I platelet count chungchang i hre dawn em ni? Variation leh hriat tur thilte

Full Blood Count report i en hian ‘PLT’ tih value i hmu ngai em? A nih loh leh, hliam tenau tak, hliam lian tak, emaw, ha i sil laiin i hmui thisen chhuak i nei tawh em? Chûng zawng zawng chu i thisena cell pâwl tê tak tê, platelet an tih nên a inzawm thei a ni. Thrombocyte an ti bawk. Chuvangin, vawiinah hian heng platelet te hi eng nge an nih leh an hniam lutuk chuan eng nge thleng thin tih kan sawi dawn a ni.

Chuti a nih chuan, heng platelet te hi eng nge ni?

A awlsam zawngin sawi ila, platelet hi kan thisena cell te tak te, kan ruhro (bone marrow)-a siam chhuah a ni. An hna ber chu kan hliam huna thisen chhuah tihtawp hi a ni. I kut i tan huna rei vak lo hnua i thisen a reh dan kha han ngaihtuah teh. Chutih lai tak chuan heng platelet te hi mi huaisen ang maiin an lo kal a, an rawn inzawm khawm a, thisen zam an siam a, hliam chu an seal ta a ni. Mechanic tenau team pakhatin pipe chhe tawh siam that tumin an tlan chak ang mai a ni.

Engtin nge Platelet Count hi an teh thin?

Platelet count hi thisen test pangngai hmanga teh a ni. Hei hi kan tih fo thin Complete Blood Count (CBC) test-ah kan teh thin. Hei hian thisen chhunga platelet awm zat bakah thisen var leh thisen sen te a enfiah thei a ni.

Mi hrisel thisenah hian platelet count pangngai chu eng ang nge ni tur tih hi han thlir ila.

Platelet hniam (Thrombocytopenia) chungchang hi han sawi ila

I platelet count 150,000 aia tlem a nih chuan doctor-te chuan he natna hi thrombocytopenia an ti thin. Hei hi hliam i neih hnua thisen chhuah tihtawp theihna tur platelet i neih tlem lai a ni.

Eng nge a lan chhuah dan?

A châng chuan platelet tlahniam tlem chuan natna lan chhuahna a awm lo thei bawk. Mahse, a zat a tlahniam nasa hle chuan hetiang hi i hmu mai thei:

• Bruises awlsam: Bump tlemte pawh hian blue/purple bruise lian tak tak a thlen thei.
• Thisen chhuah tihtawp harsa: Ha sil laia hmui thisen chhuak, hnar thisen chhuak fo, hliam tenau tak atang pawhin rei tak thisen chhuak.
• Internal bleeding: Zun-ah thisen a awm a, ek chhungah thisen a awm (a bawlhhlawh a dum thei), riltam a thisen a awm (coffee ground ang maiin a lang thei).
• Vun chunga hmun sen: Vun hnuaia thisen kalna kawng atanga thisen chhuak avanga lo awm te te, sen, flat (petechiae) te .
• Vun a rawng sen (purple spots): Vun hnuai lama thisen chhuak avanga lo awm , purple, sen, brown-yellow spot lian tak tak (Purpura).
• Chauh lutuk leh chak lohna.
• Hmeichhiaah thlasik laiin thisen a chhuak nasa hle.
• Spleen emaw liver emaw a hring chhuak.

Engvangin nge platelet hi a tlahniam?

Platelet tlahniam chhan lian tak pathum a awm a, chungte chu:

1. Bone marrow hian platelet a siam tling lo.

2. Taksain platelet a tihchhiat emaw, a hman tangkai emaw rang.

3. Spleen hian platelet a vawng reng a, a tul hunah a chhuah lo.

Hengte hi natna leh a chhan thenkhatte chu heng natna thlentu te hi an ni:

• Bone marrow natna: Thil awm lo tak tak Aplastic Anemia, thisen cancer Leukemia emaw Lymphoma ang chi te.
• Cancer enkawl dan: Chemotherapy leh radiation therapy hmanga ruh ruh (bone marrow) a tichhe thei a ni.
• Vitamin tlakchhamna: Vitamin B12 leh folate a tlem chuan ruhro tan platelet siam a harsa thin.
• Autoimmune conditions: Lupus leh Rheumatoid Arthritis ang natnaah hian taksa immune system hian a tihsualin a platelet a bei a, a tichhia a ni.
• Infection: Viral infection HIV, Hepatitis C, leh bacteria infection thenkhat.
• Damdawi thenkhat:Damdawi thenkhat, Heparin leh Quinine te hian platelet a tichhe thei a ni.
• Natna chi hrang hrang, cirrhosis of the liver: Hengte hian spleen a ti na thei a, platelet te pawh a chhungah a tang thei bawk.
• Zu in tam lutuk.
• Surgery lian tham thenkhat: Entirnan, thinlung surgery.

Platelet pung (Thrombocythemia/Thrombocytosis) chungchang pawh i zir ve ang u

Platelet 450,000 aia tam a awm pawh hi harsatna a ni. Hei hian thisen zam duh loh zawng a siam thei a ni . Heng thisen zamte hi thisen kalna kawngah a tang thei a, heart attack, stroke, leh pulmonary embolism ang chi natna hlauhawm tak tak a thlen thei a ni.

Hetiang dinhmun hi chi hnih a awm a:

• Primary Thrombocythemia: Hei hi ruhroah platelet siam dan pangngai lo vang a ni. Hei hi genetic changes avanga lo awm a ni tlangpui.
• Secondary Thrombocytosis: Hei hi thrombocytosis chi khat a ni ber a, damdawi lam thil dang (e.g., infection, iron tlakchhamna) avanga ruhro (bone marrow) chu platelet tam zawk siam turin a tichak a ni.

Symptoms hi primary stage-ah a langsar ber tlangpui. Entirnan:

• Kut leh kea sen, kang, leh rilru hahna.
• A rilru a na.
• Lu na, luak chhuak, chak lohna.
• Mit hmuhna lama inthlak danglamna.
• Thisen chhuak (platelet tam tak awm mah se, a chang chuan a thawk tha lo).

Platelet a hniam chuan engtin nge tih ang?

Platelet hniam enkawlna chu a natna lan chhuah chhan leh a nasat danah a innghat a ni. I doctor chuan a enkawlna tha ber a ruat ang.

• A chhan enkawl dan: Damdawi pakhatin platelet count a tihhniam a nih chuan chu damdawi chu tihtawp theih a ni a, a dang pek theih a ni bawk. Iron emaw vitamin emaw tlakchhamna a awm chuan supplement pek theih a ni.
• Damdawi: Platelet count tihpunna tur damdawi `Corticosteroids` (e.g. Prednisone) te, ruhroa platelet siam tamna tur damdawi `Eltrombopag` leh `Romiplostim` te, taksain platelet a tihchhiat lohna tur damdawi `Immunoglobulin` te pek theih a ni.
• Thisen emaw platelet emaw transfusion: Thisen chhuah a awm emaw, platelet level a hniam em em emaw chuan pawn lam platelet transfusion tih theih a ni.
• Splenectomy: Enkawlna dang a hlawhtling lo va, spleen-in platelet a tihchhiat chuan i doctor chuan surgery hmanga spleen lakchhuah a rawt thei ang .