Wi go tɔk bɔt Acute Tubular Necrosis, we kin afɛkt di kidni dɛm?

Di kidni na wan pan di impɔtant pat dɛn na wi bɔdi. Lɛk filta, di men wok we di kidni dɛn de du na fɔ klin wi blɔd ɛn pul tin dɛn we wi nɔ want lɛk urine. Bɔt sɔntɛnde, dɛn kidni ya kin pwɛl. Acute Tubular Necrosis (ATN) na wan sik we de afɛkt di kidni dɛm ɛn i kin rili siriɔs. Lɛ wi tɔk bɔt dis insay simpul wɔd dɛn tide.

Wetin na Akyu Tubular Nɛkrɔsis?

Fɔ tɔk am simpul wan, Acute Tubular Necrosis na we wi kidni dɛn de pwɛl bikɔs wi nɔ de gɛt inof ɔksijɛn ɛn blɔd we de flɔ. Insay wi kidni dɛn, smɔl smɔl tin dɛn de we tan lɛk tiub, we wi kin kɔl tubul . lεk filta, na dεn tכbul dεm ya de filta di west prodak dεm εn εkstra wata we de na wi bכdi εn kכmכt lεk urine. so, insay dis kכndishכn we dεn kכl ATN, na dεn tכbul dεm de dεm we dεn dכn pwεl.

Imajin se if di smɔl filta tin dɛn we de na wata filta klos ɔ brok, di wata nɔ go klin fayn, nɔto so? Na so i bi wit dis. we dεn tכbul dεm ya dεn dכn pwεl, di kidni dεm nכ de wok fayn. afta dat, di ilektrolayt dεm (i.e. sכlt dεm lεk sכdiכm εn potashכm) εn di wata we de insay wi bכdi de bigin fכ kכlכm insay di bכdi insted fכ go na do. Sɔntɛnde, dɛn tin ya kin bɔku te dɛn rich di say dɛn we denja. Dis kin ivin mek di kidni dɛn nɔ wok fayn , we na wan sik we di kidni dɛn kin stɔp fɔ wok wantɛm wantɛm.

Wetin mek dis tin kin apin?

Okay, naw yu gɛt kwɛstyɔn bɔt wetin mek dis kɔndishɔn we dɛn kɔl ATN kin apin. Bɔku rizin dɛn kin de.

Di men rizin dɛn:

di kכmכn kכz dεm na di kes dεm we di כksijεn we de rich di kidni dεm de dכn.

• If yu gɛt at atak , di blɔd we de flɔ to di kidni kin go dɔŋ bikɔs di at nɔ de pɔmp blɔd fayn fayn wan.
• Na di sem tin we pɔsin kin gɛt we i gɛt strok . Dis tεm, di bכdi fכ fכlכ na di bren εn di kidni dεm kin bכku.

We dɛn kayn tin ya kin apin, di sɛl dɛn we de na di kidni nɔ kin gɛt di ɔksijɛn we dɛn nid ɛn dɛn kin bigin fɔ day. Na so di tubules we wi bin dɔn tɔk bɔt kin pwɛl.

Bikɔs ɔf di kemikal dɛn:

Sɔm kemikal dɛn kin pwɛl dɛn tubul ya bak.

• Fɔ ɛgzampul, di kɔntrast day we dɛn kin yuz fɔ du sɔm ɛkstrem rayt tɛst dɛn . Yu go dɔn si se sɔntɛnde dɛn kin gi yu injɛkshɔn bifo dɛn du sɔntin lɛk CT skan? Tin dɛn lɛk dat.
• Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin nɔ fil fayn .
• Sɔm antibayɔtik , mɔ if yu nɔ yuz am di rayt we we yu nɔ gɛt dɔktɔ advays.
• Ɔda kemikal dɛn we gɛt pɔyzinBrid dɛn kin mek dis apin bak.

Na dat mek dɔktɔ dɛn kin tek tɛm tink bɔt aw yu kidni dɛn de bifo dɛn gi yu ɛni mɛrɛsin ɔ du ɛni tɛst.

Udat de pan big risk fɔ gɛt dis?

Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik smɔl.

• Pipul dɛn we dɔn ridyus ɔ blok blɔd flɔ to di kidni dɛn kpatakpata, fɔ ɛgzampul, bikɔs blɔd de klɔt .
• Fɔ di wan dɛn we dɔn gɛt rili lɔw blɔd prɛshɔn fɔ lɔng tɛm, ɔ fɔ di wan dɛn we dɔn gɛt shɔk .
• If bɔku blɔd lɔs we dɛn de du big ɔpreshɔn , ɔ if bɔku blɔd lɔs na di bɔdi bikɔs ɔf bad bad injuri (trauma) .
• Di mɔsul dɛn we kin pwɛl bad bad wan . Sɔntɛnde, i kin bad lɛk big aksidɛnt.
• Dis risk kin pasmak bak fɔ pipul dɛm wae gɛt liva sik .

If yu gɛt kɔndishɔn lɛk dis, i rili impɔtant fɔ tek spɛshal kia fɔ yu kidni.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm fɔ ATN nɔ kin apin wantɛm wantɛm, bɔt dɛn kin bigin fɔ bi:

• Di urine we yu de pul dɔn ridyus bad bad wan: Yu go notis se di urine we yu de pas fɔ wan de dɔn go dɔŋ.
• Swel ɛn wata we de kɔntinyu fɔ de: di say dɛn lɛk di leg, di an, ɛn di fes kin swel bikɔs di wata we pasmak de gɛda na di bɔdi.
• Nɔs ɛn vɔmit: I kin apin we yu nɔ want fɔ it ɛn fil lɛk se yu de vɔmit.
• Trobul fɔ wek/drɔw: Yu kin jɔs fil groggy, slip ɔltɛm.
• Fɔ fil se yu nɔ de du natin: Na fɔ fil se yu taya, yu nɔ gɛt intres fɔ du ɛnitin.
• Kɔnfyushɔn: I nɔ kin izi fɔ mek yu pe atɛnshɔn, yu kin fil lɛk yu at pwɛl smɔl.

Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn sik ya, mɔ if yu nɔ de pis bɛtɛ, go to dɔktɔ wantɛm wantɛm, bikɔs dis kin bi prɔblɛm wit yu kidni.

Aw yu kin fɛn dis?

If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, ɛn yu dɔktɔ sɔspɛkt se yu gɛt ATN, dɛn kin du sɔm tɛst fɔ kɔnfirm am.

Wetin na di tɛst dɛn?

• Blɔd tɛst: Dis kin luk mɔ pan di bɔku dɔti tin dɛn we de na yu blɔd.
• Blɔd Yuria Naytrɔjen (BUN) lɛvɛl.
• Kriatinin lɛvɛl.
• כlso, di εlektrolayt lεvεl, spεshal wan di plasma potashכ m lεvεl.

If dɛn tin ya de na di blɔd pasmak, dat min se di kidni dɛn nɔ de wok fayn.

• Yurin tɛst: Dɛn kin tek wan sɛmpul pan yu urine ɛn chɛk am ɔnda maykroskɔp ( maykroskɔpik ɛgzamin fɔ yu urine ). Dis kin gi sɔm aidia bɔt di damej pan yu kidni dɛm.

• Kidni Bayopsi: Sɔntɛnde, mɔ if dɛn nɔ shɔ bɔt di sik, dɛn kin tek smɔl pat pan di kidni fɔ ɛgzamin. Dɛn kɔl dis bayɔpsi .

Bɔku tɛm, na wan dɔktɔ we de stɔdi bɔt pɔsin in kidni , we na dɔktɔ we spɛshal pan sik dɛn na in kidni, kin no se i gɛt ATN. I go rivyu yu sayn dɛm ɛn di tɛst rizɔlt fɔ no ustɛm wetin de apin.

Aw dɛn kin trit dis?

We yu de trit ATN, di tin we impɔtant pas ɔl na fɔ trit di ɔndalayn kɔz . Dat min se, if na bikɔs ɔf at atak, trit am, if na bikɔs blɔd prɛshɔn smɔl, ɔ if na bikɔs ɔf mɛrɛsin, stɔp fɔ tek da mɛrɛsin de.

Di bɛsis tritmɛnt ɛn di chenj dɛn we dɛn kin chenj dɛn layf:

• Fɔ alaw di kidni fɔ wɛl: Bɔku tɛm, di kidni dɛn kin wɛl fɔ dɛnsɛf te to sɔm mak, bɔt i kin tek sɔm tɛm.
• Di it: Insay dis tɛm, yu dɔktɔ go tɛl yu fɔ fala sɔm tin dɛn we yu fɔ it.
• Fɔ stɔp fɔ drink wata: Yu go nid fɔ stɔp di wata, ti, kɔfi, ɛn sup we yu de drink.
• Limit sodium (salt): Ridyus di amount of salt we yu de ad to yu it.
• Potassium restriction: Limit it dɛn we gɛt bɔku potassium (banana, ɔrɛnj, sɔm vɛjitebul).

dis dεn kin du fכ stכp dεn tin ya fכ kכmכt na di bכdi we nכ nid te di kidni dεm hεl.

• Di mɛrɛsin dɛn we dɛn kin yuz:
• Diuretics: Na mɛrɛsin dɛn we de mek yu urine kɔmɔt mɔ. Dɛn tin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi.
• Mεdikeshכn dεm we de kכntrכl potashכm: Dεn kin gi mεdikeshכn bak fכ kכntrכl di potashכm lεvεl na di bכdi.

Yu tink se i go nid fɔ du dayalaysis?

Sɔm pipul dɛn kin nid fɔ gɛt dayalaysis te dɛn kidni dɛn bɛtɛ. Dayalaysis na mashin we de klin di blɔd we kɔmɔt na di kidni dɛn wit atifishal wan. Dis kin bi fɔ sɔm tɛm ɛn dɛn kin stɔp am wans di kidni dɛn dɔn kam bak to nɔmal.

Yu tink se dɛn go ebul fɔ stɔp dis?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp ATN ɔltogɛda, tin dɛn de we wi kin du fɔ ridyus di chans fɔ mek i apin.

• Fɔ mek yu kidni dɛn gɛt ɔksijɛn fayn ɛn fɔ mek di blɔd go ɔlsay: Dis na di tin we impɔtant pas ɔl. Dat min se yu fɔ kɔntrol tin dɛn lɛk yu blɔd prɛshɔn ɛn yu at sik.
• If yu de du tɛst we de yuz kɔntrast day: Drink bɔku wata bifo ɛn afta dis kayn tɛst. Dis kin ɛp fɔ mek di day kɔmɔt na yu kidni kwik kwik wan.
• Bifo dɛn gi yu blɔd: Mek shɔ se yu blɔd tayp krɔs .
• Fɔ kɔntrol sik dɛm wae kin pwɛl di kidni dɛm:
• Di ay blɔd prɛshɔn
• Dayabitis we dɛn kɔl dayabitis
• Liva sik
• At sik

If yu gɛt ɛni wan pan dɛn sik ya, kɔntrol am fayn fayn wan akɔdin to di advays we dɔktɔ gi yu.

• Tek tɛm wit mɛrɛsin dɛn we de mek yu fil pen: Nɔ yuz mɛrɛsin dɛn we yu kin bay we yu de sɛl pen, lɛk ibuprofen ɛn naproxen sodium , bɔku tɛm ɛn yu nɔ go gi yu dɔktɔ advays. Dis impɔtant mɔ if yu dɔn ɔlrɛdi gɛt prɔblɛm wit yu kidni.

Aw lɔng i go tek fɔ mek yu wɛl frɔm dis sik?

Akyu tubular necrosis kin las frɔm sɔm dez to sɔm wiks.

• pan pɔrsin wae gɛt wɛl bɔdi, dis sik kin kam bak , we min se di kidni dɛn kin bigin fɔ wok fayn fayn wan bak.
• Bɔt fɔ pɔsin we gɛt ɔda wɛlbɔdi prɔblɛm, lɛk dayabitis ɔ at sik, di tɛm fɔ wɛl kin lɔng. Sɔntɛnde, di kidni dɛn nɔ kin wɛl, ɛn dis kin lɛf sɔm wikɛdnɛs.

Na dat mek i rili impɔtant fɔ no di sayn dɛm ɛn go to dɔktɔ kwik kwik wan. Dis go mek di kidni dɛn nɔ pwɛl bɛtɛ ɛn i go mek di chans fɔ mek i wɛl kwik kwik wan.

Mɛsej we dɛn kin kɛr go na os

Okay, so a op se yu naw geht gud aidia boht di Acute Tubular Necrosis we wi bin tok boht tide.

• ATN na wan kכndyushכn we di tכbul dεm na di kidni dεm de pwεl bikoz di bכdi εn כksijεn nכ de na di kidni dεm.
• At atak, strok, sɔm mɛrɛsin, ɛn kemikal kin mek dis kayn tin apin.
• Di sayn dɛm kin bi wae yu nɔr de pis fayn, yu kin swel, yu nɔr kin fil fayn, ɛn yu kin slip.
• Dɛn kin no dis tru blɔd ɛn urine tɛst.
• Di tritmɛnt inklud fɔ trit di ɔndalayn kɔz, kɔntrol di it, ɛn du dayalaysis if nid de.
• If yu liv layf we fayn fɔ yu kidni ɛn fɔ mɛn yu sik dɛn we nɔ de mɛn, dat kin ɛp fɔ mek yu nɔ gɛt dis.

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu notis ɛnitin we nɔ kɔmɔn bɔt yu kidni (espɛshali we di urine we de kɔmɔt na yu urine dɔn go dɔŋ). Dis we ya, yu kin trit am bifo i bi big prɔblɛm.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Kidni, akyu tubular nεkrכsis, kidni sik, kidni fεil, blכd prεshכn, כksijεn, dayalaysis, urine