Chak lo anga inhria? Thisen a tlahniam tih i hriat? Hei hi Macrocytic Anemia a ni thei!

I chau reng reng em? A chang chuan chakna nei lo angin i inhria a, thawk harsa i ti em? Chûngte chu hahna mai pawh a ni lo mai thei. I taksaa thisen sen (red blood cells) chungchangah pawh harsatna tlem a awm thei bawk. Vawiin hian he natna Macrocytic Anemia tih hi kan sawi dawn a ni.

Macrocytic Anemia tih hi eng nge ni?

A awlsam zawngin, Macrocytic Anemia hi thisen lama natna a ni a, i ruhro hian thisen sen lian tak tak, a pangngai lo takin a siam chhuak thin . Kan taksaa motor te tak te, oxygen phur kual vel ang maiin han ngaihtuah teh. Mahse heng thisen sen lian tak takte hi car lian tak tak, mahse tangkai lo tak ang mai an ni. Thisen sen pangngaiin a thawh that theih nan a mamawh ei tur tha an tlachham a ni. Hei hi natna khirh tak a ni lova, a enkawl that loh chuan hriselna lama harsatna lian tham a thlen thei a ni. Hrethiam e?

Macrocytic anemia chi hrang hrangte chu engte nge ni?

Macrocytic anemia hi chi hnih a awm a. Hengte hi i taksain nutrient engemaw zat a tlakchham hian a thleng thin. Eng nge an nih i han thlir teh ang.

1. Megaloblastic macrocytic thisen tlakchhamna (megaloblastic macrocytic anemia) a awm thin

Hei hi a tam ber chi a ni. Vitamin B12 leh/ emaw vitamin B9 (folate) i hmuh tlem chuan a thleng thin. Heng nutrients te hi tel lo chuan i bone marrow hian thisen sen hrisel tak tak a siam thei lo. Chumi awmzia chu i taksa vel oxygen phurtu cell te chu a siam thei lo tihna a ni. Chaw ei lova hnathawk ang maiin han ngaihtuah teh. Thil dang leh chu, hetianga cell pangngai lo lo piangte hi cell pangngai aia an thih hmain an thi a ni. Chuvangin taksaa thisen sen (red blood cells) hi a tlahniam a ni.

2. Non-megaloblastic macrocytic thisen tlakchhamna (anemia) a awm thei

Hetiang chi hi i taksain nutrients a lakluh theihna tichhe thei hriselna lama harsatna dang i neih chuan a lo awm thei a ni. Chumi awmzia chu i ei tha a nih pawhin i taksain a mamawh nutrients a hmu lo tihna a ni. Natna thenkhatin hetiang hi a thlen thei a ni.

Non-megaloblastic macrocytic anemia thlentu dinhmun

Hei hi a chhan lian tak tak engemaw zat a awm a:

• Myelodysplastic syndrome: Hei hi a takah chuan natna chi khat a ni. Heta thil thleng hi i ruhroah thil dik lo a awm a, thisen cell hrisel a siam thei lo. Factory-a machine chhe, bungrua tha siam thei lo ang mai a ni.
• Zu hman dan (Alcohol use disorder): Zu i in tam lutuk hian i taksain vitamin B12 a hip lut tawh lo. Hei hi mi tam tak tan chuan harsatna a ni. Mi \henkhat chuan tlem tal in chu a pawi lo niin an ngai a, mahse i in tam lutuk hian harsatna a lo chhuak thin.
• Hypothyroidism natna: 1.1.Hei hi thyroid gland hnathawhna tichhe thei dinhmun a ni. Kan kawr chhunga he gland te tak te hian taksa hnathawh tam tak a thunun a. Chuvangin a malfunction chuan hetiang ang anemia hi a awm thei a ni.

Engvangin nge macrocytic anemia hi a lo awm?

I hmuh angin he natna hi thisen sen hrisel siamna atana pawimawh vitamin B12 leh/ emaw folate (vitamin B9) tlakchham vang emaw, taksain heng ei tur tha tak tak a lakluh theih lohna damdawi dang vang emaw a ni ber. A awlsam zawngin, thisen zam siamtu "ingredients" te hi a tawk lo emaw, taksain a hip thei lo emaw a ni.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Heng symptoms te hi i neih chuan doctor emaw nurse emaw in a tih hmasak ber tur chu a enfiah ang che a, i symptoms te a zawt ang che. Eng chen nge i chau tawh tih te, i ei leh in dan te, damdawi lam harsatna dang i neih leh neih loh te an zawt ang che. Chumi hnuah chuan thisen test turin thu an pe thei a, chu chu:

• Complete blood count (CBC): Hei hi thisen test bulpui, tih fo thin a ni. I thisen sen zat, thisen var zat leh platelet zat a enfiah thin. Macrocytic anemia-ah i thisen sen (red blood cells) a lian em tih leh an hemoglobin level engzat nge a nih tih a enfiah thei bawk.
• Peripheral blood smear (PBS): Hei hi test bik a ni. Thisen test thenkhat ang lo takin doctor-te chuan i thisen sample an la a, glass slide-ah an hnawih a, an stain a, microscope hmangin thisen cell awm leh awm loh an en a. Chu chuan cell-te pianzia, a lian leh te, leh a rawng te chu a hmu thei a ni. Thisen sen (macrocyte) lian tak takte chu chiang takin a lang thei.
• Reticulocyte count: Reticulocyte hi thisen sen thar, puitling lo a ni. "Nausen" cell ang mai an ni a, ruhroah an lo piang a, chu chu thisenah an chhuak leh thin. He test hian i ruhro hian thisen sen hrisel tak tak a siam chhuak tawk em tih a enfiah thin. He test hian i ruhro (bone marrow) hian thisen tlakchhamna (anemia) avanga cell thar a siam that dan tur ngaihtuahna a pe thei che a ni.

Heng test te bakah hian test hran siamin vitamin B12 leh folate level te pawh enfiah theih a ni a, a tul chuan.

Hei hi engtin nge enkawl a nih?

Enkawlna chu a natna chhan bulpuiah a innghat a ni. Doctor-te chuan i ruhro (bone marrow) hian thisen sen hrisel tak tak siam chhuah leh turin puih an tum ang.

Ngaihtuah teh, he natna hi i ei that loh vang emaw, i ei leh inah Vitamin B12 emaw Folate emaw a tlakchham vang emaw a ni.A theih a ni. Vegetarian tam tak chuan vitamin B12 hi an tlachham thei a, a chhan chu ran chawah a awm tam ber a ni. Chutiang a nih chuan i doctor chuan he nutrient awmna supplement a pe thei che a, chu chu pill emaw, injection emaw pawh a ni thei. Thisen test-in i ruhro hian thisen sen hrisel tak a siam tih a finfiah hma loh chuan heng supplement te hi ei turin an hrilh mai thei che.

A châng chuan, miten an ei ṭha a, mahse , taksain chutiang ei tûr ṭha tak takte chu a hip luh theih lohna tûr buaina a awm . Entirnan, pum lam harsatna thenkhat vangin hetiang hi a thleng thei. Chutiang hunah chuan doctor chuan supplement a pe thei bawk.

A pawimawh ber chu a chhan bulpui enkawl hi a ni.

Entirnan, mi thenkhat chuan damdawi lam harsatna (myelodysplastic syndrome ang chi) an nei a, chu chuan taksain ei tur pawimawh tak tak a hip lut thei lo. Chutiang a nih chuan, chu natna chu enkawl a ngai a ni. Hypothyroidism i neih chuan a damdawi ei hian i thisen tlakchhamna (anemia) a tidam thei bawk.

Mi tam tak chuan zu an in tam em avangin he macrocytic anemia hi an nei thin. Chutiang a nih chuan, i doctor chuan zu in thunun theih nân therapy leh counseling-ah a hruai thei che a ni. Hei hi thil awlsam a ni lo, mahse tanpuina nen chuan tih theih a ni.

Hei hi a thlen loh nan a veng thei ang em?

Macrocytic anemia thlentu tam tak a awm avangin kan tan chuan damdawi lam dinhmun hnuaia awm thenkhat ven hi a harsa hle. Mahse, chutiang damdawi lam dinhmun chiang tak i neih loh chuan, he hlauhawmna hi tihziaawmna tur, leh venna tur pawh ni se, hmalakna engemaw zat a awm a:

• I hriselna zawng zawng enkawl rawh: Macrocytic anemia symptoms hi a tir lamah chuan a na lo thei a, mahse hun kal zelah a na zual thei. I taksaa inthlâk danglamna, hah lutuk, hahna, rilru na, a nih loh leh vun hring , i hmuh chuan i doctor chu biak nghâl rawh. "Tunlai hian i buai lutuk" tih mai mai suh.
• Ei leh in hrisel ei: A tam zawkah chuan, hei hi a thlen theihna lian ber chu vitamin B12 leh/ emaw folate ei tlem hi a ni. Chuvangin ei leh in inthlau tak, nutritious diet ei hi a pawimawh hle.
• Vitamin B12 tamna chaw: sa, sangha, artui, bawnghnute leh bawnghnute atanga siam (yogurt, cheese).
• Folate tamna ei tur: Thlai hring, hnah hring (spinach, kale, lettuce), pulses, bean, lentils, orange, peanuts.

Hengte hi i chaw eiah te dah tel tum ang che.

Macrocytic Anemia ka neih chuan eng nge thleng ang?

Mi tam tak chuan he macrocytic anemia hi vitamin supplement an ei hnuah an dam leh thin. Chu chu a rah chhuah a tha tlangpui tihna a ni.Mahse, medical condition hnuaia awm mi pakhat tan chuan prognosis chu a hnuaia medical condition leh an mimal dinhmunah a innghat a ni. I doctor chuan hei hi a hrilhfiah ang che.

Engtin nge ka in enkawl ang?

Hetiang dinhmun hi i neih chuan i in enkawl nan heng thilte hi i ti thei ang:

• I doctor-in a pek supplement te chu enkawlna hun chhung dik takah ei thin ang che. Hei hi a pawimawh hle. Mi thenkhat chuan an damdawi ei hi tlem an dam deuhin an bansan thin a, chuvangin chutiang chu ti suh.
• Vitamin B12 leh folate i hmuh theih nan ei leh in hrisel siam rawh. Nutritionist hnen atangin thurawn i la duh mai thei bawk.
• I thisen tlakchhamna (anemia symptoms) a lo lang leh tawh ang tih i hriat chuan (e.g., i chau leh a, i rilru a hah) chuan i doctor pan nghal rawh.
• Zu in hi harsatna a nih chuan control turin tanpuina la rawh.

Chuvangin, in hmuh angin, miten an taksain thisen sen hrisel tak tak a siam theihna tura puitu tur nutrients an neih tlem hian macrocytic anemia an nei thin. Hei hi ei leh in thenkhat zawm emaw, damdawi lam dinhmun thenkhat nei emaw te chungah a thleng thei a ni. Macrocytic anemia hi natna khirh tak a ni lo tih hre reng la, mahse enkawl loh chuan damdawi lama harsatna lian tak a thlen thei a ni. Chaw hrisel ei hian he natna hi a veng thei a ni. Hemi chungchang hi i ngaihtuah a nih chuan i doctor nen inbia ang che. I dinhmun a zirchiang thei a, i ei leh in tihchangtlun dan tur a rawt thei bawk. Macrocytic anemia i neih chuan i doctor chuan nutrients tlachhamte tihpunna tura pui turin supplement a pe mai thei. Ani chuan nungchang hrisel tak nei turin a pui thei bawk che a ni.

Take-Home Thuchah hnuhnung ber

• Macrocytic anemia hi ruhro (bone marrow) atanga thisen sen (red blood cells) lian tak tak, a pangngai lo taka siam chhuahna a ni.
• Hei hi a chhan ber chu vitamin B12 leh/ emaw folate (vitamin B9 - `Folate`) tlakchhamna emaw, an lakluhna lama harsatna emaw a ni.
• Zu in tam lutuk leh hypothyroidism ang chi natna avang pawh a ni thei bawk.
• I rilru hah fo, thawk harsa, vun rawng hring ang chi symptoms i neih chuan doctor rawn la.
• He natna hi ei leh in tha leh doctor-in a pek supplement ei hian a tidam thei fo.
• If there is an underlying medical condition , enkawl a pawimawh hle.

I hriselna enkawl la, ei leh in inthlau tak ei la, thil danglam i hriat chuan doctor pan theihnghilh suh!

` Macrocytic anemia, thisen tlakchhamna, vitamin B12, folate, thisen sen, ruhro, ei leh in lama tlakchhamna