Ɛtɔ da bi a, sɛ wokɔ oduruyɛfo nkyɛn a, ɔkyerɛw mogya mu nhwehwɛmu, ɛnte saa? Ɛbɛyɛ sɛ woahu nkyerɛwde abiɛsa ‘ESR’ a ɛwɔ so no. Nnipa pii susuw sɛ, ‘Dɛn ne ESR yi?’ bere a wohu no. Ɛma yenya ɔhaw bi a ɛwɔ yɛn nipadua mu ho nsɛnkyerɛnne a ɛho hia ankasa. Enti ɛnnɛ, momma yɛnka nea ESR yi yɛ, nea enti a wɔyɛ, ne nea amanneɛbɔ no ka ho asɛm.
Dɛn ne ESR kɛkɛ?
ESR yɛ nsɛmfua atenten ‘Erythrocyte Sedimentation Rate’ no tiawa. Wɔ Sinhala kasa mu no, ɛkyerɛ sɛnea mogya no tu ntɛmntɛm. Nanso yɛn mu biara mfa saa din tenten no nni dwuma, yɛtaa ka ESR kɛkɛ.
Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Ɛhwɛ titiriw sɛ wowɔ "ɔfĩ" wɔ wo nipadua mu baabiara anaa. Sɛ yɛbɛka no tiawa a, ɔfe yɛ yɛn nipadua mu baabi a ɛho ahonhon a ɔyare mmoawa, opira, anaa aduruyɛ mu tebea foforo bi na ɛde ba.
Susuw ho saa kwan yi so. Wofa wo mogya no mu kakraa bi, de mogya mu nkwammoaa kɔkɔɔ no gu ahwehwɛ a ɛyɛ tratraa atenten (afiri a wɔde sɔ hwɛ) mu na wugyaw wɔ hɔ bɛyɛ dɔnhwerew biako. Mpɛn pii no, bere kɔ so no, mogya mu nkwammoaa kɔkɔɔ yi bɛtra afiri no ase. Nanso, sɛ ɔfe wɔ wo nipadua mu baabi a, protein soronko bi a ɛwɔ mogya no mu ma mogya mu nkwammoaa kɔkɔɔ yi bata ho na ɛyɛ akuwakuw nketenkete. Esiane sɛ saa akuwakuw yi mu yɛ duru nti, ɛmem kɔ nsukorabea no ase ntɛmntɛm sen nkwammoaa biako a ɛte saa.
ESR sɔhwɛ no susuw ahoɔhare a mogya mu nkwammoaa kɔkɔɔ no kɔ fam. Dodow a nkwammoaa no kɔ fam ntɛmntɛm no, dodow no ara na ɔfe no dɔɔso wɔ nipadua no mu.
Bere bɛn na oduruyɛfo hyɛ sɛ wɔnyɛ ESR nhwehwɛmu?
Sɛ wowɔ sɛnkyerɛnne a ɛwɔ ase ha no mu biako anaa nea ɛboro saa a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo na aboa ma woahu nea ɛde ba.
- Ti a ɛyɛ yaw a ɛkɔ so daa
- Nkwaa a ɛho ahonhon, ɛyɛ den, ne ɛyaw
- Ɛyaw a ɛba kɔn, mmati, anaa akyi berɛmo mu
- Akɔnnɔ
- Mu duru a ɛso tew a ntease pɔtee biara nni ho
Ɛwom sɛ ESR nhwehwɛmu no nkutoo ntumi nhu yare bi de, nanso ɛma yenya biribi a ɛho hia a ɛbɛma yɛahwɛ yiye wɔ aduruyɛ mu tebea horow a edidi so yi ho:
| Tebea | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Nyarewa a ɛwɔ nipadua no mu | Titiriw nneɛma te sɛ nnompe mu yare. |
| Kokoram | Kokoram ahorow bi betumi ama ɔfe a ɛwɔ nipadua no mu no ayɛ kɛse. |
| Ntini a Ɛma Ntini Mu Nyarewa | Nea ɛba wɔ asɛm yi mu ne sɛ yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no tow hyɛ yɛn ankasa nkwaa so. |
| Lupus a ɛyɛ hu | Eyi nso yɛ ɔhaw wɔ nipadua no mu tumi a ɛko tia nyarewa no ho. Ebetumi asɛe honam ani, nkwaa, ne akwaa afoforo. |
| Tebea afoforo a ɛma obi ho hyehye no | Sɛ nhwɛso no, tebea horow te sɛ mogya ntini a ɛyɛ hyew (Systemic Vasculitis) anaa ntini a ɛyɛ den ne ɛyaw (Polymyalgia Rheumatica). |
Afei nso, sɛ worenya tebea bi a ɛte sɛɛ ho ayaresa dedaw a, nnuruyɛfo de ESR sɔhwɛ yi di dwuma de hwɛ sɛnea ayaresa no reyɛ adwuma yiye ama wo . Sɛ ayaresa no yɛ yiye a, ɛsɛ sɛ ESR bo no so tew nkakrankakra.
Mɛyɛ dɛn asiesie me ho ama mogya mu nhwehwɛmu yi?
Ɛho nhia sɛ woyɛ biribi titiriw biara de siesie wo ho ma eyi, te sɛ adidi anaasɛ worennom. Nanso, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu.
- Nnuru biara a worenom (a vitamin anaa nnuru a wɔde ka ho ka ho).
- Ɛno ne sɛ woanyinsɛn a.
- Ɛne sɛ, nna a wo bra no.
Efisɛ saa nneɛma yi betumi aka ESR bo a ɛsom no. Wɔ lab no, ɔyarehwɛfo bi bɛfa mogya ketewaa bi afi ntini bi a ɛwɔ wo basa mu mu. Ebia wobɛte ɛyaw kakra bere a wode ade no ahyɛ mu no, nanso ebefi hɔ wɔ simma kakraa bi mu. Afei wɔde plaster ketewaa bi bɛpete beae no.
Dɛn na ESR amanneɛbɔ no kyerɛ?
Mpɛn pii no, wubetumi anya amanneɛbɔ no wɔ dɔnhwerew biako anaa abien mu. Botae a ɛwɔ amanneɛbɔ no so no yɛ milimita dɔnhwerew biara (mm/dɔnhwerew). Eyi kyerɛ baabi a mogya mu nkwammoaa kɔkɔɔ no ahwe ase akodu afiri no ase wɔ dɔnhwerew biako mu.
ESR gyinapɛn ahorow a ɛfata no gu ahorow wɔ onipa biara mu, a egyina mfe a obi adi ne ɔbarima anaa ɔbea so.
| Ekuo | ESR Botae a ɛyɛ daa wɔ mm/dɔnhwerew mu |
|---|---|
| Mmarima a wonnii mfe 50 | 0 - 15 na ɛyɛ |
| Mmarima a wɔadi boro mfe 50 | 0 - 20 na ɛyɛ |
| Mmea a wonnii mfe 50 | 0 - 20 na ɛyɛ |
| Mmea a wɔadi boro mfe 50 | 0 - 30 na ɛyɛ |
| Mmɔfra | 0 - 10 na ɛyɛ |
Nneɛma afoforo nti a ESR bo kɔ soro:
Ɛnyɛ bere nyinaa na ESR a ɛkɔ soro no yɛ yare a emu yɛ den ho sɛnkyerɛnne. Nneɛma a edidi so yi nso betumi ama ESR akɔ soro:
- Mogya a ɛtɔ kɔ nipadua mu
- Mpanyinyɛ
- Asaabo mu haw ahorow
- Thyroid nyarewa ahorow
- Nyinsɛn anaa brayɛ
- Nipadua mu srade a ɛboro so
- Nnuru bi, te sɛ nnuru a wɔde siw awo ano ne vitamin A
So ESR nkutoo dɔɔso ma wohu yare no?
Eyi ne ade a ɛho hia sen biara. Dabi, ESR bo no nkutoo nnɔɔso sɛ wobetumi ahu yare bi.
Kae sɛ, sɛ ɔfe bi wɔ nipadua no mu nkutoo a, ESR sɔhwɛ no kyerɛ wo. Entumi nkyerɛ wo baabi pɔtee a ɛwɔ anaa nea ɛde bae. Ɛte sɛ nea wuhu wusiw nanso wuntumi nhu baabi pɔtee a ogya no wɔ.
Enti, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu afoforo pii de ka ESR bo no ho.
- CRP (C-reactive protein) sɔhwɛ: Eyi yɛ mogya mu nhwehwɛmu foforo a ɛho hia a ɛhwehwɛ ɔfe.
- Mogya mu nhwehwɛmu afoforo: Nhwehwɛmu pɔtee afoforo a egyina sɛnkyerɛnne ahorow no so.
- Mfonini Sɔhwɛ: Sɔhwɛ te sɛ X-ray ne scan.
- Biopsy a wɔde hwɛ:Ɛtɔ mmere bi a, wɔfa ntini ketewaa bi a ɛka no na wɔsɔ hwɛ.
Enti, ɛho hia sɛ wo ne wo duruyɛfo susuw wo ESR amanneɛbɔ ne nhwehwɛmu afoforo biara a ɛsɛ sɛ woyɛ ho. Ɔno na ɔbɛfa eyinom nyinaa abom, akyerɛ wo tebea pɔtee, na wakyerɛw ayaresa a ɛho hia ama wo.
Nkrasɛm a Wɔde Kɔ Fie
- ESR yɛ mogya mu nhwehwɛmu a ɛnyɛ den a wɔde hwɛ sɛ ɔfe wɔ nipadua no mu anaa.
- ESR a ɛkɔ soro yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya aduruyɛ mu tebea bi, nanso ɛnyɛ nea ɛkyerɛ sɛ obi anya yare no ankasa.
- ESR gyinapɛn ahorow nso betumi asesa esiane nneɛma a ɛnyɛ aduruyɛ te sɛ nyinsɛn, onyin, ne nnuru nti.
- Bere nyinaa wo ne wo duruyɛfo nkasa na woate nea wo ESR amanneɛbɔ no kyerɛ ne anammɔn a ɛsɛ sɛ woyɛ akyi no ase.
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