I thisenin a sawi thawnthu - Complete Blood Count (CBC) chungchang zawng zawng!

Vawiin hian nang leh kei tan thil pawimawh tak tak kan sawi dawn a ni. Chu chu kan taksaa thisen awm test a ni. Doctor i pan dawnin, "Thisen test i ti ang u" a tih i hre tawh mai thei em? Heng thisen test zingah hian a tlangpui leh pawimawh ber pakhat chu "Complete Blood Count (CBC)" tih hi a ni. Hei hian kan taksa chhunga hnathawk te leh vengtu te te chanchin tam tak min hrilh thei a ni. Chuvangin, he CBC test hi eng nge a nih, engvangin nge tih a nih, eng nge min hrilh tih hi han en ila?

Thisen chu eng nge ni a, engvangin nge kan tan a hlu em em?

Ngaihtuah teh, kan taksa hi khawpui lian ang mai a ni. He khawpui chhung hmun tinah hian bungraw, thuchah leh bawlhhlawh phurh chhuahna tur kawngpui network a awm a ni lawm ni? Chutiang chu kan thisen kal tlanga thisen kal chu a ni. He thisen chhungah hian thil mak tak tak a awm a, khawvel te tak te ang mai a ni! He CBC test-ah hian kan ngaih pawimawh ber chu hmun thum a awm a.

Red Blood Cells - Kan taksa nunna a ni

Kan taksaa cell tenau zawng zawng, kan kut zungtang bul atanga thluak cell thlenga kan thawk chhuah hian lung chhunga oxygen lo lut chu tuin nge phur tih i hria em? Chu rawngbawlna ropui tak chu thisen sen, a nih loh leh Red Blood Cells (RBC) te hian an thawk a ni. Chûngte chu disc te tak te, zungbun, indented ang mai an ni. Hengte hi taksa pum puia oxygen phurh chhuaktu, cell tinah sem darhtu, chu cell bawlhhlawh Carbon Dioxide chu lungah rawn hruai kir lehtu an ni. Tlan, zuang, hnathawh leh ngaihtuah theihna chakna kan nei a, a chhan chu heng thisen sen (red blood cells) te hian an hna an thawk tha hle a ni. Heng thisen sen te hi a hniam chuan anemic'', pale'', chau deuh'', chau tih hriat'' te hi kan sawi thin. Doctor te pawhin he natna hi anemia '' an ti bawk.

White Blood Cells - Taksa Invenna Sipai te

Tunah en teh, natna thlentu hrik, bacteria, virus, fungi te hian kan taksaa luh an tum hian, dotu tur an awm em? Chu chu thisen var, a nih loh leh White Blood Cells (WBC) te hi a ni. Heng mite hi kan rama sipai leh police ang mai an ni. Heng thisen var te hi kan taksa hriselna atana pawimawh ber an ni .

Heng thisen var hi chi hrang hrang a awm a, chi tin hian hna bik an nei vek a ni.

• Thisen var thenkhat chu natna hrik hnenah an kal nghal a, ‘an ei zo vek’ (hei hi Phagocytosis an ti).
• Mi dangte chuan chu natna hrik do turin protein bik antibodies an siam a. Heng antibodies te hian natna hrik te hi an inzawm khawm a, an inactivate thin.

Chuvangin, kan taksain natna a vei chuan indona atana inbuatsaih nan heng thisen var hi a pung zel a ni. Chutiang bawkin allergic condition thenkhatah chuan heng thisen var chi thenkhat pawh hi a pung thei bawk.

Platelets - thisen chhuak tawh lo hero te te

Infiam laiin i tlu emaw, thlai i tan laiin chemte hmanga i kut i tan a, rei vak lo hnuah thisen chhuah a reh lai kha i hre reng em? Chu chu platelet, a nih loh leh Platelets (hming dang chu Thrombocytes) hian a pui a ni. Chûngte chu a takah chuan cell pum pui an ni lo va, ruhroa cell lian zâwk aṭanga inṭhen darh (fragment) an ni. Mahse, te tak te ni mahse, hna lian tak an thawk a ni. Khawi emaw laiah thisen kalna kawng a chhiat a, thisen a chhuah tan chuan heng platelet te hi chu chutah chuan rang takin an lo kal a, an inzawm khawm a, hliam chu khar turin mesh an siam a ni. Kawngpuiah culvert-a khur a lo awm ang bawkin, lung leh hnim hring hmangin a luah khat thin. Hei hi thisen zam ( blood clotting ) an ti a . Heng platelet te hi a tlem chuan hliam tenau tak atang pawhin thisen chhuah tihtawp a harsa thei hle. A châng chuan, hmuiah thisen a chhuak thei a, taksa chu hmun ṭhenkhatah a rawn sen mai thei (a vuak mai mai ang maiin).

Chuti a nih chuan he Complete Blood Count (CBC) test hi eng nge ni?

Okay, tunah chuan i thisen chhunga sipai leh hnathawk ber berte chungchang ngaihtuahna tlem i nei ta. Chuvangin, he Complete Blood Count (CBC) hi i thisen sample pakhatah heng thisen sen, thisen var, leh platelet te hi engzat nge awm tih chhiarna test a ni. Chu mai ni lovin, heng cell chungchanga thu pawimawh dangte pawh a teh thei a, entirnan, thisen sen (red blood cells) te hi engzat nge lian leh te (chu chu a lian tihna) te, an pianzia te, leh hemoglobin (Haemoglobin or Hb), thisen sen chhunga protein pawimawh ber, oxygen phurtu chu engzat nge a nih tih te a teh thei bawk. Thisen var chi hrang hrang engzat nge awm tih a en bawk.

Doctor chuan he CBC test hi chhan hrang hrang avangin a order thei a ni.

• Natna i neih leh neih loh zawng rawh: Khawsik, taksa na, hah lutuk, vun rawng, leh natna hrik kai fo ang chi natna lan chhuahna i neih hian, hei hian a chhan chu natna hrik, thisen tlakchhamna, a nih loh leh harsatna dang emaw a nih leh nih loh hriat theih nan a pui thei a ni.
• Natna awm tawh dinhmun enfiah rawh: Natna thenkhatah (e.g. leukemia, autoimmune natna thenkhatah) thisen cell-ah inthlak danglamna a awm thin. Chuvangin, CBC hian natna hi control theih a nih leh nih loh leh enkawlna a thawk tha em tih hriat nan a pui bawk.
• Damdawi thenkhatin nghawng a neih dan enfiah: Damdawi thenkhat (e.g., chemotherapy, antibiotics) hian ruhro a nghawng thei a, chu chuan thisen cell a siam a ni. Chuvangin, chutiang damdawi te chu pek i nih chuan he test hi tih a ni fo thin a, chu chuan chhiatna a thlen em tih leh thisen cell a tihtlem em tih hriat nan a ni.
• Surgery lian tak neih hma: Operation neih hma hian CBC hi a pawimawh a, thisen zat a tling em tih te, thisen a khalh tha em tih te, natna hrik a awm leh awm loh enfiah nan a pawimawh hle.
• Hriselna endikna pangngai (routine health checkup) kalpui mek zingah:Natna awm lo mahse, a chang chuan kum tin kan taksaah engkim a thawk tha em tih enfiah nan CBC hi tih theih a ni. Kan chhungril atanga intan natna a nih pawhin kan hriat chian hmaa min pui thei châng a awm.

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CBC test atang hian eng nge kan zir theih ang?

He CBC report-a number leh letter tam tak i hmuh hian, "Aw, hei hi eng nge ni?" Hlau suh. I doctor chauh hian he report hi dik takin a hrilhfiah thei a, i dinhmun bik atana thurawn a pe thei bawk. Mahse a tlangpuiin a sawina bulpui thenkhat han thlir ila.

Thisen sen (RBC) thlirna atanga thlir tur thilte:

• Red Blood Cell Count (RBC Count): Hei hi taksaa thisen sen awm zawng zawng a ni. Hei hi a tlangpui aia hniam a nih chuan thisen tlakchhamna (anemia) a ni thei.
• Hemoglobin (Hb): Hei hi thisen sen chhunga protein awm, oxygen phurtu a ni. Hetiang zat tlahniam hi thisen tlakchhamna chhinchhiahna lian tak a ni bawk. Normal value hi mipa, hmeichhia, naupang tê, leh naupai tan a inang lo.
• Hematocrit (Hct) / Packed Cell Volume (PCV): Hei hian i thisen za zela engzat nge thisen sen (red blood cells) atanga siam tih a hriattir che a ni. A awlsam zawngin, i thisena thisen sen ‘thickness’ ang mai a ni. Hei hian thisen tlakchham (anemia) i neih leh neih loh hriat nan a pui bawk. Doctor-te pawhin he PCV hlutna hi dengue ang natnaah a inthlak dan hi an ngaihven hle.
• MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Haemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), RDW (Red Cell Distribution Width): Heng English lehkhabu te hian i thisen sen zat zat, thisen sen pakhata hemoglobin (Hb) awm zat, thisen sen chhunga hemoglobin dense dan leh a lian zawng te a hrilh che a ni thisen sen (i.e. a lian leh te) te. Hengte hi i doctor-in thisen tlakchhamna i neih leh neih loh a hriat theih nan, iron tlakchhamna thisen tlakchham vang emaw, vitamin B12 emaw folic acid tlakchham vang emaw (Megaloblastic Anaemia), thlahtu thalassaemia vang emaw, thil dang vang emaw a ni thei.

Thisen var (WBC) lam hawia en tur thilte:

• White Blood Cell Count (WBC Count): Hei hi taksaa thisen var awm zawng zawng a ni. Hei hi a tlangpui aia sang a nih chuan taksa hmun dangah natna hrik emaw, inflammation emaw vang a ni fo thin. A châng chuan, he zat hi cancer natna, leukemia ang chiah chuan a pangngai lo takin a sang thei bawk. He number hi a tlangpui aia tlem a nih chuan harsatna a awm bawk . Viral infection thenkhat (e.g., dengue natna hmasa ber), ruhro lama harsatna vang emaw, damdawi thenkhat vang emaw pawh a ni thei.
• Differential Count (DC) hmanga chhiar dan: 1.1.Hei hian thisen var chi hrang hrang (a bik takin) engzat nge percentage angin a awm tih a hriattir che a ni.
• Neutrophils: Hengte hi bacteria infection dotu ber sipai an ni. Bacteria infection lai hian an percentage leh absolute count a pung thin.
• Lymphocytes: Hengte hian virus infection dona kawngah a pui a, immunity a siam bawk. Dengue ang chi virus fever-ah chuan an percentage a pung thei a, neutrophils percentage erawh a tlahniam thei thung (hei hi Relative Lymphocytosis an ti).
• Monocytes: Hengte hian infection lakah hna an thawk bawk a, cell thi leh natna hrik te ‘tifai’ an ti bawk.
• Eosinophils: Hengte hi allergy (e.g. asthma, eczema, dust mites allergy) leh parasitic infection (e.g. pinworms)-ah te a pung thei a ni.
• Basophils: Hengte hi allergic reaction leh inflammatory condition thenkhatah pawh a pawimawh hle.

Platelets thlirna atanga ngaihtuah tur thil:

• Platelet Count: Hei hi thisen zam tura puitu platelet awm zat a ni. Hengte hi a pangngai aia hniam zawk (hei hi Thrombocytopenia an tih) chuan thisen chhuah theihna a sang zawk. Dengue natna lai hian heng platelet te hi a tlahniam tih hi i hre tawh mai thei. A hlauhawm thei hle. Tin, hengte hi a sang zawk (Thrombocytosis) a nih chuan a chang chuan thisen kalna kawng chhungah a tul lovah thisen zam a lo awm thei bawk.

Pawimawh tak: Heng number tin hian "Normal Range" an nei vek a. Mahse chutiang range chu lab hrang hrangah a danglam deuh thei tih i hriat a ngai a, chubakah i kum, mipa leh hmeichhia, leh i san zawng ang chi thil a zirin a danglam thei bawk. Chuvangin, i report-a number awmte chipchiar tak hriat theih nan i doctor nen in inbia ngei tur a ni . Khawngaihin internet-a thil en mai mai emaw, i thian report nena tehkhin mai mai emaw hian natna i nei tih ngaihtuah suh. Chu chuan ṭul lova hlauhna a thlen mai dawn a ni.

CBC test hi engtin nge an tih thin? Hlauh tur thil a ni em?

Tunah chuan he CBC test hi i tih tur a ni em, a na dawn em tih i ngaihtuah mai thei. Hlauh tur a awm lo . A awlsam hle a, minute tlemte chauh a ni.

A tlangpuiin i kut chhunga vein (a tlangpuiin i elbow hnuai lam, awlsam taka hmuh theihna hmun) atanga thisen sample tlemte lak a ni. Hei hi doctor emaw, nurse trained emaw, lab-a medical laboratory technician emaw tih a ni.

1. Pakhatnaah chuan thisen lakna tur hmun chu zu ang chi hrik tina damdawi hmanga uluk taka tihfai a ni.

2. Tichuan, zungbun te tak te, te tak te (sterile needle) chu uluk takin thisen zam chhungah an thun a, thisen mamawh zat (milliliter tlemte vel) chu special tube-ah an khawn khawm thin. He tube ah hian chemical substance (anticoagulant) a awm a, chu chuan thisen a titawp thei lo.

3. Needle i lakchhuah zawh chuan plaster emaw cotton wool emaw te te chu a hmunah dah la, chutah chuan rei vak lo vawn la, thisen chhuah a reh vek hma loh chuan.

Needle an dah chuan rulhut te tak te emaw, rulhut emaw in a chil ang maiin a lang thei . Mahse second tlemte chauh a daih. Chumi hnuah chuan hrehawmna a awm tawh lo. Mi thenkhat chuan needle an hlau deuh a, chu chu thil pangngai a ni. Chutianga i awm chuan i hawi kual thei a, thisen an lak lai hian thawk i la thei bawk. Hei hian hlauhna chu tlem a tihziaawm thei a ni. Thisen lak chhuah hnua rei vak lo i kut chelh hian a hmun chu a sen theihna a ti tlem bawk ang.

He thisen sample hi lab-ah thawn a ni a, chutah chuan a chunga kan sawi tawh cell chi hrang hrangte chu chhiar a ni a, an details te chu enfiah a ni. Report a thlen theih nan darkar tlemte, a chang chuan ni khatah a ngai tlangpui a, chu chu lab-a hnathawh tam dan azirin a ni.

Chuti a nih chuan, he CBC chungchanga kan hriat reng tur pawimawh ber berte chu engte nge ni? (In lama hruai tur thuchah)

Okay, Complete Blood Count (CBC) test chungchang hi kan sawi nasa hle. Chuvangin, heng zawng zawng atanga i hriat reng tur thupui berte chu hetiang hi a ni:

• CBC hi test hman tlanglawn tak leh hlu tak a ni a, i thisena cell chi hrang hrang, chu chu thisen sen, thisen var, leh platelet te bakah an mizia pawimawh dang (hemoglobin ang chi) te tehna a ni.
• He test hian i taksaa natna thenkhat (e.g. thisen tlakchhamna, hri kai chi hrang hrang, cancer thenkhat) a hriat theih nan a pui che a, tuna natna awm dan a hriat theih nan leh damdawi hman dan tur a enfiah thei bawk.
• Thisen chhunga cell chi hrang hrang hian hna bik an nei vek a. Red cells hian oxygen a keng a, white cells hian natna lakah a veng a, platelet te hian thisen chhuah a titawp bawk. Chung zinga pakhat tal a tlakchham chuan kan hriselna a nghawng thei a ni.
• CBC report-a number leh letter hrilhfiahna hi doctor kutah dah mai a pawimawh. Normal Range hi lab hrang hrangah a danglam deuh thei. Chuvangin, thutlukna siamah zuang lut suh la, a tul lovah hlauthawng emaw, phur emaw suh.
• Thisen pek hi thil awlsam tak a ni a, second tlemte chhunga natna tenau tak a awm a ni. Hlauh tur a awm lo.
• I damlo emaw, a lan chhuah dan hriat chian loh (e.g., chau reng, khawsik fo, taksa peng hrang hrang atanga thisen chhuak) i neih chuan doctor pan vat la, thurawn la rawh. A tul chuan CBC emaw test dang emaw a order thei bawk.

A tawp berah chuan he CBC test hi kan taksa chhunga khawvel te tak te, kan hriselna chungchang sawi tam tak mirror' ang a ni. Chuvang chuan he test hi a hun takah kan tihsak a, a atanga kan hmuh information te dik taka kan hmang tangkai a, kan hriselna kan vawng nung thei hi kan tan a tangkai hle a ni. Mi zawng zawng hriselna tha neih duhsakna kan hlan e!