"Aw, doctor, tunah hian ka chau hle tawh a. Hna tlemte ka thawh pawhin ka chak lo hle. Ka taksa hi a thi tawh ang maiin ka hria." Hetiang thawnthu hi i hre chiang em? Nang pawhin he dinhmun hi i tuar ve mai thei. Hetianga chau leh chak lohna awm reng chhan ber pakhat chu i taksaa hemoglobin level tlahniam vang a ni thei. Vawiin hian he thu hi a awlsam zawngin, mi zawng zawngin an hriatthiam theih tur angin sawi ila.
A awlsam zawngin, hemoglobin chu eng nge ni?
Kan taksa pum puia oxygen phur thei delivery service a awm ang tih han ngaihtuah teh. Chu delivery service lirthei chu kan thisena thisen sen (red blood cells) te hi an ni. Chuvângin, chu lirthei chhûnga oxygen packet kengtu chu hemoglobin . Hemoglobin hi thisen sen chhunga protein bik a ni. Hei hi lung atanga oxygen la chhuakin taksa chhunga cell tinah a thlen thin a ni.
Chuti a nih chuan, he hemoglobin level a tlahniam hian eng nge thleng? Delivery service lirtheia oxygen packet a tlahniam ang mai a ni. Tichuan kan cell-te hian an mamawh chakna siam chhuak turin oxygen an hmu tling lo. Chuvangin kan chau, kan chau a, kan chau fo thin.
Hemoglobin level hi engzat nge ni tur?
Hmeichhia leh mipa inkarah hian hemoglobin level hi a inang lo deuh a. A tlangpuiin hriselna level chu hetiang hi a ni:
| Mihring | Hemoglobin level hrisel (gm/dL) 1.1. | Level hniam takah ngaih a ni |
|---|---|---|
| Mipa | 14.0 - 17.5 gm/dL a ni | 13.0 gm/dL aia tlem lo a ni |
| Hmeichhia (naupai lo) . | 12.3 - 15.3 gm/dL a ni | 12.0 gm/dL aia tlem lo a ni |
A pawimawh ber chu, heng number-ah chauh hian thutlukna siam suh. I thisen test-naah hemoglobin a tlahniam tih a hriat chuan i doctor nen a awmzia leh tih tur chungchang i sawipui ngei tur a ni.
Engvangin nge he hemoglobin level hi a tlahniam?
Hemoglobin tlahniam chhan awm thei engemaw zat a awm. Anni hi chi hrang hrangah then theih a ni.
1. Taksa chhunga thisen sen (red blood cells) siam chhuah tlem
Kan ruhro hi thisen sen siamna factory a ni. Natna eng pawhin he factory hnathawh a tibuai chuan thisen sen (red blood cell) siam chhuah a tlahniam thin.
- Cancer: Cancer chi ṭhenkhat, lymphoma , leukemia , a nih loh leh multiple myeloma -ah chuan cancer cell-te chuan ruhro chu an luah a, thisen sen siam chhuahna a tibuai a ni.
- Chronic Kidney Disease: Kan kal hian hormone a siam a, chu chuan ruhro (bone marrow) chu thisen sen (red blood cells) siam turin signal a pe a. Kidney natnaah chuan he process hi a tichhe thin.
- Aplastic Anemia: Hei hi bone marrow-in thisen cell a siam chhuah tlem vang a ni.
- Damdawi thenkhat: Cancer enkawlna chemotherapy emaw, antiviral damdawi thenkhat emaw hian ruhro a tichhe thei a ni.
2. Taksa atanga thisen luang chhuak emaw, lut emaw
Thisen tlemte pawh kan hloh chuan iron leh hemoglobin kan hloh a ni.
- Menstruation: Hmeichhe thenkhat chuan thlasik laiin thisen chhuak nasa tak avangin hemoglobin a tlahniam thei.
- Internal bleeding: Ulcer ang chi thil atanga i taksa chhunga thisen chhuak chu i hmu thei lo mai thei a, mahse hemoglobin tihhniamna a thlen thei bawk.
- Hliam: Hliam lian tak avanga thisen chhuak.
3. Thisen sen (red blood cells) rang taka tihchhiat
A tlangpuiin thisen sen (red blood cell) hi ni 120 vel a dam thin. Amaherawhchu, natna thenkhat avangin heng cell te hi an chhe vek a, an chhe nghal vat thin.
- Splenomegaly: Kan taksa peng pakhat, thisen zam hlui leh chhe tawhte filter chhuaktu, spleen hi kan taksa peng pakhat a ni. Natna thenkhat avanga spleen a lo hring a nih chuan a pangngai aia tam red blood cells a trap thei a, a tichhia thei bawk.
- Sickle Cell Anemia leh Thalassemia: Hengte hi thisen natna thlahtute an ni a, hemoglobin insiam dan a nghawng a ni.
4. Ei leh in lama tlakchhamna
Thisen sen leh hemoglobin siamna atana mamawh nutrient pawimawh engemaw zat a awm a. I ei leh in hmanga i ei tlem chuan i hemoglobin a tlahniam ang.
- Iron tlakchhamna: Iron hi hemoglobin siam chhuahna atan a pawimawh hle. Iron tlakchham huna lo awm thin chu iron-deficiency anemia an ti a.
- Vitamin B12 leh B9 (folic acid) tlakchhamna: Heng vitamin te hi thisen zam (red blood cell) siam chhuahna atan pawh a pawimawh hle.
Engtin nge i hemoglobin a hniam tih i hriat theih ang?
Hriat chian theihna awmchhun chu thisen test neih hi a ni . I doctor chuan Full Blood Count (FBC) a order ang. Hei hian i thisen sen zat leh hemoglobin level a enfiah ang. A châng chuan, a chhan hriat nân test dang, Hemoglobin Electrophoresis -te pawh tih theih a ni.
Hemoglobin level siam that leh nan eng nge tih theih ang?
Hei hi hemoglobin tlahniam chhan bulpui ber zawng chhuakin enkawl a ni.
Hemoglobin hniam hi nangmah chauhin enkawl tum suh. A chhan dik tak hriat chian loha iron pill ei hi a hlauhawm thei hle.
Doctor chuan a chhan a zawng ang a, a enkawl dan tur dik tak a pe ang. Entir nan:
- Iron tlakchhamna i neih chuan: Iron supplement emaw, iron tamna ei tur emaw ei thin ang che.
- Vitamin tlakchhamna a awm chuan: Vitamin B12 emaw folic acid tablet emaw pe thin ang che.
- Kidney natna i neih chuan: Natna enkawl lai hian thisen zam (red blood cell) siam chhuahna tichaktu injection pek i ni thei.
- Thisen chhuak a awm chuan: Thisen chhuah tihtawp nan enkawlna pek thin a ni.
- A nasat chuan: Thisen pek a ngai mai thei.
In lama i tih theih thilte
Enkawlna rual hian iron leh nutrient dang tamna ei leh in inthlau tak ei a pawimawh hle.
- Sa sen (bawnghnute) leh a then te chu liver, gizzards te hi a ni
- Sangha
- Thlai leh thlai chi hrang hrang (spinach, kale, collard greens, spinach) dum hring .
- Legumes te chu lentils, chickpeas, green beans, leh peas te an ni
- Thei ro leh nut chi hrang hrang raisins, dates te
Take-Home Thuchah a ni
- Chauhna, chak lohna, vun hring, leh thawk harsa tih ang chi symptoms i neih chuan ngaihthah suh.
- Hemoglobin hniam hi a chhinchhiahna a ni a, natna a ni lo. A thlentu damdawi lam dinhmun (underlying medical condition) zawn chhuah a pawimawh hle.
- I thisen test-naah hemoglobin a tlahniam tih a hriat chuan, a chungchang hi chiang takin sawi la, enkawlna dik tak dawng ngei ang che.Doctor hmu rawh.
- Damdawi lam thurawn tel lo chuan iron tablet emaw nutritional supplement dang emaw hmang ngai suh.
- Ei leh in tha tak, inthlau tak neih hian hemoglobin level hrisel tak neih theihna kawngah kawng thui tak a zawh a ni.
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