Dade dodow a ɛwɔ wo nipadua mu no te dɛn? (Ferritin Test) Momma yɛnhwehwɛ eyi ho asɛm.

So woate asɛmfua ‘Ferritin’ yi ho asɛm pɛn? Ebia oduruyɛfo bi aka akyerɛ wo sɛ yɛ nhwehwɛmu yi. Anaasɛ ebia woate sɛ w’adamfo bi reka ho asɛm. Sɛ yɛbɛka no tiawa a, ferritin nhwehwɛmu yi yɛ mogya mu nhwehwɛmu a ɛhwɛ dade dodow a wowɔ wɔ wo nipadua mu. Dade yɛ biribi a ɛho hia ma yɛn nipadua, ɛnte saa? Enti momma yɛnka sɔhwɛ yi ho asɛm nkɔ akyiri nnɛ.

Yɛn nipadua hia dade na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw. Saa mogya mu nkwammoaa kɔkɔɔ yi de mframa pa fi ahurututu mu kɔ nipadua no fã a aka no mu. Iron nso ho hia ma ntini, nnompe mu ntini, ne akwaa afoforo a ɛte apɔw ma ɛyɛ adwuma yiye. Dade biara a ɛboro so a ɛwɔ wo nipadua mu no, wɔkora so wɔ wo nkwammoaa mu sɛ ferritin, na wɔde di dwuma akyiri yi. Eyi dodow no ara na wɔkora so wɔ wo mmerɛbo ne nipadua mu nkwammoaa a ɛko tia nyarewa no mu.

Sɛ wo nipadua de dade di dwuma a, ferritin kakraa bi fi nkwammoaa no mu kɔ mogya no mu. Ɛno nti na ferritin dodow a ɛwɔ wo mogya mu no betumi ama woanya dade dodow a wɔde asie wo nipadua mu no ho adwene.

Dɛn nti na oduruyɛfo bi bɛkamfo ferritin nhwehwɛmu yi akyerɛ?

Okay, afei momma yɛnhwɛ nea enti a oduruyɛfo bi bɛkra sɛ saa ferritin nhwehwɛmu yi. Nea enti titiriw ne sɛ wobɛhwɛ sɛ dade dodow a ɛfata wɔ wo nipadua mu anaa. Ɛtɔ mmere bi a, nnuruyɛfo yɛ eyi de hwɛ sɛ yare bi wɔ hɔ anaa. Ɛne sɛ, sɛ wosusuw sɛ dade a ɛwɔ wo mu no sua, anaasɛ woreda sɛnkyerɛnne ahorow a ɛfa ho adi a, wɔbɛhyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Efisɛ dade a ɛba fam ne nea ɛdɔɔso nyinaa betumi de ɔhaw aba.

Wɔ tebea horow bi mu no, sɛ wowɔ tebea bi te sɛ Restless Legs Syndrome (a ɛkyerɛ sɛ wowɔ ɔhaw bi a ɛyɛ nwonwa wɔ wo nan mu ara kwa, wote nka bere nyinaa sɛ wobɛkanyan wo nan), anaasɛ sɛ wowɔ mmerɛbo mu nyarewa ahorow bi a, ebia wobɛpɛ sɛ woyɛ saa ferritin nhwehwɛmu yi. Afei nso, sɛ wo Complete Blood Count (CBC) kyerɛ sɛ wo Hemoglobin anaa Hematocrit dodow sua a, ebia wobɛpɛ sɛ wohwɛ ferritin yi akyi.

Ɛtɔ da bi a, ɛwom sɛ yare no ho sɛnkyerɛnne biara nni hɔ de, nanso nnuruyɛfo de eyi di dwuma sɛ ‘nhwehwɛmu’, sɔhwɛ a wɔde hu yare ansa na aba. Nanso ɛnyɛ obiara dea. Wɔyɛ ma nnipa a asiane kɛse wom sɛ wobenya iron a wonni. Nhwɛsoɔ:

• Sɛ wo nipadua mu duru nnu nea wɔkamfo kyerɛ no a.
• Sɛ mogya tu wo kɛse wɔ wo ɔsram biara nna mu a.
• Sɛ woanyinsɛn a.
• Sɛ wowɔ ɔhaw ahorow wɔ aduannuru a wobɛtwe afi aduan mu (sɛ nhwɛso no, tebea bi te sɛ Inflammatory Bowel Disease ) anaasɛ woayɛ oprehyɛn bi wɔ yafunu mu (GI) mu a.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ iron sua na ferritin sua?

Afei ma yɛnhwɛ sɛnkyerɛnne ahorow a ebetumi aba bere a nipadua no mu dade sua, kyerɛ sɛ, bere a ferritin sua no. Yɛsan frɛ eyi ‘mogya a mogya a ɛtɔ kɔ nipadua mu a dade nnim’ . Fa no sɛ wotee nneɛma a ɛte sɛɛ nka a:

• Wora no te sɛ nea ɛyɛ mmerɛw sen sɛnea ɛtaa yɛ no.
• Mete nka kɛkɛ sɛ mabrɛ na mintumi nyɛ hwee.
• Sɛ́ wobɛte nka sɛ wayɛ mmerɛw .
• Ebetumi ayɛ te sɛ nea obi adwene atu afra .
• Sɛ wonam ntɛmntɛm anaasɛ woforo antweri a, wote nka sɛ worehyia ɔhaw wɔ ahomegye mu (Dyspnea).
• Ebia koma no bɛte nka sɛ ɛrebɔ ntɛmntɛm (tachycardia).

Eyinom yɛ sɛnkyerɛnne atitiriw a ɛkyerɛ sɛ obi nni dade a enni nipadua mu no bi.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ iron pii ne ferritin dɔɔso?

Te sɛ dade kakraa bi a wubenya no, saa ara na dade pii a wubenya nso nye. Wɔfrɛ eyi hemochromatosis , anaasɛ dade a ɛboro so. Ebetumi de yare no ho sɛnkyerɛnne te sɛ:

• Nkwaa mu yaw .
• Koma mu haw betumi aba.
• Ebia wo mu duru so bɛtew a ntease biara nnim.
• Ebia wo yafunu bɛyɛ wo yaw .
• Ebia nipadua mu nhwi befi ase atɔ .
• Ebia nna ho akɔnnɔ so atew .
• Ebia wobɛte nka sɛ woabrɛ na wunni nkwa bere nyinaa.

Hena na ɔyɛ Ferritin sɔhwɛ yi?

Mpɛn pii no, obi a wɔatete no titiriw a wɔfrɛ no ‘Phlebotomist’ na ɔtwe mogya yi . Ɛne sɛ obi a ne ho akokwaw wɔ mogya a wɔtwe mu. Nanso, akwahosan ho adwumayɛfo anaa ɔyarehwɛfo biara a wɔatete no sɛ ɔntwe mogya betumi ayɛ eyi. Sɛ wogye mogya no fi wo hɔ wie a, wɔde kɔ lab. Ɛhɔ no, Aduruyɛ Nhwehwɛmubea Nyansahufo bi siesie nhwɛsode no na ɔde mfiri soronko (Analyzers) di dwuma de yɛ sɔhwɛ yi.

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

Yiw, ɛtɔ mmere bi a wo duruyɛfo bɛka akyerɛ wo sɛ nnidi anaa nnom biribiara nnɔnhwerew 12 ansa na wɔayɛ nhwehwɛmu no (nsu ara kwa ye). Yɛfrɛ eyi sɛ ‘mmuadadi’. Nanso ɛnyɛ bere nyinaa na eyi ho hia. Enti eye sɛ wubebisa wo duruyɛfo anaa lab no tẽẽ. Mfɛre sɛ wubebisa sɛ, "Oduruyɛfo, ɛnsɛ sɛ mididi ansa na sɔhwɛ yi aba?" Sɛ wowɔ nsɛmmisa bi a, nsuro sɛ wubebisa wo duruyɛfo.

Sɛ woyɛ sɔhwɛ no a, dɛn na ɛba?

Mogya a wɔde ma no yɛ biribi a nnipa pii nim. Nanso momma yɛnhwɛ nea ɛba ankasa:

• Wɔbɛtena akongua bi so. Afei akwahosan ho dwumayɛni no bɛhwɛ wo nsa na wahu ntini bi a ɛnyɛ den sɛ wobɛtwe mogya afi mu. Mpɛn pii no, ɛwɔ nsateaa no mu.
• Sɛ wohu ntini no wie a, wɔhohoro baabi a ɛwɔ no yiye na wɔde nnuru a ekum mmoawa gu mu.
• Afei wɔde ade ketewaa bi hyɛ ntini no mu na wogye mogya. Saa bere yi de, ebia wobɛte nka sɛ wo ho atɔ wo kakra na wote yaw kakra, te sɛ nea ntɛtea aka wo.
• Bere a wɔde ade no hyɛ mu wie no, wɔboaboa mogya kakraa bi ano wɔ afiri bi a wɔde sɔ hwɛ mu.
• Sɛ wɔfa mogya dodow a ɛho hia ma nhwehwɛmu no wie a, woyi ade a wɔde hyɛ mu no na wɔde kotoku anaa gauze bi gu beae no na wɔde nhyɛso kakra gu so na ama mogya no agyae.
• Afei, wɔde plaster ketewaa bi gu beae no na wɔyɛ adwuma no wie.

Egye nea ennu simma anum ansa na wɔayɛ eyinom nyinaa. Ɛyɛ adwuma a ɛyɛ ntɛm paa.

Sɔhwɛ no akyi?

Sɛ wɔfa wo mogya wie a, wɔde bɛkɔ lab ma wɔayɛ nhwehwɛmu. Sɛ amanneɛbɔ no san ba a, wo duruyɛfo no bɛkyerɛ wo na wakyerɛkyerɛ mu nsɛm mu.

So asiane bi wɔ eyi mu?

Mogya mu nhwehwɛmu abu so yiye. Wɔho hia wɔ aduruyɛ mu nhwehwɛmu mu. Enti asiane kɛse biara nni eyi mu. Ebia wobɛte yaw kakra anaa bruu wɔ baabi a woyii mogya no. Nanso ɛno bɛkɔ yiye nnansa yi ara.

Bere tenten ahe na egye ansa na amanneɛbɔ no aba?

Mpɛn pii no, wubetumi anya wo ferritin nhwehwɛmu amanneɛbɔ wɔ da koro anaa nnanu mu . Nanso, wɔ lab ahorow bi mu no, ɛtɔ mmere bi a ebetumi agye bere tenten kakra. Ebetumi ayɛ soronko wɔ lab biara mu.

Dɛn na ɛwɔ amanneɛbɔ no mu? Wote ase dɛn?

Sɛ wunya mogya ho amanneɛbɔ, kyerɛ sɛ, ferritin amanneɛbɔ a, ɛtaa kura nsɛm te sɛ eyi mu:

• Mogya mu nhwehwɛmu a wɔyɛɛ no, anaa nea wɔsusuu wɔ wo mogya mu no din.
• Nea efi wo mogya mu nhwehwɛmu mu ba, kyerɛ sɛ, ɛsom bo.
• Nsonsonoeɛ a ɛyɛ daa a ɛwɔ saa sɔhwɛ no mu (a wɔsan frɛ no ‘reference range’).
• Nsɛm a ɛkyerɛ sɛ ebia nea efi mu ba no yɛ nea ɛfata, ɛnyɛ nea ɛfata, ɛba fam, anaasɛ ɛkɔ soro.

Dɛn ne ferritin dodow a ɛfata?

Eyi ho hia kakra. Ferritin dodow a ɛfata no betumi ayɛ soronko kakra wɔ lab biara mu. Sɛ wo nsa ka wo amanneɛbɔ a, ɛbɛkyerɛ nea ɛyɛ normal range ma saa lab no.

Nanso mpɛn pii no, ferritin dodow a ɛfata te sɛ nea edidi so yi:

• Wɔ mmea fam no : 14.7 kosi 205.1 nanograms wɔ mililita biara mu (14.7 kosi 205.1 ng/mL).
• Wɔ mmarima fam no : nanogram 30.3 kosi 565.7 wɔ mililita biara mu (30.3 kosi 565.7 ng/mL).

Sɛ wowɔ nsɛmmisa bi fa w’amanneɛbɔ no ho a, akyinnye biara nni ho sɛ ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo. Nsusuw ho mpo sɛ wubebisa sɛ, "Oduruyɛfo, so eyi yɛ ade a ɛfata ma me?"

Dɛn na ferritin a ɛdɔɔso kyerɛ?

Sɛ wo ferritin dodow dɔɔso a, ade biako a ebetumi de aba ne tebea bi a wɔfrɛ no hemochromatosis , a ɛyɛ dade pii a ɛboaboa ano wɔ nipadua no mu.

Nanso ɛnyɛ eyi nkutoo nti na ferritin kɔ soro. Ferritin yɛ ade titiriw a ɛkyerɛ ɔfe wɔ nipadua no mu. Enti, sɛ ɔyare mmoawa anaa ɔfe bi ba nipadua no mu a, ferritin bo betumi akɔ soro ara kwa.

Nneɛma afoforo a ɛma ferritin betumi akɔ soro ne:

• Nsã a wɔnom boro so (Alcohol use disorder).
• Nyarewa a enni sabea te sɛ Asikreyare ne Autoimmune nyarewa .
• Kokoram ahorow bi , sɛ nhwɛso no, mogya mu kokoram (Leukemia anaa Lymphoma).
• Obolo .
• Ntini a ɛma mogya tu no dwumadi a ɛkɔ soro (Hyperthyroidism).
• Still yare a efi ase wɔ mpanyimfo mu .
• mmerɛbo mu nyarewa , sɛ nhwɛso no , mmerɛbo mu yare .
• Nnompe, nnompe mu ntini, anaa mmerɛbo a ɛsɛe .

Dɛn na ferritin a ɛba fam kyerɛ?

Sɛ wo ferritin amanneɛbɔ no sua sen sɛnea ɛte daa a, ebetumi akyerɛ nneɛma te sɛ:

• mogya a ɛtɔ kɔ nipadua mu a dade a enni nipadua mu . Eyi kyerɛ sɛ wo nipadua no nni mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso. Eyi ne ade a ɛda adi sɛ ɛde ferritin a ɛba fam ba.
• Mogya a ɛtɔ (mpɛn pii no efi yafunu mu ntini mu).
• Ebia wo nipadua no nnye dade mfi nnuan a wudi no mu yiye .

Sɛ wo ferritin dodow sua a, ɛda adi sɛ wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu kakraa bi bio. Ɛdenam eyi a wɔde toto amanneɛbɔ no ho so no, wobetumi ahu dade dodow a wunni mu pɛpɛɛpɛ. Sɔhwɛ afoforo bi ne:

• Dade a ɛwɔ mogya mu .
• Dade a ɛkyekyere no nyinaa (TIBC) .
• Transferrin a wɔde hyɛ nipadua mu .

Sɛ me ferritin dodow sesa a, so ɛsɛ sɛ mehaw me ho?

Esiane sɛ wo ferritin amanneɛbɔ no sua anaasɛ ɛdɔɔso nti, ɛnkyerɛ sɛ wowɔ yare a emu yɛ den.

Ɛtɔ mmere bi a, nneɛma te sɛ w’aduan ne ɔhyew tebea afoforo a ɛwɔ wo nipadua mu betumi aka wo ferritin dodow. Anaasɛ, mfomso ketewaa bi betumi aba bere a wɔde mogya no rekɔyɛ nhwehwɛmu, de akɔ lab, anaasɛ wɔreyɛ nhwehwɛmu no wɔ lab no.

Sɛ wunya nea ɛnteɛ a, wo duruyɛfo no bɛka ho asɛm akyerɛ wo na ebia ɔbɛyɛ nhwehwɛmu foforo de ahu nea enti a bo a ɛsom no sesae.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ dade nnim anaasɛ dade a ɛboro so a yɛadi kan aka ho asɛm no bi a , kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu nsakrae bi wɔ amanneɛbɔ bi mu no. Nanso kae sɛ, sɛ́ wo ferritin no sua anaasɛ ɛdɔɔso no, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ yare bi anaasɛ ɛsɛ sɛ wonom nnuru. Ebia nnipa bɛyɛ 20 biara a wɔwɔ apɔwmuden mu biako benya amanneɛbɔ a ɛnyɛ nea ɛfata. Wo duruyɛfo bɛkyerɛ wo sɛ ɛho hia sɛ woyɛ nhwehwɛmu foforo biara ne nea enti a bo a ɛsom no sesae anaa.

Nea eye sen biara ne sɛ wobetumi de nnuru, aduan mu nsakrae, anaa ayaresa afoforo adi tebea horow pii a dade a enni nipadua mu de ba no ho dwuma yiye.Enti nsuro sɛ wubebisa wo duruyɛfo nsɛm. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛde fie fie fi saa asɛm yi mu ne:

Okay, enti yɛkaa Ferritin sɔhwɛ no ho asɛm pii nnɛ, ɛnte saa?

Sɛ yɛbɛka no tiawa a, eyi kyerɛ dade dodow a wode asie wo nipadua mu . Dade ho hia yɛn nipadua paa.

• Saa sɔhwɛ yi tumi hu dade a enni nipadua no mu (mogya a ɛtɔ kɔ nipadua mu) ne dade a ɛboro so nso .
• Ebia ebehia sɛ wugyae adidi anaa anonne ansa na woayɛ sɔhwɛ no. Bisa wo duruyɛfo no eyi ho asɛm.
• Mogya a wɔde ma no nyɛ den, ɛyɛ ntɛm, na asiane nnim kɛse.
• Nsuro nea ebefi mu aba a ɛnyɛ nea ɛfata . Wo ne wo duruyɛfo nkasa na woahu nea enti a ɛte saa.
• Sɛ wowɔ sɛnkyerɛnne ahorow a nsakrae a ɛba iron dodow mu na ɛde ba a, kɔ oduruyɛfo nkyɛn ntɛm ara .

Kae sɛ, saa sɔhwɛ ahorow yi wɔ hɔ sɛ ɛbɛboa ma yɛanya apɔwmuden. Enti, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, ma wohu ho asɛm yiye na gyina ano.

` Iron, Ferritin, Mogya mu Nhwehwɛmu, Mogya a Wɔyare, Hemochromatosis, Akwahosan, Nsɛnkyerɛnne