CRP test (C-Reactive Protein Test) - Hemi chungchang hi han sawi ila!

CRP test tih hi i hre tawh ngei ang. I doctor chuan ti turin a ti che pawh a ni mai thei. A nih loh leh i ṭhian emaw, i chhungte emaw chuan he test hi an nei tih i hre tawh mai thei. Chuti a nih chuan, he CRP test hi eng nge ni? Engvangin nge a pawimawh em em? Vawiin hian heng zawng zawng hi a awlsam zawngin, i hriatthiam theih dan tur angin sawi ila, a tha em?

CRP chu eng nge ni? Engvangin nge kan taksa tan a pawimawh?

Okay, a hmasain CRP chu eng nge a nih kan en ang. CRP hi C-Reactive Protein tih tawifelna a ni. Hei hi kan thin (liver) atanga siam protein chi khat bik a ni. Tunah chuan i ngaihtuah mai thei, hei hi eng nge thleng? Kan taksa hmun dangah inflammation a awm chuan liver hian he protein CRP an tih hi siamin thisenah a dah lut thin.

Tunah chuan, ‘Inflammation chu eng nge ni?’ tiin i ngaihtuah mai thei. A awlsam zawngin sawi ila, inflammation hi kan taksa invenna system chhanna a ni. I taksaah virus emaw bacteria emaw a lut emaw, hliam emaw, hliam emaw, hliam emaw i nei ang tih han ngaihtuah teh. Tichuan kan immune system chu a thawk chhuak ta a ni. Kan ram humhalhtu sipai ang a ni. He immune system hian cell bik, inflammatory cells leh cytokines , tih te chu a tichhuak a, chu chu hrik do turin emaw, hliam na hmun tihdam nan emaw a ni. Chutah chuan a hring, a sen, a na, a chang chuan lumna a awm thin. Hei hi inflammation kan tih chu a ni. A chang chuan he inflammation hi kan hmuh theihna hmunah chauh ni lovin, taksa chhunga kan hmuh theih loh hmun, ruhkawr (joint) ang chiah hian a awm thei bawk.

Chuvangin, inflammation a awm chuan thisenah CRP a pung a ni. A tlangpuiin kan thisenah hian CRP level a hniam hle. Mahse, inflammation a san chuan he CRP level hi a sang ve bawk. Chu chu thisena CRP level en hian doctor-te chuan kan taksaah inflammation a awm leh awm loh leh a nasat dan tur ngaihtuahna an nei thei tihna a ni.

Engtikah nge CRP test hi tih thin?

Chuti a nih chuan, engtikah nge doctor-te chuan he CRP test hi tih an rawt? Hemi atang hian eng nge beisei theih ang?

CRP test hi damdawi lam harsatna thenkhat hriatchhuah emaw, a awm leh awm loh finfiah emaw atana hman a ni ber. Entirna tlemte chu hetiang hi a ni:

• Bacteria infection na tak tak thenkhat, sepsis te hi nunna atana hlauhawm tak a ni thei.
• Fungal natna hrik kai.
• Hriselna ruh chhunga natna hrik a luh chuan osteomyelitis an ti a . Hei pawh hi hri kai na tak a ni.
• Intestines-a awm thin inflammatory conditions, chu chu Inflammatory Bowel Disease (IBD) .
• Arthritis chi hrang hrang, rheumatoid arthritis ang chi te.
• Natna thenkhat chu autoimmune natna a ni a, chutah chuan kan taksa chakna (immune system) ngei pawhin min dodal a, entirnan , rheumatoid arthritis emaw lupus (Systemic Lupus Erythematosus - SLE) .
• Pelvic Inflammatory Disease (PID) hi hmeichhiaah chuan pelvic cavity a inflammatory condition a ni.

I fa tê tê chu ni engemaw zât chhûng chu khawsik nasa tak neiin, a ei lo va, a lungawi lo hle niin han ngaihtuah teh. Doctor chuan taksa chhungah natna khirh tak, bacteria infection pawh ni thei, a awm leh awm loh hriat thuai turin CRP test a ti thei a ni. Hei hi a result hian enkawlna tur a hril dawn a ni.

Chu mai ni lovin, he CRP test hian a dam chhungin bacteria infection a awm leh awm loh enfiah nan a pui bawk a, chu chu major surgery emaw invasive procedure emaw hnuah pawh a ni thei.

Mahse thil pakhat hriat reng tur chu CRP test chauh hian, ‘Hei hi hetah hian natna a ni’ emaw, ‘Hei hi taksa peng hrang hranga inflammation hi a ni’ emaw tih chiang takin a hrilh thei lo che a ni. Chuvangin CRP value a san chuan doctor chuan a chhan dik tak hriat tumin test tlemte a nei leh tlangpui ang.

Engtikah nge CRP test ka mamawh?

Tunah chuan, ‘Chuti a nih chuan engtikah nge he CRP test hi ka neih a ngai ang?’ tiin i ngaihtuah mai thei. Doctor chuan he test hi bacteria infection na tak i hmuh chuan a order tlangpui ang. Heng chhinchhiahnate hi:

• Ka khawsik a sang chho zel a.
• Taksa chu a vawt a, a khur (Chills).
• Thâwk lak chakna (tachypnea) a sang.
• Heart rate a sang (tachycardia).
• Nausea leh luak chhuak te chu a reh tawh.

Tin, infection enkawl tawh i nih emaw, chronic inflammatory condition enkawl i nih chuan doctor te pawhin he CRP test hi an hmang bawk a, enkawlna hian a thawk tha em tih leh inflammation a tlahniam em tih an en bawk. Hei hi a chhan chu taksaa inflammation a tlahniam chuan CRP level pawh a tlahniam bawk. Chumi awmzia chu enkawlna a thawk tha tihna a ni.

CRP test hi tuin nge ti thin? Engtin nge tih a nih?

He CRP test hi a tlangpuiin mi bik training nei, phlebotomist an tih, thisen la chhuak thinin a ti thin. Mahse, thisen la tura training nei healthcare worker tu pawhin an ti thei a ni. Chumi hnuah thisen sample chu laboratory-ah thawn a ni. Chutah chuan medical laboratory scientist pakhat chuan sample chu test turin a buatsaih a, machine bik, analyzer an tih hmangin CRP level a enfiah thin.

He test hma hian inbuatsaih tur bik a awm em?

A tam zawkah chuan, ni lo. Thisen test thenkhatah chuan chaw nghei a ngai laiin, CRP test-ah erawh chuan fimkhur bik a ngai lo. Mahse, i doctor-in thupek bik a pek che chuan i zawm ngei tur a ni, okay?

Thisen i pek hian eng nge thleng thin?

Awle, tunah chuan thisen i pek hian eng nge thleng tih kan en ang. Hei hi i tawn tur chu a ni:

• Chair-ah i thu ang. Chumi hnuah chuan health worker chuan i kut chu a en ang a, thisen lakna tur vein awlsam tak a thlang ang. Hei hi i kut chhungah a awm tlangpui a, i elbow hnung lamah chiah a awm.
• Vein an hmuh veleh chu hmun chu uluk takin an tifai a, antiseptic an hnawih thin.
• Tichuan, zungbun te tak te chu vein chhungah dahin thisen sample lak a ni. Hetih lai hian, rulhut-in a seh ang maiin, rilru natna tlem i nei thei a ni .
• Neidu an dah hnuah test tube-ah thisen tlem an la khawm a.
• Thisen sample lak a nih hnuah needle chu lakchhuah a ni a, a hmun chungah cotton emaw gauze emaw dahin thisen chhuah tihtawp a ni a, hun rei lote chhung chu a hmunah an dah a ni.
• A tawpah chuan a hmunah hian bandage an hnawih a. Chu chu a ni, hna chu a zo ta.

A kalphung zawng zawng hi minute nga aia rei lo a ni a, chuvang chuan ngaihtuah tur a awm lo.

CRP test hnuah eng nge thleng? Risk a awm em?

I thisen sample lak hnuah lab-ah test turin an thawn thin. Report a lo let leh chuan, a tlangpuiin ni khat emaw ni hnih emaw chhungin a rei deuh thei a, i doctor chuan a result a hrilh ang che.

Tunah chuan he thisen test neih hian hlauhawmna a awm em tih i en ang u. Dik tak chuan thisen test hi damdawi lamah chuan thil awmze nei tak leh tul tak a ni. Risk lian tak a awm lo tak zet a ni. Thisen lakna hmun chu a na deuh thei a, a nih loh leh hliam tlem a awm thei bawk. Mahse chu chu ni engemaw zat hnuah a tha leh thuai ang.

CRP report-ah hian eng nge awm? Normal value te chu engte nge ni?

CRP report i dawnah hian hetiang ang chi chipchiar tak tak a awm tlangpui:

• Thisen test hming hian thisen a tehna (e.g. C-Reactive Protein) a kawk a ni.
• I thisen test result, chu chu a kaihhnawih hlutna a ni.
• Chu test atana tehna range pangngai chu.
• I result chu a pangngai emaw, a pangngai lo emaw, a sang emaw, a hniam emaw a nih leh nih loh tarlanna chart.

Tunah chuan CRP normal value chu eng nge ni tih i en ang u. Heng reference range te hi lab hrang hrangah a inang lo deuh thei. Report i dawn hunah chuan chu lab tana CRP value pangngai chu eng nge ni tih a tarlang ang.

Mahse a tlangpuiin CRP level pangngai chu 0.9 mg/dL (milligrams per deciliter) aia tlem a ni. Lab thenkhat phei chuan 1.0 mg/dL aia tlem a ni an ti.

CRP level a inthlak danglam theih chhan tam tak a awm a. A châng chuan CRP level hi a sang deuh thei a, chungte chu:

• Cigarette zuk leh hmuam.
• Khawsik tlangpui.
• Rilru lam dinhmun, depression ang chi.
• Zunthlum.
• Mut harsatna (Insomnia).
• Gingivitis natna (gingivitis) a awm.
• Obesity tih awmzia chu thau lutuk tihna a ni.
• Ha zung (Periodontitis) nena inzawm inflammatory conditions.
• Naupai lai.
• Tun hnaia hliam, tlu avanga hliam tuar ang chi.

Entirnan, nitin cigarette i in chuan i CRP level chu midang aiin a sang deuh thei a, natna lian tham nei lo pawhin. Tin, i lian hle (obese) a nih chuan chu chuan i CRP level pawh a ti sang deuh thei bawk. Hengte hi ‘lifestyle effects’ kan tih te hi a ni.

Tin, hmeichhia leh tarte hian an pianphungah CRP level a sang deuh thei bawk. I report chungchanga zawhna i neih chuan i doctor hnenah hriattirna zawt ngei ang che.

CRP level sang hian eng nge a awmzia? Eng nge a awmzia?

Okay, tunah chuan i report-ah i CRP a sang a nih chuan eng nge a awmzia kan en ang. If your CRP is significantly elevated from a normal level , i taksa hmun khatah inflammation a awm tihna a ni mai thei. Mahse ka sawi tawh ang khan CRP test ringawt hian eng nge inflammation thlentu leh i taksaa khawiah nge a awm tih chiang takin a sawi thei lo. Chuvangin, i CRP a sang a nih chuan i doctor chuan test tlemte a nei leh mai thei.

CRP value a san dan azirin a sawi chu a danglam thei.

CRP value a sang deuh a nih chuan (Moderate elevation) .

CRP value hi 1.0 mg/dL leh 10.0 mg/dL inkar a nih chuan a sang tawk lo niin kan ngai. Hetiang result hian hetiang dinhmun hi a tarlang thei a ni:

• Systemic inflammation, rheumatoid arthritis (RA) , systemic lupus erythematosus (SLE) , emaw autoimmune condition dang emaw te hian taksa pum a nghawng thei a ni.
• Lung natna / myocardial infarction a awm thei.
• Pancreatitis natna a ni .
• Bronchitis natna a ni .

CRP value nasa taka a san chuan (Marked elevation) .

CRP value 10 mg/dL aia tam chu a sang hle nia ngaih a ni. Hetiang result hian a hnuaia condition te hi a tarlang thei a ni:

• Bacteria natna hrik kai acute.
• Viral natna hrik kai te.
• Systemic vasculitis (thisen kalna kawng a na) a ni.
• Hliam lian tak / trauma.

CRP value a sang hle a nih chuan (Severe elevation) .

CRP value 50 mg/dL aia tam a nih chuan elevation na tak anga ngaih a ni.CRP level sang tak tak, a bik takin 50 mg/dL aia tam a nih chuan 90% velin acute bacterial infection nen a inzawm a ni. Chumi awmzia chu hetiang zat hlutna sang tak hmuh a nih chuan doctor chuan bacteria infection a ringhlel ngei ang a, a tul anga test leh enkawlna a tan ang tihna a ni.

CRP value hniam hian eng nge a awmzia?

Chuti a nih chuan CRP hniam hian eng nge a awmzia? CRP level pangngai chu 0.9 mg/dL aia hniam a ni tih kan hmu. Chuvangin, level hniam zawk tih hi a awm tak tak lo. Chumi awmzia chu, i CRP value chu 0.5 mg/dL vel a lo chhuah chuan chu chu a tha hle a, thil pangngai tak a ni.

Mahse, a hmain i CRP level a sang a, tuna test-naah hian a tlahniam a nih chuan chu chu chhinchhiahna tha tak a ni! I taksaa inflammation a tlahniam tihna a ni a, a nih loh leh inflammation enkawlna a hlawhtling tihna a ni. Chu chu i doctor pawhin a lawmpui ang.

Ka CRP level a dik lo a nih chuan ka lungngai tur em ni?

I report-a CRP chhiar sang tak i hmuh chuan i lungkham deuh mai thei. "Aw, thil pawi tak ka nei em?" But, a high CRP reading doesn’t always mean you have a serious illness that needs treatment , a bik takin chhiarna chu a sang deuh chauh a nih chuan.

Meizial zuk te, hliam tenau te, leh hriselna lama harsatna tlangpui thenkhat (naupai ang chi) te pawhin CRP level a tisang thei tih ka sawi tawh kha hre reng ang che. A châng chuan, thisen laknaah te, lab test-naah te, test-naah pawh tihsual tenau tak takte chuan result a nghawng thei a ni.

Chuvangin, result danglam tak i hmuh hian nangmah chauhin thutlukna siamah zuang lut suh. Hlauthawng suh. I doctor chuan i report chu a enfiah ang a, i symptoms nen a khaikhin ang a, i medical history nen a khaikhin ang a, a tul chuan test dang a nei leh ang a, eng nge dik lo tih chiang takin a hre thei ang.

A châng chuan mi hrisel 20 zînga pakhat vêl chuan result pangngai pâwn lamah an nei thei bawk. Chuvangin, i doctor nen inbiakna neih hi hlau suh. Zawhna i neih zawng zawng zawt rawh. Ani chuan a pui ang che a, a tul anga kaihhruaina a pe ang che.

Kan hriat reng tur thil (Take-Home Message) .

Okay, chuvangin he CRP test-a kan sawi tawh pawimawh tak tak thenkhat hi han sawi nawn leh ila:

• CRP hi thin (liver) atanga siam protein a ni. Taksaah inflammation a awm chuan thisenah a pung a ni.
• He test hian infection leh inflammatory conditions arthritis ang chi te hriatchhuahna kawngah a pui thei a, enkawlna a thawk tha em tih hriat theih nan a pui thei bawk.
• CRP level sang pawh nise, amah chauhin natna chu eng nge a nih leh khawiah nge a awm tih a hre thei lo. Test dang neih belh a ngai mai thei.
• CRP value pangngai chu 0.9 mg/dL (or 1.0 mg/dL) aia tlem a ni.
• CRP level hi meizuk, naupai, hliam tenau, thau lutuk vang te pawh a sang deuh thei bawk.
• CRP value sang tak i hmuh chuan hlauthawng suh.I doctor nen inbia la, thurawn la rawh. I kaihruaitu tur mi tha ber a ni ang.

Chuvangin, tunah chuan CRP test chungchanga i zawhna tam tak chu i chhan tawh ngei ka beisei. He thu hi i tan a tangkai ngei ka beisei. I hriselna hi ngaihtuah reng ang che, a chhan chu hriselna hi hausakna lian ber a ni!

` CRP Test, C-Reactive Protein, Inflammation, Infection, Thisen Test, Hriselna, Symptoms, Liver, Immunity