Kidney Failure chungchanga hriat tur thilte!

Kan taksaa heng kal te pahnih hian engzat nge hna an thawh tih i ngaihtuah ngai em? A chang chuan, heng kal (kidney) te hi a fail thei bawk. Chutiang a lo thlen chuan Kidney Failure kan ti thin. Hei hi mi thenkhat tan chuan thupui hlauhawm tak a ni thei a, mahse hriat chian a pawimawh hle.

Kidney Failure hi eng nge ni?

A awlsam zawngin sawi ila, kal (kidney failure) hi i kal pakhat emaw, pahnih emaw a thawk tha lo tihna a ni. Chumi awmzia chu anmahni chauhin an hna an thawk thei lo tihna a ni. Hei hi kawng hnih in a thleng thei. Pakhat chu acute kidney failure a ni . Hei hi condition lo awm nghal mai a ni. Mahse a chang chuan hun eng emaw chen atan a ni a, enkawl theih a ni. A chi dang chu chronic kidney failure a ni . Hei hi hun kal zelah kal zawi zawiin, zawi zawiin a chhe zel a ni. Hei hi mi tam zawk tan chuan a tlangpui ber a ni.

Hetiang kidney failure dinhmun hi zawi zawiin a tawp ber thlengin a kal thei a, chu chu End-Stage Kidney Disease (ESKD) a ni. Dik tak chuan ESKD hi enkawl loh chuan nunna atana hlauhawm tak a ni thei. Hetiang natna vei hi enkawl loh chuan ni engemaw zat emaw, kar tlemte emaw chauh a dam thei a ni. Mahse lungngai suh, enkawl dan dik tak chuan kal (kidney failure) hi enkawl theih a ni a, nunphung tha tak a nei thei bawk.

Kan kal (kidney)-ah hian eng nge thleng?

Tunah chuan heng taksa peng hrang hrang kal (kidney) an tih te hian kan taksaah eng nge an tih tih i lo en ang u. I kal (kidney) chu bean pahnih ang a ni. I kutphah ang vel an ni. Khawiah nge an awm i hria em? I rib cage hnuaiah chiah, hnunglam lam hawiin an awm. Mi tam zawk chuan kal (kidney) pahnih an nei a, a thawk tha hle. Mahse kal pakhatin hna a thawh that chuan nuam takin i nung thei a ni.

Kidney hna ber chu kan taksa atanga toxins te paih chhuah hi a ni . Filter angin ngaihtuah rawh. I thisen an filter a, chuta bawlhhlawh duh loh chu zun (chu chu zun kan ti bawk) angin an paih chhuak thin.

Chuvangin han ngaihtuah teh, heng kal (kidney) te hian hna an thawk tha lo a nih chuan eng nge thleng ang? Chu bawlhhlawh chu taksa chhungah a pung khawm thin. Chutiang a lo thlen chuan i natna a inhriat tan a, enkawl loh chuan a tâwpah i thi thei a ni. Mahse, ka sawi tawh ang khan mi tam zawk chuan he natna hi enkawlna dik tak hmangin an control thei a ni.

Kidney failure hi engtiang chiahin nge a awm?

Hetiang dinhmun hi engtiang chiahin nge kidney failure an tih hi i lo en ang u. America ang ramah chuan he natna hian kum khatah mi nuai 7.5 vel a vei a ni. Khawvel hmun hrang hrang i en chuan mi maktaduai 2 velin he natna hi an vei a ni. Kan ramah pawh hian hetiang natna vei hi an tlem hle a, a bik takin zunthlum leh thisen sang ang chi natna a awm fo avangin.

Kidney natna stage pangate chu engte nge ni?

Kidney natna stages kan sawi hian i eGFR (Estimated Glomerular Filtration Rate) kan en thin.A hlutna chu koh a ni. Hei hi thisen test a ni.

A awlsam zawngin eGFR hi i kal (kidney)-in thil a filter that dan tehna a ni. Mi hrisel eGFR hi 90 aia sang a ni tlangpui a, eGFR 0 a nih chuan kal (kidney) a thawk tha lo tak tak tihna a ni.

Kidney natna hi stage lian panga a awm a, chungte chu:

• Stage I: I GFR chu 90 aia sang a ni a, hetih lai hian i kal (kidney) te chu a thawk tha hle a, mahse chhiatna engemaw zat a awm.
• Stage II: I GFR hi 60 leh 89 inkar a ni thei a, stage I aiin kal a chhe zawk a, mahse a la thawk tha hle.
• Stage III: I GFR hi 30 leh 59 inkar a ni thei a, he stage-ah hian kal hnathawh hi a na lo emaw, a na lo emaw a ni thei.
• Stage IV: I GFR hi 15 leh 29 inkar a ni thei a, hetah hian kal hnathawh a tlahniam nasa hle.
• Stage V: I GFR chu 15 aia tlem a ni a, hei hian i kal (kidney) chu a hnaih tawh emaw, a fail vek tawh emaw tihna a ni. Hei hi symptoms a lan tan hun a ni tlangpui.

Kidney failure hriat hmasakna chhinchhiahnate chu engte nge ni?

Vawi tam tak chu, kal natna hmasa ber hian symptoms a nei lo , a nih loh leh symptoms na lo tak tak chauh a nei . Mahse engmah i hriat loh pawhin chronic kidney disease (CKD) hian chhungril atangin chhiatna a thlen thei a ni.

Kidney failure symptoms hi mi hrang hrangah a inang lo thei. I kal (kidney) a thawk tha lo a nih chuan a hnuaia symptoms pakhat emaw a aia tam emaw zawng rawh:

• Chau lutuk (chau lutuk) tih hriat. Chauhna mai ni lovin, eng ang pawhin muthilh mah la, a bo ngai lo hahdamna.
• Nausea leh luak chhuak. Hei hi ei duh lohna nen a inzawm thei bawk.
• Buaina nei emaw, ngaihtuahna seng harsatna nei emaw. Tlem a lu a buai deuh a, thil engemaw takah i rilru i pe thei lo tih han ngaihtuah teh.
• A hring (edema) a awm. A bik takin kut, ke ruh emaw, hmai emaw vel a hring. Mi thenkhat chuan zing an thawh hian an mit vel a hring chhuak tih an sawi.
• I zun tam dan inthlak danglamna. I zun tam a ngai mai thei a, i zun chhuah zat pawh a tlahniam thei bawk. Foamy urine pawh i nei thei bawk.
• Muscle spasms emaw limping emaw a awm thei.
• Vun vawt emaw, vun hring emaw.
• Ei duh lohna, emaw, ka chhunga metallic taste awm emaw.

Heng chhinchhiahna pakhat emaw pahnih emaw i neih chuan lungngai suh, mahse a awm reng chuan doctor i pan ngei tur a ni .

Kidney failure chhan berte chu engte nge ni?

Kal natna rei tak leh kal chak lohna thlentu lian ber pahnih chu zunthlum leh thisen sang a ni . Heng pahnihte hi kan ramah hian natna tlanglawn tak tak an ni.

Zunthlum i vei a nih chuan, a thunun tha lo a nih chuan i thisen sugar level a sang reng ang (hyperglycemia). I thisen sugar level a sang reng chuan i kal leh taksa peng dangte a tichhe thei a ni.

Thisen sang tih awmzia chu thisen kaltlangin thisen a kal chak lutuk, chak lutuk tihna a ni. Hun rei tak enkawl loh chuan he extra force hian kidney tissue te a tichhe thei a ni.

Kidney failure hi thil thleng nghal mai a ni lo. A nghawng thei thil dang a awm bawk:

• Polycystic Kidney Disease (PKD): Hei hi nu leh pa zinga pakhat atanga rochun genetic natna a ni. Chutah chuan kal chhungah fluid-filled cysts (cysts) a lo awm a.
• Glomerular diseases: Heng natnate hian kal (kidney)-in bawlhhlawh a filter theihna a nghawng a ni.
• Autoimmune kidney natna: Entirnan, natna pakhat lupus . Hei hi autoimmune disease a ni a, taksa immune system hian a cell te a bei tihna a ni. Hei hian taksa peng hrang hrang a tichhe thei a, ruh natna a thlen thei a, khawsik a thlen thei a, vun natna a thlen thei bawk.

A châng chuan, beisei loh vanga kal (kidney failure) hi a lo thleng thut thei a ni. Hei hi Acute Kidney Injury an ti a . Chutiang a nih chuan kal (kidney) hian a hnathawh a hloh nghal vek a ni. Hetiang dinhmun hi ni rei lo te chhungin a lo awm thei a ni. Mahse a tam zawkah chuan hei hi hun eng emaw chen atan a ni.

Kidney failure nghal chhan tlangpui chu:

• Damdawi thenkhat, a bik takin natna tidamtu thenkhat hian hetiang hi a thlen thei a ni.
• Tui tlakchhamna nasa tak. Taksain tui a neih tlem lai hian.
• Urinary tract tihkhawtlai a ni. Hei hi zun lung ang chi thil vang a ni thei.
• Systemic natna enkawl loh. Entirnan, lung natna emaw, thin natna emaw.

Kidney failure thlen theihna tur risk factors te chu engte nge ni?

Kidney failure hi tu chungah pawh a thleng thei. Mahse, a hnuaia thil awmte hi i neih chuan i hlauhawmna a sang zawk thei a ni:

• Diabetes i neih chuan .
• Thisen sang (hypertension) i neih chuan .
• Lung natna i neih chuan .
• I chhungkuaa mi pakhatin kal natna (a hereditary predisposition) a neih tawh chuan.
• I kal (kidney) ah structural abnormalities i neih chuan .
• Mihring dum i nih chuan (genetic reason thenkhat vang).
• Kum 60 aia upa i nih chuan .
• If you have been taking painkillers for a long time , a bik takin NSAIDs (Nonsteroidal Anti-inflammatory Drugs) awlsam taka damdawi dawr atanga i hmuh theih.

Kidney failure hian eng harsatna nge a thlen?

Kan taksaah hian kal (kidney) hian hna hrang hrang a thawk a. Chuvangin kal (kidney) a chhiat chuan harsatna chi hrang hrang a thlen thei a ni. Entir nan:

• Thisen sang a sang.
• Thisen tlakchhamna (Anaemia). Chu chu thisen tlakchham tihna a ni. Kidney hian hormone a siam chhuak a, chu chuan thisen sen (red blood cells) siam a pui a ni. Kidney a chhiat chuan a tlahniam thin.
• Ruh natna.
• I lung vel a fluid awm.
• Nerve tihchhiat a ni.
• Electrolyte inthlauhna (imbalance) a awm. Hei hian thisenah sodium leh potassium ang chi salt awm zat a inthlak tihna a ni.

Mahse, i kal (kidney failure) tih hmuhchhuah a nih vang mai mai chuan i thi dawn tih ngaihtuah suh. I doctor-in a enkawl dân i zawm chuan—chutah chuan damdawi te, nun dân inthlâk danglamna te, leh chi leh ei tûr ṭhenkhat tihtlem te pawh a tel thei a ni—i dinhmun chu i enkawl ṭha thei a ni. Amaherawhchu, i Doctor thusawi i ngaithla loh chuan i kal (kidney) a na zual thei a, i thi hial thei a ni.

End-stage renal failure hian thihna a thlen thei em?

Ni e, end-stage renal disease (ESKD) hian thihna a thlen thei. Mahse ka sawi tawh ang khan enkawl dan mumal a awm chuan mi tam zawk chu kal (kidney failure) nen an khawsa thei a ni. Kan hriat reng tur pawimawh tak chu kal (kidney failure) hi damdawi a awm lo tih hi a ni. Chumi awmzia chu, enkawl a nih pawhin i kal (kidney) te hian natna i neih hma ang khan a thawk thei dawn lo tihna a ni. Enkawlna hian i kal (kidney) hnathawh la awm chu a rei thei ang bera vawnhim leh an chhe chak lutuk tihziaawmna tur a ni.

Engtin nge kal (kidney failure) hi an hriat theih?

Doctor chuan i kal hnathawh dan enfiah nan leh kal tha lo i neih leh neih loh hriat nan kidney function test hrang hrang a hmang thei a ni. I doctor-in i kal (kidney failure) hlauhawma a rinhlelh chuan hengte hi test tih dan tlangpui chu a ni:

• Thisen test: Hengte hian i kal (kidney) hian i thisen atanga bawlhhlawh a paih chhuah that dan a enfiah thin. Doctor chuan i kut a vein pakhat atanga thisen sample tlemte chu needle te tak te hmangin a la thin. Chumi hnuah thisen sample chu lab-ah test a ni. He thisen test hi a hmaa kan sawi tawh eGFR value enfiah nan pawh hman a ni.
• Zun test: Hengte hian i zun chhunga thil thenkhat, protein emaw thisen emaw te chu a teh thin. Doctor office emaw damdawi inah emaw special container-ah i zun a ngai ang. Chumi hnuah zun sample chu lab-ah test a ni ang.
• Imaging test: Heng test te hian doctor chuan i kal leh a chhehvel te chu a en thei a, thil danglam emaw, blockage emaw a awm leh awm loh a en thei a ni. Imaging test hman tlanglawn tak chu kidney ultrasound , CT urogram, leh MRI te hi a ni.

Kidney failure hi engtin nge enkawl a nih?

Kidney failure enkawlna chu a natna chhan leh a nasat danah a innghat a ni. Doctor-te hian kal (kidney failure) hi an tidam kim thei lo va, nunna atana hlauhawm tak a ni. Mahse enkawlna hian dam rei zawkah a pui thei che a, symptoms leh complications te pawh a enkawl thei bawk.

I kal a chak lo zauh zauh a nih chuan doctor chuan i hriselna enfiah nan leh a theih ang anga rei kidney hnathawh reng nan kawng hrang hrang a hmang thei a ni. Heng hmanrua te hi a hnuaia mi ang hian a ni thei:

• Thisen test fo thin.
• Thisen sang enfiah fo thin.
• Damdawi chi hrang hrang.

End-stage kidney failure i neih chuan i dam theih nan enkawlna i mamawh a ni. Kidney failure enkawlna lian ber pahnih a awm a, chungte chu dialysis leh kidney transplant te an ni .

Kidney failure tan damdawi hman tur

I kal natna chhan a zirin doctor chuan a hnuaia damdawi pakhat emaw a aia tam emaw a pe thei ang:

• Angiotensin-converting enzyme (ACE) inhibitor emaw angiotensin II receptor blockers (ARBs): Heng damdawi te hian i thisen sang a tihniam thei a ni.
• Diuretics: Hengte hian taksa atanga tui tam lutuk paih chhuah nan a pui thin. Mi thenkhat chuan hengte hi ‘tui pill’ an ti bawk.
• Statins: Hengte hian i cholesterol level a tihhniam theih nan a pui thin.
• Erythropoietin-stimulating agents: Hengte hian thisen tlakchhamna (anemia) i neih chuan thisen sen (red blood cells) siam turin a pui thin.
• Vitamin D leh Calcitriol: Hengte hian ruh tlakchhamna a veng thei.
• Phosphate binders: Hengte hian i thisen atanga phosphorus tam lutuk chu a paih chhuak thei a ni.

Dialysis tih a ni

Dialysis hi i taksain thisen a filter theihna tur a ni. I kal (kidney) te chu chawlh hahdamna pek ang maiin ngaihtuah la, chutiang chuan an thawhrim a ngai lo. Dialysis hi chi hnih a awm a, chungte chu:

• Hemodialysis: Hei hi i thisen tifai fo thin machine a ni. Kidney failure nei tam tak chu damdawi in emaw dialysis center emaw-ah kar khatah ni thum atanga ni li chhung hemodialysis nei turin an kal thin. Hei hi a hahthlak deuh thei a, darkar engemaw zat chhung chu machine-ah hian i connect a ngai a ni.
• Peritoneal dialysis tih hi a awm lo.Hetiang tih danah hian doctor chuan i pum vun hnuaiah tube te tak te (catheter) a dah a, dialysis fluid awmna bag-ah a thlunzawm a ni. He tui hi bag atang hian i pum chhungah a luang lut a, chutah chuan bawlhhlawh leh tui tam zawk a paih chhuak a, bag chhungah a kir leh thin. A chang chuan peritoneal dialysis hi in lamah tih theih a ni.

Kidney Transplant a ni

Kidney transplant-ah chuan surgeon chuan i kal chhia chu kal hrisel takin a thlak a. He kal (donor organ) hrisel hi donor thi tawh emaw, donor nung emaw atanga lo chhuak thei a ni. Kidney hrisel pakhat nen chuan i nung tha thei. Kidney transplant i neih chuan i dam chhung zawng damdawi i ei a ngai dawn a, chu chu transplanted kidney a chhiat loh nan a ni. Heng damdawi te hian i taksain kal thar a hnawl loh nan hna a thawk a ni.

End-stage renal failure atanga dam leh theih a ni em?

Thil tam takah a innghat a ni. Inenkawlna mumal tak i neih chuan nun hlim tak, lungawina neiin i nung thei a ni. Amaherawhchu, i dam chhung zawngin enkawl ngai i beisei tur a ni. Remember, kidney disease emaw kidney failure emaw hi reversed theih a ni lo , a slow theih chauh a ni.

Kidney failure hi engtin nge kan ven theih ang?

Kidney failure leh chronic kidney disease (CKD) hi tihdanglam theih ni lo mah se, i kal hnathawh venhimna tur thil i tih theih a awm. Thil tih dan leh tih dan hrisel tak takte hian i kal (kidney) hnathawh a hloh chakna chu a tikhawtlai thei a ni.

CKD emaw, kal (kidney failure) i neih chuan hengte hi tih a tha ang:

• I kal (kidney) hnathawh dan enfiah fo thin (doctor-in a rawt angin test thin ang che).
• Zunthlum i neih chuan i thisen sugar level chu a pangngaiah dah la .
• I thisen sang level chu a normal range chhungah dah la .
• Zuk leh hmuam thil (meizial zuk ang chi) hman loh tur .
• Potassium leh sodium (salt) tamna ei tur ei loh tur . Hemi chungchang hi doctor emaw nutritionist emaw zawh a tha ber a, thei leh thlai thenkhatah pawh potassium a tam bawk.
• I doctor nen appointment ruahman apiangah kal ngei ngei tur a ni.

Kidney failure i neih chuan eng nge i beisei theih ang?

Kidney failure tihdamna famkim a awm lo. Mahse, uluk taka enfiah leh enkawl a nih chuan i nunphungah danglamna lian tham awm lovin i dam rei thei a ni.

Engtikah nge Doctor i hmuh ang?

Kidney failure theihna risk factor i neih chuan doctor pan rawh. Chumi awmzia chu:

• Thisen sang i neih chuan .
• I zun danah inthlak danglamna i hmuh chuan ( zun tam, zun tlem, zun foamy, thisen).
• Brain fog i neih emaw, concentrate harsatna i neih chuan.
• Nausea emaw i luak chhuak emaw a nih chuan .
• Diabetes i neih chuan .
• I chhungkuaa mi tu emaw chuan kal natna an nei tawh a nih chuan .
• Tun hmaa kal lama harsatna i neih tawh chuan (e.g., kal chak lohna (sudden kidney failure)).
• NSAIDs i ei fo chuan .

Hetiang thil i neih chuan ngaihthah suh. A rang thei ang bera doctor pan a, thurawn lak a finthlak.

Doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah kal (kidney failure) chungchanga heng zawhnate hi zawh hi ngaihtuah la:

• Engtin nge kidney failure ka nei tih chiang taka i hriat theih?
• Kidney failure ka neih loh chuan eng condition dang nge ka neih theih ang?
• Eng thil nge ka kal (kidney failure) chhan?
• Dialysis ka mamawh em?
• Eng ang dialysis nge i rawt?
• Kidney transplant atan ka tling em?
• Eng ang damdawi nge ka tan i recommend?
• Ka ei leh in ah hian tihdanglam ka ngai em?
• Engzat nge enkawl tura lo kal ka mamawh?

Kidney failure a awm chuan engtikah nge hospice care hi ngaihtuah tur?

Nangmah emaw i hmangaih tak emaw tan hospice care an dawn hun tur tih rel chu mimal thutlukna a ni. I medical team chuan i dinhmun atana tha ber tur chu i ngaihtuah thei ang. Hospice care hian a tum ber chu end-stage disease, kidney failure ang chi nei te tan thlamuanna leh tanpuina pek a ni. Kidney failure a awm chuan hospice care hi dialysis emaw kidney transplant emaw ang chi enkawlna a hlawk tawh loh emaw, tih theih loh emaw a nih chuan a thleng tlangpui.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

Kidney hi kan taksa peng pawimawh tak a ni. Bawlhhlawh leh extra fluid an paih chhuak thin. I kal (kidney) a chhiat chuan a thawk tha lo tihna a ni. Enkawl loh chuan hei hi thihna thlen thei a ni. Mahse lungngai suh, dialysis emaw kidney transplant emaw hian nun tha tak i neih chhunzawm theih nan a pui thei che a ni. I enkawl dan tur ruahmannaah hian damdawi ei leh ei leh in bik zawm te pawh a tel thei. I doctor hnena i appointment zawng zawng kha vawng reng rawh. I enkawl dan, damdawi, nunphung thlak danglam emaw, i enkawlna ruahmannaa thil dang emaw chungchangah zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia ang che.

` Kal tha lo, kal natna, zunthlum, thisen sang, dialysis, kal transplant