Kidney failure, a nih loh leh ‘kidney failure’ tih hi tu pawh tihlauhawm tak a ni. Mi tam tak chuan chumi hnuah chuan an thisen tihfai nan dam chhung damdawi inah an kal a ngai dawn niin an ngai. Mahse, in atanga i tih theih tur dialysis method bik a awm tih i hria em, chubakah nitin hnathawhna nen? Chu chu Peritoneal Dialysis kan tih chu a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
A awlsam zawngin, Peritoneal Dialysis hi eng nge ni?
I kal (kidney) hi super filter pahnih angin ngaihtuah rawh. An hna ber chu thisen atanga bawlhhlawh duh loh leh tui tam lutuk filter chhuah hi a ni. Liquid filtered chu zun angin kan ti a. Mahse kal (kidney) a chhiat chuan he filter hian hna a thawk tha lo. Tichuan bawlhhlawh leh toxins te chu thisenah a pung khawm tan ta a ni. Hetiang dinhmun hi ``uremia`` kan ti a. Enkawl loh chuan hei hi nunna atana hlauhawm tak a ni thei.
Chutah chuan dialysis enkawlna a lo lut ta a, chutiang dialysis chi khat chu Peritoneal dialysis hi a ni. Mahse, he miah hian thil mak tak mai a thleng a ni. Hemi ah hian i taksaah natural filter kan hmang a, chu chuan i thisen a tifai thin. Chu chu i pum chhunga taksa peng hrang hrangte hualtu membrane te tak te chu a ni. Damdawi lamah chuan hei hi peritoneum kan ti a.
He enkawlna hi i tan hmain doctor chuan operation tenau tak a ti ang a, i pum vun hmangin tube (catheter) te tak te, nem tak tak a rawn dah ang. Tichuan, tube kaltlangin sterile fluid bik (``dialysate'' kan tih) chu i pum chhungah a lut a. He tui hi darkar engemaw zat i pum chhungah a awm laiin, peritoneal membrane hian thisen atanga bawlhhlawh leh tui tam lutuk chu he tuiah hian a hip lut thin. Tichuan, bawlhhlawh paihna tui chu chu tube vek hmangin an paih chhuak a, tui thar an dah leh a ni. Hetiang hi in lamah emaw, ni khatah vawi engemaw zat emaw, zan lama i mut lai pawhin i ti thei a ni.
Chumi atan chuan hmanraw lian pahnih a awm.
Peritoneal dialysis hi kawng hnih hmanga tih a ni ber. I doctor nen inbiakna hmangin i tana remchang ber tur i thlang thei ang.
| Enkawl dan tur | Tih dan tur leh point bikte |
|---|---|
| Ambulatory Peritoneal Dialysis (CAPD) hmanga enkawl chhunzawm zel a ni. (Nitin chhunga tih theih dan) | Hemi kawngah hian machine engmah hman a ni lo. Ni khatah vawi 3-5 vel chu nangmah ngeiin fluid i thlak a ngai a ni. A vawi khatnaah minute 30-40 vel a ngai thin. He tui hi i pum chhunga a awm lai hian i hna chu a hma ang bawkin i zalen a ni. |
| Automated Peritoneal Dialysis (APD) hmanga tihdam theih a ni. (Zan khat chhunga machine hman dan) | Hei hian machine te tak te (`automated cycler`) a hmang a. Zan lama i mut hmaa machine-a i connect chuan machine chuan automatic-in a inject ang a, zankhuain a mamawh zat zat fluid chu a la chhuak ang. Zingkar i thawh chuan a enkawlna chu a zo vek tawh. Mi tam tak chuan he method hi an duh zawk a, a chhan chu nitin tihbuai a awm loh vang a ni. |
Mahse, engvangin nge he hmanraw hi a lar em em loh?
A thatna tam tak nei mahse, damdawi ina hemodialysis hman dan aiin hman a tlem zawk. Hei hi chhan hrang hrang a awm a:
- Hriat lohna: Damlo tam tak, a châng chuan damdawi lam thawktute pawhin he duhthlanna hi an hre chiang lo hle.
- Trained staff indaih lohna: He enkawlna kawnga training bik nei doctor leh nurse an tlem hle.
- Emergency-a harsatna lo awm: Mi pakhat kal (kidney) a chhiat thut chuan damdawi in zawng zawngah hian he tube (catheter) hi dahna tur facility an nei vek lo. Chutiang hunah chuan hemodialysis an hmang a ngai a, chu chu awlsam takin an tan thei a ni.
- Ṭanpuitu tur hmuh harsa: Mi ṭhenkhat chuan mahni chauha hetiang thil hi tih harsa an ti. Hetiang hunah hian ṭanpuitu tur zawn chu thil harsa tak a ni thei.
Hetiang hmanrua hi eng nge a thatna?
Hei hi a thatna lian ber chu zalenna leh awlsamna i hmuh hi a ni. Damdawi inah i nun i khung a ngai lo.
- Convenience leh flexibility: Damdawi in pan a ngai lo. Hei hi hmun fai takah i ti thei a, in lamah emaw, hnathawhna hmunah emaw, zin lai emaw pawh nise.
- Ei leh in chungchangah khapna lian tham a awm lo: Dialysis hman dan dang aiin ei leh in chungchangah khapna a tlem zawk. Nitin deuhthaw taksa atanga bawlhhlawh paih chhuah a nih avangin bawlhhlawh a khawlkhawm zat hi a tlem zawk a ni.
- Needle hman a ngai lo: Damdawi inah dialysis neih lai hian needle hman a ngai apiangin a ngai thin. Hei hi needle hlau tan chuan hahdamna lian tak a ni.
A that lohna leh hlauhawmna a awm lo em ni?
Damdawi dang ang bawkin a hlauhawmna leh a that lohna a awm a, chu chu hriat chian a pawimawh hle.
| Risk / Hrisel lohna | A awlsam zawngin... |
|---|---|
| Peritonitis natna a ni | Hei hi risk awm tam ber a ni. He natna hrik hi tube kaltlangin emaw, bawlhhlawh kaltlangin emaw pum chhunga peritoneum lining-ah a lut thei a, chu chuan natna a thlen thei a ni. Faina kawngah fimkhur hle a pawimawh hle. |
| Hernia a ni | Hernia hi pum chhunga tui a khat avanga pressure siam vang a ni thei. |
| A taksa rihna a tipung | Tui hmanah hian sugar (dextrose) a awm avangin a then chu taksain a hip lut thei a, hun kal zelah taksa rihna a tipung thei bawk. |
| Enkawlna a hlawhtlin loh vang | Kum tam tak he enkawlna an neih hnuah mi thenkhat chuan an peritoneal membrane hnathawh a tlahniam thei a, chu chuan dialysis method dang pan a ngai thei bawk. |
| Nitin tih ngei ngei tur | Hei hi nitin tih ngai a ni. Mi thenkhat tan chuan rilru lama taxing a ni thei. |
Heng thilte hi pumpelh rawh.
Peritoneal dialysis i neih chuan hengte hi hre reng ang che:
- Damdawi, nonsteroidal anti-inflammatory drugs (NSAID) ang chi, kal tana tha lo, doctor rawn hmasa lovin hmang suh.
- Tuikhuah, lui leh lui ang chi chlorin tel lo tuiah inbual loh tur a ni a, hot tub-a inbual loh tur a ni. Hengte hian natna hrik a luhtir tam zawk. Mahse, nitin inbual hi harsatna a awm lo.
Engtikah nge Doctor i hmuh nghal tur?
He enkawlna hi i dawng a, a hnuaia symptoms te hi i neih chuan:Ngaihthah suh.
- Pum natna nasa tak emaw, pum na emaw
- Khawsik nei ang maia i inhriat chuan
- Heart rate a chak chuan (tachycardia) .
- Thâwk harsa (dyspnea) .
- Nausea leh luak chhuak
- I pum atanga tui i chhuah chu a hring emaw, a hma aia rawng danglam emaw a nih chuan (hei hi natna kai chhinchhiahna a ni thei) .
- Thisen sang hniam (hypotension) chhinchhiahna, luak chhuak leh lu hah te
Heng chhinchhiahnate hi i hmuh chuan i enkawltu doctor emaw clinic emaw ko nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
A tawpah chuan nang leh i doctor hian Peritoneal Dialysis nge Hemodialysis hi i tan a tha ber tih chu in rel dun tur a ni. Thutlukna tha ber siam turin i hriselna dinhmun, nunphung leh i duhzawng zawng zawng ngaihtuah vek tur a ni.
Take-Home Thuchah a ni
- Peritoneal dialysis hi enkawlna tha tak a ni a, kidney failure nei damlote tan chuan in lamah zalenna sang zawk nen tih theih a ni.
- He enkawlnaah hian faina hi number one a ni. Kut sil fo la, boruak thianghlim takah hetiang hian ti thin ang che. Hei hian Peritonitis ang chi natna khirh tak tak a veng thei a ni.
- Hetiang hmanraw thatna te, a that lohna te, leh a hlauhawmna te hi hre chiang rawh. Thil ngaihtuah tur i neih chuan doctor nen inbiakna neih hreh suh.
- Dialysis hman dan tur i duh ber thlang turin doctor thurawn zawng fo ang che.
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