I hliam reng reng em? Thisen a chhuak em? Hei hi ITP (Immune Thrombocytopenia) a ni thei bawk.

I taksaah hian hliam pakhat emaw pahnih emaw chu rang takin i hmu a, "Wow, khawiah nge he thil hian a rawn deng?" Chutiang chuan a chang chuan hliam tenau te chu a awm fo thin. Mahse, chhan awm lovin i taksa pum puiah hliam i tuar a nih chuan, ha i sil laiin i hmuiah thisen a chhuak a nih chuan, emaw, i hliam tenau pawhin thisen a chhuah loh chuan ngaihtuah tur a ni. Vawiin hian natna lan chhuah dan ang chi kan sawi dawn a, mahse mi tam tak chuan an hre lo. Chu chu ITP a ni.

A awlsam zawngin ITP chu eng nge ni?

He natna hming kimchang, ITP tia tawifel chu Immune Thrombocytopenia tih a ni. Hei hi thisen kaihhnawih natna awm lo tak a ni.

Ngaihtuah teh, kan thisenah hian cell part te tak te, ``Platelets`` an tih te hi a awm a. Kan taksaah sipai te tak te ang mai an ni. Khawi emaw laiah hliam emaw hliam emaw a awm chuan heng platelet te hna ber chu chutah chuan tlan chak a, inzawm khawm a, thisen chhuah tihtawp a ni.

Tunah chuan, ITP vei mi pakhat chunga thil thleng chu hetiang hi a ni. Kan taksa natna laka humhimtu immune system chu a kal nghal vat a. Chu buaina avang chuan immune system chuan kanmahni ‘sipai’ tha tak tak, platelet te chu pawn lam atanga hmêlma angin a hre sual a ni. Tichuan, chu signal dik lo avang chuan immune system chuan heng platelet te hi a tichhia tan ta a ni.

Platelet a tlahniam chuan thisen chhuah tihtawp theihna pawh a tlahniam bawk. Chuvangin a tul lovah i hliam tan a, thisen a chhuak tan bawk.

ITP chi hrang hrangte chu engte nge ni?

ITP hi eng chen nge a daih tih a zirin chi thumah then a ni. Hei hi i hriat a pawimawh hle.

ITP natna lan chhuah dan chu engte nge ni?

Platelet count a hniam lutuk hian symptoms a lang chhuak thin. Mi thenkhat chuan a tir lamah symptom an nei lo mai thei.

• Sudden bruising: Sudden, blue-purple bruises taksaah hian engmah trauma awm lovin a lo lang thin.
• Vunah a sen: Pinprick te tak te ang maia lang, a bik takin ke hnuai lam ah chuan sen-purple (`petechiae`) a awm. Hengte hi a takah chuan vun hnuaia thisen kalna kawng te tak te atanga thisen chhuak an ni.
• Hmun lian tak tak: A chang chuan a sen, sen, a sen (`Purpura`) lian tak tak a lo lang thin.
• Ha kha thisen chhuak: I ha i ha sil lai leh i ding mai mai lai pawhin i hmui a thisen a chhuak thei.
• Hnar thisen: Hnar thisen a lo chhuah tan tawh chuan tihtawp a harsa thei hle.
• Zun emaw, ek emaw-a thisen: Hei hi a nasat deuh deuh a ni.
• Hmeichhiaah thlasik laiin thisen chhuak nasa: Ni 7 aia rei thlasik hun leh thisen chhuak nasa.
• Chauhna danglam tak: Chauh lutuk leh hah lutuk chu chhan awm lovin hriat theih a ni.

ITP awm chhante chu engte nge ni?

Kan sawi tawh ang khan ITP awm chhan ber chu immune system lama harsatna vang a ni. Amaherawhchu, he harsatna lo awm chhan a zirin ITP hi chi hnih ah then theih a ni.

1. Primary ITP: Hetiang ITP-ah hian pawn lam atanga chhan chiang tak a awm lo. Immune system chu a thawk tha lo mai mai a ni.

2. Secondary ITP: Hetiang a nih chuan ITP hi damdawi lam thil dang emaw, hri kai emaw avanga lo awm a ni. Entir nan:

• Viral infection `HIV` emaw `Hepatitis C` emaw ang chi te.
• Bacterial infection te ang chi `H. pylori` tih a ni.
• Autoimmune natna dang lupus ang chi te.
• Hetiang dinhmun hi damdawi thenkhat vang pawh a ni thei.

Diagnosis leh enkawl dan

Hetiang symptoms i neih chuan, .I tih hmasak ber tur chu doctor pan a, thurawn lak hi a ni. Hlau suh. Doctor chuan i medical history a zawt ang che a, i taksa a enfiah ang.

Tichuan, heng symptoms awm chhan dang a awm leh awm loh enfiah turin test thenkhat an order ang.

• Full Blood Count (FBC/CBC): Hei hian i platelet count a hniam zia chiang takin a hrilh che a ni.
• Peripheral Blood Smear: Hetah hian thisen tla khat lak a ni a, microscope hmangin platelet awm dan enfiah a ni.
• Test dang: HIV leh Hepatitis C ang chi infection te pawh test i ni thei bawk.

Engtin nge enkawl a nih?

ITP vei zawng zawng hian enkawlna an tan nghal vek dawn lo. I doctor chuan i platelet count, i symptoms nasat dan leh thisen chhuah theihna i neih dan a zirin enkawlna i tan leh tan loh tur chu a rel ang.

Enkawlna a ngai a nih chuan enkawlna bulpui engemaw zat a awm a, chungte chu:

• Corticosteroids: Hengte hi damdawi chi hrang hrang pek hmasak ber a ni. Heng damdawi te hian immune system hnathawh control-in leh platelet tihchhiatna a titawp a ni.
• Intravenous Immunoglobulin (IVIG): Hei hi vein (saline solution ang chi) hmanga enkawlna a ni. Thisen chhuak nasa tak a awm chuan i platelet count a tipung nghal vat thei a ni.
• Platelet Transfusion: Thisen chhuak na tak, nunna atana hlauhawm (entir nan, thluaka thisen chhuak) a awm chuan, mi hrisel atanga platelet lak chu emergency angin pek a ni.
• Damdawi dang: Enkawlna hmasa berin natna a thunun loh chuan platelet siam chhuah tipung thei damdawi (`Eltrombopag`, `Romiplostim`) emaw, kawng danga immune system control thei (`Rituximab` ang chi) emaw pek thin a ni.
• Splenectomy: Kan taksaa platelet tihchhiatna hmun lian ber chu kan taksa a ni. Damdawi hmanga natna hi tihreh theih a nih loh chuan doctor-te chuan mi thenkhat tan chuan surgery hmanga an ril (spleen) lakchhuah an rawt a ni.

ITP nena kan khawsak huna ngaihtuah tur thil

Chronic ITP hi i bulah rei tak a awm thei a ni. Chuvangin, nun pangngaia i nun ruala chetsualna leh thisen chhuah laka inven nan thil tenawm te i enkawl a ngai a ni.

• Hrisel takin awm rawh: Rugby leh football ang chi contact sports te hi pumpelh rawh. Bike i khalh chuan helmet vuah ngei ngei tur a ni.
• Tothbrush nem tak hmang rawh: Hei hian hah hliam a veng thei a ni.
• Thil hriam tak i hman hunah fimkhur rawh: Knife leh nail clipper ang chi thil i hman hmain vawi hnih ngaihtuah hmasa phawt ang che.
• Stress tihziaawm: Yoga leh meditation ang chi thil hmanga i rilru tih hahdam hi a pawimawh hle.