I platelet count a sang em? Thrombocytosis chungchang hi han sawi ila!

Full Blood Count report kha i la a, a thusawi te i en tawh em? Chuta thil awm zingah chuan "Platelets" tih hlutna a awm tih i hmu tawh ngei ang. A chang chuan doctor chuan, "I platelet count a sang deuh a ni," a ti thin. Chutih lai chuan hlauhna leh lungkhamna tlem a awm chu thil pangngai a ni. "Eng nge hei hi? A serious em?" I ngaihtuah a. Chuvangin vawiin hian he thisen platelet tihpun chungchang hi awlsam tak leh friendly takin han sawi ila, chu chu damdawi lam hawia Thrombocytosis an tih condition a ni.

A hmasain, platelet hi eng nge ni?

A awlsam zawngin sawi ila, platelet hi kan thisena cell te tak te chi khat a ni. I taksa hmun dangah hliam emaw, hliam emaw i neih chuan thisen chhuahna tihtawp tura lo kal ‘helper group’ tlemte angin ngaihtuah rawh. Hliam awmna hmunah chuan rang takin an lo kal a, an inzawm khawm a, hliam chu seal turin plaster ang maiin clot an siam a ni. Hei hi thisen chhuah a reh dan a ni. Chuvangin platelets hi kan taksa peng pawimawh tak leh pawimawh tak a ni tih i hmu thei ang.

Mahse, eng thil pawh ang bawkin, heng platelet te hi a sang lutuk hian harsatna a awm thei a ni. Thrombocytosis tih hi thisen a platelet awm zat pangngai aia sang a pun chuan a ni. Hetianga platelet a pun chuan kan thisen hi a chang chuan a sticky thei bawk. Hei hian hliam awm lohna hmunah, chu chu thisen kalna kawng chhungah duh loh zawng thisen zam a siam thei a ni. Heng thisen zamte hi enkawl a nih loh chuan natna khirh tak tak, heart attack emaw stroke emaw pawh a thlen thei a ni.

Thrombocytosis hi chi hnih a awm a, chungte chu:

I thisena platelet tamna chhan a zirin he natna hi chi hnih ah then theih a ni. Heng pahnih hi hriatthiam a pawimawh a, a chhan chu enkawl dan tur chu hetiang chiah hian a innghat dawn a ni.

Mahse, i thisen test-naah i platelet count a sang tih a hriat chuan i taksa chhungah thil engemaw a thleng a, chu chu doctor-in a chhui chian a ngai tihna a ni. Thil hmuhchhuah chhan azirin hun rei tak enkawlna emaw, hun rei lote enkawlna emaw, enkawl ngai lo emaw pawh a ngai mai thei.

Platelet count sang lutuk hian eng symptoms nge a neih?

Dik tak chuan mi tam tak chuan platelet count sang tihna symptom engmah an nei lo . Chhan dang avanga thisen test an tih hian accidentally hmuhchhuah a ni.

Reactive Thrombocytosis i neih chuan a hnuaia awm (entir nan, infection atanga khawsik) symptoms i nei thei.

Mahse, platelet pung zel hian thisen zam a siam emaw (a tlem hle) chhungril thisen a chhuah emaw chuan symptom thenkhat a awm thei. Hetiang dinhmun hi Essential Thrombocytosis-ah hmuh tur a tam ber.

• Chau
• Hnar thisen chhuak fo thin
• Hliam tlemte hnuah pawh thisen chhuah (bruising).
• Kawngkhar emaw, ka chhunga hmun dang emaw atanga thisen chhuah awlsam
• Dizziness , mitdelna, leh lu na
• Kut leh ke na, a hring, leh a sen (erythromelalgia an tih natna chhinchhiahna) .
• Pum natna, a bik takin pum dinglam sir (Budd-Chiari syndrome ang chi natna chhinchhiahna a ni thei)

Engvangin nge hetiang hian platelet hi a pung? A chhan engte nge ni?

A chhan pawh a hmaa kan sawi tawh chi hnih a zirin a inang lo.

Essential Thrombocytosis (ET) natna thlentu te .

Hei hi genetic mutations avanga lo awm a ni. Mahse hei hi pianpui thil a ni lo va, hun kal zelah a lo thanglian zel a ni. A awlsam zawngin kan taksain platelet siam tura min hrilhtu genes-ah hian inthlak danglamna a awm a. Chuvang chuan ruhro (bone marrow) chuan control lohvin platelet tam lutuk a siam tan ta a ni.

Reactive Thrombocytosis awm chhan te

Hei hi taksain harsatna dang a hmachhawn dan mai a ni. Platelets sang chhan tlangpui thenkhat chu hetiang hi a ni:

• Thisen chhuah: Accident emaw, surgery emaw avanga thisen tlakchhamna tam tak a awm chuan.
• Cancer dinhmun: Cancer chi hrang hrang vang a ni.
• Infection: Bacteria emaw virus emaw atanga kai theih.
• Inflammatory conditions: Taksa a inflammation thlentu natna, arthritis ang chi te.
• Iron tlakchhamna avanga thisen tlakchhamna.
• Damdawi thenkhat.
• Surgical removal of the spleen: Spleen hnathawh pakhat chu platelet hlui lakchhuah hi a ni. A paih chuan platelet count a tipung thei a ni.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Essential Thrombocytosis (ET) vei te hi harsatna an tawk nasa zawk. Reactive Thrombocytosis-ah hian harsatna a awm tlem hle.

Risk lian ber chu thisen zam (blood clots) siam hi a ni . Heng thisen zamte hi thluak lam panna thisen kalna kawngah a tlakbuak chuan stroke a thlen thei a, thinlung lam panna thisen kalna kawngah a tang a nih chuan heart attack a thlen thei bawk Heng thisen zamte hi hmun dang, lung leh keah te pawh a lo awm thei bawk.

A tlem hle a, ET hi thisen cancer dang, leukemia-ah a lo chang thei a, ruhroah hliam (myelofibrosis) a siam thei bawk. Naupai laiin harsatna thenkhat a thlen theihna a tipung thei bawk.

Mahse, lungngai suh. ET i neih chuan i doctor chuan i hriselna chu uluk takin a enkawl ang a, heng ang harsatna lo thleng tur venna atan hian a tul ang ang enkawlna a pe ang che.

Engtin nge doctor-te hian hei hi an hriat chian tak?

Thrombocytosis hi thisen test hmanga hriat theih a ni ber. A tlangpuiin thisen microliter khatah platelet 450,000 aia tam chu a sang hle nia ngaih a ni. I doctor chuan kar engemaw zat hnuah i thisen chu i platelet count a la sang em tih enfiah leh a duh mai thei. Count chu a pangngaia a lo kir leh tawh chuan ngaihtuahawm tur a ni lo tlangpui.

Platelet count a sang chhunzawm zel chuan a dawt leh tur chu Reactive nge Essential tih hriat a ni. Hei hian test eng emaw zat neih belh a ngai dawn a ni.

• Thisen test dang: Hengte hian iron level leh inflammatory marker ang chi thil an enfiah a, microscope hmangin platelet pianzia dik lo an zawng thin.
• Genetic tests: He test hian genetic mutations JAK2 , CALR1 , emaw MPL1 te a hmuchhuak thei a, Essential Thrombocytosis-ah hmuh tur a awm tlangpui.
• Bone marrow biopsy: Hei hi hip ruh ang chi hmun atanga ruhro sample tlemte tak tak anesthesia hmanga lak a, laboratory-a test a ni. Hei hian ET condition chu chiang takin a nemnghet thei a ni.

Engtin nge enkawl a nih?

Enkawl dan tur chu thrombocytosis i neih chi leh i symptoms a zirin a ni.

Reactive Thrombocytosis tan chuan:

Hei hi natna dang chhanna atana platelet a punna a ni. Chuvangin, enkawlna chu a chhan bulpui ber a ni . Entirnan, infection avanga platelet count a san chuan chu infection atan antibiotics pek a nih chuan infection a dam deuh deuh chuan platelet count chu a normal leh ang.

Thrombocytosis pawimawh tak (ET) tan chuan:

ET hi tihdam theih a ni lo. Mahse, thisen zam hlauhawmna tihziaawmna turin uluk taka enkawl theih a ni. Enkawlna kawng hrang hrang a awm a:

• Fimkhur taka nghah: I natna lan chhuah dan i neih loh a, thisen zam i neih theihna a tlem chuan i doctor chuan damdawi engmah pe lovin thisen test mumal takin i dinhmun a enfiah thei ang.
• Aspirin dose tlem: Thisen zam venna atan nitin aspirin pill pek i ni thei. Mahse, doctor rawn hmasa lovin aspirin hi mahni chauha ei tan ngai suh.
• Platelet level tihhniam thei damdawi: Hydroxyurea, Anagrelide, leh Interferon alfa te ang damdawi te hian platelet siamchhuah a control thin.
• Platelet lakchhuah dan: Nunna atana hlauhawm thisen zam lo awm nghal theihna a awm chuan i thisen chu machine hmangin platelet tam lutuk filter chhuah theih a ni.

Engtikah nge doctor i hmuh ang?

Thrombocytosis i vei tih hmuhchhuah a nih chuan doctor-in a tih angin thisen test neih fo a pawimawh. Tin, i doctor hnenah eng symptom nge a lo awm a nih chuan i report nghal tur tih zawt bawk ang che.

A bik takin, stroke emaw heart attack emaw symptoms (e.g. rilru na nghal, tawng harsa, taksa sir khata chak lohna, hmai tlak) i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.