Chii chinonzi Fludeoxyglucose F-18: Zvinoshandiswa, Mishonga, Migumisiro uye Zvimwe

Fludeoxyglucose F-18 is a special radioactive sugar solution inobatsira vanachiremba kuona kuti muviri wako unoshandisa sei simba. Inojekeswa mutsinga yako yeropa uye inofamba nemuviri wako kuti iratidze nzvimbo dzemasero ari kushanda zvakanyanya kupfuura zvakajairika, izvo zvinogona kubatsira kuona kenza, matambudziko emoyo, kana matambudziko ehuropi.

Mumiririri uyu wekufungidzira anoita semupurisa wekurapa, achivhenekera masero anoshanda pane scans dzakakosha dzinonzi PET scans. Funga nezvazvo sechinhu chakachengeteka, chechinguvana chinobatsira timu yako yekurapa kuwana mufananidzo wakajeka wezviri kuitika mukati memuviri wako.

Chii chinonzi Fludeoxyglucose F-18?

Fludeoxyglucose F-18 imhando yeradioactive yeglucose (shuga) iyo muviri wako unotora semashuga akajairika. Musiyano mukuru ndewekuti ine fluorine-18 shoma, iyo inoita kuti ionekwe pamidziyo yekufungidzira.

Masero ako anowanzo tora shuga iyi yakagadziridzwa pavanoda simba. Masero ekenza, matishu anopisa, uye nzvimbo dzehuropi dzinoshanda dzinowanzo tora zvakawanda nekuti dziri kushanda zvakanyanya kupfuura masero akajairika. Izvi zvinogadzira nzvimbo dzakajeka pane scan iyo inobatsira vanachiremba kuziva nzvimbo dzematambudziko.

Chikamu cheradioactive chinonzwika chinotyisa, asi chiri kuchengeteka chaizvo. Huwandu hwemwaranzi hudiki uye hunobuda mumuviri wako zvakasikwa mukati meawa kuburikidza nemumwe wako uye mweya.

Chii chinonzi Fludeoxyglucose F-18 chinoshandiswa?

Vanachiremba vanoshandisa mumiririri uyu wekufungidzira kunyanya kuona nekutarisa kenza mumuviri wako wese. Inonyanya kushanda pakuwana bundu rinogona kunge riri diki zvakanyanya kuti rionekwe pane zvakajairika CT scans kana X-rays.

Kupfuura kuona kenza, inobatsira kuongorora mamiriro akati wandei akakosha anokanganisa hupenyu hwako hwezuva nezuva:

• Zvirwere zve mwoyo - kuratidza kuti chikamu chipi chemhasuru yemwoyo wako chiri kuwana ropa rakakwana
• Zvirwere zvehuropi zvakaita sechirwere cheAlzheimer, pfari, kana dementia
• Zvirwere zvakaoma kuwana nemamwe maedzo
• Mamiriro ekuzvimba anokanganisa nhengo kana matishu
• Kutarisa kuti kurapwa kwekenza kuri kushanda sei

Chiremba wako anogona zvakare kukurudzira iyi scan kana uine zviratidzo zvisingatsanangurike zvinoratidza mamiriro akakomba. Zvakafanana nekuva nemepu yakazara yehutano inoratidza maitiro emuviri wako.

Fludeoxyglucose F-18 Inoshanda Sei?

Izvi zvinoonekwa sechishandiso chinyoro asi chine simba chekuongorora chinotsanzira metabolism yeshuga yemuviri wako. Paanenge achijowa, anoenda neropa rako uye anotorwa nemaseru anoda simba.

Maitiro acho anoitika mumatanho matatu akareruka. Chekutanga, maseru ako anotora shuga yeradioactive sezvavanogona glucose yakajairika. Zvadaro, fluorine-18 inoburitsa zvidiki zvidiki zvinonzi positrons izvo scanner yePET inogona kuona. Pakupedzisira, scanner inogadzira mifananidzo yakadzama inoratidza kwakawunganidzwa shuga mumuviri wako.

Nzvimbo dzine shuga yakawanda inoita seyakatsetseka pa scan. Maseru ekenza, semuenzaniso, anowanzo shandisa shuga yakawanda kupfuura maseru akajairika, saka anoonekwa semavara akajeka. Izvi zvinobatsira vanachiremba kusiyanisa pakati petishu ine hutano uye isina kujairika nekunyatsoita.

Ndingatora Sei Fludeoxyglucose F-18?

Hauchanyatso "tora" mushonga uyu semupiritsi kana mushonga wemvura. Pane kudaro, nyanzvi yemishonga yenyukireya ichaijowa zvakananga mutsinga muruoko rwako kuburikidza netsono diki.

Kugadzirira jekiseni rako kunoda mamwe matanho chaiwo kuti uve nechokwadi chekuwana mhedzisiro yakanaka. Unozofanira kutsanya kwemaawa angangoita 4-6 usati waenda, uchingonwa mvura chete panguva iyi. Izvi zvinobatsira muviri wako kutora shuga yeradioactive zvakanyanya.

Hezvino zvaunofanira kutarisira pazuva re scan yako:

1. Svika wakapfeka mbatya dzakasununguka, dzisina zvinhu zvesimbi
2. Bvisa zvishongo, mabasa emazino, kana chero chinhu chine simbi
3. Gamuchira jekiseni wakagara zvakanaka pachigaro chakanaka
4. Zorora kwemaminitsi anenge 45-60 kuti tracer ipararire mumuviri mako
5. Pinda muchokwadi PET scan, iyo inotora maminitsi 20-30

Nguva yekumirira mushure mejekiseni yakakosha nekuti inobvumira shuga yeradioactive kusvika kumativi ese emuviri wako. Munguva iyi, uchakumbirwa kuti ugare wakanyarara uye usaita basa remuviri kudzivirira muscle uptake ye tracer.

Ndingatora Fludeoxyglucose F-18 kwenguva yakareba sei?

Iri harisi mushonga waunotora kakawanda semapiritsi ezuva nezuva. Unogamuchira jekiseni rimwe chete kune yega yega PET scan chiremba wako anoraira, iyo inogona kuva kamwe, kaviri, kana kakawanda zvichienderana nemamiriro ako chaiwo ekurapa.

Shuga yeradioactive inobva mumuviri mako zvakasikwa mukati meawa makumi maviri nemana mushure mejekiseni. Yakawanda inonyangarika kuburikidza neweti yako mukati meawa matanhatu ekutanga, iine zvishoma zvichibviswa kuburikidza nekufema kwako uye kufamba kwematumbo.

Kana iwe uchida ma scans ekutevera kuti utarise kufambira mberi kwekurapa kana kutarisa kudzoka kwekenza, izvi zvinowanzoitwa mavhiki kana mwedzi akaparadzana. Chiremba wako achasarudza nguva yakakodzera zvichienderana nezvido zvako zvekurapa uye mamiriro ari kuongororwa.

Ndezvipi Zvakaipa zveFludeoxyglucose F-18?

Vanhu vazhinji havawanzove nemigumisiro kubva kumushonga uyu wekuongorora. Jekiseni rinonzwa kufanana nekudhirowa kweropa kana IV kuisa, nekusagadzikana kudiki panzvimbo yejekiseni.

Mhinduro dzakajairika, kana dzikaitika, dzinowanzoita nyoro uye dzenguva pfupi:

• Kurwadziwa kudiki kana kupwanya panzvimbo yakaiswa tsono
• Kuneta kudiki mumaawa mushure me scan
• Kuravira kwesimbi kwenguva pfupi mumuromo mako
• Kunzwa kudziya zvishoma kana kuita flush pakarepo mushure mejekiseni

Zviratidzo izvi zvinowanzoenda mukati memaawa mashoma pasina kurapwa. Kunwa mvura yakawanda kunobatsira kubvisa zvinhu zvine radioactive mumuviri wako nekukurumidza.

Kusagadzikana kwakanyanya kwemuviri kunowanzoitika asi kunogona kusanganisira kuoma kufema, kuputika kwakanyanya, kana kuzvimba kwechiso chako nehuro. Kana iwe ukawana chero zviratidzo izvi, tsvaga rubatsiro rwekurapa nekukurumidza. Chikwata chekurapa chiri kuita scan yako chakadzidziswa kubata nemamiriro ezvinhu aya kana akamuka.

Ndiani Asingafaniri Kutora Fludeoxyglucose F-18?

Vanhu vakati wandei vanoda kufunga zvakakosha kana vanofanira kudzivisa mumiririri uyu wekufananidza zvachose. Vakadzi vane pamuviri havafaniri kupiwa jekiseni iri kunze kwekunge kubatsira kwekurapa kuchipfuura njodzi dzinogona kuitika kumwana ari kukura.

Chiremba wako achanyatsoongorora mamiriro ako kana iwe ukawira mune chero chimwe chezvikamu izvi:

• Vakadzi vane pamuviri kana vanogona kuva nepamuviri
• Vadzimai vanoyamwisa (unogona kuda kupomba uye kurasa mukaka wemazamu kwemaawa makumi maviri nemana)
• Vanhu vane chirwere cheshuga chisingadzorwi kana mazinga epamusoro eshuga yeropa
• Vana vari pasi pemakore gumi nemasere (vanoda kufunga zvakakosha zvekushandisa)
• Vanhu vane matambudziko akakomba eitsvo vasingakwanise kubvisa tracer nemazvo

Kana uine chirwere cheshuga, mazinga eshuga yeropa rako anofanira kunge achidzorwa zvakanaka usati waita scan. Mazinga epamusoro eglucose anogona kukanganisa kutora shuga ye radioactive, zvichikanganisa kururama kwemigumisiro yako.

Vanhu vane claustrophobia vanogona kuwana maitiro ekuongorora achinetsa, asi izvi zvinoreva PET scanner pachayo panzvimbo yejekiseni. Chikwata chako chekurapa chinogona kupa nzira dzekuzorora kana sedation yakapfava kana zvichidikanwa.

Fludeoxyglucose F-18 Mazita eBrand

Mumiririri uyu wekufananidza anowanikwa pasi pemazita akati wandei ebrand, kunyangwe chinhu chinoshanda chichiramba chakafanana zvisinei nemugadziri. Zita rinowanzozivikanwa rebrand ndeye Fluorodeoxyglucose F-18, iyo inonyanya kufanana nezita re generic.

Unogonawo kuzvinzwa zvichinzi FDG, F-18 FDG, kana kungoti "the tracer" nechikwata chako chekurapa. Dzimwe nzvimbo dzinoshandisa mazita chaiwo emhando dzakaita seFludeoxyglucose F-18 Injection kana mamwe mazita akagadzirwa nemugadziri.

Chinhu chakakosha kuyeuka ndechokuti mazita ese aya anoreva chinhu chimwe chete chine radioactive glucose. Hunhu nekushanda kwakafanana mumhando dzakasiyana nekuti dzinofanira kusangana nezviyero zvakasimba zvechengetedzo uye kuchena zveFDA.

Zvimwe Zvinhu Zvokutsiva Fludeoxyglucose F-18

Maitiro mamwe akati wandei ekuongorora anogona kupa ruzivo rwakafanana rwekuongorora, kunyange zvazvo imwe neimwe iine simba rayo uye miganhu yayo. CT scans ine contrast dye inogona kuratidza zvakadzama zvivakwa zvemuviri asi haizivisi chiitiko chemasero sezvinoita PET scans.

MRI scans inonyanya kubatsira pakuratidza ruzivo rwetishu dzakapfava uye dzimwe nguva dzinogona kuona kenza, asi hadzina kunyatsogona kuwana tumor diki kana kuongorora mhinduro yekurapa. Bone scans vachishandisa mamwe ma radioactive tracers vanogona kuona kenza yakapararira kumapfupa asi haisi yakazara sePET scans.

Mamwe ma radioactive tracers kunze kweF-18 FDG anosanganisira:

• Gallium-68 compounds yemarudzi chaiwo ekenza
• Technetium-99m yekuongorora moyo nemapfupa
• Iodine-123 yezvidzidzo zvebasa rethyroid
• Carbon-11 tracers yekutsvakurudza kwekuongorora uropi

Chiremba wako achasarudza nzira yakanakisisa yekuongorora zvichienderana nezviratidzo zvako, nhoroondo yako yekurapa, uye ruzivo runodiwa kutungamira kurapwa kwako. Dzimwe nguva nzira dzakawanda dzekuongorora dzinoshandiswa pamwe chete kuti uwane mufananidzo wakakwana.

Ko Fludeoxyglucose F-18 Zviri Nani Pane CT Scans?

Maitiro ese ekuongorora ane zvakanakira zvakasiyana zvinoita kuti ave akakosha mumamiriro ezvinhu akasiyana ekurapa. PET scans ine F-18 FDG inonyanya kubatsira pakuona chiitiko chekenza uye kuratidza mashandiro emaseru, nepo CT scans ichipa mifananidzo yakadzama yezvivakwa zvemuviri uye anatomy.

PET scans inonyanya kukunda pakuona kudzoka kwekenza, kuongorora mhinduro yekurapa, uye kutsvaga kenza yakapararira kunzvimbo dzisingatarisirwi. Kazhinji vanogona kuona maseru ekenza ari kushanda vasati tumor yakura zvakakwana kuti ionekwe paCT scans.

CT scans, zvisinei, zviri nani zve:

• Kuridza saizi chaiyo yetumor nenzvimbo
• Kuona mamwe marudzi ematambudziko emapapu
• Kuongorora kukuvara kana mapfupa akaputsika
• Kutungamira biopsies kana maitiro ekuvhiya
• Mamiriro ekukurumidzira anoda mhedzisiro nekukurumidza

Nzvimbo zhinji dzemishonga zvino dzinopa akabatanidzwa PET-CT scans anopa ruzivo rwemabasa uye chimiro mune imwechete session. Iyi musanganiswa kazhinji inopa vanachiremba maonero akazara emamiriro ako.

Sarudzo pakati peiyi nzira dzekufungidzira inoenderana nemubvunzo wako chaiwo wekurapa. Chiremba wako achakurudzira nzira inogona kupa ruzivo rwakakosha kutungamira kutarisirwa kwako nemazvo.

Mibvunzo Inowanzo Bvunzwa Nezve Fludeoxyglucose F-18

Q1. Fludeoxyglucose F-18 Yakachengeteka Kune Vanhu vane Chirwere cheShuga here?

Hongu, vanhu vane chirwere cheshuga vanogona kugamuchira zvakachengeteka mumiririri uyu wekufungidzira, asi kudzora shuga yeropa kwakakosha kuti uwane mhedzisiro chaiyo. Mazinga ako eglucose anofanirwa kunge ari pasi pe200 mg/dL, uye zvakanaka pedyo nemazinga akajairika vasati vaitwa jekiseni.

Shuga yeropa yakakwira inogona kukwikwidzana ne radioactive glucose yekutora nemaseru ako, zvichigona kuita kuti kenza kana dzimwe nzvimbo dzisina kujairika dzive dzakaoma kuona. Chikwata chako chekurapa chichatarisa shuga yako yeropa usati waita maitiro uye chinogona kuronga zvakare kana mazinga akanyanya kukwira.

Kana iwe uchitora mishonga yeshuga, chiremba wako anogona kugadzirisa chirongwa chako chekushandisa zuva rekutariswa. Ramba uchitora mishonga yako sezvakanyorwa kunze kwekunge wakanzi zvakasiyana nachiremba wako.

Q2. Ndoitei kana ndikagamuchira Fludeoxyglucose F-18 yakawandisa netsaona?

Kupfuudzwa kwemishonga netsaona hakusi kazhinji nekuti nyanzvi dzakadzidziswa dzemishonga yenyukiriya dzinonyatsoverenga uye kuyera mushonga wega wega. Zvisinei, kana uine hanya nekugamuchira yakawanda, taura nechikwata chako chekurapa nekukasira kuti uwane gwara.

Zviratidzo zvekugamuchira zvakawanda zvemishonga yeradiyo hazviwanzoitiki asi zvinogona kusanganisira kusvotwa, kurutsa, kana kuneta kusinganzwisisike. Zviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvikonzero, saka kuongororwa kwekurapa kwakakosha kuti uone chikonzero chaicho.

Danho rakakosha nderekunwa mvura yakawanda kuti ibatsire kubvisa tracer yakawandisa kubva muhurongwa hwako kuburikidza nekukosora. Chikwata chako chekurapa chinogonawo kukurudzira matanho ekuwedzera ekuchengetedza zvichienderana nemamiriro ako chaiwo uye huwandu hwekuwedzera.

Q3. Ndingaita Sei Kana Ndikakanganwa Jekiseni Rangu Rakarongeka reFludeoxyglucose F-18?

Ingotaura nechivakwa chako chekurapa nekukasira sezvinobvira kuti urongezve musangano wako. Kusiyana nemishonga yezuva nezuva, kukanganwa jekiseni iri hakugadziri njodzi dzehutano nekukasira, asi kunonotsa ruzivo rwakakosha rwekuongorora.

Nzvimbo yekufananidza ichashanda newe kuti uwane musangano unotevera uripo unoenderana nehurongwa hwako. Vanonzwisisa kuti hupenyu hunoitika uye matambudziko anomuka, saka vanowanzoita zvakanyanya nezvekugadzirisa.

Mamwe mamiriro ekurapa anokurumidza kupfuura mamwe, saka rega chikwata chekuronga chizive kana chiremba wako akasimbisa kukosha kwekupedzisa scan nekukurumidza. Vanogona kukwanisa kukushandira nekukurumidza kana kuratidza mamwe marongero.

Q4. Ndingamira Rini Kunetseka NezveRadiation kubva kuFludeoxyglucose F-18?

Mishonga yeradiyo inova isingaonekwe mumuviri wako mukati me24 maawa mushure mejekiseni. Yakawanda yayo inonyangarika mukati me6-8 maawa ekutanga kuburikidza nekukosora kwakajairika uye kufema.

Munogona kutangazve mabasa ese enguva dzose nekukasira mushure mekuongororwa kwenyu, kusanganisira kuva pedyo nevana, vakadzi vane pamuviri, uye mhuka dzinovaraidza. Kufumurwa nemwaranzi kwakafanana nezvamungagamuchira kubva kumagariro echisikigo kwemwedzi yakati wandei.

Zvimwe zvivakwa zvinokurudzira kunwa mvura yakawanda kwemazuva ese kuti ibatsire kubvisa tracer nekukurumidza. Ichi chiito chekuchenjerera panzvimbo pechinhu chinodiwa nemishonga, asi chinogona kupa rugare rwepfungwa kana uine hanya nekufumurwa nemwaranzi.

Q5. Ndingazvikwanisa here kutyaira ndichidzokera kumba mushure mekutambira Fludeoxyglucose F-18?

Hongu, unogona kutyaira zvakachengeteka uchidzokera kumba mushure mejekiseni nekuongororwa. Glucose ine radioactive haina kukanganisa pfungwa dzako, kubatana, kana kugona kushandisa mota zvakachengeteka.

Kuvharirwa kwekutyaira kungangobva pakudzikamisa kana iwe wakagamuchira mushonga wekurwisa kushushikana kuti ubatsire ne claustrophobia panguva yekuongorora. Kana iwe wakagamuchira chero mishonga yekudzikamisa, unozoda mumwe munhu kuti akutyairire kumba.

Vanhu vazhinji vanonzwa zvakajairika zvakakwana mushure mePET scan yavo uye vanogona kudzokera kubasa, kurovedza muviri, uye zvimwe zviitiko zvenguva dzose pasina chero zvirambidzo. Maitiro acho akagadzirirwa kuti akwane mukuita kwako kwezuva nezuva nekukanganisa kushoma.