I zun-ah thisen tlem i hmuh chuan, emaw, zun laiin natna nasa tak i neih chuan, a hlauhawm deuh thei a ni lawm ni? Heng thilte hi kal (kidney stone) vang a ni thei. Kidney stone hi chi hrang hrang a awm a, chung zinga pakhat chu uric acid stone a ni. Vawiin hian engvangin nge an lo awm tih te, an natna lan chhuah dan te, he natna atanga kan inven theih dan tur te kan sawi dawn a ni.
A awlsam zawngin, uric acid lung hi eng nge ni?
Uric acid lung hi kal (kidney stone) chi li zinga pakhat a ni. A awlsam zawngin, kidney stone chu kan taksaa mineral thenkhat solidified mass, lungpui ang maia lo awm a ni. Kidney chhungah emaw, urinary system hmun dangah emaw an lo awm thei.
Chuti a nih chuan, uric acid chu eng nge ni?
Uric acid hi kan thisenah bawlhhlawh a ni. Kan taksa hian chemical purines an tih te a tihchhiat hian a lo chhuak thin . Heng purines te hi sa ah a tam hle a, a bik takin sa sen ah te, zu in tur beer ang chi te pawh a tam hle.
A tlangpuiin uric acid lo awm tam zawk hi thisenah a inthiar a, kal kaltlangin a kal a, zunah a chhuak thin. Mahse, uric acid lung hi thil pahnih ah a lo awm a:
- I zun a uric acid level a sang hle a nih chuan .
- I zun chu acidic tak a nih reng chuan .
Hetiang hunah hian uric acid a hmin thei lo chu a khawlkhawm a, crystal te te a siam thin. Heng crystal te hi thil dang nen an inzawm khawm a, zawi zawiin lung lian zawk an lo ni ta a ni.
Heng lungte hi eng chhinchhiahna nge ni?
Uric acid stones symptoms hi kidney stone dang nen a inang hle. A lan chhuah dan ber chu natna a ni. Heng lungte hi kal (kidney)-a an awm emaw, zun kawng hnuai lama an kal emaw chuan a na hle thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | A hnungzang hnuai lam, flank, abdomen emaw groin emaw a na na tak. He natna hi a lo thleng a, a bo ang maiin a lang thei. |
| Zun chhunga thisen (Hematuria) . | I zun-ah pink, red, brown rawng i hmuh chuan. |
| Urinary symptom dang a awm bawk | Zun laiin kang, zun a ngai fo, zun rawng dum emaw rimchhia emaw. |
| Thil awm dan tlangpui dangte | Luak chhuak, luak chhuak, khawsik, leh khawsik. |
A pawimawh ber chu heng symptoms zinga pakhat tal i hriat chuan ngaihthah suh la, a rang thei ang bera Doctor pan rawh.
Engvangin nge heng uric acid lungte hi a lo awm tak tak?
Hei hi chhan lian tak tak engemaw zat a awm.
1. Diet leh Purines te
Chaw thenkhatah chuan purines a tam hle. Hengte hi kan ei fo a, tam tak kan ei chuan taksaa uric acid level a sang chho zel a ni.
- Sa sen (bawngsa, beram sa, vawk sa) .
- Organ sa (liver, kal, etc.) .
- Nga chi thenkhat (sardines, halibut ang chi) leh tuifinriat thil chi hrang hrang shrimp leh crab te
- Beer leh zu chi hrang hrang
Mahse, ei leh in ringawt hi a chhan a ni tlangpui lo tih hre reng ang che. Heng lungte hi genetically predisposed tu emaw chuan heng ei tur te hi a ei tam lutuk a nih chuan a hlauhawmna a sang zawk hle.
2. Genetic leh damdawi lam thil dang
Mi thenkhat chu an taksaa uric acid emaw protein emaw dik taka control theih lohna neia piang an ni. Chutiang bawkin gout an tih natna nei te pawhin an thisenah uric acid a tam thei a, lung an nei thei bawk.
3. Risk factor dangte
- Thau lutuk: Body mass index (BMI) 25 aia tam.
- Tui in tam loh: Hei hi kal (kidney stone) awm chhan ber a ni. Tui i in tlem chuan i zun chu a inzawm khawm a, chu chuan lung a siam awlsam phah a ni.
- Type 2 Diabetes a ni.
- Damdawi thenkhat (e.g. diuretics).
- Chhungkaw zinga mi tu emaw chuan kal (kidney) lung a nei tawh a nih chuan.
- Rihna tihtlem nan operation (Bariatric surgery) tih a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan hunah i natna lan chhuah dan a zawt ang a, i taksa a enfiah ang a, chutah chuan heng lungte hi i nei em tih finfiah turin test eng emaw zat a ti ang.
| Test chi hrang hrang | Hemi atang hian eng nge beisei awm? |
|---|---|
| Thisen Test neih a ni | Thisenah uric acid emaw calcium level sang tak a awm leh awm loh enfiah thin ang che. |
| Urinalysis tih a ni | I zun a uric acid level leh acidity te enfiah thin ang che. Darkar 24 chhunga zun lakkhawmna tur lakkhawm turin an ti mai thei bawk. |
| Imaging Test te pawh a awm | Lungte awmna leh a lian zia chiang taka hriat theih nan CT scan emaw ultrasound scan emaw tih theih a ni. |
| Lung thlirletna | Lung pakhat chu zun chhungah man a, a chhuak a nih chuan eng lung chi nge tih hriat theih nan lab-ah thawn theih a ni. Hei hian lung a lo awm leh tawh loh nan a pui thei a ni. |
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu uric acid lung enkawlna tha tak tak a awm tih hi a ni.
Tui hi damdawi tha ber a ni!
Enkawlna atana hmalakna hmasa ber leh pawimawh ber chu tui tam tak in hi a ni . Ni khatah tui litre 3 vel in a, zun litre 2.5 vel paih chhuah a tha ber. Tui i in hian hetiang hi a thleng thin:
- Zun chu a diluted a, lung siamtu minerals concentration a tihtlem phah a ni.
- Zun tam lutuk avang hian chu mineral te chu lung a lo awm hmain taksa atangin a chhuak chhuak thin.
Lung millimeter 7 aia te chu tui tam tak awm chuan kar 3 vel chhungin zunah a chhuak thei a ni.
Damdawi hmanga tihdam theih a ni em?
Awle. Kidney stone chi dang nena khaikhin chuan uric acid stones thatna bik chu damdawi hmanga tihthianghlim theih a ni.I doctor chuan hetiang damdawi hi a pe thei che a ni:
- Pills ang chi Potassium citrate emaw Calcium carbonate : Hengte hian zun acidity a tihziaawm a, alkaline a siam thin. Hei hian lungte chu a hmin theih nan a pui ang.
- Allopurinol: He damdawi hian thisenah uric acid level a tihniam a.
He damdawi ei lai pawhin tui in tam a pawimawh.
Engtikah nge operation tih a ngai?
A chang chuan zai a ngai thin.
- Lung chu a lian hle a nih chuan .
- Lung hian zun kalna a tikhawlo vek a nih chuan .
- Infection a awm chuan .
- Lung chu kar 4-6 hnuah a liam lo a nih chuan.
Tunah chuan hei hi hmanraw changkang tak tak, minimally invasive methods a awm ta.
- ESWL (Extracorporeal shock wave lithotripsy): Taksa pawn lam atanga chakna sang tak nei sound wave thawn chhuah hmanga lung tihchhiat dan a ni.
- Ureteroscopy: Tube te tak te tak, camera nei chu urethra hnuaiah an pass a, lung chu a te tein an tikehsawm emaw, direct-in an la chhuak emaw a ni.
- PCNL (Percutaneous nephrolithotomy): Lung lian zawk tan chuan a hnungzangah incision te tak te tak siamin kidney chhungah lutin lung chu lakchhuah a ngai a ni.
Engtin nge heng lungte hi a lo awm leh tawh loh nan ka ven theih ang?
Lung pakhat a lo awm tawh chuan kum 5-7 chhungin a lo piang leh mai thei. Chuvangin invenna hi a pawimawh hle a ni.
| Do's tih a ni | Tih loh / Tihniam |
|---|---|
| Tui tam tak in thin ang che. Ni khatah tui bottle 3-4 tal in thin tur a ni. | Sa sen leh organ sa (liver, kidney) i ei fo thin kha tihtlem la. |
| Thlai leh thei ei tam rawh . | Beer leh zu in hi tihtlem rawh . |
| I taksa rihna hrisel tak vawng reng rawh . | Sugary drinks leh foods tihtlem , a bik takin high-fructose corn syrup awmna te. |
| Whole grains leh low-fat dairy products ei thin ang che. | Tuipui thil, sardines, halibut, leh shrimp te i ei fo thin kha tihtlem rawh . |
Engtikah nge doctor i hmuh ngei ang?
Kidney stone neia i inhriat a, a hnuaia symptoms te hi i neih chuan doctor pan nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- I khawsik 38.6 Celsius (101.5 Fahrenheit) aia sang i neih chuan .
- Natna tuar theih loh a awm chuan .
- Zun nen thisen chhuak nasa tak a awm chuan.
- Nausea leh luak chhuak chhunzawm zel a nih chuan.
- Damdawi lam harsatna dang, zunthlum ang chi i neih chuan.
Take-Home Thuchah a ni
- Uric acid lung hi natna khirh tak a ni a, mahse hlawhtling taka enkawl theih a ni.
- Heng lungte lo piang tur venna kawng tha ber leh awlsam ber chu nitin tui tam tak in hi a ni.
- I ei leh in lamah fimkhur rawh. Sa sen, tuifinriat thil thenkhat, zu in hi tihtlem a pawimawh hle.
- I zun-ah thisen a awm a, na lutuk emaw, khawsik emaw i neih chuan ngaihthah ngai suh. Damdawi lam thurawn zawng nghal rawh.
- He natna hi doctor-in damdawi a pek dik tak hmang a, nunphung tihdanglamna hmangin uluk taka control theih a ni.
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