Wetin na Mɛtabolik Ɛksesaiz Strɛs Tɛst? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva yɛri bɔt ‘Mɛtabolik Ɛksesaiz Strɛs Tɛst’? Sɔntɛm yu bin de fred smɔl ɔ yu bin want fɔ no mɔ we yu dɔktɔ tɛl yu fɔ du dis. Ɔ sɔntɛm yu bin jɔs want fɔ no bɔt am. So, tide wi go tɔk bɔt dis tɛst simpul wan, insay wan we we yu go ɔndastand.

Wetin na di difrɛns bitwin dis we dɛn kɔl mɛtabolik ɛksɛsayz strɛs tɛst ɛn strɛs tɛst we dɛn kin du ɔltɛm?

Fɔ tɔk am simpul wan, dis na tɛst we de chɛk yu wɛlbɔdi we yu de du ɛksɛsayz. Dɛn kin du am we yu de rayd baysikul ɔ we yu de waka pan tredmil. Dɔktɔ ɔ pɔsin we dɛn dɔn tren kin tek tɛm wach yu. di spεshal tin fכ dis na dat i de luk aw yu at εn lכng dεm de wok fayn fayn wan, εn aw yu mכsul dεm de gεt כksijεn fayn fayn wan we yu de εksεsayz (`Cardiorespiratory Fitness` - CRF). Sɔntɛnde dɔktɔ dɛn kin kɔl dis bak ``Cardiopulmonary Exercise Test`` (`CPET`). biכs ``cardio'' min at, εn ``pulmonary'' min lכng. So dɛn kin chɛk di wok we dɛn tu tin ya de du di sem tɛm.

Naw yu go de tink se, ‘So wetin difrɛn bitwin strɛs tɛst ɔltɛm ɛn dis wan?’ Dat na fayn kwɛstyɔn! Wan ɔltɛm strɛs tɛst basically jɔs de luk pan yu at. Yu de du eksasaiz ɛn gɛt data frɔm tin dɛn lɛk EKG. Bɔt insay dis mɛtabolik strɛs tɛst, yu de blo tru wan spɛshal fes mask ɔ mɔt. Dis divays de mɛzhɔ di ɔksijɛn ɛn kabon dayɔgzayd we de na di briz we yu de blo. I de mכsu bak aw bכku briz yu lכng kin tek in. Infakt, na advans vεshכn fכ di rεgulεr strεs tεst wit כl di bεl εn wisεl dεm. So, di כmכnt כf data we dεn gεt frכm dis tu bכku, εn i pכsibul fכ כndastand εksεkshכn aw di at εn lכng dεm de rεspכnd we i de du εksεsayz.

Wetin wi go lan frɔm dis tɛst?

So, wetin rili dis tɛst go ebul fɔ no? Imajin se yu kin fil taya ivin afta yu tray smɔl, ɔ yu kin fil taya ɔltɛm. Dis tɛst kin ɛp yu fɔ no wetin de mek dis sik. I kin tɛl yu klia wan if yu nɔ kin ebul fɔ du ɛksɛsayz na at sik, lɔng sik, ɔ ɔl tu we dɛn jɔyn.

Di men tin dɛm we dɛn kin ɛkspɛkt frɔm dis tɛst na:

• Fɛn ɔda tin dɛn we mek yu nɔ de blo fayn ɛn yu kin taya pasmak we yu de du ɛksɛsayz.
• Fɔ no ɔmɔs ɛksesaiz yu at ɛn yu lɔng dɛn go ebul fɔ du .
• Fɔ no di sik dɛn we de na di at ɛn di lɔng.
• Asɛs aw yu sik bad ɛn gɛt aydia bɔt wetin go apin tumara bambay (prognosis).
• Chek di risk fɔ kɔmplikeshɔn bifo dɛn du big ɔpreshɔn.
• Pripia yu tritmɛnt plan .
• Si aw yu bɔdi de du di tritmɛnt dɛn we dɛn de gi yu naw .
• Asɛs di prɔgrɛs pan fizik trenin program dɛm lɛk kadyak rihab.
• Ɛp yu fɔ mek wan program we go mek yu ebul fɔ ɛksesaiz sef wan ɛn fayn fayn wan .

Yu si, aw impɔtant dis tɛst impɔtant? Ɛspɛshali if yu gɛt wan sik lɛk ``Hat Failure``, dis ``CPET`` tɛst kin no aw yu sik rili bad ɛn us kayn tritmɛnt yu nid.

I rili impɔtant: If yu gɛt pesmɛka ɔ difibrilator, yu fɔ rili mek dɔktɔ chɛk am bifo dis tɛst . So, tɔk to yu dɔktɔ bɔt dis bifo yu arenj fɔ du di tɛst.

Udat nid dis mɛtabolik strɛs tɛst?

So, udat nid fɔ gɛt dis mɛtabolik strɛs tɛst? Fɔ tru, yu dɔktɔ go disayd if yu nid am ɔ yu nɔ nid am. Bɔku tɛm, pikin dɛn we dɔn pas 10 ia ɛn big pipul dɛn we ol ɛni ej kin gɛt dis tɛst. Dɔktɔ dɛn kin se dɛn fɔ du dis tɛst, mɔ fɔ no ɛn kɔntrol dɛn sik ya:

• `Asma`
• Kronik Obstrɔktiv Pulmonari Diziz (COPD) .
• Sistik Faybrosis we pɔsin kin gɛt
• `Hat Failure`
• Intastitial Lɔng Sik we pɔsin kin gɛt
• Kansa na di Lɔng
• `Primari Siliary Diskinesia`
• Pulmonari Atɛrial Haypatɛyshɔn (PAH) .
• Sarkoidosis we pɔsin kin gɛt

Dɔn bak, dɛn kin du dis tɛst bifo sɔm big big ɔpreshɔn dɛn. Fɔ ɛgzampul:

• Ɔpreshɔn fɔ Risek di Lɔng
• Lɔng Transplant ɛn At-Lɔng Transplant Ɔpreshɔn
• Ɔpreshɔn we dɛn kin du fɔ ridyus di volyum na di lɔng (LVRS) .
• Ɔda big big ɔpreshɔn dɛn we dɛn kin du na di tɔraks

Pipul dɛn de we nɔ fɔ tek dis tɛst?

Bɔt nɔto ɔlman kin gɛt dis tɛst. Sɔm rizin dɛn de we mek i nɔ go fayn fɔ mek yu gɛt am. Dɔktɔ dɛn kin kɔl dɛn tin ya ‘kɔntraindikshɔn’. Dis tɛst nɔ go fayn fɔ yu if yu gɛt ɛni wan pan dɛn tin ya:

• Wan akyu infεkshכn (lεk fiva כ kol) .
• Akyu Mayokarditis ɔ Pɛrikarditis (inflameshɔn na di at mɔsul ɔ di mɛmbran we de rawnd di at) .
• Wan ``at atak`` we apin insay wan mɔnt
• Dip Vein Thrombosis (DVT) na di leg dεm
• Endocarditis (na infεkshכn na di insay layn na di at) .
• Hypertrophic Cardiomyopathy (we di at mɔsul de tik we nɔmal) .
• `Kidni Failure`
• Modaret ɔ siriɔs `Hat Valv Stenɔsis`
• Bεlε we gεt kכmplikεshכn כ we de nia fכ bכn
• Sivɛri Haypatɛnshɔn
• Sivεr Pulmonari Atεrial Haypatεnshכn (PAH) .
• Aritmia dɛn we dɛn nɔ kin kɔntrol
• At we Nɔ De Kɔntrol
• Angina we nɔ stebul (at pen) .

Aw fɔ rɛdi fɔ di tɛst?

Okay, naw mek wi si aw fɔ pripia fɔ dis tɛst. Yu fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du. Na sɔm jenɛral instrɔkshɔn dɛn ya:

• Nɔ it ɛnitin we gɛt kafin fɔ 24 awa bifo yu du di tɛst. Kafin kin afɛkt di tɛst rizɔlt. Kɔfi, ti, sɔm sɔft drink dɛn, ɛn chɔklɛt gɛt kafinɛ. Strawberry ɛn prɔdak dɛm we dɛn rayt ``decaffeinated`` ɔ ``caffeine-free`` kin gɛt smɔl smɔl tin dɛm bak, so i bɛtɛ fɔ avɔyd dɛm bak.
• Nɔ it ɔ drink ɛnitin pas wata fɔ 4 awa bifo di tɛst.
• Stɔp fɔ smok ɔ vap et awa bifo di tɛst (24 awa na di bɛst if i pɔsibul). Nikotin kin afɛkt di rizɔlt bak.

Wetin a kin du bɔt di mɛrɛsin dɛn we a kin tek?

Yu fɔ aks yu dɔktɔ bɔt dis. Sɔm mɛrɛsin dɛn kin nid fɔ tek difrɛn we di de we dɛn de du di tɛst. Bɔku tɛm, dɛn nɔ kin advays fɔ yuz mɛrɛsin fɔ mɛn pen we gɛt kafin (lɛk sɔm it pils, lɛk NoDoz®, Excedrin®, ɛn Anacin®) fɔ 24 awa bifo di tɛst.

Speshal advays fɔ pipul dɛn we gɛt dayabitis:

If yu tek insulin fɔ kɔntrol yu blɔd shuga, aks yu dɔktɔ ɔmɔs yu fɔ tek di de we dɛn de du di tɛst. Bɔrku pipul go tɛl yu fɔ tek af pan yu ɔspitul doz na mɔnin ɛn it layt it 4 awa bifo di tɛst.

If yu de tek wan pil fɔ kɔntrol yu blɔd shuga, dɛn kin aks yu fɔ nɔ tek am te afta di tɛst.

Wetin fɔ wɛr pan tɛst de?

Wear klos we yu go ebul fɔ muv ɛn ɛksesaiz insay . Bikɔs yu kin swet smɔl, i go fayn fɔ pik klos we dɛn mek wit klos we tan lɛk kɔtɔn we kin blo (lɛk T-shirt we nɔ gɛt sliv). Yu kin wɛr dɛn klos ya na os, ɔ yu kin chenj de. Dɔn bak, kam wit wan kɔmfyut sus (lɛk kanvas sus ɔ snik). Wan lɔka go de de fɔ kip yu prɔpati dɛn. Bɔt, i bɛtɛ fɔ lɛf valyu tin dɛn na os.

Aw dɛn kin du dis mɛtabolik ɛksɛsayz tɛst?

Okay, naw di impɔtant pat de kam. Aw dɛn kin du dis tɛst? Dɛn kin du am na `stress lab`, we na spɛshal rum usay dɛn kin du strɛs tɛst. Wan pɔsin we tren fɔ du di tɛst kin du di tɛst, ɛn na dɔktɔ de kia fɔ am. Yu kin ɔl tu `saykl pan steshɔn bayk` ɔ `waka pan tredmil`. Na baysikul na di wan we bɔku pipul dɛn kin du. Yu dɔktɔ go disayd us we go fayn fɔ yu bay yu ej, wɛlbɔdi, ɛn fitnɛs lɛvɛl.

We yu de du ɛksɛsayz, yu go kɔnɛkt to wan tin we de mɛzhɔ aw yu de blo ɛn aw yu de blo. Dis kin bi yuz ``fesmask`` ɔ ``mɔtpies``. Yu kin ebul fɔ pik ɛni wan we go mek yu fil fayn.

Na dis na aw di tɛst stɛp dɛn de wok:

• fכ kכnekt wan `EKG`: di tεknishian go put sכm sכm, flat stika lεk `εlektrod` dεm pan difrεn pat dεm na yu chεst. Dɛn kin kɔnɛkt dɛn tin ya to wan monita we go wach aw yu at de du ilɛktrik wok ɔl di tɛm we yu de du di tɛst.
• Fεz fכ rεst: Dis kin tek lεk tri minit. Di tɛknishian go ɛp yu fɔ yus to di fes mask ɔ di mɔt ɛn aks yu fɔ bigin fɔ blo tru am. Dɛn go mɛzhɔ yu blɔd prɛshɔn ɛn di ɔksijɛn lɛvɛl na yu blɔd (baseline vital signs). Dɛn go yuz ECG monita bak fɔ chɛk yu at rit. Fɔ chɛk di ɔksijɛn ɛn kabɔn dayɔgzayd lɛvɛl na yu blɔd (we dɛn de mɛzhɔ di at we de na di blɔd gas), di tɛknishian go put wan smɔl tiub (arterial catheter) insay wan at we de na yu an (di raydial at). Dis go tek blɔd sɛmpul wan wan tɛm we dɛn de du di tɛst.
• Unloaded phase (warmup): Dis kin tek tu to tri minit. ‘Unloaded’ min se yu de rayd baysikul ɔ waka we yu nɔ gɛt ɛni ɔda wet. insay dis tεm, di tεknishian de kכlekt ‘aktiv bεslayn infכmeshכn’. Dis na aw yu at ɛn yu lɔng dɛn kin ansa we yu de du ɛksɛsayz we smɔl pas ɔl.
• Inkrimɛntal ɛksɛsayz faz: Dis na di impɔtant pat pan di tɛst. I kin tek bitwin 8 ɛn 12 minit. Yu de rayd di baysikul ɔ yu de waka kɔntinyu. Di tɛknishian de mek di mashin nɔ ebul fɔ tinap tranga wan smɔl smɔl. Smɔl smɔl yu go bigin fɔ fil taya. Insay dis tɛm, di tɛknishian go aks yu aw yu de fil. Di tin we impɔtant pas ɔl na fɔ ɛksesaiz fɔ lɔng tɛm.
• Rikavari faz (cooldown): Dis kin tek lɛk tri to fayv minit. Yu go kɔntinyu fɔ rayd ɔ waka lɛk aw yu kin du, ɛn yu nɔ go gɛt ɛni wet. Di tɛknishian go chɛk yu impɔtant sayn dɛm ɛn mɛzhɔ aw yu at rit de wɛl. We yu at rit ɛn blɔd prɛshɔn dɔn kam bak to nɔmal, yu dɔn rɛdi fɔ go.

Wetin na di `RPE` skel?

Wan we de we dɛn kin yuz fɔ tɔk bɔt aw yu kin taya we yu de du di tɛst. Dɛn kɔl am di `Rating of Perceived Exertion` (RPE) skel. Bɔku `RPE` skel dɛn de. di wan we dεn kin yus fכ `CPET` na fכ yuz yu finga dεm fכ sho aw i at fכ brith εn aw yu leg dεm taya pan skel frכm 0 to 10. Di hכy nכmba, na di mכr yu de fil taya.

Pan ɔl we ɔl dɛn divays dɛn de kin gɛda bɔku bɔku data bɔt wetin de apin insay yu bɔdi, na yu nɔmɔ go ebul fɔ no aw yu de fil. So, if yu gɛt ɛni kwɛstyɔn bɔt dis skel bifo yu bigin di tɛst, aks di tɛknishian.

Aw a go fil we a tek di tɛst?

Aw di tɛst kin fil? Fɔ mek yu gɛt rili, rili kɔrɛkt ɛn yusful rizɔlt, yu nid fɔ ɛksesaiz te yu rili taya. Na nɔmal tin fɔ mek yu at rit, yu blɔd prɛshɔn, ɛn yu brith rit go ɔp. Yu go swet, ɛn yu leg dɛn go fil taya smɔl. Yu kin fil bak se yu mɔt dray bikɔs yu de blo tru di mɔt.

Dis na tɛst, so i kin tan lɛk tɛst. Bɔt if yu si ɛnitin we nɔ kɔmɔn we yu de du di tɛst, yu fɔ stɔp fɔ du ɛksɛsayz wantɛm wantɛm ɛn tɛl di tɛknishian. Dɛn kayn sayn ya na:

• Pen, diskɔmfɔt, tayt na di chɛst, an, jaw
• Di briz we kin shɔt bad bad wan
• Diziz, we pɔsin kin fil lɛk se i dɔn fɔdɔm

Dɛn simptom ya kin bi sayn fɔ mɛdikal imejensi, lɛk ``at atak.'' Bikɔs di tɛknishian dɛn de wach di E.C.G. monita, dɛn go stɔp di tɛst wantɛm wantɛm if dɛn si ɛni chenj we denja.

Aw lɔng dis tɛst kin tek?

Yu ɔl apɔntinmɛnt go tek lɛk 75 minit, bɔt yu go rili de ɛksesaiz fɔ lɛk 20 minit, ivin fɔ wam yusɛf ɛn kol.

Aw a go gɛt di tɛst rizɔlt?

Yu dɔktɔ go tɛl yu ustɛm ɛn aw fɔ gɛt yu rizɔlt. I go mɔs bi se yu go ebul fɔ si yu rizɔlt na yu ilɛktronik mɛdikal rɛkɔd. Yu go gɛt di chans bak fɔ mit wit yu dɔktɔ fɔ tɔk bɔt dis.

dis tεst de rεkכd tכwzin mכsul dεm, we dεn de sho insay wan kכmpleks grafik fכmat we dεn kכl ``nayn panεl plot.`` Dis na kכmpleks, tεknikal grafik dεm we de gi wan kכmprεhεnsiv pikchכ fכ aw yu at εn lכng dεm de wok. Yu dɔktɔ go analayz dɛn rizɔlt ya ɛn ɛksplen to yu di we we yu go ɔndastand.

Na nɔmal tin fɔ fil smɔl fred ɛn fred we dɛn tɛl yu se yu go du mɛtabolik ɛksɛsayz strɛs tɛst. Wi kin ɔndastand dat. Bɔt nɔ tink bɔt am pasmak.Dis na kɔmɔn tɛst wae kin gi yu ɛn yu dɔktɔ fayn fayn tin fɔ no bɔt wetin de apin insay yu at ɛn yu lɔng.

Fɔ tru, i kin strenj smɔl fɔ ɛksesaiz we yu wɛr ilɛktrɔd ɛn ɔda tin dɛn. Bɔt mɛmba se ɛni divays kin gɛda impɔtant tin dɛn we go ɛp fɔ mek yu tritmɛnt go bifo. If yu gɛt ɛni kwɛstyɔn bɔt aw fɔ pripia fɔ di tɛst ɔ wetin fɔ ɛkspɛkt we yu rich na di lab, nɔ fred fɔ aks yu dɔktɔ.

So, wetin na di impɔtant tin dɛn we wi want fɔ kɛr go na os frɔm dis atikul?

Fɔ tɔk am simpul wan, `Metabolic Exercise Stress Test` (`CPET`) na spɛshal tɛst we de mɛzhɔ aw yu at ɛn yu lɔng dɛn de ansa we yu de du ɛksɛsayz. I kin ɛp yu fɔ no wetin mek yu nɔ de blo fayn ɛn taya, fɔ no di sik dɛn we yu gɛt, plan fɔ trit yu, ɛn fɔ no di prɔblɛm bifo dɛn du yu ɔpreshɔn.

I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (bɔt kafin, smok, it, ɛn mɛrɛsin) jɔs bifo dis tɛst.

I nɔmal fɔ fil taya smɔl we yu de du di tɛst. Bɔt if yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, tɛl di tɛknishian wantɛm wantɛm. Mɛmba se dis na tɛst we go gi yu valyu tin bɔt yu wɛlbɔdi biznɛs ɛn ɛp yu fɔ gɛt di bɛst tritmɛnt. So, nɔr frayd fɔ tɔk to yu dɔktɔ ɛn lan mɔ bɔt dis.

` Mεtabolik εksεsayz Strεs Tεst, CPET, At Tεst, Lכng Tεst, Eksεsayz Tεst, Kכz fכ Taya, At Wεlth, Rεspiretכri Wεlth