I doctor chuan i pum na emaw, damdawi lam thil dang emaw a neih chuan endoscopy emaw ultrasound scan emaw a ti mai thei. Mahse, a châng chuan, heng test pahnih zinga pakhat mah hmanga hmuh theih loh thil a awm a, chu chu ngun zawka en a ngai a ni. Chu chu doctor-te chuan test bik "endoscopic ultrasound" tih chu an refer che a ni. He hming hriat hi a hlauhawm deuhin a lang thei a, mahse i ngaihtuah angin a harsa lo. Vawiin hian engkim hi a awlsam zawngin sawi ila.
A awlsam zawngin, endoscopic ultrasound (EUS) hi eng nge ni?
Hei hi a takah chuan technology pahnih inzawmkhawm a ni. Chu chu endoscopy leh ultrasound scan .
Ngaihtuah teh, ultrasound scan pangngai i tih laiin doctor chuan i pum chungah hmanraw te tak te a dah a, i taksa chhunga taksa peng hrang hrangte chu a en a. Pindan chhunga flashlight eng chhuak ang mai a ni. Thil thenkhat chu i hmu thei a, mahse engkim hi a chiang lo.
Mahse he endoscopic ultrasound (EUS) -ah hian camera attached (hei hi ``Endoscope'' kan ti) tube te tak te, flexible tak chu hmui emaw rectum emaw hmangin an dah a, chu tube tawp lama ultrasound device te tak te hmangin taksa chhunga taksa peng hrang hrangte chu an en a ni. A awlsam zawngin, chu torch chu room chhunga luhpui a, en ang mai a ni. Tichuan kan organ kan enfiah duh chu kan hnaih thei hle a, chuvangin kan hmuh thlalak te hi a chiang hle a, a chipchiar hle bawk.
Hetiang hmanrua hian tumor te tak te, glands inthlak danglamna te, cancer hmasa ber thlenga scan pangngaia hriat theih loh te dik taka hriat theihna kawngah a pui hle.
Eng dinhmunah nge doctor chuan he test hi tihsak che a tih ang?
EUS test hi mi zawng zawng tan tih a ni tlangpui lo. Test dangin thutlukna chiang tak a siam theih loh leh ngun taka zir chian a ngaihna hmunah hman a ni.
| Status enfiah mek | A sawifiahna awlsam tak |
|---|---|
| Cancer stage leh a darh dan | Hei hian esophagus, pancreas, emaw lungs-a cancer tumor chu eng chen nge a thuk tih leh a bul hnaia lymph node-ah a darh tawh em tih chiang taka hriat theih nan a pui a ni. Hei hi enkawl dan tur ruahmanna siam nan a pawimawh hle. |
| Pancreatic Natna te | EUS hi chronic pancreatitis , tumor, emaw pancreas-a fluid-filled sacs (cyst) te te ang chi dinhmun zir chianna atan hman a ni. |
| Chaw ei kawng (digestive tract)-a ulcer awm | Hei hi digestive tract wall-a lump (nodules) emaw tumor te tak te, hlauhawm leh hlauhawm lo tih chiang taka hriat nan leh a tul chuan a then tlemte enfiah (biopsy) atan lak nan hman a ni. |
| Gallbladder leh liver lama harsatna nei | Hei hian gallstones, bile duct blockages, emaw liver-a tumor thenkhat ang chi dinhmun chiang taka hriat theih nan a pui a ni. |
| Bowel movement control harsat | Mi thenkhat chuan an hriat loh pawhin fecal incontinence an nei thin. EUS hi hei hi a chhan hriat nan leh hnute chhehvela taksa peng hrang hranga chak lohna emaw, hnathawh that lohna emaw enfiah nan hman a ni. |
Okay, tunah chuan he test hi engtin nge an tih tak tak tih hi han en ila.
He test chungchanga zawhna lian ber i neih theih chu a na em tih hi a ni. A chhanna chu, engmah hrehawmna leh hrehawmna i nei lo vang . Hei hi a chhan chu anesthetized i nih dawn avangin sedated deuhin i awm dawn a ni.
Test hmain
I doctor chuan test hma darkar engzat nge chaw nghei tur tih a hrilh ang che. A tlangpuiin darkar 6-8 vel ei leh in loh i mamawh ang. Damdawi dang i ei tur awm apiang i doctor hriattir a pawimawh hle.
Test neih chhung hian
1. Anesthesia: Pakhatnaah chuan vein pakhata injection hmangin anesthetic drug an pe ang che. Hei hian muthilh ang maia light sleep ang maiin a dah ang che. Chuvangin engmah i hre lo ang a, i hre reng bawk lovang.
2. Endoscope dah luh dan:Tichuan, doctor chuan uluk takin EUS instrument (tube te tak te, flexible tak) chu i hmuiah (food pipe chunglam hmuin) emaw, i rectum kaltlangin (food pipe hnuai lam a hmu) emaw a dah lut a.
3. Examination: Device hi dah a nih veleh doctor chuan monitor pakhatah camera images a en a, monitor dangah ultrasound images a en bawk. Chutiang chuan chaw ei kawng bang, pancreas leh a chhehvela taksa peng hrang hrang, gallbladder ang chi te chu chiang takin an enfiah thin.
4. Biopsy: Rinhlelhna hmun a awm chuan EUS device kaltlangin needle te tak te tak te chu a kal tlang thei a, chu lai hmun atang chuan tissue te tak te te chu la chhuakin enfiah theih a ni. Hei hi `(Fine-Needle Aspiration)` an ti a. Hei hi i hre lovang.
He test pumpui hi minute 30 leh 90 inkar a ni thei tlangpui .
Test zawhah
Test zawhah darkar khat emaw darkar hnih emaw chhung chu recovery room-ah dah i ni ang a, anesthesia chu a chhe vek ang. Tlemte chuan i muhil deuh mai thei. Chuvangin in lama hruai tur che i mamawh ngei ang. Chumi ni vek chuan i haw thei tlangpui. Test hi hmui hmanga tih a nih chuan ni khat emaw ni hnih emaw chhung chu i rilruah a hrual deuh mai thei a, chu chu thil pangngai a ni.
Hei hi risk a awm em?
EUS hi a him hle a ni . Complication a awm tlem hle. An lo awm tak tak a nih chuan:
- Anaesthetic damdawi avanga allergy nei.
- Biopsy lak a nih chuan a hmun atang hian thisen chhuak tlem a awm thei.
- Hri kai theihna chance a tlem hle.
Mahse, hengte hi a thleng a rinawm loh hle tih hre reng ang che . I doctor hian heng zawng zawng hi enkawl turin training a nei a ni. Test zawhah pum na na tak, khawsik, luak chhuak, thisen chhuak nasa tak i neih chuan doctor i ko nghal tur a ni.
Take-Home Thuchah a ni
- Endoscopic ultrasound (EUS) hi test bik a ni a, scan pangngai aiin thlalak chiang zawk leh chipchiar zawk a pe thei a ni.
- Hei hi anesthesia hmanga tih a nih avangin natna leh lungawi lohna i nei lovang.
- Hei hi chaw ei kawng, pancreas leh a chhehvela taksa peng hrang hranga natna khirh tak tak hriatchhuahna kawngah a pui hle.
- Hei hi test him tak a ni. Complication awm theihna chance a tlem hle.
- He test chungchanga zawhna dang i neih chuan doctor zawt hreh suh.
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