Di tu kidni dɛn na wi bɔdi tan lɛk tu supa filta dɛn. di men wok we di kidni dεm de du na fכ filta כl di west εn wata we nכ nid na di bכdi εn kכl dεm as urine. Bɔt bikɔs ɔf difrɛn rizin dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn, di wok we dɛn kidni ya de du kin go dɔŋ smɔl smɔl. We di kidni dɛn nɔ de wok fayn atɔl, dɔti tin dɛn kin gɛda na di bɔdi ɛn dat kin mek pɔsin in layf de pan denja bad bad wan. Na da tɛm de wi nid tritmɛnt we dɛn kɔl dayalaysis.
Fɔ tɔk am simpul wan, wetin na dayalaysis?
Dayalaysis na wan tin we dɛn kin du artificially we yu kidni dɛn nɔ de wok fayn, dɛn kin yuz mashin ɔ ɔda we fɔ du di wok we yu kidni dɛn fɔ du. Fɔ tɔk di kɔrɛkt tin, i min se yu fɔ tek yu blɔd, filta di dɔti tin dɛn (lɛk yuria ɛn kriaytinin) ɛn wata we yu nɔ nid, ɛn put di blɔd we yu dɔn klin bak na yu bɔdi. Dis nɔ de mɛn yu kidni, bɔt i de ɛp yu kidni fɔ du dɛn wok, we de mek yu liv fayn layf.
Us kayn pipul dɛn nid fɔ gɛt dayalaysis?
Dɛn nid fɔ du dayalaysis fɔ pipul dɛn we gɛt ɛnd-stej kidni sik (ESKD), we min se dɛn kidni wok dɔn go dɔŋ pas 15%. Bɔku men tin dɛn de we kin mek pɔsin in kidni nɔ wok fayn.
- Di ay blɔd prɛshɔn
- Shuga
- Imyun sistεm sik dεm lεk lupus
Sɔntɛnde, di kidni dɛn kin pwɛl fɔ no rizin. Sɔmtɛm, siriɔs sik ɔ aksidɛnt kin mek yu kidni nɔ wok wantɛm wantɛm (acute kidney failure). If dis kayn tin apin, chans de fɔ mek di kidni dɛn wɛl.
Dayalaysis na siriɔs sik. If yu dɔktɔ disayd se yu nid dayalaysis ɛn yu nɔ du am, pɔyzin west tin dɛn kin gɛda na yu bɔdi (uremia) ɛn i kin mek yu layf de pan denja. So, dis na tritmɛnt we de sev pipul dɛn layf.
Tu men kayn dayalaysis de.
Tu men kayn dayalaysis de. Yu dɔktɔ go ɛksplen to yu us we fɔ du am bɛtɛ fɔ yu, bay aw yu de liv yu layf ɛn aw yu gɛt wɛlbɔdi.
| Tayp fɔ dayalaysis | Aw i kin apin | Taym ɛn frɛkuɛns |
|---|---|---|
| Ɛmodayalis we dɛn kin yuz | Dɛn kin pul blɔd na wan vein we de na di an, pas am na mashin (daylayza) fɔ klin am, dɔn dɛn kin put am bak na di bɔdi. Dɛn kin du dis na ɔspitul ɔ dayalaysis sɛnta. | Na lɛk 3 dez insay di wik, 3-4 awa wan tɛm. |
| Pɛritonial Dayalaysis we dɛn kin du | dεn kin put wan tכb (kateta) insay di bכdi (insay di bεlε), dεn kin injεkt wan spεshal wata (dialysate) tru am, εn dεn kin klin di bכdi yuz di layn na di bכdi (pεritכniכm). Yu kin du am na os. | Yu kin du am 3-5 tɛm insay di de (30-40 minit ɛvri wan) ɔ na nɛt we yu de slip wit mashin (8-10 awa). |
Ɛmodayalis we dɛn kin yuz
Dis na di we aw dɛn kin du am pas ɔl. Bifo yu bigin dis tritmɛnt, dɛn kin mek wan big blɔd vesel (fistula) bay we dɛn kin kɔnɛkt wan at ɛn wan vein na yu an. Dɛn kin du dis fɔ mek i izi fɔ kɛr blɔd go ɛn go bak na di mashin we dɛn kin yuz fɔ dayalaysis.
Pɛritonial Dayalaysis we dɛn kin du
Bifo yu bigin dis wok, dɛn kin du ɔpreshɔn fɔ put wan sɔft tiub (kateta) insay yu bɛlɛ. Di ɔspitul go tich yu aw fɔ injɛkt ɛn pul dis wata na os. Tu men we dɛn de fɔ du dis:
- CAPD (Continuous Ambulatory Peritoneal Dialysis): Insay dis, yu kin chenj di wata wit yu an bɔku tɛm insay di de.
- APD (Automated Peritoneal Dialysis): Dis kin min fɔ mek yu chenj di wata we yu de yuz fɔ mek wata we yu de yuz mashin we yu de slip.
Ɛni risk de fɔ dayalaysis?
Yɛs, ɔl tu di tritmɛnt dɛn gɛt sɔm prɔblɛm dɛn. Di men risk na di possibiliti fɔ gɛt infɛkshɔn.
- We dɛn de du ɛmodayalis: tin dɛn lɛk di blɔd we nɔ de go fayn, di blɔd we de klɔt, ɛn skata na di say we dɛn put di nidul kin apin.
- Pɛritonial dayalaysis: Pɛritonaytis na infεkshɔn na di layn na di bɛlɛ. As tɛm de go, di mɔsul dɛn na di bɛlɛ kin wik ɛn i kin mek wan hεnia.
Yu dɔktɔ go tɛl yu gud gud wan bɔt ɔl dɛn prɔblɛm ya.
Yu kin liv nɔmal layf we yu de du dayalaysis?
Na tru se yu kin ebul. Bɔrku pipul dɛm wae de du dayalaysis kin du dɛn wok, famili layf, ɛn tin dɛm wae dɛn kin lɛk fɔ du lɛk aw dɛn kin du. Yu kin ivin travul. If yu de pan ɛmodayalis, yu dɔktɔ kin ɛp yu fɔ kɔnɛkt yu wit wan dayalaysis sɛnta na yu eria. If yu de pan peritoneal dialysis, yu kin tek di fluid bag ɛn mashin we yu nid wit yu.
Ɛksesaiz bak fayn. Bɔt if yu de du peritoneal dialysis, yu kin nid fɔ stɔp sɔm tin dɛn we yu kin du we yu gɛt bɔku bɔku wata we yu bɛlɛ ful-ɔp wit wata. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays.
Ustɛm fɔ kɔl dɔktɔ wantɛm wantɛm
If yu gɛt wan ɔ mɔ pan dɛn sik ya, tɔk to yu dɔktɔ kwik kwik wan.
| Risk kwaliti we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, ed we de at, ɛn dischaj, rɛd, ɔ chenj kɔlɔ frɔm di say we di tiub de. |
| Di sayn dɛn we de sho se pɔsin in blɔd prɛshɔn dɔn dɔŋ | Diziz, fɔdɔm, tɔsti we nɔ kɔmɔn. |
| Pɔsin we de fil pen na di bɛlɛ | Sivεr, pεrsistεnt bεlε pen (especially in pipul dεm we de pan peritoneal dialysis). |
| Ɔda tin dɛn we de apin | I nɔ izi fɔ pis, nɔs ɛn vɔmit, swɛlin we nɔ kɔmɔn na di bɛlɛ ɔ groin (sayn dɛn fɔ hεnia). |
Dayalaysis na impɔtant tritmɛnt we de mek yu kɔntinyu fɔ liv ɛn wɛl te dɛn transplant yu kidni. I kin tek smɔl tɛm ɛn mek big chenj na yu layf, bɔt i kin gi yu yu layf.
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, nɔto fɔ mɛn am.
- Tu men kayn dɛn de: ɛmodayalis ɛn peritoneal dayalaysis. Yu dɔktɔ go ɛp yu fɔ pik di we we go fayn fɔ yu.
- Bɔrku pipul kin ebul fɔ liv aktif layf, inklud wok ɛn famili layf, wae dɛn de du dayalaysis tritmɛnt.
- Ɔltɛm, de wach fɔ sayn dɛm wae de sho se yu gɛt infekshɔn, yu de fil pen bad bad wan, ɛn yu gɛt diziz. If yu gɛt ɛnitin we de mɔna yu, tɛl yu dɔktɔ wantɛm wantɛm.
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