Kidney tichhe thei Acute Tubular Necrosis chungchang kan sawi dawn em ni?

Kan taksa peng pawimawh ber pakhat chu kal (kidney) hi a ni. Filter ang maiin kal (kidney) hna ber chu kan thisen tihfai leh thil duh loh zawng zun anga paih chhuah hi a ni. Mahse a chang chuan heng kal (kidney) te hi a chhe thei hle. Acute Tubular Necrosis (ATN) hi kal (kidney) a nghawng a, a na hle thei bawk. Hemi chungchang hi vawiinah hian thumal awlsam takin han sawi ila.

Acute Tubular Necrosis tih hi eng nge ni?

A awlsam zawngin Acute Tubular Necrosis tih hi kan kal (kidney) te hian oxygen leh thisen kal tlem avanga a chhiat hian a ni. Kan kal chhungah hian tube ang chi te te a awm a, chu chu tubules tiin kan sawi thin. Filter ang bawkin heng tubules te hi kan taksa chhunga bawlhhlawh leh extra fluid te filter a, zun anga paih chhuaktu an ni. Chuvangin, he ATN an tih dinhmunah hian chu tubules te chu a chhia a ni.

Ngaihtuah teh, tui filter-a filter element te te chu a inkhar emaw, a chhe emaw a nih chuan tui chu a thianghlim tawk lo ang, a dik em? Hei hi chutiang chu a ni. Heng tubules te hi a chhiat chuan kal (kidney) te hian hna a thawk tha lo. Tichuan, kan taksaa electrolytes (i.e. sodium leh potassium ang chi salt) leh tui te chu chhuak lovin taksa chhungah an pungkhawm tan ta a ni. Chungte chu a chang chuan hlauhawm takah a pung thei bawk. Hei hian acute kidney failure , kidney-te hnathawh a chawlhsan nghal theihna dinhmun pawh a thlen thei a ni.

Engvangin nge hetiang dinhmun hi a lo awm?

Okay, tunah chuan engvangin nge he ATN an tih hi a lo awm tih zawhna i nei ta. A chhan hrang hrang a awm thei.

A chhan lian ber berte chu:

A chhan langsar ber chu kal (kidney)-a oxygen thleng tlem vang a ni.

• If you have a heart attack , thisen kal zat a tlahniam thei a, a chhan chu thinlung hian thisen a pump tha lo a ni.
• Stroke ang chi condition pawh chutiang bawk chu a ni . Hetih lai hian thluak leh kal (kidney)-a thisen kal chu a tibuai thei a ni.

Chutiang hunah chuan kal chhunga cell-te chuan an mamawh oxygen an hmu lo va, an thi tan ta a ni. Chutiang chuan a hmaa kan sawi tawh tubules te chu a chhe thin.

Chemical avang hian:

Chemical thenkhat chuan heng tubules te hi a tichhe thei bawk.

• Entîr nân, X-ray test ṭhenkhata hman ṭhin contrast dye . A chang chuan CT scan ang chi thil an tih hmain injection an pe che tih i hmu tawh ngei ang? Chutiang thil chu.
• Anesthesia damdawi thenkhat .
• Some antibiotics , a bik takin damdawi lam thurawn tel lova hman dik loh chuan.
• Chemical tha lo dangBreed te pawhin hei hi a thlen thei a ni.

Chuvangin doctor-te chuan damdawi an pek hmain emaw, test an tih hmain i kal (kidney) dinhmun hi an ngaihtuah hmasa thin.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Tu pawhin he natna hi vei thei mah se, mi thenkhat chu a hlauhawmna a sang deuh hlek a ni.

• Mite chu, entirnan, thisen zam avanga kal (kidney)-a thisen kal tihtlem emaw, a tikhawlo vek emaw .
• Hun rei tak chhunga thisen sang hniam tak nei tawhte tan emaw, shock-a awm tawhte tan emaw .
• Surgery lian tak neih laiin thisen tam tak a bo a nih chuan , emaw, hliam na tak (trauma) avanga taksa atanga thisen tam tak a bo a nih chuan.
• Muscle chhiatna nasa tak . A châng chuan accident lian tak ang maiin a chhe thei bawk.
• He risk hi liver natna nei tan pawh a sang zawk a ni .

Hetiang dinhmun i neih chuan i kal (kidney) hi a bik taka enkawl a pawimawh hle.

Hei hi eng symptoms nge ni?

ATN symptoms hi a lang nghal lo mai thei a, mahse zawi zawiin:

• Zun chhuahna a tlahniam nasa hle: Ni khata i zun chhuah zat a tlahniam tih i hmu ang.
• Swelling leh fluid retention: Ke, kut leh hmai ang chi hmunte chu taksaah tui tam lutuk a awm avangin a hring thei.
• Nausea leh vomiting: Chaw ei chak lohna leh luak ang maia inhriatna a awm thei.
• Harsatna harh/muthilh: I groggy mai thei, i muhil reng mai thei.
• Feeling sluggish: Thil tih duhna nei lo anga inhriatna.
• Buaina: Thil ngaihtuah harsa, a buai deuh thei.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin i zun tlem chuan doctor pan nghal rawh, hei hi kidney problem a nih theih avangin.

Engtin nge hei hi i hmuh?

A chunga kan sawi tak symptoms i neih a, i doctor-in ATN i neih a rinhlelh chuan test eng emaw zat an ti thei a, chu chu finfiah theih a ni.

Test te chu engte nge ni?

• Thisen test: Hei hian i thisena bawlhhlawh awm zat a en ber a ni.
• Thisenah Urea Nitrogen (BUN) a awm zat.
• Creatinine level a ni.
• Tin, electrolyte level, a bik takin plasma potassium level te pawh a awm bawk.

Heng thilte hi thisenah a tam lutuk a nih chuan kal (kidney) hian hna a thawk tha lo tihna a ni.

• Zun test: I zun sample lak a ni a, microscope hmangin enfiah a ni ( microscopic examination of your urine ). Hei hian i kal (kidney) chhiatna tur ngaihtuahna engemaw zat a pe thei a ni.

• Kidney Biopsy: A then phei chuan a bik takin a hriat chian loh chuan kal atanga tissue te tak te chu enfiah nan lak a ni. Hei hi biopsy an ti a .

ATN hi a tlangpuiin nephrologist , doctor, kal natna lama tui tak chuan a hmuchhuak thin. I natna lan chhuah dan leh test result te chu a enfiah ang a, thil awmdan dik tak chu a hre thei ang.

Hei hi engtin nge enkawl a nih?

ATN enkawl hian a pawimawh ber chu a chhan bulpui enkawl hi a ni . Chu chu heart attack vang a nih chuan enkawl la, thisen sang vang a nih chuan emaw, damdawi vang a nih chuan chu damdawi ei kha bansan rawh.

Enkawlna bulpui leh nunphung inthlak danglamna:

• Kal dam phalsak: A tam zawkah chuan kal hi eng emaw chen chu a mah chauhin a dam thei a, mahse hun engemaw chen a duh a ni.
• Diet: Hemi chhung hian i doctor chuan dietary restrictions thenkhat zawm turin a hrilh ang che.
• Fluids tihtlem: Tui, tea, coffee leh soup i in zat tihtlem a ngai ang.
• Sodium (salt) tihtlem: I chaw ei chhunga chi i dah zat tihtlem.
• Potassium khap: Potassium tamna ei tur (banana, orange, thlai thenkhat) khap tlat tur a ni.

Hei hi kal (kidney) a dam hma loh chuan heng thilte hi taksaah a tul lova a khawlkhawm loh nan tih a ni.

• Damdawi: 1.1.
• Diuretics: Zun chhuahna tipungtu damdawi. Hengte hian taksa atanga tui tam lutuk paih chhuah nan a pui thin.
• Potassium controlling damdawi: Thisen a potassium level control nan damdawi pawh pek theih a ni.

Dialysis hi a ngai dawn em ni?

Mi thenkhat chuan an kal (kidney) a that hma loh chuan dialysis an mamawh mai thei. Dialysis hi kal atanga thisen chhuak chu artificial-a tifai thei machine a ni. Hei hi hun eng emaw chen atan a ni thei a, kal (kidney) a lo awm tawh chuan tihtawp theih a ni.

Hei hi ven theih a ni em?

ATN hi pumpelh vek theih ni lo mah se, a lo awm theihna tur tihtlem nan thil kan tih theih a awm.

• I kal (kidney) oxygen nei tha leh circulated tha taka awm tir: Hei hi a pawimawh ber a ni. Chu chu i thisen sang leh thinlung natna ang chi thilte thunun tihna a ni.
• Contrast dye hmanga test i neih chuan: Chutiang test hma leh i tih zawh hnuah tui tam tak in thin ang che. Hei hian i kal atanga dye chu a chhuah thuai theih nan a pui a ni.
• Thisen pek hmain: I thisen chi chu cross-matched a nih leh nih loh enfiah hmasa phawt ang che .
• Kal tichhe thei natna control dan:
• Thisen sang a sang
• Zunthlum natna (Diabetes mellitus) a ni
• Liver natna
• Lung natna

Heng natnate hi i vei a nih chuan damdawi lam thurawn angin uluk takin control la.

• Painkillers lakah fimkhur rawh: Over-the-counter painkillers, ibuprofen leh naproxen sodium , te hi hman fo la, doctor thurawn tel lovin hman loh tur a ni. Hei hi kal lama harsatna i neih tawh chuan a pawimawh hle.

Hetiang dinhmun atanga dam leh tur hian eng chen nge a mamawh ang?

Acute tubular necrosis hi ni engemaw zat atanga kar engemaw zat thleng a awm thei.

• In a generally healthy person, this condition is reversible , chu chu kal (kidney) hian hna a thawk tha leh tan tihna a ni.
• Mahse, hriselna lama harsatna dang nei, zunthlum emaw, thinlung natna emaw nei tan chuan a dam hun chhung chu a rei zawk thei. A châng chuan, kal (kidney) hi a dam kim lo thei a, chak lohna engemaw zat a awm thei bawk.

Chuvang chuan symptoms hriat chian a, damdawi lam pan hmasak a pawimawh em em a ni. Hei hian kal (kidney) chhiatna a ti tlem ang a, a dam thuai theihna a tipung bawk ang.

Take-Home Thuchah a ni

Okay, chuvangin tunah chuan vawiin a kan sawi tawh Acute Tubular Necrosis chungchangah hian ngaihdan tha tak i neih ka beisei.

• ATN hi kal chhunga thisen leh oxygen tlakchham vangin kal chhunga tubules te a chhiat thinna a ni.
• Heart attack, stroke, damdawi thenkhat, leh chemical te hian hetiang hi a thlen thei a ni.
• A lan chhuah dan chu zun a tlem, a hring, a luak chhuak, leh mutthilh te a ni thei.
• Hei hi thisen leh zun test hmanga hriat theih a ni.
• Enkawlnaah hian a chhan bulpui enkawl te, ei leh in control te, a tul chuan dialysis tih te a tel a ni.
• Kidney-friendly lifestyle nun leh natna khirh tak tak enkawl hian hei hi a veng thei a ni.

A pawimawh ber chu i kal (kidney)-a thil danglam bik i hmuh chuan (a bik takin zun chhuah tlem a nih chuan) doctor lam pan nghal a ni. Hetiang hian harsatna lian zawk a nih hmain i enkawl thei ang.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!

` Kal, acute tubular necrosis, kal natna, kal tha lo, thisen sang, oxygen, dialysis, zun