Kidney hi kan taksa peng te tak te pahnih, mahse chak tak a ni. Kan taksaa filter chak ber pahnih ang an ni. Kan thisen an tifai a, bawlhhlawh, toxins, leh tui tam lutuk zun angin an paih chhuak thin. Mahse, heng filter pahnih hi zawi zawiin a chhiat chuan eng nge thleng ang tih han ngaihtuah teh? Chu chu Chronic Kidney Disease (CKD) kan tih chu a ni. Hei hi hun kal zelah kal (kidney) te hian an hnathawh theihna an hloh zauh zauh thin a ni.
A awlsam zawngin, kan tan hian kal (kidney) hi engtiang chiahin nge a pawimawh?
Heng kidney bean pahnih hi i ruhro sir lehlamah, i rib cage hnuai chiahah a awm a. Anmahni pakhat zel hi i kutphah ang vel a ni.
An hna ber chu thisen tihthianghlim hi ni mah se, thil pawimawh dang tam tak an ti bawk:
- Kan taksaa electrolytes, chi leh potassium te balance a vawng reng a ni.
- Thisen sang control nana mamawh hormone a siam chhuak thin.
- Kan ruhte a nghet reng theih nan a pui.
- Thisen sen (red blood cells) siam a pui thin .
Chuvangin han ngaihtuah teh, hna tam tak thawk thin kal pahnih hi an chak lo a nih chuan taksaa bawlhhlawh awmkhawm avang hian kan na tan ta a ni.
Kidney disease stage 5 te hi engte nge ni?
Chronic kidney disease hi stage pangaah then a ni. Heng stage te hi i kal (kidney) in i thisen atanga bawlhhlawh a filter that dan atanga teh a ni. Doctor-te chuan thisen leh zun test an ti a, eng stage-ah nge i awm tih chiang takin an hre thei a ni.
Hemi atana tehna hman ber chu GFR (Glomerular Filtration Rate) a ni. A awlsam zawngin, hei hian minute khata i kal (kidney)-in thisen milliliter engzat nge a filter tih a teh a ni. Tin, thisenah bawlhhlawh creatinine an tih level a enfiah bawk. Kal a thawk tha a nih chuan he creatinine hi zun ah a chhuak thin. Kidney a chak loh chuan thisenah creatinine a awm tan thin.
- Stage 1: A chhiatna a tlem hle. GFR hi a pangngai mai thei.
- Stage 2: Kal hnathawh a tlahniam deuh.
- Stage 3: Kidney hnathawh a tlahniam tawk.
- Stage 4: Kal hnathawh a tlahniam nasa hle.
- Stage 5: Kidney failure vek. Hei hi end-stage kidney disease an ti a .
A pawimawh ber chu he natna vei zawng zawng hi stage 5-ah an kal vek lo a, enkawl dan dik leh nunphung thlak danglam a nih chuan natna hi thunun theih a ni a, kal (kidney) chhiatna pawh nasa takin a tlahniam thei a ni.
Eng nge a lan chhuah dan? Vawi tam tak chu a tir lamah chuan chhinchhiahnate chu hmuh tur a awm lo.
He natna hlauhawm ber chu a tir lamah chuan a lan chhuah dan hmuh tur a awm lo . Natna a zual deuh deuh chauhvin a lan chhuah dan a lo lang tan thin. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Zun chhuah a ngai fo thin | Kidney-in zun a filter leh control theihna a tlahniam. |
| Chauhna leh chak lohna nasa tak neia inhriatna | Thisenah toxins a awm khawm a, thisen sen (red blood cells) a tlahniam (anemia). |
| Chaw chakna | Taksa chhunga bawlhhlawh awmkhawm avanga lo awm dinhmun. |
| Kut, ke leh ke ruh a hring | Kidney hian taksa atanga tui tam lutuk a paih chhuak thei lo. |
| Thâwk harsa | Lung chhunga tui awmkhawm vang emaw, thisen tlakchham vang emaw pawh a ni thei. |
| Zun foaming emaw bubbling emaw a awm | Hei hi zun chhunga protein tam lutuk vang a ni thei. |
| Mit vel a hring chhuak | Hei hi zun atanga protein tam tak paih chhuah vang a ni thei. |
| Vun vawt leh itchy | Thisen a mineral leh nutrient awm zat inthlauhna. |
| Nausea emaw, luak chhuak emaw | Thisenah bawlhhlawh a tam hle. |
| Mut theih lohna leh ngaihtuahna seng harsa | Toxins hian thluak hnathawh a nghawng a ni. |
Kal natna thlentu berte chu engte nge ni?
Kidney natna hi kal a chhiat a, thisen a filter tha thei lo a nih chuan a awm thin. Chronic kidney disease-ah chuan he chhiatna hi kum tam tak chhungin a thleng zauh zauh thin.
Hei hi a chhan lian ber leh a tlangpui ber pahnih chu:
1. Thisen sang lutuk
2. Zunthlum natna
Heng natna pahnih hi i neih chuan i kal i enkawl a ngai tak zet a ni, a chhan chu heng natna pahnih hian kal chhunga thisen kalna kawng nalh tak takte a tichhe a, an hnathawh pawh a ti tlem a ni.
Heng chhan lian pahnih bakah hian chhan dang a awm bawk.
- Glomerulonephritis: Hei hi kal chhunga fine filtering unit te a chhiat lai a ni.
- Polycystic kidney disease: Hei hi genetic condition a ni a, thlah kal zelah a kal zel a ni. Kidney-ah hian fluid-filled cyst tam tak a lo awm a, chu chuan an hnathawh a ti tlem a ni.
- Urinary tract obstruction: Urinary stone vang te, mipa prostate lian vang te, cancer vang emaw hian zun kalna a tikhawlo.
- Vesicoureteral reflux: Hei hi zun chu bladder atanga kal (kidney) thlenga a luang leh a ni.
- Kal natna (Pyelonephritis) a awm fo thin.
- Lupus ang natna hi taksain a dodalna a ni.
Tute nge he natna vei theihna sang zawk?
Tu pawhin kal natna an vei thei a, mahse a hnuaia dinhmunte hi i neih chuan i hlauhawmna a sang deuh hlek a ni.
- Diabetes i neih chuan .
- Thisen sang i neih chuan .
- Lung natna i neih chuan .
- Chhungkaw zinga mi pakhatin kal natna (hereditary influence) a neih tawh chuan.
- Kum 60 aia upa i nih chuan.
- NSAID chi hrang hranga natna tidamtu a ni(e.g. Ibuprofen, Diclofenac) hi damdawi lam thurawn tel lova rei tak hman a nih chuan.
- Kidney structure emaw size emaw ah thil danglam a awm chuan.
Engtin nge enkawl a nih? Engtin nge kan tih theih ang?
Chronic kidney disease hi a dam kim thei lo. Mahse, kal (kidney) chhiatna control tur leh a theih ang anga rei tak chhunga an hnathawh chhunzawm zel tur hian thil tam tak kan ti thei a ni .
Nunphung a inthlak danglam thin
- A hun takah doctor hmu rawh: A hun takah doctor emaw nephrologist emaw hmu la, test rawh.
- Zunthlum leh thisen sang control: Hei hi a pawimawh ber a ni. I thisen sugar leh pressure control la.
- Kidney tana tha lo damdawi ei loh tur: Doctor zawt ngei ang che, a bik takin natna tidamtu damdawi i ei dawnin.
- Kidney-friendly diet: Chi (sodium), potassium, leh protein te tihtlem ei tur ei tur a ni. Hemi chungchang hi dietitian nen inbia a, thurawn lak a tha ber.
- Meizial zuk loh vek tur a ni.
- Kar khatah ni tam zawk exercise la.
- I taksa rihna hrisel tak vawng reng rawh.
Damdawi hmanga enkawl
I doctor chuan i natna chhan leh a stage a zirin damdawi hrang hrang a pe thei ang.
- (ACE) inhibitor emaw (ARB) type damdawi emaw hmanga thisen sang tihhniam theih a ni.
- Taksa atanga tui tam zawk paih chhuahna tur diuretic damdawi.
- Cholesterol level tihhniamna tur damdawi.
- Anemia i neih chuan thisen zam (red blood cells) siamna atana pui thei damdawi ei thin ang che.
- Ruh chakna tur vitamin D ang chi damdawi te.
Kidney a chhiat vek chuan engtin nge ni ang? (End-Stage kal natna) 1.1.
Natna hian stage 5 a thlen a, chu chu kal (kidney) a hlawhchham vek tawh tihna a nih chuan a dam khawchhuah theih nan duhthlan tur dang a ngai a ni. A chhan chu kal (kidney) hnathawh a chawlhsan a, bawlhhlawh taksaah a lo awm khawm chuan thihna a thlen thei a ni.
Thil tih theih chi hnih a awm a, chungte chu:
1. Kidney dialysis (Dialysis) tih a ni.
2. Kal Transplant tih a ni
1. Kidney dialysis (Dialysis) tih a ni.
Hei hian i kal (kidney)-in a tih tur thisen tihthianghlim hna chu artificial-a thawk turin machine hman a huam a ni. Thil tih dan tlangpui pahnih a awm a, chungte chu:
- Hemodialysis: Hemiah hian i thisen chu machine-ah thawn a ni a, chu chuan i taksa atanga bawlhhlawh, tui tam zawk leh chi te chu a paih chhuak a, chumi hnuah thisen thianghlim chu i taksaah a let leh thin. Hei hi damdawi inah tih a ni tlangpui a, kar khatah vawi thum tih thin a ni a, vawi khatah darkar li vel tih thin a ni.
- Peritoneal Dialysis hmanga tih hi: 1.1.Hetah hian i pum chhungah tube (catheter) dahin chuta tang chuan tui bik an inject a ni. Fluid hian i taksa atanga bawlhhlawh a lakluh hnuah a paih chhuak a, fluid thar inject a ni. Hei hi damloin in lama a tih theih tur procedure a ni.
2. Kal Transplant tih a ni
Hei hian kal chak lo chu surgery hmanga kal hrisel hmanga thlak a ngai a ni. Mi hrisel tak chu kal pakhat nen a dam tha thei a, chuvangin hemi atan hian kal (kidney) hi hmun hnih atangin lak theih a ni.
- Mi nung hnen atanga: A tlangpuiin chhungte emaw, thian emaw ang chi atanga lo chhuak a ni.
- Mithi hnen atanga: Mithi atanga taksa peng pek duhna lantir tawh atanga kal.
He natna laka inven nan enge kan tih ang?
Kidney natna a lo awm hnua enkawl ai chuan a lo awm hmaa ven hi a pawimawh zawk hle.
- Nunphung hrisel zawm rawh: Ei leh in inthlau tak, exercise \ha tak, leh zu in leh zu in \ul lote pumpelh hi a pawimawh hle.
- I thisen sang leh sugar level control: Zunthlum emaw, thisen sang emaw i neih chuan uluk takin control tur a ni. I damdawi ei tur chu a tih angin ei thin ang che.
- Painkiller lakah fimkhur rawh: Damdawi lam thurawn tel lo chuan painkiller hi rei tak ei loh tur a ni.
- Tui tlem in rawh.
- Medical checkup neih fo tur: Risk factors i neih chuan kum khatah vawi khat tal i thisen leh zun test tir la, i kidney dinhmun enfiah rawh.
Kidney natna hi dam chhung zawnga natna a ni. Mahse, hlauhthawn a ngai lo. Enkawlna leh enkawl dan dik a awm chuan mi tam zawk chu hlim takin, nun pangngaiin an hmang thin. A pawimawh ber chu i treatment team-a active member nih hi a ni. I doctor nen zalen takin inbiakna nei la, zawhna zawt la, a thupekte chu zawm dik rawh.
Take-Home Thuchah a ni
- Chronic kidney disease hi "silent" natna a ni a, hun kal zelah zawi zawiin a lo awm thin. A tir lamah chuan symptoms a awm lo thei.
- Hei hi a chhan ber chu zunthlum thunun theih loh leh thisen sang a ni.
- Zunthlum, thisen sang, chhungkaw history-a kal natna nei i neih chuan medical checkup neih fo a pawimawh hle.
- A hmaa hriat chhuah a nih a, nunphung tihdanglam a nih a, enkawlna dik tak neih a nih chuan kal chhiatna chu a tam zawkah chuan thunun theih a ni.
- Damdawi eng pawh i ei hmain doctor nen inbiakna neih hmasak phawt ang che, a bik takin natna tidamtu damdawi i ei hmain.
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