So woanya asikreyare, ntini mu yare, asaabo mu yare, anaa yare foforo a enni sabea asram pii, ebia mfe pii mpo, na so wote nka sɛ woabrɛ na woayɛ ɔkwasea bere nyinaa? Ebia wo duruyɛfo aka akyerɛ wo sɛ wo mogya sua. Eyi betumi afi mogya a enni hɔ pɔtee bi a efi wo yare a enni sabea no mu. Ɛno ne nea yɛreka ho asɛm nnɛ. Wɔfrɛ eyi wɔ aduruyɛ mu sɛ ‘Anemia of Chronic Disease’.
Dɛn ne mogya a ɛtɔ kɔ nipadua mu a nyarewa a ɛtra hɔ kyɛ de ba?
Sɛ yɛbɛka no tiawa a, eyi nso yɛ mogya a ɛtɔ kɔ nipadua mu. Ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ dodow a ɛde mframa pa kɔ nipadua no mu nyinaa so tew. Nanso eyi yɛ soronko kakra wɔ mogya a ɛtɔ kɔ nipadua mu a yɛtaa te ho asɛm esiane dade a enni nipadua mu nti no ho. Saa tebea yi fi ɔfe a aduruyɛ mu tebea bi a ɛwɔ wo nipadua mu bɛboro asram abiɛsa na ɛde ba. Ɛtɔ da bi a nnuruyɛfo nso frɛ eyi ``Anemia of Inflammation``.
Fa no sɛ wowɔ yare bi a enni sabea a ɛma wo nipadua nya "ɔhyew" (ɔhyew) ketewaa bi bere nyinaa. Eyi mma yɛn nipadua no mfa dade a ehia na ama ayɛ mogya mu nkwammoaa kɔkɔɔ no nni dwuma yiye. Ɛte sɛ nea wowɔ nneɛma a wode bɛnoa aduan nyinaa wɔ fie, nanso wuntumi nnoa aduan a gas nka ho. Nanso asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ saa tebea yi wɔ mogya a ɛtɔ kɔ nipadua mu a emu nyɛ den, a ɛnyɛ den saa.
Hena na ɛda adi kɛse sɛ obenya saa tebea yi?
Sɛnea edin no kyerɛ no, mogya a ɛtɔ kɔ nipadua mu betumi aba obiara a ɔwɔ yare biara a enni sabea mu. Nanso, ɛtaa ba nnipa a wɔadi boro mfe 65. Nyarewa ahorow atitiriw pii wɔ hɔ a ebetumi ama mogya atɔ obi:
- Kokoram
- Asaabo mu yare a enni sabea
- Koma a entumi nyɛ adwuma yiye
- Nyarewa a nipadua no tumi ko tia nyarewa: Eyinom yɛ nyarewa a nipadua no mu tumi a ɛko tia nyarewa a wɔkyerɛ sɛ ɛbɔ yɛn nipadua ho ban no tow hyɛ nipadua no ankasa so.
Momma yɛnhwɛ sɛnea nipadua no mu tumi a ɛko tia nyarewa ne tebea afoforo pii betumi de mogya a ɛtɔ kɔ nipadua mu yi aba.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ntini mu yare a ɛma ntini mu yare | Nkwaa a ɛho ahonhon bere tenten na ɛyɛ yaw. |
| Lupus a ɛyɛ hu | Ɔsɛe a nipadua no mu nkwammoaa a ɛko tia nyarewa no tow hyɛ nipadua no mu. |
| Vasculitis a ɛma mogya tu | Mogya ntini a ɛyɛ hyew anaasɛ ɛho ahonhon. |
| Yare a ɛma obi ho hyehye no | Dwensɔtwaa mu tebea horow te sɛ Crohn yare ne akisikuru a ɛma obi ho yɛ hyew. |
| Nyarewa biara a ɛtra hɔ kyɛ | Nyarewa biara a ɛbɛkɔ so atra nipadua no mu akyɛ no betumi de eyi aba. |
| Obolo | Kɛse mmoroso nso betumi ama nipadua no ho ayɛ hyew a enni sabea. |
Dɛn nti na wɔmfa dade a ɛwɔ nipadua no mu nni dwuma wɔ yare yi mu?
Eyi yɛ den kakra sɛ yɛbɛte ase, nanso ɛyɛ asɛm a ɛho hia yiye. Susuw ho saa kwan yi so...
Mpɛn pii no, mogya mu nkwammoaa kɔkɔɔ bi a ɛwɔ yɛn nipadua mu no tra ase bɛyɛ nnafua 120. Sɛ wowuwu wie a, nipadua no de anifere san de dade a ɛwɔ saa nkwammoaa no mu no di dwuma ma ɛyɛ mogya mu nkwammoaa kɔkɔɔ foforo.
Nanso, sɛ wowɔ ɔfe esiane yare a ɛtra hɔ kyɛ nti a, nkwammoaa bi a ɛwɔ yɛn nipadua mu a wɔfrɛ no macrophages kura dade a efi mogya mu nkwammoaa kɔkɔɔ dedaw yi mu ba no mu. Ɛne sɛ, wonnyae saa dade no. Ɛte sɛ nea wɔreto dade no mu.
Enti, ɛwom sɛ wɔkora dade so wɔ nipadua no mu (sɛ protein a wɔfrɛ no `Ferritin`) de, nanso dade no nkɔ mogya no mu, enti wontumi nyɛ mogya mu nkwammoaa kɔkɔɔ foforo. Eyi ne ade titiriw a ɛkɔ so wɔ saa yare yi mu.
Dɛn ne eyi ho sɛnkyerɛnne?
Saa sɛnkyerɛnne ahorow yi te sɛ mogya a ɛtɔ kɔ nipadua mu a dade a enni nipadua mu de ba no ara pɛ. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Ebia afoforo benya saa sɛnkyerɛnne ahorow yi bere a wɔteɛteɛ wɔn apɔw mu nkutoo. Nnipa a wɔwɔ sɛnkyerɛnne ahorow no betumi anya:
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɔbrɛ ne mmerɛwyɛ a ɛtra so | Sɛ wote nka sɛ woayɛ mmerɛw araa ma wuntumi nyɛ wo da biara da nnwuma mpo. |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ wo ho ayɛ wo yaw bere a wonam kakra anaasɛ woreforo antweri mpo no. |
| Honam ani hwɛbea a ɛyɛ mmerɛw | Ɛte sɛ nea honam ani, anofafa, ne nsateaa ayɛ fitaa sen sɛnea ɛte daa. |
| Fifiri a ɛyɛ fifiri a ntease biara nnim | Awɔw ne fifiri a wɔte nka a ntease pɔtee biara nni ho. |
| Adwene a ɛyɛ basaa ne obi a ɔtotɔ piti | Sɛ wote nka sɛ w’ani reyɛ bruu bere a wugyina hɔ anaa wosɔre mpofirim no. |
| Tipaeɛ | Ti a ɛtaa yɛ no yaw. |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Wo duruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne ne ayaresa tebea foforo biara a ebia wowɔ ho asɛm, na sɛ wosusuw sɛ eyi te saa a, wɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi. Saa mogya mu nhwehwɛmu ahorow yi nkutoo ne ɔkwan a wɔfa so hu saa tebea yi.
Nea mogya mu nhwehwɛmu ho amanneɛbɔ ahorow kyerɛ
| Sɔhwɛ | Sɛ yɛbɛka no tiawa a, dɛn na wuhu wɔ eyi mu? |
|---|---|
| Hemoglobin dodow a ɛwɔ nipadua no mu | Protein a ɛma mogya mu nkwammoaa kɔkɔɔ kɔla kɔkɔɔ na ɛde mframa pa kɔ. Ne bo so retew. |
| Dade dodow a ɛwɔ mogya mu | Iron dodow a enni mogya no mu. Eyi yɛ bo a ɛba fam. |
| Reticulocyte dodow a ɛwɔ nipadua no mu | Eyi kyerɛ "nkokoaa" mogya mu nkwammoaa kɔkɔɔ. Sɛ dodow yi sua a, ɛkyerɛ sɛ nnompe mu ntini no nyɛ nkwammoaa foforo nkakrankakra. |
| Ferritin dodow a ɛwɔ mogya mu | Eyi ne ade a ɛho hia sen biara . Ferritin yɛ protein a ɛkora dade so wɔ nipadua no mu. Bere a ɛnyɛ den wɔ dade a enni nipadua mu wɔ ɔkwan a ɛkɔ akyiri so no, ne bo yɛ nea ɛfata anaasɛ ɛkɔ soro wɔ Anemia of Chronic Disease mu . |
Ɛntaa mma sɛ oduruyɛfo no nso betumi akamfo akyerɛ sɛ sɛ ɛho hia a, wɔnyɛ nnompe mu ntini mu nhwehwɛmu.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Ayaresa a eye sen biara na ɛho hia sen biara a wɔde sa mogya a ɛtɔ kɔ mogya mu yi ne sɛ wɔbɛsa yare a ɛda adi a ɛde mogya a ɛtɔe no bae no yiye.
Fa no sɛ wowɔ saa mogya a ɛtɔ kɔ wo mu yi esiane ntini mu yare nti. Sɛ wonom nnuru a wo duruyɛfo kyerɛw ma wo de siw wo ntini mu yare ano a, ɔfe a ɛwɔ wo nipadua mu no so tew. Afei dade a akyere no fi hɔ, na ɛkame ayɛ sɛ mogya a ɛtɔ kɔ nipadua no mu no tu mpɔn ara kwa.
Nea ɛho hia yiye: Mma w’ankasa nnom dade a wɔde ma da a wonkɔ wo duruyɛfo nkyɛn. Nea enti a ɛte saa ne sɛ wɔkora dade so wɔ nipadua no mu wɔ yare yi mu, na sɛ wɔde dade pii ka ho a, ebetumi apira nipadua no.
Ɛtɔ mmere bi a, ebia nnipa a mogya atɔ wɔn kɛse no behia ayaresa afoforo:
- Mogya a wɔde ma: Eyi yɛ ano aduru ntɛm, nanso ɛnyɛ ano aduru a ɛbɛkyɛ.
- EPO ayaresa a wɔde nneɛma ayɛ: EPO yɛ hormone a asaabo no yɛ. Ɛkyerɛ nnompe mu ntini no sɛ "ɛyɛ mogya mu nkwammoaa kɔkɔɔ." Sɛ wɔde saa aduru yi ma a, mogya mu nkwammoaa kɔkɔɔ a wɔyɛ no kɔ soro.
- Iron tablets: Ɛtɔ mmere bi a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛma wo iron tablets aka EPO injection no ho, nanso ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo hwɛ ase nkutoo.
Ebia wobɛte ɔbrɛ ne adwennwen kɛse nka esiane mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne ahorow yi nti, ne w’ayaresa tebea a ɛtra hɔ kyɛ no. Nanso kae sɛ, saa tebea yi taa yɛ nea emu nyɛ den na sɛ wɔsa tebea a ɛde ba no a, ɛyɛ yiye. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa aduan ne asetra mu nsakrae a ɛfata wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Anemia of Chronic Disease nyɛ iron a enni w’aduan mu. Ɛyɛ ɔfe a ɛba nipadua no mu esiane yare a ɛtra hɔ kyɛ nti na ɛba.
- Eyi ho ayaresa a eye sen biara ne sɛ wobɛsa tebea a ɛwɔ ase a wowɔ no (e.g., ntini mu yare, asaabo mu yare).
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɔbrɛ a ɛtra so, ahome a ɛyɛ tiaa, ne honam ani hwɛbea a, ka kyerɛ wo duruyɛfo.
- Mfa dade aduru nni dwuma a wunni aduruyɛfo afotu biara esiane biribiara nti. Wɔ eyi mu no, ebetumi apira nipadua no.
- Wo ne wo duruyɛfo nka w’akwahosan ho haw ne ayaresa nyinaa ho asɛm pefee.
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