Di kidni na tu smɔl smɔl pat dɛn na wi bɔdi, bɔt dɛn gɛt pawa. Dɛn tan lɛk tu pan di filta dɛn we gɛt pawa pas ɔl na wi bɔdi. Dɛn kin klin wi blɔd ɛn pul dɔti tin dɛn, pɔyzin, ɛn wata we pasmak as urine. Bɔt imajin wetin kin apin we dɛn tu filta dɛn ya kin pwɛl smɔl smɔl? Na dat wi kin kɔl Kronik Kidni Disease (CKD) . Dis na we di kidni dɛn nɔ kin ebul fɔ wok smɔl smɔl as tɛm de go.
Fɔ tɔk am simpul wan, aw di kidni dɛn impɔtant to wi?
Dɛn tu kidni bin ya de na di tu say dɛn na yu spayna, jɔs dɔŋ yu rib kech. Ɛni wan pan dɛn gɛt di sayz lɛk yu an.
Pan ɔl we dɛn men wok na fɔ klin di blɔd, dɛn kin du bɔku ɔda impɔtant tin dɛn bak:
- I de mek di ilɛktrɔlayt dɛn lɛk sɔl ɛn potashɔm na wi bɔdi balans.
- I de mek ɔmon dɛn we dɛn nid fɔ kɔntrol blɔd prɛshɔn.
- I de ɛp fɔ mek wi bon dɛn strɔng.
- I de ɛp fɔ mek rɛd blɔd sɛl dɛn .
So imajin, if di tu kidni dɛm, we de du bɔku wok, wik, wi kin bigin fɔ sik bikɔs ɔf di dɔti we kin gɛda na di bɔdi.
Wetin na di 5 stej dɛm fɔ kidni sik?
Dɛn kin sheb di sik we nɔ de mɛn na di kidni to fayv stej dɛm. Dɛn stej ya de sho aw yu kidni dɛn de filta dɔti tin dɛn we de kɔmɔt na yu blɔd fayn fayn wan. Dɔktɔ dɛn kin du blɔd ɛn urine tɛst fɔ no ustɛm yu de.
di men mכsul we dεn yuz fכ dis na di GFR (Glomerular Filtration Rate) . Fɔ tɔk am simpul wan, dis de sho ɔmɔs mililita blɔd yu kidni dɛn de filta fɔ wan minit. I de chɛk bak di lɛvɛl we wan dɔti tin we dɛn kɔl kriaytinin de na di blɔd. if di kidni dεm de wok fayn, dis kriaytinin de kכmכt na di urine. We di kidni dɛn wik, kriaytinin kin bigin fɔ gɛda na di blɔd.
- Stej 1: Damej we nɔ kin rili apin. GFR kin bi nɔmal tin.
- Stej 2: di kidni fכ wok we de dכn sכmtεm.
- Stej 3: di kidni fכnshכn de dכn sכmtεm sכmtεm.
- Stej 4: I de ridyus di kidni fכnshכn bad bad wan.
- Stej 5: Kɔmplit kidni fayl. Dɛn kɔl dis sik we de na di kidni we kin dɔn .
Di impɔtant tin na dat nɔto ɔlman we gɛt dis sik kin go bifo te i rich stej 5. If dɛn trit am fayn ɛn chenj dɛn layf, dɛn kin kɔntrol di sik ɛn di damej we de na di kidni dɛn kin ridyus bad bad wan.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Bɔku tɛm, di sayn dɛn nɔ kin si fɔs.
De tin wae denja pas ɔl bɔt dis sik na dat, wae i bigin, nɔr kin si ɛni sayn wae yu kin si . Na we di sik de kam tranga mɔ ɛn mɔ, na in di sayn dɛn kin bigin fɔ sho. So, e fayn fɔ no bɔt dɛn kayn sik ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Nid fɔ pis bɔku tɛm | di abiliti fכ di kidni dεm fכ filta εn kכntrכl di urine dεm dכn dכn. |
| Fɔ fil se yu taya pasmak ɛn yu wik | di tכxin dεm we de kכmכt na di bכdi εn di rεd bכdi sεl dεm we de dכn (anemia). |
| Fil fɔ it | Wan kɔndishɔn we kin kam bikɔs dɔti kin gɛda na di bɔdi. |
| Di an, fut, ɛn anklɛ dɛn kin swel | di kidni dεm nכ kin ebul fכ pul di wata we pasmak na di bכdi. |
| I nɔ kin izi fɔ yu fɔ blo | I kin bi bikɔs wata we de gɛda na di lɔng ɔ we blɔd de lɔs. |
| Di urine we de fom ɔ we de bɔbul | dis kin apin bikoz di protin we pasmak na di urine. |
| Swɛlin rawnd di yay | dis kin apin bikoz fכ di kכlכshכn fכ bכku protin na di urine. |
| Dray ɛn it skin skin | Di minral ɛn nyutriɛnt dɛn we de na di blɔd nɔ balans. |
| Nɔs ɔ vɔmit | Di dɔti tin dɛn we de na di blɔd rili ay. |
| Nɔ slip ɛn i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin | Pɔyzin kin afɛkt di we aw di bren de wok. |
Wetin na di men tin wae kin mek pɔrsin gɛt sik na in kidni?
Kidni sik kin apin we di kidni dɛn dɔn pwɛl ɛn nɔ ebul fɔ filta di blɔd fayn fayn wan. Insay di sik we nɔ de mɛn na di kidni, dis damej kin apin smɔl smɔl fɔ lɔng tɛm.
Di tu men ɛn kɔmɔn rizin dɛn fɔ dis na:
1. Ay Blɔd Prɛshɔn
2. Dayabitis
If yu gɛt dɛn tu sik ya, yu rili nid fɔ tek kia ɔf yu kidni, bikɔs dɛn tu sik ya kin pwɛl di dilik blɔd vesel dɛn na di kidni ɛn i nɔ kin wok fayn.
Apat frɔm dɛn tu men rizin ya, ɔda rizin dɛn de.
- Glomerulonephritis: Dis na we di fayn fayn filta yunit dɛn we de insay di kidni dɛn kin pwɛl.
- Polisistik kidni sik: Dis na jεnεtik kכndyushכn we de pas dכn tru jεnereshכn. bכku sist dεm we fulכp wit wata kin fכm na di kidni dεm, we kin mek dεn nכ wok fayn.
- Urinary tract obstruction: Di urine flɔ blok bikɔs ɔf urinary ston, prɔstat we dɔn big na man, ɔ kansa.
- Vesicoureteral reflux: Dis na we di urine de fכlכ bak כp frכm di blad to di kidni dεm.
- Kidni infekshɔn ɔltɛm (Pyelonephritis).
- Sik dεm lεk lupus wae di bכdi in imyun sistεm de tכn εgεst insεf.
Udat dɛn kin gɛt dis sik?
Ɛnibɔdi kin gɛt sik na in kidni, bɔt if yu gɛt dɛn kayn sik ya, yu risk kin bɔku smɔl.
- If yu gɛt dayabitis .
- If yu gɛt ay blɔd prɛshɔn .
- If yu gɛt at sik .
- If pɔsin na di famili dɔn gɛt kidni sik (hereditary influence).
- If yu dɔn pas 60 ia .
- NSAID-tayp pen kil(e.g. Ibuprofen, Diclofenac) if yu yuz am fɔ lɔng tɛm we yu nɔ gɛt dɔktɔ advays.
- If ɛni abnɔmal tin de na di strɔkchɔ ɔ saiz fɔ di kidni dɛn.
Aw dɛn kin trit am? Wetin wi go du?
Dɛn nɔ kin ebul fɔ mɛn di sik we de na di kidni we nɔ de dɔn. Bɔt bɔku tin dɛn de we wi kin du fɔ kɔntrol di damej we di kidni dɛn gɛt ɛn fɔ mek dɛn kɔntinyu fɔ wok fɔ lɔng tɛm .
Di we aw pipul dɛn de liv dɛn layf kin chenj
- Si yu dɔktɔ di rayt tɛm: Si yu dɔktɔ ɔ nefrɔlɔjis di rayt tɛm ɛn du tɛst.
- Kɔntrol dayabitis ɛn blɔd prɛshɔn: Dis na di tin we impɔtant pas ɔl. Kip yu blɔd shuga ɛn prɛshɔn ɔnda kɔntrol.
- Nɔ tek mɛrɛsin we go ambɔg di kidni: Mek shɔ se yu aks yu dɔktɔ, mɔ we yu de tek mɛrɛsin fɔ mek yu fil pen.
- Di it we fayn fɔ di kidni: Fɔ it tin we nɔ gɛt sɔl (sɔdiɔm), potashɔm, ɛn prɔtin. I bɛtɛ fɔ tɔk to pɔsin we sabi bɔt it ɛn gɛt advays.
- Nɔ smok kpatakpata.
- Ɛksesaiz mɔ dez insay di wik.
- Mek yu gɛt wɛlbɔdi wet.
Tritmɛnt wit mɛrɛsin
Yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn dipen pan di tin we mek yu sik ɛn di stej we yu gɛt.
- (ACE) inhibitors ɔ (ARB) tayp mɛrɛsin fɔ mek blɔd prɛshɔn go dɔŋ.
- Diuretic mɛrɛsin fɔ pul ɛkstra wata na di bɔdi.
- Mεdikeshכn dεm fכ lכs kכlestכl lεvεl.
- If yu gɛt anemia, tek mɛrɛsin dɛn we de ɛp fɔ mek rɛd blɔd sɛl.
- Mɛrɛsin lɛk vaytamɛn D fɔ mek di bon dɛn strɔng.
Wetin fɔ du if di kidni dɛn nɔ wok kpatakpata? (End-Stage Kidni Disizin) .
If di sik rich stej 5, we min se di kidni dεm dכn kכlכs fכ fεl, כda opshכn dεm nid fכ liv. Bikɔs if di kidni dɛn stɔp fɔ wok ɛn dɔti tin dɛn gɛda na di bɔdi, dat kin mek pɔsin day.
Tu men tin dɛn de we yu kin du:
1. Kidni dayalaysis (Dialysis) .
2. Fɔ Transplant Kidni
1. Kidni dayalaysis (Dialysis) .
Dis min se yu fɔ yuz mashin fɔ mek yu du di wok we yu kidni dɛn fɔ de du fɔ mek yu blɔd klin. Tu men we dɛn de:
- Ɛmodayalis: Insay dis, dɛn kin sɛn yu blɔd to wan mashin we kin pul dɔti tin dɛn, ɛkstra wata, ɛn sɔl na yu bɔdi, dɔn di blɔd we dɛn dɔn klin kin kam bak na yu bɔdi. Dɛn kin du dis na ɔspitul, dɛn kin du am tri tɛm insay di wik, fɔ lɛk 4 awa so ɛvri tɛm.
- Pɛritonial Dayalaysis: .insay dis, dεn de put wan tכb (kateta) insay yu bכdi εn dεn injεkt spεshal wata tru am. Afta di wata dɔn tek di dɔti we de na yu bɔdi, dɛn kin pul am ɛn put nyu wata insay yu. Dis na tin we di pɔsin we sik kin du na os.
2. Fɔ Transplant Kidni
Dis min se dɛn fɔ ɔpreshɔn di kidni we nɔ de wok fayn wit kidni we gɛt wɛlbɔdi. Bikɔs pɔsin we gɛt wɛlbɔdi kin liv fayn wit wan kidni, dɛn kin gɛt kidni frɔm tu say fɔ dis.
- Frɔm pɔsin we de alayv: Bɔku tɛm, i kin kɔmɔt frɔm pɔsin lɛk pɔsin in famili ɔ padi.
- Frɔm pɔsin we dɔn day: Na kidni frɔm pɔsin we dɔn day we dɔn sho se i want fɔ gi ɔgan dɛn.
Wetin wi fɔ du fɔ protɛkt wisɛf frɔm dis sik?
I impɔtant fɔ mek yu nɔ gɛt sik na yu kidni bifo i kam pas fɔ trit am afta i dɔn bigin.
- Fɔ fala di we aw yu de liv yu layf: Fɔ it fayn fayn tin dɛn, fɔ du ɛksɛsayz fayn fayn wan, ɛn fɔ avɔyd fɔ smok ɛn fɔ drink rɔm we nɔ impɔtant, rili impɔtant.
- Kɔntrol yu blɔd prɛshɔn ɛn shuga lɛvɛl: If yu gɛt dayabitis ɔ ay blɔd prɛshɔn, kɔntrol am fayn fayn wan. Tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek.
- Tek tɛm wit mɛrɛsin fɔ mɛn pen: Nɔ tek mɛrɛsin fɔ mɛn pen fɔ lɔng tɛm if yu nɔ gɛt dɔktɔ advays.
- Drink inof wata.
- Gɛt dɔktɔ chɛk ɔltɛm: If yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm, mek dɛn tɛst yu blɔd ɛn urine wan tɛm insay di ia fɔ wach aw yu kidni dɛn de.
Kidni sik na wan sik wae de kam wae yu de liv yu layf. Bɔt nid nɔ de fɔ panik. If dɛn de manej ɛn trit dɛn fayn, bɔku pipul dɛn kin liv gladi, nɔmal layf. Di tin we impɔtant pas ɔl na fɔ bi pɔsin we de wok tranga wan na yu tritmɛnt tim. Tɔk wit yu dɔktɔ opin wan, aks kwɛstyɔn dɛn, ɛn fala in instrɔkshɔn dɛn di rayt we.
Mɛsej we dɛn kin kɛr go na os
- Krכnik kidni sik na "saylent" sik wae de kam sloslo as tεm de go. Na di fɔs tɛm, nɔr kin gɛt ɛni sayn fɔ de.
- Di men tin dɛn we kin mek dis apin na dayabitis we pɔsin nɔ ebul fɔ kɔntrol ɛn we i gɛt ay blɔd prɛshɔn.
- If yu gɛt dayabitis, ay blɔd prɛshɔn, ɔ yu famili gɛt kidni sik, i rili impɔtant fɔ mek yu de chɛk yu ɔltɛm.
- If dɛn no kwik kwik wan, dɛn chenj dɛn layf, ɛn dɛn tek di rayt tritmɛnt, dɛn kin kɔntrol di bad bad tin dɛn we kin apin to di kidni dɛn.
- Mek shɔ se yu tɔk to yu dɔktɔ bifo yu tek ɛni mɛrɛsin, mɔ di mɛrɛsin dɛn we de mek yu nɔ fil pen.
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