Kidney function a tlahniam em? Hemodialysis chungchang hi han sawi ila

I doctor-in i kal (kidney) a thawk tha lo tih a hrilh che chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. Dialysis i tih a ngai dawn tih an hrilh che pawh a ni thei. Mi tam tak chuan heng thu an hriat hian an lungngai a, thil thleng tur chu an ngaihtuah thiam lo. Mahse he inenkawl dan hi dik taka kan hriatthiam chuan hei hi i nunna chhanhim thei tur thil pawimawh tak a ni tih i hrethiam ang. Chuvangin, vawiin hian hemodialysis chungchang hi thumal awlsam takin kan sawi dawn a ni.

A awlsam zawngin, hemodialysis chu eng nge ni?

I kal (kidney) hi kan taksaah hian super filter pahnih angin ngaihtuah rawh. Kan thisen atanga bawlhhlawh duh loh, toxins leh tui tam lutuk te chu an filter chhuak a, zun angin an paih chhuak thin. Mahse kal natnain he hna hi dik taka an thawh theih loh chuan chu toxins te chu taksa chhungah a awm khawm tan thin.

Nitrogenous wastes (urea), taksa ruh atanga bawlhhlawh (creatinine), leh thisen atanga acids te paih chhuakin, thisen tihfai tawh chu taksaah a thawn kir leh thin.

Engtin nge he machine hian thisen a tihthianghlim?

He hemodialysis machine hian filter bik a nei a. ‘Dialyzer’ an ti a. Mi thenkhat chuan ‘artificial kidney’ an ti bawk. I taksa atanga thisen lak chu he ‘dialyzer’ ah hian a lut thin. Thisen chu a chhunga mesh ang chi tube te tak te atanga a luang chhuah rual hian bawlhhlawh leh thisen chhunga tui tam lutuk chauh chu a filter chhuak thin.

Heng bawlhhlawh te hi tui bik ‘dialysate’ an tih ah an khawlkhawm thin. Hei hi tui, chi leh electrolyte atanga siam a ni. Tunah chuan thisen thianghlim, bawlhhlawh zawng zawng paih vek tawh chu machine hmangin i taksaah a thawn let leh ta a ni. Bawlhhlawh awmna 'dialysate' liquid chu machine atang hian lakchhuah a ni. Tea filter angin tea hnah a filter a, tea chauh chu cup chhungah a tla ang tih ngaihtuah rawh.

Hemodialysis tih dan tlangpui pahnih a awm a, chungte chu:

I doctor nen inbiain eng method nge i tana tha ber tih i rel thei ang.

Home hemodialysis chi hrang hrang a awm bawk.

• Conventional home hemodialysis: Hetiang hmang hian kar khatah ni thum, darkar 3-4 chhung enkawl thin a ni.
• Nitin in lama hemodialysis tawi: Hei hi technology thar hmanga tih theih a ni. Hei hi kar khatah ni 5-7 vel tih a ni a, mahse hun rei lote chauh a ni a, darkar hnih vel a ni.
• Nocturnal home hemodialysis: Hei hi zanah i mut laiin tih thin a ni . Machine hi darkar 6-8 vel a thawk thei a, kar khatah ni 4-6 vel a thawk thei a ni. Hei hian thisen chu hun rei zawk a tifai thei a, chuvangin hmanraw dang aiin bawlhhlawh a paih chhuak tha zawk a ni.

He enkawlna hi tuin nge mamawh tak tak?

Kidney natna khirh tak, End-Stage Kidney Disease (ESKD) tia koh i neih chuan hemodialysis i mamawh ang. Tin, kidney transplant nghaktu tan chuan he treatment hi transplant thlenga dam khawchhuah nan a pawimawh hle bawk.

Enkawlna hnawl a nih chuan eng nge thleng ang?

Hei hi thupui sensitive deuh a ni a, mahse kan sawi dun a ngai a ni. Miin hemodialysis tan loh a tum a, a nih loh leh a tan a, a tawp a nih chuan thisenah toxins a lo awm tan thin. Hetiang dinhmun hi `(uremia)` kan ti a. Vanduaithlak takin he dinhmun hi thihna thlentu a ni. Enkawlna tel lo chuan ni engemaw zat emaw, kar tlemte emaw chauh i dam thei a ni.

Hei hi mimal thutlukna a ni vek. Mahse, chutiang thutlukna i siam hmain i doctor leh chhungte hnenah i ngaihtuahna te, i hlauhthawnna te, leh i rilru put hmang te chu i sawipui ngei tur a ni.

Engtin nge enkawl hmain ka inbuatsaih ang?

Hemodialysis tan hmain kar tlemte emaw thla khat emaw hmain inbuatsaihna tlemte neih a ngai a ni. Chu chu, taksa atanga thisen awlsam taka lakchhuah a, enkawl laia taksaa a kir leh theih nan ‘access’ siam a ngai a ni. Hei hian operation tlemte a mamawh a ni.

Chutianga tih theih dan tlangpui pahnih a awm a, chungte chu:

• AV fistula (Arteriovenous fistula - AV fistula): Hetah hian surgeon chuan i kut chhunga artery leh vein pakhat a thlunzawm a.
• Arteriovenous graft (AV graft): I kut chhunga artery leh vein inzawm tur khawpa sei lo a nih chuan surgeon chuan tube te tak te, nem tak (graft) hmangin a pahnih chu a thlunzawm thin.

Heng kawng pahnih hian thisen kalna kawng chak tak a siam a, chu chu hemodialysis neih laiin needle dah awlsam zawk a ni. Hei hian thisen kal chak zawk nan a pui bawk.

Hemodialysis tih tan nghal a ngai a nih chuan, i doctor chuan i kawr, i rilru, a nih loh leh i ke-a vein lian takah catheter an tih tube nem tak chu rei lo te atan a dah thei a ni.

I access hi uluk a pawimawh hle!

He access device i siam hi thil hlu tak ang maia ngaih tur a ni. A kai emaw, a chhiat emaw chuan enkawl theih a ni tawh lovang. Infection chhinchhiahna te chu:

• Na
• Press laiin natna
• Vung
• A rawng inthlak danglamna (red, gray, pink, brown, or black) .
• Khawsik

Access venhim nan heng thilte hi hre reng ang che:

• Access side chu hnuai lam hawiin mu suh.
• Chu kut a man tur thawmhnaw emaw, jewelry emaw ha suh.
• Bag strap chu access chungah tlak tir suh.
• Mi pakhat chu a thisen sang enfiah emaw, access nei kut atanga thisen lak emaw phal ngai suh.

I ei leh in lamah inthlak danglamna i siam a ngai em?

Ni e, a dik tak zet. I ei leh in hian hemodialysis enkawlna hlawhtlinna a nghawng nghal vek a ni. Chaw \henkhat chuan thisenah bawlhhlawh a tipung a, tui a tikhawlo a, thisen sang a tipung a, heart rate a tipung bawk. Chuvangin, i tana tha tur diet plan siam turin renal dietitian nen inbiakna neih a ngai a ni.

A tlangpuiin heng thil telna ei leh in hi i tihtlem tur a ni.

Enkawl lai hian eng nge thleng?

Nurse emaw technician emaw chuan i kut chhunga access siamah hian needle pahnih a dah ang. Needle pakhat chuan i taksa atangin thisen a la chhuak ang a, machine-ah a thawn ang. Machine chhunga dialyzer hmanga thisen a tihfai hnuah chuan needle dang chuan thisen thianghlim chu i taksaah a thawn let leh ang.

Machine hian i thisen sang chu enkawlna chhung zawngin a enfiah vek a ni. Machine hian a tul angin thisen kal chakna a tisang thei a, a ti tlem thei bawk.

Hei hian a ti na em?

I access-ah needle pahnih i dah chuan stinging sensation tlem i nei ang. Mahse, enkawl hnu darkar engemaw zat chhung chu natna engmah i nei lovang. Hemi hun chhung hian mi tam takin lehkhabu an chhiar a, TV an en a, an muhil bawk.

Engvangin nge hei hian hun rei tak a lak?

Kidney hrisel pahnih hian nitin darkar 24 chhung thisen a tithianghlim chhunzawm zel a, i mut lai pawhin. Hemodialysis machine hian chutiang chu a ti thei lo. Kidney hrisel hian ni khatah thisen litre 140 vel a tithianghlim a ni. Mahse hemodialysis hmanga enkawlna efficiency hi a hniam zawk hle. Chuvang chuan vawi khatah darkar 3-4 tal tih a ngai a ni.

Enkawl hnuah leh a side effect awm thei te

Treatment an tih zawh chuan needle te chu an la chhuak a, a hmun te chu an tifai a, plaster an hnawih bawk. Chumi hnuah chuan a hma ang bawkin i haw thei tawh ang.

Mi tam tak chuan enkawl an nih hnuah tlem chuan hah deuh emaw, hah deuh emaw an ti thin. Hei hi darkar tlemte chhung a daih thei. Hei hi thil pangngai a ni. Mahse, i rilru a hah hle a nih chuan i doctor hnenah hrilh rawh.

Hemodialysis nena inzawm thei side effect dang engemaw zat a awm bawk. Hengte hi mi zawng zawngin an tawng vek dawn lo, mahse hriat chian a tha hle.

Engtik hunah nge Doctor ka hmuh ang?

A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.

• Thisen sang hniam chhinchhiahna (luak chhuak, muthilh (syncope)) .
• Nausea leh luak chhuak
• Access-a natna kai chhinchhiahna (swelling, redness, pain, fever) .
• Pum natna nasa tak