Kidney stone (ESWL) tihchhiat dan non-surgical method i zir dawn em ni?

I kal (kidney stone) pawh i nei a, i natna chu i tuar thei lo em ni? A châng chuan, heng lungte innghahna hrehawmna hi tuar theih loh a ni, a dik em? Chuvangin, taksa pawn lama shock wave hmanga heng lungte hi operation tel lova tihchhiat theihna damdawi i hre tawh em? Vawiin hian he damdawi hi ESWL, a nih loh leh Extracorporeal Shock Wave Lithotripsy tih hi han sawi ila.

A awlsam zawngin ESWL chu eng nge ni?

ESWL hi a tlangpuiin, surgery ni lo enkawlna a ni. Taksa pawn lam atanga high-energy shock wave hmangin i kal emaw ureter emaw-a lung awmte chu a te tein a then darh thin. Lungpui te tak te chu hammer hmanga vuak ang mai a ni. Chumi hnuah chuan lung chhe tawhte chu awlsam takin i taksa atangin i zun chhungah, hnim hnah ang maiin a chhuak chhuak ta a ni.

Kan zun chhunga thil thenkhat, calcium ang chi, concentration a san chuan kidney stone a lo awm thin. Kidney-ah lo piang hmasa mah se, a chang chuan an chhuak a, ureters, bladder-a zun phurtu tube-ah an kal thla a ni. Lung te te hi zun nen a pass out fo thin. Mahse lung thenkhat chu a lian deuh deuh a. Chutiang chuan awlsam takin an chhuak thei lo, tube chhungah an tang tlat mai. Chutah chuan tuar theih loh natna a lo awm thin. ESWL enkawlna hian lung nghet tak takte chu a tikehsawm a, a chhuahna tur kawng a siamsak a ni.

Eng dinhmunah nge ESWL enkawl hi a tul?

Doctor-te chuan a hnuaia mite hi ESWL enkawl an rawt tlangpui:

• Lung a lian a nih chuan: Lung hi a tlangpuiin millimeter 5 (pencil eraser ang vel) aia lian a nih chuan zun nen a kal harsa thin.
• Zun luang chhuak a tihkhawtlai chuan: Lung chu a lo lodge a, zun luang a reh chuan kal a chhe thei a ni.
• Natna nasa tak a awm chuan: Natna chu thunun harsa a nih chuan.

I tan enkawlna a rawt hmain i doctor chuan thil dang engemaw zat a ngaihtuah hmasa ang.

Engtin nge enkawl hmain i inbuatsaih thin?

He enkawlna hma hian i doctor chuan i tih tur a hrilhfiah ang che. Chûng zîngah chuan:

• Thisen leh zun test: Kidney function, thisen count, urinary tract infection (UTIs) te enfiah nan test eng emaw zat tih tir i ni thei.
• Damdawi chungchang: I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh . Thisen tihthianghlimna damdawi i ei a nih chuan i enkawl hma ni engemaw zat chu ei tawh lo turin an ti mai thei che a ni. Doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh.
• Chaw nghei: Enkawl hma darkar engemaw zat ei leh in bansan turin an ti ang che.
• In lama khalhtu tur che: Enkawlna i zawh hnuah i khalh thei dawn lo a nih avangin, in lama khalhtu tur mi rawn hruai rawh.

Engtin nge he enkawlna hi tih a nih?

Enkawl tan hmain natna engmah i neih loh nan numbing medicine (`(Anesthesia)`) pek i ni ang. I mutthilh vek mai thei a, zu ruih ang maia siam i ni thei bawk. A châng chuan, a kawr hnuai lam chauh a numb thei bawk.

Hei hi enkawl laia thil thleng chu a ni:

1. Tui khata cushion dahna khum bik chungah mu turin siam i ni ang.

2. Tichuan X-ray emaw ultrasound scan hmangin lung awmna hmun dik tak chu an hmu chhuak ta a ni.

3. Machine leh i taksa chu shock wave-in lung chu chiang taka a tlak theih nan siamrem a ni.

4. A dawtah chuan ESWL machine hian taksa kaltlangin lungah chuan high-energy shock wave a thawn a. I hriat chian chuan a sir atang chuan "tick-tock" ri i hre mai thei.

5. Chutiang chuan shock wave sang tam tak a kawhhmuh a, lung chu a te tein an chil a.

The entire process usually takes about an hour , mahse he hun hi i lung lian leh te, leh i hriselna a zirin a danglam thei.

Enkawl hnuah eng nge thleng?

ESWL hi a tlangpuiin outpatient treatment a ni a, mahse enkawl hnu darkar engemaw zat chu recovery room-ah i awm a ngai dawn a ni.

Hetiang symptoms hi enkawl hnu ni engemaw zat chhung chu a awm thei:

• Taksa na: I enkawl lai hmunah hian hliam leh natna engemaw zat i nei thei.
• Zun chhunga thisen: Zun pink a lo inthlak hi thil pangngai a ni.
• Zun laia natna: Lung hrual hrual hrual tawhte a liam chhuah chuan natna tlem a awm hi thil pangngai a ni.

Heng symptoms te hi ni rei lo te chhungin a reh tlangpui.

Lung chi hrang hrang a chhuah theih nan eng chen nge hun a duh?

Enkawl hnu ni engemaw zat emaw, kar engemaw zat emaw chhung chu i zun chhungah lung chi hrang hrang i pass thei. Chûngte chu hnim hnah emaw, lung tê tê emaw ang maiin a lang thei. Heng fragment te hi a liam chuan hrehawm i ti mai thei. I doctor chuan damdawi a pe thei a, chungte chu:

• `Tamsulosin`: Hei hian bladder leh urethra a ti hahdam a, lungte chu awlsam zawkin a kal thei a ni.
• `Ketorolac`: Hei hi natna tidamtu a ni.

Lungte pass pui turin tui tam tak in a pawimawh hle bawk.

Damdawi lam thurawn lak nghal tur

A hnuaia symptoms te hi a lo awm a nih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal la , i doctor hnenah hriattir nghal rawh.

He enkawlna atan hian tute nge tling lo?

ESWL enkawlna hi mi thenkhat tan chuan a tha lo hle. Entir nan:

• Hmeichhe naupai
• Thisen chhuahna lama harsatna nei te
• Thisen tihthianghlimna damdawi ei khap thei lote
• Thisen sang thunun theih loh nei te
• Kidney infection emaw cancer vei te
• Mi thau lutuk nei te

I doctor hi he enkawlna hi i tan a tha em tih thutlukna siamtu tha ber a ni a, chuvangin i hriselna chungchang zawng zawng chu a hnenah hrilh vek ang che.