So nkwammoaa kɔkɔɔ a ɛwɔ wo mogya mu no nyinaa kɛse gu ahorow? Momma yensua Anisocytosis ho ade!

So woanya wo mogya mu nhwehwɛmu aba pɛn na woahu nsɛmfua bi wɔ so na woayɛ basaa kakra, asusuw sɛ, ‘Dɛn na eyi kyerɛ?’? Ɛtɔ da bi a, ɛyɛ ade a ɛfata sɛ yebesuro kakra bere a yehu asɛmfua bi a yennim no. Asɛmfua a ɛte saa no biako ne ‘Anisocytosis.’ Bere a ebia wubesusuw sɛ ɛyɛ tebea a emu yɛ den no, ɛkyerɛ ankasa sɛ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo mogya mu no kɛse gu ahorow, a ɛkyerɛ sɛ ebi yɛ akɛse na ebi nso sua.

Dɛn ankasa ne ‘Anisocytosis’?

Sɛ yɛbɛka no tiawa a, ‘anisocytosis’ ne aduruyɛ mu asɛmfua a wɔde kyerɛ bere a wo mogya mu nkwammoaa kɔkɔɔ no nyinaa nyɛ pɛ, nanso ɛsono ne kɛse. Ɛtɔ mmere bi a, nsakrae a ɛba wo mogya mu nkwammoaa kɔkɔɔ kɛse mu yi betumi ayɛ akwahosan ho haw bi a ɛda adi ho sɛnkyerɛnne. Ebia bere a wɔayɛ wo mogya mu nhwehwɛmu nkutoo na wubehu tebea yi.

Sɛ yɛbɛte asɛmfua ‘anisocytosis’ asekyerɛ ase wɔ ɔkwan a ɛyɛ mmerɛw so a, momma yɛnkyekyɛ mu, ɛnte saa?

• Aniso kyerɛ sɛ 'ɛnyɛ pɛ' anaasɛ 'ɛnyɛ pɛ'.
• Cytosis yɛ biribi a ɛfa nkwammoaa ho (wɔ eyi mu no, mogya mu nkwammoaa kɔkɔɔ titiriw).

Afei sɛ wɔka abien no bom a, ntease wom sɛ ɛkyerɛ ‘nkwaboaa a ɛnteɛ’, ɛnte saa?

Mpɛn pii no, ɛsɛ sɛ obi a ɔwɔ apɔwmuden mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse ne ne nsusuwii yɛ pɛ (te sɛ disk ketewaa kurukuruwa). Mogya mu nkwammoaa kɔkɔɔ wɔ saa nsusuwii ne ne kɛse pɔtee yi esiane biribi nti. Eyi nti na etumi yɛ n’adwuma titiriw a ɛne sɛ ɛde mframa pa bɛkɔ nkwammoaa a ɛwɔ yɛn nipadua nyinaa mu no mu. Oxygen yi na ɛma yɛn akwaa no nya ahoɔden a ehia na ama ayɛ adwuma.

Enti, sɛ wo mogya mu nkwammoaa kɔkɔɔ no wɔ nsakrae a ɛte sɛɛ wɔ ne kɛse mu (anisocytosis) a, ɛkyerɛ sɛ ebia entumi mfa mframa pa nkɔ yiye. Eyi betumi de tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu aba . Ɛtɔ mmere bi a, mogya mu nkwammoaa kɔkɔɔ no nso betumi ayɛ nea ɛnteɛ wɔ wɔn nsusuwii mu, na wɔfrɛ no ‘poikilocytosis.’

Nsakrae bɛn na ɛba mogya mu nkwammoaa kɔkɔɔ kɛse mu?

Sɛ wowɔ anisocytosis a, ebia wo mogya mu nkwammoaa kɔkɔɔ no bɛyɛ nketewa anaa ayɛ kɛse asen mogya mu nkwammoaa kɔkɔɔ a ɛteɛ.

• Macrocytosis kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no sõ sen sɛnea ɛte daa.
• Microcytosis kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no sua sen sɛnea ɛte daa.

Ɛtɔ da bi a, ebia nkwammoaa akɛse ne nketewa nyinaa afrafra.

Adeɛ a ɛho hia ne sɛ saa nsɛmfua yi (Macrocytosis, Microcytosis) yɛ nkyerɛkyerɛmu nko ara. Anisocytosis betumi ayɛ aduruyɛ mu tebea bi a ɛsɛ sɛ wɔsa ho sɛnkyerɛnne anaasɛ ɛnyɛ saa. Enti sɛ wote saa din yi a, mma wo ho nnyɛ wo hu.

Dɛn ne Anisocytosis ho sɛnkyerɛnne ahorow?

Afei ebia woresusuw ho sɛ, ‘Ɛyɛ, dɛn na ɛba bere a me mogya mu nkwammoaa kɔkɔɔ no kɛse sesa no? Nsɛnkyerɛnne bɛn na mɛhu?’ Mpɛn pii no, tebea yi ho sɛnkyerɛnne te sɛ mogya a ɛtɔ kɔ nipadua mu no. Nea ɛka ho ne:

• Mmerewa anaa ɔbrɛ a wɔte nka bere nyinaa.
• Ɔhome a ɛyɛ den (te sɛ ahomegye) (Dyspnea).
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa (Arrhythmia).
• Ɛtɔ da bi a, wote nnyigyei "ringing" wɔ aso mu (Pulsatile tinnitus).
• Tipaeɛ.
• Adwene a ɛyɛ basaa.
• Wora a ɛyɛ mmerɛw.
• Koko mu yaw.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.

Dɛn ne nneɛma a ɛde Anisocytosis ba?

Anisocytosis taa yɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne. Nneɛma ahorow pii na ɛde mogya a ɛtɔ kɔ nipadua mu ba. Anisocytosis nso betumi afi aduruyɛ mu tebea afoforo a ɛne mogya a ɛtɔ kɔ nipadua mu nni abusuabɔ mu aba.

Mogya a ɛtɔ kɔ nipadua mu ahorow a ebia ɛne anisocytosis wɔ abusuabɔ:

• mogya a ɛtɔ kɔ mogya mu a ɛma nipadua no tumi ko tia nyarewa
• mogya a ɛtɔ kɔ nipadua mu a dade nnim
• Megaloblastic mogya a ɛtɔ kɔ nipadua mu
• Mogya a ɛtɔ mogya a ɛsɛe ade
• Sickle cell mogya a ɛtɔ kɔ nipadua mu
• Sideroblastic mogya a ɛtɔ kɔ nipadua mu

Ɛtaa ba sɛ mogya tu obi bere a wanyinsɛn . Ebia wo mogya mu nhwehwɛmu bɛkyerɛ sɛ anisocytosis. Nea enti a ɛte saa ne sɛ wo nipadua hia dade na ama ayɛ mogya mu nkwammoaa kɔkɔɔ. Wo ne wo ba no nyinaa hia iron pii, enti ɛtɔ mmere bi a ebetumi ayɛ den sɛ wubenya nea ɛdɔɔso afi aduan nkutoo mu. Ebia wo duruyɛfo bɛkamfo aduan anaa dade a wɔde ma wo akyerɛ wo.

Tebea afoforo a ebia ɛne Anisocytosis wɔ abusuabɔ:

• Kokoram a ɛwɔ akyi berɛmo mu
• Koma mu yare
• Spherocytosis a wonya fi awo mu
• Asaabo mu yare
• Mmɛn mu yare
• Myelodysplastic yare a ɛma obi ho yɛ hyew
• Ntini a ɛma mogya tu
• Thyroid yareɛ
• Thalassemia a ɛwɔ nipadua no mu

Bio nso, nea efi mogya mu nhwehwɛmu mu ba betumi akyerɛ sɛ anisocytosis wɔ mogya a wɔde ma akyi . Nnuru bi nso betumi de tebea yi aba .

So Anisocytosis betumi de nsɛnnennen aba?

Sɛ wɔansa tebea a ɛde anisocytosis ba no a, nsɛnnennen bi betumi aba. Sɛ nhwɛso no, mogya a ɛtɔ kɔ nipadua no mu ahorow bi betumi asɛe akwaa ahorow . Sɛ wɔansa mogya a ɛtɔ kɔ mogya mu wɔ mmofra nkumaa mu a, ebia wɔn nyin bɛkyɛ .

Ɛwom sɛ mogya a ɛtɔ kɔ nipadua mu a emu nyɛ den abu so wɔ nyinsɛn mu de, nanso mogya a ɛtɔ kɔ nipadua mu a emu yɛ den betumi de ɔhaw ahorow te sɛ awo a ɛba ntɛm aba sɛ wɔansa a.

Sɛ wo duruyɛfo hu nea ɛde wo mogya mu nkwammoaa kɔkɔɔ kɛse mu nsakrae ba wie a, ɔbɛkyerɛw ayaresa a ɛho hia a ɛbɛma woatumi asiw nsɛnnennen ano.

Ɔkwan bɛn so na wohu sɛ obi anya Anisocytosis?

Nnuruyɛfo betumi de nhwehwɛmu ahorow yi mu biako anaa abien no nyinaa adi dwuma de ahu anisocytosis:

• Mogya dodow a edi mũ (CBC) ne mogya mu nkwammoaa kɔkɔɔ a wɔkyekyɛ no trɛw (RDW):

Mogya dodow a edi mũ (CBC) yɛ mogya mu nhwehwɛmu a wɔyɛ daa a nnuruyɛfo yɛ de hwɛ wo mogya mu nkwammoaa mu. Ɛhwɛ botae soronko bi a wɔfrɛ no RDW botae. Eyi kyerɛ sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse gu ahorow. Mpɛn pii no, ɛsɛ sɛ saa RDW boɔ yi yɛ 12% kɔsi 15% ntam. Biribiara a ɛkorɔn sen saa no kyerɛ sɛ nsakrae kɛse wɔ wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu sen sɛnea ɛte daa.

• Mogya a wɔde hyɛ nipadua no akyi (PBS): .

Wɔ sɔhwɛ yi (PBS) mu no, aduruyɛdan mu mfiridwumayɛfo bi de wo mogya bi petepete ahwehwɛ a wɔde twetwe nneɛma so na ɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ. Eyi ma wotumi hu nsonsonoe a ɛwɔ mogya mu nkwammoaa kɔkɔɔ no kɛse mu pefee na wohu ‘anisocytosis’.

Sɔhwɛ afoforo a wɔbɛyɛ de ahu nea ɛde anisocytosis ba

Ebia wo duruyɛfo bɛyɛ nhwehwɛmu pii de ahu nea ɛde wo mogya mu nkwammoaa kɔkɔɔ dodow resakra ankasa. Obebisa wo wo yare no ho sɛnkyerɛnne, nnuru anaa nnuru a wɔde ka ho a wobɛnom, ne ayaresa tebea biara a ɛwɔ w’abusua mu ho asɛm. Ebia obebisa w’aduan ho asɛm nso.

Ebia wɔbɛhwɛ nneɛma yi mu:

• Vitamin B12 ne folate dodow: Saa aduannuru yi ho hia ma nipadua no na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw.
• Iron dodow: Iron nso ho hia na ama wɔanya mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw.
• Ferritin dodow: Ferritin yɛ protein a ɛkora dade so.
• Mmɛn dwumadi: Mmɛn no twetwe aduannuru a ehia na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw.

Sɛ ɛho hia a, oduruyɛfo no nso betumi ayɛ nhwehwɛmu foforo.

Ɔkwan bɛn so na wɔsa Anisocytosis?

Sɛnea wɔbɛsa eyi no gyina nea ɛde nsakrae a ɛba mogya mu nkwammoaa kɔkɔɔ kɛse mu no so. Ayaresa a wobetumi apaw bi ne :

• Sɛ nea ɛde ba ne aduannuru a enni nipadua mu a, susuw ho sɛ wobɛma vitamin B12 ne folate nnuru .
• Mogya a wɔde ma wɔ awo mu tebea horow bi te sɛ sickle cell yare ho.
• Sɛ ɔhaw bi wɔ mogya mu nkwammoaa kɔkɔɔ a wɔyɛ mu a, .Nnompe mu ntini a wɔde si ananmu. Wɔyɛ yɛn mogya mu nkwammoaa kɔkɔɔ no wɔ nnompe mu. Ebia saa ayaresa yi ho behia sɛ wowɔ anisocytosis esiane tebea horow te sɛ myelodysplastic syndromes anaa kokoram ahorow bi nti a.

Dɛn ne tebea a ɛne ‘Anisocytosis’ no ho anidaso?

Mpɛn pii no, wobetumi de ayaresa asa nea ɛde anisocytosis ba no anaasɛ wɔadi so. Nanso, tebea horow bi te sɛ kokoram, ne tebea horow a ɛtra hɔ kyɛ te sɛ sickle cell yare no hwehwɛ sɛ wɔkɔ so sa yare na wɔde ahwɛyiye di akyi .

Nhwehwɛmu ahorow bi ada no adi sɛ ebia anisocytosis yɛ ade a edi nyarewa ahorow bi a emu yɛ den anim. Nyarewa a ebia anisocytosis bɛma ayɛ kɛse no bi ne:

• Covid-19 (COVID-19) a ɛwɔ hɔ no.
• Koma mu yare
• Asaabo mu yare
• Mmɛn mu yare
• Nnwodwoɔ

Nhwehwɛmu pii ho hia na ama wɔate abusuabɔ a ɛda mogya mu nkwammoaa kɔkɔɔ dodow a ɛnteɛ yi ne sɛnea yare no mu yɛ den ntam no ase pɛpɛɛpɛ.

So wobetumi asiw Anisocytosis ano?

Yɛrentumi nsiw biribiara a ɛde eyi ba no ano.

Nanso, sɛ wunya aduannuru a ɛfata wɔ w’aduan mu a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya tebea horow a ɛbata anisocytosis ho no bi so, titiriw:

• Vitamin B12: Wohu wɔ nufusu ne nam bi mu. Aburow bi nso wɔ vitamin B12 a wɔde ka ho.
• Folate: Wohu wɔ nnuaba, nhabannuru, nnuaba, ne atoko bi mu. Wɔde folate nso ka aburow bi ho.
• Dade: Wohu wɔ nam, bankye, ne nhabannuru bi mu. Abodoo ne aburow bi nso wɔ dade a wɔde ka ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne te sɛ ɔbrɛ a wobɛte nka bere nyinaa, sɛ wo ho yɛ den wɔ ahome mu, anaasɛ wo honam ani yɛ fitaa a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei nso, ntwa wo mogya mu nhwehwɛmu a woyɛ no afe biara no so, efisɛ ebetumi aboa ma woahu akwahosan ho haw biara a ahintaw ntɛm.

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Mma wo ho nnyɛ wo hu bere a wote asɛmfua ‘anisocytosis’ no. Ɛnyɛ yare a ɛyɛ aniberesɛm a wɔde hu yare. Nea ɛkyerɛ ara ne sɛ wo mogya mu nkwammoaa kɔkɔɔ no kɛse gu ahorow. Nneɛma pii betumi ama wo mogya mu nkwammoaa kɔkɔɔ kɛse betumi ayɛ soronko. Wo ne wo duruyɛfo nyɛ adwuma na hu nea ɛde ba. Sɛ ‘anisocytosis’ yɛ aduruyɛ tebea bi ho sɛnkyerɛnne a, wo duruyɛfo bɛkamfo ayaresa ahorow a ebetumi aboa wo akyerɛ wo. Nea ɛho hia sen biara ne sɛ woremmɔ hu na wudi wo duruyɛfo akwankyerɛ akyi.

` Anisocytosis, Mogya mu Nkwammoaa Kɔkɔɔ, Mogya a Wɔyare, Mogya mu Nhwehwɛmu, RDW, Anisocytosis, Nsɛnkyerɛnne