At prɔblɛm? Lɛ wi lan ɔltin bɔt di Echocardiogram!

Yu dɔn ɛva wɔnda wetin de apin insay yu at ɛn aw i de wok? Sɔntɛnde dɔktɔ kin tɛl yu fɔ ‘du ɛko’. So, tide wi go tɔk smɔl bɔt wetin na ɛkokadiogram ɛn wetin i kin no. Fɔ tɔk am simpul wan, ɛkokadiogram na tɛst we de sho aw yu at de muv. Insay dis tɛst, dɔktɔ ɔ pɔsin we dɔn tren kin put wan smɔl tin we yu kin ol na yu chɛst ɛn yuz ay frikyuɛnsi sawnd wev dɛn we dɛn kɔl ɔltra saund fɔ tek pikchɔ fɔ di valv ɛn chɛmba dɛn na yu at. Dis kin ɛp yu fɔ si di rayt we aw yu at de pɔmp blɔd .

Bɔku tɛm, dɔktɔ dɛn kin yuz dis tɛst wit Doppler ultrasound ɛn kala Doppler fɔ luk aw blɔd de flɔ tru di at valv dɛn. Di bɛst pat na dat dis tɛst nɔ de yuz ɛni raytin. Dis difrɛn frɔm ɔda tɛst dɛn we dɛn kin yuz raytin , lɛk ɛkstrem rayt ɔ CT skan .

Udat de du dis ɛkokadiogram?

Yu no udat de du dis echocardiogram? Pɔsin de we dɔn gɛt spɛshal trenin fɔ am, wi kin kɔl am kadyak sonografa . Na dɛn kin yuz dis laytst tɛknɔlɔji ɛn du dis tɛst na ɔspitul rum, ɔ sɔntɛnde na spɛshal tritmɛnt fɔ di at ( catheterization lab ).

Difrɛn kayn ɛkokardiogram dɛn de?

Yɛs, rili difrɛn kayn ɛko tɛst dɛn de. Ɛni kayn tin gɛt in yon patikyula bɛnifit fɔ no ɛn trit yu at sik. Di men kayn dɛn na:

• Transthoracic echocardiogram: Dis na di kayn we we dɛn kin du mɔ ɛn na di wan we bɔku pipul dɛn sabi.
• Transesophageal echocardiogram: Dis na spɛshal we smɔl we de mek yu ebul fɔ luk di at gud gud wan.
• Exercise stress echocardiogram: Dis kin tɛst yu at we yu de du ɛksɛsayz.

Wetin na di we dɛn we dɛn kin yuz fɔ tɛst di ɛko?

Dɛn kin yuz difrɛn we dɛn fɔ tek pikchɔ fɔ yu at. Di bɛst we fɔ du am go dipen pan yu kɔndishɔn ɛn wetin di dɔktɔ want fɔ si.

• Tu-dimensional (2D) ultrasound: Dis na di kayn we we dɛn kin yuz mɔ. di at dεn de si am na di kכmpyuta skrin lεk "slais".
• Tri-dimensional (3D) ultrasound: Dis 3D we fɔ du tin dɔn bi mɔ advans wit nyu teknɔlɔji. I kin tek wan kɔmplit tri-dimɛnshɔnal imej fɔ di at. I de sho di we aw dɛn de pɔmp di blɔd rili klia wan, ɛn yu kin si di at bak frɔm difrɛn angul dɛn.
• Doppler ultrasound: Dis de chɛk aw fast ɛn us dairekshɔn yu blɔd de flɔ.
• Kɔlɔ Dɔpl ɔltrasɔund: Dis de sho bak aw blɔd de flɔ, bɔt i gɛt kɔlɔ. I izi fɔ ɔndastand bikɔs di blɔd de flɔ difrɛn say dɛn, ɛn i de sho difrɛn kɔlɔ dɛn.
• Strain imaging: Dis de sho sכft chenj dεm na di we aw di at mכsul de muv. Dis kin rili ɛp fɔ no di fɔs sayn dɛm fɔ sɔm at sik dɛm.
• Kontrast imej: Insay dis, dɛn kin put spɛshal wata ( kɔntrast ɛjɛn ) insay yu vein. Dis wata kin sho klia wan pan di pikchɔ dɛn, so yu kin si di ditel dɛn bɔt di at bɛtɛ. Sɔm pipul kin gɛt smɔl alɛji fɔ dis, bɔt bɔrku tɛm i nɔr kin bi big tin ɛn i go go kwik.

Aw lɔng i kin tek fɔ tɛst di ɛko?

Bɔku tɛm, i kin tek lɛk 40 to 60 minit fɔ mek dɛn du ɛkokadiogram. כltu, transεsophageal echo, we dεn kin du wit tכb we dεn put dכn di trot, kin tek lεk 90 minit.

Echo en EKG na di sem tin? Ɔ na tu pipul dɛn?

Wan tin we kin kɔnfyus bɔku pipul dɛn na if Echo ɛn ECG (EKG ɔ ECG) na di sem tin ɔ nɔto di sem tin. Dɛn ɔl tu de luk yu at, bɔt di tin dɛn we dɛn de luk ɛn di we aw dɛn luk difrɛn.

Iko de luk di wan ol shep, di strɔkchɔ, ɛn di wok we di at de du. I de mek pikchɔ dɛn we de muv di at.

ECG (EKG) de sho aw di at de wok wit ilɛktrik. I nɔ de mek pikchɔ dɛn bɔt di at, bɔt i de mek grafik. Di layn dɛn na dis grafik de sho di at rit ɛn di ritm.

Ustɛm a nid fɔ gɛt ɛkokardiogram?

Naw lɛ wi si ustɛm dɔktɔ go tɛl yu fɔ du ɛkokadiogram.

• If yu gɛt ɛni sayn (e.g. chɛst pen, at fɔ blo), fɛn di kɔz (ɔ no se yu gɛt sik ɔ kɔnfirm se nɔr da kayn sik de de).
• If di dɔktɔ tink se yu gɛt sɔm kayn at sik, .Dat na de. Dɔn wi kin du sɔntin fɔ no ustɛm i bi ɛn fɔ no mɔ bɔt am.
• If yu dɔn ɔlrɛdi gɛt at sik we dɛn dɔn no, chɛk aw i tan. Fɔ ɛgzampul, sɔm pipul dɛn we gɛt at valv sik nid fɔ gɛt ɛkokardiogram ɔltɛm.
• If yu de rɛdi fɔ ɔpreshɔn ɔ ɔda mɛrɛsin.
• Si aw di tin dɛn we kin apin kin tan lɛk afta dɛn dɔn du di ɔpreshɔn ɔ we dɛn dɔn du mɛrɛsin.

Wetin echocardiogram de sho?

Echocardiogram kin no bɔku difrɛn kayn at sik. Na sɔm ɛgzampul dɛn ya:

• Hat sik we dɛn bɔn wit: Dis min at sik we de de we dɛn bɔn am.
• Cardiomyopathy: Dis na sik we de afɛkt di at mɔsul.
• Infεkshכn εndokadaytis: Dis na infεkshכn na di at chεmba כ valv dεm.
• Pɛrikardia sik: Dis na sik we de afɛkt di tin sak ( pericardium ) we de rawnd di at.
• di valv sik: Dis na sik we de afekt di valv dεm, we lεk "do" bitwin di chεmba dεm na di at.

Dɔn bak, ɛko kin sho dɛn chenj ya na di at:

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

Aw dɛn kin du wan Transthoracic Echo?

Dis na di kayn we we bɔku pipul dɛn kin tink bɔt we dɛn yɛri di wɔd ‘at ɛko’. Dis na di we aw dɛn kin du am ɛn we dɛn kin yuz mɔ. Dɛn kin du am na do na yu bɔdi. Wan pɔsin we tren fɔ mek sonografa kin put wan smɔl tin we yu kin ol wit yu an (we dɛn kɔl transducer ) na yu chɛst ɛn sɛn sawnd wev dɛn na yu at. Dɛn sawnd wev ya de bounce ɔf pat dɛn na yu at ɛn ‘ɛko’, ɔ riflɛsɛ bak. Dɛn ‘ɛko’ ya na wetin de apin lɛk pikchɔ na di sonografa in kɔmpyuta skrin. Dɔn yu dɔktɔ we de mɛn yu at ɛn ɔda dɔktɔ dɛn kin si dɛn pikchɔ ya.

Aw a go pripia fɔ dis transthoracic echo?

• No nid fɔ pripia bɔku fɔ dis. Jɛnɛral wan, yu nɔ nid fɔ kɔntrol di we aw yu de it ɛn drink.
• If yu gɛt ɛni mɛrɛsin, tek am lɛk aw yu kin tek am.
• Yu kin kam wɛr ɛni klos. Yu go gɛt fɔ chenj bifo di tɛst.
• I bɛtɛ fɔ lɛf valyu tin dɛn na os. Dɛn kin gi yu lɔka fɔ kip yu prɔpati dɛn.

Wetin kin apin di tɛm we wan Transthoracic Echo de?

• Fɔs, dɛn go tɛl yu fɔ pul yu klos frɔm yu wes ɔp ɛn wɛr ɔspitul gɔn.
• Dɔn di tɛknishian go put smɔl smɔl flat stika dɛn ( ilɛktrɔd ) na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to wan EKG monita.I gɛt kɔnekshɔn. Dis de rikodɔ di ilɛktrik aktiviti na yu at ɔl di tɛm we yu de du di tɛst.
• Yu go gɛt fɔ ledɔm na tebul fɔ ɛgzam. Dɛn go aks yu fɔ ledɔm na yu lɛft say if i pɔsibul.
• di tεknishכn de put wan divays we dεn k כl transdyus (wi go kכl am ‘wand’) pan yu chεst na difrεn say dεm. Di tip gɛt smɔl jel we dɛn put pan am, we nɔ de ambɔg di skin. Dis jel de ɛp fɔ tek klia pikchɔ dɛn.
• Yu kin yɛri ‘swish swish’ sawnd we yu de du di tɛst. Dis na nɔmal tin, nɔ wɔri. Dis na bikɔs di stik de kech di sawnd we blɔd de kɔmɔt na di at.
• We dɛn de du di tɛst, di tɛknishian go aks yu fɔ ol yu briz fɔ sɔm sɛkɔn ɛn i kin aks yu bak fɔ muf go na difrɛn pozishɔn.

Yu nɔ go fil ɛni diskɔmfɔt we yu de du dis tɛst. Di jel we de na di wand go mek yu skin fil kol smɔl. Yu kin fil bak se yu prɛs smɔl we yu prɛs di stik pan yu chɛst.

Aw dɛn kin du Transɛsophageal Echo (TEE)?

Dis kin tek pikchɔ frɔm insay di chɛst, nɔto na do. i kin si di at εn di valv dεm bכku mכr ditayli pas wan transthoracic echo . dis na biכs yu bon dεm εn tisu dεm nכ de kam bitwin di transdyus כr εn yu at. Fɔ dis tɛst, di tɛknishian kin put wan smɔl transdyusɔ tru wan lɔng tiub we kin chenj ( ɛndoskɔp ) dɔŋ yu trot ɛn go insay yu ɛsophagus . Dis na tin wae nɔr kin pasmak, so yu kin fil sɔm kayn pwɛl hat fɔ sɔm tɛm. Bɔt no big big prɔblɛm nɔ de.

Dis kayn ikɔ kin yuz insay dɛn tin ya:

• If di dɔktɔ want fɔ luk gud wan na yu aorta ɔ di bak pat na yu at (espɛshali di lɛft atria ɔ di lɛft ventricle ).
• Chek fɔ si if blɔd dɔn klot .
• Chek yu mitral valv ɔ aorta valv .
• If yu gɛt fat ɔ yu gɛt prɔblɛm wit yu lɔng .
• If transthoracic echo nɔ kin ebul fɔ du fɔ difrɛn ɔda rizin dɛn.

Aw a go pripia fɔ transɛsophageal echo (TEE)?

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

• Prɔblɛm dɛn we de na di εsophagus , lɛk wan hiatal hεnia .
• I nɔ izi fɔ swɛla.
• Slip apnea .
• If dɛn injɛkt drɔgs na di veins ( IV drug use ).

Dɔn bak, i impɔtant fɔ mɛmba if yu de tek mɛrɛsin fɔ ɛni wan pan dɛn tin ya:

• Prɔblɛm dɛn we pɔsin kin gɛt we i nɔ ebul fɔ slip.
• Wɔri .
• Pen .

Tin dɛn fɔ pripia di de we dɛn go du di tɛst:

• Mek shɔ se yu kam wit pɔsin fɔ kɛr yu go na os. Dɛn go gi yu sɛdate fɔ dis tɛst, so 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 bɔt wetin fɔ it ɛn drink. I impɔtant fɔ fala dɛn di rayt we.
• Aks yu dɔktɔ bɔt di tɛm we yu fɔ tek di mɛrɛsin we yu de tek ɔltɛm. Yu kin ebul fɔ tek am da tɛm de wit wan sip wata.
• If yu de tek mɛrɛsin fɔ dayabitis , aks yu dɔktɔ bɔt ustɛm ɛn aw fɔ tek da mɛrɛsin de.
• Duya lɛf yu yon prɔpati dɛn we gɛt valyu na os. Dɛn go gi yu wan lɔka fɔ kip yu prɔpati dɛn.
• Duya una wɛr di klos we fayn pas ɔl we una ebul. Yu go nid fɔ chenj to ɔspitul klos bifo di prɔsidyu bigin.

Wetin kin apin di tɛm we di transɛsophageal echo (TEE) de?

• Yu fɔ pul yu klos ɔp di wes ɛn wɛr ɔspitul gɔn.
• Di dɔktɔ go put ilɛktrɔd (smɔl stika dɛn) na yu chɛst. Dɛn tin ya kin wach aw yu at de wok wit ilɛktrik we dɛn de du di tɛst.
• Di dɔktɔ go tay blɔd prɛshɔn kɔf na yu an ɛn puls ɔksimita na yu finga.
• Dɛn go gi yu wan tin fɔ was yu trot wit wan wata we de mek yu nɔ fil fayn. Di dɔktɔ go sprɛy wan mɛrɛsin bak we de mek yu fil pen na yu trot.
• Fɔ mek yu fil fayn, dɛn go gi yu IV ɛn gi yu sɛdated. Afta sɔm tɛm, yu go bigin fɔ fil lɛk se yu de slip.
• Yu kin gɛt smɔl tiub we dɛn put na yu nos fɔ gi yu ɔksijɛn.
• Yu nid fɔ tɔn na yu lɛft ɛn ledɔm na di tebul fɔ ɛgzam.
• Di dɔktɔ go put ɛndoskɔp ( wan lɔng, tin, fleksibul tiub wit transdyusɔ na di ɛnd) tru yu mɔt. Dis tiub go go dɔŋ yu trot ɛn go insay yu ɛsophagus . Dɛn go rɔb am fɔ ɛp am fɔ go dɔŋ izi wan. Pan ɔl we dis kin mek yu fil bad smɔl, i nɔ go ambɔg yu.
• Dɛn kin aks yu fɔ swɛla fɔ mek di transdyusɔ de na di rayt ples biɛn yu at.
• Dɔn di dɔktɔ kin tek pikchɔ dɛn. Yu nɔ go fil ɛnitin dis tɛm.
• Afta di dɔktɔ tek di pikchɔ dɛn we i nid, i go pul di tiub na yu trot. Insay smɔl tɛm, yu go rɛdi fɔ chenj klos ɛn go.

Aw fɔ du Ɛksesaiz Strɛs Ikɔ?

εksεsayz strεs εko , we sכmtεm dεn kכl jכ s strεs εko , de sho aw yu at de wok we i de wok tranga wan, dat na כnda ‘strεs’. Dis tɛst na tradishɔnal tinI tan lɛk we pɔsin kin du ɛksɛsayz strɛs tɛst. Wan tɛknishian go wach yu at rit, ritm, ɛn blɔd prɛshɔn (di sem tin we yu go du we yu de du strɛs tɛst ɔltɛm). כltu, dis tεst inklud bak εko imej (we dεn nכ de du we dεn de du strεs tεst we dεn de du rεgulεr). Dis tɛst de sho aw yu at kin ebul fɔ bia wit di tin we yu de du. Di tɛknishian go tek yu pikchɔ bifo yu bigin fɔ du ɛksɛsayz ɛn afta yu dɔn.

Sɔntɛnde, yu nɔ go nid fɔ du ɛksɛsayz. Bifo dat, yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu at wok tranga wan, lɛk se yu de du ɛksɛsayz. Di gol na fɔ mek yu at nid mɔ ɔksijɛn. We yu at strɛs, di tɛknishian kin si di ditel dɛn we yu nɔ go si we yu jɔs de ledɔm na di ɛgzam tebul. Fɔ ɛgzampul, prɔblɛm wit yu korona at ɔ di layn na yu at.

Aw fɔ pripia fɔ wan Ɛksesaiz Strɛs Iko?

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

• Nɔ it ɔ drink ɛni ɔda tin 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 kafid (we gɛt smɔl kafin bak), ɛn sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen we dɛn nɔ kin bay .

Aks yu dɔktɔ bɔt ustɛm ɛn aw fɔ tek di mɛrɛsin dɛn we yu de tek ɔltɛm. Yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ yu at di de we dɛn de du di tɛst. Yu kin nid fɔ ajɔst di doz fɔ yu dayabitis mɛrɛsin bak. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Pan ɔl we dɛn nɔ go anestez yu fɔ dis, i fayn fɔ mek pɔsin go wit yu fɔ go ɛn kam bak na di ɔpreshɔn, bikɔs yu kin fil taya afta di ɔpreshɔn.

Wear fayn klos ɛn sus. Yu go de waka pan tredmil ɔ rayd baysikul we nɔ de muv we yu de du di tɛst, so wɛr wetin yu kɔmfyut wit.

Wetin kin apin we yu du Ɛksesaiz Strɛs Iko?

• Di tɛknishian go put ilɛktrɔd (smɔl stika dɛn) na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to EKG monita fɔ wach yu at rit ɛn ritm ɔlsay na di tɛst.
• Bifo yu bigin fɔ muf, di dɔktɔ go no aw yu at de bit, aw yu at de rit, ɛn aw yu blɔd prɛshɔn.
• We yu de ledɔm na di tebul fɔ ɛgzam, di pɔsin we sabi du di wok kin tek pikchɔ dɛn fɔ yu at. I kin put di stik we dɛn kin ol wit an we dɛn kin yuz fɔ tɛst di ɛko ɔltɛm na yu chɛst na difrɛn say dɛn.
• Dɔn yu bigin fɔ muf. Yu kin waka pan tredmil ɔ rayd bayk we nɔ de muv . Smɔl smɔl, inkrisayz di spid/intensiti.
• Yu fɔ kɔntinyu fɔ du am te yu taya. Dis kin tek lɛk sɛvin to twɛlv minit so.
• We yu de du ɛksɛsayz, wan tɛknishian go aks yu aw yu de fil. Tɛl dɛm ɛni sayn wae yu de gɛt. Dɛn go wach yu at bak pan EKG monita .
• Afta yu dɔn stɔp fɔ muv, dɛn go du di ɛko tɛst bak.
• Dɔn yu go kol bay we yu waka ɔ rayd baysikul fɔ sɔm tɛm. Di dɔktɔ go wach yu impɔtant sayn dɛn te dɛn kam bak to nɔmal.

If dɛn dɔn gi yu mɛrɛsin fɔ ‘stres’ yu at, di prɔses go difrɛn smɔl. Yu nɔ go de pan tredmil ɔ bayk. Tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt ɛn aw yu go fil we dɛn de du dis kayn tɛst.

Aw a go gɛt mi tɛst rizɔlt?

Afta yu dɔktɔ we de mɛn yu at dɔn luk di tɛst, i go put di rizɔlt na yu ilɛktronik mɛdikal rɛkɔd. Yu praymari kia pɔsin kin si dɛn rizɔlt ya bak. Yu go tɔk bɔt dɛn rizɔlt ya wit wan ɔ ɔl tu pan dɛn dɔktɔ ya.

Aks ɛni kwɛstyɔn we yu gɛt bɔt di pikchɔ dɛn ɛn wetin dɛn min. Di dɔktɔ go ɛksplen to yu wetin di pikchɔ dɛn sho ɛn if yu nid fɔ du ɔda tɛst ɔ tritmɛnt.

Wetin yu nɔ fɔ du bifo yu du ɛkokadiogram?

I rili dipen pan di kayn ɔltra saund we yu de du. Aks yu dɔktɔ wetin rili yu fɔ du ɛn wetin yu nɔ fɔ du. Na sɔm tin dɛn we yu nɔ go want fɔ du bifo yu du yu ɔltra saund:

• Fɔ it ɛn drink (espɛshali fɔ transɛsophageal ɛn strɛs ɛko ).
• Fɔ smok ɔ yuz ɔda tin dɛn we gɛt nikotin .
• Kɔfi ɔ ɛnitin we gɛt kafin . Dis inklud drink dɛn we nɔ gɛt kafid , we gɛt smɔl kafin bak. Dis inklud bak sɔm mɛrɛsin dɛn we dɛn kin bay na kɔwnta we gɛt kafin.

Yu kin nid bak fɔ chenj yu mɛrɛsin schedule bifo di ɛgzam. Nɔ stɔp ɔ chenj ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ.

Di mɛsej we pɔsin kin kɛr go na os frɔm dis atikul

Echocardiogram na impɔtant tɛst we kin sho bɔku tin bɔt aw yu at de mek ɛn aw i de wok. If yu dɔktɔ tɛl yu fɔ gɛt ɛko, aks bɔt di kayn tɛst we yu go du ɛn wetin fɔ ɛkspɛkt. Yu kin nid fɔ gɛt mɔ pas wan ɛko, ɔr sɔm tɛst dɛn we yu kin du difrɛn we dɛn fɔ gɛt ɔl di ditil dɛm we yu dɔktɔ nid bɔt yu at.

Aks yu dɔktɔ fɔ ɛksplen di pikchɔ dɛn ɛn ɛp yu fɔ ɔndastand wetin dɛn min. Fɔ tek wan aktif pat pan yu diagnosis ɛn tritmɛnt kin ɛp yu fɔ fil fayn wit ɛvri step na di prɔses.

` Echocardiogram, echo test, hat skan, hat sik, hat fכnshכn, transthoracic echo, transesophageal echo, strεs εko, hat tεst