I kal (kidney) te hi a hrisel em? Kal natna chungchang chiang takin i zir ang u.

Kan taksaa filtering system mak tak hi i ngaihtuah ngai em? Car-a oil filter ang maiin kan kal (kidney) hi kan taksa atanga bawlhhlawh paih chhuaktu, kan thisen tifaitu, hriselna atana min enkawltu taksa peng pawimawh tak a ni. Mahse a tam zawkah chuan thil engemaw a kalsual hma loh chuan kan ngaihtuah vak lo. I ke pawh a hring chhuak tawh a, thih mai mai tur ang maiin i inhria a ni mai thei. Hengte hi kal natna chhinchhiahna hmasa ber a ni thei. Chuvangin vawiinah hian he thu hi awlsam tak, dik takin i sawi dawn nia.

Kan taksaah hian kal (kidney) hian eng rawngbawlna nge a pek?

Kidney pahnih kan nei vek a. Kan hnungzang sir lehlamah, kan kawr chung lam deuhah an awm a. Heng taksa peng tenau pahnih te chanvo hi thil tenawm tak a ni lo.

Kidney a hrisel chuan:

But when the kidneys are damaged , he process hian hna a thawk tha lo. Tichuan bawlhhlawh leh tui tam lutuk taksaah a pung khawm tan ta a ni. Hei hian ke hring , rilru hah , chak lohna , mut theih lohna leh thawk harsa tih ang chi thil a thlen thei a ni . Enkawl that loh chuan he chhiatna hi a zual thei a, kal (kidney) te pawh a fail vek thei bawk. Nunna atana hlauhawm pawh a ni thei.

Kidney natna chi hrang hrangte chu engte nge ni?

Kidney natna chi hrang hrang a awm a . Anni hi han thlir ila.

Kal natna rei tak (CKD) .

Hei hi a tam ber chi a ni. CKD hi i kal (kidney) hian i thisen atanga toxins leh tui tam lutuk filter theihna a hloh zauh zauh thin. Vawi khatah a thleng vek lo va, hun kal zelah zawi zawiin a lo thang chho zel a ni. Hei hi a hlauhawm ber chu a tir lamah chuan symptoms a awm lo.

Inenkawlna dik tak chuan he natna hi a zual zel hi a tikhawtlai thei a ni. Enkawl loh chuan natna hi End-Stage Renal Disease (ESRD)-ah a kal thei a ni. Dialysis emaw, kal thlak emaw a ngai mai thei. Zunthlum leh thisen sang hi CKD thlentu ber pahnih an ni.

Kal natna chi dang

• Polycystic Kidney Disease: Hei hi genetic natna a ni. Kidney-ah hian fluid-filled cyst a lo awm thin. Hei hian kal (kidney)-in bawlhhlawh a filter theihna a ti tlem a ni.
• Lupus Nephritis: Lupus hi autoimmune disease a ni a, taksain a taksain a taksa a hrisel lote a bei a. Hei hi immune system-in kal (kidney) a beih hian a lo awm thin a ni.
• Glomerulonephritis natna hi a ni.Kidney chhunga filter te tak te (glomeruli) te tihchhiat. Hei hian kal (kidney) te chu a thawk tha tawh lo. Hetiang dinhmun hi strep throat infection chi hrang hrang hnuah pawh a awm thei bawk.
• Pyelonephritis: Hei hi zun kawng natnain kal (kidney)-a a darh lai a ni. Hetiang hi a lo thlen nawn fo chuan kal (kidney)-ah hliam a siam thei a, hun rei tak chhung a tichhe thei bawk.

Kal natna thlentu te chu engte nge ni?

Kidney natna thlentu hi natna lo awm dan azirin chi hnih ah then theih a ni.

1. Kal chak lohna (Acute Kidney Injury) .

Hei hi kal (kidney) hnathawh a chawlhsan thut lai a ni. Hei hi a chhan berte chu:

• Kidney-a thisen kal a tlahniam.
• Kal (kidney) a tichhe nghal vek.
• Kidney-ah zun chhuak lovin blockage a awm.

Hetiang thil thleng thei dinhmunte hi hengte hi a ni:

• Accident lian tak, thisen chhuah tam lutuk.
• Taksa tui tlakchham lutuk.
• Infection na tak (Sepsis) avanga taksa shock-a kal.
• Urinary stone emaw, prostate gland lian emaw avanga zun kawng a block.
• Damdawi thenkhat leh chemical tha lo tak tak nena inzawmna.
• Naupai laiin harsatna a awm thin.

2. Kal natna rei tak awm thei

Thla 3 aia rei kal a thawk tha lo a nih chuan Doctor ten Chronic Kidney Disease (CKD) an ti thin. Hemi atan hian mawhphurtu ber pahnih an awm.

• Diabetes Mellitus: Zunthlum thunun loh hian hun rei tak chhung thisen sugar level a tisang a, chu chuan kal chhunga thisen kalna kawng nalh tak takte a tichhia a ni.
• Thisen sang (High Blood Pressure): Thisen sang a san chuan kal (kidney)-a thisen phurtu thisen kalna kawngah pressure dah a ni a, hun kal zelah a tichhe thin.

Chu bakah, hun rei tak chhung natna tidamtu damdawi thenkhat (a bik takin NSAID ibuprofen ang chi) hman te, chemical tha lo thenkhat nena inzawmna te, leh pianpui natna thenkhat te pawhin CKD a thlen thei bawk.

Zu leh kal (kidney) inzawmna

Zu hian kal (kidney)-ah hian harsatna a siam belh a, an hna chu taksaa toxin lutte filter chhuah a nih avangin. Zu i in hian i kal (kidney) te hian a hma aia nasa zawkin hna an thawh a ngai thin.

Kal natna lan chhuah dan engte nge ni?

Kan sawi tawh ang khan kal (kidney) hi taksa peng pakhat a ni a, chhiatna nasa tak a thlen hma loh chuan chhinchhiahna nei lovin a awm thei a ni. Chuvangin,A tam zawkah chuan a tir lamah chuan symptoms a awm lo thei. Natna a zual zel chuan a lan chhuah dan te chu:

• Thisen sang a sang.
• Nausea leh luak chhuak.
• Chaw chu a thlum lo.
• Ka chhunga metallic taste a awm.
• Chauhna leh chak lohna awm fo.
• Thil ngaihtuah harsa tak a ni.
• Mut harsatna a awm.
• Muscle twitching leh natna.
• Ke leh ke ruh a hring chhuak.
• Vun na reng reng.
• Chest na (thinlung vel a tui a awm khawm vang).
• Thâwk harsa (lung chhunga tui awm khawm vang).

Engtin nge kal natna i neih leh neih loh i hriat theih ang?

I doctor chuan i chhungkaw medical history te, damdawi i ei dan te, i zun danah inthlak danglamna a awm em tih te a zawt hmasa ang. Tichuan taksa enfiahna a nei ang. Tin, a hnuaia test te hi tih theih a ni bawk:

• Thisen test: Thisenah bawlhhlawh (urea leh creatinine ang chi) awm zat enfiah thin ang che.
• Zun test: Zun chhunga protein ang chi thil awm leh awm loh enfiah la, kal a chhiat leh awm loh enfiah thin ang che.
• Imaging Tests: Doctor chuan ultrasound scan ang chi thil hmangin kal dinhmun a enfiah thei a.
• Kidney Biopsy: Hei hian kidney atanga tissue te tak te tak tak lak a, laboratory-a thawn a, natna thlen chhan dik tak hriat chian a ni.

Kal natna enkawl dan tur engte nge ni?

Kal natna thenkhat chu tihdam theih a ni. Amaherawhchu, kan sawi fo thin CKD, chu chu kal natna khirh tak tihna a ni a, chu chu a dam kim thei lo. Amaherawhchu, uluk taka enkawl a nih chuan natna hi a thunun theih a, kal (kidney) te chu rei zawk hna thawk turin a pui thei a ni.

I doctor chuan i enkawl chhung hian nephrologist hnenah a refer thei che a ni.

1. Damdawi chi hrang hrang

• Thisen sang damdawi: Thisen sang hian kal natna a thlen thei a, kal natna hian thisen sang a thlen thei bawk. I doctor chuan damdawi ACE inhibitor emaw ARB emaw a pe thei ang. Hengte hian i thisen sang control nan a pui thei a, i zun a protein awm zat a tihtlem thei bawk.
• Zunthlum damdawi: Zunthlum damdawi thar thenkhat, dapagliflozin (Farxiga) te hian kal natna a tikhawtlai tih hmuhchhuah a ni a, zunthlum nei lote tan pawh kal natna a tikhawtlai tih hmuhchhuah a ni.
• Anemia damdawi: Kal atanga erythropoietin hormone siam a tlahniam chuan thisen a tlakchham (anemia). Hei pawh hi enkawlna tur damdawi a awm bawk.

2. Ei leh in tur

I doctor chuan special diet a rawn pe ang che. Hei hian sodium (salt), potassium, phosphate, leh protein tel lo ei tur a kawk a ni. Kidney a chhiat chuan heng nutrients te hi paih chhuah a harsa thin. Diet hian a tum ber chu kal (kidney) chunga phurrit tihziaawmna a ni. Chumi atan chuan renal dietitian, kal natna lama mithiamte thurawn lak a pawimawh hle.

3. Dialysis tih a ni

Kidney-in hna a thawh tawh loh chuan an hna thawk tur chuan machine puihna an mamawh a ni. Hei hi dialysis an ti a.

• Hemodialysis: Hei hian i thisen thenkhat chu machine-in a la a, a tifai a, i taksaah a thawn kir leh a ni.
• Peritoneal Dialysis: Hei hian pum chhunga lining (peritoneal membrane) hmanga thisen tihfai a ni.

Thil tih dan pahnih hian thatna leh that lohna a nei vek a ni. I doctor chuan eng method nge i tan a tha ber tih a hrilhfiah ang che.

4. Kal thlak (Kidney Transplant) a ni

Hei hi natna a lo zual tawh chuan enkawl dan tha ber a ni. Mi hrisel (nung emaw thi emaw) atanga kal (kidney) inmil chu surgery hmanga thlak a ni. Transplant hlawhtling tak hnuah dialysis a ngai tawh lo. Mahse, i taksain kal thar a hnawl loh nan i dam chhung zawng damdawi i ei a ngai dawn a ni.

Kidney Disease, Kidney Failure, CKD, Dialysis, Kidney Transplant, Diabetes leh Kidney te a ni