Tun hnai-ah i thisen test (Complete Blood Count - CBC) i ti ve a, i report i en chiah chu MCH tih lai a lo awm va mai a. "He MCH hi eng nge ni ta reng reng a, a zat tur dik tak chu engzat nge ni ang?" tiin i ngaihtuah ta rum rum a ni em? Hemi chungchang hi kan hriat chian a tul hle mai, a chhan chu thisen thaza zia leh hemoglobin sem darh dan entirtu pawimawh tak a ni tlat mai a. Tunah hian kan vaiin ngun takin, awlsam takin leh kan hriat thiam tur zawkin i han zir ho ang hmiang!
📌 Pawimawh Bik Te (Key Takeaways)
- MCH awmzia: Mean Corpuscular Hemoglobin tihna a ni a, chu chu thisen cell sen tin (red blood cell) chhunga hemoglobin zat tlangpui a entir a ni.
- A hlutna: MCH value a san lutuk emaw a hniam lutuk chuan thisen zawhna (anemia) lam thil a entir thin a, kan doctor-te nen kan inbiak pawh a tul thin.
- A kaihhruaina: Thisen test tur hian chaw nghei kher a ngai lem lo, mahse doctor-in test dang a tel tir tel chuan chaw nghei a ngai maithei a ni.
- Enkawl dan: A chhan bulpui (entir nan: iron tlakchhamna emaw vitamin tlakchhamna) hmu chhuaka enkawl dam turin kan hriat thiam a pawimawh hle.
Ka nu leh pa, u leh nau te u, kan thisen hian kan taksa pumpui a fan chhuak a, oxygen a sem kual thin a ni tih kan hria. Chu hemoglobin chu a tawk chiahin a awm em tih chhut chhuah nan MCH hi hmanraw pawimawh tak a lo ni reng mai. Tunah chuan a zawnin i han chhui thui zel teh ang.
Know your body mass index (BMI) and weight classification
MCH hi eng nge ni tak tak?
MCH chu Mean Corpuscular Hemoglobin tih tawi na a ni a. Thu mawl takin sawi ila, thisen cell sen khat (Red Blood Cell) chhungah sawn hemoglobin (oxygen phurtu hna thawkktu ber) a tam tawk em tih a tehna a ni ber mai. Hemoglobin a that that chuan kan taksa peng hrang hrangin oxygen an hmu tha a, kan harin kan chak bik thin a ni. See? Kan thisen dante hi a va han mak in a va han ropui em! Hemoglobin hi tlem lutuk ta se, kan taksa a chau nghal rawih rawih thin a ni.
Engtikah nge MCH test neih a ngai?
Kan taksa a lo chau a, kan hah ngawih ngawih a, kan dang var a, khawvel hi a vir mup mup a nih chuan kan doctor ten thisen test (CBC) an rawn rawt thin a. Chu CBC report chhungah chuan MCH hi a tel ve sa reng a ni. Tin, damlo dang zai hma te, hritlang satliah mai ni lo, natna benvawn nei te, hmeichhe naupai lai te hnenah thisen endikna hi neih fo thin a ni.
Engtin nge he test hi tih a nih?
He thisen test hi tih a har lo khawp mai. Kan hriat than dan sa hrim hrimin, kan ban zungpui khuar vel atangin thisen tlemte an la dawn a ni. Local family clinic / primary health center emaw, kan damdawi in hnaivai berah te awlsam tein an thawk thin a. Hlauhthawn tur engmah a awm lo, darkar rei lo te chhungin an ti zo mai thin.
Test hmain inbuatsaih a ngai em?
MCH test neih dawn hian chaw nghei hrim hrim chu a ngai lem lo. Mahse, doctor-in glucose test te, lipid profile test te a tel tir tel chuan chaw nghei a ngaih chang a awm thei a. Chuvangin, test turin inbuatsaih dawnin kan doctor-te thurawn hriat chu a tha ber ang.
Test neih chhung hian eng nge thleng?
Nula fel tak emaw nurse thiam takin i ban bulah tourniquet an lo hreng ang a, hmun phih faiin needle tereuh tein thisen an la lut ang a. A na lutuk lo, mawi tawk chauha thip deuh zawk a ni mai. Kum upa lam leh naupang tan pawh a him a, hlauhthawn tur engmah a awm lo reng reng. Makes sense, right?
Test zawhah eng nge thleng?
Thisen lak zawhah chumi hmunah chuan cotton ball emaw plaster te an bel ang a, minute tlemte hmet deuh vang vang la, a tawk mai. Chumi hnuah i haw thei nghal a, i hna pangngai leh i thil tih lai i chhunzawm leh thei nghal a ni. Result chu darkar re lote hnuah emaw a tukah a lo chhuak mai thin.
He test hi hlauhawmna a awm em?
Thisen lak mai mai a nih avangin hlauhawmna lutuk a awm lo. A chang chuan thisen lakna hmun a duk ve deuh hlek duh maithei a, mahse chu chu rei lo te hnuah a dam leh mai thin. Hlauhthawn tur a awm lo reng reng a ni.
Eng nge a rah chhuah? Engtin nge min hrilh?
Report a lo chhuah chuan MCH value chu a number-in a lo lang kulh ang. Entir nan, a hlutna pangngai chu 27 to 33 picograms (pg) vel a ni tlangpui a (laboratory dangah a dang deuh zawk thei a). Chu chu i doctor nen in han thlir dun ang a, a pangngai em, a sang em, a nge a hniam zawk tihte kan hre chhuak thei dawn a ni.
MCH value a hniam (Low MCH) a nih chuan...
MCH a hniam chuan cell sen tin chhungah hemoglobin a tlem tihna a ni a. Hemi chhan ber chu taksaah thir (iron) a tlakchham vang a ni tlangpui. Kan chaw ei thin Mizo chaw, Buhmami, sa leh thlai hringte kan ei that loh deuh chang te, thisen put chhuahna (entir nan: zunthlum/chaw kaw puar vang te, hmeichhe thi neih buai vang te) a awm chuan a hniam thin. Taksa a chau ngawih ngawih a, thawk a hawi duh a ni.
MCH value a san chuan (High MCH) a nih chuan...
MCH a san bik chuan cell sen chhungah hemoglobin a tam lutuk tihna a ni a. Hemi chhan chu Vitamin B12 emaw Folic acid tlakchham vang a ni duh khawp mai. Tin, mi thenkhat puitling zualah thisen lam natna bik te a lo awm chuan a sang thei a. Doctor ten test dang ang chu an la rawn belh leh ang.
Tunah hian thil pawimawh tak pakhat i han thlir ho teh ang. He table hian MCH dinhmun hrang hrang leh kan thil tih tur a tarlang chiang hle a ni:
| MCH Dinhmun (Condition) | A Awmzia leh I Thil Tih Tur (Meaning & Action) |
|---|---|
| MCH a pangngai (Normal) | Taksa a tha a, hemoglobin a tawk chiah. Chaw tha ei a, nunphung pangngai zawm zel tur. |
| MCH a hniam (Low MCH) | Iron tlakchham emaw anemia vang a ni thei. Sa hring, chaw hring leh iron pai tam ei belh la, doctor rawn rawh. |
| MCH a sang (High MCH) | Vitamin B12 emaw Folic acid tlakchham vang a ni tlangpui. Test belh a, doctor enkawlna hnuaiah awm tur. |
Results a dik lo a nih chuan eng nge i tih leh ang?
Result a lo chhuah a, a pangngai lo a nih chuan thlabai lutuk tur a ni lo. Kan doctor-te nen kan inkawm ang a, iron supplement ei a ngai dawn nge, vitamin b12 eina tur a ngai dawn tih an rel fel mai ang. Local family clinic / primary health center lamah kalin kan pan vat thin tur a ni.
✔️ Thil Tih Tur leh Tih Loh Tur Te (Do's and Don'ts)
- Tih tur: Chaw tha, sa, thlai hring leh thlai tharlam tha tak tak ei tam rawh.
- Tih tur: Doctor-in thisen test leh test belh tur che a tih chu ngun takin zawm rawh.
- Tih loh tur: Report hmuar a mahniin damdawi chak lo ei mai mai suh.
- Tih loh tur: Chau ngawih ngawih chungin hna rim lutuk thawh luih hram hram suh.
🚨 Engtikah nge Hmanhmawhthaka Doctor Pan A Ngaih (Red Flags)?
I thawk a hawi hle a, i lu a hai lutuk a, i tlu thlawrh dawn a nih chuan hmanhmawh takin local family clinic / primary health center emaw nearest hospital emergency department pan rawh. Mamawh a nih chuan emergency ambulance number 112 ah hian rang takin call rawh u!
- Lu hai em em a, thawk harsa em em mai.
- Taksa chak lo lutuk a, thil pawh vuan hlei thei lo.
- Hmai dang var vek a, khawsik sang nen.
💡 Tawikim Thuchah (Take-Home Message)
- MCH chu thisen cell sen chunga hemoglobin zat hriatfiahna mai a ni a, hlauhthawn tur a awm lova, hriat chian erawh a pawimawh.
- Taksa chauh leh dang var te hi thil satliahah ngai mai lovin test neih fo tur a ni.
- Doctor-te thawhpui a, chaw tha ei hi hriselna bul tan na tha ber a ni.
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