Bɔku pan wi kin rili fred we dɛn aks wi fɔ du ‘kolonoskɔpi’ tɛst, nɔto so? Sɔm pipul dɛn kin tray fɔ avɔyd dis tɛst fɔ bɔku rizin dɛn, lɛk we dɛn nɔ kin fil fayn, dɛn kin fil pen, ɛn dɛn kin fred fɔ mek dɛn tek anestezi we dɛn put kamɛra na dɛn bɔdi. Bɔt sɔntin de we wi nɔ fɔ fɔgɛt. Dat min se, kɔlorektal kansa na sik we dɛn kin wɛl ɔl if dɛn no am kwik. So di bɛst we fɔ du am na fɔ du dis tɛst. So fɔ avɔyd dis bikɔs yu de fred nɔto gud tin atɔl. Tide, wi de introduks wan modɛn teknɔlɔji we dɛn kɔl ‘Virtual Colonoscopy’ as gud sɔlv fɔ da fred de.
Fɔ tɔk am simpul wan, wetin na dis virtual colonoscopy?
virtual colonoscopy na, fכ bi prεsis, spεshal tεst we de luk fכ sכm sכm growth dεm, כ wetin wi mεdikal kכl ‘polyps’, insay yu kכlon. Dɛn polip ya na dɛn wan ya we kin tɔn to kansa as tɛm de go.
dis nכto prosidur we dεn de put lכng tכb insay yu bכdi lεk rεgulεr kכlonskopi. Bifo dat, i de yuz CT skan mashin ɛn kɔmpyuta tɛknɔlɔji fɔ tek rili klia, ay kwaliti pikchɔ dɛn fɔ yu kɔlon frɔm ɔdasay na yu bɔdi. Dɔn di kɔmpyuta kin jɔyn dɛn pikchɔ ya fɔ mek wan tri-dimɛnshɔnal (3D) mɔdel fɔ yu kɔlon. I tan lɛk se yu de tek ‘virtual tour’ na yu kɔlon. Dis kin ɛp yu dɔktɔ fɔ fɛn ivin di smɔl smɔl polyp dɛn we nɔ go mis wan bit.
Dis tɛst nɔ nid fɔ gɛt anestezi. Di wan ol tɛst kin tek lɛk 15 minit so. Bɔt wan tin de we wi fɔ mɛmba. If dɛn fɛn polip dɛn we dɛn de du dis tɛst, yu go nid fɔ gɛt tradishɔnal kɔlonɔskɔpi fɔ pul dɛn.
Dɔktɔ dɛn kin se dɛn fɔ chɛk ɔlman fɔ gɛt kansa na dɛn kɔlon afta dɛn dɔn ol 45. Bɔt if yu gɛt sɔm tin dɛn we kin mek yu gɛt dis sik (fɔ ɛgzampul, yu famili histri bɔt di sik), yu kin nid fɔ chɛk yu bifo tɛm. Yu kin tɔk to yu dɔktɔ bɔt us we fɔ chɛk yu bɔdi fayn fɔ yu.
Aw dis tɛst de wok?
Dis na tin we rili simpul fɔ du.
1. Fɔs, wan tɛknishian de yuz CT skan mashin fɔ tek bɔku pikchɔ dɛn fɔ yu bɛlɛ ɛn yu bɛlɛ.
2. Dɔn, kɔmpyuta sɔftwɛl kin jɔyn ɔl dɛn pikchɔ ya fɔ mek tu-dimɛnshɔnal (2D) ɛn tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ di intestinal.
3. Fɔ dɔn, wan dɔktɔ we de stɔdi bɔt raydio kin tek tɛm luk dɛn pikchɔ dɛn ya we dɛn kin mek wit kɔmpyuta ɛn chɛk fɔ si if dɛn gɛt pɔlip ɔ ɔda tin dɛn we nɔ fayn.
di tin we impɔtant pas ɔl na fɔ mek dɛn nɔ put ɛni lɔng inschrumɛnt insay di bɔdi we dɛn de du dis. Na dat mek i rili sef ɛn i nɔ kin rili fil fayn.
Aw yu fɔ pripia bifo di tɛst?
Fɔ mek di vayrɔyal kɔlonɔskɔpi go bifo, dɛn nid fɔ klin yu kɔlon ɔlsay. Wi kin kɔl dis ‘bɔwel prɛparashɔn’. Dis min se yu fɔ pul ɔl di stɔl na yu kɔlon. Dis kin mek di dɔktɔ si di insay pat pan yu kɔlon klia wan. Dɛn kin du dis pripia di de bifo di tɛst.
Yu dɔktɔ go gi yu di instrɔkshɔn dɛn we yu nid fɔ du dis. Da advays de kin gɛt dɛn tin ya.
| Di tin dɛn we yu fɔ du fɔ pripia | Tɔk bɔt |
|---|---|
| Di tin dɛn we de mek pɔsin nɔ fil fayn | Dɛn tin ya kin kam insay likwid ɔ pil fɔm. We yu de drink dɛn tin ya, yu go nid fɔ go na di bafa bɔku tɛm. Dis go mek di kɔlon klin ɔltogɛda. |
| Klia likwid it fɔ it | Yu nɔ go ebul fɔ it sɔlid it dɛn di de bifo di tɛst. Bifo dat, dɛn go aks yu fɔ drink klia wata nɔmɔ lɛk wata, brot we nɔ swit, apul jus, ɛn ti ɔ kɔfi we nɔ swit. Yu dɔktɔ go gi yu wan list fɔ wetin yu kin it ɛn wetin yu nɔ go ebul fɔ it. |
| Fɔ fast | Yu nɔ go ebul fɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di tɛst. |
| Di kɔntrast mɛdiɔm | Sɔntɛnde, dɛn kin gi yu spɛshal wata fɔ drink so dat dɛn go si di insay klia wan pan di pikchɔ dɛn we dɛn de skan. |
| Ɛnimi dɛn | sכm tεm dεm, dεn kin rεkomεnd fכ put mεdisin (suppository) insay di rεktum fכ klin di las pat pan di kכlon. |
Dis ‘bowel prep’ impɔtant fɔ mek di tɛst go bifo. Yu go nid fɔ go na di bafa bɔku tɛm insay dis tɛm, so i go fayn fɔ mek yu plan fɔ de na os da de de ɛn de nia batrum.
Wetin kin apin we dɛn de du di tɛst?
Di de we dɛn go du di tɛst, wɛr fayn klos ɛn nɔ wɛr jɔy. Na di ɔspitul, dɛn go kɛr yu go na di rum usay di CT skan de. Dis na mashin we shep lɛk big donut. Na di tin dɛn we yu fɔ du fɔ di tɛst:
1. Pripia: Afta yu put di haus sik, dem go ask yu to led fo di exam tebul.
2. Insufflation: Nεks, di tεknishian go put wan tin tכb we lכng lεk tu inch tru yu rεktum. Dis go slow slow fɔ pɔmp smɔl briz insay yu kɔlon. Nɔ wɔri, dis na fɔ mek yu kɔlon swel smɔl so dat yu go si di insay klia wan pan di skan pikchɔ dɛn.
3. Skan: Dɔn di tebul we yu de pan go muf smɔl smɔl insay di CT skan. Yu kin yɛri smɔl smɔl sawnd dɛn we de klik ɛn buz we di mashin de wok.
4. Stay still: Yu fɔ stil de kɔmplit wan we di skan mashin de tek di pikchɔ dɛn. Di tɛknishian go tɔk to yu tru wan intakɔm sistem. Dɛn kin aks yu fɔ ol yu briz fɔ sɔm sɛkɔn, ɔr fɔ chenj yu bɔdi pozishɔn smɔl.
5. Finishing: Wen yu don tek piksho, di tebul de kom bak out. Dɔn yu kin pul di smɔl tiub ɛn chenj yu klos.
Dis tɛst nɔ fɔ mek pɔsin fil pen. Bɔt yu kin fil smɔl prɛshɔn na yu rɛkɛt, yu kin fil se yu ful-ɔp, ɔ yu nid fɔ pas di briz bikɔs di insay dɛn ful-ɔp wit briz. Dis na nɔmal tin.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Lɛk ɛni mɛdikal tɛst, dis wan gɛt in bɛnifit ɛn sɔm limiteshɔn/risk. Mek wi tek wan luk pan dem.
| Bɛnifit dɛn | Risk & Limiteshɔn dɛn |
|---|---|
| Kwik: Di wan ol tɛst kin tek lɛk 15 minit. | Risk fɔ mek yu bɔdi pɔrfyushɔn: Na rili smɔl, rare risk de fɔ mek yu bɔdi pɔrfyushɔn bikɔs ɔf di briz we de ful-ɔp. |
| Klia imej: Yu kin gɛt klia 2D ɛn 3D imej, jɔs lɛk aw yu go du wit tradishɔnal kɔlonɔskɔpi. | We yu gɛt redioaktiviti: Na smɔl smɔl raytin de, bɔt dɛn dos ya de insay di say we sef. |
| Nɔ anesthesia nɔ nid: Bikɔs dɛn nɔ de anestesia, i kin wɛl kwik kwik wan. Yu kin go na os wantɛm wantɛm afta di tɛst. | Skip sכm sכm polip dεm: Vεri sכm polip dεm (lεs dan 6 mm) we dεn kech wit tradishכnal mεtכd kin mis bay dis mεtכd. |
| Smɔl diskɔmfɔt: I nɔ kin kam insay di bɔdi bikɔs dɛn nɔ kin put lɔng tiub (skɔp) insay di bɔdi. | Dɛn nɔ go ebul fɔ pul di polip dɛn: Dis na jɔs tɛst. if dεn fכnshכn polip, dεn go nid fכ du sεparat tradishכnal kכlonכskopi fכ pul am. |
| Smɔl risk fɔ mek di intestinal damej: Di risk fɔ mek di intestinal damej smɔl pas di tradishɔnal we. | Nɔr fayn fɔ ɔlman: Dis tɛst nɔr kin fayn fɔ pipul dɛm wae gɛt sɔm kayn mɛrɛsin. Na dat mek di dɔktɔ go rivyu yu mɛdikal istri. |
| Fɔ chɛk ɔda pat dɛn: Sɔntɛnde dis skan kin aksidɛntli no prɔblɛm nɔto jɔs wit di intestinal, bɔt bak wit ɔda ɔgan dɛn na di bɛlɛ, lɛk di liva ɛn kidni. |
Wetin kin apin afta di tɛst?
Afta yu dɔn du virtual colonoscopy, yu kin bigin fɔ du yu nɔmal tin dɛn bak. Yu kin it ɛn drink bak nɔmal wan. Bikɔs dɛn nɔ de yuz ɛni anestezi, dɛn nɔ nid spɛshal tɛm fɔ mek i wɛl.
Bɔt di briz we dɛn kin pɔmp insay di intestinal kin mek sɔm smɔl smɔl bad tin dɛn apin.
- Fɔ blo
- Fɔ fil lɛk se yu bɛlɛ de kramp
- We di briz de pas bɔku tɛm (gas we pasmak) .
Dis na nɔmal tin dɛn. Dis kɔndishɔn go dɔn insay sɔm awa.
Wetin di tɛst ripɔt se?
Di rizɔlt fɔ di tɛst ripɔt kin bi tu we dɛn.
1. Rizult na nɔmal (Nɔmal Rizɔlt) .
Dis min se dɛn nɔ bin fɛn ɛni abnɔmal tin ɔ polyp na yu kɔlon. Dis na rili gud nyus. Yu dɔktɔ go tɛl yu ustɛm yu fɔ du yu nɛks tɛst. If yu nɔ gɛt bɛtɛ risk, dɛn kin se yu fɔ ripit dis tɛst ɛvri fayv ia.
2. Rizult we Nɔ Nɔmal
If yu tɛst ripɔt se yu gɛt pɔlip, i nɔ min se yu gɛt kansa. So nɔ wɔri. I jɔs min se dɛn dɔn fɛn wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Fɔ pul dis polip, yu go nid fɔ du tradishɔnal kɔlonɔskɔpi . Insay sɔm ɔspitul dɛn, if i pɔsibul, yu go dɔn ɔlrɛdi klin yu kɔlon, so yu kin mek dɛn du dat di sem de.
Aw dɛn tin ya we dɛn dɔn fɛn kɔrɛkt?
sεvεra stכdi dεn sho se vεrtual kכlonoskopi de wok fayn lεk tradishכnal kכlonoskopi fכ no big polyp dεm εn kεnsar. כltu, dis akכda kin difrεn sכmtεm dipכnt pan di sayz fכ di polip.
- i rili akכrd fכ no di polip dεm we big pas 10 mm.
- sakses kin sכmtεm lכs fכ no di polip dεm we sכm sכm pas 6 mm.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya afta di tɛst, ivin if dɛn nɔ kin apin so ɔltɛm, go to dɔktɔ wantɛm wantɛm. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Bɛlɛ pen bad bad wan
- Blɔd na di stɔl ɔ blɔd we de kɔmɔt na di rɛktal
- Diziz we pɔsin kin gɛt
- Fiva
Kɔlɔn kansa na wan pan di kayn kansa wae kin kam pan big pipul dɛm. Bɔt dɛn kin trit am izi wan if dɛn no am kwik kwik wan. Bɔrku pipul dɛn kin avɔyd fɔ du kɔlon skɔpi bikɔs dɛn kin fred fɔ di tɛst. Wit fכs komplikashכn dεm εn wan kwik rεkכvεshכn, vεrtual kכlonoskopi na fayn כda we. Tɔk to yu dɔktɔ fɔ no us we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Virtual Colonoscopy na wan kwik, less invasive screening method we kin no di colon cancer kwik kwik wan.
- dis de yuz CT skan tεknכlכji fכ gεt tri-dimεnshכnal (3D) imej dεm fכ di intestin insted fכ wan lכng tכb.
- Prɔpa bowel prep di de bifo di tɛst impɔtant fɔ mek di tɛst go bifo.
- If dɛn fɛn polip dɛn we dɛn de du di tɛst, dɛn go du tradishɔnal kɔlonɔskɔpi fɔ pul dɛn.
- Dis na fayn opshɔn fɔ di wan dɛn we de fred ɔ nɔ ebul fɔ du tradishɔnal kɔlonɔskɔpi. Tɔk to yu dɔktɔ bɔt dis ɛn disayd fɔ du sɔntin.
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