Yu kidni dɛn tan lɛk tu supa filta dɛn na wi bɔdi. di men wok we di kidni dεm de du na fכ filta di west prכduk dεm we nכ nid, we gεt tכxik εn di wata we pasmak we de kכmכt na di bכdi. Bɔt we dɛn kidni ya nɔ de wok fayn bikɔs ɔf sɔm mɛrɛsin, dɔti tin dɛn kin gɛda na di bɔdi ɛn mek siriɔs prɔblɛm dɛn. Na dis say di tritmɛnt we de sev pipul dɛn layf we dɛn kɔl ɛmodayalis de ɛp wi.
Fɔ tɔk am simpul wan, wetin na ɛmodayalis?
Ɛmodayalis na wan kayn tritmɛnt fɔ dayalaysis. We yu kidni nɔ ebul fɔ du dɛn wok, dɛn kin yuz mashin fɔ klin yu blɔd insted. Fɔ tɔk am simpul wan, i de wok lɛk atifishal kidni.
We dɛn de du dis, wan mashin kin tek sɔm blɔd na yu bɔdi, pas am tru wan spɛshal filta (wan atifishal kidni) fɔ klin am, dɔn i kin gi di klin blɔd bak na yu bɔdi. dis kin pul tin dεm lεk naytrojen west prodakt (urea), west prodakt frכm mכsul dεm (kriatinin), εn asid dεm we kin gɛda na di bכdi.
Aw dis mashin de klin blɔd?
Imajin, dis na wan teknɔlɔji we rili wɔndaful. Di men pat pan di ɛmodayalis mashin na di dayalayza . dis na wetin wi kin kכl bak "artificial kidney."
Yu blɔd de pas tru bɔku bɔku fayn fayn tiub dɛn we tan lɛk mɛsh insay dis dayalayza. Dɔn, di dɔti tin dɛn ɛn di wata we pasmak we de na di blɔd kin lik tru dɛn fayn fayn mɛsh dɛn ya go na wan ɔda say. Dɛn kin yuz wan spɛshal wata we dɛn kɔl dayalayz fɔ gɛda dɛn dɔti tin ya. Dis likwid gɛt wata, sɔl, ɛn ilɛktrɔlayt.
Yu blɔd we dɛn dɔn klin ɛn pul pan dɔti, de go bak na yu bɔdi tru wan tiub. Di dayalayz fluid, we dɔn gɛda di dɔti, na in di mashin de pul am.
Wetin na di men kayn tritmɛnt fɔ ɛmodayalis?
Tu men we dɛn de fɔ du ɛmodayalis tritmɛnt. Yu kin tɔk to yu dɔktɔ us we fɔ du am fayn fɔ yu.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| In-senta ɛmodayalis | Fɔ dis, yu go nid fɔ go na ɔspitul ɔ sɛnta we spɛshal pan ɛmodayalis. Na nɔs ɔ tɛknishian we tren de du di tritmɛnt. Yu go gɛt fɔ go lɛk tri tɛm insay di wik, ɛn ɛvri sɛshɔn go tek lɛk 3-4 awa. |
| Na os (Hɛmodayalis na os) . | Dɛn kin du dis tritmɛnt na os. Insay sɔm wiks, dɔktɔ ɛn nɔs dɛn go tich yu aw fɔ du am ɛn aw fɔ dil wit ɛni smɔl prɔblɛm we go kam. Afta dat, yu kin du di tritmɛnt yusɛf we yu want. |
Sɔm kayn ɛmodayalis de na os?
Yɛs, tri men kayn tritmɛnt dɛn de na os.
1. Kɔnvɛnshɔnal hom ɛmodayalis: Tri tɛm insay di wik, 3-4 awa ɛvri tɛm.
2. Short daily home hemodialysis: Nyu teknɔlɔji de alaw fɔ shɔt tritmɛnt tɛm. Dɛn kin du am lɛk 5-7 dez insay di wik, ɛn i kin tek lɛk tu awa pan ɛni sɛshɔn.
3. Nocturnal home hemodialysis: Dɛn kin du dis na nɛt we yu de slip. Dɛn kin du di tritmɛnt fɔ 6-8 awa wan tɛm, lɛk 4-6 dez insay di wik. Dis we ya de mek dɛn ebul fɔ klin di blɔd fɔ lɔng tɛm, so dɛn kin pul mɔ dɔti tin dɛn na di bɔdi.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Bifo yu bigin fɔ du ɛmodayalis, yu nid fɔ pripia sɔm wik ɔ mɔnt bifo tɛm. Di men tin na fɔ fɛn we fɔ pul blɔd izi ɛn kwik ɛn put am bak na di bɔdi we dɛn de du di tritmɛnt. Dis kin min fɔ mek dɛn du smɔl ɔpreshɔn.
- Arteriovenous fistula (AV fistula): Insay dis prɔsidyu, dɔktɔ we de du ɔpreshɔn kin kɔnɛkt wan at ɛn wan vein na yu an. Dis na di we we fayn pas ɔl ɛn we go de fɔ lɔng tɛm.
- Arteriovenous graft (AV graft): If yu at ɛn yu vein tu shɔt fɔ kɔnɛkt togɛda, di ɔspitul go kɔnɛkt di tu yuz wan sɔft, olo tiub (graft).
If dɛn nid fɔ bigin di tritmɛnt kwik kwik wan, sɔntɛnde dɛn kin put wan sɔft tiub we dɛn kɔl kateta fɔ sɔm tɛm insay wan big vein na di nɛk, chɛst, ɔ shɔl.
I rili impɔtant: Dɛn fɔ trit yu fistula ɔ graft sayt lɛk yay. Na tru am dɛn kin gi yu tritmɛnt we go sev yu layf. So, i impɔtant fɔ protɛkt da eria de frɔm infekshɔn ɛn injuri.
Fɔ protɛkt yu fistula/graft, mɛmba dɛn tin ya:
- Nɔ slip wit yu wet na di sayd na di an usay di fistula de.
- Nɔ wɛr klos ɔ jɔyri (ring, wach) we go kech na da an de.
- Nɔ wɛr bag strap oba da an de.
- Nɔ ɛva mek dɛn chɛk yu blɔd prɛshɔn (BP) ɔ pul blɔd na di an we gɛt di fistula.
Yu nid fɔ tek tɛm mɔ we yu de it ɛn drink?
Absolutli yes. Di it we yu de it kin afɛkt di sakrifays we di ɛmodayalis tritmɛnt gɛt. Sɔm it dɛn kin mek di blɔd dɔti bɔku, i kin mek di wata nɔ de igen, i kin mek di BP bɔku, ɛn i kin mek di at bit mɔ ɛn mɔ.
Bifo yu bigin fɔ trit yu, wan dɔktɔ we de mɛn yu rεnal go mek wan it plan we go fayn fɔ yu. Bɔku tɛm yu go nid fɔ stɔp fɔ it tin dɛn we gɛt dɛn tin ya:
| Nutrients fɔ limit | Risk ɛn ɛgzampul dɛn fɔ ɔvados |
|---|---|
| Potashɔm we gɛt di sik | Di at rit kin bi denja fast. Fɔ ɛgzampul: banana, avokado, ɔrɛnj, dray frut, tomato. |
| Fɔsfɔr we dɛn kɔl | Bɔn dɛn kin brok ɛn di skin kin it. Fɔ ɛgzampul: milk ɛn dairy prodakt, chiz, chukchuk, tin fish, sosish, lentil, nɛt. |
| Sɔdiɔm - sɔl | di bכdi nid mכr wata (tכsti we de bכku), so wata kin rεtεnshכn εn BP kin inkrεs. Fɔ ɛgzampul: sɔl, sos we dɛn ad to it, fast fud, tin fɔ it, snek we gɛt sɔl. |
Wetin na di sayd ɛfɛkt ɛn kɔmplikeshɔn dɛm wae de kam wit de tritmɛnt?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm sayd ɛfɛkt ɛn kɔmplikeshɔn dɛn de we pɔsin kin gɛt we i de yuz ɛmodayalis. Bɔt nɔ nid fɔ wɔri bɔt dis, bikɔs yu mɛdikal tim go de wach yu ɔltɛm fɔ dis.
Kɔmɔn pɔsibul sayd ɛfɛkt dɛn:
- Lɔw blɔd prɛshɔn (Hypotension) .
- Nɔs ɛn vɔmit
- Diziz ɛn fɔdɔm (Syncope) .
- Chɛst ɔ bak pen
- Ed de at
- I de it (Pruritus) .
- Mɔsul dɛn we kin kramp
- Restless legs syndrome (fɔ fil se yu nɔr de rɛst na yu leg) .
If yu kin gɛt dɛn sik ya ɔltɛm, tɔk to yu dɔktɔ ɔ nɔs. Dɛn kin kɔntrol dɛn bay we dɛn chenj di we aw dɛn de trit dɛn ɔ yuz sɔm mɛrɛsin dɛn.
Di kɔmplikeshɔn dɛn we kin apin we gɛt fɔ du wit di fistula/graft:
- Infεkshכn (rεd, swεla, pen, fiva) .
- Blɔd we de klɔt
- Blɔk bikɔs ɔf di ska tisu
If yu si ɛnitin lɛk dis, yu fɔ go to dɔktɔ wantɛm wantɛm.
Aw lɔŋ yu kin liv wit ɛmodayalis?
Dis na prɔblɛm fɔ bɔku pipul dɛn. Di avrej layf we pɔsin we de du ɛmodayalis tritmɛnt kin liv na lɛk 5-10 ia. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Pipul dɛn de we de liv 20-30 ia ɔ ivin pas dat wit gud it, dɔktɔ advays, ɛn rili gud kwaliti layf. So, de tin wae impɔtant pas ɔl na fɔ kɔntinyu fɔ gɛt trɛnk ɛn kɔntinyu fɔ trit yu fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Ɛmodayalis nɔto sɔntin we pɔsin fɔ fred. Na tritmɛnt wae de woke pan yu kidni ɛn sev yu layf.
- Fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we sabi bɔt it gi yu di rayt we. I impɔtant mɔ fɔ kɔntrol di it dɛn we pɔsin de it.
- Tek kia gud wan fɔ yu fistula ɔ graft. I tan lɛk get we de go na yu layf. If yu notis ɛni chenj (pen, swel, rɛd), tɛl yu dɔktɔ wantɛm wantɛm.
- If yu de fil wɔri ɔ wɔri, tɔk to yu famili ɛn yu dɔktɔ opin wan. Nɔto yu wan de na dis waka.
- Na nɔmal tin fɔ lɛ yu fil taya bikɔs ɔf di tritmɛnt, bɔt if i kɔntinyu fɔ de, mek yu mɛdikal tim no.
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