Yu kidni dɛn de wok fayn? Lɛ wi tɔk bɔt di Kriatinin Kliarens Tɛst!

Yu dɔn ɛva tink bɔt di smɔl ‘filta sistɛm’ we de insay wi bɔdi? Jɔs lɛk di ɔyl filta na motoka, di kidni na wan pan di impɔtant ɔgan dɛn we de filta ɛn pul dɔti tin dɛn na wi bɔdi. As lɔng as dɛn de wok fayn, wi nɔ gɛt ɛni prɔblɛm. Bɔt if dɛn wok go dɔŋ ivin smɔl, difrɛn sik dɛn kin kam na di bɔdi. So, tide wi go tɔk bɔt wan impɔtant tɛst we dɛn kin du fɔ chɛk if yu kidni dɛn de wok fayn fayn wan. Dat na di Kriatinin Kliarens Tɛst.

Fɔ tɔk am simpul wan, wetin na dis kriaytinin kliarens tɛst?

Dis kin tan lɛk sayɛns nem, bɔt fɔ tru, i rili simpul. Dis tɛst de sho aw yu kidni dɛn de wok fayn fayn wan. Fɔ du dis, dɛn kin mɛzhɔ di kayn kriaytinin we de na wan urine sɛmpul ɛn wan blɔd sɛmpul. Bay dɛn rizɔlt ya, yu dɔktɔ kin no if yu gɛt sik na yu kidni ɔ yu nɔ gɛt am.

So wetin na dis kriaytinin?

Tink bɔt di mɔsul dɛn na wi bɔdi lɛk di injin na motoka. Dis injin nid ɛnaji, dat na fiul fɔ wok. Kriatin na kemikal we de gi wi mɔsul dɛn ɛnaji. We wi de waka, rɔn, ɔ es wet, dɛn mɔsul dɛn ya de wok, dat min se dɛn de yuz trɛnk.

We yu yuz ɛnaji lɛk dis, lɛk smok we de kɔmɔt na injin, wan dɔti tin we dɛn kɔl kriaytinin de fɔm ɛn ad am to di blɔd. Dis nɔ gɛt wan yus to di bɔdi. So, wetin tu wɛlbɔdi kidni dɛn de du na fɔ filta dis blɔd fayn fayn wan ɛn pul di kriaytinin we nɔ nid wit urine.

Bɔt, imajin se yu kidni dɛn nɔ de wok smɔl. Wetin kin apin da tɛm de? Jɔs lɛk we dɛn blok motoka in mufla, di smok kin trɔp ɛn nɔ kin ebul fɔ kɔmɔt fayn, di kidni dɛnsɛf nɔ kin ebul fɔ filta dis kriaytinin fayn ɛn pul am kɔmɔt. Dɔn di kriaytinin lɛvɛl na di blɔd kin go ɔp pas di nɔmal. Na dat dis tɛst de luk fɔ.

Dis tɛst involv fɔ gɛda yu urine fɔ 24 awa, ɛn fɔ tek blɔd sɛmpul bak. We yu yuz ɔl tu di sampul dɛn, dɛn kin kɔl ɔmɔs kriaytinin yu kidni dɛn dɔn filta fɔ 24 awa.

Bɔt, dɔktɔ dɛn nɔ kin yuz di kriaytinin kliarens tɛst dɛn tɛm ya bikɔs fɔ gɛda urine fɔ 24 awa kin tranga smɔl. Bifo dat, di izi, wan doz blɔd tɛst we dɛn kɔl eGFR (estimated Glomerular Filtration Rate) ɛn di wan doz urine tɛst we dɛn kɔl uACR (urine albumin-creatinine ratio) na dɛn dɛn de yuz mɔ naw.

Wetin na di sayn dɛm we de sho se di kriaytinin lɛvɛl go ɔp?

Bɔku tɛm, we di kriaytinin lɛvɛl na di blɔd go ɔp, dat min se sɔm damej de pan di kidni dɛn ɛn dɛn nɔ de wok fayn. We di kidni sik de kam, nɔr kin gɛt ɛni sayn fɔ de na di fɔs stej. Dat na di tin we denja pas ɔl. Bɔt as di sik de go bifo, yu kin bigin fɔ fil tin dɛn lɛk dis:

So ustɛm dɛn go du dis tɛst?

As wi bin dɔn tɔk, di blɔd tɛst we dɛn kin du pas ɔl naw na di eGFR. Bɔt sɔm spɛshal kes dɛn de we di dɔktɔ kin fil se di tin dɛn we dɛn kin du fɔ di blɔd tɛst nɔmɔ nɔ kin du fɔ am ɛn i nɔ kin kɔrɛkt ɔl. Na da tɛm de di dɔktɔ kin tɔk bɔt di kriaytinin kliarens tɛst, we min se dɛn kin gɛda 24 awa urine sɛmpul.

Fɔ ɛgzampul:

• Sɔmbɔdi we gɛt bɔku mɔsul dɛn: Imajin wan bɔdi bilda we dɔn wok tranga wan na di jim. Bikɔs i gɛt bɔku mɔsul dɛn, i de mek mɔ kriaytinin pas di ɔdinari pɔsin. So, if yu luk am onli tru di eGFR blɔd tɛst, in kriaytinin lɛvɛl kin jɔs sho se i gɛt ay valyu. Dis kin mek dɛn nɔ tink di rayt we se prɔblɛm de wit di kidni dɛn.
• Pɔsin we gɛt bɔku bɔku mɔsul dɛn: Semweso, pɔsin we rili tan ɛn we nɔ gɛt bɛtɛ mɔsul dɛn go mek smɔl kriaytinin. fכ dat, di eGFR valyu kin sho se i bεtε pas tru tru kidni kכndishכn.

If na so i bi, di dɔktɔ kin tɛl yu fɔ du dis 24 awa tɛst fɔ mek yu gɛt di kɔrɛkt pikchɔ.

Aw fɔ rɛdi fɔ di tɛst?

Fɔ mek yu ebul fɔ du dis tɛst kɔrɛkt wan, yu go nid fɔ pripia smɔl. Yu dɔktɔ ɔ di lab go advays yu bɔt dis.

• Kɔntena fɔ gɛda urine: Di lab go gi yu wan spɛshal big kɔntena (bɔtul) fɔ gɛda yu urine insay Dɛn go gi yu instrɔkshɔn bak bɔt aw fɔ kip am fɔ 24 awa (fɔ ɛgzampul, dɛn kin tɛl yu fɔ put am na frij).
• Fɔ fala di instrɔkshɔn dɛn gud gud wan: Di sakrifays fɔ dis tɛst dipen pan yu. Yu nid fɔ gɛda ɛvri drop pan urine we yu pas fɔ 24 awa insay di kɔntena. If yu aksidɛntli flash am dɔŋ di tɔylɛt ivin wan tɛm, di wan ol tɛst rizɔlt nɔ go kɔrɛkt. If dat apin, yu go gɛt fɔ bigin bak.
• Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: Sɔm mɛrɛsin dɛn we yu de tek (e.g., sɔm antibayɔtik, bɛlɛ pen mɛrɛsin) kin afɛkt di rizɔlt fɔ dis tɛst. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Na fɔ stɔp fɔ tek dɛn fɔ sɔm tɛm fɔ di de dɛn bifo di tɛst if yu dɔktɔ tɛl yu fɔ du am. Nɔ ɛva stɔp fɔ tek mɛrɛsin fɔ yusɛf.
• Fɔ it ɛn drink:Bɔku tɛm, yu kin it nɔmal wan. Bɔt sɔntɛnde, yu dɔktɔ kin aks yu fɔ fast di nɛt bifo di tɛst. Dɛn kin aks yu bak fɔ avɔyd fɔ it mit bifo ɛn di de we dɛn de du di tɛst. Bikɔs mit gɛt bɔku kriaytin, if yu it mit, i kin mek yu bɔdi bɔku fɔ sɔm tɛm. Dis kin gi yu lay lay rizɔlt.

Wetin kin apin we dɛn de du di tɛst?

Mek wan not fɔ di rayt tɛm we yu want di tɛst fɔ bigin. Fɔ ɛgzampul, if yu de stat di tɛst na 8 oklɔk mɔnin, yu go du dɛn tin ya:

1. Kɔlekt yu fɔs urine sɛmpul: Na 8 a.m., ɛmti yu urine insay di tɔylɛt lɛk aw i nɔmal ɛn flush am. Nɔ gɛda am. Dis na di tɛm we yu 24 awa tɛm kin bigin.

2. Dɔn gɛda ɔltin: Frɔm de, te 8 a.m. di nɛks mɔnin, gɛda da urine de insay di kɔntena we di lab gi yu ɛvri tɛm we yu de pis. Yu fɔ gɛda am bak if yu grap na nɛt fɔ pis.

3. Faynal sampul: Na 8 oklɔk mɔnin di nɛks de (we 24 awa dɔn pas), ivin if yu nɔ fil fɔ pis, tray fɔ gɛda sɔm urine na di sem kɔntena. Dis na di las ɛgzampul.

4. Blɔd Gi: Afta di 24 awa urine kɔlɛkshɔn dɔn, yu go nid fɔ go na di lab ɛn gi yu blɔd sɛmpul. Bɔku tɛm, dɛn kin tek di blɔd di sem tɛm we yu gi di urine kɔntena to di lab.

dis bכdi sεmpl dεn de yuz fכ mכsu di lεvεl fכ kriaytinin na di bכdi (sεrum kriaytinin). Dɔn, dɛn kin yuz di kayn kriaytinin we de na di urine, di mɔnt we de na di blɔd, ɛn di ɔl di urine we dɛn gɛda fɔ kɔl yu kriaytinin kliarens valyu bay we dɛn put am insay wan fɔmula we dɛn kin yuz fɔ du matematiks.

Aw fɔ ɔndastand di tin dɛn we kin apin?

We di tɛst rizɔlt kam bak, lɛf am to di dɔktɔ fɔ ɛksplen am, bikɔs yu nɔ go ebul fɔ no if yu gɛt sik bay we yu luk wan nɔmba.

• If di kriaytinin kliarens valyu hכy: Dis kin min se di kidni dεm nכ de wok fayn fayn wan. Bɔt nɔto ɔltɛm dis kin bi. Sɔmtɛm di rizɔlt kin difrɛn bikɔs ɔf ɔda rizin. Fɔ ɛgzampul:
• At we nɔ de wok fayn
• Di kɔndishɔn dɛn we de na di blad
• Di wata we nɔ de na di bɔdi (we nɔ gɛt wata na di bɔdi) .
• Ɔda kidni dɛn we kin pwɛl
• Yu tink se di tin dɛn we kin apin kin rɔng?:Yɛs, sɔm tin dɛn kin afɛkt di kɔrɛkt we aw di tin dɛn we dɛn kin fɛn.
• Nɔ de gɛda urine fayn fayn wan.
• Fɔ tek mɛrɛsin dɛn we de afɛkt di rizɔlt.
• Fɔ it pasmak it dɛn we gɛt bɔku prɔtin (mit, fish, eg).
• We uman gɛt bɛlɛ.
• Tumɔs ɔ tu smɔl mɔsul mas.
• Fɔ ɛksesaiz pasmak di de we dɛn de du di tɛst.

So, duya tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu rizɔlt.

Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm

Yu tink se we yu drink wata, dat kin mek yu nɔ gɛt bɔku kriaytinin?

Yɛs, if yu drink bɔku wata, dat kin mek yu blɔd kriaytinin lɛvɛl go dɔŋ fɔ sɔm tɛm. So, nɔ drink tumɔs wata bikɔs ɔf yu abit, op fɔ gɛt "gud rizɔlt" pan di tɛst. Drink di sem wata we yu kin drink insay wan de. Na so yu kin gɛt di kɔrɛkt rizɔlt we de sho aw yu bɔdi de tru.

Us kriaytinin lɛvɛl de sho se di kidni nɔ de wok fayn?

Dis rili impɔtant. Yu nɔ go ebul fɔ no if pɔsin gɛt kidni fayl jɔs bay we yu luk in kriaytinin lɛvɛl. Dɔktɔ kin kam fɔ no dat afta we i dɔn tink bɔt di tin dɛn we dɛn dɔn du fɔ bɔku tɛst dɛn, yu ej, yu man ɔ uman, ɛn yu mɔsul dɛn. di nכmal valyu dεm fכ blכd tεst (sεrum kriatinin) na dεn wan ya:

Agen, mɛmba: dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab. Ɛn nɔ fred if dɛn ay smɔl pas dis valyu. Yu dɔktɔ de luk fɔ yu GFR. Dat na di mɛzhɔmɛnt we impɔtant pas ɔl.