I zun tlem zawk ang maiin i inhria bawk em? (Oliguria) I sawi dawn nia!

I zun tlem emaw, zun tlem emaw angin i inhriat ngai em? I hre lo mai thei. Mahse, a châng chuan hei hi i taksaah thil dang a dik lo tih hriattîrna tlemte a ni thei tih i hria em? Chuvangin vawiin hian he zun chhuah tlahniam hi han sawi ila, chu chu damdawi lama Oliguria tia hriat a ni.

Hei hi eng nge ni (Oliguria)?

A awlsam zawngin Oliguria chu i taksain ni khata a pangngai aia zun a siam tlem hian a ni. "Oliguria" tih thumal hi thumal lian tak angin a ri thei a, mahse a takah chuan " zun chhuah tlem" tihna a ni.

A tlangpuiin puitling chuan ni khatah millilitre 400 leh 500 inkar zun a chhuah tur a ni a, chu chu cup hnih vel a ni . Chu aia tlem a nih chuan (Oliguria) kan ti thin. Nausen te leh naupang te tan chuan heng number te hi a danglam deuh hlek a ni. Hei hi an rih zawng atanga teh a ni.

• Nausen tan: Darkar khata a rih zawng kilogram khatah zun millilitre 1 aia tlem lo.
• Naupang tan: Darkar khata taksa rih zawng kilogram khatah zun 0.5 ml aia tlem.

Hetianga zun chhuah tlahniam hi thil thleng fo a ni a, hei hi chhan tam tak a awm theih avangin. A hlauhawm reng reng lo. Mahse, a chhan a zirin a chang chuan a hlauhawm thei hle. Chuvang chuan hei hi hriat chian a pawimawh hle.

Hei hi chi hrang hrang a awm em? (Oliguria chi hrang hrang) .

Ni e, doctor-te chuan he natna (Oliguria) hi a lo awm hun chhung a zirin chi hnih ah an then a:

1. Acute oliguria: Hei hi a lo awm nghal mai thin a ni.

2. Chronic oliguria: Hei hi a lo awm theih nan hun rei tak a ngai. Hun kal zelah zun siam chhuah zat hi a tlahniam zel a. Hetiang dinhmun hi kal natna avanga hun rei tak dialysis nei tawhte zingah a tam hle.

Hei hi eng symptoms nge ni? (Oliguria natna lan chhuah dan)

A symptom ber chu i zun dan pangngai angin i zun tam lo emaw , i zun zat pawh a tlem hle emaw . Chumi piah lamah chuan a chhan a zirin symptom dang pawh a lang thei bawk. Anni chu:

• Pum natna nei
• Kut leh ke lum vawt
• Flank pain (kidney awmna hmun) .
• A lungphu pangngai aia chak zawk (tachycardia) .
• Thisen a acidity tihpun (metabolic acidosis) .
• Thisen a potassium level sang (hyperkalemia) .
• Thisenah bawlhhlawh tam lutuk (uremia) .
• Thisen sang hniam (hypotension) .
• A hring (edema) .

Heng symptoms pakhat emaw, a aia tam emaw i neih chuan, a bik takin i zun tlem chuan doctor lam pan a tha ber.

Engvangin nge hetiang hi a lo awm? A chhante chu engte nge ni? (Eng thilin nge Oliguria hi a thlen?)

Oliguria thlentu hi chi thum ah then theih a ni. Kan taksaa urinary system hi tui filter angin han ngaihtuah teh. Hei hi he filter-a harsatna awm vang a ni thei a, chu chu kal hma emaw, kal chhung emaw, kal hnu emaw a ni.

1. Pre-renal atanga lo chhuak:

Hei hian bawlhhlawh filtration process chu kidney a thlen hmain urinary system-ah thil a dik lo tihna a ni. A awlsam zawngin, hei hi kal (kidney)-in thisen a hmuh tlem chuan a thleng thei a ni .

• Dehydration: Taksaah tui tling lo. Hei hi a chhan tam ber a ni. Hei hi i luak tam emaw, i luak chhuak emaw, i thawkrim lutuk emaw a nih chuan a thleng thei.
• Thisen tam tak hloh: Thisen tam tak i hloh a nih chuan, accident lian takah ang chi.
• Kang: Kang nasat vang a ni.
• Sepsis: Infection na tak avanga taksa pum a nghawng thei dinhmun a ni.
• Liver a tha lo.
• Lung leh lung natna thenkhat.
• Kidney-a thisen kalna (vascular disease) a awm.
• Inzai.

Ngaihtuah teh, zingkar zawng zawng i thawkrim a, i thawkrim hle a, mahse tui i in tlem hle. Chumi ni chuan i zun chhuah zat a tlahniam thei. Chu chu oliguria an tih dinhmun entir awlsam tak a ni a, chu chu dehydration avanga lo awm a ni.

2. Renal atanga lo chhuak: 1.1 .

Hei hian kidney pahnih ah hian thil dik lo a awm tihna a ni . Kal a thawk tha lo a nih chuan zun a tlem phah ang.

• Damdawi emaw, toxin emaw avanga kal a chhiat: Entirnan, natna tidamtu thenkhat chu rei tak a tam taka ei chuan kal a nghawng thei a ni. Toxin thenkhat pawhin hetiang hi a thlen thei bawk.
• Kidney disorders: Kidney-specific conditions Glomerulonephritis (kidney’s filtering units inflammation) leh Acute Tubular Necrosis (kidney’s tubules tihchhiat nghal) te hi a ni.

3. Post-renal avanga thil thleng: 1.1.

Chumi awmzia chu kal (kidney) atanga zun siam chhuah leh taksa chhuahsan kawngah khawi emaw laiah blockage a awm tihna a ni. Kidney hian zun siam mah se, a chhuah theihna tur kawng a awm lo.

• Bladder outlet obstruction: Entirnan, mipaah ​​chuan prostate gland a lian (BPH) chuan zun chhuahna chu a block thei a ni.
• Ureteral stones: Kidney stones chu ureters-ah a lo awm chuan.
• A chang chuan urinary catheter neitu chungah hetiang hi a thleng thei a, hmun dangah catheter chu a kinked a, a tlakbuak thei bawk.

Hei hi oliguria dehydration a ni em?

Ni lo, engtik lai pawhin a ni lo. Mahse dehydration hi Oliguria thlentu ber leh awm tam ber a ni. Tui i in tam loh chuan i taksa tui level a tlahniam thei a, i zun chhuah pawh a tlahniam thei bawk. Mahse, Oliguria hi chhan dang vang pawh a ni thei a, chu chu kal lama harsatna leh zun kawng inkharkhip vang te, a hmaa kan sawi tawh ang khan a ni.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

(Oliguria) hi tu chungah pawh a awm thei a, mahse mi thenkhat chu an hlauhawm zawk:

• Kal natna nei te: Kal natna nei te hi acute kidney injury (AKI) vei an hlauhawm hle.
• Damdawi ina awm tawhte.
• Mite `(Dialysis)` tih mekte.
• Kum 50 chunglam mite.

I zun tam loh chuan eng nge thleng ang? Eng harsatna nge a awm? (I zun tawk loh chuan eng nge thleng ang?)

Zun chhuah tlahniam, a bik takin a thleng thut (Acute Oliguria) a awm chhunzawm zel chuan i kal (kidney) hian bawlhhlawh a filter tha thei lo tihna a ni Hei hian Acute Kidney Failure a thlen thei a ni . Hei hi dinhmun hlauhawm tak a ni. Thihna thlen thei harsatna thenkhat chu hetiang hi a ni:

• Electrolyte imbalances: Thisen a potassium level sang (hyperkalemia) leh metabolic acidosis ang chi thil te. Chûngte chuan thinlung a nghawng thei a ni.
• Neurological disorders: Chung zingah chuan hyperreflexia, seizures, leh coma te pawh a tel thei.
• Digestive system lama harsatna: pum emaw, intestines-a thisen chhuak (gastrointestinal bleeding), pum chhunga inflammation (gastritis).
• Lung leh thisen kalna kawng lama harsatna: thinlung thawk mumal lo (arrhythmia), congestive heart failure, thisen sang.
• Lung lama harsatna: Thâwk lak dan pangngai lo, entirnan ``Kussmaul thawk'' (thâwk thuk, rang tak).

Chuvangin, i zun a tlem em tih nghah mai mai hi a tha lo. Kan taksa atanga vaukhânna a ni thei.

Engtin nge doctor-te hian oliguria hi an hriat theih?

I zun tlem avangin doctor i pan chuan i medical history (natna dang i neih leh i damdawi ei te ang chi) a zawt hmasa ang che. Tichuan physical exam an ti leh ang. Chu bâkah, test tlemte pawh an ti thei a, chungte chu:

• Thisen test: Kal hnathawh dan, thisen chi, leh natna hrik a awm leh awm loh enfiah thin.
• Zun test (Urinalysis): Zun i pass zat leh zun chhunga component awm (thisen leh protein ang chi) te enfiah thin ang che.
• Imaging test: CT scan emaw ultrasound scan emaw hmangin kidney/bladder-ah hian obstruction emaw tumor emaw a awm leh awm loh enfiah theih a ni.

Oliguria hi engtin nge i enkawl?

Oliguria hi a chhan bulpui a zirin enkawl a ni.

• Blockage vang a nih chuan: Doctor chuan blockage chu a la chhuak ang. Urethra block vang pawh a ni thei a, urinary catheter block vang pawh a ni thei bawk. Operation tenau tak neih a ngai mai thei.
• Infection vang a nih chuan: antibiotics emaw antifungals emaw pek tur a ni.
• Damdawi pakhatin kal a tichhia a nih chuan: Doctor chuan damdawi a chawlhsan ang a, a tul chuan damdawi dang a ei tan ang.
• Dehydration vang a nih chuan (luak, ril\am ang chi): I doctor chuan rehydrate turin a pui ang che. Hei hian tui emaw tui emaw ang chi tui pek che emaw, IV tui pek che emaw pawh a huam thei.
• I kal a chhiat chuan (Kidney failure): Dialysis (thisen filtration) tih a ngai mai thei.
• Tin, i doctor chuan i dinhmun a zirin protein leh calorie tamna ei tur a fuih thei bawk.

Ka zun theih loh chuan tui in pawh a pawi em? (Ka zun theih loh chuan tui ka in tur em ni?)

Hei hi a chhanah a innghat. I zun chhuah tlem chhan hi i taksaa tui tlem vang a nih chuan, chu chu dehydration a ni a, tui in a ngai ngei ang.

Thil tha ber berte chu:

• Tui thianghlim
• Electrolyte awmna hydrating solution (Jevani ang chi) .
• Soup light (steamed soup) te pawh a awm bawk.
• Liquid thei tui
• Sports drink thenkhat

Amaherawhchu, kal natna emaw, thinlung natna emaw i neih chuan i doctor-in a rawt zat chauh i in tur a ni. Chutiang a nih loh chuan tui in tam lutuk hian harsatna a thlen thei a ni. Chuvangin rinhlelhna i neih chuan Doctor zawt mai a tha ber.

Engtikah nge ka healthcare provider ka hmuh ang?

Lung natna emaw, kal natna emaw i neih chuan damdawi, tui in leh ei leh in chungchangah doctor thupek zawm tur a ni.

A tlangpui aia zun tlem zawka i inhriat chuan tui tlem tal in tum hmasa phawt ang che. Mahse a hniam chhunzawm zel chuan doctor pan ngei ngei tur a ni. I zun chu dark yellow a nih chuan dehydration leh zun chhuah tlem tihna a ni bawk .

Doctor i hmuh hian hetiang zawhna hi i zawt thei bawk ang:

• Eng thilin nge ka zun chhuah a tihtlem chhan?
• Hei hi dinhmun pawi tak a ni em?
• Symptom na tak tak ka nei em?
• Eng enkawlna nge i rawt?
• Complication chungchangah hian ka ngaihtuah tur em ni?
• Ka ei leh inah inthlak danglamna ka siam a ngai em?
• Dietitian ka hmuh tur em ni?

Heng symptoms zinga pakhat tal i neih chuan zun chhuah tlem nen , doctor thurawn zawng nghal rawh:

• Pum natna
• Buaina/hriatna hloh
• Chau
• Khawsik

Engtin nge oliguria hi ven theih ang?

• Diarrhea emaw, luak chhuak emaw i neih chuan tui leh tui a tam thei ang ber in thin ang che. Dehydration pumpelh a pawimawh hle.
• I zun insum theih lohna i hriat veleh ngaihven nghal rawh. Hriat hmasak a pawimawh.
• Thâwk lama harsatna i neih emaw, kal natna emaw, thinlung natna emaw i neih chuan i doctor thupek chu uluk takin zawm rawh. Ni khata tui i in tur zat leh ei tur chi hrang hrangte hre reng ang che.

Take-Home Thuchah hnuhnung ber

I zun chhuah zat tlahniam chu i taksain thil engemaw hrilh che a tum hi a ni . Thil pangngai a ni thei a, a nih loh leh harsatna lian tak hnuaia awm chhinchhiahna a ni thei bawk. Enkawl loh chuan harsatna lian tak tak a thleng thei a ni.

Mi tam tak chuan zun , emaw zun chhuah chungchang sawi hi tlem an zak emaw, an zak emaw thin. Mahse ni khatah vawi engzat nge i zun tih leh i zun zat hriat reng hi i hriselna hriat theihna kawng pawimawh tak a ni.

I luak emaw, i luak chhuak emaw a nih chuan tui tam tak in la, chu chuan dehydration a veng ang. Zu in pangngai mahse zun tlem zawk ang maia i la inhriat chuan a chhan hriat chian a, enkawl dan tur doctor pan a hun tawh hle. Doctor-te hian heng thilte hi sawi nuam an ti hle a, chuvangin sawi nuam i tih theih nan an pui ang che. I hriselna ngaihtuah ber tur chu nangmah i ni. Chuvangin, engmah thup suh la, hlau lovin i doctor nen inbia ang che.

` Oliguria, zun chhuah tlem, kal natna, tui tlakchhamna, zun kawng, natna lan chhuah dan, enkawl dan