So wotaa nya atiridii ne atiridii ? Anaasɛ wotaa nya ano a ɛyɛ wo yaw na wo menewam yɛ wo yaw ? Ebia wɔreyɛ wo nnuru a wɔde sa yare . Wɔ bere a ɛte sɛɛ mu no , sɛ wo duruyɛfo yɛ mogya mu nhwehwɛmu na ɔka sɛ, “Wo mogya mu nkwammoaa fitaa dodow sua” a, ebia woresusuw nea ɛno kyerɛ ho. Nha wo ho. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no ‘ Neutropenia ’ a ebetumi aka nnipa pii, nanso sɛ wɔte ase yiye a, wobetumi adi so ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Neutropenia?
Fa no sɛ yɛn nipadua yɛ ɔman. Yɛwɔ asraafo dɔm a wɔyɛ den a wɔbɛko atia atamfo ( mmoawa , mmoawa ) a wofi abɔnten ba ɔman yi mu no. Wɔfrɛ asraafo a wɔyɛ soronko sen biara wɔ asraafo dɔm yi mu no Neutrophils . Eyinom ne mogya mu nkwammoaa fitaa titiriw a ɛwɔ yɛn mogya mu no ankasa. Sɛ ɔyare mmoawa bi hyɛn yɛn nipadua mu a, saa Neutrophil asraafo yi kɔ hɔ na wɔsɛe saa mmoawa no na wɔbɔ yɛn ho ban fi nyarewa ho .
So wote ase mprempren? Neutropenia yɛ asraafo a wɔfrɛ wɔn neutrophil yi dodow a ɛso tew wɔ mogya no mu wɔ ɔkwan a ɛnteɛ so. Sɛ asraafo yi so tew a, yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw. Afei ɔyare mmoawa ketewaa bi mpo betumi akɔ nipadua no mu ntɛm na ɛde ɔyare mmoawa aba. Wɔyɛ saa neutrophils yi wɔ nnompe mu ntini a ɛwɔ yɛn nnompe mu no mu.
So neutropenia ahorow atitiriw bi wɔ hɔ?
Yiw, wobetumi akyekyɛ neutropenia mu ayɛ no ahorow atitiriw pii a egyina sɛnea ɛba so. Ebinom ho tɔ wɔn wɔ bere tiaa bi mu (acute), bere a afoforo nso kyɛ (nkyɛ).
| Neutropenia ahorow a ɛwɔ nipadua no mu | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Neutropenia a Wɔde Awo Wɔn | Eyi yɛ tebea a wonya fi awo mu. Ɛtaa ba nkokoaa ne mmofra nkumaa so. Ɔhaw bi a ɛwɔ neutrophils a wɔyɛ wɔ nnompe mu ntini mu no na ɛde ba. |
| Idiopathic Neutropenia a Ɛyɛ Fɛ a Ɛyɛ Fɛ | Idiopathic kyerɛ sɛ “wontumi nhu nea ɛde ba biara.” Saa ɔkwan yi betumi aka mmofra ne mpanyimfo nyinaa. |
| Neutropenia a Ɛkɔ Akyirikyiri | Saa ɔkwan yi yɛ nea ɛyɛ pɔtee yiye. Ɛtaa ba bɛyɛ pɛnkoro wɔ adapɛn 3 biara mu na ɛkyɛ bɛyɛ nnafua 3-6. Ɛba wɔ kyinhyia bi a neutrophil dodow so tew na afei ɛsan kɔ sɛnea na ɛte kan no mu. |
| Neutropenia a ɛko tia nyarewa | Nea ɛrekɔ so wɔ ha ne sɛ wɔresɛe yɛn ankasa ahobammɔ nhyehyɛe, yɛn ankasa Neutrophil nkwammoaa. Ɛte sɛ yɛn ankasa asraafo a wɔreto ahyɛ yɛn ankasa asraafo so. Eyi abu so wɔ mmofra nkumaa mu. |
| Neutropenia a Ɛma Atiridii | Eyi yɛ tebea a emu yɛ den yiye a ebetumi aba nnipa a wɔreyɛ wɔn nnuru a wɔde sa kokoram no mu. Atiridiinini a neutrophil dodow sua betumi ayɛ ɔyare mmoawa a emu yɛ den ho sɛnkyerɛnne. Wobu eyi sɛ aduruyɛ mu asɛm a egye ntɛmpɛ. |
Wobɛyɛ dɛn ahu sɛ wowɔ neutropenia? Dɛn ne sɛnkyerɛnne ahorow no?
Mpɛn pii no, neutropenia nni sɛnkyerɛnne biara. Nnipa binom hu ho asɛm bere a wɔyɛ wɔn mogya mu nhwehwɛmu esiane biribi foforo nti nkutoo. Nanso, ɔyare mmoawa a neutrophils a ɛba fam de ba ho sɛnkyerɛnne betumi aba.
Nea ɛho hia sen biara ne sɛ obi a ɔwɔ neutropenia no nya atiridiinini. Atiridii yɛ sɛnkyerɛnne a ɛsɛ sɛ wobu no aniberesɛm bere nyinaa, efisɛ ebetumi akyerɛ sɛ ɔyare mmoawa bi a ɛyɛ hu retrɛw wɔ nipadua no mu.
Nsɛnkyerɛnne afoforo a ebetumi afi ɔyare mmoawa mu aba no bi ne:
- Menewa a ɛtaa yɛ yaw
- Akuru a ɛwɔ ano anaa anofafa mu
- Ntini a ɛma mogya tu a ahonhon
- Ɔhyew bere a ɔreto nsu ne hia a ehia sɛ wɔtaa tow nsu
- Ayamtuo
- Akisikuru a ɛwɔ nipadua no mu
- Ɛkyɛ wɔ akuru a wɔsa mu
- Ɔbrɛ a wɔte nka kɛse sen sɛnea ɔtaa yɛ (Ɔbrɛ) .
Dɛn nti na Neutropenia yi ba? Dɛn na ɛde ba?
Neutropenia betumi de nneɛma ahorow bi aba. Yebetumi akyekyɛ nneɛma atitiriw a ɛde ba no mu abien: neutrophils a nnompe mu ntini no yɛ no so tew, anaasɛ neutrophils a ɛba no sɛe ntɛmntɛm.
- Nneɛma a ɛma neutrophil a wɔyɛ no so tew:
- Kokoram ayaresa: Nnuru a wɔde sa yare ne mframa a wɔde sa yare no ne nneɛma atitiriw a ɛde ba.
- Kokoram a ɛka nnompe mu ntini te sɛ mogya mu kokoram .
- Nnompe mu ntini mu haw ahorow a wonya fi awo mu.
- Nyarewa bi a efi mmoawa mu ba.
- Nneɛma a ɛde neutrophil a wɔsɛe no kɛse ba:
- Nyarewa a nipadua no tumi ko tia nyarewa: Sɛ nhwɛso no, nyarewa te sɛ Lupus ne Rheumatoid arthritis.
- Nyarewa bi: Dengue atiridii, nsamanwaw, HIV, Hepatitis, ne nea ɛkeka ho.
- Nnuru ahorow bi:
- Neutropenia nso betumi afi nnuru bi a ekum ɔyare mmoawa, koma mu nnuru, akisikuru nnuru, ne adwenemyare nnuru bi mu aba. Sɛ wususuw sɛ aduru bi a worenom na ɛde tebea yi reba a, nnyae no da a wunni kan nkɔ wo duruyɛfo nkyɛn.
Ɔkwan bɛn so ankasa na wohu tebea yi na wɔsa?
Sɔhwɛ titiriw a wɔde hu neutropenia ne mogya mu nhwehwɛmu a ɛnyɛ den a wɔfrɛ no Complete Blood Count (CBC with differential) . Eyi betumi asusuw neutrophils dodow pɛpɛɛpɛ. Sɛ nea ɛde ba no mu nna hɔ a, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ nnompe mu ntini mu nhwehwɛmu .
Ayaresa a wobetumi apaw no gyina sɛnea neutropenia tebea no mu yɛ den ne nea ɛde ba no so.
- Nnuru a ekum ɔyare mmoawa: Sɛ atiridii anaa ɔyare mmoawa bi ba a, wofi ase de nnuru a ekum ɔyare mmoawa di dwuma ntɛm ara.
- Granulocyte Colony-Stimulating Factor (G-CSF) injections: Eyinom kanyan nnompe mu ntini no na ɛboa ma ɛyɛ mogya mu nkwammoaa fitaa pii. Eyi yɛ ayaresa a egye nkwa, titiriw ma neutropenia a nnuru a wɔde sa yare de ba no.
- Nnuru a wɔsesa: Sɛ aduru bi na ɛde tebea yi ba a, oduruyɛfo no betumi asesa aduru no.
- Corticosteroids: Wɔde saa aduru yi di dwuma ma tebea horow a nipadua no tumi ko tia nyarewa.
- Stem cell transplant: Wobetumi de saa ayaresa yi adi dwuma wɔ nnompe mu ntini mu haw ahorow a emu yɛ den yiye ho.
Dɛn na ɛsɛ sɛ yɛyɛ de bɔ yɛn ho ban fi ɔyare mmoawa ho?
Ade a ɛho hia sen biara ma obi a ɔwɔ neutropenia ne sɛ ɔbɛbɔ ne ho ban afi ɔyare mmoawa ho. Ɛho hia paa sɛ wudi anammɔn a ɛnyɛ den yi akyi.
- Ahotew: Fa samina ne nsu hohoro wo nsa yiye daa. Hwɛ wo sẽ ne w’ano akwahosan so yiye.
- Twe wo ho fi nnipa a wɔyare ho: Kwati sɛ wo ne nnipa a wɔwɔ atiridii anaa atiridiinini bedi nkitaho. Tew nsrahwɛ a wokɔ mmeae a nnipa ahyɛ hɔ ma no so.
- Aduan mu ahobammɔ: Di nnuan a wɔanoa no yiye nkutoo. Hohoro na hohoro nhabannuru ne nnuaba a wɔannoa no yiye. Kwati nufusu ne nam a wɔannoa, mpataa, ne nkesua a wɔmfa pasteurized.
- Wo honam ani apirakuru: Hohoro nneɛma nketenkete biara a woatwitwa anaa woatwitwa no yiye na fa plaster gu so. Nnantew abɔnten a wunni mpaboa.
- Ankorankoro nneɛma: Mma afoforo nkyɛ nneɛma te sɛ atɛkyɛ, brɔs, ne mpopaho.
- Nsu: Kwati asuguare wɔ atare, nsubɔnten, ne nsu a ɛyɛ hyew mu.
Nkrasɛm a Wɔde Kɔ Fie
- Neutropenia yɛ tebea a ɛma wo nipadua no tumi ko tia nyarewa no so tew, nanso wobetumi adi ho dwuma.
- Sɛ wowɔ neutropenia a, atiridii yɛ sɛnkyerɛnne a anibere wom yiye. Sɛ wunya atiridii a, ka kyerɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) nkyɛn.
- Di wo duruyɛfo akwankyerɛ ne ayaresa akyi pɛpɛɛpɛ. Nom w’aduru no wɔ bere ano.
- Ade a ɛho hia sen biara ne sɛ wobɛbɔ wo ho ban afi nyarewa ho. Hwɛ ahotew so bere nyinaa.
- Mma w’akwahosan nhaw wo. Sɛ wunya nimdeɛ ne aduruyɛ ho afotu a ɛfata a, wubetumi akɔ so anya apɔwmuden.
neutropenia, mogya mu nkwammoaa fitaa, neutrophils, mogya mu nkwammoaa fitaa a ɛba fam, ɔyare mmoawa, kokoram, nnuru a wɔde sa yare, Sri Lanka, Sinhala, nipadua mu ahoɔden a ɛko tia nyarewa, nnompe mu ntini
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