Bone Marrow chu eng nge ni? Engvangin nge kan taksa tan a pawimawh em em?

Ruh kan ngaihtuah hian taksa chakna leh chakna petu thil angin kan ngai a ni lawm ni? Chu chu a dik a ni. Mahse, kan ruh lian tak tak chhungah hian thil mak tak mai, factory nung ang chi a awm tih i hria em? Chu chu bone marrow kan tih chu a ni a, sap tawngin (Bone Marrow) kan ti bawk. Hei hi kan nunah thil pawimawh tak leh pawimawh tak a ni. Chuvangin vawiin hian he ruhro hi thumal awlsam takin i sawi dawn nia.

A awlsam zawngin, he ruhro hi eng nge ni?

Bone marrow chu kan ruh chhunga tissue nem tak, jelly ang maia awm a ni. Dik tak chuan kan taksaa thisen siamna hmun ber a ni. I thisen cell zawng zawng, thisen sen, thisen var, leh platelet te pawh hi he ruhroah hian siam a ni.

Company lian tak factory ber angin bone marrow hi han ngaihtuah teh. He factory hi taksain a mamawh "hnathawk" chi hrang hrang (i.e. thisen cell) a siam a, thisen kalna kaltlangin taksa pum puiah a thawn chhuak thin a ni.

• Red Blood Cells: Hengte hi taksa pum puia oxygen phurtu "delivery service" an ni.
• White Blood Cells: Hengte hi kan taksa "defense army" te an ni. Natna thlentu hrik an do thin.
• Platelets: Hei hi "repair team" a ni a, khawi emaw laiah hliam a awm chuan thisen a chhuak tawh lo.

Heng zawng zawng hi ruhroah a lo chhuak vek a ni. Chu mai ni lovin, ruhro hian taksain a mamawh huna a hman theih turin thau a khawlkhawm thei bawk. Chuvang chuan ruhro (bone marrow) tel lo chuan kan nung thei lo.

Bone marrow hi chi hnih a awm tih i hria em?

Ni e, kan taksaah hian ruhro chi hnih a awm a. An rawng a zirin an danglam bik. A vaiin puitling pakhat hian an taksaah hian chi hnih kilogram 2.5 vel a nei a ni.

Heng chi hnih hi eng nge ni tih i lo en ang u.

Kan naupan lai, kum 7 vel kan tlin thlengin kan ruh zawng zawng deuhthaw hi ruhro sen (red bone marrow) atanga siam a ni. Hei hi a chhan chu chutih lai chuan taksain a thang lian tur chuan thisen cell tam tak a mamawh a ni. Kan lo upat deuh deuh chuan he ruhro sen thenkhat hi ruhro sen (yellow bone marrow) ah a chang thin.

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Bone marrow ka donate thei ang em? Engati nge?

Ni e, a ti thei ngei ang. Nunna chhanhim nan thil ropui tak a ni. Natna thenkhatah, a bik takin leukemia, thisen cancer a ni a, ruhro chhunga cell awmte chu a pangngai lo a, thisen cell hrisel siam chhuah a titawp a, cancer cell pangngai lo chu rang taka thang turin a phalsak a ni.

Hetiang hunah hian mi hrisel atanga mi damlo (Bone Marrow Transplant)-a ruhro (bone marrow) thlak (Bone Marrow Transplant) hmang hian damlo taksa chuan thisen hrisel tak tak a siam tan leh thei a ni.

Hemi kawngah hian thil thleng chu stem cell hrisel tak tak, donor hrisel tak atanga lak chhuah chu damlo thisenah an infuse a ni. Chumi hnuah chuan cell te chu kal in damlo ruhroah an awm a, thisen cell hrisel tak tak an siam tan ta a ni.

Eng natnain nge ruhro (bone marrow) a nghawng?

Ruhro hi thisen siamna hmun bulpui ber a nih avangin ruhro hnathawh a chhiat chuan thisen kaihhnawih natna chi hrang hrang a awm thei a ni. Chutiang natna lian ber ber thenkhat han thlir ila.

Heng natna lan chhuah dan tlangpui chu engte nge ni?

Natna tin hian ruhro lama harsatna a awm chuan chhinchhiahna bik nei mah se, a hnuaia tarlan te hi a lan chhuah dan tlangpui a ni:

• Chauhna leh hahna: Thisen sen (red blood cells) tling lo chuan taksain a mamawh oxygen a hmu lo.
• Natna awm fo: Thisen var hrisel tak tak a awm loh avangin taksain a taksa a venghimna (immune system) a chak lo hle.
• Hriselna leh thisen chhuah awlsam: Platelet count a tlem avangin cut te tak te pawhin thisen chhuah a reh theih nan hun rei tak a ngai thin. Vun hi a hliam awlsam thei.
• Muscle chak lohna.
• Paleness a ni.

Hetiang symptoms i neih chuan doctor pan vat a, thurawn lak a pawimawh hle.

Engtin nge bone marrow hriselna kan enfiah ang?

Doctor-in i ruhroah harsatna i neih a rinhlelh chuan test pahnih a awm a, chu chu finfiah theih a ni. Heng test pahnih hi numbing agent hnuaiah tih a ni tlangpui a, chuvangin natna i nei tam lo ang.

1. Bone Marrow Aspiration: Hemiah hian special needle hmangin ruhro atanga tui leh cell sample lakchhuah a ni. He sample hi ruhro chhunga cell chi hrang hrang awm chiang tak leh a pangngai leh pangngai lo tih hriat nan test a ni.

2. Ruhro Biopsy: 1.1.Hetah hian ruhro tissue te tak te chu needle lian deuh hmangin lak a ni. Hei hian ruhro chhunga cell awm dan te, chubakah cell chi hrang hrang leh lian leh te te hriatthiamna tha zawk kan nei thei a ni.

He test zawhah hian ni engemaw zat chhung chu needle dahna hmunah hian natna leh hliam engemaw zat a awm thei. Mahse chu chu thil pangngai a ni.

Bone marrow hrisel taka awm reng turin eng nge kan tih theih ang?

Bone marrow hi kan ruh, thisen leh taksa ruhte lungphum a nih avangin, chu pengte hrisel taka awm theihna tura puitu thil tih hi ruhro tan pawh a tha hle.

• Protein tamna ei tur: Protein tamna ei tur, sa thau lo, sangha, bean, nut, bawnghnute, leh artui te chu i eitur ah telh la. Cell hrisel siam nan protein hi a pawimawh hle.
• Vitamin leh mineral te uluk takin enkawl rawh: Iron, vitamin B9 (folic acid), leh vitamin B12 te hi thisen siam nan a pawimawh zual hle. Chûng thil tamna ei tur (thlai, sa, rah) ei thin ang che. Mahse vitamin pill i ei hmain doctor zawt hmasa phawt ang che.
• Damdawi lam harsatna dang enkawl: Damdawi lam thil thenkhat hian indirect takin ruhro hnathawh a nghawng thei a, chuvangin damdawi dang i neih theih apiang enkawlna dik tak neih a pawimawh.
• Nunphung hrisel: Exercise \ha, mut \ha, leh ei leh in inthlau tak hi taksa peng tin, ruhro (bone marrow) te pawh tiamin, hriselna atan a \angkai hle.

Ruhro hi kan taksaah hian mi huaisen ngawi renga awm, mahse a mamawh loh ang mai a ni. Chu chu kan hriat chian a, kan hriselna enkawl hi kan mawhphurhna a ni.