Doctor-in zunthlum i vei thu a hrilh che chuan i rilruah a lo lang hmasa ber chu i thisen sugar control hi a ni. Mahse, thunun loh zunthlum hian a rukin i taksa peng pawimawh dang, kal (kidney) a tichhe thei tih i hria em? Hei hi mi tam tak chunga thil thleng ni lo mah se, zunthlum natna avanga harsatna awm fo a ni. Hetiang dinhmun hi Diabetic Kidney Disease (DKD), Chronic Kidney Disease (CKD) emaw Diabetic Nephropathy emaw an ti bawk. Chuvangin vawiin hian zunthlum leh kal natna inzawmna chungchang hi han sawi ila.
Engtin nge hetiang hi a lo thlen?
A awlsam zawngin i kal (kidney) hi i taksaa filter ang mai a ni. Kidney hnathawh ber chu thisen atanga bawlhhlawh awmte filter a, taksa atanga zun anga pass chhuah hi a ni.
Type 2 Diabetes i neih hian i thisen sugar level a sang reng thei. Ngaihtuah teh, heng kal chhungah hian filter tha tak tak, te tak te maktaduai tam tak a awm a, chu chu glomeruli kan ti a ni. I thisen sugar level a san reng chuan heng filter te te hi strain nasa tak hnuaiah dah a ni. Tui bawlhhlawh i filter reng hian tea filter a khar ang mai a ni.
Hun kal zelah he pressure hi pek a nih chuan heng filter nalh tak takte hi a chhe tan thin. A tawpah chuan taksain a vawn reng tur protein pawimawh tak albumin ang chi thil te pawh heng filter atang hian a leak tan a, zun nen a chhuak ta a ni. Phên dangin sawi ila, protein hi kidney aṭangin a "leak" ṭan a ni.
Symptoms leh hmuhchhuah dan
Hemi chungchanga hlauhawm ber chu a tir lamah chuan symptoms i nei lo mai thei. I kal (kidney) te chu a chhe tawh a, mahse engmah i hre lo mai thei.
Chuvangin i doctor-te kidney test a hun taka tihsak hi a pawimawh hle.
Chumi atan chuan zun sample leh thisen sample endik a ni ber.
- Urine test: Kal (kidney) hian hna a thawk tha lo a nih chuan zun chhungah protein albumin an tih hi a tam lutuk ang.
- Thisen test: Hei hian i kal (kidney)-in thisen a filter tha em tih a enfiah thei a ni.
A hnuaia table-ah hian heng stage pahnih inthlauhna hi tarlan a ni.
| Natna Stage a ni | Thil hmuh tur awm |
|---|---|
| A tir lam | Symptoms a awm lo. Chuvangin natna i vei leh neih loh hriat theihna awmchhun chu i doctor-in a sawi ang test neih a ni. |
| Natna a zual zel chuan (Later Stage) . |
|
Eng thilte nge a hlauhawmna tipung?
I zunthlum hi thunun theih loh a rei poh leh kal natna i vei theihna a sang zawk. I thisen sugar level a sang reng chuan i kal (kidney) tihchhiat theihna a sang hle.
Chu bakah, heng thilte hian a hlauhawmna a tipung bawk:
- Thisen sang nei
- Meizial zuk
- Chhungkaw zinga mi (nu, pa, unau) ah kal natna nei .
- Lung natna nei
- Thau lutuk (thau lutuk) .
- Taksa exercise neih loh vang
- Diabetes control nana ei leh in mumal zawm loh
- Chaw eiah chi (sodium) tam lutuk dah
Engtin nge kal (kidney) hi kan venhim ang? (Invenna) 1.1.
I kal venhimna atana i tih theih pawimawh ber chu i zunthlum control hi a ni. Chu chauh chuan i kal natna vei theihna chu hmun thuma ṭhena hmun khat velin a tihtlem thei a ni. Chumi awmzia chu, .
- Thisen sugar level hunbi neia enfiah thin
- Doctor-in a sawi ang chiaha damdawi ei
- Ei leh in dik tak zawm
- Date ruat saah clinic-a kal
Tin, damdawi dang, thisen sang ang chi i neih chuan uluk taka control a pawimawh hle bawk.
Doctor rawn hmasa lovin over-the-counter pain reliever ei loh a pawimawh hle. Pain reliever thenkhat chu hun rei tak hman a nih chuan i kal (kidney) a tichhe thei a ni. Chuvangin, i na a nih chuan i doctor hnenah eng damdawi nge ei tur him ber tih zawt la.
Meizial i zu a nih chuan vawiin hian bansan rawh. I thau lutuk a nih chuan i thau lutuk. Heng zawng zawngah hian i doctor chuan a pui thei che a ni.
Enkawlnate chu engte nge ni?
Test-ah i kal (kidney) a chhe tawh tih a hriat chuan i doctor thil tum hmasa ber chu natna a zual zel loh nan tihtawp a ni ang. Chutiang ti tur chuan i thisen thlum leh thisen sang control-na tur ruahmanna an siam ang.
Hei atan pawh hian thil tlemte i tih theih a awm a:
- I thau lutuk a nih chuan i thau lutuk tur a ni.
- Exercise neih fo thin
- Zu leh zuk leh hmuam insum tlat
- Salt intake tihtlem
Damdawi pawhin a pui thei bawk. Thisen sang damdawi thenkhat, ACE inhibitor leh ARB te hian kal natna a tikhawtlai tih hmuhchhuah a ni. Thisen sang i nei lo a nih pawhin i kal (kidney) venhim nan heng damdawi te hi i doctor-in a rawn pe thei a ni. Chu bakah, zunthlum damdawi class thar zawk, SGLT2 inhibitors , GLP-1 agonists, leh nonsteroidal mineralocorticoid receptor antagonists (MRAs) te pawhin zunthlum vanga kal natna dona kawngah a pui thei bawk.
Tin, i doctor chuan i kal phurrit tihziaawmna turin protein i ei zat tihtlem turin a fuih thei bawk.
Kidney Failure hi eng nge ni?
Kidney natna hi kidney failure an tih stage-ah a kal chuan i kal (kidney) te hian an theihna pangngai atanga 10% atanga 15% velin hna an thawk tihna a ni. Chumi awmzia chu taksa hnathawhna tur atana tihfai leh tui lakchhuah hna chu kal (kidney) hian a thawk thei lo tihna a ni.
Hetiang dinhmun hi End-Stage Renal Disease (ESRD) kan ti a. Heng damlote hi an dam khawchhuah theih nan dialysis emaw kidney transplant emaw an mamawh a ni.
Mahse, hlauthawng suh. Zunthlum vanga kal natna vei zawng zawng hian he natna khirh tak hi an nei vek dawn lo. Mi tam zawk chuan enkawl dan dik leh nunphung thlak danglamin natna hi an enkawl thei a ni.
A pawimawh ber chu i zunthlum hi uluk taka thunun a, i hriselna enkawl a, i doctor-in test leh enkawlna a pekte zawm a ni.
Take-Home Thuchah a ni
- Zunthlum thunun loh hian a rukin i kal (kidney) a tichhe thei a ni.
- A tir lamah chuan symptom a awm loh avangin doctor-in a pek zun leh thisen test hi skip loh a pawimawh hle.
- I kal (kidney) venhimna tha ber chu i thisen thlum leh thisen sang thunun hi a ni.
- Damdawi thar eng pawh i hman hmain doctor nen inbiakna neih hmasak phawt ang che, a bik takin natna tidamtu damdawi i hman hmain.
- Nunphung hrisel (ei leh in tha, exercise, leh meizuk bânsan) hian kal natna zual zel chu nasa takin a thunun thei a ni.
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