Zunthlum i nei em? A nih loh leh i chhungte emaw, i ṭhian hnai tak emaw tu emaw chuan zunthlum a vei em? Tichuan he thawnthu hi i tan a pawimawh hle ang. Zunthlum kan ngaihtuah fo hian thisen thlum control mai mai kan ngaihtuah thin. Mahse, zunthlum natnain kan taksa peng pawimawh tak dang, kan kal (kidney) a tihchhiat theih dan hi kan hre chiang tak zet em? Chu chu vawiina kan sawi tum chu a ni.
Diabetic nephropathy hi eng nge ni?
A awlsam zawngin sawi ila, diabetic nephropathy chu hun kal zelah zunthlum avanga kal hnathawh a tlahniam zauh zauh hi a ni. Dik tak chuan khawvel pumah zunthlum hi kal (kidney failure) thlentu lian ber a ni. Zunthlum vei pathum zinga pakhat velin he natna hi an nei ang.
Zunthlum vei miin kal natna a neih chuan zunthlum vei lo kal natna chauh a neih ai chuan thil awmdan chu a buaithlak deuh thei a ni. Hei hi zunthlum vei te hian hriselna lama harsatna dang, thisen sang, cholesterol sang, leh thisen kalna kawng (atherosclerosis) te an neih fo vang a ni. Heng zawng zawng hi a inzawm khawm chuan kal (kidney) chhiatna chu a nasa lehzual thei a ni.
Hetiang dinhmun hi zunthlum chi hrang hrang a zirin a danglam deuh bawk.
- Type 1 diabetes-ah chuan: Diabetes hmuhchhuah a nih hnu kum 10 chhungin kal chhiatna hi a tlem hle.
- Type 2 Diabetes-ah: Damlo thenkhat tan chuan doctor-in "Diabetes i nei" a tih pawhin an kal (kidney) chu eng emaw chen a chhe tan tawh mai thei. Chuvangin Type 2 diabetes vei te hian he thil hi an fimkhur hle a ngai a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Hemi chungchanga hlauhawm ber chu a tir lamah chuan symptoms a awm lo. I kal (kidney)-ah chhiatna nasa tak a thlen hma chuan inthlak danglamna i hmu lo thei. Mahse i kal (kidney) a chak loh tan chuan a hnuaia symptoms te hi a lo lang thei a ni:
Ngaihtuah teh, i nu hian zunthlum a vei a ni. A tih thin ang kha a ti thei lova, a chau tih a sawi fo thin. Zing a harh chuan a ke leh a hmai chu a hring deuh vek a. Kum upat ruala thil thleng emaw, hahna nena thil thleng emaw niin kan ngai. Mahse hengte hi kal harsatna chhinchhiahna hmasa ber a ni thei.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Kut, ke leh hmai a hring | Hei hi a chhan chu kal (kidney) hian taksa atanga tui tam zawk a paih chhuah theih loh vang a ni. |
| Mut harsatna leh ngaihvenna tlahniam | Thisena bawlhhlawh awmkhawm hian thluak hnathawh a tichhe thei a ni. |
| Chaw ei chak lohna leh rilru hahna | Taksa chhunga toxins awm khawm avanga symptom awm fo a ni. |
| Chak lohna leh hah lutuk | Kal atanga hormone siam chhuah a tlahniam chuan thisen tlakchhamna (thisen tlakchhamna) a thlen thei a ni. |
| Vun a vawt leh a na lutuk | Hei hi kal (kidney failure) hnuhnung ber (end-stage kidney disease)-ah pawh hmuh theih a ni. |
| Lungphung dik lo a awm | Thisen a potassium level sang hian thinlung hnathawh a nghawng a ni. |
| Muscle a rawn inher chhuak | Taksa chhunga calcium leh phosphorus inthlauhna avanga lo awm thei a ni. |
Kidney tihchhiatna a pun zel chuan thisen atanga bawlhhlawh paih chhuah te chu an filter chhuak thei lo. Heng bawlhhlawh te hi taksaah a pungkhawm thei a, toxic a lo ni thei bawk. Hei hi uremia an ti a . Hetiang dinhmun hi a nasat chuan buaina a thlen thei a, coma pawh a thlen thei bawk.
He natna hi engtin nge kan hriat theih ang?
A pawimawh ber chu he dinhmun hi hriat hmasak hi a ni. Chutianga i tih chuan kidney failure famkim thlenga a kal zelna chu i control thei a, i tikhawtlai thei bawk.
Hei hi hriat theih dan ber leh awlsam ber chu zun test hi a ni. Protein chu zun chhungah a awmHetiang dinhmun hi microalbuminuria (Urine for Microalbuminuria) test hmangin a hmain hriat theih a ni. Chuvang chuan zunthlum vei tan kum khatah vawi khat tal zun test neih a pawimawh hle.
Tin, thisen test , thisen a chemical awm zat, creatinine ang chi te hian i doctor hnenah i kal chhiatna leh a hnathawh that dan (eGFR) te chu a hre chiang thei bawk.
Enkawlnate chu engte nge ni?
Enkawlna chungchang sawi dawn chuan nunphung inthlak danglamna hi pakhatna a ni. I thisen thlum leh thisen sang thunun hi kal chhiatna nasa zawk venna kawng tha ber a ni.
Hei bakah hian kal chhiatna control leh tikhawtlai thei damdawi bik a awm bawk.
- SGLT2 inhibitors: Hei hi damdawi chi khat a ni a, thisen sugar control-na leh kal (kidney) venhimna a ni. Entirnan, dapagliflozin (Farxiga) leh empagliflozin (Jardiance) te hi a ni.
- ACE inhibitors (Angiotensin-converting enzyme inhibitors): Hengte hi thisen sang tan chuan an pe tlangpui. Amaherawhchu, zunthlum vei te kal (kidney) a chhiat loh nan an pe bawk. I thisen sang chu a pangngai a nih pawhin i doctor chuan i kal venhim nan heng damdawi te hi a ei tan tir thei che a ni. Entirnan: ramipril (Altace), lisinopril (Prinivil) te hi a ni.
- ARBs (Angiotensin II receptor blockers): ACE inhibitor hian khuh ang chi side effect a thlen chuan he damdawi chi (ARBs) hi pek a ni thei.
Pawimawh tak: I doctor chauhvin heng damdawi te hi a pe thei ang. Internet-a i thil chhiar emaw, i ṭhianpa rawtna emaw a zirin hmang suh. I doctor chuan a enfiah ang che a, i dinhmun atana damdawi leh dose dik ber a pe ang che.
Enkawl loh chuan kal a chak lo zauh zauh ang a, zun chhunga protein awm zat a pung ang a, a tawpah chuan dialysis emaw kal thlak emaw a ngai mai thei. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Take-Home Thuchah a ni
- Zunthlum hi kal natna thlentu lian ber a ni.
- A tir lamah hian symptom a awm loh fo avangin zunthlum i vei chuan kum tin zun test (Urine for Microalbumin) neih a pawimawh .
- Kidney chhiatna hi thisen sang leh thisen sugar level tha taka control theih a ni.
- Kut, ke, hmai hring, hah lutuk, ei duh loh ang chi symptoms i neih chuan ngaihthah suh la, doctor pan nghal rawh.
- Damdawi i pek te, a bik takin zunthlum, thisen sang, kal natna te hi dik tak leh a hun taka ei a pawimawh hle.
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