Yu gɛt strenj pen bak na yu bɛlɛ we de ɔp we dɔn de kam fɔ sɔm dez? Sɔntɛm yu yay de tɔn yɔlɔ, wit sɔm sayn dɛn we tan lɛk janda? Na dis kayn tɛm, if yu dɔktɔ tɛl yu se yu nid fɔ du "ERCP" tɛst, yu kin fil smɔl frayd we yu yɛri da nem de. Bɔt fɔ tru, i nɔ de mek pɔsin fred so. Tide, wi go tɔk bɔt dis tɛst we dɛn kɔl ERCP klia wan ɛn simpul wan.
Wetin na ERCP insay simpul wɔd dɛn?
Di nem ERCP de saund likli long en komplikayt, no so? Mek wi brok am dɔŋ. ERCP na wan akɔdin fɔ Ɛndoskopik Rɛtrogrɛd Kɔlanjiɔpankrɛatografi .
Fɔ tɔk am simpul wan, dis na spɛshal tɛst we de luk insay wi bayl dakt ɛn pankrias dakt . Tink bɔt am lɛk we yu put kamɛra insay dɛn smɔl smɔl pat dɛn ya we tan lɛk tiub na wi bɔdi.
- εndoskopik: dis de tכk bכt εndoskop, we min se dεn de yuz wan tin, fleksibul tכb wit kεmεra we dεn atak fכ dis.
- Retrograde: Dis min "bak bak." insay dis tεst, dεn injεkt wan likwid (kכntrast day) insay dεn vessel dεm ya di כpכsite dairekshכn to nכmal fכ fכlכ.
- Cholangiopancreatography: Dɛn kin sheb dis to tu pat. "Cholangio" min di bayl dakt dεm. "Pancreato" min pankrias dakt dεm. "Graphy" min fɔ tek pikchɔ. dat min se fכ tek εks-ray pikchכ dεm fכ di bayl dakt dεm εn di pankrεas dakt dεm.
Dis tɛst de yuz wan spɛshal day, we de mek di insay pan dɛn smɔl smɔl dakt dɛn ya rili si pan di ɛkstrem rayt. Dis kin mek di dɔktɔ si if ɛnitin dɔn blok na dɛn dakt ya, lɛk gal ston , tumbu, ɔ ska tisu. Di bɛst tin na dat, if dɛn fɛn prɔblɛm, dɛn kin trit am wantɛm wantɛm.
Wetin mek a nid fɔ gɛt ERCP tɛst?
Bɔku rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du ERCP. Di tin we kin apin mɔ na we dɛn sɔprayz se yu gɛt prɔblɛm wit yu gal blad, bayl dakt, ɔ pankrias.
Lɛ wi luk di tebul we de dɔŋ fɔ si wetin na di kɔmɔn rizin fɔ du ERCP.
| Simptom ɔ kɔndishɔn | Wetin ERCP dɔn fɛn ɔ trit? |
|---|---|
| Pen na di ɔpa bɛlɛ fɔ no rizin. | Fɔ no di gal ston dɛn, di dakt dɛn we smɔl, ɔ ɔda tin dɛn we de ambɔg. |
| Jaundice - Yu de yɔlɔ na yu yay ɛn yu skin. | fכ chεk fכ כbstrכkshכn dεm na di fכ fכlכ di bayl frכm di gal blad. Fɔ pul ston, tumbu, ɔ ɔda tin dɛn we de ambɔg. |
| Galston dɛn na di kɔmɔn bayl dakt. | No di ston dɛn ya ɛn krɔs dɛn ɔ pul dɛn ɔl. |
| Cholangitis ɔ inflamɛns na di bayl dakt dɛn. | Fɔ fɛn di tin we mek di infekshɔn, pul di blɔk, ɛn fɔ mek di bayl flɔ bak. |
| Di biliary strikt we dɛn kin mek. | Waid di at we dɔn smɔl ɔ put smɔl tiub (stɛnt) fɔ mek i opin. |
| Tumɔs ɔ kansa na di bayl dakt ɔ pankrias. | Fɔ tek smɔl pat pan di tisu (bayopsi) fɔ chɛk fɔ si if yu gɛt tumbu. |
Aw a fɔ pripia bifo di tɛst?
I rili impɔtant fɔ mek yu pripia fayn bifo dis tɛst. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt wetin fɔ du. Jɛnɛral wan, yu fɔ fala dɛn instrɔkshɔn ya:
- Fɔ it ɛn drink: Yu fɔ avɔyd fɔ it, drink (eksept wata), ɔ fɔ chɛw gɔm fɔ lɛk 8 awa bifo di tɛst. Ɛmpti bɛlɛ impɔtant fɔ mek yu gɛt sef ɛn klia tɛst.
- Tɔk bɔt yu mɛrɛsin dɛn: If yu de tek mɛrɛsin fɔ ɔda mɛrɛsin, lɛk dayabitis ɔ ay blɔd prɛshɔn, mɔ di wan dɛn we de mek yu blɔd tan , yu fɔ rili tɛl yu dɔktɔ bifo tɛm. Dɛn kin aks yu fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de fɔ sɔm dez.
- Alɛji dɛn:If yu bin dɔn gɛt alɛji fɔ di mɛrɛsin we dɛn kin yuz fɔ anestez ɔ fɔ kɔntrast day, tɛl yu dɔktɔ bɔt dat bak.
- Sɔmbɔdi fɔ drayv yu go na os: Bikɔs dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn afta di tɛst, yu nɔ go ebul fɔ drayv ɔ go na os fɔ yusɛf. So, i rili impɔtant fɔ mek yu gɛt pɔsin we go drayv yu go na os.
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt ɛni kwɛstyɔn ɔ tin we yu de fred wit di dɔktɔ bifo yu du di tɛst. Dis go ɛp yu fɔ ɔndastand mɔ ɛn kɔrej yu.
Wetin kin apin we dɛn de du di tɛst?
ERCP na di sem de tɛst, we min se yu kin go na os we yu nɔ nid fɔ de na ɔspitul. I kin tek lɛk wan ɔ tu awa so.
1. Sedation: Fɔs, dɛn kin put kanula insay wan vein na yu an ɛn gi yu sedativ fɔ mek yu slip. Dis go mek yu nɔ fil ɛni prɔblɛm ɔ pen we yu de du di tɛst. Sɔntɛm yu nɔ go mɛmba ɛni ɔda tin insay dis tɛm.
. Dɛn kin du ɔl dis we dɛn de wach pan monita.
3. fכ no di dakt dεm: fכ no usay di bayl dakt dεm εn di pankrεas dakt dεm de opin na di sכmכl intestin.
4. Injekt di Kכntrast Day: Nεks, dεn de pas כda tin tכb tru di εndoskop, εn dεn injεkt di kכntrast day insay di dakt tru am.
5. X-ray (Fluoroscopy): As di day de muv tru di tiub, dεn de si am bay we dεn de muv εks-ray vidio (fluoroscopy). Dis X-ray rili sef bikɔs di raytin nɔ bɔku.
6. Aw fɔ no di sik ɛn aw fɔ trit am: Dɛn ɛkstrem pikchɔ ya de mek di dɔktɔ si di rayt tin we de blok, ston, tumbu, ɔ ɔda prɔblɛm dɛn we de insay di tiub dɛn.
Kes dɛm fɔ tritmɛnt we dɛn de du di ɛgzamin
Dis na wan pan di big big bɛnifit dɛn we ERCP gɛt. If dɛn no se prɔblɛm de, dɛn kin pas smɔl smɔl inschrumɛnt dɛn na di ɛndoskɔp ɛn trit dɛn wantɛm wantɛm.
- Fɔ pul ston: Dɛn kin krɔs ɔ pul di ston dɛn we dɔn stɔp na di bayl dakt dɛn ɔl.
- Bayopsi: If tumbu ɔ tisu de we dɛn tink se de, dɛn kin tek smɔl pat pan am fɔ mek dɛn go tɛst am mɔ.
- Vaskul dilayshכn: di vaskul vεsεl dεm we dεn dכn sכmtεm bikoz fכ ska kin dilayt.
- Stent ples: If yu nid fɔ kip wan vessel opin, dɛn kin put smɔl mɛsh tyub (stent) insay.
- Sphincterotomy: we dɛn kin du: .dεn kin mek sכm sכm pat na di mכsul usay di dakt de opin, we de mek di opin big εn mek ston כ bayl pas tru izi wan.
Wetin yu go ɛkspɛkt afta di tɛst?
Afta di tɛst, yu go nid fɔ de na ɔspitul fɔ lɛk wan ɔ tu awa so te di tin dɛn we di anɛstɛtik de du dɔn west. Afta dat, yu kin go na os wit di pɔsin we kam kɛr yu go na os.
Yu kin gɛt smɔl prɔblɛm fɔ wan ɔ tu dez, lɛk:
- Trot we de at: Di ɛndoskop kin mek yu trot at smɔl. Dis kin ridyus if yu it wata ɛn tin dɛn we saf.
- fכ fulכp כ fכ kכmכt na di bεlε: we dεn de tεst, dεn de pכmp di briz insay di bεlε εn di intestines fכ mek yu si di insay bεtεh. Dis kin mek yu bɛlɛ nɔ fil fayn smɔl. Dis go stɔp afta sɔm tɛm.
- Nɔs: Sɔm pipul dɛn kin fil smɔl fɔ nɔs bikɔs ɔf di mɛrɛsin we dɛn de yuz fɔ mek dɛn nɔ fil fayn. Dis go dɔn smɔl smɔl.
Wetin na di risk dɛm fɔ ERCP tɛst?
Jɔs lɛk ɛni mɛdikal prɔsidyu, ERCP kin kɛr smɔl risk. Bɔt, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm. Kɔmplikɛshɔn kin apin pan 5% to 10% pan pipul dɛm wae gɛt ERCP.
Sɔm prɔblɛm dɛn we kin apin na:
- Pankrias: Dis na di prɔblɛm we kin apin pas ɔl. Di tɛst kin mek di pankrias swel.
- Infεkshכn: Infεkshכn kin apin na di bayl dakt dεm.
- Blɔd: Smɔl blɔd kin kɔmɔt if dɛn tek wan tisu sɛmpul ɔ dɛn kɔt am.
- Pɔrfɔreshɔn: Na smɔl tɛm nɔmɔ di ɛndoskɔp kin mek ol na di wɔl na di εsophagus, bɛlɛ, ɔ smɔl intestinal.
Yu dɔktɔ go ɛksplen ɔl dɛn prɔblɛm ya to yu bifo yu du di tɛst. Nɔ wɔri, na spɛshal pipul dɛn we gɛt bɔku trenin kin du dis tɛst.
Wetin na di spɛshal sayn dɛm wae yu fɔ tɔk to di dɔktɔ bɔt?
If, afta yu dɔn go na os afta di tɛst, yu gɛt ɛni siriɔs sik ɔda pas di smɔl diskɔmfɔt we yu kin gɛt, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
Di sayn dɛm we yu fɔ wach fɔ:
- Bɛlɛ pen bad bad wan ɔ blo.
- Fiva ɔ kol kol.
- Fɔ vɔmit ɔltɛm.
- Chɛst pen ɔ i nɔ kin izi fɔ blo.
- Blɔd we de kɔmɔt na di rɛktum ɔ we de pas blak, tar stɔl.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- ERCP na wan rili impɔtant ɛn advans tɛst we dɛn kin yuz fɔ no ɛn trit sik dɛn we gɛt fɔ du wit di bayl dakt ɛn pankrias dakt.
- Dɛn kin du dis tɛst we dɛn de gi yu mɛrɛsin we de mek yu slip, so yu nɔ go fil ɛni pen ɔ nɔ fil fayn we dɛn de du am.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di tɛst, mɔ we i kam pan fast ɛn mɛrɛsin.
- Pan ɔl we sɔm prɔblɛm dɛn de we kin apin we pɔsin du ɛni mɛrɛsin, bɔku tɛm, ERCP kin rili sef. Siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
- Yu fɔ no bɔt di wɔnin sayn dɛm we kin apin afta di tɛst. If yu gɛt ɛnitin we de mɔna yu, go to dɔktɔ wantɛm wantɛm.











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt