Tin dɛm wae yu nid fɔ no bɔt Kidney Failure!

Yu dɔn ɛva wɔnda aw bɔku wok dɛn tu smɔl kidni ya na wi bɔdi de du? Sɔntɛnde, dɛn kidni ya kin pwɛl. We dat apin, wi kin kɔl am Kidney Failure. Pan ɔl we dis kin bi tɔpik we kin mek sɔm pipul dɛn fred, i impɔtant fɔ no bɔt am.

Wetin na Kidni Failure?

Fɔ tɔk am simpul wan, di kidni we nɔ de wok fayn na wan sik we wan ɔ ɔl tu yu kidni dɛn nɔ de wok fayn. Dis min se dɛn nɔ go ebul fɔ du dɛn wok fɔ dɛnsɛf. Dis kin apin tu we dɛn. Wan pan dɛn na akyu kidni fayl . Dis na kɔndishɔn we kin kam wantɛm wantɛm. Bɔt sɔntɛnde, na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin trit am. Di ɔda kayn we na di kidni we nɔ de wok fayn . Dis na we di kidni dɛn kin pwɛl smɔl smɔl as tɛm de go. Dis na de sik wae kin pasmak pan bɔrku pipul dɛm.

Dis kɔndishɔn we di kidni nɔ de wok fayn kin go bifo smɔl smɔl te i rich di las stej, we na Ɛnd-Stej Kidni Disease (ESKD) . Infakt, if dɛn nɔ trit ESKD, i kin mek pɔsin in layf de pan denja. Pɔsin wae gɛt dis sik kin jɔs liv fɔ sɔm dez ɔr wik wae nɔr gɛt tritmɛnt. Bɔt nɔ wɔri, if yu gɛt di rayt tritmɛnt, yu kin ebul fɔ kɔntrol di kidni we nɔ de wok fayn ɛn liv gud kwaliti layf.

Wetin kin apin to wi kidni dɛn?

Naw lɛ wi si wetin dɛn ɔgan ya we dɛn kɔl kidni de du to wi bɔdi. Yu kidni dɛn tan lɛk tu bins. Dɛn de lɛk di sayz we yu fist gɛt. Yu no usay dɛn de? Dɛn de jɔs dɔŋ yu rib kech, to di bak. Bɔrku pipul kin gɛt tu kidni wae kin woke fayn. Bɔt if wan kidni wok fayn, yu go ebul fɔ liv fayn.

Di men wok we di kidni dɛn de du na fɔ pul di pɔyzin dɛn na wi bɔdi . Tink bɔt dɛn lɛk filta. Dɛn kin filta yu blɔd ɛn pul di dɔti tin dɛn we yu nɔ want frɔm am as urine (we wi kin kɔl bak urine ).

So tink bɔt am, wetin kin apin if dɛn kidni ya nɔ de wok fayn? Dɛn dɔti tin dɛn de kin gɛda insay di bɔdi. We dat apin, yu kin bigin fɔ fil sik, ɛn if dɛn nɔ trit yu, leta yu kin day. Bɔt, lɛk aw a bin dɔn tɔk bifo tɛm, bɔku pipul dɛn kin kɔntrol dis sik wit di rayt tritmɛnt.

Aw kɔmɔn tin kin apin we pɔsin in kidni nɔ wok fayn?

Lɛ wi si aw dɛn kin kɔl dis sik we dɛn kɔl kidney failure. Na kɔntri lɛk Amɛrika, dis sik kin ambɔg lɛk 7.5 lak pipul dɛn ɛvri ia. If yu luk ɔlsay na di wɔl, na lɛk 2 milyɔn pipul dɛn de sɔfa wit dis sik. Na bɔku pipul dɛn de we gɛt dis sik na wi kɔntri bak, mɔ bikɔs sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn kin bɔku.

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

We wi de tɔk bɔt di stej dɛm fɔ di kidni sik, wi de luk yu eGFR (Estimate Glomerular Filtration Rate).Dɛn kɔl di valyu. Dis na blɔd tɛst.

Fɔ tɔk am simpul wan, eGFR na fɔ no aw yu kidni dɛn de filta tin dɛn fayn fayn wan. di eGFR we pɔsin we gɛt wɛlbɔdi kin gɛt pas 90. we di eGFR na 0 min se di kidni dɛn nɔ de wok atɔl.

Fayv men stej dεm de fכ di kidni sik:

• Stej I: Yu GFR de oba 90. Na dis tεm, yu kidni dεm de wok nכmal wan, pan כl we sכm damej de.
• Stej II: Yu GFR kin de bitwin 60 ɛn 89. Di kidni dɛn kin pwɛl pas stej I, bɔt dɛn stil de wok fayn fayn wan.
• Stej III: Yu GFR kin de bitwin 30 ɛn 59. Insay dis stej, di kidni wok kin smɔl ɔ i kin rili bad.
• Stej IV: Yu GFR kin de bitwin 15 ɛn 29. Dis na di say we di kidni wok kin ridyus bad bad wan.
• Stej V: Yu GFR nɔ rich 15. Dis min se yu kidni dɛn dɔn nia ɔ dɛn dɔn fel ɔl. Dis na wae de sik kin bigin fɔ sho.

Wetin na di sayn dɛm wae de sho se yu kidni nɔ de wok fayn kwik kwik wan?

Bɔrku tɛm, di sik na di kidni kwik nɔr kin gɛt ɛni sayn , ɔr na smɔl smɔl sayn dɛm nɔmɔ. Bɔt ivin if yu nɔ notis ɛnitin, krɛse sik (CKD) kin mek yu gɛt damej frɔm insay.

Di sayn dɛm wae de sho se yu kidni nɔr de woke fayn kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. If yu kidni nɔ de wok fayn, luk fɔ wan ɔ mɔ pan dɛn sayn ya:

• Fɔ fil taya pasmak (taya). Nɔto jɔs taya, bɔt taya we nɔ de go ilɛksɛf yu slip bɔku.
• Nɔs ɛn vɔmit. Dis kin kam wit di we aw i nɔ kin want fɔ it.
• Fɔ fil se yu kɔnfyus ɔ yu gɛt prɔblɛm fɔ pe atɛnshɔn pan sɔntin. Imajin se yu de fil smɔl, yu nɔ ebul fɔ pe atɛnshɔn pan sɔntin.
• Swɛlin (ɛdima). Swel, mɔ arawnd di an, anklɛ, ɔ fes. Sɔm pipul dɛn kin ripɔt se dɛn yay kin swel we dɛn wek na mɔnin.
• Wan chenj pan aw yu kin pis ɔltɛm. Yu kin nid fɔ pis bɔku tɛm ɔ di urine we yu de pas kin go dɔŋ. Yu kin gɛt bak fɔm urine.
• Mɔsul dɛn kin spam ɔ we kin mek yu bɔdi nɔ ebul fɔ waka.
• Skin we dray ɔ we de it.
• Nɔbɔdi nɔ kin want fɔ it, ɔ yu kin gɛt mɛtal teist na yu mɔt.

Nɔr frayd se yu gɛt kidni fayl jɔs bikɔs yu gɛt wan ɔ tu pan dɛn sayn ya. Bɔt if dɛn tin ya kɔntinyu, yu fɔ rili go to dɔktɔ .

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

Tu pan di men tin dɛn we kin mek pɔsin gɛt sik na in kidni we nɔ de dɔn ɛn we kin mek in kidni nɔ wok fayn na dayabitis ɛn ay blɔd prɛshɔn . Dɛn tu sik ya na sik dɛn we rili kɔmɔn na wi kɔntri.

If yu gɛt dayabitis, if dɛn nɔ kɔntrol am fayn, yu blɔd shuga go de ɔp ɔltɛm (haypa glycemia). If yu blɔd shuga kɔntinyu fɔ bɔku, i kin pwɛl yu kidni ɛn ɔda pat dɛn.

Ay blɔd prɛshɔn min se blɔd de muv tru di blɔd vesel dɛn tumɔs tranga wan, tu fos. If dɛn nɔ trit am fɔ lɔng tɛm, dis ɛkstra pawa kin pwɛl di tisu dɛn na di kidni.

Kidni we nɔ de wok fayn nɔto sɔntin we kin apin wantɛm wantɛm. Ɔda tin dɛn de we kin afɛkt am:

• Polycystic Kidney Disease (PKD): Dis na wan sik we de kɔmɔt frɔm wan pan di mama ɛn papa. insay dis, sist dεm we fulכp wit wata (cyst) de fכm insay di kidni dεm.
• Glomerular diseases: Dɛn sik ya kin afɛkt di kidni dɛm fɔ filta di dɔti tin dɛm.
• Di sik dɛn we kin kam wit di kidni we kin mek pɔsin nɔ ebul fɔ fɛt insɛf: Fɔ ɛgzampul, na wan sik we dɛn kɔl lupus . Dis na ɔtoimyun sik, we min se di bɔdi in imyun sistɛm de atak in yon sɛl dɛn. Dis kin mek di ɔgan dɛn pwɛl, di jɔyn dɛn kin pen, fiva, ɛn di skin kin gɛt lɛsin.

Sɔntɛnde, di kidni kin pwɛl wantɛm wantɛm fɔ rizin we yu nɔ bin de ɛkspɛkt. Dɛn kɔl dis Akyu Kidni Injuri . If na so i bi, di kidni dɛn nɔ kin ebul fɔ wok wantɛm wantɛm. Dis sik kin apin insay sɔm dez. Bɔt bɔku tɛm, na fɔ shɔt tɛm nɔmɔ.

Di kɔmɔn tin dɛn we kin mek di kidni nɔ wok wantɛm wantɛm na:

• Sɔm mɛrɛsin dɛn, mɔ sɔm mɛrɛsin dɛn we de mek pɔsin fil pen, kin mek dis apin.
• Di wata we de kɔmɔt na di bɔdi bad bad wan. We di bɔdi nɔ gɛt bɛtɛ wata.
• Urinary tract we nɔ de wok fayn. Dis kin bi bikɔs ɔf sɔntin lɛk ston we de na yu urinary.
• Sistɛm sik dɛn we dɛn nɔ trit. Fɔ ɛgzampul, at sik ɔr liva sik.

Wetin na di tin dɛn we kin mek pɔsin in kidni nɔ wok fayn?

Ɛnibɔdi kin gɛt prɔblɛm wit in kidni. Bɔt yu kin gɛt mɔ prɔblɛm if yu gɛt ɛni wan pan dɛn tin ya:

• If yu gɛt dayabitis .
• If yu gɛt ay blɔd prɛshɔn (haypa prɛshɔn) .
• If yu gɛt at sik .
• If pɔrsin na yu famili dɔn gɛt kidni sik (a hereditary predisposition).
• If yu gɛt strɔkchɔral abnɔmaliti na yu kidni .
• If yu blak (bikɔs ɔf sɔm jenɛtik rizin dɛn).
• If yu dɔn pas 60 ia .
• If yu dɔn de tek mɛrɛsin fɔ mɛn pen fɔ lɔng tɛm , mɔ di NSAID (Nonsteroidal Anti-inflammatory Drugs) we yu kin gɛt izi wan frɔm di famasi.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin in kidni nɔ wok fayn?

Di kidni dɛn de du difrɛn wok dɛn na wi bɔdi. So we di kidni dɛn nɔ wok, i kin mek difrɛn prɔblɛm dɛn. Fɔ ɛgzampul:

• Di ay blɔd prɛshɔn.
• Anemia we nɔ gɛt bɛtɛ blɔd. Dat min se blɔd nɔ de. Di kidni dɛn de mek wan ɔmon we de ɛp fɔ mek rɛd blɔd sɛl dɛn. We di kidni dɛn pwɛl, i kin go dɔŋ.
• Bɔn sik.
• Fluid we de rawnd yu lɔng dɛn.
• Nɛv dɛn we dɔn pwɛl.
• Ilɛktrɔlayt imbalans. Dis na chenj we di sכlt dεm lεk sכdiכm εn potashכm de chenj na di bכdi.

Bɔt nɔ tink se jɔs bikɔs dɛn dɔn tɛl yu se yu kidni nɔ de wok fayn, yu go day. If yu fala yu dɔktɔ in tritmɛnt plan—we kin gɛt fɔ du wit mɛrɛsin, chenj yu layf, ɛn nɔ gɛt bɔku sɔl ɛn sɔm it dɛn—yu kin ebul fɔ kɔntrol yu sik fayn fayn wan. Bɔt if yu nɔ lisin to yu dɔktɔ, yu kidni kin wɔs ɛn yu kin ivin day.

Yu tink se di ɛnd-stej rεnal fεil kin mek i day?

Yes, di εnd-stej rεnal sik (ESKD) kin kil pɔsin. Bɔt lɛk aw a bin dɔn tɔk bifo tɛm, if dɛn gɛt di rayt tritmɛnt, bɔku pipul dɛn kin liv wit di kidni we nɔ de wok fayn. Di tin we impɔtant pas ɔl fɔ mɛmba na dat, no mɛrɛsin nɔ de fɔ mek yu kidni nɔ wok fayn. Dat min se ivin if yu gɛt tritmɛnt, yu kidni nɔ go wok lɛk aw dɛn bin de du bifo yu gɛt di sik. Di tritmɛnt na fɔ mek yu kidni dɛn kɔntinyu fɔ wok fɔ lɔng tɛm ɛn fɔ mek dɛn slo fɔ pwɛl kwik kwik wan.

Aw dɛn kin no if pɔsin gɛt di kidni we nɔ de wok fayn?

Dɔktɔ kin yuz difrɛn tɛst dɛn fɔ no aw yu kidni dɛn de wok ɛn fɔ no if yu kidni nɔ de wok fayn. If yu dɔktɔ tink se yu de pan denja fɔ mek yu kidni nɔ wok fayn, na dɛn tɛst ya we dɛn kin du:

• Blɔd tɛst: Dɛn tin ya de chɛk aw yu kidni dɛn de pul dɔti tin dɛn na yu blɔd fayn fayn wan. Dɔktɔ kin tek smɔl blɔd frɔm wan vein we de na yu an bay we i de yuz wan tin nidul. Dɔn dɛn kin tɛst di blɔd sɛmpul na wan lɛb. Dɛn kin yuz dis blɔd tɛst bak fɔ chɛk di eGFR valyu we wi bin dɔn tɔk bɔt.
• Yurin tɛst: Dɛn tin ya de mɛzhɔ sɔm tin dɛn na yu urine, lɛk prɔtin ɔ blɔd. Yu go nid fɔ pis insay spɛshal kɔntena na dɔktɔ in ɔfis ɔ ɔspitul. Dɔn dɛn go tɛst di urine sɛmpul na lab.
• Imej tɛst: Dɛn tɛst ya kin mek dɔktɔ luk yu kidni ɛn di say we de rawnd fɔ si if ɛnitin de we nɔ fayn ɔ we de blok. Di kɔmɔn imej tɛst dɛn na fɔ du ɔltra saund na di kidni , CT urogram, ɛn MRI .

Aw dɛn kin trit di kidni we nɔ de wok fayn?

Di tritmɛnt fɔ di kidni we nɔ de wok fayn de dipen pan di tin we mek di sik ɛn aw i siriɔs. Dɔktɔ dɛn nɔ kin ebul fɔ mɛn di kidni we nɔ de wok fayn, ɛn na sik we kin mek pɔsin in layf de pan denja. Bɔt tritmɛnt kin ɛp yu fɔ liv lɔng ɛn kɔntrol di sayn dɛm ɛn di prɔblɛm dɛm.

If yu kidni dɛn de wok smɔl smɔl, dɔktɔ kin yuz bɔku difrɛn we dɛn fɔ wach yu wɛlbɔdi ɛn fɔ mek yu kidni dɛn kɔntinyu fɔ wok fɔ lɔng tɛm. Dɛn we ya kin bi:

• Dɛn kin du blɔd tɛst ɔltɛm.
• Fɔ chɛk blɔd prɛshɔn ɔltɛm.
• Mɛrɛsin dɛn we dɛn kin yuz.

If yu gɛt end-stage kidney failure , yu nid tritmɛnt fɔ mek yu kɔntinyu fɔ liv. Tu men tritmɛnt dɛn de fɔ di kidni we nɔ de wok fayn: dayalaysis ɛn kidni transplant .

Mɛrɛsin fɔ mek di kidni nɔ wok fayn

I dipen pan wetin mek yu gɛt yu kidni sik, dɔktɔ kin gi yu wan ɔ mɔ pan dɛn mɛrɛsin ya:

• Angiotensin-converting enzyme (ACE) inhibitors ɔ angiotensin II receptor blockers (ARBs): Dɛn mɛrɛsin ya kin ɛp fɔ mek yu blɔd prɛshɔn go dɔŋ.
• Diuretics: Dɛn tin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi. Sɔm pipul dɛn kin kɔl dɛn tin ya bak ‘wata pils’.
• Statin: Dɛn tin ya kin ɛp fɔ mek yu kɔlɔstrel nɔ bɔku.
• Erythropoietin-stimulating agents: Dɛn tin ya kin ɛp fɔ mek rɛd blɔd sɛl if yu gɛt anemia.
• Vitamin D ɛn Calcitriol: Dɛn tin ya kin ɛp fɔ mek yu bon dɛn nɔ lɔs.
• Fɔsfɛt binder: Dɛn tin ya kin ɛp fɔ pul di fɔs fɔs fɔs we pasmak na yu blɔd.

Dialysis we dɛn kin du

Dayalaysis na we fɔ ɛp yu bɔdi fɔ filta blɔd. Tink bɔt am lɛk fɔ gi yu kidni dɛn brek so dat dɛn nɔ go nid fɔ wok tranga wan. Tu kayn dayalaysis de:

• Ɛmodayalis: Dis na mashin we de klin yu blɔd ɔltɛm. Bɔku pipul dɛn we gɛt kidni we nɔ de wok fayn kin go na ɔspitul ɔ dayalaysis sɛnta fɔ mek dɛn du ɛmodayalis tri to 4 dez insay di wik. Dis kin mek yu taya smɔl, bikɔs yu fɔ kɔnɛkt to di mashin fɔ sɔm awa dɛn wan tɛm.
• Pɛritonial dayalaysis: .We dɛn de du dis, dɔktɔ kin put wan smɔl tiub (kateta) ɔnda di skin na yu bɛlɛ ɛn kɔnɛkt am to bag we gɛt dayalaysis wata. Dis wata de kɔmɔt na di bag go insay yu bɛlɛ, usay i de pul dɔti ɛn ɛkstra wata ɛn go bak na di bag. Sɔntɛnde, dɛn kin du di peritoneal dialysis na os.

Kidni we dɛn kin transplant

We dɛn de transplant yu kidni, dɔktɔ we de du ɔpreshɔn kin chenj yu kidni we dɔn pwɛl wit kidni we gɛt wɛlbɔdi. Dis hεlty kidni (donכ כgan) kin kכmכt frכm wan dεn dכn we dεn dכn dכn כ wan dכn we de alayv. Yu kin liv fayn wit wan wɛlbɔdi kidni. If yu gɛt kidni transplant, yu go nid fɔ tek mɛrɛsin fɔ di res ɔf yu layf fɔ mek di kidni we dɛn transplant nɔ pwɛl. Dɛn mɛrɛsin ya de wok fɔ stɔp yu bɔdi fɔ rijek di nyu kidni.

I pɔsibul fɔ wɛl frɔm di ɛnd-stej rεnal fεil?

I dipen pan bɔku tin dɛn. If yu trit yu di rayt we, yu go ebul fɔ liv yu layf we gɛt gladi at ɛn we go mek yu gladi. Bɔt yu fɔ tink se yu go nid tritmɛnt fɔ di res ɔf yu layf. Mɛmba se, dɛn nɔ kin ebul fɔ rivɛns di sik we de na di kidni ɔ di kidni we nɔ de wok fayn , i kin jɔs slo.

Aw fɔ mek di kidni nɔ wok fayn?

Pan ɔl we yu nɔ go ebul fɔ chenj di kidni we nɔ de wok fayn ɛn di sik we de mek yu kidni (CKD), tin dɛn de we yu kin du fɔ protɛkt yu kidni fɔ wok. If yu gɛt wɛlbɔdi abit ɛn tin dɛn we yu kin du ɔltɛm, dat kin mek yu kidni nɔ ebul fɔ wok fayn igen.

If yu gɛt CKD ɔ yu kidni nɔ de wok fayn, i fayn fɔ du dɛn tin ya:

• Monitor yu kidni fɔ wok ɔltɛm (gɛt tɛst lɛk aw yu dɔktɔ se).
• If yu gɛt dayabitis, kip di shuga na yu blɔd insay di nɔmal rɛnj .
• Kip yu blɔd prɛshɔn lɛvɛl insay di nɔmal rɛnj .
• Nɔ yuz tin dɛn we dɛn kin yuz fɔ smok (lɛk fɔ smok).
• Nɔ it tin dɛn we gɛt bɔku potashɔm ɛn sɔdiɔm (sɔl) . I bɛtɛ fɔ aks dɔktɔ ɔ pɔsin we sabi bɔt it bɔt dis, bikɔs sɔm frut ɛn vɛjitebul dɛn bak gɛt bɔku potashɔm.
• Mek shɔ se yu go na ɛvri apɔntinmɛnt we yu dɔn arenj wit yu dɔktɔ.

Wetin yu kin ɛkspɛkt if yu gɛt kidni we nɔ de wok fayn?

No kɔmplit mɛrɛsin nɔ de fɔ di kidni we nɔ de wok fayn. Bɔt if dɛn no di sik ɛn trit yu fayn fayn wan, yu go ebul fɔ liv lɔng ɛn nɔ chenj bɛtɛ pan yu kwaliti fɔ liv.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt tin dɛn we kin mek yu kidni nɔ wok fayn, go to dɔktɔ. Dat min se:

• If yu gɛt ay blɔd prɛshɔn .
• If yu notis chenj na di we aw yu de pis (yu de pis bɔku tɛm, yu nɔ de pis smɔl, yu de pis we gɛt fom, blɔd).
• If yu de gɛt fɔg na yu bren ɔ yu de gɛt prɔblɛm fɔ kɔnsɛntret.
• If yu gɛt nɔys ɔ yu de vɔmit .
• If yu gɛt dayabitis .
• If ɛnibɔdi na yu famili dɔn gɛt kidni sik .
• If yu bin dɔn gɛt prɔblɛm wit yu kidni bifo tɛm (e.g., yu kidni nɔ de wok wantɛm wantɛm).
• If yu de tek NSAID ɔltɛm .

If yu gɛt sɔntin lɛk dis, nɔ ignore am. I fayn fɔ go to dɔktɔ kwik kwik wan ɛn gɛt advays.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Tink bɔt fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya bɔt aw yu kidni nɔ de wok fayn:

• Aw yu go no fɔ tru se a gɛt kidni we nɔ de wok fayn?
• If a nɔ gɛt kidni we nɔ de wok fayn, us ɔda sik a go gɛt?
• Wetin de mek mi kidni nɔ de wok fayn?
• A nid fɔ gɛt dayalaysis?
• Us kayn dayalaysis yu kin advays?
• A fit fɔ mek dɛn transplant mi kidni?
• Us kayn mɛrɛsin yu kin rɛkɔmɛnd fɔ mi?
• A nid fɔ mek ɛni chenj pan di tin dɛn we a de it?
• Aw ɔltɛm a nid fɔ kam fɔ gɛt tritmɛnt?

Ustɛm dɛn fɔ tink bɔt aw fɔ kia fɔ dɛn na hospice if di kidni nɔ wok fayn?

Fɔ disayd ustɛm na di tɛm fɔ mek yu ɔ di pɔsin we yu lɛk fɔ gɛt kia na di hospice na yusɛf sɛf disayd. Yu mɛdikal tim kin ɛp yu fɔ disayd wetin bɛtɛ fɔ yu sityueshɔn. Di gol fɔ hospice kia na fɔ gi kɔmfɔt ɛn sɔpɔt to pipul dɛm wae gɛt ɛnd stej sik, lɛk wae dɛn kidni nɔr de woke fayn. Hospice kia if di kidni nɔ wok fayn kin apin we tritmɛnt lɛk dayalaysis ɔ kidni transplant nɔ kin wok igen ɔ dɛn nɔ kin ebul fɔ du am.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

Kidni na impɔtant ɔgan dɛn na wi bɔdi. Dɛn kin pul dɔti tin dɛn ɛn ɛkstra wata. If yu kidni dɛn nɔ de wok fayn, dat min se dɛn nɔ de wok fayn. If dɛn nɔ trit dis, i kin kil pɔsin. Bɔt nɔr wɔri, dayalaysis ɔr kidni transplant kin ɛp yu fɔ kɔntinyu fɔ liv gud layf. Yu tritmɛnt plan kin inklud fɔ tek mɛrɛsin ɛn fala spɛshal it. Mek shɔ se yu kip ɔl yu apɔntinmɛnt dɛn wit yu dɔktɔ. If yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt yu tritmɛnt, mɛrɛsin, chenj na yu layf, ɔr ɛni ɔda tin na yu tritmɛnt plan, tɔk to yu dɔktɔ.

` Kidni we nɔ de wok fayn, kidni sik, dayabitis, ay blɔd prɛshɔn, dayalaysis, kidni transplant