Kidney tha lo a awm em? Dialysis chungchang hi a awlsam zawngin sawi ila

Doctor-in i chhungte emaw, i hmangaih tak emawa kal harsatna chungchang a sawi i hre ngai em? "Kidney pahnih a fail tawh a, tunah chuan dialysis kan tih a ngai ta" tih ang chi kan hriat hian hlauhna leh mangang tak tak kan nei a. Dialysis hi eng nge ni tak tak? Hei hi hlauh tur thil tak tak a ni em? Hetiang enkawlna hmang hian nun pangngai i hmang thei ang em? Hetiang zawhna hi i rilruah i nei nual ngei ang. Lungngai suh. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Dialysis tih hi eng nge ni, a awlsam zawngin?

A awlsam zawngin sawi ila, dialysis hi kan kal (kidney)-in a hnathawh that loh huna a tih tur hna chu artificial-a thawk thei enkawlna hmanrua a ni.

Kan taksa hi factory lian tak niin han ngaihtuah teh. He factory chhunga cell tin hian hna an thawk vek a ni. He hna hian bawlhhlawh chi hrang hrang a siam chhuak thin. Kan kal (kidney) hi he factory-a filter system tha ber ang mai a ni. An hna ber chu thisen a\anga bawlhhlawh \ul lo, toxin leh tui tam lutuk filter chhuakin taksa atanga zun angin paih chhuah hi a ni. Hetiang hian nitrogen bawlhhlawh (urea) leh taksa ruh atanga bawlhhlawh (creatinine) te chu paih chhuah a ni.

Tunah chuan he filter system hi a chhiat emaw, a thawk tawh lo emaw a nih chuan eng nge thleng ang tih han ngaihtuah teh? Chu factory-a bawlhhlawh siam zawng zawng chu a pung khawm vek ang a, system pumpui chu a buai vek ang a ni lawm ni? Chutiang chuan, kal (kidney failure) kan neih chuan, toxins, bawlhhlawh, leh tui tul lote chu kan thisenah a lo awm tan thin. Hetiang dinhmun hi kan nunna atan a hlauhawm hle.

Chu chu dialysis hian a ti thin. Chu chu, kal (kidney)-in a tih theih loh thisen tihfai hna chu machine emaw, hmanraw bik dang emaw hmangin a thawk tihna a ni. In lama kan tui filter a chhiat ang bawkin dawr atanga tui bottle fai tak tak kan rawn keng a, kal (kidney) a thawh loh chuan dialysis an tih hmangin thisen kan tifai thin.

Tute nge dialysis hmanga enkawl ngai?

Kidney natna nei zawng zawng hian dialysis an mamawh vek lo. Hei hi late-stage kidney disease, emaw end-stage kidney disease (ESKD) nei tan chauh a ngai a ni.

A tlangpuiin kal natna hi stage panga a awm a. Stage pangana-ah chuan kal (kidney) te chu an level pangngai atanga 15% aia tlem lovah an thawk thei tawh a ni. Hetih lai hian taksain a mah chauhin taksaa toxin awm khawmte chu a paih chhuak thei tawh lo. Chutih hunah chuan dam khawchhuah nan dialysis emaw kidney transplant emaw hi a ngai tak zet a ni. Mi thenkhat chuan a inkar ah dialysis treatment an dawng thin a, kidney transplant an dawn hma loh chuan.

Kidney failure chhan berte chu engte nge ni?

• Thisen sang (High Blood Pressure): Thisen sang, rei tak control loh chu kal (kidney) tihchhiatna thlentu lian tak a ni.
• Zunthlum:Zunthlum avanga thisen sugar level sang hian kal chhunga thisen kalna kawng nalh tak takte a tichhe thin.
• Natna Lupus ang chi: Heng natnate hi taksain a taksa peng hrang hrang a beih nasat em emna natna a ni.
• A chhan dang: A châng chuan, accident thut emaw, natna hrik na tak emaw a awm chuan kal (kidney) a tichhe thei a ni. Tin, mi thenkhat chuan a chhan hriat theih lohvin kal natna an nei thei bawk.

Dialysis tih dan tlangpui pahnih a awm a, chungte chu:

Dialysis kan ngaihtuah hian kan rilruah a lo lang thin a, chu chu machine lian tak nena thlunzawm hmanga thisen tihfai dan hi a ni. Mahse a takah chuan dialysis tih dan tlangpui pahnih a awm. An pahnih inthlauhna hi i hrethiam mai ang u.

1. Hemodialysis tih a ni

2. Peritoneal Dialysis tih a ni

I doctor chuan i hriselna dinhmun leh i nunphung ang chi thilte a ngaihtuah hnuah heng kawng pahnih hi a rel ang.

Hemodialysis chungchang tlem tal sawi belh leh ila

Hei hi khawvela dialysis hman tlanglawn ber a ni. Hetah hian thil thleng chu a awm:

1. Inbuatsaihna: Dialysis machine hian thisen pump rang a mamawh avangin kan thisen pangngai hian a tuar thei lo. Chuvangin, surgeon chuan operation tenau tak a ti ang a, i kut chhunga artery leh vein pakhat chu a thlunzawm ang a, thisen kalna kawng lian tak, chak tak (fistula) a siam ang. Hei hi dialysis atana thisen lak leh pek let nan hman thin a ni.

2. Enkawl dan: Dialysis center-a i kal chuan nurse pakhatin thisen kalna kawng siamah needle pahnih a thun a. Pakhat chuan i taksa atangin thisen a la chhuak a, dialysis machine-ah a thawn chhuak thin. Machine chhunga dialyzer an tih artificial filter a paltlang chuan bawlhhlawh leh tui tam lutuk chu thisen atangin a chhuak thin. Tichuan thisen thianghlim chu needle dang hmangin i taksaah a rawn let leh ta a ni. Hetiang hian darkar 3 atanga darkar 4 vel a awh thin. Hemi chhung hian chair-ah thuin lehkhabu chhiar emaw TV en emaw ang chi thil i ti thei a ni.

Peritoneal Dialysis chungchang chipchiar takin

Hetiang tih dan hi a danglam deuh hlek a ni. Machine lian tak a hmang lo. Chu ai chuan kan taksa chhunga thil engemaw chu filter atan a hmang zawk a ni.

1. Inbuatsaihna: He enkawlna hi a tan hma hian surgeon chuan i pum chhungah, vun chunglam chiah, permanent, soft tube (catheter) a dah ang.

2. Enkawl dan: He tube kaltlangin pum chhungah hian faina tui bik ‘dialysate’ an tih chu an theh lut thin. Pum chhung bang khuhtu ‘peritoneum’ an tih membrane hian thisen kalna kawng tha tak tak tam tak a nei a. Chu tui chu pum chhunga a awm chuan magnet angin a thawk a, thisen atanga bawlhhlawh leh tui tam lutuk chu a hip lut thin. Darkar engemaw zat hnuah bawlhhlawh chhunga tui lo awm tawh chu chu tube vek hmangin an la chhuak leh a, an la chhuak leh thin. Hetiang kalphung hi ‘exchange’ an ti a.

Chutianga tih theih dan kawng hnih a awm a:

• CAPD (Ambulatory Peritoneal Dialysis hmanga enkawl chhunzawm zel):Chutiang a nih chuan he tui hi ni khatah vawi 3-5 vel i thlak a ngai dawn a ni. I kekawrte aia sang zawka fluid bag i dah chuan gravity hmangin i pum chhungah tui chu a luang lut ang. Hei hian minute 30-40 vel a awh ang.
• APD (Automated Peritoneal Dialysis): Hei hi mi tam zawk tan chuan a awlsam hle. Zana i mut hmain machine te tak te nen an inzawm a. I mut lai hian machine hian zankhuain vawi tam tak tui a inthlak danglam nghal vek a ni.

Dialysis hmanga nun hi engtin nge a awm? Thil ngaihtuah tur a awm em?

Hengte hi dialysis tan tur miin a hmachhawn tur zawhna lian ber ber thenkhat an ni. Pakhat hnu pakhatin han thlir ila.

Dialysis hian a ti na em?

• Hemodialysis: Vein chhunga needle dah luh hian stinging sensation tlemte chauh a awm. Chumi hnuah chuan enkawl chhungin natna a awm tawh lo.
• Peritoneal dialysis: Hemi ah hian natna a awm lo. Mahse, tui hian pum a luah khat avangin a khat deuhin a rit deuhin a lang thei.

Dialysis hmanga enkawlna hian eng hlauhawmna nge a neih?

Damdawi dang ang bawkin dialysis hian hlauhawmna engemaw zat a nei a.

• Hemodialysis-ah: Access site-ah hian natna kai theihna a awm. Tin, thisen zam hian thisen kalna kawng a tikhawlo thei bawk. A chang chuan thisen sang pawh a tlahniam thei bawk. Mahse lungngai suh, machine te hian safety system an nei a. Thil engemaw a kalsual chuan alarm a ri ang a, machine chu a ding ang a, chuvangin chhiatna lian tham a awm lo ang.
• Peritoneal dialysis-ah: A hlauhawm ber chu peritonitis a ni. Hei hi tube dahna hmunah hian natna hrik a luh chuan a thleng thei a ni. Chuvang chuan he kalphung hi a thianghlim thei ang bera tih a ngai a ni. Tin, hun kal zelah pum ruhte a chak lo thei a, hernia a awm thei bawk.

Dialysis hian ka kal a ti tha leh dawn em ni?

Hei hi mi tam takin an zawh thin a ni. Dialysis hi kal natna damdawi a ni lo . Hun eng emaw chen atan chauh kal (kidney) hnathawh a la a ni. End-stage renal disease (ESKD) hi tihdanglam theih loh a ni. Chuvangin, kal transplant i dawn hma chuan i dam chhung zawng dialysis a ngai a ni.

Dialysis hmang mek chu eng chen nge a dam theih ang?

Hei hi chhanna pakhat mah a awm lo. Mi tin a inang lo hle. Thil tam takah a innghat a, chu chu i kum, i hriselna zawng zawng, leh i kal (kidney failure) chhan bulpui (underlying condition) te hi a ni. Mahse , enkawl dan dik leh doctor thupek zawm a, kum tam tak, kum sawm tam tak thleng pawha hlim taka khawsa mi tam tak an awm.

Dialysis hmangin normal takin hna ka thawk thei ang em?

Dik tak chuan i ti thei tho.Dialysis tih hian i nun a tawp tihna a ni lo. Mi tam zawk chuan an nitin nun an hmang a, an hna an thawk a, an chhungte an enkawl bawk. I zin chhuak thei bawk. Hemodialysis i tih chuan i awmna hmuna dialysis center pakhat nen inbiakna neiin, chutah chuan i enkawlna dawng turin ruahmanna i siam thei ang. Peritoneal dialysis i tih chuan a awlsam zawk a ni, a chhan chu nangmah ngeiin fluid bag i keng thei a ni.

Heng symptoms te hi fimkhur rawh: I doctor hnenah hrilh nghal rawh

Dialysis hmanga enkawl i nih chuan a hnuaia symptoms te hi i neih chuan doctor emaw treatment center emaw hnenah hriattir nghal rawh.