Wi ɔl no se di kidni na rili impɔtant ɔgan dɛn we de filta dɔti tin dɛn we de kɔmɔt na wi bɔdi ɛn ɛp fɔ mek di wata ɛn sɔl dɛn we de na di bɔdi balans. Bɔt wetin kin apin if di blɔd we de go na dɛn kidni ya stɔp wantɛm wantɛm, ɔ if dɛn nɔ gɛt bɛtɛ ɔksijɛn? Tide wi de tɔk bɔt wan siriɔs tin we kin apin. Dɛn kɔl dis Acute Tubular Necrosis, ɔ ATN fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Akyu Tubular Nɛkrɔsis (ATN)?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul. Insay wi kidni, wi gɛt smɔl smɔl tin dɛn we tan lɛk tiub we de filta blɔd. wi kכl dεn ya ``tכbul dεm.'' di men wok we dεn tכbul ya de du na fכ filta west prodakt, wata we nכ nid, εn sכlt frכm wi bכdi εn kכmכt na di bכdi lεk urine.
Insay wan sik we dɛn kɔl Acute Tubular Necrosis, di blɔd ɛn ɔksijɛn we de rich na di kidni dɛn kin ridyus wantɛm wantɛm, ɛn dis kin mek dɛn smɔl smɔl tiub dɛn ya pwɛl ɛn di sɛl dɛn we de insay dɛn kin day. We dɛn tiub ya pwɛl, di kidni dɛn nɔ kin ebul fɔ du dɛn wok fayn fayn wan. Dis kin mek di dɔti tin dɛn, ɛkstra wata, ɛn sɔl dɛn gɛda na di bɔdi. Dis kin go bifo to akyu kidni failure .
Wetin na di men rizin dɛn we kin mek dis kayn tin apin?
Tink bɔt di kidni dɛn lɛk plant. Jɔs lɛk aw plant kin day if i nɔ gɛt wata, na so di kidni dɛn kin day bak we i nɔ gɛt blɔd ɛn ɔksijɛn. Tu men kayn tin dɛn de we kin mek pɔsin gɛt ATN.
1. Di blɔd we nɔ de flɔ na di kidni dɛn:
- Imejɛnsi, lɛk at atak ɔ strok, kin mek di bɔdi in blɔd prɛshɔn go dɔŋ wantɛm wantɛm, ɛn dis kin mek di blɔd we de flɔ to di kidni dɛn nɔ bɔku.
- Bikɔs ɔf bɔku bɔku blɔd we de kɔmɔt we dɛn de du big ɔpreshɔn ɔ we gɛt siriɔs aksidɛnt.
- Lɔw blɔd prɛshɔn bikɔs ɔf di wata we nɔ de na di bɔdi ɔ we i gɛt siriɔs infɛkshɔn (sepsis).
2. di tכxik tin dεm we de kam insay di kidni dεm:
- Kɔntrast day na day we dɛn kin put insay di bɔdi we dɛn de du sɔm tɛst dɛn lɛk ɛkstrem rayt ɔ CT skan.
- Sɔm antibayɔtik ɛn anɛstɛsia mɛrɛsin dɛn .
- Fɔ it ɔda pɔyzin kemikal dɛn.
dis tin dεm kin pwεl di dilik tכbul sistεm na di kidni dεm dairekt wan εn mek dεn nכ de wok fayn.
Udat de pan ay risk fɔ gɛt ATN?
Sɔm pipul dɛn kin gɛt dis sik pas ɔda pipul dɛn. Lɛ wi si udat dɛn bi.
| Risk factor | Wan simpul ɛksplen |
|---|---|
| Blɔd prɛshɔn we kin de dɔŋ fɔ lɔng tɛm | We blɔd prɛshɔn go dɔŋ (shɔk), di blɔd we de flɔ to impɔtant ɔgan dɛn, inklud di kidni dɛn, de go dɔŋ. |
| Big big ɔpreshɔn ɔ siriɔs aksidɛnt | If dis kayn tin apin, di bɔdi kin lɔs bɔku bɔku blɔd. |
| Ɔda sik dɛn we bin dɔn de bifo | Pipul wae gɛt liva sik , dayabitis , ɛn kidni sik wae bin dɔn de bifo kin gɛt bɔrku risk. |
| Blɔd we de klɔt | If blɔd klɔt lod na di blɔd vesel dɛn we de gi blɔd to di kidni dɛn, i kin blok blɔd flɔ ɛn mek i pwɛl. |
Wetin na di sayn dɛm fɔ dis?
Di sayn dɛm fɔ ATN kin kam wantɛm wantɛm. I impɔtant fɔ no bɔt dɛn tin ya.
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to dɔktɔ kwik kwik wan. Dis nɔto kɔndishɔn we wi fɔ ignore.
| Di sayn we de sho se di sik de | Wetin dat min? |
|---|---|
| Di urine we de kɔmɔt na di bɔdi dɔn go dɔŋ | di כmכnt כf urine we dεn de prodyuz fכ wan de de dכn bכku bכku wan. Sɔm pipul dɛn kin ivin stɔp fɔ pis ɔltogɛda. |
| Di bɔdi we de swel (Fluid retention) . | Bikɔs di kidni dɛn nɔ kin ebul fɔ pul ɛkstra wata, di leg, anklɛ, an, ɛn fes kin bigin fɔ swel. |
| Nɔs ɛn vɔmit | Di dɔti we kin gɛda na di bɔdi kin mek di bɛlɛ nɔ fil fayn ɛn i kin mek i vɔmit. |
| Slip pasmak ɛn kɔnfyushɔn na yu maynd | I nɔ kin izi fɔ wek, fɔ slip izi, ɛn kɔnfyushɔn kin apin. Dis na sayn dɛm wae kin kam wae pɔrsin gɛt pɔyzin pan di bren. |
Aw dɔktɔ kin no dis?
If yu gɛt dɛn sik ya, yu dɔktɔ go fɔs chɛk yu ɛn aks yu bɔt yu sik dɛn. Dɔn, dɛn go ɔda fɔ du sɔm tɛst fɔ no if dɛn dɔn no di sik. Bɔrku tɛm, wan dɔktɔ we de mɛn pipul dɛn na di kidni (dɔktɔ we spɛshal pan di sik we de na di kidni) go dip wan fɔ no bɔt dis sik.
- Blɔd tɛst: Dis kin mɔs chɛk di lɛvɛl dɛn we di dɔti tin dɛn we de na di blɔd de. dεn de chεk fכ hכy lεvεl fכ tin dεm lεk `Blood Urea Nitrogen (BUN)` εn `Creatinine` na di bכdi. If dɛn tin ya bɔku, dat kin sho se di kidni dɛn nɔ de wok fayn. dεn de chεk bak di lεvεl dεm fכ sכlt lεk `potassium` na di bכdi.
- Yurin tɛst: Dɛn kin tek wan sɛmpul pan yu urine ɛn chɛk am ɔnda maykroskɔp. insay ATN, yu kin si di pis dεm fכ di kidni tכbul dεm we dεn dכn pwεl na di urine.
- Kidni Bayopsi: Sɔntɛnde, if dɛn nɔ ebul fɔ no di rayt tin we mek di sik kam, dɛn kin pul wan rili smɔl tisu na di kidni ɛn chɛk am. Dis kin ɛp fɔ si ustɛm di damej dɔn apin to di kidni tubul dɛn.
Aw dɛn kin trit am?
Di men gol fɔ trit ATN na fɔ trit di ɔndalayn kɔz . Fɔ ɛgzampul, if na infekshɔn, dɛn gi am antibayɔtik, ɔ if na low blɔd prɛshɔn, dɛn kin briŋ am bak to nɔmal. Fɔ trit di ɔndalayn kɔz de gi di kidni dɛn chans fɔ wɛl dɛnsɛf.
Insay da tɛm de, du dɛn tin ya fɔ sɔpɔt yu bɔdi te yu kidni dɛn wɛl:
- Di it: Fɔ mek yu nɔ put bɔku strɛs pan di kidni dɛn, dɛn go tɛl yu fɔ stɔp fɔ it wata, sɔl (sɔdiɔm), ɛn it dɛn we gɛt potashɔm (lɛk banana ɛn ɔrɛnj) .
- Di mɛrɛsin dɛn: Dɛn kin gi yu diuretik fɔ ɛp fɔ pul di wata we pasmak na di bɔdi. Dɛn kin gi mɛrɛsin bak fɔ kɔntrol di potashɔm we de na di blɔd.
- Dayalaysis: If di kidni dɛn nɔ de wok fayn bad wan ɛn di dɔti tin dɛn dɔn gɛda te yu denja, yu kin nid fɔ du dayalaysis fɔ mek yu blɔd klin fɔ sɔm tɛm te yu kidni dɛn kam bak.
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku tɛm, pɔrsin wae gɛt wɛl bɔdi ɛn nɔr gɛt ɔda siriɔs sik kin wɛl insay sɔm dez ɔr wik. Bɔt, i kin tek smɔl tɛm fɔ lɛ pɔsin we gɛt ɔda sik dɛn we de mɛn am, wɛl.
Yu tink se dɛn go ebul fɔ avɔyd dis tin we de apin?
Pan ɔl we sɔntɛnde i nɔ kin izi fɔ mek pɔsin nɔ gɛt ATN, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis, ay blɔd prɛshɔn, at sik, ɔ liva sik , manej dɛn jɔs lɛk aw yu dɔktɔ tɛl yu .
- If yu de du tɛst we gɛt fɔ du wit kɔntrast day, drink bɔku wata bifo ɛn afta dat. Dis go ɛp di kidni dɛn fɔ pul di kemikal kɔmɔt na yu bɔdi kwik kwik wan.
- Nɔ tek ɔva-di-kɔnta anti-inflammatory mɛrɛsin lɛk ibuprofen ɛn naproxen we yu nɔ gɛt dɔktɔ advays, mɔ if yu dɔn ɔlrɛdi gɛt kidni sik. Dɛn tin ya kin pwɛl yu kidni dɛn.
- If dɛn de gi yu blɔd, mek shɔ se yu blɔd tayp krɔs-match.
Mɛsej we dɛn kin kɛr go na os
- Acute Tubular Necrosis (ATN) na siriɔs sik we kin mek di kidni dɛn pwɛl bikɔs di blɔd ɛn ɔksijɛn nɔ de flɔ to di kidni dɛn.
- Nɔr ignore sɔm sayn dɛm lɛk wae yu nɔr de pis fayn, yu de swel, yu de slip pasmak, ɛn yu de kɔnfyus. Go to dɔktɔ wantɛm wantɛm if yu notis dɛn tin ya.
- We yu de trit dis sik, i impɔtant fɔ trit di ɔndalayn kɔz. If dɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl.
- Fɔ kip sik dɛn we nɔ de mɛn lɛk dayabitis ɛn ay blɔd prɛshɔn ɔnda kɔntrol ɛn avɔyd fɔ yuz mɛrɛsin fɔ mɛn pen we yu nɔ gɛt dɔktɔ advays, dat kin ɛp fɔ protɛkt di kidni dɛm.
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