Sɔntɛnde yu kin gɛt shap pen ɔ pen na yu rayt bɛlɛ, mɔ ɔnda yu rib? Sɔntɛm yu dɔktɔ bin sɔprayz se yu gɛt prɔblɛm wit di gal blad ɛn i bin se yu fɔ du ‘HIDA skan’? Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, fɔ tru, i nɔ de mek pɔsin fred so. I nɔto ɔpreshɔn, ɛn nɔto tɛst we de mek pɔsin fil pen bad bad wan. So tide, lɛ wi tɔk bɔt ɔltin bɔt dis HIDA skan, rili simpul wan.
Wetin na HIDA skan simpul wan?
HIDA skan na wan tɛst we dɛn kin du fɔ tek pikchɔ. Fɔ tɔk di kɔrɛkt tin, na nyuklia mɛrɛsin tɛst. Okay, nɔ fred fɔ dɛn big big wɔd dɛn de. Fɔ tɔk am simpul wan, i de luk aw yu gal blad ɛn di tin dɛn we gɛt fɔ du wit am de wok.
Lɛ wi ɔndastand smɔl fɔs bɔt dis sistɛm. Tink bɔt am dis we.
1. Wi liva de mek wan jus we de mek di bɔdi digest we dɛn kɔl bayl . Dis kin ɛp fɔ sɔlv di fat dɛn we de insay di it dɛn we wi de it.
2. di bayl we dεn prodyuz dis we dεn de stכr insay wan sכmכl כgan we lεk sak כnda di liva we dεn kכl gal blad.
3. we wi de it, dis gal blad de kכntrakt (swεl) εn i de sεnd di bayl we i de insay tru di dakt dεm insay di sכmכl intestכn.
Naw, wetin dis HIDA skan de du na fɔ chɛk if di bayl dakt de wok fayn, if di bayl dakt de blok sɔmsay, ɛn if di bayl de lik .
fכ du dis, dεn de injεkt wan rili sכm kayn kεmikכl we nכ de du bad we dεn k כl ‘radioactive tracer’ insay yu vein. dis tin de travul εksakכt along di rod fכ di bayl. Dɔn, wan spɛshal kamɛra (wan `gamma kamera`) de tek pikchɔ fɔ di tin we i de travul. We di dɔktɔ dɛn luk di pikchɔ dɛn, dɛn kin gɛt gud aidia bɔt aw yu gal blad de wok.
כda nem dεm fכ dis na `cholescintigraphy` εn `hepatobiliary scintigraphy`.
Us sik dɛn kin no wit dis skan?
Dɔktɔ go ɔda fɔ mek dɛn du HIDA skan mɔ if i sɔspɛkt sɔm sik dɛn we gɛt fɔ du wit di gal blad. Lɛ wi si wetin dɛn bi.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Akyu Kɔlesistaytis | Dis na tin we kin apin wantɛm wantɛm. Gal ston kin mek di gal blad swel, we kin mek yu fil pen bad bad wan na di rayt say na di bɛlɛ ɛn fiva. Dɛn kin no dis kɔrɛkt wan wit HIDA skan. |
| Kɔlesistaytis we nɔ de mɛn | Dis na we di gal blad de inflam bak ɛn bak bikɔs ɔf di gal ston. Sɔntɛm de pen nɔr kin tranga lɛk aw i bin de fil bifo, bɔt i go stil de ɔltɛm. |
| Sfincter of Oddi disfכnkshכn | Dis na tin we kɔmplikt smɔl. wan mכsul de we de kכntro di fכ fכlכ di bayl εn pankrεas jus insay di sכmכl intestin. We dis nɔ opin fayn, di jus dɛn kin bak ɛn mek yu fil bad bad wan. |
| Biliary Atresia we gɛt di sik | Dis na wan sik we nɔ kin apin so ɔltɛm bɔt i kin denja we kin apin to pikin dɛn we dɛn jɔs bɔn. di pikin in bayl dakt dεm de blכk. dis kin mek di pikin in bכdi tכn yכlכ (newborn jaundice). If dɛn nɔ du di ɔpreshɔn kwik kwik wan, di liva kin pwɛl. |
| Biliary Lek we de na di bɔdi | di bayl kin lik frɔm di bayl dakt dɛm, lɛk afta dɛn dɔn du ɔpreshɔn fɔ pul di gal blad, aksidɛnt, ɔ we dɛn transplant di liva. Dis kin mek di tisu we de rawnd swel ɛn mek yu gɛt infɛkshɔn. |
Ustɛm yu go nid fɔ du HIDA skan?
Bɔku men rizin dɛn de we mek yu dɔktɔ kin rifer yu fɔ dis tɛst:
- Big pen na di rayt say na di bɛlɛ: Ɛspɛshali if di pen bigin wantɛm wantɛm ɛn i nɔ de chenj, i kin bi inflamɛns na di gal blad (cholecystitis). Dis na di men rizin fɔ mek dɛn du HIDA skan.
- Pen ɛn fiva afta dɛn dɔn ɔpreshɔn: If dɛn dɔn du ɔpreshɔn fɔ pul yu gal blad, fɔ transplant yu liva, ɔ ɔda ɔpreshɔn we gɛt fɔ du wit am ɛn yu de gɛt fiva ɛn pen afta dat, dɛn kin du dis skan fɔ chɛk fɔ si if di bayl de lik.
- Jaundice pasmak pan pikin we dɛn jɔs bɔn: If di pikin gɛt jaundice bad bad wan insay sɔm dez afta dɛn bɔn am, dis tɛst impɔtant fɔ no if di kɔz na biliary atresia.
- Fɔ chɛk wan stent we dɛn put na di bayl dakt dɛn:Sɔntɛnde we di bayl dakt kin blok, dɛn kin put smɔl tiub (stɛnt) fɔ mek i opin. Dɛn kin du HIDA skan bak fɔ si if dis de wok fayn.
Aw yu kin pripia bifo di skan?
Dis rili impɔtant. Fɔ mek di tɛst rizɔlt kɔrɛkt, yu fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan.
Di tin we impɔtant pas ɔl: If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl di dɔktɔ dɛn bifo di skan. Dis rili impɔtant.
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin). Sɔm mɛrɛsin (especially pen kil) kin afɛkt di tɛst rizɔlt, so dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm awa bifo di skan.
- Fastin: Yu go nid fɔ fast fɔ at le 4 awa bifo di skan. I nɔ bad fɔ drink smɔl wata. Dɛn kin aks yu fɔ fast fɔ lɔng tɛm. Dɛn go advays yu bɔt dis bifo tɛm.
- Rimov jɔyri: Nɔ wɛr ɛni jɔyri ɔ mɛtal tin we yu de skan.
- Nɔ frayd: Sɔm pipul dɛn kin fred fɔ de na say we dɛn nɔ gɛt bɛtɛ tin lɛk MRI skan. Di kamera na dis wan nɔto klos tiub. Na jɔs kamɛra we opin na ɔl tu di say dɛn ɛn dɛn put am oba yu bɛlɛ. So yu nɔ nid fɔ wɔri bɔt fɔ stɔp.
Wetin kin apin we dɛn de du di skan?
Fɔ du di skan na tin we rili simpul.
1. Fɔs, dɛn go gi yu ɔspitul gɔn fɔ wɛr. Yu bɛlɛ eria fɔ de na do.
2. Dɛn go mek yu ledɔm pan ɛgzam tebul.
3. Dɔn wan nɔs ɔ tɛknishian go put smɔl kateshɔn (IV kateshɔn) insay wan vein na yu an. dεn go injεkt wan kεmikכl we dεn kכl ``radiotracer'' tru am. Dis tɛm ya, yu go fil lɛk se yu de swɛt, lɛk smɔl ant.
4. Di kamera de sloslo ɛn tek tɛm put am oba yu bɛlɛ.
5. Dɔn bigin fɔ tek pikchɔ. Di tin we impɔtant pas ɔl na dis tɛm na dat yu nɔ de muf ivin smɔl. Na da tɛm de nɔmɔ yu go ebul fɔ tek klia pikchɔ dɛn.
6. Afta yu tek sɔm pikchɔ, sɔm tɛm dɛn kin gi yu ɔda mɛrɛsin tru IV fɔ ɛp yu gal blad fɔ kɔntrakt (ɛmti). Yu kin fil smɔl bɛlɛ pen dis tɛm. Dis na bikɔs di gal blad de tayt. Afta dɛn dɔn gi yu da mɛrɛsin de, dɛn go tek mɔ pikchɔ dɛn.
7. Di ɔl tɛst kin tek ɛnisay frɔm 1 to 4 awa . Sɔntɛnde, dɛn kin aks yu fɔ kam bak afta 24 awa fɔ tek mɔ pikchɔ dɛn.
Di skan nɔ de mek pɔsin fil pen. Bɔt if yu dɔn ɔlrɛdi gɛt pen na yu gal blad, yu kin stil fil pen we dɛn de du di skan.
Wetin a fɔ du afta di skan?
We di skan dɔn, yu kin go na os ɔ go na di ɔspitul wɔd. Dɔn du dɛn tin ya.
- Drink bɔku wata: Drink bɔku wata ɛn wata fɔ di nɛks 24 awa. Dis go ɛp di redio traysa fɔ kɔmɔt na yu bɔdi kwik kwik wan tru yu urine ɛn stɔl.
- Afta yu dɔn yuz di tɔylɛt: Fɔ was di tɔylɛt fayn fayn wan ɔltɛm afta yu dɔn yuz am, ɛn was yu an dɛn fayn fayn wan wit sop. Di redioaktiviti fɔ di kemikal rili smɔl, so no risk nɔ de fɔ di wan dɛn we de arawnd yu.
- Fɔ mama dɛn we de gi pikin dɛn bɛlɛ: Dis rili impɔtant. Nɔ gi yu pikin in bɛlɛ fɔ 24 awa afta di skan. Trowe ɛni mama in milk we dɛn ɛksprɛs insay da tɛm de. dis na biכs di redioaktiviti we de kכmכt frכm di redio traysa kin pas insay di mama in milk εn i kin du bad to di pikin. So, i kin rili ɛp fɔ ɛksprɛs di mama in milk bifo di skan.
Risk de pan dis?
Di risk dɛm fɔ HIDA skan rili smɔl.
- Di IV kin brus smɔl usay dɛn put am.
- Di raytin we pɔsin kin gɛt kin rili smɔl. Dis na lɛk di sem kayn raytin we wi bɔdi kin gɛt frɔm di envayrɔmɛnt insay wan avrej ia.
- I rili, rili rare fɔ gɛt alɛji riakshɔn to di kemikal dɛm we dɛn yuz.
Di infɔmeshɔn we dɛn kin gɛt frɔm dis tɛst nɔ kin de frɔm ɔda tɛst dɛn lɛk ɔltra saund. So, fɔ pɔsin we nɔ gɛt bɛlɛ, di bɛnifit dɛn we pɔsin kin gɛt we i du dis skan kin pas di smɔl smɔl prɔblɛm dɛn we i kin gɛt.
Aw a go gɛt di ripɔt? Wetin de insay?
Wan raydiɔlɔjis go luk yu skan ɛn rayt wan ripɔt, we dɛn go sɛn to yu dɔktɔ we de trit yu. Bɔku tɛm, dɛn kin gɛt di rizɔlt insay 24 awa. Yu dɔktɔ go ɛksplen to yu di ripɔt.
| Di tin dɛn we pɔsin kin tɔk bɔt na di ripɔt | Wetin i kin min |
|---|---|
| Nɔmal | nכ tin de we de ambɔg di bayl fכ fכlכ pat. di bayl de travul fayn fayn wan frɔm di liva to di gal blad ɛn frɔm de to di smɔl intestinal. |
| Slow muvmɛnt fɔ di kemikal | I kin sho se di bayl dakt dɛn dɔn blok ɔ sɔm wik we di liva de wok. |
| Kεmikכl we dεn nכ de si na di gal blad | dis kin sho bכku tεm wan kכndyushכn we dεn kכl akyu kכlesistaytis, we min se di bayl dakt we de go insay di gal blad de blכk. |
| Low gallbladder ejection frakshɔn | di amount of bayl we de kכmכt frכm di gal blad afta dεn gi di mεdikeshכn dεn de mכsu. if i less dan 30%-35%, i kin sho se i gɛt krεse sik. |
| Prɛzɛns fɔ di kemikal na ɔda ples dɛn | If yu si di kεmikכl na כda ples dεm we de ausayd di bayl dakt sistεm, i kin sho se di biliary lik. |
Ilɛk wetin apin, yu dɔktɔ go ɛksplen to yu gud gud wan ɛn advays yu bɔt wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- HIDA skan na tɛst we rili sef ɛn we nɔ de mek yu fil pen fɔ chɛk aw yu gal blad ɛn bayl dakt sistɛm de wok.
- I rili impɔtant fɔ fala di instrɔkshɔn dɛn we dɛn gi yu bifo di skan, mɔ we i kam pan fɔ fast ɛn fɔ tɛl di dɔktɔ if yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ.
- Di raytin we yu bɔdi de gɛt rili smɔl. Nɔ wɔri bɔt am we yu nɔ nid fɔ wɔri.
- Drink bɔku wata afta di skan. If yu na mama we de gi pikin in bɛlɛ, nɔ gi yu pikin in bɛlɛ fɔ 24 awa.
- Tɔk opin wan wit yu dɔktɔ bɔt yu tɛst ripɔt ɛn ɛni kwɛstyɔn we yu gɛt bɔt am.
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