He aha ka Ioflupane I-123: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Ioflupane I-123 he mea hana kiʻi radioactive kūikawā i hoʻohana ʻia e kōkua i nā kauka e ʻike i ka maikaʻi o ka hana ʻana o kāu ʻōnaehana dopamine o ka lolo. Aia i loko o kēia lāʻau lapaʻau kahi mea liʻiliʻi o ka iodine radioactive e pili ana i nā protein kikoʻī i loko o kou lolo, e ʻae ana i nā poʻe loea lapaʻau e kiʻi i nā kiʻi kikoʻī o nā wahi e mālama ai i ka neʻe a me ka hoʻonohonoho.

Hiki iā ʻoe ke hālāwai me kēia lāʻau lapaʻau inā pono i kāu kauka e noiʻi i nā hōʻailona e like me nā haʻalulu, ka ʻoʻoleʻo, a i ʻole nā ​​pilikia neʻe. Kōkua ka haʻawina kiʻi e hoʻokaʻawale ma waena o nā ʻano maʻi neʻe like ʻole, e hāʻawi ana i kāu hui mālama ola i ka ʻike waiwai e alakaʻi i kāu hoʻolālā lapaʻau.

He aha ka Ioflupane I-123?

ʻO Ioflupane I-123 he radiopharmaceutical e hana ana ma ke ʻano he mea hana diagnostic no ke kiʻi ʻana o ka lolo. Aia ka lāʻau lapaʻau i kahi hui i kapa ʻia ʻo ioflupane i kaha ʻia me ka radioactive iodine-123, e hoʻopuka ana i nā kukuna gamma e hiki ai i nā kamera kūikawā ke ʻike.

E noʻonoʻo iā ia he mea hana GPS no nā mea lawe dopamine o kou lolo. ʻO kēia mau mea lawe he protein e kōkua i ka hoʻoneʻe ʻana i ka dopamine, kahi kemika lolo koʻikoʻi, ma waena o nā cell nerve. Ke komo ʻo ioflupane I-123 i loko o kou kahe koko, hele ia i kou lolo a paʻa i kēia mau mea lawe, e hana ana i palapala ʻāina e hiki ai i nā kauka ke ʻike ma nā scans kiʻi.

He maʻalahi loa ka mea radioactive a ua hoʻolālā ʻia e palekana no nā hana diagnostic. ʻO ka nui o ka radiation āu e loaʻa ai e like me ka mea āu e loaʻa ai mai nā kaʻina hana kiʻi lapaʻau ʻē aʻe e like me nā scans CT.

No ke aha i hoʻohana ʻia ai ka Ioflupane I-123?

Hoʻohana nui nā kauka i ka ioflupane I-123 e kōkua i ka hōʻoia ʻana i ka maʻi o Parkinson a me nā maʻi neʻe e pili ana. Hiki i ka haʻawina kiʻi, i kapa ʻia ʻo DaTscan, ke hōʻike inā e hana maʻamau ana nā cell hana dopamine i kou lolo a i ʻole inā he nalowale o kēia mau cell koʻikoʻi.

He mea nui kēia hoʻokolohua ke loaʻa iā ʻoe nā hōʻailona e hōʻike ana i nā maʻi like ʻole. No ka laʻana, inā ʻoe e ʻike nei i ka haʻalulu a i ʻole ka ʻoʻoleʻo, pono paha i kāu kauka e hoʻoholo inā mai ka maʻi Parkinson kēia mau hōʻailona, ka haʻalulu nui, a i ʻole kekahi maʻi ʻē aʻe.

Hiki nō hoʻi i ka scan ke kōkua i nā kauka e hoʻokaʻawale ma waena o ka maʻi Parkinson a me nā maʻi ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like, e like me nā pilikia neʻe i hoʻokumu ʻia e ka lāʻau a i ʻole kekahi mau ʻano dementia. Kōkua kēia ʻike i kāu hui mālama ola e hana i ka hoʻolālā lapaʻau kūpono loa no kāu kūlana kikoʻī.

Pehea e hana ai ʻo Ioflupane I-123?

Hana ʻo Ioflupane I-123 ma ka ʻimi ʻana i nā mea lawe dopamine i loko o ka basal ganglia o kou lolo, kahi e hoʻomalu ai i ka neʻe a me ka hoʻopili ʻana. Ke olakino a nui kēia mau mea lawe, hoʻopaʻa maʻalahi ka lāʻau iā lākou, e hana ana i nā wahi mālamalama ma ka scan imaging.

I nā maʻi e like me ka maʻi Parkinson, make mālie nā cell e hana ana i ka dopamine, ʻo ia hoʻi, ʻaʻole nui nā mea lawe dopamine i loaʻa. Ke hiki ʻole iā ioflupane I-123 ke loaʻa i nā mea lawe he nui e hoʻopaʻa ai, ʻike ʻia kēlā mau wahi i ka pōʻeleʻele a i ʻole e hōʻike i nā āpau ma ka scan.

Hana ʻia ke kaʻina hana imaging ma kahi o 3 a 6 mau hola ma hope o kou loaʻa ʻana o ka injection. I loko o kēia manawa, hele ka lāʻau lapaʻau ma kou kahe koko, hele i loko o kou ʻiʻo lolo, a noho i nā wahi kahi e loaʻa ai nā mea lawe dopamine. A laila hoʻopuka ka iodine radioactive i nā hōʻailona e hiki ai i nā kamera kūikawā ke hopu e hana i nā kiʻi kikoʻī.

Pehea wau e lawe ai iā Ioflupane I-123?

Hāʻawi ʻia ʻo Ioflupane I-123 ma ke ʻano he injection hoʻokahi pololei i loko o kou vein, maʻamau i kou lima. E hāʻawi kahi loea mālama ola i hoʻomaʻamaʻa ʻia i kēia lāʻau lapaʻau i loko o kahi haukapila a i ʻole ke kikowaena imaging kūikawā, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻomākaukau ʻana a i ʻole ka hāʻawi ʻana iā ʻoe iho.

Ma mua o kāu ʻinikena, pono ʻoe e lawe i ka potassium iodide a i ʻole kekahi lāʻau lapaʻau e pale ana i ka thyroid e pale i kāu ʻōpū thyroid mai ka iodine radioactive. E kauoha maʻamau kāu kauka i kēia lāʻau lapaʻau e hoʻomaka 1 a 24 mau hola ma mua o kāu scan a hoʻomau no kekahi mau lā ma hope.

Hiki iā ʻoe ke ʻai a inu maʻamau ma mua a ma hope o ka loaʻa ʻana o ka ioflupane I-123. Eia naʻe, hiki i kāu hui mālama ola ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau no ka manawa pōkole, ʻo ia hoʻi nā mea e pili ana i nā pae dopamine, no ka mea hiki iā lākou ke keakea i nā hopena kiʻi. E hahai mau i nā ʻōlelo aʻoaʻo kikoʻī a kāu kauka e pili ana i nā hoʻoponopono lāʻau.

Ma hope o ka ʻinikena, e kali ʻoe i 3 a 6 mau hola ma mua o ka scan kiʻi maoli. I loko o kēia manawa kali, hiki iā ʻoe ke hana i nā hana maʻamau, ʻoiai paha e inu nui i ka wai e kōkua i ka holoi ʻana i ka lāʻau lapaʻau ma kāu ʻōnaehana.

Pehea ka lōʻihi e lawe ai au i ka Ioflupane I-123?

ʻO Ioflupane I-123 kahi hana diagnostic hoʻokahi manawa, ʻaʻole he lapaʻau e hoʻomau nei. E loaʻa iā ʻoe kahi ʻinikena hoʻokahi a ukali ʻia e kahi hālāwai kiʻi hoʻokahi, a hoʻopau kēlā i ke kaʻina holoʻokoʻa.

Haʻalele maoli ka mea radioactive i kou kino i loko o kekahi mau lā ma o kou mimi a me nā neʻe ʻana o ka ʻōpū. E hala ka hapa nui o ka radiation i loko o 24 a 48 mau hola, a e hoʻopau kou kino i nā mea a pau i loko o hoʻokahi pule.

ʻAʻole pono ʻoe e hana hou i nā ʻinikena ke ʻole ke kauoha kāu kauka i kahi scan ʻē aʻe i ka wā e hiki mai ana e nānā i nā loli i kou kūlana. Hiki i kekahi poʻe ke loaʻa nā scans ma hope o nā makahiki ma hope e nānā i ka holomua o ka maʻi, akā ʻaʻole maʻamau kēia a pili loa i kāu kūlana olakino.

He aha nā hopena ʻaoʻao o Ioflupane I-123?

ʻAʻole nui ka poʻe e ʻike i nā hopena ʻaoʻao mai ka ioflupane I-123, a he kakaikahi loa nā hopena koʻikoʻi. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a me ka manawa pōkole, e hoʻoponopono pinepine ana i loko o kekahi mau hola o ka ʻinikena.

Eia nā hopena ʻaoʻao e hiki ke loaʻa iā ʻoe, e hoʻomaka ana me nā mea maʻamau:

• ʻEha poʻo (e pili ana i ka 2-3% o nā kānaka)
• Pōniuniu a i ʻole ka manaʻo māmā
• Nausea a i ʻole ka ʻōpū ʻoluʻolu
• ʻEha pōkole a i ʻole ka hōʻoluʻolu ʻole ma kahi o ka injection
• Manaʻo luhi a i ʻole ka hiamoe
• Vertigo a i ʻole nā pilikia kaulike

ʻO kēia mau hopena ʻaoʻao maʻamau e mae koke a ʻaʻole pono ka lāʻau lapaʻau kūikawā. Hiki i ka inu ʻana i ka wai a me ka hoʻomaha ke kōkua iā ʻoe e ʻoluʻolu.

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā hiki ke komo i nā hopena maʻi e like me ka ʻulaʻula, ka ʻūlū, ka pilikia o ka hanu ʻana, a i ʻole ka pehu ʻana o kou maka, nā lehelehe, a i ʻole ka ʻāʻī. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka lāʻau lapaʻau.

Ke hopohopo nei kekahi poʻe e pili ana i ka ʻike ʻana i ka radiation, akā ua manaʻo ʻia ka nui āu e loaʻa ai he palekana no nā kumu diagnostic. Hoʻohālikelike ʻia ka pae radiation me ka mālama pono e hāʻawi i nā kiʻi maopopo me ka hōʻemi ʻana i nā pilikia.

ʻO wai ka mea ʻaʻole pono e lawe iā Ioflupane I-123?

ʻAʻole kūpono ʻo Ioflupane I-123 no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia kaʻina hana. ʻO ka hopohopo nui e pili ana i ka poʻe i ʻoi aku ka naʻau i ka radiation a i ʻole nā lāʻau lapaʻau i hoʻokumu ʻia i ka iodine.

ʻAʻole pono ʻoe e loaʻa iā ioflupane I-123 inā hāpai ʻoe a i ʻole manaʻo paha ʻoe e hāpai. Hiki i ka mea radioactive ke hōʻeha i kahi pēpē e ulu ana, no laila e pale aku nā kauka i kēia kaʻina hana i ka wā hāpai ke ʻole pono no nā kumu olakino wikiwiki.

Pono nā makuahine e hānai ana i ka umauma i ka noʻonoʻo kūikawā no ka mea hiki i ka iodine radioactive ke hele i loko o ka waiū umauma. Hiki i kāu kauka ke ʻōlelo aku e hoʻōki i ka hānai ʻana i ka umauma no kekahi mau lā ma hope o ka injection e pale ai i kāu pēpē mai ka ʻike ʻana i ka radiation.

ʻO nā kānaka me nā pilikia kīkī nui e pono paha i nā hoʻoponopono ʻana i ka lāʻau a i ʻole nā ʻano hana hoʻāʻo ʻē aʻe, no ka mea, haʻalele ka lāʻau i kou kino ma o kou mau kīkī. E nānā kāu kauka i ka hana o kou kīkī ma mua o ka hoʻomau ʻana me ka scan.

Inā he maʻi ʻoe i ka iodine a i ʻole nā wai kala, e hōʻoia e haʻi i kāu hui mālama ola. ʻOiai he mea maʻamau nā hopena maʻi i ka ioflupane I-123, pono paha nā kānaka me nā ʻike iodine i nā hana kūikawā a i ʻole nā ʻano hana hoʻāʻo ʻē aʻe.

Nā inoa inoa o Ioflupane I-123

ʻO Ioflupane I-123 ka mea i ʻike nui ʻia e ka inoa inoa ʻo DaTscan, i hana ʻia e GE Healthcare. ʻO kēia ka inoa inoa nui i loaʻa ma ka hapa nui o nā ʻāina, me ʻAmelika Hui Pū ʻIa a me ʻEulopa.

Hiki nō hoʻi iā ʻoe ke ʻike ʻia e kona inoa maʻamau, ioflupane I-123 injection, ma nā palapala lapaʻau a i ʻole nā palapala ʻinikua. Hiki i kekahi mau hale mālama ola ke hoʻohana i nā pōkole e like me

Hiki i nā ʻenehana kiʻi lolo ʻē aʻe e like me MRI a i ʻole CT scans ke kāpae i nā pilikia structural e hiki ke hoʻoulu i nā hōʻailona neʻe. ʻOiai ʻaʻole hiki i kēia mau scans ke hōʻike i ka hana dopamine transporter e like me ioflupane I-123, hiki iā lākou ke ʻike i nā maʻi ʻaʻai, nā hahau, a i ʻole nā ​​mea ʻē aʻe o ka lolo e hiki ke wehewehe i kāu mau hōʻailona.

I kekahi mau hihia, hiki i nā kauka ke hoʻohana i kahi ala hoʻokolohua therapeutic, kahi e kauoha ai lākou i nā lāʻau lapaʻau i hoʻohana pinepine ʻia no ka maʻi o Parkinson e ʻike inā e hoʻomaikaʻi ana kāu mau hōʻailona. Hiki i kēia ʻano hana ke hāʻawi i ka ʻike diagnostic, ʻoiai ʻaʻole ia e like me nā haʻawina kiʻi.

Ke hoʻomohala ʻia nei nā ʻenehana kiʻi hou e hoʻohana ana i nā mea radioactive like ʻole, akā ʻo ioflupane I-123 ka mea i loaʻa nui a me ka koho i aʻo maikaʻi ʻia no ka kiʻi dopamine transporter.

ʻOi aku ka maikaʻi o Ioflupane I-123 ma mua o nā ʻano kiʻi lolo ʻē aʻe?

Hāʻawi ʻo Ioflupane I-123 i nā pono kūʻokoʻa no ka ʻike ʻana i nā maʻi neʻe, akā inā he

Eia naʻe, pili pū ka ioflupane I-123 i ka hōʻike ʻana i ka radiation a ʻoi aku ke kumukūʻai ma mua o kekahi mau ala diagnostic ʻē aʻe. E loiloi kāu kauka i kēia mau mea e kūʻē i nā pōmaikaʻi e hiki mai ana i ka wā e hoʻoholo ai inā kūpono kēia hoʻāʻo iā ʻoe.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka Ioflupane I-123

He palekana anei ka Ioflupane I-123 no ka poʻe me ka maʻi puʻuwai?

ʻAe, palekana ka ioflupane I-123 no ka poʻe me ka maʻi puʻuwai. ʻAʻole pili pololei ka lāʻau lapaʻau i kāu hana puʻuwai a i ʻole ke koko, a ua like ke kaʻina hana injection me ka loaʻa ʻana o ke koko a i ʻole ka loaʻa ʻana o nā lāʻau intravenous ʻē aʻe.

Eia naʻe, pono ʻoe e haʻi mau i kāu hui mālama ola e pili ana i nā maʻi puʻuwai āu e loaʻa ai. ʻOiai ʻaʻole pili ka lāʻau lapaʻau me nā pilikia o ka puʻuwai, hiki i kekahi poʻe ke hopohopo e pili ana i nā kaʻina hana lapaʻau, hiki ke hoʻopilikia i ka helu o ka puʻuwai a i ʻole ke koko no ka manawa.

Inā ʻoe e lawe i nā lāʻau lapaʻau puʻuwai, e hoʻomau i ka lawe ʻana iā lākou e like me ke kau ʻana ke ʻole e haʻi pololei kāu kauka iā ʻoe. ʻAʻole pili ka hapa nui o nā lāʻau lapaʻau puʻuwai me ka ioflupane I-123 imaging, a ʻo ka hoʻōki ʻana iā lākou he mea ʻino ma mua o nā pilikia imaging.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Ioflupane I-123?

ʻAʻole hiki ke loaʻa ka overdose o ka ioflupane I-123 no ka mea, helu pono nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia a hāʻawi i ka nui kūpono e pono ai no kāu scan. Hele mai ka lāʻau lapaʻau i nā mea i ana mua ʻia, a pale nā ​​palekana he nui i nā hewa dosing.

Inā hopohopo ʻoe e pili ana i ka loaʻa ʻana o ka nui o ka radiation, e hoʻomanaʻo i nā mea i hoʻohana ʻia no ka diagnostic imaging i hoʻoponopono pono ʻia a manaʻo ʻia he palekana. ʻO ka nui o ka ioflupane I-123 āu e loaʻa ai he mea liʻiliʻi loa ia ma mua o ka mea e hana ai i ka maʻi radiation a i ʻole nā ​​pilikia koʻikoʻi.

Inā loaʻa iā ʻoe nā hōʻailona maʻamau ma hope o kāu injection, e like me ka nausea nui, ke poʻo mau, a i ʻole ka pilikia o ka hanu ʻana, e kelepona koke i kāu mea mālama ola. ʻOi aku ka pili o kēia mau hōʻailona i ka hopena maʻi a i ʻole nā pilikia olakino ʻē aʻe ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau nui.

He aha kaʻu e hana ai inā e hala wau i kaʻu koho Ioflupane I-123 i hoʻonohonoho ʻia?

Inā hala ʻoe i kāu koho i hoʻonohonoho ʻia, e kelepona i ke kikowaena kiʻi a i ʻole ke keʻena o kāu kauka i ka wā hiki loa e hoʻonohonoho hou. Hoʻomākaukau ʻia ka lāʻau lapaʻau no kāu manawa koho, no laila ʻo ka hala ʻana i ke koho ʻana, ʻaʻole e hoʻohana ʻia ka mahele.

ʻAʻole paʻakikī ka hoʻonohonoho hou ʻana, akā pono paha ʻoe e kali i kekahi mau lā a i ʻole mau pule no ka manawa koho e hiki mai ana. Pono ke kikowaena kiʻi i ka manawa e kauoha a hoʻomākaukau i kahi mahele hou o ka lāʻau lapaʻau radioactive no ʻoe.

Inā ua lawe mua ʻoe i ka lāʻau lapaʻau e pale ana i ka thyroid i ka hoʻomākaukau ʻana no ka scan, e nīnau i kāu kauka inā pono ʻoe e hoʻomau i ka lawe ʻana a i ʻole e hooki a hiki i kāu koho i hoʻonohonoho hou ʻia. He mea nui ka manawa o kēia lāʻau lapaʻau no ka pale ʻana i kāu ʻōpū thyroid mai ka iodine radioactive.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka lāʻau lapaʻau e pale ana i ka thyroid?

Hiki iā ʻoe ke hooki i ka lawe ʻana i ka lāʻau lapaʻau e pale ana i ka thyroid 2 a 3 mau lā ma hope o kāu injection ioflupane I-123, akā e hahai i nā ʻōlelo aʻoaʻo a kāu kauka. Aia ka manawa pololei i ka lāʻau lapaʻau thyroid āu e lawe nei a me kou kūlana olakino pilikino.

ʻO ke kumu o kēia lāʻau lapaʻau e pale i kāu ʻōpū thyroid mai ka omo ʻana i ka iodine radioactive mai ka ioflupane I-123. Ke haʻalele ka hapa nui o ka iodine radioactive i kou kino, ʻaʻole pono ka pale thyroid.

Inā poina iā ʻoe e lawe i kahi mahele o ka lāʻau lapaʻau e pale ana i ka thyroid, mai pāpālua i ka mahele aʻe. Akā, e kelepona i kāu mea mālama ola no ke alakaʻi ʻana i ke ʻano e hana ai, ʻoiai inā kokoke kāu koho kiʻi.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Ioflupane I-123?

Hiki i ka hapa nui o nā kānaka ke kalaiwa palekana ma hope o ka loaʻa ʻana o ioflupane I-123, akā e nānā i kou manaʻo ma mua o ka noho ʻana ma hope o ka huila. Loaʻa i kekahi poʻe ka ʻūlū iki a i ʻole ka hiamoe, hiki ke hoʻopilikia i kou hiki ke kalaiwa.

Inā ʻoe e ʻūlū, māmā ke poʻo, a i ʻole e luhi ʻole ma hope o ka injection, e noʻonoʻo e loaʻa i kekahi mea e hoʻokele iā ʻoe i ka home. He maʻalahi a he manawa pōkole kēia mau hopena ʻaoʻao, akā ʻo kou palekana ka mea nui.

E hoʻomanaʻo e pono ʻoe e hoʻi no ka scan imaging 3 a 6 mau hola ma hope o kāu injection. E hoʻolālā i kāu halihali e like me ia, a e noʻonoʻo inā ʻoe e ʻoluʻolu e kalaiwa hou no ka scan a i ʻole inā makemake ʻoe e hele pū kekahi me ʻoe no ke kaʻina holoʻokoʻa.