Anemia of Chronic Disease (ACD) chungchang hi i zir dawn em ni?

Zunthlum, ruh natna, kal natna, emaw, natna khirh tak dang i nei em, chu chuan i chau a, i rilru a hah em? I natna vang niin i ngai mai thei. Chu thawnthuah chuan thudik engemaw zat a awm a, mahse chhan dang a awm thei bawk. Chu chu vawiina kan sawi tum chu a ni. Hetiang dinhmun hi ‘Anemia of Chronic Disease’ emaw ‘Anemia of Inflammation’ emaw kan ti thin. A awlsam zawngin, hun rei tak natna avanga thisen tlakchhamna a ni.

‘Anemia of Chronic Disease’ hi eng nge ni tak tak?

Okay, hei hi a awlsam zawngin han sawi ila. Anemia, a nih loh leh thisen sang hniam hi thisen zam (red blood cells) tlem kan neihna a ni. Heng thisen sen (red blood cells) te hian kan taksa pum puiah oxygen an phur a. Chuvangin an hniam chuan chau leh nunna nei loin kan inhria.

‘Anemia of Chronic Disease’ an tih dinhmunah chuan thla thum aia rei natna lo awm tawh avanga taksa chhunga chronic inflammation awm hian kan taksain thisen sen siamna atana iron mamawh chu a hmang thei lo.

Hetiang hian han ngaihtuah teh. In sakna tur cement, brick, leh thir bar zawng zawng kan nei vek a. Mahse hnathawkte hian harsatna engemaw zat an nei a, chu thilte chu hnathawh nan an hmang thei lo. Hetah pawh hi chutiang chu a ni. Kan taksaah iron nei mah ila, hun rei tak natna avanga inflammation avang hian chu iron chu taksain thisen sen thar siam nan a hmang thei lo. A tam zawkah chuan hei hi thisen tlakchhamna na lo tak, chutiang na lo tak a ni.

He natna hi tuin nge vei tam ber?

A hming ang bawkin he thisen tlakchhamna hi hun rei tak (chronic) damdawi lam harsatna nei apiangah a awm thei a ni. Mahse, kum 65 chunglam zingah a tam hle a, he thisen tlakchhamna thlen thei damdawi lam thil pawimawh engemaw zat a awm. Eng nge an nih i en ang u.

Engvangin nge he natna hian thisen tlakchhamna (anemia) a thlen? Taksa chhungah eng thil nge thleng tak tak?

Hei hi thawnthu ngaihnawm tak a ni. Kan taksaa thisen sen (red blood cell) dam rei zawng chu ni 120 vel a ni. Heng thisen zam hlui te hi an thih hnu hian kan taksa hian a chhunga thir awmte chu recycle-in thisen sen thar siam turin a fing hle a ni. Kan ruhro hi he hna thawhna bulpui ber a ni.

Mahse a chunga kan sawi ang natna rei tak i neih chuan kan taksaa thil thenkhat chu inflammation lo awm thin avang hian a danglam thin.

1. Thir chu a tlakbuak a:Kan immune system-a special cells macrophages an tih te hian thisen sen hlui atanga iron chu hman nawn nan an dahkhawm thin. Mi pakhatin an mamawh thil thenkhat chu cupboard-ah a dah a, a chabi a hloh ang mai a ni. Taksa hian iron nei mahse, ruhro hian thisen sen thar siam nan a hmang thei lo.

2. Red blood cell siam chhuah a tlahniam: Inflammatory condition avang hian ruhro atanga thisen sen thar siam chhuah rate pawh a tlahniam deuh thei bawk.

3. Red blood cells dam chhung hi a tawi: A chang chuan, red blood cells siam tharte dam chhung hi ni 120 aia rei lo a ni thei.

Heng zawng zawng hi a inzawm khawm chuan kan taksaa thisen sen hrisel tak tak awm zat hi a tlahniam zauh zauh a, thisen tlakchhamna (anemia) a thlen a ni.

Eng nge a lan chhuah dan? Hetiang dinhmun hi i nei tih i ring em?

‘Anemia of Chronic Disease’ symptoms hi iron deficiency anemia pangngai nen a inang hle. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mi dangte chuan exercise ang chi stress hun lai chauhvin heng symptoms hi an nei thei a ni. Symptoms nei chuan hetiang hian a nei thei:

• Chauhna nasa tak leh chak lohna hriat reng reng. I chau lutuk a, ni khata hna pangngai pawh i thawk thei lo mai thei.
• A chang chuan thawk hah lutuk , tlem kal lai emaw, stairs chhoh lai emaw pawh nise.
• I vun, a bik takin i hmai, i kutphah leh i hmui chu a sen hmel hle.
• Chhan bik nei lovin thawk hah.
• Luak hah, muhil tih hriat.
• Lu na fo thin.

Hun rei tak natna nei tawh nen hetiang symptoms i neih chuan doctor nen hemi chungchang hi sawipui a pawimawh hle.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor hmu tura i kal hunah i symptoms leh natna dang i neih te a zawt ang che a, a enfiah ang che. Chumi hnuah chuan thisen test eng emaw zat a ti ang a, eng ang thisen tlakchhamna nge i neih tih chiang takin a hre ang. Heng thisen test te hian he natna hi a hriatchhuah tir thin.

Thil bik ṭhenkhatah chuan doctor chuan thu belhchian dawl zawk a mamawh chuan ruhro biopsy neih a rawt thei bawk a, chu chu ruhro sample tlemte la a, test a ngai a ni.

Hei hi eng enkawlna nge ni?

Heta thil pawimawh leh lungawithlak ber chu a tam zawkah chuan he thisen tlakchhamna hi tihdam theih a ni.

Mahse, a châng chuan thisen tlakchhamna a nasat chuan, emaw, cancer emaw, kal natna emaw ang chi natna a awm chuan doctor chuan enkawlna dang ṭhenkhat a rawt thei bawk.

• Thisen pek: Thisen pek hi thisen pek hi hun rei lote chhunga thisen pek hi a ni thei a, thisen tlakchhamna a nasat em avangin an tuar thei lo. Amaherawhchu, hei hi tih chhunzawm zel theih a ni lo.
• Synthetic EPO Therapy: Kan kal hian hormone `(Erythropoietin - EPO)` tih a siam chhuak a. Hei hian ruhro chu "thisen sen thar siam" turin signal a pe a ni. Natna thenkhatah chuan he hormone siamchhuah hi a tlahniam thin. Chutiang a nih chuan he hormone hi pawn lam atanga injection angin pek a ni.
• Iron Supplements: A chang chuan, a bik takin EPO enkawlnaah chuan i doctor chuan iron supplement emaw injection emaw pek che a tum mai thei.

Mahse hei hi hre reng ang che! Damdawi dawr atanga iron tablet ei tan ngai suh, thisen tlakchhamna (anemia) i nei nia i ngaih avangin. Hei hi a chhan chu ‘Anemia of Chronic Disease’ ah chuan taksain thir a nei thei a, mahse buaina chu hman theih a nih loh vang a ni. Chutiang hunah chuan taksaa thir tam zawk dah belh hian harsatna dang a thlen thei a ni. Chuvangin doctor-in a tih angin a enkawl dan tur chu ei fo ang che.

A hlauhawmna tihziaawmna turin eng nge kan tih theih ang?

Natna khirh tak i neih chuan thisen tlakchhamna (anemia) a awm loh nan i veng kim thei lo mai thei. Mahse, hriselna pum pui tha neih hian i hlauhawmna a tihziaawm thei a, thisen tlakchhamna a lo awm a nih chuan a nghawng pawh a ti tlem thei bawk. Chumi atan chuan chaw tha ei hi a pawimawh hle.

• Protein tha lo tak tak, vawk, sangha, bean, leh lentils te ei thin ang che.
• I eitur ah hian dark green vegetables leh herbs te, spinach leh kale te pawh telh fo ang che.
• Thir hmanga siam chhang leh cereal thlang rawh.
• Vitamin B12 leh folate ang chi ei tur tha tak tak ei thin ang che.

Pawimawh: Doctor-in a rawt loh chuan vitamin emaw iron supplement emaw chu nangmah chauhin ei suh.

Natna khirh tak nen i khawsa tawh a nih chuan thisen tlakchhamna (anemia) hmachhawn tur chuan phurrit dang ang maiin i hria thei. Chu chu thil pangngai a ni. Mahse a tha ber chu he natna hi a na lo fo thin a, a hnuaia natna awm chu enkawl a nih chuan a tha zawk thin. Enkawlna i zawh hnuah, i doctor nen nunphung inthlak danglamna, ei leh in leh exercise te, he natna lo awm leh theihna tur tihziaawmna tur chungchang sawipui rawh.