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

I zun , a nih loh leh i zun chu a hring deuh tih i hmu tawh em? A nih loh leh doctor pakhatin zun test a tihsak a, "I zun chhungah protein tlem a tam lutuk" a ti mai thei bawk. Chu chu damdawi lam chuan proteinuria kan tih chu a ni. A awlsam zawngin, i zun hian a mamawh aia tam protein a nei tihna a ni. Hei hi a chang chuan kal chak lohna chhinchhiahna hmasa ber a ni thei.

Protein chu eng nge ni a, engvangin nge kan taksa tan a pawimawh em em?

Ngaihtuah teh, protein hi kan taksaa hnathawkte ang a ni. Hna pawimawh tak tak an thawk a.

• Muscle leh ruh siam that nan a pui thin . Kan tlan leh kan zuang hian, rit kan chawi hian taksa ruh chak tak kan mamawh a ni.
• Kan thisena tui awm zat a tidanglam thin .
• Kan taksa hi natna hrik dona kawngah an pui thin . Kan taksaah sipai te tak te ang mai an ni.
• Tin , tissue chhia siamthat hna pawh an thawk bawk .

Heng protein te hi kan thisenah a awm tur a ni. Chutah chuan an hna pawimawh tak tak an thawk thin. Mahse, eng emaw chhan vanga heng protein te hi thisen atanga chhuakin zunthlum ah an tawp a nih chuan taksa atanga paih chhuah an ni tihna a ni. Chutiang a nih chuan kan taksa pum hriselna a nghawng thei a ni.

Zun-a protein awm hi a pawi em?

Yes, protein in the urine is indeed a concern , zirchianna thenkhatah chuan he natna hian thinlung natna leh rilru lam natna avanga thihna a tipung tih hmuhchhuah a nih avangin.

A châng chuan, he natna, proteinuria an tih hi, chronic kidney disease (CKD) chhinchhiahna hmasa ber a ni thei . Mahse, mi thenkhat chuan CKD nei mahse an zun ah protein level pangngai an nei thei. CKD hi kal hnathawh a hloh zauh zauh a ni. Chutianga a kal zel chuan kal transplant emaw dialysis emaw i mamawh mai thei. Zunthlum leh thisen sang hi kal (kidney) tihchhiatna thlentu lian ber pahnih a ni. Hengte hi kal natna thlentu tam ber an ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

Tu pawhin proteinuria an nei thei. Mahse, he natna hi i vei theihna a sang zawk a, chu chu:

• Kum 65 aia upa i nih chuan .
• I chhungkuaa tu emaw chuan kal natna nei tawh emaw nei mek emaw a awm chuan .
• I kal (kidney) tichhe thei damdawi dang i neih chuan, zunthlum ang chi .
• Hetiang hlauhawmna hi hnam thenkhat (entir nan, mipa hring, Hispanic, Native American, emaw Pacific Islanders) ah a sang zawk tih hmuhchhuah a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Proteinuria hi a awm fo thin. Entirnan, United States-a mipui 6.7% velin he natna hi an vei niin an sawi.

Engtin nge protein hi zun chhungah a lut? Kidney chhungah eng nge thleng?

Kan kal (kidney) hi super filter angin han ngaihtuah teh. An hna ber chu kan thisen atanga bawlhhlawh leh tui tam lutuk filter chhuah hi a ni. Heng filtered waste products leh tui te hi taksa atanga zun angin a chhuak thin.

Kidney chhungah hian thisen kalna kawng te tak te glomeruli an tih tam tak a awm a . Hengte hi thisen filtration stage hmasa ber a ni. A tlangpuiin heng glomeruli te hian protein particle lian tak tak emaw thisen cell emaw chu zun chhungah an lut thei lo. Mesh sieve-in thil lian tak tak a man ang mai a ni. Mahse, heng glomeruli-ah hian protein particle te tak te thenkhat an kal tlang tak tak a nih chuan, kal chhunga tube sei tak tak (tubules) te chuan chu protein te chu taksaah an la lut leh thin.

Chuvangin, he thil kalphung hi thil dik lo a awm chuan protein chu zun chhungah a lut tan ta a ni:

• Glomeruli emaw tubules emaw a chhiatna a awm chuan.
• Protein reabsorption process-ah harsatna a awm chuan.

Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?

Proteinuria hian a tir lamah chuan symptom a nei lo fo thin . Chuvang chuan a hlauhawm deuh thei. Mahse, a natna a zual zel chuan a lan chhuah dan te chu:

• Hmai, pum, ke, emaw ke ruh emaw a hring (edema) . Mi thenkhat chuan zing an thawh chuan an hmai a puak tih an sawi a, tlai lamah an ke a hring chhuak thin tih an sawi bawk.
• Zun fo a ngai.
• Thâwk harsa.
• Chauhna nasa tak, hahna.
• Nausea leh luak chhuak.
• Chaw chu a thlum lo.
• Zanah taksa ruh (muscle cramping) a awm.
• Mit vel a puffiness, a bik takin zing lamah.
• Foamy emaw bubbly emaw zun a awm. Hei hi mi tam takin an hriat chian hmasak ber a ni. Savun tui ang maia a foam up chuan i ngaihtuah tur a ni.

Pawimawh: Heng symptoms te hi a takah chuan chronic kidney disease chhinchhiahna a ni thei. Heng symptoms te, a bik takin foamy urine leh swelling i neih chuan doctor pan nghal tur a ni.

Proteinuria hi engte nge ni?

A tam zawkah chuan proteinuria hi damdawi lam thil hlauhawm lo (cancer nei lo) emaw, hun eng emaw chen atana hman theih a ni. Chungte entirnan:

• Dehydration - Hei hian taksaa tui awm tlem tihna a ni.
• Pun- Taksa hmun dangah inflammation a awm.
• Thisen sang hniam (Hypotension).
• Kidney-ah lung a awm.

Tin, exercise nasa tak, stress, nitin aspirin ang chi damdawi ei, leh khawsik nasat lutuk te ang chi thil te hian zun chhunga protein level chu rei lo te chhung atan a tisang thei bawk.

Mahse, damdawi lam harsatna na zawk chuan kal (kidney) a tichhe thei a, proteinuria a thlen thei bawk. Chutiang dinhmunte chu:

• Immune disorder thenkhat , lupus leh Goodpasture’s syndrome ang chi te.
• Acute kidney inflammation , glomerulonephritis tia hriat bawk.
• Plasma cell cancer , multiple myeloma tia hriat bawk.
• Thisen sen (red blood cells) tihchhiat hian thisenah hemoglobin a khawlkhawm (intravascular hemolysis) a tipung a ni .
• Lung leh thisen zam natna.
• Hmeichhe naupaiah proteinuria leh thisen sang a rualin - hei hi preeclampsia an ti.
• Poisoning a awm.
• Taksa lama chetsualna/hliam (`Trauma`).
• Kidney cancer a ni.
• Lung lam natna (`Congestive heart failure`).

Kan zun-ah hian protein engzat nge kan ngaihtuah tur?

A tlangpuiin kan zun a protein awm zat hi ni khatah milligram 150 aia tlem lo a ni tur a ni. I zun ah ni khatah protein milligram 150 aia tam a awm chuan chu chu proteinuria an ti a ni. He normal level upper limit hi lab hrang hrangah a danglam deuh thei.

Ni khatah i zun-ah protein gram 3 leh 3.5 inkar i neih chuan nephrotic-range proteinuria an ti a ni. Nephrotic syndrome hi a awm lo hle a, kal hian protein tam lutuk chu zun chhungah a paih chhuak thin.

Hei hi natna hrik kai theih a ni em?

Ni lo, proteinuria hi natna hrik kai theih a ni lo . Amaherawhchu, i chhungkuaa mi dangte pawhin he natna hi an neih chuan i vei theihna a sang zawk. Hei hian hereditary predisposition a awm thei tihna a ni.

Engtin nge hetiang chiah hian i diagnose? Eng test nge tih thin?

I doctor chuan proteinuria a hriat theih nan dipstick test a ti hmasa ang.. He test-ah hian i doctor office emaw damdawi inah emaw special container-ah i zun lut thin. Tichuan, doctor chuan plastic stick (dipstick) te tak te, chemical bik hmanga khuh chu zun sample chhungah a thun lut a. Zun chhungah protein tam tak a awm chuan a stick chu a rawng a inthlak ang.

Tichuan, i doctor chuan zun sample la awm chu urinalysis a ti ang. Hei hian microscope hmangin zun awm dan, chemical composition leh a chhunga awm dan te a en ang. Doctor chuan zun-ah a tlangpuiin hmuh loh thil a zawng ang. Entirnan, thisen sen (red blood cells), thisen var, bacteria, leh chi emaw protein crystal emaw, kal lung (kidney) siam thei te.

Kidney natna i rinhlelh chuan engtin nge i tih ang?

I doctor-in kal natna i neih a rinhlelh chuan thla thum chhungin vawi thum zun test nawn leh turin a ti ang che. Urine sample tinah protein hmuh a nih chuan chronic (long-term) condition i neih a rinawm. Hei hi hriat chian hma chuan kal natna lo zual zel dan tur control leh tihtawp theihna chance a sang zawk.

Tin, a hnuaia test te hi tih theih a ni bawk.

• Creatinine clearance test: Creatinine hi chemical bawlhhlawh a ni. He test hian i zun leh thisen a creatinine awm zat a teh thin. I kal (kidney) a hrisel chuan i thisen atangin creatinine a paih chhuak a, i zun chhungah a pass a ni. Mahse i kal (kidney) te hian hna a thawk tha lo a nih chuan creatinine hi i thisenah a awm reng thin.
• Glomerular filtration rate (GFR) blood test: GFR hian i thisena protein creatinine leh albumin an tih zat a khaikhin a, chu chu i taksa lian leh te, kum, biological sex leh hnam dan a zirin a ni. GFR hian i doctor hnenah i kal a thawh that dan leh i kal natna a zual zel dan a hrilh thei a ni. He thu hian enkawlna tur ruahmanna tha ber siam turin a pui thei che a ni.
• Serum-a protein awm zawng zawng tehna thisen test: Serum hi thisen protein awmna hmun a ni.
• Imaging test: CT scan leh ultrasound ang chi test hian kidney stone, tumor, urinary tract obstruction ang chi harsatna a hriat theih.
• Urine protein electrophoresis (UPEP): UPEP hian i doctor chu protein chi hrang hrang a zawng thei a. I zun sample chu lab-ah thawn a ni. Chutah chuan lab technician pakhat chuan i zun sample-ah electric current a pe a. Hei hian i zun chhunga protein awm zat a pholang thei a ni.
• Immunofixation thisen enfiahna (IFE): 1.1.Doctor chuan needle leh tube te tak te hmangin i kut emaw i kut emaw a vein atanga thisen sample a la thin. Thisen sample hi lab-ah thawn a ni a, thisenah hian protein bik a awm leh awm loh endik a ni.
• Kidney biopsy: He test-ah hian i doctor chuan i kal (kidney) atanga a te tak te tak te chu a la chhuak thin. Sample chu lab-ah thawn a ni. Lab technician chuan microscope hmangin kidney sample chu a enfiah a, i kal natna thlentu leh chhiatna engzat nge a awm tih a enfiah thin.

Hei hi engtin nge enkawl a nih?

Proteinuria enkawl dan hi a chhan ah a innghat a ni . A chhan tin hian enkawl dan tur an nei vek a.

Proteinuria hi kal natna avanga lo awm a nih chuan, i enkawl dan tur ruahmannaah hian damdawi, ei leh in thlak danglam, leh exercise te pawh a tel thei a ni. Thisen sang i neih chuan i doctor chuan damdawi a rawn pe ang che. Thisen sang i neih chuan kum tin zun test leh thisen sang endik thin a tha.

Diabetes i neih chuan i thisen sugar level i control a ngai a ni . Tin, kum tin i GFR thisen test i neih a ngai bawk.

Hmeichhe naupai, preeclampsia nei tawhte chuan an doctor pan fo tur a ni a, checkup an nei tur a ni. Preeclampsia hi natna khirh tak ni mahse, nau neih hnu ni engemaw zat emaw, kar engemaw zat emaw chhungin a dam tlangpui.

Proteinuria i nei a, mahse zunthlum, thisen sang, emaw damdawi lam harsatna dang i neih loh chuan i doctor chuan thisen sang damdawi a pe thei a, chu chuan kal a tichhe lo thei a ni. Kal natna i neih loh nan thla ruk danah i thisen sang enfiah a, i zun test thin a tha.

Proteinuria na lo emaw, rei lo te emaw i neih chuan enkawlna engmah i mamawh lo mai thei.

Tui in hian zun a protein a tihtlem em?

Ni lo, tui in tam hian proteinuria a tidam dawn lo. Tui in tam chuan zun a ti tam zawk ang a, chu chuan vawi khatah i zun chhunga protein awm zat a tihtlem thei a ni. Mahse, kal (kidney) atanga protein leak a titawp dawn lo.

Engtin nge ka in enkawl ang? Eng thil nge ka tih ngai?

Mahni in enkawl dan tha ber chu doctor-in a tih ang chiaha i damdawi ei hi a ni.

Chu bâkah, i ṭanpui theih dân kawng dang ṭhenkhat chu hetiang hi a ni:

• Protein tamna ei tur tihtlem.
• Salt ei tam lutuk. Hei hian i thisen sang a tihhniam theih nan a pui ang.
• Fiber tamna ei tam hian cholesterol a tihhniam bakah thisen sugar level a tidanglam thei bawk.
• Exercise tih emaw, active taka awm reng emaw.Kar khatah darkar hnih tal thil tih tum ang che.
• I thisen sugar level enfiah fo thin ang che.
• Meizial zu leh zuk leh hmuam hman bânsan.
• Doctor-in a tih loh chuan nonsteroidal anti-inflammatory drugs (NSAIDs) ei loh tur a ni. NSAID hman tam ber chu aspirin (Bayer®), ibuprofen (Advil®), leh naproxen (Aleve®) te an ni.

Hei hi ven dan tur a awm em?

Proteinuria hi a pumpelh kim thei lo . Mahse, i enkawl thei tho. Proteinuria thlentu dinhmun tam tak chu damdawi leh nunphung thlak danglam hmangin control theih a ni.

Proteinuria vei tan chuan eng nge a hmalam hun?

Diagnose dik leh enkawl dik a nih chuan proteinuria vei te tan chuan hmalam hun a tha hle.

Mahse, enkawl loh chuan proteinuria hian thihna hial a thlen thei a ni. Zirna hrang hrangah proteinuria nei lote chu proteinuria na lo emaw, na tak emaw nei te aiin an dam rei zawk tih hmuhchhuah a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• A tlangpui aia tam zun a ngai a nih chuan, emaw, zun laiin natna i hriat chuan.
• I zun chu a foam emaw, bubble a awm emaw a nih chuan.
• I rilru a hah emaw, i luak emaw a nih chuan.
• I luak chhuak, i chak lo, i lu a hlim lo tih i hriat chuan.
• I hmai, i pum emaw, i taksa hnuai lam emaw a hring emaw, a hring emaw i neih chuan.
• Enkawlna hnua i symptoms a ṭhat loh chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• Engtin nge doctor hian proteinuria ka nei tih chiang taka a hriat theih?
• Eng dinhmun nge proteinuria ka neih chhan?
• Eng test nge i rawt?
• Proteinuria na lo emaw, rei lo te chhung emaw ka nei em?
• Eng damdawi emaw, enkawlna emaw nge i rawt?
• Ka ei leh in emaw, ka nun danah emaw tihdanglam ka ngai em?
• Proteinuria ka neih loh chuan eng condition dang nge ka neih theih ang?

Proteinuria leh Orthostatic Proteinuria hi eng nge an danglamna?

Orthostatic proteinuria ( postural proteinuria an ti bawk) tih hian i...Chumi awmzia chu ding chunga i zun hian i zun ah protein tam tak a awm tihna a ni a, mahse i zun chhunga protein awm chu mut chunga i zun chuan a normal a ni. Hei hi thalai, a bik takin mi sang leh cher te zingah hmuh tur a awm tlangpui a, a hlauhawm vak lo.

Proteinuria leh Transient Proteinuria hi eng nge an danglamna?

Transient proteinuria hi hun rei lote chhunga awm thin a ni . Exercise nasa tak, stress, khawsik, leh hun rei tak chhung khawsik nasa tak avanga lo awm a ni tlangpui. Transient proteinuria hi enkawl ngai lovin a mah chauhin a reh tlangpui.

Proteinuria hi i zun a protein level sang tak a ni. Proteinuria i neih chuan zun tam a ngai mai thei a, i zun chu foamy emaw bubbly emaw a ni thei bawk. Natna lan chhuahna tlanglawn tak tak, luak chhuak, luak chhuak, hah, leh hring dup te pawh i nei thei bawk. Heng symptoms te hi ni rei lo te aia rei i neih chuan Doctor pan a tha ber. I proteinuria thlentu natna chu a hmuchhuak thei a, i kal hriselna atana pui turin enkawlna a pe thei bawk.

A tawp berah chuan thil hriat reng tur

Okay, chuvangin kan sawiho atang hian proteinuria chungchangah hian ngaihdan tha tak i neih ka beisei. A pawimawh ber chu i zun (a bik takin foamy urine) emaw i taksaah a hring emaw i hmuh chuan doctor pan tur a ni. I hriat hma chuan harsatna tam tak i veng thei a ni. Kidney te hi kan taksa chhiahhlawh ngawi reng ang mai a ni. Anmahni enkawl that hi kan mawhphurhna a ni. Ngaihtuah buai suh, heng dinhmunte hi damdawi lam thurawn leh enkawl dan dik tak hmangin control theih a ni.

` proteinuria, zun chhunga protein, kal natna, zun foamy, kal hriselna, kal chhiatna, CKD