I nɔmal fɔ fil smɔl frayd ɛn fred we yu dɔktɔ tɛl yu fɔ "tek smɔl pat pan yu liva fɔ tɛst" (Liver Biopsy). Udat nɔ lɛk fɔ yɛri di wɔd dɛn "stik nidul," nɔto so? Bɔt dis rili nɔ de mek wi fred lɛk aw wi de tink. Dis kin ɛp yu fɔ no di rayt tin we de apin to yu liva. So lɛ wi tɔk bɔt dis jɔs frɔm di biginin.
Wetin na liva bayɔpsi?
Fɔ tɔk am simpul wan, liva bayɔpsi na we dɛn kin pul wan rili smɔl tisu (tisu sampul) na yu liva we dɛn de yuz spɛshal nidul. Dɔn wan dɔktɔ we spɛshal pan tisu, we dɛn kɔl pathɔlɔjis, kin chɛk dis tisu sɛmpul ɔnda maykroskɔp. Dis tɛst kin ɛp fɔ no uskayn sik yu liva gɛt.
Bɔku tɛm, dɛn kin anestez yu ɔltogɛda, we min se dɛn nɔ kin put yu na slip. Bɔt if yu de fred ɔ wɔri, dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn (mɛrɛsin) fɔ ɛp yu fɔ rilaks. Dis go mek yu ebul fɔ du dis ɛn yu nɔ go fil bad tumɔs.
Wetin mek yu nid fɔ tek yu liva bayɔpsi?
Dɔktɔ kin rifer yu fɔ dis tɛst fɔ sɔm rizin dɛn.
- If yu blɔd tɛst rizɔlt sho se yu de kɔntinyu fɔ gɛt bɔku bɔku liva ɛnzaym dɛn.
- If yu skin dɔn tɔn yɔlɔ fɔ no rizin, dat min se yu gɛt janda.
- If dɛn skan yu liva (lɛk ɔltra saund ɔ CT skan) sho sɔntin we nɔ rayt, lɛk tumbu, .
- If di liva swel ɛn big fɔ natin.
Dis tɛst kin kɔrɛkt wan fɔ no bɔku sik dɛn we gɛt fɔ du wit di liva. Fɔ ɛgzampul:
- Kansa na di liva
- Fat liva sik
- Si aw siriɔs sik lɛk Epataytis B ɛn C de
- Si if di liva dɔn gɛt sirosis, ɛn if na so, to aw i dɔn gɛt sik.
Dɔn bak, if pɔsin dɔn ɔlrɛdi de gɛt tritmɛnt fɔ in liva sik, dis bayɔpsi tɛst kin ɛp fɔ no if di tritmɛnt dɔn wok fayn.
Yu tink se dis kin rili mek pɔsin fil bad?
Dis na di big kwɛstyɔn we de na ɔlman in maynd. Na nɔmal tin fɔ tink bɔt pen we yu yɛri di wɔd "stik nidul ɛn tek wan pis." Bɔt di tru tin na dat, yu nɔ kin fil ɛni pen we dɛn put di bayɔpsi nidul insay di liva.
Di dɔktɔ go fɔs injɛkt wan lokal anestetik na di say we di skin go put di nidul. Dis tan lɛk fɔ mek di gɔm dɛn nɔ gɛt bɛtɛ trɛnk bifo dɛn pul di tut. Yu kin fil lɛk se yu de bɔn smɔl we dɛn gi yu di injɛkshɔn, bɔt di say we yu de go dɔn swɛla insay wan minit. Dɔn, we dɛn put di bayɔpsi nidul, yu go fil smɔl prɛshɔn nɔmɔ, nɔto pen.
Wetin na di we dɛn fɔ du liva bayɔpsi?
Bɔku we dɛn de fɔ du di liva bayɔpsi. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu sityueshɔn.
| Di we aw dɛn kin du bayɔpsi | Aw fɔ du am simpul wan |
|---|---|
| Bayɔpsi we dɛn kin du bay we dɛn de yuz pɔrkyutan | Dis na di we aw dɛn kin yuz mɔ ɛn we simpul pas ɔl. afta dεn dכn numb di skin, dεn kin put nidul tru di skin na di bכdi insay di liva εn tek wan pat pan di tisu. |
| Bayopsi we dɛn dɔn Plɔg | Semweso lɛk aw wi bin dɔn tɔk bɔt, bɔt afta dɛn dɔn pul di tisu, dɛn kin plɔg di nidul wit spɛshal jel. Dɛn kin yuz dis we fɔ pipul dɛn we gɛt bɔku prɔblɛm fɔ blɔd. |
| Laparoskopik Bayɔpsi | Dɛn kin kɔt wan rili smɔl say na di bɛlɛ, ɛn dɛn kin put wan tiub we gɛt kamɛra (laparoskɔp). Di kamɛra de luk di liva ɛn tek wan pat pan di tisu frɔm di say we i want. Yu go ful-ɔp fɔ anestez fɔ dis. |
| Transvenɔs / Transjugular Bayɔpsi | Dɛn kin yuz dis we fɔ pipul dɛn we gɛt prɔblɛm wit blɔd we kin mek dɛn blɔd klɔt. wan tכb we rili tכn (kateta) dεn de pas tru wan big bכdi we de na di nεk (jugular vein) insay di liva, εn dεn pas wan bayopsi nidul tru da tכb de fכ tek wan pat pan di tisu. |
Aw a fɔ pripia bifo dɛn tek am bayɔpsi?
Sɔm tin dɛn de we yu fɔ du bifo dis tɛst. I rili impɔtant fɔ mek yu fala dɛn tin ya di rayt we.
- Tɛl yu dɔktɔ ɔltin: If yu gɛt bɛlɛ, yu gɛt at ɔ yu lɔng sik, yu gɛt alɛji to sɔm mɛrɛsin dɛn, ɔ yu gɛt prɔblɛm wit blɔd, tɛl dɛn ɔl bifo tɛm.
- Tɛl wi bɔt ɔl di mɛrɛsin dɛn we yu de tek:Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. I impɔtant mɔ fɔ tɛl yu dɔktɔ if yu de tek tin dɛn we de mek yu blɔd tan lɛk aspirin, klopidogrel (Plavix), wɔfarin (Coumadin), ɔ apixaban (Eliquis) . Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya sɔm dez bifo dɛn du di bayɔpsi.
- Aks kwɛstyɔn: Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis.
- Stɔp fɔ it ɛn drink: Yu dɔktɔ go tɛl yu ɔmɔs awa bifo di bayɔpsi yu fɔ stɔp fɔ it ɛn drink. Fɔ fala da tɛm de ɛksaktɔli.
- Sɔmbɔdi fɔ drayv yu go na os: Bikɔs yu nɔ go ebul fɔ drayv yusɛf afta dɛn dɔn du di bayɔpsi, briŋ pɔsin fɔ drayv yu go na os.
Wetin kin apin di de we dɛn tek di bayɔpsi?
Dis prɔses kin go lɛk dis.
Bifo dɛn du di bayɔpsi
Di dɔktɔ go ɛksplen to yu ɔl di tin dɛn we yu fɔ du bak, tɛl yu bɔt di prɔblɛm dɛn we kin apin, ɛn mek yu gri fɔ du am. If nid de, dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn fɔ ɛp yu fɔ rilaks. Dɛn kin du ɔltra saund bak fɔ fɛn di rayt ples fɔ put di nidul.
We dɛn dɔn du di bayɔpsi
Dɛn go gi yu ɔspitul gɔn ɛn aks yu fɔ ledɔm na bed. Bɔku tɛm, dɛn go aks yu fɔ ledɔm wit yu rayt an ɔnda yu ed ɛn yu rayt ɛlb kɔmɔt. I impɔtant fɔ de stil as yu ebul insay dis tɛm. Di dɔktɔ go klin di say, gi am wan mɛrɛsin we de mek pɔsin nɔ fil fayn, i go kɔt smɔl, put bayɔpsi nidul, ɛn insay sɔm sɛkɔn, i go pul wan pat pan di tisu. di ol prosidכs de tek lεk 15-30 minit.
Afta di bayɔpsi
Dɔn dɛn go kip yu na rum fɔ wɛl fɔ lɛk 2-4 awa fɔ chɛk if yu blɔd prɛshɔn ɛn puls nɔmal.
- Yu kin fil smɔl pen na di say we dɛn injekt yu, ɛn sɔm pen na yu sholda ɔ bak. Dɛn go gi dɛn mɛrɛsin fɔ mek pɔsin fil pen if nid de.
- Nɔ fɔ es ebi ebi ɔ fɔ du ɛksɛsayz fɔ wan wik afta di bayɔpsi.
- Nɔ tek tin dɛn we de mek yu blɔd tan lɛk aspirin we yu nɔ gɛt yu dɔktɔ in advays. Yu kin tek parasetamol (asetaminophen) if nid de.
- Di dɔktɔ go ɛksplen am to yu we i gɛt yu tɛst ripɔt insay sɔm dez.
Ɛni risk de we dis kin apin?
Bɔku tɛm, no prɔblɛm nɔ kin de. Bɔt, i fayn fɔ no bɔt di tin dɛn we nɔ kin apin so ɔltɛm.
- Blɔd: Yu kin de blɔd insay yu bɔdi. Dɛn go de wach yu na di ɔspitul fɔ chɛk fɔ dis.
- Bayl lik: Bayl kin lik frɔm di liva ɔ gal blad.
- Prɔblɛm dɛn we gɛt fɔ du wit di lɔng dɛn:na sכm tεm we di bayopsi nidul kin hit di pleura, we kin pwεl di lכng (nyumothorax).
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ETU.
If ɛni wan pan dɛn sayn ya apin insay 72 awa afta dɛn dɔn du di bayɔpsi, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Fiva ɔ kol kol
- Diziz we pɔsin kin gɛt
- I nɔ kin izi fɔ yu fɔ blo
- Chɛst de pen
- Di bɛlɛ de blo ɔ ful-ɔp
- Di pen we de mek yu bɛlɛ de bɔku mɔ ɛn mɔ
- Rɛd, swel, ɛn bad bad pen na di say we dɛn pank am
If yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, kɔl 1990 wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Liva Bayopsi na wan tɛst we rili sef ɛn we dɛn kin du ɔltɛm we kin asɛs di wɛlbɔdi na yu liva kɔrɛkt wan.
- Bikɔs di skin kin swɛt we yu du dis, i nɔ kin fil pen lɛk aw yu kin tink. Yu jɔs de fil lɛk se yu de fil smɔl smɔl.
- I rili impɔtant fɔ yu sef fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs bifo ɛn afta di tɛst.
- If ɛni ɔda sayn we nɔ kɔmɔn (fiva, bad bad pen, at fɔ blo) kam afta di tɛst, go to dɔktɔ we nɔ go te.
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