Wote nka sɛ woayɛ mmerɛw? Wote nka sɛ mogya sua? Eyi betumi ayɛ Macrocytic Anemia!

So wote nka sɛ woabrɛ bere nyinaa? So ɛtɔ mmere bi a wote nka sɛ wunni ahoɔden na ɛyɛ den sɛ wobɛhome? Ebia eyinom nyɛ ɔbrɛ ara kwa. Ebia ɔhaw ketewaa bi nso wɔ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo nipadua mu no ho. Ɛnnɛ, yɛbɛka tebea bi a wɔfrɛ no Macrocytic Anemia ho asɛm.

Dɛn ne Macrocytic Anemia?

Sɛ yɛbɛka no tiawa a, Macrocytic Anemia yɛ mogya mu yare a wo nnompe mu ntini no ma mogya mu nkwammoaa kɔkɔɔ akɛse a ɛnyɛ ne kwan so ba . Fa no sɛ kar nketewa a ɛwɔ yɛn nipadua mu a ɛde mframa pa di akɔneaba no. Nanso mogya mu nkwammoaa kɔkɔɔ akɛse yi te sɛ kar akɛse nanso mfaso nni so. Wonni aduannuru a mogya mu nkwammoaa kɔkɔɔ a ɛteɛ hia na ama wɔatumi ayɛ adwuma yiye no. Eyi nyɛ yare a emu yɛ den, nanso sɛ wɔansa no yiye a, ebetumi de akwahosan ho haw a emu yɛ den aba. Ate aseɛ?

Dɛn ne macrocytic anemia ahorow atitiriw?

Macrocytic anemia ahorow atitiriw abien na ɛwɔ hɔ. Eyinom ba bere a wo nipadua nni aduannuru bi no. Momma yɛnhwɛ nea wɔyɛ.

1. Megaloblastic macrocytic mogya a ɛtɔ kɔ nipadua no mu

Eyi ne ɔkwan a wɔtaa de di dwuma. It occurs when you don't get enough vitamin B12 and/or vitamin B9 (folate). Sɛ wunni saa aduannuru yi a, wo nnompe mu ntini no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw. Ɛno kyerɛ sɛ entumi nyɛ nkwammoaa a ɛde oxygen twa wo nipadua ho hyia no. Fa no sɛ obi a ɔreyɛ adwuma a onni aduan. Ade foforo ne sɛ, nkwammoaa a ɛnteɛ a ɛba saa kwan yi so no wuwu ansa na nkwammoaa a ɛteɛ no aba. Enti mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ nipadua no mu no so tew.

2. mogya a ɛtɔ kɔ nipadua no mu a ɛnyɛ megaloblastic macrocytic

Sɛ wowɔ akwahosan tebea afoforo a ɛka sɛnea wo nipadua no tumi twetwe aduannuru a, eyi betumi aba. Eyi kyerɛ sɛ, sɛ wudidi yiye mpo a, wo nipadua no nnya aduannuru a ehia no. Nyarewa bi betumi de eyi aba.

Tebea horow a ɛde mogya a ɛtɔ kɔ nipadua mu a ɛnyɛ megaloblastic macrocytic ba

Nneɛma atitiriw pii nti na ɛte saa:

• Myelodysplastic syndrome: Nokwarem no, eyi yɛ nyarewa kuw bi. Nea ɛkɔ so wɔ ha ne sɛ wo nnompe mu ntini no ntumi nyɛ mogya mu nkwammoaa a ɛte apɔw esiane sintɔ bi nti. Ɛte sɛ adwumayɛbea afiri bi a ɛresɛe na entumi nyɛ nneɛma pa.
• Nsa a wɔnom ho haw: Sɛ wonom nsa pii a, wo nipadua no gyae vitamin B12 a ɛtwetwe. Eyi yɛ ɔhaw ma nnipa pii. Nnipa binom susuw sɛ sɛ wonom nsa kakra a, ɛnyɛ hwee, nanso sɛ wonom nsa pii a, ɔhaw ahorow sɔre.
• Hypothyroidism a ɛma obi ho kyere no:Eyi yɛ tebea a ɛka thyroid ntini no dwumadi. Saa ntini ketewaa a ɛwɔ yɛn kɔn mu yi na ɛhwɛ nipadua no dwumadi pii so. Enti sɛ ɛnyɛ adwuma yiye a, mogya a ɛtɔ kɔ nipadua mu te sɛ eyi betumi aba.

Dɛn nti na macrocytic anemia ba?

Sɛnea wubetumi ahu no, nea ɛde tebea yi ba titiriw ne vitamin B12 ne/anaasɛ folate (vitamin B9) a enni hɔ, a ɛho hia ma mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw, anaasɛ aduruyɛ mu tebea afoforo a ɛmma nipadua no ntumi nnye saa aduannuru yi. Sɛ yɛbɛka no tiawa a, "nneɛma" a ɛma mogya mu nkwammoaa kɔkɔɔ no nnɔɔso, anaasɛ nipadua no ntumi nnye.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wowɔ saa nsɛnkyerɛnne yi a, ade a edi kan a oduruyɛfo anaa ɔyarehwɛfo bɛyɛ ne sɛ ɔbɛhwehwɛ wo mu na wabisa wo wo sɛnkyerɛnne ahorow no ho asɛm. Wobebisa wo bere tenten a woate nka sɛ woabrɛ, sɛnea w’aduan te, ne sɛ ebia wowɔ ayaresa mu tebea foforo bi anaa. Afei wobetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu te sɛ:

• Mogya dodow a edi mũ (CBC): Eyi yɛ mogya mu nhwehwɛmu titiriw a wɔtaa yɛ. Ɛhwɛ wo mogya mu nkwammoaa kɔkɔɔ dodow, mogya mu nkwammoaa fitaa dodow, ne mogya mu nkwammoaa kɔkɔɔ dodow. Ebetumi nso ahwɛ sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ no ayɛ kɛse wɔ macrocytic anemia mu ne sɛnea wɔn hemoglobin dodow te.
• Peripheral blood smear (PBS): Eyi yɛ nhwehwɛmu titiriw bi. Nea ɛnte sɛ mogya mu nhwehwɛmu ahorow bi no, nnuruyɛfo fa wo mogya no bi, de petepete ahwehwɛ a wɔde hyɛ mu so, de nkekae gu so, na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu hwɛ sɛ mogya mu nkwammoaa wɔ mu anaa. Eyi ma wotumi hu sɛnea nkwammoaa no te, ne kɛse, ne ne kɔla. Wotumi hu mogya mu nkwammoaa kɔkɔɔ akɛse (macrocytes) pefee.
• Reticulocyte dodow: Reticulocytes yɛ mogya mu nkwammoaa kɔkɔɔ foforo a ennyinii. Wɔte sɛ "nkokoaa" nkwammoaa a wɔyɛ wɔ nnompe mu ntini mu na afei wogyae kɔ mogya no mu. Saa nhwehwɛmu yi hwɛ sɛ wo nnompe mu ntini no reyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso anaa. Saa sɔhwɛ yi betumi ama woanya sɛnea wo nnompe mu ntini no reyɛ nkwammoaa foforo yiye de ayɛ mogya a ɛtɔ kɔ nipadua no ho dwuma no ho adwene.

Wɔde nhwehwɛmu ahorow yi ka ho no, wobetumi ayɛ nhwehwɛmu ahorow nso de ahwɛ vitamin B12 ne folate dodow, sɛ ɛho hia a.

Ɔkwan bɛn so na wɔsa eyi?

Ayaresa no gyina nea ɛde tebea no ba titiriw so. Nnuruyɛfo bɛbɔ mmɔden sɛ wɔbɛboa wo nnompe mu ntini ma ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw bio.

Fa no sɛ, wowɔ saa tebea yi esiane sɛ wunnidi yiye nti, anaasɛ esiane sɛ Vitamin B12 anaa Folate nni w’aduan mu nti.Ebetumi aba. Vitamin B12 betumi ayɛ wɔn a wonni afifide pii, efisɛ wohu no kɛse wɔ mmoa nnuan mu. Sɛ saa a, wo duruyɛfo betumi ama wo nnuru a wɔde ka aduannuru yi ho, sɛ́ ɛyɛ nnuru a wɔde kum ɔyare mmoawa anaa ebia nnuru a wɔde twitwiw nipadua no. Ebia wɔbɛka akyerɛ wo sɛ nom saa nnuru yi kosi sɛ mogya mu nhwehwɛmu bɛkyerɛ sɛ wo nnompe mu ntini reyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw.

Ɛtɔ mmere bi a, nkurɔfo didi yiye, nanso ɔhaw bi wɔ hɔ a ɛmma nipadua no ntumi nnye saa aduannuru no . Sɛ nhwɛso no, eyi betumi aba esiane yafunu mu haw ahorow bi nti. Wɔ tebea horow a ɛtete saa mu no, oduruyɛfo no betumi akyerɛw nnuru a wɔde ka aduan ho nso.

Ade a ɛho hia sen biara ne sɛ wobɛsa nea ɛde ba no.

Sɛ nhwɛso no, nnipa binom wɔ ayaresa tebea horow (te sɛ myelodysplastic syndrome) a ɛmma nipadua no ntumi nnye aduannuru a ɛho hia. Sɛ ɛba saa a, ɛsɛ sɛ wɔsa tebea no. Sɛ wowɔ hypothyroidism a, nnuru a wobɛnom ama no nso betumi aboa ma wo mogya a ɛtɔ wo mogya mu.

Nnipa pii nya saa mogya a ɛtɔ kɔ nipadua no mu kɛse yi esiane sɛ wɔnom nsa pii nti. Sɛ saa a, ebia wo duruyɛfo de wo bɛkɔ ayaresa ne afotu mu na wɔaboa wo ma woadi nsa a wonom so. Eyi nyɛ mmerɛw, nanso wobetumi de mmoa ayɛ.

So wobetumi asiw eyi ano na amma?

Esiane sɛ nneɛma pii na ɛde macrocytic anemia ba nti, ɛyɛ den ma yɛn sɛ yebesiw aduruyɛ mu tebea horow bi a ɛda adi no ano. Nanso, sɛ wunni aduruyɛ mu tebea pɔtee bi a ɛte saa a, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane yi so, na ebia woasiw ano mpo:

• Hwɛ w’akwahosan nyinaa so: Ebia macrocytic anemia ho sɛnkyerɛnne no nyɛ den mfiase no, nanso bere kɔ so no, ebetumi asɛe kɛse. Sɛ wuhu nsakrae biara wɔ wo nipadua mu, te sɛ ɔbrɛ a ɛtra so, ɔbrɛ, wo koko a ɛyɛ den, anaa wo honam ani a ɛyɛ fitaa , kasa kyerɛ wo duruyɛfo ntɛm ara. Mfa no sɛ woayɛ "adagyew dodo nnansa yi" kɛkɛ.
• Di aduan pa: Mpɛn pii no, asiane kɛse a ɛde eyi ba ne sɛ wunnya vitamin B12 ne/anaasɛ folate a ɛdɔɔso. Enti, ɛho hia paa sɛ wudi aduan a ɛkari pɛ na ahoɔden wom.
• Nnuan a vitamin B12 pii wom: nam, mpataa, nkesua, nufusu ne nufusu mu nneɛma (yogurt, cheese).
• Nnuan a folate pii wom: Nnuadewa a ɛyɛ ahabammono, nhaban momono (spinach, kale, lettuce), atoko, bankye, atoko, akutu, atoko.

Bɔ mmɔden sɛ wode eyinom bɛka w’aduan ho.

Sɛ mewɔ Macrocytic Anemia a, dɛn na ɛba?

Nnipa pii ho tɔ wɔn fi mogya a ɛtɔ kɔ nipadua no mu kɛse yi mu bere a wɔanom vitamin a wɔde ma awie no. Ɛne sɛ, nea efi mu ba no taa yɛ papa.Nanso, nkɔmhyɛ a ɛbɛba obi a ɔwɔ aduruyɛ mu tebea bi a ɛda adi so ho no gyina aduruyɛ tebea a ɛhyɛ ase ne wɔn ankorankoro tebea so. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ saa tebea yi a, wubetumi ayɛ saa nneɛma yi de ahwɛ wo ho:

• Fa nnuru a wɔde ka wo ho a wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ wɔ bere tenten a wɔde sa yare no mu. Eyi ho hia paa. Nnipa binom gyae wɔn nnuru nom bere a wɔn ho atɔ wɔn kakra no, enti nyɛ saa.
• Nya adidi ho su pa na ama woahwɛ ahu sɛ wubenya vitamin B12 ne folate a ɛdɔɔso. Ebia wobɛpɛ nso sɛ wohwehwɛ afotu fi aduannuru ho ɔbenfo hɔ.
• Sɛ wote nka sɛ wo mogya a ɛtɔ wo ho sɛnkyerɛnne no resan aba (sɛ nhwɛso no, wote nka sɛ woabrɛ bio, wote nka sɛ woatɔ piti) a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
• Sɛ nsa a wɔnom yɛ ɔhaw a, nya mmoa a wode bedi so.

Enti, sɛnea wubetumi ahu no, nkurɔfo nya macrocytic anemia bere a wonnya aduannuru a ɛdɔɔso a ɛboa ma wɔn nipadua nyin mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw no. Eyi betumi ato nnipa a wodi nnuan ahorow bi akyi anaasɛ wɔwɔ ayaresa tebea horow bi a ɛhyɛ ase so. Kae sɛ macrocytic anemia nyɛ tebea a emu yɛ den, nanso sɛ wɔansa a, ebetumi de aduruyɛ mu haw ahorow a emu yɛ den aba. Aduan pa a wubedi no betumi aboa wo ma woasiw tebea yi ano. Sɛ eyi haw wo a, wo ne wo duruyɛfo nkasa. Obetumi asusuw wo tebea no ho na waka akwan a wobɛfa so ama w’aduan atu mpɔn akyerɛ. Sɛ wowɔ macrocytic anemia a, ɛda adi sɛ wo duruyɛfo bɛkyerɛw wo nnuru a wɔde ka wo ho na aboa ma woasan ahyɛ aduannuru a enni mu no ma. Ɔbɛboa wo nso ama woanya suban pa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

• Macrocytic anemia yɛ tebea a nnompe mu ntini no ma mogya mu nkwammoaa kɔkɔɔ akɛse a ɛnyɛ ne kwan so ba.
• Nea ɛde eyi ba titiriw ne vitamin B12 ne/anaasɛ folate (vitamin B9) a enni nipadua no mu anaasɛ ɔhaw ahorow a ɛba wɔ wɔn a wɔtwetwe mu.
• Ebetumi nso afi tebea horow te sɛ nsa a wɔnom boro so ne hypothyroidism.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ɔbrɛ a ɛtaa ba, ɛyɛ den sɛ wobɛhome, na wo honam ani ayɛ fitaa a, hwehwɛ aduruyɛfo afotu.
• Mpɛn pii no, wobetumi asa tebea yi denam aduan pa a wɔde ma ne nnuru a oduruyɛfo akyerɛw ama wɔn a wɔnom so.
• Sɛ aduruyɛ mu tebea bi a ɛhyɛ ase wɔ hɔ a , ɛho hia sɛ wɔsa.

Hwɛ w’akwahosan so yiye, di aduan a ɛkari pɛ, na sɛ wuhu biribi soronko bi a, mma wo werɛ mmfi sɛ wobɛkɔ oduruyɛfo nkyɛn!

` Macrocytic anemia, mogya a ɛtɔ kɔ nipadua mu, vitamin B12, folate, mogya mu nkwammoaa kɔkɔɔ, nnompe mu ntini, aduannuru a enni nipadua mu