Kal natna ka nei em? Engtin nge ka hriat theih ang? (Kidney natna) 1.1.

Kidney natna hi ngawi renga lo awm fo thin, a lan chhuahna awm lo a ni tih i hria em? Mi tam tak chuan a tir lamah chuan symptom engmah an hmu lo. Chuvangin Chronic Kidney Disease vei zinga 90% chuan an vei tih pawh an hre lo. Mahse he natna ngawi reng hi kan hriat chian a, a vaukhânna chhinchhiahnate kan hriat chian chuan a hmaa hriatchhuah leh enkawl kan hmu thei a, hriselna lama harsatna lian tham kan pumpelh thei bawk. Chuvangin vawiinah hian he hmelma ngawi reng chungchang hi han sawi ila.

Kidney disease hi eng nge ni tak tak?

Okay, a hmasa berin heng kal (kidney) te hi eng nge an nih a, eng nge an tih tih hi han en ila. Hengte hi i ruhro sir lehlamah taksa peng te tak te pahnih, bean pahnih ang vel a ni. Tlemte ni mah se, hna lian tak an thawk a ni. A awlsam zawngin sawi ila, an hna ber chu kan thisena tui leh bawlhhlawh tul lote filter chhuakin zun siam hi a ni. I thisen sang control turin an pui bawk. Chuvangin, heng kal (kidney)-ah hian thil a chhiat a, hna a thawk tha lo a nih chuan kal natna kan ti thin.

Hei hi eng risk factors nge a nghawng?

Thil engemaw chuan kal natna vei theihna a tipung a ni. Eng nge an nih hi han thlir ila:

• Diabetes: Hei hi Sri Lanka leh khawvel hmun hrang hrangah kal natna thlentu lian ber a ni. Thisen sugar level rei tak a san chuan kal chhunga thisen kalna kawng nalh tak takte chu a chhe vek a ni.
• Thisen sang (High Blood Pressure): Pressure hi control a nih loh chuan kal (kidney)-a thisen petu thisen kalna kawngte a chhe vek ang a, kal (kidney) hnathawh a ti tlahniam ang.
• Heart Disease: Thinlung leh kal (kidney) inkarah hian inzawmna nghet tak a awm a. Thinlunga natna a awm chuan kal a nghawng thei a, kal a natna a awm chuan thinlung a nghawng thei bawk.
• Meizial zuk: Meizial zuk hian kal (kidney)-a thisen kal a ti tlem thei a, chu chuan kal (kidney) chhiatna a tizual lehzual a ni.
• Thau lutuk: Taksa rihna tam lutuk hian kal (kidney) a tibuaitu a ni. Hei hian zunthlum leh thisen sang vei theihna a tipung a ni.
• Tar: Kan tar chhoh zel chuan kal (kidney function) hi a pianphungah a tlahniam thin.

Eng symptom nge kan fimkhur tur?

Hun kal zelah kal natna a zual zel chuan bawlhhlawh leh tui tul lote chu kan taksaah a pungkhawm tan thin. Tichuan, heng symptoms te hi a lo lang thei a ni. Hengte hi fimkhur rawh.

Engtin nge natna hi kan hriat theih ang?

Kidney natna vei theihna hlauhawma i inhriat chuan, emaw, a chunga kan sawi tawh ang chi symptoms i neih chuan, i doctor pan hi a tha ber a ni.Inhmu ula, thurawn la rawh u. A enfiah ang che a, i kal hnathawh dan enfiah turin test eng emaw zat a order ang. Hei hian test lian pahnih a huam a, chungte chu zun test leh thisen test a ni.

Zun Test a ni

He test-ah hian i zun sample lak a ni a, thisen a awm leh awm loh enfiah a ni. Tin, protein albumin an tih chu a check bawk. Kidney hrisel hian he protein hi zunah a paih chhuak lo. Zun chhunga albumin awm hian kal (kidney)-ah chhiatna engemaw zat a awm tih a tilang thei.

Thisen Test a ni

Hei hian thisenah bawlhhlawh ‘creatinine’ an tih level a en ber a ni. Creatinine hi kan taksa ruh atanga siam bawlhhlawh a ni. Kidney hrisel tak takte chuan a filter chhuak thin. Kal a chhiat chuan thisen atanga he creatinine hi lakchhuah a harsa hle. Tichuan thisenah creatinine level a sang chho zel a. Chuvangin, thisena creatinine level chu i kum leh mipa leh hmeichhia nena inmil tir chuan doctor chuan i kal (kidney) hnathawh that dan (Glomerular Filtration Rate - GFR) a teh thei a ni.

Engtin nge enkawl a nih?

Kidney natna a lo awm tawh chuan a bo vek lo. Hun kal zelah a natna hi a zual zel thei. Chuvang chuan natna hi a hma thei ang bera hriat chian a pawimawh kan ti. Enkawl hmasak hian kal (kidney failure) a veng thei a, a tikhawtlai thei bawk.

Hemi atan hian ‘one size fits all’ treatment a awm lo. Enkawlna chu thil engemaw zatah a innghat a, chutah chuan i kal natna thlentu pawh a tel. I doctor chuan i dinhmun awmsa, zunthlum leh thisen sang te control nan damdawi a pe hmasa ang. Hei bakah hian kal natna avanga symptoms, thisen tlakchham emaw, hliam emaw enkawl nan damdawi an pe bawk ang.

Nunphung thlak danglam hi a pawimawh hle mai!

Damdawi ang bawkin kan nunphung tihdanglam awlsam tak hian kan kal (kidney) venhimna kawngah kawng thui tak a zawh thei a ni.

• Exercise la, taksa rihna hrisel tak vawng reng rawh. Hei hi a pawimawh hle.
• Protein leh chi i ei tam loh nan. Hei hian i kal (kidney) chunga phurrit a tihziaawm ang. Hemi chungchangah hian doctor emaw nutritionist emaw zawt rawh.
• Zu i in chuan control la.
• Meizial zu mi i nih chuan hei hi bânsan hun ṭha ber a ni.
• Over-the-counter painkillers hmang suh, a bik takin NSAID (Nonsteroidal Anti-inflammatory Drugs) (e.g. Ibuprofen, Diclofenac) te hi hmang suh. Hengte hi kal (kidney) tan a pawi hle. Damdawi eng pawh i ei hmain doctor zawt hmasa phawt ang che.

Kan tum ber chu i kal (kidney) te a tha thei ang bera hnathawh tir hi a ni. Miin a kal (kidney) a fail vek a nih chuan a dam khawchhuah theih nan dialysis emaw, kal (kidney transplant) emaw a ngai dawn a ni.