Ingabe uzizwe wesaba kancane noma ukhathazekile lapho udokotela wakho ekutshela ukuthi wenze i-PSMA PET scan? Kuvamile ukucabanga izinto ezinjengokuthi, "Kuyini lokhu? Ingabe kuzolimaza? Ingabe kuzobangela ukugula okukhulu?" Noma ubani angaba novalo kancane lapho ezwa ngokuhlolwa kwezokwelapha. Kodwa asikho ngempela isizathu sokwesaba. Lokhu ukuhlolwa okubaluleke kakhulu, okuphephile, futhi okungenabuhlungu okwamanje okusetshenziselwa ukuxilonga nokuthola okwengeziwe ngomdlavuza wendlala. Ngakho-ke, namuhla sizophendula yonke imibuzo yakho ngalokhu.
Kalula nje, kuyini ukuskena kwe-PSMA PET?
Kulungile, ake sikubeke kalula lokhu. Cabanga ukuthi unamaseli omdlavuza wendlala afihleke emzimbeni wakho. Asikwazi ukuwabona ngamehlo ethu. Ngakho-ke lokhu kuskena kwe-PSMA PET kufana nekhamera ekhethekile. Le khamera ingenza imibala emihle ezindaweni lapho lawo maseli omdlavuza efihleke khona.
Kulula nakakhulu uma uchaza incazelo yaleli gama:
- I-PSMA: Lokhu kusho ukuthi i-Prostate-Specific Membrane Antigen . Ungakhathazeki ngaleli gama elikhulu. Kalula nje, leli yiprotheni ekhethekile etholakala ebusweni bamangqamuzana omdlavuza we-prostate. Kufana nesudi ekhethekile egqokwa amangqamuzana omdlavuza. Amangqamuzana anempilo awanawo noma awanayo nhlobo.
- I-PET: Lokhu kumele i- Positron Emission Tomography . Lena ikhamera ekhethekile, iskena.
Ngakho-ke kulolu vivinyo, inani elincane lezinto ezinemisebe (i-radiotracer), njenge-"dye" ekhethekile, lifakwa emzimbeni wakho. Le "dye" ihamba emzimbeni wonke futhi inamathele kuphrotheni ebizwa ngokuthi i-PSMA kumaseli omdlavuza. Ngemuva kwalokho umshini wokuskena we-PET ungathola ngqo ukuthi le "dye" inamathele kuphi. Lokho kusho ukuthi izindawo lapho amangqamuzana omdlavuza akhona zinombala omuhle esithombeni sokuskena. Ngenxa yokuthi lokhu ukuskena komzimba wonke, kungabona kahle ukuthi umdlavuza usakazeke ngale kwendlala ye-prostate.
Kukuziphi izimo lapho udokotela encoma khona lokhu kuskena?
Ngokuvamile kunezizathu ezimbili eziyinhloko zokuthi kungani udokotela angase akucele ukuthi wenze i-PSMA PET scan.
1. Uma utholakala okokuqala ukuthi unomdlavuza wendlala:
Uma usuthole ukuthi unomdlavuza, into elandelayo ebalulekile okufanele uyazi ukuthi umdlavuza ususakazeke kangakanani nokuthi uyingozi kangakanani. Odokotela basebenzisa izinto ezifana ne-Gleason score ukwenza lokhu. Ngakho-ke, uma udokotela ecabanga ukuthi umdlavuza ususakazeke (ususakazeke) kwezinye izingxenye zomzimba, bazokwenza lokhu kuhlolwa ukuze bakuqinisekise ngaphambi kokuqala ukwelashwa.
2. Ngemva kokuba ukwelashwa komdlavuza sekuqediwe:
Ngezinye izikhathi, ngemva kokuba umdlavuza wendlala yesinye uselashwe futhi welaphekile, lesi sifo singabuya (`(ukuphinda)`). Ngaleso sikhathi, izinga le-PSA (`i-Prostate-Specific Antigen`) egazini lakho lizokhuphuka futhi. Ngezikhathi ezinjalo, lokhu kuhlolwa kwe-PSMA PET kuyasiza kakhulu ekutholeni ukuthi umdlavuza ubuyile kuphi emzimbeni.
Into ebaluleke kakhulu ukuthi lokhu kuskena kungathola ngisho nesigaxa esincane kakhulu samangqamuzana omdlavuza. Ngakho-ke, lokhu kuwusizo olukhulu ekutholeni lesi sifo kusenesikhathi kanye nokwelashwa kusenesikhathi.
Ingabe lesi sikeni singabona eminye imidlavuza?
Ivame ukusetshenziswa kakhulu ukubheka umdlavuza wendlala. Kodwa-ke, akuvamile kakhulu, amaseli kwezinye izinhlobo eziningana zomdlavuza angaba nenani elincane leprotheyini ye-PSMA. Isibonelo, umdlavuza ezithweni ezifana nezindlala zamathe, indlala yegilo, isibindi, izinso, ubuchopho, ibele noma amaphaphu ngezinye izikhathi ungabonakali kahle kulesi sikeni. Kodwa lokhu akuvamile kakhulu.
Kwenzekani ngaphambi, ngesikhathi nangemva kokuskena?
Cabanga nje umalume wethu uSiripala ecelwe udokotela ukuthi enze lokhu kuskena. Wayesaba kancane, njengawe. Ake sibone ukuthi umalume uSiripala wabhekana kanjani nalokhu. Ukwazi lezi zinyathelo kuzokusiza ukunciphisa ukwesaba kwakho kakhulu.
| Isiteji | Kwenzekani nokuthi yini okudingeka ukwazi |
|---|---|
| Ngaphambi kokuskena | Udokotela uzokuxilonga ngemuva kokuthatha umlando wakho wezokwelapha. Uma wesaba izinaliti (i-trypanophobia) noma wesaba ukuba sezindaweni ezivalekile (i-claustrophobia), qiniseka ukuthi uyamtshela udokotela wakho . Bazokusiza ukuthi ubhekane nakho, futhi bangakunika ngisho nomuthi omncane wokukuthulisa. Into engcono kakhulu ukuthi akudingeki uyeke ukudla noma ukuphuza ngaphambi kwalokhu kuskena, futhi akudingeki uyeke ukuthatha imithi yakho ejwayelekile. Gqoka izingubo ezilula nezikhululekile. Kungcono ukushiya izinto zensimbi ezifana namacici, imigexo, amasongo, nezibuko ekhaya. |
| Ngesikhathi sokuskena |
|
| Isikhathi esiphelele sokuskena | Inqubo yonke ivame ukuthatha isikhathi esingaphezu kwamahora amabili. Kuthatha cishe ihora ukuthi umuthi umunceke emzimbeni kanye nemizuzu engaba ngu-30 ukuze kuhlolwe. |
| Ngemva kokuskena | Uma ukuskena sekuqediwe, uchwepheshe uzohlola ukuthi izithombe zicacile bese ekukhulula uye ekhaya. Ungenza imisebenzi yakho evamile. Kuzothatha izinsuku ezimbalwa ukuthola imiphumela. Udokotela uzokushayela ucingo ukuze akwazise. |
Ingabe ikhona imiphumela emibi kulokhu?
Lokhu kuhlolwa okuphephile kakhulu kubantu abaningi. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nemiphumela emibi emincane, yesikhashana. Lokhu kufaka phakathi:
- Ukuzizwa ukhathele kakhulu (`(ukukhathala)`)
- Ikhanda elibuhlungu
- Ukushintsha kokunambitheka emlonyeni (i-dysgeusia)
- Ukusabela okuncane kokungezwani komzimba (isb., ukubomvu okuncane kwesikhumba)
Uma kwenzeka into efana nale, izophela ngokushesha. Kodwa uma uzizwa ungakhululekile, tshela udokotela wakho.
Kwenzekani ngemva kokufika kwemiphumela?
Udokotela we-radiology oqeqeshwe ngokukhethekile uhlola izithombe zakho zokuskena. Izindawo ezithombeni lapho kuneprotheni eningi ye-PSMA, okungukuthi, izindawo lapho i-``(radiotracer)`` inamathele khona, zinemibala emihle kakhulu.
- Kusho ukuthini ukuthi i-PSMA positive?
Lokho kusho ukuthi ukuskena kwakho kuthole izindawo ze-PSMA. Kungaba umdlavuza. Kodwa-ke, udokotela wakho kungadingeka enze izivivinyo ezengeziwe noma akhulume nawe kakhudlwana ukuze aqinisekise ukuthi lokhu kuyiqiniso ngokuphelele noma anqume ukuthi kuyingozi kangakanani.
- Kuthiwani uma imiphumela ingavamile?
Uma ukuskena kubonisa umdlavuza, ungesabi. Udokotela wakho uzosebenzisa lolu lwazi ukuze anqume ukwelashwa okungcono kakhulu nokufanelekile kuwe. Lokhu kuzoncika ezicini ezifana nempilo yakho iyonke, ubukhulu bomdlavuza, nokuthi usakazeka ngokushesha kangakanani. Ukutholwa kusenesikhathi kubalulekile. Umdlavuza we-prostate uvame ukwelapheka ngokuphelele uma utholakala kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-PSMA PET scan iyisivivinyo esithuthukisiwe kakhulu, esiphephile, nesisebenzayo esisetshenziselwa ukuthola umdlavuza wendlala.
- Lokhu kubaluleke kakhulu uma umdlavuza usanda kutholakala ukuze kubonakale ukuthi ususabalele yini nokuthi usuphinde wavela yini ngemva kokwelashwa.
- Ukuhlolwa akunzima njengoba ungase ucabange. Okudingeka ukwenze nje ukuthola umjovo omncane bese ulala unganyakazi isikhashana.
- Uma wesaba izinaliti zomjovo noma izindawo ezicindezelwe, tshela udokotela wakho noma uchwepheshe kusenesikhathi. Akuyona into okufanele ube namahloni ngayo.
- Ngokusekelwe emiphumeleni yalolu vivinyo, udokotela wakho uzokwakha uhlelo lokwelashwa olufanele kakhulu kuwe. Ngakho-ke lesi yisinyathelo esibalulekile ohambweni lwakho lokululama.
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