I zun rawng a danglam a, a rawng sen deuh deuh a lo ni ta tih i hmu ngai em? A nih loh leh, zing i thawh chuan i hmai a hring deuh ang maiin i inhria ngai em, chawhnu lamah i ke a lo hring tawh ang? Mi tam takin heng thilte hi an ngaihven vak lo mai thei. Mahse hengte hi kan taksa peng pawimawh ber pakhat, kal (kidney)-a harsatna engemaw zat a awm tih chhinchhiahna a ni thei. Vawiin hian kal (kidney) tichhe thei natna pakhat kan sawi dawn a, chu chu a buaithlak deuh a, mahse hriatthiam a pawimawh hle. Chu chu Glomerulonephritis a ni .
A awlsam zawngin Glomerulonephritis hi eng nge ni?
Hei hi hrethiam tur chuan kan kal (kidney) hnathawh dan hi han en hmasa ila. Kan kal (kidney) te hi in lama tui filter ang maiin han ngaihtuah teh. He tui filter chhungah hian tui tifai thei tur mesh nalh tak tak a awm a ni lawm ni? Chutiang bawkin kan kal chhungah hian kan thisen tifai thei filter te tak te, tha tak tak maktaduai khat vel a awm a. Heng filter te te hi medical science-a glomeruli kan tih chu an ni.
An hna ber chu kan thisena bawlhhlawh leh tui tam lutuk te filter chhuakin zun anga paih chhuah hi a ni. Chuvangin, eng emaw chhan vanga heng filter te te hi a chhiat emaw, a hring emaw a nih chuan thisen chu a filter tha thei lo. Chu chu Glomerulonephritis kan tih chu a ni. Chutiang a nih chuan kal (kidney) tan chuan bawlhhlawh leh tui tam lutuk paih chhuah a harsa thin.
A pawimawh ber chu he natna hi a hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan a dam kim vek thei fo. Mahse, enkawl loh chuan natna hi a nasat phah thei a, kal (kidney failure) pawh a thlen thei a ni.
Hei hi chi hrang hrang a awm em?
Ni e, chi hnih a awm ber.
- Acute Glomerulonephritis: Hei hi a lo awm nghal mai thin a ni.
- Chronic Glomerulonephritis: Hei hi hun kal zelah zawi zawiin a lo awm thin a ni. A châng chuan, `acute` condition a lo awm a, a reh a, kum tam tak hnuah `chronic` condition angin a lo lang leh ṭhin.
He natna lan chhuah dan engte nge ni?
A tam zawkah chuan he natna vei thenkhat hian symptom an nei lo. Thisen emaw zun emaw test-naah hian natna dang a awm leh awm loh enfiahnaah a awm fo thin. Mahse, symptoms a awm tak tak chuan a hnuaia mite hi a tel thei. Heng zinga pakhat emaw a aia tam emaw i neih chuan doctor pan nghal a pawimawh.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Thisen chu zun chhungah a awm | Zun rawng hi tea tui ang maiin brown, pink emaw red emaw a ni thei. |
| Taksa a hring chhuak | A bik takin hmaiah, mit, kut leh ke vel ah hian a hring chhuak thei. |
| Foamy zun a awm | Protein zun chhunga a chhuah chuan sahbawn tui ang maiin foamy a ni thei. |
| Thisen sang a sang | Taksa chhunga tui leh chi tam lutuk hian thisen sang a tisang thei a ni. |
| Thil dang pawh a awm | Thâwk harsa, luak chhuak, vun rawng, ruh emaw, pum na emaw, ei duh lohna, leh taksa rihna tlahniam. |
Engvangin nge hetiang dinhmun hi a lo awm?
A tam zawkah chuan a chhan bik hriat chian a harsa thin. Mahse, ṭhenkhatah chuan thil engemaw zat a awm a, hei hi a ni.
- Infection: He natna hi infection thenkhat avanga complication angin a awm thei. Entirnan, natna hrik strep throat, HIV, hepatitis C, leh bacterial endocarditis, heart valve-a bacteria infection te pawhin he natna hi a thlen thei bawk.
- Autoimmune diseases: A chang chuan kan taksa venghimtu immune system hian tihsualin kan kal (kidney) ngei hi a rawn bei tan thin. Natna lupus an tih hi a entir tha hle .
- IgA Nephropathy: Hemi ah hian antibody `(Immunoglobulin A)` tih chu kal ah a awm a, filter te a tichhia a ni.
- Thisen kalna kawnga inflammatory conditions: Thil awm lo thenkhat chuan thisen kalna kawng a ti na thei a, chu chuan kal a tichhe thei a ni.
- Hriselna atanga lo piang chhuak: 1.1.A tlem hle a, chhungkaw zinga mi pakhatin he natna hi a neih chuan genetic risk a awm thei.
- Cancer: He natna hi cancer chi hrang hrang, entirnan, multiple myeloma vang pawh a ni thei.
He natna hi engtin nge kan hriat theih ang?
A chunga kan sawi tak symptoms i neih chuan i doctor chuan nephrologist, kidney disease lama tui tak doctor hnenah a refer thei che a ni. Heng test te hi a natna hriat theihna tura pui turin tih a ni thei bawk.
Zun Test a ni
Hei hian i zun-ah thisen emaw protein particle emaw a awm leh awm loh a enfiah thin. Hengte hi i kidney filter a chhiatzia tilangtu a ni.
Thisen Test a ni
Hei hian i thisena creatinine level a en ber a ni. Creatinine hi kan taksaah bawlhhlawh siam chhuah a ni. Kidney hrisel takin a filter a, zunah a paih chhuak thin. Kidney function a tlahniam chuan thisenah creatinine level a sang chho thin.
Kidney Biopsy tih a ni
Hei hi natna chiang taka hriat theihna kawng tha ber a ni. Hetah hian anesthesia hnuaiah hian kidney atanga tissue te tak te chu needle te tak te hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hian kidney filter-a chhiatna thleng leh a chhan dik tak chu kan hre thei a ni.
Imaging Test te pawh a awm
I doctor chuan i kal lian leh te, a pianzia leh harsatna dang a awm leh awm loh enfiah nân ultrasound scan, X-ray , a nih loh leh CT scan neih a rawt thei bawk.
Engtin nge enkawl a nih?
Enkawlna chu natna thlentu leh kal a tihchhiat nasat danah a innghat a ni. Enkawlna tum ber chu kal (kidney) chhiatna nasa zawk tihtawp leh an hnathawh humhalh hi a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| A chhan bulpui ber enkawl | Natna thlentu chu thisen sang a nih chuan a thunun theih nan damdawi pek thin a ni. Infection a nih chuan antibiotics pek thin a ni. |
| Ei leh in lama inthlak danglamna | Kidney-a phurrit tihziaawm nan chi leh protein i ei zat tihtlem turin an hrilh thei che a ni. |
| Immunosuppressant hmanga taksa hriselna tichhe thei | He natna hi immune system lama harsatna avanga lo awm a nih chuan chu system hnathawh control thei damdawi pek thin a ni. |
| Thisen sang tihhniamna damdawi | Damdawi ACE inhibitor emaw ARBs te hian thisen sang a control a, kal a venghim bawk. |
| Dialysis tih a ni | Kidney hnathawh a chhiat nasat chuan damlo chu thisen artificial-a tihthianghlimtu machine-ah an hruai thin. |
| Enkawlna dang | Diuretics hi taksa a hring (swelling) tihziaawm nan pek thin a ni. Thisen atanga protein tha lo paih chhuah nan plasmapheresis ang chi enkawlna bik a awm bawk. |
He natna hi ven theih a ni em?
He natna laka inven dan finfiah a la awm lo. Mahse, nunphung hrisel zawm leh tih dan thenkhat neih hian kal hriselna a humhim thei a ni.
- Ei leh in inthlau tak ei rawh. A theih ang anga chi, sugar leh thau tamna ei tur ei loh tur.
- Thisen sang emaw zunthlum emaw i neih chuan i doctor thupek dik takin zawm rawh. I damdawi ei tur chu a hun takah ei thin ang che.
- Infection lakah inveng rawh. Fai takin awm rawh. Thlarau natna ang chi thil i neih chuan ngaihthah suh la, doctor pan la, enkawl rawh.
- Doctor thurawn tel lo chuan natna tidamtu damdawi ang chi hi hman chhunzawm loh tur a ni.
- Meizial zu leh zu in loh tur. Hengte hian direct-in kal (kidney) a tichhia a ni.
Glomerulonephritis hi hlauh tur a ni lo tih hre reng la, mahse ngaihthah tur a ni lo bawk. A hun takah hmuhchhuah a nih a, uluk taka enkawl a nih chuan nun hrisel tak i hmang thei a ni.
Take-Home Thuchah a ni
- I zun chu a rawng a inthlak a, a sen/brown, a foamy a nih chuan, a nih loh leh i hring chhuak a nih chuan ngaihthah suh. Doctor hmu nghal rawh.
- Glomerulonephritis hi kal chhunga filter tha tak takte tihchhiat avanga lo awm a ni.
- He natna hi mi thenkhatah chuan asymptomatic a ni thei a, chuvangin kum khatah vawi khat tal medical check-up neih a pawimawh.
- Enkawlna chu natna thlentuah a innghat a ni. A hmaa hmuhchhuah a nih chuan a dam vek thei fo.
- Kal venhim nan thisen sang leh zunthlum control tha a pawimawh hle.
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