Di kidni na wan pan di ɔgan dɛn we rili wɔndaful na wi bɔdi. Dɛn tan lɛk wan supa klin sistɛm insay wi bɔdi. Dɛn kin filta di dɔti tin dɛn we wi nɔ want na wi blɔd, pul di wata we pasmak, ɛn pul dɛn kɔmɔt as urine. Bɔt sɔntɛnde, dɛn fayn fayn kidni ya kin sik bak. Tide wi go tɔk bɔt wan sik we bɔku pipul dɛn nɔ yɛri bɔt, bɔt i kin ambɔg di bɔdi kwayɛt wan. Dat na di sik we dɛn kɔl Glomerulonephritis.
Fɔ tɔk am simpul wan, wetin na Glomerulonephritis (GN)?
Dis na lɔng, strenj nem, bɔt i rili simpul fɔ ɔndastand. Glomerulonephritis na wan sik wae de afɛkt di kidni dɛm. Insay wi kidni, bɔku bɔku smɔl smɔl filta dɛn de we de filta blɔd. Wi kin kɔl dɛn tin ya glomeruli. Tink bɔt dɛn lɛk smɔl ol dɛn we de na ti strayn. Insay wan sik we dɛn kɔl glomerulonephritis, dɛn smɔl smɔl filta dɛn ya kin pwɛl ɛn swel.
We dɛn filta ya dɔn pwɛl, dɛn nɔ kin ebul fɔ wok fayn. Dat min se dɛn nɔ kin ebul fɔ filta di dɔti ɛn wata we nɔ nid fɔ kɔmɔt na di bɔdi fayn fayn wan. If dis sik kam siriɔs smɔl, i kin ivin mek yu kidni nɔ wok fayn . Bɔt di gud nyus na dat, bɔku tɛm, di fɔs tɛm we dis sik kin kam, dɛn kin mɛn am kpatakpata wit tritmɛnt.
So wetin rili de apin na dɛn Glomeruli (filta) ya?
Ɛni wan pan wi kidni dɛn gɛt lɛk wan milyɔn pan dɛn smɔl smɔl filta dɛn ya we dɛn kɔl glomeruli. dis dεm de mek wit rili fayn bכdi vεsul dεm (kapilari dεm) we dεn bכnd togeda. Dɛn men wok na fɔ filta di dɔti ɛn di wata we pasmak na wi blɔd. dis na di fכs εn imכtant step fכ di prכsεs fכ fכm di urine. So imajin, if sɔntin apin to dis filta sistɛm, di klin we wi de klin wi wan ol bɔdi go ambɔg, nɔto so?
Yu tink se men kayn dis sik de?
Yɛs, dɛn kin sheb dis sik to tu men kayn dɛn dipen pan aw i kin apin.
1. Akyu Glomerulonephritis: Dis kin bigin wantɛm wantɛm.
2. Kronik Glomerulonephritis: Dis na wan bad bad sik wae de kam sloslo. I kin las fɔ lɔng lɔng tɛm.
Sɔm pipul kin gɛt wan sik wae de kam kwik kwik wan (akyu), wae kin kam bak fɔ lɔng tɛm afta i dɔn wɛl.
Wetin na di sayn dɛm fɔ Glomerulonephritis?
De tin wae denja pasmak pan dis sik na wae bɔrku pipul nɔr kin sho ɛni sayn fɔs. Dis min se dɛn nɔ kin ivin no se dɛn gɛt dis sik. Bɔt if di sayn dɛn de sho, dɛn kin tan lɛk aw dɛn sho na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Blɔd we de na di urine | Yurin kin tan lɛk dak brawn (lɛk ti wata), pink, ɔ rɛd. |
| Di fes ɛn leg dɛn we de swel | We a wek na mɔnin, mi yay ɛn mi fes kin tan lɛk se dɛn dɔn swel. Insay di de, mi leg ɛn mi anklɛ dɛn kin swel. |
| Urin we gɛt fom | If yu de pis wit bɔku bɔbul ɛn sop fom, i kin bi bikɔs di prɔtin de kɔmɔt wit di urine. |
| Ay Blɔd Prɛshɔn | We di kidni nɔ de wok fayn, di blɔd prɛshɔn kin go ɔp. |
| Chenj na di frɛkuɛns we yu de pis | Yu kin pas smɔl ɔ mɔ urine pas aw yu kin pas. |
| Ɔda tin dɛn we de apin | Nɔs, skin rɔsh, i nɔ kin izi fɔ blo, yu jɔyn ɔ bɛlɛ kin pen, yu nɔ kin want fɔ it, ɛn yu nɔ kin gɛt bɔku bɔku wet. |
De tin wae impɔtant pas ɔl na fɔ go to yu dɔktɔ kwik kwik wan if yu gɛt ɛni wan pan dɛn sik ya. Pan ɔl we ɔda tin dɛn kin kam bak wit dɛn sik ya, i impɔtant fɔ no di rayt tin we kin mek yu gɛt dis sik.
Wetin mek dis kayn sik kin apin? Wetin na di tin dɛn we kin mek i apin?
Bɔku tɛm, i nɔ kin izi fɔ fɛn wan patikyula rizin fɔ dis, bɔt dɛn dɔn si se na sɔm kayn mɛrɛsin ɛn infɛkshɔn kin kam wit am.
| I pɔsibul fɔ mek i gɛt rizin | Tɔk bɔt |
|---|---|
| Infεkshכn dεm | Strep trot kin apin as kɔmplikeshɔn fɔ infɛkshɔn lɛk HIV, ɛpatitis C, ɛn baktriyal ɛndokadaytis. |
| Prɔblɛm dɛn we de na di imyun sistɛm | di imyun sistεm we wi bכdi in yon kin mistek atak di hεlty sεl dεm na di kidni dεm. Fɔ ɛgzampul, wan sik we dɛn kɔl lupus. |
| IgA Nɛfropati | wan sik we kin kam we wan antibodi we dεn kכl Immunoglobulin A (IgA) de put insay di kidni dεm. |
| Sik dɛn we de na di blɔd vesel | Sɔm sik dɛn we nɔ kin apin so ɔltɛm (e.g. granulomatosis wit polyangiitis) kin mek di blɔd vesel dɛn swel, we kin pwɛl di kidni dɛn. |
| Ɔda rizin dɛn | i kin kכz bak fכ sכm kayn kεnsar (e.g. mכltipl myeloma) εn, rεli rεli, bay jεnεtik kכz dεm we de pas dכn tru jεnereshכn. |
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt glomerulonephritis?
If dɛn nɔ trit dis sik fayn, i kin mek di kidni dɛn kɔntinyu fɔ pwɛl ɛn i kin mek i gɛt siriɔs prɔblɛm dɛn.
- Kronik Kidni Disease (CKD): Smɔl smɔl di kidni wok de go dɔŋ.
- Ay blɔd prɛshɔn (Hypertension):Bikɔs di kidni dɛn kin ɛp fɔ kɔntrol di blɔd prɛshɔn, we dɛn pwɛl, di prɛshɔn kin go ɔp.
- Kidni Fayla: Dis kin apin kwik ɔ fɔ lɔng tɛm. If na so i bi, di kidni dɛn kin stɔp fɔ wok klos to ɔl.
- Nephrotic Syndrome: Na kכndyushכn we de kכz fכ bכku protin we de kכmכt na di urine, we de mek i swel εn di kכlestכl lεvεl go כp.
- bכdi kכlכt: di risk fכ blכd kכlכt fכ fכm na di vein dεm na di leg dεm (Deep Vein Thrombosis - DVT) כ na di lכng dεm (Pulmonary Embolism - PE) de go כp.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
Bɔrku tɛm, dɛn kin no dis sik bay wan. Dat min se, we dɛn de tɛst fɔ ɔda sik. If yu dɔktɔ saspek dis sik bay di sayn dɛm we yu gɛt, i kin rifer yu to spɛshal kidni. Dɛn kin du dɛn tɛst ya fɔ kɔnfirm di diagnosis.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| Tɛst fɔ Yurin | Dɛn kin chɛk di urine fɔ si if i gɛt blɔd (rɛd blɔd sɛl) ɔ prɔtin. |
| Blɔd Tɛst | Di blɔd tɛst kin no di lɛvɛl we di kriaytinin, we na wan dɔti tin we di kidni dɛn kin pul kɔmɔt. If dis lεvεl hכy, i min se di kidni dεm nכ de wok fayn. |
| Kidni Bayɔpsi | We dɛn yuz nidul, dɛn kin pul wan rili smɔl tisu na di kidni ɛn chɛk am ɔnda maykroskɔp. Dis na di bɛst we fɔ no di rayt tin we de mek pɔsin gɛt di sik. |
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | Ultrasound, X-ray, ɔ CT scan test de chɛk di saiz, shep, ɛn prɛzɛns fɔ ɛnitin we de ambɔg di kidni dɛn. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt de dipen pan wetin mek di sik kam ɛn aw di kidni dɛn dɔn pwɛl. Di men gol fɔ tritmɛnt na fɔ mek di kidni dɛn nɔ pwɛl mɔ ɛn fɔ mek dɛn kɔntinyu fɔ wok.
- Fɔ trit di tin we de mek pɔsin gɛt dis sik: Fɔ ɛgzampul, if na ay blɔd prɛshɔn de mek di sik, dɛn go gi am mɛrɛsin fɔ kɔntrol di prɛshɔn. If na infɛkshɔn mek am, dɛn go gi am antibayɔtik.
- Chenj fɔ it: Yu dɔktɔ go advays yu fɔ lɛ yu nɔ it bɔku tin dɛn we gɛt bɔku sɔl ɛn prɔtin, ɛn dis kin mek yu kidni dɛn strɛs mɔ.
- Immunosuppressants: If na prɔblɛm wit di imyun sistɛm, dɛn kin gi dɛn mɛrɛsin ya fɔ kɔntrol aw da sistɛm de wok.
- Kɔtikosterɔyd: Dɛn kin ɛp fɔ ridyus di inflamɛns na di kidni dɛm.
- Dayalaysis: Dis na di we aw dɛn kin klin di blɔd wit di ɛp we mashin kin ɛp am if di kidni dɛn wik tumɔs fɔ du dɛn wok.
- Diuretics: Dɛn kin gi dɛn tin ya fɔ pul di wata we pasmak na di bɔdi ɛn fɔ mek di bɔdi nɔ swel.
- Plasmapheresis: Dis na spɛshal we fɔ filta di prɔtin dɛn we de ambɔg di blɔd.
Yu tink se dɛn kin ebul fɔ avɔyd glomerulonephritis?
Infakt, no we nɔ de we dɛn dɔn pruv fɔ mek dɛn nɔ gɛt dis sik. Bɔt fɔ fala wɛlbɔdi layf ɛn fɔ fala sɔm abit dɛn kin mek di prɔblɛm nɔ bɔku.
- It di it we balans. Ridyus di atifishal tin dɛn ɛn di it dɛn we dɛn dɔn prosɛs as mɔ as yu ebul.
- If yu gɛt ay blɔd prɛshɔn , kɔntrol am fayn fayn wan wit it we nɔ gɛt bɔku sɔl, ɛksesaiz, ɛn tek di mɛrɛsin we yu dɔktɔ tɛl yu di rayt we.
- If yu gɛt dayabitis , kɔntrol am fayn fayn wan.
- Fɔ mek yu nɔ gɛt infɛkshɔn. Praktis gud hajɛns. If yu gɛt sɔntin lɛk trot infɛkshɔn (strep trot), nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm fɔ tritmɛnt.
- Nɔ kɔntinyu fɔ yuz mɛrɛsin lɛk mɛrɛsin fɔ mek yu fil pen we yu nɔ go to dɔktɔ.
If dɛn dɔn no se yu gɛt Glomerulonephritis, i impɔtant fɔ mek dɛn chɛk yu kidni ɔltɛm, tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu, ɛn kɔntrol di it we yu de it.
Mɛsej we dɛn kin kɛr go na os
- Glomerulonephritis (GN) na wan sik wae de mek di dilik filta dɛm na di kidni dɛm pwɛl. Bɔku tɛm, i kin mek di bɔdi pwɛl kwayɛt wan.
- Yu fɔ no bɔt di sayn dɛm lɛk dak urine, swel na yu fes ɔ yu leg, ɛn yu urine we gɛt fom. Bɔt mɛmba se bɔku pipul dɛn nɔ kin gɛt ɛni sayn.
- If yu trit di trot infɛkshɔn (lɛk strep trot) kwik kwik wan, dat kin ɛp fɔ mek yu nɔ pwɛl di kidni leta.
- If pɔsin na yu famili gɛt sik na yu kidni, if yu gɛt dayabitis ɔ yu gɛt ay blɔd prɛshɔn, i rili impɔtant fɔ mek yu de chɛk yu ɔltɛm.
- If dɛn no se yu gɛt dis sik, fala di it ɛn mɛrɛsin we yu dɔktɔ gi yu fɔ protɛkt yu kidni.
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