Fa no sɛ wokɔ oduruyɛfo nkyɛn wɔ ayaresa tebea pɔtee bi ho, na wɔma wo mogya mu nhwehwɛmu. Sɛ wunya amanneɛbɔ no wɔ nna kakraa bi mu, sɛ wuhu aduruyɛ mu nsɛmfua bi wɔ mu a, yɛte ehu nka kakra na yɛpɛ sɛ yehu, ɛnte saa? ‘Polychromasia’ yɛ asɛmfua a ɛte saa no mu biako. Asɛmfua yi a ɛwɔ w’amanneɛbɔ mu no nyɛ biribi a ɛsɛ sɛ wohaw wo ho anaa wususuw ho sɛ ɛyɛ yare a emu yɛ den. Ɛkyerɛ adeyɛ bi a ɛwɔ wo nipadua mu nkutoo. Enti, ɛnnɛ yɛbɛka nea Polychromasia yɛ ankasa, nea enti a wɔakyerɛw wɔ amanneɛbɔ bi mu, ne nea ɛsɛ sɛ wuhu wɔ ho.
Sɛ yɛbɛka no tiawa a, dɛn ne Polychromasia?
Polychromasia nyɛ yare. Ɛyɛ biribi a wuhu bere a wɔreyɛ wo mogya mu nhwehwɛmu wɔ aduruyɛdan mu no. Sɛ yɛbɛka no tiawa a, ɛkyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no bi, sɛ wɔde aduru soronko bi sɔ hwɛ a, ɛdan kɔla bruu-akuturuku.
Mpɛn pii no, yɛn mogya mu nkwammoaa kɔkɔɔ no nyin wɔ nnompe mu, a ɛkyerɛ sɛ ɛho akokwaw koraa na ayɛ krado sɛ wobeyi no adi akɔ mogya no mu. Nanso ɛtɔ mmere bi a, esiane biribi nti, nnompe mu ntini no gyae mogya mu nkwammoaa kɔkɔɔ yi kɔ mogya no mu ansa na anyin, a ɛkyerɛ sɛ wonnyinii . Wɔ aduruyɛ mu no, yɛfrɛ mogya mu nkwammoaa kɔkɔɔ a ennyinii yi ``Reticulocytes.'' Saa nkwammoaa no ne aduru soronko bi yɛ adwuma na ɛte sɛ bruu-akuturuku. Enti, w’amanneɛbɔ no ka sɛ Polychromasia, a ɛkyerɛ sɛ wowɔ mogya mu nkwammoaa kɔkɔɔ a ennyinii yi dodow bi wɔ wo mogya mu.
Dɛn nti na eyi ba? Nneɛma atitiriw a ɛde polychromasia ba
Nea ɛbɛyɛ na yɛate eyi ase no, momma yenni kan nsua yɛn mogya mu nkwammoaa kɔkɔɔ no ho ade kakra.
Nkwammoaa ne ntini biara a ɛwɔ yɛn nipadua mu hia oxygen na ama atumi atra ase. Mogya mu nkwammoaa kɔkɔɔ ne nneɛma a ɛde mframa pa a ɛsom bo yi fi ahurututu mu kɔ nipadua no fã a aka no mu. Wɔyɛ eyinom wɔ adwumayɛbea bi a wɔfrɛ no yɛn nnompe mu ntini mu. Wonyin yiye wɔ nnompe mu bɛyɛ nnafua 7 ansa na wɔayi wɔn akɔ mogya no mu. Mpɛn pii no, mogya mu nkwammoaa kɔkɔɔ bi tra ase bɛyɛ nnafua 120. Sɛ wowuwu a, hormone bi a wɔfrɛ no ``Erythropoietin`` a yɛn asaabo yɛ no kyerɛ nnompe mu ntini no sɛ ɛnyɛ mogya mu nkwammoaa kɔkɔɔ foforo mfa nhyɛ ɔkwan a ɛda hɔ no mu ma.
Nanso, aduruyɛ mu tebea horow bi betumi asɛe saa adeyɛ yi. Sɛ nipadua no hia mogya mu nkwammoaa kɔkɔɔ ntɛm ara, anaasɛ sɛ nnompe mu ntini no nya nkɛntɛnso a, nkwammoaa a ennyinii no fi hɔ, na wɔka sɛ, "Ɛnyɛ hwee, ɛwom sɛ wonnya nyɛɛ no yiye de, nanso wɔasiesie wɔn ho sɛ wɔbɛkɔ mogya no mu." Ɛno ne bere a wuhu Polychromasia wɔ wo mogya amanneɛbɔ mu.
Momma yɛnhwɛ nea enti a ɛte saa titiriw wɔ pon a ɛwɔ ase ha no so.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Monemia - titiriw no Hemolytic Anemia | Nea ɛba wɔ eyi mu ne sɛ mogya mu nkwammoaa kɔkɔɔ sɛe ntɛmntɛm sen sɛnea wobetumi ayɛ. Eyi ma nipadua no nya mogya mu nkwammoaa kɔkɔɔ kakraa bi dodo. Nea ɛbɛyɛ na nnompe mu ntini no asiesie nea ɛho nhia yi no, ɛma nkwammoaa a ennyinii kɔ mogya no mu ntɛmntɛm. Nhwɛso ahorow: - nyarewa a wonya fi awo mu (e.g. Thalassemia, Sickle cell anemia) . - tebea a ɛba akyiri yi (e.g., nnuru binom, nyarewa, kokoram, sɛnea wɔyɛ wɔn ade wɔ mogya a wɔde ma ho, nyarewa a nipadua no tumi ko tia nyarewa te sɛ lupus) . |
| Mogya a ɛtɔ gu nipadua no mu | Sɛ mogya pii yera fi nipadua no mu, esiane opira anaa mogya a ɛretu wɔ nipadua no mu (sɛ nhwɛso no, yafunu, koko, anaa amemene) nti a, nnompe mu ntini no de ahopere hyɛ baabi a ɛda hɔ no ma. Saa bere no, nkwammoaa a wonnyinii nso hyɛn mogya no mu. |
| Nnompe mu ntini mu haw ahorow (Myeloid metaplasia) . | Sɛ kokoram ahorow bi (te sɛ lymphoma ne multiple myeloma) sɛe nnompe mu ntini no a, akwaa afoforo te sɛ mmerɛbo ne akyi berɛmo fi ase yɛ mogya mu nkwammoaa kɔkɔɔ. Esiane sɛ saa akwaa ahorow yi ntumi nyɛ nkwammoaa a ɛho akokwaw te sɛ nnompe mu ntini nso nti, nkwammoaa a ennyinii no boaboa ano wɔ mogya no mu. |
Nsɛnkyerɛnne bɛn na ebia ɛne eyi wɔ abusuabɔ?
Nea ɛho hia ne sɛ sɛnkyerɛnne biara nni hɔ a ɛfa Polychromasia ho pɔtee. Esiane sɛ ɛnyɛ yare nti, ɛyɛ biribi a wohu wɔ lab amanneɛbɔ mu. Nanso, wubetumi anya sɛnkyerɛnne ahorow a egyina tebea a ɛde Polychromasia bae no so.
Eyi kyerɛ sɛ ɛnyɛ Polychromasia na ɛma sɛnkyerɛnne ahorow a worehu no, na mmom efi mogya a ɛtɔ kɔ nipadua mu, mogya a ɛtɔ, anaa yare foforo a ɛde bae.
Nsɛnkyerɛnne a ɛtaa ba no bi ni:
| Nsɛnkyerɛnne a ɛtaa ba a ebia ɛfa aduruyɛ mu tebea horow a ɛhyɛ ase ho | |
|---|---|
| - Ɔbrɛ | - a ɛyɛ Paleness |
| - a ɛyɛ den sɛ wobɛhome | - a ɛyɛ atiridiinini |
| - Huraeɛ | - yaw wo nnompe mu |
| - a ɛnyɛ den sɛ mogya bɛtu anaase abubu | - a ewo mmerɛbo anaa akyi berɛmo mu |
Ɔkwan bɛn so na wobetumi ahu eyi na wɔasa?
Nkyerɛkyerɛmu a wɔde kyerɛ
Wɔde mogya mu nhwehwɛmu titiriw bi a wɔfrɛ no Peripheral Blood Smear na ɛkyerɛ sɛ obi anya polychromasia . Nea ɛka eyi ho ne sɛ wobɛfa wo mogya no ketewaa bi na woatrɛw mu teateaa wɔ ahwehwɛ a wɔde hyɛ mu so, de aduru titiriw bi aka ho, na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi ma oduruyɛfo no nya mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa a ɛwɔ wo mogya mu no nsusuwii, ne kɛse, ne sɛnea ɛte ho adwene pa.
Saa mogya mu nkwammoaa kɔkɔɔ a ennyinii yi wɔ ade bi a wɔfrɛ no ``Ribonucleic acid - RNA'' pii sen nkwammoaa a ɛteɛ. Saa RNA no ne aduru a wɔde yɛ nneɛma no yɛ adwuma, na ɛma wɔyɛ bruu-akuturuku.
Ayaresa a wobetumi apaw
Eyi ne ɔfã a ɛho hia sen biara. Wɔnyɛ asɛmfua polychromasia no ho adwuma. Efisɛ ɛnyɛ yare. Ayaresa no yɛ tebea a ɛhyɛ ase a ɛde bae no.
Eyi kyerɛ sɛ wo duruyɛfo no bɛhwɛ w’amanneɛbɔ no mu, abisa wo sɛnkyerɛnne ahorow, na wabɔ mmɔden sɛ obehu nea ɛde wo polychromasia no ba. Ebia ɛho behia nso sɛ ɔyɛ sɔhwɛ foforo.
- Sɛ nea ɛde ba no yɛ aduru bi a, wobetumi asesa saa aduru no.
- Sɛ nea ɛde ba ne mogya a ɛtɔ kɔ nipadua mu a, wɔde ayaresa a ɛfata (sɛ nhwɛso no, dade aduru, vitamin, mogya a wɔde ma sɛ ɛho hia) bɛma.
- Sɛ nea ɛde ba no yɛ ɔyare mmoawa a, wɔbɛsa.
- Sɛ nea ɛde ba no yɛ tebea a emu yɛ den te sɛ kokoram a, wɔde ɔyarefo no bɛkɔ nnuruyɛfo a wɔyɛ adwumaden nkyɛn na wɔafi ase ayɛ ayaresa a ɛho hia.
Nneɛma bi a ɛde ba no yɛ bere tiaa mu de na wobetumi asa koraa denam ayaresa so. Ebi betumi ayɛ tebea horow a enni sabea a ɛsɛ sɛ wodi ho dwuma wɔ nkwa nna nyinaa mu. Enti, ɛho hia sɛ wo ne wo duruyɛfo susuw w’amanneɛbɔ ho na wudi n’akwankyerɛ akyi pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Polychromasia nyɛ yare, ɛyɛ nsɛm a wɔakyerɛw a wobetumi ahu wɔ mogya mu nhwehwɛmu amanneɛbɔ so ara kwa.
- Eyi kyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ennyinii afi wo nnompe mu akɔ mogya no mu.
- Eyi betumi ayɛ aduruyɛ mu tebea bi a ɛda adi ho sɛnkyerɛnne (e.g. mogya a ɛtɔ kɔ nipadua mu, mogya a ɛtɔ).
- Ɛnyɛ Polychromasia na wɔde sa yare, na mmom tebea a ɛde bae a ɛde bae no.
- Sɛ wo mogya mu nhwehwɛmu amanneɛbɔ da biribi te sɛ eyi adi a, mma wo ho nnpopo na wo ne wo duruyɛfo nsusuw ho na nya afotu a ɛfata.
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