Di kidni dɛn na wi bɔdi tan lɛk pipul dɛn we nɔ de tɔk natin, nɔto so? Dɛn kin du bɔku wok we wi nɔ kin ivin no. Dɛn kin klin wi blɔd ɔl di de, dɛn kin kɔntrol di wata we de na wi bɔdi, ɛn pul dɔti tin dɛn we nɔ nid fɔ de. Bɔt sɔntɛnde, dɛn kidni ya kin gɛt prɔblɛm bak. Tide wi go tɔk bɔt wan sik we kin afɛkt dɛn kayn kidni ya. Dat na rεnal parεnkaymal sik, כ insay Inglish `(Rεnal Parenchymal Disease)` . Dis nem kin tan lɛk se i kɔmplikt smɔl we yu yɛri am, bɔt lɛ wi ɔndastand am simpul wan.
Wetin na di sik we dɛn kɔl Renal Parenchymal Disease?
Fɔ tɔk am simpul wan, dis na grup fɔ tin dɛn we kin pwɛl di kidni dɛn. i kin mεntal afekt di pat pan di kidni we dεn k כl ``Parenchyma'' . Naw yu kin de wɔnda wetin na dis parenchyma. Dat min se di men pat dεm na di kidni we de wok, כ de εp di kidni fכ wok. Dis parenchyma gɛt tu men pat dɛn:
1. Rεnal Kכtεks : Dis na di כta pat pan di kidni. di sכm sכm filta yunit dεm na wi kidni dεm we dεn k כl nεfrכn , de stat ya. Dɛn nɛfrɔn dɛn ya tan lɛk smɔl smɔl filta dɛn. Dɛn gɛt tu pat. Wan pan dɛn na blɔd vesel we dɛn kɔl glomerulus . di ɔda wan na smɔl tiub we dɛn kɔl rεnal tכbul .
- Di blɔd fɔs na di glomeruli dɛn kin filta am .
- di wok we di rεnal tכbul dεm de du na fכ tek bak di wata, nyutriεnt dεm, εn minral dεm we di bכdi nid εn kכmכt west prכdak dεm we nכ nid tru urine.
- pan tap dat, di kidni kכtεks de mek bak wan כmon we dεn kכl `Erythropoietin (EPO) .` dis `(EPO)` כmon de εp wi `Bכn mכro` fכ mek rεd bכdi sεl dεm.
2. Rεnal mεdula : Dis de na di insay say na di kidni. כl di nεfrכn dεm de na dis pat.
So, dכkta dεn kכl εni kכndyushכn we de afekt di kכtεks כ di mεdula na di kidni rεnal parεnkayma sik. Dɛn kin kɔl am ɔda nem dɛn bak, fɔ ɛgzampul, baylatarɛl rεnal parεnkayma sik, ɛn kidni parεnkaymal sik.
Wetin na di men kayn dis sik?
Dis sik kin sheb to tu men kayn:
- Akyu Rεnal Parenchymal Disease : Dis kin stat wan wan.
- Chronic Renal Parenchymal Disease : Dis kin go bifo smɔl smɔl ɛn kin te fɔ lɔng tɛm.
Yu tink se dis sik denja?
I rili dipen pan wetin de mek di sik ɛn aw i siriɔs. Sɔm kayn kes dɛm wae nɔr kin pasmak kin bɛtɛ wit tritmɛnt. Bɔt if i sik bad bad wan, .I kin go bifo to `Kidney Failure.` As yu no, kidni failure na sɔntin we kin mek pɔsin in layf de pan denja if dɛn nɔ trit am.
Wetin na di fɔs sayn dɛm we pɔsin kin no?
Bɔrku tɛm, nɔr big sayn nɔr kin de na di fɔs stej fɔ dis sik. Na dat mek i de mek pɔsin fred smɔl. Bɔt as di sik de go bifo ɛn yu kidni dɛn nɔ de wok igen, yu kin gɛt sɔm sayn dɛn lɛk dis:
- Blɔd we de na di urine (Hematuria) .
- Dray ɛn it skin skin
- Fɔ fil se yu taya pasmak
- Fil fɔ it
- di rεd bכdi sεl dεm we de na di bכdi de dכn (Anemia) .
- Nɔs ɛn vɔmit
- Fɔ pas mɔ urine pas aw i kin pas
- Swɛlin rawnd di yay
- Di an, fut, ɛn anklɛ dɛn kin swel (Edima) .
If yu gɛt wan ɔr mɔr pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ.
Wetin kin mek dis apin?
Di tu men tin dɛn we kin mek pɔsin gɛt sik na in kidni we nɔ de dɔn na ay blɔd prɛshɔn ɛn dayabitis . Bɔt ɔda tin dɛn kin de we kin mek i apin:
- Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf , lɛk Lupus Nephritis
- Glomerulonephritis (inflameshɔn na di filta yunit dɛm na di kidni dɛm) .
- `Kidni Kansa`
- Polisistik Kidni Disease ( kidni sist) .
- `Siklɔs Sɛl Sik`
Tin dɛm wae kin mek yu gɛt sɔdɛn (Acute) kidney parenchymal disease na:
- Sivɛri alɛji riakshɔn (Anaphylaxis) .
- `Bakterial Infεkshכn`
- `Kidni Ston`
- `Kidni Tumɔs`
- Pulmonary Embolism (na blɔd we de klɔt na blɔd vesel we de go na di lɔng) .
- `Siriv Dihaydreshɔn`
- `Vayral Infεkshכn`
Sɔm mɛrɛsin kin mek dis `(Acute)` kɔndishɔn bak. Ɛgzampul dɛn:
- `Angiotensin-kכnvεrt εnzym inhibito dεm (ACE Inhibitors)`
- `Angiotensin II rεsεptכr blכkεr dεm (ARBs)`
- `Nכnstεroyd Anti-inflammatory Drugs (NSAID)` (e.g. Ibuprofen, Diklofenak)
Udat dɛn kin gɛt dis sik mɔ?
Ɛnibɔdi kin gɛt dis sik, bɔt yu kin gɛt dis sik smɔl if yu gɛt dɛn tin ya:
- If ɛnibɔdi na di famili gɛt dis kidni parenchyma sik
- If yu gɛt dayabitis
- If yu gɛt at sik
- If yu gɛt `High Blood Pressure`
Dɔn bak, if yu dɔn pas 60 ia ɛn yu kin yuz NSAID pen kil dɛn we dɛn kin bay ɔltɛm (OTC) ɛn we dɛn kin gi yu, yu kin gɛt mɔ prɔblɛm.
Wetin na de prɔblɛm wae kin kam wit dis sik?
If dɛn nɔ kɔntrol dis sik fayn fayn wan, difrɛn prɔblɛm dɛn kin apin. Sɔm pan dɛn na:
- di asid we de na di bכdi de inkrεs (Mεtabolik Asidכsis) .
- di fכsfεt (fכsfכr) lεvεl dεm na di bכdi de go כp (Hyperphosphatemia) .
- di potashכm lεvεl dεm we de na di bכdi de go כp (Hyperkalemia) .
- Di rεd bכdi sεl dεm we de dכn (anemia) .
- Pen we yu kin gɛt we yu de put yurik asid na di jɔyn dɛn (Gout) .
- Ɔstioporosis we pɔsin kin gɛt
- Di imyun sistɛm we wik
Impɔtant: Nɔto ɔlman go gɛt dɛn prɔblɛm ya. Bɔt if yu tek kia ɔf di sik ɛn gɛt di rayt tritmɛnt, bɔku pan yu kin avɔyd dɛn.
Aw yu kin no dis sik kɔrɛkt wan? (Diagnosis) .
Dɔktɔ go aks bɔt yu sik, rivyu yu mɛdikal istri, aks bɔt di mɛrɛsin dɛn we yu de tek, ɛn du ɛgzam fɔ yu bɔdi. Dɔn, if dɛn tink se yu gɛt di sik, dɛn go ɔda fɔ du sɔm tɛst fɔ no if yu gɛt di sik. Sɔm pan dɛn tin ya na:
- Kidni Fכnshכn Tεst : Dɛn tεst dεm ya na blɔd tεst εn urine tεst . di bכdi tεst dεm de chεk yu εstimat glomerular filtration rate (eGFR) εn di sεrum kriaytinin lεvεl . di tεst dεm fכ yurin de chεk fכ protinuria εn blכd na di urine.
- Imej tɛst : Dɛn tin ya kin ɛp dɔktɔ dɛn fɔ no klia wan bɔt di sayz, shep, ɛn di we aw di kidni dɛn tan. Dɛn kin ɔda fɔ mek dɛn du ɔltra saund skan, MRI (Magnetic Resonance Imaging) skan, ɔ CT (Computed Tomography) skan.
- Kidni Bayopsi : Insay dis tɛst, dɔktɔ kin tek wan smɔl pat pan di kidni ɛn tɛst am na lɛbɔtri. Dis bayɔpsi kin gi infɔmeshɔn we ɔda tɛst dɛn nɔ kin gi.
Aw dɛn kin trit am?
di tritmεnt fכ di rεnal parεnkaymal sik de dipכnt pan sεvεra tin dεm. Dɛn tin ya na:
- Wetin rili de kɔz di sik ɛn aw i siriɔs.
- Yu ej ɛn ɔl yu wɛlbɔdi.
Di tritmɛnt dɛn we yu kin pik kin bi:
- Nɔ yuz NSAID pen kil ɛn ɔda mɛrɛsin dɛn we kin mek di kidni sik wɔs.
- Nɔ yuz tabak ɔltogɛda (smok, vap, chew tabak, ɛn ɔda tin dɛn).
- Fɔ du ɛksɛsayz ɔltɛm.
- Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
- Fɔ tek di mɛrɛsin dɛn we yu nid fɔ kɔntrol blɔd prɛshɔn, kɔlɔstrel, ɛn dayabitis.
- Tɔk to wan Renal Dietitian fɔ mek yu gɛt it we go bɛnifit di kidni dɛn. Dis kin inklud it we de ridyus di prɔtin, we de mek di kɔlɔstrel we de na di blɔd go dɔŋ, ɛn we nɔ de mek sɔl (sɔdiɔm) ɛn potashɔm nɔ bɔku.
If di sik tranga, dɛn kin nid fɔ du dɛn tritmɛnt ya:
- Kɔtikosterɔyd (na wan kayn mɛrɛsin we de ridyus di inflamɛns) .
- Dayalaysis (fɔ klin di blɔd wit di ɛp fɔ mashin we di kidni dɛn nɔ de wok fayn) .
- Immunosuppressants (mɛrɛsin dɛn we de ridyus di wok we di imyun sistɛm de du) .
- `Kidni Transplant`
If a gɛt dis sik, wetin a fɔ ɛkspɛkt?
If yu gɛt dis sik, yu nid fɔ wok wit yu mɛdikal tim fɔ kɔntrol di damej we yu kidni dɛn gɛt ɛn fɔ mek dɛn kɔntinyu fɔ wok fɔ lɔng tɛm. Na sɔm tin dɛn we yu fɔ du:
- Fɔ kip it we go bɛnifit di kidni dɛn.
- Yu fɔ wach yu blɔd shuga ɛn blɔd prɛshɔn ɔltɛm.
- Go to dɔktɔ we de mɛn yu kidni ɛn mek dɛn chɛk yu kidni ɔltɛm.
- Fɔ tek di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
Aw lɔŋ yu kin liv wit dis sik?
I at fɔ gi wan ansa to dis kwɛstyɔn. Bikɔs i kin dipen pan bɔku tin, lɛk aw di sik bad, yu ej, yu man ɔ uman, ɛn ɔl yu wɛlbɔdi. If yu kidni dɛn dɔn pwɛl bad bad wan, yu nɔ go ebul fɔ liv lɔng. If yu de pan dayalaysis, dɛn kin ɛkspɛkt yu fɔ liv fɔ 5 to 10 ia.
Bɔt mɛmba! Dis na jɔs wan avrej. Bɔku pipul dɛn kin liv lɔng pasmak if dɛn gɛt di rayt tritmɛnt ɛn dɛn transplant dɛn kidni. Ivin pipul dɛm wae gɛt ɛnd-stej rεnal sik kin liv fɔ 20-30 ia. So, tɔk to yu dɔktɔ ɛn lan mɔ bɔt yu sik.
Yu tink se we dɛn de fɔ avɔyd dis sik? (Prɛvenshɔn) .
Pan ɔl we nɔto ɔl di tin dɛn we kin mek yu gɛt dis sik, yu kin ridyus di chans fɔ gɛt dis sik bay we yu du dɛn tin ya:
- Du ɛksɛsayz tranga wan fɔ lɛk fayv dez insay di wik, fɔ at le 30 minit insay di de.
- Fɔ stɔp fɔ drink rɔm.
- Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
- If yu gɛt ay risk fɔ gɛt kidni sik (e.g. dayabitis, ay blɔd prɛshɔn), go to dɔktɔ ɔltɛm fɔ chɛk-ap.
- Nɔ smok atɔl.
- Fɔ ridyus di sɔl we dɛn kin ad to it dɛn.
- `NSAID`Yuz mɛrɛsin fɔ mek yu fil pen jɔs lɛk aw dɔktɔ tɛl yu.
Us it dɛn pɔsin we gɛt dis sik fɔ avɔyd?
If yu gɛt rεnal parenchymal disease, i rili impɔtant fɔ go to rεnal dietitian . I go mek wan it plan we go fayn fɔ yu ɛn we go fayn fɔ yu kidni. Bɔku tɛm yu go nid fɔ stɔp fɔ it tin dɛn we gɛt bɔku sɔl, prɔtin, fɔsfɔr, ɛn potashɔm. Sɔm ɛgzampul dɛn na:
- Avokado we dɛn kɔl
- Banana
- Fɔd we dɛn kin put insay tin fɔ it
- Snek dɛn we gɛt sɔl lɛk chips ɛn prɛzɛl
- Sitrus frut ɛn jus, lɛk ɔrɛnj
- Frut dɛn we dɛn dɔn dray
- Mit dɛn we dɛn dɔn prosɛs (lɛk sosish, mitbɔl) .
- Grin
Impɔtant: Sɔntɛm dis list nɔto fɔ ɔlman. Aks yu nyutrishɔnist fɔ patikyula advays bɔt us it dɛn we fayn fɔ yu ɛn wetin yu fɔ avɔyd.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt dayabitis, ay blɔd prɛshɔn, ɔ ɔda tin we kin mek yu gɛt sik na yu kidni, go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. If yu no ɛn ɔndastand di tin dɛn we kin mek yu gɛt prɔblɛm kwik kwik wan, dat kin ɛp fɔ mek yu kidni nɔ pwɛl mɔ.
Ustɛm yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?
di simptom dεm fכ di rεnal parεnkaymal sik kin apin afta we di kidni dεm dכn pwεl bכku. If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm:
- If di mɔsul dɛn kin twist bɔku tɛm
- If yu gɛt apɛtit
- If yu fil se yu taya bad bad wan
- If i nɔ izi fɔ yu fɔ pe atɛnshɔn ɔ fɔ slip
- If yu gɛt skin we de it
- If yu gɛt hiccups we nɔ go stɔp
- If yu an, yu anklɛ, ɔ yu fut dɛn dɔn swel
- If yu de pis mɔ ɔ smɔl pas aw yu kin pis
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:
- Aw yu go no if a gɛt rεnal parenchymal sik?
- Aw i siriɔs?
- Us tritmɛnt dɛn yu kin advays?
- Wetin a go du fɔ protɛkt mi kidni?
- Yu kin rεkomεnd spεshal nyutrishכn fכ pipul dεm we gεt kidni?
- Yu kin tɛl mi bɔt wan sɔpɔt grup we de ɛp pipul dɛn we gɛt dis sik?
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Rεnal Parenchymal Disease na wan kכndyushכn we de afekt di wok we yu kidni dεm de du. Di men gol fɔ tritmɛnt na fɔ manej di sik fɔ mek di kidni wok fayn fɔ lɔng tɛm. Bɔrku pipul dɛn kin liv wit dis sik fɔ bɔrku ia.
Bɔt we dɛn no se yu gɛt dis sik ɛn yu fɔ gɛt tritmɛnt ɔltɛm, yu kin fil bad ɛn vɛks. Dis na nɔmal tin. We yu tɔk bɔt dis wit yu fambul ɛn padi dɛn we yu abop pan, dat go ɛp yu. Yu kin jɔyn sɔpɔt grup bak fɔ pipul dɛm wae gɛt dis sik. If yu gɛt ɛni kwɛstyɔn, nɔ fred fɔ tɔk to yu dɔktɔ. Dɛn go ɛp yu. Nɔto yu wan de!
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