Kan hriat lohvin kal (kidney) hi kan taksa chhungah darkar 24 chhung hna thawk thei taksa peng mak tak a ni. Hnathawk hah lo ang maiin kan thisena bawlhhlawh awmte chu kal (kidney) hian a filter a, taksa mamawh thilte chu taksaah a rawn thawn kir leh thin. Chuvangin vawiin hian he hna lian tak hi kal (kidney) ti thei tura puitu structure te tak te mahse pawimawh tak tak kan sawi dawn a ni. Chu chu Bowman’s Capsule chu a ni.
Bowman-a Capsule hi eng nge ni?
Kan kal (kidney) te hi in lama tui filter ang maiin han ngaihtuah teh. He filter chhungah hian tui tifai thei tur filter cartridge te tak te maktaduai khat vel a awm a. Chutiang bawkin kan kal tin hian thisen tifai thei filtering unit te tak te maktaduai khat vel a nei a. Damdawi lamah chuan heng unit tinte hi nephron tiin kan sawi thin.
Chuvangin, nephron tin a\anga a \hen chu Bowman’s Capsule tia koh a ni. Hei hi no tlemte, bag ang mai a ni. He no chhungah hian thisen kalna kawng tha tak tak tam tak, coiled up a awm a. Glomerulus kan ti a . A awlsam zawngin, thisen filter dan hi hetah hian, hetah ngei hian, he glomerulus leh a chhehvela Bowman’s capsule atang hian a intan a ni. Heng hmun pahnih hi an inzawm khawm chuan renal corpuscle kan ti a ni.
A châng chuan i doctor chuan hei hi hming dang a hmang thei a, mahse thil inang vek an ni:
- Glomerular capsule hmanga siam a ni
- Malpighian capsule a ni
- Renal corpuscular capsule hmanga siam a ni
Hemi atanga lo chhuak pawimawh ber chu eng nge ni?
Bowman-a membrane hnathawh ber chu glomerulus-in thisen a filter theih nan a pui a ni. Tea i siam hian tea hnah chu filter chung lamah a tlakbuak a, tea tui chauh a tla ang bawkin hetah pawh hian hetiang thil hi a thleng thin.
Thisen chu he channel tenau tak tak network atanga a kal lai hian bawlhhlawh, tui tam lutuk leh thisen chhunga thil tenau dangte chu Bowman-a membrane-ah a filter lut thin. Amaherawhchu, protein lian tak tak, thisen sen, thisen var, leh platelet te, kan taksa tana pawimawh tak takte chuan he filter hi a paltlang thei lo. Thisen kalna chhungah an awm reng a ni.
Hei hi cell chi khat bik podocytes an tih hian a pui a, chu chu Bowman-a membrane chhungah a awm a ni. Heng cell te hian kut zungtang ang maia projection an nei a. Heng kut zungtang te hi an inzawm khawm a, pores te tak te tak tak network an siam thin. Heng pores te hi particle te te chauhvin an paltlang thei a ni. Hetiang kalphung avang hian mi hrisel zun ah hian protein emaw thisen cell emaw hmuh tur a awm tlangpui lo.
A awlsam zawngin sawi ila, Bowman-a puan chu kawngka bula vengtu ang mai a ni. Taksa tana thil tul lo te te a luh tir a, taksa tana thil pawimawh tak tak erawh a chhuah tir thung.
Tichuan, filtered fluid chu kidney-a channel fine zawk hmangin a kal chhuak ta a ni. Kawng lakah chuan chu tuiah chuan taksain a la mamawh tui leh ei tur tha chu thisenah a lut leh ta a ni. A tawp berah chuan bawlhhlawh duh loh la awmte chu kan taksa atangin zun angin a chhuak ta a ni.
Hei hi khawiah nge a awm? A pianzia chu eng nge ni?
Bowman-a capsule hi kal pawn lam ber ah a awm a. Renal cortex kan ti a . In hriat angin kan kal (kidney) hi ruhro sir lehlamah, rib cage hnuaiah, pawn lamah a awm a.
No emaw, bag emaw ang maia siam nia sawi ni mah se, a takah chuan mitin kan hmu thei lo. Microscope hmang chauhvin kan hmu thei. A chhunga tui awm hi thisen a plasma nen a inang hle. Mahse, thisen sen, thisen var, platelet a awm lo.
Structurally chuan layer pahnih a nei a. Pawn lam layer hi cell simple squamous epithelium an tih atanga siam a ni a . Inner layer hi special cells podocytes an tih atanga siam a ni a, chu chu a hmain kan sawi tawh a ni.
Kidney lama harsatna nei tih lantir thei symptoms
Kidney a chhiat chuan Bowman-a membrane pawh a nghawng bawk. A bik takin natnain glomerulus a nghawng chuan a filtering theihna a tlahniam thin. Chutiang a nih chuan taksa mamawh protein ang chi thilte chu zunah a chhuak tan thei a ni. Heng natnate hi enkawl a nih loh chuan a tawpah chuan kal (kidney failure) a thlen thei a ni.
Chuvangin a hnuaia symptoms te hi i hriat chian a pawimawh hle. Chung zinga pakhat tal i neih chuan a tha ber chu a rang thei ang bera doctor hmu la, thurawn la rawh .
| Symptom a ni | Hei hi rei lo te han ngaihtuah teh. |
|---|---|
| Zun inthlak danglamna | Thil chi hrang hrang, zun rawng inthlak danglam, foaminess tihpun, emaw thisen chhuah te. |
| Zun chhuah tam dan a inthlak danglam | A tlangpui aia tam emaw, a pangngai lo taka zun tam emaw. |
| Taksa a hring chhuak | A bik takin ke ruh, kut leh hmaiah a hring. Hei hi fluid retention vang a ni thei. |
| Chauhna leh hahna | Chauh lutuk hi kal (kidney)-in bawlhhlawh a paih chhuah that loh vang a ni. |
| Thisen sang (Hypertension) 1.1. | Kidney lama harsatna nei hian thisen sang a thlen thei a ni. |
| Chaw ei chak lohna leh rilru hahna | Chaw eiah metallic taste hriatna, ei tur huatna, leh luak chhuak. |
Engtin nge doctor hian he natna hi a hriat theih?
Doctor i hmuh hunah i natna lan chhuah dan a zawt ang che a, a enfiah ang che. Chu bâkah, i kal (kidney) hnathawh ṭhat dân hriat nân test engemaw zât an nei thei bawk.
| Fiahna | A awlsam zawngin, hei hi i tih dan a ni... |
|---|---|
| Thisen test a ni | Thisen chhunga bawlhhlawh (creatinine ang chi) awm zat a teh a, chu chu kal (kidney)-in a filter a, a paih chhuah a ngai a ni. |
| Urinalysis tih a ni | Zun hi thil pangngai lo, protein leh thisen cell te a awm leh awm loh enfiah thin a ni. |
| Ultrasound hmanga scan a ni | Hei hian kal lian leh te leh a pianzia leh harsatna dang, kal lung ang chi a awm leh awm loh enfiah nan a pui a ni. |
| Kidney Biopsy tih a ni | A then phei chuan kidney atanga tissue te tak te tak te chu needle te tak te hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. |
Kan kal (kidney) hriselna atana kan tih theih thilte
Kan kal peng zawng zawng, Bowman’s capsule pawh tiamin, hnathawh that reng hi kan hriselna zawng zawng atan a pawimawh hle. Chuvangin kan kal enkawl nan thil awlsam tak tak kan tih theih a awm. Hei hi thisen sang, zunthlum, thau lutuk ang chi natna i neih chuan a pawimawh hle.
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Zuk leh hmuam thil siam hi pumpelh rawh. | Meizial zuk hian kal (kidney)-a thisen petu thisen kalna kawngte a tichhe thei a ni. |
| Chaw eiah chi (salt) tihtlem. | Chi ei tam lutuk hian thisen sang a tisang thei a, kal (kidney)-ah pressure a siam thei bawk. |
| Nitin exercise la. | Exercise hian thisen sang leh taksa rihna a thunun thei a ni. |
| Painkiller hman khap rawh. | Hun rei tak leh natna tidamtu damdawi, a bik takin NSAID (Nonsteroidal anti-inflammatory drugs) (e.g. Ibuprofen, Diclofenac) hman hi kal tan a hlauhawm hle. Hengte hi damdawi lam thurawn chauh hmang rawh . |
| I taksa rihna hrisel tak vawng reng rawh. | Thau lutuk hian zunthlum leh thisen sang vei theihna a tipung a, heng pahnih hi kal tan a pawi hle. |
| Thisen sang leh thisen sugar level control | Zunthlum emaw, thisen sang emaw i neih chuan, i kal (kidney) venhim nan uluk taka thunun a pawimawh hle. |
Kan kal (kidney) te hian he silent service hi kan ngaihtuah vak lo. Mahse an chungah thil a dik lo a nih chauhvin symptom kan nei tan thin. Chuvangin, i taksa chu ngaihven rawh. Ringhlelna i neih chuan Doctor hmuh chu tikhawtlai suh.
Take-Home Thuchah a ni
- Bowman’s Capsule hi i kal chhunga thisen filtration system atana pawimawh tak a ni.
- A hnathawh ber chu thisen atanga bawlhhlawh paih chhuah a ni a, chutih rualin taksain a mamawh thil, protein leh thisen cell te chu thisenah a vawng reng a ni.
- A hring, zun inthlak danglam leh hah lutuk te hi kal natna chhinchhiahna a ni thei.
- Heng symptoms te hi i neih chuan ngaihthah ngai suh. A rang thei ang bera Doctor hmu rawh.
- I kal venhimna tha ber chu nun hrisel (ei leh in tha, exercise, thisen sang leh sugar control) zawm hi a ni.
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