So wo mogya mu nkwammoaa sua? Momma yɛnka cytopenia ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ na woayɛ ɔbrɛ ara kwa? Anaasɛ woyare bere nyinaa? Ebia nea enti a ɛte saa ne sɛ, nkwammoaa ahorow bi a ɛwɔ wo mogya mu no sua. Wɔ nnuruyɛ mu no, yɛfrɛ tebea yi cytopenia. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Nkwammoaa ahorow bɛn na ɛwɔ yɛn mogya mu? Sɛ wɔn so tew a, dɛn na ɛba?

Okay, ma yenni kan nhwɛ nkwammoaa ahorow atitiriw a ɛwɔ yɛn mogya mu ne nea wɔyɛ. Sɛnea kar afã horow bom ma etu mmirika no, saa ara na nkwammoaa ahorow abiɛsa yi nyinaa ho hia yiye wɔ yɛn nipadua a yɛbɛma ayɛ yiye no mu.

• Mogya mu nkwammoaa kɔkɔɔ (Erythrocytes): Eyinom ne nkwammoaa a ɛde mframa pa kɔ yɛn nipadua mu nyinaa. Susuw ho hwɛ, yɛn nipadua no fã ketewaa biara hia ahoɔden na ama atumi ayɛ adwuma. Oxygen a mogya mu nkwammoaa kɔkɔɔ yi kura no boa ma wonya saa ahoɔden no.
• Mogya mu nkwammoaa fitaa (Leukocytes): Eyinom te sɛ nipadua no mu awɛmfo. Sɛ mmoawa, te sɛ mmoawa, mmoawa, mmoawa, ne fungi hyɛn nipadua no mu a, saa nkwammoaa fitaa yi ko tia wɔn na wɔbɔ yɛn ho ban fi nyarewa ho. Wɔn ne nneɛma atitiriw a ɛma nipadua no tumi ko tia nyarewa.
• Nkwammoaa mu nkwammoaa (Thrombocytes): So woasusuw sɛnea wotwitwa ketewaa bi betumi agyae mogya a ɛretu no ho pɛn? Saa mogya nkwammoaa yi boa wɔ ɛno mu. Sɛ mogya tu a, mogya nkwammoaa yi boaboa ano ma ɛyɛ mogya a ɛtɔ, na ɛma mogya no gyae. Anyɛ saa a, yebetumi ahwere mogya pii afi twitwa ketewaa bi mpo mu.

Enti, so cytopenia ahorow ahorow wɔ hɔ?

Aane saa ara. Cytopenia nyɛ yare biako pɛ. Wɔkyekyɛ mu sɛnea nkwammoaa ko a enni wo mogya mu te.

• Monemia: Ebia woate eyi ho asɛm. Ɛyɛ tebea a mogya mu nkwammoaa kɔkɔɔ kakraa bi na ɛwɔ hɔ. Dɛn na ɛba saa bere no? Oxygen dodow a ɛkɔ nipadua no mu no so tew.
• Leukopenia: Eyi yɛ mogya mu nkwammoaa fitaa dodow a ɛso tew. Kae sɛ nkwammoaa fitaa na ɛko tia nyarewa. Enti sɛ wɔn so tew a, yɛwɔ asiane kɛse mu sɛ yɛbɛyare. Wɔfrɛ tebea foforo a ɛfa eyi ho neutropenia . Eyi yɛ mogya mu nkwammoaa fitaa soronko bi a wɔfrɛ no neutrophils a ɛso tew. Neutrophils ne yɛn mogya mu nkwammoaa fitaa a ɛdɔɔso sen biara.
• Thrombocytopenia: Eyi yɛ mogya nkwammoaa dodow a ɛso tew, na ɛboa ma mogya tu. Sɛ eyinom sua a, mogya ntumi nkɔ yiye. Akuru ketewaa bi mpo betumi ama mogya mu nsensanee akɛse, anaasɛ ebetumi ayɛ den sɛ wobegyae mogya a ɛretu no.
• Pancytopenia: Eyi yɛ tebea a emu yɛ den kɛse. Eyi ne bere a nkwammoaa kɔkɔɔ, nkwammoaa fitaa, ne mogya mu nkwammoaa abiɛsa a yɛaka ho asɛm wɔ atifi hɔ no nyinaa so tew prɛko pɛ.

Nkyekyɛmu foforo wɔ hɔ, a egyina nea ɛde saa cytopenia yi ba so:

• Nkwammoaa a ɛko tia nyarewa:Ɛtɔ mmere bi a yɛn nipadua mu tumi a ɛko tia nyarewa no kɔ so yɛ basabasa na efi ase tow hyɛ yɛn ankasa mogya nkwammoaa a ɛte apɔw so. Ɛte sɛ nea yɛretow abo agu yɛn ankasa fie. Sɛ ɛba saa a, mogya mu nkwammoaa biako anaa nea ɛboro saa betumi ayera.
• Refractory Cytopenia: Eyi ne yɛn nnompe mu ntini no fã a ɛyɛ mogya mu nkwammoaa. Ɛwɔ nnompe akɛse no bi mu, te sɛ ɔpon. Enti, eyi ne din a wɔde frɛ tebea a ɛba bere a nnompe mu ntini yi ntumi nyɛ mogya mu nkwammoaa sɛnea ɛsɛ, kyerɛ sɛ, bere a mogya mu nkwammoaa a wɔyɛ no so tew no.

Sɛ mogya mu nkwammoaa yi so tew a, sɛnkyerɛnne bɛn na yehu?

Asɛmmisa pa. Efisɛ ɛnyɛ obiara na ɔwɔ yare no ho sɛnkyerɛnne. Ebia nnipa binom nnim biribiara, na wɔnam mogya mu nhwehwɛmu so na wohu ara kwa. Nanso sɛ wɔyɛ saa a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina nkwammoaa ko a ɛso tew, dodow a ɛso tew, ne nea ɛde ba no so.

Ma yɛnhwɛ su ahorow a ebetumi afa ɔkwan biara so:

Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ɛba fam (nemia):

• Ɔbrɛ a wɔte nka sɛ onni nkwa bere nyinaa.
• Ɔhome a ɛyɛ den (dyspnea) ba bere a woreyɛ biribi a ɛyɛ den, te sɛ antweri a wɔforo no.
• Koma a ɛbɔ a ɛnteɛ anaasɛ ɛbɔ ntɛmntɛm.
• Wora no yɛ fitaa na ɛyɛ nwini .
• Ɛtɔ mmere bi a ebia koko mu yaw bɛba .

Mogya mu nkwammoaa fitaa a ɛba fam ho sɛnkyerɛnne (leukopenia/neutropenia):

• Ɔbrɛ a wɔte nka ara kwa .
• Atiridii ne awɔw .
• Menewa mu yaw (Pharyngitis) .
• Ano mu akuru .
• Ɔfe a emu yɛ den .
• Ayamtuo .
• Ntini a ɛma mogya tu a ahonhon .

Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa dodow a ɛba fam (thrombocytopenia):

• Nokwasɛm a ɛyɛ sɛ ɛnyɛ den sɛ akisikuru ketewaa bi mpo betumi ama mogya mu nsensanee (akuru) ayɛ nipadua no .
• Mogya a ɛtɔ a ennyae bere a woanya kuru no, anaa mogya a ɛtra hɔ kyɛ .
• Ɛtɔ da bi a nsensanee nketenkete kɔkɔɔ anaa kɔkɔɔ (petechiae) pue wɔ honam ani. Eyinom yɛ mogya nketenkete a ɛtɔ wɔ honam ani ankasa.

Dɛn nti na me mogya mu nkwammoaa so tew saa? Dɛn na ɛde eyi ba?

Nneɛma pii betumi ama tebea yi a wɔfrɛ no cytopenia aba. Sɛ yɛbɛka no tiawa a, ntease atitiriw abien betumi aba. Biako ne sɛ ɔhaw bi wɔ mogya mu nkwammoaa a efi nnompe mu ntini mu a madi kan aka ho asɛm no mu. Anaasɛ, bere a wɔayɛ mogya mu nkwammoaa no wɔ nnompe mu na wɔde aka mogya no ho akyi no, biribi nti saa nkwammoaa no sɛe.

Ebia nneɛma yi bi fi awo mu , kyerɛ sɛ, nneɛma a efi awosu mu. Ebia wobenya bi, na ɛno na ɛba akyiri yi .

Nneɛma a ebetumi de mogya a ɛtɔ kɔ nipadua mu aba:

Mpɛn pii no, aduan pa a wonnya nni na ɛde mogya a ɛtɔ kɔ nipadua no mu ba.Ɛfiri. Titiriw dade a enni nipadua mu `(Iron-deficiency Anemia)` . Nnuannuru te sɛ dade, vitamin B12 `(Vitamin B12)`, ne folate `(Folate)` ho hia ma yɛn nnompe mu ntini a ɛbɛma yɛayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw. Sɛ eyinom nnɔɔso a, mogya mu nkwammoaa kɔkɔɔ no so bɛtew. Bio nso, mogya a ɛtɔ kɔ nipadua mu nso betumi aba esiane mogya a ɛtɔ (esiane opira, oprehyɛn, ne nea ɛkeka ho nti) ne nyarewa a ɛsɛe mogya mu nkwammoaa kɔkɔɔ.

• Nyarewa a nipadua no tumi ko tia nyarewa
• Mogya mu yare ne Nnompe mu yare
• Kokoram
• Awosu mu tebea horow
• G6PD a enni hɔ
• Nnuru bi
• Aduan pa a wonnya nni
• Nyinsɛn a wɔde di dwuma
• Pyruvate kinase a enni nipadua mu
• Sickle cell yare a ɛma obi nya yare
• Thalassemia a ɛwɔ nipadua no mu

Nneɛma a ebetumi de Leukopenia/Neutropenia aba:

Kokoram ayaresa, titiriw nnuru a wɔde sa yare ne mframa a wɔde sa yare no yɛ ade titiriw a ɛma mogya mu nkwammoaa fitaa so tew. Saa ayaresa ahorow yi kunkum kokoram nkwammoaa, nanso sɛ nea efi mu ba no, nkwammoaa bi a ɛte apɔw (te sɛ mogya mu nkwammoaa) nso betumi asɛe.

• Nyarewa a nipadua no tumi ko tia nyarewa
• Mogya ne Nnompe mu Ntini mu Nyarewa
• Kokoram
• Kokoram ayaresa ahorow
• Awosu mu tebea horow
• Nyarewa a wɔde nyarewa ba
• Nnuru bi
• Aduan pa a wonnya nni

Nneɛma a ebetumi de thrombocytopenia aba:

• Asanom a wɔnom ho haw
• Sɛ nhwɛso no, nyarewa a nipadua no tumi ko tia nyarewa , Immune Thrombocytopenia
• Mogya ne nnompe mu yare, te sɛ Thrombotic Thrombocytopenic Purpura (TPP) .
• Kokoram
• Kokoram ayaresa ahorow
• Awosu mu tebea horow
• Nyarewa a wɔde nyarewa ba
• Nnuru bi, sɛ nhwɛso no , heparin-induced thrombocytopenia (HIT) .
• Aduan pa a wonnya nni
• Nyinsɛn a wɔde di dwuma
• Nnuru a awuduru wom a wɔde wɔn ho bɛhyɛ mu

Cytopenias ahorow bi nso wɔ hɔ a wontumi nhu nea ɛde ba ankasa:

Ɛtɔ mmere bi a, nnuruyɛfo ntumi nhu nea ɛde mogya mu nkwammoaa dodow a ɛba fam yi ba ankasa. Wɔ tebea horow a ɛtete saa mu no, tebea horow yi gu akuw abien mu:

• Clonal Cytopenia of Undetermined Significance (CCUS) no fi:Eyi ne bere a mogya mu nkwammoaa pii wɔ awosu mu nsakrae koro a wonya fi awo mu wɔ wɔn DNA mu no. Obi a ɔwɔ CCUS no wɔ asiane kɛse mu sɛ obenya mogya mu nyarewa bi ne koma ne ntini mu yare.
• Idiopathic Cytopenia of Undetermined Significance (ICUS): Wɔ eyi mu no, wonhu awosu mu nsakrae a ɛte saa biara wɔ mogya nkwammoaa no DNA mu.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea a ɛne cytopenia yi? Sɔhwɛ ahorow bɛn na wɔyɛ?

Mpɛn pii no, sɛ wowɔ yare no ho sɛnkyerɛnne bi a, wohu eyi, anaasɛ bere a wɔreyɛ wo mogya mu nhwehwɛmu esiane biribi foforo nti. Wɔfrɛ nhwehwɛmu titiriw no mogya dodow a edi mũ (CBC) . Eyi yɛ mogya mu nhwehwɛmu a wɔtaa yɛ. Ɛma wo duruyɛfo hu nkwammoaa kɔkɔɔ, nkwammoaa fitaa, ne mogya mu nkwammoaa dodow a wowɔ, ne sɛ ebia nsakrae bi aba sɛnea saa nkwammoaa no te mu no ho mfonini pefee. Ebetumi ama wɔanya nyarewa bi ho nsɛnkyerɛnne nso.

Sɛ CBC no kyerɛ sɛ mogya mu nkwammoaa dodow sua a, afei oduruyɛfo no bɛbɔ mmɔden sɛ obehu nea enti a dodow a ɛba fam no sua saa. Ebia ɔbɛyɛ sɔhwɛ foforo de ahu saa.

Sɔhwɛ afoforo bɛn na wɔyɛ de hu nea ɛde ba?

• Peripheral Blood Smear: Eyi hwehwɛ sɛ wobɛfa wo mogya no ketewaa bi, de ahyɛ ahwehwɛ a wɔde twetwe nneɛma so, na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Sɛnea nkwammoaa no te ne sɛnea ɛte no betumi ama yɛahu nea ɛde ɔhaw no reba.
• Bone Marrow Aspiration and Biopsy: Eyi yɛ sɔhwɛ a ɛyɛ den kakra. Wɔ sɔhwɛ yi mu no, oduruyɛfo bi fa nnompe mu ntini ketewaa bi na ɔhwɛ sɛ ebia nkwammoaa a ɛnyɛ ne kwan so wɔ hɔ anaa. Saa sɔhwɛ yi ho hia na wɔde ahu nyarewa a emu yɛ den te sɛ kokoram anaa tebea afoforo a ɛka mogya ne nnompe mu ntini.

Nea ɛka eyi ho no, wobetumi ayɛ nhwehwɛmu afoforo ahorow wɔ lab de ahu nea ɛde ba ankasa.

Okay, afei dɛn ne ayaresa ahorow a wɔde sa tebea a ɛne cytopenia yi?

Ayaresa no gyina sɛnea wo tebea no mu yɛ den, sɛ ebia wowɔ sɛnkyerɛnne ahorow, ne nea ɛde ba no so. Wɔ tebea horow bi a emu nyɛ den mu, a ɛkyerɛ sɛ biribiara nni hɔ a ɛde ba na sɛnkyerɛnne biara nni hɔ no, ebia ɛho renhia sɛ wɔde sa yare biara .

Nanso, sɛ ɛho hia sɛ wɔsa yare a, wɔtaa yɛ de sa tebea a ɛda adi a ɛde mogya mu nkwammoaa dodow a ɛba fam no. Sɛ nhwɛso no, sɛ efi aduannuru a enni mu a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nsakrae wɔ w’aduan mu anaa fa aduannuru a wɔde ma. Sɛ mogya mu nkwammoaa dodow a ɛba fam no fi ɔyare mmoawa bi a, wobetumi ama wo nnuru a ekum ɔyare mmoawa .

Wɔ tebea horow bi a emu yɛ den mu no, ebia ayaresa a ɛma mogya mu nkwammoaa dodow kɔ soro tẽẽ no ho behia. Eyinom bi ne:

• Ade a Ɛkanyan Granulocyte Colony (G-CSF): .Eyinom yɛ nnuru. Wɔnam wo neutrophils, mogya mu nkwammoaa fitaa bi a wɔma ɛkɔ soro no so na ɛyɛ adwuma. Wɔtaa de G-CSF ma nnipa a wɔreyɛ nnuru a wɔde sa yare na ama wɔasiw neutropenia ano.
• Mogya a Wɔde Ma: Sɛ wo nipadua no ntumi nyɛ n’ankasa mogya mu nkwammoaa a, ebia ebehia sɛ wogye mogya fi obi foforo hɔ.
• Nnompe mu Ntini anaa Stem Cell Transplant: Eyi hwehwɛ sɛ wuyi mogya mu nkwammoaa a ɛnyɛ ne kwan so a ennyinii fi wo nnompe mu na wode nkwammoaa a ɛte apɔw si ananmu. Akyiri yi saa nkwammoaa yi bɛdan mogya mu nkwammoaa a ɛho akokwaw na wɔasan akɔ wo mogya mu.
• Splenectomy: Eyi yɛ oprehyɛn a wɔyɛ de yi wo splenectomy . Ɛtɔ mmere bi a, akisikuru no tumi kyere mogya mu nkwammoaa na eyi fi mogya no mu. Ebia oprehyɛn yi ho behia wɔ nsɛm a ɛtete saa mu.

So biribi wɔ hɔ a yebetumi ayɛ de asiw cytopenia yi ano?

Nokwarem no, nneɛma bi a ɛde ba, sɛ nhwɛso no, nyarewa a nipadua no tumi ko tia nyarewa, mogya ne nnompe mu nyarewa, ne kokoram, yɛ den ma yɛn sɛ yebesiw ano. Wɔyɛ nneɛma a ɛsisi a yentumi nyɛ ho hwee.

Nanso, yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya cytopenias ahorow bi so denam hwɛ a yɛbɛhwɛ sɛ yɛn nipadua no benya aduannuru a ehia na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw no so. Sɛ nhwɛso no, sɛ wunya iron a ɛdɔɔso wɔ w’aduan mu a, ebetumi aboa ma woasiw mogya a ɛtɔ kɔ nipadua mu a iron nni mu no ano .

Ɛho hia nso sɛ wɔtew nsa a wɔnom so , efisɛ nsa betumi asiw nipadua no kwan sɛ ɛbɛtwe aduannuru. Eyi nso betumi ama mogya mu nkwammoaa so atew. Sɛ wogyae nsanom pɛ a, mogya mu nneɛma a ɛnteɛ yi betumi asan ayɛ sɛnea na ɛte kan no kɛse.

Enti, dɛn ne nkɔmhyɛ a ɛbɛma obi ho atɔ no afi tebea yi mu? (Nkɔmhyɛ) .

Wo nkɔmhyɛ, anaa w’adwene gyina nea ɛde wo mogya mu nkwammoaa dodow a ɛba fam ba no so koraa. Sɛ nhwɛso no, sɛ aduan pa a wonnya nni na ɛde mogya a ɛtɔ kɔ nipadua no mu ba a, sɛ wɔsa no yiye na wodi aduan pa a, wobetumi asa koraa. Sɛ wo mogya mu nkwammoaa fitaa dodow sua esiane mmoawa anaa mmoawa bi nti a, ɔyare mmoawa no a wobɛsa no betumi aboa ma wo mogya mu nkwammoaa fitaa dodow asan ayɛ nea ɛfata.

Nanso sɛ awosu mu tebea bi, mogya anaa nnompe mu yare, anaa kokoram na ɛde cytopenia ba a, ebia ebehia sɛ wɔsa no yare a ɛyɛ den . Ebia ɛho behia sɛ wo duruyɛfo hwɛ wo mogya mu nkwammoaa dodow so na ɔyɛ nhwehwɛmu daa de hwɛ hu sɛ worekɔ so anya apɔwmuden.

Enti, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no nea ebetumi aba sɛ wo ho bɛtɔ wo wɔ wo tebea no ho.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wuhu sɛ wowɔ saa tebea yi a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii. Nsuro. Bisa wo duruyɛfo no nneɛma yi ho asɛm pefee:

• "Cytopenia bɛn na mewɔ?"
• "Dɛn na ɛde me mogya mu nkwammoaa dodow a ɛba fam no reba?"
• "Ayaresa ahorow bɛn na mewɔ?"
• "Dɛn ne saa ayaresa ahorow yi mu nsunsuanso bɔne?"
• "Bere tenten ahe na ebegye ansa na me mogya mu nkwammoaa dodow asan akɔ sɛnea na ɛte kan no?"
• "Bere tenten ahe na ɛsɛ sɛ minya ayaresa? Mpɛn ahe na ɛsɛ sɛ meba bɛyɛ nhwehwɛmu?"
• "So wobetumi asa me tebea no koraa?"

So mogya a ɛtɔ kɔ nipadua mu a ɛma mogya tu ampa?

Eyi nso yɛ beae a nnipa pii adwene tu fra. Mogya a ɛtɔ kɔ nipadua mu yɛ tebea biako pɛ wɔ asɛmfua cytopenia ase . Mogya a ɛtɔ kɔ nipadua mu no yɛ mogya mu nkwammoaa kɔkɔɔ (erythrocytes) dodow a ɛso tew. Ebetumi nso afi protein hemoglobin a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu a ɛso tew. Saa hemoglobin yi na ɛboa ma oxygen kɔ.

Cytopenia yɛ asɛmfua a wɔde gyina hɔ ma mogya mu nkwammoaa biako anaa nea ɛboro saa a ɛso tew . Nea ɛka ho ne mogya a ɛtɔ kɔ nipadua mu (mogya mu nkwammoaa kɔkɔɔ a ɛso tew), leukopenia (mogya mu nkwammoaa fitaa a ɛso tew), neutropenia (neutrophils a ɛso tew), thrombocytopenia (mogya mu nkwammoaa a ɛso tew), ne pancytopenia (nkwaboaa yi nyinaa so tew).

Enti, sɛ wuhu sɛ wo mogya mu nkwammoaa biako anaa nea ɛboro saa sua a, wo ne wo duruyɛfo nkasa ansa na woabɔ hu. Ɛdenam nea ɛde ba so no, ebia wubehia ayaresa anaasɛ wunhia. Wo duruyɛfo ne onipa a oye sen biara a obetu wo fo wɔ eyi ho.

Nea etwa to no, nneɛma bi a ɛho hia a ɛsɛ sɛ wokae

Okay, yɛaka cytopenia ho asɛm pii seesei. Nneɛma atitiriw bi a ɛsɛ sɛ wokae ni:

• Cytopenia yɛ nkwammoaa kɔkɔɔ, nkwammoaa fitaa, anaa mogya nkwammoaa a ɛwɔ wo mogya mu no biako anaa nea ɛboro saa dodow a ɛso tew.
• Ntease pii betumi ama eyi aba; efi aduannuru a wonnya nni so, kosi ɔyare mmoawa, awosu mu tebea horow, kokoram, ne nnuru bi mpo so.
• Nsɛnkyerɛnne no mma obiara ɔkwan koro so . Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Ɔbrɛ, yare a ɛtaa ba, ne akisikuru a ɛnyɛ den abu so.
• Mogya mu nhwehwɛmu a ɛnyɛ den (CBC) betumi ahu eyi. Afei, wobetumi ayɛ nhwehwɛmu foforo de ahu nea ɛde ba.
• Ayaresa no gyina nea ɛde tebea no ba ne sɛnea emu yɛ den so. Ɛtɔ mmere bi a, ɛho nhia sɛ wɔde sa yare biara, ɛtɔ mmere bi nso a wɔsa nea ɛde ba no, na wɔ tebea horow a emu yɛ den mu no, ayaresa titiriw bi wɔ hɔ a ɛma mogya mu nkwammoaa dodow kɔ soro.
• Wobetumi asiw cytopenias ahorow bi ano , titiriw denam aduan a ɛkari pɛ a wobedi ne nsa a wɔnom ano hye so.
• Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ eyi ho a, akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa . Nsuro anaa n’ankasa nsi gyinae.

Kae sɛ, ade a ɛho hia sen biara ne sɛ yebehu saa tebea horow yi sɛnea ɛbɛyɛ a yebetumi ahwehwɛ aduruyɛ mu afotu ntɛm na yɛabɔ bra pa.

` cytopenia, mogya mu nkwammoaa, mogya a ɛtɔ kɔ nipadua mu, leukopenia, thrombocytopenia, nnompe mu ntini, mogya mu nhwehwɛmu