TIBC Sɔhwɛ no - Momma yɛnka eyi ho asɛm!

So woasusuw sɛnea aduannuru dade ho hia wɔ yɛn nipadua mu, sɛnea ɛkɔ nipadua no nyinaa mu, ne sɛ ebia sɔhwɛ ahorow bi wɔ hɔ a ebetumi asusuw ho no ho pɛn? Ɛno na ɛsɛ sɛ yɛka mogya mu nhwehwɛmu titiriw yi a wɔfrɛ no TIBC (Total Iron-Binding Capacity) ho asɛm. Ɛwom sɛ eyi yɛ aduruyɛ mu din kakra de, nanso ɛnyɛ den koraa. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ Sinhala kasa mu a wubetumi ate ase.

Dɛn ne TIBC (Total Iron-Binding Capacity)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, TIBC (Total Iron-Binding Capacity) yɛ mogya mu nhwehwɛmu a ɛkyerɛ sɛnea wo mogya tumi kyekyere dade a ɛwɔ nipadua no mu no na ɛde kɔ wo nipadua nyinaa mu. Ɛte sɛ baabi a ɛwɔ bɔs mu a nkurɔfo betumi atra so. Ɛsusuw dade dodow a yɛn mogya betumi "asoa."

Nnuruyɛfo de sɔhwɛ yi di dwuma de hu tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim anaa ɔhaw afoforo a ɛfa dade a ɛwɔ nipadua no mu ho.

Sɛ yɛbɛkɔ akyiri kakra a, TIBC nhwehwɛmu no susuw protein bi a wɔfrɛ no transferrin dodow a ɛwɔ wo mogya mu no ankasa. Saa transferrin yi yɛ protein titiriw bi a yɛn mmerɛbo yɛ. Ɛyɛ protein yi na ɛhwɛ ma dade kɔ yɛn mogya mu, kyerɛ sɛ, ɛhwɛ so.

Susuw transferrin ho sɛ kar a ɛde dade kɔ. TIBC susuw dade dodow a kar yi betumi de akɔ.

Yɛn nipadua hia dade na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw . Saa mogya mu nkwammoaa kɔkɔɔ yi de mframa pa fi yɛn ahurututu mu kɔ yɛn nipadua a aka no mu. Iron nso ho hia ma ntini, nnompe mu ntini, ne akwaa afoforo dwumadi a ɛte apɔw.

So TIBC ne Ferritin yɛ ade koro?

Dabi, TIBC ne ferritin yɛ sɔhwɛ ahorow abien, ɛwom sɛ ɛwɔ abusuabɔ de.

Ferritin nhwehwɛmu kyerɛ protein bi a wɔfrɛ no ferritin dodow. Ferritin yɛ protein a ɛkora dade so wɔ yɛn nkwammoaa mu. Sɛ yɛbɛka no tiawa a, bere a TIBC susuw dade dodow a wɔde fa nipadua no mu nyinaa (ɛnam transferrin so) no, ferritin sɔhwɛ susuw dade dodow a wɔde sie nipadua no mu. Ferritin yɛ ade a eye sen biara a wɔde kyerɛ sɛ ebia dade nni hɔ anaa.

Bere bɛn na wuhia TIBC sɔhwɛ?

Nnuruyɛfo titiriw hyɛ sɛ wɔnyɛ TIBC nhwehwɛmu na ama wɔahu ɔhaw ahorow a ɛfa dade ho. Ɛne sɛ, ebia dade a ɛwɔ wo mu no sua (a wɔfrɛ no iron-deficiency anemia) anaasɛ dade a ɛdɔɔso (a wɔfrɛ no hemochromatosis ).

Wɔtaa yɛ TIBC sɔhwɛ no sɛ "dade panel" no fã. Ebia sɔhwɛ afoforo pii bɛka saa dade a wɔde ayɛ apon yi ho:

• Mmuadadi dade mogya mu nhwehwɛmu.
• Ɔha biara mu nkyem transferrin saturation anaa dade saturation.
• Ferritin mogya mu nhwehwɛmu.

Nnuruyɛfo nso de TIBC nhwehwɛmu no di dwuma de hwɛ tebea horow a ɛfa dade ho.

Hena na ɔyɛ saa TIBC sɔhwɛ yi? Wobɛyɛ dɛn asiesie wo ho ama no?

Mpɛn pii no, oduruyɛfo boafo bi a wɔfrɛ no phlebotomist na ɔfa mogya . Ɛtɔ mmere bi a, ɔyarehwɛfo anaa oduruyɛfo betumi ayɛ eyi. Wɔde mogya no kɔ aduruyɛdan bi mu, baabi a aduruyɛdan mu nyansahufo bi de mfiri titiriw (a wɔfrɛ no "analyzers" ) sɔ nhwɛsode no hwɛ.

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

Yiw, ɛtɔ mmere bi a wo duruyɛfo bɛka akyerɛ wo sɛ mmuada (kyerɛ sɛ, nni anaa nnom biribiara gye nsu) nnɔnhwerew 12 ansa na wɔayɛ nhwehwɛmu no. Ebia wɔbɛka akyerɛ wo nso sɛ gyae dade a wɔde ma no nom wɔ saa bere yi mu. Sɛ wowɔ nsɛmmisa bi fa sɛnea wubesiesie wo ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Eyi ne nea ɛsɛ sɛ wohwɛ kwan mpɛn pii bere a wɔretwe mogya no:

• Wɔbɛtena akongua bi so. Afei oduruyɛfo bi bɛpaw ntini bi a ɛnyɛ den wɔ wo basa mu a ɛbɛtwe mogya. Wɔtaa yɛ eyi wɔ wo nsateaa 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 bɛhyɛ ntini no mu na wɔafa mogya. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra saa bere yi.
• Sɛ wɔde ade no hyɛ mu wie a, wɔboaboa mogya kakra ano wɔ afiri a wɔde sɔ hwɛ mu.
• Sɛ wɔboaboa mogya no ano wie a, woyi ade no na wɔde kotoku anaa gauze asinasin bi gu baabi a mogya no retu no agyae na wɔde ahyɛ nea ɛwɔ hɔ no mu kakra.
• Awiei koraa no, wɔde plaster gu beae no na wowie adwuma no.

Mpɛn pii no, adeyɛ no nyinaa gye nea ennu simma anum, enti biribiara nni hɔ a enti ɛsɛ sɛ wohaw wo ho.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?

Sɛ wɔfa wo mogya wie a, wɔde bɛkɔ aduruyɛdan bi mu akɔyɛ nhwehwɛmu. Sɛ nhwehwɛmu no aba wie a, wo duruyɛfo no bɛma woahu nea efii mu bae.

So asiane ahorow bi wɔ TIBC sɔhwɛ no mu?

Mogya mu nhwehwɛmu yɛ ade a abu so na ɛho hia wɔ aduruyɛ mu nhwehwɛmu ne yare a wohu mu. Asiane a ɛwɔ mogya mu nhwehwɛmu mu no sua koraa. Ebia wubenya akuru anaa ɛyaw bi wɔ baabi a wɔtwe mogya no, nanso eyi bɛsa ntɛm.

Bere tenten ahe na egye ansa na wɔanya TIBC sɔhwɛ no mu aba?

Mpɛn pii no, ɛsɛ sɛ wonya nea efi TIBC sɔhwɛ no mu ba no wɔ da koro anaa nnanu ntam. Nanso, ɛtɔ mmere bi a, ebetumi agye bere kakra. Egyina nneɛma te sɛ adwuma a ɛwɔ lab no mu so.

Dɛn ne gyinapɛn ahorow a ɛfata ma TIBC sɔhwɛ?

Ebia aduruyɛdan ahorow benya nsɛm a wɔde gyina hɔ ma TIBC gyinapɛn ahorow a ɛyɛ daa no. Wei kyerɛ sɛ ebia lab biako bo a ɛyɛ daa no bɛyɛ soronko kakra wɔ lab foforo de ho. Sɛ wo nsa ka wo mogya mu nhwehwɛmu amanneɛbɔ a, ɛbɛsan nso akyerɛ nea ɛyɛ nea ɛfata ma saa lab no.

Mpɛn pii no, ɛsɛ sɛ TIBC bo no yɛ microgram 240 kosi 450 wɔ deciliter biara mu (240 mcg/dL kosi 450 mcg/dL).

Nanso ɛho hia sɛ yɛkae sɛ sɛ nnuruyɛfo reyɛ nhwehwɛmu a, ɛnyɛ TIBC bo nko na wosusuw ho, na mmom nea efi nhwehwɛmu afoforo te sɛ mogya mu iron dodow ne ferritin mu ba nso.

Sɛ wo TIBC bo no sua a, dɛn na ɛno kyerɛ?

Sɛ wo TIBC sua na dade dodow a ɛwɔ wo mogya mu no dɔɔso a, ebia efi tebea bi a wɔfrɛ no hemochromatosis (a ɛkyerɛ sɛ dade pii wɔ nipadua no mu) na ɛbae. Sɛ wo TIBC sua na wo dade dodow sua a, ebia efi tebea horow te sɛ:

• Cirrhosis ( mmerɛbo mu yareɛ) .
• Ɔfe a enni sabea
• Nsaneɛ
• Aduan pa a wonnya nni
• Nephrotic syndrome (asaabo mu yare) .

Sɛ Ferritin sua na TIBC dɔɔso a, dɛn na ɛba?

Ferritin dodow a ɛba fam ne TIBC dodow a ɛkɔ soro no taa kyerɛ sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu a dade nnim . Eyi ne mogya a ɛtɔ kɔ nipadua mu a abu so sen biara. Saa tebea yi ba bere a wo nipadua nni dade a ɛdɔɔso a ɛbɛma woatumi ayɛ hemoglobin no . Hemoglobin yɛ ade bi a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu a ɛboa ma oxygen di akɔneaba wɔ nipadua no mu.

So ɛsɛ sɛ mehaw me ho sɛ me TIBC aba no nyɛ nea ɛfata a?

Ɛnyɛ bere nyinaa na nea efi wo TIBC nhwehwɛmu mu ba a ɛnyɛ ne kwan so no nkyerɛ sɛ wowɔ ayaresa tebea bi. Nneɛma a edidi so yi nso betumi aka nea ebefi mu aba:

• Mogya a wɔde ma nnansa yi .
• Fluoride a wɔde di dwuma .
• Awo ano aduru ( abusua nhyehyɛe nnuru).
• Chloramphenicol (aduru a wɔde sa aniwa a ɛwɔ soro).
• Mfomso biara a esii bere a wɔreboaboa mogya ano, de rekɔ, anaa wɔredi ho dwuma de ayɛ nhwehwɛmu no.

Sɛ wunya nea efi mu ba a ɛnyɛ ne kwan so a, wo duruyɛfo no bɛka ho asɛm akyerɛ wo. Oduruyɛfo no besusuw nneɛma afoforo pii ho ansa na wahu sɛ ɔwɔ yare no. Obetumi nso ahyɛ sɛ wɔnyɛ sɔhwɛ afoforo.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɔhwɛ bi a ɛnyɛ ne kwan so no. Nanso kae sɛ, TIBC a efi mu ba a ɛnyɛ ne kwan so no nkyerɛ ankasa sɛ wowɔ yare bi. Nnipa a wɔwɔ apɔwmuden 20 biara mu bɛyɛ 1 nya nea efi mu ba a ɛnyɛ nea ɛfata. Wo duruyɛfo ne wo bɛbɔ nea ebefi mu aba yi ho nkɔmmɔ na wasi nea wobɛyɛ akyi. Asɛmpa no ne sɛ wobetumi asa tebea horow pii a ɛma dade a ɛwɔ nipadua no mu no sua anaa ɛdɔɔso.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

TIBC sɔhwɛ no yɛ sɔhwɛ a ɛma nsɛm a ɛho hia fa wo nipadua mu dade a ɛsakra no ho.

• Eyi kyerɛ sɛnea wo mogya tumi kyekyere dade na ɛde kɔ.
• Eyi boa ma wohu tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim anaasɛ mogya mu nkwammoaa a ɛma mogya tu .
• Ebia ebehia sɛ wudi akwankyerɛ titiriw te sɛ mmuadadi akyi ansa na woayɛ sɔhwɛ no.
• Sɛ nea efi mu ba no nyɛ nea ɛfata mpo a, nneɛma ahorow bi betumi ama aba saa. Enti ɛho hia sɛ wo ne wo duruyɛfo kasa na wunya afotu a ɛfata.
• Wobetumi asa ɔhaw ahorow pii a ɛfa dade ho no yiye, enti mma wo ho nnpopo na di wo duruyɛfo afotu akyi.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Kɔ so nya apɔwmuden!

` Dade, TIBC, mogya mu nhwehwɛmu, mogya a ɛtɔ kɔ nipadua mu, ferritin, transferrin, akwahosan