He aha ka Choline C-11 PET Scan? Ke Kumu, nā Pae/Kaʻina Hana & nā Hōʻike

ʻO ka choline C-11 PET scan he hoʻokolohua kiʻi kūikawā e kōkua ana i nā kauka e ʻike pehea e hoʻohana ai kou mau keena i ka choline, he meaʻai e ʻai pinepine ai nā keena maʻi maʻi i nā mea nui. Hoʻohui kēia scan i kahi mea liʻiliʻi o ka choline radioactive me ka ʻenehana kiʻi kiʻekiʻe e hana i nā kiʻi kikoʻī o ka mea e hana nei i loko o kou kino.

E noʻonoʻo e like me ke ala e nānā ai nā kauka i kāu mau keena e

Kōkua ka scan i ka pane ʻana i nā nīnau nui e pili ana i ka laha ʻana o ka maʻi ʻaʻai a me ka pono o ka lapaʻau. Hiki i kāu kauka ke ʻōlelo aku iā ia inā ua loaʻa iā ʻoe ka lapaʻau maʻi ʻaʻai prostate akā hōʻike nā pae PSA i ka hiki ke hoʻi mai ka maʻi ʻaʻai.

Ma waho aʻe o ka maʻi ʻaʻai prostate, hiki i kēia scan ke kōkua i ka loiloi ʻana i nā ʻano maʻi ʻaʻai ʻē aʻe, ʻo ia hoʻi nā mea e pili ana i ke ake a i ʻole ka lolo. Eia naʻe, ʻo ka maʻi ʻaʻai prostate ka mea maʻamau a me ka hoʻohana maikaʻi ʻia i ka hana lapaʻau.

He aha ke kaʻina hana no ka choline C-11 PET scan?

Hoʻomaka ke kaʻina hana me ka hoʻokomo ʻana o ka choline C-11 ma o kahi laina IV liʻiliʻi, maʻamau i kou lima. E loaʻa iā ʻoe kēia injection i ka wā e moe ana ʻoe me ka ʻoluʻolu ma ka papa scanning, a ua like ke kaʻina hana me nā huki koko maʻamau.

Ma hope o ka injection, e kali ʻoe ma kahi o 5-10 mau minuke no ka choline e hele i loko o kou kino a hōʻiliʻili i nā wahi o ka hana cellular kiʻekiʻe. I kēia manawa kali, pono ʻoe e moe mālie a pale i ke kamaʻilio ʻana a i ʻole ka neʻe ʻana me ka pono ʻole.

ʻO ka scanning maoli e lawe ma kahi o 20-30 mau minuke, i ka wā e moe ai ʻoe ma kahi papa e neʻe mālie ana ma o ka scanner PET. Ua like ke ʻano o ka scanner me ka donut nui, a e lohe ʻoe i kekahi mau leo ​​mechanical i ka wā e hopu ai i nā kiʻi o kou kino.

I loko o ke kaʻina hana, hiki iā ʻoe ke kamaʻilio me ka ʻenehana ma o kahi ʻōnaehana intercom. Lawe ka manawa holoʻokoʻa ma kahi o 1-2 mau hola mai ka hoʻomaka ʻana a hiki i ka hopena, me ka hoʻomākaukau a me ka manawa kiʻi.

Pehea e hoʻomākaukau ai no kāu choline C-11 PET scan?

He maʻalahi ka hoʻomākaukau ʻana no kēia scan i hoʻohālikelike ʻia me nā kaʻina hana lapaʻau ʻē aʻe. Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o kāu manawa, a ʻaʻole pono ʻoe e hoʻokē ʻai a i ʻole e hahai i nā kapu meaʻai kūikawā.

Pono ʻoe e hoʻomau i ka lawe ʻana i kāu mau lāʻau maʻamau ke ʻole e ʻōlelo ʻē kāu kauka iā ʻoe. He mea kōkua ke komo ʻana i nā lole ʻoluʻolu, ʻaʻole paʻa me ka ʻole o nā mea hao, nā pihi, a i ʻole nā mea nani e hoʻopilikia ai i ke kiʻi.

E hōʻike i kāu hui lapaʻau inā he hopohopo kāu e pili ana i nā wahi i hoʻopaʻa ʻia, no ka mea, hopohopo kekahi poʻe i loko o ka scanner. Inā manaʻo ʻoe e pono ana ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha, e kūkākūkā i kēia me kāu kauka ma mua.

E hōʻea i kekahi mau minuke ma mua e hoʻopau i nā palapala e pono ai a nīnau i nā nīnau. E wehewehe hou nā limahana i ke kaʻina hana a pane i nā hopohopo hope loa āu e loaʻa ai.

Pehea e heluhelu ai i kāu scan choline C-11 PET?

E hōʻike ana nā hopena o kāu scan i nā wahi o kou kino kahi i hōʻiliʻili ai ka choline, e ʻike ʻia ana he mau wahi ʻālohilohi a i ʻole

I ka loaʻa ʻana o ka maʻi kanesa prostate, ʻoiai inā he ʻino a i ʻole ua laha ma waho o ka ʻōpū prostate, e hoʻonui ana i ka hiki ke loaʻa nā hopena scan maʻamau ʻole. ʻO nā kāne me nā pae PSA e piʻi ana ma hope o ka mālama ʻana i ka maʻi kanesa prostate e ʻoi aku ka nui o ka loaʻa ʻana o nā hopena maikaʻi.

Hiki ke hoʻopilikia ʻia nā hopena scan e nā mea he nui ʻaʻole pili i ka maʻi kanesa. Hiki i nā maʻi hou, ka mumū, a i ʻole nā ​​maʻi ʻē aʻe ke hoʻonui i ka lawe ʻana i ka choline i nā wahi i hoʻopilikia ʻia.

Eia nā mea nui e hiki ke hoʻopilikia i nā hopena scan:

• Ka mālama ʻana i ka maʻi kanesa i kēia manawa a i ʻole i kēia manawa e pili ana i ka metabolism cellular
• Nā maʻi hana a i ʻole nā ​​maʻi mumū
• Nā hana ʻokiʻoki a i ʻole nā ​​biopsies i hala
• Nā lāʻau lapaʻau e pili ana i ka hana cellular
• Nā maʻi ʻē aʻe e pili ana i ka prostate a i ʻole nā ​​wahi a puni

E noʻonoʻo kāu kauka i kēia mau mea i ka wā e wehewehe ai i kāu mau hopena a hiki ke ʻōlelo aku i nā hoʻokolohua hou inā pono e wehewehe i nā hopena.

He aha nā pilikia hiki ke loaʻa i ka choline C-11 PET scan?

He palekana loa ka choline C-11 PET scan, me ka liʻiliʻi o ka pilikia o nā pilikia. He haʻahaʻa ka nui o ka radiation exposure a like me ka mea āu e loaʻa ai mai nā hoʻokolohua kiʻi lapaʻau ʻē aʻe.

Hoʻopau koke ka choline radioactive i kou kino, maʻamau i loko o kekahi mau hola. ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao mai ka injection a i ʻole ka scan ponoʻī.

ʻO nā pilikia liʻiliʻi e hiki ke loaʻa:

• ʻO ka ʻoluʻolu māmā a i ʻole ka ʻeha ma ka wahi injection
• Nā hopena maʻi i ka radioactive tracer (ʻaʻole loa)
• Hopohopo a i ʻole claustrophobia i ka wā o ka scan
• I kekahi manawa, ka maʻi ma ka wahi injection

Ua manaʻo ʻia ka hōʻike ʻana i ka radiation mai kēia scan he palekana no ka hapa nui o nā kānaka a ʻaʻole pono e mālama kūikawā ma hope. Eia naʻe, pono nā wāhine hāpai e pale i kēia hoʻokolohua, a pono paha nā makuahine e hānai ana i ka waiū e pauma a hoʻolei i ka waiū umauma no ka manawa pōkole.

I ka manawa hea e ʻike ai au i ke kauka no nā hopena scan choline C-11 PET?

Pono ʻoe e kūkākūkā i kāu mau hopena me kāu kauka i ka wā e loaʻa ai, maʻamau i loko o kekahi mau lā a i hoʻokahi pule ma hope o kāu scan. E hoʻonohonoho kāu kauka i kahi manawa e nānā hou i nā mea i loaʻa a kūkākūkā i nā hana e hiki mai ana.

Inā hōʻike kāu scan i nā wahi e hopohopo ai, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua a i ʻole nā ​​lapaʻau hou. ʻAʻole kēia manaʻo he maʻi ʻaʻai kou - hiki i nā kūlana ʻē aʻe ke hana i nā mea like, a e kōkua kāu kauka e hoʻoholo i ka mea e pono ai.

E hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona maʻamau ma hope o ka scan, e like me ka ʻeha mau ma kahi o ka injection, nā hōʻailona o ka maʻi, a i ʻole nā ​​hopohopo ʻē aʻe. ʻOiai he kakaikahi nā pilikia, ʻoi aku ka maikaʻi o ka nānā ʻana me kāu hui lapaʻau.

E kōkua nō hoʻi kāu kauka iā ʻoe e hoʻomaopopo i ke ʻano o kēia mau hopena i kāu hoʻolālā lapaʻau holoʻokoʻa a me ke ʻano o lākou no kou olakino lōʻihi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka scan choline C-11 PET

Q.1 He maikaʻi anei ka scan choline C-11 PET no ka ʻike ʻana i ka maʻi maʻi prostate?

ʻAe, maikaʻi loa nā scan choline C-11 PET no ka ʻike ʻana i ka maʻi maʻi prostate, ʻoi loa i ka wā i laha ai ka maʻi a i ʻole i hoʻi mai ma hope o ka lapaʻau. Hiki i kēia scan ke loaʻa i ka maʻi maʻi ʻaʻole i ʻike maopopo ʻia ma nā hoʻokolohua kiʻi ʻē aʻe.

He mea pono loa ka scan i ka wā e piʻi ana kāu mau pae PSA akā ʻaʻole i loaʻa i nā hoʻokolohua ʻē aʻe ke kumu o ka pilikia. Hiki iā ia ke ʻike i ka maʻi maʻi i loko o nā lymph nodes, nā iwi, a me nā wahi ʻē aʻe kahi e laha ai ka maʻi maʻi prostate.

Q.2 ʻO ka lawe ʻana i ka choline kiʻekiʻe ke manaʻo mau nei i ka maʻi maʻi?

ʻAʻole, ʻaʻole e hōʻike mau ka lawe ʻana i ka choline kiʻekiʻe i ka maʻi maʻi. Nui nā maʻi maʻi maʻi e hiki ke hoʻonui i ka lawe ʻana i ka choline, me nā maʻi, nā mumū, a me nā hana ʻokiʻoki hou.

E noʻonoʻo kāu kauka i kāu mōʻaukala olakino, nā hopena hoʻokolohua ʻē aʻe, a me ke ʻano o ka lawe ʻana i ka choline e hoʻoholo ai i ke ʻano o nā mea i loaʻa. Pono paha nā hoʻokolohua hou e wehewehe i nā wahi e hopohopo ai.

Q.3 Pehea ka lōʻihi o ka noho ʻana o ka choline radioactive i loko o koʻu kino?

He pōkole ka hapalua o ke ola o ka choline radioactive a ua wāwahi koke ʻia i loko o kou kino. Ua hala ka hapa nui o ka radioactivity i loko o kekahi mau hola, a ua nalowale kokoke i nā mea a pau i loko o 24 mau hola.

ʻAʻole pono ʻoe e hana i nā hana kūikawā ma hope o ka scan, a hiki iā ʻoe ke hoʻomau i nā hana maʻamau i kēia manawa. Ua manaʻo ʻia ka liʻiliʻi o ka radiation i palekana no ka hapa nui o nā kānaka.

Q.4 Hiki iaʻu ke loaʻa kēia scan inā he pilikia koʻu puʻupaʻa?

Hiki i ka hapa nui o nā kānaka me nā pilikia puʻupaʻa ke loaʻa palekana i ka choline C-11 PET scan, no ka mea, ua hana ʻia ka mea huli radioactive ma ke ʻano ʻokoʻa ma mua o nā mea ʻokoʻa i hoʻohana ʻia i nā scans ʻē aʻe. Eia naʻe, pono ʻoe e haʻi mau i kāu kauka e pili ana i nā pilikia puʻupaʻa.

E noʻonoʻo kāu kauka i kāu hana puʻupaʻa a me ke olakino holoʻokoʻa i ka wā e hoʻoholo ai inā kūpono kēia scan iā ʻoe. Hiki iā lākou ke ʻōlelo aku i nā hoʻololi i ke kaʻina hana a i ʻole nā koho kiʻi ʻē aʻe inā pono.

Q.5 Pehea ka pololei o ka choline C-11 PET scan?

He maikaʻi loa ka pololei o nā scans choline C-11 PET no ka ʻike ʻana i ka maʻi maʻi prostate, ʻoi aku hoʻi no ka ʻike ʻana i ka maʻi maʻi i laha ma waho o ka prostate. Hōʻike nā haʻawina i nā helu pololei o 80-90% no ka ʻike ʻana i ka maʻi maʻi.

E like me nā hoʻokolohua lapaʻau a pau, ʻaʻole 100% kūpono kēia scan a hiki ke hala i nā wahi liʻiliʻi o ka maʻi maʻi a i ʻole e hōʻike i nā hopena maikaʻi ʻole. E hoʻohana kāu kauka i kēia mau hopena me nā ʻike ʻē aʻe e hana i ka hōʻailona pololei loa.