Nang emaw i hriat emaw hian lupus i nei em? Tichuan he natna hian taksa peng tam tak a nghawng thei tih i hre tawh ngei ang. Vun leh ruhkawr bakah hian lupus hian kan taksa peng pawimawh tak tak kal (kidney) a nghawng thei bawk. Vawiin hian lupus hian kal (kidney) a nghawng dan kan sawi dawn a, chu chu Lupus Nephritis an tih natna a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.
A awlsam zawngin Lupus Nephritis hi eng nge ni?
Okay, Lupus hi eng nge a nih i hrethiam hmasa phawt ang u. Lupus hi autoimmune natna a ni a . Chu chu, natna laka kan taksa humhimtu immune system chuan kan taksa peng hrisel leh taksa peng hrang hrangte chu a rawn bei sual tan tihna a ni. Keimahni sipai ngeiin mahni ram an bei ang mai a ni. Lupus chi hrang hrang awm tam ber chu Systemic Lupus Erythematosus (SLE) a ni.
Tunah chuan kan taksa hriselna (immune system) hian hetianga kan kal (kidney) a rawn beih hian inflammation, chu chu a hring (swelling) a, kal (kidney) a tichhia a ni. Chu chu Lupus Nephritis kan tih hi a ni .
Kidney hi kan taksa chhunga filter pahnih ang mai a ni. An hnathawh that loh chuan harsatna lian tak tak a lo chhuak thei a ni. Lupus Nephritis hian kal (kidney) hian a hnuaia thilte hi a ti dik lo thei a ni.
- Thisen atanga bawlhhlawh filter leh paih chhuah.
- Taksa a tui awm zat, chi, acid leh mineral te chu a dik taka vawn reng.
- Thisen sang leh thisen volume control.
- Hormone level tihreh.
Hetiang dinhmun hi uluk taka enkawl a nih loh chuan a tawpah chuan kal (kidney failure) leh end-stage renal disease thlengin a thlen thei a, dam chhung enkawl a ngai a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
He natna hi tuin nge vei tam ber?
Lupus Nephritis vei tur chuan mi pakhatin lupus (SLE) a neih hmasak a ngai a ni. Tute nge lupus vei theihna sang zawk tih hi han thlir ila:
- Hmeichhia tan: Lupus vei mi sawm zinga 9 chu hmeichhia an ni. A bik takin kum 15 leh 44 inkar tan a hlauhawm hle a, mahse mak tak maiin mipain lupus a vei chuan Lupus Nephritis an vei tam zawk.
- Heredity: Chhungkaw zinga mi tu emaw chuan lupus a vei a nih chuan midang pawh an hlauhawm hle.
- Genetic influence: He natna hi Asian, African leh Native American hnam chhuakte zingah a tam zawk.
- Environment factors: Virus thenkhat, infection, leh toxic chemicals te nena inkaichhawn hian hetiang hi a thlen thei niin an ngai bawk.
- Autoimmune natna dang: Miin autoimmune natna dang a neih tawh chuan lupus vei theihna a sang deuh thei.
Lupus vei puitling 50% vel emaw, pahnih zinga pakhat vel emaw chuan lupus nephritis an vei thei a ni. Naupang lupus vei zinga 80% vel emaw, panga zinga pali vel emaw chuan he kal natna hi an vei thei a ni.
Hei hi eng symptoms nge ni thei ang?
Lupus Nephritis symptoms hi lupus symptoms a lo lan atanga kum nga vel hnuah a lang tlangpui. Mahse, a chang chuan lupus chhinchhiahna hmasa ber leh awmchhun chu kal (kidney) a chhiat vang a ni thei. Heng symptoms te hi hriat chian a pawimawh hle.
I ke, a bik takin i ke ruhte chu a hring vek ang tih han ngaihtuah teh. A nih loh leh zing i thawh chuan i mit a phuh chhuak thin. I zun chu a hma aia foamy zawk a ni. Hengte hi chhinchhiahna i hriat hmasak ber a ni fo thin.
Heng symptoms te hi chiang takin han thlir ila.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| A hring (Edema) . | Taksa chhunga tui awmkhawm avanga ke, ke ruh, ke, mit vel emaw a hring chhuak. |
| Zun chhunga protein awm (Proteinuria) . | Zun chu zun chhunga protein a chhuah avangin foamy (soap suds ang chi) a lo ni ta a ni. |
| Zun chhunga thisen (Hematuria) . | Zun chhungah thisen tlem a awm. Mit hmuh theih loh pawh a ni thei a, mahse a zun chu pink emaw dark brown emaw a ni thei. |
| Thisen sang lutuk | Kidney hnathawh that loh vanga thisen sang a sang. |
| A taksa rihna a tipung | Taksa chhunga tui awmkhawm avanga taksa rihna sang nghal. |
| Lupus symptom dang a awm bawk | Joint na emaw swelling emaw, taksa ruh na, sawifiah theih loh khawsik, leh hmaiah vun sen, butterfly ang maia lang. |
Engtin nge doctor hian hei hi a hmuh theih?
Heng symptoms te hi i neih chuan i doctor chuan a enfiah hmasa ang che, i symptoms leh medical history te a zawt ang a, chutah chuan test eng emaw zat a order ang a, i natna hriat chian nan a ti ang.
- Thisen test dan: 1.1.
- Antibody thisen test: Hengte hian immune system atanga protein (antibodies) thenkhat siam chhuah level sang tak a awm leh awm loh an enfiah thin. Hengte hi lupus-ah hian a tam zawk.
- Kidney function test: Creatinine ang chi thil te chu a teh a, kal a thawk tha em tih a enfiah thin.
- Zun Test dan: 1.1.
- Urinalysis: Zun-ah thisen, protein leh thil dang danglam bik a awm leh awm loh a enfiah thin.
- Urine protein test: Zun chhunga protein awm zat dik tak a teh thin.
- Kidney Biopsy atanga lak chhuah:
Hei hi Lupus Nephritis hi chiang taka hriat theihna leh kal chhiatna zau zawng hriat theihna kawng tha ber a ni. Kidney atanga tissue te tak te tak te chu needle tha tak hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hi damdawi inah tih a ni tlangpui a, light anesthesia hnuaiah tih a ni.
Hei hi eng enkawlna nge ni?
Lupus nephritis enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu symptoms control hi a ni. A dang chu kal (kidney) chhiatna nasa zawk tihtawp emaw tihziaawm emaw a ni. Enkawlnaah hian damdawi leh ei leh in thlak danglam a ngai tlangpui.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Immunosuppressive damdawi a ni | Heng damdawi te hian immune system-in kan kal (kidney) a beih theihna tur control-in hna a thawk a ni. Hemi atan hian Corticosteroids hi damdawi hman tam ber a ni. |
| Thisen sang damdawi | Damdawi ACE inhibitor leh ARBs te hian thisen sang a control a, zun a protein excretion a ti tlem a, hei hian kal chhiatna a ti tlem thei a ni. |
| Diuretics hmanga chaw ei thin | Chungte chu ‘tui pill’ an ti bawk. Taksa atanga tui tam lutuk chu zun angin an paih chhuak a, swelling tihziaawmna atan an pui thin. Thisen sang tihhniam nan an pui bawk. |
| Ei leh in lama inthlak danglamna | I doctor chuan i kal ( kidney ) a tihbuai tihziaawmna tur leh sodium i ei zat tihtlem turin a fuih thei che a ni . Sa leh bawnghnute ang chi protein tamna ei tur tihtlem turin an ti thei bawk. Hemi chungchang hi i doctor leh nutritionist te nen inbia a, i tana tha tur diet plan siam chhuah a tha ber. |
Mi zawng zawng hi dialysis tih a ngai em?
Ni lo, mi zawng zawngah a thleng lo. Lupus Nephritis vei zinga 10% leh 30% inkar chuan a tawpah chuan kal (kidney failure) an nei thin. Chutiang a nih chuan heng enkawlnate hi i ngaihtuah a ngai mai thei:
- Dialysis: Kal (kidney) a thawk tha lo a, thisen atanga bawlhhlawh paih (machine) in a filter dan a ni.
- Kidney Transplant: Kidney chhia thlak danglam nan kidney hrisel tak surgery hmanga transplant.
Engtikah nge doctor pan vat a ngaih?
Lupus i vei a nih chuan i kal (kidney) a inthlak danglam chuan fimkhur hle ang che. A hnuaia chhinchhiahna pakhat emaw, a aia tam emaw i hmuh nghal chuan, chu chu kal (kidney failure) nghal tihna a ni thei . Chutiang a nih chuan damdawi lam pan nghal rawh . A tul chuan damdawi in hnai ber emergency room (ETU) ah kal thin ang che.Kal.
- Pum a na
- Zun harsa, emaw, zun tlemte chauh kal chhuah
- Chauh lutuk emaw, mutthilh lutuk emaw
- Foamy emaw thisen chhuak emaw zun
- Vun a na
- Thisen sang a san thut
- Chaw chakna
- Nausea leh luak chhuak
- Thâwk harsa
- Taksa a hring chhuak
Hetiang dinhmun nena nun hi a harsa thei hle a, mahse enkawl dan dik leh damdawi lam thurawn pek a nih chuan mi tam tak chuan nun pangngaiin an hmang thei tawh a ni. A pawimawh ber chu doctor nen inbiak reng a, i mamawh test leh enkawlna zawng zawng lak vek hi a ni.
Take-Home Thuchah a ni
- Lupus Nephritis hi Lupus (SLE) vanga kal chhiatna leh inflammation a ni.
- Ke hring, mit vel a hring, zun hring, leh thisen sang hi he thil nena inzawm chhinchhiahna ber a ni thei .
- He natna hi a hmaa hriatchhuah leh enkawl a nih chuan kal (kidney) chhiatna nasa takin a tihziaawm thei a ni.
- Enkawlnaah hian immunosuppressive damdawi te, thisen sang damdawi te, ei leh in thlak danglam te a tel a ni.
- Doctor thupek dik tak zawm a, a hun taka clinic kal hi a pawimawh hle.
- Emergency symptoms a awm chuan doctor thurawn la nghal rawh.
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