We di dɔktɔ tɛl yu fɔ du ɔltra saund skan, na tin we wi rili sabi naw. Bɔt sɔm tɛm we i se "A nid fɔ du ɔltrasɔund skan wit kɔntrast," yu kin fred smɔl ɛn want fɔ no mɔ, nɔto so? Wetin na "kɔntrast"? Yu tink se i go kɔz ɛni bad tin? Wetin mek fɔ skan ɔltɛm nɔ go du fɔ am? Tide, wi go tɔk bɔt di ansa to ɔl dɛn kwɛstyɔn ya na yu maynd insay dis atikul we rili simpul.
Fɔ tɔk am simpul wan, wetin na Kɔntrast-Ɛnhans Ɔltrasɔund (CEUS)?
Fɔ ɔndastand dis, lɛ wi mɛmba fɔs wetin na ɔltra saund skan. Ɔltra saund skan min se dɛn kin sɛn ay frikyuɛnsi sawnd wev dɛn we wi nɔ kin yɛri insay di bɔdi, ɛn di wef dɛn kin bounce kɔmɔt na di ɔgan dɛn we de insay ɛn mek wan pikchɔ na kɔmpyuta skrin.
Contrast-Enhanced Ultrasound (CEUS) na wan we we dɔn go bifo smɔl fɔ dis prɔsidyu. na ya, dεn de injεkt wan spεshal wata insay yu vein tru wan sכmכl kanula (IV layn). Dis na wetin wi kɔl "kɔntrast." Dis wata gɛt bɔku bɔku ɛya bɔbul dɛn, we smɔl pas yu blɔd sɛl dɛn. Dɛn kɔl dɛn tin ya ``maykrobɔbul'' fɔ bi prɛsis.
As dɛn bɔbul dɛn ya de travul tru yu blɔd vesel dɛn to difrɛn ɔgan dɛn, we di sawnd wev dɛn we de kɔmɔt na di ɔltra saund mashin nak dɛn bɔbul dɛn ya, dɛn kin shek lawd wan, ɛn bounce di sawnd wev dɛn bak wit big pawa. Dis dɔn mek di say dɛn we gɛt dis difrɛns de sho brayt ɛn klia pasmak na di pikchɔ we yu de si na di kɔmpyuta skrin.
Fɔ tɔk am simpul wan, dis difrɛns de wok lɛk fɔ shayn smɔl ‘tɔch’ pan di ɔgan dɛn we de insay di bɔdi. Dis kin mek di dɔktɔ si di blɔd we de flɔ to di ɔgan dɛn rili klia wan.
Wetin na di men tin we di CEUS tɛst de pe atɛnshɔn pan?
Dɔktɔ dɛn kin yuz dis tɛst mɔ fɔ no sɔm tin dɛn we de apin na di liva ɛn di kidni, bɔt dɛn kin yuz am bak fɔ chɛk sɔm ɔda ɔgan dɛn.
| Di ɔgan we de ɛgzamin | Situeshɔn dɛn we pɔsin kin no |
|---|---|
| Liva | Identification of kansa ɛn nɔ kansa lɛshɔn dɛn. |
| Kidni dɛn | Fɔ no if yu gɛt kansa na yu kidni, sist, ɛn infɛkshɔn. |
| Ɔda ɔgan dɛn | fכ chεk aw di כgan dεm lεk di bכdi vεsεl dεm, di at, di gal blad, di pankrias, di splin, εn di blad de wok εn di bכdi. |
| Tritmɛnt fɔ kansa | Monitoring di rispכns fכ wan kansa tכmכro to tεrapi. |
Wetin na di bɛnifit dɛn we CEUS gɛt pas ɔda kayn skan?
Sɔntɛnde, dɔktɔ dɛn kin yuz CEUS togɛda wit ɔ as ɔda we fɔ du tɛst lɛk CT skan ɛn MRI skan bikɔs i gɛt bɔku spɛshal bɛnifit dɛn.
- Sef fɔ di kidni dɛm: Di kɔntrast we dɛn kin yuz fɔ CT skan kin gɛt ifɛkt pan di kidni dɛm sɔntɛnde. So, CEUS na opshɔn we sef pasmak fɔ pɔsin we gɛt kidni sik ɔ alɛji to CT kɔntrast.
- I bɛtɛ fɔ yɔŋ pikin dɛn: Dɛn kin yuz ɛkstrem rayt fɔ du CT skan. Ultrasound nɔ de yuz X-ray. So, CEUS na sef fɔ yɔŋ pikin dɛn, fɔ avɔyd fɔ gɛt raytin we nɔ nid fɔ de.
Aw dis tɛst de go? Aw yu de fil?
Dis wan ol prɔses rili simpul. I kin apin insay tu pat.
Step 1: Rigyul Ultrasound Skan
Fɔs, di tɛknishian go put klia jel pan yu skin ɛn put wan tin we yu kin ol wit yu an we dɛn kɔl transdyusɔ oba am. Insay dis tɛm, dɛn go fɛn di rayt say we di ɔgan we dɛn de tɔk bɔt de ɛn tek sɔm men pikchɔ dɛn. Yu nɔ go fil ɛni pen insay dis tɛm, pas fɔ fil smɔl smɔl.
Step 2: Ultrasound skan wit kɔntrast
Dɔn, dɔktɔ ɔ nɔs go put smɔl kanula (IV) insay wan vein na yu an ɔ yu an ɛn injɛkt di kɔntrast wata na yu bɔdi. Yu kin fil smɔl smɔl we yu put di nidul ɛn yu an kin fil kol as di wata de go insay.
We di kɔntrast dɔn go insay di bɔdi, di tɛknishian go skan bak ɛn tek pikchɔ dɛn. Dis na we dɛn kin si klia wan aw di blɔd de flɔ to di ɔgan dɛn.
Nɔ wɔri! dis ay bכbul dεm (`maykrobכbul dεm`) we di kכntrast nכ de de na di bכdi fכ lכng. Dɛn kin bɔs afta sɔm tɛm, dɔn di gas we nɔ bad kin sɔlv insay di blɔd ɛn kɔmɔt na di bɔdi we yu de blo.
We di tɛst dɔn, dɛn go was di jel ɛn pul di kanula we de na yu an. Afta dat, yu kin go na os we yu nɔ gɛt ɛni prɔblɛm.
Aw a fɔ pripia bifo di tɛst?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Na wetin yu nid fɔ du na fɔ wɛr fayn klos we nɔ gɛt natin fɔ du wit am. Bɔt, i kin dipen pan di ɔgan we dɛn de chɛk, sɔntɛnde dɛn kin gi yu spɛshal instrɔkshɔn.
- Fast: If na bɛlɛ tɛst, dɛn go advays yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo di tɛst.
- Ful blad: If yu de du blad tɛst, dɛn kin aks yu fɔ drink wata ɛn kam fɔ di tɛst we yu blad ful-ɔp ɔl.
Di tin we impɔtant pas ɔl na fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɔ ɔspitul dɔn gi yu di rayt we.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?
Fɔs, ɔltra saund teknɔlɔji na wan we we rili sef ɛn nɔ gɛt ɛni bad bad sayd ɛfɛkt.
Bɔt sɔm pipul dɛn kin gɛt sayd ɛfɛkt frɔm di kɔntrast fluid. Bɔt dis nɔ kin apin so ɔltɛm . Dɛn sayd ɛfɛkt ya kin bi smɔl smɔl. Lɛ wi si wetin dɛn bi.
| Sayd ɛfɛkt lɛvɛl | Sɔm sayn dɛn we kin apin |
|---|---|
| Mild sayd ɛfɛkt dɛn (bɔku tɛm i kin mɛn insɛf) . | Ɛd pen, nɔs, it ɔ rash na di skin, pen ɔ wam na di say we dɛn injekt, fil fɔ wam na di bɔdi, chɛst nɔ de fil fayn, diziz, strenj teist na yu mɔt. |
| Modaret sayd ɛfɛkt dɛn (Dɛn kin nid fɔ tek mɛrɛsin) | Siriɔs nɔs ɔ vɔmit, di say dɛn we yu de blo smɔl (bronchospasm), yu fes kin swel, yu kin fɔdɔm, yu blɔd prɛshɔn kin smɔl. |
| Di bad bad sayd ɛfɛkt dɛn we kin apin (I rili rare) | Anafylaksis - Dis na wan rili siriɔs alɛji we kin mek pɔsin in layf de pan denja. Bɔt, dis nɔ kin apin so ɔltɛm. Di wan dɛn we de wok na di dɔktɔ dɛn kin rɛdi ɔltɛm fɔ dil wit dɛn kayn imejensi dɛn de. |
Akɔdin to sɔm statystik, smɔl smɔl sayd ɛfɛkt dɛn kin apin pan lɛk 5 pan 100 pipul dɛn (5%). Sivεr riakshכn kin apin pan less dan 1 pan 10,000 pipul dεm (less dan 0.01%). So nɔ mek dis fred pasmak.
Ustɛm a go gɛt di ripɔt?
Di pikchɔ dɛn we dɛn kin gɛt frɔm di tɛst, na wan dɔktɔ we de stɔdi bɔt di raytin kin tek tɛm stɔdi dɛn ɛn dɛn kin mek wan ripɔt. Dɔn, dɛn kin gi da ripɔt de to dɔktɔ we de trit yu. Fɔ dɔn, yu dɔktɔ go ɛksplen to yu di tin dɛn we dɔn kɔmɔt frɔm da ripɔt de.
Mɛsej we dɛn kin kɛr go na os
- Contrast-Enhanced Ultrasound (CEUS) na wan advans ultrasound skan we de yuz wan spɛshal wata we gɛt smɔl smɔl ɛya bɔbul dɛn fɔ si klia wan aw blɔd de flɔ tru di bɔdi in ɔgan dɛn.
- Dis kin fayn mɔ fɔ no if pɔsin gɛt sik dɛn na di liva ɛn di kidni. Na ɔda we we sef pas CT skan fɔ di wan dɛn we gɛt kidni ɛn yɔŋ pikin dɛn.
- Dis tɛst rili simpul. nכ diskכmכt nכ de pas we dεn put sכmכl kanula insay di an εn di kכntrast fכluid we dεn de gi.
- Sayd ifekt frɔm kɔntrast fluid nɔ kin bɔku. Nɔ mek yu fred. If yu gɛt ɛni alɛji, tɛl yu dɔktɔ bifo yu du di tɛst.
- I rili impɔtant fɔ fala di instrɔkshɔn dɛm we di ɔspitul ɔ yu dɔktɔ gi yu (e.g. fast) ɛksaktɔli fɔ gɛt kɔrɛkt rizɔlt.
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