Sɛ wotwa wo nsateaa a, mogya no gyae kɛkɛ wɔ bere bi akyi, ɛnte saa? Anaasɛ sɛ wo kotodwe mu twitwa bere a woredi agoru a, mogya a ɛtɔ gu kuru no so na ɛkata so. So woasusuw ho pɛn sɛ hena na ɔyɛ ade a ɛyɛ nwonwa yi? Eyi yɛ ahobammɔ nhyehyɛe a ɛyɛ nwonwa yiye a ɛwɔ yɛn nipadua mu no fã ankasa. Ɛno na ɛma nkwammoaa nketenkete, nanso ɛho hia paa wɔ yɛn mogya mu no bi ba. Yɛfrɛ saa mogya nkwammoaa yi wɔ aduruyɛ mu, anaasɛ mogya nkwammoaa . Nnipa binom nso frɛ wɔn `(Thrombocytes)`. Enti ɛnnɛ, momma yɛnka saa abran nketewa yi ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne mogya nkwammoaa a ɛma mogya tu?
Fa no sɛ Band-Aid ketewaa bi a efi awosu mu ba wo nipadua mu. Ɛno ne nea mogya mu nkwammoaa kɔkɔɔ yɛ. Ɛnyɛ nkwammoaa mũ nyinaa ankasa, wɔyɛ asinasin nketenkete a ɛpaapae fi nkwammoaa akɛse a wɔfrɛ no megakaryocytes a ɛwɔ yɛn nnompe mu ntini mu no mu. Wɔyɛ nketewa paa na wonni kɔla biara. Nanso wɔyɛ adwuma pii.
Sɛ wofa wo mogya mu nsu a ɛtɔ gu fam a, mogya nkwammoaa yi mpempem pii na ɛwɔ mu. Sɛ yɛn nipadua bɛkɔ so atra apɔwmuden a, ɛsɛ sɛ mogya nkwammoaa yi dodow kari pɛ.
- Mprɛte dodow a ɛba fam (Thrombocytopenia): Sɛ wotwa a, ebia mogya no rennyae na mogya betumi atu wo pii. Eyi betumi ayɛ nea asiane wom.
- Sɛ mogya nkwammoaa dɔɔso (Thrombocytosis): Eyi betumi ama mogya atɔw a ɛho nhia, na ebetumi akɔhyɛ mogya ntini mu. Eyi betumi de tebea horow a emu yɛ den te sɛ komayare anaa akisikuru aba.
Eyi kyerɛ sɛ sɛ mogya nkwammoaa dodow a ɛfata wɔ hɔ nkutoo a mogya a ɛbɛtɔ no agyae bere a wɔapirapira no, na asiw mogya a ɛtwetwe a ɛho nhia nso ano.
Dwuma titiriw a mogya mu nkwammoaa kɔkɔɔ yɛ ne sɛ ebegyae mogya a ɛretu no.
Dwuma titiriw ne nea ɛho hia sen biara a mogya mu nkwammoaa kɔkɔɔ yɛ ne sɛ ebegyae mogya a ɛretu bere a yɛn mogya ntini biako, kyerɛ sɛ, kuru bi asɛe no. Yɛfrɛ saa adeyɛ yi ``Hemostasis``. Eyi yɛ biribi a ɛkɔ so wɔ ɔkwan a ɛyɛ nwonwa yiye so, wɔ anammɔn pii mu. Fa no sɛ nsu afiri bi a ɛwɔ tokuru. Saa mogya nkwammoaa yi yɛ adwuma te sɛ plaster a yɛde to mu no.
Sɛnea ɛba ni:
1. Adhesion: Sɛ wotwa mogya ntini bi pɛ a, mogya nkwammoaa a ɛne mogya no fa nipadua no nyinaa mu no de ahopere kɔ baabi a asɛe no na ɛbata ɔfasu a abubu no ho. Ɛte sɛ nea wuhu tokuru bi na worekɔfa.
2. Activation: Saa mogya nkwammoaa a akɔhyɛ mu no bɛyɛ "activated." Ɛne sɛ, wɔsakra wɔn nsusuwii. Wɔsakra fi nea ɛte sɛ mprɛte so kɔ nea ɛte sɛ akɔre a nhama puepue. Saa nan yi tumi kura kuru no afasu ne mogya mu nkwammoaa afoforo yiye. Afei nso, mogya nkwammoaa a wɔayɛ adwuma yi yi nnuru fi mu. Saa nnuru yi de nsɛnkyerɛnne kɔ mogya nkwammoaa afoforo nkyɛn, na ɛka sɛ, "Ɔhaw bi wɔ ha, bra ntɛm!"
3. Nneɛma a wɔboaboa ano:Sɛ wonya saa sɛnkyerɛnne no wie a, mogya nkwammoaa mpempem pii foforo ba beae hɔ na ɛyɛ akuwakuw. Saa akuwakuw yi to kuru no mu bere tiaa bi. Yɛfrɛ eyi "Platelet Plug."
Eyi te sɛ nea wode dɔte bɛhyɛ nkotoku mu ma bere a abura bi abubu wɔ asubɔnten bi so no. Ɛyɛ bere tiaa mu ano aduru.
Afei bere a mogya nkwammoaa yi boaboa ano no, adeyɛ foforo a ɛyɛ den fi ase. Wɔfrɛ no ``Coagulation Cascade.'' Wɔ eyi mu no, protein afoforo a ɛwɔ mogya no mu (clotting factors) bom yɛ ahama a ɛyɛ den a wɔfrɛ no fibrin . Saa fibrin ahama yi hyɛ mogya nkwammoaa no den bio, na ɛma mogya a ɛyɛ den na ɛyɛ den. Ɛno ne bere a mogya no gyae koraa.
Ɛhe na mogya nkwammoaa yi wɔ yɛn nipadua mu?
Yebetumi ahu mogya mu nkwammoaa kɔkɔɔ wɔ mmeae abiɛsa titiriw wɔ yɛn nipadua mu.
- Bone Marrow: Eyi ne "adwumayɛbea" a wɔyɛ mogya nkwammoaa a ɛma mogya tu. Wɔyɛ yɛn mogya nkwammoaa no wɔ nnompe mu ntini a ɛwɔ yɛn nnompe mu no mu. Nkwammoaa akɛse a wɔfrɛ no ``Megakaryocytes'' wɔ ha na ɛpaapae mogya nkwammoaa mu nketenkete mu na woyi gu mogya no mu.
- Mogya: Sɛ mogya mu nkwammoaa yi kɔ mogya mu pɛ a, fa mogya ntini mu fa nipadua no nyinaa mu. Esiane sɛ wɔyɛ hare nti, wɔtra bɛn mogya ntini no afasu. Enti sɛ obi apira a, wobetumi adu baabi a ɛhɔ yɛ ntɛm.
- Spleen: Eyi ne "adekorabea" ne "beae a wɔsan de di dwuma" ma mogya nkwammoaa a ɛma mogya tu. Wɔkora mogya nkwammoaa a ɛba yɛn nipadua mu no mu bɛyɛ nkyem abiɛsa mu biako so na wɔde sie akyi berɛmo no mu. Ɛsan yi mogya nkwammoaa dedaw ne nea asɛe no na ɛsan de di dwuma bio.
Nkwammoaa ahe na ɛsɛ sɛ obi a ɔwɔ apɔwmuden nya ne mogya mu?
Ɔpanyin a ɔwɔ apɔwmuden wɔ mogya mu nkwammoaa a ɛma mogya tu 150,000 kosi 450,000 wɔ mogya microliter (mogya a ɛtɔ ketewaa bi) biara mu. Ɛho hia paa sɛ dodow yi wɔ saa anohyeto ahorow yi mu.
Nkwa nna a mogya mu nkwammoaa kɔkɔɔ wɔ no yɛ tiaa koraa. Wɔsɛe mogya nkwammoaa bi wɔ nnafua 7 kosi 10 mu. Enti, ɛsɛ sɛ yɛn nnompe mu ntini no de mogya mu nkwammoaa foforo ka mogya no ho bere nyinaa. Eyi yɛ adeyɛ a ɛkɔ so daa.
Dɛn ne nyarewa atitiriw a ɛbata mogya nkwammoaa mu?
Wobetumi akyekyɛ nyarewa dodow no ara a ɛfa mogya nkwammoaa ho no mu abien: mogya nkwammoaa a ɛba fam anaasɛ mogya mu nkwammoaa a ɛdɔɔso.
| Aduruyɛ mu tebea | Nkyerɛase ne nkɛntɛnso a ɛyɛ mmerɛw |
|---|---|
| Thrombocytopenia a ɛma mogya tu | Eyi yɛ mogya nkwammoaa dodow a ɛso tew . Saa tebea yi betumi aba bere a wowɔ yare bi te sɛ dengue no. Saa tebea yi ba bere a nipadua no ma mogya nkwammoaa kakraa bi na ɛba anaasɛ mogya nkwammoaa a ɛba no sɛe ntɛmntɛm dodo no. Asiane titiriw a ɛwɔ ha ne mogya a ɛbɛtɔ dodo, a efi opira ketewaa bi mpo mu. |
| Thrombocytosis a ɛma mogya tu | Eyi yɛ mogya nkwammoaa a ɛkɔ soro . Saa tebea yi ba bere a mogya nkwammoaa pii ba esiane ɔhaw bi a ɛwɔ nnompe mu ntini mu nti. Asiane titiriw a ɛwɔ ha ne mogya a ɛho nhia a ɛbɛba nipadua no mu. Sɛ mogya a ɛtwetwe yi siw mogya ntini a ɛkɔ koma, amemene, anaa ahurututu mu a, ebetumi de nkwa ato asiane mu. |
Dɛn ne nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa a ɛma mogya tu ho haw bi?
Sɛ mogya nkwammoaa dodow a ɛwɔ wo nipadua mu no nkari pɛ a, ebia wubehu sɛnkyerɛnne ahorow a edidi so yi. Sɛ wokɔ so nya eyinom mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara .
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Bruising a ntease biara nnim | Sɛ wunya akuru bruu anaa kɔkɔɔ wɔ wo nipadua so a wommɔ biribiara a, ɛtɔ mmere bi a nsensanee kɔkɔɔ nketenkete (petechiae) nso betumi apue wɔ honam ani. |
| Mogya a ɛtaa tu fi hwene ne anom | Sɛ wo hwene taa mogya bere a worehohoro wo sẽ no, anaasɛ sɛ wo hwene mu mogya taa tu a. |
| Mogya a ɛwɔ nsu mu anaa nsu mu | Nsu tuntum anaa mogya, nsu kɔkɔɔ anaa pink. |
| Mogya a ɛtɔ kɛse wɔ mmea mu wɔ brayɛ mu | Mogya a ɛtɔ bere a obi rekɔ brayɛ mu kyɛ sen sɛnea ɛtaa ba anaasɛ emu yɛ duru sen sɛnea ɛtaa ba. |
| Mogya a ɛtɔ dodo a efi opira ketewaa bi mu | Sɛ kuru ketewaa mpo gye bere tenten ansa na mogya atɔ no a. |
| Numbness, akwaa a ɛho ahonhon | Nsɛnkyerɛnne a ebetumi aba bere a mogya mu nkwammoaa a ɛma mogya tu no kɔ soro no. Eyi betumi aba bere a mogya a ɛtwetwe no siw mogya kwan no. |
| Tiyɛ a emu yɛ den, adwenemhaw, mmerɛwyɛ | Eyinom nso yɛ sɛnkyerɛnne ahorow a anibere wom a ebetumi aba esiane mogya a ɛtɔ gu ntini a ɛde mogya kɔ amemene no mu esiane mogya nkwammoaa a ɛkɔ soro nti. |
Wobɛyɛ dɛn ahwɛ sɛnea mogya nkwammoaa a ɛwɔ mogya mu no te?
Sɛ wo duruyɛfo no adwenem yɛ no naa wɔ wo mogya nkwammoaa ho a, obetumi ayɛ nhwehwɛmu pii de asi so dua.
- Mogya Dodow a Edi Mu (CBC): Wɔ Sri Lanka no, wɔtaa frɛ eyi Mogya Kan a Edi Mu (FBC). Nea ɛka eyi ho ne sɛ wobɛfa wo mogya no bi na woasusuw nkwammoaa kɔkɔɔ, nkwammoaa fitaa, ne mogya mu nkwammoaa dodow pɔtee a ɛwɔ mu no.
- Peripheral Blood Smear (PBS): Nea ɛka eyi ho ne sɛ wɔde mogya ketewaa bi bɛpete ahwehwɛ a wɔde twitwiw nneɛma so na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Eyi ma wotumi hu mogya nkwammoaa no sɛ ɛyɛ ne kɛse a ɛnteɛ.
- Mogya a Ɛtwetwe Nhwehwɛmu: Nhwehwɛmu a ɛkyerɛ sɛnea wo mogya tu ntɛmntɛm. Eyinom betumi ama woanya sɛnea wo mogya mu nkwammoaa kɔkɔɔ no yɛ adwuma ho adwene.
- Bone Marrow Biopsy: Wɔ tebea horow bi mu no, wogye nnompe mu ntini ketewaa bi fi asen dompe mu wɔ aduru a wɔde kum nipadua no mu de hwɛ sɛ ɔhaw ahorow bi wɔ nnompe mu ntini a ɛma mogya mu nkwammoaa kɔkɔɔ no mu anaa.
Dɛn ne ayaresa ahorow a wɔde sa tebea horow a ɛtete saa?
Ayaresa no gyina sɛ ebia wo mogya nkwammoaa dodow sua anaasɛ ɛdɔɔso, ne nea ɛde ba no so.
Ɛho hia yiye: Ɛyɛ papa sɛ wubehu ayaresa ahorow a edidi so yi, nanso mfi ase anaasɛ nnyae nnuru biara da a wunnyaa wo duruyɛfo afotu.
- Nnuru: Sɛ mogya mu nkwammoaa a ɛdɔɔso wɔ wo mu a, ebia wɔbɛma wo nnuru a ɛmma ɛntew. Sɛ mogya mu nkwammoaa a ɛba fam no fi nipadua no mu tumi a ɛko tia nyarewa no ho haw bi a, wobetumi de nnuru afoforo ama de asa.
- Aspirin: Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ mogya bɛtɔ nnipa a mogya mu nkwammoaa a ɛdɔɔso no so atew no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aspirin a ano nyɛ den da biara da.
- Nkwammoaa a Wɔde Ma: Sɛ mogya mu nkwammoaa a ɛwɔ mogya mu no sua koraa na asiane kɛse wɔ hɔ sɛ mogya bɛtu a, mogya mu nkwammoaa a wogye fi obi a ɔwɔ apɔwmuden hɔ no nam mogya so de ma nipadua no.
- Splenectomy: Wɔ tebea horow bi mu no, akyi berɛmo no kyere mogya nkwammoaa pii dodo na ɛsɛe. Wɔ tebea horow a ɛtete saa mu no, sɛ ayaresa afoforo antumi anyɛ yiye a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi akyi berɛmo no fi hɔ.
Dɛn na yebetumi ayɛ na ama mogya nkwammoaa a ɛma mogya tu no akɔ so atra apɔw?
Sɛ wowɔ yare bi a ɛfa mogya mu nkwammoaa kɔkɔɔ ho dedaw a, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Nea ɛka ho no, mpɛn pii no, saa nneɛma yi boa ma yɛn mogya nkwammoaa a ɛma mogya tu no kɔ so yɛ den.
- To nsa a wonom ano hye. Nsã a wɔnom boro so betumi aka nnompe mu ntini no dwumadi na ama mogya nkwammoaa a ɛma mogya tu no so atew.
- Kwati sigaretnom. Sigaretnom betumi asɛe mogya ntini na ama mogya mu nkwammoaa a ɛma mogya tu no bɛbata ho no ayɛ kɛse.
- Twe wo ho fi nnuru a awuduru wom ho. Sɛ obi de ne ho hyɛ nnuru bi te sɛ nnuru a ekum mmoawa mu a, ebetumi asɛe nnompe mu ntini no.
- Bɔ wo ho ban fi opira ho. Sɛ mogya nkwammoaa a ɛwɔ wo mogya mu no sua a, ɛsɛ sɛ wohwɛ yiye titiriw na woabɔ wo ho ban afi asehwe ne akuru ho.
Nkrasɛm a Wɔde Kɔ Fie
- Nkwammoaa a ɛma mogya tu yɛ nkwammoaa nketenkete a ɛwɔ yɛn mogya mu a sɛ yɛpirapira a, mogya gyae.
- Ntini mu nkwammoaa dodow a ɛso tew (thrombocytopenia) ne mogya nkwammoaa dodow a ɛkɔ soro (thrombocytosis) nyinaa yɛ tebea horow a ɛde ɔhaw ba.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ akuru a wontumi nkyerɛkyerɛ mu, mogya a ɛtaa tu fi hwene mu, anaasɛ mogya a ɛretu wo hwene mu no so. Eyinom betumi ayɛ mogya nkwammoaa mu haw ho sɛnkyerɛnne.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, nsusuw kɛkɛ sɛ, kɔ wo duruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu.
- Mfa nnuru biara a wote nka sɛ wopɛ nni dwuma da a wunni aduruyɛ mu afotu.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment