʻau i kapa ʻia ʻo `Xenon-133`.
• Hoʻāʻo ʻia nā ʻiʻo puʻuwai: Hoʻokomo ʻia kahi lāʻau i kapa ʻia ʻo 'Rubidium-82' i loko o kahi aa.

2. Nā lāʻau lapaʻau radiotherapeutic

He ʻano lapaʻau hou kēia, akā he ʻano lapaʻau kūpono loa, ʻoiai no ke kanesa. Pili ia i ka hoʻokomo ʻana i kahi lāʻau radioactive ikaika iki i loko o ke kino ma mua o ka mea i hāʻawi ʻia e ʻike i ka maʻi.

Ua like kēia me kahi missile e hele pololei ana i ka pahuhopu. Ke ʻimi pololei nei kēia lāʻau i nā hunaola kanesa, hoʻopili iā lākou, a luku iā lākou. ʻO ka pōmaikaʻi nui o kēia, ʻaʻohe nui o ka hōʻino ʻana i nā hunaola olakino ʻē aʻe o ke kino. No ka mea, kuhikuhi pololei kēia lāʻau i nā hunaola kanesa wale nō. He ʻokoʻa kēia mai ke ʻano lapaʻau e hoʻohana ana i ka radiation mai waho (`External Beam Radiation Therapy`).

ʻO ka ʻokoʻa ma waena o nā hoʻohana nui ʻelua

I mea e maʻalahi ai ke hoʻomaopopo ʻana, e nānā kākou i ka ʻokoʻa ma waena o kēia mau hoʻohana ʻelua.

He aha nā radiopharmaceuticals i hoʻohana ʻia i ka mālama ʻana i ka maʻi kanesa?

Aia kekahi mau radiopharmaceuticals ikaika loa i ʻae ʻia i kēia manawa no ka mālama ʻana i ka maʻi kanesa.

• PLUVICTO® (`lutetium Lu 177 vipivotide tetraxetan`):Hoʻohana ʻia ia e mālama i kekahi mau hihia o ke kanesa prostate i pālahalaha i nā wahi ʻē aʻe (metastatic).
• ʻO Lutathera™ (`Lutetium Lu 177 dotatate`): Hoʻohana ʻia kēia e mālama i kekahi mau puʻupuʻu neuroendocrine e kū mai ana i loko o ka ʻōpū, ka pancreas, a me nā ʻōpū.
• Iodine-131: Hoʻohana ʻia e mālama i ke kanesa thyroid a me nā kūlana e hoʻoulu ai i ka hana nui ʻana o nā hormones thyroid, e like me ka maʻi Graves.
• Radium-223: Ke pālahalaha ka maʻi kanesa prostate (metastasized) i nā iwi, he mea kūpono loa kēia i ka luku ʻana i nā hunaola kanesa i loko o kēlā mau iwi.

Eia kekahi, ke hana ʻia nei nā hoʻokolohua lapaʻau no ka hoʻohana ʻana i kēia mau lāʻau lapaʻau no kekahi mau ʻano maʻi kanesa ʻē aʻe, ʻo ia hoʻi he ʻāpana koʻikoʻi loa kēia o ka mālama ʻana i ka maʻi kanesa i ka wā e hiki mai ana.

He palekana maoli anei kēia mau lāʻau lapaʻau? Pono anei mākou e makaʻu?

ʻO kēia ka nīnau nui loa a nā kānaka a pau. He mea maʻamau iā kākou ke makaʻu i ka wā e lohe ai kākou i ka huaʻōlelo "radioactive." Akā, ʻo kēia ka ʻoiaʻiʻo.

E noʻonoʻo, ʻo ka nui o ka lāʻau lapaʻau i hāʻawi ʻia e ʻike ai i nā maʻi he mea liʻiliʻi loa ia ʻaʻole ia e hōʻeha i kou kino. E hoʻopau loa ʻia ia mai kou kino i loko o kekahi mau hola a i ʻole mau lā.

ʻOi aku ka ikaika o ka lāʻau lapaʻau i hāʻawi ʻia no ka mālama ʻana ma mua o kēlā. No laila, hiki ke loaʻa kekahi mau hopena ʻaoʻao. Akā e like me nā lāʻau lapaʻau āpau, ma ʻaneʻi pū kekahi, nānā nā kauka inā ʻoi aku ka maikaʻi o nā pono o ka lāʻau lapaʻau ma mua o nā hopena ʻaoʻao. Ke hoʻohālikelike ʻia me ka manawa e hoʻōla ai i kahi maʻi koʻikoʻi e like me ke kanesa, hiki ke mālama ʻia kēlā mau hopena ʻaoʻao.

Inā ua kuhikuhi ʻia ʻoe i kahi lāʻau lapaʻau a hoʻāʻo paha e like me kēia, e wehewehe kāu kauka i nā mea āpau iā ʻoe e pili ana i ia mea, kona mau pono, a me nā hopena ʻaoʻao. E nīnau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai i kēlā manawa.