Wokae bere a wohwee ase na wo kotodwe mu paapaee bere a na woredi agoru bere a na woyɛ abofra no? Bere a wo maame hohoroo ho, de nnuru guu so, na ɔde plaster guu so no, mogya no gyaee bere tiaa bi akyi. Ɛno yɛ ade a ɛfata. Nanso ɛtɔ mmere bi a, kuru ketewaa mpo nnyae mogya nkyɛ, ɛnte saa? Anaasɛ ebia nnipa binom behu ara kwa sɛ wɔn nipadua reyɛ bruu wɔ mmeae bi. Nea enti a nneɛma a ɛte sɛɛ ba no betumi ayɛ protein soronko bi a yenni wɔ yɛn mogya mu. Ɛnnɛ, yɛreka mogya mu nhwehwɛmu bi a ɛho hia paa a nnipa pii ntee ho asɛm, nanso ɛyɛ biribi a yɛrehwehwɛ mu.
Sɛ yɛbɛka no tiawa a, dɛn ne fibrinogen?
Okay, momma yɛmfa no saa kwan yi so. Fibrinogen yɛ protein soronko bi a wɔyɛ wɔ yɛn mmerɛbo mu. Ɛte sɛ yɛn nipadua "abɔde mu plaster." Sɛ woatwitwa anaa woabɔ wo nipadua no baabiara a, fibrinogen protein yi de ahopere ba mu na ɛboa ma mogya no gyae.
Fa no sɛ sɛ wotwa wo nipadua no baabi a, fibrinogen te sɛ ‘semɛnte’ a ɛba bɛto kuru no mu. Saa protein yi ne nkwammoaa afoforo a ɛwɔ mogya no mu (platelets) yɛ ahama twa kuru no ho hyia na ɛto mu. Ɛno na mogya no gyae. Yɛfrɛ saa adeyɛ yi mogya a ɛtɔ . Enti susuw ho hwɛ, sɛ ‘semɛnte’ anaa fibrinogen protein yi so tew wɔ yɛn mogya mu a, dɛn na ɛba? Sɛnea wuntumi nsi ɔfasu a semɛnte nka ho no, ɛbɛyɛ den sɛ wubegyae mogya a efi kuru ketewaa bi mpo mu.
Tebea bɛn mu na oduruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ?
Mpɛn pii no, oduruyɛfo nhyɛ sɛ wɔnyɛ fibrinogen nhwehwɛmu yi ntɛm ara. Ɛyɛ bere a wohwɛ sɛnkyerɛnne ahorow bi a wo nipadua no reda no adi anaasɛ wode toto nhwehwɛmu amanneɛbɔ afoforo ho nkutoo na w’adwene mu yɛ wo naa. Ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow no yɛ.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Mogya a ɛtaa tu fi anom | Sɛ ɛnyɛ bere a worehohoro wo sẽ nko na mogya tu wo ntini mu, na mmom bere a wugyina hɔ ara kwa nso. |
| Mogya a ɛtaa tu fi hwene mu | Sɛ mogya taa tu wo hwene mu a ntease biara nnim a. |
| Akuru a wontumi nkyerɛkyerɛ mu wɔ nipadua no so | Sɛ wɔanbɔ wo wɔ baabiara, na mmom wo nipadua no dan bruu na ɛda adi te sɛ akuru. |
| Mogya a ɛwɔ nsu anaa nsu mu | Sɛ wo nsuo yɛ kɔkɔɔ/tum anaa wuhu mogya wɔ wo nsuo mu a. |
| Mogya a wɔfefe | Sɛ wɔde mogya fra mucus a. |
| Mogya a ɛtɔ wɔ aduan mu | Nsɛnkyerɛnne te sɛ yafunu mu yaw, ɔfe ne mogya a ɛtɔ. |
Wɔ sɛnkyerɛnne ahorow te sɛ eyinom akyi no, oduruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ esiane nneɛma afoforo pii nti.
- Nneɛma a ɛnteɛ wɔ mogya mu nhwehwɛmu afoforo mu: Sɛ nea efi nhwehwɛmu ahorow a ɛkyerɛ sɛnea wo mogya a ɛtɔ ntɛmntɛm te sɛ Prothrombin Time (PT) ne Activated Partial Thromboplastin Time (APTT) , mu ba no nyɛ nea ɛfata a, wobetumi aka akyerɛ wo sɛ yɛ fibrinogen nhwehwɛmu yi na woahu nea ɛde ba.
- Wosusuw sɛ mogya a ɛtwetwe: Sɛ wo duruyɛfo susuw sɛ wowɔ mogya a ɛma mogya tu a.
- Ayaresa mu tebea horow a emu yɛ den: Wɔhyɛ sɔhwɛ yi wɔ nsɛm a ɛfa aduruyɛ mu tebea horow a emu yɛ den te sɛ Disseminated Intravascular Coagulation (DIC) .
- Nyinsɛn a wɔtow gu mpɛn pii: Wobetumi de eyi nso aka nhwehwɛmu ahorow a wɔyɛ de hwehwɛ nea ɛde ba ma mmea a wɔsan nyinsɛn no ho.
- Nyarewa a wonya fi awo mu: Sɛ obi wɔ abusua no mu wɔ mogya a ɛtwetwe ho haw a.
So fibrinogen a enni nipadua mu no ahorow bi wɔ hɔ?
Aane. Wobetumi akyekyɛ tebea yi mu ayɛ no ahorow abiɛsa titiriw. Mpɛn pii no, awosu mu nneɛma na ɛde eyinom ba, kyerɛ sɛ, awosu mu nneɛma.
| Nneɛma a Ɛho Hia | Kyerɛ | Nea ɛtaa ba |
|---|---|---|
| Afbrinogenemia a ɛma mogya tu | Fibrinogen protein a enni mogya no mu koraa . | Ɛho yɛ na koraa, na ɛba bɛyɛ nnipa ɔpepem biako biara mu biako mu. |
| Hypofibrinogenemia a ɛma mogya tu | Fibrinogen dodow a ɛba fam sen sɛnea ɛte daa wɔ mogya no mu. | Ɛtaa ba sen afibrinogenemia. |
| Dysfibrinogenemia a ɛma mogya tu | Ɛwom mpo sɛ fibrinogen dodow yɛ nea ɛfata de, nanso ɛnyɛ adwuma yiye . | Eyi nso abu so koraa, nanso ɛyɛ den sɛ wobehu efisɛ nnipa pii nkyerɛ yare no ho sɛnkyerɛnne. |
Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?
Eyi ne ɔfã a eye sen biara. Mpɛn pii no, sɔhwɛ yi nhia ahosiesie titiriw biara . Ɛho nhia sɛ wudi mmuada anaa woyɛ biribi foforo biara.
Nanso ade biako wɔ hɔ a ɛho hia: Sɛ worenom biribiara a ɛma wo mogya yɛ mmerɛw te sɛ nnuru a ɛma mogya yɛ mmerɛw a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Obetu wo fo sɛ ebia ɛsɛ sɛ wugyae nom nna kakraa bi ansa na wɔayɛ sɔhwɛ no anaasɛ ɛnsɛ sɛ wonom.
Afotu foforo ne sɛ wobɛnom nsu pii ansa na woakɔyɛ sɔhwɛ no. Eyi bɛma ayɛ mmerɛw kɛse ama onipa a ɔregye mogya no sɛ obehu wo ntini no na watwe mogya efisɛ wo ntini bɛyɛ ma.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no? So ɛyɛ yaw?
Eyi te sɛ nea wɔyɛ mogya mu nhwehwɛmu daa ara pɛ. Wunni biribiara a enti ɛsɛ sɛ wusuro.
1. Nea edi kan no, ɔyarehwɛfo anaa oduruyɛfo bi bɛpaw ntini a ɛfata afi wo basa mu, a ɛbɛn wo nsateaa.
2. Afei fa biribi te sɛ nsa tew beae no yiye.
3. Afei, wɔde ade ketewaa bi hyɛ ntini no mu na wɔboaboa mogya dodow a ɛho hia ano gu afiri ketewaa bi mu.
4. Sɛ wɔtwe mogya no wie a, woyi ade no na wɔde kotoku anaa gauze pad bi gu beae no so na wɔde mia so.
Adeyɛ no nyinaa gye simma kakraa bi pɛ. Sɛ wɔde ade no hyɛ mu a, ɛyɛ yaw kakra, nanso ɛkɔ wɔ sikɔne kakraa bi mu.
Sɛ wɔyɛ sɔhwɛ no wie a, wubetumi akɔ fie akɔtoa wo dwumadi ahorow a wotaa yɛ no so. Ɔhaw biara nni ɛno ho. Beae a wɔde ade no guu mu no betumi ayɛ bruu kakra anaasɛ ɛyɛ yaw kakra. Eyi befi hɔ koraa wɔ da koro anaa nnanu mu. Eyi yɛ ade a ɛfata.
Dɛn na amanneɛbɔ no kyerɛ?
Wɔbɛsɔ wo mogya ahwɛ wɔ lab na wɔasusu fibrinogen dodow a ɛwɔ mu. Mpɛn pii no, ɛsɛ sɛ ɔpanyin a ɔwɔ apɔwmuden fibrinogen dodow yɛ gram 2 kosi 4 wɔ lita biara mu (2-4 g/L) anaasɛ miligram 200 kosi 400 wɔ deciliter biara mu (200-400 mg/dL) .
Sɛ wo sɔhwɛ mu aba no nnu saa dodow a ɛfata yi a, ebetumi akyerɛ sɛ:
- Wowɔ fibrinogen a enni nipadua no mu.
- Fibrinogen a wɔyɛ no so atew esiane mmerɛbo mu yare bi nti.
- Aduan pa a wonnya nni a emu yɛ den.
Sɛ nea efi mu ba no dɔɔso sen sɛnea ɛte daa a, ebetumi afi ɔyare mmoawa, kokoram, komayare, anaa ɔfe bi a ɛwɔ nipadua no mu.
Nea ɛho hia sen biara ne sɛ, nhuruw nkɔ nsɛm a egyina akontaabu a ɛwɔ amanneɛbɔ yi mu so. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛkyerɛkyerɛ nea w’amanneɛbɔ no kyerɛ ankasa mu akyerɛ wo, nea enti a ɛwɔ hɔ, ne nea ɛsɛ sɛ woyɛ akyi.
Sɛ fibrinogen sua a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ nea efii wo nhwehwɛmu mu bae no si so dua sɛ wo fibrinogen dodow sua a, wo duruyɛfo bɛkyerɛ wo ayaresa a ɛho hia. Ayaresa no begyina sɛnea wo fibrinogen dodow sua, sɛnea wo sɛnkyerɛnne ahorow te, ne w’akwahosan nyinaa so.
Ayaresa titiriw no taa yɛ sɛ wɔde fibrinogen nneɛma bɛma denam nkyene aduru (a wɔde fa ntini mu - IV) so. Wobetumi de eyi ama da biara anaasɛ da abien biara.
Wɔkamfo saa ayaresa yi kyerɛ titiriw wɔ nsɛm a asiane kɛse wom sɛ mogya bɛtu no mu. Nhwɛsoɔ:
- Wɔ akwanhyia kɛse bi akyi.
- Ansa na wɔbɛyɛ oprehyɛn a wɔayɛ ho nhyehyɛe.
- Bere a woawo ba anaasɛ bere a woawo awie no.
Saa ayaresa yi betumi ama fibrinogen dodow a ɛwɔ wo mogya mu no asan ayɛ nea ɛfata na asiw mogya a ɛbɛtɔ dodo ano.
Nkrasɛm a Wɔde Kɔ Fie
- Fibrinogen yɛ protein a wɔyɛ wɔ mmerɛbo mu a ɛho hia ma mogya a ɛtwetwe wɔ yɛn nipadua mu.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛtɔ kɛse a wontumi nkyerɛkyerɛ mu, mogya a ɛtaa tu wo hwene mu, anaasɛ akisikuru a wontumi nkyerɛkyerɛ mu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
- Fibrinogen nhwehwɛmu no yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye a asiane biara nni ho. Ɛho nhia sɛ wosuro no.
- Mma wo ho nnpopo anaasɛ wo ho nnyɛ wo ho nhwehwɛmu bere a woahu nhwehwɛmu no mu aba akyi. Wo ne wo duruyɛfo nka ho asɛm bere nyinaa.
- Sɛ wo fibrinogen dodow sua a, ayaresa a etu mpɔn wɔ hɔ. Wo duruyɛfo bɛkamfo ayaresa a eye sen biara ama wo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment