Engtin nge, khawsik i natna chuan ni engemaw zat hnuah a mah chauhin a bo mai mai tih i ngaihtuah ngai em? Chu chu kan immune system, natna dotu kan sipai ngeiin a do tlat vang a ni. Mahse, chu indona chakna, chu ralthuam bik antibodies an tih chu natna atanga dam leh tawh mi pakhat hnen atanga lak a, chutiang natna vei mi dang hnena pek theih ni ta se han ngaihtuah teh? Chu chu he damdawi mak tak kan tih hi a ni a, Convalescent Plasma Therapy tih mai mai a ni.
A awlsam zawngin, convalescent plasma chu eng nge ni?
Hei hi hriatthiam a awl hle mai. Kan thisenah hian cell chi hrang hrang a awm a, chu chu red blood cells leh white blood cells te hi a ni. Heng cell te hi tui sen (yellow liquid) ah an inphah chhuak thin. Chu liquid part chu plasma kan tih chu a ni .
Tunah chuan mi pakhatin natna hrik kai theih, entirnan virus infection na tak a vei ang tih han ngaihtuah teh. A taksaa immune system chuan virus hi a do a, a tichhe thei protein chi khat bik a siam a ni. Chu chu antibodies kan tih chu a ni . Kan sipaite hian hmelma an hriatchhuah a, chu hmelma chauh bei thei tur missile bik an siam ang mai a ni.
Miin natna atanga a dam kim hnuah pawh heng antibody hlu tak tak thenkhat hi a thisenah, a bik takin plasma-ah hian a awm reng a ni. Convalescent tih thumal hi "natna atanga dam leh" tihna a ni.
Chuvangin, he enkawlnaah hian natna ang chi (donor) atanga dam tawh atanga thisen lak a ni a, chuta tang chuan plasma chauh a inthen a ni. Tichuan, chu antibody tamna plasma chu chutiang natna vei mi dang thisen pekna atan pek a ni. Hei hi natna do dan thiam tak tak commando tawnhriat ngah tlemte chu natna do dan hre lo taksaah tirh luh ang a ni.
He damdawi hi eng ang natna atan nge hman a nih?
Doctor-te chuan he enkawlna hi khawtlang tana virus infection thar, na tak thei, vaccine emaw, enkawlna bik emaw la awm lo enkawlna atan an hmang tlangpui. Hei hian nunna atana hlauhawm natna laka invenna kawngah nasa takin a pui thei a ni.
A hnuaia table-ah hian he enkawlna hman dan chanchin leh tun hnaia hman dan thenkhat tarlan a ni.
| Natna hming | Thuhmahruai tawi te |
|---|---|
| COVID-19 a vei tawh a ni | A tirah chuan tun hnaia khawvel hmun hrang hranga coronavirus kai darh zel enkawlna atan an hmang nasa hle a ni. |
| Viral hemorrhagic fevers a awm thin | Entirnan, Ebola ang chi virus na tak tak, taksa chhunga thisen chhuah tir thin. |
| SARS (Severe Acute Respiratory Syndrome) natna a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Hei hi coronavirus chhungkua a mi, thawkna kawng nasa taka tichhe thei virus a ni bawk. |
| Vawk natna / Avian influenza | Flu ang chi natna khirh tak, sava atanga mihringah kai theih. |
| H1N1 (Swine flu) tih a ni. | Influenza virus chi khat, kum 2009 khan khawvel pum huapa hri leng a lo ni ta a ni. |
Engtin nge he enkawlna hian hna a thawh tak tak?
He enkawlna hian passive immunity concept ah hna a thawk a ni . Hei hi hriatthiam harsa deuh angin lang mah se, a takah chuan a awlsam khawp mai.
Hnam dang natna hrik kan taksaa a vawi khatna atana a luh (chu chu, a hmaa natna kan neih tawh loh emaw, a laka invenna kan pek loh emaw a nih loh chuan) kan taksa chuan natna hrik chu a hre nghal thei lo va, a do thei lo. Kan taksa hriselna (immune system) hian a do tur atana antibody mamawh a siam chhuah theih nan kar hnih atanga kar thum vel a ngai thei. Hemi hun chhung hian natna hi a na thei hle.
Mahse convalescent plasma therapy chu natna atanga dam leh tawh hnen atanga siam tawh, indona atana inpeih tawh antibodies thenkhat loan lak ang a ni. Heng antibody te hi damlo taksaa an luh chuan virus rawn lut chu an hre nghal vat a, an rawn bei tan ta a ni.
A awlsam zawngin, hei hi indona bul tannaah indona hmun leh hmêlma hre chiang tak sipai tawnhriat ngah tak hruai luh ang a ni. He tanpuina hi a dawn lai hian damlo ngei pawhin a taksa hriselna (immune system) a siam chhuah theih nan hun a nei bawk.
Plasma pek hma leh pek lai hian eng nge thleng?
Hetiang kalphung hi uluk leh him ber nen tih a ni.
Plasma a pek hmain
Hetianga enkawl i tum a nih chuan i doctor chuan i medical history, i thisen chi leh i hriselna zawng zawng a enfiah hmasa ang.
Tin, plasma petu hian qualification thenkhat a tlin a ngai bawk.
- A natna atanga a dam kim a ngai a ni.
- A thisenah hian natna dotu antibody a tam em tih kan test a ngai a ni.
Plasma a pek lai hian
Hei hi saline pangngai pek ang chiah a ni.
- Khum emaw ṭhutphah emaw-ah i hahdam tir.
- Healthcare worker chuan i kut ah vein tha tak a thlang ang a, a hmun chu uluk takin a tifai ang a, disinfect a ti ang.
- Tichuan, chu vein-ah chuan cannula te tak te (needle nei tube) dahin IV (intravenous) line an connect a.
- Plasma awmna bag atang chuan plasma chu tube kaltlangin i taksaah zawi zawiin a lut a. Hetiang hian darkar khat atanga darkar engemaw zat thleng a awh thei tlangpui .
- Plasma pek a nih hnuah cannula chu lakchhuah a ni a, a hmun chu gauze thianghlim tak hmangin thisen chhuah a reh thlengin press a ni. Tichuan, bandage-in a khuh leh thin.
- Enkawlna i neih zawh chuan hun engemaw chen chu damdawi lam enkawlna hnuaiah dah i ni ang a, side effect emaw allergy emaw i neih leh neih loh enfiah i ni ang.
He enkawlna hian eng hlawkna nge a neih?
Hetianga enkawlna hian thatna engemaw zat a nei a.
| Hamthatna | A chipchiar zawkin |
|---|---|
| Natna nasatzia tihziaawmna | He enkawlna hi natna a lo chhuah tirh lamah pek a nih chuan natna a zual zel loh nan leh harsatna a thlen loh nan a veng thei a ni. |
| Natna thar tan chuan a danglamna | Hripui thar a lo chhuah chuan vaccine emaw damdawi dang emaw an hmuh hma loh chuan damlote hnena pek theih tur enkawlna hlu tak a ni. |
| Virus chi thar laka invenna | Virus chi thar do thei tur antibodies pek theih a ni a, a chhan chu donor chu chu variant thar ber atang chuan a lo dam tawh a ni. |
| Immunity hniam nei tan tanpui | Hei hian immunocompromised emaw, vaccine pek hnu pawha antibody siam tha lo tan chuan nasa takin a pui a ni. |
| A tlangpuiin a him | Test dik tak hnua pek a nih avangin hei hi a tlangpuiin enkawlna him tak, risk tlem tak a ni. |
He enkawlna hi engtiang chiahin nge a hlawhtlin? Risk a awm em?
Hlawhtlinna chungchang sawi ila.
He enkawlna hlawhtlinna hi thil engemaw zatah a innghat a, chungte chu natna enkawl mek leh damlo enkawl lai natna stage te hi a ni.
Entirnan, COVID-19 chungchanga zirchianna thenkhatah chuan damlo natna lan chhuah tirh ni engemaw zat chhunga convalescent plasma pek te chu damdawi ina awm theihna chance chu 30% atanga 50% in a tlahniam tih hmuhchhuah a ni.
Mahse, zirchianna dangah chuan he enkawlna dawngtu leh dawng lote thihnaah hian danglamna lian tham a awm lo tih hmuhchhuah a ni. Hei hi chu zirchiannaa enkawlna chu natna a nasat tawh lai leh tanpui theih loh a tlai tawh lai khan pek a nih vang pawh a ni thei Chuvangin, he enkawlna hi pek hmasak a pawimawh hle .
Risk leh side effect a awm thei
A hmasa berah chuan Sri Lanka rama National Blood Transfusion Service chuan thisen leh thisen components te chu standard sang tak tak leh test khauh tak nen a pe a. Chuvangin, complication hi a tlem hle . Mahse, damdawi lam enkawlna dang ang bawkin, hlauhawmna tlemte chauh a awm thei.
- Fever: Enkawl lai emaw, enkawl hnu emawa taksa lumna a sang deuh.
- Allergy: Mi thenkhat chuan plasma-a protein awmte hi allergy an nei thei. Itching leh rash ang chi symptoms a awm thei.
- Cannula dahna hmuna hri kai: Hei hi a tlem hle a, a hmun hi disinfected tha tak a nih avangin.
- Thisen atanga kai theih natna: 1.1.Ṭhenkhat chuan HIV, hepatitis B leh C ang chi natna kai theihna tur an ngaihtuah mai thei a, mahse, heng natna zawng zawng hi donor thisen uluk taka test a nih avangin tunah chuan he hlauhawmna hi zero hnaih tawh a ni
Enkawlna hnuah ka dam thuai dawn em ni?
Hei hi mi tam takin an zawh thin a ni. Convalescent plasma i dawn hnuah i dam nghal vak lovang. Magic a ni lo.
He enkawlna hian a tum ber chu i natna chu nunna atana hlauhawm a nih loh nan a ni , chu chu ICU-a dah emaw, ventilator-a dah emaw ang chi dinhmun khirh tak tak atanga chhanchhuahna tura puih tihna a ni.
Enkawlna nei pawhin i taksain virus infection a do theih nan leh a dam kim theih nan hun engemaw chen a la mamawh dawn a ni.
Engtikah nge doctor ka biak ang?
He enkawlna chungchangah hian zawhna i neih chuan, emaw, enkawlna hnuah nghawng tha lo i nei nia i hriat chuan, i doctor nen inbia nghal rawh .
A tlangpuiin, enkawl hmain i doctor chuan eng symptom emaw side effect emaw i hriat tur tih leh engtikah nge doctor thurawn i lak tur tih a hrilhfiah ang che.
A tawpah chuan natna do turin midang immune system thenkhat "borrow" theih dan hi thil mak tak a ni. Convalescent plasma hi doctor tan chuan hmanraw hlu tak a ni a, a bik takin natna thar enkawl dan dang a awm loh lai hian. I immune system chu a hmaa a la hmuh ngai loh invader hriatchhuah leh do turin a zirtir thei a, natna khirh tak atanga in chhanchhuahna hun tha tak a pe thei che a ni.
Take-Home Thuchah a ni
- Convalescent plasma chu natna atanga dam chhuak tawh thisen atanga antibody hmanga damlo dang enkawl a ni.
- Hei hian taksa chu "passive immunity" a pe a, natna hrik dona kawngah a pui nghal bawk.
- He enkawlna hi natna lan chhuah tirh lamah pek a nih chuan a hlawk ber. Natna a lo zual tawh chuan a hlawk lo zawk mai thei.
- Hei hi enkawlna him tak a ni a, a chhan chu thisen petute thisen hi uluk taka endik a nih vang a ni. Complication hi a tlem hle.
- Hei hi natna tidam nghal thei tur magic cure a ni lo va, natna khirh tak leh nunna atana hlauhawm a nih loh nan a puitu zawk a ni.
- Hetiang enkawlna hi i tan emaw, i hnaih ber emaw tan a tha em tih chu i doctor chauhin a rel thei a, chuvangin he thu hi i doctor nen inbia fo ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh