I liver leh spleen chu engtin nge a awm? (Liver leh Spleen Scan) a ni.

Chibai! Doctor-in i liver leh spleen enfiahna tur special scan, ``Liver and Spleen Scan'' tih tur a tih che khan i hlauthawng leh hlauthawng deuh mai thei, a dik em? A nih loh leh hei hi eng nge a nih tih i hre duh hle mai thei bawk. Chuvangin, lungngai suh. Hemi chungchang hi chipchiar takin, awlsam takin, vawiin hian han sawi ila. I hriatthiam theih dan tur zawngin engkim ka sawifiah ang.

Liver leh Spleen Scan tih hi eng nge ni?

A awlsam zawngin, hei hi nuclear medicine imaging test bik a ni . I liver leh spleen an tih organ pahnih a en ber a ni. Heng taksa peng pahnihte hi kan pum chunglam ah a awm a. A pawimawh ber chu heng taksa peng pakhatah hian harsatna a awm chuan a dang pawh a nghawng thei a ni. Thian tha ber pahnih ang an ni.

He test-ah hian radioactive material tlemte (radioactive tracer) i taksaah inject a ni. Tichuan, hmanraw bik, gamma camera an tih hmangin, chu thil chu i liver leh spleen-in a hip luh dan an en thin. Hei hian doctor-te chu i taksa peng pahnih hnathawh that dan leh a chhiatna a awm leh awm loh a en thei a ni. Technology mak tak a ni lo maw?

Engvangin nge hetiang scan hi ka tih a ngai ang?

Tunah chuan, "Engvangin nge hetiang scan hi tih tir ka nih?" Liver leh spleen en nan scan chi dang pawh a awm bawk. Mahse he `(Liver and Spleen Scan)`-a thil danglam bik chu , taksa peng hrang hranga cell te hi engtiang chiahin nge an active tih leh an chhanlet dan a hmu thei a ni

Hei hian i liver emaw, i spleen emaw-a hmun pangngai lo, `lesions` an tih, tissue inthlak danglamna leh hnathawh tha lo awmna hmun zawng turin a pui thei che a ni. Tin, fibrosis, swelling, bile flow inthlak danglam, thisen kal dan inthlak danglam te pawh a zawng thei bawk. Chuvangin, taksa peng hrang hrangte chhiatna hi tehfung siam a pawimawh hle.

He scan hi eng atan nge hman a nih?

I doctor chuan chhan hrang hrang avangin he scan hi a rawt thei ang. Eng nge an nih hi han thlir ila:

• Hun rei tak chhunga thin natna (`(chronic liver disease)`) dinhmun en rawh.
• Natna i enkawl dawnin a tidam nge, a dinhmun a titha em tih en thin ang che.
• Liver emaw spleen emaw a chhiat chuan, accident ang chi, a chhiatna zau zawng teh thin ang che.
• Heng taksa peng hrang hrangah hian hliam emaw, tissue (lesion) pangngai lo emaw a awm leh awm loh zawng rawh.
• A chang chuan kan pum chunglam ah natna kan nei a, mahse a chhan kan hmu thei lo. Chutiang hunah chuan hei hian a chhan zawng turin min pui ang.
• Liver leh spleen pahnih tichhe thei systemic problem a awm leh awm loh enfiah thin ang che.

He scan hmang hian eng damdawi lam dinhmun nge hriat theih?

He scan result hian damdawi lam dinhmun hrang hrang chungchangah clues a pe thei a ni. Entirna tlemte chu hetiang hi a ni:

• Liver inflammation, chu chu `(hepatitis)` kan tih chu a ni.
• Liver scarring, fibrosis, leh cirrhosis pawh a awm thei.
• Fatty liver disease tih hi liver-a thau awmkhawmna a ni.
• Liver hi a lian mai mai em ni?
• Spleen hi a lian em?
• Spleen hian hna a thawk nasa lutuk em, chu chu ``hypersplenism'' tih dinhmun a awm tihna a ni?
• Liver veins-a thisen sang sang, ``Portal hypertension'' tia hriat.
• ``Budd-Chiari syndrome`` an tih, liver chhunga veins te chu a block emaw a tawi emaw a ni.
• Splenic artery aneurysm (`(Splenic artery aneurysm)`) a awm em?
• Spleen ruptured a awm em?
• Spleen-ah hian tissue engemaw zat thi tawh (`(Splenic infarction)`) a awm em?
• Liver hnathawh a tichhe em (`(Liver failure)`)?
• Liver-a lump emaw, lo thang lian emaw eng pawh. Entirnan, abscess, benign tumor, liver hemangioma emaw, liver cyst emaw a awm thei.
• Liver emaw spleen emaw cancer a awm.
• Taksa hmun danga cancer lo chhuak chu heng taksa peng hrang hrangah hian a darh tawh em (metastatic cancer)?
• Genetic natna, Gaucher natna ang chi, heng taksa peng hrang hrangte tibuaitu.

Pawimawh: He list hi hlau suh, okay? He scan hi heng natna zawng zawng hi i nei em tih hriat nan tih a ni lo. I natna lan chhuah dan leh doctor rinhlelhna atanga tih a ni.

Engtin nge he liver leh spleen scan hian hna a thawh? A awlsam hle mai!

I taksa chhungah "spy" tlem tal dah i ni ang tih han ngaihtuah teh. Hei hi spy tak tak a ni lo. Damdawi tlemte, radioactive tracer chu i kut vein pakhatah i inject a. Radioactive ni mahse hlauh tur a awm lo, radiation tlemte chauh, controlled amount of radiation , rei vak lo hnuah i taksa atangin a chhuak thin.

He damdawi hian i thisen kal tlangin i liver leh spleen-ah a lut a ni. Tichuan, chu machine ka sawi tawh gamma camera tia koh chuan he damdawi atanga gamma rays chhuak chu a "read" ta a ni. Chu chu damdawi chu khawiah nge a awm tih leh engzat nge a awm tih a zawng chhuak tihna a ni.

Chumi hnuah gamma camera-in thlalak a lakte chu i taksa peng hrang hrangte three-dimensional (`3D`) images nen a inzawm khawm a ni. Heng three-dimensional images te hi ``SPECT/CT scan`` tih technique hmanga lak a ni. ``(SPECT)`` tih hi ``(single-photon emission computed tomography)`` tihna a ni a, ``(CT)`` tih hi ``(computed tomography)`` tihna a ni. Heng zawng zawng hi a inzawm khawm chuan doctor-te chuan i liver leh spleen chu chiang takin an hmu thei a ni.

Scan hmain engtin nge ka inbuatsaih ang?

Hei hian inbuatsaihna a ngai lo.

• Doctor chuan he test hi a hrilhfiah ang che, chutah chuan i remtihna sign turin a ti ang che.
• Hospital gown bik i ha a ngai dawn a ni.
• I taksaa thir jewelry i neih zawng zawng, kawrfual, kutkawr, leh bengbeh te chu scanner hmanga lak chhuah theih a nih avangin i paih vek a ngai ang.
• Hemi chungchangah hian tlem i lungkham emaw, i lungkham emaw a nih chuan doctor hnenah sedative i dil thei ang. Chu chuan tlem a hahdam theih nan a pui ang che.

He scan hian eng chen nge a daih?

Test pumpui hi darkar khat vel a ni tlangpui .

Injection i pek zawh chuan minute 15 atanga 30 vel i nghak a, chu chu damdawi chu liver leh spleen-in a hip lut a ni. Chumi hnuah chauh chuan thlalak i la tan thei ang. Gamma camera hmanga thlalak lak nan minute 15-20 vel a ngai thei a, `(CT)` scanner hmanga thlalak lak nan minute 15-20 vel a ngai thei bawk.

Scan neih chhung hian eng nge thleng?

Okay, tunah chuan scan an tih hian eng nge thleng tak tak tih kan en ang.

1. Pakhatnaah chuan radiologic technologist chuan i kut vein pakhatah special radioactive tracer (a tlangpuiin Tc-99m sulfur colloid) chu injection te tak te (IV hmangin) hmangin a inject ang. Needle i dah chuan stinging sensation tlem i nei ang a, chu chu thil pangngai a ni.

2. Tichuan, damdawi chu i taksaa a luh theih nan rei vak lo (minute 15-30 vel) i nghah a ngai a ni.

3. A dawtah chuan scanner chhunga khumah mu turin an siam ang che. Donut ang maia siam scanner hi i pum chungah a fit tha thei ang bera dah a ni ang.

4. Camera hian i taksa pum pui chu gamma rays hmangin a scan hmasa ber a. Tichuan zawi zawiin i chhehvelah a inher a, three-dimensional (3D) image a la a ni.

5. Technician chuan hawi let lehin thlalak la turin a ti thei che a, chutiang chuan camera hian a en tha thei ang. A pawimawh ber chu dinhmun zawng zawnga awm reng hi a ni. Hei hian thlalak chiang tak tak i hmu thei ang.

6. Scan zawh veleh IV chu lakchhuah a ni ang. Chumi hnuah chuan i tho thei a, i thawmhnaw i ha thei bawk.

Hei hian risk a nei em?

He test atanga hlauhawm ber chu a tlem hle. Mahse, i doctor hnenah a hnuaia mite hi hriattir a pawimawh:

• Naupai i nih chuan: Radiation hman zat chu tlem hle mahse, nausen piang lai chu a nghawng thei a ni.
• Nu hnute pe lai i nih chuan: Radioactive material chu i hnute tuiah a lut thei. Chuvangin i doctor chuan ni engemaw zat hnute pek tawh loh turin a hrilh ang che.
• Radioactive material (sulphur-colloid) atanga allergy i neih chuan. Hei hi a tlem hle a, mahse i neih chuan min hrilh lawk tur a ni.

Engmah ka hre dawn em ni?

• I kut ah IV i dah chuan needle te tak te dah ang maiin a lang.
• Scan chhung hian engmah i hre lovang a, mahse mi thenkhat chuan rei vak lo an awm reng chuan an hrehawm lo deuh mai thei.
• I taksaah radioactive material inject a ni tih i hre lo vang. Mahse, i taksa atanga a chhuah thuai theih nan scan hnu darkar 24 chhung chu tui tam tak i in a ngai a ni.

Engtin nge result chu i lantir? Heng "hot spot" leh "cold spot" te hi eng nge ni?

Radioactive substance (`radionucleotide`) chu i vein-ah a luh hnuah i liver leh spleen-ah a lut nghal a ni. Heng taksa peng pahnih hian chu thil chu an hip lut thin.

Tunah chuan thlalak ah chuan,

• Hmun thenkhat chu hmun dang aiin a eng zawka lang a awm. Chungte chu "hot spot" an ti a. Chumi awmzia chu chutiang hmunah chuan chu thil chu a hip lut tha hle tihna a ni.
• Hmun thenkhat chu thim anga lang a awm bawk . Chungte chu "cold spot" an ti a. Chumi awmzia chu chu thil chu chutiang hmunah chuan a lut tha lo tihna a ni.

Technologist hian heng taksa peng pahnih hian thil engzat nge an lakluh tih a khaikhin bawk. A tlangpuiin, liver hi chu spleen aiin a hip tam zawk tur a ni.

Mahse, liver-in a absorb tur aia tlem a, spleen-in a absorb tam chuan "colloid shift" an ti a ni. Hei hian liver hnathawh a tlahniam tih a tilang a ni.

Ka result a rawn luh hnuah eng nge thleng?

I Liver leh Spleen Scan result a lut tawh chuan i doctor chuan a en ang a, i dinhmun chungchangah thutlukna a siam ang.

• Heng result te hian diagnosis chiang tak a pe thei mai thei . Chutiang a nih chuan doctor chuan enkawl dan tur a sawipui ang che.
• A châng chuan, he scan aṭanga thu hriatte hi finfiah lehzual nân test dang pawh tih theih a ni bawk.

Mahse, Doctor chuan engkim a hrilhfiah ang che.

Liver harsatna zawng tur hian eng scan chi dang nge awm?

He `(Liver and Spleen Scan)` bakah hian liver leh spleen dinhmun enfiah nan imaging test chi dang a awm bawk. Entirna thenkhat chu:

• Liver CT scan (`(Liver CT scan)`) tih a ni.
• Spleen CT scan (`(Spleen CT scan)`) hmanga tihdam theih a ni.
• Pum chhunga ultrasound scan (`(A pum ultrasound)`) tih a ni.
• Liver elastography (MRE emaw FibroScan® ultrasound tia hriat bawk).
• Liver/spleen MRI scan (`(Liver/spleen MRI)`) hmanga tihdam theih a ni.

I doctor chuan eng test nge i tan a tha ber tih a rel ang.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

He nuclear medicine liver leh spleen scan hi hmanraw hlu tak a ni a, doctor-te chuan heng partner organ pahnih hi kawng thara enin an hnathawh dan an hriatthiam theih nan a pui a ni. He scan hian taksa peng pahnih tichhe thei dinhmun hriatchhuahna kawngah a pui thei a, chhiatna a teh thei a, natna chu a zual zel nge a tlahniam tih a enfiah thei a, a dam chhoh zel dan pawh a enfiah thei bawk.

He test emaw result emaw chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan,Doctor biak pawh hlau suh. Tichuan engkim i tichiang thei tawh ang. Hrisel takin awm rawh!

` Liver, spleen, scan, nuclear medicine, diagnosis, thin natna, pum