Ngaba uzive usoyika okanye ukhathazekile kancinci xa ugqirha wakho ekuxelela ukuba wenze i-PSMA PET scan? Kuqhelekile ukucinga izinto ezinje, "Yintoni le? Ngaba iza kuba buhlungu? Ngaba iza kubangela ukugula okunzulu?" Nabani na unokuba novalo kancinci xa esiva ngovavanyo lwezonyango. Kodwa akukho sizathu sokoyika. Olu luvavanyo olubaluleke kakhulu, olukhuselekileyo, nolungenabuhlungu olusetyenziswa ngoku ukuxilonga nokufumana ulwazi oluthe kratya malunga nomhlaza weprostate. Ngoko ke, namhlanje siza kuphendula yonke imibuzo yakho malunga noku.
Ngamafutshane, yintoni i-PSMA PET scan?
Kulungile, masiyibeke ngokulula le nto. Khawucinge ukuba uneeseli zomhlaza weprostate ezifihlwe emzimbeni wakho. Asinakuzibona ngamehlo ethu. Ngoko ke olu vavanyo lwe-PSMA PET lufana nekhamera ekhethekileyo. Le khamera inokwenza imibala emihle kwiindawo apho ezo seli zomhlaza zifihlwe khona.
Kulula nangakumbi ukuba ucacisa intsingiselo yale gama:
- I-PSMA: Oku kumela i -Prostate-Specific Membrane Antigen . Musa ukothuka ngeli gama likhulu. Ngamafutshane, le yiproteni ekhethekileyo efumaneka kumphezulu weeseli zomhlaza weprostate. Ifana nesuti ekhethekileyo enxitywa ziiseli zomhlaza. Iiseli eziphilileyo azinazo okanye azinazo kwaphela.
- I-PET: Oku kumela i -Positron Emission Tomography . Le yikhamera ekhethekileyo, iskena.
Ngoko ke kolu vavanyo, kufakwa inani elincinci lezinto ezinemisebe (`(radiotracer)`), njenge "dye" ekhethekileyo emzimbeni wakho. Le "dye" ihamba emzimbeni wonke ize inamathele kwiproteni ebizwa ngokuba yi-PSMA kwiiseli zomhlaza. Emva koko umatshini we-PET scan ungafumana kanye apho le "dye" inamathele khona. Oko kuthetha ukuba iindawo apho iiseli zomhlaza zifakwe khona zinombala omhle kumfanekiso we-scan. Ngenxa yokuba le "yi-scan yomzimba wonke", inokubona ngqo ukuba umhlaza usasazeke ngaphaya kwe-prostate gland.
Kuxa kutheni apho ugqirha ecebisa olu vavanyo?
Zimbini izizathu eziphambili zokuba ugqirha angakucela ukuba wenze i-PSMA PET scan.
1. Xa ufunyaniswa okokuqala ukuba unomhlaza weprostate:
Wakuba ufunyenwe unomhlaza, into elandelayo ebalulekileyo ekufuneka uyazi kukuba umhlaza usasazeke kangakanani kwaye unzulu kangakanani. Oogqirha basebenzisa izinto ezifana neGleason score ukwenza oku. Ngoko ke, ukuba ugqirha ucinga ukuba umhlaza usasazeke (usasazeke) kwezinye iindawo zomzimba, baya kwenza olu vavanyo ukuqinisekisa oko ngaphambi kokuba baqale unyango.
2. Emva kokuba unyango lomhlaza lugqityiwe:
Ngamanye amaxesha, emva kokuba umhlaza weprostate unyangiwe kwaye unyangiwe, isifo sinokubuya (`(ukuphinda sibuye)`). Ngelo xesha, inqanaba le-PSA (`i-Prostate-Specific Antigen`) egazini lakho liya kunyuka kwakhona. Ngamaxesha anjalo, olu vavanyo lwe-PSMA PET lunceda kakhulu ekufumaneni ukuba umhlaza ubuyile phi emzimbeni.
Eyona nto ibalulekileyo kukuba olu vavanyo lunokubona nesuntswana elincinci leeseli zomhlaza. Ngoko ke, olu ncedo olukhulu ekufumaneni isifo kwangethuba kunye nonyango kwangethuba.
Ngaba olu vavanyo luyakwazi ukubona ezinye iintlobo zomhlaza?
Isetyenziswa kakhulu ukujonga umhlaza weprostate. Nangona kunjalo, kunqabile kakhulu, iiseli kwezinye iintlobo ezininzi zomhlaza nazo zinokuba neproteni encinci yePSMA. Umzekelo, umhlaza kwizitho ezifana neendlala zamathe, indlala yegilo, isibindi, izintso, ubuchopho, amabele okanye imiphunga ngamanye amaxesha ungabonakali lula kolu vavanyo. Kodwa oku kunqabile kakhulu.
Kwenzeka ntoni ngaphambi, ngexesha nasemva kokuskena?
Khawuthelekelele ukuba umalume wethu uSiripala wayecelwe ngugqirha ukuba enze olu vavanyo. Wayesoyika kancinci, njengawe. Makhe sibone ukuba umalume uSiripala wahlangabezana njani nale meko. Ukwazi la manyathelo kuya kukunceda ukunciphisa uloyiko lwakho kakhulu.
| Iqonga | Kwenzeka ntoni kwaye yintoni ekufuneka uyazi |
|---|---|
| Ngaphambi kokuskena | Ugqirha uza kukuhlola emva kokuba ethathe imbali yakho yezonyango. Ukuba uyoyika iinaliti (i-trypanophobia) okanye uyoyika ukuba kwiindawo ezixineneyo (i-claustrophobia), qiniseka ukuba uxelele ugqirha wakho . Baza kukunceda ujongane nayo, kwaye banokukunika neyeza elincinci lokukuthomalalisa. Eyona nto ingcono kukuba akufuneki uyeke ukutya okanye ukusela ngaphambi kolu vavanyo, kwaye akufuneki uyeke ukuthatha amayeza akho aqhelekileyo. Nxiba impahla elula nekhululekileyo. Kungcono ukushiya izinto zesinyithi ezifana namacici, imigexo, iiringi kunye neeglasi ekhaya. |
| Ngexesha lokuskena |
|
| Ixesha elipheleleyo lokuskena | Yonke le nkqubo ayithathi ngaphezulu kweeyure ezimbini. Kuthatha malunga neyure ukuba iyeza lingene emzimbeni kwaye kuthatha malunga nemizuzu engama-30 ukuze lihlolwe. |
| Emva kokuskena | Xa kugqityiwe ukuskena, ingcali iza kujonga ukuba imifanekiso icacile na ize ikukhulule uye ekhaya. Ungaqhubeka nemisebenzi yakho yesiqhelo. Kuya kuthatha iintsuku ezimbalwa ukufumana iziphumo. Ugqirha uza kukufowunela ukuze akwazise. |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga koku?
Olu luvavanyo olukhuselekileyo kakhulu kubantu abaninzi. Nangona kunjalo, kunqabile kakhulu, abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci nezexeshana. Ezi ziquka:
- Ndiziva ndidiniwe kakhulu (`(ukudinwa)`)
- Intloko ebuhlungu
- Utshintsho kwincasa yomlomo (i-dysgeusia)
- Impendulo encinci ye-allergy (umz., ukuba bomvu kancinci kwesikhumba)
Ukuba into efana nale iyenzeka, iza kuphela ngokukhawuleza. Kodwa ukuba uziva ungakhululekanga, xelela ugqirha wakho.
Kwenzeka ntoni emva kokuba iziphumo zifikile?
Ingcali ye-radiology eqeqeshwe ngokukodwa ihlola imifanekiso yakho yeskeni. Iindawo ezikwimifanekiso apho kukho iproteni eninzi ye-PSMA, oko kukuthi, iindawo apho i-``(radiotracer)`` incamathele khona, zinemibala emihle.
- Ithetha ukuthini i-PSMA positive?
Oko kuthetha ukuba iskeni sakho sifumene iindawo zePSMA. Isenokuba ngumhlaza. Nangona kunjalo, ugqirha wakho unokufuna ukwenza uvavanyo oluthe kratya okanye athethe nawe ngakumbi ukuqinisekisa ukuba yi-100% okanye afumanise ubukhali bayo.
- Kuthekani ukuba iziphumo aziqhelekanga?
Ukuba iskeni ibonisa umhlaza, musa ukoyika. Ugqirha wakho uza kusebenzisa olu lwazi ukugqiba ngonyango olufanelekileyo nolufanelekileyo kuwe. Oku kuya kuxhomekeka kwizinto ezifana nempilo yakho iyonke, ubungakanani bomhlaza, kunye nokuba usasazeka ngokukhawuleza kangakanani. Ukufunyanwa kwangoko kubalulekile. Umhlaza weprostate udla ngokunyangeka ngokupheleleyo ukuba ufunyenwe kwangethuba.
Umyalezo Wokuya Ekhaya
- I-PSMA PET scan luvavanyo oluphucukileyo, olukhuselekileyo, nolusebenzayo olusetyenziselwa ukubona umhlaza weprostate.
- Oku kubaluleke kakhulu xa umhlaza usandul’ ukufunyanwa ukuze kubonwe ukuba usasazekile na kwaye kubonwe ukuba ubuye wavela na emva konyango.
- Olu vavanyo alunzima njengoko unokucinga. Okufuneka ukwenze kukufumana inaliti encinci uze ulale ungashukumi okwethutyana.
- Ukuba uyoyika iinaliti zokutofa okanye iindawo ezicinezelweyo, xelela ugqirha wakho okanye ingcali yakho kwangaphambili. Akuyonto ifanelekileyo ukuba neentloni ngayo.
- Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho uza kuyila isicwangciso sonyango esifanelekileyo kuwe. Ngoko ke eli linyathelo elibalulekileyo kuhambo lwakho lokuchacha.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho