Dɛn ne MCH bo a ɛwɔ wo mogya ho amanneɛbɔ mu? (Mean Corpuscular Hemoglobin) Momma yensua eyi ho ade kɛkɛ!

Sɛ wɔreyɛ wo mogya mu nhwehwɛmu a, ɛbɛyɛ sɛ woahu sɛ amanneɛbɔ no wɔ nneɛma ahorow a wɔakyerɛw wɔ nkyerɛwde ne nɔma biara ho. Ɛtɔ mmere bi a, sɛ yehu eyinom a, yentumi nsusuw nea ɛyɛ mpo ho, na yebetumi ahaw yɛn ho kakra. Saa ara nso na gyinapɛn biako a ɛho hia a wubehu wɔ wo mogya dodow a edi mũ (CBC) amanneɛbɔ mu ne MCH . Ɛnnɛ, momma yɛnka nea saa MCH anaa ``Mean Corpuscular Hemoglobin'' yi yɛ, nea ɛka fa yɛn akwahosan ho, ne nea ɛba sɛ saa bo no kɔ soro anaasɛ ɛso tew a, ɛnyɛ den koraa.

Dɛn ankasa ne MCH?

Sɛ yɛbɛka no tiawa a, MCH yɛ gyinapɛn a ɛkyerɛ sɛnea sɛ wɔkyekyem pɛpɛɛpɛ a, hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ (RBC) mu . Afei susuw nea hemoglobin yɛ ho. Hemoglobin yɛ protein a ɛho hia paa wɔ yɛn mogya mu nkwammoaa kɔkɔɔ no mu. Ɛyɛ protein yi na ɛgye mframa pa fi yɛn ahurututu mu na ɛde kɔ nkwammoaa a ɛwɔ nipadua no nyinaa mu no mu. Ɛte sɛ `delivery` nipa a ɔde aduan ba fie. Oxygen yi na ɛma nkwammoaa biara a ɛwɔ yɛn nipadua mu ahoɔden, na biribiara a ɛwɔ yɛn nipadua mu no yɛ adwuma yiye. Enti, yebetumi anya adwene bi wɔ saa hemoglobin yi ho afi MCH bo no mu.

MCH yɛ botaeɛ baako pɛ wɔ ``RBC indices`` ɔfa a ɛwɔ ``CBC`` sɔhwɛ a ɛkyerɛkyerɛ mogya mu nkwammoaa kɔkɔɔ mu no mu. Gyinapɛn afoforo pii wɔ hɔ a ɛte sɛ eyi:

• MCV `(Mean Corpuscular Volume)` : Eyi kyerɛ wo sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse te, kyerɛ sɛ, sɛ́ ɛyɛ akɛse anaa nketewa.
• MCHC `(Mean Corpuscular Hemoglobin Concentration)` : Eyi nso kyerɛ hemoglobin dodow a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. Nanso, nea ɛnte sɛ MCH no, MCHC susuw mogya mu nkwammoaa kɔkɔɔ no kɛse nso ho.
• RDW `(Red Blood Cell Distribution Width)` : Eyi susuw sɛnea ɛsono wo mogya mu nkwammoaa kɔkɔɔ no kɛse. Ɛne sɛ, so nsonsonoe bi wɔ hɔ, te sɛ nkwammoaa bi a ɛyɛ nketewa na nkwammoaa bi nso yɛ akɛse.

Nnuruyɛfo de nsɛm yi nyinaa di dwuma de hu sɛnea wo mogya mu nkwammoaa kɔkɔɔ no te. Saa gyinapɛn ahorow yi ho hia titiriw wɔ tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu a wobehu mu .

Bere bɛn na ɛho hia sɛ wɔyɛ MCH sɔhwɛ?

MCH yɛ ade a wɔtaa yɛ wɔ CBC sɔhwɛ mu. Ɛnyɛ wo mogya mu nkwammoaa kɔkɔɔ nko na CBC nhwehwɛmu yi susuw, na mmom wo mogya mu nkwammoaa fitaa (nkwaboaa a ɛbɔ yɛn ho ban fi nyarewa ho) ne mogya nkwammoaa (nkwaboaa a ɛboa ma mogya tu) nso. Enti, sɛ wɔde ka CBC gyinapɛn afoforo ho a, nnuruyɛfo betumi ahu ayaresa tebea bi ho sɛnkyerɛnne ntɛm.

Wo duruyɛfo no bɛdwen wo MCH bo no ho titiriw sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne te sɛ ɔbrɛ, tiyɛ a ɛtaa yɛ wo yaw, wo ho yɛ fitaa, ne ahome a ɛyɛ tiaa a . Sɛ wo MCH bo yɛ nea ɛnteɛ bere a wɔde toto RBC nsɛnkyerɛnne afoforo ho a, ebetumi aboa wo duruyɛfo ma wahu sɛ ebia wowɔ mogya a ɛtɔ kɔ wo mogya mu anaa, na sɛ ɛte saa a, nea ebia ɛde ba.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi?

MCH nhwehwɛmu no yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye. Mpɛn pii no, ɔyarehwɛfo anaa oduruyɛfo a ɔhwɛ mogya a ɛma mogya tu no gye mogya kakraa bi fi wo hɔ. Afei wɔde mogya a wɔde bu akontaa a ɛyɛ adwuma ankasa hwehwɛ mogya no mu. Saa afiri yi ma wonya nkwammoaa a ɛwɔ wo mogya mu no ho nsɛm.

Wɔbu MCH bo no bere a wɔreyɛ wo mogya mu nkwammoaa kɔkɔɔ no mu nhwehwɛmu no.

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

Mpɛn pii no, ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara mma MCH sɔhwɛ. Nanso, sɛ wo duruyɛfo reyɛ nhyehyɛe sɛ ɔbɛyɛ nhwehwɛmu afoforo pii wɔ mogya koro no ara ho a, ebia ebehia sɛ wudi mmuada (wonnidi anaa wonom biribiara) nnɔnhwerew kakraa bi . Enti, di wo duruyɛfo akwankyerɛ akyi yiye. Afei wubetumi asiesie wo ho ama sɔhwɛ no yiye.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Wɔbɛma woatena akongua so na wɔaka akyerɛ wo sɛ teɛ wo nsa. Enneɛ:

• Wɔde aduru a ekum ɔyare mmoawa (nsa popa) hohoro baabi a wɔboaboa mogya no ho.
• Wɔde rɔba (tourniquet) kyekyere baabi a mogya boaboa ano wɔ abasa no so kakra. Eyi boa mogya a ɛboaboa ano no na ɛma ɛyɛ mmerɛw sɛ wɔbɛboaboa mogya ano.
• Wɔde ade a ɛyɛ fɛ yiye de nkakrankakra hyɛ ntini no mu.
• Wɔboaboa mogya kakraa bi ano wɔ toa anaa afiri ketewa bi mu.
• Afei woyi afiri no na wɔde kotoku asinasin bi gu mu na ama mogya no agyae.

Eyi nyinaa gye nea ennu simma anum . Sɛ wɔde ade no hyɛ mu a, ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra, te sɛ ntɛtea a ɔrebɔ wo. Sɛ ɛnyɛ ɛno a, ɛyaw kɛse biara nni hɔ.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wode mogya ma wie a, sɛ wote nka sɛ wo ho kyere wo kakra a, wubetumi akɔ fie ntɛm ara. Ebia nnipa binom bɛte nka sɛ wɔn adwene mu yɛ wɔn naa kakra bere a wohu mogya, anaasɛ sɛ wosuro nnade kakra a. Eyi yɛ ade a ɛfata, na ɛnyɛ wo nkutoo. Sɛ eyi ba a, nnuruyɛfo no bɛhwɛ wo kosi sɛ wo ho bɛtɔ wo.

So asiane bi wɔ sɔhwɛ yi mu?

CBC sɔhwɛ a wɔde hwɛ MCH no nyɛ sɔhwɛ a asiane kɛse wom. Sɛ wode mogya ma wie a, ebia wubehu sɛ akuru kakra wɔ baabi a wɔde ade no guu mu no. Ebia wobɛte ɛyaw bi nso wɔ wo basa mu. Nanso, mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi hɔ da koro no ara a wɔde mogya mae no.

Dɛn na efi mu ba? Dɛn na wɔka kyerɛ yɛn?

MCH aba kyerɛ hemoglobin picogram (pg/cell) dodow a wotaa nya wɔ mogya mu nkwammoaa kɔkɔɔ biako mu. Picogram yɛ dodow ketewaa bi, bɛyɛ gram ɔpepepem biako (ɛno yɛ zero biako ne dumien).

Ɛwom sɛ nsonsonoe kakra wɔ labs ntam de, nanso MCH bo a ɛfata ma ɔpanyin (ɔbarima ne ɔbea nyinaa) no taa yɛ 27 kosi 33 pg/cell . Wobu biribiara a ɛwɔ saa botae yi ase sɛ MCH a ɛba fam , na wobu biribiara a ɛboro saa botae yi so sɛ MCH a ɛkorɔn .

Nanso kae sɛ, sɛ wo MCH bo no sua anaasɛ ɛkɔ soro a, enhia sɛ wobɔ hu ntɛm ara. Wo duruyɛfoɔ de wo MCH boɔ bɛtoto RBC indices foforɔ ne w’akwahosan nyinaa ho de asi gyinaeɛ. Ebia ɔbɛkamfo nhwehwɛmu foforo nso akyerɛ.

Sɛ MCH boɔ no sua (Low MCH) .

MCH bo a ɛba fam kyerɛ sɛ ebia wowɔ hypochromic anemia (baabi a mogya mu nkwammoaa kɔkɔɔ no sua sen sɛnea ɛte na ɛte sɛ nea ɛyɛ mmerɛw) ne/anaasɛ microcytic anemia (baabi a mogya mu nkwammoaa kɔkɔɔ no sua wɔ ɔkwan a ɛnteɛ so). Wɔ tebea abien yi nyinaa mu no, wo mogya mu nkwammoaa kɔkɔɔ no nni hemoglobin a ɛdɔɔso.

Nneɛma pii nti betumi ama MCH dodow a ɛba fam aba:

• Iron Deficiency : Sɛ nipadua no nnya iron a ɛdɔɔso a, entumi nyɛ hemoglobin. Ade titiriw a ɛde mogya a ɛtɔ kɔ nipadua mu a dade a enni nipadua mu de ba ne mogya a ɛtɔ . Eyi betumi afi nneɛma te sɛ mogya a ɛtɔ kɛse wɔ brayɛ mu, mogya a ɛba nipadua no mu (sɛ nhwɛso no, dwensɔtwaa mu akuru), anaa mogya a ɛdɔɔso dodo wɔ oprehyɛn akyi.
• Hemoglobinopathies : Mogya mu nyarewa bi a wonya fi awo mu betumi de ɔhaw ahorow aba ɔkwan a nipadua no fa so yɛ hemoglobin no mu. Nhwɛso ahorow bi ne thalassemia ne sickle cell anemia .
• Ɔfe a efi nyarewa a enni sabea : Ɔfe a ɛba nipadua no mu esiane tebea horow te sɛ ɔyare mmoawa bi a enni sabea, asaabo mu yare, mmerɛbo mu yare, ne kokoram nti no betumi ama MCH dodow so atew.

Sɛ MCH boɔ no yɛ kɛseɛ (High MCH) .

MCH dodow a ɛkɔ soro kyerɛ sɛ ebia wowɔ macrocytic anemia . Wɔ saa tebea yi mu no, wo nipadua no ma mogya mu nkwammoaa kɔkɔɔ akɛse a ɛnyɛ ne kwan so ba, na saa nkwammoaa no mu hemoglobin dɔɔso. Mpɛn pii no, eyi fi folate (vitamin B9) ne vitamin B12 a wonnya, aduannuru atitiriw abien a ehia na ama wɔanya mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw no. Anaasɛ, ebia wowɔ aduruyɛ mu tebea bi a ɛmma wo nipadua ntumi nnye saa aduannuru yi yiye.

Nneɛma afoforo nti a MCH bo kɔ soro:

• Nsa a wɔnom bere tenten ho haw .
• Thyroid ntini ho haw ahorow .
• Nnuru anaa ayaresa ahorow bi mu nsunsuanso bɔne . Sɛ nhwɛso no, nnuru a wɔde sa kokoram no betumi ama MCV (na ɛnam so ama MCH) akɔ soro sɛ nea efi mu ba.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?

Sɛ wo MCH no nyɛ nea ɛfata a, anammɔn a edi hɔ a wobɛyɛ no begyina nea ɛde ba no so. Sɛ nhwɛso no, sɛ wo duruyɛfo susuw sɛ wo MCH no sua esiane dade a enni mu nti a, ebia ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo mfa nhwɛ sɛnea dade a ɛwɔ wo mu no te. Anyɛ saa a, sɛ wosusuw sɛ aduruyɛ mu tebea foforo bi wɔ hɔ a, ebia ebehia sɛ wɔyɛ saa tebea no ho nhwehwɛmu.

Wo duruyɛfo no begyina nea afi mu aba no so atu wo fo ankasa.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu anaa ehu nka kakra bere a sɔhwɛ biara mu aba no nyɛ nea ɛfata (sɛ́ ɛyɛ nea ɛba fam anaasɛ ɛkɔ soro). Nanso sɛ ɛba MCH so a, nea efi mu ba a ɛnyɛ ne kwan so kyerɛ ara ne sɛ wo duruyɛfo asua w’akwahosan ho ade pii. Ɛtɔ mmere bi a, nea efi MCH mu ba a ɛnyɛ ne kwan so betumi ayɛ biribi a ɛsɛ sɛ wɔhwɛ so na wɔsa, te sɛ mogya mu yare a wonya fi awo mu. Nanso ɛtɔ mmere bi a, ebetumi ayɛ biribi a ɛtra hɔ bere tiaa bi na ɛnyɛ nea ɛhaw adwene wɔ ho. Sɛ wohaw wo ho anaasɛ wohaw wo ho wɔ wo MCH aba no ho a, wo ne wo duruyɛfoɔ nkasa fa ho na fa toto CBC aba foforɔ ho na woahunu sɛdeɛ nteaseɛ wɔ mu.

Nkrasɛm a Wɔde Kɔ Fie

MCH yɛ nɔma a ɛho hia wɔ wo mogya mu nhwehwɛmu amanneɛbɔ so. Ɛkyerɛ wo sɛ wɔkyekyem pɛpɛɛpɛ a, hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ no biako mu.

• Hemoglobin ne protein a ɛde mframa pa kɔ nipadua no mu nyinaa.
• MCH dodow a ɛba fam betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne. Eyi betumi afi dade a enni nipadua mu, mogya mu nyarewa ahorow bi, ne ɔhyew tebea horow a ɛtra hɔ kyɛ mu.
• MCH bo a ɛkɔ soro nso yɛ mogya a ɛtɔ kɔ nipadua mu foforo ho sɛnkyerɛnne. Eyi betumi afi nneɛma te sɛ folate anaa vitamin B12 a enni nipadua mu, nsa a wɔnom, anaa thyroid ho haw ahorow mu aba.
• Sɛ wo MCH bo no nyɛ nea ɛfata a , mma wo ho nnpopo . Wo duruyɛfo de bɛtoto sɔhwɛ mu gyinapɛn afoforo ho, sɛ ɛho hia a ɔbɛyɛ nhwehwɛmu foforo, na ɔde afotu ne ayaresa a ɛfata sen biara ama wo.

Sɛ wowɔ nsɛmmisa bi fa nea ɛwɔ wo mogya ho amanneɛbɔ mu ho a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo.

` MCH, hemoglobin, mogya mu nkwammoaa kɔkɔɔ, mogya a ɛtɔ kɔ nipadua mu, mogya mu nhwehwɛmu, CBC, akwahosan