I kal (kidney) te hian hna a thawk tha em? eGFR test chungchang hi i hre chiang ang u! (Glomerular Filtration Rate chhut chhuah)

Thisen report i en hian eGFR tih value i hmu tawh em? I doctor chuan a hrilh che pawh a ni mai thei. Mi tam tak tan chuan thil buaithlak deuh angin lang mahse, a takah chuan kan kal (kidney) hnathawh that dan tehna test pawimawh tak a ni. Vawiin hian he eGFR hi eng nge a nih, a awmzia leh chu hlutnate awmzia chu awlsam tak leh zahawm takin kan sawi dawn a ni.

A awlsam zawngin, eGFR chu eng nge ni?

eGFR awmzia kimchang chu Estimated Glomerular Filtration Rate a ni. Hlau suh, a thu hi a lian hle a, mahse a thawnthu erawh a awlsam hle.

I kal (kidney) chhungah hian filter te tak te maktaduai tam tak a awm tih han ngaihtuah teh. Tea strainer ang mai an ni. Heng filter te hian kan thisena bawlhhlawh duh loh te chu a filter chhuak a, a tithianghlim a, chu bawlhhlawh chu kan taksa atangin zun hmangin a hnawtchhuak thin. Damdawi lamah chuan heng filter te tak te te hi glomeruli tiin kan sawi thin.

Chuvangin, eGFR hi heng filter glomeruli an tih hmang hian minute khat chhunga thisen engzat nge tihfai tih chhut chhuahna value a ni. Hei hi direct-a teh a ni lo va, mahse he value hi i thisen sample-a creatinine tehna hmanga chhut (estimated) a ni a, i kum, mipa leh hmeichhia, etc. ang chi thilte nen formula-ah dahin, chuvang chuan "Estimated" GFR an ti a ni.

He test hian doctor-te chu i kal hnathawhna lama harsatna awm thei, a bik takin chronic kidney disease (CKD) .

Engvangin nge doctor chuan eGFR value check turin a ngen?

Thisen test pangngaiah i eGFR check i nei tlangpui a, kum tin tih thin a ni. Tin, a hnuaia tarlan risk factors te hi i neih chuan i doctor chuan i kal hriselna enfiah nan eGFR test neih a rawt thei bawk.

• Diabetes i neih chuan .
• Thisen sang (Hypertension) i neih chuan .
• Lung natna i neih chuan .
• Chhungkaw zingah (nu, pa, unau) tu emaw chuan kal natna nei tawh an nih chuan .
• Body mass index (BMI) 25 (overweight) aia tam a nih chuan.
• Urinary tract infection (UTI) emaw, urinary tract obstruction emaw i neih fo chuan.
• Kidney tichhe thei congenital conditions i neih chuan.
• Kidney transplant i neih tawh chuan .

Chutiang hunah chuan kal (kidney) a chhiat theihna a sang hle. Chuvangin, doctor tum ber chu eGFR value enfiah fo a, harsatna awm apiang chu a tir lamah man chhuah a ni.

Creatinine leh Cystatin C te hi eng nge ni?

eGFR chhut dan tur kan sawi dun a. Chumi atana hman ber chu creatinine a ni.

• Creatinine: A awlsam zawngin sawi ila, hei hi bawlhhlawh a ni a, kan taksa ruhte hnathawh hian a lo chhuak thin. Kan kal emaw, kan tlan emaw, hna eng emaw kan thawh hian taksa chakna kan hmang thin. Hetianga tih lai hian bawlhhlawh creatinine an tih chu thisenah a pung khawm thin. Kidney hrisel chuan thisen a\angin a filter a, zunah a paih chhuak \hin. Mahse , kal (kidney) hian hna a thawk tha lo a nih chuan he creatinine hi thisenah filter chhuah ai chuan a pung khawm tan thin. Thisen a creatinine level a san chuan kal (kidney) filtration process a chak lo tihna a ni.

• Cystatin C: A chang chuan, a bik takin kum upa lam emaw, taksa peng tam tak nei emaw tan chuan creatinine chauh hian thlalak dik tak a pe lo mai thei. Creatinine level hi taksa peng hrang hrang, kum leh ei leh in te hian a nghawng bawk. Chutiang hunah chuan doctor ten thisenah protein pakhat Cystatin C an tih level an enfiah ang. Hei hi kan taksa chhunga cell-te siam a nih avangin muscle mass hian nghawng lian tham a nei lo.

eGFR test hmain inbuatsaih a ngai em?

Awle. Hei hi test sensitive tak a ni. Chuvangin chhiar dik ber tur chuan i doctor thupek dik tak i zawm a ngai a ni. I tih tur chu:

• Darkar engemaw zat chaw nghei (tui chauh i in thei).
• Test hma ni khat emaw ni hnih emaw chhung sa ei kha bansan rawh .
• Damdawi i ei lai thenkhat chu rei lo te chhung chu bansan rawh (hei chungchang hi i doctor nen inbia ngei ang che).

Heng thupekte hi uluk taka i zawm loh chuan i eGFR chhiar dan dik lo a ni thei. Chuvangin, i doctor thupek ang chiah kha zawm rawh. Test hi i kut vein pakhat atanga thisen tlemte lak atanga tih a ni tlangpui. Procedure awlsam tak a ni a, minute tlemte chauh a ni.

eGFR value hian eng nge min hrilh? Kal natna vei te

Okay, tunah chuan thil pawimawh lam i pan ang u. I report-a eGFR value hian eng nge a sawi?

Puitling hrisel tak eGFR chu 100 vel a ni a, natna awm lo mah se, kan tar chhoh zel chuan he value hi a tlahniam zauh zauh hi thil pangngai a ni.

Chronic kidney disease (CKD) hi eGFR atanga thlirin main stage 5 ah then a ni. Eng nge an nih i han thlir teh ang.

eGFR value a dik lo a nih chuan eng nge thleng leh ang?

I eGFR a hniam chuan i doctor chuan lungngai lo turin a hrilh ang che a, a chhan dik tak hriat tumin test tlemte dang a order ang.

• Urinalysis: He test hian zun chhunga protein (a bik takin albumin) emaw thisen emaw a zawng thin. Hengte hi kal chhiatna chhinchhiahna hmasa ber a ni thei.
• Kidney Ultrasound/CT Scan: Heng test te hian kal lian leh te, a pianzia te, lung emaw, tumor emaw a awm leh awm loh hriat theih nan a pui thin.
• Kidney Biopsy: A chang chuan, kal atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hian natna chu eng nge a nih leh a nasat zia chiang taka hriat theih nan a pui a ni.

Doctor hmuh ngai symptoms te chu engte nge ni?

Kidney natna hian a tir lamah symptom a nei lo fo thin. Chuvangin eGFR ang test hi a pawimawh hle. Mahse natna a zual zel chuan heng thilte hi i hrechhuak mai thei. Hengte hi i neih chuan doctor pan nghal rawh.

• A tlangpui aia zun tam zawk ang maia inhriatna.
• Vun vawt leh itchy.
• Nausea leh luak chhuak.
• Kut, ke leh ke ruh a hring.
• Thâwk harsa.
• Muscle a rawn inher chhuak.
• Vun a thim.

Heng symptoms te hi natna dang symptoms a ni thei bawk. Chuvangin, hlauthawng lova, a chhan dik tak hriat chian nan damdawi lam thurawn lak a tha ber.