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Thank You
Dr Joseph Agbi
Stay healthy....Be healthy
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Feel free to talk to your GP or Specialist about it and ask him or her to interpret the results. Also get a creatinine clearance test (simply called Renal function test) at least once a year. You may further ask to see a nephrologists if there are any red flags.
#SCDInAdultHood
During crisis it is common to find protein or even blood in urine.
This is understandable. if you are noticing proteins in urine even when well then you might need to go a step further by doing a urine test called protein creatinine ratio and estimated GFR (eGFR)
#SCDInAdultHood
Now to test which is which a common method is, if the urine foams leave it in the toilet bowl and watch. Foam from protein urine will remain even up to 30 mins. Foam from speed might will disappear within 5 mins
#SCDInAdultHood
2. Secondly if proteins begin to leak in urine. Alot of people also notice that urine is constantly foamy. This is a sign of protein in urine. Foamy urine also has other causes like dehydration or two fast the flow is.
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So what kind of damage?
1. The kidneys don't filter urine properly a situation called HYPERFILTERATION: Alot of people may notice they pee more often. This is a because of reduced concentration ability.
#SCDInAdultHood
Mainly due to repeated crisis and scaring of the tissue. So in adult years at least 5 out of 10 are already having some form of kidney damage.
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So this pair of beans shaped organs hiding at the flanks are one of the most important organs a human being will ever have.
Sickle cell disease causes changes in kidney function and from an early stage on life.
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RENAL FUNCTION
Unhealthy kidneys might spell danger, although life kidneys perform a vital role of excreting waste, once this capacity is affected, quality of life declines faster than one can imagine.
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According to @mentalhealth , helping others by donating blood can help your emotional and physical health.
Increase your happiness level today. Give life today! π
@Haima_Health_ @LifeBankNigeria @RSUTH_PH
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The only exception is priapism which can affect the sexual satisfaction of couples and as such should be handled cautiously to prevent ED.
#SCDInAdultHood
Thank you.
Dr Joseph Agbi
If there is any challenge encountered at the time there is a desire to procreate,seek the help of fertility specialist.
Until then it's really not something to bother about.
#SCDInAdultHood
3. GONADAL DYSFUNCTION
This just means that the gonads may develop some malfunction after puberty.
This can be sperm abnormalities like sperm counts or reduction in viable sperm or for ladies anovulation.
#SCDInAdultHood
Priapism that will resolve will do so in the first 2 hrs. Once is unrelieved beyond that it's best you seek medical help
DO NOT APPLY ICE PACKS. DO NOT THINK IT WILL RESOLVE BY HAVING SEX. NO YOU'LL LIKELY WORSEN IT
A range of treatment is available in hospitals.
#SCDInAdultHood
So what to do?
In the advent of priapism it is advisable to try out a few home tricks like take a pee, take a hot bath, and try out exercise like squats, push-ups, running, and of course take pain killers.
Priapism that will resolve will do so in the first 2 hrs.
#SCDInAdultHood
Then later it becomes established priapism where the erection is more persistent and requires one or more interventions
Frequent crisis, increased hemolysis
#SCDInAdultHood
Priapism is of different types. It doesn't affect everyone but is more common with people with more severe SCD complex.
It starts as stuttering priapism, the type that manifest during late teens and onset of puberty. Here, the erection comes and goes on its own.
#SCDInAdultHood
Firstly it is unwanted erection, meaning you may not even be aroused in the first place.
Secondly it is sustained, meaning it is lasting longer that permitted.
Finally it is painful.
This is because while blood is flowing into the male organ it does not flow out
#SCDInAdultHood
2. PRIAPISM: This is a more sinister issue and unfortunately it is the leading cause of infertility in most men with SCD.
Simply put, priapism is Vaso occlusive crisis of the male genital organ. Priapism is rather unpleasant thing to experience.
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The management here is often education, understanding, and patience
Eventually, sexual features appear and reproductive capacity is as any other non SCD person.
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