So mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua? Momma yensua thrombocytopenia ho ade wɔ nsɛm a ɛnyɛ den mu!

So egye bere tenten ansa na mogya no agyae bere a woatwitwa ketewaa bi no? Anaasɛ wodan bruu kɛkɛ na woyɛ akuru a wommɔ biribiara wɔ wo nipadua so? Sɛ eyi ato wo a, ebetumi aba sɛ esiane sɛ mogya nkwammoaa a ɛwɔ wo mu no sua nti . Wɔ aduruyɛ mu no, yɛfrɛ tebea yi Thrombocytopenia (wɔbɔ no “thrombo-cyto-penia”). Mma ɛnhaw wo, yɛbɛma biribiara ayɛ mmerɛw.

Sɛ yɛbɛka no tiawa a, dɛn ne Thrombocytopenia?

Mogya mu nkwammoaa kɔkɔɔ ne mogya mu nkwammoaa fitaa akyi no, nkwammoaa soronko foforo a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ wɔ yɛn mogya mu. Wɔn adwuma titiriw ne sɛ wɔbɛboa ma mogya atɔ yɛn so bere a yɛapira no. Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔyɛ mogya a ɛtɔ na ɛma mogya no gyae.

Seesei, Thrombocytopenia yɛ bere a mogya mu nkwammoaa a ɛwɔ yɛn mogya mu no sua sen dodow a wɔhwehwɛ no. Yɛn nnompe mu ntini na ɛyɛ eyinom . Enti, sɛ nnompe mu ntini no ntumi mma mogya mu nkwammoaa a ɛdɔɔso, anaasɛ mogya mu nkwammoaa a ɛba no sɛe ntɛmntɛm dodo a, saa tebea yi betumi aba. Eyi nso betumi afi nneɛma te sɛ nyarewa ne nnuru bi mu aba.

Saa tebea yi abu so dɛn?

Nokwarem no, nnipa pii wɔ saa tebea yi wɔ ɔkwan a emu nyɛ den koraa so. Ebia wonnim mpo sɛ wɔwɔ bi efisɛ wonni sɛnkyerɛnne atitiriw biara. Enti ɛyɛ den sɛ yɛbɛka sɛnea ɛtaa ba no pɛpɛɛpɛ.

Nanso wɔahu sɛ tebea foforo a ɛne no bɔ abira, Immune Thrombocytopenia , ka mmofra ne mpanyimfo 100,000 biara mu bɛyɛ 3-4. Afei nso, mmea a wɔyem bɛyɛ 5% betumi anya thrombocytopenia a ɛnyɛ den bere tiaa bi ansa na wɔrewo.

Dɛn ne nsɛnnennen a ebetumi aba esiane thrombocytopenia nti?

Ntini mu mogya mu nkwammoaa dodow a ɛba fam koraa no betumi de tebea horow a asiane wom aba.

• Mogya a ɛtɔ kɛse wɔ nipadua no mu: Mogya betumi afi mmeae te sɛ yafunu ne dwensɔtwaa mu aba. Nea asiane wom kɛse mpo ne mogya a ɛretu wɔ amemene no mu. Eyi betumi ayɛ tebea a ɛde ne nkwa to asiane mu.
• Koma mu yare: Sɛ mogya mu nkwammoaa a ɛwɔ mogya mu no so tew a, ebetumi ama mogya a ɛsen kɔ koma no mu no so atew, na ama asiane a ɛwɔ hɔ sɛ obi benya komayare no ayɛ kɛse.

Dɛn ne mogya mu nkwammoaa a ɛwɔ mogya mu a ɛfata ne nea ɛba fam?

Sɛ wohwɛ wo mogya ho amanneɛbɔ a, wubehu sɛ wɔakyerɛw wo mogya nkwammoaa dodow. Momma yɛnhwɛ nea ɛyɛ normal levels ne low levels.

So wowɔ saa sɛnkyerɛnne ahorow yi nso? Thrombocytopenia ho sɛnkyerɛnne ahorow

Ebia nnipa a mogya mu nkwammoaa a ɛho nhia kakra no rennya yare no ho sɛnkyerɛnne biara. Nanso, sɛ yare no ho sɛnkyerɛnne da adi ampa a, nneɛma a edi kan a wuhu no mu biako ne sɛ ɛyɛ den sɛ wubegyae mogya a efi baabi ketewaa bi a wɔatwitwa anaa mogya a ɛba wo hwene mu no. Nsɛnkyerɛnne afoforo bi ni.

• Mogya a ɛretu wo sẽ: Ebia wubehu mogya wɔ wo sẽ brɔs so bere a worehohoro wo sẽ no. Ebia ɛbɛyɛ te sɛ nea wo sẽ nso ahonhon.
• Mogya a ɛwɔ nsu mu: Ebia nsu no bɛdan tuntum tuntum paa.
• Mogya a ɛwɔ nsu mu: Sɛ nsu a ɛwɔ tiafi mu no yɛ pink a ɛyɛ hare bere a wɔatow nsu awie a, ebetumi aba sɛ mogya wɔ nsu mu nti.
• Mogya a wobɛfe: Eyi kyerɛ sɛ mogya retu wo yafunu no atifi.
• Mogya a ɛtɔ kɛse bere a worekɔ brayɛ mu: Sɛ wo bra ɔsram biara kyɛ boro nnafua 7, anaasɛ mogya tu wo kɛse sen sɛnea ɛtaa ba a, ebetumi ayɛ sɛnkyerɛnne.
• Petechiae: 1999 mu.Ɛte sɛ nsensanee nketenkete kɔkɔɔ/kɔla kɔkɔɔ a ɛrehuruhuruw wɔ nan no so, titiriw wɔ asen no fã.
• Purpura: Nsõ kɔkɔɔ, kɔkɔɔ, anaa bruu a ɛwɔ honam ani. Eyi fi mogya a efi mogya ntini nketenkete a ɛwɔ honam ani no ase no mu.
• Akuru: Akuru ba bere a mogya boaboa ano wɔ honam ani no. Ebia wubehu sɛ ɛnyɛ den sɛ wobɛpirapira sen sɛnea wotaa yɛ no.
• Mogya a ɛretu wɔ awotwaa mu: Ebia wubehu mogya wɔ tiafi so anaa bere a woresiesie hɔ no.

Dɛn nti na mogya mu nkwammoaa a ɛma mogya tu no so tew saa? Dɛn na ɛde ba?

Yebetumi akyekyɛ nneɛma a ɛde mogya mu mogya mu nkwammoaa a ɛba fam ba no mu akuw atitiriw abiɛsa.

1. Wo nnompe mu ntini no ntumi nyɛ mogya nkwammoaa a ɛdɔɔso: Eyi betumi asi wɔ mogya mu kokoram tebea horow te sɛ mogya mu kokoram anaa lymphoma mu.

2. Sɛ nnompe mu ntini no na ɛma mogya nkwammoaa a ɛdɔɔso mpo a, ɛsɛe ntɛmntɛm anaasɛ ɛsa: Esiane nyarewa bi nti, mogya nkwammoaa dodow a ɛba no sa ntɛmntɛm.

3. Nkwammoaa a ɛma mogya mu nkwammoaa a ɛwɔ akyi berɛmo mu no sie: Mpɛn pii no, yɛn mogya mu nkwammoaa a ɛma mogya tu no bɛyɛ nkyem abiɛsa mu biako sie yɛn akyi berɛmo mu. Nanso, wɔ tebea horow bi mu no, ɛkora mogya nkwammoaa a ɛdɔɔso dodo.

Ntease pɔtee kakraa bi nti

• Nyarewa a nipadua no tumi ko tia nyarewa: Wɔ nyarewa te sɛ Immune Thrombocytopenia (ITP) ne Lupus mu no, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ mogya mu mogya mu nkwammoaa mu na ɛsɛe.
• Mogya mu kokoram: Nyarewa te sɛ mogya mu kokoram ne lymphoma betumi asɛe nnompe mu ntini no na asiw mogya mu nkwammoaa a ɛma mogya tu.
• Kokoram ayaresa: Nnuru ne mframa a wɔde sa yare betumi asɛe ntini mu nkwammoaa a anka ɛbɛyɛ mogya nkwammoaa no.
• Mogya mu nyarewa bi: Wɔ tebea horow te sɛ Thrombotic Thrombocytopenic Purpura (TPP) mu no, mogya mu ntini nketenkete ba nipadua no nyinaa mu, na ɛma mogya nkwammoaa no sa ntɛmntɛm.
• Nyarewa: Mmoawa ne mmoawa a wɔde nyarewa ba nso betumi ama mogya nkwammoaa dodow a ɛba fam.
• Nsã a wɔnom boro so: Nsã ma mogya mu nkwammoaa a ɛma mogya tu no brɛ ase.
• Nnuru a awuduru wom: Sɛ obi de ne ho hyɛ nneɛma te sɛ arsenic, benzene, ne nnuru a ekum mmoawa mu nso a, ebetumi aka no.
• Nnuru bi: Nnuru a ekum ɔyare mmoawa, nnuru a wɔde sa akisikuru, nnuru a wɔde sa komayare, ne nnuru a ɛma mogya yɛ mmerɛw te sɛ heparin nso betumi de eyi aba.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo. Ɔbɛhwɛ sɛ akuru, nsensanee, ne nea ɛkeka ho nso bɛbisa w’ayaresa ho abakɔsɛm ne nnuru a worenom no ho asɛm. Afei ebia ɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ ahorow bi te sɛ eyi.

• Mogya Dodow a Edi Mu (CBC): Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ no daa. Ɛhwɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa fitaa dodow a ɛwɔ wo mogya mu.
• Peripheral Blood Smear: Nea ɛka eyi ho ne sɛ wode afiri a wɔde hwɛ nneɛma nketenkete bɛhwehwɛ wo mogya mu nkwammoaa mu.
• Mogya a ɛtwetwe mu nhwehwɛmu: Eyinom susuw bere tenten a egye ansa na wo mogya atɔ (te sɛ PTT ne PT nhwehwɛmu).
• Bone Marrow Biopsy: Sɛ mogya mu nhwehwɛmu kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no sua koraa na nea ɛde ba no mu nna hɔ a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛfa wo nnompe mu ntini ketewaa bi akɔyɛ nhwehwɛmu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ mogya nkwammoaa a ɛba fam no mfa ɔhaw kɛse biara mma a, ebia worenhia ayaresa biara. Mpɛn pii no, nnuruyɛfo bɛsa nea ɛde tebea no ba titiriw. Sɛ nhwɛso no, sɛ aduru bi a worenom na ɛde ba a, ebia wobetumi asesa saa aduru no.

Ayaresa afoforo ne:

• Steroids: Saa nnuru yi tumi ma mogya mu nkwammoaa a ɛma mogya tu no yɛ kɛse.
• Mogya a Wɔde Ma: Sɛ wo mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua koraa a, wobetumi ama wo mogya (mogya mogya mu nkwammoaa) na ama wo mogya mu nkwammoaa dodow akɔ soro bere tiaa bi.
• Splenectomy: Sɛ nhwehwɛmu ahorow kyerɛ sɛ w’akyi berɛmo no siw mogya nkwammoaa pii ano a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi w’akyi berɛmo no. Nanso, esiane sɛ woyi akyi berɛmo no ma asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no yɛ kɛse nti, ebehia sɛ wobɔ wo ho ban na ama woabɔ wo ho ban afi ho.

Nneɛma a ɛsɛ sɛ wususuw ho bere a wo ne tebea yi te no

Sɛ wowɔ thrombocytopenia a, ɛho hia yiye sɛ woyɛ nsakrae nketenkete bi wɔ w’asetra kwan mu.

• Asetra a ahoɔden wom: Sɛ wonom sigaret a, gyae. Sɛ wonom nsa a, to ano hye. Ma wo sẽ nnya akwahosan pa, efisɛ ebetumi ama mogya atu wo sẽ ne wo sẽ mu.
• Nnom nnuru a wunni aduruyɛfo afotu: Nnuru bi a wɔde kum ɛyaw (e.g. ibuprofen, aspirin) wɔ tumi a ɛma mogya yɛ mmerɛw. Nnom nnuru a wɔde kum ɛyaw, nnuru a wɔde ka aduan ho, anaa nhabannuru biara a wunni kan nkɔ wo duruyɛfo nkyɛn.
• Kwati dwumadi ahorow a ebetumi ama woapirapira na mogya atɔ wo mu: Ɛyɛ papa sɛ wobɛkwati agumadi a wɔde di nkitaho te sɛ rugby ne bɔɔlbɔ. Bisa wo duruyɛfo no apɔw-mu-teɛteɛ a ahobammɔ wom a ɛfata wo ho asɛm.
• Tu kwan a dwoodwoo: Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no.
• Ka kyerɛ wo nnuruyɛfo: Sɛ wɔreyɛ wo oprehyɛn anaa wɔreyɛ wo sẽ biara a, di kan ka kyerɛ oduruyɛfo no sɛ wowɔ thrombocytopenia ne nnuru a worenom no.

Thrombocytopenia, mogya nkwammoaa dodow a ɛba fam, mogya a ɛtɔ, akuru, petechiae, purpura, CBC nhwehwɛmu sinhala, nnompe mu ntini, akyi berɛmo, akyi berɛmo a wɔatwa, Sri Lanka