Thisen sang nei lo ang maiin i inhria em? Normocytic Anemia a ni thei! I sawi dawn nia.

I chau reng reng em? A châng chuan i luak chhuak emaw, i vun rawng emaw i nei ṭhin em? Hengte hi thisen tlakchhamna chhinchhiahna a ni thei a, chu chu damdawi lama kan sawi thin chu thisen tlakchhamna (anemia) a ni. Vawiin hian heng thisen tlakchhamna chi khat normocytic anemia chungchang kan sawi dawn a ni . A hming hi thil lian tak angin a lang thei a, mahse lungngai suh, awlsam tak leh i hriatthiam theih tur angin kan sawifiah ang.

Normocytic Anemia hi eng nge ni tak tak?

A awlsam zawngin, normocytic anemia tih awmzia chu i taksaa thisen sen zat chu a pangngai aia tlem tihna a ni . Tin, heng thisen sen (red blood cells)-a protein hemoglobin an tih hi a normal level-ah a awm lo bawk. Tunah chuan he hemoglobin hi eng nge ni tih i ngaihtuah mai thei. Kan thisen sen (red blood cells) te hian oxygen an man a, taksa pumpuiah an phurh chhuah theihna tura puitu pawimawh ber a ni. Bungraw phur truck ang bawkin hemoglobin hian kan taksaah oxygen a pe a. Chuvangin heng thisen sen (red blood cells) te hi a tlahniam a, hemoglobin a tlahniam chuan taksain oxygen a dawn zat pawh a tlahniam bawk. Chutah chuan natna tin chhinchhiahna a lo lang tan ta a ni.

Doctor-te chuan normocytic anemia hi a hnuaia natna dang chhinchhiahnaah an ngai ṭhin. Mi thenkhat chuan thlahtu natna (hereditary condition) vangin an vei thei bawk. Mahse, a tam zâwk chuan, he dinhmun hi natna khirh tak dang nên a lo awm ṭhîn . A tha ber chu, doctor-te chuan a hnuaia natna awm chu an enkawl laiin an enkawl thin.

Engvangin nge normocytic anemia kan neih?

Hetiang dinhmun hi chhan lian tak pathum a awm a. Eng nge an nih i en ang u:

1. I taksa atanga thisen chhuak vangin

Taksa atanga thisen a bo chuan thisen sen (red blood cells) a bo tihna a ni bawk. Hei hi chhan hrang hrang a awm thei.

• Accident avanga hliam vang pawh a ni thei .
• Internal bleeding vang pawh a ni thei . Hetiang hian taksa chhungril a thisen chhuak thei natna thenkhat a awm a.
• Hmeichhia tan pawh he natna hi period nasat vang pawh a ni thei .

2. I taksain thisen sen (red blood cells) a siam tling thei lo (red blood cell siam chhuah tlem) .

Kan ruhro hi thisen sen, thisen var, leh platelet siamna hmun a ni. Hengte hi stem cell atanga siam a ni. A tlangpuiin kan ruhro hian kan mamawh phuhruk turin thisen sen (red blood cells) a siam tling a. Mahse, natna thenkhat chuan he kalphung hi a tibuai thei a ni.

• Anemia of Chronic Disease: Hetiang dinhmun hi thla thum aia rei taksaa inflammation thlentu autoimmune disease i neih chuan a awm thei. Doctor te pawhin hei hi ``Anemia of Inflammation'' an ti bawk.
• Kidney Disease: Kan kal hian hormone Erythropoietin (EPO) tih a siam tih i hria em. He EPO hormone hian ruhro (bone marrow) hian engtikah nge thisen sen (red blood cells) siam dan tur leh siam dan tur a hrilh thin. Chuvangin kal a chhiat chuan, chu chu kal a chak lo (damaged kidneys) , he EPO hormone siam chhuah hi a tlahniam tihna a ni. Tichuan ruhro (bone marrow) atanga thisen sen (red blood cells) siam chhuah pawh a tlahniam a, thisen tlakchhamna (anemia) a thlen thin.
• Aplastic Anemia: Hei hi thisen natna hmuh tur awm lo tak a ni a, ruhro chhunga stem cell-te hian thisen sen (red blood cells) an siam tlem hle a, chutiang bawkin thisen cell dangte pawh an siam chhuak tlem hle.

3. I thisen sen (red blood cells) te chu a hun hmain a chhe vek (Hemolysis) .

A tlangpuiin thisen sen hrisel tak chu ruhro atanga thisenah a chhuah hnuah ni 120 vel a nung thin. Mahse a chang chuan heng thisen sen (red blood cells) te hi chumi hma chuan an chhe vek thin. Hei hi hemolysis kan ti a ni . Hetiang hian thisen sen (red blood cells) te hi a chhe thuai thei a, chu chu thlahtu natna avang emaw, naupan laia natna lo awm vang emaw pawh nise. Entirna thenkhat han en ila:

• Sickle Cell Anemia: Hei hi thisen natna rochun a ni. Chutah chuan thisen sen (red blood cells) pianzia chu a inthlak a, sickle ang maiin a awm ta a ni. Hei hian thisen kal dan a tibuai a ni.
• Hereditary Spherocytosis: Hei hi thisen lama natna awm lo, rochun atanga lo chhuak a ni bawk. Hemolytic anemia a thlen a, chu chu taksain thisen thar a siam theih aia rang zawkin thisen sen hlui a tichhia tihna a ni.
• Autoimmune Hemolytic Anemia: Hei hi taksa hriselna lama harsatna awm lo tak a ni bawk. Hetah hian keimahni taksa hriselna (immune system) hian kan thisen sen (red blood cells) te hi a rawn bei sual a ni.
• Thrombotic Thrombocytopenic Purpura (TTP): He natna hian taksa pum puiah thisen zam te te a siam a.
• Disseminated Intravascular Coagulation (DIC): Hei hi thisen zam natna a ni. Enkawl loh chuan thisen chhuahna nasa tak a thlen thei a ni.
• G6PD Deficiency: Hei hi thisen sen (red blood cells) thil tha lo laka vengtu enzyme tlakchhamna a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Normocytic anemia symptoms hi a lang nghal lo va, zawi zawiin a lang. Hetiang natna hi nei mah la, i taksaah hian danglamna lian tham i hmu lo mai thei. Mahse, a hnuaia thilte hi i tawn tan chuan fimkhur rawh:

• Chauhna leh chak lohna reng reng.
• Luak chhuak thei.
• Skin chu a tlangpui aia paler zawk. Thisen hmuh tur tlem zawk ang mai a ni.
• Thinlung thawk chak tak.
• Thâwk harsa, hawk ang maia inhria (Shortness of breath).
• Vun dum, vun vawt emaw vun awlsam taka hliam thei a awm thei.

Pawimawh: Heng symptom pakhat emaw pahnih emaw i neih hian normocytic anemia i nei tihna a ni hauh lo. Mahse, heng symptoms te hi a la awm reng a nih chuan doctor thurawn lak a tha ber.

Doctor-te hian engtin nge hei hi an hmuh?

Doctor-te hian normocytic anemia hriat theihna turin thisen test eng emaw zat an nei ber a ni.

• Complete Blood Count (CBC): Hei hian i hemoglobin level, red blood cell count leh size chungchang tam tak a hrilh thei che a ni. Nomocytic tih awmzia chu thisen sen (red blood cells) te hi a lian zawng a pangngai a, mahse an zat a tlem tihna a ni.
• Peripheral Blood Smear: He test hian thisen cell te chu microscope hmangin an en a, an pianzia, an insiam dan, etc. Hei hian normocytic anemia thlentu natna hnuaia awm chu a hriat theih nan a pui thei a ni.
• Reticulocyte Count: Reticulocyte hi thisen sen thar lo piang chhuak, puitling kim lo a ni. He test hian i ruhro hian thisen sen hrisel tak tak a siam chhuak tawk em tih a enfiah thin.

Normocytic anemia hi natna hnuaia awm, la hriat loh chhinchhiahna a nih fo avangin, i doctor chuan a hnuaia natna awm chu eng nge ni tih chiang taka hriat tumin test tam zawk a nei thei a ni. Entîr nân, i doctor-in kal natna khirh tak i nei nia a hriat chuan thisen test tam zâwk, zun protein test emaw, imaging test emaw a ti tam thei a ni.

Normocytic Anemia hi engtin nge enkawl a nih?

A chhan bulpui enkawlna hmanga enkawl a ni . A awlsam zawngin, normocytic anemia thlentu dinhmun hnuaia awm chu enkawl a nih chuan thisen tlakchhamna pawh a ṭha chho zel ang.

Chronic kidney disease vangin thisen tlakchhamna (anemia) i nei niin han ngaihtuah teh. Tichuan doctor-te chuan kal natna enkawlna lam an ngaihtuah ber a ni. A dam chhoh zel chuan thisen tlakchhamna (anemia symptoms) pawh a tlahniam zel ang.

Mahse, thisen tlakchhamna nasa tak i neih chuan doctor-te chuan i ruhroah thisen sen (red blood cells) tam zawk siam turin damdawi an pe thei che a ni.

Hei hi a thlen loh nan a veng thei ang em?

Dik tak chuan normocytic anemia hi a lo awm theih chhan tam tak a awm a, chuvangin engtikah nge a lo awm dawn tih leh engtin nge a ven theih ang tih chiang taka sawi a harsa hle. A tam zawkah chuan medical condition dang i neih tawh vang a ni.

Chuvangin, a khap tlat theih loh laiin, a nghawng chu i tihtlem thei mai thei. Natna rei tak i neih chuan i doctor zawt la, chu chuan normocytic anemia vei theihna a siam em tih zawt rawh. Chutiang a nih chuan thisen tlakchhamna (anemia symptoms) zawt rawh. Heng symptoms zinga pakhat tal i neih chuan doctor pan nghal rawh.

Normocytic anemia ka neih chuan engtin nge ni ang? Eng nge ka beisei ang?

Normocytic anemia hi damdawi lama harsatna engemaw zat chhinchhiahna a ni thei. Ṭhenkhat chu an serious lo a, ṭhenkhat erawh chu an serious khawp mai thei. Hetiang dinhmun hi i neih chuan i prognosis hi thil engemaw zatah a innghat a ni. Chu chu eng natna nge thisen tlakchhamna thlentu che, chu natna enkawlna i dawn dan leh i hriselna tlangpui a ni.

Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbiakna neihpui ngei ang che . I dinhmun chungchânga thu ṭha ber ber a pe thei che a ni.

Normocytic anemia i neih chuan natna khirh tak i vei tawh mai thei. Chu natna nena nun chu thil harsa tak a ni. Chuvangin he anemia hi i enkawl tur thil pakhat chauh a ni. I tanpui thei tur thil thenkhat chu hetiang hi a ni:

• Ei leh in hrisel ei rawh. Anemia hi iron, vitamin B12, leh vitamin B9 (folic acid) tlakchham vang a ni fo. Vitamin supplement chungchang hi doctor zawt rawh.
• Anemia hi taksa tan a hahthlak em em a, chuvangin a theih ang anga chawlh hahdam rawh.
• Tui tlem in (stay hydrated).
• Kut sil fo la, natna hrik kai loh tur.

Thisen test pangngai hnuah, emaw, i symptom thenkhat avang hian thisen test hnuah emaw normocytic anemia i nei tih i hre mai thei. A tam zawkah chuan hei hi natna khirh tak vang a ni a, chu chuan i thisen sen (red blood cells) a nghawng a ni. He natna chungchang hi i hre rei tawh mai thei, a nih loh leh i tan chanchin thar leh rapthlak tak a ni thei bawk. Mahse, i test result leh a hnua i tih tur chungchang doctor nen inbiakna neih a pawimawh hle. Hei hian i beisei tur ngaihtuahna a pe ang che.

Chuti a nih chuan he thil atanga kan zir chhuah pawimawh berte chu engte nge ni? (In lama hruai tur thuchah)

Okay, chuvangin nimina kan sawi tawh Normocytic Anemia chungchanga thu pawimawh tak tak thenkhat kha han hriat nawn tir ila:

• Normocytic anemia hi thisen sen zat tlahniam , mahse thisen sen lian leh te hi a pangngai a ni.
• Hei hi a chhan ber chu:Thisen chhuah, thisen zam (red blood cell) siam chhuah tlem emaw, thisen sen (red blood cells) a chhe chak lutuk emaw.
• Vawi tam tak chu, he dinhmun hi natna hlauhawm dang hnuaia awm chhinchhiahna angin a lo awm ṭhîn .
• Chauhna, luak chhuak, vun dum, thawk harsa tih ang chi symptoms a awm thei.
• Enkawlna chu a bulpui natna enkawlna hmanga enkawl a ni.
• Heng symptoms te hi i neih chuan doctor advice la ngei ang che. Ngaihtuah buai suh, he natna hi enkawl dan dik tak hmangin control theih a ni.

I hriselna ngaihtuah ber tur chu nangmah i ni tih hre reng ang che. Engmah rinhlelhna tlemte pawh i neih chuan doctor biak hreh ngai suh.

` Anemia, normocytic anemia, thisen tlakchhamna, thisen sen, hemoglobin, natna khirh tak, kal natna