Kan taksaah hian kal (kidney) hi filter a ni tih kan hre vek. Car-a oil filter ang bawkin heng kal pahnih hian kan thisen tihfai leh bawlhhlawh tul lo tak takte chu zun anga paih chhuahna kawngah hna ropui tak an thawk a ni. Mahse, he hna lian tak hnuaia mi huaisen te tak te, i hmuh theih loh te chanchin hi i hre tawh em? Chu mi huaisen te chu `Peritubular Capillaries` kan tih chu an ni. A hming hi a buaithlak deuhin a lang thei a, mahse an hnathawh hi a awlsam hle a, a pawimawh hle bawk. Vawiin hian he thisen system tenau tak hi han sawi ila.
A awlsam zawngin, heng peritubular capillaries te hi engte nge ni?
Awle, he hming hi i tichhia ang u.
- Peri tih awmzia chu "a chhehvel" tihna a ni.
- Tubular tih awmzia chu "channel tenau" tihna a ni.
- Kan taksa chhunga thisen kalna kawng tha ber ber (capillaries) te hi an ni.
Chuvangin, a awlsam zawngin sawi ila, peritubular capillaries hi thisen kalna kawng te tak te, kan kal chhunga channel te te inzawm khawmtu network a ni. Kidney hi khawpui lian tak niin han ngaihtuah teh. Chu khawpuiah chuan in te tak te maktaduai khat vel a awm a. Heng in te hi nephron kan ti thin . Heng nephrons te hi thisen filter leh tifai tak taktu unit te an ni. Chuvangin, heng in tin (nephron channels vel) vel a byway te tak te network chu peritubular capillaries an ti a. Heng byway hmang hian thil tul (nutrition) te chu in chhungah an rawn keng lut a, in chhunga bawlhhlawh (bawlhhlawh) awm khawm chu laksak a ni.
He vascular system tenau takah hian thil thleng lian ber pahnih chu engte nge ni?
He thisen kalna kawng te tak te network hi accountant fing tak ang mai a ni. Taksa mamawh leh mamawh lohte uluk takin a thlang a, a thliar hrang thin. He hna hi hmunpui pahnih ah then theih a ni.
1. Secretion: Kidney-a filtration process hmasa ber hnuah thisen a bawlhhlawh awm zawng zawng chu heng vein atang hian renal tubules ah a chhuak thin. Chumi hnuah chuan heng bawlhhlawh te hi zunah a chhuak leh thin.
2. Reabsorption of nutrients: Kal (kidney) in thisen a filter hian a chang chuan taksa mamawh thil tha thenkhat te pawh a filter chhuak thin. Tea cup khat i filter hian tea hnah nen filter chhungah sugar engemaw zat a inhnim pil ang tih hi han ngaihtuah teh. Chutiang hunah chuan heng peritubular capillaries te hian chu nutrients te chu an hre chiang a, thisenah an la lut leh thin.
Heng process pahnih hi eng ang taka pawimawh nge an nih tih hriat tumin he table hi han en ila.
| Taksa atanga thil paih chhuah (bawlhhlawh) . | Taksa chhunga thil lo lut leh (nutrients) . |
|---|---|
| Urea: Protein te inthen darh laia nitrogenous waste product lo awm thin. | Amino acids: Protein siamtu (building blocks) a ni. Taksa thanna atan a pawimawh hle. |
| Creatinine: Muscle hnathawh laiin bawlhhlawh lo chhuak thin. | Glucose: Kan taksa tana chakna petu sugar chi khat ber a ni. |
| Excess Acids: Taksa pH inthlauhna atan acid tam lutuk hi paih chhuah a ni. | Minerals: Minerals sodium leh potassium te hi taksa tan a pawimawh hle. |
| Tui tam lutuk: Taksa chhunga tui awm zat a control. | Vitamins: Taksa mamawh vitamin. |
A awlsam zawngin, heng peritubular capillaries te hi awm lo se chuan kan taksa mamawh nutrient tam tak chu zun-ah a bo ang a, taksa tana chhiatna thlen thei bawlhhlawh thisenah a pung khawm ang.
Heng capillary te hi a chhiat chuan eng nge thleng ang?
Hei hi kan ngaih pawimawh em emna hmun a ni. Heng thisen kalna kawng nalh tak takte hi a chhiat tan chuan an hna chu an thawk tha thei lo. Hetiang dinhmun hi peritubular capillary rarefaction kan ti a . Chumi awmzia chu heng vessel te density a tlahniam a, an thim deuh a, an chhe vek tihna a ni.
Hemi chungchanga hlauhawm ber chu heng channel te hi vawi khat an chhiat tawh chuan an dam leh theihna chance a tlem hle.
He chhiatna hian damdawi lam thil pawimawh pahnih a thlen thei a:
1. Kal natna rei tak (CKD): .Capillaries a chhiat chuan kal (kidney) filtration process chu a chhe zauh zauh thin. Hun a kal zel a, hei hi kal natna rei tak (chronic kidney disease)-ah a kal thei a, a tawpah chuan kal (kidney failure) a thlen thei a ni.
2. Hypertension: Taksa chhunga chi leh tui awm zat hi kal (kidney) hian a control a. Heng capillary te hi a chhiat chuan he control hi a bo ta a ni. Chumi avang chuan thisen sang a sang chho tan ta a ni. Tin, thisen sang hian heng capillaries te hi a tichhe zual bawk. Vicious cycle ang mai a ni.
Heng capillaries te chhiatna thlentu awm thei te hi engte nge ni?
- Zunthlum
- Hypertension thunun theih loh
- Kidney natna a awm
- Glomerular diseases (kidney filtering unit tichhe thei natna) .
- Ureteral tihkhawtlai a ni
Eng symptoms nge kidney problem a awm tih a hriat theih?
Kidney natna hian a tir lamah chuan symptom lian tham a nei lo fo thin. Mahse i taksa i ngaihven chuan a chhinchhiahna thenkhat chu i hre thei ang. Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh .
- Taksa sir lehlamah, ruh hnuai lamah flank natna.
- Chhan awm lova lo thleng thin khawsik.
- Nausea leh luak chhuak.
- Taksa a hah lutuk.
- Zun chhuah dan inthlak danglamna:
- A tlangpui aia zun tam zawk.
- Zun harsatna.
- Zun chhunga thisen (hematuria) .
- Zun chhuah laiin kang emaw, natna emaw (dysuria) .
- Zun rawng a inthlak (dark brown a lo chang).
- Swelling (edema), a bik takin ke, ke ruh area-ah.
- Urinary tract infection (UTI) lo awm leh thin.
Heng symptoms te hi i neih chuan nghak mai mai suh, "Hei hi ni engemaw zat hnuah a bo mai ang" tih beisei mai suh. Doctor hmu ngei ngei tur a ni a, a tul ang ang test pawh tihsak ngei ngei tur a ni.
Kidney hriselna endiktu test te chu engte nge ni?
I natna lan chhuah dan azirin i doctor chuan heng ang test engemaw zat hi a rawt thei ang.
1. Kidney hnathawh dan enfiahna:
- Urinalysis: Zun hi protein, thisen, leh sugar ang chi thil te enfiah thin a ni.
- Thisen test dan: 1.1.Thisenah hian bawlhhlawh `BUN (Blood Urea Nitrogen)` an tih leh `Creatinine` an tih zat an teh thin. Hengte hi a san chuan kal (kidney) hian bawlhhlawh a filter tha lo tihna a ni. `eGFR (estimated Glomerular Filtration Rate)` tih test hian kal (kidney) filtration rate hi a hriat chian theih bawk.
2. Imaging Test hrang hrang: 1.1.
- Kidney Ultrasound: Hei hian kal chhunga lung emaw thil dang emaw a awm leh awm loh, a pianzia leh a awm leh awm loh a enfiah thei a ni.
- CT Scan emaw MRI Scan: Hengte hi kal (kidney) chipchiar zawka enfiah a ngai a nih chuan hman thin a ni.
Engtin nge he capillary system hlu tak hi kan humhim ang?
Heng peritubular capillaries te tan hian thil danglam bik i tih theih a awm tak tak lo. Kan tih tur awm chhun chu kan kal (kidney) hrisel taka vawn reng hi a ni. Kidney a hrisel chuan he vascular system te tak te hi a hrisel bawk. Heng thil awlsam tak takte hi tih danah siam rawh.
- Nilengin tui thianghlim tawk in tur a ni. Tui in hian kal (kidney) tan bawlhhlawh filter leh paih chhuah a awlsam phah a ni.
- Ei leh in inthlau tak ei rawh. Chaw chi, sugar leh thau tamna ei tur chu a theih ang anga tihtlem tur a ni. Thlai leh thlai ei tam zawk rawh.
- Zunthlum leh thisen sang control. Heng natna te hi i neih chuan i doctor-in a pek damdawi chu a hun takah ei thin ang che. Checking neih fo thin ang che.
- I taksa tana taksa rihna hrisel tak vawng reng rawh. Thau lutuk hian kal (kidney) ah pressure a siam nasa hle.
- Meizial zuk loh vek tur a ni. Meizial zuk hi thisen kalna kawng tichhetu lian tak a ni. Hei hian peritubular capillaries te chu direct in a nghawng a ni.
- Damdawi natna tidamtu damdawi ang chi hi Damdawi lam thurawn tel lova hman chhunzawm loh tur a ni. Hun rei tak chhunga natna tihdamna damdawi thenkhat hman hian kal tan a tichhe hle. Damdawi eng pawh i hman hmain i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Peritubular capillaries hi kal chhunga thisen kalna kawng pawimawh tak, nalh tak tak a ni a, bawlhhlawh paih chhuahna leh ei tur tha tak takte chu a lakluh leh theihna tura puitu a ni.
- Heng channel-te chhiatna hi chronic kidney disease (CKD) leh hypertension thlentu lian tak a ni thei.
- Heng channel te hi venhimna tha ber chu i kal (kidney) hrisel taka awmtir hi a ni.
- Tui in tam te, ei leh in inthlau tak ei te, zunthlum/ thisen sang control te, taksa rihna hrisel vawn reng te, leh zu in loh te hi kal hriselna atan a pawimawh vek a ni.
- I ke hring, zun inthlak danglam, hnungzang na ang chi symptom i neih chuan ngaihthah suh la, doctor pan nghal rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh