Aw yu at ɛn yu lɔng dɛn fit? Mek wi fain out wit di CPET test! (Tɛst fɔ Ɛksesaiz fɔ di Kadiɔpulmonari)

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo ivin we yu de rɔn smɔl, ɔ we yu de klaym stej? Ɔ yu kin fil taya pasmak? Yu dɔktɔ kin dɔn tɛl yu bɔt ‘strɛs tɛst’. I de chɛk aw yu at de wok we yu de du ɛksɛsayz. Bɔt tide wi de tɔk bɔt wan spɛshal tɛst we de luk aw yu at ɛn yu lɔng dɛn de wok fayn fayn wan. Dɛn kɔl dis CPET, ɔ Kardiopulmonary Exercise Test.

Fɔ tɔk am simpul wan, wetin na CPET?

CPET na tɛst we de sho aw yu at (cardio) ɛn yu lɔng (pulmonary) de wok we yu de du ɛksɛsayz. dεn kכl am bak 'mεtabolik εksεsayz strεs tεst'. I rili simpul. Dɛn go aks yu fɔ waka pan tredmil ɔ rayd bayk we nɔ de muv. Insay dis tɛm, dɛn go fit yu spɛshal fes mask ɔ mɔt we go mek yu ebul fɔ blo tru yu mɔt nɔmɔ.

Dis de sho aw yu at, yu lɔng, ɛn blɔd vesel dɛn de wok togɛda fɔ mek ɔksijɛn go na yu mɔsul dɛn we yu de du ɛksɛsayz. Wan tipik kadyak strɛs tɛst de jɔs luk pan yu at. Bɔt CPET tɛst valyu mɔ bikɔs i de gi infɔmeshɔn bɔt yu at ɛn yu lɔng dɛn di sem tɛm .

Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?

Bɔku rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst. Fɔ ɛgzampul, yu kin gɛt wan pan dɛn prɔblɛm ya:

• Fɔ no wetin mek yu nɔ de blo fayn ɔ yu kin rili taya we yu de du ɛksɛsayz: Sɔm pipul dɛn kin si se dɛn kin taya bad bad wan we dɛn taya smɔl. Dis tɛst kin ɛp fɔ no if di kɔz na at prɔblɛm, lɔng prɔblɛm, ɔ ɔda tin.
• Si aw bɔku ɛksɛsayz yu at ɛn lɔng dɛn kin ebul fɔ du: Dis impɔtant fɔ no us lɛvul fɔ ɛksesaiz we nɔ bad bifo yu bigin fɔ du ɛksɛsayz, mɔ fɔ pɔsin we gɛt at sik.
• Fɔ no ɔ wach aw pɔsin gɛt at ɔ lɔng sik: Dɛn kin yuz dis tɛst fɔ no aw di sik dɛn we pɔsin kin gɛt lɛk at pwɛl, at sik we dɛn bɔn wit, pulmonary hypertension, ɔ COPD.
• Divεlכp yu tritmεnt plan: Dis data de yus fכ no if di mεdikeshכn dεm we yu de tek de wok fayn εn if εni impruvεnt de pan yu kכndishכn afta tritmεnt.
• Gɛt wan aidia bɔt di fiuja wɛlbɔdi stetmɛnt (Prognosis): Yu kin gɛt sɔm aidia bɔt di fiuja fɔ wan sik, dat na if di kɔndishɔn go bɛtɛ ɔr wɔs.
• Mek wan sef eksasaiz plan we go wok fɔ yu: Nɔto ɔlman fit fɔ du di sem kayn ɛksesaiz. Dis go ɛp yu fɔ plan us ɛksesaiz dɛn we go fayn fɔ yu bɔdi ɛn fɔ aw lɔng.
• Asɛs di risk dɛn bifo yu du big ɔpreshɔn: Fɔ ɛgzampul, bifo yu du di lɔng rɛsekshɔn ɔ lɔng transplant, i impɔtant fɔ asɛs if yu bɔdi go ebul fɔ bia di ɔpreshɔn.
• Mek shɔ se yu ebul fɔ du wok we de mek yu bɔdi wok sef wan: Sɔm wok dɛn (e.g. fayaman dɛn, sojaman dɛn) nid fɔ gɛt ay levul fɔ gɛt bɔdi. Dɛn kin yuz dis tɛst bak fɔ no if yu fit fɔ dɛn.

Aw yu kin du dis tɛst?

di CPET tεst dεn de du am na wan spεshal rum we dεn kכl ‘Stress Lab’. Bɔku tɛm, ɔspitul dɛn kin gɛt wan yunit we dɛn dɔn gi fɔ dis wok. Pan ɔl we na wan tren we de wok na di lab de du dis tɛst, ɔltin kin apin ɔnda di sɔpɔt we dɔktɔ de kia fɔ am.

Yu go gɛt fɔ rayd bayk we nɔ de muv ɔ waka pan tredmil. Yu go gɛt fɔ ɛksesaiz fɔ lɔng tɛm we yu ebul . Ɛvri wan ɔ tu minit, di tɛknishian go mek di bayk nɔ ebul fɔ tinap tranga wan smɔl smɔl, ɔ di tredmil go spid ɛn inklin. Dɔn, yu go bigin fɔ si am se i nɔ izi fɔ yu fɔ ɛksesaiz. Di tɛst go stɔp we yu fil se yu nɔ go ebul fɔ du am igen .

Insay dis ɔl tɛm, yu kin blo tru di mask we wi bin dɔn tɔk bɔt. Dis divays de mɛzhɔ di ɔksijɛn we de na di briz we yu de blo ɛn di kayn kabon dayɔgzayd we de na di briz we yu de blo. I de mɛzhɔ bak di briz we yu lɔng dɛn kin tek insay wan tɛm. Dɛn kin rayt ɔl dis data na kɔmpyuta.

Aw yu kin pripia bifo di tɛst?

Yu dɔktɔ go tɛl yu klia wan aw fɔ pripia fɔ dis tɛst. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we. Dis dɔŋ ya na sɔm jenɛral tin dɛn fɔ fala. Lɛ wi luk wan tebul fɔ mek i izi fɔ mɛmba dɛn tin ya klia wan.

Wetin kin apin we dɛn de du di tɛst?

Dɛn kin du di tɛst insay sɔm stej dɛn. Di wan ol tɛst kin tek lɛk 75 minit so. Bɔt yu go rili de ɛksesaiz fɔ lɛk 20 minit so.

Si di step dɛn we de dɔŋ ya.

1. Aw fɔ pripia: Fɔs, di tɛknishian go put sɔm stika dɛn na yu chɛst. Dɛn kɔl dɛn tin ya EKG ilɛktrɔd. Dɛn tin ya go wach aw yu at de bit. Dɔn, dɛn go put blɔd prɛshɔn kɔf na yu an, ɛn dɛn go put puls ɔksimita na yu finga. Sɔntɛnde, dɛn kin put wan tiub we rili tan (kateta) insay wan at we de na yu an fɔ mɛzhɔ di blɔd gas we de na yu at.

2. Rɛst: Neks, dɛn go aks yu fɔ nɔ du natin fɔ tu to tri minit. Insay dis tɛm, dɛn go rayt yu nɔmal at rit, blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl as di bayslayn valyu.

3. Fɔ mek yu wam yu bɔdi:Dɔn yu kin waka pan tredmil ɔ rayd baysikul fɔ tu to tri minit wit wan spid we rili saful ɛn layt. Dis kin tɛst aw yu at ɛn yu lɔng dɛn kin biev we yu nɔ du ɛksasaiz smɔl.

4. Inkrimɛntal Ɛgzampul: Dis na di impɔtant pat pan di tɛst. Bɔku tɛm, i kin tek bitwin 8 ɛn 12 minit. Yu kin kɔntinyu fɔ du ɛksɛsayz as di tɛknishian de mek di wet bɔku smɔl smɔl. Smɔl smɔl, i go at fɔ yu. Dis na di tɛm we yu nid fɔ push yusɛf as yu ebul.

5. Kul-daun: Wen yu no fit du eni mo, stop di men pat fo di test. Dɔn, fɔ lɛk tri to fayv minit so, yu kin du ɛksɛsayz bak smɔl smɔl ɛn nɔ gɛt ɛni wet. Dis kin mek di bɔdi ebul fɔ wɛl smɔl smɔl.

Di tɛknishian go de wach yu kɔndishɔn gud gud wan ɔl dis tɛm. Dɛn kin aks yu bak fɔ yuz an sayn fɔ aks aw yu de fil. Fɔ ɛgzampul, pan skel we de frɔm 1 to 10, dɛn kin aks yu fɔ rayt aw yu taya.

Aw yu go fil we yu tek di tɛst?

Fɔ mek yu gɛt kɔrɛkt ɛn bɛnifit, yu nid fɔ ɛksesaiz te yu rili taya . So, i nɔmal fɔ mek yu at bit, yu blɔd prɛshɔn, ɛn yu brith rit go ɔp. Yu kin swet ɛn yu leg dɛn kin fil taya bad bad wan. I nɔmal bak fɔ mek yu mɔt dray bikɔs yu de blo tru di mask.

Pe atɛnshɔn mɔ to di sayn dɛn lɛk dɛn wan ya:

• Pen, tayt, ɔ nɔ kɔmfyut na in chɛst, an, ɔ jaw.
• I rili at fɔ blo.
• Diziz ɔ fil lɛk se yu dɔn fɔdɔm.

Dɛn tin ya kin bi sayn dɛn fɔ ɛnitin we gɛt fɔ du wit am, lɛk we pɔsin gɛt at atak. Di wan dɛn we de wok na di lab go de wach yu EKG, ɛn if dɛn si ɛni chenj we denja, dɛn go stɔp di tɛst wantɛm wantɛm.

Ɛni risk de wit dis tɛst?

Dɛn kin du CPET na say we rili sef, we dɛn kin kɔntrol. So natin nɔ de fɔ fred. Bɔt i nɔ shɔ 100% aw yu bɔdi go ansa we yu de du bɔku ɛksɛsayz. Rid kin de wae nɔr kin bɔrku, lɛk wae pɔrsin nɔr kin no natin ɔr hat atak. Ivin if ɛnitin apin, dɛn kin tren di wan dɛn we de wok na di lab fɔ trit yu na di say we yu de.

Bifo yu ivin step fut na di lab, yu dɔktɔ go mek shɔ se dis tɛst sef fɔ yu. Fɔ ɛgzampul, if yu gɛt ɛni wan pan dɛn tin ya, yu dɔktɔ kin disayd se dis tɛst nɔ sef fɔ mek yu gɛt:

• Wan akyu infεkshכn lεk fiva, kol, כ COVID-19.
• Akyu at inflamɛns.
• wan bכdi we de kכlכt na di lεg dεm (Dip Vein Thrombosis - DVT).
• Hypertrophic kadyomayopati we pɔsin kin gɛt.
• Kidni we nɔ de wok fayn.
• Modaret ɔ siriɔs at valv stenɔsis.
• let bεlε כ wan bεlε wit kכmplikεshכn.
• If yu dɔn gɛt at atak i nɔ tu te yet (insay 30 dez).
• Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol (Sivere Hypertension) ɔ ay blɔd prɛshɔn na di lɔng dɛn (Pulmonary Hypertension).
• Hat ritm dizayd wae nɔr kin kɔntrol (Uncontrolled Arrhythmias).

Wetin kin apin afta di tɛst?

We yu kɔl-dɔwn faz dɔn, di tɛknishian go chɛk yu vitals bak ɛn pul ɛni ikwipmɛnt we yu go dɔn tay na yu bɔdi. Afta dat, yu kin sidɔm, drink sɔm wata, ɛn rɛst fɔ sɔm tɛm. We dɛn dɔn shɔ se yu fayn, dɛn go mek yu go na os.

Di dɔktɔ we ɔda dis tɛst go sɛt wan sɛpret tɛm fɔ tɔk to yu bɔt di rizɔlt .

Wetin de insay di ripɔt we yu gɛt?

Di CPET tɛst de gɛda bɔku bɔku mɛzhɔmɛnt dɛn. Dɛn prɛzɛnt dɛn tin ya insay wan ripɔt wit bɔku kɔmpleks grafik dɛn we dɛn kɔl ‘nayn-panɛl plot’. Dɛn tin ya na tin dɛn we rili tɛknik ɛn i nɔ kin izi fɔ mek di ɔdinari pɔsin ɔndastand.

Bɔt nɔ wɔri. Yu dɔktɔ go analayz ɔl dɛn chɛt ya ɛn ɛksplen to yu insay simpul wɔd dɛn wetin dɛn min. I go tɛl yu bak wetin fɔ du nɛks, if yu nid fɔ du mɔ tɛst, ɔ if yu fɔ bigin ɛni tritmɛnt.

CPET skan kin tɛl yu bɔku tin bɔt aw yu at ɛn yu lɔng dɛn de wok. I kin tranga smɔl fɔ mek yu wɛr ɔl di difrɛn divays dɛn ɛn du di ɛgzampul dɛn. Bɔt mɛmba se ɛni divays de gi yu impɔtant tin dɛn we go ɛp yu fɔ plan di bɛst tritmɛnt fɔ yu.

If yu gɛt ɛni kwɛstyɔn bifo di tɛst ɔ yu want fɔ no mɔ bɔt aw fɔ pripia, nɔ shek fɔ aks yu dɔktɔ.