Aw yu lɔng dɛn de wok fayn fayn wan? Mek wi tok abaut di Spirometer!

Sɔntɛnde, yu kin fil lɛk se yu nɔ de blo fayn, ɔ yu kin fil se i nɔ go izi fɔ yu fɔ klaym stej? Yu gɛt kɔf we nɔ de chenj? Ɔ yu kin mek smɔl nɔys we yu de blo? Tide wi go tɔk bɔt wan smɔl bɔt rili impɔtant tin we wi dɔktɔ dɛn kin yuz fɔ fɛn di tin we mek dɛn tin ya apin. Dɛn kɔl am spiromita . Di nem kin tan lɛk big tin, bɔt fɔ tru, i rili simpul.

Wetin na spiromita? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, spiromita na smɔl mashin we de mɛzhɔ aw yu lɔng dɛn de wok fayn. Jɔs lɛk aw yu kin yuz tɛmɔmɔta fɔ chɛk yu tɛmpracha, na so dɛn kin yuz spayrɔmita fɔ chɛk di wɛlbɔdi na yu lɔng dɛn. I de basically mɛzhɔ ɔmɔs briz yu lɔng dɛn kin tek ɛn aw fast yu kin blo am. Dis infɔmeshɔn kin ɛp yu dɔktɔ fɔ no if yu gɛt ɛni prɔblɛm ɔr prɔblɛm wit yu lɔng. So dis nɔto sɔntin fɔ fred, na jɔs we fɔ lan bɔt yu lɔng.

Aw dɛn kin du dis spiromita tɛst?

Dis tɛst bak rili izi fɔ du. I nɔ kin rili at ɔ i nɔ kin mek pɔsin fil pen.

Wan smɔl pripia bifo di tɛst...

Di dɔktɔ go gi yu sɔm instrɔkshɔn bifo yu du dis tɛst.

• Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially inhalers) sɔm awa bifo di tɛst. Yu dɔktɔ go tɛl yu di rayt tin fɔ du.
• If yu smok bifo di tɛst, yu nɔ fɔ smok .
• Nɔ kam afta yu it fɔ ful yu bɛlɛ. It nɔmal wan.
• I bɛtɛ fɔ wɛr klos we fayn ɛn we nɔ gɛt natin . Nɔ wɛr klos we de mek yu chɛst kɔnstrikt.
• I fayn bak fɔ avɔyd fɔ drink tin lɛk kɔfi ɛn ti nia di tɛst.

Wetin kin apin we dɛn de du di tɛst?

Okay, naw lɛ wi si wetin de apin di tɛm we dɛn de du di tɛst. 1. Fɔs, dɛn go aks yu fɔ sidɔm stret na chia. 2. Dɔn, nɔs ɔ tɛknishian go put smɔl klip na yu nos. Dis na fɔ ɛp yu fɔ blo tru yu mɔt ɛn nɔ kɔmɔt na yu nos. I kin fil lɛk se i strenj smɔl, bɔt i nɔ go at. 3. Neks, dem go giv yu smol tyub fo put fo yu mout . Dis na wetin kɔnɛkt to di spiromita mashin. Yu go nid fɔ ol di tiub tayt tayt wan na yu mɔt ɛn sial am wit yu lip so dat no briz nɔ go kɔmɔt. 4. Naw di rial wok de kam. Fɔs, dɛn go aks yu fɔ tek sɔm nɔmal briz. 5. Dɔn, dɛn go aks yu fɔ tek dip briz ɛn blo ɔl am kɔmɔt insay di tiub as yu ebul.I tan lɛk se yu blo bɔku kandul pan batde kek ɔ blo balyɔn. Yu nid fɔ blo fast ɛn tranga wan as yu ebul te yu lɔng dɛn ɛmti. 6. As yu de blo, di pesin we de de go enkorij yu by tok tins laik, "Louder! Louder! A likl mo! Gud!" 7. Dɛn go aks yu fɔ du dis tu ɔ tri tɛm. Chek fɔ si if yu dɔn du am kɔrɛkt wan ɛvri tɛm. Di tɛst go tek lɛk 15 to 30 minit. Dis kin mek yu taya smɔl, ɛn yu kin fil lɛk se yu ed de tɔn smɔl. Bɔt i nɔ de mek pɔsin fil pen.

Wetin spiromita kin mɛzhɔ?

Naw yu go mɔs de wɔnda wetin dis go tɛl yu afta ɔl dis infleshɔn, nɔto so? Dis mashin we dɛn kɔl spirometer de mɛzhɔ sɔm tin dɛn we rili impɔtant bɔt yu lɔng dɛn. Lɛ wi tek tɛm luk sɔm pan di impɔtant wan dɛn.

• FVC (Forced Vital Capacity): Dis na sɔntin lɛk "fɔs vital kapasiti". Fɔ tɔk am simpul wan , dis na di ɔl di briz we de kɔmɔt na yu lɔng we yu tek dip briz ɛn blo wit pawa. Dis kin mek di dɔktɔ no ɔmɔs briz yu lɔng dɛn kin ol.

• FEV1 (Fɔs Ɛkspiratɔri Vɔlyum insay 1 sɛkɔn): Dis tinap fɔ "fɔs ɛkspiratɔri volyum insay 1 sɛkɔn". Dat min se we yu blo tranga wan, dis na di kayn briz we de kɔmɔt insay di fɔs sɛkɔn nɔmɔ. Dis na wan we we rili impɔtant fɔ mɛzhɔ. Bikɔs, dis na wetin di dɔktɔ kin yuz fɔ no if ɛnitin de we de ambɔg ɔ blok na yu brɔnkial tyub dɛn. if di brכnkial tכb dεm blכk, di amoun fכ di briz we de kכmכt insay di fכs sεkכnd de rεdכks.

• FEV1/FVC ratio: Dis na di ratio fɔ di FEV1 valyu we wi bin dɔn tɔk bɔt ɔp to di FVC valyu. Dis kin gi gud aidia bak bɔt di kɔndishɔn na di lɔng dɛn, mɔ di say dɛn we di briz de blo.

Dɛn mɛzhɔmɛnt ya kin tɛl yu dɔktɔ bɔt di wɛlbɔdi fɔ yu lɔng. Na in go disayd if dɛn valyu ya nɔmal, smɔl, ɔ ay.

Wetin mek wi nid dis spiromita tɛst?

Bɔku rizin dɛn kin de fɔ mek dɛn du dis tɛst.

Fɔ no di sik dɛn:

Dɛn kin yuz dis fɔ no difrɛn sik dɛn we gɛt fɔ du wit di lɔng.

• Asma : Dɛn kin du dis tɛst bɔku tɛm if dɛn tink se pɔsin gɛt asma.
• COPD ( Chronic Obstructive Pulmonary Disease ): Dis na smɔl nem we lɔng. Insay Sinhala, i min "krɔnik ɔbstrɔktiv pulmonari sik". I kin mɔna pipul dɛn we de smok, ɔ di wan dɛn we de na dɔst, smok, .Na wan sik wae de kam pan pipul dɛm wae de woke wit kemikal . Dis inklud kכndyushכn dεm lεk εmfysema εn krεse brכnkaytis .
• Cystic Fibrosis : Dis na wan sik we de kam wit jεnεtiks we de afekt di lכng dεm εn כda pat dεm na di bכdi.
• Pulmonary Fibrosis : Dis na we di lכng tisu de tik εn stif, we de mek i at fכ di lכng fכ inflate fayn fayn wan.
• Dis kin ɛp fɔ no bɔku ɔda sik dɛn we gɛt fɔ du wit di lɔng.

Si aw sik kin bi:

Dɛn kin du dis spayrɔmita tɛst bak wan wan tɛm fɔ si if di mɛrɛsin we dɛn gi pɔsin we dɔn ɔlrɛdi gɛt lɔng sik de wok fayn ɛn if di sik dɔn go dɔŋ ɔ i dɔn bɔku.

Bifo dɛn du ɔpreshɔn:

Dis tɛst impɔtant bak fɔ mek shɔ se yu lɔng dɛn gɛt gud wɛlbɔdi bifo sɔm big ɔpreshɔn dɛn.

Si if yu wok dɔn pwɛl yu lɔng dɛn:

Pipul dɛn we de wok na sɔm wok dɛn (fɔ ɛgzampul, di wan dɛn we de wok na say dɛn we dɛn kin kɔt ston, mayn, sɔm faktri dɛn, ɛn pipul dɛn we de wok na di pent) kin blo dɔst, gas, ɛn kemikal dɛn we kin ambɔg di lɔng dɛn. Dis kin ɛp bak fɔ no if dɛn kayn pipul dɛn de dɛn lɔng dɔn pwɛl.

Yu gɛt dɛn sik ya bak?

If yu gɛt dɛn sik ya, yu dɔktɔ kin aks yu fɔ tek spiromita tɛst:

• Kɔf we de kɔntinyu fɔ kɔf
• Shortness of breath , mɔ we yu de waka ɔ wok
• Filin fɔ tayt ɔ tayt na yu chɛst
• We pɔsin de swɛt

Aw yu ɔndastand di rizɔlt fɔ dis tɛst?

Di dɔktɔ kin kɔmpia di valyu dɛn we yu gɛt afta di tɛst (lɛk FVC ɛn FEV1) wit tin dɛn lɛk yu ej, ayt, man ɔ uman, ɛn trayb . Bikɔs no wan "gud" valyu nɔ de fɔ ɔlman. di lכng kapasiti fכ sכmכl pikin difrεn frכm di wan we big pikin gεt.

"Dis na laik ripot kad we dem de giv fo skul. Bot no fred fo low gred. Dis go helep yu fain di koz and, if nid de, trit am."

If yu rizulεt "lכw" pas nכmal, i kin min se yu gεt prכblεm wit yu lכng. I kin bi obstructive (blɔk di aywe, lɛk insay asma ɔ COPD) ɔ restrictive (ridyus di lɔng kapasiti, lɛk insay Pulmonary Fibrosis). Yu dɔktɔ go ɛksplen dis to yu. Sɔntɛnde yu dɔktɔ go gi yu wan mɛrɛsin we dɛn kɔl bronchodilator (wan inhala) fɔ ɛp yu fɔ blo.- Dɛn kin gi yu wan brɔnkodilatɔ (we de mek di aywe dɛn wayd smɔl) ɛn aks fɔ du dis tɛst bak insay sɔm minit. Dis na fɔ si if di lɔng wok go fayn afta dɛn dɔn tek di mɛrɛsin. Dis kin ɛp mɔ fɔ no bɔt tin dɛn lɛk asma.

Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?

Dis na tɛst we rili sef bɔku tɛm. Bɔt bikɔs ɔf di lawd sawnd, sɔm pipul dɛn kin fil:

• Layt ed we pɔsin kin gɛt
• Shot we yu de blo
• Kam, yu de kɔf.
• Yu kin fil lɛk se yu taya smɔl.

Bɔku tɛm, dɛn tin ya kin sɔlv insay shɔt tɛm. Bɔt if yu jɔs dɔn gɛt at atak, big ɔpreshɔn pan yu yay, big ɔpreshɔn pan yu chɛst ɔ bɛlɛ, ɔ ay blɔd prɛshɔn we yu nɔ kɔntrol, yu dɔktɔ kin tink tu tɛm fɔ du dis tɛst ɔ put am bifo fɔ sɔm dez. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɛni mɛrɛsin we yu de tek.

Udat nid dis spiromita tɛst bɔku tɛm?

As wi bin dɔn tɔk, dis tɛst impɔtant mɔ fɔ:

• Fɔ pipul dɛn we de smok (ɛn sɔntɛnde ivin fɔ di wan dɛn we dɔn ɔlrɛdi lɛf fɔ smok).
• Fɔ di wan dɛn we gɛt di sik dɛn we wi dɔn tɔk bɔt (kɔf, swɛt, chɛst tayt, swɛt).
• If ɛnibɔdi na di famili (mama, papa, brɔda ɛn sista) gɛt lɔng sik (especially asma, COPD).
• Fɔ di wan dɛn we kin kam nia dɔst ɛn kemikal bɔku tɛm na wokples.
• Bifo sɔm ɔpreshɔn dɛn.

Mɛmba dɛn tin ya we yu kam na di tɛst... (A brief reminder)

• Wear fayn klos we nɔ gɛt natin fɔ du wit am.
• Tek ɔ stɔp fɔ tek mɛrɛsin lɛk aw di dɔktɔ tɛl yu.
• Nɔ smok sɔm awa bifo di tɛst.
• Nɔ kam afta yu dɔn it bɔku.
• Nɔ drink kɔfi ɔ ti nia di tɛst.
• Nɔ du ɛksɛsayz we de mek yu strɛs bifo yu du tɛst.
• If yu gɛt kol ɔ flu, tɛl yu dɔktɔ bifo tɛm. Dɛn kin chenj di tɛm fɔ di tɛst fɔ ɔda de.

So, di las mɛsej we dɛn kin kɛr go na os na:

Spiromita tɛst nɔr big ɔr at lɛk aw yu kin tink. Na wan rili simpul tɛst we nɔ de mek yu fil pen ɛn we de gi yu valyu tin bɔt yu lɔng dɛn. If yu dɔktɔ tɛl yu fɔ du dis tɛst, nɔ fred ɔ shem bɔt am. Du dis fɔ yu yon gud, fɔ lan bɔt di wɛlbɔdi fɔ yu lɔng. Sɔntɛnde, i kin no bɔt di prɔblɛm dɛn we de na in lɔng bifo di sayn dɛn de sho. If na so, yu kin bigin fɔ trit yu kwik ɛn avɔyd big big prɔblɛm.

Wi lɔng dɛn tan lɛk di injin fɔ wi layf. Na wi wok fɔ kip dɛn na gud kɔndishɔn. So, tek kia ɔf yu brith ɛn nɔ shek fɔ mek dɛn du dis tɛst if nid de!

Spiromita, Spiromita, Lכng tεst, Difεlεns fכ brith, Asma, COPD, Lכng sik, FVC, FEV1