I kal leh zun kawng chungchang tlem han zir ila.

Kan taksa zawng zawng chhungah hian thil mak tak tak a thleng a ni lawm ni? Factory lian tak ang mai a ni. Chuvangin he factory-a bawlhhlawh siam chhuah te hi tihbo dan tur a awm ngei ang. Kan taksaa bawlhhlawh awmte paih chhuah dan ber pakhat chu urinary system hmang hian a ni . He urinary system-ah hian hero pahnih an awm a, chu chu Kidneys . Vawiin hian heng Kidney leh Urinary Tract chungchang kan sawi dawn a ni. A awlsam hle mai, i hriatthiam theih angin.

Heng kal (kidney) te hi eng nge ni? Kan taksaah khawiah nge an awm?

Tunah chuan heng kal (kidney) te hi eng nge an nih leh khawiah nge an awm tih i ngaihtuah mai thei, a dik em? A awlsam khawp mai. Kidney hi bean ang chi organ pahnih a ni . Kidney tin hi i kutphah ang vel a ni. Kan ruhro sir lehlamah , rilru chhunga ruhro hnuai lam chiah, taksa hnung lam hawia awm an ni. Kan taksaa filter chak ber pahnih ang an ni.

Heng kidney chhungah hian system complex tak a awm a. Mahse a awlsam zawngin sawi ila, kal hian pawn lam leh chhung lam a nei a. Chung chhungah chuan thisen tifai thei filtering unit te tak te maktaduai tam tak a awm a . Nephrons kan ti a . Chutiang hmun tlemteah chuan hna nalh tak tak a kal zel tih hi han ngaihtuah teh!

Kidney hnathawh ber chu eng nge ni? Engvangin nge an pawimawh em em?

Kidney hnathawh ber leh pawimawh ber chu kan thisen tihfai hi a ni . Kitchen chhunga tui filter ang mai a ni a, mahse a complex zawk leh advanced zawk hle. Kidney hian kan taksa cell hnathawh atanga bawlhhlawh lo chhuak - entirnan , urea, kan ei protein chu a hmin atanga lo awm thin - chubakah chi leh tui te chu a filter chhuak vek a, chung zawng zawng chu thisen atanga filter chhuakin zun ah siam vek a ni.

Hetiang hian han ngaihtuah teh:

• Thisen thianghlim lo chu kal (kidney) ah a lut thin.
• He thisen hi ka sawi tawh ang khan kidney chhunga filter te tak te, nephrons an tih te hian a tithianghlim thin.
• Bawlhhlawh leh tui tam zawk chu zun angin an la khawm thin.
• Thisen thianghlim chu taksa pum puiah a kal leh ta a ni.

Mak a ni lo maw? Ni khat chhungin kan kal pahnih hian kan taksa pum puia thisen awm zat aiin a let sawmhnih atanga a let sawmthum velin a tithianghlim thin! Chu chu heng pahnih tan hian thut mai mai hun a awm lo tihna a ni.

Kidney hian thil mak dang tam tak a ti bawk!

Thisen tihthianghlimna bakah hian kal hian kan taksa tan hna pawimawh dang tam tak a thawk a. An thil tih hi han thlir ila.

1. Thisen sang control dan tur

Ni e, i ta.Kidney hian thisen sang a vawng reng thei bawk . Chu chu taksaa tui leh chi awm zat tihreh a, thisen sang control thei hormone (renin ang chi) siamin an ti a ni .

2. Thisen sen (red blood cells) siam tura tanpui

Kidney hian hormone erythropoietin a siam bawk a, chu chuan kan ruhro chu thisen sen (red blood cells) siam turin a tichak a ni. Chumi awmzia chu kal hriselna hian thisen tlakchhamna, a nih loh leh thisen tlahniam dinhmun pawh a nghawng tihna a ni. Chu chu i ngaihtuah ngai em?

3. Vitamin D tichaktu

Kan ruh nghet taka vawn reng nan vitamin D hi a pawimawh zia kan hria. Chuvangin, ei leh in atanga kan hmuh leh ni atanga vitamin D kan hmuh hi taksain a hman theih nan kal hian a tichak a ni.

4. Taksa chhunga chi leh tui inthlauhna vawn reng

Kidney hian kan taksaa salt, sodium leh potassium te, tui te balance dik tak vawn thatna kawngah hna ropui tak a thawk a ni. Hei hi a thleng dik loh chuan harsatna tam tak a lo chhuak thei a ni.

5. Taksa chhunga acid leh base inthlauhna

Kidney hian kan taksa chhunga tui awmte pH (acid leh base inkara balance) vawng reng turin a pui bawk. Hei pawh hi uluk taka thunun a ngai a ni.

I hmu em, kal hi thisen filter thei machine pahnih chauh a ni lo va, chu aia tam an ti a ni!

Chuti a nih chuan he zun kawng hi eng nge ni?

Urinary system hi kal (kidney) atanga lo chhuak zun hian taksa atanga a chhuah thlenga a kalna kawng a ni. A then hrang hrang atanga siam a ni a:

• Ureters: Hei hi kal atanga zun (bladder) thlenga zun phurtu tube te tak te pahnih a ni. Palai pahnih, uluk taka kal atanga zun (bladder) thlenga phur chhuak ang mai an ni.
• Urinary Bladder: Hei hi taksa ruh atanga siam bag te tak te , zun khawlkhawm leh dahkhawmna a ni. Rubber balloon ang maiin a inzawm thei. Zawi zawiin zun a awm khawm chuan a lian chho zel a. A tlangpuiin zun cup 2 (400-500 ml) vel kan neih hian zun a ngai tih kan hria.
• Urethra: Hei hi bladder atanga zun chhuak taksa atanga chhuak tur tube hnuhnung ber a ni. Mipa hian zun kawng (urethra) a sei deuh a, hmeichhia erawh chuan a tawi zawk thung. He danglamna hian hmeichhiate chu urinary tract infection (UTI) vei tamna a siam a ni.

A awlsam zawngin, zun siam dan hi...

Kidney chhunga zun siam dan hi a buaithlak hle a, mahse a awlsam zawngin i dah ang u. Step lian pathum a awm a, chungte chu:

1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Filtration: Thisen hi a hmaa kan sawi tawh ang khan nephrons an tih mesh te te ah a lut thin. Chutah chuan bawlhhlawh, tui tam zawk, leh chi (salt) ang chi thilte chu an filter chhuak thin. Thisen chhunga protein particle lian tak tak leh thisen sen (red blood cells) ang chi thil te hi filter a ni lo va, thisenah a lut leh thin.

2. Reabsorption: Filtered fluid ah hian taksa mamawh leh tur thil pawimawh tak tak a awm thei. Entirnan, tui thenkhat, glucose (sugar) leh chi thenkhat chu taksaah a lut leh thin. A chhan chu thil hlu tak takte hi a boral theih loh vang a ni.

3. Thil tul lo dang dah belh `(Secretion)`: Thisena bawlhhlawh thenkhat, damdawi chi hrang hrang, filtered fluid-ah direct-a dah a ni.

Heng step pathum te hi a zawh chuan liquid lo awm hi zun kan tih hi a ni . He zun hi ureter kaltlangin bladder-ah a kal a, chutah chuan a la khawm a, a tawpah chuan urethra kaltlangin a chhuak ta a ni.

Kidney leh urinary system hrisel taka awm theih nan eng nge kan tih theih ang?

Kan kal (kidney) hi pahnih ngawi reng, mahse thawk hah lo tak tak an ni. An hriselna enkawl hi kan mawhphurhna a ni. Kan tih theih awlsam tak takte chu hetiang hi a ni:

• Nitin tui in tam: Ni khatah tui glass 8 tal in tur a ni. Hei hian kal (kidney) hian bawlhhlawh a filter awlsam zawk a, zun kawng infection a ti tlem bawk.
• Ei leh in hrisel ei: Chi ei tlem . Package leh artificial sweetened foods te chu a theih ang anga tihtlem tur a ni. Thlai leh thei ei tam zawk rawh.
• Thisen sang leh zunthlum control: Thisen sang (Hypertension) emaw, zunthlum (Diabetes Mellitus) emaw i neih chuan kal (kidney) tihchhiat loh nan uluk taka control a pawimawh hle.
• Painkillers hi a tul aia tam hmang suh: Painkillers hman chhunzawm zel leh hman tam lutuk, a bik takin ``NSAIDs'' an tih chi (e.g. ibuprofen, diclofenac) te hi kal tan a hlauhawm hle. Damdawi lam thurawn tel lo chuan hengte hi ei chhunzawm zel suh.
• Zun hun tikhawtlai suh: Zun chhunga vawn hian zun kawng (bladder)-ah pressure a siam a, zun kawng infection a thlen thei bawk.
• Exercise neih fo thin ang che.
• Meizial zuk loh tur: Meizial hian kal (kidney)-a thisen petu thisen kalna kawngte a tichhe thei a ni.
• Damdawi lam enfiah fo thin ang che: A bik takin kal natna vei theihna i neih chuan (e.g., i chhungte zingah mi pakhatin a vei a nih chuan, zunthlum, thisen sang i neih chuan) doctor hnenah thurawn dil fo la, a tul anga test neih tir thin ang che.

Thuziak tawi: Kamal-a thil tawn

Kamal hi tlangval buai tak a ni. Ni khat chu a zun laiin a kang deuh tih a hria a. Mahse a hnathawhna mawhphurhna nen chuan a ngaihven vak lo. "Tui a in tawk lo pawh a ni maithei," a ti a. Ni reilote hnuah chuan a kang chu a zual sauh sauh a, a zun pawh a zun tam a ngai ta a ni. A hnungzang pawh a na deuh hlek bawk. A tawpah doctor a pan meuh chuan urinary tract infection (UTI) a nei tih a hre ta chauh a ni. Doctor chuan, "Kamal, rei vak lo i nghak a nih chuan hei hian a kal (kidney) a nghawng thei a ni. I taksain signal a pek che te pawh hi i ngaihven tur a ni," a ti a. Chumi ni atang chuan Kamal chuan a kal (kidney) leh a zun (urinary system) chungchang chu a ngaihtuah zual tan ta a.

Engtikah nge Doctor kan hmuh ang?

I kidney emaw urinary system-ah harsatna a awm chuan i taksa hian clues a pe ang che. Heng symptoms te hi i neih chuan doctor i pan ngei ngei tur a ni:

• Zun laiin natna emaw, kang emaw i hriat chuan.
• Zun tam i mamawh a nih chuan, emaw, zun mamawhna nasa tak i neih thut chuan (Urgency).
• I zun (hematuria) ah thisen i awm chuan .
• Zun chu a rawng a dum emaw, a rimchhia emaw a nih chuan.
• I hnungzang sir lehlamah (i kal awmna hmunah) na i neih chuan.
• I ke, i ke ruh emaw, i mit vel emaw a hring a nih chuan.
• Persistent extreme fatigue i neih chuan.
• I zun chhuah zat (a tlem lutuk emaw, tam lutuk emaw) a danglamna lian tak a awm chuan.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Damdawi lam thurawn lak vat chuan harsatna lian tak a veng thei a ni.

A tawp berah chuan hei hi hre reng ang che...

I kal (kidney) te hi i taksaah silent worker pahnih an ni. An thil tih hi kan hre reng lo mai thei, mahse anmahni tel lo chuan kan nung thei lo. Chuvangin heng taksa peng hlu tak pahnih hi uluk taka enkawl hi i mawhphurhna a ni.

Kan sawi tawh nunphung inthlak danglamna awlsam tak takte kha i nunah telh la. I taksain a hrilh che chu ngaithla rawh. Ringhlelna emaw zawhna emaw i neih chuan Doctor pan hun tikhawtlai suh. Kidney pair hrisel hi nun hrisel tan malsawmna ropui tak a ni!

Chuvangin, vawiin khan kidney leh urinary system chungchangah thil awlsam tak tak kan sawi a. Heng thudikte hi i hman tangkai ka beisei. I hriselna enkawl rawh!

Kidney, Urinary System, Kidney hrisel, Urinary Tract Infection, Kal natna, Sri Lanka hriselna, Kal hriselna Sinhala