Kidney failure avanga thil hlauhawm: Uremia chungchang hi a awlsam zawngin i zir ang u

I in chhunga bawlhhlawh awmte chu ni engemaw zat i la chhuak thei lo a nih chuan eng nge thleng ang tih han ngaihtuah teh? In pum pui chu a bawlhhlawh ang a, a rim a nam tan ang, a ni lawm ni? Kan taksa pawh a inang reng a ni. Kan taksa ‘trash filter’, chu chu kal (kidney) te hian hna a thawk tha lo a nih chuan taksa chhungah toxins a pungkhawm tan thin. Chu dinhmun hlauhawm tak, toxins level a sanna leh symptoms a lan chhuahna chu Uremia an ti a. Hei hi thil tenawm tak a ni lo. Hemi chungchang hi chipchiar takin sawi ila.

A awlsam zawngin, Uremia chu eng nge ni?

Uremia hi natna hlauhawm tak a ni a, i kal (kidney) te hian hna a thawk tha lo a, i thisen atanga bawlhhlawh a filter thei lo a, a paih chhuak thei lo bawk. Hei hi enkawl loh kidney failure atanga lo chhuak a ni . Uremia symptoms hi i thisena bawlhhlawh level a san lutuk hian a lo lang thin.

A tlangpuiin kan kal (kidney) te hi a hrisel chuan thisen atanga bawlhhlawh leh extra fluid te chu a filter thin. Heng bawlhhlawh leh tui te hi taksa atangin zun (pee) angin an chhuak thin. Tin, acid, electrolyte, leh hormone vitamin D leh erythropoietin (EPO) te level dik tak vawng reng turin an pui bawk. Kidney a chhiat chuan he filtering process hian hna a thawk tha lo. Chumi avang chuan taksaah toxins a pungkhawm thin.

Uremia hi kal natna khirh tak (CKD) avanga kal (kidney failure) vang a ni tlangpui. Hei hi end-stage renal disease (ESKD) tia hriat a ni bawk. Tin, kal hliam na tak (acute kidney injury) avanga kal (kidney failure) a awm chuan a thleng thei bawk.

Uremia natna lan chhuah dan chu engte nge ni?

Uremia symptoms hi vawi khatah a na lo vek lo. A tir lamah chuan an fiah lo hle. Heng symptoms te hi dik taka hriat chian a, damdawi lam thurawn lak vat a pawimawh hle.

A lan chhuah hmasak ber chu rilru hahna, luak chhuak, leh ei duh lohna te hi a ni . Zing i thawh hmasak ber khan i rilru a na thei. Chaw rim pawh hi huatna i nei thei bawk. Mi thenkhat chuan an ei tan hma loh chuan an ei lo mai thei. Kidney transplant hi duhthlan tur a nih loh chuan doctor chuan heng symptoms na lo tak takte hi a lo intan veleh dialysis tan nghal turin a rawt thei ang.

Uremia vei chhan berte chu engte nge ni?

Uremia thlentu ber chu kal natna (chronic kidney disease) (CKD) a ni a, hei hian kal a tichhe vek a ni. CKD thlentu natna eng pawh hian a tawpah chuan kal (kidney failure) leh uremia a thlen thei a ni.

Sri Lanka rama kan zinga CKD thlentu tam ber chu:

• Zunthlum
• Thisen sang (Hypertension) 1.1.

Heng pahnih bakah hian chhan dang tam tak a awm thei bawk. Chuvang chuan zunthlum emaw, thisen sang emaw i nei a nih chuan i kal hriselna enkawl reng a pawimawh.

Tu nge hlauhawm zawk?

Mite chu kal (kidney failure) nei, uremia symptoms a lan hmaa dialysis tih tan theih lohte chu an hlauhawm ber a ni. A chang chuan, miten kal natna khirh tak an nei tih pawh an hre lo. Hei hian an kal (kidney failure) venna atana an mamawh enkawlna an hmuh loh phah thei a ni.

CKD i neih chuan, a bik takin i estimated kidney function (eGFR) chu 45 aia tlem a nih chuan nephrologist hmuh a, enkawl tan a pawimawh hle.

Engtin nge he dinhmun hi kan hriat theih ang?

I doctor chuan uremia a hriat theih nan step engemaw zat a zawm ang.

1. I natna lan chhuah dan kha ngun takin ngaithla rawh.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Nang leh i chhungte hriselna chanchin zawh a ni ang a, a bik takin kal natna chungchang hi zawh a ni ang.

3. Taksa enfiahna kimchang neih a ni.

4. Kidney function endik nan thisen test eng emaw zat neih thin a ni.

Heng thisen test te hian heng thilte hi an en ber a ni.

Heng test bakah hian kal (kidney ultrasound scan) ang chi thil te pawh tih theih a ni a, chu chu kal (kidney failure) chhan hriat theih a ni.

Uremia enkawlna tur engte nge ni?

Uremia tihdam vek theihna awmchhun chu kal hnathawh that leh hi a ni. Chu chu, kal (kidney) hnathawh tir lehna tur a ni a, artificial emaw natural emaw pawh nise.

Enkawl dan tlangpui pahnih a awm a, chungte chu:

1. Dialysis tih a ni

Hei hian machine emaw, kawng dang emaw hmanga i thisen tihfai a huam a ni.

• Hemodialysis: Hei hian i taksa pawn lam machine-ah thisen thawn a, a tifai a, chu chu i taksaah i thawn kir leh a ni.
• Peritoneal Dialysis: Hei hian i pum chhunga lining (peritoneum) leh tui bik hmangin i thisen a tithianghlim thin.

2. Kal Transplant tih a ni

Hei hi enkawlna tha ber a ni. Chutiang a nih chuan kal chhia chu donor hrisel (nung emaw thi emaw) atanga kal hmanga thlak a ni. Dialysis aiin kidney transplantation hi a tha zawk avangin ngaihtuah a pawimawh hle.

Damdawi hmanga tihdam theih a ni lo em ni?

Damdawi hian uremia symptoms chu a tidam kim thei lo. Mahse, i doctor chuan uremia-in taksa a nghawng dang a neih loh nan heng ang damdawi hi a pe thei ang:

• EPO hormone hmanga thisen tlakchhamna (anemia) venna.
• Iron tlakchhamna i neih chuan Iron tablets.
• Calcium, vitamin D, leh phosphate binder te hian ruh natna a veng thei a ni.

Engtikah nge Doctor i hmuh ang?

I kal hriselna enfiah turin doctor hmu fo ang che, a bik takin kal natna hlauhawm tak i neih chuan.

• Chhungkaw zingah kal natna nei an awm chuan.
• Thisen sang i neih chuan.
• Zun danah inthlak danglamna a awm chuan.
• I ke ruh, kut, emaw hmai emaw a hring (edema) i neih chuan.
• NSAIDs i ei fo chuan.

Uremia hi ven theih a ni em?

Uremia ven hi a takah chuan chronic kidney disease (CKD) lo awm tur venna emaw control emaw tihna a ni. CKD i vei chuan natna a zual zel loh nan hengte hi i ti thei ang:

• Nephrologist nen hna thawk ho rawh.
• I thisen sang, zunthlum , leh damdawi lam thil dangte chu thunun reng ang che.
• Doctor-in damdawi a pek ang chiah leh a hun takah ei tur a ni.
• Damdawi (a bik takin NSAIDs), zu leh damdawi dang kal tichhe thei ei loh tur.
• Lung hrisel, chi tlem eitur zawm rawh.
• Exercise tha tak nei rawh.
• Taksa rihna hrisel tak vawng reng rawh.
• Meizial i zu a nih chuan titawp nghal rawh.