So wo mogya mu nkwammoaa kɔkɔɔ no sõ sen sɛnea ɛte daa? Momma yensua Macrocytosis ho ade!

So woahwɛ Full Blood Count amanneɛbɔ bi na woasusuw gyinapɛn ahorow a ɛwɔ mu no bi ho pɛn? Ebia na wo duruyɛfo no aka sɛ, "Wo mogya mu nkwammoaa kɔkɔɔ no te sɛ nea ɛsõ kakra." Ɛno ne nea yɛfrɛ no Macrocytosis wɔ aduruyɛ mu. Ɛnyɛ yare ankasa ankasa. Nanso ɛyɛ sɛnkyerɛnne a ɛho hia a ɛkyerɛ sɛ biribi asɛe wɔ yɛn nipadua mu. Sɛ wubu w’ani gu so a, wubetumi mpo abɛyɛ mogya a ɛtɔ kɔ nipadua mu a emu yɛ den a wɔfrɛ no macrocytic anemia. Enti, mma ɛnhaw wo. Momma yɛnka biribiara ho asɛm pefee na ɛnyɛ den.

Dɛn ankasa ne Macrocytosis?

Sɛ yɛbɛka no tiawa a, Macrocytosis yɛ bere a mogya mu nkwammoaa kɔkɔɔ a ɛwɔ wo mogya mu no sõ sen sɛnea ɛte daa no. Ɛtɔ mmere bi a wɔfrɛ eyi megalocytosis anaa macrocythemia. Sɛ wunya mogya dodow a edi mũ a, amanneɛbɔ no bɛkyerɛ wo mogya mu nkwammoaa kɔkɔɔ no kɛse. Nneɛma atitiriw abien wɔ hɔ a oduruyɛfo bɛhwɛ bere a wosusuw sɛ ɔwɔ tebea yi: 1. MCV (Mean Corpuscular Volume): Eyi ne wo mogya mu nkwammoaa kɔkɔɔ dodow a wɔkyekyem pɛpɛɛpɛ. 2. MCH (Mean Corpuscular Hemoglobin): Eyi ne hemoglobin dodow a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu. Sɛ saa gyinapɛn ahorow yi mu biako anaa abien no nyinaa korɔn sen sɛnea ɛte daa a, ɛyɛ ade pa a ɛkyerɛ sɛ ebia wowɔ Macrocytosis.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, mogya a ɛtɔ kɔ nipadua no mu a ɛde Macrocytosis ba no nyin nkakrankakra wɔ nipadua no mu. Enti, tebea no nkyerɛ sɛnkyerɛnne atitiriw biara kosi sɛ emu bɛyɛ den kakra. Nanso, sɛ tebea no mu yɛ den kakra a, sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi betumi ada adi.

Dɛn ne nneɛma a ɛde macrocytosis ba?

Sɛnea yɛadi kan aka no, Macrocytosis nyɛ yare biako pɛ. Ɛyɛ nea efi akwahosan ho haw foforo mu ba. Ma yɛnhwɛ nea ɛde ba titiriw a ɛka no. Nea ɛka ho no, ebetumi ayɛ nnuru bi a wɔde sa tebea horow te sɛ kokoram, akisikuru, anaasɛ nipadua no mu tumi a ɛko tia nyarewa (nyarewa a nipadua no ankasa nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ ne ho so) no mu nsunsuanso bɔne.Macrocytosis nso betumi aba esiane nnompe mu kokoram (myelodysplastic syndrome) nti.

Ɔkwan bɛn so na wobehu tebea yi?

Sɛ wo duruyɛfo susuw sɛ eyi yɛ a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua. Sɔhwɛ atitiriw a wɔyɛ ne:

• Mogya Dodow a Edi Mu (CBC): Mogya dodow a edi mũ.
• Peripheral Smear (Blood Smear): Eyi yɛ sɔhwɛ a ɛho hia yiye. Wɔde afiri ketewaa bi hwehwɛ mogya bi mu hwɛ sɛnea mogya mu nkwammoaa kɔkɔɔ no te ne ne kɛse.
• Reticulocyte Count: Ɛkyerɛ mogya mu nkwammoaa kɔkɔɔ dodow a ayɛ foforo wɔ nnompe mu ntini no mu.
• Vitamin B12 ne Folate Dodow: Hwɛ sɛnea vitamin ahorow yi dɔɔso wɔ mogya no mu.

Wobetumi de aduru a wɔde srasra nipadua no akyi ahu macrocytosis yiye. Wɔ mogya mu nkwammoaa kɔkɔɔ a ayɛ kɛse akyi no, sɛ Howell-Jolly nipadua (asinasin nketenkete a ɛwɔ nkwammoaa mu) ne granulocytes (mogya mu nkwammoaa fitaa bi) a wɔakyekyɛ mu dodo ho sɛnkyerɛnne ahorow bi wɔ hɔ a, ɛkyerɛ sɛ macrocytic anemia wɔ hɔ denneennen.

Ɔkwan bɛn so na wɔsa?

Ade a ɛho hia sen biara wɔ macrocytosis ayaresa mu ne sɛ wobehu nea ɛde ba no na wɔasa . Sɛ wohu nea ɛde ba no wie a, wo duruyɛfo no bɛkyerɛ ayaresa nhyehyɛe no.

• Vitamin a enni nipadua no mu ayaresa: Sɛ nea ɛde ba ne vitamin B12 anaa folate a enni nipadua mu a, ɛnde wɔkamfo kyerɛ sɛ wɔnyɛ nsakrae a ɛfata wɔ aduan mu, wɔmfa vitamin a wɔde ka ho, anaasɛ sɛ ɛho hia a, wɔmfa vitamin a wɔde twitwiw nipadua no mu. Nanso kae sɛ wo duruyɛfo nkutoo na obetumi asi gyinae sɛ ebia wuhia vitamin foforo ne dodow a wobɛnom. Enti, nnom vitamin a wunni aduruyɛ mu afotu.
• Mogya a ɛtɔ kɔ nipadua mu a emu yɛ den: Sɛ mogya a ɛtɔ kɔ nipadua no mu no mu yɛ den yiye a, ebia ɛho behia sɛ wɔde mogya ma.

Nnuan a vitamin B12 pii wom

Mpanyimfo a wɔadi boro mfe 14 hia vitamin B12 bɛyɛ microgram 2.4 da biara. Ɛnanom a wɔyem ne wɔn a wɔma nufu hia microgram 2.6-2.8. Nnuan a mpɛn pii no vitamin ahorow yi pii wom no bi ne:

• Mpataa ne akutu ahorow
• Brɛboɔ
• Nam kɔkɔɔ
• Nkwaa a wɔde yɛ nkesua
• Akokɔ
• Nufusu mu nnuan te sɛ nufusu, kyiisi, yogurt
• Anɔpaduan mu aburow a wɔahyɛ no den

Nnuan a folate pii wom

Obiara a wadi boro mfe 19 hia folate microgram 400 da biara. Ɛna a onyinsɛn hia 600, na ɛna a ɔma nufu hia 500. Ɛho hia nso sɛ wɔn a wɔnom nsa no nya microgram 600 da biara, efisɛ nsa mma folate a wɔtwe no nyɛ adwuma yiye.

• Nnuadewa a ɛyɛ ahabammono tuntum te sɛ spinach, kale, lettuce, broccoli
• Atoko te sɛ bankye ne peas
• Peanut, akutu
• Sunflower aba a wɔde yɛ
• Nnuaba a wɔayɛ no foforo
• Aburow a wɔayam no yiye
• Ɛpo mu nnuan
• Nkwaa a wɔde yɛ nkesua
• Nnuan a wɔahyɛ no den

Macrocytosis, mogya mu nkwammoaa kɔkɔɔ, mogya mu nhwehwɛmu, vitamin B12, folate, mogya a ɛtɔ kɔ nipadua mu, MCV