Yu dɔktɔ dɔn tɛl yu fɔ du wan tɛst we dɛn kɔl Lymphoscintigraphy? Yu kin fred smɔl we yu yɛri di nem. Na nɔmal tin fɔ aks kwɛstyɔn lɛk, ‘Us kayn tɛst dis? Yu tink se i go mek i fil bad? Ɛni prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm?’ fɔ kam na wi maynd. Pan ɔl we di nem dɛn fɔ dɛn mɛrɛsin tɛst ya kɔmplikt smɔl, wetin dɛn kin du rili simpul. So tide, lɛ wi tɔk bɔt wetin na Lymphoscintigraphy, aw dɛn kin du am, ɛn wetin mek i impɔtant insay wan rili simpul we we yu go ɔndastand.
Wetin na Limfosintigrafi?
Fɔ tɔk am simpul wan, dis na spɛshal skan we de luk di limfatik sistɛm na wi bɔdi. Sɔntɛm yu dɔn yɛri bɔt ɛkstrem rayt ɛn CT skan. na di sem tin, bכt dis wan nכ de luk pan tin dεm lεk bon כ bren, bכt pan di wok we di limfatik sistεm de wok.
Tink bɔt wi bɔdi lɛk siti. Wan sistɛm de we de pul ɛn klin di dɔti we de na da siti de. Na so wi bɔdi in limfatik sistɛm de. I de pul tin dɛn we wi nɔ want, lɛk jem, na di bɔdi ɛn protɛkt wi imyun sistɛm. Smɔl filta dɛn de ɔlsay na dis sistɛm. Wi kin kɔl dɛn limf no dɛn .
Insay limfosintigrafi skan, yu dɔktɔ kin injɛkt wan rili smɔl, sef redioaktiv tin (radiotracer) insay yu bɔdi. Nɔ wɔri, di raytin na rili smɔl ɛn i nɔ go ambɔg yu bɔdi. As di tin de travul tru yu limfatik sistɛm, wan spɛshal kamɛra (gama kamɛra) de tek pikchɔ dɛn. I tan lɛk se yu kech fayaflay na dak. Dɛn pikchɔ ya de ɛp yu dɔktɔ fɔ si di rayt say na yu limfatik sistɛm we di kansa sɛl dɛn de blok, we sik, ɔ we de skata.
Wetin mek dɛn de du dis tɛst? Wetin i de fɛn?
Bɔku men rizin dɛn de fɔ mek dɛn du dis tɛst. Lɛ wi si wetin dɛn bi.
| Di men rizin fɔ di tɛst | Wan simpul ɛksplen |
|---|---|
| Fɔ no ɛn fɔ klas kansa | Ɛspɛshali bɔdi kansa ɛn melanoma, we na wan siriɔs kayn kansa na di skin.insay situeshכn lεk dis, dis tεst de εp fכ no εksεkshכn if di kεnsar dכn spre to di limf no dεm εn to us mak (stej). |
| fכ fכn di ‘sentinel’ limf node | Imajin if tifman kam na yu os, yu nɔ tink se na yu dɔg go bi di fɔs pɔsin we go bark? Semweso, we di kansa sɛl dɛn bigin fɔ skata na di bɔdi, dɛn kɔl di fɔs limf node we dɛn sɛl dɛn de go to di ‘ sɛntinɛl node.’ Dis tɛst kin no udat na da fɔs ‘sɛntinɛl’ de. Dɔn, we dɛn de du ɔpreshɔn, instead fɔ pul bɔku bɔku limf no dɛn we nɔ nid, na dis sɛntinɛl no nɔmɔ dɛn kin pul ɛn chɛk am. |
| Fɔ no ɔda sik dɛn na di limfatik sistɛm | dis tεst dεn kin yus bak fכ no di kכndyushכn dεm lεk limfεdima, we na di limb dεm we de swεla bikoz di limfatik vεsεl dεm de blok. I impɔtant bak fɔ no ɔda tin dɛn we nɔ kin apin so ɔltɛm lɛk limfanjyɔmatosis ɛn chylothorax . |
| Fɔ wach aw di tritmɛnt dɛn de wok fayn | Afta dɛn dɔn no se pɔsin gɛt sik, sɔntɛnde dɛn kin du dis skan fɔ si aw di tritmɛnt dɔn kɔntrol ɔ i dɔn mek di sik bɛtɛ. |
Aw a fɔ rɛdi fɔ dis tɛst?
Dis nɔ nid fɔ pripia bɔku, bɔt sɔm tin dɛn de we wi fɔ mɛmba.
- Rimov jɔyri ɛn lɛf am na os. Mɛtal dɛn lɛk nɛks, breslɛt, ɛn iaring kin ambɔg di skan rizɔlt. So i bɛtɛ lɛ yu nɔ wɛr dɛn di de.
- If yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ. Di dɔktɔ go disayd if dis tɛst fayn ɔ nɔ fayn fɔ dɛn kayn tin ya.
- Bring wan list fɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek naw. I rili impɔtant fɔ mek yu dɔktɔ no bɔt di mɛrɛsin dɛn we yu de tek.
Wetin kin apin we dɛn de du di tɛst?
Dis na ɔutpatient tɛst we yu kin du we yu nɔ de na ɔspitul. Sɔntɛnde, dɛn kin du am di sem mɔnin we dɛn du yu ɔpreshɔn.
1. Fɔ go na di ɛgzam rum:Wan ɔspitul tɛknishian go kɛr yu go na di ɛgzam rum. Dɛn go aks yu fɔ ledɔm pan tebul. Dɛn kin aks yu fɔ de insay yu klos, ɔ dɛn kin aks yu fɔ wɛr ɔspitul klos.
2. Injεkshכn: Dɔn, di redioaktiv tin we a bin dɔn tɔk bɔt (`(radiotracer)`) de injekt ɔnda yu skin wit wan rili smɔl nidul. Bɔku tɛm, dɛn kin du dis nia di say we dɛn fɔ chɛk. Fɔ ɛgzampul, if wi de luk pan bɔdi kansa, dɛn kin gi di injɛkshɔn na di skin we de rawnd di bɔdi. I kin tan lɛk se yu de bɔn smɔl, lɛk se ant bit yu, bɔt ɔda pas dat, i nɔ kin rili pen.
3. Fɔ tek pikchɔ: Jɔs afta di injɛkshɔn, wan spɛshal gama kamɛra (`(gamma kamera)`) go bigin fɔ tek pikchɔ fɔ yu bɔdi. Insay dis tɛm, di kamɛra kin rɔta rawnd yu, ɔ i kin de na wan ples. Di tɛknishian kin aks yu fɔ chenj di pozishɔn dɛn.
4. Nɔ muf: I rili impɔtant fɔ de stil we yu de tek dɛn pikchɔ ya. If yu muf, di pikchɔ dɛn nɔ go klia. Bɔt dis nɔto lɔng tɛm, yu nid fɔ de stil fɔ shɔt tɛm.
5. Test kɔmplit: Afta dɛn dɔn tek ɔl di pikchɔ dɛn we nid, di tɛknishian go chɛk dɛn klia ɛn alaw yu fɔ go na os.
Afta di tɛst ɛn di prɔblɛm dɛn we i kin gɛt
Afta di tɛst, yu kin kɔntinyu fɔ du yu nɔmal tin dɛn. Natin nɔ de we spɛshal fɔ du pas di dɔktɔ tɛl yu ɔda tin dɛn fɔ du.
Nɔ wɔri bɔt di redioaktiv tin we dɛn bin injɛkt insay yu bɔdi. I go kɔmɔt kpatakpata na yu bɔdi insay wan ɔ tu dez tru yu urine ɛn fes. Fɔ mek dis wok go bifo kwik kwik wan, yu fɔ drink bɔku wata.
Risk ɛn sayd ɛfɛkt dɛn
Lymphoscintigraphy na test we rili sef, bɔt lɛk ɔl di mɛdikal tɛst dɛn, sɔm risk dɛn de.
| Risk/sayd ɛfɛkt | Tɔk bɔt |
|---|---|
| Incompatibility fɔ sɔm pipul dɛn | If yu gɛt bɛlɛ, yu de gi pikin in bɛlɛ, ɔ yu gɛt sɔm kayn bɔdi kansa (inflammatory breast cancer, DCIS) .Ɔ if yu gɛt tumbu we big pas 5 sɛntimita, dis tɛst nɔ go fayn fɔ yu. Yu dɔktɔ go disayd fɔ du di las tin. |
| Alɛji Riakshɔn dɛn | Di risk fɔ mek yu gɛt alɛji to di redioaktiv matirial (radiotracer) we dɛn injɛkt insay di bɔdi nɔ kin bɔku . Dat min se, i rili smɔl. If dis apin, di wan dɛn we de wok na di ɔspitul go gi di tritmɛnt we dɛn nid wantɛm wantɛm. |
Ɔda kwɛstyɔn dɛn we yu go gɛt
Yu tink se dis kin mek pɔsin fil bad?
Nɔ, pan ɔl we yu kin fil smɔl fɔ chuk yu we dɛn gi yu di injɛkshɔn bifo di tɛst, yu nɔ go fil ɛni pen we dɛn de du di skan.
Yu de yuz redyushɔn fɔ dis?
Yɛs. Bɔt di raytin we dɛn kin yuz rili smɔl, i nɔ bad. I nɔ go kɔz ɛni lɔng tɛm bad to yu bɔdi. Ɛn di tin go kɔmɔt na yu bɔdi kpatakpata insay sɔm dez.
Aw lɔng i go tek?
Di tɛm we i kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛn, i kin tek lɛk 30 minit so. Fɔ ɔda pipul dɛn, i kin tek sɔm awa. I dipen pan di rizin fɔ di tɛst ɛn di eria we di bɔdi de we dɛn de tɛst.
Aw lɔng i kin tek fɔ mek di ripɔt kam?
Bɔku tɛm, dɛn kin gɛt di rizɔlt insay wan wik. Di tɛnishian we tek di skan pikchɔ dɛn kin sɛn dɛn to wan dɔktɔ we de mɛn di raydiɔlɔji. I kin analayz di pikchɔ dɛn ɛn pripia wan ripɔt. We di dɔktɔ we rifer yu fɔ di tɛst dɔn gɛt di ripɔt, i go kɔl yu fɔ tɔk bɔt di ditil dɛn.
Wetin fɔ du if sɔntin de we nɔ kɔmɔn na di ripɔt?
If di ripɔt sho se sɔntin de we nɔ kɔmɔn, wetin fɔ du nɛks go dipen pan di rizin we mek dɛn rifer yu fɔ tɛst fɔs.
Fɔ ɛgzampul, if dɛn du dis fɔ mek dɛn nɔ gɛt kansa, ɛn dɛn si se wan sɛntinɛl node nɔ de wok fayn, di nɛks tin we dɛn kin du na fɔ tek sɛntinɛl node bayɔpsi bɔku tɛm . Dis min se dɛn kin du ɔpreshɔn fɔ pul wan smɔl pat pan di sɛntinɛl node ɛn chɛk am ɔnda maykroskɔp fɔ si if i gɛt kansa sɛl dɛn.
Nɔ wɔri bɔt ɛnitin. Yu dɔktɔ go ɛksplen ɔltin to yu, tɔk bɔt di bɛst tritmɛnt fɔ yu, ɛn gi yu di bɛst sɔlvishɔn.
Wit eni sik, fɔ no am kwik na di tin we impɔtant pas ɔl. Limfosintigrafi na valyu tin we kin ɛp fɔ no kansa ɛn limfatik sistɛm sik dɛn we at fɔ no wit ɔda tɛst dɛn we dɛn kin du fɔs. Dis kin mek yu chans fɔ gɛt tritmɛnt go bifo bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- Lymphoscintigraphy na sef skan fɔ chɛk aw yu bɔdi in limfatik sistɛm de wok.
- Dɛn kin yuz dis mɔ fɔ no bɔt kansa lɛk bɔdi kansa, mɛlanoma, ɛn sik dɛn we de na di limfatik sistɛm.
- Pan ɔl we di injɛkshɔn we dɛn gi bifo di tɛst kin mek pɔsin fil pen smɔl, i nɔ kin fil pen we dɛn de skan am.
- Di raytin we dɛn kin yuz kin rili smɔl, ɛn i kin kɔmɔt na di bɔdi insay sɔm dez.
- If yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ.
- Dis tɛst kin ɛp fɔ no sik dɛn kwik kwik wan, ɛn dis kin gi yu di bɛst chans fɔ gɛt di tritmɛnt we go wok fayn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ.
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