Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du strɛs tɛst fɔ chɛk aw yu at de wok, nɔto so? Bɔku tɛm, dɛn kin du dis bay we dɛn mek yu rɔn pan tredmil. Bɔt imajin se i nɔ izi fɔ yu fɔ rɔn pan tredmil bikɔs yu gɛt prɔblɛm wit yu ni, yu nɔ de blo fayn, ɔ ɔda rizin fɔ mek yu gɛt wɛlbɔdi. So, insted fɔ du ɛksɛsayz fɔ dɛn kayn pipul ya, wi go tɔk bɔt wan we tide we de ɛksɛsayz di at wit spɛshal mɛrɛsin ɛn tɛst am bay we wi de gi am ‘stress’.
Fɔ tɔk am simpul wan, wetin na Dobutamine Stress Echocardiogram?
Pan ɔl we di nem lɔng smɔl, i rili izi fɔ ɔndastand. Lɛ wi brok dis nem insay in pat dɛn.
- Echocardiogram: Yu go dɔn yɛri bɔt dis as ‘Echo’ tɛst. Fɔ tɔk am simpul wan, na ɔltra saund skan fɔ di at. Jɔs lɛk aw dɛn kin skan mama we gɛt bɛlɛ in pikin, i kin yuz sawnd wev fɔ sho aw yu at de bit, aw yu at chɛmba ɛn valv dɛn de wok, ɛn aw yu at mɔsul dɛn de muv na skrin.
- Stress: ‘Stres’ na ya nɔr de tɔk bɔt prɛshɔn na yu maynd. I min di prɛshɔn we de pan di at we wi bɔdi strɛs, dat na we wi de du ɛksɛsayz. We wi de rɔn ɔ klaym stej, wi at kin bit fast fast, nɔto so? Na dat dis ‘stress’ de tɔk bɔt.
- Dobutamine: Dis na di pat we impɔtant pas ɔl na wi stori. Bikɔs yu nɔ kin ebul fɔ rɔn pan tredmil, dis na di drɔg we dɛn kin yuz fɔ ‘strɛs’ yu at lɛk se yu de du ɛksɛsayz. We dɛn gi dis mɛrɛsin insay di bɛlɛ (IV), i kin mek di at wok, ɛn dis kin mek i bit fast fast, lɛk se yu de rɔn tranga wan.
So we dɛn put ɔl dɛn tri ya togɛda, Dobutamine Stress Echocardiogram na we dɛn gi pɔsin we nɔ ebul fɔ du ɛksɛsayz wan mɛrɛsin we dɛn kɔl Dobutamine fɔ mek in at bit fast fast, ɛn da tɛm de, dɛn kin yuz Echo scan fɔ chɛk aw di at de wok.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis tɛst. I kin gi bɔku impɔtant tin dɛn bɔt di at.
- Chek aw yu at de bia: Yu kin si di rayt we aw yu at kin ebul fɔ bia wit di tin dɛn we yu de du.
- diagnose Coronary Artery Disease: Dis na we di at dεm we de gi bכdi to di at (coronary arteries) kin sכmtεm כ blok bay fεt dεposit dεm. Dis tɛst de sho klia wan if di blɔd we de flɔ to sɔm pat dɛn na di at kin ridyus we pɔsin strɛs.
- No aw di at valv kin tranga: If di hat valv nɔ de wok fayn, dis kin ɛp fɔ no aw di sik kin tranga ɔnda strɛs.
- At tɛst bifo dɛn du di ɔpreshɔn: Bifo dɛn du big ɔpreshɔn pan di at, dɛn kin du dis tɛst fɔ no aw di at de wok ɛn trɛnk.
- Mekɔp aw di tritmɛnt dɛn de wok fayn: If dɛn dɔn ɔlrɛdi gɛt tritmɛnt fɔ yu at sik, dis kin ɛp yu bak fɔ no aw dɛn tritmɛnt dɛn de de bɛnifit yu at fayn fayn wan.
Wetin rili apin di de we dɛn de du di tɛst?
No rizin nɔ de fɔ mek wi fred ɔ fred fɔ dis tɛst. Dis na tɛst we rili sef we di wan dɛn we tren kin du ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ. Lɛ wi tek wan step-by-step luk pan wetin kin apin insay di de.
1. Pripia: Fɔs, dɛn go gi yu ɔspitul gɔn fɔ wɛr. Dɔn, dɛn go aks yu fɔ ledɔm na di tebul fɔ ɛgzam.
2. Ilɛktrod: Wan tɛknishian (cardiac sonographer) go put lɛk tɛn smɔl smɔl flat stika dɛn na yu chɛst. Dɛn kɔl dɛn tin ya ilɛktrɔd. Dɛn kin kɔnɛkt dɛn tin ya to wan EKG mashin we gɛt waya. Dis de wach aw yu at de du ilɛktrik wok ɔl di tɛm we yu de du di tɛst.
3. Rɛst tɛst: Bifo dɛn gi yu ɛni mɛrɛsin, dɛn go fɔs gi yu EKG ɛn Echo skan we yu de na nɔmal pozishɔn. dis dεn kכl am ‘Rεsting EKG’ εn ‘Rεsting Echo’. Dɛn kin du dis fɔ rayt aw yu at de wok fayn fayn wan. Insay dis tɛm, dɛn go tɔn yu na yu lɛft say fɔ di skan.
4. Put di IV layn: Nεks, dεn go put wan sכmכl kanula insay wan vein na yu an. Dis na smɔl tiub, we fiba di wan we yu kin yuz fɔ gi salin, ɛn i nɔto natin fɔ wɔri bɔt. Dɛn kɔl dis IV layn. Dɛn kin gi yu mɛrɛsin Dobutamine insay yu bɔdi tru dis.
5. Dobutamine Injection: Na dis say di pat we impɔtant pas ɔl pan di tɛst kin bigin. Ɔnda di dɔktɔ in instrɔkshɔn, wan nɔs go injɛkt Dobutamine insay yu bɔdi smɔl smɔl tru wan IV layn. As di injɛkshɔn de go insay yu bɔdi, yu at go bigin fɔ bit fast fast, lɛk se yu de rɔn. Insay dis tɛm, yu kin fil se yu at de bit kwik kwik wan, yu kin fil wam smɔl, ɛn yu kin ivin gɛt smɔl ed pen. Dɛn tin ya na nɔmal tin, so nɔ wɔri. Di tɛknishian go kɔntinyu fɔ du di ɛko skan ɛn rikodɔ vidio fɔ di chenj dɛn we de na yu at.
6. Fɔ de wach yu: We dɛn de du di tɛst, di wan dɛn we de wok de go aks yu bɔku tɛm se, "Aw yu de?" If yu fil ɛnitin da tɛm de, fɔ ɛgzampul , yu chɛst de pen, yu an ɔ yu jaw de pen, yu ed de tɔn, ɔ yu nɔ go ebul fɔ blo , yu fɔ tɛl dɛn wantɛm wantɛm . Dɛn go de wach di EKG mashin bak, so if dɛn si ɛnitin we nɔ kɔmɔn, dɛn go stɔp di tɛst wantɛm wantɛm.
7. Dɛn dɔn kɔmplit di tɛst:Wae yu hat rit dɔn bak to nɔrmal, dɛn go stɔp di mɛrɛsin. Yu at rit go kam bak to nɔmal insay 5 to 10 minit. Dɔn dɛn go pul di IV layn wit dɛn an.
Di tin we impɔtant pas ɔl na dat, yu de ɔnda di sɔpɔtishɔn fɔ dɔktɔ ɛn pipul dɛn we dɔn tren ɔl di tɛm we dɛn de du di tɛst, so no rizin nɔ de fɔ mek yu fred.
Aw yu fɔ pripia bifo di tɛst?
Fɔ gɛt kɔrɛkt tɛst rizɔlt, i rili impɔtant fɔ mek yu pripia gud gud wan di de bifo. Fɔ fala dɛn instrɔkshɔn ya gud gud wan.
| Di pat we dɛn fɔ pripia | Instrɔkshɔn dɛn fɔ fala |
|---|---|
| Fɔ it ɛn drink |
|
| Kɔmɔn mɛrɛsin dɛn | |
| Mɛrɛsin fɔ gɛt dayabitis |
Lɛ wi lan bɔt klos ɛn ɔda tin dɛn bak.
Yu kin wɛr ɛnitin we yu lɛk. Bɔt dɛn go gi yu ɔspitul klos fɔ wɛr bifo dɛn du di tɛst. I bɛtɛ fɔ lɛf valyu tin dɛn lɛk jɔyri na os.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis tɛst?
Jɔs lɛk ɛni mɛdikal tɛst, smɔl risk de insay, bɔt dis na tɛst we rili sef.
- Sɔm pipul dɛn kin gɛt smɔl ed pen we dɛn gi dɛn Dobutamine.
- Sɔntɛnde, di blɔd prɛshɔn kin go dɔŋ smɔl .
- na sכm tεm, di at ritm dεm we nכ de rεgulεr, lεk atrial fibrilεshכn כ vεntrikulכr takikardia, kin apin. Bɔt bikɔs dɛn go de wach yu wit EKG mashin ɔl di tɛm we dɛn de du di tɛst, di mɛdikal tim go rɛdi fɔ trit yu wantɛm wantɛm if dis apin.
- Na smɔl risk de fɔ gɛt at atak fɔ pɔrsin wae dɔn ɔlrɛdi gɛt hat sik lɛk angina. Bɔt ɔl di imejensi tritmɛnt yunit (ETU) fasiliti dɛn we dɛn nid fɔ dil wit dis kayn tin de na di say we dɛn de du di tɛst.
If dɛn put yu peshɛnt ɔ difibrilator, i rili impɔtant fɔ mek yu tɛl di dɔktɔ bɔt am bifo yu du di tɛst.
Wetin kin apin afta di tɛst?
Di tɛst kin tek lɛk 15 minit fɔ gi di mɛrɛsin, bɔt di wan ol tɛst kin tek lɛk wan awa so. Afta di tɛst, yu go nid fɔ de na di rum fɔ wɛl fɔ lɛk 30 minit te yu at rit kam bak to nɔmal. Bikɔs dobutamine kin mek yu blɔd prɛshɔn go dɔŋ smɔl, i go fayn fɔ mek pɔsin drayv yu go na os afta di tɛst.
Wetin di tɛst rizɔlt dɛn se?
Di rizulyt fɔ dis tɛst kin fɔdɔm insay tri men kategori.
| Rizult tayp | I simpul minin |
|---|---|
| Pozitiv ɔ Abnɔmal | Dis min se yu at nɔ de gɛt bɛtɛ blɔd flɔ. Dis kin bi bikɔs ɔf di korona at sik, di at mɔsul dɛn we dɔn pwɛl, ɔ di bɔdi we nɔ fayn. If na so i bi, yu dɔktɔ go tɔk to yu bɔt wetin fɔ du nɛks. |
| Negativ ɔ Nɔmal | Dis na gud nyus. E min se yu hat de ansa strɛs na nɔrmal, wɛl bɔdi. |
| I nɔ de kɔnklud | E tranga fɔ rich wan difinitiv diagnosis frɔm dɛn rizɔlt ya, so yu kin nid fɔ du sɔm ɔda tɛst dɛm. |
Wan dɔktɔ we de mɛn di at go analayz di rizɔlt fɔ dis tɛst. Dɔn yu dɔktɔ go ɛksplen to yu di tin dɛn we dɔn apin. If yu nɔ yɛri bak frɔm yu dɔktɔ insay wan wik, kɔl yu dɔktɔ ɛn aks bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Dobutamine Stress Echocardiogram na wan rili impɔtant ɛn kɔrɛkt tɛst we dɛn kin yuz fɔ chɛk aw dɛn at de wok pan pipul dɛn we nɔ kin izi fɔ du ɛksɛsayz.
- Dis kin min fɔ gi wan mɛrɛsin we dɛn kɔl Dobutamine, fɔ mek di at wok lɛk se i de du ɛksɛsayz, ɛn fɔ wach di at wit ɛko skan.
- I rili impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn bifo yu du di tɛst, mɔ we i kam pan it, drink, ɛn mɛrɛsin.
- Dis na tɛst we rili sef ɛn dɛn kin du am ɔnda di ful sɔpɔtishɔn fɔ wan tren mɛdikal tim.
- If yu gɛt ɛni fred ɔ kwɛstyɔn bɔt di tɛst, nɔ ɛva shem fɔ tɔk to yu dɔktɔ opin wan bɔt am.
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