Bronchial challenge test
Test bronchial challenge ko test safaara kuutorteeɗo ngam wallitde e ƴeewde asma, e ƴeewtaade woodgol hiperresponsivement gonɗo e laawol henndu. Ñawɗo oo ina foofa metakolin walla histamin nebuliseer. Nii woni jarribo ngoo ina waawi kadi wiyeede jarribo teskuyaaji metakolin walla teskuyaaji teskuyaaji histamin. Leɗɗe ɗee ɗiɗi fof ina ngaddana ɓuuɓri ƴiiƴam, walla ɓuuɓri ƴiiƴam. So tawii histamin ina addana ɓuuɓri nofru e ɓuuɓri ƴiiƴam e ɓuuɓri ƴiiƴam rewrude e ɓuuɓri H1, metakolin ina huutoroo ɓuuɓri M3 ngam ɓuuɓri ƴiiƴam. Ndeen noon, tolno ɓuuɓgol ngol ina waawi limteede e spirometry. Yimɓe wonduɓe e ɓuuɓri gonndi e ƴiiƴam, ko wayi no asma, maa njaɓ doseeji leɗɗe lesɗi.[1]
Heen sahaaji, ngam ƴeewde so tawii ngonka keertinka ina waawi waylude, ina waɗa bronkodilatoor ngam haɓaade batte bronkokonstriktor oo hade mum waɗteede ƴeewndorɗe spirometri. Ɗumɗoo ina heewi wiyeede ko ƴeewndo mbayliigu, walla ƴeewndo caggal bronkodilatoor (post BD), ina waawi kadi wallitde seerndude asma e ñawu nguu. Kadi, ƴeewndo DLCO ina waawi huutoreede ngam seerndude asma (DLCO no feewi haa toowɗo) e COPD (DLCO ustiiɗo).
Fenaande moƴƴere e fenaande ina mbaawi waɗeede e jarribo caɗeele bronchial. Yanti heen, asma ina waawi wonde ko juuti sabu jokkere enɗam walla jokkere enɗam.
Test bronchial challenge ina ɗaɓɓi ɓanndu, tee njeñtudi ndii ina waawi battinde e ŋakkeende ɓalndu walla e ŋakkeende muñal. Lekki kii ina foofa ina waawi ustude ƴiiƴam toowɗam haa heewi, ina addana neɗɗo ɓuuɓde no feewi. Ɗum ina waawi saɗtinde walla waasde waɗde spirometri. Ngolɗoo ƴeewndo ina haɗee e ñawɓe wonduɓe e ɓuuɓri gonndi e ƴiiƴam sabu ɓeydagol laaɓtungol ɓuuɓri ndii. Ina haɗa ɗum kadi woodgol anewrisma aorta, sibu spirometri maa ɓeydu ƴiiƴam, fawaade e doole ñawɗo oo kam e tolno ɓuuɓri e nder ƴiiƴam.