Kan taksaa kal (kidney) pahnih hi super filter pahnih ang mai a ni. Kidney hnathawh ber chu taksa chhunga bawlhhlawh leh tui tul lo zawng zawng filter a, zun anga paih chhuah hi a ni. Mahse, chhan hrang hrang, zunthlum leh thisen sang vangin heng kal (kidney) te hnathawh hi a tlahniam zauh zauh thei a ni. Kidney hi a thawk tha lo vek a nih chuan bawlhhlawh taksaah a pungkhawm a, nunna atana hlauhawm tak a ni. Chu chu dialysis tih damdawi kan mamawh lai a ni.
A awlsam zawngin, dialysis tih hi eng nge ni?
Dialysis hi i kal a chhiat hunah artificial-a tih a ni a, machine emaw, hmanraw dang emaw hmanga i kal (kidney) tih tur hna thawh tur a ni. A dik tak chuan i thisen lak a, bawlhhlawh (urea leh creatinine ang chi) leh tui tul lote filter chhuah a, thisen thianghlim tawh chu i taksaah thawn kir leh a ngai a ni. Hei hian i kal a tidam lo a, mahse i kal chu a hna thawk turin a pui a, nun hrisel tak i neih theih phah a ni.
Eng ang mi nge dialysis mamawh?
End-stage kidney disease (ESKD) nei tan dialysis tih a ngai a, chu chu an kal hnathawh 15% aia tam a tlahniam tihna a ni. Kidney failure thlentu lian ber ber engemaw zat a awm.
- Thisen sang a sang
- Zunthlum
- Immune system natna, lupus ang chi te
A chang chuan kal (kidney) hi chhan hriat lohvin a fail thei bawk. A châng chuan, natna khirh tak emaw, chetsualna emaw a awm chuan kal (kidney failure) thut (acute kidney failure) a thlen thei a ni. Chutiang dinhmunah chuan kal (kidney) te chu a dam leh theihna chance a awm.
Dialysis hi natna khirh tak a ni. I doctor-in dialysis i mamawh tih a rel a, i tih loh chuan bawlhhlawh tha lo (toxic waste products) i taksaah a lo pungkhawm thei (uremia) a, nunna atana hlauhawm a ni thei. Chuvangin hei hi nunna chhanhimna tur a ni.
Dialysis hi chi hnih a awm a.
Dialysis hi chi hnih a awm a. I doctor chuan i nunphung leh hriselna dinhmun a zirin eng method nge i tana tha ber tih a hrilhfiah ang che.
| Dialysis chi hrang hrang | Engtin nge a nih | Hun leh hman tam dan |
|---|---|---|
| Hemodialysis hmanga tihdam theih a ni | Kut chhunga vein pakhat atanga thisen lakchhuah a ni a, machine (dialyzer) kaltlangin a tifai a, chumi hnuah taksaah a let leh thin. Hei hi damdawi inah emaw, dialysis center-ah emaw tih a ni tlangpui. | Kar khatah ni 3 vel, darkar 3-4 vel a ni. |
| Peritoneal Dialysis hmanga tihdam theih a ni | Tube (catheter) chu pum chhung (ril chhungah) dahin, chuta tang chuan tui bik (dialysate) an inject a, thisen chu pum chhunga lining (peritoneum) hmangin an tifai a ni. In lamah pawh tih theih a ni. | Ni khatah vawi 3-5 (minute 30-40 ve ve) emaw, zanah machine nena mut laiin (darkar 8-10) i ti thei bawk. |
Hemodialysis hmanga tihdam theih a ni
Hei hi hmanraw hman tlanglawn ber a ni. He enkawlna hi i tan hma hian i kut chhunga thisen kalna kawng leh thisen kalna kawng (vein) inzawmkhawmin thisen kalna kawng lian tak (fistula) siam a ni. Hei hi thisen lak a awlsam zawk nan leh dialysis machine-a dah let leh a awlsam zawk nan tih a ni.
Peritoneal Dialysis hmanga tihdam theih a ni
Hetiang tih hi i tan hmain i pum chhungah soft tube (catheter) surgery hmangin i dah lut thin. Hospital hian he tui hi in lama inject dan leh lakchhuah dan tur a zirtir ang che. Chumi atana hmanraw lian pahnih a awm a, chungte chu:
- CAPD (Continuous Ambulatory Peritoneal Dialysis): Hetah hian ni khatah vawi tam tak i tui chu kut hmangin i thlak thin.
- APD (Automated Peritoneal Dialysis): Hei hi i mut laiin machine hmanga automatic fluid exchange a ni.
Dialysis hian hlauhawmna a nei em?
Ni e, enkawlna pahnih hian hlauhawmna engemaw zat a nei a ni. A hlauhawm ber chu hri kai theihna a ni.
- Hemodialysis neih lai hian: thisen kal tha lo, thisen zam, leh needle dahna hmuna hliam ang chi thil a awm thei.
- Peritoneal dialysis: Peritonitis hi pum chhunga natna hrik awm a ni. Hun a kal zel a, pum ruhte chu a chak lo thei a, hernia a lo awm thei bawk.
I doctor chuan heng hlauhawm zawng zawng hi uluk takin a hriattir ang che.
Dialysis i tih lai hian nun pangngai i hmang thei ang em?
Dik tak chuan i ti thei tho. Dialysis hmang tam zawk chuan an hna te, chhungkaw nun te, leh an hobby te chu a pangngai angin an thawk thin. I zin chhuak thei bawk. Hemodialysis i tih chuan i doctor chuan i awmna hmuna dialysis center nena inzawm tir turin a pui thei che a ni. Peritoneal dialysis i tih chuan a tul angin fluid bag leh machine i keng thei a ni.
Exercise pawh a tha. Mahse, peritoneal dialysis i tih chuan i pum chhunga tui a khat laiin thil hahthlak tak tak thenkhat tihkhawtlai a ngai mai thei. Hemi chungchang hi i doctor nen sawiho la, thurawn la rawh.
Engtikah nge doctor ko nghal tur
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera doctor nen inbia ang che.
| Risk characteristic a ni | Hrilhfiahna |
|---|---|
| Hri kai theihna chhinchhiahna | Tube hmun atanga khawsik, khawsik, lu na, leh tui chhuak, sen, emaw rawng danglam emaw. |
| Thisen sang tlahniam chhinchhiahna | Luak chhuak, muthilh, tuihalna danglam tak. |
| Pum natna | Pum natna nasa tak, awm reng (a bik takin peritoneal dialysis hmang mekte tan). |
| Thil dang pawh a awm | Zun harsatna, luak leh luak chhuak, pum emaw, kawr emaw a hring danglam (hernia chhinchhiahna). |
Dialysis hi damdawi pawimawh tak a ni a, chu chuan kal transplant i neih hma loh chuan a nung reng a, a dam tha thei bawk. Hun tlem a mamawh a, i nunah danglamna nasa tak a thlen a, mahse i nun a pe che a ni.
Take-Home Thuchah a ni
- Dialysis hi kidney failure tan nunna chhanhimtu a ni a, damdawi a ni lo.
- A chi hnih a awm a, chungte chu hemodialysis leh peritoneal dialysis te an ni. I doctor chuan i tana tha ber tur method thlang turin a pui ang che.
- Mi tam tak chuan dialysis hmanga enkawlna an neih lai hian hnathawh leh chhungkaw nun pawh tiamin nun chak tak an hmang thei a ni.
- Infection chhinchhiahna, natna nasa tak, leh luak chhuak te chu fimkhur reng ang che. Thil ngaihtuah tur i neih chuan doctor hnenah hrilh nghal rawh.
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