I zun laiin kang natna, i sir emaw, i hnungzang hnuai lam emaw na, leh khawsik i nei fo thin em? A nih loh leh i muhil mai mai ang tih i inhria em? Hengte hi kal natna chhinchhiahna a ni thei. Ngaihtuah buai suh, hei hi mi tam tak natna a ni a, mahse i hriat chian a, a hun taka enkawl i hmuh chuan a dam thuai theih a ni. Vawiin hian he kal natna, doctor-te’n `(Pyelonephritis)` an tih chungchang hi chipchiar tak leh awlsam takin kan sawi dawn a ni.
Kidney infection (pyelonephritis) hi eng nge a nih i hria em?
A awlsam zawngin sawi ila, kal infection hi zun kawng infection a ni a, kan hriat vek angin `(Urinary Tract Infection - UTI)` a ni. Mahse hetiang thila thil thleng chu bacteria ang chi hrik, i bladder ang hmun atanga lo chhuak, ureters-ah an kal chho a, kidney pakhat emaw, pahnih emaw a nghawng thin. A dik tak chuan he natna hi kal (kidney)-ah a darh zel a ni. Hei hi
zun kawng infection pangngai aiin ngaihven deuh deuh a ngai a, enkawl vat a ngai bawk. A chhan chu kal (kidney) hi kan taksa peng pawimawh tak a nih avangin. America rama statistics atanga a lan dan chuan kum tin mi 2000 zinga pakhat velin he natna hi an vei thin. Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm fo a, a bik takin hmeichhiate zingah pawh hmuh tur a awm fo.
Common urinary tract infection (UTI) leh kidney infection te hi eng nge an danglamna?
Mi tam zawkin UTI an ngaihtuah hian bladder emaw urethra emaw-a natna tenau te an ngaihtuah thin. Hei hi lower urinary tract infection an ti a. Kidney infection pawh hi UTI a ni a, mahse upper urinary tract infection a ni. An pahnih symptom hi a chang chuan a inang thei bawk. Entirnan,
i zun hian kang natna i nei thei. Mahse, kal natna i neih chuan i hnungzang hnuai lam emaw, i hnungzang emaw-ah natna nasa tak i nei nghal mai thei . Hei hi UTI pangngai aiin a na zawk deuhin a lang thei.
Kidney infection a nih chuan eng symptoms nge a neih? Engtin nge kan hriat theih ang?
Okay, chuvangin kidney infection kan neih huna kan hriat theih leh kan hmuh theih symptom lian ber berte hi han en ila. Heng zinga pakhat emaw a aia tam emaw i neih chuan doctor i pan ngei tur a ni, a dik em?
- Fever: Khawsik sang tak hi a lo thleng thut thei tlangpui.
- Khawsik leh khur chhuak: Hei hi khawsik nen pawh a thleng thei bawk.
- Lower back pain, or side pain: Hei hi mi tam takin an report thin symptom lian tak a ni. He natna hi kal awmna sir lamah hriat theih a ni.
- Zun laia kang leh na: Hei pawh hi a lan chhuah dan tlangpui a ni.
- Haematuria: Zun hi a sen, pink emaw brown emaw a lang thei.
- Zun rawng dum leh rim na tak nei (Pyuria): Hei hi zun chhungah pus- ang chi thil a awm chuan a thleng thei.
- Zun tam, zun duhna thut: Zawi zawiin i zun a ngai a, mahse a tam zawk.
- Nausea leh vomiting : Mi thenkhat chuan heng symptoms te hi an nei thei bawk.
- Feeling lethargic and tired: Hei pawh hi infection nena lo awm thil a ni.
Heng symptoms te hi mi zawng zawng tan a inang vek lo. Mi ṭhenkhat chuan chûng zînga tlemte chauh an tawng mai thei.
Engvangin nge kal (kidney infection) kan neih? A chhante chu engte nge ni?
A tam zawkah chuan kal natna zawng zawng zinga 90% vel chu
bacteria vang a ni . A tlem hle a, virus hian a thlen thei a, mahse hei hi mi hrisel zingah a tlem hle. Kan intestine lian chhunga awm bacteria thenkhat, E. coli te hi a chhan ber an ni. Heng bacteria te hi engtin emaw takin zun kawng ah lutin kal thlengin an kal thin. Hetianga thlen thei bacteria chi dangte chu:
- `Proteus mirabilis tih hi a awm a ni
- `Enterobacter` tih a ni
- `Staphylococcus tih a ni` tih hi a ni
Tunah en teh, kan kal (kidney) te hian kan taksa chhunga bawlhhlawh awmte chu filter
leh tihfai a , zun siam hi a ni. He zun hi tubes ``ureters`` kaltlangin ``bladder`` ah a khawl khawm thin. Chutah chuan zun chu washroom kan kal hma loh chuan kan dahkhawm thin. Tichuan, zun chu taksa atangin tube dang, ``urethra`` hmangin a chhuak ta a ni. A tlangpuiin he thil tih lai hian zun kawng chhunga bacteria awm thei zawng zawng chu a silfai vek thin. Mahse,
a chang chuan heng bacteria te hi urethra-ah an kal chho thei a, bladder-ah natna (cystitis) a thlen thei bawk. Chuta tang chuan heng bacteria te hian kal pakhat emaw, a pahnih emaw thlengin an kal thui thei a, kal natna a thlen thei a ni. A tlem hle a, taksa hmun danga natna hrik atanga thisena lut bacteria te hian thisen kaltlangin kal an kai thei a ni.
Kidney infection neih theihna tur risk factors te chu engte nge ni?
Mi thenkhat chu midang aiin kal natna vei an hlauhawm zawk. Chu chu eng nge ni tih i han thlir teh ang.
- Urinary tract-a blockage: Ngaihtuah teh, i zun kawng khawi emaw laiah blockage a awm a nih chuan, chu chu zun a chhuak tha thei lo tihna a ni a, zun chu hmun khatah a tang thei a, bacteria chu awlsam takin a lo thang lian thei a, kidney-ah a kal thei bawk.
- Entirnan, kal (kidney stone) (hei hi Sri Lanka-a mi tam tak tan chuan harsatna a ni a, a chang chuan tuar theih loh khawpin hnungzang natna a thlen thin).
- Mipa an lo upat deuh deuh chuan an prostate gland chu a lian chho zel a (hei hian zun a ti harsa thin).
- Hmeichhia hian uterine prolapse (kan nu leh pi te kan hmuh fo thin) an nei thin.
- Tin, chubakah, .He risk hi naupai laiin bladder a pressure vang pawh a sang thei bawk. Naute a lo puitlin chuan zun kawng (urethra) chu a compress a, chu chuan zun tha a ti harsa thei hle.
- Vesicoureteral reflux: Hei hi hming hi a buaithlak deuh a, mahse a awmzia chu zun kawng dik lo, bladder atanga kal leh kal thlengin a luang tihna mai a ni. Hei hi kal natna thlentu lian tak a ni bawk , a bik takin naupang tê tête tan.
- I natna kai theihna tipungtu dinhmun: Zunthlum i neih chuan i thisen sugar level chu a control tha lo va, natna i vei theihna a sang zawk. Tin, HIV vei emaw, immunosuppressive damdawi ei thin (e.g., organ transplant dawngtu, cancer vei) te chu kal natna vei an tam zawk bawk.
- Anatomy: Hmeichhia hian mipa aiin urethra tawi zawk an neih avangin , bacteria te hi awlsam takin fecal area atanga urethra, bladder, leh kidney thlengin an kal thei a ni. Hei vang hian hmeichhiate hian UTI leh kal natna an vei tam zawk a ni.
- Urinary Catheter hman dan: Hun rei tak chhunga urinary catheter dahna hmuna awmte pawhin hri kai theihna a sang hle.
Kidney infection hi a na thei em? Eng harsatna nge a awm?
Ni e, kal natna hian
a châng chuan nunna atana hlauhawm harsatna a thlen thei a ni . Hetiang hlauhawmna hi taksa chak lohna nei, tar, zunthlum ang chi hriselna lama harsatna dang nei, a hun taka enkawl lote tan a sang hle. Harsatna lian ber ber thenkhat chu:
- Emphysematous pyelonephritis: Hei hi natna khirh tak a ni. Hetah hian bacteria hian kal tissue a tichhia a, gas a siam chhuak thin. Hei hi zunthlum vei zingah a tam zawk.
- Renal papillary necrosis: Hei hian kal hmun nalh tak takte a tichhia a ni.
- Renal abscess: Pus hi kidney chhungah emaw, a chhehvelah emaw a awm thei.
- Sepsis: Nunna atana hlauhawm, thisenah a darh a, taksa pum a nghawng a ni.
- Chronic kidney disease: Kal natna a awm chhunzawm zel a nih chuan, emaw, kal natna nasa tak avanga kal a tihchhiat chuan a tawpah chuan kal chu a hlawhchham thei a ni.
Chuvang chuan kal infection symptoms i neih chuan a rang thei ang bera doctor pan a pawimawh .
Engtin nge doctor hian kidney infection a hriat theih ang?
Kidney infection i neih leh neih loh chu doctor chauhvin a hre chiang thei. Doctor i hmuh chuan i natna lan chhuah dan an ngaithla hmasa ang a, an zawt hmasa ang. Chumi hnuah chuan taksa enfiahna an nei ang a, a bik takin i hnungzang sir lama natna an zawng ang. Chu bakah, a hnuaia test te hi an ti thei bawk:
- Urinalysis: Hei hian zun chhunga bacteria, pus, leh thisen awm leh awm loh a enfiah thei a ni.
- Urine Culture: Hei hian eng bacteria nge natna thlentu tih chiang taka hriat theih a ni a, eng antibiotics nge a tana tha ber tih hriat theih a ni.
- Thisen test: Hei hian thisen infection status (e.g. white blood cell count) leh kidney function te enfiah nan a pui thin.
- Kidney scan: A chang chuan, natna a nasat chuan emaw, blockage nia rinhlelh a awm chuan, kal lung emaw, kal CT scan emaw renal ultrasound emaw tih tur a ni.
Urinary tract infection symptoms, khawsik leh i pum hnuai lam natna ang chi i neih chuan kidney infection a ni thei. Amaherawhchu,
mahni thuin thutlukna siam tum suh. Kidney infection hi engtin nge i enkawl ang?
Kidney infection hi
antibiotics hmanga enkawl a ni tlangpui . I doctor chuan antibiotics chu ei tur emaw, injection hmanga ei tur a pe ang. Heng damdawi te hi ni 14 (kar hnih) tal i ei a ngai ang. A nasat deuh deuhah chuan damdawi hi rei zawk i ei a ngai mai thei. I damlo nasa hle a, khawsik i nei reng a, i luak chhuak a, i ei leh in thei lo a nih chuan, emaw, antibiotics hmanga i dam vat loh chuan
damdawi inah dah a ngai mai thei a, intravenous saline leh antibiotics pek i ngai mai thei Eng damdawi chi nge pek thin?
Doctor chuan antibiotics pakhat emaw a aia tam emaw a pe thei a, chu chu i dinhmun leh urine culture report (a lo thlen theih nan ni engemaw zat a la ngai ang):
- `Trimethoprim-sulfamethoxazole (TMP-SMX) hman tur a ni`
- `Amoxicillin` emaw `Augmentin` emaw a ni
- `Ceftriaxone` emaw, `Cephalexin` emaw a ni
- `Ciprofloxacin` emaw, `Levofloxacin` emaw a ni thei
Hengte hi damdawi an pek tam ber pawl an ni. Amaherawhchu, i tana damdawi tha ber chu doctor-in a ruat ang.
Damdawi ka ei hnuah engtiang chiahin nge ka dam thuai ang?
A tlangpuiin antibiotics i ei tan atanga ni hnih atanga ni thum chhungin i rilru a hahdam tan ang. Khawsik a tlahniam ang a, a na chu a reh ang. Mi thenkhat tan chuan a rei deuh mai thei.
Amaherawhchu, doctor-in damdawi a pek zawng zawng chu a hun taka i ei a pawimawh hle a, ni khat pawh tlai lovin, i rilru a hahdam a nih pawhin i ei a pawimawh hle.Chutiang a nih loh chuan i ei tawh loh chuan natna chu a lo let leh thei a, a na zawk pawh a ni mai thei a, bacteria chu antibiotics lakah a do thei bawk.
Kidney infection kan veng thei lo em ni? Engtin nge kan tih ang?
Kidney infection hi bladder infection atanga tan a ni fo. Chuvangin, lower urinary tract infection ven hi kidney infection venna atana hmalakna hmasa ber leh tha ber a ni. Chutianga i tih theih tur thil awlsam tak tak, mahse pawimawh tak tak thenkhat chu hetiang hi a ni:
- Tui in tam: Ni khatah tui glass 8-10 tal in thin ang che. Hei hian zun kawng (urinary tract) chu a flush out thei dawn a, chu chuan hmun khata bacteria awm theihna chance a ti tlem thei dawn a ni. Doctor hnenah tui engzat nge i mamawh tih zawh a tha.
- Zun i mamawh hunah insum suh: I bladder a khat hunah khap vek rawh. Zun chhunga vawn hian bacteria lo thang chakna a tipung a ni.
- Sex hma leh sex zawhah zun: Hei hian sex hman laiin zun kawng chhunga lut thei bacteria te chu a tifai chhuak thin.
- Thianghlim rawh: Nitin i taksa sil la, fai takin awm rawh. Nitin i underwear thlak thin ang che. Underwear hnim emaw, thawmhnaw hnim emaw ha suh. Cotton ang chi thil hmanga siam underwear hman a tha ber.
- Bathroom-a i kal dawnin hmalam atanga hnunglam thlengin phihfai thin ang che: Hei hi hmeichhia tan a pawimawh zual hle. Hetianga phihfai hian vagina leh urethra-a bacteria lut lo turin a pui a ni.
- Vaginal area-a sahbawn leh deodorant hman hunah fimkhur rawh: Sahbawn na tak leh spray hian serh chhunga natural protective bacteria awmte chu a tichhe thei a, chu chuan natna hrik a kai awlsam zawk a ni.
Kidney infection i neih chuan eng nge thleng? In lamah eng nge i tih theih?
A tlangpuiin kal natna hi enkawl vat a nih chuan a dam thuai ang a, harsatna lian tham a thlen lo. Mahse, hetiang ang case-ah hian enkawlna atan damdawi inah dah a ngai mai thei:
- Natna nasa tak i neih chuan, i khawsik i thunun thei lo a nih chuan, i luak chhunzawm zel a nih chuan.
- I taksa hmun dangah natna hrik i neih chuan (e.g. sepsis).
- I taksa hriselna tichak lo thei natna (zunthlum, HIV ang chi) i neih chuan.
- In lama antibiotics pek hmanga natna hrik a thianghlim loh chuan.
In lamah chuan
a pawimawh ber chu Doctor-in antibiotics a pek ang chiah leh a hun taka ei hi a ni. Chubakah chuan:
- Tui leh tui tam tak in thin ang che. Hei hian i kal (kidney) te chu natna hrik dona kawngah a pui ang a, natna hrik a paih chhuak thei bawk ang.
- Zu leh caffeinated drinks (tea, coffee, cola) te hi rei lo te chu pumpelh thin ang che. Hengte hian bladder a tichak a, zun tam zawk a mamawhna a tipung thei bawk.
- Chawlh hahdam tam rawh. I taksa chawlh tir hian natna atanga a dam leh theih nan a pui thin.
- Natna i neih chuan i doctor nen inbiain painkiller tha tak i la thei ang. Tui lum bottle i hnungzang hnawih hian hahdamna a pe thei bawk.
In lama damdawi chauh hmangin kal natna tihdam tum suh tih hre reng ang che. Damdawi lam enkawl a pawimawh.
Doctor hmuh hun tha ber berte chu engte nge ni? Emergency Department (ETU) ah kal a ngai em ?
Kidney infection symptoms eng emaw zat, zun harsatna, i zun inthlak danglam (thisen emaw, zun thim emaw ang chi), emaw, hnungzang na leh khawsik te i neih chuan
doctor i pan nghal tur a ni. Heng chhinchhiahnate hi tui tlakchhamna nasa tak emaw, damdawi lam harsatna dang emaw i neih chuan
, emergency room (ER) hnai ber pan nghal tur a ni:- Khawsik sang tak nei nghal mai pawh nise, a nih loh leh tuar theih loh khawpa hnungzang na chu a pawi lo.
- Zun a awm lo tluk a ni a, a tlem hle bawk.
- Thil hriatna hloh, buai leh mutthilh.
- Thâwk harsa na tak.
- Tih theih loh khawpa luak chhuak.
- I rawng blue ta ang maiin i inhria.
Hengte hi fimkhur tur symptom tha tak a ni lo va, doctor thurawn vat a ngai a ni.
I doctor zawh tur zawhna pawimawh
Doctor i hmuh hian i dinhmun hi i hrethiam tur a ni. Chuvangin heng zawhnate hi zawh hi i tan a \angkai hle ang:
- Engtin chiah nge heng damdawi te hi ka hman ang? Eng chen nge ka lak ang?
- He damdawi hian side effect a nei em?
- In lamah eng thil dang nge ka tih theih ang, ka dam thuai theih nan? Ei leh in chungchangah hian ka ngaihven bik tur a awm em?
- Engtikah nge hna ka thawh leh tan ang?
- Kidney infection a lo awm leh tawh loh nan eng nge ka tih ang?
- He natna hian ka kal (kidney) hi hun rei tak chhung a tichhe thei ang em?
- Doctor hmu leh tur em ni?
Heng zawhna bakah hian i neih zawng zawng zawt hreh suh.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Kidney infection hi ngaihven deuh a ngai a ni. Amaherawhchu,
a natna lan chhuah dan i hriat hmasak a, a hun taka Doctor i hmuh a, a enkawl dan dik tak i hmuh chuan i tidam vek thei a ni. Thil ngaihtuah tur a awm lo. Faina tha tak neih te, tui tam tak in te, leh a hun taka i bladder khar vek hian zun kawng infection leh, chuvang chuan kidney infection te i veng thei fo tih hre reng ang che. Urinary tract infection nei fo thin i nih chuan, emaw, natna kai tam zawkna tur (e.g., diabetes, kidney stones) i neih chuan, chu chu i doctor nen sawiho la, infection laka inven dan bikte sawipui rawh. I hriselna chu i kutah a awm. Fimkhur rawh!
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