Yu dɔn ɛva yɛri bɔt wan tin we de sɛn wan smɔl tin we tan lɛk kamɛra insay wan blɔd vesel na wi bɔdi ɛn chɛk aw in insay wɔl dɛn de? Na rili wan wɔndaful teknɔlɔji. Yu go dɔn yɛri bɔt angiogram, we dɛn kin yuz bɔku tɛm fɔ chɛk fɔ si if di at dɛn dɔn blok ɔ if di kɔlɔstrel dɔn de na di at. Bɔt tide wi go tɔk bɔt wan spɛshal tɛst we kin bi mɔ subtil, ɛn we kin si klia wan wetin rili de apin insay di blɔd vesel wɔl. Dis na wetin wi kɔl Intravascular Ultrasound (IVUS) .
Fɔ tɔk am simpul wan, wetin na Intravascular Ultrasound (IVUS)?
Imajin se wata paip na yu os dɔn lɔk. Bɔt yu nɔ go ebul fɔ no frɔm do usay i de, aw i dɔn klos, ɔ if di wɔl dɛn we de insay di paip dɔn pwɛl, nɔto so? Na so i kin bi wit wi blɔd vesel dɛn. IVUS na, fɔ tɔk di kɔrɛkt tin, wan smɔl skan we dɛn kin sɛn rayt insay di blɔd vesel dɛn.
Dis min se dɛn fɔ yuz sawnd wev fɔ chɛk di sɔft tisu we de insay di blɔd vesel dɛn. Wan tin we rili dilik we dɛn mek fɔ dis kin tek pikchɔ dɛn we de insay di blɔd vesel rial tɛm. Bɔku tɛm dɛn kin yuz dis tɛst fɔ chɛk aw di korona at dɛn de , we de gi blɔd to di at. Bɔt if nid de, dɛn kin yuz dis we bak fɔ chɛk ɔda blɔd vesel dɛn na di bɔdi.
Dɛn kin kɔl dis tɛst bak sɔm ɔda nem dɛn:
- Koronari intravaskul ɔltrasɔund
- Endovaskul ɔltra saund
- Intravaskul ɛkokadyografi
Aw dis teknɔlɔji de wok? I rili wɔndaful!
Di we aw dis de wok rili simpul ɛn i wɔndaful. Tink bɔt aw bat kin flay tru wan dak kev we i nɔ nak di wɔl dɛn. Di bat de mek sawnd, ɛn we i nak sɔntin we de ambɔg am ɛn kam bak (echo), di bat kin yɛri am ɛn ɔndastand wetin de bifo. IVUS teknɔlɔji tan lɛk dis smɔl.
1. Kateta insay: Fɔs, di dɔktɔ kin put wan tiub we rili tan ɛn we kin chenj, we dɛn kɔl kateta , insay wan blɔd vesel tru wan smɔl say we dɛn kɔt na yu groin ɔ yu an. Dɛn go gi yu wan mɛrɛsin we de mek yu nɔ fil fayn na di say we yu put am, so yu nɔ go fil ɛni pen.
2. Ultrasound Probe: Na di ɛnd pan dis kateshɔn na di hiro fɔ wi stori, di smɔl ultrasound probe . Dis na tin we rili smɔl.
3. Fɔ sɛn sawnd wev: Di dɔktɔ de tek tɛm muv dis kateshɔn along di blɔd vesel we dɛn go chɛk. As i de muv, di prob de mek sawnd wev dɛn we gɛt ay frikshɔn.
4. Echo Recapture: Dɛn sawnd wev ya kin bounce kɔmɔt na di wɔl dɛn na di blɔd vesel ɛn kam bak, jɔs lɛk di stori bɔt di bat.
5. Kɔmpyuta grafik dizayn:di echo dεm we de kam bak, na kכmpyuta de analכz am εn wan tεm dεn kכnvכlt am to klia, kכros-sekshכnal imej dεm fכ di insay pat pan di bכdi. Na we di dɔktɔ luk dɛn pikchɔ ya, i go ebul fɔ no di sik we de insay di blɔd vesel kɔrɛkt wan.
Fɔ tɔk am simpul wan, dis we ya de mek yu go insay wan blɔd vesel ɛn si milimita bay milimita aw in wɔl dɛn tik, if di kɔlɔstrel dɔn de, ɛn ɔmɔs ples di blɔd gɛt fɔ flɔ tru.
Aw IVUS tɛst go ɛp mi?
If dɔktɔ tink se yu blɔd vesel dɛn dɔn blok ɔ smɔl, i go rili ɛp yu fɔ du IVUS tɛst. I kin ɛp fɔ kɔntrol siriɔs, layf de pan denja lɛk at atak, pulmonary embolism, ɛn strok .
Lɛ wi luk di tebul we de dɔŋ fɔ si aw IVUS tɛst kin ɛp dɔktɔ dɛn.
| Chek pɔynt fɔ chɛk | Ɛksplen we dɛn gɛt bay IVUS |
|---|---|
| Kɔlɔstrel dɛpɔzishɔn (Atherosclerosis) . | I kin no kɔrɛkt wan if di kɔlɔstrel, fat, ɛn ɔda tin dɛn dɔn de (plak) na di wɔl dɛn na di blɔd vesel, ɛn if na so i bi, aw i bad. |
| Fɔ plan aw fɔ trit am | Dis infɔmeshɔn impɔtant fɔ disayd if di pɔsin nid fɔ put stent ɔ fɔ du big ɔpreshɔn lɛk korona at baypas ɔpreshɔn . |
| Di we aw dɛn kin put stent | If dɛn de put stent (wan tin we tan lɛk mɛsh we dɛn kin put fɔ mek di blɔd vesel opin), IVUS kin ɛp fɔ pik di kɔrɛkt saiz stent ɛn fɔ mek shɔ se i tay fayn fayn wan na di wɔl na di vein. |
| Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm | Dɛn kin yuz dis tɛst bak fɔ no bɔt tin dɛn lɛk we blɔd de klɔt, aɔta anɛrizm, ɛn di sik we de na di at we de na di at. |
Wetin na di difrɛns bitwin IVUS ɛn Angiogram?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Angiogram de chɛk fɔ si if blɔd vesel dɛn dɔn blok, ɛn IVUS de du di sem tin, so wetin difrɛn bitwin di tu?
Imajin se yu de waka na strit ɛn yu si pɔsin in shado na grɔn. We yu luk da shado de, yu go ebul fɔ no di pɔsin in shep rɔf. Angiogram na sɔntin lɛk dat. I min se dɛn injɛkt wan spɛshal day na di blɔd vesel dɛn ɛn tek ɛkstrem rayt. Dɔn wi kin jɔs si wan ‘shado’ pan di blɔd we de flɔ insay di blɔd vesel. Dat min se, na tu-dimɛnshɔnal (2D) pikchɔ.
Bɔt IVUS nɔ tan lɛk fɔ luk shado. I tan lɛk se yu kɔt bred to slais, tek wan slais ɛn chɛk wetin de insay. wit IVUS, wi kin gεt kכros sεkshכn pan di bכdi vεsεl, we wi kin si tri dimεnshn (3D). Dɔn wi kin si klia wan bɔku tin dɛn we angiogram nɔ kin si, lɛk di layers na di blɔd vesel in wɔl, di we aw di kɔlɔstrel kin de, ɛn di tik we i tik.
Aw dɛn kin du di tɛst: stɛp bay stɛp
Sɔm pipul dɛn kin fred smɔl we dɛn yɛri bɔt dis tɛst. Bɔt dɛn kin rili du am witout ɛni diskɔmfɔt. Na spɛshal dɔktɔ we sabi bɔt at (Interventional Cardiologist) ɔ wan dɔktɔ we de mɛn di vaskul dɛn (Vascular Surgeon) kin du am .
Tipikli, we dεn de egzamin di blɔd vεsul dεm na di at, dεn kin du dis IVUS tεst as pat pan wan kadyak kateshכ n tεst. Dis kin mek dɛn ebul fɔ chɛk bɔku ɔda tin dɛn na di at di sem we.
Na dis na aw di prɔses de wok:
1. Pripia: Yu go ledɔm pan ɛgzam tebul. Dɔn dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks. Yu go de kɔnshɛns bɔku tɛm, bɔt yu go rili rilaks. Yu nɔ go fil ɛni pen.
2. Klin ɛn numbing: Dɛn kin klin di say we dɛn go put di kateshɔn (bɔku tɛm na di groin) fayn fayn wan wit antiseptik sɔlvushɔn. Dɔn, dɛn kin injɛkt wan anɛstɛtik fɔ mek di say nɔ gɛt bɛtɛ trɛnk .
3. Fɔ put di kateshɔn insay:Naw di dɔktɔ go mek smɔl say na di say we nɔ gɛt bɛtɛ trɛnk ɛn put wan plastic sheath tru am. Dis go mek am izi fɔ put di kateshɔn insay di blɔd vesel. afta dat dεn go put di IVUS kateshכn tru am εn gayd am to di vein we dεn go egzamin.
4. Imej: we di kateshכn de insay in ples, di כltra saund prob we de na di tכp de aktibכt fכ tek imej fכ di insay pat pan di bכdi. Di dɔktɔ kin du dis we i de luk na kɔmpyuta skrin.
5. Fɔ dɔn: Afta dɛn dɔn gɛt ɔl di pikchɔ dɛn we dɛn nid, di dɔktɔ kin tek tɛm pul di kateshɔn ɛn di shit. Bikɔs di say we dɛn kɔt am rili smɔl, bɔku tɛm dɛn nɔ kin nid fɔ stich am. Dɛn kin put klin ɔspitul dresin na di say fɔ mek i nɔ gɛt di sik.
Rizult ɛn Rikavari
Wan ɔda big tin bɔt dis tɛst na dat di rizɔlt dɛn de insay rial tɛm. Bɔt di dɔktɔ go ɛksplen dis to yu afta di tɛst dɔn ɛn di tin dɛn we di mɛrɛsin we dɛn bin gi yu fɔ mek yu fil fayn dɔn pwɛl. Yu kin ebul fɔ si di rizɔlt we yu stil de na di rum fɔ wɛl.
As fɔ wɛl, if yu jɔs bin gɛt di IVUS tɛst, yu kin go na os di sem de. Bɔt if yu bin dɔn du dis wit wan kadyak kateshɔn tɛst, yu go nid fɔ de na ɔspitul fɔ wan nɛt. Yu dɔktɔ go advays yu bɔt dis bifo tɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i de du IVUS tɛst?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn sɔm prɔblɛm dɛn.
Bɛnifit dɛn
- Rizult we rili kɔrɛkt: Yu kin gɛt infɔmeshɔn we rili kɔrɛkt ɛn we gɛt ditayli bɔt aw blɔd vesel de.
- Nɔn-raydioaktiv: Bikɔs dɛn nɔ de yuz ɛkstrem rayt fɔ du dis, no raytin nɔ de na di bɔdi.
- Kwik rizulyt ɛn wɛl bɔdi: Rizult kin kwik, ɛn di tɛm fɔ wɛl kin shɔt.
Risk dɛn we kin apin
Dɛn risk ya nɔ kin apin so ɔltɛm. Dɔn bak, bikɔs dɛn kin du dis tɛst ɔnda wan tim we gɛt ɛkspiriɛns fɔ mɛn pipul dɛn, dɛn kin rɛdi fɔ bia wit ɛnitin we go apin to dɛn.
- di at bit we nɔ de bit (Arrhythmia) - (spɛshal wan we i gɛt fɔ du wit di at) .
- Blɔd we de klɔt
- Infekshɔn na di say we dɛn kɔt am
- Disekshכn כ damej pan di vessel dεm
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis tɛst ɛn aks ɔl yu kwɛstyɔn dɛn bifo yu gɛt am. No rizin nɔ de fɔ mek wi fred.
Mɛsej we dɛn kin kɛr go na os
- Intravascular Ultrasound (IVUS) na spɛshal skan we de yuz sawnd wev fɔ mek rili klia pikchɔ dɛn bɔt di insay wɔl dɛn na wan blɔd vesel.
- dis kin gi mכr ditayl infכmeshכn pas aw yu kin si wit angiogram rεgulεr, spεshal wan bכt di kayn kכlestכl dεposit (atherosclerosis).
- Di infɔmeshɔn we dɛn kin gɛt frɔm dis tɛst rili impɔtant fɔ mek dɔktɔ dɛn disayd di rayt tin bɔt tritmɛnt dɛn lɛk fɔ put stent ɛn fɔ baypas ɔpreshɔn.
- Dis na tɛst we rili sef, ɛn di prɔblɛm dɛn we kin apin kin rili smɔl.
- If yu gɛt at sik ɔ yu gɛt prɔblɛm wit yu blɔd vesel, tɔk to yu dɔktɔ fɔ disayd if dis tɛst fayn fɔ yu.
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