Cut te tak te hian thisen a chhuah loh nan a hma aia rei a ngai em? A nih loh leh ha i sil hian i hmui a thisen chhuak em? I taksaah hian engmah avanga awm lo anga lang hliam i nei mai thei. Hengte hi i taksaa platelet tlahniam chhinchhiahna a ni thei. Damdawi lam hawi chuan he natna hi Thrombocytopenia kan ti a. A hming hi mak tak angin lang mah se, hei hi kan zingah chuan kan awm fo thin. Chuvangin vawiin hian he Thrombocytopenia mi tam tak tuar mahse hriat hlawh lo tak hi kan sawi dawn a ni. Ngaihtuah buai suh, engkim hi awlsam tak leh chiang takin kan sawi dawn a ni.
A awlsam zawngin, Thrombocytopenia chu eng nge ni?
Okay, platelet hi eng nge a nih i hrethiam hmasa phawt ang u. I taksa chhungah hian ‘plaster’ chi hrang hrang te te a tlan kual vel ang tih han ngaihtuah teh. Chungte chu platelet an ti a. Kan ruhroah an lo piang chhuak thin. An hna ber chu hliam awmna hmunah rang taka inkhawm a, thisen chhuah tihtawp nan thisen zam siam hi a ni. Bang chhunga khur plug ang mai a ni.
Thrombocytopenia chu i thisena platelet awm zat pangngai aia tlem a nih chuan a ni. Chutiang thil a lo thlen chuan eng nge thleng? Thisen chhuah titawptu ‘plaster’ chu a tawk tawh lo. Chuvangin hliam te tak te pawhin thisen a chhuah tam thei a, thisen chhuah tihtawp nan hun rei tak a la ngai thei bawk.
A tam zawkah chuan he natna hi damdawi lam thil dang, autoimmune disease emaw, damdawi thenkhat kan ei avanga side effect emaw avanga lo awm a ni. A tha ber chu a chhan hriat chian a nih veleh enkawl theih a ni a, platelet count pawh a pangngaiin a awm leh thei a ni.
Engtin nge thisen platelet count hi teh a nih? Level pangngai leh pangngai lo
Thisen test (Full Blood Count) kan tih hian platelet awm zat dik tak kan hre thei a. A tlangpuiin puitling hrisel tak chuan thisen microliter khatah platelet 150,000 atanga 450,000 vel a nei thin. Thrombocytopenia-ah chuan he zat hi a tlahniam thin. A natna nasat dan chu a tlahniam zat a zirin kan thliar hrang thin.
| Nihna | Platelet count (thisen microliter khatah) 1.1. |
|---|---|
| Average level a ni | 150,000 - 450,000 vel a ni |
| Thrombocytopenia natna nei lo | 101,000 - 140,000 vel a ni |
| Thrombocytopenia hniam lam (moderate) a awm | 51,000 - 100,000 vel a ni |
| Thrombocytopenia na tak a awm | 51,000 aia tlem lo an ni |
A tam zawkah chuan mild deficiency nei te hian symptom lian tak tak an nei lo. Mahse, a pawi tak a thlen chuan kan fimkhur a ngai hle.
Thrombocytopenia i neih leh neih loh engtin nge i hriat theih ang? Heng symptoms te hi fimkhur rawh
Mi thenkhat chuan platelet count hniam deuh mahse symptom an nei lo mai thei. Mahse, a lan chhuahna a lan chhuah chuan: Chûng zînga pakhat emaw, a aia tam emaw i neih chuan doctor pan a, thurâwn pêk a pawimawh hle.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Bruising awlsam tak a ni | Taksaah hian blue emaw purple emaw bruises a lo lang a, trauma engmah a awm lo. Hengte hi vun hnuaia thisen chhuak te te avanga lo awm a ni. |
| Gums thisen chhuak | Ha i sil lai chauh ni lovin, i ding mai mai pawhin gums thisen a chhuak thei bawk. |
| Hnar thisen chhuak | Chhan bik nei lovin hnar thisen chhuak fo. |
| Vunah a sen/purple rawng te te (Petechiae) . | Vun hnuaia hmul sen te te, hnim hring hring, ke hnuai lam ah a lang fo thin. Chungte chu rash ang maiin a lang thei. |
| Hmeichhiaah thlasik laiin thisen chhuak nasa lutuk | Menstruation pangngai aia rei emaw, a tlangpui aia thisen chhuak nasa zawk emaw. |
| Thisen chhuak chu stool ah a awm | Black emaw dark red stool tam tak i pass chuan digestive tract-a thisen chhuak chhinchhiahna a ni thei. |
| Thisen chu zun chhungah a awm | Zun chu pink emaw, sen emaw a nih chuan chu pawh chu ngaihtuah tur chhinchhiahna a ni. |
A pawimawh ber chu doctor hmu a, thurawn lak a ni a, he symptom hi "thil dang mai a ni thei" tia hnawl ai chuan.
Engvangin nge thisen platelet hi hetiang hian a tlahniam? A chhan berte chu engte nge ni?
Thisen platelet tlahniam chhan hi chi thum ah then theih a ni.
1. Ruhro (bone marrow) hmanga platelet siam chhuah tling tawk lo: Kan ‘platelet factory’ ni thin bone marrow-ah hian harsatna a awm a, chu chuan a siam chhuah a tihtlem phah a ni.
2. Platelet siam chhuah te hi taksaah a chhe emaw, a hmang zo vek emaw: Factory hian hna a thawk tha hle a, mahse platelet siam chhuah te hi eng emaw chhan vangin a chhe nghal vat thin.
3. Spleen retention of platelets: Spleen hi kan pum veilam sir chunglam a awm organ a ni. A châng chuan a mamawh aia tam platelet a vawng tlat a, thisenah a chhuak thei lo.
Tunah chuan hei hi a chhan bik eng nge ni tih i lo en ang u.
- Autoimmune Diseases: Hei hi kan taksa invenna (defence system) ngeiin a beih a, kan thisen platelet a tihchhiat hian a ni. Entirnan, `(Immune Thrombocytopenia - ITP)`, `(Lupus)`, leh `(Rheumatoid Arthritis)` ang chi natna te hi a ni.
- Thisen Cancer: Cancer Leukemia leh Lymphoma te hian ruhro a tichhe thei a, thisen platelet siam chhuah a ti tlem thei bawk.
- Cancer enkawlna hrang hrang:Cancer thattu chemotherapy leh radiation therapy hian cancer cell chauh ni lovin, ruhro chhunga cell hrisel tak takte pawh a tichhe thei a ni.
- Infection thenkhat: Viral infection Dengue ang chi te bakah bacteria infection thenkhat te hian thisen a platelet awm zat hi rei lo te chhungin a ti tlem thei a ni.
- Damdawi: Antibiotics thenkhat, thisen tithianghlimtu heparin ang chi, leh seizure damdawi te hian side effect angin thisen platelet tlahniam a thlen thei bawk.
- Zu in tam lutuk: Zu in hian bone marrow function a ti tlem a, thisen platelet siamchhuah a ti tlem bawk.
- Naupai: Hmeichhe naupai thenkhat chuan platelet a tlahniam deuh thei a, a bik takin nau neih hun hnaihah. Hei hi nau neih hnuah a pangngaiin a kir leh fo thin.
- Chemical tha lo (toxic chemicals) nena inzawmna: Hun rei tak chhunga thil chi hrang hrang, arsenic, benzene, leh pesticides te nena inhmuhna hian hetiang hi a thlen thei bawk.
Hei hi hlauh tur thil a ni em? Harsatna awm thei te
Mi tam zawk chuan thrombocytopenia na lo emaw, na lo emaw an nei thin. Harsatna a thlen vak lo. Mahse, platelet count a nasat chuan , chu chu count 20,000 hnuai lam a tlahniam chuan risk engemaw zat a awm tihna a ni.
- Internal bleeding: Hei hi harsatna lian ber a ni. Thisen chhuah hi chaw ei kawngah emaw, thluak lamah emaw a awm thei. Thluaka thisen chhuak hi nunna atana hlauhawm tak a ni a, damdawi lam pan vat a ngai a ni.
- Heart attack: A tlem hle a, he natna hian thinlunga thisen kal a tikhawlo thei a ni.
Heng thilte hi thil pawi tak takah chauh a thleng thin. Chuvangin, symptoms i neih chuan doctor rawn hmasa a, enkawl la, chutiang natna khirh tak chu a veng thei a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah i natna lan chhuah dan te, damdawi i ei dan te, i chhungte zingah hetiang natna hi an nei tawh em tih te a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang a, a hliam, a sen, etc. a awm leh awm loh a enfiah ang.
Hei bakah hian test engemawzat tih theih a ni bawk a, chu chu a natna hmuhchhuah a ni:
- Complete Blood Count (CBC): Hei hi test bulpui leh pawimawh ber a ni. Platelet count chauh ni lovin, red blood cell leh white blood cell count pawh a check thei a ni .
- Peripheral Blood Smear: Hei hi thisen tla khat lak a, microscope hmanga en a ni. Platelet awm dan hi an pianzia leh a lian zawng enin i hre thei ang.
- Thisen zam Test: 1.1.I thisen a inzawm hun chhung tehna test. `(PT)` leh `(PTT)` te hi chutiang test pahnih a ni.
- Bone Marrow Biopsy: I doctor-in i platelet count hniam chhan chu i bone marrow-a harsatna vang a nih a rinhlelh chuan he test hi an order thei ang. Hei hian i hip ruh atanga bone marrow sample tlemte lak a, test a huam a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu i platelet count a hniam dan leh a chhan a innghat a ni.
A châng chuan i platelet count a hniam deuh a, symptom i neih loh chuan i doctor chuan enkawlna engmah nei lovin en mai mai che a tum mai thei.
Mahse enkawlna a ngai a nih chuan hetiang thil hi tih a ni tlangpui:
- A chhan bulpui enkawl dan: Hei hi a pawimawh ber a ni. Entirnan, damdawi i ei avanga i platelet count a hniam chuan i doctor chuan chu damdawi chu a thlak ang. Infection vang a nih chuan an enkawl ang.
- Steroids: Heng damdawi te hian eng emaw chen chu immune system hnathawh a control thei a, thisen platelet tihchhiatna a ti tlem thei bawk.
- Thisen pek: I platelet count a tlem hle a, thisen chhuah hlauhawmna i neih chuan pawn lam atanga platelet pek i dawng thei a ni. Mahse, hei hi hun eng emaw chen atana chinfelna a ni.
- Splenectomy: Enkawlna dang a hlawhchham a, spleen hian platelet tam tak a trap tih hmuhchhuah a nih chuan i doctor chuan surgery hmanga spleen chu lakchhuah a tum mai thei. Vaccine tul tak tak i lak hmasak a ngai dawn a, a chhan chu spleen lakchhuah hnuah natna kai theihna a sang zawk a ni.
Thrombocytopenia natna vei huna i tih theih thilte
Hetiang dinhmun hi i neih chuan thisen chhuah leh hliam tih tlem nan nangmah ngeiin thil engemaw zat i tih theih a awm.
- Damdawi lam thurawn tel lo chuan natna tidamtu damdawi ei loh tur: Natna tidamtu thenkhat, `(Aspirin)` leh `(Ibuprofen),` te hian thisen zam theihna a ti tlem lehzual thei a ni. Chuvangin damdawi eng pawh i ei hmain doctor zawt hmasa phawt ang che.
- Hliam thlen thei thil tih loh tur: Rugby leh football ang chi contact sport te, weight lifting te atanga inthiarfihlim a tha ber. Chu ai chuan tui chawi leh kea kal ang chi exercise him tak takah i rilru i pe thei zawk ang. Hemi chungchang hi i doctor nen inbia la, i tana tha tur chu thlang rawh.
- Zu in tlem: Kan sawi tawh ang khan zu hian platelet siamchhuahna a tibuai a. Chuvangin zu i in a nih chuan a tlem berah ti rawh.
- Ha i sil dawnin fimkhur rawh:Ha hring hring (soft-bristled toothbrush) hmang rawh. I ha chu uluk takin silfai la, i hmui a hliam loh nan.
- Hrisel taka zin: Lirtheia i kal dawnin seat belt vuah fo ang che.
- Doctor dangte hriattir: Ha enkawltu hnena kal emaw, operation dang emaw i neih chuan, chu doctor-te chu thrombocytopenia i vei tih leh i damdawi ei turte hriattir ngei ang che.
Take-Home Thuchah a ni
- Thrombocytopenia hi thisen a platelet awm zat chu a pangngai aia tlem a ni. Hei hian thisen chhuah leh hliam awlsam tak a thlen thei a ni.
- I hmui thisen chhuak, a chang chuan hliam, emaw i vunah hmun sen emaw ang chi symptom i neih chuan ngaihthah suh.
- Hetiang dinhmun hi chhan tam tak a awm thei a, chuvangin a chhan dik tak zawn chhuah a, enkawl a pawimawh hle.
- Heng symptoms te hi i neih chuan hlauthawng suh la, a rang thei ang bera doctor pan la, thurawn la rawh. I detect hma poh leh control a awlsam zawk.
- Damdawi lam thurawn zawm a, nunphung tlemte tihdanglamna hmang hian he natna hi hrisel takin i nung thei ang.
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