Yu want fɔ chɛk yu tayroyd? Dɔn lɛ wi lan bɔt (Thyroid Uptake & Scan)!

Sɔntɛnde yu kin wɔnda if da smɔl tayroyd gland de na yu nɛk de wok fayn? Sɔntɛm dɔktɔ dɔn aks yu fɔ du dis tɛst we dɛn kɔl ``Thyroid Uptake & Scan''. Ɔ sɔntɛm yu dɔn yɛri bɔt am sɔnsay. So, tide wi go tok abaut am simpul, fo we we yu go andastan. Natin nɔr de fɔ wɔri bɔt, dis na kɔmɔn tɛst wae dɛn kin du fɔ bɔrku pipul dɛm.

Wetin na Tayrɔyd Uptek & Skan?

Fɔ tɔk am simpul wan, dis na spɛshal tɛst we de luk fɔ ɛksaktɔli wetin de apin insay yu tayroyd gland, aw i de wok fayn, ɛn wetin i shep ɛn saiz. I tan lεk ‘foto’ fכ yu tayroyd, bכt i de gi wi bכku mכr ditel. Dɔktɔ dɛn kin kɔl dis bak ``Nyuklia Mɛdisin Imej''. Nɔ frayd, di nem kin tan lɛk big tin, bɔt i involv fɔ yuz wan rili smɔl, we nɔ de du bad to redioaktiv (dɛn kɔl am ``Radiotracer'') ɛn luk yu tayroyd gland wit spɛshal kamɛra. di infכmeshכn we i de gi na mכr ditayl pas sכmtin lεk rεgulεr ``Ultrasound Scan''.

Wetin na di difrɛns bitwin tayroyd skan ɛn we dɛn tek am?

Naw yu kin de wɔnda if dis ``Scan'' ɛn ``Uptake'' na tu difrɛn tin, ɔ di sem tin. Teknikli, dis na tu difrɛn prɔses. Bɔt, dɔktɔ dɛn kin du dɛn tu tin ya togɛda, bikɔs na da tɛm de dɛn kin gɛt kɔmplit pikchɔ bɔt di tayroyd gland.

• Tayroyd Uptek: Dɛn kin kɔl dis bak Radioactive Iodine Upteke Test (RAIU). Dis tɛst de mɛzhɔ aw bɔku ɛn aw kwik yu tayroyd gland de tek redioaktiv ayodin. Dɔktɔ go mɛzhɔ dis bay we i put spɛshal prob na yu nɛk, usay yu tayroyd gland de. Di mɛzhɔmɛnt dɛn kin gi gud aidia fɔ no if yu tayroyd gland de ɔva aktiv (ɔva aktiv) ɔ ɔnda aktiv (ɔnda aktiv). Dis uptake test nɔ de tek pikchɔ.

• Tayrɔyd Skan: Na dis say dɛn kin tek pikchɔ dɛn. If yu yuz di redioaktiv matirial we wi bin dɔn tɔk bɔt (Radiotracer), spɛshal kamɛra, ɛn kɔmpyuta, yu go si klia wan di shep, saiz, ɛn di we aw yu tayroyd gland de insay, ɛn bak usay di tayroyd de wok pasmak, nɔ de wok fayn, ɔ i gɛt ɛni bɔdi we nɔ fayn.

So, we yu du dɛn tu tin ya togɛda, yu go ɔndastand ɔl tu aw di tayroyd gland de wok ɛn aw i tan.

Wetin mek a nid fɔ gɛt Tayrɔyd Uptek & Skan?

Wɛl, naw lɛ wi si wetin na sɔm pan di rizin dɛn we mek dɔktɔ kin se yu fɔ du dis `(Thyroid Uptake & Scan)` tɛst.

• Mek shɔ se yu tayroyd de wok fayn fayn wan: Dis skan impɔtant mɔ if yu gɛt sɔm sayn dɛm fɔ haypa tayroyd (e.g., yu at de rit pasmak, yu de lɔs yu wet, yu de swet, yu de wɔri), ɔ if blɔd tɛst sho se yu gɛt tayroyd we de wok pasmak.
• Fɛn ɔda tin bɔt tayroyd nodul: Sɔntɛnde, we yu du ɔltra saund skan na yu nɛk fɔ ɔda rizin, i kin sho smɔl nodul na yu tayroyd gland. dis tεst kin εp yu fכ no di εksakכt nεchכr fכ di nodul (if i ‘hot’ כ ‘kol’, we min se i de prodyuz כmon כ nכ).
• Fɔ si chenj dɛn na di tayroyd afta dɛn dɔn tek mɛrɛsin ɔ ɔpreshɔn: Dɛn kin yuz dis skan fɔ si if di tayroyd tisu we lɛf de wok fayn ɛn aw i de du afta dɛn dɔn tek mɛrɛsin fɔ aypa tayroyd, ɔ afta dɛn dɔn pul pat ɔ ɔl di tayroyd gland tru ɔpreshɔn.
• Fɔ no bɔt di sik dɛn lɛk tayroyd.
• Dɛn kin yuse am bak (rarely) fɔ si aw sɔm kansa dɛn de prɛd.

Udat de du dis Tayrɔyd Uptek & Skan?

Dis tɛst na raydiɔlɔjis we gɛt spɛshal no ɛn trenin pan di mɛdikal fild fɔ ``Nyuklia Mɛdisin Imej.'' Na in kin du di tɛst, analayz di pikchɔ ɛn data we dɛn gɛt, ɛn pripia ripɔt bɔt yu kɔndishɔn.

Aw dis Tayrɔyd Uptek & Skan de wok?

Tink bɔt am dis we, i tan lɛk se yu put smɔl ‘tag’ insay yu tayroyd gland, ɛn wach frɔm do aw da ‘tag’ de muv rawnd insay di tayroyd, usay i kin gɛda, ɛn aw i kin gɛda.

Wetin kin apin na jɔs dis:

1. Dɛn go gi yu wan rili smɔl, sef amɔnt pan wan redioaktiv sɔbstans (`(Radiotracer)`). dis na mכst tεm wan rεdyuaktiv ayzכtop fכ wan εlimεnt we dεn kכl `(Radioactive Iodine)` כ `(Technetium)`. Dɛn kin gi dis as IV injɛkshɔn, ɔ as smɔl kapsul ɔ likwid we dɛn fɔ tek bay mɔt. Na smɔl tɛm nɔmɔ, dɛn kin gi am as gas fɔ inhal.

2. Dis tin de travul tru yu blɔd ɛn go na di tayroyd gland. Bikɔs di tayroyd gland kin tek ayodin fɔ mek ɔmon, dis redioaktiv ayodin (ɔ sɔntin we tan lɛk dis) kin gɛda na di tayroyd sɛl dɛn.

3. afta dat, di `(Radiotracer)` we dεn ad pan dεn tayroyd sεl dεm ya de kכmכt wan spεshal kayn rεdyushכn we dεn kכl `(Gamma rays)`. Wi yay nɔ de si dɛn rayt ya, bɔt wi kin yuz spɛshal tin dɛn fɔ no dɛn.

Naw lɛ wi si aw `(Uptake)` ɛn `(Scan)` de yuz `(Gamma rays)`:

• We dɛn de du tɛst fɔ no if pɔsin tek di mɛrɛsin: Di dɔktɔ kin put wan tin we kin mek pɔsin fil fayn we dɛn kɔl gama probe na yu nɛk, rayt nia yu tayroyd gland, ɛn i kin mɛzhɔ di kayn gama rayt we i de pul. dis de gi yu aidia fכ aw di tayroyd gland de abzכp di tin fayn fayn wan, we na aw i de wok fayn fayn wan.
• We dɛn de skan: Wan spɛshal kamɛra we dɛn kɔl gama kamɛra kin no dɛn gama rayt ya ɛn sɛn di infɔmeshɔn to kɔmpyuta. Di kɔmpyuta de yuz di data fɔ mek klia pikchɔ dɛn (lɛk map) fɔ di tayroyd gland. Dɛn pikchɔ ya de sho say dɛn na di tayroyd we de wok pasmak (ɔt nodul), we nɔ de wok fayn (kol nodul), ɔ we gɛt shep dɛn we nɔ kɔmɔn. Fɔ ɛgzampul, di wan ol tayroyd gland fɔ pɔsin we gɛt aypa tayroyd kin tan lɛk se i rili brayt bikɔs i de absɔb bɔku pan di redio traysa.

Aw a fɔ pripia fɔ dis Tayrɔyd Uptek & Skan?

Sɔm tin dɛn de we yu fɔ no bɔt ɛn tɛl yu dɔktɔ bifo dis tɛst. Fɔ fala dɛn tin ya ɛksaktɔli rili impɔtant fɔ gɛt kɔrɛkt tɛst rizɔlt.

• If yu gɛt bɛlɛ, yu tink se yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ: Yu fɔ tɔk bɔt dis wit yu dɔktɔ ɛn di raydiɔlɔjis we go de du di tɛst. Dis na bikɔs di amount of redioaktiv matirial we dɛn yuz, ivin if i rili smɔl, nɔ sef fɔ di pikin we nɔ bɔn ɔ we i de gi in mama in bɛlɛ. If na so i bi, di dɔktɔ go disayd if i fɔ tink bɔt ɔda tin dɛn we i fɔ du ɔ if i fɔ put di tɛst bifo tɛm.
• Ɔda impɔtant tin dɛn fɔ tɛl di dɔktɔ:
• If yu nɔ tu te yet we yu gɛt sik, lɛk fiva ɔ kol.
• Ɛni ɔda sik we yu gɛt fɔ lɔng tɛm (e.g. dayabitis, at sik, kidni sik).
• If yu gɛt ɛni alɛji (especially to ayodin ɔ to ɛni kɔntrast matirial we bin de trade).
• Ɔl di mɛrɛsin dɛn we yu de tek naw. Dis nɔto jɔs di mɛrɛsin dɛn we yu dɔktɔ gi yu, bɔt i min bak di mɛrɛsin dɛn we yu nɔ kin bay, vaytamɛn, ɛvbɔdi, ɛn ivin tradishɔnal mɛrɛsin dɛn.
• If yu dɔn gɛt ɛni ɔda tɛst we yuz kɔntrast matirial we gɛt ayodin (fɔ ɛgzampul, CT skan ɔ angiogram wit IV ayodin kɔntrast) insay di las tu mɔnt. Dɛn tin ya kin chenj di ayodin lɛvɛl na yu bɔdi ɛn afɛkt di rizɔlt fɔ dis skan.
• If yu de tek mɛrɛsin fɔ tayroyd sik:If yu de tek mɛrɛsin fɔ haypa tayroyd (ɔva aktiv tayroyd) lɛk Methimazole ɔ Propylthiouracil (PTU), ɔ tayroyd ɔmon tablɛt (Thyroxine), yu dɔktɔ go tɛl yu ɔmɔs dez bifo di skan yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya. Fɔ fala dɛn instrɔkshɔn ya gud gud wan. If nɔto dat, di tɛst rizɔlt kin kɔrɛkt.
• Fɔ it ɛn drink: Dɛn kin aks yu fɔ nɔ it ɔ drink ɛnitin (fastin) fɔ sɔm awa bifo di tɛst (e.g. 4-6 awa). Aks yu dɔktɔ ɔ di lɛbɔretri bɔt dis bifo tɛm.

Di tin we impɔtant pas ɔl na fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɔ di wan dɛn we de wok na di ɔspitul dɔn gi yu. If ɛnitin de we yu nɔ shɔ bɔt, nɔ fred fɔ aks. Dɛn de de fɔ ɛp yu.

Wetin kin apin we dɛn de du Tayrɔyd Uptake & Scan?

Bikɔs di ``Uptake'' ɛn ``Scan'' pat dɛn na dis tɛst de du smɔl difrɛn we, lɛ wi luk dɛn sɛpret.

Aw fɔ du Tayrɔyd Uptek:

1. Fɔs, dɛn go gi yu smɔl kapsul ɔ likwid we gɛt redioaktiv ayodin (`(Radiotracer)`) fɔ drink. Dis nɔ gɛt ɛni teys, so i nɔ kin mek pɔsin nɔ fil fayn.

2. Afta yu drink am, dem go tel yu fo go haus o res fo som taim. Yu go gɛt fɔ kam bak na di say we dɛn de du di tɛst afta 4 to 6 awa (sɔntɛnde ivin 24 awa). dis de gi di tayroyd gland tεm fכ abzכp di rεdyutraysa.

3. We yu kam bak, dɛn go le yu pan ɛgzamin tebul (ɔ sɔntɛm na chia), ɛn wan tɛknishian ɔ dɔktɔ go put wan smɔl tin we dɛn kɔl ``Gamma probe'' rili nia yu tayroyd gland na yu nɛk (nɔ tɔch am). Dis de mɛzhɔ di kayn raytin we yu tayroyd de pul.

4. Sɔntɛnde, dɛn kin aks yu fɔ kam bak 24 awa afta yu tek di ``(Radiotracer)'' ɛn mek dɛn du ɔda mɛzhɔmɛnt dis we. Dis go sho bak aw lɔng di tayroyd de kip di ayodin.

5. Dis `(probe)` de tek כnli fכ minit fכ tek mכtalman, probabli 5 minit כ less. No pen nɔ de.

Aw fɔ du Tayrɔyd Skan:

1. insay dis, dεn kin injεkt sכm sכm rεdyuaktiv sכbstans (`(Radiotracer)`) insay wan vein na yu an (`(IV injεkshכn)`). (I nɔ kin izi fɔ gi am bak bay we yu drink ɔ inhal am, lɛk aw dɛn kin du fɔ `(Uptake)`, i dipen pan di kayn `(Radiotracer)` we dɛn yuz.)

2. Dɔn, yu fɔ wet fɔ sɔm tɛm (bɔku tɛm na lɛk 20-30 minit) fɔ mek yu tayroyd gland tek dis tin.

3. Neks, dem go put yu pan wan speshal egzamin tebul we go mek yu muv arawnd, wit yu nek we yu tilt bak smɔl (so dat i go ful-ɔp).

4. Dɔn, dɛn kin put wan big kamɛra we dɛn kɔl ``Gamma Kamɛra'' na yu nɛk, rayt ɔp ɔ rili nia di tayroyd gland, ɛn dɛn kin tek sɔm pikchɔ dɛn frɔm difrɛn angul dɛn.

5. Dis taim, i rili impɔtant fɔ mek yu stil stil de ɔlsay ɛn nɔ muf.Bikɔs if i shek, di pikchɔ dɛn nɔ kin klia. Jɔs lɛk we yu de tek foto.

6. Yu kin nid fɔ wet fɔ sɔm tɛm te di wan dɛn we de wok de gɛt di pikchɔ dɛn we klia pas ɔl. Sɔntɛnde, dɛn kin tek ɔda pikchɔ dɛn fɔ mek sɔm say dɛn na di tayroyd klia mɔ. Bɔt, natin nɔ de fɔ wɔri bɔt, dis na nɔmal tin.

7. Dis ɔl skan kin tek lɛk 30 minit ɔ smɔl pas dat. No pen nɔ de insay dis.

Wetin kin apin afta wan Tayrɔyd Uptake & Scan?

We di tɛst dɔn, yu kin kɔntinyu fɔ du yu nɔmal tin dɛn we yu kin du ɛvride te yu dɔktɔ advays yu ɔda we. Yu kin go bak na os.

Bɔt, wan impɔtant tin de. fכ εp di redioaktiv sכbstans (`(Radiotracer)`) we dεn yuz na di tεst pas kכmכt na yu bכdi kwik kwik wan insay yu urine, dεn go aks yu fכ drink bכku wata (at le 2-3 lita pan de) fכ tu de afta di tεst. I fayn fɔ fala dis.

Wetin na di risk ɛn sayd ɛfɛkt dɛm fɔ dis Thyroid Uptake & Scan?

Bɔku pipul dɛn kin fred di wɔd "radioactive". bכt in rialiti, dis `(Thyroid Uptake & Scan)` tεst de yuz sכm sכm sכm rεdyuaktiv mεtirial (`(Radiotracer)`). So, di doz fɔ di raytin we yu de gɛt rili smɔl. infakt, i kin bכku pas di כmכnt כf rεdyushכn we dεn gεt frכm sכm `(X-ray)` tεst dεm. So, we yu kɔmpia am wit di bɛnifit dɛn we dis skan de gi fɔ lan valyu tin dɛn bɔt aw di tayroyd gland de wok ɛn di wɛlbɔdi, di rili smɔl raytin risk so smɔl dat dɛn nɔ go pe atɛnshɔn to am.

Bɔt lɛk aw wi bin dɔn tɔk, dis raytin nɔ fayn fɔ di pikin we de na di bɛlɛ if yu gɛt bɛlɛ, ɔ fɔ di pikin tru di milk if yu de gi pikin in bɛlɛ. Na dat mek i impɔtant fɔ tɛl di dɔktɔ bɔt am bifo tɛm. Di dɔktɔ kin aks yu bak fɔ stɔp fɔ gi pikin in bɛlɛ fɔ sɔm dez.

Sɔm ɔda smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɛn nɔ kin apin so ɔltɛm:

• (Radiotracer) Smɔl pen, rɛd, ɔ swel usay dɛn injɛkt di vein: Dis go stɔp insay lɛk wan ɔ tu dez. Yu kin fil lɛk se yu de fil lɛk yu wam.
• Alɛji riakshɔn to di redio traysa: Dis nɔ kin apin so ɔltɛm . Bɔrku tɛm, na jɔs smɔl smɔl tin lɛk it ɔr smɔl bɔmp. Siriɔs alɛji nɔ kin apin so ɔltɛm. Mɛmba se dis alɛji nɔto to ayodin insɛf, bɔt na ɔda tin dɛn we de insay di prɔdak we gɛt ayodin. Tɛl yu dɔktɔ if yu dɔn gɛt alɛji to ayodin bifo.

Ustɛm a go ebul fɔ no di rizɔlt fɔ dis Thyroid Uptake & Scan?

Di tɛm we yu kin tek fɔ gɛt yu tɛst rizɔlt kin difrɛn smɔl. I dipen pan di ɔspitul usay yu bin gɛt di tɛst, di rizin fɔ di skan, di tɛm we i tek fɔ analayz di pikchɔ dɛn, ɛn if yu kin nid ``sɛkɔn opinion'' frɔm ɔda spɛshal pɔsin.

Dis na wetin kin apin: Wan dɔktɔ we de stɔdi bɔt raydio ɔ ɔda dɔktɔ we sabi du nyuklia skan we gɛt spɛshal trenin fɔ du nyuklia skan, kin tek tɛm stɔdi di pikchɔ dɛn we dɛn kin yuz fɔ skan ɛn di we aw dɛn kin mɛzhɔ di tin dɛn we dɛn kin tek ɛn pripia wan kɔmplit ripɔt. Dɔn dɛn kin sɛn di ripɔt to di dɔktɔ we ɔda di tɛst fɔ yu. Dɔn di dɔktɔ go mit wit yu ɛn ɛksplen wetin di rizɔlt min fɔ yu. Dis kin tek ɛnisay frɔm sɔm dez to wan ɔ tu wik.

Dis `(Thyroid Uptake & Scan)` na rili sef ɛn rili yusful mɛdikal tɛst we kin asɛs di wok ɛn wɛlbɔdi fɔ yu tayroyd gland. If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis tɛst, aw dɛn kin du am, ɔ di rizɔlt, nɔ fred fɔ aks yu dɔktɔ. Mɛmba se dɛn de fɔ ɛp yu ɛn sɔlv di tin dɛn we de mɔna yu.

Fɔ dɔn, mɛmba (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn de tɔk bɔt so fa, na sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba:

• dis `(Thyroid Uptake & Scan)` na wan rili imכtant εn sef tεst we dεn kin yus fכ no εksεkt aw di tayroyd gland na yu nεk de wok, εn if eni abnכmal tin de, lump (`(Nodule)`), כ prכblεm lεk כva aktiviti (`(Hyperthyroidism)`).
• I impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn bifo yu du di tɛst (lɛk wetin fɔ it ɛn drink, us mɛrɛsin fɔ stɔp fɔ tek, ɛn wetin fɔ du if yu gɛt bɛlɛ) fɔ gɛt di kɔrɛkt rizɔlt.
• sכm sכm rεdyuaktiv mεtirial (`(Radiotracer)`) dεn de yuz we dεn de tεst, bכt i nכ go kכz bכku harm to yu bכdi. Di raytin we i de pul rili smɔl.
• Nɔ pen nɔ de we dɛn de du di tɛst. I jɔs impɔtant fɔ de stil fɔ sɔm tɛm we dɛn de du di skan.
• We di rizɔlt dɔn, yu dɔktɔ go tɔk bɔt am wit yu ditayli ɛn disayd bɔt ɛni ɔda tritmɛnt we yu nid.

So, if dɔktɔ tɛl yu fɔ du dis `(Thyroid Uptake & Scan)` tɛst, nɔ fred ɔ wɔri bɔt am we nɔ nid fɔ du dat. Dis na fayn tɛst we dɛn kin du na di mɔdan mɛrɛsin we kin ɛp yu fɔ no bɔku valyu tin dɛn bɔt yu wɛlbɔdi biznɛs. I bɛtɛ ɔltɛm fɔ tɔk opin wan wit yu dɔktɔ ɛn aks ɛn mek ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd klia.

` Tayroyd, tayroyd skan, tayroyd aptek, redioaktiv ayodin, tayroyd gland, haypa tayroydism, tayroyd nodul