I kal (kidney) te hi engtin nge an awm? (eGFR) test hmangin i hrechhuak ang u!

Thisen test report-ah hian `(eGFR)` tih value i hmu tawh em? Hemi chungchang hi doctor pakhatin a hrilh che pawh a ni mai thei. Mi tam tak tan chuan thil buaithlak deuh angin lang mahse, `(eGFR)` hi a takah chuan test awlsam tak a ni a, kan kal hriselna chungchangah thu pawimawh tak tak min hrilh a ni. Chuvangin, vawiinah hian thumal awlsam takin thil tam tak kan sawi dawn a, chu chu `(eGFR)` chu eng nge a nih, eng nge min hrilh theih, tute tan nge a pawimawh tih te hi a ni.

Kidney hi eng nge ni? `(eGFR)` tih awmzia tak chu eng nge ni?

A awlsam zawngin kan kal (kidney) hi kan taksa chhunga filter te tak te pahnih ang mai a ni. Hengte hian filter tenau dang maktaduai tam tak `(glomeruli)` tih an nei bawk. Hengte hi kan thisena bawlhhlawh leh toxin duh loh zawng zawng filter-in zun angin a paih chhuak thin. Tui filter tui tifai ang maiin han ngaihtuah teh.

Tunah chuan he `Estimated Glomerular Filtration Rate (eGFR)` hi i kal chhunga `(glomeruli)` tih filter hmanga minute khata thisen tihthianghlim zat tehna value a ni a, chu chu i taksa lian leh te nena khaikhin a ni. A tlangpuiin thisen test i tih hian he `(eGFR)` value hi `(basic metabolic panel)` a tel ve angin i hmu thin.

He `(eGFR)` value hi doctor-te tan chuan i kal (kidney)-ah harsatna a awm leh awm loh hriatchhuah a pawimawh hle a, a bik takin kal natna . Kan kal hi urinary system ah hian a pawimawh hle a . Kidney natna a awm chuan heng filter te hian thisen an tihfai chakna chu a tlahniam thin. Tichuan, thisenah hian toxins tha lo tak tak a awm tan ta a ni.

Vanduaithlak takin kal natna lanchhuahna, zun tam leh taksa ruh natna te hi kal hian an hnathawh 40% vel a hloh hma chuan a lang lo thei. Chuvang chuan eGFR test hi a pawimawh hle. Natna chu a hriat hma thei a, kal chhiatna chu a tikhawtlai emaw, a titawp emaw theih nan enkawlna a tan thei a ni.

He `(eGFR)` test hi tute tan nge pawimawh ber?

Doctor-te chuan eGFR test hmangin kal natna a lo intan tawh em tih an enfiah a, chubakah kal natna nei tawhte natna stage an hriat theih nan an hmang bawk.

Hriselna lama harsatna thenkhat nei te chu kal lama harsatna nei thei an ni. Heng natnate hi i neih chuan, emaw, damdawi i ei a nih chuan, i doctor chuan eGFR test hmangin i kal hriselna a enfiah fo thei ang:

• Nau piangsual i neih chuan kal hnathawh tichhe thei.
• Coronary artery disease emaw heart disease emaw i neih chuan .
• Zunthlum (Diabetes Mellitus) i neih chuan .
• Chhungkaw zingah tu emaw chuan kal natna an nei tawh a nih chuan .
• Urinary tract infection (UTI) emaw, urinary blockage emaw i neih fo chuan .
• Thisen sang i neih chuan .
• Meizial zu tawhna history i neih chuan .
• I thau lutuk a nih chuan .

Heng risk factors nei te tan hian an eGFR value hriat a pawimawh hle.

Engtin nge doctor-te hian he `(eGFR)` hlutna hi an hmuh?

Dik tak chuan, kal (kidney)-in thisen (GFR) a filter rate dik taka tehna test hi a buaithlak hle. Chuvangin research basis emaw special case emaw, kidney transplant ang chiah emaw chauha tih an ni tlangpui. Chu ai chuan doctor-te chuan formula hmangin estimated value an zawng a, chu chu ``eGFR'' an ti a ni. He formula hi i ``serum creatinine'' thisen test result atanga lak a ni a, chubakah i kum leh mipa leh hmeichhia ang chi information te pawh a awm bawk .

Tunah chuan, he `(serum creatinine)` thisen test hi eng nge ni ? I thisenah bawlhhlawh `(creatinine)` an tih level a teh thin. Kan taksa hian chemical `(creatinine)` a siam chhuak a, chu chu kan taksa peng hrang hrangte chakna petu a ni. Kan taksa pengte hian he chakna hi an hman hian taksa peng hrang hrangte chu a chhe vek a, bawlhhlawh hrik `(creatinine)` an tih chu thisenah a chhuak ta a ni. Kidney hrisel hian he thil tha lo `(creatinine)` an tih hi thisen atangin a filter a, i zun hian taksa atangin a chhuak thin. Amaherawhchu kal natna i neih chuan he `(creatinine)` hi thisenah a awm reng a, zawi zawiin a pungkhawm tan thin.

I eGFR chhut tur chuan i doctor chuan National Kidney Foundation-in a chhut dan ang chi thil a hmang ang. Hei hi a hnuaia thilte hian a nghawng a ni:

• I creatinine level a ni.
• Kum.
• Mipa leh hmeichhe thliarna.
• A san zawng leh a rih zawng.
• Hnam leh/ emaw hnam (hei hian chhut dan thenkhat pawh a nghawng bawk).

`(Serum Creatinine)` thisen test hmain eng nge i tih tur?

He `(serum creatinine)` thisen test hi a sensitive hle. Chuvang chuan thisen test hmain doctor thupek uluk takin i zawm tur a ni. Test hma hun engemaw chen chu chaw nghei (fast) , chu chu tui chauh in tur leh solid foods ei loh tur tihna a ni. Damdawi thenkhat chu hun engemaw chen ei tawh loh turin an ti thei bawk.

Thil dang pakhat chu i doctor pawhin test hma ni khatah sa chhum ei loh turin a fuih thei bawk che a ni. Zirna thenkhatah chuan sa ei hian hun eng emaw chen atan creatinine level a tisang thei tih an hmuchhuak. Chuvangin, result dik tak kan hmuh theih nan heng thilte hi fimkhur a tha.

`(eGFR)` value te hian eng nge a awmzia?

Doctor-te chuan eGFR hi minute khatah milliliter-in an teh a, taksa zau zawng (mL/min/1.73m2)-in an teh a ni .

`(eGFR)` value hi kum, mipa leh hmeichhia, leh thil dang a zirin a danglam thei. He value hi kan tar a, kan taksa ruh (muscle mass) kan hloh chuan a pianphungah a tlahniam deuh thin. Entirnan, kum 20 mi tan chuan `(eGFR)` value chu 116 mL/min/1.73m2 vel a nih laiin, kum 60 mi tan chuan 85 mL/min/1.73m2 vel ah a tlahniam thei a ni.

A tlangpuiin ``eGFR'' value 60 aia tam a nih chuan i kal hnathawh chu 60% tal a ni tihna a ni. A hlutna a san poh leh kal hnathawh tha zawka ngaih a ni.

I report-ah hian `(eGFR)` value pahnih i hmu thei a, pakhat chu mipa hring tan a ni a, pakhat chu mipa dum ni lo tan a ni. Zirna thenkhatah chuan African hnam chhuakte hian midang aiin `(creatinine)` production leh muscle mass an nei sang deuh a, chuvangin an `(eGFR)` value pawh a sang zawk thei bawk. Lab hian i hnam a hriat loh avangin a chang chuan value pahnih hi report-ah hian thawn chhuah a ni. Amaherawhchu, hei hi Sri Lanka-a kan tan chuan a inzawm vak lo mai thei, mahse hriat a tha. A pawimawh ber chu i doctor-in i report dik taka a hrilhfiah hi a ni.

eGFR leh kal natna hi eng nge inzawmna?

Thla thum a zawna i eGFR 60 hnuai lam a nih chuan i doctor chuan chronic kidney disease i nei tih a hmuchhuak thei che a ni .

He kal natna hi a bulpui ber panga a awm a, chungte chu:

• Stage 1 (eGFR 90 aia sang): Hei hian kal (kidney)-ah chhiatna tenau engemaw zat a awm thei a, mahse kal (kidney) erawh a la thawk tha hle tihna a ni.
• Stage 2 (eGFR 60 leh 89 inkar): Hei hian a awmzia chu kal (kidney) hi stage 1 aiin tlem a chhia a, mahse a la thawk tha hle tihna a ni.
• Stage 3 (eGFR 30 leh 59 inkar): Hei hian kal hnathawh a tlahniam tihna a ni. Hetiang dinhmunah hian symptom thenkhat a awm thei.
• Stage 4 (eGFR 15 leh 29 inkar): Hei hian kal hnathawh a chhe hle tihna a ni a, kal a tichhia a, a nasat loh phah a ni.
• Stage 5 (eGFR 15 aia tlem): Hei hi kal chak lohna chhinchhiahna a ni . Hei hian i kal (kidney) te hian 15% aia tlem an thawk tihna a ni. He stage hi a hlauhawm ber a, nunna atana hlauhawm tak a ni thei bawk. Hêng mite hian dialysis (machine hmanga thisen tihfai) emaw, kal thlak emaw an mamawh mai thei .

Hlau suh, he stage chungchang hi vawi khat i hriat chuan. Pawimawh tak chu `(eGFR)` hlutna hi a hniam hle a nih pawhin, a hmaa hriatchhuah a nih a, enkawl dan tur dik tak leh nunphung tihdanglam a nih chuan kal (kidney) chhiatna chu nasa takin a thunun theih a ni.

`(eGFR)` value a dik lo a nih chuan test lo awm tur chu engte nge ni?

I eGFR a dik lo a nih chuan, i doctor chuan heng test zinga pakhat emaw a aia tam emaw a order thei a, chu chu kidney chhiatna zau zawng tehna atan leh a dik lohna chhan hriat nan a ni:

• Urinalysis: Zun chhunga albumin (protein chi khat) leh thisen awm leh awm loh a enfiah thin. Hengte hi kal natna chhinchhiahna hmasa ber a ni thei.
• Kidney ultrasound emaw CT scan emaw hmangin:Kidney stone, kidney cancer emaw, zun kawng lama harsatna dang emaw a awm leh awm loh enfiah thin ang che.
• Creatinine clearance test: Zun leh thisenah a rualin creatinine level a teh thin.
• Kidney biopsy: Kal natna chi leh a nasat dan chiang taka hriat.

I tana enkawlna tha ber chu heng test atanga thu hriatte a\angin a ni ang.

Engtik hunah nge doctor ka hmuh ang?

Kidney natna i neih chuan, emaw, kidney disease neih theihna tur risk factor i neih chuan, heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Zun tam a ngai a nih chuan, i zun ah thisen a awm a nih chuan, i zun a foam a nih chuan.
• Vun a vawt, a hnim emaw, a rawng dum emaw a awm chuan.
• I chau hle tih i hriat chuan .
• Muscle a inher a, taksa chu a cramp ang maia a awm chuan.
• Nausea emaw i luak chhuak emaw a nih chuan .
• Thâwk harsa i neih chuan .
• I kut, ke, a nih loh leh i ke ruh a hring a nih chuan .

Heng symptoms te hi ngaihthah suh. Damdawi lam thurawn lak vat a pawimawh hle.

A pawimawh ber - kan hriat reng tur thil (Take-Home Message) .

Okay, chuti a nih chuan tunah hian `(eGFR)` chungchang hi kan sawi nasa tawh a ni lawm ni?

Kal natna vei theihna i neih chuan, emaw, kal natna i nei tawh a nih chuan, i ``eGFR`` value hi enfiah reng a pawimawh hle tih hre reng ang che. Hei hi damdawi thenkhat ei thinte tan pawh a hman theih.

I eGFR-ah hian kal natna engemaw chen a lan chuan i kal chhiatna nasa zawk laka humhim turin hma i la thei ang. I doctor chuan thisen sang emaw, zunthlum emaw tan damdawi a pe thei ang. Tin, i taksa rihna tihtlem (a tul chuan), exercise i tih te, leh ei leh in tha tak, chi tlem te ei hian i kal hriselna pawh i ti tha thei bawk .

Chuvangin, i `(eGFR)` value kha lo thlir reng ang che. Zawhna emaw rinhlelhna emaw i neih chuan i doctor zawh hreh suh. Kidney hrisel pahnih hi nun hrisel neihna atana tichaktu lian tak a ni!

` Kal, eGFR, creatinine, kal natna, thisen test, hriselna, zun test