Yɛn nyinaa nim sɛ mogya a ɛwɔ yɛn nipadua mu no nte sɛ nsu, na mmom ɛyɛ nsu a ɛwɔ ntini bi. Nanso susuw ho hwɛ, sɛ mogya yi yɛ den kɛse sen sɛnea ɛte daa, te sɛ atɛkyɛ a ɛyɛ den a, dɛn na ɛba? Ɛbɛyɛ den sɛ mogya a ɛyɛ den yi bɛfa mogya ntini nketenkete a ɛwɔ yɛn nipadua nyinaa mu no mu. Ɛte sɛ atɛkyɛ a ɛyɛ den a akɔhyɛ paipu mu. Saa kwan yi so no, mogya no yɛ den te sɛ akutu nufusu, na mogya a ɛkɔ nipadua no mu no sɛe, na ɛno ne nea yɛfrɛ no Hyperviscosity Syndrome wɔ nnuruyɛ mu. Eyi nyɛ ade ketewaa bi kɛkɛ, na mmom ɛtɔ mmere bi a ɛyɛ tebea a asiane wom kɛse, na ɛde nkwa to asiane mu. Momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn nti na mogya no mu yɛ den mpofirim saa?
Ade a edi kan a ɛsɛ sɛ yɛte ase ne sɛ Hyperviscosity Syndrome nyɛ yare ankasa. Ɛyɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne. Te sɛ nea ɔfe yɛ atiridii anaa ahurututu mu yare ho sɛnkyerɛnne no. Nkwammoaa anaa protein ahorow ahorow a ɛwɔ mogya no mu a ɛboro so titiriw na ɛma mogya mu yɛ den.
Sɛ yɛbɛka no tiawa a, sɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, mogya mu nkwammoaa, anaa mogya mu protein dodow kɔ soro wɔ ɔkwan a ɛnteɛ so a, mogya no mu yɛ den.
Wɔabobɔ aduruyɛ mu tebea atitiriw a ebetumi de saa tebea yi aba no bi din wɔ pon a ɛwɔ ase ha no so.
| Tebea horow a ebetumi ama mogya atɔ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Waldenström Nyarewa a ɛma mogya tu (WB) . | Eyi ne ade a ɛtaa de hyperviscosity ba. Eyi yɛ mogya mu kokoram bi a ɛba nnompe mu ntini ne ntini a ɛma mogya tu mu. Efi protein a ɛnyɛ ne kwan so a ɛdɔɔso dodo, na ɛma mogya no yɛ den. |
| Multiple Myeloma a Ɛyɛ Nnipa pii | Eyi nso yɛ kokoram bi a ɛka mogya mu nkwammoaa. Protein a ɛnteɛ a kokoram nkwammoaa no yɛ no ma mogya no yɛ den. |
| Nkwammoaa pii a ɛma mogya tu Rubra Vera | Eyi yɛ nnompe mu ntini mu yare. Wɔ saa tebea yi mu no, wɔyɛ mogya mu nkwammoaa kɔkɔɔ wɔ ɔkwan a wontumi nni so. Bere a mogya mu nkwammoaa kɔkɔɔ dodow kɔ soro no, mogya no mu ntini nso kɔ soro kɛse. |
| Leukemia a ɛma mogya tu | Wɔ mogya mu kokoram, mogya mu kokoram mu no, mogya mu nkwammoaa fitaa a ɛdɔɔso dodo. Ebia saa nkwammoaa yi nsɛso wɔ ɔkwan a ɛnteɛ so. Eyi betumi ama mogya ntini no asiw na mogya no ayɛ den. |
| Ntini a ɛka bom yɛ adwuma | Ɛtɔ mmere bi a mogya a ɛtwetwe tumi ba wɔ nyarewa te sɛ ntini mu yare mu, nanso eyi ntaa mma koraa. |
| Nneɛma afoforo a ɛntaa nsi | Ebia nneɛma afoforo pii wɔ hɔ a ɛde ba, te sɛ cryoglobulinaemia (yare bi a ɛma mogya ntini mu yɛ hyew), hypoxia a enni sabea (oxygen a enni nipadua mu bere tenten), ne kokoram ayaresa ahorow bi (Retinoic acid ayaresa). |
Sɛ wo mogya mu yɛ den a, wote nka dɛn? Dɛn ne sɛnkyerɛnne ahorow no?
Susuw ho hwɛ, akwaa biara a ɛwɔ yɛn nipadua mu, efi amemene no so kosi yɛn nsateaa ano no, mogya na ɛde kɔ, ɛde mframa pa ne aduannuru kɔ. Enti sɛ wosiw mogya a ɛsen yi kwan a, saa akwaa ahorow no nnya nea wohia. Ɛno nti na sɛnkyerɛnne ahorow no da adi no. Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho, na ebetumi nso agyina yare a edi kan a ɛmaa mogya no yɛɛ den no so.
Eyinom ne sɛnkyerɛnne ahorow a wɔtaa hu no bi:
Nsɛnkyerɛnne a ɛka amemene ne ntini ahorow
Mogya a ɛnkɔ yiye na ebetumi aka amemene no kɛse.
- Tiyɛ a emu yɛ den ne adwenemhaw
- Anisoadehu ho haw ahorow: anisoadehu a ɛyɛ kusuu, anisoadehu mmɔho abien, ɛtɔ mmere bi a aniwa a ɛyera mpofirim
- Aso mu haw: aso a ɛso tew anaasɛ ɛyera
- Nneɛma a ɛma obi ho popo
- Ɔbrɛ ne nna a ɛtra so (Lethargy) .
Nsɛnkyerɛnne a ɛfa mogya a ɛtɔ ho
Sɛ mogya mu yɛ den a, mogya a ɛkɔ so no so tumi a ɛyɛ mmerɛw no sɛe, na ɛno betumi ama mogya atu no mpofirim.
- Ɛnyɛ den sɛ wobɛbɔ akuru
- Mogya a ɛba ntini mu (hwene mu mogya, anom) .
- Mogya a ɛtɔ afoforo a ɛyɛ soronko (sɛ nhwɛso no, mogya a ɛba nsu mu) .
Nsɛnkyerɛnne afoforo a anibere wom
Eyinom kyerɛ sɛ nipadua no akwaa atitiriw no resɛe.
- Mogya mmoroso (Hypertension) .
- Koma a entumi nyɛ adwuma yiye: koko mu yaw, ahome a ɛyɛ tiaa
- Asaabo a entumi nyɛ adwuma yiye
- Mogya a ɛtwetwe (Thrombosis) .
- Nyarewa a emu yɛ den (Sepsis) .
Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara a wontwentwɛn wo nan ase.
Ɔkwan bɛn so na wɔbɛsa tebea a ɛyɛ hu yi?
Hyperviscosity Syndrome yɛ aduruyɛ mu asɛm a egye ntɛmpɛ efisɛ sɛ wɔansa a, ebetumi ama akwaa a ɛho hia te sɛ amemene, koma, ne asaabo anya oxygen, na ama asɛe koraa anaasɛ adi nkogu mpo. Enti, ayaresa a wɔde ma ntɛm ho hia.
Mpɛn pii no, ayaresa nhyehyɛe no yɛ nea ɛwɔ afã abien.
1. Ayaresa a wɔde ma ntɛm ara, bere tiaa mu
Ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wubedi yare no ho sɛnkyerɛnne ahorow no so na ama mogya no mu ayɛ den ntɛmntɛm. Ayaresa a wɔtaa de sa eyi no biako ne Plasmapheresis .
Plasmapheresis yɛ adeyɛ a ɛte sɛ mogya a wɔtew ho. Woyi wo mogya no fã ketewaa bi fi wo nipadua mu, de fa afiri titiriw bi mu, na wɔtetew plasma a protein foforo a ɛma wo mogya tu no mu na woyi fi mu. Afei wɔde mogya mu nkwammoaa kɔkɔɔ ne fitaa a ɛte apɔw no fra nsu a wɔde besi ananmu na ɛsan kɔ wo nipadua mu.
Eyi betumi atew mogya a ɛtwetwe no so ntɛm ara na ama akwaa asɛe no agyae. Nanso, ɛyɛ w’aduruyɛfo kuw no na wosi gyinae sɛ ebia saa ayaresa yi fata obiara ne sɛ ebia ɛho hia anaa.
2. Ayaresa a wɔde bere tenten (yare a ɛda adi no ayaresa) .
Bere a wɔtew mogya no mu den so akyi no, ade a edi hɔ a ɛho hia sen biara ne sɛ wɔbɛsa yare a edi kan a ɛde bae no. Efisɛ sɛ wɔansa saa yare no a, mogya no betumi ayɛ den bio.
- Sɛ nea ɛde ba ne kokoram te sɛ Multiple Myeloma anaa Leukemia , a, wɔde nnuru a wɔde ko tia kokoram te sɛ nnuru a wɔde sa yare ma.
- Sɛ nea ɛde ba ne polycythaemia , wɔde ayaresa ma de yi mogya mu nkwammoaa kɔkɔɔ a ɛboro so no fi hɔ anaasɛ wɔtew nea ɛba no so.
- Sɛ ɛyɛ aduruyɛ mu tebea foforo a, nnuruyɛfo bɛkamfo ayaresa pɔtee bi a wɔde bɛma no akyerɛ.
Eyi nti, nnuruyɛfo kuw bi a mogya ho animdefo, kokoram ho animdefo, ne akisikuru ho animdefo ka ho bɛbom ayɛ ayaresa nhyehyɛe a eye sen biara ama wo.
Nkrasɛm a Wɔde Kɔ Fie
- Hyperviscosity Syndrome yɛ tebea a ɛma mogya no yɛ den te sɛ akutu ngo, na esiw mogya a ɛkɔ nipadua no mu no kwan.
- Eyi nyɛ yare a ɛda nsow. Ɛyɛ tebea foforo a emu yɛ den te sɛ mogya mu kokoram ho sɛnkyerɛnne .
- Mma w’ani ngu sɛnkyerɛnne ahorow te sɛ tiyɛ a emu yɛ den, w’ani a ɛsakra, mogya a ɛtɔ soronko, anaa ɔbrɛ a ɛtra so no so.
- Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Sɛ wuhu sɛnkyerɛnne ahorow no ara pɛ a, kɔ wo duruyɛfo nkyɛn. Sɛ ɛho hia a, kɔ ayaresabea Emergency Treatment Unit (ETU) ntɛm ara.
- Nea ɛka ayaresa ho ne anammɔn a wotu ntɛm ara de tew mogya mu ntini a ɛyɛ den so (te sɛ plasmapheresis) ne yare a ɛde ba no a wɔsa.
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