A châng chuan kan doctor-in thisen test min tihsak hian eng nge a nih kan hre chiang thei lo. Chutiang hming pakhat chu ‘Coombs test’ tih hi a ni. He test hi i hre tawh ngei ang, a bik takin naupai i nih chuan, thisen pek i nih chuan, i naute hian jaundice ang chi natna a neih chuan. Chuvangin he test hian eng nge a zawn tak tak a, engvangin nge a pawimawh tih hi i en ang u, awlsam takin.
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A awlsam zawngin, he Coombs Test hi eng nge ni?
Kan taksa hian defence system a nei a, ram venghimtu sipai ang mai a ni. He sipai chhunga sipai bikte hi antibodies kan ti a . An hna ber chu pawn lam atanga taksaa lut hmêlma, hrik, bacteria, leh virus, antigens , an tihte do a, natna laka min humhim hi a ni.
Mahse, han ngaihtuah teh, a châng chuan heng mahni invenna sipaite hian tihsual an nei a, ram dang hmêlma anga hriat ai chuan mahni cell ṭha, hrisel tak takte chu an rawn bei ṭan a nih chuan eng nge thleng ang? Chu chu a pawi ber a ni. Coombs test hian a bul berah chuan kan thisenah hian thisen sen (red blood cells) bei thei antibodies a awm em tih emaw, an bei tawh em tih emaw a enfiah thin.
A awlsam zawngin, he test hian kanmahni defense (antibodies) hian kan thisen sen (red blood cells) a bei em tih enfiah a ni.
Coombs test hi chi hnih a awm a.
Ni e, he Coombs test hi chi hnih lian tak a awm. Doctor chuan heng pahnih zinga pakhat hi ti turin a hrilh ang che. Hetiang hian an pahnih inthlauhna hi han thlir ila.
| Test chi hrang hrang | Hemi kawngah hian eng nge i zawn? | Eng hun atan nge hman tlanglawn ber? |
|---|---|---|
| Direct Coombs Test a ni (Direct Coombs test) a ni. | Hei hian direct-in i thisen sen pawnah antibodies a inzawm em tih a enfiah a, chu chu a inzawm tawh tihna a ni. A dik zawka sawi chuan, inhnek a intan tawh em tih enfiah ang mai a ni . | Thisen nena inzawm thil chi hrang hrang, autoimmune hemolytic anemia, taksain a thisen sen (red blood cells) a tihchhiat thin ang chi te hriatchhuah. |
| Indirect Coombs Test a ni (Indirect Coombs test) tih a ni. | Hei hian i thisen plasma (thisen tui)-ah hian thisen sen (red blood cells) bei thei antibodies zalen taka thlawk chhuak a awm em tih a enfiah thin. Insual tur i inpeih em tih check ang mai a ni . |
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Naupai lai hian engvangin nge Coombs Test hi a pawimawh em em?
Naupai laia tih thin Indirect Coombs Test hian nu thisenah Rh factor laka antibody a nei em tih a enfiah thin. Tunah chuan he Rh factor hi eng nge a nih kan en ang.
Ngaihtuah teh, kan thisen chi hrang hrang (A, B, AB, O) bakah hian thisen sen (red blood cells)-ah hian protein bik, a nih loh leh ‘mark’ dang a awm thei a ni. Hei hi Rh factor an ti a .
- He chhinchhiahna hi a awm chuan chu thisen chi chu Rh-positive (e.g. O positive, A positive) a ni.
- He chhinchhiahna hi a awm loh chuan chu thisen chi chu Rh-negative (e.g. O negative, A negative) a ni.
Tunah chuan hei hi han ngaihtuah teh: Nu thisen chi chu Rh-negative (chu chhinchhiahna bik chu a nei lo tihna a ni), mahse pum chhunga naute chuan a pa thisen chi chu a rochun a, Rh-positive (naute thisen chuan chu chhinchhiahna chu a nei tihna a ni) a nih chuan eng nge thleng ang?
Heta thil thleng thei chu, naute thisen tlemte chu engtik lai pawhin, nau neih lai ang chiah hian nu thisen nen a inhmeh chuan, nu taksain naute thisena Rh factor an tih ‘mark’ chu hnam dang hmelma angin a hre thei a ni. Tichuan nu taksa chuan chu hmelma do turin antibody a siam tan ta a ni. Hei hi Rh sensitization an ti a .
A tlangpuiin, naupai hmasa berah hian heng antibody te hi an lo pian rei zawk avangin nausen hmasa ber chu a nghawng vak lo. Mahse, buaina chu naupai leh hunah a lo thleng thin. Nuin Rh-positive naute a phur leh a nih chuan a hmaa antibody siam tawhte chu nu thisenah a inpeih tawh a, nausen chu a paltlang a, naute thisen sen (red blood cells) chu a bei tan a, a tichhia tan ta a ni.
Hei hian naute tan hriselna lama harsatna lian tak a thlen thei a, thisen tlakchhamna leh jaundice te a thlen thei a ni. Chuvangin naupai tirh lamah he Coombs test hi tih a pawimawh hle a, chutiang hlauhawmna a awm leh awm loh hriat chian a pawimawh hle a, a tul chuan a venna atana enkawl a pawimawh hle bawk.
Nausen piang tharte tan pawh he test hi i ti em?
Awle. A chang chuan nausen piang tharin jaundice na tak a neih chuan Doctor ten Direct Coombs Test an ti thei bawk. Hei hian naupai laia nuin a siam chhuah antibody te chu naute taksaah a lut a, naute thisen sen (red blood cells)-ah a innghat a, a tichhia em tih enfiah a ni.
Test ka lak hmaa ka tih tur a awm em?
No. He Coombs test-a i kal hma hian thil danglam bik i inbuatsaih a ngai lo. Chaw nghei leh damdawi ei khap a ngai lo.
Hei hi thisen test awlsam tak a ni. I kut vein pakhatah needle te tak te dahin thisen sample lak a ni. Prick tlemte chauh i hre mai ang. Chumi hnuah thisen sample chu lab-ah test turin an thawn leh a ni. A tlangpuiin darkar 24 chhungin result hi hmuh theih a ni.
Test report hian eng nge a awmzia?
He test result hi kawng hnih in a lo chhuak thei a, chungte chu Positive emaw Negative emaw te an ni.
| Nghawngchhuah | A awmzia (A awmzia) . |
|---|---|
| Positive / Thil pangngai lo) 1.1. | Chumi awmzia chu i thisenah hian i thisen sen (red blood cells) beitu emaw, beih theihna nei emaw antibodies a awm tihna a ni. Hei hian chhan hrang hrang a nei thei a:
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| Negative / Normal) tih a ni. | Hei hi chanchin lawmawm chu a ni! Hei hian i thisen sen (red blood cells) nena inzawm thei emaw, bei thei emaw antibodies hmuh a ni lo tihna a ni. Chumi awmzia chu:
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Results tha tak i hmuh chuan eng nge a awmzia?
- Thisen pek hmaa i positive a nih chuan: Hei hian thisen i pek dawnin fimkhur hle a ngai tihna a ni a, i tana tha tawk tur thisen chi hrang hrang i thlan a ngai tihna a ni. Miin thisen vawi tam tak dawng thinte hian heng antibodies te hi an nei thei a, chuvangin thisen chi hrang hrang a inmil tur hmuh chu a harsa deuh thei a ni.
- Naupai laiin i positive a nih chuan: Hei hian i taksain Rh-positive naute laka antibody a siam tihna a ni. Chumi hnuah chuan naute humhim turin enkawlna i zawng a ngai dawn a ni.
- Naute report positive a nih chuan: Naute hian thisen tlakchhamna emaw jaundice emaw a nei tih a tilang tlangpui. Doctor chuan naute chu a enfiah ang a, a tul anga enkawl dan tur a rawt ang.
Engtikah nge Doctor ka hmuh ang?
Anemia symptoms i neih chuan, vun emaw mit emaw a sen (jaundice) , hah leh chak lohna , luak chhuak , emaw, buaina , i doctor pan nghal rawh A enfiah ang che a, a tul chuan test dang, Coombs test pawh tiamin, i dinhmun leh a enkawlna tha ber a hriat theih nan a ti ang.
Thil danglam bik nia i hriat symptom i neih chuan a tha ber chu i doctor nen inbiakna neih hi a ni tih hre reng ang che.
Coombs test hi i taksaa harsatna awm dan hriat theihna tur test chauh a ni. Natna chu eng nge a nih chiang takin a hrilh lo. Chuvangin positive result i hmuh chuan a chhan dik tak hriat tumin test tam zawk i tih a ngai mai thei.
Take-Home Thuchah a ni
- Coombs test hi thisen test awlsam tak a ni a, mahni thisen sen (red blood cells) beitu antibodies a awm leh awm loh enfiah a ni.
- Hei hi chi hnih a awm a, chungte chu Direct Coombs Test (i attack tawh leh tawh loh a check thin) leh Indirect Coombs Test (attack i inpeih leh inpeih tawh loh a check thin) te an ni.
- He test hi nu naupai leh a naute thisen chi hrang hrang (Rh factor) inmil lohna enfiah nan a pawimawh hle.
- Positive result i hmuh chuan a chhan hrang hrang a awm thei. Chuvangin hlauthawng suh, en belh mai la, i doctor chuan a pui thei ang che.
- I test result chungchang hi doctor nen sawi dun fo la, hriatthiamna chiang tak nei rawh.
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