Thisen kimchang i neih hnuah report-a thisen sen (RBC) awm zat chu a pangngai aia tlem a tam tih i hmu tawh em? Chutiang thil i hmuh chuan tlem a hlauthawng leh hlauhna i neih chu thil pangngai a ni. "Eng nge hei hi? Engvangin nge hetiang thil hi a lo awm?" I ngaihtuah mai thei. Damdawi lamah chuan thisenah thisen sen (red blood cells) awm zat chu a pangngai aia tam a nih chuan erythrocytosis kan ti thin. Ngaihtuah buai suh, vawiin hian he thu hi chiang tak leh awlsam takin kan sawi dawn a ni.
A hmasain, heng thisen sen (red blood cells) te hi eng nge ni?
A awlsam zawngin sawi ila, thisen sen (red blood cells) hi kan thisena hnathawk tê tê ang mai a ni. An hna ber chu
kan thawk chhuah huna lung chhunga oxygen lo lut chu khawlkhawm a , taksa kil tin a cell te hnena phurh chhuah hi a ni .
Cell atanga carbon dioxide chhuak chu lungah hruai kir lehin kan thawk chhuah hunah a paih chhuak thei bawk. Heng hnathawk te te hi kan ruhroah hian an lo piang chhuak thin. Chutah chuan an insiam a, thisen an zawm a, ni 120 vel an hna an thawk a, chutah chuan an thi ta a ni. He cycle hi a thleng reng a ni. Mahse, eng emaw chhan vanga heng thisen sen siam chhuah hi a pung lutuk a nih chuan chutah chuan Erythrocytosis an tih natna hi a lo awm thin.
Erythrocytosis hi chi hnih a awm a, chungte chu:
Hetianga thisen zam (red blood cells) pung hi kawng lian pahnihin a thleng thei a ni. Heng pahnihah hian thisen sen (red blood cells) tihpunna a awm a, mahse a chhan erawh a danglam thung.
| Erythrocytosis chi hrang hrang | Hrilhfiahna awlsam tak |
|---|
| Erythrocytosis hmasa ber a ni | Buaina chu ruhroah a awm nghal vek a ni. Bone marrow-a chhiatna engemaw zat a awm avangin control theih lohvin thisen sen tam lutuk a siam tan thin. Hei hi pianpui emaw, nakin lawka neih emaw pawh a ni thei. |
| Secondary Erythrocytosis natna a ni | Hetah hian ruhro hi harsatna a awm lo. Mahse, taksa hmun dangah harsatna a awm avangin ruhro hian "thisen sen tam zawk siam" turin signal a dawng a ni. Hei hi kan kal (kidney) atanga siam chhuah, erythropoietin (EPO) an tih hormone vang a ni fo thin. He hormone hian thisen sen (red blood cells) siamchhuahna a thunun a ni. |
Engvangin nge thisen sen (red blood cells) hi hetiang hian a pung? A chhan engte nge ni?
A chhan chu a hmaa kan sawi tawh chi hrang hrang a zirin a inang lo.
Primary Erythrocytosis awm chhan te
A châng chuan hei hi genetic condition hlauhawm lo tak a ni thei a, chu chu thlah kal zelah a kal zel a ni. I thisenah hian red blood cells chauh i neih tam lutuk a, i thisen var leh platelet te chu a normal a nih chuan hei hi a chhan a ni thei. Mahse, a châng chuan hei hi thisen cancer chi khat
polycythemia vera an tih vang a ni. Tunah chuan, "cancer" tih thumal i hriat hian hlau suh. Hei hi
a lo thang chak lo hle a, a awm lo hle . Mi thenkhat chuan kum tam tak chhung chu an nei tih pawh an hre lo. Mahse enkawl loh chuan a hlauhawm thei hle. A chhan chu thisen sen (red blood cells) a pun chuan thisen a thim a, a luang pawh a tlahniam thin. Hei hian
thisen zam a tipung a ni .
Secondary Erythrocytosis awm chhan te
Hei hi chhan tam tak a awm thei. A chhan ber chu taksaa oxygen level hniam vang a ni.
Ngaihtuah teh, taksain oxygen a neih tlem chuan taksa chuan, "Okay, oxygen kengtu hnathawk ( red blood cells ) te hi an tling lo. Tlemte siam belh leh ila, thawn leh ila," tiin a ngaihtuah thin. Chutiang chu a ni.
- Meizial zuk : Meizial hian lung a tichhia a, taksain oxygen a lakluh theihna a ti tlem bawk.
- Lung lam harsatna leh lung natna: Asthma leh COPD ang chi natna hian oxygen level a ti hniam thei a.
- Sleep Apnea: Hei hi zan mut laiin thawk a tawp emaw, a thuk lo emaw a ni. Hei hian taksain oxygen a dawn zat pawh a ti tlem bawk.
- Hmun sang takah awmte:Nuwara Eliya ang hmun sang takah i kal chuan mi thenkhat chuan thawk harsa an ti thin tih han ngaihtuah teh. Hei hi boruakah oxygen concentration a hniam vang a ni. Chutiang hmuna rei tak i awm chuan taksain a insiamrem theih nan a thisen sen (red blood cell) a tipung a ni.
- Hemoglobinopathy: Hei hi thisen natna rochun a ni a, thisen sen (red blood cells) te hian oxygen an phur tha thei lo.
A chhan dangte chu:- Kal natna : A hmaa kan sawi tawh EPO hormone hi kal (kidney) ah a lo piang chhuak thin a. Chuvangin harsatna, kidney cyst, tumor, emaw kidney supply tu thisen kalna kawng tawi te ang chi te hian EPO hormone siam chhuah tam lutuk a thlen thei a ni.
- Damdawi thenkhat: Taksa siamna damdawi thenkhat, anabolic steroids te hian thisen sen (red blood cells) siam chhuah a tipung thei a.
- Tumors: Tumor thenkhat, taksa peng hrang hrang, kal, thluak, thin, leh nausen pum a lo awm hian EPO hormone a tichhuak thei a ni.
- Dehydration: A chang chuan thisen zam (red blood cells) hi a takin a sang lo. Mahse taksaa tui (fluidity) awm zat a tlahniam a, thisen chu a thim ta hle mai. Tichuan thisen test-ah chuan red blood cell concentration a sang tih a lang. Hei hi ril\am, luak chhuak, kang, tui in tam loh vang a ni thei.
Hetiang natna lan chhuah dan hi engte nge ni?
Symptom tam tak a awm chhan chu thisen a thim a, taksa pum puia a kal chak loh vang a ni. Mi zawng zawng hian heng symptoms zawng zawng hi an nei vek dawn lo. Mi thenkhat chuan symptom engmah an nei lo mai thei.
- Lu na
- Mit hmuh a fiah lo
- Rilru tibuai
- Thisen sang a sang
- Hnar thisen chhuak
- Vun natna (a bik takin tui lum a inbual hnuah) .
- Chak lohna leh Chauhna
Hetiang symptoms i neih chuan
doctor nen sawiho a pawimawh hle.
Engtin nge doctor hian hei hi a hmuh theih?
Hetiang dinhmun hi thisen test hmanga hriat hmasak a ni tlangpui. I doctor chuan i thisen sen zat leh i EPO hormone level a enfiah ang.
- EPO level a hniam chuan: Primary Erythrocytosis (a bik takin Polycythemia Vera) awm leh awm loh enfiah nan test dang neih leh a ni a, a harsatna chu ruhroah a awm thei a ni.
- EPO level a normal emaw a sang emaw a nih chuan: Buaina hi hmun dangah a awm avangin secondary erythrocytosis (lungs, heart, kidney, etc.) thlen thei thilte zawn nan test an nei thin.
Hei hi eng enkawlna nge ni?
Enkawlna chu a chhanah a innghat.
I enkawl dan tur chu i doctor-in a rel ang tih hre reng ang che. Internet-a i thil chhiar emaw, i thu hriat emaw aṭangin mahni inngaihsak suh.
- Primary Erythrocytosis (Polycythemia Vera) tan chuan: Enkawlna ber chu phlebotomy a ni. Hei hian taksa atanga thisen tlemte lakchhuah a huam a, chu chu thisen pek ang chiah a ni. Hei hian thisen sen tam lutuk a paih chhuak a, thisen a ti thim a, thisen kal dan a ti tha bawk. A châng chuan, thisen zam loh nan damdawi pek a ni thei bawk.
- Secondary Erythrocytosis tan: A chhan bulpui ber chu enkawl a ni .
- Oxygen level hniam nei te tan oxygen pek.
- Meizial zu mi i nih chuan thurawn pe la, bânsan tûrin ṭanpui rawh.
- Lung natna leh lung natna ang chi dinhmun dik taka enkawl.
- Cancer tumor vang a nih chuan surgery hmanga lakchhuah.
- Damdawi vang a nih chuan doctor-in a tih angin damdawi chu chawlhsan emaw thlak emaw rawh.
- Dehydration vang a nih chuan saline (fluids) pek tur a ni.
Take-Home Thuchah a ni
- Erythrocytosis hi thisenah thisen sen (red blood cells) awm zat pangngai aia tam a ni.
- Hei hi chi hnih a awm a, chungte chu Primary a ni a, chu chu ruhro ngeia harsatna awm vang a ni a, Secondary chu damdawi lam thil dang avanga lo awm a ni.
- A chhan chu tui tlakchhamna ang chi thil awlsam tak atanga meizuk, thinlung natna, leh Polycythemia Vera ang chi natna khirh zawk thlengin a awm thei.
- I thisen test-naah i red blood cell count a sang emaw, symptoms i neih emaw chuan hlauthawng lo tur leh doctor pan nghal a , thurawn dil a pawimawh hle.
- He dinhmun hi a chhan dik tak zawng chhuakin, chu mi ang chuan enkawlna \ha tak dawngin \ha takin a thunun theih a ni.
Erythrocytosis Sinhala, thisen sen pung, Polycythemia Vera, thisen thickness, EPO hormone, thisen report RBC sang, thisen test
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