Operation lian tham emaw, accident na tak emaw hnuah pawh doctor chuan, "Thisen ka pek a ngai a ni," a ti che a ni mai thei. Heng thute i hriat hian tlem a hlauhthawn leh hlauthawng deuh hi thil pangngai a ni. "Aw, midang thisen ka pe dawn em ni? A him em? Harsatna a awm dawn em?" Chutiang thilte chu rilruah a lo lang mai thei. Mahse thisen pek hi a takah chuan tunlai damdawiah chuan thil awmze nei tak leh him tak a ni. Chuvangin, vawiinah hian hemi chungchanga zawhna i neih zawng zawngte chhanna i zawng vek ang u.
Thisen pek hi eng nge ni tak tak?
A awlsam zawngin, thisen pek tih awmzia chu natna emaw, accident emaw avanga i taksa atanga thisen emaw, thisen peng pakhat emaw bo tawh chu pek let leh tihna a ni.
Kan thisen hi thil chi hrang hrang inzawmkhawm angin han ngaihtuah teh. A ṭhen lian pali a nei a, chungte chu:
- Red Blood Cells: Hengte hi kan taksa pum puia oxygen phurtu an ni.
- White Blood Cells: Hengte hi kan taksa invenna (defense cells) te an ni a, natna leh hrik kan taksaa lut te dotu an ni.
- Platelets: Heng cell te te hian hliam a awm chuan thisen chhuah tihtawp nan a pui thin.
- Plasma: Hei hi thisen a liquid part a ni. A chunga kan sawi tak cell zawng zawng hi a chhungah an float vek a ni. Tin, thisen zam tura puitu protein a pai bawk.
Tun hma chuan thisen pek chungchang a nih chuan thisen pum pek a ni fo thin. Mahse, tûnah chuan, technology hmasawn tak avângin, doctor-te chuan i taksa pêng eng nge tlachham tak tak tih an en . Tichuan a tul ang chauh an pe che a ni. Entirnan, thisen zam (red blood cells) i neih tlem chuan chu chu i pe thei chauh a ni. Platelets hniam i neih chuan chu part chauh chu i pe thei ang. Hei hian a tul lova harsatna tam tak a tihziaawm thei a ni.
Engvangin nge thisen pek kan mamawh?
Thisen pek a tulna chhan hrang hrang a awm thei. A chhan berte han thlir ila.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Surgery lian tham emaw, accident na tak emaw a awm thei | Operation emaw, accident lian tham emaw a thlen lai hian taksa atanga thisen tam tak a bo thei a ni. Chu thisen volume tihtlem chu thlak a ngai a ni. |
| Digestive tract-a thisen chhuak | Pum ulcer emaw thil dang emaw avanga chaw ei kawng atanga thisen chhuak a nih chuan, chu chu control laiin thisen tihtlem chu thlak a ngai dawn a ni. |
| Natna, thisen tlakchhamna thlentu | Cancer vei, leukemia, leh kal natna te hian taksain thisen sen hrisel a siam chhuah hi a tlahniam a ni. Thisen hi a rah chhuah thisen tlakchhamna (anemia) enkawlna atan pek a ni. |
| Cancer enkawl dan tur | Radiation emaw chemotherapy ang chi enkawlna hian thisen cell siamtu ruhro (bone marrow) a tichhe thei a ni. Chuvangin thisen cell tlahniam a awm chuan thisen pek a ni. |
| Thisen natna leh thin natna | Thisen natna thenkhat (e.g. thalassemia) leh thin natna khirh tak tak te pawhin thisen pek fo a ngai thei bawk. |
Thisen chi hrang hrang leh a inmil dan i zir chiang ang u.
Hei hi mi tam takin zawhna lian ber an neih chu a ni. "Tu pawh thisen ka pe thei ang em?" A chhanna chu, "Ni lo," tih hi a ni. Thisen i dawn hian thisen i dawn chu i thisen chi nen a inmil tur a ni .
Kan thisen chi hrang hrang hi pali a ni ber a, chungte chu: A, B, AB, leh O. Chu bâkah, thil dang pakhat Rh factor tih a awm bawk. Chumi azirin i thisen chi chu positive (+) emaw negative (-) emaw a ni thei. (Entirnan: A+, O-, B+) te hi a ni.
I thisen cell-te hian i tâna thawk tûr chabi an nei niin han ngaihtuah teh. Thisen cell i pekte hian chabi inang an nei tur a ni. Key a inthlak chuan i taksa immune system chuan thisen cell thar te chu hmelma angin a hrechhuak ang a, a rawn bei tan ang. Hei hi dinhmun hlauhawm tak a ni.
Hei vang hian Sri Lanka-a National Blood Transfusion Service ang institution-te chuan thisen petu tinte thisen chi, Rh factor leh natna chi hrang hrang uluk takin an test a ni.
- Thisen chi O: Thisen chi O nei chu " Universal Donor" an ti a." Emergency-ah chuan thisen chi dik tak hriat hun a awm loh chuan O negative (O-) thisen chu tu hnenah pawh pek theih a ni."
- AB thisen chi: AB thisen nei chu " universal recipient " an ti a. Chumi awmzia chu thisen chi hrang hrang atangin thisen an dawng thei tihna a ni.
Thisen pek dan leh harsatna awm thei te
Thisen pek hi damdawi inah emaw, damdawi inah emaw tih a ni tlangpui. I kut chhunga vein pakhatah cannula te tak te dah a ni a, chuta tang chuan thisen bag pakhat a inzawm khawm a ni. Hetiang hian darkar 1 leh darkar 4 inkar a awh thei a ni. Hemi chhung zawng hian doctor emaw nursing staff emaw chuan an lo vil reng ang che.
Chuti a nih chuan risk a awm lo em ni?
Thisen pek hi a tlangpuiin a him hle . Mahse, damdawi lam thil tih dan dang ang bawkin, harsatna awm lo tak tak, a awm thei a ni. Hlauthawng suh, a pawimawh ber chu hengte hi fimkhur a ni.
- Khua: Thisen pek hnu darkar engemaw zat chhung khawsik tlem a neih hi thil pangngai a ni. A tam zawkah chuan hei hi thil pawi tak a ni lo. Mahse, i khawsik ruala i rilru natna emaw, i rilru natna emaw i neih chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh .
- Allergic Reactions: A châng chuan thisen pekna ṭha tak i dawng a nih pawhin i taksa chuan allergic reaction na lo tak a nei thei a ni. Hei hian itching, hives emaw symptom dang emaw a thlen thei. Hei hi thisen pek lai emaw, thisen pek hnuah emaw a thleng tlangpui.
- Immune Reactions: Hengte hi a tlem hle , mahse natna khirh tak tak a ni.
- Acute Immune Hemolytic Reaction: Hei hi i taksain thisen sen (red blood cells) i pekte a beih hian a ni. Hei hi medical emergency a ni. A lan chhuah dan chu khawsik, khawsik, luak chhuak, rilru emaw hnungzang hnuai lam emaw na, leh zun dum te a ni.
- Delayed Hemolytic Reaction: Hei hi a chunga kan sawi tawh nen hian a inang a, mahse a lan chhuah dan chu zawi zawiin, ni engemaw zat hnuah a lang chhuak thin.
- Thisen atanga hri kai: Hei hi mi tam takin an hlauh em em a ni. Mahse thudik tak chu, tunlai hian thisen petu leh dawngtu te chu screening khauh tak an neih avangin a hlauhawmna a tlem hle .
- Iron Overload/Hemochromatosis: Hei hi vawi khat chauh thisen dawng tawhah a thleng lo. Damlo thisen dawng fo, kum tam tak chhung (e.g., thalassemia vei) te chuan an taksaah iron level sang tak an nei thei a ni. Hei hian thinlung leh thin a nghawng thei a ni.
- Graft-versus-host natna: Hei hi a tlem hle.Mahse, thihna thlen thei complication a ni. Hei hi thisen pek chhuah chhunga thisen var (white blood cells) te hian damlo ruhro (bone marrow) a beih hian a thleng thin. Hei hi immune system chak lo tak tak nei damlote zingah a thleng tam zawk.
- Thisen pek hi damdawi hman dan pangngai tak, nunna chhanhim thei leh a tlangpuiin a him hle a ni.
- I taksa mamawh thisen peng (e.g. red blood cells, platelets) chauh pek i ni.
- Thisen pek zawng zawng hi i thisen chi nen a inmil em tih leh natna chi hrang hrang a awm loh nan uluk taka test vek a ni. Chuvangin, natna hrik kai theihna hi a tlem hle.
- Thisen pek lai emaw, i pek hnu emawa khawsik, khawsik, thawk hah, emaw, rilru na emaw ang chi natna danglam tak i neih chuan, i doctor emaw, nursing staff emaw hnenah hriattir nghal vat rawh
- Hemi chungchangah hian zawhna i la nei a nih chuan i doctor zawh hreh suh. I dikna a ni.
Ram changkang zawka zirchianna an neihah chuan thisen pek hmanga HIV ang natna kai theihna hi maktaduai hnih zinga pakhat vel a ni. Chu chu lightning-in a rawn nuai ai chuan a tlem zawk. Hepatitis B leh C ang natna vei theihna pawh chutiang bawkin a hniam hle.
Heng risk te hi hlauthawng suh. Doctor chuan thisen pek che a rel tih hre reng ang che, a chhan chu thisen pek loh chhiatna chuan thisen pek hlauhawmna tlemte tak hi a tluk phah hle a ni .
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