We yu dɔktɔ tɛl yu se yu gɛt Stej IV Kronik Kidni Disease, yu go dɔn fil big big fred ɛn shɔk. Sɔntɛm yu bin de tink se, ‘Mi layf dɔn dɔn naw.’ Bɔt fɔ tru, no rizin nɔ de fɔ mek wi at pwɛl so. Dis na siriɔs sik, bɔt if yu gɛt di rayt tritmɛnt, it, ɛn layf, yu go ebul fɔ liv lɔng ɛn gladi at. So, lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan tide.
Fɔs, lɛ wi luk di stej dɛm fɔ di kidni sik.
Fayv men stej dɛm de fɔ Kronik Kidni Disease (CKD). Tink bɔt am lɛk stej.
- di fכs stej dεm (1 εn 2): Insay dis stej, di kidni dεm kin dכn sכm damej, bכt dεn stil de wok fayn fayn wan. Bɔrku tɛm, nɔr big sayn nɔr kin de pan dis stej.
- Stej 3: Bay naw, lɛk af pan di kidni dɛn dɔn lɔs dɛn wok. Dis na we ɔda wɛlbɔdi prɔblɛm dɛn we gɛt fɔ du wit di kidni we nɔ de wok fayn (e.g., ay blɔd prɛshɔn, anemia) kin bigin fɔ kɔmɔt.
- Stej 4: Na dis say di damej pan di kidni dɛn kin rili bad . Na dis stej, yu dɔktɔ go gi yu wan intensiv tritmɛnt plan fɔ kip ɛni smɔl wok we yu kidni dɔn lɛf.
- Stej 5: Dis na di las stej. Na ya di kidni dɛn dɔn lɛf smɔl fɔ lɛ i nɔ wok. Dayalaysis ɔ transplant kidni rili nid fɔ mek i kɔntinyu fɔ liv.
Lɛ wi ɔndastand gud gud wan wetin na dis nɔmba 4 stej (Stej IV).
Krכnik kidni sik (CKD) kin apin we di kidni dεm kin pwεl bikɔs ɔf injury na in bɔdi ɔr, mɔr kɔmɔn, ɔda mεdikal kכndyushכn lεk dayabitis εn ay blɔd prεshכn. Di kidni dɛn we dɔn pwɛl nɔ kin ebul fɔ filta di blɔd fayn fayn wan.
Fɔ tɔk am simpul wan, di kidni dɛn tan lɛk faktri na wi bɔdi. Na sɔm pan di men wok dɛn we dɛn kin du:
- Fɔ mek di wata we de na di bɔdi balans
- Fɔ rigul wi ɔmon dɛn
- Fɔ kɔntrol blɔd prɛshɔn
- Fɔ mek di bon dɛn gɛt wɛlbɔdi
- Fɔ mek rɛd blɔd sɛl dɛn we di bɔdi nid
insay di fכs stej, di kidni dεm nכ de ebul fכ du dis wok fayn igen. So, di risk fɔ dɛn kɔmplikeshɔn ya kin bɔku. Fɔ avɔyd dɛn tin ya, yu nid fɔ rili tek tɛm wit di tin dɛn we yu de it ɛn di we aw yu de liv yu layf.
- Prɔblɛm dɛn we de na di at ɛn di blɔd vesel dɛn
- Anemia, we min se di blɔd volyum na di bɔdi de go dɔŋ
- Bɔn prɔblɛm dɛn
- Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol
- Taya pasmak ɛn nɔ gɛt ɛnaji bikɔs i nɔ gɛt di rayt it
Kidni Failure ɛn Tritmɛnt
bay stej fכ, di kidni dεm de na wan rili lכw lεvεl fכ wok. wan mכsu de fכ di kidni dεm fכ wok, we wi kכl di Glomerular Filtration Rate (GFR) . if dis GFR valyu dכn dכn 15%, wi kin kכl da kכndyushכn de ‘Kidney Failure’.
Pan ɔl we dɛn nɔ go ebul fɔ mɛn di sik we de na di kidni we nɔ de mɛn, tritmɛnt dɛn de we rili fayn we go sev yu layf ɛn mek yu gɛt wɛlbɔdi. Nɔ wɔri, yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu.
Bɔku men we dɛn de fɔ trit pɔsin. Mek wi tek wan luk pan dem.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan... |
|---|---|
| Kidni we dɛn kin transplant | Wan ɔspitul we dɛn kin du fɔ transplant wɛlbɔdi kidni (frɔm pɔsin we gɛt layf ɔ we dɔn day) insay di bɔdi. Bɔku tɛm, di nyu kidni kin bigin fɔ wok afta di ɔpreshɔn. Bɔt yu go stil nid fɔ tek mɛrɛsin fɔ di res ɔf yu layf. |
| Ɛmodayalis (HD) we dɛn kin yuz . | Dɛn kin sɛn yu blɔd to wan mashin we de wok lɛk atifishal kidni, pul dɔti tin dɛn ɛn ɛkstra wata we de insay, dɔn di blɔd we dɛn dɔn klin kin kam bak na yu bɔdi. Dɛn kin du dis na ɔspitul ɔ na os. |
| Pɛritonial Dayalaysis (PD) . | Dɛn kin du dis na os. wan spɛshal wata we dɛn kin sɛn insay di bɛlɛ tru wan tiub we dɛn kin put ɔspitul (kateta). Afta sɔm awa, dɛn kin pul di wata wit di dɔti, ɛn dɛn kin put nyu wata insay. Dɛn nid fɔ du dis ɛvride. |
Aw fɔ du ɛmodayalis
Fɔ mek wi ebul fɔ du ɛmodayalis, wi nid fɔ mek wan sistɛm we go ebul fɔ pul blɔd na di bɔdi izi wan ɛn gi am bak to di bɔdi. 3 men we dɛn de fɔ du dis.
- Fistula we gɛt di sik:Dis na di bɛst we ɛn we dɛn kin yuz mɔ. Di dɔktɔ kin du smɔl ɔpreshɔn ɛn kɔnɛkt wan at ɛn wan vein na yu an. Dis kin mek di vein strɔng ɛn i kin izi fɔ put nidul insay ɛn pul blɔd.
- Graft: If yu blɔd vesel dɛn wik ɛn dɛn nɔ ebul fɔ mek fistula, dɛn kin put wan smɔl atifishal tiub bitwin wan at ɛn wan vein fɔ kɔnɛkt dɛn.
- Kateta: If nid de fɔ dayalaysis kwik kwik wan ɔ fɔ shɔt tɛm, dɛn kin put big tiub insay wan big vein na di nɛk ɔ chɛst. Wan ɛnd pan dis tiub de na do na di bɔdi.
Aw fɔ kip di kidni dɛn we lɛf fɔ wok?
Fɔ mek yu kidni nɔ pwɛl mɔ, i rili impɔtant fɔ kɔntrol ɔda sik dɛn we de mek yu gɛt am fayn fayn wan.
Ay Blɔd Prɛshɔn
We blɔd prɛshɔn go ɔp, di blɔd vesel dɛn kin tik ɛn smɔl. Dɔn di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd. If dɛn nɔ kɔntrol dis, i kin gɛt strok ɔ at atak. So, i impɔtant fɔ tek di blɔd prɛshɔn mɛrɛsin we di dɔktɔ gi yu di rayt tɛm.
Dayabitis ɛn Ay Kɔlestɔl
We dɛn nɔ ebul fɔ kɔntrol di shuga ɛn kɔlɔstrel, di fat kin bɔku na di blɔd vesel dɛn, ɛn dis kin mek di blɔd klɔt, ɛn i kin mek pɔsin gɛt at atak ɔ strok. Tɔk to yu dɔktɔ bɔt di bɛst it plan fɔ yu. Yu go nid fɔ stɔp fɔ it tin dɛn we gɛt bɔku shuga ɛn fat. If nid de, aks fɔ mek dɛn rifer yu fɔ go to pɔsin we sabi bɔt it.
Anemia we nɔ gɛt bɛtɛ blɔd
We di bɔdi nɔ gɛt bɛtɛ rɛd blɔd sɛl, nɔto inɔf sɛl dɛn de fɔ kɛr ɔksijɛn. Dɔn di at gɛt fɔ wok tranga wan. Dis kin mek yu at pwɛl. Fɔ dis, di dɔktɔ go gi yu tin dɛn lɛk ayɛn pils.
Sik dɛm we gɛt fɔ du wit bon ɛn minral
We di kidni dɛn nɔ wok, di kalsiɔm kin kɔmɔt na di bon dɛn ɛn go insay di blɔd. We di kalsiɔm we de na di blɔd bɔku, di blɔd vesel dɛn kin at ɛn smɔl. Di dɔktɔ kin advays yu fɔ tek supamakit lɛk vaytamɛn D fɔ dis.
If yu manej ɔl dis fayn fayn wan, yu kin ridyus di prɛshɔn we de pan yu kidni ɛn kip dɛn wok we lɛf fɔ lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we stej 4 kidni sik na siriɔs sik, yu kin liv fayn wit di rayt tritmɛnt ɛn layf. Stay strɔng.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan mɛrɛsin ɛn it. Nɔ skip ɛni mɛrɛsin ɔ inkrisayz ɔ ridyus yu doz.
- Tɔk opin wan wit yu dɔktɔ bɔt yu tritmɛnt opshɔn dɛm (ɛmodayalis, kidni transplant) ɛn pik wetin bɛtɛ fɔ yu.
- Fɔ kɔntrol yu blɔd prɛshɔn, dayabitis, ɛn kɔlɔstrel lɛvɛl na di bɛst tin we yu go du fɔ protɛkt yu kidni.
- If sɔm sayn dɛn lɛk fɔ taya pasmak, fɔ blo shɔt, ɛn fɔ swel na yu leg dɛn bɔku, nɔ ignore dɛn ɛn go to yu dɔktɔ wantɛm wantɛm.
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