Hun rei tak chhung thisen chhuak tawp lo cut te tak te i nei tawh em? A nih loh leh, i taksa tichhe lovin blue- a lo chang, hliam i nei tawh em? "Hei hi thil pangngai a ni," tiin i ngaihtuah mai thei. Mahse, hengte hi i taksa thisen zam danah harsatna a awm thei tih chhinchhiahna a ni. Hetiang hun lai hian doctor-te chuan thisen test ‘Coagulation Studies’ tih chu an rawt thin. Chuvangin, vawiin hian he thu hi awlsam tak leh zahawm takin i sawi dawn nia.
He thisen zam hi eng tak nge ni?
I taksa hmun dangah hliam i neih chuan eng nge thleng tih kha han ngaihtuah teh. Rei vak lo hnuah thisen chhuah chu a reh ta. Tichuan hliam chungah thisen zam te tak te a lo awm a, a lo vawt ta a ni. Hei hi kan hriat vek thisen zam chu a ni.
A awlsam zawngin sawi ila, hei hi kan taksaa invenna mak tak a ni. Kan thisenah hian protein bik engemaw zat a lo awm a, chu chu thin (liver) atanga siam a ni. Hengte hi clotting factors kan ti a ni . Thisen kalna kawng, hliam ang chi a chhiat chuan heng protein leh platelet te hi an inzawm khawm a, dam an siam a, a chhiatna hmun chu an khar ta a ni. Hei hi thisen chhuah a reh dan a ni.
Hetiang kalphung hi a inthlau hle a ngai a ni.
- Factors te hi a tlahniam a nih chuan: Heng proteins (factors) te hi a tlahniam a nih chuan thisen a inthiar theih nan hun a duh rei zawk. Hei hian hliam te tak te pawhin thisen a chhuah a titawp lo tihna a ni .
- Heng thilte hi a pun chuan: Heng thilte hi a tul lo taka a pun chuan thisen kalna kawngah thisen zam a lo awm thei a ni . Hei pawh hi dinhmun hlauhawm tak a ni.
Hliam a dam hnuah kan taksa chu zawi zawiin a lo hmin a, thisen zam chu a paih chhuak ta a ni . Hetiang kalphung hi ``Fibrinolysis`` an ti a.
Chuvangin, he thil kalphung zawng zawng hi a thawk tha em tih hriat nan ‘Coagulation Studies’ tih test kan nei thin. Heng test te hian thisena protein awm zat chauh ni lovin, chu protein te chu a thawk tha em tih te pawh an en thin.
Coagulation Studies atana test lian ber berte chu engte nge ni?
Hemi hnuaiah hian test hrang hrang tih theih a awm. I doctor chuan i symptoms a zirin test tul te a rawn rawt ang che. Hetah hian a bulpui berte chu kan rawn tarlang e.
| Test neihna tur hming | Eng nge teh mai mai? |
|---|---|
| Prothrombin hun chhung (PT) 1.1. | Thisen zam a lo awm theih nan eng chen nge a ngaih tih tehna key test. Tin, thisen tihthianghlimna damdawi Warfarin ang chi ei thinte dose enfiahna atan pawh hman a ni. |
| Activated Partial Thromboplastin Hun (aPTT) hmanga tihchhuah a ni. | Hei hi thisen zam chhuahna kawng dang pakhatin a thawh that leh that loh tehna test dang a ni. Hei hian sawifiah theih loh thisen chhuahna chhan zawng turin a pui thei a ni. |
| Thrombin hun chhung (TT) 1.1. | He test hi thisen zam hnuhnung ber (final stage) a thawk tha em tih hriat nan a pawimawh hle. |
Heng test-te hian thisen zam chungchangah harsatna a awm tih a hriat theih laiin, nakin lawka thisen chhuah nasat dan tur erawh a sawi lawk thei lo. Amaherawhchu, a chhan hriat chian a nih veleh, a \ul anga enkawl \an theih a ni.
Eng dinhmunah nge heng test te hi tih thin?
A chiang e, heng test te hi thisen chhuah tihtawp theih loh a awm emaw, thisen chhuak chauh a awm emaw chuan tih a ni. Mahse chu bakah chuan chhan dang engemaw zat a awm.
- Bruising easily: Chhan awm lovin i taksaah hliam i neih fo chuan.
- Hliam nena inmil lo thisen chhuak: Hliam te tak te atanga thisen chhuak tam lutuk a awm chuan.
- A chhan hriat loh vanga hliam leh natna: A chang chuan ruh chhunga thisen chhuak vangin heng symptoms te hi a awm thei bawk.
- Liver Disease: Thisen zam (blood clotting factors) hi liver-ah siam a nih avangin heng test-te hian liver natna vei mi pakhat dinhmun enfiah nan a pui a ni.
- Vitamin K tlakchhamna: Thisen zam nan Vitamin K hi a pawimawh hle. Heng test te hi tlakchhamna a awm leh awm loh enfiah nan an ti bawk.
- Thisen tithianghlimtu damdawi ei hunah:Warfarin ang chi blood thinner i ei a nih chuan i doctor chuan heng test te (a bik takin PT test) te hi a ti fo ang a, damdawi hian i taksa a nghawng tha em em tih a hriat theih nan.
- Surgery hma: Surgery lian tak neih hmain heng test te hi damlo thisen zam chu a normal em tih finfiah nan tih thin a ni.
Test report hi engtin nge kan hriatthiam ang?
I test report i dawn hunah i doctor chuan a hlutnate chu a hrilhfiah ang che. A tlangpuiin report-a “activity” chu a pangngai a nih chuan i thisen zam dan chu a pangngai tihna a ni.
- Activity hniam: Thisen chhuah a tam zawk.
- Activity sang: Thisen zam duh loh zawng i nei tam zawk.
A châng chuan, he dinhmun hi rei lo tê chhûnga awm thei a ni. Entirnan, damdawi i ei vang emaw, vitamin tlakchham vang emaw a ni thei. Chutiang hunah chuan a chhan enkawl hian a dinhmun a titha thei a ni.
Thisen zam tihtlemtu dinhmun dang
Damdawi lam thil \henkhat leh thil dang vangin thisen zam theihna a ti tlem thei bawk.
- Liver natna
- Ngawt
- Rul seh atanga venom – Chutiang a nih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal a pawimawh hle. Venom chungchanga hriat belh duh i neih chuan Colombo National Hospital-a National Poison Information Center pawh i biak theih bawk.
- Vitamin K tlakchhamna
- Damdawi thenkhat (e.g. Warfarin) .
- Thisen pek a ni
Tin, thlahthlam natna te pawh i fimkhur ang u.
Thisen zam natna thenkhat hi thlahtute atanga lo chhuak a ni. Chung zinga a tam ber chu hemophilia A leh B. I chhungkuaa mi tu emaw hian hetiang natna hi a nei a nih chuan nang pawh i hlauhawm thei bawk.
He natna hi X chromosome kaltlanga rochun a nih avangin mipain he natna hi an vei duh zawk a ni. Hmeichhia hi natna lan chhuah lohvin carrier an ni thei fo. Chumi awmzia chu an fate hnena natna kai theihna an nei tihna a ni.
Hetiang thisen zam harsatna i nei tih i hriat chuan eng thil pawh i tih hmain i doctor leh ha enkawltu hnenah hrilh hmasa phawt ang che, ha hrual ang chi thil awlsam tak pawh ni se I himna atan a pawimawh hle.
Take-Home Thuchah a ni
- Coagulation study hi thisen test set a ni a, i thisen a clotting tha em tih enfiah thin a ni.
- I taksaah hliam i neih fo a nih chuan, emaw, hliam tenau tak pawhin thisen a chhuah loh chuan doctor nen inbiakna neih a pawimawh hle.
- Heng test te hian thlahtu natna chi hrang hrang, thin natna, vitamin tlakchhamna, leh hemophilia te hriatchhuahna kawngah a pui thin.
- Thisen zam natna i neih chuan eng surgery emaw ha enkawlna emaw i neih hmain a kaihhnawih doctor-te hriattir hmasak a pawimawh hle.
- Heng test result a\ang hian i doctor chuan enkawlna leh thurawn \ha ber ber a pe ang che. Lungngai suh.
Thisen zam, Coagulation Studies, PT test, aPTT test, hemophilia, thisen chhuah, thisen test te
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