Acute Kidney Failure - Lɛ wi no bɔt dis!

Yu dɔn ɛva tink bɔt di tu filta dɛn we gɛt pawa pas ɔl na wi bɔdi? Na wi kidni dɛn . Wetin go apin if dɛn stɔp fɔ wok wantɛm wantɛm, lɛk se pawa nɔ de? Na dat wi kin kɔl “Acute Kidney Failure ” ɔ “Acute Renal Failure” pan mɛrɛsin. Dis kin apin insay sɔm awa ɔ sɔm dez. Bɔt nɔr wɔri, if yu no bɔt dis ɛn gɛt tritmɛnt kwik, bɔrku tɛm yu kidni kin kam bak to nɔrmal.

Fɔ tɔk am simpul wan, wetin dɛn kidni ya de du?

Lɛ wi ɔndastand dis simpul wan. Di men wok we di kidni dɛn de du na fɔ filta wi blɔd ɛn pul di dɔti tin dɛn we wi nɔ want frɔm am as urine . Nɔto dat nɔmɔ, bɔt dɛn tu smɔl pat ya kin du bɔku impɔtant tin dɛn bak lɛk fɔ kɔntrol di wata we de na di bɔdi, fɔ kɔntrol di blɔd prɛshɔn , fɔ ɛp fɔ mek rɛd blɔd sɛl dɛn , ɛn fɔ balans di ilɛktrɔlayt dɛn we impɔtant to di bɔdi. So we dɛn tin ya pwɛl, ɔl dɛn tin ya kin rɔng.

Wetin na di difrɛns bitwin Akyu ɛn Kronik?

Sɔntɛm yu dɔn yɛri bɔt sɔntin we dɛn kɔl “Chronic Kidney Disease” ( CKD ). Dat ɛn “Acute Kidney Failure” na tu difrɛn tin dɛn.

• Akyu Kidni Fayla: Dis kin apin wantɛm wantɛm, wantɛm wantɛm . If dɛn trit am fayn, chans de fɔ mek i wɛl ɔltogɛda .
• Kronik Kidni Disease (CKD): Dis na wan sik wae de kam smɔl smɔl, wae kin teik lɔng tɛm wae kin mek di kidni dɛn wik as tɛm de go . Bɔrku tɛm na bikɔs ɔf tin dɛm wae kin apun fɔ lɔng tɛm lɛk dayabitis ɔr ay blɔd prɛshɔn . Bɔku tɛm dis damej kin de sote go .

Yu dɔktɔ kin izi fɔ no uswan pan dɛn tu tin ya yu gɛt bay we i du ɔltra saund skan. in jεnarכl, insay CKD, di kidni dεm de sho sכm sכm saiz.

Aw fɔ no di stej dɛm fɔ di kidni sik?

wan mכsu de fכ di kidni fכnshכn, we wi kכl `(eGFR – estimated Glomerular Filtration Rate)`. Fɔ tɔk am simpul wan, dis na aw yu kidni dɛn de filta di blɔd fayn fayn wan. Dɛn kin yuz dis valyu fɔ klas di stej dɛm fɔ di sik.

Yu fɔ no bɔt dɛn sayn ya!

Sɔmtɛm dis sik kin apun witout ɛni sayn. Sɔntɛnde, dɛn kin si am bay we dɛn de du tɛst fɔ ɔda sik. Bɔt if yu gɛt sɔm sayn dɛn, dɛn kin gɛt:

• di amount of urine output de ridyus bad bad wan.
• di leg dεm, di ankכl dεm, εn di fut dεm de swεla (biכs fכ di wata we de kכmכt).
• Fɔ fil ɔltɛm fɔ taya pasmak ɛn slip.
• I nɔ kin izi fɔ yu fɔ blo.
• Vɔmit ɔ nɔs.
• Di it nɔ de te.
• Skin we de it.
• I nɔ izi fɔ mek pɔsin tink (Kɔnfyushɔn).
• Chɛst de pen ɔ tayt.
• Di mɔsul dɛn we de shek shek.
• Bɛlɛ ɔ bak pen.
• Fiva, skin rash, ɔ blɔd we de kɔmɔt na yu nos.

Wetin mek dis de apin? 3 men rizin dɛn!

Tri men kayn tin dɛn de we kin mek pɔsin in kidni nɔ wok wantɛm wantɛm.

1. Blɔd nɔ de flɔ na di kidni dɛn fayn

Dis kin bi bikɔs ɔf:

• Di wata we de kɔmɔt na yu bɔdi bad bad wan ɔ we yu bɔn bad bad wan.
• Infεkshכn dεm.
• At we nɔ de wok fayn.
• Liva nɔ de wok fayn.
• Sɔm pen kil (NSAID dɛm lɛk Aspirin, Ibuprofen, Naproxen) ɛn sɔm mɛrɛsin dɛm fɔ ay blɔd prɛshɔn.

2. Obstrukshɔn we yu de pis

If di say we di wata de pas blɔk, we mek di urine nɔ kɔmɔt na di kidni, da prɛshɔn de kin bak ɛn pwɛl di kidni dɛn.

• Kidni ston dɛn.
• Prɔstat we dɔn big pan man dɛn.
• Kansa na di blad, di sɛviks, di kɔlon, ɔ di prɔstat.
• Damej to di nerves na di urinary tract.

3. Dairekt damej to di kidni dem sef

Sɔm tin dɛn kin pwɛl di kidni sɛl dɛn dairekt wan.

• Sɔm mɛrɛsin dɛn (e.g. NSAID, kemotɛrapi drɔgs, sɔm antibayɔtiks).
• inflameshn na di fayn fayn tiub dεm we de filta di urine frכm di kidni dεm (Glomerulonephritis). Dis kin bi bikɔs ɔf infɛkshɔn ɔ ɔtoimyun sik lɛk lupus.
• Blɔd kin klɔt ɔ di kɔlɔstrel we kin de.

Aw dɛn kin trit am?

Di gud nyus na dat if dɛn no am kwik, dɛn kin trit am ɛn mɛn am. De tritmɛnt dipen pan yu kɔndishɔn ɛn de kɔz.

• Ɔspitul: Bɔrku tɛm, dis sik kin nid fɔ go na ɔspitul fɔ gɛt tritmɛnt.
• Fɔ trit di tin we kin mek i apin:Di fɔs tin we yu fɔ du na fɔ fɛn di tin we mek di kidni nɔ wok fayn ɛn trit am. Fɔ ɛgzampul, if na dehydration, dɛn gi saline, if na infɛkshɔn, dɛn gi antibayɔtik, ɛn if na bikɔs ɔf mɛrɛsin, dɛn kin stɔp am.
• Di it: Yu dɔktɔ kin tɛl yu fɔ stɔp fɔ it tin dɛn we gɛt bɔku sɔl ɛn potashɔm te yu kidni dɛn wɛl. Dis na bikɔs fɔ pul dɛn tin ya na lod pan yu kidni. Dɛn kin tɛl yu fɔ stɔp tin dɛn lɛk banana, spinach, tomato, ɔrɛnj, ɛn pɔt ɛn bifo dat, it tin dɛn we nɔ gɛt bɛtɛ potashɔm lɛk apul, greps, strawberry, ɛn kɔliflawa .
• Mɛrɛsin: Dɛn kin gi mɛrɛsin fɔ kɔntrol di lɛvɛl we di fɔsfɔr ɛn potashɔm de na di blɔd.
• Dayalaysis: If di damej pan di kidni dɛn bad bad wan, mashin go nid fɔ du di wok we di kidni dɛn de du te dɛn wɛl. Dɛn kɔl dis dayalaysis. Dis nɔ de mɛn di kidni dɛm, bɔt i de ɛp fɔ pul dɔti tin dɛm na di bɔdi ɛn sev layf te di kidni dɛm kam bak.

Wi nɔ go ebul fɔ protɛkt wisɛf frɔm dis kayn tin?

Na tru se i pɔsibul. If yu tek kia ɔf sɔm simpul tin dɛn, yu kin ridyus dis prɔblɛm.

1. Tek tɛm wit pen kil: Nɔ yuz ɔva-di-kɔnta nɔ-stɛroyd anti-inflammatory drɔgs (NSAID) (lɛk Ibuprofen ɛn Naproxen) insay big dos ɔ kɔntinyu. Kɔnsul yu dɔktɔ bifo yu tek ɛni mɛrɛsin.

2. Fɔ fala yu dɔktɔ in instrɔkshɔn: If yu gɛt ɛni mɛrɛsin lɛk dayabitis ɔ ay blɔd prɛshɔn, kɔntrol am fayn fayn wan. Yuz di mɛrɛsin dɛn we yu dɔktɔ gi yu di rayt we.

3. Fɔ liv fayn layf: Drink bɔku wata, it fayn it, ɛn ɛksesaiz. Dɛn tin ya kin mek yu wan ol bɔdi gɛt wɛlbɔdi, nɔto jɔs yu kidni dɛn.

Kidni sik, akyu kidni fεil sinhala, kidni fεil, dεn urine autput dεn dכn, eGFR, kriaytinin sinhala, dayalysis sinhala