We pɔsin gɛt nyu kidni transplant, i tan lɛk se i gɛt nyu layf. Bɔt afta dɛn dɔn du dis kayn big ɔpreshɔn, sɔntɛnde, prɔblɛm dɛn we dɛn nɔ bin de tink se kin apin. Fɔ ɛgzampul, wan siriɔs infɛkshɔn we kin apin to pɔsin we dɛn dɔn transplant in kidni, dɛn kɔl am BK Vayral Nɛfritis. Dis kin afɛkt di we aw yu nyu kidni de wok ɛn ivin mek di transplant nɔ wok fayn. Bɔt nɔr wɔri, if wi no dis fayn fayn wan, we de fɔ protɛkt wisɛf frɔm dis sik. So, lɛ wi tɔk bɔt dis ditayli tide.
Wetin na dis BK vayrɔs?
Fɔ tɔk am simpul wan, BK vayrɔs nɛfrayt na wan denja infɛkshɔn we kin kam bikɔs di BK polyomavirus we dɔn de slip (latent) na yu bɔdi afta yu dɔn transplant yu kidni bak. Dɛn bin fɔs fɛn dis vayrɔs insay 1971 pan wan pɔsin we dɛn transplant in kidni wit di fɔs wɔd dɛn we dɛn rayt "BK." Na dat mek dɛn kɔl am di BK vayrɔs.
BK vayrɔs na rili wan rili kɔmɔn, bɔku tɛm we nɔ gɛt ɛni simptom, infεkshכn we de na di rεspiretכri we de spre tru mכkus lεk sekreshכn. Pɔsin we gɛt wɛlbɔdi nɔ kin ivin fil se dɛn dɔn gɛt dis vayrɔs. Bɔt wans di vayrɔs go insay di bɔdi, i kin de slip na wi bɔdi fɔ di res ɔf wi layf, ɛn i nɔ kin kɔz ɛni prɔblɛm.
Risach dɔn sho se pas 80% pan di pipul dɛm na di wɔl gɛt antibodi dɛm agens dis vayrɔs. Dis min se klos to wi ɔl dɔn gɛt dis vayrɔs we wi yɔŋ. Nɔmal pɔsin we nɔ gɛt kidni transplant nɔ go gɛt dis vayrɔs na in bɔdi.
Aw dis kin denja fɔ pɔsin we dɛn dɔn transplant in kidni?
Afta yu dɔn transplant yu kidni, dɛn go gi yu spɛshal mɛrɛsin fɔ stɔp yu bɔdi fɔ rijek di nyu kidni. Dɛn kɔl dɛn mɛrɛsin ya anti-rijekshɔn ɛn immunosuppressant mɛrɛsin . Dɛn mɛrɛsin ya de wok bay we dɛn de mek yu bɔdi in natura l imyun sistɛm wik. Dis kin mek di nyu kidni ebul fɔ adap to yu bɔdi we dɛn nɔ go atak am.
Bɔt we yu imyun sistɛm wik, yu bɔdi nɔ kin ebul fɔ fɛt ɔda sik dɛn bak. na da tεm de, di BK vayrus we bin de slip na yu bכdi "de wek," we min se i de bi aktif bak.
Dis vayrɔs we dɛn dɔn aktiv de atak yu nyu kidni dairekt wan. Dis kin mek di kidni ɛn di ureters inflamɛns, ɔ swel. Dis na wetin wi kin kɔl nɛfrayt .
Dis inflameshn de mek di kidni dεm nכ de wok sכmtεm sכmtεm. We dis kכndyushכn de kam tranga, dεn kכl am BK vayrus nεfropati.Dɛn kɔl am nɛfrɔpati. Dis min se di kidni dɔn pwɛl bad bad wan, ɛn as tɛm de go i kin pwɛl kpatakpata. dεn εstimat se lεk 2% pan di wan dεm we de gεt kidni transplant de gεt dis nεfropati.
Wetin na di sayn dɛm fɔ BK Viral Nephritis?
Bɔrku tɛm, pipul dɛm wae gɛt dis infekshɔn nɔr kin sho ɛni sayn. Bɔt we di sayn dɛn de sho, yu fɔ no bɔt dɛn tin ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Di chenj dɛn we de apin na di urine | Blɔd we de na di urine ɔ di urine we de tɔn rɛd-brawn. |
| I nɔ kin izi fɔ yu fɔ pis | Pen ɔ bɔn we yu de pis, i nɔ izi fɔ pis. |
| Blad nɔ de ɛmti ɔl | Fɔ fil lɛk se urine stil de afta yu dɔn pis. |
| We yu gɛt bɔku bɔku wet wantɛm wantɛm | di inkris na di bכdi wet fכ wan kilogram כ mכr insay sכm tεm, lεk 48 awa. |
| Pen | Pen ɔ tεndεns na di bεlε ɔ di lכw bεlε. |
Apat frɔm dat, yu dɔktɔ kin notis tin dɛn lɛk we di kriaytinin lɛvɛl go ɔp ɛn di yuria naytrɔjen we de na yu blɔd na yu blɔd ɛn urine tɛst ripɔt.
If yu gɛt ɛni wan pan dɛn sik ya, go to yu kidni spɛshal pɔsin wantɛm wantɛm. Bɔku pan dɛn infɛkshɔn ya kin apin insay di fɔs tri mɔnt afta dɛn dɔn transplant dɛn kidni.So yu nid fɔ tek kia ɔf yu bɔdi gud gud wan insay dis tɛm.
Wetin na di wɛlbɔdi prɔblɛm dɛn we dis infɛkshɔn kin kam wit?
Di men risk fɔ BK vayrɔs nɛfrayt na fɔ pwɛl yu nyu kidni. insay sכm siriכs kes dεm, di risk fכ komplit graft lכs kin hכy lεk 30% to 80%.
Apat frɔm we dis vayrɔs kin pwɛl di kidni dɛn, i kin mek ɔda siriɔs wɛlbɔdi prɔblɛm dɛn bak.
- Kansa: Di vayrɔs kin mek di sɛl dɛn gro nɔmal wan ɛn mek kansa tɔŋ dɛn na di ɔgan dɛn.
- Capillary leak syndrome: Na siriɔs tin we kin apin we di blɔd plasma de lik frɔm rili smɔl blɔd vesel dɛn to di mɔsul dɛn, ɔgan dɛn, ɛn tisu dɛn we de rawnd am.
- Ɛnsɛfalaytis: If di vayrɔs skata to di bren, di bren tisu kin swel. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ chenj in pɔrsin ɛn fɔ gɛt sik.
- Nyumonia: Di vayrɔs kin skata to di lɔng dɛm ɛn i kin mek i nɔ izi fɔ blo bikɔs wata de ful-ɔp dɛn.
- Vayral ɛpatitis: We wan vayrɔs prɛd to di liva kin mek di liva inflamɛns.
Aw fɔ no dis sik kɔrɛkt wan?
Yu dɔktɔ go du sɔm tɛst fɔ no if yu gɛt dis sik.
| Tɛst | Wetin yu de chɛk? |
|---|---|
| Blɔd tɛst | dεn de chεk di bכdi fכ DNA כ mRNA fragmεnt dεm fכ di BK vayrus. |
| Test fɔ yurin | di urine dεn de tεst fכ wan spεshal tכp sεl we dεn kכl "dεkכy sεl dεm." dis na sεl dεm we de fכm frכm di infεkt kidni sεl dεm εn dεn de kכmכt na di urine. dεn de tεst bak fכ di prεsεns fכ DNA/mRNA fragmεnt dεm na di vayrus. |
| Kidni bayɔpsi | Dis na di we we pɔsin kin abop pan fɔ no di sik. Dɛn kin tek tu rili smɔl smɔl tisu dɛn na di kidni ɛn chɛk dɛn. |
Aw fɔ trit ɛn protɛkt yusɛf?
Nɔr wan tritmɛnt nɔr de we dɛn dɔn gri fɔ fɔ dis sik. Bɔt yu dɔktɔ go yuz difrɛn we dɛn fɔ mɛn di sik.
- Fɔ ridyus di doz fɔ di immunosuppressants: Dis na di men tritmɛnt. If dɛn kɔnfyus se di vayrɔs de wok, yu dɔktɔ go disayd fɔ ridyus di doz fɔ yu mɛrɛsin.
- Antivayrɔs mɛrɛsin: Dɛn kin gi sɔm mɛrɛsin fɔ ridyus di vayrɔs na di bɔdi.
- Ɔda mɛrɛsin dɛn: Yu kin nid fɔ chenj yu imyun supreshɔn mɛrɛsin ɔ dɛn kin gi yu antibayɔtik fɔ sɛkɔndari infɛkshɔn.
Aw wi go protɛkt wisɛf frɔm dis?
Bikɔs wi ɔl kin gɛt dis vayrɔs we wi smɔl, wi nɔ kin ebul fɔ kɔntrol di we aw i de kam insay di bɔdi. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di risk fɔ gɛt dis sik afta yu dɔn transplant yu kidni. Di tin we impɔtant pas ɔl na fɔ de chɛk yu ɔltɛm lɛk aw yu dɔktɔ advays yu.
- Bifo di sik sho, dɛn kin du blɔd ɛn urine tɛst ɔltɛm fɔ chɛk if di vayrɔs dɔn bigin fɔ wok.
- Tipikli, i kin fayn fɔ chɛk ɛvri 3 mɔnt fɔ di fɔs tu ia afta dɛn transplant am, ɛn afta dat ɛvri ia fɔ fayv ia.
- If dɛn tɛst ya no di vayrɔs, di dɔktɔ go ajɔst di doz fɔ di mɛrɛsin dɛn we de mek di bɔdi nɔ gɛt di sik.
Na wetin yu fɔ du na fɔ pe atɛnshɔn to ɛni smɔl smɔl sayn we yu gɛt, ripɔt am to yu dɔktɔ wantɛm wantɛm, ɛn mek dɛn du di tɛst dɛn we i tɛl yu fɔ du di rayt tɛm. If yu du dat, yu go protɛkt frɔm dis siriɔs infɛkshɔn ɛn yu go ebul fɔ gɛt wɛlbɔdi wit yu nyu kidni fɔ lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
- BK vayrɔs na wan vayrɔs we rili kɔmɔn we nɔ de ambɔg pipul dɛn we gɛt wɛlbɔdi, bɔt i kin denja fɔ pɔsin we dɔn gɛt kidni transplant.
- afta dεn transplant di kidni, di vayrus we bin de slip na di bכdi kin riaktivet bikoz fכ di imyun supεrshכn dεm.
- Yu fɔ no bɔt di sayn dɛm lɛk we yu de chenj yu urine, pen we yu de pis, ɛn we yu de gɛt bɔku bɔku wet wantɛm wantɛm.
- Di bɛst we fɔ protɛkt yusɛf frɔm dis sik na fɔ du skrinin ɔltɛm lɛk aw yu dɔktɔ tɛl yu.
- If yu gɛt ɛni dawt ɔ ɛni sayn, nɔ de te ɛn go to yu dɔktɔ fɔ advays.
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