I thisen report-a MCH value hriat duh em? (Corpuscular Hemoglobin tih awmzia) 1.1.

Thisen report i la chhuak a, a chunga letter leh number te i en a, ‘Hei hi eng nge ni?’ tiin i ngaihtuah ngai em? CBC, WBC, RBC, MCH... Heng thumal tam tak hi kan hriat loh a ni lawm ni? A chang chuan kan hmuh hian kan hlauthawng mai thin. Chuvangin vawiinah hian chutiang hlutna pakhat kan sawi dawn a, chu chu MCH hlutna a ni. A awmzia mai mai, kan taksa a pun leh a tlahniam chuan eng nge a sawi tih i en ang u.

I lo en hmasa phawt ang u, MCH chu eng nge ni?

MCH hi English tawng ‘Mean Corpuscular Hemoglobin’ tih tawifelna a ni. A awlsam zawngin, hei hian i thisen sen (red blood cell)-a hemoglobin awm zat a teh a ni . Tunah chuan, ‘He hemoglobin hi eng nge ni?’ tiin i ngaihtuah mai thei. Hemoglobin hi kan thisen sen (red blood cells)-a awm protein bik a ni a, taksa pum puiah oxygen a keng tel a ni. A dik zawka sawi chuan he hemoglobin hi kan lung atanga oxygen kan lak chhuah chu taksa chhunga cell tinte hnena thlentu ‘delivery service’ a ni. Chuvangin MCH value chu he delivery service-a lirthei (red blood cells)-a cargo (oxygen-carrying hemoglobin) awm zat zat average value a ni. A tlangpuiin, he MCH value hi thisen test CBC (Complete Blood Count) tih i tih hian i hre thei ang. Hei hi test hman tlanglawn tak a ni. Doctor chuan he hlutna hi ei leh in lama harsatna, liver lama harsatna emaw, damdawi lam thil dang emaw i neih leh neih loh hriat theihna turin a hmang a ni.

CBC (Complete Blood Count) test chungchang tawi te te

He test hi a pawimawh hle a, a chhan chu i thisen chhunga thil pawimawh engemaw zat chungchang a hriat theih avangin. A bik takin:

• Red Blood Cells: Heng kan sawi tak tak , oxygen- carrying cells te hi an ni.
• White Blood Cells : Kan taksa ‘sipai’, natna hrik dotu ang maiin.
• Hemoglobin : Thisen sen (red blood cells)-a oxygen phurtu a ni.
• Platelets: Hliam a awm huna thisen zam tura puitu cell.

I doctor chuan kum tin i checkup-naah he test hi a order thei a, a nih loh leh i symptoms (e.g., hahna, paleness) avanga damdawi lam dinhmun i rinhlelh chuan. Hei hian i kut chhunga vein pakhat atanga thisen sample tlemte lak a huam a ni. Lab-ah test leh report siam turin thawn a ni.

MCH value hi a tlangpuiin engzat nge ni tur?

MCH atana tehna unit chuPicogram (picogram emaw pg emaw) tih a ni. A tlangpuiin puitling leh naupang hrisel tan he value hi 27 pg leh 31 pg inkar a ni. Nausen piang thar tan chuan hei hi a sang deuh a, chu chu 32 pg atanga 34 pg thleng a ni thei tihna a ni.

Mahse hre reng ang che, heng value te hi lab hrang hrangah a inang lo deuh thei a, chuvangin i report-a ‘Normal Range’ nen khaikhin a tha ber.

MCH value a hniam chuan engtin nge ni ang?

MCH value hniam chuan i thisen sen (red blood cells)-ah hemoglobin a awm zat chu a pangngai aia tlem zawk tihna a ni. Hei hian i thisen sen (red blood cells) te chu tlem a ‘pale’ emaw ‘drab’ emaw angin a lang thei a ni. Hei hi chhan lian tak tak engemaw zat a awm. Eng nge an nih leh an symptoms te hi han thlir ila.

MCH value hniam chhan	Symptoms hmuh theih a awm
Anemia hi a chhan ber a ni. Taksa a oxygen phur thei tur thisen sen hrisel tak tak a awm loh vang a ni. Hei hi iron, vitamin B12, folate tlakchham vang a ni thei.	Chauhna nasa tak awm reng Vun dum (pale skin) a ni Thâwk harsa (thawhrimna tlemte pawh ni se) . ( Luak chhuak ) emaw, muhil emaw
Hemoglobinopathies hi hemoglobin molecule pianzia emaw, a siam chhuah dan emaw a chhiatna avanga rochun natna a ni. Entirnan: Thalassemia leh Sickle Cell natna.	Thalassemia-ah chuan: thisen tlakchhamna chhinchhiahna, pum na, zun dum. Sickle cell natnaah chuan: thisen tlakchhamna chhinchhiahna, zun dum, mit sen, kut leh ke na leh hring, leh a chang chuan taksaah natna nasa tak a awm.

MCH hlutna hi a pung thei ang em?

Ni e, a chang chuan MCH value hi a tlangpui aia sang pawh a ni thei. Chumi awmzia chu i thisen sen (red blood cells) chu a tlangpui aia lian a ni tihna a ni. He natna hi damdawi lam chuan Macrocytosis an ti a . A tam zawkah chuan hei hi ngaihtuahawm tur a ni lo. Mahse a chang chuan, damdawi lam dinhmun chhinchhiahna a ni thei bawk.

MCH hlutna tihpun chhan: 1.1.

• Vitamin B12 emaw Folate tlakchhamna: Mak ti suh, heng nutrients te hi a tlem chuan thisen tlakchhamna (MCH tlahniam) a awm thei a, chubakah thisen sen (red blood cells) lian (MCH tihpun) a awm thei bawk. Hei hi Macrocytic Anemia an ti a.
• Liver natna thenkhat: Liver function lama harsatna thenkhat chuan MCH level a tisang thei.
• Zu in tam lutuk: Hun rei tak chhunga zu in tam lutuk pawh hi a chhan a ni.
• Hypothyroidism: Hei hi taksain thyroid hormone a siam chhuah tlem hian a ni.
• He danglamna hi damdawi thenkhat vang pawh a ni thei: damdawi chi hrang hrang, chemotherapy, antibiotics thenkhat, leh antivirals te.
• Thisen kaihhnawih cancer thenkhat.

A pawimawh ber chu MCH level sang hian symptom bik a thlen lo. Mahse, anmahni thlentu natna hnuaia awm chuan symptoms a thlen thei a ni. Entirnan, Hypothyroidism i neih chuan hah, taksa rihna sang, kut leh kut zungtang hrual, taksa ruh na te ang chi symptoms i nei thei. Liver natna i neih chuan pum chunglam a na thei a, ei duh lohna i nei thei a, mit a sen thei bawk.

Take-Home Thuchah a ni

• MCH hi i thisen report-a value pakhat chauh a ni. I thisen sen (red blood cells)-a hemoglobin awm zat chungchangah ngaihdan tlangpui a pe a ni.
• MCH value hniam emaw sang emaw hi natna tlanglawn tak, thisen tlakchhamna (anemia) vang a ni thei a, a chang chuan natna khirh zawk, ngaihven zawk ngai chhinchhiahna a ni thei bawk.
• Thisen test hmangin i inhriat chian ngai suh la, internet-ah pawh information zawng suh. Hei hian a tul lo taka stress a thlen chauh dawn a ni.
• I MCH value emaw value dang emaw a inthlak chuan i doctor chauhvin thurawn tha ber leh dik ber a pe thei che a ni. A chhan dik tak zawng turin test dang a nei leh ang a, a tul chuan a enkawl dan tur a ziak ang.

MCH, Mean Corpuscular Hemoglobin, thisen test, thisen report, CBC, thisen sen, hemoglobin, thisen tlakchhamna, Thalassemia, vitamin B12 te a ni