So woate asɛmfua G6PD ho asɛm pɛn? Ebia oduruyɛfo bi aka ho asɛm akyerɛ wo, anaasɛ ebia obi a ɔwɔ w’abusua mu aka ho asɛm akyerɛ wo. Anaasɛ ebia ɛyɛ biribi foforo koraa ma wo. Nanso, sɛ wote din no a, mma wunsuro. G6PD a enni nipadua mu no yɛ awosu mu tebea a abu so yiye a ɛka nnipa bɛyɛ ɔpepem 400 wɔ wiase nyinaa. Ɛte sɛ nsakrae ketewaa bi a ɛba yɛn nipadua mu sen yare. Enti momma yɛnka ne nyinaa ho asɛm tiawa na yɛmfa adamfofa kwan so nnɛ.
Dɛn ankasa ne G6PD a enni hɔ?
Okay, momma yɛnka eyi tiawa. Nkwammoaa bi a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ wɔ yɛn mogya mu . Saa nkwammoaa yi de mframa pa kɔ yɛn nipadua mu nyinaa. Ɛte sɛ kar a ɛde nneɛma kɔ fie.
Seesei, enzyme soronko bi wɔ hɔ a ɛboa ma mogya mu nkwammoaa kɔkɔɔ yi kɔ so nya apɔwmuden na ɛyɛ den. Yɛfrɛ no `Glucose-6-Phosphate Dehydrogenase`, anaa G6PD tiawa. Fa no sɛ saa enzyme yi yɛ mogya mu nkwammoaa kɔkɔɔ no ho banbɔ, anaasɛ `tumi' a ɛma wɔn ahoɔden. Saa G6PD enzyme yi bɔ mogya mu nkwammoaa kɔkɔɔ no ho ban fi nneɛma a epira a ɛwɔ mogya no mu no bi ho.
Nea ɛkɔ so wɔ obi a G6PD nnim nipadua mu ne sɛ wɔnyɛ G6PD enzyme no dodow a ɛdɔɔso. Anaasɛ enzyme a wɔyɛ no nyɛ adwuma yiye. Eyi yɛ awosu mu nneɛma . Ɛno kyerɛ sɛ wunya eyi fi wo maame anaa wo papa hɔ, na ɛnyɛ yare a ɛde ɔyare ba.
Mpɛn pii no, G6PD a enni nipadua no mu no nyɛ ɔhaw kɛse. Nanso, sɛ wonom nnuru bi, nnuru bi, anaa nnuan bi (titiriw bankye ahorow bi) a, mogya mu nkwammoaa kɔkɔɔ no fi ase sɛe efisɛ saa ade a ɛbɔ wo ho ban no nni hɔ. Eyi ne nea yɛfrɛ no `hemolytic anemia.` Momma yɛnhwɛ no bio kakra.
Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu eyi?
Ade a ɛyɛ nwonwa wɔ ha ne sɛ nnipa pii a wonni G6PD no nkyerɛ yare no ho sɛnkyerɛnne biara . Wɔbɔ wɔn bra sɛnea ɛsɛ. Ɔhaw no sɔre bere a wɔde wɔn ho hyɛ ‘nea ɛkanyan’ a yɛadi kan aka ho asɛm no biako mu, kyerɛ sɛ, aduru anaa aduan a enye nkutoo.
Nanso, ɛtɔ mmere bi a akokoaa betumi anya jaundice (honam ani yɛ kɔkɔɔ) wɔ n’awo akyi, na mpɛn pii no ɛnyɛ den sɛ wɔbɛsa.
Sɛ obi a G6PD nni no nya biribi a epira a, obetumi anya tebea bi a wɔfrɛ no `hemolytic anemia.` Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya mu nkwammoaa kɔkɔɔ no sɛe na ɛsɛe ntɛmntɛm sen sɛnea wobetumi ayɛ. Mogya mu nkwammoaa kɔkɔɔ ne nea ɛde mframa pa di akɔneaba wɔ nipadua no mu. Enti sɛ wɔsɛe a, nipadua no akwaa no nnya mframa pa a ehia no.
Sɛ saa tebea a ɛne `hemolytic anemia` yi ba a, ebetumi ayɛ aniberesɛm koraa. Enti, ɛho hia paa sɛ wohu saa sɛnkyerɛnne ahorow yi.
Wɔabobɔ mogya a ɛtɔ kɔ mogya mu a ɛtaa ba ho sɛnkyerɛnne ahorow wɔ pon a ɛwɔ ase ha no so.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Wora a ɛyɛ mmerɛw | Wora no kɔla sesa na ɛyɛ fitaa, te sɛ nea mogya nni nipadua no mu. |
| Wora ne aniwa a ɛyɛ kɔkɔɔ (Jaundice) . | Bilirubin, ade bi a ɛba bere a mogya mu nkwammoaa kɔkɔɔ no sɛe no ma aniwa honam ani fitaa dan kɔla. |
| Nsu a ɛyɛ sum | Nsu no dan bruu tuntum anaasɛ cola kɔla. |
| Huraeɛ | Ebia wobɛte atiridii nka a ntease biara nnim. |
| Ɔbrɛ ne mmerɛwyɛ | Ɔte nka sɛ nkwa nnim, ɔhome a ɛyɛ den, na ɔbrɛ kɛse. |
| Nneɛma a ɛma obi yɛ basaa | Sɛ amemene no nnya mframa pa a ɛdɔɔso a, ebia wobɛte nka sɛ w’adwene atu afra na w’adwene atu afra. |
| Koma a ɛbɔ denneennen | Koma no bɔ kɔ soro. |
Sɛ saa sɛnkyerɛnne ahorow yi mu yɛ den na ɛkɔ so tra hɔ a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Ɛtɔ da bi a, ebia ɛho behia sɛ wokɔ ayaresabea Emergency Department (ETU).Ebia ɛho behia nso sɛ woyi fi hɔ. Nanso mpɛn pii no, sɛ woyi nea ɛde tebea yi ba no fi hɔ pɛ a, ɛno ankasa bɛsa wɔ bɛyɛ adapɛn abien ntam.
Dɛn nti na ɛte saa? Hena na ɛda adi kɛse sɛ obenya bi?
Sɛnea yɛadi kan aka no, G6PD a enni nipadua no mu yɛ awosu mu tebea koraa . Eyi kyerɛ sɛ wunya fi w’awofo hɔ. Ɔkwan biara nni hɔ a wobetumi afa so asiw ano.
Nanso, ɛda adi sɛ nnipa akuw bi benya saa tebea yi.
- Wɔ mmarima fam (ɛboro mmea so).
- Wɔn a wɔwɔ aman a ɛwɔ Afrika, Asia, Mfinimfini Apuei, ne Mediterranea mantam mu no fam.
Sɛ wunim sɛ obi wɔ w’abusua mu wɔ G6PD a enni hɔ a, hokwan wɔ hɔ sɛ ebia wo nso wowɔ bi. Enti ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa ho.
Wobɛyɛ dɛn ahu sɛ wowɔ G6PD a enni mu?
Ɔkwan tiawa bi wɔ hɔ a wobɛfa so ahu. Ɛno yɛ denam mogya mu nhwehwɛmu a wɔbɛyɛ so . Wo duruyɛfo begyina w’abusua abakɔsɛm ne sɛ wowɔ sɛnkyerɛnne ahorow so akyerɛ nhwehwɛmu yi akyerɛ.
Mpɛn pii no, wodi kan yɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu de hwɛ sɛ G6PD a enni nipadua no mu wɔ hɔ anaa. Sɛ ɛkyerɛ sɛ sintɔ bi wɔ hɔ a, wɔyɛ nhwehwɛmu foforo de hwɛ sɛnea emu yɛ den. `Beutler sɔhwɛ` no yɛ sɔhwɛ a ɛte saa no mu biako.
Ɛdenam saa sɔhwɛ ahorow yi so no, wubetumi ahu sɛ ebia wowɔ G6PD a enni hɔ ankasa anaa, na sɛ ɛte saa a, sɛnea dodow no te.
Ɔkwan bɛn so na wɔbɛtra ase wɔ G6PD a enni hɔ ho? Nneɛma bɛn na ɛsɛ sɛ yɛkwati?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ wohu sɛ G6PD nni wo mu a, ayaresa pɔtee biara nni hɔ a ɛho hia . Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛkwati ‘nneɛma a ɛkanyan wo’ a ɛsɛe wo mogya mu nkwammoaa kɔkɔɔ na ɛde tebea a wɔfrɛ no hemolytic anemia ba no.
Ɛno kyerɛ sɛ ɛsɛ sɛ wokwati nnuru, nnuru, ne nnuan bi koraa. Wɔfrɛ eyinom nneɛma a ɛde ‘oxidative stress’ ba.
Kae pon a ɛwɔ ase ha no. Ɛho hia paa sɛ wobɛma saa nneɛma yi akɔ w’asetena mu.
| Nneɛma a akyinnye biara nni ho sɛ ɛsɛ sɛ nnipa a wonni G6PD kwati | |
|---|---|
| Korɔ | Nhwɛso ahorow |
| Aduane | Fava beans - Eyi ne aduan a ɛho hia na ɛyɛ hu sen biara. Wɔ aman bi so no, wɔsan frɛ eyinom bankye a ɛtrɛw. |
| Nnuru a wɔde yɛ nnuru | Nnuru bi a wɔde kum ɛyaw (sɛ nhwɛso no, aspirin a wɔde di dwuma kɛse ) . |
| Nnuru a ekum ɔyare mmoawa a "Sulf" wom (e.g. Sulfonamides) . | |
| Nnuru a wɔde ko tia asramma a "quine" wom. | |
| Nnuru a wɔde yɛ nnuru | Naphthalene - Eyinom wo mothballs a wode gu wardrobes mu. Sɛ wohome wɔn hua mpo a, epira. |
Nea ɛho hia: Sɛ wowɔ G6PD a enni wo mu a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo bere biara a wobɛkɔ akɔhwɛ no. Afei, sɛ ɔkyerɛw nnuru ma wo a, ɔbɛpaw nnuru a asiane biara nni ho ama wo. Nnom aduru biara da a wunni kan nkɔ oduruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- G6PD a enni nipadua mu no nyɛ yare a ɛsɛ sɛ wosuro. Ɛyɛ awosu mu tebea a nnipa pii wɔ wɔ wiase, na wɔde fi awo ntoatoaso so kɔ awo ntoatoaso so.
- Nnipa pii nni sɛnkyerɛnne biara na sɛ wɔde nnuru a enye, aduan (titiriw fava bankye), anaa nnuru bi di dwuma nkutoo a na wɔyare.
- Sɛ wubetumi adi w’asetra so yiye a, ɛsɛ sɛ wuhu nneɛma a enye mma wo ankasa na wotwe wo ho fi ho.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ atiridiinini, ɔbrɛ a ɛtra so, wo honam ani yɛ kɔkɔɔ, ne nsu a ɛyɛ tuntum a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Kae wo duruyɛfo bere biara a wubehu no sɛ wowɔ G6PD a enni mu. Ɛho hia paa ma w’ahobammɔ.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho