He aha ka Fluciclovine F-18: Nā hoʻohana, ka lāʻau lapaʻau, nā hopena ʻaoʻao a me nā mea hou aku

He mea hōʻailona radioactive ka Fluciclovine F-18 i hoʻohana ʻia i nā kiʻi lapaʻau e kōkua i nā kauka e ʻike maopopo i nā sela maʻi prostate. Hoʻokomo ʻia kēia lāʻau lapaʻau kūikawā i loko o kou vein a hele i kou kino, e hoʻomālamalama ana i nā wahi kahi e hūnā ai a laha paha ka maʻi kanesa.

E noʻonoʻo e like me kahi ʻōnaehana GPS loea no kāu hui lapaʻau. Hana ka mea radioactive e like me ke kukui e hōʻike ana i nā sela maʻi kanesa i ka wā o kahi ʻano scan kūikawā i kapa ʻia he PET scan, e hāʻawi ana i kāu mau kauka i ka ʻike kikoʻī e pono ai lākou e hoʻolālā i kāu lapaʻau.

He aha ka Fluciclovine F-18?

ʻO Fluciclovine F-18 he waikawa amino synthetic i hōʻailona ʻia me kahi mea radioactive i kapa ʻia ʻo fluorine-18. He makemake nui nā sela maʻi kanesa i nā waikawa amino, ʻo ia nā poloka kūkulu o nā protein, a hoʻohana kēia lāʻau lapaʻau i kēlā ʻoiaʻiʻo.

Ke hoʻokomo ʻia i loko o kou kahe koko, e komo maʻalahi ka fluciclovine e nā sela maʻi kanesa ma mua o ka ʻiʻo maʻamau a olakino. Hoʻopuka ka ʻāpana fluorine-18 o ka pūhui i kahi liʻiliʻi o ka radiation e hiki ai i nā kamera kūikawā ke ʻike i ka wā o kāu scan.

He ʻokoʻa loa kēia lāʻau lapaʻau mai nā pila maʻamau a i ʻole nā ​​lapaʻau āu e lawe ai ma ka home. Hoʻohana ʻia ia i nā halemai a i ʻole nā ​​kikowaena kiʻi kūikawā, a e loaʻa iā ʻoe hoʻokahi wale nō no kēlā me kēia scan i kauoha ʻia e kāu kauka.

No ke aha i hoʻohana ʻia ai ka Fluciclovine F-18?

Hoʻolālā ʻia ka Fluciclovine F-18 e kōkua i nā kauka e ʻimi i ka maʻi kanesa prostate i hoʻi mai ma hope o ka lapaʻau mua. Inā ua loaʻa iā ʻoe ke ʻoki a i ʻole ka radiation therapy no ka maʻi kanesa prostate a ke piʻi hou nei kāu pae PSA, hiki i kēia scan ke kōkua i ka kuhikuhi pololei ʻana i kahi e hūnā ai ka maʻi kanesa.

Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻokolohua kiʻi ke hāʻawi ʻole nā scans ʻē aʻe e like me CT a i ʻole MRI i nā pane maopopo e pili ana inā ua hoʻi mai kāu maʻi ʻaʻai. He mea kōkua nui ia no ka ʻike ʻana i ka maʻi ʻaʻai i laha i nā lymph nodes a i ʻole nā ʻāpana ʻē aʻe o kou kino.

Hoʻohana ʻia ka lāʻau lapaʻau ke pono nā kauka e hoʻoholo i ke ala maikaʻi loa no ka mālama hou ʻana. Ma ka ʻike ʻana i kahi e loaʻa ai nā pūnaewele maʻi ʻaʻai ikaika, hiki i kāu hui lapaʻau ke hana i nā hoʻoholo i ʻike ʻia e pili ana i ke ʻoki ʻana, ka radiation, a i ʻole nā therapies ʻē aʻe.

Pehea e hana ai ʻo Fluciclovine F-18?

Hana ʻo Fluciclovine F-18 ma ka hoʻohālike ʻana i kahi waikawa amino maoli e ʻimi ikaika ai nā pūnaewele maʻi ʻaʻai a komo. ʻO ka maʻamau, ʻoi aku ka wikiwiki o ka metabolism o nā pūnaewele maʻi ʻaʻai ma mua o nā pūnaewele maʻamau, ʻo ia hoʻi ke pōloli mau nei lākou i nā meaʻai e like me nā waikawa amino e hoʻoulu ai i ko lākou ulu.

Ke loaʻa iā ʻoe ka injection, laha ka fluciclovine ma kou kino ma o kou kahe koko. Hoʻopaʻa nā pūnaewele maʻi ʻaʻai prostate i kēia hui ʻana me ka makemake nui ma mua o ka hana ʻana o ka ʻiʻo olakino, e hana ana i nā wahi mālamalama ma nā kiʻi scan PET.

Hāʻawi ka fluorine-18 radioactive i hoʻopili ʻia i ka fluciclovine i nā positrons, he mau ʻāpana liʻiliʻi i hiki i ka scanner PET ke ʻike. Ke launa pū kēia mau positrons me nā electrons i kou kino, hana lākou i nā hōʻailona e unuhi ai ka scanner i nā kiʻi kikoʻī e hōʻike ana i kahi e hana nui ai nā pūnaewele maʻi ʻaʻai.

Pehea wau e lawe ai iā Fluciclovine F-18?

ʻAʻole ʻoe e

I ka lā o kāu scan, e hoʻokomo kahi mea loea i kahi laina IV liʻiliʻi i loko o kou lima a e hoʻokomo i ka fluciclovine F-18. He mau kekona wale nō ka hoʻokomo ʻana, a laila e kali mālie ʻoe no 5-10 mau minuke i ka wā e holo ai ka lāʻau lapaʻau ma kou kino ma mua o ka hoʻomaka ʻana o ka scanning.

Pehea ka lōʻihi e lawe ai au i ka Fluciclovine F-18?

He hoʻokahi wale nō ka fluciclovine F-18 āu e loaʻa ai i ka wā e loaʻa ana iā ʻoe kahi scan PET. ʻAʻole like me nā lāʻau lapaʻau āu e lawe ai i kēlā me kēia lā a i ʻole i kēlā me kēia pule, hoʻohana ʻia kēia no ke kaʻina hana kiʻi ponoʻī.

He pōkole loa ka hapalua o ka lāʻau radioactive o ka lāʻau lapaʻau, ʻo ia hoʻi, e wāwahi koke ia i loko o kou kino. E hala ka hapa nui o ka radioactivity i loko o kekahi mau hola ma hope o kāu injection, a e hoʻopau ʻoe i ke koena ma o kou mimi i ka lā a i ʻole ʻelua e hiki mai ana.

Inā pono kāu kauka i nā scans hou i ka wā e hiki mai ana e nānā i kou kūlana, e loaʻa iā ʻoe kahi injection hou o ka fluciclovine F-18 no kēlā me kēia scan hou. Aia ka manawa ma waena o nā scans i kāu kūlana olakino pilikino a me nā ʻōlelo aʻoaʻo a kāu kauka.

He aha nā hopena ʻaoʻao o ka Fluciclovine F-18?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka fluciclovine F-18, a he kakaikahi loa nā hopena ʻaoʻao koʻikoʻi. ʻO nā hopena maʻamau he maʻalahi a pōkole, e pili pinepine ana i ke kaʻina hana injection ponoʻī ma mua o ka lāʻau lapaʻau.

Eia nā hopena ʻaoʻao āu e ʻike ai, me ka noʻonoʻo ʻana ʻaʻole ʻike ka nui o nā kānaka i nā hopena i ʻike ʻia:

• ʻO ka ʻoluʻolu iki a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai
• ʻO ke poʻo maʻalahi e hoʻoponopono maʻamau i loko o kekahi mau hola
• ʻO ka nausea pōkole, ʻoiai ʻaʻole maʻamau kēia
• ʻO ka luhi a i ʻole ka hiamoe ma hope o ke kaʻina hana
• ʻO ka ʻono metala i kou waha, e mae koke ana

Hele pinepine kēia mau hopena liʻiliʻi i loko o kekahi mau hola ma hope o kāu scan. Ua manaʻo ʻia he palekana loa ka liʻiliʻi o ka radiation a ua like ia me ka mea āu e loaʻa ai mai nā hoʻokolohua kiʻi lapaʻau ʻē aʻe.

I nā hihia kakaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kahi hopena maʻi i ka injection. ʻO nā hōʻailona o kēia e komo pū ana me ka pilikia o ka hanu ʻana, ka pehu ʻana o kou maka a i ʻole ka ʻāʻī, a i ʻole ka ʻūlū nui. Ua mākaukau loa ka hui lapaʻau e nānā ana i kāu scan e mālama i nā pilikia e like me ia, ʻoiai he mea maʻamau ʻole lākou.

ʻO wai ka mea ʻaʻole pono e lawe iā Fluciclovine F-18?

He palekana maʻamau ʻo Fluciclovine F-18 no ka hapa nui o nā kānaka, akā aia kekahi mau mea nui e kūkākūkā ai kāu kauka me ʻoe. ʻO nā hopohopo nui e pili ana i ka hāpai ʻana, ka hānai ʻana i ka umauma, a me kekahi mau maʻi lapaʻau.

Inā hāpai ʻoe a i ʻole e hāpai ana paha, ʻaʻole maʻamau kēia scan ke ʻole he mea pono loa. ʻO ka ʻike ʻana i ka radiation, ʻoiai he liʻiliʻi, hiki ke hoʻopilikia i kahi pēpē e ulu ana. E ana pono kāu kauka i nā pōmaikaʻi a me nā pilikia inā aia ʻoe i kēia kūlana.

Pono nā wahine e hānai ana i ka umauma e mālama i nā hana kūikawā. Hiki iā ʻoe ke hana i ka scan, akā pono ʻoe e pauma a hoʻolei i ka waiū umauma no kahi o 24 mau hola ma hope o ka injection e hōʻoia ʻaʻole e hiki ka mea radioactive i kāu pēpē.

Pono paha ka poʻe me nā pilikia kīkī nui i ka nānā ʻana, no ka mea, ua hoʻopau ʻia ka lāʻau lapaʻau ma nā kīkī. E nānā kāu kauka i kāu hana kīkī ma mua o ke kaʻina hana inā he hopohopo ma kēia wahi.

Nā inoa inoa Fluciclovine F-18

Ua kūʻai ʻia ʻo Fluciclovine F-18 ma lalo o ka inoa inoa ʻo Axumin ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka inoa kalepa āu e ʻike nui ai ma kāu mau moʻolelo lapaʻau a me nā pepa ʻinikua.

Hana ʻia ka lāʻau lapaʻau e Blue Earth Diagnostics a loaʻa ma nā hale lapaʻau lāʻau nukelea kūikawā a me nā halemai me nā hiki ke nānā PET. ʻAʻole i hāʻawi ʻia kēia ʻano scan e nā kikowaena lapaʻau a pau, no laila pono paha ʻoe e hele i kahi hale e loea ana i ka lāʻau lapaʻau nukelea.

Nā Koho ʻē aʻe no Fluciclovine F-18

Nui nā koho kiʻi ʻē aʻe no ka ʻike ʻana i ka maʻi kanesa prostate, ʻoiai he ikaika a me nā palena o kēlā me kēia. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me ka ʻike e pono ai lākou.

Hoʻohana nā scans PSMA PET i kahi mea huli radioactive ʻokoʻa e kuhikuhi ana i kahi protein i kapa ʻia ʻo prostate-specific membrane antigen. Ke lilo nei kēia ʻenehana kiʻi hou i mea kaulana a ʻoi aku paha ka naʻau ma mua o ka fluciclovine F-18 no kekahi mau ʻano o ka ʻike ʻana i ka maʻi kanesa prostate.

Hoʻohana nui ʻia nā ʻano hana kiʻi kuʻuna e like me nā scans CT, MRI, a me nā scans iwi a lawa paha no kāu mau pono. ʻAʻole pili kēia i nā mea huli radioactive akā ʻaʻole paha e hāʻawi i ka pae like o nā kikoʻī no ka ʻike ʻana i nā wahi liʻiliʻi o ka maʻi kanesa e hana hou ana.

Hōʻike nā scans Choline PET i kahi koho lāʻau lapaʻau nukelea ʻē aʻe, ʻoiai ʻaʻole lākou i hoʻohana pinepine ʻia ma mua o ka fluciclovine F-18 ma ʻAmelika Hui Pū ʻIa. E wehewehe kāu kauka i ke ala e kūpono loa ai no kāu mau kūlana.

ʻOi aku ka maikaʻi o Fluciclovine F-18 ma mua o nā ʻano hana kiʻi ʻē aʻe?

Maikaʻi nā scans Fluciclovine F-18 PET i ka ʻimi ʻana i ka maʻi kanesa prostate i hoʻi mai ma hope o ka mālama mua ʻana, ʻoiai ke piʻi nei nā pae PSA akā ʻaʻole i hōʻike nā scans ʻē aʻe i nā hopena maopopo. He maikaʻi loa ia i ka ʻike ʻana i ka maʻi kanesa i loko o nā lymph nodes a me nā ʻiʻo palupalu.

Ke hoʻohālikelike ʻia me nā scans CT a i ʻole MRI kuʻuna, hiki i ka fluciclovine F-18 ke ʻike pinepine i nā wahi liʻiliʻi o ka hana maʻi kanesa i hiki ke hala ʻia e nā ʻano kiʻi ʻē aʻe. He ʻike koʻikoʻi kēia i ka wā e hoʻolālā ana kāu kauka i nā hoʻolālā lapaʻau hou.

Eia naʻe, ʻoi aku paha ka maikaʻi o nā scans PSMA PET hou i ka fluciclovine F-18 no ka ʻike ʻana i kekahi mau ʻano o ka hoʻi hou ʻana o ka maʻi kanesa prostate. Aia ka koho "maikaʻi" i nā mea e like me nā ʻano o kāu maʻi kanesa, nā lāʻau lapaʻau i hala, a me nā mea e pono ai kāu kauka e ʻike e alakaʻi i kāu mālama.

Loaʻa i kēlā me kēia ʻano hana kiʻi i kona wahi i ka mālama ʻana i ka maʻi kanesa, a e ʻōlelo aku kāu hui lapaʻau i ke ala e hāʻawi nui ai i ka ʻike e pono ai no kou kūlana pilikino.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Fluciclovine F-18

He palekana anei ʻo Fluciclovine F-18 no ka poʻe me ka maʻi diabetes?

ʻAe, palekana ʻo fluciclovine F-18 no ka poʻe me ka maʻi diabetes. ʻAʻole like me nā scans FDG PET e hoʻohana ana i nā mea huli glucose, he mea huli amino acid ʻo fluciclovine F-18 ʻaʻole ia e hoʻopilikia nui i nā pae kōpaʻa koko.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka injection e hoʻoulu ai i nā spikes kōpaʻa koko a i ʻole ke keakea ʻana i kāu lāʻau lapaʻau diabetes. Eia naʻe, pono ʻoe e hahai i kāu hana maʻamau i ka mālama ʻana i ka maʻi diabetes a lawe i kāu mau lāʻau lapaʻau e like me ke kauoha ʻia, ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo ʻokoʻa.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Fluciclovine F-18?

Hoʻohana mau ʻia ʻo Fluciclovine F-18 e nā poʻe loea lapaʻau nuklea i hoʻomaʻamaʻa ʻia e helu pono i ke ana pololei āu e pono ai e pili ana i ke kaumaha o kou kino a me ke ʻano o ka scan e hana ʻia nei. He kakaikahi loa nā kūlana overdose ma muli o kēia mau protocol palekana.

Inā hopohopo ʻoe e pili ana i ke ana i loaʻa iā ʻoe, e kamaʻilio koke me ka hui lapaʻau. Hiki iā lākou ke nānā iā ʻoe no nā hopena maʻamau a hana i nā hana kūpono inā pono. ʻO ka ʻike ʻana i ka radiation mai kahi ana nui-ma mua o ka manaʻo ʻia aia nō i loko o nā palena palekana no nā kaʻina hana lapaʻau.

He aha kaʻu e hana ai inā e hala wau i kaʻu scan Fluciclovine F-18 i hoʻonohonoho ʻia?

Inā ʻaʻole ʻoe i hele i kāu manawa hoʻopaʻa kiʻi, e kelepona i ke kikowaena kiʻi i ka wā hiki wawe e hoʻonohonoho hou. No ka mea, ua hoʻomākaukau hou ʻia ka fluciclovine F-18 no kēlā me kēia mea maʻi a he ola pōkole loa, ʻo ka nalo ʻana i kāu manawa e manaʻo ʻia ʻaʻole e hoʻohana ʻia ka lāʻau lapaʻau i hoʻomākaukau ʻia no ʻoe.

ʻO ka hapa nui o nā keʻena e hoʻomaopopo ana i ka pono e hoʻonohonoho hou, akā pono paha lākou i kekahi mau lā e hoʻomākaukau i kahi pūʻulu hou o ka mea huli radioactive. Mai hopohopo e pili ana i nā hopena olakino maikaʻi ʻole mai ka nalo ʻana i ka manawa - pono ʻoe e hoʻonohonoho i kahi lā scan hou me kāu kauka.

I ka manawa hea e hiki ai iaʻu ke hoʻomau i nā hana maʻamau ma hope o Fluciclovine F-18?

Hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau ma hope koke o kāu scan fluciclovine F-18 PET. ʻAʻole pilikia ka nui o ka radioactivity āu i loaʻa ai i nā lālā o ka ʻohana, nā holoholona, ​​a i ʻole nā ​​hoa hana ma o nā pilina i kēlā me kēia lā.

No nā hola 24 mua ma hope o kāu scan, makemake paha ʻoe e inu i nā wai hou e kōkua i ka hoʻomaʻemaʻe ʻana i ka lāʻau lapaʻau mai kāu ʻōnaehana i ka wikiwiki. Manaʻo kekahi mau keʻena e kaupalena i ka pilina pili me nā wahine hāpai a me nā keiki liʻiliʻi no nā hola mua, akā he mea mālama wale nō kēia.

E uhi anei kaʻu ʻinikua i nā scans Fluciclovine F-18?

ʻO ka hapa nui o nā hoʻolālā ʻinikua nui, me Medicare, e uhi i nā scans fluciclovine F-18 PET ke pono lākou i ka lāʻau lapaʻau no ka loiloi ʻana i ka hoʻi hou ʻana o ka maʻi maʻi prostate. Eia naʻe, hiki ke ʻokoʻa ka uhi ʻana ma muli o kāu hoʻolālā kikoʻī a me ke kūlana lapaʻau.

E mālama maʻamau ke keʻena o kāu kauka i ke kaʻina hana ʻae mua inā koi kāu ʻinikua. E hāʻawi lākou i nā palapala e hōʻike ana i ke kumu e pono ai kēia scan no kāu mālama. Inā he hopohopo kāu e pili ana i ka uhi ʻana, e kelepona pololei i kāu hui ʻinikua a i ʻole e noi i ke kākāʻōlelo kālā o kāu hui lapaʻau no ke kōkua.