Biribi wɔ wo mogya ho amanneɛbɔ mu, na so wotee ehu nka kakra bere a oduruyɛfo no kae sɛ ɛsɛ sɛ woyɛ ‘nnompe mu nhwehwɛmu’ na ama woahu nea ɛde ba ankasa no? Ɛwom sɛ nsɛmfua "nnompe mu ntini" betumi ayɛ te sɛ oprehyɛn kɛse de, nanso nokwarem no eyi nyɛ biribi a ɛsɛ sɛ wosuro. Wɔtaa yɛ eyi na ama wɔahu nsɛm pɔtee a ɛfa nyarewa a efi mogya mu ho. Enti, momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛnyɛ den so nnɛ, wɔ ɔkwan a ɛbɛma adwenem naayɛ a ɛwɔ w’adwene mu nyinaa afi hɔ.
Nea edi kan no, ma yɛnhwɛ, dɛn ne nnompe mu ntini?
Sɛ yɛbɛka no tiawa a, nnompe mu ntini yɛ ntini a ɛyɛ mmerɛw na ɛte sɛ sponge a ɛwɔ yɛn nipadua nnompe akɛse no mu. Ɛte sɛ yɛn mogya adwumayɛbea. Ɛha na wo nipadua no yɛ nkwammoaa ahorow abiɛsa no nyinaa: mogya mu nkwammoaa kɔkɔɔ (a ɛde oxygen kɔ), mogya mu nkwammoaa fitaa (a ɛbɔ yɛn ho ban fi nyarewa ho), ne mogya nkwammoaa (a ɛboa ma mogya tu).
Enti sɛ biribi a ɛnyɛ ne kwan so wɔ mogya no mu, kyerɛ sɛ, sɛ nkwammoaa ahorow yi so tew, ɛkɔ soro, anaasɛ sɛ nkwammoaa a ɛnyɛ ne kwan so hyehyɛ a, beae a eye sen biara a wubetumi ahu nea ɛde ba ne sɛ wobɛhwehwɛ "adwumayɛbea" yi mu.
Nsonsonoe bɛn na ɛda aspiration ne biopsy ntam?
Ebia woate nsɛm abien yi nyinaa pɛn. Nneɛma abien no nyinaa yɛ akwan a wɔfa so sɔ nnompe mu ntini hwɛ.
- Bone Marrow Aspiration : Eyi hwehwɛ sɛ wɔde ade a ɛyɛ tokuru yi nnompe mu ntini no fã a ɛyɛ nsu no fã ketewaa bi.
- Bone Marrow Biopsy: Eyi hwehwɛ sɛ woyi ntini a ɛyɛ den na ɛyɛ spongy a ɛwɔ nnompe mu ntini no mu no fã ketewaa bi.
Mpɛn pii no, nnuruyɛfo yɛ nhwehwɛmu abien yi nyinaa bere koro mu na ama wɔanya ɔyarefo no tebea ho mfonini a edi mũ.
Dɛn nti na wɔreka akyerɛ wo sɛ yɛ sɔhwɛ yi?
Fa no sɛ wo mogya mu nhwehwɛmu (Full Blood Count) kyerɛ sɛ nkwammoaa kɔkɔɔ, nkwammoaa fitaa, anaa mogya nkwammoaa a ɛwɔ wo mogya mu no sua anaa ɛdɔɔso wɔ ɔkwan a ɛnteɛ so. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛnea ɛbɛyɛ a obehu nea ɛde ba ankasa.
Saa sɔhwɛ yi kyerɛ pefee sɛ ebia nnompe mu ntini no wɔ apɔwmuden na ɛma mogya mu nkwammoaa dodow a ɛho hia anaa.
Wɔakyerɛw tebea horow a wobetumi de sɔhwɛ yi ahu no bi wɔ pon a ɛwɔ ase ha no so.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya a ɛtɔ kɔ nipadua mu | Mogya mu nkwammoaa kɔkɔɔ dodow a ɛso tew wɔ nipadua no mu. Eyi yɛ sɛnea ɛbɛyɛ a wobehu sɛ ebia nea ɛde ba no yɛ ɔhaw bi a ɛwɔ nnompe mu ntini mu anaa. |
| Leukemia a ɛma mogya tu | Mogya mu kokoram bi. Mogya mu nkwammoaa fitaa a ɛnyɛ ne kwan so a wɔyɛ dodo. |
| Lymphoma a ɛma mogya tu | Kokoram a ɛba wɔ ntini a ɛma mogya tu no mu. Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ atrɛw akɔ nnompe mu ntini mu anaa. |
| Myelodysplastic yare a ɛma obi ho yɛ hyew | Nnompe mu ntini a entumi nyɛ mogya mu nkwammoaa a ɛte apɔw. |
| Hemochromatosis a ɛma mogya tu | Dade a ɛboro so wɔ nipadua no mu. |
| Kokoram a ɛtrɛw (Metastasis) . | Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ kokoram a efi beae foforo atrɛw akɔ nnompe anaa nnompe mu ntini mu anaa. |
Bio nso, wɔde sɔhwɛ yi di dwuma de hwɛ sɛnea nnompe mu ntini no reyɛ n’ade wɔ ayaresa ahorow ho bere a wɔreyɛ kokoram ayaresa no, na wɔde hwɛ nnompe mu ntini no akwahosan ansa na wɔde biribi te sɛ nnompe mu ntini a wɔde bɛma obi foforo ne bere a wɔde ama akyi.
Dɛn na ɛba ansa na sɔhwɛ no aba ne bere a wɔreyɛ sɔhwɛ no?
Mpɛn pii no, kokoram ho ɔyaresafo, mogya ho ɔbenfo, anaa obi a wanya ntetee titiriw ama ho na ɔyɛ nhwehwɛmu yi.
Ansa na wɔreyɛ sɔhwɛ no
Mpɛn pii no, wubetumi adidi na woanom sɛnea ɛsɛ ansa na wɔayɛ sɔhwɛ no. Nanso, ɛsɛ sɛ woka nnuru ne vitamin a wonom nyinaa kyerɛ wo duruyɛfo . Sɛ worenom nnuru a ɛma mogya tu , ebia wɔbɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
Bere a wɔreyɛ sɔhwɛ no
Eyi taa yɛ adeyɛ tiawa, bɛyɛ simma 10-20.
1. Beae: Wɔtaa gye nnompe mu ntini nhwɛsode no fi wo hwene dompe mu. Ɛne sɛ, efi baabi a ɛwɔ w’akyi, w’asen ase pɛɛ.
2. Ahosiesie: Wɔde wo bɛto nhwehwɛmu pon so, wɔ wo yafunu so anaa w’afã.
3. Ahodwiriw: Eyi ne ade a ɛho hia sen biara. Sɛnea ɛbɛyɛ a worente ɛyaw biara no, oduruyɛfo no de aduru bi a ɛma wo ho yɛ den bɛhyɛ baabi a wɔde ade no ahyɛ mu no. Enti wobɛte nka sɛ woabɔ wo kakra. Ɛtɔ da bi a, ebia wɔbɛma wo nnuru a ɛma wo ho dwo wo na ama wo ho adwo wo kakra. Afei, ɛwom sɛ w’adwene mu da hɔ de, nanso wobɛma wo ho adwo wo paa.
4. Nhwɛsode no a wɔbɛfa: Afei, wɔde ade titiriw bi a ɛyɛ tokuru fa honam ani kɔ asen dompe no mu. Afei wɔde syringe bi bata ade no ho na wɔtwe nnompe mu nsu kakraa bi. Saa bere yi de, ebia wobɛte nka sɛ woretwe wo ho kakra, na ebetumi atra hɔ sikani kakraa bi.
5. Finishing: Sɛ wɔfa nhwɛsode no wie a, woyi ade no na wɔde aduru a ɛho tew a wɔde kyekyere beae no.
Nea ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi
Wubetumi akɔ fie da koro no ara a wɔreyɛ sɔhwɛ no. Nanso, sɛ wɔmaa wo nnuru a ɛma wo ho dwo a, ebehia sɛ wotwɛn kakra ansa na aduru no nkɛntɛnso asɛe. Akyinnye biara nni ho sɛ wubehia obi a ɔde wo bɛkɔ fie.
Ɛyɛ ade a ɛfata sɛ wobɛte ɛyaw bi nka wɔ baabi a wɔatow no nna kakraa bi wɔ sɔhwɛ no akyi. Wobetumi ate ɛyaw yi nka bere a wokotow n’anim anaa wogyina hɔ no. Ɛyɛ ade a ɛfata nso sɛ baabi a atwa baabi a wɔatow no ho ahyia no bɛyɛ bruu, te sɛ akuru ketewaa bi.
Ɛsɛ sɛ woma baabi a wɔde aduru a wɔde kyekyere wo ho no ho tew na ɛyɛ kusuu anyɛ yiye koraa no nnɔnhwerew 24 kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
So nsunsuanso bɔne bi wɔ hɔ? Na bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?
Mpɛn pii no, eyi yɛ sɔhwɛ a ahobammɔ wom yiye , nanso asiane ahorow bi wɔ hɔ a ɛntaa nsi koraa.
- Nea ɛma obi ho yɛ no hyew wɔ aduru a wɔde kum nipadua no ho.
- Mogya a ɛtɔ dodo fi baabi a wɔatow no.
- Nsaneɛ.
Eyinom ho yɛ na koraa, nanso sɛ wunya sɛnkyerɛnne a ɛwɔ ase ha no bi wɔ nhwehwɛmu no akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛsɛ sɛ wohwɛ yiye | |
|---|---|
| Huraeɛ | Nipadua mu hyew a ɛkɔ soro. |
| Biribi a ɛretu fi baabi a wɔatow no | Akisikuru anaa nsu foforo a efi mu ba. |
| Mogya a ɛtɔ kɛse | Sɛ aduru a wɔde kyekyere nipadua no ho no yɛ nsu na mogya tu a. |
| Ɔhohoro ne kɔkɔɔ | Sɛ ɔfe ne kɔkɔɔ a atwa kuru no ho ahyia no yɛ kɛse a. |
| Ɛyaw a emu yɛ den | Sɛ ɛyaw no kɔ soro da biara da a. |
Awiei koraa no, nea efi sɔhwɛ yi mu ba no nyɛ "papa" anaa "negative," a ɛkyerɛ "papa" anaa "bɔne." Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nhwɛsode no mu wɔ aduruyɛdan mu, na wonya amanneɛbɔ a ɛkɔ akyiri, a nkwammoaa ahorow, wɔn kɛse, wɔn nsusuwii, sɛ ebia nkwammoaa bi wɔ hɔ a ɛnyɛ ne kwan so, ne sɛ ebia ɔyare no ho sɛnkyerɛnne bi wɔ hɔ anaa. Wo duruyɛfo no begyina saa amanneɛbɔ no so akyerɛkyerɛ anammɔn a edi hɔ ne ayaresa a wuhia mu.
Nkrasɛm a Wɔde Kɔ Fie
- Nnompe mu ntini a wɔtwetwe no nyɛ oprehyɛn titiriw. Ɛyɛ sɔhwɛ a ɛho hia na ama wɔahu nea ɛde mogya mu haw ahorow ba.
- When you do this , akyinnye biara nni ho sɛ beae no bɛyɛ mmerɛw sɛnea ɛbɛyɛ a worente ɛyaw biara. Enti mma nsuro.
- Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu no.
- Ɛyɛ ade a ɛfata sɛ wobɛte ɛyaw ne akuru bi nna kakraa bi wɔ sɔhwɛ no akyi.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ atiridiinini, mogya a ɛtu wo dodo, anaa wo hohoro , ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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