Yu dɔn gɛt prɔblɛm fɔ blo wantɛm wantɛm ɔ yu chɛst de pen ɛn di dɔktɔ tɛl yu fɔ du VQ skan? Sɔntɛm yu bin de fred smɔl we i tɔk dat. "Wetin na dis VQ skan?" "Wetin i tan lɛk?" "I de at?" Bɔku kwɛstyɔn dɛn kin kam na mi maynd. Nɔ wɔri, wi go tɔk bɔt dis rili simpul wan tide, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na VQ skan?
Di VQ skan na tɛst we nɔ gɛt pen, we gɛt tu pat we de tek pikchɔ bɔt aw yu lɔng de wok. I kin mɔs luk aw yu lɔng dɛn de wok fayn ɛn aw yu blɔd de flɔ tru dɛn .
Dis na di minin fɔ di tu lɛta dɛn we de insay in nem.
- Di lɛta "V" tinap fɔ Ventilation . na di prכsεs we di briz de go insay εn kכmכt na di lכng dεm we yu de blo.
- Di lɛta "Q" tinap fɔ Perfusion . I de tɔk bɔt di blɔd we de go na di smɔl smɔl blɔd vesel dɛn we de na di lɔng ɛn di we aw i de flɔ.
Fɔ tɔk am simpul wan, dis tan lɛk fɔ chɛk if di rod dɛn na siti (airways) de insay gud kɔndishɔn ɛn if trafik nɔ de na dɛn rod dɛn de (blɔd sirkuleshɔn).
Wetin mek dɔktɔ go se dɛn fɔ du VQ skan?
Di men ɛn kɔmɔn rizin we mek dɔktɔ ɔda dis tɛst na we dɛn sɔprayz se blɔd dɔn klɔt na di lɔng. Dɛn kin kɔl dis sik we dɛn kɔl pulmonary embolism (PE) . Dis kin bi wan bad bad sik , so e fayn fɔ gɛt diagnosis ɛn tritmɛnt kwik kwik wan.
Apat frɔm dat, dɛn kin yuz dis VQ skan pan sɔm ɔda tin dɛn:
- no di kכndyushכn ``Chronic Thromboembolic Pulmonary Hypertension (CTEPH),`` we na sik we de mek di bכdi prεshכn na di lכng dεm go כp.
- Chek di lכng fכnshכn afta dεn transplant di lכng.
- Bifo yu du ɔpreshɔn fɔ pul wan pat ɔ ɔl di lɔng, chɛk aw di lɔng we lɛf de wok.
- Asɛs di wok we di lɔng dɛn de du pan pɔsin we gɛt ɔda sik dɛn na di lɔng, lɛk COPD.
Wetin kin rili apin insay dis tɛst?
Okay, naw mek wi si wetin de hapun insaid dis test. Dɛn kin du dis insay tu pat di sem de, dɛn kin du wan pat jɔs afta di ɔda wan dɔn.
1. Pat Wan (Ventilashɔn - luk aw di briz de muv):Insay dis, yu kin wɛr spɛshal tin fɔ blo (lɛk mask). Yu de blo tru am. wan rili sכm, sef redioaktiv tin we dεn kכl ``tracer'' de ad to di briz we yu de brith. Dis na lɛk fɔ put smɔl ''tag'' na di ays. Dɔn wan spɛshal kamɛra kin tek pikchɔ dɛn. biכs fכ di ''tag'', yu kin si di ples dεm we di briz de pas tru yu lכng dεm klia wan na di pikchכ dεm.
2. Pat 2 (Perfusion): Insay dis, dεn kin injεkt wan rεdyuaktiv sכbstans (tracer) we sef we sef insay wan vein na yu an. dis ‘tag’ de travul wit di bכdi כlsay na yu bכdi εn insay yu lכng dεm. Di sem kamɛra we dɛn bin dɔn yuz trade kin tek pikchɔ bak. Dis de sho usay di blɔd de flɔ na yu lɔng.
We di dɔktɔ kɔmpia dɛn tu pikchɔ ya, i go no if prɔblɛm de wit yu lɔng.
Aw VQ skan difrɛn frɔm CT skan?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. pan ɔl we ɔl tu di VQ skan ɛn CT skan kin tek pikchɔ fɔ di lɔng dɛn, sɔm impɔtant difrɛns de bitwin di tu.
| Tin | VQ Skan we yu de du | CT Skan we dɛn kin du |
|---|---|---|
| Wetin dɛn kin yuz | wan redioaktiv sכbstans (tracer) dεn de gi am bay we dεn inhal εn injεkshכn. | Dɛn kin gi wan spɛshal day (Contrast Dye) tru wan injɛkshɔn. |
| Radieshɔn lɛvɛl | Les redyushɔn pas CT skan. | Di raytin ay pas wan VQ skan. |
| Fɔ di wan dɛn we gɛt kidni | I rili sef fɔ pipul dɛn we gɛt rεnal insufficiency. | Di day we dɛn kin yuz fɔ CT skan kin denja bikɔs i kin afɛkt di kidni dɛn. |
| Fɔ di wan dɛn we gɛt alɛji to day | I rili sef , bikɔs dɛn nɔ de yuz di kayn day we dɛn kin yuz fɔ CT skan. | If yu gɛt alɛji fɔ day, yu nɔ go ebul fɔ yuz dɛn. |
A nid fɔ rɛdi bifo di tɛst?
Dis na di bɛst tin. No spɛshal pripia nɔ de fɔ mek dɛn du VQ skan. Yu kin it, drink, ɛn tek yu mɛrɛsin dɛn lɛk aw yu kin it. Bɔt sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ:
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ: Yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst, bikɔs raytin kin afɛkt di pikin we de na di pikin.
- If yu na mama we de gi pikin in mama in bɛlɛ: Bikɔs di raytin kin pas to yu pikin tru in mama in milk, dɛn kin aks yu fɔ stɔp fɔ gi pikin in bɛlɛ fɔ sɔm awa ɔ wan de afta di tɛst ɛn ɛksprɛs ɛn trowe di mama in milk. Yu dɔktɔ go gi yu instrɔkshɔn bɔt dis.
- If i nɔ izi fɔ yu fɔ de stil fɔ lɔng tɛm: I bɛtɛ fɔ lɛ yu nɔ muf we yu de tek pikchɔ. If yu du dat, yu go si pikchɔ dɛn we nɔ klia ɛn yu nɔ go ripɔt fayn.
Bɔku tɛm, dɛn kin du ɛkstrem na di chɛst 24 awa bifo di VQ skan. Di infɔmeshɔn we dɛn go gɛt frɔm dis go ɛp bak fɔ ɔndastand di VQ skan ripɔt.
Wetin kin apin we dɛn de du di tɛst?
Di wan ol tɛst kin tek bitwin 30 ɛn 60 minit.
Pat Wan: Skan fɔ mek di briz go blo
Insay dis, yu go sidɔm na chia ɔ ledɔm na tebul. Dɛn go gi yu mask ɔ mɔt fɔ blo tru. Dɔn, wan kamɛra go tek pikchɔ dɛn as yu de blo tru am. Dɛn kin tɔn yu bak na difrɛn say dɛn fɔ tek pikchɔ.
Pat Tu: Pɛrfyushɔn Skan
Dis go bigin jɔs afta di fɔs pat dɔn. Dis min se yu fɔ put IV insay wan vein na yu an ɛn injɛkt wan redioaktiv tin tru am. Dɔn, lɛk aw i bin de bifo, dɛn kin tek pikchɔ dɛn wit kamɛra.
Wetin kin apin afta di tɛst? Wetin di ripɔt se?
Afta di tɛst dɔn, yu kin du yu nɔmal tin dɛn. Di redioaktiv tin we dɛn bin put insay yu bɔdi go kɔmɔt na yu bɔdi na yu urine ɛn stɔl insay sɔm awa ɔ dez.
Bɔku tɛm, dɛn kin gɛt di ripɔt insay 24 awa. Lɛ wi jɔs si wetin di tin dɛn we de insay di ripɔt se.
| Wɔd dɛn we go de na di ripɔt | Wetin dat min? |
|---|---|
| If yu si no blɔd klot... | |
| Nɔmal / Lɔw prɔbabiliti / PE nɔ de | di briz ɛn blɔd we de flɔ na di lɔng na nɔmal tin. Di chans fɔ mek blɔd klɔt rili smɔl ɔ i nɔ de. |
| If yu gɛt dawt... | |
| Intɛrmɛdiet prɔbabiliti / Indeterminate | I nɔ pɔsibul fɔ tɔk fɔ tru frɔm dɛn skan ya if blɔd de ɔ nɔ de klɔt. Sɔntɛm dɛn go nid fɔ du ɔda tɛst dɛn. |
| If i pɔsibul fɔ mek blɔd klɔt... | |
| High probabiliti / PE prɛzɛnt / PE-pɔzitiv | I go mɔs bi se yu gɛt blɔd we de klɔt na yu lɔng. Di dɔktɔ go tɔk to yu bɔt di tritmɛnt we yu nid. |
Ɛni risk de pan dis?
Di risk dɛm fɔ VQ skan na rili smɔl . Di prɔblɛm dɛn we kin apin na:
- Fɔ gɛt raytin: Dis kin yuz wan rili smɔl raytin we sef. I kin kɔmɔt na di bɔdi kpatakpata insay sɔm dez.
- Alɛji riakshɔn: Di chans fɔ gɛt alɛji riakshɔn to di vaysin rili smɔl, bɔt i kin bi smɔl.
- Smɔl diskɔmfɔt: Sɔm smɔl pen kin de we dɛn de gi di injɛkshɔn ɛn i kin gɛt fɔ stil de we dɛn de du di tɛst.
Us tɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt dɛn sik ya, i kin bi sayn fɔ se blɔd dɔn klot na yu lɔng (Pulmonary Embolism). If dis kayn tin apin , go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
- Wantɛm we yu nɔ de blo bad bad wan
- Shap pen na di chɛst, an, sholda, nɛk, ɔ jaw
- Fɔ kɔf wit blɔd ɔ we yu nɔ gɛt blɔd
- Pale skin ɛn swet
- Blu di kɔlɔ we de chenj na di skin, di lip, ɔ di finga nel (Cyanosis) .
- Di at we de blo
- We pɔsin de swet pasmak
Dɛn sayn ya na mɛdikal imejensi, so if yu go to dɔktɔ kwik kwik wan ɛn nɔ west yu tɛm, dat go sev yu layf.
Mɛsej we dɛn kin kɛr go na os
- Di VQ skan na tɛst we nɔ gɛt pen, we sef we de chɛk di briz ɛn blɔd we de flɔ na di lɔng dɛn.
- dis dεn kin yuz am mεntal fכ no if blכd kכlכt na di lכng dεm (pulmonary embolism).
- I nɔ de yuz smɔl raytin pas CT skan. I fayn fɔ pipul dɛn we gɛt sik na dɛn kidni ɛn di wan dɛn we nɔ gɛt alɛji to CT day.
- If yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bifo di tɛst.
- If yu gɛt sɔm sayn dɛm lɛk fɔ blo kwik kwik wan ɛn fɔ fil pen na yu chɛst, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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