Endoscopic Ultrasound (EUS) tihsak turin an ti che em? Hemi chungchang hi awlsam takin han sawi ila!

Doctor-in `(Endoscopic Ultrasound)` emaw `(EUS)` test neih a ngai tih a hrilh che chuan hlauthawng deuhin i awm thei a ni lawm ni? "Hei hi eng test thar nge ni?" "A na dawn em ni?" "Engvangin nge hetiang hi tih a nih?" Chutiang zawhna tam tak chu ka rilruah a lo lang mai thei. A pangngai a ni. Chuvangin vawiin hian he `(EUS)` test chungchang hi thumal awlsam takin kan sawi dawn a, i thianpa nen in inbia ang bawkin. Tichuan hriatthiamna tha zawk i nei thei ang.

Chuti a nih chuan, he endoscopic ultrasound (EUS) hi eng nge ni?

A awlsam zawngin, EUS hi test bik a ni a, chu chuan i digestive system chhung a en a ni . Hei hi doctor, chaw ei leh in lama tui (gastroenterologist tia koh fo)-in a ti thin.

He `(EUS)` test hian thil pawimawh pahnih inzawmkhawm a hmang a:

1. Endoscope: Tube te tak te, sei tak, flexible tak, a tawp khatah camera te tak te leh light inbun ang maiin ngaihtuah rawh. Hei hi doctor in i taksa chhungril chiang taka a hmuh theihna tur a ni.

2. Ultrasound: Endoscope tawp lamah chuan camera nen, ultrasound hmanrua te tak te (probe) a awm a. Hei hian sound wave hmangin i chhungril taksa peng, tissue, leh thisen kalna kawngte thlalak a siam a ni . I naute ultrasound scan ang mai a ni a, mahse i taksa chhungah tih a ni.

Chuvangin heng pahnih hi an inzawm khawm chuan doctor chuan i chaw ei kawng (digestive system) bang (layer) chauh ni lovin, a bula taksa peng dang (entir nan, pancreas leh gallbladder) te pawh chiang takin a hmu thei a ni.

He EUS test hi tute nge mamawh tlangpui?

Mi zawng zawng hian he ``(EUS)`` test hi neih a ngai lo. Doctor chuan damdawi lam dinhmun ṭhenkhat enfiah emaw, finfiah emaw turin a rawt thei a ni. Entirna tlemte chu hetiang hi a ni:

• I pum na emaw, rilru natna emaw i neih reng chuan , a chhan zawng rawh.
• Cancer chu taksa hmun dangah a darh tawh nia rinhlelhna a awm chuan (metastatic cancer) .
• A hmaa CT scan emaw MRI scan emaw-a lump, lesion emaw growth emaw i hmuh tawh chuan eng nge a nih chiang takin zawng rawh.
• I ei leh in lama harsatna i neih chuan , entirnan, Inflammatory Bowel Disease (IBD), colon cancer, emaw anal fissures ang chi natna te.
• Gallbladder disease , chu chu gallstone i neih emaw, gallbladder inflammation (cholecystitis) i neih emaw tihna a ni.
• Lung natna thenkhat , lung cancer ang chi chungchang zawng rawh.
• Pancreatic natna teA chungchang zawng rawh. Hei hian pancreatic cancer, pancreatic cysts, leh pancreatitis te pawh a huam tel a ni.
• Chaw ei harsatna i neih chuan , entirnan, ``Barrett's esophagus'' ang chi dinhmun.

Hetiang ang case-ah hian EUS hian doctor-te chu a chhung lam enin, dik taka hriat theihna turin a pui thei a ni.

EUS exam chi hrang hrangte chu engte nge ni?

EUS test hi chi hnihah then theih a ni a, test an tihna hmun a zirin a ni.

1. EUS chunglam

Hei hian i digestive system chunglam a en a. Chu chu:

• I esophagus (food pipe), pum (stomach), leh i small intestine chunglam (duodenum) chhungril lining.
• A inzawm lymph node, thisen kalna kawng, cyst, leh tumor te.
• Tin, a bul hnaia taksa peng hrang hrang, pancreas, gallbladder, leh bile ducts te pawh a enfiah thei bawk.

2. EUS tihhniam

He test hian i digestive system hnuai lam a en thin. Chu chu:

• Anal opening (anal sphincter) vel a ruh te.
• Chu lai hmuna thisen kalna kawng, lymph node, cyst leh cancer natna chi hrang hrang awmte.
• Intestine lian ber (rectum leh colon) tawp ber chhung lam layer.

Doctor chuan heng ``EUS'' pahnih zingah hian eng nge tih tur tih chu i symptom leh mamawh dan azirin a rel ang.

EUS nen hian test dang pawh tih a ni em?

Ni e, a chang chuan EUS tih lai hian thil pawimawh dang tih theih a ni. Chu chu Endoscopic Ultrasound hmanga kaihhruai Fine-Needle Aspiration (FNA) tihna a ni.

Hei hi hming sei tak angin a lang thei a, mahse hei hi a ni mai: ``(EUS)`` hmanga chhung lam a en lai hian doctor chuan ultrasound thlalakte chu a en thei a, endoscope hmangin needle nalh tak tak a pass thei a, rinhlelh awmna hmun atang chuan tissue emaw fluid emaw te tak te a la thei a ni Hei hi ``(FNA)`` an ti a, mi thenkhat chuan ``(biopsy)`` an ti bawk.

Chumi hnuah sample chu lab-ah thawn a ni a, chutah chuan pathologist chuan microscope hmangin a enfiah a, cancer cell ang chi cell pangngai lo awm apiang a zawng chhuak a ni. Hei hian natna awmzia dik tak finfiah nan a pui a ni .

EUS test hmain eng nge ka tih tur?

EUS test neih tura ruahman i nih chuan i doctor emaw nurse emaw chuan a hma ni khatah i tih tur leh tih loh tur thupek a pe ang che. Test hlawhtling tak neih theih nan anmahni zawm dik a pawimawh . Anni hian hetiang hi an huam tlangpui:

• Damdawi i ei chungchang: Diabetes mellitus, thisen sang, emaw thinlung natna, a bik takin thisen tithianghlimtu damdawi i ei a nih chuan,Thisen tithianghlimtu (e.g., Coumadin®, Plavix®) emaw insulin emaw i ei a nih chuan i doctor hnenah i hrilh hmasa tur a ni. I doctor chuan a dose thlak emaw, ni engemaw zat damdawi ei kha a chawlhsan emaw duh mai thei.
• Ei leh In: Test hma darkar engemaw zat (a tlangpuiin darkar 6-8) engmah ei leh in lo turin an ti ang che. Test chiang taka hriat theih nan pum ruak neih a pawimawh hle.
• Bowel prep: EUS hniam zawk i neih chuan i doctor chuan i colon tihfai nan tui bik ``bowel prep'' an tih chu a pe ang che . Hei hian i colon chhungril chu chiang takin a hmu thei ang.
• Thurawn dang: Thurawn chiang zawk pek i ni thei. A zawng zawng hi ngun takin ngaithla la, zawm rawh.

Upper EUS neih chhung hian eng nge thleng tak tak?

Upper EUS hi outpatient procedure a ni tlangpui. Hetiang procedure atan hian damdawi inah dah i ni lovang. Mahse, he procedure atan hian sedative (anesthesia) pek i nih dawn avangin, procedure zawhah in lama hruai tur che i mamawh dawn a ni. Tin, nilengin mi pakhat i bula awm chu a tha hle bawk. Upper EUS procedure hi minute 60 vel a ni tlangpui .

Test neih chhung hian a hnuaia thilte hi a thleng thin:

1. Vei lamah hawitir i ni ang a, mut tir i ni ang.

2. Nurse pakhat chuan i kut vein pakhatah cannula te tak te a dah ang a, chuta tang chuan sedative a pe ang che . Hei hian i rilru a hahdam ang a, fiahna chu i hre lo ang.

3. I rilru ti na turin damdawi ka spray ang.

4. I ha a chhiat loh nan leh endoscope i chew loh nan plastic mouthguard i ka chhungah dah a ni ang.

5. Chumi hnuah doctor chuan zawi zawiin ultrasound endoscope chu i kâ aṭangin a thun ang a, i chaw kawng hnuai lamah a dah ang a, i pum chhungah a dah ang a, chumi hnuah i ril (small intestine) chunglam (duodenum)-ah a dah ang. Hemi chhung hian natna engmah i hre lovang . I thawk pangngaiin i thawk thei tawh ang.

6. Doctor chuan monitor-ah ultrasound images a en a, i digestive system chunglam, a chhehvel taksa peng hrang hrang, lumps leh tumor te a enfiah thin.

7. A tul chuan a hmaa kan sawi tawh `(FNA)`, tissue sample lak tihna chu he hun lai hian tih a ni.

8. Exam zawh a nih chuan Doctor chuan zawi zawiin endoscope chu a la chhuak ang. Sedative chu tihtawp a ni ang. Tichuan recovery room-ah hruai i ni ang a, zawi zawiin i hriatna i neih leh theih nan an nghak ang che.

EUS hniam zawkah eng nge thleng?

Subtotal ultrasound (EUS) hi supratotal ultrasound nen a inang a, ni khata test a ni. Sedative pawh pek i ni dawn a, chuvangin mi pakhatin in lamah a hruai che a ngai dawn a ni.

He test hi minute 60 aia rei lo a ni tlangpui.Chu chu thil thleng a ni. Vun hnuaia tih thin `(EUS)` ah chuan `(FNA)` hi a tlem deuh a ni.

Hei hi test neih chhunga thil thleng chu a ni:

1. Vei lamah hawitir i ni ang a, mut tir i ni ang.

2. I hahdam theih nan IV hmangin mutna damdawi pek i ni ang.

3. Doctor chuan ultrasound endoscope chu i hnute leh i hnungzang kaltlangin a thun a, i colon zawh zawngin a kaihruai thin. Hetiang tih chhung hian natna leh hrehawmna i nei lovang . I thawk pangngaiin i thawk thei tawh ang.

4. Doctor chuan monitor-a ultrasound images te chu a en a, i digestive system hnuai lam, a chhehvel taksa peng hrang hrang leh lumps awm zawng zawng te chu a enfiah thin.

5. Exam zawh a nih chuan endoscope chu zawi zawiin lakchhuah a ni ang a, sedative chu tihtawp a ni ang. Zawi zawiin i hriatna i nei leh ang.

EUS test hnuah engtin nge i awm?

Sedative i pek khan a nghawng chu minute 30 atanga darkar khat chhungin a bo vek thin . Chumi hnuah chuan hrehawmna tenau engemaw zat i nei thei a, chungte chu:

• EUS hniam zawk i neih chuan: gas, bloating, emaw cramping .
• Upper EUS i tih chuan: a rilru natna .

Heng symptoms te hi darkar 24 chhungin a bo vek tlangpui , chuvangin ngaihtuahawm tur a awm lo.

Test zawhah ni khat chhung chawlh hahdam a tha ber . A tuk zingah i thil tih pangngai chu i thawk leh thei ang.

EUS test hmang hian eng risk emaw complication nge awm thei?

EUS hi a tlangpuiin procedure him tak anga ngaih a ni . Mahse, damdawi lam thil dang ang bawkin harsatna a awm theihna chance tlemte a awm a, chu chu a tlem hle. Chung zingah chuan:

• Anesthesia avanga allergy awm thei.
• Digestive system tihchhiat emaw thisen chhuah emaw a awm chuan.
• Upper EUS-ah chuan ka emaw pum atanga tui chu lung chhungah a lut (lung aspiration).
• Pancreas inflammation (pancreatitis) (hei hi a bik takin upper endoscopy (EUS) leh needle biopsy hnuah a thleng thei).
• Intestinal wall-a khur (perforation/tear) awm.

Heng thilte hi a thleng fo vak lo , mahse fimkhur a tha. Harsatna a awm chuan Doctor in a tul angin a enkawl ang.

Engtikah nge EUS test result ka hriat ang ?

Test an tih zawh veleh doctor chuan EUS chhunga thil hmuh tawhte chu a rough idea a pe ang che. Mahse, FNA atanga tissue sample (biopsy) lak a, lab-a thawn a nih chuan report kimchang hmuh theih nan kar engemaw zat a ngai thei . Chu report a lo thlen hnu chuan Doctor chuan a rawn hruai kir leh ang che a, a hrilhfiah ang che.

Engtikah nge doctor pan vat a ngaih?

Test zawhah heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor ko nghal la , damdawi in hnai ber pan rawh:

• Thluak chhungah thisen a awm chuan (`blood in stool`).
• Toilet kal dawna harsatna emaw, natna emaw i neih chuan.
• Khawsik emaw, natna hrik kai theihna chhinchhiahna dang (khawsik leh taksa na ang chi) i neih chuan.
• Chaw ei harsatna i neih chuan.
• Persistent nausea leh vomiting i neih chuan.
• Tuar theih loh, na tak, pum na emaw, rilru na emaw a awm reng.
• Thâwk a tawi.

Hengte hi i neih chuan tihkhawtlai lova damdawi lam thurawn lak a pawimawh hle.

A tawp berah chuan thil hriat reng tur

Okay, chuvangin tunah chuan `(Endoscopic Ultrasound - EUS)` test chungchangah hian ngaihdan tha tak i neih ka beisei.

Endoscopic ultrasound (EUS) hi i ei leh in chhungril lam thlir nan a him hle a, a hlawk hle bawk. Doctor-te chu i natna lan chhuah chhan, a bik takin chaw ei lama harsatna, cancer leh cancer darh dan zawng turin a pui thei a ni. A tul chuan tissue sample (biopsy / FNA) lak theih a ni.

Hei hi ``minimally invasive`` test a ni a, chu chu incision lian tak awm lovin tih a ni a, chu ni vek chuan in lamah i haw thei tihna a ni. Chuvangin, doctor in ``(EUS)`` nei turin a hrilh che a nih chuan a tul lovah hlau suh. Zawhna dang i neih chuan i doctor nen inbia ang che.

` Endoscopic ultrasound, EUS, chaw ei dan, endoscopy, ultrasound, biopsy, cancer test te