Di CRP test (C-Reactive Protein Test) - Lɛ wi tɔk bɔt dis!

Yu go mɔs dɔn yɛri bɔt wan CRP tɛst. Sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ du am. Ɔ sɔntɛm yu dɔn yɛri se yu padi ɔ fambul dɔn gɛt dis tɛst. So, wetin na dis CRP tɛst? Wetin mek i rili impɔtant? Mek wi tok abaut ol dis fo simpul we tide, fo we we yu go andastan, okay?

Wetin na CRP? Wetin mek i impɔtant fɔ wi bɔdi?

Okay, fɔs lɛ wi si wetin na CRP. CRP na abbrevieshɔn fɔ C-Reactive Protein . Dis na spɛshal kayn prɔtin we wi liva de mek. Naw yu go de wɔnda, wetin kin apin to dis? We inflamɛns de sɔmsay na wi bɔdi, di liva kin ansa bay we i de mek dis prɔtin we dɛn kɔl CRP ɛn ad am to di blɔd.

Naw yu go de wɔnda, ‘Wetin na inflamɛns?’ Fɔ tɔk am simpul wan, inflamɛns na di we aw wi bɔdi in difɛns sistɛm de ansa. Imajin se wan vayrɔs ɔ baktri kam insay yu bɔdi, ɔ yu gɛt injuri, lɛk we yu kɔt ɔ kɔt. Dɔn wi imyun sistɛm kin wok. I tan lɛk di ami we de protɛkt wi kɔntri. Dis imyun sistɛm de pul spɛshal sɛl dɛn we dɛn kɔl inflammatory cells ɛn cytokines , fɔ fɛt di jem dɛn ɔ fɔ mɛn di say we di wund. Na da tɛm de i kin swel, rɛd, pen, ɛn sɔntɛnde i kin wam. Dis na wetin wi kin kɔl inflammation. Sɔmtɛm dis inflamɛns nɔ kin jɔs apin na say dɛn we wi kin si, bɔt i kin apin bak na say dɛn insay di bɔdi we wi nɔ kin si, lɛk di jɔyn dɛn.

So, we inflameshn de, di amount of CRP na di bכdi de inkrεs. Nɔmal wan, wi blɔd gɛt rili lɔw lɛvɛl na CRP. כltu, we inflameshn inkrεs, dis CRP lεvεl de inkrεs bak. Dat min se, bay we dכkta dεn luk di CRP lεvεl na di bכdi, dεn kin gεt aidia fכ if inflameshn de na wi bכdi εn aw i bad.

Ustɛm dɛn kin du CRP tɛst?

So, ustɛm dɔktɔ dɛn kin se fɔ du dis CRP tɛst? Wetin wi kin ɛkspɛkt frɔm dis?

Dɛn kin yuz di CRP tɛst mɔ fɔ ɛp fɔ no ɔ kɔnfɔm if sɔm mɛdikal kɔndishɔn dɛn de. Na sɔm ɛgzampul dɛn ya:

• Sɔm bad bad baktriyal infɛkshɔn, lɛk sepsis, kin mek pɔsin in layf de pan denja.
• Infεkshכn dεm we dεn kin gεt fכ fכn.
• Infεkshכn dεm we kin apin we di jεm dεm de kam insay di bon dεm dεn kכl dεm כsteomyelitis . Dis na siriɔs infɛkshɔn bak.
• inflammatory kondishכn dεm we de apin na di intestines, dat na, Inflammatory Bowel Disease (IBD) .
• Sɔm kayn at at sik, lɛk rεumatoid at at sik.
• Sɔm sik na ɔtoimyun sik dɛm we wi yon imyun sistɛm de wok agens wi, fɔ ɛgzampul , rεumatoid atraytis ɔ lupus (Systemic Lupus Erythematosus - SLE) .
• Pεlvik Inflammatory Disease (PID) na wan inflammatory kכndishכn na di pεlvik kεviti na uman dεm.

Imajin se yu smɔl pikin gɛt ay fiva fɔ sɔm dez, i nɔ de it, ɛn i rili vɛks. Di dɔktɔ kin ɔda fɔ mek dɛn du CRP tɛst fɔ no kwik kwik wan if siriɔs infekshɔn de insay di bɔdi, sɔntɛm na baktriyal infɛkshɔn. Di tin dɛn we go kɔmɔt frɔm dis go sho di nɛks tritmɛnt we dɛn go tek.

Nɔto dat nɔmɔ, dis CRP tɛst de ɛp bak fɔ chɛk fɔ baktri infɛkshɔn di tɛm we i de wɛl, ilɛksɛf afta big ɔpreshɔn ɔ invayv prɔsidyu.

Bɔt wan tin we yu fɔ mɛmba na dat, di CRP tɛst nɔmɔ nɔ go ebul fɔ tɛl yu fɔ tru, ‘Dis na di sik we de ya’ ɔ ‘Dis na di inflamɛns na dis pat na di bɔdi.’ So, if di CRP valyu ay, di dɔktɔ go ɔltɛm du sɔm ɔda tɛst fɔ no di rayt kɔz.

Ustɛm a nid fɔ du CRP tɛst?

Naw yu go de wɔnda se, ‘So ustɛm a nid fɔ gɛt dis CRP tɛst?’ Bɔku tɛm, dɔktɔ go ɔda dis tɛst we yu de sho sayn dɛn fɔ se yu gɛt siriɔs baktriyal infɛkshɔn. Dɛn sayn ya na:

• A de gɛt ay fiva.
• Di bɔdi kin fil kol ɛn i kin shek (Chills).
• Inkris rεt fכ brith (tachypnea).
• di at rεt de inkrεs (tachycardia).
• Nɔs ɛn vɔmit de go.

Apat frɔm dat, if dɛn dɔn ɔlrɛdi de trit yu fɔ infekshɔn ɔ if dɛn de trit yu fɔ wan sik we nɔ de mɛn, dɔktɔ dɛn kin yuz dis CRP tɛst bak fɔ si if di tritmɛnt de wok ɛn if di inflamɛns dɔn go dɔŋ. dis na biכs we di inflameshn na di bכdi dכn, di CRP lεvεl de dכn bak. Dis min se di tritmɛnt de wok.

Udat de du di CRP tɛst? Aw dɛn kin du am?

Dis CRP tɛst na pɔsin we dɛn tren spɛshal wan, we dɛn kɔl phlebotomist, we kin pul blɔd. Bɔt ɛni wɛlbɔdi wokman we dɛn tren fɔ pul blɔd kin du am. Dɔn dɛn kin sɛn di blɔd sɛmpul na lɛbɔtri. Wan sayɛnsman we de na di mɛdikal lɛbɔraytri we de de, kin pripia di sampul fɔ tɛst ɛn i kin yuz spɛshal mashin dɛn, we dɛn kɔl analaiza fɔ chɛk di CRP lɛvɛl.

Ɛnitin de we spɛshal fɔ rɛdi fɔ bifo dis tɛst?

Bɔku tɛm, nɔto so. Pan ɔl we sɔm blɔd tɛst dɛn kin nid fɔ fast, di CRP tɛst nɔ kin nid ɛni spɛshal prɛkoshɔn. Bɔt if yu dɔktɔ gi yu ɛni spɛshal instrɔkshɔn, yu fɔ rili fala dɛn, okay?

Wetin kin apin we yu gi blɔd?

Okay, naw mek wi si wetin de hapun wen yu donate blood. Dis na wetin yu go ɛkspiriɛns:

• Yu go sidɔm na chia. Dɔn di wɛlbɔdi wokman go luk yu an ɛn pik wan vein we izi fɔ pul blɔd frɔm. Dis kin de insay yu an, jɔs biɛn yu ɛlb.
• We dɛn dɔn fɛn wan vein, dɛn kin klin di say fayn fayn wan ɛn put antiseptik pan am.
• Dɔn, dɛn kin put smɔl nidul insay di vein ɛn tek blɔd sɛmpul. Dis tɛm ya, yu kin fil se yu de swɛt smɔl, lɛk se ant bit yu .
• Afta dɛn dɔn put di nidul, dɛn kin gɛda smɔl blɔd insay wan tɛst tyub.
• Afta dɛn dɔn gɛda di blɔd sɛmpul, dɛn kin pul di nidul ɛn put wan kɔtɔn ɔ goz oba di sayt fɔ stɔp di blɔd ɛn kip am na in ples fɔ shɔt tɛm.
• Fɔ dɔn, dɛn kin put bandej pan di say we dɛn de. Na dat, di wok dɔn dɔn.

Di ɔltin we dɛn kin du nɔ kin tek fayv minit, so natin nɔ de fɔ wɔri bɔt.

Wetin kin apin afta di CRP tɛst? Ɛni risk dɛn de we kin apin?

Afta dɛn dɔn tek yu blɔd sɛmpul, dɛn kin sɛn am na lɛb fɔ mek dɛn tɛst am. We di ripɔt kam bak, bɔku tɛm insay wan ɔ tu dez, i kin tek smɔl tɛm, ɛn yu dɔktɔ go tɛl yu di rizɔlt.

Naw lɛ wi si if ɛni risk de fɔ mek dɛn du dis blɔd tɛst. Fɔ tru, blɔd tɛst na tin we rili kɔmɔn ɛn we nid fɔ de pan mɛrɛsin. No big risk nɔ de atɔl. Di say we dɛn pul di blɔd kin at smɔl, ɔ i kin gɛt smɔl brus. Bɔt dat go bɛtɛ kwik kwik wan insay sɔm dez.

Wetin de insay di CRP ripɔt? Wetin na di nɔmal valyu dɛn?

Di CRP ripɔt we yu kin gɛt kin gɛt sɔm tin dɛn lɛk dis:

• di nem fכ di bכdi tεst min wetin dεn mכsu na di bכdi (e.g. C-Reactive Protein).
• Di rizɔlt fɔ yu blɔd tɛst, dat na di valyu we gɛt fɔ du wit am.
• Di nɔmal mɛzhɔmɛnt rɛnj fɔ da tɛst de.
• Chat we de sho if yu rizɔlt nɔmal, nɔmal, ay, ɔ smɔl.

Naw lɛ wi si wetin na di nɔmal valyu fɔ CRP. Dɛn rɛfrɛns rɛnj ya kin difrɛn smɔl frɔm wan lab to ɔda lab. We yu gɛt di ripɔt, i go tɔk wetin na di nɔmal CRP valyu fɔ da lab de.

bכt in jεnarכl, di nכmal lεvεl fכ CRP de less dan 0.9 mg/dL (miligram pan wan dεsilita). Sɔm lab dɛn kin ivin se i smɔl pas 1.0 mg/dL.

Bɔku rizin dɛn de we mek di CRP lɛvɛl kin chenj. Sɔntɛnde, di CRP lɛvɛl kin go ɔp smɔl , lɛk:

• Fɔ smok sigrɛt.
• Kɔmɔn kol.
• Mental kɔndishɔn lɛk pwɛl hat.
• Shuga.
• Prɔblɛm fɔ slip (Insomnia).
• Gingivitis we gɛt di sik.
• If pɔsin fat, dat min se i fɔ fat pasmak.
• inflammatory kondishכn dεm we riliyt to di rut dεm na di tit (Periodontitis).
• We uman gɛt bɛlɛ.
• Wan injuri we i jɔs gɛt, lɛk we i swɛt bikɔs i fɔdɔm.

Fɔ ɛgzampul, if yu de smok sigrɛt ɛvride, yu CRP lɛvɛl kin ay smɔl pas ɔda pipul dɛn, ivin if yu nɔ gɛt ɛni big sik. Dɔn bak, if yu rili big (fat), dat kin mek bak yu CRP lɛvɛl go ɔp smɔl. Dis na wetin wi kin kɔl ‘layf stayl ifɛkt’.

Dɔn bak, uman ɛn ol pipul dɛn kin naturally gɛt smɔl ay CRP lɛvɛl. If yu gɛt ɛni kwɛstyɔn bɔt yu ripɔt, mek shɔ se yu aks yu dɔktɔ fɔ mek i klarify.

Wetin ay CRP lɛvɛl min? Wetin i min?

Okay, naw lɛ wi luk wetin i min if yu CRP ay pan yu ripɔt. If yu CRP dɔn rili ɛlevɛt frɔm wan nɔmal lɛvɛl , i go mɔs min se inflamɛns de sɔmsay na yu bɔdi. Bɔt lɛk aw a bin dɔn tɔk bifo tɛm, CRP tɛst nɔmɔ nɔ go ebul fɔ tɛl yu ɛksaktɔli wetin de mek di inflamɛns ɔ usay i de na yu bɔdi. So, if yu CRP bɔku, yu dɔktɔ go mɔs du sɔm ɔda tɛst dɛn.

Dipen pan aw di CRP valyu ay, wetin i se kin difrɛn.

If di CRP valyu de sכmtεm εlevεt (Moderate elevation) .

if di CRP valyu de bitwin 1.0 mg/dL εn 10.0 mg/dL , wi kin kכnsidr am se i mכdarεt εlevεt. Rizult lɛk dis kin sho kɔndishɔn dɛn lɛk:

• Sistem inflameshn, lεk rεumatoid atraytis (RA) , sistεmik lupus εrythematosus (SLE) , כ כda כ toimyun kכndishכn dεm kin afekt di כl bכdi.
• Hat atak / mayokardial infarkshכn.
• Pankriaytis we dɛn kɔl .
• Brɔnkaytis .

If di CRP valyu rili ɛlevɛt (Marked elevation) .

wan CRP valyu we pas 10 mg/dL dεn kin kכnsidr am se i rili εlevεt. Rizulyt lɛk dis kin sho dɛn kɔndishɔn ya:

• Akyu baktriyal infεkshכn dεm.
• Vayral infɛkshɔn dɛn.
• Sεstεmik vaskulεt (inflamεshכn na di bכdi vεsul dεm).
• Big big injuri / trauma we pɔsin kin gɛt.

If di CRP valyu rili ay (Siv ɛleveshɔn) .

if di CRP valyu pas 50 mg/dL , dεn kin kכnsidr am as rili siriכs εleveshכn.di CRP lεvεl dεm we rili ay, spεshal wan we i pas 50 mg/dL, de sho se i gεt akyu baktri infεkshכn insay lεk 90% pan di kes dεm. Dis min se if dɛn fɛn da kayn ay valyu de, di dɔktɔ go mɔs sɔprayz se i gɛt baktri ɛn i go bigin fɔ du di tɛst ɛn tritmɛnt we nid.

Wetin wan lɔw CRP valyu min?

So wetin low CRP min? wi si se di nכmal CRP lεvεl less dan 0.9 mg/dL. So, notin rili de we dem de kol lower level. Dat min se, if yu CRP valyu kam aut fכ bi arawnd 0.5 mg/dL, dat na rili gud, nכmal.

Bɔt if yu CRP lɛvɛl bin dɔn ɔp bifo ɛn i dɔn go dɔŋ na di tɛst we yu de du naw, dat na rili gud sayn! I min se di inflamɛns na yu bɔdi de go dɔŋ, ɔr di tritmɛnt fɔ di inflamɛns de wok fayn. Yu dɔktɔ go gladi fɔ dat bak.

A fɔ wɔri if mi CRP lɛvɛl nɔ nɔmal?

Yu kin wɔri smɔl we yu si ay CRP ridin pan yu ripɔt. Yu kin tink se, "O, a gɛt sɔntin we siriɔs?" Bɔt, wan ay CRP ridin nɔr kin min ɔltɛm se yu gɛt siriɔs sik wae nid tritmɛnt , mɔr lɛk if de ridin na smɔl smɔl nɔmɔ.

Mɛmba se a bin dɔn tɔk se fɔ smok, smɔl injuri, ɛn sɔm kɔmɔn wɛlbɔdi kɔndishɔn (lɛk bɛlɛ) kin mek bak di CRP lɛvɛl go ɔp. Sɔntɛnde, di rizɔlt kin afɛkt bay smɔl mistek dɛn we dɛn kin mek we dɛn de gɛda blɔd, we dɛn de du tɛst na lab, ɔ ivin we dɛn de du tɛst.

So, nɔ jomp to kɔnklushɔn fɔ yusɛf we yu si sɔntin we nɔ kɔmɔn. Nɔ panik. Yu dɔktɔ go rivyu yu ripɔt, kɔmpia am wit di sayn dɛm we yu gɛt, kɔmpia am wit yu mɛdikal istri, ɛn du ɔda tɛst if nid de fɔ no wetin rili bad.

Sɔntɛnde, lɛk wan pan ɛvri 20 pipul dɛm wae gɛt wɛl bɔdi kin gɛt rizɔlt wae nɔr de na di nɔmal rεnj. So, nɔ fred fɔ tɔk to yu dɔktɔ. Aks ɔl di kwɛstyɔn dɛn we yu gɛt. I go ɛp yu ɛn gi yu di advays we yu nid.

Tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi rikap sɔm pan di impɔtant pɔynt dɛm we wi dɔn tɔk bɔt na dis CRP tɛst:

• CRP na wan protin we di liva de mek. I kin bɔku na di blɔd we inflamɛns de na di bɔdi.
• Dis tɛst kin ɛp fɔ no infɛkshɔn ɛn inflammatory kɔndishɔn lɛk at at sik , ɛn kin ɛp bak fɔ no if di tritmɛnt de wok.
• Ivin if di CRP lɛvɛl go ɔp, in wan nɔ kin ebul fɔ no wetin na di sik ɔ usay i de. Sɔntɛm dɛn go nid fɔ du ɔda tɛst dɛn.
• di nכmal CRP valyu less dan 0.9 mg/dL (כ 1.0 mg/dL).
• di CRP lεvεl kin εlevεt sכmtεm bak bikoz fכ tin dεm lεk fכ smok, bεlε, sכm injuri, εn fכ fat.
• Nɔ panik we yu si ay CRP valyu.Tɔk to yu dɔktɔ ɛn gɛt advays. Na in go bi di bɛst pɔsin fɔ gayd yu.

So, a op se yu dɔn ansa bɔku pan di kwɛstyɔn dɛn we yu bin gɛt bɔt di CRP tɛst naw. A op se dis infɔmeshɔn go yusful to yu. Tek kia ɔf yu wɛlbɔdi ɔltɛm, bikɔs wɛlbɔdi na di big big jɛntri!

` CRP Tεst, C-Rεaktiv Protεin, Inflamεshכn, Infεkshכn, Blכd Tεst, Wεlth, Simptom dεm, Liva, Imyuniti