He aha ka Fludeoxyglucose F-18: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Fludeoxyglucose F-18 he mea hoʻonā kōpaʻa radioactive kūikawā e kōkua ai i nā kauka e ʻike pehea e hoʻohana ai kou kino i ka ikehu. Hoʻokomo ʻia i loko o kou vein a hele i loko o kou kahe koko e hōʻike i nā wahi kahi e hana ikaika ai nā cell ma mua o ka maʻamau, hiki ke kōkua i ka ʻike ʻana i ka maʻi maʻi, nā pilikia o ka naʻau, a i ʻole nā maʻi lolo.

Hana kēia mea hana kiʻi e like me ka mākaʻi lapaʻau, e hoʻomālamalama ana i nā cell ikaika ma nā scans kūikawā i kapa ʻia ʻo PET scans. E noʻonoʻo iā ia he mea palekana, he mea huli manawa e kōkua ana i kāu hui lapaʻau e kiʻi i kahi kiʻi maopopo o ka mea e hana nei i loko o kou kino.

He aha ka Fludeoxyglucose F-18?

ʻO Fludeoxyglucose F-18 he ʻano radioactive o ka glucose (sugar) e komo ai kou kino e like me ke kō maʻamau. ʻO ka ʻokoʻa nui, aia i loko o ka fluorine-18, e ʻike ʻia ma nā mea hana kiʻi.

Lawe maoli kāu mau cell i kēia kō i hoʻololi ʻia ke pono lākou i ka ikehu. ʻO nā cell maʻi maʻi, nā ʻiʻo mumū, a me nā wahi lolo ikaika e komo i ka nui o ia mea no ka mea e hana ikaika ana lākou ma mua o nā cell maʻamau. Hana kēia i nā wahi mālamalama ma ka scan e kōkua ai i nā kauka e ʻike i nā wahi pilikia.

He mea weliweli ke kani o ka radioactive, akā palekana loa. He liʻiliʻi ka nui o ka radiation a haʻalele maoli i kou kino i loko o nā hola ma o kou mimi a me kou hanu.

No ke aha e hoʻohana ʻia ai ka Fludeoxyglucose F-18?

Hoʻohana nā kauka i kēia mea hana kiʻi i ka mua e ʻike a nānā i ka maʻi maʻi ma kou kino. He mea maikaʻi loa ia i ka ʻimi ʻana i nā ʻōpū i liʻiliʻi loa e ʻike ʻia ma nā scans CT maʻamau a i ʻole X-ray.

Ma waho aʻe o ka ʻike ʻana i ka maʻi maʻi, kōkua ia i ka loiloi ʻana i kekahi mau maʻi koʻikoʻi e pili ana i kou ola i kēlā me kēia lā:

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• Maʻi puʻuwai - e hōʻike ana i nā ʻāpana o kou ʻiʻo puʻuwai e loaʻa ana ke kahe koko lawa
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• Nā maʻi lolo e like me ka maʻi Alzheimer, ka maʻi ʻaʻai, a i ʻole ka dementia
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• Nā maʻi i paʻakikī ke ʻike me nā hoʻokolohua ʻē aʻe
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• Nā kūlana mumū e pili ana i nā ʻōkana a i ʻole nā ʻiʻo
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• Ke nānā ʻana i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau maʻi ʻaʻai
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Hiki nō hoʻi i kāu kauka ke ʻōlelo aku i kēia scan inā he mau hōʻailona wehewehe ʻole kāu e hōʻike ana i kahi maʻi koʻikoʻi. He mea like ia me ka loaʻa ʻana o kahi palapala olakino piha e hōʻike ana i nā ʻano hana o kou kino.

Pehea e hana ai ʻo Fludeoxyglucose F-18?

Ua manaʻo ʻia he mea hana diagnostic mālie akā ikaika e hana ana ma ka hoʻohālike ʻana i ka metabolism kō maoli o kou kino. Ke hoʻokomo ʻia, hele ia ma kou kahe koko a komo i loko o nā cell e pono ai ka ikehu.

Hana ʻia ke kaʻina hana i ʻekolu mau ʻanuʻu maʻalahi. ʻO ka mea mua, e komo ana kāu mau cell i ke kō radioactive e like me ka glucose maʻamau. A laila, hoʻopuka ka fluorine-18 i nā ʻāpana liʻiliʻi i kapa ʻia ʻo positrons e hiki ai i ka mea scan PET ke ʻike. ʻO ka hope, hana ka scanner i nā kiʻi kikoʻī e hōʻike ana i kahi i hōʻiliʻili ai ke kō i loko o kou kino.

ʻO nā wahi me ka lawe ʻana i ke kō kiʻekiʻe e ʻike ʻia ma ka scan. ʻO nā cell maʻi ʻaʻai, no ka laʻana, hoʻohana pinepine i ke kō hou aʻe ma mua o nā cell maʻamau, no laila e hōʻike lākou i nā wahi mālamalama. Kōkua kēia i nā kauka e hoʻokaʻawale ma waena o ka ʻiʻo olakino a me ka ʻiʻo maʻamau me ka pololei.

Pehea wau e lawe ai iā Fludeoxyglucose F-18?

ʻAʻole ʻoe e

1. E hōʻea me nā lole ʻoluʻolu, ākea me ka ʻole o nā mea hao
2. Wehe i nā mea nani, nā hana niho, a i ʻole kekahi mea i loaʻa ka hao
3. E loaʻa ka pahu i ka wā e noho mālie ana i loko o kahi noho ʻoluʻolu
4. E hoʻomaha no kahi o 45-60 mau minuke e ʻae i ka mea huli e hāʻawi a puni kou kino
5. E hana i ka scan PET maoli, e lawe ana i 20-30 mau minuke

He mea nui ka manawa kali ma hope o ka injection no ka mea e ʻae ai i ke kō radioactive e hiki i nā ʻāpana a pau o kou kino. I kēia manawa, e noi ʻia ʻoe e noho mālie a pale i ka hana kino e pale ai i ka lawe ʻana o ka mea huli i nā ʻiʻo.

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

ʻAʻole kēia he lāʻau lapaʻau āu e lawe pinepine ai e like me nā pila i kēlā me kēia lā. Loaʻa iā ʻoe kahi injection hoʻokahi no kēlā me kēia scan PET e kauoha ai kāu kauka, hiki ke hoʻokahi, ʻelua, a i ʻole i nā manawa he nui ma muli o kou kūlana olakino.

Haʻalele ke kō radioactive i kou kino maoli i loko o 24 mau hola ma hope o ka injection. Nalo ka hapa nui ma o kou mimi i loko o nā hola 6 mua, me nā mea liʻiliʻi i hoʻopau ʻia ma o kou hanu a me nā neʻe ʻana o ka ʻōpū.

Inā pono ʻoe i nā scans e hahai ai e nānā i ka holomua o ka mālama ʻana a i ʻole e nānā i ka hoʻi hou ʻana o ka maʻi maʻi, ua hoʻokaʻawale ʻia kēia mau mea i nā pule a i ʻole nā mahina. E hoʻoholo kāu kauka i ka manawa kūpono e pili ana i kāu mau pono olakino pilikino a me ke kūlana e nānā ʻia nei.

He aha nā hopena ʻaoʻao o Fludeoxyglucose F-18?

ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao mai kēia mea hana kiʻi. Ua like ka manaʻo o ka injection me kekahi kiʻi koko maʻamau a i ʻole ka hoʻokomo ʻana i ka IV, me ka ʻoluʻolu liʻiliʻi wale nō ma kahi o ka injection.

ʻO nā hopena maʻamau, ke hana lākou, he maʻalahi loa a pōkole:

• ʻO ka ʻeha liʻiliʻi a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai ka nila
• ʻO ka luhi liʻiliʻi i nā hola ma hope o ka scan
• He ʻono metala manawa i kou waha
• Ke manaʻo iki nei ka mahana a i ʻole ka ʻulaʻula ma hope koke o ka injection

E hoʻoponopono maʻamau kēia mau hōʻailona i loko o kekahi mau hola me ka ʻole o ka lāʻau lapaʻau. E kōkua ana ka inu ʻana i ka wai nui i ka holoi ʻana i ka mea radioactive mai kāu ʻōnaehana me ka wikiwiki.

He mea maʻamau loa nā hopena maʻi maʻi koʻikoʻi akā hiki ke komo i ka pilikia o ka hanu ʻana, ka ʻili nui, a i ʻole ka pehu ʻana o kou maka a me kou ʻāʻī. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ka lāʻau lapaʻau. Ua aʻo ʻia ka hui lapaʻau e hana ana i kāu scan e mālama i kēia mau kūlana inā kū mai.

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

Pono kekahi poʻe i ka noʻonoʻo kūikawā a i ʻole e pale loa i kēia mea hana kiʻi. ʻAʻole pono nā wahine hāpai e loaʻa i kēia injection ke ʻole ka pōmaikaʻi olakino e ʻoi aku ka nui ma mua o nā pilikia i ka pēpē e ulu nei.

E loiloi pono kāu kauka i kou kūlana inā hāʻule ʻoe i kekahi o kēia mau ʻāpana:

• Nā wahine hāpai a i ʻole nā ​​wahine hāpai
• Nā makuahine e hānai ana i ka umauma (pono paha ʻoe e pauma a hoʻolei i ka waiū umauma no 24 mau hola)
• ʻO ka poʻe me ka maʻi diabetes i hoʻomalu ʻole ʻia a i ʻole nā ​​pae kō koko kiʻekiʻe loa
• Nā keiki ma lalo o 18 mau makahiki (pono i nā manaʻo dosing kūikawā)
• ʻO ka poʻe me nā pilikia kīkī koʻikoʻi ʻaʻole hiki ke hoʻopau pono i ka tracer

Inā loaʻa iā ʻoe ka maʻi diabetes, pono e mālama maikaʻi ʻia kāu pae kō koko ma mua o ka scan. Hiki i nā pae glucose kiʻekiʻe ke keakea i ka lawe ʻana i ke kō radioactive, e pili ana i ka pololei o kāu mau hopena.

Hiki i ka poʻe me ka claustrophobia ke ʻike i ke kaʻina hana scanning he mea paʻakikī, akā pili kēia i ka scanner PET ponoʻī ma mua o ka injection. Hiki i kāu hui lapaʻau ke hāʻawi i nā ʻenehana hoʻomaha a i ʻole ka sedation māmā inā pono.

Nā inoa inoa Fludeoxyglucose F-18

Loaʻa kēia mea hana kiʻi ma lalo o kekahi mau inoa inoa, ʻoiai ke mau nei ka mea hana ikaika like me ka mea hana. ʻO ka inoa inoa maʻamau ʻo Fluorodeoxyglucose F-18, ʻo ia ke ʻano like me ka inoa generic.

Hiki nō iā ʻoe ke lohe ʻia e like me FDG, F-18 FDG, a i ʻole "ka mea huli" e kāu hui lapaʻau. Hoʻohana kekahi mau wahi i nā inoa hōʻailona kikoʻī e like me Fludeoxyglucose F-18 Injection a i ʻole nā inoa ʻē aʻe i hana ʻia e ka mea hana.

ʻO ka mea nui e hoʻomanaʻo, ʻo ia nā inoa a pau e pili ana i ka pūhui glucose radioactive like. Noho mau ka maikaʻi a me ka pono ma waena o nā hōʻailona like ʻole no ka mea pono lākou e kū i nā kūlana palekana a me ka maʻemaʻe o ka FDA.

Nā Koho ʻē aʻe o Fludeoxyglucose F-18

Hiki i kekahi mau ʻano hana kiʻi ʻē aʻe ke hāʻawi i ka ʻike diagnostic like, akā loaʻa i kēlā me kēia mea kona mau ikaika a me nā palena. Hiki i nā scans CT me ka waihoʻoluʻu contrast ke hōʻike i nā hale kino kikoʻī akā ʻaʻole e hōʻike i ka hana cellular e like me ka hana ʻana o nā scans PET.

Maikaʻi nā scans MRI i ka hōʻike ʻana i nā kikoʻī o ka ʻiʻo palupalu a hiki ke ʻike i ka maʻi maʻi i kekahi manawa, akā ʻaʻole lākou i ka ʻike e ʻimi i nā ʻōpū liʻiliʻi a i ʻole ka nānā ʻana i ka pane ʻana i ka lāʻau. Hiki i nā scans iwi e hoʻohana ana i nā mea huli radioactive like ʻole ke ʻike i ka laha ʻana o ka maʻi maʻi i nā iwi akā ʻaʻole i piha e like me nā scans PET.

ʻO nā mea huli radioactive ʻē aʻe ma waho o F-18 FDG me:

• Nā pūhui Gallium-68 no nā ʻano maʻi maʻi kikoʻī
• Technetium-99m no ka puʻuwai a me ke kiʻi iwi
• Iodine-123 no nā haʻawina hana thyroid
• Nā mea huli Carbon-11 no ka noiʻi kiʻi lolo

E koho kāu kauka i ke ala kiʻi maikaʻi loa e pili ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me ka ʻike e pono ai e alakaʻi i kāu lapaʻau. I kekahi manawa hoʻohana pū ʻia nā ʻano hana kiʻi he nui e kiʻi i ke kiʻi piha loa.

ʻOi aku ka maikaʻi o Fludeoxyglucose F-18 ma mua o nā scans CT?

Loaʻa i nā ʻano hana kiʻi ʻelua nā mea maikaʻi kūʻokoʻa e waiwai ai lākou no nā kūlana olakino like ʻole. Maikaʻi nā scans PET me F-18 FDG i ka ʻike ʻana i ka hana maʻi maʻi a me ka hōʻike ʻana i ka hana ʻana o nā cell, ʻoiai hāʻawi nā scans CT i nā kiʻi kikoʻī o nā hale kino a me ka anatomy.

He maikaʻi loa nā scans PET no ka ʻike ʻana i ka hoʻi hou ʻana o ka maʻi ʻaʻai, ka loiloi ʻana i ka pane ʻana i ka lāʻau lapaʻau, a me ka ʻimi ʻana i ka maʻi ʻaʻai i hohola i nā wahi i manaʻo ʻole ʻia. Hiki iā lākou ke ʻike pinepine i nā pūnaewele maʻi ʻaʻai ikaika ma mua o ka nui o nā ʻōpū e ʻike ʻia ma nā scans CT.

Eia naʻe, ʻoi aku ka maikaʻi o nā scans CT no:

• Hōʻike i ka nui a me kahi o ka ʻōpū
• ʻIke i kekahi mau ʻano pilikia o ka māmā
• Ka loiloi ʻana i nā ʻeha a i ʻole nā haʻihaʻi
• Ke alakaʻi ʻana i nā biopsies a i ʻole nā kaʻina hana ʻoki
• Nā kūlana pilikia e koi ana i nā hopena wikiwiki

Nui nā keʻena lapaʻau e hāʻawi nei i nā scans PET-CT i hui pū ʻia e hāʻawi ana i ka ʻike hana a me ka ʻike structural i hoʻokahi kau. Hāʻawi pinepine kēia hui ʻana i nā kauka i ka ʻike piha loa o kou kūlana.

Aia ke koho ma waena o kēia mau ʻano hana kiʻi i kāu nīnau lapaʻau kikoʻī. E ʻōlelo aku kāu kauka i ke ala e hāʻawi nui ai i ka ʻike e pono ai e alakaʻi pono i kāu mālama.

Nā Nīnau i Nīnau Pinepine e pili ana iā Fludeoxyglucose F-18

Q1. Palekana ʻo Fludeoxyglucose F-18 no ka poʻe me ka maʻi diabetes?

ʻAe, hiki i ka poʻe me ka maʻi diabetes ke loaʻa palekana i kēia mea hana kiʻi, akā he mea nui ka mālama ʻana i ke kō koko no nā hopena pololei. Pono e emi iho kou pae glucose ma lalo o 200 mg/dL, a ʻoi aku ka maikaʻi e kokoke i nā pae maʻamau ma mua o ka injection.

Hiki i ke kō koko kiʻekiʻe ke hoʻokūkū me ka glucose radioactive no ka lawe ʻana e kāu mau cell, hiki ke paʻakikī i ka ʻike ʻana i ka maʻi ʻaʻai a i ʻole nā wahi ʻokoʻa ʻē aʻe. E nānā kāu hui lapaʻau i kou kō koko ma mua o ke kaʻina hana a hiki ke hoʻonohonoho hou inā kiʻekiʻe loa nā pae.

Inā ʻoe e lawe i nā lāʻau lapaʻau diabetes, hiki i kāu kauka ke hoʻoponopono i kāu papa hana dosing no ka lā o ka scan. E hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ke kau ʻana ke ʻole i kuhikuhi ʻia e kāu mea mālama ola.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Fludeoxyglucose F-18?

He pinepine ʻole nā mea i ʻoi aku ka nui o ka lāʻau lapaʻau no ka mea e helu pono a ana nā poʻe loea lapaʻau nukelea i hoʻomaʻamaʻa ʻia i kēlā me kēia lāʻau. Akā, inā hopohopo ʻoe no ka loaʻa ʻana o ka nui loa, e kelepona koke i kāu hui lapaʻau no ke alakaʻi.

He mea maʻamau ʻole nā hōʻailona o ka loaʻa ʻana o ka nui loa o nā mea radioactive akā hiki ke komo i ka nausea, ka luaʻi, a i ʻole ka luhi ʻole. Hiki nō hoʻi ke loaʻa kēia mau hōʻailona mai nā kumu ʻē aʻe, no laila he mea nui ka loiloi lapaʻau e hoʻoholo ai i ke kumu maoli.

ʻO ka hana nui loa, ʻo ia ka inu ʻana i ka wai nui e kōkua i ka holoi ʻana i ka mea tracer keu mai kou ʻōnaehana ma o ka mimi. Hiki nō hoʻi i kāu hui lapaʻau ke ʻōlelo aku i nā hana palekana hou aʻe e pili ana i kāu kūlana kikoʻī a me ka nui o ka ʻike keu.

Q3. He aha kaʻu e hana ai inā e poina iaʻu kaʻu Fludeoxyglucose F-18 Injection i hoʻonohonoho ʻia?

E kelepona wale i kāu keʻena lapaʻau i ka wā hiki loa e hoʻonohonoho hou i kāu manawa. ʻAʻole like me nā lāʻau lapaʻau i kēlā me kēia lā, ʻaʻole i hana ka poina ʻana i kēia injection i nā pilikia olakino koke, akā e hoʻopaneʻe ia i ka ʻike diagnostic nui.

E hana pū ke kikowaena kiʻi me ʻoe e ʻimi i ka manawa i loaʻa e kūpono i kāu papa manawa. Hoʻomaopopo lākou e hiki mai ana ke ola a kū mai nā pilikia, no laila e hoʻokipa nui lākou i ka hoʻonohonoho hou ʻana.

ʻOi aku ka wikiwiki o kekahi mau kūlana lapaʻau ma mua o nā mea ʻē aʻe, no laila e hōʻike i ka hui hoʻonohonoho inā ua koʻikoʻi kāu kauka i ke koʻikoʻi o ka hoʻopau ʻana i ka scan me ka wikiwiki. Hiki iā lākou ke hana iā ʻoe i ka wā ma mua a i ʻole e hōʻike i nā hoʻonohonoho ʻē aʻe.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka hopohopo e pili ana i ka radiation mai Fludeoxyglucose F-18?

ʻAʻole hiki ke ʻike ʻia ka mea radioactive i loko o kou kino i loko o 24 mau hola ma hope o ka injection. Nui ka hapa o ia mea e nalowale ana i loko o nā hola 6-8 mua ma o ka mimi maʻamau a me ka hanu.

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau a pau ma hope koke o kāu scan, me ka noho ʻana me nā keiki, nā wahine hāpai, a me nā holoholona. Hoʻohālikelike ʻia ka ʻike ʻana i ka radiation i ka mea āu e loaʻa ai mai nā kumu kūlohelohe maoli i loko o kekahi mau mahina.

Manaʻo kekahi mau keʻena e inu i ka wai hou aʻe no ke koena o ka lā e kōkua i ka holoi ʻana i ka tracer me ka wikiwiki. He hana mālama kēia ma mua o ka pono olakino, akā hiki ke hāʻawi i ka maluhia o ka noʻonoʻo inā hopohopo ʻoe e pili ana i ka ʻike ʻana i ka radiation.

Q5. Hiki iaʻu ke hoʻokele iaʻu iho i ka home ma hope o ka loaʻa ʻana o Fludeoxyglucose F-18?

ʻAe, hiki iā ʻoe ke hoʻokele palekana iā ʻoe iho i ka home ma hope o ka injection a me ka scan. ʻAʻole pili ka glucose radioactive i kou noʻonoʻo, ka hoʻopili ʻana, a i ʻole ka hiki ke hana i kahi kaʻa me ka palekana.

ʻO ka palena hoʻokele wale nō e hele mai ana mai ka sedation inā ua loaʻa iā ʻoe ka lāʻau anti-anxiety e kōkua me ka claustrophobia i ka wā o ka scan. Inā loaʻa iā ʻoe kekahi mau lāʻau sedating, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home.

Manaʻo ka hapa nui o nā kānaka he maʻamau loa ma hope o kā lākou PET scan a hiki ke hoʻi i ka hana, hoʻoikaika kino, a me nā hana maʻamau ʻē aʻe me ka ʻole o nā palena. Hoʻolālā ʻia ke kaʻina hana e kūpono i kāu hana maʻamau i kēlā me kēia lā me ka liʻiliʻi o ka hoʻopilikia.