I kal (kidney) hian protein a paih chhuak tam lutuk em? Nephrotic Syndrome chungchang hi han sawi ila!

I ke, i kut, a nih loh leh i hmai chu a lo hring chhuak nghal em? Nge i zun chu naute taksa hring ang mai a ni em? I zun hian foam ang maiin a lang em ? Hengte hi i kal (kidney)-a harsatna tenau tak a ni thei a, chu chu damdawi lam thil vang pawh a ni thei. Vawiin hian chutiang kal natna pakhat, ‘Nephrotic Syndrome’ chungchang kan sawi dawn a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Nephrotic Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, nephrotic syndrome hi kan kal (kidney) hian zun atanga protein tam lutuk a paih chhuah thinna a ni. Doctor-te chuan hei hi proteinuria'' an ti. A dik tak chuan ni khatah protein gram 3 aia tam (US penny khat aia rit deuh) chu zun-ah a chhuak a nih chuan chu chu he natna lan chhuahna ber a ni. Hei hi kal hrisel tak takte tihchhuah aiin a let 20 velin a tam zawk a ni.

Tunah chuan kan kal (kidney) hi filter angin han ngaihtuah teh . He filter hian thisen kalna kawng te tak te a nei a, chu chu (glomeruli) kan ti a ni. Heng (glomeruli) te hian bawlhhlawh (entir nan, nitrogenous waste (urea), muscle waste (creatinine), leh acids), chubakah thisen atanga tui tul lo te chu an filter chhuak thin. Tichuan zun angin an chhuak leh thin. A tlangpuiin kal hrisel takah chuan (glomeruli) hian taksa mamawh thil, protein te chu a filter chhuak a, thisenah a dah a, a bik takin protein (albumin) . Mahse heng (glomeruli) te hi a chhiat chuan an thawk tha lo. Tichuan, protein hlu tak tak (albumin) ang chi te chu awlsam takin zun chhungah a awm khawm thin.

Hei hian nunna a tichhe thei em?

Ni e, nephrotic syndrome hi natna khirh tak a ni . Enkawl that loh chuan harsatna dang a thlen thei a, i nun pawh a nghawng thei bawk. Chuvangin hei hi hriat chian a pawimawh hle a, symptoms i neih chuan damdawi lam thurawn la nghal a pawimawh hle.

Tute nge nephrotic syndrome vei?

Hei hi tu pawhin an tipung thei a ni . Mahse, zunthlum kaihhnawih kal natna nei te, allergy thenkhat nei te, leh chhungkaw history-a he kal natna chi (nephrotic syndrome nei) te hian an vei tam zawk.

Hei hi natna tlanglawn tak a ni lo.

• Kum tin naupang 50,000 zinga 1 velin a nghawng a ni. Naupang kum 2 leh 5 inkar ah hmuhchhuah a ni ber a, mipa naupangin hmeichhia aiin a let hnih in an vei tam zawk.
• In adults , hei hi kum khatah mi sang za zinga pathum vel ah a thleng thin.

Engtin nge nephrotic syndrome hian taksa a nghawng?

Kan taksa tana pawimawh em em protein te chu zun atanga a chhuah chuan harsatna chi hrang hrang a lo chhuak thin.

• Protein thenkhat chuan thisen zam a titawp thei . An bo chuan thisen zam (blood clots) a lo awm thei a ni.
• Protein chi pawimawh dang chu(Immunoglobulins) tih a ni . Chungte chuan kan immune system chu natna leh infection te do turin a pui thin. Hengte hi a bo chuan awlsam takin natna hrik kan kai thei a ni. Entir nan:
• (Pneumonia) (Pneumonia) tih a ni.
• Cellulitis (vun natna hrik kai) .
• Peritonitis (a pum chhunga natna hrik awm) .

Nephrotic syndrome natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi ngun taka ngaihven a pawimawh:

• Zun-ah protein (albumin) tam tak neih ((albuminuria)) : Ni khatah (albumin) protein gram 3.5 aia tam a chhuak thin.
• Thisen a thau leh cholesterol level sang (hyperlipidemia) .
• Swelling ((edema)) : A tam zawkah chuan ke, ke ruh, leh ke a hring thin. A chang chuan kut leh hmai pawh a hring thei bawk. Ngaihtuah teh, i fa chu zingkar a harh a, a mit vel chu a hring ang maiin a lang a nih chuan chu pawh chu chutiang chhinchhiahna a ni thei bawk.
• Thisen a albumin protein level tlahniam (hypoalbuminemia) .
• Chaw ei chu a thlum lo .
• Chau tih hriat reng reng .
• Pum na (ribs atanga pum hnuai lam thlenga khawi hmunah pawh).
• Foamy urine , sahbawn tui ang mai.

Thil dang pakhat chu kan taksa hian hetiang hian mineral leh vitamin pawimawh tak tak, a bik takin calcium leh vitamin D , a hloh a ni. Naupang tê têah chuan hei hian ṭhanlenna a nghawng thei a ni. Sam tlakchham, nail chak lo, leh ruh chak lo thei natna (Osteoporosis) (bone thinning disease) te pawh a awm thei bawk.

Nephrotic syndrome avanga harsatna awm tam ber chu engte nge ni?

Enkawl loh chuan harsatna hrang hrang:

• (Acute kidney injury) - Kal (kidney) te hnathawh that loh thut.
• Anemia - Taksa peng hrang hranga oxygen phur thei thisen cell hrisel tak tak tlakchhamna.
• Coronary artery disease - Thinlung thisen petu arteries-a thau awm.
• Hypertension - Thisen kalna kawng hrang hranga a kal laiin thisen sang chu a pangngai aia sang a ni.
• Hypothyroidism - Thyroid gland hian thisenah thyroid hormone a chhuah tam tawk lo.

Nephrotic syndrome hi engte nge ni?

A tam zawkah chuan heng (glomeruli) te hi kal natna avangin a chhe thin. Doctor leh zirchiangtute chuan engvangin nge heng natnate hian direct-a (glomeruli) a nghawng tih hi an la chiang lo hle. Heng (glomeruli) chhia te hi Nephrotic syndrome thlentu ber an ni. Chung natna thenkhat chu:

• (Amyloidosis) : Hetah hian protein chi khat amyloid an tih chu kan taksa peng pawimawh tak takah a awm a. Hei hi kal (kidney)-ah a thleng fo thin. Tichuan kal (kidney) filtering theihna a tlahniam ta a ni.
• (Diabetes kaihhnawih nephropathy)Nephropathy: Hei hi kal (kidney) hnathawh that loh vang a ni. Hetiang dinhmun hi zunthlum natnain kal chhunga nerve pakhat emaw a aia tam emaw a tihchhiat hian a thleng thin. Hei hian rilru hahna a thlen thei a, taksa ruh a tichak lo thei a, natna a thlen thei bawk.
• Focal segmental glomerulosclerosis (FSGS) : Hei hian glomeruli segment tenauah hliam a siam thin. Hei hian a hring thei a, kal a tichhe thei a, zun chhunga protein a thlen thei bawk.
• Lupus : Lupus hi autoimmune natna a ni. Taksa pumpuiah inflammation, swelling, leh pain a thlen thin. Kal (kidney) pawh a nghawng thei bawk.
• Membranous nephropathy : Hemiah hian kan taksa ngeiin a taksa a natna dotu (immune system) hian kal (kidney) chhunga filtering membrane te chu a bei a.
• Minimal change disease (MCD) : Hei hi Nephropathy chi khat a ni bawk a, kal (kidney) a thawk tha lo. Mahse, kidney biopsy-ah chuan glomeruli emaw kidney tissue emaw-ah chhiatna lian tham a awm lo. Kum eng pawha lo awm thei mah se, naupang tê têah a tam ber.

Engtin nge nephrotic syndrome hi hriat theih?

He natna hi hriat theih nan doctor-te chuan test eng emaw zat an nei a:

Urinalysis test neih a ni

Hei hi urinalysis hmanga hriat theih a ni a, chu chuan i zun awm dan, chemical composition leh microscopic appearance te a en thin.

• Dipstick test : He test-ah hian doctor office emaw damdawi inah emaw special container-ah i zun lut thin. Tichuan doctor emaw nurse emaw chuan chemical-coated paper strip (dipstick) chu container chhungah a dah a. I zun chhungah albumin a awm chuan strip chu a rawng a danglam ang.
• Urine protein test : Heng test te hi tehna dik zawk mamawh a nih chuan tih thin a ni.
• Zun sample pakhat : Hei hi lab-ah thawn a ni. I zun ((albumin-to-creatinine ratio)) ah (albumin) leh (creatinine) engzat nge awm tih an en ang. (creatinine) gram khatah (albumin) milligram 30 aia tam i neih chuan chu chu harsatna a ni thei.
• Darkar 24 chhung zun lakkhawm : Doctor in in lama i zun lakkhawmna tur bottle a pe ang che. Test neih ni hian:
• Zing lama thil hmasa ber, i harh chuan a hma ang bawkin toilet-ah zun la .
• Tichuan chu bottle chhungah chuan nilengin zanah i mut thlengin zun la .
• A tuk zingah i harh veleh a vawikhatna atan bottle khatah zun la .
• Tichuan chu sample chu doctor office-ah emaw, lab-ah emaw i hruai a ngai a, chutah chuan (albumin) zat chauh an teh a ngai a ni.

Thisen test a ni

Hemi ah hian doctor chuan needle te tak te hmangin i kut chhunga vein pakhat atanga thisen tlem te chu a la thin. Lab-ah test turin thawn a ni. Thisenah (albumin) emaw protein dang emaw a tlem chuan nephrotic syndrome a ni thei. Tin, thisenah cholesterol leh (triglyceride) awm zat an enfiah bawk. (albumin) a hniam chuan hengte hi a pung thei a ni.

Kidney biopsy tih a ni

Hetiang tih danah hian doctor chuan i kal atanga tissue te tak te a la a, microscope hmangin a enfiah thin. Procedure hmain a hmun chu a numbed a, chuvang chuan natna i nei lovang. I chawlh hahdam theih nan mutna damdawi tlemte pek i ni thei bawk. Chumi hnuah doctor chuan i vun kaltlangin i kal chhungah needle a dah lut a, tissue sample chu a la ta a ni.

Mahse, zunthlum i vei a, i doctor-in nephrotic syndrome a rinhlelh chuan kal biopsy lak a ngai lo fo. I medical history, zun test leh thisen test te hian zunthlum vanga nephrotic syndrome awm chu a hriat theih nan a pui thei a ni.

Nephrotic syndrome hi tihdam theih a ni em?

Hei hi natna tihdam theih vek a ni lo . Mahse, chanchin lawmawm a awm! Naupang tê têah a awm chuan an naupan lai, kum 18-20 vêlah a bo fo ṭhin .

Enkawlna hian symptoms a control thei a, kidney tihchhiat belh zel chu a titawp thei bawk.

Enkawlnaah hian a chhan bulpui enkawl a, thisen sang, cholesterol, swelling, leh natna kai theihna tihziaawm a ni. A tam zawkah chuan damdawi leh ei leh in thlak danglamna a tel .

• Thisen sang damdawi thenkhat hian nephrotic syndrome thlentu kal natna hi a thunun thei a ni. Entir nan:
• (Angiotensin tidanglam thei enzyme (ACE) titawptu)
• (Angiotensin receptor blocker (ARBs) tih a ni
• Heng damdawi te hian glomeruli chhunga pressure a tihziaawm bakah zun atanga albumin chhuak zat a ti tlem bawk. Mi tam tak chuan an thisen sang control nan damdawi pahnih pathum an mamawh mai thei.
• ACE inhibitor emaw ARB emaw nen chuan i doctor chuan diuretic . Diuretics hian i kal (kidney) hian i thisen atanga tui tam lutuk chu a paih chhuak thin. Thisen sang leh swelling tihziaawmna atan pawh an pui thei bawk. Thisen sang tihhniam thei damdawi dangte chu beta-blockers leh calcium channel blockers te an ni .
• Doctor chuan cholesterol tihhniam nan statin damdawi a pe thei a ni.
• Nephrotic syndrome i neih chuan kum tin influenza (flu) vaccine leh pneumococcal vaccine hi lak thin a tha bawk. Pneumococcal vaccine hian pneumococcus an tih bacteria (e.g. beng natna, pneumonia, meningitis) avanga natna hrik lakah a veng thei a ni.
• A châng chuan i doctor-in thisen tithianghlimtu (anticoagulants) a pe thei a, mahse hengte hi thisen zam i neih chuan pek chauh a ni. Nephrotic syndrome emaw a symptoms emaw an veng lo.

Ei leh in lamah fimkhur a ngai em?

Puitlingah hian ei leh in leh in hian nephrotic syndrome lo awm leh venna kawngah nghawng lian tham a nei lo. Mahse, he natna hi i neih chuan, .Symptom thenkhat chu ei leh in thlak danglam hian tihziaawm theih a ni.

• I ei leh in a chi (sodium) tihtlem hian a hring (swelling) a ti tlem thei a ni . Kan eitur a sodium tam zawk hi chi atanga lo chhuak a ni. Tui in tam hian a hring (swelling) a tiziaawm thei bawk.
• I ei leh in a saturated fat leh cholesterol tihtlem hian hyperlipidemia'' (thisen thau tam) control nan a pui thei a ni . Ei tur thau tamna dairy products, sa sen, sa processed, cheese, fried foods, baked goods, leh sweets te hi tihtlem a tha ber.

Engtin nge ka in enkawl ang?

I natna lan chhuah dan enkawl dan tha ber chu doctor-in a tih angin i damdawi ei hi a ni . Tin, potassium leh protein tamna, mahse sodium, saturated fat, leh cholesterol tlem zawk ei hi a tha hle bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi nephrotic syndrome awm chhan a zirin a danglam thei. Mi thenkhat chuan enkawlna an tan atanga ni engemaw zat chhungin an dam tan thei . Mi dangte tân chuan kar tam tak emaw, thla tam tak emaw pawh a la ngai thei. Dawhtheih a pawimawh.

Nephrotic syndrome nei mi pakhat chungah eng nge thleng?

Diagnose leh enkawl dik a nih chuan nephrotic syndrome vei te hian result tha tak an nei thin . Mi tam zawk chuan enkawlna an dawng tha a, remission ((remission))-ah an kal thin. Chumi awmzia chu a symptoms te chu a bo vek tihna a ni. Naupan laia nephrotic syndrome i neih chuan, a hmaa kan sawi tawh ang khan, i puitlin hunah chuan a bo vek mai thei.

Nephrotic syndrome hi ven theih a ni em?

Nephrotic syndrome hi ven theih a ni lo , mahse a thlentu dinhmun (e.g., zunthlum, thisen sang) leh ei leh in thlak danglamna te dik taka enkawl hian symptoms a ti tha thei a, kidney chhiatna a ti tlem thei bawk.

Engtikah nge doctor i hmuh ang?

Kidney natna chhinchhiahna, a bik takin zun hring leh hring, ni engemaw zat aia rei i neih chuan doctor pan nghal rawh . A hriat hma poh leh enkawl a awlsam zawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah heng zawhnate hi i zawt thei ang:

• "Engtin nge nephrotic syndrome ka nei tih i hriat?"
• "I diagnosis finfiah nan test dang ka tih belh a ngai em?"
• "Nephrotic syndrome ka neih loh chuan eng condition dang nge ka neih theih ang?"
• "Eng dinhmun nge nephrotic syndrome ka neih chhan?"
• "Ka nephrotic syndrome hi enkawlna nen remission-ah a kal dawn niin i hria em?"
• "Ka nau nephrotic syndrome hi a lo puitlin chuan a reh dawn em ni?"
• "Eng damdawi nge enkawl dan nge i rawt?"
• "Ka ei leh in ah hian tihdanglam ka ngai em?"

Nephrotic Syndrome leh Nephritic Syndrome inthlauhna

Heng pahnih hi kal (kidney) tichhe thei dinhmun a ni.

• Nephrotic syndrome chhinchhiahna ber chu zun chhunga protein tam lutuk hi a ni.
• Nephritic syndrome chhinchhiahna ber chu kal (kidney) a inflammation a ni. He inflammation hi infection, thisen kalna natna emaw, degeneration emaw avanga lo awm a ni fo thin.

Nephrotic Syndrome leh Glomerulonephritis inthlauhna

Glomerulonephritis hi kal natna a ni bawk. A natna lan chhuah dan hi nephrotic syndrome nen a inang a ni. Mahse, a danglamna ber chu protein chhuah zat a ni .

• Nephrotic syndrome i neih chuan ni khatah protein gram 3.5 aia tam i paih chhuak thin.
• Glomerulonephritis i vei chuan ni khatah protein gram 3.5 aia tlem lo a chhuak thin.

Congenital nephrotic syndrome tih hi eng nge ni?

Hei hi pian tirh atanga awm thin condition a ni . Permanent kidney failure a thlen thei a, a tlangpuiin kum 2 leh 8 inkar vel a ni.Hei hi thlahtu kal natna a ni. Chumi awmzia chu nu leh pa atanga fate hnenah a inthlunzawm tihna a ni.