I sam i sam laiin tlem i tan emaw, thlai i hrual laiin chemte hmanga i kut i tan a, chutah chuan thisen chhuah chu rei vak lo hnuah a tawp mai mai emaw a nih chuan mak i ti ngai em? Mak tih tur a ni tak zet. A chhan chu kan taksaa natural defense mechanism awm vang a ni. ‘Thisen chhuak’ kan ti a. Hei hi kan taksain hliam a tuar laia tih tur pawimawh tak a ni a, thisen chhuah tam lutuk leh kan nun tichhe thei tur a veng a ni. Mahse, a chang chuan chhan awm lovin heng thisen zamte hi taksa chhungah thisen zam chhungah a lo piang tan thin. Awle, chu chu a hlauhawm deuh thei. Chuvangin vawiinah hian he thuziak ah hian thisen zam chungchanga thil tha te, chubakah a hlauhawm theih hun te kan sawi dawn a ni.
A awlsam zawngin, he thisen zam hi eng nge ni?
Thisen zam chu kan thisen kalna kawng chhunga siam, jelly ang maia thuk tak a ni. I hliam, hliam emaw, operation emaw i neih chuan heng clots te hian thisen chhuah tam lutuk chu a titawp thei a ni. Chu chu an hna ber leh tha ber a ni.
Mahse, hriselna lam thil engemaw vang emaw, thil dang vang emaw chuan thisen zam chu thisen zam (veins)-ah hian hliam tuar lovin a lo awm thei a ni. Hei hi symptom hrang hrang a lo lan hun a ni. A châng chuan he dinhmun hi nunna atana hlauhawm pawh a ni thei .
Heng thisen zamte hi eng atanga siam nge ni?
Kan thisen zam hi hmun hnih atanga siam a ni ber.
1. Platelets: Hei hi kan ruhro (bone marrow) atanga siam cell te tak te te an ni. An rawng nei lo. Hliam siam that tura tlan chak hnathawk te tak te angin an che thin.
2. Fibrin: Hei hi kan thisena protein chi khat a ni. A sticky nature a nei a. Thread tam tak ang mai a ni.
A awlsam zawngin, hliam a awm chuan platelet te chu a inzawm khawm a, hliam chu a seal thin. Tichuan protein pakhat fibrin an tih chuan mesh a siam a, chu chuan platelet leh a chhunga kal thisen sen te chu a vawng khawm a, clot chak tak a siam a ni. Tichuan thisen chhuak chu a reh ta. Thisen zam hian a rawng sen a hmu a, a chhan chu thisen sen chu fibrin mesh-ah a inkhung tlat a ni.
Thisen zam awm theihna hmun hlauhawm leh a lan chhuah dan
Thisen zam hi taksa khawi hmunah pawh a lo awm thei. Mahse hmun thenkhata thisen zam lo awm hi a hlauhawm hle a, a chhan chu kan taksa peng pawimawh tak takte hnena thisen kal chu a titawp vek thei a ni. He dinhmun hi hriat chian hian nunna chhanhimna kawngah a pui thei a ni.
| Thisen zam awmna hmun | Eng nge a hming? | A lan chhuah dan tlangpui |
|---|---|---|
| Ke emaw kut emaw ah thisen thuk tak a awm | Thisen thûk takah thisen zam (Deep Vein Thrombosis - DVT) . | - Ke pakhat emaw kut pakhatah a hring. - Natna nasa tak emaw, cramping emaw. - Vun rawng a inthlak (redness or blueness). - A hmun chu hmun dang aiin khawih pawhin a lum zawk tih a hriat. |
| Chuap | Pulmonary Embolism (PE) a awm thei lo. | - Thâwk harsa nghal. - Chhung natna nasa tak (a bik takin thawk lak lai hian). - Khuh (thisen nen a awm thei). - Lung na rang, luak chhuak. |
| Thluak | Thai | - Hmai, kut, ke (taksa sir khatah a awm fo thin) a ti na lo emaw, a chak lo emaw a ni. - Thusawi harsa emaw, thumal slurring emaw. - Lu na tak tak. - Hmu harsa, kal harsa. |
| Thinlung | Lung natna (Heart Attack) a awm | - A rilru chhungril lama pressing, squeezing pain a awm. - He natna hi kut, kawr, hmui, emaw hnungzang thlengin a darh thin. - Thâwk harsa. - Thaw chhuak, luak chhuak, luak chhuak. |
A pawimawh ber chu, nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal la, tihkhawtlai lohvin. Chutiang dinhmunah chuan hun hi a pawimawh ber a ni.
Thisen zam (blood clotting disorder) a awm
Thisen zam natna hi chi hnih lian tak a awm a. Pakhat chu thisen chu a tûl huna a hrual loh lai a ni a, pakhat chu a ṭûl lova thisen a khâwl tam lutuk hi a ni.
| Thisen chhuah (Bleeding Disorders) - Thisen zam (blood clotting disorders) a awm | Clotting Disorders - Thisen zam lutuk |
|---|---|
| Heng natna vei te hian hliam tenau atanga thisen chhuah hi tihtawp harsa an ti thin. | An taksain a tul lovah thisen zam a siam chhuak thin. |
| Entirnan: - Von Willebrand natna: He natna hi a tam zawkah chuan genetic atanga lo chhuak a ni. - Thrombocytopenia: Thisen a platelet awm zat a tlahniam. - Hemophilia (Inherited Hemophilia): Thisen zam nana taksaa protein mamawh siam chhuah tlem. | Entirnan: - Factor V Leiden: DVT leh PE vei theihna tipungtu, genetic condition a ni. - Prothrombin Gene Mutation: Hei hi genetic condition a ni bawk. - Antiphospholipid Syndrome: Hei hi immune system lama harsatna awm vang a ni. |
Eng thil dang nge thisen zam awm theihna tipung?
A chunga kan sawi tak damdawi lam dinhmun bakah hian kan nunphung leh hriselna lama harsatna dangte pawhin thisen zam a tipung thei bawk. Hengte hi fimkhur a pawimawh hle.
- Kum: Kum 65 chunglamte chu thisen zam (blood clots) an vei theihna a sang zawk.
- Naupai: Naupai lai leh nau neih hnua taksaa hormone leh thil dang tihdanglam vangin a hlauhawmna a sang hle.
- Thau lutuk: Taksa rihna tam lutuk hi thisen zam a thlen theihna tur risk factor lian tak a ni bawk.
- Cancer: Cancer chi thenkhat leh cancer enkawlna (e.g. chemotherapy) hian thisen zam siamna a tichak a.
- Birth control pill emaw hormone therapy: Birth control pill emaw hormone therapy dang, hormone estrogen awmna ei hian i hlauhawmna a tipung thei a ni.
- Meizial zuk: Meizial hian thisen kalna kawng a tichhe a, thisen zam a tipung bawk.
- Hmun khata rei tak awm reng:Colombo atanga Jaffna pan tur bus-a i kal lai emaw, office chair-ah darkar tam tak i thut lai emaw han ngaihtuah teh. Surgery hnuah khumah i awm reng a ngai a ni. Chutiang hunah chuan kea thisen kal chu a tlahniam a, chu chuan DVT ang chi natna a thlen thei a ni.
Thisen zam hi kan veng thei ang em?
Genetic condition hi kan veng kim thei lo. Mahse, enkawlna dawng a, nunphung tihdanglamna hmangin nasa takin kan tihtlem thei a ni. Risk factor dang tam tak hi kan thunun theih thil a ni.
- Doctor hmu fo rawh: Kum tin checkup neih thin ang che. I doctor nen i risk factors chungchang sawipui rawh.
- Cancer screening-ah tel ve rawh: Kum leh sex a zirin cancer screening rawt (e.g., hnute, serh, colon cancer) chu skip suh.
- I taksa rihna hrisel tak vawng reng rawh: Ei leh in inthlau tak leh exercise hmangin i taksa rihna control rawh.
- Meizial zu kha bansan vek rawh: Meizial i zuk chuan vawiin hian bansan turin thutlukna siam rawh. Hemi atan hian damdawi lam thurawn pawh i la thei bawk.
- Tui in tam: Tui tlakchhamna venna hian thisen zam tihtlem nan a pui thei a ni.
- Tay active: Hun rei tak i thut chuan tho la, darkar khatah vawi khat tal kal kual rawh. I ke chu exercise la. Kawng thui tak i kal dawnin i ke kha han vawrh chhuak fo ang che.
- I doctor thurawn zawm rawh: I doctor-in thisen zam hlauhawmna a tih chuan damdawi (e.g., thisen tithianghlimtu) chu a pek ang chiah chiah ei la.
A tawpah chuan thisen zam hi kan taksa himna atana thil pawimawh tak a ni. Mahse a huam chin a pelh chuan, chu chu thisen zam chhungah a tul lovah clot a lo awm chuan nunna atana hlauhawm tak a ni thei tihna a ni. A pawimawh ber chu risk factors leh symptoms hriat chian hi a ni. Hemi chungchangah hian rinhlelhna emaw hlauhna emaw i neih chuan i chhungkaw doctor nen inbia ang che. I hriselna a enfiah ang a, a tul angin thurawn a pe ang che.
Take-Home Thuchah a ni
- Thisen zam (blood clotting) hi thil awmdan pangngai a ni a, hliam atanga thisen chhuah a titawp thin. Mahse a chang chuan taksaah a tul lova a lo thleng thei a, thisen kalna kawng a tikhawlo thei bawk.
- Ke ruh na leh na (DVT), rilru na leh thawk hahna (PE), hmai emaw taksa emaw sir khata natna (Stroke) te ang chi natna lanchhuahna te chu fimkhur reng ang che.
- Kum, naupai, thau lutuk, zuk leh hmuam, leh hmun khata rei tak ṭhut hian thisen zam a tipung a ni.
- A chunga kan sawi tak symptom hlauhawm tak tak i neih chuan, .Hun khawhral lo la, damdawi inah kal nghal rawh.
- He natna hi a tam zawkah chuan i doctor nen i risk chungchang sawipuiin nun hrisel tak i hmang thei a ni.











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