If yu gɛt dayabitis, yu go mɔs no aw i impɔtant fɔ kɔntrol di shuga we yu gɛt na yu blɔd. Bɔt yu no se i de protɛkt bak tu smɔl smɔl tin dɛn we tan lɛk bins na yu bɔdi, we na di kidni dɛn? Dis na di impɔtant pat dɛn we de klin wi blɔd ɛn pul dɔti tin dɛn we wi nɔ want na di bɔdi. Bɔt if dɛn nɔ kɔntrol dayabitis, dɛn valyu kidni ya kin bigin fɔ pwɛl, ɛn dat sɛf nɔ kin gɛt ɛni big sayn.
Wetin na dis kidni sik wae de kam wit dayabitis?
Fɔ tɔk am simpul wan, we dɛn nɔ kɔntrol dayabitis fayn fayn wan, di ay blɔd shuga lɛvɛl as tɛm de go, i kin pwɛl di dilik blɔd vesel dɛn na di kidni. Dis kin mek di kidni dɛn nɔ ebul fɔ du dɛn men wok fɔ klin di blɔd. Dis na wetin wi kin kɔl dayabitik kidni sik, ɔr lɛk aw dɔktɔ dɛn kin kɔl am , krɛse sik (CKD) .
I de wɔri fɔ no se, risach dɔn sho se wan pan ɛvri tri (1 pan ɛvri 3) big pipul dɛn we gɛt dayabitis kin gɛt dis sik bak na dɛn kidni.
Dis sik kin mek di kidni dɛn nɔ ebul fɔ filta dɔti tin dɛn ɛn wata we pasmak we de kɔmɔt na di bɔdi smɔl smɔl. If dɛn nɔ trit dis fayn, i kin mek di kidni nɔ wok fayn. If na so i bi, yu go nid fɔ gɛt dayalaysis ɔ fɔ transplant yu kidni fɔ mek yu kɔntinyu fɔ liv.
Aw lɔng i kin tek fɔ mek di kidni dɛn pwɛl bikɔs ɔf dayabitis?
I kin rili tek sɔm ia fɔ mek dis damej apin. Bɔt di big prɔblɛm we de ya na dat bɔku pipul dɛn kin go fɔ lɔng tɛm we dɛn nɔ kin ivin no se dɛn gɛt Tayp 2 Dayabitis . Imajin, sɔm pipul dɛn kin jɔs no se dɛn gɛt dayabitis ɛn dɛn kidni dɔn ɔlrɛdi pwɛl to sɔm pat tru tɛst we dɛn go to dɔktɔ fɔ ɔda sik.
So, ivin if yu nɔ gɛt dayabitis naw, i impɔtant fɔ no bɔt di tin dɛn we kin mek yu gɛt dis sik. If yu no di sik kwik kwik wan, dat kin mek yu kidni nɔ pwɛl.
Yu fɔ no bɔt dɛn fɔs sayn ya fɔ gɛt dayabitis
Chek di tebul we de dɔŋ fɔ si if yu gɛt ɛni wan pan di sayn dɛm we dɛn rayt. Dis na kɔmɔn sayn dɛm wae yu kin si wae yu gɛt shuga sik fɔs.
| Di sayn we de sho se di sik de | In simpul wɔd dɛn... |
|---|---|
| Fɔ pis bɔku tɛm | Nid fɔ pis bɔku tɛm pas aw i fɔ pis. |
| Tɔsti we nɔ kɔmɔn | Fɔ fil mɔ tɔsti ilɛksɛf yu drink bɔku wata. |
| Fɔ fil mɔ angri | Ivin afta yu it fayn, yu kin fil angri bak afta sɔm tɛm. |
| Fɔ taya ɔltɛm | Fɔ fil taya pasmak ɛn slip fɔ natin. |
| Di vishɔn we nɔ klia | Fɔ fil se yu nɔ de si fayn. |
| Dilay we wund de wɛl | Ivin smɔl kɔt ɔ skrap kin tek lɔng tɛm fɔ wɛl. |
| Di an ɛn fut dɛn kin swɛla ɔ i kin fil pen | Tingling, bɔn, ɔ pen na di an ɛn fut (we kin apin pan Tayp 2 dayabitis). |
Wetin na di sayn dɛm wae de sho se yu gɛt sik na yu kidni? Wetin mek dɛn kin kam let?
Dis na di impɔtant tin we wi ɔl nid fɔ no bɔt. Di sayn dɛm fɔ kidni sik kin jɔs bigin fɔ sho we di sik dɔn rili bad.
di rizin na dat wi kidni dεm na כgan dεm we rili ebul fכ bia we nכ izi fכ aksept fכ win. te to lεk 75% pan dεm dεn dכn pwεl, di rεst hεlty pat dεm de wok tranga wan fכ mεnten sכm bεlε insay di bכdi in prכsεs dεm. Na dat mek wi nɔ de fil ɛnitin te big big damej de.
Bay di tɛm we di sik de sho, bɔku pan di damej pan di kidni dɛn kin dɔn ɔlrɛdi. So fɔ wet fɔ mek di sayn dɛn we de sho se yu gɛt di sik, nɔto fayn tin.
Dis na di sayn dɛm wae kin ɔltɛm sho wae de sik kam tranga:
- Di leg, ankles, ɛn fut dɛn kin swel
- Swel rawnd di yay we yu wek na mɔnin
- Di frɛkuɛns fɔ pis ɔ fɔm urine we de go dɔŋ
- I nɔ izi fɔ blo ɛn taya ɔltɛm
- I nɔ kin want fɔ it igen ɛn i kin gɛt nɔys
- Dray ɛn it skin skin
- Nɔ ebul slip
- Mɔsul dɛn we kin kramp
So wetin wi de du? Aw wi kin protɛkt wi kidni dɛn we gɛt valyu?
Laki, bɔrku tin de wae wi kin du fɔ mek dis sik nɔr de ɔr fɔ kɔntrol aw i de go bifo. Di tin we impɔtant pas ɔl na fɔ mek dɛn chɛk yu na di dɔktɔ di rayt tɛm.1. Tɔk to yu dɔktɔ: If yu gɛt dayabitis, tɔk opin wan wit yu dɔktɔ bɔt yu kidni wɛlbɔdi. I impɔtant fɔ mek dɛn chɛk yu kidni wan tɛm insay di ia.
2. Urine ACR Test: Dis na wan rili simpul tɛst. I de chɛk fɔ smɔl pat pan wan prɔtin we dɛn kɔl albumin na yu urine. di kidni dεm we gεt hεlth nכ de filta dis protin kכmכt na di bכdi. di prεsεns fכ dis na di urine na fכs sayn fכ se di kidni dεm dכn bigin fכ dεm.
3. Blɔd tɛst (eGFR Blɔd Tɛst): Dis na fɔ no aw yu kidni dɛn de filta blɔd fayn fayn wan, as pasɛnt. dis dεn kכl dis eGFR (εstimat Glomerular Filtration Rate) . we dis valyu dכn min se di kidni dεm nכ de wok fayn fayn wan.
4. Kɔntrol di blɔd prɛshɔn ɛn di shuga lɛvɛl:
- Blɔd Prɛshɔn: Ay blɔd prɛshɔn na ɔda big ɛnimi fɔ di kidni dɛn. Chek yu blɔd prɛshɔn ɔltɛm ɛn tek di mɛrɛsin we yu dɔktɔ gi yu di rayt we.
- Blɔd Shuga: Kip yu blɔd shuga lɛvɛl insay di lɛvɛl we yu want. Tɔk to yu dɔktɔ bɔt HbA1c tɛst ɛn fala am akɔdin to dat.
5. Fɔ fala yu dɔktɔ in instrɔkshɔn: Sɔntɛnde yu dɔktɔ kin gi yu spɛshal mɛrɛsin (e.g. ACE inhibitors, ARBs) fɔ protɛkt yu kidni. Yuz dɛn jɔs lɛk aw dɛn tɛl yu. Dɔn bak, nɔ kɔntinyu fɔ yuz mɛrɛsin lɛk mɛrɛsin fɔ mek yu fil pen we yu nɔ go to yu dɔktɔ.
6. Fɔ liv fayn layf:
- Ridyus di sɔl we yu de it we yu de it.
- It tin dɛn we go mek yu gɛt wɛlbɔdi.
- Ɛksesaiz ɔltɛm.
- Nɔ smok kpatakpata.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt dayabitis ɛn yu gɛt wan ɔ mɔ pan dɛn tin ya, go to yu dɔktɔ kwik kwik wan.
- Di leg, an, ɔ fes kin swel we nɔ kɔmɔn.
- chenj na di patεn we yu de pis (dεn dכn dכn, inkrεs, fכm).
- Taya we yu nɔ go ebul fɔ bia ɔ we i nɔ izi fɔ blo.
- I nɔ kin want fɔ it igen ɔ i nɔ kin gɛt nauses.
If ɛnitin apin we nɔ izi fɔ yu: If i nɔ izi fɔ yu fɔ blo wantɛm wantɛm, yu chɛst de pen bad bad wan, ɔ yu fil lɛk se yu nɔ de no natin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt dayabitis, yu fɔ tek kia ɔf yu kidni dɛn bak ɔltɛm. Na pat pan aw fɔ kɔntrol yu dayabitis.
- Di sayn dɛm fɔ kidni sik kin apin nɔmɔ we di sik dɔn go bifo. So nɔ wet fɔ mek di sik sho, bi proactive.
- Gɛt simpul urine (Urine ACR) ɛn blɔd (eGFR) tɛst we de chɛk yu kidni fɔ wok wan tɛm insay di ia.
- Fɔ kip yu blɔd shuga ɛn blɔd prɛshɔn ɔnda gud kɔntrol na di bɛst we fɔ protɛkt yu kidni.
- If yu gɛt ɛni smɔl prɔblɛm ɔ yu gɛt dawt bɔt yu wɛlbɔdi biznɛs, nɔ ɛva shem fɔ tɔk bɔt am opin wan wit yu dɔktɔ.
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