I thisen platelet a hniam em? Thrombocytopenia chungchang hi a awlsam zawngin i zir dawn teh ang!

Cut te tak te i neih hian thisen chhuah a reh theih nan hun rei tak a ngai em? A nih loh leh i taksaah engmah vuak lovin blue-ah i chang mai mai a, hliam i siam mai mai em ni? Chutiang chu i chungah a thleng tawh a nih chuan, platelet count i neih tlem vang pawh a ni thei . Damdawi lam hawi chuan he natna hi Thrombocytopenia (“thrombo-cyto-penia” tia lam tur) kan ti a. Ngaihtuah buai suh, engkim kan ti awlsam vek ang.

A awlsam zawngin, Thrombocytopenia chu eng nge ni?

Thisen sen leh thisen var bakah hian kan thisenah hian cell chi dang, platelet an tih chu a awm bawk. An hnathawh ber chu kan hliam huna thisen chhuah tihtawp tura puih hi a ni. A dik tak chuan thisen zam an siam a, thisen chhuah chu an titawp a ni.

Tunah chuan Thrombocytopenia chu kan thisena platelet mamawh aia tlem a nih chuan a ni. Hengte hi kan ruhro atanga siam a ni . Chuvangin, ruhro hian platelet a siam tling lo a nih chuan, a nih loh leh platelet siam chhuah chu a chhe rang lutuk a nih chuan he dinhmun hi a awm thei a ni. Hei hi natna leh damdawi thenkhat ang chi thil vang pawh a ni thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan mi tam tak chuan he natna hi a na lo hle a ni. Symptom lian tham an neih loh avangin an nei tih pawh an hre lo mai thei. Chuvangin engtiang chiahin nge a tlangpui tih sawi a harsa khawp mai.

Mahse, a kaihhnawih natna dang, Immune Thrombocytopenia , chu naupang leh puitling 100,000 zinga 3-4 velin a nghawng tih hmuhchhuah a ni. Tin, naupai zinga 5% vel chuan nau neih hma lawk hian thrombocytopenia na lo tak an nei thei bawk.

Thrombocytopenia vang hian eng harsatna nge awm thei?

Platelet count nasa taka tlahniam hian dinhmun hlauhawm tak a thlen thei a ni.

• Taksa chhunga thisen chhuak nasa tak: Pum leh intestines ang chi hmun atang hian thisen a chhuak thei. Chu aia hlauhawm zawk chu thluak chhunga thisen chhuak hi a ni. Hei hi nunna atana hlauhawm tak a ni thei.
• Heart attack: Thisen platelet tlahniam hian heart-a thisen kal zat a ti tlem thei a, heart attack hlauhawmna a tipung thei a ni.

Thisen platelet pangngai leh hniam hi eng nge ni?

I thisen report i en chuan i platelet count a ziak tih i hmu ang. Normal level leh low level hi eng nge ni tih i lo en ang u.

Nang pawhin heng symptoms te hi i nei ve em? Thrombocytopenia natna lan chhuah dan

Platelet tlakchhamna na lo tak nei te hian symptom an nei lo mai thei. Mahse, symptoms a lo lang tak tak chuan i hriat hmasak ber pakhat chu hliam tenau emaw, hnar thisen chhuak emaw atanga thisen chhuah tihtawp harsatna hi a ni. Symptom dang thenkhat chu hetiang hi a ni.

• Bleeding gums: I ha i sil hian i toothbrush-ah thisen i hmu thei. I hmui pawh a hring niin a lang thei bawk.
• Thluak chhunga thisen: Ekna chu a dum dum thei hle.
• Zun chhunga thisen: Zun chhuah hnua toilet chhunga tui chu light pink anga lang a nih chuan zun chhunga thisen awm vang pawh a ni thei.
• Thisen chhuah: Hei hian i pum chunglam ah thisen a chhuak tihna a ni.
• Thlasik laiin thisen chhuak nasa tak: Thla khata i period chu ni 7 aia rei a nih chuan, a nih loh leh a tlangpui aia tam thisen chhuak a nih chuan a symptom a ni thei.
• Petechiae te chuan:Ke ah hian a bik takin groin area ah chuan red/purple dots te te rash ang mai a ni.
• Purpura: Vunah hian a sen, a sen emaw, a sen emaw a awm. Hei hi vun hnuaia thisen kalna kawng te tak te atanga thisen chhuak vang a ni.
• Bruises: Vun hnuaia thisen a khawlkhawm hian bruises a awm thin. I hliam chu a tlangpui aia awlsam zawkin i hmu mai thei.
• Rectal bleeding: Toilet-ah emaw, i tihfai laiin emaw thisen i hmu thei.

Engvangin nge thisen platelet hi hetiang hian a tlahniam? A chhante chu engte nge ni?

Thisen platelet tlahniam chhan hi chi thum ah then theih a ni.

1. I ruhro hian platelet a siam tling lo: Hei hi thisen cancer natna, leukemia emaw lymphoma emaw-ah a thleng thei.

2. Ruh ruh (bone marrow) atanga platelet siam chhuah tling tawh mah se, a chhe thuai emaw, a hmang zo vek emaw a ni: Natna thenkhat avang hian platelet siam chhuah zat hi a tlakchham thuai thin.

3. Spleen retention of platelets: A tlangpuiin kan spleen hian kan thisen platelet hmun thuma ṭhena hmun khat vel a khawlkhawm ṭhin. Mahse, a then phei chuan platelet tam lutuk a vawng tlat thung.

A chhan chiang tak tak tlemte

• Autoimmune natna: Immune Thrombocytopenia (ITP) leh Lupus ang natnaah te hian keimahni immune system hian thisen platelet a bei a, a tichhia a ni.
• Thisen cancer: Natna leukemia leh lymphoma te hian ruhro a tichhe thei a, thisen platelet siam a titawp thei bawk.
• Cancer enkawlna: Chemotherapy leh radiation therapy hmangin stem cells, chutiang ni lo se chuan platelet lo ni thei tur chu a tichhia thei a ni.
• Thisen natna thenkhat: Thrombotic Thrombocytopenic Purpura (TPP) ang chi dinhmunah chuan taksa pum puiah thisen zam te te a lo awm a, chu chuan platelet a ti tlahniam nghal vat thin.
• Infection: Bacterial leh viral infection hian platelet count a ti tlem thei bawk.
• Zu in tam lutuk: Zu hian thisen platelet siam chhuah a tikhawlo.
• Chemical tha lo: Arsenic, benzene, leh pesticides ang chi thila inhnimhnawihna pawh a nghawng thei bawk.
• Damdawi thenkhat: Antibiotics, epilepsy damdawi, lung natna damdawi, leh thisen tithianghlimtu heparin ang chi te pawhin hetiang hi a thlen thei bawk.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah a rawn enfiah hmasa phawt ang che. Bruises, spots, etc. a check ang a, i medical history leh damdawi i ei dan te pawh a zawt ang. Tichuan, hetiang test engemaw zat tihsak turin a ti mai thei che a ni.

• Complete Blood Count (CBC): Hei hi thisen test dan pangngai a ni. I thisena platelet, thisen sen leh thisen var awm zat a enfiah thin.
• Peripheral Blood Smear: Hei hian i thisen platelet te chu microscope hmanga enfiah a ni.
• Blood clotting tests: Hengte hian i thisen a clotting hun chhung (PTT leh PT test ang chi) te a teh a ni.
• Bone Marrow Biopsy: Thisen test-naah i platelets a hniam hle tih a hriat a, a chhan pawh a chiang lo a nih chuan i doctor chuan i ruhro sample tlemte chu test turin a la mai thei.

Hei hi eng enkawlna nge ni?

I platelet count tlahniam hian harsatna lian tham a thlen lo a nih chuan enkawlna engmah i mamawh lo mai thei. A tam zawkah chuan doctor-te chuan he natna chhan bulpui ber chu an enkawl ang. Entirnan, i damdawi ei avanga lo awm a nih chuan chu damdawi chu an thlak danglam thei mai thei.

Enkawlna dangte chu:

• Steroids: Heng damdawi te hian thisen platelet siamchhuahna a tipung thei a ni.
• Thisen pek: I platelet level a hniam hle a nih chuan, hun eng emaw chen chu i platelet level tihsan nan thisen (platelet) pek i ni thei bawk.
• Splenectomy: Test-naah i spleen hian platelet tam tak a block tih a hriat chuan i doctor chuan i spleen chu operation hmanga lakchhuah a rawt thei ang. Mahse, spleen lakchhuah hian natna kai theihna a tipung a, chuvang chuan chu atanga inven nan vaccine lak a ngai dawn a ni.

Hetiang dinhmun nena nunpui huna ngaihtuah tur thil

Thrombocytopenia i neih chuan i nunphungah inthlak danglamna tenau engemaw zat siam a pawimawh hle.

• Nun hrisel: I zuk chuan bansan rawh. Zu i in chuan khap tlat ang che. Ha hriselna tha tak vawng reng la, ha leh ha leh hmui thisen chhuak thei a nih avangin.
• Damdawi lam thurawn tel lo chuan ei loh tur: Natna tidamtu thenkhat (e.g. ibuprofen, aspirin) hian thisen a tithianghlim thei a. Doctor rawn hmasa lovin natna tidamtu, supplement leh herb engmah ei suh.
• Hriselna leh thisen chhuahna thlen thei thil tih loh tur: Rugby leh football ang chi contact sport te hi pumpelh a tha ber. I doctor hnenah exercise him tak tak, i tana tha tur zawt la.
• Hrisel taka zin: Lirthei a chuang dawnin seat belt vuah fo ang che.
• Doctor te hriattir rawh: Eng operation emaw ha lakchhuah emaw i tih chuan thrombocytopenia i vei tih leh i damdawi ei tur te chu doctor hnenah hriattir hmasa phawt ang che.

Thrombocytopenia, platelet count hniam, thisen chhuak, hliam, petechiae, purpura, CBC test sinhala, ruhro, ruhro, splenectomy, Sri Lanka