DIC chu eng nge ni? Taksa chhunga thisen zam (Disseminated Intravascular Coagulation) .

I taksa zawng zawng aṭangin thunun theih lohvin thisen chhuak nghal mai la, hmun tinah pawh hliam tuar mah la, han mitthla teh. Hei hi a hlauhawm takzet a ni lawm ni? Vawiin hian hetiang dinhmun pawi tak, mahse a tlem hle tih kan sawi dawn a ni. Hei hi damdawi lam chuan Disseminated Intravascular Coagulation, a tawi zawngin DIC an ti a. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

A awlsam zawngin DIC chu eng nge ni?

DIC hi harsatna buaithlak tak leh pawi tak a ni a, kan thisen zam (blotting system)-ah a thleng thin. Hemiah hian thil mak tak mai a thleng thin. Khawthlang lamah chuan taksa thisen kalna kawng chhungah hian a tul lovah thisen zam te tak te tam tak a lo awm tan thin. Kawng lehlamah chuan, hei hian thisen zam siamtu thil pawimawh ber chu a titawp a, chu chuan thunun theih loh thisen a chhuah tir a ni .

DIC natna lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian thisen zam leh thisen chhuahna pahnih hi a rualin a thleng a, chuvangin a pahnih nena inzawm symptoms a lo awm thei a ni.

Engvangin nge he DIC hi a lo awm? Tlem a chipchiar deuhin han thlir ila.

Hei hi hrethiam tur chuan kan taksa hi a tlangpuiin a clot dan hi tlem kan hriatthiam hmasak a ngai a ni. I kut ah hian hliam te tak te i nei ang tih han ngaihtuah teh. Chutih lai chuan kan thisena platelet leh liver siam clotting factors te chu an inzawm khawm a, hliam chu an seal a, thisen chhuah chu a titawp ta a ni. Brick (platelet) leh cement (protein) hmanga bang chhunga khur patch ang mai a ni.

Mahse DIC chungchangah chuan he kalphung hi a buai vek a ni.

Stage hnihna chu DIC condition a ni

1. Stage 1 (Blood Clots): Damdawi lam dinhmun na tak avang hian taksa pum puia thisen kalna kawng te tak teah thisen zam te tak te sang tam tak a lo awm tan thin. Hei hian thluak, kal leh lung ang chi taksa peng lian tak takte thisen kalna chu a titawp a ni. Khawpui pakhata kawngpui te tak te zawng zawng chu rang taka inkhar vek ang mai a ni.

2. Stage 2 (Bleeding): A tul lova thisen zam siamin kan taksain platelet leh thisen zamtu protein zawng zawng a hmang zo vek a. Tunah chuan hliam a awm tak tak a nih chuan taksa hian a khar nan "brick leh cement" mamawh a nei tawh lo. Chumi rah chhuah chu thisen chhuak nasa tak, thunun theih loh a ni.

Tute nge DIC vei theihna chance sang zawk?

Kan sawi tawh ang khan hei hi dinhmun khirh tak dang avanga lo awm a ni. Chuvangin, a hnuaia natna nei te hi DIC vei theihna chance a sang zawk a ni:

Doctor-te hian engtin nge hei hi an hmuh?

DIC hi damdawi ina awm tawh leh damdawi lama harsatna lian tak avanga enkawl mekte zingah a awm tlangpui. I doctor chuan i symptoms leh medical history te uluk takin a enfiah ang. Hei bakah hian thisen test bik eng emaw zat an nei dawn a, an natna hi an finfiah dawn a ni.

• Complete Blood Count (CBC): Platelet count a hniam em tih enfiah thin ang che.
• Prothrombin Time (PT) leh Partial Thromboplastin Time (PTT): Thisen a tlak hun chhung tehna tur a ni.
• Fibrinogen test: Thisen zam tura puitu protein level a enfiah thin.
• D-dimer test: Taksa chhunga thisen zam a chhiat avanga thil siam chhuah a ni. Hei hi a level sang lutuk hi DIC chhinchhiahna pawimawh tak a ni.

Hei hi eng enkawlna nge ni?

DIC enkawlna atana pawimawh ber leh hmasa ber chu a natna thlentu damdawi lam dinhmun (e.g., sepsis) enkawl hi a ni. Chu chu enkawl loh chuan DIC ringawt pawh tihdam theih a ni lo.

Chu enkawlna hmasa ber chu an pek lai hian doctor-te chuan DIC enkawl nan a hnuaia mi hi an ti thin:

• Plasma transfusions: Thisen zawrh chhuahna atana mamawh protein (clotting factors) siam that leh.
• Platelet leh red blood cell pek: Thisen chhuah vanga platelet leh red blood cells tlakchham tawhte siam that leh.
• Anticoagulants damdawi te: 1.1.A then phei chuan heng damdawi (blood thinners) te hi duh loh zawnga thisen zam (blood clots) control nan pek thin a ni.

Engtikah nge doctor pan nghal i mamawh?

Nangmah emaw i hriat mi emaw chu natna khirh tak a nih a, a hnuaia chhinchhiahnate hi a lo lang nghal a nih chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh .

• Thisen chhuahna nasa tak a awm chuan tihtawp theih loh .
• Heart attack symptoms i neih chuan (hnung na lutuk, thawk harsa).
• Stroke symptoms (hmai sir khatah tla, tawng harsa, kut hnathawh hloh) a lo lang a nih chuan.

DIC hi a dam kim thei ang em?

Ni e, a theih ngei ang. DIC chhan bulpui chu hlawhtling taka control a nih chuan damlo chu a dam kim thei a ni. Plasma pek leh thisen pek ang chi, ṭanpuitu enkawlna chuan thisen zam siam ṭhat lehna kawngah a pui thei a ni.

DIC neih hian damdawi lam natna khirh tak dang i do tawh tihna a ni. Chuvangin, he harsatna belhchhah hi hmachhawn chu a buaithlak thei hle. Mahse, i doctor thupek ang chiah kha zawm rawh.

• Damdawi pek chu a hun ruatah leh a zat tur angin ei tur a ni. Doctor thurawn tel lo chuan damdawi engmah ei khap suh la, a dose pawh thlak suh.
• Damdawi dawr atanga i lei natna tidamtu, vitamin emaw supplement dang emaw doctor rawn hmasa lovin hmang suh.
• Anticoagulant i ei a nih chuan i enfiahtu doctor zawng zawng hnenah hriattir vek tur a ni.

Chutiang dinhmun khirh tak i hriat chuan hlauhna i neih chu thil pangngai a ni. Mahse, kan ram hian hetiang dinhmun khirh tak enkawl thei tura training nei doctor thiam tak tak leh damdawi in thawktu kan nei tih hre reng ang che. Chuvang chuan an rintlak a, inenkawlna zawn a pawimawh hle.