Sickle cell trait i nei em? Hrisel taka awm theihna tur heng thil 3 te hi han sawi ila!

Chibai! Doctor-in sickle cell trait i nei tih a hrilh che pawh a ni thei. Chutianga an hrilh che khan i hlauthawng deuh a, i hlauthawng deuh pawh a ni mai thei, a dik em? Mahse, lungngai suh. Natna pawi tak a ni tak tak lo. A tam zawkah chuan he natna vei te hi hrisel takin, nun pangngaiin an khawsa thin. Chuvangin vawiin hian sickle cell trait chu eng nge a nih tih te, chu mi nena nun hrisel leh hlim tak nei tura i tih theih thil awlsam tak tak pathum, mahse pawimawh tak tak pathum kan sawi dawn a ni.

Sickle cell trait chu eng nge a nih tih hi han hrethiam hmasa ila.

A awlsam zawngin, sickle cell trait hi i nu leh pate hnen atanga i genes hmanga i hmuh thin mizia tenau tak a ni. Ngaihtuah teh, kan thisenah hian thisen chi khat , red blood cells an tih chu kan nei a. Hengte hi taksa pum puia oxygen phurtu cell te an ni. A tlangpuiin heng thisen sen te hi a zungpui a, donut te tak te ang mai a ni. Mahse, sickle cell trait nei miah chuan heng thisen sen thenkhat hi, dinhmun thenkhatah (entir nan, taksa tui a tlakchham emaw, hmun sang takah i kal emaw) chuan a pianzia danglam deuh deuh, sickle ang maiin an nei thei a ni.

Mahse hetah hian a pawimawh ber chu thil pahnih a awm a, Sickle Cell Trait neih leh Sickle Cell Disease emaw Sickle Cell Anemia emaw neih hi a ni. Sickle Cell Disease hi a buaithlak deuh a, a symptom tam zawk a awm bawk. Mahse, Sickle Cell Trait vei tam tak chuan natna lanchhuahna nei lovin nun hrisel famkim an hmang thei a ni. Chuvang chuan ngaihtuahawm tur a awm lo kan ti a, mahse fimkhur a pawimawh hle.

Hriselna atana i tih theih pawimawh ber 3!

Okay, chuvangin sickle cell trait i nei tih i hriat chuan i hriselna atana thil pawimawh pathum i tih theih a awm. An chanchin pakhat hnu pakhatin sawi ila.

1. Nilengin tui in tam – hei hi a pawimawh hle!

Hei hi a hmasa ber leh pawimawh ber a ni. Tui tam in hian i thisen chu a kal tluang a, engmah a tikhawlo lo. Kan taksaa thisen kalna kawngte hi tui phurtu pipe angin han ngaihtuah teh. Tui hi uluk taka enkawl a nih chuan tui chu a khar lovin a luang tluang hle a ni lawm ni? Chutiang chu a ni. Tui tam tak kan in hian kan thisen pawh a luang tluang a, taksa pum puiah a inkhar lo.

Hei hi sickle cell trait nei tan chuan a pawimawh hle. A chhan chu, tui i in tlem chuan, chu chu i dehydrated a nih chuan , ka sawi tawh ang khan, thisen sen (red blood cells) te hi an pianzia an inthlak (sickle ang maia awm) an ni a, thisen kalna kawng te tak teah an tang thei zawk a ni. Chuvang chuan tui in tam kan ti thin.

I doctor chuan chiang takin a hrilh ang che.Ni khatah tui engzat nge i in tur ? Mahse dan tha tak chu ni khatah tui glass 8 vel in tur a ni.

Hriat reng tur: A chang chuan a tlangpui aia tui in tam a ngai thin.

#### Hetiang hun lai hian tui in tam hi a tha tak zet a ni:

• I tuihal lai hian: Tuihal hi i taksain "Tui ka nei tlem hle" tih signal a ni. Chuvangin tuihal i hriat veleh tui in rawh.
• Vanlawng chhunga i zin hian: Vanlawng chhunga boruak hi a vawt em em a, chuvangin i taksa atanga tui a chhuah theihna chance a sang zawk.
• Exercise chak taka i tih hian: inelna infiamna emaw sipai training emaw ang bawkin i taksa hian thawmhnaw hmangin tui tam tak a hloh thin. Chuvangin exercise i tih hma te, exercise i tih lai te, leh exercise i tih zawhah tui tam tak in thin ang che.
• Tlang lawn emaw, scuba diving emaw kal i tum a nih chuan: Hmun sang tak emaw, tuipui thuk takah emaw i kal chuan i taksa chu pressure level hrang hrangah a awm ang. Heng hun lai hian tui in tam a pawimawh bawk.
• I zun chhunga thisen i hriat chuan : A chang chuan i zun rawng hi pink, red, brown a ni thei. Hetiang thil i hmuh chuan ngaihthah suh. Chumi rual chuan tui tam tak in la, doctor pan nghal rawh.
• I taksa hmun dangah pawh natna i neih chuan: A chang chuan sickle cell trait nei te hian blockage tenau tak tak avang hian natna an nei thei thin. Heng hun chhung hian tui in tum thin ang che. Mahse, a na a nasat chuan Doctor pan tur a ni.

2. Exercise i tih chuan him taka i tih a ngai!

Exercise hi taksa tan a tha hle. Sickle cell trait i neih vang mai maia exercise i chawlhsan a ngai lo. Mahse exercise i tih hian i taksa thu ngaihthlak a pawimawh. I huam chin piah lama in nawr nghal mai chu a tha lo.

#### Exercise i tih hian heng thilte hi fimkhur rawh:

• Zawi zawiin infiamna thar hmang thiam rawh: Sikul chawlh laiin in lamah i awm a, rang takin infiamna i khel ṭan ang tih han ngaihtuah teh. Vawi khata taksaah harsatna tam tak dah hi a tha lo. Zawi zawiin i tan tur a ni. Car ang bawkin a tlan chak tan nghal vat thin. Chutiang bawkin i taksa chu a hman thiam theih nan hun pe bawk ang che.
• Exercise hma, exercise neih lai leh exercise zawhah tui tam tak in thin ang che: Hemi hi sawi loh theih a ni lo. Tui pawimawhzia kan sawi tawh a.
• I chau tih i hriat hunah chawlh hahdam rawh:"Tlem tal ka ti thei ang" tiin in vuak suh. I chau nia i hriat chuan ding la, chawlh hahdam rawh.
• Harsatna chhinchhiahnate hrechiang la, report vat rawh: Hei hi a pawimawh hle. Coach emaw trainer emaw nen training i neih chuan i rilru a hahdam loh chuan hrilh hreh suh.

#### Heng symptoms zinga pakhat tal i neih chuan harsatna chhinchhiahna a ni thei. Chuvangin fimkhur rawh:

• Muscle na emaw, cramps emaw i neih chuan.
• Chau lutuk, thawk hah, leh lum (chau emaw, lum lutuk emaw) i tih chuan.
• Thâwk harsa i neih chuan (thâwk chhuak rawh).

Hetiang thil a lo thlen chuan i thil tih hi titawp nghal rawh. Hahchawl. Tui tam tak in thin ang che. Cool down rawh. I rilru a hahdam tawh chuan i doctor hmu ngei ngei tur a ni a, thil thleng chu hrilh ngei ang che. Chumi hnuah chuan thurawn dang a pe thei ang che.

I thianpa nen in tlan dun a, rang takin i ke a na a, chu chu ngaihsak lovin i tlan chhunzawm zel ang em? Ni lo, i ding ang a, eng thil nge thleng tih i en ang. Chutiang chu a ni, i taksain signal a pek che chu ngaithla rawh.

3. Doctor nen inbia fo thin ang che.

I doctor hi i hriselna chungchanga thurawn pe tur che tha ber a ni. I tanpui turin an awm reng a ni. Chuvangin zawhna leh ngaihtuahna i neih chuan sawi hreh suh. A bik takin Sickle Cell Trait nei tan chuan doctor nen inzawmna tha tak neih a pawimawh hle.

#### Hetiang ang case-ah hian doctor i pan ngei tur a ni a, a tlem berah chuan phone call i nei tur a ni:

• Symptom thar i neih chuan: A tenau pawh ni se, ngaihthah suh. Entîr nân, taksa na fo, hah lutuk, thawk harsa , a nih loh leh i zun thisen chhuak. I doctor ko nghal rawh.
• Diabetes Mellitus test i nih chuan: Zunthlum endikna atana thisen test ber chu `(Hemoglobin A1c)` emaw `(HbA1c)` test a ni. Mahse, he `(HbA1c)` test result hi sickle cell trait nei tan chuan a dik vak lo mai thei. Chuvangin, zunthlum i test dawn a nih chuan i doctor hnenah sickle cell trait i nei tih hrilh ngei ang che. Tichuan i doctor chuan test \ha dang (entir nan `Fasting Plasma Glucose` test) a ti leh thei ang.
• Sickle Cell Trait chungchanga thil thar hmuhchhuah i duh chuan:Medical science hi ni tin hma a sawn zel a. Thu thar leh enkawlna thar a lo chhuak ta. Chuvangin he thu hi hriat belh i duh chuan i doctor hnenah zawt la.
• Chhungkaw din leh fa neih i tum a nih chuan: Hei pawh hi a pawimawh hle. Sickle Cell Trait i neih chuan i kawppui tur pawhin Sickle Cell Trait emaw Sickle Cell Disease emaw a nei em tih hriat a pawimawh. A chhan chu in pahnih hian he genetic trait hi in neih chuan in fa hian Sickle Cell Disease a vei theihna chance a awm a ni. Hemi chungchang hi ngaihtuah buai a ngai lo. I doctor chuan he hlauhawmna hi a hrilhfiah thei che a, chu hlauhawmna tihtlem dan tur pawh a hriattir thei bawk che (entir nan, genetic counseling).

Doctor hi i tan chuan ṭhian ang mai a ni tih hre reng ang che. I harsatna leh hlauhthawnna te chu an hnenah hrilh rawh.

Take-Home Thuchah a ni

Okay, tunah chuan kan inbe nasa tawh a ni lawm ni? Sickle cell trait nei mi i nih anga hrisel taka awm theihna tura i tih theih pawimawh ber berte chu han sawi nawn leh ila:

1. Tui tam in tur: Ni khatah tui glass 8 tal in tur a ni. Hun bik ah pawh a tam zawk.

2. Hrisel taka exercise la: I taksa thu ngaithla rawh. I chau tih i hriat chuan chawlh hahdam rawh. Harsatna chhinchhiahna i neih chuan ding nghal la, doctor hnenah hrilh rawh.

3. I doctor nen inzawmna nei reng rawh: I zawhna leh ngaihtuahna zawng zawng, a bik takin natna lan chhuah thar te, zunthlum test te, leh chhungkaw ruahmanna te chu i doctor nen sawiho rawh .

Sickle cell trait neih hian nun pangngai, hlim tak i hmang thei lo tihna a ni lo. Awareness leh heng step awlsam tak takte zawm hian i hriselna i vawng reng thei ang. I hriselna chu i kutah a awm! Chuvangin enkawl a phu a ni.

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