Nu tam takin naupai lai hian tlem a hah leh hah deuh hi thil pangngai a ni. Mahse, a châng chuan he hahna, rilru hahna mai mai hi taksaa thisen volume tlahniam vang a ni thei a, chu chu doctor-te chuan anemia tiin an sawi a ni. So today, let’s talk about this in a little more detail , a chhan chu hei hi i hriselna leh i naute hriselna atan a pawimawh a ni.
A awlsam zawngin, thisen tlakchhamna chu eng nge ni?
Anemia, a nih loh leh doctor-te sawi angin, i taksa pum puia oxygen phur thei tur thisen sen (red blood cells) i neih loh vang a ni. Ngaihtuah teh, oxygen hian kan taksa peng zawng zawng hi a thleng tha lo a nih chuan kan taksa peng leh kan taksa ruh te hi a thawk tha thei lo ang, a dik em? Chu chu thisen hniam i neih chuan a thleng thin. Chu chu i chau leh thawk harsatna thlentu a ni.
Heng red blood cells chhungah hian protein pawimawh tak a awm a. Hemoglobin an ti a . Hei hian oxygen a man a, kan thawk chhuah hian taksa cell tinah a phur chhuak thin. Tin, taksaa gas duh loh carbon dioxide chu lungah a rawn hruai kir leh a, kan thawk chhuah hunah a chhuah tir bawk.
Chuvangin, kan taksa hian heng thisen sen leh hemoglobin siam nan hian iron leh vitamin thenkhat a mamawh a ni. Heng thilte hi ei leh in atanga kan hmuh loh chuan kan taksa hian hemoglobin a siam tling thei lovang a, oxygen pawh a phur tha thei lovang. Nu tam takin naupai laiin iron leh vitamin dang an tlakchham avangin thisen tlakchhamna (anemia) an nei fo thin. Hei hi a chhan chu he hun chhung hian i thisen volume a sang deuh a, naute mamawh nen a pung bawk.
Naupai laiin thisen tlakchhamna (anemia) vei tam berte chu engte nge ni?
A takah chuan thisen tlakchhamna chi 400 chuang a awm niin an sawi. Mahse naupai laiin a bik takin kan hmuh tam ber chi tlemte a awm. Eng nge an nih hi han thlir ila:
- Iron-deficiency anemia: Hei hi a tam ber a ni. A hming ang bawkin he natna hi taksain iron a hmuh tlem chuan a lo awm thin. Hei hi naupai lai hian a awm fo thin a, naute lo seilian danah iron mamawhna a sang chho zel a ni.
- Folate-deficiency anemia: Folate, a nih loh leh kan hriat vek folic acid hi thisen sen siamna atan pawh a pawimawh hle. A tawk lo a nih chuan thisen tlakchham (anemia) a awm thei. Chutiang thil laka inven nan naupai hmaa folic acid ei a tha bawk.
- Vitamin B12 tlakchhamna vanga thisen tlakchhamna: Vitamin B12 hi kan nervous system leh red blood cell siamna atan a pawimawh hle. He vitamin tlakchhamna hian thisen tlakchhamna a thlen thei a ni. Hei hi vegetarian tan chuan a pawimawh hle.
He thisen tlakchhamna hi tute nge vei tam zawk?
Naupai lai hian i thisen volume chu 20% atanga 30% velin a pung thin. Chumi awmzia chu i thisen sen (extra red blood cells) i siam chhuah hian iron tam zawk a mamawh tihna a ni. Mi thenkhat chuan thisen tlakchham (anemia) an nei tam zawk. Entir nan:
- Vawi khata naute tam tak beisei mek tan, twins emaw triplets emaw te tan: A chhan chu taksaa ei leh in mamawhna a tam zawk hle.
- Chaw ei atanga iron tam tawk lo tan: Ei leh in inthlau tak ei lote chu an hlauhawm hle.
- Naupai tam tak tan: Naupai vawi khat hnua taksain dam lehna hun a neih loh chuan naupai leh turah thisen tlakchhamna (anemia) a awm thei.
- Naupai hma a\anga thlasik rit tak nei tawhte tan: An taksaa thir dahkhawmna chu a tlachham mai thei.
- Zing natna avanga luak chhuak fo thinte tan: Chaw ei that loh vangin ei leh in lama harsatna a awm thei.
I thianpa, Nadeesha ti ila han ngaihtuah teh. Twins a nei dawn ta. Chumi hma chuan naute a neih atanga kum khat vel a liam tawh. Chuvangin a taksa hian thir tlem a mamawh belh a ni. Tin, a chang chuan zing natna nen hian zing lamah chaw a ei tha thei lo bawk. Nang ang mite hi tlem chuan thisen tlakchham (anemia) an vei tam zawk.
Naupai laiin thisen sang hniam hi thil pangngai a ni em?
Ni e, naupai laiin thisen tlakchhamna (mild anemia) neih hi thil pangngai a ni a, thisen volume a san avangin. Ram changkang zawkah chuan naupai zinga 52% velin iron an dawng tlem hle niin an sawi. Mahse, thisen tlakchhamna na tak hi a awm lo.
Mahse, thisen tlakchhamna na lo emaw, na tak emaw i neih pawhin, enkawl a pawimawh . Nang leh i naute piang lai hriselna atan a pawimawh hle.
Engtin nge thisen tlakchhamna hian naute a nghawng?
I pum chhunga i naute hian a mamawh zawng zawng, iron, vitamin B12, leh folic acid te chu nangmah atangin a dawng vek a ni. Chuvangin heng nutrients te hi i hmuh tlem chuan i naute thanlenna a nghawng thei a, a bik takin naupai thla thum hmasa berah emaw, thla thum hmasa berah emaw
A pawimawh ber chu he thisen tlakchhamna hi enkawl a nih loh chuan naute hian a pian hnuah pawh thisen tlakchhamna a nei thei a, chu chuan a thanlenna kawngah harsatna engemaw zat a thlen thei a ni. Tin, naute piang hma (preterm birth) leh nau piang rit lo (low birth weight) neih theihna a sang hle bawk. Chuvang chuan hei hi uluk taka enkawl a pawimawh hle a ni.
He thisen tlakchhamna avang hian nau pai theih a ni em?
No. Naupai laiin thisen tlakchhamna hian direct-in nau a pai lo. Mahse, thisen tlakchhamna nasa tak a awm chuan naupai laiin harsatna dang a thlen thei a ni. Chuvang chuan thisen tlakchham (anemia) enkawl vat a tha.
Naupai laia thisen sang hniam chhan dang engte nge ni?
Naupai chhung ngei pawh hian thisen tlakchhamna a thlen thei a, taksa thisen a san chhoh zel avangin. Chumi piah lamah chuan kan sawi tawh ang khan iron, vitamin B12, leh folic acid te hi a chhan ber a ni.
Tin, thisen tlakchhamna thlentu tlanglawn dangte pawhin naupai lai a nghawng thei bawk:
- Natna thenkhat, entirnan , sickle cell anemia leh thalassemia te hi thlahtute atanga lo chhuak natna a ni.
- Thisen pek fo (naupai laiin thisen pek hi a tha lo a, mahse prior history a nghawng thei).
- Naupai hmaa thlasik thisen chhuak nasa.
- Chaw ei kawngah ulcer emaw polyp emaw a awm.
He thisen tlakchhamna hi engte nge a lan chhuah?
A tirah chuan thisen tlakchhamna (mild anemia) i neih hian danglamna lian tham i hmu lo mai thei. Mahse hun a kal zel a, hetiang hi i hre tan mai thei:
- Chau lutuk (Fatigue): I chau leh muhil mai mai thei.
- Khawsik hriat: Midangte chuan boruak lum pangngai nei mahse khawsik i nei thei.
- Thâwk a tawi: Hna tê tê thawh zawh hnu pawha thawk hah lo anga inhriatna .
Symptom dang hmuh theihte chu:
- Luak chhuak emaw, chak lohna emaw
- I thinlung a na hle tih hriatna (Fast heartbeat) .
- Lu na
- Vun rawng danglam (paleness), vun vawt emaw, hliam awlsam emaw
- Lei na tak
- Restless legs syndrome hi ke, a bik takin ke hnuai lam, a ke hnuai lam a tight tih hriatna mak tak a ni a, chu chuan inher kual duhna a siam thin.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan Doctor hnenah hrilh la a tha ber.
Engtin nge he thisen tlakchhamna hi i vei tih dik taka i hriat theih ang?
Anemia i vei leh neih loh hriat chian theihna awmchhun chu thisen test hi a ni . Hei hi thisen chhiar kimchang (CBC) an ti a. He CBC test hi naupai i nih i hriat hnua i naupai hmaa i tlawh hmasak ber laiin tih thin a ni tlangpui.
He ``(CBC)`` test hmang hian i doctor chuan a hnuaia mi hi a zawng ang:
- I taksaah thisen sen engzat nge i neih, a lian leh te, a pianzia (hei hian sickle cell anemia ang chi dinhmun bik hriatchhuahna kawngah a pui thei a ni).
- I taksaah hian thir engzat nge awm?
- Vitamin B12 leh folate (vitamin B9) i tlachham em.
Anemia na tak chu eng nge ni?
Anemia na tak chu i CBC-a i hemoglobin level chu deciliter khatah gram 6.5 leh 7.9 (g/dL) inkar a nih chuan a ni. I result-ah thisen tlakchhamna nasa tak a awm tih a hriat chuan i doctor chuan thisen pek a rawt thei ang., chu chu pawn lam atanga thisen pek i tum mai thei tihna a ni. Hei hi outpatient setting-ah tih a ni fo. Thisen pek hian i taksaah thisen sen hrisel tak tak a pe nghal vat thin.
Naupai laiin thisen tlakchhamna (anemia) hi engtin nge kan enkawl ang?
Naupai laia thisen tlakchham (anemia) enkawl dan chu a nasat danah a innghat.
- Mild to moderate anemia tan: I doctor chuan nitin ei tur prenatal vitamin emaw iron supplement emaw a pe tlangpui ang. Chungte chuan i taksain iron, vitamin B12, leh folic acid a hmu tling thei ang.
- Thisen tlakchhamna nasa tak: A hmaa kan sawi tawh ang khan thisen pek a ngai mai thei.
He thisen tlakchhamna hi in lamah eng nge tih theih ang?
Iron, vitamin B12, folate tlakchhamna avanga lo awm fo thin thisen tlakchhamna (anemia) laka in lama i tih theih tha ber chu heng nutrients te hi i ei tlem em tih enfiah hi a ni. Doctor-in a tih angin nitin i prenatal vitamin ei thin ang che. I tan eng vitamin nge tha ber tih doctor nen inbiakna neih a tha ber.
Tin, i ei leh in lama inthlak danglamna siam hian nasa takin a pui bawk.
- Iron tamna ei tur tam zawk ei rawh . I einaah hian dark green leafy vegetables, spinach leh kale, sa sen (bawngsa, kêl), vawk (a bik takin liver), sangha (a bik takin halibut, mackerel), legumes, lentils, chickpeas, green beans, boiled egg yolks, raisins, leh dates te dah tel bawk ang che.
- Vitamin C tamna eitur te pawh a pawimawh a, taksain iron a hip that theih nan a pui a ni. I chaw ei rual hian limes, orange, tangerine, lemon, guava, guava, mango, tomato, pepper, leh fish chili ang chi thil ei tum ang che. Entirnan, salad-ah lime tlem i dah thei a, chaw ei zawhah orange i ei thei bawk.
Engtiang chiahin nge enkawl hnuah ka dam leh ang?
Iron tlakchham vang emaw, vitamin B12 tlakchham vang emaw, folate tlakchham vang emawa thisen tlakchhamna i neih chuan supplement i ei tan atanga ni engemaw zat chhungin i rilru a hahdam thei a, i chak zawk thei bawk. Mahse danglamna i hriat loh chuan i doctor hnenah hrilh ngei ang che.
Enkawlna pek loh chuan eng nge thleng?
Enkawl loh chuan hun kal zelah thisen tlakchhamna (anemia) a zual thei a ni. I thisena oxygen a tlem chuan i taksa peng hrang hrangte a tichhe thei a ni . I thinlung pawhin oxygen tlem zawk hmanga i taksa vel thisen pump turin a thawkrim zawk a ngai bawk. Hei hian hetiang dinhmun hi i neih theihna a tipung a ni:
- Thinlung thawk mumal lo `(Arrhythmia)`
- Thinlung lian zawk
- Lung lam chak lohna
Chuvangin thisen tlakchham (anemia) hi ngaih pawimawh loh tur a ni.
Engtin nge he thisen tlakchhamna hi i dam khawchhuah theih emaw, i ven theih ang?
Anemia venna atana i tih theih tha ber chu ni khata iron milligram 30 tal (serving thum vel) pe thei ei tur ei hi a ni . Chaw ei atanga chutiang zat chu i hmuh harsatna i neih chuan i doctor nen iron supplement ei chungchang sawipui rawh.
Nitin nau neih hmaa vitamin ei a pawimawh bawk. A theih chuan naupai i tum veleh nau neih hmaa vitamin ei tan a tha ber . Nau neih hmaa vitamin thenkhatah chuan iron a awm lo. Chuvangin, i doctor hnenah eng prenatal vitamin nge i tan a tha ber tih zawt rawh.
Mahse hei pawh hi i hre reng tur a ni. Engkim dik takin i ti a nih pawhin naupai laiin thisen volume a natural increase avangin thisen tlakchhamna tlem i la nei thei tho. Hei hi thil pangngai a ni. Amaherawhchu, a chunga kan sawi tak symptoms eng emaw tal, hahna, luak chhuak, thawk hah lutuk te i neih chuan doctor pan a, sawipui chu a finthlak hle ang.
Hetiang dinhmuna ding tu tan hmalam hun eng nge ni?
Uluk taka enkawl a nih chuan naupai laia thisen tlakchhamna nei chu a dam tha hle. Hetiang dinhmun hi awlsam takin nutritional supplement leh ei leh in lama inthlak danglamna tenau te hmangin a control theih a ni. Naute i neih hnuah i thisen zat leh plasma level chu a pangngaiin a awm leh ang.
He thisen tlakchhamna chungchangah hian engtikah nge doctor ka hmuh ang?
Heng thisen tlakchhamna chhinchhiahna te hi i neih chuan doctor nen inbiakna neih a tha ang:
- Luak chhuak thei
- Lu na
- Lung na tak tak
- Vun dum (pale skin) a ni
- Lei hliam emaw, na emaw
- Kete tihchet a ngai danglam tak
Hemi chungchangah hian ngaihtuahna leh ngaihtuahna i neih chuan i doctor hnenah thisen tlakchhamna (anemia) leh i naupai chhung zawnga thisen zam (red blood cells) hrisel taka awm theihna tura i tih theihte enfiah turin hrilh rawh. Ngaihtuah buai suh, heng zawng zawng hi chinfel dan tur a awm.
Anemia i neih hian engtin nge i in enkawl ang?
Anemia i neih huna i tih theih ṭha ber chu ei leh in hrisel, iron tamna ei tum hi a ni . Chawlh hahdam tam la , tui tam tak in rawh . Nau neih hmaa vitamin leh/ emaw iron supplement te chu i doctor-in a tih angin ei thin ang che. I tana supplement chi tha ber tur chu i doctor nen sawiho rawh.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Naupai lai hian i thisen volume chu 20% atanga 30% velin a pung a, chuvangin thisen tlakchhamna (mild anemia) i nei thei a ni. Hei hi thil pangngai a ni thei a, mahse hriat chian a pawimawh hle.
I ei leh in iron, vitamin C, leh B vitamin hmanga tihhausak hian thisen tlakchhamna (anemia) a tihziaawm thei a, a veng thei bawk. Nitin nau neih hmaa vitamin ei thin kha theihnghilh suh. Naupai laiin thisen tlakchhamna (anemia) a awm theih dan leh i ngaihtuahna i neih apiang chu i doctor nen zalen takin sawipui rawh. Chutiang chuan nang leh i naute pawh i hrisel thei ang!
`Anemia, naupai, iron, hemoglobin, vitamin, folic acid, natna lan chhuah dan
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