We wi de wɔri, fred, ɔ ɔnda bɔku strɛs, wi bɔdi kin chenj bɔku tin, nɔto so? Imajin, wetin go apin if dɔg jomp bifo yu wantɛm wantɛm? Yu at kin bit mɔ ɛn mɔ, yu kin swet, ɛn yu kin fil se yu gɛt trɛnk. di men pleya dεm we de εp wi bכdi fכ ansa dis we tεm lεk dis na כmon dεm we dεn kכl "catecholamines." So tide wi go tɔk bɔt wan spɛshal tɛst we de mɛzhɔ di lɛvɛl dɛn na dɛn ɔmon ya.
Fɔ tɔk am simpul wan, wetin na dɛn katekolamin ya?
Katekolamin na wan grup ɔf ɔmon dɛn we wi adrenal gland dɛn kin pul. Dis na tu smɔl smɔl gland dɛn we tan lɛk kap we de ɔp wi kidni dɛn. We yu gɛt bɔku strɛs, ilɛksɛf na yu bɔdi ɔ yu maynd, dɛn gland ya kin pul katekolamin ɔmon dɛn na di blɔd.
Tri men pat dεm de na dis grup כf כmon dεm:
- Epinephrine: Dis na di adrenaline we wi ɔl no.
- Norepinephrine we dɛn kɔl norepinephrine
- Dopamin we dɛn kɔl Dopamin
dis כmon dεm de go insay di bכdi εn de pripia wi bכdi fכ "fεt כ fכ flay." Dat min se fɔ rɛdi di bɔdi fɔ gɛt ɛnitin fɔ du wit am. Wetin kin apin dis tɛm?
- Adrenaline de kɔmɔt ɛn i de gi di bɔdi pawa wantɛm wantɛm.
- Yu at de bit ɛn yu blɔd prɛshɔn de go ɔp.
- I de mek yu maynd fɔs ɛn de wach mɔ ɛn mɔ .
- Dɛn kin sɛn mɔ blɔd na di bren ɛn di mɔsul dɛn , bikɔs dɛn nid ɛnaji fɔ mek dɛn ebul fɔ du sɔntin kwik kwik wan.
Afta dɛn ɔmon dɛn ya dɔn fɔ wok, di bɔdi kin pul di dɔti tin dɛn we lɛf na di urine. Wan katekolamin tɛst kin no di lɛvɛl we dɛn ɔmon ya de na yu blɔd ɔ yu urine.
Wɛl, so wetin mek yu nid fɔ du dis tɛst?
Nɔmal wan, dɛn ɔmon lɛvɛl ya kin jɔs go ɔp we wi strɛs. כltu, if dεn katekolamin lεvεl dεm ya abnכmal hכy fכ nכ rizin, i kin bi sayn fכ wan kayn tכmכro we nכ kin apin we de divεlכp na wi adrenal gland dεm.
Di men kɔndishɔn dɛm we dis tɛst de luk fɔ na:
- Nyuroblastoma: Dis na kansa we de divεlכp na di nεv tisu. Dɛn kin si am mɔ pan yɔŋ pikin dɛn .
- Paraganglioma: Dis na tumbu bak. Bɔt bɔku tɛm i nɔ kin gɛt kansa. I kin afɛkt di nerve cells we de kɔntrol blɔd prɛshɔn.
- Fiokromosaytɔma: .Dis na tכmכro we de divεlכp na di adrenal gland. Dis kin mek di bɔdi mek tumɔs ɔmon dɛn lɛk adrenaline.
Us sayn dɛn go mek dɔktɔ disayd fɔ du dis tɛst?
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt sɔm sayn dɛn we gɛt fɔ du wit di kayn tumbu dɛn we wi bin dɔn tɔk bɔt. Dɔn bak, if pɔsin na yu famili dɔn gɛt tin dɛn lɛk nyuroblastoma, paraganglioma, ɔ fiochromocytoma, dat na if yu gɛt famili histri, den dɛn kin aks yu bak fɔ du dis tɛst.
Di sayn dɛm kin difrɛn smɔl fɔ di ej.
Di sayn dɛm wae kin apun pan big pipul dɛm
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Fɔ wɔri ɔltɛm | Fɔ fil wɔri ɛn wɔri ɔltɛm fɔ no patikyula rizin. |
| Di ay blɔd prɛshɔn | Di ay blɔd prɛshɔn we de kɔntinyu fɔ de we at fɔ kɔntrol wit mɛrɛsin dɛn we yu de tek ɔltɛm. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit ɔltɛm. |
| Di we aw pɔsin de blo | At de bit so fast dat yu kin yɛri am. |
| Di ed we de at bad bad wan | Wan bad bad ed pen we kin bigin wantɛm wantɛm. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Fɔ fil se yu de swɛ (tingling) na yu an ɛn fut. |
Di sayn dɛm wae kin apun pan yɔŋ pikin dɛm
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Wan lump we nɔ kɔmɔn na di bɛlɛ | Fɔ gɛt wan lump ɔ lump na yu bɛlɛ we yu kin fil wit yu an. |
| Pen na di bon dɛn | Bɔn pen we kin apin we nɔ gɛt ɛni rizin. |
| Di we aw pɔsin de muv di yay we nɔmal | Di yay dɛn de muf bak ɛn go bifo we nɔto dɛn yon. |
| We yu de lɔs yu wet we yu nɔ gɛt rizin | di pikin in wet we i de lכs we i nכ de dכn di it we i de it. |
Aw dɛn kin du dis tɛst?
Tu men we dɛn de fɔ du dis tɛst.
1. Test fɔ 24 awa urine sample .
2. Fɔ tɛst wan blɔd sɛmpul .
Pan dɛn tu we ya, wan tɛst fɔ urine de gi di rizɔlt we pɔsin kin abop pan pas ɔl . Na dat mek bɔku tɛm dɔktɔ dɛn kin tɛl yu fɔ du am. Bɔt if pɔsin we dɛn tink se gɛt tumbu we dɛn kɔl fiokromosaytoma, dɛn kin ɔda fɔ mek dɛn du blɔd tɛst bak. Sɔntɛnde, dɛn kin du ɔl tu di tɛst dɛn.
24 awa Urine Test fɔ yu
Di we aw fɔ du dis rili simpul, bɔt dɛn fɔ du am di rayt we.
- Di lab go gi yu spɛshal bɔtul ɔ kɔntena fɔ gɛda yu urine.
- Yu fɔ pis ɛn ɛmti yu blad jɔs bifo di 24 awa tɛm bigin. Nid nɔ de fɔ gɛda da urine de.
- Frɔm da tɛm de, ɛvri drop pan urine yu pas fɔ di nɛks 24 awaA nid fɔ ad am to di bɔtul we dɛn gi mi.
- I impɔtant fɔ mek di bɔtul we dɛn de gɛda di urine kol bay we yu put am na frij ɔ insay kul we ful-ɔp wit ays .
- Afta 24 awa, yu nid fɔ pis insay di sem bɔtul wan las tɛm ɛn sɛn am to di lab.
Blɔd Tɛst
Dis jɔs tan lɛk we dɛn kin du blɔd tɛst ɔltɛm.
- Na di lab, dɛn kin yuz nidul fɔ tek sɔm blɔd na yu an.
- Sɔntɛnde, dɛn kin aks yu fɔ ledɔm na bed bifo ɔ we dɛn de pul di blɔd. Dis na bikɔs ivin smɔl strɛs we yu de pul di blɔd kin chenj dɛn ɔmon dɛn ya, so nɔ kin mek da ifɛkt de nɔ bɔku.
Aw wi fɔ rɛdi bifo di tɛst? Dis rili impɔtant!
Di pripia we yu de pripia gɛt bɔku impak pan di kɔrɛkt we aw di rizɔlt fɔ dis tɛst de. So, yu fɔ fala wetin di dɔktɔ tɛl yu fɔ du di rayt tin.
di katekolamin כmon lεvεl dεm de rili sεnsitiv. I izi fɔ chenj dɛn if yu de du ɛksɛsayz, yu de fil tranga wan, yu de it sɔm it dɛn, ɛn yu de tek mɛrɛsin. So, fɔ minimiz dɛn inflɔwɛns ya as mɔ as pɔsibul bifo di tɛst impɔtant fɔ mek di rizɔlt kɔrɛkt.
Ɛksesaiz ɛn fɔ mek yu maynd kol
Nɔ du ɛksɛsayz tranga wan fɔ sɔm dez bifo di tɛst. Dɔn bak, tray fɔ de kwayɛt ɛn rilaks as yu ebul insay dɛn sɔm dez ya, ɛn nɔ gɛt ɛni strɛs ɔ wɔri .
Fɔ it ɛn drink we kin afɛkt di tɛst
Dɛn advays yu fɔ avɔyd dɛn it ɛn drink ya fɔ sɔm dez bifo di tɛst.
| Fɔd/drink dɛn fɔ avɔyd |
|---|
| Banana |
| Kola dɛn we gɛt kafinɛ |
| Chɔklɛt |
| Sitrus frut dɛn, lɛk ɔrɛnj |
| Kɔfi |
| Enaji drink dɛn |
| Fɔd dɛn we gɛt vanila |
| Ti |
Mɛrɛsin dɛn we kin nid fɔ stɔp
I rili impɔtant: Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Sɔm mɛrɛsin kin afɛkt di tɛst. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Na in go disayd if yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez ɔ yu nɔ fɔ stɔp fɔ tek dɛn.
Na sɔm mɛrɛsin dɛn we kin afɛkt di tɛst:
- Asetaminofɛn - (e.g. Panadol) .
- Amfetamin we dɛn kɔl am
- Mɛrɛsin fɔ kol ɛn sayn
- Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
- diuretik - mεdisin dεm we de pul di wata we pasmak na di bכdi - fכ egzampl. furosemide we dɛn kɔl furosemide
- Insulin we dɛn kin yuz
- Litiɔm we dɛn kɔl
- Tetrasayklin we dɛn kɔl
- Vasodilator dεm - fכ egzampl. haydralazin we dɛn kɔl haydralazin
Ɔda tin dɛn we dɛn kin yuz fɔ mek tin dɛn
Dɛn tin ya fɔ avɔyd bak ɔltogɛda insay di de dɛn bifo di tɛst:
- Rum
- Kɔkɛyn
- Tabak we dɛn kin yuz fɔ smok
Wetin di tɛst ripɔt se?
I nɔmal fɔ gɛt sɔm lɛvul fɔ katekolamin na yu blɔd ɔ yu urine. If di level low, no bi problem at ol.
Bɔt if di katekolamin lɛvɛl rili ay , i kin bi sayn fɔ se pɔsin kin gɛt adrenal tɔŋ, we na wan kayn tɔŋ we nɔ kin bɔku we wi bin dɔn tɔk bɔt.
Bɔt mɛmba se dis tɛst ripɔt nɔmɔ nɔ go ebul fɔ no if pɔsin gɛt di sik. If yu gɛt di katekolamin lɛvɛl we dɔn bɔku, dat nɔ min se yu gɛt tumbu.
Afta yu dɔn gɛt dɛn rizɔlt ya, yu dɔktɔ go mɔs tɛl yu fɔ ripit di tɛst fɔ mek shɔ se di rizɔlt kɔrɛkt. Ɔ, dɛn kin rifer yu fɔ ɔda tɛst fɔ kɔnfirm ɔ ruul ɔut wan diagnosis. Fɔ ɛgzampul, dɛn kin du skan fɔ chɛk fɔ si if pɔsin gɛt tumbu ɔ dɛn kin du bayɔpsi fɔ tek wan smɔl pat pan di tisu frɔm say we dɛn tink se dɛn de.
Mɛsej we dɛn kin kɛr go na os
- Katekolamin na strɛs ɔmon we wi bɔdi kin mek we wi strɛs.
- dis tεst we de mכsu di כmon lεvεl dεm de εp fכ no di tכmכro dεm we rili rεs we kin divεlכp na di adrenal gland dεm.
- Fɔ mek yu gɛt kɔrɛkt tɛst rizɔlt, i rili impɔtant fɔ fala wetin di dɔktɔ tɛl yu bɔt aw fɔ it, mɛrɛsin, ɛn ɛksesaiz bifo yu du di tɛst.
- Nɔ ala if yu katekolamin lɛvɛl ay. I nɔ kin min ɔltɛm se yu gɛt tumbu. Na jɔs sayn fɔ se dɛn nid fɔ du mɔ tɛst.
- Ɔltɛm tɔk opin wan wit yu dɔktɔ bɔt yu tɛst rizɔlt ɛn di nɛks tin dɛn we yu fɔ du.
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