Afta yu dɔn luk yu X-ray ɔ CT skan, yu dɔktɔ tɛl yu fɔ du EBUS tɛst? Yu kin fred smɔl we yu yɛri di nem. "Wetin bi EBUS? Dem put somtin fo yu lung? I go at?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ wɔri. Tide wi go tɔk bɔt dis EBUS tɛst insay wan rili simpul we, insay langwej we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na EBUS?
Imajin se di dɔktɔ want fɔ tek tɛm luk gud wan pan wan smɔl prɔblɛm we de insay yu lɔng. EBUS (Endobronchial Ultrasound) na wan tɛst we rili advans we dɛn kin du dɛn kayn tɛm dɛn de. insay dis, wan rili tכn tכb we gεt layt εn sכmכl kεmεra na di fכnt (wi kכl dis ``bronchoscope``) de pas insay di lכng dεm.
Bɔt di spɛshal tin bɔt dis na dat apat frɔm di kamɛra, wan smɔl ``ultrasound`` skan de bak we dɛn tay na di ɛnd pan di tiub. jכs lεk di כltra saund skan we de luk pikin na di bεlε, dis sכmכl mashin kin si di tisu dεm εn di limf no dεm insay εn rawnd di lכng dεm rili klia wan. Dis min se di dɔktɔ kin sidɔm insay di lɔng ɛn tek pikchɔ fɔ di insay.
Fɔ tɔk am simpul wan, EBUS na wan advans we we de jɔyn ɔltra saund teknɔlɔji wit kamɛra we dɛn put insay di lɔng dɛn (bronchoscopy) fɔ mek dɛn no di sik kɔrɛkt wan.
Wetin na di men kayn EBUS tɛst dɛm?
Bɔku men kayn EBUS tɛst dɛn de. Yu dɔktɔ go disayd us kayn we go fayn fɔ yu bay aw yu de mɛn yu.
| EBUS tayp | Tɔk bɔt |
|---|---|
| Radial prob EBUS (Radial prob EBUS - RP-EBUS) Na wan wan wan wan wan wan wan wan wan wan. | Dis kin go dip insay di lכng dεm, dכn to di tכn tכn we dεn de blo. I de mek yu ebul fɔ si klia wan 360 digri. Bɔt if yu want fɔ tek tisu sɛmpul (bayopsi) wit dis we, yu fɔ yuz wan sɛpret divays fɔ dat. |
| Kɔnvɛks prob EBUS (CP-EBUS) . | dis dεn kin yuz fכ egzamin big big aywe dεm lεk di men aywe dεm (trachea εn bronchi). di big advantej fכ dis na dat dεn kin tek wan tisu sεmpl we dεn de egzamin, if nid de. |
| EBUS-TBNA we dɛn kɔl EBUS-TBNA | Dis nɔto difrɛn kayn we. dis de tכk bכt di mεtכd fכ gεt tisu כ fכluid sεmpl (bayopsi) we dεn de yuz wan tin nidul we dεn de du di CP-EBUS egzamεn we wi bin dכn mεnshכn. Dɛn kɔl dis EBUS-Transbronchial Nidul Aspirashɔn (TBNA). |
Wetin mek dɛn de aks yu fɔ du EBUS tɛst?
Dɔktɔ go ɔltɛm se dɛn fɔ tek EBUS we dɛn nid fɔ chɛk mɔ bɔt sɔntin we dɛn si pan ɛkstrem rayt ɔ CT skan. Dis tɛst kin men wan fɔ no ɛn kɔnfɔm sɔm sik dɛn.
- Fɔ no if pɔsin gɛt kansa na in lɔng ɛn fɔ no di stej we i de.
- fכ no prכblεm dεm na di spεs bitwin di lכng dεm (mediastinum).
- Fɔ no di infɛkshɔn dɛn we de na di lɔng ɛn di abses.
- fכ no כda inflammatory lכng kכndyushכn dεm lεk Sarcoidosis εn Silicosis.
- fכ chεk fכ kכndishכn dεm lεk we di aywe dεm de sכmtεm (stenosis).
- fכ chεk fכ sכm sכm sכm lump dεm na di lכng dεm (pulmonary nodules).
Aw a fɔ rɛdi fɔ dis tɛst?
Yu dɔktɔ go gi yu patikyula instrɔkshɔn bifo di tɛst. Nɔ fred fɔ aks if ɛnitin de we yu nɔ shɔ bɔt. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Du sɔm blɔd tɛst bifo di tɛst.
- Nɔ it ɛn drink fɔ sɔm awa bifo di tɛst (fastin).
- Yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek yu blɔd tan) fɔ sɔm dez . Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn.
- Di tin we impɔtant pas ɔl: Bikɔs yu nɔ go ebul fɔ drayv afta di tɛst, arenj fɔ mek pɔsin drayv yu go na os bifo tɛm.
Wetin kin apin we dɛn de du di tɛst?
Pan ɔl we dis kin tan lɛk se i de mek pɔsin fred smɔl, fɔ tru, na sɔntin we dɛn kin du fayn fayn wan ɛn we nɔ kin mek pɔsin fil bad.
Bifo di tɛst
- Dɛn go mek yu ledɔm na bed ɛn if nid de, dɛn go ɛp yu fɔ ledɔm di rayt pozishɔn.
- wan sכmכl kanula (`(IV)`) dεn de put insay wan vein na yu an, tru weDɛn go gi yu sɛdeshɔn ɔ jenɛral anestezi fɔ mek yu fil rilaks. Dis go mek yu nɔ fil ɛni pen.
- Dɛn kin put sprɛy we de mek yu nɔ fil fayn na yu mɔt ɔ yu nos. Dis go ɛp fɔ ridyus ɛni prɔblɛm we yu go fil we dɛn put di tiub.
We dɛn de du di tɛst
Afta dɛn dɔn anestez yu ɛn yu mɔt/trot dɔn swɛ, di pulmonɔlɔjis go tek tɛm put brɔnkoskɔp tru yu mɔt ɔ yu nos ɛn insay yu lɔng. We dɛn de wach di skan monita, dɛn go chɛk di eria. If nid de, dɛn go tek wan smɔl pat pan di tisu (bayopsi) fɔ ɛgzamin. Di wan ol tin we dɛn kin du kin tek bitwin 30 ɛn 90 minit. Dɛn go tek tɛm pul di tiub we dɛn dɔn fɔ du di wok.
Wetin yu go ɛkspɛkt afta di tɛst?
Afta di tɛst, dɛn go kip yu ɔnda dɔktɔ fɔ lɛk wan ɔ tu awa so. Wae yu dɔn gɛt kɔnshɛns bak ɛn yu shɔ se yu nɔr de gɛt prɔblɛm fɔ swɛla, yu kin go na os.
Smɔl diskɔmfɔt lɛk dis kin apin fɔ wan ɔ tu dez afta di tɛst:
- Wan trot we de at
- Di vɔys we de ala lawd wan
- Wan smɔl kɔf we dɛn kin kɔf
Impɔtant: I nɔmal fɔ kɔf smɔl blɔd afta yu dɔn du di tɛst. Dis go dɔn insay sɔm awa ɔ wan de. Bɔt if di blɔd kɔntinyu fɔ de fɔ sɔm dez ɔ if bɔku blɔd de kɔmɔt, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tɛst kin gɛt?
EBUS na wan we we nɔ gɛt bɔku prɔblɛm. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we nɔ kin apin so ɔltɛm we kin apin. Bɔt di bɛnifit dɛn we dis we aw dɛn kin du am kin gɛt pas dɛn fa fawe.
| Bɛnifit dɛn | Risk - (na smɔl tɛm nɔmɔ) . |
|---|---|
| di ebul fכ go enisay insay di lכng dεm εn gεt rili klia imej dεm. | Blɔd we de kɔmɔt. |
| Fɔ ebul fɔ du di tɛst ɛn bayɔpsi di sem tɛm, we nɔ gɛt tu difrɛn we dɛn fɔ du am. | Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik. |
| fכ du di prosidכs we yu nכ mek big insishכn lεk כpεrayshכn εn wit sכm impak pan di bכdi (`minimally invasive`). | Di lɔng we dɔn fɔdɔm. |
| Fɔ ebul fɔ go na os di sem de we yu nɔ de na ɔspitul (outpatient procedure). | I nɔ kin izi fɔ yu fɔ blo. |
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt ɛnitin we de mɔna yu ɔ yu gɛt ɛni sayn we nɔ kɔmɔn, kɔl yu dɔktɔ. Go to dɔktɔ wantɛm wantɛm, mɔ if yu gɛt ɛni wan pan dɛn sik ya:
- Fiva
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- I nɔ izi fɔ swɛla sɔntin
- Fɔ kɔf blɔd ɔltɛm
- Nɔ ebul fɔ pis
Mɛsej we dɛn kin kɛr go na os
- EBUS na wan tɛst we rili sef ɛn we dɔn go bifo we dɛn kin yuz fɔ no if pɔsin gɛt lɔng sik, mɔ di sik dɛn lɛk kansa.
- Dɛn kin du dis tɛst ɔnda anestezi, so yu nɔ go fil ɛni pen.
- Dis nɔto ɔpreshɔn. Di risk rili smɔl bikɔs nɔto big say we dɛn kɔt am na di bɔdi.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs bifo ɛn afta di tɛst.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɔk to yu dɔktɔ bɔt am opin wan. I go rili fil fri fɔ no ɔltin.
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