I doctor-in Stage IV Chronic Kidney Disease i nei tih a hrilh che khan hlauhna leh mangang tak i nei ngei ang. ‘Tunah hian ka nun a tawp ta’ tih i ngaihtuah tawh mai thei. Mahse, chutiang taka beidawng chhan tur a awm tak tak lo. Hei hi dinhmun pawi tak a ni a, mahse enkawl dan dik, ei leh in leh nunphung dik tak nen chuan dam rei tak leh hlim takin i nung thei a ni. Chuvangin, vawiin hian chiang tak leh awlsam takin engkim hi i sawi dawn nia.
A hmasain kal natna stage hrang hrangte han thlir ila.
Chronic Kidney Disease (CKD) hi stage lian panga a awm a. Staircase ang maiin han ngaihtuah teh.
- A tir lam (1 leh 2): Hetih lai hian kal (kidney) hian chhiatna engemaw zat a tawk mai thei a, mahse a la thawk tha hle. A tam zawkah chuan he stage chhung hian symptom lian tham a awm lo.
- Stage 3: Tunah chuan kal (kidney) zinga a chanve vel chu a thawk thei tawh lo. Hei hi kal (kidney failure) nena inzawm hriselna lama harsatna dang (e.g., thisen sang, thisen tlakchhamna) a lo chhuah tan hun a ni.
- Stage 4: Hei hi kal (kidney) chhiatna nasatna hmun a ni . Hetiang dinhmunah hian i doctor chuan i kal (kidney) hnathawh tlemte awm tawh chu humhim turin intensive treatment plan a pe ang che.
- Stage 5: Hei hi stage hnuhnung ber a ni. Hetah hian kal (kidney) te chu a fail vek tawh mai. Damchhuah nan dialysis emaw kidney transplant emaw hi a ngai tak zet a ni.
He stage palina (Stage IV) hi eng nge a nih chiang takin i hrethiam ang u.
Chronic kidney disease (CKD) hi taksa hliam emaw, a tlangpuiin damdawi dang, zunthlum leh thisen sang emaw avanga kal a chhiat chuan a awm thin. Kidney chhia chuan thisen a filter tha thei lo.
A awlsam zawngin kan taksaah hian kal (kidney) hi factory ang mai a ni. An hnathawh ber thenkhat chu hetiang hi a ni:
- Taksa tui inthlauhna vawn reng
- Kan hormone te tihregulate
- Thisen sang control dan tur
- Ruh hrisel taka vawn
- Taksa mamawh thisen sen (red blood cells) siam chhuah
Stage linaah chuan kal (kidney) hian he hna hi a thawk tha thei tawh lo. Chuvangin a hnuaia harsatna awm thei hi a sang chho zel a ni. Hengte hi pumpelh tur chuan i ei leh in leh khawsak danah i fimkhur hle a ngai a ni.
- Thinlung leh thisen kalna kawngah harsatna a awm
- Anemia, chu chu taksaa thisen volume tlahniam tihna a ni
- Ruh lama harsatna nei
- Thisen sang thunun theih loh
- Ei leh in mumal tawk loh vanga hah lutuk leh chakna tlakchhamna
Kidney Failure leh Enkawl dan
Stage linaah chuan kal (kidney) te hi an hnathawh dan a hniam hle tawh a ni. Kidney hnathawh theihna tehfung a awm a, chu chu Glomerular Filtration Rate (GFR) kan ti a ni. He GFR value hi 15% hnuai lam a nih chuan chu condition chu ‘Kidney Failure’ kan ti thin.
Chronic kidney disease hi tihdam kim theih ni lo mah se, i nunna chhanhim thei leh hrisel taka awmtir thei tur enkawlna tha tak tak a awm. Lungngai suh, i doctor chuan i tana tha tur enkawlna a thlang ang.
Enkawl dan tlangpui engemaw zat a awm. Anni hi han thlir ila.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Kidney Transplant a ni | Kidney hrisel (donor nung emaw thi emaw atanga) taksaa dah luh theihna tur surgery procedure. A tlangpuiin, kal thar hian operation hnuah hna a thawk tan thin. Mahse, i dam chhung zawng damdawi i ei a ngai dawn tho a ni. |
| Hemodialysis (HD) hmanga tihdam theih a ni. | I thisen chu artificial kidney ang maia hnathawk machine-ah thawn a ni a, a chhunga bawlhhlawh leh tui tam zawk a paih chhuak a, chutah chuan thisen thianghlim chu i taksaah a kir leh a ni. Hei hi damdawi inah emaw, in lamah emaw tih theih a ni. |
| Peritoneal Dialysis (PD) hmanga tihdam theih a ni. | Hei hi in lamah tih a ni. Surgery hmanga dah tube (catheter) hmangin pum chhungah tui bik an thawn lut a. Darkar engemaw zat hnuah bawlhhlawh nen chuan tui chu lakchhuah a ni a, tui thar dah a ni. Hei hi nitin tih a ngai a ni. |
Hemodialysis tih dan tur
Hemodialysis ti tur chuan taksa atanga thisen awlsam taka paih chhuak thei leh taksaa thawn kir thei tur system kan siam a ngai a ni. Hemi atan hian hmanraw lian 3 a awm a.
- Fistula natna:Hei hi hmanraw tha ber leh hman tlanglawn ber a ni. Doctor chuan operation tenau tak a ti a, i kut ah artery leh vein pakhat a thlunzawm a. Hei hian vein chu a tichak a, thisen chhunga needle dah leh lak awlsam zawk a ni.
- Graft: I thisen kalna kawng a chak lo a, fistula siam theih a nih loh chuan artery leh vein inkarah artificial tube te tak te dahin a inzawm tir thin.
- Catheter: Dialysis hmanhmawh tak emaw, hun rei lote emaw chhunga tih a ngai a nih chuan tube lian tak chu kawr emaw, rilruah emaw vein lian takah dah a ni. He tube tawp khat hi taksa pawnah a awm a.
Engtin nge kal (kidney) hnathawh la awm chu kan humhim ang?
I kal (kidney) a tihchhiat belh zel loh nan, a thlentu natna dangte pawh uluk taka control a pawimawh hle .
Thisen sang lutuk
Thisen sang a san chuan thisen kalna kawng a thim a, a zim a. Tichuan thisen pump turin thinlung hian nasa zawkin hna a thawk a ngai a ni. Hei hi control a nih loh chuan stroke emaw heart attack emaw a awm thei. Chuvang chuan Doctor-in thisen sang damdawi a pek chu a hun taka ei a pawimawh hle.
Zunthlum leh Cholesterol sang
Sugar leh cholesterol thunun theih loh a nih chuan thisen kalna kawngah thau a pungkhawm thei a, thisen a tikhawlo thei a, heart attack emaw stroke emaw a thlen theihna a tipung bawk. I doctor nen i tana diet plan tha ber chungchang sawipui rawh. Sugar leh thau tamna ei tur i tihtlem a ngai mai thei. A tul chuan dietitian hmu turin referral dil rawh.
Thisen tlakchhamna (Anaemia).
Taksain thisen sen (red blood cell) a neih tlem chuan oxygen phur thei tur cell a awm lo. Tichuan thinlungin a thawhrim lehzual a ngai a ni. Hei hian heart failure a thlen thei a ni. Chumi atan chuan doctor chuan iron pill ang chi thil a pe ang che.
Ruh leh mineral kaihhnawih natna
Kidney a chhiat chuan ruh a\angin calcium a chhuak a, thisenah a lut \hin. Thisen a calcium a pun chuan thisen kalna kawng a khauh thei a, a zim thei bawk. Hei atan hian doctor chuan vitamin D ang chi supplement ei turin a fuih mai thei.
Heng zawng zawng hi uluk taka i enkawl chuan i kal (kidney)-a pressure awm chu i tihziaawm thei a, an hnathawh la awm chu a rei thei ang bera i vawng reng thei bawk.
Take-Home Thuchah a ni
- Stage 4 kidney disease hi natna khirh tak ni mahse, enkawl dan dik leh nunphung dik tak nen chuan i nung tha thei hle. Chak takin awm rawh.
- I doctor thupek dik takin zawm la, a bik takin damdawi leh ei leh in chungchangah. Damdawi engmah skip suh la, i dose pawh tipung emaw tihhniam emaw suh.
- I enkawl dan tur (hemodialysis, kidney transplant) chungchang hi doctor nen zalen takin sawi la, i tana tha ber tur chu thlang rawh.
- Thisen sang, zunthlum leh cholesterol level control hi i kal venhimna atana i tih tur tha ber a ni.
- Chauhna nasa tak, thawk hah lutuk, ke ruh hring ang chi symptoms a pun chuan ngaihthah suh la, doctor pan nghal rawh.
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