Dɛn na MCH bo a ɛwɔ wo mogya ho amanneɛbɔ so no kyerɛ? (Ɛkyerɛ sɛ Corpuscular Hemoglobin) .

So woanya mogya mu nhwehwɛmu amanneɛbɔ pɛn, ahwɛ nkyerɛwde ne nɔma a ɛwɔ so no, na woasusuw sɛ, "Dɛn ne eyi?" Ɛyɛ ade a ɛfata sɛ wobɛbɔ hu kakra bere a wuhu din pii te sɛ CBC, MCV, RDW, ne MCH no. Botae a ɛte saa no biako ne MCH. Ɛnnɛ, yɛreka saa MCH botae yi ho asɛm, a ɛkyerɛ wo nsɛm a ɛho hia pii fa wo mogya mu nkwammoaa ho.

Sɛ yɛbɛka no tiawa a, dɛn ne MCH?

MCH yɛ ‘Mean Corpuscular Hemoglobin’ tiawa. Eyi yɛ gyinapɛn ahorow a ɛwɔ mogya dodow a edi mũ (CBC) mu a yɛtaa yɛ no mu biako. Ne titiriw no ɛkyerɛ sɛnea hemoglobin dodow a ɛtaa wɔ wo mogya mu nkwammoaa kɔkɔɔ no biako mu .

Afei ebia woresusuw ho sɛ, "Dɛn ne hemoglobin yi?" Fa wo mogya mu nkwammoaa kɔkɔɔ no sɛ lɔre nketewa a ɛde mframa pa kɔ wo nipadua nyinaa mu. Na hemoglobin ne nnaka a oxygen ahyɛ mu ma wɔ saa lɔre ahorow no mu . Saa nnaka yi ne nea ɛkyere mframa pa no ankasa, de kɔ wo nipadua mu nkwammoaa biara mu, na ɛboa ma saa nkwammoaa no nya ahoɔden a wohia. Enti wubetumi ahu sɛnea hemoglobin ho hia sɛ protein.

Enti MCH bo no ma yenya adwene bi a ɛfa oxygen nsukorabea dodow a ɛtaa wɔ wo mogya mu nkwammoaa kɔkɔɔ lɔre no mu ho.

Mogya mu nkwammoaa kɔkɔɔ ho nsɛnkyerɛnne afoforo a ɛho hia (RBC Indices) te sɛ MCH

Ɛnyɛ MCH nko na ɛka wo mogya amanneɛbɔ ho, na mmom gyinapɛn afoforo pii nso. Eyinom mu biara ka wo mogya mu nkwammoaa kɔkɔɔ akwahosan ho nsɛm a ɛsono emu biara kyerɛ wo. Yɛfrɛ saa mogya mu nkwammoaa kɔkɔɔ indices (RBC indices). Oduruyɛfo bɛhwɛ saa gyinapɛn ahorow yi nyinaa bere a ɔreyɛ w’ayaresa tebea no mu nhwehwɛmu, titiriw tebea te sɛ mogya a ɛtɔ kɔ nipadua mu no.

Sɛ oduruyɛfo bɛbom ahwɛ gyinapɛn ahorow yi nyinaa abom nkutoo na obetumi ate ɔhaw a ɛwɔ wo mogya mu no ase yiye.

Bere bɛn na ɛsɛ sɛ wohwɛ wo MCH bo no?

MCH yɛ mogya a wɔkan koraa (CBC) no fã a ɛtaa ba. Oduruyɛfo betumi ahyɛ sɛ wɔmfa CBC nkɔhwɛ w’akwahosan nyinaa.

Nanso MCH bo no ho hia yiye, titiriw sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne ahorow a .

• Ɔbrɛ kɛse a wɔte nka bere nyinaa
• Ti a ɛtaa yɛ no yaw
• Wora a ɛyɛ mmerɛw
• Sɛ wote nka sɛ n’adwene atu afra
• Ɔhome a ɛyɛ den

Ɛdenam MCH bo ne RBC nsɛnkyerɛnne afoforo a obi a ɔwɔ saa sɛnkyerɛnne ahorow yi kyerɛ so no, oduruyɛfo betumi ahu sɛ ebia wowɔ mogya a ɛtɔ kɔ nipadua no mu, sɛ ɛte saa a, nea ɛyɛ, ne nea ebetumi de aba.

Woyɛ dɛn yɛ sɔhwɛ yi? So ɛyɛ asɛm kɛse?

Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa, a wɔyɛ no daa, enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro.

So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ no?

Mpɛn pii no ɛho nhia sɛ woyɛ biribi titiriw biara de asiesie wo ho ama CBC sɔhwɛ. Nanso, sɛ wo duruyɛfo ahyɛ sɛ wɔnyɛ nhwehwɛmu afoforo wɔ mogya koro no ara so (sɛ nhwɛso no, mfa nhwɛ asikre a ɛwɔ wo mogya mu) a, wobetumi aka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi. Enti bere nyinaa di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Eyi yɛ ade a ɛnyɛ den a egye nea ennu simma anum.

1. Wɔma wotena nkongua so na wɔka kyerɛ wo sɛ teɛ wo nsa.

2. Ɔyarehwɛfo anaa aduruyɛdan mu adwumayɛfo de nsa bɛhohoro baabi a wɔde ade no ahyɛ mu no.

3. Afei, wɔde rɔba kyekyere abasa no atifi na ama ntini no ada adi yiye.

4. Wɔde ade no hyɛ ntini no mu brɛoo yiye na wɔboaboa mogya dodow a ɛho hia ano gu toa ketewa bi mu.

5. Afei, woyi ade no na wɔde kotoku bi gu baabi a ɛwɔ no so na mia so ma mogya no gyae.

Ɛwom sɛ na ɛte sɛ anyinam ahoɔden kakra bere a wɔde ade no hyɛ mu de, nanso na ɛnyɛ yaw kɛse.

Sɔhwɛ no akyi?

Sɛ wode mogya ma wie a, sɛ wote nka sɛ wo ho kyere wo a, wubetumi akɔ fie. Nnipa binom te nka sɛ wɔn ho nyɛ wɔn dɛ kakra bere a wohu mogya no. Eyi yɛ ade a ɛfata. Sɛ ɛba saa a, wɔbɛhwɛ wo akosi sɛ wo ho bɛtɔ wo.

Mɛyɛ dɛn ate MCH gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu ase?

Wɔde picogram (pg) susuw MCH, a ɛyɛ emu duru ketewaa bi pɛ, bɛyɛ gram nkyem ɔpepepem biako.

MCH dodow a ɛfata ma ɔpanyin (ɔbarima ne ɔbea nyinaa) yɛ 27 pg kosi 33 pg . Nanso, ma ɛntra w’adwenem sɛ saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ aduruyɛdan ahorow mu. Enti, ɛho hia sɛ wode nea woanya no toto "normal range" a ɛwɔ w'amanneɛbɔ no so no ho.

Wɔfrɛ boɔ a ɛba fam sene saa kwan yi "Low MCH" na boɔ a ɛkorɔn sene saa kwan yi na wɔfrɛ no "High MCH".

Nanso kae eyi: Sɛ wo MCH bo no sua anaasɛ ɛkɔ soro a, mma wo ho nnpopo. Ɛno nkutoo nkyerɛ sɛ wowɔ yare a emu yɛ den. Wo duruyɛfo bɛhwehwɛ eyi mu aka wo mogya mu gyinapɛn afoforo, sɛnkyerɛnne ahorow, ne w’akwahosan nyinaa ho.

Dɛn na MCH a ɛba fam kyerɛ?

Sɛ wo MCH dodow no sua sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no nni hemoglobin a ɛdɔɔso. Eyi betumi ama wo mogya mu nkwammoaa kɔkɔɔ no kɔla ayɛ hare sen sɛnea ɛte daa (hypochromic anemia) anaasɛ ayɛ ketewaa sen sɛnea ɛte daa (microcytic anemia).

Nneɛma atitiriw a ɛma MCH sua ne:

• Iron a enni nipadua mu: Eyi ne ade a ɛtaa de mogya a ɛtɔ kɔ nipadua mu ba wɔ yɛn man yi mu. Iron ho hia na ama wɔanya hemoglobin. Sɛ iron nnɔɔso a, hemoglobin a wɔyɛ no so tew. Saa tebea yi betumi aba mmea a mogya tu wɔn kɛse wɔ brayɛ mu, esiane mogya a ɛba wɔn mu nti (e.g. dwensɔtwaa mu akuru), anaa oprehyɛn akyi.
• Awosu mu ɔhaw ahorow a ɛfa hemoglobin a wɔyɛ ho (Hemoglobinopathies): Wɔwo nnipa binom a wɔwɔ awosu mu tebea horow a ɛmma wɔn nipadua ntumi nyɛ hemoglobin yiye. Thalassemia ne sickle cell anemia yɛ eyinom ho nhwɛso.
• Nyarewa a enni sabea: Ɔfe a ɛba nipadua no mu esiane tebea horow te sɛ ɔyare mmoawa a ɛtra hɔ kyɛ, asaabo mu yare, mmerɛbo mu yare, ne kokoram nti no betumi asiw hemoglobin a wɔyɛ no kwan.

Dɛn na MCH a ɛkorɔn kyerɛ?

Sɛ wo MCH dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo nipadua no reyɛ mogya mu nkwammoaa kɔkɔɔ akɛse sen sɛnea ɛte daa (Macrocytic anemia). Nkwammoaa akɛse yi kura hemoglobin pii, nanso ɛnyɛ adwuma yiye saa.

Nneɛma atitiriw a ɛma MCH kɔ soro ne:

• Vitamin B12 anaa Folate a Wonnya: Saa aduannuru abien yi ho hia ma yɛn nipadua na ama yɛatumi ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw. Sɛ yɛannya nea ɛdɔɔso wɔ yɛn aduan mu anaasɛ yɛannye no yiye a, ebetumi ama mogya mu nkwammoaa kɔkɔɔ no ayɛ kɛse wɔ ɔkwan a ɛnteɛ so.
• Nsã a wɔnom boro so bere tenten.
• Thyroid haw ahorow: Eyi betumi afi hypothyroidism, titiriw.
• Nnuru bi mu nsunsuanso bɔne: Sɛ nhwɛso no, nnuru a wɔde sa kokoram no betumi de tebea yi aba.

Sɛ wowɔ MCH bo a ɛnteɛ a, dɛn na ɛsɛ sɛ woyɛ akyi?

Eyi ne ade a ɛho hia sen biara. Mma w’ankasa nnhuruw nkɔ nsɛm a ɛfa sɛ ebia w’amanneɛbɔ no korɔn anaasɛ ɛba fam ho da, anaasɛ nhu sɛ wowɔ yare bi a egyina intanɛt so.

Wo duruyɛfo na obesi nea ɔbɛyɛ akyi no ho gyinae.

• Sɛ wo MCH sua na wususuw sɛ dade nni wo mu a, wobetumi aka akyerɛ wo sɛ yɛ nhwehwɛmu foforo mfa nhwɛ sɛnea dade wɔ wo nipadua mu.
• Sɛ MCH bo no dɔɔso a, wobetumi aka akyerɛ wo sɛ hwɛ wo vitamin B12 ne folate dodow.

Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo besusuw nsɛmmisa anaa dadwen biara a wowɔ wɔ w'amanneɛbɔ no ho . Ɔbɛsan ahwɛ saa gyinapɛn ahorow yi mu de aka w’akwahosan nyinaa ho, akyerɛkyerɛ mu akyerɛ wo, na sɛ ɛho hia a, ɔbɛkyerɛw aduru ama wo.