Kan taksa atanga bawlhhlawh filter chhuaktu, taksa chhunga tui leh chi inthlauhna vawng reng tura puitu, kal (kidney) hi taksa peng pawimawh tak a ni tih kan hre vek. Mahse, heng kal (kidney)-a thisen kal chu a tawp thut a, a nih loh leh oxygen an dawn tlem chuan eng nge thleng ang? Vawiin hian dinhmun khirh tak lo thleng thei kan sawi dawn a ni. Hei hi Acute Tubular Necrosis, a tawi zawngin ATN an ti a.
A awlsam zawngin Acute Tubular Necrosis (ATN) hi eng nge ni?
He hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. Kan kal chhungah hian tube ang maia lian, thisen filter thei thil te tak te kan nei a. Hengte hi ``tubules'' kan ti a ni.Heng tube te hnathawh ber chu kan thisen atanga bawlhhlawh, tui tul lo leh chi (salts) te filter a, taksa atanga zun anga paih chhuah hi a ni.
Acute Tubular Necrosis an tih dinhmunah chuan kal chhunga thisen leh oxygen thleng zat chu a tlahniam nghal a, chu chuan heng tube te tak te te hi a tichhia a, a chhunga cell te chu a thi ta a ni. Heng tube te hi a chhiat chuan kal (kidney) te hian an hna an thawk tha thei lo. Hei hian bawlhhlawh, extra fluid, leh salt taksaah a siam khawm thin. Hei hi acute kidney failure thlengin a kal thei a ni .
Hetiang dinhmun a thlen chhan berte chu engte nge ni?
Kidney hi thing angin ngaihtuah rawh. Thlai chu tui tel lovin a thi ang bawkin kal (kidney) pawh thisen leh oxygen tel lovin a thi bawk. ATN thlentu hi chi hnih a awm a.
1. Kidney-a thisen kal that lohna:
- Emergency, heart attack emaw stroke emaw ang chi hian taksa thisen sang chu a tlahniam nghal thei a, chu chuan kal (kidney)-a thisen kal zat a ti tlem thei a ni.
- Surgery lian tak neih lai emaw, accident na tak emaw avanga thisen chhuak nasa tak vang.
- Dehydration emaw infection na tak (sepsis) avanga thisen sang tlahniam.
2. Kidney-a thil tha lo (toxic substance) lut:
- Contrast dye hi test thenkhat, X-ray emaw CT scan emaw-a taksaa inject thin dye a ni .
- Antibiotics leh anesthesia damdawi thenkhat .
- Chemical tha lo dang ei.
Heng thilte hian kal (kidney)-a tubular system nalh tak chu direct-in a tichhe thei a, a thawk tha lo thei bawk.
Tute nge ATN vei theihna chance sang zawk?
Mi thenkhat chu midang aiin he natna hi an vei theihna chance a sang zawk. Tute nge an nih i en ang u.
| Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Thisen sang rei tak a hniam reng thin | Thisen sang a tlahniam (shock) chuan taksa peng pawimawh tak takah thisen kal zat a tlahniam a, chutah chuan kal (kidney) pawh a tel a ni. |
| Surgery lian tham emaw, accident na tak emaw a awm thei | Hetiang hunah hian taksain thisen tam tak a hloh thei a ni. |
| Natna awm tawh dangte | Liver disease , diabetes , leh pre-existing kidney disease nei te hi an hlauhawm zawk. |
| Thisen a chhuak thin | Thisen zam chu kal (kidney)-a thisen petu thisen kalna kawngah a lo awm a nih chuan thisen kal dan a tikhawlo thei a, chhiatna a thlen thei bawk. |
Hei hi eng symptoms nge ni?
ATN symptoms hi a lo lang nghal thei a ni. Hengte hi fimkhur a pawimawh hle.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera Doctor pan rawh. Hei hi ngaihthah tur condition a ni lo.
| Symptom a ni | Chu chu eng nge a awmzia? |
|---|---|
| Zun chhuah a tlahniam | Ni khata zun chhuah zat hi a tlahniam nasa hle. Mi thenkhat phei chuan zun an chawlhsan vek thei bawk. |
| Taksa hring (Fluid retention) . | Kidney hian tui tam zawk a paih theih loh avangin ke, ke ruh, kut leh hmai te chu a lo hring tan thin. |
| Nausea leh luak chhuak | Bawlhhlawh taksaa a khawlkhawm hian pum a ti na thei a, luak a tichhuak thei bawk. |
| Mutthilh lutuk leh rilru buai lutuk | Harh harsa, mut awlsam leh buaina a awm thei. Hengte hi thluaka toxin-in a nghawng avanga symptoms a ni. |
Engtin nge doctor hian hei hi a hriat chhuah?
Heng symptoms te hi i neih chuan i doctor chuan a enfiah hmasa ang che a, i symptoms te chu a zawt hmasa ang che. Tichuan, an diagnosis finfiah nan test eng emaw zat an order ang. A tlangpuiin, nephrologist (doctor, kal natna lama tui tak) chuan he dinhmun hi thuk takin a chhui ang.
- Thisen test: Hei hian thisena bawlhhlawh awm zat a enfiah ber a ni. Thisenah `Blood Urea Nitrogen (BUN)` leh `Creatinine` ang chi thil a tam em tih an enfiah thin. Hengte hi a tam chuan kal (kidney) hian hna a thawk tha lo tih a tilang thei a ni. Tin, thisenah `potassium` ang chi chi (salt) awm zat an enfiah bawk.
- Zun test: I zun sample lak a ni a, microscope hmangin enfiah a ni. ATN-ah chuan zun chhungah hian kidney tubules chhia chi hrang hrang hmuh tur a awm thei.
- Kidney Biopsy: A then phei chuan natna thlentu dik tak hriat theih a nih loh chuan kal atanga tissue te tak te tak te la chhuakin an enfiah thin. Hei hian kidney tubules-ah eng chhiatna nge thleng tih chiang taka hriat theih nan a pui thei a ni.
Engtin nge enkawl a nih?
ATN enkawlna tum ber chu a chhan bulpui enkawl hi a ni . Entirnan, infection a nih chuan, antibiotics pek a nih chuan, a nih loh leh thisen sang a hniam a nih chuan a pangngaiin a awm leh thin. A chhan bulpui enkawl hian kal (kidney) te chu anmahni tihdam theihna hun a pe a ni.
Chutih lai chuan i kal (kidney) a dam hma loh chuan i taksa thlawp turin a hnuaia mi ang hian ti rawh:
- Diet: Kidney-a tihbuai lutuk loh nan , tui, chi (sodium), leh potassium tamna ei tur (banana leh orange ang chi) te tihtlem turin an hrilh ang che
- Damdawi: Taksa atanga tui tam lutuk paih chhuahna tura pui turin diuretics pek theih a ni. Thisen a potassium level control nan damdawi pek theih a ni bawk.
- Dialysis: Kal hnathawh a tichhe nasa a, bawlhhlawh a lo pungkhawm a nih chuan, i kal a dam leh hma loh chuan i thisen chu hun eng emaw chen tihthianghlim nan dialysis i tih a ngai mai thei.
Dam leh hun chhung hi mi hrang hrangah a inang lo. Mi hrisel, natna khirh dang nei lo chu ni rei lo te emaw, kar tlemte chhungin a dam thei tlangpui. Mahse, damdawi lam harsatna dang nei mi pakhat chu a dam leh theih nan hun rei vak lo a la ngai thei.
Hetiang dinhmun hi pumpelh theih a ni em?
A chang chuan ATN ven hi harsa viau mahse, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm.
- Natna khirh tak tak , zunthlum, thisen sang, thinlung natna, emaw, thin natna emaw i neih chuan i doctor-in a rawt ang chiah khan enkawl rawh .
- Contrast dye hmanga test i neih chuan a hma leh a hnuah tui tam tak in thin ang che . Hei hian i taksa atanga chemical chu kidney te chu a paih chhuak rang zawk ang.
- Damdawi lam thurawn tel lovin over-the-counter anti-inflammatory medication ibuprofen leh naproxen te ei loh tur a ni a, a bik takin kal natna i neih tawh chuan ei loh tur a ni. Hengte hian i kal (kidney) a tichhe thei a ni.
- Thisen pek i dawn a nih chuan i thisen chi hi cross-matched a nih ngei ngei tur a ni.
Take-Home Thuchah a ni
- Acute Tubular Necrosis (ATN) hi natna khirh tak a ni a, kal a thisen leh oxygen kal dan a chhiat avangin kal a tichhia a ni.
- Zun tlem, hring, mut tam lutuk, leh buaina ang chi symptoms te hi ngaihthah suh. Hengte hi i hriat chuan damdawi lam thurawn zawng nghal rawh.
- Hetiang dinhmun enkawl hian a chhan bulpui enkawl a pawimawh hle. Enkawlna mumal a awm chuan mi tam zawk chu an dam thei a ni.
- Natna khirh tak tak, zunthlum leh thisen sang te chu thunun theih a, damdawi lam thurawn tel lova painkiller hman loh chuan kal (kidney) a venghim thei a ni.
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