Yu de gɛt prɔblɛm wit yu at? Ɔltin we Yu Nid fɔ No Bɔt Echocardiogram | Nirogi Lanka we de na di wɔl

Yu dɔn ɛva wɔnda wetin de apin insay yu at ɔ aw i de wok? Yu dɔktɔ go dɔn tɛl yu fɔ du ‘Echo’ tɛst. Tide, lɛ wi tɔk bɔt wetin na ɛkokadiogram ɛn wetin i kin sho. Fɔ tɔk am simpul wan, ɛkokadiogram na we fɔ si yu at de du sɔntin, lɛk pikchɔ we de muv. Insay dis tɛst, dɔktɔ ɔ pɔsin we dɔn tren kin put wan smɔl tin na yu chɛst. I de yuz ɔltra saund (high-frequency sound waves) fɔ mek pikchɔ dɛn fɔ yu at in valv ɛn chɛmba dɛn . Dis kin mek wi ebul fɔ si klia wan aw yu at de pɔmp ɛn aw i de mek blɔd go ɔlsay fayn fayn wan .

Bɔku tɛm, dɔktɔ dɛn kin jɔyn di echocardiogram wit Doppler ultrasound ɛn Color Doppler tɛknik fɔ si di blɔd we de flɔ tru yu at valv dɛn. di bεst pat na dat, εkokadyografi de yuz ziro rεdyushכn. dis de mek dεn difrεnt frכm כda imej tεst dεm lεk εks-ray כ CT skan we involv fכ εkspos to rεdyushכn.

Udat de du ɛkokadiogram?

Yu no se na wan spɛshal pɔsin we tren gud gud wan we dɛn kɔl Cardiac Sonographer de du ɛkokadiogram ? Dɛn kin yuz advans tɛknɔlɔji fɔ du dis tɛst na ɔspitul rum ɔ, sɔm tɛm dɛn, na spɛshal kateshɔn lɛb .

Difrɛn kayn ɛkokardiogram dɛn de?

Yɛs, difrɛn kayn ɛko tɛst dɛn de, ɛn ɛni wan pan dɛn kin du sɔm patikyula tin dɛn fɔ no ɛn mɛn di at kɔndishɔn dɛn. Di men kayn dɛn na:

• Transthoracic echocardiogram: Dis na di kayn we we bɔku pipul dɛn sabi.
• Transesophageal echocardiogram: na mכr spεshal tεst we de alaw fכ si di at klos, mכr ditayli.
• Ɛksesaiz strɛs ɛkokardiogram: Dis tɛst de chɛk aw yu at de wok we yu de du ɛksɛsayz.

Us tɛknikal we dɛn kin yuz we dɛn de du ɛko tɛst?

Dɛn kin yuz difrɛn tin dɛn fɔ tek pikchɔ dɛn bɔt yu at, i kin dipen pan wetin yu nid fɔ du na di klinik ɛn wetin yu dɔktɔ nid fɔ chɛk.

• Tu-dimensional (2D) ultrasound: Dis na di we we dɛn kin yuz mɔ, we dɛn kin sho di at na kɔmpyuta skrin lɛk se dɛn de si am insay "slais."
• Tri-dimɛnshɔnal (3D) ɔltrasɔund: Wit di tin dɛn we dɛn dɔn mek tide, dis we ya de mek yu gɛt wan kɔmplit 3D mɔdel fɔ yu at. I de mek fɔ si di akshɔn we de pɔmp ɛn fɔ wach di at frɔm bɔku angul dɛn klia pasmak.
• Doppler ultrasound: Dis de sho aw yu blɔd de flɔ spid ɛn usay yu de go.
• Kɔlɔ Dɔpl ɔltrasɔund: Dis kin mek yu si di blɔd we de flɔ bay we yu de yuz kɔlɔ map, we kin mek i izi fɔ no usay di blɔd de muv ɛn di we aw i de muv kwik kwik wan.
• Strain imaging: Dis kin no bɔt sɔm kayn chenj dɛn we nɔ klia na aw yu at mɔsul dɛn de muv. I kin rili ɛp fɔ no di sayn dɛm we kin wɔn pɔsin kwik kwik wan fɔ sɔm kayn at sik.
• Kɔntrast imej: Dɛn kin put spɛshal wata ( kɔntrast ɛjɛn ) insay yu vein. dis ejen de mek di imej dεm klia, we de mek yu ebul fכ si di at strכkchכ dεm bεtεh. Sɔm sik pipul dɛn kin gɛt smɔl smɔl tin fɔ du fɔ sɔm tɛm, we nɔ kin wɔri bɔt.

Aw lɔng i kin tek fɔ mek dɛn du ɛkokadiogram?

Wan standad echocardiogram kin tek 40 to 60 minit. כltu, wan transεsophageal echo , we nid fכ spεshal prob, kin tek 90 minit.

Yu tink se ɛko ɛn EKG (ECG) na di sem?

Bɔku pipul dɛn kin si am se i kin kɔnfyus fɔ no difrɛns bitwin Echo ɛn EKG (ɔ ECG) . Dɛn kin yuz dɛn tu tin ya fɔ chɛk yu at, bɔt dɛn kin gi yu difrɛn kayn tin dɛn.

wan Echo de egzamin di ovala shep, strכkchכ, εn di wok we di at de du, we de gi muv imej dεm fכ di at insεf.

EKG (ECG) de mכsu di ilektrikal aktiviti we di at de du. I nɔ de gi pikchɔ dɛn, bɔt i de gi yu grafik we de sho yu at rit ɛn ritm.

Ustɛm a go nid fɔ gɛt ɛkokadiogram?

Yu dɔktɔ kin tɛl yu fɔ du ɛkokadiogram fɔ sɔm rizin dɛn:

• Fɔ invɛstigat di simptom dɛm lɛk chɛst pen ɔ shɔt briz fɔ no di ɔndalayn kɔz.
• If yu dɔktɔ sɔspɛkt se yu gɛt at sik , fɔ no am ɔ fɔ gɛda mɔ infɔmeshɔn.
• Fɔ wach aw wan at sik we dɔn de, lɛk at valv sik de.
• Fɔ pripia fɔ ɔpreshɔn ɔ ɔda mɛrɛsin dɛn.
• Fɔ no aw yu at de wok afta dɛn dɔn du yu ɔpreshɔn ɔ yu dɔn du mɛrɛsin.

Wetin echocardiogram kin no?

Echocardiogram kin no bɔku bɔku at sik dɛn, lɛk:

• Hat sik we pɔsin kin bɔn wit: Di tin dɛn we kin apin frɔm we dɛn bɔn am.
• Cardiomyopathy: Na sik we de afɛkt di at mɔsul.
• Infεkshכn εndokadaytis: Na infεkshכn na di at in chεmba כ valv dεm.
• Pɛrikardial sik: Kɔndishɔn we de afɛkt di perikardial (di sak we de rawnd di at).
• Valv sik: Na di prɔblɛm dɛn we de wit di at valv dɛn we de wok lɛk domɔt bitwin di chɛmba dɛn.

Apat frɔm dat, wan ikɔ kin no:

• Aɔtik anɛrizm
• Blɔd we de klɔt
• Tumɔs na di at

Aw dɛn kin du wan Transthoracic Echo?

We pipul dɛn tɔk bɔt ‘at ɛko,’ bɔku tɛm na dis dɛn kin tɔk bɔt. Na di we we kɔmɔn pas ɔl, we dɛn kin yuz fɔ du am, ɛn dɛn kin du am frɔm ɔdasay na yu bɔdi. Wan pɔsin we tren, we dɛn kɔl sonografa , go put wan smɔl tin we dɛn kɔl transducer na yu chɛst fɔ sɛn sawnd wev to yu at. Dɛn sawnd wev ya de bounce off difrɛn pat dɛn na yu at, ɛn mek ‘echo’ we dɛn kin chenj to pikchɔ dɛn na kɔmpyuta skrin. Dɔn yu dɔktɔ we de mɛn yu at ɛn ɔda dɔktɔ dɛn kin rivyu dɛn pikchɔ ya fɔ no if yu at gɛt wɛlbɔdi.

Aw fɔ pripia fɔ wan Transthoracic Echo?

• Na smɔl tin nɔmɔ dɛn nid fɔ pripia. Bɔku tɛm, yu nɔ nid fɔ fast ɔ stɔp yu it.
• If yu de tek ɛni mɛrɛsin naw, kɔntinyu fɔ tek am lɛk aw yu kin tek am.
• Yu kin wɛr ɛni klos we yu lɛk, bɔt dɛn go aks yu fɔ chenj to ɔspitul gɔn bifo dɛn du di prɔsidyu.
• I bɛtɛ lɛ yu lɛf valyu tin dɛn na os. Dɛn go gi yu wan lɔka fɔ kip yu prɔpati dɛn.

Wetin kin apin di tɛm we wan Transthoracic Echo de?

• Fɔs, dɛn go aks yu fɔ pul yu klos frɔm yu wes ɔp ɛn wɛr ɔspitul gɔn.
• Di sonografa go put smɔl, flat, stika pat dɛn we dɛn kɔl ilɛktrɔd na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to EKG monita fɔ rikodɔ di ilɛktrik aktiviti we yu at gɛt ɔlsay na di tɛst.
• Dɛn go aks yu fɔ ledɔm na tebul fɔ ɛgzam, ɛn bɔku tɛm na yu lɛft say.
• Di sonografa go put wan spɛshal jel pan di transdyusɔ(ɔ ‘wand’) ɛn muv am akɔdin to difrɛn say dɛn na yu chɛst. Dis jel nɔ de ambɔg yu skin ɛn i de ɛp fɔ tek klia pikchɔ dɛn.
• Yu kin yɛri ‘swish-swish’ sawnd we yu de du di tɛst. Dis na pafɛkt nɔmal tin ɛn nɔto natin fɔ wɔri bɔt. Dat sawnd na jɔs di stik we de no di blɔd we de flɔ na yu at.
• We dɛn de du di skan, di sonografa kin aks yu fɔ ol yu briz fɔ sɔm sɛkɔn ɔ chenj yu pozishɔn smɔl.

Yu nɔ fɔ fil siriɔs diskɔmfɔt we yu de du dis tɛst. Di jel kin fil kol smɔl na yu skin, ɛn yu kin fil smɔl prɛshɔn we di sonografa prɛs di stik pan yu chɛst.

Aw dɛn kin du Transɛsophageal Echo (TEE)?

insay dis prosidur, dεn kin tek di pikchכ dεm frכm insay pas fכ kכmכt na di chεst. wan Transesophageal echo (TEE) de gi bכku mכr ditayl imej dεm fכ di at εn in valv dεm we yu kכmpεr wit wan transthoracic echo. dis na biכs yu bon dεm εn di tisu dεm nכ de bכn di rod bitwin di transdyus כr εn di at. Fɔ dis tɛst, dɛn kin tay wan smɔl transdyusɔ to wan tint tiub we kin chenj we dɛn kɔl ɛndoskɔp , we dɛn kin gayd dɔŋ yu trot fɔ go insay yu ɛsophagus . Bikɔs dis na tin wae nɔr kin pasmak, yu kin gɛt smɔl smɔl tin wae nɔr kin fil fayn fɔ sɔm tɛm, bɔt i nɔr kin gɛt bɛtɛ prɔblɛm.

Dɛn kin yuz dis kayn ɛko pan dɛn tin ya:

• If yu dɔktɔ nid fɔ luk gud wan na yu aorta ɔ di bak pat na yu at (spɛshal wan di lɛft atria ɔ di lɛft ventricle ).
• Fɔ chɛk fɔ si if blɔd dɔn klɔt .
• Fɔ chɛk yu mitral valv ɔ aorta valv .
• If yu gɛt fat ɔ sɔm sik dɛn we de ambɔg yu lɔng .
• If wan standad transthoracic echo nɔ kin ebul fɔ du fɔ ɔda rizin dɛn.

Aw fɔ pripia fɔ wan Transɛsophageal Echo (TEE)?

We yu de pripia fɔ dis ɛko, tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• Prɔblɛm dɛn wit yu εsophagus , lɛk hiatal hεnia .
• I nɔ izi fɔ swɛla.
• Slip apnea .
• Wan istri bɔt aw dɛn bin de yuz IV drɔgs .

I impɔtant bak fɔ tɛl yu dɔktɔ if yu de tek mɛrɛsin fɔ:

• Nɔ ebul slip.
• Wɔri .
• Pen .

Di tin dɛn we yu fɔ du fɔ pripia fɔ di de we dɛn go du di tɛst:

• Yu fɔ gɛt pɔsin fɔ drayv yu go na os. Bikɔs dɛn go gi yu sɛdate fɔ dis prosidur, yu nɔ go ebul fɔ drayv fɔ 24 awa.
• Nɔ it ɔ drink ɛnitin fɔ at le siks awa bifo di tɛst. Yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn fɔ fast; duya una fala dɛn strikt wan.
• Aks yu dɔktɔ bɔt di mɛrɛsin dɛn we yu kin tek ɔltɛm. Dɛn kin alaw yu fɔ tek dɛn wit smɔl wata.
• If yu de tek mɛrɛsin fɔ dayabitis , go to yu dɔktɔ bɔt di tɛm ɛn aw fɔ tek am.
• Lɛf valyu tin dɛn na os; dɛn go gi yu wan lɔka.
• Wear fayn klos, pan ɔl we dɛn go nid fɔ chenj to ɔspitul klos.

Wetin kin apin we pɔsin de du Transɛsophageal Echo (TEE)?

• Yu go chenj to ɔspitul gɔn.
• Yu dɔktɔ go put ilɛktrɔd na yu chɛst fɔ wach aw yu at de yuz ilɛktrik.
• Dɛn go tay blɔd prɛshɔn kɔf ɛn puls ɔksimita fɔ wach yu impɔtant sayn dɛn.
• Dɛn go gi yu wan sɔlvushɔn we de mek yu nɔ gɛt maynd fɔ gargle, ɛn yu dɔktɔ kin yuz wan lokal anestetik sprɛy na yu trot.
• Fɔ mek shɔ se yu fil fayn, dɛn go bigin fɔ yuz IV fɔ mek yu fil faynyu, we go mek yu fil lɛk se yu de slip.
• Dɛn kin gi yu sɔpɔtmɛnt ɔksijɛn tru wan smɔl nos tiub.
• Yu go ledɔm na yu lɛft say na di ɛgzam tebul.
• Di dɔktɔ go gayd di ɛndoskɔp (wan tin we tan lɛk tin we kin chenj ɛn we gɛt transdyusɔ na di tip) jisnɔ fɔ go insay yu mɔt ɛn go dɔŋ yu trot insay yu εsophagus . Pan ɔl we i kin fil bad smɔl, i nɔ bad ɛn i nɔ go du yu bad.
• Dɛn kin aks yu fɔ swɛla sɔm patikyula tɛm fɔ ɛp fɔ put di transdyusɔ biɛn yu at.
• Dɔn di dɔktɔ go tek di pikchɔ dɛn. Yu nɔ go fil ɛnitin we yu de du dis pat pan di prɔses.
• We di dɔktɔ dɔn gɛt ɔl di pikchɔ dɛn we i nid, dɛn go pul di tiub, ɛn yu go ebul fɔ chenj klos ɛn rɛdi fɔ go na os.

Aw dɛn kin du Ɛksesaiz Strɛs Ikɔ?

Wan ɛksesaiz strɛs ɛko , we sɔm pipul dɛn kin jɔs kɔl strɛs ɛko , de sho aw yu at de du we dɛn push am fɔ wok tranga wan ɔnda strɛs na yu bɔdi. Dis tɛst tan lɛk tradishɔnal ɛksɛsayz strɛs tɛst . Wan tɛknishian go wach yu at rit, ritm, ɛn blɔd prɛshɔn ɔlsay. Bɔt i nɔ tan lɛk wan standad strɛs tɛst, dis kin inklud ɛko imej . Di sonografa go tek yu at pikchɔ dɛn bifo yu bigin fɔ du ɛksɛsayz ɛn jɔs afta yu bigin. Dis kin ɛp fɔ sho aw yu at kin ebul fɔ bia fɔ du tin dɛn we yu de du.

Sɔntɛnde, yu nɔ kin ebul fɔ du ɛksɛsayz fɔ yu. Bifo dat, yu dɔktɔ go gi yu mɛrɛsin we go mek yu at wok tranga wan, jɔs lɛk aw i go du we yu de ɛksesaiz. Di gol na fɔ mek wan kɔndishɔn we go mek yu at gɛt mɔ ɔksijɛn. We yu at de ɔnda dis ‘strɛs’ we dɛn kin kɔntrol, yu dɔktɔ kin no di ditil dɛm we yu nɔ go si we yu de rɛst na di ɛgzam tebul—lɛk tin dɛm we de insay yu korona at ɔ di insay layn na di at.

Aw fɔ pripia fɔ wan Ɛksesaiz Strɛs Iko?

Yu dɔktɔ go gi yu ditayla instrɔkshɔn dɛn bɔt aw fɔ pripia fɔ dis tɛst. Dis prosidur nid fɔ pripia smɔl pas ɔda kayn ɛkokardiogram.

• Nɔ it ɔ drink ɛnitin pas wata fɔ at le 4 awa bifo di tɛst.
• Nɔ smok di de we dɛn de du di tɛst.
• Nɔ it ɛnitin we gɛt kafin fɔ 24 awa bifo yu du di tɛst. Dis inklud kɔfi, ti, drink dɛn we nɔ gɛt kafinɛ (we kin stil gɛt smɔl smɔl kafin), ɛn sɔm pen mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ kin bay ɛn we kin gɛt kafinɛ.

Aks yu dɔktɔ bɔt di tɛm ɛn di we aw yu fɔ tek di mɛrɛsin dɛn we yu de tek ɔltɛm. Dɛn kin tɛl yu fɔ skip sɔm at mɛrɛsin dɛn di de we dɛn de du di tɛst, ɛn di doz fɔ yu dayabitis mɛrɛsin bak kin nid fɔ ajɔst. Duya fala yu dɔktɔ in instrɔkshɔn dɛn strikt wan.

Pan ɔl we dis nɔ nid fɔ gɛt anestezi, yu kin fil taya afta yu dɔn du am, so i fayn fɔ mek pɔsin go wit yu fɔ go ɛn kam bak na di apɔntinmɛnt.

Duya una wɛr fayn klos ɛn fut. Bikɔs yu go de waka pan tredmil ɔ yu go de pedal bayk we nɔ de muv we yu de du di tɛst, pik klos we go mek yu ebul fɔ muv fri wan.

Wetin kin apin we pɔsin de du Ɛksesaiz Strɛs Ikɔ?

• Wan tɛnishian go tay ilɛktrɔd (smɔl stika dɛn) na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to EKG monita fɔ trak yu at rit ɛn ritm ɔlsay na di prɔsidyu.
• Bifo yu bigin fɔ muv, di dɔktɔ dɛn go no aw yu at de rɛst, aw yu at de rit, ɛn aw yu blɔd prɛshɔn.
• We yu dɔn ledɔm na di ɛgzam tebul, di tɛknishian go tek yu at pikchɔ dɛn bay we i yuz wan stik we yu kin ol wit yu an(transducer) we dεn put pan difrεn εria dεm na yu chεst, we lεk wan standad εkokardiogram.
• Neks, di fyzikal aktiviti bigin. Yu go waka pan tredmil ɔ pedal bayk we nɔ de muv , ɛn di spid ɔ di trɛnk go go ɔp smɔl smɔl.
• Yu go kɔntinyu te yu rich di mak we yu de tray tranga wan. Dis kin tek sɛvin to twɛlv minit.
• As yu de du ɛksɛsayz, di tɛknishian go aks yu aw yu de fil. Mek shɔ se yu ripɔt ɛni sayn we yu gɛt. Dɛn go de wach yu at bak ɔltɛm bay di EKG monita .
• Afta yu dɔn stɔp fɔ du ɛksɛsayz, dɛn go du ɔda ɛkokadiogram.
• Fɔ dɔn, yu go ‘kul dɔŋ’ bay we yu de waka sloslo ɔ yu de pedal saful saful te yu vitals kam bak to nɔmal, ɛn insay da tɛm de yu dɔktɔ go kɔntinyu fɔ wach yu.

If dɛn gi yu mɛrɛsin fɔ ‘strɛs’ yu at instead fɔ du ɛksɛsayz, di prɔses go difrɛn smɔl. Yu nɔ go de yuz tredmil ɔ bayk. Duya tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt ɛn aw yu go fil we yu de du da patikyula kayn tɛst de.

Aw a go gɛt mi tɛst rizɔlt?

We yu dɔktɔ we de mɛn yu at dɔn luk bak pan di tɛst, dɛn go put wetin dɛn fɛn na yu ilɛktronik mɛdikal rɛkɔd . Di pɔsin we de kia fɔ yu praymari go ebul fɔ gɛt dɛn rizɔlt ya bak. Dɔn yu go tɔk bɔt di tin dɛn we yu dɔn fɛn wit wan pan dɛn dɔktɔ dɛn ya ɔ dɛn ɔl tu.

Nɔ shem fɔ aks ɛni kwɛstyɔn we yu gɛt bɔt di pikchɔ dɛn ɔ wetin dɛn min. Yu dɔktɔ go ɛksplen wetin di tin dɛn we dɛn dɔn fɛn sho ɛn if yu nid fɔ du mɔ tɛst ɔ sɔm patikyula tritmɛnt dɛn.

Wetin a fɔ avɔyd bifo a du Echocardiogram?

Di restrikshɔn dɛn dipen pan di patikyula kayn ɛko we yu de gɛt. Aks yu dɔktɔ fɔ instrɔkshɔn dɛn we dɛn mek fɔ yu tɛst. Bɔku tɛm, dɛn kin advays yu fɔ avɔyd dɛn tin ya:

• Fɔ it ɔ drink (espɛshali fɔ transɛsophageal ɛn strɛs ɛko tɛst).
• Fɔ smok ɔ yuz ɔda tin dɛn we gɛt nikotin .
• Fɔ drink kɔfi ɔ fɔ drink ɛnitin we gɛt kafin . Dis inklud tin dɛn we nɔ gɛt kaf ɛn sɔm mɛrɛsin dɛn we dɛn kin bay na kɔt .

Yu kin nid bak fɔ ajɔst di tɛm we yu de tek di mɛrɛsin. Nɔ stɔp fɔ tek ɔ chenj ɛni wan pan yu mɛrɛsin dɛn we yu nɔ go to yu dɔktɔ.

Takeaway mɛsej frɔm Nirogi Lanka

Echocardiogram na impɔtant tɛst we de mek yu no bɔt aw yu at tan ɛn aw i de wok. If yu dɔktɔ se yu fɔ gɛt ɛko, aks us kayn yu de gɛt ɛn wetin fɔ ɛkspɛkt. Yu kin nid fɔ du mɔ pas wan kayn tɛst ɔr wan kɔmbayn we fɔ du tin so dat yu dɔktɔ go ebul fɔ gɛda ɔl di tin dɛn we yu nid bɔt yu at.

Aks yu dɔktɔ fɔ ɛksplen di pikchɔ dɛn ɛn ɛp yu fɔ ɔndastand wetin dɛn de sho. If yu tek wan aktif rol pan yu diagnosis ɛn tritmɛnt plan go ɛp yu fɔ fil mɔr at ɔl di ɔl di prɔses.

Ki wɔd dɛn: Echocardiogram, Echo test, hat skan, at sik, kadyak fכnshכn, transthoracic echo, transesophageal echo, strεs echo, kadyak tεst