Di kidni na wan pan di impɔtant pat dɛn na wi bɔdi. Dɛn tan lɛk tu "filta" dɛn na wi bɔdi. di men wok we di kidni dεm de du na fכ filta εn klin di west tin dεm na di bכdi εn kכl dεm as urine . So i rili impɔtant fɔ mek dɛn kidni ya gɛt wɛlbɔdi. Tide wi go tɔk bɔt wan sik we kin afɛkt di kidni dɛn kwayɛt wan, bɔt nɔbɔdi nɔ de tɔk bɔt am bɔku. Dat na Intɛrsitial Nɛfrayt.
Fɔ tɔk am simpul wan, wetin na Interstitial Nephritis?
Okay, dis nem soun likli komplikayt, bot e akchuali kwik simpul. A bin dɔn tɔk se di kidni dɛn tan lɛk filta. dis filta gεt wan nεtwכk fכ rili fayn, sכm sכm tכb dεm (tכbul dεm). insay mεdikal, wi kin kכl dεn ya ``tubules''. Interstitial Nephritis na we dɛn smɔl smɔl tiub dɛn de ɛn di tisu we de rawnd dɛn kin inflam. dis inflameshn de mek di kidni dεm nכ de wok fayn fayn wan.
Sɔmtɛm dis sik kin rili smɔl ɛn i kin bɛtɛ insay shɔt tɛm. Bɔt sɔntɛnde, i kin tranga smɔl ɛn i kin te fɔ lɔng tɛm. Bɔrku tɛm, e kin apun as sayd ɛfɛkt fɔ ɔda mɛrɛsin.
Tu men kayn dis sik de.
Yes, dεn kin sheb di Interstitial Nephritis to tu men tכyp dεm. Di we aw dɛn tu tin ya difrɛn smɔl.
| Di kwaliti we pɔsin gɛt | Akyu Intɛrsitial Nɛfraytis | Kronik Tubulointerstitial Nɛfrayt |
|---|---|---|
| Di spid we i de du | Dis kin apin kwik kwik wan, insay sɔm dez. | Dis kin divɛlɔp smɔl smɔl, as tɛm de go. |
| We yu de pis | Di urine we yu de pas kin go dɔŋ ɔ bɔku wantɛm wantɛm, mɔ na nɛt. | Bɔku tɛm, pɔsin kin pis pasmak. |
| Ɔda tin dɛn we de apin | If dis sik na baktri infekshɔn, fiva, urinary tract infection, ɛn bak pen kin apin. | Fɔs, di sayn dɛm kin tan lɛk di wan dɛm wae kin kam wae yu kidni nɔr de woke fayn. I kin apin, i kin taya pasmak, i nɔ kin want fɔ it, i kin mek i nɔ fil fayn, i kin vɔmit, ɛn i kin at fɔ blo. |
Wetin na de tin wae kin mek pɔrsin gɛt Interstitial Nephritis?
Nɔto wan rizin de fɔ dis kayn tin, bɔt bɔku tin dɛn kin mek i apin. Lɛ wi luk di men rizin dɛn.
| Rizin | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Drug dɛn we dɛn kin yuz | Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl . Sɔm mɛrɛsin kin afɛkt di kidni dɛm. Sɔm ɛgzampul dɛn na aspirin, sɔm antibayɔtik, nɔ-stɛroyd anti-inflammatory drɔgs, sɔm mɛrɛsin fɔ gastritis (Proton Pump Inhibitors), ɛn sɔm mɛrɛsin fɔ kansa tritmɛnt (Immune checkpoint inhibitors). |
| Di Riakshɔn dɛn we Drug Gɛt | Sɔmtɛm dis sik kin kam bak as alɛji fɔ wan mɛrɛsin wae yu de tek. |
| Infεkshכn dεm | Difrɛn kayn sik kin kam wit dis. Ɛgzampul: baktriyal infɛkshɔn lɛk E. coli, vayrɔs lɛk HIV ɔ hεpi, sifilis, parasayt, ɛn fεn infεkshכn. Apat frɔm infεkshכn dεm we de kam na di kidni dεm sεf, dis kin bi wan kכz. |
| Dizayd dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik | I kin kam bak frɔm sɔm sik dɛn we kin afɛkt di bɔdi in imyun sistɛm. Sɔm ɛgzampul dɛn na sarkoidosis, Sjogren’s syndrome, ɛn lupus. |
Di tin we impɔtant pas ɔl na, nɔ stɔp fɔ tek mɛrɛsin we yu dɔktɔ dɔn tɛl yu jɔs bikɔs i de pan dis list. If yu gɛt ɛni dawt, mek shɔ se yu tɔk to yu dɔktɔ .
Wetin kin bi di sayn dɛm fɔ dis sik?
De tin wae intrestin ya na dat bɔrku pipul nɔr kin gɛt ɛni symptom at ɔl, ɔr na wan wae nɔr kin pasmak. Bɔt sɔm pipul dɛn kin gɛt tin dɛn lɛk:
- Di urine we de kɔmɔt na di bɔdi dɔn go dɔŋ
- Di frɛkuɛns ɔ di amount we yu de pis de go ɔp
- Nɔs ɛn vɔmit
- Fiva
- Skin rash we de kɔmɔt na di skin
- Di ay blɔd prɛshɔn
- Nɔr de rɛst ɔr de agyu
- Fɔ slip pasmak
- Memori ɛn kɔnshɛns distɔblɛshɔn (Kɔnfyushɔn) .
- Di wan ol bɔdi kin swel ɔ na sɔm say dɛn
- We yu de gɛt mɔ wet
If yu gɛt di kayn we we nɔ de mɛn (lɔng tɛm), yu kin gɛt prɔblɛm bak fɔ blo . If yu gɛt wan ɔ mɔ pan dɛn sik ya, mɔ if dɛn apin afta yu dɔn bigin fɔ tek nyu mɛrɛsin, i go fayn fɔ mek yu go to dɔktɔ.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
Fɔ mek dɛn kɔnfɔm dis sik kɔrɛkt wan, dɛn fɔ du sɔm tɛst dɛn na lɛbɔtri.
- Test fɔ di kidni fɔ wok: Dis na simpul blɔd tɛst we kin sho aw yu kidni de wok fayn. Dɛn kin chɛk bak fɔ si if di dɔti tin dɛn we de na di blɔd, lɛk yurik asid ɛn fɔsfɛt, bɔku.
- Kidni bayɔpsi:Dis na di onli we fɔ kɔnfɔm di sik 100% pan di tɛm. Bɔt dɛn nɔ de du dis fɔ ɔlman. wetin dεn de du ya na fכ tek wan rili sכm tisu frכm di kidni wit wan rili fayn nidul εn egzamin am כnda maykroskכp. Dɛn kin du dis tɛst pan spɛshal kes dɛm, lɛk fɔ disayd if dɛn fɔ gi mɛrɛsin lɛk kɔtikosterɔyd ɔ nɔ fɔ gi am.
- Ɔda tɛst dɛn: Yu dɔktɔ kin ɔda bak fɔ mek dɛn du skan lɛk ɔltra saund skan ɔ redionyuklayd skan. Dɛn skan ya kin ɛp fɔ luk fɔ swel na di kidni, mɔ if dɛn tink se yu gɛt alɛji fɔ wan mɛrɛsin.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt opshɔn dɛm dipen pan us kayn intastitial nɛfrayt yu gɛt ɛn aw i siriɔs.
Fɔ Akyu Intɛrsitial Nɛfrayt (tayp we kin bigin wantɛm wantɛm):
Di fɔs ɛn impɔtant tin na fɔ stɔp fɔ tek di mɛrɛsin we dɛn tink se yu de tek wantɛm wantɛm . Bɔt yu fɔ jɔs du dis ɔnda di advays we yu dɔktɔ gi yu . Nɔ ɛva stɔp fɔ tek mɛrɛsin fɔ yusɛf.
If dis na sik lɛk lupus ɔ alɛji to mɛrɛsin, yu dɔktɔ kin gi yu mɛrɛsin lɛk kɔtikosterɔyd fɔ mek yu nɔ swel.
If di sik rili bad ɛn di kidni dɛn bigin fɔ wok, yu kin gɛt fɔ du wan mashin fɔ klin yu blɔd, we dɛn kɔl dayalaysis.
Fɔ Kronik Intastitial Nɛfrayt (di kayn we fɔ lɔng tɛm):
Na ya bak, if mɛrɛsin de we de mek yu gɛt di sik, i impɔtant fɔ lɛ yu stɔp am pan dɔktɔ advays. Apat frɔm dat, dɛn kin gi yu ɔda mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn ɛn fɔ mek di sik nɔ go bifo igen.
Bɔt i sɔri fɔ no se if di kidni dɛn dɔn pwɛl fɔ ɔltɛm, yu kin nid fɔ dayalaysis fɔ ɔl yu layf ɔ fɔ transplant yu kidni.
Na dat mek wi se if yu pe atɛnshɔn to ɛni sayn ɛn go to dɔktɔ kwik kwik wan, dat kin mek yu nɔ gɛt big big damej.
Mɛsej we dɛn kin kɛr go na os
- intastitial nεfrayt na inflameshn na di fayn fayn filta dakt dεm na di kidni dεm εn di tisu dεm we de rawnd, we kin pwεl di kidni dεm.
- Bɔku tɛm, dis kin apin bikɔs ɔf sɔm mɛrɛsin dɛn, infɛkshɔn, ɔ tin dɛn we kin afɛkt di bɔdi in imyun sistɛm.
- If yu gɛt sɔm sayn dɛn lɛk we yu de chenj yu pis, yu de swel, yu gɛt fiva, ɔ yu skin de rɔsh, go to dɔktɔ wantɛm wantɛm . Ɛspɛshali if dɛn sik ya de apin afta yu dɔn bigin fɔ tek nyu mɛrɛsin, tɛl dɛn bɔt am.
- Tritmɛnt de fɔ dis sik. If yu no di kidni kwik kwik wan ɛn trit yu, dat kin mek yu nɔ pwɛl di kidni.
- Nɔ ɛva bigin ɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
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