I kal (kidney) hian protein a paih chhuak tam lutuk em? Nephrotic Syndrome chungchang hi han sawi ila!

I ke, i kut, a nih loh leh i hmai chu a lo hring chhuak nghal em? Nge i zun chu naute taksa hring ang mai a ni em? I zun hian foam ang maiin a lang em ? Hengte hi i kal (kidney)-a harsatna tenau tak a ni thei a, chu chu damdawi lam thil vang pawh a ni thei. Vawiin hian chutiang kal natna pakhat, ‘Nephrotic Syndrome’ chungchang kan sawi dawn a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Nephrotic Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, nephrotic syndrome hi kan kal (kidney) hian zun atanga protein tam lutuk a paih chhuah thinna a ni. Doctor-te chuan hei hi ``proteinuria'' an ti. A dik tak chuan ni khatah protein gram 3 aia tam (US penny khat aia rit deuh) chu zun-ah a chhuak a nih chuan chu chu he natna lan chhuahna ber a ni. Hei hi kal hrisel tak takte tihchhuah aiin a let 20 velin a tam zawk a ni.

Tunah chuan kan kal (kidney) hi filter angin han ngaihtuah teh . He filter hian thisen kalna kawng te tak te a nei a, chu chu `(glomeruli)` kan ti a ni. Heng `(glomeruli)` te hian bawlhhlawh (entir nan, nitrogenous waste `(urea)`, muscle waste `(creatinine)`, leh acids), chubakah thisen atanga tui tul lo te chu an filter chhuak thin. Tichuan zun angin an chhuak leh thin. A tlangpuiin kal hrisel takah chuan `(glomeruli)` hian taksa mamawh thil, protein te chu a filter chhuak a, thisenah a dah a, a bik takin protein `(albumin)` . Mahse heng `(glomeruli)` te hi a chhiat chuan an thawk tha lo. Tichuan, protein hlu tak tak `(albumin)` ang chi te chu awlsam takin zun chhungah a awm khawm thin.

Hei hian nunna a tichhe thei em?

Ni e, nephrotic syndrome hi natna khirh tak a ni . Enkawl that loh chuan harsatna dang a thlen thei a, i nun pawh a nghawng thei bawk. Chuvangin hei hi hriat chian a pawimawh hle a, symptoms i neih chuan damdawi lam thurawn la nghal a pawimawh hle.

Tute nge nephrotic syndrome vei?

Hei hi tu pawhin an tipung thei a ni . Mahse, zunthlum kaihhnawih kal natna nei te, allergy thenkhat nei te, leh chhungkaw history-a he kal natna chi (nephrotic syndrome nei) te hian an vei tam zawk.

Hei hi natna tlanglawn tak a ni lo.

• Kum tin naupang 50,000 zinga 1 velin a nghawng a ni. Naupang kum 2 leh 5 inkar ah hmuhchhuah a ni ber a, mipa naupangin hmeichhia aiin a let hnih in an vei tam zawk.
• In adults , hei hi kum khatah mi sang za zinga pathum vel ah a thleng thin.

Engtin nge nephrotic syndrome hian taksa a nghawng?

Kan taksa tana pawimawh em em protein te chu zun atanga a chhuah chuan harsatna chi hrang hrang a lo chhuak thin.

• Protein thenkhat chuan thisen zam a titawp thei . An bo chuan thisen zam (blood clots) a lo awm thei a ni.
• Protein chi pawimawh dang chu`(Immunoglobulins)` tih a ni . Chungte chuan kan immune system chu natna leh infection te do turin a pui thin. Hengte hi a bo chuan awlsam takin natna hrik kan kai thei a ni. Entir nan:
• `(Pneumonia)` (Pneumonia) tih a ni.
• Cellulitis (vun natna hrik kai) .
• Peritonitis (a pum chhunga natna hrik awm) .

Nephrotic syndrome natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi ngun taka ngaihven a pawimawh:

• Zun-ah protein `(albumin)` tam tak neih (`(albuminuria)`) : Ni khatah `(albumin)` protein gram 3.5 aia tam a chhuak thin.
• Thisen a thau leh cholesterol level sang (hyperlipidemia) .
• Swelling (`(edema)`) : A tam zawkah chuan ke, ke ruh, leh ke a hring thin. A chang chuan kut leh hmai pawh a hring thei bawk. Ngaihtuah teh, i fa chu zingkar a harh a, a mit vel chu a hring ang maiin a lang a nih chuan chu pawh chu chutiang chhinchhiahna a ni thei bawk.
• Thisen a albumin protein level tlahniam (hypoalbuminemia) .
• Chaw ei chu a thlum lo .
• Chau tih hriat reng reng .
• Pum na (ribs atanga pum hnuai lam thlenga khawi hmunah pawh).
• Foamy urine , sahbawn tui ang mai.

Thil dang pakhat chu kan taksa hian hetiang hian mineral leh vitamin pawimawh tak tak, a bik takin calcium leh vitamin D , a hloh a ni. Naupang tê têah chuan hei hian ṭhanlenna a nghawng thei a ni. Sam tlakchham, nail chak lo, leh ruh chak lo thei natna ``(Osteoporosis)`` (bone thinning disease) te pawh a awm thei bawk.

Nephrotic syndrome avanga harsatna awm tam ber chu engte nge ni?

Enkawl loh chuan harsatna hrang hrang:

• `(Acute kidney injury)` - Kal (kidney) te hnathawh that loh thut.
• Anemia - Taksa peng hrang hranga oxygen phur thei thisen cell hrisel tak tak tlakchhamna.
• Coronary artery disease - Thinlung thisen petu arteries-a thau awm.
• Hypertension - Thisen kalna kawng hrang hranga a kal laiin thisen sang chu a pangngai aia sang a ni.
• Hypothyroidism - Thyroid gland hian thisenah thyroid hormone a chhuah tam tawk lo.

Nephrotic syndrome hi engte nge ni?

A tam zawkah chuan heng `(glomeruli)` te hi kal natna avangin a chhe thin. Doctor leh zirchiangtute chuan engvangin nge heng natnate hian direct-a `(glomeruli)` a nghawng tih hi an la chiang lo hle. Heng `(glomeruli)` chhia te hi Nephrotic syndrome thlentu ber an ni. Chung natna thenkhat chu:

• `(Amyloidosis)` : Hetah hian protein chi khat amyloid an tih chu kan taksa peng pawimawh tak takah a awm a. Hei hi kal (kidney)-ah a thleng fo thin. Tichuan kal (kidney) filtering theihna a tlahniam ta a ni.
• `(Diabetes kaihhnawih nephropathy)`Nephropathy: Hei hi kal (kidney) hnathawh that loh vang a ni. Hetiang dinhmun hi zunthlum natnain kal chhunga nerve pakhat emaw a aia tam emaw a tihchhiat hian a thleng thin. Hei hian rilru hahna a thlen thei a, taksa ruh a tichak lo thei a, natna a thlen thei bawk.
• Focal segmental glomerulosclerosis (FSGS) : Hei hian glomeruli segment tenauah hliam a siam thin. Hei hian a hring thei a, kal a tichhe thei a, zun chhunga protein a thlen thei bawk.
• Lupus : Lupus hi autoimmune natna a ni. Taksa pumpuiah inflammation, swelling, leh pain a thlen thin. Kal (kidney) pawh a nghawng thei bawk.
• Membranous nephropathy : Hemiah hian kan taksa ngeiin a taksa a natna dotu (immune system) hian kal (kidney) chhunga filtering membrane te chu a bei a.
• Minimal change disease (MCD) : Hei hi Nephropathy chi khat a ni bawk a, kal (kidney) a thawk tha lo. Mahse, kidney biopsy-ah chuan glomeruli emaw kidney tissue emaw-ah chhiatna lian tham a awm lo. Kum eng pawha lo awm thei mah se, naupang tê têah a tam ber.

Engtin nge nephrotic syndrome hi hriat theih?

He natna hi hriat theih nan doctor-te chuan test eng emaw zat an nei a:

Urinalysis test neih a ni

Hei hi urinalysis hmanga hriat theih a ni a, chu chuan i zun awm dan, chemical composition leh microscopic appearance te a en thin.

• Dipstick test : He test-ah hian doctor office emaw damdawi inah emaw special container-ah i zun lut thin. Tichuan doctor emaw nurse emaw chuan chemical-coated paper strip (dipstick) chu container chhungah a dah a. I zun chhungah albumin a awm chuan strip chu a rawng a danglam ang.
• Urine protein test : Heng test te hi tehna dik zawk mamawh a nih chuan tih thin a ni.
• Zun sample pakhat : Hei hi lab-ah thawn a ni. I zun (`(albumin-to-creatinine ratio)`) ah `(albumin)` leh `(creatinine)` engzat nge awm tih an en ang. `(creatinine)` gram khatah `(albumin)` milligram 30 aia tam i neih chuan chu chu harsatna a ni thei.
• Darkar 24 chhung zun lakkhawm : Doctor in in lama i zun lakkhawmna tur bottle a pe ang che. Test neih ni hian:
• Zing lama thil hmasa ber, i harh chuan a hma ang bawkin toilet-ah zun la .
• Tichuan chu bottle chhungah chuan nilengin zanah i mut thlengin zun la .
• A tuk zingah i harh veleh a vawikhatna atan bottle khatah zun la .
• Tichuan chu sample chu doctor office-ah emaw, lab-ah emaw i hruai a ngai a, chutah chuan `(albumin)` zat chauh an teh a ngai a ni.

Thisen test a ni

Hemi ah hian doctor chuan needle te tak te hmangin i kut chhunga vein pakhat atanga thisen tlem te chu a la thin. Lab-ah test turin thawn a ni. Thisenah `(albumin)` emaw protein dang emaw a tlem chuan nephrotic syndrome a ni thei. Tin, thisenah cholesterol leh `(triglyceride)` awm zat an enfiah bawk. `(albumin)` a hniam chuan hengte hi a pung thei a ni.

Kidney biopsy tih a ni

Hetiang tih danah hian doctor chuan i kal atanga tissue te tak te a la a, microscope hmangin a enfiah thin. Procedure hmain a hmun chu a numbed a, chuvang chuan natna i nei lovang. I chawlh hahdam theih nan mutna damdawi tlemte pek i ni thei bawk. Chumi hnuah doctor chuan i vun kaltlangin i kal chhungah needle a dah lut a, tissue sample chu a la ta a ni.

Mahse, zunthlum i vei a, i doctor-in nephrotic syndrome a rinhlelh chuan kal biopsy lak a ngai lo fo. I medical history, zun test leh thisen test te hian zunthlum vanga nephrotic syndrome awm chu a hriat theih nan a pui thei a ni.

Nephrotic syndrome hi tihdam theih a ni em?

Hei hi natna tihdam theih vek a ni lo . Mahse, chanchin lawmawm a awm! Naupang tê têah a awm chuan an naupan lai, kum 18-20 vêlah a bo fo ṭhin .

Enkawlna hian symptoms a control thei a, kidney tihchhiat belh zel chu a titawp thei bawk.

Enkawlnaah hian a chhan bulpui enkawl a, thisen sang, cholesterol, swelling, leh natna kai theihna tihziaawm a ni. A tam zawkah chuan damdawi leh ei leh in thlak danglamna a tel .

• Thisen sang damdawi thenkhat hian nephrotic syndrome thlentu kal natna hi a thunun thei a ni. Entir nan:
• `(Angiotensin tidanglam thei enzyme (ACE) titawptu)`
• `(Angiotensin receptor blocker (ARBs))` tih a ni
• Heng damdawi te hian glomeruli chhunga pressure a tihziaawm bakah zun atanga albumin chhuak zat a ti tlem bawk. Mi tam tak chuan an thisen sang control nan damdawi pahnih pathum an mamawh mai thei.
• ACE inhibitor emaw ARB emaw nen chuan i doctor chuan diuretic . Diuretics hian i kal (kidney) hian i thisen atanga tui tam lutuk chu a paih chhuak thin. Thisen sang leh swelling tihziaawmna atan pawh an pui thei bawk. Thisen sang tihhniam thei damdawi dangte chu beta-blockers leh calcium channel blockers te an ni .
• Doctor chuan cholesterol tihhniam nan ``statin`` damdawi a pe thei a ni.
• Nephrotic syndrome i neih chuan kum tin influenza (flu) vaccine leh pneumococcal vaccine hi lak thin a tha bawk. Pneumococcal vaccine hian pneumococcus an tih bacteria (e.g. beng natna, pneumonia, meningitis) avanga natna hrik lakah a veng thei a ni.
• A châng chuan i doctor-in thisen tithianghlimtu (anticoagulants) a pe thei a, mahse hengte hi thisen zam i neih chuan pek chauh a ni. Nephrotic syndrome emaw a symptoms emaw an veng lo.

Ei leh in lamah fimkhur a ngai em?

Puitlingah hian ei leh in leh in hian nephrotic syndrome lo awm leh venna kawngah nghawng lian tham a nei lo. Mahse, he natna hi i neih chuan, .Symptom thenkhat chu ei leh in thlak danglam hian tihziaawm theih a ni.

• I ei leh in a chi (sodium) tihtlem hian a hring (swelling) a ti tlem thei a ni . Kan eitur a sodium tam zawk hi chi atanga lo chhuak a ni. Tui in tam hian a hring (swelling) a tiziaawm thei bawk.
• I ei leh in a saturated fat leh cholesterol tihtlem hian ``hyperlipidemia'' (thisen thau tam) control nan a pui thei a ni . Ei tur thau tamna dairy products, sa sen, sa processed, cheese, fried foods, baked goods, leh sweets te hi tihtlem a tha ber.

Engtin nge ka in enkawl ang?

I natna lan chhuah dan enkawl dan tha ber chu doctor-in a tih angin i damdawi ei hi a ni . Tin, potassium leh protein tamna, mahse sodium, saturated fat, leh cholesterol tlem zawk ei hi a tha hle bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi nephrotic syndrome awm chhan a zirin a danglam thei. Mi thenkhat chuan enkawlna an tan atanga ni engemaw zat chhungin an dam tan thei . Mi dangte tân chuan kar tam tak emaw, thla tam tak emaw pawh a la ngai thei. Dawhtheih a pawimawh.

Nephrotic syndrome nei mi pakhat chungah eng nge thleng?

Diagnose leh enkawl dik a nih chuan nephrotic syndrome vei te hian result tha tak an nei thin . Mi tam zawk chuan enkawlna an dawng tha a, remission (`(remission)`)-ah an kal thin. Chumi awmzia chu a symptoms te chu a bo vek tihna a ni. Naupan laia nephrotic syndrome i neih chuan, a hmaa kan sawi tawh ang khan, i puitlin hunah chuan a bo vek mai thei.

Nephrotic syndrome hi ven theih a ni em?

Nephrotic syndrome hi ven theih a ni lo , mahse a thlentu dinhmun (e.g., zunthlum, thisen sang) leh ei leh in thlak danglamna te dik taka enkawl hian symptoms a ti tha thei a, kidney chhiatna a ti tlem thei bawk.

Engtikah nge doctor i hmuh ang?

Kidney natna chhinchhiahna, a bik takin zun hring leh hring, ni engemaw zat aia rei i neih chuan doctor pan nghal rawh . A hriat hma poh leh enkawl a awlsam zawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah heng zawhnate hi i zawt thei ang:

• "Engtin nge nephrotic syndrome ka nei tih i hriat?"
• "I diagnosis finfiah nan test dang ka tih belh a ngai em?"
• "Nephrotic syndrome ka neih loh chuan eng condition dang nge ka neih theih ang?"
• "Eng dinhmun nge nephrotic syndrome ka neih chhan?"
• "Ka nephrotic syndrome hi enkawlna nen remission-ah a kal dawn niin i hria em?"
• "Ka nau nephrotic syndrome hi a lo puitlin chuan a reh dawn em ni?"
• "Eng damdawi nge enkawl dan nge i rawt?"
• "Ka ei leh in ah hian tihdanglam ka ngai em?"

Nephrotic Syndrome leh Nephritic Syndrome inthlauhna

Heng pahnih hi kal (kidney) tichhe thei dinhmun a ni.

• Nephrotic syndrome chhinchhiahna ber chu zun chhunga protein tam lutuk hi a ni.
• Nephritic syndrome chhinchhiahna ber chu kal (kidney) a inflammation a ni. He inflammation hi infection, thisen kalna natna emaw, degeneration emaw avanga lo awm a ni fo thin.

Nephrotic Syndrome leh Glomerulonephritis inthlauhna

Glomerulonephritis hi kal natna a ni bawk. A natna lan chhuah dan hi nephrotic syndrome nen a inang a ni. Mahse, a danglamna ber chu protein chhuah zat a ni .

• Nephrotic syndrome i neih chuan ni khatah protein gram 3.5 aia tam i paih chhuak thin.
• Glomerulonephritis i vei chuan ni khatah protein gram 3.5 aia tlem lo a chhuak thin.

Congenital nephrotic syndrome tih hi eng nge ni?

Hei hi pian tirh atanga awm thin condition a ni . Permanent kidney failure a thlen thei a, a tlangpuiin kum 2 leh 8 inkar vel a ni.Hei hi thlahtu kal natna a ni. Chumi awmzia chu nu leh pa atanga fate hnenah a inthlunzawm tihna a ni.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Chuvangin, a tawi zawngin, nephrotic syndrome hi kal (kidney) hian zun atanga protein tam lutuk a paih chhuah thinna a ni. Ni engemaw zat aia rei , pum na, zun hnim hring, hring, ei duh lohna, leh hah fo thin ang chi symptoms i neih chuan doctor lam pan a tha ber. Hriat la, a hmaa hriatchhuah leh enkawl hian i kal hrisel a awm theih nan leh harsatna lian tham a veng thei a ni . Hlauthawng suh, i doctor thupek zawm mai rawh. Dam leh thuai turin duhsakna ka hlan e!

` Nephrotic Syndrome, Kal natna, Protein, Swelling, Zun Test, Naupang enkawl, Nephrotic Syndrome