I kal (kidney)-ah pawh uric acid lung i nei em? Hei hi i fimkhur ang u!

I zun hian natna leh hrehawmna i nei bawk em? I zun chhungah thisen tlem i hmu tawh mai thei. A nihna takah chuan hetiang thil a thlen hian hlauhna tlem a awm hi thil pangngai a ni. Mahse hei hi zahpui emaw, mahni chauha vawn reng emaw a ngai lo. A chhan chu hengte hi kal (kidney)-a lo awm “uric acid stones” an tih dinhmun chhinchhiahna a nih theih avangin. Chuvangin vawiin hian heng uric acid lungte hi eng nge an nih, engtin nge an lo awm, eng nge a lan chhuah dan, engtin nge an enkawl ang, engtin nge an ven theih ang tih te hi chipchiar tak leh awlsam takin sawi ila.

Uric acid lung hi eng nge ni?

A awlsam zawngin sawi ila, uric acid lung hi kal lung chi li zinga pakhat a ni. Kidney stone chu kan taksaa mineral leh salt solidified mass, zun chhunga lo awm a ni. Lung lian te tak te ang mai a ni. I kal (kidney)-ah emaw, i zun (urinary system) hmun dangah emaw – i taksa atanga zun chhuahna hmun (urinary system)-ah emaw an lo awm thei a ni. Uric acid lung hian i zun laiin natna a thlen thei a, i zun (hematuria) ah thisen a awm thei bawk. Heng symptoms te hi i neih chuan hlauthawng suh. Mahse a rang thei ang bera doctor pan a pawimawh a, eng nge a nih chiah tih hriat a pawimawh a, harsatna dang a awm loh nan a pawimawh bawk.

Uric acid chu eng nge ni?

Uric acid hi kan thisenah bawlhhlawh a ni. Kan taksain ``Purines`` an tih thilte a tihchhiat hian a lo awm thin. Heng purines te hi saah a awm tlangpui a, a bik takin sa sen, bawnghnute leh vawksa te, zu thenkhat, beer leh zu ang chi te pawh a awm fo bawk. A tlangpuiin he uric acid tam zawk hi thisenah a inthiar a, kal kaltlangin a kal a, taksa atangin zunah a chhuak thin. Mahse, uric acid lung hi a lo awm tan a, chu chu:

• I zun a uric acid level a sang hle a nih chuan .
• I zun chu acidic lutuk a nih reng chuan .

Heng chhan pahnihte hian nghawng a nei thei a ni.

Uric acid lung hi engtiang chiahin nge a awm?

Zirchiangtute chuan United States ang ramah chuan mi sawm zinga pakhat velin an dam chhungin kal lung (kidney stone) an nei dawn niin an sawi. Chung zinga 8% atanga 10% chu uric acid lung a ni. Tunah chuan Sri Lanka-ah pawh hetiang dinhmun hi a awm tawh a ni.

Uric acid lung hi eng symptoms nge ni?

Uric acid stones symptoms hi kidney stone chi dang nen a inang hle. A lan chhuah dan ber chu natna a ni . He natna hi lungte pressure avanga lo awm a ni a, chu chu kal chhungah emaw, zun kawng chhungah emaw a awm a, chu chuan a lodge emaw, a hliam emaw a ni. Natna i nei thei:

• Pum hnuai lam ah.
• Flanks a awm bawk.
• Pum chhungah.
• Thighs inkar (`Groin`) ah chuan.

Symptom dang hmuh theihte chu:

• Zun chhungah thisen a awm .
• Nausea emaw luak chhuak emaw .
• Khawsik.
• Khua a vawt tih hriat (`Chills`).
• Zun-ah rimchhia a awm.
• Zun rawng dum.

Engtin nge heng uric acid lungte hi an lo awm?

I uric acid level a san chuan (damdawi lamah chuan hyperuricemia an ti a) uric acid crystals a lo awm tan thin. Heng uric acid crystal te hi taksa chhunga thil dangte nen an inzawm khawm a, lung nghet tak an siam a ni. Tichuan lung chu a lian tial tial a. Kidney-ah ngei pawh a awm thei a, zun kawng hnuai lamah a kal thei a, ureter-ah a tang thei bawk. Ureteral stone kan ti a. Heng lungte hi a te hle a nih chuan zun nen taksa a\angin a chhuak thei a, a \henah chuan natna engmah awm lovin emaw, natna tlem te nen emaw a kal chhuak thei a ni. Mahse an tih loh chuan kidney, ureter, bladder, urethra-ah an tang thei a, zun kalna tur a tikhawlo thei a ni. Chutah chuan natna leh chhinchhiahna dangte a lo lang tan a, a chhan chu heng lungte hian tube block tawhte bang a tichhia a ni.

Uric acid lung awm chhan berte chu engte nge ni?

I zun acidic a nih chhan ber chu:

Taksain ei tur a uric acid emaw protein emaw a control tha thei lo

Kan taksain uric acid emaw protein emaw a control tha theih loh chuan zun chu acidic a lo ni ta a ni. Hetiang dinhmun hi i nu leh pate hnen atanga i rochun thil a ni tlangpui. Hemi nena inzawm condition dang chu ``Gout`` a ni. Gout hian thisenah uric acid a ti sang a, ruhkawr chhungah crystal na tak tak a siam bawk.

Purine tamna ei tur ei

Ran protein, bawngsa, vawk sa, vawk sa, artui leh sangha te hian purines a pai tam hle. Hengte hi rannung peng hrang hrang, thin leh kal (calves, kidney)-ah te a tam hle. Hetiang rannung protein chi hi i ei tam chuan i zun chhungah uric acid a lo pungkhawm thei a ni. Hei hian a lo pungkhawm thei a, lung a siam thei a, a mah chauh emaw, calcium nena inzawm emaw pawh nise. Mahse, ei leh in ringawt hi uric acid lung awm chhan a ni tlangpui lo. Purine tamna ei tur ei thin leh genetically predisposed to stone formation nei te zingah an lo awm tam ber.

Uric acid level sang chhan dang

Uric acid level a san theihna chhan dang engemaw zat a awm bawk:

• Body mass index (BMI) 25 aia tam (chu chu thau lutuk emaw thau lutuk tihna a ni ).
• Damdawi leh supplement thenkhat, entirnan, diuretics leh immunosuppressants .
• Cancer natna damdawi chemotherapy hmanga enkawl a ni.
• Type 2 diabetes a ni a .
• Chaw ei tur ah chi leh sugar tam lutuk dah.
• Chhungkaw history-a kal lung (kidney stone) nei.
• Taksa tihchak tawk loh.
• A taksa rihna tihtlem surgery (`Bariatric surgery`) a neih tawh bawk.

Heng zawng zawng bakah hian tui i in tlem chuan , uric acid lung chauh ni lovin, kal lung chi dang pawh i vei theihna a sang zawk hle.

Tute nge uric acid lung nei tam ber?

Mipa hian kal (kidney stone) chi hrang hrang an nei tam zawk. An dam chhungin lung an siam theihna risk chu 19% vel a ni. Hmeichhia tan chuan a risk hi 9% vel a ni. Mi tam zawk chuan kum 30 an tlin hmain kal (kidney stone) hi an nei lo a, mahse an nei hma thei a, a chang chuan naupang tê têah pawh an nei thei bawk.

Uric acid lung avanga harsatna awm thei te chu engte nge ni?

Kidney stone chi hrang hrang hian chronic kidney disease (CKD) vei theihna a tipung a ni. Lung pakhat i neih chuan kum nga atanga kum sarih chhungin lung dang i neih theihna chance a sang zawk. Chuvangin hei hi hriat chian a pawimawh hle.

Uric acid lung hi engtin nge kan hriat theih ang?

Doctor i pan hunah i medical history a zawt ang a, i symptoms te a zawt ang a, taksa enfiahna a nei ang. Uric acid lung i neih a rinhlelh chuan test eng emaw zat a ti ang a, a finfiah ang.

Heng test te hi engte nge ni?

Doctor chuan hetiang test hi a ti thei ang:

• Thisen test dan: 1.1.Heng test te hian thisenah uric acid emaw calcium emaw a tam tih a hmuchhuak thei a, i natna lan chhuahna thlentu tur thil dang a awm leh awm loh hriat theih nan a pui thei bawk.
• Urinalysis: I zun chhunga uric acid leh calcium awm zat enfiah nan darkar 24 chhung zun sample lak turin an ti thei che a ni.
• Imaging test: CT scan emaw ultrasound scan emaw hmang hian zun kawng chhunga lung awmna dik tak hriat theih a ni. Heng scan te hian lung te tak te pawh a hmu thei. Hemi atan hian abdominal X-ray hi hman a ni lo va, lung te te a miss thei a ni.
• Lung thlirletna: Strainer bik pek i ni thei a, chuta tang chuan zun chhuah tir i ni thei bawk. Hei hi i zun nena lung pass out apiang man nan tih a ni. Chumi hnuah lungte chu lab-ah an thawn a, an zirchiang a, eng lung chi nge an nih tih hriat a ni. Chutianga lung chu a zirchian chuan i doctor chuan eng thil nge lung siam chhan leh a lo pian leh loh nan eng nge i tih theih tih a hre thei ang.

Uric acid lung hi engtin nge kan tihdam theih ang?

Lung chu millimeter 7 aia tlem a nih chuan a te hle tihna a ni a, a mah chauhin a kal tlang thei a ni. Hei hian kar thum vel a daih thei. Amaherawhchu, chutiang lung chu amah chauhin a liam a nih pawhin, uric acid lung a lo awm leh tawh loh nan eng nge i tih theih tih hriat tumin doctor nena inbiakna neih a pawimawh hle. Tui tam tak i in huna thil thleng thenkhat chu hetiang hi a ni:

• I zun chhunga mineral awm zat a tlahniam. Fluid hian minerals te chu a tithianghlim a, i zun nen a pass out awlsam phah bawk.
• Zun tam a fuih a, chu chuan lung siam thei chemicals a tifai chhuak thin.

Doctor-te chuan ni khatah zun litre 2.5 vel siam chhuah theih tur tui in tur a rawt a ni. Chutiang zat zun siam chhuah tur chuan ni khatah tui litre 3 vel i in a ngai a ni. Hei hi kan taksa hian thawmhnaw leh exercise hmangin tui a hloh vang a ni. Tui chi hrang hrang in a pawimawh laiin, tui in hi a tha ber .

Uric acid lungte tithianghlim thei damdawi a awm em?

Kidney lung chi hrang hrang zingah hian uric acid lung hi damdawi hmanga tihthianghlim theih chi awmchhun a ni . Hemi atan hian damdawi chi hrang hrang hman a ni a:

• Potassium citrate tablet (e.g. Urocit-K®) hmanga siam a ni.
• Calcium carbonate tablet (e.g. Tums®) hmanga siam a ni.
• `Allopurinol` (`Allopurinol`) tih a ni.

Potassium citrate emaw calcium carbonate tablet hian i zun chu alkaline zawka siamin hna a thawk a ni. Allopurinol hian i uric acid level a ti hniam a. I doctor-in heng damdawi te hi a pek chuan tui tam tak in rualin a pawimawh . Tui tam in hian uric acid a tithianghlim thei a ni. I doctor chuan alpha-blockers tih damdawi a pe thei bawk a, chu chuan i kal (kidney)-te chu lung a pass rang zawk thei a ni.

Surgery ka mamawh dawn em?

I uric acid lung chu heng zinga pakhatah hian a awm a nih chuan operation i mamawh mai thei:

• Lung chu a lian hle a nih chuan .
• Zun kal dan a tikhawlo a nih chuan.
• Infection a thlen chuan .
• Kar li emaw kar ruk emaw hnua i chhuah loh chuan .

Surgical alternative-ah chuan minimally invasive emaw noninvasive emaw tih te pawh a tel. Entirna thenkhat chu:

• Extracorporeal shock wave lithotripsy (ESWL): Hei hian lungte tihchhiat nan high-energy sound wave hman a ni. Taksa chhungah hian incision emaw engmah dah a awm lo.
• ``Ureteroscopy``: Hetiang tih danah hian doctor chuan i urethra kaltlangin instrument sei tak, te tak te (``endoscope``) chu ureter natna hmunah a dah lut thin. Chumi hnuah surgeon chuan ``basket`` te tak te hmangin lung chu a la chhuak ta a ni. A châng chuan ``laser`` hmangin lung chu tihchhiat a, a hnah te chu paih chhuah theih a ni.
• Percutaneous nephrolithotomy (PCNL): Hetiang tih dan hi lung lian zawk tan hman a ni. Surgeon chuan i hnungzang ah incision te tak te a siam a, kidney ah a lut a. Chumi hnuah lung chu an la chhuak a, a nih loh leh lung chu an phelh hmasa a, chutah chuan an la chhuak leh thin.

Surgery an neih zawh chuan doctor chuan lung emaw, lung chi hrang hrang emaw chu lab-ah a thawn chhuak a, an zirchiang thin.

Engtin nge tui in hian uric acid lung awm theihna a tihziaawm theih ang?

Nitin tui in tur hi a tha ber pawl a ni a, uric acid lung leh kal lung dang i vei theihna tur a ni. Fluids hian i zun chhunga bawlhhlawh awmte chu a ti dilute a, chemicals te chu a flush chhuak a, lung a lo awm lo.

Engtin nge uric acid lung hi ka ven theih ang?

Uric acid lung siam lo tura i tih theih tur dang thenkhat chu hetiang hi a ni:

• Nitin tui ounces 91 (liter 2.7) atanga ounces 125 (liter 3.7) tal in thin tur a ni. Tui hi a tha ber .
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• `DASH` (Dietary Approaches to Stop Hypertension) ei dan tur ruahmanna zawm rawh. Hei hian thisen sang (hypertension) leh kal (kidney stone) awm theihna a tihziaawm thei a ni. (Hei hian chi tlem leh thlai, thei leh buh chi ei tam a huam a ni).
• Uric acid lung siam that loh nan doctor-in a pek damdawi te hmang la.

Uric acid lung ka neih chuan eng nge ka beisei theih ang?

Uric acid stone leh kidney stone dangte prognosis hi a tlangpuiin a tha hle. A tam zawkah chuan lungte hi anmahniin an kal tlang thin. Enkawlna i mamawh lo mai thei. Enkawl a ngai a nih pawhin enkawlna awmsa chu a hlawk hle. Full recovery i siam thei bawk. Mahse, uric acid lung a lo let leh theihna a awm. Chuvangin i ei leh in tur tihdanglam dan tur leh lung a lo awm leh lohna tura i tih theih dangte chungchang chu i doctor nen sawiho rawh.

Engtin nge ka in enkawl ang?

Tun hmaa uric acid lung i lo nei tawh a nih chuan, emaw, kal (kidney stone) vei theihna hlauhawm tak i nih chuan, heng step te hi zawm hian hriselna i neih theih nan a pui thei che a ni:

• Tui tam tak in thin ang che.
• Ei leh in hrisel tak zawm rawh.
• Damdawi emaw supplement emaw doctor-in a tih ang chiah chiah hmang rawh.
• Natna nasa tak emaw, thil dang ngaihtuahawm tak tak emaw i neih chuan doctor pan nghal rawh.

Uric acid lung i neih chuan eng ei tur nge i ei loh tur?

Purine tamna ei tur ei loh tur emaw, tihtlem emaw tur a ni. Purine i ei tam lutuk chuan i taksain uric acid a siam tam zawk thin. Uric acid level a san chuan i zun chu acidic a ni a, chu chuan uric acid lung a siam thei a ni. Purine tamna ei tur entirnan:

• Sa sen (bawngsa, kêl sa, vawk sa).
• Ran chhungril lam (bowel, spleen, thluak, kidney) te.
• Beer leh zu in tur dangte.
• Sa (`Gravies`) atanga siam sauce te.
• Nga te tak te sardines, sprats, leh halibut te, leh tuifinriat thil chi hrang hrang oysters, shrimp leh crab te.

Sugar tamna ei leh in te pawh tihtlem a tha a, a bik takin ``High-fructose corn syrup'' awmna te hi tihtlem a tha hle bawk.

• Thlai leh thei chi hrang hrang.
• Thlai chi hrang hrang (whole grains).
• Thau tlem nei bawnghnute atanga siam.

Engtikah nge Doctor ka hmuh ang?

Uric acid lung i nei nia i hriat a, heng symptoms te hi i neih chuan doctor pan nghal emaw, emergency room-ah emaw kal rawh:

• Khawsik chu 38.6 degree Celsius (101.5 Fahrenheit) aia sang a ni.
• Zun laiin kang emaw, natna nasa tak emaw.
• Tuar theih loh khawpa hrehawmna.
• Thisen chu zun chhungah a awm.
• Nausea leh luak chhuak reng reng.
• Kidney lung atanga harsatna i neih theihna tur, zunthlum, kal pakhat chauh neih emaw, kal lama harsatna dang emaw i neih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

• Eng enkawl dan nge ka tan a tha ber?
• Surgery ka mamawh dawn em?
• Uric acid lung a lo awm leh tawh loh nan eng nge ka tih ang?
• Ka ei leh inah hian tihdanglam ka ngai em?
• Supplement emaw damdawi emaw ei a ngai em?