I ding lai hian i zun ah protein i nei em? Orthostatic Proteinuria chungchang hi i zir dawn teh ang!

Doctor-in i fate chu an zunthlum-ah protein a awm tih a hrilh che chuan i hlauthawng deuh mai thei, a dik em? A nih loh leh tleirawl i nih chuan nangmah ngei pawhin hetiang thil hi i hre mai thei em? Mahse, lungngai suh. Vawiin hian hetiang hunah hian i hriat theih tur condition kan sawi dawn a, mahse chutiang khawpa hlauhawm chu a ni lo. Hei hi Orthostatic Proteinuria an ti a.

Orthostatic Proteinuria chu eng nge ni?

A awlsam zawngin sawi ila, orthostatic proteinuria chu ding emaw, thut emawa i zun a ni a, i zun a protein level a sang deuh a ni. Mahse, zing mut hnua i zun (i hnungzang emaw, i sir emaw) i zun a, i mut that chuan i zun chhunga protein level chu a pangngai a ni. Chu chu thil mak a ni lo maw? Hei hi ‘postural proteinuria’ an ti bawk.

Hei hi harmless , common condition a ni. Naupang tê tê leh puitling tleirawlah a tam ber. A pawimawh ber chu i kal (kidney)-ah harsatna leh chhiatna a thlen lo. A tam zawkah chuan he natna hi hun kal zelah a mah chauhin a lo tha chho zel ang a, enkawlna engmah a awm lo ang.

Engvangin nge taksain protein a mamawh?

Tunah chuan, ‘Engvangin nge he protein hi kan sawi nasa em em? He protein hian kan taksaah eng nge a tih?’ tiin. Kan taksa hrisel taka a awm theih nan protein hi a pawimawh hle . He protein hi engtin nge a awm tih hi han en teh:

• Kan ruh leh taksa ruhte siam leh tihhmasawn nan a pui thin.
• Kan thisena tui awm zat a thunun a ni.
• Natna dona tih awmzia chu kan taksa hriselna (immune system) tanpui tihna a ni .
• Taksa a hliam chuan tissue siam that nan a pui thin.

Hei hi dinhmun hlauhawm tak a ni em?

Ni lo, a ni lo tak zet . Orthostatic Proteinuria hi a hlauhawm lo. Research atanga a lan dan chuan he natna hian hun rei tak chhunga kal natna, Chronic Kidney Disease (CKD) ang chi a thlen lo. Chuvangin lungngaihna tur a awm lo.

As common as it is, a takah chuan a tlem khawp mai . Thalai zinga 2% leh 5% inkar a nghawng a ni. Kum 30 chunglam ah a awm lo hle.

Eng nge a lan chhuah dan?

Orthostatic proteinuria hian i hmuh theih leh i hriat theih tur symptom chiang tak a nei lo . Hetiang natna i neih leh neih loh hriat theihna awmchhun chu doctor-in i zun a protein level a enfiah hi a ni.

Eng thilin nge hetiang hi a thlen theih?

Doctor leh medical researcher te chuan orthostatic proteinuria thlentu dik tak hi an la hre chiang lo. Mahse, kal hnathawh thenkhat nen a inzawm thei niin an ngai. Entirna tlemte chu hetiang hi a ni:

• Glomeruli abnormalities: I kal chhungah hian thisen kalna kawng te tak te tam tak a awm a, chu chuan thisen a filter thin. Chungte chu glomeruli an ti a. Zirna thenkhatah chuan orthostatic proteinuria vei zinga 43% vel ah chuan heng glomeruli bang hi a tlangpui aia thuk deuh a ni tih hmuhchhuah a ni.
• Abnormal hemodynamic response: Hemodynamics tih hian kan thisen kalna kawng a thisen kal dan a kawk a. Kan taksa Renin-Angiotensin-Aldosterone System (RAAS) (hormone, protein leh enzyme system) hian kan thisen kal dan a thunun thei a ni. Chuvangin, he RAAS system-a harsatna awm hian thisen kal danah chhanna dik lo a thlen thei a, chu chuan kal (kidney) a nghawng thei a ni.
• Nutcracker syndrome (or Left Renal Vein Entrapment Syndrome): Doctor leh zirchiangtute chuan i ding lai hian i veilam renal vein a pressure chuan i mut lai aiin protein tam zawk glomeruli kaltlangin a kal thei niin an ngai. Tube hrual ang maiin han ngaihtuah teh.

Mithiam thenkhat chuan gravity pawhin hmun a chang thei niin an ngai. Hun rei tak ding emaw, thut emaw hian kal atanga protein engemaw zat a ‘leak’ chhuak thei niin an ring.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Orthostatic proteinuria hian thalai a nghawng ber a ni . Mipa naupangah pawh a tam deuh hlek bawk. Orthostatic proteinuria hi puitlingah hmuh tur a awm lo.

Harsatna a awm em?

Ni lo, doctor-te chuan orthostatic proteinuria hi natna tha lo takah an ngai a ni. I kal (kidney) te, i hriselna zawng zawng te, i nunna te tan pawh hlauhawm a ni lo.

Engtin nge hei hi i hriat chian tak?

Doctor chuan i medical history a la hmasa ang a, chutah chuan taksa a enfiah leh ang. Hei bakah hian test eng emaw zat an order dawn a, hei hian diagnosis an finfiah theih nan a pui dawn a ni.

Nephrologist , kal natna lama tui tak doctor hnenah pawh refer i ni thei bawk.

Eng ang test nge tih thin?

I doctor chuan urinalysis test vawi hnih tal a ti ang. Urinalysis neih lai hian bottle bik ah i zun a, doctor office-ah emaw damdawi inah emaw i zun a ni.

• Zun test hmasa ber: Hetah hian doctor chuan ‘day sample’ a la ang. Hei hi zan lama i mut that hnua i zun sample i lakkhawm (supine emaw prone emaw) leh zing lama i lak hmasak ber a ni tlangpui.
• Zun test vawi hnihna: Hei hi ‘zan sample’ lak a ni. He sample hi nilengin i ding emaw, i thut laiin emaw lak a ni a, tlai emaw zan emaw pawh nise.

Tunah chuan zan lama i zun sample-ah i zing zun sample aiin protein a tam zawk a nih chuan i doctor chuan orthostatic proteinuria i nei tih a nemnghet thei ang.

Enkawlnate chu engte nge ni?

Hei hi chanchin tha ber a ni! Orthostatic Proteinuria hi enkawl ngai a ni lo . I ei leh in thlak danglam emaw, exercise i chawlhsan emaw a ngai lo.

Mahse, nangmah emaw i fa emaw hian hetiang dinhmun hi i nei a nih chuan i protein level hi i ngaihven reng a tha. I doctor chuan kum khatah vawi khat urine test neih tir la, i protein level enfiah turin a rawt mai thei.

Hei hi ven theih a ni em?

Ni lo, orthostatic proteinuria hi a veng thei lo. Mahse, a hmaa kan sawi tawh ang khan, harmful condition a ni lo , chuvangin ngaihtuah tur a awm lo.

Chuti a nih chuan, engtin nge he dinhmun hi i nunpui?

Hetiang dinhmun hi a prognosis a tha hle . Hei hi kal natna rei tak emaw, kal natna dang emaw chhinchhiahna a ni lo. Tin, enkawlna engmah i mamawh lo bawk.

A tam zawkah chuan orthostatic proteinuria hi i upat deuh deuh chuan a mah chauhin a bo vek thin .

Doctor ka hmu tur em ni?

Orthostatic proteinuria hi enkawl ngai lo mah se, a then phei chuan i doctor chuan i protein level enfiah nan kum khatah vawi khat zun test neih tir turin a rawt thei che a ni.

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engtin nge Orthostatic Proteinuria ka vei tih chiang taka i hriat theih ang?
• Kum khatah vawi khat zun test neih i rawt em?
• Nephrologist, kal natna lama tui tak doctor ka hmuh a ngai em?

Thuhmahruai angin hre reng ang che

Orthostatic proteinuria hi natna hlauhawm lo tak a ni a, doctor-te chuan naupang tê leh puitling naupangte zingah an hmu fo ṭhin.Proteinuria chi khat. A awlsam zawngin sawi ila, i zun chhunga protein level chu i ding lai emaw, i mut lai emaw aiin a sang zawk tihna a ni. Hei hian i kal (kidney)-ah hian thil dik lo a awm tihna a ni lo. Tin, he dinhmun hi i upat deuh deuh chuan a mah chauhin a tha chho tlangpui bawk . Nangmah emaw i fa emaw hian orthostatic proteinuria i nei a nih chuan kum tin test neih dan tur i doctor zawt thin ang che.

` Orthostatic Proteinuria, Proteinuria, Kal, Naupang, Tleirawl, Urinalysis