I taksaah thisen engzat nge awm? Blood Volume Testing chungchang hi a awlsam zawngin i zir dawn teh ang!

I taksaah thisen engzat nge i neih tih i ngaihtuah ngai em? Hei hi hriat mai mai a ni lo va, a chang chuan i hriselna chungchangah thu pawimawh tak tak a hrilh thei che a ni. Chu chu ``Blood Volume Test'' kan tih chu a ni a, thisen awm zat tehna test a ni. Hei hi a takah chuan ``Nuclear Medicine Test'' a ni a, chu chu taksa hnathawh dan enfiah nan radioactive material tlemte a hmang tihna a ni. Lungngai suh, hei hi a him hle mai. Hemi chungchang hi chipchiar zawkin han sawi ila, a tha em?

Thisen tih hian eng nge a sawi tak tak?

"Thisen" ti mah ila, a chhungah hian thil chi hrang hrang a awm. A dik zawka sawi chuan hetiang hi a ni:

• Plasma: Hei hi thisen a liquid part a ni. Mak ti suh, tui 90% aia tam a ni!
• Platelets: Hengte hi cell te tak te, thisen zam tura puitu an ni. I hliam huna thisen chhuah tihtawp nan an pawimawh hle.
• Red Blood Cells: Hengte hi ball zungbun ang mai a ni. Hengte hi taksa pum puia tissue hrang hranga oxygen phurtu an ni.
• Thisen var (White Blood Cells): Hengte hi taksa venhimtu ang mai an ni. Hriselna leh natna hrik laka min vengtu an ni.

Heng platelet leh thisen var te hi pawimawh hle mahse kan thisen zawng zawng atanga 1% aia tlem lo an ni tih i hria em. ``Blood Volume Test`` hian plasma leh thisen sen zat a teh ber a ni. Chuvangin ``Plasma Volume Test`` emaw ``Red Cell Mass Test`` emaw an ti \hin.

Kan taksaa thisen awm zat hi engtin nge kan thunun theih?

Hei hi mechanism mak tak a ni. Kan taksa hian thisen zam (red blood cells) a siam a, a tichhe reng bawk. Kan ruhro hian thisen sen (red blood cells) a siam a , kan thin (liver) hian a tichhia a ni. Mahse he process hi a slow deuh a ni. Ngaihtuah teh, natna eng emaw, accident emaw, hliam emaw avanga thisen tam tak i hloh chuan thisen sen thar siam nan ni tam tak, thla tam tak pawh a ngai thei.

Mahse plasma control hi a rang zawk hle. A chhan chu plasma hi tui a tam ber a ni. Taksa hian a tui chu kan tui in leh kan ei leh in a\angin a hmu \hin. Fluids hi zun, bawlhhlawh, thawk hah leh thawkna hmangin a bo bawk. I hrisel chuan i kal (kidney) hian he tui level hi a balance reng a ni.

Eng thilin nge thisen volume a nghawng? A tlangpuiin engzat nge ni tur?

Puitling taksaah hian thisen litre 5 vel a awm tlangpui. Mahse, he zat hi chhan hrang hrang avangin a danglam thei. A chang chuan thisen tam lutuk (Hypervolemia) emaw, tlem lutuk (Hypovolemia) emaw a ni thei.

Thisen tam lutuk (Hypervolemia) .

Hetiang dinhmun thlen thei thil thenkhat chu:

• Lung lam natna thenkhat (Congestive Heart Failure) .
• Chi (sodium) ei tam lutuk .
• Kal harsatna, entirnan, kal tha lo leh nephrotic syndrome
• Liver a tha lo

Thisen volume a san chuan (Hypervolemia), symptoms te chu:

• Pum hring leh nuam lo (Ascites) .
• Congestive Heart Failure a awm thin
• Thisen sang lutuk
• Lung chhunga tui a khat avangin thawk harsa
• Swelling (Edema) – A tam zawkah chuan ke, ke ruh, kutphah , emaw hmai a hring thin.

Thisen zat tlahniam (Hypovolemia) .

Thisen volume hniam chhan lian tak pahnih a awm a, chungte chu:

• Thisen chhuah (hliam, operation, chhungril thisen chhuak) .
• Dehydration – Hei hian taksaa tui awm tlem tihna a ni.

I thisen volume a tlahniam thut chuan ``Hypovolemic Shock'' tih hming pu dinhmun hlauhawm takah i lut thei a ni.Hei hi kan taksain taksaa thisen kal tlem lutuk phuhruk nan a hnuaia mi hi a tih hian a ni:

• Thisen sang a tihniam.
• Heart rate a tisang.
• Thâwk lak chakna a tisang.

Thisen volume a tlahniam zel chuan kan chhungril leh thluak-ah chhiatna siamthat theih loh a thleng thei a ni. Chuvangin hei hi fiamthu a ni lo!

Thisen volume leh thisen sang hi inzawmna a awm em?

A awm ngei ang! Kan thisen kalna kawng chhunga pressure awm hian taksa chhunga tissue leh cell zawng zawngah thisen a luang chhuak a ni. Thisen volume a tlahniam chuan thisen sang pawh a tlahniam bawk. Tichuan taksa chuan thisen kalna kawngte chu a inzawm khawm tir a, thisen kal dan siam\hat tumin a bei \hin. Mahse thisen tlakchhamna a nasat (Severe Hypovolemia) a nih chuan taksain a thunun thei lo.

Chutiang bawkin thisen volume a san chuan kan thisen kalna kawng (arteries leh veins) te a tizau a, chu chuan thisen sang a tisang a ni. Hypervolemia hi kidney emaw liver dysfunction avanga taksain tui a control theih loh hian a thleng fo thin.

Engtikah nge hetiang (Blood Volume Test) hi tih tur?

Doctor-te chuan he test hi an hmang a, a bik takin critical care unit-a damlote chungah . Entir nan:

• Thisen tam tak hloh tawhte
• Mihring tui tlakchhamna nei te
• Lung lam natna nei te
• Kidney emaw liver failure nei te
• Kangmei chhuak nasa tak nei te
• Mite chu an mangang hle

Hemi bakah hian doctor ten he test hi an hman hun dang a awm bawk.

• Anemia awm leh awm loh enfiah rawh.
• Fainting (syncope) fo thin chhan zawng rawh.
• Thisen sang leh orthostatic hypotension te enfiah thin ang che.
• Surgery thenkhat hmaa ``Presurgical Screening'' test angin.

Khawiah nge he test hi tih a nih?

Hei hi damdawi ina khumah i awm laiin tih theih a ni a, damdawi ina ``Nuclear Medicine Department''-ah pawh tih theih a ni bawk.

Engtin nge he (Blood Volume Test) hian hna a thawh? A buaithlak hle em?

Ni lo, chutiang chuan a buaithlak lo. A awlsam zawngin hetiang hian a kal a ni:

I taksaa thisen awm zat tehna atan chuan i vein-ah radioactive iodine tracer zat bik an inject a. Hetiang tracer hian doctor-te chu taksa hnathawh thenkhat en theihna a siamsak a ni.

He ``(Tracer)`` hi i thisen nen uluk taka a inhmeh hnuah doctor chuan thisen sample a la a, a chhunga radioactivity awm chu a teh thin.

I thisen volume hi hetiang hian mathematical equation awlsam tak hmangin chhut a ni: `C1V1 = C2V2`.

Chumi awmzia chu:

• `C1` chu `(Tracer)` inject a radioactivity awm zat a ni.
• `V1` chu `(Tracer)` inject zat volume a ni.
• `C2` chu `(Tracer)` chu i thisen nen uluk taka a inhmeh hnua i thisena radioactivity awm zat a ni.
• `V2` chu i taksaa thisen awm zat (kan zawn tum) a ni.

Ngaihtuah teh, taksaah damdawi kan hriat zat kan pek hian thisen nen a inhmeh zat leh a diluted zat enin thisen volume zawng zawng kan chhut a ni.

Mahse hetianga thisen volume tehna hi i tan a pangngai em, a sang em, a hniam em tih hriat nan chuan i thisen volume pangngai nen i khaikhin a ngai a ni. Mi tin thisen volume a inang lo. I thisen volume pangngai chu i san zawng, i rih zawng leh i mipa leh hmeichhia a zirin chhut a ni.

Test hmain engtin nge i inbuatsaih ang?

Hemi chungchangah hian i doctor chuan thurawn a pe ang che. A tlangpuiin test hma darkar engemaw zat ei leh in loh a tha ber.

Test ni hian caffeine awmna in tur (coffee leh tea ang chi) in loh tur a ni. Caffeine hi diuretic a ni a, chu chu zun a tipung a, taksa atanga tui a paih chhuak tihna a ni. Damdawi thenkhatah pawh caffeine a awm bawk. Chuvang chuan i damdawi ei tur chungchang hi i doctor hnenah i sawi hmasa phawt a, a tul chuan thlak a ngai em tih zawt hmasa phawt ang che.

Test hmain eng nge thleng?

Technician pakhatin i san zawng leh i rih zawng a teh ang. Tichuan, i kut, i kutphah emaw, i ke ruh emawa vein pakhatah intravenous (IV) line dah a ni ang. Hei hi cannula ang chi hmanrua a ni.

Test i tih hian eng nge thleng?

Test neih chhung hian a hnuaia thilte hi a thleng thin:

• Exam dawhkan chungah mu turin siam i ni ang.
• Technician hian IV line kaltlangin radioactive tracer Iodine-131 Human Serum Albumin (HSA) a inject a.
• Tichuan minute 12 vel i nghah a ngai a, `(Tracer)` chu thisen nen a inhmeh tha hle.
• Chumi hnuah thisen sample eng emaw zat lak a ni a, minute ruk danah velin, laboratory-ah thawn a ni.
• Test pumpui hi minute 90 aia rei lo a ni tlangpui.

Test zawhah?

Technician chuan IV chu a la chhuak ang a, chutah chuan i haw thei tawh ang. Radioactive tracer thenkhat chu i zun ah a chhuak ang a, a bak chu i taksa chhungah natural takin a chhe vek ang.Test zawhah tui tam tak i in tur a ni a, chu chuan tracer chu i taksa atanga a chhuah thuai theih nan a pui ang.

Hei hian risk a nei em?

• Naupai emaw, nau hnute i pek emaw chuan he test hi neih a tha lo. Chuvangin i doctor chuan test hmain naupai test neih a duh mai thei.
• Allergic reaction awm theihna chance tlemte a awm. Iodine, shellfish, emaw egg emaw allergy i neih chuan doctor hnenah i hrilh tur a ni. Allergy i neih chuan i doctor chuan allergy i neih loh nan test chu a siam danglam thei mai thei.
• Radioactive iodine ``(Tracer)`` hian i thyroid gland a tichhe thei a ni. Chutiang a nih loh nan doctor chuan test hmain iodine pill a pe ang che. I thyroid gland hian iodine chu a hip lut tawh a, radioactive iodine chu a hip lut tawh lo.

Results hian eng nge a sawi? Engtin nge i tih?

Test result-ah chuan i thisen zat chu a pangngai em, a hniam em, a sang em tih a lang ang. I doctor chuan he thu hi i dinhmun tehna atan a hmang thei a, eng enkawlna nge mamawh tih a rel thei bawk.

A awlsam zawngin ``Blood Volume Test'' hian i taksaa thisen awm zat chu a pangngai leh pangngai loh a teh thin. Thisen volume inthlak danglamna hi natna tam tak nen a inzawm a, harsatna lian tham tak a thlen thei a ni. He test hi intensive care unit-a damlote chungah an ti fo thin. An fluid level a normal leh theih nan a pui thei a, an dam leh thuai thei bawk.

Take-Home Thuchah a ni

• ``Blood Volume Test'' tih hi i taksa chhunga thisen awm zawng zawng tehna a ni.
• Hei hian plasma leh thisen sen zat a en ber a ni.
• Thisen volume tihpun (Hypervolemia) leh thisen volume tlahniam (Hypovolemia) te hian hriselna lama harsatna a thlen thei a ni.
• Doctor-te chuan he test hi damdawi lam dinhmun hrang hrang hriatchhuah nan leh enkawl dan tur ruahmanna siam nan an hmang a, a bik takin emergency situation-ah.
• Test-naah hian radioactive material (Radioactive Tracer) tlemte hman a ni a, a him bawk. Amaherawhchu nu naupai leh nau hnute pe lai tan chuan a tha lo hle.
• Allergy i neih chuan doctor hnenah hrilh lawk theihnghilh suh.

Chuvangin, hengte hi `(Blood Volume Testing)` chungchanga hriat tur pawimawh ber berte chu an ni. Hemi chungchangah hian zawhna i neih belh chuan i doctor zawt hreh suh, okay?

` Thisen volume, Thisen volume, Thisen Volume Test, Hypervolemia, Hypovolemia, Plasma, Red blood cells, Hriselna test