I doctor chuan Stage 3 Kidney Disease i nei tih a hrilh che em? Heng thute i hriat hian tlem a hlauthawng leh mangang deuh hi thil pangngai a ni. "Aw ka Pathian, eng nge thleng leh dawn?", "Ka nun hi a tlêm em?", etc. Zawhna tam tak i rilruah a lo lang mai thei. Mahse, lungngai suh. Hei hi i nun tawpna a ni lo. Hei hi a hma aia i hriselna i enkawl a ngai tih chhinchhiahna mai a ni. Hemi chungchang hi vawiinah hian chiang tak leh awlsam takin sawi ila, i rilrua zawhna awm zawng zawngte chhanna i zawng ang u.
Stage 3 kidney disease hi eng nge ni tak tak?
A awlsam zawngin kan taksaa kal (kidney) pahnih hi super filter pahnih ang mai a ni. An hna ber chu thisen atanga bawlhhlawh leh thil duh loh te filter chhuakin zun anga paih chhuah hi a ni. Kal natna chu heng filter pahnih hnathawh a tlahniam zauh zauh hian a ni.
Kal natna hi stage 5 a awm a. Stage 3 hian i kal (kidney) te chu a hnathawh dan pangngai aia chanve velin a tlahniam tihna a ni. Factory pakhata machine 100 zinga 50-in hna an thawh lohna dinhmun han ngaihtuah teh.
Hei hi Doctor-te chuan GFR (Glomerular Filtration Rate) tih test hmangin an teh thin. A awlsam zawngin, he GFR value hian minute khatah i kal (kidney) hian thisen engzat nge a filter theih tih a hrilh che a ni. Stage 3-ah chuan he GFR value hi 30 leh 59 inkar a ni a, hei pawh hian hmun hnih, 3A leh 3B a nei bawk. Stage 3B-ah chuan risk a sang deuh hlek a ni.
Hetiang dinhmunah hian eng natna lan chhuah dan leh hriselna lama nghawng a neihte chu engte nge ni?
Thu lawmawm tak chu stage 3-a mi tam zawk hian symptom bik an nei lo. Mahse, mi thenkhat chuan symptom thenkhat an nei thei.
- Kut, ke emaw, ke ruh emaw a hring chhuak.
- Back pain (kidney awmna hmun).
- Zun dan inthlak danglam ( zun tam emaw tlem emaw).
Mahse, heng symptoms aiin a hlauhawm zawk chu kidney function tlahniam avanga side effects te hi a ni. Hengte hi kan ngaihven a ngai tak zet a ni.
| Hriselna lama harsatna awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Thisen sang lutuk | Kidney hian thisen sang control a pui thei lo. Tin, thisen sang hian kal (kidney) a tichhe nasa zawk a ni. Vicious cycle a ni a, kawng hnih a thawk a ni. |
| Thisen tlakchhamna (Anaemia). | Kidney hian hormone (Erythropoietin) a siam a, chu chuan thisen sen (red blood cells) siam a pui a ni. Kidney a chhiat chuan he hormone hi a tling tawk lo a, thisen tlakchhamna (anemia) a thlen thin. Hei hian chau leh nunna nei lo ang maiin a awm reng thei che a ni. |
| Ruh Natna | Kidney hian ruh a tichak a, vitamin D a tichak a, hei hi a chhiat chuan ruh a chak lo a, a na tan thin. |
Hetiang dinhmun hi enkawl loh leh thunun loh a nih chuan natna hi stage 4-ah a kal thei a, Stage 4 hi natna khirh tak a ni a, kal (kidney failure) hnaih tak a ni. Chutiang dinhmun i thlen chuan i dam khawchhuah theih nan dialysis treatment i mamawh dawn a, chu chu i thisen tifai thei machine emaw, kal thlak emaw a ni.
Stage 3 hi engtin nge kan control ang? Engtin nge kan tih ang?
Hriatthiam hmasak tur chu chhiatna lo thleng tawh chu a letling vek thei lo tih hi a ni. Mahse, lungngai suh. Kal chhiatna nasa zawk tihtawp nan leh natna dang lo awm tawhte thunun nan thil tam tak kan tih theih a ni. Hei hi i nunah hun pawimawh ber a ni.
Nunphung inthlak danglamna
Hengte hi dik taka zawm a pawimawh hle.
| Eng nge kan tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Doctor nen hun ruat saah inhmuhkhawmna | Hei hi i dinhmun enfiah nan leh a tul anga tihdanglamna tur a pawimawh hle. Kidney specialist (Nephrologist) te pawh i pan a ngai mai thei. |
| Thisen sang leh zunthlum control | Hengte hi kal (kidney) hmelma lian ber pahnih an ni. Heng pahnih control hian kal (kidney) chhiatna nasa takin a tihziaawm thei a ni. |
| Diet thlak danglam | Hei hi a pawimawh hle. I doctor chuan protein, chi, potassium leh cholesterol tamna ei tur ei tlem turin a fuih ang che. |
| Meizial zuk loh vek | Meizial in hian kal (kidney)-a thisen petu channel te a tichhia a ni. |
| Exercise leh weight control | Rihna hrisel neih hi hriselna zawng zawng atan a hlawkthlak hle. |
| Painkiller thenkhat ei loh | Pain reliever (NSAID) thenkhat ibuprofen leh naproxen te hian i kal a tichhe thei a ni. Damdawi eng pawh i ei hmain doctor zawt hmasa phawt ang che. |
Damdawi doctor-in a pek theih tur
I dinhmun azirin i doctor chuan heng ang damdawi hi a pe thei ang.
- Thisen sang tihhniamna damdawi: ACE inhibitor emaw ARBs ang chi damdawi.
- Diuretics: Tui tul lo leh bawlhhlawh, zun hmanga taksaa awm khawm te chu a paih chhuak thei a ni.
- Cholesterol tihhniamna damdawi.
- Anemia enkawl dan: Erythropoietin injection, thisen zam (red blood cells) siam chhuahna atana puitu.
- Vitamin D leh Phosphate binders: Ruh a tichak a, thisenah phosphate level a control bawk.
Stage 3 kidney natna hi i nun tawpna a ni lo. I nunphung ngaihtuah nawn lehna leh hriselna kawng thar zawh theihna hun tha tak a ni.
Research atanga a lan dan chuan stage 3-a awm zawng zawng hi stage 4-ah an kal vek dawn lo a, chu chu i doctor thurawn dik taka i zawm a, nunphung i thlak danglam chuan tuna i zunthlum level hi i vawng reng thei ngei ang a, hrisel, dam rei tak i nung thei tihna a ni. Inpekna leh mahni inthununna a ngai chauh a ni. He zinkawngah hian i doctor rawn zawm ve rawh.
Take-Home Thuchah a ni
- Stage 3 kidney disease tih awmzia chu kal (kidney) hian an hnathawh zat chanve vel a hloh tawh tihna a ni. Mahse hei hi thi tura hremna a ni lo.
- Kidney chhiatna chu tihdanglam theih ni lo mah se, natna a zual zel tur chu tihtawp emaw, tihkhawtlai emaw theih a ni.
- I thil tum ber chu i thisen sang leh zunthlum (i neih chuan) control tha taka vawn reng a ni tur a ni.
- Doctor-in damdawi a pek chu a hun takah ei tur a ni. Ngaihtuah ngai lovin damdawi engmah ei kha bansan suh.
- Ei leh in lama thurawn (chi, protein, leh potassium tihtlem) dik takin zawm rawh.
- Clinic leh medical test ruahman tawh reng reng chu skip suh. I nun chu a innghat a ni.
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