Thisen test report i la a, a chunga thu awmte i en a, "Hei hi eng nge a awmzia?" I doctor chuan, "I neutrophils hi a sang deuh" emaw, "a hniam" emaw a ti mai thei. Neutrophils hi eng nge ni tak tak? Ngaihtuah buai suh, a awlsam khawp mai. Kan taksa defense system-a unit bik an ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.
A awlsam zawngin, heng neutrophils te hi engte nge ni?
Ngaihtuah teh, kan taksa hi ram ang mai a ni. He ram humhalh tur hian sipai a awm a. Chu sipai chu kan immune system a ni . He sipai sipai chi hrang hrang zingah hian sipai pawimawh ber leh indonaa kal hmasa ber chu neutrophil .
Hengte hi a takah chuan kan thisena thisen var chi khat an ni. Kan thisena thisen var (white blood cells) 50% atanga 75% inkar vel chu heng neutrophil sipai te hi an ni.
An tih tur ber chu eng nge ni?
Neutrophils hian hna pawimawh pahnih a nei a, chungte chu:
1. Infection do: Bacteria, virus, fungi ang chi hrik kan taksaah a luh chuan a hmuna rawn tlan lut hmasa ber chu neutrophils a ni. Chu hrik chu an man a, "an ei zo vek" a, an tichhe vek a ni. Police ten rukru an man ang mai a ni.
2. Hliam tihdamna tura tanpui: Kan hliam hian heng neutrophils te hian a damna kawngah pawh a pui bawk.
Heng neutrophils te hi kan ruh chhunga ruhro (bone marrow) ah an lo piang chhuak thin a ni. Mahse an dam chhung hi a tawi hle a, ni khat pawh a tling lo. Chuvangin kan ruhro hian neutrophil thar a siam chhuak reng a ngai a ni.
Engtin nge neutrophil count hi an teh thin?
I doctor chuan i neutrophil count a hniam emaw a sang emaw a rinhlelh chuan thisen test turin a ti ang.
- Full Blood Count (FBC/CBC) test: Hei hi a tlangpuiin test hmasa ber a ni. A chang chuan `CBC with differential` an ti a, hei hian i thisenah cell chi hrang hrang engzat nge awm tih a enfiah thei a ni.
- Absolute Neutrophil Count (ANC): Hei pawh hi a chunga kan sawi tawh report ang chiaha tel a ni. Hei hian i thisenah neutrophil engzat nge awm tih chiang taka kan hriat theihna a ni.
A pawimawh ber chu thisen report-a value awmte atanga thutlukna siam mai mai suh. Chu hlutnate chu thil tam tak a zirin a inang lo thei a, chu chu kum leh damdawi lam dinhmun dangte a ni. Chuvangin i doctor nen inbiakna nei fo la, thurawn dik tak la rawh.
A tlangpuiin puitling hrisel tak chuan thisen microliter khatah neutrophil 2,500 leh 7,000 inkar a nei thin. 7,700 aia tam chu tihpun (neutrophilia) anga ngaih a ni a, 1,500 hnuai lam thil chu tihhniam (neutropenia) anga ngaih a ni bawk.
Neutrophil count tihpun (neutrophilia) chhante chu engte nge ni?
Neutrophils tihpun hi damdawi lam chuan neutrophilia an ti a . Hei hi a chhan awm thei engemaw zat a awm. Natna pakhat chauh a ni lo va, natna dang chhinchhiahna a ni.
| Chhan | Sawifiahna leh entirnan |
|---|---|
| Infection awm thei te | Hei hi a chhan tam ber a ni. Bacteria infection taksaa a luh chuan kan immune system hian a do turin sipai (neutrophils) tam zawk a siam chhuak thin. Hei hi fungal leh parasitic infection thenkhatah pawh a thleng thei bawk. |
| Pun | Neutrophils hi taksa khawi emaw laiah inflammation thlentu, chu chu inflammation thlentu natna eng pawhah a pung thei a ni. Entirnan: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , kang, zai, heart attack. |
| Damdawi thenkhat | Damdawi thenkhat hian side effect angin neutrophils a tipung thei bawk. Entirnan damdawi (Lithium) , (Heparin) , leh (Corticosteroids) te hi a ni. |
| Cancer chi hrang hrang | Hetiang dinhmun hi cancer chi thenkhatah pawh hmuh theih a ni. Entirnan: Thisen nena inzawm cancer te, (Hodgkin lymphoma) leh (Chronic myelocytic leukemia) te . |
Neutrophils pung zel chhinchhiahna
Neutrophil count tihpunna symptom bik a awm lo. A thlentu damdawi lam dinhmun hnuaia awm (underlying medical condition) chhinchhiahna kan nei thin.
- Khawsik
- Hri kai fo thin
- Hliam dam nan hun a duh thin.
- Joint swelling leh natna
- Taksa hah lutuk
Neutrophil count tlahniam chhan (Neutropenia) 1.1.
Neutrophils tlahniam chu neutropenia an ti a . Hei hi kan sipaia sipai an tlem lai a ni. Hei hian hrik do theihna a ti tlem a ni. Chuvangin natna hrik kai theihna a sang hle a ni.
| Chhan | Sawifiahna leh entirnan |
|---|---|
| Cancer leh cancer enkawlna | Cancer ruhro tichhe thei, leukemia leh lymphoma , te hian neutrophil siamchhuah a ti tlem thei a ni. Tin, chemotherapy leh radiation hmanga enkawlna hian neutrophil hrisel siam chhuahna bakah cancer cell te a that thei bawk. |
| Infection thenkhat | Viral infection thenkhat chuan neutrophil count hi hun engemaw chen atan a tihhniam thei bawk. Entirnan: Measles , Vawk natna , HIV/AIDS , Hepatitis . |
| Damdawi thenkhat | Hetiang dinhmun hi antibiotics thenkhat , seizure damdawi, leh rilru natna damdawi thenkhat vang pawh a ni thei. |
| Damdawi lam thil dang | (Lupus) , (Crohn natna) .Autoimmune disorder, vitamin B12 leh folate tlakchhamna te, leh natna dang ruhkawr tibuaitu te hian neutrophils a ti tlem thei bawk. |
Neutrophils tlahniam chhinchhiahna
Neutrophils pung leh tlahniam hian symptom bik a thlen lo. Mahse, i taksa invenna a hniam avangin awlsam takin natna hrik i kai thei a ni. Tichuan chu natna hrik lan chhuahna chu a lo lang ta a ni.
- Khawsik leh malaise
- Hrawk thip
- Kawngkhar natna
- Kawthalo
- Hliam na hmuna sen, hring, leh natna
Neutrophils tlem nei mi pakhatah khawsik a awm chuan taksain natna a do theih loh avangin medical emergency a ni. Damdawi lam thurawn lak emaw, damdawi in emergency department (ETU) pan vat a pawimawh.
Engtin nge heng dinhmunte hi enkawl a nih?
A pawimawh ber chu doctor chuan neutrophil count chu a enkawl lo va, chu count tlahniam emaw tihpun emaw thlentu natna hnuaia awm chu a enkawl zawk a ni
- Neutrophilia: A chhan chu bacteria infection a nih chuan antibiotics pek tur a ni. A chhan chu natna dang a nih chuan chu natna chu enkawl a nih hunah chuan neutrophil count chu a pangngaiin a awm leh ang.
- Neutropenia: A chhan chu damdawi a nih chuan doctor chuan chu damdawi chu a chawlhsan ang a, a dang a pe ang che. Infection a nih chuan an enkawl ang. A chhan chu cancer enkawlna a nih chuan natna hrik laka invenna tur thupek bik an pe thei che a, i thisen var tihpunna tur shot pawh an pe thei bawk.
Chuvangin, i thisen report-ah neutrophil count a inthlak a nih chuan hlauthawng suh, i doctor nen inhawng takin sawi rawh. Test tul tak tak a ti ang a, a chhan dik tak a zawng ang a, enkawlna \ha ber a pe ang che.
Take-Home Thuchah a ni
- Neutrophils hi kan immune system-a hrik dotu cell chi khat ber a ni.
- I thisena neutrophils tam leh tlem hi a takin natna a ni lo. Damdawi lam thil dang chhinchhiahna a ni thei bawk.
- Thisen test hmanga diagnosis siam ngai suh. Doctor nen inbia fo la, thurawn mumal tak la rawh.
- Doctor hian neutrophil count a enkawl lo va, a chhan natna hnuaia awm chu a enkawl zawk a ni.
- Neutrophil count tlem (neutropenia) i neih chuan natna hrik laka inven nan a bik takin fimkhur rawh. Kut sil fo la, mipui tamna hmun chu pumpelh la, khawsik ang chi symptom i neih chuan doctor thurawn la nghal rawh.
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