Sɔntɛnde yu kin gɛt prɔblɛm fɔ blo, yu chɛst kin tayt, ɔ yu kin kɔf ɔltɛm? If dɔktɔ se yu nid fɔ du tɛst fɔ chɛk yu lɔng in wok, i go bi se na DLCO tɛst. So lɛ wi tɔk bɔt dis jɔs tide. Dis na notin fɔ fred, na rili simpul tɛst.
Fɔ tɔk am simpul wan, wetin na dis DLCO tɛst?
Di DLCO tɛst na spɛshal tɛst we de sho aw ɔksijɛn de muv fayn fayn wan frɔm yu lɔng dɛn ɛn go insay yu blɔd. Fɔ tɔk di kɔrɛkt tin, na wan pan bɔku tɛst dɛn we de sho aw di lɔng dɛn de wok. I kin gi yu dɔktɔ gud aidia bɔt aw yu lɔng dɛn gɛt wɛlbɔdi ɛn i kin wok fayn.
Insay dis tɛst, dɛn kin ad wan rili smɔl kabon monoksayd we nɔ de du bad to di briz we yu de blo. Dɔn, dɛn kin mɛzhɔ di kayn kabon monoksayd we de kɔmɔt na yu lɔng dɛn ɛn go insay yu blɔd. dis dεn kכl dis "difyuz kapasiti fכ kabכn mכnoksayd," כ DLCO fכ sכt.
Wetin na ‘Diffusion’? Aw i impɔtant to wi?
Imajin, we wi de blo, di ɔksijɛn we de na di ays de go insay wi lɔng. frכm de, dis כksijεn de go na di sכm sכm εya sak dεm (alveoli) na di lכng dεm. rawnd dεn ay sak dεm ya, dεn gεt rili fayn bכdi vεsul dεm (kapilari dεm) we de spre lεk nεt.
‘Diffushon’ de tכk bכt di prכsεs we כksijεn de difεs frכm dεn ay sak dεm de go insay di bכdi vεsul dεm εn miks wit di bכdi. I tan lɛk se yu put ti bag insay wan kɔp ɔt wata ɛn di ti sɔlv insay di wata. Di ɔksijɛn we de miks wit di blɔd dis kayn we de travul ɔlsay na wi bɔdi ɛn gi wi sɛl dɛn ɛnaji.
So, di spid ɛn di efyushɔn we dɛn ad dis ɔksijɛn to di blɔd de dipen pan sɔm tin dɛn:
- di sכfayz εria fכ di ay sak dεm (alveoli) na yu lכng dεm.
- na so bכku bכdi de insay di sכm sכm bכdi vεsul dεm (kapilari dεm) we de rawnd di ay sak dεm.
- Di kɔnsɛntreshɔn fɔ ɛmoglobin, di prɔtin we de kɛr ɔksijɛn na yu blɔd.
- di tik we di tכn mεmbran de bitwin di ay sak εn di bכdi vεsεl.
- If wata de we nɔ nid fɔ gɛda insay di say dɛn we di briz kin kɔmɔt.
If ɛni wan pan dɛn tin ya chenj, di ɔksijɛn we de go na di blɔd kin pwɛl. Na dat di DLCO tɛst impɔtant fɔ no.
Wetin mek dɔktɔ go tɛl yu fɔ du dis DLCO tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ mek dɛn du dis tɛst. Lɛ wi luk di men rizin dɛn.
| Rizin fɔ tɛst | Simpul ɛksplen |
|---|---|
| Fɔ no wetin de mek yu gɛt di sik | Ɔndastand if di rial tin we de mek yu nɔ blo fayn ɛn kɔf na prɔblɛm wit yu lɔng. |
| Fɔ asɛs di damej we di lɔng dɛn dɔn pwɛl | Mekɔp aw bɔku damej dɔn apin to di lɔng dɛn bikɔs ɔf sik ɔ ɔda tin. |
| Fɔ no sɔm sik dɛn we de na di lɔng | Dɛn kin yuz dis tɛst fɔ no (skrin) sɔm sik dɛn we de na di lɔng kwik kwik wan. |
| Bifo dɛn du di ɔpreshɔn | Bifo yu du big ɔpreshɔn, chɛk fɔ si if yu lɔng dɛn de wok fayn. |
| Fɔ no aw di tritmɛnt dɛn de wok fayn | If dɛn dɔn ɔlrɛdi gɛt tritmɛnt fɔ yu lɔng sik, si aw da mɛrɛsin de wok. |
| Fɔ wach aw di sik de | Luk if di sik we yu de gɛt naw de bɛtɛ ɔ i de wɔs. |
Wetin kin apin we yu tek di tɛst?
Dis na tin we rili simpul. No rizin nɔ de fɔ mek yu fred ɔ wɔri.
Di tɛknishian we de du di tɛst go fɔs put wan smɔl klip na yu nos. Stɔp fɔ blo tru da nos de. Dɔn dɛn go tɛl yu fɔ fala dɛn tin ya:
1. Put yu mɔt pan mɔt-pis:Yu nid fɔ put yu mɔt insay wan mɔt we dɛn kɔnɛkt to mashin ɛn tay am tayt so dat no briz nɔ go kɔmɔt.
2. Briz nɔmal wan: Fɔs, briz nɔmal wan, inhal ɛn pul briz.
3. Tek dip briz: Neks, dem tel yu fo tek dip briz in as moch as yu fit.
4. Hol yu briz: Naw yu nid fɔ ol yu briz fɔ lɛk 10 sɛkɔn. Dis na we di kabon monoksayd we de insay di spɛshal gas miksɔp de go insay yu blɔd.
5. Put yu briz kwik kwik wan: Dɔn, yu nid fɔ pul ɔl yu briz insay di mashin wan tɛm, kwik kwik wan.
Di mashin de mɛzhɔ di kayn kabon monoksayd we lɛf na di briz we yu de pul. Frɔm dat, dɛn kin kɔl ɔmɔs dɛn dɔn absɔb insay yu blɔd. Yu kin ripit dis prɔses wan ɔ tu tɛm mɔ fɔ gɛt kɔrɛkt ridin.
Di tin we impɔtant pas ɔl na dat di kabon monoksayd we dɛn yuz fɔ dis tɛst rili smɔl . I nɔ go ambɔg yu bɔdi ɛni we. So nɔ wɔri bɔt am.
A nid fɔ rɛdi bifo di tɛst?
Yɛs, fɔ mek yu gɛt kɔrɛkt tɛst rizɔlt, yu nid fɔ fala sɔm simpul tin dɛn. Yu dɔktɔ go tɛl yu bɔt dis. Bɔku tɛm, na dɛn tin ya we yu fɔ du:
- Nɔ smok 4-6 awa bifo di tɛst.
- If yu de yuz sɔpɔtmɛnt ɔksijɛn, stɔp am 10 minit bifo di tɛst (na if yu ebul fɔ du am sef wan nɔmɔ).
- Nɔ du ɛksɛsayz tranga wan bifo di tɛst.
Aw fɔ ɔndastand di tɛst rizɔlt?
Dɛn gi di tɛst rizɔlt as pasɛnt. Dis de tɛl yu aw yu mak kɔmpia to di DLCO mak we yu fɔ gɛt nɔmal wan, we yu tek tɛm tink bɔt tin dɛn lɛk yu ej, ayt, ɛn man ɔ uman.
| Rizɔlt | Valyu (as pasɛnt pan di valyu we dɛn de ɛkspɛkt) . | Minin |
|---|---|---|
| Nɔmal | Bitwin 75% ɛn 140% . | Yu lɔng dɛn de gɛt inof ɔksijɛn insay yu blɔd. |
| Dɛn dɔn ridyus am smɔl smɔl | Bitwin 60% ɛn 75% . | Di ɔksijɛn ɛkshɛnj kin pwɛl smɔl. Dis kin bi di biginin fɔ sɔm kayn mɛrɛsin. |
| I dɔn ridyus bad bad wan | I nɔ rich 40% . | Ɔksijɛn ɛkshɛnj kin rili pwɛl. Dis nid fɔ invayt mɔ. |
Wetin na di rizin dɛn we mek di DLCO valyu dɔn go dɔŋ?
DLCO valyu we smɔl min se dɛn nɔ de transfa ɔksijɛn frɔm yu lɔng to yu blɔd fayn fayn wan. Dis kin kam bikɔs ɔf sɔm kayn lɔng ɔ at sik. Fɔ ɛgzampul:
- Fɔ smok
- Kכndishכn dεm lεk COPD (Chronic Obstructive Pulmonary Disease) εn Emphysema
- Sik dɛm wae kin afɛkt di lכng tisu, lεk sarkoidosis
- At ɛn blɔd vesel sik dɛm - fɔ ɛgzampul, pulmonary embolism (PE), pulmonary arterial hypertension, congestive hat failure
- Anemia we nɔ gɛt bɛtɛ blɔd
- כtoimyun dizכrd - fכ egzampl, Lupus (SLE), Scleroderma
Yu tink se di DLCO valyu kin go ɔp?
Yes, insay sɔm kes dɛm, di DLCO valyu kin ay pas aw dɛn bin de tink. Dɛn tin ya kin bi di rizin dɛn fɔ dis:
- Asma we gɛt asma
- Fat
- Fɔ du ɛksasaiz bifo di tɛst
- Fɔ liv na say dɛn we ay ay mawnten dɛn
- Blɔd we de kɔmɔt insay di lɔng dɛn
- Blɔd sik dɛn lɛk polycythemia vera
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
Mɛmba dis. Di DLCO tɛst na jɔs wan pat pan di pazl. Yu dɔktɔ go jɔyn di rizɔlt fɔ dis tɛst wit yu simptom dɛm, ɛn di rizɔlt fɔ ɔda tɛst dɛm fɔ yu lɔng, lɛk spirometry, fɔ rich di las diagnosis.
If di rizɔlt nɔ nɔmal, dɛn kin aks yu fɔ du ɔda tɛst dɛn, sɔntɛm CT skan fɔ no di rayt tin we mek yu du am. So nɔ fred fɔ tink bɔt di tin dɛn we go apin nɔmɔ. Tɔk to yu dɔktɔ bɔt am ɛn fala in advays.
Mɛsej we dɛn kin kɛr go na os
- DLCO (Lung Diffusion Testing) na wan tɛst we rili sef ɛn simpul we de sho aw ɔksijɛn de pas fayn fayn wan frɔm yu lɔng dɛn ɛn go insay yu blɔd.
- Dis kin ɛp fɔ no wetin kin mek yu gɛt di sik lɛk we yu nɔ de blo fayn, fɔ no if yu gɛt sik dɛn na yu lɔng, ɛn fɔ no aw di tritmɛnt dɛn kin wok fayn.
- I impɔtant fɔ avɔyd fɔ smok ɛn fɔ du ɛksɛsayz pasmak bifo yu du di tɛst fɔ no di kɔrɛkt rizɔlt.
- If yu gɛt ɛni kwɛstyɔn bɔt di tɛst rizɔlt, nɔ fred fɔ aks yu dɔktɔ . I go ɛksplen ɔltin to yu.
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