Yu gɛt tumɔs dɔti tin dɛn na yu blɔd? Dɛn kɔl dis Azotemia!

Sɔntɛnde yu kin fil taya ɛn i nɔ kin izi fɔ yu fɔ pis? Ɔ dɔktɔ dɔn ɛva luk yu blɔd tɛst ɛn tɔk sɔntin lɛk, "Fɔs ɛkstra west tin dɛn de na yu blɔd"? Dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl azotemia. Lɛ wi tɔk bɔt dis mɔ, bikɔs i rili impɔtant fɔ wi kidni dɛn wɛlbɔdi.

Fɔ tɔk am simpul wan, azotemia na wan sik we di lɛvɛl we di dɔti tin dɛn we de na yu blɔd, mɔ di dɔti tin dɛn we gɛt naytrɔjen, kin go ɔp tumɔs. Dɛn dɔti tin ya kin mek we di prɔtin dɛn we de insay di it we wi de it brok. Dɛn kin fɔs fɔm na yu liva. Dɔn dɛn kin travul tru yu blɔd go na yu kidni dɛn. di kidni dεm we gεt hεlth de filt dεn west prכdak dεm ya frכm yu bכdi εn kכmכt na yu urine. So we yu kidni dɛn nɔ de wok fayn, dɛn dɔti tin ya kin gɛda na yu blɔd. Na dat wi kin kɔl azotemia.

Wetin na di men kayn Azotemia?

Tri men kayn azotemia de. Lɛ wi tek wan luk pan wetin dɛn bi. Dɛn kin sheb dɛn tin ya bay usay di prɔblɛm de mek di dɔti bɔku.

1. Azotemia bifo di rεnal

Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin apin we yu kidni nɔ gɛt inof blɔd flɔ. Tink bɔt am lɛk se wata filta nɔ de gɛt inof wata fɔ wok. Ivin if natin nɔ bad wit yu kidni, we dɛn nɔ gɛt inof blɔd flɔ, dɛn nɔ kin ebul fɔ filta west.

Tin dɛm wae kin mek dis sik na:

• Blɔd we de lɔs bad bad wan (e.g., blɔd we de kɔmɔt frɔm big injuri, ɔpreshɔn) .
• Wata we yu de kip, we na we yu nɔ gɛt wata (e.g., yu nɔ de drink bɛtɛ wata, yu de swet pasmak, yu de vɔmit, yu de gɛt dayarɛa) .
• At pwɛl hat na we di at nɔ de pɔmp blɔd fayn fayn wan.
• di chenj dεm we de apin na di bכdi in wata bכlεn bikoz fכ di liva sik (liva fεil).
• Kɔntinyu fɔ yuz sɔm mɛrɛsin dɛn ɛn pasmak, fɔ ɛgzampul, mɛrɛsin dɛn we de mek pɔsin fil pen lɛk ibuprofen ɛn aspirin.
• di bכdi fכ fכlכ di kidni dεm dכn bikoz fכ כda mεdikal kכndishכn dεm.

2. Intrinsik Azotemia

Dis kayn kin apin we di kidni dɛnsɛf dɔn pwɛl. Dat min se sɔntin de we nɔ fayn wit di kidni dɛnsɛf. Dis kin afɛkt di kidni dɛn dairekt wan fɔ filta.

Di men rizin dɛn kin bi:

• Infεkshכn dεm we de afekt di kidni dεm.
• di kidni dεm we de pwεl bכku bכku bכku infεkshכn dεm lεk sepsis.
• Blɔd kin klɔt na di kidni dɛn.
• Sɔm mɛrɛsin dɛn, mɔ di kemotɛrapi drɔgs ɛn sɔm antibayɔtiks.
• Di damej pan di kidni sɛl dɛm bikɔs ɔf pɔyzin lɛk drɔgs, rɔm, ɛn sɔm peshɛnt sayd dɛm.
• di damej pan di glomeruli, di filta yunit dεm na di kidni dεm.

3. Pɔstrɛnal Azotemia

Dis kin apin we blok de sɔmsay na yu urinary system. I tan lɛk se dreyn dɔn lɔk, we de mek wata gɛda na yu blad. Dɛn blɔk ya kin de na di ureters, di tyub dɛm bitwin yu kidni ɛn blad, na yu blad, ɔ na yu urethra. We yu urine nɔ ebul fɔ kɔmɔt, i kin bak ɔp insay yu kidni, ɛn dis kin mek yu gɛt damej.

Di rizin dɛn we kin apin mɔ na:

• Swel we kin kam bikɔs ɔf urinary tract infection (UTIs).
• Yuritɛral ston ɔ blad ston.
• sכm kayn kεnsar (e.g. prכstat kεnsar, sεvikal kεnsar).
• di prostat gland we de big pan man dεm (benign prostatic hyperplasia).

Yu tink se Azotemia na di sem tin wit Renal Failure?

Nɔ, azotemia nɔto di sem tin wit di rεnal fεil. Bɔt di rεnal fεil na di men tin we kin mek azotemia. Dat min se we di kidni dɛn nɔ de wok fayn, dɔti tin dɛn kin gɛda na di blɔd, ɛn na dat na azotemia. di rεnal fεil na wan bכku kכndyushכn, we כl di wok we di kidni dεm de du kin pwεl. Azotemia na jɔs wan sayn fɔ se di kidni nɔ de wok fayn.

Aw dis sik kin kɔmɔn?

Azotemia na rili wan sik we kɔmɔn pas aw yu go tink. Dɛn dɔn si se bɔku pan di wan dɛn we de na ɔspitul, we na lɛk 16%, gɛt dis sik. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ Azotemia?

Bɔrku tɛm, yu nɔr kin notis ɛni big big sayn te de sik pasmak. Sɔm pipul dɛn nɔ kin ivin sho ɛni sayn atɔl. Insay dɛn kayn tin ya, dɔktɔ kin jɔs fɛn am we i de tɛst fɔ ɔda sik.

Bɔt sɔm pipul dɛn kin gɛt sayn dɛn lɛk dis:

• Di urine we dɛn kin mek kin ridyus bad bad wan.
• Fɔ fil taya pasmak (taya), nɔ ebul fɔ du ɛnitin.
• Wan stet wae yu nɔr kin ebul fɔ pe atɛnshɔn, wae yu kin fil fɔ kɔnfyus.
• Nɔs ɛn vɔmit.
• I nɔ izi fɔ blo (dyspnea), fil lɛk se yu go fɔdɔm ivin we yu de klaym sɔm stej.
• Chɛst de pen.
• Swel, mɔ na di leg, anklɛ, ɛn fut (ɛdima).
• di at ritm abnכmaliti (arrhythmia), chenj na di ritm we di at de bit.
• Di it nɔ de te.

If de sik kin tranga, yu kin gɛt sik ɔr kɔma. So, e fayn fɔ pe atɛnshɔn to dɛn sik ya. If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pɔsin gɛt Azotemia?

Di tin dɛm wae kin mek yu gɛt azotemia kin dipen pan di kayn wae yu gɛt. Lɛ wi luk di kɔz dɛm wae gɛt fɔ du wit di tri kayn dɛm wae wi bin dɔn tɔk bɔt bifo tɛm wit mɔ ditayli.

• Azotemia bifo di rεnal:Dis kin apin we di blɔd we de flɔ to di kidni dɛn kin afɛkt bikɔs ɔf injuri ɔ sik na di bɔdi. Fɔ ɛgzampul:
• Di wata we nɔ de na di bɔdi. Dis kin bi bay tin dɛm lɛk fɔ nɔ drink bɛtɛ wata, fɔ swet bɔku (e.g., we yu de wok na di san, fɔ du ɛksɛsayz), fɔ vɔmit, ɔ fɔ gɛt dayarɛa.
• Ɛmoraji we de kɔmɔt na di bɔdi.
• Bɔn bad bad wan.
• At we nɔ de wok fayn.
• Liva sik (liva we nɔ de wok fayn).

• Intrinsic Azotemia: Dis kin apin we di strכkchכ dεm na di kidni dεm, lεk di fayn fayn filta dεm (glomeruli), di sכm sכm tכb dεm we de εp fכ tek wata, nyutriεnt dεm, εn minral dεm bak (rεnal tubules), εn di bכdi vεsul dεm na di kidni dεm (rεnal vasculature), dεn dכn pwεl.
• Kכndishכn dεm wae kin mek yu inflameshn, fכ egzampl, sik dεm lεk vaskulεt.
• Infεkshכn dεm na di kidni.
• tכxin dεm (e.g., sכm mεdikeshכn dεm, hεvi mεtal dεm).
• di damej we de kכz fכ lכng tεm we di blכd fכ fכlכ to di kidni dεm (hypoperfusion).

• Postrenal Azotemia: Dis kin apin bikɔs ɔf di blɔk na di urinary tract ɔ bladder.
• Swel we kin kam bikɔs ɔf urinary tract infection (UTIs).
• Ston dɛn we de na di ureteral.
• Hydronephrosis - di kidni dεm de big bikoz fכ di urinary rεtεnshכn.
• di prostat gland we de big pan man dεm (benign prostatic hyperplasia).
• Kansa na di urinary system.

Yu tink se Azotemia na di sem wit Dehydration?

Nɔ, dɛn tu tin ya nɔto di sem. Bɔt we yu nɔ gɛt wata na yu bɔdi na di men tin we kin mek yu gɛt prɛrenal azotemia. Dat min se we wata nɔ de na di bɔdi, di blɔd we de flɔ na di kidni dɛn kin go dɔŋ, we kin mek pɔsin gɛt azotemia.

Sɔm tin dɛn we kin mek yu nɔ gɛt wata na yu bɔdi na:

• Nɔ drink inof wata.
• Swet bɔku (e.g. we yu de wok na di san, we yu de du ɛksɛsayz).
• Fɔ vɔmit.
• Rɔnbɛlɛ.
• Sɔm mɛrɛsin dɛn, fɔ ɛgzampul, diuretics (dɛn kin kɔl am bak wata pils).

Dis na sik we pɔsin kin pas?

Nɔ, Azotemia nɔto sik we pɔsin kin gɛt. Yu nɔ go ebul fɔ spre am to ɔda pɔsin.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Azotemia kin afɛkt ɛnibɔdi. Bɔt i kin apin mɔ if yu dɔn pas 65. Pipul dɛn we gɛt sik dɛn we nɔ de mɛn lɛk dayabitis ɛn ay blɔd prɛshɔn dɛnsɛf kin gɛt bɔku prɔblɛm.

Wetin na di prɔblɛm dɛn we kin kam wit Azotemia?

If dɛn nɔ trit azotemia fayn, di dɔti tin dɛn we de na di blɔd kin bɔku te i rich wan say we denja. Dɛn kɔl dis uremia. Bɔrku tɛm, yuremia kin kam wit krεse sik na di kidni (CKD). If dɛn nɔ trit am, yuremia kin kil pɔsin.Dɔn bak, ɔda prɔblɛm dɛn lɛk at sik ɛn prɔblɛm wit di nervɔs sistɛm kin apin.

Wetin na di difrɛns bitwin Azotemia ɛn Uremia?

Dɛn tu tin ya na tin dɛn we gɛt fɔ du wit di kidni.

• Azotemia na we di naytrɔjen ɛn ɔda dɔti tin dɛn we de na di blɔd bɔku pasmak. Dɛn kin no dis tru wan tɛst we dɛn kin du na lɛbɔtri.
• Yuremia na wan sik we de sho se yuria ɛn ɔda dɔti tin dɛn we pasmak de na di blɔd. In ɔda wɔd, we di kɔndishɔn fɔ azotemia kin tranga ɛn sɔm sayn dɛm lɛk nɔs, vɔmit, taya, ɛn kɔnfyushɔn kin apin, dɛn kin kɔl am uremia.

Fɔ tɔk am simpul wan, Azotemia na we di dɔti tin dɛn we de na di blɔd de bɔku, ɛn Uremia na di we aw di sik de sho se di sik de apin ɛn di sik we de wɔs bikɔs ɔf dɛn dɔti tin dɛn de.

Aw dɛn kin no se pɔsin gɛt Azotemia?

Nefrɔlɔjis na di bɛst pɔsin fɔ no ɛn trit dis sik. I go tek yu mɛdikal histri, aks bɔt yu sik, ɛn du yu bɔdi ɛgzam. If dɛn tink se azotemia, i go ɔda fɔ mek dɛn du blɔd yuria naytrɔjen (BUN) tɛst ɛn fɔ mek dɛn du kriaytinin tɛst. Kriatinin na west prodakt we di mכsul mεtabolism de mek. If yu gɛt ɛni wan pan dɛn tin ya, na sayn fɔ sho se yu kidni nɔ de wok fayn.

If yu gɛt prɔblɛm wit blɔd ɔ yu de tek ɛni mɛrɛsin, yu fɔ tɛl yu dɔktɔ bifo yu du BUN tɛst. Dis tɛst involv fɔ tek smɔl blɔd frɔm wan vein na yu an ɛn sɛn am na lab.

Wetin na di BUN lɛvɛl we dɛn kin tek as Azotemia?

di nכmal lεvεl fכ yu bכdi yuria naytrojen (BUN) de difrεn difrεn dipכnt pan yu ej εn jεnda. If di lab ripɔt sho valyu we ay pas di nɔmal rɛnj, i kin bi azotemia.

Dɔn bak, dɔktɔ go chɛk yu sɛrum kriaytinin lɛvɛl. Nɔmal valyu de fɔ dat bak, i dipen pan yu ej ɛn man ɔ uman. If i ay pas dat, i de sho se yu gɛt prɔblɛm wit yu kidni.

Wetin na di BUN lɛvɛl we de sho se di kidni nɔ de wok fayn?

Dɔktɔ dɛn nɔ kin no if di kidni nɔ wok fayn bay di BUN lɛvɛl nɔmɔ. Bɔt if yu BUN ɛn kriaytinin lɛvɛl ɔl tu bɔku pas aw i fɔ bi, ɛn yu gɛt ɔda sayn dɛn, i kin bi sayn fɔ se yu kidni nɔ de wok fayn.

Us ɔda tɛst dɛn kin du fɔ no if pɔsin gɛt Azotemia?

Dɔktɔ kin du bɔku ɔda tɛst dɛn:

• Urinalysis: Dɛn kin tek wan sampul pan yu urine ɛn tɛst am na lab fɔ si if i gɛt kemikal, prɔtin, blɔd sɛl, ɛn ɔda tin dɛn we nɔ klia.
• Urine output: Dis de sho aw bɔku urine yu pas insay 24 awa.
• Imej tɛst: Dɛn kin du CT skan ɔ ɔltra saund skan fɔ no yu kidni, yu ureter, ɛn blad gud gud wan. Dɛn tin ya kin luk fɔ blɔk, ston, ɔr di sayz ɛn shep fɔ yu kidni.
• Kidni bayɔpsi: Sɔntɛnde, dɛn kin du dis tɛst fɔ no ustɛm di damej dɔn apin to yu kidni. Dis involv fɔ mek smɔl say na yu skin ɛn yuz smɔl nidul fɔ tek wan rili smɔl sampul pan di tisu frɔm yu kidni. Dɔn dɛn kin sɛn am na wan lɛb fɔ mek dɛn tɛst am.

Aw dɛn kin trit Azotemia?

Di tritmɛnt fɔ azotemia dipen pan di kayn we aw yu gɛt, di tin we kin mek yu gɛt am, ɛn aw di sik kin tranga. Di ki na fɔ trit di ɔndalayn prɔblɛm we mek di azotemia. Dɔktɔ go du tɛst fɔ no wetin mek i apin. Di tritmɛnt we dɛn kin pik kin bi:

• IV fluid: Fluid, lɛk salin, we dɛn kin gi insay di bɛlɛ fɔ trit di wata we nɔ gɛt wata. Dis kin mek di blɔd flɔ to di kidni dɛn mɔ ɛn mɔ, ɛn dis kin mek i izi fɔ filta di dɔti tin dɛn.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• Diuretics - de pul di wata we pasmak na di bɔdi.
• Blɔd prɛshɔn kɔntrol mɛrɛsin.
• Adrenergic drugs - Dɛn tin ya kin gɛt ifɛkt we fiba adrenaline (epinephrine) ɛn sɔm tɛm dɛn kin ɛp fɔ mek di blɔd flɔ to di kidni dɛn mɔ.
• di kכtikostεroyd dεm - de ridyus di inflameshn na di kidni dεm.
• Plasma volyum εkspεnda - mεdikeshכn dεm we de εp fכ bכku bכku bכku bכdi plasma we dεn dכn lכs.
• Yuritɛral stent: If blɔk de na di urethra, dɛn kin put smɔl tiub fɔ ɛp di urine fɔ flɔ frɔm di kidni to di blad.
• Dayalaysis: Dɛn kin yuz dis we fɔ pul dɔti tin dɛn we de na di blɔd if di kidni dɛn nɔ de wok fayn. Dɛn kin du dis fɔ sɔm tɛm ɔ fɔ lɔng tɛm.

Wetin kin apin if a gɛt Azotemia?

If dɛn no di sik kwik kwik wan ɛn trit am fayn, bɔku pipul dɛn kin wɛl. εspεshali if dεn adrεs di prכblεm we de kכz prεrεnal כ postrεnal azotemia, di kidni dεm kin rεkכva.

Bɔt if dɛn nɔ trit am, azotemia kin mek pɔsin gɛt ɔda siriɔs sik dɛn lɛk krɛse sik (CKD) , ɛn i kin ivin mek pɔsin day. So, i rili impɔtant fɔ fala di tritmɛnt plan we yu dɔktɔ gi yu di rayt we.

Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt Azotemia?

Yɛs, yu kin ɛp fɔ mek yu nɔ gɛt azotemia bay we yu tek kia ɔf yu kidni ɛn fala dɛn advays ya:

• Yuz sɔm mɛrɛsin dɛn wit tek tɛm:Sɔm mɛrɛsin dɛm, lɛk nonsteroidal anti-inflammatory drugs (NSAID) (e.g., ibuprofen), sɔm antibayɔtiks (e.g., penicillin, sulfonamides), ɛn sɔm herbal supliment, kin pwɛl yu kidni if ​​yu tek dɛn bɔku bɔku wan. Nɔ tek dɛn mɛrɛsin ya ɔltɛm we yu nɔ go to yu dɔktɔ. Aks yu dɔktɔ bɔt wan sef doz fɔ yu.
• Trit di blɔd we de kɔmɔt: If di blɔd we de flɔ to di kidni dɛn nɔ bɔku, di prɛrenal azotemia kin kam. If wund de, put bandej ɛn tay am tayt. Fɔ gɛt siriɔs wund, go to dɔktɔ wantɛm wantɛm.
• Gɛt chɛk fɔ si if yu gɛt kidni sik: If pɔsin na yu famili gɛt kidni sik, i go fayn fɔ aks yu dɔktɔ if yu de pan denja. Pipul dɛn we gɛt dayabitis ɛn ay blɔd prɛshɔn fɔ de chɛk dɛn kidni ɔltɛm.
• Nɔ mek yu nɔ gɛt wata na yu bɔdi: big pɔsin fɔ drink lɛk 8 glas wata (2-3 lita) ɛvride. Yu urine fɔ klia ɔ layt yɔlɔ. If i dak, yu nid fɔ drink mɔ wata. Drink mɔ wata, mɔ di de dɛn we di ples wam ɛn we yu de du ɛksɛsayz.
• Kɔntrol di we aw yu de drink rɔm: Rɔk kin pwɛl yu kidni ɛn afɛkt di we aw yu blɔd de kɔmɔt. I kin mek bak yu nɔ gɛt wata na yu bɔdi. Uman dɛn fɔ drink less dan wan drink ɛvride. Man dɛn fɔ gɛt lɛs pas tu.
• It fayn it we fit yu: It bɔku frut, vɛjitebul, ɛn ɔl gren. Ridyus di sɔl (sɔdiɔm) we yu de it. If yu it bɔku sɔl, dat kin mek yu gɛt ay blɔd prɛshɔn, we kin afɛkt yu kidni, ɛn i kin mek yu gɛt mɔ ston.
• Ɛksesaiz ɔltɛm: Yu fɔ ɛksesaiz fɔ at le 30 minit insay di de, 5 to 7 dez insay di wik. Dis kin ɛp bak fɔ kɔntrol dayabitis ɛn ay blɔd prɛshɔn.
• Stɔp fɔ smok: Smok kin pwɛl di blɔd vesel dɛn. I kin afɛkt bak di blɔd we de go na di kidni dɛn.

Aw a kin kia fɔ misɛf?

Dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu. Dis kin min fɔ tek mɛrɛsin, fɔ chenj di we aw pɔsin de liv in layf, ɔ ivin fɔ tek mɛrɛsin. Dis kin min bak fɔ tek tɛm tek yu mɛrɛsin dɛn, fɔ avɔyd fɔ gɛt wata na yu bɔdi, ɛn fɔ du ɛksɛsayz ɔltɛm. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

Ustɛm a fɔ go to dɔktɔ?

If dɔktɔ no se yu gɛt azotemia, kin ɔltɛm fɔ fala yu. Dɔn bak, go to yu dɔktɔ if yu notis ɛni chenj na yu sik ɔ if yu gɛt nyu pen. Tɛl yu dɔktɔ bak if ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt ɔp de kam.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt sayn dɛn we de sho se yu kidni nɔ de wok fayn, go na di imejensi rum wantɛm wantɛm. Di sayn dɛm kin bi:

• di urine we de pas de ridyus bכku כ nכ de kכmplit.
• Swel, mɔ na di anklɛ ɛn fut.
• Fɔ fil wan mɛtal teys na yu mɔt.
• Taya pasmak.
• Nɔs ɛn vɔmit.
• Rɔnbɛlɛ.
• Pɔsin we de fil pen na di bɛlɛ.
• Di sik dɛn we kin mek pɔsin sik.
• Lɔs pan kɔnshɛns (koma).

Tɛm lɛk dis, fɔ gɛt tritmɛnt kwik kwik wan kin sev yu layf.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si dɔktɔ:

• Aw yu go no if a gɛt Azotemia?
• If a nɔ gɛt Azotemia, us ɔda kɔndishɔn a gɛt?
• Us tɛst yu kin du fɔ no if yu gɛt Azotemia?
• Us kayn azotemia a gɛt? Wetin kin mek i apin?
• Us tritmɛnt yu kin advays?
• Wetin na de risk ɔr sayd ɛfɛkt dɛm wae de tritmɛnt wae yu kin kɔmand?
• Us kayn fɔlɔp kia a go nid afta tritmɛnt?
• Mi kidni dɛn dɔn pwɛl fɔ ɔltɛm?
• Yu kin rifer mi to nefrologist?
• Us chenj dɛn a nid fɔ mek na mi it ɛn di we aw a de liv mi layf?

Faynal Mɛsej fɔ Tek-Hom

Azotemia na wan kɔmɔn sik we de mek dɔti tin dɛn kin gɛda na yu blɔd. Dis kin apin we yu kidni dɛn dɔn pwɛl bikɔs ɔf injury ɔ sik ɛn nɔ ebul fɔ wok fayn.

Bikɔs bɔrku tɛm nɔr kin gɛt dis sik, yu nɔr kin ivin no se yu gɛt dis sik. I kin mek yu sɔprayz fɔ no sɔntin lɛk dis wantɛm wantɛm. Bɔt, dɔktɔ dɛn kin du tɛst fɔ no di tin we mek i apin ɛn gi yu di bɛst tritmɛnt. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go ansa yu kwɛstyɔn dɛn, gi yu di sɔpɔt we yu nid, ɛn advays yu bɔt aw fɔ trit Azotemia fayn fayn wan ɛn aw fɔ kia fɔ yu kidni. So nɔ panik, fala di rayt advays we dɔktɔ gi yu. If yu no yu kidni kwik kwik wan ɛn trit yu fayn, dat kin protɛkt yu kidni.

` Azotemia, Kidni, Blɔd Wɛst, BUN, Kriatinin, Kidni Sik, Naytrɔjen