I thisenah platelet hniam i nei em? Hemi (Thrombocytopenia) chungchang hi han sawi ila!

I dam em? Vawiin hian natna pakhat, a pawi deuh deuhin a ri thei a, mahse uluk taka hriatthiam a nih chuan a tam zawkin a thunun theih thu kan sawi dawn a ni. Chu chu thisena platelet tlahniam a ni a, chu chu damdawi lam hawi chuan (Thrombocytopenia) an ti a ni. He thu hi doctor hnen atangin i hre tawh mai thei a, thisen report-ah pawh i hmu tawh mai thei. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A hmasain heng thisen platelet te hi eng nge an nih a, engvangin nge kan tan a pawimawh em em tih i lo en ang u?

Hetiang hian han ngaihtuah teh: platelet hi sipai ang chi thil te tak te, kan thisen kalna kawng hrang hranga kalte hi a ni. A dik tak chuan cell te tak te, rawng nei lo chi khat an ni. Kan thisena cell dangte ang bawkin kan ruh chhunga soft tissue, bone marrow an tihah platelet siam a ni.

Tunah chuan i zawt a, chuti a nih chuan engvangin nge heng sipai te te hi kan mamawh? Hetah hian thil pawimawh tak chu: Khawi emaw laiah hliam kan tuar a, thisen kan chhuah tan chuan, indona kan kal dawn ang bawkin, heng platelet te hi chutah chuan an tlan lut hmasa ber a, an inzawm khawm a, thisen zam (`(clot)`) siamin thisen chhuah chu a titawp thin. Bang chhunga khur chhunga cement i dah ang mai a ni. Chuvangin, platelet awm lo se chuan hliam te tak te pawhin thisen chhuahna chu a titawp thei lo mai thei. Chu chu a pawimawh zia i hrethiam em?

Chuti a nih chuan, he platelet count hniam tak, a nih loh leh thrombocytopenia hi eng nge ni?

A awlsam zawngin, thrombocytopenia chu i thisenah platelet awm zat pangngai aia tlem a nih chuan a ni. A tlangpuiin mi hrisel chuan thisen microliter khatah platelet maktaduai 1.5 leh 4.5 inkar a nei a. He number hi hei aia a tlahniam hian thrombocytopenia kan ti thin.

Mahse hei hi a ni: platelet tlahniam tlemte hi thil lian tak a ni ngai lo. A hniam zia, a hniam chhan leh a tlak chak danah a innghat. Chuvang chuan doctor thurawn lak a pawimawh.

Engvangin nge platelet count kan neih tlem? A chhante chu engte nge ni?

Thisen platelet tlahniam chhan hrang hrang a awm thei. Tin, chi thum ah then ila.

1. Ruhro atanga thisen platelet siam chhuah a tlahniam chuan:

A hmain ruhroah platelet siam dan kan sawi tawh a. Chuvangin, he ruhroah hian harsatna a awm a, platelet siam chhuah a tlahniam a nih chuan thisena platelet awm zat a tlahniam a ni. Hei hi a chhan awm thei engemaw zat a awm a:

• Viral infection thenkhat: Entir nan dengue fever, hepatitis C, HIV te hian bone marrow failure a thlen thei.
• Damdawi thenkhat: Cancer enkawlna atana hman damdawi (Chemotherapy), antibiotics thenkhat, leh diuretics te hian ruhro a nghawng thei bawk.
• Zu in tam lutuk: Hei hian ruhro (bone marrow) a tichhe thei bawk.
• Vitamin tlakchhamna: Taksain Vitamin B12 (`(Vitamin B12)`) emaw folate (`(Folate)`) a neih tlem chuan thisen platelet siam chhuah a tlahniam thei.
• Thisen cancer: Thisen cancer, leukemia ang chi hian ruhro (bone marrow) hian cell pangngai siam chhuah a titawp thei a ni.
• Aplastic Anemia: Hei hi bone marrow-in thisen cell engmah a siam that loh vang a ni.
• Myelodysplastic Syndromes: Hei hi ruhro (bone marrow) a thawk tha lo tihna a ni bawk.
• Rare genetic conditions: A chang chuan platelet siam chhuah tlem hi pian tirh atanga awm genetic cause vang a ni thei.

2. Platelet lo chhuakte chu a chhe thuai emaw, taksaa hman tam lutuk emaw a nih chuan:

A châng chuan ruhro hian platelet a siam tling a nih pawhin, taksa chhungah a chhe thuai a nih pawhin, thisen chhuahna lian tak avanga hmanral lutuk a nih chuan platelet zat a tlahniam thei a ni.

• ITP (Immune Thrombocytopenic Purpura): Hei hi kan immune system-in kan thisen platelet te a rawn beih palh a, a tihchhiat hian a ni. Hei hi virus fever hnua naupang tê têteah a thleng thei a, mahse puitlingah pawh a thleng thei bawk.
• Hei hi autoimmune natna dang, lupus leh rheumatoid arthritis-ah pawh a thleng thei bawk.
• Damdawi thenkhat: Damdawi thenkhat chuan immune system hian thisen platelet a tichhia thei a, allergic reaction ang pawhin a tichhe thei bawk.
• Infection na tak (sepsis): Infection na tak takah chuan DIC (Disseminated Intravascular Coagulation) ang chi condition a awm thei a, chu chuan thisen platelet a ti tlahniam rang hle.
• TTP (Thrombotic Thrombocytopenic Purpura) (`(Thrombotic Thrombocytopenic Purpura)`) leh HUS (Hemolytic Uremic Syndrome) (`(Hemolytic Uremic Syndrome)`): Hengte hi thil awm lo mahse hlauhawm tak a ni. Hetiang dinhmunah hian thisen kalna kawng chhungah thisen zam te te a lo awm a, platelet te chu a hmang zo vek a ni.

3. Spleen a lian a, chutah chuan platelet a awm khawm chuan:

Spleen hi kan pum veilam sir chunglam a awm organ a ni. Thisen a filter a, thisen cell hlui a paih chhuak bawk. Natna thenkhat (e.g., liver disease - cirrhosis, infection thenkhat, thisen cancer) avanga spleen a lian chuan a tlangpui aia tam platelet a khawlkhawm thei a, chu chuan thisena platelet a ti tlem thei a ni.

Thisen platelet a hniam chuan eng symptom nge a awm theih?

Platelet tlahniam chhinchhiahna hi mi hrang hrangah a inang lo thei. I platelet a hniam dan leh a tlahniam rang danah pawh a innghat bawk. A châng chuan platelet count hniam tak takte hian symptom engmah an nei lo thei bawk. Mahse, a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Bruises: Bruises hi vunah hmun lian tak tak, blue emaw purple emaw a awm a. Khawi hmunah pawh bump te tak te pawh hian hliam lian tak a thlen thei.
• Vunah hian dots sen te te: 1.1.A châng chuan, taksa pum puiah, rulhut te ang maiin, ke leh kutah dot te te, sen emaw, sen hring emaw (`(petechiae)`) a lo lang ṭhin. Hengte hi i en chuan a bo lo.
• Hliam hnua thisen chhuah a reh theih nan hun rei tak a ngai a ni.
• Gums thisen chhuak, hnar thisen chhuak fo.
• Zun emaw ek emaw a thisen chhuak ( zun a sen thei, ek chu a dum emaw thisen emaw a ni thei).
• Hmeichhia tan chuan thlasik hun hi a rit zawk a, a tlangpui aia ni tam zawk a daih.
• Chau tih hriatna, hahna.
• A chang chuan thin (liver problem) nena inzawm a nih chuan mit chu a sen (jaundice) a ni thei.

Pawimawh: Lu na, rilru hah, tawng harsa tih ang chi symptom i neih chuan damdawi inah i kal nghal tur a ni, hei hi thluak chhunga thisen chhuak chhinchhiahna a nih theih avangin!

Hetiang symptoms kan neih chuan engtin nge kan tih ang? Doctor kan hmu tur em ni?

Ni e, a dik tak zet! Thisen chhuah dan danglam tak, i vunah thisen chhuak, emaw, hah lutuk i neih chuan ngaihthah suh la, doctor pan rawh. Hlauthawng suh, mahse tihkhawtlai suh. Doctor chuan zawhna a zawt ang che, a enfiah ang che, a tul chuan test turin a refer ang che.

Engtin nge doctor hian hei hi a hriat chian? Eng ang test nge an tih?

Doctor i hmuh chuan i natna lan chhuah dan te, damdawi i ei lai te, i chhungte zingah pawh hetiang harsatna hi an nei tawh em tih te an zawt hmasa ang. Tichuan an enfiah ang che a, thisen chhuak, vun rawng danglam leh spleen lian tham a awm leh awm loh an enfiah ang.

Tin, test te pawh tih theih a ni bawk a, chungte chu:

• Full Blood Count (FBC) : Hei hi thisen chhunga platelet awm zat dik tak hriat theihna test ber a ni. Thisen sen leh thisen var chungchang pawh a pe bawk.
• Peripheral Blood Smear : Hei hian thisen sample lak a, microscope hmanga platelet awm dan leh a lian leh te en a ni. A châng chuan, platelet-te chu a inzawm khawm em tih emaw, cell pangngai lo a awm em tih emaw an en bawk.
• Thisen test dang: A chhan hriat theihna tur test dang a awm bawk. Entirnan, liver function endikna test (liver function test), kidney function test, virus infection test na test, autoimmune marker awm leh awm loh test te.
• Bone Marrow Aspiration leh Biopsy : A chang chuan thisen test ringawt pawha a chhan a hriat loh chuan he test hi bone marrow hian platelet a siam tha em tih hriat nan an ti thin. Hei hian anesthesia hmanga hmun tlemte, hip ang chi atanga ruhro tlemte lak a huam a ni.

Thisen platelet tlahniam hi eng enkawlna nge ni?

Hei hi mi tam takin harsatna an neih a ni. Platelet hniam enkawlna chu a chhan leh a natna a nasat danah a innghat vek a ni. One-size-fits-all solution a awm lo.

• Platelet count hniam deuh tan: Platelet count a hniam vak lo a, thisen chhuah chhinchhiahna a awm lo a nih chuan, a chang chuan enkawlna a ngai lo va, thisen test mumal tak hmanga enfiah mai tur a ni.
• A chhan bulpui ber enkawl dan:
• Damdawi pakhatin i platelet count a tihhniam chuan i doctor chuan damdawi ei tawh lo turin a hrilh ang che emaw, damdawi dang hmang turin a thlak ang che. Damdawi ei kha bansan loh hi a tha ber i ti em?
• Infection vang a nih chuan chu infection chu enkawl a ni.
• Autoimmune natna a nih chuan enkawl a ni.
• Thisen platelet tlahniam tan bik enkawlna:
• Corticosteroids : Entirnan, damdawi prednisolone ang chi te. Hengte hi immune system-in thisen platelet a tihchhiat loh nan (ITP ang dinhmunah) pek a ni.
• Intravenous Immunoglobulin (IVIG): Hei hi saline ang chi damdawi, vein pakhata pek thin a ni. Immune system-in thisen platelet a tihchhiat nasat chuan platelet count rang taka tihpun nan hman a ni.
• Immune system controlling damdawi dang (immunosuppressants): Hengte hi steroid-in hna a thawh loh emaw, a side effects a na lutuk emaw a nih chuan pek thin a ni.
• Thrombopoietin receptor agonists (TPO-RAs): Heng damdawi te hian ruhro (bone marrow) a tichak a, platelet tam zawk siam turin a tichak a ni.
• Platelet Transfusion: Thisen chhuak nasa tak i nih emaw, i platelet count a hniam em em a, hlauhawm taka a hniam emaw (e.g. operation hmaa) chuan pawn lam atanga platelet pek i ni thei. Mahse, hei hi hun rei lote chhunga chinfelna chauh a ni.
• Splenectomy: Spleen hi platelet tihchhiatnaah mawhphurtu nia hriat a nih a, enkawlna dang a hlawhtlin loh chuan (a bik takin hun rei tak ITP-ah) spleen lakchhuahna tur surgery tih theih a ni. Mahse, spleen lakchhuah hian natna kai theihna a tipung a ni.
• Plasma exchange (or Plasmapheresis): He enkawlna hi TTP ang chi thil bik takah hman a ni.

Hetiang dinhmun nena kan nun lai hian eng nge kan ngaihtuah tur?

Thisen platelet hniam nei te hian an nitin nunah tlem an fimkhur a ngai a ni.

• Tlu leh hliam thlen thei thil tih loh tur. Entirnan, contact sports hi a tha lo hle.
• Hmanraw hriam tak i hman hunah emaw, thlai i tan dawnin fimkhur hle ang che.
• Ha i sil dawnin toothbrush nem tak hmang thin ang che. I hmui hliam lo turin fimkhur rawh.
• Doctor thurawn tel lova thisen tithianghlimtu aspirin, NSAID (ibuprofen ang chi) ei thinHengte hi hmang suh. Chungte chuan thisen chhuah a tipung thei a ni. Doctor leh dentist i hmuh apiang hnenah platelet i hniam tih hrilh rawh.
• Thisen chhuahna chhinchhiahna eng pawh (vun na, hnar thisen chhuak, hah thisen chhuak) te chu fimkhur hle ang che. Symptom thar i hmuh chuan doctor hnenah hrilh rawh.
• Ei leh in inthlau tak ei rawh. Vitamin tlakchhamna avanga i platelet count a hniam loh chuan ei leh in ringawt hian a tidam lovang. Mahse, i taksa mamawh ei leh in tur i hmuh a pawimawh.
• Zu in hi tihtlem emaw tihtawp vek emaw .

Hei hi thil pawi tak a ni thei ang em? Eng harsatna nge a awm?

Ni e, hei hi platelet count nasa taka a tlahniam emaw, a tlahniam nghal emaw a nih chuan natna khirh tak a ni thei.

A hlauhawm ber chu thisen chhuahna nasa tak a ni. Hei hi hmuh theih (hliam, hnar atanga) emaw chhungril (e.g., thluak, pum, intestines) ah emaw a ni thei. Internal bleeding hi nunna atana hlauhawm tak a ni thei.

Chuvang chuan doctor-in a sawi ang chiaha enkawl leh fimkhur a pawimawh em em a ni.

Thupui tawi leh thu tawp ber

Okay, chuvangin tunah chuan vawiin a kan sawi tawh (Thrombocytopenia) emaw thisen platelet hniam emaw hi in hriatthiam ka beisei. Hei hian thisen a platelet awm chu a pangngai aia hniam tihna a ni tih hre reng ang che. A chhan tam tak a awm thei a, a lan chhuah dan pawh mi tin tan a inang lo.

A pawimawh ber chu, heng symptoms te hi i neih chuan, mahni chauha thutlukna siam ai chuan, emaw, online-a damdawi zawng ai chuan, doctor tha zawng la, a chhan dik tak zawng la, a enkawlna dik tak zawng rawh.

Lungngai suh, a tam zawkah chuan, enkawl dan dik leh enkawl dan dik tak nen chuan he natna hi i thunun thei a, nun tha tak i hmang thei bawk. I doctor hnenah engkim chungchangah inhawng tak leh rinawm takin sawi la, zawhna i neih apiang zawt rawh. Hei hian hei hi i hrethiam zawk ang a, i tuar thiam zawk ang.

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