Yu ɔ sɔmbɔdi na yu famili dɔn gɛt bɛlɛ we de at fɔ sɔm dez? Ɔ yu yay de tɔn yɔlɔ, lɛk janda? We yu go to dɔktɔ di tɛm lɛk dis, ɛn i tɛl yu se yu nid fɔ du ERCP tɛst, yu kin fred smɔl wantɛm wantɛm. "Wetin na dis ERCP?" Yu kin tink. So tide, rili simpul, lɛk se yu de tɔk to yu padi, lɛ wi lan ɔltin bɔt dis ERCP tɛst.
Fɔ tɔk am simpul wan, wetin na ERCP?
di ful nem fכ ERCP na ``Endoscopic Retrograde Cholangiopancreatography''. Pan ɔl we di nem lɔng smɔl, di minin we i gɛt rili simpul. dis na spεshal we dεn kin yus fכ no εn sכmtεm dεn kin trit prכblεm dεm wit di bayl dakt dεm εn pankrεas dakt dεm na wi dijestiv sistεm.
imajin se dεn de du dis wit wan instrכmεnt we dεn kכl ``εndoskop.`` dat na, wan tin, lכng tכb. I gɛt smɔl kamɛra ɛn layt na wan ɛnd. di dכkta de put dis tכb tru yu mכt εn sכmtεm i de pas am tru yu bεlε te i rich di ``duodenum,`` di fכs pat pan di sכmכl intestin.
We dɛn rich de, di dɔktɔ kin injɛkt wan spɛshal day tru di tiub. Dɔn, i tek ɛkstrem rayt fɔ si aw di day de flɔ tru di tiub. Dis kin ɛp fɔ no if ɛnitin dɔn blok ɔ ston de na di tiub. Sɔntɛnde, if sɔntin lɛk gal ston stɔp na di tiub, dɛn kin pul am we dɛn de du di tɛst.
Wetin na di bayl dakt dεm εn di pankrεas dakt dεm?
Dɛn tin ya tan lɛk smɔl paip we de insay wi bɔdi.
- di bayl dakt dεm: dεn dakt dεm ya de kכri bayl, we na wata we wi liva de mek, go na di gal blad εn sכmכl intestin. Dis bayl de ɛp fɔ sɔlv di fat dɛn we de insay di it dɛn we wi de it.
- di pankrias dakt dεm: dεn dakt dεm ya de kכri di jus dεm we di pankrεas de mek go na di sכmכl intestin. Dɛn jus ya gɛt ɛnzaym dɛn we de ɛp fɔ dayjɛst di it we wi de it.
Wetin na di difrɛns bitwin ERCP ɛn MRCP?
Yu kin dɔn yɛri bak bɔt MRCP. MRCP tinap fכ `(Magnetik Rεsכnans Kכlanjiכpankrεatografi)`. Pan ɔl we dɛn kin yuz dɛn tu fɔ luk di sem dakt sistɛm, di tu we dɛn rili difrɛn. insted fכ put kεmεra lεk insay ERCP, MRCP involv fכ injεkt spεshal likwid insay wan vein εn du `(MRI)` skan.
Lɛ wi luk dis tebul fɔ jɔs ɔndastand di difrɛns.
| Tin | ERCP (tru ɛndoskɔpi) . | MRCP (bay MRI skan) . |
|---|---|---|
| We | wan instrכmεnt (εndoskop) dεn de put insay di bכdi (invasive). | Dɛn nɔ de put natin insay di bɔdi. Dɛn kin skan am frɔm do (nɔ-invasive). |
| Di men tin we dɛn want fɔ du | Na di sem tɛm we dɛn de no di sik, dɛn kin du tritmɛnt lɛk fɔ pul ston ɛn put stent. | na imej nכmכ fכ di vaskulכr sistεm dεn nid fכ no di sik. Tritmɛnt nɔ pɔsibul. |
| Anestesia we dɛn kin yuz fɔ mɛn pipul dɛn | Bɔku tɛm, i kin mek pɔsin nɔ no natin ɔ i kin chak. | Nɔ anesthesia nɔ nid fɔ de. |
If di MRCP si se prɔblɛm de, yu go mɔs gɛt fɔ go fɔ wan sɛpret prosidur (bɔku tɛm na ERCP) fɔ trit am.
Insay us kes dɛn dɛn nid fɔ du ERCP tɛst?
Dɔktɔ kin tɛl yu fɔ du ERCP fɔ dɛn rizin ya:
- If yu gɛt bɛlɛ pen we yu nɔ ebul fɔ fɛn kɔz fɔ .
- If di yay ɔ di skin tɔn yɔlɔ (jaundice).
- If pɔsin de tink se gal ston ɔ ɔda tin (lɛk tɔmɔs) de blok di bayl dakt dɛn.
- If yu tink se yu bayl dakt ɔ pankrias dakt dɛn dɔn blok ɔ smɔl .
- If yu saspek se wata de lik frɔm dɛn paip ya.
- Luk fɔ infɛkshɔn na di urinary system.
Dɔktɔ dɛn kin tɛl yu fɔ du ERCP if op de fɔ trit di sik pas fɔ no se yu gɛt am. Dis na bikɔs ɛni we fɔ put divays insay di bɔdi kin gɛt smɔl prɔblɛm. Bɔt bɔku tɛm, ERCP na tin we nɔ gɛt bɔku prɔblɛm. Yu dɔktɔ go ɛksplen to yu di prɔblɛm dɛn we kin apin bifo yu du di ɔpreshɔn.
Aw yu kin rɛdi fɔ dis tɛst?
Sɔm tin dɛn de we yu nid fɔ pripia fɔ bifo yu gɛt ERCP. Mek shɔ se yu tɔk bɔt dɛn tin ya wit yu dɔktɔ.
- Tɛl wi bɔt ɛni ɔda sik we yu gɛt: If yu gɛt bɛlɛ, yu gɛt lɔng ɔ at sik, yu gɛt dayabitis, ɔ yu gɛt ɛni alɛji to ɛni mɛrɛsin, yu fɔ tɛl wi ɔl dis.
- If yu tek insulin fɔ dayabitis: Yu go nid fɔ ajɔst di insulin doz di de we dɛn de du di tɛst. Tɔk to yu dayabitis dɔktɔ bɔt dis.
- If yu de tek blɔd thinner: If yu de tek mɛrɛsin lɛk `Aspirin`, `Clopidogrel (Plavix)`, `Warfarin`, yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek dɛn mɛrɛsin de fɔ sɔm dez. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin we yu nɔ aks yu dɔktɔ.
- Fast fɔ 8 awa: I bɛtɛ fɔ mek yu nɔ it ɔ drink ɛnitin fɔ 8 awa bifo yu du di tɛst.
- Mek pɔsin we go drayv yu go na os: Yu kin fil lɛk se yu ed de tɔn afta di tɛst. So, mek pɔsin we gɛt di wok fɔ drayv yu go na os. Nɔ drayv ɔ yuz mashin fɔ 8 awa.
- A go gɛt fɔ de na ɔspitul?: Yu kin gɛt fɔ de na ɔspitul fɔ wan nɛt afta di tɛst. Pripia di tin dɛn we yu nid, lɛk klos, fɔ dat.
Wetin kin apin di tɛm we dɛn de du ERCP?
di כl prכsεs kin tek lεk 1-2 awa. Bɔku tɛm, yu kin go na os di sem de.
Bifo di tɛst bigin, yu trot go swɛ. Dɛn go gi yu bak wan mɛrɛsin we de mek yu fil fayn tru wan vein. Dɔn, di dɔktɔ go put di ɛndoskɔp insay yu mɔt ɛn gayd am insay di say we yu de.
Tritmɛnt dɛn we dɛn kin du we dɛn de du ERCP
Wan pan di big bɛnifit dɛn we dis kin gɛt na dat dɛn kin du bɔku tritmɛnt dɛn di sem tɛm we dɛn de du dis tɛst, ɛn dɛn nɔ nid fɔ du difrɛn ɔpreshɔn.
- Fɔ pul ston: Dɛn kin kech di gal ston dɛn we dɔn stɔp na di dakt dɛn, krɔs dɛn, ɛn pul dɛn wit smɔl waya baskɛt we dɛn kin pas na di ɛndoskɔp.
- bayɔpsi: if sɔntin de we dɛn kin sɔprayz pan di dakt dɛm, lɛk wan lump, dɛn kin tek wan smɔl pat pan am ɛn sɛn am fɔ ``bayopsi'' fɔ chɛk fɔ si if di kansa sɛl dɛn de.
- Dilayshכn: Yu kin mek di tiub we smɔl bay we yu put smɔl balyɔn insay ɛn inflate am.
- Stɛnt Ples: If dɛn nid fɔ kip wan vessel opin, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent insay am.
- Sfincterotomy: sכmtεm di mכsul we de opin na di urethra (Sphincter of Oddi) kin sכmtεm sכmtεm. Dɛn kin yuz dis we fɔ mek i big bay we dɛn kɔt am smɔl.
Wetin kin apin afta di tɛst? Ɛn di prɔblɛm dɛn we kin apin?
Afta di tɛst, dɛn go de wach yu fɔ lɛk 1-2 awa bifo dɛn admit yu na di wɔd. Yu kin fil pen fɔ sɔm tɛm, lɛk we yu trot skrach smɔl.
Pan ɔl we ERCP na jɔs wan we nɔ gɛt bɔku prɔblɛm, kɔmplikeshɔn kin apin pan rili smɔl nɔmba pan pipul dɛn.
- Riakshɔn to di mɛrɛsin dɛn we de mek pɔsin fil fayn.
- Alɛji to di wata we de pier (day).
- Inflameshɔn na di pankrias (Pancreatitis).
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik.
- Injuri ɔ blɔd we de kɔmɔt na di bɛlɛ ɔ insay di bɔdi we di ɛndoskɔp kin mek.
Sayn dɛn we de wɔn pipul dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm!
If yu si ɛni wan pan di sayn dɛm we de dɔŋ ya insay 72 awa afta di tɛst, kɔl yu dɔktɔ wantɛm wantɛm ɛn go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
| Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | |
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Mɛsej we dɛn kin kɛr go na os
- ERCP na imכtant prosidכs we dεn kin yuz fכ no εn trit sik dεm na di bayl dakt dεm εn pankrεas dakt dεm.
- Bɔku tɛm, dis na tɛst we nɔ gɛt bɔku prɔblɛm, bɔt tɔk to yu dɔktɔ bɔt am.
- Fɔ fala di dɔktɔ in instrɔkshɔn (lɛk fɔ fast ɛn fɔ tek mɛrɛsin) fayn fayn wan bifo yu du di tɛst.
- Mek shɔ se yu arenj fɔ mek pɔsin kɛr yu go na os afta di tɛst.
- Nɔ ignore ɛni ɔda kayn sayn (especially bad bad bɛlɛ pen, fiva) we kin apin afta di tɛst. Go to dɔktɔ wantɛm wantɛm.
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