Wetin na dis kɔnekshɔn bitwin di at ɛn di kidni? Lɛ wi lan bɔt di sik we dɛn kɔl Cardiorenal Syndrome!

Di at ɛn kidni na tu ɔgan dɛn na wi bɔdi we de wok lɛk bɛst padi dɛn. If prɔblɛm de wit wan, di ɔda wan sɛf kin fil am ɛn i kin afɛkt am. Sɔmtɛm dɛn prɔblɛm ya kin kam kwik kwik wan, ɛn ɔda tɛm dɛn kin bɔku as tɛm de go. Dat na di prɔblɛm bitwin di at ɛn kidni we wi de tɔk bɔt tide , ``Cardiorenal Syndrome`` .

Wetin na di sik we dɛn kɔl Kadiorenal Syndrome? Wetin mek dis kin apin?

Fɔ tɔk am simpul wan, `(Cardiorenal Syndrome)` na wan sik we yu at ɔ yu kidni wik kin afɛkt di we aw ɔda ɔgan dɛn de wok. Tink bɔt am, na wi at de pɔmp blɔd ɔlsay na di bɔdi. Di kidni dɛn kin klin da blɔd de ɛn pul dɔti tin dɛn we nɔ nid as urine. Nɔto dat nɔmɔ, bɔt fɔ kɔntrol di sɔl ɛn wata we de na di bɔdi na big wok bak we di kidni dɛn de du. Dis na wetin de kɔntrol wi blɔd prɛshɔn ɛn sho ɔmɔs wata di bɔdi de kip.

Naw, wetin go apin if di at wik? I nɔ de pɔmp blɔd fayn fayn wan na di bɔdi. Dɔn di blɔd we di kidni dɛn kin gɛt kin go dɔŋ bak. If di kidni dɛn nɔ de wok fayn, dɔti tin dɛn kin gɛda na di bɔdi, ɛn sɔl wata kin de insay di bɔdi instead fɔ go na do. Dis bak de put strɛs pan di at. Dis na kɔmpleks prɔses we gɛt fɔ du wit dɛnsɛf lɛk dat. sכmtεm tin dεm lεk ``Rεdyus bכdi fכ fכlכ to kidni``, inkrεs prεshכn na di big vein dεm we de bכn bכdi to di at (``vena cava``), εn dכn dכn pכmp abiliti fכ di at (lכw ``(kadyak autput)`` כ ``(hat fεil)`` ) kin afekt dis.

Aw dis sik kin kɔmɔn?

Infakt, e kin bɔrku pas aw yu kin tink fɔ gɛt prɔblɛm wit yu at ɛn kidni di sem tɛm. Na lɛk 64 milyɔn pipul dɛm na di wɔl de sɔfa wit wan sik wae dɛn kɔl ``Hat failure'' . Dɔktɔ dɛn dɔn si se bitwin 45% ɛn 63% pan dɛn pipul ya we gɛt at pwɛl hat kin gɛt sik bak na dɛn kidni. Sɔntɛnde, i nɔ kin izi fɔ no if di prɔblɛm kam fɔs wit di at ɔ di kidni.

Wetin na di sayn dɛm wae de sho se yu gɛt Kadiorenal Syndrome?

Na dis kayn tin, yu kin gɛt sɔm kayn sik lɛk dis. Bɔt mɛmba se, jɔs bikɔs yu gɛt dɛn sik ya nɔ min se yu gɛt dis sik. Bɔt i impɔtant fɔ no bɔt dɛn.

• Filin fɔ taya ɔltɛm (`Fatigue`): Na filin fɔ taya, lɛk se yu nɔ gɛt di ɛnaji fɔ du ɛnitin.
• Shortness of breath : Fɔ fil shɔt brith ivin we yu de waka smɔl ɔ klaym sɔm stej.
• Low urine output: If yu fil se yu nɔ de pis smɔl insay di de.
• Dipreshɔn : Jɔs de fil sɔri, lɛk se yu de fil bad.
• Swel na di leg ɛn di bɛlɛ : Di leg, di anklɛ, ɛn sɔntɛnde di bɛlɛ kin fil se i dɔn swel. I tan lɛk se dɛn ful-ɔp wit wata.
• Fɔ fil kɔnfyus (`Kɔnfyushɔn`): I kin fil lɛk se i at fɔ kɔnsɛntret, lɛk tin dɛn de miks.
• Fɔ fil se yu at de chenj: Fɔ fil lɛk se yu at de bit kwik kwik wan, ɔ yu de skip wan bit.

Wetin na de tin wae kin mek yu gɛt Cardiorenal Syndrome?

Bɔku rizin dɛn kin de fɔ dis. Sɔm na prɔblɛm dɛn we gɛt fɔ du wit at, sɔm na prɔblɛm dɛn we gɛt fɔ du wit di kidni, ɛn sɔm na tin dɛn we kin afɛkt di wan ol bɔdi.

• Cardiogenic shock : Na shɔk we kin kam wantɛm wantɛm na di at.
• `(Hat failure)` : Wik di wok we di at de du.
• `(Acute coronary syndrome)` : Na imejensi kכndyushכn we de kכz fכ blok di bכdi vεsul dεm we de saplae di at.
• Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn pan di at.
• Di sik we de mek pɔsin gɛt at valv.
• Vasculitis : Na inflammatory kondishɔn we kin apin na di blɔd vesel dɛm.
• Atherosclerosis : Di at dɛn kin tan ɛn at.
• Pulmonary embolism (PE) : Na blɔd we de blok wan blɔd vesel na di lɔng.
• Kidni sik ɔ injuri.
• Sepsis : Na bad bad infεkshכn we de spre כlsay na di bכdi.
• Lupus : Na sik we kin kam bikɔs ɔf prɔblɛm wit di imyun sistɛm.
• Sarcoidosis : Na sik we sכm sכm granuloma dεm de fכm na difrεn pat dεm na di bכdi.
• Shuga .
• Ilektrolayt imbalans na di bכdi ( ilektrolayt dizכrd) .

Udat de pan denja pas ɔl fɔ dis?

Sɔm pipul dɛn kin gɛt dis sik (Cardiorenal Syndrome) . Dis min se pipul dɛm wae gɛt dis risk factor fɔ tek tɛm smɔl.

• Fɔ di wan dɛn we gɛt dayabitis .
• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn .
• fכ dεn wan dεm we gεt bכdi mas indeks (BMI) we pas 30 (i.e. obese).
• Fɔ di wan dɛn we gɛt vaskul disɔda.
• Fɔ di wan dɛn we dɔn ɔlrɛdi gɛt sik na dɛn kidni .
• Fɔ di wan dɛn we dɔn ɔlrɛdi gɛt at prɔblɛm .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt di sik we dɛn kɔl Cardiorenal Syndrome?

If dɛn nɔ trit dis sik fayn, i kin mek yu gɛt mɔ prɔblɛm. Dat min se de sik kin wɔs.

• Kardiogenic shock kin apin.
• Kidni sik kin wɔs (`Worsening kidney disease`).
• di atεrosklεrosis (di atεri dεm we de sכmtεm) kin bכku.
• Inflameshɔn kin apin na di bɔdi.

Aw dɛn kin no dis sik (Cardiorenal Syndrome)?

Rili na wan "gold standad" nɔmɔ de fɔ no dis sik.No tɛst nɔ de. Dɔktɔ go chɛk yu ɛn chɛk ɔmɔs wata de na yu at, yu lɔng, yu bɛlɛ, yu leg, ɛn yu blɔd vesel. Apat frɔm dat, dɛn kin ɔda sɔm tɛst dɛn.

Di tɛst dɛm we dɛn kin du fɔ dis na:

• Blɔd tɛst : Chɛk di kidni fɔ wok ɛn di at pwɛl.
• Urinalysis : I de chɛk fɔ protin ɛn blɔd na di urine.
• Echocardiogram (Echo): Na skan fɔ chɛk aw di at valv dɛn de wok, di sayz, ɛn aw dɛn de.
• Ultrasound skan fɔ yu kidni ɛn/ɔ chɛst : Chɛk di kɔndishɔn fɔ dɛn ɔgan ya.
• `(Right heart catheterization)` : na tεst we de mכsu di prεshכn na di rayt say na di at.
• Chɛst X -ray: Fɔ si if wata de na di lכng ɔ if di at dɔn big.

Ɛni kayn sik de we dɛn kɔl Cardiorenal Syndrome?

Yɛs, dɔktɔ dɛn kin klas dis sik. I dipen pan us ɔgan di prɔblɛm fɔs bigin ɛn aw lɔng i dɔn pas. We yu dɔn ɔndastand dis, i kin izi fɔ trit.

5 men kayn dɛn de:

• Tayp 1: Di at kin stɔp fɔ wok wantɛm wantɛm. Dis kin mek di kidni dɛn pwɛl ɛn dɛn nɔ kin wok fayn. Dis na `acute` kondishɔn.
• Tayp 2: Hat prɔblɛm dɛn we nɔ de dɔn, kin pwɛl di kidni dɛn smɔl smɔl as tɛm de go.
• Tayp 3: Akyu kidni injuri (AKI) kin mek yu at pwɛl bad bad wan.
• Tayp 4: Krεse sik kin mek yu gɛt at prɔblɛm as tɛm de go. Fɔ ɛgzampul, at ritm disɔda, at pwɛl , ɔ korona at sik (CAD) .
• Tayp 5: Na sik wae de afekt di ol bodi, wae de mek di hat en kidni dem nor de woke fayn.

Aw dɛn kin trit dis?

Di men gol fɔ trit Cardiorenal Syndrome na fɔ mek yu gɛt nɔmal blɔd ɛn wata na yu bɔdi. Dis na bikɔs we yu at wik (at nɔ de wok fayn), wata we pasmak kin gɛda na yu bɔdi. di kidni dεm na dεn de pul dis wata we pasmak. So we yu at ɛn yu kidni dɛn ɔl tu afɛkt di sem tɛm, i kin tranga fɔ mek yu kɔntinyu fɔ balans dis kayn we.

Bɔku tritmɛnt dɛn de, frɔm mɛrɛsin to divays ɛn ɔgan transplant:

• Diuretics : Na mɛrɛsin dɛn we de ɛp di bɔdi fɔ pul di wata we pasmak as urine.
• Beta-blockers : Kɔntrol di at rit ɛn ridyus di wok we di at de du.
• ACE inhibitors : Dɛn kin ɛp fɔ kɔntrol blɔd prɛshɔn.
• ARBs : Dis na wan kayn mɛrɛsin bak we de kɔntrol blɔd prɛshɔn.
• ARNI (angiotensin receptor/neprilysin inhibitors): Na mכdan kayn mεdikeshכn we de mek di at wok fayn.
• Renin angiotensin system blockers : Blɔk dis sistɛm, we de ridyus di blɔd prɛshɔn ɛn di kidni dɛm we de pwɛl.
• Mineralocorticoid receptor antagonists : de ɛp fɔ mek di sɔl ɛn wata balans na di bɔdi.
• Inotropes : Drug dεm we de inkrεs di fכs fכ di at kכntrikshכn. Dɛn kin gi dɛn tin ya we dɛn de na ɔspitul.
• Ultrafiltration ɔ dialysis : Na we fɔ klin di blɔd we dɛn de yuz mashin we di kidni dɛn nɔ de wok fayn.
• Implantable cardioverter defibrillator (ICD ): Na smɔl tin we dɛn kin put ɔnda di skin na di chɛst fɔ stɔp di denja at ritm irɛgyulariti.
• Left ventricular assist device (LVAD): Na mεkanikal pכmp we de εp pipul dεm we dεn at in pכmp abiliti dεm rili wik.
• Cardiac resynchronization therapy (CRT) : I tan lɛk wan peshɛnt we de ɛp di at in chɛmba dɛn fɔ bit togɛda.
• Fɔ transplant yu at .
• Kidni we dɛn kin transplant .

Ɛni bad tin de we di tritmɛnt kin du?

Yes, lɛk ɔl di tritmɛnt dɛm, sɔm sayd ɛfɛkt kin apin wit dɛn tritmɛnt ya fɔ ``Cardiorenal Syndrome.`` Bɔt nɔto ɔl dɛn tin ya kin apin pan ɔlman.

• Ed de at.
• Diziz we pɔsin kin gɛt.
• Taya.
• Fɔ pis bɔku tɛm (espɛshali we yu de tek diuretics ).
• Di at rit we de slow slow.
• Di potashɔm we bɔku na di blɔd.
• Kidni injuri (bikɔs ɔf sɔm mɛrɛsin dɛn).
• Divays nɔ de wok fayn.
• Infεkshכn כ blɔd afta dεn put divays כ afta dεn transplant כgan.
• Kidni sik.
• Ɔgan we dɛn nɔ gri wit.

I bɛtɛ fɔ tɔk to yu dɔktɔ bifo yu wɔri bɔt dɛn sayd ɛfɛkt ya. Da we de, yu go ɔndastand gud gud wan wetin pɔsibul ɛn wetin fɔ du bɔt dɛn.

Wetin pɔrsin wae gɛt Cardiorenal Syndrome kin ɛkspɛkt?

E fayn fɔ no dis sik kwik kwik wan. Dɔn, we yu gɛt di rayt tritmɛnt di rayt tɛm, yu kin kɔntinyu fɔ liv yu layf te to sɔm mak. Bɔt, fɔ tɔk tru, `(Cardiorenal Syndrome)`insay dis kכndishכn, di sikman in `prognosis` כ `outlook` nכ kin bכku bכku wan. Dis min se di sik kin rili bad. Insay dɛn kayn tin ya, wan tritmɛnt we dɛn kɔl `palliative care` kin rili ɛp. Dɛn kin du dis bay we dɛn de kɔntrol di sik dɛn we de sho se dɛn gɛt am, mek di pɔsin fil fayn, ɛn nɔ de admit pipul dɛn na ɔspitul bɔku tɛm.

Aw a go ridyus dis risk?

If yu kɔntrol sɔm tin dɛn, yu kin ridyus di risk fɔ gɛt Cardiorenal Syndrome .

• If yu gɛt dayabitis , kɔntrol am fayn fayn wan.
• If yu gɛt korona at sik , mek dɛn trit am fayn fayn wan.
• If yu gɛt ay blɔd prɛshɔn , kɔntrol am.
• If yu bɔdi mas indeks (BMI) pas 30 , tray fɔ lɛf fɔ it bɔku bɔku it.

I rili impɔtant fɔ tek di kɔrɛkt mɛrɛsin fɔ dɛn sik ya, insay di kɔrɛkt doz. Bikɔs sɔm mɛrɛsin dɛn kin afɛkt di kidni wok bak if dɛn nɔ tek dɛn di rayt we.

A gɛt Cardiorenal Syndrome, aw a go tek kia ɔf misɛf?

If yu gɛt dis sik, i rili impɔtant fɔ tek kia ɔf dɛn tin ya:

• Fɔ fala yu dɔktɔ in tritmɛnt plan di rayt we. Tek yu mɛrɛsin dɛn di rayt tɛm ɛn lɛk aw dɛn tɛl yu fɔ tek.
• If yu gɛt ɛni nyu sik, ɔ if wan sik we yu dɔn gɛt dɔn wɔs, tɛl yu dɔktɔ wantɛm wantɛm.
• Mek shɔ se yu go to dɔktɔ pan di tɛm dɛn we yu dɔn plan fɔ mek yu go to am.

Ustɛm a fɔ go na ɔspitul (ETU) wantɛm wantɛm?

If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Go na ɔspitul kwik kwik wan.

• If yu nɔ de mek urine .
• If yu nɔ ebul fɔ kech yu briz.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, nɔ fred fɔ aks kwɛstyɔn dɛn we yu gɛt. Yu kin aks tin dɛn lɛk:

• Us tritmɛnt we bɛtɛ fɔ mi?
• A kin trit am wit mɛrɛsin nɔmɔ?
• Sɔpɔt grup dɛn de fɔ pipul dɛn we gɛt Kadiorenal Syndrome ?
• Aw siriɔs mi sik de?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

`(Kadiorenal Sindrom)`I rili bi smɔl kɔmplikɛt sityueshɔn. biכs, wetin de apin ya na dat tri pan wi mכst imכtant כgan dεm – di at εn tu kidni dεm – nכ de wok fayn. So, if yu gɛt dis sik, fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan na di bɛst we fɔ gɛt di bɛst rizɔlt. We yu tɛl di wan dɛn we yu lɛk bɔt wetin yu want, dat go mek yu gɛt bɔku kolat na yu maynd. If yu kɔndishɔn wɔs wantɛm wantɛm, fɔ gɛt `living will` we dɛn rayt we yu stil de alayv go ɛp yu famili fɔ disayd us kayn kia yu nid.

` Kadiorenal Sindrom, Kadiorenal Sindrom, At sik, Kidni sik, Shortness of Breath, Edima, Medikal Advays