Lu na vang te, luak chhuak fo vang te, a nih loh leh hriatrengna hloh nghal vang te hian doctor i pan rei tawh em? Chutiang hunah chuan doctor chuan i lu chhungah thil dik lo a awm em tih chiang taka hriat theih nan ‘L MRI scan’ ti turin a ti mai thei che a ni. He hming i hriat hian tlemin i hlauthawng a, i hlauthawng deuh mai thei. Zawhna tam tak ka rilruah a lo lang thin a, chu chu "Eng ang nge? A na em? Machine lian tak chhungah ka luh a ngai em?" Mahse, hlauhna tur a awm lo. Vawiin hian he MRI scan chungchang hi a awlsam zawngin, i hriatthiam theih tur angin kan sawi dawn a ni.
He Brain MRI hi eng nge ni? A awlsam zawngin sawi ila...
Brain MRI (Magnetic Resonance Imaging) hi test bik a ni a, kan lu chhung lam, a bik takin thluak lam chipchiar tak tak, chipchiar tak tak thlalak a la thei a ni. Hemi chhung hian hrehawmna i nei lovang. Ngaihtuah teh, super-powerful camera hmanga i lu chhung lam three-dimensional (3D) thlalak i lak ang mai a ni.
He test-ah hian magnet lian tak, radio wave leh computer hman a ni. Hetah hian i tana pawimawh ber chu engmah radiation a hmang lo tih hi a ni a, X-ray emaw CT scan ang chi te pawh a hmang lo. Chuvangin test him tak a ni. Tunlai technology hmang hian MRI scan hi thluak chhunga harsatna awmte hriatchhuahna atana test sensitive ber leh chiang ber a ni.
A chang chuan ‘contrast’ hmanga MRI tih hi eng nge a awmzia?
A châng chuan, i doctor chuan "MRI with contrast ti rawh" a ti thei che a ni. He thu i hriat hian hlauthawng suh. Chumi awmzia chu scan hmain i kut vein pakhatah damdawi tlemte i inject dawn tihna a ni. Hei hi ‘contrast material’ an ti a. A tam zawkah chuan hemi atan hian damdawi pakhat `(gadolinium)` an tih hi an hmang thin.
Chuti a nih chuan engvangin nge he damdawi hi pek a nih? A awlsam zawngin, he damdawi hi taksaa a luh chuan scan image-ah hian tissue thenkhat, thisen kalna kawng emaw, tumor thenkhat chu chiang zawkin a lang chhuak thin. Thlalak dum leh var-a rawng dah hian thil thenkhat a ti langsar zawk ang bawkin.
He contrast medium hmanna ber thenkhat chu:
- Tumor a awm leh awm loh enfiah thin ang che.
- Taksa khawi hmunah pawh a hring emaw, a hring emaw a awm leh awm loh enfiah thin ang che.
- Organ thenkhata thisen pek dan hi han en teh.
- Thisen kalna kawngah harsatna a awm leh awm loh enfiah thin ang che.
He inthlauhna hi multiple sclerosis, stroke, dementia, leh infection ang chi natna hriatchhuahna kawngah pawh a \angkai hle.
He damdawi hi pek tur hian i kut ah cannula te tak te (IV line) dah a ni. Hengte hi damdawi him tak tak an ni. Mi thenkhat chuan side effect tenau te nei mahse, allergy na tak tak an nei hi a tlem hle.
Brain MRI hmangin eng chiah nge enfiah theih?
Brain MRI hian thluak chhunga thil tam tak chiang takin a hmu thei a ni. Chutah chuan:
- I thluak kha
- Thisen kalna kawng thluak nena inzawm
- I luruh leh i hmai ruh te
- Beng chhung lam hmun nalh tak tak te
- Mit leh mit nena inzawm nerve (optic nerves) ang chi hmun thenkhat .
- Lu chhunga nerve lian dangte (cranial nerves) .
- Luruh vel a thau leh thau te ang chi soft tissue te
Heng thilte hi a pangngai em tih a enfiah bakah hian thluaka emaw, a chhehvel tissue-ah emaw thil dik lo a awm leh awm loh a hriat theih bawk. Hei hi a hnuaia table-ah hian sawifiah belh leh ila.
| Hriat theih loh dinhmun danglam tak | A awlsam zawngin sawifiah a ni |
|---|---|
| Inflammation leh swelling a awm | Infection emaw, thil dang emaw avanga thluak emaw, a chhehvel tissue-ah emaw a hring emaw pawh nise. |
| Structural chungchang a ni | Nau piangsual emaw, thluak hmasawnna atana structural change dang emaw a awm. |
| A tlangpuiin a lo thang lian emaw, a mass emaw | Cancer emaw cancer nei lo emaw tumor emaw fluid-filled cyst ang chi thil. |
| Fluid a leak thin | Thluak leh ruhro (cerebrospinal fluid) chhehvela tui awmte chu a leak em tih. |
| Chhûng lam thisen chhuak (Hemorrhage) . | Thluak chhungah khawi emaw laiah thisen a chhuak em? |
| White matter natna a ni | Nerve cell inzawmkhawmtu thluak peng hrang hrang a chhiat tawh em tih. |
Eng chhan vangin nge doctor hian MRI hi a rawt?
Neurologist emaw doctor dang emaw chuan MRI scan a order theih chhan tam tak a awm. A chhan ber chu i natna lan chhuah chhan dik tak hriat chhuah a ni. Tin, natna hmuhchhuah tawh chu control a nih leh nih loh enfiah nan hman a ni bawk.
MRI hmanga hriat theih emaw, enkawl theih emaw damdawi lam dinhmun thenkhat chu hetiang hi a ni:
- Thluaka thisen zam a awm
- Thluak thisen kalna (aneurysm) a awm
- Thluak thisen chhuak
- Thluak natna (e.g., Encephalitis) .
- Epilepsy avanga thluak chhiatna
- Brain tumor leh cyst te a awm
- Neurological natna chi hrang hrang, multiple sclerosis (MS) te pawh a awm thei.
- Dementia natna (dementia) a awm
- Hydrocephalus (thluak chunga tui awm) .
- Pituitary gland chungchangah harsatna a awm
- Thai
- Thluak thanlenna emaw, a siam dan emaw lama harsatna
- Thluak hliam natna (TBI) .
Tin, a hnuaia symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan i doctor chuan MRI a ti thei bawk:
- Migraine emaw lu na rei tak emaw a awm thei
- Seizures a awm thin
- Luak chhuak fo (Vertigo) .
- A chhan hriat loh hriatna hloh
- Mit enfiahna hmanga sawifiah theih loh mitdelna
- Hormone inthlauhna (hormone inthlauhna) a awm
- Ngaihtuahna leh nungchang lama inthlak danglamna lian tak tak
- Sudden extreme chak lohna leh hahna
Tin, MRI scan hmangin lu zai tur ruahmanna siam lawk nan leh operation hnua dam leh dan enfiah nan hman a ni bawk.
MRI scan hmain engtin nge ka inbuatsaih ang?
Hei hi a pawimawh hle a ni. Tunah chuan MRI scan tura i kal huna i inbuatsaihna tur i lo en ang u.
A tam zawkah chuan scan hmain i ei leh in, i damdawi te chu a pangngaiin i ei thei a ni. Mahse, i doctor emaw damdawi in emaw hian thupek dang a pek che chuan i zawm ngei ngei tur a ni.
A pawimawh ber: MRI machine hi magnet chak tak a nih avangin scanning room chhungah hian thir thil eng pawh rawn luh khap a ni.
Chuvangin scan tur i kal hmain a hnuaia thilte hi staff te i hriattir hmasa phawt tur a ni.
| I taksaah hengte hi i neih chuan min hriattir ngei ang. | Scan tura kal dawnin heng thilte hi in lamah phelh/ dah la. |
|---|---|
| Cardiac pacemaker hmanga siam a ni | Jewelry zawng zawng (bengbeh, kawrfual, ring, kutkawr) . |
| Cochlear implant a ni | Darthlalang, credit card, hriatna hmanrua te |
| Aneurysm clip a ni | Metal pin, sam atana hman thin clip |
| Taksa chhunga khawi hmunah pawh thir chi hrang hrang (e.g. bullet) awm | Underwire bras a awm bawk |
| Taksa chhunga dah electronic hmanrua te | Ha lem siamna |
| Surgery neih chhunga metal part dang dah luh apiang | Pen, purse, glasses, taksa hliam te |
Chubakah chuan,
- Naupai i nih chuan , .
- Minute 30-60 chhung i kut dinglam hawia thut harsa i tih chuan .
- Hmun tenau, inkharkhip hlauhna i neih chuan (claustrophobia), .
Scan hmain heng thilte hi doctor leh technician hnenah hrilh hmasa phawt ang che. Ngaihtuah buai suh, solution a awm. Entirnan, claustrophobia vei mi pakhat chu an chawlh hahdam theih nan damdawi tlemte pek theih a ni.
Scan neih chhung hian eng nge thleng?
Okay, tunah chuan scan tur i kal hian eng nge thleng tih step by step in han thlir ila.
1. Pakhatnaah chuan damdawi inin a pek che puan bik ha turin an ti ang che.
2. Chumi hnuah chuan scanner nena inzawm khum-ah i mu ang.
3. I mut lai hian technician chuan i lu velah special device (head coil) a dah ang a, chu chu helmet ang chi a ni. Lungngai suh, i lu chungah a tight lo ang. Heng device thenkhatah hian mirror a awm avangin machine atanga light chu i hmu thei a ni. Hei hian tang tlat anga inhriatna a tihziaawm theih nan a pui ang.
4. Chumi hnuah chuan technician chuan MRI machine chhungah a slide ang che, i awmna khumah a hruai ang che, a tam zawkah chuan lu MRI i tih hian i taksa pum pui chu machine chhungah a lut lo.
5. Scan a tan chuan machine atang hian tapping leh click ri hrang hrang tam tak i hre ang. He aw hian hlau suh, machine hnathawh dan chauh a ni. I beng venhim nan earplug emaw headphone emaw an pe ang che. A châng chuan chu headphone hmang chuan music pawh i ngaithla thei bawk.
6. Scan chhung zawng hian a theih ang anga muang leh che lovin awm reng a pawimawh hle. Thlalak lak laiin che hian thlalak chu a ti fiah lo thei ang bawkin, che hian MRI thlalak te chu a ti fiah lo thei bawk.
7. Scan lai hian i lu-ah lumna tlem a awm tih hi thil pangngai a ni. Amaherawhchu, he thila i lungawi loh chuan thawktute hnenah hrilh mai tur a ni.
8. Technical officer enkawlna hnuaiah i awm reng a ni. A hmu thei che a, a be thei che a ni. Tin, i kut ah ``call button`` i nei a, chu chu emergency a nih chuan i hmet thei bawk. Thil dik lo nia i hriat chuan press rawh.
He scan hian eng chen nge a daih? Engtikah nge result a awm ang?
Brain MRI scan pangngaiah chuan minute 30 leh 60 inkar a ni . Contrast hman a nih chuan a rei deuh mai thei. I doctor chuan i scan hun tur dik tak chu a hrilhfiah ang che.
Scan zawh hnuah radiologist chuan thlalakte chu a zirchiang a, report a siam thin. Report chu i enkawltu doctor hnenah thawn a ni. He report hi ni khat emaw ni hnih emaw chhungin a thleng tlangpui. Chumi hnuah chuan doctor chuan report chu thumal awlsam takin a hrilhfiah ang che.
Take-Home Thuchah a ni
- Brain MRI hi test na lo leh him tak a ni a, lu chhung lam, a bik takin thluak lam thlalak chiang tak tak a la thei a ni. Radiation a hmang lo.
- Scan tura i kal hmain i taksa chhung leh pawna thir thil awm apiang chu staff te hriattir hmasak phawt a pawimawh hle.
- Machine a hnathawh laiin a ri nasa lutuk hi thil pangngai a ni. Thawm ri laka invenna tur hmanrua pek i ni ang.
- Thlalak chiang tak tak hmuh theih nan scan chhung zawnga a theih ang anga awm reng a pawimawh hle.
- Claustrophobia emaw, ngaihtuahna dang emaw i neih chuan i doctor emaw MRI staff emaw hnenah hrilh hreh suh . I tanpui turin an inpeih reng a ni.
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