I thisen test result i hmu a, a chungah thu thenkhat i hmu a, ‘Hei hi eng nge a awmzia?’ tiin i hlauthawng deuh tawh em? A chang chuan kan hriat loh thumal kan hmuh hian tlem a hlauhthawn hi thil pangngai a ni. Chutiang thumal pakhat chu ‘Anisocytosis’ tih hi a ni. Thil pawi tak niin i ngai mai thei a, mahse a takah chuan i thisena thisen sen (red blood cells) te hi a lian leh te a inang lo tihna a ni a, chu chu a then chu a lian zawk a, thenkhat chu a te zawk tihna a ni.
‘Anisocytosis’ chu eng nge ni tak tak?
A awlsam zawngin sawi ila, ‘anisocytosis’ tih hi i thisen sen (red blood cells) te hi a lian zawng inang vek lo, mahse a lian leh te inang lo a nih chuan damdawi lam tawngkam a ni. A châng chuan, he i thisen sen lian leh te inthlauhna hi hrisêlna lama harsatna awm thei chhinchhiahna a ni thei bawk. Hetiang dinhmun hi thisen test i neih hunah chauh i hre thei ang.
‘Anisocytosis’ tih thumal awmzia hi a awlsam zawka hrethiam tur chuan han then darh ila, kan ti ang em?
- Aniso tih awmzia chu ‘uneven’ emaw ‘not the same’ emaw tihna a ni.
- Cytosis hi cell (he thu-ah hian a bik takin thisen sen (red blood cells) nena inzawm thil a ni.
Tichuan an pahnih hi an inzawm khawm chuan ‘uneven cells’ tihna a ni tih hi a awmzia a awm a ni lawm ni?
A tlangpuiin mi hrisel thisen sen (red blood cells) te hi a lian leh a pianzia inang vek (disk round te tak te ang mai) a ni tur a ni. Thisen sen (red blood cell) hian hetiang hi a pianzia leh a lian zawng bik hi a nei a, a chhan a awm. Chumi avang chuan a hna ber a thawk thei a, chu chu kan taksa pum puia cell-a oxygen phurh hi a ni. He oxygen hi kan taksa peng hrang hrangte hnathawhna atana an mamawh chakna petu a ni.
Chuvangin, i thisen sen (red blood cells) te hian hetiang chiah hian an lian leh te inthlauhna (anisocytosis) an neih chuan oxygen an phur tha thei lo mai thei tihna a ni. Hei hian thisen tlakchhamna ang chi dinhmun a thlen thei a ni . A châng chuan thisen zam (red blood cells) hian an pianziaah pawh a inmil lo thei a, chu chu ‘poikilocytosis’ an ti a ni.
Thisen sen (red blood cell size) a inthlak danglamna te chu engte nge ni?
Anisocytosis i neih chuan i thisen sen chu thisen sen pangngai aiin a te emaw a lian emaw a ni thei.
- Macrocytosis tih awmzia chu i thisen sen (red blood cells) chu a tlangpui aia lian zawk tihna a ni.
- Microcytosis tih awmzia chu i thisen sen (red blood cells) chu a tlangpui aia te a ni tihna a ni.
A châng chuan, cell lian leh te inzawmkhawm a awm thei bawk.
A pawimawh ber chu heng thumal (Macrocytosis, Microcytosis) te hi sawifiahna chauh a ni. Anisocytosis hi damdawi lam dinhmun enkawl ngai chhinchhiahna a ni thei a, a ni lo thei bawk. Chuvangin he hming i hriat hian hlauthawng suh.
Anisocytosis natna lan chhuah dan chu engte nge ni?
Tunah chuan, ‘Awle, thisen zam (red blood cells) lian tham tak a inthlak chuan eng nge thleng thin? Eng symptoms nge ka tawn ang?’ a ti a. Vawi tam tak chu he natna lan chhuah dan hi thisen tlakchhamna (anemia) nen a inang tlangpui. Chung zingah chuan:
- Chak lohna emaw, chau tih hriat reng reng emaw.
- Thâwk harsa (thâwk hrual ang chi) (Dyspnea).
- Thinlung thawk chak emaw, mumal lo emaw (Arrhythmia).
- A chang chuan beng chhunga "ringing" ri hriat (Pulsatile tinnitus).
- Lu na.
- Luak chhuak thei.
- Vun dum (pale skin) a ni.
- A rilru a na.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a pawimawh.
Anisocytosis hi engte nge ni?
Anisocytosis hi thisen tlakchhamna chhinchhiahna a ni fo thin. Anemia hi a chhan hrang hrang a awm a. Anisocytosis hi damdawi lam thil dang, thisen tlakchhamna nena inzawm lo vang pawh a ni thei.
Anisocytosis nena inzawm thei thisen tlakchhamna chi hrang hrang:
- Autoimmune hemolytic thisen tlakchhamna (anemia) a awm
- Iron tlakchhamna avanga thisen tlakchhamna
- Megaloblastic thisen tlakchhamna (anemia) a awm
- Thisen tlakchhamna (pernicious anemia) a awm
- Sickle cell atanga thisen tlakchhamna
- Sideroblastic thisen tlakchhamna (anemia) a awm
Naupai laiin thisen tlakchhamna (anemia) a awm fo thin . I thisen test ah anisocytosis a awm thei. Hei hi i taksain thisen zam (red blood cells) siam nan iron a mamawh vang a ni. Nang leh i naute pahnih hian iron tam tak in mamawh a, chuvangin a chang chuan ei tur ringawt pawha ei tur tam tak hmuh a harsa thei hle. I doctor chuan diet emaw iron supplement emaw a rawn rawt thei che a ni.
Anisocytosis nena inzawm thei dinhmun dang:
- Colon cancer a ni
- Lung natna
- Hriselna atanga lo piang chhuak spherocytosis
- Kal natna
- Liver natna
- Myelodysplastic natna (Myelodysplastic) natna a ni
- Myelofibrosis natna (Myelofibrosis) a awm
- Thyroid natna a ni
- Thalassemia natna a ni
Chu bâkah, thisen test result-ah chuan thisen pek hnuah anisocytosis a awm thei bawk . Hetiang dinhmun hi damdawi thenkhat vang pawh a ni thei .
Anisocytosis hian harsatna a thlen thei em?
Anisocytosis thlentu underlying condition hi enkawl loh chuan complication thenkhat a awm thei. Entîr nân, thisen tlakchhamna chi ṭhenkhat chuan taksa peng hrang hrang a tichhe thei a ni . Naupang tê tête thisen tlakchhamna (anemia) enkawl loh chuan an ṭhanlenna chu a tlai thei .
Naupai lai hian thisen tlakchhamna na lo (mild anemia) hi a awm fo nachungin, thisen tlakchhamna nasa tak hian enkawl loh chuan nau piang hmasa ang chi harsatna a thlen thei a ni.
I doctor-in i thisen sen (red blood cell size) a inthlak chhan a hriat chian hnuah, harsatna i neih loh nan a tul angin enkawlna a pe ang che.
Engtin nge Anisocytosis hi an hriat theih?
Doctor-te chuan anisocytosis hriat theihna atan heng test zinga pakhat emaw pahnih emaw hi an hmang thei ang:
- Thisen chhiar kimchang (CBC) leh thisen sen insem darh zau zawng (RDW):
Full blood count (CBC) hi thisen test pangngai, doctor ten i thisen cell te enfiah nan an tih thin a ni. RDW value an tih value bik a en thin. Hei hian i thisen sen (red blood cells) te hian size hrang hrang engzat nge an neih tih a teh a ni. A tlangpuiin he RDW value hi 12% leh 15% inkar a ni tur a ni. Chu aia sang chuan i thisen sen (red blood cells) te chu a tlangpui aia danglamna a awm tihna a ni.
- Peripheral blood smear (PBS) hmanga enkawlna: 1.1.
He test (PBS) ah hian lab technician chuan i thisen sample chu glass slide-ah a hnawih a, microscope hmangin a en a. Hei hian thisen sen (red blood cells) a size danglamna chiang takin a hmu thei a, ‘anisocytosis’ a hmu thei bawk.
Anisocytosis awm chhan hriat nan test dang neih belh leh a ni
I doctor chuan i red blood cell count tihdanglam chhan dik tak hriat tumin test tam zawk a nei thei ang. I natna lan chhuah dan te, damdawi emaw supplement i ei te, i chhungkaw damdawi lam dinhmun te a zawt ang che. I ei leh in chungchang pawh a zawt thei bawk.
Heng thilte hi an check mai thei:
- Vitamin B12 leh folate level: Heng nutrients te hi taksain thisen sen hrisel tak siam nan a pawimawh hle.
- Iron level: Iron hi thisen sen hrisel siam chhuah nan a mamawh bawk.
- Ferritin levels: Ferritin hi protein pakhat, iron khawlkhawmtu a ni.
- Liver function: Liver hian thisen sen hrisel siamna atana mamawh ei tur tha tak tak a hip lut a.
A tul chuan Doctor pawhin test dang a ti leh thei bawk.
Anisocytosis hi engtin nge enkawl a nih?
Hei hi enkawl dan tur chu thisen sen (red blood cell size) a inthlak chhanah a innghat a ni. Enkawlna tur hrang hrang chu :
- A chhan chu ei leh in lama tlakchham vang a nih chuan vitamin B12 leh folate supplement pek hi ngaihtuah rawh .
- Thisen pek hi rochun natna thenkhat, sickle cell natna ang chi te tan a ni.
- Thisen sen (red blood cells) siam chhuah kawngah harsatna a awm chuan, .Bone marrow thlak danglam a ni. Kan thisen sen (red blood cells) te hi ruhro (bone marrow) ah a lo piang chhuak thin a. Myelodysplastic syndromes emaw cancer chi hrang hrang emaw avanga anisocytosis i neih chuan he enkawlna hi a tul mai thei.
‘Anisocytosis’ natna hi eng nge a nih?
A tam zawkah chuan anisocytosis thlentu hi tihdam emaw, enkawlna hmanga tihdam emaw theih a ni. Mahse, natna ṭhenkhat, cancer ang chi, leh hun rei tak chhûnga natna, sickle cell natna ang chite chu enkawl chhunzawm zel leh uluk taka enkawl a ngai a ni .
Zirna thenkhatah chuan anisocytosis hi natna thenkhat nasat dan tur hmahruaitu a ni thei tih hmuhchhuah a ni. Anisocytosis avanga natna zual thei te chu:
- Covid-19 (COVID-19) a awm tawh lo.
- Lung natna
- Kal natna
- Liver natna
- Thai
Heng thisen sen zat dik lo leh natna nasat dan inzawmna dik tak hriat chian nan zirchianna tam zawk neih a ngai a ni.
Anisocytosis hi a veng thei ang em?
Hemi thlentu zawng zawng hi kan dang thei lo.
Mahse, i ei leh inah nutrient dik tak i luh chuan anisocytosis nena inzawm natna thenkhat, a bik takin:
- Vitamin B12: Bawnghnute leh sa thenkhatah a awm. Cereal thenkhatah pawh vitamin B12 dah tel a ni bawk.
- Folate: Thei, thlai, nut, leh legumes thenkhatah a awm. Cereal thenkhatah pawh folate an dah tel bawk.
- Iron: Sa, bean leh thlai thenkhatah a awm. Chhang leh buhfai thenkhatah pawh thir dah tel a ni bawk.
Engtikah nge Doctor ka hmuh ang?
Thisen tlakchhamna (anemia symptoms) i neih chuan, chau reng reng, thawk harsatna emaw, vun hring emaw i neih chuan doctor pan ngei ngei tur a ni. Tin, kum tin thisen test te pawh hi skip suh, hriselna lama harsatna thup awm apiang hriat hmasakna a pui thei a ni.
A tawi zawngin (Take-Home Message) .
‘Anisocytosis’ tih thumal i hriat hian hlauthawng suh. Diagnosis serious tak a ni lo. I thisen sen (red blood cells) te hian an lian zawng a inang lo tihna mai a ni. I thisen zam (red blood cell size) a inang lo thei chhan tam tak a awm thei. I doctor nen thawk ho la, a chhan chu eng nge ni tih hre rawh. ‘anisocytosis’ hi damdawi lam dinhmun chhinchhiahna a nih chuan i doctor chuan tanpui thei tur enkawlna a rawn rawt ang che. A pawimawh ber chu hlauthawng lo leh doctor thupek zawm hi a ni.
` Anisocytosis, Thisen sen, thisen tlakchhamna, Thisen test, RDW, Anisocytosis, Symptoms
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