Kidni na wan wɔndaful ɔgan na wi bɔdi. I tan lɛk wan supa filta sistɛm na wi bɔdi. Bɔt bɔku tɛm wi nɔ kin no se dɛn valyu, te sɔntin go rɔng. Sɔntɛnde yu kin fil lɛk se yu leg dɛn dɔn swel, yu kin taya ɔltɛm, ɛn yu nɔ kin want fɔ it? Sɔntɛm dɛn tin ya na sayn dɛn we de kɔmɔt na yu kidni dɛn . So tide wi go tok boht kidni sik na simpul we.
Wetin rili na kidni sik?
Fɔ tɔk am simpul wan, kidni sik na we yu kidni nɔ ebul fɔ du dɛn men wok, we na fɔ filta di blɔd. Dɛn kidni ya de na di tu say dɛn na yu bak, jɔs ɔp yu wes.
We di kidni dɛn dɔn pwɛl , dɛn nɔ kin ebul fɔ pul dɔti tin dɛn ɛn wata we pasmak na di bɔdi. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ swel na yu leg ɛn ankles , yu kin nɔs , yu taya , yu nɔ kin ebul fɔ slip , ɛn yu nɔ kin ebul fɔ blo . If dɛn nɔ trit dis sik fayn, di damej kin kɔntinyu fɔ wɔs ɛn leta i kin mek di kidni nɔ wok kpatakpata. Dis na sik we rili siriɔs, ivin we kin mek pɔsin in layf de pan denja.
Us savis we wɛlbɔdi kidni de gi?
Lɛ wi tek wan luk pan sɔm tin dɛm wae wɛl bɔdi kidni kin du fɔ wi bɔdi.
- I de mek di wata ɛn minral dɛn lɛk sɔdiɔm, potashɔm, ɛn fɔsfɔr we de na di blɔd gɛt balans.
- I de filta ɛn pul dɔti tin dɛn we kin gɛda na di blɔd afta wi dɔn dayjɛst di it we wi de it, afta di mɔsul dɛn dɔn wok, ɛn afta di mɛrɛsin dɛn we wi de tek.
- I de mek wan ɔmon we dɛn kɔl renin, we de ɛp fɔ kɔntrol blɔd prɛshɔn.
- I de mek wan kemikal we dɛn kɔl erythropoietin, we de gi sayn to di bɔdi fɔ mek rɛd blɔd sɛl dɛn.
- i de mek di aktiv fכm fכ vaytam in D, we implεnt fכ bon hεlth.
- Imajin, ɛvri 30 minit, dɛn kidni ya de filta ɔl di blɔd we de na wi wan ol bɔdi.
Wetin na di men kayn sik na di kidni?
Bɔku kayn sik dɛn de na di kidni. Lɛ wi luk sɔm pan di kayn dɛn we pipul dɛn kin gɛt.
| Di Nem fɔ di Sik | Simply put am... |
|---|---|
| Krɔnik Kidni Disizin (CKD) . | Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin kam bikɔs di kidni nɔ kin wok fayn smɔl smɔl as tɛm de go. Dayabitis ɛn ay blɔd prɛshɔn na di men tin dɛn we kin mek i gɛt dis sik. |
| Polisistik Kidni Disizin | Dis na jεnεtik sik we de mek sist dεm we fulכp wit wata fכm na di kidni dεm, we de ambɔg dεn wok. |
| Lupus Nɛfraytis we dɛn kɔl Lupus | Insay di ɔtoimyun sik we dɛn kɔl lupus, wi yon bɔdi in imyun sistɛm kin atak di kidni dɛm. |
| Glomerulonephritis we gɛt di sik | di damej pan di sכm sכm filta dεm (glomeruli) na di kidni dεm. Dis kin apin bak afta sɔm trot infεkshכn (strep infεkshכn). |
| Paylɔnfrɛtis we dɛn kɔl Pyelonephritis | Wan urinary tract infection we de afɛkt di kidni dɛm. If dis kin apin ɔltɛm, i kin pwɛl di kidni dɛn. |
Wetin na de tin wae kin mek pɔrsin gɛt sik na in kidni?
Dɛn kin sheb di tin dɛn we kin mek pɔsin gɛt sik na di kidni to tu men grup dɛn.
Di tin dɛn we kin mek di kidni nɔ wok wantɛm wantɛm (Acute Kidney Injury) .
Sɔntɛnde, di kidni dɛn kin stɔp fɔ wok wantɛm wantɛm. Dis kin bi bikɔs ɔf:
- Wan big aksidɛnt bin apin ɛn bɔku blɔd bin de kɔmɔt.
- Di wata we de kɔmɔt na di bɔdi bad bad wan.
- Di bɔdi kin go na shɔk bikɔs ɔf wan bad bad infɛkshɔn (sepsis).
- di urine fכ fכlכ bכku biכs fכ di ston dεm we de na di urinary כ di prכstat gland we big na man dεm.
- Fɔ it sɔm mɛrɛsin ɔ pɔyzin.
- Kɔmplikɛshɔn dɛn we kin apin we uman gɛt bɛlɛ.
Krɔnik Kidni Disizin (CKD) .
Dis na di prɔblɛm we bɔku pipul dɛn gɛt. If di kidni nɔ wok fayn fɔ pas 3 mɔnt, wi kin kɔl am CKD. De tin wae denja pas ɔl na ya na dat, nɔr simptom nɔr de na di fɔs stej.
Di tu men tin dɛm wae kin mek pɔrsin gɛt CKD na Sri Lanka na dayabitis ɛn ay blɔd prɛshɔn.
If yu blɔd shuga bɔku as tɛm de go, dat kin pwɛl di kidni dɛn. Semweso, ay blɔd prɛshɔn kin pwɛl di dilik blɔd vesel dɛn we de gi blɔd to di kidni dɛn.
Apat frɔm dis, if yu yuz mɛrɛsin fɔ mek yu fil pen fɔ lɔng tɛm (espɛshali NSAID lɛk Ibuprofen ɛn Diclofenac) we yu nɔ gɛt ɛni rizin, dat kin mek di kidni dɛn pwɛl fɔ ɔltɛm.
Aw a go no if a gɛt sik na mi kidni? - Sayn dɛn
De big chalenj ya na dat, bɔrku tɛm, kidni sik nɔr kin sho ɛni sayn te i dɔn rili go bifo. Yu nɔ go notis ɛnitin te lɛk 50% pan di damej pan yu kidni dɛn dɔn apin. Bɔt as di sik de go bifo, sɔm kayn sayn dɛn lɛk dis kin apin:
- Di ay blɔd prɛshɔn
- Nɔs ɛn vɔmit
- Fil fɔ it
- Fɔ fil wan mɛtal teys na yu mɔt
- I kin taya ɔltɛm ɛn wi kin wik
- I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu
- Prɔblɛm dɛn we pɔsin kin gɛt we i de slip
- Mɔsul dɛn de twitch ɛn pen
- Di fut ɛn anklɛ dɛn kin swel
- Di skin kin it ɔltɛm
- Chɛst pen (if wata gɛda rawnd di at) .
- I nɔ izi fɔ blo (if wata gɛda na di lɔng) .
Aw di dɔktɔ kin no di sik kɔrɛkt wan?
We yu go to dɔktɔ, i go aks yu famili mɛdikal istri, us mɛrɛsin yu de tek, dɔn i go du yu bɔdi ɛgzam. Apat frɔm dat, i kin ɔda fɔ du dɛn tɛst ya.
| Tɛst | Wetin yu de luk? |
|---|---|
| Tɛst fɔ Blɔd | dεn kin kכl di kidni fכnshכn (eGFR) bay we dεn luk di כmכnt כf west prכduk dεm (lεk kriatinin) na di bכdi. |
| Tɛst dɛn fɔ Yurin | dεn de chεk di urine fכ protin (especially albumin). di kidni dεm we gεt hεlth nכ de pul di prכtin. |
| Ultrasound Skan we dɛn kin du | Chek di saiz ɛn shep fɔ di kidni dɛm ɛn if ɛnitin de we de ambɔg lɛk ston we de na yu urinary. |
| Kidni Bayɔpsi | Dɛn kin pul wan rili smɔl tisu na di kidni ɛn chɛk am ɔnda maykroskɔp fɔ no di rayt tin we mek di sik kam. |
Wetin na di tritmɛnt fɔ kidni sik?
Di impɔtant tin we wi ɔl nid fɔ ɔndastand ya na dat, dɛn nɔ kin ebul fɔ mɛn krɛse sik (CKD) ɔltogɛda. Bɔt di men gol fɔ tritmɛnt na fɔ slo di sik ɛn kɔntrol di sayn dɛm.
1. Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ kin gi yu mɛrɛsin lɛk ACE inhibitor ɔ ARB fɔ kɔntrol yu blɔd prɛshɔn. Dɛn tin ya de mek yu blɔd prɛshɔn go dɔŋ ɛn protɛkt yu kidni bay we dɛn de ridyus di prɔtin we yu de lɔs na yu urine. Dɔn bak, if yu gɛt dayabitis, yu fɔ tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek.
Di mɛrɛsin dɛn we yu fɔ avɔyd: If yu gɛt sik na yu kidni, nɔ ɛva tek mɛrɛsin fɔ mek yu fil pen (espɛshali NSAID – Ibuprofen, Naproxen, Diclofenac) we yu nɔ go to dɔktɔ. Nɔ bay dɛn tin ya ivin na famasi. Dɔn bak, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn.
2. Di it we yu de it
Dis rili impɔtant. We di kidni dɛn dɔn pwɛl, i nɔ kin izi fɔ pul tin dɛn lɛk sɔdiɔm (sɔl), potashɔm (we de na banana, ɔrɛnj, ɛn ɔda tin dɛn), ɛn fɔsfɛt (we de na milk, chiz, ɛn nɛt) na di blɔd. So, di dɔktɔ advays yu fɔ go pan spɛshal it we nɔ gɛt bɔku tin dɛn. I rili impɔtant fɔ gɛt ɛp frɔm pɔsin we sabi bɔt it fɔ dis.
3. Dialysis we dɛn kin du
We di kidni dɛn wik bad bad wan, dat na we dɛn nɔ wok, di wok we di kidni dɛn fɔ du, dat na fɔ klin di blɔd, dɛn fɔ du am wit di ɛp we mashin de ɛp am. Dɛn kɔl dis dayalaysis. Tu men we dɛn de fɔ du dis:
- Ɛmodayalis: Dɛn kin klin di blɔd bay we dɛn kɔnɛkt am to mashin na ɔspitul ɔ na os.
- Pɛritonial Dayalaysis: Dɛn kin put spɛshal wata tru wan tiub we dɛn put insay di bɛlɛ fɔ pul dɔti tin dɛn we de kɔmɔt na di blɔd.
4. Fɔ Transplant Kidni
Di bɛst tritmɛnt fɔ di ɛnd-stej rεnal sik na fɔ transplant kidni. Dɛn kin ɔpreshɔn di kidni frɔm pɔsin we gɛt wɛlbɔdi (we de alayv ɔ we dɔn day). Afta dɛn dɔn transplant am fayn, dɛn nɔ nid fɔ du dayalaysis igen. Bɔt di pɔsin go nid fɔ tek mɛrɛsin fɔ di res ɔf in layf fɔ mek di bɔdi nɔ rijek di nyu kidni.
Mɛsej we dɛn kin kɛr go na os
- Kronik kidni sik (CKD) na sik wae kin go bifo kwayɛt wan, ɛn nɔr kin sho ɛni sayn .
- Dayabitis ɛn ay blɔd prɛshɔn na di men tin dɛn we kin mek pɔsin gɛt dis sik. If yu gɛt dɛn kayn tin ya, tek kia ɔf yu kidni dɛn bak.
- If prɔblɛm de, i rili impɔtant fɔ go to dɔktɔ wan wan tɛm ɛn mek dɛn tɛst yu urine ɛn blɔd.
- Nɔ yuz pen kil (NSAID) fɔ lɔng tɛm if yu nɔ gɛt dɔktɔ in advays, fɔ ɛni rizin.
- If dɛn no se yu gɛt kidni sik, di gol fɔ tritmɛnt nɔto fɔ mɛn am, bɔt fɔ kɔntrol di sik fɔ mek i nɔ wɔs. Fɔ du dis, fala wetin yu dɔktɔ tɛl yu fɔ du.
Kidni Sik, CKD, Dayabitis, Ay Blɔd Prɛshɔn, Dayalaysis, Kidni Transplant
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