Nānā ʻo PET no ka maʻi ʻaʻai umauma

ʻO kahi scan tomography emission tomitron (PET) kahi hōʻike kiʻi e hoʻohana ai i kahi mea radioactive (i kapa ʻia he tracer) e nānā ai no ka laha ʻana o ka maʻi ʻaʻai umauma. Hiki i kēia tracer ke kōkua i ka ʻike ʻana i nā wahi o ka maʻi ʻaʻai i hōʻike ʻole ʻia kahi scan MRI a CT paha.

Pono kahi scan PET i kahi liʻiliʻi o nā mea radioactive (tracer). Hāʻawi ʻia kēia tracer ma o kahi aa (IV), ma ka maʻamau o loko o kou kuʻe lima, a i ʻole i kahi ʻāpana liʻiliʻi i kou lima. Hele ka mea tracer ma o kou koko a ʻohiʻohi i loko o nā ʻokena a me nā ʻaʻa a hāʻawi i kahi hōʻailona e kōkua i ka radiologist e ʻike pono i kekahi mau wahi a i ʻole nā ​​maʻi.

Pono ʻoe e kali ma kahi kokoke e komo ai kou kino i ka tracer. ʻO ka maʻamau ma kahi o 1 hola.

A laila, e moe ʻoe ma ka papaʻaina liʻiliʻi, e heʻe ai i kahi scanner e like me ke ʻano o ke ana. Hoʻomaopopo ka scanner PET i nā hōʻailona i hāʻawi ʻia mai ka tracer. Hoʻololi kahi kamepiula i nā hopena i nā kiʻi 3D. Hōʻike ʻia nā kiʻi ma kahi monitor no kāu kauka e wehewehe ai.

E moe mālie ʻoe i ka wā o ka hoʻāʻo. Hiki i ka neʻe nui loa ke hoʻomālamalama i nā kiʻi a hana i nā hewa.

Ma kahi o 90 mau minuke ka hoʻāʻo.

Hana ʻia ka hapa nui o nā scan PET me kahi scan CT. Kapa ʻia kēia scan paʻi hoʻohui ʻia he PET / CT.

E noi ʻia ʻoe ʻaʻole e ʻai i kekahi mea no 4 a 6 mau hola ma mua o ka scanner. Hiki iā ʻoe ke inu wai.

E haʻi i kāu mea mālama ola inā:

• Makaʻu ʻoe i nā wahi pani (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi.
• Hāpai ʻoe a manaʻo paha ʻoe ua hāpai.
• Ke hānai umauma nei ʻoe.
• Loaʻa iā ʻoe nā maʻi āpau i injye (ʻokoʻa).
• Lawe ʻoe i ka insulin no ka maʻi diabetes. Pono ʻoe i kahi hoʻomākaukau kūikawā.

E haʻi mau i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe nei, me nā mea i kūʻai ʻia me ka ʻole o ka lāʻau. I kekahi manawa, hiki i nā lāʻau ke keakea i nā hopena hōʻike.

ʻIke paha ʻoe i kahi kui ʻoi loa ke hoʻokomo ʻia ka nila i loko o kou aa.

ʻAʻole loaʻa kahi ʻeha i kahi scan PET. Anuanu paha ke keʻena a me ka pākaukau, akā hiki iā ʻoe ke noi i kahi kapa moe a uluna paha.

ʻO kahi intercom i loko o ka lumi e ʻae iā ʻoe e kamaʻilio me kekahi i kēlā me kēia manawa.

ʻAʻohe manawa hoʻōla, ke hāʻawi ʻole ʻia ʻoe i lāʻau e hoʻomaha ai.

Hoʻohana pinepine ʻia kahi scan PET inā hana ʻia nā hoʻokolohua ʻē aʻe, e like me ka scan MRI a i ʻole CT scan, mai hoʻolako i ka lawa o ka ʻike a i ʻole nā ​​kauka e ʻimi nei i ka laha ʻana o ka maʻi ʻaʻai o ka umauma i nā lymph node a ʻoi paha.

Inā loaʻa ʻoe i ka maʻi ʻaʻai umauma, hiki i kāu kauka ke kauoha i kēia scanner:

• Ma hope koke o kāu ʻike e ʻike inā ua pālahalaha ka maʻi ʻaʻai
• Ma hope o ka mālama ʻana inā hopohopo ʻoe ua hoʻi mai ka maʻi ʻaʻai
• I ka wā o ka mālama ʻana e ʻike inā ke pane nei ka maʻi ʻaʻai i ka lāʻau

ʻAʻole hoʻohana ʻia kahi scan PET no ka kānana ʻana, a i ʻole ka ʻike ʻana i ka maʻi ʻaʻai umauma.

ʻO kahi hopena maʻamau, ʻaʻohe wahi ma waho o ka umauma kahi i hōʻiliʻili maʻamau ai ka radiotracer. ʻO ka hopena o kēia hopena ʻaʻole paha hoʻolaha ʻia ka maʻi ʻaʻai o ka umauma i nā ʻāpana ʻē aʻe o ke kino.

ʻAʻole paha e hōʻike ʻia nā wahi liʻiliʻi o ka maʻi ʻaʻai umauma ma kahi scan PET.

Hiki paha i nā hopena maʻamau ke ʻōlelo ʻia ua pālahalaha ka maʻi ʻaʻai umauma ma waho o ka umauma.

Hiki ke hoʻopili ke kō kō a i ʻole ka pae insulin i nā hopena hōʻike i ka poʻe me ka maʻi kō.

ʻO ka nui o nā radiation i hoʻohana ʻia i ka scan PET. Ua like ia me ka nui o ka radiation e like me ka nui o ka CT scans. Eia kekahi, ʻaʻole lōʻihi ke kukuna i kou kino.

ʻO nā wahine hāpai a hānai hānai paha e hōʻike i kā lākou kauka ma mua o ka loaʻa ʻana o kēia hōʻike. ʻOi aku ka maʻalahi o nā pēpē a me nā pēpē e ulu ana i ka ʻōpū i nā hopena o ka radiation no ka mea ke ulu mau nei kā lākou meaola.

Hiki, ʻoiai ʻaʻole loa ia, e loaʻa i kahi maʻi maʻi i ka mea radioactive. Loaʻa i kekahi poʻe ka ʻeha, ʻulaʻula, a i ʻole ka pehu ʻana ma ka pūnaewele injection.

Ma hope o ka māka ʻana o ka scan, e noi ʻia ʻoe e inu i ka wai he nui a noho kaʻawale i nā keiki ma lalo o 13 mau makahiki a i ʻole nā ​​mea hāpai no 24 mau hola.

Inā hānai ʻoe i ka waiū, e haʻi i kāu kauka. E ʻōlelo paha kāu kauka ʻaʻole ʻoe e hānai waiū no 24 mau hola ma hope o ka scanner.

ʻO ka tomography emission positron umauma; PET - umauma; PET - kiʻi kiʻi tumo - ka umauma

Bassett LW, Lee-Felker S. Hōʻike kiʻi kiʻi a me ka hōʻailona. I: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. ʻO ka umauma: Hoʻoponopono piha o nā maʻi maʻi a me nā maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 26.

Chernecky CC, Berger BJ. ʻO ka tomography emission Positron (PET) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 892-894.

Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai umauma (makua) (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/breast/hp/breast-treatment-pdq. Hoʻohou ʻia Pepeluali 11, 2021. Loaʻa iā Malaki 1, 2021.

Tabouret-Viaud C, Botsikas D, Delattre BM, et al. PET / MR i ka maʻi ʻaʻai umauma. ʻO Semin Nucl Med. 2015; 45 (4): 304-321. PMID: 26050658 pubmed.ncbi.nlm.nih.gov/26050658/.