So ɛtɔ mmere bi a wote nka sɛ woabrɛ dodo a ntease biara nnim, wo tirim yɛ wo yaw bere a woanantew kakra mpo akyi, na wote nka sɛ wo ho ayɛ wo hyew? Ebia saa sɛnkyerɛnne ahorow yi nyɛ ɔbrɛ ara kwa. Saa sɛnkyerɛnne ahorow yi betumi ayɛ aduruyɛ tebea bi a ɛwɔ yɛn nipadua mu ho sɛnkyerɛnne. Ɛno ne mogya a ɛtɔ kɔ nipadua mu, anaasɛ sɛnea yɛn nyinaa nim no, ‘nemia mogya’. Ɛwom sɛ eyi yɛ tebea a ɛtaa ba de, nanso ɛho hia yiye sɛ yɛma yɛn ani da hɔ. Enti momma yɛnka ho asɛm nnɛ.
Mɛyɛ dɛn ahu no yiye sɛ mogya atɔ me wɔ me mu?
Sɛ wususuw sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne bi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Oduruyɛfo no bebisa wo nsɛm kakraa bi.
- Kyerɛkyerɛ wo sɛnkyerɛnne ahorow no mu kɔ akyiri: ɔbrɛ, ahome a ɛyɛ tiaa, tiyɛ, honam ani hwɛbea, ne nea ɛkeka ho.
- W’ayaresa ho abakɔsɛm: Nneɛma te sɛ nyarewa afoforo a wowɔ, nnuru a wonom, ne sɛ ebia wonom nsa anaa.
- Abusua aduruyɛ ho abakɔsɛm: So obi wɔ abusua no mu a ɔwɔ mogya a ɛtɔ kɔ nipadua mu anaa nyarewa afoforo a efi mogya mu?
- Aduane: Nea wotaa di na wonom, nam, mpataa, ne nhabannuru dodow a wudi, ne nea ɛkeka ho.
Sɛ oduruyɛfo no te saa nsɛm yi wie a, ɔbɛhwehwɛ wo mu na afei wahyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mpɛn pii na ama woahu sɛ wowɔ wo.
Monemia yɛ tebea a ɛma mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ mogya no mu no so tew anaasɛ hemoglobin, protein a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu a ɛde mframa pa kɔ no dodow so tew.
Sɛ yɛbɛka no tiawa a, nneɛma atitiriw abiɛsa na ɛde mogya a ɛtɔ kɔ nipadua mu ba.
1. Esiane mogya a ɛretu nti: Sɛ mogya fi nipadua no mu baabiara (e.g. brayɛ a emu yɛ duru, dwensɔtwaa mu opira).
2. Mogya mu nkwammoaa kɔkɔɔ a wɔyɛ no so tew: Bere a nipadua no nni aduannuru a ɛho hia (iron, vitamin B12), esiane ɔhaw bi a ɛwɔ nnompe mu ntini mu nti.
3. Mogya mu nkwammoaa kɔkɔɔ a wɔsɛe no: Mogya mu nkwammoaa kɔkɔɔ a ɛpaapae ntɛmntɛm wɔ nipadua no mu.
Wɔyɛ mogya mu nhwehwɛmu de hu nea ɛde ba ankasa.
| Mogya mu nhwehwɛmu su | Dɛn na wuhu wɔ eyi mu? |
|---|---|
| Mogya Dodow a Edi Mu (CBC) . | Wɔhwɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa a ɛwɔ mogya no mu dodow ne ne kɛse, ne hemoglobin dodow. Eyi ne sɔhwɛ a ɛho hia sen biara. |
| Ferritin ne Iron dodow a ɛwɔ mogya mu | Eyi ne ade a eye sen biara a ɛkyerɛ dade dodow a wɔde asie nipadua no mu. |
| Vitamin B12 ne Folate dodow a Ɛwɔ Hɔ | Yɛrehwɛ sɛ vitamin abien yi a ɛho hia ma mogya mu nkwammoaa kɔkɔɔ a wɔyɛ no nni hɔ anaa. |
| Sɔhwɛ titiriw afoforo | Nhwehwɛmu te sɛ reticulocyte dodow ne bilirubin betumi ahu sɛnea mogya mu nkwammoaa kɔkɔɔ no yɛ ntɛmntɛm ne sɛ ebia wɔresɛe no (hemolytic anemia). |
Mpɛn pii no, mogya mu nhwehwɛmu ahorow yi tumi hu nea ɛde ba. Ɛntaa mma koraa sɛ ɛho behia sɛ wɔde nnompe mu ntini a wɔde yɛ nhwehwɛmu. Enti nsuro saa.
Dɛn ne nnuru a wɔde sa mogya a ɛtɔ kɔ nipadua mu?
Nea ɛho hia sen biara ne sɛ wonfi ase sa yare kosi sɛ wobehu nea ɛde mogya a ɛtɔ kɔ nipadua mu no ba ankasa. Efisɛ ebia aduru bi a wɔkyerɛw ma mogya a ɛtɔ kɔ nipadua no mu bi rennyɛ adwuma mma foforo, na ebetumi ayɛ nea asiane wom mpo. Enti, kwati sɛ wobɛnom wo ho aduru.
Mogya a ɛtɔ kɔ nipadua mu a mogya tu
Sɛ mogya pii sa mpofirim (sɛ nhwɛso no, akwanhyia bi) a, wubetumi ama nkyene, mogya a wɔde ma, oxygen, ne iron aduru. Nanso sɛ mogya a ɛba bere tenten, kakraa bi (sɛ nhwɛso no, dwensɔtwaa mu akuru, akisikuru) a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ faako a mogya no fi na woagyae. Ebia eyi bɛhwehwɛ sɛ wɔyɛ nhwehwɛmu te sɛ colonoscopy. Afei, wɔsa dade a enni nipadua no mu no.
Mogya a ɛtɔ mogya a ɛnam mogya mu nkwammoaa kɔkɔɔ a ɛso tew so
Eyi ne ɔfã a ɛsɛ sɛ yɛka ho asɛm kɔ akyiri kakra.
Mogya a Ɛma Ntini a Ɛma Dade a Enni Mu
Eyi ne mogya a ɛtɔ kɔ nipadua mu a abu so sen biara wɔ wiase. Sɛ nipadua no nni dade a ɛdɔɔso a, entumi nyɛ mogya mu nkwammoaa kɔkɔɔ. Saa tebea yi betumi aba mmabaa so esiane brayɛ a emu yɛ duru nti.
Sɛ worenom nnuru a wɔde ma iron a, hwɛ hu sɛ wobɛma eyinom atra w’adwenem:
- Mfa dade nnuru da a wunni aduruyɛfo afotu. Dade a ɛboro so nso yɛ nea asiane wom kɛse. Ebetumi de ɔbrɛ, ɔfe, akisikuru, komayare, ne nkwaa mu haw aba.
- Ma dade a wɔde yɛ aduru no ntwe wɔn ho mfi mmofra nkumaa ho koraa. Sɛ mmofra nkumaa mene dade aduru wɔ akwanhyia mu a, ebetumi akum wɔn. Ɛyɛ awuduru a ɛtaa de awuduru gu mmofra mu wɔ akwanhyia mu no mu biako. Sɛ wususuw sɛ abofra bi amene dade aduru a, kɔ Emergency Department (ETU) a ɛbɛn wo ntɛm ara.Fa kɔ wo nkyɛn. Sɛ ɛho hia a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
- Hwɛ nneɛma bɔne a efi mu ba no yiye. Ebia wo yafunu bɛyɛ wo yaw, wo ho bɛtɔ wo, na woayɛ akisikuru. Wubetumi anom aduru no ne aduan de atew eyinom so. Sɛ wokɔ so nya ɔhaw ahorow a, ka kyerɛ wo duruyɛfo.
- Nkitahodi a ɛda nnuru afoforo ntam. Sɛ worenom nnuru a wɔde sa tebea foforo (e.g. calcium pills) a, ka kyerɛ wo duruyɛfo . Calcium betumi atew tumi a nipadua no tumi twetwe dade no so.
- Sɛ obi nom dade aduru a vitamin C wom (e.g. akutu nsu kuruwa biako) a, ɛma nipadua no tumi twetwe iron no yɛ kɛse.
Ɛyɛ papa yiye nso sɛ wubedi nnuan a dade wom (nam kɔkɔɔ, atoko, bankye, ɛmo a wɔayam, akutu, ɛpo mu nnuan).
Mogya a ɛtɔ mogya a ɛnam vitamin B12 ne folate a enni nipadua mu so
Ayaresa no gyina nea ɛde tebea no ba so. Mpɛn pii no, wɔde vitamin B12 a wɔde twitwiw nipadua no mu anaa nnuru a wɔde di dwuma kɛse ma. Ɛsɛ sɛ nnipa binom nom nnuru a wɔde twitwiw wɔn anaa nnuru yi wɔn nkwa nna nyinaa. Nnuan te sɛ nam, mpataa, nufusu, kyiisi, ne nkesua wɔ vitamin B12 pii.
Wɔde folic acid aduru ma wɔ folate a enni nipadua mu ho. Folate dɔɔso wɔ nhabannuru a ɛyɛ ahabammono, nnuaba, ne nufusu mu nnuan mu.
Hemolytic anemia (mogya a ɛtɔ mogya a ɛnam mogya mu nkwammoaa kɔkɔɔ a wɔsɛe no so ba) .
Wɔnam nea ɛde ba no a wɔsa so sa tebea yi. Ɛtɔ mmere bi a, ɛho nhia sɛ wɔyɛ ayaresa biara. Sɛ nea ɛde ba no yɛ nnuru bi a, ɛsɛ sɛ wogyae sɛ wɔde wɔn ho hyɛ mu. Ebia ɛho behia sɛ nnipa binom nom steroid, plasmapheresis, anaasɛ, ɛntaa mma sɛ wotwa splenectomy.
So wobetumi asiw mogya a ɛtɔ kɔ nipadua mu ano?
Yiw, wɔ nsɛm pii mu no, wobetumi asiw tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim ano denam aduan pa a wɔbɛkɔ so adi so.
- Di aduan a ɛkari pɛ. Fa nnuan a iron, vitamin B12, ne folate pii wom ka w’aduan ho.
- Sɛ woyɛ vegetarian/vegan a, hwɛ hu sɛ wo ne oduruyɛfo anaa aduannuru ho ɔbenfo bɛkasa na sɛ ɛho hia a, woanom aduannuru a wɔde ma.
- Tew tii ne kɔfe a wonom so. Sɛ wodi eyinom ka aduan ho a, ɛtew iron a nipadua no twetwe no so.
- Paw aburow ne paanoo a wɔde dade ahyɛ mu den.
- Sɛ wode nneɛma a kɔbere wom (sɛ nhwɛso no, batere, paint) reyɛ adwuma a , di ahobammɔ ho nhyehyɛe ahorow akyi pɛpɛɛpɛ.
Ade a ɛho hia sen biara ne sɛ, sɛ wususuw sɛ mogya atɔ wo a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, hu yare no pɛpɛɛpɛ, na wonya ayaresa a ɛfata, sen sɛ wubesusuw ho kɛkɛ na woasa wo ho yare.
Nkrasɛm a Wɔde Kɔ Fie
- Nsɛnkyerɛnne te sɛ ɔbrɛ a ɛtaa ba, ne ho yɛ fitaa, ne mmerɛwyɛ betumi ayɛ mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne. Mma w’ani ngu eyinom so kɛkɛ.
- Oduruyɛfo nkutoo na obetumi akyerɛ wo mogya a ɛtɔ kɔ nipadua no mu ko a wowɔ no pɛpɛɛpɛ. Mogya mu nhwehwɛmu ho hia ma ɛno.
- Mfa iron aduru anaa vitamin afoforo nnom da a wunni aduruyɛfo afotu. Ebetumi ayɛ nea asiane wom.
- mogya a ɛtɔ kɔ nipadua mu no ayaresa gyina tebea a ɛde ba no so, enti ɛho hia yiye sɛ wobehu yare no pɛpɛɛpɛ.
- Aduan a ɛkari pɛ a iron, vitamin B12, ne folate pii wom betumi asiw mogya a ɛtɔ kɔ nipadua mu pii ano.
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