Udat na dɔktɔ we de mɛn di bɔdi? Yu nid fɔ kia fɔ yu kidni dɛn?

Yu dɔn ɛva yɛri bɔt ‘ Nephrologist ’? Sɔntɛm yu dɔktɔ dɔn rifer yu to wan. Ɔ sɔntɛm yu jɔs de wɔri smɔl bɔt wan prɔblɛm wit yu kidni. Tide, lɛ wi tɔk bɔt udat na nefrɔlɔjis, wetin dɛn de du, ɛn ustɛm yu fɔ si dɛn.

Udat rili na nefrɔlɔjis?

Fɔ tɔk am simpul wan, nefrɔlɔjis na dɔktɔ we spɛshal pan kidni sik dɛn ɛn aw fɔ trit dɛn. As yu no, di kidni dɛm na wi bɔdi na pat pan wi urinary system. Dɛn tan lɛk tu ɔgan dɛn we tan lɛk bin. Dɛn kin filta wi blɔd ɛn pul dɔti tin dɛn, wata we pasmak, ɛn ilɛktrɔlayt dɛn as urine. So di wɛlbɔdi fɔ dɛn kidni ya rili impɔtant.

Udat na Pediatric Nephrologist?

Dɔn, ivin smɔl pikin dɛn kin gɛt prɔblɛm wit dɛn kidni. Pikin dɛn nefrɔlɔjis na dɔktɔ we spɛshal fɔ trit kidni sik ɛn dɛn tritmɛnt to ɔlman frɔm nyu bɔbɔ to yɔŋ pikin ɛn yɔŋ big pipul. Dɛn no bak aw dɛn prɔblɛm ya kin afɛkt yɔŋ pikin dɛn we dɛn de gro.

Wetin dɔktɔ we de mɛn di bɔdi kin du?

Okay, naw mek wi luk wetin ekzakli nefrologist de du. Dɛn kin mɔs no ɛn trit tin dɛn lɛk kidni sik ɛn kidni we nɔ de wok fayn . Nɔto dat nɔmɔ, dɛn no bak gud gud wan aw kidni sik kin afɛkt ɔda pat dɛn na di bɔdi. Fɔ ɛgzampul:

• Autoimyun Diseases: Sɔntɛnde, wi bɔdi in yon imyun sistɛm kin pwɛl wi kidni.
• Di sik we de kam pan di at ɛn di blɔd: Prɔblɛm wit di kidni kin afɛkt di at, ɛn di prɔblɛm wit di at kin afɛkt di kidni. Strɔng kɔnekshɔn de bitwin dɛn tu.
• Ay blɔd prɛshɔn (Hypertension): Ay blɔd prɛshɔn nɔr fayn fɔ di kidni dɛm, ɛn kidni sik kin mek yu gɛt ay blɔd prɛshɔn bak.

Aw yu fɔ wok tranga wan fɔ bi nefrɔlɔjis?

Yu tink se fɔ bi nefrɔlɔjis izi? Atɔl! Na wan lɔng, dediket joyn. Jɔs tink bɔt aw dɛn gɛt fɔ lan:

• Fɔs, fɔ 4 ia fɔ go na kɔleji.
• Dɔn yu fɔ stɔdi fɔ 4 ia na mɛdikal skul.
• I nɔ de dɔn de. Dɛn fɔ gɛt tri ia trenin fɔ de na di say we dɛn de liv. Insay dis, dɛn kin gɛt spɛshal trenin pan Intanɛt Mɛdisin ɔ Pikin dɛn.
• afta dat, yu nid fכ du tu כ tri ia spεshal trenin pan kidni sik dεm, dat na ``Fεloship.`` Dis na di pat we dip pas כl pan nεfrכlכji.
• Sɔm kin gɛt ɔda ia fɔ tren fɔ spɛshal pan ɔl tu di kidni transplant (Transplant Nephrology) ɔ intavɛnshɔn we gɛt fɔ du wit kidni sik (Interventional Nephrology).
• Fɔ dɔn, na Sri Lanka, dɛn nid fɔ rɛjista wit di Sri Lanka Mɛdikal Kaɔnsil, ɛn na ɔda kɔntri dɛn, dɛn nid spɛshal sɛtifiket (Bɔd Sɛtifiket) frɔm bɔd dɛn we dɛn no na dɛn kɔntri dɛn de.

Yu si, dis na big big kɔmitmɛnt! Na dat mek dɛn gɛt dis kayn dip no bɔt kidni.

Wetin na Transplant Nɛfrɔlɔji ɛn Intɛrvɛnshɔnal Nɛfrɔlɔji?

Wi bin dɔn tɔk bifo tɛm bɔt ɔda spɛshal trenin we dɛn kɔl `( Transplant Nephrology)` ɛn `(Interventional Nephrology)`. Lɛ wi tek wan luk pan wetin dɛn bi.

• Transplant Nɛfrɔlɔji na spɛshal wok we de tɔk bɔt kidni ɛn pankrias transplant, ɛn bak fɔ kia fɔ di wan dɛn we dɔn gɛt dɛn transplant ya. Dis min se afta dɛn dɔn transplant di kidni, na dɛn wok fɔ gi advays bɔt di mɛrɛsin dɛn we dɛn nid fɔ mek i wok fayn te i go insay di bɔdi fayn fayn wan.
• Intεrvεnshכnal Nεfrכlכji na spεshal wok we spεshal fכ mek εn mεnten akses to blכd vεsul dεm, spεshal fכ dayalysis (bכdi kכlin). Dɛn kin du bak di kidni bayɔpsi, we na smɔl smɔl tisu dɛn we dɛn tek frɔm di kidni. Dɛn tren gud gud wan fɔ:
• fכ put εn pul kateshכn dεm (dεn na sכft, olo tכb dεm we dεn kin yuz fכ put wata insay εn kכmכt na di bכdi).
• Fɔ put stent (dɛn na plastic tiub dɛn we dɛn kin put insay di blɔd vesel fɔ mek dɛn kɔntinyu fɔ opin).
• Fɔ pul di blɔd we de klɔt.
• fistulogram (dis de chεk fכ abnכmal kכnεkshכn na di kidni, i.e. fistula).
• Fɔ du di kidni bayɔpsi.

Wetin na di kɔmɔn tin dɛm we dɔktɔ we de mɛn di bɔdi kin trit?

Us kayn sik dɛn we dɔktɔ we de mɛn di bɔdi kin trit? Na sɔm pan de sik dɛm wae dɛn kin trit:

• Dayabitik Kidni Disease ɛn ɔda kidni sik dɛm wae kin kam wit dayabitis. Dayabitis na big ɛnimi fɔ di kidni dɛm.
• Di ay blɔd prɛshɔn.
• Kidni we nɔ de wok fayn.
• Sistik Kidni Sik we pɔsin kin gɛt.
• Kidni ston dɛn. Bɔku pipul dɛn dɔn yɛri bɔt dis.
• Nɛfrɔtik Sindrom.
• End-stej rεnal sik.
• Ɛmolaytik Yuremik Sindrom.
• Infεkshכn dεm na di Urinary Tract (UTIs).
• Infεkshכn dεm na di Kidni.
• hayponatremia (dεn sכdiכm lεvεl dεm lכw na di bכdi) εn כda εlektrolayt imbalans dεm.
• Tɔxik Ɔvados we nid fɔ dayalaysis.
• Glomerulonephritis (GN): Dis na we di smɔl smɔl filta yunit dɛn na di kidni dɛn kin inflam.

Us tɛst ɛn tin dɛn we dɔktɔ we de mɛn di bɔdi kin du?

Us tɛst ɛn tin dɛn we dɔktɔ we de mɛn di bɔdi kin yuz fɔ no ɛn trit sik dɛn?

• Difrɛn tɛst dɛn we dɛn kin du fɔ tek pikchɔ: Dɛn wan ya na ɛkstrem rayt, CT skan, ɛn ɔltra saund. Dɛn tin ya kin ɛp fɔ si di shep, saiz, ɛn di tɔŋ dɛn we de na di kidni dɛn.
• Kidni Fכnshכn Tεst: Dis na tεst dεm we de tεl yu εksεkεkt aw yu kidni dεm de wok fayn. Dɛn tin ya na fɔ tɛst blɔd ɛn fɔ tɛst yu urine.
• Dayalaysis: As wi bin dɔn tɔk, if yu kidni nɔ de wok fayn, dayalaysis mashin kin du di wok fɔ yu. Dis kin min se mashin kin tek yu blɔd, filta di dɔti tin dɛn ɛn di wata we pasmak, dɔn i kin gi di blɔd we dɛn dɔn klin bak to yu bɔdi.
• Kidni Bayopsi: Insay dis, di nefrɔlɔjis kin tek wan rili smɔl tisu frɔm yu kidni ɛn sɛn am to di lab. Dis kin rili ɛp fɔ no if pɔsin gɛt sik na in kidni.
• Kidni Transplant Keya: We yu gɛt kidni transplant, transplant ɔspitul dɔktɔ go put wɛlbɔdi kidni (frɔm pɔsin we gi yu) na yu bɛlɛ. Bɔku tɛm, yu yon kidni we nɔ de wok fayn go de na yu bɔdi. Wan dɔktɔ we de mɛn yu bɔdi go wok wit yu dɔktɔ fɔ ɛp yu fɔ rɛdi fɔ di ɔpreshɔn ɛn gi yu di kia we yu nid we yu de wɛl.

Wetin na di difrɛns bitwin Nɛfrɔlɔjis ɛn Yurolɔjis?

Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. Wetin na di difrɛns bitwin nefrɔlɔjis ɛn urolɔg? Dis kɔnfyushɔn de bikɔs di wok we dɛn ɔl tu de du gɛt sɔntin fɔ du wit dɛnsɛf.

Fɔ tɔk am simpul wan, wan dɔktɔ we de mɛn di kidni dɛn we de mɛn di kidni dɛn, spɛshal pan tin dɛn we kin afɛkt di kidni dɛn.If yu gɛt prɔblɛm we de afɛkt yu kidni ɔ yu kidni fɔ wok, di bɛst dɔktɔ fɔ yu na nefrɔlɔjis.

Yurolɔjis na dɔktɔ we de no ɛn trit sik dɛn we de afɛkt di urinary system. Yu urinary system inklud yu blad, urethra, ureter, ɛn kidni. Dɛn spɛshal bak pan di sayn dɛm, di kɔndishɔn dɛm, ɛn di tritmɛnt dɛm fɔ di man ɛn uman riprodaktiv sistɛm. If yu gɛt prɔblɛm wit yu urinary system ɔ reproductive system, yu fɔ go to urologist.

Wan ɔda impɔtant difrɛns na dat di wan dɛn we de mɛn yu urolɔg gɛt trenin fɔ ɔpreshɔn. Dɛn kin jɔs put an pan prɔblɛm dɛn na di kidni we dɛn nid fɔ du ɔpreshɔn, lɛk kansa na di kidni ɔ di ston na di kidni. Nefrɔlɔjis dɛn nɔ kin du ɔpreshɔn. Dɛn kin trit di kidni wit mɛrɛsin ɛn ɔda we dɛn.

Ustɛm a fɔ go to dɔktɔ we de mɛn di nefrɔlɔjis?

Okay, naw yu go mɔs de wɔnda se, ‘Ustɛm a fɔ go to dɔktɔ we de mɛn mi bɔdi?’ If yu gɛt ɛni wan pan di sayn dɛm fɔ kidni sik, yu fɔ rili go to dɔktɔ we de mɛn yu kidni. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:

• Bayolojikal Famili Istri bɔt Kidni Disease: If yu fambul na yu blɔd dɔn gɛt kidni sik, yu kin gɛt mɔ risk. Nefrɔlɔjis kin ɛp fɔ mek yu nɔ gɛt sik na yu kidni ɔ fɔ no ɛn trit am kwik kwik wan.
• Dayabitis: Dayabitis kin pwɛl di kidni dɛm. If yu gɛt dayabitis, yu kin gɛt bɔku prɔblɛm wit yu kidni.
• Blɔd Prɛshɔn: Ay blɔd prɛshɔn kin pwɛl di kidni dɛn bak. As yu no, di kidni dɛn kin yuz blɔd vesel fɔ filta blɔd. We di prɛshɔn go ɔp, di we aw dɛn blɔd vesel ya kin ebul fɔ chenj kin go dɔŋ, ɛn dis kin mek di blɔd ɛn ɔksijɛn nɔ rich di kidni dɛn nɔ bɔku. Dis kin mek di kidni nɔ wok fayn.
• Chenj we yu de pis: If yu notis ɛni chenj na yu urine ɔ di we aw yu de pis, dat kin bi sayn fɔ sik na yu kidni. Fɔ ɛgzampul, yu kin nid fɔ pis bɔku tɛm, pas smɔl urine, yu urine kin tan lɛk fɔm, ɔ yu urine kin gɛt dak kɔlɔ.
• Bren Fɔg: Dis kin bi sayn bak fɔ gɛt sik na di kidni. Nɔto mɛrɛsin, bɔt dɔktɔ dɛn kin yuz dis wɔd fɔ tɔk bɔt tin dɛn lɛk fɔ tink sloslo ɛn fɔ fil se yu nɔ de pe atɛnshɔn. If yu si se yu de kɔnfyus, fɔgɛt, ɔ yu gɛt prɔblɛm fɔ pe atɛnshɔn, no bɔt dat bak.

Wetin kin apin di fɔs de we yu go to dɔktɔ we de mɛn yu nɛf?

Wetin kin apin di fɔs de we yu go to dɔktɔ we de mɛn yu nɛf? Na dis na wetin kin apin:

• Na yu yonWe yu de luk ɔl di ol mɛdikal rɛkɔd dɛn.
• Fɔ aks bɔt yu sik dɛn .
• Dɛn kin du wan ɛgzam pan pɔsin in bɔdi .
• Dɛn kin ɔda tin dɛn lɛk blɔd tɛst, urine tɛst, ɛn imej tɛst .

Aw yu kin rɛdi fɔ go to dɔktɔ we de mɛn yu nɛf?

I rili impɔtant fɔ rɛdi fɔ yu fɔs de fɔ go to dɔktɔ we de mɛn yu nɛf. Na sɔm tin dɛn we yu kin du:

• If ɛni fɔm de we dɛn aks yu fɔ fil bifo yu go to dɔktɔ, fil am.
• Rayt sɔm kwɛstyɔn dɛn we yu tink se impɔtant pas ɔl fɔ tɔk bɔt wit di dɔktɔ ɛn tek dɛn wit yu pan wan ``List of Questions`` .
• If ɛni chenj dɔn apin to yu wɛlbɔdi dis biɛn tɛm, mɛmba dɛn.
• Kip wan rεkɔd fɔ ɔl yu simptom dɛm na wan ``Symptom Diary''. Rayt tin dɛm lɛk di de we de sik bigin, di tɛm, ɛn aw lɔng dɛn dɔn de.
• No yu famili mɛdikal istri . Dis infɔmeshɔn go ɛp yu dɔktɔ fɔ no if yu gɛt di sik.
• Wear fayn klos we izi fɔ wɛr . Tin dɛn lɛk T-shirt, shirt, skit, ɛn pant.
• Mek wan list fɔ di ɔpreshɔn dɛn we yu dɔn du .
• If yu gɛt tɛst rizɔlt frɔm ɔda dɔktɔ dɛn, tek dɛn kɔpi wit yu.
• Tek di nem ɛn fon nɔmba fɔ yu praymari dɔktɔ ɛn ɔda dɔktɔ dɛn we yu kin si bɔku tɛm .
• If yu de chɛk yu blɔd prɛshɔn na os, tek yu blɔd prɛshɔn monita wit yu.
• Kip wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek naw . Put di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu nɔ kin bay, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn.
• Tek yu inshɔrans kad dɛn wit yu.
• If i pɔsibul, kam wit yu padi ɔ yu fambul. Dɛn kin rayt not, ɛp yu fɔ aks kwɛstyɔn, mɛmba yu wetin di dɔktɔ se, ɛn ɛp yu fɔ mek tɛm fɔ du tɛst.
• Aks bak bɔt aw fɔ fala di apɔntinmɛnt dɛn .

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So, frɔm wetin wi dɔn tɔk bɔt tide, a op se yu gɛt gud aidia bɔt udat na nefrɔlɔjis, wetin dɛn de du, ɛn ustɛm yu fɔ si dɛn. Kidni dɛn nɔ de tɔk, bɔt na ɔgan dɛn we rili impɔtant na wi bɔdi. Na dat mek i rili impɔtant fɔ tek kia ɔf yu kidni wɛlbɔdi.

If yu gɛt ɛni saspek bɔt kidni sik, if yu gɛt sɔm sayn dɛn, ɔ if pɔsin na yu famili gɛt kidni sik, nɔ shem fɔ go to dɔktɔ. If nid de, go to dɔktɔ we de mɛn yu nɛf. Dɛn de de fɔ ɛp yu. If dɛn no wan sik kwik kwik wan, i kin izi fɔ trit am. Fɔ kia fɔ yu kidni dɛn de na yu an!

` Kidni, nefrɔlɔjis, kidni sik, dayalaysis, urinary system, ay blɔd prɛshɔn, dayabitis