Kan taksaa filter chak ber pahnih hi i ngaihtuah ngai em? Kan kal (kidney) te hi an ni . Power tlakchham ang maia hnathawh an chawlhsan thut chuan eng nge thleng ang? Chu chu damdawi lama “Acute Kidney Failure ” emaw “Acute Renal Failure” emaw kan tih chu a ni. Hei hi darkar tlemte chhungin emaw, ni engemaw zat chhungin a thleng thei a ni. Mahse lungngai suh, hei hi i hriat chian a, enkawlna i hmuh thuai chuan a tam zawkah chuan i kal (kidney) chu a pangngaiin a awm leh thei a ni.
A awlsam zawngin sawi ila, heng kal (kidney) te hian eng hna nge an thawh?
Hei hi awlsam takin i hrethiam ang u. Kidney hna ber chu kan thisen filter a ni a , a chhunga bawlhhlawh duh loh te chu zun angin paih chhuah a ni . Chu mai pawh ni lovin, heng taksa peng tenau pahnih hian thil pawimawh tam tak an ti bawk a, chu chu taksaa tui awm zat control te, thisen sang control te , red blood cells siam tura tanpui te , leh taksa tana pawimawh electrolytes te balance te hi a ni. Chuvangin hengte hi a chhiat chuan heng zawng zawng hi a kal sual vek a ni.
Acute leh Chronic hi eng nge an danglamna?
“Chronic Kidney Disease” ( CKD ) tih hi i hre tawh mai thei. Chu leh “Acute Kidney Failure” tih hi thil hrang hrang pahnih a ni.
- Acute Kidney Failure: Hei hi a thleng nghal a, a thleng nghal vek . Enkawl that a nih chuan a dam kim theihna chance a awm .
- Chronic Kidney Disease (CKD): Hei hi zawi zawiin, hun rei tak chhunga awm thin a ni a, hun kal zelah kal a chak lo thin . Hun rei tak chhunga natna hrang hrang, zunthlum emaw thisen sang emaw avanga lo awm a ni tlangpui . He chhiatna hi a awm reng fo thin .
I doctor chuan ultrasound scan hmangin heng natna pahnih zinga eng nge i neih tih chu awlsam takin a nemnghet thei ang. A tlangpuiin CKD-ah chuan kal (kidney) hi a lian lo zawkin a lang.
Engtin nge kal natna stage hrang hrang kan hriat theih ang?
Kidney hnathawh dan tehna a awm a, chu chu `(eGFR – estimated Glomerular Filtration Rate)` kan ti a. A awlsam zawngin, hetiang hian i kal (kidney) hian thisen a filter tha em em a ni. He value hi natna stage hrang hrang thliar hrang nan hman a ni.
| Natna Stage a ni | eGFR value a ni | Awmzia |
|---|---|---|
| Phase I ah hian a awm | 90 aia tam a ni | Kidney hi a thawk tha hle a, mahse a chhiatna tenau a awm thei. |
| Phase II-na a ni | 60 – 89 ah a awm | Kidney function a tlahniam deuh a. |
| Stage IIIa a ni | 45 – 59 ah a awm | Activity chu mild emaw moderate level-ah a tlahniam tawh a ni. |
| Stage IIIb ah hian a awm a | 30 – 44 ah a awm | Functionality hi a tlahniam deuh emaw, a tlahniam nasa hle emaw a ni. |
| Stage IV-na a ni | 15 – 29 ah a awm | Kidney function a tlahniam nasa hle. |
| Phase V. a ni | Kum 15 hnuai lam | Kidney te hi complete failure (Kidney Failure) hnaih tawh tak a ni. |
Heng symptoms te hi fimkhur rawh!
A châng chuan he natna hi chhinchhiahna awm lovin a awm thei bawk. A châng chuan natna dang test-naah accident-in hmuh a ni ṭhin. Mahse, natna lan chhuahna i neih chuan, chungte chu:
- Zun chhuah zat hi nasa takin a tlahniam a ni.
- Ke, ke ruh leh ke a hring (fluid retention vang).
- Chauhna nasa tak leh mutthilhna nei reng reng.
- Thâwk harsa.
- Luak chhuak emaw, luak chhuak emaw.
- Chaw chu a thlum lo.
- Vun a na.
- Mahni rilru siam harsa (Confusion).
- Chest na emaw tightness emaw.
- Muscle a rawn inher chhuak.
- Pum emaw hnungzang emaw a na.
- Khawsik, vun rawng, hnar thisen chhuak.
Heng chhinchhiahna pakhat emaw a aia tam emaw i neih thut chuan, a bik takin i zun tlem chuan doctor pan nghal emaw, damdawi in Emergency Department (ETU) pan nghal emaw a pawimawh hle
Engvangin nge hetiang hi a lo awm? A chhan lian ber 3!
Sudden kidney failure thlentu hi chi thum a awm a.
1. Kal (kidney)-a thisen kal tha lo
Hei hi a chhan pawh a ni thei:
- Tui tlakchhamna nasa tak emaw, kangmei nasa tak emaw.
- Infection awm thei te.
- Lung lam chak lohna.
- Liver a tha lo.
- Painkiller thenkhat (NSAIDs Aspirin, Ibuprofen, Naproxen) leh thisen sang damdawi thenkhat.
2. Zun chhuahna kawnga tihkhawtlai
Passageway a block a, zun chu kidney atanga a chhuah loh chuan, chu pressure chu a back up thei a, kidney a tichhia thei bawk.
- Kidney-ah lung a awm.
- Mipaah chuan prostate lian zawk a awm.
- Bladder, cervix, colon emaw prostate emaw cancer a awm.
- Zun kawng chhunga nerve te tihchhiat.
3. Kal (kidney) ngei pawh direct-a tihchhiat
Thil thenkhat chuan direct-in kidney cells a tichhe thei a ni.
- Damdawi thenkhat (e.g. NSAIDs, chemotherapy damdawi, antibiotics thenkhat).
- Kidney atanga zun filter tube fine tube te inflammation (Glomerulonephritis). Hei hi infection emaw autoimmune diseases lupus ang chi emaw avanga lo awm thei a ni.
- Thisen zam emaw cholesterol deposit emaw a awm.
Engtin nge enkawl a nih?
Thu lawmawm tak chu a hmaa hmuhchhuah a nih chuan enkawl leh tihdam theih a ni. Enkawlna chu i dinhmun leh a chhan a zirin a ni.
- Damdawi ina dah: A tam zawkah chuan he natna hi enkawl nan damdawi inah dah a ngai thin.
- A chhan enkawl dan:A hmasa ber chu kal (kidney failure) chhan zawn chhuah a, enkawl a ni. Entirnan, dehydration a nih chuan saline pek a ni a, infection a nih chuan antibiotics pek a ni a, damdawi vang a nih chuan tihtawp a ni.
- Diet: I doctor chuan i kal (kidney) a dam hma loh chuan chi leh potassium tamna ei tur ei khap turin a hrilh mai thei che. Hei hi a chhan chu hengte hi paih chhuah hi i kal (kidney) tan phurrit a nih vang a ni. Banana, spinach, tomato, orange, leh potato ang chi thilte tihtlem la, chu ai chuan potassium tlemna ei tur apple, grape, strawberry, leh cauliflower te ei turin an hrilh mai thei che a ni.
- Damdawi: Thisen a phosphorus leh potassium awm zat control nan damdawi pek theih a ni.
- Dialysis: Kal a chhiat nasat chuan a dam leh hma loh chuan kal hna chu machine hmanga thawk a ngai dawn a ni. Hei hi dialysis an ti a. Hei hian kal a tidam lo a, mahse taksa atanga bawlhhlawh paih chhuakin kal a dam leh hma loh chuan nunna a chhanhim thei a ni.
Hetiang dinhmun lakah hian kan inveng thei lo em ni?
Dik tak chuan a theih tho. Thil awlsam tlemte i ngaihtuah chuan he hlauhawmna hi i tihziaawm thei a ni.
1. Painkillers lakah fimkhur rawh: Over-the-counter painkillers (NSAIDs) (Ibuprofen leh Naproxen ang chi) hman chhunzawm zel leh hman tam loh tur. Damdawi eng pawh i ei hmain doctor rawn hmasa phawt ang che .
2. Doctor thupek zawm rawh: Damdawi lam harsatna i neih chuan zunthlum emaw thisen sang emaw i neih chuan uluk takin control tur a ni. I doctor-in damdawi a pek ang chiah kha hmang rawh.
3. Nun hrisel: Tui tam tak in la, ei leh in inthlau tak ei la, exercise la. Heng thilte hian i kal (kidney) chauh ni lovin, i taksa pum pui a ti hrisel a ni.
Take-Home Thuchah a ni
- Acute Kidney Failure chu kal hnathawh hloh nghal mai hi a ni. Mahse, enkawl vat chuan a dam kim thei fo.
- Zun chhuah tlem, ke hring, leh hah lutuk ang chi symptom i neih chuan hun khawhral lo la, doctor pan nghal rawh.
- Natna khirh tak tak, zunthlum leh thisen sang te thunun reng hi i kal venhimna tha ber pakhat a ni.
- Damdawi lam thurawn tel lovin hun rei tak chhung natna tidam thei damdawi hman loh tur. I kal (kidney) a tichhe thei a ni.
Kidney natna, acute kidney failure sinhala, kidney failure, zun chhuah tlem, eGFR, creatinine sinhala, dialysis sinhala











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