Naupai lai hian a tlangpui aia chau leh muthilh i nei em? Hei hi a chhan chu i ngaihtuah angin a pangngai lo pawh a ni mai thei. Kan ramah hian nu tam takin ‘anemia’ emaw, damdawi lama thisen tlakchhamna (anemia) an tih emaw an vei a ni thei. Hei hi naupai lai hian a tam hle. Mahse hriat reng leh a tul anga hmalak hi nang leh i naute hriselna atan a pawimawh hle.
A awlsam zawngin sawi ila, thisenah thisen zam hrisel tak tak i neih loh chuan thisen tlakchhamna (anemia) hi a ni. Heng thisen sen (red blood cells) te hian i lung atanga oxygen chu i taksa pum puia tissue-ah te leh i naute pum chhunga i naute hnenah an phur a ni. I naupai lai hian i taksain thisen a siam chhuak tam zawk a, chu chuan i naute chu a lo thang lian thei a ni. I taksa hian he thisen tam zawk siam nan hian iron ang chi nutrients tam zawk a mamawh a ni. Chuvangin i ei leh in atanga heng nutrients te hi i hmuh tlem chuan i taksain thisen sen (red blood cells) a siam tling thei lo a, chu chuan thisen tlakchhamna (anemia) a thlen thei a ni.
Naupai laiin thisen tlakchhamna chi hrang hrang
Naupai laiin thisen tlakchhamna thlentu lian ber ber engemaw zat a awm. Eng nge an nih i han thlir teh ang.
- Iron- deficiency anemia : Hei hi hmeichhe naupai zingah thisen tlakchhamna chi khat hmuh tur awm ber a ni. Thisen sen chhunga protein oxygen phurtu chu hemoglobin an ti a . Hemoglobin siam chhuahna atan Iron hi a pawimawh hle. Chuvangin, taksaa iron a awm loh chuan hemoglobin a siam tling thei lo va, thisen tlakchhamna (anemia) a thlen thin.
- Folate tlakchham vanga thisen tlakchhamna: Folate hi B vitamin a ni. Thlai leh legumes ang chi ei tur siamnaah a pianphungah a awm a ni. Folate hi cell thar siam nan a pawimawh hle a, a bik takin thisen sen (red blood cells) siam nan a pawimawh hle. Naupai lai hian nu hian a hma aia tam folate a mamawh a. Chaw ei atanga a hmuh theih loh chuan he thisen tlakchhamna chi hi a awm thei a ni. Synthetic folate folic acid kan ti bawk . He folate tlakchhamna hian naute nervous system lama harsatna (e.g. Spina Bifida ) leh nau piang laia a rihna hniam te chu direct-in a nghawng thei a ni.
- Vitamin B12 tlakchhamna: Thisen sen hrisel siam nan Vitamin B12 hi a pawimawh hle bawk. Vegetarian/vegan nu te hian rannung atanga thil siam sa, sangha, bawnghnute, leh artui te ei lo te hian he vitamin hi an tlachham zawk thin. Hei hian naute nervous system-ah harsatna a thlen thei a, nausen piang hmaa nau neih pawh a thlen thei bawk.
Tin, nau neih lai leh nau neih hnua thisen chhuah tam lutuk vangin thisen tlakchhamna (anemia) pawh a awm thei bawk.
Nang pawh hi risk-ah i awm em? Thisen tlakchhamna thlentu
Naupai laiin tu pawhin thisen tlakchhamna (anemia) vei thei mah se, mi thenkhat chu tlem chuan an hlauhawmna a sang zawk. A hnuaia table hi en rawh.
| Risk Factor a ni | Hrilhfiahna |
|---|---|
| Twins beisei a ni | Naute pakhat aia tam kan phurh hian taksain iron leh folate a mamawhna a tipung bawk. |
| Naupai inkara inthlauhna tihziaawm | Fa a zawna i neih chuan i taksa thir dahkhawmna siam thar lehna hun i nei lo. |
| Zing natna nasa lutuk | I luak fo hian i taksain i eitur chhunga nutrients awmte chu a hip lut thei lo. |
| Kum naupang tak atanga naupai | Nu tleirawl hian a taksa a la thang chak em avangin ei leh in lama a mamawh a sang hle. |
| Iron tamna ei tur tlem zawk ei | Diet hmanga iron ei tlem hi a chhan dik tak a ni. |
| Naupai hma pawha thisen tlakchhamna (anemia) neih | Anemia i neih tawh chuan naupai laiin a zual thei. |
Nang pawhin heng symptoms te hi i nei ve em?
Anemia tan tirh lamah chuan symptoms i nei lo mai thei. Mahse, a dinhmun a chhe zual zel chuan hetiang thil hi i hre tan mai thei.
- Pale appearance: Vun, hmui leh nail te chu a sen vek thin.
- Chauhna leh chak lohna nasa tak: Hna tenawm tak tak thawh hnu pawha chau lutuk anga inhria. Chau lutuk anga inhriatna.
- Luak chhuak: Ding chhuak thut emaw, hnathawh lai emawa luak chhuak tih hriat.
- Thâwk harsa : Rei vak lo kal hnu pawha thawk a tawi.
- Thinlung thawk chak: I ding reng lai pawhin i rilru a na ang maiin i inhria thei.
- Thil ngaihtuah harsa: Kuta hna thawh tur ngaihtuah harsa.
Mahse thil pakhat hre reng ang che. Heng symptom tam tak hi naupai laiin thisen tlakchhamna nei lovin a awm thei a, chuvang chuan i nau neihna clinic- a kal fo a, i doctor-in a tih angin thisen test neih a pawimawh hle.
Engvangin nge thisen tlakchham (anemia) hi i ngaihtuah tur?
Anemia hi uluk taka enkawl a nih loh chuan nang leh i naute pawh a nghawng thei a ni.
Nu tana hlauhawmna: 1.1.
- Nau neih laiin thisen chhuah tam lutuk a awm chuan thisen pek a ngai mai thei.
- Nau neih hnua lungngaihna a awm theihna a sang .
Naute tana hlauhawm thei turte:
- Nausen piang hmasa lo awm dan .
- Nausen pian tirh atanga rit lo tak neih .
- Naute pian tirh hian thisen tlakchhamna (anemia) a nei thei bawk.
- Naupang hmasawnna tlai lutuk .
- Naute thluak emaw, ruhro emaw-ah piansualna lian tham (neural tube defects) a awm theihna a ni a, a bik takin folate leh vitamin B12 tlakchham vang a ni.
Engtin nge thisen tlakchham (anemia) i nei tih i hriat theih ang?
Naupai tih finfiah tura clinic-a i kal hmasak ber hunah doctor chuan thisen test turin a ti ang che. Hei hian thil pahnih a en ber ang.
1. Hemoglobin test: Hei hian i thisena hemoglobin awm zat a teh thin.
2. Hematocrit test: I thisen sample pakhata thisen zam (red blood cells) awm zat a teh thin.
Heng test result hi a pangngai aia hniam a nih chuan thisen tlakchham (anemia) i nei nia rinhlelh i ni thei. Chumi hnuah chuan test dang neih leh theih a ni a, a chhan chu iron tlakchham vang nge thil dang a ni tih hriat theih a ni. I naupai tirh lamah thisen tlakchhamna nei lo mah la, i doctor chuan thla thum hnihna emaw, thla thumna emaw-ah thisen test dang neih leh turin a rawt mai thei.
Enkawlna leh invenna
A tha ber chu thisen tlakchham (anemia) a lo awm hmaa ven hi a ni. Tin, a awm a nih chuan uluk taka enkawl turin.
Engtin nge enkawl a nih?
Anemia i vei nia hriat i nih chuan, i doctor chuan i nau neih hmaa vitamin i hman ṭhin bakah iron supplement leh/ emaw folic acid supplement a pe mai thei Vitamin B12 tlakchhamna i neih chuan supplement an pe bawk ang. Doctor thurawn tel lo chuan heng supplement te hi ei ngai suh.
Hei bakah hian iron leh folate tamna diet ei turin an fuih bawk ang. Thil na tak tak thenkhatah chuan hematologist hnenah refer i ni thei bawk.
Engtin nge a ven theih ang?
Ei leh in inthlau tak ei hi a pawimawh ber a ni. Nitin i eitur ah hian iron tamna ei tur pathum tal telh tum ang che.
| Iron leh folate tamna ei tur | |
|---|---|
| Iron tamna ei tur | Folate/Folic Acid tamna ei tur |
| |
Thil pawimawh dang: Vitamin C (orange, tangerines, strawberry, tomato, bell peppers) tamna ei tur iron tamna nen i ei chuan taksain iron a hip a awlsam zawk. Entirnan, chawhmeh atan orange tui glass khat leh egg nen in hi a tha hle.
Veganterian/vegan i nih chuan naupai lai leh naupai laiin vitamin B12 supplement ei a ngai em tih doctor nen inbiakna neihpui ngei ang che.
Take-Home Thuchah a ni
- Naupai lai hian thisen tlakchhamna (anemia) hi a awm fo thin. Hlau suh la, fimkhur rawh.
- I antenatal clinic-ah ni khat pawh tlawh ngai suh. A hun taka thisen test neih a pawimawh.
- Iron, folate, leh vitamin B12 tamna ei leh in inthlau tak ei hi a pawimawh hle.
- Iron tablet emaw, doctor-in a rawt vitamin dang emaw, a zat tur leh a hun bituk chhungin ei thin ang che. Damdawi hi mahni chauhin ei ngai suh.
- I chau lutuk, i vun rawng, i luak chhuak ang chi symptoms i neih chuan clinic appointment i neih leh hma chu nghak suh la, doctor hnenah thurawn dil rawh.
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