Kan taksaa ruh awmte hi kan hre vek a ni lawm ni? Mahse, heng ruh chak tak tak chhungah hian kan nunna atana pawimawh tak factory mak tak a awm tih i hria em? He tissue nem tak hi sponge ang maiin bone marrow an ti a. A awlsam zawngin sawi ila, hei hi kan taksaa thisen siamna factory lian ber a ni. Chuvangin vawiin hian he ruhro hi i sawi ang u, a bik takin a chi khat , ruhro sen, engkim awlsam taka hriatthiam theih nan.
Bone marrow hi chi hnih a awm a.
Kan taksaah hian ruhro chi hnih a awm a. An pahnih hian hnathawh dan inang lo deuh an nei a. Eng nge an nih i en ang u.
| Bone marrow chi hrang hrang | Thuziak leh hnathawh dan |
|---|---|
| Red Bone Marrow a ni | Hengte hi kan thisen siamna factory-a kan hman ber berte an ni. An hip ruh, luruh leh sternum ang chi ruh flat chhungah an awm tam ber. Chung chhunga stem cell bikte hian thisen cell red blood cells, white blood cells, leh platelets an tih te chu a siam a ni. |
| Yellow Bone Marrow a ni | Chungte chu ke ruh sei takah a awm tam ber. A hming ang bawkin an rawng chu a sen deuh a, a chhan chu thau atanga siam an nih tam vang a ni. He thau hian ruhte tan ei tur mamawh a pe a ni. Tin, he yellow bone marrow hian stem cells a pai bawk. Heng cell te hi a tul hunah ruh cell, cartilage cell, thau cell emaw an lo ni thei a ni. |
Red bone marrow hnathawh mak tak mai
Red bone marrow-a stem cell awmte hi ``Hematopoietic stem cells'' kan ti a. Hengte hi thisen cell pangngai ni lovin, thisen cell dang zawng zawng siam thei stem cell chi khat an ni. Hetianga thisen cell thar siam dan hi damdawi lamah chuan Hematopoiesis an ti a. Chutiang chuan cell chi thum lian tak tak a lo piang ta a ni.
1. Thisen sen (Red Blood Cells) te
Hengte hi kan taksa pum puia oxygen phurtu an ni. Thisen sen chhunga protein hemoglobin an tih hi lung atanga oxygen la chhuakin taksa chhunga tissue zawng zawngah a thlen thin a ni. He hemoglobin hi kan thisen rawng sen petu a ni. Tin, heng thisen sen (red blood cells) te hian tissue-a carbon dioxide lo chhuak chu lungah an rawn hruai kir leh thin bawk.
2. Thisen var (Whir Blood Cells) te
Hengte hi kan taksa sipaite an ni . Heng thisen var (white blood cells) te hian natna laka min venghim a, taksaa lut virus leh bacteria ang chi natna hrik te chu an do a ni. Chung chi hrang hrang a awm a, chi tin hian hrik an do dan a inang lo.
Ngaihtuah teh, kan taksa hi ram a nih chuan, thisen var (white blood cells) te hi chu ram chhunga venhimna chi hrang hrang, sipai, tuipui leh boruak sipai te an ni. Mi zawng zawng hian ram (taksa) humhalh nan kan thawk ho thin.
| Thisen var chi hrang hrang | Eng nge tih tur awlsam tak |
|---|---|
| Lymphocytes te hi a awm a | Chungte chuan antibodies a siam a, germ cells te a tichhia a ni. |
| Granulocyte te hi a awm a | Hri kai awmna hmunah an kal a, hrik direct-in an do thin. |
| Monocytes te hi a awm a | Chungte chu ‘macrophage’ an lo ni ta a, taksaa lo lut hnam dang cell te chu an khuh vek a ni. |
3. Platelet awmte
Hliam te tak te i neih a, thisen a chhuah tan chuan rei vak lo hnuah thisen a reh a ni lawm ni? Chu chu heng platelet te hian an puih a ni. Hliam a awm meuh chuan heng cell te hi a hmunah an lo kal a, an inzawm khawm a, thisen zam an siam a, thisen chhuah chu an titawp ta a ni .
Bone marrow leh kan hriselna
Tunah chuan kan hriselna atan bone marrow hi a pawimawh zia i hrethiam tawh mai thei. A châng chuan chhan hrang hrang avangin kan ruhro (bone marrow) hnathawh a tichhe thei a ni. Tichuan he thisen cell factory hnathawh hi a buai ta a ni. Hengte hi hemi avanga natna lo awm thei thenkhat an ni.
- Cancer: Cancer chi hrang hrang ruhroah a lo awm thei a. Leukemia hi cancer chi hrang hrang zinga pakhat a ni. Hetah hian thisen var chi khat, a thawk tha lo chu thunun theih lohvin a inthen darh tan a, a pung chho zel bawk. Heng cell tangkai lo tak takte hian taksa an luah khat chuan thisen var hrisel, thisen sen, leh platelet siam chhuah chu a tawp a, taksain natna hrik a do thei lo.
- Aplastic Anemia : Hei hi thil awm lo tak a ni. Hei hi ruhro (bone marrow) a chhiat a, stem cells a bo chuan a thleng thin. Hei hian thisen cell siamchhuahna chu a titawp vek a ni.
- Anemia: Hei hi a awm fo thin. Taksain iron, vitamin B12 , emaw folate a tlakchham chuan a thleng thei a ni. Heng nutrients te hi bone marrow tan thisen sen leh hemoglobin siam nan a pawimawh hle. Anemia vei tan chuan .
- Chau tih hriat reng reng
- Nunna nei loin ka inhria.
- Tlemte thawhrim hnuah pawh thawk harsa ka ti.
- Vun chu a rawn sen vek.
- Ka rilru a hahdam hle.
- Plasma Cell Disorders: Plasma cell hi thisen var chi khat, antibodies siamtu a ni. Heng cell te hi thunun loha an lo thang lian lutuk chuan immune system a tichak lo thei a, taksa peng hrang hrang a tichhe thei bawk. Multiple Myeloma hi cancer chi khat a ni a, hetiang hian a lo awm thin.
- Natna dang: Myelodysplastic Syndromes leh Myeloproliferative Neoplasms ang chi dinhmunah chuan ruhro hian cell chi dik lo a siam tam lutuk emaw, cell chi khat a siam tam lutuk emaw a ni. Hei hian cell chi dang a tlakchham phah a, harsatna chi hrang hrang a thlen bawk.
Heng natnate hi eng enkawl dan nge ni?
Bone marrow natna i vei tih hmuhchhuah i nih chuan i doctor chuan i tana enkawlna tha ber tur a ruat ang. Natna chi leh nasat dan azirin enkawl dan a inang lo. Enkawlna hman tlanglawn tak takte chu:
- Bone marrow thlak danglam a ni
- Thisen pek a ni
- Iron, vitamin B12 emaw folate emaw chu pill atan emaw, vitamin injection emaw, saline emaw atan pek
- Cancer dona damdawi (Chemotherapy) hmanga enkawl theih a ni.
- Immune system titawptu damdawi te
Vawi tam tak chu a tir lamah chuan he natna chi hrang hrang chhinchhiahna lian tham a awm lo thei. Kum tin i thisen test hmangin i hre thei a, chu chuThisen chhiar kim (CBC) chauh hi hriat theih a ni. Chuvangin i hriselna enkawl reng a pawimawh em em a, i damloh chuan doctor rawn la .
Take-Home Thuchah a ni
- Kan ruh chhunga factory lian ber chu bone marrow a ni a, chu chuan kan taksa mamawh thisen cell a siam chhuak thin.
- Red bone marrow hian cell chi thum a siam chhuak vek a, chungte chu red blood cells (oxygen kengtu), white blood cells (germs dotu), leh platelets (thisen titawp tura puitu) te an ni.
- Ruh ruh (bone marrow) hnathawh danah harsatna a awm chuan natna chi hrang hrang, leukemia leh thisen tlakchham (anemia) te a awm thei a ni.
- I chau reng, i vun rawng, a chang chuan hliam na tak ang chi symptom i neih chuan ngaihthah suh.
- I hriselna chungchangah rinhlelhna i neih chuan tihkhawtlai suh la, doctor rawn rawh.
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