Nihal (we ol 58 ia) bin kam na mi klinik las wik we i bin de fil bad bad wan ɛn taya. I nɔ bin gɛt ɛni sik na in kidni, bɔt we dɛn bin de tɛst in blɔd, dɛn bin si se in tu kidni dɛn bin de pwɛl kwik kwik wan.
"Dɔkta Priya, a kin tek Losartan ɛn wan diuretic ɛvride, we di dɔktɔ bin gi mi fɔ ay blɔd prɛshɔn ɛn at sik. I nɔ tu te yet, bikɔs ɔf bad bad pen na mi sholda, a bay Diclofenac tablɛt frɔm wan famasi we nɔ gɛt dɔktɔ in prɛskrishɔn ɛn kɔntinyu fɔ tek am fɔ sɔm wiks. Naw mi tu leg dɛn dɔn swel ɛn i nɔ izi fɔ mek a blo," Nihal ɛksplen.
A tɛl Nihal wit kol at se, "Nihal, yu dɔn mek wan mistek we rili denja we yu nɔ no. We yu tek dis pen kil lɛk diklofenak wit di blɔd prɛshɔn pils ɛn wata pils we yu de tek, di blɔd flɔ to di kidni dɛn dɔn lɛf smɔl fɔ stɔp. Insay mɛrɛsin, wi kin kɔl dis triplɛ whammy . Dis dɔn mek yu kidni dɛn pwɛl bad bad wan. Lɛ wi tɔk bɔt dis jɔs tide." so dat ɔlman go no."
🚨 Rɛd Flag fɔ Kidni Fail we Fɔ Prompt Mɛdikal Tritmɛnt
If yu gɛt dɛn sik ya we yu de yuz mɛrɛsin fɔ mɛn pen we yu nɔ gɛt dɔktɔ in prɛskrishɔn, yu fɔ go to dɔktɔ wantɛm wantɛm bikɔs i kin bi sayn fɔ se yu kidni nɔ de wok fayn:
- Di leg, anklɛ, fut, ɔ fes kin swel wantɛm wantɛm (Fluid Retention).
- Fɔ blo bad bad wan we nɔ gɛt klia rizin.
- Fɔ fil se yu taya pasmak, yu taya, ɔ yu nɔ gɛt layf.
- di urine we de kכmכt wan wan dכn to wan rili lכw lεvεl (כ nכ urine we de kכmכt atכl).
Di silent denja fɔ NSAID pen kil
Bɔku pipul dɛn na Sri Lanka kin bay NSAID (Non-Steroidal Anti-Inflammatory Drugs) dairekt frɔm famasi we dɛn gɛt bɔdi pen, ed pen, ɔ mɔsul pen.
Di men ɛgzampul dɛn na:
- Diklɔfenak we dɛn kɔl
- Aspirin we dɛn kin yuz
- Ibuprofen we dɛn kɔl Ibuprofen
- Mefenamik Asid / Ponstan
Pan ɔl we dɛn mɛrɛsin ya kin mek pɔsin nɔ fil pen fɔ sɔm tɛm, if pɔsin kɔntinyu fɔ yuz am, i kin mek di kidni nɔ wok fayn fɔ ɔltɛm. Di risk kin pasmak we dɛn tek dɛn mɛrɛsin ya wit ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ blɔd prɛshɔn ɛn at sik.
Wetin na di "Triple Whammy" fɔ kidni we nɔ de wok fayn?
Di wan dɛn we dɛn de trit fɔ ay blɔd prɛshɔn ɛn at sik kin yuz dɛn tri klas ya drɔgs togɛda we dɛn nɔ no, ɛn dis kin mek di kidni nɔ ebul fɔ filta kpatakpata. Dɛn kin kɔl dis insay mɛdikal wɔd dɛn as di "Triple Whammy":
1. 1. 1. .ACE inhibitors ɔ ARBs: Na mɛrɛsin dɛn lɛk Captopril , Enalapril , ɔ Losartan, we dɔktɔ dɛn kin gi fɔ mek di blɔd prɛshɔn go dɔŋ, fɔ mek di efferent arterioles we de kɛr blɔd kɔmɔt na di kidni dɛn big ɛn fɔ ridyus di prɛshɔn we de insay di kidni dɛn.
2. Diuretics (wata pills): Na mɛrɛsin dɛn we de ɛp di bɔdi fɔ pul di sɔl ɛn wata we pasmak tru di urine, we de mek di blɔd we de flɔ to di kidni dɛn nɔ bɔku.
3. NSAID pen kil (Diclofenac/Aspirin): Dɛn pen kil ya de blok di prodakshɔn fɔ prostaglandin, we de ɛp fɔ mek di blɔd vesel dɛn na di kidni dɛn big. dis de mek di afferent arterioles dεm de sכmtεm sכmtεm.
We ɔl dɛn tri tin ya apin wan tɛm, di blɔd we de flɔ to di kidni kin go dɔŋ bad bad wan, di filtreshɔn prɛshɔn kin lɔs, ɛn akyu kidni injuri (AKI) kin apin.
Di risk fɔ bay mɛrɛsin na famasi pan impuls
Na fama dɛn de wok na di famasi dɛn, nɔto dɔktɔ dɛn we ebul fɔ no if pɔsin gɛt sik. Bikɔs dɛn nɔr no us mɛrɛsin yu de tek fɔ lɔng tɛm naw, fɔ gi yu di pen killer wae yu de aks fɔ kin mek yu gɛt day drɔg intarakshɔn lɛk dis.
Bɔku pipul dɛn na Sri Lanka kin yuz ivin simpul pen kil fɔ lɔng tɛm ɛn dɛn nɔ kin ɔndastand ɛnitin bɔt di siriɔs sayd ɛfɛkt dɛn we dɛn kin gɛt.
Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du
| ✔️ Tin dɛn fɔ du (Du) | ❌ Nɔ fɔ du am |
|---|---|
| If yu tek blɔd prɛshɔn pil ɔ wata pils, aks yu dɔktɔ fɔ advays ɛn yuz sef mɛrɛsin lɛk paracetamol nɔmɔ if yu fil pen. | Nɔ bay mɛrɛsin fɔ mek yu fil pen lɛk diklofenak, ibuprofen, ɔ aspirin dairekt frɔm famasi ɛn kɔntinyu fɔ tek dɛn we yu nɔ gɛt dɔktɔ in prɛskrishɔn. |
| Gɛt simpul blɔd tɛst (Serum Creatinine/eGFR) at le wan tɛm insay di ia fɔ chɛk aw di kidni de wok. | Nɔ ɛva yuz NSAID pen kil we yu gɛt fiva ɔ we yu nɔ gɛt wata na yu bɔdi. |
| Prɛzɛnt di ditel dɛm fɔ ɔl di lɔng tɛm mɛrɛsin dɛm we yu de tek to yu dɔktɔ ɛvri tɛm we yu si am. | Bikɔs di kidni we dɔn pwɛl nɔ go sho di sayn dɛn we yu bigin, nɔ wet te yu fil bad fɔ go to dɔktɔ. |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Us pasɛnt dɛn de pan risk fɔ di "Triple Whammy"? ▼ we dɛn kɔl
Dis risk kin rili bɔku pan di wan dɛn we de tek ACE inhibitor/ARB ɛn diuretics (wata pils) fɔ ay blɔd prɛshɔn, at sik, ɔ kidni we nɔ de wok fayn, ɛn we de tek pen kil (NSAID) bak.
A nid dayalaysis if a gɛt kidni we nɔ de wok bikɔs ɔf di mɛrɛsin dɛn we de mek a nɔ fil pen? ▼ we dɛn kɔl
If akyu kidni injuri apin, dɛn kin nid fɔ du dayalaysis fɔ sɔm tɛm fɔ kɔntrol di pɔyzin dɛn we de na di bɔdi. Bɔku tɛm, if dɛn stɔp fɔ tek di mɛrɛsin dɛn we de mek dɛn fil pen wantɛm wantɛm ɛn gɛt di rayt mɛrɛsin, di kidni dɛn kin wɛl insay sɔm wiks.
Yu tink se we yu yuz Paracetamol, i kin mek yu kidni pwɛl bak? ▼ we dɛn kɔl
Nɔ, paracetamol na kɔmplit sef fɔ di kidni dɛn we dɛn tek am di doz we dɛn se (nɔ pas 4g fɔ wan de). Bikɔs paracetamol nɔto NSAID, i nɔ de ambɔg di blɔd we de go na di kidni dɛn.
Wetin na di "Sick Day Rules"? ▼ we dɛn kɔl
Na di de dɛn we yu gɛt bad bad dayarɛa, vɔmit, ɔ ay fiva ɛn yu nɔ gɛt wata na yu bɔdi, yu fɔ stɔp fɔ tek mɛrɛsin lɛk ACE inhibitors, ARBs, diuretics, ɛn NSAID fɔ sɔm dez ɔnda dɔktɔ advays fɔ protɛkt di kidni dɛm, bikɔs blɔd nɔ de go na di kidni dɛm.
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