Dis na denja to yu kidni dɛm bak? (Renal Papillary Necrosis) Lɛ wi lan bɔt am!

Yu no aw di tu smɔl kidni dɛn na wi bɔdi de du bɔku wok? Infakt, di kidni na di men ɔgan dɛn we de filta di dɔti tin dɛn ɛn klin di blɔd we de na wi bɔdi. Bɔt sɔmtɛm, dɛn kidni ya kin gɛt sik dɛn bak we wi nɔ kin ɛkspɛkt. Tide wi go tɔk bɔt wan sik we siriɔs smɔl, bɔt if yu no bɔt am, i kin ɛp yu fɔ kɔntrol ɛn avɔyd am.

Aw di kidni dɛn kin wok? Wetin na di Rεnal Papillary Nεkrכsis?

Fɔ tɔk am simpul wan, wi kidni dɛn tan lɛk tu supa filta dɛn na wi bɔdi. Dɛn men wok na fɔ filta di dɔti tin dɛn we dɛn nɔ want na di blɔd ɛn pul dɛn kɔmɔt as urine. Fɔ du dis, blɔd kin go insay di kidni dɛn ɛn pas na bɔku smɔl smɔl chanɛl dɛn. Dɛn kin gɛda dɛn dɔti tin ya frɔm di ɔda pat na di kidni ɛn afta dat dɛn kin kam na di midul pat na di kidni, we na di kidni mɛdula . Na ya pat dɛn we tan lɛk fɛnɛl. di tכp pan dεn fכnel dεm we dεn kכ l di rεnal papila de kכlekt urine. frכm de, di urine de go tru di ureters to di blad εn kכmכt. Na so wi kidni dɛn de wok.

di rεnal papilla nεkrכsis we wi de tכk bכt naw na di day we di sεl dεm εn tisu dεm de day na di midul pat pan di kidni (`Medulla`) εn di rεnal papilla (`Renal Papilla`) we a bin tכk bכt. Jɔs tink bɔt, we dɛn say dɛn de nɔ de wok fayn, di wok we di kidni dɛn de du nɔ de wok fayn, nɔto so? Bikɔs ɔf dis, di kidni dɛn kin wik smɔl smɔl, ɛn leta i kin mek di kidni dɛn nɔ wok fayn .

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Dis sik (Renal Papillary Necrosis) kin kam pan pipul dɛm wae dɔn pas 60. Dɔktɔ dɛm kin tɔk bak se uman dɛm kin gɛt dis sik pas man dɛm.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Renal Papillary Necrosis?

Bɔku men tin dɛn de we kin mek dis sik kam. Lɛ wi tek wan luk pan wetin dɛn bi.

• Dayabitis : Dis na di wan wae impɔtant ɛn kɔmɔn tin wae kin mek pɔrsin gɛt dis sik. Pipul wae gɛt shuga wae nɔr kin kɔntrol fayn kin gɛt bɔrku risk fɔ gɛt pwɛl hat sik. Di ay blɔd shuga lɛvɛl fɔ lɔng tɛm de pwɛl di dilik blɔd vesel dɛm na di kidni dɛm.
• Yuz pasmak pen kil (NSAID) : If yu de yuz pen kil ɔltɛm (non-steroidal anti-inflammatory drugs, ɔ NSAID) lɛk aspirin, ibuprofen, ɔ naproxen fɔ lɔng tɛm we yu nɔ go to dɔktɔ, yu fɔ tek tɛm bad bad wan. If yu tek dɛn tin ya tumɔs, dat kin mek di blɔd vesel dɛn na di kidni dɛn smɔl ɛn pwɛl di rεnal papila dɛn.
• Siklɔs Sɛl Sik: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. Insay dis sik, di shep fɔ di rɛd blɔd sɛl dɛn kin chenj ɛn dɛn kin stɔp na di blɔd vesel dɛn. dis kin mek bak di bכdi nכ de gi di kidni dεm (Renal Papillary Necrosis).

Apat frɔm dɛn men tin ya, sɔm ɔda tin dɛn kin mek pɔsin gɛt Renal Papillary Necrosis bak:

• Krɔnik Liva Sik
• Pyelonephritis, na baktriyal infεkshכn na di kidni dεm (we kin pwεl di rεnal papila dεm) .
• Rεnal Tuberculosis, na sik we de afɛkt di kidni dεm we de na do na di lכng
• Renal Vein Thrombosis (blɔd we de klɔt na di vein we de kɛr blɔd kɔmɔt na di kidni) .
• Ureteral Obstruction (fɔ ɛgzampul, bikɔs ɔf ston dɛn we de na di urinary) .
• Vasculitis, we na wan inflamɛns na di blɔd vesel dɛn

Di impɔtant tin na dat nɔto ɔlman we gɛt wan ɔ mɔ pan dɛn tin ya go gɛt (Renal Papillary Necrosis). Bɔt di risk kin pas dat.

Dis kin afɛkt ɔl tu di kidni dɛn?

Yɛs, dɛn ripɔt se pan lɛk sɛvin pan tɛn pipul dɛn , dis sik (Renal Papillary Necrosis) kin afɛkt ɔl tu di kidni dɛn .

Wetin na di sayn dɛm fɔ (Renal Papillary Necrosis)?

We dis sik bigin, nɔr kin si ɛni sayn fɔ dis sik . Na dat mek e nɔr kin izi fɔ no ɛn trit am kwik. Imajin, yu nɔ gɛt ɛni prɔblɛm, bɔt yu kidni dɛn kin pwɛl frɔm insay. Bɔt i pɔsibul bak se dɛn kin aksidɛntli no dis we dɛn de tɛst fɔ ɔda sik.

Bɔt we di sik (Renal Papillary Necrosis) de kam tranga, sɔm kayn sayn dɛn lɛk dis kin apin:

• We yu de pis we yu de pis (Dysuria) .
• Fiva ɛn kol (especially if infekshɔn kam wit am) .
• Blɔd we de na di urine (`Hematuria`) - di blɔd kin si wit yu yay (di urine kin tɔn rɛd ɔ brawn), ɔ i kin so smɔl dat yu kin si am ɔnda maykroskɔp nɔmɔ.
• Nid fɔ pis bɔku tɛm na nɛt (`Nocturia`) .
• wan abnכmal inkrεs pan di nכmba fכ di wayt bכdi sεl dεm na di urine (`Pyuria`) - dis min se di urine kin lεk pus, εn di urine kin tan lεk klawd.
• siriכs pen na di tu say dεm na di bak, bitwin di rib dεm εn di hip bon dεm (we di kidni dεm de). Dis pen kin kam wantɛm wantɛm ɔ i kin go ɔp smɔl smɔl.
• Infεkshכn dεm na di urinary tract כltεm.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Renal Papillary Necrosis?

Dɔktɔ dɛn go du sɔm tɛst fɔ no dis sik (Renal Papillary Necrosis). Afta dɛn dɔn lisin to yu sik ɛn mɛdikal histri, dɛn kin ɔda fɔ du tɛst lɛk:

• Yurograf: Dis min se yu fɔ tek ɛkstrem rayt, CT skan, ɔ MRI fɔ yu kidni. Bifo di tɛst, dɛn go gi yu wan spɛshal day (wan day) tru wan vein. dis de εp fכ si klia wan di εria dεm we di kidni dεm dכn pwεl εn di chenj dεm we de na di papila dεm.
• ureteroscopy : dis involv fכ put wan tin, fleksibul tכb (we gεt kεmεra na di εnd) tru di urethra fכ luk dεn wan dεm insay di blad, di ureters, εn kidni dεm. dis de mek dεn si di kכndishכn fכ di papila dεm klia wan.
• Kidni Bayopsi : Insay dis tɛst, dɛn kin tek wan smɔl pat pan di tisu frɔm di kidni we dɛn de yuz spɛshal nidul ɛn chɛk am ɔnda maykroskɔp. Dis kin ɛp fɔ no if di sɛl dɛn dɔn day ɔ di tisu dɔn pwɛl.

Blɔd ɛn urine tɛst

Apat frɔm dat, fɔ chɛk blɔd ɛn urine fɔ chɛk aw di kidni de wok, rili impɔtant bak:

• Blɔd yuria naytrɔjen (BUN) tɛst : Dis de mɛzhɔ di yuria naytrɔjen we de na di blɔd. Dis na tin we dɛn kin yuz fɔ west. dis lεvεl de inkrεs na di bכdi we di kidni dεm nכ de wok fayn.
• Kriatinin tεst : Kriatinin na כda west prodakt we dεn de prodyuz we di mכsul dεm de wok nכmal. Nɔmal wan na di kidni dɛn kin pul am. If in lɛvɛl ay na di blɔd, i de sho bak se di kidni dɛn nɔ de wok fayn.
• Estimated Glomerular Filtration Rate (eGFR) : Dɛn kin kɔl dis bay we dɛn tek tɛm tink bɔt tin dɛn lɛk yu blɔd kriaytinin lɛvɛl, ej, man ɔ uman, ɛn bɔdi saiz. Di eGFR valyu de tɛl yu ɔmɔs blɔd yu kidni dɛn de filta fɔ wan minit. Di mɔ dis valyu smɔl, na di mɔ yu kidni dɛn nɔ de wok fayn.
• Urinalysis : Dis involv fכ tek urine sεmpl εn egzamin am wit yay (kכla, klia), maykroskכpik (fכ bכdi sεl dεm, pus sεl dεm, baktri dεm, papillary debris), εn kεmikכl (fכ protin, shuga). sכmtεm, dεn kin si di rεnal papila dεm bak כnda di maykroskכp.
• urine protein/creatinine ratio : Dis de mכsu aw mכch protin de insay di urine. di kidni dεm we gεt hεlth de kכl bכku bכku protin. di ay lεvεl fכ di protin na di urine na sayn fכ di kidni dεm we de pwεl.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin kin gɛt (Renal Papillary Necrosis)?

If dɛn nɔ trit dis sik (Renal Papillary Necrosis) fayn, di sik kin wɔs ɛn mek i gɛt siriɔs prɔblɛm dɛn.

• Kronik Kidni Disease (CKD) : Bikɔs di kidni dɛn kin kɔntinyu fɔ pwɛl, dɛn kin wok smɔl smɔl, ɛn dis kin mek dɛn gɛt sik we nɔ de mɛn na di kidni.
• Kidni we nɔ de wok fayn: If di sik wɔs, di kidni dɛn kin nɔ wok fayn atɔl, we min se dɛn kin bi rεnal fεil.
• Fɔ mek yu go ebul fɔ liv, yu go nid fɔ gɛt dayalaysis (fɔ klin yu blɔd wit mashin) ɔ fɔ transplant yu kidni .
• Dɛn dɔn si bak se dis sik kin mek di risk fɔ gɛt wan kayn kansa we dɛn kɔl transishɔnal sɛl kansa, we kin kam na di kidni ɔ di ureter.
• Risk de bak fɔ gɛt siriɔs infɛkshɔn (sepsis).

Aw dɛn kin trit di Renal Papillary Necrosis?

Nɔr patikyula tritmɛnt nɔr de fɔ Renal Papillary Necrosis. Di men tritmɛnt na fɔ trit di ɔndalayn kɔz fɔ di sik . Fɔ ɛgzampul:

• If na bikɔs ɔf dayabitis, den i impɔtant fɔ kɔntrol di dayabitis fayn fayn wan.
• If na bikɔs yu de yuz NSAID, stɔp fɔ tek dɛn mɛrɛsin dɛn de.
• If na bikɔs ɔf infekshɔn, gi am antibayɔtik.
• If blok de na di urinary tract, dɛn fɔ pul am.

di praymar gol na fכ limited mכr damej pan di kidni dεm εn kip di kidni fכnshכn as mכch as i posbul.

Di sakses fɔ di tritmɛnt de dipen pan aw di kidni dɔn pwɛl ɛn wetin mek di sik. Sɔm kayn bad bad tin ya, di sik kin kɔntinyu fɔ wɔs pan ɔl we dɛn dɔn trit am. Bɔt pan kes dɛm we nɔ kin rili bad, ɛn if dɛn trit di kɔz kwik kwik wan, di kidni wok kin stebul ɔ ivin impruv smɔl.

A kin protɛkt misɛf frɔm di sik we dɛn kɔl Renal Papillary Necrosis?

Yɛs, tin dɛn de we wi kin du fɔ protɛkt wisɛf frɔm dis kayn tin, to bɔku pat.

• Di tin we impɔtant pas ɔl na fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi . I impɔtant fɔ it di rayt tin, fɔ drink bɔku wata, ɛn fɔ du ɛksɛsayz ɔltɛm .
• If yu de tek mɛrɛsin fɔ mɛn pen we yu nɔ de bay (NSAID), yuz dɛn jɔs lɛk aw dɛn rayt am na di paket ɔ lɛk aw dɔktɔ tɛl yu. Nɔ tek dɛn bɔku tɛm ɔ fɔ lɔng tɛm pas aw i nid. Nɔ tek dɛn ɔltɛm fɔ smɔl pen ɛn pen ɔ fɔ ed we de at.
• If yu gɛt dayabitis (Diabetes Mellitus), siklɛt sik (Sickle Cell Disease), ɔ ɔda sik dɛn we kin mek yu gɛt sik na yu kidni (Renal Papillary Necrosis), fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. Go na klinik dɛn di rayt tɛm. Tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek. Fɔ fala di rayt it.
• I rili impɔtant fɔ mek yu du lab tɛst fɔ chɛk di kidni fɔ wok ɔltɛm lɛk aw yu dɔktɔ tɛl yu, ɛn fɔ no ɛni chenj kwik kwik wan.

Wetin na de recovery rate for pɔrsin wae gɛt dis sik?

Yu prɔgnosis de dipen pan wetin de mek yu gɛt di sik, aw yu kidni dɔn pwɛl, yu ɔl wɛl bɔdi, ɛn aw yu bigin tritmɛnt kwik kwik wan.

• Fɔ pipul dɛm wae gɛt shuga, de rizɔlt kin bi smɔl smɔl , bikɔs dayabitis na sik wae kin teik lɔng tɛm ɛn nɔr kin kɔntrol am fayn ɔltɛm. If yu gɛt dayabitis, if yu kɔntrol am fayn fayn wan, dat go ɛp yu fɔ mek yu kidni nɔ pwɛl.
• If i siriɔs (Renal Papillary Necrosis), i kin mek dɛn dayalysis ɛn transplant kidni . If infɛkshɔn apin, i kin mek pɔsin in layf de pan denja. I pɔsibul fɔ mek pɔsin day bikɔs in kidni nɔ de wok fayn.
• insay sik sεl sik, rεnal papila nεkrכsis na jכs wan pan difrεn kכmplikεshכn dεm we kin apin na di kidni dεm. We dɛn put ɔl dɛn prɔblɛm ya togɛda, di pɔsin in layf kin ridyus bad bad wan.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt wan ɔ mɔ pan dɛn sik ya, nɔ west tɛm ɛn fɔ tru go to dɔktɔ :

• If yu gɛt blɔd na yu urine (urine de tɔn rɛd, pink, ɔ brawn).
• If yu gɛt fiva ɔ kol (especially wit ɔda sayn dɛm).
• If yu gɛt pen ɔ bɔn we yu de pis.
• If yu gɛt nyu ɔr pen we de wɔs na di tu say dɛm na yu bak, na di eria bitwin yu hip bon dɛm ɛn yu rib dɛm (kidni eria).
• If yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm.
• If yu si se yu nɔ de pis ɔ yu de swel na yu leg ɛn yu anklɛ (dɛn kin bi sayn fɔ se yu kidni nɔ de wok fayn fayn wan).

Mɛmba se, ɔda sik dɛn bak kin kam wit dɛn sayn ya. Bɔt i impɔtant fɔ mek dɔktɔ chɛk yu fɔ no di rayt tin we mek yu du dis.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Wi kidni dεm na כgan we wi bכdi nכ nid fכ du, we de du wan saylεnt εn imכtant wok. Dɛn kin filta di dɔti tin dɛn ɛn mek di wata ɛn sɔl balans na di bɔdi. Dayabitis we dɛn nɔ kin kɔntrol, we yu yuz mɛrɛsin fɔ mɛn pen pasmak (NSAID), ɛn difrɛn ɔda mɛrɛsin dɛn kin pwɛl di kidni, ɛn dis kin mek yu gɛt siriɔs sik lɛk Renal Papillary Necrosis.

De tin wae wɔs pas ɔl bɔt dis sik na wae yu nɔr kin gɛt ɛni sayn wae de kam fɔs. So, if yu gɛt dayabitis, yu kin yuz NSAID bɔku tɛm, ɔ yu gɛt ɔda tin dɛn we kin mek yu gɛt sik na yu kidni, tɔk to yu dɔktɔ bɔt aw fɔ protɛkt yu kidni. If yu de chɛk yu kidni ɔltɛm ɛn fala di we aw yu de liv yu layf fayn, yu go ebul fɔ mek yu kidni dɛn gɛt wɛlbɔdi. Fɔ no kwik kwik wan ɛn fɔ du sɔntin na di bɛst tin fɔ du ɔltɛm.

` Kidni, rεnal papila nεkrכsis, kidni sik, dayabεtis, NSAID, kidni fεil, urine