We yu go to dɔktɔ bikɔs yu leg bin swel ɛn i bin de fil pen, i bin tɛl yu fɔ du ‘venogram’ fɔ chɛk if blɔd dɔn klot na yu vein? Ɔ dɛn bin ɔda dis tɛst fɔ ɔda prɔblɛm na di vein? We yu yɛri nem lɛk dis, yu kin fred smɔl. "Wetin bi dis, laik X-ray? I de pank enitin?" Bɔku kwɛstyɔn dɛn go dɔn kam na mi maynd. Na nɔmal tin. Bɔt no rizin nɔ de fɔ mek wi fred. Tide, wi go tɔk bɔt dis venogram tɛst insay wan rili simpul we, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na venogram?
Venogram na spɛshal ɛkstrem rayt tɛst we de luk di we aw blɔd de pas na yu bɔdi in vein dɛn. Nɔmal wan, we wi tek ɛkstrem rayt, wi kin si sɔlid tin dɛn lɛk bon klia wan. sכft tisu dεm lεk vein dεm nכ de si klia wan.
So fɔ si wetin de insay yu vein klia wan, yu dɔktɔ go injɛkt wan spɛshal wata we dɛn kɔl kɔntrast day insay yu vein tru wan smɔl nidul. As di day de travul tru yu veins wit yu blɔd, di veins dɛn kin gɛt aylayt pan di X-ray, ɛn dis kin mek dɛn tan lɛk klia map. I tan lɛk se yu de waka na dak strit wit flashlayt. Dis go ɛp yu dɔktɔ fɔ si if blɔd de na yu vein, yu vein dɔn smɔl, ɔ ɔda prɔblɛm de.
Bɔku tɛm, dɛn kin du ɔltra saund skan fɔ luk fɔ blɔd we dɔn klɔt na di vein dɛn. Bɔt sɔm tɛm, if di skan nɔ gi klia pikchɔ, fɔ ɛgzampul we wan an ɔ leg dɔn swel bad bad wan, dɛn kin du venogram as ɔda we.
Us kes dɛn kin du dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis tɛst. Di men wan dɛn na:
- Fɔ no dip Vein Thrombosis (DVT): Dis na di men tin we kin mek yu gɛt dis sik. We blɔd klɔt fɔm na di veins , mɔ na di dip veins na di leg, wi kin kɔl am DVT. If ɔltra saund skan nɔ ebul fɔ no dis klia wan, venogram kin kɔnfɔm am fɔ tru.
- no di prכblεm dεm wit di vein dεm na di pεlvik εria: sכmtεm, di bכdi fכ fכlכ na di vein dεm na di lכw bכdi kin bכku. dis tεst kin εp fכ no di εksakכt kכz fכ dεn kayn kכndyushכn dεm ya (lεk `pεlvik kכnjεshכn sεndrכm`, `nutkraker sεndrכm`).
- Bifo sɔm ɔpreshɔn dɛn: Fɔ ɛgzampul, bifo dɛn du ɔpreshɔn fɔ di vayrɔs vein dɛn na di leg, dɛn kin du dis tɛst fɔ no di rayt kɔndishɔn fɔ di vein dɛn.
- As gayd we yu de du tritmɛnt:We dɛn de gi tritmɛnt lɛk trombolytic therapy, dɛn kin yuz dis X-ray teknɔlɔji bak fɔ mek shɔ se di mɛrɛsin de rich di rayt say we di blɔd klɔt ɛn i de sɔlv di blɔd we dɔn klɔt.
Aw dis kin wok? Wetin rili de apin?
Venogram kin yuz wan spɛshal ɛkstrem rayt we dɛn kɔl fluoroscopy . Tink bɔt ɛkstrem rayt we yu kin tek ɔltɛm lɛk foto we yu kin tek wan klik. Bɔt blɔd flɔ nɔto sɔntin we de stɔp na wan ples, na tin we de kɔntinyu fɔ apin.
Fluoroscopy teknɔlɔji de yuz wan kɔntinyu strim fɔ X-ray, we fiba vidio kamɛra, fɔ tek sɔm X-ray pikchɔ dɛn we de muv. Jɔs lɛk aw dɛn kin mek katun bay we dɛn de sho sɔm pikchɔ dɛn we de kam afta dɛnsɛf kwik kwik wan, insay dis kes, dɛn kin tek di X-ray pikchɔ dɛn ɔltɛm ɛn sho dɛn na skrin lɛk fim.
We dɛn injɛkt di kɔntrast day na yu vein, di dɔktɔ kin si am de flɔ tru di vein insay rial tɛm, we min se i de liv. Dɔn, if ɛnitin de we de ambɔg di blɔd fɔ flɔ, yu go si am klia wan.
Aw yu fɔ pripia bifo di tɛst?
Yu dɔktɔ go gi yu instrɔkshɔn bifo di tɛst. Dɛn go ɔltɛm tɔk tin dɛn lɛk:
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo di tɛst. Aks yu dɔktɔ if dɛn alaw yu fɔ drink wata nɔmɔ.
- Dɛn kin aks yu bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm .
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt yu wɛlbɔdi prɔblɛm ɛn nɔ ayd ɛnitin.
Yu fɔ rili tɛl yu dɔktɔ bɔt dɛn tin ya.
| Wetin yu nid fɔ tɔk | Wetin mek dat impɔtant? |
|---|---|
| Ɔl di mɛrɛsin dɛn we yu de tek naw | Sɔm mɛrɛsin kin afɛkt di tɛst, so di dɔktɔ go disayd if ɛnitin nid fɔ stɔp. |
| Alɛji dɛn we yu gɛt | I impɔtant mɔ fɔ tɔk bɔt dis if yu dɔn gɛt alɛji to kɔntrast day lɛk dis bifo. |
| Ɛni sik we de na di kidni | Dis kayn day de kɔmɔt na di bɔdi tru di kidni dɛn. So if yu gɛt prɔblɛm wit yu kidni, i rili impɔtant fɔ mek yu dɔktɔ no bɔt am. |
| If yu gɛt bɛlɛ ɔ yu tink se yu kin gɛt bɛlɛ | Dis fɔ se bikɔs ɛkstrem rayt nɔ fayn fɔ pikin we de na di bɛlɛ. |
| If yu dɔn gɛt ɛni sik i nɔ tu te yet | Ivin if yu gɛt fiva ɔ kol, mek wi no. |
Bifo di tɛst, dɛn go aks yu fɔ pul ɔl di jɔyri ɛn mɛtal tin dɛn we yu wɛr. Dɛn go aks yu bak fɔ wɛr spɛshal klos we di ɔspitul dɔn gi yu.
Wetin kin apin we dɛn de du di tɛst?
Dis tɛst kin tek bitwin 30 ɛn 90 minit. Na wan man we sabi bɔt raydiɔlɔjik teknɔlɔji de du am. Yu nɔ go nɔ no natin, yu go ful-ɔp wit kɔnshɛns. Bɔt sɔntɛnde, dɛn kin gi yu wan mɛrɛsin we nɔ de mek yu fil fayn fɔ ɛp yu fɔ rilaks.
Na di tin dɛn we yu fɔ du:
1. Ledɔm na di X-ray tebul: Dɛn go mek yu ledɔm pan spɛshal tebul usay di X-ray mashin de. Dɛn kin ivin gi yu sef strap dɛn fɔ mek yu nɔ muf.
. Dis go fil smɔl lɛk se ant bit, bɔt i nɔ go at bikɔs di eria go nɔm afta dat.
3. Day injεkshכn: afta dat dεn kin put wan intravenכs layn (IV) insay, we lεk salin drip, we dεn kin injεkt spεshal day insay di vein. Yu go fil smɔl prɛshɔn na dis tɛm, bɔt i nɔ go at. Yu kin fil smɔl wam ɔ tingling senseshɔn as di day de travul tru yu bɔdi. Dis na nɔmal tin ɛn i go stɔp afta sɔm tɛm.
4. Fɔ muv di tebul:fכ gεt di pikchכ dεm fכ di vein dεm frכm difrεn angul dεm, yu kin muv di tebul we yu de le pan bak εn go bifo, כp εn dכn. Nɔ wɔri, yu nɔ go fɔdɔm bikɔs ɔf di sef hans.
5. Fɔ ol yu briz: Sɔntɛnde, fɔ mek yu gɛt klia pikchɔ dɛn, dɛn go aks yu fɔ ol yu briz fɔ sɔm sɛkɔn ɔ fɔ de rili stil . Ɔ dɛn kin aks yu fɔ du wan spɛshal we fɔ blo, lɛk di Valsalva manejmɛnt . Di wan dɛn we de wok de go ɛksplen ɔl dis to yu.
6. Fɔ pul di day: we di tɛst dɔn, dɛn kin sɛn sɔm nɔmal salin (fluid) insay di bɔdi tru di IV fɔ flɔsh di day we de na di vein dɛn.
Wetin yu kin du afta di tɛst?
Afta di tɛst dɔn, di mɛdikal wokman dɛn go de wach yu fɔ sɔm tɛm fɔ si if yu gɛt ɛni alɛji ɔ ɔda prɔblɛm. If ɔltin fayn, dɛn go alaw yu fɔ go na os. Afta yu go na os, dɛn go advays yu fɔ drink bɔku wata fɔ 24 awa fɔ ɛp fɔ pul di day kɔmɔt na yu bɔdi tru yu urine.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?
Jɔs lɛk ɛni mɛdikal tɛst, sɔm smɔl smɔl prɔblɛm dɛn de, bɔt bɔku tɛm, dɛn prɔblɛm ya kin rili smɔl we yu kɔmpia am to di bɛnifit dɛn we dis tɛst kin gi.
- We yu gɛt raytin: Ɛks-ray de mek yu gɛt smɔl smɔl raytin.
- Prɔblɛm dɛn we de na di say we dɛn injekt: I kin gɛt pen, brus, blɔd smɔl, ɔ infekshɔn na di say we dɛn injekt.
- Alɛji fɔ di day: Sɔm pipul dɛn kin gɛt alɛji fɔ dis kɔntrast day. Na dat mek wi kin aks yu bifo tɛm if yu gɛt ɛni alɛji.
- Kidni damej: Dis day kin gɛt sɔm ifɛkt pan pɔsin we dɔn ɔlrɛdi gɛt wik kidni.
- Dip vein trombosis (DVT): Dis na tin we nɔ kin apin so ɔltɛm.
Lɛ wi no bak bɔt di bad tin dɛn we kin apin to wi.
Na nɔmal tin fɔ fil diziz ɔ nɔs we yu de put di day. I go go kwik kwik wan.
Bɔt sɔntɛnde, di riakshɔn we kin delay kin apin sɔm awa ɔ ivin sɔm dez afta di tɛst.
Smɔl smɔl sayd ɛfɛkt dɛn:
- Nɔs ɛn vɔmit
- Ed de at
- Skin we de it
- Wan filin fɔ wam pɔsin
- Skin rash ɔ ayv
Mɔdaret sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm:
- If di skin lɛsin ɔ di blista dɛn bɔku
- If yu mek sawnd we yu de blo we yu de blo (wheezing) .
- Di at bit we nɔ de bit
- Di blɔd prɛshɔn we de go ɔp ɔ dɔŋ pasmak
If yu gɛt dɛn kayn bad bad sik ya, nɔr de delay. Dɛn tin ya kin bi sayn fɔ se yu gɛt siriɔs alɛji. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
* I nɔ izi fɔ blo
* Trot kin swel
* Blɔd prɛshɔn kin go dɔŋ bad bad wan
Wetin na di difrɛns bitwin Venogram ɛn Angiogram?
Dɛn tu tin ya na ɛkstrem rayt tɛst dɛn we de luk fɔ di blɔd vesel dɛn. Di difrɛns de pan di kayn vessel dɛn we dɛn de chɛk.
- Venogram: Dis de onli luk pan di veins , we na di veins we de kɛr blɔd frɔm di bɔdi to di at.
- Angiogram: Dis kin luk pan ɔl tu di at , we na di tyub dɛm we de kɛr blɔd frɔm di at to di bɔdi, ɛn di vein dɛm. Dɛn kin tek angiogram as di men tɛst fɔ no if di at dɛn dɔn blok.
Na nɔmal tin fɔ fil smɔl frayd ɛn fred we dɛn tɛl yu bɔt mɛrɛsin tɛst. Bɔt tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Da we de, yu go ɔndastand di prɔses fayn fayn wan ɛn yu frayd go dɔn.
Mɛsej we dɛn kin kɛr go na os
- Venogram na X-ray tɛst we dɛn kin yuz spɛshal day (kɔntrast day) fɔ luk di blɔd we de flɔ insay di vein dɛn.
- dis kin bi fכ no di kכndishכn dεm lεk dip vein trombosis (DVT).
- Bifo yu du di tɛst, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni alɛji, kidni sik, ɛn mɛrɛsin we yu de tek.
- Dis tɛst kin jɔs sef. Yu kin fil sɔm kayn prɔblɛm we dɛn put di nidul ɛn put di day.
- Pan ɔl we bad bad sayd ɛfɛkt lɛk we i nɔ izi fɔ blo ɛn we yu trot kin swel nɔ kin bɔku, if dɛn apin, yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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