I thisenah bawlhhlawh i nei tam lutuk em? Hei hi Azotemia an ti a!

A chang chuan i chau a, zun harsa i ti em? A nih loh leh doctor pakhatin i thisen test a en a, "I thisenah hian bawlhhlawh extra tlemte a awm" tih ang chi hi a sawi ngai em? Hengte hi azotemia tih hming pu natna chhinchhiahna a ni thei. Hemi chungchang hi chipchiar zawkin han sawi ila, a chhan chu kan kal hriselna atan a pawimawh em em a ni.

A awlsam zawngin sawi ila, azotemia hi i thisena bawlhhlawh, a bik takin nitrogenous waste products level a san lutukna a ni. Heng bawlhhlawh te hi kan eitur chhunga protein awmte chu a chhe vek a, a lo piang chhuak thin a ni. I liver-ah an lo piang hmasa ber a ni. Chumi hnuah chuan i thisen kaltlangin i kal (kidney) thlengin an kal a ni. Kidney hrisel chuan heng bawlhhlawh te hi i thisen atangin a filter a, i zun ah a paih chhuak thin. Chuvangin i kal (kidney) te hian hna a thawk tha lo a nih chuan heng bawlhhlawh te hi i thisenah an pungkhawm thin. Chu chu azotemia kan tih chu a ni.

Azotemia chi hrang hrangte chu engte nge ni?

Azotemia hi chi thum a awm a. Eng nge an nih i han thlir teh ang. Chungte chu harsatnain khawiah nge bawlhhlawh a siam tih a zirin an thliar hrang a ni.

1. Prerenal Azotemia a awm thin

Hei hi a tam ber chi a ni. I kal (kidney)-in thisen a kal tlem chuan a thleng thin. Tui filter-in hna a thawh theih nan tui a hmuh tlem ang maiin han ngaihtuah teh. I kal (kidney)-ah hian thil dik lo awm lo mahse, thisen a kal tlem chuan bawlhhlawh a filter thei lo.

Hei hi a thlen thei thilte chu:

• Thisen tlakchhamna nasa tak (e.g., hliam lian tak avanga thisen chhuak, operation) .
• Tui retention, chu chu dehydration (e.g., tui in tam loh, thawk hah lutuk, luak chhuak, luak chhuak) a ni.
• Heart failure chu thinlungin thisen a pump tha tawk loh vang a ni.
• Liver natna (liver failure) avanga taksa tui balance a inthlak danglam thin.
• Damdawi thenkhat, entirnan, natna tidamtu ibuprofen leh aspirin te hman chhunzawm zel leh hman tam lutuk.
• Damdawi lam thil dang avanga kal (kidney)-a thisen kal tlem.

2. Azotemia chhunga awm (intrinsic Azotemia).

Hetiang chi hi a tlangpuiin kal (kidney) ngei pawh a chhiat chuan a awm thin. Chumi awmzia chu kal (kidney) ngeiah hian thil dik lo a awm tihna a ni. Hei hian kidney-te filter theihna a nghawng nghal vek a ni.

A chhan ber chu:

• Infection te hian kal (kidney) a nghawng thin.
• Sepsis ang chi natna khirh tak tak avanga kal a chhiat.
• Kidney-ah thisen a chhuak thin.
• Damdawi thenkhat, a bik takin chemotherapy damdawi leh antibiotics thenkhat.
• Ruihhlo, zu, leh pesticide thenkhatin toxins avanga kal cell a tihchhiat.
• Glomeruli, kal filtering unit te tihchhiat.

3. Postrenal Azotemia a awm thin

Hei hi i zun kawng khawi emaw laiah blockage a awm chuan a thleng thin. Drain khar ang mai a ni a, i bladder-ah tui a awm khawm a ni. Heng blockage te hi ureters-ah te, i kidney leh bladder inkar tube-ah te, i bladder-ah te, i urethra-ah te a awm thei. Zun a chhuah theih loh chuan i kal (kidney)-ah a back up a, a tichhia a ni.

A chhan tlangpui chu:

• Urinary tract infection (UTIs) avanga lo hring chhuak thin.
• Ureteral stone emaw bladder stone emaw a awm thei.
• Cancer chi thenkhat (e.g. prostate cancer, serh cancer).
• Mipaah ​​chuan prostate gland a lian (benign prostatic hyperplasia).

Azotemia leh Renal Failure hi a inang em?

Ni lo, Azotemia leh renal failure hi a inang lo. Mahse, renal failure hi azotemia thlentu ber a ni. Chu chu kal (kidney) ten hna an thawh that loh chuan thisenah bawlhhlawh a pung khawm a, chu chu azotemia chu a ni. Renal failure hi a zau zawk a, chutah chuan kal hnathawh zawng zawng a tichhe thei a ni. Azotemia hi kal (kidney failure) chhinchhiahna pakhat chauh a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Azotemia hi a takah chuan i ngaihtuah aiin a tam zawk. Damdawi ina awm zinga a tam zawk, 16% vel chuan he natna hi an nei tih hmuhchhuah a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Azotemia natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan natna hi a na zual hma chuan symptom lian tham i hmu lo mai thei. Mi thenkhat chuan chhinchhiahna engmah an lantir lo pawh a ni thei. Chutiang hunah chuan doctor chuan natna dang a test hunah chauh a hmu thei a ni.

Mahse, mi thenkhat chuan heng ang symptoms hi an nei thei a ni:

• Zun siam chhuah zat hi nasa takin a tlahniam a ni.
• Chau lutuk (chauhna), engmah tih theih loh anga inhriatna.
• Thil ngaihtuah thei lo dinhmun, buaina awm thei.
• Nausea leh luak chhuak.
• Thâwk harsa (dyspnea), stairs tlemte i chhoh pawhin i muhil mai ang tih hriat.
• A rilru a na.
• A hring, a bik takin ke, ke ruh leh ke (edema)-ah a hring.
• Heart rhythm abnormalities (arrhythmia), thinlung thawk dan inthlak danglam.
• Chaw chu a thlum lo.

A natna a nasat chuan seizures emaw coma emaw a awm thei. Chuvangin heng symptoms te hi ngaihven a pawimawh hle. Heng symptoms te hi i neih chuan doctor pan nghal rawh.

Azotemia hi engte nge ni?

Azotemia awm chhan hi i neih chi hrang hrangah a innghat. A hmaa kan sawi tawh chi thum nena inzawm chhante hi chipchiar zawkin han thlir ila.

• Prerenal Azotemia a awm chuan:Hei hi taksaa hliam emaw, natna emaw avanga kal (kidney)-a thisen kalna a nghawng hian a thleng tlangpui. Entir nan:
• Tui tlakchhamna (dehydration). Hei hi tui in tam loh, thawmhnaw tam tak (e.g., ni chhuahna hmuna exercise lak lai, exercise lak lai), luak chhuak, emaw riltam vang te a ni thei.
• Thisen chhuak.
• Kangmei nasa tak a awm.
• Lung lam chak lohna.
• Liver natna (liver failure).

• Intrinsic Azotemia: Hei hi kal chhunga structure, fine filters (glomeruli), tui, nutrients leh minerals te hip leh tura puitu tube te tak te (renal tubules), leh kal chhunga thisen kalna kawng (renal vasculature) te a chhiat chuan a thleng thin.
• Inflammation thlentu dinhmun, entirnan, vasculitis ang chi natna.
• Kidney natna a awm.
• Toxins (e.g., damdawi thenkhat, heavy metals).
• Hun rei tak chhunga thisen kal tlem avanga chhiatna (hypoperfusion).

• Postrenal Azotemia: Hei hi urinary tract emaw bladder emaw a block vang a ni tlangpui.
• Urinary tract infection (UTIs) avanga lo hring chhuak thin.
• Ureteral lung a awm.
• Hydronephrosis - Urinary retention avanga kal a lian.
• Mipaah ​​chuan prostate gland a lian (benign prostatic hyperplasia).
• Urinary system-a cancer a awm.

Azotemia leh Dehydration hi a inang em?

Ni lo, heng pahnih hi a inang lo. Mahse, dehydration hi prerenal azotemia thlentu lian tak a ni. Chu chu taksaa tui a awm loh chuan kal (kidney)-a thisen kal zat a tlahniam a, chu chuan azotemia a thlen thei tihna a ni.

Dehydration thlentu awm thei te chu:

• Tui in tam loh vang.
• Thawmhnaw tam tak (e.g. ni chhuahna hmuna workout lai, exercise lak lai).
• Luak chhuak.
• Kawthalo.
• Damdawi thenkhat, entirnan, diuretics (tui pill tia hriat bawk).

Hei hi natna hrik kai theih a ni em?

Ni lo, Azotemia hi natna hrik kai theih a ni lo. Midang hnenah i thehdarh thei lo.

He dinhmun hian tute nge a nghawng ber?

Azotemia hian tu pawh a nghawng thei. Mahse, kum 65 aia upa i nih chuan a awm tam zawk a, natna khirh tak tak, zunthlum leh thisen sang nei te pawh hi an hlauhawmna a sang zawk.

Azotemia natna avanga harsatna awm thei te chu engte nge ni?

Azotemia hi uluk taka enkawl a nih loh chuan thisena bawlhhlawh awmte chu hlauhawm tak thlengin a pung thei a ni. Hei hi uremia an ti a. Uremia hi kal natna khirh tak (CKD) vang a ni fo. Enkawl loh chuan uremia hian thihna a thlen thei a ni.Tin, harsatna dang, thinlung natna leh nervous system lama harsatna te pawh a awm thei bawk.

Azotemia leh Uremia hi eng nge an danglamna?

Heng pahnih hi kal (kidney) nena inzawm a ni.

• Azotemia hi thisenah nitrogen leh bawlhhlawh dang tam lutuk a ni. Hei hi laboratory test hmangin hriat theih a ni.
• Uremia hi thisenah urea leh bawlhhlawh dang tam lutuk a awm vang a ni. Phên dangin sawi ila, azotemia dinhmun a nasat a, natna lan chhuahna, luak chhuak, hah, leh buaina ang chi a lo awm chuan uremia an ti a ni.

A awlsam zawngin sawi ila, Azotemia chu thisena bawlhhlawh tamna a ni a, Uremia chu chu bawlhhlawh avanga natna lan chhuah dan leh a natna zual zel a ni.

Engtin nge Azotemia hi hmuhchhuah a nih?

Hetiang dinhmun hi nephrologist hi hriatchhuah leh enkawltu tha ber a ni. I medical history a la ang a, i symptoms te a zawt ang a, physical exam a ti ang. Azotemia rinhlelh a nih chuan thisen urea nitrogen (BUN) test leh creatinine test a ti ang. Creatinine hi taksa peng hrang hrang (muscle metabolism) atanga lo chhuak bawlhhlawh a ni. Heng zinga pakhat emaw level sang tak hi i kal (kidney) a thawk tha lo tihna a ni.

Thisen chhuah harsatna i neih emaw, damdawi eng emaw i ei a nih chuan BUN test i neih hmain doctor i hrilh hmasa phawt tur a ni. He test hi i kut a vein atanga thisen sample tlemte lak a, lab-a thawn a ni.

Azotemia tia ngaih BUN level chu engzat nge ni?

Thisena urea nitrogen (BUN) level pangngai hi i kum leh mipa leh hmeichhia a zirin a inang lo. Lab report-ah hian normal range aia value sang zawk a lan chuan azotemia a ni thei.

Tin, doctor chuan i serum creatinine level a enfiah bawk ang. Chumi atan pawh chuan value pangngai a awm a, i kum leh i mipa leh hmeichhia a zirin. Chu aia sang a nih chuan kal (kidney) lama harsatna a awm tih a tilang.

Kidney failure tilangtu BUN level chu engzat nge ni?

Doctor-te hian BUN level ringawt atanga kal (kidney failure) hi an hmuchhuak lo. Mahse, i BUN leh creatinine level pahnih hi a tlangpui aia sang zawk a nih a, symptom dang i neih chuan kidney failure chhinchhiahna a ni thei.

Azotemia hmuhchhuah nan hian eng test dang nge tih thin?

Doctor chuan test dang engemaw zat a ti thei bawk:

• Urinalysis: I zun sample lak a, lab-ah chemical, protein, thisen cell leh thil fiah lo dangte enfiah a ni.
• Urine output: Hei hian darkar 24 chhunga zun i pass zat a teh a ni.
• Imaging test: I kal, ureter leh bladder te ngun zawka enfiah theih nan CT scan emaw ultrasound scan emaw tih theih a ni. Chûngte chuan blockage, lung, emaw i kal lian leh te, a pianzia emaw a zawng thei a ni.
• Kidney biopsy: A chang chuan, he test hi i kal (kidney)-a chhiatna thleng dik tak hriat nan an ti thin. Hei hian i vunah incision te tak te siam a, needle te tak te hmanga i kidney atanga tissue sample tlemte tak tak lak a huam a ni. Chumi hnuah lab-ah test turin an thawn leh thin.

Azotemia hi engtin nge enkawl a nih?

Azotemia enkawlna chu i neih chi hrang hrang, a chhan leh i natna nasat danah a innghat a ni. A pawimawh ber chu azotemia thlentu harsatna bulpui enkawl hi a ni. Doctor chuan a chhan hriat chian nan test a ti ang. Enkawlna kawng hrang hrangte chu:

• IV fluids: Fluids, saline ang chi, tui tlakchhamna enkawlna atana thisen kal tlanga pek thin. Hei hian kal (kidney)-a thisen kal a tipung a, bawlhhlawh paih a awlsam phah hle.
• Damdawi hman tur: 1.1.
• Diuretics - taksa atanga tui tam lutuk paih chhuak.
• Thisen sang control damdawi.
• Adrenergic drugs - Hengte hian adrenaline (epinephrine) ang chiah hian nghawng an nei a, a chang chuan kal (kidney)-a thisen kal tamna kawngah a pui bawk.
• Corticosteroids - kal (kidney)-a inflammation tihziaawmna.
• Plasma volume expanders - thisen tam tak a bo tawh huna thisen plasma siam thatna tura puitu damdawi.
• Ureteral stenting: Urethra-ah blockage a awm chuan tube te tak te dahin, chu chuan kidney atanga bladder-ah zun a kal theih nan a pui thin.
• Dialysis: Hetiang tih dan hi kal (kidney) a thawk tha lo a nih chuan thisen atanga bawlhhlawh paih chhuah nan hman thin a ni. Hei hi hun eng emaw chen emaw, hun rei tak emaw atan tih theih a ni.

Azotemia ka vei chuan eng nge thleng ang?

He natna hi hriat hmasak a, uluk taka enkawl a nih chuan mi tam zawk chu an dam thei a ni. A bik takin prerenal emaw postrenal azotemia thlentu harsatna chu chinfel a nih chuan kal (kidney) te chu a dam leh thei a ni.

Mahse, enkawl loh chuan azotemia hian natna khirh tak dang, chronic kidney disease (CKD) , neih theihna a tipung thei a, thihna pawh a thlen thei bawk. Chuvangin i doctor-in a pek che enkawlna tur ruahmanna dik tak zawm a pawimawh hle.

Azotemia hi ven theih a ni em?

Ni e, i kal enkawl a, heng tips te hi zawm la, azotemia lo awm tur venna atan i pui thei ang:

• Damdawi thenkhat chu fimkhur takin hmang rawh:Damdawi thenkhat, nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen), antibiotics thenkhat (e.g., penicillin, sulfonamides), leh herbal supplement thenkhat te hian i kal tam lutuk chuan i kal a tichhe thei a ni. Doctor rawn hmasa lovin heng damdawi te hi ei chhunzawm zel suh. I doctor hnenah i tana dose him tur zawt rawh.
• Thisen chhuak enkawl: Kal-a thisen kal a tlem chuan prerenal azotemia a lo awm thei. Hliam a awm chuan bandage hnawih la, nghet takin khih rawh. Hliam na tak a awm chuan damdawi lam thurawn zawng nghal tur a ni.
• Kidney disease enfiah rawh: I chhungte zingah mi tu emaw chuan kidney disease an nei a nih chuan i doctor hnenah i hlauhawm em tih zawh a tha. Zunthlum vei leh thisen sang nei te chuan an kal (kidney) enfiah fo tur a ni.
• Dehydration pumpelh: Puitling chuan ni khatah tui glass 8 vel (litre 2-3) vel a in tur a ni. I zun chu a thianghlim emaw, a sen hring emaw a ni tur a ni. A thim zawk chuan tui in tam a ngai. Tui tam zawk in tur a ni a, a bik takin ni lum leh exercise i tih hian in tam zawk tur a ni.
• Zu in dan kha control rawh: Zu hian i kal (kidney) a tichhe thei a, thisen filtration a tichhe thei bawk. Dehydration a thlen thei bawk. Hmeichhia chuan ni khatah vawi khat aia tlem in tur a ni. Mipa hian pahnih aia tlem an nei tur a ni.
• I duh ang chaw hrisel ei rawh: Thei, thlai leh buh chi tam tak ei rawh. Salt (sodium) i ei zat tihtlem rawh. Chi ei tam lutuk hian thisen sang a thlen thei a, chu chuan i kal (kidney) a tichhe thei a, lung siam theihna a tipung bawk.
• Exercise neih fo: Ni khatah minute 30 tal exercise i tih tur a ni a, kar khatah ni 5 atanga ni 7 chhung i exercise tur a ni. Hei hian zunthlum leh thisen sang a thunun thei bawk.
• Meizial zu kha bansan rawh: Meizial hian thisen kalna kawng a tichhe thin. Kidney-a thisen kal dan pawh a nghawng thei bawk.

Engtin nge ka in enkawl ang?

Doctor chuan i tana tha tur treatment plan a siam ang. Hei hian damdawi ei te, nunphung tihdanglam te, a nih loh leh damdawi lam thil tih pawh a huam thei a ni. Hei hian i damdawi ei tur uluk taka ei te, tui tlakchham loh te, leh exercise neih fo te pawh a huam tel bawk. A pawimawh ber chu doctor thupek dik taka zawm hi a ni.

Engtikah nge Doctor ka hmuh ang?

Doctor-in azotemia a vei tih a hriat chuan follow-up appointment neih fo ang che. Tin, i natna lan chhuah danah inthlak danglamna i hmuh emaw, natna thar i neih chuan doctor pan bawk ang che. Tin, a chunga kan tarlan symptoms te hi i doctor hnenah hrilh bawk ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Acute kidney failure symptoms i neih chuan emergency room-ah kal nghal rawh. A lan chhuah dan chu:

• Zun kal zat chu nasa takin a tlahniam emaw, a awm lo vek emaw a ni.
• A hring, a bik takin ke ruh leh keah a hring.
• Ka chhungah metallic taste a awm tih hriat.
• Chauhna nasa tak a awm.
• Nausea leh luak chhuak.
• Kawthalo.
• Pum natna.
• Seizures a awm thin.
• Thil hriatna hloh (coma).

Hetiang hunah hian enkawl vat chu nunna chhanhim thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh a tha:

• Engtin nge Azotemia ka vei tih i hriat theih ang?
• Azotemia ka neih loh chuan eng condition dang nge ka neih?
• Azotemia natna hriat theih nan eng test nge i tih thin?
• Eng ang azotemia nge ka neih? Eng thilin nge a thlen?
• Eng enkawlna nge i rawt?
• I enkawl dan tur i rawt hian eng nge a hlauhawm emaw, a side effect emaw a neih?
• Enkawlna hnuah eng ang follow-up care nge ka mamawh ang?
• Ka kal (kidney) te hi a chhe vek tawh em?
• Nephrologist hnenah min refer thei ang em?
• Ka ei leh in leh nunphungah eng inthlak danglamna nge ka neih?

Take-Home Thuchah hnuhnung ber

Azotemia hi i thisenah bawlhhlawh a lo awm khawm thin a ni. Hei hi hliam emaw natna emaw avanga i kal (kidney) a chhiat a, a thawk tha thei lo a nih chuan a thleng thin.

Symptoms a awm loh fo avangin he natna hi i nei tih pawh i hre lo mai thei. Hetiang thil hi hriat nghal mai chu thil mak tak a ni thei. Amaherawhchu, Doctor ten a chhan an hriat theih nan test an ti thei a, enkawlna tha ber an pe thei che a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. I zawhnate an chhang ang che a, i mamawh tanpuina an pe ang che a, Azotemia enkawl dan tha ber leh i kal enkawl dan tur an hrilh ang che. Chuvangin hlauthawng suh, damdawi lam thurawn dik tak zawm rawh. A hmaa hriatchhuah leh enkawl dan dik chuan i kal (kidney) a venghim thei a ni.

` Azotemia, Kal, Thisen bawlhhlawh, BUN, Creatinine, Kal Natna, Nitrogen