So ɛtɔ mmere bi a wunya akuru ne nsensanee bruu wɔ wo honam ani? (Bleeding Into the Skin) Momma yɛnka eyi ho asɛm!

So woahyɛ no nsow pɛn sɛ wo honam ani yɛ bruu mpofirim, anaasɛ ɛwɔ nsensanee kɔkɔɔ nketenkete? Ɛtɔ da bi a, eyi betumi asi a woremfa wo nsa nka biribiara mpo. Eyi ne nea yɛfrɛ no Mogya a Ɛkɔ Wora Mu kɛkɛ . Ebia eyi bɛyɛ te sɛ asɛm kɛse, nanso mma ɛnhaw wo, mpɛn pii no ɛnyɛ aniberesɛm saa. Momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Dɛn ne mogya a ɛretu akɔ honam ani yi?

Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya ntini ketewaa bi, anaa mogya ntini , a ɛwɔ wo honam ani ase pae. Afei mogya bi fi saa ntini no mu kɔ ntini a atwa ho ahyia no mu. Fa no sɛ nsu paipu a ɛretu bere a ɛtow kakra no. Sɛ mogya tu fi mu saa kwan yi so a, yehu sɛ honam ani kɔla sesa, na ɛno ne akuru anaa bruu. Mpɛn pii no, akuru a ɛte sɛɛ no ​​ankasa sa wɔ nna anaa adapɛn kakraa bi mu.

So mogya ahorow ahorow bi wɔ honam ani?

Yiw, eyi betumi asi wɔ ɔkwan bi so anaa ɔkwan foforo so. Ebia woate saa din ahorow yi pɛn.

• Akuru: Eyi ne akuru a abu so sen biara a yɛn nyinaa nim. Mpɛn pii no, ɛba bere a obi bɔ biribi anaa wapira no. Wobetumi ayɛ kɔkɔɔ, bruu, tuntum, anaa kɔkɔɔ. Bere kɔ so no, kɔla yi sesa na wɔsa.

Afei ma yɛnhwɛ nea ɛyɛ ahorow pɔtee no:

• Petechiae: Eyinom sua koraa. Fa no sɛ nsensanee kɔkɔɔ a ne kɛse te sɛ pɛnsere ano. Wɔde ba bere a mogya ntini nketenkete kakraa bi paapae no. Wɔn sua sen milimita 2 (mm). Sɛ yɛbɛka no pɛpɛɛpɛ a, bɛyɛ wo krayon no ano trɛw.

• Purpura: Eyi ne bere a mogya ntini kakraa bi a ɛsõ kakra sen petechiae no pae. Wɔda adi sɛ nsensanee a ɛyɛ kɔkɔɔ-akuturuku. Saa nsensanee yi kɛse betumi ayɛ bɛyɛ milimita 4 kosi bɛyɛ nsateakwaa biako (ɛno kɛse bɛyɛ sɛ pɛnsere a wɔde popa nneɛma kosi bɛyɛ sɛ sika a ɛyɛ rupee anum).

• Ecchymosis: Eyi ne bere a mogya ntini pii a ɛbɛn ho yiye no pae prɛko pɛ. Eyi ma mogya boaboa ano wɔ honam ani, na ɛte sɛ akuru. Nanso, ɛnyɛ bere nyinaa na opira bi na ɛde eyi ba.

• Hematoma: Eyi yɛ mogya ntini ketewaa bi a ɛpae. Afei mogya no boaboa ano na ɛtɔ mmere bi a ebetumi ayɛ te sɛ akisikuru ketewaa bi. Hematomas dodow no ara nyɛ aniberesɛm. Nanso, sɛ ɛba akwaa akɛse te sɛ amemene, koko, anaa nipadua mu ntokuru mu a, ebetumi ayɛ aniberesɛm na ɛde nkwa mpo ato asiane mu.

Hena na ɛda adi sɛ mogya bɛtɔ ne honam ani?

Nokwarem no, obiara betumi anya akuru. Nanso ɛda adi sɛ nnipa binom benya saa tebea yi. Hwɛ nnipa ko a wɔyɛ:

• Nnipa a wɔadi boro mfe 65: Bere a worenyin no, wo honam ani yɛ mmerɛw na wo mogya ntini nso yɛ mmerɛw, enti ɛnyɛ den sɛ wubetumi apirapira.
• Nnipa a wɔnom nnuru a ɛma mogya yɛ mmerɛw (ankoagulants): .Saa aduru yi ma mogya a ɛtwetwe no so tew, enti kuru ketewaa bi mpo betumi ama mogya atɔ no akɔ soro.
• Nnipa a wɔnom nnuru a ɛma mogya tu te sɛ vitamin E.
• Nnipa a wɔn honam ani yɛ hare: Nokwarem no, wotumi hu akuru kɛse wɔ honam ani hwɛbea a ɛyɛ hare so.
• Nnipa a wɔbɔ agumadi ahorow bi a wɔde di nkitaho: Bere a wɔredi agumadi te sɛ rugby ne akuturukubɔ no, akuru betumi aba esiane abon ne ahwease nti.

Afei nso, aduruyɛ mu tebea horow bi a ɛda adi no betumi ama obi apirapira anaasɛ mogya atu no ntɛm. Nhwɛsoɔ:

• Hemophilia a ɛma mogya tu
• Leukemia (mogya mu kokoram) .
• Mmɛn mu yare
• Lupus a ɛyɛ hu
• Marfan yare a ɛma obi nya ɔyare no
• Meningitis a ɛma obi ho yɛ hyew
• Sɛ nhwɛso no, mogya mu nkwammoaa a ɛma mogya tu mu nyarewa, thrombocytopenia (mogya mu mogya mu nkwammoaa a ɛba fam) .
• Vitamin K a enni nipadua mu

Nsonsonoe bɛn na ɛda mogya a ɛtɔ kɔ honam ani ne honam ani kɔkɔɔ ntam?

Eyi yɛ asɛmmisa pa. Sɛ mogya tu wo honam ani mpo a, ebetumi ayɛ te sɛ nea ɛyɛ kɔkɔɔ wɔ honam ani. Nanso nsonsonoe titiriw bi wɔ hɔ . Sɛ wode wo nsateaa mia baabi a mogya retu wo wɔ honam ani no a, beae no renyɛ fitaa (blanch). Ɛno kyerɛ sɛ nsensanee no bɛkɔ so ayɛ kɔla koro no ara.

Nanso, sɛ wowɔ honam ani akisikuru te sɛ erythema a, sɛ womia saa beae no a, ɛbɛyɛ bruu kakra. So wote ase?

Dɛn na ɛma mogya tu kɔ honam ani?

Mpɛn pii no, opira na ɛde ba titiriw. Sɛ wobɔ biribi, wohwe ase, anaasɛ wɔbɔ wo bere a woredi agumadi (pa kyɛw, "hit" anaa "collude" bɛyɛ Sinhala kasa a eye), wubetumi anya akuru te sɛ eyi. Yɛn nyinaa anya osuahu ahorow a ɛte sɛɛ. Wokae bere a wunyaa nkotodwe bruu a woredi agoru bere a na woyɛ abofra no?

Ntease afoforo nso wɔ hɔ:

• Ahoɔden a ɛba bere a wosu, ɔfefe, anaa ɔfe denneennen: Saa bere yi mu no, nhyɛso a ɛwɔ nipadua no mu no kɔ soro, na mogya ntini nketenkete a ɛwɔ honam ani no tumi pae. Ebia woahu nkokoaa bi a wosu denneennen na wonya nsensanee kɔkɔɔ nketenkete wɔ wɔn anim.
• Ebetumi nso afi nhyɛso a efi poma a wode bedi dwuma anaasɛ nea wɔde abɔ wo nan so no mu aba .
• Mpaboa, ntade, anaa ahwehwɛ a ɛmfata a wɔhyɛ: Sɛ eyinom petepete honam ani anaa ɛhyɛ honam ani bere nyinaa a, mogya nketenkete betumi atu wɔ saa mmeae no.

Dɛn ne mogya a ɛba nipadua no mu ho sɛnkyerɛnne?

Ɛtɔ mmere bi a, sɛnkyerɛnne biako pɛ ne honam ani kɔla a ɛsakra . Eyi kyerɛ sɛ ebia wubehu baabi a ɛyɛ kɔkɔɔ, tuntum, bruu, anaa kɔkɔɔ nkutoo wɔ honam ani.

Nanso, ɛtɔ mmere bi a, nea edidi so yi betumi aka akuru ho:

• Ɛyɛ yaw
• Nsuo a ɛho ahonhon (Swollen) .
• Tender sɛ wobɛka a

Ɔkwan bɛn so na oduruyɛfo hu mogya a ɛba nipadua no mu?

Mpɛn pii no, oduruyɛfo bɛhwɛ wo honam ani fã no.Wɔnam nipadua mu nhwehwɛmu a wɔyɛ so na ɛkyerɛ eyi . Ebia obebisa wo nsɛm te sɛ:

• Bere bɛn na wudii kan huu saa sɛnkyerɛnne ahorow yi?
• So wowɔ sɛnkyerɛnne foforo bi? (te sɛ atiridiinini, nipadua mu yaw) .
• Nnuru bɛn na worenom? (titiriw nnuru a ɛma mogya yɛ mmerɛw) .
• So wubetumi aka nea ɛyɛ opira a ɛde akuru no bae no akyerɛ me?
• So obi wɔ w’abusua mu a ɔwɔ tebea bi a ɛma ɛyɛ mmerɛw sɛ wobɛpirapira anaa mogya tu dodo? (sɛ nhwɛso no, hemophilia) .

Sɛ wo duruyɛfo susuw sɛ aduruyɛ mu tebea bi a ɛwɔ wo mu na ɛde wo akuru no a, obetumi ayɛ nhwehwɛmu ahorow te sɛ:

• Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ mogya nkwammoaa dodow ne sɛnea mogya no tumi ma mogya tu.
• Bone marrow biopsy: Sɛnea ɛbɛyɛ a wobehu sɛ ɔhaw bi wɔ beae a wɔyɛ mogya mu nkwammoaa no mu anaa.
• Nsu mu nhwehwɛmu: Hwɛ sɛ nneɛma te sɛ asaabo mu haw bi wɔ hɔ anaa.
• Ultrasound, CT scan, anaa MRI scan: Eyinom twa nipadua no mu mfonini.

Dɛn ne ayaresa ahorow a wɔde sa mogya a ɛba nipadua no mu?

Mpɛn pii no, wubetumi asa saa tebea yi wɔ fie. Sɛ wopɛ akuru nketenkete a, sɔ nneɛma yi hwɛ:

• Fa nsukyenee gu akuru no so simma 10-15. Yɛ eyi mpɛn pii da biara. Mfa nsukyenee no nhyɛ wo were no so tẽẽ, fa ntama kyekyere ho.
• Kwati ɔhyew tẽẽ wɔ nnɔnhwerew 48 a edi kan no mu. Eyi kyerɛ sɛ wobɛkwati nsu a ɛyɛ hyew nkotoku ne nsu a ɛyɛ hyew aguare.
• Ma baabi a apira no so. Sɛ nhwɛso no, sɛ wo nan a abubu a, fa pillow gu so.
• Fa aduru a ɛma ɛyaw ano brɛ ase te sɛ ibuprofen (e.g. Advil®) anaa acetaminophen (e.g. Tylenol®) na ama ɛyaw no so atew.

Nanso, sɛ mogya a ɛretu wɔ honam ani no ankɔ yiye anaasɛ ɛtaa ba a, oduruyɛfo betumi asɔ ayaresa afoforo ahwɛ. Ebia ɔbɛkyerɛw nnuru bi ama wo anaasɛ ɔbɛka akyerɛ wo sɛ gyae nnuru bi nom. Afei nso, sɛ aduruyɛ mu tebea bi wɔ hɔ a ɛde mogya no retu a, ebia ebehia sɛ wɔsa.

Wobɛyɛ dɛn asiw mogya a ɛbɛtɔ wo honam ani no ano?

Mpɛn pii no, saa apirakuru yi ba bere a wɔabɔ wɔn ti akyi. Enti, sɛ wɔde nsukyenee gu baabi a ɛho ayɛ den no na wɔma ɛkɔ soro a, ebetumi aboa ma asiane a ɛwɔ hɔ sɛ obi bɛpirapira no so atew. Sɛ wobɔ agumadi a wɔde di nkitaho a, hyɛ nneɛma a wode bɔ wo ho ban bere nyinaa.

Sɛ wowɔ aduruyɛ mu tebea bi a ɛma ɛyɛ mmerɛw sɛ wobɛpirapira a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu. Sɛ wowɔ tebea horow a enni sabea a, sɛ wobɛma wɔasa no yiye a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow yi so.

Dɛn na yebetumi ahwɛ kwan afi mogya a ɛba nipadua no mu no mu?

Mpɛn pii no, mogya a ɛtɔ kɔ honam ani no yɛ ketewaa bi.. Mpɛn pii no, ɛno ankasa siesie wɔ bɛyɛ adapɛn abien mu. Nanso, nnuru bi (te sɛ nea ɛma mogya yɛ mmerɛw) anaa tebea horow a enni sabea betumi ama woapirapira ntɛmntɛm. Tebea a ɛde ba no a wobɛsa no betumi aboa ma asiane a ɛwɔ hɔ sɛ wobɛpirapira no so atew. Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ gyae nnuru a ɛma mogya tu no. (Nanso kae sɛ, nnyae nnuru biara a wobɛnom da a wunnya wo duruyɛfo afotu.)

So mogya a ɛtɔ wɔ honam ani no betumi ayɛ aniberesɛm?

Mpɛn pii no, eyi yɛ asɛm ketewaa bi. Nanso, sɛ yare no ho sɛnkyerɛnne taa ba wɔ beae koro no ara, anaasɛ ɛnkɔ yiye bɛboro adapɛn abien a, ebetumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn wɔ eyi ho?

Sɛ mogya retu wo honam ani bɛboro adapɛn abien a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Afei nso, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara ka wo akuru no ho a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara:

• Sɛ mogya wɔ wo nsu anaa wo nsu mu a.
• Sɛ mogya tu anom a (Bleeding gums).
• Sɛ wunya tebea horow te sɛ syncope anaasɛ adwenemhaw a.
• Sɛ wowɔ atiridiinini a.
• Sɛ wowɔ akisikuru anaasɛ wofe a.
• Sɛ ɛyaw a emu yɛ den anaasɛ ɛho ahonhon wɔ hɔ a.

Kae sɛ mogya a ɛtɔ wɔ honam ani no yɛ bere a mogya ntini ketewaa bi a ɛwɔ honam ani no mu pae. Saa mogya ntini yi ma mogya kɔ ntini a atwa ho ahyia no mu. Eyi betumi ama wo honam ani ayɛ kɔkɔɔ, kɔkɔɔ, bruu, anaa tuntum. Ɛtɔ mmere bi a, ebia kɔla bɛsakra kɛkɛ, anaasɛ baabi a ɛwɔ no ho ahonhon na sɛ woka a, ɛbɛyɛ mmerɛw. Mpɛn pii no, eyi yɛ ketewaa bi na ɛbɛsa wɔ bɛyɛ adapɛn abien mu.

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

Okay, enti momma yɛnkae wo nsɛntitiriw a ɛho hia sen biara a efi nea yɛkaa ho asɛm nnɛ no mu.

• Mpɛn pii no, mogya a ɛtɔ wɔ honam ani, anaasɛ akuru no nyɛ biribi a ɛsɛ sɛ ɛhaw adwene. Wɔtaa ba na ebetumi afi opira nketenkete anaa asehwe mu aba.
• Petechiae, purpura, ecchymosis, ne hematoma ahorow ahorow wɔ hɔ. Eyinom gu ahorow wɔ mogya dodow ne sɛnea ɛda adi no mu.
• Ebia nnipa binom (nkwakoraa ne mmerewa, wɔn a wɔnom nnuru a ɛma mogya tu) bɛpirapira ntɛmntɛm.
• Wubetumi asa eyi wɔ fie denam nsukyenee a wode bɛpetepete so, de ato baabi a apira no, na woanom nnuru a wɔde kum ɛyaw no so.
• Nanso, sɛ akuru taa ba, ɛyɛ akɛse, egye bere tenten ansa na ayɛ yiye, anaasɛ sɛnkyerɛnne afoforo a emu yɛ den (atiridiinini, mogya a ɛba nsu mu, ɛyaw a emu yɛ den) ka ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wuhu oduruyɛfo.
• Ebia aduruyɛ mu tebea bi a ɛda adi na ɛde saa akuru yi aba, enti ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu.

Enti, mewɔ anidaso sɛ saa nsɛm yi ho baa mfaso maa wo. Kɔ so nya apɔwmuden!

`Akuru, akuru, mogya a ɛba honam ani, petechiae, purpura, ecchymosis, hematoma, honam ani nyarewa, mmoa a edi kan