Yu bin fil smɔl fred we yu dɔktɔ tɛl yu se yu nid fɔ du MIBG skan? I rili nɔmal fɔ mek bɔku kwɛstyɔn dɛn kam na mi maynd, lɛk "Um, wetin na dis nyu skan? Wetin mek dɛn de du dis?" Ɛspɛshali we wi de tɔk bɔt wan mɛdikal tɛst we wi nɔ yɛri bɔt bɔku tɛm, wi kin fred smɔl ɛn want fɔ no mɔ. Bɔt nɔ fred atɔl. Tide, wi go tɔk bɔt ɔltin bɔt dis MIBG skan, frɔm di smɔl wan to di big wan, insay rili simpul Sinhala we yu kin ɔndastand. Jɔs lɛk aw yu padi de ɛksplen am to yu.
Fɔ tɔk am simpul wan, wetin na dis MIBG Skan?
Jɔs tink bɔt, sɔm tin dɛn de insay wi bɔdi we wi nɔ go ebul fɔ tek foto wit nɔmal kamɛra. Semweso, sɔm prɔblɛm dɛn de we tin dɛn lɛk ɛkstrem rayt ɛn CT skan nɔ kin ebul fɔ kech. Na da tɛm de wi kin yuz spɛshal we dɛn. MIBG skan na tɛst we de yuz dis kayn spɛshal kamɛra teknɔlɔji. Insay mɛrɛsin, wi kin kɔl dis ‘nyukliar imej tɛst’.
Dis na wetin kin apin:
Dɛn kin injɛkt wan rili smɔl, sef redioaktiv tin insay yu bɔdi. Nɔ wɔri, dis na smɔl tin nɔmɔ we nɔ go ambɔg yu, na jɔs wetin dɛn nid fɔ di tɛst. wi kכl dis mεtirial ``ayכdin mεta-ayכdobenzylguanidin``. So bikɔs i at fɔ kɔl dis lɔng nem, wi de kɔl am MIBG fɔ shɔt.
Dis tin we dɛn kɔl MIBG, de travul tru yu blɔd ɛn atak sɔm kayn sɛl dɛn na yu bɔdi. Dɔn, we yu yuz spɛshal kamɛra (gama kamɛra), yu kin si usay di tin dɔn gɛda. I tan lɛk se yu de fɛn di glowwɔm dɛn na dak.
Dɛn kin kɔl dis tɛst wit sɔm ɔda nem dɛn, so nɔ wɔri if dɛn nem ya de na yu ripɔt.
- Iobenguane skan we dɛn kin du
- Metaiodobenzylguanidin skan we dɛn kin yuz
- MIBG cintigrafi we dɛn mek
- MIBG scintiskan we dɛn kɔl
Wetin mek dɔktɔ dɛn se yu fɔ du dis MIBG skan?
Bɔku tɛm dɛn kin yuz MIBG skan fɔ no sɔm patikyula kayn tumbu dɛn na di bɔdi, fɔ si aw fa dɛn dɔn skata, ɛn fɔ no if di tritmɛnt wok fayn. dis tכmכro dεm de kכmכt frכm sεl dεm na wi bכdi we dεn kכl nyuroεndokrin sεl dεm we de mek כmon dεm.
Naw lɛ wi si wetin di men kayn nɛt dɛn kin fɛn wit dis skan.
| Tayp fɔ di Tumɔr | Wan Simpul Ɛksplen |
|---|---|
| Nyuroblastoma we dɛn kɔl Nyuroblastoma | Dis na wan kayn kansa we nɔ kin apin so ɔltɛm we kin bigin na di nerve sɛl dɛm fɔ pikin dɛm we nɔ rich 5 ia yet. |
| Fiokromosaytoma we dɛn kɔl | Na wan kayn tumbu we de divεlכp na di adrenal gland dεm, we de oba wi kidni dεm, כ כdasay na di bכdi. Dɛn tin ya kin mek yu gɛt sayn lɛk ay blɔd prɛshɔn. |
| Tכmכro dεm we de mek kansa (nyuroεndokrin tכmכro dεm) . | dis na wan kayn tכmכro we de gro sloslo we kin apin bכku tεm na di rεspiretכri sistεm כ di gεstrointestinal sistεm (intestinal trakt). |
| Mɛdula tayroyd kansa | Dis na wan patikyula kayn kansa we de divεlכp na di tayroyd gland na wi nεk. |
So, yu go dɔn ɔndastand se dis nɔto jɛnɛral tɛst, bɔt na sɔntin we dɛn kin du fɔ no bɔt rili spɛshal kɔndishɔn.
Aw a fɔ rɛdi fɔ dis skan?
Sɔm tin dɛn de we dɛn go aks yu fɔ du bifo dɛn du di skan. Fɔ fala dɛn tin ya ɛksaktɔli rili impɔtant fɔ mek di tɛst kɔrɛkt.
1. Wan spɛshal mɛrɛsin de fɔ tek.
Lɛk wan de bifo di skan, yu dɔktɔ go tɛl yu fɔ tek mɛrɛsin we gɛt ayodin (sɔntɛnde dɛn kin kɔl am Lugol in sɔlvushɔn). Yu kin nid fɔ tek dis fɔ sɔm dez afta di skan. Yu no wetin mek dɛn de gi dis? di redioaktiv ayodin we de na di MIBG injεkshכn de stכp am fכ kכmכt na yu tayroyd gland. Dis min se dɛn kin yuz dis mɛrɛsin fɔ protɛkt yu tayroyd gland.
2. Sɔm mɛrɛsin dɛn kin nid fɔ stɔp fɔ sɔm tɛm.
Sɔm mɛrɛsin dɛn we yu kin tek kin afɛkt di rizɔlt fɔ di MIBG skan. So, yu dɔktɔ go tɛl yu fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de fɔ sɔm dez ɔ wan wik bifo yu du di tɛst.
Bɔt mɛmba dis: Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin fɔ yusɛf. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu kin bay na kɔt, vaytamɛn dɛn, ɛn di mɛrɛsin dɛn we yu kin yuz fɔ mɛn animal dɛn. I go tɛl yu ustɛm di mɛrɛsin dɛn we yu fɔ stɔp fɔ tek ɛn fɔ aw lɔng.
Di tebul we de dɔŋ ya de sho sɔm pan di mɛrɛsin dɛn we dɛn kin advays fɔ stɔp.
| Di Kategori fɔ di mɛrɛsin | Kɔmɔn fɔ Yuz Fɔ |
|---|---|
| ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am | Ay Blɔd Prɛshɔn |
| Alɛji ɛn kol mɛrɛsin | Alɛji ɛn kol |
| Amiodarone we gɛt di sik | Di prɔblɛm dɛn we kin mek pɔsin in at ritm (Arrhythmia) . |
| Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad | Pwɛl hat ɛn ɔda tin dɛn we kin apin to pɔsin in maynd |
| Di wan dɛn we de blok di chanɛl dɛn we gɛt kalsiɔm | Fɔ ay blɔd prɛshɔn ɛn at sik |
| Opioid dɛn we dɛn kin yuz | Sɔm kayn strɔng mɛrɛsin dɛn we de mek pɔsin fil pen |
Wetin rili apin di de dɛn we dɛn de skan am?
MIBG skan nɔto sɔntin we pɔsin kin dɔn insay wan de. Na tin we kin apin fɔ sɔm dez. Bɔku tɛm, yu go gɛt fɔ go na ɔspitul tu to 4 tɛm.
- Step Wan: Injekt di Mɛrɛsin
Di fɔs de, dɔktɔ ɔ nɔs na di ɔspitul go injɛkt wan traysa we dɛn kɔl MIBG insay wan vein na yu an ɔ yu an. Dis tan lɛk we dɛn kin gi pɔsin injɛkshɔn ɔltɛm. Dɔn yu kin go na os. I kin tek lɛk 24 awa so fɔ mek di traysa go ɔlsay na yu bɔdi.
- Step Tu: Fɔs Skan
Di nɛks de yu go gɛt fɔ kam bak na ɔspitul fɔ yu fɔs skan. Yu go gɛt fɔ pul ɔl wetin yu wɛr, lɛk yu klos, wach, ɛn nɛks, ɛn wɛr spɛshal ɔspitul klos we dɛn gi yu. Dɔn dɛn go mek yu ledɔm na bed ɔnda di skan mashin. Na wetin yu fɔ du na fɔ de rili stil , ɛn nɔ muf atɔl. Di skan kamɛra go muv rawnd yu bɔdi ɛn tek pikchɔ. Yu nɔ go fil ɛni pen insay dis tɛm.
- Step Tri: Ri-Skan
Sɔm pipul dɛn kin nid fɔ kam bak fɔ ɔda skan wan ɔ tu dez afta dat. Na yu dɔktɔ ɛn raydiɔlɔjis go disayd dis. Ɛni skan kin tek lɛk wan ɔ tu awa so.
Wetin yu kin du afta di skan dɔn?
Bikɔs dis na ɔutpeshɛnt tɛst, yu kin go na os afta ɛni skan. Bɔt yu go nid fɔ ɛp yu bɔdi fɔ pul di redioaktiv tin afta yu dɔn go na os.
Di traysa sɔbstans we de na yu bɔdi go kɔmɔt na yu bɔdi kpatakpata insay sɔm dez. Fɔ ɛp wit dis , drink bɔku wata, lɛk wata ɛn frut drink. Dɔn di tin go kɔmɔt na yu bɔdi kwik kwik wan wit urine ɛn fes.
Dɔn bak, i rili impɔtant fɔ was yu an fayn fayn wan wit sop afta yu dɔn yuz tɔylɛt.
Speshal advays fɔ mama dɛn we de gi pikin dɛn bɛlɛ:
If yu na mama we de gi yu pikin in bɛlɛ, nɔ gi yu pikin in bɛlɛ fɔ at le wan de afta di MIBG injɛkshɔn. Rɛdi fɔ gi yu pikin fɔmula insay da tɛm de. Aks yu dɔktɔ fɔ no mɔ bɔt dis.
Ɛni risk de wit dis skan?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Infakt, MIBG skan na tɛst we rili sef. Di risk dɛm we de insay de rili smɔl.
- Sɔm pipul dɛn kin gɛt smɔl inkris na dɛn blɔd prɛshɔn afta dɛn dɔn gɛt di MIBG injɛkshɔn. Bɔt dis kin kam bak to nɔmal tin insay wan ɔ tu dez. So, dɛn go kip yu na ɔspitul fɔ lɛk 30 minit afta dɛn dɔn gi yu di injɛkshɔn, ɛn dɛn go chɛk yu blɔd prɛshɔn bifo dɛn sɛn yu na os.
- dis tεst nכ fayn fכ bεlε uman, biכs di redioaktiv mεtirial kin afekt di pikin we de bכn. So, if yu gɛt bɛlɛ ɔ yu ivin tink smɔl se yu gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ bifo di tɛst.
Aw lɔng i go tek fɔ mek a gɛt di rizɔlt?
Afta dɛn dɔn du di las skan, i kin tek lɛk tu to tri dez fɔ gɛt di rizɔlt.
Wetin kin apin na dat, dɔktɔ we de mɛn yu raydio kin tek tɛm stɔdi ɔl di skan dɛn we yu dɔn du. I de luk fɔ say dɛn we di MIBG sɔbstans de gɛda abnɔmal wan, we dɛn kɔl ‘hot spots.’ Dɛn eria ya kin sho se wan tumbu de.
Dɔn di spɛshal pɔsin go pripia wan ful ripɔt ɛn sɛn am to yu dɔktɔ we ɔda di tɛst. Dɔn yu dɔktɔ go tɔk to yu bɔt di ripɔt ɛn ɛksplen wetin yu nid fɔ du nɛks. Di MIBG skan na lɛk 85% kɔrɛkt, we min se na tɛst we pɔsin kin rili abop pan.
Mɛsej we dɛn kin kɛr go na os
- MIBG skan na wan tɛst we rili sef ɛn spɛshal we dɛn kin yuz fɔ no sɔm kayn tɔŋ dɛn. Nɔ fred dis.
- Bifo yu du di tɛst, tek di ayodin pil we dɛn tɛl yu fɔ protɛkt yu tayroyd gland.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di vaytamɛn dɛn). Nɔ bigin ɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Di skan prɔses kin tek sɔm dez, ɛn i rili impɔtant fɔ de stil we yu de skan.
- Afta di skan, drink bɔku wata ɛn wata fɔ ɛp fɔ pul di traysa frɔm yu bɔdi.
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
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