Kidney Failure chungchanga hriat tur pawimawh te

Kidney hi kan taksa peng te tak te, mahse pawimawh tak a ni. Kan taksa chhunga bawlhhlawh awmte filter chhuaktu super filter pahnih ang an ni. Mahse, heng filter pahnih hian hna an thawk tawh lo a nih chuan eng nge thleng ang, zawi zawiin emaw, rang takin emaw pawh nise? Chu chu damdawi lamah chuan kidney failure kan tih chu a ni. Hetiang dinhmun hi kan zavaia kan hriat chian a pawimawh hle. A chhan chu, kan hriat hma chuan a chhiatna thlen thei chu nasa takin kan thunun thei a ni. Chuvangin, he thu hi chipchiar takin sawi ila.

A awlsam zawngin sawi ila, heng kal (kidney) te hian eng hna nge an thawh?

I kal (kidney) hi i kutphah ang vela lian, bean ang chi organ pahnih a ni. I hnungzang, i rib cage hnuai chiaha awm an ni. Mi tam zawk chuan kal (kidney) hna thawk thei pahnih an nei a, mahse kal pakhat a thawk tha a nih chuan nun hrisel tak nei tur chuan a tawk a ni.

Kidney hian hna tam tak a nei a. An zinga pawimawh leh pawimawh ber chu kan thisen tihfai hi a ni . In lama tui filter ang maiin, kal hian kan thisen atanga bawlhhlawh leh toxin duh loh zawng zawng chu a filter chhuak vek a, taksa atangin zun angin a paih chhuak vek a ni

He filter hi a chhe ta a nih chuan eng nge thleng ang tih han ngaihtuah teh. Chu chu i kal (kidney) a thawk tha lo a nih chuan a thleng thin. I taksaa toxin awmte chu a chhuak thei lo va, i taksa chhungah a lo pungkhawm tan thin. Chutiang a lo thlen chuan i natna a inhriat tan a, enkawl loh chuan nunna atana hlauhawm hial a ni thei. Mahse lungngai suh, inenkawlna mumal tak a awm chuan mi tam takin he natna hi an thunun thei a, nun tha tak an hmang thei a ni.

Kidney natna stage pangate chu engte nge ni?

Doctor-te’n kal natna a nasat dan tehna bik a awm a. A hming chu eGFR (estimated Glomerular Filtration Rate) tih a ni. Hei hi i thisen test atanga i hmuh value a ni. A awlsam zawngin, he eGFR value hian i kal (kidney) hian bawlhhlawh a filter that zia a hrilh che a ni. Mi hrisel eGFR value hi 90 aia sang a ni a, he value hi a hniam poh leh i kal (kidney) te hian a thawk tha lo zawk thin.

Kidney natna hi stage lian pangaah then theih a ni.

Kidney failure chungchanga vaukhânna chhinchhiahna bulpui ber berte chu engte nge ni?

Sawi tawh ang khan a tir lamah chuan symptoms a awm lo mai thei. Mahse, kal hnathawh a tlahniam chuan a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i nei thei a ni:

• Engmah ti thei lo tura chau lutuk tih hriat (chau): Chauhna pangngai mai ni lovin, eng ang pawhin mut pawh nise hah lutuk anga inhriatna.
• Nausea leh vomiting: Nausea leh vomiting bakah ei duh lohna.
• Buaina emaw, ngaihtuahna seng harsa emaw: Thil ngaihtuah harsa, thil theihnghilh.
• Swelling (edema): A bik takin kut, ke ruh, ke leh hmaiah a hring. Kut zungtang hmanga hmet chuan dimple ang maiin a lang.
• Zun tam dan inthlak danglam: A tlangpui aia tam emaw tlem emaw i zun tan thei. A châng chuan zun chu foamy emaw thisen chhuak emaw i hmu thei bawk.
• Muscle spasms: Ke leh kut ah muscle spasms a awm.
• Vun ro leh hnim: Kal atanga toxins tha taka paih chhuah a nih loh chuan vun a vawt thei a, tuar theih loh khawpin a na thei bawk.
• Ei duhna: Ei duhna i nei lo mai thei a, i chaw eiah hian metallic taste (iron ang chi) i hmu thei bawk.

Heng symptoms te hi i neih hian kidney failure i nei tihna a ni hauh lo. Mahse, heng symptoms pakhat emaw a aia tam emaw i neih chuan i doctor pan nghal a pawimawh a, thurawn la rawh .

Kidney failure chhan berte chu engte nge ni?

Kidney failure hi kawng lian pahnih a awm thei. Pakhat chu Chronic Kidney Disease (CKD) a ni a, hun kal zelah zawi zawiin a lo awm thin . A dang chu Acute Kidney Injury a ni a, chu chu a lo thleng nghal vek a ni .

Chronic kidney disease (CKD) thlentu ber 1.1.

Kan ramah hian mi tam takin kal natna an vei chhan lian tak pahnih a awm a.

1. Zunthlum: Zunthlum thunun loh vangin thisen sugar level a sang reng a. He sugar tam lutuk hian kidney-a thisen kalna kawng nalh tak takte chu a tichhia a, rust-in rust a ei bo ang maiin a tichhia a ni. Hun a kal zel a, he chhiatna hian kal (kidney)-in thisen a filter theihna a ti tlem a ni.

2. Thisen sang (High Blood Pressure): Thisen sang tih awmzia chu thisen kaltlangin chakna nasa tak nen thisen kaltlangin a kal tihna a ni. Hetiang chakna nasa lutuk hi a kal zel chuan kal (kidney) tissue nalh tak takte chu a chhe vek a ni. Hei hi kal (kidney failure) thlentu lian tak a ni bawk.

Heng chhan lian pahnih bakah hian chhan dang a awm a:

• Polycystic Kidney Disease (PKD): Hei hi genetic condition a ni a, thlah kal zelah a kal zel a ni. Hetiang dinhmunah hian kal chhungah fluid-filled cysts (cysts) a lo awm a, chu chuan kal a lo thang lian zel chuan a tichhe thei a ni.
• Glomerular diseases: Heng natnate hi kal (kidney) filtering unit te tichhe thei natna a ni.
• Autoimmune diseases: Lupus ang natnaah hian keimahni immune system hian kal (kidney) a bei a, a tichhia a ni.

Sudden acute kidney failure awm chhan

Hei hi a thleng nghal thei a, darkar engemaw zat emaw, ni engemaw zat emaw chhungin a thleng thei bawk. Mahse, a tam zawkah chuan he natna hi hun rei lote chhung atan a ni a, enkawl dan dik tak chuan a tidam thei a ni.

• Damdawi thenkhat: a bik takin hun rei tak chhunga natna tidamtu hman.
• Dehydration na tak: Taksa chhunga tui tling lo.
• Zun kawng (Urinary tract obstruction): Urinary tract emaw thil dang vang emawa zun kalna a tikhawlo.
• Natna dang enkawl loh: Natna khirh tak tak, Lung natna emaw, thin natna emaw.

Engtin nge kal natna hi kan hriat theih ang?

I doctor-in kal natna i neih a rinhlelh chuan i natna hriat chian nan test eng emaw zat an ti thei a ni.

• Thisen test: Hengte hian thisenah bawlhhlawh creatinine leh urea awm zat an enfiah ber a ni. Kidney te hian hna a thawk tha lo a nih chuan thisenah an level a sang chho thin. He thisen test atang hian eGFR value pawh chhut a ni bawk.
• Zun test: I zun chu protein emaw thisen emaw a awm leh awm loh enfiah a ni ang. Kidney hrisel hian a tlangpuiin protein a paih chhuak lo. Zun chhunga protein awm hi kal (kidney) filtering system a chhiatzia tilangtu a ni.
• Imaging test: Ultrasound scan, CT scan, emaw MRI scan hmanga kal (kidney) te hian a lian leh te, a pianzia leh a blockage emaw tumor emaw a awm leh awm loh a enfiah thei a ni.

Kidney failure enkawlna tur engte nge ni?

Kidney failure hi tihdam theih loh, dam chhung zawnga natna a ni. Mahse, lungngai suh. Enkawlna tum ber chu kal hnathawh la awmte chu a rei thei ang bera vawn that leh natna kal zel dan tur thunun a ni.

Enkawl dan hi natna chhan leh a nasat dan azirin a inang lo.

Damdawi hmanga enkawl

I doctor chuan hetiang damdawi hi a pe thei a, a natna chhan a zirin:

• Thisen sang damdawi: Damdawi ACE inhibitor emaw ARB emaw ang chi.
• Diuretics: Zun hmanga taksa atanga tui tam lutuk paih chhuak thei damdawi.
• Cholesterol tihhniamna damdawi (Statins): Lung natna vei theihna a tiziaawm.
• Anemia damdawi: Kal vei te hian thisen zam (red blood cells) an siam tlem thei. Hemi atana pui thei damdawi te.
• Vitamin D leh calcium: Ruh nghet taka awm tir.

Natna a nasat huna enkawl dan

Kidney natnain a tawp ber (Stage V) a thlen chuan a dam khawchhuah theih nan enkawlna bik a ngai a ni. Enkawl dan tlangpui pahnih a awm a.

1. Dialysis tih hi: 1.1.

Hei hian kal (kidney) chhiat tawhte aiah thisen tihfai nan machine hman a huam a ni. Dialysis hi chi hnih a awm a, chungte chu:

• Hemodialysis: Hetah hian i thisen chu machine-ah thawn a ni a, chu chuan bawlhhlawh paih chhuakin thisen thianghlim chu i taksaah a thawn kir leh thin. Hei hian kar khatah ni thum emaw ni li emaw damdawi in emaw dialysis center emaw pan a ngai tlangpui.
• Peritoneal Dialysis hmanga tih hi: 1.1.Hetah hian i pum chhungah tube (catheter) dahin chuta tang chuan tui bik dah a ni. He tui hian i thisen atanga bawlhhlawh awmte chu pum chhung atangin a hip chhuak thin. Tichuan bawlhhlawh awmna fluid chu lakchhuah leh a ni. Hei hi a chang chuan in lamah pawh tih theih a ni.

2. Kal Transplant: 1.1.

Hei hi end-stage kidney disease enkawlna tha ber a ni. Hemiah hian kal hrisel tak chu surgery hmangin taksaah dahin kal chhia chu a thlak a ni. He kal hrisel hi donor thi tawh emaw, donor nung emaw hnen atangin lak theih a ni. Kidney transplant hnuah taksain a dam chhung zawng damdawi a ei a ngai dawn a, chu chu kal thar hnawl a nih loh nan a ni.

Kidney natna hi ven leh thunun theih a ni em?

Kidney natna hi tihdanglam vek theih ni lo mah se, natna zual zel dan hi nunphung hrisel tak neih leh damdawi lam thurawn dik tak zawm hian a tam zawkah chuan thunun theih a ni.

• Diabetes i neih chuan i thisen sugar level chu a dik tawk chhungah dah la .
• Thisen sang i neih chuan control tha rawh .
• Meizial zuk loh vek tur a ni.
• Chaw chi leh potassium tamna ei tur chu tihtlem tur a ni. Hemi chungchangah hian doctor emaw nutritionist emaw zawt rawh.
• Doctor rawn hmasa lovin painkiller (NSAID) hman chhunzawm loh tur a ni .
• Doctor-in test leh appointment a pek zawng zawng chu a hun taka tih vek tur a ni.