So wo mogya ho amanneɛbɔ ka sɛ RDW? Ma yɛnhwɛ nea ɛyɛ! (RDW Mogya mu Nhwehwɛmu) .

Ɛtɔ da bi a, sɛ woyɛ mogya mu nhwehwɛmu a, ebia wubehu bo bi a wɔfrɛ no RDW wɔ amanneɛbɔ no so. Afei ebia wubesusuw sɛ, ‘Oo, dɛn ne RDW yi?’ Mma ɛnhaw wo, ɛyɛ mmerɛw yiye. Ɛnnɛ, yɛbɛka mogya mu nhwehwɛmu yi a wɔfrɛ no RDW (Red Blood Cell Distribution Width) ho asɛm, a ɛnyɛ den te sɛ nea wo ne w’adamfo bɛkasa.

Dɛn ne RDW (Red Cell Distribution Width)?

Sɛ yɛbɛka no tiawa a, mogya mu nhwehwɛmu a wɔfrɛ no RDW yi hwɛ mogya mu nkwammoaa kɔkɔɔ dodow a wowɔ, ne sɛnea saa nkwammoaa no kɛse ne ne kɛse gu ahorow. Wunim, ɛyɛ mogya mu nkwammoaa kɔkɔɔ yi na ɛde mframa pa fi ahurututu mu kɔ yɛn nipadua nyinaa mu. Oxygen yi na ɛboa yɛn nipadua mu nkwammoaa ma ɛma ahoɔden na ɛyɛ adwuma.

Seesei, mogya mu nkwammoaa kɔkɔɔ yi kɛse ho hia paa. Mpɛn pii no, mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw no kɛse yɛ pɛ, na ɛyɛ micrometer 6.2 kosi 8.2. Nanso, sɛ mogya mu nkwammoaa kɔkɔɔ yi kɛse yɛ soronko koraa (kyerɛ sɛ, ɛsakra kɛse) a, ebetumi ayɛ tebea bi a wɔfrɛ no mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne . Sɛ yɛbɛka no tiawa a, mogya a ɛtɔ kɔ nipadua mu ne sɛ wunni mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso a ɛbɛma woanya mframa pa a wo nipadua hia. Eyi ne nea ɛtɔ mmere bi a yɛfrɛ no ‘mogya a ɛtɔ kɔ nipadua mu.’

RDW mogya mu nhwehwɛmu no yɛ nhwehwɛmu biako pɛ a wo duruyɛfo de hu mogya a ɛtɔ kɔ nipadua mu anaa ayaresa mu tebea afoforo. Oduruyɛfo no de nsɛm a efi mu no di dwuma de ba awiei denam nsɛm a efi nhwehwɛmu afoforo mu a ɔde ka bom no so.

Nsonsonoe bɛn na ɛda RDW nhwehwɛmu ne CBC (mogya dodow a edi mũ) ntam?

Ebia wo duruyɛfo bɛkra sɛ wɔnyɛ RDW nhwehwɛmu no sɛ mogya mu nhwehwɛmu a ɛkɔ akyiri a wɔfrɛ no Complete Blood Count (CBC) no fã. CBC yɛ mogya mu nhwehwɛmu a ɛma wo mogya no mu nneɛma pii ho nsɛm, a mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa kɔkɔɔ ka ho. CBC no te sɛ ‘akwahosan ho adansedi krataa’ ma mogya a ɛwɔ wo nipadua mu.

CBC no fã biako ne nhwehwɛmu kuw bi a wɔfrɛ no RBC (Red Blood Cell Indices) . Saa RBC indices yi ma wo mogya mu nkwammoaa kɔkɔɔ ho nsɛm pɔtee. RDW mogya mu nhwehwɛmu yɛ saa nhwehwɛmu no mu biako.

RBC nsɛnkyerɛnne no bi ne:

• Red Cell Distribution Width (RDW): Eyi kyerɛ sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse sesa. Ɛne sɛ, sɛnea nkwammoaa kɔkɔɔ no sõ na ɛyɛ nketewa.
• Mean Corpuscular Volume (MCV): Eyi kyerɛ sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse te. Ɛne sɛ, sɛ wɔkyekyem pɛpɛɛpɛ a, sɛnea nkwammoaa kɔkɔɔ kɛse te.
• Mean Corpuscular Hemoglobin (MCH): Eyi kyerɛ sɛnea sɛ wɔkyekyem pɛpɛɛpɛ a, hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu. Hemoglobin yɛ protein a ɛboa wo mogya mu nkwammoaa kɔkɔɔ ma ɛde mframa pa kɔ wo nipadua nyinaa mu na ɛma wɔn kɔla kɔkɔɔ.
• Mean Corpuscular Hemoglobin Concentration (MCHC): Eyi kyerɛ sɛnea wɔkyekyem pɛpɛɛpɛ a, hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu (a wɔaboaboa ano, wɔaboaboa ano denneennen) no.

Saa nhwehwɛmu ahorow yi nyinaa bom boa kɛse wɔ aduruyɛ mu tebea horow a ebia ɛne ɔhaw ahorow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu no wɔ abusuabɔ no mu.

Dɛn na RDW susuw ankasa?

Asɛmfua 'Red Cell Distribution Width' no betumi ayɛ basaa kakra efisɛ ɛkyerɛ 'trɛw'. Ebia wubesusuw sɛ ɛkyerɛ wo mogya mu nkwammoaa kɔkɔɔ no trɛw, nanso ɛnte saa. RDW mogya mu nhwehwɛmu no susuw nsakrae a ɛwɔ nkwammoaa kɛse a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ nhwɛsode bi mu no mu. Ɛte sɛ nea worehwɛ sɛ mmofra a wɔwɔ adesuakuw bi mu no nyinaa tenten yɛ pɛ, anaasɛ mmofra atenten ne ntiantiaa pii wɔ afrafra no mu.

‘Nkwammoaa kyekyɛ trɛw’ yɛ kwan a ɛda nkwammoaa akɛse ntam bere a wɔayɛ ho mfonini wɔ histogram so no . Histogram yɛ graph soronko bi a ɛkyerɛ akontaahyɛde anaa gyinapɛn ahorow te sɛ mogya mu nkwammoaa kɔkɔɔ akɛse ahorow.

Fa no sɛ, sɛ wo mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse bɛyɛ pɛ, a ɛkyerɛ sɛ ɛwɔ apɔwmuden a, saa gyinapɛn ahorow no bɛboaboa ano wɔ beae ketewaa bi wɔ histogram no so. Afei RDW boɔ no sua. Ɛno kyerɛ sɛ nneɛma ahorow pii nni hɔ.

Nanso, sɛ ɛsono mogya mu nkwammoaa kɔkɔɔ no kɛse koraa (ebi yɛ nketewa, ebi yɛ akɛse) a, saa gyinapɛn ahorow no bɛtrɛw akɔ akyirikyiri wɔ histogram no so. Ɛno ne bere a yɛka sɛ gyinapɛn ahorow no kyekyɛ kɛse. Wɔ tebea a ɛte saa mu no, RDW bo no yɛ kɛse. Ɛno kyerɛ sɛ nneɛma ahorow pii wɔ hɔ.

Bere bɛn na ɛho hia sɛ wɔyɛ RDW sɔhwɛ?

Sɛ wowɔ sɛnkyerɛnne te sɛ mogya a ɛtɔ kɔ nipadua mu, anaasɛ wowɔ ayaresa tebea bi a ɛfa mogya a ɛtɔ kɔ nipadua mu ho a, saa RDW nhwehwɛmu yi bɛboa wo duruyɛfo ma wahu nea ɛyɛ ankasa.

Dɛn ne wo yare no ho sɛnkyerɛnne?

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ RDW nhwehwɛmu na ama woahu sɛ mogya a ɛtɔ kɔ nipadua mu no na ɛde wo sɛnkyerɛnne ahorow no ba anaa. Nea edidi so yi yɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne a ɛtaa ba no bi:

• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ). Te sɛ nea wunni ahoɔden biara a wode bɛyɛ biribiara.
• Ahome a ɛyɛ tiaa, a wobɛte nka sɛ wobɛtotɔ piti bere a woanantew kwan tiaa bi mpo akyi.
• Sɛ wote awɔw nka bere nyinaa a, sɛ afoforo ho yɛ hyew sɛnea ɛsɛ mpo a, wote awɔw nka.
• Sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ woayɛ mmerɛw.
• Wora no yɛ fitaa na ɛyɛ nwunu. Ɛtɔ mmere bi mpo a, ebetumi ayɛ fitaa wɔ aniwa ase.
• Tipaeɛ.

RDW mogya mu nhwehwɛmu no nso betumi ama woanya nsɛm a ɛfa mogya a ɛtɔ kɔ nipadua mu pɔtee a wowɔ ho, efisɛ RDW bo betumi ayɛ soronko wɔ mogya a ɛtɔ kɔ nipadua mu ahorow mu.

Nyarewa a ebetumi ama mogya atɔ mogya

RDW mogya mu nhwehwɛmu a wɔde ka RBC ho nsɛnkyerɛnne afoforo ho no betumi aboa ma wɔahu nea ɛde mogya a ɛtɔ kɔ nipadua mu no ba. Tebea horow a ebetumi abata mogya a ɛtɔ kɔ nipadua mu ho no bi ne:

• Kokoram.
• Koma ne ntini mu yare.
• Asaabo mu yare.
• Mmɛn mu yare.
• Thalassemia - Eyi yɛ awosu mu yare.
• Nyarewa a enni sabea - nhwɛso ahorow bi ne Crohn yare (yare a ɛwɔ aduan mu), Asikreyare , ne HIV .
• Vitamin ne mineral a enni nipadua mu - Sɛ nhwɛso no, nneɛma te sɛ iron , vitamin B12 , ne folate a enni nipadua mu. Eyinom ne nneɛma a ɛtaa de mogya a ɛtɔ kɔ nipadua mu no ba.

Afei nso, mogya a ɛtɔ kɔ nipadua mu betumi aba bere a mogya pii yera fi nipadua no mu, sɛ́ ɛyɛ ɔyare mmoawa a akyɛ, akwanhyia, anaa oprehyɛn nti.

Ɔkwan bɛn so na wɔyɛ RDW sɔhwɛ no?

RDW mogya mu nhwehwɛmu yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Wɔde mogya a wobɛfa no kɔ lab. Ɛhɔ no, oduruyɛfo bi a ɔyɛ ɔbenfo (a mpɛn pii no ɔyɛ aduruyɛdan mu nyansahufo) de afiri a wɔde hwɛ nneɛma nketenkete hwɛ wo mogya mu nkwammoaa kɔkɔɔ no mu na ɔhwɛ sɛ ɛsono sɛnea wɔn kɛse te anaa. Wɔde mogya a wɔayɛ mu nhwehwɛmu wɔ saa kwan yi so no di dwuma sɛ nhwɛsode na ama woanya nsakrae a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu wɔ wo nipadua nyinaa mu no ho adwene pa.

So ɛsɛ sɛ wusiesie wo ho ma RDW sɔhwɛ no?

Mpɛn pii no, enhia sɛ woyɛ biribi titiriw biara de asiesie wo ho ama RDW sɔhwɛ no nkutoo. Nanso, sɛ wo duruyɛfo ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu afoforo pii nka RDW nhwehwɛmu no ho a, ebia ebehia sɛ wosiesie saa nhwehwɛmu no bi. Sɛ nhwɛso no, ebia sɔhwɛ ahorow bi bɛhwehwɛ sɛ wudi mmuada nnɔnhwerew kakraa bi, a ɛkyerɛ sɛ worendidi anaa worennom biribiara. Wɔ tebea horow a ɛtete saa mu no, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, sɛnea ɛbɛyɛ a wubetumi asiesie wo ho ama nhwehwɛmu a wuhia nyinaa.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a woreyɛ RDW sɔhwɛ no?

Okay, afei ma yɛnhwɛ nea ɛba bere a woyɛ RDW sɔhwɛ yi, nea ɛsɛ sɛ wohwɛ kwan. Nokwarem no, ɛyɛ ade ketewaa bi, na wɔyɛ no simma kakraa bi mu. Ɛte sɛ nea wɔtwe mogya daa ara pɛ.

• Nea edi kan no, wo duruyɛfo anaa ɔyarehwɛfo no behu baabi a eye sen biara a obetumi atwe mogya. Mpɛn pii no, eyi bɛyɛ ntini bi a ɛwɔ wo nsateaa ase pɛɛ, anaa wo nsa akyi.
• Afei, wɔhohoro baabi a wɔde ade no hyɛ mu no yiye na wɔde aduru a ekum ɔyare mmoawa popa. Eyi ho hia paa, efisɛ afei mmoawa biara renkɔ nipadua no mu.
• Afei, wo duruyɛfo no bɛkyekyere elastic band (a wɔsan frɛ no tourniquet) wɔ baabi a wɔde ade bɛhyɛ wo basa so no atifi pɛɛ. Wɔyɛ eyi na ama mogya a ɛkɔ wo basa mu no akɔ so, ama ntini no ada adi yiye, na ayɛ mmerɛw sɛ wobɛtwe mogya.
• Seesei wɔfa mogya no. Sɛ ade no kɔ mu a, ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra, te sɛ nea ntɛtea aka wo. Ɛtra hɔ sikani kakraa bi pɛ. Wɔboaboa mogya kakraa bi ano wɔ toa (vial) ketewaa bi a wɔde abɔ ade no ho mu.
• Sɛ wɔfa mogya dodow a wɔpɛ wie a, woyi ade no na wɔde plaster anaa kotoku ketewaa bi gu baabi a mogya no retu no so, na wɔde nhyɛso ma mogya no gyae.

Ɛno ne no! Sɔhwɛ no aba awiei.

Wɔ RDW sɔhwɛ no akyi? So asiane ahorow bi wɔ hɔ?

Wubetumi afi hɔ bere a wɔatwe mogya no akyi bere tiaa bi. Ɛtɔ da bi a oduruyɛfo no bɛka akyerɛ wo sɛ twɛn simma kakraa bi na ama woahwɛ ahu sɛ worennya ɔhaw biara.

RDW mogya mu nhwehwɛmu no yɛ nhwehwɛmu a ahobammɔ wom yiye , a nsunsuanso bɔne kakraa bi na ɛwom. Beae a wɔde ade no guu mu no betumi ayɛ bruu kakra anaasɛ akuru. Eyi ankasa befi hɔ wɔ nna kakraa bi mu. Ebia nnipa binom bɛte nka sɛ wɔn adwene atu afra kakra bere a wɔatwe mogya no awie no, nanso saa nkate yi nkyɛ.

Nanso, sɛ mogya a efi baabi a wɔde aduru no retu no annyae, anaasɛ wofi ase te nka sɛ wo ho yɛ wo yaw anaasɛ wotɔ piti a, ka kyerɛ wo duruyɛfo. Saa nsunsuanso bɔne yi betumi aba, nanso ɛntaa nsi koraa.

Ɔkwan bɛn so na RDW aba no ba? Dɛn na wɔkyerɛ?

Wɔde sɔhwɛ no mu aba sɛ ɔha biara mu nkyem. Eyi bɛboa wo ma woahu sɛ ebia nea efi mu ba no wɔ nea ɛfata mu, anaasɛ wo RDW bo no yɛ kɛse anaasɛ ɛba fam.

Dɛn ne RDW bo a ɛyɛ daa?

Wo RDW bo no yɛ nea ɛfata, a ɛkyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse yɛ pɛ. Ɛno kyerɛ sɛ nsonsonoe kɛse biara nni wɔn kɛse mu. RDW boɔ a ɛtaa ba no yɛ 12% kɔsi 15% . Nanso, ma ɛntra w’adwenem sɛ saa kwan yi betumi ayɛ soronko kakra a egyina lab a ɛyɛ sɔhwɛ no so. Amanneɛbɔ a wo nsa bɛka no bɛkyerɛ nea ɛyɛ daa range no pefee. Afei wubetumi de wo bo a ɛsom atoto ho.

Nanso, RDW bo a ɛfata no nkyerɛ sɛ wunni yare foforo biara a ɛsɛ sɛ wosa. Wɔ mogya a ɛtɔ kɔ nipadua mu ahorow bi mu no, sɛ RDW bo no yɛ nea ɛfata mpo a, ebia RBC nsɛnkyerɛnne afoforo no biako bo bɛyɛ kɛse anaasɛ ɛba fam. Ɛno nti na oduruyɛfo si gyinae bere a wahwɛ amanneɛbɔ no nyinaa mu awie no.

Dɛn na RDW a ɛkɔ soro kyerɛ?

RDW bo a ɛkɔ soro kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no kɛse boro sɛnea ɛte daa so. Eyi kyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ no bi sua dodo, bere a afoforo nso sõ dodo. RDW bo a ɛkɔ soro betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne anaa tebea bi a ɛfa ho. Nanso, ɛho behia sɛ wo duruyɛfo no hwɛ nhwehwɛmu ho amanneɛbɔ afoforo na ama woahu yare no yiye. Mpɛn pii no, wɔde RDW (mogya mu nkwammoaa kɔkɔɔ kɛse a ɛsakra) bo ne MCV (mogya mu nkwammoaa kɔkɔɔ dodow a wɔkyerɛ) bom di dwuma de hwɛ wo mogya mu nkwammoaa kɔkɔɔ no akwahosan.

Dɛn na RDW a ɛba fam kyerɛ?

Mpɛn pii no, RDW bo a ɛba fam no nyɛ biribi a ɛhaw adwene, na ɛne mogya a ɛtɔ kɔ nipadua mu pɔtee biara nni abusuabɔ.

Bere bɛn na mehu sɔhwɛ ho amanneɛbɔ no?

Mpɛn pii no wubetumi anya nea efi mu ba no wɔ nna kakraa bi mu bere a wo mogya no adu aduruyɛdan mu akyi. Sɛ wuhia mmoa a wode bɛte nea efi mu ba no ase a, wo ne wo duruyɛfo nkasa. Wo ne no nkasa fa nea ɛsɛ sɛ woyɛ akyi de hu wo tebea no ho.

Sɛ́ ebia RDW mogya mu nhwehwɛmu no dɔɔso, ɛba fam, anaasɛ ɛfata no, oduruyɛfo ntumi nnyina ɛno nkutoo so nhu yare no. Nanso, RDW mogya mu nhwehwɛmu yɛ ahodwiriwde no fã titiriw a ɛboa yɛn ma yɛte sɛnea wo mogya mu nkwammoaa kɔkɔɔ no de mframa pa kɔ wo nipadua nyinaa mu yiye no ase. Enti, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo nea wo RDW mogya mu nhwehwɛmu no mu aba no kyerɛ, ne nea efi wo CBC nhwehwɛmu no mu bae afoforo.

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛma ɛtra yɛn adwenem

Okay, enti yɛaka RDW mogya mu nhwehwɛmu no ho asɛm pii. Nneɛma kakraa bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:

• RDW sɔhwɛ no susuw nsakrae a ɛba wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu.
• Eyi boa ma wohu tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu .
• Wɔtaa yɛ eyi sɛ nhwehwɛmu bi a wɔfrɛ no CBC (mogya dodow a edi mũ) no fã .
• RDW aba nkutoo nyɛ nea ntease wom. Ɛsɛ sɛ oduruyɛfo hwehwɛ mu de ka mogya mu nhwehwɛmu afoforo a efi mu ba ne wo sɛnkyerɛnne ahorow ho .

Sɛ wowɔ nsɛmmisa bi fa wo RDW bo a ɛsom ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Afei wubetumi anya ntease a emu da hɔ.

` RDW, Mogya mu Nkwammoaa Kɔkɔɔ, Mogya mu Nhwehwɛmu, Mogya a Wɔyare, CBC, MCV, Hemoglobin, Mogya mu Nkwammoaa, Mogya mu Nhwehwɛmu, Mogya mu Nkwammoaa Kɔkɔɔ, Mogya Dodow a Edi Mu, Hemoglobin, RDW Botae