Dɛn dɔn aks yu fɔ mek dɛn du Ɛndoskopik Ɔltrasɔund (EUS)? Lɛ wi tɔk bɔt dis simpul wan!

We dɔktɔ tɛl yu se yu nid fɔ du `(Endoscopic Ultrasound)` ɔ `(EUS)` tɛst, yu kin fil fɔ fred smɔl, nɔto so? "Us nyu tɛst na dis?" "I go at?" "Wetin mek dɛn de du dis?" I go mɔs bi se bɔku kwɛstyɔn dɛn lɛk dat kin kam na mi maynd. Na nɔmal tin. So tide, wi go tɔk bɔt dis `(EUS)` tɛst insay simpul wɔd, jɔs lɛk aw yu go tɔk to yu padi. Dɔn yu go ebul fɔ ɔndastand am gud gud wan.

So, wetin na endoskopik ɔltra saund (EUS)?

Fɔ tɔk am simpul wan, EUS na spɛshal tɛst we de luk insay yu dijestiv sistɛm . Na dɔktɔ we spɛshal pan di dijestiv sistɛm (dɛn kin kɔl am bɔku tɛm gastroenterologist) kin du dis.

Dis ``(EUS)`` tɛst de yuz wan kɔmbaynshɔn fɔ tu men tin dɛn:

1. Ɛndoskɔp: Tink bɔt am lɛk wan tiub we rili tan, lɔng, we kin chenj ɛn we gɛt smɔl kamɛra ɛn layt we dɛn tay na wan ɛnd. Dis na wetin de mek di dɔktɔ ebul fɔ si klia wan insay yu bɔdi.

2. Ɔltra saund: na di ɛnd pan di ɛndoskop, wit wan kamɛra, na wan smɔl ɔltra saund divays (probe). Dis kin yuz sawnd wev fɔ mek pikchɔ dɛn bɔt yu insay ɔgan dɛn, tisu dɛn, ɛn blɔd vesel dɛn . I tan lɛk di ɔltra saund skan we yu pikin kin gɛt, bɔt dɛn kin du am insay yu bɔdi.

So we dεn tu tin ya kam togεda, di dכkta kin gεt rili klia pikchכ nכto כnli di wכl dεm (layεr dεm) na yu dijestiv sistεm, bכt di כda כgan dεm we de nia am (fכ egzampl, di pankrias εn gal blad).

Udat kin nid dis EUS tɛst?

Nɔto ɔlman nid fɔ gɛt dis ``(EUS)`` tɛst. Dɔktɔ kin tɛl am fɔ chɛk ɔ kɔnfirm sɔm sik dɛn we pɔsin kin gɛt. Na sɔm ɛgzampul dɛn ya:

• If yu bɛlɛ de at ɔltɛm ɔ yu de fil pen na yu chɛst , fɛn di tin we mek yu de fil.
• If dɛn tink se kansa dɔn skata to ɔda pat dɛn na di bɔdi (mɛtastatik kansa) .
• If yu dɔn si wan lump, lɛsin, ɔ growth pan CT skan ɔ MRI skan we yu bin dɔn du trade, fɛn ɔl wetin i bi.
• If yu gɛt ɛni prɔblɛm wit yu dijestiv sistɛm , fɔ ɛgzampul, tin dɛn lɛk Inflammatory Bowel Disease (IBD), kɔlon kansa, ɔ anal fissures.
• Gal blad sik , we min if yu gɛt gal ston ɔ if yu gɛt inflamɛns na di gal blad (cholecystitis).
• Fɛn ɔda tin dɛn bɔt sɔm sik dɛn we kin kam pan pɔsin in lɔng , lɛk kansa na in lɔng.
• Sik dɛn we de na di pankriasFɛn ɔda tin dɛn bɔt. Dis inklud tin dɛm lɛk pankrias kansa, pankrias sist, ɛn pankrias.
• if yu gεt difεlεns fכ sכlow it , fכ egzampl, kכndishכn dεm lεk ``Barrett's esophagus''.

Na insay kes dɛm lɛk dis, EUS kin ɛp dɔktɔ dɛm fɔ si insay ɛn mek dɛn no di sik kɔrɛkt wan.

Wetin na di men kayn EUS ɛgzam?

Dɛn kin sheb di EUS tɛst dɛn to tu men kategori, i go dipen usay dɛn du di tɛst.

1. Ɔpa EUS

Dis de luk di כp pat pan yu dijestiv sistεm. Dat na:

• di insay layn na yu εsophagus (fud paip), bεlε (bεlε), εn כp pat pan yu sכmכl intestכn (duodenum).
• Di limf no dɛm we gɛt fɔ du wit am, di blɔd vesel dɛm, di sist dɛm, ɛn di tɔŋ dɛm.
• I kin chɛk bak di ɔgan dɛn we de nia am lɛk di pankrias, gal blad, ɛn di bayl dakt dɛn.

2. Lɔwa EUS

Dis tεst de luk di lכw pat pan yu dijestiv sistεm. Dat na:

• di mכsul dεm we de rawnd di anal opin (anal sphincter).
• Blɔd vesel, limf no, sist, ɛn kansa tumbu dɛn na da eria de.
• di insay layt na di las pat pan di big intestin (rεktum εn kכlon).

Di dɔktɔ go disayd uswan pan dɛn tu ``EUS'' ya fɔ du bay yu simptom ɛn nid.

Dɛn kin du ɔda tɛst dɛn wit di EUS?

Yɛs, sɔntɛnde, we dɛn de du di EUS, dɛn kin du ɔda impɔtant tin. Dat min se, wan Ɛndoskopik Ɔltrasɔund-gayd Fayn-Nidl Aspirashɔn (FNA) .

dis kin lεk lכng nem, bכt na jכs dis: We di dכkta de luk insay wit di ``(EUS)``, i kin luk di כltra saund imej dεm, pas wan rili fayn nidul tru di εndoskop, εn tek wan sכm sכm tisu כ wata frכm wan εria we dεn sכspεkt . dis dεn kכl am ``(FNA)``, εn sכm pipul dεn kin kכl am bak ``(biopsy)``.

Dɔn dɛn kin sɛn di sampul to wan lɛb, usay wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk am ɔnda maykroskɔp fɔ luk fɔ ɛni sɛl we nɔ nɔmal, lɛk kansa sɛl dɛn. Dis kin ɛp fɔ no di rayt we aw di sik tan .

Wetin a nid fɔ du bifo di EUS tɛst?

We dɛn dɔn arenj fɔ mek yu du EUS tɛst, yu dɔktɔ ɔ nɔs go gi yu instrɔkshɔn bɔt wetin fɔ du ɛn wetin nɔ fɔ du di de bifo. I impɔtant fɔ fala dɛn gud gud wan fɔ mek shɔ se yu gɛt di tɛst we go wok fayn . Bɔku tɛm, dɛn kin gɛt tin dɛn lɛk:

• Bɔt di mɛrɛsin dɛn we yu de tek: If yu de tek mɛrɛsin fɔ tin dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ at sik, mɔ di wan dɛn we de mek yu blɔd tan, .If yu de tek mɛrɛsin we de mek yu blɔd tan (e.g., Coumadin®, Plavix®) ɔ insulin, yu fɔ tɛl yu dɔktɔ bifo tɛm. Yu dɔktɔ kin want fɔ chenj di doz ɔ stɔp fɔ tek di mɛrɛsin fɔ sɔm dez.
• Fɔ it ɛn drink: Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di tɛst (bɔku tɛm na 6-8 awa). I impɔtant fɔ gɛt ɛmti bɛlɛ fɔ mek di tɛst klia.
• Bowel prep: If yu gɛt EUS we smɔl, yu dɔktɔ go gi yu spɛshal likwid we dɛn kɔl ``bowel prep'' fɔ klin yu kɔlon. Dis go mek yu si di insay pat pan yu kɔlon klia wan.
• Ɔda advays: Dɛn kin gi yu mɔ patikyula advays. Lisin to ɔl am gud gud wan ɛn fala am.

Wetin kin rili apin di tɛm we dɛn de du ɔpa EUS?

Di ɔpa EUS kin bi ɔtpeshɛnt prɔsidyu. Dɛn nɔ go admit yu na ɔspitul fɔ dis prɔsidyu. Bɔt bikɔs dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn (anestesia) fɔ dis prɔsidyu, yu go nid pɔsin fɔ drayv yu go na os afta di ɔpreshɔn. I fayn bak fɔ gɛt pɔsin wit yu fɔ di ɔda de. Di Upper EUS prosidur kin tek lɛk 60 minit .

Dɛn tin ya kin apin we dɛn de du di tɛst:

1. Dɛn go tɔn yu to di lɛft ɛn mek yu ledɔm.

2. Nɔs go put smɔl kanula na wan vein na yu an ɛn gi yu wan mɛrɛsin we de mek yu fil fayn tru am. Dis go ɛp yu fɔ rilaks ɛn nɔ fil di tɛst.

3. A go spray wan mɛrɛsin fɔ numb yu trot.

4. Dɛn go put plastic mɔt gad na yu mɔt fɔ mek yu tit nɔ pwɛl ɛn fɔ mek yu nɔ it di ɛndoskɔp.

5. Dɔn di dɔktɔ go put di ɔltra saund ɛndoskɔp smɔl smɔl tru yu mɔt, dɔŋ yu ɛsophagus, insay yu bɛlɛ, ɛn afta dat i go put di ɔp pat pan yu smɔl intestin (duodenum). Yu nɔ go fil ɛni pen insay dis tɛm . Yu go ebul fɔ blo nɔmal wan.

6. Di dɔktɔ de luk ɔltra saund pikchɔ dɛn na monita ɛn chɛk di ɔp pat pan yu dijestiv sistɛm, di ɔgan dɛn we de rawnd yu, di lumps, ɛn di tumbu dɛn.

7. if nid de, dεn de du di `(FNA)` we wi bin dכn tכk bכt, we min fכ tek tisu sεmpl, na dis tεm.

8. We dɛn dɔn fɔ du di ɛgzam, di dɔktɔ go pul di ɛndoskɔp smɔl smɔl. Dɛn go stɔp di mɛrɛsin we de mek pɔsin fil fayn. Dɔn dɛn go kɛr yu go na rum usay dɛn de mɛn pipul dɛn we dɔn wɛl ɛn wet fɔ mek yu gɛt kɔnshɛns bak smɔl smɔl.

Wetin kin apin di tɛm we EUS de dɔŋ?

di sabtכtal כltra saund (EUS) na di sem wit di supratotal כltra saund, εn na di sem de tεst. Dɛn go gi yu bak wan mɛrɛsin we de mek yu fil fayn, so sɔmbɔdi go nid fɔ drayv yu go na os.

Dis tɛst nɔ kin tek pas 60 minit.Na dat de hapun. insay di kes fכ di `(EUS)` we dεn de du כnda di skin, di `(FNA)` nכ de sכmtεm sכmtεm.

Dis na wetin kin apin we dɛn de du di tɛst:

1. Dɛn go tɔn yu to di lɛft ɛn mek yu ledɔm.

2. Dɛn go gi yu slip pill tru IV fɔ ɛp yu fɔ rilaks.

3. di dכkta de put di כltra saund εndoskop tru yu an εn rεktum εn gayd am along yu kכlon. Yu nɔ go fil ɛni pen ɔ diskɔmfɔt we yu de du dis prɔsidyu . Yu go ebul fɔ blo nɔmal wan.

4. Di dɔktɔ de luk di ɔltra saund pikchɔ dɛn na di monita ɛn chɛk di ɔda pat we de dɔŋ na yu dijestiv sistɛm, di ɔgan dɛn we de rawnd yu, ɛn ɛni lumps.

5. We dɛn dɔn fɔ du di ɛgzamin, dɛn go pul di ɛndoskɔp smɔl smɔl ɛn dɛn go stɔp di mɛrɛsin we de mek pɔsin fil fayn. Smɔl smɔl yu go gɛt kɔnshɛns bak.

Aw yu fil afta di EUS tɛst?

Di tin dɛn we di mɛrɛsin we dɛn bin gi yu kin du fɔ mek yu fil fayn kin dɔn insay 30 minit to wan awa . Afta dat, yu kin gɛt sɔm smɔl smɔl tin dɛn we nɔ kin izi fɔ yu, lɛk:

• If yu gɛt EUS we smɔl, yu kin gɛt: gas, blo, ɔ kramp .
• If yu du wan ɔpa EUS: wan trot we de at .

Dɛn sayn ya kin dɔn kpatakpata insay 24 awa , so natin nɔr de fɔ wɔri bɔt.

I bɛtɛ fɔ rɛst fɔ di ɔda de afta di tɛst. Yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.

Us risk ɔ kɔmplikeshɔn kin apin wit EUS tɛst?

EUS na tin we dɛn kin tek as sɔntin we rili sef . Bɔt lɛk ɛni ɔda mɛrɛsin, smɔl chans de fɔ mek prɔblɛm dɛn apin, we nɔ kin apin so ɔltɛm. Dɛn tin ya na:

• Wan alɛji we pɔsin kin gɛt we i de anestez.
• Ɛni damej to di dijestiv sistɛm ɔ blɔd we de kɔmɔt.
• insay wan כp EUS, wata we de kכmכt na di mכt כ di bεlε de go insay di lכng dεm (lכng aspirεshכn).
• inflameshn na di pankrias (pankrias) (dis kin apin spεshal wan afta dεn dכn כp εndoskopi (EUS) εn nidul bayopsi).
• wan ol (perforation/tear) na di intestinal wכl.

Dɛn tin ya nɔ kin apin bɔku tɛm , bɔt i fayn fɔ no bɔt dɛn. If prɔblɛm de, di dɔktɔ go trit am di rayt we.

Ustɛm a go no di rizɔlt fɔ di EUS tɛst ?

As dɛn dɔn du di tɛst so, di dɔktɔ go gi yu wan rɔf aydia bɔt wetin dɛn bin si di tɛm we dɛn bin de du di EUS. Bɔt if dɛn tek wan tisu sɛmpul (bayɔpsi) frɔm di FNA ɛn sɛn am na di lab, i kin tek sɔm wiks fɔ gɛt di ful ripɔt . Afta da ripɔt de kam, di dɔktɔ go kam wit yu bak ɛn ɛksplen am to yu.

Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt wan ɔ mɔ pan dɛn sik ya afta yu dɔn du di tɛst, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu:

• If blɔd de na di stɔl (`blɔd na di stɔl`).
• If yu gɛt prɔblɛm ɔ yu de fil pen we yu de go na tɔylɛt.
• If yu gɛt fiva ɔ ɔda sayn dɛn we de sho se yu gɛt di sik (lɛk kol ɛn bɔdi pen).
• If i nɔ izi fɔ yu fɔ swɛla it.
• If yu gɛt nɔys ɛn vɔmit we nɔ de chenj.
• Bɛlɛ de at we yu nɔ go ebul fɔ bia, we rili bad, we nɔ de chenj ɔ we yu de fil pen na yu chɛst.
• Shot we yu de blo.

If yu gɛt dɛn tin ya, i rili impɔtant fɔ mek yu go to dɔktɔ ɛn nɔ de te.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so a op se yu naw geht gud aidia boht di `(Endoscopic Ultrasound - EUS)` tehst.

Endoskopik ɔltra saund (EUS) na wan we we rili sef ɛn we go wok fayn fɔ luk insay yu dijestiv sistɛm. I kin ɛp dɔktɔ dɛn fɔ no wetin de mek yu gɛt di sik, mɔ di prɔblɛm dɛn we yu gɛt wit di we aw yu de it, kansa, ɛn aw kansa de skata. if nid de, dεn kin tek wan tisu sεmpl (bayopsi / FNA).

dis na ``minimally invasive`` tεst, we min se dεn de du am witout big insishכn εn yu kin go os di sem de. So, if dɔktɔ tɛl yu fɔ gɛt ``(EUS)``, nɔ fred am we yu nɔ nid. If yu gɛt ɛni ɔda kwɛstyɔn, tɔk to yu dɔktɔ bɔt am.

` Ɛndoskopik ɔltra saund, EUS, dijestiv sistɛm, ɛndoskopi, ɔltra saund, bayɔpsi, kansa tɛst