Wi de wok tranga wan ɛvride, nɔto so? Bɔt yu no se we yu de du dɛn tin ya, tu wɔndaful ɔgan dɛn de insay yu bɔdi we de wok kwayɛt wan, 24 awa ɛvride, ɛn nɔ de stɔp fɔ wan sɛkɔn? Na wi kidni dɛn de. Fɔ tɔk am simpul wan, dɛn wan ya na di ‘filta sistɛm’ we gɛt pawa pas ɔl na wi bɔdi. If dɛn tin ya stɔp, wi ɔl bɔdi kin bi mɛs. So, lɛ wi tɔk bɔt dɛn prɛshɔ kidni ya tide.
Fɔ tɔk am simpul wan, wetin na kidni?
di kidni dεm na tu כgan dεm we shep lεk bins we di sayz lεk di sayz fכ wi an. Dɛn de na di tu say dɛn na wi spayna, na di ɔda pat na di bak, jɔs dɔŋ di rib kech. Dɛn na wan men pat pan wi urinary system.
Jɔs tink bɔt, yu kidni dɛn de filta lɛk 180-190 lita wata ɛvride . Dat na inof fɔ ful-ɔp wan big bathtub! insay dis filta prכsεs, di west prodakt dεm εn tכxin dεm de separet εn kכmכt frכm di bכdi as urine (wi kכl am ' urine '). wi kin kכl bכt 1.5 - 2 lita urine pan de. Ɛn wetin bɔt di ɔda wata we dɛn dɔn filta? Wi bɔdi kin yuz am bak. Yu nɔ tink se i wɔndaful?
apat frכm dat, di kidni dεm de ple big pat bak fכ mek di bכlεns bitwin di כmכnt fכ wata εn di imכtant minral dεm we dεn kכ l εlektrolayt (lεk sכdiכm εn potashכm) na wi bכdi.
Wetin na di men wok we di kidni dɛn de du?
Di kidni dɛn nɔto jɔs mashin we de pul di blɔd. Bɔku tin de fɔ dɛn tu smɔl pat dɛn ya pas dat. Lɛ wi luk di tin dɛn we impɔtant pas ɔl.
| Wok | Wan simpul ɛksplen |
|---|---|
| Filtreshɔn fɔ west | I de pul di bad bad tin dɛn we de na di blɔd ɛn asid dɛn lɛk yuria ɛn kriaytinin, ɛn pul dɛn kɔmɔt as urine. Na lɛk af kɔp blɔd kin klin dis we fɔ wan minit. |
| Fɔ kɔntrol blɔd prɛshɔn | I de mek wan prɔtin we dɛn kɔl renin, we de ɛp fɔ mek di blɔd prɛshɔn kɔntinyu fɔ rich di lɛvɛl we dɛn nid. |
| Ɔmon we dɛn de mek | di kidni dεm de mek di aktv fכm fכ vaytam in D (calcitriol), we de εp di bכdi fכ tek di kalsiכm. Dɛn kin mek bak wan ɔmon we dɛn kɔl erythropoietin, we kin mek di bon mɛro mek rɛd blɔd sɛl dɛn. |
| asid-bεys bεlε (pH bεlε) na di bכdi | I de ɛp fɔ mek di asid we de na wi blɔd kɔntinyu fɔ de, ɛn dis de mek i nɔ go bɔku. |
| Suga prodakshɔn | If di bɔdi in shuga lɛvɛl go dɔŋ tumɔs, di kidni dɛn kin mek sɔm shuga (glukɔs) if nid de. |
Aw dis blɔd ‘filta’ prɔses kin apin?
Dis na tin we rili kɔmpleks, bɔt i rili wɔndaful. Insay ɛni kidni, i pas wan milyɔn smɔl smɔl filta dɛn we dɛn kɔl nɛfrɔn . I tan lɛk ti strayn we de filta ti lif. Tu men pat dɛn de fɔ ɛni nɛfrɔn:
- Glomerulus: Dis na di fɔs ‘filta’. As blɔd de pas na dis nɛtwɔk we gɛt fayn fayn blɔd vesel dɛn, dɛn kin filta tin dɛn lɛk wata, dɔti, ɛn sɔl.
- di rεnal tכbul dεm: As di wata we di glomerulus de filta de pas tru dεn tכbul dεm ya, di bכdi de tek di wata, di nyutriεnt dεm, εn minral dεm we i nid bak . Na west prodakt, ekstra wata, ɛn asid nɔmɔ dɛn kin kɔmɔt as urine.
Wetin na di kɔmɔn tin dɛm wae kin afɛkt di kidni dɛm?
Bɔt i sɔri fɔ no se bɔku tin dɛn de we kin ambɔg wi ɔgan dɛn ya we gɛt valyu. I impɔtant fɔ no bɔt sɔm pan dɛn tin ya.
- Krכnik Kidni Disease (CKD): Dis na kכndyushכn wae di kidni dεm kin lכs dεn wok sכmtεm as tεm de go. Bɔku tɛm, di men tin dɛn we kin mek pɔsin gɛt dayabitis we pɔsin nɔ ebul fɔ kɔntrol ɛn we i gɛt ay blɔd prɛshɔn .
- Kidni Failure: Na di kidni we nɔ de wok wantɛm wantɛm (akyu) ɔ fɔ lɔng tɛm (krɔnik). Dis na wan sik we rili siriɔs.
- Kidni Ston: Minral sכlt dεm na di urine kin kכlekt εn fכm sכm sכm pat dεm we lεk ston. If dɛn tin ya lod na di urinary tract, dɛn kin mek yu fil pen bad bad wan.
- Kidni Infεkshכn:dis kכndyushכn kin apin we baktri dεm de travul כp di urinary tract εn go insay di kidni dεm.
- Polycystic Kidney Disease (PKD): Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. bכku sist dεm we fulכp wit wata (cyst) de divεlכp na di kidni dεm. Dis kin mek di kidni nɔ wok fayn.
- Kidni Kansa: Kansa kin apin we di kidni sɛl dɛn nɔ de gro fayn.
Wetin na di sayn dɛm wae kin mek pipul dɛn sɔprayz fɔ gɛt sik na in kidni?
De big prɔblɛm wit bɔrku kidni sik na dat dɛn nɔr kin sho klia simptom na di fɔs stej . Fɔ bɔrku pipul, dɛn kayn sik ya kin jɔs apin wae de sik tranga smɔl. So, i rili impɔtant fɔ tek tɛm smɔl bɔt dɛn tin ya.
- Swel na di leg, ankles, ɛn fes: We di kidni dɛn nɔ ebul fɔ pul di wata ɛn sɔdiɔm we pasmak fayn fayn wan, wata kin gɛda na di bɔdi ɛn mek i swel. Yu fɔ wɔri mɔ if yu notis se yu yay de swel we yu wek na mɔnin.
- Di chenj dɛn we de apin na di urine:
- Di frɛkuɛns we pɔsin kin pis (espɛshali na nɛt).
- Blɔd we de na di urine (di urine kin tan lɛk pink ɔ dak brawn).
- fכm urine (dis kin sho se tu mכch protin de kכmכt na di urine).
- Skin kin it ɛn dray: Dis kin apin we dɔti tin dɛn kin gɛda na di blɔd ɛn afɛkt di skin.
- I kin taya ɔltɛm ɛn wik: We di ɔmon we de mek rɛd blɔd sɛl (erythropoietin) nɔ de mek i nɔ gɛt bɛtɛ blɔd, i kin mek pɔsin nɔ gɛt bɛtɛ blɔd ɛn i kin mek i taya.
- Yu nɔ kin want fɔ it, yu nɔ kin fil fayn, ɛn yu kin vɔmit: Dɛn sayn ya kin apin we dɔti tin dɛn lɛk yuria kin bɔku na di blɔd.
- di mכsul dεm de pen εn stif: Dis kin apin we di εlektrolayt bεlε de ambɔg.
Di tin we impɔtant pas ɔl na dat if yu gɛt wan ɔ mɔ pan dɛn sik ya, nɔ panik ɛn go to yu dɔktɔ wantɛm wantɛm fɔ advays . Nɔ jɔs gɛs.
Us tɛst dɛn kin du fɔ chɛk if mi kidni dɛn wɛl?
Bɔku simpul tɛst dɛn de we yu dɔktɔ kin du fɔ chɛk yu kidni dɛn wɛlbɔdi.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| Urinalysis we dɛn kin du | Dɛn kin chɛk di urine fɔ si if i gɛt tin dɛn lɛk prɔtin, blɔd, ɛn shuga. Dɛn tin ya nɔ kin fayn fɔ gɛt na di urine. |
| Tɛst fɔ Blɔd | spεshal wan, dεn de mכsu di lεvεl f כ di sεrum kriaytinin na di bכdi. Kriatinin na tin we dɛn kin yuz fɔ west. If i bɔku na di blɔd, dat min se di kidni dɛn nɔ de filta am fayn. |
| Ultrasound Skan we dɛn kin du | Dis kin ɛp fɔ si di sayz, shep, ɛn di ston ɔ tumbu dɛn we de na di kidni dɛn. |
| Kidni Bayɔpsi | Na if nid de, di dɔktɔ go tek wan rili smɔl tisu na di kidni ɛn chɛk am ɔnda maykroskɔp. |
Tin dɛn we wi kin du fɔ mek wi valyu kidni dɛn gɛt wɛlbɔdi
I bɛtɛ fɔ mek yu nɔ gɛt sik na yu kidni pas fɔ sɔfa wit am wans i dɔn gɛt am. Put dɛn simpul abit dɛn ya insay yu layf.
- Drink inof wata: Drink at le 8-10 glas wata wan de. Dis kin ɛp di kidni dɛn fɔ filta di dɔti izi wan.
- Kɔntrol yu blɔd prɛshɔn ɛn dayabitis: If yu gɛt dɛn sik ya, tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek. Dɛn tu ya na di big ɛnimi dɛn fɔ di kidni dɛn.
- Ridyus di sɔl we yu de it: Ridyus di sɔl we yu de ad to yu it. Di it dɛn we dɛn pak ɛn di fast fud dɛn gɛt bɔku sɔl.
- Nɔ yuz pen kil bɔku tɛm: If yu kɔntinyu fɔ yuz pen kil, mɔ NSAID (e.g., Ibuprofen, Diclofenac), if yu nɔ gɛt dɔktɔ in advays, i kin pwɛl di kidni dɛn.
- Nɔ smok: If pɔsin smok, i kin pwɛl di blɔd vesel dɛn we de gi blɔd to di kidni dɛn.
- Mek yu gɛt wɛlbɔdi: Ɛksesaiz ɔltɛm. It di it we balans.
- Gɛt mɛdikal tɛst:Ɛspɛshali if pɔsin na yu famili gɛt kidni sik, ɔ if yu gɛt dayabitis ɔ ay blɔd prɛshɔn, mek dɛn chɛk yu kidni fɔ wok wan tɛm insay di ia.
Mɛsej we dɛn kin kɛr go na os
- Yu kidni na tu supa ɔgan dɛn we de filta dɔti we de kɔmɔt na di bɔdi, kɔntrol blɔd prɛshɔn, ɛn du bɔku ɔda impɔtant wok dɛn.
- Dayabitis ɛn ay blɔd prɛshɔn na di tu men tin dɛn we kin mek pɔsin in kidni pwɛl. I rili impɔtant fɔ kɔntrol dɛn tin ya fayn fayn wan.
- Yu fɔ no bɔt di sayn dɛm lɛk wae yu leg swel, yu de chenj yu urine, ɛn yu taya pasmak. If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.
- Fɔ drink inof wata, fɔ ridyus sɔl we yu de it, ɛn nɔ kɔntinyu fɔ tek mɛrɛsin fɔ mek yu fil pen we yu nɔ gɛt dɔktɔ advays, rili impɔtant fɔ mek yu kidni gɛt wɛlbɔdi.
- Na fayn tin fɔ de chɛk yu kidni dɛn wɛlbɔdi ɔltɛm, mɔ if yu gɛt tin dɛn we kin mek yu gɛt dis sik.
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