So woahu botae bi a wɔfrɛ no ‘PLT’ pɛn bere a wohwɛ Full Blood Count amanneɛbɔ bi no? Anaasɛ woapirapira ketewaa bi a ɛde akuru kɛse ba, anaasɛ mogya tu wo sẽ bere a worehohoro wo sẽ no pɛn? Eyinom nyinaa betumi ayɛ nea ɛfa nkwammoaa kuw ketewaa bi a ɛwɔ wo mogya mu a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ ho. Wɔsan frɛ wɔn thrombocytes. Enti, ɛnnɛ yɛbɛka nea mogya nkwammoaa yi yɛ ne nea ɛba bere a ɛba fam dodo no ho asɛm.
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Enti, dɛn ne mogya nkwammoaa yi?
Sɛ yɛbɛka no tiawa a, mogya nkwammoaa yɛ nkwammoaa nketenkete a ɛwɔ yɛn mogya mu a ɛba yɛn nnompe mu. Wɔn adwuma titiriw ne sɛ wobegyae mogyatɔw bere a yɛapira no. Susuw sɛnea wo mogya gyae bere tiaa bi akyi bere a woatwitwa wo basa no ho hwɛ. Saa bere no, mogya nkwammoaa yi ba te sɛ abran, bom yɛ mogya a ɛtɔ, na ɛsɔ kuru no ano. Ɛte sɛ mfiridwumayɛfo nkumaa kuw bi a wɔde ahopere resiesie paipu a abubu.
Ɔkwan bɛn so na wɔsusuw Platelet Count?
Wɔde mogya mu nhwehwɛmu a wɔyɛ no daa na ɛkyerɛ mogya nkwammoaa dodow. Wɔsusu eyi wɔ Complete Blood Count (CBC) sɔhwɛ a yɛtaa yɛ no mu. Eyi betumi ahwɛ mogya mu nkwammoaa dodow a ɛwɔ mogya no mu a mogya mu nkwammoaa fitaa ne mogya mu nkwammoaa kɔkɔɔ no ka ho.
Momma yɛnhwɛ sɛnea ɛsɛ sɛ mogya mu nkwammoaa kɔkɔɔ dodow a ɛfata yɛ wɔ obi a ɔwɔ apɔwmuden mogya mu.
| Gyinabea | Mprɛte dodow a ɛwɔ mogya microliter biara mu |
|---|---|
| Akwahosan/Normal Level | 150,000 kosi 450,000 |
| Nneɛma a ɛba fam (Thrombocytopenia) . | Ennu 150,000 |
| Ɔkwan a ɛkɔ soro (Thrombocythemia/Thrombocytosis) . | Bɛboro 450,000 |
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Check Availability →Momma yɛnka mogya nkwammoaa a ɛba fam (Thrombocytopenia) ho asɛm .
Sɛ wo mogya nkwammoaa dodow nnu 150,000 a, nnuruyɛfo frɛ tebea yi thrombocytopenia. Eyi ne bere a wunni mogya nkwammoaa a ɛdɔɔso a ɛbɛma woagyae mogya a ɛretu bere a woapira akyi no.
Dɛn ne sɛnkyerɛnne ahorow no?
Ɛtɔ mmere bi a, mogya mu nkwammoaa a ɛso tew kakra no betumi amfa sɛnkyerɛnne biara amma. Nanso, sɛ dodow no so tew kɛse a, ebia wubehu nneɛma te sɛ:
- Akuru a ɛnyɛ den: Sɛ wobɔ kakra mpo a, ebetumi ama woanya akuru akɛse a ɛyɛ bruu/akuturuku.
- Mogya a ɛtɔ a ɛyɛ den sɛ wobesiw ano: Mogya a ɛba anom bere a worehohoro wo sẽ, mogya a ɛtaa tu fi hwene mu, mogya a ɛkyɛ fi kuru ketewaa bi mpo mu.
- Mogya a ɛtɔ gu nipadua no mu: Mogya a ɛba nsu mu, mogya a ɛwɔ nsu mu (ebia nsu no yɛ tuntum), mogya a ɛwɔ ɔfe mu (ebetumi ayɛ te sɛ kɔfe a wɔayam).
- Nsonsonoe kɔkɔɔ a ɛwɔ honam ani: Nsonsonoe nketenkete a ɛyɛ kɔkɔɔ na ɛyɛ tratraa (petechiae) a mogya a ɛtu fi mogya ntini a ɛwɔ honam ani no mu na ɛde ba.
- Nsonsonoe a ɛyɛ kɔkɔɔ wɔ honam ani: Nsonsonoe akɛse a ɛyɛ kɔkɔɔ, kɔkɔɔ, bruu-kɔla (Purpura) a mogya a ɛtɔ wɔ honam ani.
- Ɔbrɛ ne mmerɛwyɛ a ɛboro so.
- Mogya a ɛtɔ kɛse bere a mmea rekɔ brayɛ mu.
- Akisikuru anaa mmerɛbo a ɛho ahonhon.
Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na woahwehwɛ afotu a ɛnkyɛ.
Dɛn nti na mogya mu nkwammoaa a ɛma mogya tu no so tew?
Nneɛma atitiriw abiɛsa nti na mogya mu nkwammoaa kɔkɔɔ sua:
1. Nnompe mu ntini no ntumi mma mogya nkwammoaa a ɛdɔɔso.
2. Nipadua no sɛe mogya nkwammoaa a ɛma mogya tu ntɛmntɛm anaasɛ ɛde di dwuma.
3. Akisikuru no kura mogya nkwammoaa mu na ɛnnyi mu bere a ɛho hia no.
Eyinom ne nyarewa ne nneɛma a ɛde tebea horow yi ba no bi:
- Nnompe mu yareɛ: Tebea a ɛntaa nsi te sɛ Aplastic Anemia, mogya mu kokoram te sɛ Leukemia anaa Lymphoma.
- Kokoram ayaresa: Nnuru ne mframa a wɔde sa yare betumi asɛe nnompe mu ntini no.
- Vitamin a enni nipadua mu: Sɛ vitamin B12 ne folate sua a, ɛbɛyɛ den sɛ nnompe mu ntini no bɛyɛ mogya nkwammoaa.
- Tebea horow a nipadua no tumi ko tia nyarewa: Wɔ nyarewa te sɛ Lupus ne Rheumatoid Arthritis mu no, nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ n’ankasa mogya nkwammoaa so na ɛsɛe.
- Nyarewa: Nyarewa a efi mmoawa mu te sɛ HIV, Hepatitis C, ne ɔyare mmoawa bi.
- Nnuru bi:Nnuru bi te sɛ Heparin ne Quinine betumi ama mogya nkwammoaa asɛe.
- Nyarewa te sɛ mmerɛbo mu akisikuru: Eyinom betumi ama akyi berɛmo no ahonhon na mogya nkwammoaa atɔ mu.
- Nsã a wɔnom boro so.
- Oprehyɛn atitiriw bi: Sɛ nhwɛso no, koma mu oprehyɛn.
Momma yensua mogya nkwammoaa a ɛkɔ soro (Thrombocythemia/Thrombocytosis) nso ho ade .
Ntini mu mogya mu nkwammoaa dodow boro 450,000 nso yɛ ɔhaw. Eyi betumi ama mogya a ɛtɔ a wɔmpɛ ayɛ . Saa mogya a ɛtwetwe yi betumi akɔhyɛ mogya ntini no mu na ɛde tebea horow a asiane wom te sɛ komayare, akisikuru, ne ahurututu mu ntini a ɛma mogya tu aba.
Saa tebea yi ahorow abien na ɛwɔ hɔ:
- Primary Thrombocythemia: Eyi fi mogya nkwammoaa a ɛba nnompe mu ntini mu wɔ ɔkwan a ɛnteɛ so. Mpɛn pii no, awosu mu nsakrae na ɛde eyi ba.
- Secondary Thrombocytosis: Eyi ne thrombocytosis a ɛtaa ba, baabi a wɔkanyan nnompe mu ntini no ma ɛyɛ mogya nkwammoaa pii esiane aduruyɛ mu tebea foforo nti (e.g., ɔyare mmoawa, dade a enni nipadua no mu).
Mpɛn pii no, wohu sɛnkyerɛnne ahorow no kɛse wɔ nea edi kan no mu. Nhwɛso ahorow bi ne:
- Nsa ne anan a ɛyɛ kɔkɔɔ, ɛhyew, na ɛyɛ mmerɛw.
- Koko mu yaw.
- Tiyɛ, adwenemhaw, mmerɛwyɛ.
- Nsakrae a ɛba wɔ anisoadehu mu.
- Mogya a ɛtɔ (ɛwom sɛ mogya nkwammoaa pii wɔ hɔ de, nanso ɛtɔ mmere bi a ɛnyɛ adwuma yiye).
Sɛ mogya nkwammoaa a ɛwɔ mogya mu no sua a, dɛn na ɛsɛ sɛ yɛyɛ?
Ayaresa a wɔde sa mogya nkwammoaa a ɛba fam no gyina nea ɛde sɛnkyerɛnne ahorow no ba ne sɛnea emu yɛ den so. Wo duruyɛfo na ɔbɛkyerɛ ayaresa a eye sen biara.
- Nea ɛde ba no a wɔbɛsa: Sɛ aduru bi na ɛma mogya mu nkwammoaa a ɛwɔ mogya mu no so tew a, wobetumi agyae saa aduru no na wɔama foforo. Sɛ iron anaa vitamin a ɛho nhia a, wobetumi de nnuru a wɔde ka aduan ho ama.
- Nnuru: Wobetumi ama nnuru te sɛ Corticosteroids (e.g. Prednisone) a ɛma mogya nkwammoaa dodow kɔ soro, nnuru te sɛ Eltrombopag ne Romiplostim a ɛma mogya nkwammoaa a ɛwɔ nnompe mu no yɛ kɛse, ne nnuru te sɛ Immunoglobulin a ɛbɛma nipadua no asiw mogya nkwammoaa a ɛsɛe no ano.
- Mogya anaa mogya mu nkwammoaa a wɔde ma: Sɛ mogya tu anaasɛ mogya mu nkwammoaa dodow sua koraa a, wobetumi de mogya nkwammoaa a ɛwɔ akyi no ama.
- Splenectomy: Sɛ ayaresa afoforo antumi anyɛ yiye na akyi berɛmo no resɛe mogya nkwammoaa a, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi akyi berɛmo no .
Nea ɛho hia sen biara ne sɛ ɛsɛ sɛ wɔyɛ eyinom nyinaa wɔ nnuruyɛfo afotu ase. Mma wo ho nnpopo na yɛ biribiara a ebetumi ama wɔakyere wo esiane sɛ bo bi a ɛwɔ amanneɛbɔ no so asesa nti. Wo ne wo duruyɛfo nkasa bere nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Nkwammoaa a ɛma mogya tu yɛ nkwammoaa nketenkete a ɛwɔ yɛn mogya mu a ɛboa ma mogya tu bere a yɛapira no.
- Wɔde mogya dodow a edi mũ (CBC) susuw eyinom. Nnipa dodow a wɔwɔ apɔwmuden no yɛ 150,000 kosi 450,000.
- Thrombocytopenia betumi ama obi ayɛ mmerɛw na mogya atɔ no.
- Ntini mu mogya mu nkwammoaa dodow a ɛkɔ soro (thrombocytosis) betumi ama mogya atɔw a wɔmpɛ, na ebetumi ama obi anya tebea horow a emu yɛ den te sɛ komayare ne akisikuru.
- Saa tebea abien yi nyinaa betumi afi aduruyɛ mu tebea bi a ɛda adi mu aba. Enti sɛ wuhu biribi a ɛnteɛ wɔ wo mogya mu nhwehwɛmu mu a, mma wo ho nnyɛ wo hu, wo ne wo duruyɛfo nka ho asɛm na nya afotu ne ayaresa a ɛfata.
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