If yu na pɔrsin wae de gɛt tritmɛnt fɔ kidni sik, mɔr lɛk Kronik Kidni Disease (CKD), sɔmtɛm yu kin fil lɛk se yu de it ɔlsay na yu bɔdi we yu nɔ go ebul fɔ bia? Sɔmtɛm dis it kin so bad dat yu nɔ kin ivin ebul fɔ slip na nɛt. Infakt, sɔntɛnde, sɔm tɛm dɛn kin de we di skin kin wund we i skrach. Dis na sɔm kayn tin wae kin anɔynt bɔt kɔmɔn tin wae dɛn kin si pan pipul dɛm wae gɛt kidni. Tide wi de tɔk bɔt dis sik, we dɛn kɔl ‘Uremic Pruritus’.
Wetin na Yuremik Pruritus?
Fɔ tɔk am simpul wan, dis na sik we de mek pɔsin it bad bad wan we kin apin to pipul dɛn we gɛt kronik kidni sik (CKD) ɛn ɛnd-stej kidni sik (ESKD). Di spɛshal tin bɔt dis na dat, bɔku tɛm nɔr kin gɛt klia rash ɔr skin sik wae kin mek dis it. Dat min se, di bɔdi de skrach we nɔ gɛt ɛni prɔblɛm we de sho se di skin gɛt.
Dis it kin afɛkt yu difrɛn we dɛn:
- Sɔntɛnde, i kin kam ɛn go afta sɔm tɛm.
- Sɔm pipul dɛn kin gɛt dis it ɔl di de.
- Dis it kin bɔku, mɔ na nɛt, ɛn i kin mek pɔsin nɔ slip fayn.
- I kin fil lɛk se i de it ɔlsay na yu bɔdi wan tɛm, ɔ yu kin jɔs fil am na sɔm patikyula say dɛn lɛk yu bak, yu fes, ɔ yu an ɛn fut dɛn.
- Dis it kin wɔs we yu skin dɔn dray.
- Dis it wae yu de it ɔltɛm kin gɛt big impak pan yu maynd wɛl bɔdi ɛn kwaliti layf.
pan ɔl we dεn yuz di tεm "Uremic" fכ dεskrεb dis kכndyushכn, i nכ 100% sכri fכ se na di tכxin dεm we de kכmכt na di bכdi (Uremia) de kכz am. So, dɛn kin kɔl am bak Kronik Kidni Disease-associated Pruritus (CKD-aP).
Udat go mɔs si dis kayn tin?
Dis it kin mɔs pan di wan dɛn we de du kidni dayalaysis. Dat min se, pipul dɛm we de du ɛmodayalis ɔ peritoneal dayalaysis kin gɛt dis sik pas di wan dɛm we gɛt kidni we nɔ kin gɛt dis sik.
Risach dɔn sho se di wan dɛn we gɛt kidni we dɔn pas 70 ia kin gɛt dis rash ɛn i kin tranga mɔ.
Tink bɔt dis: 70% pan di pipul dɛn we de du ɛmodayalis, ɔ lɛk sɛvin pan tɛn, kin gɛt sɔm kayn it. Dis kin kɔmpia to lɛk 25% pan di wan dɛn we gɛt krɛse sik na dɛn kidni we nɔ de pan ɛmodayalis, ɔ lɛk wan pan ɔl 4 pipul dɛn.
Usay na yu bɔdi yu kin it mɔ?
Bɔrku pipul dɛn kin gɛt dis it ɔlsay na dɛn bɔdi ɔr ɔlsay na dɛn bɔdi. Bɔt di say dɛn we di sik pipul dɛn kin ripɔt se dɛn kin it mɔ na di bak, dɛn fes, ɛn di an we gɛt dayalaysis shunt .
Aw di dɔktɔ kin no dis ɛn wetin na di rizin dɛn?
If yu gɛt krɛse sik ɛn yu gɛt dis kayn it, yu dɔktɔ go fɔs chɛk fɔ ɔda tin dɛn we kin mek yu it. Dɛn go chɛk fɔ ɔda chenj dɛn na di skin, lɛk we yu gɛt rash. Dɛn kin du sɔm blɔd tɛst dɛn bak. If dɛn nɔr ebul fɔ fɛn ɔda kɔz, yu dɔktɔ go no se di sik na Uremic Pruritus.
Masta sabi bukman dɛn stil nɔ rili shɔ wetin mek dis kin apin, bɔt sɔm tin dɛn de we dɛn tink se kin mek dis apin.
| I Posibul Kɔz | Fɔ tɔk am simpul wan... |
|---|---|
| Akyumyuleshכn כf tכxin dεm na di bכdi (Uremic toxins) . | We di kidni dɛn nɔ de wok fayn, bad bad pɔyzin dɛn kin gɛda na di blɔd. Dɛn pɔyzin ya kin mek di nerv dɛn na di skin wok ɛn mek i it. |
| Imyun sistɛm nɔ balans | Kidni sik kin chenj di we aw wi imyun sistɛm de wok. Sɔm pan dɛn chenj ya ɛn di inflamɛns we de bɔku na di bɔdi kin mek pɔsin it. |
| Nyuropati we pɔsin kin gɛt | Nyuropathy kin bi bikɔs ɔf ɔda kemikal dɛn we nɔ balans na di bɔdi. dis na we di nεv dεm nכ de sεnd כ rεsכp signal kכrekt wan. dis kכrekt signal dεm we di bren kin intaprit dεm lεk 'itch'. |
| Mɛrɛsin dɛn we yu de tek | Sɔm mɛrɛsin wae dɛn kin tek fɔ kidni sik kin mek yu it bak as sayd ɛfɛkt. |
Wetin na di tritmɛnt fɔ dis it?
Nɔr wan tritmɛnt nɔr de wae de woke fɔ ɔlman. Bɔt yu dɔktɔ kin ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu. Na sɔm pan de tritmɛnt dɛm wae de naw.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Di chenj dɛn we de apin na di ɛmodayalis | Yu dɔktɔ kin mek sɔm chenj dɛn to yu dayalaysis rijim fɔ ɛp fɔ mek yu nɔ it. |
| Layt tɛrapi (Fototɛrapi) . | Dis na tritmɛnt wae de yuse layt fɔ trit di sik dɛm na di skin. Dɛn dɔn sho se sɔm kayn layt tritmɛnt kin wok fayn fɔ ridyus di it. |
| Mɛrɛsin fɔ mek pɔsin gɛt pen na di nerve | Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ mek yu nɔ gɛt pen na yu nerv kin ɛp bak fɔ kɔntrol di it we yu de it. Fɔ ɛgzampul, drɔgs dɛn we dɛn kɔl Gabapentin ɛn Pregabalin. |
| Kappa-opioid agonists drɔgs | Dɛn mɛrɛsin ya de wok bay we dɛn de ridyus di nerve signal dɛm we de mek pɔsin it. Diphenhydramine ɛn Nalbuphine na ɛgzampul fɔ dis kayn mɛrɛsin. |
| Kidni we dɛn kin transplant | Dis nɔto mɛrɛsin fɔ it. Bɔt risach sho se afta dɛn dɔn transplant dɛn kidni, di it kin dɔn kpatakpata pan lɛk 75% pan di sik pipul dɛn. |
Wetin a kin du na os fɔ dis it?
Tɔk to yu dɔktɔ bɔt sef we fɔ kɔntrol it na os. Yu go si sɔm tin dɛn we go mek yu fil fayn frɔm dɛn tin ya:
- Fɔ put mɔstizayza pan di skin. I bɛtɛ fɔ put am afta yu dɔn was we di skin stil wet.
- Yuz sɔm anti-it loshan dɛn. Bɔt aks yu dɔktɔ bifo yu yuz ɛnitin.
- Bɔrku pipul kin tek antihistamine wae dɛn gɛt it. Bɔt masta sabi pipul dɛn se dɛn mɛrɛsin ya nɔ kin rili wok pan dis sik we dɛn kɔl uremic pruritus. Ɛn dɛn kin mek pɔsin gɛt bad bad tin dɛn we i nɔ want.
Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?
Dis it we yu de it ɔltɛm kin afɛkt yu bɔdi ɛn yu maynd wɛlbɔdi.
- If yu skrach ɔltɛm, dat kin pwɛl yu skin ɛn mek yu gɛt infɛkshɔn.
- We yu nɔ slip, dat kin mek yu nɔ gɛt bɛtɛ layf.
- Infakt, sɔm stɔdi dɛn dɔn sho se di nɔmba fɔ pipul dɛn we gɛt dis it na dɛn kidni kin bɔku smɔl pas di wan dɛn we nɔ gɛt it. Dɛn kin tink se wan men rizin fɔ dis kin bi di prɔblɛm dɛn we kin kam we pɔsin nɔ kin slip fayn.
So nɔ dismis am as "jɔs itch." I kin afɛkt yu ɔl yu wɛlbɔdi.
Yu tink se we de fɔ mek dis nɔ apin?
Nɔr patikyula we nɔr de fɔ mek yu nɔr it di it wae gɛt fɔ du wit sik na yu kidni. Bɔt if yu ebul fɔ no sɔm pan di tin dɛm (trig) we de mek i wɔs, yu kin kɔntrol di it bay we yu avɔyd dɛm. Fɔ ɛgzampul:
- Si if tin dɛm lɛk dray skin, wam pasmak ɔr kol, ɔr strɛs de mek yu it de mek yu it.
- Nɔ was fɔ lɔng tɛm.
- Put mɔstizayza wantɛm wantɛm afta yu dɔn was.
- If di wɛda dray, yuz humidifier na di rum.
If yu gɛt ɛni it, tɛl yu dɔktɔ aw i bad. Nɔ jɔs ignore am. Yu dɔktɔ kin ɛp yu fɔ kɔntrol am bay we i chenj di tritmɛnt we yu de gi ɔ yuz ɔda we dɛn.
Mɛsej we dɛn kin kɛr go na os
- It kin rili kɔmɔn pan pipul dɛm wae gɛt krɛse sik (CKD) ɛn ɛnd-stej rεnal sik (ESKD).
- Dis it nɔ de kɔmɔt frɔm rash we yu kin si ɔ ɔda sik, so nɔ ignore am as "jɔs it."
- I nɔ mata aw smɔl yu it, mek shɔ se yu tɛl yu dɔktɔ bɔt am ɛn ɛksplen aw i de afɛkt yu layf.
- Difrɛn tritmɛnt dɛn de fɔ kɔntrol dis it, so yu nɔ nid fɔ sɔfa wit am.
- Bikɔs if yu it ɔltɛm, dat kin afɛkt yu slip, yu maynd wɛlbɔdi, ɛn ɔl yu layf, i impɔtant fɔ go to dɔktɔ kwik kwik wan.
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