Platelet hniam i nei tih i sawi em? (Thrombocytopenia) Hei hi eng nge a nih chiang takin i zawng chhuak ang u.

Doctor-in thisen test report a en a, "I platelet a hniam deuh" a tih i hre tawh mai thei. A nih loh leh, hliam tê tê aṭanga thisen chhuak i tihtawp theih loh lai pawhin hlauhna i nei tawh pawh a ni thei. Hetianga thisen a platelet tlahniam hi damdawi lama Thrombocytopenia kan tih hi a ni. Hlau suh. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

Engvangin nge thisen platelet hi hetiang hian a tlahniam?

A awlsam zawngin, platelet hi kan thisen zam tura puitu cell te tak te chi khat a ni . Kan ruh chhunga ruhro (bone marrow) ah an lo piang chhuak thin. Kan ruhro hi platelet siamna factory angin han ngaihtuah teh. Hetiang dinhmun hi a lo awm theih chhan lian tak pahnih a awm. Either he factory atanga siam chhuah a tlahniam. A nih loh leh, platelet siam chhuah te chu taksa chhungah a chhe nghal vat thin.

Tunah chuan hei hi eng chhan nge ni tih i lo en ang u. Hei hi chiang taka hrethiam turin he table hi han en ila.

Heng bakah hian, a châng chuan heng platelet te hi kan taksa peng pakhat, spleen , chhungah hian an inzawm khawm thei a, an pung khawm thei bawk. Tin, naupai lai hian hmeichhe thenkhat platelet chu a pangngai aia rang zawkin an taksa atanga lakchhuah a nih avangin hun eng emaw chen atan he natna hi a awm thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

A tam zawkah chuan platelet count hniam hian symptom a nei lo. Mahse symptoms a awm tak tak a nih chuan a bulpui ber chu thisen chhuah leh hliam hi a ni. I vunah hian hmun te te, sen emaw, sen emaw i hmu thei bawk. Chungte chu petechiae an ti a .

Chungte chu taksa chhung emaw pawnah emaw thisen chhuak thei a ni. A chang chuan he thisen chhuah hi a rit thei a, tihtawp a harsa thei bawk.

Chu bakah, heng features te hi a hmuh theih bawk:

• Gums emaw hnar atanga thisen chhuak.
• Zun emaw ek emaw-ah thisen a awm .
• Hmeichhiaah period laiin thisen chhuah tam lutuk.
• Lu na .
• Chauh leh hah fo thin .
• Vun leh mit a sen (jaundice).
• Spleen a hring chhuak.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i medical history leh tuna i symptoms te a zawt ang che. Chumi hnuah i taksa chu a enfiah ang a, hliam, petechiae, leh natna kai chhinchhiahna, khawsik leh vun natna te a enfiah ang.

Tichuan, thisen test turin an ti ngei ang che, chu chu thisen chhiar kimchang tihna a ni. A tlangpuiin mi hrisel chuan thisen microliter khatah platelet 150,000 leh 450,000 inkar a nei a. He zat hi 50,000 hnuai lam a nih chuan thisen chhuah theihna a sang hle.

A tam zawkah chuan i doctor chuan thisen lama mithiam (hematologist) hnenah a refer thei che a ni. Chu bâkah, test dang ṭhenkhat tihsak i ni thei bawk.

• Blood smear test: Hei hi microscope hmanga i platelet awm dan leh hriselna enfiahna a ni.
• Bone marrow test: Hei hian ruhro chhunga cell chi hrang hrang leh an hriselna te ngun takin a enfiah thei a ni.
• Thisen zam test: Thisen zawrh dan a thawk tha em tih enfiahna special test.

Hei hian eng harsatna nge a thlen theih?

Hei hi a bik takin kan fimkhur a ngai a ni.

• I platelet count 50,000 aia hniam a nih chuan hliam tenau tak pawh hian thisen a chhuah tam thei hle.
• He zat hi 30,000 hnuai lam a nih chuan thil tlemte, beisei loh tak pawhin thisen chhuahna nasa tak a thlen thei a ni.
• I platelet count 10,000 hnuai lam a tlak chuan i taksa chhungah thisen hlauhawm takin a chhuak tan thei a, hliam tuar lo pawh nise. A tlem hle a, nunna atana hlauhawm, thluak chhunga thisen chhuak ang chi a thlen thei. Chuvangin he natna hi damdawi lam pan a pawimawh hle.

Hei hi eng enkawlna nge ni?

Enkawlna chu i platelet count leh a chhan bulpui (underlying condition)-ah a innghat a ni.

• I platelet count a hniam lutuk loh chuan enkawlna engmah i mamawh lo mai thei. I doctor chuan a lo monitor ang.
• A châng chuan, a chhan chu tihtawp a nih hnuah platelet count chu a pangngaiin a awm leh ṭhin. Entirnan, damdawi pakhatin harsatna a thlen tih hriat a nih chuan i doctor chuan chu damdawi chu ei tawh lo turin a hrilh ang che.

Mahse, a nasat (severe thrombocytopenia)-ah chuan doctor chuan enkawlna hrang hrang a pe thei a, chungte chu:

• Steroid damdawi: Hei hi immune system lama harsatna vang a nih chuan taksain a platelet a tihchhiat loh nan heng damdawi te hi pek thin a ni.
• IVIG (Intravenous Immune Globulin): He enkawlna hi steroid i ei theih loh chuan emaw, rang taka platelet count tihpun a ngai a nih chuan pek thin a ni.
• Thisen emaw platelet emaw pek chhuah: 1.1.Mi hrisel atanga thisen emaw platelet emaw taksa hnena pek.
• Splenectomy: Damdawi dangin a natna a thunun theih loh chauhvin, platelet tichhe thei spleen chu operation hmangin an la chhuak thin.
• Damdawi dang: Heng enkawlnate hian natna a thunun loh chuan i doctor chuan damdawi bik dang, eltrombopag (Promacta, Revolade) emaw romiplostim (Nplate) emaw a pe thei a ni.

Thisen chhuah loh nan eng nge tih theih ang?

I platelet level a hniam chuan thisen chhuah loh nan heng thilte hi fimkhur rawh.

• Doctor thurawn tel lo chuan thisen zam tichhe thei aspirin leh ibuprofen ang chi natna tidamtu damdawi ei loh tur a ni.
• Zu in hi tihtlem rawh. Zu hian thisen chhuah a tipung thei a ni.
• Hliam thlen thei contact sports, football, boxing, leh rugby te chu rei lo te chhung chu hlat rawh.
• I ha i sil dawnin i hmui i tihchhiat loh nan toothbrush hrual nem tak hmang ang che.
• Lirthei a chuang dawnin seat belt vuah fo ang che. Machinery hmanga hnathawh i nih chuan safety gloves leh glasses vuah tur a ni.