Kidney hi kan taksa peng mak tak a ni. Kan taksaah hian super filter system ang mai an ni. Mahse a tam zawkah chuan thil a kalsual hma loh chuan an hlutna kan hre lo. A chang chuan i ke a hring ang maiin i inhria em, i chau reng a, ei pawh i duh lo em ni? Hengte hi i kal atanga signal lo chhuak a ni mai thei. Chuvangin vawiin hian kidney disease chungchang hi a awlsam zawngin kan sawi dawn a ni.
Kidney disease hi eng nge ni tak tak?
A awlsam zawngin sawi ila, kal natna chu i kal (kidney)-in a hna ber, thisen filter a tih theih loh vang a ni. Heng kal (kidney) te hi i hnungzang sir lehlamah, i kawr chung lam deuhah a awm a.
Kidney a chhiat chuan , taksa atanga bawlhhlawh leh tui tam lutuk chu a paih chhuak thei lo. Hei hian ke leh ke ruh a hring , rilru hah , hahna , mut theih lohna leh thawk harsatna te a thlen thei a ni He natna hi uluk taka enkawl a nih loh chuan a chhiatna chu a zual zel thei a, a tawpah chuan kal (kidney) a tichhe vek thei a ni. Hei hi natna khirh tak, nunna atana hlauhawm tak pawh a ni.
Kidney hrisel hian eng service nge a pek?
Kal hrisel hian kan taksa tana a tih theih thenkhat hi han thlir ila.
- Thisen chhunga tui leh minerals sodium, potassium, leh phosphorus te inthlauhna a vawng reng a ni.
- Kan ei tur kan ei zawh hnu, taksa ruh hnathawh zawh hnu leh kan damdawi ei zawh hnua thisenah bawlhhlawh awmkhawmte chu a filter a, a paih chhuak thin.
- Hormone renin tih a siam chhuak a, chu chuan thisen sang control turin a pui a ni.
- Erythropoietin an tih chemical a siam chhuak a, chu chuan taksain thisen sen (red blood cells) siam turin signal a pe a ni.
- Ruh hriselna atana pawimawh tak vitamin D active form a siam chhuak a ni.
- Ngaihtuah teh, minute 30 danah kan taksa pum puia thisen awm zawng zawng hi heng kal (kidney) hian a filter vek thin.
Kidney natna chi hrang hrangte chu engte nge ni?
Kal natna chi hrang hrang a awm a. A chi hrang hrang hman tlanglawn tak tak thenkhat han thlir ila.
| Natna Hming | A awlsam zawngin... |
|---|---|
| Kal natna rei tak (CKD) . | Hei hi a tam ber chi a ni. Hun kal zelah kal hnathawh a hloh zauh zauh vang a ni. Zunthlum leh thisen sang hi a chhan ber a ni. |
| Polycystic Kidney natna a ni | Hei hi genetic disease a ni a, kidney-ah fluid-filled cyst a siam a, an hnathawh a tibuai a ni. |
| Lupus Nephritis natna a ni | Autoimmune natna lupus an tihah hian kan taksa ngeia immune system hian kal (kidney) a bei a. |
| Glomerulonephritis natna a ni | Kidney-a filter te tak te (glomeruli) te tihchhiat. Hei hi ril infection thenkhat (strep infection) hnuah pawh a thleng thei bawk. |
| Pyelonephritis natna a ni | Urinary tract infection, kal (kidney) tichhe thei. Hetiang hi a thleng fo chuan kal (kidney) a tichhe thei a ni. |
Kal natna thlentu te chu engte nge ni?
Kidney natna thlentu hi chi hnihah then theih a ni.
Kal chak lohna (Acute Kidney Injury) .
A chang chuan kal (kidney) hian hna a thawk tawh lo thut mai. Hei hi a chhan chu:
- Accident lian tak a awm a, thisen a chhuak nasa hle bawk.
- Taksa tui tlakchhamna nasa tak.
- Infection na tak (sepsis) vangin taksa chu shock-ah a lut thin.
- Mipa zun lung emaw, prostate gland lian emaw avanga zun kal dan tihkhawtlai.
- Damdawi thenkhat emaw toxin emaw ei.
- Naupai laiin harsatna a awm thin.
Kal natna rei tak (CKD) .
Hei hi mi tam takin harsatna an neih chu a ni. Thla 3 aia rei kidney function tha lo a nih chuan CKD kan ti thin. Hetah hian a hlauhawm ber chu a tir lamah chuan symptom a awm lo.
Sri Lanka rama CKD thlentu lian ber pahnih chu zunthlum leh thisen sang a ni.
Hun kal zelah thisen sugar level sang chuan kal (kidney) a tichhe thei a ni. Chutiang bawkin thisen sang chuan kal (kidney)-a thisen petu thisen kalna kawng nalh tak takte chu a tichhe thei a ni.
Hei bakah hian chhan awm lova painkillers (a bik takin NSAID Ibuprofen leh Diclofenac ang chi) rei tak hman hian kal a tichhe vek thei bawk.
Engtin nge kal natna ka neih leh neih loh ka hriat theih ang? - Natna
Hetah hian harsatna lian ber chu kal natna hian a zual zel hma chuan engmah a lantir lo fo thin . I kal chhiatna 50% vel a thlen hma chuan engmah i hre lo mai thei. Mahse natna a zual zel chuan heng ang symptoms hi a lo lang thei a ni:
- Thisen sang a sang
- Nausea leh luak chhuak
- Chaw chakna
- Ka chhungah metallic taste a awm tih hriat
- Chauhna leh chak lohna reng reng
- Thil ngaihtuah harsa tak a ni
- Mut harsatna a awm
- Muscle twitching leh natna
- Ke leh ke ruh a hring chhuak
- Vun na reng reng
- Chest na (thinlung vel ah tui a awm khawm chuan) .
- Thâwk harsa (lung chhunga tui a awm khawm chuan) .
Engtin nge doctor hian natna hi a hriat chian tak tak?
Doctor hmu tura i kal chuan i chhungkaw medical history te, eng damdawi nge i ei tih te a zawt ang a, chutah chuan taksa enfiahna a nei ang. Chu bakah, heng test te hi a order thei bawk.
| Fiahna | Eng nge i en? |
|---|---|
| Thisen Test neih a ni | Kidney function (eGFR) hi thisenah bawlhhlawh (creatinine ang chi) awm zat enin chhut a ni. |
| Zun Test neih a ni | Zun hi protein (a bik takin albumin) a awm leh awm loh enfiah thin a ni. Kidney hrisel hian protein a paih chhuak lo. |
| Ultrasound hmanga Scan a ni | Kidney lian leh te leh a pianzia leh urinary stone ang chi obstruction a awm leh awm loh enfiah thin ang che. |
| Kidney Biopsy tih a ni | Kidney atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah a, natna thlentu dik tak chu an hre thei a ni. |
Kal natna enkawl dan tur engte nge ni?
Hetah hian kan hriatthiam tur pawimawh ber chu Chronic kidney disease (CKD) hi a dam kim thei lo tih hi a ni. Amaherawhchu, enkawlna tum ber chu natna zual zel tur tihkhawtlai leh a natna lan chhuah dan thunun hi a ni.
1. Damdawi chi hrang hrang
I doctor chuan i thisen sang control nan ACE inhibitor emaw ARBs ang chi damdawi a pe thei ang. Hengte hian i thisen sang a tihniam a, i zun a protein i hloh zat a tihtlem avangin i kal a venghim bawk. Tin, zunthlum i vei a nih chuan i damdawi ei tur a pek ang chiah chiah i ei tur a ni.
Damdawi ei loh tur: Kal natna i neih chuan Doctor rawn hmasa lovin natna tidamtu (a bik takin NSAID – Ibuprofen, Naproxen, Diclofenac) ei ngai suh. Hengte hi damdawi dawr atang pawhin lei suh. Tin, i damdawi ei zawng zawng, vitamin pawh nise, i doctor hnenah hrilh bawk ang che.
2. Ei leh in tur
Hei hi a pawimawh hle. Kidney a chhiat chuan thisen atanga sodium (chi), potassium (banana, orange, etc.-a awm), phosphate (bawnghnute, cheese, leh nut-a awm) te chu paih chhuah a harsa thin. Chuvangin doctor chuan hengte hi a tlem zawka ei leh in bik ei turin a fuih che a ni. Hemi atan hian dietitian tanpuina lak a pawimawh hle.
3. Dialysis tih a ni
Kal a chak lo hle a, chu chu a hlawhchham hunah chuan kal hna thawh tur, chu chu thisen tihthianghlimna tur chu machine hmanga tih a ngai a ni. Hei hi dialysis an ti a. Chumi atana hmanraw lian pahnih a awm a, chungte chu:
- Hemodialysis: Damdawi inah emaw, in lamah emaw machine-a thlunzawm hmanga thisen tihfai a ni.
- Peritoneal Dialysis: Thisen atanga bawlhhlawh paih chhuah nan pum chhunga tube dah hmangin tui bik dah a ni.
4. Kal thlak (Kidney Transplant) a ni
End-stage renal disease enkawlna tha ber chu kidney transplant hi a ni. Mi hrisel (nung emaw thi emaw) atanga kal (kidney) chu surgery hmanga thlak a ni. Transplant hlawhtling tak hnuah dialysis a ngai tawh lo. Mahse, damlo chuan a dam chhung zawng damdawi a ei a ngai dawn a, chu chu taksain kal thar a hnawl loh nan a ni.
Take-Home Thuchah a ni
- Chronic kidney disease (CKD) hi natna a ni a, ngawi rengin a kal zel a, a lan chhuahna a awm lo .
- Zunthlum leh thisen sang hi a hlauhawmna ber a ni. Heng natna te hi i neih chuan i kal (kidney) pawh enkawl bawk ang che.
- Risk a awm chuan a hun hunah doctor pan a, i zun leh thisen test tir a pawimawh hle.
- Doctor thurawn tel lova, eng chhan pawh ni se, painkiller (NSAID) hi rei tak hman loh tur a ni.
- Kal natna i vei nia hriat i nih chuan enkawl tum ber chu tihdam a ni lo va, natna a zual zel loh nan thunun a ni. Chutiang ti tur chuan i doctor thupek dik takin zawm tur a ni.
Kal natna, CKD, Zunthlum, Thisen sang, Dialysis, Kal Transplant











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