I thisen sen (red blood cells) te hi a te em? Microcytosis chungchang hi han sawi ila!

A chang chuan thisen test i tih hian report-a thu thenkhat i hmuh hian i hlau deuh thin a ni lawm ni? Chutiang thumal pakhat chu ‘Microcytosis’ tih hi a ni. Mahse hlau suh, hei hi natna khirh tak hming a ni lo. I thisen sen (red blood cells) chu a tlangpui aia tlem a ni tihna mai a ni. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

Microcytosis tih hi eng nge ni?

A awlsam zawngin sawi ila, microcytosis chu i thisena thisen sen (red blood cells) te chu a tlangpui aia te a nih chuan a ni. Hei hi natnaah kan ngai lo va, thisen test hnua hmuh theih thil hmuhchhuah a ni zawk. Hei hi thisen chhiar kimchang (CBC) hmanga i hriat theih tlangpui a ni. I taksaa thisen cell awmte chungchang chipchiar taka sawina report angin ngaihtuah rawh.

He `CBC` report-ah hian hlutna a awm a, chu chu `Mean Corpuscular Volume` (MCV) tih a ni. He `MCV` value hi i thisen sen (red blood cells) te zatve (average size) tehna atan hman a ni. Puitling tan chuan he `MCV` value hi femtoliter 80 `(80 fL)` aia tlem a nih chuan microcytosis a awm kan ti a ni.

Vawi tam tak chu, he microcytosis an tih hi thisen tlakchhamna chi khat microcytic anemia tih chhinchhiahna a ni thei. He microcytic anemia-ah hian thisen sen (red blood cells)-ah hian hemoglobin tling lo a awm a. Hemoglobin hi protein pawimawh tak a ni a, kan thisen sen (red blood cells) te hian taksa pum puiah oxygen an phur lut thei tih i hria em?

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he natna hi Microcytic Anemia an tih hi puitling leh naupang tête zingah hmuh tur a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Microcytosis natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan symptom bik a awm lo. Report-a kan hmuh theih awmchhun chu `MCV` value a hniam tih hi a ni.

Mahse, symptoms a lo lang a nih chuan ka sawi tawh ang khan Microcytic Anemia natna symptoms nen a inang a ni. Anni chu:

• Chau tih hriat reng reng. Taksaah nunna awm lo ang maiin.
• Vun dum (pale skin) a ni. A châng chuan hmui leh lei pawh a hring thei bawk.
• Thâwk harsa. Tlemte thawhrim pawhin i muhil thei.
• Heart rate a sang chho zel.
• Condition pakhat chu ‘Pica’ tih a ni. Hei hi iron tlakchhamnain microcytosis a thlen hunah chauh a thleng thin. ‘Pica’ chu ei theih loh thil, bawlhhlawh, ice cube, leh leilung ei duhna a ni.

Heng symptoms bakah hian microcytosis awm chhan bulpui nena inzawm symptoms pawh i nei thei bawk.

Engvangin nge he microcytosis hi a lo awm?

Microcytosis thlentu ber chu i taksain iron a hmuh tlem vang a ni. Hei hi iron tlakchhamna thisen tlakchhamna (anemia) an ti a. Hemoglobin siam nan iron hi a pawimawh hle tih ka sawi kha hre reng ang che.

Chu bâkah, boruak thil, damdawi lam dinhmun ṭhenkhat (pianpui leh neih tawh), leh tih dân ṭhenkhat pawhin microcytosis a thlen thei bawk.

Microcytosis thlentu ber berte chu:

• Iron tlakchhamna: 1.1.
• Chaw atanga iron kan hmuh tlem: A châng chuan kan ei leh in hian kan taksaah iron a pe tawk lo mai thei. A bik takin Vegetarian te hian he thil hi an fimkhur a ngai hle.
• Iron absorption lama harsatna: Ngaihtuah teh, iron awmna ei tur i ei pawhin, ‘Celiac disease’ ang chi natna emaw, ‘H. pylori infection’ , taksain chu thir chu a hip tha thei lo. Tin, he natna hi taksa rihna tihtlem nan ‘Gastric bypass surgery’ ang chi operation hnuah pawh a awm thei bawk.
• Thisen chhuah avanga Iron tlakchhamna: Hmeichhia tan chuan menopause laia thlasik thisen chhuak nasa lutuk hian iron tlakchhamna a thlen thei a ni. Tin, pum emaw, intestines emawa ulcer awm vanga gastrointestinal (GI) bleeding hi a chhan dang a ni bawk.

• Thalassemia natna: 1.1.
• Hei hi genetic disease a ni a, rochun a ni. Hetiang dinhmunah hian taksain hemoglobin a siam tha thei lo. Thalassemia vei chuan thisen sen a normal emaw, a pung emaw thei a, mahse chu cell chhunga hemoglobin awm zat chu a tlem hle. Hei hi hypochromic microcytosis an ti a . Thalassemia natna na lo thenkhatah chuan thisen tlakchhamna tel lovin microcytosis chauh hmuh tur a awm thei.

• Natna khirh tak atanga thisen tlakchhamna:
• Hun rei tak natna avanga inflammation lo awm, autoimmune diseases ( e.g. rheumatoid arthritis), chronic infection, kidney disease, leh cancer te hian taksain iron hmanga thisen sen hrisel a siam theihna a tichhe thei a ni.

Microcytosis thlentu tlemte:

Hengte hi a tlem deuh a, mahse hriat a tha:

• Thisen sen siam leh hnathawh tibuaitu genetic condition awm lo tak tak.
• Mineral tlakchhamna (entir nan, copper tlakchhamna).
• Lead rimchhia a awm.

Engtin nge microcytosis i neih leh neih loh dik taka i hriat theih ang?

Ka sawi tawh ang khan microcytosis hi natna pakhat official hming a ni lo. I thisen sen (red blood cells) chu a tlangpui aia te zawk tihna mai a ni.

I doctor chuan i natna lan chhuah dan te, i kum te, i mipa leh hmeichhia te, leh i damdawi lam chanchin te chu a ngaihtuah ang a, hei hi eng thil nge a thlen theih tih a hriat theih nan a hmang ang. Entirnan, i period laiin thisen chhuak nasa tak i neih chuan iron deficiency anemia a ni thei. A nih loh leh, i chhungkuaa mi pakhatin thalassemia a vei a nih chuan chu pawh chu a chhan a ni thei bawk.

Doctor chuan a chhan dik tak chu eng nge ni tih chiang taka hriat tumin test tam zawk a ti thei a ni.

Hemi atan hian eng test nge tih a nih?

He natna thlentu hi doctor-in a hriat theih nan test engemaw zat a awm a:

• Peripheral blood smear: Hei hian i thisen sample lak a, microscope hmanga en a huam a ni. Hei hian i thisen sen (red blood cells) te hi a te tak tak em tih leh thil danglam dang an neih leh neih loh a nemnghet thei a ni. I thisen sen (red blood cells) te hi a lian leh te (Poikilocytosis) a nih chuan microcytosis thlentu natna thenkhat hriat theihna tur clue a ni thei.
• Red cell distribution width (RDW): Hei hian i thisen sen lian leh te inthlauhna a teh bawk. Hei hi CBC report-a hlutna hmuh chhuah a ni bawk. A tlangpuiin thisen sen (red blood cells) hi a lian leh te a inang vek a. Mahse, cell size (Anisocytosis)-ah danglamna lian tak a awm chuan natna thenkhat chungchangah pawh ngaihdan a pe thei bawk.
• Iron level: Thisen a iron level hniam hi iron tlakchhamna vanga thisen tlakchhamna (anemia) chhinchhiahna a ni.
• Ferritin levels: Ferritin hi kan cell chhunga iron dahkhawmtu protein a ni. He ferritin level hi en hian taksaah iron engzat nge awm tih i hre thei ang.
• Total iron binding capacity (TIBC): He test hi iron leh ferritin level nena inzawm a tih chuan iron tlakchhamna hriatchhuahna kawngah nasa takin a pui thei a ni. Natna khirh tak emaw, inflammation emaw avanga thisen tlakchhamna (anemia) hmuhchhuahna kawngah pawh a pui thei bawk.

Iron tlakchhamna a awm lo tih finfiah a nih hnuah, a chhan chu thalassemia a ni em tih chiang taka hriat theih nan hemoglobin electrophoresis leh genetic test ang chi test te tih a ngai dawn a ni.

Microcytosis hi engtin nge enkawl a nih?

Enkawlna chu i thisen sen (red blood cell count) tlahniam chhan ah a innghat a ni. A chang chuan symptom i neih loh a, test result a na lutuk lo a nih chuan enkawl a ngai lo mai thei.

A chhan azirin a hnuaia enkawlna te hi tih theih a ni.

• Ei leh in thlak danglam: Iron tamna ei tur (e.g., sangha, soy products (tofu), peas, bean, greens, thei chi hrang hrang) ei tur ah dah tel.
• Iron supplement: Hengte hi iron tlakchhamna thisen tlakchhamna nei te tan pek thin a ni.
• Thisen pek: Hei hi thisen tlakchhamna a nasat em avangin tih a ni.

A pawimawh ber chu i doctor-in a pek che treatment plan chu a hnuaia harsatna awm dan ang zela dik taka zawm hi a ni.

Microcytosis hi tihdanglam theih a ni em?

Chu pawh chu a chhanah a innghat. A tam zawkah chuan a hnuaia natna awm chu enkawl a nih veleh microcytosis chu a bo vek ang. I doctor chuan enkawlnain i thisen cell leh hriselna zawng zawng a nghawng dan tur a hrilh thei che a ni.

Enkawl loh chuan eng nge thleng ang?

Microcytosis emaw microcytic anemia nei zawng zawng hian enkawl an mamawh vek dawn lo. Mahse, i thisen zam (red blood cells) te ti tlem thei khawpa underlying condition na tak i neih chuan, chu chu hriatchhuah leh enkawl vat a pawimawh. Enkawlna i mamawh leh mamawh loh leh enkawlna atanga beisei tur i doctor thupek zawm rawh.

Microcytosis hi a pawi em?

Microcytosis hi i thisen sen (red blood cells) ziarang pakhat chauh a ni. Natna enkawl ngai (symptom dang nen) chhinchhiahna a ni thei. Mahse a tam zawkah chuan chutiang chuan a pawi lo va, report-a i hmuh mai mai pawh a ni thei.

I doctor chuan i microcytosis hian enkawl ngai natna a kawk em tih a hrilh ang che.

He risk tihtlem nan hian eng nge ka tih theih ang?

Thisen sen tichhe thei natna zawng zawng hi ven theih a ni lo. Mahse, hriselna lama tih dan thenkhat zawm hian i hlauhawmna chu i tihtlem thei a ni.

Hei hi a pawimawh ber chu i ei leh in atanga iron i hmuh tlem em tih enfiah hi a ni. Iron tamna ei tur zingah hian:

• Tuna leh mackerel ang chi tuifinriat thil chi hrang hrang
• Soy atanga siam thil (Tofu) .
• Legumes te chu peas, green beans, chickpeas, leh lentils te an ni
• Thlai hnah dum hring, spinach, kale, leh collard greens te
• Thei chi hrang hrang date leh raisins ang chi te
• Sa, a bik takin sa sen (bawngsa, kêl) leh vawk

Tin, gastric bypass surgery i neih tawh emaw, ei tur atanga iron i lakluh theihna tihtlem thei natna dang i neih chuan i doctor nen eng iron supplement nge i mamawh tih sawipui rawh.

Thalassemia emaw autoimmune disease emaw ang chi, thisen tlakchhamna (anemia) vei theihna tur dinhmun i neih chuan i hlauhawmna tihtlem dan tur i doctor thurawn zawm rawh.

Doctor hnenah eng nge ka zawh ang?

Microcytosis i vei tih i hriat chuan i doctor-in a tih tur a tih ang kha zawm rawh. Zawhna i zawt duh mai thei:

• 'Ka MCV hniam vang hian ka buai tur em ni?'
• 'Microcytosis awm chhan hriat nan eng test dang nge ka tih a ngai ang?'
• 'Enkawl ka mamawh dawn em ni?'
• 'Enkawlna atang hian eng ang result nge ka beisei ang?'
• 'He microcytosis hi tidanglam turin eng nunphung tihdanglam nge ka siam theih ang?'

Microcytosis leh cancer hi inzawmna a awm em?

Microcytosis hi a chang chuan cancer chhinchhiahna a ni thei a, mahse natna dang chhinchhiahna a ni fo bawk. Microcytosis hi iron tlakchhamna chhinchhiahna a ni tlangpui. A pawimawh ber chu i doctor-in i thisen test-a thil thleng a sawifiah hma loh chuan hlauthawng lo va, cancer (a nih loh leh thil dang) anga ngaih loh tur a ni.

Medical test-a result danglam tak i hmuh hian lungkhamna i neih hi thil pangngai a ni. Mahse, abnormal ranges neih hian i damlo emaw, enkawlna i mamawh tihna a ni lo. ``MCV'' ang chi value te hi i doctor-in i hriselna zawng zawng a hriatthiam theihna tura puitu information mai a ni. I test result-in nakin lawka i enkawlna a nghawng theih dan tur kaihhruaina dil rawh.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

Okay, kan sawi tawh atang khan i hriat reng tur pawimawh tak tak thenkhat chu han sawi mai ila:

• Microcytosis hi natna a ni lo va, i thisen sen (red blood cells) chu a tlangpui aia te zawk tihna mai a ni.
• Hei hi ``CBC`` (thisen zat kimchang) hmanga hriat chhuah a ni fo.
• A chhan langsar ber chu Iron tlakchhamna a ni a, mahse a chhan dang a awm thei a, thalassemia leh natna khirh tak tak te pawh a awm thei bawk.
• Mi tam tak chuan symptom an nei lo. Chutianga an tih chuan hahna, vun hring, leh thawk harsa an nei thei a ni.
• Doctor chuan a chhan hriat tumin test tam zawk a nei ang.
• Enkawlna chu a chhanah a innghat. A châng chuan enkawl a ngai lo thei bawk.
• Hlauthawng suh! I MCV a hniam tih i hriat chuan i doctor nen inbia la, a chhan leh eng nge i tih tur dik tak chu hre rawh.
• Ei leh in hrisel neih a pawimawh a, a bik takin iron tamna ei tur ei hi a pawimawh hle.

He thu hi hriattirna atan chauh a ni tih hre reng ang che, natna nei nia inngai tura tihbuai nan a ni lo. Ringhlelna emaw zawhna emaw i neih chuan doctor pan a, thurawn dil a tha ber.

`Microcytosis, Thisen sen, thisen tlakchhamna, Iron tlakchhamna, Hemoglobin, MCV