I zun ah protein i nei em? (Proteinuria) Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

Tun hnaia toilet i kal hian i zun chu a hma aia foamy leh bubbly a nih thu i hmu tawh em? I ngaihven vak lo mai thei. Mahse, hei hi kan kal (kidney) lama harsatna kan neih hmasak ber a ni thei. Vawiin hian mi tam tak tana pawimawh, mahse chiang taka hriat loh thupui kan sawi dawn a ni. Chu chu zun hmanga protein chhuahna a ni a, chu chu damdawi lam hawi chuan ‘proteinuria’ kan tih hi a ni.

A awlsam zawngin, i zun-ah protein awm hi eng nge a awmzia?

Kan kal hi filter tha tak, tea hnah filter thei angin han ngaihtuah teh. Kan thisen hian he filter a paltlang hian taksa mamawh loh bawlhhlawh a filter chhuak a, zun angin a paih chhuak thin. Mahse, thil pawimawh tak tak, protein (a bik takin albumin) te chu thisenah hian filter chhuah ai chuan a awm reng a ni.

Mahse, eng emaw chhan vanga heng kidney-a fine filter-a pores te hi a lian emaw, a chhe emaw a nih chuan eng nge thleng ang? Tichuan, taksain a vawn reng tur protein hlu tak takte chu chu pores atang chuan a leak chhuak tan a, zun nen a rawn chhuak ta a ni. Chu chu `Proteinuria` kan tih chu a ni.

Protein hloh zawng zawng hi a pawi em? A chi hrang hrang han thlir ila

Ni lo, zun chhunga protein awm hi ngaihtuah tur a ni lo. A châng chuan hun eng emaw chen chauh a ni thei a, thil pawi lo deuh vang pawh a ni thei bawk. A chi thum ah then ila.

Engtin nge he natna hi ka nei tih ka hriat theih ang? Natna

A tam zawkah chuan i zun a protein i pass zat a tlem chuan symptoms i nei lo mai thei. Mahse protein i pass tam lutuk a, chu chu i kal (kidney)-ah chhiatna engemaw zat a awm tihna a ni a, heng symptoms te hi i nei thei a ni.

• Foamy or bubbly urine: Hei hi mi tam takin an hriat hmasak ber a ni. I zun chu a tlangpui aia foamy a nih chuan ngaihtuah rawh.
• Edema: A bik takin ke, ke ruh, kut, emaw hmaiah a hring . Hei hi thisen chhunga protein awmte hian thisen kalna kawng chhunga tui awm reng tura a puih vang a ni. Protein a bo chuan he tui hi a chhehvel tissue-ah a luang lut a, a hring chhuak thin.
• Zingkar i thawh chuan mit a hring: Hei pawh hi chhinchhiahna pawimawh tak a ni.
• Fatigue and fatigue: Thisen a protein tlahniam leh kal hnathawh tlahniam avanga lo awm a ni.
• Nausea leh luak chhuak.
• Chaw chu a thlum lo.
• Zanah kea sa hring hring rolling.

Engvangin nge hetiang hi a lo awm? Proteinuria thlentu ber berte

Zun chhunga protein awm hi hun eng emaw chen avanga lo awm thei a ni a, hun rei tak chhunga damdawi lam harsatna lian tham tak avang pawhin a awm thei bawk.

A chhan tlangpui ber

• Diabetes Mellitus: Kan ramah hian zunthlum thunun theih loh hi kal natna thlentu lian ber a ni. Hun engemaw chen chhunga thisen sugar level a san chuan kal filtering system nalh tak chu a tichhe thin.
• Thisen sang (Hypertension): Hei hi hmêlma lian dang, kal (kidney) tichhe thei a ni a, zunthlum pawh a tel. Thisen sang hian kal (kidney) chhunga thisen kalna kawng a tichhia a, protein a leak chhuak thin.
• Inflammatory conditions in the kidneys (Glomerulonephritis): Hei hi taksa immune system lama harsatnain a beih a, kal filtering unit a tihchhiat hian a thleng thin.
• Kidney natna a awm.
• Kidney-ah lung a awm.

Chhan dang

• Autoimmune natna thenkhat: Entirnan, lupus.
• Cancer chi thenkhat: entirnan `Multiple Myeloma`.
• Naupai laiin thisen sang (Preeclampsia): Nu naupaiin he natna hi a neih chuan damdawi lam pan vat a ngai a ni.
• Congestive heart failure a awm thin.
• Damdawi thenkhat hun rei tak hman: a bik takin natna tidamtu thenkhat.
• Poisoning: Entirnan, metal rit tak tak.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i natna lan chhuah dan a zawt ang che a, a enfiah ang che. Tichuan, `Proteinuria` dinhmun finfiah nan leh a chhan hriat chian nan hetiang test hi an ti thei ang.

1. Urine Test: Hei hi test bulpui ber leh awlsam ber a ni. I zun sample i pekah hian strip te tak te (dipstick) dahin protein a awm leh awm loh an test thin. Hei bakah hian zun chu microscope hmangin an enfiah a, cell chi dang emaw protein cast emaw a awm leh awm loh an enfiah bawk.

2. Darkar 24 chhunga zun lakkhawm test: Hei hian nilengin i zun chhuah zawng zawng lakkhawm a, a chhunga protein awm zawng zawng tehna a ni. Hei hian ni khat chhunga protein i paih chhuah zat hriat theihna a pe ang che.

3. Thisen test: Hengte hian kal (kidney) hnathawh (e.g. creatinine level) leh thisena protein level te a enfiah thin.

4. Scan: Ultrasound emaw CT scan emaw hmangin kal (kidney) pianzia, a lian leh te, leh harsatna dangte enfiah theih a ni.

5. Kidney Biopsy: Hei hi mi zawng zawng tih theih a ni lo. I zun-ah protein a tam a nih chuan, emaw, natna thlentu hriat a harsat chuan, i doctor chuan he test hi a rawt thei ang. Hei hian i kal atanga tissue te tak te, numbing, needle te tak te hmanga lak chhuah a, microscope hmanga enfiah a huam a ni.

Hei hi eng enkawlna nge ni?

Heta kan hriatthiam tur pawimawh ber chu zun chhunga protein awm hi kan enkawl lo va, a chhan bulpui (underlying medical condition) kan enkawl zawk a ni.

• A chhan chu zunthlum emaw, thisen sang emaw a nih chuan, chutiang dinhmunte chu uluk taka control a ngai a ni. Damdawi pekte chu a hun taka ei a, ei leh in thunun a, exercise lak a pawimawh hle.
• A chhan chu kal natna (Glomerulonephritis) a nih chuan immune system control thei damdawi pek theih a ni.
• Nunphung thlak danglam: Meizial i zuk chuan zuk bânsan, chi leh thau ei tlem te, i taksa rihna thunun te hi a pawimawh hle.
• Kidney function nasa taka a chhiat chuan dialysis emaw kidney transplant emaw a ngai mai thei.

Tui in tam hian protein hloh a ti tlem em?

Hei hi mi tam takin an zawh thin a ni. No. Tui tam in hian i zun a ti dilution chauh a ni. Hei hian zun test vawi khata protein concentration a tlahniam thei tihna a ni. Mahse ni khat chhunga protein chhuak zawng zawng chu a danglam dawn lo. A chhan chu kal (kidney)-a leak awm chu a la awm reng a ni. Bucket khat tuia khat ang mai a ni. Tui dah belh chuan khur chu a khar lovang. Chuvangin, a chinfel dan awmchhun chu doctor-in a tih angin enkawl hi a ni.