Di kidni na wan pan di impɔtant pat dɛn na wi bɔdi. Dɛn tan lɛk tu filta dɛn na wi bɔdi. Dɛn kin klin wi blɔd ɛn pul tin dɛn we wi nɔ want lɛk urine . So, i rili impɔtant fɔ mek di smɔl smɔl blɔd vesel we de gi blɔd to di kidni dɛn wok fayn fayn wan. Sɔntɛnde, di dɔktɔ kin tink se sɔntin nɔ fayn wit dɛn blɔd vesel ya. da tεm de, dεn kin du wan spεshal tεst we dεn kכl `Renal Arteriography` fכ chεk am. Nɔ fred we yu yɛri dis nem, wi go tɔk bɔt ɔltin insay simpul wɔd tide.
Fɔ tɔk am simpul wan, wetin na Renal Arteriography?
Dis na wan kayn ɛks-ray tɛst bak. Bɔt i nɔ tan lɛk ɛkstrem rayt we dɛn kin du ɔltɛm. Imajin se yu de waka na wan strit we yu nɔ sabi, ɛn yu nid map, nɔto so? Wɛl, dis tɛst de ɛp di dɔktɔ fɔ si map, ɔ klia pikchɔ fɔ di blɔd vesel dɛn na yu kidni.
dis dεn kכl am bak `Rεnal Angiogram`. dis de yuz wan spεshal εks-ray tεknik we dεn kכl ` Fluoroscopy` . Dis min se instead fɔ tek wan foto, yu kin wach di blɔd we de flɔ tru di kidni dɛn layv, ɛn tek ɛkstrem rayt pikchɔ dɛn ɔltɛm lɛk fim. Dis kin mek yu si di blɔd vesel dɛn wit di ɔda ɔgan dɛn ɛn bon dɛn we de insay.
Wetin mek wi nid fɔ du dis kayn tɛst?
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if dɛn tink se prɔblɛm de wit di blɔd vesel dɛn na yu kidni. Dɛn kin ɔda dis tɛst if di blɔd vesel dɛn nɔ de klia wan pan CT skan ɔ MRI skan .
Si di tebul dɔŋ ya fɔ di men mɛdikal kɔndishɔn dɛm wae dɛn kin no wit dis tɛst.
| Mɛdikal kɔndishɔn | Simply put am... |
|---|---|
| Aneurysm we de mek pɔsin gɛt di sik | Wan blɔd vesel wɔl we wik kin bɔl lɛk balyɔn. Dis kin bɔs. |
| Rεnal Atεri Sεnɔsis | di men blɔd vesel we de kɛr blɔd go na di kidni we de blok ɔ smɔl. Dis kin mek pɔsin gɛt ay blɔd prɛshɔn. |
| Trombosis ɔ Ɔklushɔn | Wan blɔd vesel we dɔn blok ɔl ɔ sɔm pat pan am bikɔs blɔd dɔn klɔt. |
| Arteriovenous Malfɔmeshɔn | Wan abnɔmal tangle we di blɔd vesel ɛn vein dɛn gɛt. |
| Ɛmoraji we de kɔmɔt na di bɔdi | Blɔd we de kɔmɔt na di bɔdi frɔm blɔd vesel. |
| Ɔda rizin dɛn | Chek fɔ ɛni tumor na di kidni, ɔ no di kɔmplikɛshɔn afta dɛn dɔn transplant di kidni. |
Aw fɔ du dis tɛst? Lɛ wi si stɛp bay stɛp.
If yu no bɔt dis tɛst, dat go ɛp fɔ mek yu nɔ fred. Lɛ wi si wetin de apin pan dis.
Tin dɛn we yu fɔ no bifo yu du di tɛst
- Tɛl di dɔktɔ ɔltin: Mek shɔ se yu tɛl am if yu gɛt ɛni alɛji , mɔ di day dɛn we dɛn kin yuz fɔ mek ɛkstrem rayt , ayodin , ɔ mɛrɛsin.
- If yu gɛt bɛlɛ , yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, yu fɔ tɛl yu dɔktɔ bɔt dis.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dis nɔto jɔs di wan dɛn we yu dɔktɔ dɔn gi yu, bɔt ɛni ɔda tin we yu kin bay we yu nɔ de sɛl pen lɛk ibuprofen ɛn aspirin, vaytamɛn, ɛn tradishɔnal mɛrɛsin. Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo di tɛst.
- If yu gɛt ɔda mɛrɛsin lɛk dayabitis ɔr ay blɔd prɛshɔn, tɛl wi bɔt dɛn bak.
Wetin kin apin we dɛn de du di tɛst?
Dis tεst na spεshal dכkta (`Interventional Radiologist`) de du am. So mɛmba se yu de na say we sef.
1. Fɔs, di ɔspitul go gi yu wan gɔn fɔ wɛr. Dɔn dɛn go mek yu ledɔm pan spɛshal bed we gɛt ɛkstrem mashin.
2. Dɛn go put wan smɔl tiub (IV layn) na wan vein na yu an we dɛn go gi yu wata ɛn mɛrɛsin fɔ mek yu kol.
3. Neks, di dɔktɔ go numb di say we dɛn put di kateshɔn . Dis kateshɔn na wan tiub we rili tan ɛn we kin chenj. Bɔku tɛm dɛn kin put am tru di groin ɔ sɔm tɛm dɛn kin pas tru wan vein na di an . Yu nɔ go fil ɛni pen bikɔs ɔf di numbing.
4. Dɔn, tru wan smɔl nidul, dɛn kin tek tɛm put di kateshɔn insay di vein.
5. Dɛn kin tek tɛm gayd dis kateshɔn to di rεnal at we de gi bכdi to di kidni dεm, we dεn de wach di εks-ray imej dεm.
6. We di kateshɔn dɔn de, dɛn kin injɛkt wan spɛshal day (kɔntrast day) tru am. Dis day de mek di blɔd vesel dɛn luk rili klia ɛn wayt pan ɛkstrem pikchɔ dɛn. Yu kin fil smɔl wam na yu bɔdi dis tɛm, we na nɔmal tin.
7. Na dis tɛm, di dɔktɔ go tɛl yu fɔ ol yu briz fɔ sɔm tɛm . Tek dɛn pikchɔ dɛn de klia wan. I rili impɔtant bak fɔ mek yu nɔ muf.
8. Speshal not: Sɔntɛnde, if di dɔktɔ si blɔd vesel we dɔn blok we dɛn de du dis tɛst, i kin trit am. dis dεn kכl am `Rεnal Atεri Angioplasty`. insay dis, dεn de pas wan sכmכl balכn tru di kateshכn εn di εria we blכk de fכm, we de mek di bכdi fכ fכlכ bak.
Wetin a fɔ du afta di tɛst?
We dɛn dɔn fɔ du di tɛst, dɛn kin tek tɛm pul di kateshɔn. afta dat dεn kin prεs di kateshכn fכ lεk 15 minit fכ stכp di bכdi we de kכmכt frכm di say we dεn put am.
- Afta dat, yu go nid fɔ ledɔm flat na bed fɔ sɔm awa , mɔ fɔ kip di leg usay dɛn put di kateshɔn stil.
- Bɔku tɛm, di dɔktɔ kin advays yu fɔ de na ɔspitul da nɛt de fɔ mek shɔ se ɔltin go fayn. Dis na fɔ yu sef.
- Drink bɔku wata. Dis impɔtant bikɔs di day we dɛn dɔn put na di bɔdi nid fɔ kɔmɔt na di bɔdi kwik kwik wan tru di urine.
- Yu go nid fɔ tek kia ɔf di say we dɛn put di kateshɔn fɔ sɔm dez afta yu dɔn go na os. Yu dɔktɔ go advays yu bɔt dis.
Ɛni risk de wit dis tɛst?
Jɔs lɛk ɛni mɛdikal tɛst, sɔm rili smɔl risk dɛn de we kin apin. Bɔt mɛmba se dɛn tin ya nɔ kin bɔku . Ɛn di dɔktɔ dɛn we de du di tɛst kin rili tek tɛm wit dis.
| Risk we pɔsin kin gɛt |
|---|
| Blɔd ɔ brus (hɛmatoma) frɔm di say we dɛn put di kateshɔn |
| Damej to di blɔd vesel ɔ in wɔl. |
| Blɔd we de klɔt. |
| Alɛji riakshɔn to di day we dɛn yuz. |
| Na sכm tεm, i kin apin fכ sכm tεm ifekt dεm pan di kidni dεm. |
| Nɛv dɛn we dɔn pwɛl. |
Dis risk kin difrɛn smɔl dipen pan ɔda mɛrɛsin wae yu gɛt. Na dat mek wi bin dɔn tɔk se i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri .
Mɛsej we dɛn kin kɛr go na os
- Renal Arteriography na spɛshal X-ray tɛst we de chɛk aw di blɔd vesel dɛn na yu kidni dɛn de. Bɔku tɛm, dis na tɛst we nɔ bad.
- Bifo di tɛst, mek shɔ se yu tɛl yu dɔktɔ bɔt yu alɛji, ɔl di mɛrɛsin dɛn we yu de tek, ɛn if yu gɛt bɛlɛ.
- Dis tɛst de yuz wan tin tiub (kateta) ɛn wan spɛshal day fɔ si di blɔd vesel dɛn klia wan.
- Afta di tɛst, i rili impɔtant fɔ rɛst fayn akɔdin to di dɔktɔ in instrɔkshɔn ɛn fɔ drink bɔku wata fɔ ɛp fɔ pul di day na yu bɔdi.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, tɔk bɔt am wit yu dɔktɔ ɛn nɔ shem.
Renal Arteriography, Renal Angiogram, kidni, mεdikal tεst, blכd vesel, kateshכn, X-ray, kidni tεst sinhala, angioplasty sinhala
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