So wo nipadua sɛe w’ankasa wo mogya mu nkwammoaa kɔkɔɔ? Nea ɛsɛ sɛ wuhu fa Autoimmune Hemolytic Anemia (AIHA) ho ni!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ na woayɛ mmerɛw a ntease biara nnim? Ebia wo honam ani ayɛ fitaa anaa kɔkɔɔ kakra. Ɛtɔ mmere bi a wuntumi nhu nea enti a eyi rekɔ so, ɛnte saa? Ade biako nti a saa sɛnkyerɛnne ahorow yi bɛba ne wo nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa, asraafo a wɔbɔ wo ho ban fi nyarewa ho, a wɔtow hyɛ w’ankasa mogya mu nkwammoaa kɔkɔɔ so. Ɛno ne nea yɛfrɛ no `Autoimmune Hemolytic Anemia` (AIHA) wɔ nnuruyɛ mu. Sɛ yɛbɛka no tiawa a, wo nipadua no ahobammɔ nhyehyɛe no di mfomso sɛ w'ankasa mogya mu nkwammoaa kɔkɔɔ no yɛ "ɔtamfo" na ɛsɛe wɔn. Ɛwom sɛ eyi yɛ aniberesɛm kakra de, nanso wobetumi adi ho dwuma yiye denam ayaresa a ɛfata so . Nanso, sɛ wɔansa a, ebetumi de ne nkwa ato asiane mu. Enti, ɛho hia paa sɛ wuhu eyi na wohwehwɛ aduruyɛ mu afotu ntɛm ara sɛnea wubetumi. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne `Autoimmune Hemolytic Anemia` (AIHA)?

Sɛ yɛbɛka no tiawa a, `Autoimmune Hemolytic Anemia` (AIHA) yɛ tebea a wo nipadua mu ahoɔden a ɛko tia nyarewa no di mfomso hu w'ankasa mogya mu nkwammoaa kɔkɔɔ sɛ "ahɔho," a ɛkyerɛ biribi a epira nipadua no. Ne saa nti, wo nipadua no yɛ nnuru a ɛko tia nyarewa a ɛsɛe mogya mu nkwammoaa kɔkɔɔ no. Saa nnuru a ɛko tia nyarewa yi bata nkwammoaa kɔkɔɔ no ho na ɛsɛe wɔn. Dɛn na ɛba saa bere no? Mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ wo nipadua mu no so tew. Ɛno ne nea yɛfrɛ no "anemia."

Fa no sɛ, nea ɛrekɔ so wɔ ha no te sɛ asraafo a wɔbɔ yɛn man ho ban, na wodi mfomso tow hyɛ yɛn ankasa manfo so. Eyi yɛ nea ɛyɛ den kakra ankasa, nanso ɛnyɛ den sɛ yɛbɛte ase.

Nsonsonoe bɛn na ɛda AIHA a edi kan ne nea ɛto so abien ntam?

AIHA ahorow atitiriw abien na ɛwɔ hɔ a egyina sɛnea ɛba so.

• AIHA Titiriw: Ɛtɔ mmere bi a, AIHA betumi aba a aduruyɛ mu tebea biara a ɛda adi pefee biara nni mu. Eyi kyerɛ sɛ nnuruyɛfo ntumi nhu nea enti a ɛbaa mpofirim. Wɔfrɛ eyi AIHA titiriw.
• AIHA a ɛto so abien: AIHA foforo ne bere a tebea foforo na ɛde AIHA ba. Sɛ nhwɛso no, ebetumi afi ɔyare mmoawa bi, nyarewa a nipadua no tumi ko tia nyarewa (a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ n’ankasa ntini so), nnuru bi, anaa mogya mu kokoram a ɛda adi te sɛ lymphoma.

Dɛn ne AIHA ahorow atitiriw?

AIHA ahorow atitiriw abien na ɛwɔ hɔ. Wɔn ne ``Warm autoimmune hemolytic anemia`` ne ``Awɔw a ɛma mogya tu a ɛma nipadua no tumi ko tia nyarewa`` . Wɔkyekyɛ eyinom mu sɛnea nnuru a ɛko tia nyarewa a ɛka yare no ho te. Ɛne sɛ, wonya din no fii ɔhyew a nipadua mu nkwammoaa a ɛko tia nyarewa a ɛtow hyɛ mogya mu nkwammoaa kɔkɔɔ no so no yɛ adwuma wɔ hɔ no mu.

mogya a ɛtɔ kɔ mogya mu a ɛma nipadua no tumi ko tia nyarewa a ɛyɛ hyew

Eyi ne AIHA a wɔtaa de di dwuma. Ɛha yi, antibodies a ɛte sɛ `IgG` kyekyere mogya mu nkwammoaa kɔkɔɔ. Ade titiriw ne sɛ saa antibodies yi yɛ adwuma wɔ yɛn nipadua no hyew a ɛfata mu (i.e., wɔ tebea a "ɛyɛ hyew" mu). Mpɛn pii no, sɛnkyerɛnne ahorow no fi ase da adi nkakrankakra, wɔ adapɛn kakraa bi mu. Nanso, wɔ nsɛm bi mu no, yare no ho sɛnkyerɛnne betumi ayɛ kɛse wɔ nna kakraa bi mpo mu.

Atiridiinini a nipadua no tumi ko tia mogya a ɛma mogya tu

Wohu saa ɔkwan yi wɔ AIHA ayarefo 10% kosi 20% pɛ mu. Ɛfa autoantibody bi a wɔfrɛ no `IgM` ho. Saa autoantibodies yi kyekyere mogya mu nkwammoaa kɔkɔɔ bere a wo mogya no wɔ ɔhyew a ɛba fam sen wo nipadua no mu hyew titiriw, a wɔfrɛ no ``awɔw''. Saa ``awɔw'' hyew yi betumi ayɛ soronko wɔ onipa biara ho. Eyi kyerɛ sɛ wɔ nnipa binom fam no, ebia saa nnuru a ɛko tia nyarewa yi bɛyɛ adwuma bere a wɔn ho ayɛ nwini kakra no, bere a wɔ afoforo fam no, ebia ebehia sɛ wɔyɛ nwini kɛse.

Hena na AIHA tebea yi ka no kɛse?

AIHA betumi anya nkɔso wɔ obiara mu, ɛmfa ho mfe a wadi anaa ɔbarima anaa ɔbea. Nanso, tebea no taa ba mmea a wɔadi boro mfe 40 so .

Ɛmfa ho sɛnea abu so no, AIHA yɛ tebea a ɛntaa nsi koraa . Ɛka nnipa bɛyɛ biako anaa baanu wɔ mpem ɔha biara mu afe biara.

Dɛn ne AIHA ho sɛnkyerɛnne ahorow?

AIHA betumi de yare no ho sɛnkyerɛnne ahorow aba. Ebinom abu so yiye, bere a afoforo nso gu ahorow gyina AIHA ko a wowɔ so.

Nsɛnkyerɛnne a ɛtaa ba no bi ni:

• Huraeɛ
• Ɔbrɛ a ɛtra so (ɔbrɛ dodo sɛ wobɛyɛ biribiara yiye) .
• Mrɛyɛ
• Koma a ɛbɔ denneennen
• Ɔhome a ɛyɛ den (sɛ wobɔ mmɔden kakra mpo a) .
• Wora a ɛyɛ mmerɛw (te sɛ bere a wo mogya so atew) .
• Jaundice (honam ani ne aniwa a ɛyɛ kɔkɔɔ) .
• Tiyɛ (tiyɛ) .
• Ntini mu yaw
• Nsu a ɛyɛ tumm (te sɛ tii nsu) .
• Ɔfe ne akisikuru
• Ahome a ɛyɛ tiaa
• Ayamtuo
• Tɛkrɛma a wɔapirapira
• Palpitations (te nka sɛ wo koma rebɔ araa ma wubetumi ate) .

Kae sɛ, sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien a, ɛnkyerɛ sɛ wowɔ AIHA. Nanso sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Nsɛnkyerɛnne no betumi ayɛ soronko, titiriw a egyina AIHA ko a ɛwɔ so no so:

Wɔtaa hu AIHA a ɛyɛ hyew wɔ:

• Ɔbrɛ
• Adwene a ɛyɛ basaa
• Jaundice (honam ani a ɛyɛ kɔkɔɔ) .
• Koma a ɛrebɔ no a wobɛte nka

AIHA a ɛyɛ nwini betumi de sɛnkyerɛnne ahorow te sɛ:

• Ɔbrɛ
• Adwene a ɛyɛ basaa
• Nsa ne anan a ɛyɛ nwini (a ɛyɛ nwini sen afoforo) .
• Jaundice a ɛyɛ mmerɛw
• Koko mu yaw
• Ɛyaw a ɛba anan akyi
• Raynaud yare (tebea a ɛma nsateaa ne nansoaa dan fitaa/blue na ɛyɛ mmerɛw bere a awɔw wom) .
• Nsa ne anan kɔla a ɛsakra bruu
• Koma a ɛbɔ a ɛnteɛ `(Arrhythmia)`
• Koma mu nwiinwii a wobɛte
• Koma a entumi nyɛ adwuma yiye (eyi ba wɔ tebea horow a emu yɛ den mu) .

Dɛn ne nneɛma a ɛde AIHA ba?

Wɔ ayarefo a wɔwɔ AIHA nyinaa mu bɛyɛ fã (bɛyɛ 50%) mu no, wontumi nhu nea ɛde ba ankasa . Yɛfrɛ eyi ``idiopathic autoimmune hemolytic anemia.'' Ɛno kyerɛ sɛ "biribiara nnim sɛ ɛde ba."

Wɔ fã foforo no mu no, AIHA ne aduruyɛ mu tebea afoforo wɔ abusuabɔ.

Ayaresa mu tebea afoforo a ebetumi de AIHA aba no bi ne:

Nyarewa pii wɔ hɔ a nipadua no tumi ko tia nyarewa a ebetumi de AIHA a ɛto so abien aba. Ɛne sɛ, nyarewa afoforo a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ nipadua no ankasa nkwammoaa a ɛte apɔw so.

• Lupus : Eyi yɛ yare a ebetumi aka akwaa ahorow te sɛ honam ani, nkwaa, asaabo, ne amemene.
• Rheumatoid arthritis : Tebea a ɛka nkwaa titiriw, na ɛde ɛyaw ne ɔfe ba.
• Sjogren yare : Aniwa ne ano a ɛyɛ mmerɛw ne sɛnkyerɛnne atitiriw.
• Thyroid yare : Thyroid hormone a ɛnkari pɛ.
• Ulcerative colitis : Ɔfe ne akuru a ɛba akyi berɛmo mu.
• Hashimoto yare : Tebea a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ thyroid ntini no so.

Ɛtɔ mmere bi a, AIHA nso betumi afi ɔyare mmoawa bi mu aba . Nanso, mogya a ɛtɔ kɔ nipadua mu yi taa tu mpɔn bere a ɔyare mmoawa no afi hɔ no. Mmoawa bi a ebia ɛne AIHA wɔ abusuabɔ no bi ne:

• Epstein-Barr mmoawa (yare mmoawa a ɛde mononucleosis ba) .
• Akisikuru
• Mumps a ɛma obi ho yɛ hyew
• Rubella na ɔkyerɛwee
• Ahurututu mu yare a ɛnyɛ nea wɔtaa yɛ
• Varicella virus, a ɛde akokɔsrade ba
• `HIV`
• Hepatitis (mmoawa a ɛka mmerɛbo no pɔtee) .
• Cytomegalovirus `(Nkwammoaa mu mmoawa)`

Nnuru bi nso betumi ama wɔanya AIHA. Sɛ wosusuw sɛ aduru bi a worenom na ɛde tebea no ba a, ebia wo duruyɛfo no agyae aduru no.

• Nnuru a ekum ɔyare mmoawa (titiriw penicillin) .
• Nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa (NSAIDs) (e.g. ibuprofen) .
• Nnuru a wɔde ko tia kokoram

Ɔkwan bɛn so na wohu AIHA?

Sɛ wo duruyɛfo susuw sɛ wowɔ mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne bi a, obedi kan ahyɛ sɛ wɔnkan mogya a edi mũ (CBC) . Eyi betumi ahu mogya a ɛtɔ kɔ nipadua mu ho kɔkɔbɔ sɛnkyerɛnne ahorow. Ne titiriw no, sɔhwɛ yi susuw sɛ:

• Mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa dodow ahe na ɛwɔ wo mogya mu.
• Wo mogya mu nkwammoaa kɔkɔɔ no kɛse (kɛse, nketewa, sɛnea ɛte daa).
• Hemoglobin level - Eyi ne protein a ɛwɔ wo mogya mu a ɛde oxygen kɔ wo nipadua nyinaa mu.
• Hematocrit bo (akwan dodow a wo mogya mu nkwammoaa kɔkɔɔ no gye wɔ wo mogya mu).

Nhwehwɛmu afoforo a ebetumi aboa ma wɔahu AIHA

Sɛ wo duruyɛfo susuw sɛ mogya a ɛtɔ kɔ nipadua no mu a, ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu kakraa bi bio. Saa nhwehwɛmu ahorow yi betumi aboa ma wɔahu sɛ ebia AIHA na ɛde mogya a ɛtɔ kɔ nipadua no mu no ba anaasɛ biribi foforo a ɛde ba.

• Peripheral smear: Nea ɛka eyi ho ne sɛ wobɛfa wo mogya bi na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Eyi betumi ahwehwɛ nneɛma te sɛ sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ no asɛe anaasɛ ne nsusuwii asesa.
• Reticulocyte dodow: Saa nhwehwɛmu yi kyerɛ mogya mu nkwammoaa kɔkɔɔ nketewa (a wɔayɛ no foforo) dodow a ɛwɔ wo nipadua mu. Kae sɛ, sɛ mogya mu nkwammoaa kɔkɔɔ sɛe a, nnompe mu ntini no fi ase yɛ mogya mu nkwammoaa kɔkɔɔ pii de si ananmu. Eyi ma reticulocyte dodow kɔ soro.
• Bilirubin nhwehwɛmu: Sɛ mogya mu nkwammoaa kɔkɔɔ sɛe a, ade bi a wɔfrɛ no bilirubin na ɛba. Sɛ eyi kɔ soro a, jaundice (honam ani yɛ kɔkɔɔ) ba. Enti, sɛ bilirubin dodow a ɛwɔ mogya no mu dɔɔso a, ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ no resɛe.
• Coombs sɔhwɛ: Eyi yɛ sɔhwɛ a ɛho hia yiye wɔ AIHA a wobehu mu. Ɛhwɛ sɛ wo nipadua no reyɛ nnuru a ɛko tia mogya mu nkwammoaa kɔkɔɔ anaa.
• Haptoglobin nhwehwɛmu: Haptoglobin yɛ protein a eyi nneɛma fĩ fi mogya mu nkwammoaa kɔkɔɔ a asɛe mu. Sɛ mogya mu nkwammoaa kɔkɔɔ pii sɛe a, nipadua no de saa haptoglobin yi pii di dwuma. Eyi ma haptoglobin dodow a ɛwɔ mogya no mu no so tew.
• Lactate dehydrogenase (LDH): LDH yɛ enzyme bi a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. Sɛ mogya mu nkwammoaa kɔkɔɔ sɛe a, saa LDH enzyme yi fi mogya no mu. Eyi ma LDH dodow kɔ soro.
• Cold agglutinin titer: Sɛ wo duruyɛfo susuw sɛ awɔw AIHA a, obetumi ahyɛ sɛ saa nhwehwɛmu yi. Eyi kyerɛ sɛnea nipadua mu nkwammoaa a ɛko tia nyarewa a ɛtow hyɛ mogya mu nkwammoaa kɔkɔɔ so wɔ awɔw bere mu no dodow.

Ɔkwan bɛn so na wɔsa AIHA yare?

Sɛ wɔresa AIHA a, mpɛn pii no, ade a edi kan ne sɛ wobehu sɛ ebia biribi a ɛde ba a wobetumi asa anaa. Sɛ nhwɛso no, sɛ wo AIHA no ne lupus wɔ abusuabɔ a, ɛda adi sɛ wo duruyɛfo no bedi kan asa lupus no. Sɛ nea ɛde AIHA ba ne tebea bi te sɛ lymphoma a, ɛho hia sɛ wɔsa saa tebea no. Sɛ aduru bi na ɛde wo AIHA reba a, ebia ebehia sɛ wugyae saa aduru no nom.

Nanso, wɔ nnipa binom fam no, AIHA yɛ nea emu nyɛ den koraa.. Ɛno kyerɛ sɛ yare no ho sɛnkyerɛnne no mu nyɛ den saa. Saa bere no, ebia ayaresa biara ho nhia.

Nnuru a wɔde di dwuma

• Corticosteroids: Mpɛn pii no, eyinom ne ayaresa a edi kan a wɔde sa AIHA. Saa nnuru yi yɛ adwuma denam wo nipadua no tumi a ɛko tia nyarewa a esiw ano, na afei ɛtew ɔsɛe a ɛde ba wo mogya mu nkwammoaa kɔkɔɔ no so no so.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: Sɛ corticosteroids nkutoo nnɔɔso sɛ ɛbɛsi yare no ano a, ebia wo duruyɛfo bɛkyerɛw nnuru ahorow yi ama wo. Eyinom yɛ adwuma denam nipadua no mu tumi a ɛko tia nyarewa a ɛmma ɛntow nhyɛ nnompe mu ntini no so no so.

Splenectomy (oprehyɛn a wɔyɛ de yi akyi berɛmo) .

Sɛ wontumi mfa nnuru nkutoo nsiw AIHA so a, ebia ebehia sɛ wɔyɛ wo oprehyɛn yi w’akyi berɛmo. Akisikuru yɛ akwaa bi a ɛwɔ yɛn nipadua mu a ɛyi mogya mu nkwammoaa kɔkɔɔ a ɛnyɛ ne kwan so te sɛ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ nipadua mu nkwammoaa a ɛko tia nyarewa a ɛbata ho no. Nkwammoaa a ɛma nipadua no mu nkwammoaa a ɛko tia nyarewa nso wɔ akyi berɛmo no mu. Enti sɛ woyi akyi berɛmo no fi hɔ a, ebetumi atew mogya mu nkwammoaa kɔkɔɔ a wɔsɛe no so na ama mogya a ɛtɔ kɔ nipadua mu no so atew.

Mogya a wɔde ma

Wɔ AIHA a emu yɛ den mu no, ebia ayarefo no behia mogya a wɔde ma, a ɛyɛ mogya a wɔde fi abɔnten. Eyi betumi ama mogya mu nkwammoaa kɔkɔɔ dodow akɔ soro ntɛmntɛm na aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so.

So ɛsono ayaresa a wɔde ma AIHA a ‘ɛyɛ hyew’ ne nea ‘ɛyɛ nwini’?

Yiw, ɔkwan a wɔfa so sa ‘AIHA a ɛyɛ nwini’ titiriw no yɛ soronko wɔ ‘AIHA a ɛyɛ hyew’ ho.

Wɔtaa de corticosteroids anaa nnuru a ɛma nipadua no tumi ko tia nyarewa di dwuma ma ‘AIHA a ɛyɛ hyew’. Sɛ ɛno antumi anyɛ yiye a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi akyi berɛmo no. Wɔ mogya a ɛtɔ kɔ nipadua mu a emu yɛ den mu no, wobu mogya a wɔde ma nso sɛ aduru a ɛboa bere a wɔresa yare no.

Nanso, ‘AIHA a ɛyɛ nwini’ ntumi nyɛ adwuma yiye wɔ corticosteroids anaasɛ splenectomy ho. Sɛ ‘AIHA a ɛyɛ nwini’ no nyɛ den a, wobetumi adi yare no so denam nipadua no a wɔbɛma ayɛ hyew (e.g., nsa/nan a wɔde yɛ hyew a wɔde bedi dwuma, nsateaa a wɔde hyɛ, sɔks, ne ebia akwantu a wɔbɛkɔ baabi a ɛhɔ yɛ hyew). Sɛ ɛho hia sɛ wɔde sa yareɛ a, aduru `Rituximab` (ɛtɔ da bi a ɛne nnuru foforɔ a ɛmma nipadua no tumi ko tia nyarewa) ne ayaresa a ɛdi kan.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya AIHA no so?

Wontumi nsiw Autoimmune Hemolytic Anemia ano bere nyinaa. Ɛtɔ mmere bi a, ɛba a ntease biara nnim. Nanso, sɛ wowɔ ɔyare mmoawa bi anaasɛ worenom aduru bi a wonim sɛ ɛne AIHA wɔ abusuabɔ a, wo duruyɛfo betumi ahwɛ wo tebea no so na waboa ma asiane a ɛwɔ hɔ sɛ wubenya yare no so atew.

So AIHA yɛ tebea a emu yɛ den?

Ɛtɔ mmere bi a, Autoimmune Hemolytic Anemia nyɛ den araa ma ebia wunhia ayaresa biara. Nanso, ɛtɔ mmere bi a, ebetumi ayɛ den araa ma ebia ebehia sɛ wɔyɛ wo oprehyɛn anaa wɔma wo mogya. Sɛ wohu sɛ wowɔ AIHA a, wo duruyɛfo betumi ne wo akasa afa sɛnea wo tebea no mu yɛ den ne ayaresa a wubetumi apaw ho.

Nea ɛho hia sen biara no, sɛ wɔansa AIHA a, ebetumi akum obi, na ɛno nti na nnuruyɛfo a wɔde wɔn ho bɛhyɛ mu ntɛm ho hia kɛse no.

So wobetumi asa AIHA yare?

Aane. Nnipa dodow no ara a wɔwɔ AIHA no nhia ayaresa pii anaasɛ wonhia ayaresa biara. Ayarefo 20% kosi 30% hia nnuru, oprehyɛn, anaa mogya a wɔde ma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wufi ase nya mogya a ɛtɔ wo ho sɛnkyerɛnne – te sɛ ɔbrɛ kɛse, mmerɛwyɛ, jaundice (honam ani yɛ kɔkɔɔ), anaasɛ ɛyɛ den sɛ wobɛhome a – kɔ oduruyɛfo nkyɛn ntɛm ara . Sɛ wuhu yare no ntɛm na wosa wo yare a, wubetumi ho atɔ wo ntɛmntɛm na woasan akɔ w’asetra a ɛfata mu.

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

Autoimmune Hemolytic Anemia (AIHA) yɛ tebea a w’ankasa nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ wo mogya mu nkwammoaa kɔkɔɔ so, na ɛde mogya a ɛtɔ kɔ nipadua no mu ba.

• Nsɛnkyerɛnne no betumi ayɛ nea emu nyɛ den anaasɛ emu yɛ den. Ɔbrɛ, honam ani hwɛbea, jaundice, ne ahome a ɛyɛ den ne nea ɛde ba titiriw.
• Nneɛma a ɛde ba no gu ahorow. Ɛtɔ da bi a wontumi nhu nea ɛde ba biara (titiriw), ɛtɔ da bi a ebetumi afi nyarewa afoforo, ɔyare mmoawa, anaa nnuru (a ɛto so abien) mu aba.
• Ayaresa ahorow pii wɔ hɔ a wobetumi apaw. Eyinom bi ne nnuru, akisikuru a woyi fi nipadua no mu, ne mogya a wɔde ma. Ayaresa ahorow no gu ahorow gyina ‘ɔhyew’ ne ‘awɔw’ su so.
• Ɛwom sɛ AIHA yɛ yare a wotumi di ho dwuma yiye de, nanso sɛ wɔansa a, ebetumi ayɛ nea emu yɛ den, na ɛde nkwa mpo ato asiane mu .

Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mma wo ho nnpopo na ntwentwɛn wo nan ase, na mmom hwehwɛ aduruyɛ mu afotu. Wo duruyɛfo betumi ayɛ nhwehwɛmu a ɛho hia, ahu wo tebea no pɛpɛɛpɛ, na wakyerɛw ayaresa a ɛfata sen biara ama wo. Afei wubetumi ho atɔ wo ntɛm na woatoa wo da biara da dwumadi ahorow so!

` autoimmune hemolytic anemia, AIHA, mogya a ɛtɔ kɔ nipadua mu, mogya mu nkwammoaa kɔkɔɔ, nipadua mu nkwammoaa a ɛko tia nyarewa, nipadua mu ahoɔden a ɛko tia nyarewa, jaundice, ɔbrɛ