Bone Marrow chu eng nge ni? Engvangin nge kan taksa tan a pawimawh em em?

'Bone Marrow' tih hi i hre tawh ngei ang, a dik em? Doctor hnen atanga lo kal pawh a ni thei, TV atang pawh nise. A nihna takah chuan kan ruh chhunga thil mak tak a ni a, kan taksa tana thil pawimawh tak a ni. Lungngai suh, hei hi thil lian tak angin lang mah se, vawiinah hian awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

Bone marrow hi eng nge ni tak tak?

Okay, chuti a nih chuan he ‘bone marrow’ hi eng nge a nih i en hmasa phawt ang u. A awlsam zawngin kan ruh chhunga a nêm, spongy, jelly ang chi a ni. Ran ruh thenkhat chhunga marrow (entir nan, vawk i ei laiin thigh bone) i hmu tawh em? Chu chu hei hi a ni. English-ah chuan ‘bone marrow’ an ti a. 'me-ro' ang maiin a ri .

He ruhro hi kan taksa ruh zawng zawngah a awm vek lo va, a bik takin kan taksa ruh lian leh sei tak takah hian a tam hle. Entirnan, i thigh bone, hip bone, sternum leh ribs-ah te. Naupang tê tê ruh tam tak chuan he ruhro hi nei mah se, kan lo puitlin chuan, chu chu tleirawl hun kan thlen chuan ruh ṭhenkhat chu a danglam a, thau cell-in a khat ta a ni. Mahse, thigh bone leh hip bone ang hmunah chuan he bone marrow pawimawh tak hi dam chhung zawngin a thawk reng a ni.

Bone marrow hi chi hnih a awm tih i hria em?

Ni e, a takah chuan kan taksaah hian ruhro chi hnih a awm a. Pakhat chu ruhro sen a ni a , pakhat chu ruhro sen a ni . Heng pahnih hian hnathawh dan inang lo deuh an nei a.

Red Bone Marrow – Kan thisen siamna factory!

He red bone marrow hi kan taksa mamawh a ni a, hna pawimawh tak tak a thawk a ni. Kan taksaa thisen cell chi hrang hrang a siam chhuak a . Factory lian tak, kan mamawh thisen cell siam chhuak reng ang maiin han ngaihtuah teh. Heng thisen cell te hi engte nge ni?

• Red Blood Cells (RBCs): Hei hi kan taksa pum puia oxygen phurtu cell te an ni. Truck te tak te, lung atanga oxygen la chhuak a, taksa chhunga cell tin thlenga thlentu angin ngaihtuah rawh. He oxygen hian chakna min pe a, kan thawk thei a, hna kan thawk thei bawk. Heng cell te hi a hniam chuan kan chau hle a, a chang chuan thisen tlakchhamna (anemia) an nei thin.

• White Blood Cells (WBCs): Hengte hi kan taksa venhimtu ang mai an ni. Kan rama sipai leh police te ang bawkin. Natna thlen thei thil chi hrang hrang, hrik, bacteria leh virus te taksaa an luh chuan heng white cell te hian an kal a, an bei a, an tichhia a, natna lakah min chhanchhuak thin. Heng thisen var hi chi hrang hrang a awm a, chi tin hian hna bik an nei vek a ni. Entirnan, neutrophil leh lymphocyte te.

• Platelet awmte chu:Pawl pawimawh dang chu heng platelet te hi an ni. Hliam te tak te, hliam i neih chuan thisen engemaw zat a luang ang a, a tawp mai ang. Chumi atan chuan heng platelet te hian an pui thin. An tih chu thisen chhuahna hmunah an lo kal a, an inzawm khawm a, thisen zam an siam a, hliam chu an seal a, thisen chhuah chu an titawp a ni. Chutiang a nih loh chuan hliam tenau pawh hi harsatna lian tak a lo ni thei a ni lawm ni? Thisen tlak tam a awm chuan a hlauhawm hle.

Chuvangin, he red bone marrow hi cell chi thum siamtu leh kan thisen system hrisel tirtu a ni. Chuvangin naupang tê ruh tam tak chu he ruhro sen hian a khat a, a chhan chu an ṭhang chak em em a, thisen cell tam tak an mamawh a ni.

Yellow Bone Marrow – Thau dahkhawmna hmun

Yellow bone marrow hi thau cell atanga siam a ni ber. Hei hi kan taksa chakna khawlkhawm ang a ni. He thau hi a tul hunah chakna ah a chantir thei a ni. Tin, emergency-ah, entirnan, thisen chhuak lian tak a awm chuan he yellow bone marrow hi red bone marrow-ah a chang leh thei a, thisen cell siamnaah a pui thei bawk. Mak a ni lo maw? Kan lo puitlin chuan ruh thenkhatah chuan ruh sen (red bone marrow) aiin yellow bone marrow an nei tam zawk.

Engvangin nge bone marrow hi kan tan a pawimawh em em? – A hnathawh ber berte

Tunah chuan ruhro, a bik takin ruhro sen (red bone marrow) hi kan taksa tan a pawimawh zia chu i hrethiam tawh mai thei. A hnathawh lian ber ber thenkhat han thlir leh ila:

1. Thisen cell siamchhuah: Hei hi hna pawimawh leh pawimawh ber a ni. Thisen cell chi thum, red cell, white cell, leh platelet te hi ruhro atanga siam vek an ni.

2. Oxygen transport-a tanpui: Red cells hian taksa pum puiah oxygen a pe a.

3. Invenna vawn that: White cells hian natna lakah min venghim.

4. Thisen chhuahna control: Platelet hian thisen a tikhawlo a, thisen chhuah tam lutuk chu a titawp.

5. Stem Cell awmna: Ruh chhungah hian cell chi khat bik ‘Stem Cells’ tih a awm a. Heng cell te hi thisen cell chi hrang hrangah chauh ni lovin, taksa chhunga cell chi dang thenkhat pawh an lo ni thei bawk. Hei vang hian ‘Stem Cell Transplant’ hi natna thenkhat enkawlna atan hman a ni.

A awlsam zawngin sawi ila, ruhro hi kan dam khawchhuahna atana pawimawh tak taksa peng pakhat a ni. Kan taksaa factory te tak te, mahse chak tak ang mai a ni.

Bone marrow lama harsatna a awm thei em? – Harsatna tlanglawn thenkhat

Kan taksa peng dang ang bawkin bone marrow hian a chang chuan harsatna leh natna a nei thei a. Chutiang a nih chuan kan taksa pum pui a nghawng thei a, thisen cell siam chhuahna a tibuai a ni. Harsatna awm thei lian ber ber thenkhat han thlir ila:

• Leukemia: Hei hi cancer chi khat a ni a, ruhroah a lo awm a. Heta thil thleng hi chu ruhro hian thisen var, hmantlak loh tam tak a siam chhuak a ni. Heng cell pangngai lote hian thisen cell hrisel siam chhuahna a ti tlem bawk.
• Lymphoma natna: 1.1.Hei pawh hi cancer chi khat a ni. Mahse, thisen var cell lymphocyte an tih aṭangin a intan a, chu chu immune system-a tel a ni. Heng lymphocyte te hi ruhroah pawh a awm avangin lymphoma hian ruhro pawh a nghawng thei a ni.
• Aplastic Anemia: Hetiang dinhmunah hian ruhro hian thisen cell thar (red cells, white cells, leh platelets) a siam chhuak thei lo. Factory a khar tawh ang mai a ni.
• Myelodysplastic Syndromes (MDS): Hetah hian ruhro (bone marrow) hian thisen cell siam mah se, an siam chhuah cell te chu a thang tha lo hle a, a nih loh leh an hnathawh a tichhe bawk. Thil hmanraw chhe siamthat ang mai a ni.
• Multiple Myeloma: Hei hi ruhroah cancer a lo awm a, plasma cell (thisen var chi khat) a inrawlh a ni.
• A chhan dang: Chu bakah, natna thenkhat, damdawi thenkhat (a bik takin chemotherapy), radiation therapy, leh ei leh in lama harsatna thenkhat (e.g., vitamin B12, folate, iron tlakchhamna) te pawhin ruhro hnathawh a tichhe thei bawk.

Hetiang dinhmun a lo awm hian hahna, natna tam tak, vun rawng hring, leh thisen chhuah te ang chi symptoms a awm thei.

Engtin nge ruhroah harsatna a awm leh awm loh i hriat theih ang? – Diagnosis tih hi a ni

Doctor-in mi pakhatin ruhro (bone marrow problem) a nei nia a rinhlelh chuan eng nge a nih chiah tih hriat tumin test eng emaw zat an nei ang.

• Thisen Test: I tih hmasak ber tur chu full blood count (FBC) a ni. Hei hian i thisena red cell, white cell leh platelet awm zat a enfiah ang. Heng number-ah hian danglamna lian tak a awm a nih chuan i ruhro (bone marrow)-ah harsatna a ni thei.
• Bone Marrow Aspiration and Biopsy: Hei hi ruhro dinhmun dik tak hriat theihna atana test hman ber a ni. Hetah hian ruhro sample te tak te chu syringe te tak te hmangin lakchhuah a ni a, a tlangpuiin hip ruh ang hmun atanga lakchhuah a ni. Hei hi ‘Bone Marrow Aspiration’ leh ‘Biopsy’ an ti a. Hei hi test hrehawm deuh angin lang mah se, doctor-te chuan a natna awm lo thei ang bera siam turin an ti thin. Chumi hnuah sample chu microscope hmangin an enfiah a, cell chi leh lian leh te an enfiah a ni.

Heng test te hian ruhroah hian eng ang harsatna nge awm tih chiang takin a hriat theih a ni.

Bone marrow natna enkawl dan tur engte nge ni?

Bone marrow natna a awm tih hriatchhuah a nih veleh a enkawl dan tur chu thil tam takah a innghat a, chung zingah chuan natna chi hrang hrang, damlo kum leh an hriselna zawng zawng te pawh a tel a ni. Enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Damdawi: Condition thenkhatah chuan ruhro tichaktu leh thisen cell siamna tipungtu damdawi pek thin a ni. Cancer natna tan chuan damdawi chak tak tak, chemotherapy ang chi te hman a ni.
• Thisen pek dan: 1.1.Thisen cell zat a tlem hle a nih chuan pawn lam thisen (red cells, platelets) pek thin a ni.
• Bone Marrow Transplant / Stem Cell Transplant: Hei hi enkawlna buaithlak zawk a ni. Chu chu ruhro natna nei chu paih chhuakin ruhro cell hrisel (or stem cells) hmanga thlak a ni. Heng cell hrisel tak takte hi matched donor atanga lo chhuak thei a ni a, a chang chuan damlo ngei atanga lo chhuak pawh a ni thei bawk. Hei hi enkawlna lian tak leh harsa tak ni mahse, ruhro natna khirh tak tak thenkhat chu a tidam thei a ni.

Chu bakah, supportive care leh nutritional advice ang chi thil te pawh a pawimawh hle.

Kan ruhro hrisel taka awm reng turin eng nge kan tih theih ang?

Bone marrow hi taksa chhunga awm thil a nih avangin, chu chu vawng reng turin thil danglam bik i tih a ngai em tih i ngaihtuah mai thei. Dik tak chuan, nunphung hrisel pum pui vawn reng hi ruhro hriselna atana thil tha ber a ni.

• Ei leh in tha: Ei leh in inthlau tak, iron, vitamin B12, leh folic acid te awmna ei tur. Hei hi greens, thlai, thei, sa, sangha, leh bawnghnute atanga siam ei tur te hian a pui thin.
• Thil pawi tak tak pumpelh rawh: A theih ang angin chemical tha lo leh a tul lo radiation lakah pumpelh rawh. Meizial zuk ang chi thil te pawh hi a pawi thei hle.
• Damdawi lam thurawn: I natna lan chhuah dan (e.g., chau reng, natna awm fo), emaw, i chhungte zingah ruhro natna nei tawh emaw i neih chuan doctor hnenah thurawn dil rawh.

Take-Home Thuchah a ni

Chuvangin, vawiin khan bone marrow chungchang kan sawi nasa hle a ni lawm ni?

Bone marrow hi kan taksaa factory tenau tak ang mai a ni a, chu chuan ngawi rengin rawngbawlna pawimawh tak a thawk a, min nung reng a ni. A thisen cell siam chhuah te tel lo chuan kan nung thei lo.

• A awlsam zawngin, ruhro hi kan ruh chhunga sponge ang maia awm a ni a, chu chuan thisen cell chi thum: thisen sen, thisen var, leh platelet te chu a siam vek a ni.
• Heng thisen cell te hian kan taksaah oxygen a phur lut a, natna lakah min veng a, thisen chhuah pawh a titawp bawk .
• A châng chuan, ruhro hian natna (leukemia ang chi) a nei thei bawk a, mahse hengte hi damdawi lam test leh enkawlna dik tak hmangin enkawl theih a ni .
• Nun hrisel taka nun hi bone marrow hriselna atan pawh a pawimawh hle.

Hemi chungchanga zawhna dang i neih chuan Doctor zawt hreh suh. Kan taksa chungchang kan hriat tam poh leh kan hriselna kan enkawl nasa zawk thin.

` Bone marrow, Blood cells, Red blood cells, White blood cells, Platelets, Leukemia, Bone marrow transplant te hi a ni