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.

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!

` Thisen chhiar kim, CBC, thisen test, thisen sen, thisen var, platelet, hemoglobin, diagnosis