Thisen test i neih hian report-ah ‘BUN’ tih value i hmu ngai em? I doctor chuan hei hi a hrilhfiah che a ni mai thei. Mi tam tak tan chuan a buaithlak deuh niin a lang a, mahse a takah chuan test hman tlanglawn tak a ni a, kan kal hriselna chungchanga thu pawimawh tak tak a hrilh che a ni. Chuvangin, hlau suh. Vawiin hian he BUN hi eng nge a nih chiang takin, engvangin nge tih a nih tih leh a hlutnate hian eng nge a sawi tih hi han sawi ila.
BUN tih awmzia chu eng nge ni?
Awle, a tir atang khan tan ila. He thumal BUN hi Blood Urea Nitrogen tihna a ni . Sinhala tawng chuan thisena urea nitrogen awm zat a kawk a ni.
Tunah chuan kan taksa hi factory lian tak ang mai a ni tih han ngaihtuah teh. Kan ei leh in, a bik takin protein (entir nan, sa, sangha, artui, bawnghnute) te hi he factory-ah hian chakna leh taksa thanlenna atana mamawh thilah a inthlak a. Hetiang thil a thlen hian bawlhhlawh (waste product) a lo piang ta a ni. Chu bawlhhlawh chu urea nitrogen an ti a .
Heng bawlhhlawh te hi kan thin (liver) atanga siam chhuah hmasak ber a ni. Tichuan, thisenah an telh a, taksa pum puiah an fang kual a ni. Hetianga kan zin lai hian he thisen hi kan kal (kidney) ah a kal tlang thin. Kidney hi kan taksaa filter tha ber pahnih ang mai a ni. An hna ber chu heng bawlhhlawh duh loh zawng zawng thisen atanga filter leh thliar hran a, zun hmanga taksa atanga paih chhuah hi a ni.
Chuvangin, he BUN test hian a tih chu i thisenah urea nitrogen awm zat chu kal (kidney)-in a filter chhuah hmain a teh a ni.
A awlsam zawngin BUN chu i thisena urea nitrogen awm zat a ni. Hei hian i kal (kidney) hnathawh that dan tur ngaihtuahna pawimawh tak a pe thei che a ni.
Engvangin nge doctor ten he BUN test hi an rawt?
Doctor-in BUN test nei tura a tih chhan hi chhan hrang hrang a awm.
- Hriselna enfiahna pangngaia tel ve angin: He BUN value hi thisen chhiar kim vek zinga mi anga teh a ni fo a, kum tin emaw, a hun hunah emaw tih thin a ni. Hei hi test package Comprehensive Metabolic Panel (CMP) emaw Basic Metabolic Panel (BMP) emaw an tih ah a tel tlangpui.
- Kal natna i rinhlelh chuan: Kal natna vei theihna i neih chuan i doctor chuan he test hi a ti thei ang. Kidney natna hian a tir lamah chhinchhiahna a neih loh fo avangin, risk factor nei te hriat hmasakna kawngah a pui thei a ni.
Eng thil nge kal natna vei theihna tipung?
- I chhungkuaa (nu, pa, unau) tu pawhin kal natna an neih chuan.
- Diabetes i neih chuan .
- Thisen sang i neih chuan .
- Lung natna i neih chuan .
- Kidney disease symptoms i lantir a nih chuan: Kidney natna a nasat zawk chuan symptom thenkhat a lang thin. Heng symptoms te hi i neih chuan BUN test i neih ngei ngei tur a ni.
| Late-stage kidney disease symptom thenkhat | |
|---|---|
| A tlangpui aia zun tam a tulna. | |
| Foamy pee a awm. | |
| Zun chhungah thisen a awm. | |
| Chauhna leh hahna nasa tak nei fo thin. | |
| Chaw chu a thlum lo. | |
| Taksa (a bik takin kut, ke, leh ke ruh) a hring chhuak. | |
BUN ‘tipung’ a nih chuan eng nge a awmzia?
Hei hi mi tam takin an hlauh em em a ni. I BUN level chu recommended range aia sang a nih chuan i kidney te a thawk tha lo tihna a ni thei . Chu chu thisen atanga urea nitrogen bawlhhlawh an filter tha lo tihna a ni.
Mahse, BUN sang chuan i kal (kidney)-ah harsatna a awm tihna a ni ngai lo. I kal 100% hrisel pawh nise, chhan dang vangin i BUN chu a sang thei hle.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Protein tamna ei leh in | Sa, sangha, artui, protein shake te i ei tam chuan taksaa urea bawlhhlawh siam chhuah zat pawh a pung bawk ang. |
| Tui tlakchhamna (dehydration). | Taksa tui a tlakchham chuan thisen a thim thin. Tichuan thisenah urea concentration a sang chho zel a. Nilengin nilenga hna thawk tawh, tui in ngai lo ang mai a ni. |
| Kum upa lam | Kan tar chhoh zel chuan kidney function hi a pianphungah a tlahniam deuh thei (naupang te te hian BUN level an nei hniam tlangpui). |
| Damdawi thenkhat | Damdawi thenkhat (e.g. Carbamazepine, Methotrexate, Tetracycline) hian BUN level a tisang thei a. |
| Hriselna lama harsatna dangte | BUN level hi kang, heart attack, stress level sang, pum emaw intestines-a thisen chhuah (GI bleeding), emaw urinary tract obstruction te ang chi thil vang pawh a sang thei bawk. |
A pawimawh ber chu i BUN level a san chuan hlauthawng lo la, a chhan hriat tumin i doctor nen inbiakna neih a ni. I doctor chuan BUN level chauh ni lovin, test value dang, creatinine -te pawh a khaikhin a, thutlukna a siam ang.
BUN value hi ‘low’ a ni thei ang em?
Ni e, a thleng thei. Mahse BUN level hniam hi a tam vak lo. A tlangpuiin hriselna lama harsatna lian tak a awm tih a tilang lo. Mahse, BUN level a hniam theih chhan thenkhat a awm.
- Protein tlem ei: Vegetarian emaw, protein tlem tak ei emaw i nih chuan.
- Taksa te tak te: 1.1.
- Overhydration: Tui in tam lutuk hian thisen a ti dilut thei a, BUN concentration a ti hniam thei bawk.
- Liver natna: Liver-ah urea siam a nih avangin liver hnathawh tichhe thei dinhmun khirh takah chuan BUN level a hniam thei.
He thisen test hma leh test chhung hian eng nge thleng?
Hei hi thisen test awlsam tak, tih dan pangngai a ni.
Test hmain
Thisen tihthianghlimna damdawi i ei emaw, thisen chhuah harsatna i neih chuan doctor hnenah hrilh hmasa phawt ang che. Darkar 8-12 chhung chaw nghei tur i nih leh nih loh doctor zawt la, BUN nen hian test dang pawh tih theih a nih avangin.
Test neih chhung hian
- A tlangpuiin thisen lakna tur i kut chu elbow bula i kut atang hian vein thlan a ni.
- Chu lai hmun chu zu ang chi thilin a tifai a, thisen tlem te chu zungbun te tak teah chuan zungbun te tak te hmangin a luhpui thin.
- Prick te tak te i hre mai ang. A hnuah chuan a hmun chu a sen deuh mai thei a, mahse ni khat emaw ni hnih emaw chhungin a bo vek ang.
- He thisen sample hi lab-ah thawn a ni. Ni khat emaw ni thum emaw vel a la ngai thei a, result a lo lang leh thei.
Test report a lo thlen hnuah eng nge thleng?
Test report i dawn veleh i doctor chuan i tana a awmzia a hrilhfiah ang che. I doctor chuan BUN value chauh atanga thutlukna a siam dawn lo. I doctor chuan i kal hnathawh dan kimchang tak a hriat theih nan thil dang engemaw zat a ngaihtuah ang.
- Serum Creatinine: Hei hi thisen atanga tehna bawlhhlawh dang a ni. Kidney function chungchangah chuan BUN aiin test pawimawh zawk a ni.
- Estimated Glomerular Filtration Rate (eGFR): Hei hi direct test a ni lo. I kal (kidney)-in i thisen a tihfai chak dan tehna value a ni a, i creatinine level, kum leh mipa leh hmeichhia te ang chi te hmangin a chhut chhuak thin.
Doctor chuan heng hlutna zawng zawng hi a dah khawm ang a, chu chuan i kal hriselna chungchangah thutlukna hnuhnung ber a siam ang.
BUN level a sang a nih chuan tihhniam nan eng nge tih theih ang?
Hetah hian hriatthiam tur pawimawh tak chu doctor-te chuan BUN level "hniam" zawkah damdawi an pe lo tih hi a ni. An tih chu BUN level sang chhan zawng chhuakin chu chhan chu enkawl a ni.
Mahse, kal natna nei lo mi pakhatin BUN level sang tak a neih chuan nunphung tihdanglam awlsam tak hmangin a control theih a ni.
Pawimawh: Kal natna i neih chuan a hnuaia tihdanglamna i siam hmain i doctor nen inbiakna neih hmasak phawt ang che.
1. Tui in tam: Dehydration hi BUN level sang chhan ber a ni. I creatinine level chu a normal a, mahse i BUN a sang a nih chuan dehydration vang a nih a rinawm ber.
- Mipa chuan ni khatah tui cup 13 (litre 3 vel) a in tur a ni.
- Hmeichhia chuan ni khatah tui cup 9 (litre 2.2 vel) in a tha.
2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Protein tamna ei tur kha control rawh: Protein tamna ei tur lama inthlak hian BUN level a tihhniam thei a ni.
| Protein tlem ei tur ei tam tur | Protein tamna ei tur tihtlem emaw tih loh emaw |
|---|---|
| Thlai chi hrang hrang: buhfai, oats, pasta | Sa: Bawngsa, Vawk sa, Vawk sa, Salmon |
| Thei: apple, berry, banana te a awm | Bawnghnute atanga siam chaw: bawnghnute, cheese, yogurt |
| Thlai chi hrang hrang: Thlai hring, bell pepper, broccoli | Thil dang: artui, lentils, chickpeas, soy, tofu |
| Thau hrisel: avocado, nut, coconut oil |
A vaiin mi pakhatin ni khatah protein gram 40-60 inkar a ei thin. Mahse, BUN level sang tak nei tu emaw chuan an doctor thurawn a zirin hetiang zat hi tihtlem a ngai mai thei.
Take-Home Thuchah a ni
- BUN hi bawlhhlawh a ni a, kan protein kan ei atanga siam a ni a, kal (kidney)-in a filter a, a paih chhuah a ngai a ni.
- He test hian a bik takin kal (kidney) hnathawh dan tur ngaihtuahna a pe a ni .
- BUN level a san apiangin kal natna chhinchhiahna a ni. Thil dang, tui tlakchhamna leh protein tamna ei leh in te pawhin hmun a chang thei bawk.
- I test result sawifiahna kimchang pe theitu awmchhun chu i doctor a ni.
- BUN level a san chuan a chhan bulpui chu enkawl rawh.Chu chu a pawimawh ber a ni. Doctor thurawn anga i nunphung leh ei leh in thlak danglam hian danglamna nasa tak a thlen thei a ni.
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