I doctor-in ‘thyroid scan’ ti turin a ti che em? A hming i hriat chuan i hlau deuh mai thei. ‘Radioactive’ tih ang chi thu i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse a takah chuan test him tak, tih tlangpui a ni. Chuvangin vawiin hian he Thyroid Uptake and Scan hi eng nge a nih, engvangin nge tih a nih tih leh a inbuatsaih dan tur kan sawi dawn nia.
Thyroid Uptake leh Scan hi eng nge ni?
A awlsam zawngin sawi ila, hei hi special imaging test a ni a, i kawr chhunga thyroid gland hnathawh dan a enfiah thin. Hei hi nuclear medicine imaging kan ti a. A hmingin hlau suh. Chu chu i taksaah radioactive substance te tak te, him tak (radiotracer) inject a, camera bik hmanga i thyroid gland thlalak lak a ni.
Ngaihtuah teh, thyroid ultrasound pangngai hian gland pianzia leh a lian zawng a en thei a ni. Mahse he Thyroid Uptake leh Scan hmang hian thu belhchian dawl zawk i hmu thei a, chu chu gland hnathawh dan hi a ni . Car engine chhunga thil thleng en ang mai a ni a, pawn lam en ai chuan.
'Uptake' leh 'Scan' - eng nge an danglamna?
Heng pahnih hi a takah chuan process pahnih a ni a, mahse a tlangpuiin an ti dun a ni. An pahnih inthlauhna i hriatthiam chuan fiahna i hlauhna chu a bo vek ang.
| Test section a ni | A awlsam zawngin... |
|---|---|
| Thyroid (Thyroid) atanga lo chhuak a ni | Hei hian i thyroid gland ‘riltam’ zia a teh a ni. Chu chu, radioactive iodine pek chhuah zat chu gland-in a ‘ei’ (absorb) tihna a ni. Hei hian gland hi overactive nge underactive tih a hriat theih . Hetah hian thlalak engmah lak a ni lo, tehna chauh a ni. |
| Thyroid Scan neih a ni | Hei hi ‘photo session’ a ni tak zet a ni. Gland hian radioactive material a hip lut tawh avangin gland pianzia leh a lian zawng te, gland chhunga hmun engte nge hnathawk tam ber leh eng hna nge thawk tlem ber tih te chu thlalak atang hian a lang thei a ni. Gland 'working map' ang mai a ni. |
A awlsam zawngin ‘Uptake’ hian gland hnathawh zawng zawng a teh a, ‘Scan’ erawh chuan chu hnathawh chu gland pumpuiah a darh zau zawng thlalak a la thung.
Engvangin nge he test hi kan tih a ngaih?
Doctor-in he test hi a order theih chhan hrang hrang a awm. A chhan ber chu:
- I thyroid gland a thawk tha em tih enfiah rawh: He scan hian a chhan dik tak hriat theih nan a pui thei a, a bik takin hyperthyroidism i vei tih hmuhchhuah a nih chuan.
- Thyroid nodules chungchang hrechiang rawh: Ultrasound scan-in kawr chhungah lump a awm tih a hriat hnuah, chu lump chu hormone siam chhuaktu ‘hot’ nodule a ni em, hormone siam chhuak lo ‘cold’ nodule a ni em tih hriat a pawimawh.
- Enkawlna result en rawh: He test hi thyroid natna damdawi hman hnuah emaw, operation hnuah emaw gland hnathawh danah inthlak danglamna a awm em tih hriat nan an ti bawk.
Engtin nge fiahna hmain kan inbuatsaih ang?
He test hma hian hriat tur tlemte leh doctor hrilh hmasak tur a awm. Heng thupekte hi zawm dik hi test dikna atan a pawimawh hle.
- Pawimawh tak: Naupai, naupai tum emaw, nau hnute i pe emaw a nih chuan i doctor leh test titu hnenah i test hmain i hrilh hmasa tur a ni.
- I damdawi ei zawng zawng chu doctor hnenah hrilh rawh: Damdawi eng emaw, a bik takin thyroid damdawi, Methimazole emaw Propylthiouracil (PTU) emaw i ei a nih chuan, i doctor chuan test hma ni engzat nge chu damdawi chu i ei loh tur tih a hrilh ang che.
- Damdawi dang leh allergy te min hrilh rawh: Damdawi dang i neih leh allergy i neih te min hrilh rawh.
- Tun hnaia scan i neih tawh zawng zawng min hrilh rawh: Tun hnaia CT scan ang chi, thla hnih kalta chhunga iodine awmna contrast material inject telna i neih chuan, chu pawh chu min hrilh ngei ang che. Iodine hian he test hi a tibuai thei a ni.
- Chaw nghei: Test hma darkar engemaw zat ei leh in loh tur a ni.
Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh. An thupekte chu dik takin zawm rawh.
Test neih chhung hian eng nge thleng?
Kan sawi tawh ang khan ‘Uptake’ leh ‘Scan’ hi thil kalphung pahnih a ni. Heng pahnih hi a hranpaa tih dan tur i lo en ang u.
Thyroid Uptake tih dan tur
Hei hi thil awlsam tak, hrehawm lo tak a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| Step 1. A rilru a hah lutuk chuan a rilru a buai em em a | Pill emaw liquid emaw in tur, radioactive iodine (radiotracer) awmna pek i ni ang. Hei hian engmah thlum a nei lo. |
| Step 2. A rilru a hah lutuk chuan a rilru a buai em em a | I in zawh chuan in lamah i haw thei tawh ang. Darkar 4 atanga darkar 6 chhungin damdawi inah lo haw leh turin an ti ang che. |
| Step 3-na a ni | Khum chungah i mu ang a, i kawr chhungah gamma probe an tih hmanraw te tak te dahin i thyroid gland-in radiation a lakluh zat tehna tur a ni ang. Hei hian minute 5 aia rei lo a daih ang. |
| Step 4-na a ni | A châng chuan, darkar 24 hnuah lo kir lehin he tehna hi la turin an ti thei che a ni. |
Thyroid Scan tih dan tur
He ‘Scan’ hi ‘Uptake’ tehna zawhah emaw, ni hranpaah emaw tih theih a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| Step 1. A rilru a hah lutuk chuan a rilru a buai em em a | A tam zawkah chuan i kut chhunga vein pakhatah radioactive substance (radiotracer) an inject thin. |
| Step 2. A rilru a hah lutuk chuan a rilru a buai em em a | Thyroid gland-in a lakluh theih nan hun tlem i pek hnuah khumah mu turin i siam ang. I kawr chu hnunglam hawiin tlem i dah a ngai dawn a ni. |
| Step 3-na a ni | I kawr chhungah camera bik dah a ni a, angle hrang hrang atangin thlalak a la thei a ni. Hemi hun chhung hian ngawi renga awm a pawimawh hle. |
| Step 4-na a ni | Hetiang zawng zawng hi minute 30 vel a ni thei. A chang chuan thlalak chiang zawk i mamawh chuan thlalak tlemte i lak belh a ngai mai thei. Chu chu lungngai suh, thil pangngai a ni. |
Test zawhah eng nge i tih thin?
Test zawhah i doctor-in a hrilh loh che chuan i thil tih dan pangngaiah i kal thei a ni. A pawimawh ber chu tui in tam hi a ni . Chutianga tih chuan i taksaa radioactive material tlemte chauh chu i zun hmangin rang takin a paih chhuak thei ang.
Hei hi risk a awm em?
‘Radioactive’ tih thumal hian mi zawng zawng a ti hlauthawng hle. Mahse a nihna takah chuan he test-na atana radioactive material hman zat hi a tlem hle. I taksain radiation a neih zat hi a tlem hle.
He test-a radioactive material hman zat hi a tlem hle tih hre reng la, chuvangin i thyroid hriselna dik taka hriat hian he hlauhawmna tlemte hi a tluk phah hle.
Mahse, a hmaa kan sawi tawh ang khan he radiation hian nu naupai pum chhunga naupang emaw, nau hnute petu atanga piang emaw a nghawng thei a, chuvangin an hnenah hriattir a pawimawh hle.
Harsatna dang awm thei, mahse a tlem hle, chungte chu:
- Damdawi injectna hmunah hian natna tlem a awm thei. Hei hi ni khat emaw ni hnih emaw hnuah a reh mai ang.
- Radioactive material atanga allergy awm thei. Hei hi a awm lo hle a, mahse a tlangpuiin allergic reaction na lo tak a ni.
Engtikah nge report ka dawn ang?
Test neih chhunga thlalak leh tehna lakte chu nuclear medicine specialist (radiologist)-in a enfiah a, report siam a ni. Report chu i doctor hnenah test order tu hnenah thawn a ni. Chumi hnuah chuan i doctor chuan report-a chipchiar takin a hrilhfiah ang che.
Take-Home Thuchah a ni
- Thyroid Uptake and Scan hi i thyroid gland hnathawh dan leh hriselna hriat nan test him leh tangkai tak a ni.
- He test hi i neih hmain i naupai emaw, nau hnute i pe emaw a nih chuan i doctor hnenah hrilh hmasa phawt ang che.
- I damdawi ei zawng zawng leh tun hnaia CT scan i neih tawh zawng zawngte chu i doctor hnenah hrilh rawh.
- Test neih chhung hian thlalak chiang tak tak hmuh theih nan ding reng a pawimawh hle.
- Test zawhah tui tam tak in thin ang che.
- He test chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah sawi hreh suh.
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