Kidney stone i nei fo em? A nih loh leh i naupang tê hian a hmu em? Hei hi a chhan chu i zun-ah oxalate an tih chemical a tam lutuk vang pawh a ni mai thei. Hetiang dinhmun hi medical science-a hyperoxaluria kan tih chu a ni. He hming i hriat hian hlau suh, a awlsam hle mai. Hemi chungchang hi chiang tak leh i hriatthiam theih tur zawngin sawi ila.
A awlsam zawngin Hyperoxaluria chu eng nge ni?
Oxalate hi kan taksain a pianphung a siam chemical a ni a, kan eitur thenkhatah pawh a awm bawk. A tlangpuiin kan kal (kidney) hian heng oxalates te hi taksa atangin zun chhungah a filter chhuak thin.
Mahse, hyperoxaluria vei tan chuan an zun a oxalate awm zat hi a pung lutuk a ni. Hei hi a hlauhawm thei hle. He oxalate tam lutuk hi zun chhunga calcium awm nen a inzawm khawm a , kidney stone leh calcium oxalate crystals a siam thin .
Heng lung leh crystal te hian i kal (kidney) a tichhe thei a, an hnathawh a ti tlem thei bawk. Hun a kal zel a, hei hian kal (kidney failure) pawh a thlen thei a ni . Chu mai pawh ni lovin, he oxalate tam lutuk hi taksa chhunga tissue leh organ dang dangah pawh a awm tan thei bawk.
Hyperoxaluria chi hrang hrangte chu engte nge ni?
He natna hi a chhan a zirin chi thum a awm a. Heng inthlauhna te hi i hriatthiam phawt chuan hriatthiam a awlsam hle.
| Hyperoxaluria chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a. Primary Hyperoxaluria (PH) . | Hei hi genetic disease , rochun a ni tihna a ni. Heta thil thleng chu liver-a enzymes-ah chhiatna a awm a, chu chuan taksain oxalate a siam chhuah theih loh phah a ni. Hei hi chi thum zinga pawi ber a ni. |
| Enteric Hyperoxaluria a awm thin | Hei hi chaw ei kawng (intestinal tract) natna avanga lo awm a ni.Entirnan, Crohn’s disease emaw inflammatory bowel disease ang chi natna nei te hian an intestine atang hian oxalate an la tam zawk thin. Hetiang dinhmun hi taksa rihna tihtlem surgery thenkhat (gastric bypass surgery) hnuah pawh a awm thei bawk. |
| Ei leh in lama Hyperoxaluria a awm | A awlsam khawp mai. Oxalates tamna ei tam lutuk vang a ni . Spinach, beet, soy, almond, leh potato ang chi thilah hian oxalates a tam hle. |
Hei hi tuin nge dawng? Kum engzat nge a nih?
Hyperoxaluria natna hi kum eng pawhah a lang thei a, naute atanga puitling thlengin a lang thei a, mahse kum 5 vel a ni tlangpui.
- Primary Hyperoxaluria (PH) vei te hian naupan lai emaw, tleirawl lai emaw (a tlangpuiin kum 20 an tlin hmain) kal (kidney stone) an nei fo thin. Hetiang dinhmun hi naupang tê têah a lo awm a nih chuan a na hle thei a ni.
- Enteric leh dietary type-ah te hian kidney stone leh symptom dangte hi puitlingah a lang fo thin.
Hetiang natna lan chhuah dan hi engte nge ni?
Vawi tam tak chu a lan chhuah hmasak ber chu kal (kidney stone) a ni. Mahse mi zawng zawng hian kal (kidney stone) an nei vek lo. A lan chhuah dan bulpui te han thlir ila.
| A lan chhuah dan tlangpui | |
|---|---|
| Thisen chu zun chhungah a awm | Urinary tract infection (UTIs) lo awm leh thin . |
| Naupang tê tête zînga ṭhanlen lohna | |
| Kidney stone avanga natna lan chhuah dan | |
| |
Pawimawh: Naupang tê têa kal (kidney stone) hi he natna, Hyperoxaluria chhinchhiahna a ni fo thei. Chuvangin, hetiang thil hi i hmuh chuan , i fa chu doctor hnenah hruai nghal mai rawh.
Engvangin nge hetiang hi a lo awm? Tute nge risk sang zawk?
Kan sawi tawh ang khan a chhan pathum a awm a:
- Genetic defect (Primary hyperoxaluria): Nu leh pa atanga fate rochun thil.
- Intestinal diseases: Chaw ei leh in lama natna avanga oxalate ei tam lutuk.
- Diet: Oxalate tamna ei tur ei tam lutuk.
Hetiang dinhmun hi a thlen theihna tur thil engemaw zat a awm a:
- I chhungkuaa mi pakhatin Primary Hyperoxaluria a vei a nih chuan.
- Kidney stone i neih fo chuan.
- Naupan lai (vawi khat pawh) kal (kidney stone) i neih tawh chuan.
- Doctor in i kal (kidney) ah calcium a awm tih a hrilh che a nih chuan.
Hei hian eng harsatna nge a thlen theih?
Hyperoxaluria complication lian ber leh hlauhawm ber chu kal chhiatna leh kal tha lo hi a ni.
Kidney a chhiat chuan taksaa oxalate tam lutuk awmkhawm chu a paih chhuak thei lo. Tichuan, heng oxalate crystal te hi taksa peng dang, ruh, thisen, ruh, thinlung leh mit ah te an awm tan ta a ni. Hetiang dinhmun hi oxalosis kan ti a .
Oxalosis hian hriselna lama harsatna dang a thlen thei a:
- Ruh natna
- Thisen tlakchhamna (Anaemia).
- Thinlung leh mit lama harsatna nei
- Naupangte thanlenna leh thanlenna nena inzawm harsatna
Engtin nge hei hi a awm leh awm loh ka hriat theih ang?
I doctor chuan i natna lan chhuah dan te, chhungkaw damdawi lam chanchin te, leh i ei leh in te a zawt ang che. Chumi hnuah chuan a natna hriat chian nan test eng emaw zat a ti ang.
- Zun test: Zun chhunga oxalate leh enzyme level teh thin.
- Thisen test: Kal hnathawh dan leh thisena oxalate awm zat enfiah thin.
- Imaging test: X-ray, ultrasound, CT scan hmangin kal lung emaw, calcium oxalate crystal emaw a awm leh awm loh enfiah theih a ni.
- Genetic testing: Primary Hyperoxaluria rinhlelhna a awm chuan he test hi a thlentu genetic mutation a awm leh awm loh finfiah nan tih a ni.
A châng chuan, i taksa hmun dangah oxalate a awm em tih hriat nân, echocardiogram , mit enfiahna, a nih loh leh ruhro biopsies ang chi test bîk i neih a ngai mai thei.
Engtin nge enkawl a nih?
Enkawlna tum ber chu taksaa oxalate level tihhniam a, kal leh taksa peng dangte crystal siam lo tura ven leh venhim a ni. Enkawlna chu hyperoxaluria i neih chi leh i natna nasat danah a innghat a ni.
Damdawi ei tur
- Primary hyperoxaluria vei te chu oxalate level tihhniam nan vitamin B6 (pyridoxine) dose sang tak pek an ni.
- Calcium oxalate crystal siam lo turin damdawi potassium citrate ang chi te pek thin a ni.
- Enteric Hyperoxaluria vei te chu chaw ei rualin calcium supplement ei turin an fuih a, a chhan chu calcium hian oxalate a binding a, taksa atanga awlsam zawka paih chhuah a pui a ni.
Nunphung leh ei leh in lama inthlak danglamna
- Tui in tam: Ni khatah tui litre 3 vel in a pawimawh. Hei hian oxalate tam lutuk chu zun hmangin a flush out thei ang a, lung a awm loh nan a pui bawk ang. Hei hi chi hrang hrang tan a pawimawh hle.
- Diet: Chi leh sugar tihtlem. Sa, bawnghnute leh artui ang chi rannung protein te tihtlem. Oxalates tamna ei tur (spinach, rhubarb, beets, chocolate, tea, nuts) ei loh tur.
- Calcium tamna ei tur: I chaw eiah calcium tamna ei tur dah tel hian oxalate level a tihhniam thei a ni.
Mahse, he ei leh in hian Primary Hyperoxaluria an tih genetic condition-ah hian nghawng lian tham a nei thei lo tih hre reng ang che . Ruihhlo hmanga enkawl a ngai tak zet a ni.
Kidney lungte enkawl dan
Tui tam tak i in chuan kal lung thenkhat chu a mah chauhin a kal thei ang. An tih loh chuan i doctor-in a paih chhuah a ngai mai thei.
Dialysis emaw transplant emaw tih theih a ni
Natna a nasat a, kal a chhiat chuan thisen tihfai nan kal (kidney dialysis) a ngai mai thei. Primary Hyperoxaluria natna a nasat chuan kal emaw, thin emaw thlak a ngai mai thei.
Engtikah nge doctor i hmuh ang?
Hei hi kidney stone chhinchhiahna hmasa ber a nih avangin kidney stone nei nia i hriat chuan doctor pan nghal rawh, a bik takin heng symptoms te hi i neih chuan:
- Hnunglam, flank emaw, pum hnuai lam emaw a na.
- Zun sen, pink, emaw brown emaw a awm.
- Zun tam dan emaw, a tam dan emaw a inthlak danglam.
- Zun laiin natna.
Hetiang natna i nei tih i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. I doctor, chhungte, leh i ṭhiante nen i ngaihtuahnate chu sawipui rawh. Enkawlna dik tak hmang hian he natna hi i enkawl tha thei a, hrisel takin i awm thei tih hre reng ang che.
Take-Home Thuchah a ni
- Hyperoxaluria hi zun a oxalate level sang chuan kal a lung a tichhia thei a, kal a tichhia thei bawk.
- Hei hi chi thum a awm a, chungte chu primary, enteric leh dietary te an ni.
- Kidney stone i neih fo chuan, a bik takin naupang tê têah chuan he natna hi a lantîr thei a ni. Doctor pan nghal rawh.
- Enkawlnaah chuan damdawi ei te, tui in tam te, leh ei tur thenkhat tihtlem te a tel a ni.
- Doctor thupek dik taka zawm chuan kal chhiatna i veng thei ang.
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