BUN test i dil em? Hei hi eng nge a nih i en ang u (BUN - Thisen Urea Nitrogen Test) .

I doctor khan thisen test a pe che a, ‘BUN’ tih a ziak em? He thumal hi i report hluiah i hmu tawh ngei ang. He hming i hriat hian mi tam tak chuan, "Hei hi eng nge ni?" Mahse, hlauh tur a awm tak tak lo. Hei hi thisen test awlsam tak a ni a, i taksa hriselna chungchang, a bik takin i kal (kidney) hriselna chungchangah thu pawimawh tak tak a hrilh che a ni. Chuvangin vawiin hian he BUN test hi eng nge a nih, eng nge a zawn, report-in eng nge a sawi tih chiang takin i zawng chhuak ang u.

A awlsam zawngin, Blood Urea Nitrogen (BUN) hi eng nge ni?

Hei hi hriatthiam a awl hle mai. Hetiang hian han ngaihtuah teh...

Kan protein kan ei (entir nan, sa, sangha, artui, bawnghnute, lentils, etc.) te hi kan thin (liver) ah a digested a, energy ah a inthlak thin. Hemi kalpui chhung hian chemical pakhat ‘Urea Nitrogen’ tih chu byproduct angin siam chhuah a ni a, chu chu bawlhhlawh ang chiah a ni. Hei hi kan taksa tana hmantlak loh thil a ni.

He urea nitrogen hi kan thisenah a lut a, thisen nen taksa pum puiah a fang kual a, kal (kidney) thlengin a thleng a ni. Kidney hrisel hnathawh ber pakhat chu thisen filter a, heng bawlhhlawh te hi thliar hrang a, zun atanga paih chhuah hi a ni.

Chuvangin, i kal (kidney) a hrisel a, a thawk tha a nih chuan he BUN tam zawk hi an filter chhuak thin. Thisenah hian a tlem hle chauh a la awm. Mahse, kal (kidney)-ah chak lohna emaw, natna emaw a awm chuan he BUN hi an filter tha thei lo. Tichuan thisenah BUN awm zat chu a pangngai aia sangin a pung ta a ni. Chu chu BUN test hian a teh a ni .

Engvangin nge doctor chuan BUN test hi a rawt ang?

BUN test tih chhan hrang hrang a awm thei.

• Hriselna enfiahna pangngai (routine health checkup) pakhat angin: A châng chuan kum tin i checkup-naah thisen test package (`Comprehensive Metabolic Panel - CMP` emaw `Basic Metabolic Panel - BMP`) i hmuh ṭhinah hian he BUN test hi a tel ṭhin.
• Kal natna i rinhlelh chuan: I doctor-in kal natna i neih a rinhlelh chuan hetiang hian an ti ang a, a finfiah ang.
• Kal natna vei hlauhawm i nih chuan: Zunthlum, thisen sang, lung natna ang chi natna i neih chuan emaw, i chhungkuaa mi tu emaw kal natna nei tawh an nih chuan nang pawh i hlauhawm ve tho a, chuvangin he test hi i kal dinhmun enfiah nan tih a ni.
• Damdawi ei tan hmain: Kal tichhe thei damdawi ei tan hmain he test hi kal baseline status hriat nan tih thin a ni.
• Damdawi ina awm laiin: Hei hi damdawi lam thil engemaw avanga damdawi ina awm laiin taksa tui level leh kal hnathawh enfiahna atana standard test a ni.

Heng symptoms te hi i nei em? Tichuan i doctor hnenah hrilh rawh.

A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan kidney problem chhinchhiahna a ni thei. Chuvangin i doctor nen pawh hemi chungchang hi sawipui ngei ang che.

• I zun chhuah zat inthlak danglamna (a pung emaw tihhniam emaw).
• Zun chu a hring, thisen chhuak, a rawng dum emaw a ni.
• Zun chhuah laiin natna hriat.
• Kut, ke, ke ruh, mit, hmai emaw, pum vel emaw a hring.
• Mut laiin ke hahdam lo.
• A hnungzang hnuai lam, kal (kidney area) a na.
• Chau lutuk tih hriat reng reng.

BUN thisen test atan engtin nge ka inbuatsaih ang?

Hei hi a awlsam hle.

Inbuatsaihna: He test hma hian i doctor hnenah i damdawi ei zawng zawng (vitamin leh supplement te pawh tel) hrilh hmasa phawt ang che. Damdawi thenkhat chuan report a nghawng thei a ni. I neih chuan i doctor chuan ni engemaw zat ei tawh loh turin a hrilh ang che. BUN test chauh i neih chuan a pangngaiin i ei leh in thei. Mahse, test dang i neih chuan darkar engemaw zat chaw nghei turin an ti mai thei. Heng thupekte hi uluk takin zawm rawh.

Test neih chhung hian: Lab-ah chuan technician pakhatin i kut chhunga vein pakhat atanga thisen sample tlemte a la ang. Needle i dah chuan electric shock tlem i nei ang. Second tlemte chauh a daih.

Test zawhah: Thisen lakna hmunah hian natna leh hliam tlem i nei thei. Hei hi thil pangngai a ni. I thiltih pangngai chu i chhunzawm thei ang. Lab leh doctor hnathawh zat a zirin ni engemaw zat hnuah report i dawng ang.

BUN report hian eng nge a sawi?

I report-a i BUN value chu deciliter khatah milligram (mg/dL) a ni. Puitling hrisel tak BUN value chu a tlangpuiin 7 mg/dL leh 20 mg/dL inkar a ni tur a ni. Mahse, he value hi kum, mipa leh hmeichhia, leh lab a zirin a danglam deuh thei a ni.

A pawimawh ber chu: I BUN reading chu normal range atanga chhuak a nih chuan hlauthawng suh. I BUN chhiarna tichhe thei thil dang pawh a awm bawk. Chuvangin i report chu i doctor hnenah entir fo la, hrilhfiahna dil rawh.

A hnuaia table hi en ila, eng thilin nge BUN level a san leh a tlahniam chhan hi i en ang.

BUN nen hian test dang an ti bawk

BUN level chauh atanga thutlukna siam a harsa a, chuvangin doctor chuan test tlemte a kalpui leh ang a, kidney thlalak kimchang tak a hmu ang.

Creatinine test a ni

Hei hi thisen test pawimawh dang a ni a, chu chuan kal hriselna a enfiah a ni. Creatinine hi kan taksa ruh atanga siam bawlhhlawh a ni. Tin, kal (kidney) hian a filter a, a paih chhuak bawk. BUN leh Creatinine value te hi i khaikhin chuan kidney hnathawh dan chiang takin i hre thei ang. Hei hi BUN/Creatinine ratio an ti a. A tlangpuiin he ratio hi 10:1 leh 20:1 inkar a ni tur a ni.

GFR test (Glomerular Filtration Rate) hmanga enfiah a ni.

Hei hian i kal (kidney)-in i thisen atanga bawlhhlawh a filter rang dan a teh a ni. Hei hian i kal hnathawh dan (% kidney function) hriatna tha tak a pe thei che a ni. I GFR a hniam lutuk chuan kal (kidney failure) a ni thei.

BUN level hi engtin nge kan control ang?

BUN level a san chuan tihhniamna tur damdawi bik a awm lo. Doctor chuan BUN level sang chhan bulpui ber chu a zawng chhuak ang a, chu natna chu a enkawl ang. Entirnan, thisen sang avanga BUN level a san chuan chu chu enkawl a ni ang. Chutih rual chuan i ei leh in leh nunphung thlak danglam turin a fuih bawk ang che.

BUN level tihhniamna tura puitu thilte:

• Tui in tam: Ni khatah tui glass 8-10 tal in a tha. Mahse, kal natna khirh tak i neih tawh emaw, dialysis i neih tawh emaw chuan, i doctor hnenah tui i in tur zat zawt ngei ang che. Chutiang huna tui in tam lutuk pawh hi harsatna a ni thei.
• Protein tlem ei leh in: Protein tamna ei tur, sa leh bawnghnute atanga siam te hi tihtlem tur a ni. Chu ai chuan thei, thlai, buhfai, oats, leh pasta te chu i einaah telh la.

BUN level tihsan (a hniam chuan):

BUN level hniam hi a tlangpuiin harsatna lian tak a ni lo. Amaherawhchu, tihpun i duh chuan protein tamna ei tur tam zawk i ei thei a, liver health (zu in tlem, taksa rihna tihtlem) lam i ngaihtuah thei bawk.