Pelik tapi benar ! ,
kadang-kadang siap gosok-gosok mata tak percaya , ada betul kah depan mata guwe?!..loh ngapain sinetron ?
tidak ada hati perut ke manager radiology department ni?..staff sarat mengandung pun suruh kerja juga..
kerja biasa-biasa tak pe, ni kerja bahagian X-RAY..
tak kan diorang tak tahu x-ray ni bahaya untuk ibu-ibu mengandung?
tidak berperikemanusiaan langsung!!!
haa..itu dia luahan hati , sentapan rasa Ahmad (bukan nama sebenar) pada rakan-rakannya..terlebih advance Si Ahmad ni, kalah Radiologist.
Ya tuan-tuan dan puan-puan sekalian ,
Telahan Ahmad itu betul tapi tidak berapa cerdik ja..
For your information Ahmad and the geng…haa kan dah start omputih ..hamik ..
Memang realitinya X-ray bahaya atau hazardous pada manusia atau apa-apa biological subject…
Tetapi we all as radiographer , dah well known pasal ni..
Kami ada guideline kami sendiri, bahasa mudahnya , kalau seseorang juru-xray tu disahkan mengandung die perlulah melaporkan kepada ketua jabatan x-ray akan keaadaannya . Kebiasaannya , preggy jxr ni akan di kecualikan dengan tugasan x-ray dedahan radiasi tinggi (high radiation expose ) seperti II , cathlab, Angio atau fluoro case, radionuclide etc. Mereka akan diberi tugasan x-ray radiasi rendah (low dose) walaupun tak rendah pun…seperti general x-ray. General x-ray tu ape pak cik?.. haa tu la tak tau..general x-ray tu yang ada 2 mata , 4 kaki, haaa ce teka?.. atte dapat jawapan tak?!.. tak dapat.. ok , general x-ray tu x-ray yang simple-simple (simple ke?) contohnya , x-ray upper or lower limbs (limbs tu maksudnya anggota badan bukan uncle lim kedai limau tuh ) macam contoh gambar bawah ni..
satu lagi, dengan kebijaksanaan yang di anugerah tuhan pada jxr preggy ni, depa tahu dah macam mana nak protect diri dan kandungan depa, kalau time nak shoot x-ray tu, kompom-kompom preggy jxr ni shielding diri diorang, yang memang dah design siap-siap untuk protect diri jxr and the geng..
dinding-dingding x-ray semua bukan dinding biasa ma.. semua dinding x-ray ada bahan seperti lead , insyaAllah protect la tu..
lagipun , bile kandungan dah 6 bulan ke atas , ok dah nk kerja macam biasa cuma yang early pregnancy ja kena jaga lebih sikit as cited in (Vol. 15 No. 1/ Radiology Management) ,The Pregnant Radiation Worker
“Studies have shown that the fetus is sensitive to high doses of ionizing radiation, especially during the first three months of gestation. 12,15. A small risk of harmful effects from low doses of radiation is assumed, but not proven, to exist. That is, any radiation dose is assumed to result in an increased
probability of harm to the fetus”
Maksudnya , kandungan 3 bulan awal berpontensi untuk terkena kesan terhadap radiasi. Preggy mummy sekalian.. take note about this okay..
Walau pada hakikatnya, ada juga radiographer yang tidak dapat mengelakkan diri untuk tugasan dedahan tinggi, mereka akan guna lead gown (berat nanang gown ni..lady gaga pon tak mao pakai..demi pt tersayang..)
untuk lebih mendalam lagi , ni guideline dari ICRP  :
8. Can a pregnant employee continue to work in the X ray department?
A pregnant worker can continue working in an X ray department as long as there is reasonable assurance that the foetal dose can be kept below 1 mGy during the pregnancy. In interpreting this recommendation, it is important to ensure that pregnant women are not subjected to unnecessary discrimination. There are responsibilities for both the worker and the employer. The first responsibility for the protection of the conceptus lies with the woman herself, who should declare her pregnancy to management as soon as the condition is confirmed. The following recommendations are taken from ICRP 84:
Restricting dose to the conceptus does not mean that it is necessary for pregnant women to avoid work with radiation or radioactive materials completely, or that they must be prevented from entering or working in designated radiation areas. It does, however, imply that the employer should carefully review the exposure conditions of pregnant women. In particular, their working conditions should be such that the probability of high accidental doses and radionuclide intakes is insignificant.
When a medical radiation worker is known to be pregnant, there are three options that are often considered in medical radiation facilities: 1) no change in assigned working duties; 2) change to another area where the radiation exposure may be lower; or 3) change to a job that has essentially no radiation exposure. There is no single correct answer for all situations, and in certain countries there may even be specific regulations. It is desirable to have a discussion with the employee. The worker should be informed of the potential risks, local policies, and recommended dose limits.
Change to a position where there is no radiation exposure is sometimes requested by pregnant workers who realize that risks may be small but do not wish to accept any increased risk. The employer may also arrange for this in order to avoid future difficulties in case the employee delivers a child with a spontaneous congenital abnormality (which occurs at a rate of about 3 in every 100 births). This approach is not required on a radiation protection basis, and it obviously depends on the facility being sufficiently large and flexibility to easily fill the vacated position.
Changing to a position that may have lower ambient exposure is also a possibility. In diagnostic radiology, this may involve transferring a technician from fluoroscopy to CT scanning or some other area where there is less scattered radiation to workers. In nuclear medicine departments, a pregnant technician can be restricted from spending a lot of time in the radiopharmacy or working with radioiodine solutions. In radiotherapy with sealed sources, pregnant technicians or nurses might not participate in manual brachytherapy.
An ethical consideration is involved in both of these last two alternatives since another worker will have to incur additional radiation exposure because a co-worker became pregnant.
There are many situations in which the worker wishes to continue doing the same job, or the employer may depend on her to continue in the same job in order to maintain the level of patient care that the work unit is customarily able to provide. From a radiation protection point of view, this is perfectly acceptable providing the foetal dose can be reasonably accurately estimated and falls within the recommended limit of 1 mGy foetal dose after the pregnancy is declared. It would be reasonable to evaluate the work environment in order to provide assurance that high-dose accidents are unlikely.
The recommended dose limit applies to the foetal dose and it is not directly comparable to the dose measured on a personal dosimeter. A personal dosimeter worn by diagnostic radiology workers may overestimate foetal dose by about a factor of 10 or more. If the dosimeter has been worn outside a lead apron, the measured dose is likely to be about 100 times higher than the foetal dose. Workers in nuclear medicine and radiation therapy usually do not wear lead aprons and are exposed to higher photon energies. In spite of this, foetal doses are not likely to exceed 25 percent of the personal dosimeter measurement.
Finally, factors other than radiation exposure should be considered in evaluating pregnant workers’ activities. In a medical setting there are often requirements for lifting patients and for stooping or bending below knee level. There are a number of national groups that have established non-radiation related guidelines for such activities at various stages of pregnancy.
Occasionally, there are situations where family members provide essential medical care, either in the hospital or at home, to patients who have received radionuclides. In such circumstances, public dose limits do not apply to the family member. Efforts should optimally be directed at not involving females who are or may potentially be pregnant. If it is essential to involve the help of a pregnant female, it should be done in such a way that the foetal dose from this involvement does not exceed 1 mGy.
9. How high is the chance that a staff member will approach the dose limits of exposure?
Radiation doses to occupationally exposed staff working with radiological equipment are generally low and it is unlikely that the equivalent dose limit recommended by the ICRP (see Table II) will be approached. However, for some fluoroscopic examinations there is a potential for higher radiation doses to staff. During interventional radiology procedures, particular radiation protection problems arise from the extended fluoroscopy times and from the use of certain radiological equipments, which may not have lead rubber protective curtains. Consequently, the implications of the ICRP recommendations on the radiation exposure of the fetus of staff performing fluoroscopy procedures should be assessed.
TABLE II. ICRP 60 RECOMMENDATIONS
Assumed radiation risks ICRP Publication 60
Workers 4.0 x 10-2 Sv-1 for fatal cancer
0.8 x 10-2 Sv-1 for non-fatal cancer detriment
0.8 x 10-2 Sv-1 for severe genetic effects
Members of the public 5.0 x 10-2 Sv-1 for fatal cancer
1.0 x 10-2 Sv-1 for non-fatal cancer
1.3 x 10-2 Sv-1 for severe genetic effects
Embryo-foetus Not specifically stated
Occupational dose limits ICRP Publication 60
Based on stochastic effects 50 mSv annual effective dose limit and 100 mSv in 5 y cumulative effective dose limit
Based on deterministic effects 150 mSv* equivalent dose to lens of eye and 500 mSv annual equivalent dose limit to the skin, hands and feet
Public dose limits ICRP Publication 60
Based on stochastic effects 1 mSv annual effective dose limit and, if needed, higher values provided that the annual average over 5 y does not exceed 1 mSv
Based on deterministic effects 15 mSv annual effective dose limit to lens of eye and 50 mSv annual equivalent dose limit to skin, hands, and feet
*After its meeting on April 21, 2011 the ICRP issued a statement recommending an equivalent dose limit to the lens of the eye of 20 mSv per year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv.