As yu no, dɔktɔ dɛn kin yuz difrɛn tɛst dɛn fɔ fɛn prɔblɛm dɛn insay wi bɔdi. Sɔntɛm yu sabi tin dɛn lɛk ɛkstrem rayt ɛn CT skan. Tide wi go tɔk bɔt wan smɔl difrɛn kayn skan we dɛn kin yuz bak fɔ luk dip wan pan aw wi lɔng dɛn de wok. Dɛn kɔl dis wan VQ skan. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, fɔ tru, i rili simpul.
Fɔ tɔk am simpul wan, wetin na VQ skan?
VQ skan na tu pat, non-invasive test we de tek pikchɔ fɔ yu lכng dεm εn mεzj di briz fכ fכlכ εn blכd fכ fכlכ insay dεm.
di ‘V’ we de na di nem tinap fכ Ventilation , we na aw di briz de muv insay εn kכmכt na yu lכng. Di ‘Q’ tinap fɔ Perfusion , we na aw bɔku blɔd de flɔ to di smɔl smɔl blɔd vesel dɛn na yu lɔng. So sɔm tɛm dɛn kin kɔl am Ventilation-Perfusion scan, lung scan, ɔ lung scintigraphy.
Us sityueshɔn dɛn dɛn kin yuz dis skan?
Bɔku tɛm, dɔktɔ dɛn kin yuz VQ skan fɔ chɛk fɔ si if blɔd dɔn klot na yu lɔng (Pulmonary Embolism, ɔ PE) . Dis kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn. Dɛn kin yuz am bak fɔ no if pɔsin gɛt CTEPH (Chronic Thromboembolic Pulmonary Hypertension) , we na wan sik we kin mek pɔsin gɛt ay blɔd prɛshɔn na di blɔd vesel dɛn na di lɔng dɛn.
Nɔto dat nɔmɔ, dis skan de ɛp fɔ chɛk aw yu lɔng dɛn de wok pan sɔm ɔda tin dɛn.
- Afta dɛn dɔn transplant dɛn lɔng.
- Bifo dɛn du di ɔpreshɔn fɔ pul wan lɔng ɔ pat pan am.
- We dɛn de no ɔ trit ɔda sik dɛn na di lɔng, lɛk COPD (Chronic Obstructive Pulmonary Disease) .
Bɔt mɛmba se, VQ skan kin mɔs luk pan di wok we di lɔng dɛn de du. Fɔ mek dɛn go ebul fɔ no di sik we dɛn gɛt na in lɔng kɔrɛkt wan, di dɔktɔ dɛn kin yuz ɔda tɛst dɛn lɛk CT skan ɔ ɛkstrem rayt na in chɛst.
Wetin na di difrɛns bitwin VQ skan ɛn CT skan?
Pan ɔl we di tu kayn skan dɛn kin tek pikchɔ fɔ di lɔng dɛn ɛn ɛp fɔ no prɔblɛm dɛn lɛk we blɔd kin klɔt, klia difrɛns de bitwin dɛn tu. Lɛ wi tek wan luk pan dɛn na wan tebul.
| Trut | VQ Skan we yu de du | CT Skan we dɛn kin du |
|---|---|---|
| Wetin dɛn kin yuz | Dɛn kin gi wan redioaktiv traysa tru inhalashɔn ɛn injɛkshɔn. | Dɛn kin injɛkt wan spɛshal day (kɔntrast day) insay di bɔdi tru wan injɛkshɔn. |
| Wetin dɛn de tɛst? | di muvmεnt fכ di briz εn bכdi (fכnshכn) na di lכng dεm dεn de chεk. | di strכkchכ fכ di lכng dεm εn eni prכblεm wit dεm (e.g. bכdi kכlכt) dεn de chεk. |
| Redioaktiviti we de apin | Les redyushɔn pas CT skan. | Mɔ redyushɔn de pas VQ skan. |
| Fɔ di wan dɛn we gɛt prɔblɛm wit dɛn kidni | Sef. Nɔ ifɛkt pan di kidni dɛn. | Di kayn day we dɛn yuz kin ambɔg di kidni dɛn. |
Aw a fɔ pripia bifo di skan?
Fɔ tru, dis skan nɔ nid ɛni spɛshal pripiamɛnt. Yu kin it nɔmal wan ɛn tek yu mɛrɛsin dɛn. Bɔt yu fɔ rili tɛl yu dɔktɔ bɔt dɛn tin ya:
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ: Dis skan kin gɛt smɔl raytin, so i nɔ sef fɔ di pikin we de na di bɛlɛ. If na so i bi, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst.
- If yu na mama we de gi pikin in bɛlɛ: Bikɔs di tin we dɛn yuz fɔ di skan kin pas insay di mama in milk, yu dɔktɔ go gi yu spɛshal instrɔkshɔn bɔt aw fɔ gi yu pikin in bɛlɛ fɔ wan ɔ tu dez afta di skan.
- If i nɔ izi fɔ yu fɔ stil de na wan pozishɔn fɔ sɔm minit: If yu muv we yu de skan, di pikchɔ dɛn nɔ go klia. So i impɔtant fɔ tɛl wi bɔt dis bifo tɛm.
Dɛn kin ɔda fɔ mek dɛn du ɛkstrem na di chɛst insay 24 awa afta dɛn dɔn du di VQ skan. Di infɔmeshɔn we dɛn go gɛt frɔm dis go ɛp di dɔktɔ fɔ ɔndastand di rizɔlt fɔ di VQ skan.
Wetin kin apin we dɛn de du di skan?
Dis tɛst kin tek bitwin 30 ɛn 60 minit fɔ dɔn. I gɛt tu pat. Sɔm pipul dɛn kin jɔs du wan pat, bɔt bɔku pipul dɛn kin du ɔl tu di pat dɛn di sem de.
Pat Wan: Skan fɔ mek di briz go blo
Dis min se yu fɔ luk aw di briz de go insay yu lɔng.
1. Fɔs, dɛn go fit yu mɔt ɔ mask we de kɔba yu mɔt ɛn nos. Yu kin nid bak fɔ put smɔl klip na yu nos fɔ mek shɔ se na yu mɔt nɔmɔ yu de blo.
2. Dɔn, tru wan tiub we dɛn kɔnɛkt to dis divays, dɛn kin ad wan rili smɔl redioaktiv tin (tracer) to di briz we yu de blo. Tink bɔt am lɛk we yu put smɔl kɔlɔ tag pan di briz we yu de blo.
3. Dɛn go mek yu ledɔm pan spɛshal bed ɛn sɛn yu insay wan mashin we tan lɛk silinda. Ɔ dɛn go mek yu sidɔm na chia ɛn put yu bifo kamɛra.
4. As yu de blo tru dis mask, wan spɛshal kamɛra go tek pikchɔ fɔ yu lɔng. Dɛn kin tɔn yu to difrɛn pozishɔn fɔ tek di pikchɔ dɛn we yu nid.
Pat Tu: Pɛrfyushɔn Skan
Dis pat kin dɔn jɔs afta dɛn dɔn du di ventilashɔn skan. Dis pat de luk aw blɔd de flɔ to di lɔng dɛn.
- Dis tɛm, dɛn nɔ de inhal di redioaktiv sɔbstans (tracer). Bifo dat, dɛn kin put am na wan vein na yu an tru wan IV .
- Dɔn, dɛn kin yuz di sem kamɛra we dɛn bin de yuz trade, fɔ tek pikchɔ dɛn bɔt di blɔd we de pas na yu lɔng.
Aw a go gɛt di rizɔlt afta di skan?
Yu kin go bak to yu nɔmal aktiviti dɛn afta di skan. Di redioaktiv tin we dɛn bin injɛkt insay yu bɔdi go kɔmɔt na yu bɔdi tru yu briz, urine, ɛn stɔl insay sɔm awa ɔ dez. Yu go ɔltɛm gɛt yu rizɔlt insay 24 awa.
If di rizɔlt ripɔt se "Nɔmal" ɔ "Lɔw prɔbabiliti," dat min se blɔd nɔ de klɔt. If i se sɔntin lɛk "Intermediate probability," dat min se i nɔ klia, ɛn dɛn kin nid fɔ du mɔ tɛst. If i se "High probability," dat min se chans de fɔ mek yu blɔd klɔt, ɛn yu dɔktɔ go tɔk to yu bɔt di tritmɛnt we yu nid.
Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt sayn dɛn we de sho se blɔd de klɔt na yu lɔng (pulmonary embolism) , na imejensi.Kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum (ETU) we de nia yu. Wach fɔ dɛn sayn ya:
- I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm.
- Shap pen na di chɛst, an, sholda, nɛk, ɔ jaw.
- Fɔ kɔf wit blɔd ɔ we yu nɔ gɛt blɔd.
- Pale skin ɛn swet we de stika.
- Blu di kɔlɔ we de chenj na di skin, di lip, ɔ di finga nel (cyanosis).
- Di at rit de go ɔp.
- We pɔsin de swet pasmak.
Mɛsej we dɛn kin kɛr go na os
- di VQ skan na tu pat tεst we de chεk aw di briz εn bכdi de fכlכ (fכnshכn) to di lכng dεm.
- dis dεn kin yuz am mεntal fכ no di bכdi we de kכlכt na di lכng dεm (pulmonary embolism).
- I nɔ gɛt bɛtɛ redioaktiv pas CT skan ɛn i sef fɔ pipul dɛn we gɛt sik na dɛn kidni ɔ we gɛt alɛji to CT day.
- Pan ɔl we dɛn kin yuz smɔl redioaktiv tin (tracer) fɔ du dis, i nɔ kin du bɔku bad tin to di bɔdi. I kin kɔmɔt na di bɔdi insay sɔm dez.
- If yu gɛt bɛlɛ, yu de gi yu mama in bɛlɛ, ɔ i nɔ izi fɔ yu fɔ de stil, mek shɔ se yu tɛl yu dɔktɔ bifo dɛn du di skan.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen wantɛm wantɛm na yu chɛst ɔ yu nɔ go ebul fɔ blo, tek am se na imejensi ɛn go to dɔktɔ wantɛm wantɛm.
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