Yu tink se dayabitis kin afɛkt di kidni dɛn bak? Lɛ wi no bɔt Dayabitik Kidni Disease!

Yu gɛt dayabitis? Ɔ sɔmbɔdi na yu famili ɔ padi gɛt dayabitis? Dɔn yu go dɔn no bɔt di difrɛn prɔblɛm dɛn we kin kam wit dayabitis. Sɔntɛnde, wi kin fred bikɔs wi nɔ kin rili no bɔt dɛn tin ya. Tide wi go tɔk bɔt di ifɛkt dɛm we dayabitis kin gɛt pan wi kidni dɛm. Dɛn kɔl dis Dayabitik Kidni Disiz (DKD).

Wetin na Dayabitik Kidni Disease (Dayabetik Kidni Disease)?

Fɔ tɔk am simpul wan, dis na damej pan yu kidni bikɔs ɔf dayabitis. Wi no se di tu kidni dɛn na wi bɔdi de filta di blɔd ɛn pul di dɔti tin dɛn . Tink bɔt di kidni dɛn lɛk tu supa filta dɛn na wi bɔdi. Dɛn kin filta naytrɔjen west prɔdak dɛm, fɔ ɛgzampul yuria, west prodak dɛm frɔm di mɔsul dɛm (kriatinin), ɛn bɔku ɔda pɔyzin dɛm ɛn pul dɛn wit urine. nכto dat nכmכ, di kidni dεm de εp bak fכ mek di wata εn εlektrolayt dεm na di bכdi bεlε.

εvri kidni gεt pas wan miliכn sכm sכm filta yunit dεm we dεn kכl nεfrכn. insay dεn nεfrכn dεm ya, sכm sכm blכd vesel dεm de kכnεkt fכ mek wan mεsh lεk mεsh we dεn kכl glomeruli. Infakt, dɛn glomeruli ya na di fɔs tin we dɛn kin du fɔ pul di blɔd. dεn de alaw wata εn di west prodakt dεm we dεn sכlv fכ pas tru dεn sεmi-pεrmiabl mεmbran dεm, we dεn kin kכmכt frכm di bכdi as urine.

Naw luk, wetin kin apin to pɔsin we gɛt dayabitis in bɔdi? dεn bכdi nכ kin yuz di shuga we wi kin gεt frכm di it we wi de it, dat na, `(glucose)` fayn fayn wan. afta dat di `(glucose)` lεvεl na di bכdi de inkrεs. we dis ay amoun fכ `(glucose)` de fכ lכng tεm, di dilik mεmbran dεm fכ dεn `(glomeruli)` dεm de bigin fכ dεm. εn כda pat dεm na di `(nephron)` kin gεt damej bak. di `(glomeruli)` dεm we dεn dכn pwεl dis we nכ kin filta di bכdi fayn fayn wan. afta dat, wetin kin apin na we di tכxin dεm we fכ kכmכt wit di urine kin bigin fכ kכlכm insay di bכdi.

Yu tink se dis tin we de apin rili siriɔs?

Yɛs, sik na di kidni we pɔsin kin gɛt we i gɛt dayabitis na siriɔs sik . If dɛn nɔ de manej am fayn, i kin mek di kidni nɔ wok fayn as tɛm de go . If yu kidni nɔ wok fayn, dat kin mek yu layf de pan denja. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di stej dɛm fɔ kidni sik bikɔs ɔf dayabitis?

Di eGFR na wan we fɔ no aw yu kidni dɛn de wok fayn fayn wan. di eGFR na abbrevieshɔn fכ εstimat glomerular filtrεshכn rεt. Fɔ tɔk am simpul wan, na fɔ kɔlkyul aw yu kidni dɛn de filta dɔti tin dɛn fayn fayn wan. Pɔsin we gɛt wɛlbɔdi in eGFR de arawnd 100. Dis valyu kin drɔp to 0, we min se yu kidni nɔ de wok atɔl.

Bɔku stej dɛn de fɔ ɛni kidni sik, lɛk di kidni sik we pɔsin kin gɛt we i gɛt dayabitis:

• Stej I: .Yu GFR na 90 ɔ pas dat. Dis tɛm ya, yu kidni dɛn kin dɔn gɛt sɔm damej, bɔt dɛn stil de wok nɔmal wan.
• Stej II: di GFR valyu kin bi bitwin 60 εn 89. di kidni dεm dεn dכn pwεl pas stej I, bכt dεn stil de wok fayn fayn wan.
• Stej III: di GFR valyu kin de bitwin 30 εn 59. na dis tεm, di kidni fכnshכn kin rεdכks sכmtεm כ bad bad wan.
• Stej IV: di GFR valyu kin bi bitwin 15 εn 29. Dis min se di kidni fכnshכn dכn dכn bכku bכku wan.
• Stej V: di GFR less dan 15. Dis min se di kidni dεm de nia fכ komplit fεil, כ dεn dכn fεl.

Udat kin gɛt dis sik pas ɔlman? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Ɛnibɔdi we gɛt Tayp 1 ɔ Tayp 2 dayabitis kin gɛt sik na in kidni. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Fɔ ɛgzampul:

• Blak pipul dɛn
• Amɛrikin Indian, Alaska Nativ, ɔ Fɔs Neshɔn pipul dɛn
• Pipul dɛn na Polinesia
• Maori pipul dɛn

Ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Fɔ gɛt kidni sik na di famili.
• Fɔ gɛt ay blɔd prɛshɔn.
• Yuz tin dɛn we dɛn kin yuz fɔ smok (lɛk sigrɛt).
• Hyperglycemia na wan sik we di blɔd shuga lɛvɛl kin bɔku ɔltɛm.
• Di kɔlɔstrel we de na di blɔd we ay (Hyperlipidemia).

Aw dis sik kin bɔku?

Kidni sik wae kin kam wit dayabitis na wan sik wae kin pasmak . Na di big tin wae kin mek pɔrsin gɛt ɛnd-stej rεnal sik ɔlsay na di wɔl. Dɛn se lɛk 40% pan di pipul dɛm wae gɛt shuga kin gɛt dis sik na dɛn kidni.

Wetin na di sayn dɛm wae de sho se yu gɛt sik na yu kidni wae yu gɛt shuga?

Bɔku tɛm, di klia simptom dɛn nɔ kin apin te 80% to 90% pan di kidni dɛn dɔn pwɛl. We di sayn dɛn kin sho, yu kin notis tin dɛn lɛk:

• Di fes, an, ɛn leg dɛn kin swel (ɛdima).
• Nɔs ɛn vɔmit.
• Fɔ fil lɛk se yu taya ɔ yu taya ɔltɛm.
• I nɔ izi fɔ blo (dyspnea).
• Di it nɔ de te.
• Urin we gɛt fom ɔ we gɛt bɔbul.
• I nɔ kin izi fɔ pe atɛnshɔn ɔ fil se yu kɔnfyus.
• Dray ɛn it skin skin.
• Mɔsul dɛn we de kramp.
• Nid fɔ ridyus di insulin we dɛn de tek (fɔ di wan dɛn we de tek mɛrɛsin fɔ dayabitis).

Wetin na di sayn dɛm wae de kam pan di fɔs tɛm?

Kidni sik bikɔs ɔf dayabitis bɔrku tɛm nɔr kin sho ɛni sayn na di fɔs stej.. Yu kin gɛt prɔtin na yu urine (proteinuria). Bɔt na dɔktɔ nɔmɔ we de du di urinalysis kin no dis.

Wetin kin mek dis apin? Yu tink se i kin pas?

Di men rizin fɔ dis na fɔ gɛt tayp 1 ɔ tayp 2 dayabitis.

Nɔ, dis nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ spre dis sik to ɔda pɔsin.

Aw yu go no if yu gɛt kidni sik bikɔs ɔf dayabitis?

If yu gɛt dayabitis, i impɔtant fɔ go to yu dɔktɔ ɛvri tri to siks mɔnt fɔ mek dɛn chɛk yu, lɛk aw yu dɔktɔ se. If yu dɔktɔ tink se yu go gɛt dayabitis sik na yu kidni, i go ɔda fɔ mek dɛn du sɔm tɛst dɛn.

Us tɛst dɛn kin du fɔ no dis?

Dɛn tɛst ya kin ɛp fɔ no dis sik:

• Urinalysis we dɛn kin du: .

Dis min se yu fɔ tek wan sɛmpul pan yu urine ɛn chɛk am fɔ si aw i tan, di kemikal dɛn we de insay am, ɛn fɔ chɛk am wit maykroskɔp. Yu dɔktɔ kin yuz dipstik fɔ du dis tɛst. I kin tɛl yu bak fɔ du difrɛn kayn tɛst dɛn fɔ yu urine. Insay dipstik tɛst, yu kin pis insay spɛshal kɔntena. Dɔn dɛn kin put wan pepa strip (dipstik) we gɛt kemikal pan am. if protin (albumin) de na di urine, di strip go chenj in kכla.

If yu dɔktɔ nid fɔ mɛzhɔ mɔ kɔrɛkt wan, dɛn kin ɔda fɔ mek dɛn tɛst yu urine protein test . dis involv fכ sεnd sεmpl fכ yu urine to lab fכ luk di rεshכn fכ di protin to kriaytinin na yu urine (protein-to-creatinine ratio). If dis rεshכn tu hεvi, e kin bi sayn fכ di kidni sik wae de kam wit dayabitis.

• Blɔd tɛst dɛn:

Di eGFR tɛst de mɛzhɔ di ebul we yu kidni dɛn ebul fɔ filta blɔd. Yu dɔktɔ go tek smɔl blɔd frɔm wan vein na yu an ɛn yuz di kriaytinin lɛvɛl na di blɔd ɛn sɔm bɛsik wɛlbɔdi infɔmeshɔn fɔ kɔl yu eGFR.

• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:

Dɛn tɛst ya kin ɛp yu dɔktɔ fɔ no bɔt di wɛlbɔdi fɔ yu kidni.

• כltra saund tεst: dεn kin chεk di strכkchכ εn saiz fכ di kidni dεm.
• MRI ɛn CT skan: Dɛn kin si klia wan di blɔd vesel dɛn ɛn di blɔd we de go na di kidni dɛn.

• Kidni bayɔpsi:

We dɛn de du dis, di dɔktɔ kin tek wan smɔl pat pan yu kidni ɛn chɛk am ɔnda maykroskɔp na lɛbɔtri. Bifo yu du dis, di eria kin numb so yu nɔ go fil ɛni pen. I go gi yu layt sɛdativ bak fɔ ɛp yu fɔ rilaks. afta dat, dεn kin put nidul tru di skin insay di kidni εn tek di tisu sεmpl.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan di stej we yu sik de, yu ej, ɛn yu ɔl wɛl bɔdi. Fɔ kɔntrol yu dayabitis na di fɔs tin we yu fɔ du fɔ trit dis sik na yu kidni. Dɛn tin ya kin ɛp yu fɔ kɔntrol yu dayabitis:

• Put mɔ it dɛn we gɛt bɔku fayv, we nɔ gɛt bɔku fat ɛn kalori na yu it.
• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ kɔntrol di bɔdi wet.
• Stɔp fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.

If yu gɛt ay blɔd prɛshɔn, i impɔtant fɔ trit am bak. Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu gɛt ay blɔd prɛshɔn.

Yu tink se dɛn kin chenj di we aw di kidni dɔn pwɛl?

Nɔ, dɛn nɔ go ebul fɔ chenj di kidni we kin pwɛl bikɔs ɔf dayabitis. Bɔt yu kin kɔntrol, slo, ɛn sɔntɛm yu kin ivin stɔp fɔ mek yu kidni pwɛl mɔ bay we yu tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ it, it fayn it, ɛn kɔntinyu fɔ du tin dɛn we yu de du.

Us mɛrɛsin dɛn kin gi fɔ dis?

Fɔ mek yu ebul fɔ kɔntrol yu dayabitis kidni sik, i impɔtant fɔ kɔntrol yu dayabitis, fɔ mek yu blɔd prɛshɔn go dɔŋ, ɛn fɔ mek yu kɔlɔstrel go dɔŋ. Yu dɔktɔ kin gi yu dɛn mɛrɛsin ya fɔ trit dɛn sik ya:

• Fɔ gɛt dayabitis:
• Biguanides (e.g. metformin): Dɛn tin ya de ridyus di glukɔs we yu liva de mek. Dɛn kin mek bak di we aw insulin de wok na di bɔdi, ɛn dis kin mek di kabɔhaydrɛt chenj to shuga slo.
• Sodium-glucose cotransporter 2 (SGLT2) inhibitors: dεn ya de εp di kidni dεm fכ pul glukכs frכm di bכdi tru di kidni dεm εn urine.
• glukagon-layk pεptida 1 (GLP-1) agonist dεm: dεn ya de inkrεs insulin rilis, ridyus glukכs we de kכmכt frכm di liva afta yu it, εn delay di gεstrik εmpti. Dis kin ɛp bak fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi.

• Fɔ mek yu gɛt ay blɔd prɛshɔn:
• Angiotensin-converting enzyme (ACE) inhibitors: Dɛn wan ya de blok di prodakshɔn fɔ wan ɔmon we dɛn kɔl angiotensin II. Na di bɔdi kin yuz dis ɔmon fɔ kɔntrol blɔd prɛshɔn. Afta dɛn dɔn trit am wit ACE inhibitors, blɔd prɛshɔn fɔ go dɔŋ.
• di angiotensin II risεptor blכk dεm (ARB): dεn ya de stכp di כmon angiotensin II fכ biεn di rεsεpכta dεm na di bכdi vεsul dεm. di ARB dεm de wok di sem we lεk di ACE inhibitor dεm, we de dכn blכd prεshכn.

Impɔtant: Apat frɔm we dɛn de mek di blɔd prɛshɔn go dɔŋ, di ACE inhibitors ɛn ARB dɛn de ɛp bak fɔ mek di kidni sik we gɛt fɔ du wit dayabitis go bifo kwik kwik wan.

• Fɔ mek yu gɛt ay kɔlɔstrel:
• Statin: Dɛn tin ya kin mek bad kɔlɔstrel smɔl ɛn mek gud kɔlɔstrel go ɔp. Dɛn kin ɛp sɔm pipul dɛm wae gɛt dis sik wae de kam wit dayabitis.

Wetin na di tritmɛnt if di sik wɔs?

If dayabitik kidni sik de kam tranga, di tritmɛnt dɛn we yu kin gɛt na:

• Dayalaysis: If yu kidni nɔ de wok fayn, dayalaysis kin du di wok fɔ yu kidni. Insay dis, wan mashin kin tek yu blɔd, filta di dɔti tin dɛn ɛn ɛkstra wata, ɛn gi di blɔd we dɛn dɔn klin bak to yu bɔdi.
• Kidni transplant: Insay dis, yu kin gɛt wɛlbɔdi kidni frɔm ɔda pɔsin (wan kidni dona).

Aw yu go avɔyd dis sik?

Di bɛst we fɔ mek yu nɔ gɛt dayabitis kidni sik na fɔ kɔntrol yu dayabitis ɛn blɔd prɛshɔn fayn fayn wan. I impɔtant fɔ fala di tritmɛnt plan we yu dɔktɔ gi yu di rayt we.

Wetin pɔsin we gɛt dis sik kin ɛkspɛkt?

Dayabitik kidni sik na wan sik we de go bifo smɔl smɔl . If yu gɛt dis sik, dɛn nɔ go ebul fɔ chenj di damej we yu kidni gɛt. Bɔt if yu gɛt di sik kwik kwik wan ɛn fala di rayt tritmɛnt plan, yu kin slo ɔ ivin stɔp di sik fɔ go bifo.

If dis sik kam tranga, i kin mek yu kidni nɔ wok fayn, ɛn dis kin mek yu layf de pan denja. Di tritmɛnt opshɔn fɔ kidni we nɔ de wok fayn na dayalaysis ɔ kidni transplant.

Aw a fɔ kia fɔ misɛf?

Yu dɔktɔ go ɛp yu fɔ mek wan tritmɛnt plan we go fayn fɔ yu. I kin inklud mɛrɛsin ɛn chenj di we aw pɔsin de liv in layf. Yu tritmɛnt plan kin gɛt fɔ du wit:

• Fɔ tek di dayabitis ɛn blɔd prɛshɔn mɛrɛsin dɛn we di dɔktɔ gi yu ɛksaktɔli.
• Chek yu blɔd shuga lɛvɛl ɛn blɔd prɛshɔn ɔltɛm.
• Fɔ fala wɛlbɔdi it (lɛk di Mɛditarenian it ɔ di DASH it).
• Ɛksesaiz fɔ at le 30 minit insay di de bɔku dez insay di wik. Tray fɔ du ɛksɛsayz fɔ at le 150 minit insay di wik. Yu kin waka, rɔn, bayk, swim, ɔ du ɛni ɔda tin we yu lɛk fɔ du wit yu at ɛn yu blɔd.
• Fɔ avɔyd mɛrɛsin dɛn we kin pwɛl di kidni dɛn. Dis kin inklud sɔm pen kil dɛm (nɔ-stɛroyd anti-inflammatory mɛrɛsin dɛm - NSAID dɛm).
• Kip di dɔktɔ apɔntinmɛnt ɛn ɔl di lab tɛst dɛn di rayt tɛm.
• Stɔp fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Fɔ stɔp di rɔm we yu de drink.
• Slip bitwin sɛvin ɛn nayn awa ɛvri nɛt.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt dayabitis, yu fɔ go to yu dɔktɔ ɔltɛm ɛvri tri to siks mɔnt, lɛk aw yu dɔktɔ tɛl yu.

If yu gɛt dayabitis, yu dɔktɔ go tɛl yu fɔ chɛk ɛvri ia fɔ si if yu gɛt dayabitis kidni sik , ɛn yu fɔ bigin fayv ia afta dɛn dɔn no se yu gɛt dayabitis. Bɔku tɛm, di kidni we dɔn pwɛl nɔ kin apin insay di fɔs 10 ia afta dɛn dɔn no se yu gɛt dayabitis. If yu dɔn gɛt dayabitis fɔ pas 25 ia ɛn yu kidni nɔr dɔn pwɛl, yu nɔr go gɛt dayabitis kidni sik.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

I rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dis we yu go si yu dɔktɔ:

• Aw yu go no if a gɛt kidni sik bikɔs ɔf dayabitis?
• A fɔ go to dɔktɔ we de mɛn mi bɔdi ɔ ɔda spɛshal pɔsin?
• Us tɛst yu kin du fɔ no if yu gɛt dayabitis sik na yu kidni?
• Aw bad bad sik na mi dayabitik kidni sik?
• Us chenj dɛn a kin mek na mi layf fɔ slo ɔ stɔp fɔ mek mi kidni sik we gɛt fɔ du wit dayabitis go bifo?
• Us mɛrɛsin dɛn yu kin advays?
• Us tritmɛnt dɛn yu kin advays?
• Aw ɔltɛm a nid fɔ kam fɔ apɔntinmɛnt?
• Yu kin rεkomεnd sɔpɔt grup fɔ pipul dɛm wae gɛt dayabitis-rilayt kidni sik?

Dis na di most impotant mesej we a get fo giv yu...

Di kidni we de pwɛl bikɔs ɔf dayabitis na siriɔs tin. I kin go bifo te yu kidni nɔ de wok fayn, ɛn dis kin mek yu layf de pan denja. If yu dɔktɔ tɛl yu se yu gɛt sik na yu kidni we gɛt fɔ du wit dayabitis, i nɔmal fɔ mek yu fred ɛn fil bad. Bɔt if yu gɛt di sik kwik kwik wan ɛn fala yu tritmɛnt plan fayn fayn wan, yu kin slo ɔ ivin stɔp di sik we de kam pan yu kidni we gɛt fɔ du wit dayabitis.

Fɔ gɛt tritmɛnt fɔ wan sik lɛk dis kin mek yu fil strɛs. Bɔt mɛmba se yu dɔktɔ de fɔ ɛp yu. I dɔn mekɔp in maynd fɔ ansa ɔl yu kwɛstyɔn dɛn ɛn ɛp yu fɔ kɔntinyu fɔ gɛt yu kwaliti layf. So nɔ fred fɔ tɔk to yu dɔktɔ bɔt ɔltin we de na yu maynd.

` Dayabitis, Kidni Sik, Dayabitik Kidni Sik, DKD, Nɛfrɔpati, eGFR, Yurin Tɛst, Dayalaysis