Sɔntɛnde yu kin gɛt bɔn we yu de pis, yu kin fil pen na yu sayd ɔ yu bak, ɛn yu kin gɛt fiva? Ɔ yu jɔs de fil lɛk se yu go fɔdɔm? Dɛn tin ya kin bi sayn dɛn fɔ se pɔsin gɛt infɛkshɔn na in kidni. Nɔr wɔri, dis na wan sik wae kin afɛkt bɔrku pipul dɛm, bɔt if yu no bɔt am ɛn gɛt tritmɛnt pan tɛm, e kin wɛl kwik kwik wan. Tide, wi go tɔk ditayli ɛn jɔs bɔt dis kidni infɛkshɔn, we dɔktɔ dɛn kin kɔl `(Pyelonephritis)`.
Yu no wetin na kidni infεkshכn (pyelonephritis)?
Fɔ tɔk am simpul wan, kidni infεkshɔn na infεkshכn na di urinary sistεm, as wi ɔl no am, na `(Urinary Tract Infection - UTI)`. Bɔt wetin kin apin na dis kes na dat, jεm dεm lεk baktri dεm, frכm ples lεk yu blad, de travul go כp di ureter dεm εn afekt wan כ tu kidni dεm. Fɔ tɔk di kɔrɛkt tin, di infekshɔn kin skata to di kidni dɛn. Dis na
tin we nid fɔ pe atɛnshɔn smɔl pas di nɔmal urinary tract infection ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan. Bikɔs di kidni dɛn na wan ɔgan we rili impɔtant na wi bɔdi. Statistikin na Amɛrika sho se na lɛk wan pan ɛvri 2000 pipul dɛn kin gɛt dis sik ɛvri ia. Dɛn kin si dis sik bak bɔku tɛm na Sri Lanka, mɔ pan uman dɛn.
Wetin na di difrɛns bitwin kɔmɔn urinary tract infection (UTI) ɛn kidni infɛkshɔn?
We bɔku pipul dɛn kin tink bɔt UTI, dɛn kin tink bɔt smɔl infɛkshɔn na di blad ɔ di urethra. Dɛn kɔl dis infεkshɔn na di lכw urinary tract. Kidni infεkshכn na UTI bak, bכt na כp urinary tract infεkshכn. Sɔntɛnde, di sayn dɛm fɔ dɛn tu kin fiba. Fɔ ɛgzampul, yu kin gɛt
bɔn we yu de pis. Bɔt we yu gɛt kidni infɛkshɔn, yu kin gɛt bad bad pen wantɛm wantɛm na yu bak ɔ yu groin . Dis kin fil smɔl mɔr pas wan tipik UTI.
Wetin na di sayn dɛm wae de sho se yu gɛt kidni infɛkshɔn? Aw fɔ no udat i bi?
Okay, so lɛ wi luk di men sayn dɛm we wi kin fil ɛn si we wi gɛt kidni infɛkshɔn. If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu fɔ rili go to dɔktɔ, nɔto so?
- Fiva: Bɔku tɛm, ay fiva kin kam wantɛm wantɛm.
- Fɔ fil kol ɛn shek shek: Dis kin apin bak wit fiva.
- Lɔwa bak pen, ɔr pen na di sayd: Dis na big sayn wae bɔrku pipul kin ripɔt. yu kin fil dis pen na di sayd we di kidni de.
- Bɔn ɛn pen we yu de pis: Dis na sayn bak we kin rili apin.
- Haematuria: Yurin kin tan lɛk rɛd, pink ɔ brawn.
- Yurin we gɛt dak kɔlɔ ɛn we gɛt strɔng smel (Pyuria): Dis kin apin we tin we tan lɛk pus de na di urine.
- Yu kin pis bɔku tɛm, yu kin want fɔ pis wantɛm wantɛm: Yu fɔ pis smɔl smɔl, bɔt bɔku tɛm.
- Nɔs ɛn vɔmit : Sɔm pipul dɛn kin gɛt dɛn sik ya bak.
- Fɔ fil lɛk yu taya ɛn yu taya: Dis na sɔntin bak we kin kam wit infekshɔn.
Dɛn sayn ya nɔ kin apin di sem we fɔ ɔlman. Sɔm pipul dɛn kin gɛt sɔm pan dɛn.
Wetin mek wi kin gɛt kidni infɛkshɔn? Wetin na di tin dɛn we kin mek i apin?
Bɔrku tɛm, lɛk 90% pan ɔl di kidni infɛkshɔn na
baktri dɛm . Na smɔl tɛm nɔmɔ, vayrɔs kin mek dɛn gɛt dɛn, bɔt dis nɔ kin apin so ɔltɛm pan pipul dɛn we gɛt wɛlbɔdi. Sɔm baktri dɛm we de liv na wi big intestinal, lɛk E. coli, na di men tin we kin mek wi gɛt dis sik. sכm kayn we dεn baktri dεm ya kin go insay di urinary tract εn travul go כp to di kidni dεm. Ɔda kayn baktri dɛm wae kin mek dis sik na:
- `Proteus mirabilis we de na di bɔdi`
- `Enterobacter`
- `Stafylɔkɔs`
Naw luk, wetin wi kidni de du na fɔ filta
ɛn klin di dɔti tin dɛn we de na wi bɔdi ɛn mek urine. dis urine de go tru di tכb dεm ``ureters`` εn de kכlekt insay di ``bladder``. Dɛn kin kip di urine de te wi go na di was rum. afta dat, di urine de kכmכt na di bכdi tru כda tכb, di ``urethra``. Nɔmal wan, we dɛn de du dis, dɛn kin was ɛni baktri we kin de na di urinary tract. כltu,
sכmtεm dεn baktri dεm ya kin travul כp di urethra εn mek infεkshכn na di blad (cystitis). Frɔm de, dɛn baktri ya kin travul go fa te to wan ɔ ɔl tu di kidni dɛn ɛn mek pɔsin gɛt infɛkshɔn na di kidni. Na smɔl tɛm nɔmɔ, baktri dɛm we de kam insay di blɔd frɔm wan infɛkshɔn ɔdasay na di bɔdi kin travul tru di blɔd ɛn infɛkt di kidni dɛm.
Wetin na di tin dɛn we kin mek pɔsin gɛt sik na in kidni?
Sɔm pipul dɛn kin gɛt mɔ sik na dɛn kidni pas ɔda pipul dɛn. Lɛ wi tek wan luk pan wetin na dɛn tin dɛn de.
- Blɔk na di urinary tract: Imajin, if blok de sɔmsay na yu urinary tract, we min se di urine nɔ kin ebul fɔ flɔ kɔmɔt fayn, di urine kin stɔp na wan ples ɛn baktri kin izi fɔ gro ɛn travul go na di kidni.
- Fɔ ɛgzampul, kidni ston (dis na prɔblɛm fɔ bɔku pipul dɛn na Sri Lanka, sɔntɛnde i kin mek dɛn gɛt bak pen we dɛn nɔ kin ebul fɔ bia).
- As man dεm de ol, dεn prכstat gland de big (dis de mek i at fכ pis).
- uman dεm kin gεt uterin prolaps (sכmtεm wi kin si pan wi mama εn grani).
- Ɛn bak, .dis risk kin inkrεs bak bikoz fכ di prεshכn we de pan di blad we uman bεlε. As di pikin de gro, di urethra de kכmprεs, we kin mek i at fכ pis fayn fayn wan.
- Vesicoureteral reflux: Dis na smɔl kɔmplikɛt nem, bɔt i jɔs min se di urine de flɔ di rɔng we, frɔm di blad bak ɔp to di kidni dɛm. Dis na big tin bak we kin mek pɔsin gɛt infεkshɔn na di kidni , mɔ pan yɔŋ pikin dɛn.
- Di tin dɛn we kin mek yu gɛt mɔ sik: If yu gɛt dayabitis , dɛn nɔ kin kɔntrol di shuga na yu blɔd fayn fayn wan, ɛn yu kin gɛt di sik. Dɔn bak, pipul dɛn we gɛt HIV ɔ di wan dɛn we de tek imyunɔsuprɛsiv mɛrɛsin (e.g., pipul dɛn we gɛt ɔgan transplant, pipul dɛn we gɛt kansa) kin gɛt ay risk fɔ gɛt kidni infɛkshɔn.
- Anatomy: Bikɔs uman dɛn gɛt shɔt urethra pas man dɛn , baktri kin izi fɔ travul frɔm di fecal area to di urethra, bladder, ɛn kidni. Dis na di rizin we mek uman dɛn kin gɛt UTI ɛn kidni infɛkshɔn.
- Yuz Urinary Catheters: Pipul dɛm we gɛt urinary catheters in ples fɔ lɔng tɛm dɛnsɛf kin gɛt mɔ risk fɔ gɛt infekshɔn.
Yu tink se di kidni infɛkshɔn kin bi siriɔs? Wetin na di prɔblɛm dɛn we kin apin?
Yɛs,
sɔntɛnde, di kidni infɛkshɔn kin mek pɔsin gɛt prɔblɛm dɛn we kin mek i day . Dis risk kin pasmak pan pipul dɛm wae gɛt wik imyun sistɛm, ol pipul dɛm, wae gɛt ɔda ɔndalayn wɛl bɔdi prɔblɛm lɛk dayabitis, ɔr wae nɔr de gɛt tritmɛnt insay di rayt tɛm. Sɔm pan di men prɔblɛm dɛn we kin apin na:
- Emphysematous pyelonephritis: Dis na wan sik we rili siriɔs. insay dis, baktri dεm de pwεl di kidni tisu εn mek gas. Dis kin apin mɔ pan pipul dɛm wae gɛt shuga.
- di rεnal papillary necrosis: Dis kin mek di pat dεm we rili dilik na di kidni dεm pwεl.
- di rεnal absεs: Pus kin kכlekt insay כ rawnd di kidni.
- Sepsis: Na wan sik we de mek pɔsin in layf de pan denja we di infekshɔn kin go na di blɔd ɛn afɛkt di wan ol bɔdi.
- Krכnik kidni sik: If di kidni infεkshכn kכntinyu fכ de, כ if di kidni dεm dכn pwεl bikɔs i gεt bad bad infεkshכn, di kidni dεm kin εnjɔy fεl.
Na dat mek i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt sayn dɛn we de sho se yu gɛt sik na yu kidni.
Aw dɔktɔ kin no if pɔsin gɛt infekshɔn na in kidni?
Na dɔktɔ nɔmɔ go no fɔ tru if yu gɛt kidni infɛkshɔn. We yu go to dɔktɔ, dɛn go fɔs lisin to yu sik dɛn ɛn aks bɔt dɛn. Dɔn dɛn go du yu bɔdi ɛgzam, mɔ fɔ luk fɔ pen na di sayd na yu bak. Apat frɔm dat, dɛn kin du dɛn tɛst ya:
- Urinalysis: Dis kin chɛk fɔ baktri, pus, ɛn blɔd na di urine.
- Yurin Kɔlchɔ: Dis kin ɛp fɔ no ustɛm di bɔdi gɛt di sik ɛn us antibayɔtiks we bɛtɛ fɔ am.
- Blɔd tɛst: Dis kin ɛp fɔ chɛk di infɛkshɔn stetɔs na di blɔd (e.g. wayt blɔd sɛl kɔnt) ɛn di kidni wok.
- Kidni skan: Sɔntɛnde, if di infekshɔn rili bad ɔ if dɛn tink se i dɔn blok, lɛk kidni ston, dɛn kin ɔda fɔ mek dɛn du CT skan fɔ di kidni ɔ fɔ du ɔltrasɔund na di rεnal.
If yu gɛt sɔm sayn dɛn fɔ yurinary tract infection, lɛk fiva ɛn pen na yu bɛlɛ we de dɔŋ, i kin bi kidni infection. Bɔt,
nɔ tray fɔ disayd fɔ yusɛf. Aw yu kin trit pɔsin we gɛt kidni infɛkshɔn?
Dɛn kin trit di kidni infɛkshɔn wit
antibayɔtik . Yu dɔktɔ go gi yu antibayɔtik fɔ tek bay mɔt ɔ bay injɛkshɔn. Yu go nid fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek fɔ at le 14 dez (tu wik). Sɔntɛnde, yu kin nid fɔ tek di mɛrɛsin fɔ lɔng tɛm. If yu sik bad bad wan, yu gɛt fiva we nɔ de dɔn, yu de vɔmit, yu nɔ ebul fɔ it ɔ drink, ɔ yu nɔ fil fayn kwik wit antibayɔtik, yu kin nid
fɔ go na ɔspitul ɛn gi yu salin ɛn antibayɔtik insay yu bɛlɛ .
Us kayn mɛrɛsin dɛn kin gi?
Di dɔktɔ kin gi yu wan ɔ mɔ antibayɔtik, i go dipen pan yu kɔndishɔn ɛn di urine kɔlchɔ ripɔt (we go tek sɔm dez fɔ kam):
- `Trimetoprim-sulfametoksazol (TMP-SMX)`
- `Amoksisilin` ɔ `Ɔgmɛntin`
- `Sɛftriakson` ɔ `Sɛfalɛksin`
- `Siproflɔksasin` ɔ `Lɛvoflɔksasin`
Dis na sɔm pan di mɛrɛsin dɛn we pipul dɛn kin gi. Bɔt, na dɔktɔ go disayd di bɛst mɛrɛsin fɔ yu.
Aw kwik a go wɛl afta a dɔn tek di mɛrɛsin?
Bɔrku tɛm, yu go bigin fɔ fil fayn insay tu to tri dez afta yu bigin fɔ tek antibayɔtiks. Di fiva go go dɔŋ, di pen go stɔp. Fɔ sɔm pipul dɛn, i kin tek lɔng tɛm smɔl.
Bɔt i rili impɔtant fɔ mek yu tek ɔl di mɛrɛsin we di dɔktɔ gi yu di rayt tɛm, ɛn yu nɔ go mis wan de, ilɛksɛf yu fil fayn.If nɔto dat, if yu stɔp fɔ tek am, di infekshɔn kin kam bak, sɔntɛm i kin ivin wɔs, ɛn di baktri kin nɔ ebul fɔ tek antibayɔtik.
Wi nɔ go ebul fɔ mek pɔsin nɔ gɛt sik na di kidni? Wetin wi fɔ du?
Bɔrku tɛm, di kidni infεkshɔn kin bigin wit blad infεkshɔn. So, fɔ mek yu nɔ gɛt infɛkshɔn na di lɔwa urinary tract na di fɔs ɛn bɛst tin fɔ mek yu nɔ gɛt infɛkshɔn na di kidni. Na sɔm simpul, bɔt rili impɔtant tin dɛn we yu kin du fɔ du dat:
- Drink bɔku wata: Drink at le 8-10 glas wata wan de. Dis go ɛp fɔ flɔsh di urinary tract, we go ɛp fɔ ridyus di chans fɔ mek baktri dɛn kam na wan ples. I fayn fɔ aks yu dɔktɔ ɔmɔs wata yu nid.
- Nɔ ol bak we yu nid fɔ pis: Ɛmpti yu blad ɔlsay we i ful-ɔp. We yu ol di urine, i de mek di chans fɔ mek baktri dɛn gro mɔ ɛn mɔ.
- Urinate bifo ɛn afta yu du mami ɛn dadi biznɛs: Dis kin pul di baktri dɛm we kin dɔn go insay di urinary tract we yu de du mami ɛn dadi biznɛs.
- Stay klin: Wash yu bɔdi ɛvride ɛn stay klin. Chenj yu ɔndawea ɛvride. Nɔ wɛr ɔndawea we wet ɔ we de swet. I bɛtɛ fɔ yuz ɔndawea we dɛn mek wit tin dɛn lɛk kɔtɔn.
- We yu go na di bafa, was am frɔm frɔnt to bak: Dis impɔtant mɔ fɔ uman dɛn. we yu was dis we, i de ɛp fɔ mek baktri nɔ go insay di vagina ɛn di urethra.
- Tek tɛm we yu de yuz sop ɛn diɔdɔrant na di vagina eria: Harsh sop ɛn sprɛy kin pwɛl di natura l protɛktiv baktri dɛm we de na di vagina, we kin mek i izi fɔ gɛt infɛkshɔn.
Wetin kin apin if yu gɛt kidni infɛkshɔn? Wetin yu kin du na os?
Bɔku tɛm, di kidni infɛkshɔn, if dɛn trit am kwik, i go wɛl kwik ɛn i nɔ go mek ɛni big prɔblɛm. Bɔt pan tin dɛn lɛk dis, yu kin nid fɔ go na ɔspitul fɔ gɛt tritmɛnt:
- If yu de pan bɔku pen, if yu nɔ ebul fɔ kɔntrol yu fiva, if yu kɔntinyu fɔ vɔmit.
- If yu gɛt infɛkshɔn ɔdasay na yu bɔdi (e.g. sepsis).
- If yu gɛt wan sik we de ɔnda yu (lɛk dayabitis, HIV) we de mek yu imyun sistɛm wik.
- If di infekshɔn nɔ klia wit antibayɔtik we dɛn gi na os.
Na os,
di tin we impɔtant pas ɔl na fɔ tek di antibayɔtik we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm. Pantap dat:
- Drink bɔku wata ɛn wata. Dis go ɛp yu kidni fɔ fɛt infɛkshɔn ɛn ɛp fɔ pul di jem dɛn.
- Nɔ drink rɔm ɛn drink we gɛt kafinɛ (ti, kɔfi, kola) fɔ sɔm tɛm. Dɛn tin ya kin mek di blad wok ɛn i kin mek i nid fɔ pis mɔ ɛn mɔ.
- Gɛt bɔku rɛst. We yu rɛst yu bɔdi, dat kin ɛp am fɔ wɛl frɔm di infekshɔn.
- If yu de fil pen, yu kin tɔk to yu dɔktɔ ɛn gɛt fayn mɛrɛsin fɔ mɛn yu pen. If yu put ɔt wata bɔtul na yu bak, dat kin mek yu fil fayn bak.
Mɛmba se nɔ tray fɔ mɛn pɔsin we gɛt kidni infɛkshɔn wit di mɛrɛsin dɛn we yu kin yuz na os nɔmɔ. I impɔtant fɔ mek dɛn gi yu mɛrɛsin.
Wetin na di bɛst tɛm fɔ go to dɔktɔ? A nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?
If yu gɛt ɛni wan pan di sayn dɛn we de sho se yu gɛt kidni infekshɔn, lɛk fɔ mek yu nɔ ebul fɔ pis, chenj na yu urine (lɛk blɔd ɔ dak urine), ɔ yu bak pen ɛn fiva,
yu fɔ go to dɔktɔ wantɛm wantɛm. If yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu nɔ gɛt bɛtɛ wata na yu bɔdi ɔ ɔda siriɔs mɛrɛsin
, yu fɔ go na di imejensi rum (ER) we de nia yu wantɛm wantɛm:- I nɔ bad fɔ gɛt ay fiva wantɛm wantɛm, ɔ fɔ gɛt bak pen we yu nɔ go ebul fɔ bia.
- Klosap nɔ gɛt urine, ɔ urine smɔl.
- I nɔ kin no natin, i nɔ kin gɛt wanwɔd, ɛn i kin slip.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
- Vɔmit we pɔsin nɔ go ebul fɔ stɔp.
- Fɔ fil lɛk se yu de tɔn blu.
Dɛn tin ya nɔto gud sayn fɔ wach, ɛn yu nid fɔ gi dɔktɔ advays kwik kwik wan.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu go to yu dɔktɔ, yu fɔ ɔndastand yu sik gud gud wan. So i go fayn fɔ mek yu aks dɛn kwɛstyɔn ya:
- Aw ɛksaktɔli a fɔ yuz dɛn mɛrɛsin ya? Aw lɔng a fɔ tek dɛn?
- Ɛni sayd ɛfɛkt de we dis mɛrɛsin kin gɛt?
- Wetin bak a kin du na os fɔ ɛp mi fɔ wɛl kwik kwik wan? Ɛnitin de we a fɔ pe spɛshal atɛnshɔn to we i kam pan it ɛn drink?
- Ustɛm a fɔ bigin fɔ go bak na wokples?
- Wetin a fɔ du fɔ mek a nɔ gɛt kidni infɛkshɔn igen?
- Dis infekshɔn kin mek mi kidni dɛn pwɛl fɔ lɔng tɛm?
- A fɔ kam si di dɔktɔ bak?
Apat frɔm dɛn kwɛstyɔn ya, nɔ fred fɔ aks ɛnitin we yu gɛt.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Kidni infεkshכn na wan kכndyushכn we nid sכm atenshכn. Bɔt
if yu no di sik kwik kwik wan, go to dɔktɔ di rayt tɛm, ɛn gɛt di rayt tritmɛnt, yu kin mɛn am kpatakpata. Natin nɔ de fɔ wɔri bɔt. Mɛmba se if yu klin fayn, drink bɔku wata, ɛn ɛmti yu blad ɔlsay di rayt tɛm, bɔku tɛm yu kin mek yu nɔ gɛt infɛkshɔn na yu urinary tract ɛn, bikɔs ɔf dat, yu kin mek yu nɔ gɛt infɛkshɔn na yu kidni. If yu na pɔsin we kin gɛt infekshɔn na yu urinary tract bɔku tɛm, ɔ if yu gɛt ɔndalayn kɔndishɔn we kin mek yu gɛt infɛkshɔn mɔ (e.g., dayabitis, kidni ston), tɔk to yu dɔktɔ bɔt am ɛn bɔt spɛshal we fɔ mek yu nɔ gɛt infɛkshɔn. Yu wɛlbɔdi de na yu an. Tek tɛm!
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