Taksa chhung lam en thei camera bik: Nuclear Medicine Imaging chungchang zawng zawng!

‘Nuclear Medicine Imaging’ tih test tih i hre ngai em? I doctor-in chutiang test ti tura a tih che khan i hre tawh ngei ang. He hming i hriat hian a hlauhawm deuhin a ri tak zet a ni lawm ni? Chutianga i sawi chuan ‘Nuclear’. Mahse lungngai suh, vawiinah hian chipchiar takin kan sawi dawn a, Sinhala tawngin i hriatthiam theih tur, leh awlsam takin kan sawi dawn a ni. Thian nena inbiakna ang maiin.

He Nuclear Medicine Imaging an tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi kan taksa chhunga taksa peng hrang hrangte enfiahna atana hmanraw bik a ni. Mahse scan dang ang lo takin he scan hian danglamna tlem a nei. Hetiang hi a ni: Pakhatnaah chuan ‘radioactive tracer’ tlemte chauh pek i ni. Hei hi vein chhunga injection hmanga pek a ni tlangpui. A châng chuan in tur angin pek a ni a, chu chu test an tih dan azirin a ni. Hei hi damdawi emaw, taksa tichhe thei tui emaw a ni lo a ni lawm ni? Hei hi pek a nih chuan kan thisenah a kal a, kan enfiah duh organ emaw tissue emaw-ah a kal a, chutah chuan a awm ta a ni.

Tichuan, camera bik ‘gamma camera’ an tih hnuaiah dah i ni a, chu chuan i taksa chhunga thil dah luh atanga radiation fiah lo tak tak a chhuah chu a hre thei a ni. He camera hi a sensitive hle mai. Chu radiation information chu computer-ah thawnin thlalak mawi takah a chantir a ni. Kan taksa chhunga taksa peng pakhat ‘map’ ang mai a ni. Chu thlalakte chu enin doctor-te chuan i taksaah harsatna a awm em tih emaw, taksa peng pakhatin hna a thawk tha em tih emaw an hre thei a ni.

Tunah chuan, ‘Aw, radioactive, a hlauhawm hle mai, i taksa tan a tha lo ngei ang’ tih i ngaihtuah mai thei. Mahse thudik tak chu, he test atana hman material-a radiation awm zat hi a tlem hle . Chu chu kan nitin boruak a kan tawrh tlangpui ang chiah, a chang chuan a tlem zawk pawh a ni tihna a ni. Tin, heng thilte hian side effect engmah a thlen lo tlangpui bawk. Heng thilte hi hun engemaw chen hnuah taksa atanga paih chhuah a ni. Chuvangin ṭul lova hlauh chhan tur a awm lo.

Engvangin nge hetiang test (Nuclear Imaging Test) hi kan mamawh?

Awle, he test hi natna chi hrang hrang hriat nan hman a ni ber. A chang chuan enkawl nan leh tuna kan enkawl dan hi engtiang chiahin nge a hlawk tih en nan pawh hman a ni. He test hian kan doctor-te chu eng chen nge a hmuh theih tih hi han ngaihtuah teh. He test hian natna leh dinhmun a hriat theih thenkhat chu hetiang hi a ni:

• Thisen natna thenkhat (e.g., thisen tlakchhamna chi thenkhat, thisen zam harsatna).
• Thyroid natna, a bik takin hypothyroidism ang chi condition, thyroid gland hnathawh that lohna hmun.
• Heart disease (e.g., heart muscle-a thisen kal tlem, heart attack hnua heart chhia).
• Gallbladder natna (e.g., cholecystitis, bile duct tihkhawtlai) te.
• Lung harsatna (e.g., lung chhunga thisen zam, lung hnathawh tlahniam).
• Ruh kaihhnawih harsatna, ruh natna, ruh tliak hmuh harsa tak tak, leh ruh chhunga cancer cells a darh tawh em tih te.
• Kal natna, entirnan, kal natna, hliam, leh zun kawng inkharkhip te.
• Cancer chi hrang hrang hriatchhuah a, cancer chu eng chen nge a darh tawh tih en (staging).

Hei bakah hian ka sawi tawh ang khan he ``Nuclear Medicine Imaging'' technology hi enkawlna atan pawh hman a ni. Entirna pakhat chu ``Radioimmunotherapy'' hmanga enkawl dan hi a ni. Hetah hian radiation leh immunotherapy te chu an inzawm khawm a, cancer cell ang bawkin targeted area-ah radiation chu enkawl turin an thawn a ni. Chumi awmzia chu cell hrisel tak takte tihchhiat a tlem thei tihna a ni.

Hei leh radiologic test dangte hi eng nge an danglamna?

Hei hi i hriatthiam theih nan zawhna pawimawh tak a ni. `(Radiologic test)` dang emaw kan hriat angin ``X-ray`` emaw, ``(CT scan)`` hian kan taksa peng hrang hrangte hi engtin nge an awm tih an en ber a , chu chu an pianzia, an lian zawng, an density, an structure, etc. Doctor-te chuan hei hi taksa peng pakhat ``anatomy`` en hian an ti a ni.

Mahse he ``Nuclear Medicine Imaging'' test hian a bik takin taksa peng hrang hrangte hnathawh dan a en a ni . Chu chu taksa peng hrang hrangte hian hna an thawk tha em tih te, an chemical process te hi a kal tha em tih te, thisen kal dan a tha em tih te, cellular level-ah inthlak danglamna a awm em tih te a ni.

A dik zawka sawi chuan scan dangte chuan taksa peng pakhat ‘photo’ an lak laiin, Nuclear Medicine Imaging erawh chu ‘chu taksa peng pakhat hnathawh dan live-a enfiah’ ang mai a ni.

Hetianga taksa peng pakhat hnathawh dan hmuh theihna a thatna lian ber chu natna thenkhat chu an structure-a inthlak danglamna lian tham a awm hmain an hnathawh dan inthlak danglamna hmangin hriat theih a ni. Tichuan doctor-te chuan natna hi a tir lamah an kai thei a, rang takin enkawlna an tan thei a ni. Hei hian enkawlna hlawhtlinna chance a tipung a ni.

He fiahna hma hian engtin nge kan inbuatsaih ang?

Hei pawh hi i hriat chian a ngai a ni. Mahse ``Nuclear Medicine'' test chi hrang hrang a awm avangin, pakhat zel atana inbuatsaih dan tur chu a inang lo. I tih tur test hrang hrangah a danglam ang.

Entirnan, test thenkhatah chuan test hma darkar li atanga darkar ruk chhung chu test zawh hma (fasting) thleng tui tih loh chu ei leh in lo turin an ti thei che a ni. Test dang atan chuan test hma ni engemaw zat chhungin damdawi thenkhat ei kha bansan turin an ti thei che a ni. Mahse test dang atan chuan inbuatsaihna bik a ngai lo mai thei.

Chuvangin, a pawimawh ber chu hetiang test hi i prescribe dawn hian i doctor emaw, a kaihhnawih damdawi in a department kaihhnawih emaw, a test na hmuna a kaihhnawih department emaw hnenah engtin nge i inbuatsaih dan tur dik tak i zawt tur a ni. Eng nge tih tur leh tih loh tur chungchangah thupek chiang tak an pe ang che. Test result dik tak hmuh theih nan chutiang thupek zawm dik chu a pawimawh hle.

Test ni hian eng nge kan hriat tur?

Test ni-ah hian thil tenawm tlemte i hriat reng tur a awm. Hengte hi thil lian tak a ni lo, mahse hriat a tha.

• A hmasa berah chuan i thil hlu (jewelry, lunghlu ang chi), pawisa tam tak, leh credit card te chu damdawi inah rawn keng lo la. A chhan chu an bo a nih chuan chu chu harsatna dang a ni. Locker facility awm tlangpui mahse, rawn ken loh a tha ber.
• Hospital gown bik ha turin an ti mai thei che. Hei hian test a ti awlsam phah dawn a ni.
• He test hi specially trained, registered technologist ten an ti thin a ni. Chumi hnuah chuan test atanga thlalak leh data an hmuhte chu Nuclear Radiologist leh doctor-te chuan an zirchiang a, an enfiah leh thin. Chuvangin, kut him takah i awm tih i chiang thei ang.

Test neih chhung hian eng nge thleng?

Okay, tunah chuan test chhungah eng nge thleng tih kan en ang. Test room chhunga i luh hnuah ``Gamma camera'' hnuaiah khumah mu turin an ti ang che.He camera hi a lian deuh a, mahse i taksa a khawih dawn lo a, chuvang chuan hlauh tur a awm lo.

Camera lu chu i taksa peng enfiah mek chungah zawi zawiin a kal ang a, a nih loh leh hmun khatah a awm reng ang a, thlalak hrang hrang a la ang. Hemi hun chhung hian rei tak i ding reng a pawimawh hle. Thlalak lak laia thaw khap tlat ang mai a ni. I sawn chuan thlalakte chu a chiang lo mai thei a, test chu i tih nawn leh a ngai mai thei bawk. Chuvangin staff-te thupek angin awm reng tum ang che. A châng chuan i thawk chu rei lo tê vêng tûrin an ti thei che a ni.

Camera lu chhunga special sensitive crystals te hian i taksa chhunga radioactive tracer atanga radiation lo chhuak subtle tak chu an la chhuak thin. Chumi hnuah computer screen-ah image an siam ta a ni. Doctor-te chuan heng thlalakte hi an zirchiang a, i dinhmun chungchangah diagnosis an siam thin.

He test hian eng chen nge a daih?

Hei hi test i neih dan azirin hun rei zawng hi a inang lo. A tlangpuiin, camera hmanga scan tih mai maiah hian minute 30 atanga 60 vel a ngai a, radioactive tracer pek a nih theih nan leh a insiam that theih nan hun a mamawh pawh a tel lo.

Mahse, test thenkhat a awm a, chu chu ruh scan ang chi te hi a ni a, chutah chuan radioactive tracer chu taksaah a lut kim theih nan darkar hnih atanga darkar thum vel a ngai thei a ni. Chutiang hunah chuan tracer pek i ni ang a, chawlh rei vak lo pek i ni ang (hetih hun chhung hian tui in turin an hrilh mai thei), chutah chuan hun ruat saah scan turin lo kal leh turin an ti ang.

`(Nuclear Medicine)` test thenkhat chu ni eng emaw zat chhunga tih a ngai mai thei. Entirnan, vawiinah hian `(tracer)` pek i nih hun a awm thei a, chutah chuan vawiinah scan pakhat i nei thei a, naktuk hian scan dang i nei leh thei bawk. Heng zawng zawng hi hriattir lawk i ni ang.

Hei hian eng hlauhawmna leh hlawkna nge a neih?

Mi tam tak chuan ‘radioactive’ tih thumal an hriat hian an hlauthawng deuh thin a, chu chu thil pangngai a ni. Mahse ka sawi tawh ang khan heng test-a tracer hman te hi damdawi a ni lo va, a tlangpuiin side effect a awm lo. Tin, hetiang test neih chhunga radiation level i dawn hi a hniam hle a, chuvangin cancer hlauhawmna ang chi thil ngaihtuah a ngai lo.

Mahse, a tlem hle, chu chu za zela tlemte chauhvin mi thenkhat chuan `(Radioactive tracer)` hi allergy an nei thei tihna a ni. Chu chu taksaah vun rawng emaw, hnim hring emaw ang chi tihna a ni. Chuvangin, eng thil pawh (damdawi, ei tur, leivut ang chi) allergy i neih chuan i doctor leh test titu te hnenah i hrilh lawk ngei tur a ni. Tichuan an ngaihven hle ang.

Tunah chuan a thatna te han thlir ila. Heng `(Nuclear Medicine)` scan te hian test dang atanga kan hmuh theih loh thu pawimawh tak tak leh danglam bik tak tak min pe thei a ni. A chang chuan, major surgery (`exploratory surgery`) atana tih ngai thil chu hetiang scan hmang hian hmuh theih a ni a, taksa tana chhiatna nasa tak thlen lovin (`least-invasive`). Chu chu, hei hi diagnosis leh treatment quality tihsan nana puitu lian tak a ni tihna a ni. Thil tam takah chuan natna te chu a tir lamah pawh a hmuchhuak thei a, test dangin a man loh, a fiah lo tak takah pawh a hmuchhuak thei bawk. Hei hian enkawlna hmasa ber tan theihna hun tha tak a siam a ni.

Test zawhah?

A tlangpuiin test zawh hnuah i thil tih dan pangngaiah i kir leh thei a, i chaw pangngai i ei leh in thei bawk. Chawlh hahdam bik a ngai lo. A chang chuan doctor chuan tui tlem in tam zawk turin a hrilh ang che, chu chu ``(tracer)`` chu i taksa atanga a chhuah thuai theih nan a ni. Chumi piah lamah chuan thil danglam bik a awm lo. I test report i hmuh hunah doctor chuan a sawipui ang che.

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

Okay, tunah chuan ``Nuclear Medicine Imaging'' chungchang hi kan sawi nasa hle tawh. I hriatthiamna tha tak i nei niin ka hria. I hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• Nuclear Medicine test hi natna tam tak hriatchhuahna leh thenkhat enkawlna atana hmanraw changkang tak, him leh tangkai tak a ni.
• Chungte chuan taksaah harsatna leh natna a thlen vak lo (`least-invasive`). Radiation awm zat pawh a tlem hle.
• I doctor-in he test chi hi a hrilh che a nih chuan, a chungchang hi sawipui rawh. Zawhna emaw, ngaihtuahna emaw i neih chuan zawt rawh. Engmah kha chelh tlat suh.
• A bik takin test hmaa inbuatsaihna chungchangah chuan thupekte chu zawm chiang rawh.

"Hriat reng tur chu, medical science hmasawnna avang hian hetiang test hian kan hriselna venhimna atan leh natna hriatchhuah thuai nan a pui hle a ni. Chuvangin, a tul lo taka hlauhna siam lovin thu dik hriat leh damdawi lam thurawn zawm a pawimawh hle.

Thil dang hriat i duh chuan doctor zawt ngei ang che. Hrisel takin awm rawh!

` Nuclear damdawi, radiation test, diagnostic, tracer, gamma camera, hriselna, damdawi lam test