Yu dɔktɔ dɔn tɛl yu fɔ du TEE tɛst? Yu kin fred smɔl we yu yɛri di nem. Yu go de tink se, ‘Wetin na dis wan ol tin we de swɛla tiub?’ Bɔt nɔ wɔri. I nɔ de mek pɔsin fred lɛk aw yu go tink. Na wan tɛst we rili advans we de gi yu dɔktɔ bɔku impɔtant infɔmeshɔn bɔt yu at wɛlbɔdi. Tide, wi go tɔk bɔt di TEE tɛst insay wan rili simpul we we yu go ɔndastand.
Simply put, wetin na TEE?
di ful minin fכ TEE na Transesophageal Echocardiogram . Okay, okay... di nem de konfuz likl. Mek wi kip dis simpul wan.
Imajin se yu nid fɔ tek pikchɔ fɔ yu at. Insay wan tipik ɛko tɛst, we dɛn kɔl Transthoracic Echo (TTE) , di dɔktɔ kin put wan smɔl tin na yu chɛst ɛn tek pikchɔ dɛn fɔ yu at. I tan lɛk se yu de tek foto frɔm fa.
Bɔt wan TEE tɛst difrɛn smɔl. Na ya, dɛn kin put wan tiub we rili tan ɛn we kin chenj (we dɛn kɔl ɛndoskɔp) tru yu mɔt ɛn pas am dɔŋ yu εsophagus. Na di ɛnd pan dis tiub, wan smɔl tin we tan lɛk kamɛra (transducer) de. Dis kin mek sawnd wev dɛn kɔmɔt, ɛn di wef dɛn kin bounce kɔmɔt na di at ɛn mek pikchɔ dɛn we rili klia ɛn we de nia di at.
Yu εsophagus de biɛn yu at, rili nia am. Na dat mek dis we ya kin tek rili klia, ditayli pikchɔ dɛn bɔt yu at.
Wetin mek wi nid fɔ du TEE tɛst?
Nɔto ɔlman go nid fɔ gɛt dis TEE tɛst. Di dɔktɔ kin tɛl yu fɔ du am fɔ sɔm patikyula rizin dɛn. Lɛ wi si wetin dɛn bi.
| We aw tin bi naw | Aw TEE de ɛp |
|---|---|
| We ɔda tɛst dɛn nɔ de gi klia infɔmeshɔn | Yu nɔ go ebul fɔ fɛn wan patikyula at prɔblɛm afta yu dɔn gɛt TTE ɔltɛm. TEE de gi yu wan rili klia, dip we aw yu de si di at. |
| We yu de pan imejensi/siriɔs sityueshɔn | If yu blɔd prɛshɔn rili smɔl, yu ɔksijɛn lɛvɛl smɔl, ɔ yu bɔdi de shɔk, wan TEE kin ɛp fɔ fɛn di kɔz kwik kwik wan. |
| Bifo yu trit at ritm dizayd | Dis tɛst impɔtant fɔ chɛk fɔ si if blɔd dɔn klot na di at bifo dɛn du tritmɛnt fɔ di at we nɔ de wok fayn, lɛk fɔ pul di kateshɔn ɔ fɔ mek di at chenj wit ilɛktrik . |
| Insay ɔpreshɔn fɔ di at | Dɛn kin yuz TEE fɔ si di we aw di at tan kɔrɛkt wan bifo dɛn du di ɔpreshɔn, fɔ mek dɛn no se di ɔpreshɔn dɔn wok fayn afta dɛn dɔn du di ɔpreshɔn, ɛn sɔntɛnde fɔ gayd di dɔktɔ we dɛn de du di ɔpreshɔn. |
Wetin mek yu fɔ pik wan TEE instead fɔ wan rɛgyula Echo?
Dɔktɔ dɛn kin du TTE skan na di chɛst fɔs, bɔt sɔm tɛm dɛn kin disayd fɔ skip am ɛn go stret to TEE.
- Bikɔs ɔf di strɔkchɔ na dɛn chɛst: Sɔm pipul dɛn kin gɛt prɔblɛm fɔ gɛt klia pikchɔ frɔm TTE bikɔs ɔf di shep we dɛn chɛst gɛt, di fat we pasmak, ɔ di pozishɔn we dɛn lɔng dɛn de.
- Lכng sik dεm: If sik kכndishכn de na di lכng, i kin ambɔg di at fכ si.
- Insay imejensi we de mek pɔsin in layf de pan denja: Di klia pikchɔ dɛn we dɛn kin gɛt frɔm TEE rili impɔtant na imejensi usay dɛn nid fɔ no di sik kwik ɛn kɔrɛkt wan.
Aw a go pripia fɔ di TEE tɛst?
Yu go nid fɔ pripia sɔm tɛm bifo dis tɛst. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis.
- Fɔ it ɛn drink: Dɛn kin aks yu fɔ nɔ it ɔ drink ɛnitin fɔ at le 6 awa bifo di tɛst.
- Mɛrɛsin: Tɔk to yu dɔktɔ bɔt ustɛm yu fɔ tek di mɛrɛsin dɛn we yu kin tek.
- Alkol: Nɔ drink rɔm insay di de dɛn bifo di tɛst.
- Draiva: Nɔ fɔgɛt fɔ briŋ pɔsin fɔ kɛr yu go na os , bikɔs yu nɔ go ebul fɔ drayv afta di tɛst.
Di tin we impɔtant pas ɔl: I impɔtant fɔ tɛl yu dɔktɔ bɔt yu wɛlbɔdi istri, mɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Kansa na di εsophageal
- Gastritis we gɛt sik
- Hatbɔn ɔltɛm (GERD) .
- I nɔ izi fɔ swɛla
- Slip apnɛa fɔ slip
- Bɛlɛ kansa
- If yu de tek mɛrɛsin fɔ slip, wɔri, ɔr pen.
We dɛn dɔn tɛl yu dɛn tin ya, di dɔktɔ kin tek di step dɛn we nid fɔ mek dis tɛst sef fɔ yu.
Wetin kin apin we dɛn de du di tɛst?
Di ɔl di prɔses fɔ du dis tɛst kin tek lɛk 90 minit. Bɔt fɔ rili tek di pikchɔ dɛn kin tek lɛk 15 minit nɔmɔ. Di ɔda tɛm na fɔ pripia yu ɛn wach yu afta di tɛst.
1. Fɔs, dɛn go gi yu ɔspitul gɔn fɔ wɛr.
2. Dɛn go put smɔl smɔl stika dɛn (ilɛktrod) na yu chɛst. Dɛn tin ya go wach aw yu at de wok wit ilɛktrik ɔl di tɛm we yu de du di tɛst.
3. Dɛn kin tay blɔd prɛshɔn kɔf na di an ɛn dɛn kin tay puls ɔksimita na di finga.
4. Nɔ wɔri! Dɛn go sprɛy wan mɛrɛsin we de mek yu nɔ fil fayn na yu trot fɔ mek yu nɔ gɛt ɛni pen ɔ kɔf we yu de put di tiub.
5. Dɔn, dɛn go injɛkt wan mɛrɛsin insay wan vein na yu an (wan ``IV layn``) fɔ mek yu fil rilaks ɛn slip . Dis nɔ go mek yu nɔ fil fayn.
6. Dɛn go tɔn yu to di lɛft ɛn mek yu ledɔm.
7. Dɔn di dɔktɔ go tek tɛm ɛn tek tɛm put wan TEE tiub we gɛt lɔbrik tru yu mɔt ɛn dɔŋ yu ɛsophagus. Sɔntɛnde, dɛn go aks yu fɔ swɛla.
8. We di tiub dɔn de na in ples, dɛn go bigin fɔ tek pikchɔ dɛn bɔt di at. Yu nɔ go fil ɛni pen , bɔt yu kin fil smɔl prɛshɔn na yu chɛst.
9. We di pikchɔ dɛn dɔn, di mɔnk dɛn kin pul di tiub.
10. Dɛn go de wach yu blɔd prɛshɔn, puls, ɛn ɔksijɛn lɛvɛl fɔ sɔm tɛm afta dat, ɛn dɛn go tɛl yu we yu go ebul fɔ go na os.
Ɛni risk dɛn de we kin apin?
Jɔs lɛk ɛni mɛdikal tɛst, TEE kin kɛr smɔl risk, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
- Alɛji riakshɔn to di mɛrɛsin dɛn we dɛn yuz.
- Fɔd ɔ wata we de go insay di lכng (`Aspiration pneumonia`).
- Chenj na di blɔd prɛshɔn ɔ di at rit.
- Smɔl blɔd we de kɔmɔt bikɔs ɔf wan rili smɔl skrach na di an.
If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt dis, tɔk to yu dɔktɔ bɔt am opin wan bifo yu du di tɛst.
Wetin kin apin afta di tɛst?
Yu go nid fɔ rɛst fɔ sɔm tɛm afta di tɛst.
- Trot we de at: Yu trot go fil pen fɔ lɛk wan awa so. Nɔ it ɔ drink ɛnitin te di pen dɔn kɔmɔt kpatakpata. If nɔto dat, yu kin chok.
- Trot de at:Yu kin gɛt smɔl trot we de at fɔ sɔm awa ɔ wan ɔ tu dez afta di trot we de at dɔn go. Dis na nɔmal tin. Bɔt if di pen rili bad ɔ i nɔ go dɔn afta sɔm dez, tɔk to yu dɔktɔ.
- Go na os: Bikɔs ɔf di mɛrɛsin we dɛn bin gi yu fɔ mek yu slip, yu nɔ go ebul fɔ drayv ɔ du wok we denja fɔ 24 awa. Na dat mek yu go nid pɔsin fɔ kɛr yu go na os.
Wetin yu kin fɛn pan TEE tɛst?
Dis tɛst kin gi bɔku valyu tin dɛn bɔt aw di at tan ɛn aw i de wok, ɛn dis kin mek i izi fɔ di dɔktɔ fɔ no difrɛn kayn mɛrɛsin.
| Di sik we dɛn kin no bɔt di mɛrɛsin | Wan simpul ɛksplen |
|---|---|
| Aɔtik anɛrizm | Di wɔl na di men blɔd vesel we de kɛr blɔd frɔm di at kin wik ɛn swel. |
| Blɔd we de klɔt | fכ chεk fכ blכd kכlכt dεm we de fכm insay di at chεmba dεm. |
| Hat sik we dɛn bɔn wit | Fɔ no difrɛn at prɔblɛm dɛn we kin apin we dɛn bɔn am. |
| Tumɔs dɛn na di at | Fɔ no di tumbu dɛm we gɛt kansa ɔ we nɔ gɛt kansa we kin apin na di at. |
| Di sik we de mek pɔsin gɛt at valv | Fɔ chɛk fɔ si if di at valv dɛn dɔn smɔl ɔ if blɔd de lik. |
| Infεkshכn εndokarditis | Wan denja infεkshכn na di insay layn כ di valv dεm na di at. |
Mɛsej we dɛn kin kɛr go na os
- TEE na spɛshal skan we dɛn kin du tru yu εsophagus we de gi yu at rili klia pikchɔ dɛn.
- Dɛn kin du dis we dɛn kin du ɔltra saund skan na di chɛst ɔltɛm we nɔ kin gi yu inof infɔmeshɔn.
- We dɛn de du di tɛst, dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ fil fayn, rilaks, ɛn nɔ gɛt trot we de at. Dis nɔto tɛst we de mek pɔsin fil pen.
- I impɔtant fɔ fast fɔ sɔm awa bifo di tɛst ɛn fɔ gɛt pɔsin fɔ drayv yu go na os afta di tɛst.
- Tɔk to yu dɔktɔ bifo yu du di tɛst bɔt ɛni mɛrɛsin we yu gɛt, ɛni mɛrɛsin we yu de tek, ɛn ɛnitin we yu de fred ɔ wɔri bɔt. I rili impɔtant fɔ yu sef.
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