We yu du blɔd tɛst, yu dɔn ɛva si wan valyu we dɛn kɔl ‘BUN’ na di ripɔt? Sɔntɛm yu dɔktɔ dɔn ɛksplen dis to yu. Pan ɔl we i kin tan lɛk se i kɔmplikt smɔl to bɔku pipul dɛn, fɔ tru, na wan tɛst we kin rili kɔmɔn we kin tɛl yu bɔku impɔtant tin dɛn bɔt wi kidni dɛn wɛlbɔdi. So, nɔ fred. Tide, lɛ wi tɔk bɔt ɛksaktɔli wetin dis BUN bi, wetin mek dɛn de du am, ɛn wetin in valyu dɛn se.
Wetin BUN jɔs min?
Okay, mek wi stat frɔm di biginin. Dis wɔd BUN tinap fɔ Blɔd Yuria Naytrɔjen . Insay Sinhala, i min di kayn yuria naytrɔjen we de na di blɔd.
Naw imajin se wi bɔdi tan lɛk big faktri. di nyutriεnt dεm we wi de it εn drink, spεshal protin (fכ egzampl, mit, fish, eg, milk), de kכnvכlt to enεji εn di tin dεm we di bכdi nid fכ gro na dis fכktri. We dis prɔses apin, wan west prodakt kin fɔm. Dɛn kɔl da dɔti de yuria naytrɔjen .
Dɛn dɔti tin ya kin fɔs na wi liva. Dɔn, dɛn kin ad dɛn to di blɔd ɛn travul ɔlsay na di bɔdi. We wi de travul lɛk dis, dis blɔd kin pas na wi kidni dɛn. Di kidni dɛn tan lɛk tu pan di bɛst filta dɛn na wi bɔdi. Dɛn men wok na fɔ filta ɛn separet dɛn dɔti tin ya we dɛn nɔ want frɔm di blɔd ɛn pul dɛn kɔmɔt na di bɔdi wit urine.
So, wetin dis BUN tɛst de du na fɔ mɛzhɔ ɔmɔs yuria naytrɔjen lɛf na yu blɔd bifo di kidni dɛn filta am.
Fɔ tɔk am simpul wan, BUN na di kayn yuria naytrɔjen we de na yu blɔd. Dis kin gi yu impɔtant aidia bɔt aw yu kidni dɛn de wok fayn fayn wan.
Wetin mek dɔktɔ dɛn kin se dɛn fɔ du dis BUN tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ tek BUN tɛst.
- As pat pan di rutin wɛlbɔdi chɛk-ap: Dɛn kin mɛzhɔ dis BUN valyu bɔku tɛm as pat pan kɔmplit blɔd kɔnt, we dɛn kin du bɔku tɛm ɛvri ia ɔ wan wan tɛm. dis kin de insay wan tεst pakej we dεn kכl Kכmprεhεnsiv Mεtabolik Panεl (CMP) כ Bεsik Mεtabolik Panεl (BMP) .
- If yu tink se yu gɛt kidni sik: If yu de pan denja fɔ gɛt kidni sik, yu dɔktɔ kin tɛl yu fɔ du dis tɛst. Bikɔs bɔku tɛm, kidni sik nɔ kin gɛt ɛni sayn we i bigin, i kin ɛp fɔ no pipul dɛn we gɛt dis sik kwik kwik wan.
Us tin dɛn kin mek pɔsin gɛt sik na in kidni?
- If ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista) gɛt kidni sik.
- If yu gɛt dayabitis .
- If yu gɛt ay blɔd prɛshɔn .
- If yu gɛt at sik .
- If yu de sho sayn dɛm fɔ kidni sik: Sɔm sayn dɛm de wae kin sho wae yu kidni sik de kam tranga. If yu gɛt dɛn sik ya, yu fɔ rili gɛt BUN tɛst.
| Sɔm sayn dɛm fɔ di let stej kidni sik | |
|---|---|
| Di nid fɔ pis bɔku tɛm pas aw i kin pis. | |
| Pee we gɛt fom. | |
| Blɔd we de na di urine. | |
| Bɔku tɛm, yu kin fil se yu taya pasmak ɛn yu kin taya. | |
| Di it nɔ de te. | |
| Di bɔdi we de swel (espɛshali di an, fut, ɛn anklɛ). | |
Wetin i min we BUN ‘inkrisayz’?
Dis na sɔntin we bɔku pipul dɛn kin fred. If yu BUN lɛvɛl pas di say we dɛn kin se, i kin min se yu kidni dɛn nɔ de wok fayn . Dat min se dɛn nɔ de filta di yuria naytrɔjen west we de kɔmɔt na di blɔd fayn fayn wan.
Bɔt if yu gɛt ay BUN, dat nɔ kin min ɔltɛm se prɔblɛm de wit yu kidni. Ivin if yu kidni dεm 100% hεlty, yu BUN kin εlevεt fכ כda rizin dεm.
| Rizin | Simpul ɛksplen |
|---|---|
| Fɔ it tin we gɛt bɔku prɔtin | If yu it tumɔs mit, fish, eg, ɛn prɔtin shek, di yuria west we de kɔmɔt na di bɔdi go bɔku bak. |
| Di wata we nɔ de na di bɔdi | We di bɔdi nɔ gɛt wata, di blɔd kin tik. Dɔn di kɔnsɛntreshɔn fɔ di yuria na di blɔd kin go ɔp. I tan lɛk pɔsin we dɔn wok na di san ɔl di de ɛn nɔ drink ɛni wata. |
| We pɔsin de ol | di kidni fכnshכn kin nכmal fכ dכn sכmtεm as wi de ol (yכŋ pikin dεm kin gεt lכw BUN lεvεl). |
| Sɔm mɛrɛsin dɛn | Sɔm mɛrɛsin dɛn (e.g. Carbamazepine, Methotrexate, Tetracycline) kin mek di BUN lɛvɛl go ɔp. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | di BUN lεvεl kin εlevεt bak biכs fכ kכndishכn dεm lεk bכn, at atak, hεvi strεs lεvεl, blכd na di bεlε כ intestin (GI bכdi), כ wan urinary tract obstruction. |
Di tin we impɔtant pas ɔl na fɔ nɔ panik we yu BUN lɛvɛl go ɔp, bɔt fɔ tɔk to yu dɔktɔ fɔ no wetin na di kɔz. Yu dɔktɔ go kam to wan kɔnklushɔn bay we i nɔ jɔs kɔmpia di BUN lɛvɛl, bɔt i kɔmpia ɔda tɛst valyu dɛn bak, lɛk kriaytinin .
Yu tink se di BUN valyu kin bi ‘lɔ’?
Yɛs, i kin apin. Bɔt wan lɔw BUN lɛvɛl nɔ kin rili kɔmɔn. Bɔku tɛm, i nɔ kin sho se yu gɛt big prɔblɛm wit yu wɛlbɔdi. Bɔt sɔm rizin dɛn de we mek di BUN lɛvɛl kin smɔl.
- Di it we nɔ gɛt bɔku prɔtin: If yu nɔ de it bif ɔ yu de it tin we nɔ gɛt bɔku prɔtin.
- Smɔl bɔdi saiz: .
- Di wata we yu de drink pasmak: If yu drink bɔku wata, dat kin mek di blɔd nɔ bɔku ɛn i kin mek di BUN nɔ bɔku.
- Liva sik: Bikɔs yuria de kɔmɔt na di liva, di BUN lɛvɛl kin smɔl pan siriɔs kɔndishɔn we kin afɛkt di liva wok.
Wetin kin apin bifo ɛn we dɛn de du dis blɔd tɛst?
Dis na wan rili simpul, we dɛn kin du ɔltɛm fɔ tɛst blɔd.
Bifo di tɛst
If yu de tek mɛrɛsin we de mek yu blɔd tan ɔ yu gɛt prɔblɛm wit yu blɔd, tɛl yu dɔktɔ bifo tɛm. Aks yu dɔktɔ if yu go fast fɔ 8-12 awa, bikɔs dɛn kin du ɔda tɛst dɛn wit di BUN.
We dɛn de du di tɛst
- Bɔku tɛm, dɛn kin pik wan vein frɔm yu an nia di ɛlb fɔ pul blɔd.
- Dɛn kin klin di say wit sɔntin lɛk rɔm, ɛn dɛn kin tek smɔl blɔd insay wan smɔl vayl we dɛn kin yuz wan rili fayn nidul.
- Yu go fil smɔl prɛk. Di say kin blu smɔl afta dat, bɔt i go dɔn kpatakpata insay wan ɔ tu dez.
- Dɔn dɛn kin sɛn dis blɔd sɛmpul to wan lɛb. I kin tek wan ɔ tri dez fɔ mek di rizɔlt kam bak.
Wetin kin apin afta di tɛst ripɔt dɔn kam?
We yu dɔn gɛt di tɛst ripɔt, yu dɔktɔ go ɛksplen wetin i min fɔ yu. Yu dɔktɔ nɔ go disayd bay jɔs di BUN valyu. Yu dɔktɔ go tink bɔt sɔm ɔda tin dɛn fɔ gɛt kɔmplit pikchɔ bɔt aw yu kidni de wok.
- Serum Creatinine: Dis na ɔda dɔti tin we dɛn kin mɛzhɔ na di blɔd. Na tɛst we impɔtant pas BUN we i kam pan aw di kidni de wok.
- εstimat Glomerular Filtration Rate (eGFR): Dis nכto dayrekt tεst. Na valyu we de kɔl aw yu kidni dɛn de klin yu blɔd kwik kwik wan, yuz tin dɛn lɛk yu kriaytinin lɛvɛl, yu ej, ɛn man ɔ uman.
Di dɔktɔ go put ɔl dɛn valyu ya togɛda fɔ rich wan las kɔnklushɔn bɔt di wɛlbɔdi fɔ yu kidni.
If di BUN lɛvɛl ay, wetin dɛn kin du fɔ mek i go dɔŋ?
Di impɔtant tin fɔ ɔndastand ya na dat dɔktɔ dɛn nɔ de gi mɛrɛsin to "lɔwa" BUN lɛvɛl. Wetin dɛn kin du na fɔ fɛn di kɔz fɔ di ay BUN lɛvɛl ɛn trit da kɔz de.
Bɔt if pɔsin we nɔ gɛt kidni sik gɛt ay BUN lɛvɛl, dɛn kin kɔntrol am wit simpul chenj dɛn na in layf.
Impɔtant: If yu gɛt sik na yu kidni, mek shɔ se yu tɔk to yu dɔktɔ bifo yu mek dɛn chenj ya.
1. Drink bɔku wata: Wae yu nɔ gɛt wata na yu bɔdi na di men tin we kin mek yu BUN lɛvɛl go ɔp. If yu kriaytinin lɛvɛl nɔmal bɔt yu BUN dɔn go ɔp, i go mɔs bi se na bikɔs yu nɔ gɛt wata.
- Man fɔ drink 13 kɔp wata (lɛk 3 lita) fɔ wan de.
- I fayn fɔ mek uman drink 9 kɔp (lɛk 2.2 lita) wata fɔ wan de.
2. 2. .Kɔntrol yu it we gɛt bɔku prɔtin: If yu chenj to it we nɔ gɛt bɔku prɔtin, dat kin ɛp fɔ ridyus di BUN lɛvɛl.
| Fɔ it dɛn we nɔ gɛt bɔku prɔtin fɔ it mɔ | Fɔ it dɛn we gɛt bɔku prɔtin fɔ stɔp ɔ fɔ avɔyd |
|---|---|
| Grens: rays, ɔts, pasta | Mit: Bif, Chikin, Pik, Salmon |
| Frut: apul, bɛri, banana | Di it dɛn we dɛn kin mek wit milk: milk, chiz, yogɔt |
| Vɛjitebul: Grin vɛjitebul, bɛl pepa, brɔkoli | Ɔda tin dɛn: eg, lentil, chikip, soya, tofu |
| Fat dɛn we gɛt wɛlbɔdi: avokado, nɛt, kokonat ɔyl |
pan avrej, pɔsin kin it bitwin 40-60 gram prɔtin fɔ wan de. Bɔt pɔsin we gɛt ay BUN lɛvɛl kin nid fɔ ridyus dis mɔni bay we dɛn dɔktɔ advays am.
Mɛsej we dɛn kin kɛr go na os
- BUN na west prodakt we de fכm frכm di protin we wi de it εn di kidni dεm fכ filta am εn pul am.
- Dis tεst de mεntal gi yu wan aidia fכ di wok we di kidni dεm de wok .
- Nɔto ɛvri tɛm we di BUN lɛvɛl go ɔp, na sayn fɔ sik na di kidni. Ɔda tin dɛn lɛk we yu nɔ gɛt wata na yu bɔdi ɛn it we gɛt bɔku prɔtin, kin ɛp bak.
- Di wangren pɔsin we go ebul fɔ ɛksplen yu tɛst rizɔlt kɔmplit wan na yu dɔktɔ.
- If di BUN lɛvɛl ay, trit di ɔndalayn kɔz.Dat na di tin we impɔtant pas ɔl. If yu chenj di we aw yu de liv yu layf ɛn di tin dɛn we yu de it akɔdin to yu dɔktɔ in advays, dat kin mek big difrɛns.
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