Anemia nen hian vun natna hi a awm em? Hei hi (Anemia Rash) chungchang a ni!

A châng chuan i taksaah i hrual a, i sen a, i taksaah hnah te te i nei em? Chutih rual chuan nunna nei lo leh chau reng rengin i inhria em? Hei hi i taksaa thisen tlakchham vang pawh a ni mai thei, chu chu thisen tlakchhamna (anemia) tihna a ni. Vawiin hian he thisen tlakchhamna avanga vun lama harsatna lo awm thinte kan sawi dawn a, a bik takin ‘Anemia Rash’ kan tih hi kan sawi dawn a ni. Lungngai suh, hei hi awlsam takin i hrethiam ang u.

Anemia chu eng nge ni? A awlsam zawngin i zawng chhuak ang u!

A hmasain, thisen tlakchhamna (anemia) chu eng nge ni tih i lo en ang u. A awlsam zawngin sawi ila, thisen tlakchhamna (anemia) chu i taksaa thisen sen (red blood cells) tlahniam tihna a ni. Heng thisen sen (red blood cells) te hi kan taksa pum puia oxygen phurtu an ni. Ngaihtuah teh, kan taksa peng tlemte tin hian hnathawh theih nan oxygen a mamawh vek a ni. Chuvangin heng thisen sen (red blood cells) te hi a tlahniam chuan taksa peng hrang hrangte hian oxygen an hmu tlem hle. Chutah chuan hah reng reng, khawsik tih, a chang chuan thawk harsa tih ang chi symptoms a lo lang thin. A chang chuan hetiang hian vun rawng i nei thei bawk. I hrethiam em?

Eng ang thisen tlakchhamna nge vun vun natna nena inzawm?

Anemia chi hrang hrang hian he vun natna hi a thlen vek lo. Mahse, he vun rawng nen hian thisen tlakchhamna chi hnih a awm a.

1. Aplastic thisen tlakchhamna (Aplastic Anemia).

Hei hi a buaithlak deuh a ni. Hemi kawngah hian thil thleng chu kan ruhro – ruh chhunga thisen siamtu ber – hian cell a siam tling lo tih hi a ni. Hei hian thisen zam (red blood cells) chauh ni lovin, natna dotu thisen var (white blood cells) te, thisen zam tura puitu platelet te pawh a tlahniam thei a ni. Hei hi dinhmun pawi tak a ni thei.

2. Iron tlakchham vanga thisen tlakchhamna

He thu hi i hre tawh mai thei. Hei hi thisen tlakchhamna chi khat a ni a, mi tam tak, a bik takin hmeichhia leh naupang tê tête a tuar a ni. Kan taksa hian hemoglobin siam nan iron an tih nutrient a mamawh a. Hemoglobin hi thisen sen chhunga protein awm, oxygen phurtu a ni. Chuvangin iron a tlem chuan taksain hemoglobin a siam tling thei lo va, thisen sen (red blood cells) pawh a tlahniam bawk.

He anemia rash hi engtiang chiahin nge a awm?

He anemia rash hi engtiang chiahin nge a awm tih hi a thlentu anemia chi hrang hrangah a inang lo.

• Aplastic Anemia hi a tlem hle . Zirchianna ṭhenkhat chuan kum tin khawvêl pumah mi maktaduai khat zînga mi pakhat aṭanga paruk chauh a nghawng niin an sawi. Chuvangin a dinhmun a tlem hle.
• Iron tlakchham vanga thisen tlakchhamna hi a tam ber a ni . Khawvel mihring 13% velin an nei nia chhut a ni a, a bik takin ram changkang zawkah te hian an nei nia chhut a ni.

Mahse thil pakhat hriat reng tur chu heng thisen tlakchhamna chi hnih vei zawng zawng hian he vun rawng hi an nei vek dawn lo tih hi a ni. Mi tin a inang lo thei.

Anemia Rash hi eng symptoms nge ni? Engtin nge i hriat chian?

Tunah chuan he anemia rash hi eng symptoms nge ni tih i lo en ang u. Heng symptoms te hi a rash thlentu tak tak anemia chi hrang hrang a zirin a danglam bawk.

• Iron tlakchhamna thisen tlakchhamna nei te hian natna nasa tak (pruritus) an nei fo thin . Hetianga a natna hian vun a sen a, blister ang maiin a siam thei a, a chang chuan a chhe thei a, a na thei bawk. He itching hi taksa khawi hmunah pawh a awm thei.
• Aplastic anemia nena lo chhuak rash hi vun hnuaia rawn lang, red emaw purple dots (petechiae) te te angin a lang tlangpui . Hengte hi pen tip hmanga ziah ang maia dot te te an ni. Heng dots te hi an inzawm khawm thei a, spot lian zawk an siam thei a ni. Mahse, hengte hi a tlangpuiin a hring emaw, a na emaw a ni lo .

Heng vun inthlak danglamna te hi taksa khawi hmunah pawh a thleng thei a, kut, ke, rilru, pum leh khawi hmunah pawh a thleng thei.

Engvangin nge he anemia rash hi a lo awm? A chhante chu engte nge ni?

Okay, chuti a nih chuan engvangin nge vun rawng hi hetiang hian a lo lang? Chumi chhan thenkhat chu han chhui ila.

• Iron Deficiency Anemia: Zirchiangtute chuan he itching hi engtin nge a awm tih hi 100% in an la chiang lo. Mahse theory lian ber pakhat chu iron level a hniam chuan vun a thim a, chu chuan vun atanga tui tam tak a chhuah tir thin tih hi a ni. Hei hian vun a ti vawt thei a , a ti na thei bawk . Vun chhunga nerve-a nghawng a neih vang pawh a ni thei tih ngaihdan a awm bawk.
• In Aplastic Anemia: Vun a inthlak chhan ber, chu chu red/purple dots (Petechiae) te hi platelet tlahniam vang a ni . Platelets hi thisen cell chi khat a ni a, thisen zam a pui thin. Hetiang dinhmun hi damdawi lam tawngin `(Thrombocytopenia) kan ti bawk. Chuvangin i platelet level a hniam chuan vun hnuaia thisen kalna kawng te tak te atang hian thisen thenkhat a chhuak tan thin. Chutiang chu chu red dots (Petechiae) te chu a ni. Chutiang a nih chuan awlsam takin i hliam thei a, hnar thisen a chhuak thei a, ha i sil laiin i hmui thisen chhuak ang chi thisen chhuahna dang i nei thei bawk .

Engtin nge hei hi anemia rash a ni tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

Okay, tunah chuan heng symptoms te hi i nei ta a, engtin nge anemia rash a ni tih chiang takin i hriat theih ang? Hemi atan hian doctor i hmuh a ngai a ni.

Doctor i hmuh hunah uluk takin an enfiah hmasa phawt ang che. I vun rawng leh i natna lan chhuah dan dang (chauhna, vun rawng hring ang chi) te an zawt ang. Tichuan, eng thil nge a natna thlentu dik tak hriat tumin test engemaw zat an ti leh thei ang:

• Complete Blood Count (CBC): Hei hi thisen tlakchhamna enfiahna atana test pawimawh ber leh bulpui ber a ni.. `CBC` hmang hian doctor ten i thisenah thil tam tak an zirchiang a, chu chu hemoglobin level, thisen sen zat, thisen var awm zat, leh platelet awm zat te hi a ni. Hei hian thisen tlakchhamna (anemia) i vei leh neih loh leh a nihphung chu a rough idea a pe thei a ni.
• Bone Marrow Biopsy: I doctor-in aplastic anemia i neih a rinhlelh chuan he test hian a nemnghet thei a ni. Bone marrow biopsy-ah chuan doctor chuan i ruhro sample tlemte, a tlangpuiin i hip ruh atanga lak niin, needle te tak te hmangin a la a, microscope hmangin a enfiah thin. Hei hi eng emaw chen chu test nuam lo tak a ni a, mahse natna hriat theihna atan chuan a pawimawh hle.

Hei hi engtin nge enkawl a nih?

Hemi enkawl hian doctor chuan i vun rawng chu a enkawl ang bawkin a chhantu thisen tlakchhamna pawh a enkawl ang , a chhan chu thisen tlakchhamna enkawl a nih chauhvin chu vun chu a dam kim ang.

• Iron tlakchham vanga thisen tlakchhamna avanga itching tan:
• I doctor chuan itching tihziaawmna turin topical corticosteroids a pe thei ang.
• A dang pawhin oral antihistamines pek theih a ni bawk.
• Iron supplement leh iron tamna ei tur (spinach, sa, leh legumes ang chi) hi thisen tlakchhamna enkawlna atan a tha hle.
• Thil na tak ṭhenkhatah chuan , thisen pek a ni thei bawk.
• Aplastic anemia avanga lo awm ``Petechiae'' rash tan chuan:
• Dot ang chi rash ``Petechiae'' tih hi enkawlna bik a awm lo. Mahse, doctor-te chuan a thlentu aplastic anemia chu an enkawl a ni.
• Aplastic anemia enkawlna ber leh hlawhtling ber chu ruhro (bone marrow transplant) hi a ni . Hei hian bone marrow cell chhia te chu lakchhuah a, cell hrisel (matched donor atanga) hmanga thlak a huam a ni.
• Chubakah chuan,
• Bone Marrow Stimulants: Hengte hian bone marrow tichakin thisen cell tam zawk siam turin hna an thawk a ni.
• Thisen pek dan: Red cell leh platelet level enfiah thin.
• Immunosuppressants: Heng damdawi te hi a chang chuan taksa ngeiin ruhro (bone marrow) a beih avangin pek a ni.

He anemia rash hi ven theih a ni em?

Hei pawh hi thil pawimawh tak a ni.

• Iron tlakchhamna thisen tlakchhamna hi a tam zawkah chuan iron tamna ei leh in inthlau tak ei hian a veng thei a ni . A bik takin nu naupai leh naupang puitlingte chu hemi chungchangah hian fimkhur a tul hle.
• Vanduaithlak takin aplastic anemia ven dan tur chiang tak a awm lo a , a chhan chu a thlentu thilte hi a buaithlak em em a ni.

Heng dinhmunte hi eng prognosis nge ni? (Prognosis) tih a ni.

He thu hi i hriat chuan i thlamuang hle mai thei. Iron deficiency anemia leh aplastic anemia te hi enkawl theih leh tihdam theih a ni a, a bik takin a hmaa hmuhchhuah leh enkawl a nih chuan. Heng thisen tlakchhamna te hi a lo tha chho zel a, i thisen tlakchhamna (anemia rash) pawh a lo tha chho zel bawk ang. Chuvangin, hlau suh, doctor rawn vat vat rawh.

Engtikah nge doctor i hmuh ngei ang?

Okay, chuvangin engtikah nge doctor i hmuh tur tih hi han sawi ila. I vunah danglamna i hmuh chuan doctor i pan ngei tur a ni, a bik takin vun rawng, hetiang hi:

• A chhan hriat loha lo thleng nghal a nih chuan.
• Taksa hmun zau takah a darh tawh a nih chuan.
• Kar hnih aia rei a nih tawh a, in lama enkawl (e.g., calamine lotion hnawih) a tawk lo a nih chuan.
• Chutih rual chuan, natna lan chhuahna thar a awm a nih chuan, hah fo, vun hring, thawk harsa, hliam awlsam, leh hnar emaw, hmui emaw thisen chhuak fo te hi a ni.

Pawimawh: Hriat reng tur chu, a châng chuan he itchy rash hi, leh chutiang pinpoint-like rashes (petechiae) lo lang chu, natna khirh zawk chhinchhiahna a ni thei. Chuvangin, iron deficiency anemia emaw aplastic anemia emaw symptom dangte nen rash i neih chuan, ngaihthah suh la, i doctor hnenah hrilh rawh . Chumi hnuah chuan i doctor chuan a chhan dik tak chu a hre thei ang a, enkawlna tur ruahmanna felfai ber a pe thei ang che.

A tawp berah chuan hei hi hre reng ang che ! (In lama hruai tur thuchah)

Hei hi kan sawi tawh atanga in lama i hruai theih thuchah pawimawh ber a ni.

I taksaah vun rawng i nei a, i taksaah hahna, vun rawng, thawk hah, leh hliam te ang chi symptoms i neih bawk chuan vun lama harsatna anga ngaih mai suh. A hnuaia awm, thisen tlakchhamna ang chi pawn lam chhinchhiahna a ni thei. Tunah chuan vun natna hi iron deficiency anemia leh aplastic anemia ang chi condition nen a awm thei tih i hre tawh a, chu chu a hmain kan sawi tawh a ni.

Chuvângin, heng chhinchhiahna pakhat emaw, a aia tam emaw i neih chuan, hlauthawng emaw, hlauh emaw loh a ṭha ber a, a rang thei ang bera doctor hmu la, thurâwn la rawh . Tichuan, a diagnosis dik tak a siam thei ang a, i mamawh enkawlna chu a tan thei ang. Heng natna tam zawk hi enkawl dan dik a nih chuan tihdam theih a ni tih hre reng ang che. I hriselna hi i tan a hlu em em a ni!

` Thisen tlakchhamna, thisen tlakchhamna, Vun natna, thisen tlakchhamna, Iron tlakchhamna, Aplastic Anemia, Petechiae, Red Blood Cells