Koj puas paub txog PSMA PET scan rau mob qog nqaij hlav prostate? (PSMA PET Scan)

Tej zaum koj yuav tau hnov ​​cov lus '(PSMA PET scan)', lossis tus kws kho mob yuav tau hais kom koj ua li no. Yog li, nws yog ib qho ib txwm muaj uas yuav ntshai thiab xav paub me ntsis thaum koj hnov ​​txog hom kev kuaj no. Tab sis tsis txhob txhawj, qhov no yog kev kuaj uas muaj kev nyab xeeb rau cov neeg feem coob, thiab nws yog kev kuaj tseem ceeb heev rau kev kuaj mob qog nqaij hlav prostate. Cia peb tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

PSMA PET scan yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, PSMA PET scan yog ib qho kev kuaj uas thaij cov duab tshwj xeeb. Qhov no tso cai rau koj tus kws kho mob nrhiav seb koj puas muaj mob qog nqaij hlav prostate thiab, yog tias muaj, qhov twg nws nyob. Qhov no suav nrog kev txhaj me me ntawm cov khoom siv radioactive (radiotracer) rau hauv koj lub cev. Cov khoom no txuas rau cov protein tshwj xeeb hu ua Prostate-Specific Membrane Antigen (PSMA) ntawm qhov chaw ntawm cov hlwb qog nqaij hlav prostate. Lub scanner tom qab ntawd thaij cov duab ntawm qhov chaw uas cov khoom siv radioactive nyob.

Xav txog nws zoo li lub 'GPS' tracker me me. Nws nrhiav tau cov cell mob qog noj ntshav thiab qhia peb tias lawv nyob qhov twg.

Hom kev kuaj no yuav ua rau ntshai me ntsis. Tab sis PSMA PET scan muaj kev nyab xeeb heev. Tsuas yog ib yam uas koj yuav hnov ​​​​​​yog qhov mob me ntsis thaum cov khoom siv radioactive raug txhaj rau hauv koj lub cev. Dua li ntawm qhov ntawd, txhua yam koj yuav tsum ua thaum lub sijhawm scan yog nyob twj ywm li sai tau kom cov duab tuaj yeem thaij tau meej.

Cov lus no PSMA PET txhais li cas?

• PSMA: Qhov no sawv cev rau `(Prostate-Specific Membrane Antigen)`. Hauv lwm lo lus, qhov no yog ib qho protein tshwj xeeb uas pom nyob rau ntawm qhov chaw ntawm cov qog nqaij hlav prostate. PSMA yog `(Antigen)`, uas txhais tau tias nws yog ib qho antibody. Cov hom `(Antigen)` zoo li no ua rau peb lub cev tiv thaiv kab mob. Piv txwv li:
• Cov kab mob
• Cov kab mob
• Cov tshuaj ua xua
• Cov hlwb qog
• Qee zaum cov hlwb ib txwm muaj peev xwm ua haujlwm ua "Antigens".

• PET: Qhov no sawv cev rau `(Positron Emission Tomography)`. Qhov no yog thev naus laus zis ntawm lub tshuab scanner ntawd. Lub tshuab no tuaj yeem nrhiav tau thaj chaw uas cov tshuaj radioactive `(Radiotracer)` tau raug nqus ntau dua, uas yog, qhov chaw uas muaj cov hlwb mob. Qhov ntawd yog qhov qhia txog qhov chaw uas yuav muaj teeb meem.

Qhov no puas yog kev luam theej tag nrho lub cev?

Yog, PSMA PET scan kuaj koj lub cev tag nrho. Qhov no txhais tau tias nws tsis yog tsuas pom lub prostate xwb, tab sis kuj pom seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov chaw.

Thaum twg yuav tsum tau ua PSMA PET scan?

Muaj ntau qhov xwm txheej uas tus kws kho mob yuav hais kom koj ua '(PSMA PET scan)':

1. Tom qab koj kuaj pom tias koj muaj mob qog nqaij hlav prostate:Qhov kev ntsuas no yuav ua tau ua ntej kev kho mob pib, tshwj xeeb tshaj yog thaum txiav txim siab theem ntawm tus mob qog noj ntshav (hu ua Gleason score), thiab yog tias xav tias tus mob qog noj ntshav muaj feem yuav kis mus rau lwm qhov ntawm lub cev (metastasizing).

2. Yog tias koj cov PSA (Prostate-Specific Antigen) nce dua tom qab kho mob qog nqaij hlav prostate: Kev nce ntxiv ntawm PSA tej zaum yuav yog ib qho cim qhia tias mob qog nqaij hlav rov qab los. Daim scan no kuj tseem tuaj yeem pab lees paub qhov no.

Daim scan no puas tuaj yeem nrhiav tau lwm hom mob qog noj ntshav?

Feem ntau, PSMA PET scan siv los kuaj mob qog nqaij hlav prostate. Txawm li cas los xij, tsis tshua muaj, qee hom mob qog nqaij hlav kuj tuaj yeem tsim cov PSMA tsawg. Yog tias muaj, lawv kuj tseem yuav pom ntawm daim scan no. Cov hom mob qog nqaij hlav no suav nrog:

• Mob qog noj ntshav ntawm cov qog salivary
• Mob qog nqaij hlav
• Mob qog nqaij hlav
• Mob qog nqaij hlav
• Mob qog nqaij hlav hauv hlwb
• Mob qog noj ntshav hauv lub mis
• Mob qog nqaij hlav ntsws (Ntsws)

Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov no yog kev kuaj mob prostate .

Kev ntsuas PSMA PET ua haujlwm li cas?

Qhov no yog ib hom kev kuaj mob hu ua "Nuclear Medicine Imaging." Qhov no txhais tau tias siv cov tshuaj radioactive me me, muaj kev nyab xeeb los nrhiav qhov chaw ntawm PSMA. Tus kws kho mob lossis tus kws tshaj lij uas tau kawm tiav yuav muab cov tshuaj radioactive no "Radiotracer" ua ib qho kev txhaj tshuaj me me rau hauv cov leeg ntawm koj txhais caj npab "Peripheral IV".

Tus '(Radiotracer)' no mus thiab '(khi)' rau cov hlwb qog nqaij hlav hauv lub qog prostate. Lub tshuab PET scanner mam li nrhiav qhov chaw uas '(Radiotracer)' no nyob, tsim cov duab meej ntawm koj lub qog prostate thiab lwm qhov chaw uas mob qog nqaij hlav yuav kis tau.

Qee zaum, kev luam theej duab CT lossis MRI yuav ua tiav ua ke nrog kev luam theej duab PSMA PET kom tau cov duab meej dua thiab ntxaws dua.

Yuav tsum xav li cas ua ntej yuav kuaj PSMA PET scan?

Ua ntej kev luam theej duab, tus kws kho mob yuav sau koj cov keeb kwm kho mob tag nrho thiab kuaj lub cev. Kev luam theej duab PSMA PET siv rab koob los ntxig cov tshuaj radiotracer, thiab lub tshuab luam theej duab zoo li lub qhov me me. Yog li, yog tias koj ntshai koob (Trypanophobia) lossis ntshai nyob hauv qhov chaw me me, kaw (Claustrophobia), qhia rau koj tus kws kho mob ua ntej. Tom qab ntawd lawv yuav qhia koj yuav ua li cas nrog nws, lossis lawv yuav muab tshuaj loog rau koj kom koj so.

Tsis muaj lus qhia tshwj xeeb rau kev npaj rau qhov kev luam theej no. Tsis zoo li lwm hom kev luam theej, koj tsis tas yuav tsum tsis txhob noj lossis noj tshuaj. Txawm li cas los xij, nws yog ib lub tswv yim zoo kom hnav khaub ncaws xis nyob thiab tshem tawm cov hniav nyiaj hniav kub hlau (xws li pob ntseg, caj dab, nplhaib) thiab tso lawv nyob hauv tsev. Yog tias koj hnav tsom iav, koj yuav tsum tshem tawm lawv thaum lub sijhawm luam theej.

Muaj dab tsi tshwm sim thaum lub sijhawm PSMA PET scan?

Nov yog qee yam uas tshwm sim rau hnub luam theej duab:

1. Ib tug kws tshaj lij PSMA PET scan uas tau txais kev cob qhia tshwj xeeb hauv qhov no yuav ua qhov kev scan. Nws yuav txhaj ib koob tshuaj radiotracer rau hauv cov leeg ntawm koj txhais caj npab. Cov radiotracers feem ntau siv yog Gallium-68 PSMA 11 (68Ga-PSMA-11) lossis Piflufolastat F-18 (18F-DCFPyL lossis PyL).

2. Ces koj yuav tsum tos li ib teev kom PSMA no kis mus thoob plaws koj lub cev.

3. Tom ntej no, tus kws kho mob yuav hais kom koj mus rau chav dej thiab tso zis.

4. Tom qab ntawd koj yuav pw saum ib lub txaj hauv lub tshuab luam ntawv. Lub txaj no yog lub uas nkag thiab tawm ntawm lub tshuab luam ntawv. Lub tshuab luam ntawv zoo li ib lub qhov me me lossis lub ncuav mog qab zib.

5. Nws yog ib qho tseem ceeb heev uas yuav tsum nyob twj ywm li sai tau thaum lub sijhawm no. Txawm tias me ntsis kev txav mus los kuj tuaj yeem ua rau cov duab tsis meej.

6. Tej zaum koj yuav hnov ​​​​​​lub suab "buzz... click..." thaum lub tshuab scanner thaij duab koj lub cev. Qhov no yog ib txwm muaj.

Ua ntej koj tawm mus, tus kws kho tshuab yuav xyuas cov duab uas thaij los seb puas meej lossis tsis meej.

Kev kuaj PSMA PET siv sijhawm ntev npaum li cas?

Feem ntau, kev kuaj PSMA PET yuav siv sijhawm tsawg dua ob teev. Nws yuav siv sijhawm li ib teev rau cov tshuaj radiotracer kom nqus tau rau hauv lub cev, thiab yuav siv sijhawm li 30 feeb rau kev kuaj. Tsis tas li ntawd, tus kws kho tshuab yuav siv sijhawm me ntsis los xyuas seb cov duab puas meej.

Yuav tsum tau tos dab tsi tom qab kev luam theej duab?

Koj tuaj yeem mus tsev tom qab kev kuaj PSMA PET. Feem ntau, tus kws kho mob yuav hu rau koj hauv ob peb hnub kom qhia rau koj paub txog cov txiaj ntsig.

Cov kev pheej hmoo ntawm PSMA PET scan yog dab tsi?

Rau cov neeg feem coob, kev luam theej PSMA PET scan muaj kev nyab xeeb. Txawm li cas los xij, qee tus neeg yuav muaj cov kev mob tshwm sim ib ntus. Cov no suav nrog:

• Xav tias nkees heev (Fatigue)
• Mob taub hau (ntawm no nws yog qhov tsim nyog dua los hais tias "mob taub hau") - mob taub hau
• Kev hloov pauv saj (Dysgeusia) (kev xav tias cov khoom noj saj txawv)
• Kev ua xua me me

Feem ntau cov no tsis yog mob hnyav thiab yuav zoo dua li ob peb hnub.

Cov txiaj ntsig yog dab tsi?

Ib tug kws kho mob hluav taws xob, uas tau kawm tshwj xeeb los nyeem cov duab, saib cov duab. Hauv cov cheeb tsam uas PSMA qib siab, tus neeg ntsuas hluav taws xob khi rau PSMA thiab ua rau cov cheeb tsam hauv daim duab zoo li ci dua, zoo li ntxiv xim rau daim duab dub thiab dawb.

"PSMA zoo" txhais li cas?

Yog tias qhov tshwm sim '(PSMA zoo)' txhais tau tias pom PSMA ntawm koj qhov '(PSMA PET scan)'. Yog tias qhov no tshwm sim, koj tus kws kho mob yuav xaj kom kuaj ntxiv kom paub tseeb tias koj puas muaj mob qog nqaij hlav prostate, lossis kom paub tseeb tias qhov tshwm sim '(Zoo)' no yog qhov tseeb.

Puas siv PET scan los nrhiav tau PSMA, txawm tias PSA qis npaum li cas los xij?

Rau cov txiv neej uas muaj mob qog nqaij hlav prostate theem pib, PSA theem qis li 0.2 lossis 0.3 nanograms ib milliliter (ng/mL) tuaj yeem pom los ntawm PSMA PET scan. Ib nanogram yog ib billionth ntawm ib gram, thiab ib milliliter yog ib txhiabth ntawm ib liter. Xav txog seb qhov ntawd me npaum li cas!

Thaum PSA theem yog nyob ib ncig ntawm 0.5 ng / mL, muaj li ntawm 50% txoj hauv kev los nrhiav pom ib qho qog me me li 5 millimeters (mm).

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig ntawm PSMA PET scan?

Tus kws kho mob yuav tsum hu rau koj tsis pub dhau ob peb hnub kom qhia koj txog cov txiaj ntsig ntawm '(PSMA PET scan)'.

Yog tias cov txiaj ntsig tsis zoo li qub, koj yuav ua li cas tom ntej?

Yog tias pom muaj PSMA ntawm koj daim PSMA PET scan, koj tus kws kho mob yuav siv Gleason score, uas yog theem ntawm tus mob qog noj ntshav, los txiav txim siab qhov hnyav ntawm koj tus mob qog noj ntshav prostate thiab koj xav tau kev kho mob dab tsi. Kev kho mob uas koj tau txais yuav nyob ntawm ntau yam:

• Koj txoj kev noj qab haus huv tag nrho
• Seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev
• Tus nqi uas mob qog noj ntshav kis mus rau lwm tus

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj cov txiaj ntsig ntawm PSMA PET scan siv sijhawm ntev dua li qhov xav tau, nrog koj tus kws kho mob tham. Yog tias cov txiaj ntsig zoo, nws yog ib qho tseem ceeb uas yuav tsum teem sijhawm ntsib koj tus kws kho mob tsis tu ncua.

Puas yog PSMA PET scan zoo dua li MRI?

Tsis muaj ib txoj kev twg los hais tias PSMA PET scan zoo dua lossis phem dua li MRI. Ob qho kev kuaj mob ua ob yam tshwj xeeb. Lawv ob leeg pab cov kws kho mob nrhiav thiab saib xyuas mob qog nqaij hlav prostate. PSMA PET scan tuaj yeem pab cov kws kho mob nrhiav cov cheeb tsam ntawm PSMA hauv lub cev. Tab sis MRI tuaj yeem pab lawv pom cov duab ntawm koj cov kabmob lossis ntsuas cov ntaub so ntswg tsis zoo.

Kev luam theej PSMA PET/CT yog dab tsi?

Kev luam theej duab PSMA PET/CT yog kev sib xyaw ua ke ntawm kev luam theej duab PSMA PET thiab kev luam theej duab CT. Kev luam theej duab CT yog lwm qhov kev kuaj duab. Nws thaij ntau daim duab thiab tsim cov duab peb-seem (3D) ntawm cov qauv hauv koj lub cev. Nws pab cov kws kho mob nrhiav qee hom mob qog noj ntshav thiab qog nqaij hlav.

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Kev kuaj PSMA PET yog ib qho kev kuaj mob uas muaj kev nyab xeeb thiab muaj txiaj ntsig uas pab nrhiav pom mob qog nqaij hlav prostate thiab saib seb nws puas tau kis mus rau lwm qhov ntawm lub cev.Tej zaum koj yuav muaj ntau cov lus nug thiab me ntsis kev ntxhov siab ua ntej kev kuaj mob zoo li no. Qhov ntawd yog ib txwm muaj. Cov kws kho mob nkag siab qhov ntawd. Lawv paub tias kev kuaj pom tias muaj mob qog nqaij hlav prostate yog ib qho xwm txheej hloov pauv lub neej.

Txawm li cas los xij, kev kuaj pom mob qog nqaij hlav prostate thaum ntxov tuaj yeem ua qhov sib txawv loj. Yog tias kuaj pom thaum ntxov thiab kho kom zoo, qhov no yog ib qho kab mob uas feem ntau tuaj yeem kho tau. Yog li, tsis txhob ntshai, mloog koj tus kws kho mob hais, thiab mus kuaj mob tsim nyog. Koj tsis nyob ib leeg, muaj cov kws kho mob uas tuaj yeem pab koj.

PSMA PET scan, mob qog nqaij hlav prostate, kev kuaj mob qog nqaij hlav, cov khoom siv radioactive, PSA qib, kev kho mob qog nqaij hlav, kev noj qab haus huv ntawm cov txiv neej