If yu dɔktɔ si sɔntin we nɔ rayt na yu lɔng dɛn pan ɛkstrem rayt ɔ CT skan, dɛn go want fɔ luk insay am dip smɔl, nɔto so? I impɔtant fɔ kɔnfɔm ɛksaktɔli wetin nɔ rayt. Tide, wi go tɔk bɔt wan rili impɔtant, spɛshal tɛst we dɛn kin du di tɛm dɛn lɛk dis. Dɛn kɔl dis wan EBUS tɛst. Pan ɔl we di nem kin tan lɛk se i strenj smɔl, i nɔ kin mek pɔsin fred so.
Wetin na EBUS? Lɛ wi ɔndastand am simpul wan
Fɔ tɔk am simpul wan, EBUS (Endobronchial Ultrasound) na mɛdikal tɛst we de tek pikchɔ fɔ di insay pat pan yu lɔng. Na tru tru wan advans vɛshɔn fɔ wan tɛst we dɛn kɔl brɔnkoskɔpi.
tink bɔt am, `(Bronchoscopy)` na wan we we dɛn kin pas wan tin, layt tiub (lɛk kamɛra) insay di lכng fɔ luk di aywe dɛn we de insay. Naw, insay EBUS, dɛn kin tay wan smɔl `(Ultrasound)` mashin na di ɛnd pan da tiub de. fכ bi prεsis, i lεk we dεn du כltra saund skan fכ si pikin na di bεlε, dis de mek yu si di tisu dεm εn di limf no dεm insay di lכng dεm εn rawnd di aywe dεm rili klia wan.
Wan pan di big bɛnifit dɛn we dis kin gɛt na dat di dɔktɔ kin tek smɔl pat pan di tisu (bayopsi) frɔm wan say we dɛn kin tink se dɛn de du di ɛgzam, ɛn dis kin mek dɛn nɔ nid fɔ du ɔda ɔpreshɔn.
Wetin na di men kayn EBUS tɛst dɛm?
Bɔku men kayn ikwipmɛnt dɛn de we dɛn kin yuz fɔ du EBUS tɛst. Yu dɔktɔ go disayd us kayn we bɛtɛ fɔ yu bay aw yu de mɛn yu.
| EBUS tayp | Fɔ tɔk am simpul wan... |
|---|---|
| Radial prob EBUS (RP-EBUS) we de na di . | dis de mek yu go dip insay di lכng, insay di sכm sכm say dεm we di briz de blo, εn gεt wan rili klia, ay kwaliti fכ si כlsay (360 digri). Bɔt if yu want fɔ tek bayɔpsi sɛmpul frɔm dis, yu fɔ yuz wan sɛpret divays fɔ dat. |
| Kɔnvɛks prob EBUS (CP-EBUS) . | dis na כnli we dεn de yuz fכ di men aywe dεm (trakya εn brכnki). Bɔt di big bɛnifit fɔ dis na dat dɛn kin gɛt bayɔpsi we dɛn de du di ɛgzam. |
| EBUS-transbrכnkial nidul aspirashכn (EBUS-TBNA) . | Dis na rili wan we fɔ du tin. insay di CP-EBUS tεst we wi bin dכn mεnshכn, dεn de yuz dis mεtכd fכ gεt tisu כ fluid sεmpl we dεn yuz wan tin nidul. |
Wetin mek dɛn de aks yu fɔ du EBUS tɛst?
Bɔku tɛm, if ɔda tɛst (X-ray, CT scan) sho se sɔntin nɔ de na di lɔng ɔ di say we de rawnd di midul chɛst (mediastinum), di dɔktɔ dɛn kin se dɛn fɔ du EBUS tɛst fɔ no wetin i bi.
Dɛn kin yuz am mɔ fɔ no di tin dɛn we kin apin lɛk:
- Infεkshכn εn absεs dεm na di lכng.
- No di kansa wae de kam na di lכng כ di midul pat na di chεst.
- Fɔ no di stej fɔ wan kansa we dɔn de.
- Fɔ no ɔda inflammatory lung sik dɛm lɛk Sarcoidosis ɔ Silicosis.
- di kכndishכn dεm lεk we di aywe dεm de sכmtεm sכmtεm (Stenosis).
- luk fכ sכm sכm sכm sכm sכm dεm na di lכng dεm (pulmonary nodules).
Fɔ tɔk am simpul wan, EBUS na pawaful tin we de ɛp di dɔktɔ fɔ gɛt rili klia pikchɔ bɔt wan prɔblɛm we de insay di lɔng.
Aw yu fɔ pripia bifo di tɛst?
Pan ɔl we dis nɔto big ɔpreshɔn, di dɔktɔ go gi yu sɔm tin dɛn we yu fɔ fala bifo dɛn du di ɔpreshɔn. I rili impɔtant fɔ fala dɛn di rayt we.
- Blɔd tɛst: Dɛn kin aks yu fɔ mek dɛn chɛk sɔm tin dɛn na yu blɔd bifo dɛn du di tɛst.
- Fastin: Dɛn go advays yu fɔ lɛf fɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di tɛst.
- Aw fɔ no bɔt mɛrɛsin: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek naw (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn). Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan, fɔ sɔm dez.
- Sɔmbɔdi fɔ drayv yu go na os: Dis rili impɔtant. Nɔ fɔgɛt fɔ briŋ pɔsin fɔ drayv yu go na os afta di tɛst. Bikɔs dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn, yu nɔ go ebul fɔ drayv fɔ di de.
Wetin kin apin we dɛn de du di tɛst? Yu tink se i go mek i fil bad?
Yu kin fred smɔl bɔt dis. Bɔt yu nɔ go fil ɛni pen we yu du dis. Lɛ wi si wetin go apin.
Bifo di tɛst bigin...
Yu go ledɔm na bed, ɛn nɔs ɔ dɔktɔ we de anestez go put IV layn na yu an. Dis na di say we dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn ɛn nɔ gɛt pen ɔl di tɛm we dɛn de du di wok. Dɛn kin gi yu smɔl smɔl mɛrɛsin fɔ mek yu fil fayn ɔ dɛn kin gi yu jenɛral anestezi. Apat frɔm dat, dɛn go put sprɛy we de mek yu nɔ fil fayn na yu mɔt ɔ yu nos. Dis go ɛp fɔ mek yu nɔ fil fayn we dɛn put di inschrumɛnt insay.
We dɛn de du di tɛst...
We yu dɔn swɛla ɛn nɔ no natin, di dɔktɔ we de mɛn yu pulmon go tek tɛm put brɔnkoskɔp tru yu mɔt ɔ yu nos ɛn muv am dɔŋ yu aywe. I go luk insay pan monita, chɛk di say wit ɔltra saund, ɛn tek bayɔpsi sɛmpul if nid de. We dɛn dɔn du ɔl dis, dɛn go pul di inschrumɛnt rili saful wan.
Dis ɔltin kin tek bitwin 30 ɛn 90 minit .
Wetin kin apin afta di tɛst?
Afta di tɛst dɔn, dɛn go de wach yu fɔ lɛk wan ɔ tu awa so. Wae dɛn dɔn kɔnfyus se yu dɔn ful-ɔp wit ɔl yu at ɛn yu nɔ gɛt prɔblɛm fɔ blo ɔ swɛla, dɛn go alaw yu fɔ go na os.
Yu kin fil dis fɔ lɛk wan de afta di tɛst:
- Wan smɔl trot we kin at
- Wan hoarseness na di vɔys
- Wan kɔf we pɔsin kin kɔf
Yu kin kɔf smɔl blɔd bak . Dis na nɔmal tin ɛn i go stɔp insay wan ɔ tu dez. Bɔt if di blɔd kɔntinyu fɔ de fɔ sɔm dez ɔ if bɔku blɔd de kɔmɔt, tɛl yu dɔktɔ wantɛm wantɛm.
Di bɛnifit ɛn risk dɛn we di EBUS tɛst gɛt
Wetin na di bɛnifit dɛn we dis tɛst gɛt?
We yu kɔmpia am wit ɔda we dɛn, wan EBUS tɛst gɛt bɔku bɛnifit dɛn.
- Akkurayt: Di dɔktɔ kin muv di ɔltra saund jɔs usay i want, ɛn dis kin mek i ebul fɔ tek pikchɔ dɛn we rili kɔrɛkt ɛn klia.
- Efyushɔn: Dɛn kin du di tɛst ɛn di bayɔpsi ɔl tu di sem tɛm. Sɔntɛnde, dɛn kin no aw pɔsin kin gɛt kansa ɛn di stej we i kin gɛt di sem tɛm.
- I izi fɔ du: Dis na ɔutpatient prosidur, we min se yu kin go na os di sem de.
- Low risk: Dis na ``minimally invasive`` prosidur. Dis min se nɔ say nɔ de na di skin lɛk ɔpreshɔn, so di risk fɔ gɛt infɛkshɔn ɛn ɔda kɔmplikeshɔn dɛn rili smɔl.
Ɛni risk dɛn de we kin apin?
EBUS na wan we we nɔ gɛt bɔku prɔblɛm , bɔt sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm.
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Lɔng we dɔn fɔdɔm
- I nɔ kin izi fɔ yu fɔ blo
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
We yu go na os afta di tɛst, i rili impɔtant fɔ no bɔt ɛni ɔda sayn we nɔ kɔmɔn. If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm. Yu kin nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Fiva
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo bad bad wan
- I nɔ izi fɔ swɛla
- Kɔntinyu fɔ blɔd ɔ pasmak we yu de kɔf
- Nɔ ebul fɔ pis (urinary incontinence) .
Mɛsej we dɛn kin kɛr go na os
- EBUS na sef, minimally invasive test we de alaw yu fɔ si di tisu ɛn lumps insay ɛn rawnd yu lɔng rili klia wan.
- Dis kin bi we yu nɔ nid fɔ de na ɔspitul, ɛn i pɔsibul fɔ gɛt bayɔpsi sɛmpul dɛn we dɛn de du di ɛgzam.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (fast, stɔp mɛrɛsin) jɔs bifo di tɛst.
- Na nɔmal tin fɔ gɛt smɔl prɔblɛm, lɛk fɔ gɛt trot we de at ɛn kɔf, afta di tɛst.
- Bɔt if sɔm sayn dɛn lɛk we yu de fil bad bad wan na yu chɛst, i nɔ izi fɔ blo, ɔ yu fɔ blɔd pasmak, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni dawt ɔ fred bɔt dis tɛst, nɔ ɛva shem fɔ tɔk to yu dɔktɔ ɛn mek dɛn no klia wan.
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