I doctor-in Chronic Kidney Disease (CKD) i vei thu a hrilh che a nih chuan, i hah lutuk fo thin te, stairs i chhoh huna i natna te, leh eng thil pawh ti thei tura chakna i neih loh vang te hian mak i ti mai thei. Mi tam tak chuan hei hi kal natna zinga mi niin an ngai. Chu chu a dik a, mahse heng symptom tam tak awm chhan ber chu i taksaa thisen awm zat tlahniam vang a ni thei a, chu chu damdawi lamah chuan thisen tlakchhamna (anemia) kan ti a ni. Kidney leh taksaa thisen tlahniam hi eng nge inzawmna? Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
Engvangin nge kal natna nei te hian thisen an tlem? A chhan ber thenkhat
A awlsam zawngin sawi ila, kan taksaa cell leh organ tinte nung leh hnathawh thatna atan oxygen hi a pawimawh hle. Kan thisen sen (red blood cells) hian he oxygen hlu tak hi lung atanga taksa pum puiah a phur a. Heng thisen sen chhunga protein awm, hemoglobin an tih hi oxygen nena inzawm tlat a ni.
Tunah chuan han mitthla teh, heng lirthei, thisen zam (red blood cells) an tihte hi hun engemaw chen hnuah an upa a, an chhe vek a ni. Chuvangin kan taksa hian he tlakchhamna hi phuhruk nan thisen sen thar a siam chhuak fo thin. Heng thisen sen siamtu factory hi kan ruhro a ni. Mahse, "tunah hian thisen sen siam tan rawh" tih thupek hi kan kal (kidney)-in bone marrow an tih factory hi a pe a ni. Kidney natna avanga an chhiat chuan he thil zawng zawng hi a kal sual vek a ni. Kawng lian pathum-ah a thleng thin.
| Thisen tlakchhamna chhan | A awlsam zawngin sawi ila... |
|---|---|
| EPO hormone a tlahniam | Kal (Kidney) hian ruhro (bone marrow)-in thisen sen (red blood cells) siam tura hrilhtu ‘signal’ chu a siam chhuak tawh lo. |
| Thisen sen (red blood cells) dam rei zawng a tawi | Taksa a thisen sen (red blood cells) siam chhuah te hi a pangngai aia rangin an thi thin. |
| Nutrient tlakchhamna | Taksa hian thisen sen (red blood cells) siamna atana mamawh nutrients (iron, vitamin B12, folate) a tlachham a ni. |
A chhan 1: Thisen sen siamna tur ‘Signal’ hloh
Kan kal chhunga cell bikte hian kan thisena oxygen level hi an enfiah reng thin. Kan thisena thisen sen (red blood cells) a tlahniam a, oxygen level a tlahniam chuan heng cell te hian chu chu an hre chiang a, thisenah hian hormone erythropoietin (EPO) an tichhuak thin. He EPO hormone hian ruhroah a kal a, "Okay, hna thawk ila, thisen sen tam zawk siam ila," a ti a.
Chronic kidney disease (CKD) i neih chuan i kal a chhe zauh zauh thin. Hetianga chhiatna avang hian i kal (kidney) hian oxygen level hniam a hmu thei lo va, hormone chu EPO a siam thei lo. EPO a awm tawh loh chuan ruhro hian thuchah a dawng lo. Chuvangin red blood cell siamchhuahna chu nasa takin a tlahniam a ni. Thi zat nena inmil tura thisen sen thar siam chhuah theih a nih loh chuan taksaah thisen sen (red blood cells), a nih loh leh thisen tlakchhamna (anemia) a tlachham ta a ni.
A chhan 2: Thisen sen (red blood cells) dam chhung rei lo
A tlangpuiin, mi hrisel takah thisen sen (red blood cell) chu ni 120 vel a dam . Chumi hnuah chuan tihchhiat a ni a, a tharin a thlak leh ta a ni.
Mahse, kal natna vei thisenah toxin thenkhat a awm khawm avangin heng thisen sen te hian chenna tur hmun mumal tak an nei lo va, chuvang chuan an dam chhung chu ni 70-80 vel ah a tlahniam a ni Chumi awmzia chu, thisen sen thar siam chhuah nghah ai chuan, a hluite chu a hun hmain an thi tihna a ni. Hei hi thisen tlakchhamna (anemia) tipungtu chhan dang a ni bawk.
A chhan 3: Iron leh nutrients tlakchhamna
Iron hi thisen zam (red blood cells) an tih lirthei siamna atana thil tul ber a ni. Iron tel lo chuan hemoglobin siam theih a ni lo. Hemoglobin tel lo chuan oxygen a phur thei lo.
Iron hi ei tur chi hrang hrang, green leafy vegetables, peas, spinach, leh fortified breakfast cereals te atang hian kan hmu thin. Mahse kal natna khirh tak nei zinga a chanve vel chuan iron tlakchhamna an nei a ni. Hei hi chhan hrang hrang a awm thei.
- Chaw atanga iron ei tlem: Kal vei te hian a chang chuan an ei leh in khap a ngai thei a, chu chuan iron tamna ei tur a tlakchham phah thei a ni.
- Iron absorption tihtlem: Kal natna hian intestine-in iron a lakluh theihna a ti tlem thei a ni.
- Thisen hloh: Thisen test fo hian taksain thisen a hloh zauh zauh thin. Tin, mi pakhatin dialysis , a tih lai chuan taksain thisen leh iron engemaw zat a hloh a ni.
Iron bakah hian thisen sen (red blood cell) siam that nan hian nutrients vitamin B12 leh folate (Folate/Vitamin B9) te pawh a pawimawh hle. Kidney vei thenkhat pawhin heng nutrients te hi an tlachham thin.
Thil dang, thisen tlakchhamna tichhe thei
Heng chhan lian ber berte bakah hian thil dang engemaw zatin kal vei thisen tlakchhamna hi a nghawng thei a ni.
- Hri kai fo thin
- Chronic inflammation in the body: Hei hian taksain chemical chi hrang hrang cytokines an tih chu a tichhuak a, chu chuan ruhro (bone marrow) hnathawh a ti tlem a ni.
- Ei leh in lama harsatna (malnutrition) a awm
Kidney natna avanga thisen tlakchhamna i neih chuan heng thil pakhat emaw, a inzawmkhawm emaw vang pawh a ni thei. Chuvangin, hlauthawng lo la, a chhan dik tak zawng turin i doctor nen inbiakna neih a tha ber.
Tute nge thisen tlakchhamna (anemia) vei theihna sang zawk?
Kidney natna vei zawng zawng hian thisen tlakchhamna hi an tawk vek dawn lo a, mahse mi thenkhat chu an hlauhawm zawk.
- Hmeichhia i nih chuan
- Diabetes i neih chuan
- I kal hnathawh a tlahniam nasa emaw, a thawk tha lo emaw a nih chuan
Anemia symptoms (chauhna, chak lohna, vun dum, luak chhuak) i neih chuan i doctor chuan thisen chhiar kimchang leh iron level enfiah turin a ti thei ang. Hei hian eng enkawlna nge i mamawh tih a hril ang. Hei hi enkawlna hrang hrang a awm a, chu chu iron pill leh hormone EPO injection te hi a ni.
Take-Home Thuchah a ni
- Chronic kidney disease (CKD) leh thisen tlakchhamna hi inzawmna nghet tak a awm a, hei hi i hahna chhan ber a ni thei.
- A chhan ber chu kal chhia hian hormone EPO siam a tihtlem vang a ni a, chu chuan thisen sen (red blood cells) siam turin signal a pe a ni.
- Tin, thisen zam (red blood cells) rang taka tihchhiat leh iron leh vitamin B12 ang chi nutrients tlakchhamna hian thisen tlakchhamna a thlen thei bawk.
- Anemia symptoms i neih emaw, i vei nia i rinhlelh emaw chuan i doctor nen inbiakna neihpui ngei ang che. A enkawl dan tha tak tak a awm a.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh