Yu dɔktɔ dɔn ɛva aks yu fɔ mek dɛn du spɛshal skan, lɛk PET skan? Ɔ tɔk bɔt spɛshal injɛkshɔn as tritmɛnt fɔ kansa? Dɔn yu go fil fɔ fred smɔl we yu yɛri di wɔd "radioactive." Bɔt nɔ fred. Tide wi de tɔk bɔt dis wɔndaful kayn mɛrɛsin we dɔn rili go bifo pan mɛrɛsin sayɛns, we dɛn kin yuz fɔ no ɛn trit sik dɛn.
Wetin na dɛn redio famasitik ya?
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya na spɛshal mɛrɛsin dɛn we dɛn mek fɔ yuz na mɛrɛsin, wit rili smɔl ɛn kɔntrol amɔnt dɛn fɔ redyushɔn. Fɔ tɔk am strikt wan, dɛn tin ya na wan kayn mɛrɛsin. Bɔt insay dis drɔg sɔmtin de lɛk smɔl "tracker". Wi kin wach di ɛnaji we i de pul wit spɛshal kamɛra dɛn.
Na pipul dɛn we dɔn gɛt spɛshal trenin fɔ dis eria de mek dɛn tin ya, sheb dɛn, ɛn yuz dɛn. Fɔ ɛgzampul, nyuklia fama, raydiɔlɔjis, ɛn redyushɔn ɔnkɔlɔjis kin yuz dɛn wit big kia.
Wetin dɛn kin yuz dɛn mɛrɛsin ya fɔ?
Tu men tin dɛn de we dɛn kin yuz dɛn RedioFamasiutik ya. Wan na fɔ no sik (Diagnostic) , ɛn di ɔda wan na fɔ trit sik (Therapeutic) . Imajin se if wi yuz di sem tɛknɔlɔji, wi ɔl tu go ebul fɔ no wan prɔblɛm we de insay wi bɔdi ɛn trit da prɔblɛm de. Lɛ wi luk dɛn tu tin ya wan bay wan.
1. Aw fɔ ɛp fɔ no if pɔsin gɛt sik (Diagnostic Radiopharmaceuticals) .
Dis na di we aw dɛn kin yuz dɛn mɛrɛsin ya pas ɔl. Wetin kin apin ya na dat yu kin drink, inhal, ɔ injɛkt wan rili smɔl, sef amɔnt pan dis redioaktiv drɔg na yu bɔdi. Wi kin kɔl dɛn redio traysa ya bak .
Tink bɔt yu bɔdi lɛk big siti. Dis mɛrɛsin tan lɛk GPS traka. I kin go stret na di say we di prɔblɛm de. Dɔn i kin sɛn smɔl signal frɔm de.
We dis mɛrɛsin dɔn go insay di bɔdi, i kin travul go na di say we sik, infɛkshɔn, ɔ prɔblɛm de. Dɔn, dɛn kin yuz spɛshal kamɛra lɛk gama kamɛra fɔ tek pikchɔ dɛn na di say dɛn we di mɛrɛsin dɔn gɛda. Frɔm dɛn pikchɔ ya, di dɔktɔ kin si di rayt we aw yu ɔgan dɛn de wok, aw yu blɔd de flɔ, ɔ if ɛni kansa sɛl de.
- Ɛgzampul dɛn:
- PET skan (Positron Emission Tomography scans): Dɛn kin yuz wan mɛrɛsin we dɛn kɔl `Fluorine-18` fɔ dis.
- Bɔn, liva, ɛn kidni tɛst: Di drɔg `Technetium 99m` na di wan we dɛn kin yuz pas ɔl na di wɔl fɔ dis.
- Test fɔ di wok we di lɔng dɛn de du:Dɛn kin inhal wan drɔg we dɛn kɔl `Xenon-133`.
- di hat mכsul tεst: dεn de injεkt wan dכg we dεn kכl `Rubidium-82` insay wan vein.
2. Tɛrapi RedioFamasiutik dɛn
Dis we ya na nyu we, bɔt i rili fayn fɔ mɛn, mɔ fɔ kansa. I min fɔ injɛkt wan redioaktiv drɔg we strɔng smɔl na di bɔdi pas di wan we dɛn kin gi fɔ no di sik.
Dis tan lɛk mishɔl we de go stret to di say we dɛn want fɔ go. Dis mɛrɛsin de luk fɔ di kansa sɛl dɛn dairekt wan, atak dɛn, ɛn pwɛl dɛn. Di big bɛnifit fɔ dis na dat, na smɔl damej de pan ɔda wɛlbɔdi sɛl dɛn na di bɔdi. Bikɔs dis tritmɛnt de tɔch di kansa sɛl dɛn nɔmɔ dairekt wan. Dis difrεn frכm di tritmεnt mεtכd we de yuz rεdyushכn frכm כdasay (`Eksternal Bim Rεdyushכn Tεrapi`).
Di difrɛns bitwin di tu men yus dɛn
Fɔ ɔndastand am izi wan, lɛ wi luk di difrɛns bitwin dɛn tu we ya.
| Aw fɔ yuz am | Di prɔses we de apin | Di men tin we dɛn want fɔ du |
|---|---|---|
| Diagnostik fɔ no if pɔsin gɛt di sik | Dɛn kin gi wan rili smɔl, sef doz fɔ mɛrɛsin, ɛn dɛn kin tek di signal dɛn we de kɔmɔt wit spɛshal kamɛra, ɛn dis kin mek dɛn gɛt pikchɔ dɛn we de insay di bɔdi. | Fɔ si aw di ɔgan dɛn de wok ɛn fɔ no di say dɛn we sik. |
| Na fɔ mɛn pipul dɛn | We dɛn gi di mɛrɛsin strɔng doz, i kin go dairekt to sɛl dɛn we de ambɔg am, lɛk kansa sɛl dɛn, ɛn i kin pwɛl am. | Fɔ pwɛl di sɛl dɛn we gɛt sik, lɛk di kansa sɛl dɛn, ɛn mɛn di sik. |
Wetin na redio famasitik dɛm we dɛn kin yuz fɔ mɛn kansa?
Bɔku redio famasitik dɛn de we rili wok fayn we dɛn dɔn gri fɔ mɛn kansa naw.
- PLUVICTO® (`lutetium Lu 177 vipivotayd tɛtraksɛtan`):Dɛn kin yuse am fɔ trit sɔm kes dɛm wae gɛt prɔstat kansa wae dɔn spre to ɔda say dɛm (metastatic).
- LutatheraTM (`Lutetium Lu 177 dotatate`): dεn kin yuz dis fכ trit sכm nyuroεndokrin tכmכro dεm we de apin na di bεlε, pankrias, εn intestines.
- Ayodin-131: Dɛn kin yuz am fɔ trit tayroyd kansa ɛn kɔndishɔn dɛn we kin mek dɛn gɛt tayroyd ɔmon dɛn pasmak, lɛk Grevs sik.
- Radium-223: We prɔstat kansa dɔn skata (metastasized) to di bon dɛm, dis kin rili ɛp fɔ pwɛl di kansa sɛl dɛm na dɛn bon dɛm.
Apat frɔm dat, dɛn de du klinik trial naw fɔ yuz dɛn mɛrɛsin ya fɔ bɔku ɔda kayn kansa, we min se dis go bi wan rili impɔtant pat pan kansa tritmɛnt tumara bambay.
Yu tink se dɛn drɔgs ya rili sef? Yu tink se wi fɔ fred?
Dis na di big kwɛstyɔn we ɔlman gɛt. Na nɔmal tin fɔ mek wi fred we wi yɛri di wɔd "radioactive." Bɔt dis na di tru.
Yɛs, dɛn mɛrɛsin ya rili sef we spɛshal pipul dɛn de yuz dɛn kɔrɛkt wan.
Imajin, di mɛrɛsin we dɛn kin gi fɔ no if pɔsin gɛt sik, so smɔl dat i nɔ go ambɔg yu bɔdi. I go kɔmɔt na yu bɔdi kpatakpata insay sɔm awa ɔ sɔm dez.
Di doz fɔ di mɛrɛsin we dɛn gi fɔ tritmɛnt strɔng smɔl pas dat. So, sɔm sayd ɛfɛkt dɛn kin apin. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, na ya bak, dɔktɔ dɛn kin luk if di bɛnifit dɛn we di mɛrɛsin kin gi pas di bad tin dɛn we kin apin to am. We yu kɔmpia am to di chans fɔ mɛn wan siriɔs sik lɛk kansa, dɛn kin ebul fɔ kɔntrol dɛn sayd ɛfɛkt dɛn de.
If dɛn gi yu tritmɛnt ɔ tɛst lɛk dis, yu dɔktɔ go ɛksplen ɔltin to yu bɔt am, di bɛnifit dɛn we i go gɛt, ɛn di bad tin dɛn we kin apin to yu. Aks bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu da tɛm de.
Mɛsej we dɛn kin kɛr go na os
- Redio famasitik na spɛshal kayn mɛrɛsin we gɛt kɔntrol redioaktiviti we dɛn kin yuz fɔ no ɛn trit sik dɛn.
- Di wan dɛn we de no di sik kin yuz rili smɔl, sef dos fɔ rayt fɔ ɛp fɔ si aw di bɔdi in ɔgan dɛn de wok.
- Dɛn kin yuz tritmɛnt fɔ tɔch ɛn pwɛl di sɛl dɛn we de ambɔg dɛn, lɛk di kansa sɛl dɛn.
- Di wan dɛn we sabi bɔt dɛn tin ya kin tek tɛm wit dɛn, so dɛn kin rili sef we dɛn yuz dɛn di rayt we.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis kayn tɛst ɔ tritmɛnt, tɔk to yu dɔktɔ bɔt am opin wan.
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