Zunthlum i vei a nih chuan i kal (kidney) hi tlem tal i enkawl a hun tawh. Zunthlum natna thlentu ber pakhat chu kal (kidney) tihchhiatna a ni. He natna hi damdawi lamah chuan " Diabetic Kidney Disease" kan ti a. I doctor chuan Diabetic Nephropathy a tih i hre tawh mai thei . A awlsam zawngin sawi ila, hei hi i kal (kidney) te chu thisen sang leh thisen sugar level sang, hun rei tak chhunga thunun loh avanga tihchhiat a nih lai a ni.
Chutianga kal (kidney) a chhiat chuan taksa atanga bawlhhlawh filter leh paih chhuah theihna chu a tlahniam zauh zauh thin. Hei hi vawi khatah a thleng vek lo va, natna hi stage panga kaltlangin a kal zauh zauh thin. Mahse a tha ber chu, enkawl dan dik leh nunphung thlak danglam chuan he natna hi kan thunun thei a, harsatna kan veng thei bawk.
He kal natna hi a tir lamah chuan a lan chhuah dan hmuh tur a awm lo. Chuvang chuan doctor nen inbiakna neih a pawimawh a, kum khatah vawi khat tal i kal hnathawh enfiah tir a pawimawh.
I doctor chuan i zun leh thisen sample a enfiah tlangpui ang a, a bik takin i zun chhunga protein chi khat microalbumin an tih chu a zawng ang. Hei hi i kal (kidney) a chhe tan tih hriatna hmasa ber a ni.
Diabetic kidney disease stage 5 te chu engte nge ni?
Tunah hian he natna stage pangate hi a hranin leh awlsam takin i hrethiam ang u. Hei hi hriat chian chuan natna hriatchhuah leh thunun hmasak kawngah nasa takin a pui dawn a ni.
| Dawhsan | Kidney-ah hian eng nge thleng? | Main features leh tih tur hrang hrang |
|---|---|---|
| Stage 1-na a ni | Kidney hian a pangngai aia nasain hna a thawk nasa zawk a, a lian zawk pawh a lian deuh thei bawk. | Pawn lam atanga chhinchhiahna a awm lo. Protein (microalbumin) tlemte chauh chu zun chhungah hmuh theih a ni. Nunphung thlak danglam hi a pawimawh hle. |
| Stage 2-na a ni | Kidney-ah hian chhiatna tlemte a awm tan ta. An la function tha hle. | Pawn lam atanga chhinchhiahna a awm lo. Urine-a protein awm zat hi stage 1 aiin a tam zawk deuh a, stage 1-na atana instruction angin i zawm chhunzawm zel tur a ni. |
| Stage 3-na a ni | Kidney function a tlahniam nasa hle. | Vawi tam tak chu symptoms a awm lo. Mi thenkhat chuan ke ruh a hring, thisen sang, leh thisen tlakchhamna te an nei thei. Doctor kal natna lama tui (Nephrologist) pan a pawimawh. |
| Stage 4-na a ni | Kal (kidney) te hi a chhe nasa hle. An hnathawh hi a hniam hle. | A lan chhuah dan chu ke ruh hring leh zun tam dan inthlak danglam te a ni. Thisenah hian potassium, phosphorus leh acidity a pung a. Kidney failure ven nan medical supervision uluk tak neih a ngai a ni. |
| Stage 5-na a ni | Kidney failure hi a zo tawh emaw, a hnai tawh emaw a ni. | Symptom na tak tak a awm a, dialysis emaw kidney transplant emaw a ngai thin. |
A hmasa ber (Stage 1 leh 2) - Ngawi renga vaukhânna
Heng stage hmasa pahnihah hian engmah i hriat loh vang mai mai hian thil hlauhawm a ni lo tih ngaihtuah suh. Hei hi a takah chuan thiltih hun tha ber a ni. Hei hi i kal chhiatna tihtawp emaw tihkhawtlai emaw hun tha ber a ni.
Hemi hun chhunga i tih theih tur thilte
- I thisen thlum leh thisen sang control: Hei hi a pawimawh ber a ni. I doctor-in damdawi a pek chu a hun takah ei thin ang che. In lamah i sugar leh thisen sang tehna hmanrua i neih theih chuan a ropui hle ang.
- Ei leh in hrisel: A theih ang anga chi ei tlem. Sweets, oil foods, leh fast foods te chu hlat rawh. I ei leh inah thlai, thei leh thlai chi hrang hrang te telh bawk ang che.
- Insawizawi:Ni khatah minute 30 tal exercise chak tak nei rawh. Kea kal te, tlan te, cycle khalh te hi duhthlan tur tha tak a ni.
- I taksa rihna hrisel tak vawng reng rawh: I san zawng nena inmil tur i vawn reng chuan i kal (kidney)-a pressure a tihziaawm a ni.
- Meizial i zu a nih chuan tunah hian titawp rawh: Meizial hian kal (kidney)-a thisen phurtu thisen kalna kawngte a tichhia a ni.
Stage 3 leh 4 - Fimkhur hun
Stage thumnaah pawh hian symptom lian tak tak i hmu lo mai thei. Mahse, mi thenkhat chuan an ke leh kut ah a hring chhuak tan thin. I thisen sang a sang thei a, thisen tlakchhamna (anemia) i nei thei bawk. Hetiang dinhmunah hian i doctor chuan kal natna lama tui tak, nephrologist tia koh hnenah a refer ang che. A thupek zawm a pawimawh hle.
Stage palina hi a na zawk a ni. Tunah chuan kal (kidney) hnathawh hi a tlahniam hle tawh a ni. A lan chhuah dan chu ke ruh a hring, zun tam leh tam loh a inthlak a, thisenah potassium leh phosphorus level a sang bawk. Hetih lai hian nang leh i doctor hian kal (kidney failure) famkim lo turin nasa takin hma in thawh a ngai a ni.
Stage 5 - Kal chak lohna
Hei hi a tawp ber a ni. Hetah hian kal pahnih hnathawh chu a tawp vek tawh emaw, a tawp hnaih tawh hle emaw a ni. Hetih lai hian taksaa bawlhhlawh awmkhawm leh poisoning vangin symptom hrang hrang a lo lang thin.
- A taksa peng hrang hrangte a hring chhuak
- Tuar theih loh khawpin vun a na
- Muscle a ti na hle
- Nausea leh luak chhuak
- Hnung lam natna
- Chaw chakna
- Zun a chhuak tlem hle emaw, a chhuak lo emaw
- Thâwk harsa, mut theih lohna
- Hriatrengna leh hriatna lama harsatna (Confusion) .
- Seizures a awm thin
- Ka chhungah metallic taste a awm tih hriat
Hetiang dinhmun a thlen hnua dam khawchhuahna tur hian kal (kidney) hian a hna chu kawng dangin a thawk tur a ni. Hei hi enkawlna kawng hrang hrang pahnih a awm.
1. Dialysis: Hei hi khawl hmanga taksa thisen tihfai, tui tam lutuk leh bawlhhlawh paih chhuahna hmun a ni. Hei hi chi hnih a awm a, chungte chu: Hemodialysis (damdawi inah machine nena thlunzawm hmanga tih dan) leh Peritoneal Dialysis (in lama pum chhunga tih dan) te an ni.
2. Kidney Transplant: Kal hrisel (donor nung emaw thi tawh emaw atanga) taksaa surgery hmanga dah luh a ni.
Take-Home Thuchah a ni
- Zunthlum i neih chuan i kal (kidney) a nghawng thei tih hre reng ang che. Mahse lungngai suh, hei hi thunun theih a ni.
- A pawimawh ber chu i thisen thlum leh thisen sang control tha taka vawn reng hi a ni. Damdawi hi doctor-in a tih ang chiah chiah ei rawh.
- A tir lamah chuan symptom a awm loh avangin kum khatah vawi khat tal i kal hnathawh (i zun a protein leh i thisena creatinine) doctor hnenah enfiah tir rawh.
- Nun hrisel (ei leh in tha, exercise, leh meizuk loh) hian i kal (kidney) humhim turin bang lian tak angin hna a thawk a ni.
- Kidney natna i vei tih hmuhchhuah a nih chuan hlauthawng suh la, i doctor thupek dik takin zawm rawh. Enkawlna dik tak nen chuan nun hrisel tak i hmang thei ang.
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