I thisenah platelet hniam i nei em? Thrombocytopenia chungchang hi han sawi ila!

Cut te tak te i hmuh chuan thisen chhuahna chu rei vak lo hnuah a tawp mai a ni lawm ni? A nih loh leh, a chang chuan engmah vuak lovin i taksaah blue emaw purple emaw bruise i nei tih i hre tawh em? Heng thil awm chhan ber chu kan thisena ‘ platelet ’ an tih cell te tak te te hi a ni. Mahse, heng ṭanpuitute hi an tlem chuan eng nge thleng? Chu chu damdawi lamah Thrombocytopenia kan tih chu a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

A awlsam zawngin, Thrombocytopenia chu eng nge ni?

Thrombocytopenia hi i thisena platelet awm zat chu a tlangpui aia tlem a nih chuan a ni. Platelets hi kan thisena cell te tak te , disc ang maia awm a ni. An hna ber chu hliam awmna hmunah thisen chhuah tihtawp nan clot siam hi a ni. Wall chhunga khur patching ang mai a ni.

He thumal awmzia hi i ngaihtuah ngai em? “Thrombocytes” tih hi platelet tih hming dang a ni. “Penia” tih awmzia chu thil neih tlem, tlakchham tihna a ni. Chuvangin heng pahnih hi an inzawm khawm chuan “Thrombocytopenia” a lo piang ta a ni.

A tlangpuiin mi hrisel chuan thisen microliter khatah platelet 150,000 leh 450,000 inkar a nei tur a ni (thisen tla khatah hian microliter 35 vel a awm). He number hi i thisen report-ah 150,000 aia tlem a nih chuan thrombocytopenia an tih condition anga ngaih a ni.

Hetiang symptoms hi i nei em?

A tam zawkah chuan platelet tlahniam tlem hian symptom a nei lo. Mahse, i platelet count nasa taka a tlahniam chuan heng symptoms te hi i nei thei ang:

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

Platelet hniam i neih theihna chhan tam tak a awm thei. A tlem hle, rochun atanga lo chhuak a ni thei. Mahse a tam zawkah chuan damdawi dang emaw, damdawi i ei vang emaw a ni. A awlsam zawngin, a chhan chi thum a awm a.

1. Taksain platelet a siam chhuah tlem vang a ni

Kan ruhro hi heng platelet siamna factory a ni . Chu factory-a thil siam chhuah a chhiat chuan platelet a tlahniam ang.

• Cancer natna vei, leukemia ang chi te
• Anemia chi thenkhat
• Viral infection , entirnan dengue, hepatitis C , emaw HIV emaw a awm thei
• Cancer natna vei tan chemotherapy emaw radiation therapy emaw hmanga enkawl a ni
• Zu in tam lutuk
• Thil tha lo tak tak, pesticide leh arsenic ei

2. A chhan chu platelet siam aiin a chhe rang zawk a ni

Factory hian hna a thawk tha hle a nih pawhin hearth hi a chhe thuai chuan platelet a tlachham dawn a ni.

• Naupai (mi thenkhat tan) .
• Autoimmune natna te. Hei hi kan taksa ngeia immune system-in a tihsual palh avanga a platelet a tihchhiat hian a ni. Entirnan, lupus.
• Bacteria emaw virus emaw infection thenkhat
• Damdawi thenkhat (e.g. Heparin) .
• Thrombotic thrombocytopenic purpura (TTP) ang chi natna awm lo tak tak te hi a ni.

3. A chhan chu platelet te hi spleen ah a tang tlat thin

A tlangpuiin kan platelet hmun thuma ṭhena hmun khat vel chu kan rilruah a awm ṭhin. Mahse, natna chi hrang hrang, cirrhosis of the liver avanga spleen a lo lian chuan a chhungah platelet tam tak a tang a, chu chuan thisenah platelet inher kual a ti tlem a ni.

Thrombocytopenia chi hrang hrang a awm bawk.

Thrombocytopenia hi a chhan a zirin chi hrang hrangah then theih a ni.

• Immune Thrombocytopenic Purpura (ITP): Hei hi a tam ber a ni. Heta thil thleng hi kan taksa hriselna (immune system) hian harsatna a awm avangin kan platelet te hi a tichhe vek a ni. Hei hi chi hnih a awm thei a, naupangah acute ITP leh puitlingah chronic ITP a ni.
• Thrombotic Thrombocytopenic Purpura (TTP): Hei hi natna awm lo mahse hlauhawm tak a ni. Taksa pumpuiah thisen zam te te a lo awm a. Heng clots siam nan hian platelet tam lutuk hman a nih avangin thisenah platelet count a tlahniam thin.
• Drug-induced Thrombocytopenia (DIT): Hetiang natna hi damdawi thenkhat avanga side effect angin a awm thei. Damdawi an chawlhsan chuan a bo tlangpui.
• Gestational Thrombocytopenia: Naupai laiin natna a ni a, a tlangpuiin a na lo. Nau neih hnuah a reh fo thin.

Engtin nge hei hi i hmuh theih, Doctor?

A chhan dang avanga thisen test pangngai (Full Blood Count – FBC) tih laiin accident-in hmuhchhuah a ni fo thin. I doctor-in platelet i hniam tih a hriat veleh a chhan hriat tumin test tlemte dang an order leh ang.

Chu bakah, doctor chuan i taksa a enfiah thei a, abdominal ultrasound scan hmangin spleen lian emaw, liver problem emaw a awm leh awm loh a enfiah thei bawk.

He dinhmun hi a pawi thei em?

Mi tam zawk tan chuan hei hi harsatna lian tak a ni lo. Mahse, platelet count 20,000 hnuai lam a tlak chuan a hlauhawm thei hle. Hei hi a chhan chu taksa chhungah, a bik takin thluaka thisen a chhuak thei a, hliam tuar lo pawhin thisen a chhuak thei a ni. Hei hi nunna atana hlauhawm tak a ni.

Chuvang chuan Thrombocytopenia i vei a nih chuan doctor thupek dik tak zawm a, a hun taka clinic-a kal a pawimawh hle. Lu na nasa tak, mit hmuh dan danglam, tawng harsa tih ang chi symptom i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal tur a ni a, hengte hi thluaka thisen chhuak chhinchhiahna a nih theih avangin.

Engtin nge enkawl a nih?

Enkawlna chu i platelet count tlahniam chhan leh i platelet count tlahniam danah a innghat a ni.

• A chhan enkawl dan: Platelet count hniam chhan chu damdawi a nih chuan doctor chuan chu damdawi chu a chawlhsan ang a, damdawi dang a pe ang. Infection a nih chuan an enkawl ang.
• Damdawi: ITP ang chi immune system lama harsatna a awm chuan steroid ang chi damdawi pek hmangin immune system control a ni.
• Thisen emaw, platelet emaw pek: Platelet count a tlem hle emaw, thisen chhuak nasa tak a awm emaw chuan pawn lam atanga platelet pek a ni (Platelet transfusion).
• Surgery: Enkawlna dangin a natna a thunun theih loh chuan splenectomy tih a ngai mai thei.
• Plasma Exchange: Hetiang enkawlna hi TTP ang chi condition-ah te hman a ni.

Engtin nge i in enkawl theih ang?

Hetiang dinhmun nena kan nun hian hliam tuar theihna tur tihtlem a pawimawh hle.

• Thil hlauhawm tak takte pumpelh rawh: Boxing, karate, leh rugby ang chi contact sport-ah te inthiarfihlim rawh.
• Damdawi lakah fimkhur rawh: Thisen chhuah theihna tipung thei damdawi, aspirin leh ibuprofen te i hman hmain doctor zawt hmasa phawt ang che.
• Zu tihtlem: Zu in hian ruhro (bone marrow) a platelet siam chhuah a ti tlem thei a, chuvangin zu in tlem hi a tha ber.

Thrombocytopenia, Platelets, Platelet count hniam, Thisen chhuak, Hrisel lohna, Purpura, Petechiae