Momma yensua Anemia of Chronic Disease (ACD) ho ade?

So wowɔ asikreyare, ntini mu yare, asaabo mu yare, anaa yare foforo a enni sabea a ɛma wote nka sɛ woabrɛ na woayɛ mmerɛw? Ebia wubesusuw sɛ ɛyɛ wo yare no nti. Nokware bi wɔ saa asɛm no mu, nanso ebetumi aba sɛ ntease foforo bi wɔ hɔ. Ɛno ne nea yɛreka ho asɛm nnɛ. Yɛfrɛ saa tebea yi ‘Mogya a Ɛkɔ Anim a Ɛyare’ anaa ‘Mogya a Ɛma Ɔyare’. Sɛ yɛbɛka no tiawa a, ɛyɛ mogya a enni hɔ a efi yare a ɛtra hɔ kyɛ mu ba.

Dɛn ankasa ne ‘Anemia of Chronic Disease’?

Okay, momma yɛnka eyi tiawa. Monemia, anaa mogya mmoroso a ɛba fam yɛ tebea a ɛma yɛn mogya mu nkwammoaa kɔkɔɔ no sua. Saa mogya mu nkwammoaa kɔkɔɔ yi de mframa pa kɔ yɛn nipadua mu nyinaa. Enti sɛ wɔba fam a, yɛte nka sɛ yɛabrɛ na nkwa nni yɛn ho.

Wɔ tebea bi a wɔfrɛ no ‘Anemia of Chronic Disease’ mu no, ɔfe a enni sabea a ɛwɔ nipadua no mu a yare bi a ɛwɔ hɔ bɛboro asram abiɛsa na ɛde ba no mma yɛn nipadua no ntumi mfa dade a ehia na wɔde ayɛ mogya mu nkwammoaa kɔkɔɔ no nni dwuma.

Susuw ho saa kwan yi so. Yɛwɔ semɛnte, birikisi, ne dade a yɛde besi dan nyinaa. Nanso adwumayɛfo no wɔ ɔhaw bi na wontumi mfa saa nneɛma no nyɛ adwuma. Saa na ɛkɔ so wɔ ha nso. Ɛwom mpo sɛ yɛwɔ dade wɔ yɛn nipadua mu de, nanso esiane ɔfe a yare a ɛtra hɔ kyɛ no de ba nti, nipadua no ntumi mfa saa dade no nyɛ mogya mu nkwammoaa kɔkɔɔ foforo. Mpɛn pii no, eyi yɛ mogya a ɛtɔ kɔ nipadua mu 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 yi betumi aba obiara a ɔwɔ ayaresa tebea biara a ɛtra hɔ kyɛ (a enni sabea) so. Nanso, abu so titiriw wɔ nnipa a wɔadi boro mfe 65. Ayaresa mu tebea atitiriw pii wɔ hɔ a ebetumi ama mogya a ɛtɔ mogya yi aba. Ma yɛnhwɛ nea wɔyɛ.

Dɛn nti na saa yare yi ma mogya a ɛtɔ kɔ nipadua no mu ba? Dɛn na ɛrekɔ so ankasa wɔ nipadua no mu?

Eyi yɛ asɛm a ɛyɛ anigye yiye. Sɛ wɔkyekyem pɛpɛɛpɛ a, mogya mu nkwammoaa kɔkɔɔ bi a ɛwɔ yɛn nipadua mu nkwa nna bɛyɛ nnafua 120. Sɛ mogya mu nkwammoaa kɔkɔɔ dedaw yi wuwu wie a, yɛn nipadua no yɛ anifere kɛse wɔ dade a ɛwɔ mu no a wɔsan de yɛ mogya mu nkwammoaa kɔkɔɔ foforo no mu. Yɛn nnompe mu ntini titiriw ne adwuma yi fibea.

Nanso sɛ wowɔ yare a ɛkyɛ te sɛ nea yɛaka ho asɛm wɔ atifi hɔ no a, yɛn nipadua mu nneɛma bi sesa esiane ɔfe a ɛba no nti.

1. Dade no akɔhyɛ:Nkwammoaa titiriw a ɛwɔ yɛn nipadua mu tumi a ɛko tia nyarewa mu a wɔfrɛ no macrophages no sie dade a efi mogya mu nkwammoaa kɔkɔɔ dedaw mu ma wɔsan de di dwuma bio. Ɛte sɛ obi a wagyaw nneɛma bi a wohia wɔ nkuku mu na wahwere safe no. Ɛwom mpo sɛ nipadua no wɔ dade de, nanso nnompe mu ntini no ntumi mfa nyɛ mogya mu nkwammoaa kɔkɔɔ foforo.

2. Mogya mu nkwammoaa kɔkɔɔ a wɔyɛ no so tew: Esiane ɔfe tebea no nti, sɛnea nnompe mu nkwammoaa kɔkɔɔ foforo yɛ no nso betumi so atew kakra.

3. Mogya mu nkwammoaa kɔkɔɔ nkwa nna yɛ tiaa: Ɛtɔ mmere bi a, mogya mu nkwammoaa kɔkɔɔ a wɔayɛ no foforo no nkwa nna tumi nnu nnafua 120.

Sɛ nneɛma yi nyinaa bom a, mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛwɔ yɛn nipadua mu no so tew nkakrankakra, na ɛde mogya a ɛtɔ kɔ nipadua no mu ba.

Dɛn ne sɛnkyerɛnne ahorow no? So wususuw sɛ wowɔ saa tebea yi?

‘Anemia of Chronic Disease’ ho sɛnkyerɛnne no te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim a ɛyɛ daa no ara pɛ. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Ebia afoforo nso behu saa sɛnkyerɛnne ahorow yi wɔ adwennwen bere te sɛ apɔw-mu-teɛteɛ mu nkutoo. Obi a ɔwɔ yare no ho sɛnkyerɛnne betumi anya:

• Ɔbrɛ kɛse a wɔte nka bere nyinaa ne mmerɛwyɛ ho atenka. Ebia wobɛte nka sɛ woabrɛ araa ma wuntumi nyɛ da no mu nnwuma a ɛsɛ sɛ woyɛ no mpo.
• Ɛtɔ mmere bi a wote nka sɛ wo home yɛ den , te sɛ bere a wɔnantew kakra anaa woreforo antweri no.
• Wo honam ani, titiriw w’anim, wo nsateaa, ne w’anofafa te sɛ nea ɛyɛ fitaa.
• Fifiri a ɛba a ntease pɔtee biara nni ho.
• Sɛ wote nka sɛ n’adwene mu yɛ no naa, wo totɔ piti.
• Ti a ɛtaa yɛ no yaw.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom wɔ yare a ɛkyɛ ho a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa eyi ho.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne ne nyarewa foforo biara a ebia wowɔ ho asɛm, na ɔbɛhwehwɛ wo mu. Afei ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii na ama wɔahu mogya a ɛtɔ kɔ wo mogya mu ko a wowɔ ankasa. Mpɛn pii no, mogya mu nhwehwɛmu ahorow yi na ɛma wohu tebea yi.

Wɔ nsɛm titiriw bi mu no, sɛ oduruyɛfo no hia nsɛm foforo a, ebia ɔbɛkamfo akyerɛ nso sɛ wɔnyɛ nnompe mu ntini mu nhwehwɛmu, a nea ɛka ho ne sɛ wɔbɛfa nnompe mu ntini ketewaa bi na wɔasɔ ahwɛ.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ade a ɛho hia na ɛma abotɔyam sen biara wɔ ha ne sɛ, wɔ nsɛm dodow no ara mu no, wobetumi asa mogya a ɛtɔ kɔ mogya mu yi.

Nanso, ɛtɔ mmere bi a, sɛ mogya a ɛtɔ kɔ nipadua no mu no mu yɛ den, anaasɛ tebea horow te sɛ kokoram anaa asaabo mu yare ka ho a, oduruyɛfo no betumi akamfo ayaresa foforo bi akyerɛ.

• Mogya a Wɔde Ma: Mogya a wɔde ma no betumi ayɛ ano aduru bere tiaa mu ama nnipa a wɔn mogya a ɛtɔ kɔ nipadua mu no mu yɛ den araa ma wontumi nnyina ɔhaw no ano. Nanso, eyi nyɛ biribi a wobetumi akɔ so ayɛ.
• Synthetic EPO Therapy: Yɛn asaabo yɛ hormone bi a wɔfrɛ no `(Erythropoietin - EPO)`. Eyi ne nea ɛkyerɛ nnompe mu ntini no sɛ "ɛyɛ mogya mu nkwammoaa kɔkɔɔ foforo". Wɔ nyarewa bi mu no, saa hormone yi a wɔyɛ no so tew. Sɛ ɛba saa a, wɔde saa hormone yi ma wɔ akyi sɛ aduru a wɔde twitwiw nipadua no mu.
• Iron a Wɔde Ma: Ɛtɔ mmere bi a, titiriw wɔ EPO ayaresa mu no, wo duruyɛfo betumi asi gyinae sɛ ɔbɛma wo iron a wɔde ka ho anaasɛ ɔbɛma wo nnuru a wɔde twitwiw nipadua no mu.

Nanso kae eyi! Mfi ase nnom dade aduru mfi nnurutɔnbea da a wunkɔ oduruyɛfo nkyɛn esiane sɛ wususuw sɛ mogya atɔ wo nti. Eyi te saa efisɛ wɔ ‘Anemia of Chronic Disease’ fam no, ebia nipadua no wɔ dade, nanso ɔhaw no ne sɛ wontumi mfa nni dwuma. Bere a ɛte saa no, sɛ wode dade pii ka nipadua no ho a, ebetumi de ɔhaw afoforo aba. Enti, fa ayaresa no sɛnea wo duruyɛfo akyerɛ wo no bere nyinaa.

Dɛn na yebetumi ayɛ de atew asiane no so?

Sɛ wowɔ yare bi a enni sabea a, ebia worentumi nsiw mogya a ɛtɔ kɔ nipadua mu no ano koraa. Nanso, akwahosan pa a wubenya wɔ ne nyinaa mu no betumi aboa ma asiane a ɛwɔ hɔ no so atew na sɛ ɛba a, mogya a ɛtɔ kɔ nipadua mu no so atew. Aduan a ahoɔden wom a wubedi ho hia ma eyi.

• Di protein a ɛnyɛ den te sɛ akokɔ, mpataa, bankye, ne atoko.
• Fa nhabannuru a ɛyɛ ahabammono tuntum ne nhabannuru te sɛ akutu ne kale ka w’aduan ho bere nyinaa.
• Paw paanoo ne aburow a wɔde dade ayɛ.
• Di nnuan a ahoɔdennuru pii wom te sɛ vitamin B12 ne folate.

Nea ɛho hia: Mma w’ankasa nnom vitamin anaa iron a wɔde ma gye sɛ wo duruyɛfo kamfo kyerɛ.

Sɛ wo ne yare a enni sabea te dedaw a, ebetumi ayɛ te sɛ adesoa foforo a wode bedi mogya a ɛtɔ kɔ nipadua mu no ho dwuma. Ɛno yɛ ade a ɛfata. Nanso nea eye sen biara ne sɛ saa tebea yi taa yɛ mmerɛw na ɛyɛ yiye bere a wɔsa tebea a ɛde ba no. Sɛ wosa yare wie a, wo ne wo duruyɛfo nkasa mfa asetra mu nsakrae te sɛ aduan ne apɔw-mu-teɛteɛ a ebetumi aboa ma asiane a ɛwɔ hɔ sɛ tebea yi bɛsan aba no so atew.