Yu tink se dis kin apin to yu sɔntɛnde? We yu tɔch smɔl dɔst, yu kin sniz ɛn sniz, ɛn wan nɔs we de rɔn kin rɔn. We yu it it lɛk shrimps ɔ squid, yu ɔl bɔdi kin it ɛn rɛd bɔmp dɛn kin apia. Ɔ we yu kam nia pusi, yu yay kin rɛd ɛn wata. If dis kin apin to yu bɔku tɛm, di rizin kin bi bikɔs yu bɔdi gɛt alɛji fɔ sɔm tin dɛn, ɔ as wi ɔl no, yu gɛt "alɛji". So tide wi go tɔk bɔt wan rili impɔtant tɛst fɔ no wetin na dis alɛji.
Wetin na ɛksaktɔli alɛji skin tɛst?
Fɔ tɔk am simpul wan, dis na tɛst we yu dɔktɔ kin du fɔ no ustɛm yu gɛt alɛji fɔ. Wi bɔdi in imyun sistɛm de fɔ protɛkt wi frɔm sik dɛn. Bɔt sɔntɛnde, we i si tin dɛn we rili nɔ bad to di bɔdi (fɔ ɛgzampul, pɔlin, dɔst, sɔm it dɛn), dis imyun sistɛm kin riak pasmak. Wi kin kɔl dɛn alɛrjens ya .
So, insay dis skin tɛst, yu kin put smɔl smɔl difrɛn alɛji dɛn we yu tink se yu kin gɛt alɛji pan pan yu skin ɛn si if yu skin de riak to dɛn. We di dɔktɔ luk da riakshɔn de, i kin kam fɔ no wetin yu nɔ lɛk.
Yu tink se men kayn tɛst dɛn de fɔ alɛji?
Yɛs, tri men kayn alɛji skin tɛst dɛn de. Yu dɔktɔ go disayd us tɛst yu nid bay di sayn dɛm we yu gɛt ɛn di kayn we aw yu tink se yu gɛt alɛji.
| Test tayp | Aw fɔ du am simpul wan | Wetin dɛn kin yuz am fɔ bɔku tɛm? |
|---|---|---|
| Skin Prik / Skrat Tɛst | Dɛn kin put wan drɔp pan di alɛrjen we dɛn tink se na di skin ɛn dɛn kin yuz wan rili smɔl nidul fɔ skrap di say we di skin de. | Luk fɔ tin dɛn we de mek pɔsin gɛt alɛrji we de na di briz lɛk dɔst, pɔlin, mold, animal dɛn we de mek alɛrji, ɛn tin dɛn we de mek pɔsin gɛt alɛrji fɔ it. |
| Intradɛmal Tɛst | Wan rili smɔl nidul de injekt smɔl alɛrjen likwid insay di layt we de ɔp di skin. | Chek fɔ alɛji to mɛrɛsin ɛn insɛkt sting (bi, wasp). |
| Patch Test we dɛn kin yuz | Dɛn kin put smɔl smɔl pat dɛn (lɛk plasta) we gɛt di alɛrjen na di skin ɛn lɛf am fɔ sɔm dez. | Luk fɔ kɔntakt dɛmatitis (e.g. sop, loshan, jɔyri). |
Ustɛm dɛn fɔ du dis tɛst?
Bɔku rizin dɛn kin de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst.
- If yu gɛt alɛji ɔltɛm: Fɔ ɛgzampul, if yu de it yu skin ɔltɛm fɔ natin, if yu gɛt rash, if yu de sniz, if yu yay de rɛd.
- If yu gɛt asma: Sɔm tin dɛn we kin mek yu gɛt alɛrji kin mek yu asma wɔs. So wae yu dɔn no wetin dɛn bi, e kin izi fɔ de fa frɔm dɛm ɛn kɔntrol yu asma.
- If yu dɔn gɛt siriɔs alɛji: Sɔm pipul dɛn kin gɛt siriɔs alɛji fɔ sɔntin we kin mek dɛn nɔ ebul fɔ blo. Wi kin kɔl dis anafilaksis . Dis na imejensi we kin mek pɔsin in layf de pan denja. If dis apin, dɛn kin du dis tɛst fɔ no di rayt tin we mek i apin.
Impɔtant: If yu ɛva gɛt siriɔs alɛji lɛk fɔ blo wantɛm wantɛm, yu fes de swel, ɔ yu ed de tɔn, yu fɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
Aw yu fɔ pripia bifo di tɛst?
Bifo di tɛst, di dɔktɔ go aks yu bɔku kwɛstyɔn bɔt yu sik, wetin yu de it, us mɛrɛsin yu de tek, wetin yu de put pan yu skin, ɛn if yu gɛt ɛni animal we yu de mɛn na os. Dɔn, i go tɛl yu sɔm tin dɛn we yu fɔ du bifo di tɛst.
- Nɔ put ɛnitin pan yu skin: Di de we dɛn de du di tɛst, nɔ put ɛni krim, loshan, ɔ ɔyl na di say we dɛn go du di tɛst (bɔku tɛm na di an ɔ bak).
- Yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn: Dɛn kin aks yu fɔ stɔp fɔ tek alɛji mɛrɛsin (e.g. antihistamines lɛk Piritan) sɔm dez bifo di tɛst, bikɔs if yu tek dɛn mɛrɛsin ya kin afɛkt di tɛst rizɔlt.Bɔt nɔ du dis to yu at, jɔs du lɛk aw di dɔktɔ se, ɛn stɔp fɔ di nɔmba fɔ di de dɛn we i se.
- Fɔ pul di ia: If bɔku ia de na di say we dɛn de tɛst, dɛn go aks yu fɔ pul am di de bifo ɔ di mɔnin we dɛn de du di tɛst.
- Wear fayn klos: Wear klos we go mek i izi fɔ go na di say we dɛn de tɛst am, lɛk shit we gɛt bɔtin dɔŋ.
Lɛ wi lan ditayli aw fɔ du di tri kayn tɛst dɛn.
Bifo di dɔktɔ ɔ nɔs du ɛni wan pan dɛn tri tɛst ya, i kin klin di say we dɛn go du di tɛst fayn fayn wan wit sɔntin lɛk rɔm fɔ mek i nɔ gɛt di sik.
1. Skin Prik / Skrat Tɛst
Dis na di tɛst we dɛn kin du pas ɔl. Dɛn kin yuz pen fɔ mak smɔl smɔl skwea dɛn na yu an ɔ yu bak in skin. Dɔn, dɛn kin put wan drop wata frɔm ɛni wan we dɛn tink se na alɛrjen na di skwea dɛn. Dɔn, dɛn kin yuz wan rili smɔl tin we tan lɛk nidul we dɛn kɔl lans fɔ mek smɔl pankchɔ tru di drɔp we de insay di skin. Dis nɔ kin at, bɔt i kin fil lɛk smɔl prik, lɛk se ant bit yu.
Apat frɔm dɛn alɛrjens ya, dɛn kin yuz tu ɔda wata dɛn.
- Pozitiv kɔntrol: Dis gɛt wan kemikal we dɛn kɔl histamine . We dɛn put am pan ɛnibɔdi in skin, wan smɔl rɛd bɔmp kin kɔmɔt. Dis na fɔ chɛk if yu skin de riak nɔmal wan.
- Negativ kontrכl: Dis kin gεt salin sכlushכn. No we nɔ de fɔ mek yu skin du dis. Dis na fɔ mek shɔ se yu skin jɔs tɔn rɛd.
Yu nid fɔ wet fɔ lɛk 15 minit so afta yu dɔn du ɔl dis. If yu gɛt alɛji fɔ sɔntin, di say go rɛd ɛn swel smɔl, lɛk we mɔskito bit. Wi kin kɔl am wil . Afta 15 minit, di dɔktɔ go mɛzhɔ di sayz fɔ di bɔmp dɛn ɛn rayt di tin dɛn we dɔn apin.
2. Tɛst we dɛn kin du insay di bɔdi
Dis na smɔl mɔ sɛnsitiv pas di skin prik tɛst. na ya, dεn kin injεkt di alergen sכlushכn insay di epidam, di tכp layεr na di skin, wit wan rili sכm nidul. Dis nɔ kin rili mek pɔsin fil pen bak. Dɛn kin du dis tɛst we di rizɔlt fɔ di prik tɛst nɔ klia, mɔ fɔ chɛk fɔ si if pɔsin gɛt alɛji to mɛrɛsin ɛn insɛkt pɔyzin. Insay dis tɛst, dɛn kin mɛzhɔ di riakshɔn bak afta dɛn wet fɔ lɛk 15 minit.
3. Tɛst fɔ Patch
Dɛn kin yuz dis tɛst fɔ no di kɔntakt dɛmatitis, we na wan tin we kin apin to di skin we sɔntin kam nia di skin. Fɔ ɛgzampul, if yu yuz nyu kayn sop ɛn yu skin brok wit rɔsh, dis tɛst kin ɛp fɔ no wetin mek i gɛt rɔsh.
Wetin yu de du ya na fɔ stik smɔl pat (lɛk plasta) na yu bak we gɛt kemikal dɛn we yu sɔspɛkt se yu kin gɛt alɛji to (e.g., sop, loshan, mɛtal na jɔyri). Yu fɔ lɛf di pat fɔ lɛk tu to 4 dez so. I bɛtɛ fɔ mek yu nɔ mek di say wet insay dis tɛm. Dat min se yu nɔ fɔ was ɔ du ɛni ɛksesaiz we go mek yu swet, di dɔktɔ se.We yu go bak sɔm dez afta dat, di dɔktɔ go pul di pat dɛn ɛn chɛk fɔ ɛni riakshɔn na di skin (rɛd, rɔsh).
Wetin kin apin afta di tɛst? Ɛni risk dɛn de we kin apin?
Afta di tɛst, yu kin gɛt smɔl smɔl rɛd bɔmp dɛn na di say dɛn we yu bin gɛt alɛji fɔ sɔm tɛm. Dɛn tin ya go dɔn smɔl smɔl we dɛn de skrach.
Di big tin we kin mek pɔsin gɛt dis tɛst, bɔt we nɔ kin apin so ɔltɛm, na we pɔsin kin gɛt siriɔs alɛji, we na di anafylaksis we wi bin dɔn tɔk bɔt .
Bɔt nɔ fred dis. Bikɔs dɛn kin du dis tɛst na ɔspitul ɔ klinik ɔnda di sɔpɔtishɔn we dɔktɔ de gi, dɛn kin pripia ɔl wetin nid fɔ trit dis kayn imejensi (fɔ ɛgzampul, wan epinephrine injɛkshɔn) de. So yu de sef.
Aw fɔ ɔndastand di tɛst rizɔlt?
Yu kin gɛt di rizɔlt fɔ di skin prɛk ɛn intradɛmal tɛst di sem de, insay shɔt tɛm. I kin tek sɔm dez fɔ gɛt di rizɔlt fɔ wan pat tɛst.
| Rizɔlt | Minin |
|---|---|
| Gud | Dat min se yu gɛt alɛji fɔ da tin de. Di mɔ di wil big, na di mɔ yu kin fil bɔt da tin de. |
| Bad | Dat min se yu nɔ gɛt alɛji fɔ da tin de. |
Sɔntɛnde di tɛst rizɔlt nɔ kin kɔrɛkt 100%. Ivin if di tɛst sho se yu gɛt alɛji, yu nɔ go gɛt ɛni prɔblɛm wit da tin de na rial layf (false-positive) . Dɔn bak, ivin if di tɛst sho se yu nɔ gɛt alɛji, yu kin rili gɛt alɛji fɔ da tin de (false-negative) . So, di dɔktɔ go tink bɔt di tɛst rizɔlt, di sayn dɛn we yu gɛt ɛn di mɛdikal istri, ɛn kam to di las tin.
Wetin yu go du if dɛn no se yu gɛt alɛji?
Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu. I kin gɛt tin dɛn lɛk:
- Fɔ avɔyd alɛrjen: Fɔ advays yu fɔ de fa frɔm tin dɛn we yu alɛji to as yu ebul.
- Mɛrɛsin: Fɔ gi mɛrɛsin fɔ kɔntrol di alɛji simptom dɛm.
- Alɛji shot: Dɛn kin yuse dis tritmɛnt as sɔlv fɔ sɔm pipul dɛm fɔ lɔng tɛm.
- Kari EpiPen®: Dɛn kin advays pipul dɛn we gɛt siriɔs alɛji (anaphylaxis) fɔ kɛr Epinephrine injɛkshɔn ɔltɛm we dɛn kin injɛkt dɛnsɛf wit if ɛnitin apin.
- Wan mɛdikal alert breslɛt: Dɛn kin aks yu fɔ wɛr breslɛt we se yu gɛt siriɔs alɛji.
Mɛsej we dɛn kin kɛr go na os
- Alɛji skin tɛst na rili sef ɛn fayn we fɔ no wetin yu gɛt alɛji to.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo yu du di tɛst, mɔ bɔt aw fɔ stɔp fɔ tek di mɛrɛsin.
- Dɛn kin du dɛn tɛst ya ɔnda dɔktɔ in sɔpɔtishɔn, so no rizin nɔ de fɔ mek wi fred. Dɛn rɛdi fɔ dil wit ɛni imejensi.
- If yu no di rizɔlt fɔ di tɛst, dat go rili ɛp yu ɛn yu dɔktɔ fɔ kɔntrol yu alɛji ɛn liv bɛtɛ layf we nɔ gɛt ɛni prɔblɛm.
- If yu de sɔfa ɔltɛm wit alɛji, nɔ ignore am ɔ tink bɔt am, bɔt fɔ tru, go to dɔktɔ ɛn aks fɔ advays.
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