I fa hian thisen var a nei tlem em? He dinhmun hlauhawm tak (Neutropenia) hi i zir chiang ang u!

Moms and Dads u, in fa thisen report in hmuh khan doctor pakhatin ‘Low neutrophils’ emaw ‘Low white blood cells’ emaw a tih khan i hlau deuh mai thei, a dik em? A nih loh leh, i fa chu a damlo fo a nih chuan, hei hi a chhan a ni em tih i ngaihtuah mai thei. Chuvangin vawiin hian `(Neutropenia)` (pronounced: neutro-pe-nia) tih condition chungchang kan sawi dawn a ni. Hei hi dik taka i hriatthiam chuan a tul lova hlauhna nei lova uluk taka i enkawl theih nan tanpuina ropui tak a ni ang.

`(Neutropenia)` tih awmzia chu eng nge ni?

A awlsam zawngin `(Neutropenia)` tih hian kan thisenah thisen var chi khat bik kan nei tling lo tihna a ni. Heng thisen var te hi `(Neutrophils)` kan ti a. Heng `(Neutrophils)` te hi kan taksa chhunga sipai te tak te angin han ngaihtuah teh. An hna ber chu kan taksaa hrik lut `(Bacteria)` ang chi hrik do a, natna laka min humhim hi a ni. `(Bacteria)` hi hrik chi khat a ni a, natna chi hrang hrang min thlentu an ni.

Chuti a nih chuan, heng sipai `(Neutrophils)` an tihte hi kan thisenah kan hloh tawk a nih chuan eng nge thleng thin? Kan taksa invenna (defence system) a chak lo hle. Tichuan natna hrik te chu awlsam takin taksaah a lut thei a, natna khirh tak tak a thlen thei a ni. Chuvangin naupang `(Neutropenia)` vei chuan khawsik a neih a, a hliam chhehvel a senna chhinchhiahna a neih chuan, a nih loh leh a khawsik leh a khur a nih chuan damdawi lam thurawn lak nghal a pawimawh Mahse lungngai suh, inenkawlna i hmuh vat chuan `(Neutropenia)` vei naupang zinga hri kai tam zawk hi tihdam theih a ni.

Naupang ``(Neutropenia)'' vei hian eng natna nge a neih?

Naupang ``(Neutropenia)`` vei chuan naupang hrisel dang aiin natna a vei tam zawk. Tin, heng hri kai te hi:

• A thleng fo thei.
• A pawi zawk pawh a ni thei.
• A na zual thuai thei.

Symptoms chu i fain natna a neih chi hrang hrangah a innghat a ni. Entirnan, naupang beng natna nei chuan beng na a nei thei. A châng chuan natna lan chhuahna tlangpui, khawsik, taksa na, leh ei duh lohna te pawh an nei thei bawk.

Engvangin nge hetiang `(Neutropenia)` hi a lo awm? A chhante chu engte nge ni?

Tunah chuan ``Neutropenia`` hi thisen a ``Neutrophils`` awm zat tlahniam vang a ni tih kan hre ta. Hei hi thil engemaw zat a awm a, chungte chu:

• Infection hrang hrang: Viral emaw bacteria emaw infection thenkhat chuan ``(Neutrophils)'' hi hun eng emaw chen atan a tihtlem thei.
• Damdawi: Chemotherapy, a bik takin cancer cell tihhlumna atana hman damdawi te hian ruhro a nghawng thei a, neutrophils siam chhuah a ti tlem thei bawk. Damdawi dang thenkhat pawhin hetiang hi a thlen thei bawk.
• Radiation therapy: Cancer cell tihchhiatna atana hman radiation therapy hian ruhro a tichhe thei bawk a, neutrophils siamchhuahna a tichhe thei bawk.
• Genetic lama harsatna awmte: 1.1.Naupang thenkhat chu an pian tirh atanga awm thin genetic condition vangin ``Neutropenia`` an nei thei bawk. Hei hi ``Congenital neutropenia`` an ti bawk.
• Bone marrow dysfunction: Bone marrow hi kan ruh chhunga sponge ang chi a ni. Hei hi kan thisen cell siamna hmun a ni. Chuvangin, he ruhroah hian harsatna eng pawh hian `(Neutrophils)` siam chhuah a tihtlem phah thei a ni.
• Immune system hian a mah ngeiin ``Neutrophils'' a bei a: Hei hi ``Autoimmune neutropenia'' an ti a. Heta thil thleng hi kan taksa chhunga hrik dotu immune system hian a tisual palh a, mahni ``Neutrophils'' cells te chu a tichhia a ni.

A châng chuan, neutropenia hi a lo thleng thei a, a lo kal thei bawk (cyclic neutropenia) . Chumi awmzia chu ni engemaw zat danah neutrophils level a tlahniam a, chutah chuan a pangngaiah a kir leh tihna a ni. Thil dang dangah chuan doctor-te chuan neutropenia (idiopathic neutropenia) awm chhan an hmu thei lo .

Engtin nge `(Neutropenia)` i vei tih i hriat theih ang?

Doctor-te chuan Neutropenia hi thisen test Complete Blood Count (CBC) an tih hmangin an hmuchhuak thin. Hei hian thisen chhunga cell chi hrang hrang awm zat a teh a ni.

Naupangin neutropenia a vei chhan dik tak hriat tumin, hematologist, thisen natna lama tui doctor chuan test dang engemaw zat a ti thei bawk. Chung zingah chuan:

• Naupang thisen microscopic hmanga enfiah.
• Bone marrow sample tlemte tak tak (`(Bone marrow biopsy)`) lak a, microscope hmanga enfiah.
• Infection chi hrang hrang testing neih a ni.
• Genetic test neih a ni.

Heng test te hian neutropenia awm chhan dik tak chu a tichiang a ni.

Neutropenia hi engtin nge enkawl a nih?

`(Neutropenia)` enkawl dan chu a natna chhan leh a nasat danah a innghat a ni. `(Neutropenia)` vei zawng zawng hi enkawl ngai a ni lo.

Doctor-te chuan enkawl dan tur thutlukna siam nan `ANC (Absolute Neutrophil Count)` tih hlutna an hmang a. `ANC` hi thisen chhunga `(Neutrophils)` cell awm zat tehna dik tak a ni. He value hi a hniam poh leh naupangin natna khirh tak a neih theihna a sang zawk.

Enkawl a ngai a nih chuan kawng hrang hrang a awm a:

1. `(Neutropenia)` dinhmun siamthatna:

• Granulocyte Colony-Stimulating Growth Factor (G-CSF) injection: Hengte hian ruhro chu neutrophils tam zawk siam turin a tichak a ni.
• Steroid damdawi: Heng damdawi te hi taksa hriselna (immune system)-in neutrophils (a bik takin autoimmune neutropenia) a tihchhiat loh nan a titawp a ni.
• White blood cell transfusions: Naupang chu natna hrik do turin cell dang pek belh.
• Stem cell thlak danglam dan:Hei hian thisen siamtu stem cell natna nei te chu donor atanga stem cell hrisel tak tak hmanga thlak a huam a ni. Hei hi thil pawi tak takah pawh tih a ni fo.
• Splenectomy: A chang chuan spleen hian neutrophils a tichhia a, chuvangin spleen lakchhuah hian neutrophils level a tisang thei a ni.

2. Hri kai venna leh enkawl dan:

• Antibiotics: Antibiotics hi natna a lo awm chuan enkawl nan emaw, a chang chuan natna laka inven nan emaw pek thin a ni.

3. Naupang neutrophil count hniam tak tak leh hri kai theihna sang tak nei te tan thupek bik:

Heng naupangte hi hri kai laka venhim nan a bik taka fimkhur a ngai a ni.

Pawimawh: Heng thupekte zawm hian i fa chu hri kai tam tak lakah a veng thei a ni.

• Mipui tamna hmun, sikul ang chite chu a theih ang angin pumpelh rawh.
• Mi damlote laka inthiarfihlim.
• Thil pawimawh tak tak avanga zin i nih chuan face mask vuah thin ang che.
• I kut chu uluk takin (sahbawn leh tui hmangin second 20 tal) sil fo thin ang che.
• Nitin ha sil leh flossing thin.
• Rectal thermometer hmangin khawsik a awm leh awm loh enfiah suh (hei hian hliam a thlen thei a, natna hrik a luhtir thei bawk).
• Hliam te tak te i neih chuan tifai vat la, plaster hnawih bawk ang che.
• Razor ang chi thil nalh tak tak hman loh tur (a tan chuan natna hrik a thlen theih avangin).
• Chaw thenkhat ei loh tur:
• Unpasteurized milk leh bawnghnute atanga siam ei tur.
• Thei, thlai, leh nut raw – an silfai leh a hmin tha a nih phawt chuan a pawi lo.
• Raw honey a ni.
• Heng chawte hi hrik a awm theih avangin ei loh tur a ni.

Nu leh pa angin engtin nge in tanpui theih?

I fain neutropenia a vei a nih chuan doctor thupek dik taka zawm a pawimawh.

• Ni ruat saah thisen test tir rawh.
• Damdawi pek chu dik tak leh a hun takah pe rawh.
• Infection laka invenna tur instruction pek ang chiah zawm rawh.

Heng thilte hi dik taka i tih chuan i fa dinhmun hi i enkawl tha thei ang.

Engtikah nge doctor i hmuh ang? (Emergency-ah chuan!)

Neutropenia vei naupangin hri kai chhinchhiahna a lan chhuah chuan damdawi lam pan vat a pawimawh hle. Enkawl vat a nih chuan naupang chu a dam thuai tlangpui.

A hnuaia symptoms te hi i neih chuan , i doctor hnenah hriattir nghal rawh:

• Khawsik hi 38 degree Celsius (100.4 Fahrenheit) aia sang a nih chuan.
• I vawt, i khur leh/ emaw i thawmhnaw i chhuah chuan.
• Khuh, thawk harsa.
• Kawng na, ril na.
• Zun laiin natna.
• Skin lesion vel a sen leh darh a awm chuan.
• Luak chhuak emaw, luak chhuak emaw.
• Natna thar engemaw zat.

Hetiang chhinchhiahna i hmuh chuan rei lovah Doctor pan rawh.

Thil hriat belh tur tam zawk...

Damdawi lam natna khirh tak nei fa neih chu chhungkaw eng tan pawh thil harsa tak a ni thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. I fate medical team-a mi tu pawh biak la, i mamawh ṭanpuina i hmuh theih dan tur zawt rawh. Online-ah pawh damdawi lam website rintlak tak takah (e.g., World Health Organization website, damdawi in hmingthang website-ah) thu belhchian dawl zawk leh puihna i hmu thei bawk. Amaherawhchu, Internet-a thu hmuh chhuah zawng zawng hi a dik vek lo a, chuvangin doctor nena inbiakna neih a pawimawh a, chu chu a dik leh dik loh finfiah a pawimawh hle.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan, vawiin a kan sawiho atang hian `(Neutropenia)` hi hriatthiamna tha zawk in neih ka beisei.

Neutropenia chu thisenah thisen var neutrophils an tih tlem a ni. Hei hian natna hrik kai awlsam zawkin a siam thei che a ni.

A chhan tam tak a awm thei a, a chang chuan chhan pawh i hmu thei lo mai thei.

Thisen test hmanga diagnosis tih a ni.

Enkawlna chu a chhan leh a nasat danah a innghat. Mi zawng zawng hian enkawlna an mamawh vek lo.

A pawimawh ber chu hri kai chhinchhiahna fimkhur a, i hriat chuan damdawi lam thurawn la nghal a ni.

Damdawi lam thurawn dik tak zawm a, hri kai laka invenna hmanrua i hman chuan i fa chu i humhim thei a ni.

I fa chu dam thuai turin duhsakna hlanin! He thu hi in tan a tangkai ngei ka beisei.

` Neutropenia, neutropenia, thisen var zat tlem, naupang natna, hri kai, ANC, thisen natna, immunodeficiency