I nau piang thar hian thisen tlakchhamna (anemia) a nei em? (Nausen piang thar zingah thisen tlakchhamna) Hemi chungchang hi han sawi ila!

I naupang tê chu a hring deuhin a lang em? Chaw a pek hian a lethargic hle niin a lang em, a chau nghal vat em? Nge a thaw chak deuh niin a lang? Heng thilte hi i hriat chuan i naute hian ‘anemia of the newborn’ tih natna a nei thei a ni. Don’t worry , he thu hi chipchiar takin kan sawi dawn a, awlsam takin. I hriatthiam theih tur zawngin engkim ka sawifiah vek ang.

Nausen piang tharte zingah thisen tlakchhamna (anemia) chu eng nge ni?

A awlsam zawngin sawi ila, naute taksaa thisen sen (red blood cells) awm zat chu a pangngai aia tlem a nih chuan thisen tlakchhamna (anemia) a ni. Heng red blood cells te hi cell chi hrang hrang pawimawh tak an ni. Kan taksa pum puia oxygen phur truck te tak te angin hna an thawk a ni. Chuvangin, heng thisen sen, oxygen phurtu truck te hi an tlem chuan taksa chhunga cell dang, tissue leh organ te hian oxygen an hmu dik lo. Hei hian a bik takin nausen naupangte a nghawng thei a ni. A chhan chu an thang chak hle a, an taksaa thil awm zawng zawng hi a tharin a lo piang chhuak zel a ni. Chuvangin oxygen hi an tan a pawimawh hle a ni.

Naute zingah hian eng thilin nge thisen tlakchhamna (anemia) a thlen thin?

Nausen piang tharin thisen tlakchhamna a neih theihna chhan pakhat chauh a awm lo va, chhan hrang hrang a awm thei bawk. Pakhat hnu pakhatin han thlir ila, chutiang chuan hei hi i hrethiam zawk thei ang.

1. Naute taksain thisen sen (red blood cells) a siam chhuak tawk lo.

Nausen tam tak chuan an dam chhung thla engemaw zat chhungin thisen tlakchhamna (mild anemia), a nih loh leh thisen zat hniam emaw an nei a. Damdawi lam hawi chuan hei hi ‘physiologic anemia’ an ti a. Thil ngaihtuah tur a awm lo, hei hi a tam zawkah chuan thil pangngai a ni. Naute taksa chu thing te tak te, a thang chak em em ang maiin ngaihtuah rawh. Naute taksa hian chutiang chakna chuan thlai mamawh chaw tha, chu chu thisen sen (red blood cells) a siam chhuah theih nan hun rei tak a ngai a ni. Hei hi furniture thenkhat in thar an thlen tlai deuh lai ang mai a ni. Hei hi naute thla hnih atanga thla thum a tlin meuh chuan a insiamrem thin thil a ni tlangpui. Hei hian enkawl bik a ngai lo.

2. Taksa chhunga thisen sen (red blood cells) te chu a pangngai aia rangin a chhe chak zawk

Hei hi naute thisen tlakchhamna thlentu lian dang a ni bawk. Heta thil thleng hi taksain thisen sen (red blood cells) a siam chhuak a, mahse rang takin a chhe vek a, a pangngaia hman theih a nih hmain a chhe vek a ni.

• Nu leh naute thisen chi hrang hrang inrem lohna: Hei hi a chhan ber a ni. He harsatna hi a bik takin nu thisen Rh negative leh naute thisen Rh positive a nih chuan emaw, ABO thisen chi hrang hrang inmil lohna a awm chuan (e.g. nu chu O a ni a, naute chu A emaw B emaw a nih chuan) a lo awm thei a ni. Hei hi ‘Rh/ABO incompatibility’ kan ti a ni. Chutiang a lo thlen chuan nu taksaa antibody siam chhuah thenkhat chuan naute thisen sen (red blood cells) chu a tichhe tan thin. Chutiang naute chuan jaundice an tih natna an nei tlangpui . Tichuan naute vun leh mit var te chu a sen a lo ni ta a. Hei hi a chhan chu thisen sen (red blood cells) a chhiat chuan ‘bilirubin’ a chhuak thin.Taksa chhunga thil sen (yellow substance) awmkhawmna.
• Infection leh genetic diseases: A tlem berah chuan bacteria emaw viral infection thenkhat emaw, genetic disorder thenkhat, thlah kal zelah te hian hetiang hian thisen sen (red blood cells) te chu a ti chhe rang thei hle. Entirnan, thalassemia ang chi dinhmun.

3. Thisen tlakchhamna

A châng chuan naute taksa aṭanga thisen chhuak vangin thisen tlakchhamna (anemia) a awm thei bawk.

• NICU-a thisen lak: A bik takin naute chu Neonatal Intensive Care Unit (NICU) -ah a awm a nih chuan, chu chu naute hian damdawi lam enkawlna bik a mamawh tihna a ni a, doctor-te chuan naute dinhmun enfiah turin thisen lak fo a ngai a ni. Hei hi a hrehawm deuh. Mahse heng thisen sample te hi Doctor ten naute chhanchhuah nan leh uluk taka an enkawl theih nan a pawimawh hle. Mahse, thisen tlemte i ei chhunzawm zel chuan naute chu taksaa a luh leh hma loh chuan thisen tlakchhamna a nei thei a ni.
• Thisen chhuahna dang: Tin, a châng chuan he dinhmun hi naute taksa chhunga thisen chhuah vang a ni thei a, chu chu chhungril thisen chhuak vang a ni thei a, a nih loh leh naute chu nausen pum chhunga a awm laiin nu leh naute inkara thisen inthlak danglamna avanga harsatna (e.g., nausen pum chhunga harsatna awm) vang a ni thei bawk.

4. Nau piang hma

Nausen piang hma pawhin thisen tlakchham (anemia) an nei tam zawk. Hei hi chhan hrang hrang a awm a.

• An pian tirh lamah thisen sen (red blood cells) an nei tlem deuh tlangpui.
• Tin, heng thisen sen (red blood cells) te dam chhung hi nausen kum tling tawh aiin a rei zawk bawk. Hei hian an chhe thuai tihna a ni.
• Tin, naute piang hmasa ruh (bone marrow) hi a puitling kim lo a, chuvangin thisen sen (red blood cells) siam chhuahna rate pawh a hniam hle bawk.

Hei hi ‘Anemia of Prematurity’ kan ti a ni.

Naute thisen tlakchhamna (anemia) vei hian eng natna nge a lan chhuah?

Naute thisen tlakchhamna na lo (mild anemia) tam zawk hian symptom lian tham an nei lo. Mahse thisen tlakchhamna a nasat zawk chuan i naute zun-ah heng chhinchhiahnate hi en reng ang che:

• Pale skin: Hei hi a symptom ber a ni. Naute hmai, hmui, lei, kutphah, kephah leh a bik takin mit chhung lam (mit chhung lam en tum) chu pink ni lovin pale color-ah a chang ang.
• Sluggishness: Naute hi a muhil fo thin a, a taksa peng hrang hrang khelh leh tihchet duhna a nei lo va, a chau hle thei bawk.
• Naupai laiin bawnghnute ei tlem emaw, a chau emaw: I naute chu hnute tui tlem in hnuah a luak chhuak a, emaw, nau hnute pek laiin a buai emaw, a thawmhnaw a thawk emaw a nih chuan hei hi thisen tlakchhamna chhinchhiahna a ni thei bawk. Hei hi taksain oxygen a neih tlem avangin a chau thuai vang a ni.
• Chawlh lai pawha thinlung thawk chak leh thawk chak: I naute chu a muang a, a muhil lai pawhin a thawk a, a thawk chak a nih chuan i ngaihtuah tur a ni bawk. Taksain oxygen a tlakchham chuan taksa pumpuiah a thlen theih nan thinlung leh lungte hian nasa zawkin hna an thawk a ngai a ni.

I naute hian heng symptoms te hi a neih vang mai mai chuan thisen tlakchhamna (anemia) a nei tihna a ni lo tih hre reng ang che. Mahse hetiang thil i hmuh chuan Doctor pan nghal mai a tha.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

I naute hian thisen tlakchhamna a nei em tih chiang taka hriat theihna awmchhun chu thisen test hi a ni . Doctor emaw midwife emaw chuan naute chu a enfiah ang a, thisen tlakchham (anemia) an rinhlelh chuan, "Hmm.. thisen han la ila, kan ti ang em?" Lungngai suh, naute tan natna lian tham a thlen dawn lo, test tlemte chauh a ni.

Heng thisen test-naah hian hetiang hi an zawng tlangpui a:

• Hemoglobin level: Hemoglobin hi thisen sen chhunga protein awm, oxygen phurtu a ni. Hei hi a level chu a tlangpui aia hniam a nih leh nih loh enfiah thin a ni.
• Hematocrit value: Hei hian naute thisen zawng zawng atanga za zela engzat nge thisen sen (red blood cells) atanga siam tih a tarlang a ni. Hei hi a hniam lutuk chuan thisen tlakchhamna (anemia) a ni thei.
• Reticulocyte count: Reticulocyte hi thisen zam (red blood cells) naupang, lo piang thar, la puitling kim lo an ni. An zat hian taksain thisen sen thar engzat nge a siam tih leh ruhro (bone marrow) a thawk tha em tih hriat theihna a pe thei a ni.

Doctor chuan heng test result zawng zawng te, naute natna lan chhuah dan te, leh thil dang chipchiar tak takte chu a en ang a, i naute hian thisen tlakchhamna a nei em tih chiang takin a enfiah ang a, a awm a nih chuan engzat nge a nih tih leh a chhan awm thei chu eng nge ni thei tih a hriat theih ang.

Nausen thisen tlakchhamna (anemia) enkawlna tur engte nge ni? (Tihdamna)

Tunah chuan, "Ka naute chungah hetiang thil hi thleng ta se engtin nge ni ang?" Lungngai suh. A tam zawkah chuan naute thisen tlakchhamna (mild anemia) nei te hian enkawlna bik an mamawh lo. A hmaa kan sawi tawh ang khan ‘physiologic anemia’ ang dinhmun hi ni rei lote hnuah a mah chauhin a dam leh ang. Doctor chuan naute chu a enfiah ang a, a tul chuan thisen test dang a nei leh ang.

Amaherawhchu, thisen tlakchhamna a nasat chuan, a nih loh leh naute hian harsatna a tawk a nih chuan enkawl a ngai mai thei.

• Thisen pek: Nausen piang hma lutuk tan , naute damlo tak tan , emaw, thisen tlakchham vanga thawk harsatna nei tan chuan thisen pek a ngai fo thei. Hei hian mi hrisel tak atanga thisen sen (red blood cells) naute taksaa inject a huam a ni. Hei hian taksaa thisen sen (red blood cells) a tipung thuai thei a ni.
• Damdawi: 1.1.Nausen \henkhat chu an taksain thisen zam (red blood cell) a siam \anpui thei damdawi pek an ni thei bawk. Entirnan, iron supplement pek theih a ni. Iron hi hemoglobin siamna atana ei tur pawimawh tak a ni. Tin, hormone erythropoietin te pawh injection angin pek theih a ni bawk. He hormone hian ruhro (bone marrow) a tichak a, thisen sen (red blood cells) siam chhuah a tipung a ni.
• Nutrition: Amaherawhchu, thisen tlakchhamna nei naute tinte ei leh in tur chu a bik takin ngaihven a ni . A chhan chu, naute chu a chawm tha a nih chauhvin taksain a mamawh thisen sen (red blood cells) a siam chhuak thei a ni. Nau hnute pek a nih chuan nu tan pawh iron tamna, chaw tha tak tak (spinach, sa, sangha, peas, lentils ang chi) ei a pawimawh hle. A chhan chu naute pawhin nu chaw a\angin nutrition a hmu \hin.

I naute tan eng damdawi nge tha ber tih chu i doctor chauhin a rel thei a, chuvangin an thupek chu dik takin zawm rawh.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan nau piang tharte thisen tlakchhamna chungchang kan sawi zawng zawng atang hian thil tlemte i ngaihtuah reng tur a awm. Hengte hi take-home message te chu an ni:

• I naute chu a sen a, nau hnute pek a hreh a, a chau fo anga a lan emaw, thawk dan a inthlak danglam (thaw chak emaw, thawk hah emaw ang chi) a nih chuan , ngaihthah suh. Doctor pan nghal rawh. Chungte chu thisen tlakchhamna chhinchhiahna a ni thei.
• Anemia zawng zawng hi enkawl a ngai lo. Condition thenkhat (a bik takin Physiologic Anemia) chu anmahniin an reh thei. Chuvangin doctor-in, "Naute hi thisen tlakchham deuh a ni a, mahse ngaihtuahawm tur a awm lo," a tih chuan hlau suh.
• Nausen piang hmaa piangte hian thisen tlakchhamna (anemia) an nei tam zawk. Doctor ten hei hi a bik takin an ngaihven hle. Hei pawh hi hre reng ang che.
• Rh/ABO incompatibility hi thisen tlakchhamna leh jaundice thlentu lian tak a ni. Doctor ten naupai lai hian hei hi an ngaihven hle.
• Ei leh in mumal hi thisen tlakchhamna (anemia) venna leh enkawl nan a pawimawh hle. Nu hnute pe mekte pawhin an ei leh inah fimkhur tur a ni.
• Hlauthawng ngai suh la, i ngaih ang ang ti suh la, midang sawi chu ngaithla mai rawh. Doctor thupek dik takin zawm rawh. I naute tana tha ber tur hretu an ni.

A pawimawh ber chu i naute en reng hi a ni. I naute nungchang leh hmel lan danah danglamna i hmuh chuan doctor thurawn la nghal rawh. Tichuan i naupang tê chu hrisel takin, hlim takin, mawi takin a lo seilian ang!

` Anemia, nausen piang thar, naute thisen tlakchhamna, thisen sen, hemoglobin, jaundice, nau piang hmasa