Sɔntɛnde wi kin fil lɛk se, ‘A nɔ drink bɛtɛ wata tide, na dat mek a jɔs pas smɔl urine.’ Bɔt yu dɔn ɛva gɛt wan de ɔ ivin sɔm awa usay yu nɔ bin de pis atɔl, ilɛksɛf yu drink ɔmɔs wata? Ɔ di mɔni we yu pas dɔn so smɔl dat yu nɔ ebul fɔ ivin imajin? Dis nɔto nɔmal tin. Tide wi go tɔk bɔt dis siriɔs mɛrɛsin we dɛn kɔl Anuria . Dis na imejensi, so i rili impɔtant fɔ no gud gud wan wetin fɔ du bɔt am.
Fɔ tɔk am simpul wan, wetin na Anuria?
Anuria na we yu kidni dεm stכp fכ prodyuz urine kכmplit wan. Ɔ, yu kin stɔp fɔ pas yu urine bikɔs yu dɔn blok sɔmsay na yu urinary system. Dis na di kayn sik wae kin pasmak pasmak wae dɛn kɔl Oliguria . Oliguria na we di urine we yu de prodyuz nɔrmal.
Di urine we wi de pul de tɔk bɔku tin bɔt wi wɛlbɔdi. di kidni dεm fכ big man we gεt hεlth kin prodyuz pas 500 mililita (500 ml) urine fכ wan de. Dat na lɛk di sayz we wan bɔtul gɛt. pan pikin dεm, dis amount de difrεn dipכnt pan di ej εn di bכdi saiz.
Bɔt big pɔsin we gɛt anuria kin pul smɔl smɔl urine insay wan de, bitwin 0 ɛn 100 mililita .
Di tin we impɔtant pas ɔl na dat Anuria na mɛdikal imejensi . If yu fil se yu nɔ de pas urine pas aw yu kin pas, go to dɔktɔ wantɛm wantɛm. If yu gɛt tritmɛnt kwik kwik wan, dat kin sev yu layf.
Wetin na di sayn dɛm fɔ anuria?
Di sayn we de sho se dis sik de sho se i nɔ de ɔ i nɔ de kɔmɔt na di urine smɔl. Bɔt yu kin gɛt ɔda sayn dɛn bak we gɛt fɔ du wit di ɔndalayn mɛdikal kɔndishɔn we mek yu gɛt di anuria.
Fɔ ɛgzampul, if anuria kin kam bikɔs ɔf tin dɛn lɛk kidni sik, liva sik, ɔ at sik, dɛn sayn ya kin apin bak.
| Di men tin we de apin | Ɔda sayn dɛm wae kin apun wae gɛt fɔ du wit am |
|---|---|
| Nɔ ɔ rili smɔl urine autput (lɛs dan 100mL fɔ wan de). |
|
Sik dɛm lɛk dayabitis kin pwɛl di kidni dɛm bak. So, if yu de pas smɔl urine ɛn yu gɛt ɛni wan pan di ɔda sayn dɛn we wi dɔn tɔk bɔt, go na ɔspitul in imejensi rum (ETU) wantɛm wantɛm.
Wetin kin mek pɔsin gɛt anuria?
Tri men kayn tin dɛn de we kin mek pɔsin gɛt anuria. Lɛ wi luk dɛn wan bay wan.
1. Nɔ gɛt inof blɔd ɔ wata to di kidni: Fɔ mek di kidni wok fayn, nid fɔ gɛt gud blɔd saplai. If dis saplae dכn rεdכks, di urine prodakshכn de stכp.
2. Intafεreshכn wit di prכsεs fכ filta blכd bay di kidni dεm: Ivin if di kidni dεm de gεt bכdi, fכ sכm rizin di prכsεs fכ filta da bכdi de εn fכm urine kin ambɔg.
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Di tebul we de dɔŋ ya gɛt sɔm ɛgzampul dɛn we gɛt fɔ du wit dɛn kayn rizin ya.
| Di kategori we di rizin de pan | Ɛgzampul dɛn |
|---|---|
| di bכdi/fluid saplai to di kidni dεm dכn dכn |
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| disrupshכn pan di filtrεshכn prכsεs na di kidni dεm | |
| Urinary tract obstrukshɔn (Obstrukshɔn) . |
Aw siriɔs dis sik? Ɛni prɔblɛm dɛn de we kin apin?
Yɛs, Anuria na wan sik we rili siriɔs ɛn we kin mek pɔsin in layf de pan denja . Di kidni dɛn kin pul dɔti ɛn ɛkstra wata na wi bɔdi. We di kidni dɛn nɔ de wok, dɛn dɔti ɛn wata ya kin gɛda na di bɔdi. Dis kin ivin mek pɔsin day.
If dɛn nɔ trit am, di anuria kin mek di kidni dɛn pwɛl sote go, ɛn dis kin mek di kidni nɔ wok atɔl.
Aw bכku di kidni dεm de dכn bifo i day?
Dɔktɔ dɛn kin mɛzhɔ di kidni wok wit wan tɛst we dɛn kɔl eGFR (estimated Glomerular Filtration Rate) . We di kidni dɛn ebul fɔ filta di dɔti tin dɛn we dɛn dɔn pwɛl, wi kin kɔl am Kronik Kidni Disease (CKD).
5 stej dεm de fכ CKD.
- Stej 1: eGFR na 90 ɔ pas dat. Di kidni dɛn de wok fayn, bɔt sɔm tin dɛn kin pwɛl.
- Stej 5: di eGFR less dan 15. Dis min se di kidni dεm de rili nia fכ komplit fεil, כ dεn dכn כlrεdi fεl.
If yu rich stej 5, yu nɔ go sev yu layf pas yu du dayalaysis ɔ dɛn transplant yu kidni.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn bɔt yu mɛrɛsin istri ɛn di sayn dɛn we yu gɛt.
- "Wetin yu drink tide? Aw bɔku yu drink?"
- "Wetin yu las pis?"
- "Yu fil se yu de pis smɔl pas aw yu kin pis?"
- "Yu dɔn ɛva gɛt prɔblɛm fɔ pis lɛk dis bifo?"
- "Yu leg ɛn yu fut dɔn swel?"
- "Yu don notis blɔd na yu urine (Hematuria)?"
- "Yu don de fil plenti taya las las?"
Apat frɔm dɛn kwɛstyɔn ya, di dɔktɔ kin ɔda fɔ du difrɛn tɛst fɔ no if pɔsin gɛt anuria ɛn fɔ chɛk if di kidni dɛn gɛt wɛlbɔdi.
Wetin na di tɛst dɛn?
| Test tayp | Tɔk bɔt |
|---|---|
| Test dɛn we di kidni de du | Blɔd tɛst ɛn urinalysis de sho aw di kidni de wok. |
| Test dɛn fɔ tek imej | CT skan ɔ MRI skan de chɛk fɔ tin dɛn lɛk di kidni ɛn di urinary tract we de ambɔg. |
| Kidni bayɔpsi | Dɛn kin no di sik bay we dɛn tek wan smɔl pat pan di kidni ɛn chɛk am ɔnda maykroskɔp. |
| Renal skan we dɛn kin du | Wan spɛshal skan fɔ chɛk di blɔd we de go na di kidni dɛn ɛn aw dɛn de wok. |
Aw dɛn kin trit Anuria?
Dis nɔto sik we dɛn kin trit na os. If yu nɔ de pis igen, yu fɔ go to dɔktɔ wantɛm wantɛm.
Di we aw dɛn de trit am dipen pan wetin mek di anuria de.
- If di kɔz na imejensi lɛk at atak, sɛpsis, ɔ shɔk, di fɔs tin we di dɔktɔ dɛn fɔ pe atɛnshɔn pan na fɔ trit da sik de.
- If yu gɛt siriɔs kidni sik, yu kin nid fɔ du dayalaysis ɔ fɔ transplant yu kidni fɔ klin yu blɔd.
- If di urinary tract blok, di dɔktɔ go put kateta fɔ pul di urine kwik kwik wan na di blad. Fɔ ɛgzampul, wan Foley kateta ɔ suprapubic kateta . Sɔntɛnde, dɛn kin yuz tin dɛn we dɛn kɔl ureteral stent fɔ kip di tiub dɛn we de kɛr urine frɔm di kidni to di blad opin.
- if dis kכndyushכn kכz fכ di wata we de dכn, di bכdi de rihaydrayt bay we dεn gi am wata fכ drink כ gi am salin (intravenous - IV fluids) tru wan vein.
Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt Anuria? Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt wan sik we nɔ de mɛn we kin mek yu gɛt anuria, lɛk dayabitis ɔ at sik, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn fɔ mɛn yu sik. Dɛn instrɔkshɔn ya kin bi:
- Wetin fɔ it ɛn drink, ɛn us kwantiti.
- Fɔ rikodɔ di bɔdi wet ɛvride.
- Fɔ no sayn dɛm fɔ swel ɔ wata we de kɔntinyu fɔ de na di bɔdi.
- Fɔ tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek di rayt tɛm.
Dɔn bak, we yu nɔ gɛt wata na yu bɔdi, lɛk fɔ vɔmit ɔ dayarɛa, i rili impɔtant fɔ drink bɔku wata .
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt kidni ɔ at sik ɛn yu notis se yu nɔ de pis bɛtɛ pas aw yu kin pis, mɔ if yu de drink bɔku wata, kɔl yu dɔktɔ wantɛm wantɛm. Dɔn bak, no bɔt ɛni chenj we de na di kɔlɔ na yu urine (e.g., dak kɔlɔ).
Mɛsej we dɛn kin kɛr go na os
- Anuria na we yu bɔdi nɔ de mek ɛni urine ɔ de mek smɔl urine. Dis na siriɔs mɛdikal imejensi .
- Dis kin kam bikɔs ɔf difrɛn rizin, lɛk wae yu nɔr gɛt wata na yu bɔdi, yu kidni sik, yu at sik, ɛn yu nɔr kin ebul fɔ urinary tract.
- Di men sayn dɛm na wae yu nɔr kin ebul fɔ pis, yu bɔdi kin swel, yu kin wik, ɛn yu kin gɛt diziz.
- Nɔ ɛva ignore dɛn sayn ya. Si dɔktɔ kwik kwik wan.
- Tritmɛnt de dipen pan wetin mek di anuria kɔndishɔn, ɛn dɛn nɔ kin ebul fɔ du am na os.
- If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt ɛni kidni we go pwɛl sote go ɛn sev pipul dɛn layf.
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