So woafa mogya ho amanneɛbɔ bi, ahwɛ nkyerɛwde ne nɔma a ɛwɔ so no, na woasusuw sɛ, ‘Dɛn ne eyi?’ pɛn. CBC, WBC, RBC, MCH... Saa nsɛmfua yi mu pii yɛ nea yennim, ɛnte saa? Ɛtɔ da a, sɛ yehu wɔn a, ehu ka yɛn ara kwa. Enti ɛnnɛ yɛrebɛka botaeɛ a ɛte saa baako ho asɛm, kyerɛ sɛ, MCH boɔ. Ma yɛnhwɛ nea ɛkyerɛ ara kwa, ne nea ɛka fa yɛn nipadua ho bere a ɛkɔ soro anaa ɛso tew no.
Momma yenni kan nhwɛ, dɛn ne MCH?
MCH yɛ Engiresi kasa mu nsɛmfua ‘Mean Corpuscular Hemoglobin’ a wɔatwa no tiaa. Sɛ yɛbɛka no tiawa a, eyi kyerɛ
hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu . Afei ebia worebisa wo ho sɛ, ‘Dɛn ne hemoglobin yi?’ Hemoglobin yɛ protein titiriw bi a ɛwɔ yɛn mogya mu nkwammoaa kɔkɔɔ mu a ɛde mframa pa kɔ nipadua no mu nyinaa. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa hemoglobin yi ne ‘adwuma a wɔde ma’ a ɛde mframa pa a yegye fi yɛn ahurututu mu no kɔ nipadua no mu nkwammoaa biara mu. Enti sɛ wɔkyekyem pɛpɛɛpɛ a, MCH bo yɛ nneɛma dodow (hemoglobin a ɛde oxygen) a ɛwɔ kar ahorow (mogya mu nkwammoaa kɔkɔɔ) a ɛwɔ saa nneɛma a wɔde kɔma nkurɔfo yi mu no bo. Mpɛn pii no, wubehu saa MCH bo yi ho asɛm bere a woyɛ mogya mu nhwehwɛmu a wɔfrɛ no
CBC (Complete Blood Count) . Eyi yɛ sɔhwɛ a abu so yiye. Oduruyɛfo de saa gyinapɛn yi di dwuma de boa ma wohu sɛ ebia wowɔ aduannuru a enni mu, mmerɛbo mu haw, anaa aduruyɛ mu tebea foforo bi anaa.
Nnianim asɛm tiawa a ɛfa CBC (Complete Blood Count) nhwehwɛmu ho
Saa nhwehwɛmu yi ho hia yiye efisɛ ebetumi ama woanya wo mogya no mu nneɛma atitiriw pii ho nsɛm. Titiriw no:
- Mogya Nkwammoaa Kɔkɔɔ : Eyinom ne nkwammoaa a ɛde oxygen kɔ a yɛaka ho asɛm seesei ara no.
- White Blood Cells : Te sɛ yɛn nipadua ‘asraafo’ a wɔko tia nyarewa.
- Hemoglobin : Ɔyɛ oxygen a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu.
- Nkwammoaa a ɛma mogya tu: Nkwammoaa a ɛboa ma mogya tu bere a obi apira no.
Wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wo afe afe nhwehwɛmu no fã, anaasɛ sɛ wususuw sɛ wowɔ ayaresa tebea bi a egyina wo sɛnkyerɛnne ahorow so (e.g., ɔbrɛ, wo ho ayɛ fitaa). Nea ɛka eyi ho ne sɛ wubegye mogya ketewaa bi afi ntini bi a ɛwɔ wo nsa mu mu. Wɔde kɔ lab bi ma wɔsɔ hwɛ na wɔbɔ amanneɛ.
Dɛn na ɛsɛ sɛ MCH bo no yɛ sɛnea ɛte biara?
Nsusuwii a wɔde susuw nneɛma ho ma MCH ne
Mfonini a wɔde kyerɛw nsɛm (picograms anaa pg). Mpɛn pii no, saa bo yi ma ɔpanyin ne abofra a wɔwɔ apɔwmuden no yɛ 27 pg kosi 31 pg . Wɔ akokoaa a wɔawo no foforo fam no, eyi korɔn kakra, kyerɛ sɛ, ebetumi afi 32 pg kosi 34 pg . Nanso kae sɛ, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu, enti ɛyɛ papa sɛ wode bɛtoto ‘Normal Range’ a ɛwɔ w’amanneɛbɔ so no ho.
Na sɛ MCH bo no sua nso ɛ?
MCH dodow a ɛba fam kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no wɔ hemoglobin dodow a ɛba fam sen sɛnea ɛte daa. Eyi betumi ama wo mogya mu nkwammoaa kɔkɔɔ no ayɛ te sɛ nea ‘ɛyɛ mmerɛw’ anaasɛ ‘ɛyɛ mmerɛw’ kakra. Nneɛma atitiriw pii nti na ɛte saa. Momma yɛnhwɛ nea wɔyɛ ne nea ɛkyerɛ sɛ wɔyɛ yare no. | Ntease a enti MCH bo a ɛba fam | Nsɛnkyerɛnne a wotumi hu |
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| Mogya a ɛtɔ kɔ nipadua mu ne ade a ɛtaa de ba. Efi mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a enni hɔ a ɛde mframa pa kɔ nipadua no mu no na ɛde ba. Eyi betumi afi iron, vitamin B12, anaa folate a enni nipadua mu no mu aba. | |
| Hemoglobinopathies yɛ nyarewa a wonya fi awo mu a efi sintɔ ahorow a ɛwɔ hemoglobin molecule no nsusuwii mu anaa sɛnea wɔyɛ no mu. Nhwɛso ahorow: Thalassemia ne Sickle Cell Yare. | Wɔ thalassemia mu: mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne, yafunu a ɛho ahonhon, nsu a ɛyɛ tumm. Wɔ sickle cell yare mu: mogya a ɛtɔ kɔ nipadua no mu ho sɛnkyerɛnne, nsu a ɛyɛ tumm, aniwa a ɛyɛ kɔkɔɔ, ɛyaw ne nsa ne nan a ɛho ahonhon, ne ɛyaw a emu yɛ den wɔ nipadua no mu bere ne bere mu. |
So MCH bo a ɛsom no betumi akɔ soro?
Yiw, ɛtɔ mmere bi a MCH bo no betumi akɔ soro asen sɛnea ɛte daa. Eyi kyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no sõ sen sɛnea ɛte daa. Wɔfrɛ saa tebea yi wɔ aduruyɛ mu sɛ Macrocytosis . Mpɛn pii no, eyi nyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Nanso ɛtɔ mmere bi a, ebetumi ayɛ aduruyɛ tebea bi ho sɛnkyerɛnne. Nneɛma a ɛma MCH bo kɔ soro:
- Vitamin B12 anaa Folate a Ɛho Nni: Mma ɛnyɛ wo nwonwa, sɛ saa aduannuru yi sua a, mogya a ɛtɔ (MCH a ɛso tew) betumi aba, ne mogya mu nkwammoaa kɔkɔɔ a ɛtrɛw (MCH a ɛkɔ soro) nso. Wɔfrɛ eyi Macrocytic Anemia.
- Mmɛn mu nyarewa bi: Ɔhaw ahorow bi a ɛfa mmerɛbo dwumadi ho betumi ama MCH dodow akɔ soro.
- Nsã a wɔnom boro so: Nsã a wɔnom boro so bere tenten nso na ɛde eyi ba.
- Hypothyroidism: Eyi ne bere a nipadua no ntumi nyɛ thyroid hormone kakraa bi.
- Nsonsonoe yi betumi afi nnuru bi nso mu aba: nnuru te sɛ nnuru a wɔde sa yare, nnuru bi a ekum ɔyare mmoawa, ne nnuru a ekum ɔyare mmoawa.
- Kokoram ahorow bi a ɛba mogya mu.
Ade a ɛho hia ne sɛ MCH dodow a ɛkɔ soro no mfa sɛnkyerɛnne pɔtee biara mma. Nanso, yare a ɛhyɛ ase a ɛde ba no betumi ama wɔanya yare no ho sɛnkyerɛnne. Sɛ nhwɛso no, sɛ wowɔ Hypothyroidism a, wubetumi anya sɛnkyerɛnne ahorow te sɛ ɔbrɛ, mu duru a ɛkɔ soro, wo nsa ne wo nsateaa a ɛyɛ mmerɛw, ne ntini mu yaw. Sɛ wowɔ mmerɛbo mu yare a, ebia wo yafunu atifi bɛyɛ wo yaw, w’ani nnye aduan ho, na w’ani ayɛ kɔkɔɔ. Nkrasɛm a Wɔde Kɔ Fie
- MCH yɛ gyinapɛn biako pɛ wɔ wo mogya ho amanneɛbɔ so. Ɛma wunya adwene a ɛkɔ akyiri wɔ hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu no ho.
- MCH bo a ɛba fam anaasɛ ɛkɔ soro no betumi afi tebea bi a ɛtaa ba te sɛ mogya a ɛtɔ kɔ nipadua mu no mu aba, anaasɛ ɛtɔ mmere bi a ebetumi ayɛ tebea bi a emu yɛ den kɛse a ɛhwehwɛ sɛ wɔde adwene si so kɛse ho sɛnkyerɛnne.
- Mfa mogya mu nhwehwɛmu nhwehwɛ wo ho da anaasɛ nhwehwɛ nsɛm wɔ intanɛt so. Eyi de adwennwen a ɛho nhia nkutoo bɛba.
- Sɛ nsakrae ba wo MCH bo anaa botae foforo biara mu a, wo duruyɛfo nkutoo na obetumi de afotu a eye sen biara na ɛyɛ nokware ama wo. Ɔbɛyɛ nhwehwɛmu foforo, sɛ ɛho hia a, de ahu nea ɛde ba ankasa, na wakyerɛw ayaresa a ɛho hia.
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