Kidney panna thisen kalna kawngah stent dah dan chu eng nge ni? (Renal Artery Stenting hmanga tih a ni) .

Thisen sang i nei em? Damdawi engemaw zat i hmang a ni mai thei, mahse i thisen sang control-naah harsatna i la nei em? Chutiang hunah chuan a chhan chu i kal (kidney)-a thisen phurtu thisen kalna kawng bulpui (main vessel) a inkharkhip vang a ni thei. Vawiin hian hetiang mite enkawl dan bik kan sawi dawn a ni.

A awlsam zawngin, Renal Artery Stenting hi eng nge ni?

A awlsam khawp mai. I kal (kidney)-a thisen pe chhuaktu thisen kalna kawng lian ber ber (hengte hi renal arteries kan ti) te hi a chang chuan thau awmna hian a tikhawlo thei a ni. Hetiang dinhmun hi `(Renal Artery Stenosis)` an ti a. Chuvangin `Renal Artery Stenting` hi thisen kalna kawngkhar block-ah hian mesh ang chi tube te tak te (hei hi `stent` an ti a) dahin, a block tawhna hmun chu hawn lehin thisen kalna tur a siam tha leh thin.

Ngaihtuah teh, kan taksaa chi leh tui awm zat control tu chu kal (kidney) hi a ni. Chu chu thisen filter a, zun siamin an ti thin. Chuvangin kal (kidney) hian thisen mamawh zat a hmuh loh chuan he hna hi a thawk tha thei lo. Tichuan taksaah tui leh chi a lo awm tan ta a ni.

Kidney hian hormone `(Renin) an siam bawk.` He hormone hian taksain chi leh tui a vawng reng thei a, thisen kalna kawng a tikhauh bawk. Kidney hian a hnena thisen sang lo thleng chu a hniam tih a hriat chuan kal chuan taksa chhunga thisen sang chu a hniam tak tak niin a ngai thin. Tichuan `(Renin) a tichhuak tam zawk a ni.` Mahse thil thleng tak tak chu thisen kalna kawng a inkhar a, kal lama thisen kal chu a tlahniam a, chutih lai chuan taksaa thisen sang chu a sang thei hle. Heng zawng zawng hi a inzawm khawm chuan `(Renal Hypertension)` an tih condition kan siam a, chu chuan thisen sang a thlen thin. Hei hian thinlung leh taksa peng dangte chu nasa takin a tichhe thei a, hun kal zelah chuan kal (kidney failure) pawh a thlen thei a ni .

Engvangin nge kal chhunga thisen kalna kawngah stent dah a ngaih?

I doctor chuan i kal panna thisen kalna kawng chu nasa takin a block a, enkawl a ngai tih a hriat chuan stent dah a rawt mai thei. Hei hian i kal (kidney) a tihchhiat belh zel loh nan a pui a ni. Mahse, renal arteries-a blockage zawng zawngah hian stent hman a ngai lo tih hre reng ang che.

A tlangpuiin he enkawlna hi i mamawh theihna tur dinhmun engemaw zat a awm a:

• Thisen kawng chhunga thau awm (atherosclerosis) avanga thisen kalna kawng 60% aia tam a block a nih chuan, damdawi hmanga control theih loh a nih chuan.
• Thisen sang damdawi pathum emaw a aia tam emaw maximum dose-a i ei laiin i thisen sang i control thei lo a nih chuan.
• Kidney pahnih panna thisen kalna kawng pahnih chu 60% aia tam a block a nih chuan.
• Kidney pakhat chauh i neih chuan, chuta kalna thisen kalna kawng chu 60% aia tam a block a nih chuan.
• ``flash pulmonary edema`` ang chi condition i neih chuan lung chu tuiin a khat nghal vek a ni.

Enkawl hma hian eng nge thleng thin?

He enkawlna hi i tih hmain i doctor chuan i hriselna tlangpui a enfiah ang a, test eng emaw zat a nei ang a, stent i neih a ngai em tih a hriat theih nan.

I damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah i hrilh tur a ni . Damdawi thenkhat, aspirin, thisen tithianghlimtu, leh natna tidamtu te hian thisen chhuah theihna a tipung thei a ni. Chuvangin,Doctor zawt lovin damdawi engmah ei khap suh.

Tin, allergy i neih apiang min hrilh bawk ang che. Hei hian damdawi, tihfai thil thenkhat (iodine ang chi), leh ei tur allergy te a huam a ni.

Enkawl lai hian eng nge thleng?

Hei hian a tlangpuiin a ti buai vek lo. I kut chhunga vein kaltlangin saline solution pek i ni ang a, chu chuan i rilru hahdam leh mutthilh theih nan a pui ang che. Chuvangin enkawlna chungchangah hian hriatrengna i nei tam lo ang.

Doctor chuan i groin emaw i kut ah emaw incision te tak te tak a siam ang. Chu incision hmang chuan thisen kalna kawngah chuan hollow tube (sheath) an dah lut a. Tichuan, chu tube kaltlangin tube te tak te (catheter) dang chu kal (kidney) panna thisen kalna kawngkhar (blood vessel) ah an kal leh a.

Blockage a thlen chuan tube tawp lama balloon te tak te chu an inflated a, blockage chu a zau zawk a ni. Tichuan, a hmaa kan sawi tawh metal mesh stent chu chu hmunah chuan dahin hawn a ni. Chumi hnuah thisen kalna kawng bang chu a hmet a, a khar chu a paih chhuak a, thisen kalna tur kawng a hawng ta a ni. He stent hi taksa chhunga awm reng tur thil a ni.

Stent chu a hmunah a awm tawh chuan balloon chu a deflated a, catheter chu lakchhuah a ni. Chumi hnuah chuan incision chu pressure emaw, special device hmangin emaw khar a ni a, bandage an vuah bawk.

Enkawl hnuah eng nge thleng?

Enkawlna i neih zawh chuan darkar engemaw zat damdawi inah i awm a ngai ang a, zan khat pawh i awm thei ang. Medical staff te chuan i thisen sang, i natna leh i hriselna zawng zawng an enfiah ang. In i haw hmain i prescription chu thlak a ngai mai thei. Hei hi a hrilhfiah ang che.

In lama haw tur i fit tih hriat a nih chuan damdawi in atangin chhuahtir i ni ang. Mahse , i chhungte emaw, i ṭhian emaw chu in lama hruai turin i neih a ngai ang.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna tenau tak a nei a ni.

Eng chen nge tihdam a ngaih?

Mi tam zawk chuan ni rei lo te chhungin an dam tha hle. I doctor chuan ni hmasa berah engtiang chiahin nge i active tur tih a hrilh ang che.

Stent a dam hma chuan thisen zam a awm loh nan thisen tithianghlimtu damdawi i ei a ngai dawn a ni. Entirnan, damdawi `Aspirin` emaw `Clopidogrel` emaw ang chi te. I dinhmun azirin hengte hi thla khat emaw kum khat emaw thleng i ei a ngai mai thei. Heng damdawi te hi a pek ang chiah chiah ei a, doctor rawn hmasa lova tihtawp loh a pawimawh hle.

Mi tam zawk chu kar khat chhungin hnathawhna hmunah emaw, an thiltih pangngaiah emaw an kir leh thei a ni. Mahse, taksa lama harsatna lian tham tak tak, rit phurh ang chi hna i thawh chuan, i dam leh theih nan hun rei vak lo a la ngai thei.

Engtikah nge doctor ka hmuh leh ang?

A châng chuan thisen kalna kawng dangah blockage thar a awm thei bawk. Chuvangin ni ruat saah clinic-ah kal la, doctor hmu ngei ang che.

Tin, a hnuaia symptoms te hi i neih chuan , i doctor ko nghal rawh:

• Khawsik i neih chuan.
• Thâwk harsa i neih chuan.
• Skin rash a awm chuan.
• Tube dahna hmun chu a sen, a sen, a dum, a hring, a na, a thisen chhuak a nih chuan.
• Tube dahna ke chu a na a, a vawt a, a hring emaw, a chak lo emaw a nih chuan.
• I pum chhungah emaw, enkawl lam emaw-ah natna thar i neih chuan.
• I luak chhuak a, i thisen sang lutuk (hypotension) a nih chuan.