Tun hnaia thisen test report i hmuh khan i red blood cell count a sang tih a sawi em? Chutiang thil i hmuh chuan tlem a hlauthawng leh hlauhna i neih chu thil pangngai a ni. "Hei hi eng nge ni? Natna khirh tak ka nei em?" Mahse, lungngai suh. Vawiin hian he thu hi i thianpa hnena i sawi ang chiah hian awlsam takin kan sawi dawn a ni.
Hetianga thisen zam (red blood cells) pung hian eng nge a awmzia?
A awlsam zawngin sawi ila, i thisenah thisen sen (RBC) awm zat chu a pangngai aia tam a ni tihna a ni. Kan thisen hi a bulpui ber chu chi thum a ni a, chungte chu: red cells, white cells, leh platelets te an ni. Red cells hnathawh ber chu lung atanga taksa peng hrang hranga oxygen phurh hi a ni.
Kawngpuiah motor ang maiin han ngaihtuah teh. Car a awm tawk chuan lirthei tlan tam lohvin a kal tluang hle. Chutiang bawkin thisen sen (red blood cells) a awm tawk chuan taksa pum puiah oxygen a kal kual thin. Mahse thisen zam (red blood cells) a pun lutuk chuan, kawngpuiah motor a khat a, traffic jam a awm ang bawkin kan thisen a thim thin. Hei hi damdawi lam tawng chuan ``Erythrocytosis'' an ti a. Thisen a thim chuan thisen zam a awm theihna a sang thei hle. Hriselna lama harsatna awm thei chhinchhiahna a ni thei bawk.
Thisen sen engzat nge ‘high’ anga ngaih?
Doctor-te chuan i thisen zam (red blood cell count) chu an teh a, i hriselna an hriatthiam theih nan leh natna i hriat theih nan. A tlangpuiin heng value te hi test titu lab a zirin a danglam deuh thei a ni. Mahse a tlangpuiin normal value chu hetiang hi a ni.
| Mihring | Red cell size pangngai (thisen microliter khatah) 1.1. |
|---|---|
| Mipa a ni | 4.7 aṭangin maktaduai 6.1 a ni |
| Hmeichhia | 4.2 atanga maktaduai 5.4 a ni |
| Naupang | 4.0 atanga maktaduai 5.5 thleng a ni |
Vawi tam tak chu hriselna lama harsatna dang nei leh awm loh thisen test an tih hian thisen sen (red blood cell count) sang tak a awm tih hmuhchhuah a ni. Chutiang a nih chuan i doctor chuan a chhan hriat nan test dang neih belh a rawt ang.
Thisen sen (red blood cells) pung zel hian eng symptoms nge a neih?
Mi thenkhat chuan an thisen sen (red blood cell count) sang mahse symptom engmah an nei lo mai thei. Mahse, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chauhna/chauhna | Chhan awm lovin hah lutuk. |
| Thâwk harsa | Tlemte thawhrimna pawh nise thawk harsa tihna. |
| Lu na leh mit hmuhna fiah lo | Lu na fo leh mit a fiah lo. |
| Joint natna | Joint natna. |
| Vun a na | Vun natna, a bik takin tui lum a inbual hnuah. |
| Mut harsatna a awm | Mut theih lohna emaw, bengchheng lutuk emaw. |
Engvangin nge thisen zam (red blood cell) hi a pung? A chhante chu engte nge ni?
Thisen zam (red blood cell count) sang tak a awm theih chhan hi chhan hrang hrang a awm a. Hei hi natna khirh tak chhinchhiahna a ni ngai lo. Kan khawsak danah thil engemaw avanga lo awm a ni thei bawk. A chhan berte han thlir ila.
Damdawi lam dinhmun avang hian
- Heart Failure: Thinlung a chak loh chuan taksaah oxygen a pump tling thei lo. A compensate turin taksa chuan thisen sen (red blood cells) tam zawk a siam tan a.
- Congenital Heart Disease: Nau piang laia thinlunga chhiatna thenkhat awm vang a ni.
- Polycythemia Vera: Hei hi thisen cancer chi khat hmuh tur awm lo tak a ni a, ruhro hian control theih lohvin thisen sen (red blood cells) a siam chhuak thin.
- Kidney Tumors: Kidney-in thisen sen (red blood cells) a siam chhuahna tichaktu hormone (Erythropoietin) a siam chhuah tam lutuk vang a ni.
- Lung natna: `COPD` leh `Emphysema` ang natna te hian taksain oxygen a dawn zat a ti tlem a. Chumi phuhruk nan taksain thisen sen (red blood cells) a siam tam zawk a ni.
- Hypoxia: Thisena oxygen level hniamna dinhmun eng pawh.
- Sleep Apnea: Mut laiin thawk a tawp fo thin. Hei hian taksaa oxygen level a tihniam bakah red blood cell siamchhuahna a tipung bawk.
Kan nunphung in nghawng a neih dan
- Meizial zuk: Cigarette meikhua carbon monoxide hian thisena oxygen phurtu protein, hemoglobin-ah a inzawm a. Hei hian thisen chu oxygen nena inzawm theihna a ti tlem a ni. Taksa hian thisen sen tam zawk siamin a compensate a ni.
- Hmun sang takah awm: Colombo atanga Nuwara Eliya-a i insawn lai kha han mitthla teh. Hmun sang takah chuan boruakah oxygen concentration a hniam hle. Chutianga insiamrem tur chuan i taksa hian a pianphungah thisen sen (red blood cells) a siam tam zawk thin.
- Performance tichaktu damdawi hman: Infiammi thenkhat chuan anabolic steroid emaw erythropoietin emaw an hmang a, hei hian artificial takin thisen sen siamchhuah a tipung thei a ni.
Stress hian thisen sen (red blood cells) a tipung thei em?
Awle. Research-ah chuan stress leh thisen cell inzawmna a awm tih hmuhchhuah a ni. Stress sang hian thisen sen (red blood cells), neutrophils, thisen var chi khat, leh platelet te a tipung thei a ni.
Thisen sen (red blood cell count) tihpun hi engtin nge enkawl a nih?
A pawimawh ber chu enkawlna chu thisen zam (red blood cells) sang lutuk chhan bulpuiah a innghat a ni. Thisen sen zat tihtlem mai ai chuan a chhan zawng chhuak a, enkawl a pawimawh zawk.
Entirnan, `Polycythemia Vera` tih natna i neih chuan i doctor chuan thisen zam (red blood cell) siam chhuah control nan `(Hydroxyurea)` ang chi damdawi a pe thei ang. Tin, a chang chuan `Therapeutic Phlebotomy` tih damdawi an hmang bawk. Hei hian i taksa atanga thisen tlemte chu a hun taka lak chhuah a huam a ni , thisen pek ang bawkin, i thisen sen zat control nan.
Chuvangin i thisen zam (red blood cell count) a tam chuan i doctor hmu ngei tur a ni a, sawiho tur a ni. A chhan dik tak zawng chhuakin eng enkawlna nge i mamawh tih chu a rel ang.
Thisen sen (red blood cell) pung zel tur ven nan eng nge kan tih theih ang?
Hei hi kan veng thei reng reng lo nain, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:
- Tui tam in tur: Ni khata tui glass 8-10 tal in hian thisen zam a tihziaawm thei a ni.
- Coffee leh sugary drinks ang chi thil tih tlem: Hengte hi diuretics an ni a, taksa atanga tui a hloh phah a, thisen a ti thim thei bawk.
- Meizial zu hi pumpelh vek rawh: Hei hi i tih theih tha ber pakhat a ni.
- Exercise: Exercise mumal tak hi thinlung leh thisen kalna atan a tha hle.
- Iron pill hi a tul loh chuan ei suh: Doctor-in a rawt loh chuan iron pill ei suh, a chhan chu iron hi thisen sen siamna atana nutrient pawimawh tak a nih avangin.
- Sleep Apnea i neih chuan: I doctor-in a tih angin `CPAP` ang chi hmanrua dik takin hmang ang che.
- Lung natna i neih chuan: I doctor-in a pek che enkawl dan tur dik takin zawm rawh.
Take-Home Thuchah a ni
- I thisen report-a red blood cell (RBC) count sang tak i hmuh chuan hlauthawng suh. Mahse, ngaihthah bawk suh.
- Thisen sen (red blood cells) a pun chuan thisen a thim a, thisen zam a awm theihna a tipung tihna a ni.
- Hei hi nunphung hrang hrang, meizuk leh hmun sang taka awm te, chubakah thinlung natna, lung natna emaw, cancer thenkhat emaw avanga lo awm thei a ni.
- A pawimawh ber chu Doctor pan nghal a , a chhan dik tak hriat chian hi a ni.
- Enkawlna chu a chhan bulpuiah a innghat a ni. Nunphung hrisel neih hian a hlauhawmna a ti tlem thei a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 ‘High Red Blood Cell Count / Polycythemia’ tih hi eng nge ni?
A tlangpuiin kan thisen hian oxygen phur turin thisen sen (red blood cells) a nei tur a ni. Mahse he natnaah hian taksa/ ruhro chhunga harsatna lian tham eng emaw a awm avangin thisen sen (red blood cells) hi sang tam takin a pung (Elevated RBC/Hematocrit), chu chu thihna thlentu a ni a, thisen chu tui ni lovin ‘khawizu ang maia thick/thick’ (Hyperviscosity) a lo ni ta a ni. Hei hian thisen a tikhawlo a, damlo chuan engtik lai pawhin heart attack/stroke a nei thei a, a thi thei bawk!
💬 Thisen thim leh red blood cells (Polycythemia) pung chhan berte chu engte nge ni?
Hei hi a chhan lian 2 a awm a, chungte chu: 1) Secondary Polycythemia - Hei hi meizuk nasa lutuk vang emaw, lung natna/lung natna (COPD) i neih vang emaw, sleep apnea i neih vang emaw a ni! Tichuan thluak chu a hlauthawng ta a, a chhan chu taksain oxygen a riltam a, kal te chu cell thar siam turin a hrilh (EPO release). 2) Polycythemia Vera (PV) - Hei hi ‘Blood Cancer / Bone marrow disorder’ a ni! Chhan awm lovin ruhro hian thisenah thisen sen sang tam tak a chhuahtir a.
💬 RBC sang hian eng symptom hlauhawm tak nge a neih? Engtikah nge doctor i hmuh ang?
A lan chhuah dan lian ber chu tuar theih loh lu na (thisen sang vang), mit hmuhna fiah lo, shower/tui lum in hnua taksa pum puia natna (itching) te hi a ni! Tin, hmai hi a sen hle fo bawk (Plethora). Amaherawhchu, 1) i rilru a rit/a hrual a, 2) rang takin thawk i la thei lo, 3) kut emaw ke emaw a bengchheng a, i hriatna a hloh (Stroke symptoms) a nih chuan damdawi in pan vat a ngai a, a chhan chu thisen zam (Blood clots/Thrombosis) a tang thei a ni!
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