I zun pawh i zun thei lo em ni? Hei hi dinhmun hlauhawm tak a ni em? (Anuria) chungchang hi i zir chiang ang u.

A chang chuan, ‘Vawiin khan tui ka in tlem a, chuvang chuan zun tlemte chauh ka pass a ni’ tih ang chi hi kan nei thin. Mahse, ni khat emaw, darkar tlemte emaw pawh nise, tui engzat pawh in mah la, i zun loh lai i nei tawh em? A nih loh leh i pass zat kha i ngaihtuah phak loh khawpa tlem a ni em? Hei hi thil pangngai a ni lo. Vawiin hian he damdawi lam natna khirh tak Anuria tih hi kan sawi dawn a ni . Hei hi emergency a nih avangin eng nge tih tur dik tak hriat a pawimawh hle.

A awlsam zawngin Anuria chu eng nge ni?

Anuria chu i kal (kidney)-in zun a siam chhuah tawh loh vek a ni. A nih loh leh, i zun kawng khawi emaw laiah blockage a awm avangin i zun i chawlhsan ta a ni. Hei hi Oliguria tih hming pu natna na ber a ni . Oliguria chu i zun chhuah zat pangngai lo taka a tlem chuan a ni.

Kan zun chhuah zat hian kan hriselna chungchang a sawi nasa hle. Puitling hrisel tak kal (kidney) hian ni khatah milliliter 500 (500 ml) aia tam zun a siam chhuak tlangpui. Chu chu bottle khat ang vel a ni. Naupangah chuan he zat hi kum leh taksa lian leh te a zirin a inang lo.

Mahse, puitling anuria vei chuan ni khatah zun tlemte chauh a paih chhuak a, chu chu millilitre 0 leh 100 inkar a ni .

Anuria natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna langsar ber chu zun chhuah loh emaw, chhuak tlem lutuk emaw hi a ni. Mahse, anuria thlentu damdawi lam dinhmun (underlying medical condition) nena inzawm symptom dang pawh i nei thei bawk.

Entirnan, anuria hi kal natna, thin natna, thinlung natna ang chi natna avanga lo awm a nih chuan a hnuaia chhinchhiahna te hi a awm thei bawk.

Diabetes ang natna te hian kal (kidney) a tichhe thei bawk. Chuvangin zun i pass tlem hle a, a chunga kan sawi tak symptom dang eng emaw tal i neih chuan damdawi in emergency room (ETU) ah kal nghal mai tur a ni.

Eng thilin nge anuria hi a thlen?

Anuria thlentu hi chi thum a awm a. Pakhat hnu pakhatin han thlir ila.

1. Kal-a thisen emaw, tui emaw a thlen tawk loh: Kal a thawk tha tur chuan thisen tha tak a mamawh a ni. He supply hi tihtlem a nih chuan zun siam chhuah a tawp thin.

2. Kal hmanga thisen a filter dan tihbuai: Kal hian thisen dawng mahse eng emaw chhan vangin chu thisen filter leh zun siam chu a titawp thei a ni.

3. Zun a lo chhuah hnua zun kawng a inkhar (Blockage): Zun hi kal (kidney) atanga siam ni mahse, zun kalna kawngpuiah khawi emaw laiah inkharkhip a awm a nih chuan zun a chhuak lovang.

A hnuaia table-ah hian heng chhan hrang hrangte nena inzawm entirnan thenkhat tarlan a ni.

He dinhmun hi engtiang chiahin nge a nasat? Harsatna a awm em?

Ni e, Anuria hi natna khirh tak leh nunna atana hlauhawm tak a ni. Kidney hian kan taksa atanga bawlhhlawh leh tui tam zawk a paih chhuak thin. Kidney-in hna a thawh loh chuan heng bawlhhlawh leh tui te hi taksaah a pung khawm thin. Hei hian thihna hial a thlen thei a ni.

Enkawl loh chuan anuria hian kal (kidney) a tichhe vek thei a, chu chuan a ti chhe vek thei a ni.

Thih hma hian engzat nge kal hnathawh a tlahniam?

Doctor-te chuan eGFR (estimated Glomerular Filtration Rate) tih test hmangin kal hnathawh an teh thin. Kidney-in bawlhhlawh a filter theihna a tlahniam chuan Chronic Kidney Disease (CKD) kan ti thin.

CKD hi stage 5 a awm a.

• Stage 1: eGFR chu 90 aia sang a ni. Kidney hian hna a thawk tha hle a, mahse chhiatna engemaw zat a awm thei.
• Stage 5: eGFR hi 15 aia tlem a ni a, hei hian kal (kidney) chu a hlawhchham vek hnaih hle tihna a ni a, a nih loh leh a hlawhchham tawh tihna a ni.

Stage 5 i thlen chuan dialysis emaw kidney transplant emaw i tih loh chuan i nunna chu chhanchhuah a ni lo mai thei.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i hmuh hunah i medical history leh symptoms chungchang zawhna tlemte a zawt ang che.

• "Vawiin khan eng nge i in? Engzat nge i in?"
• "Engtik lai khan nge i zun hnuhnun ber?"
• "A hma aiin i zun tlem zawkin i hria em?"
• "Hetiang hian zun harsa i nei tawh em?"
• "I ke leh ke a hring tawh em?"
• "I zun (Hematuria) ah thisen i hmu tawh em?"
• "Tun hnaiah i chau hle em?"

Heng zawhnate bakah hian doctor chuan anuria dinhmun finfiah nan leh kal hriselna enfiah turin test hrang hrang a ti thei bawk.

Test te chu engte nge ni?

Anuria hi engtin nge enkawl a nih?

Enkawl dan hi anuria awm chhan a innghat a ni.

• A chhan chu emergency, heart attack, sepsis emaw shock emaw a nih chuan doctor-te ngaih pawimawh hmasak ber chu chu natna chu enkawl a ni.
• Kidney natna khirh tak i neih chuan i thisen tihfai nan dialysis emaw kidney transplant emaw a ngai mai thei.
• Urinary tract-ah blockage a awm chuan doctor chuan catheter a dah lut ang a, chu chuan bladder atanga zun chu rang takin a chhuah ang. Entirnan, Foley catheter emaw, suprapubic catheter emaw . A châng chuan, kal aṭanga zunthlum thlenga zun phurtu tube-te chu a inhawng reng theih nân ureteral stent an tih hmanrua pawh hman theih a ni.
• Hetiang dinhmun hi dehydration avanga lo awm a nih chuan taksa chu tui in tur pek emaw, vein kaltlangin saline (intravenous - IV fluids) pek emaw hmangin rehydrated a ni.

Anuria hi a veng thei ang em? Engtikah nge Doctor i hmuh ang?

Anuria thlen thei natna rei tak i neih chuan zunthlum emaw thinlung natna emaw i neih chuan i dinhmun enkawl dan tur doctor thupek zawm a pawimawh. Heng thupekte hian:

• Eng nge ei leh in tur, engzat nge tih tur.
• Nitin taksa rih zawng record thin.
• Taksa a hring emaw tui awm lohna emaw chhinchhiahna hriatchhuah.
• Damdawi pek tur a hun taka ei.

Tin, tui tlakchhamna a awm theihna dinhmun, luak chhuak emaw, riltam emaw-ah chuan tui in tam a pawimawh hle bawk .

Engtikah nge Doctor i hmuh ang?

Kidney emaw heart disease emaw i neih a, a tlangpui aia i zun tlem tih i hriat chuan, a bik takin tui i in tam chuan doctor ko nghal rawh. Tin, i zun rawng (e.g., rawng dum) a inthlak danglam chuan fimkhur bawk ang che.