So wo mogya mu nkwammoaa kɔkɔɔ no sua? Wɔfrɛ eyi microcytic anemia!

So wotaa te nka sɛ woabrɛ, wo ho ayɛ wo hyew, anaasɛ w’adwene tu fra bere a wugyina hɔ no? So ɛtɔ mmere bi a wo honam ani yɛ mmerɛw kakra sen sɛnea wotaa yɛ bere a wohwɛ ahwehwɛ mu no? Mmu eyinom ngu sɛ ɛyɛ honam fam yare ara kwa. Efisɛ, eyinom betumi ayɛ wo mogya mu nkwammoaa kɔkɔɔ no ho haw bi ho sɛnkyerɛnne. Wiɛ, wɔfrɛ tebea bi a yɛn mu pii nim, nanso yennim, Microcytic Anemia .

Dɛn ne Microcytic Anemia ?

Sɛ yɛbɛka no tiawa a, microcytic anemia yɛ bere a wo mogya mu nkwammoaa kɔkɔɔ no sua sen sɛnea ɛte daa no. Dɛn nti na eyi ba? Nea enti titiriw ne sɛ protein a ɛwɔ mogya mu nkwammoaa kɔkɔɔ a wɔfrɛ no hemoglobin yi mu no so tew. Susuw ho sɛɛ: hemoglobin te sɛ kar a ɛde mframa pa kɔ yɛn nipadua mu nyinaa. Enti sɛ wɔtew kar yi so a, mogya mu nkwammoaa kɔkɔɔ no ntumi mfa mframa pa nkɔ yiye. Saa ara nso na sɛ wɔtew hemoglobin so a, mogya mu nkwammoaa kɔkɔɔ no kɔla nso so tew, a ɛkyerɛ sɛ ɛbɛyɛ hypochromic . Mpɛn pii no, nnipa a wɔwɔ microcytic anemia mogya mu nkwammoaa kɔkɔɔ no kɔla yɛ mmerɛw.

Ɛtɔ mmere bi a nnuruyɛfo bu no sɛ ɛyɛ aduruyɛ mu tebea, ne mogya a ɛtɔ kɔ nipadua mu ne mogya mu yare afoforo ho sɛnkyerɛnne nso. Wɔnam nea ɛde ba a wohu na wɔsa saa ade no so sa.

Dɛn ne microcytic anemia ho sɛnkyerɛnne ahorow ?

Sɛ wowɔ saa tebea yi a, wubetumi anya yare no ho sɛnkyerɛnne ahorow. Ɛnyɛ obiara na obenya mu osuahu wɔ ɔkwan koro so. Nanso, sɛnkyerɛnne ahorow a ɛtaa ba no bi ne:

• Sɛ wote nka sɛ woabrɛ na wunni nkwa bere nyinaa, te sɛ nea woayɛ adwuma da mũ nyinaa.
• Adwene a ɛyɛ basaa, atenka a ɛma obi twitwiw ne ho.
• Wora a ɛyɛ mmerɛw. Ebia wo honam ani bɛyɛ hare sen sɛnea wotaa yɛ no.
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm.
• Ɔhome a ɛyɛ den, te sɛ nea obi totɔ piti. Sɛ woyɛ ade ketewaa bi mpo a, ɛma wotɔ piti.
• Wora a ɛyɛ nwunu.
• Wora no bɛpirapira ntɛmntɛm. Sɛ wɔbɔ no kakra mpo a, ɛdan bruu.

Dɛn nti na mogya a ɛtɔ kɔ nipadua mu nkwammoaa nketenkete yi ba?

Ade titiriw a ɛde eyi ba na ɛtaa ba ne dade a enni nipadua no mu . So wunim sɛ dade ho hia na ama hemoglobin ayɛ yɛn mogya mu nkwammoaa kɔkɔɔ no? Enti, sɛ iron nnɔɔso a, hemoglobin ntumi mma na mogya mu nkwammoaa kɔkɔɔ no so tew. Ɛtɔ mmere bi a, awosu mu nneɛma nso betumi asiw mogya mu nkwammoaa kɔkɔɔ no kwan.

Afei, momma yɛnka nneɛma atitiriw bi a ɛka eyi ho asɛm nkɔ akyiri:

• Dade a enni mogya mu (IDA): Eyi yɛ microcytic hypochromic anemia.Nea ɛtaa de `(microcytic hypochromic anemia)` ba ne mogya a ɛtɔ dodo (sɛ nhwɛso no, mogya a ɛtɔ kɛse bere a mmea rekɔ brayɛ mu, anaasɛ mogya a ɛtɔ esiane dwensɔtwaa ketewaa bi a ɛyɛ kurukuruwa nti) anaasɛ esiane sɛ yennya dade a ɛdɔɔso mfi aduan a yedi mu nti. Fa no sɛ, ɛtɔ da bi a wɔ yɛn afie mu no, nnipa binom nni nhabannuru, nam ne mpataa yiye. Anaasɛ, sɛ yɛfa nneɛma te sɛ nufusu tii ka aduan ho a, nipadua no ntwe dade kakraa bi. Afei ebia yɛanya dade a ɛho nhia.
• Thalassemia: Eyinom yɛ mogya mu yare a efi awosu mu a ɛka sɛnea nipadua no tumi yɛ hemoglobin ne mogya mu nkwammoaa kɔkɔɔ. Eyi yɛ tebea a wohu no kodu baabi wɔ yɛn man yi mu nso.
• Mogya a ɛtɔ kɔ nipadua mu a yare a enni sabea mu: Sɛ wowɔ aduruyɛ mu tebea bi a ɛtra hɔ kyɛ a ɛma wo nipadua mu yɛ hyew a , mogya a ɛtɔ kɔ wo so yi betumi aba. Eyi kyerɛ sɛ wo nipadua no ntumi mfa dade a ɛwɔ mu no nni dwuma. Nhwɛso ahorow bi ne nyarewa a enni sabea, nyarewa a nipadua no tumi ko tia nyarewa (te sɛ ntini mu yare, lupus), ne kokoram.
• Sideroblastic anemia : Eyi yɛ mogya mu yare a ɛntaa nsi koraa. Eyi kyerɛ sɛ wo nnompe mu ntini no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛfata. Eyi kyerɛ sɛ sɛ wowɔ iron mpo a, wontumi mfa nyɛ hemoglobin.
• Kɔbere awuduru: Microcytic anemia nso betumi afi kɔbere a wɔde di dwuma bere tenten mu aba. Bere bi a atwam no, na wohu kɔbere wɔ paint ne agode bi mu. Seesei mmara pii wɔ hɔ a ɛfa ho, nanso wɔda so ara tumi hu kɔbere wɔ nneɛma a atwa yɛn ho ahyia no mu.

Nea ɛka eyi ho no, ebia ntease afoforo wɔ hɔ:

• Kɔbere a ɛdɔɔso a wonnya mfi aduan mu. Kɔbere nso boa ma dade a ɛwɔ nipadua mu no yɛ adwuma.
• Zinc pii a wobenya afi aduan anaa nnuru a wɔde ka aduan ho mu. Sɛ obi nom zinc pii a, ebetumi atew sɛnea nipadua no tumi twetwe dade no so.
• Nnuru bi (titiriw nea wɔnom wɔ aduruyɛ mu afotu).
• Nsã a wɔnom boro so . Nsã betumi ama obi anya aduannuru a ɛho nhia.

Nyarewa bɛn na ɛma obi ho hyehye no na ɛde microcytic anemia ba ?

Tebea horow pii wɔ hɔ a ɛma nipadua no ho yɛ hyew. Sɛ ɔfe kyɛ a , ebetumi aka mogya mu nkwammoaa kɔkɔɔ a wɔyɛ, na ebetumi ama mogya atɔ nipadua no mu nkwammoaa nketenkete . Nhwɛsoɔ:

• Tebea ahorow a nipadua no tumi ko tia nyarewa:Eyinom yɛ nyarewa a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa tow hyɛ yɛn ankasa nkwammoaa so. Nhwɛso ahorow bi ne dwensɔtwaa mu yare a ɛma ɛyɛ hyew (te sɛ Crohn yare ne akisikuru), ntini mu yare, ne lupus.
• Kokoram
• Asaabo mu yare a enni sabea
• Nyarewa a enni sabea ( te sɛ nsamanwaw) .

Eyi nso betumi de tebea yi aba.

Ɔkwan bɛn so na wohu sɛ microcytic anemia wɔ hɔ?

Nnuruyɛfo titiriw yɛ mogya mu nhwehwɛmu pii de hu tebea yi:

• Mogya dodow a edi mũ (CBC): Saa nhwehwɛmu yi ma nnuruyɛfo nya nsɛm a ɛho hia fa wo hemoglobin dodow, mogya mu nkwammoaa kɔkɔɔ dodow, ne nea ɛho hia sen biara no, wo mogya mu nkwammoaa kɔkɔɔ no kɛse ho. Sɛ wo MCV (Mean Corpuscular Value) nnu femtoliter 80 (80 fL) a, ɛkyerɛ sɛ wowɔ microcytosis (mogya mu nkwammoaa kɔkɔɔ nketewa).
• Peripheral blood smear (PBS): Nea ɛka eyi ho ne sɛ wobɛfa wo mogya no bi na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Eyi betumi aboa ma woahu sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ no sua sen sɛnea ɛte (microcytosis) anaasɛ ɛyɛ mmerɛw (hypochromic) . Ebetumi aboa nso ma woahu sɛ nsakrae bi aba wo mogya mu nkwammoaa kɔkɔɔ no nsusuwii mu anaa.
• Dade ho adesua: Wɔyɛ nhwehwɛmu ahorow yi de hwɛ sɛnea wo nipadua no sie dade na ɛde di dwuma. Ferritin sɔhwɛ ( a ɛkyerɛ wo dade dodow a ɛwɔ wo nipadua mu) ne total iron-binding capacity (TIBC) sɔhwɛ yɛ sɔhwɛ ahorow a ebetumi aboa wɔ eyi mu.

Bere a oduruyɛfo no ahu sɛ obi anya microcytic anemia , akyi no, obetumi ayɛ nhwehwɛmu foforo (sɛ nhwɛso no, nsu mu nhwehwɛmu, endoscopy) de ahu nea ɛde ba ankasa.

Ɔkwan bɛn so na wɔsa microcytic anemia ?

Wɔnam nea ɛde ba no a wɔsa so sa eyi . Ɛne sɛ, wohu nea edi kan a ɛde saa sɛnkyerɛnne ahorow yi bae na wɔsa.

Sɛ nhwɛso no, sɛ mogya a ɛtɔ wo a iron nni mu a, ebia wo duruyɛfo bɛma wo nnuru a wɔde ma iron . Mpɛn pii no, ɛsɛ sɛ wɔnom eyinom asram pii. Ɛtɔ mmere bi a, sɛ ɛyɛ den sɛ wobɛgye nnuru no atom (te sɛ nea yafunu ayɛ wo yaw anaasɛ ɛyɛ wo yafunu), anaasɛ sɛ wo nipadua no ntumi nnye dade yiye (te sɛ nea ɛwɔ dwensɔtwaa mu nyarewa bi mu) a, wobetumi de dade a wɔde bɛhyɛ wo mu, nsu a dade wom, afa ntini bi mu ama wo . Eyi betumi ama wo dade dodow asan aba ntɛmntɛm.

Sɛ mogya pii asa wo mpofirim, wo hemoglobin dodow so atew kɛse, na mogya atɔ wo kɛse a, ebia ebehia sɛ woyɛ saaEbia ɛho behia nso sɛ wɔde mogya ma.

Sɛ yare bi a enni sabea na ɛde microcytic anemia ba a, mpɛn pii no, mogya a ɛtɔ kɔ nipadua no mu no sa bere a wɔasa saa yare no. Wɔ awosu mu tebea horow te sɛ thalassemia fam no, ebia ɛsono sɛnea wɔhwɛ so, na ebia ebehia sɛ wɔsa no bere tenten.

So wobetumi asiw microcytic anemia ano?

Nokwarem no, microcytic anemia ba bere a biribi ka sɛnea wo nipadua no tumi yɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw no. Enti, ɛtɔ da bi a yentumi nni saa nneɛma no so.

Sɛ nhwɛso no, dade a enni nipadua mu no na ɛtaa de ba. Wɔ tebea horow bi mu no, sɛ wudi aduan a iron pii wom (nantwinam, akokɔnam, mpataa, nkesua, atoko, bankye a ɛyɛ ahabammono, peas, peas ne bankye a ayow, nhabannuru a ɛyɛ ahabammono tuntum te sɛ spinach, kale, collard greens, dates, ne raisins) a, ebetumi aboa ma wɔasiw mogya a ɛtɔ kɔ nipadua mu a iron nni mu no ano. Afei nso, sɛ wodi nnuan a vitamin C pii wom (te sɛ lemon, orange, tangerine, ne guava) a wode nnuan a iron wom ka ho a, ebetumi aboa ma iron akɔ soro. Nanso, ɛtɔ mmere bi a, aduruyɛ mu tebea horow a yentumi nni so no betumi asiw nipadua no kwan sɛ ɛbɛtwe dade anaa ayɛ mogya mu nkwammoaa kɔkɔɔ. Pii gyina w'ankorankoro tebea so .

Sɛ tebea yi ba a, dɛn na ɛba?

Sɛnea eyi ka wo no gyina nea ɛde microcytic anemia no ba so . Ɛtɔ da bi a, ebetumi ayɛ tebea bi a emu yɛ den a ɛsɛ sɛ wɔhwɛ so nkwa nna nyinaa (te sɛ thalassemia) ho sɛnkyerɛnne. Mmere foforo nso, ebetumi ayɛ bere tiaa mu de . Wobetumi nso de biribi a ɛnyɛ den te sɛ dade nnuru bi a wɔbɛnom asa no koraa.

Sɛ oduruyɛfo no hu nea ɛde ba no wie a, ɔbɛkyerɛkyerɛ sɛnea ɛbɛka w’akwahosan mu akyerɛ wo. Sɛ wowɔ adwenem naayɛ anaa ehu bi sɛ ebia wowɔ yare a emu yɛ den a, wo duruyɛfo no ne onipa a oye sen biara a ɛsɛ sɛ wuhu no yiye. Ɔbɛma wo mmoa ne akwankyerɛ a wuhia.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ microcytic anemia , ade a eye sen biara a wubetumi ayɛ ne sɛ wubedi wo duruyɛfo ayaresa ne akwankyerɛ ahorow akyi pɛpɛɛpɛ. Ɛho hia sɛ wonom wo nnuru no bere ano na wodi wo duruyɛfo bere a wɔahyɛ no so. Nea ɛka ho no, saa nneɛma yi betumi aboa:

• Di aduan a iron pii wom (nneɛma pa a wubetumi apaw ne nantwinam, akokɔnam, mpataa, nkesua, atoko, bankye a ɛyɛ ahabammono, peas, bankye, broccoli, ne nhabannuru a ɛyɛ ahabammono tuntum).
• Bɔ mmɔden sɛ wobɛda sɛnea ɛsɛ . Ɔbrɛ yɛ tebea yi ho sɛnkyerɛnne titiriw, enti ahomegye ho hia.
• Nom nsu pii na amma wo nipadua mu nsu antɔ.
• Hohoro wo nsa mpɛn pii na yɛ nea wubetumi biara na woakwati ɔyare mmoawa , efisɛ mogya a ɛtɔ kɔ nipadua mu no ma asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no yɛ kɛse.
• To nsa nom ano hye anaasɛ gyae koraa.

Nea ɛho hia sen biara no:Ansa na wobɛyɛ nsakrae kɛse biara – sɛ nhwɛso no, wubefi ase nom dade nnuru da biara (a wunni aduruyɛ mu afotu) – hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Obetumi akyerɛ wo kwan wɔ akwan a ahobammɔ wom na etu mpɔn sen biara a wobɛfa so ama microcytic anemia asetra ayɛ mmerɛw no ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Tebea horow a ɛde microcytic anemia ba ho sɛnkyerɛnne betumi aba nkakrankakra bere a bere kɔ so no . Ebia worenhu nsakrae biara wɔ wo nipadua mu ntɛm ara. Ɛno nti na ɛho hia sɛ wuhu w’akwahosan na wo ne wo duruyɛfo kasa sɛ wuhu nsakrae biara (e.g., ɔbrɛ a ɛyɛ soronko, honam ani a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛhome).

Microcytic anemia betumi ayɛ nea asiane biara nni ho, anaasɛ ebetumi ayɛ aduruyɛ mu tebea bi ho sɛnkyerɛnne a sɛ wɔansa a, ebetumi de akwahosan ho haw a emu yɛ den aba. Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa. Dodow a wuhu no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wobɛsa.

Dɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wɔahu sɛ wowɔ microcytic anemia , a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa dodow bi. Nsuro, bisa wo duruyɛfoɔ nneɛma yi ho asɛm:

• Dɛn nti na me tebea no te?
• Me microcytic anemia no mu yɛ den dɛn ? (Me hemoglobin dodow te dɛn?)
• Ayaresa ahorow bɛn na wohyɛ ho nyansa?
• Bere tenten ahe na ɛsɛ sɛ meyɛ ayaresa?
• Nsunsuanso bɔne bɛn na yebetumi ahwɛ kwan afi ayaresa ahorow no mu? Dɛn na wobetumi ayɛ wɔ wɔn ho?
• So wobetumi asan me microcytic anemia no (asa koraa)?
• Bere tenten ahe na ebegye ansa na me ho atɔ me na me yare no ho sɛnkyerɛnne no ano abrɛ ase?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’aduan mu?
• Nneɛma bɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho?

Nnipa pii hu sɛ wɔwɔ microcytic anemia bere a wɔayɛ mogya mu nhwehwɛmu daa anaasɛ esiane sɛnkyerɛnne ahorow nti. Ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne ehu nka bere a wunya nea efi mu ba te sɛ eyi no. Nanso kae sɛ eyi ne ade a edi kan a wɔbɛyɛ de adi aduruyɛ mu ɔhaw a ɛde microcytic anemia bae no ho dwuma . Mpɛn pii no, dade a enni nipadua no mu na ɛde ba. Nanso nneɛma pii betumi de aba. Hwɛ hu sɛ wubebisa wo duruyɛfo nea wo nhwehwɛmu no mu aba kyerɛ ne anammɔn a ɛsɛ sɛ wutu akyi.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Enti, Microcytic Anemia yɛ bere a yɛn mogya mu nkwammoaa kɔkɔɔ no yɛ nketewa. Ade titiriw nti a ɛte saa ne hemoglobin a ɛso tew. Iron a enni nipadua no mu ne ade a ɛtaa de ba. Nanso, nneɛma afoforo betumi de aba te sɛ Thalassemia, ɔfe a nyarewa a enni sabea de ba.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɔbrɛ, adwenemhaw, honam ani a ɛyɛ mmerɛw, anaa ɔbrɛ a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Wobetumi de mogya mu nhwehwɛmu te sɛ CBC ne PBS ahu eyi. Ayaresa no gyina nea ɛde ba no so.

Mma ɛnhaw wo, mpɛn pii no wobetumi adi tebea yi ho dwuma yiye sɛ wohu na wɔsa no yiye a. Ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi, di aduan a ɛkari pɛ a iron pii wom, na wode akwahosan ho su pa di dwuma . Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, wo ne wo duruyɛfo nkasa. W’akwahosan fata!

` Microcytic anemia , mogya a ɛtɔ kɔ nipadua mu, mogya mu nkwammoaa kɔkɔɔ, hemoglobin, dade a enni nipadua mu, sɛnkyerɛnne ahorow, ayaresa