I thisen pawh awlsam takin i chhuak em? I bruise awlsam em? Bleeding Diathesis chungchang hi i zir dawn teh ang!

A chang chuan i ngaihtuah aiin thisen chhuak tam zawk angin i inhria em, cut tlemte atang pawhin? A nih loh leh blue leh bruise mai mai i ni em? A nih loh leh ha i sil hian i hmuiah thisen a chhuak fo em? Heng thilte hi i tawn chuan a tlangpui aia thisen chhuah duhna i nei thei bawk . Vawiin hian he natna (Bleeding Diathesis) chungchang kan sawi dawn a ni. Lungngai suh, hei hi fimkhur a pawimawh hle.

Hei hi eng nge ni (Bleeding Diathesis), Doctor?

A awlsam zawngin sawi ila, Bleeding Diathesis hi i taksain a thisen a chhuah awlsam zawk leh a pangngai aia tam a chhuah theihna tur a ni. "Diathesis" tih thumal hi Greek tawng atanga lo chhuak a ni a, chu chu dinhmun engemaw takah awm duhna tihna a ni.

He thisen chhuahna hi chhungril (internal bleeding) emaw pawn lam (external bleeding) emaw a ni thei. Internal bleeding chu kan hmuh theih loh thisen chhuahna a ni. Pawn lam thisen chhuak chu hliam atanga thisen chhuak a ni. A châng chuan, chhan hriat lohvin i hliam thei bawk. Hei hi chhan tam tak a awm thei. Thisen lama harsatna emaw, genetic condition emaw pawh a ni thei. Thu lawmawm tak chu doctor-te chuan he thisen chhuahna hi an control thei a, a chhan bulpui (underlying condition) chu an enkawl thei a ni.

Engtin nge hetiang thil hi ka chungah a thleng tih ka hriat theih ang? Eng nge a lan chhuah dan?

Bleeding Diathesis tih natna i neih chuan i hliam emaw, thisen a chhuak emaw awlsam hle. A hnuaia symptoms te hi i nei em tih enfiah rawh:

• Bleeding gums: I ha inkar i brush emaw floss emaw i tih hian i toothbrush emaw floss emaw ah thisen i awm em? Hetiang hi a thleng fo em?
• Thisen chhuak tam lutuk: I beisei aia tam i thisen chhuak em, hliam tenau tak i neih atang pawhin? A nih loh leh thisen chhuah kha tihtawp a harsa em? Nau neih hnu emaw, operation hnu emaw ang chi, a tlangpui aia tam thisen i chhuak em?
• Menorrhagia: Thla tin i period hi ni engemaw zat a awm em? A tlangpuiin a rit zawk em ? Thisen zam lian tak tak a awm em?
• I ruh chhunga thisen chhuak (Hemarthrosis): I khup emaw, i kephah emaw ang chi ruh chu a lo hring nghal a, a na a, khawih pawhin a lum ang tih han ngaihtuah teh? Hei hi ruh chhunga thisen lut vang a ni.
• Black stools (Melena): I stools hi a dum dum, tar ang mai a ni em? Hei hi i chaw ei kawng chunglam, i chaw kawng emaw, i pum emawa thisen chhuak chhinchhiahna a ni thei.
• Vun chunglama sen te te `(Petechiae)`: I vunah, a nih loh leh vun hnuaiah emaw, pin te tak te in a hliam ang maia lang, sen te te i nei em?
• Vun hnuaia thisen chhuak `(Purpura): Vun hnuaiah hian thisen kalna kawng te tak te atanga thisen chhuak ang maia lang sen, sen hring, sen hring emaw a awm em? Chungte chu `Petechiae` aiin a lian deuh hlek a ni.
• Hnar thisen chhuah chhan awm lo (Epistaxis):I ding mai mai lai pawhin i hnar a thisen chhuak em? A chang chuan thisen a chhuak nasa lutuk a, tihtawp a harsa em?

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih fo chuan doctor pan a, thurawn lak a pawimawh hle.

Engvangin nge hetiang hian thisen kan chhuah tam zawk? A chhan engte nge ni?

A tam zawkah chuan thisen chhuahna diathesis hi a hnuaia damdawi lam dinhmun avanga lo awm a ni. Doctor-te chuan heng chhante hi chi hrang hrangah an then a. Eng nge an nih i han thlir teh ang.

Thisen chhuahna lama harsatna awm thei

Chumi awmzia chu i thisen chu a pangngaiin a clot lo va, chuvangin a pangngai aia tam thisen i chhuak tihna a ni. Hei hi entirnan:

• Fibrinogen tlakchhamna dinhmun: Fibrinogen hi protein a ni a, thisen a tikhawlo thei a ni. Doctor-te pawhin clotting factor emaw coagulation factor emaw an ti bawk. I taksaah fibrinogen i neih tlem chuan emaw, fibrinogen i neih kha a thawk tha lo a nih chuan awlsam takin thisen i chhuak thei emaw, thisen i chhuah chu i titawp thei lo emaw a ni thei.
• Hemophilia: Hei hi natna hmuh tur awm lo, genetic disease a ni a, thisen pawh a ti tha lo hle bawk.
• Liver natna: Liver natna a zual zel chuan thisen chhuah leh hliam tam lutuk a awm thei. Hei hi a chhan chu thisen zamna atana thil tul thenkhat chu thin (liver) atanga siam a nih vang a ni.
• Von Willebrand natna: Hei hi thisen zam tichhe thei, hemophilia nen a inang a, mahse a tam zawk.

Thisen zam natna dang

Thisen zam (blood clotting disorder) thenkhat a awm a, chu chuan taksain a tul lova thisen a siam tir thin. Mahse mak tak maiin, a chang chuan heng dinhmunte hian thunun lohvin thisen a chhuah thei a ni. Hei hi thisen zam chhuahna atana mamawh clotting factors te hi hmanral lutuk vang a ni. Entirnan:

• Disseminated Intravascular Coagulation (DIC): Hei hi natna khirh tak a ni. Damdawi lam natna khirh tak dangte complication angin a thleng thin. Enkawl vat loh chuan nunna atana hlauhawm a ni thei.
• Thrombocythemia: Hetiang dinhmunah hian i thisen platelet te chu a thawk tha lo hle a, hei hian a chang chuan thisen a chhuah nasa lutuk thei bawk.

Platelet lama harsatna awm thei

Platelets hi hliam i neih chuan thisen chhuah tihtawp nana puitu cell a ni. Heng platelet te hi harsatna a awm thei bawk.

• Thrombocytopenia: Hei hi thisen platelet tlahniam a ni. Hei hian hliam awlsam tak a thlen thei a, thisen chhuah tihtawp a ti harsa thei bawk.
• Thrombocytosis (thrombocytosis) atanga lo chhuak a ni.Hei hi thisen a platelet a pun chhoh vang a ni. Hei hian thisen zam dan pangngai lo leh a chang chuan thisen chhuahna a thlen thei bawk.

Vascular Bleeding Disorder awm thei te

A châng chuan thisen chhuah chhan hi thisen ngeia buaina ni lovin, thisen kalna vein (thisen kalna kawng)-a chak lohna vang a ni zawk.

• Cryoglobulinemia: Hei hi natna pawl hrang hrang vasculitis an tih, thisen kalna kawng a ti na a ni. Purpura (vun hnuaia thisen chhuak) a thlen thei.
• Hereditary Hemorrhagic Telangiectasia: Hei hi thlahtute atanga lo chhuak a ni. Thisen kalna kawng siam danah chhiatna a keng tel a ni.
• Vascular Ehlers-Danlos syndrome: Hetiang dinhmunah hian thisen kalna kawng a chak lo hle a, awlsam takin a chhe thei a ni. Hei hian taksa chhungah thisen chhuah hlauhawm tak a thlen thei a, chu chu stroke ang chi hi a ni.

Engtin nge doctor hian hei hi a hriat chian tak tak?

Heng symptoms nei doctor i pan hunah chuan i symptoms te chu a zawt hmasa ang che. Eng chen nge i neih tawh a, eng ang taka na nge an nih. Tichuan physical exam an ti leh ang. Damdawi lam harsatna dang i neih leh neih loh leh i chhungte zingah hetiang thisen chhuahna lama harsatna nei tawh leh awm loh an zawt bawk ang. Chu bâkah, test ṭhenkhat an ti thei bawk a, chungte chu:

• Complete Blood Count (CBC): Hei hian thisen chhunga cell chi hrang hrang (red cells, white cells, leh platelets) awm zat a tehna a ni.
• Peripheral Blood Smear (PBS): Hei hian thisen sample chu microscope hmanga en a, cell awm dan leh a lian leh te enfiah a ni.
• Prothrombin Time (PT) test: Hei hian thisen a zam theih hun chhung a tehna a ni.
• Partial Thromboplastin Time (PTT) test: Hei hi thisen zam theih dan tehna test dang a ni.

Heng test hmasa ber result a\ang hian doctor chuan natna bik a rinhlelh chuan specialized test tam zawk a order thei a ni. Entirnan, hemophilia ang chi natna a awm nia rinhlelh a nih chuan fibrinogen ang chi thisen zamna (blood clotting factors) test turin a ti thei a ni. Hematologist hnenah pawh refer i ni thei bawk.

Hei hi eng enkawlna nge ni?

Enkawlna chu i thisen chhuahna diathesis chhan a innghat a ni. Mahse, a hmasain doctor-te chuan thisen chhuah dan thunun an tum ang. I thisen hloh thlak nan thisen pek emaw, plasma infusion emaw an pe thei che a ni. Chutiang a nih chauh chuan a hnuaia dinhmun chu an enkawl ang.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Thisen chhuahna diathesis thlen thei dinhmun tam tak a awm avangin beisei tur dik tak sawi a harsa hle. Condition thenkhat chu chronic a ni. Hei hian an dam kim thei lo tihna a ni a, mahse an natna lan chhuah dan (thisen chhuak ang chi) control thei tur enkawlna a awm. I dinhmun, i natna hmuhchhuah leh i enkawl dan azirin i prognosis a inang lo ang. Chuvangin, i doctor hi hemi chungchang sawipui tur tha ber a ni ang.

Engtin nge ka in enkawl ang?

Bleeding Diathesis hi damdawi lam dinhmun hnuaia awm vang a ni fo thin. Chuvangin, i neih chuan, i hriselna zawng zawng vawng reng tura i tih theih tur thenkhat chu hetiang hi a ni:

• I enkawl dan tur dik takin zawm rawh: I doctor-in a pek damdawi zawng zawng chu a hun takah ei vek tur a ni.
• Medical checkup ruat saah tel rawh: I doctor chuan appointment a ruahman ang che. Nitin amah hmu turin kal rawh. Chutiang chuan i hriselna te, i natna awm dan te, i enkawlna a thawk tha em tih te a enfiah thei ang.
• Hrilhfiahna i hmuh chuan i doctor hnenah hrilh rawh: I appointment leh tur chu nghak suh la, natna lan chhuahna thar i hmuh chuan i doctor hnenah hrilh nghal rawh, chu chu hliam thar emaw thisen chhuah emaw a ni. Hei hi i dinhmun a chhe zual zel tih chhinchhiahna a ni thei.
• Nunphung inthlâk danglamna ṭhenkhat ngaihtuah rawh: I doctor chuan thinlung ṭha ei tûr zawm tûr te, meizuk bânsan tûr te, leh lungkhamna thunun tûr te a hrilh thei che a ni. Heng thilte hian i hriselna zawng zawng humhim turin a pui thei a ni.
• Exercise neih fo : Exercise hian stress tihreh nan a pui thei a ni. Mahse, i doctor hnenah eng exercise chi nge i tan a tha tih leh eng nge i tih loh tur tih zawh a pawimawh. Thiltih ṭhenkhat chu i tân a ṭha lo mai thei.

Engtik laiin nge damdawi inah ka kal nghal a ngai?

Thisen chhuak diathesis i neih chuan, i thunun theih loh thisen i neih chuan emergency room-ah i kal nghal tur a ni a, chu chu hliam tenau emaw, hnar thisen chhuak emaw, i thunun theih loh thisen dang emaw a ni thei. Damdawi inah kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Thisen chhuahna lama harsatna nei avanga damdawi lam thurawn i zawn hian heng zawhnate hi zawh a tha ang:

• Hetianga ka thisen chhuah chhan hi doctor in a hria em?
• Hei hi a chhan dik tak hriat tumin eng test dang nge ka tih ang?
• Ka natna lan chhuah dan avang hian specialist ka biak tur an awm em?

Bleeding diathesis tih hi damdawi lam tawngkam a ni a, a tlangpui aia awlsam zawk leh thisen chhuah tam zawk tihna a ni. Mi zawng zawng hian hliam leh hliam tenau an nei \hin. Mahse thisen chhuak tam lutuk emaw, hliam tam tak i neih vang emaw, i bawlhhlawh hmanga thisen chhuak emaw a nih chuan i doctor nen inbiakna neih ngei ngei tur a ni. Thisen chhuah tihtawp nan hma a la thei a, a chhan zawng chhuakin a enkawl thei bawk.

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

Chuvangin, tunah chuan vawiin a kan sawi tawh (Bleeding Diathesis) dinhmun hi hriatthiamna tha zawk in neih ka beisei. Hriat reng tur pawimawh tak chu sawifiah theih loha thisen chhuah emaw, hliam emaw i tawk reng a nih chuan ngaihthah suh.

• A chang chuan a hliam tenau atanga thisen tlem a chhuah thin hi thil pangngai a ni a, ha sil laiin tlem a chhuak thin. Mahse a thleng fo a nih chuan, thisen chhuah tam lutuk a nih chuan, a nih loh leh thisen chhuah chu tihtawp a harsat chuan ngaihtuahawm tak a ni.
• Doctor hmu a, he thu hi sawipuiin, hei hi eng thil nge a thlen tih i hrechhuak thei a, a tul chuan enkawlna mumal tak i dawng thei bawk.
• Vawi tam tak chu he thisen chhuah tam lutuk hi damdawi lam dinhmun hnuaia awm chhinchhiahna a ni. Chuvangin, he thil hi a hmaa ngaihtuah hian harsatna lian tham tak tak a awm loh nan a pui thei a ni.

I hriselna enkawl rawh. Harsatna i neih chuan damdawi lam thurawn la hreh suh.

` Thisen chhuak, Bruising, Bleeding Diathesis, Hematoma, Thisen Natna, Symptoms, Enkawlna