Wetin rili na Ɛsofagram?
Fɔ tɔk am simpul wan, ɛsophagogram na X-ray fɔ yu ɛsophagus, di tiub we de kɛr it go na yu bɛlɛ we yu de swɛla. Bɔt dis nɔto jɔs ɛkstrem rayt. Dis na spɛshal tin smɔl. I de yuz wan we we dɛn kɔl fluoroscopy. Dis min se di dɔktɔ kin wach di it we de muv dɔŋ yu ɛsophagus we yu de swɛla, lɛk layv fim . Tink bɔt am lɛk we yu de wach fim! Dis na wetin kin ɛp yu fɔ no if yu gɛt prɔblɛm fɔ swɛla ɔ if yu gɛt prɔblɛm lɛk at bɔn.Dɛn kin kɔl dis bak barium swɛla?
Yɛs, yes, na so i bi! Wan ɔda nem fɔ ɛsophagogram na barium swɛla tɛst . Yu no wetin mek dɛn kɔl am da we de? We dɛn de du dis tɛst, dɛn kin gi yu spɛshal wata fɔ drink. I gɛt wan kemikal we dɛn kɔl barium sulfate. Dis barium wayt, lɛk chalk paoda. We yu drink am, i kin kɔt di insay pat pan yu εsophagus. Dɔn, pan di X-ray, yu go si yu εsophagus klia wan . I tan lɛk wayt tin we de shayn na dak rum. As di barium likwid de travul dכn yu εsophagus εn insay yu bεlε, di tεknishian kin si am klia wan.Wetin mek dɛn kin du ɛsophagram? Wetin i kin no?
Dɔktɔ kin ɔda dis tɛst if dɛn tink se prɔblɛm de wit yu ɛsophagus. Dis impɔtant mɔ if yu gɛt prɔblɛm fɔ swɛla, ɔ if dɛn want fɔ chɛk fɔ ɛni ɔndalayn mɛdikal kɔndishɔn. Na sɔm tin dɛn we dɛn go luk fɔ:- Ɔlsa : Sɔl dɛn we kin mek insay di εsophagus.
- Tumɔs: Tumɔs kin bi kansa ɔ nɔr kin gɛt kansa.
- Polyps: Smɔl smɔl tin dɛn we de gro na di bɔdi we de fɔm na di wɔl na di εsophagus.
- Blockages : Dɛn dɔn blok di rod so dat it nɔ go ebul fɔ pas?
- di tisu chenj dεm: di chenj dεm we nכ de apin na di sεl dεm na di εsophagus.
- Inflameshɔn : Di trot dɔn swel ɛn rɛd?
- di strכkchכral abnכmaliti dεm: di chenj dεm na di shep כ posishכn fכ di εsophagus.
- di mכsul dεm: If di mכsul dεm na di εsophagus nכ de wok fayn.
- Disfagia : I nɔ kin izi fɔ swɛla it ɛn drink.
- Acid reflux ( GERD ): Acid reflux na di bakflɔ we di bɛlɛ asid de flɔ insay di εsophagus, we, as wi ɔl no, kin mek pɔsin in at bɔn .
- Kansa na di εsophageal .
- Achalasia: Na tin we di it kin stɔp bikɔs di pat we de dɔŋ di εsophagus nɔ de opin fayn.
- di εsophageal spasms: di mכsul dεm na di εsophagus kin tayt wan wan.
- Eosinophilic esophagitis: Inflameshɔn na di εsophagus bikɔs ɔf alɛji.
- di εsophageal diverticulum: na di kכndyushכn we wan sכmכl pכch we lεk pכch de apia na di wכl na di εsophagus.
- di εsophageal strictures: Na di εsophagus we de sכmtεm na wan כ mכr ples.
- Hiatal hernia: Na wan pat pan di bɛlɛ we de kɔmɔt na di bɛlɛ insay di chɛst eria.
Imajin, sɔntɛnde wi kin fil lɛk se wi dɔn stɔp na wi chɛst we wi de it, ɔ i kin tan lɛk se it nɔ de go dɔŋ wi trot. Sɔntɛnde lɛk dis, wan ɛsophagogram kin ɛp wi fɔ no di rayt tin we de apin.
Ustɛm wi nid dis tɛst?
If yu dɔktɔ tink se sɔntin nɔ rayt na yu ɔpa dijestiv sistɛm, we inklud yu ɛsophagus, bɛlɛ, ɛn duodenum, i kin ɔda wan siriɔs ɛkstrem rayt we dɛn kɔl ɔpa GI siriɔs. Dis na pat pan di ɔpa GI siriɔs . Ɔda we de fɔ du dat, if di dɔktɔ tink se di prɔblɛm de na yu εsophagus, i kin ɔda fɔ mek dɛn tek yu εsophagogram.Wetin na di difrɛns bitwin ɛsophagogram ɛn ɛndoskopi?
Dis na kwɛstyɔn bak we bɔku pipul dɛn kin aks. Ɛndoskopi we dɛn kin dudi tεst na tεst we de invayv sכmtεm pas εsophagogram. insay endoskopi, dεn kin put wan sכmכl tכb we gεt kεmεra tru di mכt εn insay di εsophagus εn bεlε. Dis kin luk pan rili fayn fayn tin dɛn. Bɔt i kin mek dɛn nid fɔ mek yu fil fayn ɔ gi yu mɛrɛsin fɔ mek yu trot nɔ gɛt bɛtɛ trɛnk. Bɔku dɔktɔ dɛn go fɔs ɔda fɔ mek dɛn tek yu esophagogram ɛn afta dat, if dat nɔ sho di prɔblɛm, dɛn go rifer yu to ɛndoskopi. Bɔt dɛn kin aks sɔm pipul dɛn lɛk uman dɛn we gɛt bɛlɛ , fɔ du ɛndoskopi dairekt bikɔs di raytin we de kɔmɔt pan ɛkstrem rayt nɔ fayn.Aw wi fɔ rɛdi fɔ dis tɛst?
Okay, naw lɛ wi si wetin wi nid fɔ du bifo dis Esophagram tɛst. If wi fala dɛn step ya kɔrɛkt wan, wi go ebul fɔ dɔn di tɛst fayn fayn wan.- Yu nɔ fɔ it ɔ drink ɛnitin fɔ at le siks awa: Yɛs, yu bɛlɛ fɔ ɛmti. Na da tɛm de nɔmɔ dɛn go ebul fɔ chɛk di εsophagus klia wan.
- Stɔp fɔ smok, chɛw gam, ɛn fɔ sok tɔfi: Dɛn tin ya kin mek yu trot kɔt. So, nɔ du dɛn tin ya bifo di tɛst.
- Tɛl yu dɔktɔ if yu dɔn du ɔda ɛkstrem rayt tɛst dɛn i nɔ tu te yet: yu dɔktɔ go tek step fɔ ridyus di raytin we yu nɔ nid.
- Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt alɛji to barium wata: Fɔ dɛn kayn pipul ya, dɛn kin yuz wata we gɛt ayodin insted ɔf barium.
Wetin kin apin we dɛn de du di tɛst? Fɔ bi prɛsis...
Okay, naw lɛ wi si wetin kin apin we wi go na ɔspitul.- Fɔs, dɛn go gi yu ɔspitul klos fɔ wɛr.
- Di tɛst kin bigin we yu tinap.
- Dɔn di tɛknishian go gi yu di barium sɔlvushɔn we a bin dɔn tɔk bɔt. Dis kin gɛt flawa ɛn swit, bɔt i kin gɛt smɔl chalk teys.
- Sɔntɛnde, dis wata kin gɛt paoda bak we de mek gas, lɛk baking soda. Dɛn kɔl dis tin we dɛn kɔl air-contrast . dis gas de mek di εsophagus inflate sכmtεm, we de mek dεn si di insay wכl klia wan.
- We yu de swɛla di barium likwid, di tɛknishian go wach di mɔsul dɛn na yu ɛsophagus we de wok pan skrin. Dɛn kin projɛkt vidio pikchɔ dɛn frɔm di fluoroscope na di skrin.
- As yu de kɔntinyu fɔ drink di wata, dɛn go aks yu fɔ tɔn to difrɛn say dɛn.
- We yu dɔn tinap, dɛn go mek yu ledɔm na yu bɛlɛ pan tebul we de tilt. Yu go gɛt fɔ drink wata we yu de de, ɛn dɛn go tek pikchɔ dɛn.
- If di paoda we de mek gas bin de insay di wata we yu bin de drink, yu go fil fɔ trowe dis tɛm. Bɔt di tɛknishian go tɛl yu fɔ ol am te di tɛst dɔn.
- Di wan ol tɛst kin tek lɛk 30 to 60 minit so .
Wetin a fɔ ɛkspɛkt afta dɛn dɔn fɔ du di tɛst?
Afta di tɛst dɔn, mɛmba dɛn tin ya:- Yu kin it, drink, ɛn wok nɔmal wan . No spɛshal rɛst nɔ nid fɔ de.
- Insay di nɛks sɔm dez, di barium go pas kɔmɔt na yu stɔl. Dis kin mek yu stɔl wayt . Dis na nɔmal tin, so nɔ wɔri.
- Barium kin mek sɔm pipul dɛn gɛt kɔnstipɛshɔn fɔ sɔm tɛm . So, yu fɔ drink bɔku wata fɔ sɔm dez. Dis go ɛp di barium fɔ kɔmɔt na yu bɔdi kwik kwik wan. If nid de, yu kin aks yu dɔktɔ bɔt aw fɔ tek wan mɛrɛsin we de mek yu bɔdi nɔ gɛt bɛtɛ mɔni.
- Yu dɔktɔ go kɔl yu insay tu ɔ tri dez ɛn tɛl yu bɔt di tɛst ripɔt.
Ɛni prɔblɛm de fɔ mek dɛn du dis tɛst? Ɛni bad bad tin dɛn de we kin apin to am?
Jɔs lɛk ɛni mɛdikal tɛst, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn nɔ kin apin so ɔltɛm.- We yu du ɛkstrem rayt tɛst, yu bɔdi kin gɛt smɔl raytin . Dɛn kin tek dis as mɔni we sef. Bɔt i bɛtɛ fɔ mek dɛn nɔ du bɔku ɛkstrem tɛst dɛn bɔku tɛm, nia nia dɛn.
- If yu gɛt bɛlɛ, yu fɔ avɔyd fɔ gɛt ɛkstrem raytin, bikɔs i kin gɛt smɔl chans fɔ mek i gɛt sɔm ifɛkt pan di pikin (congenital conditions).
- Afta yu dɔn drink di barium sɔlvushɔn, yu kin gɛt blo, yu bɛlɛ kin kramp, ɔ yu kin gɛt kɔnstipɛshɔn. Dɛn tin ya na fɔ shɔt tɛm nɔmɔ ɛn dɛn go go wans di barium dɔn kɔmɔt na yu bɔdi.
- Na smɔl tɛm nɔmɔ, alɛji riakshɔn to di barium likwid kin apin.
X-ray teknɔlɔji na wan pan di ol wan dɛn we dɛn kin yuz fɔ tek pikchɔ dɛn na di say we dɛn de mɛn pipul dɛn. Dɔktɔ ɛn tɛknishian dɛn kin tek tɛm ɔltɛm fɔ mek di raytin doz nɔ sef. Bɔku tɛm, di sayd ɛfɛkt dɛn we pɔsin kin gɛt we dɛn du wan ɛkstrem rayt, nɔ kin apin so ɔltɛm. So natin nɔ de fɔ wɔri bɔt.
Fɔ dɔn, di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .
Wel, a op se yu dɔn ɔndastand di Esophagram ɔ Barium Swallow tɛst naw.- Dis na impɔtant tɛst we de ɛp fɔ no prɔblɛm dɛn na yu ɛsophagus.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs bifo yu du di tɛst, mɔ we yu nɔ it ɔ drink.
- Nɔ fɔgɛt fɔ drink bɔku wata afta di tɛst.
- If yu gɛt ɛni ɔda sayn (e.g. bad bad bɛlɛ pen, fiva), go to dɔktɔ wantɛm wantɛm.
` Esophagram, Barium Swallow, I at fɔ swɛla, Trot we de at, Chɛst inflamɛns, GERD, Fɔd trakt, X-ray, Fluoroscopy, Endoscopy
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