Yu famili dɔktɔ ɔ yu praymari dɔktɔ dɔn tɛl yu fɔ go to pɔsin we sabi bɔt kidni? Yu kin dɔn fred smɔl, ɛn tink se, "Sɔmtin de we rili rɔng wit mi kidni?" Bɔt rili nid nɔ de fɔ mek yu fred. Yu dɔn kam na di rayt ples. Dɛn dɔktɔ ya na di wan dɛn we sabi bɔt sik dɛn na di kidni. So tide, lɛ wi tɔk bɔt udat na kidni spɛshal dɔktɔ, ɔ nefrɔlɔjis, wetin dɛn de du, ɛn wetin yu nid fɔ no we yu go si wan.
Udat na dis kidni spɛshal pɔsin (Nephrologist)?
Fɔ tɔk am simpul wan, Nɛfrɔlɔjis na dɔktɔ we spɛshal pan wi kidni ɛn ɛni sik we de afɛkt di kidni. Wi kin kɔl dɛn bak "kidni dɔktɔ." Afta dɛn dɔn bi jenɛral dɔktɔ (MBBS), dɛn kin spɛn ɔda tu ia ɔ mɔ fɔ stɔdi spɛshal wan bɔt di sik dɛn we dɛn kin gɛt na dɛn kidni.
If yu famili dɔktɔ gɛt ɛnitin fɔ wɔri bɔt aw yu kidni de wok, fɔ ɛgzampul if yu blɔd tɛst sho se di kriaytinin lɛvɛl dɔn go ɔp smɔl, i go sɛn yu to dɔktɔ we de mɛn yu kidni. Dɔn dis spɛshal dɔktɔ go no wetin mek yu gɛt prɔblɛm ɛn mek wan tritmɛnt plan fɔ kɔntrol am, fɔ stɔp am fɔ mek i nɔ wɔs, ɔ fɔ mɛn am.
Men kɔndishɔn dɛn we Nɛfrɔlɔjis kin trit
Wan dɔktɔ we de mɛn di kidni kin pe atɛnshɔn mɔ pan difrɛn prɔblɛm dɛn we gɛt fɔ du wit di kidni. Lɛ wi luk sɔm pan dɛn.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Kidni Sik we pɔsin kin gɛt | Dis na wan sik wae de pwɛl di kidni dɛm smɔl smɔl as tɛm de go. Nɔr big sayn nɔr kin de na di fɔs stej. Bɔt if dɛn no kwik kwik wan, di mɛrɛsin ɛn layf we dɛn chenj kin ɛp fɔ mek dɛn nɔ pwɛl mɔ. |
| Kidni we nɔ de wok fayn | Dis na di las stej fɔ di kidni sik. Na ya, di dɔktɔ go tɛl yu fɔ du dayalaysis.- Dat min se yu fɔ klin di blɔd wit mashin - if dɛn rɛkɔmɛnd am, i go fulɔp fɔ supavayz da tritmɛnt de. I kin tɔk bak se dɛn fɔ transplant in kidni . |
| Ay Blɔd Prɛshɔn | If yu gɛt ay blɔd prɛshɔn we at fɔ kɔntrol, dɔktɔ we de mɛn yu blɔd kin ɛp yu. Sɔntɛnde, prɔblɛm wit di kidni kin mek i nɔ izi bak fɔ kɔntrol di blɔd prɛshɔn. |
| Kidni damej we kansa kin mek | Sɔm kayn kansa ɔr di tritmɛnt wae dɛn kin gɛt kin pwɛl di kidni dɛm. fכ egzampl, kכndyushכn dεm lεk mכltipl maylכma, blad kεnsar, sεvikal kεnsar, εn kכlon kεnsar. |
| Nɛfrɔtik Sindrom | dis kin mek bכku protin kכmכt na di urine. Dis kin mek di difrɛn pat dɛn na di bɔdi swel, mɔ we de rawnd di yay ɛn leg. |
| Polisistik Kidni Disizin | dis na we di sist dεm we fulכp wit wata de fכm insay di kidni dεm. If dɛn tin ya big, dɛn kin pwɛl di kidni dɛn ɛn ivin mek dɛn nɔ wok. |
Tin dɛn fɔ briŋ we yu go si dɔktɔ fɔ di fɔs tɛm
If yu pripia smɔl bifo tɛm we yu go si dɔktɔ, i go izi fɔ yu ɛn di dɔktɔ. Na sɔm tin dɛn we yu fɔ mɛmba ɛn kɛr go wit yu.
| Wetin fɔ briŋ | Wetin mek na so i bi? (I impɔtant) |
|---|---|
| Yu simptom dɛmƐn wan list we dɛn rayt bɔt aw lɔng dɛn dɔn de. | Dis kin mek am izi fɔ di dɔktɔ fɔ no klia wan bɔt yu sik. |
| Wan list fɔ ɔl di mɛrɛsin dɛm wae yu de tek naw (inklud di wan dɛm fɔ ɔda sik dɛm). | Sɔm mɛrɛsin kin afɛkt di kidni dɛm, so dis infɔmeshɔn rili impɔtant. |
| Yu mɛdikal istri ɛn di mɛdikal rɛkɔd dɛn we yu bin dɔn gɛt trade , mɔ di blɔd, urine ripɔt, ɛn bɛlɛ skan ripɔt. | Dis kin ɛp fɔ kɔmpia wit ol rɛkɔd dɛn ɛn avɔyd fɔ tɛst bak we nɔ nid fɔ du dat. |
| Di nem ɛn kɔntakt ditil dɛm fɔ ɔda dɔktɔ dɛm we yu de tek mɛrɛsin frɔm naw. | Dis go ɛp yu fɔ tɔk to dɛn ɛn gɛt infɔmeshɔn if nid de. |
Us kayn tɛst di dɔktɔ go du?
Afta yu dɔn tɔk bɔt yu sik ɛn istri, yu dɔktɔ go chɛk yu. Apat frɔm dat, dɛn kin ɔda fɔ du sɔm tɛst dɛn fɔ ɛp fɔ no di rayt tin we mek dɛn du dis, lɛk:
- Yurin tɛst: Dɛn go aks yu fɔ gɛda smɔl urine insay wan kɔp. Sɔntɛnde, dɛn kin aks yu bak fɔ tek 24 awa urine sample. Di lab go tɛst di urine fɔ tin dɛn lɛk west prɔdak, prɔtin, ɔmon, ɛn minral. Dɛn go chɛk di urine bak fɔ si if i gɛt blɔd ɔ if i gɛt sayn dɛn we de sho se i gɛt di sik.
- Ultrasound scan: Dis kin yuz sawnd wev fɔ tek pikchɔ fɔ yu kidni. Dis kin ɛp yu fɔ si di sayz ɛn shep fɔ yu kidni, ɛn if ɛni ston ɔ tumbu de. I nɔ de mek pɔsin fil pen.
- CT scan: Dis na sɔm pikchɔ dɛn we dɛn kin tek wit ɛkstrem rayt. dis de mek di kidni dεm klia, tri dimεnshn (3D) imej.
- Bayopsi: Dis na fɔ pul wan rili smɔl pat pan di kidni we dɛn yuz nidul ɛn chɛk am ɔnda maykroskɔp. Dis kin ɛp fɔ no ustɛm di kayn sik dɔn pwɛl di kidni.
Di tin we impɔtant pas ɔl na dat if di dɔktɔ tɛl yu fɔ du tɛst, aks wetin mek ɛn wetin fɔ ɛkspɛkt frɔm am.
Kwɛstyɔn dɛn fɔ aks yu nefrɔlɔjis
We yu go to yu dɔktɔ, nɔ shem fɔ aks ɛni kwɛstyɔn we yu gɛt. Di mɔ yu no bɔt yu sik, na di mɔ yu go bɛtɛ. Na sɔm kwɛstyɔn dɛn we yu kin aks:
- Wetin mek mi dɔktɔ sɛn mi to yu?
- Wetin mek mi kidni nɔ de wok fayn?
- Wetin na di lɛvɛl we mi kidni dɛn de wok we yu kɔmpia am to di kidni dɛn we gɛt wɛlbɔdi?
- A gɛt sik na mi kidni? If na so, us stej i de insay? Wetin dat min?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Wetin na di bad tin dɛn we ɛni wan pan dɛn tritmɛnt dɛn de kin du?
- We a dɔn bigin fɔ trit mi, us advays dɛn go ɛp mi fɔ kɔntinyu fɔ du am fayn fayn wan?
- A nid fɔ chenj mi layf (lɛk di it we a de it, ɛksesaiz)?
- A fɔ kɔl yu if a gɛt nyu prɔblɛm ɔ simptom?
Rayt di ansa to dɛn kwɛstyɔn ya, ɔ aks pɔsin we yu de travul wit fɔ rayt dɛn. Da we de, i go izi fɔ mek wi mɛmba leta.
Mɛsej we dɛn kin kɛr go na os
- Nefrɔlɔjis na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit kidni. If yu rɛgyula dɔktɔ dɔn rifer yu, nɔ wɔri, yu de na sef an.
- We yu go to dɔktɔ, kam wit ɔl yu sik dɛn, di mɛrɛsin dɛn we yu de tek, ɛn di ripɔt dɛn we yu bin dɔn gɛt trade.
- Nɔ shem fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt, ilɛksɛf i smɔl. E fayn fɔ no bɔt yu sik.
- Fɔ fala yu dɔktɔ in tritmɛnt plan ɛn chenj dɛn na yu layf (di it, ɛksesaiz) gud gud wan. Dis go ɛp fɔ kɔntrol di damej we yu kidni dɛn gɛt.
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