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

Nang pawhin nilengin chhan awm lovin i chau a, i chau mai mai em? Tlem i kal emaw, stairs i chhoh emaw hian i lu a buai em ? Darthlalang i en hian i hmai leh hmui chu a sen hmel em? Hengte hi kan ngaihthah fo thin, "Hnathawh tam lutuk vang pawh a ni mai thei" tih ngaihtuah thin a ni. Mahse hengte hi i taksaa thisen tlakchhamna chhinchhiahna a ni thei a, chu chu damdawi lama kan tih chu anemia . Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

A awlsam zawngin, thisen tlakchhamna chu eng nge ni?

A awlsam zawngin sawi ila, thisenah thisen zam (red blood cells) tlahniam hi thisen tlakchhamna (anemia) a ni. Hei hi thisen test report-ah hemoglobin emaw hematocrit value hniam anga tarlan a ni.

Hetiang hian han ngaihtuah teh, heng thisen sen (red blood cells) te hi kan taksa pum puia oxygen phurtu delivery service ang mai an ni. Chu delivery vehicle-a bungrua lian ber, chu chu oxygen phurtu protein chu hemoglobin an ti a. Chuvangin thisen tlakchhamna (anemia) i neih chuan i thisena he hemoglobin level pawh a hniam hle. A hniam lutuk chuan i tissue leh organ (e.g. heart , brain, kidney) te hian oxygen an mamawh zat an hmu lo. Chuvangin hahna leh thawk hahna ang chi symptoms i nei tan thin .

Hei hi eng symptoms nge ni?

A châng chuan a lan chhuah dân chu a fiah lo hle a, i hre lo pawh a ni thei. Mahse i thisen zat a tlahniam chuan symptoms a rawn lang tan thin. Nang pawhin heng symptoms te hi i nei em tih en rawh.

Anemia hian thihna a thlen thei em?

Hei hi mi tam takin harsatna an neih a ni. Anemia vanga thi hi a tlem hle . Chutiang thil chu thlah natna khirh tak tak (e.g. thalassemia, sickle cell anemia)-ah te, accident-a thisen chhuak tam tak a awm a nih chuan emaw, cancer thenkhat ang chi damdawi lam harsatna lian tak tak nen chauh a thleng thei a ni. Normal anemia hi enkawlna hmanga awlsam taka tihdam theih a ni.

Thisen tlakchhamna thlentu berte chu engte nge ni?

Anemia chi 400 chuang awm mah se, chi thum ah then theih a ni.

1. Taksa atanga thisen tlakchham vangin

Hei hi thisen chhuahna rang tak, nasa tak a ni thei a, a nih loh leh hun kal zelah i hriat loh pawhin a thleng zauh zauh thei bawk.

• Digestive system lama harsatna: pum chhunga ulcer, hemorrhoid, gastritis.
• Natna tidamtu thenkhat: Hun rei tak chhung damdawi Aspirin leh Ibuprofen te hman hian pum na a ti na thei a, thisen a chhuak thei bawk.
• Hmeichhe thlasik faina: A bik takin thlasik lai (heavy periods) laia thisen chhuak nasa tak a awm chuan.

2. Thisen sen (red blood cell) siam chhuah tlem emaw, a chhiat emaw

Hemi a thil thleng chu kan taksain a mamawh ang zat thisen zam (red blood cells) a siam chhuak thei lo hi a ni.

• Iron-deficiency anemia: Hei hi khawvela a tam ber a ni. Kan ruhro (bone marrow) hian hemoglobin a siam theih nan iron hi a pawimawh hle. Chaw atanga iron hmuh tlem (a bik takin naupang te, sa ei lo), leh naupai te ang chi thil vang a ni.
• Vitamin-deficiency anemia: Vitamin B12 leh folate te hi thisen zam (red blood cells) siamna atana pawimawh tak tak pahnih an ni. Heng vitamin tlakchhamna hian thisen tlakchhamna a thlen thei bawk.
• Bone marrow natna: Aplastic anemia ang chi dinhmunah chuan ruhro hian thisen sen (red blood cells) a siam thei lo.
• Thalassemia leh Sickle cell anemia: Hengte hi genetic, inherited tihna a ni a, thisen zam (red blood cell) chhia a siam chhuak thin.

3. Thisen sen (red blood cells) rang taka tihchhiat

Hei hi hemolytic anemia an ti a. Hei hi kan thisen sen (red blood cells) te a chhe vek a, an dam chhung pangngai hmaa an tihchhiat hun a ni. Hei hi infection thenkhat, damdawi leh immune system lama harsatna avanga lo awm thei a ni.

Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?

A chunga kan sawi tak symptoms i neih chuan i tih hmasak ber tur chu doctor pan hi a ni . Doctor chuan i symptoms te a zawt ang che a, a enfiah ang che.

Tichuan, thisen tlakchhamna (anemia) i nei em tih chiang taka hriat theih nan complete blood count (CBC) tih tir i ni ang. Hei hi FBC (Full Blood Count) report an ti fo thin. Hei hian thil tam tak a check thei a, chu chu i thisena hemoglobin level leh red blood cells awm zat te hi a ni.

Enkawlna chu thisen tlakchhamna i neih chi hrang hrangah a innghat a ni.

• If it’s due to iron deficiency , i doctor chuan iron supplement ei tur leh iron tamna ei tur (beans, spinach, sa sen, egg, soy) ei turin a hrilh ang che.
• Vitamin tlakchham vang a nih chuan , vitamin B12 emaw folic acid tablet emaw pek tur a ni.
• Thil pawi tak dang avanga lo awm a nih chuan chu chhan nena inzawm enkawlna bik (e.g. thisen pek)-ah hruai i ni ang.

Naupai lai hian thisen tlakchham (anemia) hi i ngaihtuah bik a ngai em?

Ni e, a dik ngei ang. Naupai lai hian nu thisen volume hi 20% - 30% velin a pung a. Tin, nausen pum chhunga a thanlenna tur pawhin iron tam tak a mamawh bawk. Hei vang hian nu naupai zingah thisen tlakchhamna (anemia) vei theihna a sang hle.

• Naupai laiin thisen tlakchhamna na lo (mild anemia) hi a awm fo nachungin, a nasat chuan nau piang hma emaw, nausen rihna hniam emaw a awm thei.
• Tin, nau neih laiin thisen chhuah tam lutuk a awm thei bawk a, natna hrik dona theihna a tlahniam thei bawk.

Hei vang hian chhungkaw health clinic-in iron tablet leh vitamin (a bik takin folic acid) a pek te hi a tih angin ei a pawimawh hle.