I thisenah harsatna a awm em? Blood Disorders chungchang hi a awlsam zawngin i zir dawn teh ang!

I taksa pum puiah blue spot i nei mai mai em? A nih loh leh hliam tenau tak atang pawhin chawlhsan lovin rei tak thisen i chhuak em? Chau, nunna nei lo, engmah tih theih loh khawpa chau lutuk i inhriat fo pawh a ni mai thei? Heng thil hnung lamah hian kan taksaa thisen luang chhuak chungchangah harsatna eng emaw a awm thei a, chu chu thisen lama harsatna a ni. He hming i hriat hian hlau suh. Chung tam zawk chu i thunun thei a, i nung tha thei bawk. Vawiin hian engkim hi awlsam takin, i hriatthiam theih tur angin kan sawi dawn a ni.

A hmasain kan taksaa ‘thisen’ hian eng nge a tih tih hi han thlir ila.

A awlsam zawngin, thisen hi kan taksa nung rengtu tui a ni. A ṭhen lian pathum a nei a, team khata mi pathum hna bik thawk ang chi hi a ni.

• Red Blood Cells: Hengte hi kan taksa ‘delivery service’ a ni. Kan thawk chhuah huna lung chhunga oxygen lo lut chu taksa kil tinah an phur a. Tin, taksaa carbon dioxide duh loh lo awm chu thawk chhuah turin lungah an phur kir leh bawk.
• White Blood Cells: Hengte hi kan taksa ‘defense army’ an ni. An hna ber chu pawn lam atanga natna thlentu hrik, bacteria leh virus te do a, natna laka min ven hi a ni.
• Platelets: Hengte hi ‘hliam tidam thei mipa’ an ni. Kan taksa khawi hmunah pawh hliam emaw, hliam emaw kan neih chuan heng platelet te hian thisen zam siamin thisen chhuahna a titawp thei a ni. Pipe chhe tawh chungah patch dah ang mai a ni.

Thisen natna chu thisen sen (red blood cells), thisen var (white blood cells) emaw, platelet-te emaw hnathawh that loh vang a ni. Heng natnate hi cancer emaw cancer ni lo emaw pawh a ni thei. He thuziakah hian cancer ni lo thisen natna chungchang kan sawi dawn a ni. Thisen natna thenkhat chu rochun a ni a, thenkhat erawh chu a hnuah damdawi lam natna dang avanga lo awm thin a ni.

Thisen natna nei taksaah eng nge thleng?

A tlangpuiin cancer ni lo thisen natna hian kan taksa hi kawng lian pahnihin a nghawng thei a ni.

1. Thisen zam tam lutuk: Natna thenkhatah chuan thisen kalna kawng (veins) chhungah thisen a inkhai tan thin. Hei hi a hlauhawm thei hle a, heng thisen zamte hi a lo awm thei a, heart attack leh stroke ang chi natna khirh tak tak a thlen thei a ni.

2. Thisen hi a thang tha lo (thisen tam lutuk): Natna dang thenkhatah chuan thisen hi a hliam chuan a tha tawk lo. Chuvangin, hliam tenau tak pawhin thisen a chhuah tam thei hle.

Tunah chuan heng chi hrang hranga awm natna tlanglawn tak takte hi a hranin han thlir ila.

Thisen zam natna (Blood Clotting Disorders) a awm

Hetiang dinhmunah hian kan thisen hi a tul loh lai pawhin thisen kalna kawng chhungah a inzawm khawm thin. Hei hi damdawi lam chuan ``Hypercoagulable state`` emaw ``Thrombophilia`` emaw an ti a.

A hnuaiah hian natna tlanglawn thenkhatte tarlan a ni.

Thisen chhuahna lama harsatna awm thei

Hetiang dinhmunah hian thisen zam (blotting process) a tichhe a, chu chuan a tlangpui aia thisen a chhuah tam zawk thin.

Kan zinga thisen natna tlanglawn ber: Anemia

Anemia, a nih loh leh kan sawi fo thin ‘thisen tlakchhamna’ tih hi a takah chuan thisen lama natna tlanglawn ber a ni. Thisen hian taksaa oxygen phur thei tur thisen sen hrisel tak tak a tlakchham chuan a thleng thin. Thisen tlakchhamna hi a chhan tam tak a awm a.

Engtin nge thisen tlakchhamna hi a lo awm?

Acquired Anemias te hi a awm thei

Hengte hi chhan hrang hrang avanga kan pian hnua lo awm thin dinhmunte an ni.

• Iron-deficiency anemia: Hei hi a tam ber a ni. Iron hi thisen sen chhunga protein, oxygen phurtu hemoglobin siam nan a pawimawh hle. Hetiang dinhmun hi ei leh in-a iron a awm loh vang a ni. A bik takin hmeichhe naupai leh hmeichhe naupangte zingah a tam hle.
• Vitamin B12 emaw Folate Deficiency Anemia: Heng vitamin te hi thisen sen hrisel siam nan pawh a pawimawh hle. Pernicious anemia hi autoimmune disease a ni a, taksain vitamin B12 a hip thei lo.
• Aplastic anemia: Hei hi ruhroin thisen cell thar (red, white, leh platelet) a siam chhuah tawh loh hun a ni.
• Autoimmune hemolytic anemia: Hetah hian kan taksa hriselna (immune system) hian kan thisen sen (red blood cells) te chu a tichhe tan ta a ni.

Inherited Anemias te hi a awm thei

Heng natnate hi nu leh pa atanga genes hmanga naupangte hnena kai darh thin a ni.

• Sickle cell anemia: Hemiah hian thisen sen (red blood cells) pianzia a inthlak danglam thin. An pianphung pangngai zungbun ni lovin, sickle ang maiin an awm a, thisen kalna kawngah an tang thei bawk.
• Thalassemia: Sri Lanka rama kan hriat fo thin hming a ni. Hemi a thil thleng chu taksain hemoglobin a siam chhuah a tlahniam a ni. Hei hian thisen sen (red blood cells) a ti te deuh a, thisen tlakchhamna (anemia) a thlen thin. Hei hi case tenau leh lian tak tak a awm.

Engtin nge thisen natna ka nei tih ka hriat theih ang? (Natna)

Thisen natna lan chhuah dan hi natna chi hrang hrang a zirin a inang lo. Anni hi category hrang hrangah i dah ang u.

He natna hi Doctor hian engtin nge a hriat chian?

A chunga kan sawi tak symptoms te hi i complain chuan i doctor chuan a enfiah hmasa ang che a, i symptoms te chu a zawt ang che a, i chhungte zingah heng natna hi tu emaw chuan an nei tawh em tih a zawt ang che. Tichuan, an natna dik tak hriat theihna turin thisen test eng emaw zat an ti ber ang.

I thisena thisen sen, thisen var leh platelet awm zat hriat chian nan complete blood count (CBC) hi tih a ni tlangpui.

• Red blood cell test: Hei hian hemoglobin level leh red blood cell count ang chi thil a enfiah thin. Hengte hi a hniam chuan thisen tlakchhamna (anemia) i nei tih a nemnghet a ni.
• White blood cell count: Thisen var chi hrang hrang (`Neutrophils`, `Lymphocytes`, `Eosinophils` te ang chi) a awm a. A chi hrang hrang zat en hian natna hrik i neih leh neih loh, allergy emaw, natna khirh tak dang i neih leh neih loh i hre thei ang.
• Platelet count: Platelet count hi enfiah thin a ni. Count a tlem chuan thisen chhuah theihna a awm. Count a san chuan thisen zam a awm theihna a awm.

Heng test hmasa berte hnuah hian a tul chuan specialized test tam zawk (e.g., blood clotting factor testing, bone marrow examination) nei turin refer i ni thei bawk.

Hei hi eng enkawlna nge ni?

Enkawl dan chu thisen natna i neih leh a nasat danah a innghat a ni.

• Fimkhur taka nghah: Thisen natna tenau thenkhat tan chuan a lan chhuahna lian tham a awm loh chuan i doctor chuan damdawi engmah a pe lo thei a, i dinhmun chu test mumal tak neiin a enfiah thei bawk.
• Damdawi: 1.1.
• Iron tablet emaw syrup emaw hmanga iron tlakchham vanga thisen tlakchhamna.
• Vitamin tlakchhamna nena inzawm vitamin.
• Anticoagulants hi thisen zam tipungtu natnaah thisen zam a awm loh nan pek thin a ni.
• Thisen chhuak tam lutuk natnate tan chuan thisen zam tur damdawi pek thin a ni.
• Immune system lama harsatna avanga natna lo awmte tan chuan chu system control turin damdawi corticosteroids te pek thin a ni.
• Thisen leh platelet pek: Thisen tlakchhamna a nasat em em emaw, thisen chhuah tam lutuk emaw a nih chuan pawn lam atanga thisen emaw platelet emaw pek thin a ni.
• Growth factor supplementation: Ruhro tichaktu leh thisen cell tam zawk siam chhuahna tura puitu injection pek thin a ni.

I doctor chuan i tana tha ber tur enkawlna a thlang ang. Eng enkawlna pawh hian side effect a nei thei. An chanchin hi i doctor zawh hlau suh.

Thisen natna nen engtin nge kan khawsak ang? Engtin nge a risk tihziaawm theih ang?

Thisen lama harsatna nei hi nun tawpna a ni lo. Enkawlna mumal a awm chuan mi tam zawk chuan nun pangngaiin an hmang thei a ni.

• Ei leh in tha tak nei rawh: I eitur ah hian iron tamna ei tur (spinach, kale, spinach, bawnghnute, leh peas ang chi), vitamin B12 leh folate te telh la. Hemi chungchangah hian doctor emaw nutritionist emaw zawt rawh.
• I taksa rihna hrisel tak vawng reng rawh: Exercise neih fo ang che.
• Infection lakah inveng rawh: I kut sil fo la, uluk takin i silfai thin ang che. Doctor-in a tih angin a tul angin vaccine la rawh.
• Hliam lakah fimkhur rawh: Thisen chhuahna lama harsatna i neih chuan tlu leh hliam thlen thei infiamna te chu pumpelh rawh. Bike i khalh chuan helmet ha la. Lirthei a chuang dawnin seat belt vuah fo ang che.
• I chhungte leh i thiante hriattir rawh: I dinhmun hrilh rawh. Emergency a awm chuan eng nge an tih tur tih an hriat a pawimawh.
• Damdawi lam thurawn zawm rawh: I damdawi ei tur chu a hun takah ei rawh. Ni ruat saah clinic-ah kal thin ang che. Doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh.