So wobrɛ bere nyinaa? So wo ho ayɛ fitaa? Ebetumi ayɛ mogya a ɛtɔ kɔ nipadua mu. Momma yɛnka eyi ho asɛm!

So wote nka nso sɛ woabrɛ, woabrɛ ara kwa, ma enti wuntumi nyɛ wo da biara da nnwuma? Sɛ wo nantew kakra mpo a, wo ti so yɛ wo yaw? Sɛ wohwɛ ahwehwɛ mu a, so w’anim, w’ano, ne wo nsa yɛ fitaa? Eyinom nyɛ nneɛma a wɔanhyɛ da kɛkɛ. Ebia nea enti a eyi akyi ne nea nnipa pii frɛ no " mogya a enni nipadua mu " anaa nea yɛfrɛ no wɔ aduruyɛ mu " mogya a ɛtɔ kɔ nipadua mu " . Eyi yɛ tebea a abu so yiye. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Momma yɛnka eyi ho asɛm nnɛ ara kwa, wɔ ɔkwan a wubetumi ate ase so.

Wobɛyɛ dɛn ahu sɛ mogya atɔ wo wɔ mogya mu anaa?

Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn. Obebisa wo nsɛm, ahwehwɛ wo mu, na sɛ ɛho hia a, ɔhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi .

Sɛnea ɛbɛyɛ a wobɛboa oduruyɛfo no, wubetumi de nsɛm a edidi so yi ama:

• Yɛsrɛ sɛ kyerɛkyerɛ yare no ho sɛnkyerɛnne ahorow a worehu ne bere tenten a woanya no mu kɔ akyiri.
• Ka kyerɛ yɛn sɛ obi wɔ w’abusua mu a ɔwɔ saa yare yi (e.g. thalassemia ).
• Sɛnea wodidi te dɛn? (titiriw sɛ woyɛ obi a odi afifide a ).
• Ka nnuru biara a worenom mprempren ne sɛ wonom nsa ho asɛm kyerɛ yɛn .

Sɛ yɛbɛka no tiawa a, nneɛma atitiriw abiɛsa na ɛde mogya a ɛtɔ kɔ nipadua mu ba.

1. Esiane mogya a ɛretu nti: esiane mogya a ɛsen fi nipadua no mu anaa ɛkɔ nipadua no mu nti.

2. Mogya mu nkwammoaa kɔkɔɔ a ɛba no so tew: Nipadua no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛdɔɔso.

3. Mogya mu nkwammoaa kɔkɔɔ a wɔsɛe no ntɛm: Mogya mu nkwammoaa kɔkɔɔ a ɛpaapae ansa na bere a ɛfata adu.

Mogya mu nhwehwɛmu betumi aboa ma wɔahu nea ɛde eyi ba ankasa. Wobetumi nso asi so dua sɛ ebia wowɔ mogya a ɛtɔ kɔ nipadua no mu anaa.

Ɛntaa mma sɛ, sɛ nhwehwɛmu ahorow yi ntumi nhu nea ɛde ba a, ebia oduruyɛfo no besi gyinae sɛ ɔbɛfa nnompe mu ntini bi na wasɔ ahwɛ.

Dɛn ne nnuru a wɔde sa mogya a ɛtɔ kɔ nipadua mu?

Ade a ɛho hia sen biara wɔ ha ne sɛ wɔmfa ayaresa mfi ase kosi sɛ wobehu nea ɛde mogya a ɛtɔ kɔ nipadua mu no ba ankasa. Efisɛ ayaresa a wɔde ma mogya a ɛtɔ kɔ nipadua no mu biako no betumi apira ne asiane ama ɔkwan foforo so. Enti, ayaresa no gyina nea ɛde ba no so.

1. mogya a ɛtɔ kɔ nipadua mu a mogya a ɛtɔ na ɛde ba no ayaresa

Sɛ mogya pii sa wo mpofirim (sɛ nhwɛso no, efi akwanhyia mu) a, wobetumi ama wo nkyene, mogya, oxygen, ne iron wɔ ayaresabea. Nanso, sɛ mogya kɔ so retu wo (sɛ nhwɛso no, wo dwensɔtwaa mu akisikuru, mogya a ɛtɔ kɛse wɔ brayɛ mu) a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wubehu faako a mogya no fi na woagyae. Afei, sɛ ɛho hia a, sa dade a enni nipadua no mu no. Ebia ɛho behia nso sɛ woyɛ colonoscopy na ama woatumi ahwehwɛ saa nneɛma yi.

2. Mogya a Ɛnyɛ Dade a Ɛho Hia

Eyi ne mogya a ɛtɔ kɔ nipadua mu a wɔtaa hu wɔ yɛn man yi mu. Sɛ nipadua no nni dade a ɛdɔɔso a, entumi mma mogya mu nkwammoaa kɔkɔɔ a ɛfata.

Sɛ wode nnuru a ɛma iron redi dwuma a, ɛsɛ sɛ wohwɛ yiye paa wɔ saa nneɛma yi ho.

• Twe wo ho fi mmofra ho: Dade aduru yɛ asiane kɛse ma mmofra nkumaa sɛ wɔmene no wɔ akwanhyia mu a. Wobetumi mpo akum obi wɔ nnɔnhwerew kakraa bi mu. Enti , te sɛ nnuru nyinaa no, ɛsɛ sɛ wɔde dade nnuru to baabi a mmofra nkumaa ntumi nkɔ hɔ.Sɛ abofra bi nom no wɔ akwanhyia mu na ɔda sɛnkyerɛnne ahorow te sɛ ɔfe, akisikuru, anaa adwenemhaw adi a, fa no kɔ ayaresabea Emergency Department (ETU) a ɛbɛn no ntɛm ara. Sɛ ɛho hia a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
• Hwɛ yiye wɔ nea efi mu ba ho: Dade a wɔde ma no betumi ama obi ayɛ akisikuru, yafunu mu yaw, akisikuru anaa akisikuru, ne nsu tuntum. Wubetumi atew eyinom so denam nnuru a wode ka aduan ho a wobɛnom so. Sɛ ɔhaw ahorow yi kɔ so a, ka kyerɛ wo duruyɛfo.
• Hwɛ sɛ nnuru afoforo ne nnuru afoforo di nkitaho anaa: Sɛ worenom calcium nnuru a, ebetumi asiw dade a ɛkɔ nipadua no mu no kwan. Enti ebia wo duruyɛfo betu wo fo sɛ fa no mmere ahorow abien, sen sɛ wobɛnom bere koro mu.
• Ɛboa ma nipadua no twe dade yiye: Sɛ wɔde vitamin C ka ho a, ɛno nti na ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa wo dade aduru no ne akutu nsu kuruwa biako no.

Nea ɛka ho no, wɔkamfo kyerɛ nso sɛ fa nnuan a iron wom ka w’aduan ho. Nam kɔkɔɔ, akutu a ɛyɛ nwononwono, bankye, akutu, sanku, ɛmo a wɔayam, ne ɛpo mu nnuan yɛ dade fibea pa.

3. Vitamin B12 ne Folate a Enni Mu Ho Ayaresa

Saa tebea yi ayaresa gyina nea ɛde ba no so. Nnipa binom wɔ ɔhaw bi wɔ wɔn nipadua a ɛtwetwe vitamin B12 no ho. Ebia ebehia sɛ wɔnom vitamin B12 nnuru a wɔde twitwiw wɔn nkwa nna nyinaa anaasɛ wɔnom nnuru a ano yɛ den da biara.

Wɔkyerɛw folic acid aduru a wɔde sa folate a enni nipadua no mu. Wɔkamfo kyerɛ nso sɛ wɔmfa nnuan a vitamin B12 ne folate (nam, mpataa, nufusu, nkesua, nhabannuru, ne nnuaba) pii wom nka aduan no ho.

4. mogya a ɛtɔ kɔ nipadua mu esiane nneɛma pɔtee afoforo a ɛde ba nti

• Nnompe mu ntini mu haw ahorow: Ɛsono sɛnea wɔsa nyarewa a wonya fi awo mu te sɛ thalassemia ne sickle cell yare a egyina yare no su ne sɛnea emu yɛ den so. Ebia ayaresa te sɛ mogya a wɔtaa de ma anaa nnompe mu ntini a wɔde si ananmu ho behia.
• Nyarewa afoforo a enni sabea: Wɔ mogya a ɛtɔ kɔ nipadua mu a asaabo mu yare anaa kokoram nnuru a wɔde sa yare de ba ho no, wɔde hormone bi a wɔfrɛ no erythropoietin a ɛkanyan mogya mu nkwammoaa kɔkɔɔ ma wɔyɛ no ma sɛ aduru.
• Hemolytic Anemia: Wɔsa eyi a egyina nea ɛde ba no so. Ebia ebehia sɛ wɔde nnuru a wɔde steroid di dwuma, ayaresa titiriw te sɛ plasmapheresis, ne, sɛ ɔkwan a etwa to no, wotwa akisikuru.

Wobɛyɛ dɛn asiw mogya a ɛtɔ kɔ nipadua mu ano?

Wobetumi asiw mogya a ɛtɔ kɔ nipadua no mu ahorow pii ano, titiriw nea efi iron, vitamin B12, ne folate a enni nipadua mu ba no, denam aduan a ɛkari pɛ a wobedi so.

• Fa nnuan a iron, vitamin B12, ne folate pii wom ka w’aduan ho.
• Sɛ woyɛ vegetarian/vegan a, wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo nka w’aduan ho asɛm na sɛ ɛho hia a, fa vitamin a wɔde ma.
• Tew tii ne kɔfe a wonom so. Kwati sɛ wobɛnom tii titiriw bere a woredidi, efisɛ eyinom brɛ nipadua no mu dade a ɛtwetwe no ase.
• Paw paanoo ne aburow a wɔde dade ayɛ.
• Di ahobammɔ ho nhyehyɛe akyi bere a wode nneɛma a wɔde kɔbere ayɛ (e.g. batere, paint) reyɛ adwuma no.

Mogya a ɛtɔ mogya, Iron a enni nipadua mu, Vitamin B12, Mogya mu nkwammoaa kɔkɔɔ, Ɔbrɛ