So wote nka sɛ woabrɛ bere nyinaa? So wote nka sɛ woayɛ mmerɛw bere a woanantew bere tiaa bi mpo akyi? So wote nka sɛ w’ani nnye aduan ho, na wo ho ayɛ wo hyew? Mpɛn pii no, yɛmfa yɛn adwene nsi saa nneɛma yi so kɛse, na yesusuw sɛ ɛyɛ ade a ɛfata. Nanso, ebia ntease a anibere wom bi wɔ eyi akyi. Ɛnnɛ, yɛreka tebea bi a emu yɛ den kakra nanso wobetumi asa a vitamin B12 a wonni de ba ho asɛm. Yɛfrɛ eyi Pernicious Anemia .
Sɛ yɛbɛka no tiawa a, dɛn ne Pernicious Anemia?
Pernicious Anemia yɛ nneɛma atitiriw a ɛde vitamin B12 a enni nipadua mu ba no mu biako. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ tebea a nipadua no tumi ko tia nyarewa . Seesei ebia woresusuw nea ɛyɛ autoimmune tebea ho. Sɛ yɛbɛka no tiawa a, yɛn nipadua mu tumi a ɛko tia nyarewa no adwuma titiriw ne sɛ ɛbɛko atia ahɔho a wɔtow hyɛ yɛn so na abɔ yɛn ho ban afi nyarewa ho. Nanso, wɔ tebea yi mu no, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no di mfomso fi ase tow hyɛ yɛn ankasa nkwammoaa a ɛte apɔw so.
Biribi a ɛte saa ara si wɔ Pernicious Anemia mu. Yɛn nipadua mu tumi a ɛko tia nyarewa no tow hyɛ nkwammoaa bi a ɛwɔ dwensɔtwaa (yafunu) no mu so. Saa nkwammoaa yi yɛ protein soronko bi a wɔfrɛ no Intrinsic Factor a ɛboa nipadua no ma ɛtwe vitamin B12. Sɛ protein yi yera a, ɛmfa ho vitamin B12 dodow a yedi no, nipadua no nnye no na ɛsɛe.
Vitamin B12 ho hia yɛn nipadua yiye. Ne titiriw no, ɛho hia ma mogya mu nkwammoaa kɔkɔɔ a ɛde mframa pa kɔ mogya no mu no. Enti, sɛ vitamin B12 nni hɔ a, mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a wɔyɛ no so tew. Eyi ne nea yɛfrɛ no mogya a ɛtɔ kɔ nipadua mu .
Edin Pernicious Anemia no kyerɛ "ɛpira." Enya ne din efisɛ, sɛ wɔansa saa tebea yi a, ebetumi asɛe yɛn ntini ahorow no kɛse a wontumi nsakra.
Ɔkwan bɛn so na saa tebea yi ka me nipadua?
Mogya a ɛtɔ mogya a ɛsɛe ade betumi aka nipadua no nhyehyɛe ahorow pii.
- Nnuan a wɔyam: Akisikuru, akisikuru, na ne mu duru so atew betumi aba.
- Ntini: Eyi ne nea asiane wom sen biara. Ebetumi ama ntini ahorow ayɛ mmerɛw, akwaa a ɛyɛ mmerɛw, nkae ade, ne adwenemhaw mpo.
- Koma: Ebia wobɛte sɛ wo koma bɛbɔ anaasɛ wo koma bɛbɔ a ɛnteɛ.
- Akwahosan nyinaa: Ɔbrɛ ne mmerɛwyɛ a ɛkɔ so daa ne sɛnkyerɛnne atitiriw.
Wɔtaa hu saa tebea yi wɔ mfe 60 kosi 80 ntam, titiriw wɔ nnipa a wofi Europa Atifi fam abusua mu.
Dɛn ne Pernicious Anemia ho sɛnkyerɛnne ahorow?
Ade biako a ɛyɛ soronko wɔ eyi ho ne sɛ ebetumi adi mfe pii ansa na yare no ho sɛnkyerɛnne ada adi. Nea enti a ɛte saa ne sɛ yɛn nipadua no sie vitamin B12 wɔ mmerɛbo no mu na ɛde di dwuma nkakrankakra. Saa adekorabea yi betumi agye bɛyɛ mfe 3-5 ansa na asa. Ɛno mpo no, egye bere kakra ansa na yare no ho sɛnkyerɛnne ada adi.
Bere a vitamin B12 dodow so tew no, yare no ho sɛnkyerɛnne no mu yɛ den kɛse. Wubetumi anya eyi ho adwene pa afi pon a ɛwɔ ase ha no so.
| Nsɛnkyerɛnne no su | Nneɛma a ɛsɛ sɛ wohu |
|---|---|
| Nsɛnkyerɛnne a edi kan (a wɔtaa di mfomso ka sɛ ɛyɛ yare foforo) . | |
| Nnuan a wɔyam | Ɔyare anaa akisikuru, aduan ho akɔnnɔ a ɛyera, komayare. |
| Nipadua a ɛte sɛ nea ɛte | Wora a ɛyɛ mmerɛw, jaundice a ɛnyɛ den (aniwa anaa honam ani yɛ kɔkɔɔ). |
| Nneɛma a ɛhaw adwene wɔ ɔkwan a ɛkɔ akyiri so | Adwene a ɛyɛ basaa, ahome a ɛyɛ den (dyspnea) bere a ogyina hɔ anaa ɔreyɛ apɔw-mu-teɛteɛ, tɛkrɛma a ɛho ahonhon, anom a ɛyɛ kɔkɔɔ, anaa mogya a ɛretu. |
| Ntini mu yare a B12 dodow a ɛba fam bere kɔ so de ba | |
| Adwene ne nneyɛe mu | Adwene a ɛyɛ basaa, bere tiaa mu nkae a ɛyera, adwenemhaw, ɛyɛ den sɛ ɔde besi biribi so, abufuw, nsusuwii hunu. |
| Nipadua mu ntini mu yare | Nsa ne anan a ɛkari pɛ, ɛyɛ mmerɛw anaasɛ nkate a ɛyera wɔ nsa ne anan mu. |
| Anisoadehunu | Anisoadehu nya nkɛntɛnso esiane aniwa ntini a asɛe nti. |
So nneɛma afoforo bi wɔ hɔ a ɛde Pernicious Anemia ba?
Aane. Wɔ tebea a nipadua no tumi ko tia nyarewa a wɔfrɛ no Pernicious Anemia akyi no, ebia nipadua no rentumi nnye vitamin B12 esiane nneɛma afoforo nti.
- Yafunu mu oprehyɛn: Sɛ wɔyɛ oprehyɛn de yi yafunu no fã bi anaa ne nyinaa (e.g. gastric bypass oprehyɛn a wɔyɛ ma kɛseyɛ mmoroso) a, nkwammoaa a ɛboa ma wɔtwe vitamin B12 no yera.
- Oprehyɛn a wɔyɛ wɔ dwensɔtwaa ketewaa mu: Sɛ woyi dwensɔtwaa ketewaa no fã bi fi hɔ a, ɛtew tumi a obi tumi twetwe vitamin B12 no so.
- Nkwammoaa a Ɛwɔ Dwontwaa Mu: Wɔ tebea bi a wɔfrɛ no Small Intestinal Bacterial Overgrowth (SIBO) , mu no, mmoawa bɔne nyin wɔ dwensɔtwaa ketewa no mu na wodi vitamin B12 ansa na nipadua no atumi atwe.
- Nnuru bi: Nnuru bi a wɔde sa asikreyare, akisikuru, ne nnuru bi a ekum ɔyare mmoawa betumi aka vitamin B12 dodow.
- Tapeworm Infections: Mpataa a wɔannoa yiye a wɔanya ɔyare no betumi ama obi anya tapeworm yare. Saa mmoawa yi di vitamin B12.
- Aduane: Ebia nnipa a wonni vegan koraa anaasɛ wodi aduan a efi afifide so akyi no rennya vitamin B12 a ɛdɔɔso wɔ wɔn aduan mu.
- Nyarewa afoforo: Nyarewa a ɛwɔ aduan mu te sɛ Celiac yare anaa Crohn yare ma ɛyɛ den sɛ wobɛtwe vitamin B12.
- Nkwammoaa mu nyarewa: Nnipa a nipadua no tumi ko tia nyarewa te sɛ hypoparathyroidism ne Graves yare no wɔ asiane kɛse mu sɛ wobenya mogya a ɛtɔ kɔ nipadua mu a ɛsɛe ade.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn. Ɔbɛhwehwɛ wo mu, ayɛ w’aduruyɛ ho abakɔsɛm, na wahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii de si tebea no so dua.
- Vitamin B12 dodow ho nhwehwɛmu: Eyi kyerɛ vitamin B12 dodow a ɛwɔ mogya no mu.
- Mogya Dodow a Edi Mu (CBC): Eyi betumi akyerɛ mogya a ɛtɔ kɔ nipadua no mu ko ne sɛnea emu yɛ den.
- Mogya mu nhwehwɛmu titiriw afoforo: Nhwehwɛmu te sɛ Reticulocyte dodow, LDH, Serum bilirubin, MMA, Homocysteine level, ne nea ɛkeka ho, ma wonya nsɛm a emu dɔ fa vitamin B12 a enni nipadua mu ne nnompe mu ntini dwumadi ho.
- Antibody test: Eyi hwehwɛ mogya no mu hwɛ sɛ ebia antibodies a ɛtow hyɛ yafunu mu nkwammoaa ne intrinsic factor so anaa.
- Atifi Endoscopy: .Wɔde mfoninitwa afiri a ɛte sɛ afiri (endoscope) fa ano no mu na wɔhwehwɛ yafunu no mu nneɛma mu.
Ɔkwan bɛn so na wɔsa? So ɛbɛyɛ yiye?
Ayaresa bi wɔ hɔ a wɔde sa eyi, na ɛno ne asɛm a eye sen biara! Esiane sɛ wo nipadua ntumi nnye vitamin B12 nti, wo duruyɛfo bedi kan akyerɛw wo vitamin B12 aduru . Wɔde eyinom kɔ ntini bi mu tẽẽ, enti ɛkɔ wo mogya mu tẽẽ a ɛnfa yafunu no mu.
Sɛ wo vitamin B12 dodow san ba sɛnea na ɛte kan no a, wobetumi atu wo fo sɛ kɔ so nom vitamin B12 aduru a wɔde di dwuma kɛse (a wɔde si B12 ananmu a wɔnom). Wo duruyɛfo bɛkɔ so ahwɛ wo tebea no na wayɛ nsakrae wɔ w’ayaresa mu.
Wubefi ase ate ahotɔ kɛse nka wɔ nna kakraa bi akyi bere a woafi ayaresa ase no. Nanso, ebia ebegye adapɛn pii ansa na wo yare no ho sɛnkyerɛnne no ano abrɛ ase koraa na wo ho atɔ wo.
mogya a ɛtɔ kɔ nipadua mu a ɛsɛe ade nyɛ yare a wotumi sa koraa. Nanso, sɛ wonom vitamin B12 wɔ w’asetra nyinaa mu a, wubetumi adi sɛnkyerɛnne ahorow no so na woatra ase a ahoɔden wom koraa.
Nanso kae sɛ ebia wɔrentumi nsakra ntini a asɛe no koraa wɔ vitamin B12 mpo mu. Enti, ɛho hia paa sɛ wohu yare no na wofi ase sa yare no ntɛm.
Mɛyɛ dɛn ahwɛ me ho?
Sɛ wowɔ Pernicious Anemia a, ɛho behia sɛ wonom vitamin B12 wo nkwa nna nyinaa, sɛnea wo duruyɛfo akyerɛ wo no. Ɛyɛ ade a ɛsɛ sɛ wɔyɛ.
Sɛ nneɛma afoforo nti na B12 nni wo mu a, w’aduan a wobɛsakra no nso betumi aboa. Nnuan a vitamin B12 pii wom no bi ne:
- Nam te sɛ nantwinam, mmerɛbo, akokɔnam, ne mpataa
- Nkwaa ne nufusu mu nneɛma (nufusu, yogurt, kyiisi) .
- Anɔpaduan a wɔde vitamin B12 aka ho
- Soya nneɛma a wɔde vitamin B12 aka ho
Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woanya afotu wɔ aduan a ɛfata wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Pernicious anemia yɛ mogya a ɛtɔ kɔ nipadua mu a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa na ɛde ba na vitamin B12 a yenni na ɛde ba.
- Nsɛnkyerɛnne te sɛ ɔbrɛ a ɛba bere nyinaa, ne ho yɛ fitaa, ne ahome a ɛyɛ tiaa no betumi ayɛ mmerɛw mfiase no, nanso bere kɔ so no, ebetumi ayɛ kɛse.
- Sɛ wɔannya saa tebea yi a, ebetumi asɛe ntini ahorow no kɛse a wontumi nsakra.
- Sɛ wokɔ so nya saa sɛnkyerɛnne ahorow yi a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn a wunsusuw sɛ biribi foforo de ba.
- Nea ɛka ayaresa ho ne vitamin B12 a wɔde twitwiw nipadua no mu nkwa nna nyinaa anaa nnuru a wɔde twitwiw nipadua no. Eyi ma wutumi tra ase wɔ apɔwmuden koraa, sɛnea ɛte daa.
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