A châng chuan i sir, i pum, emaw, i hnungzang hnuai lam emaw-ah natna nasa tak i nei a, chu chu natna hrik i nei ṭhîn em? I zun laiin natna i tuar emaw, i zun chhunga thisen i hriat emaw a ni mai thei? Hengte hi kidney swelling chhinchhiahna a ni thei a, hei hi damdawi lama Hydronephrosis tia hriat a ni. Hei hian eng nge a awmzia tih hi thumal awlsam takin han then ila.
Hydronephrosis hi eng nge ni?
A awlsam zawngin Hydronephrosis hi zun kawng a block avangin i kal atanga i bladder thlenga zun a luang lo a, chu chuan kidney pakhat emaw pahnih emaw a ti hring chhuak thin. Garden hose-a kink ang maiin han ngaihtuah teh—chu fluid chu a back up a, chu chuan vessel chu a ti distend a ni. Doctor-te chuan hei hi ‘upper urinary tract dilation’ tiin an sawi \hin.
I urinary system hian i taksa natural filtration leh waste-removal network anga hna a thawh dan hi tawi te tein han thlir leh ila:
- Kidney pahnih: Heng taksa peng pawimawh tak takte hian i thisen atanga thil tha lo leh bawlhhlawh te chu an filter thin.
- Two Ureter: Hengte hi kal atanga zun (bladder) thlenga zun phurtu tube te an ni.
- Bladder: Zun i void theih hma loha dahna sac.
- Urethra: I taksa atanga zun chhuahna tube.
Hydronephrosis hi he kawngpui dunga khawi hmunah pawh, a bik takin kidney leh ureter inkarah hian inkharkhip a awm chuan a thleng thin.
He dinhmun hi kawng hrang hrangin a rawn lang thei a ni. A lo awm nghal (acute) emaw, hun kal zelah zawi zawiin a lo thang lian (chronic) emaw pawh a ni thei. Blockage hi a then emaw, a kim emaw pawh a ni thei. Kal pakhat chauh a nghawng chuan ‘unilateral hydronephrosis’ an ti a; a pahnih a nghawng chuan ‘bilateral hydronephrosis’ a ni. A hring nasat dan pawh hi a na lo atanga a nasat thlengin a awm thei bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Hydronephrosis hian kum eng pawh a nghawng thei a ni. Puitling 100 zinga 1 velin an dam chhungin engtik lai pawhin he natna hi an tawk dawn niin an chhut.
Nausen-ah chuan nausen pum chhunga awm laiin a awm thei a, hei hi ‘antenatal hydronephrosis’ an tih a ni. Naupai zinga 1% vel ah hmuh tur a awm. Vanneihthlak takin, a tam zawkah chuan naute a pian hmain a mah chauhin a reh thin.
Hydronephrosis natna lan chhuah dan chu engte nge ni?
Hydronephrosis symptoms hi a chhan bulpuiah a innghat tlangpui. Vawi tam tak chu, symptoms a awm lo . Sawi tawh ang khan nausen antenatal hydronephrosis vei te hian an pian hnuah symptom an nei lo tlangpui.
Mahse, symptoms a lan chhuah chuan, chungte chu:
- Natna nasa tak, na tak: I sir lamah, i pum chhungah emaw, i hnungzang hnuai lamah emaw.
- Nausea emaw luak chhuak emaw .
- Zun na tak.
- Thisen chu zun chhungah a awm.
- Urinary tract infection ( UTI ) lo awm leh thin.
- I zun hnuah i bladder chu a hring kim lo tih hriat rengna.
- Urinary frequency emaw volume emaw a inthlak danglam thin.
Zun a tang tlat avangin bacteria a pung thei a, hei hian UTI vei theihna a tipung a ni. Infection a awm chuan hetiang hian i hre mai thei:
- Khawsik, khawsik, leh hahna.
- Zun laiin kang emaw, natna emaw.
- Zun chhum emaw, a rawng danglam emaw.
Hydronephrosis hi eng thilin nge a thlen?
Hydronephrosis thlentu ber chu zun kawng khawi hmunah pawh a inkharkhip emaw, ‘blockage’ emaw a ni. A chhan awm thei engemaw zat a awm a:
Puitlingah chuan a chhan tlangpui:
- Kidney-a lung awmte: 1.1.Calcium leh oxalate atanga siam hard deposits, kidney emaw ureter emaw ah a awm thei.
- Ureteral obstruction: Ureter chhung ngeia blockage awm.
- Tumors: Bladder, prostate gland, uterus , emaw, a kianga taksa peng hrang hranga lo thang lian, zun kawng tichhe thei.
- Benign prostatic hyperplasia (BPH): Mipa prostate lian tak, zunthlum (urethra) a compress thei a, chu chuan bladder khar a ti harsa hle.
- Urethral strictures: Hliam, natna hrik emaw, operation hma emaw avanga zun kawng a zim.
- Neurological emaw muscular issues: Kidney emaw ureter emaw hnathawh dan pangngai tichhe thei harsatna.
- Urinary retention: Zunthlum (bladder) a chhuah kim theih lohna.
- Vesicoureteral reflux: Zun chu bladder atanga hnunglam hawia kal lam pan a luang.
- Ureterocele: Ureter hnuai lam chu bladder chhunga a lo hring chhuak thin.
Hmeichhia tana chhan bik: 1.1.
- Naupai: Nausen a lo seilian chuan nausen pum chu a zau a, chu chuan zun kawng (ureters) a tikhawlo thei a, zun kalna a tikhawlo thei bawk.
- Uterine prolapse: Nausen pum chu a awmna pangngai atanga a inthlak chuan.
- Cystocele (fallen bladder): Bladder leh vagina inkar wall a chak lo a, chu chuan bladder chu vagina chhungah a bulge lut a ni.
Nausen chhunga awm chhan (Antenatal):
- Nausen zun siam chhuah a tipung.
- Urinary tract-a pianpui inkharkhip (congenital blockage) a awm.
- Bladder atanga kidney thlenga zun a backflow.
Eng harsatna nge awm thei?
Enkawl loh chuan Hydronephrosis na tak hian kal a tichhia thei a, a tawpah chuan kal a tichhe thei bawk. Chutiang hunah chuan dialysis emaw, kidney transplant emaw ang chi intervention neih a ngai mai thei.
Mahse, khawngaihin hlauthawng suh! Mi tam tak chu Hydronephrosis natna atang hian an dam kim vek a, kal (kidney) a tichhe vek lo. A pawimawh ber chu rilru hahdam taka awm a, Nirogi Lanka-a professional-te hnen atanga a hun taka damdawi lam enkawlna lak hi a ni.
Engtin nge Hydronephrosis hi an hriat theih?
Doctor pan a, a rang lama hriat chhuah a pawimawh hle a, hydronephrosis hi enkawl loh chuan hun rei tak chhung kal a tichhia thei a ni.
I doctor chuan a tlangpuiin a hnuaia step te hmang hian a natna chu a hre thei ang:
- Physical Exam: I doctor chuan i symptoms te a zawt ang a, i pum leh i pelvic area te chu a tenderness emaw swelling emaw a awm leh awm loh a enfiah ang. I medical history an enfiah ang a, chhungkaw history-ah hetiang dinhmun hi a awm em tih an zawt ang. Mipaah chuan rectal exam hmangin prostate gland a lian em tih enfiah theih a ni. Hmeichhiaah chuan uterus emaw ovaries emaw chungchanga harsatna awm lo turin pelvic exam neih theih a ni.
- Urinalysis: Zun sample chu thisen, lung, bacteria, infection awm leh awm loh enfiah turin an enfiah ang. A then phei chuan i doctor hian sterile sample lak nan catheter a hmang a ngai mai thei.
- Thisen Test: Infection hriat theih nan Complete Blood Count (CBC) tih theih a ni. Tin, i kal hnathawh dan tehna atan creatinine, eGFR, leh BUN ang chi test te pawh an ti fo bawk.
- Imaging Procedures: Ultrasound scan hi diagnostic hmanraw pawimawh ber a ni. I mamawh dan azirin CT scan emaw MRI emaw pawh chipchiar zawka en theih nan a ngai thei bawk.
Nausen piang laiah hydronephrosis hi first trimester atang pawhin ultrasound hmangin hriat theih a ni fo tih i hria em? Kar 20 chhunga anatomy scan pangngai (routine 20-week anatomy scan)-ah a hriat chhuah tam ber. Hmuhchhuah a nih chuan i doctor chuan naute chu follow-up ultrasound hmangin a enfiah ang a; mahse, he natna hi pian hma emaw, pian hnu rei vak lovah emaw chuan a mah chauhin a reh fo ṭhin.
Hydronephrosis natna enkawlna tur hi engte nge ni?
Enkawlna tum ber chu zun kal dan pangngaia siam that leh i kal pressure leh swelling tihziaawm hi a ni. Enkawlna chu a chhan bulpuiah a innghat vek a ni.
A nasat loh chuan enkawlna engmah a ngai lo thei a, i doctor pawhin ‘nghah leh en’ tih a rawt thei bawk. Surgery hi i doctor-in a ngaihtuah theih tur dang a ni. I healthcare provider nen enkawlna kawng awm zawng zawng chungchangah inbiakna zau tak neih a pawimawh.
Blockage avanga hydronephrosis rang tak i neih chuan i doctor chuan i vun kaltlangin nephrostomy tube a dah lut thei a, chu chuan kidney atanga zun tam lutuk a chhuah tir thei a ni. A dang pawhin, i ureter chhungah plastic tube nem tak, ureteral stent an tih chu an dah thei bawk a, chu chu a inhawng reng thei a, zun a kal dik theih nan.
A chhan chu i kal emaw, i ureter emaw-a lung a awm a nih chuan a hnuaia thil tih theihte hi ngaihtuah theih a ni:
- Shock Wave Lithotripsy: Hei hi kal (kidney stone) enkawlna atana hman tlanglawn tak a ni. High-energy shock wave hmangin lungte chu a tenau zawk, enkawl theiha siamin, a pianphung anga kal theih a ni.
- Ureteroscopy: I urethra kaltlangin scope te tak te hmangin lung awmna hmun leh lakchhuah emaw, tihchhiat emaw a ni. Hei hi lung chu bladder emaw, ureter hnuai lam emawa awm tan hman a ni tlangpui.
- Surgery: Kidney lung hi a lian hle emaw, lakchhuah a harsa emaw a nih chuan surgery intervention a ngai mai thei. Tumor emaw scar tissue emaw ang chi thil dang daltu te pawh chinfel nan operation neih a ngai thei bawk.
I dinhmun hi urinary tract infection (UTI) emaw, infection avanga stricture (narrowing) emaw avanga lo awm a nih chuan, i doctor chuan a bulpui ber tihfai nan antibiotics a pe ang che.
Hydronephrosis hi ven theih a ni em?
Hydronephrosis hi a hnuaia thil awmte avanga lo awm a nih avangin, venna atan chuan chutiang bulpui berte chu a hmaa enkawl emaw, enkawl emaw a ngai a ni. I risk factors hriatchhuah hi venhimna atana hmalakna pawimawh tak a ni.
Hydronephrosis vei theihna tipungtu dinhmunte chu:
- Kidney-ah lung a awm.
- Urinary tract cancer vei tawhna chanchin.
- Tun hmaa zun kawng surgery neih tawhte.
- Urinary tract infection (UTI) lo awm leh thin.
- Thisen a chhuak thin.
- Prostate gland lian tak a awm.
- Naupai (ureter-a pressure awm vang).
Hydronephrosis hi ngaihtuahawm tak a ni em?
Ni e, enkawl loh chuan a pawi thei hle. Mahse, a tam zawk chu a na lo emaw, a na lo emaw a ni a, hun rei tak chhung hriselna lama harsatna nasa tak a thlen lo. Hlauthawng suh; hma taka inrawlh hi a pawimawh ber a ni.
Ka Hydronephrosis diagnosis hi ka ngaihtuah tur em ni?
Hydronephrosis diagnosis chungchangah hian ngaihtuah lutuk suh. A tam zawkah chuan enkawlna dik tak i neih chuan hun rei tak chhunga harsatna awm lovin nun pangngai takin i nung thei a ni. I dam lehna tur, nunphung siamrem dan tur leh dam hun tur beisei tur chungchanga zawhna i neih apiang chu Nirogi Lanka-a i doctor nen sawiho rawh.
Engtikah nge Doctor ka hmuh ang?
A hnuaia symptoms te hi i neih chuan doctor i pan nghal tur a ni:
- I sir emaw, i hnungzang emaw ah natna nasa tak a awm nghal.
- Luak chhuak reng reng.
- Zun inthlak danglamna: Zun chhuah dan pangngai aia tam emaw tlem emaw nasa taka zun chhuah, zun na tak, emaw i zun chhunga thisen chhuak.
- Khawsik 100.5°F (38°C) aia sang.
Ngaihtuahna hnuhnung ber
A tawi zawngin, hydronephrosis hi zun tam lutuk avanga kal (kidney) a lo hring chhuak thin a ni. Tu pawh a nghawng thei a ni. Vanneihthlak takin natna hmuhchhuah leh enkawl vat a nih chuan harsatna rei tak awm thei tur i veng thei a ni. Side emaw abdominal pain, nausea, vomiting, emaw i zun chhuah dan inthlak danglam ang chi symptom danglam tak tak i hmuh chuan professional hnenah zawhfiah rawh. A chhan hriat chian hnuah i doctor chuan enkawlna tha ber berte a kaihruai ang che. Hlauh a ngai lo; a hun taka damdawi lam enkawlna hi i invenna tha ber a ni.
