Yu dɔktɔ dɔn tɛl yu fɔ du ‘Nyuklia Strɛs Tɛst’? We yu yɛri dat, yu go tink se dis na sɔntin we big ɛn denja bikɔs ɔf di wɔd ‘Nyuklia’. Bɔt fɔ tru, no rizin nɔ de fɔ mek wi fred. Dis na rili impɔtant tɛst wae kin sho bɔrku tin bɔt yu at wɛl bɔdi. Bɔku pipul dɛn kin tink di rɔŋ we bɔt dis tɛst. So tide, lɛ wi tɔk bɔt am klia wan, klia wan, ɛn insay simpul Sinhala we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Nyuklia Strɛs Tɛst?
Tink bɔt yu at lɛk wan sistɛm we de gi wata to os. di hat mכsul dεm de gεt di bכdi (wata) we dεn nid tru di paip dεm (i.e. bכdi vεsul dεm) insay dis sistεm. Sɔntɛnde, dɛn paip dɛn ya kin klos wit dɔti ɛn rɔst. Dɔn i nɔ kin izi fɔ mek di wata flɔ. Na so di blɔd vesel dɛn na di at kin lɔk.
Nyuklia strɛs tɛst na spɛshal imej tɛst we de chɛk if yu at mɔsul de gɛt inof blɔd ɛn if blɔd vesel dɔn blok sɔmsay.
Dis min se yu fɔ injɛkt wan rili smɔl, sef redioaktiv traysa insay yu bɔdi. Nɔ wɔri, i nɔ go at. Dis na lɛk day we dɛn put insay yu blɔd. I de travul wit yu blɔd ɛn i de go insay di at mɔsul. Dɔn wan spɛshal kamɛra kin tek pikchɔ dɛn fɔ yu at.
- Dɛn pikchɔ ya de sho klia wan di say dɛn na di at mɔsul we de gɛt gud blɔd flɔ .
- Bɔt if blɔd vesel blok ɛn say dɛn de we blɔd nɔ de flɔ fayn , smɔl pan dis tin kin go na dɛn say dɛn de. So dɛn say dɛn de kin apia difrɛn we na di pikchɔ dɛn, sɔntɛm dɛn kin dak.
Na so dɔktɔ dɛn kin no if yu gɛt at prɔblɛm. Di dɔktɔ dɛn we de mɛn di at kin yuz dis tɛst fɔ no di sik dɛn lɛk korona at sik (CAD) ɛn fɔ no aw dɛn siriɔs. I kin chɛk bak if yu dɔn gɛt at atak bifo ɛn i dɔn pwɛl yu at.
Dɛn kin kɔl dis tɛst bak sɔm ɔda nem dɛn:
- Kadyak PET (Positron Ɛmishin Tomografi) .
- Cardiac SPECT (Singl-Fɔtɔn Ɛmishin Kɔmpyuta Tomografi) .
- MPI (Mayokardial Pɛrfyushɔn Imej) .
- Nyuklia Kadyak Strɛs Tɛst
Sɔm kayn tɛst de we dɛn kin du?
Yɛs, tu men kayn dɛn de. di difrεns bitwin dεn tu na di we aw yu at de ‘strεs’.
1. Ɛksesaiz Strɛs Tɛst: Dis na di tɛst we dɛn kin du pas ɔl. Na ya, dɛn mek yu waka pan tredmil ɔ rayd bayk we nɔ de muv. We yu de du ɛksɛsayz, yu at de bit mɔ ɛn mɔ ɛn blɔd de flɔ go ɔp. Dis na we wan blɔk na di at kin kam klia wan.
2. 2. .Famakɔlɔjik Strɛs Tɛst: Sɔm pipul dɛn kin gɛt prɔblɛm fɔ waka pan tredmil bikɔs dɛn dɔn ol, dɛn gɛt prɔblɛm wit dɛn jɔyn, ɔ ɔda kayn mɛrɛsin. We dɛn kayn tin ya kin apin, instead fɔ du ɛksɛsayz, dɛn kin injɛkt wan drɔg. Dis drɔg de mek di at wok bɔku, jɔs lɛk we yu de du ɛksɛsayz. So, no difrɛns nɔ de pan di tin dɛn we kin apin.
Us kes dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku rizin dɛn kin de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst.
- If yu kin gɛt pen na yu chɛst ɔ angina ɔltɛm .
- Chek yu at fitnɛs bifo yu du big ɔpreshɔn.
- Chek yu hat mɔsul fɔ si say dɛn we blɔd nɔ de flɔ (ischemia) ɔ skata we yu gɛt we yu gɛt at atak bifo.
- Evaluate di effektiv we di tritmɛnt dɛm we de naw fɔ gɛt at sik.
Aw yu fɔ pripia bifo di tɛst?
Yu nid fɔ pripia sɔm tɛm bifo dis tɛst. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Fɔ fala dɛn instrɔkshɔn dɛn de gud gud wan rili impɔtant fɔ mek di rizɔlt dɛn kɔrɛkt.
Mɛmba se, di tin dɛn we de kam biɛn ya na jɔs jɔnaral gaydlain dɛn. Yu fɔ rili fala di patikyula instrɔkshɔn dɛn we yu dɔktɔ gi yu.
| Aw fɔ pripia | Impɔtant tin dɛn |
|---|---|
| Tin dɛn we gɛt kafinɛ | Nɔ drink lɛk kɔfi, ti, chɔklɛt, kola, ɛn mɛrɛsin dɛn we gɛt kafin fɔ 24 awa bifo yu du di tɛst. Dɛn tin ya kin afɛkt di we aw di at de wok. |
| Di tin dɛn we dɛn kin mek wit tabak | Nɔ smok ɔ yuz ɔda tabak fɔ 8 awa bifo di tɛst. |
| Fɔ fast | Nɔ it ɔ drink ɛnitin pas wata fɔ 4-6 awa bifo di tɛst. |
| Us mɛrɛsin yu de tek? | Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (prɛskrishɔn, ɔva-di-kɔnta, vaytamɛn, Ayurveda mɛrɛsin). Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn wan ɔ tu dez bifo di tɛst. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ fɔs. |
| Klos we dɛn kin wɛr | Wear fayn klos we nɔ gɛt natin ɛn snik. |
| I nɔ kin izi fɔ yu fɔ blo | If yu gɛt mɛrɛsin lɛk asma, mek shɔ se yu kam wit yu inhala. |
Wetin kin apin we dɛn de du di tɛst?
Dɛn kin du dis tɛst na ɔspitul ɔ spɛshal klinik. Wan tɛknishian ɔ nɔs go ɛp yu ɔlsay.
1. Fɔ put di kanula insay: Fɔs, dɛn kin put wan smɔl kanula (IV layn) insay wan vein na yu an. di redioaktiv sכbstans (tracer) de injεkt tru dis. Yu kin fil smɔl kol as i de kam insay yu bɔdi.
2. Imej dɛn we yu de rɛst: I kin tek sɔm minit fɔ mek di tin travul tru yu bɔdi ɛn rich yu at. Dɔn yu go ledɔm na bed ɔnda spɛshal kamɛra ɛn dɛn go tek di fɔs sɛt fɔ yu at pikchɔ dɛn. I impɔtant fɔ mek yu nɔ muf insay dis tɛm. Dɛn kin tek dɛn tin ya we yu at de rɛst.
3. ECG kɔnekshɔn: Neks, dɛn go put smɔl smɔl pat dɛn na yu chɛst, yu an, ɛn yu leg dɛn. Dɛn kɔl dɛn tin ya ilɛktrɔd . Dɛn kin kɔnɛkt dɛn tin ya to wan ilɛktrokardiogram (EKG) mashin tru waya. Dis go wach yu at rit ɔl di tɛm we yu de du di tɛst. Dɛn go put blɔd prɛshɔn kɔf bak na yu an fɔ kɔntinyu fɔ mɛzhɔ yu blɔd prɛshɔn.
4. Ɛgzampul (Stress Part): Na dis say di ‘Stress’ pat pan di tɛst de bigin. Dɛn go put yu pan wan tredmil. Start sloslo fɔs ɛn smɔl smɔl yu fɔ mek di spid ɛn inklin go ɔp. Yu fɔ ɛksesaiz te yu at rit rich wan patikyula lɛvul we yu want fɔ du. BɔtIf yu fil ɛnitin we nɔ fayn, lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu ed de tɔn, yu fɔ tɛl di pipul dɛn we de de. Yu kin stɔp dis ɛnitɛm.
5. Stret Imej: Afta yu dɔn rich yu maksimal lɛvɛl fɔ ɛksesaiz, dɛn kin injɛkt smɔl pan di redioaktiv tin bak tru di kanula. Dɔn, dɛn kin put yu ɔnda di kamɛra bak kwik kwik wan ɛn tek sɛkɔn sɛt fɔ pikchɔ dɛn. Dɛn pikchɔ ya de sho aw blɔd de flɔ we dɛn de du ɛksɛsayz, we min we di at strɛs.
Dis ɔltin we dɛn kin du kin tek sɔm awa.
Ɛni risk de wit dis tɛst?
Jɔs lɛk ɛni mɛdikal tɛst, na smɔl smɔl prɔblɛm dɛn de. Bɔt ɔl togɛda, di Nyuklia Strɛs Tɛst na tɛst we rili sef.
- Radieshɔn: Di amount of redyushɔn frɔm di redioaktiv matirial we dɛn yuz fɔ dis prosidur rili smɔl. I nɔ de kɔz bad tin fɔ lɔng tɛm.
- Alɛji: Sɔm pipul dɛn kin gɛt smɔl alɛji fɔ di tin we dɛn injɛkt. Dis kin inklud fɔ rɛd, nɔs, ɛn fɔ mek i nɔ izi fɔ blo smɔl. Bɔku tɛm, dɛn tin ya kin go kwik kwik wan.
Bɔt sɔm siriɔs sayd ɛfɛkt dɛn de we nɔ kin apin so ɔltɛm .
| Risk we nɔ kin apin so ɔltɛm | Tɔk bɔt |
|---|---|
| Di at bit we nɔ de bit ɔltɛm (Aritmia) . | di hat in ritm kin chenj, bכt biכs dεn de mכnitor di EKG כlsay na di tεst, dεn kin gi tritmεnt kwik if dis apin. |
| Chɛst pen ɔ at atak | Pɔrsin wae gɛt siriɔs hat sik bifo tɛm kin gɛt pen na in chɛst ɔr, nɔr kin bɔrku, hat atak wae dɛn put strɛs pan in at. Dis nɔ kin rili apin. |
| Lɔw blɔd prɛshɔn (Hypotension) . | Sɔm pipul dɛn kin gɛt lɔw blɔd prɛshɔn ɛn dɛn kin fil lɛk se dɛn gɛt diziz. |
Pipul dɛn de we nɔ fɔ tek dis tɛst?
Yɛs. Dɛn nɔ kin du dis tɛst pan mama dɛn we gɛt bɛlɛ ɔ we de gi pikin dɛn bɛlɛ bikɔs di raytin kin afɛkt di pikin. I nɔr fayn bak fɔ pipul dɛm wae nɔr kin kɔntrol, wae gɛt siriɔs hat sik. Fɔ ɛgzampul:
- Akyu korona sindrom
- Disekshɔn na di aɔta
- Aorta stenosis we de mek pɔsin nɔ ebul fɔ du am
- Hypertrophic kadyomayopati we pɔsin kin gɛt
Yu dɔktɔ go tink bɔt ɔl dis ɛn disayd if dis tɛst fayn fɔ yu.
Wetin di tɛst ripɔt se?
I kin tek sɔm dez fɔ gɛt di ripɔt, as dɔktɔ we de mɛn at ɔ raydiɔlɔjis kin tek tɛm stɔdi dɛn pikchɔ ya ɛn pripia di ripɔt.
- Nɔmal Rizɔlt: If di pikchɔ dɛn we yu tek we yu de rɛst ɛn di pikchɔ dɛn we yu tek afta yu dɔn du ɛksɛsayz ɔl tu fayn, dat min se yu at mɔsul de gɛt gud blɔd flɔ. No blɔk nɔ de.
- Nɔmal Rizult: If blɔd flɔ fayn we yu de rɛst bɔt i de go dɔŋ we yu de du ɛksɛsayz, dat min se blɔd vesel de blok na yu at.
- Mɔsul we dɔn pwɛl: Sɔntɛnde, wan pat pan di at nɔ kin gɛt bɛtɛ blɔd flɔ, we i de rɛst ɛn we i de du ɛksɛsayz. Dis min se di pat dɔn pwɛl fɔ ɔltɛm, bɔku tɛm na bikɔs ɔf at atak we i bin dɔn gɛt bifo.
If prɔblɛm de wit di ripɔt, wetin yu go du nɛks?
If yu ripɔt sho ɛni prɔblɛm, yu dɔktɔ go ɛksplen wetin fɔ du nɛks. Dis kin difrɛn difrɛn wan bay aw yu de si yu.
- Ɔda tɛst: Dɛn kin rifer yu fɔ ɔda tɛst, lɛk korona angiogram, fɔ si ustɛm di blɔk de ɛn aw i bad.
- Tritmɛnt: Dɛn kin gi tritmɛnt bay di prɔblɛm we dɛn dɔn no. I kin gɛt dɛn tin ya:
- Laif stayl chenj lɛk fɔ lɛf fɔ smok ɛn fɔ ridyus sɔl.
- Start fɔ tek mɛrɛsin fɔ kɔndishɔn lɛk ay blɔd prɛshɔn ɛn kɔlɔstrel.
- Dɛn kin du angioplasty fɔ opin di blɔd vesel we dɔn blok ɛn dɛn kin put stent insay.
- Insay sɔm bad bad kes dɛm , dɛn kin se dɛn fɔ du korona at baypas ɔpreshɔn (CABG) .
Mɛsej we dɛn kin kɛr go na os
- Nyuklia Strɛs Tɛst na wan rili impɔtant ɛn sef tɛst we dɛn kin yuz fɔ chɛk fɔ si if di blɔd vesel dɛn na di at dɔn blok.
- Nɔ fred di wɔd ‘nyuklia’. Dis kin yuz wan rili smɔl, sef redioaktiv matirial.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (bɔt it, drink, ɛn mɛrɛsin) jɔs bifo yu du di tɛst.
- Bay di infɔmeshɔn we dɛn gɛt frɔm dis tɛst, if prɔblɛm de wit yu at, dɛn kin no am kwik ɛn dɛn kin bigin fɔ gi di rayt tritmɛnt. Dis kin ɛp fɔ mek yu nɔr gɛt siriɔs sik lɛk at atɔk.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tɛst, tɔk to yu dɔktɔ bɔt am opin wan.
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