I taksa invenna a hniam em? Neutropenia chungchang hi han sawi ila!

I damlo fo em? A nih loh leh doctor-in i thisen test a en a, "I thisen var hi a hniam deuh a?" Khawsik i nei a, chak lo deuhin i inhria a, mahse a chhan i hre thei lo. Hetiang hunah hian tunlaia kan sawi tum neutropenia an tih hi i hriat a pawimawh hle thei a ni. Lungngai suh, awlsam takin han sawifiah teh ang.

Neutropenia chu eng nge ni? A awlsam khawp mai!

A awlsam zawngin sawi ila, neutropenia chu i thisenah thisen var chi khat, neutrophils an tih chu a tlangpui aia tlem zawkna a ni. Heng neutrophils te hi kan taksa chhunga police officer bik training nei angin han ngaihtuah teh. Kan taksaa lut hrik, bacteria leh virus te dotu leh natna laka min vengtu an ni.

Heng sipai neutrophils an tih te hi kan ruhro chhunga factory pakhatah siam a ni ber. Chuvangin, heng neutrophils te hi a tlem chuan kan taksain natna hrik a do theihna pawh a tlahniam bawk. Chumi awmzia chu hri kai vei theihna chance a sang hle tihna a ni. Thil na tak tak thenkhatah chuan, a tlangpuiin mi hrisel tan harsatna lian tham thlen lo bacteria, kan ka emaw, kan chhungril emaw a awm te pawh hian natna khirh tak a thlen thei a ni. I hrethiam em?

Neutrophils level pangngai chu engzat nge ni tur?

Neutropenia hi thisen sample pakhata neutrophil awm zat a zirin an thliar hrang thin. Puitling pakhatin thisen microliter khatah neutrophil 1,500 tal a nei tur a ni tih hi pawm tlangpui a ni. (Ṭhenkhat chuan he limit hi 1,800-ah an ngai). Hetiang hian a inthen darh dan chu a ni:

• Mild neutropenia: Neutrophil 1,000 – 1,500 inkar a ni.
• Neutropenia hniam tak: Neutrophil 500 – 1,000 inkar.
• Neutropenia na tak: Neutrophil 500 aia tlem lo.

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

Tute nge neutropenia vei tam zawk?

Neutropenia hi a chang chuan natna hrik avanga lo awm thei a ni. Mahse, cancer enkawlna, a bik takin chemotherapy hmanga enkawlna (side effect) anga ngaih a ni ber. Researcher-te chuan chemotherapy dawngtu zinga 50% thlengin neutropenia an vei thei niin an sawi.

A chi dang `Benign Ethnic Neutropenia (BEN) tih a awm bawk.` Hei hi pianpui, hun rei tak chhunga awm thin a ni. African, Middle Eastern leh West Indian hnam chhuakte zingah a tam ber. Heng mite hian neutrophil count 1,500 aia tlem an nei a, mahse natna hrik kai theihna chance sang tak an nei lo.

Engtin nge neutropenia hian ka taksa a nghawng?

Neutropenia hian a nghawng dan hi i neutrophil count a zirin a inang lo. Mild neutropenia vei chuan symptom a nei lo thei. Thisen test laiin natna dang a awm leh awm loh hriatchhuah a ni fo. Mahse, neutropenia na tak atanga na tak i neih chuan natna hrik i vei theihna a sang zawk hle. Neutropenia na tak hi enkawl that loh chuan nunna atana hlauhawm tak a ni thei. Hei vang hian he dinhmun hi hriat chian a pawimawh hle.

Engvangin nge neutropenia hi a lo awm? A chhante chu engte nge ni?

Neutropenia hi thil pawimawh pathum avanga lo awm thei a ni:

1. I ruhro hian neutrophils a siam tling lo.

2. Neutrophils lo piang chhuak te chu a chhe chak (tihchhiat) thin.

3. A nih loh leh, neutrophil lo awm tawhte tihchhiat nan.

A chhan thenkhat chu hetiang hi a ni:

• Genetic conditions: A chang chuan he condition hi nu leh pa atanga fate hnenah genes hmangin a kai thei bawk. Benign Ethnic Neutropenia (BEN), Cyclic neutropenia, leh Severe congenital neutropenia te hi chutiang genetic cause avanga lo awm chi thenkhat an ni.
• Infection: Neutropenia hi virus, bacteria leh parasitic infection vang pawh a ni thei. Entirna atan HIV, hepatitis, TB, sepsis (thisen natna nasa tak), leh Lyme natna te hi a ni.
• Cancer: Cancer, leukemia, lymphoma, leh natna dang thisen emaw ruhro emaw inrawlhna te hian taksain a mamawh thisen var hrisel tak tak a siam chhuak thei lo va, chu chuan neutropenia a thlen thei a ni.
• Damdawi: Cancer enkawlna, chemotherapy leh radiation therapy te hian neutrophils leh a siamtu ruhro (bone marrow) a tichhe thei a ni. Tin, cancer ni lo natna dang damdawi thenkhat chuan side effect angin neutrophil level a tihhniam thei bawk.
• Nutritional deficiencies: Neutropenia hi taksain vitamin leh minerals, vitamin B12, folate emaw, copper emaw a neih tlem chuan a awm thei a ni.
• Autoimmune deficiencies: Hei hi keimahni immune system-in kan immune system a hriatthiam loh a, neutrophil hrisel tichhe thei antibody a siam hi a ni. Keimahni sipai ngeiin an rawn bei ang mai a ni. Crohn natna, lupus, leh rheumatoid arthritis te hi heng natna thenkhat hi an ni.

A chang chuan `Chronic idiopathic neutropenia` tih natna a awm thin. Chu chu neutropenia a awm a, mahse a chhan dik tak chu hmuh theih a ni lo .

Engvangin nge cancer enkawlna hian neutropenia a thlen?

Cancer enkawlna chemotherapy ang chi hi damdawi chak tak a ni. Cancer cell te an that thin. Mahse, cell hrisel, inthen darh chak tak takte pawh an tichhe thei bawk. Kan neutrophils leh a siamtu bone marrow cell te pawh hi rang taka inthen darh cell an ni. Chuvang chuan chemotherapy lai hian neutropenia hi a awm fo thin. Neutrophil level hi enkawl a nih atanga kar hnih chhungin a tlahniam ber tlangpui. Chumi hnuah chuan zawi zawiin an pung leh thin.

Hetih hun chhung hian natna hrik laka invenna tur extra step lak a pawimawh hle a, hei hi taksa invenna a chak loh ber hun a nih avangin.

Neutropenia natna lan chhuah dan chu engte nge ni?

Neutropenia ngei pawh hian symptom bik a nei lo. Mahse, neutropenia avanga natna i vei chuan chutiang natna lanchhuahna chu i nei thei a ni. Hri kai fo hi neutropenia chhinchhiahna a ni thei bawk. A lan chhuah dan thenkhat chu hetiang hi a ni:

• Khawsik (a bik takin febrile neutropenia an tih) .
• Chau
• Hlo natna (Pharyngitis) .
• Lymph node a lo hring chhuak
• Kawngkhar emaw, hnute chhehvel emawa ulcer awm
• Infection awmna hmunah na, a hring, leh a sen
• Indigestion, ril\am
• Urinary symptoms, zun laia kang leh zun fo thin ang chi te

Neutropenia na lo tak i neih chuan i taksaah natna hrik do turin neutrophils i nei tling thei a ni. Chutiang a nih chuan symptoms engmah i nei lo mai thei.

Engtin nge neutropenia hi an hriat theih?

Hei hi hriat theihna atana test ber leh awlsam ber chu thisen chhiar kimchang (CBC) with differential . Chemotherapy ang chi enkawlna i neih chuan i doctor chuan i neutrophil level enfiah nan he test hi a ti fo ang.

I doctor chuan i neutropenia thlentu a hriat chian loh chuan test tam zawk a order mai thei. Entirnan, i ruhro sample lak a, microscope hmangin enfiah theih a ni. He test hian i ruhroah neutrophils a siam tha em tih a hriat theih a, a siam chhuah hnuah a chhe vek em tih a hriat theih bawk. He information hian i doctor chuan diagnosis a nemnghet thei a ni.

Neutropenia enkawlna tur engte nge ni?

Neutropenia chi thenkhat chu enkawl a ngai lo mai thei. Enkawlna dangte chu i neutrophil level hniam chhan a innghat a ni.

Enkawlna atan a hnuaia mite hi tih theih a ni:

• Antibiotics: Khawsik nena febrile neutropenia i neih chuan antibiotics hian nunna a chhanhim thei a ni. Damdawi inah dah i ni fo ang a, antibiotics, saline ang chi chu thisenah pek i ni fo ang. Hemi chhung hian hri kai chhan hriat tumin test neih a ni ang.
• Corticosteroids: Autoimmune condition avanga neutropenia i neih chuan i doctor chuan damdawi corticosteroids an tih chu a pe thei ang. Heng damdawi te hian i immune system hnathawh a ti tlem a, chu chuan i neutrophils a tichhia a ni.
• Granulocyte colony-stimulating factor (G-CSF): I doctor chuan i ruhro tichaktu damdawi a pe thei bawk a, chu chuan thisen var a siam chhuak thei bawk. Chemotherapy i dawng a nih chuan he G-CSF injection hi pek i ni thei.

Neutropenia hi damdawi i ei avanga lo awm a ni tih hriat chian a nih chuan i doctor chuan chu damdawi chu ei tawh lo turin a hrilh ang che, a nih loh leh a hman dan tur chu thlak rawh.

Neutropenia hi ven theih a ni em?

Congenital forms of neutropenia hi kan veng thei lo. Mahse, chemotherapy i neih chuan i doctor-in i neutrophil level a hniam nia a rinhlelh chuan chemotherapy round dang i neih tur chu a tikhawtlai thei a, a dose pawh a tihtlem thei bawk. Thisen var siam chhuah tihpun nan G-CSF injection an rawt thei bawk.

Neutropenia ka neih chuan engtin nge natna hrik lakah ka inven theih ang?

I neutrophils a hniam tih i hriat chuan natna hrik laka invenna tur kawng tam tak a awm. Hengte hi kan hriat reng tur pawimawh tak a ni.

• Sahbawn hmangin kut sil fo la, zu hmanga siam hand sanitizer hmang bawk ang che .
• Flu leh Covid-19 `(COVID-19)` te pawh a telI vaccine zawng zawng chu a hun takah la vek rawh.
• Damlote lakah leh damlo i tawn theihna hmun mipui tamna hmun aṭangin hla takah awm rawh.
• Scratch, cut, leh hliam (tattoo leh body piercing te pawh tel) lakah fimkhur rawh. Vun chhiatna eng pawh chu enkawl nghal rawh.
• Thei leh thlai te uluk takin silfai la, sa leh sangha chu ei tur dang atanga thliar hran la, choka fai takah chaw buatsaih la, uluk takin chhum rawh. Hetiang hian hrik darh tur i veng thei a ni.
• Ei leh in bungrua te, no te, ei leh in te chu midangte hnenah insem suh.
• Towel, razor, leh toothbrush ang chi thilte chu midangte hnenah share suh.
• Huana hnathawk i nih chuan kutkawr vuah tur a ni.
• Pet bawlhhlawh paih leh nausen piang thar diaper a theih ang anga thlak loh tur (i tih a ngai a nih chuan kutkawr vuah la, i tih zawh hnuah i kut silfai tha rawh).
• Lake, tuikhuah, lui leh hot tub hman loh tur.
• Infection laka inven nan doctor-in a pek ang chiah khan damdawi te hi hmang ang che.

Heng tips tam tak hi hriselna atana kan tih tlangpui a ni. Mahse, neutropenia i neih chuan fimkhur zual a ngai a ni. I nunphung leh hriselna dinhmun a zirin natna hrik laka invenna tur thil dang i tih theih dan tur doctor zawt rawh.

Neutropenia vei tan chuan eng prognosis nge ni? (Prognosis) tih a ni.

Neutropenia hi enkawl theih a nih avangin mi tam zawk tan chuan hmalam hun a tha hle. A pawimawh ber chu natna hrik laka invenna leh enkawlna zawng vat (i damloh chuan) hi a ni.

Engtikah nge Doctor ka hmuh ang?

Chemotherapy i dawng emaw, neutropenia thlen thei natna dang i neih chuan, heng symptoms te hi i neih chuan doctor pan nghal la, a nih loh leh i doctor call nghal la, i tih tur thurawn pe rawh:

• Khawsik chu 100.4 degree Fahrenheit (38 degree Celsius) aia sang a ni.
• Khua a vawt avanga thawk hah emaw, khur emaw.
• Thâwk harsa.
• Hnar hnar (hnar congestion) a awm.
• Thlarau na emaw, kawr emaw a na.
• Khuh thar emaw, khuh awm tawh a na zual emaw.
• Diarrhea leh/ emaw, luak chhuak.
• Vaginal discharge emaw itching emaw a awm thei.
• Taksa khawi hmunah pawh natna, sen, emaw, hring emaw.
• Zun inthlak danglam (na, kang, zun chhuah fo ngai).
• Natna thar, a bik takin pum emaw, rilru lam emaw-ah.
• A hma aia rilru buai emaw, rilru lama danglam emaw anga inhriatna.
• Chau lutuk emaw, hrisel loh lutuk emawa inhriatna.

Neutropenia i tawn dan hi i neutrophil level tlahniam chhan ah a innghat a ni. Tun hnaia hri kai avanga i level a hniam chuan i taksa a dam chhoh zel chuan a normal leh mai thei. I neutropenia hi hun rei tak natna emaw chemotherapy emaw avanga lo awm a nih chuan, i doctor chuan i neutrophil level chu a enfiah reng ang a, chu chu natna hrik atanga harsatna lo thleng tur ven nan a ni. I neutropenia vang hian natna kai laka invenna atan medical test leh damdawi ei fo a ngai em tih doctor zawt rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Neutropenia hi taksaa thisen var, neutrophils an tih, a hniam lam a ni. Hei hian hri kai theihna a tipung a ni. Hetiang dinhmun hi cancer enkawlna, chemotherapy ang chi enkawl mekte zingah a tam hle.

Thil ngaihtuahawm a ni lo, hei hi enkawl dan tur a awm. A pawimawh ber chu:

• I doctor thupek ang chiah kha zawm rawh.
• Hri kai laka invenna atana theihtawp chhuah.
• Infection chhinchhiahna i hmuh chuan, khawsik ang chi , doctor thurawn la nghal rawh.

Hei hi i hriat chian a, fimkhur taka i tih chuan neutropenia nei pawhin hrisel takin i awm thei a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh ngai suh.

` Neutropenia, neutrophils, thisen var, immunity, natna hrik, cancer, chemotherapy