{"id":2814,"date":"2020-10-09T15:02:32","date_gmt":"2020-10-09T12:02:32","guid":{"rendered":"https:\/\/www.intheranostics.com\/?page_id=2814"},"modified":"2022-02-03T11:59:14","modified_gmt":"2022-02-03T08:59:14","slug":"%d0%bc%d0%b5%d1%82%d0%b0%d1%81%d1%82%d0%b0%d1%82%d0%b8%d1%87%d0%b5%d1%81%d0%ba%d0%b8%d0%b9-%d1%80%d0%b0%d0%ba-%d0%bf%d1%80%d0%b5%d0%b4%d1%81%d1%82%d0%b0%d1%82%d0%b5%d0%bb%d1%8c%d0%bd%d0%be%d0%b9","status":"publish","type":"page","link":"https:\/\/www.intheranostics.com\/ru\/%d0%bc%d0%b5%d1%82%d0%b0%d1%81%d1%82%d0%b0%d1%82%d0%b8%d1%87%d0%b5%d1%81%d0%ba%d0%b8%d0%b9-%d1%80%d0%b0%d0%ba-%d0%bf%d1%80%d0%b5%d0%b4%d1%81%d1%82%d0%b0%d1%82%d0%b5%d0%bb%d1%8c%d0%bd%d0%be%d0%b9\/","title":{"rendered":"\u041c\u0435\u0442\u0430\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0440\u0430\u043a \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b"},"content":{"rendered":"<p>[et_pb_section fb_built=&#187;1&#8243; fullwidth=&#187;on&#187; _builder_version=&#187;4.4.8&#8243; background_color=&#187;rgba(0,0,0,0)&#187; background_image=&#187;https:\/\/www.intheranostics.com\/wp-content\/uploads\/2020\/06\/metastatik_prostat_kanseri.jpg&#187; custom_padding=&#187;100px||100px||false|false&#187; locked=&#187;off&#187;][et_pb_fullwidth_header title=&#187;\u041c\u0435\u0442\u0430\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0440\u0430\u043a \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b&#187; text_orientation=&#187;center&#187; content_max_width_last_edited=&#187;off|desktop&#187; _builder_version=&#187;4.4.8&#8243; title_font_size=&#187;50px&#187; content_font_size=&#187;41px&#187; subhead_font=&#187;|700|||||||&#187; subhead_font_size=&#187;38px&#187; subhead_line_height=&#187;1.1em&#187; background_enable_color=&#187;off&#187; background_enable_image=&#187;off&#187; custom_margin=&#187;||||false|false&#187; custom_padding=&#187;||||false|false&#187; animation_style=&#187;slide&#187; animation_direction=&#187;bottom&#187;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#187;1&#8243; _builder_version=&#187;4.4.8&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px|0px|0px|0px|false|false&#187;][et_pb_row _builder_version=&#187;4.4.8&#8243; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;0px|0px|0px|0px|false|false&#187;][et_pb_column type=&#187;4_4&#8243; _builder_version=&#187;4.4.8&#8243;][et_pb_divider divider_weight=&#187;0px&#187; _builder_version=&#187;4.4.8&#8243; use_background_color_gradient=&#187;on&#187; background_color_gradient_start=&#187;#8dd2e1&#8243; background_color_gradient_end=&#187;#23afca&#187; background_color_gradient_direction=&#187;90deg&#187; width=&#187;50%&#187; module_alignment=&#187;center&#187; height=&#187;10px&#187;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#187;1&#8243; admin_label=&#187;section&#187; _builder_version=&#187;3.22&#8243;][et_pb_row admin_label=&#187;row&#187; _builder_version=&#187;4.4.8&#8243; background_size=&#187;initial&#187; background_position=&#187;top_left&#187; background_repeat=&#187;repeat&#187; custom_margin=&#187;||||false|false&#187; custom_padding=&#187;0px|0px|0px|0px|false|false&#187;][et_pb_column type=&#187;4_4&#8243; _builder_version=&#187;3.25&#8243; custom_padding=&#187;|||&#187; custom_padding__hover=&#187;|||&#187;][et_pb_text _builder_version=&#187;4.4.8&#8243;]<\/p>\n<p><strong>\u041c\u0435\u0442\u0430\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0440\u0430\u043a \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b<\/strong><\/p>\n<p>\u0420\u0430\u043a \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u044b \u2013 \u044d\u0442\u043e \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u043f\u0440\u0438 \u043a\u043e\u0442\u043e\u0440\u043e\u043c \u043a\u043b\u0435\u0442\u043a\u0438 \u043f\u0440\u043e\u0441\u0442\u0430\u0442\u044b \u0432\u044b\u0445\u043e\u0434\u044f\u0442 \u0438\u0437-\u043f\u043e\u0434 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044f \u0438 \u0432\u043b\u0438\u044f\u044e\u0442 \u043d\u0430 \u043c\u0443\u0436\u0441\u043a\u0443\u044e \u0440\u0435\u043f\u0440\u043e\u0434\u0443\u043a\u0442\u0438\u0432\u043d\u0443\u044e \u0441\u0438\u0441\u0442\u0435\u043c\u0443. \u042d\u0442\u043e \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u044b\u0439 \u0442\u0438\u043f \u0440\u0430\u043a\u0430 \u0441\u0440\u0435\u0434\u0438 \u043c\u0443\u0436\u0447\u0438\u043d, \u0438 \u0434\u043b\u044f \u0442\u0430\u043a\u0438\u0445 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441\u0443\u0449\u0435\u0441\u0442\u0432\u0443\u0435\u0442 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u043e \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u043e\u0432 \u043b\u0435\u0447\u0435\u043d\u0438\u044f.<\/p>\n<p>\u0412 \u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e\u0441\u0442\u0438 \u043e\u0442 \u043a\u0430\u0436\u0434\u043e\u0433\u043e \u0441\u043b\u0443\u0447\u0430\u044f \u0434\u043b\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u043c\u043e\u0436\u043d\u043e \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c \u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0435\u0435: \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435, \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u043e, \u0440\u0430\u0434\u0438\u0430\u0446\u0438\u043e\u043d\u043d\u0443\u044e \u0442\u0435\u0440\u0430\u043f\u0438\u044e, \u043a\u0440\u0438\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e, \u0433\u043e\u0440\u043c\u043e\u043d\u043d\u0443\u044e \u0442\u0435\u0440\u0430\u043f\u0438\u044e, \u0445\u0438\u043c\u0438\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e, \u0432\u0430\u043a\u0446\u0438\u043d\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e \u0438 \u043d\u0430\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u043d\u0443\u044e \u043d\u0430 \u043a\u043e\u0441\u0442\u0438 \u0442\u0435\u0440\u0430\u043f\u0438\u044e \u0440\u0430\u0434\u0438\u0435\u043c-223 \u0438 \u0442\u0430\u0440\u0433\u0435\u0442\u043d\u0443\u044e \u0442\u0435\u0440\u0430\u043f\u0438\u044e \u043b\u044e\u0442\u0435\u0446\u0438\u0435\u043c-177 \u041f\u0421\u041c\u0410.<\/p>\n<p>[\/et_pb_text][et_pb_accordion disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.4.8&#8243; disabled=&#187;on&#187;][et_pb_accordion_item title=&#187;TANI H\u0130ZMETLER\u0130 &#8212; Galyum-68 PSMA PET\/BT&#187; open=&#187;on&#187; open_toggle_text_color=&#187;#0ca7c5&#8243; _builder_version=&#187;4.4.8&#8243; toggle_font=&#187;|700|||||||&#187; toggle_font_size=&#187;18px&#187;]<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 PSMA PET\/BT Nedir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s2\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi, ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Kansere, kontrols\u00fcz olarak b\u00fcy\u00fcyen ve \u00e7o\u011falan h\u00fccreler neden olur. Prostat bezi dokusunda kanser ba\u015flad\u0131\u011f\u0131nda, buna <b>prostat kanseri<\/b> denir. Prostat kanseri h\u00fccrelerinin v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131larak t\u00fcm\u00f6rler olu\u015fturdu\u011fu duruma ise <b>metastatik prostat kanseri<\/b> denmektedir.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Prostat spesifik membran antijeni veya \u201cPSMA\u201d g\u00f6r\u00fcnt\u00fcleme; prostat kanserini saptamak i\u00e7in PET\/BT cihaz\u0131 ile ger\u00e7ekle\u015ftirilen yenilik\u00e7i bir teranostik N\u00fckleer T\u0131p g\u00f6r\u00fcnt\u00fcleme tekni\u011fidir. Ga-68 PSMA PET\/BT&#8217;nin, prostat kanserini saptamada, BT veya t\u00fcm v\u00fccut kemik taramas\u0131 gibi geleneksel g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinden \u00e7ok daha \u00fcst\u00fcn ve duyarl\u0131 oldu\u011fu g\u00f6sterilmi\u015ftir.\u00a0<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131z\u0131 takip eden hekiminiz, prostat t\u00fcm\u00f6r\u00fcn\u00fcn ya da metastaz\u0131n\u0131n tan\u0131sal olarak daha net de\u011ferlendirilmesi amac\u0131yla size bu tetkiki \u00f6nerebilir. Bu y\u00f6ntemle, primer veya tekrarlayan prostat kanserinin yeri do\u011fru bir \u015fekilde belirlenebilir ve evrelendirilebilir. B\u00f6ylece hedefe y\u00f6nelik tedaviyi m\u00fcmk\u00fcn k\u0131lar. <\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">PSMA, \u00e7ok say\u0131da h\u00fccresel fonksiyona sahip, sa\u011fl\u0131kl\u0131 prostat h\u00fccre zar\u0131nda bulunan bir protein t\u00fcr\u00fcd\u00fcr. Kanserli prostat t\u00fcm\u00f6rleri son derece y\u00fcksek seviyelerde (genellikle normal prostat h\u00fccresinden 1000 kat daha y\u00fcksek) PSMA olu\u015fturmaktad\u0131r. Prostat kanseri v\u00fccudun di\u011fer b\u00f6lgelerine metastaz yapm\u0131\u015fsa, PSMA bu b\u00f6lgelerde de g\u00f6r\u00fclebilir. Ga-68 atomu, PSMA ad\u0131n\u0131 verdi\u011fimiz ta\u015f\u0131y\u0131c\u0131 molek\u00fcle ekleyebildi\u011fimiz radyoaktif bir elementtir. Ga-68 PSMA damar yoluyla uyguland\u0131\u011f\u0131nda, PSMA&#8217;n\u0131n bulundu\u011fu t\u00fcm\u00f6r dokular\u0131na gider ve hastal\u0131kl\u0131 t\u00fcm\u00f6r dokusundaki PSMA resept\u00f6rlerine tutunarak bu kanser h\u00fccrelerinin yerini belirlememizi m\u00fcmk\u00fcn k\u0131lar. <\/span><\/p>\n<p class=\"p6\"><span class=\"s1\">Ga-68 PSMA PET\/BT ile g\u00f6r\u00fcnt\u00fclenebilen prostat kanserine ait t\u00fcm\u00f6ral dokular177Lu-PSMA ile hedefe y\u00f6nelik olarak tedavi edilebilmektedir. Bu, teranostik uygulamalar i\u00e7in olduk\u00e7a ba\u015far\u0131l\u0131 ve yeni bir y\u00f6ntemdir. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 PSMA PET\/BT G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Ga-68 PSMA bir kontrast madde de\u011fildir ve uygulama s\u0131ras\u0131nda herhangi bir yan etki (alerjik reaksiyonlar, deri d\u00f6k\u00fcnt\u00fcs\u00fc, k\u0131zar\u0131kl\u0131k, bulant\u0131, kusma vb.) beklenmemektedir. Beraberinde damardan kontrast madde uyguland\u0131\u011f\u0131 \u00f6zel durumlarda, kontrast alerjisi ve di\u011fer yan etkiler a\u00e7\u0131s\u0131ndan dikkatli olmak gerekmektedir.\u00a0<\/span><\/p>\n<p class=\"p2\"><span class=\"s2\">Ga-68<\/span><span class=\"s1\">, sadece 68 dakika gibi, \u00e7ok k\u0131sa bir yar\u0131 \u00f6mre sahiptir ve ila\u00e7 uyguland\u0131ktan en ge\u00e7 6 saat sonra, v\u00fccudunuzdaki radyasyon do\u011fal seviyeye geri d\u00f6nmektedir. Bu nedenle, ila\u00e7 verilmesini takiben ilk 6 saat k\u00fc\u00e7\u00fck \u00e7ocuklarla ve hamile kad\u0131nlarla temastan ka\u00e7\u0131nman\u0131z gerekir. <\/span><span class=\"s1\">Sizin <\/span><span class=\"s2\">Ga-68 PSMA PET\/BT i\u015flemi sonucu alaca\u011f\u0131n\u0131z radyasyon dozu yakla\u015f\u0131k 5mSv&#8217;tir ve bu doz, bilgisayarl\u0131 tomografi gibi geleneksel bir tetkik sonucu al\u0131nacak doz ile ayn\u0131 d\u00fczeydedir.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 PSMA PET\/BT Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Bilimsel veriler \u015fu an i\u00e7in Ga-68 PSMA PET\/BT g\u00f6r\u00fcnt\u00fclemesini, \u00f6zellikle prostattan \u00e7\u0131km\u0131\u015f kanser odaklar\u0131n\u0131n tespiti amac\u0131yla kullan\u0131m\u0131n\u0131 desteklemektedir. Bu y\u00f6ntemle; BT, MR ve kemik sintigrafisi gibi geleneksel g\u00f6r\u00fcnt\u00fcleme metotlar\u0131 ile saptanamam\u0131\u015f k\u00fc\u00e7\u00fck metastazlar bile saptanabilmektedir. Ga-68 PSMA PET\/BT ba\u015fl\u0131ca \u015fu ama\u00e7larla kullan\u0131lmaktad\u0131r:<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Prostat biyopsisi pozitif, yeni tan\u0131 alm\u0131\u015f y\u00fcksek riskli prostat kanseri hastalar\u0131nda, prostat kanserini evreleme amac\u0131yla<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Prostat\u0131 ameliyat ile \u00e7\u0131kart\u0131lm\u0131\u015f ya da prostat\u0131na radyoterapi uygulanm\u0131\u015f, ancak takiplerinde kanserinin tekrarlayabilece\u011fini g\u00f6steren artm\u0131\u015f PSA seviyesinin saptand\u0131\u011f\u0131, biyokimyasal n\u00fcks \u015f\u00fcphesi olan hastalarda yeniden evreleme amac\u0131yla <\/span><\/li>\n<li class=\"p8\"><span class=\"s2\">Metastatik prostat kanserinde sistemik tedaviye yan\u0131t\u0131n de\u011ferlendirilmesi amac\u0131yla<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 PSMA PET\/BT \u00d6ncesi Haz\u0131rl\u0131k<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Ga-68 PSMA PET\/BT \u00f6ncesinde N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcne iletmek \u00fczere, prostat kanserine y\u00f6nelik baz\u0131 sonu\u00e7 ve bilgilerinizi yan\u0131n\u0131zda bulundurman\u0131z istenecektir: <\/span><\/p>\n<ul>\n<li class=\"p4\"><span class=\"s1\">\u00d6nceki g\u00f6r\u00fcnt\u00fclemelerinizin (BT, MR, kemik sintigrafisi, FDG PET\/BT, PSMA PET\/BT) rapor, film ve CD&#8217;leri<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Prostat kanserine ait patoloji sonu\u00e7lar\u0131n\u0131z <\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Prostat kanserine y\u00f6nelik uygulanan tedavi bilgileriniz (cerrahi, radyoterapi, ila\u00e7 vb.) <\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">G\u00fcncel PSA tahlil sonucunuz<\/span><\/li>\n<\/ul>\n<p class=\"p4\"><span class=\"s1\">PSMA PET\/BT i\u00e7in a\u00e7 olman\u0131za gerek yoktur. \u0130nceleme \u00f6ncesi hafif bir kahvalt\u0131 yapabilirsiniz. Bununla birlikte, \u00e7ekim \u00f6ncesi 2 saat boyunca en az yar\u0131m litre (500 mL) su i\u00e7meniz gerekmektedir. <\/span><span class=\"s1\">G\u00f6r\u00fcnt\u00fc bozulmalar\u0131n\u0131 \u00f6nlemek i\u00e7in t\u00fcm metal e\u015fyalar\/tak\u0131lar\/protezler \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 PSMA PET\/BT Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s2\">Ga-68 PSMA, Galyum-68&#8217;in k\u0131sa \u00f6mr\u00fc nedeniyle uzman bir ekip taraf\u0131ndan, g\u00f6r\u00fcnt\u00fcleme merkezinde haz\u0131rlanmakta ve s\u0131k\u0131 bir kalite kontrol uygulanmaktad\u0131r.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Ga-68 PSMA PET\/BT i\u015flemi yakla\u015f\u0131k 2 saat s\u00fcrmektedir. Az miktarda Ga-68 PSMA, PET\/BT g\u00f6r\u00fcnt\u00fclemesinden yakla\u015f\u0131k 45-60 dakika \u00f6nce damar yolundan uygulanmaktad\u0131r. Bu s\u0131rada, g\u00f6r\u00fcnt\u00fc kalitesini art\u0131rmak i\u00e7in di\u00fcretik (idrar s\u00f6kt\u00fcr\u00fcc\u00fc) de uygulanabilmektedir. Di\u00fcretik ayn\u0131 zamanda tutulmam\u0131\u015f Ga-68 PSMA&#8217;n\u0131n v\u00fccuttan h\u0131zl\u0131 bir \u015fekilde at\u0131lmas\u0131n\u0131 da sa\u011flamaktad\u0131r.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">PET\/BT<\/span><b> <\/b><span class=\"s1\">g\u00f6r\u00fcnt\u00fclemesinden hemen \u00f6nce mesanenizi (idrar torban\u0131z\u0131) bo\u015faltman\u0131z istenecektir. <\/span><span class=\"s1\">PET\/BT g\u00f6r\u00fcnt\u00fclemesi boyunca (yakla\u015f\u0131k 20-25 dk.), v\u00fccut g\u00f6r\u00fcnt\u00fclerinin s\u00fcrekli kaydedildi\u011fi, her iki ucu a\u00e7\u0131k, geni\u015f halka \u015feklindeki bir cihazda, \u00f6zel \u00e7ekim yata\u011f\u0131 \u00fczerinde uzanman\u0131z gerekmektedir. \u0130\u015flemin tek zahmetli yan\u0131, bu s\u00fcre i\u00e7erisinde hareketsiz kalman\u0131zd\u0131r. \u0130htiyac\u0131n\u0131z halinde, g\u00f6r\u00fcnt\u00fcleme \u00f6ncesi, beraberinizde getirdi\u011finiz a\u011fr\u0131 kesicinizi kullanabilirsiniz.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">T\u00fcm v\u00fccut g\u00f6r\u00fcnt\u00fcleme tamamland\u0131ktan sonra ilk g\u00f6r\u00fcnt\u00fcleriniz uzman N\u00fckleer T\u0131p Hekimimiz taraf\u0131ndan incelenir. E\u011fer ihtiya\u00e7 duyulursa, ek g\u00f6r\u00fcnt\u00fcler al\u0131nabilir. Bu ek g\u00f6r\u00fcnt\u00fcleme i\u015flemi yakla\u015f\u0131k 10-15 dakika s\u00fcrecektir.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Kolunuzdaki damar yolu, g\u00f6r\u00fcnt\u00fclemeniz tamamland\u0131ktan ve t\u00fcm g\u00f6r\u00fcnt\u00fcleriniz kontrol edildikten sonra \u00e7\u0131kar\u0131lacakt\u0131r. Sa\u011fl\u0131k personelimizin bilgi vermesiyle, N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcnden art\u0131k g\u00fcvenle ayr\u0131labilirsiniz. \u0130la\u00e7 verildikten sonra ilk 6 saat k\u00fc\u00e7\u00fck \u00e7ocuklarla ve hamile kad\u0131nlarla temastan ka\u00e7\u0131nman\u0131z gerekti\u011fini l\u00fctfen unutmay\u0131n\u0131z. G\u00f6r\u00fcnt\u00fcleriniz N\u00fckleer T\u0131p Uzmanlar\u0131m\u0131z taraf\u0131ndan belirtilen s\u00fcrede de\u011ferlendirilerek, rapor edilecektir.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#187;TEDAV\u0130 H\u0130ZMETLER\u0130 &#8212; LUTESYUM-177 PSMA TEDAV\u0130S\u0130&#187; open_toggle_text_color=&#187;#0ca7c5&#8243; _builder_version=&#187;4.4.8&#8243; toggle_font=&#187;|700|||||||&#187; toggle_font_size=&#187;18px&#187; open=&#187;off&#187;]<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Lutesyum-177 PSMA Tedavisi Nedir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Kansere, kontrols\u00fcz olarak b\u00fcy\u00fcyen ve \u00e7o\u011falan kanserli (malign) h\u00fccreler neden olur. Prostat bezi dokusunda kanser ba\u015flad\u0131\u011f\u0131nda, buna <b>prostat kanseri<\/b> denir. Prostat kanseri h\u00fccrelerinin, v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131larak t\u00fcm\u00f6rler olu\u015fturdu\u011fu duruma ise <b>metastatik prostat kanseri<\/b> denmektedir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi, ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span> <span class=\"s1\">Prostat kanserinde, bir yandan <\/span><span class=\"s3\">GA-68 PSMA PET\/BT ile prostat kanserine ait t\u00fcm\u00f6ral dokular y\u00fcksek duyarl\u0131l\u0131k ve \u00f6zg\u00fcll\u00fckte g\u00f6r\u00fcnt\u00fclenebilmekte, di\u011fer yandan Lu-177 PSMA ile bu t\u00fcm\u00f6ral dokular\u0131n \u00f6zg\u00fcl ve hedefe y\u00f6nelik tedavisi yap\u0131labilmektedir. Bu, teranostik uygulamalar i\u00e7in olduk\u00e7a ba\u015far\u0131l\u0131 ve yeni bir y\u00f6ntemdir. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Lu-177 PSMA tedavisi<\/b>, metastatik kastrasyona diren\u00e7li prostat kanserini tedavi etmek i\u00e7in, giderek daha fazla kullan\u0131lan yenilik\u00e7i ve etkili bir tedavidir. Genellikle, di\u011fer onaylanm\u0131\u015f y\u00f6ntemlerle tedavi se\u00e7eneklerinin t\u00fckendi\u011fi, etkisiz oldu\u011funun g\u00f6sterildi\u011fi veya hastalar\u0131n bunlar\u0131 tolere edemedi\u011fi durumlarda, takip eden hekimin \u00f6nerisiyle kullan\u0131l\u0131r. Bu tedavi; t\u00fcm\u00f6r boyutunu k\u00fc\u00e7\u00fcltmeye ve t\u00fcm\u00f6r\u00fcn \u00e7o\u011falmas\u0131n\u0131 \u00f6nlemeye, ayr\u0131ca t\u00fcm\u00f6r\u00fcn neden oldu\u011fu bulgu ve \u015fikayetleri (semptomlar\u0131) azaltmaya yard\u0131mc\u0131 olur.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Lu-177 PSMA tedavisi, faz I ve faz II ara\u015ft\u0131rma safhalar\u0131n\u0131 ge\u00e7mi\u015f, faz III randomize klinik \u00e7al\u0131\u015fmalarda test edilme a\u015famas\u0131ndad\u0131r. Bu nedenle hen\u00fcz rutin klinik tedavinin bir par\u00e7as\u0131 de\u011fildir. Yine de bir\u00e7ok prostat kanseri hastas\u0131nda, Lu-177 PSMA tedavisi ile uzun s\u00fcreli d\u00fczelme elde edilebildi\u011fi g\u00f6sterilmi\u015ftir. \u015eu anda \u00fclkemizde ve d\u00fcnyada, ilerlemi\u015f ve metastatik prostat kanserli olgular i\u00e7in bu tedavi hizmetini sunan s\u0131n\u0131rl\u0131 say\u0131da klinik bulunmaktad\u0131r.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">\u00c7o\u011fu prostat kanseri t\u00fcr\u00fcnde, tedavi i\u00e7in aranan t\u00fcm\u00f6ral y\u00fcksek PSMA d\u00fczeyi mevcuttur. Bununla birlikte, t\u00fcm prostat kanseri hastalar\u0131n\u0131n y\u00fczde 5 ila 10&#8217;unun PSMA olu\u015fturmad\u0131\u011f\u0131 da bilinen bir durumdur. Bu nedenle, Lu-177 PSMA tedavisine ba\u015flamadan \u00f6nce, tedavinin t\u00fcm\u00f6r dokusunu hedef ald\u0131\u011f\u0131n\u0131 belirlemek i\u00e7in GA-68 PSMA PET\/BT ile g\u00f6r\u00fcnt\u00fcleme yap\u0131lmaktad\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Lutesyum-177 PSMA Nas\u0131l Tedavi Eder?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">PSMA, \u00e7ok say\u0131da h\u00fccresel fonksiyona sahip, sa\u011fl\u0131kl\u0131 prostat h\u00fccre zar\u0131nda bulunan bir protein t\u00fcr\u00fcd\u00fcr. Her ne kadar sa\u011fl\u0131kl\u0131 prostat h\u00fccreleri do\u011fal olarak \u00e7ok d\u00fc\u015f\u00fck seviyelerde PSMA olu\u015ftursa da kanserli prostat t\u00fcm\u00f6rleri son derece y\u00fcksek seviyelerde (genellikle normal prostat h\u00fccresinden 1000 kat daha y\u00fcksek) PSMA olu\u015fturmaktad\u0131r. Prostat kanseri v\u00fccudun di\u011fer b\u00f6lgelerine metastaz yapm\u0131\u015fsa, PSMA bu b\u00f6lgelerde g\u00f6r\u00fclebilir. Lu-177 atomu, PSMA ad\u0131n\u0131 verdi\u011fimiz ta\u015f\u0131y\u0131c\u0131 molek\u00fcle ekleyebildi\u011fimiz, radyoaktif beta par\u00e7ac\u0131klar\u0131 g\u00f6nderen radyoaktif bir elementtir. Lu-177 PSMA damar yoluyla uyguland\u0131\u011f\u0131nda, PSMA&#8217;n\u0131n bulundu\u011fu t\u00fcm\u00f6r dokular\u0131na gider ve hastal\u0131kl\u0131 t\u00fcm\u00f6r dokusundaki PSMA resept\u00f6rlerine tutunduktan sonra, radyasyon yayarak bu kanser h\u00fccrelerini yok eder. Lu-177 PSMA tedavisi kanser dokusunu hedef ald\u0131\u011f\u0131ndan, v\u00fccudun di\u011fer b\u00f6lgelerinde al\u0131nan \u0131\u015f\u0131n dozu \u00e7ok az d\u00fczeylerde olur. Lu-177 PSMA&#8217;n\u0131n t\u00fcm\u00f6r h\u00fccreleri taraf\u0131ndan tutulmayan k\u0131sm\u0131 ise t\u00fck\u00fcr\u00fck, idrar ve d\u0131\u015fk\u0131ya ge\u00e7erek v\u00fccuttan at\u0131l\u0131r. <\/span><span class=\"s1\">Lu-177 PSMA tedavisi, konusunda uzman multidisipliner ekip taraf\u0131ndan de\u011ferlendirildikten sonra uygulanmaktad\u0131r. <\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Lutesyum-177 PSMA Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Metastatik kastrasyona diren\u00e7li prostat kanseri (mCRPC) olan ve onaylanm\u0131\u015f (alternatif) tedavi y\u00f6ntemleri t\u00fckenmi\u015f\/uygun olmayan hastalarda, sorumlu hekimin \u00f6nerisiyle uygulanabilir. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Hastan\u0131n daha \u00f6nce a\u015fa\u011f\u0131daki i\u015flemlerden ge\u00e7mi\u015f olmas\u0131 gerekmektedir:<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Tedaviden en fazla 2 ay \u00f6ncesine ait GA-68 PSMA PET\/BT g\u00f6r\u00fcnt\u00fclemesinde t\u00fcm\u00f6r dokular\u0131nda artm\u0131\u015f PSMA ekspresyonunun g\u00f6sterilmesi<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Tedavisinden en az 2 hafta \u00f6nce serumda AST, ALT, kreatinin, PSA d\u00fczeyi dahil olmak \u00fczere serum biyokimyas\u0131 ile tam bir kan say\u0131m\u0131 olmas\u0131<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Hastal\u0131\u011f\u0131n tedavi \u00f6ncesi evresi ve uygulanan tedaviler hakk\u0131nda bilgi, \u00f6nceki i\u015flemler, patoloji sonu\u00e7lar\u0131 sunulmu\u015f olmas\u0131<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Lu-177 PSMA tedavisinin uygunlu\u011funa ili\u015fkin multidisipliner ekip taraf\u0131ndan de\u011ferlendirilmi\u015f olmas\u0131 gerekmektedir.<\/span><\/li>\n<\/ul>\n<p class=\"p6\"><span class=\"s1\"><b><i>Lutesyum-177 PSMA tedavisi, a\u015fa\u011f\u0131da belirtilen durumlarda uygulanamamaktad\u0131r:<\/i><\/b><\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">ECOG performans skalas\u0131 \u00f6l\u00e7e\u011finin 3 veya 4 olmas\u0131 (Lu-177 PSMA tedavisi amac\u0131n\u0131n hastal\u0131\u011f\u0131n\u0131z\u0131n semptomlar\u0131n\u0131 azaltmak olmad\u0131\u011f\u0131 s\u00fcrece)<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">\u0130drar yollar\u0131nda ciddi t\u0131kan\u0131kl\u0131k ve geni\u015fleme olmas\u0131<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">\u0130lerleyen ve kontrol edilemeyen hastal\u0131klar\u0131n varl\u0131\u011f\u0131; karaci\u011fer ve b\u00f6brek hastal\u0131klar\u0131 ile enfeksiyonlar dahil <\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Kemik ili\u011fi fonksiyonunun bask\u0131lanmas\u0131:<br \/><\/span>-Toplam beyaz h\u00fccre say\u0131s\u0131n\u0131n 2.5&#215;10<span class=\"s4\"><sup>9<\/sup><\/span><span class=\"s1\">\/L&#8217;den az olmas\u0131<br \/><\/span>-Trombosit say\u0131s\u0131n\u0131n &lt;75&#215;10<span class=\"s4\"><sup>9<\/sup><\/span><span class=\"s1\">\/L&#8217;den az olmas\u0131<\/span><\/li>\n<\/ul>\n<p class=\"p8\"><span class=\"s1\"><b><i>ECOG Performans Skalas\u0131<\/i><\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">0<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">Tam aktif, hastal\u0131k \u00f6ncesi t\u00fcm aktivitelerini k\u0131s\u0131tlama olmaks\u0131z\u0131n yerine getirebilir.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td3\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">1<\/span><\/p>\n<\/td>\n<td class=\"td4\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">Zorlu fizik aktivitede k\u0131s\u0131tlama var, ancak ayakta ve hafif i\u015fleri yapabiliyor. \u00d6rne\u011fin; hafif ev ve ofis i\u015fleri.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td5\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">2<\/span><\/p>\n<\/td>\n<td class=\"td6\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">Ayakta ve kendi i\u015flerini yapabiliyor, ancak herhangi bir i\u015fte \u00e7al\u0131\u015fam\u0131yor ve g\u00fcnd\u00fcz saatlerinin yar\u0131s\u0131ndan fazlas\u0131n\u0131 ayakta ge\u00e7irebiliyor.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td5\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">3<\/span><\/p>\n<\/td>\n<td class=\"td6\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">Kendi bak\u0131m\u0131n\u0131 yapmakta zorlan\u0131yor, g\u00fcnd\u00fcz saatlerinin yar\u0131s\u0131ndan fazlas\u0131nda yat\u0131yor veya sandalyede oturuyor.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td7\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">4<\/span><\/p>\n<\/td>\n<td class=\"td8\" valign=\"top\">\n<p class=\"p8\"><span class=\"s1\">Kendi bak\u0131m\u0131n\u0131 yapam\u0131yor, tam olarak sandalye veya yata\u011fa ba\u011f\u0131ml\u0131.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p1\"><span class=\"s1\"><b><br \/>Lutesyum-177 PSMA Tedavisi G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Lu-177 PSMA tedavisinde kullan\u0131lan radyasyon, sadece kanser h\u00fccrelerini yok etmek i\u00e7in tasarlanm\u0131\u015ft\u0131r. Teranostikler ile tedavi daha ki\u015fiselle\u015fir, \u00f6nce kanser ve metastaz\u0131 etkili bir \u015fekilde saptan\u0131r. Ard\u0131ndan t\u00fcm v\u00fccut doz al\u0131m\u0131 minimum seviyede tutularak kanser h\u00fccrelerinin \u0131\u015f\u0131nlanarak yok edilmesi hedeflenir. Radyasyonun sa\u011fl\u0131kl\u0131 dokulara zarar vermemesini sa\u011flamak i\u00e7in kan testleri; t\u00fcm\u00f6r b\u00f6lgelerindeki radyoaktif maddenin do\u011fru \u015fekilde emildi\u011finden emin olmak i\u00e7in de g\u00f6r\u00fcnt\u00fclemeler yap\u0131lmaktad\u0131r.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Uzman N\u00fckleer T\u0131p Hekiminiz, size tedavinin olas\u0131 yan etkileri konusunda rehberlik edecek ve gerekli tavsiyelerde bulunacakt\u0131r. Tedavi do\u011frudan t\u00fcm\u00f6re y\u00f6nelik oldu\u011fu i\u00e7in Lu-177 PSMA ile tedavi edilen hastalar\u0131n \u00e7o\u011funda genellikle ciddi yan etki g\u00f6r\u00fclmemektedir. Bununla birlikte baz\u0131 hastalarda; bulant\u0131, a\u011f\u0131z kurulu\u011fu, yorgunluk, b\u00f6brek fonksiyonlar\u0131nda azalma ve \u00f6zellikle kemik lezyonlar\u0131 <\/span><span class=\"s5\">olan hastalarda <\/span><span class=\"s1\">kan h\u00fccresi \u00fcretiminde ge\u00e7ici azalma g\u00f6r\u00fclebilmektedir. En s\u0131k g\u00f6r\u00fclen yan etki hafif bulant\u0131d\u0131r. Bunu \u00f6nlemek i\u00e7in hekiminiz, ihtiya\u00e7 halinde size bulant\u0131 \u00f6nleyici ila\u00e7 \u00f6nerecektir. <\/span><\/p>\n<p class=\"p9\"><span class=\"s1\"><b>Lutesyum-177 PSMA Tedavisi \u00d6ncesi Haz\u0131rl\u0131k<\/b><\/span><\/p>\n<p class=\"p10\"><span class=\"s1\"><b>\u0130lk G\u00f6r\u00fc\u015fme S\u0131ras\u0131nda \u0130stenen Bilgiler<\/b><\/span><\/p>\n<p class=\"p8\"><span class=\"s1\">Klini\u011fe ilk ba\u015fvurunuzda, a\u015fa\u011f\u0131da listelenen bilgi ve belgeleri beraberinizde getirmeniz \u00f6nemlidir. Hasta bilgilerinizin dijital ortamda haz\u0131rlanmas\u0131 (DICOM, JPEG, PNG, PDF, Microsoft Word (.doc, .docx) vb.), e-posta ile h\u0131zl\u0131 ve kolayca payla\u015f\u0131lmas\u0131na imkan tan\u0131yacak ve hastal\u0131\u011f\u0131n\u0131z\u0131n de\u011ferlendirilmesini b\u00fcy\u00fck oranda kolayla\u015ft\u0131racakt\u0131r.\u00a0<\/span><\/p>\n<ul>\n<li class=\"p8\"><span class=\"s1\">Sizin ve sizi takip eden hekiminizin ileti\u015fim bilgileri (ev\/i\u015f\/cep telefon numaras\u0131, e-posta adresi)<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">En g\u00fcncel hekim raporlar\u0131n\u0131z<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Patoloji raporlar\u0131n\u0131z <\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Kan testleriniz<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">T\u00fcm v\u00fccut kemik sintigrafisi, BT, MR ve GA-68 PSMA PET\/BT gibi \u00f6nceki g\u00f6r\u00fcnt\u00fclemelerinizin raporlar\u0131 ve orijinal film\/CD\/DVD&#8217;leri <\/span><\/li>\n<\/ul>\n<p class=\"p8\"><span class=\"s1\">Ayr\u0131ca tedaviyi yapacak hekiminiz, a\u015fa\u011f\u0131daki kan testlerini isteyecektir. Bu testlerin tedavi s\u0131ras\u0131ndaki durumunuzu g\u00f6stermesi beklendi\u011finden, tedaviden en ge\u00e7 2 hafta \u00f6nce yap\u0131lm\u0131\u015f olmas\u0131 gerekmektedir. <\/span><\/p>\n<ul>\n<li class=\"p8\"><span class=\"s1\">PSA<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Tam kan say\u0131m\u0131<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Sodyum<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Potasyum<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Fosfat<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">\u00dcre<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Kreatinin<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Alkalen fosfataz<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Albumin<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">AST<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">ALT<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">LDH<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Bilirubin<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">Total protein<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">24 Saatlik idrarda kreatinin klirensi<\/span><\/li>\n<\/ul>\n<p class=\"p8\"><span class=\"s1\">Hekiminiz, gerekti\u011finde ek kan testleri de isteyebilir. <\/span><\/p>\n<p class=\"p10\"><span class=\"s1\"><b>Tedavi \u00d6ncesi Haz\u0131rl\u0131k <\/b><\/span><\/p>\n<p class=\"p8\"><span class=\"s1\">En son kemoterapi uygulaman\u0131z\u0131n \u00fczerinden en az 4 hafta ge\u00e7ti\u011finden emin olman\u0131z gerekmektedir. Tedavi \u00f6ncesinde, N\u00fckleer T\u0131p Hekiminiz taraf\u0131ndan re\u00e7ete edilmi\u015f ilac\u0131n\u0131z varsa \u00f6nerilen \u015fekilde kullanman\u0131z \u00f6nemlidir. <\/span><\/p>\n<p class=\"p8\"><span class=\"s1\">Tedavi s\u00fcresince kendi giysilerinizi giyece\u011finiz i\u00e7in yan\u0131n\u0131zda rahat ve geni\u015f k\u0131yafetler getirmenizi \u00f6nermekteyiz. Tedavi boyunca giydikten sonra atabilece\u011finiz eski k\u0131yafetleri bu ama\u00e7la kullanabilirsiniz. Tedavinizde ve birlikte yap\u0131lan testler i\u00e7in kolunuza veya elinizin s\u0131rt\u0131na yerle\u015ftirilen damar yolu kullan\u0131laca\u011f\u0131ndan, k\u0131sa kollu ya da geni\u015f kollu giysileri tercih etmeniz yararl\u0131 olacakt\u0131r. <\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Lutesyum-177 PSMA Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Tedaviden \u00f6nce, \u00f6zel bir k\u0131s\u0131tlaman\u0131z yoksa bol su i\u00e7meniz istenecektir. Lu-177 PSMA kolunuz ya da el s\u0131rt\u0131n\u0131za yerle\u015ftirilen damar yoluyla 1 dakikadan k\u0131sa bir s\u00fcrede uygulanacak, ard\u0131ndan da serum fizyolojik yakla\u015f\u0131k yar\u0131m saat s\u00fcreyle yine damar yolundan yava\u015f olarak verilecektir. Enjeksiyon s\u0131ras\u0131nda ve sonras\u0131nda, N\u00fckleer T\u0131p Hekiminiz taraf\u0131ndan belirtilen s\u00fcre boyunca, klinikte kalman\u0131z gereklidir. \u0130drar tutma sorunu ya\u015fayan hastalar\u0131m\u0131zda, N\u00fckleer T\u0131p Hekiminin \u00f6nerisiyle idrar sondas\u0131 kullan\u0131lmaktad\u0131r. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Toplam tedaviniz, 6-8 hafta aral\u0131klarla uygulanacak 2 ila 6 k\u00fcrden olu\u015fmaktad\u0131r. Enjeksiyondan 24 saat sonraya kadar insanlarla yak\u0131n ve uzun s\u00fcreli temastan ka\u00e7\u0131nmal\u0131s\u0131n\u0131z (u\u00e7u\u015f\/seyahat\/toplu etkinliklere kat\u0131lmaman\u0131z \u00f6nerilir).<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">\u0130htiya\u00e7 halinde, tedaviniz s\u0131ras\u0131nda veya sonras\u0131nda bulant\u0131 \u00f6nleyici ila\u00e7 verilebilmektedir. <\/span><span class=\"s1\">Tedavi i\u00e7in kullan\u0131lacak Lu-177 <\/span><span class=\"s5\">PSMA, tedavi verilecek kurumda bulunan radyofarmasi b\u00f6l\u00fcm\u00fcnde \u00fcretilmekte ve radyon\u00fcklid tedaviler i\u00e7in \u00f6zel olarak haz\u0131rlanm\u0131\u015f tedavi odalar\u0131nda uygulanmaktad\u0131r. V\u00fccudunuzdaki radyasyon nedeniyle, aksi belirtilmedik\u00e7e, uzman bir ekibin tedaviyi koordine edece\u011fi, g\u00fcn\u00fcbirlik ya da tek gecelik konaklama \u015feklinde, kur\u015fun kapl\u0131 bu \u00f6zel odada, hastanede kalman\u0131z gerekecektir. Tedaviden sonraki ilk 12 saat boyunca b\u00fcy\u00fck miktarda radyoaktivite, idrar\u0131n\u0131z yoluyla v\u00fccuttan d\u0131\u015far\u0131 at\u0131lacakt\u0131r. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Hekiminiz, ila\u00e7 verilmesini takiben 1. ila 48. saatler aras\u0131nda, N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcnde t\u00fcm v\u00fccut taramas\u0131 yapacakt\u0131r. <\/span><span class=\"s1\">\u00d6nlem olarak, hastanede kald\u0131\u011f\u0131n\u0131z s\u00fcre boyunca hi\u00e7bir ziyaret\u00e7iye izin verilmemektedir. Bununla birlikte isterseniz telefon g\u00f6r\u00fc\u015fmesi yapabilirsiniz.<\/span><span class=\"s1\">Tedaviden yakla\u015f\u0131k 2 hafta ila 6 hafta sonra kan testleri yap\u0131lacakt\u0131r.<\/span><\/p>\n<p class=\"p12\"><span class=\"s1\"><b>Ka\u00e7 K\u00fcr Tedavi Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Genellikle 6-8 haftada bir, 2 ile 6 k\u00fcr tedavi verilmektedir. Tedaviyi uygulayan hekiminiz sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 ve tedaviye yan\u0131t\u0131 yeniden de\u011ferlendirmek amac\u0131yla, her k\u00fcrden sonra sizi g\u00f6recektir. Sonraki tedaviler; PSA, kan h\u00fccreleriniz, b\u00f6brek ve karaci\u011feriniz \u00fczerindeki etkisine g\u00f6re planlanmaktad\u0131r. Bu klinik de\u011ferlendirme, bir sonraki tedavi k\u00fcr\u00fcnden 2 hafta \u00f6nce yap\u0131lacakt\u0131r. Bu de\u011ferlendirmede kan testleri, kemik sintigrafisi, GA-68 PSMA ve ihtiyaca g\u00f6re <\/span><span class=\"s4\"><sup>18<\/sup><\/span><span class=\"s1\">F-FDG PET\/BT taramalar\u0131 yap\u0131lmaktad\u0131r.<\/span><\/p>\n<p class=\"p13\"><span class=\"s1\"><b>Lutesyum-177 PSMA Tedavisi Sonras\u0131nda Neler Yapman\u0131z Gerekir?<\/b><\/span><\/p>\n<p class=\"p8\"><span class=\"s1\">Tedaviden genellikle 24 saat sonra taburcu olunmaktad\u0131r. Bu t\u00fcr tedavilerde radyasyon v\u00fccudun i\u00e7inde kalmakta ve v\u00fccut d\u0131\u015f\u0131na \u00e7ok az miktarda \u00e7\u0131kmaktad\u0131r. Daha \u00f6nce de belirtti\u011fimiz gibi \u00f6nlem olarak, tedavi s\u0131ras\u0131nda hi\u00e7bir ziyaret\u00e7iye izin verilmemektedir. Taburcu olduktan sonra aileniz ve arkada\u015flar\u0131n\u0131z art\u0131k risk alt\u0131nda de\u011fildir. Ancak a\u015fa\u011f\u0131da s\u0131ralad\u0131\u011f\u0131m\u0131z baz\u0131 makul \u00f6nlemleri alman\u0131z\u0131 \u00f6nermekteyiz:<\/span><\/p>\n<ul>\n<li class=\"p8\"><span class=\"s1\">Tedaviden sonraki bir hafta boyunca, her tuvalet kullan\u0131m\u0131n\u0131n ard\u0131ndan sifonu iki kez \u00e7ekiniz.<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">K\u00fc\u00e7\u00fck \u00e7ocuklar ve hamile kad\u0131nlarla 3 g\u00fcn boyunca t\u00fcm temaslardan ka\u00e7\u0131n\u0131n\u0131z.<\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Di\u011fer yeti\u015fkinlerle yak\u0131n temas\u0131 3 g\u00fcn boyunca k\u0131s\u0131tlay\u0131n\u0131z.<\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">3 g\u00fcn boyunca ba\u015fka bir ki\u015fiyle yatak payla\u015fmaktan ka\u00e7\u0131n\u0131n\u0131z.<\/span><\/li>\n<li class=\"p7\"><span class=\"s1\">Tedavi g\u00fcn\u00fcnde ve sonras\u0131nda hekiminizin, ki\u015fisel ko\u015fullar\u0131n\u0131za g\u00f6re size \u00f6zel verece\u011fi tavsiyelere uyunuz. <\/span><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=&#187;4.4.8&#8243;][\/et_pb_code][et_pb_button button_url=&#187;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE2MzYifX0=@&#187; 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