Yu dɔktɔ go dɔn aks yu fɔ mek dɛn du blɔd tɛst ɔ urine tɛst fɔ chɛk aw yu kidni de wok, nɔto so? Sɔntɛnde, wi kin fred smɔl ɛn fred we dɛn aks wi fɔ du dis kayn tɛst. Sɔm pipul dɛn kin fred fɔ mek dɛn pul blɔd na nidul, ɛn sɔm kin fil smɔl we dɛn gi pɔsin wan kɔp urine. Bɔt dɛn filin ya rili nɔmal. Di impɔtant tin na dat dɛn tɛst ya na impɔtant tin fɔ no if yu kidni dɛn wɛl ɛn de wok fayn.
Fɔs, lɛ wi si wetin na dɛn kidni ya? Wetin mek dɛn rili impɔtant to wi?
Fɔ tɔk am simpul wan, wi kidni dɛn tan lɛk wan wɔndaful filta sistɛm na di bɔdi. Bɔku pipul dɛn gɛt tu kidni. Dɛn de biɛn di bɛlɛ, na di tu say dɛn na di spayna, jɔs dɔŋ di rib kech.
Di men wok we di kidni dɛn de du na fɔ mek wi blɔd klin. Dat min se fɔ filta di dɔti tin dɛn we yu nɔ want ɛn di wata we pasmak frɔm di blɔd ɛn pul dɛn kɔmɔt na di bɔdi as urine.
nכto dat nכmכ, di kidni dεm de du sεvεra כda rili imכtant wok dεm:
- I de mek ɔmon dɛn we de kɔntrol blɔd prɛshɔn .
- I de mek wan ɔmon we dɛn kɔl erythropoietin . Dis na wetin de ɛp fɔ mek rɛd blɔd sɛl dɛn. Rɛd blɔd sɛl dɛn na di tin dɛn we de kɛr ɔksijɛn go ɔlsay na wi bɔdi.
- I de mek vaytamɛn D wok, we impɔtant fɔ mek di bon ɛn mɔsul dɛn gɛt wɛlbɔdi.
Wetin mek yu nid fɔ du tɛst fɔ yu kidni?
Yu dɔktɔ kin gɛt bɔku rizin dɛn fɔ mek yu du tɛst fɔ no aw yu kidni de wok.
Di men rizin na bikɔs yu gɛt mɛrɛsin lɛk dayabitis ɔ ay blɔd prɛshɔn . Dɛn sik ya kin pwɛl di kidni dɛn as tɛm de go. So, dɛn tɛst ya kin ɛp fɔ wach ɔltɛm if di kidni fɔ pɔsin we gɛt dis kayn mɛrɛsin de wok fayn.
Apat frɔm dat, if yu gɛt sɔm sayn dɛn we de sho se yu gɛt prɔblɛm wit yu kidni, yu dɔktɔ kin tɛl yu fɔ du dis tɛst.
| Di sayn we de sho se di sik de | In simpul wɔd dɛn... |
|---|---|
| Blɔd we de na di urine (hematuria) . | Rɛd ɔ brawn urine. |
| Urin we gɛt fom (proteinuria) . | Mɔ urine we gɛt fom pas aw i kin bi. dis kin sho se di protin de insay di urine. |
| Bɔn ɔ pen we yu de pis (dysuria) . | Bɔn ɛn pen we yu de pis. |
| Nid fɔ pis bɔku tɛm | Fɔ fil se yu nid fɔ pis bɔku tɛm pas aw yu kin pis. |
| Di bɔdi we de swel (ɛdima) . | Swel, mɔ na di leg, anklɛ, ɛn an. |
| Fɔ fil taya pasmak (taya) . | Fɔ fil taya pasmak fɔ natin, ivin afta yu dɔn slip fayn. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit ivin if yu bɛlɛ nɔ at. |
Wetin na di kayn tɛst dɛm we dɛn kin du pan di kidni dɛm?
Tu men kayn tɛst de fɔ chɛk aw di kidni de wok: blɔd tɛst ɛn urine tɛst.
Tɛst fɔ Blɔd
- Serum Creatinine: Creatinine na west prodak we dɛn kin mek we wi mɔsul dɛn de wok. di kidni dεm we gεt hεlth filta dis kriaytinin frכm di bכdi εn kכmכt na di urine. We di kidni dɛn nɔ de wok fayn, di lɛvɛl we di kriaytinin de na di blɔd kin go ɔp. So dis tɛst de sho ɔmɔs kriaytinin de na di blɔd.
- Blɔd Yuria Naytrɔjen (BUN): We wi it tin dɛn we gɛt bɔku prɔtin, wan west we gɛt naytrɔjen kin mek we dɛn de digest. Dɛn kɔl am yuria. dis yuria de filta am bak εn di kidni dεm de pul am. if di kidni dεm nכ de wok fayn, di yuria lεvεl na di bכdi de go כp.
- GFR we dɛn ɛstimat (eGFR): .Bɔku tɛm dis na di men tin we dɛn kin yuz fɔ no aw di kidni de wok. GFR tinap fɔ Glomerular Filtreshɔn Rɛt. Dat min se, ɔmɔs blɔd yu kidni dɛn de filta fɔ wan minit. Bikɔs i at fɔ mɛzhɔ dis dairekt wan, dɛn kin kɔl am bay we dɛn de yuz tin dɛn lɛk yu blɔd kriaytinin lɛvɛl, yu ej, ɛn man ɔ uman. Dɛn kɔl dat eGFR.
Tɛst dɛn fɔ Yurin
- Urinalysis: Dis na jenɛral urine test. Dɛn kin chɛk yu urine sampul fɔ tin dɛn lɛk blɔd, prɔtin, ɛn shuga. I de chɛk bak fɔ tin dɛn lɛk di asid we de na yu urine.
- Microalbuminuria: Dis na spɛshal tɛst fɔ urine. i de luk fכ rili sכm sכm spεshal protin we dεn kכl albumin insay di urine. dis protin nכ de filta bay di kidni dεm we gεt hεlth. di prεsεns fכ albumin na di urine kin bi wan fכs sayn fכ se di kidni dεm dכn bigin fכ pwεl.
- 24-awa Urine Collection Test: Sɔntɛnde yu dɔktɔ kin aks yu fɔ gɛda ɔl di urine we yu pas ɔl di de ɛn tɛst am. Dis kin ɛp yu fɔ si ɔmɔs dɔti yu kidni dɛn de pul ɛvride.
Aw yu kin rɛdi fɔ dɛn tɛst dɛn ya?
Di we aw yu de pripia kin difrɛn smɔl dipen pan di tɛst we yu de tek.
Fɔ mek dɛn du blɔd tɛst:
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo di tɛst. Yu dɔktɔ ɔ lab go advays yu bɔt dis.
- If di skin na yu an dray, i fayn fɔ put mɔstizayza di de bifo di tɛst. Dis go mek am izi fɔ di pɔsin we de tek di blɔd fɔ fɛn vein.
- If yu de fred nidul, tɛl di pɔsin we de tek yu blɔd bifo tɛm. Dɛn go ɛp fɔ mek yu at kol.
Fɔ mek dɛn du wan tɛst fɔ yu urine:
- Bɔku tɛm, dɛn nɔ nid spɛshal prɛparashɔn fɔ tɛst di urine. Bɔt i fayn fɔ drink wan glas wata bifo yu du di tɛst. Dis go mek am izi fɔ gi di urine sampul we dɛn nid.
- If yu na uman ɛn yu de tek di tɛst pan de we yu de gɛt mɔnt, tɛl yu dɔktɔ ɔ lab bɔt am, bikɔs di blɔd we yu de gɛt we yu de gɛt mɔnt kin afɛkt di rizɔlt fɔ di ripɔt.
Afta di test... aw yu andastan di ripot?
We yu gɛt yu tɛst ripɔt, nɔ fred di nɔmba dɛn we de pan am. Yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen wetin dɛn min fɔ yu. Bɔt in jɔnal, tu men tin dɛn de we yu fɔ luk fɔ.
1. Estimated Glomerular Filtreshɔn Rεt (eGFR) .
dis na di filtration rεt fכ di kidni dεm. Wan big pɔsin we gɛt wɛlbɔdi gɛt eGFR we na 100 ɔ mɔ.
- eGFR valyu bitwin 60 ɛn 100:Dis min se pan ɔl we di kidni dɛn dɔn gɛt sɔm damej, dɛn stil de wok fayn.
- eGFR valyu dεn dכn 60: Dis kin sho se yu gεt Krכnik Kidni Disiz (CKD).
Impɔtant: Ivin if yu nɔ gɛt ɛni sik, yu eGFR go naturally go dɔŋ smɔl as yu de ol.
| Di Ej Rɛnj | Avrej eGFR |
|---|---|
| 20-29 ia ol | 116. Na di 116 |
| 30-39 ia ol | 107. Di wan dɛn we de wok |
| 40-49 ia ol | 99. Na di 99 |
| 50-59 ia ol | 93. Na di 93 |
| 60-69 ia ol | 85. Na di 85 |
| 70+ ia | 75. Na di 75 |
2. Yurin Albumin-Kriatinin Rεshכn (uACR) .
dis de mכsu aw mכch albumin (wan kayn protin) de na yu urine.
- Nɔmal valyu: less dan 30 mg/g.
- Risk valyu: If yu valyu 300 mg/g ɔ pas dat, dat de sho se yu gɛt ay risk fɔ mek yu kidni nɔ wok fayn.
Wetin fɔ du if di rizɔlt fɔ di ripɔt sho se pɔsin gɛt sik na in kidni kwik kwik wan?
Fɔs, nɔ panik. If yu ripɔt rizɔlt sho se yu gɛt di sik na yu kidni we dɔn bigin, yu dɔktɔ go ɛksplen di nɛks tin dɛn we yu fɔ du.
- Dɛn kin gi yu mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn.
- Dɛn kin sɛn yu to dɔktɔ we spɛshal pan sik dɛn na yu kidni, ɔ dɔktɔ we de mɛn yu kidni .
- Dɛn kin aks yu fɔ du tɛst ɔltɛm fɔ wach aw yu kidni dɛn de.
- Dɛn kin advays yu bak fɔ chenj di it dɛn we yu de it.
Wan tin we yu fɔ mɛmba: If yu drink bɔku wata nɔmɔ, dat nɔ go mek yu kidni pwɛl. If yu drink bɔku wata bifo yu du tɛst, dat kin mek yu kriaytinin lɛvɛl go dɔŋ fɔ sɔm tɛm, bɔt i nɔ go mɛn di sik. So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- Kidni Fɔnkshɔn Tɛst na simpul, bɔt rili impɔtant tɛst we kin ɛp yu fɔ no if yu kidni gɛt wɛlbɔdi.
- If yu gɛt dayabitis ɛn ay blɔd prɛshɔn, i rili impɔtant fɔ mek yu du dɛn tɛst ya wan wan tɛm, lɛk aw yu dɔktɔ advays yu.
- Nɔr ignore sɔm sayn dɛm lɛk chenj na yu urine, swel, ɛn taya we nɔr kɔmɔn.
- Ɔltɛm tɔk bɔt di rizɔlt fɔ yu tɛst ripɔt wit yu dɔktɔ. Nɔr kin disayd fɔ yu yone bɔt yu sik bay wae yu de si tin wae de na di intanɛt.
- If dɛn no se sik na di kidni we i bigin, dɛn kin kɔntrol am wit di rayt tritmɛnt ɛn chenj dɛn layf.
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