Dɛn dɔn aks yu fɔ mek dɛn du yu rεnal skan? Nɔ wɔri, wi go tɔk bɔt am ditayli!

Yu bin fil smɔl frayd ɔ fred we di dɔktɔ tɛl yu se yu nid fɔ du ‘kidni skan’? Bɔku pan wi kin fred smɔl we wi yɛri di wɔd "scan". "Wetin dis go fain?", "Dis na somtin we at?", "Dem put redioaktiv tin fo yu bodi, no bi gud dat?" Bɔku kwɛstyɔn dɛn kin kam na mi maynd. Bɔt fɔ tru, dis nɔ de mek pɔsin fred lɛk aw yu tink. Dis na tɛst we rili sef, we dɛn kin du ɔltɛm. So tide, lɛ wi klia ɔl yu dawt bɔt dis Rɛnal Skan, ɔ Kidni Skan.

Fɔ tɔk am simpul wan, wetin na Renal Scan?

Tink bɔt yu kidni dɛn lɛk tu wata filta dɛn na wi os. Dɛn men wok na fɔ filta ɛn klin di dɔti tin dɛn we de na di bɔdi ɛn pul dɛn kɔmɔt lɛk urine. So, Renal Scan na spɛshal tɛst we dɛn kin du fɔ si if dɛn kidni ya de du dɛn wok fayn, if dɛn de gɛt gud blɔd flɔ, ɛn if dɛn shep, saiz, ɛn pozishɔn kɔrɛkt.

Dis nɔto ɛkstrem rayt ɔ CT skan ɔltɛm. Dis na tɛst we dɛn kɔl Nyuklia Mɛdisin. wetin de apin ya na we dεn de injεkt sכm sכm sכm sכm rεdyuaktiv sכbstans (radioisotope כ radiotracer) insay wan vein na yu an. Nɔ frayd, pan ɔl we i "radioactive", i nɔ de ambɔg yu bɔdi. I tan lεk spεshal "day" we de כnli εp wit di tεst εn kכmכt na yu bכdi afta sכm tεm.

We dis mɛrɛsin de travul tru di veins to di kidni dɛm, dɛn kin yuz wan spɛshal kamɛra, we dɛn kɔl gamma camera , fɔ tek pikchɔ fɔ di kidni dɛm. Di mɛrɛsin de mek pɔsin si di kidni dɛn klia wan na kɔmpyuta skrin. Dis kin mek di dɔktɔ no if ɛni sik na in kidni ɔ i dɔn pwɛl kwik kwik wan.

Wetin mek dɔktɔ go tɛl yu fɔ mek dɛn du dis skan?

Naw yu kin de wɔnda, "Wetin mek a bin gɛt fɔ du dis we bɔku ɔda tɛst dɛn de?" Bɔku rizin dɛn de we mek dɔktɔ kin rifer pɔsin fɔ mek dɛn du Renal Scan.

• Dipen pan di rizɔlt fɔ ɔda tɛst dɛn: If yu blɔd tɛst ɔ yu urine tɛst sho ɛni prɔblɛm wit yu kidni fɔ wok, dis skan kin ɛp yu fɔ stɔdi am dip wan.
• Alɛji to X-ray day: Sɔm X-ray ɛn CT skan kin yuz wan spɛshal day we dɛn kɔl ``kɔntrast day.'' Sɔm pipul kin gɛt alɛji to dɛn day ya. If yu nid fɔ mek dɛn chɛk yu kidni, fɔ du Renal Scan na tin we rili sef .
• Afta yu dɔn transplant yu kidni: If yu dɔn transplant yu kidni, dɛn kin du dis tɛst ɔltɛm fɔ si aw di nyu kidni de wok na di bɔdi.
• Ay blɔd prɛshɔn (Hypertension):Sɔntɛnde, di ay blɔd prɛshɔn we at fɔ kɔntrol kin bi bikɔs ɔf prɔblɛm wit in kidni. Dis skan impɔtant fɔ no di rayt tin we de mek i apin.
• Urinary tract obstruction: If dɛn tink se sɔntin de ambɔg di urine, dis go ɛp fɔ no usay di obstruction de ɛn if i de afɛkt di kidni dɛm.

Us mɛrɛsin dɛn kin no wit dis skan?

rεnal skan kin gi infכmeshכn nכto כnli bכt aw di kidni dεm de wok, bכt i kin gi infכmeshכn bak bכt כl di sik dεm we de fכm dεm. Lɛ wi tek wan luk pan wetin dɛn bi.

Yu tink se kayn tin dɛn de we dɛn kin du we dɛn kɔl Renal Scan?

Yes, di kayn Renal Scan we yu dɔktɔ se kin difrɛn difrɛn wan bay yu prɔblɛm. Fo men kayn dɛn de.

1. ACE Inhibitor Renal Scintigraphy: Dɛn kin du dis fɔ si if yu ay blɔd prɛshɔn de bikɔs di blɔd vesel dɛn we de kɛr blɔd go na di kidni dɛn de smɔl. Na ya, dɛn kin tek skan bifo ɛn afta dɛn gi yu blɔd prɛshɔn mɛrɛsin (ACE inhibitor).

2. Diuretic Renal Scintigraphy: Dɛn kin du dis if dɛn tink se di urinary tract dɔn blok. na ya, dεn de gi wan diuretic εn dεn de egzamin aw di urine de muv tru di kidni dεm.

3. Rεnal Kכtikal Sεntigrafi: dis de skan di כta layεr na di kidni we dεn kכl di rεnal kכtikal tisu. Dis kin ɛp fɔ no if di kidni dɔn pwɛl afta dɛn dɔn ɔpreshɔn am ɔ if skata de bikɔs ɔf di infekshɔn.

4. Rεnal Pεrfyushכn Skan: Dis de mכsu aw di kidni dεm de gi bכdi (perfusion). dεn kin yuz am fכ mכsu di waid fכ di rεnal atεri dεm εn di wok we di kidni dεm de du.

Aw a fɔ pripia bifo di skan?

Dis rili impɔtant. Fɔ mek di skan rizɔlt kɔrɛkt, yu nid fɔ pripia smɔl bifo tɛm.

• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn we de mek yu fil pen, mɔ di wan dɛn we nɔ gɛt sterɔyd anti-inflammatory drugs (NSAID) lɛk ibuprofen ɛn aspirin, sɔm dez bifo di skan.
• Yu fɔ no bɔt yu wɛlbɔdi prɔblɛm:
• If yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ , mek shɔ se yu tɛl yu dɔktɔ, bikɔs di raytin kin afɛkt di pikin we de na di bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ , tɛl am dat bak. Bikɔs di redioaktiv tin kin pas insay di milk, dɛn advays yu fɔ avɔyd fɔ gi yu pikin in bɛlɛ fɔ sɔm awa afta di skan.
• If yu gɛt ɛni alɛji (to mɛrɛsin, lɛtɛks, ɛn ɔda tin dɛn), duya tɔk bɔt am.
• If yu gɛt frayd fɔ smɔl, lɔk ples (claustrophobia), tɔk bɔt am. Bikɔs di kamɛra go de nia yu bɔdi smɔl, yu kin tɔk bɔt wan we fɔ mek yu fil fayn.
• If yu gɛt frayd fɔ nidul (trypanophobia) , tɛl di wan dɛn we de wok de dat bak. Dɛn go ɛp fɔ mek yu at kol.
• Drink wata: Dɛn go advays yu fɔ drink bɔku wata bifo dɛn du di skan.
• Urinate: Dɛn go aks yu fɔ ɛmti yu blad (urinate) bifo di skan bigin.
• Klos ɛn Jɛlɔ: Wear fayn klos we nɔ fit. Rimov ɛni mɛtal jɔyri ɔ glas. Dɛn kin ambɔg di skan.

Wetin kin apin we dɛn de du di skan?

We yu go na di skan rum, na dɛn step ya yu kin fala.

1. Wan nyuklia mεdisin tεknכlכji go put wan sכmכl kanula (IV layn) insay wan vein na yu an כ an.

2. Dɔn, dɛn kin injɛkt wan spɛshal redioaktiv drɔg (radiotracer) insay di bɔdi tru di kanula. Yu nɔ go fil ɛni pen dis tɛm.

3. Dɛn go mek yu ledɔm ɔ ledɔm pan ɛgzam tebul.

4. Dɔn dɛn kin put di gama kamɛra oba yu kidni eria ɛn bigin fɔ tek pikchɔ. Dis kamɛra nɔ de hit yu bɔdi . I jɔs de muv sloslo rawnd ɔ oba yu bɔdi.

5. Di teknɔlɔjis go wach dɛn pikchɔ ya na kɔmpyuta skrin. Sɔntɛnde, dɛn go aks yu fɔ de stil, ɛn ɔda tɛm dɛn kin aks yu fɔ chenj yu pozishɔn, lɛk fɔ ledɔm smɔl.

Tipikli, dis ol prכsεs kin tek enisay frכm 30 minit to 2 awa , dipכnt pan di kayn skan we yu de du.

Wetin kin apin afta di skan? Ɛni risk dɛn de we kin apin?

We di skan dɔn, dɛn go pul di kanula ɛn yu kin go na os. Yu kin kɔntinyu fɔ du yu nɔmal tin dɛn fɔ di de.

Nɔ wɔri bɔt di mɛrɛsin we yu dɔn injekt na yu bɔdi. As yu de drink bɔku wata ɛn pis ɔl di de, di mɛrɛsin go kɔmɔt na yu bɔdi ɔlmost.

Naw lɛ wi luk di prɔblɛm dɛn we kin apin. Di prɔblɛm dɛn we kin apin kin rili smɔl . Infakt, di raytin we dɛn kin yuz nɔ bɔku pas di wan we dɛn kin yuz ɛkstrem rayt ɔltɛm.

Dɛn tin ya na tin dɛn we nɔ kin apin so ɔltɛm:

• Alɛji: I nɔ kin izi fɔ mek pɔsin gɛt alɛji to da mɛrɛsin de.
• Pen na di say we di kanula de: Di say we di kanula de kin rɛd smɔl, i kin swel, ɔ i kin mek i fil pen. If dis nɔ stɔp insay sɔm dez, tɛl yu dɔktɔ.

Wetin kin apin we dɛn gɛt di ripɔt?

Di pikchɔ dɛn we dɛn pul na di skan, na wan dɔktɔ we de stɔdi bɔt raydio ɔ nyuklia mɛrɛsin kin tek tɛm luk, ɛn i kin mek wan ripɔt ɛn sɛn am to yu dɔktɔ. Dɔn di dɔktɔ go kɔl yu fɔ ɛksplen wetin de insay di ripɔt ɛn wetin fɔ du nɛks.

If di ripɔt sho se prɔblɛm de, di dɔktɔ kin tɛl dɛn fɔ du ɔda tɛst fɔ no di sik kɔrɛkt wan. Fɔ ɛgzampul:

• Ultrasound skan, MRI ɔ CT skan
• Ɔda tɛst dɛn we di kidni kin du
• Kidni bayɔpsi

Nɔ fred. Dɛn kin du ɔl dis fɔ no ustɛm na yu prɔblɛm ɛn gi yu di bɛst tritmɛnt fɔ am.