Mogya mu nkwammoaa fitaa a ɛso tew wɔ ɔkwan a ɛyɛ hu so: Nea ɛsɛ sɛ wuhu fa Agranulocytosis ho

So wote nka sɛ woabrɛ na woayɛ mmerɛw bere nyinaa? So wunya atiridiinini, w’ano yɛ wo yaw, na wote nka sɛ woreyare esiane nneɛma nketenkete mpo nti? Ebetumi aba sɛ aduruyɛ tebea bi wɔ saa nneɛma yi akyi a yɛnka ho asɛm pii, nanso ebetumi ayɛ aniberesɛm kɛse. Ɛnnɛ yɛbɛka tebea a ɛte saa biako ho asɛm, a ɛne Agranulocytosis. Mma ɛnhaw wo, momma yɛmfa nsɛm a ɛnyɛ den nkyerɛkyerɛ biribiara mu.

Dɛn ankasa ne Agranulocytosis?

Sɛ yɛbɛka no tiawa a, eyi yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn mogya mu a ɛso tew wɔ ɔkwan a ɛyɛ hu so. Fa no sɛ yɛn nipadua te sɛ ɔman. Afei mmoawa a wɔde nyarewa ba yɛn nipadua mu no ne atamfo a wɔtow hyɛ ɔman no so. Asraafo a wɔko tia saa atamfo yi ne mogya mu nkwammoaa fitaa a ɛwɔ yɛn mogya mu no.

Wɔfrɛ tumi titiriw bi a ɛwɔ mogya mu nkwammoaa fitaa dɔm yi mu granulocytes . Asraafo ahorow atitiriw abiɛsa na wɔwɔ saa asraafo dɔm yi mu:

• Nnuru a wɔfrɛ no neurophils
• Basophils a wɔfrɛ no basophils
• Eosinophils a wɔde yɛ nnuru

Nkwammoaa yi wɔ granules nketenkete, a enzymes a ɛsɛe mmoawa te sɛ mmoawa a wɔhyɛn nipadua no mu wom. Wɔyɛ nkwammoaa a ɛho hia sen biara yi wɔ yɛn nnompe mu ntini mu.

Enti, agranulocytosis yɛ bere a nkwammoaa a wɔko a wɔfrɛ no granulocytes yi, titiriw neutrophil nkwammoaa a ɛdɔɔso sen biara no so tew kɛse wɔ mogya no mu. Sɛ ɛba saa a, ɛkame ayɛ sɛ yɛn nipadua no ahobammɔ nhyehyɛe no sɛe koraa. Yefi ase yare ntɛmntɛm fi ɔyare mmoawa ketewaa bi mpo mu.

Mpɛn pii no, ɛsɛ sɛ obi a ɔwɔ apɔwmuden nya mogya mu nkwammoaa fitaa bɛboro 1,800 wɔ mogya microliter biara mu. Sɛ saa dodow yi kɔ fam sen 500 a, wɔfrɛ no Agranulocytosis. Eyi yɛ tebea a ɛyɛ hu paa.

Dɛn ne nneɛma a ɛde agranulocytosis ba?

Nneɛma atitiriw abien na ɛde tebea yi ba: nea wonya fi awo mu ne nea wonya.

1. Agranulocytosis a wɔde awo obi:

Eyi fi awosu mu sintɔ bi. Wɔwo mmofra binom a wɔn tumi a wɔde yɛ mogya mu nkwammoaa fitaa wɔ wɔn nnompe mu no so tew. Sɛ nhwɛso no, tebea bi wɔ hɔ a ɛntaa nsi a wɔfrɛ no Kostmann syndrome. Mmofra a wɔte saa taa nya atiridiinini, nyarewa, ne nnompe mu haw.

2. Agranulocytosis a ɛba akyiri yi:

Eyi ne tebea a ɛtaa ba. Ebetumi aba akyiri yi wɔ asetra mu esiane nneɛma ahorow nti.

Ɔkwan bɛn so na nnuru de saa tebea yi ba?

Nnuru na ɛde eyi ba kɛse. Sɛ wonom nneɛma te sɛ nnuru bi a ekum kokoram a, obiara mogya mu nkwammoaa fitaa so tew. Nanso nnuru bi wɔ hɔ a ɛwom sɛ ɛnyɛ ɔhaw mma nnipa dodow no ara de, nanso ebetumi ama nnipa kakraa bi anya agranulocytosis.

• Nnuru a ɛnam nipadua no mu tumi a ɛko tia nyarewa so yɛ adwuma: Nnuru bi ma yɛn nipadua no yɛ nneɛma a ɛko tia nyarewa a ɛtow hyɛ yɛn ankasa mogya mu nkwammoaa fitaa so.
• Nnuru a wɔde siw nnompe mu ntini ano: Nnuru bi (e.g. valproic acid, carbamazepine, nnuru bi a ekum ɔyare mmoawa te sɛ amoxicillin) gyae mogya mu nkwammoaa fitaa a ɛba nnompe mu ntini mu no.
• Nnuru a wɔde ko tia kokoram ne nnuru bi a wɔde sa adwenemyare: Eyinom nso yɛ ade titiriw a ɛma mogya mu nkwammoaa fitaa dodow so tew.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, sɛnkyerɛnne biara nni tebea yi ho pɔtee. Wohu no wɔ akwanhyia mu bere a wɔyɛ mogya mu nhwehwɛmu esiane biribi foforo nti no. Nanso, yare no ho sɛnkyerɛnne ahorow no nam nyarewa a nipadua no tumi ko tia nyarewa a ɛba fam de ba so.

• Atiridiinini a ano yɛ den a ɛba mpofirim
• Awɔw a wɔte nka na wo ho popo
• Ano mu akisikuru
• Tipaeɛ
• Fifiri a ɛrefifi
• Ntini a ɛma mogya tu a ahonhon
• mmerɛbo anaa akyi berɛmo a ɛho ahonhon
• Ɔbrɛ ne ɔbrɛ a ɛkɔ so daa

Ade a ɛyɛ hu sen biara wɔ tebea yi mu ne sɛ ɔyare mmoawa ketewaa bi mpo betumi abɛyɛ tebea a emu yɛ den a ɛde nkwa to asiane mu a wɔfrɛ no sepsis . Sepsis yɛ tebea a ɔyare mmoawa bi trɛw kɔ nipadua no mu nyinaa, mogya mmoroso kɔ fam ma ɛyɛ hu, na nipadua no mu akwaa mpo tumi di huammɔ. Eyi yɛ tebea a egye ayaresa ntɛm ara.

Nnipa a wɔadi boro mfe 65, wɔn a wɔwɔ ayaresa mu tebea afoforo te sɛ asaabo mu yare anaa komayare no, wɔ asiane kɛse mu sɛ wobenya nsɛnnennen sɛ wonya agranulocytosis yare mmoawa a.

Ɔkwan bɛn so na wɔsa?

Ade a edi kan ne nea ɛho hia sen biara a ɛsɛ sɛ woyɛ wɔ eyi ho ayaresa mu ne sɛ wubehu nea ɛde ba .

• Nea ɛde Ba no a Wɔsa: Sɛ aduru bi na ɛde tebea yi ba a, mpɛn pii no, tebea no tu mpɔn wɔ adapɛn 2-3 akyi bere a woagyae aduru no sɛnea wo duruyɛfo kyerɛ no. Sɛ nea ɛde ba no yɛ ɔyare mmoawa a, ɛsɛ sɛ wɔsa.
• Mogya mu nkwammoaa fitaa a wɔkanyan no: Wɔde nnuru titiriw te sɛ Filgrastim ma na ama mogya mu nkwammoaa fitaa dodow akɔ soro. Eyinom kanyan nnompe mu ntini no na ɛma neutrophil a wɔyɛ no yɛ kɛse.
• Nyarewa a wobɛsa: Sɛ wowɔ ɔyare mmoawa bi a, wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa. Wɔ ɔyare mmoawa anaa fungal yare mmoawa ho no, wɔbɛma wo nnuru pɔtee bi. Sɛ ɔyare no mu yɛ den a, ebia ɛho behia sɛ wɔde wo kɔ ayaresabea na wɔma wo ayaresa a wɔde fa ntini mu (IV).
• Nnompe mu ntini a wɔde si ananmu: Sɛ ayaresa foforo biara nni hɔ a etu mpɔn a, wobetumi abu nnompe mu ntini a wɔde bɛma obi a ɔne no yɛ pɛ no sɛ ɔkwan a etwa to.

Ɔkwan bɛn so na ɛsɛ sɛ obi a ɔwɔ agranulocytosis hwɛ ne ho?

Sɛ wowɔ saa tebea yi a, wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw koraa, enti ɛsɛ sɛ wohwɛ yiye kɛse na ama woabɔ wo ho ban afi nyarewa ho.

Ɛwom sɛ agranulocytosis yɛ tebea a emu yɛ den de, nanso mpɛn pii no, sɛ wohu nea ɛde ba na wɔsa no yiye a, wobetumi asa. Ade a ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn bere a woahu sɛ ɔyare no ho sɛnkyerɛnne ketewaa bi (atiridiinini, nipadua mu yaw) ara pɛ. Sɛ woyɛ ho biribi ntɛm a, ebetumi aboa ma wɔasiw nsɛnnennen a anibere wom ano.