I taksaah, a bik takin i ke, i ke ruh, i kut emaw, i hmaiah emaw a hring chhuak nghal em? A nih loh leh i zun-ah hian a hma aia tam foam i hmu em? Hengte hi a chang chuan kan taksa peng pawimawh ber pakhat, kal (kidney)-a harsatna awm chhinchhiahna a ni thei. Vawiin hian kal (kidney) tichhe thei dinhmun kan sawi dawn a, chu chu a tam lo hle a, mahse hriat a pawimawh hle. Hei hi Glomerulosclerosis an ti a.
A awlsam zawngin Glomerulosclerosis chu eng nge ni?
Kan kal (kidney) hi super filter pahnih ang mai a ni. Kan thisena bawlhhlawh awmte chu an filter a, taksa atangin zun angin an paih chhuak thin. He filtering process hi kidney chhunga thisen kalna kawng te tak te
tak tak network ah a thleng thin. Hengte hi `Glomeruli` kan tihte chu an ni.
Glomerulosclerosis hi chutiang thisen filtering network te te
chu a hliam emaw, a thim emaw a nih chuan a ni. Kan vun hliam a lo awm ang bawkin heng thisen filtering network te hi a chhiat chuan hliam a lo awm ta a ni. Chutiang a nih chuan chu network te chu a thawk tha thei lo.
Chumi avang chuan kan thisena awm tur protein pawimawh tak takte chu filter kaltlangin a chhuak tan a, zun chhungah a chhuak ta a ni . Damdawi lamah chuan he natna hi ` Proteinuria` kan ti thin.
Hetiang dinhmun hian naupang, puitling leh tu pawh a nghawng thei a ni. Amaherawhchu, mipaah chuan a tam deuh hlek a ni.
Eng thilin nge he dinhmun hi a thlen theih?
Glomerulosclerosis awm chhan bik a awm lo. Mahse a tam zawkah chuan damdawi lam thil dang emaw thil dang emaw avanga lo awm a ni. A chhan ber chu `FSGS` (Focal Segmental Glomerulosclerosis) an tih natna a ni. Hei hian a awmzia chu kal chhunga filtering tissue zawng zawng a chhe vek lo va, hmun thenkhat (Focal) chauh a chhia tihna a ni. Tin, chu chhiatna chu a thlenna hmunah chuan tissue atanga a then (Segmental) chauh a chhia a, tissue pumpui a chhia lo. He `FSGS` dinhmun leh Glomerulosclerosis a tlangpuiin nghawng thei thil dang thenkhat chu hetiang hi a ni:
- Diabetes Mellitus : Zunthlum thunun loh hi kal chhiatna thlentu lian tak a ni.
- Obesity : Taksa rihna tam lutuk hian kal (kidney) ah pressure a siam nasa hle.
- HIV hrik kai : 1 .He virus hian direct-in kidney cells a tichhe thei a ni.
- Autoimmune natna lupus ang chi: Hengah hian taksa ngeia immune system hian kal (kidney) a bei a.
- Sickle cell disease: Hei pawh hi thlahtu natna a ni a, kal (kidney) a tichhe thei a ni.
- Reflux nephropathy: Hetiang dinhmunah hian zun chu bladder atanga kal lamah a luang leh a, kal a tichhia a ni.
- Glomerulonephritis: Heta thil thleng hi a hmaa kan sawi tawh thisen filtering network (Glomeruli) te chu a lo inflamed a, chu chu an lo hring chhuak tihna a ni.
- Damdawi leh chemical thenkhat: Damdawi leh chemical thenkhat kal tana tha lo tak tak te pawhin hetiang hi a thlen thei bawk.
Hei hi eng symptoms nge ni?
He natna hi a tir lamah chuan
a lan chhuah dan chiang tak a awm lo mai thei . Chu chu a hlauhawm ber a ni. Mahse hun a kal zel a, symptom thenkhat chu a lo lang tan ta a ni. Heng symptoms te hi hriat chian a pawimawh hle.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|
| Vung | Kidney-in a filter tha loh avangin taksaah tui a pungkhawm thin. I hring chhuak tih i hmu thei a, a bîk takin ke, ke ruh, kut, pum, leh mit vêlah te . He swelling hi a tlangpuiin a na lo. |
| Zun inthlak danglamna | Foamy emaw bubbly urine hi zun atanga protein chhuak vang a ni. |
| Thisen sang lutuk | Kidney a chhiat chuan thisen sang a sang chho thin. A chang chuan he thisen sang hi damdawi hmanga thunun a harsa thin. |
| Cholesterol sang tak a ni | Thisen a protein level a tlahniam chuan liver hian cholesterol a siam tam zawk a, chu chu a chhanna atan a ni. Hei hian thisenah cholesterol level a tisang a ni. |
Vawi tam tak chu he natna hi chhan dang avanga damdawi lam enfiahna pangngai (routine medical examination) neih laiin hmuhchhuah a ni. Zun test-ah hian protein a sang (Proteinuria) emaw, thisen test-ah protein a hniam (Hypoproteinemia) emaw a awm thei bawk.
He natna hi engtin nge dik taka i hriat theih?
A chunga kan sawi tak symptoms te hi natna dang ah pawh hmuh theih a nih avangin, he natna hi finfiah theihna awmchhun leh tha ber chu
kidney biopsy tih hi a ni
He Kidney Biopsy hi eng nge ni?
Lungngai suh. Hei hian i kal atanga tissue te tak te
tak tak , needle ang chi hmanraw te tak te tak hmanga lak chhuah a huam a ni. Tichuan, tissue chu microscope hmangin an enfiah a, a chunga kan sawi tak hliamte hi a awm em tih an enfiah a ni.
A châng chuan biopsy vawi khat aia tam lak a ngai thei bawk. He scarring hi kidney pumpuiah a inang vek loh avangin doctor chuan a chhiatna hmun an hmuh hma loh chuan hmun engemaw zat atangin sample a lak a ngai mai thei.
Chu bakah, i doctor chuan a hnuaia test te hi a rawt thei bawk ang:
- Glomerular Filtration Rate (GFR) test: Hei hian i kal (kidney) hnathawh that dan a teh a ni.
- Kidney Ultrasound scan: Kidney-a thil dik lo awm leh te, a pianzia leh a awm leh awm loh enfiah thin ang che.
- Genetic testing: A tlem berah chuan genetic cause a awm leh awm loh enfiah nan.
Hei hi eng enkawlna nge ni?
Vanduaithlak takin
glomerulosclerosis hi damdawi a awm lo. A atana damdawi bik pawm a awm lo bawk.
Mahse, lungngai suh! Natna kal zel dan tur control thei, symptoms control thei leh nun pangngaia nung thei tur enkawlna chi hrang hrang a awm a. Enkawlna tum ber chu natna zual zel tur tihtawp leh kal (kidney failure) venna a ni. Enkawlnaah hian a tlangpuiin:
- Thisen sang damdawi: ACE inhibitor leh ARB ang damdawi te hian thisen sang a control mai bakah zun a protein hloh tihziaawmna atan a pui bawk.
- Immune-suppressing damdawi: Prednisolone ang chi steroid leh damdawi dangte hian immune system hnathawh a control a, protein excretion a ti tlem a, kidney hnathawh a tichak bawk.
- Cholesterol controlling damdawi (Statins): Cholesterol level sang lutuk control.
- Diuretics: Taksa atanga tui leh chi tam lutuk paih chhuakin, a hring (swelling) a ti tlem.
- Anticoagulants a awm bawk.
- Nunphung inthlak danglamna: Chi tlem ei leh in , exercise lak, leh vitamin ei hi a pawimawh hle.
A pawimawh ber chu natna dang, zunthlum emaw thau lutuk emaw avanga lo awm a nih chuan a hnuaia natna awm chu uluk taka enkawl a ngai a ni. Tin, thisen leh zun test reng chunga kal (kidney) dinhmun enfiah a pawimawh bawk.
Enkawlna zawng zawng ni mahse, a then phei chuan natna hi kal (kidney failure) thlengin a kal thei a ni. Chutiang a nih chuan dialysis emaw, kal thlak emaw a ngai mai thei.
Take-Home Thuchah a ni
- Glomerulosclerosis hi kal chhunga thisen filter tube te tak te te a chhiat avangin kal te chu a thawk tha tawh lo.
- Taksa a hring, a bik takin ke leh hmai, zun foamy, thisen sang te ang chi symptoms te chu fimkhur hle ang che.
- Heng symptoms te hi i neih chuan doctor pan vat la, thurawn la rawh.
- Diagnosis dik tak hriat chian nan kidney biopsy neih a ngai a ni.
- Dam kim theih ni lo mah se, natna zual zel dan tur leh a lan chhuah dan tur enkawl dan tur damdawi tha tak tak a awm a ni. Enkawl tan hma a pawimawh hle.
Glomerulosclerosis Sinhala, kal natna, kal hliam, zun a protein, proteinuria Sinhala, ke na, kal biopsy
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