Damdawi lam thil engemaw avanga doctor hmu turin i kal a, thisen test an pe che ang tih han ngaihtuah teh. Ni engemaw zat hnua report i hmuh chuan, a chhunga damdawi lam thumal thenkhat i hmuh chuan kan hlauthawng deuh a, kan hre duh deuh bawk a ni lawm ni? ‘Polychromasia’ tih hi chutiang thumal pakhat a ni. I report-a he thumal hi ngaihtuah tur leh natna khirh tak anga ngaih tur a ni lo. I taksaa thil awm dan a tarlang chauh a ni. Chuvangin, vawiin hian Polychromasia hi eng nge a nih tak tak tih te, engvangin nge report-a record a nih tih te, leh a chungchanga i hriat tur te kan sawi dawn a ni.
A awlsam zawngin Polychromasia chu eng nge ni?
Polychromasia hi natna a ni lo. Lab-a i thisen sample an test hian i hmuh thin thil a ni. A awlsam zawngin, i thisen sen ṭhenkhat chu dye bik hmanga test a nih chuan blue-gray color-ah a chang tihna a ni.
A tlangpuiin kan thisen sen (red blood cells) te hi ruhroah an puitling a, chu chu an puitling kim tawh a, thisenah chhuah theih turin an inpeih tawh tihna a ni. Mahse, a châng chuan, eng emaw chhan avângin, ruhro chuan heng thisen sen hringte hi an puitlin hmain thisenah a chhuahtîr a, chu chu an puitling lo tihna a ni . Damdawi lamah chuan heng thisen sen puitling lote hi ``Reticulocytes'' kan ti a, chu cell te chu pigment bik nen an inrem a, blue-gray angin an lang. Chuvangin, i report chuan Polychromasia a ti a, chu chu i thisenah heng thisen sen puitling lo tam tak i nei tihna a ni.
Engvangin nge hetiang hi a lo awm? Polychromasia thlentu ber
Hei hi hrethiam tur chuan kan thisen sen (red blood cells) chungchang tlem han zir hmasa ila.
Kan taksa chhunga cell leh tissue tin hian dam khawchhuah nan oxygen kan mamawh vek a. He oxygen hlu tak hi lung atanga taksa peng dang thlenga phurtu chu thisen sen (red blood cells) an ni. Hengte hi factory pakhat, kan ruhro (bone marrow) an tihah siam a ni. Thisenah an chhuah hmain ruhroah ni 7 vel an thang tha hle. A tlangpuiin thisen sen (red blood cell) hi ni 120 vel a dam thin. An thih chuan kan kal atanga siam hormone ``Erythropoietin`` tih hian ruhro chu signal pein thisen sen thar siamin a hmun ruak chu a luah khat ta a ni.
Mahse, damdawi lam dinhmun thenkhat chuan he kalphung hi a tibuai thei a ni. Taksain thisen sen a mamawh vat chuan, emaw, ruhro a nghawng chuan, cell puitling lote chu a chhuak a, "A pawi lo, an la siam kim lo nachungin thisenah lut turin an inpeih tawh a ni," an ti. Chutih lai chuan i thisen report-ah Polychromasia i hmu a ni.
A chhan ber chu eng nge ni tih a hnuaia table-ah hian i lo en ang u.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Anemia - a bik takin Hemolytic Anemia | Hemi kawngah hian thil thleng chu thisen sen (red blood cells) te hi an siam chhuah theih aia rang zawkin an tichhia a ni. Hei hian taksaah thisen sen (red blood cells) a nei tlem lutuk a ni. He tlakchhamna hi siam ṭhat nân, ruhro chuan rang takin thisenah cell puitling lote a chhuahtîr a ni. Entirnan: - Pianpui natna (e.g. Thalassemia, Sickle cell anemia) . - A hnu lama lo awm (e.g., damdawi thenkhat, natna hrik, cancer, thisen pek avanga thil thleng, autoimmune natna lupus ang chi) |
| Thisen chhuak | Taksa atanga thisen tam tak a bo chuan, hliam emaw, taksa chhunga thisen chhuak (e.g., pum, rilru, emaw thluak) vang emaw a nih chuan ruhro chu a ruh chu luah khat turin a tlan nghal a. Chutih lai chuan cell puitling lote pawh thisenah an lut bawk. |
| Ruhro lama harsatna (Myeloid metaplasia) . | Cancer chi hrang hrang (lymphoma leh multiple myeloma ang chi)in ruhro a tihchhiat chuan taksa peng dang, liver leh spleen te hian thisen sen (red blood cells) an siam tan thin. Heng taksa peng hrang hrangte hian ruhro (bone marrow) ang bawkin cell puitling an siam theih loh avangin thisenah hian cell puitling lote chu an pungkhawm a ni. |
Hemi nen hian eng symptom nge a inzawm thei ang?
A pawimawh ber chu Polychromasia natna chi khat (specific symptoms) a awm lo. Natna a nih loh avangin lab report-a hmuh theih thil a ni. Mahse, Polychromasia thlentu dinhmun a zirin symptom hrang hrang i nei thei.
Chumi awmzia chu i symptoms i tawn mek hi Polychromasia vang ni lovin, thisen tlakchhamna, thisen chhuah vang emaw, a thlentu natna dang vang emaw a ni zawk tihna a ni.
Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:
| Damdawi lam dinhmun hnuaia awm thei symptoms tlangpui | |
|---|---|
| - Chau | - Paleness a awm |
| - Thâwk harsa | - Luak chhuak thei |
| - Khawsik | - Ruh a na |
| - Thisen chhuah emaw, hliam emaw awlsam | - Liver emaw spleen emaw a hring chhuak |
Engtin nge hei hi hriatchhuah leh enkawl theih ang?
Hriatchhuahna
Polychromasia hi thisen test bik Peripheral Blood Smear tih hmanga hriat theih a ni . Hei hian i thisen tlemte la a, glass slide-ah te te tea theh darh a, chutah chuan dye bik dah a, microscope hmanga enfiah a huam a ni. Hei hian doctor chuan i thisen chhunga thisen sen, thisen var, leh platelet awmte pianzia, a lian leh te, leh a nihna te chu a hre chiang thei a ni.
Heng thisen sen puitling lote hian cell pangngai aiin ``Ribonucleic acid - RNA'' tih hming pu thil an nei tam zawk a ni. Chu RNA chuan pigment nen an inrem a, chu chuan an blue-gray hmel a pe a ni.
Enkawlna kawng hrang hrang
Hei hi a pawimawh ber a ni. Polychromasia tih thumal hi enkawl a ni lo. A chhan chu natna a nih loh vang a ni. Enkawlna chu a chhan bulpui (underlying condition) tan a ni.
Chumi awmzia chu i doctor chuan i report a enfiah ang a, i symptoms te a zawt ang a, i polychromasia chhan hriat a tum ang. Test dang tih belh a ngai mai thei bawk.
- A chhan chu damdawi a nih chuan chu damdawi chu tihdanglam theih a ni.
- A chhan chu thisen tlakchhamna (anemia) a nih chuan enkawlna \ha (e.g. Iron tablet, vitamin, a tul chuan thisen pek) pek a ni ang.
- A chhan chu infection a nih chuan enkawl a ni ang.
- A chhan chu cancer ang chi natna khirh tak a nih chuan damlo chu specialist doctor-ah refer a ni ang a, a tul anga enkawl tan a ni ang.
A chhan thenkhat chu hun rei lote chhung atan a ni a, enkawlna hmangin a dam kim thei a ni. Ṭhenkhat chu dam chhung zawnga enkawl ngai, natna khirh tak tak an ni thei. Chuvangin i report chu doctor nen sawiho a, a thupek dik taka zawm a pawimawh hle.
Take-Home Thuchah a ni
- Polychromasia hi natna a ni lo, thisen test report-a hmuh theih note mai a ni.
- Hei hian i ruhro atang hian thisenah thisenah thisen sen puitling lo a chhuak tihna a ni.
- Hei hi damdawi lam dinhmun (e.g. thisen tlakchhamna, thisen chhuah) chhinchhiahna a ni thei.
- Enkawlna hi Polychromasia tan ni lovin, a chhan bulpui (underlying condition) a ni.
- I thisen test report-ah hetiang thil hi a lang a nih chuan hlauthawng suh la, i doctor nen sawiho la, thurawn dik tak la rawh.
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