Fa no sɛ woretwitwa nhabannuru wɔ adididan mu na woatwitwa wo nsa wɔ akwanhyia mu. Anaasɛ momma yɛnka sɛ abofra ketewaa bi hwe ase bere a ɔredi agoru na ne kotodwe mu twitwiw. Mfiase no, mogya kakra wɔ hɔ, nanso bere tiaa bi akyi no, sɛ yɛanyɛ hwee mpo a, mogya no gyae ara kwa, ɛnte saa? Eyi nyɛ ade foforo ara kwa. Eyi yɛ ahobammɔ afiri a ɛyɛ nwonwa wɔ yɛn nipadua mu. Wɔ nnuruyɛ mu no, yɛfrɛ eyi mogya a wɔde siw ano . Sɛ yɛbɛka no tiawa a, eyi ne adebɔ mu adeyɛ a ɛma mogya tu fi kuru bi mu gyae na esiesie nipadua no ma ɛsa saa kuru no.
Enti ɔkwan bɛn so na adeyɛ a wɔfrɛ no hemostasis yi ba?
Eyi te sɛ asɛm a ɛyɛ anigye yiye. Asɛmfua hemostasis no yɛ afã abien. "Hemo" kyerɛ "mogya" na "stasis" kyerɛ "sɛ wobɛgyae" anaa "sɛ wobɛkura mu." Sɛ yɛbɛka no tiawa a, ɛkyerɛ "sɛ wobegyae mogya a ɛretu no." Saa adeyɛ yi fi ase wɔ sikɔne kakraa bi mu wɔ opira bi akyi. Ɛyɛ ade a ɛfata sɛ mogya tu fi opira bi mu simma abien kosi ason.
Eyi nyɛ adeyɛ a ɛyɛ anammɔn biako pɛ. Ɛkɔ so wɔ anammɔn ahorow a ɛtoatoa so mu, te sɛ adwumfo kuw bi a wɔn ho akokwaw a wɔbom yɛ adwuma de wie adwuma bi. Momma yɛnhwɛ anammɔn atitiriw anan no.
| Anamɔn a wɔfa so yɛ | Nea ɛba (wɔ nsɛm a ɛnyɛ den mu) . |
|---|---|
| Anamɔn 1: Mogya ntini a ɛyɛ mmerɛw | Mogya ntini (mogya ntini) a ɛwɔ baabi a wɔapira no no mu yɛ den, te sɛ nea wɔrepiapia nsu afiri. Eyi ma mogya no brɛ ase. |
| Anamɔn 2: Bere tiaa mu plug a wobɛyɛ | Nkwammoaa mu nkwammoaa ketewaa bi a ɛsensɛn yɛn mogya mu no de ahopere kɔ baabi a wɔapirapira no na ɛbata ho. Wɔboaboa wɔn ho ano na wɔsɔ kuru no ano bere tiaa bi. Ɛte sɛ nea wode kyɛw ahyɛ toa bi so. Wɔsan frɛ eyi mogya a wɔde siw ano titiriw . |
| Anamɔn 3: Coagulation nkɔnsɔnkɔnsɔn no a wobefi ase | Afei adwuma ankasa no fi ase. Nea ɛwɔ mogya no muProtein ahorow a wɔfrɛ no coagulation factors no yɛ adwuma nnidiso nnidiso, na ɛhyɛ saa bere tiaa mu nsɔano no mu den kɛse. Eyi te sɛ nkɔnsɔnkɔnsɔn mu adeyɛ. Wɔfrɛ eyi mogya a ɛto so abien a ɛma mogya tu . |
| Anamɔn 4: Mogya a ɛtɔ daa a ɛbɛba | Awiei koraa no, mogya nkwammoaa ne protein soronko bi a wɔfrɛ no fibrin bom yɛ mogya a ɛyɛ den yiye a ɛtra hɔ daa, te sɛ birikisi ne atɛkyɛ a wɔde resi ɔfasu. Eyi to kuru no mu koraa. Akyiri yi, bere a kuru no sa no, mogya a atu yi tutu na honam ani hwɛbea foforo ba. |
Sɛ yɛbɛka no tiawa a, mogya a ɛma mogya tu yɛ yɛn nipadua no abɔde mu "plaster." Sɛ yɛannya a, akisikuru ketewaa bi mpo betumi ama mogya atu yɛn pii na ɛde yɛn nkwa mpo ato asiane mu.
Sɛ saa adeyɛ yi ankɔ yiye a, dɛn na ɛba?
Ɛwom sɛ saa adeyɛ yi taa yɛ adwuma yiye de, nanso ɛtɔ mmere bi a ebetumi asɛe. Afei ɔhaw abien betumi asɔre:
1. Hypocoagulability: Eyi ne bere a mogya no ntumi nkɔ yiye bere a ɛho hia no. Kuru ketewaa bi mpo betumi ama mogya atu no akyɛ, na ɛde akuru ne akuru aba.
2. Hypercoagulability: Eyi ne bere a mogya a ɛtɔ gu nipadua no mu bere a ɛho nhia no. Eyi betumi ayɛ nea asiane wom kɛse.
Sɛ mogya a ɛtwetwe no kɔ soro dodo a (Hypercoagulability) .
Eyi yɛ asiane efisɛ mogya a wɔmpɛ a ɛba nipadua no mu (a yɛfrɛ no thrombosis ) betumi afa mogya ntini mu na akɔhyɛ akwaa a ɛho hia te sɛ amemene, koma, ne ahurututu mu. Saa na ɛba.
- Akisikuru: Sɛ mogya a ɛtɔ siw mogya ntini bi a ɛde mogya kɔ amemene no mu no ano a.
- Koma a Ɛyare: Sɛ mogya a ɛtɔ siw mogya ntini bi a ɛde mogya kɔ koma no mu no ano a.
- Pulmonary Embolism: Eyi betumi aba bere a mogya a ɛtwetwe ( Deep Vein Thrombosis - DVT ), a ɛtaa ba wɔ ntini a emu dɔ mu wɔ nan no mu no bubu na ɛkɔhyɛ ntini bi mu wɔ ahurututu no mu no.
Kokoram ahorow bi, awosu mu tebea horow (e.g. Factor V Leiden , Protein C a enni hɔ ), ne aduruyɛ mu tebea afoforo (e.g. Antiphospholipid syndrome , ɔyare mmoawa a emu yɛ den - sepsis ) betumi ama mogya a ɛtwetwe no ayɛ kɛse wɔ saa kwan yi so.
Sɛ mogya a ɛtwetwe no so tew dodo a (Hypocoagulability) .
Eyi ne nea ɛne eyi bɔ abira. Esiane sɛ wo mogya ntumi nkɔ yiye nti, opira biara betumi ayɛ nea asiane wom. Sɛ wotwa ade ketewaa bi mpo a, ebetumi ama mogya atɔ no dodo. Mogya a aniwa nhu nso betumi aba nipadua no mu.
Eyi ho nhwɛso atitiriw ne:
- Hemophilia: Eyi yɛ awosu mu yare a nipadua no ntumi nyɛ nneɛma a ehia ma mogya tu no mu biako anaa nea ɛboro saa.
- Von Willebrand yare: Eyi yɛ awosu mu yare a abu so a ɛte sɛ hemophilia.
- Thrombocytopenia: Nkwammoaa a ɛma mogya tu, a ɛyɛ nkwammoaa titiriw a ɛma mogya tu no so tew. Wobetumi ahu saa tebea yi wɔ kokoram ahorow bi mu (e.g., mogya mu kokoram ).
Wobɛyɛ dɛn ahu sɛ ɔhaw bi te sɛ eyi wɔ hɔ anaa?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo de wo bɛkɔ mogya ho oduruyɛfo nkyɛn. Obebisa wo yare no ho sɛnkyerɛnne na wahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu a ɛho hia.
Saa sɔhwɛ ahorow no bi ne:
- Mogya Dodow a Edi Mu (CBC) .
- Nkwammoaa mu nkwammoaa dodow
- Mogya Bere
- Prothrombin Bere (PT) .
- Thromboplastin Bere a Wɔde Di Dwuma (aPTT) .
- Fibrinogen dodow a ɛwɔ nipadua no mu
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wowɔ sɛnkyerɛnne bi a, ɛnsɛ sɛ wubu w’ani gu so da . Eyinom betumi ayɛ nneɛma a egye ntɛmpɛ.
| Nsɛnkyerɛnne no fã | Nneɛma a ɛsɛ sɛ wohwɛ so yiye |
|---|---|
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya akɔ soro (Hypercoagulability) - Eyinom yɛ ntɛmpɛ, kɔ ETU ntɛm ara! | |
| Amemene (obubuafo) . | Nipadua no fã biako a ɛyɛ mmerɛw, ɛyɛ den sɛ ɔbɛkasa, anim no fã biako a ɛbɛhwe ase, tiyɛ a emu yɛ den. |
| Koma (komayare) . | Koko mu yaw, ahome a ɛyɛ den, mmerɛwyɛ, koma a ɛbɔ ntɛmntɛm, akisikuru. |
| Wɔ ahurututu mu (Pulmonary Embolism) . | Ɔhome a ɛyɛ tiaa mpofirim, koko mu yaw, mogya a ɔfe, anofafa anaa nsateaa ano bruu, ɔtotɔ piti. |
| Wɔ nan no mu (DVT) . | Ɛyaw, ɔfe, ne kɔkɔɔ wɔ asen no fã anaa baabi foforo wɔ nan no so. |
| Hypocoagulability ho sɛnkyerɛnne - sɛ wowɔ eyinom a, wo ne wo duruyɛfo nkasa. | |
| Nneɛma a ɛtaa ba | • Mogya a ɛtaa tu fi hwene mu na ɛyɛ den sɛ wubegyae. • Mogya a ɛba wo sẽ mu bere a worehohoro wo sẽ no. • Kuru ketewaa bi mpo mogya tu bere tenten. • Akuru (nsonsono bruu/kɔla kɔkɔɔ) wɔ nipadua no so a ntease biara nnim. |
Nkrasɛm a Wɔde Kɔ Fie
- Hemostasis yɛ adebɔ mu adeyɛ a ɛho hia a ɛnam so ma yɛn nipadua no gyae mogya a efi opira bi mu ba.
- Eyi yɛ adeyɛ a ɛyɛ den a ɛfa anammɔn pii ho.
- Ɛtɔ mmere bi a, saa adeyɛ yi betumi asɛe. Tebea abien no nyinaa a wɔfrɛ no hypercoagulability anaa hypocoagulability no betumi ayɛ asiane.
- Nsɛnkyerɛnne te sɛ koko mu yaw mpofirim, ahome a ɛyɛ den, anaa nipadua no fã biako a n’adwene mu yɛ no naa no betumi ayɛ mogya a atu ho sɛnkyerɛnne. Wɔ tebea horow a ɛtete saa mu no, kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
- Sɛ worepirapira a ntease biara nnim, anaasɛ mogya retu wo pii esiane akuru nketenkete nti a, mmu w’ani ngu so na akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa .
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