Sɔntɛnde yu kin swet bɔku fɔ natin, ɔ yu kin fil lɛk se yu nɔ de swet bɛtɛ na sɔm say dɛn? Ɔ yu gɛt smɔl smɔl tin dɛn lɛk we yu leg dɛn de swɛla ɔ yu ed de tɔn? Sɔntɛnde, i kin tranga fɔ mek dɔktɔ no wantɛm wantɛm wetin mek dɛn gɛt dɛn sik ya. Na dɛn kayn tɛm ya, dɛn kin se dɛn fɔ du spɛshal tɛst fɔ si if prɔblɛm de wit di nervɔs sistɛm we wi nɔ no na wi bɔdi (di pat we de kɔntrol tin dɛn lɛk fɔ blo ɛn fɔ swet). Dis na wan pan dɛn kayn tɛst ya we dɛn kɔl QSART.
Fɔ tɔk am simpul wan, wetin na QSART?
QSART tinap fɔ ‘Kwantiti Sudomotor Axon Riflɛks Tɛst’. Pan ɔl we di nem kin tan lɛk se i kɔmplikt, fɔ tru, i rili simpul. Fɔ tɔk am simpul wan, na tɛst we de sho aw di nɛv dɛn we de kɔntrol yu swet de wok fayn fayn wan. Wi kin kɔl am bak ‘swet tɛst’.
Tink bɔt am, fɔ swet rili impɔtant fɔ kɔntrol wi bɔdi tɛmpracha. Dis swet na wan spɛshal pat pan wi nervɔs sistɛm de kɔntrol am. Insay dis tɛst, wi kin put wan rili smɔl ilɛktrik stimuleshɔn pan wan smɔl eria na yu skin ɛn mɛzhɔ ɔmɔs swet yu swet gland dɛn kin mek fɔ ansa. We wi mɛzhɔ di swet we de kɔmɔt dis we, wi kin gɛt gud aidia bɔt aw di nɛv dɛn we de insay de de wok.
Us kes dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
dis QSART tεst de εp bכku fכ no di sik dεm na di Autonomic Nervous System, we de kכntro di wok dεm we wi bכdi de du we wi nכ de kכntro (fכ egzampl, hat rεt, blɔd prεshכn, swet, digεsshכn). Dɛn kin yuse am bak fɔ no di peripheral neuropathies, we gɛt fɔ du wit tin dɛn lɛk we di limb dɛn kin swɛla, ɛn sɔm pen kɔndishɔn dɛn.
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if i tink se yu gɛt wan pan dɛn tin ya:
- Autonomic neuropathy: I de damej di nεv dεm we de kכntro di כtomatכk fכnshכn dεm na wi bכdi.
- Complex regional pain syndrome (CRPS): Na bad bad pen we kin de fɔ lɔng tɛm na yu an ɔ yu leg, bɔku tɛm afta aksidɛnt.
- Nyuropathy we gɛt fɔ du wit dayabitis: Dayabitis kin pwɛl di nerve.
- Multiple sclerosis: Na sik we de pwɛl di nerve dɛm na di bren ɛn di spaynal kɔd.
- Postural orthostatic tachycardia syndrome (POTS): Na wan sik we di at rit de go ɔp abnɔmal we yu tinap.
- Di sik we dɛn kɔl Sjögren in sik:wan sik we de mek di imyun sistεm sik we de afekt di gland dεm we de mek mכsichכ na di bכdi (tεar, saliva).
- Smɔl fayv nyuropathy: Simptom dɛm lɛk pen ɛn swɛla kin apin bikɔs ɔf di damej pan di smɔl smɔl nɛv fayba dɛm na di skin ɛn ɔgan dɛm.
Aw a fɔ rɛdi fɔ dis tɛst?
Bifo di QSART tɛst, yu dɔktɔ go tɔk to yu ɛn ɛksplen ɔltin. I go gi yu sɔm spɛshal instrɔkshɔn dɛn bak fɔ fala fɔ mek shɔ se di tɛst rizɔlt kɔrɛkt. I rili impɔtant fɔ mek yu fala dɛn instrɔkshɔn dɛn ya di rayt we.
Lɛ wi luk di tebul we de dɔŋ fɔ si aw wi fɔ jɔs pripia.
| Instrɔkshɔn | Diskripshɔn ɛn Rizin |
|---|---|
| Sɔm mɛrɛsin dɛn | Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ wan ɔ tu dez we kin afɛkt di tɛst rizɔlt. Yu dɔktɔ go tɛl yu di rayt tin we dɛn bi. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ fɔs. |
| Di tin dɛn we dɛn kin mek wit tabak | Nɔ smok ɛn yuz ɔda tin dɛn we dɛn kin yuz fɔ smok fɔ at le 4 awa bifo di tɛst. Dɛn tin ya kin afɛkt di nervɔs sistɛm. |
| Klos we dɛn kin wɛr | Wear klos we nɔ tay ɛn we fayn di de we yu go du di tɛst. Nɔ wɛr sɔks we tayt (kɔmpreshɔn stɔkin) di de we dɛn de du di tɛst. |
| Loshan ɛn krim dɛn | Di mɔnin fɔ di tɛst, nɔ put ɛni loshan, krim, ɔ ɔyl pan yu an ɛn fut. Dɛn tin ya kin ambɔg di tɛst ikwipmɛnt fɔ mek i nɔ kɔntakt di skin. |
| Fɔ it ɛn drink | Sɔm spɛshal instrɔkshɔn dɛn de fɔ dis, we wi go tɔk bɔt apat dɔŋ ya. |
Tin dɛm wae yu fɔ no bɔt aw fɔ it ɛn drink bifo yu du di tɛst
| Wetin fɔ Du | Taym Fraym |
|---|---|
| Nɔ drink ɛnitin we gɛt rɔm. | Frɔm 12 awa bifo di tɛst. |
| Nɔ it ɛnitin we gɛt kafin (ti, kɔfi, chɔklɛt, sɔm sɔft drink dɛn). | Frɔm 8 awa bifo di tɛst. |
| It layt it (e.g. sɔm rays, wan slais pan bred) . | 3 awa bifo di tɛst. |
| Nɔ drink ɛnitin (ivin wata). | Frɔm 3 awa bifo di tɛst. |
| Drink bɔku wata ɛn gɛt wata. | Di de bifo di tɛst. |
Us mɛrɛsin dɛn we yu go nid fɔ stɔp bifo dɛn du di tɛst?
Di tin we impɔtant pas ɔl: Nɔ stɔp fɔ tek ɛni mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. Sɔm mɛrɛsin kin kam wit ɔda prɔblɛm if yu stɔp fɔ tek dɛn. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). I go tɛl yu if yu nid fɔ stɔp fɔ tek ɛni wan ɛn aw kwik.
Dis dɔŋ ya na sɔm mɛrɛsin dɛm wae kin kɔmɔn fɔ afɛkt QSART rizɔlt. Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm pan dɛn tin ya fɔ 48 awa bifo dɛn du di tɛst.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen
- Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
- Antihistamines (mɛrɛsin fɔ alɛji) .
- Anti-inflammatory ejen dɛn
- Aspirin we dɛn kin yuz
- Blɔd prɛshɔn mɛrɛsin dɛn
- Diuretiks we dɛn kin yuz fɔ pul wata
- Kol ɔ kɔf mɛrɛsin dɛn we dɛn kin bay na kɔt
Okay, naw mek wi si wetin de hapun wen wi du di test.
If yu no bifo tɛm aw dɛn go du di tɛst, dat kin ɛp fɔ mek yu nɔ wɔri. Na wan rili simpul prɔses.
1. Aw fɔ pripia: Fɔs, dɛn go aks yu fɔ pul yu sus ɛn sɔks. Dɔn, dɛn go aks yu fɔ sidɔm pan ɛgzam tebul ɔ ledɔm.
2. Fɔ klin di skin: Di pɔsin we de ɛgzamin go klin ɛn drɛy di skin we de rawnd yu leg, yu fut, ɛn yu an dɛn fayn fayn wan.
3. Fɔ tay di ilɛktrɔd dɛn: Dɔn, dɛn kin tay 4 smɔl smɔl plastic pat dɛn we dɛn kɔl ilɛktrɔd na yu skin. Bɔku tɛm, dɛn kin tay tri pan yu leg dɛn ɛn wan kin tay na yu an.
4. fכ put spεshal sכlushכn: nεks, dεn de put sכlushכn we dεn kכl `acetylcholine` pan di skin usay di εlektrod dεm de. `acetylcholine` na kεmikכl (nyurotransmitta) we de na wi bכdi nכmal wan εn de kכri mεsej bitwin nεv dεm. Na ya, dɛn kin yuz am fɔ mek yu swet gland dɛn wok.
5. Start di test: Naw di QSART mashin dɔn on. Dɔn dɛn kin sɛn wan rili, rili smɔl ilɛktrik kɔrɛnt to yu skin tru di ilɛktrɔd dɛn. Dis nɔto big kɔrɛnt, so natin nɔ de fɔ fred.
6. Swet mכsu: dis ilektrikal kכrant εn di `acetylcholine` sכlushכn de mek yu swet gland dεm bigin fכ prodyuz swet. Di mashin de mɛzhɔ di swet we de kɔmɔt.
7. Ripit: Di ɔfisa kin pul di ilɛktrɔd dɛn ɛn tay dɛn to ɔda pat dɛn na di bɔdi, ɛn ripit di prɔses.
Aw lɔng dis tɛst kin tek? Yu tink se i de mek pɔsin fil bad?
Bɔku tɛm di wan ol tɛst kin tek lɛk 45 minit to wan awa .
Dis nɔto tɛst we de mek pɔsin fil pen. Bɔt sɔm pipul dɛn kin fil bad smɔl. We di smɔl ilɛktrik kɔrɛnt pas na di skin, i kin tan lɛk se yu de tik, yu de tik smɔl, ɔ yu de bɔn smɔl, lɛk se yu de chuk yu smɔl nidul . Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt, i nɔto pen we pɔsin nɔ go ebul fɔ bia. If yu fil bɔku pen, tɛl di pɔsin we de du di tɛst wantɛm wantɛm.
Wetin kin apin afta di tɛst? Ustɛm di rizɔlt dɛn go de?
Afta di tɛst dɔn, di ɔfisa go pul di ilɛktrɔd dɛn na yu skin. Afta dat, yu kin wɛr yu sɔks ɛn sus bak ɛn liv nɔmal wan.
Yu kin notis se di skin usay dɛn put di ilɛktrɔd dɛn kin rɛd smɔl ɔ di kɔlɔ kin chenj. Dis na nɔmal tin ɛn i go dɔn kpatakpata insay sɔm awa.
Dɛn go sɛn di data we dɛn gɛt frɔm di tɛst to di dɔktɔ we rifer yu fɔ dis tɛst. I go kɔntakt yu insay sɔm dez we di rizɔlt dɔn de.
Aw fɔ ɔndastand di QSART rizɔlt?
Yu dɔktɔ go analayz di rizɔlt ɛn ɛksplen to yu wetin dɛn min. We yu luk dɛn rizɔlt ya, tri men tin dɛn de we yu fɔ luk fɔ:
- Onset latency: Aw lɔŋ i tek fɔ mek yu swet afta di stimulus?
- Pik swet prodakshɔn: Ustɛm dɛn kin mek di swet we pas ɔl?
- Tכtal swet vכlyum: Aw bכku swet dεn bin prodyuz insay di כl tεst tεm?
Dɛn rizɔlt ya kin bi ‘Nɔmal’ ɔ ‘Abnɔmal’.
Wetin na nɔmal tin we kin apin?
If di rizulεt na ‘Nכmal’ (sכmtεm dεn kin kכl am ‘nεgεtiv risכlt’), i min se di כmכnt εn di tεm we yu de prodyuz swet de insay di rεnj we dεn de εkspεkt fכ yu ej εn jεnda. Dis min se di tɛst nɔ sho se big prɔblɛm de wit di we aw di nerv dɛn we de kɔntrol di we aw pɔsin de swet de wok.
Wetin na Abnɔmal / Pozitiv rizɔlt?
If di rizɔlt na ‘Positiv’ ɔ abnɔmal, i min se di tɛst valyu dɛn difrɛn frɔm wetin dɛn de ɛkspɛkt. Fɔ ɛgzampul, i kin tek lɔng tɛm fɔ bigin fɔ swet, ɔ di swet we kin kɔmɔt kin tu smɔl ɔ tumɔs.
Dis sho se sɔntin kin de ambɔg di wok we yu ɔtonomik nervɔs sistɛm de du.
Di impɔtant tin fɔ ɔndastand ya na dat, ‘pɔzitiv’ QSART tɛst rizɔlt nɔ min dairekt se yu gɛt sik. I min se sɔntin nɔ de wok fayn na yu ɔtonomik nɛvɔ sistɛm ɛn yu nid fɔ du mɔ invɛstigeshɔn. Na jɔs wan impɔtant tin fɔ sho se di dɔktɔ go gɛt fɔ no bɔt yu sik. Dɔn i kin disayd if i fɔ du ɔda tɛst ɔ bigin tritmɛnt we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- QSART na test we sef ɛn we nɔ de mek yu fil pen we de mɛzhɔ di wok we di nerve dɛn we de kɔntrol yu swet de du.
- Fɔ mek yu gɛt di kɔrɛkt rizɔlt, i impɔtant fɔ fala di it, mɛrɛsin, ɛn ɔda tin dɛn we di dɔktɔ tɛl yu fɔ du bifo yu du di tɛst.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Nɔ stɔp ɛni mɛrɛsin we yu nɔ gɛt yu dɔktɔ in advays.
- Di diskɔmfɔt we yu kin fil we yu de du di tɛst kin bi we yu de tingling ɔ we yu de bɔn smɔl smɔl. I nɔto pen we pɔsin nɔ go ebul fɔ bia.
- ‘positiv’ (abnɔmal) tɛst rizɔlt nɔto diagnosis. Na jɔs impɔtant infɔmeshɔn wae de ɛp yu dɔktɔ fɔ no mɔr bɔt yu sik.
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