We yu dɔktɔ tɛl yu fɔ du at strɛs tɛst, sɔntɛm yu kin tink bɔt fɔ rɔn pan tredmil, nɔto so? Bɔt tink bɔt am, wetin yu go du if yu ni bad, yu leg brok, ɔ ɔda rizin we mek i nɔ izi fɔ yu fɔ rɔn? Na da tɛm de dɔktɔ dɛn kin yuz difrɛn we fɔ chɛk aw yu at de wok. Tide wi go tok abaut dat speshal method.
So wetin na dis famakolojikal nyuklia strɛs tɛst?
Fɔ tɔk am simpul wan, dis na spɛshal tɛst bak we de luk aw blɔd de pas na di blɔd vesel dɛn we de gi blɔd to yu at. Bɔt na ya, instead fɔ mek yu rɔn pan tredmil, dɛn kin injɛkt wan spɛshal drɔg na yu vein we kin mek yu at fil lɛk se yu de du ɛksɛsayz . Na dat mek dɛn kɔl am "pharmacological."
di wod "nyukliar" kכmכt frכm di fכs tin we dis tεst de yuz wan rili sכm sכm rεdyuaktiv tin we nכ de du bad we dεn kכl raydiotrasa fכ si klia wan di bכdi vεsul dεm na yu at. Dis tan lɛk day we spɛshal kamɛra kin pik. We dɛn injɛkt dis na yu bɔdi, wan spɛshal kamɛra (gamma kamera) kin tek pikchɔ fɔ di blɔd we de flɔ na yu at.
Nɔ wɔri, di amount of redioaktiv matirial we dɛn yuz rili smɔl. I go kɔmɔt na yu bɔdi insay sɔm awa. I nɔ go mek yu gɛt ɛni bad tin fɔ lɔng tɛm.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Dɔktɔ kin tɛl yu fɔ du dis tɛst if dɛn tink se yu gɛt dɛn sik ya ɔ fɔ no ustɛm dɛn de.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Koronari Atɛri Sik we pɔsin kin gɛt | Chek fɔ si if di blɔd vesel dɛm (koronary arteries) we de gi blɔd to di at dɔn smɔl bikɔs ɔf di fat we de na di at, we de mek di at nɔ de gɛt di blɔd we i nid. |
| Angina | Mek shɔ se di sayn dɛm wae yu kin gɛt wae yu taya, lɛk fɔ pen na yu chɛst ɛn tayt, nɔr kin kam bikɔs di blɔd vesel dɛm na yu at kin blok. |
| Afta we pɔsin gɛt at atak | Fɛn ɔut if di at mɔsul dɔn pwɛl bikɔs ɔf di at atak ɛn ɔmɔs damej dɔn apin. |
| Di sik we dɛn kɔl Cardiomyopathy | Chek fɔ si if di at mɔsul wik ɔ i dɔn big. |
| Efεkt כf כda tritmεnt dεm | Chek if yu at dɔn pwɛl bikɔs ɔf tin dɛn lɛk kemotɛrapi ɔ redyushɔn tɛrapi fɔ kansa. |
Aw yu kin rili du dis tɛst?
Dis tɛst gɛt tu men pat dɛn. Insay ɔl tu di pat dɛn, dɛn tek tu sɛt pikchɔ dɛn bɔt yu at.
1. Imej we yu de Rɛst: Di fɔs tin we yu de si na aw blɔd de flɔ to yu at we yu de rɛst, we yu nɔ de tray tranga wan.
2. Stress Images: Nεks, dεn kin put di at כnda strεs bay we dεn gi am wan dכg εn dεn kin wach di bכdi fכ fכlכ da tεm de.
We di dɔktɔ kɔmpia dɛn tu pikchɔ ya, i go ebul fɔ no klia wan if prɔblɛm de wit di blɔd we de go ɛnisay na di at.
Aw di tɛst de wok stɛp bay stɛp
- Step 1: Na di ɔspitul, wan nɔs go put wan smɔl kanula (IV kateta) insay wan vein na yu an.
- Step Tu: Tru da kanula de, di redioaktiv tin we wi bin dכn tכk bכt (`Radiotracer`) de injεkt insay di bכdi.
- Step 3: Di matirial go tek lɛk 30 minit fɔ travul go na yu at. Dɔn yu go ledɔm ɔnda wan spɛshal kamɛra ɛn afta lɛk 20 minit we yu dɔn stil de, dɛn go tek di fɔs sɛt fɔ pikchɔ dɛn. insay dis tεm, dεn go put sכm sכm stika dεm (εlektrod) na yu chεst εn dεn go mכnitor yu at rεt bay we dεn yuz εlektrokadyכgram (EKG).
- Step Fo: Dɔn di sɛkɔn pat bigin. Dɛn kin injɛkt wan spɛshal mɛrɛsin tru yu kanula fɔ mek di blɔd vesel dɛn na yu at big ɛn fɔ mek yu at bit kwik kwik wan. Dis na di sem tin we kin apin we yu de du ɛksɛsayz.
- Step Fayv: Lɛk 30 minit afta yu gi di mɛrɛsin, dɛn go mek yu ledɔm bak ɔnda di kamɛra, ɛn dɛn go tek di sɛkɔn sɛt fɔ pikchɔ fɔ lɛk 20 minit mɔ.
Insay dis ɔl dis, di dɔktɔ dɛn go kɔntinyu fɔ wach yu blɔd prɛshɔn, at rit, ɛn EKG , so yu go sef ɔl.
Aw yu fɔ pripia bifo di tɛst?
Fɔ gɛt kɔrɛkt rizɔlt frɔm dis tɛst, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
| Aw fɔ pripia | Diskripshɔn ɛn impɔtant tin |
|---|---|
| Stɔp fɔ it kafinɛ. | Nɔ drink ɛnitin we gɛt kafin, lɛk ti, kɔfi (inklud we nɔ gɛt kafinɛ), chɔklɛt, kola drink, ɔ sɔm tin dɛn we de mek yu fil pen, fɔ 24 awa bifo yu du di tɛst. Kafin kin ambɔg di akshכn we di ‘strεs’ mεdikeshכn we dεn gi di at de du. |
| Tɔk to yu dɔktɔ bɔt mɛrɛsin. | Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (espɛshali di wan dɛn we de mɛn at sik, dayabitis, ɛn asma). Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn di de bifo di tɛst. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu. |
| Fɔ it ɛn drink | Dɛn go aks yu fɔ fast fɔ sɔm awa bifo di tɛst. Dɛn go alaw yu fɔ drink sɔm wata. Di dɔktɔ go gi yu patikyula tin dɛn bɔt dat bak. |
| Nɔ smok. | Nɔ smok di de we dɛn go du di tɛst. Nikotin kin afɛkt di we aw di at de wok. |
Aw lɔng dis tɛst kin tek?
Bɔku tɛm di wan ol tɛst kin tek lɛk tri to 4 awa so . Sɔntɛnde, i kin dipen pan wetin di dɔktɔ disayd, dɛn kin du di tu pat pan dis tɛst fɔ tu dez.
Ɛni sayd ɛfɛkt ɔ risk de fɔ dis?
Dis tɛst kin jɔs rili sef, bɔt sɔm pipul dɛn kin gɛt smɔl diskɔmfɔt bikɔs ɔf di mɛrɛsin we dɛn kin yuz fɔ ‘strɛs’ di at.
- Ed de at
- Diziz we pɔsin kin gɛt
- Chɛst de pen ɔ tayt
- I nɔ izi fɔ blo (Dyspnea) .
- Vɔmit
- Fes de tɔn rɛd ɛn bɔdi de fil wam
Di tin we impɔtant pas ɔl na dat ɔl dis kin apin we yu de ɔnda dɔktɔ. So if sɔntin nɔ apin, di wan dɛn we de wok de rɛdi fɔ trit am wantɛm wantɛm. Sɔmtɛm, if yu at de bit fast (Tachycardia), dɛn kin gi yu mɛrɛsin fɔ mek i nɔmal. So no rizin nɔ de fɔ mek wi fred.
Afta di tɛst dɔn dɔn...
Afta di tɛst, dɛn go de wach yu at rit ɛn blɔd prɛshɔn fɔ sɔm minit te dɛn kam bak to nɔmal. Afta dat, yu kin go na os. Bɔt tu impɔtant tin dɛn de we wi fɔ mɛmba:
1. Drink plɛnti wata: Drink bɔku wata ɔl di de. dis go fכs di ``(Radiotracer)'' kכmכt na yu bכdi wit yu urine kwik kwik wan.
2. Nɔ de fa frɔm smɔl pikin dɛn: Nɔ ol ɔ ɔg smɔl pikin ɛn bebi dɛn fɔ di ɔda de afta di tɛst. Dis na sef tin bikɔs dɛn kin afɛkt di smɔl smɔl raytin.
Wetin di tɛst rizɔlt dɛn se?
di tu set imej dεm we dεn gεt frכm di tεst (we dεn rεst εn strεs) dεn kכmpεr dεm bay wan spεshal dכkta.
- Wan Nɔmal Rizult: Dis min se ɔl di pat dɛn na yu at de gɛt inof blɔd, we yu de rɛst ɛn we yu de tray tranga wan. Dis min se no big big blɔk nɔ de.
- Abnɔmal Rizult: Dis kin min se sɔm pat dɛn na di at nɔ de gɛt inof blɔd, mɔ we dɛn de du ɛksɛsayz. Dis kin sho se di blɔd vesel we de gi blɔd to di at dɔn smɔl ɔ i dɔn blok.
Yu dɔktɔ go ɛksplen dɛn rizɔlt ya to yu ɛn tɔk to yu bɔt wetin fɔ du nɛks. Dɛn kin se yu fɔ bigin fɔ tek mɛrɛsin, chenj di mɛrɛsin we yu de tek naw, ɔ fɔ du ɔda tɛst lɛk angiogram.
Mɛsej we dɛn kin kɛr go na os
- Di Famakolojik Nyuklia Strɛs Tɛst na wan rili impɔtant ɛn sef tɛst fɔ chɛk di blɔd we de flɔ na di at fɔ di wan dɛn we nɔ izi fɔ du ɛksɛsayz.
- I rili impɔtant fɔ stɔp fɔ drink kafinɛ (ti, kɔfi) di de bifo di tɛst ɛn fɔ fala di dɔktɔ in instrɔkshɔn dɛn bɔt mɛrɛsin ɛksaktɔli.
- No rizin nɔ de fɔ mek yu fred bikɔs di mɛdikal wokman dɛn go de wach yu gud gud wan we dɛn de du di tɛst.
- Drink bɔku wata ɔl di de afta di tɛst ɛn nɔ ol smɔl pikin dɛn.
- Dis tɛst na jɔs wan step we go gi yu dɔktɔ valyu infɔmeshɔn bɔt yu at wɛlbɔdi ɛn ɛp yu fɔ gɛt wɛlbɔdi. So nɔ fred am we yu nɔ nid fɔ fred.
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