I immune system a chak lo em ni? Neutropenia chungchang hi i zir dawn teh ang!

Kan taksaah hrik a luh chuan kan taksa hian a do tur sipai a nei tih i hria em? He sipaiah hian sipai chi hrang hrang bik pakhat chu Neutrophil an ti a. Mahse a chang chuan chhan hrang hrang avangin kan taksaa heng sipai awm zat hi a tlahniam thin. Chutah chuan natna tenau tak pawh a nasat phah a, hri kai a lo awm fo thin. Vawiin hian he dinhmun ‘Neutropenia’ an tih hi kan sawi dawn a, chutah chuan taksa venhimna sipaite an tlahniam thin.

A awlsam zawngin Neutropenia chu eng nge ni?

Neutropenia (pronounced: neutro-pe-nia) hi i thisenah thisen var chi khat neutrophils awm zat chu a tlangpui aia tlem a ni. Heng neutrophils te hi kan ruhro (bone marrow) ah a lo piang ber a ni. An hna ber chu kan taksaa lut hrik, bacteria leh virus ang chite zawn chhuah leh tihchhiat hi a ni.

Chuvangin heng neutrophils te hi a hniam chuan eng nge thleng tih han ngaihtuah teh. Ram pakhat humhalhtu sipai chak lo ang mai a ni. Kan taksain hrik a do theihna hi nasa takin a tlahniam a. A nasat chuan kan ka leh kan chhungril lama bacteria pangngai, mi hrisel tichhe lo pawh hian natna khirh tak tak a thlen thei a ni.

Engtin nge neutrophil level hi an classified?

Hei hi doctor chuan i thisen test result enin a hre thei ang. A tlangpuiin puitling hrisel chuan thisen microliter khatah neutrophil 1,500 aia tam a nei tur a ni. Neutropenia hi he zat a tlem dan azirin level thum ah then a ni.

He natna hi hun rei lote (acute) emaw, hun rei tak (chronic) emaw pawh a ni thei. Congenital emaw acquired emaw pawh a ni thei.

Neutropenia thlentu berte chu engte nge ni?

Neutrophils tlahniam chhan hrang hrang a awm thei. Bone marrow hian neutrophils a siam tling lo emaw, a siam chhuah neutrophils te chu a chhe rang lutuk emaw a ni thei.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Cancer leh a enkawl dan: Hei hi a chhan tlangpui a ni. Chemotherapy leh radiation therapy, a bik takin cancer tan hian cell hrisel tak tak, neutrophils an tih, cell rang taka inthen darh thin te pawh an tihchhiat chuan a tichhe thei bawk. Thisen cancer, leukemia ang chi te pawh a awm thei bawk.
• Infection: Viral, bacteria leh parasitic infection thenkhat chuan neutrophil level chu rei lo te chhung atan a tihhniam thei a ni. Entirnan HIV, Hepatitis, Tuberculosis, leh sepsis, natna khirh tak a ni.
• Damdawi thenkhat: Cancer damdawi bakah hian natna dang atana damdawi thenkhat ei hian side effect angin neutrophils a tihhniam thei bawk.
• Autoimmune conditions: Hei hi kan taksa ngeia immune system-in kan taksa hrisel tak tak neutrophil cell-te chu hmelma anga ngaiha a beih palh hi a ni. Entirnan, lupus leh rheumatoid arthritis ang chi natna te hi a ni.
• Nutritional deficiencies: Hetiang dinhmun hi taksain vitamin B12, folate, copper ang chi nutrients a tlakchham chuan a awm thei bawk.
• Genetic causes: Mi thenkhat chuan an pian tirh atangin he natna hi an rochun thin.

Neutropenia natna lan chhuah dan chu engte nge ni?

Heta thil pawimawh tak chu Neutropenia ngei pawh hian symptom a nei lo tih hi a ni. Mahse, neutrophils a tlem avangin natna hrik kai awlsam tak tak i neih avangin symptom hrang hrang i nei thei a ni. I damlo fo chuan Neutropenia chhinchhiahna a ni thei.

Infection a lo awm chuan a symptoms te chu i hmu thei ang:

• Khawsik (38 Celsius aia sang emaw 100.4 Fahrenheit aia sang) .
• Chau lutuk leh nunna nei lo anga inhria
• Hrawk thip
• Taksa ruhkawr a hring chhuak
• Kawng emaw, hnute emaw a hliam na tak tak
• Kawthalo
• Zun laiin kang leh na
• Vun natna (redness, swelling, pain) .

I neutropenia level a na lo a nih chuan i taksaah infection dona tur neutrophils i la nei tling thei. Tun dinhmunah chuan symptoms i nei lo mai thei.

Hei hi eng enkawlna nge ni?

Enkawlna chu i neutrophil level tlahniam chhan leh a nasat danah a innghat a ni. Mild case thenkhat chu enkawlna engmah a ngai lo mai thei.

Enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Antibiotics: Khawsik (`febrile neutropenia` an tih) nen neutropenia i neih chuan natna khirh tak chhinchhiahna a ni thei. Chutiang hunah chuan i doctor chuan damdawi inah a admit thei che a, vein (line kaltlangin) hmangin antibiotics chak tak a pe thei che a ni.
• Corticosteroids: I neutropenia hi autoimmune disease avanga lo awm a nih chuan heng damdawi te hi taksa immune system hnathawh control nan pek thin a ni.
• G-CSF (Granulocyte colony-stimulating factor): Hengte hi injection chi khat bik a ni a, ruhro a tichak a, thisen var (a bik takin neutrophils) siam chhuah a tipung a ni. Hengte hi chemotherapy la mekte hnenah pek thin a ni.
• Damdawi thlak danglam: I dinhmun hi damdawi avanga lo awm a nih chuan i doctor chuan damdawi chu a titawp thei a, a hman dan tur pawh a thlak danglam thei bawk.

Infection laka inven nan eng nge ka tih ang?

Neutropenia i vei tih i hriat chuan i tih theih pawimawh ber chu natna hrik laka inven hi a ni. I immune system a chak loh avangin fimkhur zual a ngai a ni.

• Sahbawn leh tui hmangin i kut uluk takin sil thin ang che. Tui a awm loh hunah zu hmanga siam hand sanitizer hmang thin ang che.
• Damlo leh mipui tamna hmunah a theih ang anga inthiarfihlim rawh.
• I mamawh zawng zawng vaccine , influenza vaccine ang chi te chu a hun takah la rawh. Hemi chungchangah hian doctor hnenah thurawn zawt rawh.
• Cut leh scrape te chu pumpelh rawh. Hliam tenau pawh tifai la, enkawl vat rawh.
• Ei leh in faina kawngah fimkhur hle ang che. Thlai leh thei chi hrang hrang ei hmain uluk takin silfai thin ang che. Sa, sangha leh artui te chu ei hmain uluk takin chhum rawh.
• Midang chawhmeh, no, spoon, razor, towel, leh toothbrush te hmang suh.
• Huana hnathawk i nih chuan kutkawr vuah tur a ni.
• Pet bawlhhlawh paih emaw, naupang tê tête tana diaper i thlak dawnin, kutkawr bun la, i tih zawh hnuah i kut silfai uluk hle ang che.
• Tui thianghlim lo, lui, lui leh tuikhuah-ah te tui chawi loh tur a ni.

Engtikah nge doctor ka hmuh vat ang?

Chemotherapy i neih emaw, neutropenia thlen thei damdawi dang i neih chuan a hnuaia symptoms te hi i neih chuan tihkhawtlai suh . Doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.

Neutropenia hi hlauh tur a ni lova, mahse hriat chian leh fimkhur a pawimawh hle. I doctor thupek uluk taka i zawm a, natna hrik laka invenna atana a tul anga hma i lak chuan he natna hi i enkawl tha thei ang.