Thisen test ‘Ceruloplasmin’ tih hi i hre ngai em? I doctor chuan he test hi ti turin a ti che a ni mai thei, i chhungte zinga mi pakhatin a tihsak che pawh a ni thei. He hming i hriat hian tlem a buai deuh a awm hi thil pangngai a ni. I rilruah zawhna tam tak i nei ngei ang, chu chu eng nge a zawn tih te, hetiang tihnaah hian hlauhawmna a awm em tih te, report hian eng nge a sawi ang tih te hi a ni. Chuvangin lungngai suh. Vawiin hian he Ceruloplasmin test chungchang hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
A hmasain, Ceruloplasmin chu eng nge ni?
A awlsam zawngin sawi ila, ceruloplasmin hi kan taksaa protein chi khat a ni. Kan taksa peng pawimawh tak , thin (liver) atanga siam a ni. He protein hnathawh ber chu kan taksa tana mineral pawimawh tak copper chu thisen kaltlangin taksa pum puia hmun tul hrang hrangah a phurh chhuah hi a ni. Hei hi khawpui chhunga passenger phur bus ang mai a ni.
He copper hi kan taksa tan a pawimawh hle.
- Taksa tan chakna siam chhuak rawh.
- Kan ruh hriselna vawng nung rawh.
- Kan vun, mit leh sam rawng pe theitu melanin an tih pigment siam rawh.
- Tin, he protein hian kan ei tur atanga iron kan hmuh chu hman theih angin a siam chhuak thei bawk.
Chuvangin he protein ceruloplasmin an tih hian kan taksaah hna a thawk tha a pawimawh zia i hmu thei ang. A level a hniam emaw a sang emaw a nih chuan taksaah harsatna a awm thei tihna a ni.
Engvangin nge doctor chuan he test hi a rawt ang?
Doctor-in he test hi a order theih chhan hrang hrang a awm. A chhan ber leh a tlangpui ber chu Wilson’s disease tih hming pu genetic condition rinhlelh tak finfiah a ni.
Wilson natna hi eng nge ni?
Hei hi genetic condition hmuh tur awm lo mahse na tak a ni. He natna vei hian an taksaa copper hi a enkawl tha thei lo. A tlangpuiin kan thin hian kan taksa atanga copper tam lutuk chu bile hmangin a paih chhuak thin. Mahse Wilson natna vei mi pakhatah chuan he kalphung hi a thawk tha lo hle. Chumi avang chuan thin (liver), thluak, mit leh taksa peng dangteah copper a awm khawm tan ta a ni. Hei hian nunna a tichhe thei a ni.
He natna a thil mak tak mai chu damlo thisenah copper level a hniam a , chutih laiin urine copper level a sang hle thung . Tin, ceruloplasmin level pawh a hniam fo bawk.
Hei bakah hian taksaah copper tlakchhamna a awm bawkHe test hi copper tlakchham nia rinhlelhna hmunah pawh tih thin a ni. Copper tlakchhamna chhan awm thei engemaw zat a awm.
- Malabsorption: Mi thenkhat chuan intestinal diseases vangin an eitur chhunga nutrients awmte hi an hip lut tha lo.
- Malnutrition: Taksain a mamawh copper a hmu lo a, hei hi ei leh in inthlau tak ei loh vang a ni.
- Menkes natna: Hei hi genetic disease a ni bawk. He natnaah hian taksain copper a hip thei lo.
- Total parenteral nutrition (TPN): Damdawi lam harsatna avanga ka ei thei lote hnenah tui (liquid nutrition) hi vein hmanga pek a ni. A châng chuan, copper level a hniam thei bawk.
- Zinc ei tam lutuk: Zinc awmna ei tur emaw supplement emaw ei tam lutuk hian intestine atanga copper lakluh a veng thei a ni.
Eng symptoms nge he test hi i mamawh tir thei ang?
Doctor hian test a ziak mai lo. I natna lan chhuah dan leh i chhungkaw chanchin a zirin he test hi an order ang. A hnuaia symptom tarlan te hi i neih chuan i doctor chuan ceruloplasmin test a ti thei ang.
| Damdawi lam dinhmun nia rinhlelh | A lan chhuah dan tlangpui |
|---|---|
| Wilson natna a ni |
|
| Copper tlakchhamna a awm |
Test a awlsam hle mai, hlau suh!
Hei hi thisen test pangngai dang ang bawkin a ni. Minute tlemte chhungin a zo thei.
1. A hmasa berin phlebotomist chuan i elbow emaw i kut hnunglam emaw vel ah elastic band (tourniquet) a dah ang a, chu chuan vein tha tak a zawng ang.
2. Tichuan, needle dahna hmun chu antiseptic hmangin uluk takin an silfai thin.
3. A dawtah chuan zungbun te tak te tak te chu thisen zam chhungah dahin thisen mamawh zat chu vial te tak teah an la khawm thin.
4. A tawp berah chuan needle chu la chhuakin, a hmunah chuan cotton chi khat dahin, plaster te tak te an hnawih a.
Mi thenkhat chuan needle hlauhna tlem an nei thin a ni lawm ni? A tam hle mai. Chutiang hlauhna i neih chuan i thisen latu hnenah hrilh hmasa phawt ang che. Tichuan an pui ang che. He hlauhna hi needle en lo leh thawk zawi zawia tih ang chi thil tih hian i tihziaawm thei a ni.
Hetianga thisen sample lak atanga liquid part, plasma an tih chu test a ni. Chumi atan chuan lab-ah machine (centrifuge) hmangin thisen chhunga thil awmte chu an thliar hrang thin.
Test hma hian inbuatsaihna bik a ngai em?
No. He test atan hian inbuatsaihna bik a ngai lo. A pangngaiin i ei leh in thei. Mahse hei hi a tip a ni: Thisen test eng pawh hmain tui tam tak in hmasa phawt ang che. Hei hian i taksa chu tui a awm reng theih nan a pui ang a, vein hmuh a awlsam ang a, thisen pek pawh a awlsam phah ang.
Test result hian eng nge a sawi?
Hei hi mi zawng zawng rilrua zawhna lian ber a ni. I report i hmuh hunah leh number i en chuan hlauthawng suh. A hrethiam thei ber chu i doctor hi a ni. A chhan chu report-a "Normal Range" pawh hi i kum, i mipa leh hmeichhia, i naupai leh neih loh, naupai venna pill i hman leh hman loh te a zirin a danglam deuh thei a ni.
A tlangpuiin i ceruloplasmin level chu a hniam emaw, a pangngai emaw, a sang emaw pawh a ni thei.
| Nghawngchhuah | Eng nge a awmzia ni thei |
|---|---|
| Ceruloplasmin level chu a pangngai aia hniam (low) a nih chuan... | |
Hei hian i taksain copper a hmang dik lo tihna a ni thei. Hei hi a chhan pawh a ni thei:
Mahse, a châng chuan hei hian natna bulpui ber ni lovin, copper tlakchhamna awlsam tak a târ lang mai thei. | |
| Ceruloplasmin level chu a pangngai aia sang (high) a nih chuan... | |
Hei hian taksaah hian copper a tam lutuk tih a tilang thei a ni. He level hi taksaah inflammation, infection, hliam a awm chuan a sang bawk. Hei hi a chhan chu:
A pawimawh ber: Level sang lutuk hian natna khirh tak i nei tihna a ni ngai lo. Chuvangin report i hmuh hnuah hlauthawng suh la, i doctor nen pawh he thu hi sawipui ngei ang che. | |
Eng nge thleng leh ang? Doctor hmuh i duh em?
Ni e, a dik tak zet. I thisen test result a lo thlen chuan chu report chu i enkawltu doctor hnenah i keng tur a ni. I natna lan chhuah dan te, test dang result te, leh he ceruloplasmin result te hi a ngaihtuah ang a, i dinhmun chungchangah thutlukna dik tak a siam ang.
He report a\ang hian doctor chuan test engemaw zat tih belh turin a ti mai thei che a ni.
- Zun test a ni
- Liver hnathawh dan test a ni
- Thisen test dang
Wilson natna rinhlelhna nasa tak a awm chuan liver biopsy neih a tha thei a, a tlem hle. Hei hian liver chhiatna leh chutah chuan copper awm zat chiang takin a tarlang thei a ni.
Results chungchanga zawhna leh ngaihtuahna i neih chuan doctor hnenah engkim zawt rawh.
Take-Home Thuchah a ni
- Ceruloplasmin hi liver siam protein pawimawh tak a ni a, taksaah copper a phur lut a ni.
- He thisen test hi Wilson natna leh copper tlakchhamna ang chi natna hriat nan hman a ni ber.
- Hei hi thisen test awlsam tak, risk tlem, routine blood test a nih avangin hlauh a ngai lo.
- I ceruloplasmin level, a hniam emaw, a sang emaw pawh nise, damdawi lam dinhmun khirh tak a ni tih a tilang ngai lo. A chhan tlanglawn tak tak, naupai leh hri kai vangin a danglam thei bawk.
- A pawimawh ber chu i test report i dawn veleh i doctor nen in inhmuhkhawm ngei tur a ni a, mahni chauha hriatthiam tum ai chuan.
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