Yu blɔd de rɔn fayn fayn wan? Lɛ wi lan bɔt Kapilari Rifil Taym!

Tide wi go tok boht sohmtin we likli medikal, boht rili impohtant. Yu go mɔs dɔn yɛri bɔt am, ɔ si am na ɔspitul, usay dɔktɔ ɔ nɔs dɛn kin swɛt pɔsin in finga. Yu go de wɔnda wetin dat de du. Na dat wi go tok abaut tide. Dɛn kɔl dis "Kapila Rifil Tɛm". Nɔ wɔri, wi go jɔs ɛksplen wetin i de du ɛn wetin mek i impɔtant.

Wetin na dis kapilari rifil tɛm?

Fɔ tɔk am simpul wan, dis na tɛst we rili simpul. I de luk aw yu blɔd de go fayn fayn wan (peripheral perfusion) na yu an, yu leg, ɛn ɔda pat dɛn na yu bɔdi . Kapilari na di smɔl smɔl blɔd vesel dɛn na wi bɔdi. Dɛn tan lɛk smɔl smɔl trɛd dɛn. dis kapilari dεm de kכnεkt di at dεm (di vεsεl dεm we de kכri bכdi frכm di at) εn di vein dεm (di vεsεl dεm we de kכri bכdi bak to di at). So, dis kapilari dεm de du big wok fכ kכri כksijεn εn nyutriεnt dεm to di כl bכdi.

dis `(Capillary Refill Time)` tεst de mεnli tray fכ detekt shכk . Shok na wan denja sik we di blɔd we de go na di bɔdi kin go dɔŋ wantɛm wantɛm, ɛn wi impɔtant ɔgan dɛn (lɛk di bren, at, kidni) nɔ kin gɛt di ɔksijɛn we dɛn nid. Dis kin apin wae pɔrsin gɛt sik wae de mek pɔrsin in layf de pan denja ɔr big aksidɛnt.

Tink bɔt am, we shɔk apin, yu nid fɔ du sɔntin kwik kwik wan. I kin bi se tɛm nɔ de fɔ du blɔd tɛst (`Lab tɛst`) ɔ big skan (`Imaging studies`). Na da tɛm de dis `(Capillary Refill Time)` tɛst kin bi rili yusful. Dɛn kin du am kwik kwik wan ɛn si if chenj de na di blɔd we de go .

Udat nid dis `(Kapila Rifil Tɛst)`?

Dɛn kin du dis tɛst we pɔsin in wɛlbɔdi kin wɔs wantɛm wantɛm, ɔ wetin dɔktɔ dɛn kin kɔl "medically unstable." Dis impɔtant mɔ if risk de fɔ mek yu shɔk.

Na sɔm tin dɛn ya we pɔsin kin gɛt kɔnkyushɔn:

• Sivεr alɛji riakshɔn (`Anaphylaxis`): Na wan wan, siriɔs alɛji riakshɔn to sɔm it, mɛrɛsin, ɔ insɛkt sting.
• Di wata we nɔ de na di bɔdi: We di wata we de na di bɔdi tu smɔl. Fɔ ɛgzampul, we yu de vɔmit pasmak ɔ we yu gɛt dayarɛa.
• Ɛmoraji: We bɔku blɔd kɔmɔt, i kin bi bikɔs ɔf big injuri ɔ ɔda blɔd we de kɔmɔt insay pɔsin in bɔdi.
• Ay bɔdi tɛmpracha (Hyperthermia): Dis kin apin we yu gɛt ay fiva ɔ we yu de na di san fɔ lɔng tɛm.
• Hypothermia: We yu de na say we kol bad bad wan.
• Bɔn bad bad wan.

We pɔsin in kɔndishɔn wɔs bikɔs ɔf rizin dɛn lɛk dis, dɔktɔ dɛn kin luk dis ``Capillary Refill Time'' ɛn kwik kwik wan kin asɛs if blɔd sakulayshɔn de wok fayn fayn wan.

Ustɛm dɛn kin du dis tɛst?

Dis kin bi wae dɛn kin tek pɔrsin in wɛl bɔdi kɔndishɔn nɔr stebul. Dat na,

• Altered mental state: Di pɔsin kin kɔnfyus, i kin biev strenj, ɛn i kin tɔk bad bɔt wetin i de tɔk.
• An, fut, an, ɛn fut we kol: Dɛn tin ya kin bigin fɔ kol we di blɔd nɔ de go fayn.
• Denja chenj na di vital sayn dɛm: Dis min se tin dɛm lɛk blɔd prɛshɔn, puls rit, brith rit, ɛn bɔdi tɛmpracha kin rili smɔl ɔ ay.
• Nɔbɔdi nɔ kin no natin.

We dɛn si di sayn dɛm lɛk dis, fɔ chɛk di ``Capillary Refill Time'' kin rili ɛp fɔ no di sik kwik kwik wan ɛn fɔ bigin di tritmɛnt . Dɛn kin yuz dis tɛst bak fɔ wach aw di sik pipul dɛn kin ansa to di tritmɛnt we dɛn kin gɛt wit shɔk.

Aw dɛn kin du dis `(Capillary Refill Time)` tɛst?

Dis na tin we rili simpul. Yu kin tray dis na os (bɔt mɛmba, nɔr no se yu gɛt sik bay dis nɔmɔ. If yu gɛt dawt, go to dɔktɔ).

Dis na aw dɔktɔ dɛn kin du am:

1. Bɔku tɛm, yu kin kip wan pan yu an ɔ yu fut smɔl ɔp yu at .

2. Dɔn, prɛs pan wan finga (di skin we de ɔp di nel) ɔ yu fut fɔ lɛk 5 to 10 sɛkɔn . we yu pres so, di skin na da eria de go tכn bכt, biכs sכm blכd go kכmכt frכm di kapilari dεm we de de.

3. Neks, dεn de kכl di prεshכn εn dεn mכsu di skin fכ si aw lכng i tek fכ di pale skin fכ kam bak to in כrijinal kכla . dis dεn kכl am ``Kapilari Rifil Tεm''. Di kɔlɔ we di skin gɛt kin kam bak to nɔmal we di blɔd we gɛt ɔksijɛn ful-ɔp bak di ɛmti kapilari dɛn.

Bɔku tɛm, dɛn kin chɛk dis wit finga. Bɔt pan imejensi, mɔ if pɔsin in bɔdi kol bad bad wan (fɔ ɛgzampul, if i gɛt ``Hypothermia'', ɔ if dɛn stil kol we dɛn rich na ɔspitul bikɔs ɔf kol wɛda), fɔ chɛk wit finga nɔ kin rili kɔrɛkt. insay dis kayn kes, dכkta kin chεk dis wit di skin nia di midul bon na di chεst (``Sternum`') .

Wetin fɔ bi di nɔmal `(Kapilari Rifil Taym)`?

pan pɔsin we gɛt wɛlbɔdi, i kin tek jɔs sɔm sɛkɔn fɔ mek di kapilari dɛn ful-ɔp wit blɔd bak:

• Nyu bכn pikin dεm: I kin tek lεk 2 sεkכnd.
• Big pipul dɛn: Na lɛk 3 sɛkɔn so.
• Di big pipul dɛn we dɔn ol: Sɔntɛm i kin pas smɔl pas 3 sɛkɔn.

Bɔt jɔs bikɔs dis tɛm bin de insay di nɔmal rɛnj nɔ min se yu nɔ shɔk ɔ yu gɛt ɔda siriɔs sik. insay dis kayn kes, di ``Capillary Refill Time`` na nכmal tin, bכt di prכblεm na dat nכ big prכblεm de wit di bכdi fכ fכlכ na di εnd dεm na yu sεkyulatri sistεm da mכment de. Dɔn di dɔktɔ dɛn go kɔntinyu fɔ chɛk yu fɔ luk fɔ ɔda tin dɛn we kin mek yu gɛt dis sik.

Wetin kin apin if `(Capillary Refill Time)` nɔrmal?

if di kapilari rifil tεm de ausayd di nכmal rεnj (i.e., i tek tu lכng) , i min se bכdi de delay fכ rich di fa pat dεm na di bכdi εn fכ ful dεm bak. Dis kin bi sayn fɔ sho se yu shɔk.

If dis apin, dɔktɔ dɛn go yuz ɔda tɛst dɛn we dɛn kin du kwik kwik wan fɔ no di rayt tin ɛn fɔ no aw di prɔblɛm siriɔs. Fɔ ɛgzampul:

• Pulse Oximetry: Dis de mek yu no di lɛvɛl we ɔksijɛn de na yu blɔd. Sɔntɛm yu dɔn si di mashin we de tay sɔntin we tan lɛk klip na yu finga.
• Laser Doppler Flowmetry: Dis na wan we we kɔmpleks smɔl. I de yuz wan kɔmbaynshɔn fɔ lɛsa bim ɛn sawnd wev fɔ mɛzhɔ di pawa we blɔd de flɔ tru di at ɛn vein dɛn.
• Nia-Infrared Spectroscopy: Dis de yuz rays fכ layt fכ ases di כksijεn lεvεl dεm na di tisu dεm.

Kapilari Rifil Taym nɔto di wangren tɛst we dɛn kin yuz fɔ no di risk fɔ mek pɔsin shɔk. along wit dis, dεn de mכnitor כda tin dεm lεk puls rεt, bכdi prεshכn, di lεvεl fכ kכnsεns, εn di urine autput dεm bak. Dɛn kin jɔyn ɔl dɛn tin ya fɔ ɛp dɔktɔ dɛn fɔ disayd kwik kwik wan.

Wetin fɔ du if di tin we mek di sik we de mek pɔsin shek na prɔblɛm wit di say we di blɔd de rɔn?

If na so i bi, dɛn fɔ bigin di tritmɛnt wantɛm wantɛm . De kayn tritmɛnt wae dɛn go gi am go dipen pan de tin wae de mek pɔrsin gɛt de sik ɛn aw dɛn kin tranga.

Di tritmɛnt dɛn we dɛn kin gɛt kin bi:

• Blɔd transfyushɔn: If bɔku blɔd de lɔs.
• Intubation: If yu nɔ ebul fɔ blo fayn fɔ yusɛf.
• Intravenous fluids (`IV fluids`): fכ gi tin dεm lεk salin insay di bכdi.
• Mɛrɛsin dɛn: Fɔ ɛgzampul, stɛroyd ɔ antibayɔtiks.
• Di bɔdi kol kwik kwik wan: If di fiva rili bɔku.
• Sɔplimɛnt ɔksijɛn.

Take-Home Message frɔm Wetin Wi Dɔn Tɔk

Okay, so a op se yu naw geht gud andastan fo dis `(Capillary Refill Time)` we wi tok boht tide. Di tin we impɔtant pas ɔl we wi fɔ mɛmba na dis:

Kapilari Rifil Tεm na di tεm we i tek fכ di kapilari dεm fכ fulכp bak.Wan simpul, kwik, ɛn rili impɔtant tɛst fɔ chɛk if blɔd de flɔ fayn fayn wan to fa fa pat dɛn na di bɔdi pan pipul dɛn we de pan denja fɔ shɔk.

• Dis kin rili ɛp dɔktɔ dɛn fɔ si if di blɔd dɔn go dɔŋ wantɛm wantɛm , ilɛksɛf na afta big sik ɔ siriɔs aksidɛnt.
• If i tek lɔng pas aw i kin bi fɔ mek di kapilari dɛn na yu finga ɔ yu fut ful-ɔp wit blɔd bak (bɔku tɛm pas 2-3 sɛkɔn), i kin bi sayn fɔ se yu gɛt siriɔs sik .
• If yu si sɔntin lɛk dis, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm ɛn nɔ de te , bikɔs kwik tritmɛnt kin sev pɔsin in layf.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Kapilari Rifil Tɛm, Shɔk, Pɛrifyushɔn Pɛrfyushɔn, Imejɛnsi Keya, Ɛlth Chɛk