Wan tɛst we de luk insay di at: Lɛ wi lan bɔt Transesophageal Echocardiogram (TEE)!

Yu dɔktɔ dɔn tɛl yu fɔ du spɛshal tɛst fɔ chɛk if yu gɛt ɛni prɔblɛm wit yu at? I kin bi `(Transesophageal Echocardiogram)`, ɔ as wi kin kɔl am `(TEE)` tɛst. Pan ɔl we i kin tan lɛk se i strenj smɔl, na wan we we de mek yu ebul fɔ si di kɔndishɔn na yu at rili klia wan, rayt frɔm insay. So yu kin fred smɔl ɔ yu kin want fɔ no bɔt dis. So lɛ wi tɔk bɔt dis `(TEE)` tɛst simpul wan, insay wan we we yu go ɔndastand.

Wetin na dis (TEE) tɛst? Aw dɛn kin du am?

Fɔ tɔk am simpul wan, Transesophageal Echocardiogram na tɛst we de yuz sawnd wev fɔ tek pikchɔ fɔ yu at. Dis na ɛko tɛst bak. Bɔt i difrɛn smɔl frɔm di mɔ kɔmɔn Transthoracic Echocardiogram (TTE) we dɛn kin du na di chɛst. Dis na bikɔs dɛn tek di pikchɔ dɛn frɔm insay di bɔdi.

Dɔktɔ, na tin we tan lɛk tin we tan lɛk tiub, we wi kɔl am ``Ɛndoskɔp,'' dɛn kin tek tɛm put am dɔŋ yu trot insay yu it paip (ɛsophagus). Na di ɛnd pan dis tiub na wan smɔl ``Transducer.'' Dis ``Transducer'' de mek sawnd wev. Dɛn sawnd wev dɛn ya kin nak difrɛn pat dɛn na di at ɛn riflɛsɛ bak, lɛk ɛko. Di ``Transducer'' de pik dɛn wef dɛn we de kam bak ɛn sɛn dɛn to kɔmpyuta. Di kɔmpyuta kin chenj da data de to pikchɔ dɛn. Dɛn pikchɔ ya de sho aw di at shep ɛn aw i de wok fayn fayn wan.

Sɔntɛnde, dɔktɔ dɛn kin yuz spɛshal we dɛn we dɛn kɔl Doppler ultrasound ɛn Color Doppler wit dis TEE tɛst. Dɛn tin ya kin ebul fɔ no di spid ɛn di say we di blɔd de pas na di at kɔrɛkt wan.

Wetin dɔktɔ dɛn kin fɛn wit dis (TEE) tɛst?

dis `(TEE)` tεst kin gi wan rili klia pikchכ fכ di strכkchכ fכ di at, dat na aw in pat dεm de arenj, εn aw di at de wok. Dis kin ɛp fɔ no difrɛn sik dɛn ɛn kɔntrol dɛn we dɛn de trit dɛn. Na sɔm ɛgzampul dɛn ya:

• aortic aneurysm: Dis na we di wכl fכ di big bכdi we de na wi bכdi (di aorta) de wik εn bulge lεk balכn.
• Blɔd we de klɔt na di at: Pipul dɛn we gɛt atria fibrilɛshɔn, mɔ kin gɛt blɔd klɔt na di ɔpa chɛmba dɛn na di at (atria).
• Kadyak tumor: Dɛn tin ya kin bi kansa ɔ nɔr kin gɛt kansa.
• Hat sik we dɛn kin bɔn wit: Dis kin min difrɛn at sik dɛn we kin de we dɛn bɔn am.
• At valv sik: Fɔ ɛgzampul, mitral valv sik. dis valv kin sכmtεm (stenosis) כ lik bכdi bak (rεgurgitation). Dɔn bak, dɛn kin chɛk pipul dɛn we gɛt prɔstɛtik valv fɔ si if dɛn gɛt prɔblɛm wit dɛn valv, lɛk infekshɔn ɔ blɔd we dɔn rɔtin.
• infεkshכn dεm na di at tisu כ valv dεm: fכ egzampl, kכndishכn dεm lεk `(Infective endocarditis)`.
• Pɛrikardial sik: Dis de tɔk bɔt sik dɛm we de apin na di tin sak (pericardium) we de rawnd di at.

Wetin mek dɛn kin du dis (TEE) tɛst? Insay us kes dɛn?

Bɔku rizin dɛn de we mek dɛn kin du TEE tɛst. Lɛ wi tek wan luk pan wetin dɛn bi:

1. If i nɔ go du fɔ mek yu gɛt ɛkokadiogram (TTE) ɔltɛm: Afta dɛn dɔn du ɛkokadiogram (TTE) ɔltɛm na yu chɛst, yu dɔktɔ go nid fɔ si yu at klia wan ɛn ditayli. If na so i bi, dɛn kin du TEE tɛst apat frɔm di TTE fɔ ɛp fɔ no if yu gɛt at prɔblɛm ɔ fɔ plan tritmɛnt.

Imajin se yu de waka na strit ɛn yu si sɔm fayn fayn plet dɛn na wan shɔp tru di glas. Yu kin si se di plet dɛn gɛt flawa pɔtn, bɔt i nɔ klia klia wan us flawa dɛn bi, wetin di ditel dɛn bi, bikɔs pipul dɛn de rawnd ɛn glas de. So yu go insay di shɔp ɛn luk di plet dɛn gud gud wan. Na da tɛm de yu si se na ros dɛn.

Na so di nɔmal ɛkokadiogram (TTE) we dɛn du na di chɛst tan lɛk we yu de luk tru glas na stɔ. I kin tɛl yu bɔku tin dɛn. Bɔt dis TEE tan lɛk we yu go insay wan stɔ ɛn pik wan plet. Sɔm pat dɛn na di at, mɔ di wan dɛn we de na di bak, kin rili klia pan dis TEE. Bikɔs yu εsophagus de biɛn yu at, na fayn ples fɔ di transdyusɔ fɔ sɛn ɛn gɛt sawnd wev.

I fayn fɔ luk dɛn pat dɛn ya mɔ:

* Lεft atrium: Na di כp lεft chεmba na di at.

* di lεft atria apεndaj (LAA): na sכmכl sak we lεk yes na di lεft atria. Na dis say blɔd kin klɔt sɔntɛnde.

* Interatrial septum: na di wכl we de separet di lεft εn rayt atria.

* Thoracic aorta: Na di pat pan di aorta we de pas na di chɛst.

Sɔntɛnde, dɔktɔ dɛn kin du TEE instead ɔf TTE. Dis na fɔ dɛn rizin ya:

• If di chεst strכkchכ de na posishכn we de mek i at fכ du TTE.
• If yu gɛt lɔng sik (as dɛn kin mek yu nɔ ebul fɔ si di at).

2. Insay imejensi, tin dɛn we kin mek pɔsin in layf de pan denja: Insay sɔm imejensi, dɔktɔ dɛn kin nid fɔ si di at prɔblɛm kwik kwik wan. Den `(TEE)` na rili yusful. Fɔ ɛgzampul:

• εmodaynamik instεbiliti (blכd prεshכn εn sεkyulatory prכblεm) .
• Lɔw blɔd prɛshɔn (Hypotension) .
• Di ɔksijɛn lɛvɛl we de go dɔŋ (Hypoxia) .
• Imejɛnsi sityueshɔn dɛn we nid fɔ evaluate kwik kwik wan, lɛk fɔ kɔt di aorta.
• We dɛn tink se pɔsin gɛt at atak.
• Prɔblɛm wit di prɔstɛtik valv dɛn (lɛk we blɔd de klɔt, infɛkshɔn).
• Trauma na di chɛst.

. Dis na bikɔs if blɔd klɔt, i kin brok lɔs we dɛn de du di prɔsidyu ɛn blok wan blɔd vesel (thromboembolism).

4. Fɔ ɛp wit ɔpreshɔn ɛn ɔda mɛrɛsin dɛn: TEE na tin we rili valyu we dɛn de du sɔm ɔpreshɔn ɛn mɛrɛsin. Dɛn kin yuz am fɔ si aw di at tan bifo dɛn du di ɔpreshɔn ɛn fɔ kɔnfirm se di ɔpreshɔn go wok fayn afta dɛn dɔn du am. Ɛgzampul dɛn:

• Ɔpreshɔn fɔ di at sik we dɛn bɔn wit.
• Valv ripair.
• Valv riplesmɛnt.

Dɔn bak, insay sɔm tritmɛnt dɛn we dɛn kin yuz kateshɔn, dat na tritmɛnt dɛn usay dɛn kin pas wan tin tiub tru wan blɔd vesel to di at, dɛn kin yuz TEE fɔ luk insay di bɔdi ɛn gi rial-taym pikchɔ dɛn fɔ gayd di prɔsidyu. Ɛgzampul dɛn:

• `(Transcatheter aorta valv riplesmɛnt - TAVR)`
• `(Transkateta mitral valv ripa)`
• `(Transkateta trikuspid valv ripa)`
• `(Transcatheter lεft atrial apεndεj kloz)`

Dɛn kin du di TEE tɛst insay di bɔdi? Yu tink se dɛn kin yuz anestezi?

Yɛs, dɛn kin tek TEE as invasive test bikɔs i involv fɔ put divays insay di bɔdi. Yu kin fil sɔm kayn pwɛl hat, bɔt di risk fɔ gɛt siriɔs prɔblɛm nɔ kin bɔku.

Bɔku tɛm, fɔ du TEE tɛst jɔs nid fɔ gɛt lokal anestezi ɛn fɔ mek dɛn gi am mɔdaret sɛdishɔn . Dis min se di dɔktɔ go sprɛy wan mɛrɛsin we de mek yu nɔ fil fayn na yu trot bak. I go gi yu bak wan mɛrɛsin we yu go put insay yu bɛlɛ (IV) fɔ ɛp yu fɔ rilaks.

Bɔrku pipul nɔr nid jenɛral anestezi, bɔt i fayn fɔ tɔk to yu dɔktɔ bɔt wetin bɛtɛ fɔ yu.

So, yu tink se dem de put wi fo slip dis taim? Wi de tink bɔt sɔntin?

Di mɔdaret sɛdɛshɔn go mek yu fil slip ɛn i go alaw yu fɔ du di tɛst we yu nɔ go fil tumɔs. Di mɛdikal wokman dɛm go kɔntinyu fɔ wach yu fɔ si if yu de gɛt ɛni prɔblɛm. Dɛn kin gi yu mɔ sedɛshɔn if nid de.

Ivin if dɛn gi yu `(General anesthesia)`, yu go slip ɔl ɛn yu nɔ go mɛmba ɛnitin bɔt di tɛst. Bɔt if dɛn gi yu `(Jɛnɛral anestesia)`, yu go gɛt fɔ kɔnɛkt to wan `(Breathing machine).` Dɔn bak, bikɔs dɛn put yu na dip slip, i kin tek smɔl tɛm fɔ mek yu wɛl pas wit mɔdaret sɛdishɔn.

Aw lɔng dis tɛst kin tek?

Di TEE tɛst kin tek 90 minit fɔ dɔn. Bɔt,Bɔku tɛm, di foto shoot kin tek lɛk 15 minit so.

Aw wi fɔ pripia bifo di (TEE) tɛst?

Mek shɔ se yu tɔk to yu dɔktɔ bɔt yu mɛrɛsin istri. Sɔm mɛdikal kɔndishɔn kin mek TEE tɛst risky. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• Kansa na di εsophageal
• Gastritis we gɛt sik
• GERD (Kronik asid riflɔks) .
• Hiatal hεnia
• Wan histri fɔ yuz drɔgs insay di bɛlɛ (IV drɔg yus) .
• Prɔblɛm dɛn fɔ swɛla
• Slip apnɛa fɔ slip
• Bɛlɛ kansa

Dɔn bak, tɛl wi if yu de tek mɛrɛsin fɔ dɛn tin ya:

• Slip prɔblɛm dɛn
• Wɔri
• Pen

Yu dɔktɔ go gi yu ditayla instrɔkshɔn bɔt aw fɔ pripia fɔ di TEE tɛst. Mek shɔ se yu fala dɛn instrɔkshɔn dɛn de di rayt we. Nɔ fred fɔ aks if ɛnitin de we yu nɔ ɔndastand. Di instrɔkshɔn dɛn go gɛt dɛn tin ya:

• Di tɛm fɔ stɔp fɔ it ɛn drink (bɔku tɛm fɔ at le siks awa bifo di tɛst).
• Ustɛm yu fɔ tek di mɛrɛsin dɛn we yu kin tek?
• Nɔ drink rɔm fɔ sɔm tɛm (sɔntɛm sɔm dez bifo di tɛst).
• Ɔda tin dɛn we yu fɔ du ɔ yu nɔ fɔ du bifo `(TEE)`.

Wetin kin apin we dɛn de du di (TEE) tɛst?

Dis na di step dɛm we kin apin we dɛn de du `(TEE)` tɛst:

1. Dɛn go gi yu ɔspitul gɔn fɔ wɛr.

2. Di dכkta go put sכm sכm stika dεm we dεn kכl ``Electrodes'' pan yu chεst. dis dεm kin yus fכ mכnitor di ilektrikal aktiviti na yu at di tεm we di ``TEE'' de.

3. Dɛn go put blɔd prɛshɔn kɔf na yu an, ɛn dɛn go tay wan puls ɔksimita na yu finga fɔ wach di ɔksijɛn we yu gɛt.

4. Dem go giv yu gargle to numb yu trot. Di dɔktɔ go sprɛy wan mɛrɛsin na yu trot. Dis na lokal anestetik. Dis na di rizin we mek yu nɔ go fil ɛni pen we yu de du di TEE.

5. Dɛn go gi yu wan intravenous (IV) sedativ fɔ ɛp yu fɔ rilaks.

6. Yu kin nid fɔ put smɔl tiub (nasal cannula) na yu nos fɔ gi yu ɔksijɛn.

7. Dɛn go tɔn yu to di lɛft say na di ɛgzam tebul ɛn mek yu ledɔm.

8. Di dכkta go put di ``Endoscope`` (wan tin, lכng, fleksibul tyub) sכmtεm insay yu mכt. Na di tip pan di tiub na wan ``Transducer``. Dis tiub de go dɔŋ yu trot ɛn go insay yu it paip. Dɛn kin rɔb am fɔ mek i izi fɔ go dɔŋ. Sɔntɛnde dɛn go aks yu fɔ swɛla fɔ ɛp di ``Transducer`` fɔ go insay di rayt ples. Dis kin tan lɛk se i nɔ fayn smɔl, bɔt di dɔktɔ go tek tɛm du dis. Dɛn go gi yu mɛrɛsin fɔ mek yu trot nɔ gɛt bɛtɛ trɛnk, so dat yu nɔ go fil bɔku pen.

9. Di dokta de tek piksho. Yu kin fil pen. Bɔt di `(Transducer)` difrɛn.Yu kin fil smɔl prɛshɔn na yu chɛst we yu de muv am. Dis pat kin tek lɛk 10-15 minit.

10. Di dɔktɔ go pul di tiub na yu trot ɛn kɔntinyu fɔ wach yu blɔd prɛshɔn, yu puls, ɛn ɔksijɛn lɛvɛl.

11. Wet te di dokta se yu fit go haus.

Wetin a kin ɛkspɛkt afta di (TEE) tɛst?

Yu go nid pɔsin fɔ drayv yu go os afta di TEE tɛst. Yu nɔ go ebul fɔ drayv fɔ 24 awa bikɔs di mɛrɛsin dɛn we de mek yu fil fayn go afɛkt yu. Yu kin ɛkspɛkt dɛn tin ya:

• Yu trot go swɛ fɔ lɛk wan awa so. I go stɔp afta sɔm tɛm. Nɔ it ɔ drink ɛnitin te di swɛt go. If yu it ɔ drink tumɔs kwik, dat kin mek yu chok.
• Yu kin gɛt trot we de at fɔ lɛk tu dez so. Dis na nɔmal tin ɛn i go stɔp insay sɔm dez. Bɔt if di pen kɔntinyu ɔ i de wɔs, tɔk to yu dɔktɔ.

Ɛni risk de fɔ di (TEE) prosidur?

Sɔm pipul dɛn kin gɛt trot we kin at afta dɛn dɔn du TEE. I kin las fɔ sɔm awa ɔ te to tri to fayv dez.

Ɔda prɔblɛm dɛn nɔ kin apin so ɔltɛm, bɔt i kin apin:

• Alɛji we pɔsin kin gɛt we i de tek mɛrɛsin.
• Aspiration nyumonia kin kam bikɔs it ɔ wata we de go insay di say we yu de blo.
• Prɔblɛm wit blɔd prɛshɔn ɔ at ritm.
• Smɔl smɔl blɔd we de kɔmɔt na di dijestiv trakt.

Bifo yu du dis tɛst, i impɔtant fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we de wit TEE.

Aw a go gɛt di rizɔlt fɔ di (TEE) tɛst?

Yu dɔktɔ go tɔk to yu bɔt yu tɛst rizɔlt. Yu kin gɛt dɛn bak as pat pan yu ilɛktronik mɛdikal rɛkɔd (wan ɔnlayn sistɛm usay yu kin si yu mɛdikal infɔmeshɔn). Tɔk to yu dɔktɔ bɔt ustɛm yu go gɛt di rizɔlt ɛn aw fɔ kia fɔ dɛn.

Na nɔmal tin fɔ mek sɔm pipul dɛn fil smɔl fred ɔ fred we i kam pan mɛdikal tɛst. Bɔt, tɛst lɛk Transesophageal Echocardiogram (TEE) kin ple big pat fɔ mek yu gɛt wɛlbɔdi ɔ fɔ trit prɔblɛm dɛn we kin kam. TEE na kɔmɔn tɛst we nɔ gɛt bɔku prɔblɛm dɛn. If yu de gɛt TEE, tɔk to yu dɔktɔ bɔt aw fɔ pripia fɔ am ɛn wetin fɔ ɛkspɛkt.

Fɔ dɔn, mɛmba dis.

Di TEE tɛst na spɛshal we we de mek yu si di insay pat pan yu at klia wan. Pan ɔl we i kin tan lɛk se i nɔ fayn smɔl, i kin rili ɛp fɔ no if pɔsin gɛt at sik ɛn fɔ trit am fayn. Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni kwɛstyɔn ɔ dawt, tɔk to yu dɔktɔ bɔt am. Dɔn yu kin ebul fɔ bia wit dis tɛst we yu nɔ de fred ɛn wit kɔnfidɛns.

` Transεsophageal echocardiogram, TEE, hat tεst, at, εndoskop, εko tεst, εsophagus