Khawsik leh flu i vei fo em ? A nih loh leh hmui natna leh kawr na i nei fo em ? Chemotherapy i nei mek a ni mai thei . At a time like this , i doctor-in thisen test a tih chuan, “I thisen var cell count a tlem a ni,” a tih chuan, chu chu eng nge a awmzia tih i ngaihtuah mai thei. Lungngai suh. Vawiin hian ‘ Neutropenia ’ tih natna pakhat kan sawi dawn a, chu chuan mi tam tak a nghawng thei a, mahse a hriatthiam chuan a thunun theih a ni.
A awlsam zawngin Neutropenia chu eng nge ni?
Kan taksa hi ram a ni tih han ngaihtuah teh. Pawn lam atanga he rama lo lut hmelma ( germs , bacteria ) te do turin sipai chak tak kan nei a. He sipai zinga sipai bikte chu Neutrophils an ti a . Hengte hi a takah chuan kan thisena thisen var chi khat ber an ni. Kan taksaah natna hrik a luh chuan heng Neutrophil sipaite hian chutah chuan an kal a, chu natna hrik chu an tichhia a, natna lakah min venghim thin .
Tunah hian i hrethiam em? Neutropenia chu thisenah heng neutrophil sipai an tih te hi a pangngai lo taka tlahniam a ni. Heng sipai te hi an tlem chuan kan taksa invenna (immune system) a chak lo hle. Tichuan natna hrik te tak te pawh awlsam takin taksaah a lut thei a, natna hrik a thlen thei a ni. Heng neutrophils te hi kan ruh chhunga ruhro (bone marrow) ah an lo piang chhuak thin a ni.
Neutropenia chi hrang hrang lian ber ber a awm em?
Ni e, neutropenia hi a lo awm dan azirin chi hrang hrangah then theih a ni. Ṭhenkhat chu hun rei lote chhungin an dam (acute), thenkhat erawh chu rei tak (chronic) an awm thung.
| Neutropenia chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Congenital Neutropenia a awm thin | Hei hi pianpui (congenital condition) a ni. Nausen leh naupang têah a tam ber. Ruhro (bone marrow)-a neutrophils siam chhuahna lama harsatna awm vang a ni. |
| Idiopathic Neutropenia natna a ni | Idiopathic tih awmzia chu “a chhan hmuh theih loh” tihna a ni. Hetiang chi hian naupang leh puitling pawh a nghawng thei a ni. |
| Cyclic Neutropenia a awm thin | Hetiang chi hi a chiang hle. Kar 3 danah vawi khat vel a awm tlangpui a, ni 3-6 vel a awm thin. Cycle-ah a thleng a, chutah chuan neutrophil count a tlahniam a, chutah chuan a normal leh ta a ni. |
| Autoimmune Neutropenia a awm thin | Heta thil thleng hi kan defense system, kan Neutrophil cells te hi kan tichhia a ni. Keimahni sipaite ngeiin kan sipaite an beih ang mai a ni. Hei hi naupang tê tê zîngah a awm fo. |
| Febrile Neutropenia a awm thin | Hei hi cancer vanga chemotherapy la mekte zingah a natna khirh tak a ni. Neutrophil level hniam tak nei khawsik hi natna khirh tak chhinchhiahna a ni thei. Hei hi medical emergency anga ngaih a ni. |
Engtin nge neutropenia i vei tih i hriat theih ang? Eng nge a lan chhuah dan?
Neutropenia hian symptom a nei lo fo thin. Mi thenkhat chuan chhan dang avanga thisen test an neih hunah chauh an hrechhuak thin. Mahse, neutrophils tlem avanga natna kai chhinchhiahna a awm thei.
A pawimawh ber chu neutropenia vei chuan khawsik a nei a. Khawsik hi ngaih pawimawh tur chhinchhiahna a ni fo thin a, taksa chhungah natna hlauhawm tak a darh tihna a ni thei .
Infection avanga symptom dang awm thei te chu:
- Thlalak na fo thin
- Kawng emaw hmuiah emaw ulcer awm
- Lymph node a lo hring chhuak
- Zun laia kang leh zun tam a ngaihna
- Kawthalo
- Abscesses a awm
- Hliam dam rei lutuk
- A tlangpui aia chau zawka inhriatna (Fatigue) .
Engvangin nge he Neutropenia hi a lo awm? A chhante chu engte nge ni?
Neutropenia hian chhan hrang hrang a nei thei. A chhan ber chu chi hnih ah then theih a ni a, chungte chu ruhro (bone marrow) atanga neutrophils siam chhuah tlem vang emaw, a siam chhuah neutrophils te rang taka tihchhiat vang emaw a ni thei.
- Neutrophil siam chhuah tlahniam chhan:
- Cancer enkawl dan: Chemotherapy leh radiation te hi a chhan ber a ni.
- Ruhro (bone marrow) tichhe thei cancer, leukemia ang chi te .
- Congenital bone marrow lama harsatna awm thei.
- Viral infection thenkhat.
- Neutrophil tihchhiat tam chhan: 1.1.
- Autoimmune natna: Entirnan, Lupus leh Rheumatoid arthritis ang chi natna te.
- Hri kai thenkhat: Dengue fever, Tuberculosis, HIV, leh Hepatitis ang chi virus te.
- Damdawi chi thenkhat: 1.1.
- Neutropenia hi antibiotics thenkhat, thinlung damdawi, epilepsy damdawi, leh rilru lam damdawi thenkhat vang pawh a ni thei. I damdawi ei hian he natna hi a thlen nia i rinhlelh chuan doctor zawt hmasa lovin ei kha titawp ngai suh.
Engtin chiah nge he natna hi hmuhchhuah leh enkawl a nih?
Neutropenia hriat theihna atana test ber chu thisen test awlsam tak Complete Blood Count (CBC with differential) tih a ni. Hei hian neutrophil awm zat dik takin a teh thei a ni. A chhan a chiang lo a nih chuan i doctor chuan bone marrow biopsy neih a rawt thei bawk .
Enkawl dan tur chu neutropenia natna nasat dan leh a chhan a zirin a ni.
- Antibiotics: Khawsik emaw, hri kai emaw a awm chuan antibiotics hi hman tan nghal tur a ni.
- Granulocyte Colony-Stimulating Factor (G-CSF) injection: Hengte hian ruhro a tichak a, thisen var tam zawk siam chhuahnaah a pui bawk. Hei hi nunna chhanhim thei damdawi a ni a, a bik takin chemotherapy avanga neutropenia awm tan chuan.
- Damdawi thlak danglam: Hetiang dinhmun hi damdawi avanga lo awm a nih chuan doctor chuan damdawi a thlak thei a ni.
- Corticosteroids: Hetiang damdawi hi autoimmune condition atan hman a ni.
- Stem cell transplant: He enkawlna hi ruhro lama harsatna lian tak tak tan pawh hman theih a ni.
Hri kai laka inven nan eng nge kan tih ang?
Neutropenia vei tan chuan a pawimawh ber chu natna hrik laka inven hi a ni. Heng step awlsam tak takte hi zawm a pawimawh hle.
- Faina: I kut chu sahbawn leh tuiin uluk takin silfai fo ang che. I ha leh hmui hriselna enkawl rawh.
- Damlo lakah inthiarfihlim rawh: Khawsik emaw, khawsik emaw nei te nena inhnaih loh tur. Mipui tamna hmun tlawh tlem rawh.
- Chaw him: Chaw tui tak chauh ei tur a ni. Thlai leh thei raw te chu uluk takin silfai la, silfai thin ang che. Unpasteurized dairy leh sa raw, sangha leh artui ei loh tur.
- Vun hliam: A hliam tenau emaw, a hliam emaw a awm chuan uluk takin silfai la, plaster hmangin hnawih rawh. Pawnah pheikhawk tel lovin kal suh.
- Mimal thil: Razor, toothbrush, leh towel ang chi thilte chu midangte hnenah insem suh.
- Tui: Tuikhuah, lui leh hot tub-ah te tui chawi loh tur.
Take-Home Thuchah a ni
- Neutropenia hi i taksain natna a do theihna a ti tlem a, mahse enkawl theih a ni.
- Neutropenia i neih chuan khawsik hi chhinchhiahna pawi tak a ni. Khawsik i neih chuan doctor hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- I doctor thupek leh enkawl dan dik takin zawm rawh. I damdawi ei tur chu a hun takah ei thin ang che.
- A pawimawh ber chu hri kai laka inven hi a ni. Faina hi uluk reng ang che.
- I hriselna ngaihtuah buai suh. Hriatna dik leh damdawi lam thurawn te nen chuan hrisel takin i awm thei a ni.
neutropenia, thisen var, neutrophils, thisen var hniam, natna hrik, cancer, chemotherapy, Sri Lanka, Sinhala, immunity, ruhro
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