So wowɔ mogya nkwammoaa a ɛba fam? Momma yɛnka Thrombocytopenia ho asɛm wɔ nsɛm a ɛnyɛ den mu.

So egye bere tenten sen sɛnea ɛtaa ba ansa na wɔatwa no ketewaa bi ansa na mogya atɔ no? Anaasɛ mogya tu wo sẽ bere a worehohoro wo sẽ no? Ebia wowɔ akuru wɔ wo nipadua so a ɛte sɛ nea ɛnyɛ biribiara na ɛde bae. Eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa dodow a ɛwɔ wo nipadua mu no so atew. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi Thrombocytopenia. Ɛwom sɛ ebia edin no te sɛ nea ɛyɛ nwonwa de, nanso eyi yɛ tebea a abu so wɔ yɛn mu. Enti ɛnnɛ yɛrebɛka saa Thrombocytopenia yi a ɛka nnipa pii nanso wonnim no yiye yi ho asɛm. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm tiawa na emu ada hɔ.

Sɛ yɛbɛka no tiawa a, dɛn ne Thrombocytopenia?

Okay, momma yenni kan nte nea mogya nkwammoaa yɛ ase. Fa no sɛ ‘plaster’ nketenkete bi retu mmirika akɔ wo nipadua mu. Wɔfrɛ eyinom mogya mu nkwammoaa a ɛma mogya tu. Wɔyɛ wɔ yɛn nnompe mu ntini mu. Wɔn adwuma titiriw ne sɛ wɔbɛboaboa wɔn ho ano ntɛmntɛm wɔ baabi a wɔapirapira no na wɔayɛ mogya a ɛbɛtɔ na ama mogya no agyae. Ɛte sɛ nea woreto tokuru bi mu wɔ ɔfasu mu.

Thrombocytopenia yɛ bere a mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua sen sɛnea ɛte daa no. Sɛ ɛba saa a, dɛn na ɛba? ‘Plaster’ a ɛma mogya no gyae no nnɔɔso bio. Enti kuru ketewaa mpo tumi mogya pii, na ebetumi agye bere tenten ansa na mogya no agyae.

Mpɛn pii no, aduruyɛ mu tebea foforo te sɛ yare a nipadua no tumi ko tia nyarewa, anaasɛ nnuru bi a yɛnom mu nsunsuanso bɔne na ɛde tebea yi ba. Nea eye sen biara ne sɛ, sɛ wohu nea ɛde ba no wie a, wobetumi asa na mogya nkwammoaa dodow no asan aba sɛnea na ɛte kan no.

Ɔkwan bɛn so na wosusuw mogya mu mogya mu nkwammoaa dodow? Nnuru dodow a ɛfata ne nea ɛnteɛ

Sɛ yɛyɛ mogya mu nhwehwɛmu (Full Blood Count) a, yebetumi ahu mogya nkwammoaa dodow pɔtee. Mpɛn pii no, ɔpanyin a ɔwɔ apɔwmuden wɔ mogya mu nkwammoaa kɔkɔɔ 150,000 kosi 450,000 wɔ mogya microliter biara mu. Wɔ thrombocytopenia mu no, dodow yi so tew. Yɛkyekyɛ tebea no mu den mu sɛnea ɛso tew.

Mpɛn pii no, nnipa a wɔn ho nyɛ den kakra no nkyerɛ yare no ho sɛnkyerɛnne atitiriw. Nanso sɛ edu baabi a anibere wom a, ɛsɛ sɛ yɛhwɛ yiye.

Wobɛyɛ dɛn ahu sɛ wowɔ thrombocytopenia anaa? Hwɛ yiye wɔ saa sɛnkyerɛnne ahorow yi ho

Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara sɛ mogya mu nkwammoaa a ɛma mogya tu no sua kakra mpo a. Nanso sɛ sɛnkyerɛnne ahorow no da adi ampa a, nea ɛka ho ne: Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

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

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

1. Nnompe mu nkwammoaa a ɛnnɔɔso: Ɔhaw bi wɔ nnompe mu ntini a ɛyɛ yɛn ‘nnompe adwumayɛbea’ no ho, na ɛma ne yɛ so tew.

2. Nkwammoaa a ɛma mogya no sɛe anaasɛ ɛsa wɔ nipadua no mu: Adwumayɛbea no yɛ adwuma yiye, nanso mogya mu nkwammoaa a wɔyɛ no sɛe ntɛmntɛm esiane biribi nti.

3. Nkwammoaa a ɛma mogya mu nkwammoaa a ɛtra hɔ wɔ akyi berɛmo mu: Akisikuru yɛ akwaa bi a ɛwɔ yɛn yafunu no benkum so atifi. Ɛtɔ mmere bi a, ɛkura mogya mu nkwammoaa a ɛdɔɔso sen sɛnea ɛsɛ sɛ ɛyɛ, na ɛmma ɛnkɔ mogya no mu.

Afei ma yɛnhwɛ nea enti pɔtee a enti ɛte saa.

• Nyarewa a Nkwammoaa a Ɛko Tia Nyarewa: Eyi ne bere a yɛn nipadua no ankasa ahobammɔ nhyehyɛe tow hyɛ yɛn ankasa mogya mu nkwammoaa mu na ɛsɛe no. Nhwɛsoɔ bi ne tebea ahodoɔ te sɛ `(Immune Thrombocytopenia - ITP)`, `(Lupus)`, ne `(Rheumatoid Arthritis)`.
• Mogya mu Kokoram: Kokoram te sɛ Leukemia ne Lymphoma betumi asɛe nnompe mu ntini na ama mogya mu nkwammoaa a ɛma mogya tu no so atew.
• Kokoram ayaresa:Ɛnyɛ kokoram nkwammoaa nko na nnuru ne mframa a wɔde sa yare a ekum kokoram no betumi asɛe no, na mmom nkwammoaa a ɛte apɔw wɔ nnompe mu ntini mu nso.
• Nyarewa bi: Yare mmoawa te sɛ dengue, ne ɔyare mmoawa bi betumi atew mogya mu nkwammoaa a ɛwɔ mogya no mu no so bere tiaa bi.
• Nnuru: Nnuru bi a ekum ɔyare mmoawa, nnuru a ɛma mogya yɛ mmerɛw te sɛ heparin, ne nnuru a wɔde sa akisikuru nso betumi ama mogya mu nkwammoaa a ɛma mogya tu no so tew sɛ nea efi mu ba.
• Nsã a wɔnom boro so: Nsã ma nnompe mu ntini a ɛyɛ adwuma no so tew na ɛtew mogya mu nkwammoaa a ɛma mogya tu no so.
• Nyinsɛn: Mmea a wɔyem binom betumi anya mogya mu nkwammoaa a ɛma mogya tu no so tew kakra, titiriw bere a ɛrebɛn awo no. Eyi taa san kɔ sɛnea na ɛte kan bere a wɔawo awie no.
• Nnuru a awuduru wom a wɔde wɔn ho hyɛ mu: Nneɛma te sɛ arsenic, benzene, ne nnuru a wɔde kum mmoawa a wɔde wɔn ho hyɛ mu bere tenten nso betumi de eyi aba.

So eyi yɛ biribi a ɛsɛ sɛ yesuro? Nsɛnnennen a ebetumi aba

Nnipa dodow no ara wɔ thrombocytopenia a emu nyɛ den anaasɛ ɛkɔ fam. Ɛmfa ɔhaw pii mma. Nanso, sɛ mogya nkwammoaa dodow no mu yɛ den , kyerɛ sɛ, sɛ dodow no so tew sen 20,000 a, asiane bi wɔ hɔ.

• Mogya a ɛtɔ wɔ nipadua no mu: Eyi ne ɔhaw a emu yɛ den sen biara. Mogya betumi atu wɔ aduan mu anaa amemene no mu. Mogya a ɛtɔ wɔ amemene no mu no yɛ tebea a ɛde nkwa to asiane mu a ehia sɛ wɔde no kɔ ayaresabea ntɛm ara.
• Koma mu yare: Ɛntaa mma koraa sɛ saa tebea yi betumi ama mogya a ɛkɔ koma no mu no asiw kwan.

Saa nneɛma yi si wɔ nsɛm a emu yɛ den paa mu nkutoo. Enti, sɛ wowɔ sɛnkyerɛnne ahorow a, sɛ wokɔ oduruyɛfo nkyɛn ntɛm na wonya ayaresa a, ebetumi asiw tebea horow a emu yɛ den a ɛte saa ano.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne, nnuru a wonom, ne sɛ ebia w’abusua mu obiara anya tebea a ɛte saa ara. Afei ɔbɛyɛ nipadua mu nhwehwɛmu de ahwɛ sɛ akuru, nsensanee kɔkɔɔ, ne nea ɛkeka ho anaa.

Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu ahorow pii de asi so dua sɛ wɔahu yare no:

• Mogya Dodow a Edi Mu (CBC): Eyi ne sɔhwɛ a ɛyɛ mfitiasede na ɛho hia sen biara. Ɛnyɛ mogya mu nkwammoaa dodow nko na ebetumi ahwɛ, na mmom mogya mu nkwammoaa kɔkɔɔ ne mogya mu nkwammoaa fitaa dodow nso.
• Peripheral Blood Smear: Eyi hwehwɛ sɛ wɔfa mogya a ɛtɔ gu fam na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ. Wubetumi anya mogya nkwammoaa no tebea ho adwene denam sɛnea ɛte ne ne kɛse a wobɛhwɛ so.
• Mogya a Ɛtwetwe Nneɛma Ho Nhwehwɛmu:Sɔhwɛ ahorow a ɛkyerɛ bere tenten a egye ansa na wo mogya atɔ. `(PT)` ne `(PTT)` yɛ sɔhwɛ abien a ɛte saa.
• Bone Marrow Biopsy: Sɛ wo duruyɛfo susuw sɛ wo mogya mu nkwammoaa a ɛba fam no fi ɔhaw bi a ɛwɔ wo nnompe mu ntini mu a, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu yi. Nea ɛka eyi ho ne sɛ wubegye nnompe mu ntini ketewaa bi afi w’asen dompe mu na woasɔ ahwɛ.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina sɛnea wo mogya mu nkwammoaa kɔkɔɔ dodow sua ne nea ɛde ba no so.

Nanso sɛ ɛho hia sɛ wɔsa yare a, wɔtaa yɛ nneɛma a ɛte sɛɛ:

• Nea ɛde ba no a wɔbɛsa: Eyi ne ade a ɛho hia sen biara. Sɛ nhwɛso no, sɛ wo mogya mu nkwammoaa kɔkɔɔ dodow sua esiane aduru bi a wonom nti a, wo duruyɛfo bɛsesa saa aduru no. Sɛ efi ɔyare mmoawa bi a, wɔbɛsa.
• Steroids: Saa nnuru yi tumi di nipadua no mu tumi a ɛko tia nyarewa no dwumadi so kodu baabi na ɛtew mogya mu nkwammoaa a wɔsɛe no so.
• Mogya a Wɔde Ma: Sɛ mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua koraa na asiane a ɛwɔ hɔ sɛ mogya bɛtu wo a, wobetumi de mogya nkwammoaa a ɛwɔ akyi no ama wo. Nanso, eyi yɛ bere tiaa mu ano aduru.
• Splenectomy: Sɛ ayaresa afoforo antumi anyɛ yiye na wohu sɛ akyi berɛmo no akyere mogya nkwammoaa pii a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ oprehyɛn ayi akyi berɛmo no afi hɔ. Ɛho behia sɛ wudi kan nya nnuru a wɔde bɔ wo ho ban a ɛho hia, efisɛ asiane kɛse wɔ hɔ sɛ wubenya ɔyare mmoawa bere a wɔayi akyi berɛmo no awie no.

Nneɛma a wubetumi ayɛ bere a wo ne thrombocytopenia te no

Sɛ wowɔ saa tebea yi a, nneɛma pii wɔ hɔ a w’ankasa wubetumi ayɛ na ama mogya a ɛbɛtɔ wo ne akuru a ɛbɛtɔ wo no ayɛ ketewaa bi.

• Mfa nnuru a wɔde kum ɛyaw a wunni aduruyɛfo afotu: Nnuru bi a wɔde kum ɛyaw te sɛ `(Aspirin)` ne `(Ibuprofen),` betumi atew tumi a mogya tumi tu no so bio. Enti, bisa wo duruyɛfo ansa na woanom aduru biara.
• Kwati dwumadi ahorow a ebetumi ama obi apirapira: Ɛyɛ papa sɛ wobɛtwe wo ho afi agumadi a wɔde di nkitaho te sɛ rugby ne bɔɔlbɔ, ne nneɛma a emu duru a wɔma so ho. Mmom no, wubetumi de w’adwene asi apɔw-mu-teɛteɛ a ahobammɔ wom te sɛ asuguare ne nantew so. Wo ne wo duruyɛfo nka eyi ho asɛm na paw nea ɛfata wo.
• To nsa a wonom ano hye: Sɛnea yɛadi kan aka no, nsa siw mogya mu nkwammoaa a ɛma mogya tu no kwan. Enti sɛ wonom nsa a, yɛ saa wɔ ɔkwan a ɛfata so.
• Hwɛ yiye bere a worehohoro wo sẽ no:Fa brɔs a wɔde sẽ a ɛyɛ mmerɛw di dwuma. Hohoro wo sẽ yiye na amma worenpira wo sẽ.
• Tu kwan a dwoodwoo: Bere nyinaa hyɛ ahobammɔ bɛlt bere a wode kar retu kwan no.
• Ka kyerɛ nnuruyɛfo afoforo: Sɛ wokɔ sẽ ho oduruyɛfo nkyɛn anaa woyɛ wo oprehyɛn foforo biara a, hwɛ hu sɛ wobɛka akyerɛ saa nnuruyɛfo no sɛ wowɔ thrombocytopenia ne nnuru a worenom no.