{"id":2858,"date":"2020-10-09T16:27:34","date_gmt":"2020-10-09T13:27:34","guid":{"rendered":"https:\/\/www.intheranostics.com\/?page_id=2858"},"modified":"2020-11-04T20:37:14","modified_gmt":"2020-11-04T17:37:14","slug":"%d0%bd%d0%b5%d0%b9%d1%80%d0%be%d1%8d%d0%bd%d0%b4%d0%be%d0%ba%d1%80%d0%b8%d0%bd%d0%bd%d1%8b%d0%b5-%d0%be%d0%bf%d1%83%d1%85%d0%be%d0%bb%d0%b8","status":"publish","type":"page","link":"https:\/\/www.intheranostics.com\/ru\/%d0%bd%d0%b5%d0%b9%d1%80%d0%be%d1%8d%d0%bd%d0%b4%d0%be%d0%ba%d1%80%d0%b8%d0%bd%d0%bd%d1%8b%d0%b5-%d0%be%d0%bf%d1%83%d1%85%d0%be%d0%bb%d0%b8\/","title":{"rendered":"\u041d\u0435\u0439\u0440\u043e\u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438"},"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; 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_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; custom_padding=&#187;||0px|||&#187;]\u041d\u0435\u0439\u0440\u043e\u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u044e\u0442 \u0441\u043e\u0431\u043e\u0439 \u0440\u0435\u0434\u043a\u0443\u044e \u0433\u0440\u0443\u043f\u043f\u0443 \u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043c\u043e\u0433\u0443\u0442 \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0442\u044c\u0441\u044f \u0432 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0445 \u0447\u0430\u0441\u0442\u044f\u0445 \u0442\u0435\u043b\u0430. \u041e\u043d\u0438 \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u044f\u0442 \u0438\u0437 \u043d\u0435\u0439\u0440\u043e\u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0432\u044b\u0440\u0430\u0431\u0430\u0442\u044b\u0432\u0430\u044e\u0442 \u0433\u043e\u0440\u043c\u043e\u043d\u044b \u0432 \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a. \u041f\u043e\u0441\u043a\u043e\u043b\u044c\u043a\u0443 \u043d\u0435\u0439\u0440\u043e\u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u043c\u043e\u0433\u0443\u0442 \u043f\u0440\u043e\u0434\u0443\u0446\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0433\u043e\u0440\u0430\u0437\u0434\u043e \u0431\u043e\u043b\u044c\u0448\u0435 \u0433\u043e\u0440\u043c\u043e\u043d\u043e\u0432, \u0447\u0435\u043c \u043e\u0431\u044b\u0447\u043d\u043e, \u043e\u043d\u0438 \u043c\u043e\u0433\u0443\u0442 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u043e \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0445 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043e\u0432 \u0438 \u0436\u0430\u043b\u043e\u0431. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0442\u043e, \u0447\u0442\u043e \u044d\u0442\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 \u0438\u043b\u0438 \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 (\u0440\u0430\u043a), \u0447\u0430\u0441\u0442\u043e \u043e\u043d\u0438 \u0440\u0430\u0441\u0442\u0443\u0442 \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u043e \u0438 \u043d\u0435 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u043e\u0447\u0435\u043d\u044c \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u044b\u043c\u0438.<br \/>\n[\/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 DOTA-TATE 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 DOTA-TATE PET\/BT Nedir, T\u00fcm\u00f6r Oda\u011f\u0131n\u0131 Nas\u0131l G\u00f6sterir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">N\u00f6roendokrin t\u00fcm\u00f6rler (NET); ba\u015fta ba\u011f\u0131rsak, pankreas ve akci\u011ferler olmak \u00fczere, v\u00fccudun herhangi bir yerinde ortaya \u00e7\u0131kabilen, nadir g\u00f6r\u00fclen kanserlerdir. <\/span><\/p>\n<p class=\"p4\"><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><\/p>\n<p class=\"p4\"><span class=\"s1\">Teranostik uygulamalarda baz\u0131 ajanlar kullan\u0131larak, n\u00f6roendokrin t\u00fcm\u00f6rlerin tan\u0131-tedavisi yap\u0131labilir. Bu ajanlardan Ga-68 DOTA-TATE ile t\u00fcm\u00f6ral dokular y\u00fcksek duyarl\u0131l\u0131kta g\u00f6r\u00fcnt\u00fclenebilmekte, 177Lu-DOTA-TATE ile 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=\"p4\"><span class=\"s1\">N\u00f6roendokrin t\u00fcm\u00f6rler \u00e7ok k\u00fc\u00e7\u00fck olabilmekte, mide, ba\u011f\u0131rsak, pankreas ve akci\u011ferler gibi v\u00fccudun herhangi bir yerinde geli\u015febilmektedir. Bunlar\u0131 erken evrede, standart g\u00f6r\u00fcnt\u00fclemeler ile saptamak olduk\u00e7a zordur. Ancak yeni bir g\u00f6r\u00fcnt\u00fcleme ajan\u0131 olan ve yak\u0131n zamanda FDA onay\u0131 da alan Ga-68 DOTA-TATE ile \u00e7ok k\u00fc\u00e7\u00fck NET lezyonlar\u0131 bile saptanabilmekte, mevcut di\u011fer g\u00f6r\u00fcnt\u00fclemelerden \u00e7ok daha iyi sonu\u00e7lar al\u0131nabilmektedir. Ga-68 DOTA-TATE PET\/BT g\u00f6r\u00fcnt\u00fclemesi kullan\u0131lmas\u0131, hastalar\u0131n en az \u00fc\u00e7te birinde, klinik yakla\u015f\u0131mda de\u011fi\u015fikli\u011fe neden olmaktad\u0131r.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Ga-68 DOTA-TATE PET\/BT g\u00f6r\u00fcnt\u00fclemesinde; do\u011fal somatostatin hormonunun sentetik bir formu olan \u201cDOTA-TATE\u201d ile \u201cGalyum-68\u201d radyoaktif elementinden olu\u015fan bir ila\u00e7 kullan\u0131l\u0131r. NET h\u00fccrelerinde, somatostatin hormonu i\u00e7in bol miktarda resept\u00f6r bulunur. Bu hormonun radyoaktif bir formu olan Ga-68 DOTA-TATE, kanserli h\u00fccrelerin resept\u00f6rlerine ba\u011flanarak PET\/BT g\u00f6r\u00fcnt\u00fclemesinde t\u00fcm\u00f6r\u00fc g\u00f6r\u00fcn\u00fcr hale getirir.<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\"><b>Galyum-68 DOTA-TATE PET\/BT G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Ga-68 DOTA-TATE 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. Enjekte edilen peptit (DOTA-TATE) miktar\u0131 50 \u03bcg&#8217;den azd\u0131r ve bu miktarlarda klinik olarak anlaml\u0131 farmakolojik etki de g\u00f6r\u00fclmemektedir. Bununla birlikte, beraberinde damardan kontrast madde uyguland\u0131\u011f\u0131 \u00f6zel durumlarda, kontrast alerjisi ve di\u011fer yan etkiler a\u00e7\u0131s\u0131ndan dikkatli olunmas\u0131 gerekmektedir. <\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">68Ga, sadece 68 dakika gibi \u00e7ok k\u0131sa bir yar\u0131 \u00f6mre sahiptir ve ila\u00e7 uyguland\u0131ktan en ge\u00e7 6 saat sonra, v\u00fccuttaki 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\u0131nmak gerekmektedir. <\/span><\/p>\n<p class=\"p8\"><span class=\"s1\">Sizin Ga-68 DOTA-TATE 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=\"p8\"><span class=\"s1\">Ga-68 DOTA-TATE PET\/BT; bebeklerde, \u00e7ocuklarda ve gen\u00e7 yeti\u015fkinlerde de g\u00fcvenle kullan\u0131labilen bir g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. <\/span><span class=\"s1\">Emziren hastalarda, bebe\u011fin ald\u0131\u011f\u0131 radyasyon dozunu en aza indirmek i\u00e7in, Ga-68 DOTA-TATE enjeksiyonu sonras\u0131 12 saat boyunca emzirme kesilmeli ve anne s\u00fct\u00fc pompayla sa\u011f\u0131larak at\u0131lmal\u0131d\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Galyum-68 DOTA-TATE PET\/BT Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Sizi takip eden sorumlu hekiminiz \u00e7e\u015fitli nedenlerden dolay\u0131 Ga-68 DOTA-TATE PET\/BT g\u00f6r\u00fcnt\u00fclemesi isteyebilir:<\/span><\/p>\n<ul>\n<li class=\"p11\"><span class=\"s1\">N\u00f6roendokrin t\u00fcm\u00f6r\u00fcn\u00fc bulmak ve te\u015fhis etmek<\/span><\/li>\n<li class=\"p11\"><span class=\"s1\">Hastal\u0131\u011f\u0131n evresini g\u00f6rmek<\/span><\/li>\n<li class=\"p11\"><span class=\"s1\">Tedavi se\u00e7eneklerini belirlemek <\/span><\/li>\n<li class=\"p11\"><span class=\"s1\">Cerrahiyi planlamak<\/span><\/li>\n<li class=\"p11\"><span class=\"s1\">Hastal\u0131\u011f\u0131n n\u00fcks\u00fcn\u00fc bulmak<\/span><\/li>\n<li class=\"p11\"><span class=\"s1\">Tedaviye yan\u0131t\u0131 de\u011ferlendirmek<\/span><\/li>\n<\/ul>\n<p class=\"p12\"><span class=\"s1\"><b>Galyum-68 DOTA-TATE PET\/BT \u00d6ncesi Neler Yapman\u0131z \u0130stenir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Randevu i\u015flemi s\u0131ras\u0131nda N\u00fckleer T\u0131p Personelimiz, size i\u015flem ve hasta haz\u0131rl\u0131\u011f\u0131 hakk\u0131nda ayr\u0131nt\u0131l\u0131 bir a\u00e7\u0131klama yapacakt\u0131r. \u0130\u015flem \u00f6ncesinde N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcne vermek \u00fczere, hastal\u0131\u011f\u0131n\u0131za y\u00f6nelik tetkik ve bilgileri yan\u0131n\u0131zda bulundurman\u0131z istenecektir:<\/span><\/p>\n<ul>\n<li class=\"p14\"><span class=\"s1\">\u00d6nceki g\u00f6r\u00fcnt\u00fclemelerinizin (BT, MR, ultrason, oktreotid sintigrafisi, Ga-68 DOTA-TATE PET\/BT vb.) rapor, film ve CD&#8217;leri<\/span><\/li>\n<li class=\"p14\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131za ait patoloji sonu\u00e7lar\u0131<\/span><\/li>\n<li class=\"p14\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131za y\u00f6nelik uygulanan tedavi bilgileri (son somatostatin analo\u011fu\/oktreotid uygulanma tarihi, cerrahi, kemoterapi, radyoterapi, ila\u00e7 vb.) ve son oktreotid tedavinizin tarihi<\/span><\/li>\n<li class=\"p8\"><span class=\"s1\">G\u00fcncel laboratuvar testi sonu\u00e7lar\u0131 (hormon ve t\u00fcm\u00f6r belirte\u00e7leri) <\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">Ga-68 DOTA-TATE PET\/BT i\u00e7in a\u00e7 olman\u0131za gerek yoktur. \u0130ncelemeden yakla\u015f\u0131k 2 saat \u00f6ncesine kadar hafif bir kahvalt\u0131 yapabilirsiniz. Bununla birlikte, \u00e7ekim \u00f6ncesindeki 2 saat boyunca su d\u0131\u015f\u0131nda bir \u015fey yemeyip i\u00e7medi\u011finizden emin olunuz. \u0130\u015flemden \u00f6nce ve i\u015flem s\u0131ras\u0131nda su i\u00e7meniz faydal\u0131 olacakt\u0131r.<\/span><\/p>\n<p class=\"p9\"><span class=\"s1\">Uzun etkili somatostatin analo\u011fu\/oktreotid<span class=\"Apple-converted-space\">\u00a0 <\/span>(\u00f6rn. Sandostatin LAR) kullan\u0131yorsan\u0131z, Ga-68 DOTA-TATE PET\/BT i\u015fleminin yap\u0131labilmesi i\u00e7in bu ilac\u0131n son dozundan sonra en az 3-4 hafta beklemeniz gerekecektir. Bu durumda en iyi se\u00e7enek, PET\/BT \u00e7al\u0131\u015fmas\u0131n\u0131, planlanan ayl\u0131k uzun etkili somatostatin analo\u011fu\/oktreotid dozundan 1 veya 2 g\u00fcn \u00f6nce yapmak olacakt\u0131r. K\u0131sa etkili somatostatin analo\u011fu\/oktreotid (\u00f6rn. Sandostatin) kullan\u0131ld\u0131\u011f\u0131 durumlarda ise 24 saat bekleme yeterli olacakt\u0131r. <\/span><\/p>\n<p class=\"p7\"><span class=\"s1\"><b>Galyum-68 DOTA-TATE PET\/BT Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Ga-68 DOTA-TATE, Galyum-68&#8217;in k\u0131sa yar\u0131 \u00f6mr\u00fc nedeniyle uzman ekibimiz taraf\u0131ndan, g\u00f6r\u00fcnt\u00fcleme merkezinde haz\u0131rlanmaktad\u0131r ve t\u00fcm s\u00fcre\u00e7 s\u0131k\u0131 bir kalite kontrolden ge\u00e7mektedir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Ga-68 DOTA-TATE PET\/BT i\u015flemi yakla\u015f\u0131k 2-3 saat s\u00fcrmektedir. <\/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><span class=\"s1\">Az miktarda Ga-68 DOTA-TATE; g\u00f6r\u00fcnt\u00fcleme i\u015fleminden yakla\u015f\u0131k 1 saat \u00f6nce, kol ya da el s\u0131rt\u0131n\u0131za yerle\u015ftirdi\u011fimiz damar yolundan uygulanacakt\u0131r. Bu i\u015flem s\u0131ras\u0131nda herhangi bir \u015fey hissedilmemektedir. Gerekti\u011finde, a\u011f\u0131z yolu ile kontrast madde i\u00e7meniz istenebilir. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">PET\/BT g\u00f6r\u00fcnt\u00fclemesinden hemen \u00f6nce mesanenizi (idrar torban\u0131z\u0131) bo\u015faltman\u0131z gerekmektedir. <\/span><span class=\"s1\">PET\/BT g\u00f6r\u00fcnt\u00fclemesi boyunca (yakla\u015f\u0131k 30-45 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 istenecektir. \u0130\u015flemin tek zahmetli yan\u0131; bu s\u00fcre zarf\u0131nda hareketsiz kal\u0131nmas\u0131d\u0131r. \u0130htiyac\u0131n\u0131z halinde, g\u00f6r\u00fcnt\u00fcleme \u00f6ncesi, beraberinizde getirdi\u011finiz a\u011fr\u0131 kesicinizi kullanabilirsiniz.<\/span><\/p>\n<p class=\"p2\"><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 incelenirken, siz tuvalet ihtiyac\u0131n\u0131z\u0131 kar\u015f\u0131layabilirsiniz. \u0130htiya\u00e7 duyulursa uzmanlar\u0131m\u0131z ek g\u00f6r\u00fcnt\u00fc alabilir. Ek g\u00f6r\u00fcnt\u00fcleme i\u015flemi yakla\u015f\u0131k 15-30 dakika s\u00fcrmektedir.<\/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\u0131kart\u0131l\u0131r. Sa\u011fl\u0131k personelimizin onay vermesiyle, N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcnden art\u0131k g\u00fcvenle ayr\u0131labilirsiniz. <\/span><span class=\"s1\">G\u00f6r\u00fcnt\u00fcleriniz N\u00fckleer T\u0131p Uzmanlar\u0131m\u0131z taraf\u0131ndan belirtilen s\u00fcrede de\u011ferlendirilerek rapor edilecektir.<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\"><b>Galyum-68 DOTA-TATE PET\/BT Sonras\u0131nda Neler Yapman\u0131z Gerekir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Ga-68 DOTA-TATE PET\/BT i\u015flemi sonras\u0131nda bol miktarda su\/s\u0131v\u0131 t\u00fcketmeniz, verilen ilac\u0131n v\u00fccuttan at\u0131lmas\u0131na yard\u0131mc\u0131 olacakt\u0131r. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Emziren hastalarda, bebe\u011fin ald\u0131\u011f\u0131 radyasyon dozunu en aza indirmek i\u00e7in Ga-68 DOTA-TATE enjeksiyonu sonras\u0131 12 saat boyunca emzirme kesilmeli ve anne s\u00fct\u00fc pompayla sa\u011f\u0131larak at\u0131lmal\u0131d\u0131r. <\/span><span class=\"s1\">\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.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b><i>Daha fazla bilgi i\u00e7in l\u00fctfen bizimle irtibata ge\u00e7iniz.<\/i><\/b><\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#187;TEDAV\u0130 H\u0130ZMETLER\u0130 &#8212; LUTESYUM-177 DOTA-TATE 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 DOTA-TATE Tedavisi Nedir?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">N\u00f6roendokrin t\u00fcm\u00f6rler (NET); ba\u015fta ba\u011f\u0131rsak, pankreas ve akci\u011ferler olmak \u00fczere, v\u00fccudun herhangi bir yerinde ortaya \u00e7\u0131kabilen, nadir g\u00f6r\u00fclen kanserlerdir. <\/span><\/p>\n<p class=\"p4\">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.<\/p>\n<p class=\"p4\"><span class=\"s1\">Teranostik uygulamalarda baz\u0131 g\u00f6r\u00fcnt\u00fcleme ajanlar\u0131 kullan\u0131larak, n\u00f6roendokrin t\u00fcm\u00f6rlerin tan\u0131-tedavisi yap\u0131labilir. Bu ajanlardan Ga-68 DOTA-TATE PET\/BT ile t\u00fcm\u00f6ral dokular y\u00fcksek duyarl\u0131l\u0131kta g\u00f6r\u00fcnt\u00fclenebilmekte, Lu-177 DOTA-TATE ile t\u00fcm\u00f6ral dokular\u0131n \u00f6zg\u00fcl ve hedefe y\u00f6nelik tedavisi yap\u0131labilmektedir. <\/span><span class=\"s2\">Bu, teranostik uygulamalar i\u00e7in olduk\u00e7a ba\u015far\u0131l\u0131 ve yeni bir y\u00f6ntemdir. <\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Lu-177 DOTA-TATE; n\u00f6roendokrin t\u00fcm\u00f6rlerde kullan\u0131lan bir tedavi y\u00f6ntemidir. &#171;Hedeflenmi\u015f radyon\u00fcklid tedavi&#187;, &#171;peptit resept\u00f6r\u00fc radyon\u00fcklid tedavi (PRRT)&#187; \u201csomatostatin resept\u00f6r radyoligand tedavisi\u201d gibi farkl\u0131 isimlerle de an\u0131lmaktad\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Lutesyum-177 DOTA-TATE Nas\u0131l Tedavi Eder?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Lu-177 DOTA-TATE tedavisinde; do\u011fal somatostatin hormonunun, insan yap\u0131m\u0131 (sentetik) bir formu olan DOTA-TATE ile Lutesyum-177 radyoaktif elementinden olu\u015fan bir ila\u00e7 kullan\u0131l\u0131r. <\/span><span class=\"s1\">Bu kombine ila\u00e7 hastalara damar yoluyla uygulan\u0131r. \u0130la\u00e7, DOTA-TATE ile n\u00f6roendokrin t\u00fcm\u00f6rlerin y\u00fczeyine ba\u011flan\u0131r ve Lutesyum-177 ile do\u011frudan t\u00fcm\u00f6re, y\u00fcksek bir lokal radyoterapi dozu uygulan\u0131r.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Lu-177 DOTA-TATE tedavisinin amac\u0131; t\u00fcm\u00f6r b\u00fcy\u00fcmesini yava\u015flatmak veya durdurmak ve t\u00fcm\u00f6r\u00fcn neden oldu\u011fu baz\u0131 semptomlar\u0131 azaltmakt\u0131r. Lu-177 DOTA-TATE tedavisi genellikle 8 ila 12 hafta arayla uygulanan d\u00f6rt k\u00fcrden olu\u015fmaktad\u0131r. <\/span><\/p>\n<p class=\"p6\"><span class=\"s1\">Bu b\u00f6l\u00fcmde Lu-177 DOTA-TATE tedavisi hakk\u0131ndaki sorular\u0131n\u0131z\u0131 yan\u0131tlamay\u0131, tedavinin faydalar\u0131, riskleri ve alternatiflerini a\u00e7\u0131klamay\u0131 ama\u00e7lamaktay\u0131z. Farkl\u0131 bir soru veya endi\u015feniz varsa, l\u00fctfen sizi takip eden hekimizle g\u00f6r\u00fc\u015f\u00fcn\u00fcz.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Lutesyum-177 DODA-TATE Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Hekiminiz, daha da k\u00f6t\u00fcle\u015fen ve di\u011fer tedavilere yan\u0131t vermeyi b\u0131rakan bir n\u00f6roendokrin t\u00fcm\u00f6r\u00fcn\u00fcz oldu\u011funda bu tedaviyi size \u00f6nerebilir. Ara\u015ft\u0131rmalar, lutetium tedavisinin n\u00f6roendokrin t\u00fcm\u00f6r\u00fc olan insanlarda; ya\u015fam beklentisini ve kalitesini art\u0131rabilece\u011fini, semptom ve \u015fikayetleri hafifletebilece\u011fini g\u00f6stermektedir. <\/span><span class=\"s1\">Tedaviye ba\u015flamadan \u00f6nce, b\u00f6breklerinizin ne kadar iyi \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in glomer\u00fcler filtrasyon h\u0131z\u0131 (GFR) ad\u0131 verilen \u00f6zel bir b\u00f6brek testi yapt\u0131r\u0131lacakt\u0131r.<\/span><\/p>\n<p class=\"p9\"><span class=\"s1\"><b>Alternatif Tedaviler Nelerdir?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">N\u00f6roendokrin t\u00fcm\u00f6r\u00fc olan hastalara yard\u0131mc\u0131 olabilecek farkl\u0131 tedavi imkanlar\u0131 bulunmaktad\u0131r:<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>A\u011fr\u0131 kesiciler<\/b>: A\u011fr\u0131y\u0131 azalt\u0131r.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Somatostatin analoglar<\/b>\u0131: Bunlar somatostatin hormonunun sentetik formlar\u0131d\u0131r ve oketreotid vb. ila\u00e7lar\u0131 i\u00e7erir. T\u00fcm\u00f6re ba\u011fl\u0131 \u015fikayetlerinin (semptomlar\u0131n) giderilmesi ve hastal\u0131\u011f\u0131n\u0131z\u0131n durdurulmas\u0131nda yard\u0131mc\u0131 olmak i\u00e7in enjeksiyonla verilir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>\u0130nterferon alfa<\/b>: T\u00fcm\u00f6r b\u00fcy\u00fcmesini ve neden oldu\u011fu semptomlar\u0131 \u00f6nlemeye yard\u0131mc\u0131 olabilecek biyolojik bir tedavidir. Enjeksiyon ile verilir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Cerrahi<\/b>: T\u00fcm\u00f6r eri\u015filebilir durumdaysa, cerrahiyle t\u00fcm\u00f6r tamamen \u00e7\u0131kar\u0131labilir veya t\u00fcm\u00f6r boyutu k\u00fc\u00e7\u00fclt\u00fclerek semptomlar iyile\u015ftirilebilir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Kemoterapi<\/b>: T\u00fcm\u00f6r boyutunu azaltarak semptomlar\u0131 iyile\u015ftirmek i\u00e7in kullan\u0131lan ila\u00e7lard\u0131r. Genellikle bir damla yoluyla el s\u0131rt\u0131ndan veya kolunuzdan verilir. Ancak n\u00f6roendokrin t\u00fcm\u00f6rlerin \u00e7o\u011fu kemoterapi tedavisine \u00e7ok da duyarl\u0131 de\u011fildir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Hedefe y\u00f6nelik tedaviler<\/b> (\u00f6rne\u011fin sunitinib veya everolimus); bu ila\u00e7lar, t\u00fcm\u00f6r b\u00fcy\u00fcmesini ve yay\u0131lmas\u0131n\u0131 yava\u015flatmak i\u00e7in a\u011f\u0131z yoluyla al\u0131n\u0131r.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Embolizasyon<\/b>: T\u00fcm\u00f6re kan ak\u0131\u015f\u0131n\u0131 azaltarak semptomlar\u0131 kontrol etmede kullan\u0131lan bir tekniktir. Bazen t\u00fcm\u00f6r h\u00fccrelerinin b\u00fcy\u00fcmesini \u00f6nlemek i\u00e7in kemoterapi veya radyasyon terapisi ile birle\u015ftirilerek kullan\u0131labilir. <\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Radyofrekans ablasyonu<\/b>: Genel anestezi alt\u0131nda yap\u0131lan ve karaci\u011fer t\u00fcm\u00f6rlerini \u00e7\u0131karmak amac\u0131 ile \u0131s\u0131 iletmek i\u00e7in d\u00fc\u015f\u00fck elektrik ak\u0131m\u0131 kullanan bir prosed\u00fcrd\u00fcr.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Di\u011fer<\/b> <b>hedefe y\u00f6nelik radyon\u00fcklid tedaviler<\/b>: 131I-mIBG gibi radyon\u00fcklid tedavilerdir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Bu tedaviler hekiminizin \u00f6nerisiyle birbiri ard\u0131na veya bir arada kullan\u0131labilir. T\u00fcm tedavi se\u00e7eneklerini tart\u0131\u015ft\u0131ktan sonra, herhangi bir tedaviyi almay\u0131 ya da almamay\u0131 tercih edebilirsiniz. Ayr\u0131ca hekiminiz bu t\u00fcr tedavilerin size yard\u0131mc\u0131 olamayaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnebilir ve size palyatif bak\u0131m da \u00f6nerebilir. Bu sizi desteklemeye ve semptomlar\u0131n\u0131z\u0131 hafifletmeye yard\u0131mc\u0131 olur.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Lutesyum-177 DODA-TATE Tedavisi G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Lu-177 DOTA-TATE tedavisi alan NET hastalar\u0131m\u0131z, di\u011fer kanser tedavileri ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, minimal ve daha az ciddi uzun s\u00fcreli yan etkiler ya\u015famaktad\u0131rlar. <\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Bu tedavide kullan\u0131lan radyasyon, direkt kanser h\u00fccrelerine zarar vermek ve onlar\u0131 yok etmek i\u00e7in tasarlanm\u0131\u015ft\u0131r. Lu-177 DOTA-TATE &#8216;in b\u00fcy\u00fck k\u0131sm\u0131 t\u00fcm\u00f6r dokusuna gitti\u011finden<b>, sa\u011fl\u0131kl\u0131 dokulara zarar minimum d\u00fczeydedir.<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Ancak radyasyon, b\u00f6brek ve kemik ili\u011fini etkileyebilece\u011finden, hastalar tedavi sonras\u0131 kan testleri ile takip edilirler. <\/span><span class=\"s1\">Tedavide; tedaviye ve v\u00fccudun ald\u0131\u011f\u0131 radyasyon dozuna ba\u011fl\u0131 olmak \u00fczere, iki t\u00fcr yan etki g\u00f6r\u00fclebilir:<\/span><\/p>\n<p class=\"p11\"><span class=\"s1\"><b><i>1.Tedaviye Ba\u011fl\u0131 Muhtemel Yan Etkiler<\/i><\/b><\/span><\/p>\n<ul>\n<li class=\"p3\"><span class=\"s1\">Mide bulant\u0131s\u0131 hissedebilirsiniz; bu genellikle sadece tedavinin verildi\u011fi g\u00fcn olur. Bunu \u00f6nlemek i\u00e7in \u00f6nceden bulant\u0131 \u00f6nleyici ila\u00e7lar verilmektedir.<\/span><\/li>\n<li class=\"p3\"><span class=\"s1\">T\u00fcm\u00f6rdeki yang\u0131 (enflamasyon), \u00f6zellikle kemik, karaci\u011fer veya pankreas\u0131nda t\u00fcm\u00f6r bulunan hastalar\u0131m\u0131zda g\u00f6rebildi\u011fimiz, a\u011fr\u0131 art\u0131\u015f\u0131na neden olabilir. Bu durum, genellikle tedaviyi takip eden 72 saat i\u00e7inde ge\u00e7er. \u015eikayetleri azaltmaya yard\u0131mc\u0131 olmak i\u00e7in d\u00fc\u015f\u00fck doz steroid (deksametazon) kullanman\u0131z gerekecektir, bununla birlikte normal a\u011fr\u0131 kesici ila\u00e7lar\u0131n\u0131z\u0131 daha d\u00fczenli alman\u0131z\u0131 da \u00f6neririz.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">K\u0131zarma, terleme, \u00e7arp\u0131nt\u0131 veya h\u0131r\u0131lt\u0131l\u0131 soluma gibi g\u00fcnl\u00fck semptomlar\u0131n\u0131z\u0131n yo\u011funlu\u011funda ge\u00e7ici bir art\u0131\u015fa ve mevcut ishal s\u0131kl\u0131\u011f\u0131n\u0131n artmas\u0131na neden olabilir. Bu durum genellikle 24-48 saat i\u00e7inde dengelenir, kulland\u0131\u011f\u0131n\u0131z antidiyareik ila\u00e7 miktar\u0131n\u0131 da art\u0131rman\u0131z gerekebilir.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Tedavinin her bir k\u00fcr\u00fc sonras\u0131ndaki birka\u00e7 hafta halsiz hissetmenizi sa\u011flayabilir. <\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Ge\u00e7ici sa\u00e7 seyrelmesi; baz\u0131 hastalar\u0131m\u0131zda g\u00f6r\u00fclebilecek bir durumdur ve Lu-177 DOTA-TATE tedavisi tamamland\u0131ktan sonra tekrar normale d\u00f6nmektedir.<\/span><\/li>\n<\/ul>\n<p class=\"p3\"><span class=\"s1\">Tabii ki kendinizi farkl\u0131 hissetmemeniz ve bu yan etkilerden herhangi birini ya\u015famaman\u0131z da m\u00fcmk\u00fcnd\u00fcr.<\/span><\/p>\n<p class=\"p11\"><span class=\"s1\"><b><i>2. Radyasyon Dozu \u0130le \u0130lgili Yan Etkiler<\/i><\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Her ne kadar sa\u011fl\u0131kl\u0131 normal h\u00fccreler, t\u00fcm\u00f6r dokusuyla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda \u00e7ok d\u00fc\u015f\u00fck miktarda Lu-177 DOTA-TATE tutulumu g\u00f6sterseler de radyasyonun yan etkileri bu h\u00fccrelere de zarar verebilir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Lu-177 DOTA-TATE tedavisi v\u00fccudunuzun t\u00fcm\u00f6r d\u0131\u015f\u0131ndaki k\u0131s\u0131mlar\u0131n\u0131 da etkileyebilir. \u00d6zellikle kemik ili\u011finizi ve b\u00f6breklerinizi etkileyebilir. Bu, normalden daha halsiz hissetmenize veya tedaviden birka\u00e7 hafta sonra enfeksiyona daha yatk\u0131n olman\u0131za neden olabilir.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Kan say\u0131m\u0131n\u0131z\u0131 (kan h\u00fccreleri) kontrol etmek, b\u00f6breklerinizin ve karaci\u011ferinizin nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 g\u00f6rmek i\u00e7in her tedavi k\u00fcr\u00fcnden sonra d\u00fczenli kan testleri yapt\u0131rman\u0131z gerekecektir. Sekonder miyelodisplastik sendrom ve l\u00f6semi geli\u015fimi ise \u00e7ok nadir olmakla birlikte bildirilmi\u015ftir. <\/span><span class=\"s1\">Lu-177 DOTA-TATE tedavisinden sonra, yukar\u0131da listelenmemi\u015f olsalar bile, yeni veya beklenmedik sa\u011fl\u0131k sorunlar\u0131n\u0131z oldu\u011funda, hekiminize bildirmeniz \u00f6nemlidir.<\/span><\/p>\n<p class=\"p11\"><span class=\"s1\"><b><i>Lutesyum-177 DOTA-TATE ve Hamilelik<\/i><\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Her Lu-177 DOTA-TATE tedavi k\u00fcr\u00fcne ba\u015flamadan \u00f6nce hamilelik ihtimalini d\u0131\u015flamak i\u00e7in do\u011furganl\u0131k ya\u015f\u0131ndaki t\u00fcm kad\u0131nlardan gebelik testi i\u00e7in idrar \u00f6rne\u011fi vermeleri istenir. Hem erkeklere hem de kad\u0131nlara, tedavileri s\u0131ras\u0131nda ve tedaviyi tamamlad\u0131ktan sonra en az alt\u0131 ay boyunca \u00e7ocuk yapmamalar\u0131\/gebe kalmamalar\u0131 tavsiye edilir. Bu s\u00fcre boyunca g\u00fcvenilir do\u011fum kontrol y\u00f6ntemleri kullan\u0131lmal\u0131d\u0131r. Daha ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in hekiminize dan\u0131\u015fabilirsiniz.<\/span><\/p>\n<p class=\"p12\"><span class=\"s1\"><b>Lutesyum-177 DODA-TATE Tedavisi \u00d6ncesinde Neler Yapman\u0131z \u0130stenir?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Her tedavi k\u00fcr\u00fc i\u00e7in birka\u00e7 g\u00fcnl\u00fck hastane ziyaretiniz olacakt\u0131r. Tedavi i\u00e7in hastanede yatman\u0131z gerekebilir. D\u00f6rt k\u00fcr tedavinin tamamlanmas\u0131 sekiz ila on ay s\u00fcrmektedir. Son tedavi k\u00fcr\u00fcn\u00fcz de tamamland\u0131ktan sonra kontrol randevunuz planlanacakt\u0131r. Bu s\u00fcre zarf\u0131nda, sizi takip eden sorumlu hekiminizle de temas halinde olmal\u0131s\u0131n\u0131z.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Her tedavi k\u00fcr\u00fcnden \u00f6nce kan testi yapt\u0131rman\u0131z ve fizik muayeneden ge\u00e7meniz istenecektir. Bu i\u015flemler, genel sa\u011fl\u0131\u011f\u0131n\u0131zla ilgili k\u0131sa bir sorgulamayla birlikte, tedaviye uygunlu\u011funuzu de\u011ferlendirmemize yard\u0131mc\u0131 olacakt\u0131r.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Kulland\u0131\u011f\u0131n\u0131z t\u00fcm ila\u00e7lar hakk\u0131nda (hekiminiz taraf\u0131ndan re\u00e7ete edilmedi\u011fi halde kulland\u0131klar\u0131n\u0131z da dahil) bizleri bilgilendirmelisiniz. E\u011fer oktreotid (Sandostatin LAR\u00ae) veya lanreotid enjeksiyonlar\u0131 ile tedavi g\u00f6r\u00fcyorsan\u0131z, son enjeksiyonunuzun tarihini de bilmemiz gerekir. Bu, Lu-177 DOTA-TATE tedavi k\u00fcr\u00fcn\u00fc, enjeksiyonunuzun hemen \u00f6ncesindeki g\u00fcnlerde verebilecek \u015fekilde planlayabilmemiz i\u00e7in \u00f6nemlidir. E\u011fer g\u00fcnl\u00fck oktreotid enjeksiyonu yap\u0131yorsan\u0131z, bunu ne zaman sonland\u0131rman\u0131z gerekti\u011fini size bildirece\u011fiz. Tedavi \u00f6ncesi randevunuz s\u0131ras\u0131nda aksi belirtilmedi ise tedavinizin yap\u0131laca\u011f\u0131 g\u00fcn yiyip i\u00e7ebilirsiniz ve di\u011fer t\u00fcm ila\u00e7lar\u0131n\u0131z\u0131 normal \u015fekilde alabilirsiniz.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Tedaviden sonra bir gece hastanede kalman\u0131z gerekiyorsa, ki\u015fisel malzemelerinize ihtiyac\u0131n\u0131z olacakt\u0131r. <\/span><span class=\"s1\">Ziyaret\u00e7ilerin sizinle ge\u00e7irebilecekleri s\u00fcre, radyasyon nedeniyle k\u0131s\u0131tlanacakt\u0131r. Tedaviye ba\u015flamadan \u00f6nce size bu konuda bilgi verilecektir. Bununla birlikte 16 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklar ve hamile kad\u0131nlar yan\u0131n\u0131zda gelmemeli veya sizi ziyaret etmemelidir.<\/span><\/p>\n<p class=\"p13\"><span class=\"s1\"><b>Lutesyum-177 DOTA-TATE Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Tedaviniz N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fcnde verilecektir ve t\u00fcm prosed\u00fcr\u00fcn tamamlanmas\u0131 yakla\u015f\u0131k be\u015f saat s\u00fcrmektedir.<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Kolunuzdaki bir damara plastik bir kan\u00fcl (k\u00fc\u00e7\u00fck bir plastik t\u00fcp) yerle\u015ftirilecektir. Bu kan\u00fcl yoluyla ilk olarak bulant\u0131 hissetmenizi \u00f6nlemek i\u00e7in ila\u00e7, daha sonra b\u00f6breklerinizi radyoaktiviteden korumaya yard\u0131mc\u0131 olacak amino asit inf\u00fczyonu (damla \u015feklinde) verilecektir. <\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Yakla\u015f\u0131k bir saat sonra, Lu-177 DOTA-TATE uygulamas\u0131 i\u00e7in sonra amino asit inf\u00fczyonu kesilecektir. Lu-177 DOTA inf\u00fczyonu yakla\u015f\u0131k 30 dakikada tamamland\u0131ktan sonra, amino asit inf\u00fczyonuna tekrar ba\u015flanarak i\u015fleme \u00fc\u00e7 saat daha devam edilecektir. \u0130\u015flemin tamamlanmas\u0131ndan sonra kan\u00fcl \u00e7\u0131kar\u0131lacakt\u0131r.<\/span><\/p>\n<p class=\"p16\"><span class=\"s1\"><b>Lutesyum-177 DOTA-TATE<i> <\/i>Sonras\u0131nda Neler Yap\u0131l\u0131r?<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Ertesi sabah, tedavi sonras\u0131 taramalar i\u00e7in sizi N\u00fckleer T\u0131p B\u00f6l\u00fcm\u00fc&#8217;nde bekliyor olaca\u011f\u0131z. Bu taramalar, tedavinizin planland\u0131\u011f\u0131 \u015fekilde gitti\u011fini kontrol etmek amac\u0131yla yap\u0131lacakt\u0131r ve \u00e7ekimler bir-iki saat s\u00fcrebilir. <\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Taramalardan sonra, N\u00fckleer T\u0131p ekibimizden bir sa\u011fl\u0131k personelimiz radyasyon seviyenizi \u00f6l\u00e7ecek ve hastaneden ayr\u0131l\u0131rken izlemeniz gereken \u00f6nlemler hakk\u0131nda sizi bilgilendirecektir. Bu \u00f6nlemler, \u00e7evrenizdeki insanlar\u0131n alaca\u011f\u0131 radyasyon dozunu azaltmak i\u00e7in gereklidir. \u00d6l\u00e7\u00fcm sonras\u0131nda v\u00fccudunuzdaki radyasyon seviyesi yeterince d\u00fc\u015f\u00fck ise eve gidebilirsiniz.<\/span><\/p>\n<p class=\"p11\"><span class=\"s1\"><b><i>Hastaneden Ayr\u0131ld\u0131ktan Sonra<\/i><\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Size verilen radyasyon \u00f6nlemleri hakk\u0131ndaki tavsiyelere mutlaka uyunuz. <\/span><span class=\"s1\">Her bir tedavi k\u00fcr\u00fc sonras\u0131nda; tedavinin kan h\u00fccreleriniz, b\u00f6brekleriniz ve karaci\u011feriniz \u00fczerindeki etkisini kontrol etmek i\u00e7in 8 ila 10 hafta boyunca, her 2 haftada bir kan testi yapt\u0131rman\u0131z istenecektir. <\/span><\/p>\n<p class=\"p11\"><span class=\"s1\"><b><i>\u0130\u015fe Yeniden Ba\u015flama<\/i><\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Ne zaman i\u015fe geri d\u00f6nece\u011finizin karar\u0131 verilirken, yapt\u0131\u011f\u0131n\u0131z i\u015fin t\u00fcr\u00fc dikkate al\u0131nacakt\u0131r. Bu konuda N\u00fckleer T\u0131p Hekiminiz sizinle g\u00f6r\u00fc\u015fecektir. <\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b><i>Daha fazla bilgi i\u00e7in l\u00fctfen bizimle irtibata ge\u00e7iniz.<\/i><\/b><\/span><\/p>\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@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE2NTMifX0=@&#187; button_text=&#187;\u0414\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430 &#8212; \u041f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0430 \u041f\u042d\u0422-\u041a\u0422 Ga68 DOTA-TATE &#187; _builder_version=&#187;4.4.8&#8243; _dynamic_attributes=&#187;button_url&#187; hover_enabled=&#187;0&#8243;][\/et_pb_button][et_pb_button button_url=&#187;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE2NTIifX0=@&#187; button_text=&#187;\u041b\u0435\u0447\u0435\u043d\u0438\u0435 &#8212; 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