Sɔntɛnde yu kin fil sik te yu bɛlɛ, yu taya pas aw yu kin taya, ɔ yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk? Bɔku rizin dɛn kin de fɔ dɛn tin ya. Bɔt sɔntɛnde, smɔl smɔl blɔd we wi yay nɔ de si kin bi rizin bak fɔ dis. Tide, wi go tɔk bɔt wan tɛst we rili simpul bɔt we rili impɔtant we de luk fɔ blɔd we ayd (ɔkul blɔd), we wi nɔ de si.
Wetin na FOBT? Fɔ tɔk am simpul wan...
di Sinhala minin fכ Fecal Occult Blood Test (FOBT) na "tεst fכ blכd we ayd na di stכl". As di nem sho, dɛn kin du dis fɔ chɛk fɔ si if smɔl smɔl blɔd de na yu stɔl we tu smɔl fɔ mek yu si yu wit yu yay. Dis na tɛst we rili impɔtant. Bikɔs dis kayn blɔd kin bi di fɔs tin we de sho se sɔntin nɔ rayt na wi dijestiv sistɛm.
Di impɔtant tin na dat dis na tɛst fɔ chɛk pɔsin, nɔto tɛst fɔ no if pɔsin gɛt sik. Dis min se if i sho se prɔblɛm de, dɛn go nid fɔ du mɔ tɛst fɔ no di rayt tin we mek i gɛt prɔblɛm.
Us kɔndishɔn kin mek blɔd de na di stɔl?
Blɔd we de na di stɔl nɔto nɔmal tin. I min se blɔd de kɔmɔt sɔmsay na wi dijestiv sistɛm, frɔm di mɔt to di anus. Bɔku tin dɛn de we kin mek pɔsin gɛt dis.
| Posisibul mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Anemia we nɔ gɛt bɛtɛ blɔd | Di nɔmba fɔ di wɛlbɔdi rɛd blɔd sɛl dɛn na di bɔdi we de go dɔŋ. Dis kin bi bikɔs i de kɔntinyu fɔ blɔd. |
| Inflameshɔn na di big intestinal (Colitis) . | Inflameshɔn ɔ injuri na di layn na yu big intestin. |
| Kansa we de na di kɔlɔrɛkt | Kansa we kin apin na di lכw pat pan di dijestiv sistεm, dat na di kכlon כ rεktum. Di FOBT tɛst rili impɔtant fɔ mek dɛn no am kwik kwik wan. |
| Divɛrtikulɔs | sכm sכm sak dεm we lεk bכbul we de kכmכt na di wכl na di kכlon. Dɛn wan ya kin blɔd if dɛn wund. |
| Ɛmɔroyd dɛn | di bכdi we de insay כ ausayd di rεktum de swεla. Dɛn tin ya kin mek yu blɔd we yu de muv yu bɔdi. |
| Di polip dɛn we de na di kɔlɔn | sכm sכm tin dεm we de fכm insay di big intestin. Sɔm grow kin tɔn to kansa as tɛm de go. |
| Ɔlsa na di bɛlɛ ɔ di intestinal (ɔlsa) . | Ɔlsa dɛn na di dijestiv sistɛm. Dɛn ɔlsa ya kin mek blɔd kɔmɔt. |
Wetin mek dɛn de du dis tɛst? Udat i impɔtant fɔ?
Tu men rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst.
1. Fɔ gɛt sayn dɛm: If yu gɛt sɔm sayn dɛm lɛk bɛlɛ pen, taya, pen na yu rεktum, ɔr blɔd na yu stɔl, dis tɛst kin ɛp fɔ no di kɔz.
2. As skrinin tεst fכ kεnsar: Di men εn imכtant rizin fכ du di FOBT tεst na fכ no kכlכrektal kεnsar kwik. Imajin aw i go valyu if wi ebul fɔ kech smɔl smɔl tin bɔt am bifo i bi big sik? Na dat dis tɛst de du.
Bɔku tɛm i kin fayn fɔ mek pipul dɛn we ol bitwin 45 ɛn 75 ia we nɔ gɛt bɔku kansa gɛt dis tɛst wan tɛm insay di ia . Bɔt if yu famili gɛt dis kayn kansa ɔ ɔda tin dɛn we kin mek yu gɛt dis sik, yu fɔ tɔk to yu dɔktɔ bɔt aw ɔltɛm yu fɔ gɛt am.
Aw dɛn kin du dis tɛst? Yu tink se difrɛn kayn dɛn de?
Di bɛst pat na dat yu kin du dis na os. Yu dɔktɔ go gi yu spɛshal tɛst kit fɔ dis. Ɔl wetin yu fɔ du na fɔ tek wan stɔl sɛmpul na os, pripia am akɔdin to di instrɔkshɔn, ɛn kɛr am go na di lɛb ɔ yu dɔktɔ. I rili izi fɔ du.
Tri men kayn FOBT tɛst dɛn de.
| Test tayp | Aw i de wok |
|---|---|
| Guaiac FOBT (gFOBT) we dɛn kɔl . | Dis na wan we we dɔn ol smɔl. Dɛn kin yuz wan kemikal we dɛn kɔl Guaiac fɔ no blɔd na di stɔl. Yu nid fɔ tek tɛm smɔl bɔt wetin yu de it ɛn drink bifo dis tɛst. |
| Immunokemikal FOBT (iFOBT ɔ FIT) . | Dis na nyu we ɛn we kɔrɛkt mɔ. I de yuz sɔntin we dɛn kɔl antibodies ɛn na mɔtalman blɔd nɔmɔ i de no. Dis nɔ nid ɛni spɛshal tin fɔ stɔp pɔsin fɔ it. |
| FIT-DNA Tɛst | Dis nɔ de jɔs luk fɔ blɔd, bɔt i de luk bak fɔ di chenj dɛn we de apin na di DNA na di stɔl we kin gɛt fɔ du wit kansa. |
A nid fɔ pripia ɛnitin bifo di tɛst?
Yɛs, dis kin difrɛn smɔl dipen pan di kayn tɛst we yu de du.
If yu de du di iFOBT/FIT tɛst:
Gud nyus! Fɔ dis nyu kayn tɛst, yu nɔ nid fɔ rili stɔp yu it . Dat na big tin we izi fɔ du.
Yu de du di gFOBT tɛst if:
If yu de tek dis ol-fashin tɛst, yu fɔ avɔyd sɔm tin dɛn fɔ sɔm dez bifo di tɛst fɔ ridyus di chans fɔ gɛt lay lay pɔsitiv rizɔlt.
- Rɛd mit: Rɛd mit lɛk bif ɛn bɔd.
- Sɔm mɛrɛsin dɛn: Dɛn kin mɛn pen (NSAID), lɛk aspirin ɛn ibuprofen. Dɔn bak, tin dɛn we de mek blɔd tan .
- Sɔm kayn vaytamɛn dɛn: Vitamin tablɛt dɛn we gɛt vaytamɛn C ɛn ayɔn.
I rili impɔtant: Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Mek shɔ se yu go to dɔktɔ bifo yu stɔp ɛnitin, mɔ di wan dɛn we de mek yu blɔd tan .
Okay, naw aw yu de yuz dis test kit?
Nɔ wɔri, i rili simpul. Bɔku tɛm, ɔl wetin yu fɔ du na fɔ fala dɛn smɔl tin ya.
1. Rid di instrɔkshɔn dɛn: Fɔs, rid di instrɔkshɔn liflet we bin kam wit di tɛst kit we yu bin gɛt fayn fayn wan. Ɔltin klia insay de.
2. Kɔlekt di sampul: Kɔlekt yu stɔl sampul insay wan klin, dray kɔntena. Sɔm kit dɛn kin kam wit spɛshal pepa we yu kin put na tɔylɛt, dɔn yu kin was am. Di tin we impɔtant pas ɔl na fɔ nɔ mek ɛni wata ɔ urine go insay di stɔl.
3. Put di sampul na di kad: Yuz di apliketa we dɛn gi na di kit fɔ tek smɔl stɔl ɛn put am na di rayt say na di tɛst kad. Bɔku tɛm, dɛn kin aks yu fɔ tek tu ɔ tri sɛmpul dɛn fɔ tu ɔ tri dez.
4. Gi am: Dɔn, lɛf di kad na rum tɛmpracha, fa frɔm ɔt ɛn humidity, ɛn kɛr am go na di lab ɔ to di dɔktɔ insɛf, lɛk aw yu dɔktɔ tɛl yu.
Sɔntɛnde, yu nɔ fɔ tek dis tɛst?
Yɛs. Nɔ du dis tɛst pan dɛn kayn tin ya bikɔs di rizɔlt nɔ go kɔrɛkt.
- We yu gɛt yu prɛgnɛshɔn .
- If yu de blɔd bikɔs ɔf ɛmoroyd .
- If yu no se yu de blɔd bikɔs ɔf wan kɔndishɔn lɛk peptik ɔlsa ɔ gastritis .
If na so i bi, i go fayn fɔ mek yu tɔk to yu dɔktɔ bifo yu du tɛst.
Aw lɔng i kin tek fɔ mek di rizɔlt kam bak? Wetin kin apin if i fayn?
Bɔku tɛm, i kin tek lɛk wan wik so fɔ mek di rizɔlt kam bak, sɔntɛnde i kin tek smɔl tɛm.
Okay, naw di tin we impɔtant pas ɔl. If di tɛst na ‘positiv’ , we min se yu detekt blɔd na yu stɔl, nɔ panik .
If yu gɛt gud rizɔlt nɔ min se yu gɛt kansa.
I jɔs min se smɔl blɔd de kɔmɔt sɔmsay na yu dijestiv sistɛm. Di kɔz kin bi ɛnitin frɔm ɛmoroyd, bɛlɛ ɔlsa, ɔ polyp, we wi bin dɔn tɔk bɔt bifo tɛm, we nɔ denja.
If di rizɔlt na pɔsitiv, yu dɔktɔ go kɔl yu ɛn tɛl yu wetin fɔ du nɛks. Di nɛks tin we yu fɔ du na fɔ no ustɛm di blɔd de kɔmɔt ɛn wetin mek.Test lεk colonoscopy, we de yuz kamera fכ luk insay di colon εn sho di εksεkshכn lεkshכn fכ di prכblεm.
If yu nɔ yɛri bak frɔm di rizɔlt ivin afta tu wiks we yu gi di sampul, kɔl yu dɔktɔ ɔ di lab ɛn aks.
Mɛsej we dɛn kin kɛr go na os
- FOBT na simpul tɛst we dɛn kin du na os fɔ luk fɔ blɔd we ayd na di stɔl.
- Dis na rili impɔtant skrinin tɛst fɔ no kwik kwik wan fɔ kɔlorektal kansa.
- Nɔ fred fɔ gɛt ‘positiv’ tɛst rizɔlt. I nɔ de kɔnfyus se yu gɛt kansa. I jɔs min se dɛn nid fɔ du mɔ tɛst.
- Ɛspɛshali if yu de du gFOBT tɛst, fala yu dɔktɔ in instrɔkshɔn dɛn bɔt it ɛn mɛrɛsin ɛksaktɔli.
- Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ gɛt dɔktɔ advays.
- Tɔk opin wan wit yu dɔktɔ bɔt yu tɛst rizɔlt ɛn ɛnitin we de mɔna yu.
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