Wan spɛshal tɛst fɔ no bɔt yu at wɛlbɔdi: Ɔltin bɔt di Nyuklia Kadiak Strɛs Tɛst!

Sɔntɛnde, we wi gɛt smɔl prɔblɛm wit wi at, ɔ we wi tink se wi gɛt at sik, dɔktɔ dɛn kin aks wi fɔ du difrɛn tɛst dɛn. Wɛl, dɛn kɔl dis impɔtant tɛst we de luk dip wan pan di at in wɛlbɔdi, mɔ di we aw dɛn de gi di blɔd to di at, nyuklia kadyak strɛs tɛst. Yu go dɔn yɛri dis nem, ɔ yu dɔktɔ go dɔn tɛl yu fɔ du dis tɛst. So, mek wi tok abaut dis simpul and klia wan tide, okay?

Wetin na dis Nyuklia Kadyak Strɛs Tɛst?

Fɔ tɔk am simpul wan, dis na spɛshal tɛst we de ɛp fɔ no if pɔsin gɛt at sik. Wetin kin apin ya na we dɔktɔ ɔ pɔsin we dɛn dɔn tren kin injɛkt smɔl redioaktiv tin (wan we de tray ɔ redio famasitik) insay yu bɔdi, dat na, insay wan blɔd vesel. Nɔ wɔri, dis na smɔl tin, ɛn i nɔ bad. Dis tin de travul tru yu blɔd vesel dɛn ɛn i de go insay di at mɔsul ɛn blɔd vesel dɛn. Dɔn, we yu de wach am wit spɛshal kamɛra, yu kin si klia wan di we aw blɔd de flɔ to di at, ɛn di pat dɛn na di at. Dis tan lɛk se yu de yuz flashlayt fɔ fɛn sɔntin na dak.

Dɛn kin kɔl dis tɛst wit ɔda nem dɛn, ɛn yu dɔktɔ go dɔn se wan pan dɛn nem ya:

• Kadyak PET (Positron Ɛmishin Tomografi) skan.
• Kadyak SPECT (Singl-Fɔtɔn Ɛmishin Kɔmpyuta Tomografi) skan.
• Mayokardial Pɛrfyushɔn Imej (MPI).
• Nyuklia strɛs tɛst.

Nɔ fred we yu yɛri dɛn nem ya, dɛn ɔl na difrɛn nem fɔ di sem tɛst.

Us kayn nyuklia kadyak strɛs tɛst dɛn de?

tu men we dεn de fכ du dis tεst, wan na "strεs" tεst, we min fכ put sכm prεshכn pan di at.

1. Ɛksesaiz strɛs tɛst: Insay dis tɛst, dɛn go aks yu fɔ ɛksesaiz pan tredmil ɔ steshɔn bayk. Smɔl smɔl, i go mek di spid go ɔp te yu at rit rich wan patikyula lɛvul we yu want. Dis kin mek di blɔd flɔ to di at mɔ ɛn mɔ.

2. Pharmacologic stress test: Imajin se yu gɛt prɔblɛm fɔ du ɛksɛsayz bikɔs ɔf prɔblɛm wit yu jɔyn ɔ fɔ ɔda rizin. Dɛn kin yuz dis we fɔ du dɛn kayn pipul dɛn de. Wetin kin apin ya na we dɛn kin put mɛrɛsin insay wan vein na yu an. Dis mɛrɛsin de mek di blɔd flɔ to di at mɔ, jɔs lɛk we yu de du ɛksɛsayz, dat min se i de mek di at wok.

Apat frɔm dat, di teknɔlɔji we dɛn yuz fɔ tek di pikchɔ dɛn de sho bak if na ``(PET)`` skan ɔ na ``(SPECT)`` skan. Dat na sɔntin we dɔktɔ dɛn kin disayd.

Wetin yu kin fɛn wit dis nyuklia kadyak strɛs tɛst?

Bɔku tɛm dɛn kin du dis tɛst fɔ no if pɔsin gɛt korona at sik (CAD).Chek fɔ am ɛn monitar am. Yu sabi wetin na ``(CAD)``? i min se di at dεm we de gi bכdi to di at (coronary arteries) kin blok bay fεt dεposit dεm. I tan lɛk dɔti we de stɔp na wata paip ɛn mek wata nɔ de flɔ.

Dis tɛst kin sho bɔku ɔda tin dɛn:

• Yu at mɔsul dɛn de wok fayn, min se dɛn de pɔmp fayn ?
• Yu tink se say dɛn de we di blɔd nɔ de flɔ to di at ?
• Fɛn di rayt say we di at dɛn we dɔn blok de .
• Sɔmtin lɛk at atak we yu bin dɔn gɛt trade dɔn pwɛl di at?

Dɔn bak, pipul dɛn we gɛt dɛn sik ya kin du dis tɛst:

• Akyu korona sindrom.
• wan chenj na di ilektrikal aktiviti na di at we dεn kכl bכndεl branch blכk.
• Congestive hat failure (at we nɔ de wok fayn).
• Ɔda at sik dɛn we dɛn dɔn kɔnfyus ɔ we dɛn tink se gɛt.
• I nɔ kin izi fɔ yu fɔ blo.

Udat de du dis tɛst?

Di dɔktɔ dɛn we de mɛn di at kin tɛl dɛn fɔ du dis tɛst. Sɔntɛnde, dɛnsɛf kin du am, ɔ dɛn kin mek pɔsin we sabi bɔt raydioloji du am. Dɛn ɔl gɛt spɛshal trenin fɔ dis.

Wetin na di difrɛns bitwin nɔmal strɛs tɛst ɛn nyuklia strɛs tɛst?

Sɔntɛm yu dɔn yɛri bɔt ɛksesaiz strɛs tɛst ɔltɛm. Sɔm tin dɛn de we fiba bitwin dat ɛn dis nyuklia strɛs tɛst. Dɛn ɔl tu kin yuz ilɛktrɔkardiogram (EKG) fɔ luk di ilɛktrik wok we yu at de du. Ɛn dɛn ɔl tu kin luk aw yu at kin ansa we i strɛs.

Bɔt di nyuklia strɛs tɛst na wan we we pas ɔl. I kin gi bɔku mɔ tin dɛn fɔ no bɔt.

Insay wan tipik ɛksɛsayz strɛs tɛst, dɛn kin jɔs wach yu at wit ilɛktrokardiogram (EKG) we yu de rɛst ɛn we yu de du ɛksɛsayz.

Bɔt insay nyuklia strɛs tɛst, dɛn kin injɛkt di redioaktiv tin ``(tracer)`` we a bin dɔn tɔk bɔt insay di bɔdi, ɛn spɛshal kamɛra kin tek pikchɔ fɔ di at bifo ɛn afta ɛksɛsayz. Dis kin mek wi si klia wan aw blɔd de flɔ na di at.

Aw a fɔ rɛdi fɔ dis tɛst?

Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ pripia fɔ dis tɛst. I rili impɔtant fɔ fala dɛn kɔrɛkt wan fɔ gɛt di bɛst rizɔlt. Dɛn kin tɔk tin dɛn lɛk dis:

• Nɔ it ɛn drink dɛn we gɛt kafin (e.g. kɔfi, ti, sɔm sɔft drink, chɔklɛt) ɛn mɛrɛsin fɔ 24 awa bifo di tɛst.
• If i nɔ izi fɔ yu fɔ blo, kam wit tin dɛn lɛk yu inhala.
• Nɔ smok bifo yu du di tɛst.
• Fast fɔ sɔm awa bifo di tɛst (yu kin jɔs drink wata).
• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (dɛn prɛskrib, ɔva di kɔwnta, ilɛgal drɔgs, nyutrishɔnal sɔpɔtmɛnt).
• Wear fayn klos we nɔ fit ɛn snik.

Di tin we impɔtant pas ɔl na dat yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn ɔ chenj di doz bifo di tɛst. Bɔt nɔ ɛva stɔp ɔ chenj ɛni mɛrɛsin we yu de tek if yu dɔktɔ nɔ advays yu.

Wetin kin apin we dɛn de du di tɛst? Us kayn ɛkspiriɛns a go gɛt?

Bɔku tɛm, na ɔspitul ɔ klinik kin du dis tɛst na wan spɛshal trenin tɛknishian ɔ dɔktɔ. Na dis na wetin kin apin:

1. Fɔs, dɛn kin put smɔl nidul insay wan vein na yu an ɛn put wan IV layn. Dis na di say we dɛn kin injɛkt di redioaktiv traysa insay yu bɔdi. Yu kin fil smɔl kol as i de kam insay yu bɔdi.

2. Dɔn, yu fɔ wet fɔ sɔm minit fɔ mek di tin travul ɔlsay na di bɔdi ɛn go insay di at.

3. Neks, dεn go stik sכm sכm pat dεm we dεn kכl εlektrod pan yu chεst, yu an dεm, εn yu leg dεm. Sɔntɛnde, yu kin nid fɔ trim sɔm pan di ia dɛn na da say de fɔ ɛp di pat dɛn fɔ stik bɛtɛ.

4. dis ilektroyd dεm de kכnekt to wan ``(EKG)`` mashin, we de kכntinyu fכ mכsu di ilektrikal aktiviti na yu at.

5. Dɛn go de chɛk yu blɔd prɛshɔn ɔltɛm wit blɔd prɛshɔn kɔf.

6. Dɔn, dɛn go aks yu fɔ ledɔm stil na tebul. Wan spɛshal kamɛra go tek pikchɔ dɛn fɔ yu at. Dis na di "rest" imej dɛm.

7. Neks na di "stress" pat. Dɛn kin aks yu fɔ ɛksesaiz pan tredmil ɔ bayk. Start sloslo fɔs ɛn smɔl smɔl inkrisayz di spid/intensiti.

8. Dɛn go aks yu fɔ ɛksesaiz te yu at rit rich di lɛvɛl we yu dɔktɔ de ɛkspɛkt, ɔ te yu gɛt sɔm sayn dɛn we nɔ fayn (e.g. chɛst pen, taya pasmak). Bɔt yu kin stɔp di tɛst ɛnitɛm if yu nɔ ebul fɔ du dat.

9. εither we yu de du εksεsayz כ afta yu rich yu pik, dεn go injεkt yu wit sכm sכm rεdyuaktiv sכbstans `(tracer)` bak.

10. Den, wans bak, a sidon fo tebul and tek di sekon set of piksho (stress images).

Wetin a go du if a nɔ ebul fɔ du ɛksɛsayz?

Nɔ wɔri. a don se bifo, sohm pipul geht had taim fo eksasaiz. Fɔ pɔsin we tan lɛk dat, di dɔktɔ go injɛkt wan drɔg na wan vein na yu an. Dis drɔg de wok bay we i de mek di at wok ɛn mek di blɔd flɔ mɔ, jɔs lɛk we yu de du ɛksɛsayz. So, dis drɔg kin mek di sem kayn sik de na di at we yu nɔr de du ɛksɛsayz.

Aw lɔng dis nyuklia strɛs tɛst kin tek?

Bɔku tɛm, di wan ol tɛst kin tek lɛk tri to 4 awa , bikɔs i kin tek tɛm fɔ mek di redioaktiv tin go insay di bɔdi, ɛn i kin tek tɛm fɔ tek pikchɔ ɛn du di ɛgzampul dɛn.

Wetin a fɔ du ɛn avɔyd afta di tɛst?

Afta di tɛst dɔn, yu dɔktɔ go gi yu instrɔkshɔn. Bɔrku tɛm, yu kin kɔntinyu fɔ du yu nɔmal tin dɛm.

Bɔt dɛn kin tɛl yu fɔ drink bɔku wata fɔ ɛp di redioaktiv tin we dɛn bin dɔn injɛkt na yu bɔdi fɔ kɔmɔt na yu bɔdi kwik kwik wan.

Sɔm pipul dɛn kin taya smɔl, dɛn kin gɛt diziz, ɔ dɛn kin gɛt ed pen afta dɛn dɔn du di tɛst. Dis go stɔp afta sɔm tɛm, wit rɛst.

Wetin na di prɔblɛm dɛn we dis nyuklia strɛs tɛst kin gɛt?

Dɛn tɛst ya kin jɔs rili sef. Bɔt nɔto ɔltɛm, lɛk 1 pan ɛvri 5,000 pipul dɛn kin gɛt smɔl prɔblɛm. Fɔ ɛgzampul:

• Wan at we nɔ de bit ɔltɛm (Arrhythmia).
• Chɛst de pen.
• Hat atak (mayokardial infarction) (dis nɔ kin apin so ɔltɛm).
• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).

Bikɔs dis tɛst de yuz wan tin we gɛt redioaktiv, yu kin gɛt smɔl smɔl raytin. Pan ɔl we wi dɔn yɛri se raytin kin mek pɔsin gɛt kansa, i kin nid fɔ gɛt bɔku bɔku raytin, bɔku tɛm i kin tek lɔng tɛm. Di amount of exposure na dis test na rili smɔl.

Impɔtant: Dɛn nɔ kin advays dis nyuklia strɛs tɛst fɔ pipul dɛn we gɛt sɔm kayn bad bad sik ɔ we dɛn nɔ kin kɔntrol. Fɔ ɛgzampul:

* Bɔrku pen na yu chɛst (Angina).

* Disekshɔn na di aɔtik.

* Di aorta we de smɔl (Aortic stenosis).

* Hat ritm dizayd we dɛn nɔ kin kɔntrol `(Aritmia)`.

* Siriɔs kɔnjɛstiv at fayl.

* At infekshɔn.

* Pulmonary embolism (blɔd we de klɔt na di lɔng dɛn).

* Pɔlmonari haypatɛyshɔn.

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If yu gɛt dis sik, yu fɔ tɛl yu dɔktɔ bɔt am bifo tɛm.

Ustɛm a go no mi tɛst rizɔlt?

I kin tek sɔm dez fɔ gɛt di rizɔlt fɔ nyuklia strɛs tɛst, bikɔs dɔktɔ we de mɛn at ɔ raydiɔlɔjis kin luk di pikchɔ dɛn ɛn analayz dɛn bifo i gi di ripɔt.

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

So, naw yu go dɔn ɔndastand wetin na dis Nyuklia Kadyak Strɛs Tɛst. Dis na rili impɔtant tɛst we de ɛp fɔ no ɛn wach di kɔndishɔn dɛn lɛk korona at sik, mɔ di at sik.

If dɔktɔ tɛl yu fɔ du dis tɛst, no rizin nɔ de fɔ mek yu fred ɔ wɔri.Aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu. If yu pripia fayn fayn wan bifo di tɛst ɛn fala di instrɔkshɔn dɛn, yu go ebul fɔ no klia wan bɔt yu at sik ɛn gɛt di tritmɛnt we yu nid. I fayn fɔ kia fɔ yu at!

` At sik, nyuklia strɛs tɛst, at tɛst, redioaktiv matirial, korona at sik, ɛksɛsayz tɛst, at wɛlbɔdi