Bɔku tɛm yu kin fil lɛk se yu ed de tɔn? Lɛ wi tɔk bɔt di Ɛmodaynamik Tɛst!

Sɔntɛnde, yu kin fil lɛk se yu ed kin tɔn wantɛm wantɛm, yu yay kin tɔn blu, ɛn tin dɛn we de arawnd yu kin fil lɛk se dɛn de spin? Ɔ yu kin fil bad bad wan, lɛk se yu chɛst de bit ɛn yu gɛt prɔblɛm fɔ blo? If dɛn tin ya kin apin bɔku tɛm, i rili impɔtant fɔ no wetin de mek dɛn apin. If na so i bi, wan spɛshal tɛst we yu dɔktɔ kin se fɔ yu, dɛn kin kɔl am ``Hɛmodaynamik Tɛst''. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na dis ‘Hɛmodaynamik Tɛst’?

Fɔ tɔk am simpul wan, dis `(Hemodynamic Test)` na we fɔ chɛk di blɔd we de flɔ na yu bɔdi, dat na aw di blɔd de go, ɛn aw yu at de wok fayn fayn wan. sכmtεm dεn kin kכl am bak `(hεmodaynamik tilt tεst)` כ `(tεknεtiכm hεmodaynamik tεst)`. dis na biכs dis tεst de yuz wan redioaktiv ayzכtop we dεn kכl `(technetium)` (wi go tכk bכt dis leta). Dis na rili wan tεst we dεn de yuz wan tεknכlכji we dεn kכl `(nyukliar imej)`. Nɔ fred, pan ɔl we di nem fɔ dis na sayɛns smɔl, wans yu lan bɔt di tɛst, yu go no se dis nɔ de mek yu fred so.

Wetin mek dɛn de du dis tɛst? Wetin i de luk fɔ?

Imajin, yu de faint wantɛm wantɛm ɛn fɔdɔm (dɛn kin kɔl am bak ``syncope'') ivin we yu jɔs tinap wansay. Ɔ di dɔktɔ de tink se sɔntin nɔ fayn wit di we aw yu blɔd de flɔ, dat na di we aw yu blɔd de go. Na da tɛm de dɛn kin ɔda dis tɛst.

Di infɔmeshɔn frɔm dis tɛst kin ɛp yu dɔktɔ fɔ no gud gud wan wetin mek yu de fil fɔdɔm, ɔ wetin na di prɔblɛm wit yu blɔd sistɛm. Na da tɛm de nɔmɔ dɛn go ebul fɔ no di bɛst tritmɛnt fɔ yu.

Bɔku rizin dɛn de we kin mek pɔsin fɔdɔm:

• Di blɔd we de go na yu bren kin go dɔŋ smɔl wantɛm wantɛm.
• We yu blɔd prɛshɔn ɔ yu at rit go dɔŋ wantɛm wantɛm.
• di chenj dεm we de apin na di bכdi we de na di bכdi (`blכd volyum`) כ di we aw di bכdi de sheb.

Bɔku tɛm, pipul dɛn we kin fɔdɔm lɛk dat kin gɛt sɔm kayn mɛrɛsin na dɛn at, dɛn nervɔs sistɛm, ɔ di sistɛm we kin kɛr blɔd go na dɛn bren. So dis ``(Hemodynamic Test)`` de ɛp fɔ no dɛn kayn tin ya.

Aw yu fɔ pripia bifo di tɛst?

Sɔm tin dɛn de we yu fɔ no bɔt ɛn fala bifo yu tek dis tɛst. Na we yu fala dɛn kɔrɛkt wan nɔmɔ yu go ebul fɔ pas di tɛst fayn fayn wan.

• Bεlε εn bεlε: dεn nכ kin du dis tεst if yu bεlε כ yu de gi bεlε. So, yu kin nid fɔ tek bɛlɛ tɛst fɔ mek yu de na di say we sef.
• Fɔ it ɛn drink: Yu nɔ go ebul fɔ it ɔ drink ɛnitin fɔ 4 awa bifo yu du di tɛst. Yu nɔ go ebul fɔ chew gam ɔ tofi. Bɔt if yu gɛt ɛni mɛrɛsin, yu kin tek am wit tu-tri wata. Aks yu dɔktɔ bɔt dis ɛn mek shɔ se.
• Kafin: Nɔ drink ɛnitin we gɛt kafinɛ di de we yu de du di tɛst. Nɔto ti ɛn kɔfi nɔmɔ, bɔt sɔm sɔft drink ɛn chɔklɛt dɛn gɛt kafinɛ. Ivin prɔdak dɛm we dɛn rayt "caffeine-free" ɔ "decaffeinated" kin gɛt smɔl smɔl kafin sɔm tɛm, so avɔyd dɛn wan ya bak.
• Fɔ di wan dɛn we gɛt dayabitis: If yu gɛt dayabitis, aks fɔ mek dɛn schedul yu tɛst arawnd 12:30 p.m. Da we de, yu kin it layt brɛf bifo 8: 30 a.m. I fayn fɔ tɔk to yu dɔktɔ bɔt dis bak.
• Sɔm mɛrɛsin dɛn: Nɔ tek diuretics (wata pils) ɔ laxatives ( laxatives ) bifo yu du di tɛst. I bɛtɛ lɛ yu nɔ grap we dɛn de du di tɛst.
• Ɔda mɛrɛsin dɛn: Yu kin tek ɛni ɔda mɛrɛsin we yu kin tek lɛk aw yu kin tek. Bɔt aks yu dɔktɔ ɔ fama if ɛni mɛrɛsin we yu de tek gɛt kafin ɛn if i sef fɔ tek di de we dɛn de du di tɛst. Nɔ bigin ɔ stɔp ɛni mɛrɛsin we yu dɔktɔ nɔ tɛl yu.

Wetin fɔ ɛkspɛkt pan tɛst de?

Yu fɔ tek kia ɔf dɛn tin ya bak di de we dɛn de du di tɛst.

• Klos: Wear fayn, layt klos ɛn wan pe fɔ sus. We dɛn de du di tɛst, dɛn go nid fɔ wɛr ɔspitul gɔn we nɔ kɔba frɔm yu wes ɔp.
• Jɛlɔ ɛn valyu tin dɛn: Nɔ wɛr jɔyri lɛk iaring, nɛks, ring (inklud mared ring). Nɔ kɛr tin dɛn we gɛt valyu.
• Tin dɛn fɔ briŋ: Mek shɔ se yu kam wit dɛn tin ya:
• Yu mɛdikal istri ɛn fyzikal ɛgzam ripɔt we yu jɔs dɔn gɛt.
• Ɔda mɛdikal rɛkɔd dɛn we gɛt fɔ du wit yu wɛlbɔdi prɔblɛm dɛn.
• Wan list fɔ ɔl di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek (inklud di mɔnt dɛn we yu de tek).
• Wan list fɔ ɔl yu alɛji dɛn.

Aw lɔng dis tɛst kin tek? Yu de kɔnshɛns?

Dis tɛst kin tek lɛk tri awa so fɔ dɔn, so yu fɔ tink se yu go spɛn lɛk tri awa so na di ɔspitul.

Yɛs, yu go de kɔnshɛns ɔl di tɛm we dɛn de du di tɛst. Di wan dɛn we de wok na di mɛrɛsin go mek yu fil fayn as yu ebul. Bɔt i rili impɔtant fɔ mek yu stil de kwayɛt ɛn kwayɛt as yu ebul. Na so dɛn kin gɛt di bɛst ɛn klia pikchɔ dɛn.

Wetin dɛn kin yuz fɔ di tɛst?

Dɔktɔ dɛn kin yuz difrɛn difrɛn tin dɛn ɛn difrɛn we dɛn we dɛn de du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi.

• EKG (ECG) we dɛn de wach:Dɛn kin put sɔm smɔl smɔl pat dɛn we kin stika (ilɛktrod) na yu chɛst. Dɛn kin sɛn di infɔmeshɔn frɔm dɛn tin ya to wan mashin we dɛn kɔl ilɛktrɔkadyografi (EKG/ECG). Dis mashin de rayt di ilɛktrik wok we yu at de du lɛk grafik pan wan pepa we de muv. I kin wach yu at rit ɛn ritm we yu de du di tɛst.
• Blɔd Prɛshɔn Monitoring: Dɛn kin put blɔd prɛshɔn kɔf na yu an ɛn dɛn kin mɛzhɔ yu blɔd prɛshɔn difrɛn tɛm dɛn we dɛn de du di tɛst.
• Hemodynamic Echo: Bifo di test bigin (afta yu dɔn rɛst fɔ lɛk 20 minit), yu go gɛt echocardiogram. Dis tɛst kin tek lɛk 20 minit so. I de tek ditayli pikchɔ dɛn bɔt yu at. I de mɛzhɔ bak ɔmɔs blɔd yu at de pɔmp wan tɛm (cardiac output). Dɔn, we dɛn de du di tɛst, dɛn kin mɛzhɔ yu at autput bak ɛn kɔmpia am to di fɔs ridin.
• Nyuklia Mɛdisin Imajin: Di dɔktɔ kin yuz wan spɛshal kamɛra we dɛn kɔl gama kamɛra fɔ tek pikchɔ dɛn we dɛn de du di tɛst. Dis kamɛra de no di gama rayt we wan redioaktiv aysɔtop (ɔ traysa) de pul. Di pikchɔ dɛm we dis kamɛra tek de gi di dɔktɔ bɔku impɔtant infɔmeshɔn bɔt aw yu at de wok fayn ɛn aw yu blɔd de muv. I kin tɛl yu bak ɔmɔs blɔd yu at de pɔmp ɛn aw yu blɔd de muv fast.

Wetin kin apin we dɛn de du di tɛst?

Okay, naw lɛ wi si wetin rili apin di tɛm we dɛn de du di tɛst.

• Dɛn go mek yu ledɔm pan ɛgzam tebul.
• Di pɔsin we de kia fɔ di wɛlbɔdi biznɛs, ilɛksɛf na dɔktɔ ɔ nɔs, go ɛksplen di tɛst to yu klia wan. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt da tɛm de.
• Dɛn go gi yu IV (kanula we fiba salin drip). Dis na di say we di redioaktiv ayzotop (ɔ traysa) we wi bin dɔn tɔk bɔt de gi insay yu bɔdi. dis traysa de injεkt tru yu IV bifo dεn tek εvri sεt fכ imej dεm. Sɔntɛnde dɛn kin gi ɔda mɛrɛsin dɛn bak tru dis IV we dɛn de du di tɛst.
• Di dɔktɔ go put di gama kamɛra na yu chɛst. I impɔtant fɔ mek yu stil de we di kamɛra de tek di pikchɔ dɛn. Di kamɛra kin rɔta bak rawnd yu.

Aw i kin fil fɔ tek di tɛst?

Yu nɔ go gɛt ɛni spɛshal sayn we yu de du di tɛst. Bɔt i nɔmal fɔ mek yu fil lɛk yu ed layt smɔl, yu nɔ de fil fayn, ɔ yu at de bit. Nɔ wɔri bɔt dat.

We dɛn put di redioaktiv ɛjɛn insay yu IV, yu kin fil kol we de rɔn go ɔp yu an. Yu kin gɛt bak wan mɛtal teys na yu mɔt ɛn wan strenj smel na yu nos. Bɔt dɛn filin ya nɔ kin las fɔ lɔng tɛm ɛn dɛn go dɔn afta sɔm tɛm.

I rili impɔtant fɔ tɛl di dɔktɔ ɔ nɔs ɔl wetin yu fil we yu de du di tɛst, ilɛksɛf i smɔl. Dɛn kin mek ajɔstmɛnt dɛn fɔ mek i izi fɔ yu fɔ de bitwin di tu sɛt dɛn fɔ pikchɔ dɛn. Di dɔktɔ go yuz yu sayn dɛm ɛn di infɔmeshɔn frɔm di tɛst fɔ no ustɛm de mek yu gɛt dis sik.

Aw dis kin wok?

di raytin we di traysa we de gi tru yu IV, na wan gama kamɛra de no am. Dɔn kɔmpyuta kin yuz dis infɔmeshɔn fɔ mek sɔm pikchɔ dɛn. Dɛn kin gi yu tri sɛt fɔ pikchɔ dɛn (tu we yu de ledɔm ɛn wan we yu sidɔm).

Wetin kin apin afta di tɛst?

Sɔm tin dɛn de we yu fɔ mɛmba ivin afta di tɛst dɔn.

• If yu gɛt ɛni sayn we yu de du di tɛst, yu go nid fɔ de na ɔspitul te dɛn sayn dɛn de dɔn kpatakpata.
• sכm pan di `(tracer)` dεm we dεn yuz fכ di tεst go kכmכt frכm yu bכdi insay yu urine. Di ɔda wan dɛn go brok dɔŋ naturally insay yu bɔdi. If yu ebul, drink smɔl mɔ wata. Dat go ɛp fɔ flush di `(tracer)` kɔmɔt na yu bɔdi fast fast.
• Afta di tɛst, dɛn go gi yu kad fɔ kɛr wit yu we yu travul fɔ wan wik. (Na di US, dis na ``US Department of Homeland Security kad.'') Bikɔs di aysɔtop we dɛn yuz fɔ di tɛst na ``(isotope)'', yu kin sɛt ɔf wan ``(alarm)'' we yu go tru ``(security)'' chɛk na ples lɛk aypɔt.
• Bɔku pipul dɛn kin go na os wantɛm wantɛm afta dɛn dɔn du di tɛst. Bɔt if yu gɛt siriɔs sik, i go fayn fɔ mek yu gɛt pɔsin fɔ drayv yu go na os. So i fayn fɔ gɛt pɔsin wit yu we yu de go.

Wetin na di risk ɛn sayd ɛfɛkt dɛm we dis kin gɛt?

Lɛk ɛni mɛdikal tɛst, smɔl smɔl tin kin de wit dis wan bak.

• Yu kin gɛt sɔm brus, rɛd, ɔ swel usay dɛn put di IV. Dis na nɔmal tin ɛn i go dɔn insay sɔm dez. Yu kin fil sɔm pen ɔr nɔr fil fayn bak we dɛn put di IV insay.
• Dat redioaktiv aysɔtop nɔto day, so i nɔ de mek pɔsin gɛt alɛji sayd ɛfɛkt.
• Di amount of redyushɔn we dɛn yuz fɔ di tɛst rili smɔl. Na lɛk di sem kayn raytin we yu bɔdi kin gɛt we yu gɛt ɛkstrem rayt na yu chɛst. So natin nɔ de fɔ wɔri bɔt.

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn de tɛl wi?

Di ripɔt we yu dɔktɔ go gɛt go sho if yu rizɔlt na ``nɔmal`` ɔ ``abnɔmal``.

Dɔn bak, dis tɛst kin sho tin dɛn lɛk:

• Yu gɛt at ritm we nɔmal?
• Ɛni chenj de na di blɔd prɛshɔn?
• Prɔblɛm de wit di at, lɛk korona at sik, usay i de, aw i bad, ɛn us blɔd vesel dɛn kin afɛkt?
• Yu tink se blɔd de go dɔŋ (ischemia)?
• If di tisu dɛn dɔn day (infarction) bikɔs blɔd ɛn ɔksijɛn nɔ de.

Yu kin fɛn bɔku impɔtant tin dɛn lɛk dis na dis tɛst.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

I kin tek bitwin 10 ɛn 14 dez (dat na lɛk tu wiks) fɔ mek di dɔktɔ gɛt di rizɔlt fɔ dis tɛst.

Dɔn di dɔktɔ go yuz di rizɔlt fɔ mek wan plan fɔ kia fɔ yu we go fayn fɔ yu. Yu kin nid fɔ bigin fɔ tek nyu mɛrɛsin ɔ chenj di mɛrɛsin dɛn we yu de tek naw. Dɛn kin sɛn yu bak to ɔda spɛshal pipul dɛn.

bay di rizulyt fכ dis ``Hemodynamic Test'', di dכkta kin disayd se dεn nid fכ du כda tεst.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, yu kin si se dis ``Hemodynamic Test'' na rili imכtant tεst we kin εp yu fכ fכn di kכz fכ tin dεm lεk fכ fεnshכn bכku tεm εn i at fכ brith.

Mɛmba se di wangren pen we yu go fil we yu de du dis tɛst na we yu de sting smɔl we dɛn put di IV insay. Ɔl ɔda tin izi fɔ yu fɔ handle.

Di rizɔlt fɔ dis tɛst go ɛp yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis tɛst, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

`εmodaynamik tεst, bכdi sεkyuleshכn, kadyak fכnshכn, fεint, sinkop, nyuklia mεdisin, at sik, EKG, εkokadyכgram