A chang chuan i ke a hring, a na, a nih loh leh i rilru a khauh ang maiin i inhriat nghal em? Hengte hi random thil mai a ni lo. Hei hi a chhan chu i taksa thisen zam (blood clotting process) a inthlauhna tlem vang pawh a ni mai thei. Dik tak chuan kan taksaa thisen zam hi nunna chhanhim nan a pawimawh hle. Mahse a lo thlen tam lutuk, tul lova a thlen chuan a hlauhawm hle bawk. Vawiin hian chu balance zawngtu thisen test pawimawh tak kan sawi dawn a ni.
Protein S hi eng nge ni?
A awlsam zawngin sawi ila, Protein S hi kan liver siam protein chi khat bik a ni. A hna ber chu kan taksaa thisen zam (blood clotting process) control hi a ni.
I thisen zam (blood clotting system) kha car’s brake system angin ngaihtuah rawh. Kan inhliam hian thisen chhuah tihtawp nan thisen zam hi a pawimawh hle. Car a tlak hmaa a tihtawp theih nan brake i vuak ang mai a ni. Mahse, chhan awm lovin i thisen zam (veins)-ah thisen zam a lo awm a nih chuan eng nge thleng ang? Kawngpuiah car a khalh pangngai ang mai a ni a, rang takin brake a lock up a, wheel pali zawng zawng a ding vek ang.
Chutiang bawkin thisen zam a lo awm chuan thisen kalna a tikhawlo thei a, dinhmun hlauhawm tak a siam thei bawk. Protein S hi kan taksa brake system-a thil pawimawh tak ang maia ṭul lo taka thisen zam control tu a ni. Protein S hian he hna pawimawh tak hi protein dang Protein C leh anti-thrombin te nen tangkawpin a thawk a ni.
Protein S tlakchhamna hi eng nge ni?
Protein S tlakchhamna hian i taksain he protein pawimawh tak hi a nei tlem tihna a ni. Chutiang a nih chuan a hmaa ka sawi tawh brake system chu a chak lo ang mai a ni. Chumi awmzia chu thisen kalna kawnga thisen zam (blood clots) a awm theihna chu a tul lovah a tipung tihna a ni. Damdawi lamah chuan he natna hi Venous Thromboembolism (VTE) hlauhawmna kan ti a.
Hei hi thlah khat atanga thlah khata kal zel, thlahtute natna a ni thei. Mahse a tlem hle. Mahse, a then phei chuan he thisen zam hi a tam zawk thei a ni. Entir nan:
- Naupai lai hian
- Surgery neih a nih hunah
- Birth control pill hormone awmna i ei a nih chuan
- Hormone replacement therapy (HRT) i ei a nih chuan .
- Hun rei tak chhung hmun khata i awm chuan, thlawhnaah ang bawkin.
Mahse, a châng chuan chhan chiang tak awm lovin thisen zam a awm thei tih hre reng ang che. He risk hi kum 55 hnuah chuan a sang deuh hlek a ni.
Protein S a awm loh lai hian eng dinhmun hlauhawm nge thleng thin?
Protein S tlakchhamna hian thil hlauhawm ber pahnih a thlen thei a ni. Hengte hi dawhkan hmangin i hrethiam ang u.
| Dinhmun | A awlsam zawnga sawifiah leh symptoms |
|---|---|
| Deep Vein Thrombosis (DVT) natna hi a awm thei lo. | Hei hi taksa chhunga vein thuk takah thisen zam (thrombus) a lo awm hian a thleng thin. Ke ah a awm tlangpui. A lan chhuah dan chu a hring, a na, a ke emaw, a kut emaw pakhatah hrual ang maia hriatna, khawih a lumna, leh thisen kalna bulging te a ni thei. |
| Pulmonary Embolism (PE) a awm a, a rilru a hah hle. | Hei hi a hlauhawm zawk. PE chu DVT laia thisen zam lo awm chu a inthen a, thisen kaltlangin thinlungah a kal a, chuta tang chuan lung chhunga thisen kalna kawng khatah a tlakbuak a ni. Hei hi emergency, nunna atana hlauhawm thei dinhmun a ni! A lan chhuah dan chu thawk hah thut, thawk hah lutuk chuan a na zual sauh sauh thin, thinlung na rang tak, leh a chang chuan thisen khuh te hi a ni. Heng symptoms te hi i neih chuan damdawi in emergency department (ETU) ah i kal nghal tur a ni. |
Protein S Activity Test hi eng nge ni?
I hlauhawm em tih hriatna atana thisen test pawimawh ber chu Protein S Activity Test hi a ni. He test hian i thisena Protein S awm zat a teh mai bakah, a ‘active’ zia a teh bawk. Chu chu thisen zam a tihtawp theihna a teh tihna a ni. Protein S tlakchhamna chi hrang hrang deuhthaw a hmuchhuak thei.
He test hi i tih chuan...
I doctor-in he test hi ti turin a ti che a nih chuan i damdawi ei zawng zawng (a bik takin thisen tithianghlimtu leh hormone) te chu i doctor hnenah i hrilh ngei tur a ni. A chhan chu damdawi thenkhat hian he test result hi a thlak danglam thei a ni. Chuvang chuan engmah thup lova engkim sawi chhuah a pawimawh em em a ni.
Test report-a value awmte hi engtin nge kan hriatthiam ang?
Report-a Protein S activity awm dan pangngai chu 60% leh 150% inkar a ni tlangpui. Mahse, hei hi lab hrang hrangah a danglam deuh thei. Chuvangin i doctor chuan i result chu i report-a normal range nen a khaikhin ang a, a awmzia dik tak a sawifiah ang.
- Low Protein S Activity: Hei hian i taksain thisen zam a control theihna a hniam tihna a ni. Hei hian DVT emaw PE emaw ang chi natna i neih theihna chance a sang zawk tihna a ni.
- Protein S Activity value a sang (High): Mi thenkhatah chuan he value hi a pung a, a bik takin an upat deuh deuh chuan. Mahse, hriselna lama harsatna lian tham a thlen thei tih erawh hriat a la ni lo. Chu chu he value tihpun hian thisen chhuah theihna a tipung lo tihna a ni.
He test hi tuin nge tel duh?
I doctor chuan thisen zam natna vei theihna i neih nia i hriat chuan he test hi a rawt thei a, a bik takin:
- I taksaah chhan hriat loha thisen zam i neih chuan (entir nan, surgery, zin rei tak, etc.).
- I chhungte zingah mi pakhatin thisen zam (Venous Thromboembolism - VTE) a neih fo tawh chuan.
- I chhungte zinga mi pakhatin Protein S tlakchhamna a nei tih hmuhchhuah a nih tawh chuan.
- Nau pai vawi khat aia tam i neih tawh chuan.
He test result a\ang hian i doctor chuan thisen zam pangngai lo laka invenna tur damdawi a pe thei ang.
Take-Home Thuchah a ni
- Protein S hi kan taksaa thisen zam control tu protein pawimawh tak a ni a, "brake" ang maiin a thawk a ni.
- He Protein S level hi a tlahniam chuan DVT (deep vein thrombosis) leh PE (pulmonary embolism) ang chi natna hlauhawm tak tak neih theihna a sang hle.
- Hetiang hlauhawmna tehna atan hian Protein S Activity Test hi thisen test pawimawh tak a ni.
- He test hi i neih chuan i damdawi ei zawng zawng hi i doctor hriattir a pawimawh hle.
- Nangmah emaw i chhungte emaw hian chhan hriat loha thisen zam i neih tawh chuan i doctor nen sawiho la, a tul anga thurawn la rawh.
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