Yu dɔktɔ tɛl yu fɔ tek tɛst fɔ no aw yu de blo? Yu tink se i tɛl yu se i de yuz wan mɛrɛsin we dɛn kɔl mɛtakɔlin? Yu kin want fɔ no smɔl, ɔ ivin fred smɔl, we yu yɛri di nem. Dat na nɔmal tin. So tide, lɛ wi tɔk bɔt wetin na mɛtakolin, wetin mek dɛn kin du dis tɛst, ɛn wetin na di impɔtant tin dɛn we yu nid fɔ no bɔt am.
Wetin na Mɛtakolin?
Fɔ tɔk am simpul wan, mɛtakolin na wan mɛrɛsin we de mek di say dɛn we yu de blo ( bronchi ) na yu lɔng dɛn kɔntrakt fɔ sɔm tɛm (smɔl). Insay mɛrɛsin, wi kin kɔl dis bronchoconstrictor .
"Oh, dem go narrow di bronchi ? Dat no go mek am at fo brith?" yu kin de tink. Nɔ wɔri. Dɛn kin tek tɛm du dis, ɛn dɔktɔ ɛn nɔs dɛn kin wach dɛn dairekt wan.
Tink bɔt am, sɔm pipul dɛn, mɔ di wan dɛn we gɛt sik lɛk asma, gɛt dɛn lɔng dɛn we rili sɛnsitiv. Ivin sɔntin we smɔl lɛk smok, dɔst, ɔ smel kin mek dɛn brɔnchi smɔl kwik kwik wan ɛn mek i nɔ izi fɔ blo. So, dεn kin du dis tεst (Methacholine Challenge Test) fכ no aw yu lכng dεm sεnsitiv. Bay di rizɔlt fɔ dis, di dɔktɔ kin ɔndastand gud gud wan bɔt aw yu lɔng dɛn de wok.
Di tin we impɔtant pas ɔl na dat dis nɔto tritmɛnt fɔ wan sik. Dis na jɔs tɛst fɔ ɛp fɔ no di sik.
Tin dɛn fɔ tɛl di dɔktɔ bifo di tɛst
Bifo yu du dis tɛst, fɔ yu yon sef, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Nɔ ayd ɛnitin bikɔs na smɔl tin. If ɛni wan pan dɛn tin ya apin to yu, mek shɔ se yu tɛl dɛn bɔt am.
| Situeshɔn / Abit | Wetin mek dat impɔtant? |
|---|---|
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ. | I rili impɔtant fɔ avɔyd fɔ tek risk we nɔ nid we yu gɛt bɛlɛ. |
| If yu na mama we de gi pikin in bɛlɛ. | I impɔtant fɔ tink if ɛni pat pan di mɛrɛsin kin pas to di pikin tru in mama in milk. |
| If yu dɔn gɛt at sik, ay blɔd prɛshɔn, ɔ strok. | Di risk fɔ tɛst kin bɔku ɔnda dɛn kayn tin ya. |
| If dɛn dɔn ɔlrɛdi no se yu gɛt ɔda sik na yu lɔng, lɛk asma. | Dɛn kin nid fɔ chenj di we aw dɛn kin du di tɛst dipen pan di mɛdikal kɔndishɔn we bin dɔn de bifo. |
| If yu gɛt wan sik we de mek yu gɛt sik we de mek yu at pwɛl, lɛk we yu gɛt ɛpilepshi. | I impɔtant fɔ no se sɔntɛnde dis mɛrɛsin kin mek di mɛrɛsin wɔs. |
| If yu gɛt tayroyd sik, intestinal sik, ɔr i nɔ izi fɔ pis. | Dɛn tin ya kin afɛkt di we aw di mɛrɛsin de wok fayn. |
| If yu na pɔsin we de smok. | Smok kin afɛkt di lɔng wok ɛn di tɛst rizɔlt dɛn dairekt wan. |
| If yu jɔs dɔn gɛt vaysin. | Dis impɔtant fɔ no bikɔs sɔm vaysin kin afɛkt di we aw di bɔdi de ansa. |
| If yu gɛt alɛji fɔ mɛtakolin ɔ ɔda mɛrɛsin, it, ɔ day. | Dis na di bɛst we fɔ avɔyd fɔ gɛt alɛji. |
Aw yu kin tek dis mɛrɛsin?
Dis mɛrɛsin nɔto sɔntin we yu kin kɛr go na os. DisNa pɔsin we tren fɔ mɛn pipul dɛn kin gi yu am, na ɔspitul ɔ klinik.
Dɛn kin yuz wan mashin we dɛn kɔl nebulizer fɔ dis. Yu go dɔn si am, na mashin we kin kech stim we smɔl pikin dɛn gɛt kol. Dat na wan pan dɛn tin dɛn de. wetin dis mashin de du na fכ tכn di likwid mεtakolin to fayn fayn mist (aerosol). Dɔn dɛn kin aks yu fɔ blo da mist de insay yu mɔt ɔ tru yu mɔt ɛn nos. Dɔn di mɛrɛsin kin go dairekt insay yu lɔng.
Insay di tɛm we dɛn de du di tɛst, dɔktɔ ɔ nɔs go sidɔm nia yu ɛn chɛk yu brith ɛn at rit ɔltɛm, so no rizin nɔ de fɔ mek yu fred.
Yu kin du dis tɛst fɔ pikin dɛn?
Yɛs. Dɛn kin advays dis tɛst fɔ pikin dɛn we dɔn pas 5 ia, ɛn we nid de. Bɔt na dɔktɔ we de mɛn pikin dɛn kin disayd fɔ du dis. Sɔm tin dɛn de bak we wi fɔ tek tɛm mɔ bɔt.
Wetin a go du if a tek bɔku mɛrɛsin?
Dɛn kin gi dis ɔnda kɔntrol kɔndishɔn na ɔspitul, so di chans fɔ mek dis apin rili smɔl. Bɔt if yu tink se dɛn dɔn tek di mɛrɛsin pasmak, yu fɔ tɛl di wan dɛn we de wok na di dɔktɔ wantɛm wantɛm. Jɛnɛral wan, if yu it ɛni drɔg ɔ pɔyzin, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays. If ɛnitin apin, yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm .
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
Sɔm mɛrɛsin dɛn we yu de tek kin afɛkt aw dis tɛst kɔrɛkt. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, tradishɔnal mɛrɛsin, vaytamɛn, ɛbul prɔdak). Mek shɔ se yu tɛl yu dɔktɔ if yu de tek ɛni wan pan di mɛrɛsin dɛn we de dɔŋ ya.
- Inhala we dɛn kin yuz fɔ asma ɛn fɔ mek i nɔ ebul fɔ blo fayn (e.g. albuterol, ipratropium, salmeterol, tiotropium) .
- Mɛrɛsin dɛn lɛk tiofilin
- Di kayn stεroyd dεm (e.g. prεdnison, kכtison) .
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn, at sik, ɔ at bit we nɔ de bit ɔltɛm
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Wetin na di sayd ɛfɛkt dɛm we dɛn kin ɛkspɛkt?
Lɛk ɛni mɛrɛsin, mɛtakolin kin mek sɔm bad bad tin dɛn apin. Bɔrku pan dɛn tin ya na smɔl smɔl tin ɛn dɛn kin go kwik kwik wan afta di tɛst.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ ɔ nɔs wantɛm wantɛm | |
|---|---|
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip ɔ tong. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil se yu nɔ de blo fayn ɔ yu chɛst tayt pas aw yu bin de tink. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Kɔf | Tikl na yu trot ɔ yu kɔf smɔl. |
| Wan filin we de mek pɔsin in ed de tɔn | Fɔ fil lɛk se na gnat. |
| Ed de at | Smɔl ed we de at. |
| Trot de at | Fɔ fil lɛk se yu trot de at. |
If yu gɛt ɛni prɔblɛm we yu de du di tɛst, tɛl di dɔktɔ ɔ di nɔs wantɛm wantɛm. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Mɛtakolin nɔto tritmɛnt, bɔt na tɛst fɔ no if yu lɔng dɛn de fil.
- Dɛn kin jɔs du dis tɛst na ɔspitul ɔ klinik , ɔnda dɔktɔ in sɔpɔtishɔn. So nɔ fred.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt yu ɔda sik dɛn, alɛji, ɛn ɛni mɛrɛsin we yu tek bifo yu du di tɛst.
- Smɔl smɔl sayn dɛm lɛk fɔ kɔf ɛn ed we de at kin apin we dɛn de du di tɛst. Bɔt if yu gɛt siriɔs prɔblɛm fɔ blo ɔ yu gɛt sayn dɛn fɔ alɛji, duya tɛl wi wantɛm wantɛm .
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin. (Bikɔs dɛn kin gi dis na ɔspitul, da prɔblɛm de nɔ kin kam).
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ .
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