So oduruyɛfo no maa wo chit sɛ wɔnyɛ mogya mu nhwehwɛmu? So ɛkae sɛ ‘FBC’ anaa ‘Mogya a Ɛma Wo Ho Nyinaa’? Mpɛn pii no, sɛ yehu nkyerɛwde ne nɔma a ɛwɔ amanneɛbɔ yi so a, ehu ka yɛn na yɛhaw kakra. "Dɛn na eyi kyerɛ?" Yɛdwene. Nanso mma ɛnhaw wo. Eyi yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye, a wɔtaa yɛ a nnuruyɛfo de di dwuma kɛse na ɛka yɛn nipadua akwahosan ho nsɛm pii. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne FBC sɔhwɛ yi?
Sɛ yɛbɛka no tiawa a, FBC (Complete Blood Count) yɛ nhwehwɛmu a wɔde hwɛ nkwammoaa atitiriw abiɛsa a ɛwɔ wo mogya mu no. Yɛn mogya nyɛ nsu kɔkɔɔ bi kɛkɛ. Nkwammoaa nketenkete ɔpepem pii a ɛyɛ nnwuma a ɛho hia pii wɔ yɛn nipadua mu wɔ mu. FBC no hwɛ nkwammoaa ahorow yi titiriw:
- Mogya Nkwammoaa Kɔkɔɔ: Nea ɛde mframa pa kɔ nipadua no mu nyinaa.
- Mogya Nkwammoaa Fitaa: Te sɛ nipadua no asraafo no, wɔko tia nyarewa ne mmoawa.
- Nkwammoaa a ɛma mogya tu: Eyinom ne nkwammoaa a ɛboa ma mogya tu denam mogya a ɛtwetwe no so.
Saa nhwehwɛmu yi boa wo duruyɛfo ma onya w’akwahosan nyinaa ho adwene pa. Ɛho hia nso sɛ wohu yare bi, hwɛ tebea bi a ɛwɔ hɔ dedaw, hwɛ sɛnea aduru bi renya nipadua no so nkɛntɛnso, na wosusuw sɛnea nipadua no mu tumi a ɛko tia nyarewa no akwahosan te. Ɛyɛ anammɔn titiriw a wɔfa so hu tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu, nyarewa ahorow, ne mogya mu kokoram .
Dɛn nti na ‘Differential Count’ ka FBC ho?
Ɛtɔ da bi a wobɛtumi ahunu "CBC with Differential" wɔ w'amanneɛbɔ no so. Dɛn na eyi kyerɛ?
Susuw mogya mu nkwammoaa fitaa ho sɛ yɛn dɔm. FBC bi kan asraafo dodow a wɔwɔ asraafo dɔm bi mu nyinaa. Nanso ‘Differential Count’ bi kɔ akyiri sen saa. Ɛkan asraafo dodow a wɔwɔ asraafo akuw ahorow mu (sɛ nhwɛso no, asraafo a wɔnam fam, asraafo a wɔnam fam, asraafo a wɔhwɛ amansɛm so) wɔ saa asraafo dɔm no mu.
Ɛne sɛ, mogya mu nkwammoaa fitaa ahorow anum na ɛwɔ hɔ, na saa ‘Nsonsonoe Dodow’ yi susuw emu biara dodow wɔ ɔkwan soronko so. Eyi ma oduruyɛfo no nya nea ɛrekɔ so wɔ wo nipadua mu ahoɔden a ɛko tia nyarewa no mu ho adwene a emu da hɔ yiye, te sɛ sɛ ebia wowɔ ɔyare mmoawa, ɔyare mmoawa, anaasɛ wo ho yɛ wo hyew.
Bere bɛn na oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ FBC?
Esiane sɛ FBC yɛ nhwehwɛmu a wɔtaa yɛ nti, oduruyɛfo betumi akamfo akyerɛ wɔ tebea horow mu.
- Sɛ́ afe afe aduruyɛ mu nhwehwɛmu fã: Nya w’akwahosan nyinaa ho ntease a ɛkɔ akyiri.
- Hwehwɛ sɛnkyerɛnne ahorow a wontumi nkyerɛkyerɛ mu: Sɛ nhwɛso no, hwehwɛ nea ɛde atiridiinini a ɛkɔ so, mu duru a ɛso tew, fifiri a ɛba anadwo, akuru a wontumi nkyerɛkyerɛ mu, ne ɔbrɛ a ɛkɔ so daa ba.
- Hwɛ aduruyɛ mu tebea horow a na ɛwɔ hɔ dedaw no so: Hwɛ obi a ɔwɔ tebea horow a ɛtra hɔ kyɛ te sɛ kokoram ne asaabo mu yare a enni sabea tebea so.
- Hwɛ nkɛntɛnso a ayaresa ahorow nya: Ayaresa ahorow bi (sɛ nhwɛso no, kokoram nnuru) betumi ama mogya mu nkwammoaa fitaa dodow so atew. Saa sɔhwɛ yi ho hia na wɔatumi ahwɛ nkɛntɛnso a ɛte saa.
- Wɔ nyinsɛn mu: Hwɛ sɛ ɛna a onyinsɛn no ne akokoaa no akwahosan ye.
Tebea horow bɛn na wobetumi ahu wɔ FBC amanneɛbɔ no mu?
Saa sɔhwɛ yi nkyerɛ tẽẽ sɛ "wowɔ ayamtu." Nanso, ɛma oduruyɛfo no nya nsɛnkyerɛnne a ɛho hia pii. Nneɛma a ɛwɔ amanneɛbɔ no mu no betumi akyerɛ tebea horow a edidi so yi:
| Aduruyɛ din | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Mogya a ɛtɔ kɔ nipadua mu | Mogya mu nkwammoaa kɔkɔɔ anaa hemoglobin dodow a ɛba fam (sɛnea yɛfrɛ no no, ‘mogya a ɛtɔ kɔ nipadua mu’). |
| Erythrocytosis a ɛma mogya tu | Mogya mu nkwammoaa kɔkɔɔ dodow a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so (mogya mu duru a ɛkɔ soro). |
| Leukocytosis a ɛma mogya tu | Mogya mu nkwammoaa fitaa dodow a ɛkɔ soro (a ɛtaa yɛ ɔyare mmoawa ho sɛnkyerɛnne). |
| Leukopenia a ɛma mogya tu | Mogya mu nkwammoaa fitaa dodow a ɛba fam (ɛkyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw). |
| Thrombocytosis a ɛma mogya tu | Ntini mu nkwammoaa a ɛma mogya tu a ɛkɔ soro. |
| Thrombocytopenia a ɛma mogya tu | Ntini mu mogya nkwammoaa dodow a ɛso tew (wohu wɔ nyarewa te sɛ dengue mu). |
So afei yɛbɛhwɛ gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu no mu kɔ akyiri kakra?
Okay, afei momma yɛmmɔ mmɔden sɛ yɛbɛte nkrataa a ɛwɔ amanneɛbɔ no mu no ase.
Nneɛma a ɛsɛ sɛ wuhu fa Mogya Nkwammoaa Kɔkɔɔ ho
Eyinom ne ‘delivery service’ a ɛde oxygen kɔ nipadua no mu nyinaa. Eyinom ne gyinapɛn atitiriw a wɔka ho asɛm.
- RBC (Red Blood Cell Count): Mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ mogya dodow bi mu nyinaa.
- Hb / Hgb (Hemoglobin): Hemoglobin yɛ protein a ɛde oxygen kɔ mogya mu nkwammoaa kɔkɔɔ mu. Wɔde ne dodow susuw ho. Ɛno na ɛma mogya kɔla kɔkɔɔ.
- Hct (Hematocrit): Wo mogya mu ɔha biara mu nkyem ahe na mogya mu nkwammoaa kɔkɔɔ na ɛyɛ.
Bio nso, gyinapɛn afoforo bi wɔ hɔ a ɛkyerɛ mogya mu nkwammoaa kɔkɔɔ dodow ne ne su (a wɔfrɛ no ‘Red Cell Indices’).
- MCV (Mean Corpuscular Volume): Sɛ wɔkyekyem pɛpɛɛpɛ a, mogya mu nkwammoaa kɔkɔɔ biako kɛse.
- MCH (Mean Corpuscular Hemoglobin): Sɛ wɔkyekyem pɛpɛɛpɛ a, hemoglobin dodow (mu duru) a ɛwɔ mogya mu nkwammoaa kɔkɔɔ biako mu.
- MCHC (Mean Corpuscular Hemoglobin Concentration): Hemoglobin dodow a ɛwɔ mogya dodow pɔtee bi mu.
- RDW (Red Cell Distribution Width): Eyi kyerɛ wo sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse yɛ pɛ, anaasɛ ɛyɛ nkwammoaa akɛse ne nketewa a wɔadi afra . Ɛte sɛ nea worehwɛ sɛ ebia ɛyɛ bisket a wɔatwa afi nkuku koro mu, anaasɛ kukisi a wɔde nsa ayɛ a ɛsono ne kɛse.
Nneɛma a ɛsɛ sɛ wuhu fa Platelets ho
Eyinom ne ‘plaster asinasin’ a ɛwɔ yɛn nipadua so no. Sɛ yetwitwa anaa yepira wɔ baabi a, wɔde ahopere kɔ baabi a ɛwɔ hɔ, bata ho, na wogyae mogya a ɛretu no.
- Nkwammoaa mu nkwammoaa dodow: Nkwammoaa a ɛwɔ mogya mu no nyinaa dodow.
- MPV (Mean Platelet Volume): Sɛ wɔkyekyem pɛpɛɛpɛ a, mogya nkwammoaa biako kɛse.
Mogya Nkwammoaa Fitaa ne ne ahorow
Eyi ne yɛn nipadua no ahobammɔ asraafo. Wɔn adwuma ne sɛ wɔbɛbɔ yɛn ho ban denam mmoawa ne nyarewa a wɔbɛko atia so. Sɛ woyɛ ‘Differential Count’ a, wobɛnya nsɛm a ɛsono emu biara afa asraafoɔ yi asraafoɔ ahodoɔ ho.
| Nkwammoaa Su | Dwumadi titiriw (wɔayɛ no mmerɛw) . |
|---|---|
| WBC (Mogya Nkwammoaa Fitaa Dodow) . | Mogya mu nkwammoaa fitaa ahorow nyinaa dodow a wɔaka abom. |
| Nnuru a wɔfrɛ no neurophils | Te sɛ commando a wɔyɛ ho biribi ntɛm no, wɔn na wodi kan tow hyɛ mmoawa ne fungal nyarewa so . |
| Nkwammoaa a ɛma mogya tu | Te sɛ amansɛmdifo. Wɔko tia mmoawa a wɔde nyarewa ba . Wɔkae nyarewa a wɔadi kan anya na wɔkyerɛkyerɛ nipadua no sɛ sɛ wɔyare bio a, ɛbɛko atia ntɛm. |
| Monocytes a ɛwɔ nipadua no mu | Adwumayɛfo a wosiesie nneɛma. Woyi nkwammoaa mu nneɛma a asɛe ne mmoawa a aka wɔ ɔyare mmoawa bi akyi no fi hɔ. |
| Eosinophils a wɔde yɛ nnuru | Wɔko tia mmoawa a wɔsɛe nnɔbae (te sɛ nwansena). Wɔn dodow nso kɔ soro bere a wɔn ho yɛ wɔn hyew no . |
| Basophils a wɔfrɛ no basophils | Wɔde kɔkɔbɔ nsɛnkyerɛnne ma. Eyinom ne nea ɛma nneɛma te sɛ ‘histamine’ fi adi bere a obi ho yɛ no hyew no. |
So ɛsɛ sɛ wusiesie wo ho ma FBC sɔhwɛ no?
Asɛmpa a eye sen biara ne sɛ enhia sɛ woyɛ ahosiesie titiriw biara ma FBC sɔhwɛ. Wubetumi adidi na woanom sɛnea ɛsɛ na woanom nnuru a wotaa de di dwuma no. Ɛho nhia sɛ wodi mmuada.
Nanso, kae eyi yiye:Sɛ wo duruyɛfoɔ ahyɛ sɛ ɔnyɛ nhwehwɛmu foforɔ, te sɛ mmuadadie mogya mu asikre nhwehwɛmu anaa lipid profile, ka wo FBC ho a, ɛsɛ sɛ wodi akwankyerɛ a ɛfa saa nhwehwɛmu no ho no akyi pɛpɛɛpɛ (e.g., mmuadadie nnɔnhwereɛ 8-12). Enti, sɛ w’adwene mu yɛ wo naa wɔ nea ɛwɔ chit no so anaa nea oduruyɛfo no aka ho a, hwɛ hu sɛ wobɛsan abisa wo duruyɛfo no bio ma wahyɛ no den.
So ‘Normal Range’ a ɛwɔ FBC amanneɛbɔ no mu no yɛ pɛ ma obiara?
Eyi yɛ adwene a ɛnteɛ a wɔtaa nya. ‘Normal Range / Reference Range’ a ɛwɔ wo FBC amanneɛbɔ mu no nyɛ pɛ mma obiara. Ebetumi ayɛ soronko a egyina nneɛma ahorow so.
- Ɛgyina lab a ɛreyɛ sɔhwɛ no so: Saa gyinapɛn yi betumi ayɛ soronko kakra a egyina mfiri ne nnuru a lab biara de di dwuma so.
- Ɛgyina mfe a woadi so: Ɛsono gyinapɛn ahorow a ‘ɛyɛ daa’ ma mpanyimfo ne mmofra.
- Ɛgyina wo bɔbeasu so: Gyinapɛn ahorow bi (titiriw nea ɛfa mogya mu nkwammoaa kɔkɔɔ ho) gu ahorow esiane nsonsonoe a ɛwɔ hormone dodow mu wɔ mmea ne mmarima ntam nti.
- Sɛ woanyinsɛn a: Saa gyinapɛn ahorow yi betumi asesa esiane nsakrae a ɛba wo nipadua mu bere a wonyinsɛn nti.
Enti, fa gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu no toto ‘Reference Range’ (normal value range) a wɔde ama wɔ amanneɛbɔ no ankasa afã nkutoo ho. Mfa ntoto obi foforo amanneɛbɔ anaa gyinapɛn ahorow a ɛfata a wohu wɔ Intanɛt so ho.
Sɛ gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu no korɔn dodo anaasɛ ɛba fam dodo a, dɛn na ɛsɛ sɛ meyɛ akyi?
Mma wo ho nnyɛ wo hu sɛ wohu boɔ bi wɔ w’amanneɛbɔ no so a ɛwɔ ‘Normal Range’ akyi a. Ɛnkyerɛ ankasa sɛ wowɔ yare a emu yɛ den. Ɛtɔ mmere bi a, ebetumi ayɛ tebea a ɛnyɛ den koraa na ɛnyɛ den sɛ wɔbɛsa.
Ade a ɛho hia sen biara ne eyi:
Mfa nea wokenkan wɔ intanɛt so anaa nea obi foforo ka so nsi gyinae da, da sɛ wowɔ yare bi. Wo duruyɛfo nkutoo na obetumi ama woahu yare no pɛpɛɛpɛ sen biara, a osusuw wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne gyinapɛn ahorow a ɛwɔ FBC amanneɛbɔ yi mu ho.
Wo duruyɛfo bɛhwɛ amanneɛbɔ no mu na sɛ ɛho hia a, wahyɛ sɛ wɔnyɛ nhwehwɛmu foforo, fi ase sa yare, anaasɛ ebia ɔbɛka sɛ, "Eyi nyɛ asɛm kɛse, yɛbɛsan ahwɛ wɔ bere tiaa bi akyi." Enti, hwɛ hu sɛ wobɛfa w’amanneɛbɔ no na woakɔhwɛ wo duruyɛfo a ɔresa wo yare no.
Nkrasɛm a Wɔde Kɔ Fie
- FBC (Full Blood Count) yɛ mogya mu nhwehwɛmu a wɔtaa yɛ na ahobammɔ wom a ɛma wunya nsɛm pii a ɛho hia fa w’akwahosan nyinaa ho.
- Mma nɔma ne nkyerɛwde a ɛwɔ amanneɛbɔ no so no nnyɛ wo hu. Wɔka nkwammoaa ahorow a ɛwɔ wo mogya mu no dodow ne ne su ho asɛm kyerɛ wo.
- ‘Normal Range’ no betumi ayɛ soronko a egyina mfe a obi adi, ɔbarima ne ɔbea nna, ne lab so. Enti bere nyinaa fa toto ‘Reference Range’ a ɛwɔ w’amanneɛbɔ no so nkutoo ho.
- Sɛ botae bi a ɛwɔ amanneɛbɔ no mu no boro nea ɛfata so mpo a, wo duruyɛfo nkutoo na obetumi de nkyerɛase ne afotu a edi mu sen biara ama.
- Mma w’ankasa nhwehwɛ yare anaasɛ nhwehwɛ ayaresa wɔ afoforo afotu so da. Bere nyinaa kɔ wo duruyɛfo nkyɛn de w’amanneɛbɔ ka ho.











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