Wan spɛshal kamɛra we de luk insay di bɔdi: Ɔltin bɔt Nyuklia Mɛdisin Imajin!

Yu dɔn ɛva yɛri bɔt wan tɛst we dɛn kɔl ‘Nuclear Medicine Imaging’? Sɔntɛm yu yɛri bɔt am we yu dɔktɔ tɛl yu fɔ du dis kayn tɛst. I rili de mek yu fred smɔl we yu yɛri dis nem, nɔto so? ‘Nyuklia’ wen yu se am laik dat. Bɔt nɔ wɔri, tide wi go tɔk bɔt am ditayli, insay Sinhala we yu kin ɔndastand, ɛn rili simpul. Jɔs lɛk we yu de tɔk to yu padi.

Wetin na dis tin we dɛn kɔl Nyuklia Mɛdisin Imej?

Fɔ tɔk am simpul wan, dis na spɛshal we fɔ luk di ɔgan dɛn we de insay wi bɔdi. Bɔt dis wan nɔ tan lɛk ɔda skan dɛn, i gɛt smɔl difrɛns. Na dis kin apin: Fɔs, dɛn kin gi yu wan rili smɔl ‘raydioaktiv traysa’. Bɔku tɛm dɛn kin gi dis tru injɛkshɔn insay wan vein. Sɔntɛnde dɛn kin gi am as drink, i kin dipen pan di tɛst we dɛn de du. Dis nɔto mɛrɛsin ɔ wata we de day di bɔdi, nɔto so? We dɛn gi dis, i kin travul tru wi blɔd, go na di ɔgan ɔ tisu we wi want fɔ chɛk, ɛn i kin put am de.

Dɔn, dɛn kin put yu ɔnda wan spɛshal kamɛra we dɛn kɔl ‘gamma kamera’, we de no di smɔl smɔl raytin we di tin we dɛn bin put insay yu bɔdi de mek. Dis kamɛra rili sɛnsitiv. Dɛn kin sɛn da raytin infɔmeshɔn de to kɔmpyuta ɛn tɔn am to fayn fayn pikchɔ dɛn. I tan lεk ‘map’ fכ wan כgan insay wi bכdi. Na bay we yu luk dɛn pikchɔ dɛn de, dɔktɔ dɛn kin no if ɛni prɔblɛm de na yu bɔdi ɔ if wan ɔgan de wok fayn fayn wan.

Naw yu go de tink se, ‘O, redioaktiv, i de mek yu fred, i go mɔs bi se i bad fɔ yu bɔdi.’ Bɔt di tru tin na dat, di raytin we de insay di tin we dɛn yuz fɔ dis tɛst rili smɔl . Dat min se, na di sem kayn raytin we wi kin gɛt na wi layf ɛvride, ɛn sɔntɛnde i kin ivin smɔl. Dɔn bak, bɔku tɛm dɛn tin ya nɔ kin mek ɛni bad bad tin apin to pɔsin. Dɛn tin ya kin kɔmɔt na di bɔdi afta sɔm tɛm. So no rizin nɔ de fɔ mek wi fred we wi nɔ nid fɔ fred.

Wetin mek wi nid dis kayn tɛst (Nuclear Imaging Test)?

Wɛl, dɛn kin yuz dis tɛst mɔ fɔ no difrɛn sik dɛn. Sɔmtɛm dɛn kin yuse am bak fɔ trit ɛn si aw di tritmɛnt we de naw de wok fayn. Jɔs imajin aw dis tɛst go ɛp wi dɔktɔ dɛn fɔ fɛn. Na sɔm pan di sik ɛn kɔndishɔn dɛm wae dis tɛst kin no:

• Sɔm blɔd sik dɛm (e.g., sɔm kayn anemia, blɔd klɔt prɔblɛm).
• Tayroyd sik dεm, spεshal kכndishכn dεm we di tayroyd gland nכ de wok fayn (hypothyroidism).
• di at sik (e.g., di bכdi we de fכm na di at mכsul dεm we de dכn, we di at de pwεl afta hat atak).
• di sik dεm we de na di gal blad (e.g., kolεsistaytis, di bayl dakt obstrכkshכn).
• di lכng prכblεm dεm (e.g., bכdi we de kכlכt na di lכng, di lכng fכnshכn we de dכn).
• Prɔblɛm dɛn we gɛt fɔ du wit bon, lɛk bon infɛkshɔn, brok brok we at fɔ fɛn, ɛn if kansa sɛl dɛn dɔn skata to di bon dɛn.
• Kidni sik, fכ egzampl, kidni infεkshכn, skata, εn urinary tract obstruction.
• Fɔ no difrɛn kayn kansa ɛn si aw fa di kansa dɔn skata (stej).

Apat frɔm dis, as a bin dɔn tɔk, dɛn kin yuz dis ``Nuclear Medicine Imaging'' teknɔlɔji bak fɔ tritmɛnt we dɛn kin yuz. Wan ɛgzampul na di ``Radioimmunotherapy'' tritmɛnt we dɛn kin yuz. Insay dis, dɛn kin jɔyn redyushɔn ɛn imyunotɛrapi, ɛn dɛn kin sɛn raytin to wan say we dɛn want, jɔs lɛk di kansa sɛl dɛn, fɔ mek dɛn trit am. Dis min se dɛn kin mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl bɛtɛ.

Wetin na di difrɛns bitwin dis ɛn ɔda raydiɔlɔjik tɛst dɛm?

Dis na kwɛstyɔn we rili impɔtant fɔ mek yu ɔndastand. כda `(Radiologic tests)` כ as wi sabi am ``X-ray``, ``(CT scan)`` mεnli de luk aw di כgan dεm na wi bכ di de luk , dat na, dεn shep, saiz, dεnsiti, strכkchכ, εtk dכkta dεn kכl dis fכ luk di ``anatomy`` fכ wan כgan.

bכt dis ``Nuclear Medicine Imaging'' tεst de mεntal luk aw di כgan dεm de wok . dat min se if di כgan dεm de wok fayn fayn wan, if dεn kεmikכl prכsεs dεm de apin fayn, if di bכdi de go fayn, εn if εni chenj de na di sεl lεvεl.

fכ bi prεsis, we כda skan dεm de tek ‘foto’ fכ wan כgan, Nyuklia Mεdisin Imej lεk fכ ‘obsכv layv aw da כgan de de wok’.

di big advantej fכ ebul fכ si di wok we wan כgan de du dis we na dat dεn kin no sכm sik dεm bay we dεn chenj dεn wok bifo big chenj dεm de na dεn strכkchכ. Dɔn dɔktɔ dɛn kin kech di sik kwik kwik wan ɛn bigin fɔ trit am kwik kwik wan. Dis kin mek di chans fɔ mek di tritmɛnt go bifo.

Aw wi fɔ rɛdi bifo dis tɛst?

Dis na sɔntin bak we yu nid fɔ no fɔ tru. Bɔt bikɔs bɔku kayn ``Nyuklia Mɛdisin'' tɛst de, di we aw yu nid fɔ pripia fɔ ɛni wan pan dɛn nɔto di sem. I go difrɛn frɔm wan tɛst to ɔda tɛst we yu dɔn arenj fɔ du.

Fɔ ɛgzampul, fɔ sɔm tɛst dɛn, dɛn kin aks yu fɔ nɔ it ɔ drink ɛnitin pas wata fɔ 4 to siks awa bifo di tɛst te di tɛst dɔn (fastin). Fɔ ɔda tɛst, dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo di tɛst. Bɔt ɔda tɛst dɛn nɔ go nid fɔ pripia ɛni spɛshal tin.

So, di tin we impɔtant pas ɔl na dat, we dɛn gi yu tɛst lɛk dis, yu fɔ aks yu dɔktɔ ɔ di dipatmɛnt we gɛt fɔ du wit di ɔspitul usay dɛn de du di tɛst jɔs aw fɔ pripia fɔ am. Dɛn go gi yu di rayt tin dɛn fɔ du ɛn wetin yu nɔ fɔ du. Fɔ fala dɛn instrɔkshɔn dɛn de ɛksaktɔli rili impɔtant fɔ gɛt kɔrɛkt tɛst rizɔlt.

Wetin wi fɔ no di de we wi go du di tɛst?

Sɔm smɔl smɔl tin dɛn de we yu fɔ mɛmba di de we dɛn go du di tɛst. Dis nɔto big tin, bɔt i fayn fɔ no.

• Fɔs, nɔ kam wit yu valyu tin dɛn (lɛk jɔlɔs, pal), bɔku bɔku mɔni, ɛn kredit kad na ɔspitul. Bikɔs if dɛn lɔs, dat na ɔda prɔblɛm. Pan ɔl we bɔku tɛm, lɔka dɛn kin de, i go fayn fɔ mek yu nɔ kam wit dɛn.
• Dɛn kin aks yu fɔ wɛr spɛshal ɔspitul klos. Dis go mek di tɛst izi.
• Na spɛshal trenin, rɛjista tɛknɔlɔjis dɛn kin du dis tɛst. Dɔn di pikchɔ ɛn data we dɛn gɛt frɔm di tɛst kin analayz ɛn no di sik we Nyuklia Rediolɔjis ɛn dɔktɔ dɛn kin du. So, yu kin shɔ se yu de na sef an.

Wetin kin apin we dɛn de du di tɛst?

Okay, naw mek wi si wetin de hapun insaid di test. Afta dɛn kɛr yu go na di tɛst rum, dɛn go aks yu fɔ ledɔm na bed ɔnda di ``Gamma kamera.'' Dis kamɛra big smɔl, bɔt i nɔ go tɔch yu bɔdi, so natin nɔ de fɔ fred.

Di ed fɔ di kamɛra go muv sloslo oba yu bɔdi pat we dɛn de chɛk, ɔ i go de na wan ples, ɛn tek sɔm pikchɔ dɛn. I rili impɔtant fɔ mek yu stil de fɔ lɔng tɛm insay dis tɛm. I tan lɛk se yu de ol yu briz we yu de tek foto. If yu muf, di pikchɔ dɛn nɔ go klia, ɛn yu go nid fɔ ripit di tɛst. So tray fɔ de stil lɛk aw di wan dɛn we de wok de tɛl yu. Sɔntɛnde, dɛn kin aks yu fɔ ol yu briz fɔ sɔm tɛm.

Spɛshal sɛnsitiv kristal dɛn we de insay di kamɛra ed de pik di smɔl smɔl raytin we de kɔmɔt frɔm di redioaktiv traysa na yu bɔdi. Dɔn dɛn kin mek pikchɔ dɛn na kɔmpyuta skrin. Dɔktɔ dɛn kin analayz dɛn pikchɔ ya fɔ mek dɛn no bɔt yu sik.

Aw lɔng dis tɛst kin tek?

Di tɛm we i kin tek fɔ dis kin difrɛn difrɛn wan bay di kayn tɛst we yu de du. Bɔku tɛm, i kin tek lɛk 30 to 60 minit jɔs fɔ du di skan wit di kamɛra, ɛn dɛn nɔ kin inklud di tɛm we i tek fɔ mek dɛn gi di redioaktiv traysa ɛn fɔ mek i absɔb fayn fayn wan.

Bɔt sɔm tɛst dɛn de, lɛk fɔ skan di bon dɛn, usay i kin tek tu to tri awa fɔ mek di redioaktiv traysa ful-ɔp insay di bɔdi. If na so i bi, dɛn go gi yu di traysa, dɛn go gi yu shɔt briŋ (sɔntɛm dɛn go tɛl yu fɔ drink wata dis tɛm), dɔn dɛn go aks yu fɔ kam bak fɔ di skan di tɛm we dɛn dɔn sɛtul.

Sɔm tɛm de we sɔm `(Nyuklia Mɛdisin)` tɛst dɛn kin nid fɔ du fɔ sɔm dez. Fɔ ɛgzampul, tɛm kin de we dɛn kin gi yu `(tracer)` tide, ɛn afta dat yu kin gɛt wan skan tide, ɛn ɔda skan tumara. Dɛn go tɛl yu ɔl dis bifo tɛm.

Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis kin gɛt?

Bɔku pipul dɛn kin fred smɔl we dɛn yɛri di wɔd ‘radioactive’, ɛn dat na nɔmal tin. Bɔt lɛk aw a bin dɔn tɔk bifo tɛm, di traysa dɛn we dɛn kin yuz fɔ du dɛn tɛst ya nɔto drɔgs, ɛn bɔku tɛm dɛn nɔ kin mek pɔsin gɛt sayd ɛfɛkt. Dɔn bak, di lɛvɛl fɔ redyushɔn we yu kin gɛt we yu de du tɛst lɛk dis kin rili smɔl, so yu nɔ nid fɔ wɔri bɔt tin dɛn lɛk kansa risk.

Bɔt, na smɔl tɛm nɔmɔ, dat na, insay wan rili smɔl pasɛnt, sɔm pipul dɛn kin gɛt alɛji riakshɔn to di `(Radioactive tracer)`. Dat min sɔntin lɛk fɔ rash ɔ it na di bɔdi. So, if yu gɛt alɛji fɔ ɛnitin (lɛk mɛrɛsin, it, dɔst), yu fɔ rili tɛl yu dɔktɔ ɛn di pipul dɛn we de du di tɛst bɔt am bifo tɛm. Dɔn dɛn go pe atɛnshɔn to am.

Naw lɛ wi luk di bɛnifit dɛn we i gɛt. Dɛn `(Nuclear Medicine)` skan ya kin gi wi rili impɔtant ɛn spɛshal infɔmeshɔn we wi nɔ go ebul fɔ gɛt frɔm ɔda tɛst dɛn. sכmtεm, sכmtin we nid fכ du fכ big כpεrayshכn (`exploratory surgery`) kin fכn wit skan lεk dis, we nכ de mek bכku harm to di bכdi (`least-invasive`). Dat min se dis na big ɛp fɔ mek di kwaliti fɔ di diagnosis ɛn tritmɛnt bɛtɛ. Bɔrku tɛm, i kin no bak sik dɛn we dɛn bigin, ivin we dɛn nɔr kin kech wit ɔda tɛst. Dis kin gi yu fayn chans fɔ bigin tritmɛnt kwik kwik wan.

Afta di tɛst?

Bɔrku tɛm, afta di tɛst dɔn, yu kin go bak to yu nɔmal tin dɛm, it ɛn drink yu nɔmal it. No spɛshal rɛst nɔ nid fɔ de. Sɔntɛnde di dɔktɔ go tɛl yu fɔ drink smɔl mɔ wata, fɔ ɛp di ``(tracer)`` fɔ kɔmɔt na yu bɔdi kwik kwik wan. Apat frɔm dat, natin nɔ de we spɛshal. Di dɔktɔ go tɔk to yu bɔt am we yu gɛt yu tɛst ripɔt.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, wi don tok plenti boht ``Nuclear Medicine Imaging'' naw. A tink se yu dɔn ɔndastand am gud gud wan. Na di men tin dɛn we yu fɔ mɛmba:

• Nyuklia Mɛdisin tɛst na wan we we rili go bifo, we sef, ɛn we go wok fɔ no bɔku sik dɛn ɛn fɔ mɛn sɔm.
• dis dεm nכ de mek bכku harm כ pen to di bכdi (`least-invasive`). Di amount of redyushɔn bak rili smɔl.
• If yu dɔktɔ tɛl yu bɔt dis kayn tɛst, tɔk to am bɔt am. Aks am bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Nɔ ol ɛnitin bak.
• Fɔ fala di instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan aw fɔ pripia bifo di tɛst.

"Mɛmba se, wit di advansmɛnt fɔ mɛdikal sayɛns, tɛst lɛk dis kin rili ɛp fɔ protɛkt wi wɛlbɔdi ɛn fɔ no sik dɛn kwik kwik wan. So, i impɔtant fɔ no di kɔrɛkt infɔmeshɔn ɛn fala di mɛdikal advays we nɔ de mek wi fred we nɔ nid."

If yu want fɔ no ɛni ɔda tin, mek shɔ se yu aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Nyuklia mεdisin, rεdyushכn tεst, diagnostik, traysa, gama kamɛra, hεlth, mεdikal tεst