Sɛ wuhu nkyerɛwde ne nɔma ahorow a ɛwɔ amanneɛbɔ a wunya bere a woreyɛ wo mogya mu nhwehwɛmu no so a, ɛtɔ mmere bi a asɛmmisa ketewaa bi ba w’adwenem, ɛnte saa? ‘Dɛn na CBC , RDW, ne MCV yi kyerɛ?’ Nnipa pii bisa saa botae yi ho asɛm, titiriw RDW botae no. Enti ɛnnɛ, momma yɛnka nea saa RDW yi kyerɛ ne nea ɛka fa yɛn akwahosan ho wɔ ɔkwan a ɛyɛ mmerɛw yiye so.
Momma yenni kan nhwɛ, dɛn ne RDW yi?
Sɛ yɛbɛka no tiawa a, RDW, anaa Red Blood Cell Distribution Width , susuw nsakrae a ɛwɔ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo mogya mu no kɛse mu. Ɛwom sɛ ɛka sɛ "trɛw" de, nanso eyi nsusuw nkwammoaa bi trɛw, na mmom ɛkyerɛ nkwammoaa akɛse dodow.
Susuw ho saa kwan yi so: mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no te sɛ lɔre nketewa a ɛde mframa pa kɔ. Wɔfa mframa pa fi ahurututu mu de kɔ nipadua no afã afoforo nyinaa. Wɔfrɛ protein bi a ɛboa ma wɔyɛ adwuma yi hemoglobin . Mpɛn pii no, ɛsɛ sɛ obi a ɔwɔ apɔwmuden mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse bɛyɛ pɛ. Sɛ nsonsonoe kɛse da wɔn akɛse ntam a, ɛkyerɛ sɛ ebia ɔhaw bi wɔ hɔ.
Sɛ wokɔ oduruyɛfo nkyɛn a, wɔtaa de amanneɛbɔ bi a wɔfrɛ no complete blood count (CBC) ma wo, ɛnte saa? RDW yɛ saa CBC amanneɛbɔ no fã biako.
So RDW nkutoo na ɛrehwɛ? Dɛn bio na ɛho hia wɔ CBC amanneɛbɔ no mu?
Oduruyɛfo rennyina RDW bo a ɛsom no nkutoo so nhu yare no da. Ɛte sɛ ahodwiriwde biako. Wuhia asinasin afoforo no na ama woahu mfonini no nyinaa. Mogya mu nkwammoaa kɔkɔɔ susuw afoforo pii wɔ hɔ a ɛho hia wɔ CBC amanneɛbɔ no mu. Yɛfrɛ wɔn Red Blood Cell Indices. RDW yɛ saa indices no mu biako.
| Index | Dɛn na ɛkyerɛ tiawa? |
|---|---|
| MCV (Ntini a Ɛma Ntini Mu Nnyigyei a Ɛkyerɛ) . | Ɛkyerɛ sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse te. |
| MCH (Ɛkyerɛ sɛ Ntini Mu Hemoglobin) . | Ɛkyerɛ hemoglobin dodow a ɛtaa wɔ mogya mu nkwammoaa kɔkɔɔ mu. |
| MCHC (Hemoglobin dodow a ɛwɔ nipadua no mu) . | Wosusuw hemoglobin dodow a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. |
Wo duruyɛfo no bɛfa saa gyinapɛn ahorow yi nyinaa abom na ama wanya w’akwahosan tebea ho adwene a edi mu.
Henanom na ɛsɛ sɛ wɔhaw wɔn ho titiriw wɔ RDW botae yi ho?
Wɔtaa susuw RDW bo no wɔ obiara a ɔyɛ CBC nhwehwɛmu mu, nanso oduruyɛfo bi bɛhwɛ saa bo yi so titiriw sɛ wosusuw sɛ wowɔ mogya a ɛtɔ kɔ wo mu a .
Monemia yɛ tebea a nipadua no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso. Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:
- Ɔbrɛ a ɛkɔ so daa
- Ɛyɛ den sɛ wobɛhome bere a wonam kwan tiaa bi mpo no
- Awɔw a wɔte nka sɛ ɛyɛ soronko
- Adwene a ɛyɛ basaa
- Nipadua a nkwa nnim
- Wora a ɛyɛ mmerɛw anaasɛ ɛyɛ nwunu
- Ti a ɛtaa yɛ no yaw
- Koma a ɛbɔ denneennen
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo bɛhwɛ RDW bo no de abɔ mmɔden sɛ obehu nea ɛde wo mogya a ɛtɔ wo mogya no ba. Bio nso, RDW boɔ no nso ho hia wɔ tebea a ɛdidi soɔ yi mu:
- Sɛ obi wɔ abusua no mu wɔ mogya mu nyarewa a wonya fi awo mu te sɛ thalassemia anaa sickle cell anemia a.
- Sɛ wowɔ nyarewa a enni sabea te sɛ asikreyare anaa Crohn yare a.
- Sɛ iron ne mineral afoforo sua wɔ w’aduan mu a.
- Sɛ wuhu amane wɔ ɔyare mmoawa a ɛtra hɔ kyɛ ho a.
- Sɛ wɔayi mogya pii afi nipadua no mu esiane akwanhyia anaa oprehyɛn nti a.
Dɛn na akontaabu a ɛwɔ RDW amanneɛbɔ no mu no kyerɛ?
Okay, afei momma yɛnhwɛ deɛ ɛkyerɛ sɛ yɛbɛnya saa RDW boɔ yi wɔ soro, ɛba fam, anaa ɛyɛ daa.
RDW bo a ɛkorɔn
RDW bo a ɛkɔ soro kyerɛ sɛ nsakrae kɛse wɔ wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu. Eyi kyerɛ sɛ nkwammoaa bi yɛ nketewa na ebi nso yɛ akɛse. Eyi betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne. Titiriw no, mogya a ɛtɔ kɔ nipadua mu a dade nnim no ma RDW bo no yɛ kɛse. Ebetumi nso afi aduannuru te sɛ vitamin B12 anaa folate a enni mu.
RDW bo a ɛba fam
RDW bo a ɛba fam kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no nyinaa kɛse bɛyɛ pɛ. Eyi yɛ tebea pa ara. Biribiara nni hɔ a ɛsɛ sɛ yɛhaw wo ho koraa.
RDW botae a ɛyɛ nea ɛfata
RDW boɔ a ɛyɛ ‘Normal’ (ɛtaa yɛ 12% - 15%) kyerɛ sɛ nsonsonoeɛ kɛseɛ biara nni mogya mu nkwammoaa kɔkɔɔ no kɛseɛ mu. Nanso, eyi nkyerɛ sɛ biribiara ye. Ɛtɔ da bi a, sɛ RDW no yɛ nea ɛfata mpo a, mogya mu nkwammoaa kɔkɔɔ no nyinaa betumi ayɛ nketewa (MCV bo no sua). Eyi betumi ayɛ yare bi a wonya fi awo mu te sɛ thalassemia ho sɛnkyerɛnne .
Adeɛ a ɛho hia paa ne sɛ worentumi nnyina RDW boɔ no nko ara so nhunu yareɛ. Oduruyɛfo no de saa bo yi bɛtoto MCV bo ne nhwehwɛmu afoforo a efii mu bae no ho na ama wahu yare no pɛpɛɛpɛ.
Yebetumi akyerɛkyerɛ eyi mu bio wɔ pon a ɛwɔ ase ha no mu.
| RDW bo a ɛsom | MCV bo (sɛ wɔkyekyem pɛpɛɛpɛ a, nkwammoaa kɛse) . | Mpɛn pii no tebea a ɛyɛ adwenem naayɛ |
|---|---|---|
| RDW a ɛkorɔn | MCV a ɛba fam | mogya a ɛtɔ kɔ nipadua mu a dade a enni nipadua mu |
| RDW a ɛyɛ daa | MCV a ɛba fam | mogya a ɛtɔ kɔ nipadua mu esiane Thalassemia anaa yare a enni sabea nti |
| RDW a ɛkorɔn | MCV a ɛkorɔn | Vitamin B12 anaa folate a enni nipadua mu |
| RDW a ɛkorɔn | MCV a ɛyɛ daa | Ebetumi ayɛ mogya a ɛtɔ kɔ nipadua mu anaa mmerɛbo mu yare a ɛba ntɛm. |
So RDW bo a ɛyɛ ‘asiane’ bi wɔ hɔ?
Sɛ yɛbɛka no pen a, biribiara nni hɔ a wɔfrɛ no ‘RDW bo a asiane wom.’ Eyi te sɛ kɔkɔbɔ dɔn. Nea ɛkyerɛ ara ne sɛ ɛsɛ sɛ wɔhwɛ biribi mu wɔ nipadua no mu. Enti nsuro RDW bo a ɛkɔ soro a ɛho nhia.
Ade a eye sen biara a wubetumi ayɛ ne sɛ wobɛfa w’amanneɛbɔ no na wo ne wo duruyɛfo akasa afa ho. Sɛ ɛho hia a, ɔbɛyɛ nhwehwɛmu foforo, ahwehwɛ nea ɛde yare no ba ankasa, na wakyerɛw ayaresa a wuhia.
Nkrasɛm a Wɔde Kɔ Fie
- RDW yɛ wo mogya dodow a edi mũ (CBC) no fã biako pɛ.
- Eyi susuw nsakrae a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ no kɛse mu.
- Mpɛn pii no, RDW bo a ɛkɔ soro no betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne, te sɛ dade a enni nipadua no mu.
- RDW bo a ɛba fam yɛ tebea pa ara. Biribiara nni hɔ a enti ɛsɛ sɛ yɛhaw yɛn ho wɔ ho.
- Worentumi nhu yare biara denam RDW bo a wobɛhwɛ nkutoo so. Oduruyɛfo no de toto gyinapɛn afoforo te sɛ MCV ho.
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu ho a, ade a eye sen biara na ahobammɔ wom a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa afa ho.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho