So ayɛ wo nwonwa pɛn sɛ wotwitwa kakra bere a worebɔ wo ti nhwi, anaasɛ wode sekan twa wo nsa bere a woretwitwa nhabannuru, na afei mogya no gyae kɛkɛ wɔ bere bi akyi? Ɛyɛ biribi a ɛsɛ sɛ ɛyɛ nwonwa ankasa. Nea enti a ɛte saa ne abɔde mu ade a ɛbɔ yɛn ho ban wɔ yɛn nipadua mu. Yɛfrɛ no ‘mogya a ɛtwetwe’. Eyi yɛ ade a ɛho hia yiye sɛ yɛyɛ bere a yɛn nipadua apira na esiw mogya mmoroso ne yɛn asetra a ɛsɛe ade no ano. Nanso, ɛtɔ mmere bi a, ntease biara nnim no, mogya a ɛtɔ gu nipadua no mu yi fi ase hyehyɛ nipadua no mu wɔ ntini no mu. Wiɛ, ɛno betumi ayɛ nea asiane wom kakra. Enti ɛnnɛ, wɔ asɛm yi mu no, yɛbɛka nneɛma pa a ɛfa mogya a ɛtwetwe ho, ne mmere a ebetumi ayɛ asiane ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne mogya a ɛretu yi?
Mogya a ɛtwetwe yɛ ade a ɛyɛ den a ɛte sɛ jelly a ɛba yɛn mogya ntini mu. Sɛ wɔatwitwa wo, woapira, anaa wɔayɛ wo oprehyɛn a, saa nsu a ɛtwetwe yi boa ma mogya a ɛtu dodo no gyae. Ɛno ne wɔn adwuma titiriw ne nea eye sen biara.
Nanso, esiane akwahosan tebea horow bi anaa nneɛma afoforo nti, mogya a ɛtɔ gu ntini no mu a ɛrempira biara. Eyi ne bere a yare no ho sɛnkyerɛnne ahorow da adi. Ɛtɔ mmere bi a, tebea yi betumi de nkwa ato asiane mu mpo .
Dɛn na wɔde na ɛyɛ mogya a ɛtwetwe yi?
Yɛn mogya a ɛtwetwe no yɛ afã abien titiriw.
1. Ntini mu nkwammoaa: Eyinom yɛ nkwammoaa nketenkete a yɛn nnompe mu ntini na ɛyɛ. Wɔn ho nni kɔla. Wɔyɛ wɔn ade te sɛ adwumayɛfo nkumaa a wɔde ahopere siesie akuru.
2. Fibrin: Eyi yɛ protein bi a ɛwɔ yɛn mogya mu. Ɛwɔ su a ɛyɛ nnam. Ɛte sɛ asaawa pii.
Sɛ yɛbɛka no tiawa a, sɛ kuru bi wɔ hɔ a, mogya mu nkwammoaa a ɛma mogya tu no bata ho na ɛkata kuru no ano. Afei protein bi a wɔfrɛ no fibrin yɛ ahama bi a ɛkyekyere mogya mu nkwammoaa kɔkɔɔ ne mogya mu nkwammoaa kɔkɔɔ a ɛfa mu no bom ma ɛyɛ ntini a ɛyɛ den. Afei mogya no gyae. Mogya a ɛtwetwe no nya ne kɔla kɔkɔɔ efisɛ mogya mu nkwammoaa kɔkɔɔ no kyere fibrin ahama no mu.
Mmeae a asiane wom a mogya betumi atɔ ne ne sɛnkyerɛnne ahorow
Mogya a ɛretu betumi ayɛ nipadua no mu baabiara. Nanso mogya a ɛtɔ gu mmeae bi no yɛ nea asiane wom kɛse efisɛ ebetumi asiw mogya a ɛkɔ yɛn akwaa a ɛho hia no mu no kwan koraa. Tebea yi a wobehu no betumi aboa ma wɔagye nnipa nkwa.
| Beae a mogya no tu no | Dɛn ne ne din? | Nsɛnkyerɛnne a wɔtaa hu |
|---|---|---|
| Ntini a emu dɔ wɔ nan anaa abasa mu | Mogya a ɛtɔ wɔ ntini a emu dɔ mu (Deep Vein Thrombosis - DVT) . | - a ɛho ahonhon wɔ nan anaa basa baako mu. - yaw a emu ye den anaase akisikuru. - honam ani kɔla sesa (kɔkɔɔ anaa bruu). - bea no te nka se wo ho ye hyew sene mmeae afoforo. |
| Ahrawa | Ahurututu mu Ntini a Ɛyɛ Fɛ (PE) . | - a ɛyɛ den sɛ wobɛhome mpofirim. - koko mu yaw a emu ye den (titiriw bere a worehome denneennen). - a wofe (ebetumi aba se wode mogya ka ho). - koma a ebɔ ntɛmntɛm, adwenemhaw. |
| Adwene | Nnwodwoɔ | - anim, abasa, anaa nan a ewo ho mpofirim anaase ebeye mmere (a etaa wo nipadua no fa baako). - a ɛyɛ den sɛ wobɛkasa anaasɛ wobɛka nsɛm a ɛyɛ mmerɛw. - a ɛyɛ tiyɛ a emu yɛ den mpofirim. - a ɛyɛ den sɛ wobɛhunu, ɛyɛ den sɛ wobɛnantew. |
| Akoma | Koma a Ɛyare | - yaw a epia, a epira wo koko no mfinimfini. - yaw yi trɛw kɔ nsa, kɔn, anom, anaa akyi. - a ɛyɛ den sɛ wobɛhome. - fifiri, akisikuru, akisikuru. |
Ade a ɛho hia paa ne sɛ, sɛ wo anaa obi a wunim no nya saa sɛnkyerɛnne yi bi a, kɔ ayaresabea Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara, a wontwentwɛn wo nan ase. Wɔ tebea a ɛte saa mu no, bere yɛ ade titiriw.
Mogya a ɛtwetwe mogya mu ɔhaw ahorow
Mogya a ɛtwetwe mogya no mu ɔhaw ahorow atitiriw abien na ɛwɔ hɔ. Biako ne bere a mogya no ntumi ntu bere a ɛsɛ sɛ ɛyɛ no, na biako nso ne bere a mogya no tu dodo wɔ ɔkwan a ɛho nhia so.
| Mogya a ɛtɔ - Mogya a ɛtwetwe | Clotting Disorders - Mogya a ɛtwetwe dodo |
|---|---|
| Ɛyɛ den ma nnipa a wɔwɔ saa nyarewa yi sɛ wobegyae mogya a efi kuru ketewaa bi mpo mu. | Wɔn nipadua ma mogya tu a ɛho nhia. |
| Nhwɛso ahorow: - Von Willebrand yareɛ: Tebea a ɛtaa fi awosuo mu. - Thrombocytopenia: Nkwammoaa a ɛwɔ mogya mu no dodow so tew. - Hemophilia (Inherited Hemophilia): Protein a ɛba nipadua no mu a ehia ma mogya a ɛbɛtɔ no so tew. | Nhwɛso ahorow: - Factor V Leiden: Tebea a ɛtaa ba, awosu mu tebea a ɛma asiane a ɛwɔ hɔ sɛ obi benya DVT ne PE no yɛ kɛse. - Prothrombin Gene Mutation: Eyi nso ye awosu mu tebea. - Antiphospholipid Syndrome: Eyi fi ɔhaw bi a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu. |
Nneɛma foforo bɛn na ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse?
Wɔ aduruyɛ mu tebea horow a yɛaka ho asɛm wɔ atifi hɔ no akyi no, yɛn asetra kwan ne akwahosan ho haw afoforo nso betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. Ɛho hia sɛ wohu eyinom.
- Mfe a wɔadi: Nnipa a wɔadi boro mfe 65 no wɔ asiane kɛse mu sɛ wobenya mogya a ɛbɛtɔ.
- Nyinsɛn: Asiane no kɔ soro esiane hormone ne nsakrae afoforo a ɛba nipadua no mu wɔ nyinsɛn ne awo akyi nti.
- Kɛse mmoroso: Nipadua mu duru a ɛboro so nso yɛ asiane titiriw a ɛma mogya tu.
- Kokoram: Kokoram ne kokoram ayaresa ahorow bi (e.g. nnuru a wɔde sa yare) kanyan mogya a ɛtwetwe.
- Nnuru a wɔde siw awo ano anaa hormone ayaresa: Sɛ wonom awo ano aduru anaa hormone aduru foforo a hormone estrogen wom a, ebetumi ama asiane a ɛwɔ hɔ no ayɛ kɛse.
- Sigaretnom: Sigaretnom sɛe mogya ntini na ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse.
- Gyinabea koro no ara a wobɛtra bere tenten dodo:Fa no sɛ wode bɔs retu kwan afi Colombo akɔ Jaffna, anaasɛ wote ɔfese nkongua so nnɔnhwerew pii wɔ bere koro mu. Ɛsɛ sɛ wotra mpa so bere a wɔayɛ wo oprehyɛn awie no. Wɔ tebea horow a ɛtete saa mu no, mogya a ɛkɔ anan mu no brɛ ase, na ebetumi ama tebea horow te sɛ DVT aba.
So yebetumi asiw mogya a ɛbɛtɔ no ano?
Yɛrentumi nsiw awosu mu tebea bi ano koraa. Nanso, yebetumi atew asiane no so kɛse denam ayaresa a yebenya ne asetra mu nsakrae a yɛbɛyɛ so. Asiane afoforo pii yɛ nneɛma a yebetumi adi so.
- Kɔ wo duruyɛfo nkyɛn daa: Kɔhwɛ wo afe biara. Wo ne wo duruyɛfo nkasa mfa nneɛma a ɛde asiane ba wo ho no ho.
- Fa wo ho hyɛ kokoram nhwehwɛmu mu: Ntwa kokoram nhwehwɛmu a wɔkamfo kyerɛ (e.g., nufu, awotwaa mu kokoram, akyi berɛmo mu kokoram) a egyina mfe ne ɔbarima ne ɔbea nna so no so.
- Kura wo mu duru a ɛfata mu: Di wo nipadua mu duru so denam aduan a ɛkari pɛ ne apɔw-mu-teɛteɛ so.
- Gyae sigaretnom koraa: Sɛ wonom sigaret a, si gyinae sɛ wubegyae nnɛ. Wubetumi nso ahwehwɛ aduruyɛ mu afotu wɔ eyi ho.
- Nom nsu pii: Sɛ wosiw nsu a ɛho ayɛ fĩ ano a, ebetumi aboa ma woasiw mogya a ɛbɛtɔ no ano.
- Kɔ so yɛ nnam: Sɛ wotra ase kyɛ a, anyɛ yiye koraa no, sɔre na nantew pɛnkoro dɔnhwerew biara. Fa wo nan yɛ apɔw-mu-teɛteɛ. Sɛ worekɔ nantew tenten a, wosow wo nan mpɛn pii.
- Di wo duruyɛfo afotu akyi: Sɛ wo duruyɛfo ka sɛ wowɔ asiane mu sɛ mogya bɛtɔ wo a, fa nnuru no (sɛ nhwɛso no, nnuru a ɛma mogya tu) no sɛnea ɔkyerɛ wo no pɛpɛɛpɛ.
Awiei koraa no, mogya a ɛtwetwe yɛ ade a ɛho hia ma yɛn nipadua no ahobammɔ. Nanso sɛ ɛkɔ akyiri sen nea ɛwɔ hɔ, kyerɛ sɛ, sɛ mogya a ɛtɔ gu ntini no mu a ɛho nhia a, ebetumi de nkwa ato asiane mu. Ade a ɛho hia sen biara ne sɛ wubehu nneɛma a ɛde asiane ba ne sɛnkyerɛnne ahorow a ɛwɔ mu no. Sɛ wowɔ adwenem naayɛ anaa ehu bi wɔ eyi ho a, yɛsrɛ wo ne w’abusua oduruyɛfo nkasa. Ɔbɛhwehwɛ w’akwahosan mu na wama wo afotu a ɛho hia.
Nkrasɛm a Wɔde Kɔ Fie
- Mogya a ɛtwetwe no yɛ adebɔ mu adeyɛ a ɛma mogya a efi opira mu no gyae. Nanso ɛtɔ mmere bi a ebetumi aba nipadua no mu a ɛho nhia na asiw mogya ntini ahorow.
- Hwɛ yiye bere nyinaa sɛ wubehu sɛnkyerɛnne ahorow te sɛ nan a ɛho ahonhon ne ɛyaw (DVT), koko mu yaw mpofirim ne ahome a ɛyɛ tiaa (PE), ne anim anaa nipadua no fã biako a ɛyɛ mmerɛw (Stroke).
- Mfe a obi adi, nyinsɛn, kɛseyɛ mmoroso, sigaretnom, ne gyinabea koro a obi tra bere tenten no ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse.
- Sɛ wuhu sɛnkyerɛnne ahorow a ɛyɛ hu a yɛaka ho asɛm wɔ atifi hɔ no bi a, .Mma nsɛe bere na kɔ ayaresabea ntɛm ara.
- Wubetumi adi tebea yi so kɛse denam wo duruyɛfo a wo ne wo duruyɛfo bɛkasa afa asiane a ɛwɔ mu ne asetra a ahoɔden wom ho no so.
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