So wo mogya mu nkwammoaa kɔkɔɔ dodow dɔɔso? Momma yɛnka Thrombocytosis ho asɛm!

So woafa wo Full Blood Count amanneɛbɔ no na woahwɛ nneɛma a ɛka no pɛn? Ɛbɛyɛ sɛ woahu sɛ bo bi wɔ hɔ a wɔfrɛ no "Platelets" wɔ nneɛma a ɛwɔ hɔ no mu. Ɛtɔ da bi a oduruyɛfo no ka sɛ, "Wo mogya nkwammoaa dodow no dɔɔso kakra." Saa bere no, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kakra nka. "Dɛn ne eyi? So ɛyɛ aniberesɛm?" Wodwene ho. Enti ɛnnɛ, momma yɛnka mogya mu nkwammoaa a ɛkɔ soro yi ho asɛm wɔ ɔkwan tiawa so na yɛmfa adamfofa kwan so, a ɛyɛ tebea a wɔfrɛ no Thrombocytosis wɔ aduruyɛ mu no.

Nea edi kan no, ma yɛnhwɛ, dɛn ne mogya mu nkwammoaa a ɛma mogya tu?

Sɛ yɛbɛka no tiawa a, mogya mu nkwammoaa kɔkɔɔ yɛ nkwammoaa ketewaa bi a ɛwɔ yɛn mogya mu. Fa wɔn ho sɛ ‘aboafo kuw’ ketewaa bi a wɔba sɛ wobegyae mogya no bere a woatwitwa anaasɛ woabɔ wo nipadua no baabi no. Wɔba baabi a wɔapirapira no ntɛm ara, na wɔbata ho, na wɔyɛ akisikuru, te sɛ plaster, de kata kuru no so. Eyi ne ɔkwan a mogya a ɛretu no gyae. Enti wubetumi ahu sɛ mogya nkwammoaa yɛ yɛn nipadua no fã a ɛho nhia na ɛho hia yiye.

Nanso, te sɛ biribiara no, ɔhaw ahorow betumi asɔre bere a mogya nkwammoaa yi dɔɔso dodo no. Thrombocytosis yɛ bere a mogya mu nkwammoaa a ɛwɔ mogya no mu dodow kɔ soro sen dodow a ɛfata no. Sɛ mogya mu nkwammoaa kɔkɔɔ dɔɔso wɔ saa kwan yi so a, ɛtɔ mmere bi a yɛn mogya tumi yɛ nnam. Eyi betumi ama mogya a ɛtwetwe a wɔmpɛ ayɛ wɔ mmeae a opira biara nni hɔ, kyerɛ sɛ, mogya ntini mu. Sɛ wɔansa mogya a ɛtwetwe yi a, ebetumi de tebea horow a emu yɛ den te sɛ komayare anaa akisikuru mpo aba.

Thrombocytosis ahorow atitiriw abien na ɛwɔ hɔ:

Wotumi akyekyɛ tebea yi mu a egyina nea ɛde mogya mu nkwammoaa a ɛdɔɔso wɔ wo mogya mu no so ayɛ no ahorow atitiriw abien. Ɛho hia sɛ yɛte saa abien yi ase, efisɛ akwan a wɔfa so sa yare no begyina saa ɔkwan yi so.

Nanso, sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ mogya mu nkwammoaa a ɛwɔ wo mogya mu no dɔɔso a, ɛkyerɛ sɛ biribi rekɔ so wɔ wo nipadua mu a ɛsɛ sɛ oduruyɛfo hwehwɛ mu. Ɛdenam nea ɛde nea wɔahu no so no, ebia wubehia ayaresa a ɛkyɛ, ayaresa bere tiaa bi, anaasɛ ayaresa biara koraa.

Dɛn ne mogya mu nkwammoaa a ɛdɔɔso ho sɛnkyerɛnne?

Nokwarem no, nnipa pii nhu mogya mu nkwammoaa a ɛdɔɔso ho sɛnkyerɛnne biara . Wohu no wɔ akwanhyia mu bere a wɔyɛ mogya mu nhwehwɛmu esiane biribi foforo nti no.

Sɛ wowɔ Reactive Thrombocytosis a, wubetumi anya tebea a ɛwɔ ase no ho sɛnkyerɛnne (sɛ nhwɛso no, atiridiinini a efi ɔyare mmoawa bi mu).

Nanso, sɛ mogya nkwammoaa a ɛkɔ soro no ma mogya tu anaasɛ (ɛtaa ntaa mma) mogya tu wɔ nipadua no mu a, sɛnkyerɛnne ahorow bi betumi aba. Wɔtaa hu saa tebea yi wɔ Essential Thrombocytosis mu.

• Ɔbrɛ
• Mogya a ɛtaa tu fi hwene mu
• Mogya a ɛtɔ (akuru) wɔ opira ketewaa bi mpo akyi
• Mogya a ɛbɛtɔ ntɛmntɛm afi anom anaa mmeae afoforo a ɛwɔ ano no mu
• Dizziness , aniwa a ɛyɛ mmerɛw, ne tiyɛ
• Ɛyaw, ɛho ahonhon, na ɛyɛ kɔkɔɔ wɔ nsa ne anan mu (yare bi a wɔfrɛ no erythromelalgia ho sɛnkyerɛnne) .
• Yafunu mu yaw, titiriw wɔ yafunu no atifi nifa so (ebia ɛyɛ tebea bi te sɛ Budd-Chiari syndrome ho sɛnkyerɛnne) .

Dɛn nti na mogya nkwammoaa dɔɔso saa? Dɛn ne nea enti a ɛte saa?

Nea enti a ɛte saa nso gu ahorow gyina ahorow abien a yɛadi kan aka ho asɛm no so.

Nneɛma a Ɛde Thrombocytosis a Ɛho Hia (ET) Ba .

Eyi fi awosu mu nsakrae. Nanso eyi nyɛ biribi a wɔde wo awo, na mmom ɛyɛ biribi a bere kɔ so no, ɛkɔ so. Sɛ yɛbɛka no tiawa a, nsakrae bi aba awosu mu nkwaadɔm a ɛka kyerɛ yɛn nipadua ma ɛyɛ mogya nkwammoaa a ɛma mogya tu no mu. Ne saa nti, nnompe mu ntini no fi ase yɛ mogya nkwammoaa pii dodo a wontumi nni so.

Nneɛma a ɛde Reactive Thrombocytosis ba

Eyi yɛ sɛnea nipadua no yɛ n’ade wɔ ɔhaw foforo ho ara kwa. Nneɛma bi a ɛtaa ma mogya nkwammoaa a ɛdɔɔso ba ni:

• Mogya a ɛtɔ: Bere a mogya pii sa esiane akwanhyia anaa oprehyɛn nti.
• Kokoram tebea horow: Esiane kokoram ahorow bi nti.
• Nyarewa: Mmoawa anaa mmoawa a wɔde nyarewa ba.
• Tebea horow a ɛma obi ho hyehye no: Nyarewa a ɛde ɔfe ba nipadua no mu, te sɛ ntini mu yare.
• mogya a ɛtɔ kɔ nipadua mu a dade nnim.
• Nnuru bi.
• Oprehyɛn a wɔde yi akyi berɛmo no fi hɔ: Akisikuru no dwumadi biako ne sɛ ebeyi mogya nkwammoaa dedaw afi hɔ. Sɛ woyi fi hɔ a, ebetumi ama mogya nkwammoaa dodow akɔ soro.

Nsɛnnennen bɛn na ebetumi aba esiane tebea yi nti?

Nnipa a wɔwɔ Essential Thrombocytosis (ET) no wɔ asiane kɛse mu sɛ wobenya nsɛnnennen. Nsɛnnennen ho yɛ na koraa wɔ Reactive Thrombocytosis mu.

Asiane kɛse a ɛwɔ mu ne mogya a ɛbɛtwetwe . Sɛ mogya ntini yi kɔhyɛ mogya ntini bi a ɛkɔ amemene no mu mu a, ebetumi ama obi anya akisikuru , na sɛ ɛkyere mogya ntini bi a ɛkɔ koma no mu a, ebetumi ama obi anya komayare . Saa mogya a ɛtwetwe yi betumi ayɛ mmeae afoforo te sɛ ahurututu ne nan ase nso.

Ɛntaa mma koraa sɛ ET betumi abɛyɛ mogya mu kokoram afoforo te sɛ mogya mu kokoram, anaasɛ ɛbɛma nnompe mu akuru (myelofibrosis) aba. Ebetumi nso ama asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen bi wɔ nyinsɛn mu no ayɛ kɛse.

Nanso mma ɛnhaw wo. Sɛ wowɔ ET a, wo duruyɛfo bɛhwɛ w’akwahosan so yiye na ɔbɛma wo ayaresa a ɛho hia na ama woatumi asiw nsɛnnennen te sɛ eyinom ano.

Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?

Wɔnam mogya mu nhwehwɛmu so titiriw na ɛkyerɛ sɛ obi anya thrombocytosis. Mpɛn pii no, wobu mogya nkwammoaa a ɛboro 450,000 wɔ mogya microliter biara mu sɛ ɛdɔɔso. Ebia wo duruyɛfo bɛpɛ sɛ ɔsan hwehwɛ wo mogya mu wɔ adapɛn kakraa bi akyi hwɛ sɛ ebia wo mogya mu nkwammoaa kɔkɔɔ dodow da so ara dɔɔso anaa. Sɛ akontaabu no asan aba sɛnea na ɛte kan no a, mpɛn pii no ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw adwene.

Sɛ mogya nkwammoaa dodow kɔ so yɛ kɛse a, ade a edi hɔ ne sɛ wubehu sɛ ebia ɛyɛ Reactive anaasɛ Essential. Eyi bɛhwehwɛ sɛ wɔyɛ sɔhwɛ afoforo pii.

• Mogya mu nhwehwɛmu afoforo: Eyinom hwɛ nneɛma te sɛ dade dodow ne ɔhyew agyiraehyɛde ahorow, na wɔhwehwɛ mogya nkwammoaa a ɛnyɛ ne kwan so wɔ afiri a wɔde hwɛ nneɛma nketenkete mu.
• Awosu mu nhwehwɛmu: Saa sɔhwɛ yi tumi hu awosu mu nsakrae te sɛ JAK2 , CALR1 , anaa MPL1, a wɔtaa hu wɔ Essential Thrombocytosis mu.
• Nnompe mu ntini mu nhwehwɛmu: Eyi hwehwɛ sɛ wogye nnompe mu ntini ketewaa bi fi baabi te sɛ asen dompe a wɔde aduru a wɔde kum nipadua no mu na wɔsɔ hwɛ wɔ aduruyɛdan mu. Eyi betumi asi ET tebea no so dua koraa.

Ɔkwan bɛn so na wɔsa?

Ayaresa a wubetumi apaw no gyina thrombocytosis ko a wowɔ ne wo sɛnkyerɛnne ahorow so.

Sɛ wopɛ sɛ wohu Thrombocytosis a ɛyɛ adwuma a:

Eyi ne bere a mogya mu nkwammoaa kɔkɔɔ dɔɔso de bua yare foforo. Enti, wɔde ayaresa no asi nea ɛde ba titiriw no so . Sɛ nhwɛso no, sɛ mogya nkwammoaa dodow kɔ soro esiane ɔyare mmoawa bi nti a, sɛ wɔde nnuru a ekum ɔyare mmoawa ma wɔ saa ɔyare no ho a, mogya nkwammoaa dodow no bɛsan ayɛ sɛnea na ɛte bere a ɔyare mmoawa no sa no.

Wɔ Thrombocytosis a Ɛho Hia (ET) ho no:

ET nyɛ yare a wotumi sa. Nanso, wobetumi adi ho dwuma yiye na ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so atew. Ayaresa ahorow pii wɔ hɔ a wobetumi apaw:

• Twɛn a wobɛwɛn: Sɛ wunni sɛnkyerɛnne biara na asiane a ɛwɔ hɔ sɛ wobɛma mogya atɔw no sua a, ebia wo duruyɛfo bɛhwɛ wo tebea no denam mogya mu nhwehwɛmu a ɔbɛyɛ daa a ɔrenkyerɛw nnuru biara mma wo no so.
• Aspirin a wɔmfa nni dwuma pii: Ebia wɔbɛkyerɛw wo aspirin aduru a wɔde di dwuma da biara da na aboa ma mogya ansiw ano. Nanso kae sɛ, mfi ase nnom aspirin wɔ w’ankasa wo ho da a wonkɔ oduruyɛfo nkyɛn.
• Nnuru a ɛma mogya nkwammoaa dodow so tew: Nnuru te sɛ Hydroxyurea, Anagrelide, ne Interferon alfa hwɛ mogya nkwammoaa a ɛba nipadua mu no so.
• Ɔkwan a wɔfa so yi mogya mu nkwammoaa a ɛma mogya tu: Sɛ asiane wɔ hɔ ntɛm ara sɛ mogya a ɛbɛtɔ a ɛde ne nkwa to asiane mu a, wobetumi de wo mogya afa afiri bi mu akɔyi mogya mu nkwammoaa a ɛboro so no afi mu.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wɔahu sɛ wowɔ thrombocytosis a, ɛho hia sɛ woyɛ wo mogya mu nhwehwɛmu daa sɛnea wo duruyɛfo kyerɛ wo no. Afei nso, bisa wo duruyɛfo sɛ sɛnkyerɛnne ahorow a ɛsɛ sɛ wobɔ ho amanneɛ ntɛm ara sɛ ɛba a.

Titiriw no, sɛ wunya akisikuru anaa komayare ho sɛnkyerɛnne (sɛ nhwɛso no, wo koko mu yaw mpofirim, ɛyɛ den sɛ wobɛkasa, nipadua no fã biako a ɛyɛ mmerɛw, w’anim bɛhwe ase) a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.