Yu nɔ gɛt wata na yu bɔdi? Lɛ wi tɔk bɔt dis (Hypervolemia)!

Sɔntɛnde yu kin fil wan strenj, ebi filin na yu bɔdi, ɔ yu an ɛn fut dɛn kin swel? Yu bɛlɛ kin fil lɛk se yu dɔn blo? Sɔntɛm yu kin fil lɛk se yu fat smɔl wantɛm wantɛm? Dis nɔto jɔs random tin dɛn. Sɔntɛnde, di wata ɔ wata we de na yu bɔdi kin pas wetin i nid. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn (Hypervolemia) ɔ (fluid overload) ɔ (volume overload) . Fɔ tɔk am simpul wan, wata we pasmak na di bɔdi.

Wetin na Hypervolemia?

Okay, mek wi put dis na wan simpul we. כlmost 50% to 60% pan wi bכdi na fכs wata. Dis kin inklud tin dɛn lɛk wata, blɔd, ɛn limf wata. Dis wata de ɛp wi ɔgan dɛn fɔ wok fayn fayn wan. Na mɔtalman, dis wata rili impɔtant fɔ mek blɔd go ɔlsay na wi bɔdi ɛn kɛr tin dɛn we go mek i go na ɔl di pat dɛn na am. Imajin wetin go apin if dis wata kam tumɔs. Na da tɛm de tin lɛk fɔ swel , ay blɔd prɛshɔn , ɛn sɔntɛnde at prɔblɛm kin apin.

Aw dis sik kin kɔmɔn? Udat go mɔs gɛt am?

Fɔ tru, ɛnibɔdi kin gɛt dis sik (Hypervolemia). Bɔt sɔm pipul dɛn kin gɛt am mɔ. Fɔ ɛgzampul:

• Fɔ di wan dɛn we gɛt at sik ɔ kidni sik.
• Fɔ mama dɛn we gɛt bɛlɛ.
• Fɔ uman dɛn, mɔ di tɛm we di ɔmon dɛn de chenj.
• Fɔ di wan dɛn we de ad tumɔs sɔl (i.e. sodium) to dɛn it.

I at fɔ tɔk klia wan aw dis kin apin. Sɔntɛnde, smɔl smɔl wata we de kɔntinyu fɔ de go go insɛf. Bɔt if e tranga, bɔrku tɛm e kin bi sayn fɔ ɔda ɔndalayn kɔndishɔn.

Aw di hypervolemia kin afɛkt mi bɔdi?

We yu bɔdi gɛt bɔku wata, yu kin gɛt sɔm prɔblɛm dɛn. Fɔ ɛgzampul, we pɔsin swel kin mek i nɔ izi fɔ du tin dɛn we pɔsin kin du ɛvride. Imajin se yu leg dɔn swel. Yu kin si am se i nɔ izi fɔ waka ɔ tinap, nɔto so?

Bɔt if yu sik nɔ tu tranga, yu kin rɛst bay we yu es di say we yu dɔn swel ɔp. Fɔ ɛgzampul, if yu leg swel, put pilo ɔnda yu leg we yu de ledɔm. Ɔ, yu kin yuz kɔmpreshɔn stɔkin.

Di tin we impɔtant pas ɔl na dat if dɛn sik ya wɔs, ɔ if yu fil lɛk se di swɛlin de go ɔda pat na yu bɔdi, yu fɔ rili go to dɔktɔ.

Wetin na di sayn dɛm fɔ Hypervolemia?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul kin gɛt sɔm kayn sik wae nɔr kin pasmak, wae ɔda pipul dɛn kin gɛt mɔr siriɔs sik. Lɛ wi tek tɛm luk sɔm pan de sik wae kin kam pan pɔrsin:

• Swel na wan say na di bɔdi: Bɔku tɛm, di an ɛn fut kin swel. Dɛn kin tan lɛk se dɛn big pas di de bifo.
• Bloating/distension: I kin fil lɛk se yu bɛlɛ ful-ɔp wit briz.
• Smɔl diskɔmfɔt: Tin dɛn lɛk we yu mɔsul dɛn de kramp ɔ ed we de at.
• We yu de gɛt bɔku bɔku wet wantɛm wantɛm.

Bɔt apat frɔm dɛn tin ya, siriɔs sayn dɛn de bak we nid fɔ gɛt tritmɛnt wantɛm wantɛm . Dɛn na:

• Di ay blɔd prɛshɔn.
• I nɔ kin izi fɔ yu fɔ blo.
• At we nɔ de wok fayn (at we nɔ de wok fayn).

If yu gɛt ɛni wan pan dɛn bad bad sayn ya, yu fɔ go na ɔspitul wantɛm wantɛm. Nɔ fɔgɛt dat.

Wetin mek dis hypervolemia kin apin?

Bɔku rizin dɛn de fɔ dis. Lɛ wi luk di men wan dɛn.

Sɔl (sɔdiɔm) .

di men rizin fכ dis na di inkrεs pan di כmכnt fכ di sכl, כ `sכdiכm`, na yu bכdi. Sɔdiɔm na impɔtant minral fɔ wi bɔdi. Na wata de kɔntrol di sodium we de insay di it we wi de it. If yu it bɔku it we gɛt sɔl, di bɔdi de yuz wata fɔ balans am. Na dat mek wi kin tɔsti afta wi dɔn it tin dɛn we gɛt sɔl. Tink bɔt aw bɔku sɔl de insay di fayn fayn it dɛn we wi de it, lɛk pikɛl, dray fish, fish, ɛn chips. If yu it dɛn tin ya ɔltɛm ɛn bɔku bɔku wan, di sodium lɛvɛl na di bɔdi kin go ɔp.

Sɔntɛnde, afta dɛn dɔn ɔpreshɔn ɔ we di bɔdi nɔ gɛt wata, di wata we dɛn kin put insay di bɛlɛ (IV) kin gɛt sɔdiɔm bak. Insay dɛn kayn tin ya, di sayn dɛm fɔ hypervolemia (we nɔ balans di sodium na di bɔdi) kin apin.

Di kɔndishɔn dɛn we de ɔnda di mɛrɛsin

Sɔm mɛrɛsin kin afɛkt bak di we aw di bɔdi de manej wata. Kɔmɔn mɛdikal kɔndishɔn dɛm wae kin prɛzɛnt as sayn fɔ hypervolemia na:

• At we nɔ de wok fayn.
• Di kɔndishɔn dɛn na di kidni.
• Sirosis na di liva.
• Epataytis we gɛt di sik.
• Shuga.

Sɔm mɛrɛsin wae dɛn kin yuse fɔ trit dɛn sik ya, mɔr lɛk blɔd prɛshɔn mɛrɛsin ɛn pen kin mek pɔrsin gɛt hypervolemia as sayd ɛfɛkt.

If dɛn trit ɔ manej di sik we de ɔnda am, dɛn kin mɛn di haypa volyum ɛn mek i nɔ kam bak.

di chenj dεm we di כmon dεm de chenj εn di bεlε

Hypervolemia kin kam bak bikɔs ɔf di chenj dɛn we di ɔmon dɛn de chenj na yu bɔdi. Bɔku tɛm, we uman de gɛt bɛlɛ ɔ we i gɛt bɛlɛ, di bɔdi kin gɛt sɔdiɔm ɛn wata. I kɔmɔn fɔ mek uman dɛn we gɛt bɛlɛ gɛt fut ɔ anklɛ we swel. dis na biכs di uterus de prεs di bכdi vεsul dεm na di lכw bכdi. dis prεshכn de intafεr di fri sεkyuleshכn fכ di fכs fכs wata כlsay na di bכdi (`sεkyulatory sistεm`).

Wetin mek di kidni dɛn impɔtant fɔ mek di wata we de kɔmɔt na di bɔdi rigul?

yu kidni dεm de εp fכ pul di wata we pasmak na yu bכdi lεk urine (urinary system). Yu kidni dɛn tan lɛk filta. Dɛn kin separet wata ɛn impɔtant minral dɛn (lɛk sɔdiɔm ɛn potashɔm) frɔm dɔti tin dɛn. Di dɔti tin dɛn kin kɔmɔt na di bɔdi, ɛn di wata we lɛf kin go bak na di blɔd fɔ ɛp wi sɛl dɛn ɛn ɔgan dɛn fɔ wok. So, if yu kidni dεm nכ de wok fayn, wata kin bigin fכ bכku na yu bכdi.

Aw dɛn kin no se pɔsin gɛt Hypervolemia?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɔn, dɛn kin du tɛst fɔ chɛk di sodium lɛvɛl na yu blɔd ɛn yu urine. Dɛn kin du blɔd volyum tɛst bak fɔ chɛk ɔmɔs blɔd de na yu bɔdi. If di rizɔlt fɔ dis tɛst sho se yu gɛt bɔku blɔd, i kin ɛp fɔ no wan sik we dɛn kɔl hypervolemia.

If yu dɔktɔ tink se na ɔda tin we de mek yu gɛt bɔku bɔku blɔd, dɛn kin ɔda fɔ mek dɛn du ɔda blɔd tɛst ɔ skan (imaging test) fɔ no if yu gɛt di sik.

If yu gɛt wan ɔndalayn kɔndishɔn we de put yu pan denja fɔ gɛt hypervolemia, fɔ wej yusɛf ɔltɛm ɛn wach fɔ mek yu gɛt bɔku bɔku wet wantɛm wantɛm kin ɛp fɔ no dis sik kwik kwik wan.

Aw dɛn kin trit Hypervolemia?

Di we aw dɛn kin trit am kin difrɛn difrɛn wan bay di tin we kin mek i gɛt am, bɔt di men tin we dɛn want fɔ du na fɔ ridyus di wata we de na di bɔdi.

Di tritmɛnt we go wok fayn pas ɔl na fɔ trit ɔ manej di ɔndalayn kɔz, we go ɛp fɔ pul di sik dɛn ɛn mek i nɔ kam bak.

Ɔda tritmɛnt dɛn we yu kin gɛt na:

• Fɔ tek diuretics: Dɛn tin ya de ridyus di wata we de na di bɔdi bay we i de pul am tru urine.
• Fɔ ridyus sɔl we yu de it.
• Fɔ stɔp di wata ɛn ɔda wata we yu de drink.
• Tritmɛnt dɛn lɛk dayalaysis ɔ parasɛntɛsis: Dɛn tin ya na fɔ pul di wata we pasmak na di bɔdi tru spɛshal we dɛn.

A kin drink wata if a gɛt hypervolemia?

Yɛs, yu fɔ drink wata ilɛksɛf yu gɛt hypervolemia. Na bikɔs wata impɔtant fɔ wi bɔdi, ɛn wi ɔgan dɛn nid am fɔ wok fayn fayn wan. Bɔt yu fɔ stɔp di wata we yu de drink. Kip rikodɔ fɔ ɔmɔs wata yu de drink fɔ wan de. Dɔn bak, aks yu dɔktɔ ɔmɔs wata yu fɔ drink fɔ wan de.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Dipen pan di kayn tritmɛnt wae yu de gɛt, yu sik kin bigin fɔ bɛtɛ insay 24 awa. Ɔ i kin tek sɔm wiks. Yu dɔktɔ go wach yu sik ɛn if nid de, i go ajɔst di tritmɛnt we yu de gi fɔ ɛp fɔ mek yu nɔ fil fayn.

Aw yu go avɔyd dis hypervolemia?

Pan ɔl we nɔto ɔltɛm i pɔsibul fɔ mek yu nɔ du dis kpatakpata, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm:

• It tin we nɔ gɛt bɔku sɔl. (Fɔ ɛgzampul, nɔ yuz atifishal switin, tin dɛn we dɛn kin put insay tin fɔ it, instant noodles, ɛn ɔda tin dɛn)
• Tek tɛm wit di bɔku wata we yu de drink fɔ wan de.
• Wej yusɛf ɔltɛm fɔ si if yu wet chenj wantɛm wantɛm.
• Manej ɔ trit ɛni ɔda ɔndalayn mɛdikal kɔndishɔn we yu go gɛt fayn fayn wan.

Wetin pɔrsin wae gɛt hypervolemia kin ɛkspɛkt?

Bikɔs if wata pasmak na di bɔdi kin gɛt siriɔs sayd ɛfɛkt, i impɔtant fɔ go to tritmɛnt fɔ mek i nɔ pwɛl fɔ lɔng tɛm. If dɛn no ɛn trit am kwik, pipul dɛn we gɛt aypa volemia kin gɛt gud chans fɔ wɛl. Sɔm we dɛn, haypa volemia na sayn fɔ wan ɔndalayn kɔndishɔn, ɛn fɔ wɛl kin dipen pan aw dɛn trit di ɔndalayn kɔndishɔn fayn fayn wan.

Tɔk to yu dɔktɔ bɔt aw yu dɔn no bɔt yu sik ɛn if yu nid fɔ mek ɛni chenj na yu layf (e.g., fɔ ridyus sɔl na yu it, fɔ stɔp di wata we yu de drink).

Aw lɔng di hypervolemia kin las?

Mild kes dɛm fɔ hypervolemia kin sɔlv fɔ dɛnsɛf insay sɔm dez. Bɔt i go fayn fɔ mek yu go to dɔktɔ fɔ no if yu nid tritmɛnt. If i tranga, i kin tek lɔng tɛm fɔ mek i wɛl, mɔ if na wan sik we de ɔnda di mɛrɛsin kin mek i wɛl. Fɔ trit di ɔndalayn kɔndishɔn wae mek yu gɛt di hypervolemia kin ɛp yu fɔ wɛl kwik, bɔt di sayn dɛm kin de fɔ sɔm wiks afta di tritmɛnt bigin.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ hypervolemia, tɔk to yu dɔktɔ. If yu no di sik kwik kwik wan ɛn trit yu, dat kin ɛp yu fɔ gɛt di bɛst rizɔlt. I kin ɛp bak fɔ ridyus di diskɔmfɔt we yu kin fil bikɔs ɔf di wata we pasmak na yu bɔdi.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt siriɔs sayn dɛn we de mek i nɔ izi fɔ blo, yu at nɔ de bit fayn, ɔ yu de fil bad bad wan , go na imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Wetin de mek dis tin apin to mi?
• Ɔmɔs wata a kin drink fɔ wan de?
• Ustɛm a fɔ bigin fɔ tek diuretics ɛn fɔ aw lɔng?
• Aw a go ebul fɔ manej mi ɔndalayn kɔndishɔn fɔ mek a nɔ gɛt hypervolemia bak?

Wetin na di difrɛns bitwin Hypervolemia ɛn Hypovolemia?

(Hypervolemia) ɛn (Hypovolemia) .na tu tin dεm we de tכk bכt di כmכnt fכ wata כ blכd na yu bכdi. Insay Hypervolemia, di "hyper" pat min "tu mכch." Insay Hypovolemia, di "hypo" pat min "tu smɔl." "vol" na di volyum. So, if yu gɛt Hypervolemia, yu gɛt tumɔs wata na yu bɔdi. If yu gɛt Hypovolemia, yu gɛt tumɔs smɔl wata na yu bɔdi.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Diya padi dɛm, a op se naw una dɔn ɔndastand mɔ bɔt Hypervolemia.

Sɔntɛnde, if yu nɔ gɛt wata, dat kin mek yu nɔ fil fayn. I impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu bigin fɔ gɛt di sik fɔ no if i nid fɔ gɛt tritmɛnt.

Pan ɔl we bɔku pan di smɔl smɔl tin dɛn kin sɔlv fɔ dɛnsɛf, we pɔsin kin kɔntinyu fɔ gɛt di sik we dɛn kɔl hypervolemia we dɛn nɔ kin trit kin mek i denja. So, tray fɔ ridyus yu risk fɔ gɛt hypervolemia bay we yu nɔ de it sɔl ɛn kɔntrol yu ɔda mɛrɛsin dɛn. Stay wit wɛlbɔdi!

` Hypervolemia, wata we de go ɔp na di bɔdi, swel, ay blɔd prɛshɔn, kidni sik, sodium, at we nɔ de wok fayn