Sɔntɛnde yu kin fil smɔl fɔ blo fɔ natin, lɛk se yu de blo fɔ blo? Sɔntɛm i nɔ kin izi fɔ yu fɔ blo we yu de klaym smɔl stej ɔ we yu de waka fɔ shɔt tɛm. Bɔku rizin dɛn kin de fɔ dis. Bɔt nɔto ɔltɛm di prɔblɛm kin de na wi lɔng dɛn nɔmɔ. Wan men mɔsul de we gɛt pawa pas ɔl we de ɛp wi fɔ blo, ɛn dat na di dayafragm. So, tide wi go tɔk bɔt wan spɛshal, simpul tɛst fɔ si if dis dayafragm de wok fayn fayn wan. Dɛn kɔl dis ‘Sniff Test’.
Simply put, wetin bi dis ‘Sniff Test’?
Okay, mek wi brok dis dɔŋ rili simpul wan. di ‘sniff test’ na rili wan spεshal kayn εks-ray tεst. I de basically chɛk aw yu dayafragm de wok fayn fayn wan.
Naw yu go mɔs de wɔnda wetin na dis dayafragm. Na di big flat mɔsul we de sidɔm bitwin wi chɛst ɛn wi bɛlɛ. I tan lɛk ambɔla. Dis mɔsul de du di men wok ɛvri tɛm we wi de blo. So, insay dis tɛst, dɔktɔ ɔ tɛknishian kin tek sɔm X-ray pikchɔ dɛn, lɛk fim, as yu de blo ɛn kɔmɔt. We dɛn luk dɛn pikchɔ dɛn de, dɛn go no if ɛnitin wik na yu dayafragm, ɔ if i paralayz .
Tu ɔda nem dɛn de we dɛn yuz fɔ dis tɛst. Dɛn tin ya na Chɛst Flɔroskɔpi ɛn Dayafragm Flɔroskɔpi . If yu yɛri dɛn tu nem ya, i min se dis na di sem tɛst.
Ustɛm dɛn fɔ du ‘sniff test’?
If yu dɔktɔ tink se di nerv dɛn we de kɔntrol yu brith kin afɛkt, dɛn kin tɛl yu fɔ du dis tɛst. Dis impɔtant mɔ fɔ sɔm nyurolɔjik kɔndishɔn dɛn.
Imajin, wan pɔsin de we nem Nimal. Fɔ lɔng tɛm naw, i nɔ kin izi fɔ am fɔ blo. Di dɔktɔ dɛn dɔn du bɔku tɛst, bɔt dɛn nɔ ebul fɔ fɛn wan big tin we mek dɛn du am. Fɔ dɔn, di dɔktɔ tink se sɔm wik de na di nɛf dɛn we de kɔntrol in dayafragm. Na da tɛm de dis ‘sniff test’ kin bi rili yusful.
Di tebul we de dɔŋ ya de sho sɔm pan di mɛrɛsin dɛn we kin mek dɛn du dis tɛst bɔku tɛm.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Amyotrofik latɛral sklɛrosis (ALS) . | Na sik we de mek di nerve cells na di bren ɛn di spaynal kɔd wik smɔl smɔl. |
| Kronik inflammatory demyelinating polyneuropathy (CIDP) we gɛt fɔ du wit di sik we dɛn kɔl kronik inflammatory demyelinating polyneuropathy. | Wan sik wae kin teik lɔng tɛm wae kin pwɛl di bɔdi in nerve sheath dɛm. |
| Dɛmatomyosaytis we gɛt di sik | Na wan sik wae de mek yu mɔsul wik ɛn gɛt infɛkshɔn na yu skin. |
| Sindrom we dɛn kɔl Guillain–Barré | Wan kɔndishɔn we di imyun sistɛm de atak di nerv dɛm. |
| Lambert-Eaton sindrom we gɛt di sik | wan kכndyushכn we de ambɔg di transmishכn fכ signal bitwin di nεv dεm εn di mכsul dεm. |
| Mɔltipɛl sklɛrosis (MS) . | Na sik we kin afɛkt di bren ɛn di spɛshal kɔd, we kin pwɛl di nerve sheaths. |
| Distrofi we de na di mɔsul dɛn | Na grup fɔ sik dɛn we di mɔsul dɛn kin wik smɔl smɔl ɛn we kin atrofi. |
| Myasthenia gravis we gɛt di sik | Na sik we de mek di nerv ɛn mɔsul dɛn nɔ ebul fɔ tɔk to dɛnsɛf. |
| Pompe sik we dɛn kɔl Pompe | wan jεnεtik kכndishכn we di mכsul dεm de wik biכs fכ di shuga we de kכmכt na di bכdi in sεl dεm. |
| Pɔst-polio sindrom | Pɔsin we bin dɔn gɛt polio trade kin gɛt wikɛd mɔsul dɛn bɔku ia afta dat. |
| Spinal kɔd injuri | disrupshכn pan di nεv fכnshכn bikoz fכ injuri dεm na di spεnal kכd. |
Apat frɔm dɛn mɛrɛsin ya, dɛn kin du dis tɛst pan tu ɔda tin dɛn:
1. If yu gɛt prɔblɛm fɔ blo we yu nɔ ɛksplen (dyspnea).
2. Fɔ chɛk aw di dayafragm de wok bifo ɔ afta ɛni ɔpreshɔn .
Aw ɛksaktɔli dis ‘sniff tɛst’ de wok?
Dis na wan prɔses we rili intrestin. Imajin se yu tinap bifo wan X-ray mashin. Di dɔktɔ ɔ di tɛknishian go tɛl yu fɔ blo difrɛn we dɛn. Da tɛm de, di X-ray kamɛra kin si di insay pat na yu chɛst, mɔ di dayafragm, we de muv layf layf wan.
Na dɛn tin ya dɛn tɛl yu fɔ du:
- Briz kwayɛt wan ɛn nɔmal wan .
- Briz dip dip wan as yu ebul.
- Put yu briz ɔlsay as yu ebul.
- Tek briz kwik kwik wan tru yu nos . I tan lɛk se yu de blo tranga wan fɔ smɛl sɔntin. Na dat yu de kol "sniffing." dis tεst dεn kכl am "sniff tεst" biכs fכ dis akshכn.
So wetin yu fain fo dis?
nכmal wan, we hεlty pכsin inhal, di dayafragm de muv dכn (to di bεlε) εn flat. Dis kin mek di lɔng dɛn ful-ɔp wit briz. we yu de blo, di dayafragm de muv כp bak (tכwכd di chεst) εn i de tek wan shep we shep lεk dome (arch).
Bɔt if di dayafragm nɔ go dɔŋ we pɔsin inhal, bɔt i go ɔp (ɛlevɛt) , dat min se prɔblɛm kin de wit di dayafragm ɔ di phrenic nerve we de kɔntrol am. Dat abnɔmal muvmɛnt na in dis tɛst kin mɔs luk fɔ.
Aw a fɔ rɛdi fɔ dis tɛst?
Dis na di bɛst tin. Dis tɛst nɔ nid ɛni spɛshal pripiamɛnt . Yu nɔ nid fɔ fast ɔ tek ɛni spɛshal mɛrɛsin. Yu kin jɔs go du yu nɔmal biznɛs ɛn go na ɔspitul di tɛm we dɛn dɔn sɛtul fɔ di tɛst.
Wetin kin apin we dɛn de du di tɛst?
We yu go na di tɛst rum, dɛn tin ya kin apin:
1. Fɔ ajɔst di we aw yu de tinap:Di tɛnishian go aks yu fɔ tinap bifo di X-ray kamɛra. If i nɔ izi fɔ yu fɔ tinap, dɛn go tɛl yu fɔ sidɔm na chia ɔ ledɔm pan tebul we tilt. Dɛn kin yuz strap fɔ mek yu nɔ gɛt prɔblɛm ɛn fɔ mek yu nɔ slip. Nɔ wɔri bɔt dat.
2. Instrɔkshɔn fɔ brith: Nɛks, dɛn go tɛl yu fɔ blo difrɛn we dɛn (fɔ ɛgzampul, nɔmal wan, dip wan, pul briz, snɛf kwik kwik wan). I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn gud gud wan as yu ebul .
3. Tek X-ray pikchɔ: We yu de blo lɛk dis, dɛn kin kɔntinyu fɔ tek X-ray pikchɔ.
Dis ɔltin kin tek fɔ shɔt tɛm, lɛk 15 minit , so nɔr nid fɔ wɔri bɔt tɛm.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?
Dis tɛst nɔ gɛt ɛni sayd ɛfɛkt ɛn i nɔ de mek pɔsin fil pen atɔl.
We dɛn du ɛkstrem rayt tɛst, dat kin mek yu bɔdi gɛt smɔl smɔl raytin . Bɔt i rili smɔl, i lɛf smɔl fɔ lɛ i nɔ impɔtant. Yu dɔktɔ se yu fɔ du dis tɛst bikɔs di valyu ɛn bɛnifit dɛn we di infɔmeshɔn we yu gɛt frɔm dis tɛst gɛt pas di smɔl risk fa fawe. So nid nɔ de fɔ wɔri tumɔs bɔt redyushɔn.
Aw fɔ ɔndastand di ‘sniff test’ ripɔt?
Di rizulyt fɔ ‘sniff test’ rili simpul. I kin bi se i fayn ɔ i nɔ fayn.
| Rizɔlt | Simpul minin |
|---|---|
| Pozitiv (+ ) . | Dis min se yu dayafragm de muv ɔp abnɔmal wan we yu de blo.Dis kin sho se wan pat ɔ ɔl yu dayafragm dɔn paralayz. |
| Negativ (-) / Nɔmal wan | Dis min se yu dayafragm de muv fayn fayn wan, jɔs lɛk aw i fɔ muv. Dat min se prɔblɛm nɔ de wit aw i de wok. |
Yu dɔktɔ go ebul fɔ tɛl yu di rizɔlt wantɛm wantɛm. Ɔ, i kin tek sɔm dez fɔ mek dɔktɔ we de mɛn di raytin luk di pikchɔ dɛn, pripia wan ripɔt, ɛn sɛn am to yu dɔktɔ.
Mɛmba sɔntin we impɔtant.
Sɔntɛnde, smɔl chans kin de fɔ ‘false positive’ (we prɔblɛm nɔ de, bɔt i tan lɛk se i de) ɛn ‘false negative’ (we prɔblɛm de, bɔt di tɛst nɔ sho am). So, di dɔktɔ nɔ go disayd fɔ du sɔntin bay dis ripɔt nɔmɔ. I go tek ɔltin togɛda, ivin di sayn dɛm we yu gɛt ɛn ɔda tɛst rizɔlt dɛm, fɔ rich di las tin.
If di tin dɛn we kin apin nɔ kin fayn, wetin kin apin afta dat?
If yu snif tɛst na pɔsitiv, we min se na abnɔmal rizɔlt, nɔ wɔri. Yu dɔktɔ go tɔk to yu ɛn ɛksplen wetin di rizɔlt min we i kam pan yu sityueshɔn.
Dis nɔto jɔjmɛnt we dɛn mek bay wan invɛstishɔn. Dis na jɔs wan pat pan wan big pikchɔ.
Yu dɔktɔ go kɔmpia dis ripɔt wit yu sik ɛn ɔda tɛst fɔ disayd us step fɔ tek nɛks. I kin ɔda fɔ mek dɛn du mɔ tɛst ɔ bigin fɔ plan fɔ trit am. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis ɛn aks ɛni kwɛstyɔn we yu gɛt.
Snif tɛst na kwik we we yu dɔktɔ nɔ go fil pen fɔ si aw di nɛf ɛn mɔsul dɛn we de ɛp yu fɔ blo de wok. Dis kin ɛp fɔ no wetin de mek yu gɛt prɔblɛm wit yu brith kwik kwik wan, so dɛn kin trit am ɔr kin kɔntrol aw di sik de go bifo.
Mɛsej we dɛn kin kɛr go na os
- di ‘Sniff Test’ na simpul, εks-ray tεst we nכ de mek yu fil pen we de chεk aw yu dayafragm de wok, di men mכsul we de εp yu fכ brith.
- Dis kin tek lɛk 15 minit so, ɛn dɛn nɔ nid fɔ pripia spɛshal bifo di tɛst.
- Dis tɛst rili impɔtant fɔ no di prɔblɛm dɛn we pɔsin kin gɛt we i nɔ ebul fɔ blo ɛn sɔm nyurolɔjik kɔndishɔn dɛn.
- Nɔ jomp to kɔnklushɔn bɔt di tɛst rizɔlt (positiv ɔ negatif) fɔ yusɛf. Aks yu dɔktɔ fɔ ɛksplen am gud gud wan ɛn wetin fɔ du nɛks.
- Di raytin we dɛn kin gɛt frɔm dis tɛst rili smɔl. Di bɛnifit dɛn we di tɛst kin gi pas di smɔl risk fa fawe.
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