Doctor chuan nangmah emaw i fa emaw chu kal `MAG3` scan tir turin a ti em? Chu hming i hriat khan tlem chuan hlauhna emaw, hriat duhna emaw i nei em? Tu pawhin tlem an hlauthawng hi thil pangngai a ni a, a bik takin he test atan hian `radioactive` substance hman a ni tih an sawi hian. Mahse, lungngai suh. Hei hi a takah chuan test him tak a ni a, kal (kidney) hnathawh dan chungchangah thu hlu tak tak min pe a ni. Vawiin hian he `MAG3` scan hi eng nge a nih, engvangin nge tih a nih, engtin nge a tih tih, leh a chungchanga hriat tur zawng zawng chu awlsam takin , i hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin MAG3 scan chu eng nge ni?
`MAG3` scan hi test bik a ni a, i kal (kidney) te hian engtiang chiahin nge hna a thawh tih hriat nan an hmang thin. Nuclear Medicine tih category-ah a tel a ni. Tunah chuan chu hming chu i hriat chuan hlauhna a tizual mai thei a, mahse chutiang chu ti suh.
Heta thil thleng hi a awlsam hle. I vein-ah hian radioactive substance te tak te, hlauhawm lo tak (`tracer` emaw `radiotracer` emaw kan ti) inject a ni. Tichuan, camera bik, `gamma camera` an tih hmangin doctor chuan damdawi chu i kal kal tlanga a kal laiin thlalak a la a.
I kal chhunga thil thleng `live` video en ang maiin ngaihtuah rawh. He camera hian `tracer` chu i kal kal tlang leh chuta tang chuan i bladder thlenga a kal lai chu a en thei a ni. Hei hian i doctor-te chu i kal (kidney) hnathawh dan chiang takin a hmu thei a ni.
He scan hi doctor-te hian eng ang thil nge an en thin?
Doctor-in he scan hi a rawt theih chhan hrang hrang a awm. A bulpui ber chu:
- I kal hnathawh zawng zawng: I kal pakhat emaw, pahnih emaw hnathawh that leh i thisen a tihthianghlim dan chiang takin i enfiah thei ang.
- Urinary system khawi emaw laiah blockage a awm leh awm loh: Hei hian kidney atanga bladder (ureters) emaw hmun dangah emaw zun phurtu tube-ah hian inkharkhip a awm em tih hriat nan a pui a ni.
- Drainage: A chang chuan zun hi a luang thla tha lovin kal chhungah a awm reng thei. Hei hian chutiang dinhmun hriatchhuahna kawngah a pui thei a ni.
- Kidney-a thisen kal dan: He scan hian kal hian thisen mamawh zat a dawng em tih leh thisen kalna kawng hrang hrangah harsatna a awm em tih enfiah nan a pawimawh bawk.
- Kidney transplant tehna: Kidney transplant hnuah he test hmang hian kal thar hian taksaah engtiang chiahin nge hna a thawh tih hriat nan hman a ni bawk.
Tin, `MAG3` scan hi damdawi lam dinhmun thenkhat dik taka hriat theihna atan a pawimawh hle bawk. Entir nan:
- Hydronephrosis: A awlsam zawngin sawi ila, hei hi zun a chhuak tha lo va, kal chhungah a awm khawm a, kal a hring chhuak thin.
- Acute tubular necrosis: Kal chhunga tube tha tak takte a chhiat.
- Renal artery stenosis: Kidney-a thisen petu thisen kalna kawng bulpui a zim.
MAG3 leh DTPA scan te hi eng nge an danglamna?
`DTPA` scan tih pawh i hre tawh mai thei. An pahnih hian nuclear medicine test an ni a, kal (kidney) an enfiah a ni. Mahse an pahnih inthlauhna ber chu `radiotracer` hman a ni a, chu chu damdawi bik a ni.
DTPA hi heng test-naah hian tracer hman a ni bawk. Mahse, mi thenkhatah chuan, a bik takin naupang tê tê leh kal hnathawh chak lo tak takteah chuan DTPA hmanga thlalak hmuhte chu a chiang vak lo.
Mahse `tracer` `MAG3` (hei atana chemical hming chu `mercaptoacetyltriglycine` - a hming hriat reng a ngai lo, ka sawi chauh a ni) hman a nih chuan chutiang mite pawh thlalak chiang tak, chipchiar tak tak a hmu thei a ni. Chuvang chuan doctor-te chuan puitling aiin naupang tête kal (kidney) enfiah nan `MAG3` scan an rawt fo thin.
Scan hmain engtin nge ka inbuatsaih ang?
Hei hi a tha ber a ni. `MAG3` scan hian a tlangpuiin inbuatsaihna bik a ngai lo.
- A pangngaiin i ei leh in thei.
- Nitin damdawi ei tur i neih chuan a hma ang bawkin i ei thei a, i doctor-in thurawn dang a pek loh chuan.
A pawimawh ber chu test hmaa tui in tam hi a ni. Hei hian kal (kidney) te a thawk tha thei a, test result a dik zawk a ni.
I fain scan a neih chuan...
Naupang chu hetiang test chi hi hrilh a nih chuan a hlau thei hle. Chuvangin an hriatthiam theih tur khawpa awlsam taka sawifiah a pawimawh. Thil awlsam tak, "Doctor chuan i pum chhunga naute kal (kidney) te chu camera te tak te hmangin an thawk tha em tih a en a ni," tih ang chi hi i sawi thei ang.
- I fate infiamna emaw lehkhabu duh ber ang chi thil keng la.
- Damdawi in tam tak chuan naupangte chu an duh ber cartoon en turin an phalsak a.
- A pawimawh ber chu test chhung zawng hian i fa bulah i awm thei a ni. Chu chu naupang tan chuan chakna ropui tak a ni.
Nu naupai i nih chuan medical staff te hriattir ngei ngei tur a ni. Anni hian a tul lo taka radiation exposure tih tlem nan thupek bik an pe ang che.
Scan neih chhung hian eng nge thleng?
Test ni-a thil thlengte chu step by step-in han thlir ila. Hei hi darkar khat atanga darkar hnih inkar vel a ni tlangpui.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Bladder khar chhuah | A hmasain, zun chhuah tir tur leh i zun (bladder) kha khar vek turin an ti ang che (naupang te tan chuan chumi atan chuan tube te tak te, emaw catheter emaw chu rei lo te atan dah theih a ni). |
| 2. Khumah muhil | Exam bed-ah mu turin an ti ang che. |
| 3. IV catheter dah dan | Tube te tak te (IV catheter), cannula ang chi chu kut chhunga vein pakhatah dah a ni. Damdawi bik chu hemi hmang hian taksaah pek a ni. |
| 4. Tracer injection hmanga tihfai thin | Chu IV tube hmang chuan `MAG3` damdawi (tracer) chu taksaah a inject a ni. Hemi atang hian danglamna leh hrehawmna i nei lovang. |
| 5. Thlalak lak | Damdawi an inject veleh gamma camera chuan thlalak a la tan ta a ni. He camera hian i taksa a che vel a, mahse i taksa a khawih lo. Hemi hun chhung hian minute 20 atanga 40 vel awm reng a pawimawh hle. |
| 6. Bladder khar leh | Thlalak hmasa tlemte i lak hnuah i bladder kha empty leh turin an ti ang che. |
| 7. Thlalak hnuhnung ber | Bladder an empty hnuah final picture an la leh thin. |
A then phei chuan Doctor-in kal atanga zun a chhuah chak zia a en duh chuan IV kaltlangin damdawi diuretic (hun rei lo te chhunga zun tam tak a chhuah tir thin) an tih chu a pe thei a, chutih rual chuan thlalak pawh a la thei bawk. I doctor chuan hei hi a hrilhfiah lawk ang.
Risk te leh scan zawhah te i zir dawn nia.
Scan zawh hnuah technician chuan images te chu a enfiah ang. Engkim a OK chuan i haw thei ang. Nitin hna pangngai i thawh leh nghal thei bawk.
Tunah chuan mi zawng zawng rilrua zawhna awm hi han sawi ila: Hemiah hian risk a awm em?
"Radioactive" tih thumal hi hlau suh. MAG3 test atana hman radioactive material dose hi a tlem hle. Chest X-ray nena radiation exposure ang zat vel a ni a, a tlem zawk pawh a ni.
He `tracer` hi darkar tlemte chhungin taksaah a thawk thei lo va, i zun chhungah taksa atangin a bo vek a ni. Chuvangin scan zawhah nitin tui tam tak in hian he thil hi a ti chak thei hle.
Hei hian a ti na em? A him tak tak em?
No. `MAG3` scan hi test na tak a ni lo. I rilru hahna awm chhun chu i kut chhunga cannula dah hmasak ber khan i hliam nasat lutuk hi a ni. Chumi hnuah chuan test chhung zawngin natna i nei tawh lovang. Camera hian i taksa a khawih lovang.
Safety lamah chuan hei hi low-risk test a ni. Gamma camera hian engmah radiation a pe chhuak lo. Tracer hian radioactivity a nei tlem hle bawk. Dose dik taka pek a nih chuan he tracer hi naute, naupang te leh puitling tan pawh a him hle.
MAG3 scan neih a ngai tih an hrilh hian i hlauthawng hi thil pangngai a ni. Mahse, hre reng ang che, test hrehawm lo, him tak a ni. Tin, i doctor hnenah i zun kawng hriselna chungchangah thu hlu tak tak a pe bawk. Chu thu hriatte a\angin, enkawlna i mamawh leh mamawh loh leh, a nih chuan eng ang nge tih ngaihtuah tûrin an ṭanpui thei a ni.
Take-Home Thuchah a ni
- `MAG3` scan hi a him em em a, a na lo hle a, kal (kidney) hnathawh dan enfiah a ni.
- Hei hian radioactive medicine (tracer) tlemte, hlauhawm lo tak a hmang a, chu chu darkar tlemte chhungin zun chhungah taksa atangin a bo vek a ni.
- Test hma hian inbuatsaihna bik a ngai lova, mahse tui in tam a pawimawh hle.
- Test neih chhunga hrehawmna hriat theih awmchhun chu cannula chu kut chhunga dah a nih chuan pricking sensation tlem a ni.
- He scan hi kal chungchang chiang taka hriat theihna atan a tangkai hle a, a bik takin naupang tê tê leh kal hnathawh ṭha lote tan chuan a ṭangkai hle.
- He test chungchangah hian zawhna dang emaw, ngaihtuahna dang emaw i neih chuan, i doctor nen zalen taka inbiakna neih hreh ngai suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh