Thla tam tak chhung, kum tam tak pawh ni thei, zunthlum, ruh natna, kal natna emaw, natna khirh tak dang emaw i vei tawh em, i chau leh i rilru a hah reng em? I doctor chuan thisen tlem i nei tih a hrilh che a ni mai thei. Hei hi i natna khirh tak avanga thisen tlakchhamna bik vang a ni thei. Chu chu vawiina kan sawi tum chu a ni. Hei hi damdawi lam chuan ‘Anemia of Chronic Disease’ an ti a.
Hun rei tak natna avanga thisen tlakchhamna (anemia) hi eng nge ni?
A awlsam zawngin hei pawh hi anemia a ni. Kan taksa pum puia oxygen phurtu thisen sen (red blood cells) a tlahniam tihna a ni. Mahse hei hi iron tlakchham vanga thisen tlakchhamna (anemia) kan hriat tlangpui nen chuan a danglam deuh hlek a ni. Hetiang dinhmun hi i taksaa thla thum aia rei lo awm tawh damdawi lam natna avanga inflammation avanga lo awm a ni. A chang chuan doctor te pawhin hei hi ``Anemia of Inflammation`` an ti bawk.
Natna rei tak i nei a, chu chuan i taksaah "burn" (inflammation) te tak te a nei reng ang tih han ngaihtuah teh. Hei hian kan taksain thisen sen siamna atana a mamawh iron chu a hmang tangkai thei lo. In lama chaw siamna atana thil tul zawng zawng nei vek mahse gas tel lova chaw siam theih loh ang mai a ni. Mahse thu lawmawm tak chu he natna vei tam zawk hian thisen tlakchhamna (mild anemia) an nei a, chu chu chutiang chuan a na lo.
He natna hi tuin nge vei tam ber?
A hming ang bawkin natna khirh tak chi hrang hrang nei apiangah thisen tlakchhamna (anemia) a awm thei a ni. Mahse, kum 65 chunglam ah a tam zawk a, thisen tlakchhamna thlen thei natna chi hrang hrang a awm a:
- Ngawt
- Kidney natna rei tak awm thei
- Lung lam chak lohna
- Autoimmune diseases: Heng natnate hi kan taksa vengtu tura ngaih immune system-in taksa ngei a beih nasat em emna natna a ni.
He thisen tlakchhamna hi immune system natna engemaw zat leh thil dang avanga lo awm theih dan hi han en ila.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Rheumatoid arthritis natna a ni | Hun rei tak chhunga ruh natna leh ruh natna. |
| Lupus a ni | Taksa chhunga tissue hrang hrang immune system-in a beih avanga chhiatna. |
| Vasculitis a ni | Thisen kalna kawng a inflammation emaw swelling emaw. |
| Inflammatory bowel natna a ni | Intestinal condition hrang hrang Crohn natna leh ulcerative colitis te hi a ni. |
| Hun rei tak chhunga hri kai chi hrang hrang | Infection eng pawh taksaah rei tak a awm reng chuan hei hi a thlen thei a ni. |
| Thau lutuk | Thau lutuk hian taksaah chronic inflammation a thlen thei bawk. |
Engvangin nge taksaa thir awm hi he natnaah hian hman a nih loh?
Hei hi hriatthiam a har deuh a, mahse a pawimawh em em a ni. Hetiang hian han ngaihtuah teh...
Kan taksaa thisen sen (red blood cell) pakhat hi a tlangpuiin ni 120 vel a dam thin. An thih hnuah chuan taksa chuan fing takin chu cell-a iron awm chu a recycle leh a, thisen sen thar a siam a ni.
Mahse, hun rei tak natna avanga inflammation i neih hian kan taksaa cell chi khat macrophages an tih hian heng thisen sen hlui atanga iron lo chhuak hi a vawng tlat a ni. Chu thir chu an thlah lo tihna a ni. Thir chu an lock up ang mai a ni.
Chuvangin iron hi taksaah (protein `Ferritin` an tih angin) dahkhawm mah se, chu iron chu thisenah a chhuak lo va, chuvangin red blood cell thar siam theih a ni lo. Hei hi he natnaah hian thil thleng ber a ni.
Hei hi eng symptoms nge ni?
Heng symptoms te hi iron tlakchham vanga thisen tlakchhamna (anemia) nen a inang hle. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mi dangte chuan exercise an tih hian heng symptoms hi an nei chauh thei. Symptom nei te chuan:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chauhna leh chak lohna nasa tak | Nitin hna pawh thawk thei lo khawpa chak lo anga inhriatna. |
| Thâwk harsa | Tlemte kal emaw, stairs chhoh emaw pawhin luak chhuak tih hriat. |
| Vun rawng dum (pale appearance) a awm | Vun, hmui leh kutphah te chu a tlangpui aiin a dum zawkin a lang. |
| Chhan awm lova thawk hah | Chhan bik nei lovin khawsik leh thawk hah. |
| Luak chhuak leh muhil | I ding emaw, i tho nghal emaw chuan i mit a sen vek ang maia inhriatna. |
| Lu na | Lu na fo thin. |
Engtin nge hei hi i hmuh theih, Doctor?
I doctor chuan i natna lan chhuah dan leh damdawi lam harsatna dang i neih te a zawt ang che a, chutiang chu a nih an rinhlelh chuan thisen test engemaw zat a ti ang. Heng thisen test te hi he natna hi hriat theihna awmchhun a ni.
Thisen test report-in eng nge a lantir
| Fiahna | A awlsam zawngin, he thilah hian eng nge i hmuh? |
|---|---|
| Hemoglobin level a ni | Thisen sen (red blood cells) te rawng sen petu leh oxygen phurtu protein hi a ni. A hlutna a tlahniam zel a. |
| Serum iron level a ni | Thisen a free iron awm zat. Hei hi hlutna hniam tak a ni. |
| Reticulocyte chhiar chhuah a ni | Hei hian "nausen" thisen sen (red blood cells) a kawk a ni. Hetiang zat hi a tlem chuan ruhro hian cell thar a siam lo tihna a ni. |
| Serum ferritin level a ni | Hei hi a pawimawh ber a ni . Ferritin hi taksaa iron dahkhawmtu protein a ni. Iron tlakchhamna tlangpuiah a hniam laiin, a hlutna chu Anemia of Chronic Disease -ah chuan a pangngai emaw, a sang emaw a ni . |
A tlem hle a, doctor chuan a tul chuan bone marrow biopsy neih a rawt thei bawk.
Hei hi eng enkawlna nge ni?
He thisen tlakchhamna enkawlna tha ber leh pawimawh ber chu thisen tlakchhamna thlentu natna hnuaia awm chu uluk taka enkawl hi a ni.
Rheumatoid arthritis vangin he thisen tlakchhamna hi i nei niin han ngaihtuah teh. I arthritis control nana i doctor-in a pek damdawi i ei chuan i taksaa inflammation chu a tlahniam thin. Tichuan, iron tang chu a chhuak a, thisen tlakchhamna chu a lo ṭha chho ta mai mai a ni.
Pawimawh tak: Doctor rawn hmasa lovin iron supplement hi nangmah chauhin ei ngai suh. Hei hi a chhan chu he natna lai hian iron taksaah a khawlkhawm a, thir tam zawk dah belh chuan taksa tan a tichhe thei a ni.
Thisen tlakchhamna nasa tak nei te hian a chang chuan enkawlna dang an mamawh thei a:
- Thisen pek: Hei hi a rang thei ang bera tihdam theih a ni a, mahse hun rei tak chhunga tihdam theih a ni lo.
- Synthetic EPO therapy: EPO hi kal (kidney) atanga hormone siam chhuah a ni. Bone marrow chu "thisen sen siam" turin signal a pe a ni. He injection hi pek a nih chuan thisen zam (red blood cell) siam chhuah a tipung a ni.
- Iron tablets: A chang chuan, i doctor chuan EPO injection nen hian iron tablets pek che a tum mai thei a, mahse hei hi doctor enkawlna hnuaiah chauh tih tur a ni.
Heng anemia symptoms te avang hian i chau hle a, i stress nasa hle thei a, chubakah hun rei tak chhunga i damdawi lam dinhmun pawh a awm thei bawk. Mahse hre reng ang che, he natna hi a na lo fo va, a hnuaia natna awm chu enkawl a nih chuan a dam leh thin. I doctor nen i tana tha tur ei leh in leh nunphung thlak danglam chungchang sawipui a pawimawh.
Take-Home Thuchah a ni
- Anemia of Chronic Disease hi i ei leh in a iron tlakchhamna a ni lo. Hun rei tak natna avanga taksaa inflammation avanga lo awm a ni.
- Hei hi enkawlna tha ber chu i dinhmun hnuaia awm (e.g., arthritis, kidney disease) enkawl hi a ni.
- I hah lutuk, thawk hah, leh vun rawng i neih chuan doctor hnenah hrilh rawh.
- Damdawi lam thurawn tel lo chuan iron tablet hi eng thil vang pawha hman loh tur a ni. Hetiang a nih chuan taksa a tichhe thei a ni.
- I hriselna lama harsatna leh enkawlna zawng zawngte chu i doctor nen zalen takin sawipui rawh.
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