Chiremba wako akambokukumbira here kuti uitwe scan chaiyo, senge PET scan? Kana kuti wakataura nezvejekiseni rakakosha semushonga wegomarara? Ipapo ungangonzwa kutya zvishoma paunonzwa izwi rekuti "radioactive." Asi usatye. Nhasi tiri kutaura nezverudzi urwu rwemushonga runoshamisa rwakabudirira zvikuru mune zvesainzi yekurapa, rwunoshandiswa kuongorora nekurapa zvirwere.
Ndezvipi mishonga iyi yemagetsi?
Zvichitaurwa zviri nyore, iyi mishonga yakakosha yakagadzirirwa kushandiswa mukurapa, ine huwandu hushoma hwemwaranzi uye hunodzorwa. Kutaura chokwadi, iyi mhando yemushonga. Asi mukati memushonga uyu mune chimwe chinhu chakaita se "tracker" diki. Tinogona kutarisa simba rinoburitswa nawo nemakamera akakosha.
Izvi zvinogadzirwa, zvinogoverwa, uye zvinoshandiswa nevanhu vakadzidziswa zvakanyanya munharaunda iyi. Semuenzaniso, vanachiremba vemishonga yenyukireya, vanachiremba ve radiation, uye vanachiremba ve radiation oncologists vanozvishandisa nekungwarira kukuru.
Mishonga iyi inoshandiswa kuitei?
Pane mashandisirwo maviri makuru emishonga iyi yeRadiopharmaceuticals. Imwe ndeyekuona zvirwere (Diagnostic) , uye imwe ndeyekurapa zvirwere (Therapeutic) . Fungidzira kuti tichishandisa tekinoroji imwe chete, tinogona kuona dambudziko riri mukati memuviri uye kurapa dambudziko iroro. Ngatitarisei izvi zviviri zvakasiyana.
1. Maitiro ekubatsira pakuongorora zvirwere (Diagnostic Radiopharmaceuticals)
Iyi ndiyo nzira inonyanya kushandiswa nemishonga iyi. Chinoitika pano ndechekuti unonwa, unofema, kana kubaya mushonga uyu une radioactive zvishoma uye zvakachengeteka mumuviri wako. Tinodaidzawo kuti ma radiotracers .
Funga nezvemuviri wako seguta guru. Mushonga uyu wakaita seGPS tracker. Unoenda zvakananga kunzvimbo ine dambudziko. Wobva watumira chiratidzo chidiki kubva ipapo.
Kana mushonga uyu wangopinda mumuviri, unoenda kunzvimbo ine chirwere, hutachiona, kana dambudziko. Zvadaro, kamera yakakosha, yakaita segamma kamera, inoshandiswa kutora mifananidzo yenzvimbo dzaunganira mushonga. Kubva pamifananidzo iyi, chiremba anogona kuona kuti nhengo dzako dziri kushanda sei, kuti ropa rako riri kuyerera sei, kana kuti pane masero ekenza here.
- Mienzaniso:
- Kuongororwa kwePET (Positron Emission Tomography scans): Mushonga unonzi `Fluorine-18` unoshandiswa zvakanyanya pakuita izvi.
- Kuongororwa kwemapfupa, chiropa, neitsvo: Mushonga we `Technetium 99m` ndiwo unonyanya kushandiswa pasi rose pachinangwa ichi.
- Kuongororwa kwebasa remapapu:Vanofema mushonga unonzi `Xenon-133`.
- Kuongororwa kwetsandanyama dzemwoyo: Mushonga unonzi `Rubidium-82` unopinzwa mutsinga.
2. Mishonga yekurapa yeRadiopharmaceuticals
Nzira iyi inzira itsva asi inoshanda zvikuru yekurapa, kunyanya kenza. Inosanganisira kubaya mushonga une radioactive wakasimba zvishoma mumuviri kupfuura unopihwa kuti uzive chirwere chacho.
Izvi zvakafanana nepfuti inokanda zvakananga kune chinangwa. Mushonga uyu unotsvaga zvakananga masero ekenza, unonamatira paari, uye unoaparadza. Chinhu chikuru cheizvi ndechekuti hapana kukuvara kudiki kune mamwe masero ane hutano mumuviri. Nekuti kurapwa uku kunonanga zvakananga masero ekenza chete. Izvi zvakasiyana nenzira yekurapa inoshandisa mwaranzi kubva kunze (`External Beam Radiation Therapy`).
Musiyano uripo pakati pemashandisirwo maviri makuru
Kuti tinzwisise zviri nyore, ngatitarisei musiyano uripo pakati pemashandisirwo maviri aya.
| Kushandiswa | Maitiro anoitika | Chinangwa chikuru |
|---|---|---|
| Kuongorora chirwere | Mushonga mudiki uye wakachengeteka unopiwa, uye zviratidzo zvinoburitswa zvinotorwa nekamera yakakosha, zvichiita kuti pave nemifananidzo yemukati memuviri. | Kuona mashandiro anoita nhengo dzemuviri uye kuona nzvimbo dzine chirwere. |
| Kurapa | Nekupa mushonga wakasimba, unoendeswa zvakananga kumasero ane njodzi, akadai semasero ekenza, uye unoparadzwa. | Kuparadza masero ane chirwere, akadai semasero ekenza, uye kurapa chirwere chacho. |
Ndezvipi zvinoshandiswa ne radiopharmaceuticals pakurapa cancer?
Kune mishonga yakawanda inoshanda zvikuru yekurapa kenza iyo inotenderwa pari zvino.
- PLUVICTO® (`lutetium Lu 177 vipivotide tetraxetan`):Inoshandiswa kurapa dzimwe nyaya dzekenza yeprostate yakapararira kune dzimwe nzvimbo (metastatic).
- Lutathera™ (`Lutetium Lu 177 dotatate`): Iyi inoshandiswa kurapa mamwe mabundu e neuroendocrine anoitika mudumbu, pancreas, uye muura.
- Iodine-131: Inoshandiswa kurapa kenza yethyroid uye zvirwere zvinokonzera kugadzirwa kwakanyanya kwemahormone ethyroid, akadai sechirwere cheGraves.
- Radium-223: Kana kenza yeprostate yapararira (yakapararira) kumapfupa, izvi zvinoshanda zvikuru mukuparadza masero ekenza ari mumapfupa iwayo.
Pamusoro pezvo, kuyedzwa kwekiriniki kuri kuitwa pari zvino kwekushandiswa kwemishonga iyi kune mamwe marudzi egomarara, zvichireva kuti ichi chichava chikamu chakakosha chekurapa gomarara mune ramangwana.
Mishonga iyi yakachengeteka zvechokwadi here? Tinofanira kutya here?
Uyu ndiwo mubvunzo mukuru unobvunzwa nemunhu wese. Zvakajairika kuti titye patinonzwa izwi rekuti "radioactive." Asi ichi ndicho chokwadi.
Ehe, mishonga iyi yakachengeteka zvikuru kana ikabatwa nemazvo nenyanzvi.
Fungidzira, huwandu hwemushonga unopiwa kuti uongorore zvirwere hushoma zvekuti hauzokuvadzi muviri wako. Uchabviswa zvachose mumuviri wako mukati memaawa mashoma kana mazuva.
Muyero wemushonga unopihwa wekurapa wakasimba zvishoma kupfuura izvozvo. Nokudaro, mimwe migumisiro inogona kuitika. Asi sezvinoitwa nemishonga chero ipi zvayo, pano zvakare, vanachiremba vanoongorora kana mabhenefiti emushonga uyu achipfuura migumisiro yacho. Kana tichienzanisa nemukana wekurapa chirwere chakakomba sekenza, migumisiro iyoyo inogona kugadziriswa.
Kana ukanyorerwa mushonga kana bvunzo yakaita seiyi, chiremba wako achakutsanangurira zvese nezvazvo, mabhenefiti azvo, uye migumisiro inogona kuitika. Bvunza nezvemibvunzo kana zvinokunetsa zvaungave nazvo panguva iyoyo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeRadiopharmaceuticals imhando yemushonga ine radioactivity inodzorwa inoshandiswa kuongorora nekurapa zvirwere.
- Kuongororwa kwechirwere kunoshandisa mwaranzi diki uye yakachengeteka kuti vaone mashandiro ari kuita nhengo dzemuviri.
- Mishonga inoshandiswa kurwisa nekuparadza masero anokuvadza, akadai semasero ekenza.
- Izvi zvinobatwa nekungwarira kukuru nenyanzvi, saka hazvina njodzi kana zvikashandiswa nemazvo.
- Kana muine mibvunzo kana zvinokunetsai nezverudzi urwu rwebvunzo kana kurapwa, taurai nachiremba wenyu nezvazvo pachena.
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