Yu dɔktɔ dɔn tɛl yu se yu gɛt Stej 3 Kidni Disease? Na nɔmal tin fɔ mek yu fred smɔl ɛn shɔk we yu yɛri dɛn wɔd ya. "Oh mai God, wetin go hapun neks?", "Is mai laif limited?", etc. Bɔku kwɛstyɔn kin kam na yu maynd. Bɔt nɔ wɔri. Dis nɔto di ɛnd fɔ yu layf. Dis na jɔs sayn fɔ sho se yu nid fɔ tek tɛm kia fɔ yu wɛlbɔdi pas aw yu kin du am. Lɛ wi tɔk bɔt dis tide, klia wan ɛn simpul wan, ɛn fɛn ansa to ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd.
Wetin na di stej 3 kidni sik rili?
Fɔ tɔk am simpul wan, di tu kidni dɛn na wi bɔdi tan lɛk tu supa filta dɛn. Dɛn men wok na fɔ filta dɔti ɛn tin dɛn we dɛn nɔ want frɔm di blɔd ɛn pul dɛn kɔmɔt as urine. Kidni sik na we di wok we dɛn tu filta ya de du de go dɔŋ smɔl smɔl.
5 stej dεm de fכ di kidni sik. Stej 3 min se yu kidni dεm dכn rεdכks dεn wok to lεk af pan di nכmal. Imajin wan situeshɔn we 50 pan 100 mashin dɛn we de na wan faktri nɔ de wok.
Dɔktɔ dɛn kin mɛzhɔ dis wit wan tɛst we dɛn kɔl GFR (Glomerular Filtration Rate). Fɔ tɔk am simpul wan, dis GFR valyu de tɛl yu ɔmɔs blɔd yu kidni kin filta fɔ wan minit. insay stej 3, dis GFR valyu de bitwin 30 εn 59. Dis gεt tu pat dεm bak, 3A εn 3B. Na stej 3B, di risk de hכy sכmtεm.
Wetin na di sayn dɛm ɛn di wɛl bɔdi ifɛkt dɛm wae dɛn kin fil na dis stej?
De gud nyus na dat bɔrku pipul dɛm wae de na stej 3 nɔr kin gɛt ɛni patikyula sayn. Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn.
- Di an, fut, ɔ anklɛ dɛn kin swel.
- Bak pen (we di kidni dεm de).
- Chenj na di we aw yu de pis (we yu de pis mɔ ɔ smɔl).
Bɔt di tin dɛn we denja pas dɛn sayn ya na di sayd ɛfɛkt dɛn we kin apin we di kidni nɔ de wok fayn. Na dɛn tin ya wi rili nid fɔ pe atɛnshɔn to.
| I pɔsibul fɔ gɛt wɛlbɔdi prɔblɛm | Fɔ ɛksplen am simpul wan |
|---|---|
| Ay Blɔd Prɛshɔn | Di kidni dɛn nɔ kin ebul fɔ ɛp fɔ kɔntrol di blɔd prɛshɔn. Apat frɔm dat, ay blɔd prɛshɔn kin pwɛl di kidni dɛn mɔ. Na wan bad bad saykl we de wok ɔl tu di we dɛn. |
| Anemia we nɔ gɛt bɛtɛ blɔd | di kidni dεm de mek wan כmon (Erythropoietin) we de εp fכ mek rεd bכdi sεl dεm. We di kidni dɛn nɔ wok, dis ɔmon nɔ kin wok, ɛn dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd. Dis kin mek yu taya ɛn nɔ gɛt layf ɔltɛm. |
| Bɔn Sik we pɔsin kin gɛt | di kidni dεm de εp fכ kip di bon dεm strכng bay we dεn de aktibכt vaytam in D. We dis prכsεs nכ de wok fayn, di bon dεm de wik εn bigin fכ pen. |
If dɛn nɔ trit dis sik ɛn nɔ kɔntrol am, di sik kin go bifo to stej 4. Stej 4 na rili siriɔs sik we de rili nia fɔ mek di kidni nɔ wok fayn. If yu rich da stej de, yu go nid dayalaysis tritmɛnt, we na mashin we de klin yu blɔd, ɔ fɔ transplant kidni fɔ mek yu kɔntinyu fɔ liv.
Aw fɔ kɔntrol stej 3? Wetin wi fɔ du?
Di fɔs tin we wi fɔ ɔndastand na dat, dɛn nɔ go ebul fɔ chenj di damej we dɛn dɔn ɔlrɛdi du ɔltogɛda. Bɔt nɔ wɔri. Bɔrku tin de wae wi kin du fɔ stɔp mɔr kidni dɛm ɛn fɔ kɔntrol ɔda sik dɛm wae dɔn kam. Dis na di tɛm we impɔtant pas ɔl na yu layf.
Di we aw pipul dɛn de liv dɛn layf chenj
I rili impɔtant fɔ fala dɛn tin ya di rayt we.
| Wetin wi fɔ du | Wetin mek dat impɔtant? |
|---|---|
| Fɔ mit di dɔktɔ di de we dɛn dɔn sɛtul | Dis impɔtant fɔ wach yu kɔndishɔn ɛn mek ɛni chenj we nid fɔ apin. Yu kin nid bak fɔ go to dɔktɔ we de mɛn yu kidni (Nephrologist). |
| Blɔd prɛshɔn ɛn dayabitis kɔntrol | Dis na tu pan di big ɛnimi dɛm fɔ di kidni dɛm. If yu kɔntrol dɛn tu tin ya, dat kin mek di kidni dɛn nɔ pwɛl bad bad wan. |
| Fɔ chenj di it we yu de it | Dis rili impɔtant. Yu dɔktɔ go advays yu fɔ lɛ yu nɔ it bɔku tin dɛn we gɛt bɔku prɔtin, sɔl, potashɔm, ɛn kɔlɔstrel. |
| Fɔ lɛf fɔ smok kpatakpata | Smok kin pwɛl di chanɛl dɛn we de gi blɔd to di kidni dɛn. |
| Ɛksesaiz ɛn kɔntrol di wet | Fɔ mek yu gɛt wɛlbɔdi wet kin fayn fɔ ɔl yu wɛlbɔdi. |
| Fɔ avɔyd sɔm mɛrɛsin dɛn we de mek pɔsin fil pen | Sɔm tin dɛn we de mek yu nɔ fil pen (NSAID) lɛk ibuprofen ɛn naproxen kin pwɛl yu kidni. Aks yu dɔktɔ bifo yu tek ɛni mɛrɛsin. |
Mɛrɛsin dɛn we di dɔktɔ kin gi yu
Dipen pan yu sik, yu dɔktɔ kin gi yu mɛrɛsin lɛk dis.
- Mεdikeshכn dεm we de lכs blכd prεshכn: Mεdikeshכn dεm lεk ACE inhibitor כ ARB.
- Diuretics: Dɛn kin ɛp fɔ pul wata we nɔ nid ɛn dɔti tin dɛn we kin gɛda na di bɔdi tru urine.
- Drug dɛn we de mek di kɔlɔstrel nɔ bɔku.
- Tritmɛnt fɔ anemia: Erythropoietin injɛkshɔn, we de ɛp fɔ mek rɛd blɔd sɛl dɛn.
- Vitamin D ɛn Fɔsfɛt binder: Kip di bon dɛn strɔng ɛn kɔntrol di fɔsfɛt lɛvɛl na di blɔd.
Stej 3 kidni sik nɔr de dɔn yu layf. Na fayn chans fɔ tink bak bɔt aw yu de liv yu layf ɛn bigin fɔ du nyu rod fɔ gɛt wɛlbɔdi.
Risach dɔn sho se nɔto ɔlman we de na stej 3 go go bifo to stej 4. Dat min se if yu fala yu dɔktɔ in advays gud gud wan ɛn chenj yu layf, yu go mɔs kɔntinyu fɔ gɛt di sik we yu gɛt naw ɛn liv wɛlbɔdi, lɔng layf. I jɔs nid fɔ gi yu layf to Gɔd ɛn fɔ kɔrɛkt yusɛf. Join yu dɔktɔ pan dis joyn.
Mɛsej we dɛn kin kɛr go na os
- Stej 3 kidni sik min se di kidni dεm dכn lכs lεk af pan dεn wok. Bɔt dis nɔto day sɛnt.
- Pan ɔl we dɛn nɔ kin ebul fɔ rivɛns di kidni we dɔn pwɛl, i pɔsibul fɔ stɔp ɔ delay di sik fɔ mek i nɔ wɔs.
- Yu men gol fɔ bi fɔ kɔntrol yu blɔd prɛshɔn ɛn dayabitis (if yu gɛt am) fayn fayn wan.
- Tek di mɛrɛsin we di dɔktɔ gi yu di rayt tɛm. Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tink bɔt.
- Fɔ fala di advays bɔt it (fɔ ridyus sɔl, prɔtin, ɛn potashɔm) ɛksaktɔli.
- Nɔ skip ɛni klinik ɛn mɛdikal tɛst we dɛn dɔn sɛtul. Yu layf dipen pan am.
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