Kan taksa peng mak ber pakhat chu kal (kidney) a ni tih i hria em? Kan taksaa ‘filter system’ ang mai an ni. Taksa atanga bawlhhlawh leh toxin tul lo zawng zawng filter chhuak a, taksa hrisel taka awmtir tura kidney-te service hi a hlu hle. Chuvangin, heng kal hlu tak pahnih hian an hna tha tak thawk tur chuan thisen tha tak an mamawh a ni. Vawiin hian chu thisen supply thlentu thisen kalna kawng bulpui chungchang kan sawi dawn a ni. Hei hi ‘Renal Artery’ kan ti a.
A awlsam zawngin sawi ila, he ‘Renal Artery’ hi eng nge ni?
A awlsam hle mai. ‘Renal’ tih thumal hi ‘kidney nena inzawm’ tihna a ni. ‘Artery’ chu thisen kalna kawng a ni a, thisen thianghlim (oxygenated blood) chu thinlung atanga taksa peng dang thlenga phurtu a ni. Tichuan ‘Renal Artery’ tih hian kan thinlung atanga kal (kidney) thlenga thisen phurtu thisen kalna bulpui ber a kawk a ni.
Kidney pahnih kan neih avangin renal artery pahnih kan nei bawk.
- Renal artery dinglam hian kal dinglam ah thisen a pe chhuak thin.
- Left renal artery, left kidney-a thisen pe chhuaktu a ni.
Hetiang hian han ngaihtuah teh: kan taksa circulatory system hi kawngpui network ang mai a ni. Chuvangin, thinlung atanga thisen kalna bulpui ber, aorta chu kawngpui lian ang mai a ni. Chu kawngpui lian atanga khawpui luhna lian ber pahnih, kal (kidney) tia koh chu renal arteries a ni.
Heng thisen kalna kawngte hian eng hna nge pawimawh ber?
Heng thisen kalna kawngte hnathawh ber leh awmchhun chu kal (kidney) te thisen pek hi a ni. Mahse chu chu thil tenawm a ni lo. Min han ngaihtuah teh, minute tin hian thisen cup chanve vel chu heng renal artery pahnih kaltlangin i kal kaltlangin a kal tlang thin. Ni khatah kal hrisel pahnih hian thisen litre 140 vel filter theihna an nei a. Heng renal artery pahnih hi he thisen tam tak hi kal (kidney)-a pe chhuak chhunzawm zeltu an ni.
Kidney hian he thisen lo lut hi a la a, a filter a, a bawlhhlawh leh tui tam zawk chu a then hrang a ni. Tichuan, chu bawlhhlawh chu zun angin an paih chhuak thin. Chu thisen thianghlim chu thisen kalna kawng dang (renal vein) hmangin taksaah a kir leh a ni. Chuvangin, i hmu em, he thil kalphung zawng zawng hi renal arteries atanga thisen supply-ah a innghat a ni.
He thisen hi kal chhunga awm hi engtin nge a awm? Tlemte zin chhuak ila, i en ang u?
Renal artery atanga kidney chhunga thisen lut kianga thil thleng hi han en mai ila. Hei hi factory lian tak chhunga thil thleng ang mai a ni.
1. Main portal: Renal artery hi kidney chhungah ‘renal hilum’ an tih hmunah a lut a. Hei hi ‘main portal of the kidney’ kan ti a. Thisen kalna kawng dang, nerve, etc. te chu he portal kaltlangin kal chhungah hian an lut a, an chhuak bawk.
2. Filter te tak te (Filters): .Kidney chhunga a luh chuan he thisen kalna lian tak hi thisen kalna kawng tenau zawk tam takah a inthen a. A tâwpah chuan he thisen hi nephrons an tih filter tenau maktaduai tam takah a kal a ni. Heng nephrons hi kidney pakhatah hian maktaduai khat vel a awm a ni.
3. Glomeruli: Nephron tin chhungah hian thisen kalna kawng te te, glomeruli an tih te a awm a. Hei hi bawlhhlawh leh thisena tui tam zawk filter-in a dawt leh section-ah an kalpui thin. Amaherawhchu thisen chhunga thil pawimawh, protein leh thisen sen (red blood cells) te chu filter kaltlangin an kal lo va, thisenah an awm reng a ni.
4. Filtered fluid: Bawlhhlawh leh tui inthen te hi tubule an tih channel te tak te hmangin an kal thin. He zinkawngah hian taksain a mamawh tui chhunga nutrients leh minerals te chu a insiam thar leh a, thisenah a dah leh thin.
5. End result: Bawlhhlawh leh tui duh loh zawng zawng chu zun angin a lo piang chhuak thin .
6. Thisen thianghlim lo kir leh: Hetih lai hian thisen filter leh thianghlim chu renal vein kaltlangin kal a chhuahsan a, taksa pum puiah a inher chhuak leh ta a ni.
Hetiang zawng zawng hi a thawk tha tur chuan renal artery hi a hrisel a, a tibuai lo tur a ni.
Heng thisen kalna kawng pawimawh tak takte hi eng harsatna nge lo awm thei?
Kan taksaa thisen kalna kawng dang ang bawkin renal arteries-ah pawh harsatna a awm thei. Buaina ber chu heng thisen kalna kawngte hi thau leh cholesterol (hei hi ‘plaque’ kan ti) a lo punkhawm avangin a zim ta a ni. Hetiang dinhmun hi damdawi lam chuan ‘atherosclerosis’ an ti a.
Heta thil thleng hi tui pipe, hun kal zelah, hnim leh bawlhhlawhin a khuh a, pipe chhunga khur chu a chim ang mai a ni.
Chutianga renal artery a zim chuan ‘Renal Artery Stenosis’ kan ti thin. Hei hi heng thisen kalna kawngte tibuaitu natna khirh ber a ni.
Renal artery a tawi chuan eng nge thleng?
Tui pipe i hrual chuan eng nge thleng ang tih han ngaihtuah teh? Tui chu pressure nasa tak nen force out a ni, a dik em? Chu chu hetah hian a thleng thin. Thisen kalna kawng a zim chuan kal (kidney)-a thisen kal zat a tlahniam thin. Chutih lai chuan kal (kidney) chuan taksaa thisen sang chu a tlahniam niin a ngai a. Chumi chhanna atan chuan kidney hian thisen sang tisangtu hormone a tichhuak tan ta a ni. Hei hian taksa pum puia thisen sang a tisang a ni.
A hnuaia table-ah hian ‘renal artery stenosis’ avanga thil thleng thei pawi tak tak thenkhat tarlan a ni.
| Buaina/thil awm dan | Hrilhfiahna awlsam tak |
|---|---|
| Thisen sang lutuk | Kidney-a thisen kal tlem chuan taksaah thisen sang a thlen thei a ni. Doctor-te chuan hei hi an ngaihtuah zual hle a, tleirawl pakhatin thisen sang a neih emaw, damdawi pangngai hmanga thunun harsa tak thisen sang a neih emaw a nih chuan. |
| Kidney Natna leh Failure | Hun engemaw chen chhunga kal (kidney)-in thisen mamawh tawk a dawn loh chuan an hnathawh chu a tlahniam zauh zauh a, a tawpah chuan kal (kidney) a tichhe thei a ni. |
| Lung lam chak lohna | Thisen sang reng reng hian thinlungin hna a thawk nasa zawk thin. Hun a kal zel a, thinlung hi a chak lo a, thinlung a chak lohna a thlen thei a ni. |
| Thai | Thisen sang hian thluaka thisen kalna kawng a tichhia a, a puak emaw, a inkhar emaw avangin stroke hlauhawmna a tipung a ni. |
Engtin nge kan kal chhunga thisen kalna kawngte hi hrisel taka kan vawn theih ang?
Heng renal arteries hriselna enkawl hi keimahni ngeiin kan tih theih a ni. A bik takin thisen kalna kawng 60% aia tlem lo a block chuan nunphung leh ei leh in thlak danglamin he natna hi control theih a ni.
A hnuaia step te zawm hi i kal tan chauh ni lovin, i taksa pum tan pawh a tha hle.
| Eng nge tih tur | Thu belhchian dawl zawk |
|---|---|
| Lung hrisel ei leh in | Cholesterol, oil, chi leh sugar tlem ei tur ei rawh. Chaw hmin, chaw thau, in tur thlum leh processed foods te chu a theih ang anga tihtlem tur a ni. Thlai, thlai, legumes, leh fiber tamna ei tur tam zawk dah tel bawk ang che. |
| Exercise neih fo thin | Kar khat chhunga ni tam zawkah chuan minute 30 tal exercise chakna tawk lo (moderate-intensity exercise) la. Kea kal, tlan, cycle khalh ang chi eng pawh hi a tha. |
| Rihna hrisel tak vawn reng | Thau lutuk hi thisen kalna kawng harsatna thlentu lian tak a ni. I san zawng atan taksa rihna hrisel tak neih tum ang che. |
| Natna dang thunun | Zunthlum, thisen sang, cholesterol sang ang chi natna i neih chuan doctor thurawn hnuaia dik taka control a pawimawh hle. |
| Meizial zuk loh | Meizial hi thisen kalna kawng tichhetu lian ber a ni. Meizial leh zuk leh hmuam thil siamte chu bansan vek rawh. |
| Kidney natna i neih chuan | Kidney natna i neih tawh chuan i doctor-in a thurawn angin protein leh potassium tamna ei tur i tihtlem a ngai mai thei. |
Engtikah nge Doctor i hmuh ang?
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh la , doctor pan nghal rawh. Hengte hi kal lama harsatna nei chhinchhiahna a ni thei.
- Thisen chu zun chhungah a awm.
- Taksa a hring (edema) a, a bik takin ke, ke ruh, leh hmai a hring (edema).
- Zun harsatna emaw, zun tam ngai emaw.
- Nausea, luak chhuak, leh a chhan hriat loha taksa rihna tlahniam.
- Chauh lutuk emaw, chhan awm lova lu na fo emaw.
Heng symptoms te hi renal arteries lama harsatna awm vang a ni ngai lo. Amaherawhchu, a chhan hriat chian a, inenkawlna \ha zawn a pawimawh.
Take-Home Thuchah a ni
- Renal artery hi thisen kalna bulpui ber a ni a, thinlung atanga kal (kidney) thlenga thisen phurtu a ni. Kal hrisel taka hnathawhna atan a pawimawh hle.
- Cholesterol leh thau awm (Renal Artery Stenosis) vangin heng thisen kalna kawngte hi a zim thei a ni. Hei hi dinhmun pawi tak a ni.
- Renal artery narrowing hian thisen sang control theih loh, kidney natna, heart attack, leh stroke te a thlen thei a ni.
- Heng thisen kalna kawngte hi ei leh in hrisel zawm te, exercise neih fo te, meizuk loh te, zunthlum leh thisen sang ang chi natna te thunun a, hrisel taka vawn theih a ni.
- Kidney nena inzawm symptoms i neih chuan mahni inenkawl suh la, doctor rawn nghal la, thurawn la rawh.
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