Secondary Polycythemia: A chhan te, a natna lan chhuah dan te, a enkawl dan te chu a awlsam zawngin i zir ang u

A châng chuan i chau hle a, i lu a buai , i mit a fiah deuh bawk em? Hengte hi thil pangngaiah kan ngai a, mahse a chang chuan a chhan chu kan taksaa thisen a pungkhawm vang a ni thei. Hei hi medical science-ah chuan Secondary Polycythemia an ti a. He hming i hriat hian hlau suh, hei hi eng emaw chen chu a awm lo. A awlsam zawngin, hei hian i taksain thisen sen a siam chhuah tur aia tam a siam tihna a ni . Chuvangin he thu hi chipchiar takin, awlsam takin han sawi ila.

Engvangin nge hetiang hian thisen a thip? A chhan engte nge ni?

"Secondary" tih thumal hi "second" tihna a ni. Chuvângin, he natna hi chu hming pawh pêk a ni a, a chhan chu thil lo awm tak a nih loh avângin, damdawi lam dinhmun dang emaw, a chhan dang emaw avânga lo awm a nih avângin .

Hetiang hian han ngaihtuah teh, thisen sen (red blood cells) hian kan taksa tissue-ah oxygen a phur a. Eng emaw chhan vanga thluak emaw kal emaw hian taksain oxygen a dawng tlem tih signal a dawn chuan kal hian hormone `Erythropoietin` emaw ` EPO` emaw a siam chhuak thin. He `EPO` hormone hian kan ruhroah a kal a, "thisen sen tam zawk siam turin, taksain oxygen a hmu tlem hle" a ti a. Chuvangin ruhro hian thisen sen thar a siam tan ta a ni. Hetianga thisen sen (red blood cells) a pun chuan thisen chu a thim zauh zauh thin. He thisen thim tak hian kan taksa chhunga thisen kalna kawng te tak te (`capillaries`) kal tlang harsa a ti hle. Chuvangin ` stroke` ang chi natna khirh tak tak vei theihna a sang hle.

Tunah chuan hei hi eng nge a chhan ber tih i lo en ang u.

Primary leh Secondary Polycythemia hi eng nge an danglamna?

`Primary Polycythemia` tih pawh i hre tawh mai thei.Heng pahnih hi ri inang mahse, an pahnih inkarah hian danglamna lian tak a awm.

A awlsam zawngin kan ruhro hi thisen cell siamna factory ang a ni.

• Primary Polycythemia: Hei hi factory ngei (bone marrow) hian a mah chauhin thisen sen (red blood cells) a siam tam lutuk a, pawn lam signal engmah a awm lo. Hei hi a tlangpuiin genetic change (`mutation`) vang a ni.
• Secondary Polycythemia: Hetah hian factory (bone marrow) chu a thawk tha hle. Mahse, pawn lam atanga signal dik lo emaw, tul lo emaw (e.g., kidney atanga) "produce tam zawk" tura tih a nih avangin thisen sen tam lutuk a siam thin.

An pahnih inthlauhna tur hian doctor-te chuan `JAK2` tih gene an test thin. `Primary Polycythemia` vei tam tak chuan he gene hi `positive` an ni. Mahse, `Secondary Polycythemia`-ah chuan hetiang hi a thleng lo.

Hetiang natna lan chhuah dan hi engte nge ni?

Thisen zawrh chhinchhiahna hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse, hengte hi a lan chhuah dan tlangpui a ni.

• Chau
• Lu na
• Luak chhuak thei
• Mit hmuh a fiah lo
• Anorexia a awm
• Taksa chak lohna
• Rilru ngaihtuahna a tlahniam

Entirnan, a chhan chu `Sleep Apnea` a nih chuan chhun lamah mutthilh lutuk i nei thei a, zanah i bengchheng thei bawk.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi i doctor hnena i hrilh hian a tih hmasak ber tur chu i medical history kimchang a zawt che a ni. Chu chu, zu i in a nih chuan, tun hnaiah i thau a tlahniam em, i khuh em, i rilru a na em, i thawk harsa em, zanah i bengchheng em . I chhungkuaah hian heng natna hi an nei tawh em tih pawh a zawt bawk ang.

Tichuan, taksa enfiahna neih a ni a, a tul chuan test engemaw zat neih a tha a, chungte chu:

• Thisen test: Thisen sen zat, EPO hormone level, leh thisen oxygen level (hei hi Arterial Blood Gas - ABG hmanga tih theih) test te enfiah thin ang che.
• ECG (Electrocardiogram): Thinlung hnathawh dan enfiah thin ang che.
• Imaging Tests: Chest X-ray, CT scan emaw ultrasound scan emaw hmangin thinlung, thin, emaw, spleen emaw a hring em tih a enfiah thei a ni.

Heng test hmang hian doctor chuan he natna thlentu dik tak hi a hmu chhuak thin.

Hei hi eng enkawlna nge ni?

Hemi chungchanga a tha ber chu secondary polycythemia hi thisen thimna chhan bulpui hriatchhuah leh enkawl hmanga tihdam theih a ni

• A bulpui ber enkawl dan:
• Meizial zu mi i nih chuan: Meizial zuk bansan a pawimawh hle. Hemi atan hian doctor chuan thurawn leh damdawi tul tak tak a pe ang.
• Thau lutuk vang a nih chuan: I nunphung thlak danglam tur, exercise la tur leh i taksa rihna tihtlem turin thurawn i dawng ang.
• COPD ang chi lung natna i neih chuan: Low-flow oxygen therapy hian taksaa oxygen level a siam that theih nan a pui thei a ni.
• Tumor vang a nih chuan: He natna hi surgery hmanga lakchhuah a nih chuan a tidam vek thei a ni.

• Symptoms tihziaawmna atana enkawlna: 1.1.
• Phlebotomy: Hei hi thisen pek nen a inang a. Thisen pint chanve emaw pint khat vel chu vein atang hian lakchhuah a ni a, chu chuan thisen sen (red blood cells) a ti tlem a, thisen chu a ti thim bawk. Hei hian lu na leh luak chhuak ang chi symptoms lakah a reh nghal vat thin.
• Damdawi: I doctor chuan natna tihziaawmna turin aspirin ang chi damdawi a pe thei a, natna lan chhuahna tur antihistamines te pawh a pe thei bawk.

Condition dang i hmachhawn laiin condition dang hriat chu a lungchhiatthlak hle. Mahse hre reng ang che, `Secondary Polycythemia` thlentu natna tam zawk hi hriat lar tak leh enkawlna hrang hrang nei an ni. Chuvangin, a chhan bulpui chu uluk taka enkawl a nih chuan he natna hian i dam chhung a nghawng lo tlangpui.