Sɔmtɛm yu dɔktɔ kin tɛl yu se yu nid fɔ du "biopsy" fɔ no ustɛm di rayt tin nɔ fayn wit yu kidni. Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri dis wɔd. Bɔt fɔ tru, i nɔ de mek pɔsin fred lɛk aw wi de tink. So tide, lɛ wi tɔk bɔt wetin na kidni bayɔpsi, wetin mek dɛn kin du am, ɛn aw dɛn kin du am.
Fɔ tɔk am simpul wan, wetin na kidni bayɔpsi?
di kidni bayopsi, כ `(Rεnal Bayopsi),` na di prכsidכm we dεn de tek wan rili sכm pat pan di tisu frכm yu kidni εn egzamin am כnda maykroskכp. Fɔ tɔk di kɔrɛkt tin, dɔktɔ kin yuz spɛshal nidul fɔ tek dis smɔl tisu. Sɔntɛnde, dɛn kin tek dis pat pan di tisu bak we dɛn de du ɔpreshɔn. We yu tek ɛn chɛk wan pat pan di tisu dis we, i pɔsibul fɔ no ustɛm prɔblɛm dɛn de insay di kidni.
Wetin mek dɔktɔ go se dɛn fɔ tek bayɔpsi?
Bɔku tɛm dɛn kin du bayɔpsi fɔ no di prɔblɛm dɛn we de insay di kidni we dɛn nɔ kin ebul fɔ no bay we dɛn de du blɔd tɛst, urine tɛst, ɔ skan. Imajin, yu dɔktɔ saspek se prɔblɛm de wit yu kidni, bɔt di kɔz nɔ de klia wan ivin we dɛn skan am. Na da tɛm de dɛn kin du dis tɛst.
Lɛ wi ɛksplen dis mɔ wit di tebul we de dɔŋ ya.
| Kɔndishɔn dɛn we kin mek dɛn tek bayɔpsi | Wan simpul ɛksplen |
|---|---|
| Kidni skata | Chek fɔ si if di kidni tisu dɔn pwɛl ɛn i dɔn mek skata. |
| Inflameshɔn na di kidni | Fɛn ɔut if wan kɔndishɔn de lɛk fɔ swel ɔ infekshɔn insay di kidni. |
| Protein dεm we de dכn | Chek if di protin dεm we nכ nכmal na di kidni dεm. |
| Di prɔblɛm dɛn we kin apin we pɔsin gɛt jɛnɛtiks | Chek fɔ ɛni sik we yu kin gɛt frɔm yu kidni. |
| Blɔd we de na di urine (Hematuria) . | If blɔd de na di urine, fɛn ɔut fɔ tru if di kɔz na di kidni prɔblɛm. |
| Proteinuria (we di protin we de kכmכt na di urine) . | if di amount of protin na di urine hכy, chεk fכ si if di kכz na difεkt na di kidni in filtration prכsεs. |
| Di wok we wan kidni transplant de du | Dɛn kin du bayɔpsi bak pan pɔsin we dɛn dɔn transplant in kidni fɔ si if di nyu kidni de wok fayn. |
Mɛmba se dis na tɛst we rili sef ɛn we nɔ kin izi fɔ du bɔku tɛm. Yu dɔktɔ go ɛksplen dis to yu mɔ.
Aw yu kin pripia bifo dɛn tek yu bayɔpsi?
Bifo di biopsy, yu go nid fɔ go to yu dɔktɔ. I go tɔk bɔt yu wɛlbɔdi istri, du ɛgzam pan yu bɔdi, ɛn ɔda fɔ mek dɛn tɛst yu blɔd ɛn urine.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ilɛksɛf na dɔktɔ gi yu, mɛrɛsin dɛn we yu nɔ de bay na kɔt, vaytamɛn dɛn, ɔ ivin tradishɔnal mɛrɛsin dɛn. Sɔm mɛrɛsin dɛn lɛk aspirin kin mek pɔsin gɛt mɔ blɔd. So, dɛn kin advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk wan wik bifo dɛn du di bayɔpsi.
Dɔn bak, dɛn go tɛl yu klia wan ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn tek di bayɔpsi, us mɛrɛsin yu nid fɔ kɔntinyu fɔ tek, ɛn us mɛrɛsin yu nid fɔ stɔp.
Wetin kin apin we dɛn de du bayɔpsi?
Nɔ wɔri, yu nɔ go fil ɛni pen na dis tɛm. Dis na bikɔs bɔku tɛm dɛn kin du dis bay we dɛn de put yu ɔnda mɔdaret sɛdishɔn ɔ jenɛral anestezi. We yu de gi yu smɔl smɔl sɛd, yu go wek, bɔt yu go rili rilaks ɛn yu nɔ go fil ɛni pen. We dɛn de gi yu jenɛral anestezi, yu go de slip.
Na wan tim we gɛt spɛshal pipul dɛn kin du dis tɛst, bɔku tɛm dɛn kin gɛt raydiɔlɔjis, nefrɔlɔjis, ɛn nɔs wokman dɛn.
Bɔku tɛm, dɛn kin du dis bay we dɛn tɔn yu ɛn ledɔm na yu bak. Bɔt if dɛn dɔn transplant yu kidni, dɛn go put yu na yu bɛlɛ ɛn ledɔm na yu sayd.
Tu men we dɛn de:
1. Pɛrkyutan Bayɔpsi: Dis na di we aw dɛn kin yuz mɔ. Afta di dɔktɔ dɔn mek di say nɔ gɛt bɛtɛ trɛnk, i kin yuz wan skan (Ultrasound ɔ CT imaging) fɔ no usay di kidni de ɛn put spɛshal nidul fɔ pul di tisu.
. Bɔku tɛm, dɛn kin du dis ɔnda jenɛral anestezi.
Bɔku tɛm, dis wan ol tin kin tek lɛk wan awa so.
Wetin kin apin afta dɛn dɔn du di bayɔpsi?
Afta di bayɔpsi, dɛn go kɛr yu go na rum usay dɛn de mɛn pipul dɛn ɛn dɛn go de wach yu fɔ sɔm awa. Yu kin nid fɔ de na ɔspitul fɔ wan nɛt. Insay dis tɛm, dɛn go de wach yu blɔd prɛshɔn ɛn yu puls ɔltɛm. Dɛn go chɛk yu bak fɔ si if yu ebul fɔ pis fayn ɛn if ɛni blɔd de kɔmɔt pasmak.
We dɛn dɔn kɔnfyus se ɔltin nɔmal, dɛn go alaw yu fɔ go na os. Bɔt mɛmba se yu nɔ go ebul fɔ drayv bikɔs dɛn de anestez yu. Yu go mɔs nid fɔ mek yu fambul ɔ padi kam kɛr yu go na os.
Dɛn go sɛn di tisu sɛmpul we dɛn tek frɔm yu to lɛbɔtri. Na de, wan spɛshal dɔktɔ (pathologist) go chɛk am ɛn pripia wan ripɔt. Yu dɔktɔ go gɛt dis ripɔt insay sɔm dez.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
di men advantej na dat i kin no di kכndyushכn fכ di kidni kכrekt wan εn i kin mכnitor bak aw di kidni we dεn transplant de wok fayn fayn wan.
Di risk dɛn kin rili smɔl, bɔt sɔm prɔblɛm dɛn kin apin.
| Kɔmplikɛshɔn dɛn we kin apin |
|---|
| Blɔd: Yu kin gɛt sɔm blɔd na yu urine afta yu dɔn du bayɔpsi. Bɔt if bɔku blɔd de kɔmɔt, dɛn kin nid fɔ gɛt tritmɛnt. Dɔktɔ dɛn kin rili tek tɛm wit dis. |
| Pen: Sɔm pen kin de na di say we di nidul de fɔ sɔm dez. |
| Ɔda tin dɛn: Diziz, fiva, urinary tract infection (UTI), ɛn i nɔ kin izi fɔ pis kin apin smɔl smɔl. |
Aw lɔng i go tek fɔ mek i wɛl?
Di pen we dɛn kin gɛt we dɛn tek nidul bayɔpsi fɔ stɔp insay sɔm dez. Di pen we pɔsin kin gɛt we i de du ɔpreshɔn bayɔpsi kin las fɔ lɛk wan wik so. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen. Yu fɔ avɔyd fɔ es ebi ebi tin, fɔ es ebi ebi tin dɛn, ɔ fɔ du ɛksɛsayz tranga wan fɔ wan ɔ tu wiks.
We yu nid fɔ go to dɔktɔ kwik kwik wan
If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- If yu gɛt ay fiva (we pas 100.4°F ɔ 38°C).
- If di say we dɛn tek di bayɔpsi rɛd, i swel, ɔ i nɔ gɛt kɔlɔ.
- If blɔd stil de na di urine 24 awa afta di bayɔpsi.
- If yu gɛt prɔblɛm fɔ pis.
- If yu gɛt bɔn ɔ pen we yu de pis (Dysuria).
- If yu fil diziz ɔ layt ed we yu de waka.
Mɛsej we dɛn kin kɛr go na os
- Kidni bayɔpsi na tɛst we nɔ kin rili sef fɔ no if pɔsin gɛt sik na di kidni.
- Wi de tek di step dɛm we nid fɔ mek shɔ se yu nɔ fil pen we yu de du dis.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tɛst.
- Nɔ fred fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin we yu de tek.
- If yu si ɛnitin we nɔ kɔmɔn afta di bayɔpsi, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de fred.
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