I thisen sen (red blood cells) te hi a lian em? (Macrocytosis) - Hemi chungchang hi i hre chhuak ang u!

Thisen test report i en a, i thisen sen (red blood cells) chu a tlangpui aia lian (enlarged red blood cells) tih i hmu ngai em? A nih loh leh i doctor chuan “Macrocytosis” tih natna chungchang a hrilh tawh che em? Hei hi a hlauhawm deuhin a lang thei a, mahse lungngai suh. Macrocytosis hi natna a ni lo va, thisen sen (red blood cells) inthlak danglamna mai a ni.

Macrocytosis tih hi eng nge ni?

A awlsam zawngin Macrocytosis tih hian i thisen sen (red blood cells) chu a tlangpui aia lian a ni tihna a ni. Hei hi natna anga ngaih a ni lo va, kan taksaah thil dik lo a awm tih chhinchhiahna a ni thei. Hei hi thisen count kimchang (CBC)/ Full Blood Count ( FBC ) i neih chauhvin hriat theih a ni. A tam zawkah chuan Doctor ten he `CBC` test hi kan taksa cell te hnathawh dan leh an hrisel dan hriat nan an ti thin.

`CBC` report hian `MCV (Mean Corpuscular Volume)` tih value a nei a. Hei hi i thisen sen (red blood cells) te zatve (average size) tehna a ni. Puitling pakhat `MCV` value chu femtoliter 100 (`100 fL`) aia tam a nih chuan chu chu Macrocytosis kan ti a ni.

A tam zawkah chuan hei hi harsatna lian tham a ni lo. Mahse, a chang chuan heng thisen sen lian zawkte hian an mamawh ei tur tha an dawng lo mai thei. Tichuan, chu cell-te chuan an hna ber, taksa pum puia oxygen phurh chhuah chu an thawk thei lo. Hetiang dinhmun hi `Macrocytic Anemia` an ti a. `Macrocytic Anemia` hi uluk taka enkawl a nih loh chuan hriselna lama harsatna lian tham a thlen thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

A tlangpuiin khawvel mihring 2% leh 4% inkar hian Macrocytosis an vei a ni. Heng mite zinga a tam zawk, 60% vel hian Macrocytosis an vei bakah thisen tlakchhamna an nei bawk.

Mahse, thisen tlakchhamna nei lo macrocytosis hi naupang tê leh tarte zingah a tam zawk.

Macrocytosis natna lan chhuahna chu engte nge ni?

A tam zawkah chuan macrocytosis chhinchhiahna awmchhun chu CBC report-a MCV sang lutuk hi a ni. Hei hian i thisen sen (red blood cells) a lian zawk tihna mai a ni. Symptoms a awm chuan thisen sen lian tham chhan bulpui nen a inzawm a ni.

Entirnan, `Macrocytic Anemia` i neih chuan chak lohna , hahna, leh vun dum , thisen tlakchhamna chhinchhiahna tlangpui a ni. Tin, a chhan chu ei leh in lama tlakchham vang a nih chuan, ril\am, hriatrengna hloh, leh balance hloh ang chi symptoms i nei thei bawk .

Chumi awmzia chu, macrocytosis thlentu tam tak a awm avangin a natna lan chhuah dan pawh a inang lo thei tihna a ni.

Macrocytosis awm chhan hi engte nge ni?

Kan ruhro (bone marrow) hi thisen cell siamna hmun a ni. Chuvangin, he ruhroa thisen sen siam chhuahna lama harsatna leh thisen sen awm dan lama harsatna awm hian Macrocytosis a thlen thei a ni. A châng chuan i thisenah thisen sen puitling lo, `reticulocytes` an tih, i neih tam lutuk chuan `MCV` hlutna pawh a pung thei bawk. Hei hi a chhan chu heng `reticulocytes` te hi thisen sen puitling aiin an lian zawk a ni.

Macrocytosis thlentu ber thenkhat chu:

Ei leh in lama tlakchhamna

Vitamin B12 leh folate (vitamin B9) ang chi nutrient te hi kan taksain thisen sen hrisel tak a siam theih nan a pawimawh hle. I ei leh in atanga heng nutrients te hi i hmuh tlem chuan emaw, natna eng emaw avanga i taksain a hip thei lo a nih chuan i thisen sen (red blood cells) te hi a thang tha lo ang. Vitamin B12 leh folate tlakchhamna hian `Macrocytic Anemia` tih natna a thlen thei a ni. Entirnan, mi thenkhat chuan thlai leh thei chi hrang hrang an ei tawk lo. Hei hian folate tlakchhamna a thlen thei a ni. Tin, vegan vek tawhte pawhin vitamin B12 tlakchhamna an nei thei bawk.

Damdawi thenkhat

Macrocytosis hi damdawi chi hrang hrang avanga lo awm thei a ni bawk. Chung zinga langsar zualte chu Hydroxyurea, sickle cell natna enkawlna atana hman thin damdawi, cancer enkawlna atana hman thin chemotherapy damdawi chi hrang hrang, HIV hrik kai enkawlna atana hman thin antiretroviral therapy (ART) te an ni. Heng damdawi te hi i ei a nih chuan i doctor hian a hre ngei ang.

Zu in hman dan

Zu in tam lutuk hi Macrocytosis thlentu lian tak a ni bawk. Zu hian taksain nutrient a lakluh theihna a ti tlem a, a bik takin thisen sen hrisel siamna atana mamawh te hi a ti tlem a ni.

Liver natna

Macrocytosis hi thin natna chhinchhiahna a ni thei bawk. Liver natna hi zu in nen a inzawm fo a, mahse a inzawm reng lo. Mahse, thin natna hi chhan dang vangin a awm thei bawk.

Hemolytic thisen tlakchhamna (hemolytic anemia) a awm

``Hemolytic anemia'' tih dinhmunah chuan i thisen sen (red blood cells) te chu a hnuaia natna awm vangin a hun hmain an thi thin. Chutiang a nih chuan i taksa chuan ``reticulocytes,'' (thisen sen puitling lo) chu thisenah a chhuah tir a, chu chuan a tlakchhamna chu a khum a ni. Heng thisen sen puitling lote hian thisen sen puitling angin oxygen an phur thei lo.

Thisen chhuah tam lutuk

Thisen tam tak i hloh chuan, accident emaw, operation emaw, thil dang emaw avanga i hloh chuan, i taksa chuan i thisenah reticulocytes a dah belh ang a, chu chu a hloh chu a khum ang. Hemolytic anemia ang bawkin cell puitling lote chu thisenah an lut hma hle.

Myelodysplastic natna (Myelodysplastic) natna a ni

Hei hi cancer chi khat a ni a, ruhroah a lo awm a. Hetiang dinhmun hian ruhro hian thisen sen hrisel tak tak a siam chhuak thei lo.

Hypothyroidism natna (Hypothyroidism) a awm

Macrocytosis hi hypothyroidism, underactive thyroid gland nei te tan pawh a awm thei bawk. Anemia nei emaw nei lo emaw pawh a awm thei.

A châng chuan, macrocytosis chhan chiang tak hmuh tur a awm lo a, a bik takin thisen tlakchhamna nei lo chauh macrocytosis i neih chuan.

Engtin nge macrocytosis i vei tih i hriat theih ang?

Kan sawi tawh ang khan macrocytosis tih hi thisen zam (red blood cells) lian zawk sawina thumal a ni a, official natna a ni lo. I CBC report-a MCV value chu 100 fL aia tam a nih chuan i thisen sen (red blood cells) chu a tlangpui aia lian a ni tihna a ni.

A châng chuan doctor-te chuan Macrocytosis hi a natna a nasat dan a zirin a chhan an chhut thei ṭhin. Entirnan, MCV a sang hle (110 – 115 fL vel) a nih chuan macrocytic anemia na zawk, megaloblastic anemia ang chi chhinchhiahna a ni thei.

Macrocytosis awm chhan hriat tumin test neih a ni

I doctor chuan i thisen zam (red blood cells) lian zel chu a ngaihtuah a nih chuan a chhan hriat tumin zawhna a zawt ang che. I damdawi lam chanchin te, damdawi i ei te, i ei leh in te, leh zu i hman dan te a zawt thei a ni . Chu bâkah, test dang ṭhenkhat pawh a ti thei bawk:

• Peripheral thisen chhuahna: 1.1.Hei hian i thisen sample lak a, microscope hmanga en a, Macrocytosis thlen thei thil danglam a awm em tih en a, chu chu red blood cells thanna lama harsatna awm ang chi te a ni.
• Vitamin B12 leh folate level test: Thisenah Vitamin B12 emaw folate emaw a tlem chuan thisen zam (red blood cells) siam thatna atana mamawh nutrients dawng lo nutritional deficiency a awm tihna a ni.
• Reticulocyte count: He test hian i thisen sample-a thisen sen puitling lo awm zat a teh a ni. Hei hian hei hi i MCV sang chhan a nih leh nih loh hriat theih nan a pui thei a ni.
• Liver function test: Hei hian i liver hian thisen sen hrisel siamna atana mamawh nutrients a lakluh theih nan a thawk tha em tih a test thin.
• Bone marrow biopsy: He test hi i doctor-in i thisen sen siam chhuahna tibuaitu natna i neih a rinhlelh chuan tih theih a ni. Hei hian i ruhro sample tlemte lak a, microscope hmanga cell-te enfiah a, thil danglam a awm leh awm loh enfiah a ngai a ni.

Macrocytosis hi engtin nge enkawl a nih?

Anemia symptom i neih loh chuan, i test result-ah thil danglam dang a awm lo a nih chuan enkawlna engmah i mamawh lo mai thei. Chutiang a nih loh chuan enkawlna chu i thisen sen (red blood cell count) sang chhanah a innghat ang.

• I macrocytosis hi ei leh in lama harsatna avanga lo awm a nih chuan i ei leh in thlak emaw, vitamin supplement emaw i ei a ngai mai thei .
• Buaina chu damdawi i ei lai a nih chuan i doctor chuan a dose a thlak thei a , damdawi dang a pe thei bawk .
• Macrocytosis ruala thisen tlakchhamna nasa tak i neih chuan thisen pek i mamawh mai thei .

A pawimawh ber chu i doctor-in a pek che treatment plan dik tak zawm hi a ni a, i macrocytosis chhan chu eng pawh ni se.

Macrocytosis hi tihdam theih a ni em?

A tam zawkah chuan a chhan bulpui enkawl a nih chuan macrocytosis chu a inher leh ang. I doctor hnenah engtin nge enkawlnain i hriselna a nghawng dawn tih zawt rawh.

Engtin nge macrocytosis hlauhawmna tihziaawm theih ang?

Macrocytosis thlen thei zawng zawng hi kan veng thei lo mai thei. Mahse, nungchang hrisel tak tak kan neih hian kan hlauhawmna chu kan tihtlem thei a ni. Entir nan:

• Vitamin B12 leh folate tamna ei tur – sangha, bawnghnute atanga siam, egg , leafy greens, leh fortified cereals – te i eitur ah te dah tel hian macrocytic anemia vei theihna a ti tlem thei a ni.
• Zu in hi tihtlem a pawimawh hle .
• Tin, kum tin thisen test pawh skip suh. Macrocytosis hi thisen test pangngaiah a awm fo thin. A hmaa hriatchhuah leh enkawl chuan natna a zual zel loh nan a veng thei a ni.

Macrocytosis hi enkawl loh a nih chuan eng nge thleng ang?

I Macrocytosis hi ngaihtuah tur a nih leh nih loh chu doctor chauhvin a hre thei ang. Anemia ruala Macrocytosis i neih chuan enkawlna zawn a pawimawh hle. Enkawl loh chuan Macrocytic Anemia hian hriselna lama harsatna lian tak a thlen thei a ni.

Doctor hnenah eng nge ka zawh ang?

I thisen sen (red blood cells) chu a tlangpui aia lian zawk a ni tih i hriat chuan i doctor-in i tih tur a tih ang ang chu zawm rawh. Zawhna i zawt duh mai thei:

• Ka MCV sang hi ka ngaihtuah tur em ni?
• Macrocytosis awm chhan hriat nan eng test nge ka mamawh ang?
• Ka thisen zam (red blood cells) lian zel chhan hi enkawl ka ngai dawn em ni?
• He Macrocytosis condition hi enkawl tur hian eng nunphung tihdanglam nge ka tih theih ang?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Macrocytosis emaw MCV sang emaw hi ngaihtuahawm a ni ngai lo. Chuvangin i CBC report-ah heng value te hi a lang a nih chuan hlau suh. I result hrilhfiah dan tur doctor kaihhruaina la rawh. I result a zirin i doctor chuan ei leh in thlak danglam emaw, vitamin supplement emaw a rawt thei bawk. I enkawlna hian i thisen cell leh hriselna zawng zawng a nghawng dan tur zawt hlau suh. Hrisel taka awm hi a pawimawh ber!