Kan taksa peng hrang hrang mak tak pakhat chu kal (kidney) hi a ni. Kan taksa chhunga super cleaning system ang mai an ni. Kan thisena bawlhhlawh duh lohte chu an filter chhuak a, tui tam lutuk chu an paih chhuak a, zun angin an paih chhuak thin. Amaherawhchu, a chang chuan heng kal hlu tak takte pawh hi an na ve tho. Vawiin hian mi tam takin an hriat ngai loh, mahse ngawi renga taksa tichhe thei natna chungchang kan sawi dawn a ni. Chu chu Glomerulonephritis a ni.
A awlsam zawngin Glomerulonephritis (GN) hi eng nge ni?
Hei hi hming sei tak, mak tak mai a ni a, mahse hriatthiam a awlsam hle. Glomerulonephritis hi kal (kidney) a nghawng a ni. Kan kal chhungah hian thisen filter thei filter te tak te, nalh tak tak maktaduai tam tak a awm a. Hengte hi glomeruli kan ti a. Tea strainer-a khur te tak te angin ngaihtuah rawh. Glomerulonephritis an tih natnaah chuan heng filter te te hi a chhe a, a hring chhuak thin.
Heng filter te hi a chhiat chuan a thawk tha thei lo. Chumi awmzia chu taksa atanga bawlhhlawh leh tui tul lote chu uluk takin an filter chhuak thei lo tihna a ni. Hetiang dinhmun hi a nasat deuh chuan kal (kidney failure) pawh a thlen thei a ni . Mahse thu lawmawm tak chu a tam zawkah chuan he natna hmasa ber hi enkawlna hmangin a dam kim thei a ni.
Chuti a nih chuan heng Glomeruli (filter)-ah hian eng nge thleng tak tak?
Kan kal tin hian heng filtering unit te tak te, glomeruli an tih hi maktaduai khat vel an nei a. Chungte chu thisen kalna kawng (capillaries) te tak te, inzawm khawm atanga siam an ni. An hna ber chu kan thisena bawlhhlawh leh tui tam lutuk filter chhuah hi a ni. Hei hi zun siamna atana hmalakna hmasa ber leh pawimawh ber a ni. Chuvangin han ngaihtuah teh, he filtering system-ah hian thil thleng ta se, kan taksa pum pui tihfai hna hi a buai dawn a ni lawm ni?
He natna chi hrang hrang lian ber ber a awm em?
Ni e, he natna hi a lo awm dan azirin chi hnihah then theih a ni.
1. Acute Glomerulonephritis: Hei hi a intan thut a.
2. Chronic Glomerulonephritis: Hei hi natna khirh tak a ni a, zawi zawiin a lo awm thin. Kum tam tak chhung a daih thei.
Mi thenkhat chuan natna rang tak (acute) an nei thei a, chu chu a dam hnu kum tam takah chuan chronic a lo ni thei bawk.
Glomerulonephritis natna lan chhuah dan chu engte nge ni?
He natna hlauhawm ber chu mi tam takin a tir lamah an lan chhuah loh vang a ni. He natna hi an vei tih pawh an hre lo mai thei tihna a ni. Mahse, symptoms a lo lang a nih chuan a hnuaia table-a kan hmuh ang hian a ni thei.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thisen chu zun chhungah a awm | Zun chu a dum (tea tui ang chi), pink emaw, sen emaw angin a lang thei. |
| Hmai leh ke a hring chhuak | Zing ka harh chuan ka mit leh hmai chu a hring vek niin a lang. Chhun lamah chuan ka ke leh ke ruhte chu a hring chhuak thin. |
| Foamy zun a awm | Bubble tam tak leh soapy foam hmanga i zun chuan zun nen protein a chhuak vang pawh a ni thei. |
| Thisen sang lutuk | Kidney hnathawh a chhiat chuan thisen sang a sang thei. |
| Zun chhuah tam dan a inthlak danglam | A tlangpuiin zun i pass tlem emaw, a tam emaw pawh a ni thei. |
| Thil dang pawh a awm | Nausea, vun vun rawng, thawk harsa, ruh emaw pum na, chaw ei chak lohna, leh taksa rihna tlahniam. |
A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan nghal tur a ni. Heng symptoms te hi thil dang vang pawh ni thei mahse, a chhan dik tak zawn chhuah a pawimawh hle.
Engvangin nge hetiang natna hi a lo awm? A chhante chu engte nge ni?
Hei hi a chhan chiang tak hmuh a harsa fo thin a, mahse damdawi lam thil leh hri kai thenkhat avanga lo awm thei a ni tih hmuhchhuah a ni.
| A chhan awm thei | Hrilhfiahna |
|---|---|
| Infection awm thei te | Strep throat hi HIV, hepatitis C, leh bacterial endocarditis te ang chi infection avanga complication angin a awm thei a ni. |
| Immune system lama harsatna a awm | Kan taksa ngei pawh hian kal (kidney) chhunga cell hrisel tak takte chu a bei sual a. Entirnan, lupus. |
| IgA Nephropathy a ni | Immunoglobulin A (IgA) an tih antibody kidney-a a awm avanga natna lo awm. |
| Thisen kalna kawng natna | Natna hmuh tur awm lo thenkhat (e.g. granulomatosis with polyangiitis) hian thisen kalna kawng a ti na thei a, chu chuan kal a tichhe thei a ni. |
| Chhan dang | Cancer chi hrang hrang (e.g. multiple myeloma) vang pawh a ni thei a, a tlem hle bawk a, thlah kal zelah thlah kal zel atanga lo piang chhuak genetic cause vang pawh a ni thei bawk. |
Glomerulonephritis natna avanga harsatna awm thei te chu engte nge ni?
He natna hi enkawl tha a nih loh chuan kal (kidney) a tichhia chhunzawm zel thei a, harsatna lian tham a thlen thei bawk.
- Chronic Kidney Disease (CKD): Kal hnathawh a tlahniam zauh zauh.
- Thisen sang (Hypertension): 1.1.Kidney hian thisen sang control a puih avangin a chhiat chuan pressure a sang chho zel a ni.
- Kidney Failure: Hei hi a thleng thuai thei a, kum tam tak chhung pawh a thleng thei. Chutiang a nih chuan kal (kidney) hian hna a thawk tawh lo mai mai.
- Nephrotic Syndrome: Zun atanga protein chhuak tam lutuk avanga lo awm a ni a, chu chuan a hring chhuak a, cholesterol level a tisang bawk.
- Thisen zam: Ke ruh (Deep Vein Thrombosis - DVT) emaw, lung (Pulmonary Embolism - PE)-ah emaw thisen zam a lo awm theihna a sang hle.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
A tam zawkah chuan he natna hi thil thleng mai maiin hmuhchhuah a ni. Chu chu natna dang test-naah a ni. I doctor hian i symptoms a zirin he natna hi a ringhlel a nih chuan kidney specialist hnenah a refer thei che a ni. A hnuaia test te hi a diagnosis finfiah nan tih a ni.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Zun Test a ni | Zun hi thisen (red blood cells) emaw protein emaw a awm leh awm loh enfiah thin a ni. |
| Thisen Test a ni | Thisen test hian creatinine level a teh a, hei hi bawlhhlawh, kal atanga paih chhuah a ni. Hetiang level hi a san chuan kal (kidney) a thawk tha lo tihna a ni. |
| Kidney Biopsy tih a ni | Needle hmangin kidney atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hi natna thlentu dik tak hriat chian dan tha ber a ni. |
| Imaging Test te pawh a awm | Ultrasound, X-ray emaw CT scan test-ah hian kal (kidney)-a thil tihkhawtlai eng emaw zat, a pianzia leh a awm leh awm loh enfiah thin. |
Hei hi eng enkawlna nge ni?
Enkawlna chu natna thlentu leh kal a tihchhiat nasat danah a innghat a ni. Enkawlna tum ber chu kal (kidney) tihchhiat belh zel tur venna leh a hnathawh humhalh hi a ni.
- A chhan bulpui enkawl dan: Entirnan, thisen sang vang a nih chuan pressure control nan damdawi pek a ni ang. Infection avanga lo awm a nih chuan antibiotics pek a ni ang.
- Ei leh in thlak danglam: I doctor chuan chi leh protein tamna ei tur tihtlem turin a fuih thei che a, chu chuan i kal (kidney)-ah harsatna a siam belh zel a ni.
- Immunosuppressants: Natna hi immune system lama harsatna avanga lo awm a nih chuan heng damdawi te hi chu system hnathawh dan control nan pek thin a ni.
- Corticosteroids: Hengte hian kal (kidney)-a inflammation tihziaawmna atan a pui a ni.
- Dialysis: Hei hi kal (kidney) a chak lo lutuk a, a hna thawk thei lo a nih chuan machine hmanga thisen tihfai dan a ni.
- Diuretics: Hengte hi taksa atanga tui tam lutuk paih chhuah nan leh a hring (swelling) tihziaawm nan pek thin a ni.
- Plasmapheresis: Hei hi thisen atanga protein tha lo awmte filter chhuaktu special procedure a ni.
Glomerulonephritis hi ven theih a ni em?
Dik tak chuan he natna laka inven dan finfiah a awm lo. Mahse, nunphung hrisel zawm leh tih dan ṭhenkhat neih hian a hlauhawmna a tiziaawm thei a ni.
- Ei leh in inthlau tak ei rawh. Artificial ingredients leh processed foods te chu a theih ang anga tihtlem tur a ni.
- Thisen sang i neih chuan , chi tlem ei leh in, exercise, leh i doctor-in a pek damdawi dik tak ei hmangin uluk takin control rawh.
- Zunthlum i neih chuan , control tha rawh.
- Infection laka invenna. Faina tha tak hmang rawh. Thlarau natna (strep throat) ang chi i neih chuan ngaihthah suh la, doctor pan nghal la, enkawl rawh.
- Damdawi, natna tidamtu damdawi ang chi hi Doctor rawn hmasa lovin hman chhunzawm loh tur a ni.
Glomerulonephritis i vei tih hmuhchhuah a nih chuan i kal (kidney) enfiah fo a pawimawh a, doctor-in a sawi angin i damdawi ei a, i ei leh in control a pawimawh bawk.
Take-Home Thuchah a ni
- Glomerulonephritis (GN) hi kal chhunga filter nalh tak takte tichhe thei natna a ni. Taksa chu ngawi rengin a tichhia fo thin.
- Zun dum, hmai emaw ke emaw a hring, zun foamy ang chi symptoms te chu fimkhur rawh. Mahse, mi tam tak chuan symptom engmah an nei lo tih hre reng ang che.
- Thlarau natna (strep throat ang chi) enkawl vat chuan a hnua kal chhiatna a awm loh nan a pui thei a ni.
- I chhungkuaa mi tu emaw chuan kal natna a nei a nih chuan, zunthlum emaw, thisen sang emaw i neih chuan damdawi lam inenkawlna neih reng a pawimawh hle.
- Natna i vei tih hmuhchhuah a nih chuan i kal venhim nan i doctor-in ei leh in leh damdawi a pek dan kha khauh takin zawm tur a ni.
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