Surgery lian tak neih a ngai mai thei. A nih loh leh accident i tawk a, thisen tam tak i hloh tawh pawh a ni thei. Hetiang hunah hian doctor chuan, "Thisen min pek a ngai a ni," a ti mai thei che. Heng thute i hriat hian tlem a hlauhthawn leh hlauthawng deuh hi thil pangngai a ni. "Aw, midang thisen ka nei thei ang em? A him em? Eng emaw a thleng dawn em ni?" Zawhna tam tak rilruah a lo lang thei a. Mahse, hlau suh. Thisen pek emaw, damdawi lama kan sawi angin `` thisen pek '' emaw hi tunlai hian thil awmze nei tak leh him tak a ni. Vawiin hian hemi chungchanga zawhna i neih zawng zawngte chhanna kan hmu ang.
A awlsam zawngin, thisen pek hi eng nge ni?
A awlsam hle mai. Thisen pek tih awmzia chu natna emaw, accident emaw avanga i taksa atanga thisen emaw, thisen component emaw bo tawh chu i taksaah pek let leh tihna a ni. Kan taksain thisen hrisel a neih tur thil pakhat emaw, a aia tam emaw a tlachham a nih chuan, hetianga thisen pek hian chu tlakchhamna chu a khum thei ang tih han ngaihtuah teh.
Hetiang tih hian darkar 1 leh darkar 4 inkar a awh thei tlangpui a, thisen pek tur zat leh thisen component i pek tur chi hrang hrang a zirin a ni. Hei hi damdawi lam kalphung hlawhtling leh him tak a ni a, khawvel hmun hrang hrangah mi maktaduai tam tak nunna a chhanhim a ni.
Engvangin nge mi pakhatin thisen pek a mamawh?
Miin thisen a pek theih chhan tam tak a awm. A chhan ber thenkhat chu hetiang hi a ni.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Surgery lian tak emaw accident na tak emaw | Surgery lai emaw, accident lian tham a thlen lai emaw hian taksa atanga thisen tam tak a bo thei a ni. Thisen volume hloh thlak nan thisen pek a ngai a ni. |
| Digestive tract-a thisen chhuak | Ulcer emaw, damdawi lam thil dang emaw avanga i chaw ei kawng atanga thisen chhuak i nih chuan thisen hloh lo thleng thin thlak nan thisen pek a ngai mai thei. |
| Thisen tlakchhamna (Anaemia). | Thisen cancer ang chi leukemia, kal natna emaw, thil dang vang emaw hian taksaa thisen sen hrisel tak tak awm zat a ti tlem thei a ni. Hetiang dinhmun hi anemia an ti a. Hetiang hunah hian thisen pekna hmanga thisen sen (red blood cells) pek chhuah a ni. |
| Cancer enkawl dan tur | Cancer enkawlna, radiation emaw chemotherapy emaw hian thisen a ti tlem thei a ni. Heng hun chhung hian thisen pek a ngai mai thei bawk. |
| Thisen natna leh thin natna | Thalassemia ang chi thisen natna chi hrang hrang, thin natna khirh tak nei te pawhin thisen pek fo an mamawh thei bawk. |
Thisen chi hrang hrang leh thisen peng hrang hrangte i zir chiang ang u.
Kan thisenah hian eng nge awm?
Kan thisen hi tui pakhat chauh a ni lo. Component lian tak tak engemaw zat a nei a.
- Red Blood Cells: Hei hi taksa pum puia oxygen phurtu cell te an ni.
- White Blood Cells : Hengte hi kan taksa sipai ang mai, natna thlentu hrik dotu an ni.
- Platelets: Hengte hi cell te tak te an ni. Hliam a awm a, thisen a chhuah chuan heng platelet te hian thisen chhuahna chu a titawp thei a ni .
- Plasma: Hei hi thisen a tui sen (yellow liquid) a ni. Thil pawimawh tam tak a pai a, chu chu thisen zam tura puitu protein te hi a ni.
A châng chuan "thisen pum pui" i pe thei a, chutah chuan heng thil zawng zawng hi a tel a, mahse a tam zawkah chuan i taksa peng bik, chutih laia i tlakchham chu chauh pek i ni ang. Entirnan, thisen tlakchhamna nei mi pakhat chu thisen zam (red blood cells) chauh pek a ni thei.
Thisen chi hrang hrang a inmil a ngai em?
Ni e, match a nih a ngai ngei ang. Thisen pek dawnin hei hi a pawimawh ber a ni.
Thisen chi hrang hrang pali kan nei a, chungte chu A, B, AB, leh O. Chu bakah thisen chi hrang hrangRh factor tih hi thil pakhat a awm a . A zirin thisen chi chu positive (+) emaw negative (-) emaw a ni.
Thisen chi i dawn chu nangmah nen a inmil lo a nih chuan i taksa antibodies te chuan thisen cell thar te chu a rawn bei tan ang. Hei hian harsatna hlauhawm tak tak, nunna atana hlauhawm tak tak pawh a thlen thei a ni.
Chuvangin thisen bank-in thisen an pek chhuah apiang chu thisen chi, Rh factor leh hri kai dangte finfiah nan test khauh tak an nei thin a ni.
- Type O thisen nei te hi "universal donors" an ti a, a chhan chu emergency-ah chuan thisen chi hrang hrang nei hnenah O negative (O-) thisen pek theih a nih vang a ni.
- Type AB thisen nei te hi thisen chi hrang hrang atanga thisen an dawn theih avangin "universal recipients" an ti a.
Thisen pek hian eng hlauhawmna nge a neih?
A hmasa berin tunlai hian thisen pek hi thil him tak a ni. Thisen bag tin hi natna khirh tak tak HIV , Hepatitis B leh C te test a ni a, chuvangin kai theihna hi a tlem hle a, a hniam hle bawk. Mahse, damdawi lam enkawlna dang ang bawkin, hlauhawmna tlemte chauh a awm. Anmahni hriat chian a pawimawh.
| Risk/Complication awm thei | Hemi chungchanga i hriat tur chu |
|---|---|
| Khawsik | Thisen pek hnu darkar khat emaw darkar ruk emaw chhung khawsik tlem a neih hi thil pangngai a ni a, a pawi lo. Mahse, rilru hahna emaw, rilru natna emaw nena khawsik i neih chuan doctor emaw nurse emaw hnenah hrilh nghal rawh. |
| Allergic Reaction awm thei te | Thisen chi hrang hrang i dawng a nih pawhin allergic reaction tenau tak tak, itching leh rash te i la nei thei tho. Chungte chu thisen pek lai emaw, a pek hnu rei vak loah emaw a thleng tlangpui. |
| Acute Immune Hemolytic Reaction atanga lo chhuak a ni | Hei hi a tlem hle a, mahse medical emergency na tak a ni. Hei hi i taksain thisen zam pek tharte a beih lai a ni. A lan chhuah dan chu khawsik, khawsik, luak chhuak, rilru emaw, hnungzang hnuai lam emaw na, leh zun dum te a ni thei. Hei hi emergency a ni! |
| Anaphylactic hmanga thil tih dan | Hei hian nunna a tichhe thei bawk a, mahse a tlem hle. Thisen pek tan atanga minute reilote chhungin hmai leh kawr a na a, thawk harsa a ti a, thisen sang a tlahniam thei bawk. |
| Thisen atanga natna hrik kai | Hei hi mi tam takin an hlauh ber chu a ni. Mahse a nihna takah chuan tunlai hian a risk a hniam hle. National Blood Donor Service of Sri Lanka chuan thisen bag tin hi uluk takin HIV, Hepatitis B, C leh syphilis ang chi natna a awm leh awm loh an enfiah thin. A hlauhawmna a hniam em avangin thisen pek hmanga HIV kai theihna chance hi maktaduai hnih zinga pakhat vel a ni. |
| Thir tam lutuk (Hemochromatosis) . | Hei hi thisen pek nawn fo thin (e.g., thalassemia vei) te chungah a thleng thin. Taksa iron level a pung thei a, thinlung leh thin a tichhe thei a ni. Hemi chungchangah hian Doctor ten an fimkhur a, a tul anga enkawlna an pe bawk. |
A pawimawh ber chu thisen pek lai emaw, thisen pek hnu emawa thil danglam emaw, nuam lo emaw i hriat chuan, a tenau pawh ni se, a enkawltu nurse emaw doctor emaw hnenah hriattir nghal mai tur a ni. Damdawi in atanga i haw hnua natna lanchhuahna na tak i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
Take-Home Thuchah a ni
- Thisen pek hi nunna chhanhim thei, a tlangpuiin damdawi hman dan him tak a ni. A tul lovah hlau suh.
- Thisen pek i nih hma hian thisen pek chu i thisen chi, Rh factor nen a inmil em tih leh natna chi hrang hrang a awm leh awm loh endikna khauh takin an enfiah thin.
- Thisen pek lai emaw, i pek hnu emawa natna lan chhuah dan danglam tak tak, khawsik, khawsik, thawk harsa, emaw, rilru emaw, hnungzang na emaw i neih chuan, tihkhawtlai lohvin i doctor emaw nurse emaw hnenah hrilh nghal rawh.
- Hemi chungchanga zawhna, hlauhthawnna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh. Engkim sawifiah vek i neih chuan rilru hahdamna nasa tak a pe ang che.
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