I dehydrated em? Hemi (Hypervolemia) chungchang hi han sawi ila!

I taksaah hian hriatna mak tak, rit tak i nei \hin em, a nih loh leh i taksa pengte a hring chhuak em? I pum chu a hring chhuak tih i hria em? Tlem chuan i thau lutuk tih i hre nghal mai thei em? Hengte hi random thil mai a ni lo. I taksaa tui, a nih loh leh tui awm zat hi a châng chuan a mamawh aia tam a ni thei. Damdawi lamah chuan he dinhmun hi (Hypervolemia) emaw (fluid overload) emaw (volume overload) emaw kan ti thin. A awlsam zawngin taksaa tui tam lutuk.

Hypervolemia tih hi eng nge ni?

Okay, hei hi a awlsam zawkin i dah ang u. Kan taksa 50% atanga 60% vel hi tui atanga siam a ni. Hei hian tui, thisen, leh lymph fluid ang chi thilte a huam a ni. He tui hian kan taksa peng hrang hrangte chu a thawk tha thei hle. A bik takin, he tui hi kan taksa pumpuiah thisen a kal kual theih nan leh a peng zawng zawngah ei tur tha a phurh theih nan a pawimawh hle. He tui hi a tam lutuk chuan eng nge thleng ang tih han ngaihtuah teh. Chutih lai chuan thil swelling , thisen sang , leh a chang chuan thinlung lam harsatna a awm thei.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge dawng thei ber?

Dik tak chuan tu pawhin he natna (Hypervolemia) hi an nei thei a ni. Amaherawhchu, mi thenkhat chuan an nei tam zawk. Entir nan:

• Lung natna nei emaw kal natna nei tan.
• Nu naupai tan.
• Hmeichhia tan chuan a bik takin hormone inthlak hun lai hian.
• An chaw eiah chi (i.e. sodium) dah tam lutuk te tan.

Hei hi engtiang chiahin nge a awm tih chiang taka sawi a harsa khawp mai. A châng chuan, fluid retention tlemte chu a mah chauhin a bo ang. Mahse a nasat chuan a hnuaia awm natna dang chhinchhiahna a ni thei fo.

Hypervolemia hian engtin nge ka taksa a nghawng?

I taksain tui a tam lutuk chuan harsatna engemaw zat i nei thei. Entirnan, swelling hian nitin hna thawh a ti harsa thei hle. I ke chu a hring vek tawh ang tih han ngaihtuah teh. Kal emaw, ding emaw harsa i ti a ni lawm ni?

Mahse, i symptoms a na lutuk lo a nih chuan a hringna hmun chu chawi sangin chawlh hahdam theih a ni. Entirnan, i ke a hring a nih chuan i mut laiin i ke hnuaiah pillow dah la. A nih loh leh, compression stockings pawh i hmang thei bawk.

A pawimawh ber chu heng symptoms te hi a na zual a nih chuan, emaw, taksa peng dangah pawh a hring chhuak ang maia i hriat chuan doctor pan ngei ngei tur a ni.

Hypervolemia natna lan chhuahna chu engte nge ni?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan symptoms na zawk an nei thei thung. A lan chhuah dan tlangpui thenkhat han thlir ila:

• Taksa hmun khata hring: A tam zawkah chuan kut leh ke a hring chhuak thin. A hma ni aiin an lian zawkin an lang thei.
• Bloating/distension: I pum chhungah boruak a khat ang maiin a lang thei.
• Thil nuam lo tenau: Muscle cramping emaw lu na ang chi thil.
• Sudden thau lutuk.

Mahse, heng bakah hian natna lan chhuahna na tak tak, enkawl vat ngai a awm bawk . Anni chu:

• Thisen sang a sang.
• Thâwk harsa.
• Heart failure (thinlung chak lohna).

Heng symptom na tak tak te hi i neih chuan damdawi in pan nghal tur a ni. Chu chu theihnghilh suh.

Engvangin nge he hypervolemia hi a lo awm?

Hei hi chhan hrang hrang a awm a. A bulpui berte han thlir ila.

Chi (sodium) a ni.

Hei hi a chhan ber chu i taksaa chi, a nih loh leh `sodium` a tam lutuk vang a ni. Sodium hi kan taksa tana mineral pawimawh tak a ni. Kan eitur a sodium awm zat hi tuiin a thunun a ni. Chaw chi (salty food) i ei tam chuan taksain a balance turin tui a hmang thin. Chuvang chuan chaw chi (salty food) kan ei hnuah tuihal kan ti thin. Kan eitur tui tak tak, pickles, sangha hring, sangha leh chips-ah te hian chi engzat nge a awm tih hi han ngaihtuah teh. Hengte hi ei fo leh tam tak i ei chuan taksaa sodium level a pung thei a ni.

A châng chuan operation hnuah emaw, taksa tui a tlakchham hunah emaw, intravenous (IV) fluid-ah pawh sodium a awm bawk. Hetiang hunah hian hypervolemia (taksa chhunga sodium inthlauhna) symptoms a awm thei.

Damdawi lam dinhmun hnuaia awmte

Damdawi lam thil thenkhat hian taksain tui a enkawl dan pawh a nghawng thei bawk. Hypervolemia chhinchhiahna anga lang thei damdawi lam dinhmun tlanglawn tak takte chu:

• Lung lam chak lohna.
• Kidney dinhmun.
• Cirrhosis a awm thin.
• Hepatitis natna a ni.
• Zunthlum.

Heng natna enkawlna atana hman damdawi thenkhat, a bik takin thisen sang damdawi leh natna tidamtu te hian hypervolemia hi side effect angin a thlen thei a ni.

Natna hnuaia awm enkawl emaw, enkawl emaw hian hypervolemia hi tihdam theih a ni a, a lo awm leh tawh loh nan a veng thei bawk.

Hormone inthlak danglamna leh naupai

Hypervolemia hi i taksaa hormone inthlak danglam vang pawh a ni thei. Vawi tam tak chu thlasik lai emaw, naupai lai emaw hian taksa hian sodium leh tui a vawng tlat thin. Naupai lai hian ke emaw, ke ruh emaw a hring hi a awm fo thin. Hei hi a chhan chu uterus hian taksa hnuai lam thisen kalna kawng a press vang a ni. He pressure hian taksa pum puia tui awmte zalen taka kal (`circulatory system`) a tibuai a ni.

Engvangin nge taksa tui tihreh nan kidney hi a pawimawh?

I kal hian i taksa atanga tui tam lutuk chu zun (urinary system) angin a paih chhuak thin. I kal (kidney) te hi filter ang mai a ni. Bawlhhlawh atanga tui leh mineral pawimawh (sodium leh potassium ang chi) te chu an thliar hrang thin. Bawlhhlawhte chu a chhuak a, a tui la awm chu thisenah a kir leh a, chu chuan kan cell leh taksa peng hrang hrangte chu a thawk thei a ni. Chuvangin, i kal (kidney) te hian hna a thawk tha lo a nih chuan i taksaah tui a lo awm tan thin.

Hypervolemia hi engtin nge an hriat theih?

Doctor i hmuh chuan i natna lan chhuah dan an zawt hmasa ang a, taksa enfiahna an nei ang. Tichuan, i thisen leh i zun a sodium awm zat enfiah turin test an nei thei bawk. I taksaa thisen awm zat enfiah nan thisen volume test pawh an ti thei bawk. He test result atanga thisen i tam lutuk tih a hriat chuan hypervolemia tih natna hriatchhuahna kawngah a pui thei a ni.

I doctor chuan i hypervolemia hi a hnuaia natna dang avanga lo awm a nih a rinhlelh chuan, thisen test emaw scan (imaging test) emaw tih belh leh turin a ti thei bawk.

Hypervolemia vei theihna tur hlauhawma awm thei i neih chuan, i taksa rihna (weight) neih fo leh i taksa rihna a san thut dan enfiah hian he natna hi a hmain i hriat theih nan a pui thei a ni.

Hypervolemia hi engtin nge enkawl a nih?

Enkawl dan hi a chhan a zirin a inang lo a, mahse a tum ber chu taksaa tui awm zat tihtlem a ni.

Enkawlna \ha ber chu a chhan bulpui enkawl emaw, enkawl emaw a ni a, chu chuan natna lan chhuah dan a ti bo ang a, a lo lang leh lo ang.

Enkawlna dangte chu:

• Diuretics ei: Hengte hian taksaa tui awm zat chu zun hmanga paih chhuakin a ti tlem a ni.
• Chaw ei atanga chi (salt) tihtlem.
• Tui leh tui dang i in zat tihtlem.
• Dialysis emaw paracentesis emaw ang chi enkawlna: Hengte hi taksa atanga tui tam lutuk lakchhuahna tur bik hmanga lak chhuah a ni.

Hypervolemia ka neih chuan tui ka in thei ang em?

Ni e, hypervolemia i neih pawhin tui i in tur a ni. A chhan chu tui hi kan taksa tan a pawimawh em em a, kan taksa peng hrang hrangte hian a thawk tha tur chuan a mamawh a ni. Amaherawhchu, tui i in zat kha i tikhawtlai tur a ni. Ni khata tui i in zat chu record la. Tin, i doctor hnenah ni khatah tui engzat nge i in tur tih zawt bawk ang che.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Enkawlna i dawn dan azirin darkar 24 chhungin i natna lan chhuahna chu a lo tha chho tan thei a ni. A nih loh leh kar engemaw zat a la ngai thei bawk. I doctor chuan i dinhmun a enfiah ang a, a tul chuan i enkawlna tur chu a siamrem ang a, chu chuan i natna tihziaawmna tur a pui ang.

Engtin nge he hypervolemia hi i pumpelh theih ang?

Hei hi pumpelh vek theih a nih loh laiin, a hlauhawmna tihziaawmna tur thil i tih theih a awm a:

• Chi tlem ei tur ei rawh. (Entirnan, artificial sweeteners, canned foods, instant noodles, etc. ei loh tur)
• Ni khata tui i in zat tur chu fimkhur rawh.
• I taksa rihna inthlak danglam nghal a awm em tih hriat nan i rit zawng teh fo thin ang che.
• Damdawi lama harsatna dang i neihte chu uluk taka enkawl emaw, enkawl emaw rawh.

Hypervolemia vei chuan eng nge a beisei theih ang?

Taksa a tui tam lutuk hian side effect na tak a neih theih avangin hun rei tak chhung a chhiat loh nan enkawlna zawn a pawimawh hle. A hmaa hriatchhuah leh enkawl a nih chuan hypervolemia vei te hi an dam theihna chance a tha hle. Kawng engemaw takah chuan hypervolemia hi natna hnuaia awm chhinchhiahna a ni a, a dam lehna chu a hnuaia natna awm dan enkawl that danah a innghat a ni.

I natna hmuhchhuah dan leh nunphung tihdanglam i mamawh leh mamawh loh (e.g., i ei leh in-a chi tihtlem, tui i in zat tihtlem) chungchang doctor nen sawiho rawh.

Hypervolemia hi eng chen nge a awm?

Hypervolemia natna na lo tak takte chu ni engemaw zat chhungin a mah chauhin a reh thei. Amaherawhchu, inenkawlna i mamawh leh mamawh loh hriat chian nan doctor pan a tha ber. A nasat zawkah chuan dam lehna hun rei zawk a daih thei a, a bik takin damdawi lam dinhmun hnuaia awm a nih chuan. Hypervolemia thlentu underlying condition enkawl hian i dam leh thuai thei a, mahse enkawl tan a nih hnuah pawh kar engemaw zat chhung chu symptoms a awm thei.

Engtikah nge Doctor ka hmuh ang?

Hypervolemia symptoms i neih chuan doctor nen inbia ang che. A hmaa hriatchhuah leh enkawl hian rah tha ber i hmu thei a ni. I taksaa tui tam lutuk avanga i rilru hahna tihziaawmna tur a ni bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Thâwk harsa ti thei symptoms na tak i neih chuan, heart rate dik lo i neih chuan, emaw, natna nasa tak i neih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Eng thilin nge ka tan he dinhmun hi a thlen?
• Ni khatah tui engzat nge ka in theih ang?
• Engtikah nge diuretics ka ei tan ang a, eng chen nge ka ei tan ang?
• Hypervolemia lo awm leh tur ven nan engtin nge ka dinhmun hnuaia awm chu ka enkawl theih ang?

Hypervolemia leh Hypovolemia hi eng nge an danglamna?

(Hypervolemia) leh (Hypovolemia) te a awm bawk.tih hi i taksaa tui emaw thisen emaw awm zat sawina dinhmun pahnih a ni. Hypervolemia-ah chuan "hyper" tih hi "a tam lutuk" tihna a ni. Hypovolemia-ah chuan "hypo" tih hi "tlem lutuk" tihna a ni. "vol" tih hi a volume a ni. Chuvangin, Hypervolemia i neih chuan i taksaah tui i tam lutuk tihna a ni. Hypovolemia i neih chuan i taksaah tui i tlem lutuk tihna a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Thian duh takte u, tunah hian Hypervolemia chungchang hi in hriatthiam ka beisei.

Fluid retention hi a chang chuan a nuam lo thei hle. I natna lan chhuah tirh veleh doctor pan a pawimawh a, enkawl a ngai em tih hriat a pawimawh.

Thil tenau tam zawk chu anmahniin a reh thei a, mahse, hypervolemia awm reng, enkawl loh chu a hlauhawm thei hle. Chuvangin, i chi ei tlem a, i damdawi lam dinhmun dangte pawh enkawl la, hypervolemia vei theihna tur tihtlem tum ang che. Hrisel takin awm rawh!

` Hypervolemia, taksaa tui pung, a hring, thisen sang, kal natna, sodium, thinlung tha lo