I thinlung hi tui pump angin ngaihtuah rawh. A hna ber chu taksa pum puia thisen pump chhuah hi a ni. Chuvangin, he pumping efficiency, chu chu thinlung hnathawh that dan tehna special test chu MUGA scan an ti a. He hming hi i tan chuan thil thar a ni mai thei. Chuvangin vawiinah hian awlsam takin, i hriatthiam theih dan tur angin sawi ila.
MUGA scan tih hi eng nge ni?
A awlsam zawngin, MUGA scan hi special imaging test a ni a, chu chuan i thinlungin thisen a pump that dan a zirchiang a, a nih loh leh chiang takin a teh a ni. Chu chu i vein pakhatah ``radionuclide'' an tih radioactive substance tlemte chauh inject a ngai a ni. Tichuan, camera bik hmangin he thil hian i thisen nen i thinlung a kal tlang laiin i thinlung thlalak an la a ni.
He test hian i chawlh lai leh exercise i tih laiin i heart muscle a contract leh a relax dan chiang takin a tarlang thei che a ni. He test hming dang chu `radionuclide ventriculography (RNVG)` leh `equilibrium radionuclide angiocardiography (ERNA)` te an ni.
He scan hian eng chiah nge a lantir?
Hei hian a tehna ber chu i Ejection Fraction (EF) hi a ni. Tunah chuan EF awmzia chu i ngaihtuah mai thei.
I thinlung chu thisenin a khat tih han mitthla teh, chutah chuan a contract (squeeze) a, chu thisen chu taksaah a pump chhuak ta a ni. EF kan tih hi thinlung chhunga thisen awm zawng zawng, a inzawmkhawm apianga pump chhuah zat percentage a ni.
Entirnan, i EF hi 70% a nih chuan i thinlung hian thisen a khat a, vawi khat a pump chuan thisen zawng zawng atanga 70% chu taksaah a pump chhuak tihna a ni. Mi hrisel EF pangngai chu 50% leh 75% inkar a ni.
Engtikah nge MUGA scan hi a ngai?
I doctor chuan heart failure symptoms i neih chuan he test hi a rawt thei ang. Heart failure chu thinlungin thisen a pump tha thei lo a nih chuan a ni. A hnuaia table-ah hian he hun chhunga natna lan chhuah dan tlangpui thenkhat tarlan a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| A rilru natna (Angina) . | Thinlung hian oxygen a hmuh tlem chuan squeezing pain a awm thin. |
| Luak chhuak thei | Thluaka thisen kal tlem vang a ni thei. |
| Chau lutuk tih hriatna | I taksa cell ten an mamawh oxygen leh nutrients an hmuh loh avangin i chau fo thin. |
| Thâwk harsa (Dyspnea) . | Lung chhunga tui awmkhawm hian hna tenau tak tak thawk pawhin thawk a ti harsa hle. |
| Kut emaw ke emaw a hring (Edema) . | Taksa tissue-a tui awmkhawm hian a ti na a, a bik takin ke leh ke ruh ah a hring chhuak thin. |
Tin, i doctor chuan cancer enkawlna thenkhat hma emaw, enkawl zawh hnuah emaw he test hi a order thei bawk. Hei hi a chhan chu cancer enkawlna thenkhatin thinlung a tichhe thei a ni. Chung enkawlna thenkhat chu:
- Bone marrow thlak danglam a ni
- Chemotherapy hmanga enkawl a ni
- Immunotherapy hmanga enkawl a ni
- Radiation therapy hmangin a rilru a buai hle
MUGA scan leh Echo test hi eng nge an danglamna?
Heng test pahnihte hian thinlung hnathawh dan tur imaging information a pe a, mahse a hman dan erawh a danglam thung.
- Echocardiogram: He test-ah hian sound wave hman a ni a, chu chu hmeichhe naupai naute ultrasound scan ang chiah a ni. Thlalak te hi doctor in i rilru chungah special device (transducer) a kalpui laiin a la a ni.
- MUGA scan: Hei hi nuclear imaging test a ni. Radioactive tracer a hmang a ni.
A pawimawh ber chu MUGA scan hian Echo test aiin EF value dik zawk a pe thei fo thin .
Test hmain engtin nge i inbuatsaih ang?
He test hma hian i doctor chuan thupek chiang tak a pe ang che. Chu thupekte chu dik taka zawm a pawimawh hle. A tlangpuiin hengte hi:
- Test hma darkar ruk vel ei leh in loh tur .
- Test hma darkar engemaw zat chu caffeine (coffee, tea, soft drink thenkhat) ei loh tur a ni a, caffeine hian i heart rate a tisang thei a, test result a nghawng thei bawk.
- I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh . Lung damdawi thenkhat (nitrates emaw digoxin emaw) chu test hma ni khat emaw ni hnih emaw chhung chu tihtawp a ngai mai thei.
Test neih chhung hian eng nge thleng?
A kalphung zawng zawng hi darkar khat atanga darkar thum thleng a ni thei. Hemi chhung hian exam table-ah i mu ang a, i rilru chungah camera bik dah a ni ang. Tichuan, technician pakhat chuan hengte hi a zawm ang:
1. I rilruah electrode engemaw zat (ECG atana hman ang chi stickers) dah a ni ang. Chungte chuan i thinlung electrical activity a teh ang.
2. A hmaa kan sawi tawh ang khan radioactive substance ``(radiotracer)`` chu i vein pakhatah inject a ni.
3. Camera hian angle hrang hrang atangin i thinlung thlalak a la thin.
A châng chuan, thlalak lak lai hian exercise engemaw zat tihsak i ni ang. Entirnan , treadmill chunga kal . Hei hi i thinlungin stress a chhan dan tur hriat nan tih a ni.
Test zawhah eng nge thleng?
Thu lawmawm tak chu test zawh veleh i thil tih pangngai, lirthei khalh telin i thawk leh thei a ni. Mahse thil pakhat hre reng ang che: Test zawhah ni khat emaw ni hnih emaw chhung chu tui tam tak, tui telin in rawh . Hei hian radioactive material chu i taksa atanga a chhuah thuai theih nan a pui ang.
Hei hi risk a awm em?
MUGA scan hi mi tam zawk tan chuan test him tak a ni. Radioactive material inject zat hi a tlem hle a, chuvangin a pawi lo. Tin, darkar 24 chhungin taksa atangin a bo vek bawk.
Mahse, naupai i nih chuan, naupai i ni mai thei tih i ngaihtuah a nih chuan, emaw, nau i hnute i pe a nih chuan, he thu hi i doctor hnenah i hrilh ngei ang , chutiang hunah chuan he test hi a tha lo tlangpui a ni.
I doctor zawh tur thil
He test chungchanga zawhna dang i neih chuan i doctor zawh hreh suh. Hetiang thil hi i zawt thei ang:
- Engvangin nge MUGA scan hi ka mamawh?
- He test hian eng chen nge a daih?
- Test atana inbuatsaihna atana ka tih tur bik a awm em?
- He test hian eng hlawkna nge a neih?
- Investigation report hian eng nge a sawi?
- He test zawhah hian eng nge ka tih tur?
Take-Home Thuchah a ni
- MUGA scan hi imaging test dik tak a ni a, i thinlung thisen pump efficiency (EF) tehna a ni.
- Lung natna ang chi dinhmun hriat nan leh cancer enkawl laiin thinlung hriselna enfiahna atan hman a ni.
- Hemiah hian radioactive material tlemte chauh taksaah inject a ni a, chu chu a pawi lo va, ni khat chhungin taksa atangin a bo vek a ni.
- Naupai, nau hnute i pek emaw, damdawi dang i ei emaw a nih chuan test hmain doctor hnenah hriattir hmasa phawt ang che.
- I doctor chuan test result leh nakin lawka i hmalakna tur eng pawh a hrilhfiah ang che.
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