Di dɔktɔ dɔn tɛl yu se yu gɛt prɔblɛm wit yu kidni ɔ yu wik? Ɔ yu dɔn yɛri se pɔsin we yu sabi gɛt kidni sik? I rili nɔmal fɔ mek yu fred smɔl ɛn wɔri we yu yɛri dɛn wɔd ya. Bɔt if wi no dis, dat kin mek wi nɔ fred bad bad wan. So tide, lɛ wi tɔk bɔt dis lɔng tɛm kidni sik, dat na, `Chronic Kidney Disease (CKD)`, wetin na in difrɛn stej dɛm, ɛn wetin wi fɔ du na ɛni stej.
Wetin mek dɛn kin sheb di sik we de na di kidni (CKD) to stej dɛn?
Fɔ tɔk am simpul wan, CKD na wan sik we di kidni dɛn we de wok de go dɔŋ smɔl smɔl as tɛm de go. Dis nɔ kin apin wan tɛm. Na dat mek dɔktɔ dɛn kin put di sik insay stej 1 to 5 fɔ ɔndastand aw i siriɔs.
Tink bɔt am lɛk stej. We yu de ɔp di stej, yu kidni dɛn kin wok fayn. As yu de go dɔŋ, dɛn wok de go dɔŋ.
- di fכs stej dεm (stej 1-3): Insay dεn stej dεm ya, yu kidni dεm stil de wok fayn כ na nכmal lεvεl. Bɔrku tɛm, nɔr big sayn nɔr kin de na dis stej.
- let stej dεm (stej 4-5): bay dis stej, di kidni fכnshכn dכn dכn bכku bכku wan. bay di εnd stej, di kidni dεm kin kכlכsכl dysfunctional.
Bɔt dis nɔr min se ɔlman in kidni sik go go bifo to stej 5. If dɛn trit am fayn ɛn chenj dɛn layf, bɔku pipul dɛn kin kɔntrol di sik na di lɛvɛl we i de naw ɛn delay fɔ mek i go bifo fɔ lɔng tɛm.
Aw dɛn kin no dɛn stej ya? Wetin na GFR?
Okay, naw lɛ wi si aw di dɔktɔ kin no ustɛm yu de insay.Dɛn kin no dis mɔ bay we yu luk di "filtration rate" na yu kidni dɛm.
Di tu kidni dɛn na wi bɔdi tan lɛk tu wata filta. di men wok we di kidni dεm de du na fכ filta εn klin di west prodak dεm we dεn nכ want, di wata we pasmak εn sכlt dεm we de kכmכt na di bכdi εn kכl dεm as urine. plεnti sכm sכm sכm yunit dεm de insay di kidni dεm we de du dis filta prכsεs. Wi de kɔl dɛn `(nephrons)`. di men filta insay εvri wan pan dεn nεfrכn dεm ya dεn kכl am `(glomerulus)`.
Di we aw dɛn kin mɛzhɔ aw dɛn kin klin yu blɔd kwik kwik wan tru dɛn filta dɛn ya na in dɛn kɔl Glomerular Filtration Rate ɔ GFR .
we di kidni dεm dכn dכn, dis filtrεshכn rεt (GFR) de dכn. Bikɔs i at fɔ mɛzhɔ dis GFR dairekt wan, dɔktɔ dɛn kin mɛzhɔ di amount fɔ wan west prodak we dɛn kɔl ``creatinine'' na yu blɔd ɛn afta dat dɛn kin yuz am fɔ kɔl yu GFR yuz wan spɛshal ikwɛshɔn, lɛk yu ej ɛn jɛnɛral. Wi kin kɔl dis ɛstimat GFR , ɔ eGFR.Dis na di valyu we dɛn rayt as eGFR na yu blɔd ripɔt.
pan tap dat, dεn kin du wan urine tεst fכ chεk fכ protin (albumin) insay di urine. sכmtεm, ivin if di eGFR nכmal, di protin we de insay di urine kin bi wan εli sayn fכ di kidni dεm we dεn dכn pwεl.
CKD stej dεm εn dεn minin
dis na di eGFR valyu we dεn de yuz fכ klas di 5 stej dεm fכ CKD. Yu kin ɔndastand am izi wan bay we yu luk dis tebul.
| Stej | eGFR valyu (mL/min) . | Kidni Kɔndishɔn |
|---|---|---|
| Faz 1 we de na di wɔl | 90 ɔ pas dat | Smɔl damej de pan di kidni dɛm, bɔt di filtreshɔn rɛt nɔmal. |
| Faz 2 we de na di wɔl | 60 - 89. Di wan dɛn we de wok | sכm sכm damej de pan di kidni dεm εn di filtrεshכn rεt de dכn sכmtεm. |
| Faz 3a | 45 - 59. Di wan dɛn we de wok | mכdarεt damej de pan di kidni dεm εn di filtrεshכn rεt de ridyus bכku bכku wan. |
| Faz 3b we de apin | 30 - 44. Di wan dɛn we de wok | mכdarεt damej pan di kidni dεm εn fכ ridyus di filtrεshכn rεt. |
| Stej 4. Di wan we mek | 15 - 29. Di wan dɛn we de wok | Di kidni dɛn dɔn pwɛl bad bad wan. Di filtreshɔn rit rili smɔl. |
| Stej 5. Di wan we mek | Ɔnda 15 ia | Kidni we nɔ de wok fayn. Na dis tɛm, dɛn nid fɔ du dayalaysis ɔ transplant kidni. |
Us sayn dɛm wae yu kin si pan ɛni stej?
Wan pan di spɛshal tin dɛm fɔ CKD na dat di sayn dɛm kin difrɛn difrɛn wan fɔ di stej.
Faz 1 ɛn 2
Na dɛn fɔs tɛm ya, bɔku pipul dɛn nɔ kin gɛt ɛni sayn bikɔs dɛn kidni dɛn stil de wok fayn. Dɛn kin no am bay we dɛn du blɔd ɔ urine tɛst fɔ ɔda sik, ɔr we dɛn chɛk blɔd prɛshɔn. Bɔt sɔm pipul dɛn kin notis tin dɛn lɛk:
- Di an, fut, ɔ anklɛ dɛn kin swel
- Infεkshכn dεm na di urinary tract כltεm
- Urin we gɛt fom
Faz 3a ɛn 3b
As di kidni wok de dכn dכn mכr, di bכdi kin at fכ ajɔst to am. Dis na wae bɔrku pipul kin bigin fɔ gɛt dis sik.
- Di leg ɛn anklɛ dɛn kin swel
- We yu de lɔs yu wet ɛn yu nɔ go want fɔ it
- Fɔ fil taya ɛn nɔ gɛt layf
- Mɔsul dɛn we kin kramp
- I nɔ kin izi fɔ yu fɔ blo
- Nɔ ebul slip
- Skin we de it
- Nid fɔ pis bɔku tɛm, mɔ na nɛt
- Urin we gɛt fom ɔ we dak
Stej 4 ɛn 5
Bay dis tɛm, di kidni dɛn nɔ de wok fayn igen, ɛn dɔti tin dɛn we de kɔmɔt na di bɔdi kin bigin fɔ gɛda na di blɔd. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn. Apat frɔm di sayn dɛm we wi dɔn tɔk bɔt, dɛn tin ya kin apin bak:
- I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu
- Ed de at
- Di pen we de na di bɛlɛ we de dɔŋ
- Tingling na di an ɛn fut
- Nɔs ɛn vɔmit
- Di urine we de go dɔŋ ɔ we i dɔn stɔp fɔ pis ɔltogɛda
- Bad breath we pɔsin kin blo
- Di kɔlɔ we di skin kin chenj (we kin tɔn grey ɔ yɔlɔ) .
Wetin na di tritmɛnt fɔ kidni sik?
No mɛrɛsin nɔ de fɔ CKD yet. Bɔt, tritmɛnt kin kɔntrol di sayn dɛm ɛn slo di sik fɔ go bifo. Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay di stej we di sik de.
Tritmɛnt fɔ stej 1 ɛn 2
di men gol na dis tεm na fכ mek di kidni dεm nכ damej mכr. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- If yu de smok, stɔp wantɛm wantɛm.
- Fɔ it fayn it, we nɔ gɛt bɔku sɔl ɛn ɔyl.
- Fɔ du ɛksasaiz ɔltɛm.
- Fɔ kɔntrol di bɔdi wet.
- If yu gɛt dayabitis, kɔntrol di shuga we yu gɛt na yu blɔd fayn fayn wan.
- If yu gɛt ay blɔd prɛshɔn, kɔntrol am.
Tritmɛnt fɔ stej 3a ɛn 3b
Na dis stej, wit di chenj we yu de chenj yu layf, dɛn kin nid mɛrɛsin bak fɔ kɔntrol di sik.
- Mɛrɛsin fɔ ay blɔd prɛshɔn: Ivin if yu nɔ gɛt ay blɔd prɛshɔn, sɔm mɛrɛsin kin mek yu kidni nɔ pwɛl.
- Mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku.
- Dayabitis mɛrɛsin: Dɛn kin gi sɔm mɛrɛsin, mɔ di SGLT2 inhibitors, fɔ protɛkt di kidni ivin pan pipul dɛm wae nɔr gɛt dayabitis.
- Diuretics: Ɛp fɔ pul ɛkstra sɔl ɛn wata na di bɔdi.
- Ɔda mɛrɛsin dɛn: Ayɛn tablɛt ɔ ɔda vaytamɛn dɛn fɔ mek di bon dɛn strɔng ɛn fɔ mek dɛn nɔ gɛt blɔd.
Tritmɛnt fɔ stej 4 ɛn 5
We di kidni dɛn dɔn nia fɔ pwɛl, di mɛrɛsin nɔmɔ nɔ go du fɔ mek di bɔdi gɛt wɛlbɔdi igen. Di tu men tritmɛnt opshɔn dɛm na dis stej na:
- Dayalaysis: Na mashin we de pul di blɔd na yu kidni.
- Kidni Transplant: Na ɔspitul transplant fɔ wan wɛlbɔdi kidni insay di bɔdi.
Na yu dɔktɔ kin disayd ɔl dɛn tritmɛnt ya afta yu dɔn chɛk yu wɛlbɔdi gud gud wan. So , i rili impɔtant fɔ tɔk bɔt dɛn wit yu dɔktɔ ɔltɛm ɛn fala dɛn advays.
Mɛsej we dɛn kin kɛr go na os
- CKD na sik we de mek di kidni dɛn wok smɔl smɔl as tɛm de go.
- Dɛn kin sheb di sik to stej 1 to 5 dipen pan aw i siriɔs, ɛn dɛn kin yuz wan mɛzhɔmɛnt we dɛn kɔl eGFR fɔ dis.
- Na di fɔs tɛm, bɔrku tɛm nɔr kin gɛt ɛni sayn. So, if yu gɛt tin dɛn we kin mek yu gɛt sik lɛk dayabitis ɔ ay blɔd prɛshɔn, i rili impɔtant fɔ mek yu de chɛk yu dɔktɔ ɔltɛm.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn CKD ɔltogɛda, dɛn kin kɔntrol di sik we de wɔs wit di rayt tritmɛnt ɛn chenj dɛn layf.
- Ɔltɛm tɔk opin wan wit yu dɔktɔ bɔt yu sik, stej, ɛn tritmɛnt.
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