I zun pawh i zun fo em? He ‘diuresis’ chungchang hi han sawi ila!

A chang chuan bathroom-a kal fo tur angin i inhria em? A chang chuan a tlangpui aia zun tam hi thil pangngai a ni. Entirnan, tui in tam chuan a thleng thei. Mahse, he natna hi a awm reng chuan i taksa chhunga thil dang thleng tih chhinchhiahna a ni thei bawk. Damdawi lamah chuan he natna hi ‘diuresis’ kan ti thin. A awlsam zawngin, hei hi i kal (kidney)-in a siam chhuah aia tam zun siam chhuahna a ni. A chhan chu eng pawh ni se, i doctor chuan a chhan a zawng chhuak thei a, a tul anga enkawlna a pe thei bawk.

Hei hi eng symptoms nge ni?

Mi zawng zawng hi kan inang vek lo. A vaiin mi pakhat hian ni khatah vawi 4-6 vel a zun thin. Amaherawhchu, ‘diuresis’ dinhmunah chuan hei aia zun tam a ngai a ni.

Chu bakah, heng symptoms te hi i nei thei bawk:

• Tuihal nasa taka inhriatna: Taksa atanga tui tam tak a bo avangin taksaah tui a tlakchham a , tui in reng a ngai tih i hre thin.
• Mut buai: I mut a buai thei a, a bik takin zan lamah, zun chhuah tur chuan i tho a ngai a ni. Hei hi ‘nocturia’ an ti bawk.
• Buaina, hahna, a nih loh leh chak lohna: I zun chhunga taksaa mineral pawimawh tak tak ( electrolytes ) sodium leh potassium te i hloh tam lutuk chuan a balance lo . Hei hian i ngaihtuahna a ti buai thei a, i chau reng thei a, i rilru a hah thei bawk.

Diuresis awm chhan berte chu engte nge ni?

Hetiang dinhmun hi chhan hrang hrang a awm a. Pakhat hnu pakhatin han thlir ila.

1. Osmotic Diuresis tih hi a ni

A awlsam zawngin, kan thisena thil engemaw, sugar ang chi, a concentration a san chuan, kal (kidney) chuan chutiang thil tam zawk chu zun-ah paih chhuah tumin a bei thin. Heng thilte hi an chhuah chhuah rual hian tui pawh an la chhuak ve bawk. Sugar hian tui tlem a hip ang mai a ni. Hei hian zun a tipung a ni.

Hei hi entirnan tha ber berte chu:

• Diabetes Mellitus: Miin type 1 emaw type 2 diabetes control tha lo tak nei chuan thisen sugar level a sang a. He extra sugar hi kidney-in a tuar theih loh chuan zun-ah a chhuak thin. He sugar rual hian tui tam tak a chhuak bawk. Hei vang hian zun tam lutuk leh tuihal hi zunthlum chhinchhiahna ber a ni.
• Mannitol: Hei hi damdawi inah a chang chuan hman thin a ni. Thluak a hring chhuakChutiang hunah chuan he damdawi hi taksa atanga tui tam lutuk paih chhuah nan leh thisen sang tihhniam nan pek thin a ni.

2. Tui Diuresis

Hei hi kan taksaa tui awm zat control tu hormone pawimawh tak buaina avanga thleng a ni. He hormone hi ‘Vasopressin’ an ti a. ‘Anti- diuretic hormone’ an ti bawk. Chu chu zun chhuah tihtlemtu leh taksa tui vawng reng tura puitu hormone a ni tihna a ni. He hormone hian hna a thawh that loh chuan kal (kidney) hian thunun theih lohvin tui a chhuah tan thin.

Hetiang natna thlentu ber chu natna hmuh tur awm lo tak 'Diabetes Insipidus ' an tih hi a ni.

‘Diabetes insipidus’ hi chi hrang hrang a awm a.

3. Diuresis tihluihna

A châng chuan, doctor-te chuan i zun tam theih nân damdawi emaw, hmanraw dang emaw an pe ang che. Hei hi damdawi lam dinhmun dang enkawlna atan tih a ni.

• Diuretics (or ‘water pills’): Hengte hi thisen sang , heart failure, edema, leh kidney emaw liver natna te enkawlna atana pek thin damdawi chi khat a ni. Taksain zun hmanga extra salt (sodium) leh tui a chhuah tir avangin hna an thawk a ni.
• Obstruction tihbo dan: Zun kawng a inkharkhip, lung emaw, tumor emaw a awm chuan zun chhuah a harsa thin. He obstruction hi surgery hmanga lakchhuah a nih hnuah chuan zun block chu a luang chhuak nghal ang. Hei hi darkar 24-48 vel a daih thei. Mahse, chu aia rei a daih chuan doctor hnenah hriattir ngei ngei tur a ni.

Hei bakah hian chhan dang a awm em?

Ni e, chhan dang engemaw zat a awm thei bawk.

• Thisen a calcium pung (Hypercalcemia): Hei hi zun tamna thlentu a ni bawk. Cancer thenkhat leh parathyroid gland natna avanga lo awm thei a ni.
• Heartbeat abnormalities: Heartbeat abnormalities: Heart beat chak tak emaw, a thawk mumal lo emaw (e.g., atrial fibrillation) hian zun a pung thei bawk.
• Hmun sang takah kal: Nuwara Eliya ang hmun sang takah i kal chuan ni hmasa berah i zun tam zawk tih i hmu tawh mai thei. Hei hi i taksain boruak thar a insiamrem tih chhinchhiahna tha tak a ni.
• Khua a vawt: Khua a vawt chuan taksa lumna tur thisen kalna kawng a inkharkhip thin. Hei hian kidney-te chu thisen sang a nih thu a hriattir a, chu chuan tui tam lutuk chu paih chhuak turin a fuih a ni.
• Diet: Zu, coffee leh tea ang chi caffeine awmna in tur, protein tamna ei tur, leh ginger leh celery ang chi ei tur te hian natural diuretics angin hna a thawk thei a, zun a tipung thei bawk.

Eng harsatna nge awm thei?

Zun tam lutuk hi ngaihthah a nih chuan harsatna engemaw zat a awm thei.

1. Dehydration: Tui i in aia tam i hloh chuan i taksaah tui a tlakchham thin. Hei hian symptoms a thlen thei a, tuihal lutuk, vun vawt, hah, leh nausen te a thlen thei a ni.

2. Electrolyte Imbalance: Kan taksa nerve leh muscle te hnathawh that nan sodium leh potassium ang chi mineral hi a pawimawh hle. Chungte chu zun atanga a tam lutuk chuan imbalance a awm thin. Hei hian, .

• Muscle na leh chak lohna
• Khum atanga thawh harsa
• Chau reng reng
• Thil pawi tak tak, thinlung thawk mumal lo ang chi te hi a awm thei a, a bik takin hyponatremia (low sodium) lehHypokalemia (potassium hniam) tih ang chi condition te hi i fimkhur a ngai a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms chungchang hi doctor i pan chuan a chipchiar zawkin a zawt hmasa ang che.

• Eng symptom nge i neih leh eng chen nge i neih tawh tih ang chi thil.
• In chhungkuaah hian zunthlum ang chi natna nei an awm em?
• Chaw leh damdawi i ei chungchang.

Chumi hnuah chuan a chhan dik tak hriat tumin heng ang test thenkhat hi tih tir i ni thei ang:

• Thisen test (sugar, minerals, kidney function te enfiah) .
• Zun test a ni
• A tul chuan thluak emaw kal (MRI) scan