Urinary tract (Ureteral Stones)-a lung awm dan hi i zir chiang ang u. He natna khirh tak hi nang pawhin i tawng ve em?

I hnungzang hnuai lam, i ruh hnuai lam chiaha natna nasa tak neiin i rilru a na fo thin em? I zun a ngai a, a na a, a chang chuan zun tlem a ngai a, a na chu i pum thlengin a darh zel ang tih i hria em? Chutiang a nih chuan " ureteral stones" tih natna i nei mai thei. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, thianpa nena kan inbiakna ang chiah hian.

Ureteral Stones hi eng nge ni?

A awlsam zawngin, ureteral stone chu thil nghet tak, a pianzia mumal lo tak, i ureter pakhat, i kal atanga i bladder ( zun dahna hmun) thlenga zun phurtu tube te tak te pahnih ah a tang tlat a ni. Lung lian te tak te ang mai an ni. Kan kal tin hian ureter pakhat an nei tih i hria em?

Heng lungte hi urethra veilam emaw dinglam emaw ah a lo awm thei a ni. Puitling zunthlum hi inches 10 leh 12 inkar a sei tlangpui. Heng lungte hi urethra chunglam, kal bulah emaw, a hnuai lam, bladder bulah emaw a awm thei a ni.

A tam zawkah chuan heng zun lungte hi a te hle a. Ṭhenkhat chu mitin pawh hmuh theih loh an ni. Zun hmanga silfai an nih avangin harsatna an siam lo.

Mahse, kal lung hi a lian tawk a nih chuan kal atanga zun kalna tur chu a tikhawlo thei a ni. Chutah chuan natna nasa tak a awm thin. Heng lungte hi i zun chhunga mineral leh salt te an inzawm khawm hian a lo awm thin. Crystal te tak te angin an lo piang hmasa a, chutah chuan lung lian zawkah an lo thang lian ta a ni.

"Chuti a nih chuan, heng ureteral stone te hi kidney stone te nen hian an inang em?" Ni e, ureteral stone hi a takah chuan kidney-a lo awm a, a chhuak a, ureter-a lodged-a lung a ni.

Urinary stone chi hrang hrangte chu engte nge ni?

Urinary stone hi chi li a awm a, chungte chu:

• Calcium stone : Hetiang chi hi a tam ber a ni. Hengte hi chi hnih a awm a, chungte chu `(Calcium oxalate)` lung leh `(Calcium phosphate)` lungte an ni.
• Uric acid lung: Heng lung chi hrang hrangte hi i zun a uric acid a tam chuan a lo awm thin.
• Struvite lung: A chang chuan zun kawng ( UTIs) vang a ni .Heng lungte hi kal (kidney) te hi element-a an inhnim hnuah a lo awm thei a ni. He lung chhunga thil awm ber berte chu magnesium ammonium phosphate (struvite) leh calcium carbon-apatite te an ni.
• Cystine stones: Heng cystine stones te hi genetic condition ``Cystinuria`` an tih avanga lo awm a ni.He natna hian amino acid cystine chu kal atanga a chhuah hmain zun ah a khawlkhawm thin.

Tute nge zunthlum vei theihna sang zawk?

Tu pawhin kal (kidney stone) an nei thei a, mahse a hnuaia mite hi a hlauhawmna a sang deuh hlek a ni:

• Mipa tan chuan.
• Mihring var tan (hei hi ram dang atanga data atanga a lan dan a ni).
• Kum 40 leh 60 inkar tan.
• Tun hmaa urinary stone nei tawhte tan.
• Chhungkaw zinga mi pakhatin kal (kidney stone) a neih chuan.
• Tui in tlem zawkte tan.
• Zunthlum (Diabetes Mellitus) vei tan.
• Polycystic kidney disease nei tan chuan.

Hetiang dinhmun hi Sri Lanka ramah pawh kan zingah hian kan hmu thei a ni. A bik takin , tui in tlem leh thawk hah lutukna hmuna hnathawh ang chi thilte hian nghawng a nei thei.

Heng zun lungte hi engtiang chiahin nge an awm?

United States atanga data atanga a lan danin kum tin puitling 1,000 zinga pakhat vel chu zunthlum vangin damdawi inah dah an ni. Tin, dam chhungin lung siam chhuah theihna chance 8 zinga 1 a awm niin an sawi bawk. Hetiang dinhmun hi Sri Lanka-ah pawh a pawimawh lo hle.

Heng urinary stones te hi eng symptoms nge ni?

Urinary stone te te tak te i neih chuan i urinary system ah hian symptom awm lovin a kal thei a ni.

Mahse, lungte hi i zun kawng tikhawlo thei khawpa lian a nih chuan, hetiang hian natna lanchhuahna i nei thei a ni:

• Natna nasa tak: Hei hi natna inkara awm reng reng lo a ni. A tlangpuiin hnungzang hnuai lam, ruh hnuai lam atanga tan a ni. Chemte kah ang maiin a awm thei.
• Natna darh zel: He natna hi pum hnuai lam thlengin a darh thei a, a chang chuan mipat hmeichhiatna hmunah pawh a darh thei bawk.
• Zun laiin natna emaw, kang emaw.
• Nauseous tih hriatna.
• Luak chhuak.
• Zun chhunga thisen awm emaw, a rawng danglam emaw: Zun chu a sen, a sen, a sen emaw a ni thei.
• Chhum ang maia pee.
• Zun tam a tulna.
• Zun a chhuak tlem.

Ngaihtuah teh, zan khat chu Nilanthi-i chuan a hnungzang na tak a nei thut mai a. Eng thil nge thleng tih pawh a ngaihtuah thei lo. A natna chu a na lutuk a, a ding nghet thei lo. Damdawi ina a kal chuan a zunthlum (urethra)-ah lung a awm tih a hre ta chauh a ni.

Engvangin nge heng urinary stone te hi an lo awm?

Kidney lung siam chhan ber chu i zun chhunga lung siamtu thil tam lutuk vang a ni. A tlangpuiin heng thilte hi urinary system kaltlangin harsatna awm lovin an kal tlang thin. Mahse hei hi a thleng lo a ni, a chhan chu i taksain heng thilte hi a hmin emaw, a silfai emaw theihna tur zun a siam tlem vang a ni. A tam zawkah chuan hei hi tui i in tlem vang a ni. Tichuan heng thilte hi zawi zawiin an pungkhawm a, lung an siam tan ta a ni.

He lung siamna atana hmanraw pawimawh ber berte chu:

• Calcium a ni
• Oxalate a ni
• Uric acid hmanga siam a ni
• Phosphate a ni
• Cystine a ni
• Xanthine chuan a rawn ti a

Lung pakhat hi eng chen nge urethra-ah a awm theih?

Hei hi mi hrang hrangah a inang lo hle. I taksa chu midang taksa nen a danglam avangin lung pakhat i paltlang hun chhung hi a inang lo thei. A châng chuan, lung chu i paltlang thei lo mai thei.

Mi tam zawk tan chuan lung pakhat, millimeter 4 aia te chu kar khat emaw kar hnih emaw chhungin a liam thei a ni.

Urethra-a lung pakhat chu bladder a thlen chuan ni engemaw zat chhungin a liam tlangpui.

Engtin nge doctor hian hei hi a hriat chian?

Doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, taksa enfiahna a nei ang. Chumi hnuah chuan kidney lung i neih leh neih loh finfiah nan hetiang test hi an order thei ang:

• Urinalysis: Hei hian zun-ah natna kai chhinchhiahna leh lung siam thei thil awm zat a enfiah thin.
• Thisen test: Hei hian kal (kidney) hnathawh that dan te, natna hrik a awm leh awm loh te, lung siam theihna tur harsatna dang a awm leh awm loh te a enfiah thin.
• Ultrasound scan: Zun kawng a blockage awm leh awm loh enfiah nan sound wave a hmang thin.
• CT scan (Computed Tomography - CT scan): Hei hian i doctor chu i zun lung lian leh te, a awmna hmun leh a khauh dan dik tak a hriat theih nan a pui a ni.

Engtin nge heng zun lungte hi i paih chhuah? (Tihdamna)

Urinary stone lakchhuah dan chu a lian leh te, a awmna hmun leh a siamna thil a zirin a innghat a ni. Lung lian leh te leh a awmna hmun a zirin i doctor chuan i pass mai mai theih leh palh theih loh tur ngaihtuahna tha tak a pe thei che a ni.

I kal (kidney stone) lian tak tak emaw, i zun kawng (urinary system) a block emaw a nih chuan, urologist chuan hetiang damdawi hi a rawt thei ang:

• Shock Wave Lithotripsy (SWL): Hei hian zun kawng chhunga lung awmte tihchhiat nan high-energy sound wave hman a ni. Chumi hnuah chuan a te te chu awlsam takin zun chhungah a chhuak chhuak ta a ni. Hei hi enkawlna invasive tlem ber a ni a, mahse mi zawng zawng tan a tha lo.
• Ureteroscopy hmanga enfiah a ni:Hetah hian tube sei tak, te tak te (ureteroscope) chu urethra kaltlangin an dah lut a. A tawp lamah camera dah a ni. He tube hi bladder kaltlangin urethra chhungah an lut a, lung chu an zawng chhuak thin. Chumi hnuah laser hmangin lakchhuah emaw, tihhlum emaw a ni.
• Percutaneous Nephrolithotomy (PCNL): Hetiang tih danah hian i doctor chuan i hnungzangah incision te tak te a siam a, i kal chhungah direct-in scope a dah a, lung chu a zawng chhuak a, a paih chhuak thin. He enkawlna hi lung hi a lian lutuk emaw, a pianzia mumal lo emaw a nih chauhvin tih a tha.
• Ureteral stents: Hengte hi tube te tak te, flexible, temporary tube a ni a, urethra chu hawn reng turin a pui a, chu chuan a tikhawlotu lung vel chu zun a luang chhuak thei a ni.
• Medical Expulsive Therapy (MET): Hei hi zun kawng hnuai lama lung te te tan a tha ber. Damdawi chi hrang hrang alpha-blockers, calcium channel blocker, corticosteroids, leh phosphodiesterase-5 inhibitors (PDE5) te a hmang a ni.

Lung chi hrang hrang tan damdawi bik

Heng damdawi chi hrang hrangte hi zunthlum chi hrang hrang nei te tan pek theih a ni a, a bik takin:

• Calcium lung tan chuan:
• Potassium citrate: Hei hian zun alkaline a siam a, acidity a ti tlem bawk.
• Diuretics: Hengte hian taksa atanga tui leh calcium tam lutuk chu zun hmangin a paih chhuak thei a ni.
• Struvite lungte tan chuan:
• Antibiotics: Hengte hi bacteria infection dotu damdawi an ni.
• Acetohydroxamic acid: Hei hian zun chhunga ammonia awm khawm loh nan a pui a ni.
• Cystine lung tan chuan:
• Tiopronin (mercaptopropionyl glycine): Hei hian cystinuria vei te kal (kidney stone) a veng thei a ni.
• `Potassium citrate hmanga siam a ni`.

Engtin nge ka in enkawl/symptoms ka enkawl?

Tui, tui ang chi, tui tam tak in hi a pawimawh hle. Ni khatah tui litre 2 atanga 3 tal in hian zun lung te te a paltlang thei a ni.

Nonsteroidal anti-inflammatory drugs (NSAIDs) hi damdawi dawrah hian natna tlem emaw, nuam lo emaw tan lei theih a ni. NSAID hman tlanglawn ber chu aspirin, ibuprofen, leh naproxen te an ni. Heng NSAIDs hi mi zawng zawngin an ei thei vek lo a, chuvangin i hman hmain doctor emaw pharmacist emaw zawt hmasa phawt a tha.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Mi tam zawk chuan enkawl an nih atanga ni rei lo te chhungin an dam tha hle. Mahse, i taksa atanga lung hnuhnung ber a kal chhuah hma loh chuan side effect engemaw zat i nei thei.

Engtin nge urinary stones siam hi i ven theih ang?

Urinary stones lo awm tur venna kawng hrang hrang a awm a:

• Fluid tam zawk in: Ni khatah tui litre 2 atanga 3 tal in a tha. Tui hi a tha ber a, mahse fluid dang lemonade leh orange juice te pawh a tha hle.
• Ran protein tihtlem: Rannung protein sa, artui leh sangha te hian i taksaah uric acid a tipung a. Lentils, bean, green peas, seitan, leh tofu te hi protein source tha tak a ni a, uric acid level a tisang lo.
• I ei leh inah sodium tihtlem: Ni khata chi milligram 1,500 aia tlem ei hian kal lung (kidney stone) vei theihna a ti tlem thei a ni. Chi aiah chi aiah, thil rimtui, lemon tui, leh flavoured vinegar te hmangin i thlak thei bawk.
• Oxalate tamna ei tur tihtlem: Oxalate hi ei tur chi hrang hrang, spinach, almond, cashew, leh potato-a awm a ni. Mahse, calcium tamna ei leh in hian oxalate lung a veng thei a ni.

A châng chuan i doctor chuan i lung a liam hma loh chuan special strainer emaw filter emaw-ah zun chhuah turin a hrilh ang che. Chumi hnuah lung chu la chhuakin a chemical composition an zirchiang leh thin. Chu thu hriat a\ang chuan i doctor chuan lung a lo awm leh tawh loh nan enkawlna ruahmanna a siam thei ang.

Kidney stone ka neih chuan eng nge ka beisei theih ang?

Diagnosis dik a nih chuan kidney stone nei tan chuan prognosis a tha hle. Mahse, kal (kidney stone) i neih leh theihna chance a awm.

Mi tam tak chuan enkawl ngai lovin kal lung te te an paltlang thin. Lung lian zawk tan chuan enkawlna hian lung chu a tikehsawm thei a, nangmah ngeiin i pass thei a, a nih loh leh doctor in a la chhuak thei bawk. Damdawi hian kal lung (kidney stone) te chu a paih chhuak thei a, a lo awm leh tawh loh nan a pui thei bawk.

Urinary stone pakhat aia tam i neih tawh chuan i doctor chuan a chhan zawng turin a pui thei che a ni. Chu analysis hnuah chuan lung a lo awm leh tawh loh nan i nunphung chu i thlak danglam thei ang.

Engtikah nge Doctor ka hmuh ang?

Kidney stones symptoms i neih chuan doctor pan nghal rawh. I natna chu tuar theih loh a nih chuan natna leh nausea/vomiting damdawi a pe thei bawk.

Kidney stone i neih chuan Doctor-in a awmna hmun a zawng chhuak thei a, enkawlna dik tak a pe thei che a ni.

I doctor hnenah eng zawhna nge i zawh tur?

• Engtin nge ka kal lung (kidney stone) ka nei tih i hriat theih ang?
• Kidney stone ka neih loh chuan eng medical condition dang nge ka neih theih ang?
• Eng ang kidney stone nge ka neih?
• Ka zun lung hi engtiang chiahin nge a lian?
• Eng urethra-ah nge ka lung hi a awm?
• Urinary stone engzat nge ka neih?
• He kidney lung hi ka pass mai thei ang em, a nih loh leh enkawlna ka mamawh ang em?
• Ka zun lung tihbo nan ka tan eng damdawi tha ber nge ni ang?
• Engtin nge urinary stones a lo awm leh tawh loh nan ka ven theih ang?
• Ka ei leh inah eng inthlak danglamna nge ka siam ang?
• Kidney stone a lo awm leh tawh loh nan damdawi eng emaw ka ei a ngai em?

A tawp berah chuan take-home message:

Kidney stone neih hi thil tibuaitu leh hrehawm tak a ni tak zet. Mahse, hei hi hun eng emaw chen atana awm tur a ni. I doctor chuan i symptoms a nasat loh nan a pui thei che a ni. Chuvang chuan kal (kidney stone) chhinchhiahna i hriat veleh Doctor pan vat a finthlak hle ang. Tin, kal lung (kidney stone) a lo awm leh loh nan a tul angin thupek a pe bawk ang che. Ngaihtuah buai suh, he natna hi enkawl dan dik leh nunphung thlak danglam chuan uluk taka enkawl theih a ni!

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