I kal (kidney)-ah hian ‘staghorn’ ang maia lung i nei tawh em? Staghorn Calculus chungchang hi i zir dawn teh ang!

Kidney stone tih hi i hre ngai em? Hei hi mi thenkhat tan chuan harsatna awm fo a ni. Mahse vawiinah hian kidney stone chi khat bik kan sawi dawn a ni. Hei hi Staghorn Calculus an ti a . A hming hi a mak deuhin a ri a ni lawm ni? "Staghorn" tih hian sakeibaknei hmul tihna a ni. Heng lungte hian an hming an vuah chhan chu an branch chhuak a, deer antler ang maiin kidney chhungah an darh chhuak a ni. Tuipui chhunga coral reef angin i ngaihtuah thei bawk.

Staghorn Calculus chu eng nge ni?

A awlsam zawngin sawi ila, staghorn calculus hi kal (kidney stone) chi khat a ni (calculus tih awmzia chu lung tihna a ni). Mahse hei hi chu lung tenau pangngai dang ang a ni lo. A lian thei a, a branch chhuak thei a, main canal (renal pelvis) leh kidney-a zun khawlkhawmtu small canal system (calyces) zawng zawngah a darh thei a ni . Kidney hi zun siamna factory ang ni ta se, he lung hi chu factory pipeline-a block lian tak ang mai a ni ang tih han ngaihtuah teh.

Heng lungte lo awm chhan ber chu zun kawng (UTIs) awm fo vang a ni. Chutiang natna avanga lung lo awm chu chemical struvite an tih atanga siam a ni fo thin . Hei hi magnesium, phosphate leh ammonium te inzawmkhawm a ni. A châng chuan lung te tak te hi hun kal zelah a lo thang lian thei a, a branch chhuak a, he lung ang hi staghorn lung a lo ni thei bawk. Chutiang a nih chuan struvite chu calcium phosphate, calcium oxalate , a nih loh leh calcium carbonate apatite nena an inhmeh chuan an lo awm thei a ni.

A tlangpuiin he lung chi hi kal pakhatah chauh a lo awm thin. Mahse, a tlem hle a, he natna hi kal pahnihah hian a awm thei a ni. Heng lungte hian kal hnathawh nasa takin a tibuai thei a, kal chak lohna pawh a thlen thei bawk .

Heng ‘deer antler stone’ te hi tuin nge chin tam ber ang?

Mi thenkhat chuan heng staghorn lungte hi an vei theihna a sang zawk. Tute nge an nih hi han thlir ila:

• Hmeichhia tan: Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk.
• Urinary tract infection (UTI) vei fo tan: A hmaa kan sawi tawh ang khan hei hi a chhan lian tak a ni.
• Pianphung pangngai lo emaw, zun kawng inthlak danglam emaw tan: Zun kal danah chak lohna a awm chuan lung siam a awlsam zawk.
• Spinal cord hliam nei tan.
• Neurogenic bladder nei tan: Hei hian nerve chhiatna avanga bladder hnathawh that lohna a kawk a ni.

Engtin nge staghorn lung hian kan taksa a nghawng?

Heng staghorn lungte hian kal (kidney) a tikhawlo vek emaw, a then emaw a tikhawlo thei a ni. Thil lian takin tui pipe a dang ang maiin han ngaihtuah teh. He lung hnah hi renal pelvis -ah a inzar pharh a, chu chu kal funnel ang maia zun khawlkhawmna hmun a ni. Chuta tang chuan zun, .Tube te tak te pahnih ureters an tih hmangin bladder-ah a kal a. Chuvangin renal pelvis emaw ureter emaw a block chuan kidney a lo hring tan thin.

Tin, heng lungte hian zun a khawlkhawm hmasakna hmuna kal (kidney) calyces te pawh a block thei bawk. Extra fluid avanga calyces te chu a lo hring chhuak a nih chuan caliectasis an ti a ni. Hei hi uluk taka enkawl a nih loh chuan kal (kidney) a fail thei a ni.

Hei hi eng symptoms nge ni?

I kal (kidney)-ah staghorn stone i neih chuan:

• Khawsik.
• Ribs leh hip inkar a side na. Hei hi hnungzang na ang maiin a awm thei bawk.
• Zun chhunga thisen (hematuria) a awm. Zun chu a sen emaw, a dum emaw a ni thei.
• Pus leh zun (pyuria). Zun chu chhum a ni thei a, bawnghnute ang mai a ni thei a, rimchhia pawh a nei thei bawk.
• Chau lutuk tih hriatna.

A châng chuan heng lung lian tak takte hi a awm thei a mahse a lan chhuah dan erawh a awm lo . Chu chu thil hlauhawm ber a ni. Heng lungte hi chhan dang avanga test an tih laiin accident-a hmuh theih a ni.

Engvangin nge hetiang lung hi a lo pian? A chhante chu engte nge ni?

Sawi tawh angin zun kawng (UTI) tam lutuk hi a chhan lian tak a ni. A bîk takin, natna hrik thlentu bacteria chi ṭhenkhat chuan enzyme urease an siam chhuak a ni. Entirnan, bacteria Proteus mirabilis . He enzyme hian i zun acidity (pH) a tihniam a, chu chu alkaline a ni zawk tihna a ni. Tichuan, crystals a lo piang a, chu chu a inzawm khawm a, kidney lung a siam tan ta a ni.

A chhan dang pawh a awm:

• Anatomical differences: Mi thenkhat chuan an urinary system-a congenital difference thenkhat avang hian lung an nei tam zawk.
• Urinary tract tihkhawtlai a ni.
• Hun rei tak chhung urinary catheter hman.
• Tun hmain urinary diversion procedure i lo nei tawh a nih chuan.
• Neurogenic bladder natna a ni.
• Hun rei tak chhunga enkawl loh kal (kidney stone) neih. Lung te te hi a lian thei a, hetiang dinhmun hi a thlen thei a ni.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Symptoms i neih chuan doctor in zawhna a zawt hmasa ang che a, taksa enfiahna a nei ang. Chumi hnuah chuan test an order thei ang, chungte chu:

• Kidney X-ray hmanga enfiah: Staghorn lung hi radiopaque a ni tlangpui . Chumi awmzia chu heng lungte hi X-ray-ah an langtlang lo va, chuvangin X-ray image-ah chiang takin an lang tihna a ni.
• CT Scan (Computed Tomography - CT scan) hmanga enfiah a nih chuan:Hei hian lung lian leh te, a pianzia leh a awmna hmun chu chiang takin kan hmu thei a ni. Vawi tam tak chu staghorn lung nia rinhlelh a nih chuan CT scan an ti thin.
• Zun test: Infection, thisen, emaw pus emaw a awm leh awm loh enfiah thin ang che.

Engtin nge enkawl a nih?

Staghorn lung enkawl nan hian operation a ngai tlangpui . Lung chu lak chhuah vek a ngai a, a te te pawh a la chhuak lo. Chutiang a nih loh chuan chutiang chi te te chuan natna hrik a thlen thei a, lung thar a siam thei bawk.

Pawimawh: Staghorn lung hi kal a tichhe thei a, chuvangin doctor-in enkawl a rawt a nih chuan rang taka tih a tha ber.

Enkawlna hmanraw pawimawh tak tak engemaw zat a awm a:

1. Percutaneous Nephrolithotomy (PCNL) hmanga tih theih a ni.

Hei hi staghorn lung tihbo nan surgical procedure hman tlanglawn ber a ni. PCNL hi kal (kidney)-a lung lian tak tak, lung lian lutuk, zun kaltlanga kal thei lote paih chhuahna a ni.

• Engtin nge tih a nih?: Surgeon chuan i hnungzang, i kal bulah, hliam tenau a siam a. Tube te tak te chu a cut kaltlangin i kal chhungah rei lo te chhung dah a ni. Tichuan, chu tube kaltlangin camera dahna hmanrua bik, nephroscope an tih chu dahin, lung chu zawng chhuakin, a chhe vek emaw, a paih vek emaw a ni.
• Anesthesia: He surgery hi general anesthesia hmanga tih a ni .
• Damdawi ina awm: Ni khat emaw ni hnih emaw chhung chu damdawi inah i awm tlangpui ang. A châng chuan, drainage tube te tak te chu a hmunah ni engemaw zat chu kal (kidney) a dam hma loh chuan dah theih a ni. Mahse, a tam zawkah chuan ureteral stent , taksa chhunga awm reng tube te tak te chu dah a ni.

2. Ureteral stent tih hi eng nge ni?

"Tubeless surgery" tih hi i hre tawh mai thei, chu chu PCNL tih zawhah hnungzang lamah drainage tube dah a ni tihna a ni. Mahse, a chhungah hian stent dah theih a la ni tho.

Ureteral stent chu plastic tube te tak te, hun eng emaw chen atan ureter , kidney atanga bladder thlenga zun phurtu tube chhungah dah a ni. A dah a ni:

• I kal (kidney) a block a nih chuan, lung emaw, thil dang emaw avanga block a nih chuan, chu chu paih chhuah pui rawh.
• Surgery zawhah chuan ureter chu hawn reng tur a ni a, chu chuan zun a kal tha thei ang.

He stent hi kar tlemte hnuah lakchhuah a ni tlangpui.

3. Ureteroscopy hmanga enkawlna

Ureteroscopy chu surgeon chu ureters , kidney leh bladder thlunzawm tube-ah a lut a ni. Hei hian instrument tenau tak tak a hmang bawk. Hei hi ureterorenoscopy an ti a.URS emaw U-scope emaw pawh i hre thei bawk.

Hei hi a chi khat bik chu flexible ureteroscopy , retrograde intrarenal surgery (RIRS) tia hriat bawk a ni. Hei hian lungte enkawl nan urethra kaltlangin hmanrua (incision) engmah incision awm lovin kidney chhungah dah luh a ni. Hetiang tih dan hi lung te tak te emaw, PCNL hnua a hnah te te awm chhunte tan emaw hman a ni tlangpui. PCNL hi staghorn lung siamna bulpui ber a ni.

4. Lithotripsy hman dan dangte

Lung hrual dan dang pawh a awm bawk. Entirnan, laser hmanga lung tihchhiat nan Holmium laser lithotripsy emaw Thulium fiber laser lithotripsy emaw hman theih a ni. Hengte hi PCNL emaw Ureteroscopy emaw nen hman dun theih a ni.

5. Combination therapy hmanga enkawlna

A châng chuan, enkawlna kawng khat chauhvin lung chu a paih chhuak vek thei lo mai thei. Chutiang a nih chuan enkawlna engemaw zat hman dun a ngai mai thei.

Hriat tur: Enkawlna zawng zawng hian hlauhawmna engemaw zat a nei vek. Lung te te te pawh a la awm thei. Thisen chhuak engemaw zat a awm thei. Surgery zawhah i doctor chuan antibiotics leh painkillers a pe ang che. Zun a thianghlim loh avangin hri kai theihna a awm bawk.

Engtin nge enkawl hnua heng lungte lo lang leh theihna hi ka tihziaawm theih ang?

Lung pakhat an lak chhuah hnuah a lo piang leh tawh loh nan i bei thei ang. A hnuaia thilte hian a pui thei a ni:

• I doctor hnen atanga diet recommendation bik zawm: I doctor chuan lung chi hrang hrang a zirin ei tur leh ei loh tur a hrilh ang che. Entîr nân, tui tam tak in tûrin an hrilh mai thei che a.
• Acetohydroxamic acid ang chi urease inhibitor damdawi ei : Hengte hi pek a ni tlem hle a, a bik takin struvite lung nei tan chuan urease enzyme block nan an pe thin.
• Infection laka invenna atana antibiotics ei: Zun kawng infection i neih fo chuan i doctor chuan antibiotics hi a tlem berah ei chhunzawm zel turin a rawt thei ang.

Staghorn lung i neih chuan eng nge thleng ang? Enkawl a nih loh chuan engtin nge ni ang?

Staghorn lung i neih a, enkawl tha i nih chuan , i zun pangngaiin i zun thei ang a, i natna chu a reh mai ang. Lung i hmu leh thei a, i hmu leh thei lo bawk. Mi tin a inang lo.

Mahse, staghorn lung chu enkawl loha dah a nih chuan , dinhmun hlauhawm tak tak a thlen thei a, chu chu:

• Xanthogranulomatous pyelonephritis: Hei hi kal natna khirh tak a ni. Sepsis a thlen thei.Nunna atana hlauhawm natna hrik chu taksa pum puiah a darh thei a ni.
• Caliectasis: Tui a awm loh avangin kal (kidney calyces) a lo hring chhuak thin.
• Renal failure: Kal hian bawlhhlawh filter theihna a hloh a. Hei hian thihna a thlen thei a ni.
• Urosepsis: Urinary system a natna khirh tak a ni. Hei hian thihna a thlen thei bawk.

Mahse, mi thenkhat chu operation tih theih loh dinhmunah an ding a nih chuan (kum emaw natna dang vang emaw) doctor enkawlna hnuaiah non-surgical treatment (conservative management) nen an khawsa thei a ni.

Eng chen nge tihdam a ngaih?

Enkawl dan azirin dam leh hun a inang lo. Major open surgery i neih chuan a dam leh theih nan hun a duh rei zawk ang. Mahse, PCNL ang chi minimally invasive procedure hmang chuan chu ni vek chuan i haw thei mai thei. I doctor chuan hnathawhna hmun, sikul leh rit phurhna lama i kir leh theih hun tur a hrilh ang che.

Engtikah nge doctor i hmuh ang?

Staghorn lung i enkawl hnuah doctor pan emaw damdawi inah emaw heng symptoms te hi i neih chuan kal nghal rawh :

• I khawsik 100 degree Fahrenheit (37.8 Celsius vel) aia sang i neih chuan.
• Khawsik leh khur (chills/shaking) i tih chuan.
• Thisen chhuah a reh loh emaw, a pun loh emaw chuan.
• Natna a tlahniam lo emaw, a pun loh emaw chuan.
• I zun theih loh chuan.

A tawp berah chuan thil hriat reng tur

Staghorn lung hi kidney lung dang ang bawkin a tithinur deuh thei a, a na deuh bawk. Mahse, lungngai suh. I doctor chuan a enfiah thei che a, a solution tha ber a pe thei che a ni. A tam zâwk chuan chu solution chu operation a ni thei. Kidney failure ven nan staghorn lung hi a theih chuan enkawl a pawimawh hle.

I doctor ei leh in, exercise leh thupek dangte dik takin zawm rawh. Tichuan i dam thuai thei a, hrisel takin i awm thei bawk. Hrethiam e? Zawhna i neih chuan i doctor zawh hreh ngai suh.

` Kal lung, staghorn calculi, zun kawng infection, PCNL, kal surgery, kal natna, zun kalphung