Yu gɛt dayabitis? Ɔ sɔmbɔdi na yu famili ɔ yu tayt padi gɛt dayabitis? Dɔn dis stori go rili impɔtant to yu. Bɔku tɛm we wi kin tink bɔt dayabitis, wi kin jɔs tink bɔt fɔ kɔntrol di blɔd shuga. Bɔt yu tink se wi rili no di damej we dayabitis kin mek to ɔda pat we rili impɔtant na wi bɔdi, we na wi kidni? Na dat wi de tok abaut tide.
Wetin na Dayabitik Nɛfropati?
Fɔ tɔk am simpul wan, dayabitik nɛfrɔpati na we di kidni nɔ de wok smɔl smɔl bikɔs ɔf dayabitis as tɛm de go. Infakt, dayabitis na di men tin we kin mek pɔsin in kidni nɔ wok fayn ɔlsay na di wɔl. Na lɛk wan pan ɔl tri pipul dɛn we gɛt dayabitis go gɛt dis sik.
We pɔsin we gɛt dayabitis gɛt sik na in kidni, di tin kin tranga smɔl pas if i jɔs gɛt kidni sik we nɔ gɛt dayabitis. Dis na bikɔs bɔku tɛm pipul dɛn we gɛt dayabitis kin gɛt ɔda prɔblɛm dɛn wit dɛn wɛlbɔdi prɔblɛm, lɛk ay blɔd prɛshɔn, ay kɔlɔstrel, ɛn atrɔsklerɔsis . We dɛn put ɔl dɛn tin ya togɛda, di bad tin we kin apin to di kidni dɛn kin rili bɔku.
Dis situeshɔn kin difrɛn smɔl bak fɔ di kayn shuga sik.
- Insay Tayp 1 dayabitis: di kidni damej nɔ kin bɔku insay di fɔs 10 ia afta dɛn dɔn no se i gɛt am.
- Insay Tayp 2 Dayabitis: Fɔ sɔm sik pipul dɛm, ivin we di dɔktɔ se, "Yu gɛt dayabitis," dɛn kidni kin dɔn bigin fɔ pwɛl to sɔm mak. Na dat mek pipul dɛm wae gɛt Tayp 2 dayabitis nid fɔ tek tɛm mɔr bɔt dis.
Wetin na di sayn dɛm fɔ dis sik?
De tin wae denja pasmak pan dis na wae nɔr de simptom na di fɔs stej. Yu nɔ go notis ɛni chenj te yu kidni dɛn dɔn pwɛl bad bad wan. Bɔt as yu kidni dɛn bigin fɔ wok, dɛn tin ya kin apin:
Imajin, yu mama gɛt dayabitis. I nɔ ebul fɔ du di tin dɛn we i bin de du, i kin se ɔltɛm i taya. We i wek na mɔnin, in leg ɛn in fes kin swel smɔl. Wi tink se na sɔntin we kin apin wit di ej, ɔ sɔntin we kin apin wit taya. Bɔt dɛn tin ya kin bi di fɔs sayn dɛn we de sho se pɔsin gɛt prɔblɛm wit in kidni.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| An, fut, ɛn fes kin swel | Dis kin apin bikɔs di kidni dɛn nɔ kin pul ɛkstra wata na di bɔdi. |
| I nɔ kin izi fɔ slip ɛn i nɔ kin pe atɛnshɔn igen | Di we aw dɔti tin dɛn kin gɛda na di blɔd kin afɛkt di we aw di bren de wok. |
| I nɔ kin want fɔ it igen ɛn i kin gɛt nɔys | Na wan kɔmɔn sayn we kin kam we pɔyzin kin gɛda na di bɔdi. |
| Wiknɛs ɛn taya pasmak | if di כmon dεm we di kidni dεm de mek dכn dכn, i kin mek yu gεt anemia (blכd dεficiency). |
| Dray skin ɛn it pasmak | yu kin si dis na di las stej dεm we di kidni fεil (end-stej kidni sik). |
| Di at bit we nɔ de bit | di potashכm lεvεl we de go כp na di bכdi de afekt di at fכ wok. |
| Di mɔsul dɛn we de shek shek | I kin bi bikɔs di kalsiɔm ɛn fɔsfɔr nɔ balans na di bɔdi. |
As di damej pan di kidni dɛn de bɔku, dɛn nɔ kin ebul fɔ filta di dɔti tin dɛn we de kɔmɔt na di blɔd. Dɛn dɔti tin ya kin gɛda na di bɔdi ɛn tɔn to pɔyzin. Dɛn kɔl dis uremia . We dis sik kin tranga, e kin mek yu kɔnfyus ɛn ivin kɔma.
Aw fɔ no bɔt dis sik?
De tin wae impɔtant pas ɔl na fɔ no dis sik kwik kwik wan. If yu du dat, yu kin kɔntrol ɔ delay di prɔgrɛs fɔ kɔmplit di kidni fayl.
Di men ɛn simpul we fɔ no dis na fɔ tɛst yu urine. Protein we de insay di urineyu kin no dis kכndyushכn bכku bifo bay we dεn tεst fכ maykroalbuminuria (Urine for Microalbuminuria). Na dat mek i impɔtant fɔ mek pɔsin we gɛt dayabitis du tɛst fɔ in urine wan tɛm insay di ia.
Apat frɔm dat, blɔd tɛst we de chɛk di lɛvɛl dɛn we di kemikal dɛn de na di blɔd, lɛk kriaytinin, kin gi yu dɔktɔ gud aidia bɔt di damej we yu kidni dɛn dɔn pwɛl ɛn aw dɛn de wok fayn (eGFR).
Wetin na di tritmɛnt dɛn?
We i kam pan tritmɛnt, fɔ chenj di we aw pɔsin de liv in layf na di nɔmba wan. Fɔ kɔntrol yu blɔd shuga ɛn blɔd prɛshɔn na di bɛst we fɔ mek yu kidni nɔ pwɛl mɔ.
Apat frɔm dat, spɛshal mɛrɛsin dɛn de we kin ɛp fɔ kɔntrol ɛn delay di kidni we de pwɛl.
- SGLT2 inhibitors: Dis na wan kayn mɛrɛsin we de ɛp fɔ kɔntrol di blɔd shuga ɛn protɛkt di kidni dɛm. Sɔm ɛgzampul dɛn na dapagliflozin (Farxiga) ɛn empagliflozin (Jardiance).
- ACE inhibitors (Angiotensin-converting enzyme inhibitors): Dɛn kin gi dɛn tin ya fɔ mek pɔsin gɛt ay blɔd prɛshɔn. Bɔt dɛn kin gi dɛn bak fɔ mek pipul dɛn we gɛt dayabitis nɔ pwɛl dɛn kidni. Ivin if yu blɔd prɛshɔn nɔmal, yu dɔktɔ kin bigin yu fɔ tek dɛn mɛrɛsin ya fɔ protɛkt yu kidni. Ɛgzampul dɛn: ramipril (Altace), lisinopril (Prinivil).
- ARB dεm (Angiotensin II rεsεptכr blכk dεm): If ACE inhibito dεm de mek sayd ifekt dεm lεk fכ kכf, dεn kin gi dis kayn mεdikeshכn (ARBs) insted.
I rili impɔtant: Na yu dɔktɔ nɔmɔ go ebul fɔ gi yu dɛn mɛrɛsin ya. Nɔ yuz dɛn bay wetin yu rid na di intanɛt ɔ wetin yu padi rikɔmɛnd. Yu dɔktɔ go chɛk yu ɛn gi yu di mɛrɛsin ɛn di doz we fit yu fɔ yu sik.
If dɛn nɔ trit di kidni dɛn, smɔl smɔl di kidni dɛn go pwɛl, di prɔtin we de na di urine go bɔku, ɛn as tɛm de go, i go nid fɔ mek dɛn dayalysis ɔ transplant di kidni. So, i rili impɔtant fɔ mek wi no bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Dayabitis na di men tin we kin mek pɔsin gɛt sik na in kidni.
- Bikɔs bɔku tɛm nɔr kin gɛt ɛni sayn na di fɔs stej, i impɔtant fɔ mek yu du wan ɛni ia tɛst fɔ yu urine (Urine for Microalbumin) if yu gɛt dayabitis.
- Yu kin kɔntrol di kidni dɛm we de pwɛl bay we yu kɔntrol di blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl fayn fayn wan.
- If yu gɛt sɔm sayn dɛn lɛk fɔ swel na yu an, yu fut, ɔ yu fes, yu taya pasmak, ɔ yu nɔ want fɔ it, nɔ ignore dɛn ɛn go to yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek, mɔ di wan dɛn we de fɔ dayabitis, ay blɔd prɛshɔn, ɛn kidni sik, kɔrɛkt wan ɛn di rayt tɛm.
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