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.
Renal function (eGFR)
Measure kidney function based on creatinine value
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.
A pawimawh ber chu uremia hi enkawl tha a nih loh chuan coma a thlen thei a, a tawpah chuan thihna a thlen thei a ni.
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.
| Symptom chi hrang hrang | Hrilhfiahna |
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| Thil awm dan tlangpui dangte |
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| Condition a nasat huna symptoms lo awm thin |
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Check Availability →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.
| Fiahna | Chutah chuan eng nge i hmuh? |
|---|---|
| eGFR (Glomerular Filtration Rate chhut chhuah) 1.1. | Hei hian i kal (kidney)-in thisen a filter that dan a teh a ni. Hei hian i kal (kidney) a fail em tih hriat nan a pui thin. Uremia-ah chuan eGFR hi 15 vel emaw a aia hniam emaw a ni tlangpui. |
| BUN (Thisen atanga Urea Nitrogen) 1.1. | Hei hian thisenah bawlhhlawh urea nitrogen an tih zat a teh a ni. Hei hi uremia tih hming lo chhuahna a ni. Uremia-ah chuan BUN level a sang thei hle. Mahse, BUN hi taksaa toxins awmkhawmna chhinchhiahna chauh a ni tih hre reng ang che. BUN ngei pawh hi a natna lanchhuahna thlentu a ni lo. |
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.
| Heng symptoms te hi i neih chuan ETU (Emergency Treatment Unit) ah kal nghal rawh! | |
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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.
Take-Home Thuchah a ni
- Uremia hi enkawl loh kal (kidney failure) avanga hlauhawm tak a ni.
- A lan chhuah hmasak ber chu luak chhuak leh ei duh lohna a ni. Hengte hi ngaihthah suh.
- Enkawl dan tlangpui chu dialysis emaw kidney transplant emaw a ni.
- Zunthlum leh thisen sang control hi uremia venna tha ber a ni.
- Kidney natna i neih chuan, emaw, a hlauhawmna i neih chuan, i doctor nen inbiak reng la, a tul anga test leh enkawlna dawng rawh.
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