I kal chhunga thisen kalna kawng te tak te te hi i hria em? (Peritubular Capillaries) Hemi chungchang hi han sawi ila!

Chibai! Vawiin hian kan taksa peng mak tak leh pawimawh tak kan sawi dawn a ni. Chu chu kan kal chhunga thisen kalna kawng te tak te network a ni. Hengte hi peritubular capillaries kan ti a . A hming hi tlem a buaithlak viau nachungin, hengte hian hna an thawh hi a lian hle a, kan taksa chhiahhlawh ngawi renga awmte ang bawkin.

Heng peritubular capillaries te hi engte nge ni? Engtin nge an tih?

A awlsam zawngin sawi ila, heng `(Peritubular Capillaries)` te hi thisen kalna kawng tha tak tak awmna system an ni a, i kal sam ang pawha sei lo an ni. ``Peritubular`` tih thumal hi ``channel tenau vel'' tihna a ni a, chuvangin heng vein te hi kal chhunga channel te tak te system vel ah an awm a ni. Hêng channel-te vêla grep hrui hrual ang maiin ngaihtuah rawh.

Tunah chuan heng ṭhian tenau te hnathawh ber chu eng nge ni tih i lo en ang u:

1. Bawlhhlawh tihbo: An hna lian ber pakhat chu kan zun (urinary system) tanpui leh taksa atanga bawlhhlawh duh loh paih chhuah hi a ni. He bawlhhlawh hi a tawpah chuan i zun (pee) hian a chhuak thin.

• Urea: Hei hi nitrogenous waste product a ni a, kan taksain protein a tihchhiat hian a siam chhuak thin.
• Creatinine: Hei hi kan taksa ruh atanga lo chhuak bawlhhlawh a ni.
• Acids: Hemi hmang hian taksaa acid dang lo awm khawm te pawh hi paih chhuah a ni.

Heng ``Peritubular Capillaries`` te hian heng bawlhhlawh leh taksa atanga tui tam zawk te hi kal chhunga filtering unit ``Nephrons`` kaltlangin a phur chhuak thei a ni.

2. Reabsorption of nutrients: Heng ``Peritubular Capillaries`` te hi kan taksa mamawh leh mamawh nutrients te thisenah a thawk leh theihna tura absorb tu an ni. Bawlhhlawh nen paih chhuah ai chuan thil hlu tak tak lak let leh ang maiin ngaihtuah rawh.

• Amino acids a awm bawk
• Mineral lam thil a ni
• Thisen thlum (glucose) 1.1.

3. Thisen leh oxygen pek chhuah: Heng `(Peritubular Capillaries)` te hna pawimawh dang chu kal (kidney) tubular system-a cell-te thisen leh oxygen pek hi a ni.

Khawiah nge heng `(Peritubular Capillaries)` te hi an awm tak tak?

Tunah chuan hengte hi khawiah nge an awm tak tak tih i lo en ang u. I hria em, kan kal pakhatah hian nephrons tih unit maktaduai khat vel a awm a. Nephron hi kal chhunga filter unit te tak te ang mai a ni. Kan in chhunga tui filter ang mai a ni a, mahse a complex zawk hle.

Nephron tin hian thisen filtertu glomerulus (heng tam tak an awm chuan glomeruli an ti a) an nei a, chu chuan filtered substances chu taksaah a la lut lehtu tur channel system an nei bawk. Chu channel vel chu peritubular capillaries network a awm a. Khawpui pakhata kawngpuiah dawr hrang hrang a awm ang mai a ni.

Heng `(Peritubular Capillaries)` te hi eng ang nge an nih?

Heng `(Peritubular Capillaries)` te hi a te em em a, kan mitin kan hmu thei lo. `(microscope) hmanga kan en a ngai a ni .` Hengte hi thisen kalna kawng chi khat bik tak an ni. Chungte chu `(fenestrated)` thisen kalna kawng an ti a. Chumi awmzia chu, heng thisen kalna bangte hian khur te tak te `(pores) .` Filter ang maiin an nei tihna a ni.

Heng khur te hi heng vein leh a chhehvel tissue inkarah hian tui, mineral leh bawlhhlawh te awlsam taka kal theihna tur a ni. Hole tin hian membrane te tak te an nei a . A inhawng a, a khar bawk a, chu chuan particle lian tak tak pawh a paltlang thei a ni. Hei hi design mak tak a ni lo maw?

Engtin nge Peritubular Capillaries te hian thisen an dawn?

Tunah chuan heng `(Peritubular Capillaries)`-ah hian thisen a luh dan leh a chhuah leh dan hi i en ang u. Hei hi mumal takin a thleng a, traffic system duan tha tak ang maiin:

1. Pakhatnaah chuan thisen hi thisen kalna kawng lian tak tak renal arteries an tih hmangin kal (kidney) ah a lo lut thin.

2. Heng thisen kalna kawng lian tak takte hi thisen kalna kawng tenau zawkah an inthen a, chu chu afferent arterioles an ti a. Hengte hi nephrons-a thisen phurtu an ni.

3. Tichuan, thisen chu nephron chhunga glomerulus hmangin a filter a.

4. Thisen filtered chu kan protagonist, ‘Peritubular Capillaries’-ah a luh hmain vein tha tak tak series dang ‘Efferent arterioles’ tih hmangin a kal tlang a.

5. Thisen hian peritubular capillaries a chhuahsan a, zawi zawiin vein lian zawkah a kal a, a tawpah chuan main renal vein kaltlangin kidney atangin a chhuak ta a ni .

Thil buaithlak tak angin lang mah se, hei hi kalphung mumal tak leh mak tak a ni a ni lawm ni?

`(Peritubular Capillaries)` tibuaitu natna leh dinhmun tlanglawn tak takte chu engte nge ni?

Awle, eng natna nge hetiang hna pawimawh tak thawktu ``Peritubular Capillaries'' te hi a tichhe thei? Thil lungchhiatthlak tak chu heng vein te tak te te pawh hian harsatna an nei thei a ni.

Hriselna lama harsatna thenkhat, natna, a bik takin inflammation leh scarring te hian heng vein nalh tak takte hi a tichhe thei a ni. Hetiang chhiatna a thlen hian heng vein te density hi a tlahniam thin. Hei hi peritubular capillary rarefaction an ti a . A awlsam zawngin sawi ila, vein a tlahniam a, an hnathawh a tichhe thin.

Heng `(Peritubular Capillaries)` chhia te hian dam leh theihna an nei tlem hle. Chuvangin, he `(Peritubular capillary rarefaction)` dinhmun hian Chronic Kidney Disease (CKD)` leh High Blood Pressure `(Hypertension ) ang chi natna khirh tak tak lo chhuahnaah nasa takin a pui a ni. Hengte hi natna tlanglawn tak tak an ni. Enkawl loh chuan kal natna chu kal chak lohna thlengin a kal thei . Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Kidney natna thlen thei emaw, a kaihhnawih thei emaw dinhmun dangte chu:

• Glomerular natna, entirnan, Glomerulonephritis.
• Kidney natna a awm.
• Ureteral tihkhawtlai a ni.

`(Peritubular Capillaries)` nena inzawm dinhmunte ziarang tlangpui engte nge ni?

Tunah chuan i ngaihtuah mai thei, heng `(Peritubular Capillaries)`-ah hian thil dik lo a awm a nih chuan, eng chhinchhiahna nge kan hriat theih ang? A châng chuan heng dinhmunte hi engmah chhinchhiahna awm lovin a awm thei bawk . Chu chu thil hlauhawm ber a ni. Mahse, symptoms a lo lang a nih chuan hetiang hi i hmu mai thei:

• Flank na a na.
• Khawsik.
• Nausea leh luak chhuak.
• Chau lutuk leh hah lutuk `(Fatigue)` tih hriatna.
• I zun dan inthlak danglamna. Chumi awmzia chu:
• Zun tam hi zun tam a tulna a ni.
• Zun harsatna.
• Zun chhunga thisen (hematuria) .
• A nih loh leh zun laiin natna (dysuria) .
• Zun chu chhum ang maiin a lang.
• Swelling (edema) , a bik takin ke leh ke ruh ah.
• Urinary tract infection (UTI) lo awm leh thin.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

`(Peritubular Capillaries)` hriselna endiktu test hman tlanglawn tak takte chu engte nge ni?

I doctor chuan heng ``Peritubular Capillaries''-ah hian harsatna a awm nia a rinhlelh chuan test engemaw zat a rawt thei a, chungte chu:

Kidney function test a ni

Hei hian a huam thei ang:

• Zun test (urinalysis) a ni.
• Thisen test a ni. Entir nan:
• ‘Thisen Urea Nitrogen’ (BUN) test hmangin .
• ‘Creatinine clearance test’ (`(Creatinine clearance test)`) a ni a, a chhuahna tur hmun leh a hmanna tur hmun chu a inthlau hle.
• ‘Glomerular Filtration Rate chhut’ (eGFR) tehna test te .

Imaging test te pawh a awm

Hengte hi natna nei lo test, taksa chhungril hmuh theihna tur a ni:

• CT scan (`(CT scan - Computed Tomography scan)`) hmanga tih a ni .
• MRI (Magnetic Resonance Imaging) hmanga enfiah a ni.
• Kidney ultrasound test (`(Kil (renal) ultrasound)`) .

Heng test te hian kal (kidney) dinhmun hi a hriat chian theih phah a ni.

Engtin nge heng `(Peritubular Capillaries)` te hi kan hrisel theih ang?

Okay, chuti a nih chuan engtin nge heng ``Peritubular Capillaries'' te tak te mahse pawimawh tak tak te hi kan hrisel theih ang? Thu lawmawm tak chu, kan tih theih tur a awm.

A chang chuan heng vein te hi a chhiat belh zel loh nan a harsa thei hle. Mahse, i hriselna pum pui ngaihtuah hian , kal lama harsatna leh natna dang i neih theihna chu i tihtlem thei a ni. Ṭanpui tûra i tih theih ṭhenkhat chu hetiang hi a ni:

• Nitin ei leh in hrisel ei thin ang che. Thei, thlai leh tui thianghlim te hi kal (kidney) te thian tha ber an ni. Tuihâl i hriat hunah tui tam tak in thin ang che.
• Diabetes Mellitus leh Hypertension ang chi natna khirh tak tak i neih chuan uluk takin control la, i doctor thupek dik takin zawm rawh.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• Meizial i zu a nih chuan vawiin hian bansan rawh . Meizial leh zuk leh hmuam thil dangte hian i thisen kalna kawng a tichhe a, thisen kalna lam natna (vasculopathy) a thlen thin .

He thawnthu atang hian kan in lama kan hruai haw tur pawimawh ber chu!

Kan kal chhunga heng ``Peritubular Capillaries'' te tak te te hi an pawimawh zia chu tunah chuan i hrethiam tawh mai thei. Kan taksa hrisel taka vawn nan an pawimawh hle. Thisen atanga bawlhhlawh paih chhuah te chu an filter a, taksa mamawh nutrients te chu an la lut leh thin.

I kal (kidney) hian heng capillary te te hi maktaduai tam tak a nei a. Heng capillary te te ang bawk hian kan taksa peng dang zawng zawng a thawk tha thei tur chuan kan hriselna pum pui kan enkawl a ngai a ni .

Hriat tur: tui tam tak in la, ei leh in tha tak ei la, damdawi lam checkup neih fo la, i taksa rihna hrisel tak vawng reng rawh. Tichuan heng thian te te hian hlim takin an hna an thawk ang a, nang pawh i hrisel bawk ang!

` Kal, peritubular capillaries, thisen kalna kawng, nephrons, kal natna, zun kawng, hriselna