I hnungzang sir khatah rang taka intan a, i pum hnuai lam thlenga kal, tuar theih loh, chak lohna thlen thei natna i nei tawh em? Mi \henkhat chuan he natna hi nau neih huna hrehawmna nen an tehkhin a. Hetiang hian natna nasa tak i neih a, zun a harsa a nih chuan , emaw, i zun chhungah thisen a awm a nih chuan, chu chu kal lung chu zunthlum (urethra)-ah a inkhung tih chhinchhiahna a ni thei. Vawiin hian Ureteral Stones kan sawi dawn a, chu chu kal (kidney stone) a ni a, urethra-ah a tang a ni. Lungngai suh, thumal awlsam takin engkim hi han sawifiah ila.
A awlsam zawngin, ureteral stone hi eng nge ni?
Ureteral stone chu a takah chuan kidney stone a ni a, a chhuak a, chu chu kidney atanga bladder thlenga zun phurtu thin tube te tak teah a lo awm ta a ni. He tube hi ureter an ti a. Kan kal tan hian chutiang tube pahnih kan nei vek a .
Kan taksaa filter pahnih ang maiin han ngaihtuah teh. Thisen an tifai a, bawlhhlawh chu zun angin an paih chhuak thin. A châng chuan i zun chhunga mineral leh salt awmte hian lung te tak te, lumpy tak tak a siam thei bawk. Hei hi kidney stone emaw calculi emaw kan tih chu a ni. Heng lungte hi kal (kidney)-a a awm chhung chuan harsatna a thlen lo mai thei. Mahse an chhuahsan a, tube tawi tak atanga an kal tan chuan buaina chu a intan ta a ni. Tube chu a tawi a, chuvang chuan lung chu chutah chuan a innghat ta a ni. Tichuan zun luang chhuak chu a tikhawlo a, tube chu a hring a, chu chu tuar theih loh natna thlentu a ni.
Heng lungte hi a lian leh te pawh a awm thei. Lung te tak te, mit ngeia hmuh theih loh khawpa te te chu harsatna awm lovin zun nen taksa atangin a chhuak chhuak thin. Mahse lung chu a lian chhoh chuan duct-ah a tang a, symptoms a lang tan ta a ni.
I ngaihtuah angin kal lung hi a tlem lo tih hre reng ang che. Khawvela mi sawm zinga pakhat chauhvin he natna hi an vei thei a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Kidney stone chi hrang hrangte chu engte nge ni?
Heng kan taksaa lung lo awmte hi chi khat vek an ni vek lo. Anmahni thlentu chemicals atanga thlirin chi hrang hrang lian tak tak a awm. Lung chi i neih hriat hian a enkawl thei a, a lo awm leh tawh loh nan a pui thei bawk.
| Lung chi hrang hrang | Hetiang hian a insiam mai mai a ni: |
|---|---|
| Calcium lungte a awm | Hengte hi a tam ber chi an ni. Zun chhunga calcium awm zat a pun chuan calcium oxalate emaw calcium phosphate emaw nen an inzawm khawm a, heng lungte hi a siam thin. |
| Uric acid lung a awm | Hetiang lung chi hi i zun a uric acid i tam lutuk chuan a lo awm thei a ni. Sa leh sangha sen tam tak ei leh tui in tam lote chu an hlauhawmna a sang zawk. |
| Struvite lungte chu a awm | Heng lungte hi urinary tract infection (UTI) hnuah a lo awm fo thin . He natna thlentu bacteria hian zun chhunga chemical awm dan a thlak danglam a, chu chuan heng lungte hi a siam ta a ni. |
| Cystine lung a awm | Hei hi a tlem deuh. Heng lungte hi hereditary genetic condition Cystinuria an tih avanga lo awm a ni a, chu chuan amino acid cystine chu kal atanga zun chhungah a luang lut a ni. |
Lung a tlakbuak hian eng symptoms nge a neih?
Lung te tak te tam zawk hi chu engmah ri awm lovin taksa chhungah an kal tlang thin. Mahse lung pakhat chu duct block thei khawpa lian a nih chuan i hre tan ngei ang. Heng symptoms te hi a intan nghal thei a ni.
| Symptom a ni | Chu chu engtin nge a ngaih? |
|---|---|
| Natna nasa tak a nei | Natna na tak, hnungzang sir khatah, ruh hnuai lam chiah atanga intan. He natna hi a awm reng lo va, a lo kal a, a kal zel (intermittent). He natna hi pum hnuai lam leh groin area-ah a darh thei a ni. |
| Zun laiin natna | Zun laiin kang emaw, na emaw. |
| Zun inthlak danglamna | Zun hi zun chhunga thisen awm vangin pink, red, brown emaw a lang thei. Zun pawh chhum ang maiin a lang thei bawk. |
| Zun chhuah a ngai fo thin | Bladder a khat lo nachungin zun a ngai tih hriatna a awm fo thin. Mahse, i zun chhuah chuan a tlem hle chauh a chhuak thin. |
| Luak chhuak leh luak chhuak | Nausea leh vomiting hi natna nasa tak nen a awm thei bawk. |
| Khawsik leh khawsik | Lung rual hian zun kawng infection a awm chuan khawsik, khawsik, khur leh khur ang chi symptoms te pawh a awm thei bawk. |
Lung siam chhan leh hlauhawmna
A chhan awlsam ber chu tui awm aiin i zun chhungah lung siamtu chemical (crystal) a tam zawk vang a ni. Tui kan in tam chuan heng chemical te hi a hmin a, zun ah a chhuak thin. Mahse tui kan in tlem chuan zun chu a inzawm khawm a, heng thilte hi an inzawm khawm a, lung an siam tan thin.
Tu pawhin lung an nei thei a, mahse mi thenkhat chu tlem chuan an hlauhawmna a sang zawk.
- Mipa tan: Hmeichhia leh naupang pawhin lung an nei thei a, mahse mipa erawh chuan lung an nei tam zawk.
- Kum 40 leh 60 inkar: Hetiang kum lama mite hi an hlauhawm zawk.
- Lung siam tawhna history neih: Lung i lo neih tawh chuan i lo nei leh thei zawk.
- Chhungkaw chanchin : I chhungkuaa mi (nu, pa, unau) tu emaw chuan gallstone a nei a nih chuan nang pawh i hlauhawm hle.
- Tui in tam loh: Mi thawkrim emaw, exercise la emaw te hian tui an in tlem chuan an hlauhawm zawk.
- Damdawi lam dinhmun thenkhat: Type 2 diabetes , thau lutuk (BMI 30 aia tam), inflammatory bowel diseases, Crohn’s disease emaw ulcerative colitis emaw, leh polycystic kidney disease te hian lung siam theihna a tipung thei a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A chunga kan sawi tak symptoms i neih chuan a rang thei ang bera Doctor i pan tur a ni. I natna lan chhuah dan leh i chhungkaw chanchin a zawt ang che. Tichuan, kidney stone a nih leh nih loh finfiah nan test thenkhat an order ang.
- Urinalysis: Hei hian i zun ah natna hrik a awm leh awm loh a enfiah a, thisen a awm leh awm loh a enfiah a, lung siam thei minerals te a enfiah thin. Infection rinhlelh a nih chuan urine culture pawh tih theih a ni.
- Thisen test: Hei hian i kal (kidney) hnathawh dan te, natna hrik i neih leh neih loh te, lung siamna thlen thei harsatna dang a awm leh awm loh te a hriat theih a ni.
- Scan te hi:
- Ultrasound scan: Zun kawng a blockage awm leh awm loh enfiah nan sound wave a hmang thin.
- X-ray: Lung chi thenkhat chu X-ray examination hmangin hmuh theih a ni.
- CT scan (Computed Tomography - CT scan): Hei hi test dik ber, tih fo thin a ni. Lung lian leh te, a awmna hmun leh a khauh dan dik takin a hre thei a ni. He information hi enkawlna ruahmanna atan a pawimawh hle.
Hei hi eng enkawlna nge ni?
Enkawlna chu lung lian leh te, a awmna hmun leh a siamna thil a zirin a innghat a ni. I doctor chuan heng zawng zawng hi a ngaihtuah ang a, i tan enkawlna tha ber a rawn rawt ang che.
Lung te te tan
Lung hi millimeter 4-5 aia te a nih chuan i taksa atangin zun nen a chhuak mai thei. Hei hian kar khat atanga kar hnih chhung a daih thei. Hemi chhung hian:
- Painkillers: Doctor chuan natna nasa tak control nan damdawi a pe thin.
- Luak damdawi: Luak leh luak chhuak a awm chuan chumi atan pawh damdawi pek a ni ang.
- Lung kal theihna tura damdawi (Medical Expulsive Therapy - MET): ``alpha-blockers'' ang chi damdawi hi urethra chhunga taksa ruhte tih hahdam nan leh lung kal awlsam zawk nan pek theih a ni.
Hemi chhung hian ni khatah tui litre 3 tal in turin an hrilh ang che . Hei hian urinary system a ti flush ang a, lung chu a kal chak zawk ang.
Lung lian emaw, blockage emaw tan
Lung chu a lian a, natna nasa tak a thlen emaw, zun kalna a tikhawlo vek a nih chuan i doctor (a tlangpuiin urologist) chuan a hnuaia enkawlna zinga pakhat a rawn rawt thei ang:
| Enkawl dan tur | A awlsam zawngin sawifiah a ni |
|---|---|
| Shock wave hmanga lithotripsy hmanga tih a ni | Taksa pawn lam atangin high-energy shock wave an thawn a, lungte chu a tikehsawm a ni. Chumi hnuah chuan a te te chu awlsam takin zun chhungah a chhuak chhuak ta a ni. |
| Ureteroscopy (tube hmanga lung lakchhuah) . | Tube te tak te, sei leh flexible tak, camera vuah chu urethra kaltlangin an dah a, lung chu an thleng a, an man a, an la chhuak a ni. Lung chu a lian a nih chuan laser beam hmangin a tikehsawm a, a hnah te chu lakchhuah a ni. |
| Vun chhunga incision te tak te hmanga lung lakchhuah (Percutaneous nephrolithotomy) . | Hei hi lung lian tak tak tan chuan tih a ni. A hnung lamah hian incision te tak te siam a ni a, chuta tang chuan hmanrua pakhat chu kidney chhungah direct-in dahin lung chu zawn chhuah leh lakchhuah a ni. |
| Ureteral stent hmanga siam a ni | Hei hi hun eng emaw chen atana chinfelna a ni. Urethra chhungah hian tube te tak te dah a ni a, chu chuan zun chu lung inkharkhip a paltlang theih nan a pui thin. Hei hi emergency-ah a tangkai hle. |
Lung a lo awm leh tawh loh nan a veng thei ang em?
Ni e, a theih ngei ang! Miin lung a neih tawh chuan a lo nei leh thei zawk a ni. Chuvangin i nunphung leh ei leh in lama inthlak danglamna tenau te siam a pawimawh.
- Tui, tui, tui tam zawk! I tih theih tha ber chu tui tam tak in hi a ni. Ni khatah tui litre 3 tal in tur a ni. Tui hi a tha ber. Lemon tui leh orange tui ang chi thil te pawh a tha hle. Tui i in tam em tih hriatna tha ber chu i zun rawng enfiah hi a ni. A sen hring a nih chuan tui i in tawk tihna a ni.
- Rannung protein tihtlem: Sa sen, sangha leh artui ang chi rannung protein ei tam lutuk hian uric acid level a tisang a, lung a siam thei bawk. Chu ai chuan plant-based protein, lentils, chickpeas, green beans, leh soy te chu i eitur ah te dah la.
- Control salt: Ni khata chi i ei zat tihtlem. Chi ai chuan i chawah lime, pepper leh thil rimtui te dah la, a thlum zawk nan.
- Oxalate tamna ei tur tihtlem: Spinach, peanut, cashew, potato, leh beet ang chi ei tur hian oxalate a pai tam hle. Hengte hi pumpelh vek a ngai lo a, mahse i ei tur tihtlem a tha ber. Hengte hi calcium tamna ei tur (milk, yogurt) nena ei hian lung siam theihna a ti tlem thei a ni.
I doctor chuan lung chhuakte lakkhawmna tur strainer bik a pe thei che a ni. Chumi hnuah chuan lungte chu an enfiah ang a, a chi a zirin nakin lawka lung lo awm tur venna tur thupek chiang tak an pe ang che.
Take-Home Thuchah a ni
- Kidney stone avanga natna hi a na hle. I natna lan chhuah dan, hnungzang/ke na tak tak, i zun chhunga thisen awm ang chi i neih chuan doctor pan nghal tur a ni. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
- Lung siam lo tur venna kawng tha ber leh awlsam ber chu nitin tui tam tak in hi a ni.
- Lung te te hian damdawi leh tui tam tak in te nen anmahniin an kal tlang fo thin. Tunah chuan lung lian zawk enkawlna tha leh him tak tak a awm ta.
- I ei leh in leh nunphung i thlak danglam hian nakin lawkah lung siam leh theihna tur chu nasa takin i tihtlem thei a ni.
- Hetiang dinhmun hi tithinur thei leh hrehawm tak ni mahse, enkawl dan dik tak chuan a dam kim thei a ni. Chuvangin hlauthawng suh la, i doctor thupek zawm rawh.
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