So wowɔ saa sɛnkyerɛnne ahorow yi nso? Momma yensua Hemolytic Anemia ho ade wɔ nsɛm a ɛnyɛ den mu!

So wote nka sɛ woabrɛ bere nyinaa, anaasɛ wobrɛ paa? So ɛtɔ mmere bi a wote nka sɛ ɛyɛ den ma wo kakra sɛ wobɛhome, anaasɛ wo koko rebɔ ntɛmntɛm? So obi aka akyerɛ wo pɛn sɛ wo honam ani kɔla ne w’ani fitaa adan kɔkɔɔ kakra? Saa nneɛma yi betumi ayɛ tebea bi a wɔfrɛ no Hemolytic Anemia a yɛrebɛka ho asɛm nnɛ no ho sɛnkyerɛnne. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm nnɛ wɔ ɔkwan a ɛyɛ tẽẽ na ɛnyɛ den so. Efisɛ tebea yi a wubehu no ho hia wo ne w’abusua yiye.

Dɛn ne Hemolytic Anemia? Sɛ yɛbɛka no tiawa a...

Nkwammoaa bi a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ wɔ yɛn mogya mu. Eyi ne nea yɛfrɛ no `(Red Blood Cells)`. Saa mogya mu nkwammoaa kɔkɔɔ yi de mframa pa kɔ yɛn nipadua nyinaa mu. Fa no sɛ, wɔte sɛ lɔre nketewa a wɔkyekyɛ mframa pa kɔ yɛn nipadua akwaa nyinaa. Mpɛn pii no, mogya mu nkwammoaa kɔkɔɔ bi a ɛwɔ obi a ɔwɔ apɔwmuden nipadua mu no tra ase bɛyɛ nnafua 120. Ɛno akyi no, wowuwu, na wɔhyehyɛ nkwammoaa foforo si wɔn ananmu. Eyi ne adeyɛ a ɛtaa ba.

Nanso, wɔ tebea bi a wɔfrɛ no Hemolytic Anemia mu no, mogya mu nkwammoaa kɔkɔɔ yi sɛe anaasɛ ɛsɛe ansa na bere a ɛsɛ, kyerɛ sɛ, ansa na nnafua 120 adu. Dɛn na ɛba saa bere no? Yɛn nnompe mu ntini (beae a ɛwɔ nnompe no mu a ɛyɛ saa nkwammoaa yi) ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ foforo mfa nsiesie nea ɛho yɛ na no, a ɛkyerɛ sɛ nkwammoaa no sɛe ntɛmntɛm sen sɛnea wɔyɛe no. Ɛno ne bere a mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ nipadua no mu no so tew, na mogya a ɛtɔ kɔ nipadua no mu, kyerɛ sɛ mogya a enni nipadua no mu no ba. Hemolytic anemia yɛ mogya a ɛtɔ kɔ nipadua mu a ɛba esiane mogya mu nkwammoaa kɔkɔɔ a ɛpaapae ntɛmntɛm nti.

So mogya a ɛtɔ kɔ nipadua mu no ahorow afoforo wɔ hɔ?

Yiw, nokwarem no, nneɛma pii na ɛde mogya a ɛtɔ kɔ nipadua mu, anaa nea yɛfrɛ no "mogya dodow a ɛba fam" ba.

• Ɛtɔ da bi a, sɛ nipadua no hwere mogya pii dodo esiane opira anaa yare bi nti a, mogya mu nkwammoaa kɔkɔɔ tumi so tew.
• Mmere foforo nso, mogya mu nkwammoaa kɔkɔɔ a ɛba no so tew anaasɛ ɛnhyehyɛe a ɛmfata te sɛ dade a enni nipadua mu no betumi afi mogya a ɛtɔ kɔ nipadua mu no aba.

Hemolytic anemia ntaa mma kakra te sɛ mogya a ɛtɔ kɔ nipadua mu a nneɛma afoforo yi de ba no, nanso ɛyɛ tebea a ɛsɛ sɛ yɛhaw yɛn ho nso.

Sɛ wɔannya mogya a ɛtɔ kɔ nipadua mu a ɛma mogya tu a, dɛn na ɛba?

Eyi yɛ asɛm a ɛho hia paa. Ebia nnipa binom besusuw sɛ, "Oo, sɛ mogya sua kakra wɔ wo nipadua mu a, dɛn na ɛba?" Nanso, sɛ mogya a ɛtɔ kɔ mogya mu no mu yɛ den na wɔansa no yiye a, ebetumi de komayare a emu yɛ den aba.

Eyi kyerɛ sɛ saa tebea yi betumi ayɛ nea emu yɛ den, na ɛde komayare mpo, te sɛ koma a ɛnyɛ den, koma mu ntini mu yare, ne koma a entumi nyɛ adwuma yiye. Ɛno nti na ɛnyɛ adwene pa sɛ yɛbɛfa eyi adewa no.

Henanom na wobetumi anya saa tebea yi?

mogya a ɛtɔ kɔ mogya mu no ahorow pii wɔ hɔ. Saa ahorow yi mu biara betumi aka obiara, wɔ mfe biara mu, abusuakuw biara mu, na ɛmfa ho sɛ ɔyɛ ɔbarima anaa ɔbea.Enti nsusuw sɛ, "Ɛrento me." Ɛyɛ papa sɛ yɛn nyinaa behu eyi.

Nsonsonoe bɛn na ɛda Hemolytic Anemia ne Autoimmune Hemolytic Anemia (AIHA) ntam?

Momma yɛnkyerɛkyerɛ eyi mu kakra. Autoimmune Hemolytic Anemia (AIHA) yɛ tebea a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa (nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho) di mfomso kyerɛ yɛn ankasa mogya mu nkwammoaa kɔkɔɔ sɛ "ɔtamfo". Afei ɛyɛ nnuru a ɛko tia nyarewa a ɛsɛe saa nkwammoaa no. Eyi ma mogya mu nkwammoaa kɔkɔɔ no sɛe na ɛma mogyatɔw.

Sɛ ɛba mogya a ɛtɔ kɔ mogya mu wɔ ɔkwan a ɛkɔ nipadua so nyinaa so a, ebetumi afi nneɛma ahorow bi mu aba, a awosu mu nneɛma, ɔyare mmoawa, ne nnuru bi ka ho. `AIHA` yɛ mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu.

Dɛn na ɛde Hemolytic Anemia ba?

Nneɛma atitiriw pii nti na ɛde tebea yi ba. Momma yɛnhwɛ wɔn mmiako mmiako.

1. Tebea horow a wonya fi awo mu

Ɛtɔ da bi a eyi betumi ayɛ awosu, a ɛkyerɛ sɛ ɛyɛ biribi a efi awo ntoatoaso so kɔ awo ntoatoaso so.

• Sickle Cell Anemia: Eyi yɛ tebea a mogya mu nkwammoaa kɔkɔɔ no nyɛ kurukuruwa, na mmom ɛyɛ nea ɛnteɛ te sɛ sickle. Saa nkwammoaa a ɛnteɛ yi kɔhyɛ mogya ntini nketenkete a ɛwɔ akyi berɛmo no mu mu na ɛbubu ntɛmntɛm.
• Thalassemia: Eyi nso yɛ mogya mu yare a wonya fi awo mu. Wɔ eyi mu no, nipadua no nso ma mogya mu nkwammoaa kɔkɔɔ a ɛnteɛ. Wɔsɛe wɔn nso ntɛmntɛm paa. Ebia wunim sɛ thalassemia ayarefo wɔ yɛn man yi mu nso.
• G6PD Deficiency: Eyi yɛ awosu mu tebea. G6PD yɛ enzyme a ɛbɔ mogya mu nkwammoaa kɔkɔɔ ho ban. Sɛ saa enzyme yi sua a, ɛnyɛ den sɛ mogya mu nkwammoaa kɔkɔɔ no sɛe bere a wɔde wɔn ho ahyɛ ɔyare mmoawa anaa nnuru bi mu no.

2. Nyarewa a wɔde nyarewa ba

Hemolytic anemia nso betumi afi nyarewa bi te sɛ ɔyare mmoawa mu aba.

• Malaria: Wɔ saa yare a nwansena de ba yi mu no, asramma mmoawa hyɛn yɛn mogya mu. Sɛ wɔansa asramma yiye a, ebetumi ama mogya atɔ mogya a ɛma mogya tu.
• Rocky Mountain Spotted Fever: Eyi yɛ ɔyare mmoawa a ntontom (Rickettsia rickettsii) de ba.
• Haemophilus influenzae yare: Eyi yɛ ɔyare mmoawa a ɔyare mmoawa H. influenzae de ba.
• HIV (Human Immunodeficiency Virus): Saa mmoawa yi de tebea bi a wɔfrɛ no AIDS (Acquired Immune Deficiency Syndrome) ba. Nnipa a wɔanya HIV no nso wɔ asiane mu sɛ wobenya mogya a ɛtɔ kɔ mogya mu.

3. Nnuru Binom

Hemolytic anemia nso betumi aba sɛ nnuru bi mu nsunsuanso bɔne. Nanso, ɛnyɛ obiara a ɔnom nnuru yi na obenya saa tebea yi. Wo duruyɛfo bɛhwɛ w’akwahosan ho abakɔsɛm mu na wahu sɛ saa aduru yi fata wo anaa.

Nhwɛso ahorow bi:

• `Penicillin` (aduru a ekum ɔyare mmoawa) .
• `Quinine` (aduru a wɔde sa asramma) .
• Methyldopa (aduru a wɔde sa mogya mmoroso) .
• Sulfonamides (aduru a ɛko tia ɔyare mmoawa) .

4. Nneɛma afoforo nti

Nea ɛka ho no, ɛtɔ mmere bi a mogya mu nkwammoaa kɔkɔɔ betumi apaapae, te sɛ bere a wɔde mogya a efi mogya a ɛne ne ho nhyia mu rema no.

Dɛn ne Hemolytic Anemia ho sɛnkyerɛnne ahorow?

Saa sɛnkyerɛnne ahorow yi betumi ayɛ nea emu nyɛ den koraa wɔ nnipa binom fam, na emu yɛ den kɛse wɔ afoforo fam. Ebetumi apue mpofirim anaasɛ bere kɔ so no, enyin nkakrankakra. Nsɛnkyerɛnne titiriw a wobetumi ahu ne:

• Jaundice: Eyi yɛ honam ani, sclera, ne mucous membranes (te sɛ ano mu) a ɛyɛ kɔkɔɔ. Eyi ba bere a ade bi a wɔfrɛ no bilirubin a ɛba bere a mogya mu nkwammoaa kɔkɔɔ asɛe no mogya mu nkɔanim no.
• Ɔhome a ɛyɛ den: Sɛ mogya mu nkwammoaa kɔkɔɔ a ɛde mframa pa kɔ nipadua no mu nyinaa so tew a, ebia wobɛte nka sɛ wo home yɛ den na woate nka sɛ worebɔ mframa.
• Ɔbrɛ: Ɔbrɛ a ɔte nka bere nyinaa na ontumi nyɛ hwee. Ebia wobɛte nka sɛ woabrɛ araa ma wuntumi nyɛ da biara da nnwuma mpo.
• Tachycardia: Nkate a ɛkyerɛ sɛ koma no rebɔ ntɛmntɛm dodo. Sɛ koma no bɔ ntɛmntɛm dodo a, ennya bere mfa mogya nhyɛ mu ma yiye, na entumi mma nipadua no mframa pa a ehia.
• Hypotension: Mogya mmoroso a ɛba fam koraa sen sɛnea na wɔhwɛ kwan.
• Hematuria: Mogya a ɛwɔ nsu mu . Eyi taa ba nnipa a wɔwɔ sickle cell anemia mu titiriw.
• Akisikuru anaa mmerɛbo a ɛtrɛw: Akisikuru ne mmerɛbo no na ɛma mogya mu nkwammoaa kɔkɔɔ a abubu na ayɛ dedaw a ɛwɔ yɛn nipadua mu no yiyi na ɛsɛe. Sɛ mogya mu nkwammoaa kɔkɔɔ no mu paapae dodo a, saa akwaa yi betumi ahonhon na ayɛ kɛse efisɛ ɛsɛ sɛ wɔyɛ adwumaden.

So mogya a ɛtɔ kɔ nipadua mu betumi ayɛ aduruyɛ mu asɛm a egye ntɛmpɛ?

Yiw, ɛtɔ mmere bi a mogya a ɛtɔ kɔ nipadua mu no betumi ayɛ nea egye ntɛmpɛ. Yɛfrɛ no mogya a ɛtɔ kɔ nipadua mu a emu yɛ den. Eyi ba bere a mogya pii sa wo mpofirim, anaa bere a wo mogya mu nkwammoaa kɔkɔɔ no fi ase sɛe ntɛmntɛm paa no. Eyi yɛ ma nnipa te sɛ:

• Ebia wobɛte nka sɛ woayɛ mmerɛw kɛse .
• Ebia koma no bɛte nka sɛ ɛrebɔ denneennen na ɛrebɔ ntɛmntɛm .
• Ebia ɛbɛyɛ den sɛ wobɛhome .

Sɛ saa sɛnkyerɛnne ahorow yi ba mpofirim a, ebetumi ayɛ nea egye ntɛmpɛ. Sɛ ɛba saa a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Wobɛyɛ dɛn ahu sɛ wowɔ mogya a ɛtɔ kɔ mogya mu?

Sɛ wowɔ saa nsɛnkyerɛnne yi a, sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nea edidi so yi:

• Wo aduruyɛ ho abakɔsɛm a edi mũBisa ho asɛm. Titiriw no, bisa sɛ ebia abusua no mu obi anya mogya a ɛtɔ kɔ nipadua no mu anaa.
• Wobebisa sɛ ebia woanya ɔyare mmoawa bi nnansa yi anaa nnuru bɛn na worenom , efisɛ eyinom betumi ama mogya atɔ wo mu.
• Wɔbɛyɛ nipadua mu nhwehwɛmu , na ɛbɛhwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya atɔ mogya, akisikuru, ne akyi berɛmo anaa mmerɛbo a ɛho ahonhon.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Nnuruyɛfo taa yɛ mogya mu nhwehwɛmu mpɛn pii de hu mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu. Ebia wɔbɛsɔ awosu mu agyiraehyɛde ahorow nso ahwɛ sɛ ebia efi awosu mu anaa.

Mogya mu Nhwehwɛmu a Edi Kan:

Ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛhwɛ sɛ wo yare no ho sɛnkyerɛnne no fi mogya a ɛtɔ kɔ nipadua mu ankasa anaa.

• Mogya Dodow a Edi Mu (CBC): Eyi hwɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa dodow a ɛwɔ wo mogya mu, wo mogya mu nkwammoaa kɔkɔɔ no kɛse, hemoglobin dodow, protein a ɛde mframa pa kɔ, ne hematocrit, a ɛkyerɛ baabi a wo mogya mu nkwammoaa kɔkɔɔ no wɔ wɔ wo mogya mu no.

Sɔhwɛ Pɔtee Afoforo:

Sɛ CBC no si so dua sɛ mogya a ɛtɔ mogya mu no a, wɔyɛ nhwehwɛmu foforo de hu mogya a ɛtɔ kɔ nipadua no mu ko pɔtee a ɛyɛ, sɛ ebia ɛyɛ mogya a ɛtɔ kɔ mogya mu anaa.

• Coombs Test (Direct Antiglobulin Test): Eyi hwɛ sɛ mogya a ɛkɔ nipadua mu a ɛma mogya tu a nipadua no tumi ko tia (AIHA) anaa.
• Reticulocyte Dodow: Reticulocytes yɛ mogya mu nkwammoaa kɔkɔɔ a ennyinii. Saa nhwehwɛmu yi hwɛ sɛ nnompe mu ntini no reyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw anaa.
• Haptoglobin Sɔhwɛ: Haptoglobin yɛ protein a woyi fi mogya mu nkwammoaa kɔkɔɔ a abubu mu. Protein yi a ɛba fam no kyerɛ sɛ wɔrebubu mogya mu nkwammoaa kɔkɔɔ.
• Lactate Dehydrogenase (LDH): LDH yɛ enzyme bi a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. LDH dodow a ɛkɔ soro no kyerɛ sɛ wɔresɛe mogya mu nkwammoaa kɔkɔɔ pii.
• Bilirubin a Ɛnyɛ Conjugated: Wɔyɛ bilirubin bere a mogya mu nkwammoaa kɔkɔɔ no asɛe no. Saa sɔhwɛ yi susuw bilirubin a wɔmfa nkabom a mmerɛbo no yɛ no dodow. Eyi dodow a ɛkɔ soro no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ wɔrebubu mogya mu nkwammoaa kɔkɔɔ pii dodo.
• Peripheral Blood Smear: Eyi hwehwɛ sɛ wɔfa mogya bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu hwɛ sɛ ebia nkwammoaa kɔkɔɔ no nsusuwii ne ne kɛse nyɛ nea ɛfata anaa.
• Hemoglobin Electrophoresis: Eyi hwehwɛ protein a ɛwɔ hemoglobin mu no mu. Ɛboa ma wohu tebea horow te sɛ thalassemia ne sickle cell.

Ɔkwan bɛn so na wɔsa Hemolytic Anemia?

Wɔkyerɛ akwan a wɔfa so sa yareEgyina nea ɛde yare no bae ne sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den no so.

Sɛ nhwɛso no, sɛ wo duruyɛfo susuw sɛ mogya atɔ wo kɛse a, ebia obedi kan ama wo mogya na ama wo mogya mu nkwammoaa kɔkɔɔ dodow agyina. Afei, wɔbɛhwehwɛ na wɔasa nea ɛde mogya a ɛtɔ kɔ nipadua no mu no titiriw (sɛ nhwɛso no, ɔyare mmoawa, aduru bi mu nsunsuanso bɔne, awosu mu tebea bi).

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu no so?

Nneɛma pii wɔ hɔ a ebetumi ama mogya atɔ mogya a ɛma mogya tu a yentumi nni so. Sɛ nhwɛso no, ebetumi afi opira anaa awosu mu tebea bi mu aba.

Nanso, ade a ɛho hia sen biara a wubetumi ayɛ ne sɛ wo ne oduruyɛfo bɛkasa afa ho ntɛm ara, sɛ wuhu mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne bi a. Eyi betumi aboa wo ma woahu tebea no na woafi ase sa yare ntɛm, na ɛbɛtew asiane a ɛwɔ hɔ sɛ wubenya tebea horow a emu yɛ den no so.

Sɛ mewɔ Hemolytic Anemia a, dɛn na metumi ahwɛ kwan?

Eyi betumi ayɛ soronko wɔ onipa biara ho. Ɛtɔ mmere bi a mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu no betumi ayɛ tebea bi a emu yɛ den a ɛde ba a ebia ebehia sɛ wɔsa no bere tenten ho sɛnkyerɛnne.

Mmere foforo nso, ebetumi ayɛ nea obi yɛ wɔ ɔyare mmoawa anaa aduru bi ho. Wɔ tebea horow a ɛtete saa mu no, ɔyare mmoawa no a wɔbɛsa anaasɛ wɔbɛsesa aduru no betumi asa yare no koraa.

Mɛyɛ dɛn ahwɛ me ho? / Mɛyɛ dɛn ahwɛ m’akwahosan so?

Nnuruyɛfo betumi asa wo mogya a ɛtɔ wo mogya a ɛma mogya tu no. Sɛ wo ho tɔ wo wie a, saa nneɛma yi betumi aboa wo ma woanya apɔwmuden na asiw tebea no ano bio:

• Di aduan pa a vitamin B12, C, ne B9 (folic acid) pii wom. Wubetumi ne aduannuru ho ɔbenfo nso akasa na woasua pii afa nnuan a ɛboa ma wo mogya mu nkwammoaa kɔkɔɔ no mu yɛ den ho.
• Nom nsu dodow biara a wo nipadua hia.
• Yɛ apɔw-mu-teɛteɛ daa. Nanso, kɔ wo duruyɛfo nkyɛn wɔ sɛnea wobɛteɛteɛ w’apɔw mu dwoodwoo ho.
• Kwati ɔyare mmoawa. Hohoro wo nsa mpɛn pii na twe wo ho fi nnipa a wɔyare ho.
• Yɛ wo yare no ho sɛnkyerɛnne ahorow ho kyerɛwtohɔ. Sɛ nsakrae bi ba wo yare no ho sɛnkyerɛnne mu a, ka kyerɛ wo duruyɛfo.

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Hemolytic anemia yɛ tebea a ɛba bere a wo mogya mu nkwammoaa kɔkɔɔ no sɛe no. Ebetumi afi awosu mu nneɛma, ɔyare mmoawa, anaa nnuru bi mu aba. Ɛmfa ho nea ɛde ba biara no, wo duruyɛfo no behu nea ɛde ba no na wasa. Sɛ wofi ase sa yare ntɛm a, ebetumi ama nsonsonoe ada sɛnea wo ho bɛtɔ wo anaasɛ wo ho bɛtɔ wo no mu.

Ɛtɔ mmere bi a mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu ho sɛnkyerɛnne betumi ayɛ te sɛ yare a ɛfata, a ɛnyɛ den koraa. Nanso, wunim wo nipadua yiye.Sɛ yare bi a ɛtaa ba no gye bere tenten sen sɛnea ɛtaa ba ansa na asa, anaasɛ wunya sɛnkyerɛnne foforo a ɛyɛ soronko a, ɛnka akyi dodo da sɛ wo ne oduruyɛfo bɛkasa. Ayaresa a wɔde ma ntɛm no betumi aboa wo ma wo ho atɔ wo ntɛmntɛm!

` Hemolytic anemia, mogya a ɛtɔ kɔ nipadua mu, mogya mu nkwammoaa kɔkɔɔ, mogya, sɛnkyerɛnne, ayaresa, nea ɛde ba