Thaum koj tus kws kho mob hais kom koj mus kuaj PSMA PET scan, koj puas ntshai lossis txhawj me ntsis? Nws yog ib qho ib txwm muaj los xav txog tej yam zoo li, "Qhov no yog dab tsi? Puas yuav mob? Puas yuav ua rau muaj mob hnyav?" Txhua tus neeg tuaj yeem ntshai me ntsis thaum lawv hnov txog kev kuaj mob. Tab sis yeej tsis muaj laj thawj yuav ntshai. Qhov no yog ib qho kev kuaj mob tseem ceeb heev, muaj kev nyab xeeb, thiab tsis mob uas tam sim no siv los kuaj mob thiab nrhiav paub ntxiv txog mob qog noj ntshav prostate. Yog li, hnub no peb yuav teb tag nrho koj cov lus nug txog qhov no.
Hais yooj yim xwb, PSMA PET scan yog dab tsi?
Zoo, cia peb hais qhov no yooj yim xwb. Xav txog tias koj muaj cov qog nqaij hlav prostate zais hauv koj lub cev. Peb tsuas pom tsis tau lawv nrog peb lub qhov muag xwb. Yog li ntawd, PSMA PET scan no zoo li lub koob yees duab tshwj xeeb. Lub koob yees duab no tuaj yeem ua kom cov cheeb tsam uas cov qog nqaij hlav ntawd zais xim zoo nkauj.
Nws yooj yim dua yog tias koj rhuav tshem lub ntsiab lus ntawm lub npe no:
- PSMA: Qhov no sawv cev rau Prostate-Specific Membrane Antigen . Tsis txhob ntshai lo lus loj no. Hais yooj yim xwb, qhov no yog ib qho protein tshwj xeeb uas pom nyob rau ntawm qhov chaw ntawm cov qog nqaij hlav prostate. Nws zoo li ib lub tsho tshwj xeeb uas cov qog nqaij hlav hnav. Cov qog noj qab nyob zoo muaj tsawg heev lossis tsis muaj nws.
- PET: Qhov no sawv cev rau Positron Emission Tomography . Qhov no yog lub koob yees duab tshwj xeeb, lub tshuab ntsuas.
Yog li ntawd, hauv qhov kev xeem no, ib qho me me ntawm cov khoom siv radioactive (`(radiotracer)`), zoo li ib qho "dye" tshwj xeeb, raug txhaj rau hauv koj lub cev. Cov "dye" no mus ncig thoob plaws lub cev thiab txuas rau cov protein hu ua PSMA ntawm cov hlwb qog noj ntshav. Tom qab ntawd lub tshuab PET scan tuaj yeem nrhiav tau qhov twg qhov "dye" no tau txuas. Qhov ntawd txhais tau tias cov cheeb tsam uas cov hlwb qog noj ntshav nyob yog xim zoo nkauj hauv daim duab scan. Vim tias qhov no yog 'kev scan tag nrho lub cev', nws kuj tuaj yeem pom tseeb tias seb tus mob cancer puas tau kis mus dhau lub qog prostate.
Hauv cov xwm txheej twg tus kws kho mob pom zoo kom ua qhov kev ntsuas no?
Feem ntau muaj ob qho laj thawj tseem ceeb uas tus kws kho mob yuav hais kom koj ua PSMA PET scan.
1. Thaum koj thawj zaug kuaj pom tias muaj mob qog nqaij hlav prostate:
Thaum koj tau kuaj pom tias muaj mob qog noj ntshav lawm, qhov tseem ceeb tom ntej uas yuav tsum paub yog tias mob qog noj ntshav tau kis mus deb npaum li cas thiab nws loj npaum li cas. Cov kws kho mob siv cov khoom xws li Gleason score los ua qhov no. Yog li, yog tias tus kws kho mob xav tias mob qog noj ntshav tau kis mus rau lwm qhov ntawm lub cev, lawv yuav ua qhov kev luam theej no los lees paub nws ua ntej pib kho mob.
2. Tom qab kev kho mob qog noj ntshav tiav lawm:
Qee zaum, tom qab mob qog nqaij hlav prostate tau kho thiab kho zoo lawm, tus kab mob tuaj yeem rov qab los ('(rov tshwm sim dua)'). Lub sijhawm ntawd, PSA ('Prostate-Specific Antigen') hauv koj cov ntshav yuav nce dua. Thaum lub sijhawm zoo li no, PSMA PET scan no pab tau heev rau kev nrhiav qhov tseeb tias mob qog nqaij hlav tau rov qab los qhov twg hauv lub cev.
Qhov tseem ceeb tshaj plaws yog tias qhov kev ntsuas no tuaj yeem ntes tau txawm tias yog lub qog me tshaj plaws ntawm cov hlwb qog noj ntshav. Yog li ntawd, qhov no yog ib qho kev pab zoo heev rau kev kuaj pom tus kab mob thaum ntxov thiab kev kho mob thaum ntxov.
Daim scan no puas tuaj yeem nrhiav tau lwm yam mob qog noj ntshav?
Feem ntau siv los nrhiav mob qog nqaij hlav prostate. Txawm li cas los xij, tsis tshua muaj, cov cell hauv ntau hom mob qog nqaij hlav kuj tseem muaj cov protein PSMA me me. Piv txwv li, mob qog nqaij hlav hauv cov kabmob xws li cov qog salivary, qog thyroid, siab, raum, hlwb, mis lossis ntsws qee zaum yuav tsis pom tseeb ntawm daim scan no. Tab sis qhov no tsis tshua muaj.
Muaj dab tsi tshwm sim ua ntej, thaum lub sijhawm thiab tom qab kev luam theej duab?
Xav txog seb peb tus txiv ntxawm Siripala raug tus kws kho mob hais kom ua qhov kev kuaj no. Nws ntshai me ntsis, ib yam li koj. Cia peb saib seb txiv ntxawm Siripala daws qhov teeb meem no li cas. Kev paub txog cov kauj ruam no yuav pab koj txo koj qhov kev ntshai ntau heev.
| Theem | Muaj dab tsi tshwm sim thiab koj yuav tsum paub dab tsi |
|---|---|
| Ua ntej luam theej duab | Tus kws kho mob yuav kuaj koj tom qab koj sau koj cov keeb kwm kho mob. Yog tias koj ntshai koob txhaj tshuaj (trypanophobia) lossis ntshai nyob hauv qhov chaw kaw (claustrophobia), nco ntsoov qhia rau koj tus kws kho mob . Lawv yuav pab koj daws qhov teeb meem no, thiab tej zaum yuav muab tshuaj me ntsis rau koj kom koj lub siab tus. Qhov zoo tshaj plaws yog tias koj tsis tas yuav tsum tsis txhob noj lossis haus ua ntej qhov kev tshuaj ntsuam no, thiab koj tsis tas yuav tsum tsis txhob noj koj cov tshuaj ib txwm muaj. Hnav khaub ncaws sib dua, xis nyob. Nws yog qhov zoo tshaj plaws kom tso cov khoom hlau xws li cov pob ntseg, cov hlua caj dab, cov nplhaib, thiab cov tsom iav hauv tsev. |
| Thaum lub sijhawm luam theej duab |
|
| Tag nrho lub sijhawm rau luam theej duab | Feem ntau cov txheej txheem no yuav siv sijhawm tsis pub dhau ob teev. Nws yuav siv sijhawm li ib teev rau cov tshuaj kom nqus tau rau hauv lub cev thiab li 30 feeb rau kev luam theej duab. |
| Tom qab lub scan | Thaum lub scan tiav lawm, tus kws kho mob yuav xyuas seb cov duab puas meej thiab tom qab ntawd cia koj mus tsev. Koj tuaj yeem ua koj cov dej num ib txwm. Nws yuav siv sijhawm ob peb hnub kom tau txais cov txiaj ntsig. Tus kws kho mob yuav hu rau koj kom qhia rau koj paub. |
Puas muaj tej yam tshwm sim tsis zoo rau qhov no?
Qhov no yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev rau cov neeg feem coob. Txawm li cas los xij, tsis tshua muaj neeg yuav muaj cov kev mob tshwm sim me me, ib ntus xwb. Cov no suav nrog:
- Xav tias nkees heev (`(qaug zog)`)
- Mob taub hau
- Kev hloov pauv ntawm saj hauv qhov ncauj (dysgeusia)
- Kev ua xua me me (piv txwv li, me ntsis liab ntawm daim tawv nqaij)
Yog muaj tej yam zoo li no tshwm sim, nws yuav ploj mus sai sai. Tab sis yog tias koj tsis xis nyob, qhia rau koj tus kws kho mob.
Tom qab cov txiaj ntsig los txog, yuav muaj dab tsi tshwm sim?
Ib tug kws kho mob hluav taws xob uas tau kawm tshwj xeeb yuav tshuaj xyuas koj cov duab luam theej. Cov cheeb tsam hauv cov duab uas muaj ntau cov protein PSMA, uas yog, cov cheeb tsam uas "(radiotracer)" txuas nrog, muaj xim zoo nkauj heev.
- PSMA zoo txhais li cas?
Qhov ntawd txhais tau tias koj daim scan pom cov cheeb tsam ntawm PSMA. Nws yuav yog mob qog noj ntshav. Txawm li cas los xij, koj tus kws kho mob yuav tsum tau ua ntau qhov kev kuaj lossis tham nrog koj ntau ntxiv kom paub tseeb tias nws 100% lossis txiav txim siab qhov hnyav ntawm nws.
- Yog tias cov txiaj ntsig tsis zoo li qub, yuav ua li cas?
Yog tias daim duab scan qhia txog mob qog noj ntshav, tsis txhob ntshai. Koj tus kws kho mob yuav siv cov ntaub ntawv no los txiav txim siab seb qhov kev kho mob zoo tshaj plaws thiab tsim nyog tshaj plaws rau koj. Qhov no yuav nyob ntawm cov yam xws li koj txoj kev noj qab haus huv tag nrho, qhov loj ntawm mob qog noj ntshav, thiab nws kis tau sai npaum li cas. Kev kuaj pom thaum ntxov yog qhov tseem ceeb. Mob qog noj ntshav prostate feem ntau kho tau tag nrho yog tias kuaj pom thaum ntxov.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj PSMA PET yog ib qho kev kuaj mob siab heev, muaj kev nyab xeeb, thiab siv tau zoo los nrhiav mob qog nqaij hlav prostate.
- Qhov no tseem ceeb heev thaum nyuam qhuav kuaj pom tias muaj mob qog noj ntshav kom pom tias nws puas tau kis mus rau lwm tus thiab seb nws puas tau rov qab los dua tom qab kho tas.
- Qhov kev kuaj mob no tsis nyuaj li koj xav. Txhua yam koj yuav tsum ua yog txhaj tshuaj me me thiab pw twj ywm ib pliag.
- Yog koj ntshai cov koob txhaj tshuaj lossis cov qhov chaw raug nias, qhia rau koj tus kws kho mob lossis tus kws kho mob ua ntej. Nws tsis yog ib yam dab tsi uas yuav tsum txaj muag.
- Raws li cov txiaj ntsig ntawm qhov kev kuaj no, koj tus kws kho mob yuav tsim cov phiaj xwm kho mob zoo tshaj plaws rau koj. Yog li no qhov no yog ib kauj ruam tseem ceeb hauv koj txoj kev rov zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus