Zunthlum emaw thisen sang emaw i neih chuan i doctor chuan "i kal enkawl rawh" a ti mai thei. Mahse, kan kal (kidney)-ah hian harsatna a awm leh awm loh engtin nge kan hriat theih ang? Natna thenkhat chu taksa chhungah hian a lan chhuah loh avangin a lo piang chhuak a, min rawn bei ruk a ni. Vawiin hian kan kal (kidney) tihchhiat ruk tak tak chungchangah hian min hriattir lawk thei tur test pawimawh tak kan sawi dawn a ni.
A hmasain, albumin chu eng nge ni?
A awlsam zawngin sawi ila, albumin hi kan taksaa protein chi khat a ni. Kan tissue te tihpun leh siamthatna tura puitu hnathawk ang mai a ni. A hmun dik tak chu kan thisenah a ni. Kidney hrisel tak takte hian thisen an tihthianghlim hian he albumin protein hlu tak hi taksa chhungah an dah a, zun chhunga bawlhhlawh duh loh zawng chauh an paih chhuak thin.
Mahse, kal (kidney) hian chhiatna engemaw zat a tawk tan chuan an filtering system nalh tak chu a chak lo ta hle a ni. Tichuan, taksaa albumin awm reng tur thenkhat chu zun nen a "leak" tan ta a ni.
Chuti a nih chuan he microalbumin test hi eng nge ni?
"Micro" tih awmzia chu a te hle tihna a ni. Chuvangin he test hian i zun chhungah albumin tlemte chauh a zawng a ni. He special test hian zun test pangngai hmanga hmuh theih loh tur tlemte pawh a hmu thei a ni (Urine Full Report).
Hei hi kal natna hriat hmasakna ang a ni. Harsatna a awm chuan he test hian a na zual hmain kan man theih nan min pui thin.
He test hi tuin nge tel duh?
Hriselna lama harsatna kan hriat hma chuan, natna khirh tak a nih hmain thunun turin hma kan la thei a ni. Hei hi kal natna tan pawh a dik a ni. I doctor-in he test hi a rawt theihna tur dinhmun lian tak tak engemaw zat a awm a:
- Zunthlum i neih chuan: Zunthlum hi kal chak lohna thlentu lian ber a ni.
- Type 1 diabetes: Kum 5 chhung he natna hi i vei tih hmuhchhuah a nih hnuah i doctor chuan kum khatah vawi khat he test hi neih a rawt ang.
- Type 2 Diabetes: A tih dan tlangpui chu kum khatah vawi khat he test hi tih tan thin a ni a, chu chu natna i vei tih hmuhchhuah ni atanga tan thin a ni.
- Thisen sang i neih chuan: Thisen sang hian i kal (kidney) a tichhe thei bawk. I doctor chuan he test hi eng chen nge i neih tur tih a sawipui ang che.
- Risk factor dang a awm chuan:
- Kum 65 chunglam i nih a, thinlung natna emaw, kal natna emaw i neih theihna tur risk factor dang i neih chuan.
- Chhungkaw zingah tu pawhin kal natna nei emaw, nei tawh emaw a nih chuan.
- Kidney natna vei tamna hnam (e.g. Asian) zinga mi i nih chuan.
Chutiang a nih chuan doctor nen inbia a, engtikah nge test tan tur tih leh eng chen nge tih tur tih i rel a tha ber.
Engvangin nge zunthlum hian kal (kidney) a nghawng nasa em em?
Hei hi entirnan awlsam takin i hrethiam ang u. Kan taksaa filter chak ber chu kidney hi a ni ang tih han ngaihtuah teh. Heng filter te hian thisen chu a filter a, bawlhhlawh duh loh chu zun angin a paih chhuak thin. Taksa mamawh thil tha (albumin ang chi protein) te chu taksa chhungah a awm reng a.
Zunthlum i neih chuan i thisen sugar (glucose) level a sang em em fo thin. He sugar tam lutuk hi sand ang mai a ni a, zawi zawiin filter nalh tak tak (kidney-a thisen kalna kawng te tak te) te chu a tichhia a ni. Hun a kal zel a, heng filter-a khur te hi a lian chho zel a, taksain taksaa a vawn reng tur albumin ang chi protein hlu tak takte chu zunah a chhuak tan ta a ni. Microalbumin test hian chu leak hmasa ber chu a pick up a.
Engtin nge test hi kan tih ang?
I albumin level enfiah nan zun sample i pek a ngai ang. I doctor-in a dil theih dan kawng hrang hrang a awm.
| Test dan tur | Hrilhfiahna |
|---|---|
| Spot Urine Test (a vawi khata sample pek) 1.1. | Hei hi doctor pan tura i kal huna i pek thin zun sample hmangin tih theih a ni. A tlangpuiin albumin rual hian creatinine an tih pawh an teh bawk. Creatinine hi bawlhhlawh pangngai, kan taksa peng hrang hrang atanga siam a ni. Heng pahnih ratio (Albumin/Creatinine Ratio - ACR) en hian nitin engtik lai pawha sample lak atang pawhin ngaihdan dik zawk i hmu thei ang. |
| Timed Test (hun bituk chhunga sample lakkhawm) 1.1. | Hun bituk chhunga zun kal zawng zawng, darkar 2, 4, emaw 12 emaw chhunga kal zawng zawng lakkhawm a, test tura thehluh. |
| Darkar 24 chhung Test neih a ni | Doctor chuan bottle bik a pe ang che. Darkar 24 chhunga i zun i chhuah apiang chu i khawlkhawm vek a ngai a ni. I tan tirh chuan a hun chu chhinchhiah la, a tuk zingah chu hun thleng chuan zun la khawm rawh. A tawpah chuan zun chu la khawm la, bottle chu lab-ah hruai rawh. Bottle hi lakkhawm hun chhung hian refrigerator-ah dah a pawimawh. Hei hian chhiar dik ber a pe ang che. |
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
Lab hrang hrangah value a inang lo deuh thei a, chuvangin hengte hi kaihhruaina tlangpui chauh a ni. I result hrilhfiahna dik ber chu i doctor chauhvin a pe thei che a ni.
- Normal: Zun-ah albumin a tlem emaw, a awm lo emaw (e.g., darkar 24 chhunga test-naah 30 mg aia tlem).
- Microalbuminuria: Zun-ah albumin level pangngai aia sang, mahse a tlem hle (e.g., darkar 24 chhunga test-naah 30mg leh 300mg inkar). Hei hi kal (kidney) a chhiat tan tawh tih hriattirna hmasa ber a ni.
- Clinical Albuminuria / Macroalbuminuria: Zun-ah albumin a tam hle tih a chiang hle (e.g., darkar 24 chhunga test-naah 300mg aia tam). Hei hian kal (kidney) chhiatna hi a nasa hle tih a tilang.
A result a sang a nih chuan eng nge thleng leh ang?
I test result-in value sang tak a lantir chuan hlauthawng suh. Kal natna i nei tih a tichiang nghal lo. A chhan chu chhan dang vangin zun chhunga albumin level hi rei lo te chhung a tisang thei a ni.
Entir nan:
- Thisen chu zunah a awm
- Khawsik
- Test hmaa exercise tam lutuk
- Zun kawng natna
- Kal natna dang
- Damdawi thenkhat
Chuvangin, doctor chuan thla 3 atanga thla 6 chhungin he test hi vawi khat emaw vawi hnih emaw a ti leh fo ang. Chu test pathum zinga pahnih result a sang chuan early stage kidney disease i nei thei tihna a ni.
Chu chu chanchin tha lo a ni lo, a takah chuan chanchin lawmawm a ni! A chhan chu tunah chuan buaina a intan tih i hre tawh a ni. Chuvangin, i doctor thurawn zawm a, i zunthlum, thisen sang, ei leh in leh a tul anga enkawlna i neih chuan kal chhiatna i veng thei a, i thunun thei bawk.
Take-Home Thuchah a ni
- Microalbumin test hi zunthlum vei leh thisen sang nei tan chuan test pawimawh tak a ni a, a chhan chu kal chhiatna chhinchhiahna hmasa ber a hriat theih avangin.
- Hei hian zun test pangngaia hmuh theih loh albumin tlemte a hmuchhuak a ni.
- Test result pakhat a sang a nih chuan lungngai suh. Doctor chuan a finfiah nan test tam zawk a ti ang.
- Kidney chhia hriat hmasak te, enkawl dan dik te, nunphung tihdanglam te hian natna hi a nasat loh nan a veng thei a ni.
- I test result leh i enkawl dan tur chu i doctor nen chauh sawipui fo thin ang che.
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