Sɔntɛnde wi dɔktɔ kin se, "Yu kidni wok dɔn go dɔŋ smɔl, lɛ wi kip wi yay pan dis." Dɛn kayn tɛm dɛn de, wi kin fred smɔl, nɔto so? Ɛspɛshali di kwɛstyɔn "A go gɛt fɔ du dayalaysis?" de kam sɔmsay na wi maynd. Dis na rili fred we bɔku pipul dɛn kin fred. So tide, lɛ wi tɔk bɔt wetin rili bi dayalaysis, udat nid am, ɛn aw dɛn kin du am na wan rili simpul we, insay wan we we yu go ɔndastand.
Fɔs, lɛ wi si wetin na dayalaysis.
Fɔ tɔk am simpul wan, dayalaysis na we yu kidni dɛn nɔ ebul fɔ du dɛn wok fayn igen, ɛn dɛn kin du da wok de wit atifishal we, ilɛksɛf na mashin ɔ ɔda we fɔ ɛp yu. Tink bɔt am dis we: yu kidni dɛn tan lɛk tu supa filta dɛn. Dɛn na ɔgan dɛn we tan lɛk bin we de na di tu say dɛn na yu spayna, jɔs dɔŋ yu rib kech. Dɛn men wok na fɔ filta yu blɔd ɛn pul dɔti ɛn wata we pasmak na yu bɔdi as urine. Apat frɔm dat, yu kidni dɛn kin kɔntrol yu blɔd prɛshɔn bak, mek yu bon dɛn strɔng, mek yu gɛt di rayt lɛvul fɔ di minral dɛn lɛk potashɔm ɛn sɔdiɔm (sɔl) na yu blɔd, ɛn mek ɔmon dɛn we de ɛp fɔ mek rɛd blɔd sɛl dɛn. So we yu kidni dɛn stɔp fɔ wok fayn, pɔyzin kin bigin fɔ gɛda na yu bɔdi. Na da tɛm de dayalaysis kin bi tritmɛnt we de sev layf.
Udat nid fɔ gɛt dayalaysis tritmɛnt?
We di sik na di kidni kin kam bad bad wan, we min se yu kidni dɛn tu wik fɔ mek yu ebul fɔ du wetin yu bɔdi de du, yu kin nid fɔ du dayalaysis ɔ fɔ transplant yu kidni. Kidni sik kin kam bikɔs ɔf tin dɛn lɛk ay blɔd prɛshɔn,
dayabitis , lupus, sɔm aksidɛnt, ɔ ivin fɔ no rizin atɔl. Dɛn kin bigin fɔ du dayalaysis we yu bigin fɔ gɛt sayn dɛn we de sho se yu kidni nɔ de wok fayn ɔ we yu blɔd tɛst sho se yu blɔd gɛt bɔku pɔyzin. Di sayn dɛm na fɔ
nɔs , taya, swel, ɛn vɔmit .
5 stej dεm de fכ di kidni sik . we yu rich Stej V, we min se yu kidni dεm de wok na wan rili lכw lεvεl, lεk 10%-15%, wi kin kכl am ‘End-Stage Renal Disease ’. Na dis tɛm, i rili nid fɔ du dayalaysis ɔ fɔ transplant di kidni fɔ mek i kɔntinyu fɔ liv.
Us kayn dayalaysis de?
Tu men kayn dayalaysis de. Lɛ wi tek wan simpul luk pan di difrɛns bitwin dɛn tu.
| Tayp fɔ dayalaysis | Aw fɔ du am | Usay dɛn kin du am ɔltɛm |
|---|
| Ɛmodayalis we dɛn kin yuz | Dɛn kin pul yu blɔd na yu bɔdi, pas am tru wan spɛshal mashin (wan atifishal kidni), klin am, dɔn i go bak na yu bɔdi. | Na ɔspitul ɔ dayalaysis sɛnta. Yu kin du am bak na os. |
| Pɛritonial Dayalaysis we dɛn kin du | Yu blɔd de klin insay yu bɔdi. Dɛn kin put spɛshal wata insay yu bɛlɛ, we kin tek di dɔti tin dɛn ɛn pul dɛn. | Bɔku tɛm, dɛn kin du am na os. |
Apat frɔm dat, wan spɛshal we de we dɛn kɔl `Continuous Renal Replacement Therapy (CRRT),` we dɛn kin gi sloslo 24 awa ɛvride fɔ di wan dɛn we sik bad bad wan na di Intensive Care Unit (ICU) we nɔ kin ebul fɔ telɛ di dayalaysis ɔltɛm.
Smɔl mɔ bɔt ɛmodayalis
Insay dis we, wan mashin kin pul blɔd na yu bɔdi. Dis involv smɔl ɔpreshɔn fɔ mek wan say we yu go ebul fɔ go ɔnda di skin na yu an we go kɔnɛkt to di blɔd vesel dɛn. Tri men we dɛn de fɔ du dis.
- Fistula: Dis kin min fɔ kɔnɛkt wan at ɛn wan vein na yu an. Dis na di bɛst ɛn we go de sote go. Bɔt i kin tek lɛk 6 wik so fɔ mek yu ebul fɔ yuz am.
- Graft: Dis min se yu fɔ kɔnɛkt wan at ɛn wan vein bay we yu yuz plastic tiub. Dis kin yuse fɔ shɔt tɛm lɛk 2 wik. Bɔt i nɔ kin las fɔ lɔng tɛm lɛk fistula.
- Kateta : If yu nid fɔ bigin dayalaysis kwik kwik wan, dɛn kin put wan fleksibul tiub (kateta) insay wan big vein na yu nɛk, yu an, ɔ yu groin . Dis na sɔlv fɔ sɔm tɛm.
We yu de du di tritmɛnt, we yu de ledɔm na chia, wan tɛknishian kin put tu nidul dɛn insay di fistula ɔ graft na yu an. Wan nidul de pul blɔd kɔmɔt na yu bɔdi, klin am tru mashin, ɛn di ɔda nidul de gi bak di blɔd we dɛn dɔn klin to yu bɔdi. Dis tritmɛnt kin tek lɛk 3-5 awa ɛn dɛn kin du am lɛk tri tɛm insay di wik.
Ditiɛl dɛn bɔt Pɛritonial Dayalaysis (PD) .
Dis we aw dɛn de du tin difrɛn smɔl. na ya, di tכn mεmbran we de layn yu bכdi (peritoneum) de wok lεk nכchral filta. lɛk 3 wik bifo yu tritmɛnt bigin, dɛn kin du smɔl ɔpreshɔn fɔ put sɔft tiub (kateta) insay yu bɛlɛ fɔ ɔltɛm. afta dat, dεn de pכmp di dayalaysis fכluid insay yu bכdi tru dis tכb. Dis wata de wok fɔ pul dɔti tin dɛn we de na yu blɔd fɔ sɔm awa. Dɔn dɛn kin pul di dɔti tin dɛn insay ɔda bag. dis prכsεs dεn kכl am "exchεnj." Yu kin du dis na os, so yu nɔr nid fɔ go na ɔspitul ɔltɛm. Tu we dɛn de fɔ du dis:
- Automated Peritoneal Dialysis: Dis exchenj prכsεs de apin wan nayt, we yu de slip, yus mashin.
- Kɔntinyu fɔ Ambulatory Pɛritonial Dayalaysis: Yu fɔ du dis ɛkshɛnj prɔses wit yu an, bɔku tɛm insay di de.
Ɛni sayd ɛfɛkt de we pɔsin kin gɛt we i de dayalaysis?
Dayalaysis
nɔ kin mek pɔsin fil pen. Bɔt yu kin gɛt sɔm sayd ɛfɛkt dɛn we yu de du di tritmɛnt ɔ afta di tritmɛnt. If yu gɛt ɛni pen, tɛl yu dɔktɔ wantɛm wantɛm. Di kɔmɔn sayd ɛfɛkt dɛn na:
- Skin we de it
- Lɔw blɔd prɛshɔn (espɛshali pan di wan dɛn we gɛt dayabitis) .
- Prɔblɛm dɛn we pɔsin kin gɛt we i de slip
- Fluid we de ɔvalod pasmak
- Infεkshכn dεm (especially na di say we di kateshכn de) .
- Pwɛl hat ɔr de chenj in maynd
- Nɔs ɛn vɔmit
- Mɔsul dɛn we kin kramp
- Taya pasmak
Tek kia ɔf dɛn tin ya fɔ gɛt wɛl bɔdi we yu de du dis tritmɛnt:
- Chek yu akses sayt ɛvride fɔ si if i rɛd, pus, ɔ swel. If yu notis ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Ɔltɛm kip di bandej we de kɔba di kateshɔn klin ɛn dray.
Mɛsej we dɛn kin kɛr go na os
- we di kidni fכnshכn dכn dכn 10%-15%, i kin nid fכ trit di dayalaysis fכ pul di west prכdak dεm na di bכdi.
- Tu men kayn dayalaysis de: ɛmodayalis ɛn peritoneal dayalaysis. Tɔk to yu dɔktɔ fɔ disayd us we go fayn fɔ yu.
- Di tritmɛnt fɔ dayalaysis nɔ kin mek pɔsin fil pen, bɔt sɔm sayd ɛfɛkt dɛn kin apin. Tɛl yu dɔktɔ bɔt ɛnitin we nɔ izi fɔ yu.
- If yu nid fɔ stɔp di tritmɛnt, nɔ disayd fɔ yusɛf, bɔt mek shɔ se yu tɔk bɔt am wit yu dɔktɔ.
- Dayalaysis na tritmɛnt we de mek pɔsin liv lɔng, nɔto wan saiz fɔ ɔlman. E fayn fɔ tɔk to yu dɔktɔ bɔt wetin bɛtɛ fɔ yu sityueshɔn.
Dayalis, kidni sik, kidni we nɔ de wok, ɛmodayalis, peritoneal dayalaysis, dayalaysis sinhala, kidni we nɔ de wok sinhala
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