Zunthlum i vei a nih chuan i thisen sugar level control a pawimawh zia i hre ngei ang. Mahse, i taksaa bean ang chi organ te tak te pahnih, kal (kidney) te pawh a venghim tih i hria em? Hengte hi kan thisen tifaitu leh taksa atanga bawlhhlawh duh loh zawng zawng paih chhuaktu taksa peng pawimawh tak takte an ni. Mahse zunthlum hi thunun a nih loh chuan heng kal hlu tak takte hi a chhe tan thei a, chu pawh chu chhinchhiahna lian tham a awm lo.
He kal natna hi zunthlum vanga lo awm hi eng nge ni?
A awlsam zawngin, zunthlum hi uluk taka control a nih loh chuan hun kal zelah thisen sugar level sang chuan kal chhunga thisen kalna kawng nalh tak takte chu a tichhe thin. Hei hian kal (kidney) te hian an hna ber thisen tihfai hna an thawk thei lo. Hei hi diabetic kidney disease kan tih chu a ni a, doctor-te’n an tih angin , chronic kidney disease (CKD) .
Lungchhiatthlak takin zirchiannaah chuan zunthlum vei puitling pathum zinga pakhat (3 zinga 1) pawhin he kal natna hi an nei ve tho a ni.
He natna hian kal (kidney) te hian taksa atanga bawlhhlawh leh tui tam lutuk filter theihna a hloh zauh zauh thin. Hei hi uluk taka enkawl a nih loh chuan a tawpah chuan kal (kidney failure) a thlen thei a ni. Chutiang a nih chuan i dam khawchhuah theih nan dialysis emaw, kidney transplant emaw i mamawh ang.
Zunthlum avanga kal (kidney) a chhiat theih nan eng chen nge a ngaih?
A nihna takah chuan he chhiatna hi a thlen theih nan kum tam tak a ngai a ni. Mahse hetah hian harsatna lian ber chu mi tam tak chuan Type 2 Diabetes an vei tih pawh hre lovin rei tak an kal thin a ni . Ngaihtuah teh, mi thenkhat chuan zunthlum an vei tih leh an kal (kidney) pawh eng emaw chen a chhiat tawh thu chu test hmangin an hrechhuak chauh a, chu chu natna dang avanga doctor pan tura an kal hian a ni.
Chuvangin tun dinhmunah zunthlum i nei lo a nih pawhin a risk factors hriat chian a pawimawh. Natna hriat hmasak chuan kal (kidney) chhiatna a veng thei a ni.
Heng zunthlum chhinchhiahna hmasa berte hi hre reng ang che
A hnuaia table hi en la, symptom tarlan zingah hian i nei em tih en rawh. Hengte hi zunthlum vei tan tirh atanga hmuh theih symptoms tlanglawn tak tak an ni.
| Symptom a ni | A awlsam zawngin... |
|---|---|
| Zun chhuah fo thin | A tlangpui aia tam zun chhuah a ngai. |
| Tuihalna danglam tak | Tui engzat pawh in la, tuihal zawka inhriatna. |
| riltam zawka inhriatna | Chaw ei that hnuah pawh rei vak lo hnuah i riltam leh thin. |
| Chauhna awm reng | Chhan awm lovin chau lutuk leh mutthilh theih loh khawpa inhriatna. |
| Mit hmuh a fiah lo | Mit hmuh fiah lo (blurred vision) tih hriatna. |
| Hliam dam rei lutuk | Cut emaw scrape te te pawh hian a dam rei hle. |
| Ke ruh leh ke ruh natna emaw, natna emaw | Kut leh kea tingling, kang, emaw natna (Type 2 diabetes-ah chuan a awm fo). |
Kal natna lan chhuah dan engte nge ni? Engvangin nge an rawn on tlai?
Hei hi kan zavaia kan hriat chian a tul ber a ni. Kal natna chhinchhiahna hi natna a nasat em avangin a lang tan chauh a ni.
A chhan chu kan kal (kidney) te hi rintlak takin chak lohna hi awlsam taka pawm thei lo taksa peng hrang hrang an nih vang a ni. An zinga 75% vel a chhiat hma chuan a hrisel la awmte chuan taksa kalphung inthlauhna engemaw chen vawng reng turin an thawkrim zawk thin. Chuvangin chhiatna lian tham a awm hma chuan engmah kan hre lo.
Symptoms a lan chhuah meuh chuan kal (kidney) chhiatna tam zawk chu a lo thleng tawh mai thei. Chuvangin symptoms lo lang nghah hi thil tha a ni lo.
Hengte hi natna a nasat huna a lan chhuah dan tlangpui chu a ni:
- Ke, ke ruh leh ke ruh a hring
- Zingkar thawh dawna mit vel a hring chhuak
- Zun chhuah tam loh emaw, zun foamy emaw
- Thâwk harsa leh hah fo
- Chaw ei chak lohna leh rilru hahna
- Vun vawt leh itchy
- Mu thei lo
- Muscle a ti na hle
Chuti a nih chuan engtin nge kan tih ang? Engtin nge kan kal hlu tak takte hi kan humhim ang?
Vanneihthlak takin he natna hi venna tur emaw, a kal zel dan tur thunun nan emaw thil tam tak kan ti thei a ni. A pawimawh ber chu a hun taka medical checkup neih hi a ni.1. Doctor nen inbia: Zunthlum i vei chuan i kal hriselna chungchang hi zalen takin sawipui rawh. Kum khatah vawi khat tal i kal (kidney) enfiah a pawimawh hle.
2. Urine ACR Test: Hei hi test awlsam tak a ni. I zun chhungah protein albumin an tih tlem a awm leh awm loh a enfiah thin. Kidney hrisel hian thisenah he protein hi a filter chhuak lo. Hei hi zun-a a awm hian kal (kidney) a chhiat tan tih hriattirna hmasa ber a ni.
3. Thisen test (eGFR Blood Test): Hei hi i kal (kidney)-in thisen a filter that dan tehna a ni a, percentage-a chhut a ni. Hei hi eGFR (estimated Glomerular Filtration Rate) an ti a. He value tlahniam hian kal (kidney) a thawk tha lo tihna a ni.
4. Thisen sang leh sugar level control:
- Thisen sang: Thisen sang hi kal hmêlma lian dang a ni bawk. I thisen sang enfiah fo la, i doctor-in damdawi a pek ang chiah kha ei rawh.
- Blood Sugar: I thisen sugar level chu target level chhungah dah la. I doctor nen HbA1c test chungchang sawipui la, chutiang chuan follow up rawh.
5. Doctor thupek zawm rawh: A chang chuan doctor chuan i kal venhim nan damdawi bik (e.g. ACE inhibitors, ARBs) a pe thei bawk. Thupek ang chiah khan hmang rawh. Tin, doctor rawn hmasa lovin natna tidamtu damdawi ang chi damdawi hman chhunzawm loh tur a ni.
6. Nunphung hrisel: 1.1.
- Chaw ei laiin chi ei tam loh tur.
- Ei leh in hrisel ei rawh.
- Exercise neih fo thin ang che.
- Meizial zuk loh vek tur a ni.
Engtikah nge Doctor i hmuh nghal tur?
Zunthlum i vei a, a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera doctor pan rawh.
- Ke, kut leh hmai a hring danglam.
- Urination pattern inthlak danglam (a tlahniam, a pung, a foamy).
- Tuar theih loh hah emaw thawk harsa emaw.
- Chaw ei chak lohna emaw, rilru hahna emaw.
Emergency a awm chuan: Thâwk harsa i neih thut a, i rilru a na lutuk emaw, hriatna hloh ang maia i inhriat chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh.
Take-Home Thuchah a ni
- Zunthlum i neih chuan i kal (kidney) pawh i enkawl reng tur a ni. I zunthlum enkawlna kawngah a tel ve a ni.
- Kidney natna lanchhuahna hi natna a zual deuh chauhvin a lang thin. Chuvangin symptoms lo lang nghak suh, proactive takin awm rawh.
- Kum khatah vawi khat tal i kal hnathawh enfiahna tur simple urine (Urine ACR) leh thisen (eGFR) test neih thin ang che.
- I thisen thlum leh thisen sang control tha taka vawn reng hi i kal venhimna tha ber a ni.
- I hriselna chungchangah harsatna tenau emaw rinhlelhna emaw i neih chuan i doctor nen zalen taka sawipui hreh ngai suh.
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