I thisen report-ah hian MCH value hi engzat nge ni? (Mean Corpuscular Hemoglobin) Hemi chungchang hi awlsam takin i zir ang u!

Thisen test i neih chuan report-ah hian letter leh number tin nen thil chi hrang hrang ziah a ni tih i hmu ngei ang. A châng chuan hengte hi kan hmuh hian eng nge an nih pawh kan ngaihtuah thei lo va, tlem chuan kan lungngai deuh thei bawk. Chutiang bawkin, i thisen chhiar kimchang (CBC) report-a i hmuh tur hlutna pawimawh tak pakhat chu MCH hi a ni. Vawiin hian he MCH emaw ``Mean Corpuscular Hemoglobin'' hi eng nge a nih tih te, kan hriselna chungchang a sawi te, chu value chu a san emaw a tlahniam emaw a nih chuan eng nge thleng tih te chu awlsam takin han sawi ila.

MCH hi eng nge ni tak tak?

A awlsam zawngin, MCH hi i thisen sen (RBC)-a hemoglobin awm zat zat tehna value a ni . Tunah chuan hemoglobin hi eng nge a nih tih hi han ngaihtuah teh. Hemoglobin hi kan thisen sen chhunga protein pawimawh tak a ni. He protein hi kan lung atanga oxygen la chhuakin taksa pum puia cell-ah a thlen thin a ni. In lama chaw rawn kengtu `delivery` mi ang a ni. He oxygen hi kan taksaa cell tinte tan chakna petu a ni a, kan taksaa thil awm zawng zawng hi a thawk tha hle. Chuvangin, he hemoglobin chungchangah hian MCH value atang hian ngaihdan engemaw zat kan nei thei ang.

MCH hi thisen sen (red blood cells) sawifiahna ``CBC`` test-a ``RBC indices`` section-a value pakhat chauh a ni. Hetiang value dang engemaw zat a awm bawk:

• MCV `(Mean Corpuscular Volume)` : Hei hian i thisen sen (red blood cells) te zatve (average size) a hrilh che a, chu chu a lian emaw a te emaw a ni.
• MCHC `(Mean Corpuscular Hemoglobin Concentration)` : Hei hian thisen sen chhunga hemoglobin awm zat a kawk bawk. Mahse, MCH ang lo takin MCHC hian thisen zam (red blood cells) lian leh te pawh a ngaihtuah tel a ni.
• RDW `(Red Blood Cell Distribution Width)` : Hei hian i thisen sen (red blood cells) te hi a lian dan a inang lo tih a teh a ni. Chu chu, inthlauhna a awm em, chu chu cell thenkhat te te leh cell thenkhat lian te te hi a ni.

Doctor-te chuan heng thil chipchiar zawng zawng hi i thisen sen (red blood cells) hriselna hriat nan an hmang vek a ni. Heng value te hi anemia ang chi natna hriatchhuah nan a pawimawh hle .

Engtikah nge MCH test neih a ngai?

MCH hi CBC test-a thil awm fo a ni. He CBC test hian i thisen sen (red blood cells) chauh a teh lo va, i thisen var (natna laka min vengtu cell) leh platelet (thisen titawp tura puitu cell) te pawh a teh a ni. Chuvangin, CBC value dangte nena khaikhin chuan doctor-te chuan damdawi lam dinhmun chhinchhiahna hmasa ber an hmu thei a ni.

I doctor chuan i MCH value chu a ngaihtuah hle ang, thisen tlakchhamna chhinchhiahna, hahna, lu na fo, vun rawng, leh thawk hahna te i neih chuan RBC indices dang nena khaikhin chuan i MCH value a dik lo a nih chuan i doctor chu thisen tlakchhamna i neih leh neih loh a hriat theih nan a pui thei a, a awm a nih chuan a chhan chu eng nge ni thei tih a hriat theih nan a pui thei bawk.

Engtin nge he test hi tih a nih?

MCH test hi thisen test awlsam tak a ni. A tlangpuiin nurse emaw phlebotomist emaw chuan thisen tlemte an la thin. Chumi hnuah thisen sample chu automated blood counter hmangin an enfiah leh thin. He machine hian i thisen chhunga cell awmte chanchin a pe a ni.

MCH value hi i thisen sen (red blood cells) te an zirchian hian chhut a ni.

Test hmain inbuatsaih a ngai em?

A tam zawkah chuan MCH test atan inbuatsaihna bik a ngai lo. Mahse, i doctor chuan thisen sample khata test dang engemaw zat tih a tum a nih chuan darkar tlemte chhung chaw nghei (engmah ei leh in loh) a ngai mai thei Chuvang chuan i Doctor thupek chu uluk takin zawm ang che. Tichuan test atan uluk takin i inbuatsaih thei tawh ang.

Test neih chhung hian eng nge thleng?

Chair-ah an thut tir ang che a, i kut phar turin an ti ang che. Tichuan:

• Thisen lakna hmun chu antiseptic solution (alcohol wipe) hmanga tihfai a ni.
• Rubber band (tourniquet) chu kut chungah thisen lakna hmun chungah tlem a khin a. Hei hian thisen dahkhawmna a pui a, thisen lakkhawm a ti awlsam bawk.
• Zawi zawiin needle nalh tak mai chu vein chhungah an dah lut a.
• Thisen tlemte chu vial emaw tube te tak teah an khawn khawm thin.
• Tichuan needle chu la chhuakin cotton chi khat dahin thisen chhuah chu tihtawp a ni.

Heng zawng zawng hi minute nga aia rei lo a ni . Needle an dah chuan tingling sensation tlem i nei thei a, ant stinging ang mai a ni. Chumi piah lamah chuan natna lian tham a awm lo.

Test zawhah eng nge thleng?

Thisen pek zawhah, i luak chhuak tlem a nih loh chuan i haw nghal mai thei a ni. Mi thenkhat chuan thisen an hmuhin, a nih loh leh needle an hlau deuh a nih pawhin an lu a na deuh thei. Hei hi thil pangngai a ni a, nangmah chauh i ni lo. Chutiang a nih chuan i dam hma chu medical staff ten an enkawl ang che.

He test hi hlauhawmna a awm em?

MCH endikna atana CBC test hi high-risk test a ni lo. Thisen i pek hnuah chuan needle dahna hmunah hian hliam tlem a awm tih i hmu mai thei. I kut ah natna engemaw zat i nei thei bawk. Mahse, heng symptoms te hi thisen pek ni vek hian a bo tlangpui.

Eng nge a rah chhuah? Engtin nge min hrilh?

MCH result atang hian thisen sen pakhatah hemoglobin picogram (pg/cell) engzat nge i neih tlangpui tih a tarlang. Picogram chu a tlem hle a, gram khata trillionth khat (chu chu zero pakhat leh sawm leh pahnih a ni) vel a ni.

Lab hrang hrangah hian danglamna tlem awm mahse, puitling (mipa leh hmeichhia) tan chuan MCH value pangngai chu a tlangpuiin 27 leh 33 pg/cell inkar a ni . He value hnuai lam thil hi MCH hniam anga ngaih a ni a , he value aia sang zawng zawng hi MCH sang anga ngaih a ni bawk .

Mahse, i MCH value a hniam emaw a sang emaw chuan i hlauthawng nghal a ngai lo tih hre reng ang che. I doctor chuan i MCH value chu RBC indices dang nen leh i hriselna zawng zawng nen a khaikhin ang a, thutlukna a siam ang. Test dang pawh a rawt thei bawk.

MCH value a hniam (Low MCH) a nih chuan .

MCH value hniam chuan hypochromic anemia (thisen sen chu a pangngai aia tlem a, a sen hring ang maia lang) leh/ emaw microcytic anemia (thisen sen chu a pangngai lo taka a te awmna) i nei thei tihna a ni. Heng dinhmun pahnihah hian i thisen sen (red blood cells) te hian hemoglobin an nei tlem hle.

MCH level hniam chhan engemaw zat a awm thei:

• Iron tlakchham : Taksain iron a neih tlem chuan hemoglobin a siam thei lo. Iron tlakchham vanga thisen tlakchhamna thlentu ber chu thisen chhuah a ni . Hei hi thlasik laia thisen chhuak nasa lutuk, chhungril lama thisen chhuak (e.g., intestinal ulcers), emaw, operation hnua thisen chhuak tam lutuk vang te pawh a ni thei.
• Hemoglobinopathies : Thisen natna rochun thenkhat chuan taksain hemoglobin a siam danah harsatna a thlen thei. Entirnan thalassemia leh sickle cell anemia te hi a ni .
• Natna khirh tak avanga inflammation : Natna khirh tak tak thenkhat, kal natna, thin natna, leh cancer avanga taksaa inflammation awm hian MCH level a tihhniam thei a ni.

MCH value a san chuan (High MCH) .

MCH level sang chuan macrocytic anemia i nei thei tihna a ni . Hetiang dinhmunah hian i taksa hian thisen sen lian tak tak, a pangngai lo takin a siam a, chu cell-te chuan hemoglobin a sang hle. Hei hi thisen sen hrisel siamna atana mamawh nutrient pawimawh pahnih folate (vitamin B9) leh vitamin B12 kan hmuh tlem vang a ni fo. A nih loh leh, i taksain heng nutrients te hi a hip dik theih lohna tur damdawi lam harsatna i nei thei bawk.

MCH hlutna a san chhan dangte chu:

• Hun rei tak chhunga zu insualna .
• Thyroid gland lama harsatna awm thei .
• Damdawi emaw enkawlna thenkhat avanga side effects . Entirnan, cancer damdawi chemotherapy hian MCV (chutiang chuan MCH) chu side effect angin a tipung thei a ni.

Results a dik lo a nih chuan eng nge i tih leh ang?

I MCH a dik lo a nih chuan a hnua i tih tur chu a chhan a zirin a ni ang. Entirnan, i doctor chuan iron tlakchham vangin i MCH a hniam nia a rinhlelh chuan i iron level enfiah nan test dang an ti leh thei bawk. Chutiang a nih loh chuan damdawi lam dinhmun dang an rinhlelh chuan chu natna chu test an tih a ngai mai thei.

I doctor chuan i result a zirin i tih tur dik tak a hrilh ang che.

Test result eng pawh a dik lo (a hniam emaw, sang emaw pawh nise) a awm chuan tlem a hlauthawng emaw, hlauhna emaw a awm hi thil pangngai a ni. Mahse MCH chungchang sawi dawn chuan result pangngai lo chuan i doctor-in i hriselna a zir belh tihna mai a ni. A châng chuan MCH result pangngai lo chu enfiah leh enkawl ngai thil a ni thei a, hei hi thisen chhuak natna ang chi a ni. Mahse, a châng chuan, hun rei lote chhûnga thil awm thei leh ngaihtuahawm loh thil a ni thei bawk. I MCH result chungchangah i lungkham emaw, i lungkham emaw a nih chuan i doctor nen sawiho la, CBC result dang nen khaikhin la, a awmzia i hriat theih nan.

Take-Home Thuchah a ni

MCH hi i thisen test report-ah number pawimawh tak a ni. I thisen sen pakhata hemoglobin awm zat zat a hrilh che a ni.

• Hemoglobin hi taksa pum puia oxygen phurtu protein a ni.
• MCH value hniam hi thisen tlakchhamna chhinchhiahna a ni thei. Hei hi iron tlakchham vang te, thisen natna thenkhat vang te, leh hun rei tak chhunga inflammatory condition vang te a ni thei.
• MCH value sang hi thisen tlakchhamna chi dang a ni bawk. Hei hi folate emaw vitamin B12 tlakchham vang te, zu in vang te, thyroid lama harsatna vang te a ni thei.
• I MCH value a dik lo a nih chuan hlauthawng suh . I doctor chuan test value dang nen a khaikhin ang a, a tul chuan test dang a ti leh ang a, thurawn leh enkawlna \ha ber ber a pe ang che.

I thisen report-a thil awm chungchanga zawhna i neih chuan doctor zawt la a tha ber.

` MCH, hemoglobin, thisen sen, thisen tlakchhamna, thisen test, CBC, hriselna