Endoscopic Ultrasound (EUS) hmanga enfiah a nih chuan | A chanchin awlsam takin i zir ang u

I pum na, i rilruah kang natna i nei bawk em? I doctor chuan CT scan emaw MRI emaw a ti a, a chungah thil tenau tak a hmu a, chu chu hriat belh duh chuan test bik i tih a ngai tih a hrilh che a ni mai thei. Chu chu vawiina kan sawi tum chu a ni a, hetiang huna tih thin test hmasawn tak a ni. Endoscopic ultrasound, a tawi zawngin EUS hmanga tih a ni. A hming hi a buaithlak deuhin a lang a, mahse a takah chuan a awlsam hle. A chipchiar zawng hi han thlir ila.

Endoscopic ultrasound (EUS) hi eng nge ni?

A awlsam zawngin sawi ila, EUS hi i ei leh in chhungril, a nih loh leh i intestines enfiahna atana hman thin a ni. Hei hi gastroenterologist-in a ti thin.

Ngaihtuah teh, hei hi technology pahnih inzawmkhawm ang mai a ni.

1. Endoscope: Hei hi tube sei tak, te tak te, flexible tak a ni a, a tawp khatah camera leh light a awm a. I pum chhunga thil awm chu chiang takin a hmu thei.

2. Ultrasound: Tube tawp lamah hian scanning device (probe) te tak te a awm a. Hei hian sound wave a pe chhuak a, i pum chhunga taksa peng, tissue leh thisen kalna kawngte lem a siam a ni.

Chuvangin heng pahnih hi an inzawm khawm chuan doctor chuan i intestinal wall chhung leh a chhehvela taksa peng hrang hrang, pancreas leh gallbladder ang chi te chu ngun tak leh chiang takin a en thei ang. Scan pangngai aiin detail tam tak a hmu thei.

Tute nge EUS test mamawh?

Doctor ten he EUS test hi chhan hrang hrang avangin an rawt a ni. Damdawi lam dinhmun dik taka hriat nan emaw, a lan chhuahna engemaw chhan zawn nan emaw hman a ni ber.

EUS test hi chi hnih a awm a, chungte chu:

I natna lan chhuah dan azirin i doctor chuan i pum chunglam emaw, i pum hnuai lam emaw enfiah tur a rel ang.

1. EUS (EUS chunglam) a ni.

Hetah hian i hmuiah endoscope dahin i chaw ei dan chunglam chu enfiah a ni.

• Esophagus, pum, leh small intestine hmun hmasa ber.
• A chhehvel lymph node, thisen kalna kawng, tui khata khat cyst, leh cancer natna hrik awmte.
• A bul hnaia taksa peng hrang hrang, pancreas, gallbladder, leh bile ducts te.

2. EUS (EUS hniam zawk) .

Hetah hian endoscope chu hnute kaltlangin dahin, chaw ei dan hnuai lam chu enfiah a ni.

• Anus vel a ruh (Anal sphincter) te.
• A chhehvel thisen kalna kawng, lymph node, tui khata khat cyst leh lumps te.
• Intestine lian (rectum leh colon) a tawp ber.

Biopsy test hi EUS nen a rualin tih a ni

Hei hi EUS test-a hlawkna lian tak dang a ni. Doctor chuan test laiin lump rinhlelh awm emaw, tissue pangngai lo emaw a hmuh chuan a sample tlemte chu test turin lak nghal theih a ni.

Chumi hnuah tissue emaw fluid sample chu lab-ah thawn a ni. Pathologist chuan a enfiah a, thil danglam, cancer cell ang chi a awm leh awm loh a report thin.

EUS test hmain engtin nge kan inbuatsaih ang?

Doctor chuan test hmain i tih tur leh tih loh tur chiang takin a hrilh ang che. An sawi tlangpui ang:

• Damdawi: Zunthlum tan thisen tithianghlimtu emaw insulin emaw i ei a nih chuan i doctor chuan chu damdawi hman dan tur chu a siamrem dan tur a hrilh ang che. Nangmah chauhin i damdawi ei kha bansan ngai suh.
• Ei leh in: Test hma darkar engemaw zat ei leh in kha bansan turin an ti ang che. A tlangpuiin darkar 6-8 vel a ni. Hei hian i pum a ti hring ang a, test pawh a chiang thei ang.
• Bowel cleansing: EUS hniam zawk i neih chuan i doctor chuan i intestines uluk taka tihfai nan damdawi bik (bowel prep) a pe ang che. Hei hi thupek ang chiaha hman tur a ni.
• Driver: He test hi mut hahdam taka dah tura tih a ni a, chuvangin test zawhah i khalh thei tawh lovang. Chuvangin in lama hruai tur che i mamawh dawn a ni.

Test neih chhung hian eng nge thleng?

Hei hi outpatient procedure a ni tlangpui a, damdawi ina awm ngai lovin i haw thei tihna a ni. Procedure zawng zawng hi minute 60 vel a ni.

Upper EUS (oral) tih dan tur:

I veilam hawiin khumah mu turin an siam ang che. Tichuan,

1. I hahdam theih nan leh i muthilh theih nan sedative intravenously pek i ni ang.

2. Kawng na tihziaawm nan damdawi spray la.

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

4. Chumi hnuah chuan doctor chuan fimkhur takin endoscope chu ka atang chuan a thun a, chaw kawng hnuai lamah chuan pum chhungah leh small intestine (duodenum) hmun hmasa berah a kal lut ta a ni.

5. Hetih lai hian natna engmah i hre lovang. Normal takin i thawk thei.

6. Doctor chuan monitor a en a, internal organs leh lumps te a enfiah thin.

7. A tul chuan a hmaa kan sawi tawh ang khan biopsy (tissue chi khat) lak a ni ang.

8. Test a zawh chuan doctor chuan tube chu a la chhuak ang a, anesthesia an pek che kha a titawp ang. Recovery room-ah i harh ang.

Lower EUS (per rectum) tih dan tur:

Hei hi a chunga kan sawi ang chiah kha a ni. I veilam lamah i hawi a, muthilh hahdam takah dah i ni. Tichuan,

1. Doctor chuan endoscope chu hnute kaltlangin a thun a, intestine lian takah a pass a.

2. Hetiang tih chhung hian natna leh hrehawmna i nei lovang. I thawk pangngaiin i thawk thei tawh ang.

3. Digestive system hnuai lam leh a chhehvela taksa peng hrang hrangte chu monitor enin an enfiah thin.

4. Test zawh a nih chuan tube chu la chhuakin anesthesia chu tihtawp a ni.

EUS test hnuah eng nge thleng?

I mutna damdawi pek kha minute 30-60 chhungin a chhe vek ang. Chumi hnuah chuan hrehawmna tenau engemaw zat i nei mai thei.

• Lower EUS hnuah: I pum (gas) leh pum na te te i nei thei.
• Upper EUS zawhah: I rilruah natna tlem i nei thei.

Risk a awm em?

EUS hi a him hle a, mahse damdawi lam thil dang ang bawkin harsatna engemaw zat a awm a, chu chu a awm tlem hle.

• Anesthetics hmanga allergy nei.
• Digestive system a chhiat emaw thisen chhuah emaw.
• Upper abdominal examination neih lai hian ka atanga tui emaw, pum emaw atanga tui chu lung chhungah a lut thei (lung aspiration).
• Biopsy lak a nih chuan pancreas inflammation (pancreatitis) a awm thei.
• Intestinal wall-a khur (perforation) a awm.

Heng thilte hi a thleng tlem hle. I doctor chuan heng hlauhawmnate hi tih tlem nan hma a la vek ang.

Engtikah nge doctor nen inbiakna neih a ngaih?

I test zawhah symptom danglam tak tak i neih chuan doctor ko nghal tur a ni.