We di dɔktɔ tɛl yu se yu nid fɔ tek yu liva bayɔpsi, yu bin de fred smɔl ɛn yu bin de fred, nɔto so? "Wetin mek na so?", "I go at plenti?", "Na big opareshon?" Bɔku kwɛstyɔn dɛn go dɔn kam na mi maynd. Nɔr frayd, dis nɔr big ɔr frayd lɛk aw yu kin tink bɔrku tɛm. Lɛ wi tɔk bɔt dis ditayli ɛn jɔs tide.
Fɔ tɔk am simpul wan, wetin na liva bayɔpsi?
Liva bayɔpsi na smɔl mɛrɛsin we dɛn kin tek wan rili smɔl tisu (tisu sampul) frɔm yu liva we dɛn de yuz spɛshal nidul. Jɔs lɛk aw wi kin tek blɔd sɛmpul fɔ tɛst fɔ no if pɔsin gɛt sik, na dis kayn we, dɛn kin tek smɔl pat pan di liva insɛf ɛn chɛk am.
Dɛn kin sɛn di tisu sɛmpul na di lab, usay wan pathɔlɔjis , we na dɔktɔ we spɛshal fɔ chɛk di tisu ɛn fɔ no if pɔsin gɛt sik, kin luk am ɔnda maykroskɔp fɔ no uskayn sik na di liva.
Wetin mek wi nid fɔ du Liva Bayopsi?
Tu men rizin dɛn de fɔ dis.
1. Diagnosis: Sɔntɛnde, yu skan ɔ blɔd tɛst kin sho se prɔblɛm de wit yu liva. Bɔt i nɔ kin shɔ 100% wetin i bi. Insay dɛn kayn tin ya, dɔktɔ dɛn se dis bayɔpsi tɛst na di bɛst we fɔ kɔnfirm sɔm sik dɛn na di liva (gold standad).
2. Stej: If yu gɛt krɛse sik, dɛn kin yuz dis tɛst bak fɔ no aw fa i dɔn skata ɛn aw bɔku damej dɔn du to di liva. in patikyula, i kin gi wan skכ (F0 to F4) fכ di digri fכ fibrosis , dat na di fכmeshכn fכ ska tisu we nכ de hεl. Dis na aw dɛn kin no di mɛrɛsin, di tritmɛnt, ɛn di prɔgnosis.
Us sik dɛn kin no wit dis tɛst?
Liva bayɔpsi kin no difrɛn kayn tin dɛn we gɛt fɔ du wit di liva.
| Tayp fɔ di mɛdikal kɔndishɔn | Ɛgzampul dɛn |
|---|---|
| Di sik dɛn we dɛn kin no bɔt na di liva | |
| Liva we gɛt fat | Fat Liva Sik we pɔsin kin gɛt |
| Epataytis we nɔ de mɛn | Epataytis we nɔ de mɛn |
| Sirosis kɔndishɔn we pɔsin kin gɛt | Sirosis na di liva |
| Kansa na di liva | Liva Kansa |
| Spɛshal tin dɛn we kin mek pɔsin sik ɛn sik dɛn | |
| Liva sik dɛm wae kin kam wit difrɛn tin dɛm | Liva sik we gɛt fɔ du wit rɔm |
| Awtoimyun ɛpatitis (liva inflamɛns we kin kam bikɔs ɔf prɔblɛm wit di imyun sistɛm) . | |
| Sik dɛm wae kin kam wae yu gɛt bɔrku ayron na yu bɔdi (Hemochromatosis) . | |
| Wilson sik | |
| Vayral ɛpatitis B ɔ C | |
| Tubakulosis sik we dɛn kɔl Tuberculosis | |
Aw dɛn kin du Liva Bayopsi? Wetin na di we dɛn we dɛn kin du am?
Tri men we dɛn de fɔ du dis. Yu dɔktɔ go pik di we we go fayn fɔ yu bay di tin we de apin to yu.
1. Pɛrkyutan Liva Bayɔpsi
Dis na di we aw dɛn kin yuz mɔ ɛn we simpul pas ɔl. ‘Percutaneous’ min ‘tru di skin.’ Di dɔktɔ kin tek di sampul bay we i put smɔl nidul tru di skin na di rayt say na yu bɛlɛ, ɔnda yu rib dɛn, dairekt insay di liva.
2. Transvenɔs Liva Bayɔpsi
Dɛn kin yuse dis we if yu de pan denja fɔ blɔd, ɔ if yu gɛt wan sik lɛk ascites. ‘Transvenous’ min ‘tru wan vein’. na ya, dεn kin put wan sכmכl tכb (kateta) tru wan big vein na di nεk (di jugular vein), εn dεn kin pas di nidul tru da tכb de go na di liva.
3. Ɔspitul Liva Bayɔpsi
Sɔntɛnde, dɛn kin pul wan pat pan di liva we dɛn de du ɔpreshɔn pan di bɛlɛ (open ɔ laparoscopic ɔpreshɔn) fɔ ɔda rizin.
Bɔku tɛm, pas nɔmɔ dɛn de du big ɔpreshɔn pan yu, dɛn nɔ go put yu na slip (jɛnɔral anestezi). Di dɔktɔ want mek yu wek. Bɔt if yu de fred, dɛn kin gi yu mɛrɛsin fɔ mek yu fil lɛk se yu dɔn drɔnk smɔl.
Aw fɔ pripia bifo dɛn du bayɔpsi?
Sɔm tin dɛn de we yu fɔ du bifo dis.
- Fɔ tɔk to yu dɔktɔ: Tɔk to yu dɔktɔ bɔt yu wɛlbɔdi istri ɛn di mɛrɛsin dɛn we yu de tek. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk fɔ mek yu blɔd tan lɛk wan wik bifo tɛm.
- Blɔd tɛst: Dɛn go du blɔd tɛst fɔ chɛk aw yu blɔd ebul fɔ klɔt. If di tin we nɔ de, dɛn kin trit am bifo dɛn tek di bayɔpsi.
- Fast: Dɛn kin aks yu fɔ lɛf fɔ it ɔ drink fɔ lɛk 8 awa bifo di tɛst. Bɔt, fala wetin yu dɔktɔ tɛl yu fɔ du di rayt tin.
- Plan bifo tɛm: If dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn, arenj fɔ mek sɔmbɔdi drayv yu go na os bifo tɛm. Dɔn bak, rɛdi fɔ di wik we yu go rɛst afta yu dɔn du di bayɔpsi.
Wetin kin apin di de we dɛn tek di bayɔpsi?
Di tɛst kin tek lɛk 15-30 minit, bɔt yu go gɛt fɔ de na di ɔspitul fɔ sɔm awa ɔnda ɔbshɔbishɔn afta dat.
We yu de tek di tɛst:
1. Dɛn go mek yu ledɔm na bed, ɛn dɛn go klin di say we dɛn go put di nidul (di rayt say na yu bɛlɛ ɔ yu nɛk) fayn fayn wan ɛn put antiseptik.
2. Neks , dɛn kin injɛkt wan lokal anestetik na di say. Yu go fil lɛk se yu de bɔn smɔl we yu put dis, bɔt di say go swɛt insay lɛk wan minit so.
3. Afta di say dɔn swɛt, di dɔktɔ kin kɔt smɔl ɛn put di bayɔpsi nidul tru am.
4. Dɛn kin aks yu fɔ ol yu briz fɔ smɔl tɛm. Nɔ pen nɔ de we di nidul go insay, bɔt yu kin fil smɔl prɛshɔn insay .
5. Afta sɔm sɛkɔn, dɛn kin tek di sampul ɛn pul di nidul. Dɔn dɛn kin put plasta pan di say we dɛn de.
6. Afta di bayɔpsi, dɛn go tɔn yu na yu rayt say fɔ sɔm tɛm. Dis go ɛp fɔ put prɛshɔn pan di liva wit yu yon wet ɛn ɛp fɔ stɔp di blɔd.
Ɛni risk de afta di tɛst?
Dis na jɔs wan tɛst we rili sef. Siriɔs kɔmplikeshɔn dɛn nɔ kin bɔku (lɛk 0.1%). Bɔt sɔm smɔl smɔl prɔblɛm dɛn kin apin.
- Pen: Yu kin gɛt sɔm smɔl pen na yu rayt say na yu bɛlɛ ɔ yu rayt sholda afta di tɛst. Bɔku tɛm, dɛn kin kɔntrol dis wit mɛrɛsin dɛn we de mek pɔsin fil pen.
- Lɔw blɔd prɛshɔn: Sɔm pipul dɛn kin fil lɛk se dɛn de tɔn smɔl. Dis kin dɔn afta sɔm tɛm.
Bɔt if yu gɛt dɛn sik ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- Ay fiva
- I kin wik bad bad wan ɔ i kin fɔdɔm
- I nɔ kin izi fɔ yu fɔ blo
- Di at we de blo
- Yu yay ɔ yu skin kin yɔlɔ (Jaundice) .
- I kin fil pen bad bad wan
- Di bɛlɛ we de blo
Mɛsej we dɛn kin kɛr go na os
- Liva Bayopsi na wan rili impɔtant ɛn jɛnɛral sef tɛst fɔ difinitiv wan fɔ no di liva sik.
- Bɔrku tɛm dɛn kin du dis wae yu de no, ɛn de eria wae de tɔk bɔt kin swɛt so yu nɔr kin fil bɔrku pen.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (lɛk fɔ stɔp fɔ tek mɛrɛsin, fɔ fast) jɔs bifo di tɛst.
- Afta di tɛst, yu fɔ avɔyd ebi wok ɛn tek am izi fɔ lɛk wan wik so.
- If yu gɛt sɔm sayn dɛn lɛk fɔ fil pen bad bad wan, fiva, ɔ fɔ fɔdɔm afta yu dɔn go bak na os, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ shek fɔ tɔk to di dɔktɔ.
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