I pum dinglam, a bik takin i ruh hnuaiah na tak emaw, na tak emaw i nei fo thin em? I doctor chuan gallbladder problem a ringhlel a, ‘HIDA scan’ a rawt a ni mai thei? A hming hi a hlauhawm deuhin a lang thei a, mahse a takah chuan chutiang chuan a hlauhawm lo. Surgery a ni lo va, test na tak pawh a ni lo. Chuvangin vawiin hian he HIDA scan chungchang zawng zawng hi han sawi ila, awlsam takin.
HIDA scan tih hi eng nge ni?
HIDA scan hi imaging test a ni. A dik tak chuan nuclear medicine test a ni. Okay, chu thu lian tak takte chuan hlau suh. A awlsam zawngin i gallbladder leh a kaihhnawih system te hnathawh dan a en a ni.
He system chungchang hi tlem han hrethiam hmasa ila. Hetiang hian han ngaihtuah teh.
1. Kan liver hian chaw ei tui (digestive juice) bile an tih chu a siam chhuak thin. Hei hian kan eitur a thau awmte chu a tithianghlim thei a ni.
2. Hetianga bile siam chhuah hi liver hnuaia sac ang chi organ te tak te, gallbladder an tihah a awm a.
3. Kan ei hian he gallbladder hian a contract (squeeze) a, a chhunga bile awm chu ducts kaltlangin small intestine ah a thawn lut thin.
Tunah chuan he HIDA scan hian a tih chu bile duct a thawk tha em tih te, khawi emaw laiah blockage a awm em tih te, bile a leak em tih te enfiah a ni
Chutiang ti tur chuan chemical te tak te, hlauhawm lo tak ‘radioactive tracer’ an tih chu i vein-ah an inject a. He thil hi bile kalna kawngah chiah a kal a ni. Tichuan, camera bik (`gamma camera`) chuan chu thil chu a kal laiin thlalak a la a. Thlalak en hian doctor-te chuan i gallbladder hnathawh dan chu an hre chiang thei ang.
Hei hi hming dang chu `cholescintigraphy` leh `hepatobiliary scintigraphy` te an ni.
He scan hmang hian eng natna nge hriat theih?
Doctor chuan gallbladder kaihhnawih natna eng emaw zat a rinhlelh chuan HIDA scan a order ber ang. Eng nge an nih i en ang u.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Acute Cholecystitis natna a ni | Hei hi thil thleng nghal mai a ni. Gallstones hian gallbladder a ti hring thei a, pum dinglamah natna nasa tak a thlen thei a, khawsik a thlen thei bawk. Hei hi HIDA scan hmangin dik takin a hriat theih a ni. |
| Chronic Cholecystitis natna a ni | Hei hi gallbladder avanga gallbladder a inflamed leh fo thin hi a ni. A natna chu a hma angin a na lo mai thei, mahse a la awm fo ang. |
| Sphincter of Oddi hnathawh that lohna | Hei hi a buaithlak deuh a ni. Small intestine chhunga bile leh pancreatic juice luang lut tur control tu muscle a awm a. Hei hi a inhawng tha lo a nih chuan juices te chu a back up a, natna nasa tak a thlen thin. |
| Biliary Atresia natna a awm | Hei hi nausen piang tharte zingah a awm fo thin a, mahse hlauhawm tak a ni. Naute bile duct te chu a block a. Hei hian naute taksa chu a sen (newborn jaundice) a thlen thin. Surgery tih vat loh chuan thin (liver) a chhe thei a ni. |
| Biliary Leak a awm | Bile hi bile duct atang hian a leak thei a, chu chu gallbladder lakchhuah hnua operation hnuah emaw, accident hnuah emaw, liver transplant hnuah emaw a ni thei. Hei hian a chhehvel tissue a ti hring thei a, infection a thlen thei bawk. |
Engtikah nge HIDA scan i mamawh ang?
I doctor-in he test atana a refer theihna chhan lian tak tak a awm a:
- Pum dinglamah natna nasa tak: A bik takin natna hi a intan nghal a, a awm reng a nih chuan gallbladder inflammation (cholecystitis) a ni thei. Hei hi HIDA scan neih chhan ber a ni.
- Postoperative pain leh fever: Gallbladder removal surgery, liver transplant emaw, a kaihhnawih surgery dang emaw i neih tawh a, a hnua khawsik leh natna i neih chuan he scan hi bile leakage enfiah nan tih a ni.
- Nausen piang thara jaundice tam lutuk: Nausen a pian atanga ni engemaw zat chhunga jaundice nasa tak a neih chuan he test hi a chhan chu biliary atresia a nih leh nih loh hriat nan a pawimawh hle.
- Bile duct-a stent dah enfiah tur chuan:A chang chuan bile duct a block chuan a inhawng reng theih nan tube te tak te (stent) dah a ni. Hei hi a thawk tha em tih hriat nan HIDA scan pawh tih theih a ni bawk.
Scan hmain engtin nge i inbuatsaih thin?
Hei hi a pawimawh hle. Test result dik tak a nih theih nan heng thupekte hi dik takin i zawm tur a ni.
A pawimawh ber: Naupai, naupai tum emaw, nau hnute i pek emaw a nih chuan scan hmain medical staff te hrilh hmasa phawt ang che . Hei hi a pawimawh hle.
- Damdawi i ei apiang (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh . Damdawi thenkhat (a bik takin natna tidamtu) hian test result a nghawng thei a, chuvangin scan hma darkar engemaw zat chhung chu ei tawh loh turin an ti mai thei bawk.
- Chaw nghei: Scan hmain darkar 4 tal chaw nghei a ngai ang. Tui tlem in pawh a pawi lo. Rei zawk chaw nghei tura tih i ni mai thei. Hemi chungchang hi hriattir lawk i ni ang.
- Jewelry paih: Scan laiin jewelry emaw, thir thil emaw ha suh.
- Hlau suh: Mi thenkhat chuan MRI scan ang maia hmun inkharkhip chhunga awm hi an hlau thin. Hemi pakhata camera hi closed tube a ni lo. Camera pakhat, a sir lehlamah inhawng, i pum chungah dah mai a ni. Chuvangin i tang mai mai tur chu i ngaihtuah a ngai lo.
Scan neih chhung hian eng nge thleng?
Scan tih hi thil awlsam tak a ni.
1. A hmasain hospital gown hak tur pek i ni ang. I pum chhung hmun chu a lang chhuak tur a ni.
2. Exam dawhkanah mut tir i ni ang.
3. Tichuan nurse emaw technician emaw chuan i kut vein pakhatah catheter te tak te (IV catheter) a dah ang. Chumi hmang chuan chemical ``radiotracer'' an inject ang. Hetih lai hian stinging sensation i nei ang, ant te tak te ang maiin.
4. Camera chu zawi zawiin uluk takin i pum chungah dah a ni.
5. Tichuan thlalak lak tan rawh. Hetih lai hian a pawimawh ber chu i che lo tak tak a ni. Chutiang chuan thlalak chiang tak tak i hmu thei ang.
6. Thlalak thenkhat i lak hnuah a chang chuan damdawi dang IV hmangin i gallbladder contract (empty) a pui thei bawk. Hetih lai hian pum na tlem i nei mai thei. Hei hi gallbladder a tight chhoh vang a ni. Chu damdawi chu a pek hnuah chuan thlalak tam zawk lak a ni ang.
7. Test pumpui hi darkar 1 atanga darkar 4 vel a ni thei . A tlem berah chuan darkar 24 hnuah thlalak tam zawk la turin lo kir leh turin an ti mai thei bawk.
Scan a na lo. Mahse, gallbladder natna i neih tawh chuan scan laiin natna i la nei thei tho.
Scan zawhah eng nge ka tih ang?
Scan zawh veleh in lamah i haw thei a, damdawi in ward-ah pawh i kal thei bawk. Tichuan heng thilte hi ti rawh.
- Tui tam in tur: Darkar 24 chhung chu tui leh tui tam tak in tur a ni. Hei hian radiotracer chu i zun leh ek kaltlangin i taksa atanga rang taka a chhuah theih nan a pui ang.
- Toilet hman zawhah: Toilet hman zawhah uluk takin silfai fo la, sahbawn hmangin i kut te uluk takin silfai thin ang che. Chemical radioactivity hi a hniam hle a, chuvangin i chhehvela mite tan chuan hlauhawmna a awm lo.
- Nu hnute petu tan: Hei hi a pawimawh hle. Scan hnu darkar 24 chhung chu naute hnute pe suh. Chumi chhunga nu hnute express awm zawng zawng chu paih vek tur a ni. Hei hi a chhan chu radiotracer atanga radioactivity lo chhuak chu nu hnute chhungah a lut thei a, naute a tichhe thei a ni. Chuvangin scan hmaa nu hnute express hi a \angkai hle.
Hei hi risk a awm em?
HIDA scan a nih chuan a hlauhawmna a tlem hle.
- IV hi a dahna hmunah chuan a hliam deuh thei.
- Radiation exposure hi a tlem hle. Hei hi kum khat chhunga kan taksain boruak atanga radiation a dawn zat inang chiah a ni.
- Chemical hmante avanga allergic reaction neih hi a tlem hle hle.
He test atanga information kan hmuh hi test dang, ultrasound atanga hmuh theih a ni lo mai thei. Chuvangin, naupai lo tan chuan he scan neih hian a hlawkna chu a hlauhawmna tlemte chauh aiin a tam zawk daih a ni.
Engtin nge report chu ka hmuh theih ang? Eng nge a awm?
Radiologist chuan i scan te chu a enfiah ang a, report a ziak ang a, chu chu i enkawltu doctor hnenah a thawn ang. A tlangpuiin darkar 24 chhungin result hi hmuh theih a ni. I doctor chuan report chu a hrilhfiah ang che.
| Report-a thil awm thei te | Eng nge a awmzia ni thei |
|---|---|
| Pangngai | Bile flow kawngah hian daltu a awm lo. Bile hi liver atanga gallbladder thlengin a kal a, chuta tang chuan small intestine thlengin a kal awlsam hle. |
| Chemical chu a kal zawi zawi a | Bile ducts blockage emaw, liver function chak lohna engemaw zat emaw a ni thei. |
| Gallbladder-a chemical hmuh tur awm lo | Hei hian acute cholecystitis an tih condition a tilang fo a, chu chu gallbladder-a bile duct a block tihna a ni. |
| Gallbladder ejection fraction a hniam hle | Damdawi pek hnua gallbladder atanga bile chhuak zat chu teh a ni. 30%-35% aia tlem a nih chuan chronic cholecystitis a ni thei. |
| Hmun dangah pawh chemical a awm | He chemical hi bile duct system pawn hmun dangah hmuh a nih chuan biliary leak a awm tih a tilang thei. |
Eng pawh ni se, i doctor chuan ngun takin a hrilhfiah ang che a, a hnua i tih tur chungchangah thurawn a pe ang che.
Take-Home Thuchah a ni
- HIDA scan hi i gallbladder leh bile duct system hnathawh dan enfiah nan test him tak leh hrehawm lo tak a ni.
- Scan hmaa thupek pekte zawm a pawimawh hle a, a bik takin chaw nghei chungchangah leh naupai emaw, nau hnute i pek emaw a nih chuan doctor hriattir a pawimawh hle.
- I taksain radiation a dawn zat hi a tlem hle. A tul lovah lungngai suh.
- Scan zawhah tui tam tak in thin ang che. Nu hnute petu i nih chuan darkar 24 chhung chu naute hnute pek loh tur a ni.
- I test report chungchang leh a chungchanga zawhna i neih apiang chu i doctor nen zalen takin sawipui rawh.











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