I fa zun kawngah hian pianpui harsatna a awm em? (Congenital Urinary Abnormalities) - Hei hi i fimkhur ang u

Naute thar i neih hunah nu emaw pa emaw anga i beiseina lian ber chu i naute hrisel taka hmuh hi a ni. Mahse a chang chuan, nausen pum chhunga a la awm laia harsatna engemaw zat lo awm thin avangin tlem kan buai a ngai thin. Vawiin hian nausen pian tirh atanga lo piang chhuak, naute zun kawnga inthlak danglamna emaw, a chhiatna emaw thenkhat kan sawi dawn a ni. Damdawi lam hawi chuan hengte hi ‘Congenital Urinary Abnormalities’ kan ti a. A hming i hriat veleh hlau suh, hei hi i hriat chian chuan eng thil pawh hmachhawn a awlsam zawk ang.

A awlsam zawngin, heng pianpui urinary system lama harsatna awmte hi engte nge ni?

‘Congenital’ tih thumal hi ‘pian atanga’ tihna a ni. Chumi awmzia chu heng dinhmunte hi naute chu a pum chhunga a la awm lai emaw, a pian lai emaw a awm tihna a ni. Urinary system a nghawng thei a, a chang chuan reproductive system pawh a nghawng thei bawk.

Kan taksaa urinary system hi tui filter a, tank-a khawlkhawm a, pipe hmanga chhuahtirtu system angin han ngaihtuah teh. He system-ah hian a bulpui ber tlemte a awm a:

• Kidney: Hengte hi kan taksaa super filter pahnih awmte an ni. Kidney hnathawh ber chu thisen atanga chi, tui, toxin, leh bawlhhlawh tul lote filter chhuakin zun siam hi a ni . A tlangpuiin mi zawng zawng hian kal (kidney) pahnih kan nei vek a.
• Urinary Bladder: Hei hi sac te tak te, elastic tak a ni a, kidney atanga zun siam chhuah chu hun engemaw chen atan a dahkhawm thin.
• Ureters: Hei hi kidney atanga bladder thlenga zun phurtu tube pahnih a ni.

Chuvangin, heng kan sawi tum hi congenital abnormalities te hi an lo pian chhuah hian kidney, bladder, urethra ang chi hmun thenkhata lo awm thin, inthlak danglamna emaw, chhiatna emaw thenkhat an ni.

Urinary system-a pianpui harsatna awm tam berte chu engte nge ni?

Chutiang dinhmun chu chi hrang hrang a awm a. Ṭhenkhat chu an tam hle a, ṭhenkhat erawh chu an tlem hle thung. A chi hrang hrangte hi i hrethiam mai ang u. He thu hi hriatthiam awlsam zawk nan table-ah ka dah a ni.

Hei hi eng symptoms nge ni?

Heng natna nena inzawm hian symptoms lo chhuak hi a inang lo hle. Thil awm dan thenkhatah chuan natna emaw, hmuh theih chhinchhiahna emaw a awm lo. Scan ang chi test hmang chauha hriat theih an ni. Mahse, a lan chhuah dan tlangpui tlemte hmuh theih a awm.

• Pum, pum emaw, hnungzang emaw a na.
• Zun laiin kang emaw, na emaw (dysuria).
• Zun luang chu a luang dik lo a, kawng dangah a divert a ni.
• A tlangpui aia tam emaw tlem emaw zun chhuah.
• Zun chhunga thisen (hematuria) a awm.
• Nausea leh luak chhuak.
• Hernia natna a awm.
• Urinary tract infection (UTI) awm fo thin.
• Naupang chu beisei angin a lo thanglian lo.

Engvângin nge hetiang dinhmun hi a lo awm?

A chhan pakhat chauh hriat chian a harsa tak zet. A buaithlak deuh. Doctor-te chuan environment factor leh genetic influence inzawmkhawm vang a ni fo niin an ngai .

Environment factors a nghawng thei te chu:

• Nu hian naupai laiin zunthlum a nei a.
• Naupai laiin vitamin leh mineral pawimawh tak tak folate leh iron te ei tlem.
• Naupai laia damdawi thenkhat, a bik takin epilepsy damdawi ei hian kal (kidney) a tichhe thei a ni.

Genetically-ah chuan hei hi naupang hmasawnna tichhe thei gene-a inthlak danglamna (mutations) thenkhat vang a ni thei. Mahse hengte hi i ngaihtuah lutuk a ngai lo. Hei hi i sualna emaw thil dang emaw a ni lo tih hriatthiam hi a pawimawh ber a ni.

Engtin nge heng dinhmunte hi kan hriat theih ang?

Hetiang chi pianpui harsatna hi nau neih hmaa ultrasound neih laiin hmuhchhuah a ni fo thin . Naute thanlen dan an en hian doctor-te chuan naute hual veltu amniotic fluid an en bawk. Naupai kar 20 hnuah he amniotic fluid tam zawk hi naute zun atanga siam a ni. Chuvangin, he tui hi a tlem a nih chuan doctor-te chuan urinary system-ah harsatna a awm niin an ring mai thei.

Nau piang hmaa hriatchhuah a nih loh chuan nausen lai emaw, naupan lai emaw, naupang natna lan chhuah dan a zirin doctor-te chuan an ringhlel thei a ni. Tichuan, a dinhmun finfiah nan test hrang hrang an nei leh thin.

• Ultrasound Scan: Hei hian taksa peng hrang hrang thlalak a la a.
• Urinalysis: Urinary tract infection awm leh awm loh enfiah thin ang che.
• Thisen Test: Kal (kidney) hian thisen a filter tha em tih teh thin ang che.
• CT Scan: X-ray tam tak hmangin taksa chhung lam chipchiar taka three-dimensional image siam a ni.
• MRI Scan: Magnet leh radio wave hmangin taksa peng hrang hrangte thlalak chiang tak tak a siam chhuak thin.
• VCUG (Voiding Cystourethrogram): Hei hi X-ray test bik a ni. Bladder a khat a, a hring vek chuan eng nge thleng tih hriat a pui hle. Hei hi VUR a awm leh awm loh enfiah a pawimawh hle.
• Renal Scan: Kidney hnathawh dan leh zun kal dan chipchiar taka hriat theih nan radioactive material tlemte chu kal chhungah inject a ni.

Engtin nge enkawl a nih?

Enkawl dan tur chu naupang dinhmun bik leh a nasat danah a innghat a ni.

Kawng lehlamah chuan natna thenkhatah chuan enkawl a ngai a ni. Chûng zîngah chuan:

• Antibiotics: Zun kawng infection venna emaw enkawl emaw.
• Surgery: Surgery neih a ngai thei a, blockage te paih chhuah nan te, urethra siamthat nan te, a nih loh leh chhiatna dang siamthat nan te.
• Dialysis: Kal a thawk tha lo hle (kidney failure) a nih chuan taksa atanga bawlhhlawh paih chhuah nan machine hman a ngai a ni.
• Kidney Transplant: End-stage renal failure-ah chuan kidney transplant hrisel tak chu a solution a ni thei.

I fa enkawltu medical team chuan i fa dinhmun chu uluk takin an enfiah ang a, an tana enkawlna tur ruahmanna felfai ber an siam ang.

I fa hmalam hun atan eng nge i beisei theih ang?

Hei hi naupang dinhmun leh a nghawng danah a innghat vek a ni. Naupang thenkhat chuan an dam chhung zawng damdawi lam enkawlna an mamawh mai thei. Mahse, lungngai suh. Medical team chuan i fate chu him, hrisel leh mahni inrintawkna neia nun pui turin ruahmanna siam turin an thawk ho ang .

Naupang a lo puitlin chuan zun leh ek thunun harsa, zun kawng infection tam tak, kal chhiatna te ang chi harsatna a lo awm thei a ni. Kal chhiatna nasa tak avangin kal (kidney failure) a awm thei bawk.

Tin, heng dinhmunte hian naupang rilru hriselna a nghawng thei bawk. Naupang chuan an taksa leh mi dangte’n an chungchânga an ngaih dân chungchângah a lungkham hle mai thei. Chuvang chuan naupang chu rilru lam tanpuina mamawh pek a pawimawh hle a, medical team atanga tanpuina dil a pawimawh hle.

Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?

I fain he natna hi a neih chuan doctor-in clinic date a pekte chu kal ngei ngei tur a ni. Naupang thanlen dan leh a dinhmun enfiah a pawimawh hle.

Tin, a hnuaia emergency symptoms te hi a lo lang a nih chuan naupang chu a hnai ber Emergency Treatment Unit (ETU) ah hruai nghal rawh .

• Pum, flank emaw hnungzang emawa natna rang tak emaw, tuar theih loh emaw.
• A khawsik chu 100.5 Fahrenheit (38 Celsius) aia sang a ni.
• Zun inthlak danglamna: zun tam emaw tlem emaw, zun theih lohna, zun laiin natna, emaw zun chhunga thisen .

Chutiang hunah chuan in lamah nghak suh. Damdawi lam pan vat chuan harsatna lian tham a veng thei a ni.