I thisenah platelet natna i nei em? Platelet Disorders chungchang hi a awlsam zawngin i zir dawn teh ang!

I taksaah hian a chang chuan hliam i nei em? Nge, cut tlemte hnua thisen chhuah a reh theih nan hun rei tak a ngai em? I hmuiah thisen a chhuak reng mai thei em? Hengte hi a chang chuan kan thisena cell te tak te chi khat, platelets-a harsatna awm chhinchhiahna a ni thei bawk. Vawiin hian heng platelet natna te hi eng nge an nih kan sawi dawn a ni.

Heng platelet natna te hi engte nge ni?

A awlsam zawngin, platelet disorder hi i thisena platelet awm zat emaw, an hnathawh dan emaw tichhe thei dinhmun a ni. Okay, tunah chuan, "Heng platelet te hi eng nge ni?" Chu pawh chu han sawifiah teh ang.

Platelet hi eng nge ni?

Hliam te tak te i nei tih han ngaihtuah teh. Thisen chhuah chu rei vak lo hnuah a reh ta a ni lawm ni? Awle, heng platelet te hian chutiang atan chuan an pui thin. Platelets hi kan thisena cell fragment te tak te (cell chi hrang hrang ang chi) a ni. Kan ruhroah an lo piang chhuak thin. Hliam a awm chuan heng platelet te hi an inzawm khawm a, hliam chu an seal a, thisen chhuah chu an titawp thin. Kan taksaah hian natural plaster ang mai a ni! An inzawm khawm a, thisen zam (blood clot) an siam thin. Hei hi thisen chhuah titawptu ber a ni.

Chuti a nih chuan platelet disorder hi eng nge ni?

Chuvangin, platelet disorder hi heng platelet te hi thil dik lo a ni. Chumi awmzia chu, i platelet count a hniam thei a, a sang thei bawk a, a nih loh leh platelet zat dik tak i neih pawhin an thawk tha lo thei tihna a ni. Engti kawng pawhin thisen chhuahna lama harsatna a thlen thei.

Platelet natna chi hrang hrangte chu engte nge ni?

Platelet natna chi thum a awm a, chungte chu:

1. Thrombocytosis: Hei hian i thisena platelet awm zat chu a tlangpui aia tam a ni tihna a ni .

2. Thrombocytopenia: Hei hi i thisena platelet awm zat chu a tlangpui aia tlem a nih chuan a ni .

3. Platelet dysfunction: Hetah hian i thisen a platelet count chu a pangngai viau nachungin an thawk tha lo. Car-a tire pali nei ang mai a ni a, mahse pakhat chu a flat.

A tam zawkah chuan heng platelet natna lanchhuahna hi a na lo hle. Mi thenkhat chuan chhinchhiahna engmah an lantir lo pawh a ni thei. Mahse, a then phei chuan a bik takin platelet a hniam emaw, a thawk tha lo emaw a nih chuan thisen chhuah theihna a sang thei hle. Tin, platelet count a tam lutuk chuan thisen zam (thisen chhuak hlauhawm tak) a awm theihna a sang thei bawk .

I doctor chuan heng hlauhawmnate hi a hrilhfiah thei a, i dinhmun a zirin enkawlna tul tak tak a rawt thei bawk.

Heng symptoms te hi engte nge ni?

Platelet disorder-a symptom hmuh theih thenkhat chu:

• Vun hnuaia thisen chhuak chhinchhiahna: 1.1.
• Taksa hmun hrang hrangah hliam a lang mai. Hei hi purpura an ti \hin.
• Vunah hian sen te te, pin point ang chi (petechiae) a lo lang thin. Hengte hi a tlangpuiin non-itchy spot, mahni chauha var lo an ni.
• Hmeichhia hian thlasik laiin thisen nasa tak an nei (a tlangpui aia rei, thisen chhuak nasa).
• Hnar thisen chhuak fo.
• Ha sil laiin gums thisen chhuak.
• I ek chhungah thisen (a dum thei) emaw, i zun (a sen/pink thei) emaw thisen awm .
• Chak lo, luak chhuak, emaw rilru hah (a bik takin thisen tlakchhamna a awm chuan).
• A chang chuan thisen zam pangngai lo a lo awm thei (a bik takin platelet count sang a nih chuan).

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Platelet disorder hi chhan hrang hrang avangin a awm thei a. A châng chuan, damdawi dang i neih vang emaw, damdawi i ei vang emaw pawh a ni thei. A châng dangah chuan i nu leh pate aṭanga i rochun genetic condition avânga lo awm thei a ni.

Platelets sang tak awm chhan

Platelet a pun chhan lian ber pahnih a awm a, chungte chu:

• Essential thrombocythemia: Hei hi thil awm lo tak a ni a, i ruhro hian genetic mutation avanga platelet a siam chhuah tur aia tam a siam chhuak thin.
• Reactive thrombocytosis: Hei hi a tam ber a ni. Thil dang avanga taksain platelet a siam tam lutuk hian a thleng thin. Entir nan:
• Iron tlakchhamna avanga thisen tlakchhamna.
• Taksa chhunga inflammatory conditions (e.g. cancer, infection) te.
• Hliam a awm.
• Damdawi thenkhat.

Platelets tlahniam chhan

I platelet count a hniam theih chhan hrang hrang a awm thei:

• Taksa hian platelet a siam tling lo: Hei hi ruhro (bone marrow) lama harsatna a awm vang a ni thei.
• Natna dinhmun avanga platelet tihchhiat: Entirnan, `(Autoimmune diseases)` (diseases of the immune system)-ah hian taksa ngeiin a taksain a platelet a tichhia a. `(Immune thrombocytopenia - ITP)` chu chutiang dinhmun chu a ni.
• Spleen hian platelet tam zawk a khawlkhawm: A tlangpuiin kan platelet hmun thuma ṭhena hmun khat vel chu spleen hian a khawlkhawm ṭhin. Mahse, natna thenkhatah chuan hetiang zat hi a pung zel a ni.
• A chhan dangte chu:
• Thisen cancer (bone marrow-a cancer cells a khat avanga lo awm).
• Thisen natna thenkhat, entirnan `(Thrombotic thrombocytopenic purpura - TPP)` leh `(Disseminated intravascular coagulation - DIC)` te.
• Infection na tak tak a awm.
• Cancer natna damdawi leh enkawl dan thenkhat (Chemotherapy, Radiation therapy).

Platelet hnathawh that loh chhan

A châng chuan platelet count chu a pangngai a nih pawhin an hnathawhnaah harsatna engemaw zat a awm thei. Hei hi a chhan pawh a awm:

• Congenital (genetic) conditions: Hengte hi a tlem hle. Entirnan: `(Bernard Soulier syndrome)`, `(Glanzman thrombasthenia)`, `(Von Willebrand natna)` (chu chuan platelet hnathawh bakah thisen zam chhuahna kawnga thil dang a nghawng), `(Wiskott-Aldrich syndrome)`.
• Acquired conditions: Natna hrang hrang, kal tha lo, thin natna, leh lupus te hian platelet hnathawh dan a nghawng thei a ni.
• Damdawi: Damdawi thenkhat, a bik takin SSRI antidepressant leh NSAID te hian platelet hnathawh a tichhe thei a ni. Dik tak chuan damdawi avanga platelet dysfunction hi a chhan ber a ni.

Tute nge hengte hi vei theihna hlauhawm zawk?

Platelet disorder vei theihna tipungtu thil engemaw zat a awm a:

• Kum: Platelet natna thenkhat hi kum thenkhatah a awm tam zawk thei.
• Mipa leh hmeichhia: Tu pawhin an nei thei a, mahse hmeichhiate hian thisen chhuah hun chhung, thlasik lai leh nau neih lai te hian symptoms an nei tam zawk.
• Chhungkaw chanchin: Genetic platelet disorder thenkhat hi thlah khat atanga thlah dangah a darh thei a.
• Damdawi lam thil dang: Natna tam tak, autoimmune natna, infection, kal leh thin natna, cancer te hian platelet lama harsatna a thlen thei a ni.
• Cancer enkawl dan: Chemotherapy leh radiation therapy hmangin platelet count a ti tlem thei.
• Damdawi: Antibiotics leh epilepsy damdawi thenkhat hian platelet a nghawng thei bawk.
• Nunphung: Zu in tam lutuk leh zuk leh hmuam thil hman tam lutuk hian platelet siamchhuahna a nghawng thei a ni.

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

Platelet natna hi uluk taka enkawl a nih loh chuan harsatna thenkhat a awm thei a:

• Hemorrhage: Hliam te tak te pawhin thisen a chhuah tam thei.
• Hmeichhiaah thlasik laiin thisen chhuak nasa (Menorrhagia).
• Gastrointestinal atanga thisen chhuak.
• `Essential thrombocytosis` ang chi dinhmunah chuan ke ruh chhunga thisen zam (deep vein thrombosis) emaw, lung chhunga thisen zam (pulmonary embolism) ang chi dinhmun hlauhawm tak tak a awm thei a ni.
• Heart attack emaw stroke emaw (a bik takin thisen zam a lo awm awlsam chuan) hlauhawmna.

Mahse, hre reng ang che, .Doctor nena thawhhona leh enkawlna ruahmanna mumal tak zawm hian heng harsatna tam tak hi pumpelh theih a ni.

Engtin nge hei hi i hmuh? (Diagnosis) tih a ni.

Platelet disorder symptoms i neih chuan doctor in physical exam a ti hmasa ang. I natna lan chhuah dan te, damdawi i ei dan te, leh i chhungkuaa tu pawhin hetiang harsatna hi an nei tawh em tih te an zawt ang. Medical history pawh an la dawn a ni. Tichuan, thisen test engemaw zat an ti ang a, i platelets te chu an enfiah ang.

Thisen test ber berte chu:

• Complete blood count (CBC): Hei hian i thisena thisen sen, thisen var leh platelet awm zat a teh a ni.
• Peripheral blood smear (PBS): He test-ah hian i thisen sample drop khat lak a ni a, microscope hmangin platelet te chu a pangngai angin a lang em tih leh a pianzia leh a lian zawngah danglamna a awm em tih enfiah a ni.
• Platelet function test: Heng test te hian i platelet te hian thisen zam a siam that dan leh a thawk tha em tih te a enfiah thin.

Heng test-te hian platelet disorder i nei tih a nemnghet a nih chuan, a chhan hriat nan test dang neih belh a ngai mai thei. Entir nan:

• Bone marrow biopsy: Hemiah hian bone marrow sample te tak te lak a ni a, cell pangngai lo (thisen natna emaw cancer chhinchhiahna) a awm leh awm loh enfiah a ni.
• Genetic test: Platelet natna thenkhat hi genetic factors avanga lo awm a nih avangin he test hian a kaihhnawih genetic mutations a zawng thin.

Enkawlnate chu engte nge ni?

Platelet natna enkawl dan chu a chhan a zirin a ni. Condition thenkhat chu hun eng emaw chen atan a ni a, a chhan a bo veleh a reh ta a ni. Mahse, chronic (hun rei tak) platelet disorder i neih chuan hematologist pan a ngai ang a, i platelet level a him theih nan enkawlna i dawng ang.

Enkawlna atan a hnuaia mite hi tih theih a ni:

• Fimkhur taka nghah: I natna lan chhuah dan a na lo a nih chuan enkawl vat a ngai lo mai thei. Chu ai chuan i doctor chuan i platelet level chu thisen test mumal takin a enfiah ang.
• Damdawi: I platelet count a sang lutuk a nih chuan, `essential thrombocytosis` ang chi natna vang emaw, thisen cancer dang (`(myeloproliferative disease)` ang chi) vang pawh ni se, a tihhniamna tur damdawi pek i ni thei. Chutiang bawkin, i platelet count a tlem chuan, an siam chhuah tamna tur emaw, an tihchhiat tihtlem nan emaw damdawi pek i ni thei bawk.
• Platelet tlakchhamna: Hei hi tih a tlem hle. Apheresis an tih hian thisen atanga platelet tam lutuk chu a paih chhuak thin.
• Platelet pek chhuah: 1.1.I platelet count a tlem hle a nih chuan (a bik takin thisen chhuak a nih chuan) pawn lam atanga platelet pek i ni thei.
• Plasma therapy / Plasma exchange: Hetiang enkawlna hi TPP ang chi natna a awm chuan a tul mai thei. Hei hian thisen hmun bo (ADAMTS13) tih chu thlak a huam a ni.

Engtin nge he dinhmun hi i nunpui? Engtin nge i in enkawl ang?

I thil tawn chu platelet disorder i neih chi leh a chhan a zirin a innghat ang. A tam zawkah chuan a chhan enkawl a nih veleh i platelet count chu a normal leh ang. A nih loh leh, i dinhmun hi hliam i neih hma loh chuan nunna atana hlauhawm a ni lo thei bawk. Chutiang a nih chuan hliam hlauhawmna tihziaawmna turin hma i la a ngai ang. Surgery ang chi thil i neih chuan i medical team te hian thisen chhuah loh nan a bik takin an fimkhur a ngai dawn a ni.

Thil pawi zawkah chuan damdawi ei chhunzawm a ngai mai thei a, enkawlna i neih fo a ngai mai thei a, i taksaah platelet hrisel tak tak i nei tlem em tih enfiah nan test i neih a ngai thei bawk.

Platelet natna neia i nun a ngai a nih chuan i tih theih ṭha ber chu thisen chhuah emaw, thisen zam hlauhawm tak emaw i neih theihna tihtlem dan tur dik tak hriatthiam hi a ni. Hengte hi hriat a pawimawh:

• Thil tih loh tur: Platelet natna thenkhatah chuan hliam i neih chuan thisen chhuahna nasa tak a awm thei. Chuvangin, hliam hlauhawmna sang tak tak (e.g., contact sports) tih loh tur a ni.
• Hliam enkawl dan: Thisen chhuah theihna a awm a nih chuan thisen chhuah tihtawp nan hliam chungah pressure pek dan tur hriat a pawimawh. I doctor chuan hetiang tih dan tur a zirtir thei che a ni.
• Damdawi ei tur (leh ei loh tur): Platelet disorder enkawl nan damdawi i ei chhunzawm zel a ngai mai thei. Tin, damdawi thenkhat (NSAID aspirin ang chi) platelet hnathawh tibuaitu leh thisen chhuah theihna tipungtu te pawh i ei loh a ngai mai thei bawk.
• Supplements ei loh tur: Supplement thenkhat hian platelet disorder nei te thisen chhuah theihna a tipung thei a ni. Hengte hi eng nge ni tih i doctor zawt rawh.
• Doctor-te nena inbiak dan: Thisen chhuahna thlen thei thil neih i tum a nih chuan, ha lakna ang chi thil tenawm tak emaw, operation lian tak emaw pawh ni se, chu chu i doctor-te hnenah i hriattir tur a ni.

Heng zawng zawng chungchangah hian i hematologist emaw, i dinhmun enkawltu doctor emaw hnen atangin thurawn la rawh.

Engtikah nge doctor i hmuh ang?

Platelet disorder chhinchhiahna i hmuh chuan, chhan hriat loha hliam chhunzawm zel (a bik takin cheng nga man aia lian hliam i hriat loh) , doctor pan rawh.

Thisen chhuak nasa tak chhinchhiahna (e.g., thisen chhuak tawp lo, luak chhuak nasa tak, hriatna hloh) emaw thisen zam (e.g., rilru na, thawk harsa, tawng harsa, kut emaw ke emaw a bengchheng - hengte hi ``stroke'' emaw ``heart attack'' emaw chhinchhiahna a ni thei) emaw i neih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah hetiang zawhna hi zawt hreh suh:

• Ka dinhmun hi engtiang chiahin nge a nasat?
• Hei hi a dam kim thei ang em?
• Eng ang enkawlna nge min puih ang?
• Ka platelet level hi engzat nge ka enfiah tur?
• Thisen chhuah hlauhawm emaw, thisen zam emaw ven nan eng nge ka tih theih ang?

Take-home message hnuhnung ber a ni

Platelet tichhe thei thil tam tak a awm a, enkawlna thenkhat phei chuan a nghawng thei bawk. Chuvangin, i platelet count a dik lo tih i hriat chuan a chhe ber chu ngaihtuah suh. Mahse, buaina thlentu dik tak hriat a pawimawh. Chutiang a nih chauh chuan i thil tih tur dik tak chu i hre thei ang.

Platelet disorder chhinchhiahna i neih nia i hriat chuan doctor pan rawh. I platelet level a normal leh theihna tura puitu tur emaw, i dinhmun enkawl dan tur emaw enkawlna tur a rawt thei bawk. Hrisel taka awm theihna kawng tha ber chu inhawng taka awm a, zawhna zawh a, i dinhmun hriatthiamna tha tak neih hi a ni.

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