Biribiara a ɛsɛ sɛ wuhu fa hemoglobin nhwehwɛmu no ho

So wote nka nso sɛ woabrɛ na wunni nkwa bere nyinaa? Ɛtɔ mmere bi a, wote nka sɛ wo ho yɛ wo yaw anaasɛ wo nsa ne wo ho yɛ nwini? Ade biako nti a saa nneɛma yi ba no betumi ayɛ sɛ hemoglobin dodow a ɛwɔ wo mogya mu no so tew. Enti ɛnnɛ, momma yɛnka nea hemoglobin yi yɛ, nea nhwehwɛmu a wɔde susuw ho no ka, ne nyarewa a ebetumi ahu ho asɛm tiawa na yɛmfa adamfofa kwan so.

Sɛ yɛbɛka no tiawa a, dɛn ne hemoglobin?

Susuw ho hwɛ, mogya mu nkwammoaa kɔkɔɔ ne ‘lɔre’ nketewa a ɛde mframa pa kɔ yɛn nipadua mu nyinaa. Afei nea wɔfrɛ no titiriw a ɛde mframa pa gu saa lɔre ahorow no mu na ɛkyekyɛ kɔ nipadua no akwaa nyinaa mu no, wɔfrɛ no hemoglobin . Eyi yɛ protein titiriw bi a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. Iron wɔ hemoglobin mu. Ɛyɛ saa dade yi na ɛkyekyere oxygen na ɛboa ma efi ahurututu mu kɔ nipadua no akwaa ne ntini foforo biara mu.

Sɛ yɛbɛka no tiawa a, hemoglobin dodow a ɛwɔ wo mogya mu no ma wunya sɛnea wo mogya mu nkwammoaa kɔkɔɔ no wɔ apɔwmuden no ho adwene pa. Sɛ wunim saa dodow yi a, ebetumi aboa wo duruyɛfo ma wahu nyarewa a efi mogya mu ne tebea afoforo te sɛ mogya a ɛtɔ kɔ nipadua mu.

Dɛn nti na wɔyɛ hemoglobin nhwehwɛmu yi?

Sɛ wokɔ kɔhwɛ wo daa a, ɛda adi sɛ wo duruyɛfo bɛhyɛ sɛ wɔnyɛ hemoglobin nhwehwɛmu sɛ mogya dodow a edi mũ (CBC) no fã. CBC no susuw mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa a ɛwɔ wo mogya mu dodow. Saa nsɛm yi betumi ama woahu w’akwahosan nyinaa ho mfonini pa.

Bio nso, sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ hemoglobin dodow sua anaasɛ ɛkɔ soro a, akyinnye biara nni ho sɛ wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo.

So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ no?

Nhwehwɛmu a wɔde hwɛ hemoglobin dodow mu ara kwa no nhwehwɛ sɛ wɔyɛ ahosiesie titiriw biara. Wobetumi ayɛ no simma kakraa bi pɛ.

Nanso, ɛtɔ mmere bi a wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu kakraa bi bio nka nhwehwɛmu yi ho. Sɛ ɛte saa a, wɔbɛka akyerɛ wo sɛ di mmuada (a wunni aduan anaa anonne) nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Enti ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no akwankyerɛ pɔtee no.

Woyɛ dɛn yɛ sɔhwɛ yi?

Eyi yɛ mmerɛw yiye. Oduruyɛfo anaa ɔyarehwɛfo bɛfa mogya ketewaa bi afi ntini bi a ɛwɔ wo nsa (a ɛbɛn wo nsateaa) anaa wo nsa akyi mu. Wɔ akokoaa ketewa fam no, wobetumi ayi mogya bi afi ne nan ase anaa nsateaa ano.

Nea edi kan no, wɔde nsa hohoro baabi a ɛwɔ no, na wɔde ahama a ɛyɛ den twa abasa no atifi ho hyia ma ntini no da adi. Afei, wɔde ade ketewaa bi hyɛ ntini no mu. Wobɛte nka sɛ wo ho yɛ wo yaw kakra bere a wode ade no ahyɛ mu no, nanso ɛnkyɛ. Afei, wɔboaboa mogya no ano wɔ toa ketewaa bi mu na wɔde kɔ aduruyɛdan mu ma wɔyɛ ho nhwehwɛmu.

Dɛn na sɔhwɛ ho amanneɛbɔ no ka?

Saa nhwehwɛmu yi bɛkyerɛ wo pɛpɛɛpɛ sɛ ebia wo hemoglobin dodow no te sɛ nea ɛfata, ɛba fam, anaasɛ ɛkɔ soro. Ebetumi nso ama woanya sɛnea tebea no mu yɛ den no ho adwene bi.

Eyi te sɛ nea worehwɛ sɛ nsu a ɛwɔ ofie bi nsukorabea mu no sua anaasɛ ɛdɔɔso. Sɛ nsu no sua a, ɛsɛ sɛ wohwehwɛ mu wɔ ɔkwan soronko so hu sɛ ebia nea ɛde ba ne tap a wɔabue, tokuru a ɛwɔ tank no mu, anaasɛ ɔhaw bi a ɛwɔ motor no mu. Saa ara nso na sɛ oduruyɛfo no behu nea ɛde hemoglobin a ɛba fam/ɛkɔ soro ba a, ɔbɛhwɛ wo yare no ho sɛnkyerɛnne ne nhwehwɛmu amanneɛbɔ afoforo nyinaa de asi gyinae.

Dɛn ne hemoglobin dodow a ɛfata?

Hemoglobin dodow a ɛfata ma ɔpanyin no yɛ gram 12 kosi 17.4 wɔ mogya deciliter biara mu (`12 g/dL - 17.4 g/dL`). Nanso, saa gyinapɛn yi betumi ayɛ soronko kakra a egyina mfe a woadi, wo bɔbeasu, ne abusua a wofi mu so. Afei nso, nneɛma a ɛfa w’asetra kwan ho betumi aka wo hemoglobin dodow, te sɛ:

• Altitude baabi a wote
• W’aduan a wudi
• Apɔw-mu-teɛteɛ dodow
• Nnuru bi a wonom

Dɛn na hemoglobin a ɛba fam kyerɛ?

Mogya a ɛtɔ kɔ nipadua mu yɛ tebea a ɛma mogya mu hemoglobin dodow sua sen sɛnea ɛte daa. Eyi betumi akyerɛ sɛ wo nipadua no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛdɔɔso, anaasɛ mogya mu nkwammoaa kɔkɔɔ a ɛyɛ no resɛe ntɛmntɛm dodo. Afei nso, mogya a ɛtɔ bere tenten (sɛ nhwɛso no, brayɛ a emu yɛ duru, yafunu mu akuru) ne ade titiriw a ɛma hemoglobin sua.

Nneɛma afoforo bi a ebetumi ama hemoglobin so atew:

• Iron a enni nipadua mu
• Aduan pa a wonnya nni, te sɛ vitamin B12 anaa folic acid
• Kokoram a ɛka mogya anaa nnompe mu ntini
• Thalassemia a ɛwɔ nipadua no mu
• Asaabo mu yare
• Mmɛn mu yare
• Sickle cell yare a ɛma obi nya yare
• Mogya a ɛtɔ esiane oprehyɛn, akwanhyia, anaa biribi foforo nti

Dɛn na hemoglobin a ɛkɔ soro no kyerɛ?

Ayaresa mu tebea horow bi betumi ama wo mogya mu nkwammoaa kɔkɔɔ dodow akɔ soro, na ama wo mogya mu hemoglobin dodow akɔ soro. Eyi ma wo mogya yɛ den na ɛma mogya no brɛ ase. Eyi betumi atew mframa pa dodow a w’akwaa nya no so. Nsu a ɛho ntew nso betumi ama wo hemoglobin dodow akɔ soro bere tiaa bi.

Tebea horow pii a ebetumi ama hemoglobin akɔ soro:

• Tebea a wɔfrɛ no `Polycythemia vera` no
• Koma mu yare a wɔde awo obi
• Asaabo mu nyarewa bi, a asaabo mu kokoram ka ho
• Ahurututu mu yare a enni sabea (COPD, ahurututu mu ntini mu yare) .

So eyi ne hemoglobin A1c (HbA1c) nhwehwɛmu no yɛ pɛ?

Ɛha na nnipa pii adwene tu fra. Hemoglobin nhwehwɛmu a wɔtaa yɛ ne hemoglobin A1c (`HbA1c`) yɛ nhwehwɛmu abien a ɛsono emu biara koraa.

• Normal hemoglobin test: Eyi kyerɛ hemoglobin dodow a ɛwɔ wo mogya mu. Wɔde di dwuma titiriw de hu tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu.
• Hemoglobin A1c (`HbA1c`) nhwehwɛmu: Wɔyɛ eyi de hu asikreyare (`Diabetes Mellitus`) anaasɛ wɔde hwɛ sɛ asikreyarefo bi anya asikre dodow a ɛwɔ mogya mu no so wɔ asram 2-3 a atwam no mu anaa. Asikre (glucose) a ɛwɔ wo mogya mu no bata hemoglobin ho. `HbA1c` susuw hemoglobin ɔha biara mu nkyem 100 a asikre yi abata ho.

Sɛ w’amanneɛbɔ no da gyinapɛn ahorow a ɛnteɛ adi a, wo duruyɛfo no bɛkyerɛkyerɛ eyi mu akyerɛ wo. Obetumi nso ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba. Ayaresa no gyina nea ɛde wo hemoglobin dodow a ɛsakra ba no so. Enti bere nyinaa wo ne wo duruyɛfo nsusuw eyi ho na di n’afotu akyi.