Imajin wetin go apin if yu nɔ ebul fɔ pul di dɔti na yu os fɔ sɔm dez? Di wan ol os go dɔti ɛn bigin fɔ smɛl, nɔto so? Wi bɔdi na di sem we. if wi bכdi in ‘trash filta’, dat na di kidni dεm, nכ de wok fayn, di tכxin dεm de bigin fכ kכlכm insay di bכdi. Dɛn kɔl da denja kɔndishɔn de, usay di lɛvɛl we di pɔyzin de go ɔp ɛn di sayn dɛn we de sho se i gɛt di sik, na in dɛn kɔl Yuremia. Dis nɔto kɔndishɔn we wi fɔ tek tɛm tink bɔt. Lɛ wi tɔk bɔt dis ditayli.
Fɔ tɔk am simpul wan, wetin na Yurɛmia?
Yuremia na wan denja sik we kin apin we yu kidni nɔ de wok fayn ɛn nɔ ebul fɔ filta ɛn pul dɔti tin dɛn we de na yu blɔd. Dis na di ɛnd rizɔlt fɔ di kidni we nɔ de wok fayn we dɛn nɔ trit am . Di sayn dɛm fɔ yuremia kin apin we di west lɛvɛl na yu blɔd kin rili ay.
Nɔmal wan, we wi kidni dɛn gɛt wɛlbɔdi, dɛn kin filta dɔti tin dɛn ɛn ɛkstra wata we de kɔmɔt na di blɔd. dis west prodakt dεm εn wata dεm de kכmכt na di bכdi insay di fכm fכ urine (pi). Dɛn kin ɛp bak fɔ mek di asid, ilɛktrɔlayt, ɛn ɔmon dɛn lɛk vaytamɛn D ɛn ɛrythropoietin (EPO) kɔntinyu fɔ gɛt di rayt lɛvɛl. we di kidni dεm dכn pwεl, dis filta prכsεs nכ de wok fayn. Dis kin mek pɔyzin kin bɔku na di bɔdi.
Bɔrku tɛm, yuremia kin kam bikɔs yu kidni nɔr de woke fayn bikɔs ɔf krεse sik (CKD) . Dɛn kin kɔl dis bak ɛnd-stej rεnal sik (ESKD). I kin apin bak if di kidni nɔ wok bikɔs ɔf wan sɔdɛn, siriɔs kidni injuri (akyu kidni injuri).
Di tin we impɔtant pas ɔl na dat, if dɛn nɔ trit yuremia fayn, i kin mek pɔsin kɔma ɛn te go day.
Wetin na di sayn dɛm wae de sho se yu gɛt yuremia?
Di sayn dɛm wae de sho se yu gɛt yuremia nɔr kin tranga wan tɛm. Dɛn kin rili subtle fɔs. I rili impɔtant fɔ no dɛn sik ya kɔrɛkt wan ɛn go to dɔktɔ kwik kwik wan.
Di fɔs sayn dɛn na we yu nɔ de fil fayn, yu de vɔmit, ɛn yu nɔ de want fɔ it igen . Yu kin fil nɔys we yu fɔs wek na mɔnin. Yu kin et bak di smel we it de smɛl. Sɔm pipul dɛn nɔ kin it te dɛn bigin fɔ it. If fɔ transplant kidni nɔto opshɔn, dɔktɔ kin tɛl yu fɔ bigin dayalaysis jɔs afta dɛn smɔl smɔl tin ya bigin.
| Tayp fɔ di simptom | Tɔk bɔt |
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| Ɔda tin dɛn we pipul dɛn kin du |
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| Simptom dɛm wae kin apun wae de sik kin kam siriɔs |
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Wetin na di men tin dɛm wae kin mek pɔrsin gɛt yuremia?
Di men tin we kin mek yu gɛt yuremia na di sik we dɛn kɔl kronik kidni (CKD), we kin mek di kidni nɔ wok fayn. Ɛni sik we kin mek pɔsin gɛt CKD kin mek di kidni nɔ wok fayn ɛn i kin mek i gɛt yuremia.
Di tin dɛm wae kin mek wi gɛt CKD na Sri Lanka na:
- Shuga
- Ay blɔd prɛshɔn (Hypertension) .
Bɔku ɔda rizin dɛn kin de apat frɔm dɛn tu rizin ya. So, if yu gɛt dayabitis ɔ yu gɛt ay blɔd prɛshɔn, i impɔtant fɔ tek kia ɔf yu kidni wɛlbɔdi ɔltɛm.
Udat dɛn de pan denja mɔ?
Pipul wae gɛt kidni failure ɛn nɔr kin ebul fɔ stat dayalaysis bifo di simptom dɛm fɔ uremia sho na dɛn kin gɛt di ay risk. Sɔmtɛm, pipul dɛn nɔ kin ivin no se dɛn gɛt krɛse sik. Dis kin mek dɛn nɔ gɛt di tritmɛnt we dɛn nid fɔ mek dɛn nɔ gɛt di kidni we nɔ de wok fayn.
If yu gɛt CKD, mɔ if yu ɛstimat kidni wok (eGFR) nɔ rich 45, i rili impɔtant fɔ go to nɛfrɔlɔjis ɛn bigin tritmɛnt.
Aw fɔ no dis sik?
Yu dɔktɔ go fala sɔm step fɔ no if yu gɛt yuremia.
1. Lisin gud gud wan to yu sayn dɛm.
2. 2. .Dɛn go aks yu ɛn yu famili in wɛlbɔdi histri, mɔ bɔt di sik we de na di kidni.
3. Dɛn kin du wan kɔmplit ɛgzam fɔ di bɔdi.
4. Dɛn kin du bɔku blɔd tɛst fɔ chɛk aw di kidni de wok.
Dɛn blɔd tɛst ya kin luk mɔ pan dɛn tin ya.
| Tɛst | Wetin yu si pan dat? |
|---|---|
| eGFR (Estimat Glomerular Filtreshɔn Rɛt) . | Dis de sho aw yu kidni dɛn de filta blɔd fayn fayn wan. Dis kin ɛp fɔ no if yu kidni dɛn nɔ de wok fayn. insay uremia, di eGFR kin de arawnd 15 כ lכw. |
| BUN (Blɔd Yuria Naytrɔjen) . | Dis de sho aw wan dɔti tin we dɛn kɔl yuria naytrɔjen de na di blɔd. Dis na di say we di nem uremia kɔmɔt. Insay uremia, di BUN lɛvɛl kin rili ay. Bɔt mɛmba se BUN na jɔs sayn fɔ di pɔyzin we de gɛda na di bɔdi. Nɔto BUN insɛf de mek di sik de kam. |
Apat frɔm dɛn tɛst ya, dɛn kin du tin dɛn lɛk fɔ du ɔltra saund skan na di kidni fɔ no wetin mek di kidni nɔ wok fayn.
Wetin na di tritmɛnt dɛm fɔ yuremia?
di onli we fכ kכl yuremia kכmplit wan na fכ mek di kidni dεm wok bak. Dat min se fɔ mek di kidni dɛn bigin fɔ wok bak, ilɛksɛf na atifishal ɔ natura.
Tu men we dɛn de fɔ trit pɔsin:
1. Dɛn kin du dayalaysis
Dis min se yu fɔ klin yu blɔd bay we yu yuz mashin ɔ ɔda we.
- Ɛmodayalis: Dis min se yu kin sɛn blɔd to mashin we de na do na yu bɔdi, klin am, dɔn yu kin put am bak na yu bɔdi.
- Pɛritonial Dayalaysis: Dis de yuz di layn na yu bɛlɛ (peritoneum) ɛn spɛshal wata fɔ klin yu blɔd.
2. Fɔ Transplant Kidni
Dis na di bɛst tritmɛnt opshɔn. If na so i bi, dɛn kin chenj di kidni we dɔn pwɛl wit kidni we kɔmɔt frɔm pɔsin we gɛt wɛlbɔdi (we de alayv ɔ we dɔn day). Bikɔs i bɛtɛ fɔ transplant kidni pas dayalaysis, i rili impɔtant fɔ tink bɔt am.
Yu nɔ tink se dɛn go mɛn am wit mɛrɛsin?
Mɛrɛsin nɔ kin ebul fɔ mɛn di sik dɛn we de sho se pɔsin gɛt yuremia kpatakpata. Bɔt yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk dis fɔ ɛp fɔ mek yu nɔ gɛt ɔda tin dɛn we yuremia kin du to yu bɔdi:
- EPO ɔmon fɔ mek yu nɔ gɛt anemia.
- Ayɔn tablɛt if yu gɛt ayɔn dɛfisiɛns.
- Kalsiɔm, vaytamɛn D, ɛn fosfɛt binder fɔ mek yu nɔ gɛt bon sik.
Ustɛm yu fɔ go to dɔktɔ?
Si yu dɔktɔ ɔltɛm fɔ wach aw yu kidni dɛn gɛt wɛlbɔdi, mɔ if yu gɛt tin dɛn we kin mek yu gɛt sik na yu kidni.
- If ɛnibɔdi na di famili gɛt kidni sik.
- If yu gɛt ay blɔd prɛshɔn.
- If chenj de pan di we aw yu de pis.
- If yu gɛt swɛlin na yu anklɛ, an, ɔ yu fes (ɛdima).
- If yu de tek NSAID ɔltɛm.
| If yu gɛt dɛn sik ya, go na di ETU (Imergency Treatment Unit) wantɛm wantɛm! | |
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Yu tink se dɛn kin mek yu nɔ gɛt yuremia?
Fɔ mek yu nɔ gɛt yuremia rili min fɔ mek yu nɔ gɛt ɔ kɔntrol di sik we de mek yu gɛt krɛse sik (CKD). If yu gɛt CKD, yu kin du dɛn tin ya fɔ ɛp fɔ mek di sik nɔ wɔs:
- Wok klos wit wan dɔktɔ we de mɛn yu nɛf.
- Kɔntrol yu blɔd prɛshɔn, dayabitis , ɛn ɔda sik dɛn we yu gɛt.
- Tek di mɛrɛsin dɛn we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
- Nɔ tek mɛrɛsin (especially NSAID), rɔm, ɛn ɔda drɔgs we kin pwɛl di kidni.
- Fɔ fala di it we go ɛp yu at ɛn we nɔ gɛt bɔku sɔl.
- Ɛksesaiz fayn fayn wan.
- Mek yu gɛt wɛlbɔdi bɔdi wet.
- If yu de smok, stɔp am wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Yuremia na wan bad bad tin we kin apin we yu nɔ trit yu kidni fayn.
- Di fɔs sayn dɛm wae de sho na yu nɔs ɛn nɔr kin want fɔ it. Nɔ ignore dɛn tin ya.
- Di men we fɔ trit pɔsin na dayalaysis ɔ kidni transplant.
- Fɔ kɔntrol dayabitis ɛn ay blɔd prɛshɔn na di bɛst we fɔ mek yu nɔ gɛt yuremia.
- If yu gɛt sik na yu kidni, ɔ yu de pan denja fɔ gɛt am, de kɔntakt yu dɔktɔ ɔltɛm ɛn gɛt di tɛst ɛn tritmɛnt we yu nid.
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