I chau reng em? Iron tlakchhamna avanga thisen tlakchhamna (anemia) a ni mai thei!

I chau, i chau, a nih loh leh nilengin i chau mai mai em? A châng chuan i luak chhuak a, i kut leh ke a vawt a, thawk harsa pawh i nei thei. Chûngte chu thil pangngai ang maia lang mah se, iron level hniam i nei thei bawk a, chu chu iron-deficiency anemia i nei thei tihna a ni . Lungngai suh, hei hi mi tam tak tuar thei, enkawlna hmanga tihdam theih a ni. Vawiin hian a chungchang hi i hrechiang zawk ang u.

Iron tlakchhamna thisen tlakchhamna chu eng nge ni?

A awlsam zawngin sawi ila, hei hi kan thisena iron awm zat a tlahniam hian a awm fo thin. Hei hian kan thisen sen (red blood cells) te chu direct-in a nghawng a ni. I hria em, heng thisen sen (red blood cells) te hian kan taksa pum puia oxygen phurh chhuahna hna pawimawh tak an thawk a ni. Chuvangin, kan taksain iron a tlakchham chuan ruhro hian ``Hemoglobin`` a siam tling thei lo.

``Hemoglobin`` hi thisen sen chhunga protein awm a ni a, lirthei angin oxygen a la a, taksa pum puiah a sem darh a ni.

Chuvangin, kan hemoglobin level a tlahniam chuan kan thisen hian kan taksa mamawh oxygen chu a phur tha thei lo. Chuvang chuan chau leh luak chhuak kan nei tan thin.

Engtin nge he dinhmun hi a lo awm? Eng stage nge awm?

Iron tlakchham vangin thisen tlakchhamna hi a lo awm thut lo. Zawi zawiin, stage hrang hrangah a lo thang chho zel a ni. A tlangpuiin kan taksa hian kan ei leh in atanga iron hi a hip lut a, a hnua kan hman theih nan a dahkhawm thin. Buaina chu he thir dahkhawm hi taksain a tihpun theihna rate aia tam a nih chuan a intan a ni.

Stage lian pathum a awm a, chungte chu:

1. First stage: Hei hi kan taksaa thir khawlkhawmte a tlahniam zauh zauh hi a ni. Mahse, tun dinhmunah chuan thisen sen (red blood cells)-ah nghawng lian tham a awm lo. Chumi awmzia chu symptoms a lang lo tihna a ni.

2. Stage 2: Thir dahkhawmna a tlakchham zual zel chuan taksain thisen sen (red blood cells) a siam danah inthlak danglamna te te a siam tan thin. A bik takin, ruhro (bone marrow)-a thisen sen (red blood cells) siamah hian ``Hemoglobin`` a awm tlem hle.

3. Stage 3: Hei hi hemoglobin level chu a pangngai aia nasa taka tlahniamna stage a ni. Hei hi iron tlakchhamna chhinchhiahna a lo lang tan tirh lai a ni.

Iron tlakchhamna chhinchhiahna engte nge ni?

Heng symptoms te hi a tir lamah chuan a na lo mai thei a, mahse hun kal zelah zawi zawiin a pung thei a ni. Heng symptoms te hi i nei em tih enfiah rawh:

• Chauhna leh hah lutuk tih hriat reng: Engmah tih theih loh khawpa chau lutuk.
• Lu na: Lu na fo thin.
• Thinrimna, thinrim rang: Thil tenawm tak avanga thinrim, rilru tihbuai a harsat.
• Muscle cramps: Ke leh kut ah muscle cramps a awm.
• Pale skin (`Pallor`): Taksa vun, a bik takin hmai, hmui, kutphah, leh nail hnuai lam chu a sen deuh thin.
• Pica: Ei theih loh thil, ice cube, bawlhhlawh, leilung, lehkha, leh starch te duhna.
• Thâwk harsa (Dyspnea): Hna tlemte i thawh hnuah pawh thawk harsa i ti hle.
• Lei a hring emaw, a na emaw: Lei chu a na thei a, a sen a, a hring thei a, a na thei bawk.
• Koilonychia: Nail te chu a chak lo va, a lai atanga chhung lam hawiin a pil a, spoon ang maiin a awm ta a ni.
• Tachycardia: I thinlung a thawk chak ang maia inhriatna.

Heng symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan doctor pan a, thurawn lak a pawimawh hle.

Iron tlakchhamna chhante chu engte nge ni?

Hetiang dinhmun hi a lo awm theih chhan lian tak tak engemaw zat a awm a:

• Thisen chhuak: 1.1.
• Hmeichhia tan chuan period laiin thisen chhuak nasa lutuk hi a chhan lian tak a ni.
• Digestive system natna, ulcer, gastritis, esophageal reflux disease, ulcerative colitis, Crohn’s disease te pawhin thisen a chhuah tir thei bawk. A châng chuan, kan hre lo pawh a ni thei.
• Iron Malabsorption: Chaw atanga iron kan hmu a, a chang chuan kan taksain a hip tha lo . Hei hi celiac natna vei leh taksa rihna tihtlem surgery nei tawhte tan a tam hle.
• Diet-a iron tling lo: Mi thenkhat ei leh inah hian iron a tlem hle. Hei hi vegetarian emaw vegan diet hmangtute tan chuan a pawimawh hle.

He natna hi tute nge vei theihna chance sang zawk?

Statistically chuan heng mite hi iron tlakchham vangin thisen tlakchhamna (anemia) an vei tam zawk a ni:

• Nu naupai emaw, nau piang thar emaw: Naupai lai hian nuin iron mamawh a tipung a, a chhan chu naute thanna tur pawhin iron a mamawh a ni.
• Nu naupai lai.
• Thisen pe fo thinte.
• Surgery lian tham (a bik takin pum emaw, intestinal emaw surgery, taksa rihna tihtlem surgery) nei tawhte .
• Hmeichhia thlasik lai (a bik takin thisen chhuak nasa tak a awm chuan).
• Naupang tê tê leh naupang puitling: Iron mamawhna a tam chhan chu a ṭhan chak vang a ni.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Iron tlakchhamna a awm reng emaw, enkawl loh emaw a nih chuan harsatna engemaw zat a awm thei.

• Thluak hnathawh dan (`Brain fog`): Hriatrengna a tlahniam a, ngaihtuahna seng harsa.
• Naupangte thanlenna leh thanlenna tlai:A bik takin naupang tête taksa leh rilru lama hmasawnna a nghawng thei a ni.
• Lung natna: Lung lian zawk emaw, thinlung chak lohna emaw ang chi dinhmun hi a awm thei a, a chhan chu oxygen tlakchhamna phuhruk nan thinlung hian nasa zawka hna a thawh a ngai a ni.
• Restless legs syndrome: Kea lungawi lohna leh ke chet duhna rilru a awm thei.

Iron tlakchhamna hi engtin nge kan hriat theih ang?

Doctor-te chuan he natna hi hriat theih nan thisen test an hmang ber a ni.

• Thisen test pangngai (`Full Blood Count` - FBC) hian ``Hemoglobin`` level leh thisen sen (red blood cells) te ngaihtuahna a pe thei a ni.
• Tin, taksaa iron awm zat hriat nan ``Ferritin`` level test a ni bawk.
• Specialized test dang, Total Iron-Binding Capacity (TIBC) te pawh tih theih a ni bawk.

Doctor chuan i dinhmun a zirin eng test nge mamawh tih a rel ang.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu iron tlakchhamna damdawi tha tak tak a awm tih hi a ni. Doctor-te chuan taksaa iron hloh tawhte tihpun hi an ngaih pawimawh ber a ni. Hei hi kawng hnih in tih theih a ni:

1. Oral iron supplement: Hengte hi hman tam ber a ni. Doctor-in a tih angin ni khatah tablet pakhat emaw pahnih emaw ei thin ang che.

2. Iron infusions: Hetiang hmanrua hi iron level hniam tak tak nei tan emaw, iron pill ei avanga side effect nei te, emaw, pill hi a hip tha lo tan emaw hman a ni. Hetiang hmang hian iron hi taksaah direct-in tui angin vein (saline solution ang chi) kaltlangin pek a ni.

I doctor chuan eng damdawi nge i tana tha ber tur leh eng chen nge i ei tur tih a rel ang. A pawimawh ber chu i iron tlakchhamna chhan zawng chhuakin enkawl hi a ni. Iron pill ei mai mai leh a chhan bulpui enkawl loh chuan natna hi a lo awm leh thei a ni.

Enkawlna hian side effect a nei em?

Mi thenkhat chuan iron pill an ei hian side effect tenau te an nei thei bawk. Thil ngaihtuah tur a awm lo, hengte hi a tlangpuiin a serious lo.

• Ka chhungah metallic taste a awm tih hriat.
• Pum natna: a khat tih hriat, chaw ei tlem (constipation), emaw, ril tam zawk (diarrhea) emaw pawh a ni thei.
• Thianghlim rawng dum (hei hi thil pangngai a ni, lungngai suh).
• Nausea, luak chhuak.

Heng side effects te hi i tawn chuan doctor hnenah hrilh rawh. Iron dosage chu a siamrem thei a, iron pill chi dang a pe thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I enkawl dan leh i iron level a hniam danah a innghat. Iron tablet i ei a nih chuan kar hnih atanga kar thum hnuah i rilru a hahdam tan tlangpui thin . Iron infusion i ei a nih chuan tlem chuan i dam thuai mai thei. Mahse, i iron level chu a pangngaia a lo kir leh theih nan thla engemaw zat a ngai thei.

Iron tlakchhamna hi ven theih a ni em?

Ni e, eng emaw chen chu ven theih a ni. A pawimawh ber chu iron tamna diet ei hi a ni . Tin, risk factors (e.g. heavy menstruation) a awm chuan doctor thurawn la hmasa la, a tul chuan iron level enfiah tir a tha zawk. Tichuan a tlahniam tan chuan i man thei ang.

Hetiang natna vei te tan hian eng nge an hmalam hun?

He natna hi enkawlna hmanga tihdam theih a ni. Mahse, iron tlakchhamna chhan bulpui (underlying condition) enkawl a pawimawh hle. Iron level tihsan nan iron pill i ei a nih pawhin a chhan bulpui chu enkawl a nih loh chuan harsatna chu a lo lang leh thei a ni.

Ngaihtuah teh, iron level a tlahniam tih i hriat nghal chuan, chu chu pum chhunga ulcer emaw, colon polyp emaw ang chi thil vang pawh a ni thei. A tlem hle a, colon cancer chhinchhiahna a ni thei. Chuvang chuan a chhan zawn a pawimawh em em a ni.

Ka iron level hrisel taka awm theih nan eng nge ka tih ang?

• Symptoms i neih chuan doctor nen in iron level enfiah tir turin inbia ang che.
• Nitin ei leh inah iron tamna ei tur te pawh telh la (hei hi tlem kan sawi leh ang).
• I doctor-in a lo pek tawh chuan thisen test reng reng tur a ni.
• Menstrual bleeding nasa tak emaw, intestinal condition dang emaw i neih chuan doctor nen sawiho la, a tul anga enkawlna dawng rawh.

Iron tlakchhamna nei chuan eng nge a ei ang?

Iron tamna diet ei hian i taksaa iron dahkhawmna a tipung thei a ni. Entirna thenkhat chu hetiang hi a ni:

• Rannung proteins: sa sen (bawngsa, kêl), vawk (a bik takin thin), sangha, artui.
• Cereals leh chhang: bran chhang, enriched white bread, rye chhang, bran cereal, cereal buhfai nen.
• A rah: theipui, date, raisins.
• Legumes: Chickpeas, peas, green bean, lentils, soybean (`Tofu`, `Tempeh`) te hi a ni.
• Thlai: Thlai dum dum, spinach, kale, collard greens, broccoli, bean, potato, cabbage, tomato te.

Pawimawh: Iron tamna ei tur leh vitamin C tamna ei tur (orange, tangerine, lemon, guavas) ei hian taksain iron a hip lut thei a ni. Tin, chaw ei ruala tea leh coffee ang chi thil in hian iron absorption a tibuai thei bawk. Chuvangin chaw ei hma emaw, chaw ei zawhah emaw darkar khat emaw darkar hnih emaw ei a tha ber.

Vegetarian/vegan ka ni a, ka rilru a buai em em bawk. Thir tam zawk hmuh theih nan eng nge ka tih theih ang?

Vegetarian emaw vegan emaw i nih chuan iron chungchangah a bik takin i fimkhur a ngai a ni.

• Thir hmanga siam chhang leh chawhmeh chi hrang hrang thlang rawh.
• I eitur ah hian legumes (chickpeas, lentils, soy), tofu, dried fruits (dates, raisins), leh dark green vegetables (spinach, kale) te dah belh la.
• Damdawi lam thurawn angin iron supplement pawh i ei thei bawk. Engpawhnise,Damdawi lam thurawn tel lovin supplement ei tan ngai suh.

Engtikah nge Doctor ka hmuh ang?

Iron tlakchhamna symptom i rinhlelh chuan doctor pan ngei ngei tur a ni. Tin, iron tlakchhamna avanga enkawl i nih tawh chuan i doctor (e.g. thla thum danah) iron level leh hriselna zawng zawng enfiah turin i kal chhunzawm zel tur a ni. I thisen chhuah chhan a zirin gynecologist emaw gastroenterologist emaw hnenah pawh refer theih i ni bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Iron tlakchhamna i neih nia hriat i nih chuan i doctor hnenah heng zawhnate hi zawh a \angkai thei ang:

• Ka thisena iron level chungchang eng nge min hrilh theih ang?
• Ka dinhmun hi engtiang chiahin nge a nasat?
• Specialist dang ka hmuh a ngai em?
• Eng ang enkawlna nge ka mamawh?
• Eng chen nge iron supplement ka ei a ngai dawn?
• Enkawlna atang hian eng side effect nge beisei theih ang?
• Engtikah nge ka rilru a hahdam tan ang?

Take-Home Thuchah a ni

Kan mawhphurhna hlen chhuak thei tur khawpa chakna nei lo anga inhriat ni kan nei vek a. Mahse iron tlakchhamna thisen tlakchhamna i neih chuan chu hahna chu a bo mai mai lo mai thei. I chau reng a nih chuan ngaihthah suh. A chhan hriat tumin doctor hmu la, a tul anga test neih tir rawh. Tichuan, enkawlna dik tak i hmu thei a, hrisel leh chak takin i awm leh thei ang. Hei hi tihdam theih fo a ni tih hre reng la, chuvangin hlauthawng suh la, thil dik ti rawh.

` Iron tlakchhamna, thisen tlakchhamna, hemoglobin, thisen sen, hahna, iron tablets, ei leh in tha