Yu dɔn ɛva si wan valyu we dɛn kɔl eGFR we yu luk pan blɔd ripɔt? Sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt am. Pan ɔl we i kin tan lɛk se i kɔmplikt smɔl to bɔku pipul dɛn, fɔ tru, na wan rili impɔtant tɛst we de sho aw wi kidni dɛn de wok fayn. Tide, wi go tɔk rili simpul ɛn pɔlitiks bɔt wetin dis eGFR bi, wetin i min, ɛn wetin dɛn valyu dɛn de min.
Fɔ tɔk am simpul wan, wetin na eGFR?
di ful minin fכ eGFR na Estimated Glomerular Filtration Rate . Nɔ fred, di wɔd dɛn big, bɔt di stori rili simpul.
Imajin se yu kidni gɛt bɔku bɔku smɔl smɔl filta dɛn insay. Dɛn tan lɛk ti strayn. Dɛn filta dɛn ya kin filta di dɔti tin dɛn we wi nɔ want na wi blɔd, klin am, dɔn dɛn kin pul dɛn dɔti tin dɛn de kɔmɔt na wi bɔdi insay di urine. Insay mɛrɛsin, wi kin kɔl dɛn smɔl smɔl filta dɛn ya glomeruli .
So, eGFR na valyu we de kɔl ɔmɔs blɔd de klin insay wan minit bay dɛn filta dɛn ya we dɛn kɔl glomeruli. dis nכ de mכsu dairekt, bכt dεn kכl dis valyu (εstimat) bay we dεn mכsu di kriaytinin insay wan sεmpl fכ yu bכdi εn put am insay fכmula wit tin dεm lεk yu ej, jεnda, εtk.Na dat mek dεn kכl am "Estimated" GFR.
Dis tɛst de mek dɔktɔ dɛn ebul fɔ no di fɔs sayn dɛn we de sho se yu gɛt prɔblɛm wit yu kidni, mɔ di sik we de mek yu kidni nɔ de mɛn (CKD) .
Wetin mek dɔktɔ aks fɔ chɛk di eGFR valyu?
Yu kin gɛt yu eGFR chɛk as pat pan wan rutin blɔd tɛst, we dɛn kin du ɛvri ia. Apat frɔm dat, if yu gɛt ɛni wan pan di tin dɛn we kin mek yu gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ du eGFR tɛst fɔ wach yu kidni wɛlbɔdi.
- If yu gɛt dayabitis .
- If yu gɛt ay blɔd prɛshɔn (Hypertension) .
- If yu gɛt at sik .
- If ɛnibɔdi na di famili (mama, papa, brɔda ɛn sista dɛn) gɛt histri bɔt kidni sik .
- If di bɔdi mas indeks (BMI) pas 25 (ɔvaweit).
- If yu gɛt urinary tract infection (UTI) ɔltɛm ɔ yu gɛt urinary tract obstruction.
- If yu gɛt tin dɛn we yu bɔn wit we de afɛkt di kidni dɛn.
- If yu dɔn gɛt kidni transplant .
Insay dɛn kayn tin ya, di risk fɔ mek di kidni pwɛl kin bɔku. So, di dɔktɔ in gol na fɔ de chɛk di eGFR valyu ɔltɛm ɛn kech ɛni prɔblɛm we i bigin.
Wetin na Kriatinin ɛn Sistatin C?
Wi bin tɔk bɔt aw fɔ kɔlkul eGFR. Di men tin we dɛn kin yuz fɔ dat na kriaytinin.
- Kriatinin: Fɔ tɔk am simpul wan, dis na dɔti tin we dɛn kin mek we wi mɔsul dɛn de wok. We wi de waka, rɔn, ɔ du ɛni wok, wi de yuz mɔsul ɛnaji. Di dɔti we dɛn kɔl kriaytinin we dɛn kin mek we dɛn de du dis, kin gɛda na di blɔd. di kidni dεm we gεt hεlth filta am frכm di bכdi εn kכmכt na di urine. Bɔt we di kidni dɛn nɔ de wok fayn, dis kriaytinin kin bigin fɔ gɛda na di blɔd instead fɔ filta am. di inkris na di lεvεl fכ kriaytinin na di bכdi min se di filtrεshכn prכsεs fכ di kidni dεm wik.
- Cystatin C: Sɔntɛnde, mɔ pan pipul dɛn we dɔn ol ɔ pipul dɛn we gɛt bɔku mɔsul, kriaytinin nɔmɔ nɔ kin gi kɔrɛkt pikchɔ. di kriaytinin lεvεl dεm de afekt bak bay tin dεm lεk mכsul dεm, di ej, εn di it dεm. If na so i bi, dɔktɔ dɛn go chɛk di lɛvɛl we wan prɔtin we dɛn kɔl Cystatin C de na di blɔd. dis na di sεl dεm na wi bכdi de mek am, so di mכsul dεm nכ de gεt bכku ifekt.
A nid fɔ pripia bifo di eGFR tɛst?
Yɛs. Dis na tɛst we rili sɛnsitiv. So fɔ mek yu rid di rayt tin, yu nid fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. Dɛn kin aks yu fɔ:
- Fast fɔ sɔm awa (yu kin jɔs drink wata).
- Stɔp fɔ it mit wan ɔ tu dez bifo di tɛst.
- Stɔp fɔ tek sɔm mɛrɛsin wae yu de tek fɔ sɔm tɛm (mek shɔ se yu tɔk to yu dɔktɔ bɔt dis).
If yu nɔ fala dɛn instrɔkshɔn ya fayn fayn wan, yu eGFR ridin kin kɔrɛkt. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Bɔku tɛm, dɛn kin du di tɛst bay we dɛn tek smɔl blɔd frɔm wan vein we de na yu an. Na simpul we fɔ du tin we kin tek jɔs sɔm minit.
Wetin eGFR valyu dɛn de tɛl wi? Kes dɛm we gɛt sik na di kidni
Okay, naw mek wi get to di impotant tins. Wetin di eGFR valyu na yu ripɔt min?
di avrej eGFR fכ big man we gεt hεlty na arawnd 100. I nכmal fכ dis valyu fכ dכn sכmtεm as wi de ol, ivin if nכ sik de.
Di tin we impɔtant pas ɔl na dat, if yu eGFR de ɔnda 60 fɔ pas tri mɔnt , dɔktɔ kin no se i gɛt krɛse sik (CKD).
Krכnik kidni sik (CKD) dεn sheb am to 5 men stej dεm bays pan eGFR. Lɛ wi tek wan luk pan wetin dɛn bi.
| Stej | eGFR valyu | Minin |
|---|---|---|
| Stej 1. Di wan we mek | I pas 90 ia | Ivin if di kidni dɛn dɔn pwɛl smɔl, dɛn kin stil wok fayn ɛn bɔku tɛm dɛn nɔ kin sho ɛni sayn. |
| Stej 2. Di wan we mek | Bitwin 60 - 89 ia | Di damej we di kidni dɛn kin gɛt dɔn bɔku smɔl, bɔt dɛn stil de wok fayn fayn wan. |
| Stej 3. Di wan we mek | Bitwin 30 - 59 ia | di kidni fכnshכn dכn dכn bכku bכku wan. Na dis tɛm, sɔm sayn dɛm (lɛk wae yu taya ɛn yu leg dɛn kin swel) kin apia. |
| Stej 4. Di wan we mek | Bitwin 15 - 29 ia | di kidni fכnshכn dכn dכn bכku bכku wan. Dis na siriɔs kɔndishɔn. |
| Stej 5. Di wan we mek | Ɔnda 15 ia | Dɛn kɔl dis kidni fayl . di kidni dεm de wok wit less dan 15% kapasiti. Dialysis ɔ kidni transplant nid fɔ de fɔ mek pɔsin kɔntinyu fɔ liv. |
Wetin kin apin nɛks if di eGFR valyu nɔ nɔmal?
If yu eGFR smɔl, yu dɔktɔ go tɛl yu fɔ nɔ wɔri ɛn i go ɔda fɔ mek dɛn du sɔm ɔda tɛst fɔ no di rayt tin we mek yu du am.
- Urinalysis: Dis tεst de luk fכ protin (especially albumin) כ bכdi na di urine. Dis kin bi di fɔs sayn dɛm fɔ sho se di kidni dɔn pwɛl.
- Kidni Ultrasound/CT Scan: Dɛn tɛst ya kin ɛp fɔ si di sayz ɛn shep we di kidni dɛn gɛt, ɛn if ston ɔ tumbu de.
- Kidni Bayopsi: Sɔntɛnde, dɛn kin tek wan rili smɔl tisu frɔm di kidni ɛn chɛk am ɔnda maykroskɔp. Dis kin ɛp fɔ no gud gud wan wetin na di sik ɛn aw i siriɔs.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ?
Bɔrku tɛm, kidni sik nɔr kin sho ɛni sayn na di fɔs stej. Na dat mek tɛst lɛk eGFR impɔtant. Bɔt as di sik de go bifo, yu kin notis dɛn tin ya. If yu gɛt dɛn tin ya, go to yu dɔktɔ wantɛm wantɛm.
- Fɔ fil lɛk se yu de pis pas aw yu kin pis.
- Dray ɛn it skin skin.
- Nɔs ɛn vɔmit.
- Di an, fut, ɛn anklɛ dɛn kin swel.
- I nɔ kin izi fɔ yu fɔ blo.
- Di mɔsul dɛn we de shek shek.
- Di skin we de dak.
Dɛn sayn ya kin bi sayn dɛm bak fɔ ɔda sik dɛm. So, i go fayn fɔ mek yu nɔ fred ɛn go to dɔktɔ fɔ no di rayt tin we mek yu fred.
Mɛsej we dɛn kin kɛr go na os
- eGFR na simpul blɔd tɛst we de sho aw yu kidni dɛn de klin yu blɔd fayn fayn wan.
- wan hεlty valyu de arawnd 100. I nכmal fכ dis valyu fכ dכn sכmtεm wit di ej.
- If di eGFR valyu de dכn 60 fכ mכr dan 3 mכnt, i kin bi sayn fכ krכnik kidni sik (CKD).
- I rili impɔtant fɔ mek pipul dɛn we gɛt dayabitis, ay blɔd prɛshɔn, at sik, ɛn famili histri bɔt kidni sik fɔ wach dɛn eGFR ɔltɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt yu eGFR valyu, mek shɔ se yu tɔk to yu dɔktɔ bɔt am. Nɔ disayd fɔ yusɛf bɔt yu wɛlbɔdi biznɛs bay di tin dɛn we yu go si na di Intanɛt.
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