Full Blood Count report i en a, a chhunga hlutna thenkhat i ngaihtuah ngai em? I doctor chuan, "I thisen sen (red blood cells) hi a lian deuhin a lang," a ti mai thei. Chu chu damdawi lam chuan Macrocytosis kan tih chu a ni. A nihna takah chuan natna a ni lo. Mahse kan taksaah thil dik lo a awm tih signal pawimawh tak a ni. I ngaihthah chuan thisen tlakchhamna na tak, macrocytic anemia an tih thlengin i lo piang thei a ni. Chuvangin, lungngai suh. Engkim hi chiang tak leh awlsam takin sawi ila.
Macrocytosis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Macrocytosis chu i thisena thisen sen (red blood cells) chu a tlangpui aia lian a nih chuan a ni. Hei hi megalocytosis emaw macrocythemia emaw an ti \hin. Thisen chhiar kim vek i neih hunah report chuan i thisen sen zat a hrilh ang che. Hetiang dinhmun hi a rinhlelh hunah doctor-in a en tur value lian pahnih a awm a, chungte chu: 1.
MCV (Mean Corpuscular Volume): Hei hi i thisen sen (red blood cells) volume average a ni. 2.
MCH (Mean Corpuscular Hemoglobin): Hei hi thisen sen (red blood cell) a hemoglobin awm zat a ni. Heng value zinga pakhat emaw pahnih emaw hi a tlangpui aia sang a nih chuan Macrocytosis i vei thei tih hriattirna tha tak a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
A tam zawkah chuan Macrocytosis nena lo kal
thisen tlakchhamna hi taksaah hian a lo thang zawi zawi hle. Chuvangin, a natna hi a nasat deuh
hma chuan symptom lian tham a lantir lo . Mahse, a natna a nasat deuh chuan a hnuaia symptom thenkhat hi a lo lang thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|
| Kawthalo | Bloating fo thin. |
| Leiah natna (inflammation) a awm | Lei sen, hring, emaw, na emaw. |
| Anorexia a awm | Ei duhna a tlahniam. |
| Peripheral Neuropathy natna a ni | Ka taksa peng hrang hranga rilru hahna leh kangmei hriatna. |
| Gait a inthlak danglam thin | Kal laiin balance vawn harsat. |
Macrocytosis awm chhan hi engte nge ni?
Kan sawi tawh ang khan Macrocytosis hi natna pakhat chauh a ni lo. Hriselna lama harsatna dang avanga lo awm a ni. A nghawngtu berte chu engte nge ni tih i lo en ang u.
| A chhan ber |
|---|
| Vitamin B12 tlakchham vang a ni | Vitamin B12 ei tlem emaw, ei theih loh emaw. |
| Folate tlakchhamna a awm | Folate, vitamin B9 tia hriat bawk hi cell thanna atan a pawimawh hle. A tlakchhamna pawh hi a chhan lian tak a ni. |
| Liver natna | Liver a thawk tha lo. |
| Zu ruih hmang | Zu hian vitamin hip luh a veng a, ruhro pawh a tichhe bawk. |
| Thyroid lama harsatna (Hypothyroidism) . | Thyroid hormone level a tlahniam. |
Chu bakah, cancer, seizures, emaw autoimmune disorders (taksa taksa chaknain amah ngeiin a beih natna) ang chi natna enkawlna atana hman
damdawi thenkhat side effect a ni thei bawk .Macrocytosis hi ruhro cancer (myelodysplastic syndrome) vang pawh a awm thei bawk.
Engtin nge he dinhmun hi kan hriat theih ang?
I doctor-in hei hi a rinhlelh chuan test eng emaw zat a ti ang a, chu chu finfiah turin a ti ang.
A pawimawh ber chu heng test te hian Macrocytosis a awm leh awm loh an enfiah mai bakah a chhan dik tak an hmuchhuak thin.
Test tih ber berte chu:
- Thisen chhiar kim (CBC): Thisen chhiar kim.
- Peripheral Smear (Blood Smear): Hei hi test pawimawh tak a ni. Thisen sample chu microscope hmangin an enfiah a, thisen sen (red blood cells) pianzia leh lian tham tak takte chu an enfiah thin.
- Reticulocyte Count: Ruhro chhunga thisen sen thar lo awm zat tehna a ni.
- Vitamin B12 leh Folate Levels: Thisenah heng vitamin awm zat enfiah.
Macrocytosis hi peripheral smear hmanga hriat theih a tha ber. Thisen sen lian zawk bakah hian
Howell-Jolly taksa (cell chhunga chi te te) leh
granulocytes (thisen var chi khat) hypersegmentation a awm a nih chuan macrocytic anemia a awm tih a tilang chiang hle.
Engtin nge enkawl a nih?
Macrocytosis enkawlna atana pawimawh ber chu
a chhan bulpui zawng chhuah leh enkawl hi a ni . A chhan hmuhchhuah a nih veleh i doctor chuan enkawl dan tur a ruat ang.
- Vitamin tlakchhamna enkawlna: A chhan chu Vitamin B12 emaw folate tlakchhamna emaw a nih chuan ei leh in tur dik tak thlak danglam te, vitamin supplement emaw, a tul chuan vitamin injection te hi a tha hle. Mahse, i doctor chauhvin vitamin supplement dang i mamawh leh mamawh loh leh engzat nge i ei tur tih a rel thei tih hre reng ang che. Chuvangin damdawi lam thurawn tel lo chuan vitamin ei loh tur a ni.
- Thisen tlakchhamna na tak: Thisen tlakchhamna a nasat em em chuan thisen pek a ngai mai thei.
Vitamin B12 tamna ei tur
Kum 14 chunglam puitlingte chuan ni khatah vitamin B12 microgram 2.4 vel an mamawh a ni. Nu naupai leh nau hnute pe lai hian microgram 2.6-2.8 inkar a mamawh a ni. Heng vitamin tamna ei tur zingah hian:
- Nga leh sangha chi hrang hrang
- Thin
- Sa sen a ni
- Eggs a ni
- Ar
- Bawnghnute atanga siam chaw, bawnghnute, cheese, yogurt te
- Chawhmeh chi hrang hrang (fortified breakfast cereals) a ni
Folate tamna ei tur
Kum 19 chunglam tu pawhin ni khatah folate microgram 400 a mamawh a ni. Nu naupai chuan 600 a mamawh a, nau hnute petu chuan 500 a mamawh bawk a, zu in thinte tan pawh ni khatah microgram 600 an neih a pawimawh a, a chhan chu zu hian folate hi a lakluhna a tichhe a ni.
- Thlai dum dum, spinach, kale, lettuce, broccoli te pawh a awm
- Legumes te chu bean leh peas te an ni
- Peanut chu a ni
- Sunflower chi a ni
- Thlai thar
- Thlai chi hrang hrang (whole grains).
- Tuipui thil chi hrang hrang
- Eggs a ni
- Chaw chakna (fortified foods) te
Take-Home Thuchah a ni
- Macrocytosis tih awmzia chu i thisen sen (red blood cells) chu a tlangpui aia lian a ni tihna a ni. Amah hi natna a ni lo va, taksaa harsatna dang a awm tih chhinchhiahna a ni.
- A chhan langsar ber chu vitamin B12 emaw folate tlakchham vang a ni. A chhan dangte chu thin natna leh zu in tam lutuk te hi a ni .
- I thisen report-ah i MCV value a sang a nih chuan hlauthawng suh la, i doctor nen inbia nghal rawh.
- Enkawlna chu a chhan bulpuiah a innghat a ni. A chhan dik tak zawn a, enkawl hian he natna hi a thunun vek thei a ni.
- Ei leh in inthlau tak, chaw tha tak neih hi a pawimawh hle.
Macrocytosis, thisen sen, thisen test, vitamin B12, folate, thisen tlakchhamna, MCV
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