So wo ba no mogya mu nkwammoaa fitaa sua? Momma yensua tebea a ɛyɛ hu (Neutropenia) yi ho ade!

Maame ne Paapa, ebia na mo suro kakra bere a muhuu mo ba mogya ho amanneɛbɔ na oduruyɛfo bi kae sɛ, ‘Neutrophils a ɛba fam’ anaa ‘Mogya mu nkwammoaa fitaa a ɛba fam’ no, ɛnte saa? Anaasɛ sɛ wo ba no taa yare a, ebia na woasusuw ho sɛ ebia eyi na ɛde ba anaa. Enti ɛnnɛ yɛrebɛka tebea a wɔfrɛ no `(Neutropenia)` (wɔbɔ no: neutro-pe-nia) ho asɛm. Sɛ wote eyi ase yiye a, ɛbɛyɛ mmoa kɛse ama wo sɛ wubedi ho dwuma yiye a worensuro a ɛho nhia.

Dɛn na `(Neutropenia)` kyerɛ ara kwa?

Sɛ yɛbɛka no tiawa a, `(Neutropenia)` kyerɛ sɛ yenni mogya mu nkwammoaa fitaa soronko bi a ɛdɔɔso wɔ yɛn mogya mu. Yɛfrɛ saa mogya mu nkwammoaa fitaa yi `(Neutrophils)`. Susuw saa `(Neutrophils)` yi ho sɛ asraafo nkumaa a wɔwɔ yɛn nipadua mu. Wɔn adwuma titiriw ne sɛ wɔbɛko atia mmoawa te sɛ `(Bacteria)` a wɔhyɛn yɛn nipadua mu na wɔbɔ yɛn ho ban fi nyarewa ho. `(Bacteria)` yɛ mmoawa bi, na wɔn na wɔde nyarewa ahodoɔ ba yɛn so.

Enti, dɛn na ɛba bere a yɛhwere saa asraafo a wɔfrɛ wɔn `(Neutrophils)` yi a ɛdɔɔso wɔ yɛn mogya mu no? Yɛn nipadua no ahobammɔ nhyehyɛe no ayɛ mmerɛw. Afei ɛnyɛ den sɛ mmoawa betumi akɔ nipadua no mu na ɛde nyarewa a emu yɛ den aba. Ɛno nti na sɛ abofra a ɔwɔ `(Neutropenia)` nya atiridiinini, sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɛyɛ kɔkɔɔ wɔ nea wɔatwa no ho, anaasɛ atiridiinini na ne ho popo a, ɛho hia sɛ ɔhwehwɛ aduruyɛfo afotu ntɛm ara . Nanso mma ɛnhaw wo, sɛ wonya ayaresa ntɛm a, ɔyare mmoawa dodow no ara a ɛba mmofra a wɔwɔ `(Neutropenia)` mu no betumi asa.

Dɛn ne abofra a ɔwɔ ``(Neutropenia)'' ho sɛnkyerɛnne?

Abofra a ɔwɔ ``(Neutropenia)`` no taa nya ɔyare mmoawa sen mmofra afoforo a wɔwɔ apɔwmuden. Afei nso, saa nyarewa yi:

• Ebetumi asi mpɛn pii.
• Ebetumi ayɛ nea enye koraa.
• Ebetumi asɛe ntɛmntɛm.

Nsɛnkyerɛnne no gyina ɔyare mmoawa ko a wo ba no wɔ so. Sɛ nhwɛso no, abofra a n’aso mu yare betumi anya aso mu yaw. Ɛtɔ mmere bi a, wobetumi ada sɛnkyerɛnne ahorow a ɛkɔ akyiri te sɛ atiridiinini, nipadua mu yaw, ne aduan ho akɔnnɔ a ɛyera nso adi.

Adɛn nti na saa `(Neutropenia)` yi ba? Dɛn na ɛde ba?

Seesei yenim sɛ ``Neutropenia'' fi ``Neutrophils'' dodow a ɛso tew wɔ mogya no mu. Nneɛma pii na ɛma eyi ba:

• Nyarewa ahorow: Nyarewa bi a efi mmoawa anaa mmoawa mu betumi atew ``(Neutrophils)'' so bere tiaa bi.
• Nnuru: Nnuru a wɔde sa yare, titiriw nnuru a wɔde kum kokoram nkwammoaa no betumi aka nnompe mu ntini no na ama neutrophils a wɔyɛ no so atew. Nnuru afoforo bi nso betumi de eyi aba.
• Mframa a wɔde sa yare: Mframa a wɔde sɛe kokoram nkwammoaa nso betumi asɛe nnompe mu ntini no na asɛe neutrophils a wɔyɛ no.
• Awosu mu ɔhaw ahorow:Mmofra binom betumi anya ``Neutropenia`` esiane awosu mu tebea bi a ɛwɔ hɔ wɔ awo mu nti. Wɔsan frɛ eyi ``Congenital neutropenia``.
• Nnompe mu ntini a entumi nyɛ adwuma yiye: Nnompe mu ntini yɛ ade a ɛte sɛ ɔpon a ɛwɔ yɛn nnompe mu. Ɛha na wɔyɛ yɛn mogya mu nkwammoaa. Enti, ɔhaw biara a ɛwɔ saa nnompe mu ntini yi mu no betumi ama `(Neutrophils)` a wɔyɛ no so atew.
• Nkwammoaa a ɛko tia nyarewa no tow hyɛ n'ankasa ``Neutrophils'' so: Wɔfrɛ eyi ``Autoimmune neutropenia''. Nea ɛkɔ so wɔ ha ne sɛ nipadua no mu tumi a ɛko tia nyarewa a ɛko tia mmoawa a ɛwɔ yɛn ankasa nipadua mu no di mfomso sɛe n'ankasa ``Neutrophils'' nkwammoaa.

Ɛtɔ mmere bi a, neutropenia betumi aba na akɔ (cyclic neutropenia) . Eyi kyerɛ sɛ neutrophils dodow so tew nna kakraa biara na afei ɛsan kɔ sɛnea na ɛte kan no. Wɔ tebea afoforo mu no, nnuruyɛfo ntumi nhu nea ɛde neutropenia (idiopathic neutropenia) ba .

Wobɛyɛ dɛn ahu sɛ wowɔ `(Neutropenia)`?

Nnuruyɛfo de mogya mu nhwehwɛmu bi a wɔfrɛ no Complete Blood Count (CBC) hu neutropenia. Eyi susuw nkwammoaa ahorow a ɛwɔ mogya no mu dodow.

Nea ɛbɛyɛ na wɔahu nea enti a abofra bi anya neutropenia ankasa no, mogya ho ɔbenfo, oduruyɛfo a ne ho akokwaw wɔ mogya mu nyarewa mu betumi ayɛ nhwehwɛmu afoforo pii. Eyinom bi ne:

• Microscopic nhwehwɛmu a wɔyɛ wɔ abofra no mogya mu.
• Nnompe mu ntini ketewaa bi a wɔfa (`(Bone marrow biopsy)`) na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.
• Nhwehwɛmu a wɔyɛ de hu ɔyare mmoawa ahorow.
• Awosu mu nhwehwɛmu.

Saa sɔhwɛ ahorow yi na ɛkyerɛ nea ɛde neutropenia ba ankasa.

Ɔkwan bɛn so na wɔsa Neutropenia?

`(Neutropenia)` ayaresa gyina nea ɛde tebea no ba ne sɛnea emu yɛ den so. Ɛnyɛ `(Neutropenia)` nsɛm nyinaa na ɛhia ayaresa.

Nnuruyɛfo de botae bi a wɔfrɛ no `ANC (Absolute Neutrophil Count)` di dwuma de si ayaresa ho gyinae. `ANC` yɛ susuw pɔtee a ɛkyerɛ `(Neutrophils)` nkwammoaa dodow a ɛwɔ mogya no mu. Dodow a saa bo yi sua no, dodow no ara na asiane a ɛwɔ hɔ sɛ abofra benya ɔyare mmoawa a emu yɛ den no yɛ kɛse.

Sɛ ɛho hia sɛ wɔsa yare a, akwan pii wɔ hɔ a wobetumi afa so:

1. Nsiesiei a ɛfa `(Neutropenia)` tebea no ho:

• Granulocyte Colony-Stimulating Growth Factor (G-CSF) injections: Eyinom kanyan nnompe mu ntini no ma ɛyɛ neutrophils pii.
• Steroid nnuru: Wɔde saa nnuru yi siw nipadua no mu tumi a ɛko tia nyarewa no kwan sɛ ɛnsɛe neutrophils (titiriw wɔ autoimmune neutropenia mu).
• Mogya mu nkwammoaa fitaa a wɔde ma: Nkwammoaa foforo a wɔbɛma abofra no de ako atia ɔyare mmoawa.
• Nkwammoaa a wɔde si ananmu:Nea ɛka eyi ho ne sɛ wɔde ntini mu nkwammoaa a ɛte apɔw a efi obi a ɔde mae hɔ besi ntini mu nkwammoaa a ɛyɛ yare a ɛma mogya no ananmu. Wɔtaa yɛ eyi wɔ nsɛm a emu yɛ den mu.
• Splenectomy: Ɛtɔ mmere bi a, akyi berɛmo no sɛe neutrophils, enti sɛ woyi ahurututu no fi hɔ a, ebetumi ama neutrophils dodow akɔ soro.

2. Nyarewa a wobesiw ano na wɔasa:

• Nnuru a ekum ɔyare mmoawa: Wɔde nnuru a ekum ɔyare mmoawa ma de sa ɔyare mmoawa sɛ ɛba anaasɛ ɛtɔ mmere bi a wɔde siw ɔyare mmoawa ano.

3. Akwankyerɛ titiriw ma mmofra a neutrophil dodow sua koraa na asiane kɛse wom sɛ wobenya ɔyare no:

Ɛsɛ sɛ wɔhwɛ yiye titiriw na wɔabɔ mmofra yi ho ban afi nyarewa ho.

Nea ɛho hia: Sɛ wudi akwankyerɛ ahorow yi akyi a, ebetumi abɔ wo ba ho ban afi nyarewa pii ho.

• Kwati mmeae a nnipa pii wɔ te sɛ sukuu ahorow, sɛnea wubetumi biara.
• Nnipa a wɔyare a wɔbɛtwe wɔn ho afi ho.
• Sɛ woretu kwan akɔyɛ nneɛma a ɛho hia a, hyɛ anim akataso.
• Hohoro wo nsa yiye (anyɛ yiye koraa no fa samina ne nsu hohoro sikɔne 20) mpɛn pii.
• Wo sẽ a wobɛhohoro na wode nhama abɔ wo sẽ da biara da.
• Mfa afiri a wɔde kyerɛ ɔhyew a ɛwɔ akyi berɛmo mu nni dwuma mfa nhwɛ sɛ atiridii anaa (eyi betumi ama obi apira na ɛde mmoawa aba).
• Sɛ wunya kuru ketewaa bi a, tew ho ntɛm na fa plaster gu so.
• Kwati sɛ wode nneɛma a ano yɛ nnam te sɛ ahama bedi dwuma (efisɛ sɛ wotwa a, ebetumi de ɔyare mmoawa aba).
• Nnuan bi a wobɛkwati:
• Nufusu ne nufusu mu nnuan a wɔmfa pasteurized nhyɛ mu.
• Nnuaba, nhabannuru, ne nnuaba a wɔannoa – bere tenten a wɔahohoro no yiye na wɔanoa no, ɛnyɛ hwee.
• Ɛwo a wɔayam.
• Wɔkwati saa nnuan yi efisɛ ebia mmoawa wɔ mu.

Mobɛyɛ dɛn atumi aboa sɛ awofo?

Sɛ wo ba no wɔ neutropenia a, ɛho hia sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

• Ma wɔnyɛ mogya mu nhwehwɛmu wɔ nna a wɔahyɛ ato hɔ.
• Fa nnuru a wɔakyerɛw ama wo no ma no pɛpɛɛpɛ na ma no bere ano.
• Di akwankyerɛ a wɔde ama no akyi na asiw ɔyare mmoawa ano pɛpɛɛpɛ.

Sɛ woyɛ saa nneɛma yi yiye a, wubetumi adi wo ba no tebea ho dwuma yiye.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn? (Nsɛm a egye ntɛmpɛ!)

Ɛho hia yiye sɛ wobɛkɔ ayaresabea ntɛm ara sɛ abofra a ɔwɔ neutropenia da sɛnkyerɛnne biara adi sɛ ɔwɔ ɔyare no a. Sɛ wɔsa abofra no yare ntɛm a, mpɛn pii no ne ho tɔ no ntɛm.

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a , bɔ wo duruyɛfo amanneɛ ntɛm ara:

• Sɛ atiridiinini no boro digrii Celsius 38 (100.4 Fahrenheit) a.
• Sɛ wote nka sɛ awɔw wom, wo ho popo na/anaasɛ wo ho fifiri a.
• Ɔfe, ɛyɛ den sɛ wobɛhome.
• Ano mu akuru, menewa mu yaw.
• Ɛyaw bere a woretow nsu no.
• Sɛ ɛyɛ kɔkɔɔ na ɛtrɛw twa honam ani akuru bi ho hyia a.
• Ɔfe anaa akisikuru.
• Ɛyaw foforo bi.

Sɛ wuhu sɛnkyerɛnne bi te sɛ eyi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ.

Nneɛma pii a ɛsɛ sɛ wuhu...

Abofra a ɔwɔ ayaresa tebea a emu yɛ den a wobenya no betumi ayɛ den ama abusua biara. Nanso kae sɛ ɛnyɛ wo nko ara. Wo ne obiara a ɔwɔ wo ba no aduruyɛ kuw no mu nkasa na bisa akwan a wobɛfa so anya mmoa a wuhia no ho asɛm. Wubetumi nso anya nsɛm ne mmoa pii wɔ aduruyɛ ho wɛbsaet ahorow a wogye di wɔ intanɛt so (e.g., Wiase Akwahosan Ahyehyɛde no wɛbsaet, ayaresabea ahorow a agye din wɛbsaet ahorow). Nanso, ɛnyɛ nsɛm a wohu wɔ Intanɛt so nyinaa na ɛyɛ nokware, enti ɛho hia sɛ wo ne oduruyɛfo bɛkasa de ahwɛ sɛ nsɛm no yɛ nokware anaa.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti, ɛfiri deɛ yɛaka ho asɛm nnɛ no, mewɔ anidasoɔ sɛ woanya nteaseɛ pa wɔ `(Neutropenia)` ho.

Neutropenia yɛ mogya mu nkwammoaa fitaa a wɔfrɛ no neutrophils dodow a ɛso tew wɔ mogya no mu. Eyi betumi ama woanya ɔyare mmoawa ntɛmntɛm.

Ntease pii betumi aba, na ɛtɔ mmere bi mpo a, wuntumi nhu nea enti a ɛte saa.

Wɔnam mogya mu nhwehwɛmu so hu yare no.

Ayaresa no gyina nea ɛde ba ne sɛnea emu yɛ den so. Ɛnyɛ obiara na ohia ayaresa.

Ade a ɛho hia sen biara ne sɛ wobɛhwɛ yiye sɛ wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa na sɛ wuhu bi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Wubetumi abɔ wo ba ho ban denam nnuruyɛfo afotu a wubedi akyi pɛpɛɛpɛ ne akwan horow a wɔfa so siw ɔyare mmoawa ano a wode bedi dwuma no so.

Wopɛ sɛ wo ba no ho tɔ no ntɛm! Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo.

` Neutropenia, neutropenia, mogya mu nkwammoaa fitaa dodow a ɛba fam, mmofraberem nyarewa, nyarewa, ANC, mogya mu nyarewa, nipadua mu ahoɔden a ɛko tia nyarewa