TIBC Test - Hemi chungchang hi han sawi ila!

Kan taksaah hian nutrient iron hi engtiang chiahin nge a pawimawh tih te, taksa pum puia a kal dan te, a teh theihna tur test a awm em tih te i ngaihtuah ngai em? Chutih hunah chuan he thisen test bik TIBC (Total Iron-Binding Capacity) tih hi kan sawi a ngai ta a ni. Hei hi damdawi lam hming deuh ni mahse, a awlsam hle. Vawiin hian he thu hi Sinhala tawngin in hriatthiam theih tur kan sawi dawn a ni.

TIBC (Total Iron-Binding Capacity) chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, TIBC (Total Iron-Binding Capacity) hi thisen test a ni a, i thisen hian mineral iron a binding theih dan leh i taksa pumpuiah a phurh theih dan a teh a ni. Bus chhunga mi ṭhutna tur hmun awm zat ang mai a ni. Kan thisen hian iron engzat nge "a phurh theih" tih a teh a ni.

Doctor-te chuan he test hi iron-deficiency anemia emaw taksaa iron nena inzawm harsatna dang emaw hriat nan an hmang thin.

Tlem a thuk zawka kal chuan TIBC test hian i thisena protein transferrin an tih zat a teh tak tak a ni. He transferrin hi kan liver siam protein bik a ni. He protein hian kan thisenah iron a luh dan a tidanglam a, chu chu a thunun a ni.

Transferrin hi thir phur thei lirthei angin han ngaihtuah teh. TIBC hian he lirthei hian thir engzat nge a phur theih tih a teh thin.

Kan taksa hian thisen sen hrisel tak siam turin iron a mamawh a ni . Heng thisen sen (red blood cells) te hian kan lung atang hian kan taksa dang zawng zawngah oxygen an phur a. Iron hi taksa ruh hrisel, ruhro leh taksa peng dangte hnathawhna atan pawh a pawimawh hle.

TIBC leh Ferritin hi thil inang an ni em?

Ni lo, TIBC leh ferritin hi test hrang hrang pahnih a ni a, mahse inzawm tlat an ni.

Ferritin test hian protein pakhat ferritin an tih level a teh thin. Ferritin hi kan cell chhunga iron dahkhawmtu protein a ni. A awlsam zawngin TIBC hian taksa pumpuiah (transferrin hmangin) iron engzat nge a phurh chhuah tih a teh laiin, ferritin test hian taksaa iron awm zat a teh thung. Ferritin hi iron tlakchhamna a awm leh awm loh dik taka tehna atana indicator tha zawk a ni.

Engtikah nge TIBC test i mamawh?

Doctor-te chuan iron kaihhnawih harsatna awmte hriatchhuah nan TIBC test an ti ṭhin. Chu chu, iron level hniam (chu chu iron-deficiency anemia an ti) emaw, iron level sang ( hemochromatosis an ti) emaw i nei thei tihna a ni.

TIBC test hi "iron panel"-a tel ve angin an ti fo thin. He iron panel hian test dang engemaw zat a keng tel thei bawk:

• Chaw nghei iron thisen test.
• Za zela transferrin saturation emaw iron saturation emaw a ni.
• Ferritin thisen test a ni.

Doctor-te pawhin TIBC test hmangin thir kaihhnawih natna an enfiah bawk.

He TIBC test hi tute nge ti thin? Engtin nge i inbuatsaih thin?

Thisen sample hi medical assistant phlebotomist an tih hian a la tlangpui a . A chang chuan nurse emaw doctor emaw pawhin hetiang hian a ti thei. Thisen sample chu lab-ah thawn a ni a, chutah chuan medical laboratory scientist chuan special machine ( "analyzers" an tih) hmangin sample chu a test thin.

Test hmain inbuatsaih a ngai em?

Ni e, a chang chuan i doctor chuan test hma darkar 12 chhung chaw nghei (chu chu tui tih loh chu ei leh in loh tur) a ti ang che. Hemi chhung hian iron supplement ei tawh lo turin an ti thei bawk. Inbuatsaih dan tur zawhna i neih chuan i doctor nen inbia ngei ang che.

Test neih chhung hian eng nge thleng?

Thisen lak huna i beisei tlangpui chu hei hi a ni:

• Chair-ah i thu ang. Tichuan medical worker chuan i kut ah thisen lakna tur vein awlsam tak a thlang ang. Hei hi i elbow chhungah tih thin a ni tlangpui.
• Vein an hmuh veleh chu hmun chu uluk takin an tifai a, disinfect an ti bawk.
• Tichuan, vein-ah hian needle te tak te dahin thisen sample lak a ni ang. Hetih lai hian tingling sensation tlem i nei mai thei.
• Neidu an thun hnuah test tube-ah thisen tlem an la khawm a.
• Thisen sample an lak zawh chuan needle chu la chhuakin cotton emaw gauze emaw chu a hmunah dahin thisen chhuah tihtawp nan an dah a, a hmunah rei vak lo an vawn a ni.
• A tawp berah chuan plaster an hnawih a, hna chu an thawk zo ta a ni.

A kalphung zawng zawng hi minute nga aia rei lo a ni tlangpui a, chuvangin ngaihtuahawm tur a awm lo.

Test zawhah eng nge beisei tur?

I thisen sample lak a nih hnuah laboratory-ah test turin an thawn ang. Test result a luh veleh i doctor chuan result a hriattir ang che.

TIBC test hian hlauhawmna a nei em?

Thisen test hi medical test leh diagnosis-a thil awmze nei tak leh tul tak a ni. Thisen test hian a hlauhawmna a tlem hle. Thisen lakna hmunah hian hliam emaw, natna emaw i nei thei a, mahse hei hian a dam thuai ang.

TIBC test result hi eng chen nge a ngaih?

A tam zawkah chuan TIBC test result hi ni khat emaw ni hnih emaw chhungin a awm tur a ni. Amaherawhchu, a chang chuan a rei deuh thei. Lab-a hnathawh tam dan ang chi thilah a innghat.

TIBC test atana normal value te chu engte nge ni?

Laboratory hrang hrang hian TIBC value pangngai tan reference range hrang hrang an nei thei. Hei hian a awmzia chu lab pakhat normal value chu lab dang nen a danglam deuh thei tihna a ni. I thisen test report i dawn hunah chuan chu lab atana normal range chu eng nge ni tih pawh a tarlang bawk ang.

A tlangpuiin TIBC value hi deciliter khatah microgram 240 atanga 450 inkar (240 mcg/dL atanga 450 mcg/dL) inkar a ni tur a ni.

Mahse hriat reng tur chu doctor-te hian diagnosis an siam hian TIBC value chauh ni lovin, test dang, thisena iron level leh ferritin te result pawh an ngaihtuah tel a ni.

I TIBC value a hniam chuan eng nge a awmzia?

I TIBC a hniam a, i thisena iron level a san chuan hemochromatosis (chu chu taksaah iron tam lutuk tihna a ni) tih natna vang a ni thei. I TIBC a hniam a, i iron level a hniam chuan hetiang dinhmun avang hian a ni thei:

• Cirrhosis ( thin natna) .
• Inflammation rei tak awm thei
• Kaichhawng
• Ei leh in lama harsatna (malnutrition) a awm
• Nephrotic syndrome (kal natna) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Ferritin a hniam a, TIBC a tam chuan eng nge thleng ang?

Ferritin level hniam leh TIBC level sang hian iron-deficiency anemia i nei tihna a ni tlangpui . Hei hi thisen tlakchhamna (anemia) awm tam ber a ni. Hetiang dinhmun hi i taksain hemoglobin siamna tur iron a neih loh vang a ni . Hemoglobin hi thisen sen (red blood cells)-a awm a ni a, taksa chhunga oxygen phurh chhuahna kawngah a pui a ni.

Ka TIBC result a dik lo a nih chuan ka lungngai tur em ni?

I TIBC test-a result pangngai lo chuan damdawi lam dinhmun i nei tihna a ni ngai lo. A hnuaia thilte hian i result a nghawng thei bawk:

• Tun hnaia thisen pek tawhte .
• Fluoride hman dan .
• Oral birth control ( chhungkaw ruahmanna siamna damdawi).
• Chloramphenicol (mit chunglam natna damdawi).
• Thisen test nan lakkhawm, phurh chhuah, processing-a tihsual awm apiang.

Results pangngai lo i hmuh chuan i doctor chuan a sawipui ang che. Doctor chuan diagnosis a thlen hmain thil dang engemaw zat a ngaihtuah ang. Test dang pawh a order thei bawk.

Test result pangngai lo i hmuh hian hlauhna i neih hi thil pangngai a ni. Mahse hre reng ang che, TIBC result pangngai lo chuan natna i nei tihna a ni hauh lo. Mi hrisel 20 zinga 1 vel chuan result pangngai aia pawn an nei a ni. I doctor chuan heng result te hi a sawipui ang che a, a hnua i tih tur chu a rel ang. Thu lawmawm tak chu taksaa iron level hniam emaw sang emaw thlentu natna tam tak hi enkawl theih a ni.

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

TIBC test hi i taksa iron metabolism chungchanga hriat tur pawimawh tak tak a ni.

• Hei hian i thisenin iron a binding leh transport theihna a teh a ni.
• Hei hian iron tlakchhamna thisen tlakchhamna emaw, hemochromatosis emaw ang chi natna hriat theihna kawngah a pui a ni.
• Test hmain chaw nghei ang chi thupek bik i zawm a ngai mai thei.
• Results chu a dik lo a nih pawhin a chhan hrang hrang a awm thei. Chuvangin doctor nen inbia a, thurawn dik tak lak a pawimawh.
• Iron kaihhnawih harsatna tam tak chu hlawhtling taka enkawl theih a nih avangin hlauthawng suh la, i doctor thurawn zawm rawh.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` Iron, TIBC, thisen test, thisen tlakchhamna, ferritin, transferrin, hriselna