Yu dɔn ɛva yɛri dɔktɔ tɔk bɔt kidni prɔblɛm na yu famili ɔ pɔsin we yu lɛk? We wi yɛri sɔntin lɛk, "Di tu kidni dɛm dɔn fel, ɛn naw wi fɔ du dayalaysis," wi kin fil big big fred ɛn shɔk. Wetin rili na dayalaysis? Yu tink se dis rili na sɔntin we wi fɔ fred? Yu kin liv nɔrmal layf wit dis tritmɛnt? I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn lɛk dɛn wan ya na yu maynd. Nɔ wɔri. Tide, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand gud gud wan.
Wetin na dayalaysis, fɔ tɔk am simpul wan?
Fɔ tɔk am simpul wan, dayalaysis na tritmɛnt we dɛn kin du artificially di wok we wi kidni dɛn fɔ du we dɛn nɔ de wok fayn.
Imajin se wi bɔdi na big faktri. Ɛvri sɛl na dis faktri de wok. Dis wok de mek difrɛn kayn dɔti tin dɛn. Wi kidni dɛn tan lɛk di bɛst filta sistem na dis faktri. Dɛn men wok na fɔ filta dɔti tin dɛn we nɔ nid, pɔyzin, ɛn wata we pasmak na di blɔd ɛn pul dɛn kɔmɔt na di bɔdi as urine. tin dεm lεk naytrojen west (yuria) εn west prodakt frכm mכsul dεm (kriatinin) dεn kin pul dεm dis we.
Naw imajin wetin go apin if dis filta sistem brok ɔ stɔp fɔ wok? Ɔl di dɔti we dɛn kin mek na da faktri de go gɛda ɛn di wan ol sistɛm go chaotic, nɔto so? Na so, we wi gɛt kidni we nɔ de wok fayn, pɔyzin, dɔti tin dɛn, ɛn wata we wi nɔ nid kin bigin fɔ gɛda na wi blɔd. Dis tin we de apin kin rili denja fɔ wi layf.
Na dat dialysis de du. Dat min se i de du di wok fɔ klin di blɔd we di kidni dɛn nɔ ebul fɔ du, ilɛksɛf na mashin ɔ ɔda spɛshal we fɔ du am. Jɔs lɛk we wi wata filta na os brok, wi kin briŋ klin bɔtul wata frɔm di stoa, we di kidni dɛn nɔ de wok, wi kin klin di blɔd tru wan prɔses we dɛn kɔl dayalaysis.
Udat nid fɔ gɛt dayalaysis tritmɛnt?
Nɔto ɔlman we gɛt kidni sik nid fɔ gɛt dayalaysis. Dis na fɔ pipul dɛm nɔmɔ we gɛt let-stej kidni sik, ɔ ɛnd-stej kidni sik (ESKD).
Jɛnɛral wan, fayv stej dɛn de fɔ gɛt di sik na di kidni. bay di fayv stej, di kidni dεm de wok na less dan 15% pan dεn nכmal lεvεl. dis tεm ya, di bכdi nכ de ebul fכ pul di tכxin dεm we de kכmכt na di bכdi in wan igen. Da tɛm de, i rili nid fɔ du dayalaysis ɔ transplant kidni fɔ mek i kɔntinyu fɔ liv. Sɔm pipul dɛn kin gɛt dayalaysis tritmɛnt bitwin dɛn te dɛn transplant dɛn kidni.
Wetin na di men tin wae kin mek yu kidni nɔr de woke fayn?
- Ay Blɔd Prɛshɔn: Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol fɔ lɔng tɛm na di men tin we kin mek di kidni pwɛl.
- Shuga:Di ay blɔd shuga lɛvɛl bikɔs ɔf dayabitis de pwɛl di dilik blɔd vesel dɛm na di kidni dɛm.
- Sik dεm lεk Lupus: Dis na sik dεm we di bכdi in כwn imyun sistεm de atak in כwn כgan dεm.
- Ɔda tin dɛn we kin mek yu gɛt dis sik: Sɔntɛnde, if yu gɛt aksidɛnt wantɛm wantɛm ɔ yu gɛt siriɔs infekshɔn, dat kin mek yu kidni nɔ wok fayn. Dɔn bak, sɔm pipul dɛn kin gɛt sik na dɛn kidni we nɔ gɛt ɛni rizin we mek dɛn no bɔt am.
Fɔ stat di tritmɛnt fɔ dayalaysis na siriɔs tin fɔ disayd. Bɔt if pɔsin we gɛt kidni nɔ wok fayn nɔ du dayalaysis, i kin day insay sɔm dez ɔ wik bikɔs pɔyzin dɔn bɔku na in blɔd (uremia). So, dis na impɔtant tritmɛnt wae kin sev pipul dɛm layf.
Tu men we dɛn de fɔ dayalaysis:
We wi tink bɔt dayalaysis, di wangren tin we kin kam na wi maynd na di we aw dɛn kin klin di blɔd bay we dɛn kin kɔnɛkt am to big mashin. Bɔt fɔ tru, tu men we dɛn de fɔ dayalaysis. Lɛ wi jɔs ɔndastand di difrɛns bitwin dɛn tu.
1. Ɛmodayalis
2. Pɛritonial Dayalaysis
Yu dɔktɔ go disayd fɔ du dɛn tu we ya afta i dɔn tink bɔt tin dɛn lɛk aw yu gɛt wɛlbɔdi ɛn aw yu de liv yu layf.
| Tin | Ɛmodayalis we dɛn kin yuz | Pɛritonial Dayalaysis we dɛn kin du |
|---|---|---|
| Ples we dɛn de du | Bɔku tɛm dɛn kin du am na ɔspitul ɔ dayalaysis sɛnta. | Yu kin du am yusɛf na os. |
| We | Wan mashin kin tek blɔd na di bɔdi, filta am tru wan atifishal kidni (daylayza), ɛn gi klin blɔd bak to di bɔdi. | di pεritoneum, we na wan mεmbran we de insay di bכdi, de wok lεk nכmal filta fכ klin di bכdi. |
| Taym ɛn frɛkuɛns | I kin tek lɛk 3-4 awa wan tɛm, lɛk 3 dez insay di wik. | Dɛn kin du am ɛvride, 3-5 tɛm insay di de (30-40 minit ɛvri wan) ɔ na nɛt we yu de slip yuz mashin. |
| Ɔpreshɔn | Bifo dɛn bigin di tritmɛnt, dɛn fɔ du smɔl ɔpreshɔn (fistula) fɔ mek di blɔd vesel dɛn na di an big. | כpεrayshכn fכ put wan sכft tyub (kateta) insay di bכdi fכ כltεm. |
Smɔl mɔ bɔt ɛmodayalis
Dis na di we aw dɛn kin yuz dayalaysis pas ɔl na di wɔl. Na dis na wetin kin apin:
1. Fɔ pripia: Bikɔs di dayalaysis mashin nid fɔ pɔmp blɔd kwik kwik wan, wi nɔmal vein dɛn nɔ kin ebul fɔ handle am. So, dɔktɔ we de du ɔpreshɔn go du smɔl ɔpreshɔn ɛn kɔnɛkt wan at ɛn wan vein na yu an fɔ mek wan big, strɔng blɔd vesel (fistula). Dis na wetin dɛn kin yuz fɔ tek ɛn gi bak blɔd fɔ dayalaysis.
2. Tritmɛnt: We yu go na di dayalaysis sɛnta, wan nɔs kin put tu nidul dɛn insay di blɔd vesel we dɛn mek. Wan pan dɛn kin pul blɔd na yu bɔdi ɛn sɛn am to di mashin fɔ dayalaysis. As i de pas tru wan atifishal filta we dɛn kɔl dayalayza insay di mashin, dɛn kin pul dɔti tin dɛn ɛn wata we pasmak na di blɔd. Dɔn di blɔd we dɛn dɔn klin kin kam bak na yu bɔdi tru di ɔda nidul. Dis prɔses kin tek lɛk 3 to 4 awa so. Insay dis tɛm, yu kin sidɔm na chia ɛn du sɔntin lɛk fɔ rid buk ɔ wach TV.
Ditiɛl dɛn bɔt Pɛritonial Dayalaysis
Dis we aw dɛn de du tin difrɛn smɔl. I nɔ de yuz big mashin. Bifo dat, i de yuz sɔntin na wi yon bɔdi as filta.
1. Aw fɔ pripia: Bifo dis tritmɛnt bigin, dɔktɔ we de du ɔpreshɔn go put wan pɔrmɛnt, saf tiub (kateta) insay yu bɛlɛ, jɔs ɔp di skin.
2. Tritmεnt: dεn kin put spεshal klin wata we dεn kכl ‘dialysate’ insay di bכdi tru dis tכb. di mεmbran we dεn kכl ‘peritoneum’ we de kכba di insay wכl na di bכdi gεt bכku fayn fayn bכdi vεsul dεm. We da wata de de na di bɛlɛ, i kin wok lɛk magnet fɔ pul dɔti tin dɛn ɛn wata we pasmak kɔmɔt na di blɔd. Afta sɔm awa, dɛn kin pul di wata we dɔn gɛda na di dɔti tin dɛn bak tru di sem tiub ɛn pul am. dis prכsεs dεn kכl am 'exchεnj'.
Tu we dɛn de fɔ du dis:
- CAPD (Kɔntinyu Ambulatɔri Pɛritonial Dayalaysis):If na so i bi, yu go gɛt fɔ chenj dis wata lɛk 3-5 tɛm insay di de. We dɛn hang wata bag ay pas yu sholda, graviti go mek di wata flɔ insay yu bɛlɛ. Dis go tek lɛk 30-40 minit.
- APD (Automated Peritoneal Dialysis): Dis kin fayn fɔ bɔku pipul dɛn. Bifo yu go slip na nɛt, dɛn kin kɔnɛkt yu to wan smɔl mashin. We yu de slip, di mashin kin chenj wata fɔ insɛf bɔku tɛm ɔlsay na di nɛt.
Aw layf de wit dayalaysis? Ɛnitin de we de mek wi wɔri?
Dis na sɔm pan de big big kwɛstyɔn dɛm wae pɔrsin wae de kam fɔ bigin dayalaysis kin gɛt. Lɛ wi luk ɛni wan pan dɛn wan bay wan.
Yu tink se dayalaysis kin at?
- εmodayalis: Na sכm sכm sכmtin de sכmtεm we dεn put di nidul insay di vein. Afta dat, no pen nɔ de we dɛn de du di tritmɛnt.
- Pɛritonial dayalaysis: Nɔ pen nɔ de pan dis. Bɔt as di wata de ful-ɔp di bɛlɛ, i kin fil lɛk se i ful-ɔp smɔl ɛn ebi.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt dayalaysis tritmɛnt?
Lɛk ɛni mɛrɛsin, dayalaysis gɛt sɔm prɔblɛm dɛn.
- Insay ɛmodayalis: Risk de fɔ mek pɔsin gɛt infɛkshɔn na di say we dɛn de akses. Dɔn bak, di blɔd we de klɔt kin blok di blɔd vesel. Sɔntɛnde, blɔd prɛshɔn kin go dɔŋ bak. Bɔt nɔ wɔri, di mashin dɛn gɛt sef sistem. If sɔntin nɔ apin, alam go blo ɛn di mashin go stɔp, so nɔbɔdi nɔ go pwɛl bad bad wan.
- Insay di peritoneal dialysis: Di big risk na di peritoneal dialysis. dis kin apin if di jεm dεm go insay di εria we dεn put di tכb. So, dɛn fɔ du dis wok wit di bɛst klin. Dɔn bak, as tɛm de go, di mɔsul dɛn na di bɛlɛ kin wik ɛn hεnia kin apin.
Yu tink se dayalaysis go mek mi kidni dɛn bɛtɛ bak?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Dayalaysis nɔto mɛrɛsin fɔ kidni sik. Na fɔ sɔm tɛm nɔmɔ i kin tek ova di wok we di kidni dɛn de du. End-stej rεnal sik (ESKD) na wan kכndyushכn we dεn nכ kin rivεs. So, yu nid fɔ du dayalaysis fɔ di res ɔf yu layf te dɛn transplant yu kidni.
Aw lɔng pɔsin we de du dayalaysis kin liv?
No wan ansa nɔ de fɔ dis. I kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin, lɛk yu ej, ɔl yu wɛlbɔdi, ɛn di ɔndalayn kɔndishɔn we mek yu kidni nɔ wok fayn. Bɔt bɔku pipul dɛn de we if dɛn trit dɛn fayn ɛn du wetin dɛn dɔktɔ tɛl dɛn fɔ du, dɛn kin liv gladi at fɔ lɔng lɔng tɛm, ivin fɔ lɔng lɔng tɛm.
A kin wok nɔmal wan wit dayalaysis?
Na tru se yu kin ebul.Dayalaysis nɔ min se yu layf dɔn dɔn. Bɔku pipul dɛn kin du dɛn layf ɛvride, du dɛn wok, ɛn kia fɔ dɛn famili. Yu kin ivin travul. If yu de pan ɛmodayalis, yu kin tɔk to wan dayalaysis sɛnta na yu eria ɛn mek arenjmɛnt fɔ gɛt yu tritmɛnt de. If yu de pan peritoneal dialysis, i kin izi fɔ yu bikɔs yu kin tek yu yon fluid bag wit yu.
Wach fɔ dɛn sayn ya: Tɛl yu dɔktɔ wantɛm wantɛm
If yu de gɛt dayalaysis tritmɛnt, tɛl yu dɔktɔ ɔ di tritmɛnt sɛnta wantɛm wantɛm if yu si ɛni wan pan dɛn sik ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I nɔ kin izi fɔ yu fɔ pis | Di urine we de go dɔŋ ɔ we i dɔn stɔp fɔ pis ɔltogɛda. |
| Lɔw blɔd prɛshɔn | Diziz, fɔdɔm, blu yay, tɔsti we nɔ kɔmɔn. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, ed we de at, rɛd, swel, ɔ pus na di say we dɛn put di tiub. |
| Bɛlɛ pen bad bad wan | Dis kin bi sayn fɔ infekshɔn, mɔ fɔ di wan dɛn we de du peritoneal dialysis. |
| Nɔs ɛn vɔmit | Nɔs ɔ vɔmit we yu nɔ ɛksplen. |
| Di sayn dɛn we de sho se pɔsin gɛt ɛnia | Wan ɔnusual bulge ɔ lump na di bɛlɛ ɔ groin eria. |
Mɛsej we dɛn kin kɛr go na os
- Dayalaysis na tritmɛnt we de sev layf fɔ pɔsin we gɛt kidni we nɔ de wok fayn. Nɔ fred am.
- tu men kayn dayalaysis de (hεmodayalis εn pεritoneal dayalaysis). Yu dɔktɔ kin ɛp yu fɔ pik di we we go fayn fɔ yu layf ɛn yu wɛlbɔdi.
- Dis kin bi tritmɛnt fɔ ɔl yu layf (te dɛn transplant kidni), bɔt i pɔsibul fɔ liv ful, aktif layf we yu de du dayalaysis.
- If yu de du peritoneal dialysis , tek tɛm bad bad wan fɔ klin. I rili impɔtant fɔ protɛkt yusɛf frɔm infɛkshɔn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bɔt aw yu de it, aw yu de drink wata, ɛn aw fɔ tek mɛrɛsin.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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