Yu dɔn ɛva gɛt pen we yu nɔ go ebul fɔ bia ɛn we de mek yu nɔ ebul fɔ waka, we kin bigin wantɛm wantɛm na wan say na yu bak ɛn travul te to yu bɛlɛ we de dɔŋ? Sɔm pipul dɛn kin kɔmpia dis pen to di pen we pɔsin kin fil we i bɔn pikin. If yu gɛt bad bad pen lɛk dis, ɛn i nɔ izi fɔ pis , ɔ if yu gɛt blɔd na yu urine, i kin bi sayn fɔ se ston na yu kidni dɔn stɔp na di urethra. Tide wi de tɔk bɔt Ureteral Stones, we na kidni ston we kin stɔp na di urethra. Nɔ wɔri, lɛ wi ɛksplen ɔltin insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na ureteral ston?
ureteral ston na rili kidni ston we dɔn brok fri ɛn lod insay di tin tiub we de kɛr urine frɔm di kidni to di blad. Dɛn kɔl dis tiub di ureter. Wi ɔl gɛt tu dɛn kayn tiub dɛn de fɔ wi kidni dɛn .
Tink bɔt am lɛk di tu filta dɛn we de na wi bɔdi. Dɛn kin klin di blɔd ɛn pul dɔti tin dɛn lɛk urine. Sɔntɛnde, di minral ɛn sɔl dɛn we de na yu urine kin mek smɔl smɔl ston dɛn we gɛt bɔku bɔku ston dɛn. Dis na wetin wi kin kɔl kidni ston ɔ kɔlkyul. As lɔng as dɛn ston ya de na di kidni , dɛn nɔ kin kɔz ɛni prɔblɛm. Bɔt we dɛn brok fri ɛn bigin fɔ muf dɔŋ di smɔl tiub, di prɔblɛm kin bigin. Di tiub smɔl, so di ston kin stɔp de. Dɔn di urine nɔ kin ebul fɔ flɔ, di tiub kin swel, ɛn na dat kin mek di pen we pɔsin nɔ ebul fɔ bia.
Dɛn ston ya kin gɛt ɔl kayn saiz. sכm sכm ston dεm, we tu sכm fכ si wit yu yay, de pas kכmכt na di bכdi wit urine we nכ gεt nכ prכblεm. Bɔt we di ston big, i kin stɔp na di dakt ɛn bigin fɔ sho sɔm sayn dɛn.
Mɛmba se, ston na yu kidni nɔ kin bɔku lɛk aw yu go tink. Na wan pan ɛvri tɛn pipul dɛn na di wɔl kin gɛt dis sik. So, i rili impɔtant fɔ mek wi no bɔt dis.
Wetin na di men kayn ston na di kidni?
Dɛn ston ya we kin mek na wi bɔdi nɔto ɔl di sem kayn. Bɔku men kayn dɛn de bay di kemikal dɛn we de mek dɛn gɛt dɛn. If yu no us kayn ston yu gɛt, dat kin ɛp yu fɔ trit am ɛn mek i nɔ fɔm bak.
| Ston Tayp | Dɛn jɔs mek am lɛk dis: |
|---|---|
| Ston dɛn we gɛt kalsiɔm | Dis na di kayn we we pipul dɛn kin gɛt mɔ. we di amount of kalsiכm na di urine de inkrεs, i de kam togεda wit kalsiכm oksalayt כ kalsiכm fכsfεt fכ mek dεn ston dεm ya. |
| Yurik asid ston dɛn | Dis kayn ston kin fɔm if yu gɛt tumɔs yurik asid na yu urine. Pipul wae de it bɔrku rεd mit εn fish εn nɔr de drink bכku wata kin de pan hεvi risk. |
| Struvite ston dɛn | Bɔku tɛm dɛn ston ya kin apin afta yu gɛt urinary tract infection (UTI) . di baktri dεm we de mek di infεkshכn de chenj di kεmikכl kכmכshכn na di urine, we de mek dεn ston ya fכm. |
| Sistin ston dɛn | Dis na tin we nɔ kin apin smɔl. dis ston dεm de fכm bikoz fכ wan hεriditri jεnεtik kכndishכn we dεn kכl Cystinuria, we de mek di amino asid sistin de lik frכm di kidni dεm go insay di urine. |
Wetin na di sayn dɛm we de sho se ston de stɔp?
Bɔku pan di smɔl smɔl ston dɛn kin pas na di bɔdi we nɔ gɛt ɛni sawnd. Bɔt if ston big fɔ blok di dakt, yu go mɔs bigin fɔ fil am. Dɛn sayn ya kin bigin wantɛm wantɛm.
| Di sayn we de sho se di sik de | Aw dat kin fil? |
|---|---|
| I kin fil pen bad bad wan | Shap pen we kin bigin na wan say na di bak, jɔs dɔŋ di rib dɛn. Dis pen nɔr kin de ɔltɛm, bɔt i kin kam ɛn go (intarmittent). Dis pen kin spre to di lכw bכdi εn di groin εria. |
| Pen we yu de pis we yu de pis | Bɔn ɔ pen we yu de pis. |
| Di chenj dɛn we de apin na di urine | Yurin kin tan lɛk pink, rɛd, ɔ brawn bikɔs ɔf blɔd we de na di urine. Yurin kin tan lɛk klawd bak. |
| Nid fɔ pis bɔku tɛm | Pan ɔl we di blad nɔ ful-ɔp, pɔsin kin fil bɔku tɛm se i nid fɔ pis. Bɔt we yu de pis, na smɔl tin nɔmɔ de kɔmɔt. |
| Vɔmit ɛn nɔs | Nɔs ɛn vɔmit kin apin wit bad bad pen. |
| Fiva ɛn kol kol | If yurinary tract infection apin wit di ston, sayn dɛm lɛk fiva, kol, ɛn shek shek kin apin bak. |
Di tin dɛn we kin mek ston ɛn di tin dɛn we kin mek i gɛt prɔblɛm
di simpul rizin na dat, mכr kεmεkal dεm we de fכm ston (kristayl) de na yu urine pas wata. We wi drink bɔku wata, dɛn kemikal ya kin sɔlv ɛn kɔmɔt na di urine. Bɔt we wi nɔ drink bɛtɛ wata, di urine kin kɔnsɛntret mɔ ɛn dɛn tin ya kin bigin fɔ tay togɛda ɛn mek ston.
Pan ɔl we ɛnibɔdi kin gɛt ston, sɔm pipul dɛn kin gɛt di prɔblɛm smɔl.
- Fɔ man: Pan ɔl we uman ɛn pikin dɛnsɛf kin gɛt ston, man kin gɛt ston mɔ.
- Bitwin di ej wae de bitwin 40 ɛn 60 ia: Pipul wae de pan dis ej grup kin gɛt bɔrku risk.
- Fɔ gɛt histri bɔt aw dɛn bin dɔn mek ston bifo tɛm: If yu bin dɔn gɛt ston bifo, i go mɔs bi se yu go gɛt am bak.
- Famili histri : If sɔmbɔdi na yu famili (mama, papa, brɔda ɛn sista) dɔn gɛt galston, yusɛf de pan denja.
- Nɔr fɔ drink bɛtɛ wata: Pipul wae de woke tranga wan ɔr de du ɛksɛsayz kin gɛt bɔrku risk if dɛn nɔr drink bɛtɛ wata.
- Sɔm mɛrɛsin dɛn: Tayp 2 dayabitis , fat (BMI pas 30), inflammatory bowel disease lɛk Crohn’s disease ɔ ulcerative colitis, ɛn polycystic kidney disease kin mek yu gɛt mɔ ston.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, yu fɔ go to dɔktɔ kwik kwik wan. I go aks yu bɔt yu sik ɛn yu famili histri. Dɔn, dɛn go ɔda sɔm tɛst fɔ no if na kidni ston.
- Urinalysis: Dis kin chɛk yu urine fɔ sayn dɛm fɔ infekshɔn, blɔd, ɛn minral dɛm we kin mek yu gɛt ston. Dɛn kin du urine kɔlchɔ bak if dɛn tink se i gɛt infɛkshɔn.
- Blɔd tɛst: Dis kin mek yu no aw yu kidni dɛn de wok, if yu gɛt infekshɔn, ɛn if ɔda prɔblɛm dɛn de we kin mek ston kam.
- Skan dɛn:
- Ultrasound scan: I de yuz sawnd wev fɔ chɛk if di urinary tract dɔn blok.
- X-ray: Yu kin si sɔm kayn ston dɛn wit ɛkstrem rayt.
- CT scan (Computed Tomography - CT scan): Dis na di tɛst we kɔrɛkt pas ɔl we dɛn kin du bɔku tɛm. I kin no di rayt we aw di ston saiz, usay i de, ɛn aw i at. Dis infɔmeshɔn rili impɔtant fɔ plan tritmɛnt.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di saiz fɔ di ston, usay i de, ɛn di tin we dɛn mek am wit. Yu dɔktɔ go tink bɔt ɔl dɛn tin ya ɛn tɛl yu di bɛst tritmɛnt fɔ yu.
Fɔ smɔl smɔl ston dɛn
If di ston smɔl pas 4-5 mm, i go mɔs bi se i go pas kɔmɔt na yu bɔdi wit urine. Dis kin tek wan to tu wiks. Insay dis tɛm:
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Di dɔktɔ kin gi am mɛrɛsin fɔ kɔntrol di bad bad pen we i de fil.
- Mɛrɛsin fɔ vɔmit: If nɔs ɛn vɔmit de, dɛn go gi am mɛrɛsin fɔ dat bak.
- mεdikeshכn dεm fכ εp di ston dεm pas (Medical Expulsive Therapy - MET): dεn kin gi mεdikeshכn dεm lεk ``alpha-blockers'' fכ rilaks di mכsul dεm na di urethra εn εp di ston fכ pas izi wan.
Insay dis tɛm, dɛn go tɛl yu fɔ drink at le 3 lita wata ɛvride . Dis go mek di urinary system kɔmɔt ɛn ɛp di ston fɔ pas kwik kwik wan.
Fɔ big ston ɔ fɔ blok
If di ston big, i de mek yu fil pen bad bad wan, ɔ i de blok di wata we de kɔmɔt na yu urine kpatakpata, yu dɔktɔ (bɔku tɛm na dɔktɔ we de mɛn yu urine) kin tɛl yu fɔ du wan pan dɛn tritmɛnt ya:
| Di we aw dɛn kin trit am | Fɔ ɛksplen am simpul wan |
|---|---|
| Shok wev lithotripsy we dɛn kin du | di shok wev dεm we gεt hכy εnεji de kכmכt frכm di bכdi fכ brok di ston dεm. Dɔn dɛn kin pas di smɔl smɔl tin dɛn izi wan na di urine. |
| Yureteroskopi (we dɛn kin pul ston dɛn tru wan tiub) . | Dɛn kin put wan tint, lɔng, fleksibul tiub we gɛt kamɛra we dɛn tay tru di urethra, ɛn dɛn kin rich di ston, ol am, ɛn pul am. If di ston big, dɛn kin yuz lɛsa bim fɔ brok am ɛn pul di pat dɛn. |
| Fɔ pul ston tru wan smɔl say we dɛn kɔt di skin (Percutaneous nephrolithotomy) . | Dɛn kin du dis fɔ ston dɛn we rili big. Dɛn kin kɔt smɔl pat na di bak, ɛn dɛn kin yuz am fɔ put wan tul dairekt insay di kidni fɔ no usay di ston de ɛn pul am. |
| Stent dɛn we dɛn kin yuz fɔ mek yu ureteral | Dis na sɔlv fɔ sɔm tɛm. dεn kin put wan tin tכb insay di urethra fכ εp di urine fכ fכlכ pas di ston we blכk. Dis kin rili yusful pan imejensi. |
Yu tink se dɛn kin mek ston dɛn nɔ fɔm bak?
Yɛs, i rili pɔsibul! We pɔsin dɔn gɛt ston, i kin izi fɔ mek i gɛt am bak. Na dat mek i impɔtant fɔ mek smɔl chenj dɛn na yu layf ɛn di we aw yu de it.
- Wata, wata, mɔ wata! Di bɛst tin we yu go du na fɔ drink bɔku wata. Drink at le 3 lita wata fɔ wan de. Wata na di bɛst tin. Tin dɛn lɛk lɛmon jus ɛn ɔrɛnj jus bak fayn. Di bɛst we fɔ no if yu de drink bɔku wata na fɔ chɛk di kɔlɔ we yu urine gɛt. If i layt yɔlɔ, yu de drink inof wata.
- Ridyus di animal protin: If yu it tumɔs animal protin lɛk rɛd mit, fish, ɛn eg, i kin mek di yurik asid lɛvɛl go ɔp ɛn i kin mek yu gɛt ston. Bifo dat, ad plant-based protein lɛk lentil, chikip, grɛn bins, ɛn soya to yu it.
- Kɔntrol sɔl: Ridyus di sɔl we yu de it fɔ wan de. Bifo yu put sɔl, ad laym, pepa, ɛn spays to yu it fɔ mek i gɛt mɔ flawa.
- Limit it dɛn we gɛt bɔku ɔksalɛt: Fɔ it dɛn lɛk spinach, pinat, kash, pɔt, ɛn bit gɛt bɔku ɔksalɛt. Yu nɔ nid fɔ avɔyd dɛn tin ya ɔltogɛda, bɔt i bɛtɛ fɔ lɛ yu nɔ it dɛn. If yu it dɛn tin ya wit it dɛn we gɛt kalsiɔm (milk, yogɔt) i kin ɛp fɔ ridyus di risk fɔ mek ston.
Yu dɔktɔ kin gi yu spɛshal strɛna fɔ gɛda di ston dɛn we de kɔmɔt. Dɔn dɛn go chɛk di ston dɛn ɛn, i go dipen pan di kayn ston dɛn, dɛn go gi yu patikyula instrɔkshɔn dɛn fɔ mek yu nɔ gɛt ston dɛn tumara bambay.
Mɛsej we dɛn kin kɛr go na os
- Di pen we pɔsin kin gɛt we i gɛt ston na in kidni kin rili bad. If yu gɛt sɔm sayn dɛm lɛk we yu de fil bad bad wan na yu bak/leg, blɔd de na yu urine, go to dɔktɔ wantɛm wantɛm. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Di bɛst ɛn simpul we fɔ mek ston nɔ fɔm na fɔ drink bɔku wata ɛvride.
- Bɔku tɛm, smɔl smɔl ston dɛn kin pas fɔ dɛnsɛf wit mɛrɛsin ɛn drink bɔku wata. Naw, tritmɛnt dɛn de we rili fayn ɛn we nɔ bad fɔ big ston dɛn.
- If yu chenj di we aw yu de it ɛn aw yu de liv yu layf, yu go rili ridyus di risk fɔ mek ston dɛn fɔm bak tumara bambay.
- Pan ɔl we dis sik kin mek pɔsin vɛks ɛn i kin mek pɔsin fil pen, i kin wɛl ɔl if dɛn trit am fayn. So nɔ panik ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
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