So wunim ade ketewaa a ɛbɔ wo ho ban yi ho asɛm wɔ wo nipadua mu? Biribiara a ɛfa Akisikuru ho!

So woate akwaa bi a wɔfrɛ no "spleen" ho asɛm pɛn? Ebia wontee pii. Nanso sɛ yɛka kyerɛ wo sɛ eyi yɛ ɔbran ketewaa bi a ɔyɛ komm yɛ ɔsom adwuma bi a ɛho hia paa wɔ yɛn nipadua mu a, so ɛbɛyɛ wo nwonwa? Nokwarem no, akwaa ketewa yi yɛ adwuma kɛse wɔ yɛn nipadua ho banbɔ mu. Ɛnnɛ, momma yɛnka saa akwaa a wɔfrɛ no Spleen yi ho asɛm, nea ɛyɛ adwuma, ɔhaw ahorow a ebetumi de aba, ne nea enti a ɛsɛ sɛ yɛma yɛn ani da hɔ.

Dɛn ne akyi berɛmo? Ɛhe na ɛwɔ?

Okay, di kan ma yɛnhwɛ nea saa ahurututu yi yɛ, ne baabi a ɛwɔ wɔ yɛn nipadua mu. Fa no sɛ ɛwɔ wo benkum so, wo yafunu atifi pɛɛ, sɛ yɛbɛka no pɛpɛɛpɛ a, ɛwɔ wo mpampam ase, na ɛyɛ akwaa a ɛyɛ mmerɛw na ɛte sɛ spongy a ne kɛse bɛyɛ sɛ wo nsateaa (ɛno tenten bɛyɛ nsateakwaa 4). Ɛyɛ kɔla kɔkɔɔ-akuturuku tuntum. Ebinom ka sɛ ne kɛse te sɛ mpɔtorɔ ketewaa bi. Nanso, ɛnyɛ akwaa a ɛsõ koraa, nanso ɛyɛ adwuma pii!

Akisikuru no te sɛ beae a wɔhwɛ nneɛma a ahobammɔ wom kɛse ne baabi a wɔhohoro nneɛma wɔ yɛn nipadua mu. Sɛnea nsu a wɔde yiyi nsu mu tew nsu ho denam efĩ ne nneɛma a ɛho nhia a eyi fi hɔ no so no, saa ara na akisikuru boa ma yɛn mogya ho tew denam mogya mu nkwammoaa kɔkɔɔ dedaw a entumi nyɛ adwuma yiye, ne mmoawa a wowia wɔn ho kɔ yɛn nipadua mu na wɔbɔ mmɔden sɛ wɔde nyarewa bɛba no a wohu na woyi fi hɔ no so.

Afei ma menka biribi foforo nkyerɛ wo. Akisikuru yɛ yɛn ntini a ɛma mogya tu no fã a ɛho hia yiye . Ebia woresusuw ho sɛ, "Dɛn ne saa ntini a ɛma mogya tu yi?" Sɛ yɛbɛka no tiawa a, ɛyɛ akwan nketewa ne nsu a ɛkɔ yɛn nipadua mu nyinaa nhyehyɛe. Saa nhyehyɛe yi boa ma nsu a ɛwɔ yɛn nipadua mu no kari pɛ (yɛfrɛ no ‘nsu a ɛwɔ ntini ahorow ntam’). Afei nso, saa ntini nhyehyɛe yi di dwuma kɛse wɔ nneɛma a epira te sɛ mmoawa a wɔhyɛn yɛn nipadua mu na ɛbɔ yɛn ho ban fi nyarewa ho no mu. Nsu bi a emu da hɔ a ɛte sɛ nsu a ɛyɛ kɔkɔɔ kakra a wɔfrɛ no ``lymph'' sen fa saa nhyehyɛe yi mu. Protein, nkyene, ne mogya mu nkwammoaa fitaa a ɛbɔ yɛn nipadua ho ban nso wɔ eyi mu. Enti akyi berɛmo no te sɛ beae titiriw bi a ɛboa saa ntini a ɛma mogya tu yi yɛ adwuma.

Enti, dɛn ne dwumadi atitiriw a akyi berɛmo no yɛ? Momma yɛnhwehwɛ mu pɛpɛɛpɛ!

Akisikuru yɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã a ɛho hia yiye na ɛho nhia – nipadua no ahobammɔ nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho. Te sɛ ɔsraani a ne ho akokwaw a ɔbɔ ɔman bi ho ban no, saa ara na akisikuru bɔ yɛn nipadua ho ban. Momma yɛnhwɛ nneɛma a ɛyɛ nwonwa a saa akwaa ketewa yi yɛ no bi:

• Mogya a wɔde yiyi mu: Eyi yɛ adwuma titiriw a akyi berɛmo no yɛ no mu biako. Susuw ho hwɛ, mogya a ɛwɔ yɛn nipadua mu nyinaa fa ahurututu no mu mpɛn pii da biara. Wɔ saayɛ mu no, akyi berɛmo no yɛ adwuma te sɛ ɔsraani a ne ho akokwaw . Ɛyɛ:
• Mogya mu nkwammoaa kɔkɔɔ dedaw ne nea asɛe a woyi fi hɔ:Yɛn mogya mu nkwammoaa kɔkɔɔ no nso nkwa nna pɔtee bi (bɛyɛ nnafua 120). Sɛ wɔbɔ akwakoraa na wontumi nyɛ adwuma yiye a, akyi berɛmo no hu wɔn, bubu mu, na ɛtetew nneɛma a ɛsom bo a ɛwɔ mu te sɛ dade mu sɛnea ɛbɛyɛ a nipadua no betumi de adi dwuma bio. Ɛte sɛ nea woreyi nneɛma dedaw afi hɔ na woapaw nea eye no.
• Mogya mu nkwammoaa a ɛnteɛ a woyi fi hɔ: Wɔ nyarewa bi mu (sɛ nhwɛso no, wɔ mogya a ɛtɔ kɔ nipadua mu tebea horow bi mu) no, mogya mu nkwammoaa kɔkɔɔ a ɛnteɛ a ɛnteɛ betumi aba. Nkwammoaa no hu nkwammoaa yi na eyi fi hɔ.

• Mmoawa a wɔko tia: Akisikuru te sɛ ntetee nsraban ne ɔko a wɔde ko tia mmoawa . Ɔkwan bɛn so na ɛba saa?
• Mogya mu nkwammoaa fitaa ahorow soronko pii wɔ akyi berɛmo no mu . Eyinom ne nea yɛfrɛ no `(lymphocytes)` ne `(macrophages)`.
• Nkwammoaa bi a wɔfrɛ no ``Lymphocytes'' yɛ nnuru a ɛko tia nyarewa. Saa nnuru a ɛko tia nyarewa yi te sɛ akode titiriw bi. Wɔyɛ nnuru a ɛko tia nyarewa a ɛyɛ ɔyare mmoawa biara pɔtee na wɔma saa mmoawa no nyɛ adwuma.
• Nkwammoaa a wɔfrɛ no ``Macrophages'' te sɛ "nkwaboaa a wodi." Wɔka mmoawa, mmoawa, ne mmoawa a wɔwɔ mogya a ɛfa akisikuru no mu na wɔsɛe wɔn. Wɔn na wɔsɛe mogya mu nkwammoaa kɔkɔɔ dedaw nso.

• Mogya ne mogya mu nkwammoaa dodow a wɔhwɛ so: Akisikuru no sie mogya a ɛwɔ yɛn nipadua mu nyinaa no fã bi (titiriw mogya mu nkwammoaa kɔkɔɔ ne mogya mu nkwammoaa). Sɛ nhwɛso no, wɔ tebea a egye ntɛmpɛ mu no, sɛ mogya pii tu fi opira bi mu a, akisikuru no yi mogya a wɔakora so yi bi fi hɔ ma ɛboa nipadua no. Ɛte sɛ ‘power bank’ ketewaa bi!

• Dade a wɔkora so: Akisikuru no sie dade a ɛba bere a mogya mu nkwammoaa kɔkɔɔ abubu no bi sie bere tiaa bi. Afei wɔde saa dade yi kɔ nnompe mu ntini mu ma ɛyɛ mogya mu nkwammoaa kɔkɔɔ foforo.

Hwɛ adwuma kɛse a akwaa ketewa yi yɛ!

Ɔhaw ahorow bɛn na ebetumi aba wɔ ahurututu no ho? Momma yɛnhwɛ yiye!

Ɛwom mpo sɛ akisikuru ho hia yɛn nipadua paa de, nanso ɛtɔ mmere bi a ebetumi nso ahyia ɔhaw ahorow. Ma yɛnhwɛ nea wɔyɛ.

Akisikuru a Ɛma Akisikuru

Eyi ne ɔhaw a ɛtaa ba akyi berɛmo no so. Ɔkwan bɛn so na akyi berɛmo no pira?

• Ɔhwe a emu yɛ den a wɔbɔ yafunu no: Sɛ wɔbɔ yafunu no benkum so denneennen bere a wɔredi agumadi (sɛ nhwɛso no, rugby, akuturukubɔ), ntɔkwaw, anaa kar akwanhyia betumi asɛe akyi berɛmo no.
• Mpampam a abubu: Ɛtɔ mmere bi a, sɛ mpampam a ɛwɔ fam a ɛwɔ benkum so no bubu a, mpampam a abubu no fã bi betumi apira akyi berɛmo no.

Sɛ akyi berɛmo no pira a, ebetumi atetew (apaapae) anaasɛ abubu (akuru) . Nnuruyɛfo gyina sɛnea opira no mu yɛ den so kyekyɛ saa opira yi mu. Mpɛn pii no, dodow a efi 1 (baako) kosi 5 (anum) na ɛwɔ hɔ. Ɔfã 1 yɛ nea emu yɛ den koraa, na ɔfã 5 ne tebea a emu yɛ den sen biara na ebia ɛde nkwa to asiane mu.

Nea ɛho hia: Sɛ wo yafunu a ɛbɔ denneennen, wo yafunu benkum atifi yɛ wo yaw kɛse, wo ti yɛ wo yaw, anaasɛ ɛyɛ den sɛ wobɛhome a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara. Eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ akyi berɛmo no asɛe.

Bere bi a atwam no, sɛ akyi berɛmo no pira kakra mpo a, na nnuruyɛfo taa yɛ oprehyɛn bi a wɔfrɛ no splenectomy, a nea ɛka ho ne sɛ woyi akyi berɛmo no nyinaa . Nanso ɛnte saa bio. Esiane sɛ nnuruyɛfo nim sɛnea akyi berɛmo ho hia ma yɛn nipadua mu tumi a ɛko tia nyarewa no nti, wɔyɛ nea wobetumi biara de boa ahurututu a apira no ma ɛsa a wonnyi mfi hɔ. Mpɛn pii no, akuru nketenkete ne akisikuru sa bere a obi gye n’ahome pii ne apɔw-mu-teɛteɛ te sɛ mmirikatu, ahuruhuruw, ne nneɛma a emu duru a wɔma so bere tiaa bi no ano hye . Ɛtɔ da bi a, ebia ɛho behia sɛ wotra ayaresabea hɔ hwɛ. Sɛ nneɛma a asɛe no mu yɛ den nkutoo a na wosusuw oprehyɛn ho.

Ahurututu a ɛtrɛw / Splenomegaly

Nyarewa bi betumi ama akisikuru no ayɛ kɛse asen sɛnea ɛte daa, kyerɛ sɛ, ɛhohoro. Wɔ aduruyɛ mu no, yɛfrɛ eyi `(Splenomegaly)` (splenomegaly). Nneɛma pii nti na eyi betumi asi:

• Nyarewa bi: Sɛ nhwɛso no, ɔyare mmoawa te sɛ `(Infectious mononucleosis)` (mononucleosis - nnipa binom nso frɛ no "kissing disease", ɛnte saa?), mmoawa a wɔde nyarewa ba te sɛ malaria, ne ɔyare mmoawa bi betumi ama akyi berɛmo no ahonhon.
• Mmɛn mu yare: Mmɛn mu nyarewa te sɛ mmerɛbo mu yare nso betumi ama akyi berɛmo no ayɛ kɛse.
• Mogya mu nyarewa: Akisikuru nso tumi ahonhon wɔ kokoram ahorow bi mu, te sɛ mogya mu kokoram, mogya mu yare, ne mogya a ɛtɔ kɔ nipadua no mu tebea horow bi mu.
• Nyarewa a wɔde sie: Wɔ tebea horow a ɛntaa nsi te sɛ Gaucher yare mu no, nneɛma bi boaboa ano wɔ akyi berɛmo no mu, na ɛma ɛyɛ kɛse.

Bere a akyi berɛmo no reyɛ kɛse no, ɛyɛ mmerɛw sɛ ebepira. Enti, sɛ wowɔ akyi berɛmo a ayɛ kɛse esiane yare te sɛ mononucleosis nti a, ɛho hia sɛ wokwati agumadi a ɛne wo ho di nkitaho ne dwumadi ahorow a ebetumi ama yafunu mu nhyɛso aba kosi sɛ ɛbɛsan ayɛ kɛse sɛnea ɛsɛ. Sɛ ɛnte saa a, ade ketewaa bi mpo betumi abubu akisikuru no.

Akisikuru Dwumadi a Ɛtew / Hyposplenism anaa Asplenia

Wɔ tebea horow bi mu no, ebia akyi berɛmo bi wɔ hɔ nanso ɛnyɛ adwuma yiye. Anaasɛ, ebia wɔbɛwo obi a onni akyi berɛmo (eyi ho yɛ na koraa).

• Sɛ nhwɛso no, nnipa a wɔwɔ mogya mu yare a wonya fi awo mu ``Sickle cell disease`` no, wɔn akyi berɛmo kɔ so sɛe fi wɔn mmofraase, na bere bi akyi no, ɛtwetwe na egyae adwumayɛ (wɔfrɛ no ``autosplenectomy``).
• Nnipa bi wɔ hɔ a wɔayɛ wɔn oprehyɛn ayi wɔn akyi berɛmo (a `splenectomy`).

Nnipa a wonni akyi berɛmo anaasɛ wɔn akyi berɛmo a ɛnyɛ adwuma yiye no wɔ asiane kɛse mu sɛ wobenya nyarewa a emu yɛ den afi mmoawa bi a wɔde nyarewa ba (titiriw mmoawa a wɔsɛe nnɔbae te sɛ Pneumococcus, Meningococcus, ne Haemophilus influenzae type b) mu. Nea enti a ɛte saa ne sɛ wonni ade titiriw a wɔde bɔ wɔn ho ban a wɔde yi mmoawa yi fi hɔ. Enti, nnipa te sɛ eyinom:

• Ɛho hia yiye sɛ wonya nnuru titiriw a wɔde bɔ nkurɔfo ho ban .
• Ebia nnuruyɛfo nso bɛkamfo akyerɛ sɛ wɔmfa nnuru a ekum ɔyare mmoawa kakraa bi da biara da .
• Sɛ wunya atiridii anaa sɛnkyerɛnne afoforo a ɛkyerɛ sɛ woanya ɔyare no a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara .

So ebetumi aba sɛ obi bɛtra ase a wunni akyi berɛmo?

Eyi yɛ ɔhaw ma nnipa pii. Yiw, ebetumi aba sɛ obi bɛtra ase a wunni akyi berɛmo. Sɛ woyi akyi berɛmo no fi hɔ wie a, adwuma a na ɛyɛ no bi (titiriw mogya mu nkwammoaa kɔkɔɔ dedaw a woyi fi hɔ ne mmoawa a wɔko tia) no, akwaa afoforo te sɛ mmerɛbo ne nnompe mu ntini no gye kodu baabi.

Nanso, kae sɛ, sɛ wunni akyi berɛmo a, ɛnkyerɛ sɛ wuntumi mmɔ wo ho ban koraa. Nanso, wo nipadua mu tumi a ɛko tia nyarewa no bɛyɛ mmerɛw kakra. Enti, sɛnea yɛadi kan aka no, asiane kɛse wom kakra sɛ wubenya nyarewa bi. Ɛno nti na nnuruyɛfo de nnuru a wɔde bɔ nkurɔfo ho ban ne afotu a ɛho hia ma no.

Enti, ɛho hia yiye sɛ obi a wɔayi ne dwensɔtwaa no hwɛ n’akwahosan so kɛse, di nnuruyɛfo afotu akyi pɛpɛɛpɛ, na sɛ ɔyare no ho sɛnkyerɛnne bi da adi a, ɔhwehwɛ ayaresa ntɛm ara .

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae? (Nkrasɛm a Wɔde Kɔ Fie)

Efi nea yɛaka ho asɛm nyinaa mu no, ebia woate ase sɛ akyi berɛmo yɛ ɔbran ketewaa bi wɔ yɛn nipadua mu a ɔyɛ nnwuma pii a ɛyɛ komm nanso ɛho hia yiye. Awiei koraa no, momma yɛnkae yɛn ho nokwasɛm ahorow yi:

• Akisikuru yɛ ade titiriw a ɛma yɛn nipadua no bɔ yɛn ho ban ne mogya a yɛde tew ho. Ɛnyɛ akwaa a ɛho hia, nanso sɛ yɛwɔ a, ɛma yenya ahobammɔ kɛse.
• Saa akwaa ketewa yi ma yɛn nipadua mu tumi a ɛko tia nyarewa no nya ahoɔden pii. Ɛyɛ nneɛma pii, te sɛ mogya a ɛyiyi, nkwammoaa dedaw a eyi fi mu, mmoawa a wɔko tia, ne mogya a wɔkora so.
• Akwanhyia betumi asɛe akyi berɛmo no (sɛ nhwɛso no, ɔhwe a wɔde bɔ yafunu no). Sɛ eyi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara. Nanso mma ɛnhaw wo, mpɛn pii no saa apirakuru yi betumi asa denam ahomegye a ɛfata ne aduruyɛfo hwɛ so . Ɛnyɛ bere nyinaa na ɛho hia sɛ woyi akyi berɛmo no (`splenectomy`).
• Nyarewa bi, te sɛ nyarewa te sɛ ``Infectious mononucleosis'', mogya mu nyarewa te sɛ ``Sickle cell disease'', ne mmerɛbo mu nyarewa, betumi ama akyi berɛmo no ahonhon anaasɛ ne dwumadi asɛe. Wɔ tebea horow a ɛtete saa mu no, ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ .
• Nnipa a wonni akyi berɛmo (wɔayi wɔn oprehyɛn anaasɛ wontumi nyɛ oprehyɛn) no wɔ asiane kɛse mu sɛ wobenya nyarewa bi.Enti, ɛho hia sɛ wunya nnuru a wɔde bɔ wo ho ban a nnuruyɛfo kamfo kyerɛ no, sɛ ɛho hia a, fa nnuru a ekum ɔyare mmoawa, na hwɛ w’akwahosan so bere nyinaa .

Enti, seesei wunim pii fa saa ahobammɔ ketewaa a ɛwɔ wo nipadua mu yi ho. Mma wo werɛ mmfi sɛ wubesusuw ho na woahwɛ wo nipadua nyinaa so! Efisɛ akwahosan ne ade a ɛsom bo sen biara.

Akisikuru, nipadua no mu tumi a ɛko tia nyarewa, akwaa, mogya, mmoawa, ntini a ɛma mogya tu, ahurututu mu a wotwa, ahurututu mu yare, sickle cell yare, mononucleosis