So biribi asɛe wo nipadua no? So ɛsɛ sɛ yɛde ESR (Sedimentation Rate) sɔhwɛ hwehwɛ mu?

So ɛtɔ mmere bi a wote nka sɛ wo ho nyɛ wo den, te sɛ nea biribi anyɛ yiye, nanso wuntumi nhu nea ɛyɛ ankasa? Wɔ mmere a ɛte saa mu no, yɛn nnuruyɛfo ka kyerɛ yɛn sɛ yɛnyɛ mogya mu nhwehwɛmu bi. Mogya mu nhwehwɛmu a ɛte saa no biako ne ESR nhwehwɛmu. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so. Ɛte sɛ nea wo ne w’adamfo bi rekasa.

Dɛn na ESR sɔhwɛ no kyerɛ ankasa?

Sɛ yɛbɛka no tiawa a, wɔde sɔhwɛ a wɔfrɛ no ESR yi di dwuma de hwɛ sɛ ɔfe (`(Inflammation)`) wɔ wo nipadua mu baabi anaa. Afei wubisa sɛ, "Dɛn ne ɔfe yi?" Fa no sɛ, sɛ wo kuru ketewaa bi a, baabi no yɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ hyew kakra. Ɛno ne nea ɔfe yɛ. Ɛyɛ yɛn nipadua no ahobammɔ nhyehyɛe ankasa, nipadua no mu tumi a ɛko tia nyarewa , a ɛko tia biribi a ɛyɛ ahɔho (te sɛ mmoawa, mmoawa).

Enti, nnuruyɛfo frɛ eyi ESR sɔhwɛ, anaasɛ nnipa binom frɛ no "Sed rate sɔhwɛ," na wɔde di dwuma de hwehwɛ sɛ wowɔ saa tebea no wɔ wo nipadua mu anaa.

Nyarewa bɛn na ESR nhwehwɛmu no kyerɛ?

Saa ESR nhwehwɛmu yi nkutoo ntumi nhu yare bi, na ɛsɛ sɛ wɔkae no yiye. Nanso, eyi ma yɛn duruyɛfo no nya biribi a ɛho hia a ɛkyerɛ sɛ biribi asɛe wɔ nipadua no mu. Ɛno ansa na ɔbɛyɛ nhwehwɛmu afoforo, wo sɛnkyerɛnne ahorow, ahwehwɛ wo mu, na waboaboa eyinom nyinaa ano de ahu nea yare no yɛ ankasa.

Sɛ ESR boɔ no kɔ soro a, ebia ɛfiri tebea ahodoɔ te sɛ:

• Nyarewa a nipadua no tumi ko tia nyarewa: Eyinom yɛ nyarewa a yɛn nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ yɛn ankasa nkwammoaa so. Sɛ nhwɛso no, ntini mu yare.
• Mogya mu yare: Ayaresa mu tebea horow bi a ɛfa mogya no ho.
• Nyarewa: Nyarewa a ɛba nipadua no mu a nneɛma te sɛ mmoawa ne mmoawa de ba. Fa no sɛ atiridii anaa atiridiinini.
• Ntini mu yare a ɛma obi ho hyehye no: Tebea horow bi a ɛma nkwaa no hohoro na ɛyɛ yaw.
• Kokoram ahorow bi: Ɛnyɛ kokoram nyinaa, nanso kokoram ahorow bi betumi ama ESR akɔ soro.

Ade a ɛho hia sen biara: ESR nhwehwɛmu no ntumi nsi yare bi so dua anaasɛ entumi nnye ntom. Ɛma wonya adwene a ɛne sɛ ebia ɔfe wɔ nipadua no mu nkutoo.

Ɔkwan bɛn so na ESR sɔhwɛ no yɛ adwuma? Ɛnyɛ den koraa!

Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Wogye mogya ketewaa bi fi ntini bi a ɛwɔ wo basa mu mu. Mpɛn pii no, oduruyɛfo a ɔhwɛ ntini mu yare anaa oduruyɛfo na ɔyɛ eyi.

Afei ma yɛnhwɛ nea eyi kyerɛ. ESR yɛ din tiawa a wɔde frɛ ‘Erythrocy Sedimentation Rate’ . ‘Erythrocyte’ yɛ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn mogya mu.Aduruyɛ mu asɛmfua a wɔde gyina hɔ ma sedimentation. ‘Sedimentation rate’ yɛ bere a egye ansa na biribi akɔtra nsu a wɔde gu ade mu ase. Enti, ‘Erythrocyte Sedimentation Rate’ (ESR) yɛ bere tenten a egye ansa na wo mogya mu nkwammoaa kɔkɔɔ no akɔtra afiri a mogya bi wom ase.

Wo de susuw ho hwɛ, so woahu kanea a wɔde abo ayɛ? Gel a ɛwɔ mu no kɔ soro ne fam bere a kanea no ma ɛyɛ hyew no na afei edum. Enti, wɔ eyi mu no, kanea no te sɛ afiri a wɔde sɔ hwɛ a wo mogya no bi wɔ mu. Nanso biribiara nni hɔ a ɛyɛ hyew. Oduruyɛfo no rehwɛ bere tenten a egye ansa na wo mogya mu nkwammoaa kɔkɔɔ no akɔ fam akodu afiri a wɔde yɛ nhwehwɛmu no ase.

Sɛ wo mogya mu nkwammoaa kɔkɔɔ no rekɔ fam ntɛmntɛm sen sɛnea ɛte daa a, ebetumi akyerɛ sɛ wowɔ ɔfe bi wɔ wo nipadua mu. Efisɛ sɛ wo ho hyehye wo a, protein ahorow bi a ɛwɔ wo mogya mu no kɔ soro. Saa protein ahorow yi ma mogya mu nkwammoaa kɔkɔɔ no boaboa ano, ɛyɛ duru, na ɛkɔ fam ntɛmntɛm. So wote ase?

So ɛsɛ sɛ meyɛ biribi titiriw bi ansa na makɔ ESR sɔhwɛ no?

Dabi, ɛho nhia sɛ woyɛ biribi titiriw biara. Wubetumi adidi sɛnea ɛsɛ, anom nsu, na woanom wo nnuru sɛnea wotaa yɛ no. Oduruyɛfo no bɛka saa asɛm no akyerɛ wo.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Onipa a ɔrenom mogya no bedi kan de aduru a ekum ɔyare mmoawa asiesie baabi a ɛwɔ wo basa mu a wɔbɛtwe mogya no . Afei, wɔde ade ketewaa bi bɛhyɛ ntini no mu na wɔagye mogya kakra. Ɛtɔ da bi a, wɔbɛka akyerɛ wo sɛ pia wo nsa, na ɛno bɛboa ma mogya no apue ntɛm.

Wobɛte ɛyaw kakra bere a woanya ade no. Sɛ wosuro nnade anaa mogya a wobɛhunu a, mma wo ho nnwu sɛ wobɛka saa. Wɔbɛboa wo ma woayɛ komm.

So asiane bi wɔ ESR sɔhwɛ yi mu?

Eyi yɛ sɔhwɛ a ahobammɔ wom yiye . Asiane akɛse biara nni hɔ. Nsunsuanso bɔne biara nni hɔ.

Sɛ wɔtwe mogya wie a, ebia wo nsa bɛyɛ yaw kakra nnɔnhwerew kakraa bi. Wɔde aduru anaa biribi bɛto baabi a wɔtwee mogya no. Ɛyɛ ade a ɛfata sɛ mogya kakra bepue anaasɛ ɛbɛyɛ bruu kakra. Mma ɛnhaw wo wɔ saa asɛm no ho.

Dɛn na nea efii ESR sɔhwɛ no mu bae no ka kyerɛ yɛn?

ESR sɔhwɛ no susuw sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɔ fam ntɛmntɛm kodu mogya bi ase. Nnuruyɛfo taa de sɔhwɛ bi a wɔfrɛ no Westergren kwan no di dwuma . Wɔde wo mogya no gu afiri titiriw bi mu (Westergren afiri) na wɔsusuw bere a egye ansa na mogya mu nkwammoaa kɔkɔɔ no akɔ fam.

Wo duruyɛfo susuw sɛnea mogya mu nkwammoaa kɔkɔɔ no kɔtra hɔ ntɛmntɛm no milimita dɔnhwerew biara (mm/hr) , te sɛ ahoɔhare kyerɛwtohɔ a ɛwɔ wo kar so no ara pɛ.

Dɛn na ɛsɛ sɛ ɛyɛ ESR bo a ɛfata ma me mfe?

ESR bo a ɛfata no gu ahorow gyina mfe a woadi ne sɛ́ woyɛ ɔbarima anaa ɔbea so.

Sɛnea ɛtaa yɛ ni:

• Mmarima a wonnii mfeɛ aduonum: 0 - 15 mm/hr
• Mmarima a wɔadi boro mfeɛ aduonum: 0 - 20 mm/hr
• Mmea a wonnii mfeɛ aduonum: 0 - 20 mm/hr
• Mmea a wɔadi boro mfe 50: 0 - 30 mm/hr
• Mmɔfra:0 - 10 mm/hr (ɛtɔ da bi a ɛkɔ 13 mm/hr betumi ayɛ nea ɛfata) .

Nanso, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ onipa biara ho. Ebia lab binom wɔ ``normal range'' a ɛsono kakra. Enti, ɛyɛ wo duruyɛfo na ɔbɛhwɛ w’amanneɛbɔ no mu na wakyerɛ ase pɛpɛɛpɛ.

Na sɛ ESR boɔ no boro dodoɔ a wɔahyɛ no nso ɛ?

ESR a ɛkɔ soro sen sɛnea ɛte daa no kyerɛ sɛ ebia ɔfe bɛba wo nipadua mu baabi. Sɛ saa a, wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi, sɛ ebia wobɛyɛ nhwehwɛmu pii, anaasɛ wobɛhyɛ nnuru bi ase.

Na sɛ ESR bo no sua sen bo a wɔahyɛ no nso ɛ?

Mpɛn pii no, ESR a ɛba fam nyɛ biribiara a ɛsɛ sɛ ɛhaw adwene . Nokwarem no, nnipa a wɔwɔ apɔwmuden dodow no ara wɔ ESR a ɛba fam sen atifi hɔ anohyeto no. Nanso, ɛnyɛ obiara nipadua na ɛyɛ pɛ. Ebia nnipa binom ESR fi awosu mu bɛkɔ soro kakra anaasɛ ɛbɛba fam asen afoforo.

Dɛn ne ‘Westergren Ɔkwan a Wɔasesa’ yi?

Nnuruyɛfo dodow no ara de Westergren kwan a yɛadi kan aka ho asɛm no na ɛyɛ ESR sɔhwɛ no. Nea ɛka eyi ho ne sɛ wɔde mogya bi bɛhyɛ afiri titiriw bi mu na wɔasusuw bere a egye ansa na nkwammoaa kɔkɔɔ no atra ase no.

Akwan foforo nso wɔ hɔ, a wɔtaa frɛ no "Modified Westergren akwan." Akwan bi hwehwɛ sɛ wogye mogya kakraa bi fi wo hɔ, ɛtɔ mmere bi a wɔde mogya no fra aduru a ɛnyɛ ɔyare mmoawa mu, anaasɛ wɔde afiri bi a wɔfrɛ no centrifuge (a ɛkyinkyin mogya no mu denneennen ma ɛtetew nneɛma a ɛwom no mu) di dwuma na ama wɔanya nea efi mu ba ntɛmntɛm. Ɔkwan a wo duruyɛfo no bɛfa so no begyina nea ɔpɛ ne nea osusuw sɛ ɛbɛma woanya nea edi mu sen biara so.

Nnuruyɛfo pii da so ara de Westergren kwan no di dwuma efisɛ wɔada no adi sɛ ɛma nea efi mu ba no yɛ pɛpɛɛpɛ bere a bere kɔ so no. Abenfo da so ara reyɛ nhwehwɛmu wɔ akwan foforo a wɔbɛfa so ama ESR sɔhwɛ yi ahoɔhare ne pɛpɛɛpɛyɛ atu mpɔn.

Enti, nneɛma kakraa bi a etwa to a ɛsɛ sɛ wokae:

ESR (Erythrocyte Sedimentation Rate) sɔhwɛ no nyɛ nhwehwɛmu a wɔde hu tẽẽ – entumi nsi so dua sɛ wowɔ yare bi anaasɛ wonni bi. Nanso, ebetumi ama wo duruyɛfo ahu nea ɛde wo sɛnkyerɛnne ahorow no ba ntɛm . Ebia ɛho behia sɛ wosan yɛ nhwehwɛmu yi bio akyiri yi na ama woahu sɛnea wo nipadua reyɛ n’ade wɔ ayaresa ho.

Nnipa binom suro nnade na wosuro sɛ wobehu mogya, na ɛyɛ aniwu sɛ wɔbɛka saa. Mma nnyɛ saa. Sɛ wowɔ ehu a ɛte saa a, ka kyerɛ wo duruyɛfo anaa onipa a ɔnom wo mogya no. Wɔbɛboa wo ma woayɛ komm ansa na woayɛ ESR sɔhwɛ no, bere a woreyɛ, ne bere a woawie no. W’akwahosan ne ade a ɛho hia sen biara!

` ESR nhwehwɛmu, mogya mu nhwehwɛmu, ɔfe, mogya mu nkwammoaa kɔkɔɔ, Westergren kwan, akwahosan ho nhwehwɛmu, sɛnkyerɛnne