Sɛ́ ebia wowɔ atiridii anaa yare foforo bi no, wo duruyɛfo bɛtaa aka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu, ɛnte saa? Yɛtaa yɛ mogya dodow a edi mũ (FBC). Eyi ma wunya nkwammoaa dodow a ɛwɔ wo mogya mu ho adwene pa. Nanso ɛtɔ mmere bi a, ebia wo duruyɛfo no bɛpɛ sɛ ɔhwɛ wo mogya mu nkwammoaa no yiye kakra, te sɛ ɔsraani a ɔhwehwɛ nneɛma mu wɔ afiri a wɔde hwɛ nneɛma nketenkete ase, na ama wahu sɛnea saa nkwammoaa no nsusuwii, ne kɛse, ne ne kɔla te ankasa. Ɛno nti na yɛfrɛ sɔhwɛ titiriw a wɔyɛ ma ɛno no Peripheral Blood Smear (PBS) anaa "mogya sini mu sɔhwɛ."
Sɛ yɛbɛka no tiawa a, dɛn ne mogya mu sini mu nhwehwɛmu (PBS) yi?
Peripheral Blood Smear (PBS) yɛ sɔhwɛ a ɛfa wo mogya a ɛtɔ gu fam, trɛw mu sɛ ade a ɛyɛ tratraa wɔ ahwehwɛ a wɔde twetwe nneɛma so, de nnuru soronko a wɔde yɛ nneɛma yɛ ho fĩ, na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ.
Ade titiriw a ɛwɔ eyi ho ne sɛ sɛ́ anka afiri bi de amanneɛbɔ bɛma te sɛ mogya mu nhwehwɛmu bi no, Medical Laboratory Technologist (MLT) anaa Pathologist a wɔatete no na ɔhwɛ eyi mu. Eyi kyerɛ sɛ wɔde onipa aniwa hwehwɛ wo mogya mu nkwammoaa no mu nsɛm nketenkete biara mu . Nsakrae nketenkete ne nkwammoaa nsusuwii a ɛyɛ soronko mpo a afiri ntumi nnye no, aniwa a ɛyɛ mmerɛw betumi ahu.
Dɛn nti na oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ PBS nhwehwɛmu yi?
Ebia nneɛma pii nti na ebia wobɛpɛ sɛ woyɛ sɔhwɛ yi.
Fa no sɛ wo mogya dodow a edi mũ (FBC) amanneɛbɔ kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, anaa mogya mu nkwammoaa dodow no so tew kɛse anaasɛ ɛkɔ soro kɛse sen sɛnea ɛte daa. Wo duruyɛfo bɛpɛ sɛ ohu sɛ, "Dɛn nti na eyi rekɔ so?"
FBC amanneɛbɔ no te sɛ nhoma bi anim. Ɛma wunya nsɛm atitiriw bi te sɛ nhoma no asɛmti ne ɔkyerɛwfo no. Nanso sɛ wubehu asɛm a ɛwɔ nhoma no mu ankasa a, ɛsɛ sɛ wodannan nkratafa no na wokenkan, ɛnte saa? Saa na PBS te. PBS de nsɛnkyerɛnne a FBC de ma no di dwuma de hu nea mogya mu nkwammoaa no mu ‘asɛm’ no yɛ pɛpɛɛpɛ.
Afei nso, ebia wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ yi esiane nneɛma afoforo pii nti:
- Nsɛnkyerɛnne a wontumi nkyerɛkyerɛ mu: Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɔbrɛ bere nyinaa, atiridiinini a ɛtaa ba, ne akuru a wontumi nkyerɛkyerɛ mu a, nhwehwɛmu yi betumi aboa ma woahu nea ɛde ba.
- Hwɛ sɛnea ayaresa no di yiye: Sɛ woreyɛ ayaresa wɔ yare bi a efi mogya mu ho a, wɔbɛyɛ PBS nhwehwɛmu de ahwɛ sɛ ayaresa no di yiye anaa, na sɛ wo mogya mu nkwammoaa no asan ayɛ sɛnea na ɛte kan no anaa.
- Ansa na wɔde nnompe mu ntini bɛma obi foforo:Wɔde di dwuma nso de sua pii fa tebea a wo mogya mu nkwammoaa ne nnompe mu ntini wom ho ansa na wode biribi te sɛ ntini mu nkwammoaa foforo ama wo.
Dɛn na sɔhwɛ yi betumi akyerɛ yɛn wɔ yɛn mogya ho?
Sɛ yɛbɛte nea PBS sɔhwɛ no hwehwɛ ase a, momma yenni kan nkae yɛn ho nnipa atitiriw baasa a wɔwɔ yɛn mogya mu no ara kwa.
| Mogya mu nkwammoaa ahorow | Nea woyɛ no yɛ mmerɛw. |
|---|---|
| Mogya Nkwammoaa Kɔkɔɔ | Eyinom ne ‘delivery service’ a ɛde oxygen kɔ yɛn nipadua nyinaa mu. Wɔgye mframa pa fi ahurututu mu de kɔ nkwammoaa biara mu. |
| Mogya Nkwammoaa Fitaa | Eyi ne ‘asraafo’ a ɛwɔ yɛn nipadua mu. Ɛbɔ yɛn ho ban denam mmoawa (mmoawa, mmoawa) a ɛde nyarewa ba a ɛko tia so. Nnipa yi yɛ ahorow 5. |
| Nkwammoaa mu nkwammoaa a ɛma mogya tu | Te sɛ ‘plaster’ ara pɛ. Sɛ yepirapira a, eyinom na wɔma mogya no gyae na wɔboa ma mogya no tu. |
Wɔ PBS sɔhwɛ mu no, afiri a wɔde hwɛ nneɛma nketenkete no hwehwɛ nkwammoaa ahorow abiɛsa no nyinaa mu kɔ akyiri. Wɔde wɔn adwene si:
- Nsakrae a ɛba nkwammoaa no kɛse ne ne nsɛso mu: Sɛ nhwɛso no, wobetumi asesa mogya mu nkwammoaa kɔkɔɔ no nsusuwii, te sɛ sɛ ebia ɛte sɛ nkankyee anaasɛ ɛte sɛ nea wɔde asi wɔn ani so. Saa nsakrae yi betumi ama yɛanya mogya mu nyarewa ahorow ho nsɛnkyerɛnne.
- Nsakrae a ɛba nkwammoaa dodow mu: Sɛnea ɛte wɔ FBC ho no, eyi nso hwɛ nkwammoaa dodow. Bere koro no ara mu no, ɛhwɛ sɛ ebia nkwammoaa no te sɛ nea "ɛte apɔw" anaasɛ "ɛnyɛ nea ɛnteɛ".
- Nsonsonoe a ɛwɔ mogya mu nkwammoaa fitaa ahorow mu: Mogya mu nkwammoaa fitaa ahorow 5 na ɛwɔ hɔ. Wɔhwɛ sɛnea emu biara kɛse te pɔtee, sɛ ebia nneɛma bi wɔ hɔ a ɛnteɛ wɔ wɔn hwɛbea mu, ne sɛ ebia nkwammoaa a ennyinii (blasts) bi wɔ hɔ anaa.
- Nwansena a ɛwɔ mogya no mu:Ɛtɔ da bi a, wotumi hu mmoawa a wɔde nyarewa te sɛ asramma ba wɔ mogya mu nkwammoaa kɔkɔɔ mu. PBS nhwehwɛmu no yɛ sɔhwɛ a ɛho hia yiye a wɔde hu asramma.
Nyarewa bɛn na PBS nhwehwɛmu no betumi aboa ma wɔahu?
Saa sɔhwɛ yi yɛ adwinnade a tumi wom yiye a wɔde hwehwɛ nyarewa pii a efi mogya mu.
Leukemia - Mogya mu kokoram
Yɛn nnompe mu ntini yɛ yɛn ‘mogya-yɛ adwumayɛbea’. Sɛ mogya mu nkwammoaa fitaa a ɛnyɛ ne kwan so pii fi ase hyehyɛ adwumayɛbea yi mu a, ɛhyɛ nkwammoaa a ɛte apɔw no mu ma. Wobetumi ahu kokoram nkwammoaa (blasts) a ɛnyɛ ne kwan so a ennyinii yi pefee wɔ PBS nhwehwɛmu mu.
Mogya a ɛtɔ kɔ nipadua mu
Monemia yɛ bere a nipadua no nni mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso. Nneɛma pii nti na eyi betumi asi. Wɔ tebea horow te sɛ dade a enni nipadua mu, vitamin B12 a enni nipadua mu, anaa thalassemia mu no, mogya mu nkwammoaa kɔkɔɔ no nsusuwii ne ne kɛse sesa. Ɛnyɛ den sɛ wobetumi de PBS ahu nsakrae yi na ebetumi ama wɔanya akwankyerɛ wɔ nea ɛde mogya a ɛtɔ kɔ nipadua no mu ba no ho.
Myelodysplastic Yare a Ɛma Nnipa Nnua
Eyi nso yɛ kokoram a ɛba nnompe mu ntini mu. Wɔ eyi mu no, nnompe mu ntini no ntumi mma mogya mu nkwammoaa a ɛte apɔw na ɛho akokwaw (kɔkɔɔ, fitaa, anaa mogya mu nkwammoaa kɔkɔɔ). Wohu nkwammoaa a wɔn nsusuwii nyɛ papa yi wɔ PBS no mu.
Lymphoma - kokoram a ewo ntini mu
Eyi yɛ kokoram a ɛba yɛn ntini mu. Ɛtɔ mmere bi a, saa kokoram nkwammoaa yi nso tumi hyɛn mogya no mu. Sɛ ɛba saa a, wobetumi de PBS nhwehwɛmu no ahu saa lymphoma nkwammoaa a ɛnyɛ ne kwan so no.
Nyarewa ne Nyarewa a Ɛko Tia Nyarewa
Sɛ biribi wɔ nipadua no mu te sɛ ɔyare mmoawa a, mogya mu nkwammoaa fitaa (neutrophils) bi a ɛko tia no kɔ soro, na wubetumi ahu nsakrae wɔ wɔn hwɛbea mu (nsakrae a awuduru wom). Saa ara nso na wɔ mmoawa a wɔde nyarewa ba te sɛ dengue mu no, wubetumi ahu nsakrae wɔ mogya mu nkwammoaa fitaa (lymphocytes) ahorow bi mu. Wɔ nyarewa a nipadua no tumi ko tia nyarewa (nyarewa a yɛn nipadua no ahobammɔ nhyehyɛe tow hyɛ yɛn ankasa nipadua so) mu no, wubetumi ahu sɛ mogya mu nkwammoaa fitaa dodow so tew anaa nsakrae afoforo nso.
Malaria a ɛma obi nya ɔyare mmoawa
Ɔyare mmoawa bi a efi nwansena mu kɔ yɛn mogya mu na ɛde asramma ba. Saa ɔyare mmoawa yi te yɛn mogya mu nkwammoaa kɔkɔɔ no mu. Sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ wɔ PBS sɔhwɛ mu a, wotumi hu saa mmoawa yi pefee wɔ mogya mu nkwammoaa kɔkɔɔ no mu. Enti, eyi yɛ sɔhwɛ a ɛho hia wɔ asramma a wobehu mu.
Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi? So ɛyɛ yaw?
Biribiara nni hɔ a ɛsɛ sɛ wosuro wɔ eyi ho. Ɛyɛ mmerɛw yiye.
1. Te sɛ mogya mu nhwehwɛmu a wɔtaa yɛ no, wogye mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu.
2. Afei, wɔde mogya a ɛtɔ gu ahwehwɛ a wɔde twetwe ade so, na wɔde slide foforo trɛw mu sɛ ade a ɛyɛ tratraa.
3. Sɛ ɛyow wie a, wɔde nneɛma titiriw bi a ɛyɛ fɛ gu so na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.
Wobɛte nka sɛ ade no ayɛ wo yaw kakra. Sɛ ɛnyɛ ɛno a, ɔhaw anaa ɛyaw foforo biara nni hɔ a ɛbata sɔhwɛ yi ho.
Dɛn na ɛsɛ sɛ yɛte ase fi nsɛm a ɛwɔ amanneɛbɔ no mu no mu?
Eyi ne ade a ɛho hia sen biara. Sɛ wo nsa ka wo PBS amanneɛbɔ no a, mma nsɛm a ɛwɔ so no nnyɛ wo hu. Peripheral Blood Smear amanneɛbɔ nyɛ nea etwa to a wɔde hu yare no.
Eyi te sɛ ahodwiriwde biako. Sɛ wopɛ sɛ wuhu mfonini no nyinaa a, ɛsɛ sɛ woka asinasin afoforo no bom, te sɛ nea oduruyɛfo no ahu afa wo ho, wo sɛnkyerɛnne ahorow, ne wo FBC amanneɛbɔ no.
PBS amanneɛbɔ no boa oduruyɛfo no ma osusuw nneɛma ho kɔ akyiri, si n’adwenem naayɛ so dua, anaasɛ osi nhwehwɛmu a ɛsɛ sɛ ɔyɛ akyi no ho gyinae.
Enti, nsuro da sɛ wobɛ Google nsɛmfua a ɛwɔ amanneɛbɔ no mu na woahwɛ nea ɛbɛba . Asɛmfua koro no ara tumi nya ntease ahorow wɔ nyarewa pii mu. Oduruyɛfo a ɔsa wo yare no nkutoo na onim sɛnea ɛne wo tebea no hyia. Enti fa amanneɛbɔ no, hyia wo duruyɛfo na ka ho asɛm. Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo pefee na wayɛ mmerɛw.
Nkrasɛm a Wɔde Kɔ Fie
- Peripheral Blood Smear (PBS) yɛ nhwehwɛmu a ɛkɔ akyiri a ɛhwɛ sɛnea wo mogya mu nkwammoaa (kɔkɔɔ, fitaa, ne mogya nkwammoaa) no te, ne kɛse, ne sɛnea ɛte wɔ afiri a wɔde hwɛ nneɛma nketenkete mu.
- Wɔtaa yɛ eyi de hwehwɛ nea ɛde biribi a ɛnteɛ ba wɔ FBC amanneɛbɔ bi mu.
- Saa nhwehwɛmu yi ho hia yiye na ama wɔahu mogya a ɛtɔ kɔ nipadua mu, mogya mu kokoram, nyarewa ahorow (te sɛ asramma), ne nyarewa afoforo pii.
- PBS amanneɛbɔ nyɛ nea etwa to a wɔde hu yare no. Ɛyɛ adanse foforo bi kɛkɛ a ɛboa oduruyɛfo no ma ohu yare no.
- Ɔkwan pa ne ɔkwan biako pɛ a wobɛfa so ate nea afi w’amanneɛbɔ no mu aba no ase ne sɛ wo ne wo duruyɛfo bɛkasa afa ho. Mma nnhuruw nkɔ nsɛm a egyina nsɛm a ɛwɔ intanɛt so so.
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