I ruhro chungchangah heng thilte hi i hria em? Hemi chungchang hi han sawi ila!

Vawiin hian kan taksa peng pawimawh tak, kan ngaihtuah vak vak loh chungchang kan sawi dawn a ni. I ruh chhungah eng nge awm tih i ngaihtuah ngai em? Chutah chuan he mi huaisen Bone Marrow tia koh hi a awm a ni. Ngawi rengin rawngbawlna ropui tak min rawng min bawlsak thin.

Bone Marrow chu eng nge ni? A awlsam zawngin...

Bone marrow chu kan ruh chhunga awm, a nih loh leh kan ruh chhung lam luah khattu tissue nem tak, hriak nei tak a ni. Vawk drumstick chhunga marrow ang maiin han ngaihtuah teh. Mahse chu aia complex leh pawimawh zawk a ni. Kan thisena thisen sen, thisen var leh platelet te hi he ruhroah hian siam vek a ni. Mak a ni lo maw?

Bone marrow hian kan taksa tan eng service nge a pek?

Bone marrow hi i ruh chhunga thil awm mai a ni lo. Kan thisena cell pawimawh tam zawk siamtu factory a ni. Ngaihtuah teh, ni khatah thisen sen maktaduai tam tak a siam chhuak a ni!

• Thisen sen (red blood cells): Hengte hi kan taksa pum puia oxygen phurtu an ni. An tel lo chuan kan thaw thei lo.
• Thisen var (white blood cells): Kan taksa invenna (defence system) ang a ni. Natna hrik an do a, natna lakah min venghim a ni.
• Platelets: Heng platelet te hian thisen chhuah tihtawp a pui a, kan hliam hunah thisen zam a siam bawk.

Hei mai ni lovin, bone marrow hian thil dang a ti a ni. Chu chu thau dahkhawmna a ni . Kan mamawh hunah he thau hi chaknaah kan chantir thin. Chuti a nih chuan, ruhro (bone marrow) tel lovin kan nung thei ang em? A ni lo tak zet! Kan taksa peng pawimawh tak a ni.

Khawiah nge ruhro (bone marrow) hi a awm? Engtin nge hmuh theih a nih?

Bone marrow hi kan taksa ruh lian tam zawk laiah leh spongy ruh tawp lamah a awm a . Ruh chhunga cavities awmte chu a luah khat thin. Heng cavities chhungah hian marrow leh blood vessels te a awm a.

A lan danah chuan ruhro hi tissue nem tak, sponge ang maia lang, jelly ang maia lang, emaw jam ang maia lang a ni . A rawng pahnih a awm a: sen leh sen . Red bone marrow hi thisen sen a siam avangin a sen a ni.

Ruhro hi chi hnih a awm tih hi a dik em? (Bone Marrow chi hrang hrang) 1.1.

Ni e, a dik e. Kan taksaah hian bone marrow hi chi hnih a awm a. He classification hi an rawng a zirin a ni. A vaiin puitling pakhat hian ruhro sen leh sen kilogram 2.5 vel a nei a.

• Red Bone Marrow: 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• A hnathawh ber chu thisen cell siam hi a ni . Damdawi lamah chuan he thil hi ``Hematopoiesis'' kan ti thin.
• Hematopoietic stem cells, stem cell chi khat, red bone marrow-a awm te hi thisen sen, thisen var leh platelet siamtu an ni.

• Yellow Bone Marrow tih hi a ni.
• A hna ber chu thau dahkhawm hi a ni .
• Yellow bone marrow hian stem cell chi hnih bik a nei bawk a, chungte chu fat cells (Adipocytes) leh mesenchymal stem cells te an ni .
• Heng cell te hian chakna siamna atan thau an khawlkhawm a, kan taksa hian ruh, cartilage , taksa ruh, leh thau cell a mamawh te chu a tipung bawk.

Mak tak mai chu kan naupan lai, kum 7 vel kan tlin thlengin kan taksa hi a pum pui deuhthaw chu ruhro sen (red bone marrow) atanga siam a ni . Kan lo upat deuh deuh chuan yellow bone marrow hian zawi zawiin red bone marrow chu a thlak tan ta a ni.

Bone marrow hi eng atanga siam nge ni?

Bone marrow hi stem cell atanga siam a ni ber . Heng stem cells te hian ruhro sen (red bone marrow) an siam thin. Tichuan, ruh sen (red bone marrow) hian kan thisen mamawh thisen cell leh platelet a siam chhuak ta a ni. Yellow bone marrow kan ei chuan a tam zawk chu thau leh kan ruh leh cartilage siamtu stem cells te a ni.

Ruhro (bone marrow) tibuaitu natnate chu engte nge ni?

Kan thisen siamna hmun bulpui ber chu ruhro a nih avangin ruhroah harsatna a awm chuan kan thisen a nghawng nghal vek a ni.

• Leukemia: Hei hi cancer a ni a, ruhro leh thisen direct-in a nghawng a ni. Hetiang hian a thleng thin: Ruhro chhunga cell pakhatah mutation a awm a, chu chuan mutated cells te chu thunun theih lohvin an inthen darh a, an pung chho ta a ni. Hei hian cell hrisel siamchhuahna a ti tlem a ni.
• Multiple Myeloma: Hei hi ruhro (bone marrow)-a cancer plasma cells lo awm thin a ni.
• Aplastic Anemia: Hetiang dinhmunah hian ruhro (bone marrow) hian thisen cell a siam tling lo.
• Polycythemia Vera: Hei hi taksain thisen zam (red blood cells) a siam tam lutuk a, thisen a ti thim a ni.
• Myelodysplastic Syndromes: Hei hi natna chi khat a ni a, ruhro hian thisen cell hrisel a siam tlem a, chu chuan thisen tlakchhamna a thlen a ni .

Hetiang natna chi hrang hrang chhinchhiahnate chu engte nge ni?

Bone marrow natna nen hian a lan chhuah dan tlangpui engemaw zat a awm. Hengte hi i hriat chian chuan damdawi lam thurawn lak a pawimawh.

• Thisen chhuah leh hliam awlsam.
• Chauhna awm reng.
• Hri kai fo thin.
• Muscle chak lohna hriatna.

Ruhro hriselna enfiah nan eng test nge tih thin?

Doctor-te chuan i ruhro emaw thisen cell-ah emaw harsatna a awm leh awm loh enfiah nan test vawi hnih an nei tlangpui.

• Bone Marrow Aspiration: Hei hian ruhro atanga tui leh cell tlem te te chu special needle hmanga lakchhuah a ni. Sample hi bone marrow concentrate an ti a.He test hian ruhroah hian eng cell nge awm tih te, a pangngai emaw, a pangngai lo emaw, cell awm dan te a sawi tam thei hle.
• Bone Marrow Biopsy: Hei hian ruhro sample te tak te chu needle lian tak hmanga lak a ni. He biopsy hian ruhro chhunga cell awmna hmun, engzat nge awm tih leh eng cell chi nge an nih tih chiang takin a tarlang thei a ni.

"He test hian a ti na em?" I zawt mai thei. Test hmain anesthesia pek i ni dawn a, chuvangin test chhungin natna engmah i hre lovang. Mahse, test zawhah chuan ni engemaw zat chhung chu needle dahna hmunah hian hliam leh natna engemaw zat i nei thei. Hei hi mi tin a inang lo thei.

Bone marrow ka donate thei ang em? Thilpek ka pek chuan eng nge thleng ang?

Ni e, a theih ngei ang! Ruhro hrisel leh a siam chhuah cell te hi mihringte dam khawchhuah nan a pawimawh hle. A chang chuan bone marrow cell hrisel tak takte chu cell mutations vangin a chhiat phah thin. Chutiang a nih chuan, ruhro (bone marrow transplant) hi enkawlna tha tak a ni a, a bik takin thisen cancer leukemia ang chi nei tan chuan.

Bone marrow transplant-ah chuan donor hrisel tak atanga cell hrisel tak tak te chu damlo thisenah an infuse thin. Chumi hnuah chuan donor’s cells te hian damlo taksa chu thisen sen hrisel, thisen var, leh platelet siam turin a pui a ni.

Bone marrow natna enkawl dan tur a awm em?

Bone marrow natna enkawl dan hi natna chi hrang hrang leh a nasat dan azirin a inang lo. Lungngai suh, a damdawi a awm fo.

• Antibiotics damdawi a ni
• Thisen pek dan
• Bone Marrow thlak danglam a ni
• Chemotherapy hmanga enkawl a ni
• Symptoms tihziaawmna tur supportive care
• Stem Cell thlak danglam a ni

Engtin nge kan ruhro hi a hrisel theih ang?

Bone marrow hi kan ruh, thisen leh taksa pengte lungphum ang a ni. Chuvangin kan ruhro (bone marrow) hrisel taka awm reng tur chuan kan taksa peng hrang hrang, bone marrow cell atanga lo piang chhuak te hi kan enkawl that a ngai a ni.

• Protein tamna ei tur ei rawh: sa thau lo, sangha, bean, nut, bawnghnute, leh artui ang chi thil.
• Vitamin: a bik takin iron, vitamin B9 (folate), leh vitamin B12 te dawng rawh .
• Side effect anga bone marrow abnormalities thlen thei tur underlying medical condition i neih chuan uluk takin enkawl rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Tunah chuan kan ruh chhungah hian bone marrow hi hero te tak te a ni tih i hre ta a, hna ngawi reng tak a thawk a ni. Kan thisen atana kan mamawh cell siamtu leh chakna atana thau khawlkhawmtu a ni.

A pawimawh ber chu kan ruhro (bone marrow) hrisel taka awm reng tur chuan ei leh in inthlau tak kan ei a ngai a, vitamin mamawh kan neih a ngai a, kan hriselna zawng zawng kan enkawl a ngai bawk. A chhan chu ruhro a hrisel chuan kan thisen a hrisel a, kan taksaa thil tam tak hi a hrisel a ni! Rinhlelhna emaw harsatna i neih chuan Doctor biak theihnghilh suh.

` Bone Marrow, Thisen Cells, Leukemia, Bone Marrow Transplant, Hriselna, Symptoms