G6PD tih thumal hi i hre tawh em? Doctor-in a hrilh che pawh a ni thei a, i chhungte zinga mi pakhatin a hrilh che pawh a ni thei. A nih loh leh i tan thil thar tak a ni mai thei bawk. Mahse, a hming i hriat chuan hlau suh. G6PD tlakchhamna hi genetic condition a ni a, khawvel pumah mi maktaduai 400 velin an vei a ni. Natna aiin kan taksaa inthlak danglamna tlemte ang deuh a ni. Chuvangin vawiin hian awlsam tak leh friendly takin i sawi vek ang u.
G6PD tlakchhamna hi eng nge ni tak tak?
Okay, hei hi a awlsam zawngin han sawi ila. Kan thisenah hian cell chi khat red blood cells tih a awm a . Heng cell te hian kan taksa pum puiah oxygen an phur a. In pakhata bungraw phur lirthei ang mai a ni.
Tunah chuan heng thisen sen te hi hrisel leh chak taka an awm theih nan enzyme bik a awm ta. `Glucose-6-Phosphate Dehydrogenase` kan ti a, a tawi zawngin G6PD kan ti bawk. He enzyme hi thisen sen (red blood cells) humhimtu emaw, chakna pe theitu `power supply' emaw angin ngaihtuah rawh. He G6PD enzyme hian thisen chhunga thil tha lo thenkhat lakah thisen sen (red blood cells) a venghim a ni.
G6PD tlakchhamna nei taksaa thil thleng chu G6PD enzyme hi a tam tawk lo a ni. A nih loh leh enzyme siam chhuah hian hna a thawk tha lo. Hei hi hereditary a ni . Chu chu i nu emaw, i pa emaw hnen atangin i rochun tihna a ni a, natna hrik kai theih a ni lo.
A tlangpuiin G6PD tlakchhamna neih hi harsatna lian tak a ni lo. Mahse, damdawi thenkhat, chemical emaw, ei tur thenkhat (a bik takin bean chi thenkhat) i ei chuan chu venhimna chu a awm loh avangin thisen sen chu a chhe tan thin. Hei hi `hemolytic anemia` kan tih chu a ni.Tlem han en leh ila.
Eng nge a lan chhuah dan? Engtin nge hei hi kan hriat chian?
Heta thil mak tak chu G6PD tlakchhamna nei tam tak hian symptom an nei lo . Nun pangngaiin an khawsa thin. Buaina chu a hmaa kan sawi tawh ‘trigger’ pakhat, chu chu damdawi tha lo emaw, ei tur tha lo emaw an tawrh hunah chauh a lo awm thin.
Mahse, a chang chuan naute hian a pian hnuah jaundice (vun sen) a nei thei a, hei hi a tlangpuiin awlsam taka enkawl theih a ni.
G6PD tlakchhamna nei mi pakhatin thil pawi tak a tawk a nih chuan `hemolytic anemia` tih natna a nei thei a ni. Thisen sen (red blood cells) te hi taksa peng hrang hranga oxygen phurtu an ni. Chuvangin an tihchhiat chuan taksa peng hrang hrangte hian oxygen an mamawh ang an hmu lo.
Hetiang dinhmun `hemolytic anemia` hi a lo awm a nih chuan a na hle thei. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.
A hnuaia table-ah hian hemolytic anemia natna lan chhuah dan tlangpui tarlan a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vun dum (pale skin) a ni | Vun chu a rawng a danglam a, a sen a, taksaah thisen a tlachham ang maiin a awm. |
| Vun leh mit sen (Jaundice) . | Thisen sen (red blood cells) a chhiat avanga siam chhuah bilirubin hian mit vun leh mit var te chu a sen (yellow) tir thin. |
| Zun dum | Zun chu a dum dum emaw, cola rawng emaw a ni. |
| Khawsik | Chhan awm lovin khawsik i nei thei. |
| Chauhna leh chak lohna | Nunna nei lo, thawk hah, leh chau lutuk tih hriatna. |
| Disorientation tih loh (disorientation) a ni | Thluak hian oxygen a hmuh tlem chuan i buai a, i rilru a buai thei bawk. |
| Lung na tak tak | Heart rate a sang chho zel a. |
Heng symptoms te hi a nasat leh a awm reng chuan doctor pan nghal tur a ni . A châng chuan damdawi in Emergency Department (ETU) pan a ngai mai thei.A lak chhuah a ngai mai thei bawk. Mahse a tam zawkah chuan he natna thlentu hi tihbo a nih hnuah chuan kar hnih vel chhungin a mah chauhin a dam leh ang.
Hei hi eng nge a chhan? Tuin nge a nei tam zawk?
Kan sawi tawh ang khan G6PD tlakchhamna hi genetic condition a ni vek a . Hei hian i nu leh pate hnen atangin i rochun tihna a ni. A veng dan tur a awm lo.
Mahse, mi pawl thenkhat chuan he natna hi an nei tam zawk.
- Mipa tan (hmeichhia aiin).
- Africa, Asia, Middle East, leh Mediterranean biala ram hrang hranga awmte tan.
I chhungkuaa mi pakhatin G6PD tlakchhamna a nei tih i hriat chuan nang pawhin i vei theihna chance a awm. Chuvangin Doctor nen pawh sawipui a tha.
G6PD tlakchhamna i neih leh neih loh engtin nge i hriat theih ang?
Chu chu hriat theih dan awlsam tak a awm. Chu chu thisen test tih hmangin a ni . I doctor chuan i chhungkaw history leh symptom i neih chuan he test hi a rawt ang.
A tlangpuiin G6PD tlakchhamna a awm leh awm loh enfiah nan screening test an ti hmasa thin. Tlakchhamna a awm tih a lan chuan engtiang chiahin nge a nasat tih hriat nan test dang neih leh a ni. Chutiang test pakhat chu `Beutler test` a ni.
Heng test hmang hian G6PD tlakchhamna i nei em tih chiang takin i hre thei a, a neih chuan eng level nge a nih tih i hre thei bawk.
G6PD tlakchhamna nen engtin nge kan nun theih ang? Eng thil nge pumpelh tur?
Hei hi a pawimawh ber a ni. G6PD tlakchhamna i nei tih hmuhchhuah a nih chuan enkawlna bik a ngai lo . I tih tur chu i thisen sen tichhetu leh hemolytic anemia an tih natna thlentu ‘triggers’ te hi pumpelh mai tur a ni.
Chu chu damdawi, chemical leh ei tur thenkhat chu i pumpelh vek tur a ni tihna a ni. Chungte chu ‘oxidative stress’ thlentu thil an ti a.
A hnuaia table hi hre reng ang che. Heng thilte hi i nun atanga paih chhuah a pawimawh hle.
| G6PD tlakchhamna nei te’n an pumpelh ngei ngei tur thil | |
|---|---|
| Lampang | Entirnan |
| Chaw | Fava beans - Hei hi chaw pawimawh leh hlauhawm ber a ni. Ram thenkhatah chuan hengte hi broad bean an ti bawk. |
| Damdawi chi hrang hrang | Natna tidamtu thenkhat (e.g., aspirin dose sang tak ) . |
| Antibiotics "Sulf" (e.g. Sulfonamides) awmna . | |
| Malaria dona damdawi "quine" awmna. | |
| Chemical lam thil a ni | Naphthalene - Hengte hi wardrobe-a dah mothball-ah te a awm a. An rimtui hip pawh hian a pawi hle. |
Pawimawh: G6PD tlakchhamna i neih chuan doctor i hmuh apiangin i hrilh tur a ni. Tichuan, damdawi a pek che hunah chuan i tana him tur damdawi a thlang ang. Doctor rawn hmasa lovin damdawi engmah ei ngai suh.
Take-Home Thuchah a ni
- G6PD tlakchhamna hi hlauh tur a ni lo. Khawvela mi tam takin an neih genetic condition a ni a, thlah khat atanga thlah dangah a kal zel a ni.
- Mi tam tak chuan symptoms an nei lo va, damdawi tha lo, ei tur (a bik takin fava beans), emaw chemical emaw an tawrh chauhvin an damlo thin.
- I nun hlawhtling taka i enkawl tur chuan i tana thil tha lo tak tak i hriat chian a ngai a, chu chu i hlat a ngai a ni.
- Khawsik, hah lutuk, vun sen, leh zun dum ang chi symptoms i neih chuan doctor pan nghal rawh.
- I doctor i hmuh apiangin G6PD tlakchhamna i nei tih hriattir thin ang che. I himna atan a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh