Yu kin fɔdɔm bak bɔku tɛm? Mek wi tok abaut dis (Tilt Table Test)!

Yu dɔn ɛva gɛt blu yay wantɛm wantɛm, fil lɛk se tin de spin rawnd yu, ɔ fil lɛk se yu nɔ de no natin? If dis kin apun to yu bɔrku tɛm, tide wi go tɔk bɔt wan tɛst wae kin ɛp yu fɔ no de kɔz. Dɛn kɔl dis di `(Tilt Table Test)`. Nɔ fred, i simpul. Lɛ wi si wetin i bi, aw dɛn de du am, ɛn wetin yu nid fɔ no.

Wetin na dis (Tilt Table Test)?

Fɔ tɔk am simpul wan, ``Tilt Table Test'' na tɛst we de ɛp fɔ no wetin mek pɔsin de fel ɔ we i nɔ de tink (dɛn kin kɔl am bak ``Syncope'' insay mεdikal tεm dεm). I min se yu fɔ ledɔm pan spɛshal bed (tebul) ɛn kɔntinyu fɔ wach yu blɔd prɛshɔn , yu at rit , ɛn yu at ritm as di bed de tilt difrɛn angul dɛn. Di bed kin de ɔltɛm so dat yu ed de ɔp yu ed.

Wetin yu kin fɛn wit di Tilt Table Test?

dis ``Tilt Table Test'' de mek wi si aw yu hat rεt, ritm, εn bכdi prεshכn de chenj we yu chenj yu posishכn (fכ egzampl, we yu tinap wan wan fכ lay posishכn). If yu dɔktɔ yuz dis infɔmeshɔn, i go ebul fɔ no wetin de mek yu ed de tɔn ɛn yu ed de mek yu nɔ gɛt bɛtɛ ed . Dɔn dis kin ɛp yu fɔ mek di bɛst tritmɛnt plan fɔ yu.

Naw, luk, sinkɔp, ɔ fɔdɔm, na fɔ lɛ yu nɔ no natin fɔ sɔm tɛm ɛn yu nɔ go ebul fɔ kɔntrol di bɔdi bikɔs di blɔd we de flɔ to di bren dɔn go dɔŋ fɔ sɔm tɛm. Na dat mek sɔntɛnde pipul dɛn kin fɔdɔm. Dis blɔd we de lɔs kin bi bikɔs di blɔd prɛshɔn go dɔŋ wantɛm wantɛm, di at we de bit dɔŋ, ɔ di blɔd we de na di bɔdi ɔ di blɔd we de go chenj. Ivin afta yu dɔn gɛt kɔnshɛns bak, yu kin fil lɛk se yu ed de tɔn smɔl.

Ilɛksɛf wi tinap, sidɔm, ɔ ledɔm, wi bɔdi fɔ mek wi at rit ɛn blɔd prɛshɔn ɔtomɛtik wan. Bɔt sɔm mɛrɛsin kin ambɔg dis prɔses. We dat apin, yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm we yu tinap.

Bɔrku tɛm, ɔda kayn sik kin kam wit yu at, yu nervɔs sistɛm, ɔr blɔd we de go na yu bren. So, yu dɔktɔ kin ɔda ɔda tɛst dɛn wit di Tilt Tebul Tɛst fɔ ɔndastand yu sik mɔ.

Aw yu kin du dis (Tilt Table Test)?

Imajin wetin kin apin insay yu bɔdi we yu tinap wantɛm wantɛm frɔm we yu de ledɔm. Na dat dis ``Tilt Table Test'' de du artificially. Bɔt i rili sef . Bikɔs dɛn tay yu na di bed wit strap, yu nɔ go fɔdɔm ivin if yu gɛt diziz we yu muf di bed to say we yu tinap.

Ustɛm dɛn kin du Tilt Tebul Tɛst? Usay? Aw lɔng i kin tek?

Dɔktɔ kin du dis ``Tilt Table Test'' if yu de gɛt diziz ɔltɛm ɔ yu nɔ de no natin fɔ no rizin.

Dɛn kin du dis tɛst na spɛshal ``Tilt Lab'' ɔ ``Electrophysiology Lab'' we de na ɔspitul ɔ klinik.

Di tɛst kin tek lɛk 90 minit fɔ dɔn, i kin dipen pan di sayn dɛm we yu gɛt ɛn aw yu blɔd prɛshɔn ɛn at rit kin chenj we yu de du di tɛst. Sɔm pipul kin sho dɛn sayn frɔm di fɔs pat pan di tɛst, so dɛn nɔr nid fɔ du di tɛst igen. Di dɔktɔ go gɛt ɔl di infɔmeshɔn we dɛn nid bay da tɛm de.

Aw fɔ pripia fɔ di Tilt Tebul Tɛst?

Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn no wetin fɔ du di de we dɛn go du di tɛst. I fayn fɔ aks yu padi ɔ fambul fɔ drayv yu go na os afta di tɛst.

Bɔt it ɛn drink:

• It nɔmal wan di nɛt bifo di tɛst.
• Nɔ it ɔ drink ɛni ɔda tin pas tu-tri wata fɔ 4 awa bifo yu du di tɛst.
• Nɔ drink ɛnitin we gɛt kafin (lɛk kɔfi ɔ ti) di de we dɛn de du di tɛst.

Bɔt mɛrɛsin:

• Tek yu ɔspitul mɛrɛsin di rayt tɛm wit wan sip wata.
• If yu de tek diuretics (wata pills), aks yu dɔktɔ if yu kin tek am afta di tɛst.
• Nɔ tek mɛrɛsin we de mek yu nɔ fil fayn.
• If yu gɛt dayabitis ɔ yu de tek insulin, aks yu dɔktɔ aw fɔ tek yu mɛrɛsin di de we dɛn de du di tɛst. Briŋ yu glukɔs mita wit yu if yu fil se yu blɔd shuga dɔn smɔl we yu de go na ɔspitul.
• Nɔ ɛva stɔp fɔ tek mɛrɛsin we yu nɔ tɔk to dɔktɔ.

Wetin yu fɔ wɛr?

• Wear fayn klos ɛn wan pe sus. Yu kin wɛr T-shirt we gɛt shɔt sliv ɔ we nɔ gɛt sliv instead fɔ wɛr ɔspitul gɔn. If yu wɛr klos we gɛt lɔng sliv ɔ tayt, dɛn kin aks yu fɔ chenj to ɔspitul klos. I fayn fɔ kam wit ɛkstra klos fɔ chenj insay if yu vɔmit ɔ pis we yu de du di tɛst.

Wetin yu nid fɔ kɛr go wit yu?

• Nɔ tek ɛnitin we gɛt valyu wit yu.
• Tek dɛn tin ya wit yu:
• Wan list we dɛn rayt bɔt di mɛrɛsin dɛn we yu de tek naw ɛn di doz we dɛn de tek.
• Ol mɛdikal rɛkɔd dɛn, if ɛni wan de.
• Wan list we dɛn rayt fɔ ɔl yu alɛji (to mɛrɛsin, it, tin dɛn we de na di say we yu de).
• Yu inshɔrans kad.

Wetin kin apin bifo di tɛst?

Dɔktɔ ɔ nɔs go ɛksplen to yu di tɛst, ansa yu kwɛstyɔn dɛn, ɛn aks yu fɔ sayn fɔm fɔ gri. Yu kin ebul fɔ gɛt dis fɔm bak we yu mit wit di dɔktɔ di de bifo di tɛst. Sɔmbɔdi go ɛp yu fɔ rɛdi fɔ di tɛst ɛn ansa ɛni kwɛstyɔn we yu gɛt.

Bifo di tɛst, if yu want fɔ aks yu dɔktɔ fɔ nɔ yuz wan pan yu an fɔ put IV (intravenous saline solution) ɔ fɔ chɛk yu blɔd prɛshɔn, tɛl am.

Bifo di tɛst, di mɛdikal wokman dɛn go du dɛn tin ya:

• Dɛn go mek yu ledɔm pan wan ``Tilt Table''. Dis na bed we gɛt motoka ɛn we gɛt mɛtal plet fɔ rɛst yu fut pan.
• Dɛn go tay sɔft klos strɛp dɛn ɔlsay na yu bɔdi, bɔt yu go nid fɔ bia yu yon wet we yu de du di tɛst.
• Dɛn go put IV insay wan vein na yu an ɔ yu an. Dis kin tek blɔd sɛmpul ɛn gi yu mɛrɛsin we dɛn de du di tɛst, if nid de.
• Dɛn go tay blɔd prɛshɔn kɔf na wan pan yu an ɛn wan finga. Dɛn tin ya kɔnɛkt to monita dɛn we de sɛn infɔmeshɔn ɔlsay na di tɛst. di kכf na di finga de on kכntinyu כl di tεst. di kכf na di an de chεk yu bכdi prεshכn εvri 4-10 minit.
• Dɛn kin put smɔl smɔl pat dɛn we kin stika we dɛn kɔl ilɛktrɔd na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to wan ilɛktrokardiogram (EKG) monita. Dis de sho di ilɛktrik aktiviti we yu at de du lɛk grafik we de muv fɔ layn dɛn na wan pepa strip we de muv. Dis kin wach yu at rit ɛn ritm we yu de du di tɛst.

Wetin kin apin we dɛn de du di tɛst?

Di mɛdikal staf go de wit yu ɔl di tɛm we dɛn de du di tɛst. Dɛn go tray fɔ mek yu fil fayn as yu ebul. Mashin dɛn go kɔntinyu fɔ wach yu blɔd prɛshɔn, aw yu at de rit, ɛn aw yu at de bit. Dɛn go rayt di infɔmeshɔn we dɛn gɛda na kɔmpyuta.

Pat Wan:

We yu de du di ``Tilt Table Test'', yu go ledɔm fɔ lɛk 15 minit.

Dɔn, we yu stil de, dɔktɔ go tek yu blɔd prɛshɔn ɛn EKG.

Di pɔsin we de kɔntrol di tebul we gɛt motoka kin tilt di tebul lɛk dis:

• 2-3 minit na 30 digri.
• 2-3 minit na 45 digri.
• I kin rich 45 minit we di ples kol 70 digri.

Di tin we impɔtant pas ɔl na fɔ kip yu ed ɔp ɔltɛm we yu de du di tɛst.

Fɔ gɛt kɔrɛkt tɛst rizɔlt, fala dɛn instrɔkshɔn ya:

• Stay as stil ɛn kwayɛt as yu ebul we yu de du di tɛst.
• Nɔ muv yu leg dɛn we yu de tinap.
• Tray nɔ fɔ tɔk pas nɔmɔ i rili nid fɔ tɔk.
• Tɛl yu dɔktɔ bɔt ɛni sayn we yu go gɛt we yu de du di Tilt Tebul Tɛst (lɛk we yu de tɔn diziz, yu ed we de layt, ɔ yu bɛlɛ at).

Pat Tu (if nid de):

If yu blɔd prɛshɔn nɔ go dɔŋ di fɔs pat pan di tɛst, dɔktɔ kin gi yu mɛrɛsin fɔ si aw yu bɔdi de du am. Dis mɛrɛsin de mek yu at bit fast fast. Dɛn kin gi dis mɛrɛsin tru yu ``IV'', as pil, ɔ as sprɛy insay yu mɔt.

Afta di dɔktɔ gi yu di mɛrɛsin, i go tilt di tebul to 60 digri fɔ te 15 minit. If yu blɔd prɛshɔn go dɔŋ dis tɛm, di tɛst dɔn dɔn. Bɔt dɛn go dɔn di sɛkɔn pat pan di tɛst insay 15 minit.

Aw yu go fil we dɛn de du di tɛst?

Insay di tɛm we dɛn de du di tɛst, di dɔktɔ go aks yu aw yu de fil. Yu nɔr kin gɛt ɛni simptom, ɔr yu kin gɛt ``pri-syncope'' simptom. Dɛn tin ya na di wan dɛn we kɔmɔn pas ɔl:

• Laythɛdnɛs - Fɔ fil laythɛd, lɛk se yu de flot.
• Diziz we pɔsin kin gɛt.
• Fɔ fil sik to yu bɛlɛ, lɛk se yu go vɔmit.
• Palpitations na filin wae de hat de bit ɛn de chɛst de bit.

Yu kin si fayn ɔ yu ed kin at.

Di rizin fɔ dis tɛst nɔto fɔ mek yu fred. Bɔt dipen pan aw yu de du di tɛst, i kin mek yu fred.

I rili impɔtant: Tɛl yu dɔktɔ wetin yu de fil ɔl di tɛm we yu de du di tɛst. Dɛn kin aks yu fɔ rayt yu sik dɛn pan wan skel we de frɔm 1 to 10 (10 na di wan we wɔs pas ɔl). Yu sik, wit de infɔmeshɔn wae dɛn dɔn gɛda frɔm di tɛst, go ɛp yu dɔktɔ fɔ no wetin de mek yu gɛt dis sik.

If yu fil se yu nɔ go ebul fɔ kɔntinyu fɔ du di tɛst bikɔs ɔf di sik dɛn we yu gɛt, tɛl yu dɔktɔ . Dɛn kin stɔp di tɛst if dɛn want. Bɔt if dɛn tink se i sef fɔ mek yu kɔntinyu fɔ du di tɛst, dɛn go ɛnkɔrej yu fɔ wet te di tɛst dɔn, bikɔs na da tɛm de yu go gɛt di rizɔlt we kɔmplit pas ɔl.

Wetin kin apin afta di tɛst?

Afta di Tilt Table Test, di dɔktɔ go put di tebul dɔŋ bak to flat pozishɔn. Yu go ledɔm na tebul fɔ lɛk 5-10 minit. Insay dis tɛm, di dɔktɔ go chɛk fɔ si if yu fayn ɛn i go mɛzhɔ yu blɔd prɛshɔn, yu at rit, ɛn ritm bak.

I nɔ kin izi fɔ mek dɛn kɔntinyu fɔ gɛt siriɔs sik afta di tɛst, bɔt if dɛn apin, dɛn kin nid fɔ kɛr yu go na di Imejɛnsi Dipatmɛnt fɔ mek dɛn chɛk yu.

If dis na yu las tɛst fɔ di de, di dɔktɔ go pul yu `(IV)`. If yu gɛt ɔda tɛst dɛn we nid fɔ du `(IV)` da de de, dɛn go lɛf di `(IV)` lɛk aw i de. Di pɔsin we de du di ɔda tɛst go pul di `(IV)` afta yu las tɛst.

Bɔku pipul dɛn kin go na os afta dɛn dɔn du di tɛst. Bɔt yu fɔ gɛt big pɔsin we gɛt rɛspɔnsibiliti fɔ drayv yu go na os. Yu nɔ go ebul fɔ drayv da de de.

If yu nɔ gɛt ɛni ɔda tɛst we go mek yu fast, yu kin it nɔmal wan afta di tɛst.

If ɛni nyu sayn de kam afta di tɛst, ɔ if di sayn dɛn we dɔn de, tɛl yu dɔktɔ .

Ɛni risk de wit dis (Tilt Table Test)? Yu tink se i sef?

Na smɔl tɛm nɔmɔ, dɛn kin put pipul dɛn na slip di tɛm we dɛn de du di ``Tilt Table Test''. Bɔt bikɔs di dɔktɔ dɛn de wit yu, dɛn go put di tebul dɔŋ kwik kwik wan ɛn mek yu go bak to yu nɔmal pozishɔn. Yu kin fil taya ɛn/ɔ gɛt bɛlɛ pen. Sɔm pipul dɛn nɔ kin ebul fɔ kɔntrol dɛn urine we dɛn de du di tɛst.

Dis tɛst kin jɔs sef . Bɔt jɔs lɛk ɔl di tɛst dɛn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Nɔr kin bɔrku pipul dɛm wae gɛt narrowed coronary arteries ɔ carotid arteries kin gɛt hat atak ɔr strok.

Yu dɔktɔ go tɔk to yu bɔt di prɔblɛm ɛn bɛnifit dɛn we di tilt tebul tɛst gɛt bifo i gri fɔ du di tɛst. If nid de, yu dɔktɔ kin mek sɔm chenj dɛn na di tɛst fɔ mek yu nɔ gɛt bɔku prɔblɛm.

Wetin i min if di tɛst na (Positive) / (Negative)?

• If yu gɛt pɔsitiv tilt tebul tɛst, dat min se yu kin gɛt wan sik we de mek yu blɔd prɛshɔn, yu at rit, ɔ yu at ritm chenj nɔrmal.
• Negatif tilt tebul tɛst min se yu nɔ sho ɛni sayn fɔ wan mɛrɛsin we de mek yu blɔd prɛshɔn, at rit, ɔ at ritm chenj nɔrmal wan.

Us kɔndishɔn kin mek yu gɛt (positiv) tɛst?

Sɔm pan di kɔndishɔn dɛn we kin mek pɔsin gɛt `(Positive) (Tilt Table Test)` na:

• Di at bit we nɔ de slow (Bradycardia).
• At bit we nɔrmal fast (Tachycardia).
• Di blɔd shuga lɛvɛl smɔl (Hypoglycemia).
• Lɔw blɔd prɛshɔn (Hypotension).
• Postural Ɔtostatik Takikardia Sindrom (POTS).

Ustɛm a go no di rizɔlt fɔ di tɛst?

Dɔktɔ kin rivyu di rizɔlt ɛn tɔk bɔt am wit yu pan dɛn tin ya:

• If yu gɛt bɔku chenj dɛn na yu blɔd prɛshɔn, yu at ritm, ɔ yu at rit.
• If yu get in trobul.
• If yu simptom dɛn kɔntinyu afta di tɛst.

If di dɔktɔ na di lab nɔ tɔk to yu bɔt di rizɔlt afta di tɛst, kɔl di dɔktɔ we rifer yu fɔ dis tɛst ɛn aks bɔt di rizɔlt. Bɔku tɛm, di rizɔlt go de insay sɔm dez, if nɔto wantɛm wantɛm.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

Dipen pan di rizɔlt fɔ di Tilt Tebul Tɛst, yu kin nid fɔ du ɔda tɛst fɔ no di rayt tin we mek yu gɛt sinkɔp. Dɛn tɛst ya kin bi:

• Wan ɛmodaynamik tɛst, we dɛn kin du wit ɛkokadiogram, fɔ chɛk aw blɔd de sheb ɔlsay na yu bɔdi, di prɛshɔn we de na yu blɔd vesel dɛn, ɛn aw yu at de pɔmp blɔd ɔlsay na yu bɔdi.
• כtonomik rεflεks tεst de tεst yu כtonom nεv sεstem - di sistεm we de kכntro di akshכn dεm we wi nכ de kכntro, lεk fכ brith, at rεt, εn digεsshכn.
• `(Vestibular fכnshכn tεst)` (wan tεst we riliyt to bεlε).
• Di we aw dɛn de wach aw di at de rit.
• Echocardiogram (ultrasound tɛst fɔ di at).

Ustɛm yu nid fɔ tɔk to di dɔktɔ?

Di dɔktɔ we rifer yu fɔ dis tɛst go ɛksplen to yu di tɛst rizɔlt ɛn tɔk to yu bɔt yu tritmɛnt plan.

I rili impɔtant fɔ aks yu dɔktɔ bɔt yu mɛrɛsin dɛn. Yu kin nid fɔ chenj di kayn ɔ di doz fɔ di mɛrɛsin dɛn we yu de tek. Fɔ fala di nyu tritmɛnt plan we yu dɔktɔ tɛl yu fɔ du.

Panik atak kin mek yu fred fɔ de yu wan ɔ fɔ go na do. Dɔktɔ dɛn dɔn de yuz dis ``Tilt Table Test'' fɔ lɔng lɔng tɛm fɔ ɛp pipul dɛn fɔ no wetin de mek dɛn gɛt panik atak. Wae dɛn dɔn no de kɔz, dɛn kin mek wan tritmɛnt plan fɔ ɛp yu.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

I kin rili ambɔg ɛn mek yu fred fɔ gɛt fɔdɔm ɔltɛm. Bɔt mɛmba se dɛn kin fɛn ɛn trit di tin we kin mek dis apin. Di ``Tilt Table Test`` na impɔtant step fɔ ɛp wit dis.

If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Si dɔktɔ ɛn tɔk bɔt dɛn. Dɔn yu kin gɛt di ɛp we yu nid. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis tɛst, nɔ fred fɔ aks yu dɔktɔ. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl!

` Faint, lכs kכnsεns, tilt tebul tεst, hat rεt, blכd prεshכn, diagnosis, sinkope