We yu dɔktɔ tɛl yu se yu nid fɔ du wan patikyula tɛst, sɔntɛnde yu kin fred smɔl ɛn fred we yu yɛri di nem fɔ am, nɔto so? Ɛspɛshali if di nem kɔmplikt smɔl. "Transrectal ultrasound" na wan pan dɛn kayn nem ya. Bɔku pipul dɛn, mɔ man dɛn, nɔ kin fil fayn smɔl we dɛn yɛri dis nem. So tide wi go ansa ɔl di kwɛstyɔn ɛn fred we yu gɛt bɔt dis tɛst insay wan simpul we. I tan lɛk se yu padi ɔ yu fambul de ɛksplen am to yu.
Fɔ tɔk am simpul wan, wetin na transrɛktal ɔltrasɔund (TRUS)?
Okay, mek wi brok dis nem dɔŋ. Yu go mɔs dɔn yɛri bɔt "ultrasound." Dɛn kin yuz am fɔ skan uman we gɛt bɛlɛ, ɛn bak fɔ luk insay wi bɔdi. I min fɔ sɛn sawnd wev dɛn we gɛt bɔku ɛnaji (we wi nɔ ebul fɔ yɛri) insay di bɔdi ɛn afta dat wi kin riflɛkt dɛn bak fɔ mek wan pikchɔ na kɔmpyuta skrin. I tan lɛk aw bat kin yuz dɛn sawnd wef ya fɔ flay na nɛt. I nɔ de pul ɛni raytin, so na we we rili sef.
Naw lɛ wi luk di pat we dɛn kɔl "transrectal." "Trans" min "tru." "Rɛktal" min sɔntin we gɛt fɔ du wit di "rɛktɔm." so transrektal ultrasound na ultrasound egzamin we dεn kin du tru di rεktum .
insay dis, di dכkta de put wan spεshal divays (probe) sכmtεm sכmtεm lεk di sayz fכ yu finga insay di rεktum. Dis divays de mek sawnd wev dɛn. di prכstat gland na man dεm de rili nia di rεktum. So, we dεn egzamin dis we, dεn kin gεt wan rili klia, ditayl imej fכ di prכstat gland. sכmtεm dεn kin kכl dis `(Endorektal ultrasound - ERUS)`.
Udat dɛn kin nid dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go ɔda dis tɛst. Imajin dis: Yu go go to dɔktɔ bikɔs yu gɛt prɔblɛm fɔ pis. Di dɔktɔ kin chɛk yu ɛn rifer yu fɔ dis tɛst if i tink se i nid fɔ du mɔ fɔ chɛk yu.
Lɛ wi ɛksplen dis mɔ na di tebul we de dɔŋ ya.
| Rizin fɔ riferal fɔ tɛst | Simpul ɛksplen |
|---|---|
| Abnɔmaliti pan dijital rɛktal ɛgzamɛn (DRE) . | we di dכkta put in finga tru di rεktum fכ egzamin di prכstat gland (dεn kכl dis DRE), if i fil sכmtin lεk lump כ swel, i de du dis skan fכ luk am gud gud wan. |
| Di PSA lɛvɛl dɛn we de go ɔp | PSA (prostate-specific antigen) na blɔd tɛst. If dis valyu go ɔp, dis skan rili impɔtant fɔ fɛn di kɔz. |
| Di sayn dɛm fɔ prɔstat kansa | If yu gɛt sɔm sayn dɛn lɛk aw i nɔ kin izi fɔ pis, yu kin pis ɔltɛm, ɔ blɔd na yu pis, chɛk fɔ si if di tin we kin mek yu pis na prɔstat prɔblɛm. |
| Di we aw pɔsin nɔ ebul fɔ bɔn pikin | Sɔntɛnde dɛn kin yuz dis tɛst fɔ no wetin kin mek man dɛn nɔ ebul fɔ bɔn pikin. dεn kin yus am bak fכ egzamin di pεlvik כgan dεm na uman dεm, εn sכmtεm if כda mεtכd dεm nכ fayn. |
| Tritmɛnt ɛn tisu kɔlɛkshɔn | If dɛn tink se pɔsin gɛt prɔstat kansa, dɛn kin yuz dis skan as gayd fɔ tek smɔl sampul pan di tisu (bayopsi) frɔm di eria. I kin ɛp bak fɔ gayd sɔm tritmɛnt dɛn. |
Aw yu fɔ pripia bifo di tɛst?
Dis nɔto big ɔpreshɔn, bɔt i nid fɔ pripia smɔl fɔ mek dɛn du di tɛst fayn fayn wan.
- Tɛl yu dɔktɔ ɔltin: Yu fɔ tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt, at sik, lɔng sik, ɛn ɛni mɛrɛsin we yu de tek naw.
- Yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn: If yu de tek antikɔagulant ɔ pen kil lɛk aspirin ɔ ibuprofen, yu dɔktɔ go tɛl yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di tɛst. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs.
- Fɔ klin di kɔlɔn:Fɔ sɔm awa bifo di tɛst, dɛn kin aks yu fɔ yuz inɛma fɔ klin yu rɛktum ɛn yu kɔlon we de dɔŋ. Dis go ɛp di skan fɔ mek yu gɛt klia pikchɔ.
- Fɔ ɛmti blad: Di dɔktɔ go aks yu fɔ pis ɛn ɛmti yu blad bifo yu du di tɛst.
Dɛn instrɔkshɔn ya kin difrɛn smɔl frɔm wan ɔspitul to ɔda ɔspitul, so i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin rili apin we dɛn de du di tɛst?
Okay, naw mek wi si wetin go apin di de we dɛn go du di tɛst. If yu no dis, dat go ɛp fɔ mek yu nɔ fred bɔku.
1. Chenj klos: Dɛn go gi yu ɔspitul gɔn fɔ wɛr.
2. Pozishɔn: Dɛn go aks yu fɔ ledɔm na di lɛft say na bed, wit yu ni dɛn bɛn to yu chɛst.
3. Insay di divays: Dɔn di dɔktɔ go put di ɔltra saund prob we dɛn dɔn rɔb smɔl smɔl insay yu an. I jɔs tan lɛk finga. Na dis tɛm, yu kin fil lɛk se yu nid fɔ defecate. Dis na nɔmal tin. I nɔ go rili pen, bɔt yu kin fil smɔl fɔ mek yu nɔ fil fayn.
4. Skan: Afta dɛn dɔn put di divays fayn fayn wan, di dɔktɔ kin muv am rawnd sloslo we i de tek tɛm wach di pikchɔ dɛn we de na di prɔstat gland we de sho na di kɔmpyuta skrin.
Dis ɔltin we dɛn kin du kin tek lɛk 30 minit.
Wetin fɔ du if dɛn tek bayɔpsi?
Sɔntɛnde, if di dɔktɔ si sɔntin we dɛn nɔ biliv pan di skan, i kin nid fɔ tek wan rili smɔl tisu frɔm da say de fɔ tɛst am. Dɛn kɔl dis bayɔpsi . Dis kin bi di sem tɛm we dɛn de du di TRUS skan.
- Nɔm: Bifo dɛn du di bayɔpsi, dɛn kin injɛkt wan lokal anestetik na di say we de rawnd yu prɔstat fɔ mek i nɔ gɛt bɛtɛ trɛnk, so yu nɔ go fil bɔku pen.
- di tisu sεmpl dεm: nεks, dεn de put wan rili fayn nidul paralel to di skan divays εn dεn tek sεvεra tisu sεmpl dεm frכm say dεm we dεn sכspεkt. Yu kin fil smɔl smɔl we dɛn put di nidul insay.
di tisu sεmpl dεm we dεn gεt dis we dεn de sεnd to di labכtכri fכ egzamin dεm כnda maykroskכp fכ kכnfכm if kεnsar sεl dεm de כ nכ de.
Wetin kin apin afta di tɛst?
We di tɛst dɔn, yu kin go na os di sem de.
- Aks di dɔktɔ if yu ebul fɔ drayv ɔ if yu nid pɔsin fɔ drayv yu.
- If dɛn du bayɔpsi, dɛn go gi yu antibayɔtik fɔ mek yu nɔ gɛt di sik fɔ sɔm dez. Yu nid fɔ tek dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek dɛn.
- Dɛn se yu nɔ fɔ tek blɔd tin lɛk aspirin fɔ sɔm dez.
- Drink bɔku wata. If yu drink at le 6-8 glas wata wan de, i kin ɛp fɔ mek di urinary system klin.
I kin tek sɔm dez ɔ wan wik fɔ mek di bayɔpsi rizɔlt kam bak. We di rizɔlt dɔn, di dɔktɔ go kɔl yu ɛn sɛt tɛm fɔ tɔk bɔt am.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tɛst kin gɛt?
Pan ɔl we ɛni mɛdikal tɛst gɛt in bɛnifit ɛn risk, TRUS na tɛst we rili sef.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Nɔ raytin (nɔ lɛk X-ray). | If yu jɔs gɛt di TRUS skan: As wi no, no risk ɔ kɔmplikeshɔn nɔ de. |
| yu kin gεt rili klia imej dεm fכ di sכft tisu dεm. | di posisibul (temporari) kondishכn dεm we kin apin if dεn du bayopsi: |
| Yu kin si aw di ɔgan dɛn de wok insay rial tɛm. |
|
Di impɔtant tin na dat bɔku pan dɛn sik ya afta dɛn dɔn du bayɔpsi na fɔ shɔt tɛm nɔmɔ ɛn dɛn go dɔn kpatakpata insay sɔm dez ɔ wan ɔ tu wik.
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm afta di tɛst?
Pan ɔl we i nɔ kin bi big prɔblɛm, if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Ay fiva ɛn kol.
- Bɔrku pen wae yu nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin.
- Nɔ ebul fɔ pis ɔltɛm.
- Blɔd kin klɔt na di urine.
- Blɔd we de kɔntinyu fɔ kɔmɔt na di urethra ɔ rɛktum.
Dɛn sayn ya de sho se infɛkshɔn ɔ ɔda prɔblɛm kin de, so nɔ ignore dɛn.
Mɛsej we dɛn kin kɛr go na os
- Transrektal ultrasound (TRUS) na wan we we rili impɔtant, we sef, ɛn we nɔ gɛt pen we dɛn kin yuz fɔ chɛk di prɔstat gland.
- dis involv fכ sεnd sawnd wev dεm tru di rεktum fכ tek wan imej fכ di prכstat gland. No redyushɔn nɔ de.
- Di tɛst nɔ kin tek pas 30 minit. Sɔm diskɔmfɔt de, bɔt nɔto bɔku pen.
- If dɛn tink se gɛt kansa, dɛn kin tek bayɔpsi (wan pat pan di tisu) di sem tɛm we dɛn de du dis tɛst.
- I nɔmal fɔ mek yu gɛt smɔl blɔd na yu urine ɔ semen afta yu dɔn du bayɔpsi, ɛn i go go insay sɔm dez.
- If yu gɛt ɛni kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ. Na yu rayt.
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