I thisen platelet a hniam em? Thrombocytopenia chungchang hi i zir chiang ang u!

Vawiin hian thumal hlauhawm deuh nen a lo thleng a, mahse uluk taka hriattir i nih chuan enkawl that theih tur condition kan sawi dawn a ni. Chu chu Thrombocytopenia a ni . He hming hi i la hre ngai lo pawh a ni mai thei. A nih loh leh doctor-in a hrilh che emaw, i hriat mi emaw pawhin a hrilh che pawh a ni thei. Hei hi eng nge mak tak maiin Thrombocytopenia an vuah? Engvangin nge hetiang hi a lo awm? A hlauhawm em? Chutiang zawhna tam tak chu i rilruah a awm ngei ang. Chuvangin heng zawng zawng hi chiang tak leh awlsam takin, thianpa nena inbiakna ang maiin sawi ila.

Thrombocytopenia chu eng nge ni?

A awlsam zawngin, thrombocytopenia chu i thisenah platelet i neih tur aia tlem a nih chuan a ni. Tunah chuan, "Heng platelet te hi eng nge ni?" Lungngai suh, chu pawh chu kan sawi dawn nia.

Hetiang hian han ngaihtuah teh: kan taksa hi factory lian tak ang a ni. He factory-ah hian hna hrang hrang thawk tur hian hnathawk chi hrang hrang an awm a. Chutiang bawkin kan thisenah hian cell chi hrang hrang a awm a, hna bik nei theuh a ni. Thisen platelet hi chutiang specialized worker pawl pakhat chu a ni.

Chuvangin, platelet count a mamawh level aia hniam a nih chuan Thrombocytopenia kan ti thin. Hnathawhna hmuna security guard an tlem chuan harsatna tenau te chu a lian thei ang mai a ni.

Platelet hi eng nge ni? Engtin nge an tih?

Platelets, a nih loh leh kan tih angin , platelets hi kan thisena cell te tak te, rawng nei lote an ni. Kan ruh nêm tak bone marrow an tih ah an siam chhuak thin . Bone marrow hi thisen cell factory angin han ngaihtuah teh. Thisen sen (thisen rawng sen petu leh oxygen phurtu cell), thisen var (natna laka min vengtu cell), leh platelet siamna hmun a ni.

Chuvangin, te tak te ni mahse, platelet hian hna lian tak a thawk a ni. An hna ber chu thisen chhuah tihtawp a ni a, chu chu thisen tihkhawtlai a ni. Khawi emaw laiah hliam i neih chuan rei vak lo hnuah thisen chhuah chu a reh a ni lawm ni? Awle, heng thisen platelet te hian chutiang atan chuan an pui thin. Hliam awmna hmunah an lo kal a, tuikhuah ang maiin an inzawm khawm a, thisen chhuak chu an titawp a ni.

Chuvangin idea chu i hmu ta a ni lawm ni? Platelets hi kan taksa peng pawimawh tak, thisen chhuahna control tu a ni a, "plaster" te tak te ang maiin a che thin.

Engvangin nge Thrombocytopenia hi a lo awm? A chhante chu engte nge ni?

Okay, tunah chuan thrombocytopenia hi platelet tlahniam a ni tih kan hre ta. Mahse, engvangin nge hetiang hian a lo awm? Hei hi chhan hrang hrang a awm thei. Anni hi chi thum ah then ila:

1. Ruhro atanga platelet siam chhuah tlem

Kan platelet factory, bone marrow hian hna a thawk tha lo a nih chuan platelet siam chhuah zat hi a tlahniam thei a ni. Hei hi a chhan chu:

• Viral infection thenkhat (e.g., dengue fever i neih hian platelet a tlahniam tih i hre tawh mai thei).
• Damdawi thenkhat (a bik takin chemotherapy).
• Vitamin B12 emaw folic acid tlakchhamna emaw.
• Ruhro (bone marrow) tichhe thei natna (e.g., Leukemia , Aplastic Anemia ).
• Zu in tam lutuk.

2. Platelets rang taka tihchhiat (a chhe lutuk) .

A châng chuan ruhro (bone marrow) hian platelet siam \ha mah se, taksa chhungah a chhe thuai \hin. Thil siam \ha \henkhat chu phurh chhuah laiin a chhe ang bawkin. Hei hi a chhante chu:

• Immune system disorders: A chang chuan kan taksa ngeiin a defence system (immune system) hian a tihsualin a platelet a tichhia tan thin. Hei hi `(Immune Thrombocytopenic Purpura - ITP)` an ti a. Hei hi naupang tê têah pawh hmuh theih a ni.
• Damdawi thenkhat (e.g. heparin) side effect angin.
• Hri kai theihna thenkhat.
• Mi thenkhat chuan naupai laiin platelet count a tlahniam deuh thei a, mahse a tlangpuiin natna khirh tak a ni lo.

3. Platelets hi taksa hmun khatah (a bik takin spleen-ah) a awm khawm .

Kan taksa hian taksa peng pakhat a nei a, chu chu spleen an ti a. Pum veilam lamah a awm a. Spleen hnathawh pakhat chu thisen cell hlui paih chhuah hi a ni. Mahse, a chang chuan spleen a lo lian chuan (entir nan, cirrhosis of the liver ang chi natnaah) platelet a khawlkhawm tam lutuk thei a, chu chuan thisenah platelet a tihhniam thei a ni.

Engtin nge thrombocytopenia i vei tih i hriat theih ang? Eng nge a lan chhuah dan?

Platelet a tlem chuan thisen chhuah tihtawp theihna a tlahniam a, chuvangin symptom chi hrang hrang a lang thei. Mahse, heng symptoms te hi mi zawng zawngah a awm lo. Mi thenkhat chuan an platelet count tlem deuh mahse chhinchhiahna an lantir lo thei. Mahse, platelet count nasa taka a tlahniam chuan hetiang hi i hmu mai thei:

• Bruising awlsam: Hriselna te tak te pawh hian hliam lian tak, dum tak a siam thei. A chang chuan taksaah hian blue spot a lo lang thei bawk.
• Vunah hian a sen/purple dots te te (petechiae): Hengte hi thisen zam te te, thinghnah te tak te hmanga hrual ang maia lang, press a nih chuan a var lo. A tlangpuiin keah an lang hmasa ber.
• Bleeding gums: Ha sil lai emaw, i la awm lai chauh emaw pawh nise, thisen chhuak.
• Hnar thisen chhuak fo thin.
• Hliam hnua thisen chhuah a reh theih nan hun rei tak a ngai a ni.
• Hmeichhiaah thlasik laiin thisen chhuah tam lutuk.
• A tlem berah chuan zun emaw, ek emaw-ah thisen a awm thei.
• A nasat em em (chu chu a tlem hle) ah chuan thluak chhunga thisen chhuak ang chi thil hlauhawm tak tak a awm thei a ni.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan thrombocytopenia i nei tihna a ni hauh lo. Amaherawhchu, doctor pan a, thurawn lak a tha ber.

Engtin nge thrombocytopenia i vei tih i hriat theih ang? (Diagnosis) tih a ni.

Doctor i pan chuan i natna lan chhuah dan an zawt ang che a, an enfiah ang che (a bik takin i hliam emaw, i sen emaw a awm chuan). Chumi hnuah chuan thrombocytopenia i vei em tih leh, a awm a nih chuan eng thil nge a thlen tih hriat nan heng ang test hi an ti thei ang:

• Complete Blood Count (CBC): Hei hi test pawimawh ber a ni. I thisena red cell, white cell leh a pawimawh ber chu platelet awm zat a teh a ni. Mi hrisel takah chuan thisen milliliter khatah platelet count pangngai chu 150,000 leh 450,000 inkar a ni. Thrombocytopenia chu he zat hi 150,000 hnuai lam a nih chuan a ni.
• Peripheral Blood Smear: Hetah hian thisen tla khat lak a ni a, microscope hmangin an enfiah a, platelet te chu eng ang nge an nih a, engzat nge an lian tih hriat a ni.
• Test dang: Thrombocytopenia a awm tih finfiah a nih chuan i doctor chuan a chhan hriat nan test dang a ti thei ang. Entir nan:
• Viral infection awm leh awm loh test.
• Immune system nena inzawm test (ITP ang chi condition enfiah nan).
• A tul chuan bone marrow aspiration/biopsy pawh tih theih a ni. Hei hian ruhro sample chu needle te tak te hmanga lak a, ruhro hian platelet a siam tha em tih enfiah a ngai a ni. Hei hi thil buaithlak zawkah tih a ni tlangpui.

Thrombocytopenia enkawl dan tur chu engte nge ni?

Thrombocytopenia enkawlna chu platelet count tlahniam chhan, platelet count a hniam dan leh i symptoms nasat danah a innghat a ni.

• A chhan enkawl dan: A chang chuan thrombocytopenia awm chhan bulpui ber enkawl a nih chuan platelet count chu a pangngaiin a awm leh thin. Entîr nân, damdawi pakhatin platelet count a tihhniam phah a nih chuan, damdawi tihtawp chuan a ṭangkai thei a ni. Vitamin tlakchhamna a nih chuan vitamin pill ei hian a pui thei.
• Mild Thrombocytopenia: I platelet count a hniam vak lo a, symptom lian tham i neih loh chuan enkawlna bik i mamawh lo mai thei. I doctor chuan thisen test (monitoring) neih fo turin a hrilh ang che.
• ITP (Immune Thrombocytopenic Purpura) enkawl dan: 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• Steroids: Hengte hian platelet tichhe thei immune system hnathawh a ti tlem a.
• Intravenous Immunoglobulin (IVIG): Hei hian immune system a nghawng bawk a, platelet tihchhiatna a ti tlem bawk.
• Immune-suppressing damdawi dang.
• A nasat deuhah chuan splenectomy tih theih a ni a, a chhan chu spleen hi platelet tihchhiatna hmun ber a nih avangin.
• Platelet Transfusion: Platelet count a tlem hle a, thisen chhuah theihna a awm chuan pawn lam atanga platelet pek theih a ni. Mahse, hei hi hun eng emaw chen atana chinfelna a ni.

Pawimawh: I doctor-in eng enkawlna nge i tana tha tur tih a rel ang a, chuvangin i doctor thupek zawm a pawimawh hle.

Thrombocytopenia vei chuan eng nge a hriat tur?

Thrombocytopenia i neih chuan thisen chhuah theihna tur a tihziaawm theih nan hengte hi enkawl a tha ang:

• Infiamna leh hliam thlen thei thil tih loh tur: Infiamna inhnaih tak tak (e.g. rugby, boxing) lakah hlat rawh.
• Hmanraw nalh tak tak hman hunah fimkhur rawh: Knife leh scissors ang chi thil i hman hunah fimkhur hle ang che.
• Ha i sil dawnin toothbrush nem tak hmang thin ang che. I hmui hliam hi pumpelh rawh.
• Damdawi thenkhat chu doctor thurawn tel lova ei loh tur: Thisen tithianghlimtu damdawi, a bik takin aspirin emaw ibuprofen emaw hi doctor remtihna lo chuan ei loh tur a ni. Chungte chuan thisen chhuah theihna a tipung a ni.
• Zu in khap emaw, bansan emaw.
• Constipation pumpelh: Fiber tamna ei tur (thlai, thei) ei la, tui in tam rawh, constipation hian straining laiin thisen a chhuah tir thei a ni.
• Thisen chhuahna danglam tak, lu na nasa tak, emaw, natna lan chhuahna dang dang i neih chuan i doctor hnenah hrilh nghal rawh.

A tawp berah chuan hriat reng tur pawimawh ber ber (Take-Home Message) .

Thrombocytopenia tih hming hi hlauhawm tak ni mah se, i hriat chian a, a hun taka doctor i hmuh a, a enkawl dan tur dik tak i dawn chuan uluk taka enkawl theih a ni.

Hrereng:

* Thrombocytopenia tih hi thisen a platelet tlahniam a ni.

* Platelets hi cell fragment te tak te a ni a, thisen chhuah tihtawp nan a pui thin.

* Hei hi chhan tam tak a awm thei.

* Natna lanchhuahna (symptoms) i neih chuan awlsam taka rawn sen emaw, i hmui thisen chhuak emaw ang chi i neih chuan Doctor pan tur a ni.

* Hei hi thisen test CBC tih hmangin awlsam takin hriat theih a ni.

* Enkawlna chu a natna chhan leh a nasat danah a innghat.

Chuvangin, nangmah emaw, i hriat emaw hian hetiang harsatna hi i neih chuan hlau suh, hlau suh, doctor thurawn zawng rawh. Hriatna dik hi invenna tha ber a ni!

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