EBUS (Endobronchial Ultrasound) test: Aw fɔ luk insay di lɔng dɛn wit kamɛra!

Sɔntɛm dɔktɔ tɛl yu bak bɔt wan tɛst we dɛn go du fɔ tɛst yu lɔng. Sɔntɛm dɛn si sɔntin we smɔl pan yu ``(X-ray)`` ɔ ``(CT scan)`` ɛn dɛn se dɛn nid fɔ luk insay am mɔ. pan dis kayn tin, dis na spεshal tεst we dεn kכl EBUS we dεn kin du fכ si εksεkshכn wetin de apin insay di lכng. Wi go tɔk mɔ bɔt dis?

Wetin na EBUS (endobronchial ultrasound)?

Fɔ tɔk am simpul wan, EBUS (Endobronchial Ultrasound) na wan we we dɛn kin put smɔl tin we tan lɛk kamɛra insay yu lɔng fɔ si wetin de insay dɛn klia wan. Dis tan lɛk we dɛn kin du brɔnkoskɔpi. Bɔt insay dis kes, dɛn kin tay wan ɔltra saund mashin bak na di ɛnd pan di brɔnkoskɔp. Dis min se di dɔktɔ kin si wetin de insay yu lɔng as ɔltra saund imej. Tink bɔt am lɛk ɔltra saund skan fɔ pikin we de na di bɛlɛ, we de luk fɔ tumbu ɛn limf no dɛn na di lɔng.

dis mכt dεn kin yus fכ no difrεn sik dεm na di lכng, spεshal fכ no if kεnsar de (`(Kansa)`) εn aw fa i dכn spre (`(Staging)`). כda gud tin na dat we dεn de du dis EBUS tεst, if nid de, dεn kin tek wan pat pan di tisu εn sεnd fכ `(Biopsy)` tεst. Dɔn yu kin du tu tin dɛn wan tɛm.

So wetin na di difrɛns bitwin `(Bronchoscopy)` ɛn EBUS?

Gud kwɛstyɔn! `(Bronchoscopy)` na di nem we dεn gi di instrכmεnt (`(Bronchoscope)`) εn di prosidכs we dεn kin yus fכ luk insay di lכng dεm. dis kin mek dכkta dεn si wetin de insay di lכng wit kεmεra, כ fכ tek tisu sεmpl (`(Biopsy sample)`) כ fכ fכm fכ fכm.

EBUS na `(Bronchoscopy)` bak. Bɔt di spɛshal tin na dat insay dis `(Bronchoscope)`, dɛn ad `(Ultrasound)` kapabiliti . fכ dat, ivin tin dεm lεk limf no dεm we de pas di lכng wכl dεm εn we dεn nכ kin si wit nכmal `(Bronchoscope)` dεn kin si am klia wan wit dis EBUS. Dɔn bak, i fayn fɔ tek wan `(Biopsy)` bay we yu luk dɛn `(Ultrasound)` imej dɛn de ɛn sɛn nidul to di rayt ples.

Yu tink se kayn EBUS tɛst dɛn de?

Yes, sɔm men kayn EBUS tɛst dɛn de. Dɔktɔ kin pik us kayn pɔsin fɔ du bay wetin dɛn nid da tɛm de.

Radial Prob EBUS `(Radial Prob EBUS - RP-EBUS)`

dis `(RP-EBUS)` kin gi yu wan rili klia, 360 digri fכ si insay yu aywe . I kin go dip insay di lכng dεm εn gεt bεtεh ditayli vεyushכn pas כda kayn dεm. Bɔt if yu nid fɔ tek `(Biopsy)`, yu fɔ yuz sɛpret ikwipmɛnt fɔ dat.

Konvεks Prob EBUS `(Kכnvεks Prob EBUS - CP-EBUS)`

dis `(CP-EBUS)` kin כnli yus pan yu men aywe dεm (dat na di trakya εn brכnki). Dat min se i nɔ go ebul fɔ go dip dip wan insay di lɔng dɛn. Bɔt dis wan dɔn gɛt amdi big advantej na dat dεn kin tek wan `(Biopsy)` we dεn de du di egzam if nid de. Bɔt di we aw dɛn de si tin frɔm dis na smɔl mɔ limited ɛn smɔl ditayli pas `(RP-EBUS)`.

EBUS-Transbronchial Nidul Aspirashכn (EBUS-TBNA) .

Dis nɔto difrɛn kayn we. we dεn de du `(CP-EBUS)` tεst, di mεtכd we dεn yuz fכ tek sεmpl fכ tisu (`(Tissue)`) כ fluid (`(Fluid)`) fכ wan `(Biopsy`)` dεn kכl am `(EBUS-TBNA)`. fכ bi prεsis, dεn de pas wan sכmכl nidul (`(Nidl)`) tru di wכl f כ di aywe , yuz `(Ultrasound)`, εn dεn tek sεmpl frכm di εria we dεn want.

Ustɛm yu go nid fɔ du EBUS tɛst?

Bɔku tɛm, dɔktɔ go ɔda fɔ mek dɛn du EBUS tɛst if dɛn si sɔntin we nɔ kɔmɔn na yu chɛst ɛkstrem rayt ɔ CT skan fɔ chɛk am mɔ. fכ egzampl, CT skan kin sho sכmכl lump na yu lכng, כ limf no dεm we swel. If dɛn kayn tin ya, EBUS tɛst kin ɛp fɔ no ustɛm i bi.

Dɛn kin yuz di EBUS tɛst fɔ no di kɔndishɔn dɛn lɛk:

• Infεkshכn na di lכng εn absεs dεm
• Lכng kεnsar כ kεnsar na di spεs bitwin di lכng dεm (mediastinum) .
• inflammatory lכng kכndishכn dεm lεk sarkoidosis εn silicosis
• Stenosis we de mek di briz de kɔmɔt (we di say dɛn we di briz de blo smɔl) .
• Smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Apat frɔm dat, dɛn kin yuz di EBUS tɛst bak fɔ no di stej (`Kansa stej`) fɔ sɔm kansa kɔndishɔn dɛn, dat na aw fa di kansa dɔn skata.

Aw ɛksaktɔli di EBUS tɛst de wok?

Dis EBUS tεst na dכkta we spεshal pan lכng sik dεm (`(Pulmonologist)`) de du am. I de put wan tin we gɛt layt tiub (`(Bronchoscope)`) tru yu aywe (`(Airways)`), ɔ tru yu nos ɔ yu mɔt. di wok dεn de du am bay we dεn de yuz wan `(Ultrasound)` divays we dεn tay na di tip fכ dis `(Bronchoscope)`.

imajin, dis `(Ultrasound)` de yuz sawnd wev fכ sεnd klia pikchכ dεm fכ wetin de insay yu lכng to monita. Di dɔktɔ kin luk dɛn pikchɔ dɛn de, pɔynt di `(Bronchoscope)` jɔs usay i want fɔ luk, ɛn chɛk da eria de fayn fayn wan. I de wok jɔs lɛk `(Sonar)` sistɛm fɔ fɛn tin dɛn ɔnda di si.

Aw a fɔ pripia fɔ EBUS tɛst?

Yu dɔktɔ ɔ ɔspitul wokman dɛn go gi yu instrɔkshɔn bɔt aw fɔ pripia fɔ yu EBUS tɛst. If ɛnitin de we nɔ klia na di instrɔkshɔn, mek shɔ se yu aks bak. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:

• Dɛn kin aks yu fɔ du sɔm blɔd wok bifo di tɛst.
• Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di tɛst (`(Fasting)`) . Bɔku tɛm yu kin gɛt fɔ fast fɔ lɛk 6 to 8 awa so.
• Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (lɛk tin dɛn we de mek yu blɔd tan) sɔm dez bifo dɛn du di tɛst. Yu fɔ tɛl yu dɔktɔ bak bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin ɛni sɔpɔtmɛnt we yu de tek.
• Fɛn pɔsin fɔ drayv yu go na os afta di tɛst. Dɛn go gi yu sɛdate, so yu nɔ go ebul fɔ drayv afta di tɛst. I rili impɔtant fɔ gɛt pɔsin wit yu.

Wetin kin apin we dɛn de du di EBUS tɛst? A go fil pen?

Bifo di tɛst, dɛn go mek yu ledɔm na bed ɔ tebul. Dɔn:

Bifo di tɛst

• If nid de, di nɔs dɛn go ɛp yu fɔ tinap stret.
• sכm sכm tכb (`(Intravenous - IV)`) dεn de put insay wan vein na yu an εn dεn gi yu wan salin sכlushכn. Dis `(IV)` na usay nɔs anestezist ɔ anestesiɔlɔjis go gi yu di mɛrɛsin we yu nid. Dis mɛrɛsin nɔ go mek yu fil ɛni prɔblɛm ɔ pen te di tɛst dɔn. Sɔntɛnde dɛn go gi yu mɔdaret sɛdɛshɔn (`(Mɔdaret sɛdɛshɔn)`), ɔ jenɛral anestezi (`(Jɛnɛral anestezi)`) . Yu dɔktɔ go tɛl yu bɔt dis bifo tɛm.
• Dɛn go put sprɛy we de mek yu nɔ fil fayn na yu mɔt (ɔ yu nos) ɛn yu trot. Dis go mek di eria nɔ gɛt bɛtɛ trɛnk, so yu nɔ go fil ɛni prɔblɛm we dɛn put di brɔnkoskɔp insay.

We dɛn de du di tɛst

Afta yu dɔn mek yu fɔgɛt ɛn yu trot dɔn swɛ, di dɔktɔ we de mɛn yu pulmonɔn:

• Di dɔktɔ go put brɔnkoskɔp tru yu nos ɔ yu mɔt.
• I kin kɛr am go na di say dɛn we di briz de blo ɛn dayrɛkt am usay dɛn nid fɔ luk am.
• If nid de, dɛn go tek wan ɔ mɔ bayɔpsi sɛmpul dɛn.
• Dɔn dɛn kin pul di brɔnkoskɔp smɔl smɔl.

Yu nɔ go fil ɛni pen we yu de du di tɛst bikɔs dɛn go gi yu anestezi. Bɔt yu kin gɛt trot we de at, yu kin kɔf, ɔ yu kin kray fɔ lɛk wan de afta di tɛst. If nɔto dat, if yu fil bad bad wan, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.

Aw lɔng di EBUS tɛst kin tek?

Bɔku tɛm, EBUS tɛst kin tek bitwin 30 ɛn 90 minit (lɛk wan ɛn af awa) . Bɔt dis tɛm kin difrɛn difrɛn wan bay aw yu sik. So aks yu dɔktɔ aw lɔng i go tek. Afta di tɛst dɔn, yu go stil nid fɔ de na ɔspitul fɔ lɛk wan ɔ tu awa so bifo yu go na os.

Wetin yu kin ɛkspɛkt afta yu dɔn du EBUS tɛst?

Bɔku tɛm, yu kin go na os sɔm awa afta di tɛst. Di dɔktɔ dɛn go de kia fɔ yu te yu wek gud gud wan, yu de blo fayn, ɛn ebul fɔ swɛla. Dɛn go tɛl yu bak ustɛm yu go gɛt yu tɛst rizɔlt ɛn ustɛm yu fɔ go to dɔktɔ bak.

Dɛn tin ya kin apin fɔ lɛk wan de afta di tɛst:

• Wan trot we de at
• Wan vɔys we de ala lawd wan
• Wan kɔf we pɔsin kin kɔf

I nɔmal fɔ kɔf smɔl blɔd , ɛn i go dɔn insay sɔm awa ɔ sɔm dez. Bɔt if i nɔ stɔp afta sɔm dez, ɔ if bɔku blɔd de, yu fɔ rili tɛl yu dɔktɔ .

Ɛni risk de wit di EBUS tɛst?

EBUS na wan we we nɔ gɛt bɔku prɔblɛm , bɔt nɔto ɔltɛm, sɔm prɔblɛm dɛn kin apin. Dɛn tin ya na:

• Blɔd (`(Blɔd)`)
• Infεkshכn (`(Infεkshכn)`)
• di lכng we kכlaps (כ Nyumothorax) - Dis na we di briz we de kכmכt na di lכng kin lik insay di chεst kεviti.
• diprεshכn we yu de blo - Dis min se yu de gεt prכblεm fכ brith, lεk we yu nכ ebul fכ pul di kabכn dayכksayd fayn fayn wan frכm di bכdi.

Wetin na di bɛnifit dɛn we di EBUS tɛst gɛt?

We yu kɔmpia am wit ɔda we dɛn fɔ tek imej ɛn bayɔpsi we dɛn de yuz, EBUS gɛt bɔku bɛnifit dɛn.

• di dכkta kin yuz di ``Bronchoscope'' εn dayrekt di ``Ultrasound'' to di εksakכt ples we i nid fכ gεt di imej dεm we i want klia wan.
• Fɔ tek bayɔpsi ɛn fɔ tek pikchɔ dɛn ɔl tu kin bi insay di sem tɛst. Nɔ nid fɔ gɛt tu difrɛn tɛst dɛn. Sɔntɛnde, i pɔsibul fɔ no if yu gɛt kansa ɛn no di stej we i gɛt di sem tɛm.
• Dis na ɔutpatient prosidur . Dis min se dɛn nɔ go kip yu na ɔspitul ɛn yu kin go na os di sem de.
• Dis na wan we we nɔ kin rili ambɔg pɔsin . Dat min se i nɔ gɛt di sem risk dɛn lɛk opin ɔpreshɔn. So yu kin wɛl kwik kwik wan.

Wetin na di rizɔlt fɔ di EBUS tɛst? Wetin dɛn min?

If yu EBUS tɛst involv fɔ tek wan pat pan di tisu ɔ wan sɛmpul fɔ wata, yu dɔktɔ go sɛn am na lab fɔ chɛk fɔ infɛkshɔn, kansa, ɔ ɔda tin dɛn, i go dipen pan yu kɔndishɔn. Yu dɔktɔ go ɛksplen to yu di rizɔlt ɛn tɛl yu wetin fɔ du nɛks. Yu kin nid fɔ wet fɔ sɔm dez fɔ mek di rizɔlt kam bak.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni kwɛstyɔn ɔ bad tin we yu nɔ bin de tink se go apin, tɔk to yu dɔktɔ . Yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn fɔ se yu gɛt di sik. Dɛn kayn sayn dɛn de na:

• Fiva (`(Fiva)`)
• Chɛst pen (`(Chɛst pen)`)
• I nɔ kin izi fɔ yu fɔ blo
• I nɔ izi fɔ swɛla
• Fɔ kɔntinyu fɔ kɔf blɔd
• Nɔ ebul fɔ pis/urinate - Pan ɔl we dis nɔ gɛt ɛnitin fɔ du wit EBUS, sɔntɛnde i kin apin afta dɛn dɔn anestez am, so i impɔtant fɔ tɔk bɔt am if i apin.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

EBUS (Endobronchial Ultrasound) na wan we we nɔ de invayd smɔl, we dɛn kin du na ɔtpeshɛnt we kin gi klia, ditayli luk pan di chenj dɛn we de insay di lɔng dɛn. I kin tek tisu ɛn fluid sɛmpul bak, wit smɔl risk pas ɔda we dɛn.

Mɛmba se, nɔ shem fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt aw dɛn de du di tɛst, wetin di dɔktɔ dɛn de luk fɔ, ɛn ustɛm di rizɔlt go de. If yu no wetin yu fɔ ɛkspɛkt bifo tɛm, dat go ɛp yu nɔ fɔ wɔri. Stay wit wɛlbɔdi!

` EBUS, Endobronchial Ultrasound, Lכng egzamin, Bronchoscopy, Ultrasound, Bayopsi, Lכng kεnsar, Respiratory sik dεm