Kidni failure, ɔr ‘kidney failure’, na sɔntin we de mek ɛnibɔdi fred. Bɔku pipul dɛn kin tink se afta dat, dɛn go gɛt fɔ go ɔspitul fɔ di res ɔf dɛn layf fɔ mek dɛn klin dɛn blɔd. Bɔt yu no se wan spɛshal we de fɔ dayalaysis we yu kin du frɔm os, wit di tin dɛn we yu kin du ɛvride? Na dat wi kin kɔl Pɛritonial Dayalaysis. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Pɛritonial Dayalaysis?
Tink bɔt yu kidni dɛn lɛk tu supa filta dɛn. Dɛn men wok na fɔ filta di dɔti tin dɛn we dɛn nɔ want ɛn di wata we pasmak frɔm di blɔd. Wi kin kɔl di wata we dɛn filta as urine. Bɔt we di kidni dɛn nɔ wok, dis filta nɔ de wok fayn. Dɔn dɔti tin dɛn ɛn pɔyzin dɛn kin bigin fɔ gɛda na di blɔd. Wi kin kɔl dis kɔndishɔn ``uremia``. If dɛn nɔ trit dis, dis kin mek pɔsin in layf de pan denja.
Na da tɛm de dayalaysis tritmɛnt kin kam in. Pɛritonial dayalaysis na wan pan dɛn kayn dayalaysis ya. Bɔt sɔntin we rili strenj kin apin insay dis wan. Insay dis wan, wi de yuz natura filta na yu bɔdi fɔ klin yu blɔd. Dat na di tin we de rawnd di ɔgan dɛn we de insay yu bɛlɛ. Insay mɛrɛsin, wi kin kɔl dis di peritoneum.
Bifo yu bigin dis tritmɛnt, dɔktɔ go du smɔl ɔpreshɔn ɛn put wan tiub we rili tan ɛn saf (kateta) tru di skin na yu bɛlɛ. afta dat, tru di tכb, dεn de sεnd wan spεshal stεrili fכluid (wi kכl am ``dialysate'') insay yu bכdi. we dis wata de insay yu bכdi fכ sכm awa, di pεritoneal mεmbran de abzכp di west prodakt dεm εn di wata we pasmak frכm di bכdi insay dis wata. Dɔn, dɛn kin pul di wata we ful-ɔp wit dɔti tru di sem tiub, ɛn put nyu wata bak. Yu kin du dis na os, bɔku tɛm insay di de, ɔ ivin we yu de slip na nɛt.
Tu men we dɛn de fɔ du dis.
Pɛritonial dayalaysis na tu we dɛn kin du am mɔ. Yu kin pik di we we go izi fɔ yu bay we yu tɔk to yu dɔktɔ.
| Di we aw dɛn kin trit am | Aw fɔ du am ɛn spɛshal pɔynt dɛn |
|---|---|
| Kɔntinyu fɔ Ambulatɔri Pɛritonial Dayalaysis (CAPD) . (Du-am-yusɛf we fɔ du am insay di de) | Dɛn nɔ de yuz no mashin fɔ du dis. Yu fɔ chenj di wata yusɛf lɛk 3-5 tɛm insay di de. I kin tek lɛk 30-40 minit ɛvri tɛm. We dis wata de na yu bɛlɛ, yu fri fɔ du yu wok lɛk aw yu kin du. |
| Ɔtomatik Pɛritonial Dayalaysis (APD) . (Ovnayt mashin we dɛn kin yuz) | Dis de yuz wan smɔl mashin (wan `ɔtomɛtik sayklɔr`). We yu kɔnɛkt am to di mashin bifo yu go slip na nɛt, di mashin go ɔtomɛtik injɛkt ɛn pul di wata bɔku tɛm we yu nid am ɔl di nɛt. Di tritmɛnt kin dɔn we yu wek na mɔnin. Bɔku pipul dɛn kin lɛk dis we bikɔs dɛn nɔ kin ambɔg am insay di de. |
Bɔt wetin mek pipul dɛn nɔ lɛk dis we?
Pan ɔl we i gɛt bɔku bɛnifit, dɛn nɔ kin yuz am bɛtɛ pas di we aw dɛn kin yuz ɛmodayalis na ɔspitul. Bɔku rizin dɛn de fɔ dis:
- Nɔr no bɔt dis: Bɔrku pasɛnt, ɛn sɔmtɛm ivin di mɛdikal wokman dɛm nɔr kin no gud gud wan bɔt dis opshɔn.
- Di wan dɛn we tren nɔ de: Na smɔl dɔktɔ ɛn nɔs dɛn we dɔn gɛt spɛshal trenin fɔ dis tritmɛnt.
- Prɔblɛm dɛn we kin apin we pɔsin gɛt imejensi: If pɔsin in kidni nɔ wok wantɛm wantɛm, nɔto ɔl ɔspitul dɛn gɛt di tin dɛn fɔ put dis tiub (kateta). If na so i bi, dɛn fɔ yuz ɛmodayalis, we dɛn kin bigin fɔ du am izi wan.
- I nɔ kin izi fɔ fɛn pɔsin fɔ ɛp: Sɔm pipul dɛn kin si am se i nɔ kin izi fɔ du dis dɛn wan. Insay dɛn kayn tɛm ya, fɔ fɛn pɔsin fɔ ɛp am kin tranga.
Wetin na di bɛnifit dɛn we dis we ya de du?
Di big bɛnifit fɔ dis na di fridɔm ɛn izi we yu gɛt. Yu nɔ nid fɔ kɔnfyus yu layf na ɔspitul.
- I izi fɔ du ɛn fɔ chenj di we aw yu de du tin: Yu nɔ nid fɔ go na ɔspitul. Yu kin du dis na klin ples, ilɛksɛf na os, na wokples, ɔ we yu de travul.
- Nɔ big tin nɔ de fɔ stɔp fɔ it ɛn drink: Dɛn nɔ de stɔp fɔ it ɛn drink pas ɔda we dɛn fɔ dayalaysis. Bikɔs dɛn kin pul dɔti tin dɛn na di bɔdi klos to ɛvride, di dɔti we kin gɛda nɔ kin bɔku.
- Nɔ nid fɔ nidul: We dɛn de du dayalaysis na di ɔspitul, dɛn nid nidul ɛvri tɛm. Dis na big rilif fɔ pɔsin we de fred nidul.
Yu nɔ tink se bad tin dɛn de ɛn prɔblɛm dɛn de?
Jɔs lɛk ɛni ɔda tritmɛnt, prɔblɛm dɛn de ɛn bad tin dɛn de, ɛn i impɔtant fɔ no bɔt dɛn.
| Risk / Disadvantej | Fɔ tɔk am simpul wan... |
|---|---|
| Pɛritonitis we gɛt di sik | Dis na di risk we kin apin pas ɔl. di jεm dεm kin go insay di pεritoneum layn na di bכdi tru di tכb כ tru dכti, we kin mek infεkshכn. I impɔtant fɔ rili tek tɛm we wi de klin. |
| Ɛnia we dɛn kɔl Ɛnia | εnia kin apin bikoz fכ di prεshכn we dεn kin mek we wata fulכp di bכdi. |
| We yu de gɛt mɔ wet | Bikɔs di wata we dɛn kin yuz gɛt shuga (dextrose), sɔm pan am kin tek sɔm pan am ɛn i kin mek i gɛt mɔ wet as tɛm de go. |
| Di tritmɛnt we nɔ de wok fayn | Afta sɔm ia we dɛn dɔn tek dis tritmɛnt, sɔm pipul dɛn kin si se di wok we dɛn peritoneal mɛmbran de du nɔ de wok fayn, we kin mek dɛn nid fɔ chenj to ɔda we fɔ dayalaysis. |
| Must-do ɛvride | Dis na sɔntin we dɛn nid fɔ du ɛvride. I kin mek sɔm pipul dɛn nɔ gɛt bɛtɛ maynd. |
Avɔyd dɛn tin ya.
If yu de pan peritoneal dialysis, no bɔt dɛn tin ya:
- Nɔ yuz mɛrɛsin lɛk nonsteroidal anti-inflammatory drugs (NSAID) we de ambɔg di kidni dɛn if yu nɔ go to yu dɔktɔ.
- Nɔ swim na wata we nɔ gɛt klorin lɛk pɔnd, riva, ɛn lek, ɛn nɔ sok insay ɔt tub. Dɛn tin ya kin mek dɛn kam wit smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔt, prɔblɛm nɔ de fɔ shaw ɛvride.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu de gɛt dis tritmɛnt ɛn yu gɛt ɛni wan pan dɛn sik ya:Nɔ ignore am.
- Bɛlɛ pen bad bad wan ɔ blo
- If yu fil se yu gɛt fiva
- If di at rit de fast (tachycardia) .
- I nɔ izi fɔ blo (dyspnea) .
- Nɔs ɛn vɔmit
- If di wata we yu de pul na yu bɛlɛ gɛt klawd ɔ i gɛt difrɛn kɔlɔ pas aw i kin bi (dis kin bi sayn fɔ se yu gɛt di sik) .
- Di sayn dɛm wae de sho se yu blɔd prɛshɔn smɔl (haypotension), lɛk fɔ gɛt diziz ɛn fɔ gɛt layt ed
If yu si ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ ɔ klinik we de trit yu wantɛm wantɛm, ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
Fɔ dɔn, yu ɛn yu dɔktɔ fɔ disayd togɛda if Pɛritonial Dayalaysis ɔ Ɛmodayalis na di bɛst fɔ yu. Yu fɔ tek tɛm tink bɔt yu wɛlbɔdi biznɛs, di we aw yu de liv yu layf, ɛn wetin yu lɛk fɔ disayd fɔ du di bɛst tin.
Mɛsej we dɛn kin kɛr go na os
- Pɛritonial dayalaysis na wan tritmɛnt we rili fayn we dɛn kin du na os wit mɔ fridɔm fɔ di wan dɛn we gɛt kidni we nɔ de wok fayn.
- Klin na di nɔmba wan pan dis tritmɛnt. Wash yu an ɔltɛm ɛn du dis na say we klin. Dis kin ɛp fɔ mek yu nɔ gɛt siriɔs infɛkshɔn lɛk Pɛritonitis.
- Yu fɔ no gud gud wan bɔt di bɛnifit dɛn, di bad tin dɛn, ɛn di bad tin dɛn we kin apin we dɛn yuz dis we. If yu gɛt ɛnitin we de mɔna yu, nɔ shek fɔ tɔk to yu dɔktɔ.
- Ɔltɛm, aks yu dɔktɔ in advays fɔ pik di we aw dɛn de du di dayalaysis we go fayn fɔ yu.
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