Kidney chhungril leh pawn lam (Renal Parenchymal Disease) tichhe thei natna chungchang hi han sawi mai ila!

Kan taksa chhunga kal (kidney) te hi silent worker ang mai an ni a ni lawm ni? Kan hriat loh pawhin hna tam tak an thawk thin. Nilengin kan thisen an tifai a, taksaa tui awm zat an thunun a, bawlhhlawh ṭul lote an paih chhuak bawk. Mahse a chang chuan, heng kal (kidney) te hian harsatna an nei bawk. Vawiin hian chutiang kal (kidney) tichhe thei natna pakhat chungchang kan sawi dawn a ni. Chu chu renal parenchymal disease a ni a, English-ah chuan `(Renal Parenchymal Disease)` a ni . He hming hi i hriat chuan a buaithlak deuhin a lang thei a, mahse awlsam takin i hrethiam ang u.

Renal Parenchymal Disease hi eng nge ni?

A awlsam zawngin sawi ila, hei hi kal (kidney) tichhe thei dinhmun chi khat a ni. A bik takin kal (kidney) hmun ``Parenchyma'' an tih chu a nghawng nasa hle. Tunah chuan he parenchyma hi eng nge a nih i ngaihtuah mai thei. Chu chu, kal (kidney) hnathawhna hmunpui ber ber, emaw, kal hnathawhna tura puitu te tihna a ni. He parenchyma hian a then lian pahnih a nei a:

1. Renal Cortex : Hei hi kal pawn lam ber a ni. Kan kal chhunga filtering unit te tak te, nephrons , an tih te hi hetah hian an intan thin. Heng nephron te hi filter te tak te ang mai an ni. Pang hnih an nei a. Pakhat chu thisen kalna kawng glomerulus an tih a ni . A dang chu tube te tak te renal tubule an tih a ni .

• Thisen chu glomeruli hmangin a filter hmasa ber a ni .
• Renal tubules hnathawh chu taksa mamawh tui, nutrients leh minerals te chu a lakluh leh a, bawlhhlawh tul lo tak tak chu zun hmanga paih chhuah a ni.
• Tin, kidney cortex hian `Erythropoietin (EPO) .` tih hormone a siam bawk.He `(EPO)` hormone hian kan `Bone Marrow` hi thisen sen (red blood cells) siam turin a pui bawk.

2. Renal Medulla : Hei hi kal chhung lam a awm a ni. Nephrons tam zawk hi he hmunah hian an awm a.

Chuvangin, doctor-te chuan kidney-a cortex emaw, medulla emaw tichhe thei dinhmun eng pawh chu renal parenchyma disease an ti a ni. Hming dangin an ko bawk a, entirnan, bilateral renal parenchyma diseases, leh kidney parenchymal disease.

He natna chi hrang hrang hi engte nge ni?

He natna hi chi hnih ah then theih a ni:

• Acute Renal Parenchymal Disease : Hei hi a intan nghal a.
• Chronic Renal Parenchymal Disease : Hei hi a kal zel a, rei tak a daih.

He natna hi a hlauhawm em?

A natna chhan leh a nasat danah a innghat tak zet a ni. Mild case thenkhat chu enkawlna hmangin an dam thei bawk. Mahse natna khirh takah chuan .`Kidney Failure` ah a kal zel thei a ni.I hriat angin kidney failure hi enkawl loh chuan nunna atana hlauhawm thei thil a ni.

Hriat theih tur chhinchhiahna hmasa berte chu engte nge ni?

Vawi tam tak chu he natna hi a tir lamah hian chhinchhiahna lian tham a awm lo. Chu chuan a ti hlauhawm deuh a ni. Mahse natna a zual zel a, i kal (kidney) te hnathawh a tlakchham chuan heng ang symptoms hi i nei thei a ni:

• Zun chhunga thisen (Hematuria) .
• Vun vawt leh itchy
• Chauhna nasa tak neia inhriatna
• Chaw chakna
• Thisen a thisen sen (red blood cells) a tlahniam (Anemia) .
• Nausea leh luak chhuak
• A tlangpui aia zun tam zawk pass
• Mit vel a hring chhuak
• Kut, ke leh ke ruh a hring (Edema) .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a pawimawh hle.

Eng thilin nge hei hi a thlen?

Chronic kidney disease thlentu lian ber pahnih chu thisen sang leh zunthlum hi a ni . Mahse, a chhan dang a awm thei:

• Autoimmune natna , Lupus Nephritis ang chi te
• Glomerulonephritis (kidney-a filtering unit-te natna) .
• `Kidney Cancer a ni` tih a ni
• Polycystic Kidney Disease ( kal natna chi hrang hrang) .
• `Sickle Cell natna` tih a ni

Sudden (Acute) kidney parenchymal disease thlen thei thilte chu:

• Allergy natna nasa tak (Anaphylaxis) .
• `Bacterial Infection awm thei te`
• `Kidney Lung`
• `Kidney Tumor awm thei`
• Pulmonary Embolism (thisen kalna kawngkhar chhunga thisen zam, lung lam panna) .
• `Tui tlakchhamna nasa tak`
• `Viral Infection awm thei te`

Damdawi thenkhat hian he `(Acute)` natna hi a thlen thei bawk. Entirnan:

• `Angiotensin tidanglam thei enzyme inhibitor (ACE Inhibitors)`
• `Angiotensin II receptor blocker (ARBs) te hi a awm lo
• `Nonsteroidal Anti-inflammatory Drugs (NSAIDs)` (e.g. Ibuprofen, Diclofenac) te hi a tha hle a ni.

He natna hi tuin nge vei tam zawk?

He natna hi tu pawhin an vei thei a, mahse a hnuaia mite hi i neih chuan i hlauhawmna a sang deuh hlek a ni:

• Chhungkaw zingah hian he kidney parenchyma natna hi nei an awm a nih chuan
• Diabetes i neih chuan
• Lung natna i neih chuan
• `High Blood Pressure` i neih chuan

Tin, kum 60 chunglam i nih a, over-the-counter (OTC) leh prescription NSAID painkiller i hman fo chuan i risk a sang zawk thei bawk.

He natna hian eng harsatna nge a thlen theih?

He natna hi uluk taka control a nih loh chuan harsatna chi hrang hrang a awm thei a ni. Chung zinga ṭhenkhat chu:

• Taksa tui acidity tihpun (Metabolic Acidosis) .
• Thisen a phosphate (phosphorus) level sang (Hyperphosphatemia) .
• Thisen a potassium level sang (Hyperkalemia) .
• Thisen sen zat tlahniam (anemia) .
• Uric acid a awm avanga natna (Gout) .
• Ruh natna (Osteoporosis) a awm
• Immune system a chak lo

Pawimawh: Mi zawng zawngin heng harsatnate hi an tawk vek dawn lo. Mahse, natna hi i enkawl a, enkawl dan dik i hmuh chuan a tam zawkah chuan i pumpelh thei a ni.

Engtin nge he natna hi dik taka i hriat theih? (Diagnosis) tih a ni.

Doctor chuan i natna lan chhuah dan a zawt ang a, i damdawi lam chanchin a enfiah ang a, i damdawi ei chungchang a zawt ang a, taksa enfiahna a nei ang. Tichuan, natna i vei nia an rinhlelh chuan i natna hriat chian nan test eng emaw zat an ti ang. Chung zinga ṭhenkhat chu:

• Kidney Function Test : Heng zingah hian thisen test leh zun test te pawh a tel . Thisen test hian i estimated glomerular filtration rate (eGFR) leh serum creatinine level a enfiah thin . Zun test hian zun chhunga proteinuria leh thisen a awm leh awm loh enfiah thin.
• Imaging test : Hengte hian doctor-te chu kal lian leh te, a pianzia leh a insiam dan chiang taka hriat theih nan a pui thei a ni. Ultrasound scan emaw, MRI (Magnetic Resonance Imaging) scan emaw, CT (Computed Tomography) scan emaw an order thei bawk.
• Kidney Biopsy : He test-ah hian doctor chuan kal atanga tissue te tak te a la a, laboratory-ah a test thin. He biopsy hian test dangin a pek theih loh information a pe thei a ni.

Engtin nge enkawl a nih?

Renal parenchymal disease enkawl dan hi thil engemaw zatah a innghat a ni. Chung zingah chuan:

• Natna thlentu dik tak leh a nasat zia.
• I kum leh i hriselna zawng zawng.

I enkawl dan tur chu:

• NSAID painkiller leh kal natna tizual thei damdawi dang hman loh tur.
• Zuk leh hmuam hman (meizial zuk, vaping, zuk leh hmuam chewing, etc.) chu pumpelh vek tur a ni.
• Taksa exercise neih fo thin.
• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Thisen sang, cholesterol, leh zunthlum control nana damdawi mamawh ei.
• Renal Dietitian nen inbia la, kal tana tha tur diet siam rawh. Hei hian protein tihtlem, thisen cholesterol level tihhniam, chi (sodium) leh potassium tihtlem thei ei leh in a huam thei bawk.

Natna a nasat chuan a hnuaia enkawlnate hi a tul thei a ni.

• Corticosteroids (damdawi chi khat, inflammation tihziaawmna) .
• Dialysis (kidney a thawk tha lo laia machine hmanga thisen tihfai) .
• Immunosuppressants (damdawi taksa chakna tihziaawmna) .
• `Kidney thlak danglam`

He natna hi ka vei a nih chuan eng nge ka beisei ang?

He natna hi i vei a nih chuan i kal (kidney) chhiatna control tur leh a hnathawh rei thei ang bera vawng reng turin i medical team te nen thawhhona tha tak neih a ngai a ni. Thil tih tur thenkhat chu hetiang hi a ni:

• Kidney tana \angkai thei ei leh in vawn reng.
• I thisen sugar level leh blood pressure te enfiah fo thin ang che.
• Nephrologist tlawh la, i kal (kidney) enfiah fo rawh.
• Doctor-in a pek damdawi dik tak leh a hun taka ei.

He natna hi eng chen nge i dam theih ang?

He zawhna hi chhanna pakhat chauh pek a har khawp mai. A chhan chu thil tam takah a innghat a, chu chu natna nasat dan te, i kum, i mipa leh hmeichhia, leh hriselna zawng zawngah te a innghat a ni. I kal (kidney) a chhiat nasat chuan i dam rei zawng a tlahniam thei. Dialysis i tih chuan kum 5 atanga kum 10 chhung dam tura beisei a ni tlangpui.

Mahse, hre reng ang che! Hei hi a zatve chauh a ni. Mi tam tak chu enkawl dan dik leh kal thlak a nih chuan an dam rei zawk hle. End-stage renal disease nei te pawh kum 20-30 chhung an dam thei. Chuvangin, i doctor nen inbia la, i dinhmun hi hre belh rawh.

He natna laka inven dan tur a awm em? (Invenna) 1.1.

A chhan zawng zawng hi ven theih vek ni lo mah se, hengte hi i tih hian natna vei theihna i tihziaawm thei a ni:

• Kar khatah ni nga tal exercise chak tak nei la, ni khatah minute 30 tal exercise la.
• Zu in tam lutuk tihtlem.
• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Kal natna (e.g. zunthlum, thisen sang) vei theihna chance sang tak i neih chuan doctor pan fo la, checkup la.
• Meizial zuk loh vek tur a ni.
• Chaw ei tur chi (salt) dah tlem.
• `NSAID` tih a niDoctor-in a tih ang chauhin natna tidam thei damdawi hmang ang che.

He natna vei hian eng eitur nge a pumpelh tur?

Renal parenchymal disease i neih chuan renal dietitian pan a pawimawh hle . I tana tha tur leh i kal tana tha tur diet plan a siam ang. Chaw chi, protein, phosphorus, leh potassium tamna ei tur i tihtlem a ngai tlangpui ang. Entirna thenkhat chu:

• Avocado a ni
• Balhla
• Chaw ei tur canned a ni
• Salty snacks chips leh pretzels ang chi te
• Citrus thei leh a tui, orange ang chi te
• Thlai hring (dried fruits) a awm
• Sa siam chhuah (sausage, meatballs ang chi) .
• Antam

Pawimawh: He list hi mi zawng zawng tan a ni lo mai thei. I tana ei tur tha leh ei loh tur chungchangah i nutritionist hnenah thurawn chiang tak zawt rawh.

Engtikah nge doctor i hmuh ang?

Zunthlum, thisen sang, emaw, kal natna thlen thei natna dang i neih chuan doctor pan fo la, checkup la. I risk factors hriat hmasak leh hriatthiam hian i kal (kidney) tihchhiat belh zel tur a veng thei a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngaih ?

Renal parenchymal disease symptoms hi a tlangpuiin kidney tihchhiat nasa tak a awm hnuah a lang thin. Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Muscle te hi a inher fo chuan
• Appetite i neih chuan
• I chau hle tih i hriat chuan
• I ngaihtuahna emaw, mut emaw harsatna i neih chuan
• Vun itchy i neih chuan
• Hiccups i neih chuan chu chu a tawp lovang
• I kut, ke ruh, ke a hring a nih chuan
• I zun tam emaw tlem emaw a nih chuan

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i tlawh hunah heng zawhnate hi zawh a \angkai thei ang:

• Engtin nge renal parenchymal disease ka nei tih i hriat theih ang?
• Engtiang chiahin nge a serious?
• Eng enkawlna nge i rawt?
• Ka kal (kidney) venhim nan eng nge ka tih theih ang?
• Kidney vei tan specialized nutritionist i recommend thei ang em?
• He natna vei te tanpui thin support group chungchang min hrilh thei ang em?

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

Renal Parenchymal Disease hi i kal (kidney) hnathawh a tichhe thei a ni. Enkawlna tum ber chu natna hi a rei thei ang bera kal hnathawh chhunzawm zel tura enkawl a ni. Mi tam tak chu he natna nen hian kum tam tak an khawsa a.

Mahse, hetianga diagnosis i dawn a, enkawl reng a ngaih hunah chuan i lungawi lo thei a, i thinrim thei bawk. Hei hi thil pangngai a ni. Hemi chungchang hi i chhungte leh i thiante rintlak tak nena sawi dun hian a pui thei che a ni. Hetiang natna vei te tan pawh support group-ah i tel thei bawk. Zawhna i neih chuan i doctor biak pawh hlau suh. An pui ang che. Nangmah chauh i ni lo!

` Kal natna, kal natna, kal parenchymal natna, kal parenchyma, kal hnathawh, kal tha lo, kal natna, kal hnathawh, zunthlum, thisen sang