Yu gɛt ay blɔd prɛshɔn? Sɔntɛm yu de gɛt prɔblɛm fɔ kɔntrol yu blɔd prɛshɔn ivin afta yu dɔn tek bɔku mɛrɛsin dɛn we yu dɔktɔ dɔn tɛl yu. Insay dɛn kayn tɛm ya, i kin bi bikɔs tu smɔl smɔl gland dɛn we de insay yu bɔdi chenj. Tide, wi de tɔk bɔt wan spɛshal tɛst we dɛn kɔl Adrenal Venous Sampling, ɔ AVS, we na tɛst we kin ɛp yu fɔ no di rayt tin we de mek yu blɔd prɛshɔn.
Wetin na Adrenal Venɔs Sampling (AVS)?
Fɔ tɔk am simpul wan, AVS na tɛst we de chɛk fɔ si if wan ɔ ɔl tu pan yu adrenal gland dɛn de mek tumɔs ɔmon. Dɛn gland ya de ɔp wi kidni, lɛk tu hat.
Wan impɔtant ɔmon we dɛn gland ya kin mek na aldosterone . Dis ɔmon rili impɔtant fɔ mek di blɔd prɛshɔn ɛn di ilɛktrɔlayt dɛn we de na di bɔdi balans. Bɔt if dɛn pul dis aldosterone ɔmon tumɔs, yu blɔd prɛshɔn kin go ɔp ɛn di potashɔm we de na yu blɔd kin go dɔŋ.
Insay wan AVS tɛst, wan intavɛnshɔnal raydiɔlɔjis injɛkt wan spɛshal day insay di vein dɛn we de kɔnɛkt yu adrenal gland dɛn ɛn tek tu blɔd sɛmpul frɔm dɛn vein dɛn de. Dɔn dɛn kin tɛst dɛn tu blɔd ya fɔ si if di aldosterone de kɔmɔt na di rayt gland, di lɛft gland, ɔ ɔl tu. Yu dɔktɔ go yuz dɛn rizɔlt ya fɔ disayd us tritmɛnt fɔ gi yu nɛks.
Wetin mek yu nid fɔ du dis AVS tɛst?
Bɔku tɛm dɛn kin se dɛn fɔ du dis tɛst we dɛn tink se yu gɛt wan sik we dɛn kɔl Primary Aldosteronism (Conn’s Syndrome) , we na wan sik we kin kam bikɔs di ɔmon we dɛn kɔl aldosterone kin bɔku pasmak.
Imajin, yu wata tank de ful-ɔp. We yu go fɔ fɛn di rizin, yu si se wan ɔ ɔl tu pan di tu paip dɛn we de gi wata de lik. Di AVS tɛst na jɔs lɛk dat. Dɛn kin yuz am fɔ no if di prɔblɛm de na wan gland ɔ na ɔl tu.
Dis we ya, we yu no gud gud wan usay di prɔblɛm de, i kin izi fɔ disayd aw fɔ trit yu. sכmtεm dεn kin yus dis tεst bak fכ no kכndyushכn lεk pheochromocytoma, we na wan tכmכro we nכ kin fכm na di adrenal gland.
Aw a fɔ rɛdi fɔ dis tɛst?
AVS na ɔtpeshɛnt prɔsidyu we dɛn kin du na ɔspitul ɔ ɔpreshɔn rum. Yu go wek we yu de du di ɔpreshɔn, bɔt yu nɔ go fil ɛni pen. Dis na bikɔs dɛn kin du am bay we dɛn de yuz lokal anɛstɛtik ɛn sɔntɛnde dɛn kin yuz kɔnshɛns sɛdɛshɔn fɔ mek yu kol ɛn put yu na layt slip.
If dɛn gi yu layt mɛrɛsin we de mek yu fil fayn, i rili impɔtant fɔ mek pɔsin de fɔ kɛr yu go na os afta di tɛst.
Dɔn bak, yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo di tɛst. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Yu go nid fɔ fast di mɔnin fɔ di tɛst.
Wetin kin apin we dɛn de du di tɛst?
Dis na wetin kin apin we dɛn de du di tɛst:
- Fɔs, dɛn go put wan kanula (IV layn) insay wan vein na yu an, ɛn tru dis dɛn go gi wan mɛrɛsin we de mek yu adrenal gland dɛn wok. If dɛn gi yu mɛrɛsin fɔ mek yu kol, dɛn go gi yu bak tru dis.
- afta dat, yu groin eria usay dεn put di kateshכn (tin tyub) go nכm so yu nכ go fil εni pen.
- di spɛshal pɔsin kin kɔt smɔl pat na di skin na di groin ɛn put di kateshɔn tru am. Dɛn kin yuz ɔltra saund skan fɔ fɛn di rayt vein.
- nεks, dεn kin put spεshal wata (kכntrast mεtirial) tru dis kateshכn, εn wit di εp fכ εks-ray, dεn kin gayd di kateshכn to di vein dεm na yu adrenal gland dεm.
- we di vein dεm dכn dכn, dεn kin tek sכm sכm blכd sεmpl frכm di rayt εn lεft adrenal vein dεm.
- Fɔ dɔn, dɛn kin pul di kateshɔn ɛn put bandej oba di say we dɛn kɔt am.
Yu tink se dis kin mek pɔsin fil bad?
Nɔ, i nɔ de mek pɔsin fil bad. Yu nɔ go fil ɛni pen bikɔs i de numb. Sɔm pipul dɛn se we di spɛshal wata go pas na di veins, i kin fil lɛk se i wam smɔl. Bɔt dat kin go insay sɔm sɛkɔn dɛn.
Wetin di rizɔlt dɛn se?
Afta yu dɔn sɛn di blɔd sɛmpul to di lab ɛn tɛst am, yu dɔktɔ kin tɛl yu ustɛm di prɔblɛm de.
- If na wan adrenal gland nɔmɔ de mek di aldosterone we pasmak, dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul da gland de (adrenalectomy).
- If di tu gland dɛn de mek tumɔs aldosterone, di bɛst tritmɛnt na fɔ tek mɛrɛsin.
Yu ɔl tritmɛnt plan go dipen pan dis rizɔlt.
Wetin na di bad tin dɛn we kin apin we dɛn du dis tɛst?
AVS na test we sef ɛn we kin wok fayn, bɔt lɛk ɛni mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de.
| Denja | Wan simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt | Blɔd kin kɔmɔt bikɔs ɔf damej pan wan vein, bɔt dis nɔ kin apin so ɔltɛm. |
| Sik we de prɛd | di chans de fכ infεkshכn tru di skin insishכn usay dεn put di kateshכn. |
| Alɛji Riakshɔn | I nɔ kin izi bak fɔ gɛt alɛji to di kɔntrast fluid we dɛn yuz. |
| Kidni dɛn we dɔn pwɛl | If yu dɔn ɔlrɛdi gɛt kidni sik, di risk kin go ɔp smɔl bay di kɔntrast fluid. |
| Vein Rupture we de mek yu gɛt di sik | Di vein kin pwɛl we dɛn put di kateshɔn. If dis apin, dɛn go nid fɔ du di tɛst ɔda de. |
Di tɛm fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
I kin tek sɔm dez fɔ mek i wɛl bak frɔm wan AVS tɛst. I impɔtant fɔ mek yu rɛst bɔku tɛm dis tɛm. If yu go bak to yu nɔmal wok tu kwik, prɔblɛm dɛn lɛk fɔ blɔd kɔmɔt na di say we dɛn kɔt yu kin apin.
Yu dɔktɔ kin advays yu fɔ avɔyd dɛn tin ya fɔ lɛk 3 dez:
- Fɔ drayv.
- We dɛn de yuz ebi ebi mashin dɛn.
- We yu de lif di wet.
- Fɔ du ɛksɛsayz ɔ fɔ du wok we de mek yu strɛs.
- Tin dɛn lɛk fɔ go insay bathtub, swim, ɛn ɔda tin dɛn.
- Sayn ligal dɔkyumɛnt (bikɔs ɔf mɛrɛsin we de mek yu slip).
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If ɛni wan pan dɛn tin ya apin afta di tɛst, tɛl yu dɔktɔ ɛn nɔ de te.
- Blɔd we de kɔmɔt frɔm wan kɔt we dɛn kɔt na di groin.
- If di pen de go wɔs.
- Fiva.
- Nɔs ɔ vɔmit.
Di AVS tɛst kin tan lɛk se i kɔmplikt smɔl to yu, bɔt na di bɛst we fɔ no fɔ tru if na yu adrenal gland dɛn mek yu ay blɔd prɛshɔn. So tɔk klia wan bɔt ɛni kwɛstyɔn, wɔri, ɔ dawt we yu gɛt bɔt dis wit yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Adrenal Venous Sampling (AVS) na spɛshal tɛst we de no us adrenal gland de mek di ɔmon we gɛt mɔ aldosterone, we de mek i gɛt ay blɔd prɛshɔn.
- Dɛn kin du dis wit mɛrɛsin fɔ mek yu nɔ fil fayn so dat yu nɔ go fil ɛni pen.
- Dipen pan di rizɔlt fɔ di tɛst, yu dɔktɔ go ebul fɔ no if ɔpreshɔn ɔ mɛrɛsin na di bɛst tritmɛnt fɔ yu.
- I rili impɔtant fɔ rɛst fɔ sɔm dez afta di tɛst.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔ we yu de fred bɔt dis.
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