Ukuqonda iindleko ezinxulumene nokunyanga i-Psma ye-Prostate Umhlaza kunokuba yinto eyoyikisayo. Esi sikhokelo sinika ukuqhekeka okuthe kratya kweendleko ezinokubakho, ukuphembelela ngezinto kunye nezixhobo zokukunceda ukuba ungene kulo mngeni wonyango.
I-PSMA (i-prostate-rambrane antign) yiprotein efumaneka kumphezulu weeseli zomhlaza. I-PSMA iqhakamshela lomhlaza Sebenzisa iimolekyuli zerediyo ezijolise kuzo kwaye kubophe ezi protensi ze-PSMA, ukuhambisa i-radiation ngqo kwiiseli zomhlaza ngelixa kuncipha umonakalo kwizicubu ezisempilweni. Le ndlela yokujonga isebenza kakhulu, ngakumbi ukuba umhlaza ophambili we-prostate.
Iindidi ezininzi ze I-PSMA iqhakamshela lomhlaza Zikhona, nganye ineendleko ezahlukileyo kuxhomekeka kwizinto ezifana ne-radiisotope ethile esetyenzisiweyo, ubunzima bomzimba, kunye nomnikezeli wezempilo.
Oku kubandakanya ukuphatha into yerediyo ejolise kwi-psma. Iindleko zinokwahluka kakhulu kuhlobo lwe-radiaphacemacermical esetyenzisiweyo (E.G., Lutetium-177 okanye i-Ackisium-225), inani lamajikelezo onyango olufunekayo, kwaye indawo ebonelela ngonyango. Ngelixa amaxabiso athile akafumaneki esidlangalaleni ngenxa yokwahluka kwi-inshurensi kunye nendawo, iindleko ezinokubakho ukusuka kumashumi amawaka eedola.
Iskena se-PSMA sisebenzisa i-radioricing radicaction yokuchonga iiseli-eziveza iiseli-eziveza iiseli. Esi scan idla ngokusetyenziswa kwinqanaba lomhlaza kunye nokukhokela izigqibo zonyango. Ixabiso leskeki ye-PSMA ye-PSMA iyahluka ngokwendawo kunye neziko kodwa ngokubanzi libiza kakhulu kune-PSMA-TRT.
Izinto ezininzi zinegalelo kwiindleko zonke ze I-PSMA iqhakamshela lomhlaza:
Into | Impembelelo kwiindleko |
---|---|
Uhlobo lonyango lwe-psma | I-PSMA-TRT ibiza kakhulu kune-psma ye-psma yesilwanyana sasePUPMA. I-radiotope ekhethekileyo isetyenziswa ichaphazela indleko. |
Inani lemijikelezo yonyango | Imijikelezo emininzi ithetha iindleko eziphezulu. |
Umnikezeli wokhathalelo lwempilo kunye nendawo | Iindleko ziyahluka kakhulu phakathi kwezixhobo kunye nemimandla yendawo. |
I-Inshurensi yeinshurensi | Izicwangciso zeinshurensi ziyahluka ngokubanzi kwi I-PSMA iqhakamshela lomhlaza. Kubalulekile ukuqonda iinkcukacha zomgaqo-nkqubo wakho. |
Iinkqubo ezongezelelweyo | Iimvavanyo ezinxulumene noko kunye neenkqubo (E.G., Umsebenzi wegazi, ukuhlala esibhedlele) ukongeza kwixabiso elipheleleyo. |
Ixabiso eliphezulu le I-PSMA iqhakamshela lomhlaza inokuba ngumqobo obalulekileyo kwizigulana ezininzi. Izixhobo ezininzi zinokubonelela ngoncedo lwezezimali:
Ixabiso le I-PSMA iqhakamshela lomhlaza Ngumbandela onzima ophembelela izinto ezininzi. Uphando olucokisekileyo, ucwangciso olucokisekileyo, kunye nokuhlolwa okuthe qelele zoncedo lwezezimali kubalulekile ukuba uhambise imiba yemali yonyango. Soloko unxibelelana nogqirha wakho we-oncologist kunye neqela lezempilo ukuphuhlisa isicwangciso sonyango esinezimvoso zonyango nezemali.
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