Aw yu liva ɛn yu splin de? (Skan Liva ɛn Splin)

Adu! Yu kin fil smɔl nervɔs ɛn fred we dɔktɔ tɛl yu fɔ du spɛshal skan fɔ chɛk yu liva ɛn splin, wan ``Liva ɛn Spleen Skan'', nɔto so? Ɔ sɔntɛm yu bin rili want fɔ no wetin dis de tɔk bɔt. So, nɔ wɔri. Lɛ wi tɔk bɔt dis ditayli, rili simpul, tide. A go ɛksplen ɔltin di we we una go ɔndastand.

Wetin na Liva ɛn Splin Skan?

Fɔ tɔk am simpul wan, dis na spɛshal nyuklia mɛrɛsin imej tɛst . I kin luk mɔ pan tu ɔgan dɛn we dɛn kɔl yu liva ɛn yu splin. Dɛn tu ɔgan ya de na di ɔp pat na wi bɛlɛ. Di impɔtant tin na dat if prɔblɛm de wit wan pan dɛn ɔgan ya, i kin afɛkt di ɔda wan bak. Dɛn tan lɛk tu bɛst padi dɛn.

Insay dis tɛst, dɛn kin put smɔl redioaktiv tin (wan redioaktiv traysa) insay yu bɔdi. Dɔn, dɛn kin yuz wan spɛshal tin we dɛn kɔl gama kamɛra fɔ wach aw yu liva ɛn yu splin de tek di tin. Dis kin mek dɔktɔ dɛn si aw yu tu ɔgan dɛn de wok fayn ɛn if ɛnitin dɔn pwɛl dɛn. Yu nɔ tink se na wɔndaful tɛknɔlɔji?

Wetin mek a go nid fɔ du skan lɛk dis?

Naw yu kin de tink se, "Wetin mek dɛn de aks mi fɔ du dis kayn skan?" Ɔda kayn skan dɛn de fɔ luk di liva ɛn di splin. bכt wetin spεshal fכ dis `(Liver and Spleen Scan)` na dat i kin si aw di sεl dεm na difrεn pat dεm na di כgan dεm de aktiv εn aw dεn de rεspכnd fayn fayn wan .

dis kin εp yu fכ fכn εni abnכmal εria na yu liva כ splin, we dεn kכl `lεshכn`, usay di tisu dεn chenj εn i nכ de wok fayn. I kin luk bak fɔ tin dɛm lɛk fibrosis, swel, chenj na di bayl flɔ, ɛn chenj na di blɔd flɔ. So, i rili impɔtant fɔ asɛs di damej we di ɔgan dɛn gɛt.

Wetin dɛn kin yuz dis skan fɔ?

Yu dɔktɔ kin tɛl yu fɔ du dis skan fɔ bɔku rizin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi:

• Si aw di kɔndishɔn fɔ wan liva sik we dɔn te (`(chronic liver disease)`) de.
• We yu de trit wan sik, si if i de mɛn am ɔ i de mek di sik bɛtɛ.
• We di liva ɔ di splin dɔn pwɛl, lɛk we aksidɛnt apin, chɛk aw di liva dɔn pwɛl.
• Fכ no if eni injuri כ abnכmal tisu (lεshכn) de na dεn כgan dεm ya.
• Sɔntɛnde wi kin gɛt pen na wi bɛlɛ we de ɔp, bɔt wi nɔ kin ebul fɔ fɛn di tin we kin mek wi fil pen. Insay dɛn kayn tin dɛn de, dis go ɛp wi fɔ no wetin mek i bi.
• Chek fɔ ɛni sistɛm prɔblɛm we de afɛkt ɔl tu di liva ɛn di splin.

Us kayn mεdikal kכndyushכn dεm dεn kin no wit dis skan?

Di tin dɛn we kin kɔmɔt frɔm dis skan kin gi yu tin dɛn fɔ no bɔt difrɛn difrɛn sik dɛn we pɔsin kin gɛt. Na sɔm ɛgzampul dɛn ya:

• Inflameshɔn na di liva, na di kɔndishɔn we wi kin kɔl ``ɛpataytis''.
• Liva skata, fibrosis, ɛn sɔntɛm sirosis.
• Fat liva sik na we di fat kin gɛda na di liva.
• Yu tink se di liva jɔs dɔn big?
• Yu tink se di splin dɔn big?
• di splin de wok tu tranga, we min se wan kכndyushכn de we dεn kכl ``hypersplenism''?
• di inkrεs pan bכdi prεshכn na di vein dεm na di liva, we dεn kכl ``Pכtal haypatεnshכn''.
• wan kכndyushכn we dεn kכl ``Budd-Chiari syndrome``, we di vein dεm na di liva de blכk כ sכmtεm.
• di splenic artery aneurysm de (`(Splenic artery aneurysm)`)?
• Yu tink se wan splin we dɔn brok?
• sכm tisu de na di splin we dεn dכn day (`(Splenic infarction)`)?
• Yu tink se di liva nɔ de wok fayn (`(Liva nɔ de wok fayn)`)?
• Ɛni lump ɔ growth na di liva. Fɔ ɛgzampul, wan abses, wan benign tumor, wan liva hemangioma, ɔ wan liva sist.
• Kansa na di liva ɔ di splin.
• Yu tink se kansa we kɔmɔt ɔdasay na di bɔdi dɔn skata to dɛn ɔgan ya (mɛtastatik kansa)?
• jεnεtik sik dεm lεk Gaucher sik we de afekt dεn כgan dεm ya.

Impɔtant: Nɔ fred dis list, okay? Dɛn nɔ kin du dis skan fɔ si if yu gɛt ɔl dɛn sik ya. Dɛn kin du am bay aw yu de si yu sik ɛn wetin di dɔktɔ de tink.

Aw dis liva ɛn splin skan de wok? I rili simpul!

Imajin se dɛn put smɔl "spy" insay yu bɔdi. Dis nɔto rial spay. Dɛn kin put smɔl mɛrɛsin, we na wan redioaktiv traysa, insay wan vein na yu an. Pan ɔl we i gɛt redioaktiv, natin nɔ de fɔ fred, na jɔs wan rili smɔl raytin we dɛn kin kɔntrol , ɛn i kin kɔmɔt na yu bɔdi afta sɔm tɛm.

Dis mɛrɛsin de travul tru yu blɔd ɛn i de go insay yu liva ɛn splin. Den, dat gama kamera we a bin menshon bifo "rid" di gamma rays we dis mɛrɛsin de mek. Dat min se, i de fɛn usay di mɛrɛsin de ɛn ɔmɔs pan am de.

afta dat dεn kin kכmbayn di imej dεm we di gama kεmεra tek wit tri-dimεnshn (`3D`) imej dεm fכ yu כgan dεm. Dɛn kin tek dɛn tri-dimɛnshɔnal imej ya bay we dɛn yuz wan tɛknik we dɛn kɔl ``SPECT/CT scan``. ``(SPECT)`` tinap fɔ ``(singl-fɔtɔn ɛmishin kɔmpyuta tomografi)`` ɛn ``(CT)`` tinap fɔ ``(kɔmpyut tomografi)``. We dɛn put ɔl dis togɛda, di dɔktɔ dɛn kin gɛt rili klia pikchɔ bɔt yu liva ɛn yu splin.

Aw a fɔ pripia bifo di skan?

Dis nɔ nid fɔ pripia bɔku.

• Di dɔktɔ go ɛksplen to yu dis tɛst, dɔn dɛn go aks yu fɔ sayn yu kɔnsɛntmɛnt.
• Yu go gɛt fɔ wɛr spɛshal ɔspitul klos.
• Yu go nid fɔ pul ɛni mɛtal jɔyri we yu gɛt na yu bɔdi, lɛk nɛks, breslɛt, ɛn iaring, bikɔs di skan mashin kin pik dɛn.
• If yu de wɔri ɔr wɔri smɔl bɔt dis, yu kin aks di dɔktɔ fɔ gi yu mɛrɛsin fɔ mek yu fil fayn. Dat go ɛp yu fɔ rilaks smɔl.

Aw lɔng dis skan kin tek?

Bɔku tɛm di wan ol tɛst kin tek lɛk wan awa so .

Afta di injɛkshɔn, yu kin wet fɔ lɛk 15 to 30 minit so fɔ mek di liva ɛn di splin tek di mɛrɛsin. Na da tɛm de nɔmɔ yu kin bigin fɔ tek pikchɔ. I kin tek lɛk 15-20 minit fɔ tek pikchɔ wit di gama kamɛra, ɛn ɔda 15-20 minit fɔ tek pikchɔ wit di `(CT)` skan.

Wetin kin apin we dɛn de du di skan?

Okay, naw lɛ wi si wetin rili apin we dɛn du di skan.

1. fכs, wan raydiolojik tεknכlכji go injεkt wan spεshal redioaktiv traysa (usually Tc-99m sulphur colloid) insay wan vein na yu an wit sכm injεkshכn (tru wan IV). Yu go fil smɔl smɔl we yu put di nidul, we na nɔmal tin.

2. Dɔn, yu nid fɔ wet fɔ sɔm tɛm (lɛk 15-30 minit) fɔ mek di mɛrɛsin go insay yu bɔdi.

3. Neks, dem go mek yu ledɔm pan bed we de na di skan. Di skan we tan lɛk donut go de so dat i go fit fayn fayn wan oba yu bɛlɛ.

4. Di kamera fɔs de skan yu ɔl bɔdi wit gama rayt. Dɔn i kin rɔta rawnd yu smɔl smɔl, ɛn tek tri-dimɛnshɔnal (3D) pikchɔ dɛn.

5. Di teknishian kin aks yu fo ton roun en tek piksho so dat di kamera go get gud luk. Di tin we impɔtant pas ɔl na fɔ stil de na ɔl di pozishɔn dɛn. Dis go ɛp yu fɔ gɛt klia pikchɔ dɛn.

6. We di skan dɔn, dɛn go pul di IV. Dɔn yu kin grap ɛn wɛr yu klos.

Ɛni risk de we dis kin apin?

Di big big risk dɛm fɔ dis tɛst rili smɔl. Bɔt i impɔtant fɔ tɛl yu dɔktɔ bɔt dɛn tin ya:

• If yu gɛt bɛlɛ: Pan ɔl we di raytin we yu de yuz rili smɔl, i kin afɛkt di pikin we de na di bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ: Di redioaktiv tin kin pas insay yu milk. So yu dɔktɔ go tɛl yu fɔ stɔp fɔ gi pikin in bɛlɛ fɔ sɔm dez.
• If yu gɛt alɛji to di redioaktiv matirial (sɔlfɔ-kɔlɔyd). Dis nɔ kin apin so ɔltɛm, bɔt if yu gɛt wan, yu fɔ tɛl wi bifo tɛm.

A go fil ɛnitin?

• We yu put IV na yu an, i kin tan lɛk se dɛn de put smɔl nidul insay.
• Yu nɔ go fil natin we dɛn de du di skan, bɔt sɔm pipul dɛn kin fil smɔl we dɛn de stil fɔ sɔm tɛm.
• Yu nɔ go fil se dɛn de injɛkt di redioaktiv tin na yu bɔdi. Bɔt fɔ ɛp am fɔ kɔmɔt na yu bɔdi kwik kwik wan, yu nid fɔ drink bɔku wata fɔ di nɛks 24 awa afta di skan.

Aw yu de sho di tin dɛn we dɔn apin? Wetin na dɛn "hot spot" ɛn "cold spot" ya?

afta di redioaktiv sכbstans (`radionucleotide`) go insay yu vein, i de go stret na yu liva εn splin. Dɛn tu ɔgan ya kin tek di tin.

Naw na pikchɔ dɛn, .

• Sɔm ples dɛn de we kin tan lɛk se dɛn brayt pas ɔda wan dɛn. Dɛn kɔl dɛn tin ya "hot spots." Dat min se di tin dɔn absɔb fayn fayn wan na dɛn ples dɛn de.
• Sɔm say dɛn de we kin tan lɛk se dɛn dak . Dɛn kɔl dɛn tin ya "kol spat." Dis min se di tin nɔ dɔn absɔb fayn fayn wan na dɛn say dɛn de.

Di man we de stɔdi bɔt tɛknɔlɔji kin kɔmpia bak ɔmɔs pan di tin dɛn we dɛn tu ɔgan ya dɔn tek. כltu, di liva na di wan we fכ abzכp mכr pan di tin pas di splin.

כltu, if di liva abzכp sכm pas aw i fכ abzכp εn di splin abzכp mכr, dεn kכl am "kכloyd shift." Dis de sho se di liva in wok dɔn go dɔŋ.

Wetin kin apin afta mi rizɔlt kam insay?

Wae di rizulyt fɔ yu ``Liva ɛn Spleen Skan'' dɔn insay, di dɔktɔ go luk dɛn ɛn kam to wan kɔnklushɔn bɔt yu kɔndishɔn.

• Dɛn rizɔlt ya kin ebul fɔ gi wan difinitiv diagnosis . If na so i bi, di dɔktɔ go tɔk to yu bɔt di nɛks tin dɛn we yu fɔ du fɔ trit yu.
• Sɔntɛnde, dɛn kin du ɔda tɛst fɔ no mɔ bɔt di infɔmeshɔn we dɛn gɛt frɔm dis skan.

Bɔt, di dɔktɔ go ɛksplen ɔltin to yu.

Us ɔda kayn skan de fɔ luk fɔ prɔblɛm wit di liva?

apat frכm dis `(Liver and Spleen Scan)`, כda kayn imej tεst dεm de fכ luk di kכndishכn fכ di liva εn splin. Sɔm ɛgzampul dɛn na:

• Liva CT skan (`(Liva CT skan)`)
• Spleen CT skan (`(Splin CT skan)`)
• Abdominal ɔltrasɔund skan (`(Abdominal ɔltrasɔund)`)
• Liva elastografi (dεn kin kכl am bak MRE כ FibroScan® ultrasound).
• Liva/splin MRI skan (`(Liva/splin MRI)`)

Yu dɔktɔ go disayd us tɛst we go fayn fɔ yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Dis nyuklia mεdisin liva εn splin skan na valyu tin we de εp dכkta dεm fכ luk dεn tu patna כgan dεm ya nyu we εn כndastand aw dεn de wok. Dis skan kin ɛp fɔ no di kɔndishɔn dɛn we de afɛkt di tu ɔgan dɛn, fɔ no di damej, si if di sik de go bifo ɔ slo, ɛn fɔ wach aw i de wɛl.

If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tɛst ɔ di rizɔlt, .Nɔ shem fɔ tɔk to yu dɔktɔ. Dɔn yu kin mek ɔltin klia. Stay wit wɛlbɔdi!

` Liva, splin, skan, nyuklia mεdisin, diagnosis, liva sik, bεlε