So wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw? Momma yensua Neutropenia ho ade!

So wunim sɛ sɛ ɔyare mmoawa bi hyɛn yɛn nipadua mu a, yɛn nipadua no wɔ asraafo dɔm a wɔbɛko atia? Asraafo ahorow a wɔyɛ soronko sen biara wɔ asraafo dɔm yi mu no mu biako na wɔfrɛ wɔn Neutrophil. Nanso ɛtɔ da bi a, esiane nneɛma ahorow nti, saa asraafo yi dodow so tew wɔ yɛn nipadua mu. Ɛno ne bere a yare ketewaa bi mpo yɛ nea emu yɛ den na nyarewa fi ase taa ba. Ɛnnɛ yɛreka tebea yi a wɔfrɛ no ‘Neutropenia’, a nipadua no ahobammɔ asraafo so tew ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Neutropenia?

Neutropenia (wɔbɔ no: neutro-pe-nia) yɛ tebea a ɛma neutrophils, mogya mu nkwammoaa fitaa bi, dodow a ɛwɔ wo mogya mu no sua sen sɛnea ɛte daa. Wɔyɛ saa neutrophils yi titiriw wɔ yɛn nnompe mu ntini mu. Wɔn adwuma titiriw ne sɛ wɔbɛhwehwɛ mmoawa te sɛ mmoawa ne mmoawa a wɔhyɛn yɛn nipadua mu na wɔasɛe wɔn.

Enti susuw nea ɛba bere a saa neutrophils yi sua no ho hwɛ. Ɛte sɛ nea asraafo a wɔbɔ ɔman bi ho ban no ayɛ mmerɛw. Tumi a yɛn nipadua no tumi ko tia mmoawa no so tew kɛse. Wɔ tebea horow a emu yɛ den mu no, mmoawa a ɛteɛ a ɛwɔ yɛn anom ne yɛn dwensɔtwaa mu, a ɛnmpira obi a ɔwɔ apɔwmuden mpo betumi de nyarewa a emu yɛ den aba.

Ɔkwan bɛn so na wɔkyekyɛ neutrophil dodow mu?

Oduruyɛfo bi behu eyi denam wo mogya mu nhwehwɛmu a ɔbɛhwɛ so. Mpɛn pii no, ɛsɛ sɛ ɔpanyin a ɔwɔ apɔwmuden nya neutrophils bɛboro 1,500 wɔ mogya microliter biara mu. Wɔakyekyɛ neutropenia mu abiɛsa a egyina sɛnea dodow yi sua so.

Saa tebea yi betumi ayɛ bere tiaa mu (a emu yɛ den) anaa bere tenten (nea enni sabea). Ebetumi nso afi awo mu anaasɛ obi anya.

Dɛn ne nneɛma atitiriw a ɛde neutropenia ba?

Nneɛma pii betumi ama neutrophils so atew. Nnompe mu ntini no ntumi nnya neutrophils a ɛdɔɔso, anaasɛ neutrophils a ɛba no sɛe ntɛmntɛm dodo.

Nneɛma atitiriw a enti ɛte saa no bi ni:

• Kokoram ne n’ayaresa: Eyi yɛ ade a ɛtaa de ba. Nnuru ne mframa a wɔde sa yare, titiriw ma kokoram, nso betumi asɛe nkwammoaa a ɛwɔ apɔwmuden a wɔfrɛ no neutrophils, a ɛyɛ nkwammoaa a ɛpaapae ntɛmntɛm no, bere a wɔsɛe no no. Ebetumi nso afi mogya mu kokoram te sɛ mogya mu kokoram.
• Nyarewa: Nyarewa bi a efi mmoawa, mmoawa, ne mmoawa a wɔsɛe nnɔbae mu tumi ma neutrophil dodow so tew bere tiaa bi. Nhwɛso bi ne HIV, Hepatitis, Tuberculosis, ne sepsis, ɔyare mmoawa a emu yɛ den.
• Nnuru bi: Wɔ kokoram nnuru akyi no, nnuru bi a wɔnom ma nyarewa afoforo nso betumi ama neutrophils so atew sɛ nea efi mu ba.
• Tebea horow a nipadua no tumi ko tia nyarewa: Eyi ne bere a yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no di mfomso tow hyɛ yɛn ankasa neutrophil nkwammoaa a ɛwɔ apɔwmuden so, na wosusuw sɛ ɛno ne ɔtamfo no. Nhwɛso ahorow bi ne tebea horow te sɛ lupus ne ntini mu yare.
• Aduan a enni nipadua mu: Sɛ nipadua no nni aduannuru te sɛ vitamin B12, folate, anaa kɔbere nso a, saa tebea yi betumi aba.
• Awosu mu nneɛma a ɛde ba: Nnipa binom nya saa tebea yi fi awo mu fi awo mu.

Dɛn ne neutropenia ho sɛnkyerɛnne ahorow?

Ade a ɛho hia wɔ ha ne sɛ Neutropenia ankasa nni sɛnkyerɛnne biara. Nanso, esiane sɛ neutrophils sua nti, wubetumi anya sɛnkyerɛnne ahorow esiane nyarewa a ɛnyɛ den sɛ wubenya nti. Sɛ wotaa yare a, ebetumi nso ayɛ Neutropenia ho sɛnkyerɛnne.

Sɛ ɔyare mmoawa bi ba a, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Atiridiinini (ɛboro Celsius 38 anaa Fahrenheit 100.4) .
• Ɔbrɛ a ɛtra so a wɔte nka sɛ nkwa nnim
• Menemkuro
• Nipadua no nkwaa a ɛho ahonhon
• Akuru a ɛyɛ yaw wɔ ano anaa akyi berɛmo mu
• Ayamtuo
• Ɔhyew ne ɛyaw bere a woretow nsu no
• Honam ani yare (a ɛyɛ kɔkɔɔ, ɛho ahonhon, ɛyaw) .

Sɛ wo neutropenia dodow no nyɛ den a, ebia woda so ara wɔ neutrophils a ɛdɔɔso wɔ wo nipadua mu a ɛbɛko atia nyarewa. Ebia worennya yare no ho sɛnkyerɛnne biara saa bere yi.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina nea ɛde wo neutrophil dodow a ɛba fam ba ne sɛnea emu yɛ den no so. Ebia nsɛm bi a emu nyɛ den no renhia ayaresa biara.

Akwan titiriw a wɔfa so sa yare no bi ni:

• Nnuru a ekum ɔyare mmoawa: Sɛ wowɔ neutropenia ka atiridiinini (a wɔfrɛ no `febrile neutropenia`) ho a, ebetumi ayɛ ɔyare mmoawa a emu yɛ den ho sɛnkyerɛnne. Wɔ tebea a ɛte saa mu no, ebia wo duruyɛfo no bɛma wo akɔ ayaresabea na wama wo nnuru a ano yɛ den a ekum ɔyare mmoawa afa ntini bi mu (afa hama bi so).
• Corticosteroids: Sɛ yare bi a nipadua no tumi ko tia nyarewa na ɛde wo neutropenia ba a, wɔde nnuru yi ma na ama nipadua no mu tumi a ɛko tia nyarewa no ayɛ adwuma.
• G-CSF (Granulocyte colony-stimulating factor): Eyinom yɛ aduru titiriw bi a wɔde twitwiw nnompe mu ntini mu na ɛma mogya mu nkwammoaa fitaa (titiriw neutrophils) yɛ kɛse. Wɔtaa de eyinom ma nnipa a wɔreyɛ nnuru a wɔde sa yare no.
• Nnuru a wobɛsesa: Sɛ aduru bi na ɛde wo tebea no ba a, wo duruyɛfo betumi agyae nnuru no anaasɛ ɔbɛsesa dodow a wode ma no.

Dɛn na ɛsɛ sɛ meyɛ de bɔ me ho ban fi nyarewa ho?

Sɛ wunim sɛ wowɔ neutropenia a, ade a ɛho hia sen biara a wubetumi ayɛ ne sɛ wobɛbɔ wo ho ban afi ɔyare mmoawa ho. Esiane sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw nti, ɛsɛ sɛ wohwɛ yiye kɛse.

• Fa samina ne nsu hohoro wo nsa yiye daa. Fa aduru a wɔde tew nsa a nsa wom di dwuma bere a nsu nni hɔ no.
• Twe wo ho fi nnipa a wɔyare ne mmeae a nnipa ahyɛ hɔ ma ho sɛnea wubetumi biara.
• Nya wo vaccines a wohia nyinaa , te sɛ influenza vaccine no, wɔ bere ano. Bisa wo duruyɛfo ma ɔmma no afotu wɔ eyi ho.
• Kwati sɛ wobɛtwitwa na woabɔ wo ho akuturuku. Hohoro na sa akuru nketenkete mpo ntɛm ara.
• Hwɛ yiye paa wɔ aduan mu ahotew ho. Hohoro nhabannuru ne nnuaba yiye ansa na woadi. Noa nam, mpataa, ne nkesua yiye ansa na woadi.
• Mfa afoforo nkuku, nkuruwa, nkankyee, twitwa, mpopaho, ne brɔs a wɔde sew sẽ nni dwuma.
• Sɛ woreyɛ adwuma wɔ turo mu a, hyɛ nsateaa.
• Sɛ woreyi afieboa nwura afi hɔ anaasɛ woresesa mpaboa a wɔde ma mmofra nkumaa a, hwɛ hu sɛ wobɛhyɛ nsateaa na woahohoro wo nsa yiye bere a woawie no.
• Kwati sɛ wobɛguare wɔ nsu a ɛho ntew te sɛ atare, nsubɔnten, ne atare mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ntɛm ara sɛnea metumi?

Sɛ woreyɛ nnuru a wɔde sa wo yare anaasɛ wowɔ aduruyɛ mu tebea foforo a ebetumi ama woanya neutropenia a, sɛ wunya sɛnkyerɛnne ahorow a edidi so yi mu biara a, ntwentwɛn wo nan ase . Frɛ wo duruyɛfoɔ ntɛm ara anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.

Neutropenia nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛho hia sɛ wohu na wohwɛ yiye. Sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye na woyɛ nneɛma a ɛho hia de bɔ wo ho ban fi nyarewa ho a, wubetumi adi tebea yi ho dwuma yiye.