I thisen test-ah 'Polychromasia' a awm em? Eng nge a nih i en ang u! (Polychromasia) tih hi a ni.

Thisen test i tih hian a chang chuan report-ah hian thu hriat loh kan hmu thin a ni lawm ni? I report-ah pawh `Polychromasia` emaw `Polychromatophilia` emaw tih thumal a awm mai thei. I hmuh chuan a hlauhawm deuh thei. Mahse, lungngai suh, vawiin hian he thu hi kan sawi mai ang.

`Polychromasia` tih hi eng nge ni?

A awlsam zawngin `Polychromasia` tih awmzia chu i thisen sen (red blood cells) te hian rawng hrang hrang an nei tihna a ni. Hei hi i thisen sample lak a, glass slide-a dah a, special dye hmanga stain a, microscope hmanga en a nih hian a lang a ni. He test hi `Peripheral Blood Smear (PBS)` kan ti a.

A tlangpuiin, thisen sen hrisel, lo thanglian tha tak takte chu `PBS`-ah hian pink takin a lang thin. Mahse, `Polychromasia` a awm chuan heng pink cell zingah hian cell tlemte blue, bluish-gray, emaw purple ang maia lang i hmu thei ang . Heng cell rawng hrang hrang te hi thisen sen puitling lo an ni fo thin . Damdawi lamah chuan heng thisen sen puitling lote hi `Reticulocytes` kan ti a.

Polychromasia tih awmzia tak chu i ruhro hian i thisenah thisen sen thar, puitling lo (Reticulocytes) a chhuah thuai lutuk tihna a ni. I hria em, bone marrow chu i taksa peng nêm tak, spongy ang maia awm, ruh lian tak tak chhunga awm chu a ni. I thisen chhunga thisen sen, thisen var leh platelet zawng zawng hi ruhroah siam vek a ni. Factory ang mai a ni.

Engvangin nge heng thisen sen (red blood cells) te hi a sen hring ang maia lang?

Tunah chuan heng thisen sen puitling lo (`Reticulocytes`) te hi engvangin nge blue ang tih hi i ngaihtuah mai thei. A chhan chu heng `Reticulocyte` te hian genetic material `RNA` an tih hi a awm vang a ni. `PBS` stain nen an inrem chuan he `RNA` hi a blue ta a ni. He `RNA` hi cell chhunga programme hun eng emaw chen awm ang mai a ni. `Reticulocyte` a lo puitlin a, thisen sen (red blood cell) puitling tak a nih chuan he `RNA` hi a bo ta a ni.

Heng `Reticulocytes` te hi `PBS` ah hian hriat chian a pawimawh hle. A chhan chu, `Reticulocytes` hi thisen sen puitling famkima oxygen phur thei lo cell pawl an ni. Thisen sen (red blood cells) hnathawh ber chu kan taksa cell tinah oxygen phurh luh hi a ni. Chuvangin, cell puitling lo tam lutuk neih hian chu hna chu a thawk tha lo tihna a ni.

`Polychromasia` awm chhante chu engte nge ni?

Polychromasia hi damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei. Hetiang dinhmun hian i ruhro hian thisenah thisen sen puitling lote chu a tichhuak rang lutuk a ni. Hei hi i thisena thisen sen puitling zat a tlahniam chuan a thleng tlangpui. Taksa hian i ruhro atanga reticulocytes te chu rang takin i thisenah a chhuah tir a, a compensate a tum a ni.

`Polychromasia` i hmuh theih chhan thenkhat chu hetiang hi a ni:

• Hemolytic Anemia: Hei hi thisen natna a ni. Hei hi thisen sen (red blood cells) a hun hmaa tihchhiatna hmun a ni. A châng chuan he chhiatna hi taksain thisen sen thar a siam theih loh khawpin a thleng thei a ni. Hei hian thisen tlakchhamna (anemia) a thlen thin. Hemolytic anemia hi thlahtute atanga lo chhuak a ni thei bawk a, chungte chu Paroxysmal Nocturnal Hemoglobinuria (PNH), Thalassemia, leh Sickle Cell Disease te hi a ni. Infection thenkhat leh damdawi thenkhat vang pawh a ni thei bawk.
• Thisen tlakchhamna nasa tak: Thisen chhuah tam lutuk, chhungril emaw pawn lam emaw a awm chuan ruhro (bone marrow) chu thisen sen (red blood cells) siam chhuahna tipung turin a tichak a ni. Chumi hnuah chuan thisenah reticulocytes te chu a chhuak a, chu chuan thisen sen bo tawhte chu a thlak a ni. Ngaihtuah teh, accident lian takah thisen tam tak i hloh chuan hetiang hi a thleng thei a ni.
• Cancer: Cancer chi thenkhat chu bone marrow-ah a darh thei a, red blood cell siamchhuahna a tibuai thei a, thisen cell puitling lote chu thisenah a nawr lut thei bawk.
• Naupai: Naupai lai hian thisenah `Reticulocytes` awm zat chu a pangngai aia tlem a tam zawk hi thil awmze nei tak a ni. A tam zawkah chuan hei hi ngaihtuahawm a ni lo.
• Hmun sang taka awm: Hmun sang takah chuan oxygen level a hniam hle. Taksa hian oxygen tlakchhamnaah hian thisen sen siam chhuah a tipung a, thisenah reticulocyte a chhuah tir thei a ni.

Thisen sen (red blood cells) tipungtu nutrients

A châng chuan thisen zam hrisel siamna atana mamawh vitamin leh supplement i ei ṭan hian i thisen report-ah ``Polychromasia'' i hmu mai thei. Chumi awmzia chu i taksain a chhang let tihna a ni. I ei leh in atanga heng nutrients te hi i dawng tlem a nih chuan i doctor chuan hetiang hian a rawt thei ang:

• Vitamin B12 (`Vitamin B12`) te hi a tha hle.
• Folic acid (`Folic acid`) tih a ni.
• Thir

Heng nutrients te hi thisen sen (red blood cells) siam nan a pawimawh hle. Entirnan, iron hian thisen sen (red blood cells)-a oxygen phurtu protein hemoglobin siam nan a pui a ni. Vitamin B12 leh folic acid te hi thisen sen (red blood cells) inthen darh leh puitlin nan a pawimawh hle.

`Polychromasia` natna lan chhuah dan chu engte nge ni?

Polychromasia natna hi a lan chhuah dan chiang tak a awm lo. Mahse, Polychromasia thlentu, thisen tlakchhamna ang chi, a bulpui (underlying condition) avanga symptoms i nei thei a ni.

Hengte hi thisen tlakchhamna (anemia) chhinchhiahna langsar berte chu an ni:

• Vun dum (pale skin) a ni
• Lu na
• Chak lohna emaw, hahna emaw
• Thâwk harsa (Dyspnea) .
• Lung natna chak tak (Tachycardia) .
• Luak chhuak emaw, lu hah emaw
• Thisen sang hniam (Hypotension) .
• Vun sen emaw mit var emaw (Jaundice) - Hei hi Hemolytic Anemia-ah hian a langsar zual hle.
• Spleen (`Splenomegaly`) emaw Liver (`Hepatomegaly`) emaw a lian thei

A châng chuan symptoms a awm lo thei bawk. A zawng zawng hi polychromasia thlentu dinhmun leh a nasat danah a innghat vek a ni.

`Polychromasia` hi engtin nge kan hriat theih ang?

Doctor-te chuan PBS (peripheral blood smear) test result aṭangin polychromasia i vei tih an hre thei. Hei hian i thisen sample-ah dark blue emaw blue-gray red blood cells (reticulocytes an tih) a lantir ang a, chubakah normal pink mature red blood cells te nen.

`Polychromasia` hi thisen test-a hmuh theih thil a ni a, a takin `diagnosis` a ni lo tih hre reng ang che.

Chuvangin, i doctor chuan i natna chhan hriat theihna turin test dang tih belh a ti thei a ni. I natna lan chhuah dan te, i damdawi lam chanchin te, leh damdawi i ei zawng zawng te a zawt ang che. Tin, taksa enfiahna an nei thei bawk a, hemolytic anemia chhinchhiahna (spleen emaw liver lian emaw ang chi) an enfiah thei bawk. Test bik i neih tur chu i ruhro atanga reticulocytes chhuahna tichhe thei nia ngaih a nih danah a innghat ang.

Polychromasia hi engtin nge enkawl a nih?

Enkawlna chu i polychromasia awm chhan a innghat a ni. A chhan chu thisen tlakchhamna (mild anemia) a nih a, symptom lian tham i neih loh chuan enkawlna i mamawh lo mai thei. Mahse, i polychromasia thlentu underlying condition na tak i neih chuan i doctor chuan enkawlna dik tak a rawt ang che.

Hengte hi enkawlna atan hman theih a ni:

• Thisen pek: Hriselna atanga lo piang thenkhat, Sickle Cell Disease emaw thisen chhuak nasa tak a awm chuan.
• Corticosteroids: Autoimmune Hemolytic Anemia ang chi dinhmunah chuan i immune system hian nangmah ngeiin i thisen sen (red blood cells) a tichhia a ni.
• Immunosuppressants: Hengte hi immune system-in thisen sen (red blood cells) a tihchhiat lai leh corticosteroids ang chi enkawlna a hlawk loh hunah pek theih a ni.

Polychromasia hi bacteria, viral, parasitic infection avanga lo awm a nih chuan, chu infection atan chuan damdawi bik a ngai mai thei. He natna hi damdawi avanga lo awm a nih chuan, chu damdawi chu i ei tawh loh emaw, damdawi dang i hman emaw a ngai mai thei. Amaherawhchu, doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh. I doctor chuan uluk takin a kaihruai ang che.

`Polychromasia` hi i hlau tur em ni?

A ni hauh lo. Polychromasia hi thisen lama harsatna nei, enkawl ngai chhinchhiahna a ni thei a, a nih loh leh thil hlauhawm lo tak a ni thei bawk. Entirnan, naupai i nih emaw, iron supplement i ei tan chauh emaw a nih chuan hei hi thil pangngai a ni thei.

I doctor chuan heng result te hi a hrilh ang che a, ngaihtuah tur thil a nih leh nih loh emaw, test belh a ngai em tih emaw a hrilhfiah ang che.

Engtikah nge Doctor ka hmuh ang?

Thisen tlakchhamna (anemia) chhinchhiahna, hahna, vun rawng, leh thawk hahna te i neih chuan doctor pan turin appointment siam rawh. Chutih lai chuan kum tin i check-up te chu skip suh. I doctor chuan a tul chuan PBS ang chi test hmangin i thisen cell te chu a enfiah thei ang.

Thisen test report hian i hriselna tlangpui chungchang tam tak a pe thei a ni. Tin, thisen natna, enkawl hmasak ngai thei tur hriatchhuahna kawngah pawh an pui thei bawk.

A tawi zawngin (Take-Home Message) .

I thisen report-a `Polychromasia` tih thumal i hmuh hian hlau suh. Hrereng:

• ``Polychromasia'' hi sawifiahna a ni a, diagnosis a ni lo. I thisenah hian a tlangpui aia tam puitling lo red blood cells i nei tihna mai a ni.
• Hei hi damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei a, a nih loh leh thil hlauhawm lo leh rei lo tê chauh a ni thei bawk.
• Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che. He result hian engtin nge a nghawng che tih a sawifiah thei ang.

Chuvangin doctor nen inbiakpawhna tha tak neih reng a pawimawh hle. I hriselna hrethiam bertu an ni.

` Polychromasia, Thisen sen, Thisen test, Reticulocytes, Bone Marrow, Anemia