Kidney natna, a bik takin Chronic Kidney Disease (CKD) enkawl mek i nih chuan i taksa pum puiah tuar theih loh khawpin i hrual ang maiin i inhria em? A chang chuan he itching hi a na lutuk a, zanah pawh i muhil thei lo. Dik tak chuan, a chang chuan vun hi a hliam avanga hliam a awm fo thin. Hei hi a tithinur deuh a, mahse kidney vei zingah hmuh tur awm fo a ni. Vawiin hian he natna hi kan sawi dawn a, damdawi lam pawhin ‘Uremic Pruritus’ tia hriat a ni.
Uremic Pruritus chu eng nge ni?
A awlsam zawngin sawi ila, hei hi chronic kidney disease (CKD) leh end-stage kidney disease (ESKD) nei te zingah a natna khirh tak a ni. Hei hi a specialty chu a tlangpuiin he natna thlentu hi vun natna langsar tak a awm lo. Chu chu taksa chu vun lama harsatna hmuh theih awm lovin a hrual tihna a ni.
He itch hian kawng hrang hrangin a nghawng thei che a ni:
- A châng chuan rei vak lo hnuah a lo kal thei a, a kal leh thei bawk.
- Mi thenkhat chuan nilengin he itching hi an nei thei.
- He itching hi a pung a, a bik takin zan lamah a tibuai a, mut a tibuai thei bawk.
- Vawi khatah i taksa pum puiah a hring vek ang maiin a lang thei a, hmun bik , i hnungzang, i hmai emaw, i ke leh ke emaw-ah chauh hriat theih a ni bawk.
- He itching hi i vun a vawt chuan a na zual thei.
- Hetianga itching reng reng hian i rilru hriselna leh nunphungah nghawng lian tak a nei thei a ni.
Hetiang dinhmun sawina atan hian "Uremic" tih hi hman ni mah se, thisenah toxins (Uremia) a awm khawm vang a ni tih hi 100% in a chiang lo. Chuvangin, Chronic Kidney Disease-associated Pruritus (CKD-aP) an ti bawk.
Hetiang dinhmun hi tuin nge hmu thei ber?
He itching hi kidney dialysis nei mek zingah a tam zawk. Chu chu, hemodialysis emaw peritoneal dialysis emaw nei te hian he natna hi an vei tam zawk a, kidney nei lo te aiin an nei tam zawk tihna a ni.
Zirchianna atanga a lan dan chuan kum 70 chunglam kal vei te hian he vun hi an nei tam zawk a, a na zawk thei bawk.
Hei hi han ngaihtuah teh: Hemodialysis hmangtu zinga 70% emaw, mi sawm zinga pasarih vel emaw chuan eng emaw chen chu an natna (itching) an nei thin. Hei hi chronic kidney disease vei, hemodialysis hmang lo zinga 25% vel nen khaikhin a ni a, mi pali zinga pakhat vel nen khaikhin chuan a ni.
I taksaah khawiah nge i itch tam ber?
Mi tam tak chuan he natna hi an taksa pum puiah emaw, an taksa hmun zau takah emaw an nei thin. Mahse, damlote’n an hnim tam berna hmun chu an hnungzang, hmai, leh dialysis shunt nei kut chu a ni .
Engtin nge doctor hian hei hi a hriat chhuah a, a chhante chu eng nge ni?
Chronic kidney disease i neih a, hetiang chi hi i neih chuan i doctor chuan a chhan dang a enfiah hmasa ang. Vun a danglamna dang, vun rawng a awm leh awm loh an enfiah ang. Thisen test thenkhat pawh an ti thei bawk. A chhan dang hmuh theih a nih loh chuan i doctor chuan Uremic Pruritus a ni tih a hmuchhuak ang.
Mithiamte chuan engvangin nge hetiang thil hi a thlen tih chiang takin an la hre chiang lo a, mahse a thawhhlawk thei nia an ngaih thil tlemte a awm.
| A chhan awm thei | A awlsam zawngin... |
|---|---|
| Thisenah toxin (Uremic toxins) a awm khawm . | Kidney-in hna a thawh that loh chuan thisenah hian toxin tha lo tak tak a awm khawm thin. Heng toxins te hian vun chhunga nerve te a tichak a, itching a siam thei bawk. |
| Immune system inthlauhna (immune system) a awm lo | Kidney natna hian kan immune system hnathawh dan a tidanglam thei a ni. Heng inthlak danglamna thenkhat leh taksaa inflammation tihpun hian a tikehsawm thei a ni. |
| Neuropathy natna a ni | Neuropathy hi taksaa chemical dang inthlauhna avanga lo awm thei a ni. Hei hi nerve-te’n signal an thawn dik loh leh an dawn dik loh lai a ni. Heng signal dik lote hi thluak hian ‘itch’ tiin a hrilhfiah thei a ni. |
| Damdawi i ei lai te | Kidney natna damdawi thenkhat ei hian side effect angin itching a thlen thei bawk. |
He itching hi eng enkawlna nge ni?
Mi zawng zawng tana thawk thei tur enkawlna pakhat chauh a awm lo. Mahse, i doctor chuan i tana ṭha tur enkawlna tur thlang turin a pui thei che a ni. Tuna enkawlna awm mek thenkhat chu hetiang hi a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Hemodialysis lama inthlak danglamna | I doctor chuan i dialysis regimen-ah hian inthlak danglamna engemaw zat a siam thei a, chu chuan itching tihziaawmna kawngah a pui thei a ni. |
| Light therapy (Thlalak hmanga enkawlna) . | Hei hi vun natna enkawlna atana light hmanga enkawlna a ni. Light therapy chi thenkhat chu itching tihziaawmna atan a tangkai hle tih hmuhchhuah a ni. |
| Nerve natna damdawi | Nerve natna tihziaawmna atana hman damdawi thenkhat pawh hian itching control nan a pui thei bawk. Entirnan, damdawi Gabapentin leh Pregabalin tih te. |
| Kappa-opioid agonists damdawi te hi a ni | Heng damdawi te hian itching thlentu nerve signals te tihziaawmna hmangin hna an thawk a ni. Hetiang damdawi chi hrang hrang entir nan Diphenhydramine leh Nalbuphine te hi an ni. |
| Kidney thlak a ni | Hei hi itching damdawi a ni lo. Mahse, zirchianna atanga a lan dan chuan kidney transplant hnuah chuan damlo 75% velin itching hi a bo vek tawh a ni. |
He itching hi in lamah eng nge ka tih theih ang?
In lama itching control dan him chungchang doctor nen sawiho rawh. Heng thilte atang hian hahdamna engemaw chen i hmu mai thei:
- Moisturizer vunah hnawih. Inbual zawhah vun a la hnim laiin hnawih a tha ber.
- Anti-itch lotion thenkhat hmangin. Mahse eng thil pawh i hman hmain doctor zawt hmasa phawt ang che.
- Mi tam tak chuan an natna an neih hian antihistamines an ei thin. Mahse mithiamte chuan he uremic pruritus natnaah hian heng damdawi te hi a hlawk vak lo niin an sawi. Tin, duh loh zawng side effect an thlen thei bawk.
Enkawl loh chuan eng hlauhawmna nge awm?
Hetianga itching reng reng hian i taksa leh rilru hriselna a nghawng thei a ni.
- Scratching reng reng hian vun a tichhe thei a, infection a thlen thei bawk.
- Mut tlem hian i nunphung a ti tlahniam thei a ni.
- Dik tak chuan zirchianna thenkhatah chuan he itch nei kidney vei te thihna rate hi itch nei lo damlo te aiin a sang deuh hlek tih hmuhchhuah a ni. Hei hi a chhan lian ber chu mut that lohna avanga harsatna awm thei a ni thei niin an ngai.
Chuvangin "itch mai mai" tiin hnawl suh. I hriselna zawng zawng a nghawng a ni.
Hei hi ven dan tur a awm em?
Kidney natna nena inzawm itching hi ven dan tur chiang tak a awm lo. Mahse, a ti na zualtu thil (trigger) thenkhat i hriat chian theih chuan, chu chu pumpelh chungin i itching chu i control thei ang. Entir nan:
- Vun vawt, lum lutuk emaw, khaw vawt lutuk emaw, stress ang chi thilte hian a ti na a tipung em tih en rawh.
- Hun rei tak inbual loh tur.
- Inbual zawhah moisturizer hnawih nghal rawh.
- Khua a vawt chuan room chhungah humidifier hmang ang che.
I itching i neih chuan i doctor hnenah a nasat zia hrilh rawh. Ngaihthah mai mai suh. I doctor chuan i enkawlnaah inthlâk danglamna siamin emaw, kawng dang hmangin emaw, a enkawl dân tûr chu a ṭanpui thei che a ni.
Take-Home Thuchah a ni
- Chronic kidney disease (CKD) leh end-stage renal disease (ESKD) nei zingah hian itching hi a tam hle.
- He itching hi hmuh theiha rash emaw natna dang emaw avanga lo awm a ni lo va, chuvangin "itch mai mai" tiin ngaihthah suh.
- I itching hi eng ang pawhin tenau mahse, i doctor hnenah hrilh la, i nun a nghawng dan pawh sawifiah ngei ang che.
- He itching control nan hian enkawlna hrang hrang a awm a, chuvang chuan i tuar a ngai lo.
- Itching reng reng hian mut, rilru hriselna leh nun pum pui a nghawng theih avangin, a rang thei ang bera doctor thurawn lak a pawimawh hle.
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