Yu dɔn ɛva tink bɔt wetin kin apin to wi at we wi de du ɛksɛsayz, rɔn, ɔ klaym stej? Da tɛm de, di at nid mɔ ɔksijɛn pas aw i fɔ nid. fכ mit dis nid fכ כksijεn we de bכku, di bכdi we de fכlכ tru di korona at dεm we de gi bכdi to di at insεf nid fכ inkrεs bak. So, di ebul we yu at ebul fɔ mek blɔd flɔ mɔ we di nid de go ɔp, dɛn jɔs kɔl am Koronari Flɔ Rizav (CFR). Dis tan lɛk di ‘rizɔv pawa’ we yu at gɛt.
Wetin na Korona Flɔ Rizav (CFR)?
Fɔ tɔk am simpul wan, Korona Flɔ Rizav (CFR) na we fɔ no aw bɔku blɔd kin flɔ tru yu at in korona at dɛn we yu de tray tranga wan. Dis kin gi yu dɔktɔ valyu infɔmeshɔn bɔt di wɛlbɔdi na yu at, mɔ di kɔndishɔn na di at we de gi blɔd to yu at (koronari at).
Tink bɔt am dis we. We yu sidɔm na chia, yu at nid sɔm blɔd. Bɔt we yu rɔn afta bɔs wantɛm wantɛm, di wok we yu at de du kin rili bɔku. Dɔn yu at nid ɔksijɛn tri to 4 tɛm pas aw i fɔ bi. Di blɔd vesel dɛn na di at we gɛt wɛlbɔdi kin ebul fɔ sɔlv dis prɔblɛm we de bɔku, ɛn dis kin mek di blɔd flɔ mɔ wantɛm wantɛm. Di CFR tɛst de mɛzhɔ aw yu at ebul fɔ du dis.
Dis tɛst kin ɛp fɔ no kwik if yu gɛt korona at sik ɔ yu de pan denja fɔ gɛt wan sik lɛk at atak tumara bambay.
Aw dɛn kin kɔl di CFR valyu?
Di we aw dɛn kin kɔl dis rili simpul. Yu dɔktɔ kin mɛzhɔ di blɔd we de flɔ to yu at tu we dɛn.
1. We yu rɛst blɔd flɔ: Dis de mek yu no di blɔd we de flɔ to di at we yu de rɛst, we yu nɔ de tray tranga wan.
2. Maksimal bכdi fכ fכlכ: dεn de fos di at fכ pכmp blכd wit maksimal εfכt (dεn de gi wan dכg fכ dis), εn dεn de mכsu di maksimal blכd we de fכlכ da tεm de.
Dɔn, dɛn kin sheb dis maksimal blɔd flɔ bay di blɔd we de rɛst.
CFR = (Maksim Blɔd Flɔ) / (Blɔd Flɔ we yu de Rɛst)
Fɔ ɛgzampul, if yu maksimal blɔd flɔ na tri tɛm di rɛst flɔ, yu CFR valyu go bi 3.
Wetin na wan avrej CFR valyu?
Pɔsin we gɛt wɛlbɔdi in CFR fɔ de bitwin 2.0 ɛn 2.5 . Dis min se di at fɔ ebul fɔ pɔmp at le tu tɛm pas di blɔd we i ebul fɔ pɔmp we i de rɛst. Na pɔrsin wae gɛt wɛl bɔdi, dis valyu kin bi 3, 4, ɔr ivin pas dat.
- If di CFR valyu smɔl pas 2.0:Dis min se sɔm prɔblɛm kin de wit di blɔd vesel dɛn na di at. Sɔntɛm di blɔd vesel dɛn kin smɔl (blɔk). Pipul dɛm lɛk dis kin gɛt bɔrku risk fɔ gɛt at sik tumara bambay.
- If di CFR valyu pas 2.0: I de sho se di wok we di blɔd vesel dɛn de du na di at de na gud lɛvɛl.
Bɔt wan tin fɔ mɛmba na dat dis CFR valyu kin go dɔŋ smɔl we i ol. So, di nɔmal valyu fɔ yɔŋ pɔsin kin difrɛn frɔm di nɔmal valyu fɔ pɔsin we dɔn ol. Na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen yu rizɔlt kɔrɛkt wan.
Aw fɔ du di CFR tɛst?
Tu men we dεn de fכ du dis tεst: wan na invayv mεtכd, we involv fכ put divays insay di bכdi, εn di כda wan na εksternal mεtכd, we involv fכ du am nכn invasive.
| Di we aw dɛn de du di tɛst | Simpul ɛksplen |
|---|---|
| Invasive - Kadiak Kateterizashɔn | insay dis, dεn de pas wan vεri tכn tכb (kateta) tru wan vein na yu an, leg, כ nεk to di korona at dεm na yu at. Dɔn dɛn kin pas wan spɛshal waya fɔ no aw blɔd de rɔn kwik kwik wan. dis kin bi di sem tεm we dεn kin du angiogram. |
| Nɔn-invasiv we - PET Skan | Dis na spɛshal skan. insay dis tεst, dεn gi yu sכm sכm sכm rεdyuaktiv sכbstans (radiotracer) tru wan IV. Dɔn, wan PET skan kin mɛzhɔ di blɔd we de flɔ bay we i de wach aw di tin de muv tru di at. |
| Ɔda we dɛn fɔ du am - Kadyak MRI | Dis na ɛksternal skan bak, bɔt dɛn nɔ kin yuz dis we fɔ mɛzhɔ CFR. |
Aw yu fɔ pripia bifo di tɛst?
Yu dɔktɔ go ɛksplen dis to yu. Bɔku tɛm, yu fɔ tek tɛm wit dɛn tin ya.
- Infɔmeshɔn bɔt mɛrɛsin: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ɔl tu di mɛrɛsin dɛn we yu de tek ɛn we yu de tek yu na di kɔwnta). Sɔm mɛrɛsin kin afɛkt di blɔd we de klɔt ɛn dɛn kin aks yu fɔ stɔp fɔ tek dɛn di de bifo di tɛst.
- Alɛji: Mek shɔ se yu tɛl wi if yu gɛt ɛni alɛji to ɛni mɛrɛsin ɔ kɔntrast day.
- Fast: If yu de du kadyak kateshɔn ɔ PET skan, dɛn go advays yu fɔ nɔ it ɔ drink fɔ 6-8 awa bifo di tɛst.
- Fɔ MRI: Yu nɔ go ebul fɔ wɛr ɛni mɛtal tin (jɔy, wach) na yu bɔdi. If yu gɛt divays lɛk pesmɛka insay yu bɔdi, aks yu dɔktɔ bifo tɛm if i sef fɔ mek dɛn du MRI.
Wetin fɔ ɛkspɛkt we dɛn de du di tɛst?
I nɔ mata di we aw yu gɛt di tɛst, dɛn go put IV tyub (kanula) na yu an. Di step dɛm fɔ di tɛst go tan lɛk dis.
1. Resting state measurement: Fɔs, dɛn de mɛzhɔ di blɔd we de flɔ na yu at we yu de kol ɛn we yu de rɛst.
2. Gi wan drɔg: Dɔn, dɛn kin gi wan drɔg (vasodilator) we de mek di blɔd vesel dɛn na yu at big ɛn mek di blɔd flɔ maksimal tru wan IV. Di mɛrɛsin we dɛn kin yuz mɔ na Adenosine . we dεn gi dis, di bכdi fכ fכlכ to di at de inkrεs 4-5 tεm insay 2-3 minit.
3. Pik mɛzhɔmɛnt: We di blɔd flɔ rich in mak afta dɛn gi di drɔg, dɛn kin mɛzhɔ di blɔd flɔ bak.
4. Kɔmpia: Fɔ dɔn, dɛn kɔmpia dɛn tu mɛtrik ya fɔ kɔl yu CFR valyu.
If yu de gɛt kadyak kateshɔn, dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ slip smɔl. Dis go ɛp yu nɔ go fil fayn. We yu de du skan, i rili impɔtant fɔ de stil fɔ gɛt klia pikchɔ dɛn.
Wetin kin apin afta di tɛst?
Afta di tɛst, yu kin liv nɔmal wan, bɔt yu nid fɔ tek tɛm wit sɔm tin dɛn.
- If yu dɔn gɛt kadyak kateshɔn, yu go nid fɔ kip di an ɔ leg usay dɛn put di kateshɔn stret fɔ lɛk wan awa so fɔ mek yu nɔ blɔd.
- Di dɔktɔ go advays yu fɔ drink mɔ wata fɔ ɛp di kɔntrast day fɔ kɔmɔt na yu bɔdi kwik kwik wan.
- If dɛn dɔn gi yu wan mɛrɛsin we de mek yu fil fayn, yu nɔ go ebul fɔ drayv da de de. I rili impɔtant fɔ mek sɔmbɔdi go wit yu na os.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis tɛst?
CFR tɛst na jɔs wan tɛst we rili sef, bɔt lɛk ɛni mɛdikal tɛst, sɔm rili smɔl risk dɛn de.
- Risk dɛn we gɛt fɔ du wit di kateshɔn:We dɛn de put kateshɔn na di at, blɔd kin klɔt, di blɔd vesel dɛn we kin pwɛl, ɔ we blɔd kin kɔmɔt kin rili apin.
- Di sayd effekt dɛm wae adenosine kin gɛt: Sɔm pipul kin gɛt dɛn tin ya fɔ sɔm sɛkɔn afta dɛn dɔn gi dɛn dis mɛrɛsin:
- Di at ritm we nɔmal
- Haypɔtɛnshɔn
- I nɔ kin izi fɔ yu fɔ blo
- Diskɔmfɔt na di chɛst
Dɛn sayn ya kin dɔnawe wit am jɔs lɛk aw di mɛrɛsin dɔn west (insay wan minit) . Natin nɔ de fɔ wɔri bɔt.
Impɔtant: Adenosine nɔ fayn fɔ pipul dɛn we gɛt asma bikɔs i kin mek dɛn gɛt brɔnkospasm . If yu gɛt asma, yu dɔktɔ go yuz ɔda mɛrɛsin insted.
Wetin di rizulyt min ɛn ustɛm wi go no?
Yu CFR na nɔmba we de tɛl yu ɔmɔs blɔd yu at kin pɔmp we i strɛs.
I kin tek sɔm dez fɔ mek di dɔktɔ analayz di tɛst rizɔlt ɛn gi ripɔt. Sɔntɛnde, if di rizɔlt na bɔdalayn, dɛn kin go to ɔda spɛshal pipul dɛn.
If yu rizɔlt sho se yu kin gɛt at sik, yu dɔktɔ go gi yu tritmɛnt plan fɔ ridyus da risk de.
Mɛsej we dɛn kin kɛr go na os
- Korona Flɔ Rizav (CFR) na di we aw yu de mɛzhɔ di ‘rizɔv pawa’ we yu at gɛt fɔ mek yu blɔd flɔ bɔku pan di tɛm we yu strɛs.
- Dis tɛst kin gi impɔtant infɔmeshɔn bɔt aw di at in blɔd vesel dɛn gɛt wɛlbɔdi. I kin ɛp bak fɔ no di prɔblɛm dɛn we kin apin to pɔsin we gɛt at sik tumara bambay kwik kwik wan.
- Jɛnɛral wan, CFR valyu we pas 2.0 na wɛlbɔdi kwaliti.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek ɛn ɛni alɛji we yu go gɛt bifo yu du di tɛst.
- Dis na tɛst we rili sef. If yu gɛt ɛni kwɛstyɔn bɔt di tɛst, nɔ shek fɔ aks yu dɔktɔ .











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