Cool test: How to perform the investigation and analysis of the results

The Schilling test is sponsored by the target of the shade test is to determine whether the body absorbs or detects vitamin B12 properly or there is damage to the absorption process. Cobalamamin (B12) is essential vitamin in the work of the body’s cells, especially red blood cells and neurons, and there are many diseases that the body cannot absorb the vitamin B12 as it can lead to anemia (a decrease in the level of hemoglobin in the blood caused by red blood cells. -Test is done in four different stages, according to the results that appear in each stage: The first phase: The patient receives cobaline by muscle injection, as well as the radioactive cobalamine that is orally received for 24 hours. Patient to give and examine the level of cobalamine. If the result of a certain stage is improper, the next phase of the test is transferred. When should you undergo an exam? The shiling test is often performed to verify the cause of unjustified anemia, and to low levels of vitamin B12 was found in the blood. Prepare for the investigation before performing a stage of this test, 8 hours must be fast, except for drinking water. The doctor should be notified of the medication that the patient has taken, so that the doctor may decide to stop taking a medicine before examining the examination. The risk category is advised not to take a shilling test for pregnant or breastfeeding women because the radioactive material poses a danger to the fetus or the child, and this test is not performed in these women except in the necessary cases where there is no escape from the behavior. Related diseases that include related diseases: Malnutrition. Anorexia nervosa. Harmful anemia. Megaloblastic anemia. Blind walk -syndrome to stomach operations. Increased gut bacteria growth, causing damage to the absorption of bacterial growth. Inflammatory bowel diseases that cause damage to the absorption process, such as ventricular disease, Crohn’s disease disease. The Chilinig test is performed in four phases as we mentioned earlier, as we mentioned earlier: The first phase is verified that there is a problem in the absorption of cobalamine in the stomach in the stomach anemia. Muscle injection can cause a slight feeling of pain. The purpose of injection is to fill in 12 warehouses into the body. If the absorption of vitamin B12, which is given orally, is not intact, it is not incorporated into the tissue of the body and is secreted in the urine. Later, the examiner collects 24 hours in a bowl. The second phase is performed after one week if the results of the first phase are not intact, the first phase is returned, with the addition of a substance called the intrinsic factor, a factor produced in the stomach and contributes to the absorption of vitamin B12 in the intestines. The third phase is performed when the results of the second phase are improper, the patient receives oral antibiotics for two weeks, after which the first phase is returned. The fourth phase is performed when the results of the third phase are improper, the patient receives three days with pancreaticity by mouth, after which the first phase is repeated. After the investigation in general, there are no special restrictions on the shade test. General warnings an allergic reaction to the injected material, which is rare, but it can happen. Sometimes swelling or minor pain in the needle can occur tingling area. These symptoms often disappear within a few days. These symptoms can be reduced by placing a wet bandage on the tingling area. Since the material used is radioactive, there is a risk of damage to cells or tissues in the long run, but the amounts of radioactive material used in the test are very small. Side effects of antibiotics are eaten such as: rash. Itch. Nausea. Feeling of distress in the abdomen. During pregnancy: It is advised not to conduct this investigation for a pregnant woman except for the necessity of maximum. Breastfeeding: The breastfeeding woman recommends feeding her child with an alternative food for breast milk (formula), and to refrain from breastfeeding two days after the examination, so that the body of the patient can get rid of the radioactive substance. Children and babies have no special warnings. Elderly: There are no special warnings. Management: There are no special warnings. Medicines affecting the result of the investigation are no special warnings. Results -analysis The results of each phase are examined and evaluated separately in the cooling test: The first phase is measured by the amount of radioactive cobalamine in the collected urine. The absorption is considered intact as at least 5% during the first twenty hours of the material in the urine. If less than 5%is secreted, it indicates a problem with the absorption of vitamin in the stomach, caused by an anemia, and the next phase should be continued. The second phase is measured by the amount of radioactive cobalamine in the collected urine. Absorbing absorption as at least 5% of the substance secreted in the urine indicates that the origin of the problem is in absorption, and it appears to be a shortage of the internal factor, and then it is possible to diagnose anemia. If the absorption problem persists (less than 5% in the urine), the source of the problem is not a shortage of the internal factor (intrinsic factor), and the following stages must continue to verify the source of the absorption problem. The source of the absorption problem can be: inflammation of the intestines. Bacteria grows. Liver diseases. The pancreas. The third phase is measured by the amount of radioactive cobalamine in the collected urine. The absorption is considered sound as at least 5% of the substance secreted in the urine, and this indicates that the origin of the absorption problem in the hyperactivity of bacteria lies in the intestines (bacterial overgrowth). Now, after treatment with preventative antibiotics, the amount of bacteria has decreased and then the absorption process has become possible. Unpleasant absorption can indicate a problem with the pancreas, and then even the last phase of the test must be continued to determine it accurately. The fourth phase is measured by the amount of radioactive cobalamine in the collected urine. The absorption is regarded as sound as at least 5% of the substance secreted in the urine, and this indicates that the origin of the absorption problem lies in a lack of pancreatics that contributes to the absorption of vitamin. The causes it causes are: pancreatitis or pancreatic infection.