I rilru a hah em em? Chau reng reng? Anemia a ni thei!

Nitin hna thawk thei lo khawpin i chau bawk em? Tlemte i che vel a nih pawhin i lu a buai em? A chang chuan i luak chhuak a, i rilru a rit a, i vun pawh a sen hmel em? Chûngte chu hahna pangngai mai ni lovin, anemia an tih, a nih loh leh damdawi lama kan tih ang chi natna chhinchhiahna pawh a ni thei bawk . Vawiin hian thisen tlakchhamna (anemia) chu eng nge a nih, a chhan, a lan chhuah dan, a enkawl dan leh enkawl dan tur kan sawi dawn a ni.

Anemia chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, thisen tlakchhamna chu i taksaa thisen sen zat a tlahniam emaw, i thisen sen i neihte a thawk tha lo emaw a ni . Heng thisen sen (red blood cells) te hian i taksa pum puiah oxygen an keng tel a ni. Chuvangin an tlahniam emaw, an hnathawh a tlahniam emaw chuan i taksa chhunga cell te hian an mamawh oxygen an hmu lo. Chutah chuan a hmaa kan sawi tawh ang khan i chau leh chau i ti tan ta a ni.

Anemia chi thenkhat chu rochun atanga lo chhuak a ni . Chu chu, thlah khat atanga thlah khata thlah kal zel, thlahtu (genetic factors) avanga lo awm an ni tihna a ni. Mahse, kan dam chhung hian chhan hrang hrang (acquired) vangin thisen tlakchhamna (anemia) a lo awm thei bawk .

Anemia hian kawng tam takin i nun a nghawng thei a ni. Anemia chi thenkhat chu a na vak lo va, rang taka enkawl theih a ni. Mahse, chi thenkhat, pianpui thisen tlakchhamna (congenital anemia) te hian dam chhung hriselna lama harsatna a thlen thei a ni. Anemia na tak chuan nunna a tichhe thei a ni . Tin, a chang chuan thisen tlakchham hi cancer ang chi natna khirh tak chhinchhiahna a ni thei bawk. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

He thisen tlakchhamna hi a awm fo em?

Ni e, hei hi a takah chuan i ngaihtuah aia tam zawk a ni. Mithiamte chuan khawvel mihring hmun thuma ṭhena hmun khat velin thisen tlakchhamna (anemia) an nei niin an sawi. Chuvangin, heng symptoms te hi i neih chuan nangmah chauh i ni lo tih hria ang che.

Thisen tlakchhamna (anemia) chhinchhiahna engte nge ni? Nang pawhin hengte hi i nei em?

Anemia chhinchhiahna ber chu hah lutuk leh hah lutuk hi a ni . Chumi awmzia chu i chau lutuk a, nitin hna pawh i thawk thei lo tihna a ni. Chu bakah, symptoms te pawh i nei thei bawk:

• A rilru a na
• Luak chhuak thei
• Hri kai fo thin (i immunity tlahniam vang) .
• Heart palpitations - i rilru a na ang maia hriatna.
• Lu na
• Pallor - Vun hi a tlangpui aia paler leh paler zawkin a lang.
• Pulsatile tinnitus (beng chhunga ri ri) .
• Thâwk lak tawi / thawk hah - thawhrimna tlemte pawh nise thawk harsa tih hriat.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a, thurawn lak a tha ber.

Engvangin nge he thisen tlakchhamna hi kan neih? A chhante chu engte nge ni?

Thisen tlakchhamna hi a chhan tam tak a awm a. Kan sawi tawh ang khan hengte hi chi hnih ah then theih a ni: acquired anemias leh inherited anemias .

Acquired Anemias te hi a awm thei

Hengte hi hmuh tam ber an ni.

• Iron-deficiency anemia: Hei hi thisen tlakchhamna chi khat a ni ber. Diet-a iron tlakchham vang emaw, hliam emaw natna avanga thisen chhuak vang emaw a ni thei.
• Natna khirh tak atanga thisen tlakchhamna: Natna rei tak i neih chuan, a bik takin natna khirh tak (e.g. arthritis) thlentu i neih chuan i taksain iron hman a harsat avangin thisen tlakchhamna i nei thei a ni.
• Autoimmune hemolytic anemia: Hei hi nangmah ngeiin i immune system-in i thisen sen (red blood cells) a rawn beih a, a tihchhiat hian a ni .
• Macrocytic anemia leh megaloblastic anemia: Heng chi hrang hrangah hian ruhro hian thisen sen lian tak tak, a pangngai lo takin a siam chhuak thin. Natna thenkhat leh vitamin tlakchhamna (a bik takin vitamin B12 leh folic acid) te hian hetiang hi a thlen thei a ni. Hei hi vitamin tlakchhamna thisen tlakchhamna (anemia) an ti bawk .
• Normocytic anemia: Hei hi thisen sen (red blood cells) awm zat chu a pangngai aia tlem zawkna a ni. Hei hian chhan tam tak a nei thei a ni.
• Pernicious anemia: Hei hi vitamin B12 tlakchhamna thlentu a ni bawk . Hei hi autoimmune condition a ni a, taksain vitamin B12 a hip thei lo.

Hei bakah hian natna khirh tak nei te chu:

• Autoimmune natna (e.g. lupus) .
• Ngawt
• Inflammatory bowel disease (IBD) (e.g. Crohn natna) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• Kal natna
• Liver natna
• Thyroid natna a ni

Inherited Anemias te hi a awm thei

Chungte chu nu leh pa atanga fate hnena genetically inherited a ni.

• Diamond-Blackfan anemia: Hemiah hian ruhro hian thisen sen (red blood cell) a siam tling thei lo.
• Fanconi anemia: Hei hi thisen lama natna awm lo tak a ni. Hetiang natna vei te hi thisen kaihhnawih natna, thisen tlakchhamna (anemia) te pawh an vei theihna a sang hle.
• Sickle cell anemia: Hei hi thisen sen (red blood cells) te pianzia inthlak danglamna a ni. Cell pangngai, zungbun, flexible tak tak ni lovin, cell khauh, sticky, sickle ang maia siam an lo ni ta zawk a ni. Heng cell te hi thisen kalna kawngah an tang a, thisen kalna tur an tikhawlo thin.
• Thalassemia: Hetiang dinhmunah hian taksain thisen sen (red blood cells)-a oxygen phurtu protein, hemoglobin a siam chhuah chu a tlahniam a. Chumi avang chuan thisen sen (red blood cells) te chu a te deuh a, thisen tlakchhamna (anemia) a thlen thin. Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm.

Anemia chi dang (nau piang emaw, a hnu lama lo awm thei) .

Anemia chi thenkhat chu rochun theih emaw, nakin lawka lo awm thei emaw a awm.

• Aplastic anemia: Hemiah hian ruhro (bone marrow) a stem cells te hian thisen cell (red cells, white cells, leh platelets) an siam tling lo.
• Hemolytic anemia: Hemiah hian thisen sen (red blood cells) te hi a chhe vek emaw, a tlangpui aia rangin an thi emaw a ni.
• Microcytic anemia: Hei hi thisen sen (red blood cells)-in hemoglobin a neih tlem avangin a pangngai aia te zawkin a siam a ni. Iron tlakchhamna nei, thalassemia, sideroblastic anemia, leh natna khirh tak tak nei thenkhatah pawh hmuh tur a awm bawk.
• Sideroblastic anemia: Hei hi thisen sen (red blood cells) siam chhuah laia iron hman dan pangngai lo avanga lo awm a ni.

Tunah chuan thisen tlakchhamna thlentu engzat nge awm tih i hrethiam tawh mai thei.

Engtin nge thisen tlakchhamna (anemia) i vei tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

Anemia symptoms i neih chuan doctor in i symptoms te a zawt hmasa ang che. Tichuan, thisen zam (anemia) hi thisen zam (red blood cells) tlakchham vang a nih leh nih loh hriat nân, doctor chuan thisen test vawi engemaw zât a ti ang . A bulpui berte chu:

• Complete Blood Count (CBC): He test hian i thisen chhunga cell chi hrang hrang, a bik takin thisen sen (red blood cells) te a en thin. Thisen sen zat, a lian leh te, leh a pianzia ang chi thil a hrilh thei che a ni. Vitamin B12 emaw B9 (folate) level enfiah nan pawh hman theih a ni.
• Hemoglobin test: Hemoglobin hi thisen sen (red blood cells)-a thil awm ber a ni. He test hi thisen tlakchhamna (anemia) hriat theihna turin an ti fo thin.
• Hematocrit test: Hei hian i thisen za zela engzat nge thisen sen (red blood cells) atanga siam tih a teh a ni.
• Peripheral blood smear: Hei hian i thisen sen (red blood cells) te chu microscope hmanga enin an lian leh te, an pianzia enfiah a huam a ni.
• Reticulocyte count: Reticulocyte hi thisen sen puitling lo a ni. He test hian i ruhro hian thisen sen hrisel tak tak a siam chhuak tawk em tih a enfiah thin.

Heng test result a\ang hian doctor chuan eng ang thisen tlakchhamna nge i neih tih leh a chhan dik tak a hriat chian ang.

Anemia hian harsatna dang a thlen thei em?

Ni e, thisen tlakchhamna hi enkawl tha a nih loh chuan, emaw, enkawl ni mahse a awm reng chuan (chronic anemia) hriselna lama harsatna (complication) thenkhat a awm thei a ni. Entir nan:

• Lung natna
• Lung lam chak lohna
• Organ tihchhiat a ni

Chuvang chuan thisen tlakchhamna (anemia) i vei nia i rinhlelh chuan Doctor hmuh a, a rang thei ang bera enkawl a pawimawh.

Anemia enkawlna tur engte nge ni?

Anemia enkawl dan hi thisen tlakchhamna i neih chi leh a chhan a zirin a inang lo. A châng chuan, thisen tlakchhamna hi a hnuaia awm dang a nih chuan i doctor chuan chu natna chu a enkawl ang. Chu bakah, thisen tlakchhamna (anemia) atana hman tur bik enkawlna a awm bawk. Chûng zîngah chuan ei leh in lama tihpunna , damdawi, leh damdawi lam thil ṭhenkhat pawh a tel thei .

Dietary Supplements te pawh a awm bawk

I doctor chuan hetiang supplement hi a rawn rawt thei ang:

• Iron supplement: Hengte hi capsule emaw tablet emaw angin a awm a , chu chu ka atanga i ei thin a ni. Tui glass khat nen i la thei bawk.
• Folic acid supplement: Vitamin B9, a nih loh leh folate hi kan taksa tana vitamin pawimawh tak a ni. Thisen sen (red blood cells) leh DNA, kan taksa siamtu bulpui ber siamnaah a pui a ni.
• Vitamin B12 supplement: Vitamin B12 hian thisen sen hrisel tak tak siam chhuah a pui a.

Pawimawh: Doctor rawn hmasa lovin he supplement hi nangmah chauhin ei suh. I doctor-in a tih ang chiah chiah, a zat leh a hun chhung zawngin ei rawh.

Damdawi chi hrang hrang

Doctor-te chuan thisen tlakchhamna chi hrang hrang tan hetiang damdawi hi an pe thei a:

• Erythropoietin: He damdawi hian ruh (bone marrow) thisen stem cell tam zawk siam turin a pui a.
• Immunosuppressants: Autoimmune disease avanga thisen tlakchhamna i neih chuan heng damdawi te hian i immune system in i thisen sen a beih loh nan a pui thin.

Damdawi lam kalphung

Thil engemaw takah chuan doctor chuan hetiang hi a rawt thei bawk:

• Thisen pek: Thisen sen (red blood cells) tlakchham tawhte thlak nan thisen thar pek.
• Stem cell (bone marrow) transplant: Hei hi thisen stem cell hrisel lo chu hrisel zawka thlak nan a ni. Hei hi natna khirh tak takah tih a ni.
• Inzai:Internal bleeding a awm chuan a tihtawp theih nan surgery tih theih a ni.

Keimah chauhin thisen tlakchham (anemia) hi ka tidam thei lo em ni?

A tam zawkah chuan thisen tlakchhamna (anemia symptoms) hi a na lo hle a, hun rei lote chhunga harsatna awm thei a ni. Doctor-in i natna lan chhuahna chhan chu thisen tlakchhamna (anemia) a nih thu a finfiah hnuah, i ei leh in thlak danglam emaw, a chunga kan sawi tak supplement ei emaw hmangin i enkawl thei mai thei

Mahse, hei hi a ni. Anemia symptoms hi natna dang symptoms nen a inang thei a. Entirnan, eng ang pawhin chawl mah la i chau a nih chuan thisen tlakchhamna (anemia) a ni lo thei.

So, kar hnih aia tam i taksaah hahna emaw, danglamna dang emaw i neih a, a reh loh chuan , doctor pan ngei ang che. Doctor chu i natna lan chhuah chhan dik tak zawng chhuak thei tur leh enkawlna dik tak pe theitu chu a ni.

Anemia vei chu nun pangngaiin a nung thei ang em?

I dinhmunah a innghat tak zet a ni. Enkawlna hian thisen tlakchhamna (anemia symptoms) a thunun thei a ni. Mahse, kan sawi tawh ang khan a chhan tam tak a awm. Thil engemaw, pianpui natna leh natna khirh tak tak te hi tihdam theih a ni lo. Enkawl loh, persistent anemia (chronic anemia) hian harsatna lian tak a thlen thei a, chutah chuan taksa peng hrang hrang a tichhe thei a ni . Chuvangin, thisen tlakchhamna (anemia) i neih chuan i doctor nen inbiakna neih a tha ber.

Anemia hi ven theih a ni em?

Iron-deficiency anemia, thisen tlakchhamna chi khat, iron -deficiency anemia hi nitin ei leh inah iron tamna ei tur telh hian i ven theih a ni. Thlai hnah hring, spinach leh kale, sa sen, bean hring, lentils, leh soy te hi iron awmna tha tak an ni vek a.

Amaherawhchu, thisen tlakchhamna chi dang, a bik takin pianpui atanga lo awmte chu kan veng thei lo.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

Anemia chi thenkhat chu hun rei lote chhung chauh a ni a, a na lutuk lo a, thenkhat erawh chuan dam chhung atan a nghawng thei che a ni. Mahse, i natna lan chhuah dan tur enkawl nan thil tlemte i tih theih a awm a:

• Ei leh in hrisel zawm rawh: Ei leh in \ha lo hi thisen tlakchhamna thlentu ber a ni fo. I doctor emaw nutritionist emaw hnenah iron tamna ei tur chungchang zawt la, i taksa mamawh nutrients i hmuh theih nan eng thil dang nge i ei tur tih zawt rawh.
• I doctor-in a hrilh ang chiah khan supplement pek che kha ei rawh.
• Tui tam tak in rawh: I taksa chu tui in tur a ni.
• Exercise: Nun hrisel nei tur chuan exercise hi a pawimawh hle. Mahse, thisen tlakchhamna (anemia) i neih avangin him taka exercise lak dan tur chungchangah doctor rawn la. Extreme exertion-ah kal nghal suh.
• Infection lakah inveng rawh: I kut sil fo la, uluk takin i silfai thin ang che. Viral leh bacteria infection laka invenna tur vaccine chungchang i doctor zawt la.

Engtikah nge damdawi lam thurawn ka lak ang?

Anemia i vei a nih chuan, enkawl laiin i natna a zual a nih chuan, emaw, natna lan chhuah thar ang maia i hriat chuan i doctor nen inbia ngei ang che.

Engtikah nge Emergency Room (ER) ah ka kal ang?

Anemia hian heart attack neih theihna a tipung thei a ni. Heng symptoms te hi i neih chuan 911 ah call nghal la, hospital emergency room hnai ber ah kal rawh :

• A rilru a na
• Thâwk harsa emaw, thawk harsatna emaw
• Chau
• Mut harsatna / mut theih lohna
• Nausea emaw stomach discomfort - A chang chuan heart attack hi gastritis emaw, pum na emaw ang maiin a awm thei.
• Lung na tak tak
• Lungkhamna emaw, “boralna lo thleng tûr” tih hriatna emaw .
• Thawmhnaw hak
• Feeling lightheaded , dizzy or passing out (Note: Hei hi Georgian tawnga lehlin a ni a , "feeling lightheaded, dizzy or passing out" tih thumal hi a ni ) - Correction: Lung hah, luak chhuak emaw, muhil emaw tih hi a ni

Doctor hnenah eng zawhna nge ka zawh ang?

Anemia hian i taksa hi kawng tam takin a nghawng thei a ni. Tin, chhan tam tak a nei thei bawk. Anemia i neih chuan i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng ang thisen tlakchhamna nge ka neih?
• Chumi chhan chu eng nge ni?
• Eng enkawlna nge i rawt?
• Engtikah nge ka rilru a hahdam tan ang?
• Eng chen nge ka enkawl a ngai dawn?
• Hei hi a dam kim thei ang em?

Heng zawhnate bakah hian rinhlelhna emaw zawhna i neih chuan doctor hnenah zawt la.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Anemia hi i taksain thisen zam (red blood cells) a neih tlem vang emaw, hna a thawh that loh vang emaw a ni. Mi thenkhatin an pianpui laiin, mi tam tak chuan nakin lawkah an nei ve tho. Chuvang chuan i taksa inthlak danglam dan hi en reng a pawimawh. Entîr nân, ni engemaw zât chu kan chau hlein kan inhria. Amaherawhchu, ni engemaw zat i chau a nih chuan eng ang pawhin hahchawlh mah la, i doctor nen sawipui a tha.

Chaw hrisel ei te, a tul chuan doctor-in a tih angin supplement ei te, leh damdawi lam enkawlna \ha tak te hian thisen tlakchhamna (anemia) a thunun thei a, a harsatnate a veng thei tih hre reng ang che I hriselna enkawl rawh!

` Thisen tlakchhamna, thisen tlakchhamna, hahna, thisen sen, Iron tlakchhamna, vitamin tlakchhamna