Momma yɛnka sɛ wokɔ oduruyɛfo nkyɛn na ɔma wo krataa bi a ɛka kyerɛ wo sɛ kɔ mogya mu nhwehwɛmu. Sɛ wuhu sɛ wɔde nkyerɛwde akɛse akyerɛw asɛmfua "ESR" wɔ so a, ebia wobɛte ehu nka kakra na wopɛ sɛ wuhu. Ebia wubesusuw sɛ, "Nsɔhwɛ bɛn na eyi yɛ? So mewɔ yare bi a emu yɛ den?" Nanso mma wo ho nnsuro koraa. Saa ESR nhwehwɛmu yi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa a wɔtaa yɛ, na ɛsan nso de nsɛm a ɛho hia paa ma. Ɛnnɛ, yɛbɛka ESR sɔhwɛ yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so.
Dɛn ne ESR sɔhwɛ tiawa?
ESR din mũ no nyinaa ne Erythrocyte Sedimentation Rate . Afei, mma nsɛm akɛse yi nyinaa nnyɛ wo hu. Momma yɛnbubu mu na yɛnte ase.
- Erythrocyte (wɔbɔ no: erythrocyte) yɛ aduruyɛ mu din a wɔde frɛ mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn mogya mu no.
- Sedimentation Rate yɛ sɛnea biribi kɔ nsu mu na ɛkɔ ase.
Enti, sɛ yɛbɛka no tiawa a, ESR sɔhwɛ no susuw sɛnea mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo mogya a wɔde ahyɛ afiri a wɔayɛ no titiriw mu no kɔhyɛ afiri no ase ntɛmntɛm no.
Susuw ho saa kwan yi so. Sɛ yɛde nsu bi gu ahwehwɛ mu na yɛde anhwea bi ka ho a, anhwea no mu nkakrankakra bɛkɔ ahwehwɛ no ase. Saa ara na ɛba wɔ ESR sɔhwɛ no mu. Nanso ha no, sɛ́ anka yɛbɛyɛ anhwea no, yɛwɔ wo mogya mu nkwammoaa kɔkɔɔ no. Wɔde dɔnhwerew biako susuw sɛnea mogya mu nkwammoaa kɔkɔɔ yi kɔ fam ntɛmntɛm no. Wɔakyerɛw saa ahoɔhare no wɔ amanneɛbɔ no mu sɛ wo ESR bo.
Dɛn nti na oduruyɛfo no reka akyerɛ wo sɛ yɛ ESR nhwehwɛmu yi?
Afei ebia woresusuw ho sɛ, "Dɛn na yebetumi asua afi ahoɔhare a mogya mu nkwammoaa kɔkɔɔ no kɔ fam no susuw mu?" Nokwarem no, eyi betumi ama woanya biribi a ɛho hia paa ho nsɛnkyerɛnne. Ɛne sɛ, sɛ ebia ɔfe bi wɔ wo nipadua mu baabi anaa.
Dɛn ne "Ɔhaw"? Momma yɛnte ase tiawa. Fa no sɛ wowɔ kuru ketewaa bi wɔ wo nsa so. Kuru no yɛ kɔkɔɔ kakra, ahonhon, na ɛte sɛ nea ɛyɛ hyew. Ɛno ne nea ɔfe yɛ. Ɛno kyerɛ sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa, kyerɛ sɛ, nipadua no "asraafo" no reko atia mmoawa a wɔrebɔ mmɔden sɛ wɔbɛfa kuru no mu akɔ mu no. Saa ɔko yi na ɛma beae no yɛ kɔkɔɔ na ɛho ahonhon.
Saa ara na ɔfe tumi ba akwaa a ɛwɔ nipadua no mu no mu esiane nneɛma ahorow nti. Sɛ nhwɛso no, ebetumi afi ɔyare mmoawa, ɔyare mmoawa, anaa aduruyɛ mu tebea foforo.
Adeɛ a ɛho hia ne sɛ, ESR sɔhwɛ no te sɛ wusiw alarm a ɛwɔ ofie mu. Sɛ wusiw wɔ fie no mu baabiara a, ɛdum. Nanso ɛnkyerɛ wo sɛ ogya no wɔ adididan mu, ɔdan a wɔtra mu, anaa nea ɛredɛw. Ɛsɛ sɛ wohwehwɛ mu wɔ ɔkwan soronko so na ama woahu saa. ESR no nso yɛ ade koro.Ɛma ‘sɛnkyerɛnne’ ara kwa sɛ ɔfe wɔ nipadua no mu baabi. Ɛnkyerɛ wo nea yare no yɛ ankasa.
Wo duruyɛfo de ESR sɔhwɛ yi di dwuma de ka wo sɛnkyerɛnne ahorow ho de nya mfonini kɛse. Ebetumi ama woanya tebea horow te sɛ nea edidi so yi ho nsɛnkyerɛnne:
- Nyarewa: Yare mmoawa anaa mmoawa ahorow a ɛwɔ nipadua no mu.
- Nyarewa a nipadua no tumi ko tia nyarewa: Eyi ne bere a nipadua no ankasa nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ nipadua no ankasa nkwammoaa a ɛte apɔw no so. Sɛ nhwɛso no, nyarewa te sɛ ntini mu yare ne lupus.
- Ntini mu yare a ɛma obi ho hyehye no: Tebea horow a ɛma nkwaa no hohoro na ɛyɛ yaw.
- Kokoram ahorow bi: Ɛnyɛ kokoram nyinaa, nanso kokoram ahorow bi betumi ama ESR akɔ soro.
- Mogya mu haw ahorow
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?
Eyi ne ɔfã a eye sen biara. Ɛho nhia sɛ woyɛ biribi titiriw biara ma ESR sɔhwɛ no.
- Ɛho nhia sɛ wudi mmuada nnɔnhwerew pii te sɛ mogya mu nhwehwɛmu afoforo.
- Wubetumi adidi na woanom sɛnea ɛsɛ.
- Sɛ wowɔ nnuru bi a wonom da biara a, wubetumi anom sɛnea wotaa nom no.
Nanso, ɛho hia yiye sɛ wobɛka nnuru a worenom no ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi anya nkɛntɛnso ketewaa bi wɔ ESR bo no so.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Eyi te sɛ mogya mu nhwehwɛmu foforo biara a anka wobɛyɛ no ara pɛ.
Oduruyɛfo, ɔyarehwɛfo, anaa lab technician bɛfa mogya kakraa bi afi ntini bi a ɛwɔ wo basa mu mu akɔ syringe mu. Nea edi kan no, wɔde biribi te sɛ nsa bɛhohoro baabi a ɛhɔ yɛ fɛ. Afei, bere a wɔde ade no hyɛ ntini no mu no, ebia wobɛte nka sɛ anyinam ahoɔden abɔ wo kakra. Eyi befi hɔ wɔ sikani kakraa bi mu.
Nnipa binom suro nnade ne mogya a wohu no kakra. Ɛnyɛ biribiara a ɛsɛ sɛ yɛfɛre anaasɛ yɛde sie. Sɛ wo nso wosuro anaa wo ho nyɛ wo dɛ a, ka kyerɛ onipa a ɔrenom mogya no. Wɔbɛboa wo ma woayɛ komm.
Sɛ wɔtwe mogya no wie a, wɔbɛka akyerɛ wo sɛ fa plaster anaa kotoku ketewaa bi si baabi a wɔde ade no gu no so na fa kura mu. Beae no betumi apirapira kakra, ayɛ bruu, anaasɛ ayɛ yaw kakra nnɔnhwerew kakraa bi. Eyi yɛ ade a ɛfata.
Ɔkwan bɛn so na wɔbɛkyerɛ ESR amanneɛbɔ no ase? (Dɛn ne gyinapɛn ahorow a ɛfata?)
Wɔkyerɛw bo a ɛsom wɔ wo ESR amanneɛbɔ no so wɔ mm/hr . Ɛno kyerɛ sɛ "milimita dɔnhwerew biara." Sɛnea wɔsusuw kar ahoɔhare wɔ "kilomita dɔnhwerew biara mu" no ara pɛ.
ESR gyinapɛn ahorow a ɛfata no gu ahorow gyina mfe a onipa no adi ne ne bɔbeasu so. Nanso kae sɛ eyinom yɛ gyinapɛn ahorow a wɔkyekyem pɛpɛɛpɛ ara kwa. Ebia nsonsonoe kakra bɛba aduruyɛdan ahorow ntam. Enti, wo duruyɛfo nkutoo na obetumi ama wo nkyerɛkyerɛmu a eye sen biara wɔ w’amanneɛbɔ no ho.
Nneɛma a gyinapɛn ahorow a wogye tom wɔ ɔkwan a ɛkɔ akyiri so ho pon ni.
| Mfe a obi adi ne ɔbarima anaa ɔbea | ESR bo a ɛfata (mm/hr) . |
|---|---|
| Mmarima a wonnii mfe 50 | 0 - 15 mm/dɔnhwerew biara |
| Mmarima a wɔadi boro mfe 50 | 0 - 20 mm/dɔnhwerew biara |
| Mmea a wonnii mfe 50 | 0 - 20 mm/dɔnhwerew biara |
| Mmea a wɔadi boro mfe 50 | 0 - 30 mm/dɔnhwerew biara |
| Mmofra nkumaa | 0 - 10 mm/dɔnhwerew biara |
Dɛn na ESR a ‘ɛkorɔn’ kyerɛ? So ɛsɛ sɛ mehaw me ho?
Sɛ wo ESR korɔn sen sɛnea ɛte daa a, ɛkyerɛ sɛ ɔfe wɔ wo nipadua mu baabi. Sɛ ɔfe ba nipadua no mu a, protein ahorow bi a ɛwɔ mogya no mu no dɔɔso. Saa protein ahorow yi ma mogya mu nkwammoaa kɔkɔɔ no bata ho, ɛyɛ akuwakuw nketenkete, emu duru yɛ kɛse, na ɛmem ntɛmntɛm kodu afiri a wɔde sɔ hwɛ no ase. Eyi nti na ESR no kɔ soro no.
ESR a ɛkɔ soro no nkyerɛ ankasa sɛ wowɔ yare a emu yɛ den. Nneɛma a ɛnyɛ den wɔ hɔ a ebetumi de aba, ne nneɛma a ɛsɛ sɛ wɔde adwene si so nso.
Nneɛma a ɛtaa de ESR a ɛkɔ soro ba:
- Nyarewa: Nyarewa a ɛba nipadua no mu baabiara, te sɛ ahurututu mu yare, appendicitis, ne nsamanwaw.
- Nyarewa a nipadua no tumi ko tia nyarewa: Tebea horow te sɛ ntini mu yare ne lupus.
- Ntini mu opira: Bere a obi apira kɛse anaa oprehyɛn akyi.
- Kokoram ahorow bi: te sɛ lymphoma anaa multiple myeloma. (Bio nso, ESR a ɛkɔ soro no nkyerɛ kokoram ankasa.)
- Tebea afoforo: nyinsɛn, mogya a ɛtɔ kɔ nipadua mu (mogya a enni nipadua mu), onyin, thyroid yare, asaabo mu yare.
Oduruyɛfo no bɛba awiei denam wo ESR bo a wode bɛtoto wo sɛnkyerɛnne ahorow (te sɛ atiridiinini, nipadua mu yaw, wo mu duru a ɛso tew), nipadua mu nhwehwɛmu, ne nhwehwɛmu afoforo a sɛ ɛho hia a (te sɛ CRP, Full Blood Count) ho a ɔde bɛtoto ho no so.
Na sɛ ESR boɔ no yɛ ‘Low’ nso ɛ?
Mpɛn pii no, ESR a ɛba fam sen sɛnea ɛte daa no nyɛ ɔhaw. Mpɛn pii no, nnipa a wɔwɔ apɔwmuden no ESR sua. Enti biribiara nni hɔ a enti ɛsɛ sɛ yɛhaw yɛn ho wɔ ESR a ɛba fam ho.
Nanso, ɛntaa nsi koraa sɛ aduruyɛ mu tebea pɔtee bi betumi ama ESR a ɛba fam wɔ ɔkwan a ɛnteɛ so. Sɛ nhwɛso no, tebea horow te sɛ polycythemia, yare a ɛma mogya mu nkwammoaa kɔkɔɔ boro so, anaa sickle cell anemia. Nanso eyinom ho yɛ na koraa. Sɛ wo duruyɛfo susuw sɛ eyi yɛ a, ɔbɛyɛ nhwehwɛmu a ɛho hia.
Nsonsonoe bɛn na ɛda Westergren kwan no ne akwan afoforo ntam?
Ebia w'amanneɛbɔ no bɛka "Westergren kwan" no ho asɛm. Eyi ne ɔkwan a wɔfa so yɛ ESR sɔhwɛ no wɔ wiase nyinaa. Nea ɛka ho ne sɛ wɔde mogya gu afiri titiriw bi a wɔde sɔ mogya mu, gyaw no dɔnhwerew biako, na wosusuw baabi a mogya mu nkwammoaa kɔkɔɔ no kɔ.
Bio nso, akwan bi wɔ hɔ a wɔfrɛ no "Modified Westergren akwan". Ebinom nhia mogya pii, ebinom de mfiri (centrifuges) di dwuma na ɛma nea efi mu ba ntɛmntɛm. Nanso Westergren kwan a yɛadi kan aka ho asɛm no da so ara yɛ nea wogye di na wɔde di dwuma sen biara. Ɛnfa wo ho sɛ ɔkwan bɛn na wo aduruyɛdan no fa so. Nea ɛho hia ne nea ebefi mu aba ne sɛnea oduruyɛfo no kyerɛ ase.
Nkrasɛm a Wɔde Kɔ Fie
- ESR yɛ mogya mu nhwehwɛmu a ɛnyɛ den a wɔde hwɛ sɛ ɔfe wɔ nipadua no mu anaa.
- Eyi ntumi nhu yare biara koraa. Ɛte sɛ wusiw alarm, ɛma nea ɛkyerɛ sɛ ɔhaw bi wɔ hɔ ara kwa.
- Nneɛma pii nti na ESR dodow betumi akɔ soro, te sɛ ɔyare mmoawa, nkwaa mu nyarewa, ne nyinsɛn. Enti, nsuro yare a emu yɛ den esiane sɛ wo ESR dodow dɔɔso nti.
- Mpɛn pii no, ESR bo a ɛba fam no nyɛ ɔhaw.
- Wo duruyɛfo ne onipa a oye sen biara a obenya nkyerɛkyerɛmu a edi mũ wɔ gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu ne nea ɛkyerɛ ho. Mfa nsɛm a ɛwɔ intanɛt so nsi gyinae. Wo ne wo duruyɛfo nkasa bere nyinaa.
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