Ni aw ye joginda fitini dɔ sɔrɔ, basi bɛ jɔ waati dɔ kɔfɛ, ɔnhɔn? O bɛ Kɛ k'a sababu Kɛ an farikolo lafasali fɛɛrɛ kabakoma dɔ ye. Nka mɔgɔ dɔw fɛ, o joli kurulen tɛ kɛ ka ɲɛ. Hali ni joginda fitini dɔ bɛ se ka kɛ sababu ye ka joli bɔ ka taa a fɛ. Bi an bɛ kuma joli-sira-funu kan, o ye bana ye min bɛ sɔrɔ cɛya la, min bɛ kɛ sababu ye ka joli-sira-funu-bana jugumanba bila mɔgɔ la.
Ne bɛ se k’a dɔn cogo di ni jolidɛsɛ bɛ ne la?
N’an y’a fɔ cogo nɔgɔman na, ni an farikolo bɛ joli daminɛ, kemikɛli cakɛda dɔ bɛ daminɛ k’a jɔ. O kɔlɔlɔ laban ye joli kurulen (Fibrin clot) sɔrɔli ye. Protéine kɛrɛnkɛrɛnnen damadɔ minnu bɛ an joli la, olu bɛ dɛmɛ ka o joli kurulen in dilan. An b'o Weele ko "colotting factors" walima Clotting Factors .
Hémophilie ye bana ye min bɛ sɔrɔ cɛya la, joli kurulenw dɔ, kɛrɛnkɛrɛnnenya la Factor VIII walima Factor IX, tɛ sɔrɔ walima a hakɛ bɛ dɔgɔya. O kɔrɔ ye ko joli tɛ kuru ka bɔ a cogo la.
Ni dɔgɔtɔrɔ dɔ bɛ sigasiga ko jolidɛsɛ bɛ aw la, u bɛna joli sɛgɛsɛgɛli caman kɛ aw la walasa ka a dɔn aw joli bɛ kuru cogo min na. O sɛgɛsɛgɛliw dɔw ye:
- Aw bɛ aw joli ta, ka a ɲagami furakisɛ kɛrɛnkɛrɛnnenw na laboratuwari kɔnɔ, ka sɔrɔ ka a sɛgɛsɛgɛ walasa ka a dɔn ni joli kuru dɔ bɛ bɔ, ani ni o don, a bɛ bɔ joona cogo min na.
- Ni o sɛgɛsɛgɛliw ma kɛ cogo la, o kɔfɛ, aw bɛna joli sɛgɛsɛgɛli kɛrɛnkɛrɛnnen caman kɛ walasa ka Facteur VIII ni Facteur IX hakɛ jateminɛ aw joli la.
Nin sɛgɛsɛgɛliw bɛna dɔgɔtɔrɔ dɛmɛ ka a dɔn tigitigi jolidɛsɛ suguya min bɛ aw la (A walima B) ani a juguya cogo min na.
Ɲɛgɛnɛsiraw furakɛcogo jumɛnw bɛ yen?
Furakɛli caman bɛ yen jolidɛsɛ furakɛli la. Aw mago bɛ furakɛli suguya min na, o bɛ bɔ jolidɛsɛ suguya la ani a juguya.
Misali la, ni jolidɛsɛ misɛnni bɛ aw la, aw bɛ se ka furakɛli kɛ dɔrɔn ni joginda dɔ bɛ aw la walima ni aw bɛ opereli labɛn. Nka, ni jolidɛsɛ jugumanba bɛ aw la ani ni joli bɛ to ka bɔ aw la, aw bɛ se ka furakɛli kɛ tuma bɛɛ walasa ka basi bali ani ka aw kolotugudaw tanga bɔgɔbɔgɔli ni nalomaya ma.
Furakɛli fɛɛrɛ kunbabaw ye ninnu ye:
| Furakɛli kɛcogo | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Joli kuruli furaw dicogo (Factor Replacement Therapy) . | Joli kurukuru min tununna walima min ka dɔgɔn (Facteur VIII walima IX) dili jolisira fɛ (jolisira fɛ) o de ye furakɛli kunba ye. |
| Fura suguya wɛrɛw | Fura wɛrɛw dili walasa ka joli bɔli kunbɛn, ni joli kurulanw bɛ u la walima ni u tɛ u la. |
| Joli bɔli kolotugudaw ni gɛlɛya wɛrɛw furakɛli | Joli tiɲɛni kunbɛnni ka a sababu kɛ joli bɔli ye tuma caman na, farikoloɲɛnajɛ furakɛli, ani ɲɛnamaya kɛcogo caman yeli. |
Fura kɛrɛnkɛrɛnnen minnu bɛ kɛ, an ka olu lajɛ kosɛbɛ.
Hémophilia A bɛ mɔgɔ minnu na, olu bɛ facteur VIII di u ma, ani hemophilia B bɛ mɔgɔ minnu na, facteur IX bɛ di olu ma. O ko ninnu bɛ Kɛ cogoba fla la:
1. Joli joli-sira-funu dilen
2. ADN sintetiki/Recombinant min bɛ bɔ ADN la
Sisan, fɛn suguya kuraw dabɔra walasa u ka to farikolo la ka mɛn, o kɔrɔ ye ko pikiri caman man kan ka kɛ ka tɛmɛ fɔlɔ kan.
| Fura tɔgɔ | Baarakɛcogo ni baarakɛcogo |
|---|---|
| Emisizumabi-kxwh (HEMLIBRA) . | Fura min bɛ di walasa ka joli bɔli bali walima ka a dɔgɔya jolidɛsɛbanabagatɔw la A. A bɛ baara kɛ ni facteur VIII tununnen bilali ye a nɔ na cogo wɛrɛ la. A bɛ kɛ farikolo jukɔrɔla pikiri ye siɲɛ kelen dɔgɔkun kɔnɔ. |
| Desmopresine (DDAVP) ye . | Fura min bɛ di mɔgɔ ma minnu bɛ ni jolidɛsɛ jugumanba ye A. A bɛ dɔ fara facteur VIII hakɛ kan joli la waati dɔɔni. A bɛ se ka kɛ jolisira fɛ, pikiri fɛ, walima nugulafura ye. |
| Fibrinolytique furaw (misali la, asidi tranexamic) . | Ninnu ye furaw ye minnu bɛ se ka ta i n’a fɔ furakisɛ. U bɛ baara kɛ ni joli kurulen dɔ bali ka wuli joona. Tuma dɔw la, u bɛ kɛ ka fara factor therapy kan. |
| Obizur (Obizur) ye | Nin ye fasa VIII sugu dɔ ye min bɛ sɔrɔ donsokɛw la. A tɛ kɛ ka jolidɛsɛ furakɛli kɛ, nka a bɛ kɛ ka bana dɔ furakɛ min man teli ka sɔrɔ, a bɛ daminɛ kɔfɛ min bɛ wele ko Acquired Haemophilia A. Nin bana in bɛ se ka sɔrɔ kɔnɔmaya fɛ, kansɛri fɛ walima fura dɔw fɛ. |
Ko wɛrɛw ani ɲɛnabɔli
An ka kan fana k’an janto gɛlɛya damadɔ wɛrɛw la minnu bɛ na ni jolidɛsɛ ye.
Joli bɛ bɔ kolotugudaw la
Nin ye jolidɛsɛ gɛlɛya jugumanba ye. Ni joli bɛ bɔ kolotugudaw la i n’a fɔ gɛnɛgɛnɛ, kɔkili walima senkɔni, a nafa ka bon ka facteur furakɛli kɛ joona. Ni o ma kɛ, kolotuguda bɛ se ka tiɲɛ kudayi, o bɛ kɛ sababu ye ka dimi bila a la, ka funu ani ka lamaga gɛlɛya lase a ma waati tɛmɛnen kɔfɛ. Ni joli bɔra, aw bɛ lafiɲɛ ani ka kolotuguda kɛ i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na. Dimi ni funu bannen kɔfɛ, farikoloɲɛnajɛ nafa ka bon kosɛbɛ walasa ka lamaga ni fanga sɔrɔ kokura kolotuguda la.
Farikoloɲɛnajɛw
Ni jolidɛsɛ bɛ mɔgɔ la, o kɔrɔ tɛ ko i ka kan ka to so tuma bɛɛ. Nka, hakilitigiyako don ka i yɔrɔ janya ɲɔgɔnkanu farikoloɲɛnajɛw la minnu bɛ se ka mɔgɔ jogin. Misali la, farikoloɲɛnajɛw i n’a fɔ rugbi ani bɔksi ma bɛn. Nka, farikoloɲɛnajɛ minnu bɛ kɛ i n’a fɔ jibɔ, taama, ani wotoro (cogo la min tɛ mɔgɔ tɔɔrɔ) ka ɲi farikolo ma kosɛbɛ. A ka fisa aw ka kuma aw ka dɔgɔtɔrɔ fɛ farikoloɲɛnajɛ minnu bɛnnen don aw ma ani aw man kan ka minnu kɛ.
Gɛlɛya jumɛnw bɛ se ka sɔrɔ furakɛli senfɛ?
Hali ni furakɛli minnu bɛ kɛ sisan, olu farati ka bon kosɛbɛ, gɛlɛya fila bɛ yen minnu ka kan ka kɔlɔsi.
1. Bana minnu bɛ sɔrɔ joli fɛ : Fɔlɔ, san 1970 ni 1980 waatiw la, faratiba tun bɛ banakisɛw tali la i n’a fɔ sidabanakisɛ ni sugunɛbilenni joli la furakɛli fɛ. Nka sisan, kun t’a la ka hami o ko la.Bi bi in na, jolidonbagaw bɛ sɛgɛsɛgɛ kosɛbɛ. Joli bɛɛ bɛ sɛgɛsɛgɛ ni banakisɛw tɛ a la, o kɔfɛ, a bɛ furakɛ ni fɛɛrɛ kɛrɛnkɛrɛnnenw ye walasa u kana baara kɛ sani a ka kɛ fura ye. O la, farati ka dɔgɔn kosɛbɛ sisan. Nka, i n’a fɔ jolidɛsɛbanatɔ, a nafa ka bon kosɛbɛ ka sugunɛbilenni A ni B boloci kɛ.
2. Banakisɛfagalanw bɛ ɲɔgɔn Changé (Inhibiteurs): Tuma dɔw la, an farikolo farikolo tangalanw bɛ fili an bɛ factor proteine min di ka bɔ kɛnɛma, o ye ‘jugu’ ye, ka binkanni daminɛ a kan. an b' o wele ko balilanw ( inhibiteurs ) sɔrɔli . O kɔfɛ, an bɛ factor therapy min di, o tɛ baara kɛ ka ɲɛ. Nin ye ko gɛlɛn ye dɔɔnin. O de kama aw ka dɔgɔtɔrɔ bɛna to ka aw (walima aw den) joli sɛgɛsɛgɛ walasa ka a dɔn ni nin faritanabana sugu bɛ kɛ.
Take-Home cikan
- Hémophilie ye joli-sira-funubana ye min bɛ sɔrɔ ciyɛn fɛ. A suguya belebele fila ye jolidɛsɛ A (Facteur VIII dɛsɛ) ani jolidɛsɛ B (Facteur IX dɛsɛ).
- Bana in bɛ sɔrɔ joli sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw fɛ.
- Furakɛli kunba ye ka joli kurulan dɔ di farikolo ma min tɛ sɔrɔ walima min ka dɔgɔn joli sira fɛ.
- Furakɛli minnu bɛ kɛ bi, farati tɛ olu la kosɛbɛ, wa u bɛ nɔ bɔ. Farati minnu tun bɛ waati tɛmɛnenw na, olu fanba tununna.
- Ni joli bɔra kolotuguda dɔ kɔnɔ, a nafa ka bon ka taa dɔgɔtɔrɔso la joona. O bɛ se ka dɛmɛ don ka kolotuguda tiɲɛni banbali bali.
- Aw bɛ baro kɛ ni aw ka dɔgɔtɔrɔ ye tuma bɛɛ ɲɛnamaya kɛcogo ni farikoloɲɛnajɛ kɛcogo min bɛnnen don aw ma. A nafa ka bon kosɛbɛ ka tugu dɔgɔtɔrɔ ka laadilikanw kɔ.











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