Kan taksa peng pawimawh ber pakhat chu kal (kidney) hi a ni. Kan taksaah hian "filter" pahnih ang mai an ni. Kidney hnathawh ber chu taksa chhunga bawlhhlawh awmte filter leh tihthianghlim a , zun anga paih chhuah hi a ni . Chuvangin heng kal (kidney) te hi hrisel taka vawn reng a pawimawh hle. Vawiin hian natna pakhat, ngawi renga kal (kidney) tichhe thei, mahse tumahin an sawi tam lo. Chu chu Interstitial Nephritis a ni.
A awlsam zawngin Interstitial Nephritis hi eng nge ni?
Okay, he hming hi a buaithlak deuhin a lang a, mahse a takah chuan a awlsam khawp mai. Ka sawi tawh ang khan kal (kidney) hi filter ang mai a ni. He filter hian tube (tubule) te tak te, te tak te tak tak network a nei a. Damdawi lamah chuan hengte hi ``tubules'' kan ti thin. Interstitial Nephritis chu chutiang tube te tak te leh a chhehvela tissue te chu a lo inflamed a ni. He inflammation hian kal (kidney) te chu a thawk tha thei lo.
Hetiang dinhmun hi a chang chuan a na lo hle thei a, hun rei lote chhungin a dam thei bawk. Mahse a chang chuan a na deuh deuh thei a, rei tak a daih thei bawk. A tam zawkah chuan damdawi lam thil dang avanga side effect angin a awm thin.
He natna hi chi hnih a awm a.
Ni e, Interstitial Nephritis hi chi hnih ah then theih a ni. An pahnih nihna hi a danglam deuh hlek a.
| Mihring ziarang | Acute Interstitial Nephritis natna a ni | Tubulointerstitial Nephritis natna rei tak awm thei |
|---|---|---|
| A speed a ni | Hei hi a thleng rang hle a, ni rei lo te chhungin a thleng thin. | Hei hi zawi zawiin, hun kal zelah a lo thang lian thin. |
| Zun chhuah | I zun chhuah zat hi a tlahniam thut emaw, a pung emaw thei a, a bik takin zan lamah. | A tlangpuiin zun a tam lutuk. |
| Thil dang pawh a awm | Hetiang dinhmun hi bacteria infection avanga lo awm a nih chuan khawsik, zun kawng infection, leh hnungzang na a awm thei. | A tirah chuan a symptoms hi kidney failure nen a inang tlangpui. Itching, hah lutuk, ei duh lohna, luak chhuak, luak chhuak, leh thawk harsa a awm thei. |
Interstitial Nephritis hi engte nge ni?
Hetiang dinhmun hi chhan pakhat mah a awm lo va, mahse thil engemaw zatin a thlen thei a ni. A chhan berte han thlir ila.
| Chhan | Sawifiahna leh entirnan |
|---|---|
| Ruihhlo | Hei hi a chhan ber a ni . Damdawi thenkhat chuan kal (kidney) a nghawng thei a. Entirnan, aspirin, antibiotics thenkhat, non-steroidal anti-inflammatory drugs, gastritis damdawi thenkhat (Proton Pump Inhibitors), leh cancer enkawlna damdawi thenkhat (Immune checkpoint inhibitors) te hi a ni. |
| Ruihhlo avanga thil thleng | A châng chuan he natna hi damdawi i ei avanga allergy angin a awm thei bawk. |
| Infection awm thei te | Infectious condition hrang hrang hian hei hi a thlen thei a ni. Entirnan: bacteria infection E. coli, virus HIV emaw herpes emaw, syphilis, parasites, leh fungal infection te. Kidney ngeia infection lo awm bakah hian hei hi a chhan a ni thei bawk. |
| Immune Disorders a awm thei | Natna thenkhat, taksa hriselna tichhe thei vang pawh a ni thei bawk. Entirnan sarcoidosis, Sjogren’s syndrome, leh lupus te hi a ni. |
A pawimawh ber chu, i doctor-in damdawi a pek chu he list-a a awm vang mai maia ei kha bansan suh. Ringhlelna i neih chuan i doctor nen inbiakna neihpui ngei ang che .
He natna lan chhuah dan hi eng nge ni thei ang?
Heta thil ngaihnawm tak chu mi tam zawk hian symptoms an nei lo tak tak a, a nih loh leh a na lo hle chauh a ni. Mahse, mi ṭhenkhat chuan hetiang hi an tawng thei a ni:
- Zun chhuah a tlahniam
- Zun tam lutuk emaw, zun tam lutuk emaw
- Nausea leh luak chhuak
- Khawsik
- Vun a rawn chhuak
- Thisen sang a sang
- Restlessness emaw, buaina emaw
- Mutthilh lutuk
- Hriatrengna leh hriatna lama harsatna (Confusion) .
- Taksa pum emaw hmun thenkhatah emaw a hring chhuak
- Rihna a sang chho zel
Chronic (long-term) type i neih chuan thawk harsatna i nei thei bawk . Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin damdawi thar i tan hnua a lo awm chuan doctor thurawn lak a tha ber.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
He natna hi dik taka finfiah tur chuan laboratory test eng emaw zat tih a ngai a ni.
- Kidney function test: Hengte hi thisen test awlsam tak a ni a, i kidney hnathawh that dan a hriat theih. Tin, thisenah bawlhhlawh, uric acid leh phosphate te a sang em tih an enfiah thei bawk.
- Kidney biopsy atanga lak chhuah:Hei chauh hi 100% a natna finfiah theihna tur a ni. Mahse hei hi mi zawng zawng tan tih a ni lo. Heta tih tur chu kidney atanga tissue te tak te tak te chu needle na tak tak hmanga lak a, microscope hmanga enfiah a ni. He test hi thil bik tak takah tih a ni a, chu chu damdawi corticosteroid pek leh pek loh tur ngaihtuah nan tih a ni.
- Test dang: I doctor chuan ultrasound scan emaw radionuclide scanning emaw ang chi scan a order thei bawk. Heng scan te hian kal (kidney) a hring (swelling) zawngin a pui thei a, a bik takin damdawi pakhata allergy nei nia rinhlelh a nih chuan.
Hei hi eng enkawlna nge ni?
Enkawl dan tur chu eng ang interstitial nephritis nge i neih leh a nasat danah a innghat.
Acute Interstitial Nephritis (a lo awm nghal mai chi) tan chuan:
A hmasa ber leh pawimawh ber chu damdawi rinhlelh chu ei kha tihtawp nghal a ni . Mahse hei hi doctor thurawn hnuaiah chauh tih tur a ni . Nangmah chauhin damdawi ei kha bansan ngai suh.
Hei hi lupus ang natna emaw, damdawi allergy vang emaw a nih chuan, i doctor chuan corticosteroid ang chi damdawi a pe thei a, chu chu a hring chhuak tihziaawmna atan a ni.
He natna hi a nasat em em a, kal (kidney) a chak lo tan chuan machine hmanga thisen tihthianghlimna (dialysis) tih a ngai mai thei.
Chronic Interstitial Nephritis (hun rei tak chhunga awm thei chi) tan chuan:
Hetah pawh hian natna thlentu damdawi a awm a nih chuan damdawi lam thurawn anga tihtawp a pawimawh. Tin, i thisen sang control nan leh natna zual zel tur venna atan damdawi dang pek theih a ni bawk.
Vanduaithlak takin kal a chhiat reng chuan dam chhung dialysis emaw, kal thlak emaw a ngai mai thei.
Chuvangin eng symptom pawh ngaihven a, doctor thurawn lak vat chuan chhiatna lian tham a veng thei tih kan sawi a ni.
Take-Home Thuchah a ni
- Interstitial nephritis hi kal leh a chhehvela fine filtering ducts inflammation a ni a, chu chuan kal a tichhe thei a ni.
- Hei hi damdawi thenkhat, natna hrik emaw, taksa hriselna tichhe thei dinhmun emaw avanga lo awm a ni fo thin.
- Zun inthlak danglamna, hliam, khawsik, vun natna ang chi symptoms i neih chuan doctor pan nghal rawh . A bik takin damdawi thar i tan hnua heng symptoms te hi a lo lang a nih chuan hrilh rawh.
- He natna hi enkawlna a awm a. A hmaa hmuhchhuah leh enkawl hian kal (kidney) chhiatna a ti tlem thei hle.
- Doctor thurawn tel lo chuan eng damdawi pawh ei tan ngai suh, titawp ngai suh.
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