I chau reng em? I pale tawh em? Anemia a ni thei!

A châng chuan chhan awm lovin i chau lutuk a, rei vak lo i kal hnuah pawh i lu a buai a, i vun rawng i vuah em? Heng symptoms te hi hahna mai pawh a ni lo mai thei. Heng symptoms te hi kan taksa chhunga damdawi lam dinhmun chhinchhiahna a ni thei. Chu chu anemia a ni a, kan hriat vek angin ‘anemia’ a ni. Hei hi natna tlanglawn tak ni mah se, fimkhur a pawimawh hle. Chuvangin vawiinah hian sawi ila.

Engtin nge thisen tlakchhamna (anemia) ka vei tih chiang taka ka hriat theih ang?

Thisen tlakchhamna (anemia symptoms) nei nia i hriat chuan a tha ber chu Doctor pan hi a ni. Doctor chuan zawhna tlem a zawt ang che.

• I natna lan chhuah dan chipchiar takin sawi rawh: hahna, thawk hah, lu na, vun rawng, etc..
• I damdawi lam chanchin: Natna dang i neih ang chi thil te, damdawi i ei dan te, zu i in leh in loh te.
• Chhungkaw damdawi lam chanchin: Chhungkaw zingah thisen tlakchhamna emaw, thisen kaihhnawih natna dang emaw nei an awm em?
• Diet: I ei leh in tlangpui, sa, sangha, leh thlai engzat nge i ei tih te, etc.

He thu hi a hriat hnuah doctor chuan a enfiah ang che a, chutah chuan thisen test eng emaw zat a ti ang a, chu chuan i natna chu a finfiah ang.

A awlsam zawngin sawi ila, thisen tlakchhamna thlentu lian ber pathum a awm.

1. Thisen chhuah vang: Taksa khawi hmun atang pawha thisen chhuak a awm chuan (e.g. thlasik nasat, intestinal injuries).

2. Thisen sen (red blood cells) siam chhuah tlem: Taksain ei tur pawimawh (iron, vitamin B12) a tlakchham chuan, ruhro (bone marrow) lama harsatna a awm vang a ni.

3. Red blood cell tihchhiat: Taksa chhunga thisen sen (red blood cells) rang taka a inthen darh.

A chhan dik tak hriat theih nan thisen test an nei thin.

A tam zawkah chuan heng thisen test te hian a chhan an hmuchhuak thei a ni. Test nan hian bone marrow sample lak a ngai hi a tlem hle . Chuvangin chu chu hlau suh.

Anemia enkawlna tur engte nge ni?

A pawimawh ber chu thisen tlakchhamna chhan dik tak hriat a nih hma chuan enkawl tan loh hi a ni. A chhan chu thisen tlakchhamna chi khat tan damdawi an pek chuan a dang tan a thawk lo thei a, a hlauhawm pawh a ni thei. Chuvang chuan mahni damdawi ei loh tur a ni.

Thisen chhuah avanga thisen tlakchhamna (anemia) a awm

Thisen hloh thut, tam tak (e.g., accident) a awm chuan saline, thisen pek, oxygen, leh iron tablet te i pe thei a ni. Mahse hun rei tak chhung, thisen chhuak tlem (e.g., intestinal ulcers, hemorrhoids) a awm chuan a hmasa ber chu thisen chhuahna bul zawn a, tihtawp a ni. Hei hian colonoscopy ang chi test a huam thei. Tichuan, iron tlakchhamna chu enkawl a ni.

Thisen sen (red blood cell) siam chhuah tlem avanga thisen tlakchhamna (anemia) a awm thin

Hei hi tlem a chipchiar zawka sawi tur a ni.

Iron tlakchhamna avanga thisen tlakchhamna

Hei hi khawvela thisen tlakchhamna chi khat zingah chuan a tam ber a ni. Taksain iron a tlakchham chuan thisen sen (red blood cells) a siam thei lo. Hetiang dinhmun hi hmeichhe naupangte zingah thlasik nasat vangin a awm thei a ni.

Iron supplement i ei a nih chuan hengte hi hre reng ang che:

• Damdawi lam thurawn tel lo chuan iron pill ei ngai suh. Iron overload pawh a hlauhawm hle. Chauhna, luak chhuak, luak chhuak, thinlung natna, ruh natna te a thlen thei a ni.
• Iron tablet hi naupang tê tê lakah hla takah dah vek tur a ni. Naupang tê tête hian iron tablet an ei palh a nih chuan thihna a thlen thei a ni. Naupang zingah accidental poisoning awm tam ber zinga mi a ni. Naupangin thir tablet a ei nia i rinhlelh chuan Emergency Department (ETU) hnai ber pan nghal rawh.I keng tel bawk ang. A tul chuan Colombo National Hospital-a National Poison Information Center-ah biak la, thurawn la rawh.
• Side effects te chu fimkhur rawh. I pum na, luak chhuak, leh chaw ei kham lo i nei thei. Hengte tihtlem nan hian pill hi ei tur nen i ei thei bawk. Side effect i neih chhunzawm chuan doctor hnenah hrilh rawh.
• Damdawi dang nena inzawmna. Thil dang (e.g. calcium pills) atana damdawi i ei a nih chuan i doctor hnenah hrilh rawh . Calcium hian taksain iron a lakluh theihna a ti tlem thei a ni.
• Vitamin C awmna iron tablet (e.g. orange tui glass khat) ei hian taksain iron a lakluh a tipung a ni.

Tin, thir tamna ei tur (sa sen, legumes, bean, egg yolks, spinach, seafood) ei pawh a tha hle.

Vitamin B12 leh folate tlakchhamna avanga thisen tlakchhamna

Enkawlna chu a natna chhan a zirin a ni. A tam zawkah chuan vitamin B12 injection emaw, high-dose pill emaw pek thin a ni. Mi thenkhat chuan heng injection emaw pill emaw hi an dam chhung zawng an ei a ngai thin. Sa, sangha, bawnghnute, cheese, leh artui ang chi ei tur hian vitamin B12 a pai tam hle.

Folate tlachham tan folic acid tablet pek thin a ni. Folate hi thlai hring, thei leh bawnghnute atanga siam chawah a tam hle.

Hemolytic anemia ( thisen zam (red blood cells) tihchhiat avanga thisen tlakchhamna) .

He natna hi a chhan bulpui enkawlna hmanga enkawl a ni. A châng chuan enkawlna a ngai lo. A chhan chu chemical a nih chuan a kaihhnawih hi tihtawp a ngai a ni. Mi thenkhat chuan steroid, plasmapheresis, emaw, a tlem berah chuan splenectomy emaw an ei a ngai mai thei.

Anemia hi ven theih a ni em?

Ni e, thil tam takah chuan iron tlakchhamna avanga thisen tlakchhamna ang chi hi ei leh in tha tak neih hian a veng thei a ni.

• Ei leh in inthlau tak ei rawh. I ei leh inah iron, vitamin B12 leh folate tamna ei tur te telh bawk ang che.
• Vegetarian/vegan i nih chuan doctor emaw nutritionist emaw biak ngei ngei tur a ni a, a tul chuan nutritional supplement ei thin ang che.
• Tea leh coffee i in tlem zawk rawh. Hengte hi chaw ei ruala ei hian taksain iron a lakluhna a ti tlem a ni.
• Thir hmanga siam cereal leh chhangphut thlang rawh.
• Lead awmna thil (e.g. battery, paint) hmanga hnathawh a nih chuan himna dan dik tak zawm tur a ni.