I naupang tê chu awlsam takin a hliam em? Immune Thrombocytopenia (ITP) a ni thei!

I fa taksaah hliam leh hmun sen te te hmuh chu a hlauhawm hle a ni lawm ni? A châng chuan khawsik tenau a liam hnuah pawh hetiang thil hi i hmu thei ṭhin. Chuvangin vawiin hian Immune Thrombocytopenia (ITP) tih natna pakhat kan sawi dawn a, hei hian hetiang symptoms hi a thlen thei a, mahse i hriatthiam dik chuan ngaihtuahawm tur a ni lo. Eng nge a nih, engvanga lo thleng nge a nih, engtin nge kan hriat theih ang, eng thil dang nge tih theih tih i lo en ang u.

Immune Thrombocytopenia (ITP) hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, Immune Thrombocytopenia (ITP) chu kan immune system ( natna laka min humhimtu system ) chu a kal a, kan taksa chhunga cell chi khat platelets tih chu a bei a ni. Tunah chuan platelet hi eng nge ni tih i ngaihtuah mai thei. Kan taksa hmun dangah hliam kan neih chuan thisen chhuah tihtawp nana puitu cell te te an ni. Indonaa sipai hliam tuar puitu tanpuitute ang khan. Heng platelet te hian thawk hovin thisen zam an siam a, thisen chhuah chu an titawp thin.

Chuvangin, naupang ITP vei chunga thil thleng chu immune system hian heng platelet tha tak takte hi a tichhe sual a ni. Chuti a nih chuan eng nge thleng? Taksa chhunga platelet awm zat a tlahniam a. Chutiang a lo thlen chuan hliam tenau a\ang pawhin thisen chhuah tihtawp a harsa \hin a, a chang chuan thisen chhuah pawh a thlen thei bawk.

Mahse, chanchin lawmawm a awm! A tam zawkah chuan naupang tê tête ITP an neih chuan thla 6 vêl chhûngin a mah chauhin a ṭha chho ṭhîn . Mahse a chang chuan hun rei zawk a daih thei a, a dam leh a, a lo let leh thei bawk. Chuvang chuan hei hi hriat chian a pawimawh hle.

ITP vei naupang hian eng symptom nge a neih theih ang?

Tunah chuan ITP vei naupang hian eng symptom nge a lantir theih tih hi han en ila. Hengte hi i hmuh chuan hlauthawng suh, mahse damdawi lam thurawn lak a pawimawh hle.

• Thisen chhuah awlsam:
• Hnar thisen chhuak mai mai a ni .
• Ha sil laiin gums thisen chhuak .
• A châng chuan thisen tlem a chhuak ṭhin a , chu chu stool emaw urine emaw hmangin a chhuak ṭhin . (Hei hi a hlauhawm deuh a, mahse doctor hnenah i hrilh tur a ni).
• Hmeichhe naupang puitlin tawh tan chuan thla tin thisen chhuah hi a rit a, ni tam tak a daih.
• Vun hnuaia thisen chhuak avanga natna lan chhuah dan:
• Bruising awlsam tak a ni . Bump te tak te pawh hian vun chu blue/purple a siam thei.
• Vunah hian red-purple spot te tak te a lo lang thin . Damdawi lamah chuan hei hi (Petechiae) kan ti a ni. Hengte hi pen tip hmanga ziah ang maia dot te te an ni.
• Purple, a lian deuh, vunah hliam ang chi a awm . Hei hi (Purpura) an ti a. Chungte chu (Petechiae) aiin an lian zawk.

Ngaihtuah teh, i fa chu inkhelh laiin a tlu a, a hma aia nasa zawkin a hliam a nih chuan, a nih loh leh i sawi tak red dots ang chi thil i hmuh chuan i ngaihtuah tur a ni.

Very rarely, especially if there is a severe head injury , ITP hian thluak chhungah thisen a chhuah thei bawk (stroke ang chi). Hei hi a tlem hle a, mahse lu na i neih chuan doctor pan nghal mai tur a ni tih hre reng ang che.

Engvangin nge ITP hi a lo thanglian? A chhante chu engte nge ni?

ITP awm chhan ber chu kan sawi tawh ang khan kan immune system hian platelets , kan sipaite ngeiin kan mite an beih ang maiin a bei sual vang a ni.

Hetianga naupangte immune system tihchhiat chhan ber chu virus infection vang a ni . Entirnan, naupang thenkhat chuan khawsik emaw, flu emaw atanga an dam hnuah ITP an nei thei a ni. Virus taksaa a luh hian immune system, a do lai hian a chang chuan "over-react" in platelets a bei tan thin.

Chu bâkah, a tlem hle a, ITP hi damdawi lam dinhmun dang , autoimmune disease (kan taksa peng hrisel tak takte immune system-in a beih natna), emaw damdawi ṭhenkhat emaw avânga lo awm thei a ni. Mahse a tam zawkah chuan immune system hian platelet a beih chhan chiang tak hmuh a harsa thin .

Tute nge ITP nei thei ber?

Naupan laia hmuh tam ber ITP hi naupang kum 1 leh 7 inkarah a awm tam ber a, mahse naupang kum upa zawk leh naupang zawkah pawh a awm thei bawk.

A pawimawh ber chu ITP vei naupang chu a danglamna chu a hrisel leh hrisel angin a lang tlangpui a ni . Chu chu thisen chhuah leh hliam tih loh chu naupang chu a inkhelh a, a ei a, a in a, a nitin hnathawh dan pangngaiin a kal thei tihna a ni.

Doctor-te hian engtin nge ITP hi an hriat chhuah?

I fa chu doctor hnena i hruai hunah ITP a neih leh neih loh hriat nan a hnuaia mi ang hian an ti ang:

1. Zawhna zawh:I fate natna lan chhuah dan te, a lo intan dan te, tun hnaia natna an neih leh neih loh te zawhna tam tak i dawng ang.

2. Taksa endik: Doctor chuan uluk takin naupang chu a enfiah ang. Anni hian hliam, (Petechiae), (Purpura), leh thil dang danglam bik awm leh awm loh an enfiah ang.

3. Thisen Test: Hei hi a pawimawh ber a ni. Thisen sample lak a ni a, a hnuaia test te hi tih a ni.

• Platelet count a enfiah thin. ITP-ah chuan hei hi a hniam tur a ni.
• Thisen cell chi dang (Red Blood Cells, White Blood Cells) te chu an normal em tih enfiah thin a ni . Hengte hi ITP-ah hian tihdanglam a ni lo tlangpui.
• Infection chhinchhiahna (entir nan, virus infection) a awm leh awm loh enfiah thin ang che.
• Platelets tlahniam chhan dang a awm leh awm loh kan chhui mek a ni.

Heng test te hi ITP i neih leh neih loh emaw, heng symptoms te hi a chhan dang a awm leh awm loh emaw hriat theihna awmchhun a ni.

ITP enkawl dan tur chu engte nge ni?

ITP enkawl dan hi a natna lan chhuah dan a zirin a inang lo . Naupang thenkhat chuan hliam leh red dots te te (petechiae) chauh an neih chuan enkawlna engmah an mamawh lo mai thei . Doctor ten naupang hi an vil reng ang.

Amaherawhchu, enkawlna a ngai a nih chuan, i tih theih thenkhat chu hetiang hi a ni:

• Immune system-in platelet a beih lohna tur damdawi:
• Steroids: Hengte hi pill angin emaw, vein-a injection angin emaw pek theih a ni. Chûngte chuan platelets rang taka tihpun a ṭanpui a ni.
• IV (intravenous) antibody injection: Hengte hi immunoglobulins emaw rituximab emaw an ti bawk. Chungte chuan taksa hriselna (immune system) chu tlem tal titawp chungin hna an thawk a ni.
• Taksain platelet tam zawk siam tura puitu damdawi: A chang chuan heng damdawi te hi pek theih a ni bawk.
• Spleen removal surgery: Spleen hi kan taksa peng pakhat a ni. Platelets hi he spleen-ah hian a chhe ber a ni. Chuvangin, he surgery hi naupang symptom na tak tak nei, enkawlna dang dawng lote tan chauh tih tur a ni. Hei hi naupang kum upa zawk emaw, puitling naupang zawk emaw tan ngaihtuah a ni fo.

Pawimawh: Doctor chauhvin i fa tan eng enkawlna nge dik tih a rel thei. Chuvang chuan doctor thupek zawm a pawimawh hle.

Nu leh pa angin engtin nge in ṭanpui theih?

ITP laia i fa enkawl lai hian nu leh pa anga i tih theih tam tak a awm a.

• I fa chu infiamna leh infiamna, hliam emaw thisen chhuah emaw thlen thei thil a\angin hun engemaw chen chu hla takah dah la. Entirnan, cycle khalh leh contact sports i chawlhsan a ngai mai thei.
• I fa chu i doctor phalna la hmasa lovin ibuprofen (e.g., Motrin, Advil ) emaw aspirin emaw awmna damdawi engmah pe suh. Heng damdawi te hian thisen chhuah theihna a tipung thei a ni. Paracetamol hi khawsik leh natna tlanglawn tak tan pek thin a ni a, a tlangpuiin a him a, mahse i fa hnena i pek hmain i doctor hnenah zawt hmasa phawt ang che.

ITP vei naupang tam zawk hi thla engemaw zat chhungin an dam vek. I fate ṭanpui nâna i tih theih ṭhenkhat chu hetiang hi a ni:

• Doctor appointment zawng zawngah i fa chu hruai vek tur a ni.
• I doctor thupek ang chiah kha zawm rawh. Eng thiltih nge inhmeh leh tih loh tur tih chu ngun takin ngaihven rawh.
• I fain khawi hmunah pawh an lu a deng emaw, hliam na tak a tuar emaw a nih chuan doctor pan nghal la, damdawi inah kal nghal rawh. Hei hi a pawimawh hle.
• Doctor-in a rem lo nia a sawi damdawi engmah i fate pe lo turin fimkhur rawh.
• I fain a vunah thisen chhuah thar, hliam, emaw, a sen/purple emaw a awm tih a lan chuan doctor ko nghal rawh.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

ITP chungchang hriat hi a hlauhawm deuh thei. Mahse, a tam zâwk chuan naupangte zînga a lo awm hian a mah chauhin a bo vek tih hre reng ang che . A pawimawh ber chu hlauthawng lo va, damdawi lam thurawn dik tak zawng a, chu mi ang chuan thil tih hi a ni .

I fain heng symptoms te hi a neih chuan pediatrician emaw haematologist emaw pan ngei ang che. I mamawh thurawn zawng zawng an pe ang che. Dam leh thuai turin duhsakna kan hlan e!

` Immune Thrombocytopenia, ITP, platelets, thisen chhuak, naupang natna, immune system, bruising