I go mɔs bi se dɔktɔ dɔn tɛl yu se yu nid fɔ du WADA tɛst bifo dɛn du ɔpreshɔn pan yu bren. Dat kin tan lɛk se i de mek pɔsin fred smɔl, nɔto so? Bɔt dis na rili impɔtant tɛst fɔ yu sef. So tide, lɛ wi tɔk bɔt dis WADA tɛst insay wan simpul we we yu go ɔndastand.
Wetin na dis Wada Test?
Fɔ tɔk am simpul wan, di Vodka tɛst na spɛshal tɛst we yu dɔktɔ kin du, mɔ bifo yu du ɔpreshɔn fɔ gɛt ɛpilepsi ɔ fɔ gɛt bren tumbu. I de ɛp dɛn fɔ ansa tu men kwɛstyɔn dɛn:
1. Us say na di bren we de kɔntrol yu langwej abiliti? (Dat min se, di lɛft say ɔ di rayt say.)
2. Aw impɔtant ɛni say na di bren fɔ yu mɛmori?
Dis infɔmeshɔn rili impɔtant fɔ di dɔktɔ we de du yu bren ɔpreshɔn, di nyurosɔjɛn, bikɔs i de ɛp dɛn fɔ no bifo tɛm us kayn impak yu tɔk ɔ mɛmori go gɛt afta di ɔpreshɔn.
Na Dɔktɔ Juhn Wada bin du dis tɛst fɔ di fɔstɛm insay 1949. Na dat mek dɛn kɔl am di Wada tɛst. Sɔntɛnde, dɛn kin yuz ɔda nem fɔ am, ɛn yu dɔktɔ kin kɔl am:
- Intrakarotid amobarbital tɛst
- Sɔdiɔm amytal tɛst
- Amytal stɔdi
Bifo dɛn du ɔpreshɔn pan pɔsin we gɛt ɛpilepshi, dɔktɔ dɛn kin yuz ɔda kayn tɛst, fɔ ɛgzampul:
- Fכnshכnal magnεtik rεsכnans imej skan (fMRI) .
- Transkranial magnεtik stimulashכn (`Transkranial magnεtik stimulashכn`)
- Nyurosaykayatrik tɛst
Us say na di bren we de kɔntrol langwej?
Fɔ bɔku pipul dɛn, dat min se fɔ bɔku pan wi rayt-an pipul dɛn, na di lɛft say na di bren de kɔntrol di langwej ɛn di we aw wi de tɔk. Bɔt, nɔto so i bi fɔ ɔlman. Sɔntɛnde dis kin difrɛn, mɔ fɔ pipul dɛn we gɛt lɛft an. Na dat mek i impɔtant fɔ du di Voda tɛst ɛn fɛn ɔut di rayt tin.
Aw dɛn kin kɔntrol mɛmori?
Ɔl tu di say dɛn na di bren kin kɔntrol di mɛmori. Tipikli, pipul dεm we lεft-bren de dominant fכ langwej gεt dεn lεft sayd mכr imכtant fכ vεbal mεmכri, εn dεn rayt sayd mכr imכtant fכ visual mεmכri, we na fכ mεmba tin lεk pikchכ. Di Vodka tɛst kin ɛp yu dɔktɔ fɔ no us say na di bren we bɛtɛ fɔ mɛmba.
Udat go ebul fɔ du dis tɛst?
Dɛn kin du di Voda tɛst pan big pipul dɛn ɛn bak pan pikin dɛn. Bɔt if na pikin, i fɔ dɔn ol fɔ tek pat pan dis tɛst, i fɔ ebul fɔ tɔk ɛn ɔndastand tin dɛn. Imajin, smɔl pikin nɔ ɔndastand di wɔd dɛn we dɛn sho na dis tɛst. So, dɛn kin du dis pan pikin dɛn we dɔn big smɔl ɛn we dɔn ɔndastand di ej.
Udat de du di Voda tɛst? (Ekspɛkt tim)
Dis nɔto sɔntin we wan pɔsin we nɔ mared kin du. Na wan tim we gɛt spɛshal dɔktɔ dɛn de du di Voda tɛst. Dɛn na:
- Epileptologist: Dis na nyurolɔjis we spɛshal pan epilepsy.
- Interventional Neuroradiologist: Dis na dɔktɔ we spɛshal pan kateshɔn-based tɛst. I go put kateshɔn insay yu karotid at fɔ gi yu bren anestezi we dɛn de du di VODA tɛst.
- Nyurosaykolojist: Na pɔsin we spɛshal pan aw di tin dɛn we de apin na yu bren de afɛkt yu bihayvya ɛn aw yu de tink.
Aw yu de pripia fɔ di Voda tɛst?
Yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tu wiks bifo di tɛst. Fɔ ɛgzampul, aspirin, nɔ-stɛroyd anti-inflammatory drugs (NSAID), ɛn tin dɛn we de mek blɔd tan . Bɔt yu fɔ kɔntinyu fɔ tek ɛni ɔda mɛrɛsin we yu dɔktɔ dɔn tɛl yu fɔ du fɔ lɔng tɛm we i tɛl yu. I rili impɔtant fɔ tɛl yu dɔktɔ bifo tɛm if yu gɛt ɛni alɛji to ɛni mɛrɛsin.
Wetin kin apin bifo di Voda tɛst?
Bifo di tɛst, dɛn go aks yu fɔ chenj to ɔspitul gɔn. Dɔn, dɛn go pul sɔm ia na yu an, bikɔs na dis say dɛn go put blɔd vesel. Insay di egzamin rum, dɛn go put ilɛktrɔd dɛn na yu skel fɔ rɛdi yu fɔ ilɛktrɔɛnsɛfalogram (EEG). dis EEG de mכsu yu bren aktiviti we yu de du di tεst.
Dɔn, di dɔktɔ go numb di skin na yu groin eria. We di say fil lɛk se i nɔ gɛt bɛtɛ trɛnk, dɛn go put nidul insay wan blɔd vesel na yu leg. Neks, dɛn go put wan lɔng tint tiub we dɛn kɔl kateta insay da blɔd vesel de. di kateshכn go tכk to di big bכdi we de na yu nεk we dεn kכl di karotid atεri. We dis de apin, yu kin fil lɛk mɛtal teist na yu mɔt ɛn yu kin fil wam wam. I kin fil lɛk se yu de swɛt smɔl, bɔt i nɔ fɔ mek yu fil pen.
Bifo di Voda tɛst, yu go gɛt angiogram. Di angiogram de chɛk di blɔd we de flɔ na yu bren fɔ mek shɔ se i sef fɔ du di Voda tɛst.
Aw fɔ du di Voda tɛst kɔrɛkt wan?
Naw di impɔtant pat de kam. Yu intavɛnshɔnal nyuroraydiɔlɔjis go injɛkt anestetik mɛrɛsin tru wan kateshɔn insay yu lɛft ɔ rayt karotid at, ɛn i go mek yu bren nɔmɔ nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm. Imajin if di mɛrɛsin go insay yu rayt karotid at, di rayt say na yu bren nɔ go ebul fɔ tɔk to di lɛft say na yu bɔdi.
Insay dis tɛm, yu kin si sta dɛn, fil prɛshɔn biɛn yu yay, ɛn fil se yu fes de wam. Dɔn bak, di sayd na yu bɔdi we de agens di sayd we dɛn bin dɔn mek yu fil fayn go mek yu nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm. Dis min se yu nɔ go ebul fɔ muv yu an ɛn fut dɛn. Dɔktɔ dɛn go luk di EEG rikodin fɔ kɔnfirm if da say de na yu bren dɔn go slip.
Wae dεn kכnfכm se wan say na di bren dεn dכn go slip, wan εpileptכlכg כ nyurosaykכlכg go tεst yu abiliti fכ tכk. Dɛn go sho yu bak sɔm kad dɛn we gɛt wɔd dɛn ɛn pikchɔ dɛn. Dɛn go tɛl yu fɔ tray fɔ mɛmba wetin yu de si. Dis tɛm ya, yu kin fil se yu wik ɛn i nɔ kin izi fɔ yu fɔ tɔk. Dis na nɔmal tin. Yu kin ivin slip.
Wetin a go du if a nɔ ebul fɔ tɔk di tɛm we dɛn de du di tɛst?
Sɔntɛnde, yu nɔ go ebul fɔ tɔk we dɛn de du di tɛst. Dɔn bak, sɔm tɛm dɛn de, di bɛnifit we dis tɛst kin gɛt kin ridyus:
- If di pikin dɛn nɔ rich 10 ia yet.
- If sik apin we dɛn de du di tɛst.
- Di wan dɛn we gɛt intɛlijɛns quotient (IQ) we nɔ rich 70.
Bɔt nɔ wɔri, if yu fil ɛni fred ɔ wɔri, di dɔktɔ ɛn nɔs dɛn de fɔ ɛp.
Di tin dɛn we di anestetik kin du kin west insay sɔm minit, dɔn di sayd na yu bren we bin dɔn num kin wek bak. Da tɛm de, di dɔktɔ go aks yu wetin yu mɛmba. If yu nɔ mɛmba, dɛn go sho yu di kad dɛn wan bay wan bak ɛn aks yu if yu dɔn si dɛn bifo. I nɔ bad if yu nɔ mɛmba wetin bin de na di kad dɛn, dat na nɔmal tin.
Afta sɔm tɛm, di dɔktɔ dɛn kin put di ɔda say na yu bren fɔ slip di sem we. Dɛn kin tek di kateshɔn bak smɔl ɛn trɛd am insay di karotid at we de na di ɔda say. Dɛn kin du ɔda angiogram. Dɛn sho yu difrɛn sɛt fɔ kad dɛn bak. We yu wek gud gud wan, dɛn kin aks yu bak wetin bin de na di kad dɛn.
Yu bin wek wen yu tek di Voda test?
Yɛs, yu go wek ɔlsay na dis wan ol ɛgzam. Di dɔktɔ dɛn go du dis bay we dɛn de tɔk to yu.
Aw lɔng dis tɛst kin tek?
Di tɛm we i kin tek fɔ mek dɛn du Voda tɛst kin difrɛn smɔl frɔm wan ɔspitul to ɔda ɔspitul, bɔt i kin tek lɛk tri to 4 awa so. Bɔku tɛm, dɛn kin tɛst ɔl tu di say dɛn na di bren pan di sem tɛst. Wan say dɔn, ɛn yu wet fɔ sɔm tɛm te yu wɛl ful-ɔp bifo yu du di ɔda say.
Wetin kin apin afta di tɛst?
Afta di tɛst, yu go nid fɔ rɛst na di rikavari yunit. Di dɔktɔ ɛn nɔs dɛn go kam insay wan wan tɛm fɔ chɛk yu leg fɔ si if yu gɛt puls usay dɛn put di kateshɔn. Dɛn go chɛk bak di bandej we de kɔba di wund na yu groin, ɛn mek shɔ se yu sɛns fɔ tɔch dɔn kam bak ful wan. Dɛn kin du ɔl dis fɔ mek shɔ se di blɔd we de flɔ na yu leg nɔmal.
Bɔku tɛm, dɛn go alaw yu fɔ go na os di sem ivintɛm. Dɔktɔ dɛn go tɛl yu fɔ avɔyd fɔ du tin dɛn we de mek yu strɛs fɔ 24 to 48 awa afta yu dɔn go na os.
Yu tink se di Voda tɛst de invayv? Ɛni risk ɔ sayd ɛfɛkt de?
Di VODA tɛst kin jɔs sef ɛn i nɔ kin gɛt bɔku prɔblɛm . If yu gɛt ɛni sayd ɛfɛkt, i go mɔs bi se na sɔm pen na di say we dɛn put di kateshɔn (as di mɛrɛsin we de mek yu nɔ fil fayn de west). Bɔt sɔm prɔblɛm dɛn de we nɔ kin apin so ɔltɛm we kin apin:
- Gɛt fit.
- Bren nɔ de wok fayn (Encephalopathy).
- Wan sik we tan lɛk strok.
Bikɔs dis na invasive prosidur, smɔl risk de fɔ blɔd ɛn infɛkshɔn. Dis risk kin bi smɔl, bɔt i kin stil smɔl, pan dɛn kayn tin ya:
- If yu dɔn pas 65 ia.
- If yu gɛt atherosclerosis (di blɔd vesel dɛn we de at).
- If yu gɛt ay kɔlɔstrel lɛvɛl.
Wetin di rizulyt fɔ di Voda tɛst se?
Di Voda tɛst kin ɛp yu tim fɔ no ustɛm na yu bren we gɛt fɔ du wit langwej ɛn us say de mek yu mɛmba. Dɛn kin kɔmpia dis data wit di tɛst dɛm we dɛn bin dɔn du trade we de sho usay na yu bren epilepsy kin apin. Wit ɔl dis infɔmeshɔn, yu dɔktɔ kin disayd if ɔpreshɔn pan yu bren kin put yu langwej ɛn mɛmori pan denja.
Epilepsy kin mek yu fred, ɛn ɔpreshɔn na yu bren kin mek yu fred mɔ. Bɔt, fɔtunate wan, yu dɔktɔ dɛn gɛt di tul ɛn no fɔ ɛp yu fɔ mek yu nɔ gɛt prɔblɛm wit yu langwej ɛn mɛmori. Di Vodka test na wan pan dɛn impɔtant tin ya we dɛn de yuz. If yu gɛt ɛni kwɛstyɔn bɔt dis tɛst, nɔ shek fɔ tɔk to yu dɔktɔ.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, so naw yu get gud andastan fo di Wada Test. Fɔ tɔk smɔl:
- Dis na impɔtant tɛst we dɛn kin du bifo dɛn du ɔpreshɔn pan yu bren fɔ no bɔt yu langwej ɛn aw yu kin mɛmba .
- Dis kin mek dɔktɔ dɛn plan fɔ mek dɛn nɔ gɛt bɔku bad bad tin dɛn we kin apin we dɛn du di ɔpreshɔn.
- Yu go wek di tɛm we dɛn de du di tɛst, so natin nɔ de fɔ fred.
- Pan ɔl we i kin bi sef tɛst , lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de, we yu dɔktɔ go ɛksplen to yu.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt , tɔk bɔt am wit yu dɔktɔ ɛn sɔlv am.
Mɛmba se ɔl dis na fɔ yu yon wɛlbɔdi ɛn sef.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na di Wada Test bifo yu bren ɔpreshɔn?
Bifo dɔktɔ dɛn du ɔpreshɔn pan in bren (espɛshali fɔ di wan dɛn we gɛt ɛpilepshi), dɛn kin tray fɔ no if di rayt ɔ lɛft say na di pɔsin in bren de kɔntrol aw i de mɛmba ɛn tɔk. Bifo dat, di Wada tɛst na wan tɛst we rili spɛshal.
💬 Wetin dɛn kin du to di pɔsin we dɛn de du dis tɛst?
Di dɔktɔ kin put wan say na di pɔsin in bren fɔ sɔm tɛm (fɔ ɛgzampul, di lɛft say) fɔ slip fɔ sɔm minit. Dɛn kin put wan tiub tru wan vein na di leg ɛn dɛn kin put mɛrɛsin insay di bren. We da af pat de na in bren de slip, di dɔktɔ dɛn kin aks di pɔsin kwɛstyɔn dɛn, sho am pikchɔ dɛn, ɛn tɛst am gud gud wan aw i de mɛmba ɛn aw i de tɔk.
💬 Wetin mek dɛn kin du dis kayn tɛst we at fɔ du?
If, we dɛn de du ɔpreshɔn, dɛn kɔt di pat pan di bren we gɛt sik ɛn dɛn kɔt di mɛmori ɔ di say we dɛn de tɔk, di pɔsin we sik nɔ go ebul fɔ tɔk fɔ di res ɔf in layf ɛn i go fɔgɛt di tin dɛn we bin dɔn pas ɔl. Dɛn mek dis tɛst fɔ no di rayt pat na di bren usay dɛn say dɛn de.
` Voda tɛst, bren ɔpreshɔn, ɛpilepsi, langwej sɛnta, mɛmori, nyurolɔji, mɛdikal tɛst
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt