Khawsik leh flu ang chi natna i nei fo em? A nih loh leh i chau a, i chau hle tih i inhria em? Hengte hi thil pangngai anga ngai fo mah ila, a chang chuan kan taksa chhungah hian a hnung lamah thawnthu lian zawk a awm thei. Chu thawnthua mi langsar ber pakhat chu ‘Granulocytes’ tih a ni. Kan taksaah hian heng vengtu te te hi tute nge an nih i en ang u?
Granulocytes hi a awlsam zawngin eng nge ni?
A awlsam zawngin, granulocytes hi kan thisena thisen var chi khat a ni. Hengte hi kan taksaa thisen var chi hrang hrang awm tam ber an ni. Kan taksa hi ram ang maiin han ngaihtuah teh. Tichuan heng thisen var te hi chu ram sipai an ni. Granulocyte te hi chu sipaiah chuan a bik taka training nei commando ang mai an ni.
Heng cell chhungah hian granule te te a awm a. Heng granules chhungah hian chemical leh enzyme hrang hrang a awm a. Kan taksaah natna hrik, chu chu hrik a luh chuan heng granulocyte te hi chu hmunah chuan an kal nghal vat a, an chhunga granule awmte chu an chhuah a, chu natna hrik chu an do thin.
I granulocyte level hriat theihna awmchhun chu thisen test neih hi a ni .
- Granulocyte count a tam chuan: I taksaah natna chi khat a awm tihna a ni thei.
- Granulocyte count a tlem chuan: Ruhro natna chhinchhiahna a ni thei a, chu chu leukemia emaw aplastic anemia emaw a ni thei.
Thisenah hian granulocyte puitling lo a awm a nih chuan eng nge thleng ang?
A tlangpuiin heng granulocyte te hi kan ruhroah an puitlin kim hnuah thisenah an lut thin. Mahse a chang chuan heng cell puitling lote hi thisenah pawh a awm bawk . Chutiang a nih chuan awmzia nei thei thil engemaw zat a awm.
Pakhat chu ruhroah hian thil dik lo a awm tih hi a ni. A nih loh leh, taksain natna a lo chhuah veleh rang taka chhan let a tum vang pawh a ni thei. A tlangpuiin, doctor-te chuan heng granulocyte puitling lote hian i thisen var cell zawng zawng 2% aia tam an siam chuan an ngaihtuah ber a ni.
Mahse nu naupai emaw, nausen piang thar emaw hian an thisenah heng cell puitling lote hi a nei a nih chuan ngaihtuahawm tur a awm lo. An ruhro chu a hrisel a, hna a thawk tha tih a tilang. Chuvangin, dinhmun pangngai a ni.
Granulocyte chi hrang hrang leh an hnathawh dan tlangpui chu engte nge ni?
Hengte hi commando ang mai an ni kan ti a. He commando team hian hna hrang hrang thawk tur specialist an nei bawk. Chutiang bawkin granulocyte chi hrang hrang lian tak tak a awm bawk. Type tin hian hna hrang hrang an thawk a.
| Cell chi hrang hrang | Main function leh sawifiahna awlsam tak |
|---|---|
| Neutrophils te pawh a awm | Hengte hi kan taksaa defender ber leh tam ber an ni. Kan thisen var hmun thuma ṭhena hmun hnih vel an ni. An hna ber chu bacteria do hi a ni. |
| Eosinophils a awm bawk | Heng cell te hi allergy ah hian an thawk nasa ber a ni . Hei bakah hian parasites dona kawngah an pui bawk. |
| Basophils te hi an ni | Hengte hi allergy-ah hian a inrawlh ber a ni. Anni hi histamine ang chi thil tichhuaktu an ni a, taksa atanga allergens awmte paih chhuaktu an ni. |
| Mast cells te chu a awm | Hengte hi basophils nen an inang hle. A danglamna chu thisenah an zin lo va, kan vun leh lung ang tissue-ah an awm reng a ni. Infection a awm chuan active hmasa ber an ni. |
Granulocyte count hniam emaw sang emaw avanga eng dinhmun nge awm?
Heng cell te hi a zat pangngaia vawn reng hi kan hriselna atan a pawimawh hle. An zat a tlahniam emaw, a pung emaw a nih chuan damdawi lam dinhmun hrang hrang chhinchhiahna a ni thei.
- Granulocytosis: Hei hi granulocyte tamna a ni .Hei hi infection, cancer emaw, autoimmune disease emaw avanga lo awm a ni thei.
- Neutropenia: Hei hi neutrophil awm zat tlahniam tihna a ni. Hei hi thisen emaw ruhro natna (e.g. leukemia) vang a ni fo thin.
- Eosinophilia: Eosinophil count a tipung . Hetiang dinhmun hi asthma emaw allergy nei te tan pawh hmuh tur a awm.
- Basophilia: Basophils tihpunna a ni . Hei hi infection, autoimmune diseases, emaw leukemia ang chi condition vang pawh a ni thei.
Hetiang dinhmunah hian symptoms tlangpui
Granulocyte level pangngai lo hian natna chi hrang hrang a thlen thei a, mahse a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:
- Chauhna leh chau tih hriat reng reng
- Khawsik fo thin
- Natna rang lutuk (Frequent infections) .
- Gum natna
- Kawngkhar natna
- Joint natna
- Nausea leh luak chhuak
- Vun a rawn chhuak
- Lymph node a lo hring chhuak
Engtin nge ka granulocyte level dik tak ka hriat theih ang?
Chu chu hriat theih dan tha ber chu Complete Blood Count (CBC) report lak hi a ni . Sri Lanka-ah pawh hei hi "Full Blood Count" report kan ti a. Hei hi thisen test tlanglawn tak a ni.
I CBC report-ah hian heng thute hi zawng rawh:
- `Neutrophil` emaw, "neut" emaw a ni thei.
- `Eosinophil` emaw, "eosin" emaw a ni.
- `Basophil` emaw, "baso" emaw a ni.
Heng thute hnuaiah hian "abs" a awm tih i hre tawh mai thei. Chu chu "absolute" tihna a ni. Thisen chhunga cell awm zat dik tak a kawk a ni. I report-a hlutna awmte chungchangah rinhlelhna i neih chuan i doctor nen inbiakna neih a tha ber.
Hei hi eng enkawlna nge ni?
Enkawlna chu i granulocyte level dik lo awm chhan a innghat a ni.
Enkawlna tlangpui
- Antibiotics - natna hrik kai theihna tur
- Corticosteroid hmanga tihdam theih a ni
- Immunosuppressant hmanga taksa hriselna tichhe thei
- Bone marrow transplant - natna khirh tak tak tan
- G-CSF injection - granulocytes te tihpunna tur
Cancer a awm chuan
A chhan chu cancer a nih chuan chutiang tur chuan enkawlna hrang hrang a awm.
- Chemotherapy hmanga enkawl a ni
- Radiation hmanga enkawlna a ni
- Targeted therapy hmanga enkawlna
- Inzai
Ka granulocyte count a dik lo a nih chuan engtin nge ka tih ang?
Granulocyte count hniam emaw sang emaw i neih chuan natna hrik i kai tam zawk. Chuvangin natna hrik laka inven a pawimawh hle.
- Kut sil fo tur: Sahbawn hmangin i kut silfai tur a ni a, a bik takin chaw ei hma leh toilet hman zawhah.
- I hmai, mit leh hnar khawih loh tur: Heng hmunte hi kut sil lovin khawih suh.
- Vaccine tul tak tak la rawh: I doctor-in a rawt vaccine te chu a hun takah la rawh.
- I hmui hriselna enkawl rawh: Nitin ha silfai thin ang che. Ha enkawltu pan zel ang che.
A chung berah chuan doctor thupek dik taka zawm a pawimawh. I dinhmun enkawlna leh invenna tha ber berte a hrilh ang che.
Take-Home Thuchah a ni
- Granulocytes hi thisen var chi khat a ni a, kan taksa tana pawimawh tak leh natna hrik dotu a ni.
- An tlem emaw tihpun emaw hi natna awlsam tak atanga leukemia ang chi natna khirh tak thlenga chhinchhiahna a ni thei.
- Thisen test awlsam tak (CBC) hmangin awlsam takin i granulocyte level i hre thei ang.
- Natna i neih reng emaw, i damlo emaw a nih chuan heng symptoms te hi ngaihthah suh. Doctor hmu nghal rawh.
- Damdawi lam pan a, hri kai laka inven a pawimawh hle.
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