Hei hi i kal tan pawh a hlauhawm em? (Renal Papillary Necrosis) A chanchin hi i zir chiang ang u!

Kan taksaa kal te pahnih hian engzat nge hna an thawh tih i hria em? Dik tak chuan kal (kidney) hi bawlhhlawh paih chhuaktu leh kan taksa chhunga thisen awmte tithianghlimtu taksa peng lian ber a ni. Amaherawhchu, a chang chuan heng kal (kidney) te hian kan beisei phak loh natna a nei thei bawk. Vawiin hian kan sawi dawn a, a natna hi a nasat deuh a, mahse i hriat chian chuan a thunun thei a, a veng thei bawk.

Engtin nge kal (kidney) hian hna a thawh? Renal Papillary Necrosis hi eng nge ni?

A awlsam zawngin kan kal (kidney) hi kan taksa chhunga super filter pahnih ang mai a ni. An hna ber chu thisena bawlhhlawh duh loh zawngte filter chhuakin zun anga paih chhuah hi a ni. Chutiang ti tur chuan thisen chu kal (kidney)-ah a lut a, kawng tenau tam tak a paltlang thin. Heng bawlhhlawh te hi kal pawn lam atanga lakkhawm a ni a, chu chu kal lai takah a lo thleng a, chu chu kal medulla a ni. Hetah hian funnel ang chi parts te chu kan rawn tarlang e. Heng funnel tip, renal papilla an tih hian zun a khawlkhawm thin. Chuta tang chuan zun chu ureter kaltlangin bladder-ah a kal a, a chhuak ta a ni. Chutiang chuan kan kal (kidney) te hian hna a thawk thin.

Tuna kan sawi tak renal papillary necrosis hi a hmaa ka sawi tawh ang khan kidney (`Medulla`) leh renal papilla (`Renal Papilla`) lairil lama cell leh tissue te thihna hi a ni. Ngaihtuah teh, chutiang hmunte chu a thawk tha lo a nih chuan kal (kidney) hnathawh chu a thawk tha lo a ni lawm ni? Chumi avang chuan kal chu a chak lo zauh zauh a, a tawpah chuan kal a tichhe thei a ni .

Hetiang dinhmun hi tute nge hlauhawm ber?

He natna (Renal Papillary Necrosis) hi kum 60 chunglam zingah a tam ber a, doctor-te pawhin mipa aiin hmeichhiain an vei tam zawk tih an sawi bawk.

Renal Papillary Necrosis hi engte nge ni?

He natna lo awm chhan lian tak tak engemaw zat a awm a. Eng nge an nih i han thlir teh ang.

• Diabetes Mellitus : Hei hi a chhan pawimawh ber leh a awm fo pakhat a ni. Zunthlum control tha lo nei te hi kal (kidney) a chhiat theihna a sang hle. Hun rei tak chhunga thisen sugar level sang chuan kal chhunga thisen kalna kawng nalh tak takte chu a tichhe thin.
• Painkillers (NSAIDs) hman tam lutuk : Doctor rawn hmasa lovin painkiller (non-steroidal anti-inflammatory drugs, or NSAIDs) aspirin, ibuprofen, naproxen ang chi te hi rei tak i hman fo chuan fimkhur hle tur a ni. Hengte hi ei tam lutuk hian kal chhunga thisen kalna kawngte a ti tawi a, renal papillae a tichhia thei bawk.
• Sickle Cell natna a ni: Hei hi genetic disease a ni. He natnaah hian thisen sen (red blood cells) pianzia a inthlak a, thisen kalna kawngah a tang thei a ni. Hei hian kal (kidney)-a thisen pek that lohna (Renal Papillary Necrosis) a thlen thei bawk.

Heng a chhan ber bakah hian natna dang engemaw zatin Renal Papillary Necrosis a thlen thei bawk:

• Liver natna rei tak a awm
• Pyelonephritis, kidney-a bacteria infection (renal papillae tichhe thei) .
• Renal Tuberculosis natna, lung pawn lam kal (kidney) a nghawng thin
• Renal Vein Thrombosis (kal atanga thisen phurtu vein-a thisen zam) .
• Ureteral Obstruction (entir nan, zunthlum avanga lung awm vang) .
• Vasculitis, thisen kalna kawng a inflammation a ni

A pawimawh ber chu heng zinga pakhat emaw a aia tam emaw nei zawng zawng hian Renal Papillary Necrosis an vei vek dawn lo a, mahse a hlauhawmna a sang zawk.

Hei hian kal pahnih a nghawng em?

Ni e, mi sawm zinga pasarih velin he natna (Renal Papillary Necrosis) hian kal pahnih a nghawng tih an sawi .

(Renal Papillary Necrosis) natna lan chhuah dan chu engte nge ni?

He natna hi a tir lamah chuan a lan chhuah dan a awm lo thei . Chuvang chuan a hmaa hriat leh enkawl a harsa hle. Ngaihtuah teh, harsatna i nei lo a, mahse i kal (kidney) chu a chhung lam a\angin a chhe thei a ni. Mahse, natna dang test-naah hian hei hi accident-a hmuhchhuah a ni thei bawk.

Mahse, a natna (Renal Papillary Necrosis) a nasat chuan heng ang symptoms hi a lo lang thei a ni:

• Zun natna (Dysuria) .
• Khawsik leh khawsik (a bik takin natna kaihhnawih a awm chuan) .
• Zun chhunga thisen (`Hematuria`) - Thisen awm zat hi mit chauhin a lang thei ( zun chu a sen emaw a sen emaw a ni thei), a nih loh leh a te lutuk a, microscope hmang chauha hmuh theih a ni thei bawk.
• Zanah zun a ngai fo (`Nocturia`) .
• Zun chhunga thisen var (`Pyuria`) a pun dan pangngai lo - hei hian zun chu zun ang maiin a lang thei tihna a ni a, zun chu chhum ang maiin a lang thei bawk.
• Hnunglam sir lehlamah, ruh leh hip ruh inkar (kidney awmna hmun) ah natna nasa tak a awm . He natna hi a lo thleng nghal thei a, zawi zawiin a pung thei bawk.
• Urinary tract infection awm fo thin.

Engtin nge Renal Papillary Necrosis hi an hriat theih?

Doctor-te chuan he natna (Renal Papillary Necrosis) hi hriat theih nan test eng emaw zat an nei ang. I natna lan chhuah dan leh i damdawi lam chanchin an ngaihthlak hnuah, hetiang test hi an order thei ang:

• Urography tih hi a ni: Hei hian i kal X-ray, CT scan emaw MRI emaw lak a huam a ni. Test hmain vein hmangin special dye (dye) pek i ni ang. Hei hian kal chhiatna hmun leh papillae inthlak danglamna hmun chiang taka hmuh theih nan a pui a ni.
• Ureteroscopy : Hei hi urethra kaltlangin tube te tak te, flexible tak (a tawp lamah camera awm) dahin bladder, ureters leh kidney chhung lam hawiin a awm a ni. Hei hian papillae dinhmun chiang takin a hmu thei a ni.
• Kidney Biopsy : He test-ah hian kidney atanga tissue te tak te te chu special needle hmangin lakchhuah a ni a, microscope hmangin enfiah a ni. Hei hian cells a thi tawh em tih emaw, tissue a chhiat tawh em tih hriat theih nan a pui thei a ni.

Thisen leh zun test a ni

Tin, thisen leh zun test nana kal (kidney function) te pawh a pawimawh hle a ni:

• Blood urea nitrogen (BUN) test : Hei hian thisenah urea nitrogen awm zat a teh thin. Hei hi bawlhhlawh a ni. He level hi thisenah a sang chho zel a, chu chu kal (kidney) hnathawh that loh chuan a ni.
• Creatinine test : Creatinine hi bawlhhlawh dang a ni a, taksa ruh hnathawh dan pangngaia siam chhuah a ni. A tlangpuiin kal (kidney) atanga chhuak a ni. Thisenah a level a san chuan kal (kidney) a thawk tha lo tih a tilang bawk.
• Estimated Glomerular Filtration Rate (eGFR) : Hei hi i thisen creatinine level, kum, mipa leh hmeichhia, leh taksa lian leh te te ngaihtuah a ni. eGFR value hian minute khata i kal (kidney)-in thisen a filter zat a hrilh che a ni. He value hi a hniam poh leh i kal (kidney) te hi a thawk tha lo zawk thin.
• Urinalysis : Hei hian zun sample lak a, mit (color, clarity), microscope hmanga (thisen cell, pus cell, bacteria, papillary debris te tan), leh chemical (protein, sugar tan) te enfiah a ni. A chang chuan renal papillae fragment te pawh microscope hmangin hmuh theih a ni bawk.
• Urine protein/creatinine ratio : Hei hian zun chhunga protein awm zat a tehna a ni. Kidney hrisel hian protein a paih chhuak tlem hle. Zun-a protein tam lutuk hi kal (kidney) tihchhiatna chhinchhiahna a ni.

(Renal Papillary Necrosis) avanga harsatna awm thei te chu engte nge ni?

He natna (Renal Papillary Necrosis) hi uluk taka enkawl a nih loh chuan a na zual a, harsatna lian tham a thlen thei a ni.

• Chronic Kidney Disease (CKD) : Kal a chhiat chhunzawm zel avangin an hnathawh a tlahniam zauh zauh a, chu chuan kal natna khirh tak a thlen thin.
• Kidney Failure a awm: A natna a zual chuan kal (kidney) chu a thawk tha lo vek thei a, chu chu renal failure a ni thei tihna a ni.
• Dam chhuah nân dialysis (machine hmanga i thisen tihfai) emaw, kal thlak emaw i mamawh mai thei .
• Hetiang dinhmun hian cancer chi khat , transitional cell cancer an tih, kidney emaw ureter emaw-a lo awm theihna a tipung tih hmuhchhuah a ni bawk.
• Tin, natna khirh tak (sepsis) kai theihna a awm bawk.

Renal Papillary Necrosis hi engtin nge enkawl a nih?

Renal Papillary Necrosis hi enkawlna bik a awm lo. Enkawlna ber chu a natna chhan bulpui ber enkawl hi a ni . Entir nan:

• Zunthlum vang a nih chuan zunthlum hi uluk taka control a pawimawh.
• NSAID hman vang a nih chuan chutiang damdawi chu ei kha bansan rawh.
• Infection vang a nih chuan antibiotics pe rawh.
• Urinary tract-ah blockage a awm chuan paih chhuah tur a ni.

A tum ber chu kal (kidney) chhiatna nasa zawk tihtlem leh a theih ang anga kal hnathawh humhalh hi a ni.

Enkawlna hlawhtlinna chu kal chhiat nasat dan leh natna thlentuah a innghat a ni. A nasat deuh thenkhatah chuan enkawl ni mahse natna hi a zual zel thei a ni. Mahse, a na lo zawkah chuan, leh a chhan chu enkawl vat a nih chuan kal hnathawh a nghet thei a, a tha deuh pawh a ni thei.

Renal Papillary Necrosis lakah ka inveng thei ang em?

Ni e, he dinhmun laka invenna tur hian kan tih theih tur a awm a, a tam zawkah chuan.

• A pawimawh ber chu i hriselna zawng zawng enkawl hi a ni . Ei leh in inthlau tak ei te, tui in tam te, exercise neih fo te hi a pawimawh hle.
• Over-the-counter painkillers (NSAIDs) i ei a nih chuan package-a tarlan angin emaw, doctor-in a sawi angin emaw chauh hmang ang che. A tul aia tam emaw, rei zawk emaw ei loh tur. Natna leh natna tenau emaw, lu na emaw tan pawh ei fo suh.
• Zunthlum (Diabetes Mellitus), sickle cell natna (Sickle Cell Disease), emaw, kal natna thlen thei natna dang (Renal Papillary Necrosis) i neih chuan i doctor thupek dik takin zawm rawh. A hun takah clinic-ah kal rawh. Damdawi pek tur chu ei thin ang che. Ei leh in dik tak zawm rawh.
• Doctor-in a tih angin a hun taka kal (kidney function) enfiah nan lab test neih a pawimawh hle a, a danglamna a awm chuan hriat hmasak a pawimawh bawk.

He natna vei tan hian dam leh zat chu engzat nge ni ang?

I prognosis chu natna thlentu, kal chhiatna zau zawng, i hriselna zawng zawng leh enkawlna i tan thuai danah a innghat a ni.

• Zunthlum vei tan chuan a result chu a tha lo deuh mai thei , zunthlum hi hun rei tak chhunga natna a nih avangin a thunun tha lo fo thin. Zunthlum i neih chuan a theih ang anga control hian kal chhiatna venna kawngah kawng thui tak a zawh ang.
• A nasat (Renal Papillary Necrosis) ah chuan dialysis leh kidney transplantation a thlen thei . Infection a awm chuan nunna atana hlauhawm a ni thei. Kidney failure avanga thih theihna a awm.
• Sickle cell natnaah chuan renal papillary necrosis hi kal (kidney)-a harsatna awm thei engemaw zat zinga pakhat chauh a ni. Heng harsatna zawng zawng hi a inzawm khawm chuan damlo dam rei zawng chu nasa takin a tlahniam thei a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan hun khawhral suh la, doctor pan ngei ang :

• I zun-ah thisen i awm chuan ( zun chu a sen, a sen, a sen emaw a ni).
• Khawsik emaw, khawsik emaw i neih chuan (a bik takin symptom dang nen).
• Zun laiin natna emaw, kang emaw i neih chuan.
• I hnungzang sir lehlamah natna thar emaw, na zual emaw i neih chuan, i hip ruh leh i ruh inkar (kidney area) ah.
• Urinary tract infection i neih fo chuan.
• I ke leh ke ruh a zun tlem emaw, a hring emaw i neih chuan (hengte hi kal hnathawh tlahniam chhinchhiahna a ni thei).

Heng symptoms te hi natna dang vang pawh a ni thei tih hre reng ang che. Mahse, a chhan dik tak hriat tumin doctor hnen atanga enfiah a pawimawh hle.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Kan kal (kidney) hi kan taksa tana taksa peng pawimawh tak a ni a, hna ngawi reng leh pawimawh tak a thawk a ni. Bawlhhlawh an filter chhuak a, taksaa tui leh chi inthlauhna an vawng reng bawk. Zunthlum thunun loh, natna tidamtu (NSAID) hman tam lutuk te, leh damdawi lam thil dang chi hrang hrangin kal a tichhe thei a, natna khirh tak tak, Renal Papillary Necrosis ang chi a thlen thei a ni.

He natna chungchanga a pawi ber chu a tir lamah chuan symptoms i nei lo mai thei. Chuvangin, zunthlum i vei a, NSAID i hmang fo a nih chuan, emaw, kal natna thlen thei thil dang i neih chuan, i kal ven dan tur chungchangah i doctor nen inbia ang che. Checkup neih fo leh nunphung hrisel i zawm hian i kal (kidney) te chu i hrisel thei a ni. Hriat hmasak leh hmalak hi thil tha ber a ni fo thin.

` Kal, renal papillary necrosis, kal natna, zunthlum, NSAIDs, kal tha lo, zun