I thisen cell a hniam em? Cytopenia chungchang hi han sawi ila!

A châng chuan i chau leh chau mai mai em? Nge i damlo reng reng em? Hei hi i thisenah cell chi hrang hrang i neih tlem vang pawh a ni mai thei. Damdawi lamah chuan he dinhmun hi cytopenia kan ti a. Ngaihtuah buai suh, awlsam takin sawi ila.

Kan thisenah hian eng ang cell nge awm? An tlahniam chuan eng nge thleng ang?

Okay, a hmasain kan thisena cell chi hrang hrang leh an thil tih hi han en hmasa ila. Car peng hrang hrangte chu a tlan theih nan an inzawm khawm ang bawkin, heng cell chi pathumte hi kan taksa hriselna atana pawimawh tak an ni.

• Thisen sen (Red blood cells) (Erythrocytes): Hei hi kan taksa pum puia oxygen phurtu cell te an ni. Ngaihtuah teh, kan taksa peng tenau tin hian hnathawh theihna turin chakna a mamawh a ni. Heng thisen sen (red blood cells) te hian oxygen an phurh hian chu chakna chu a pe thei a ni.
• Thisen var (Leukocytes): Hengte hi taksa venhimtu ang mai an ni. He hrik, bacteria, virus, parasite, fungi te taksaah an luh chuan heng white cell te hian an do a, natna lakah min venghim thin. Kan immune system siamtu ber an ni.
• Platelets (Thrombocytes): Engtin nge cut tlemte hian thisen a chhuah loh theih tih i ngaihtuah ngai em? Chumi atan chuan heng platelet te hian an pui thin. Thisen a chhuah chuan heng platelet te hi an inzawm khawm a, thisen zam a siam a, thisen chhuah chu a titawp a ni. Chuti a nih loh chuan, tlêm tê a\ang pawhin thisen tam tak kan hloh thei a ni.

Chuvangin, cytopenia chi hrang hrang a awm em?

Aw ni e. Cytopenia hi natna pakhat chauh a ni lo. I thisena cell chi hrang hrang tlakchham dan azirin classified a ni.

• Anemia: Hei hi i hre tawh ngei ang. Thisen sen (red blood cells) tlem zawkna dinhmun a ni. Chuti a nih chuan eng nge thleng? Taksa a oxygen thlen zat a tlahniam a.
• Leukopenia: Hei hi thisen var (white blood cells) tlahniam a ni. Natna dotu chu white cell hi a ni tih hre reng ang che. Chuvangin an tlahniam chuan natna hlauhawmna kan nei nasa hle. Hemi nena inzawm natna dang chu neutropenia an ti a . Hei hi thisen var chi khat, neutrophils an tih tlahniam a ni. Kan thisen var zingah hian Neutrophils hi a tam ber a.
• Thrombocytopenia: Hei hi platelet tlahniam a ni a, chu chuan thisen a tikhawlo thei a ni. Hengte hi a tlem chuan thisen a khai tha lo. A hliam tenau pawhin thisen zam lian tak tak a siam thei a, a nih loh leh thisen chhuah tihtawp a harsa thei bawk.
• Pancytopenia: Hei hi natna khirh zawk a ni. Hei hi a chunga kan sawi tak pathumte hi red cells, white cells leh platelets te hi vawi khata an tlahniam vek hian a ni.

Classification dang a awm bawk a, chu chu he cytopenia awm chhan atanga chhut a ni:

• Autoimmune Cytopenia atanga lo chhuak: 1.1.A châng chuan kan immune system chu a kal a, kan thisen hrisel tak takte chu a bei ṭan ṭhin. Mahni inah lung kan vawm ang mai a ni. Chutiang a lo thlen chuan thisen cell pakhat emaw, a aia tam emaw a bo thei a ni.
• Refractory Cytopenia: Hei hi kan ruhro chhunga thisen cell siamtu a ni. Ruh lian zawk thenkhat chhungah a awm a, sponge ang mai a ni. Chuvangin, hei hi he ruhro hian thisen cell a siam dan pangngaia a siam loh lai, chu chu thisen cell siam chhuah a tlahniam tihna a ni.

Heng thisen cell te hi a tlahniam hian eng symptoms nge kan neih?

Zawhna tha tak a ni. A chhan chu mi zawng zawng hian symptom an nei vek lo. Mi thenkhat chuan engmah an hre lo mai thei a, thisen test hmanga thil thleng mai maia hmuhchhuah a ni. Mahse an tih chuan, a natna lan chhuahna chu cell chi hrang hrang tihtlem te, an tihtlem zat te, leh a chhan bulpui a zirin a danglam thei a ni.

Chi hrang hrangah eng mizia nge hman theih ang tih i en ang u:

Thisen zam (red blood cells) tlahniam (anemia) chhinchhiahna:

• Chau leh nunna nei lo anga inhriatna.
• Thâwk harsa (dyspnea) hi thil hahthlak tak tak tih hian a awm a, chu chu stairs thlawhna atanga chhoh ang chi hi a ni.
• Lungphun mumal lo emaw, rang tak emaw.
• Vun chu a rawn sen a , a vawt bawk .
• A chang chuan rilru na a awm thei bawk .

Thisen var tlahniam (leukopenia/neutropenia) chhinchhiahna:

• Chau tih mai mai a ni .
• Khawsik leh khawsik .
• Hlo natna (Pharyngitis) .
• Kawngkhar natna .
• A khuh na tak a ni .
• Kawthalo .
• Lymph node a lo hring chhuak .

Platelet count tlahniam (thrombocytopenia) chhinchhiahna: 1.1.

• Bump te tak te pawh hian awlsam takin taksaah thisen hring (bruise) a siam thei tih hi .
• Hliam i neih huna thisen chhuak tawp lo, emaw, hun rei tak chhunga thisen chhuak .
• A chang chuan vunah hian dots te te, red emaw purple emaw (petechiae) a lo lang thin. Hengte hi a takah chuan vun hnuaia thisen chhuak te te an ni.

Engvangin nge hetiang hian ka thisen cell te hi a tlahniam? Hei hi engte nge ni?

Hetiang dinhmun hi cytopenia an tih hi chhan tam tak a awm thei. A awlsam zawngin, a chhan lian tak pahnih a awm thei. Pakhat chu a hmaa ka sawi tawh ang khan ruhro atanga thisen cell siam chhuahnaah harsatna a awm tih hi a ni. A nih loh leh, ruhro (bone marrow)-a thisen cell siam chhuah a, thisena dah belh a nih hnuah, chu cell-te chu eng emaw chhan vangin a chhe vek a ni.

Chûng chhan ṭhenkhat chu rochun , chu chu gene aṭanga lo chhuak thilte a ni thei. Ṭhenkhat chu lei theih a ni a, chu chu a hnuah a lo thang lian .

Thisen tlakchhamna thlentu awm thei: 1.1.

Anemia hi ei leh in lama tlakchham vang a ni fo.Avang. A bik takin iron tlakchhamna `(Iron-deficiency Anemia)` . Kan ruhro (bone marrow) tan hian thisen zam (red blood cell) hrisel tak siam turin nutrients iron, vitamin B12 `(Vitamin B12)`, leh folate `(Folate)` te hi a pawimawh hle. Hengte hi a tawk lo a nih chuan thisen sen (red blood cells) a tlahniam ang. Tin, thisen chhuah (hliam, surgery, etc.) vang leh thisen sen (red blood cells) tichhe thei natna avanga thisen tlakchhamna (anemia) a awm thei bawk.

• Autoimmune Natna te
• Thisen lama harsatna leh Bone marrow lama harsatna nei te
• Ngawt
• Genetic dinhmun (genetic) a awm
• G6PD tlakchhamna a awm
• Damdawi thenkhat
• Ei leh in lama tlakchhamna
• Naupai lai
• Pyruvate kinase tlakchhamna a awm
• Sickle cell natna a ni
• Thalassemia natna a ni

Leukopenia/Neutropenia thlentu awm thei te:

Cancer enkawlna, a bikin chemotherapy leh radiation hmanga thisen var (white blood cells) tlahniam chhan lian tak a ni. Heng enkawlnate hian cancer cell te chu a that a, mahse a side effect angin cell hrisel thenkhat (thisen cell ang chi) te pawh a tichhia thei bawk.

• Autoimmune Natna te
• Thisen leh Bone Marrow lama harsatna awm thei
• Ngawt
• Cancer enkawl dan tur
• Genetic dinhmun (genetic) a awm
• Infection awm thei te
• Damdawi thenkhat
• Ei leh in lama tlakchhamna

Thrombocytopenia thlentu awm thei te:

• Zu in hmansualna
• Autoimmune natna, entirnan , Immune Thrombocytopenia
• Thisen leh ruhro lam natna, Thrombotic Thrombocytopenic Purpura (TPP) ang chi te .
• Ngawt
• Cancer enkawl dan tur
• Genetic dinhmun (genetic) a awm
• Infection awm thei te
• Damdawi thenkhat, entirnan heparin-induced thrombocytopenia (HIT) .
• Ei leh in lama tlakchhamna
• Naupai lai
• Chemical tha lo tak tak nena inzawmna

Cytopenia chi hrang hrang, a chhan dik tak hmuh theih lohna hmun pawh a awm bawk:

A châng chuan, doctor-te chuan heng thisen cell tlahniam chhan dik tak hi an hre chiang thei lo. Chutiang hunah chuan heng dinhmunte hi chi hnih ah a inthen a:

• Clonal Cytopenia of Undetermined Significance (CCUS) hi a chhan chu:Hei hi thisen cell engemaw zatin an DNA-a inherited genetic mutation inang an neih lai a ni. CCUS vei chuan thisen natna thenkhat leh rilru lam natna a vei theihna a sang hle.
• Idiopathic Cytopenia of Undetermined Significance (ICUS): Hetah hian chutiang genetic mutation chu thisen cell DNA-ah hmuh tur a awm lo.

Engtin nge doctor-te hian he cytopenia natna hi an hriat theih? Eng test nge tih thin?

Hei hi symptoms i neih chuan, a nih loh leh chhan dang avanga thisen test i neih chuan hmuh tur a awm tlangpui. Test ber chu complete blood count (CBC) an ti a. Hei hi thisen test tam tak a ni. I doctor hnenah red cell, white cell, leh platelet engzat nge i neih tih leh chu cell awm danah danglamna a awm em tih chiang takin a hriattir a ni. Natna thenkhat chungchangah pawh clues a pe thei bawk.

CBC-ah hian thisen cell count hniam a awm a nih chuan doctor chuan engvangin nge a hniam em em tih hriat a tum ang. Chu chu hriat chian nân test dang a ti leh thei bawk.

A chhan hriat tumin eng test dang nge tih belh?

• Peripheral Blood Smear: Hei hian i thisen sample tlemte lak a, glass slide-a dah a, microscope hmanga en a huam a ni. Cell-te pianzia leh an lan dan hian eng thilin nge buaina thlen tih hriat theihna a pe thei a ni.
• Bone Marrow Aspiration leh Biopsy: Hei hi test buaithlak deuh a ni. He test-ah hian doctor chuan ruhro sample te tak te a la a, cell pangngai lo a awm leh awm loh a enfiah thin. He test hi cancer ang chi natna khirh tak tak, thisen leh ruhro tichhe thei thil dang hriat theihna atan a pawimawh hle.

Hemi bakah hian lab test dang hrang hrang te pawh tih theih a ni a, a chhan dik tak hriat theih a ni bawk.

Okay, tunah chuan he cytopenia natna hi eng enkawlna nge ni?

Enkawlna chu i natna a nasat dan te, symptom i neih leh neih loh te, a chhan bulpui ber te a innghat a ni. Thil na lo ṭhenkhatah chuan, a chhan bulpui a awm lo tihna a ni a, a lan chhuahna a awm lo tihna a ni a, enkawlna a ngai lo mai thei .

Mahse, enkawl a ngai a nih chuan thisen cell tlahniam chhan bulpui (underlying condition) enkawl nan tih a ni tlangpui. Entirnan, nutritional deficiency vang a nih chuan i doctor chuan i ei leh in tihdanglam emaw, nutritional supplement ei emaw a hrilh thei che a ni. Thisen cell count tlahniam hi infection vang a nih chuan antibiotics pek i ni thei .

Thil na tak tak ṭhenkhatah chuan thisen cell zat direct-a tihpunna tur enkawlna a ngai mai thei. Chung zingah chuan:

• Granulocyte Colony tichaktu (G-CSF): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hengte hi damdawi a ni. Anni hian thisen var chi khat i neutrophils tihpunna hmangin hna an thawk a ni. G-CSF hi neutropenia venna atana chemotherapy la mekte hnenah pek a ni fo thin.
• Thisen pek: I taksain a thisen cell a siam thei lo a nih chuan mi dang thisen lak a ngai mai thei.
• Bone Marrow emaw Stem Cell Transplant: Hei hian i ruhro atanga thisen cell pangngai lo, puitling lote chu paih chhuakin, chu chu cell hrisel tak takin thlak a ngai a ni. Heng cell te hi a hnuah thisen cell puitlingah an lo chang ang a, i thisenah an kir leh ang.
• Splenectomy: Hei hi i spleen lakchhuahna tur surgery a ni . A chang chuan spleen hian thisen cell te chu a man thei a, thisen atangin a paih chhuak thei bawk. Chutiang hunah chuan he surgery hi a ngai mai thei.

He cytopenia hi a lo awm loh nan kan tih theih tur a awm em?

Dik tak chuan chhan thenkhat, entirnan, autoimmune natna te, thisen leh ruhro natna te, cancer te hi kan tan ven a harsa hle. Kan thunun theih loh thil a ni.

Mahse, kan taksain thisen sen hrisel siamna atana a mamawh ei tur a hmuh theih nan cytopenia chi thenkhat kan neih theihna tur kan tihtlem thei a ni . Entîr nân, i ei leh inah iron tam tak i neih chuan iron tlakchhamna thisen tlakchhamna (anemia) a veng thei a ni .

Zu in hi tihtlem a pawimawh bawk , zu hian taksain ei tur tha a lakluh theihna a tibuai thei a ni. Hei hian thisen cell a tihhniam phah thei bawk. Zu in hi tihtawp a nih chuan heng thisen dik lote hi a tam zawk chu a pangngaiah a kir leh thei a ni.

Chuti a nih chuan, he natna atanga dam lehna tur prognosis chu eng nge ni? (Prognosis) tih a ni.

I prognosis, a nih loh leh i outlook chu i thisen cell tlahniam chhanah a innghat vek a ni. Entirnan, thisen tlakchhamna hi ei leh in lama harsatna avanga lo awm a nih chuan, uluk taka enkawl leh ei leh in dik taka enkawl a nih chuan a dam kim thei a ni. Bacteria emaw virus emaw avanga i thisen var zat a tlem chuan natna enkawl hian i thisen var zat chu a pangngaia a awm leh theih nan a pui thei a ni.

Mahse, cytopenia hi genetic condition, thisen emaw ruhro natna emaw, cancer emaw avanga lo awm a nih chuan enkawlna buaithlak zawk a ngai mai thei . I doctor chuan i thisen cell zat a enfiah a ngai mai thei a, i hrisel em tih enfiah fo a ngai mai thei.

Chuvangin, i dinhmun avanga dam leh theihna tur chu doctor hnenah zawt la a tha ber.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Hetiang dinhmun hi i nei tih i hriat chuan zawhna tam tak i neih hi thil pangngai a ni. Hlau suh. Heng thilte hi i doctor hnenah chiang takin zawt rawh:

• "Eng cytopenia nge ka neih?"
• "Eng thil nge ka thisen cell count hniam chhan?"
• "Eng enkawlna kawng nge ka neih?"
• "Heng enkawlnate hian eng side effect nge a neih?"
• "Ka thisen cell count a normal leh theih nan eng chen nge a la ngai ang?"
• "Eng chen nge ka enkawl a ngai dawn? Eng chen nge test nei tura lo kal ka mamawh?"
• "Ka dinhmun hi a dam kim thei ang em?"

Cytopenia hi thisen tlakchhamna (anemia) tak tak a ni em?

Hei hi mi tam tak buaina hmun a ni bawk. Anemia hi umbrella term cytopenia hnuaia natna chi khat chauh a ni . Anemia hi thisen zam (red blood cells) (erythrocytes) a tlahniam tihna a ni. Thisen sen (red blood cells)-a protein hemoglobin tlahniam vang pawh a ni thei bawk. He hemoglobin hi oxygen phurh chhuahna atana puitu a ni.

Cytopenia hi thisen cell pakhat emaw a aia tam emaw tlahniam tihna a ni . Chutah chuan anemia (thisen sen tlahniam), leukopenia (thisen var tlahniam), neutropenia (neutrophil tlahniam), thrombocytopenia (platelet tlahniam), leh pancytopenia (heng cell zawng zawng tlahniam) te a huam a ni.

Chuvangin, i thisen cell pakhat emaw a aia tam emaw a hniam tih i hriat chuan i hlauthawng hmain i doctor nen inbia ang che. A chhan azirin enkawlna i mamawh thei a, i mamawh lo thei bawk. Hemi chungchangah hian i doctor hi thurawn pe tur che tha ber a ni.

A tawp berah chuan thil pawimawh thenkhat i hriat reng tur

Okay, tunah chuan cytopenia chungchang kan sawi nasa tawh hle. Thil pawimawh tak tak hriat reng tur thenkhat chu hetiang hi a ni:

• Cytopenia chu i thisena red cell, white cell, platelet pakhat emaw a aia tam emaw a tlahniam tihna a ni.
• Hei hi chhan tam tak a awm thei a ; ei leh in lama harsatna a\angin, natna hrik, genetic condition, cancer, leh damdawi \henkhat thlengin.
• Symptoms hi mi zawng zawngah a lo thleng vek lo . Mi thenkhat chuan symptom engmah an nei lo mai thei. Chauhna te, natna tam tak te, leh hliam awlsam tak te hi a awm fo thin.
• Thisen test awlsam tak (CBC) hmangin hei hi a hriat theih a ni. Tichuan, a chhan hriat tumin test dang neih belh theih a ni.
• Enkawlna chu a natna chhan leh a nasat danah a innghat a ni. A châng chuan enkawlna a ngai lo va, a châng chuan a chhan bulpui chu enkawl a ni a, a nasat chuan thisen cell count tipungtu enkawlna bik a awm bawk.
• Cytopenias chi thenkhat chu ven theih a ni , a bik takin ei leh in inthlau tak ei leh zu in tlem hian.
• Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan i doctor nen inbia ngei ang che . Hlau suh la, mahni thuin thutlukna siam suh.

Damdawi lam thurawn kan lak thuai theih nan leh nun hrisel kan neih theih nan heng dinhmunte hi kan hriat chian a pawimawh ber tih hre reng ang che.

` cytopenia, thisen cell, thisen tlakchhamna, leukopenia, thrombocytopenia, ruhro, thisen test