Kidney Disease chungchanga hriat tur awmte

Kidney hi i taksa peng te ber pahnih, mahse pawimawh ber pahnih a ni. A tam zawkah chuan ngawi rengin an hna an thawk a, chuvang chuan an hlutna kan hre lo. Mahse, heng kal (kidney) te hnathawh hi tlem pawh a chhiat chuan taksa pumin a nghawng chu a hre tan thin. Vawiin hian kan thianpa nena kan inbiak ang chiah hian heng kal natna te hi han sawi ila.

Heng kal (kidney) te hi eng thil nge thleng tak tak?

I kal (kidney) hi i taksaa filter chak ber pahnih angin ngaihtuah rawh. I ruhro sir lehlamah, i kawr chung lam deuhah an awm a. Filter mai an ni lo va, chu aia tam an ti a ni. A awlsam zawngin sawi ila, hengte hi kal hrisel tak takte tih tur pawimawh tak tak thenkhat an ni. Kidney a chhiat chuan he hna hi a thawk tha thei lo. Tichuan, bawlhhlawh leh tui tam lutuk taksaah a pungkhawm a, ke ruh hring, luak chhuak, hah, mut theih lohna, thawk harsa tih ang chi thil a thlen thin. Enkawl loh chuan he chhiatna hi kal (kidney failure) thlengin a kal thei a ni. Chu chu natna pawi tak, nunna atana hlauhawm tak pawh a ni.

Kidney natna chi hrang hrangte chu engte nge ni?

Kidney natna hi chi hnihah then theih a ni. Pakhat chu hun kal zelah natna lo awm zauh zauh a ni a, pakhat zawk chu natna lo awm nghal mai a ni.

Kal natna rei tak (CKD) .

Hei hi a tam ber chi a ni. CKD hi thla 3 aia rei kal (kidney)-in thisen a filter tha thei lo tihna a ni. A lo thanglian nghal lo. Zawi zawiin, kum tam tak chhungin a lo thang lian zel a ni. A hlauhawm ber chu a tir lamah symptom a awm lo. Chuvang chuan mi tam takin he natna hi an nei tih an hre lo. Zunthlum leh thisen sang hi CKD thlentu ber pahnih an ni. Enkawlnain natna hi a tidam kim thei lo nain, a na zual zelna chu a thunun thei a ni.

Kal natna chi dang

CKD bakah hian kal natna chi dang engemaw zat a awm bawk.

• Polycystic Kidney Disease : Hei hi genetic natna a ni. Cyst, tuiin a khat chu kal (kidney) -ah a lo awm a . Hei hian kal (kidney) hnathawh a ti tlem a ni.
• Glomerulonephritis: Kal chhunga thisen filtering unit te tak te (glomeruli) te tihchhiatna. Hetiang dinhmun hi rilru natna thenkhat (strep infection) hnuah pawh a awm thei bawk.
• Lupus Nephritis: Lupus hi autoimmune disease a ni a, taksa cell hrisel tak takte a bei thin. Hetiang dinhmun hi kal (kidney) a beih hian a lo awm thin.
• Pyelonephritis : Hei hi urinary tract infection a ni a, kal (kidney) a nghawng a ni. He natna hi a lo awm fo chuan kal (kidney) a tichhe vek thei a ni.

Kal natna thlentu te chu engte nge ni?

Kal natna hi a chhan hrang hrang a awm a. A hranin han thlir ila.

Acute Kidney Injury awm chhan

Hei hi ni engemaw zat chhunga kal (kidney) hnathawh a hloh nghal mai thin a ni. Hei hi a chhan chu:

• Accident lian tak avanga thisen chhuak tam lutuk.
• Taksa tui tlakchhamna nasa tak.
• Sepsis (shock) hi natna khirh tak avanga lo awm a ni.
• Damdawi thenkhat, natna tidamtu , antibiotics , leh toxins te.
• Mipaah ​​chuan zunthlum avanga lung (urinary stone) emaw, prostate gland lian emaw avanga urethra block.

Chronic Kidney Disease awm chhan

Hun kal zelah kal (kidney) a chak lo zauh zauh chhan ber chu:

• Diabetes: Kum tam tak chhunga thisen sugar level sang lutuk control loh chuan direct-in kidney a tichhe thin.
• Thisen sang (High Blood Pressure): Hun rei tak chhung thisen sang hi thunun loha dah a nih chuan kal (kidney)-a thisen petu thisen kalna kawng nalh tak takte chu a tichhia a ni.
• Hun rei tak chhung natna tidam thei damdawi hman: Doctor thurawn tel lova natna tidamtu damdawi, a bik takin NSAID (e.g., Ibuprofen, Naproxen) hman chhunzawm zel hi kal tan a pawi hle.
• Genetic causes: I chhungkuaa mi tu emaw chuan kal natna a nei tawh a nih chuan nang pawh i hlauhawm thei bawk.

Hei hi eng symptoms nge ni?

Hei hi a pawimawh ber a ni. Chronic kidney disease-ah chuan kal 70%-80% a chhiat hma chuan hmuh theih a awm lo thei. Chuvangin he natna hi "silent killer" an ti bawk. Natna a nasat deuh deuh chuan a lan chhuah dan te chu:

• Ke ruh, ke leh a chang chuan hmai a hring.
• Chau lutuk leh nunna nei lo anga inhria.
• Nausen leh luak chhuak fo thin.
• Ei duh lohna leh ka chhunga metallic taste a awm.
• Vun a na.
• Mut theih lohna emaw, mut harsat emaw.
• Zun chhuah tam dan (a pung emaw tihhniam emaw) inthlak danglam.
• Thâwk harsa.
• Thisen sang control harsat.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan vat a, thurawn lak a pawimawh hle.

Engtin nge natna hi kan hriat theih ang?

I doctor chuan i chhungkaw chanchin, i damdawi ei dan leh i natna lan chhuah dan te a zawt hmasa ang. Tichuan, an natna hriat chian nan test eng emaw zat an ti ang a, chungte chu:

• Thisen test: A bik takin Serum Creatinine test hian thisena bawlhhlawh awm zat a teh a, kal hnathawh (eGFR) a chhut bawk.
• Zun test dan: 1.1.Zun hi protein emaw thisen chi hrang hrang emaw a awm leh awm loh enfiah thin a ni. Kidney hrisel hian protein a paih chhuak lo.
• Ultrasound Scan: Hei hian kal (kidney) lian leh te, a pianzia leh zunthlum lung a awm leh awm loh a enfiah thei a ni.
• Kidney Biopsy: A then phei chuan kidney atang hian tissue te tak te tak te chu lakchhuah a ni a, natna thlen chhan dik tak hriat theih a ni.

Engtin nge enkawl a nih?

Chronic kidney disease (CKD) hi tihdam theih a ni lo. Mahse, a hmaa hriat chhuah a nih chuan enkawlna dik leh nunphung inthlak danglamna hian kal chhiatna dang a titawp thei a, nasa takin a tikhawtlai thei bawk. Enkawlna tum berte chu: 1. Natna thlentu (e.g., zunthlum, thisen sang) thunun. 2. A lan chhuah dan control. 3. Kal chhiatna nasa zawk venna.

Damdawi chi hrang hrang

I doctor chuan i thisen sang control nan ACE inhibitor emaw ARBs ang chi damdawi a pe thei ang. Heng damdawi te hian i thisen sang a control mai bakah i zun a protein i pass zat a tihtlem avangin i kal a humhim bawk. Tin, i thisen sugar control nan te, i cholesterol tihhniam nan te, leh thisen tlakchhamna (anemia) enkawlna tur damdawi an pe thei bawk.

Ei leh in

Hei hi a pawimawh hle. Kidney vei te hian ei leh in bik an mamawh a ni. A tlangpuiin, chi (sodium), potassium, leh phosphorus tamna ei tur i tihtlem a ngai thin. Tin, protein leh tui i ei tam lutuk pawh i tihtlem a ngai mai thei bawk. Hemi chungchangah hian dietitian chuan thurawn tha ber ber a pe thei che a ni. I doctor chuan pakhatah a refer ang che.

Dialysis tih a ni

Kal hnathawh nasa taka a tlahniam a, end-stage renal disease (ESRD) an thlen chuan kal hnathawh tur, thisen tihthianghlimna chu machine hmanga tih a ngai a ni. Hei hi dialysis an ti a .

• Hemodialysis: Hei hian i taksa chu machine nena thlunzawm a, chu chuan i thisen a filter a, i taksaah a rawn thawn kir leh thin. Hetiang ti tur hian kar khatah ni 2-3 chhung damdawi in emaw dialysis centre emaw i pan a ngai dawn a ni.
• Peritoneal Dialysis: Hei hi in lama tih theih a ni. Pum chhunga tube dah hmangin tui bik dah a ni a, chu tui chu thisen atanga bawlhhlawh paih chhuah nan hman a ni.

Kidney Transplant a ni

End-stage kidney disease enkawlna tha ber chu kidney transplant hrisel hi a ni. Hei hi mi nung (chhungkaw member emaw mi dang emaw) atanga tih theih a ni a, mitthi atanga tih theih a ni. Transplant hlawhtling tak i neih hnuah chuan dialysis tel lovin nun pangngaiin i hmang thei tawh ang. Kidney Disease, Chronic Kidney Disease, Zunthlum, Thisen sang, Dialysis, Kidney Transplant, Kidney Disease Sinhala