He aha ka Strontium-89 Chloride: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka strontium-89 chloride he lāʻau lapaʻau radioactive e kōkua ana i ka hōʻemi ʻana i ka ʻeha o ka iwi i ka poʻe me ka maʻi maʻi i hohola i ko lākou mau iwi. He lapaʻau kūikawā ia e hana ana ma ka ʻimi ʻana i nā wahi kahi e ulu ikaika ana nā pūnaewele maʻi maʻi i loko o ka ʻiʻo iwi, e hāʻawi ana i ka lāʻau lapaʻau radiation i nā wahi ʻeha.

No kēia lāʻau lapaʻau i kahi hui i kapa ʻia ʻo radiopharmaceuticals, ʻo ia hoʻi, hui pū ia i kahi mea radioactive me kahi lāʻau lapaʻau e hiki ai i kou kino ke hoʻohana. E noʻonoʻo iā ia he mea hana pololei loa e hiki ke loaʻa a mālama i ka ʻeha o ka iwi kahi i lawa ʻole ai nā lāʻau lapaʻau ʻeha kuʻuna.

No ke aha e hoʻohana ʻia ai ka Strontium-89 Chloride?

Hoʻohana nui ʻia ka strontium-89 chloride e mālama i ka ʻeha o ka iwi i hoʻokumu ʻia e ka maʻi maʻi i hohola mai nā wahi ʻē aʻe o ke kino i nā iwi. Kapa ʻia kēia ʻano maʻi maʻi i ka metastasis iwi, a hiki ke hoʻoulu i ka ʻeha nui a mau loa e pili nui ana i kou maikaʻi o ke ola.

Hoʻonohonoho pinepine ʻia ka lāʻau lapaʻau no ka poʻe me ka maʻi maʻi prostate, ka maʻi maʻi umauma, a i ʻole ka maʻi maʻi māmā i neʻe i nā iwi. He mea kōkua nui ia ke loaʻa iā ʻoe nā wahi ʻeha iwi he nui, no ka mea hiki iā ia ke mālama i nā wahi ʻeha he nui i ka manawa hoʻokahi ma kou kino.

Hiki i kāu kauka ke noʻonoʻo i kēia lapaʻau inā ʻaʻole e hāʻawi ana nā lāʻau lapaʻau ʻeha kuʻuna i ka hoʻomaha lawa, a i ʻole inā makemake ʻoe e hōʻemi i kou hilinaʻi ʻana i nā lāʻau lapaʻau ʻeha ikaika e like me nā opioids. ʻAʻole ia he lāʻau lapaʻau no ka maʻi maʻi, akā hiki iā ia ke hoʻomaikaʻi nui i kou hōʻoluʻolu a me ka hana i kēlā me kēia lā.

Pehea e hana ai ka Strontium-89 Chloride?

Hana ka strontium-89 chloride ma ka hoʻohālike ʻana i ka calcium i loko o kou kino, no ka mea, ua like ka strontium me ka calcium. Ke hoʻokomo ʻia i loko o kou kahe koko, hele maoli ia i nā wahi o kou mau iwi kahi i hoʻonui ʻia ai ka hana, ʻo ia ka mea maʻamau kahi e ulu ana nā pūnaewele maʻi maʻi.

I ka wā e hiki ai i kēia mau wahi iwi ikaika, hoʻokuʻu ka strontium-89 i ka radiation i kuhikuhi ʻia e hōʻino i nā sela maʻi e hoʻoulu ana i kou ʻeha. He wahi pōkole loa kēia radiation, no laila, pili nui ia i nā wahi pilikia me ka hōʻino ʻole ʻana i nā ʻiʻo olakino kokoke.

He hana mālie a mālie. Hiki paha iā ʻoe ke hoʻomaka e ʻike i ka hoʻomaha ʻana o ka ʻeha i loko o 1-2 mau pule, me ka pōmaikaʻi nui e hiki mai ana ma kahi o 3-4 mau pule ma hope o ka mālama ʻana. Manaʻo ʻia he koho lapaʻau ikaika e hiki ke hāʻawi i ka hoʻomaha no nā mahina he nui.

Pehea e lawe ai au i ka Strontium-89 Chloride?

Hāʻawi ʻia ka strontium-89 chloride ma ke ʻano he injection hoʻokahi i loko o ke aʻa, maʻamau i kou lima, e kekahi limahana mālama ola i loko o ka haukapila a i ʻole ke keʻena loea. ʻAʻole ʻoe e lawe i kēia lāʻau ma ka home, a hāʻawi ʻia ma ke ʻano he lapaʻau hoʻokahi, ʻoiai paha e loaʻa i kekahi poʻe ke kau ʻelua ma hope o kekahi mau mahina.

Ma mua o kāu injection, ʻaʻole pono ʻoe e hoʻokē ʻai a pale paha i ka ʻai ʻana. Eia naʻe, hiki i kāu kauka ke ʻōlelo aku e noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui ma mua a ma hope o ka lapaʻau ʻana. Kōkua kēia i kou mau puʻupaʻa e hana pono i ka lāʻau.

He mau minuke wale nō ka injection, akā e hoʻolilo paha ʻoe i kekahi manawa ma ke keʻena lapaʻau no ka hoʻomākaukau a me ka nānā ʻana. E wehewehe kāu hui mālama ola i nā ʻōlelo kikoʻī e pili ana i kou kūlana.

Pehea ka lōʻihi e lawe ai au i ka Strontium-89 Chloride?

Hāʻawi ʻia ka strontium-89 chloride ma ke ʻano he lapaʻau hoʻokahi ma mua o ka lāʻau lapaʻau e hoʻomau nei. Loaʻa i ka hapa nui o nā kānaka hoʻokahi injection, a hiki ke mau nā hopena no nā mahina he nui, pinepine 3-6 mau mahina a i ʻole ka lōʻihi.

Inā hoʻi mai kou ʻeha iwi ma hope o ka pau ʻana o ka lapaʻau mua, hiki i kāu kauka ke noʻonoʻo e hāʻawi iā ʻoe i ka injection ʻelua. Eia naʻe, aia maʻamau kahi manawa kali o 90 mau lā ma waena o nā lapaʻau e hiki ai i kou kino ke ola, ʻoiai ʻo kāu helu koko.

E nānā kāu kauka i ka maikaʻi o ka hana ʻana o ka lapaʻau ma o nā hālāwai ukali maʻamau. E loiloi lākou i kou pae ʻeha, e nānā i kāu helu koko, a e hoʻoholo inā a i ka manawa e pōmaikaʻi ai ʻoe mai ka lapaʻau hou.

He aha nā hopena ʻaoʻao o Strontium-89 Chloride?

E like me nā lāʻau lapaʻau a pau, hiki i ka strontium-89 chloride ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka wā e hoʻokaʻaʻike aku ai i kāu hui mālama ola.

ʻO nā hopena ʻaoʻao maʻamau e pili ana i nā loli manawa i kāu helu koko, no ka mea, hiki i ka radiation ke hoʻopilikia i kou iwi iwi kahi e hana ʻia ai nā cell koko. Eia nā hopena āu e ʻike ai:

• Hoʻonui manawa i ka ʻeha iwi - Hiki ke hana i kēia i nā lā mua ma hope o ka lapaʻau ʻana i ka wā e pane ai kou kino i ka lāʻau lapaʻau
• Luhi a me ka nāwaliwali - Hiki paha iā ʻoe ke piʻi i ka luhi ma mua o ka maʻamau no kekahi mau pule
• Hoʻonui i ka pilikia o ka maʻi - Hiki ke emi kāu helu keʻokeʻo koko, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi
• Maʻalahi ka ʻeha a i ʻole ke kahe ʻana - Hiki ke emi kāu helu platelet, e pili ana i ka hiki o kou koko ke clot
• Nausea - ʻIke kekahi poʻe i ka ʻōpū ʻoluʻolu

He manawa pōkole kēia mau hopena a hoʻomaikaʻi mālie i ka wā e ola ai kou kino. E nānā kāu hui mālama ola i kāu helu koko i nā manawa maʻamau e hōʻoia i ka hoʻi ʻana i nā pae palekana.

ʻO nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi hiki ke komo i ka hāʻule nui ʻana o nā helu cell koko e koi ai i ka hana lapaʻau. Eia kekahi, no ka mea he lāʻau radioactive kēia, aia nā hana mālama kūikawā e pili ana i ka ʻike ʻana i ka radiation e kūkākūkā ai kāu hui lapaʻau me ʻoe.

ʻO wai ka mea ʻaʻole pono e lawe i ka Strontium-89 Chloride?

ʻAʻole kūpono ka strontium-89 chloride no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia nāu. Pono kēia lāʻau i ka hana maikaʻi o ka iwi iwi a me nā helu koko kūpono e hoʻohana palekana ʻia.

ʻAʻole pono ʻoe e loaʻa i kēia lapaʻau inā he haʻahaʻa loa kāu helu koko, no ka mea, hiki i ka lāʻau ke hoʻemi hou i kēia mau pae. E nānā kāu kauka i kāu helu koko piha ma mua o ka noʻonoʻo ʻana i kēia lapaʻau.

ʻAʻole hoʻi i ʻōlelo ʻia kēia lāʻau inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, no ka mea, hiki i ka radiation ke hōʻino i kahi pēpē e ulu ana. Pono nā wahine o ka makahiki hānau ke hoʻohana i ka contraception kūpono a kūkākūkā i ka hoʻolālā ʻohana me kā lākou mea mālama ola.

ʻAʻole paha he moho maikaʻi nā kānaka me kekahi mau pilikia o ka puʻupaʻa, no ka mea, ua hana ʻia ka lāʻau ma nā puʻupaʻa. E loiloi kāu kauka i kāu hana puʻupaʻa ma mua o ka lapaʻau.

Nā inoa inoa o Strontium-89 Chloride

Loaʻa ka strontium-89 chloride ma lalo o ka inoa inoa Metastron. ʻO kēia ka hoʻohuihui i hoʻohana nui ʻia o kēia lāʻau i ka hana lapaʻau.

No ka mea he radiopharmaceutical kūikawā kēia, loaʻa wale nō ia ma o nā keʻena lapaʻau kūikawā i laikini ʻia e mālama i nā mea radioactive. ʻAʻole ʻoe e ʻike i kēia lāʻau ma nā hale kūʻai lāʻau lapaʻau maʻamau.

Nā koho ʻē aʻe o Strontium-89 Chloride

Inā ʻaʻole kūpono ka strontium-89 chloride nāu, aia nā koho lapaʻau ʻē aʻe no ka ʻeha iwi i hana ʻia e ka maʻi kanesa. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kēia mau koho ʻē aʻe e pili ana i kāu kūlana.

ʻO nā radiopharmaceuticals ʻē aʻe e komo pū ana me ka radium-223 (Xofigo), e hana like ana akā ua ʻae ʻia no ka maʻi kanesa prostate i laha i nā iwi. ʻO Samarium-153 (Quadramet) kekahi koho e hana ana ma ke kumu like me ka strontium-89.

ʻO nā koho ʻē aʻe ʻaʻole radioactive e komo pū ana me nā bisphosphonates e like me ka waikawa zoledronic, hiki ke kōkua i ka hoʻoikaika ʻana i nā iwi a me ka hōʻemi ʻana i ka ʻeha. Hiki i ka lāʻau lapaʻau radiation beam waho ke kuhikuhi i nā wahi ʻeha kikoʻī, a hiki i nā ʻano hana hoʻokele ʻeha e komo pū ana me nā lāʻau lapaʻau a me ka mālama kākoʻo ke hāʻawi i ke kōkua.

Ua ʻoi aku ka maikaʻi o ka Strontium-89 Chloride ma mua o ka Radium-223?

He mau lapaʻau maikaʻi ʻo Strontium-89 chloride a me radium-223 no ka ʻeha iwi mai ka maʻi ʻaʻai, akā hana lākou i nā mea like ʻole a hoʻohana ʻia i nā kūlana like ʻole. ʻO ke koho ma waena o lākou e hilinaʻi ana i kāu ʻano maʻi ʻaʻai a me ke olakino holoʻokoʻa.

Ua ʻae ʻia ʻo Radium-223 no ka maʻi ʻaʻai prostate i laha i nā iwi a hiki ke kōkua i nā kānaka e ola lōʻihi, ʻoiai ʻo strontium-89 ka mea nui i ka hōʻoluʻolu ʻeha a hiki ke hoʻohana ʻia no nā ʻano maʻi ʻaʻai like ʻole i laha i nā iwi.

Hāʻawi ʻia ʻo Strontium-89 ma ke ʻano he injection hoʻokahi, ʻoiai hāʻawi ʻia ʻo radium-223 ma ke ʻano he pūʻulu o ʻeono injections i loko o kekahi mau mahina. E noʻonoʻo kāu oncologist i nā mea e like me kāu ʻano maʻi ʻaʻai, ka nui o ke komo ʻana o ka iwi, nā helu koko, a me ke olakino holoʻokoʻa i ka wā e ʻōlelo ai i ke koho maikaʻi loa no ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Strontium-89 Chloride

Ua palekana anei ka Strontium-89 Chloride no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ka Strontium-89 chloride i ka poʻe me ka maʻi puʻuwai, no ka mea, ʻaʻole ia e pili pono i ka hana o ka puʻuwai. Eia naʻe, e noʻonoʻo kāu kauka i kou kūlana olakino holoʻokoʻa, me nā maʻi puʻuwai, i ka wā e hoʻoholo ai inā kūpono kēia lapaʻau iā ʻoe.

ʻO nā mea nui e noʻonoʻo ai, ʻo ia ka hōʻoia ʻana hiki iā ʻoe ke ʻae i nā hopena ʻaoʻao a hiki i kou kino ke mālama i ke koʻikoʻi manawa o ka lapaʻau. E hana pū kāu cardiologist a me ka oncologist e hōʻoia i ka palekana o ka hoʻolālā lapaʻau no kāu kūlana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Strontium-89 Chloride?

Mai ka strontium-89 chloride e hāʻawi ʻia e nā poʻe loea mālama ola i nā wahi lapaʻau i mālama ʻia, ʻaʻole hiki ke loaʻa ka overdose. Hoʻohālikelike ʻia ka lāʻau lapaʻau ma muli o kou kaumaha kino a me ke kūlana olakino, a hāʻawi ʻia e nā poʻe loea i aʻo ʻia.

Inā he hopohopo kāu e pili ana i kāu lapaʻau a i ʻole e ʻike i nā hōʻailona i manaʻo ʻole ʻia ma hope o ka loaʻa ʻana o ka injection, e hoʻokaʻaʻike koke i kāu mea mālama ola. Hiki iā lākou ke loiloi i kāu mau hōʻailona a hāʻawi i ka mālama kūpono inā pono.

He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o Strontium-89 Chloride?

ʻAʻole pili pinepine kēia nīnau i ka strontium-89 chloride no ka mea e hāʻawi ʻia ma ke ʻano he injection hoʻokahi i loko o kahi keʻena lapaʻau. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma kahi papa manawa maʻamau e like me nā pila i kēlā me kēia lā.

Inā e poina iā ʻoe kahi manawa i hoʻonohonoho ʻia no kāu injection, e hoʻokaʻaʻike i ke keʻena o kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. ʻO ka manawa o kēia lapaʻau he maʻalahi maʻamau i loko o ke kumu, no laila ʻo ka poina ʻana i kahi manawa e hana maʻamau ʻaʻole ia e hana i nā pilikia koʻikoʻi.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Strontium-89 Chloride?

Mai ka strontium-89 chloride e hāʻawi ʻia ma ke ʻano he injection hoʻokahi, ʻaʻohe lāʻau lapaʻau e hoʻomau e hooki. E emi mālie ana ka mea radioactive i loko o kou kino i ka manawa ma o ka palaho maoli a me ka hoʻopau ʻana.

Hoʻopau ʻia ka hapa nui o ka radiation mai kou kino i loko o kekahi mau pule a i ʻole mau mahina ma hope o ka lapaʻau. E nānā kāu kauka i kāu pane ʻana i ka lapaʻau a e hoʻoholo inā pono ʻoe i nā injections hou i ka wā e hiki mai ana ma muli o kou pae ʻeha a me ke kūlana holoʻokoʻa.

Aia kekahi mau hana kūikawā e pono ai iaʻu e hana ma hope o ka lapaʻau?

ʻAe, no ka mea, he radioactive ka strontium-89 chloride, pono ʻoe e hahai i nā hana kūikawā no kekahi manawa ma hope o ka lapaʻau ʻana e pale aku i nā poʻe ʻē aʻe mai ka ʻike ʻana i ka radiation pono ʻole. E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī i hoʻopili ʻia i kou kūlana.

Ma keʻano maʻamau, pono ʻoe e kaupalena i ka pilina pili me nā wahine hāpai a me nā keiki ʻōpio no kahi o ʻelua pule ma hope o ka lapaʻau ʻana. E loaʻa nō hoʻi iā ʻoe ke alakaʻi e pili ana i nā hana maʻemaʻe kūpono, ʻoiai e pili ana i ka hoʻohana ʻana i ka lumi lua, no ka mea, ua hoʻopau ʻia ka lāʻau lapaʻau ma o ka mimi a me ka ʻōpala. He mea manawa wale nō kēia mau hana e mālama ai a lilo i mea ʻole ke emi ka radiation i ka wā.