Thisen test report i la chhuak a, a chunga letter leh number te i en a, "Hei hi eng nge a awmzia?"? A tam zawkah chuan Doctor thusawi kan ngaithla thin a, mahse he report-a thu thenkhat hi kan hriat loh a ni. Chutiang thumal pakhat, mi tam takin an hriat, mahse an hriat chian loh chu "Creatine" tih hi a ni. He thu tlemte hian kan taksa peng pawimawh ber, kal (kidney) hriselna chungchang thu lian tak a keng tel a ni. Chuvangin vawiinah hian kan sawi dawn nia.
A awlsam zawngin, creatinine chu eng nge ni?
Ngaihtuah teh, kan taksa ruhte hian hna a thawh ṭhat chuan, chu chu kan kal emaw, kan tlan lai te, a nih loh leh rit kan chawi emaw hian, chutianga bawlhhlawh paih chhuah a ni tih hi han ngaihtuah teh. Chu thilsiam (naturally occurring waste product) chu creatinine kan tih chu a ni. Hei hi kan taksa mamawh a ni lo. Chuvangin, taksa filtering system hmasawn ber, kan kal (kidney) pahnih hian heng bawlhhlawh te hi thisen a\angin an filter a, an thliar hrang a, zunah an paih chhuak \hin.
Chuvangin doctor chuan i thisena creatinine level a teh hian i kal (kidney) hian a filter hna a thawh that zia a en a ni. He test hi serum creatinine test kan ti tlangpui.
Creatinine level pangngai chu eng nge ni?
Creatinine hi taksa peng hrang hrang atanga siam a nih avangin he hlutna hi mi taksa thau leh taksa lian leh te a zirin a danglam thei a ni. A tlangpuiin mipa hian hmeichhia aiin creatinine level an nei sang deuh a, a chhan chu an taksa ruh (muscle mass) a tam zawk vang a ni.
| Mihring | Creatinine Range pangngai (mg/dL) a ni. |
|---|---|
| Hmeichhia tan | 0.6 - 1.1 mg/dL a ni |
| Mipa tan chuan | 0.7 - 1.3 mg/dL a ni |
A pawimawh ber chu heng number te hi lab hrang hrangah a inang lo deuh thei a, chuvangin i report-a value awmte chu i doctor chauhvin a tehna dik tak a pe thei che a ni.
Creatinine leh kal hnathawh (GFR) inzawmna .
Kan taksaa thisen volume zawng zawng hi ni khatah vawi za tam tak kal (kidney) kaltlangin a kal tlang vek a. Hetianga kal hian thisen a tihfai chakna tehna chu Glomerular Filtration Rate , a nih loh leh GFR an ti a ni. A awlsam zawngin sawi ila, hei hi kal (kidney) hnathawh thatna tehna a ni.
I doctor chuan i GFR chu direct-in a teh thei lo. Chutah chuan creatinine test a lo lut a, i GFR hi i thisen creatinine level, kum leh mipa leh hmeichhia ang chi thilte chu formula bik-ah dahin a chhut a ni. Hei hi eGFR (estimated GFR) kan ti a ni.
A awlsam zawngin: Thisena creatinine level a san chuan kal (kidney) filtration capacity (GFR) a tlahniam tih a tilang thei. GFR value 60 aia tlem chu kal natna chhinchhiahna a ni thei.
Engvangin nge he creatinine test hi tih a nih?
Doctor-te chuan he test hi i kal (kidney) hnathawh that dan enfiah nan an order ber a ni. A chang chuan, kal natna nena inzawm symptom i neih chuan he test hi an order thin.
- Nausea leh luak chhuak
- Chaw chakna
- Chauhna leh chak lohna awm fo
- Mut theih lohna lama harsatna
- Zun tam leh tam loh inthlak danglam
- Ke leh ke ruh a hring chhuak
Heng symptoms te hi i nei lo a nih pawhin, i doctor chuan i kidney te enfiah nan he test hi a rawt fo ang che , zunthlum, hypertension, heart disease, emaw liver disease ang chi natna i neih chuan Damdawi thenkhatin i kal (kidney) a nghawng em tih en nan an ti bawk.
Engtin nge test hi kan tih ang?
Creatinine level enfiah dan tlangpui pahnih a awm a, chungte chu:
1. Thisen test (eGFR Blood Test): Hei hi a hman tlanglawn ber a ni. I kut atang hian a hma ang bawkin thisen sample lak a ni a, a chhunga creatinine level chu teh a ni a, eGFR value chu chhut a ni. Hemi atan hian darkar engemaw zat chaw nghei tura tih i ni mai thei.
2. Creatinine Clearance Test: Hetiang hmanrua hi hman tam a ni tawh lo. Hetah hian darkar 24 chhunga zun chhuak zawng zawng chu bawm bik-ah lakkhawm vek a ngai a ni. Chu zun sample-a creatinine awm zat chu kal (kidney) hnathawh dan hriat theihna turin an teh a ni.
Results hian eng nge a sawi?
GFR hniam chuan kal hnathawh that lohna a tarlang. Hetiang dinhmun hi rang (acute) emaw, hun rei tak (chronic) emaw pawh a ni thei.
Doctor-te chuan GFR value a zirin chronic kidney disease nasat dan hi stage hrang hrangah an thliar hrang a.
| Dawhsan | GFR value a ni | Awmzia |
|---|---|---|
| Ka | 90 aia tam a ni | Kidney hnathawh dan pangngai |
| II | 60-89 ah a awm | Activity tlahniam tlemte |
| IIIa | 45-59 ah a awm | Kidney natna rei lo tak (mild chronic kidney disease) a ni |
| IIIb | 30-44 ah a awm | Kidney natna rei tak nei (moderate chronic kidney disease) a ni |
| IV | 15-29 thleng a ni | Acute chronic kidney natna a ni |
| V | Kum 15 hnuai lam | Kidney failure (a tam zawkah chuan dialysis a ngai thin) . |
Creatinine level dik lo awm chhan dangte
A pawimawh ber chu creatinine level sang chuan kal natna a kawk ngai lo. A châng chuan he hlutna hi chhan dang vangin a danglam thei bawk.
- Exercise nasa tak: Exercise i tih tam lutuk chuan i taksa ruhte hian creatinine a siam tam zawk.
- Sa sen tamna ei leh in: Sa sen hian creatinine a pai avangin a ei tam lutuk hian rei lo te chhungin thisen a tisang thei a ni.
- Damdawi thenkhat: Antibiotics thenkhat leh damdawi dangte hian creatinine level a tidanglam thei a.
- Muscle mass tam lutuk: Taksa tichaktu chuan mi pangngai aiin creatinine level a nei sang zawk thei.
- Dehydration: Taksaah tui a awm tawk lo a nih pawhin creatinine level a concentrate thei a, value sang tak a lantir thei bawk.
- Heart failure leh bladder lama harsatna nei te.
GFR a hniam chuan engtin nge kan tih ang?
I doctor chuan i GFR a hniam tih a hriat chuan a chhan chu a ruat ang a, i tana tha tur enkawlna a rawt ang.
Chronic kidney disease thlentu lian ber pahnih chu thisen sang leh zunthlum te an ni. Heng natna te hi i neih chuan a hmasa berah chuan ei leh in tha, exercise leh damdawi pek te hmanga control tha tur a ni.
A chhan a chiang lo a nih chuan, a nih loh leh a natna a nasat chuan i doctor chuan nephrologist hnenah a refer ang che .
I GFR check fo hian hun kal zelah i kidney function a inthlak dan i hmu thei a ni. Chumi hnuah chuan i doctor chuan i damdawi pek dan tur chu a zirin a siamrem thei ang.
Doctor nen inbiakna hmasa lovin over-the-counter painkiller, herbs, emaw supplement dang emaw hman loh a pawimawh hle. Chung zinga ṭhenkhat chuan i kal (kidney) a tichhe thei a ni.
Kan tar chhoh zel chuan kidney function hi a pianphungah a tlahniam thin a, chuvangin hei hi a rang thei ang bera enkawl a, i kal function eng pawh hi humhim a tha ber.
Take-Home Thuchah a ni
- Creatinine hi kan taksa peng hrang hrangte hnathawh huna bawlhhlawh lo chhuak a ni. Kidney-in a filter a, a paih chhuak thin.
- I thisen creatinine level (a bik takin i eGFR) tehna hi i kal hriselna tehna atana test pawimawh ber pakhat a ni.
- Thisena creatinine level sang emaw GFR tlahniam emaw hi kal natna chhinchhiahna ni fo mah se, chutiang chu a ni ngai lo. Thil dang pawhin hmun a chang thei bawk.
- Kal venhim nan zunthlum leh thisen sang control tha a pawimawh hle.
- I test result leh damdawi i ei tur (over-the-counter painkillers te pawh tel) te chu i doctor nen sawiho fo ang che.
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