Yu dɔn ɛva wɔnda aw di blɔd de flɔ na di vein dɛn na wi bɔdi, ɛn if ɛnitin de we nɔ fayn? Na dat venogram test de du. Sɔntɛnde dis tɛst kin ɛp dɔktɔ dɛn fɔ no if yu vein dɛn gɛt blɔd we de klɔt ɔ ɔda tin dɛn we dɔn blok. Nɔ wɔri, wi go kip am simpul.
Wetin rili na venogram tɛst?
Fɔ tɔk am simpul wan, venogram na spɛshal ɛks-ray tɛst we de sho di we aw blɔd de flɔ insay yu veins. Insay dis tɛst, dɛn kin injɛkt wan spɛshal wata (kɔntrast day) insay yu veins wit wan smɔl nidul. Dis wata de mek yu vein dɛn si pan di ɛkstrem rayt. Dɔn di dɔktɔ kin no if ɛnitin de we de blok di blɔd flɔ, lɛk we di blɔd de klɔt.
Bɔku tɛm dɛn kin yuz dis tɛst:
- Luk di veins dɛn na yu leg dɛn .
- Luk di vein dεm na di bכdi .
- Luk di vein dεm na di כp pat pan di an dεm .
Dis nɔ tan lɛk ɔltra saund we dɛn kin du ɔltɛm, dis kin ambɔg smɔl. Dat min se dɛn kin put smɔl nidul insay di vein. Dɔn bak, bikɔs ɔf di ɛkstrem rayt, yu kin gɛt smɔl raytin. Bɔt nɔr wɔri, bɔrku pipul nɔr kin gɛt ɛni big diskɔmfɔt ɛn nɔr kin gɛt siriɔs sayd ɛfɛkt. Bɔt dis nɔ kin fayn fɔ spɛshal kes dɛn, lɛk if yu gɛt bɛlɛ. So, yu kin disayd ɔltin afta yu dɔn tɔk bɔt am wit yu dɔktɔ fɔs.
"Venography" de tכk bכt di prכsεs we dεn de tεst, εn "venogram" de tכk bכt di imej dεm we de kכmכt frכm am. Bɔt we wi de tɔk bɔt am, wi jɔs kɔl dɛn tu "venograms."
Us kes dɛn kin du dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ mek dɛn du venogram. Fɔ ɛgzampul:
- If yu sɔspɛkt se yu gɛt dip vein thrombosis (DVT) , ɛn ɔltra saund skan nɔ go ebul fɔ no. Sɔntɛnde, i kin tranga fɔ si ɔltra saund we yu an ɔ yu fut dɔn swel.
- Chek fɔ prɔblɛm wit di blɔd we de go na yu bɛlɛ , lɛk di tin dɛn lɛk Pɛlvik Kɔnjɛshɔn Sindrom, Nutkraker Sindrom, ɛn Varicoceles pan man dɛn.
- Chek yu blɔd flɔ bifo sɔm ɔpreshɔn, lɛk Varicose Vein Stripping ɛn Ligation, we de pul di varicose vein na di leg.
- rial-taym imej dεn de yuz fכ si insay di vein we dεn de du tritmεnt lεk thrombolytic therapy כ thrombectomy.
Aw dis venogram de wok? I rili simpul!
Venogram de yuz X-ray fɔ tek pikchɔ fɔ di insay pat na yu bɔdi. Bɔt dɛn nɔ kin si di vein dɛn we dɛn de yuz ɛkstrem rayt. Na dat mek yu dɔktɔ kin injɛkt spɛshal wata (kɔntrast day) insay yu vein. as dis wata de fכlכ tru di vein, di vein dεm de si mכr pan di εks-ray. Dis kin mek yu ebul fɔ si ɛni blɔd we dɔn klot ɔ ɔda tin we dɔn blok klia wan.
Naw imajin se, ɛkstrem rayt de tek wan pikchɔ. Bɔt blɔd nɔto sɔntin we kin apin na wan ples, na tin we kin kɔntinyu fɔ apin. Na dat mek dɔktɔ dɛn kin yuz wan spɛshal we we dɛn kɔl `(Fluoroscopy)`. Wetin kin apin na, lɛk fim, dɛn kin tek sɔm ɛkstrem pikchɔ dɛn wan afta di ɔda. I tan lɛk se yu put sɔm pikchɔ dɛn togɛda fɔ mek katun fim. bikɔs ɔf dɛn pikchɔ ya we de muv, di dɔktɔ kin si di blɔd we de flɔ tru yu vein dɛn "layf". Yu ɔndastand?
Aw wi fɔ rɛdi bifo di tɛst?
Yu dɔktɔ go tɛl yu di rayt we fɔ pripia. Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo di tɛst. I go tɛl yu bak if yu nid fɔ stɔp fɔ tek ɛni mɛrɛsin, if ɛni wan de.
Yu fɔ rili tɛl yu dɔktɔ dɛn tin ya:
- Bɔt ɛvri mɛrɛsin we yu de tek naw .
- Bɔt ɔda sik dɛn we yu gɛt, mɔ di wan dɛn we gɛt alɛji .
- If yu dɔn ɛva gɛt alɛji to spɛshal wata (kɔntrast day) we dɛn bin de yuz fɔ tɛst lɛk dis bifo.
- If yu gɛt sik na yu kidni ɔ yu gɛt prɔblɛm wit yu kidni fɔ wok , as sɔm kayn kɔntrast day kin afɛkt di kidni.
- Yu dɔn sik dis biɛn tɛm ?
- If yu gɛt bɛlɛ, ɔ yu tink se yu go gɛt bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ.
Bifo di tɛst bigin, yu go nid fɔ pul ɔl di jɔyri ɛn mɛtal tin dɛn na yu bɔdi, bikɔs dɛn kin ambɔg di ɛkstrem rayt. Wear fayn klos we nɔ fit. Di ɔspitul kin gi yu wan gɔn bak.
Yu de kɔnshɛns we dɛn de du di tɛst?
Yɛs, yu kin wek we dɛn de du venogram. Bɔt sɔntɛnde, yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks.
Wetin kin apin we dɛn de du di tɛst? Lɛ wi si stɛp bay stɛp
Wan Radiologic Technologist de du dis tɛst. Na dis na wetin kin apin:
1. Dɛn go mek yu ledɔm pan ɛkstrem rayt tebul. Dɛn kin tay yu wit sef strap dɛn fɔ mek yu nɔ muf na di tebul.
2. I de tel yu wia fo yu bodi di vein de go.Bɔku tɛm, dɛn kin du dis na yu leg, yu groin, ɔ yu nɛk. Dis ples de dipen pan di vein we yu want fɔ si.
3. Dɛn kin injɛkt wan lokal anestetik na di say we dɛn put di nidul. Dis go fil lɛk smɔl nidul prik, bɔt i nɔ go at.
4. Dɔn , dɛn kin injɛkt di kɔntrast day tru wan IV layn na yu an. Yu kin fil smɔl smɔl tingling usay dɛn put di kanula, bɔt i nɔ fɔ mek yu fil pen. Yu kin fil smɔl wam ɔ yu kin flush as di day de go insay yu bɔdi. Dis go go we dɛn dɔn fɔ du di tɛst.
5. Dɛn go muv di X-ray tebul bak ɛn biɛn, es am ɔp ɛn dɔŋ as nid de. Dɛn go tek pikchɔ dɛn bɔt di vein dɛn frɔm difrɛn angul dɛn. No nid fɔ wɔri bikɔs di strap dɛn de na dɛn ples. If yu fil ɛni diskɔmfɔt, tɛl wi wantɛm wantɛm.
6. Sɔntɛnde dɛn go aks yu fɔ ol yu briz fɔ sɔm tɛm, fɔ de stil, ɔ fɔ du ``Valsalva maneuver'' (wan spɛshal we fɔ blo). Di dɔktɔ go ɛksplen aw fɔ du am. Dɛn we ya fɔ blo kin ɛp fɔ gɛt bɛtɛ kwaliti pikchɔ dɛn.
7. fכ finish, dεn de pas wan wata we lεk salin tru di kanula (IV layn) fכ fכsh di kכntrast day kכmכt na yu vein dεm.
If yu de du venogram fɔ gayd ɔda tritmɛnt (e.g., Thrombolytic Therapy), ɔda step dɛn kin de. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo tɛm.
Aw lɔng dis tɛst kin tek?
Bɔku tɛm we dɛn kin tek venogram kin tek lɛk 30 to 90 minit so .
Wetin kin apin afta di tɛst?
Afta di tɛst, di mɛdikal wokman dɛm go wach yu fɔ sɔm tɛm fɔ si if yu gɛt ɛni alɛji ɔ ɔda prɔblɛm. Dɔn dɛn go tɛl yu ustɛm yu go ebul fɔ go na os. Dɛn kin tɛl yu bak fɔ drink bɔku wata fɔ di nɛks 24 awa fɔ ɛp di kɔntrast day fɔ kɔmɔt na yu bɔdi kwik kwik wan.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du venogram tɛst?
Lɛk ɔl di tɛst dɛn we dɛn kin du fɔ mɛn pipul dɛn, sɔm prɔblɛm dɛn de we kin apin. Bɔt nɔ wɔri, bɔku tɛm dɛn tin ya nɔ kin siriɔs.
- We yu gɛt smɔl smɔl raytin.
- Pen, brus, blɔd, ɔ infekshɔn na di say we di sting de.
- Wan alɛji riakshɔn to wan patikyula likwid.
- di kidni dεm we dεn dכn pwεl (especially pan pipul dεm we gεt kidni prכblεm bifo).
- Na smɔl tɛm nɔmɔ , dip vein trombosis (DVT) kin apin.
Jɛnɛral wan, dɛn risk ya nɔ kin bɔku we yu kɔmpia am to di bɛnifit dɛn we pɔsin kin gɛt we dɛn tek venogram. Bɔt if yu gɛt wan sik we de ɔnda yu, lɛk bad bad sik na yu kidni, dis tɛst kin mek yu gɛt prɔblɛm.Di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ bɔt ɔl dis ɛn aks am fɔ advays.
Wetin na di sayd ɛfɛkt dɛm we dis tɛst kin du?
We dɛn injɛkt di kɔntrast day, yu kin fil smɔl nausea ɔ yu kin fil lɛk se yu de flash . Dis go go kwik kwik wan.
Bɔt nɔr kin apin so ɔltɛm, sɔm pipul dɛn kin gɛt delay riakshɔn wae kin bigin afta sɔm awa ɔr dez . Bɔku tɛm, dɛn tin ya nɔ kin siriɔs.
- Nɔs ɛn vɔmit
- Ed de at
- Skin we de it
- Wan tin we kin mek pɔsin fil lɛk se i de flash
- Mild rash ɔ ayv
Di sayd ɛfɛkt dɛn we smɔl kin bi:
- Rash ɔ hayv we kin gro bad bad wan
- We pɔsin de swɛt
- Di at bit we nɔ de bit ɔltɛm (Arrhythmias) .
- Di blɔd prɛshɔn kin go ɔp ɔ dɔŋ wantɛm wantɛm
Sivεr sayd ifekt dεm (dεn kin apin bכku bכku wan):
- Trobul fɔ blo
- Yu trot we de swel
- Blɔd prɛshɔn we rili smɔl
If yu gɛt ɛni sayd ɛfɛkt afta dis tɛst, ilɛksɛf na smɔl tin, kɔl yu dɔktɔ wantɛm wantɛm. If di sayd ɛfɛkt dɛn bad, go na di imejensi rum wantɛm wantɛm. Dɛn tin ya kin bi sayn fɔ se yu gɛt siriɔs alɛji we nid fɔ gɛt tritmɛnt kwik kwik wan.
Aw wi kin gɛt di tɛst rizɔlt?
Wan dɔktɔ we de stɔdi bɔt raydio kin tek tɛm luk di pikchɔ dɛn we de na di venogram. Dɔn i go rayt wan ripɔt ɛn sɛn am to di dɔktɔ we ɔda di tɛst. Dɔn yu dɔktɔ go tɔk to yu bɔt di tin dɛn we dɔn apin ɛn ɛksplen wetin dɛn min. Fɔ ɛgzampul, if di pikchɔ dɛn sho se yu gɛt blɔd klɔt na dip vein na yu leg, yu dɔktɔ go tɛl yu us tritmɛnt yu nid.
Sɔntɛnde, dɛn kin yuz venogram fɔ gayd di ɔpreshɔn. If na so i bi, di dɔktɔ nɔ go tɔk to yu wan bay wan bɔt di tin dɛn we go apin. I go yuz di pikchɔ dɛn fɔ tritmɛnt da tɛm de. If prɔblɛm de, i go mek yu no.
Ustɛm a fɔ kɔl ɛn aks mi dɔktɔ?
Nɔ shek fɔ tɔk to yu dɔktɔ pan dɛn tin ya:
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt wetin mek yu want fɔ tek dis tɛst, aw fɔ pripia, ɔ wetin fɔ ɛkspɛkt .
- If ɛni sayd ɛfɛkt apin sɔm awa ɔ dez afta di tɛst.
- Insay di tɛstIf yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt ɔ di nɛks tritmɛnt plan.
Wetin na di difrɛns bitwin venogram ɛn angiogram?
Dɛn tu tɛst ya kin yuz ɛkstrem rayt ɛn wan spɛshal wata (kɔntrast day) fɔ luk di we aw blɔd de flɔ insay yu blɔd vesel dɛn. Di difrɛns na dat, venogram de jɔs luk pan vein dɛn. Bɔt angiogram kin luk ɔl tu di at ɛn vein dɛn. dɛn kin tek angiogram as di gold standad fɔ fɛn blɔk na di at. Sɔntɛnde, dɛn kin du tritmɛnt dɛn lɛk angioplasty bak di sem tɛm we dɛn kin du angiogram.
Fɔ no se di venus dɔn blok, naw dɔktɔ dɛn de yuz ɔda we dɛn mɔ ɛn mɔ, lɛk ɔltra saund, pas fɔ yuz venogram.
Fɔ dɔn, fɔ mɛmba smɔl (Take-Home Message) .
Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we wi yɛri bɔt dɔktɔ tɛst. Yu kin wɔnda if di tɛst nɔ go fayn ɔ aw di rizɔlt go tan lɛk. Bɔt mɛmba se yu dɔktɔ de fɔ ansa yu kwɛstyɔn dɛn ɛn ɛp yu. Aks am bɔt ɛnitin we yu gɛt na yu maynd, ɛni dawt we yu gɛt. Dɔn yu go ebul fɔ ridyus yu frayd ɛn wɔri bɔt dis ɔl prɔses ɛn fes am wit izi. Mɛmba se dɛn kin du dɛn tɛst ya fɔ ɛp fɔ no yu sik ɛn fɔ gi yu di tritmɛnt we yu nid.
` Venogram, Venogram, Vein test, Blɔd klot, X-ray, Kɔntrast day, Dip vein trombosis, DVT
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