So woafa wo mogya mu nhwehwɛmu amanneɛbɔ, kyerɛ sɛ, ‘Full Blood Count’ (FBC) amanneɛbɔ a oduruyɛfo no taa kyerɛw no, na woayɛ basaa wɔ nkyerɛwde ne nɔma a ɛwɔ so no ho pɛn? Edin ahorow te sɛ MCV, MCH, PLT, RDW, mmiako mmiako wɔ hɔ. Ebia worentumi nhu nea eyinom kyerɛ. Mma ɛnhaw wo, nnipa pii te nka saa. Ɛnnɛ, momma yɛnte aseɛ wɔ ɔkwan a ɛyɛ mmerɛ na ɛyɛ nkɔmmɔdie so deɛ ɛyɛ botaeɛ baako a ɛho hia wɔ amanneɛbɔ yi mu, kyerɛ sɛ, deɛ RDW yɛ.
Dɛn na RDW kyerɛ ara kwa?
Sɛ yɛbɛka no tiawa a, RDW gyina hɔ ma Red Blood Cell Distribution Width . Wɔ Sinhala kasa mu no, ɛkyerɛ ‘Mogya Nkwammoaa Kɔkɔɔ a Wɔkyekyɛ no Trɛw’. Nanso mma saa din no nnyɛ wo basaa. Momma yɛnte eyi ase ntɛm ara.
Fa no sɛ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo nipadua mu no yɛ kurukuruwa nketewa kɔkɔɔ. Saa bɔɔl yi de mframa pa fi yɛn ahurututu mu kɔ nipadua no fã biara, akwaa biara. Te sɛ gas nsukorade ahorow no ara pɛ. Enti, oxygen yi ho hia ma nkwammoaa biara a ɛwɔ nipadua no mu na ama ayɛ adwuma na ama ahoɔden aba.
Wɔ obi a ɔwɔ apɔwmuden mu no, mogya mu nkwammoaa kɔkɔɔ yi dodow no ara kɛse ne ne nsusuwii yɛ pɛ . Te sɛ lemon akuwakuw bi a efi sotɔɔ mu ara pɛ. Ebia nsonsonoe kakra bɛba, nanso ɛnyɛ nsonsonoe kɛse.
RDW nhwehwɛmu no susuw sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse gu ahorow. Ɛne sɛ, ɛhwɛ sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse bɛyɛ pɛ, anaasɛ ebi yɛ nketewa, ebi yɛ akɛse, anaasɛ ɛsono ne kɛse.
Ɛmfa ho edin ‘Trɛw’ no, eyi nsusuw mogya nkwammoaa bi trɛw. Mmom no, ɛkyerɛ sɛnea mogya mu nkwammoaa kɛse mu nsakrae te.
RDW bo a ɛkɔ soro kyerɛ sɛ nsakrae kɛse wɔ mogya mu nkwammoaa kɔkɔɔ no kɛse mu. Ebi yɛ nketewa paa, ebi nso yɛ akɛse paa. RDW bo a ɛfata kyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ dodow no ara kɛse yɛ pɛ.
Abusuabɔ bɛn na ɛda RDW nhwehwɛmu ne mogya dodow a edi mũ (CBC) ntam?
Wo duruyɛfo renhyɛ sɛ wɔnyɛ nhwehwɛmu mfa nhwɛ RDW no nkutoo. Wɔtaa yɛ eyi sɛ mogya a wɔkan koraa (CBC) no fã . Yɛsan frɛ eyi FBC (Full Blood Count).
FBC amanneɛbɔ bi de wo mogya mu nneɛma atitiriw abiɛsa ho nsɛm ma:
- Mogya Nkwammoaa Kɔkɔɔ
- Mogya Nkwammoaa Fitaa
- Nkwammoaa mu nkwammoaa a ɛma mogya tu
FBC amanneɛbɔ yi wɔ ɔfã titiriw bi a ɛka mogya mu nkwammoaa kɔkɔɔ nkutoo ho asɛm. Wɔfrɛ no RBC Indices.RDW yɛ saa RBC Indices no mu biako. Momma yɛnhwɛ gyinapɛn atitiriw a ɛwɔ ɔfã yi mu.
| Sɔhwɛ din (RBC Index) . | Dɛn na wɔsusuw kɛkɛ? |
|---|---|
| RDW (Nkwammoaa Kɔkɔɔ a Wɔkyekyɛ no Trɛw) . | Ɛsusuw mogya mu nkwammoaa kɔkɔɔ no kɛse mu nsakrae. |
| MCV (Ntini a Ɛma Ntini Mu Nnyigyei a Ɛkyerɛ) . | Sɛ wɔkyekyem pɛpɛɛpɛ a, wɔsusuw mogya mu nkwammoaa kɔkɔɔ kɛse. |
| MCH (Ɛkyerɛ sɛ Ntini Mu Hemoglobin) . | Ɛkyerɛ hemoglobin dodow a ɛtaa wɔ mogya mu nkwammoaa kɔkɔɔ biako mu. |
| MCHC (Hemoglobin dodow a ɛwɔ nipadua no mu) . | Ɔkwan bɛn so na wosusuw hemoglobin dodow a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu? |
Sɛ oduruyɛfo bi hwehwɛ w’ayaresa tebea mu, titiriw tebea te sɛ mogya a ɛtɔ kɔ nipadua mu a, wɔbom hwɛ gyinapɛn ahorow yi nyinaa. Wonnyina gyinapɛn biako pɛ so nsi gyinae.
Bere bɛn na ɛho hia sɛ wɔyɛ RDW sɔhwɛ?
Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya atɔ wo a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ FBC nhwehwɛmu. Wei nso bɛhwɛ wo RDW boɔ. Monemia yɛ bere a wunni mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso a ɛbɛma oxygen atwa wo nipadua ho ahyia.
Nsɛnkyerɛnne a ebetumi akyerɛ sɛ mogya a ɛtɔ kɔ nipadua no mu
Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu:
- Ɔbrɛ kɛse a wɔte nka bere nyinaa
- Ahome a ɛyɛ tiaa bere a wonam kakra mpo no
- Awɔw a wɔte nka bere nyinaa
- Adwene a ɛyɛ basaa anaasɛ ne ti a ɛyɛ hare
- Wora a ɛyɛ mmerɛw anaasɛ ɛyɛ nwunu
- NtɛmTipaeɛ
Aduruyɛ mu tebea horow a ebetumi ama RDW bo akɔ soro
RDW sɔhwɛ no ne RBC nsɛnkyerɛnne afoforo betumi aboa ma wɔahu nea ɛde mogya a ɛtɔ kɔ nipadua mu ba. Nneɛma ahorow pii na ɛde mogya a ɛtɔ kɔ nipadua mu ba.
- Vitamin ne mineral a enni nipadua mu: Mogya a ɛtɔ mogya mu, titiriw a iron, vitamin B12, ne folate a enni nipadua mu na ɛde ba no betumi ama RDW bo akɔ soro.
- Thalassemia: Eyi yɛ awosu mu tebea.
- Nyarewa a enni sabea: Tebea horow a ɛtra hɔ kyɛ te sɛ asikreyare, Crohn yare, ne HIV.
- Asaabo anaa mmerɛbo mu yare
- Kokoram
- Koma ne ntini mu yare
- Mogya a ɛtɔ kɛse a efi akwanhyia anaa oprehyɛn bi mu ba.
Ɔkwan bɛn so na wɔyɛ RDW sɔhwɛ yi? So ɛyɛ biribi a ɛsɛ sɛ yesuro?
Nte saa koraa. Eyi yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye a wɔyɛ no daa ara kwa. Egye simma kakraa bi pɛ.
Biribi titiriw biara nni hɔ a ɛsɛ sɛ wusiesie wo ho ansa na woatwe wo mogya. Nanso, sɛ wo duruyɛfo ahyɛ sɛ wobɛyɛ nhwehwɛmu foforo, te sɛ mmuadadi mogya mu asikre nhwehwɛmu, a FBC ka ho a, ebehia sɛ wudi mmuada nnɔnhwerew dodow pɔtee bi. Wo duruyɛfo betu wo fo wɔ eyi ho.
Eyi ne nea ɛba bere a wɔtwe mogya no:
1. Ɔyarehwɛfo anaa oduruyɛfo behu ntini pa bi a ɛbɛn wo nsateaa anaa wo nsa akyi.
2. Fa nsa a wɔde hyɛ mu hohoro baabi a wɔde ade no bɛhyɛ mu no yiye.
3. Wɔkyekyere rɔba (te sɛ tourniquet) mu denneennen wɔ baabi a wɔde ade no hyɛ mu no atifi kakra na aboa ma ntini no apue yiye.
4. Afei wɔde ade no hyɛ ntini no mu na wɔboaboa mogya dodow a ɛho hia ano wɔ toa ketewa bi mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no hyɛ mu no.
5. Sɛ wɔtwe mogya no wie a, woyi ade no, wɔde kotoku bi gu beae no, na wɔde plaster ketewaa bi gu so.
Mpɛn pii no, wubetumi afi hɔ ntɛm ara bere a wode mogya ama wo no. Ɛtɔ da bi a, ebia w’adwene tu fra kakra, nanso wɔbɛka akyerɛ wo sɛ ntena ase simma kakraa bi. Ebia baabi a wɔde ade no guu mu no bɛyɛ bruu kakra, nanso eyi ankasa befi hɔ wɔ nnansa kosi nnansa mu. Eyi yɛ sɔhwɛ a ahobammɔ wom yiye.
Ɔkwan bɛn so na yɛbɛte RDW aba no ase?
Wɔkyerɛ wo RDW boɔ sɛ ɔha mu nkyekyɛmu (%). Ma yɛnhwɛ sɛ saa bo no yɛ nea ɛfata, ɛkorɔn, anaasɛ ɛba fam anaa.
| Nsunsuansoɔ | Kyerɛ |
|---|---|
| RDW a ɛyɛ daa | Eyi kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no mu dodow no ara kɛse yɛ pɛ. RDW boɔ no taa yɛ 12% kɔsi 15% . Nanso, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra a egyina lab a ɛyɛ sɔhwɛ no so. Wɔaka range a ɛfata ma saa lab no ho asɛm wɔ w’amanneɛbɔ no so. Nea ɛho hia: Sɛ RDW no yɛ nea ɛfata, nanso bo foforo (te sɛ MCV) no nyɛ nea ɛfata a, ebetumi nso akyerɛ sɛ obi wɔ aduruyɛ mu. |
| RDW a ɛkorɔn | Eyi kyerɛ sɛ nsonsonoe kɛse wɔ mogya mu nkwammoaa kɔkɔɔ no kɛse mu. Ebi yɛ nketewa, ebi nso yɛ akɛse. Eyi betumi ayɛ mogya a ɛtɔ kɔ nipadua mu anaa tebea foforo a ɛfa ho ho sɛnkyerɛnne. RDW bo no dɔɔso titiriw wɔ mogya a ɛtɔ kɔ nipadua mu a dade a enni nipadua mu de ba no mu. Oduruyɛfo no de RDW bo a ɛsom no bɛtoto MCV bo no ho na ama watumi de asɛm bi aba awiei. |
| RDW a ɛba fam | RDW bo a ɛba fam sen nea ɛfata no taa nyɛ biribiara a ɛsɛ sɛ ɛhaw adwene. Ɛne aduruyɛ mu tebea pɔtee biara nni abusuabɔ. |
Nea ɛho hia yiye: Mfa no sɛ wowɔ yare bi a egyina sɛ ebia wo RDW dɔɔso anaasɛ ɛyɛ nea ɛfata so. RDW yɛ ahodwiriwde kɛse bi fã biako pɛ. Wo duruyɛfo de gyinapɛn afoforo a ɛwɔ FBC amanneɛbɔ no mu, wo sɛnkyerɛnne ahorow, ne nhwehwɛmu afoforo bedi dwuma, sɛ ɛho hia a, de ahu yare no pɛpɛɛpɛ.
Sɛ wo nsa ka mogya ho amanneɛbɔ no wie a, fa kɔ wo duruyɛfo a ɔresa wo yare no nkyɛn na munsusuw ho pefee. Bisa no nsɛm anaa nsɛm biara a ɛhaw wo.
Nkrasɛm a Wɔde Kɔ Fie
- RDW (Red Blood Cell Distribution Width) yɛ sɔhwɛ a wɔde susuw nsakrae a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu.
- Wɔtaa yɛ eyi sɛ mogya a wɔkan koraa (FBC/CBC) no fã.
- Ebia RDW bo a ɛkɔ soro no yɛ mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne, nanso ɛno nkutoo nnɔɔso mma sɛ wobehu yare no.
- Mpɛn pii no, RDW bo a ɛso tew no nyɛ ade a ɛhaw adwene.
- Sɛ wo nsa ka wo mogya mu nhwehwɛmu amanneɛbɔ wie a, wo ne wo duruyɛfo nsusuw nea efii mu bae no ho bere nyinaa, sen sɛ w’ankasa wubehuruw akɔ nsɛm bi so.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne 'MCH Blood Test' a ɛwɔ mogya amanneɛbɔ (FBC/CBC) mu? Ɔkwan bɛn so na ɛne RDW wɔ abusuabɔ?
‘MCH (Mean Corpuscular Hemoglobin)’ a ɛwɔ wo Full Blood Count (FBC) mu no yɛ ‘Hemoglobin dodow’ (dade protein a ɛma mogya kɔla kɔkɔɔ na ɛde oxygen kɔ) a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ (RBC) no biako mu. ‘RDW’ a ɛwɔ w’asɛm no mu ne mogya mu nkwammoaa ‘kɛse/nsusuwii a ɛsakra’. Ɛnam saa gyinapɛn abien yi (MCH ne RDW) a wɔde bɛka abom so na nnuruyɛfo betumi ahu mogya a ɛtɔ kɔ wo mu ko pɔtee a wowɔ!
💬 Adɛn nti na me MCH boɔ no sua wɔ ɔkwan a ɛnteɛ so (Low MCH) wɔ m’amanneɛbɔ mu? So ɛyɛ hu?
‘MCH’ a ɛba fam (mpɛn pii no ennu picogram 27) kyerɛ sɛ wo mogya mu nkwammoaa nni dade (mogya nkwammoaa no yɛ mmerɛw). Ade titiriw ne nea ɛto so 1 a ɛde eyi ba ne ‘Iron Deficiency Anemia’ - dade a ɛnnɔɔso wɔ nipadua no mu a ɛbɛma mogya ayɛ yiye! Bio nso, awosu mu mogya mu nyarewa te sɛ Thalassemia nso betumi ada MCH bo a ɛba fam koraa adi.
💬 Sɛ MCH/Hemoglobin a ɛwɔ mogya amanneɛbɔ mu no sua a, dɛn ne nsɛm a edi awu a ɛhia sɛ wɔde obi kɔ ayaresabea/mogya a wɔde ma ntɛm ara?
Wobetumi asiesie eyi wɔ asram kakraa bi mu denam nnuru a wɔde dade ayɛ a wɔbɛnom so. Nanso asiane a ɛsen biara! 1) Sɛ mogya a ɛyera yi ma wo nya ‘Chest pain / Angina’ a, 2) Sɛ wo ho yɛ wo yaw bere nyinaa na w’adwene mu yɛ wo naa a, 3) Sɛ wo koma bɔ ntɛmntɛm wɔ ɔkwan a ɛnteɛ so a, ebia wo koma rennya oxygen a ɛdɔɔso na wo koma betumi agyae (Heart failure)! Ɛsɛ sɛ wɔde wo kɔ ayaresabea ntɛm ara!











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