Sɔntɛm sɔmbɔdi na yu famili gɛt kidni sik. Ɔ sɔntɛm dɛn dɔn no se yu gɛt ay blɔd prɛshɔn we yu ol 30 ɔ 40 ia ɛn yu de luk fɔ wetin mek yu gɛt am. Tide wi de tɔk bɔt wan sik we difrɛn smɔl, bɔt we rili kɔmɔn, we pɔsin kin gɛt frɔm in mama ɛn papa we kin afɛkt di kidni dɛm. Dɛn kin kɔl dis sik we dɛn kɔl Autosomal Dominant Polycystic Kidney Disease. Sins dat wan bit tu long fo wi, wi go kol am ADPKD fo shot.
Fɔ tɔk am simpul wan, wetin na ADPKD?
Fɔ tɔk am simpul wan, dis sik kin mek bɔku bɔku sist dɛn we ful-ɔp wit wata na yu kidni dɛn. Tink bɔt di kidni dɛn as filta dɛn na wi bɔdi. As dɛn sist ya de gro, di kidni dɛn nɔ kin ebul fɔ wok fayn igen. Dis kin mek yu gɛt wɛl bɔdi prɔblɛm lɛk ay blɔd prɛshɔn, urinary tract infection, ɛn kidni ston. Pan ɔl we nɔto ɔlman kin gɛt dis sik, sɔm pipul dɛn kin ivin go te to di kidni we nɔ de wok fayn.
Wan pan de tin wae de mek dis sik wae yu nɔr de si na dat yu nɔr kin gɛt ɛni sayn fɔ lɔng tɛm ilɛksɛf yu gɛt am. Bɔrku tɛm, di sayn dɛm kin bigin fɔ sho bitwin di ej dɛm fɔ 30 ɛn 40. Na dat mek dɛn kin kɔl am bak "adult PKD."
Bɔt nɔ wɔri. Pan ɔl we no mɛrɛsin nɔ de yet, if yu ebul fɔ kɔntrol di sik dɛn we yu gɛt, tek layf we gɛt wɛlbɔdi, ɛn wok wit yu dɔktɔ, yu kin liv aktif layf fɔ bɔku ia.
Wetin na di sayn dɛm fɔ ADPKD?
Nɔto ɔlman wae gɛt ADPKD go gɛt dis sik. Fɔ sɔm pipul dɛn, i kin tek sɔm ia fɔ mek dɛn si di sik. Lɛ wi luk sɔm pan de kɔmɔn sayn dɛm wae gɛt fɔ du wit dis sik. A go brok dis to tu pat fɔ mek una ɔndastand.
| Tayp we gɛt kwaliti dɛn | Tin dɛn fɔ si |
|---|---|
| Di sayn dɛm we kin kam fɔs (Fɔs tin dɛn fɔs) |
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| Di sayn dɛm wae kin apun as de sik de go bifo (We di kidni dεm de nia fכ fεl) |
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Wetin mek ADPKD kin apin? Yu tink se na frɔm dɛn gret gret granpa dɛn?
Yɛs, dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa . di men tin we de mek dis na difεkt na tu jin dεm na wi DNA, we na `PKD1` εn `PKD2`. dis jin dεm na di wan dεm we de gi di signal to di kidni sεl dεm "we fכ gro". We wan pan dɛn jin ya nɔ fayn, di kidni sɛl dɛn kin gro we dɛn nɔ ebul fɔ kɔntrol ɛn dɛn kin mek dɛn sist dɛn we wi bin tɔk bɔt.
Tink bɔt am, bɔku pan di sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa kin nid wan jin we nɔ fayn frɔm dɛn mama ɛn papa dɛn ɔl tu. Bɔt insay ADPKD, di jin we nɔ fayn jɔs nid fɔ kɔmɔt frɔm wan mama ɔ papa . na dat mek dεn kכl am "autosomal dominant."
Dis min se if ɛni wan pan yu mama ɛn papa gɛt dis sik, yu gɛt 50% chans fɔ gɛt am . Bɔt, na smɔl tɛm nɔmɔ, di sik kin apin bak bikɔs ɔf wan random chenj na pɔsin in jin, we di mama ɛn papa ɔl tu nɔ gɛt di sik.
Aw yu go no if yu gɛt dis sik?
If yu dɔktɔ sɔspɛkt se yu gɛt prɔblɛm wit yu kidni bay di sayn dɛm we yu gɛt, i kin sɛn yu to spɛshal dɔktɔ fɔ kidni (nɛfrɔlɔjis). Di dɔktɔ go aks yu kwɛstyɔn dɛn lɛk:
- Wetin na yu sayn dɛm ɛn ustɛm dɛn bigin?
- Yu no yu blɔd prɛshɔn?
- Yu tink se pen de ɛnisay? If na so i bi, usay?
- Yu dɔn gɛt ston na yu kidni bifo?
- Ɛnibɔdi na di famili gɛt kidni sik?
Dɔn di dɔktɔ go tɛl yu fɔ du bɔku tɛst fɔ chɛk yu kidni.
- Ultrasound Scan: Dis de yuz sawnd wev fɔ tek pikchɔ fɔ di insay pat na di bɔdi. Bɔku tɛm, dis na di fɔs tɛst we dɛn kin du.
- MRI skan: Na pawaful skan we de yuz magnet ɛn redio wev fɔ no di tumbu dɛn we tu smɔl fɔ si wit ɔltra saund.
- CT Scan: Na ɔda pawaful we fɔ skan we dɛn kin yuz ɛkstrem rayt fɔ gɛt ditayli pikchɔ dɛn bɔt di bɔdi.
apat frכm dat, dεn kin tεst yu DNA fכ si if yu gεt di difεktiv jin `PKD1` כ `PKD2`. Bɔt pan ɔl we dis jenɛtik tɛst kin sho if yu gɛt di jin we nɔ fayn, i nɔ kin ebul fɔ no ustɛm di sik go bigin ɔ aw i go siriɔs .
Tritmɛnt ɛn tin dɛn we yu kin du na os
No mɛrɛsin nɔ de fɔ ADPKD yet. Bɔt bɔku tin dɛn de we wi kin du fɔ mek wi ebul fɔ kɔntrol di wɛlbɔdi prɔblɛm dɛn we di sik kin kam wit ɛn fɔ mek wi nɔ gɛt di kidni dɛn we nɔ de wok fayn.
Mɛdikal tritmɛnt
- Mεdikeshכn dεm fכ slo di kidni fεil: Fכ big pipul dεm we de pan risk fכ di sik go bifo kwik kwik wan, dεn de gi mεdikeshכn lεk `Tolvaptan (Jynarque)` fכ slo di dכn na di kidni fכnshכn.
- Mɛrɛsin dɛn we de kɔntrol di ay blɔd prɛshɔn.
- Antibayɔtik fɔ urinary tract infɛkshɔn.
- Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen.
If yu kidni dɛn nɔ wok, yu go nid fɔ du wan tritmɛnt we dɛn kɔl dayalaysis . Dis min se yu fɔ yuz mashin fɔ filta yu blɔd, pul dɔti tin dɛn, sɔl, ɛn wata we pasmak na yu bɔdi. Wan ɔda tin we yu kin du na fɔ transplant yu kidni. Tɔk to yu dɔktɔ bɔt dis fɔ no mɔ.
Tin dɛn we yu kin du na os
Fɔ protɛkt yu kidni ɛn kip dɛn wok fayn fɔ lɔng tɛm, i impɔtant fɔ mek yu gɛt wɛlbɔdi as yu ebul.
- Di rayt it: It balans it we nɔ gɛt bɔku sɔl. Sɔl kin mek yu blɔd prɛshɔn go ɔp.
- Stay aktif: Ɛksesaiz kin ɛp fɔ kɔntrol yu wet ɛn blɔd prɛshɔn, bɔt nɔ du kɔntakt spɔt, we kin pwɛl yu kidni.
- Nɔ smok: If yu smok, i kin pwɛl di blɔd vesel dɛn na di kidni ɛn i kin mek bak di sist fɔm bɔku.
- Drink bɔku wata: If yu nɔ gɛt wata na yu bɔdi, dat kin mek bak yu gɛt sist mɔ ɛn mɔ.
Ɔda kɔmplikeshɔn dɛn we kin apin bikɔs ɔf ADPKD
ADPKD kin mek yu gɛt ɔda wɛl bɔdi prɔblɛm bak, ɛn i impɔtant fɔ no bɔt dɛn tin ya bak.
| Ɔda prɔblɛm dɛn we kin apin to pɔsin in wɛlbɔdi (Possible Complications) . | |
|---|---|
| Aneurysm (we di wɔl na di blɔd vesel na di bren wik ɛn bulg) . | fכmeshכn fכ sist dεm na di liva εn pankrias |
| Divεrtikulכsis (sכm sכm pכch dεm na di big intestinal) . | Ɛnia we pɔsin kin gɛt |
| sik dεm we de kam pan di at valv (e.g. Mitral valv prolaps, Aortic regurgitation) . | Di kidni nɔ de wok fayn |
| di ay blɔd prɛshɔn we uman gɛt bɛlɛ (Preeclampsia) . | Pen we de kɔntinyu fɔ de |
di rεt we di sik de go bifo de dipכnt pan if yu gεt difεkt na di `PKD1` כ `PKD2` jin. in jεnarכl, pipul dεm we gεt difεkt na di `PKD1` jin de pan risk fכ divεlכp di kidni fεil kwik pas dεn wan dεm we gεt `PKD2` difεkt. So i bɛtɛ fɔ tɔk to yu dɔktɔ fɔ no ustɛm yu sik.
Mɛsej we dɛn kin kɛr go na os
- ADPKD na sik we pɔsin kin gɛt frɔm in mama ɛn papa we kin mek di sist dɛn we ful-ɔp wit wata na di kidni dɛn.
- Di ay blɔd prɛshɔn, we kin apin na di 30 ɛn 40 ia, kin bi wan big fɔs sayn fɔ dis sik.
- If wan mama ɔ papa gɛt dis sik, pikin gɛt 50% chans fɔ gɛt am.
- Pan ɔl we no kɔmplit mɛrɛsin nɔ de fɔ dis, yu kin protɛkt yu kidni bay we yu kɔntrol yu blɔd prɛshɔn ɛn fala wɛlbɔdi layf .
- If yu gɛt ɛni dawt ɔ simptom bɔt dis, nɔ panik ɛn go to yu dɔktɔ fɔ advays.
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