Wetin yu nid fɔ no bɔt Kidney Failure

Kidni na smɔl bɔt rili impɔtant ɔgan na wi bɔdi. Dɛn tan lɛk tu supa filta dɛn we de filta di dɔti tin dɛn we de na wi bɔdi. Bɔt wetin go apin if dɛn tu filta dɛn ya stɔp fɔ wok, ilɛksɛf na smɔl smɔl ɔ wantɛm wantɛm? Na dat wi kin kɔl Kidney Failure pan mɛrɛsin. I rili impɔtant fɔ mek wi ɔl no bɔt dis sik. Bikɔs, if wi no am kwik, wi kin kɔntrol di damej we i kin kɔz to bɔku bɔku wan. So lɛ wi tɔk bɔt dis ditayli.

Fɔ tɔk am simpul wan, wetin dɛn kidni ya de du?

yu kidni dεm na tu כgan dεm we shep lεk bins we di sayz lεk di sayz fכ yu an. Dɛn de na yu bak, jɔs dɔŋ yu rib kech. Bɔrku pipul kin gɛt tu kidni wae de woke fayn, bɔt if wan kidni de woke fayn, i go du fɔ liv wɛl bɔdi layf.

Di kidni dɛn gɛt bɔku wok dɛn. Di tin we impɔtant pas ɔl ɛn we impɔtant pas ɔl na fɔ klin wi blɔd . Lɛk wata filta na os, di kidni dɛn kin filta ɔl di dɔti ɛn pɔyzin dɛn we wi nɔ want frɔm wi blɔd ɛn pul dɛn kɔmɔt na di bɔdi as urine .

Imajin wetin go apin if dis filta brok. Na dat kin apin we yu kidni nɔ de wok fayn. Di pɔyzin dɛn we de na yu bɔdi kin bigin fɔ gɛda insay yu bɔdi instead fɔ ebul fɔ kɔmɔt. We dat apin, yu kin bigin fɔ fil sik, ɛn if yu nɔ trit yu, i kin ivin put yu layf pan denja. Bɔt nɔr wɔri, if yu trit yu fayn fayn wan, bɔrku pipul kin kɔntrol dis sik ɛn liv fayn layf.

Wetin na di fayv stej dɛm wae de mek pɔrsin gɛt sik na in kidni?

Wan spɛshal mɛzhɔmɛnt de we dɔktɔ dɛn kin yuz fɔ no aw di sik na di kidni bad bad wan. dεn kכl am eGFR (we dεn εstimat Glomerular Filtration Rate) . Dis na valyu we yu kin gɛt frɔm yu blɔd tɛst. Fɔ tɔk am simpul wan, dis eGFR valyu de tɛl yu aw yu kidni dɛn de filta west prɔdak dɛn fayn fayn wan. di eGFR valyu we pɔsin we gɛt wɛlbɔdi gɛt pas 90. Di mɔ dis valyu smɔl, na di mɔ yu kidni dɛn nɔ go wok fayn.

Dɛn kin sheb di sik na di kidni to fayv men stej dɛm.

Wetin na di praymar wɔnin sayn dɛm fɔ se yu kidni nɔ de wok fayn?

As wi bin dɔn tɔk, nɔr kin gɛt ɛni sayn fɔ de na di fɔs tɛm. Bɔt as yu kidni nɔ de wok fayn, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Fɔ fil se yu taya pasmak fɔ du ɛnitin (taya): Nɔto jɔs nɔmal taya, bɔt yu kin fil se yu taya ilɛksɛf yu slip bɔku.
• Nɔs ɛn vɔmit: Nɔs ɛn vɔmit wit di lɔs fɔ it.
• Kɔnfyushɔn ɔ prɔblɛm fɔ pe atɛnshɔn: I nɔ kin izi fɔ pe atɛnshɔn, fɔgɛt tin dɛn.
• Swel (edema): Swel, mɔ na di an, anklɛ, fut, ɛn fes. I kin tan lɛk dimple we yu prɛs am wit finga.
• Chenj na di frɛkuɛns we yu de pis: Yu kin bigin fɔ pis mɔ ɔ smɔl pas aw yu kin pis. Sɔntɛnde yu kin notis se yu urine gɛt fom ɔ blɔd.
• Mɔsul spam: Mɔsul spasm na di leg ɛn an.
• Dray ɛn it skin: We dɛn nɔ pul di pɔyzin dɛn fayn fayn wan na di kidni, di skin kin dray ɛn i kin it we yu nɔ go ebul fɔ bia.
• Apɛtit: Yu nɔ go fil fɔ it, ɛn yu go notis wan mɛtal teys (lɛk ayɛn) na di it we yu de it.

If yu gɛt dɛn kayn sik ya, dat nɔ min se yu gɛt di kidni we nɔ de wok fayn. Bɔt if yu gɛt wan ɔ mɔ pan dɛn sik ya, i impɔtant fɔ go to yu dɔktɔ wantɛm wantɛm fɔ advays .

Wetin na di men tin wae kin mek yu kidni nɔr de woke fayn?

Kidni fεil kin apin tu men we dεm. Wan pan dɛn na Chronic Kidney Disease (CKD), we kin kam smɔl smɔl as tɛm de go . Di ɔda wan na Acute Kidney Injury, we kin apin wantɛm wantɛm .

Men tin dɛm wae kin mek pɔrsin gɛt krɛse sik (CKD) .

Tu men rizin de wae mek bɔrku pipul na wi kɔntri kin gɛt kidni sik.

1. Dayabitis: Dayabitis we pɔsin nɔ kɔntrol kin mek di blɔd shuga kɔntinyu fɔ de ɔp. Dis shuga we pasmak kin pwɛl di dilik blɔd vesel dɛn na di kidni, lɛk we rɔst de it bɔdi. As tɛm de go, dis damej de mek di kidni dɛn nɔ ebul fɔ filta blɔd.

2. Ay Blɔd Prɛshɔn: Ay blɔd prɛshɔn min se di blɔd de muv tru di blɔd vesel dɛn wit pawa pasmak. We dis pawa we pasmak kɔntinyu, di dilik tisu dɛn na di kidni dɛn kin pwɛl. Dis na wan men tin bak we kin mek di kidni nɔ wok fayn.

Apat frɔm dɛn tu men rizin ya, ɔda rizin dɛn de:

• Polycystic Kidney Disease (PKD): Dis na wan jεnεtik dizכrd we de pas dכn tru jεnereshכn. insay dis kכndyushכn, sist dεm we fulכp wit wata (cyst) de fכm insay di kidni dεm, we kin pwεl di kidni dεm we dεn de gro.
• Glomerular diseases: Dis na sik dεm we de afekt di filta yunit dεm na di kidni dεm.
• Awtoimyun sik dɛm: Insay sik dɛm lɛk lupus, wi yon imyun sistɛm kin atak ɛn pwɛl di kidni dɛm.

Di tin dɛn we kin mek di kidni nɔ wok fayn wantɛm wantɛm

Dis kin apin wantɛm wantɛm, fɔ sɔm awa ɔ sɔm dez. Bɔt bɔku tɛm, dis sik kin bi fɔ sɔm tɛm ɛn dɛn kin mɛn am if dɛn trit am fayn.

• Sɔm mɛrɛsin dɛn: mɔ fɔ yuz mɛrɛsin fɔ mɛn pen fɔ lɔng tɛm.
• Di wata we de kɔmɔt na yu bɔdi bad bad wan: Nɔ gɛt bɛtɛ wata na yu bɔdi.
• Urinary tract obstruction: Di urine flɔ nɔ de flɔ bikɔs ɔf ston we de na di urinary ɔ ɔda tin dɛn.
• Ɔda sik dɛn we dɛn nɔ kin trit: Na siriɔs sik lɛk at sik ɔr liva sik.

Aw fɔ no if yu gɛt sik na yu kidni?

If yu dɔktɔ tink se yu gɛt kidni sik, dɛn kin du bɔku tɛst fɔ no if yu gɛt di sik.

• Blɔd tɛst: Dɛn tin ya kin chɛk mɔ di lɛvɛl we di dɔti tin dɛn lɛk kriaytinin ɛn yuria de na di blɔd. If di kidni dεm nכ de wok fayn, dεn lεvεl dεm de go כp na di bכdi. di eGFR valyu dεn kin kכl am bak frכm dis blכd tεst.
• Yurin tɛst: Dɛn go chɛk yu urine fɔ si if i gɛt prɔtin ɔ blɔd. di kidni dεm we gεt hεlth nכ kin kכl protin nכmal wan. di protin we de insay di urine na sayn fכ se di kidni dεm in filta sistεm dεn dכn pwεl.
• Imej tɛst: We dɛn yuz ɔltra saund skan, CT skan, ɔ MRI skan fɔ di kidni dɛn, i kin chɛk di sayz, shep, ɛn if ɛnitin we dɔn blok ɔ we gɛt tumbu de.

Wetin na di tritmɛnt fɔ di kidni we nɔ de wok fayn?

Kidni we nɔ de wok fayn na sik we pɔsin nɔ go ebul fɔ mɛn, we go de ɔlsay na in layf. Bɔt nɔ wɔri. Di men gol fɔ tritmɛnt na fɔ kip di kidni we lɛf fɔ wok fɔ lɔng tɛm ɛn fɔ kɔntrol aw di sik de go bifo.

Di we aw dɛn kin trit am kin difrɛn difrɛn wan bay wetin de mek di sik ɛn aw i siriɔs.

Tritmɛnt wit mɛrɛsin

Yu dɔktɔ kin gi yu mɛrɛsin lɛk dis, i go dipen pan wetin mek yu gɛt di sik:

• Blɔd prɛshɔn mɛrɛsin: Mɛrɛsin lɛk ACE inhibitor ɔ ARB.
• Diuretics: Na drɔgs we de ɛp fɔ pul di wata we pasmak na di bɔdi tru di urine.
• Drug dɛm wae de mek pɔrsin nɔr gɛt bɔku bɔku kɔlɔstrel (Statins): I de ridyus di risk fɔ gɛt at sik.
• Mɛrɛsin fɔ anemia: Di wan dɛn we gɛt kidni kin dɔn ridyus di rɛd blɔd sɛl. Mεdikeshכn dεm wae de εp wit dis.
• Vitamin D ɛn kalsiɔm: Kip di bon dɛn strɔng.

Tritmɛnt we di sik bad bad wan

Wae di sik na di kidni rich di las stej (Stej V), yu nid spɛshal tritmɛnt fɔ mek i kɔntinyu fɔ liv. Tu men we dɛn de fɔ trit pɔsin.

1. Dayalaysis: .

Dis min se yu fɔ yuz mashin fɔ klin di blɔd instead fɔ yuz di kidni dɛn we nɔ wok. Tu kayn dayalaysis de:

• Ɛmodayalis: Insay dis, dɛn kin sɛn yu blɔd to wan mashin we de filta di dɔti tin dɛn ɛn gi klin blɔd bak to yu bɔdi. Dis kin mek yu go na ɔspitul ɔ dayalaysis sɛnta tri ɔ 4 dez insay di wik.
• Pɛritonial Dayalaysis: .na ya, dεn kin put wan tכb (kateta) insay yu bכdi εn dεn kin put spεshal wata tru am. Dis wata de sok di dɔti tin dɛn we de kɔmɔt na yu blɔd frɔm di bɛlɛ. Dɔn dɛn kin pul di wata we gɛt di dɔti tin dɛn bak kɔmɔt. Sɔntɛnde, dɛn kin du dis na os.

2. Fɔ Transplant Kidni:

Dis na di bɛst tritmɛnt fɔ di ɛnd-stej kidni sik. Insay dis, dɛn kin ɔpreshɔn wan wɛlbɔdi kidni insay di bɔdi fɔ tek di kidni we dɔn pwɛl in ples. Yu kin gɛt dis wɛlbɔdi kidni frɔm pɔsin we dɔn day ɔ pɔsin we de gi am we de alayv. Afta di kidni transplant, di bɔdi go nid fɔ tek mɛrɛsin fɔ di res ɔf in layf fɔ mek dɛn nɔ rijek di nyu kidni.

Yu tink se dɛn kin ebul fɔ avɔyd ɛn kɔntrol di sik we de na di kidni?

Pan ɔl we dɛn nɔ kin ebul fɔ rivɛns di sik na di kidni kpatakpata, dɛn kin kɔntrol di rit we di sik de go bifo bay we dɛn de liv fayn layf ɛn fala di rayt advays we di dɔktɔ gi dɛn.

• If yu gɛt dayabitis , kip di shuga na yu blɔd insay di rayt say .
• If yu gɛt ay blɔd prɛshɔn , kɔntrol am fayn fayn wan .
• Nɔ smok kpatakpata.
• Limit it dɛn we gɛt bɔku sɔl ɛn potashɔm. Kɔnsul yu dɔktɔ ɔ pɔsin we sabi bɔt it bɔt dis.
• Nɔ kɔntinyu fɔ yuz pen kil (NSAID) we yu nɔ go to dɔktɔ.
• Kip ɔl di tɛst ɛn apɔntinmɛnt dɛn we di dɔktɔ tɛl yu fɔ du di rayt tɛm.