Yu kin gɛt yurik asid ston bak na yu kidni? Lɛ wi no bɔt dis!

Yu kin fil pen ɛn nɔ fil fayn bak we yu de pis? Sɔntɛm yu dɔn notis smɔl blɔd na yu urine. I rili nɔmal fɔ fil smɔl fɔ fred we sɔntin lɛk dis apin. Bɔt nid nɔ de fɔ shem fɔ dis ɔ kip am to yusɛf. Bikɔs dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl “yuric acid ston” we kin mek na di kidni. So tide, lɛ wi tɔk ditayli ɛn rili simpul bɔt wetin na dɛn yurik asid ston ya, aw dɛn kin fɔm, wetin na di sayn dɛm, aw fɔ trit dɛm, ɛn aw fɔ avɔyd dɛm.

Wetin na yurik asid ston?

Fɔ tɔk am simpul wan, yurik asid ston na wan pan di 4 kayn ston dɛn we de na di kidni. Kidni ston na wan solidified mas fכ minral εn sכlt dεm na wi bכdi we de fכm insay di urine. I tan lɛk smɔl ston. Dɛn kin fɔm na yu kidni ɔ ɛnisay na yu urinary system – di pat pan yu bɔdi usay urine de pas kɔmɔt na yu bɔdi. Yurik asid ston kin mek yu fil pen we yu de pis ɛn blɔd na yu urine (hematuria). Nɔ panik if yu gɛt dɛn sik ya. Bɔt i impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ no ustɛm i bi ɛn fɔ mek shɔ se no ɔda prɔblɛm nɔ de.

Wetin na yurik asid?

Yurik asid na west tin we de insay wi blɔd. i de fכm we wi bכdi de brok dכn tin dεm we dεn kכl ``Purines``. Dɛn purin ya kin de na mit, mɔ rɛd mit lɛk bif ɛn bɔd, ɛn sɔm rɔm lɛk bia ɛn rɔm. Nɔmal wan, bɔku pan dis yurik asid kin sɔlv na di blɔd, i kin pas na di kidni dɛn, ɛn i kin kɔmɔt na di bɔdi insay di urine. Bɔt yurik asid ston dɛn kin bigin fɔ mek we:

• If di yurik asid lɛvɛl na yu urine rili ay .
• If yu urine de ɔltɛm tu asid .

Dɛn tu rizin ya kin ɛp wi.

Aw kɔmɔn ston dɛn we dɛn kin yuz fɔ mek yurik asid?

Risach pipul dɛn se na kɔntri dɛn lɛk Amɛrika, lɛk wan pan ɛvri tɛn pipul dɛn go gɛt ston na dɛn kidni insay dɛn layf. pan dεn wan ya, 8% to 10% na yurik asid ston dεm. Dis sik dɔn kɔmɔn naw na Sri Lanka bak.

Wetin na di sayn dɛm fɔ yurik asid ston?

Di sayn dɛm fɔ yurik asid ston kin tan lɛk ɔda kayn kidni ston. Di men sayn na pen . Dis pen kin kam bikɔs di ston dɛn prɛshɔ, insay di kidni ɔ na di urinary tract, we kin mek dɛn lod ɔ wund. Yu kin fil pen:

• Na di bɛlɛ we de dɔŋ.
• Flanks dɛn.
• Na di bɛlɛ.
• Na di eria bitwin di thighs (`Groin`).

Ɔda sayn dɛm wae yu kin si na:

• Blɔd we de na di urine.
• Nɔs ɔ vɔmit .
• Fiva.
• Fɔ fil kol (`Chills`).
• Fɔ gɛt bad bad smel na di urine.
• Urin we gɛt dak kɔlɔ.

Aw dɛn yurik asid ston ya kin fɔm?

if yu yurik asid lεvεl dεm hכy (dεn kכl am haypa yurik asid), yurik asid kristכl dεm de bigin fכ fכm. dis yurik asid kristכl dεm de kam togεda wit כda tin dεm na di bכdi fכ mek wan sכlid ston. Dɔn di ston de big ɛn big. I kin de na di kidni insɛf, ɔ i kin travul dɔŋ di urinary tract ɛn stɔp na di ureter. Wi kin kɔl am ureteral ston. If dɛn ston ya rili smɔl, dɛn kin pas kɔmɔt na di bɔdi wit urine, sɔm tɛm dɛn nɔ kin gɛt ɛni pen ɔ wit smɔl pen. Bɔt if dɛn nɔ du dat, dɛn kin stɔp na di kidni, di ureter, blad, ɔ urethra, ɛn dis kin mek di urine nɔ flɔ. Na da tɛm de di pen ɛn ɔda sayn dɛm kin bigin fɔ sho, bikɔs dɛn ston ya kin pwɛl di wɔl dɛm na di tyub dɛm we dɔn blok.

Wetin na di men tin dɛn we kin mek yu gɛt yurik asid ston?

Di men rizin dɛn we mek yu urine kin gɛt mɔ asid na:

di bכdi nכ ebul fכ rεgεl yurik asid כ protin fayn fayn wan we de insay it

We wi bɔdi nɔ ebul fɔ kɔntrol yurik asid ɔ prɔtin fayn fayn wan, di urine kin bi asid. Dis sik kin bi sɔntin we yu kin gɛt frɔm yu mama ɛn papa. Wan ɔda kɔndishɔn we gɛt fɔ du wit dis na ``Gout``. Gɔt kin mek yurik asid bɔku na di blɔd ɛn kristal dɛn we de mek yu fil pen kin fɔm na di jɔyn dɛn.

Fɔ it it dɛn we gɛt bɔku purin

Animal prɔtin, lɛk bif, chukchuk, bɔd, eg, ɛn fish, gɛt bɔku purin. dis dεm de bכku bכku wan na animal כgan dεm lεk liva εn kidni (kalf, kidni). If yu it bɔku pan dis kayn animal prɔtin, yurik asid kin gɛda na yu urine. Dis kin bil ɛn mek ston, ilɛksɛf na in wan ɔ we dɛn jɔyn am wit kalsiɔm. Bɔt nɔto di it nɔmɔ we pɔsin kin it kin mek pɔsin gɛt yurik asid ston. Dɛn kin fɔm mɔ pan pipul dɛn we de it it dɛn we gɛt bɔku purin ɛn we gɛt jɛnɛtiks fɔ mek ston.

Ɔda tin dɛn we kin mek yu gɛt ay yurik asid

Bɔku ɔda rizin dɛn de we mek di yurik asid lɛvɛl kin go ɔp:

• Bodi mas indeks (BMI) we pas 25 (we min se yu gɛt bɔku bɔku bɔdi ɔ yu fat pasmak ).
• Sɔm mɛrɛsin ɛn sɔpɔtmɛnt dɛn, fɔ ɛgzampul, diuretics ɛn immunosuppressants .
• Kimotɛrapi tritmɛnt fɔ kansa.
• Tayp 2 dayabitis .
• Ad tumɔs sɔl ɛn shuga to it.
• Fɔ gɛt famili histri bɔt kidni ston.
• Nɔ gɛt fɔ du bɔku tin dɛn fɔ du fɔ mek yu bɔdi wok fayn.
• Afta dɛn dɔn du ɔpreshɔn fɔ lɔs yu wet (`Bariatric ɔpreshɔn`).

Apat frɔm ɔl dis, if yu nɔ drink bɛtɛ wata , yu nɔ go jɔs gɛt yurik asid ston, bɔt yu go gɛt ɔda kayn kidni ston bak.

Udat kin gɛt yurik asid ston pas ɔlman?

Man dɛn kin gɛt ɛni kayn ston na dɛn kidni. di risk fכ divεlכp ston na dεn layf tεm na bכt 19%. Fɔ uman, di risk na lɛk 9%. Bɔrku pipul nɔr kin gɛt ston na dɛn kidni bifo dɛn ol 30. Bɔt dɛn kin gɛt am kwik, ɛn sɔmtɛm ivin pan yɔŋ pikin dɛm.

Wetin na di prɔblɛm dɛn we kin apin we yurik asid ston kin kam?

Ɛni kayn ston na yu kidni kin mek yu gɛt krɛse sik (CKD). If yu gɛt wan ston, yu go gɛt ɔda ston insay di nɛks fayv to sɛvin ia. So i impɔtant fɔ no bɔt dis.

Aw fɔ no di ston dɛn we de na di yurik asid?

We yu go to dɔktɔ, i go aks yu bɔt yu mɛdikal istri, aks yu bɔt di sik dɛn we yu gɛt, ɛn du ɛgzam fɔ yu bɔdi. If i sɔspɛkt se yu gɛt yurik asid ston, i go ɔda fɔ du bɔku tɛst fɔ kɔnfɔm.

Wetin na dɛn tɛst ya?

Di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:

• Blɔd tɛst dɛn:Dɛn tɛst ya kin no if yurik asid ɔ kalsiɔm bɔku na di blɔd, ɛn dɛn kin ɛp bak fɔ no if ɔda tin dɛn de we kin mek yu gɛt di sik.
• Urinalysis: Dɛn kin aks yu fɔ gɛda 24 awa urine sample fɔ chɛk di amount of uric acid ɛn calcium insay yu urine.
• Imej tɛst: CT skan ɔ ɔltra saund skan kin ɛp fɔ no usay di ston dɛn de na di urinary tract. Dɛn skan dɛn ya kin fɛn ivin smɔl smɔl ston dɛn. Dɛn nɔ kin yuz ɛkstrem rayt na di bɛlɛ fɔ dis, bikɔs dɛn kin mis smɔl ston dɛn.
• Ston analisis: Dɛn kin gi yu spɛshal strɛna ɛn aks yu fɔ pis tru am. Dɛn kin du dis fɔ kech ɛni ston we pas wit yu urine. Dɔn dɛn kin sɛn di ston dɛn to wan lab fɔ mek dɛn analays dɛn fɔ no us kayn ston dɛn. We yu dɔktɔ analayz di ston dis we, i go ebul fɔ no wetin mek di ston fɔm ɛn wetin yu kin du fɔ mek i nɔ fɔm bak.

Aw fɔ mɛn yurik asid ston?

If di ston nɔ rich 7 milimita, we min se i rili smɔl, i kin pas insɛf. Dis kin tek lɛk tri wiks so. Bɔt ivin if dis kayn ston pas insɛf, i rili impɔtant fɔ tɔk to dɔktɔ fɔ no wetin yu go du fɔ mek yurik asid ston nɔ fɔm bak. Na sɔm tin dɛn we kin apin we yu drink bɔku wata:

• di kכnsantreshכn fכ di minral dεm na yu urine de dכn. di wata de sכlv di minral dεm εn mek i izi fכ pas wit yu urine.
• I de ɛnkɔrej fɔ pis bɔku tɛm, we de pul di kemikal dɛn we kin mek pɔsin gɛt ston.

Dɔktɔ dɛn se yu fɔ drink bɔku wata we go mek yu gɛt lɛk 2.5 lita urine ɛvride. Fɔ mek yu gɛt da kayn urine de, yu nid fɔ drink lɛk 3 lita wata ɛvride. Dis na bikɔs wi bɔdi kin lɔs wata bay we wi de swet ɛn ɛksesaiz. Pan ɔl we i impɔtant fɔ drink ɛni kayn wata, i bɛtɛ fɔ drink wata .

Ɛni mɛrɛsin de we kin sɔlv yurik asid ston?

Fɔ ɔl di kayn ston dɛn we de na di kidni, na di wan ol kayn ston we yurik asid kin sɔlv wit mɛrɛsin . Bɔku kayn mɛrɛsin dɛn de we dɛn kin yuz fɔ dis:

• Potashכm saytεt tablεt dεm (e.g. Urocit-K®).
• Tablɛt dɛn we gɛt kalsiɔm kabɔnɛt (e.g. Tums®).
• `Allopurinol` (`Alɔpurinol`) we dɛn kɔl.

Potassium citrate ɔ calcium carbonate tablɛt dɛn de wok bay we dɛn de mek yu urine mɔ alkaline. Allopurinol de mek yu yurik asid lɛvɛl go dɔŋ. If yu dɔktɔ gi yu dɛn mɛrɛsin ya, i impɔtant fɔ drink bɔku wata wit dɛn. If yu drink bɔku wata, i kin ɛp fɔ sɔlv yurik asid. Yu dɔktɔ kin gi yu mɛrɛsin bak we dɛn kɔl alfa-blɔka, we kin ɛp yu kidni fɔ pas ston kwik kwik wan.

Yu tink se a go nid ɔpreshɔn?

Yu kin nid fɔ gɛt ɔpreshɔn if yu yurik asid ston de na wan pan dɛn kɔndishɔn ya:

• If di ston rili big .
• If i de ambɔg di flɔ we di urine de flɔ.
• If i mek pɔsin gɛt infekshɔn .
• If yu nɔ go na do afta 4 ɔ siks wik.

Di ɔda we dɛn we dɛn kin du ɔpreshɔn na we dɛn nɔ kin yuz bɔku ɔ we dɛn nɔ kin yuz fɔ du ɔpreshɔn. Sɔm ɛgzampul dɛn na:

• Extracorporeal shock wave lithotripsy (ESWL): Dis involv fɔ yuz sawnd wev dɛn we gɛt ay ɛnaji fɔ brok ston dɛn. No say nɔ de we dɛn kɔt ɔ ɛnitin we dɛn put insay di bɔdi.
• ``Ureteroscopy``: insay dis prosidur, di dכkta de put wan lכng, tכn instrכmεnt (wan ``endoscope``) tru yu urethra insay di ureter we dεn afekt. Dɔn di ɔspitul kin yuz wan smɔl ``baskɛt`` fɔ pul di ston. Sɔntɛnde dɛn kin yuz ``laser`` fɔ brok di ston ɛn pul di pis dɛn.
• Percutaneous nephrolithotomy (PCNL): Dɛn kin yuz dis we fɔ mek big ston dɛn. Di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl pat na yu bak ɛn go insay di kidni. Dɔn dɛn kin pul di ston, ɔ dɛn kin brok di ston fɔs ɛn afta dat dɛn kin pul am.

Afta dɛn dɔn du di ɔpreshɔn, di dɔktɔ kin sɛn di ston ɔ sɔm pat dɛn pan di ston to wan lɛb fɔ mek dɛn go analays am.

Aw wata we yu de drink go ɛp fɔ mek yu nɔ gɛt yurik asid ston?

Fɔ drink di wata we dɛn se yu fɔ drink ɛvride na wan pan di bɛst tin dɛn we yu kin du fɔ ridyus yu risk fɔ gɛt yurik asid ston ɛn ɔda kidni ston. Fluid dɛn kin mek di dɔti tin dɛn we de na yu urine dil ɛn pul di kemikal dɛn, ɛn dis kin mek ston dɛn nɔ fɔm.

Aw ɔda tin a go mek a nɔ gɛt yurik asid ston?

Na sɔm ɔda tin dɛn we yu kin du fɔ mek yu nɔ gɛt yurik asid ston:

• Drink at le 91 ɔns (2.7 lita) to 125 ɔns (3.7 lita) wata ɛvride. Wata na di bɛst tin .
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• Fɔ fala di `DASH` (Dietary Approaches to Stop Hypertension) fɔ it plan. Dis kin ridyus ɔl tu di ay blɔd prɛshɔn (haypa prɛshɔn) ɛn di risk fɔ gɛt ston na di kidni. (Dis min se yu fɔ it smɔl sɔl ɛn it mɔ vɛjitebul, frut, ɛn ɔl di tin dɛn we yu kin it).
• Yuz di mɛrɛsin dɛm we yu dɔktɔ tɛl yu fɔ mek yu nɔ gɛt yurik asid ston fayn fayn wan.

Wetin a kin ɛkspɛkt if a gɛt yurik asid ston?

di prכgnosis fכ yurik asid ston dεm εn כda kidni ston dεm jεnarali gud. Bɔku tɛm, di ston dɛn kin pas fɔ dɛnsɛf. Sɔntɛm yu nɔ go nid tritmɛnt. Ivin if dɛn nid tritmɛnt, di tritmɛnt dɛn we de kin wok fayn. Yu kin mek yu gɛt ful wɛlbɔdi. Bɔt, risk de fɔ mek yurik asid ston dɛn kam bak. So tɔk to yu dɔktɔ bɔt aw fɔ chenj wetin yu de it ɛn drink ɛn ɔda tin dɛn we yu kin du fɔ mek ston nɔ fɔm bak.

Aw a kin kia fɔ misɛf?

If yu bin dɔn gɛt yurik asid ston bifo, ɔ yu de pan ay risk fɔ gɛt kidni ston (we na ɛni kayn), fɔ fala dɛn step ya kin ɛp yu fɔ gɛt wɛlbɔdi:

• Drink bɔku wata.
• Fɔ fala di it we gɛt wɛlbɔdi.
• Yuz mɛrɛsin ɔ sɔpɔtmɛnt jɔs lɛk aw yu dɔktɔ tɛl yu.
• If yu gɛt siriɔs pen ɔ ɔda tin dɛn we de mek yu wɔri, go to dɔktɔ wantɛm wantɛm.

Us it dɛn yu nɔ fɔ it if yu gɛt yurik asid ston?

Nɔ it ɔ stɔp it dɛn we gɛt bɔku purin. We yu it bɔku purin, yu bɔdi kin mek mɔ yurik asid. we di yurik asid lεvεl hכy, yu urine de bi mכr asid, we kin mek yu fכm yurik asid ston dεm. Sɔm ɛgzampul dɛn bɔt it dɛn we gɛt bɔku purin na:

• Rɛd mit (bif, got mit, bɔd).
• di animal in intanεt כgan dεm (bכwel, splin, bren, kidni dεm).
• Bia ɛn ɔda rɔm dɛn.
• Sos we dɛn mek wit mit (`Gravies`).
• Smɔl fish dɛn lɛk sadin, sprat, ɛn halibut, ɛn sifud lɛk ɔysta, shrimps, ɛn krab.

I fayn bak fɔ stɔp fɔ it ɛn drink we gɛt bɔku shuga, mɔ di wan dɛn we gɛt ``High-fructose corn syrup.'' I fayn fɔ it mɔ pan dɛn tin ya:

• Frut ɛn vɛjitebul dɛn.
• Ɔl di grens dɛn.
• Dairy prodakt dɛn we nɔ gɛt bɔku fat.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu gɛt yurik asid ston ɛn yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm ɔ go na imejensi rum:

• Fiva we pas 38.6 digri sɛlshiɔs (101.5 Fahrenheit).
• Bɔn ɔ bad bad pen we yu de pis.
• Pen we pɔsin nɔ go ebul fɔ bia.
• Blɔd we de na di urine.
• Nɔs ɛn vɔmit we de kɔntinyu fɔ de.
• If yu gɛt wan sik we de put yu pan ay risk fɔ gɛt prɔblɛm dɛn frɔm di kidni ston, lɛk dayabitis, fɔ gɛt wan kidni nɔmɔ, ɔ ɔda kidni prɔblɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

• Us tritmɛnt we bɛtɛ fɔ mi?
• Yu tink se a go nid ɔpreshɔn?
• Wetin a fɔ du fɔ mek yurik asid ston nɔ fɔm bak?
• A nid fɔ mek ɛni chenj pan wetin a de it ɛn drink?
• A nid fɔ tek ɛni sɔpɔt ɔ mɛrɛsin?