Aleke iron ƒe agbɔsɔsɔ le wò ŋutilã me le? (Ferritin Test) Mina míadi nu tso esia ŋu.

Èse nya sia si nye ‘Ferritin’ kpɔa? Ðewohĩ ɖɔkta aɖe bia tso asiwò be nàwɔ dodokpɔ sia. Alo ɖewohĩ èse xɔ̃wò aɖe ƒo nu tso eŋu kpɔ. Kpuie ko la, ferritin dodokpɔ sia nye ʋudodokpɔ si me woléa ŋku ɖe iron agbɔsɔsɔme si le wò ŋutilã me ŋu. Ga nye nusi le vevie na míaƒe ŋutilã, alo? Eyata mina míaƒo nu tso dodokpɔ sia ŋu tsitotsito egbea.

Míaƒe ŋutilã hiã iron be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me. Ʋumenugbagbevi dzĩ siawo tsɔa ɔksidzin tso lãkusi me yia ŋutilãa ƒe akpa mamlɛa. Iron hã le vevie be lãmeka siwo le lãmesẽ me, ƒumeŋuɖui, kple ŋutinu bubuwo nate ŋu awɔ dɔ nyuie. Wodzraa iron ɖesiaɖe si sɔ gbɔ ɖe wò ŋutilã me ɖo ɖe wò lãmenugbagbeviwo me abe ferritin ene, si wozãna emegbe. Esia ƒe akpa gãtɔ dzrana ɖo ɖe wò aklã kple dɔlélenutsiŋutete ƒe lãmenugbagbeviwo me.

Ne wò ŋutilã zã iron la, ferritin sue aɖe dona tso lãmenugbagbeviwo me yia ʋua me. Esia tae ferritin ƒe agbɔsɔsɔ si le wò ʋu me ate ŋu ana nàkpɔ iron agbɔsɔsɔme si wodzra ɖo ɖe wò ŋutilã me.

Nukatae ɖɔkta akafu ferritin dodokpɔ sia?

Enyo, azɔ mina míakpɔ nusita ɖɔkta aɖe aɖe gbe be yeado ferritin dodokpɔ sia ɖa. Susu vevitɔe nye be nàlé ŋku ɖe eŋu be iron agbɔsɔsɔme si sɔ le wò ŋutilã me hã. Ɣeaɖewoɣi la, ɖɔktawo wɔa esia tsɔ léa ŋku ɖe dɔléle aɖe ŋu hã. Eyae nye be ne wosusu be iron ƒe agbɔsɔsɔ si le mewò la mesɔ gbɔ o, alo ne èle dzesi siwo do ƒome kplii ɖem fia la, woaɖe gbe be woado dodokpɔ sia kpɔ. Elabena iron ƒe agbɔsɔsɔ si mesɔ gbɔ o kple esi sɔ gbɔ siaa ate ŋu ahe kuxiwo vɛ.

Le go aɖewo me la, ne nɔnɔme aɖe abe Restless Legs Syndrome (si fia be ɖeko wò afɔwo ƒe vevesese wɔnuku aɖe le ŋuwò, nèsena le ɖokuiwò me ɣesiaɣi be yeaʋuʋu yeƒe afɔwo), alo ne aklãdɔ aɖewo le ŋuwò la, àte ŋu awɔ ferritin dodokpɔ sia. Azɔ hã, ne wò Ʋu Xexlẽme Blibo (CBC) ɖee fia be wò Hemoglobin alo Hematocrit ƒe agbɔsɔsɔme le sue la, àte ŋu alé ŋku ɖe ferritin sia ŋu emegbe.

Ɣeaɖewoɣi la, togbɔ be dzesi aɖeke mele eŋu o hã la, ɖɔktawo zãa esia abe ‘dodokpɔ’ ene, si nye dodokpɔ si wotsɔ dea dzesi dɔléle hafi wòdzɔna. Gake menye na amesiame o. Wowɔa esia na amesiwo le afɔku gã me be woaxɔ iron ƒe vevesese. Le kpɔɖeŋu me:

• Ne wò kpekpeme mede esi wokafu o.
• Ne ʋu le dodom le ŋuwò vevie le wò ɣleti sia ɣleti me.
• Ne èfɔ fu.
• Ne nunyiame siwo le nuɖuɖu me xɔxlɔ̃ ƒe kuxiwo le ŋuwò (le kpɔɖeŋu me, nɔnɔme aɖe abe Dɔgbo ƒe Dɔléle si Naa Dɔdzẽ ene ) alo wowɔ dɔ aɖewo na wò le dɔgboa (GI) me.

Dzesi kawoe nye iron ƒe agbɔsɔsɔ si mede ame dzi o kple ferritin ƒe agbɔsɔsɔ si mede ame dzi o?

Azɔ mina míakpɔ dzesi siwo ate ŋu ado mo ɖa ne iron mesɔ gbɔ ɖe ŋutilãa me o, si fia be ne ferritin mesɔ gbɔ o. Míeyɔa esia hã be ‘ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o’ . Bu eŋu kpɔ ne èse le ɖokuiwò me alea:

• Ŋutilãa dzena abe ɖe wòle ɣie wu alesi wònɔna ɖaa ene.
• Ðeko mesena le ɖokuinye me be ɖeɖi te ŋunye eye nyemate ŋu awɔ naneke o.
• Sese le eɖokui me be yegbɔdzɔ .
• Ate ŋu ase le eɖokui me abe taɖuame ene .
• Ne èle zɔzɔm sesĩe alo le atrakpuiwo liam la, èsena le ɖokuiwò me abe gbɔgbɔtsixe tsia ƒowò ene (Dyspnea).
• Dzia ate ŋu ase le eɖokui me abe ɖe wòle ƒoƒom kabakaba ene (tachycardia).

Esiawo nye iron ƒe anyimanɔmanɔ ƒe dzesi vevi aɖewo.

Nukae nye iron kple ferritin si sɔ gbɔ ƒe dzesiwo?

Abe alesi gayibɔ sue aɖe ƒe amesinɔnɔ ene la, gayibɔ ƒe agbɔsɔsɔ fũ hã menyo o. Woyɔa esia be hemochromatosis , alo iron ƒe agbɔsɔsɔ fũ. Ate ŋu ahe dzesiwo abe:

• Ƒunukpeƒewo ƒe vevesese .
• Dzidɔ ate ŋu ado mo ɖa.
• Àte ŋu aɖe wò lolo dzi akpɔtɔ le susu aɖeke manɔmee.
• Àte ŋu axɔ dɔgbo veve .
• Ŋutilã ƒe fu ate ŋu adze gege gɔme .
• Gbɔdɔdɔ ƒe dzodzro ate ŋu aɖe akpɔtɔ .
• Ðewohĩ àse le ɖokuiwò me be ɖeɖi te ye ŋu eye agbe mele ye si ɣesiaɣi o.

Amekae doa Ferritin dodokpɔ sia kpɔna?

Zi geɖe la, ame aɖe si wona hehee etɔxɛe si woyɔna be ‘Phlebotomist’ ye ɖea ʋu sia . Eyae nye amesi bi ɖe ʋuɖeɖe me. Gake lãmesẽdɔwɔla alo dɔnɔdzikpɔla ɖesiaɖe si wona hehee be wòaɖe ʋu ate ŋu awɔ esia. Ne woɖe ʋua le asiwò vɔ la, woɖonɛ ɖe dodokpɔxɔ aɖe. Afimae Atikewɔwɔ Ŋuti Nudokpɔƒe ƒe Dzɔdzɔmeŋutinunyala aɖe dzraa kpɔɖeŋua ɖo eye wòzãa mɔ̃ tɔxɛwo (Analyzers) tsɔ wɔa dodokpɔ sia.

Ðe wòhiã be nàdzra ɖo hafi adze dodokpɔa gɔmea?

Ẽ, ɣeaɖewoɣi la, wò ɖɔkta agblɔ na wò be mègaɖu nu alo ano naneke gaƒoƒo 12 hafi nàdoe kpɔ o (tsi ko nyo). Míeyɔa esia be ‘nutsitsidɔ’. Gake menye ɣesiaɣie esia hiãna o. Eyata anyo wu be nàbia wò ɖɔkta alo dodokpɔxɔa tẽ. Mègakpe ŋu be yeabia be, "Ðɔkta, ɖe mele be maɖu nu hafi dodokpɔ sia nawɔ oa?" Ne nya aɖe le asiwò la, mègavɔ̃ be yeabia wò ɖɔkta o.

Nukae dzɔna ne èwɔ dodokpɔa?

Ʋudodo nye nusi ame geɖe nya nyuie. Gake mina míalé ŋku ɖe nusi tututu dzɔna ŋu:

• Ànɔ zikpui dzi. Emegbe lãmesẽdɔwɔla la alé ŋku ɖe wò abɔwo ŋu eye wòake ɖe ʋuka si me ʋu le bɔbɔe ŋu. Zi geɖe la, enɔa abɔta ƒe akpa si le eme.
• Ne wonya ke ɖe ʋukaa ŋu ko la, wokɔa teƒea ŋu nyuie hewua dɔlékuiwo.
• Emegbe wotsɔa aŋe sue aɖe dea ʋukaa me eye woɖea ʋu. Le ɣeyiɣi sia me la, àte ŋu ase le ɖokuiwò me be yeƒe lãme gbã vie eye wòase veve vie, abe alesi anyidi ɖu wò ene.
• Ne wotsɔ aŋea de eme vɔ la, woƒoa ʋu sue aɖe nu ƒu ɖe dodokpɔmɔ̃ me.
• Ne woɖe ʋu agbɔsɔsɔme si hiã hena dodokpɔa vɔ la, woɖea aŋea ɖa eye wotsɔa kotoklobo alo gaze kakɛ aɖe dana ɖe teƒea eye wotsɔa nyaƒoɖeamenu vi aɖe dea edzi be ʋua natɔ.
• Emegbe, wotsɔa aŋɔ sue aɖe ƒoa teƒea eye wowua dɔa nu.

Mexɔa aɖabaƒoƒo atɔ̃ hafi woate ŋu awɔ nusiawo katã o. Enye dɔ si wowɔna kabakaba ŋutɔ.

Le dodokpɔa megbea?

Ne woɖe wò ʋu vɔ la, woaɖoe ɖe dodokpɔxɔ aɖe be woadoe kpɔ. Ne nyatakakaa gatrɔ gbɔ ko la, wò ɖɔkta atsɔe afia wò eye wòaɖe eme tsitotsito.

Ðe afɔku aɖe le esia mea?

Ʋudodokpɔ bɔ ŋutɔ. Wole vevie le atikewɔwɔ me dodokpɔwo me. Eyata afɔku gã aɖeke mele esia me o. Àte ŋu ase veve vie alo blɔ le afisi woɖe ʋua le. Gake ema anyo ɖe edzi kpuie.

Ɣeyiɣi didi kae wòxɔna hafi akɔntabubua va ɖoa?

Zi geɖe la, àte ŋu axɔ wò ferritin dodokpɔ ŋuti nyatakaka le ŋkeke ɖeka alo eve megbe . Gake le dodokpɔxɔ aɖewo me la, ate ŋu axɔ ɣeyiɣi didi vie ɣeaɖewoɣi. Ate ŋu ato vovo tso dodokpɔxɔ ɖeka me yi bubu gbɔ.

Nukae le nyatakakaa me? Aleke nèse egɔmee?

Ne èxɔ ʋu ŋuti nyatakaka, si fia be ferritin ŋuti nyatakaka la, zi geɖe la, nyawo abe esiawo ene nɔa eme:

• Ʋudodokpɔ si wowɔ, alo nusi wodzidze le wò ʋu me la ƒe ŋkɔ.
• Nusi do tso wò ʋudodokpɔ me, si nye asixɔxɔ si le eŋu.
• Asixɔxɔwo ƒe didime si sɔ na dodokpɔ ma (si woyɔna hã be ‘nufiame ƒe didime’).
• Nyatakaka siwo ɖenɛ fiana ne wò emetsonua sɔ, mesɔ o, le sue, alo lolo.

Nukae nye ferritin ƒe agbɔsɔsɔ si sɔ?

Esia le vevie vie. Ferritin ƒe agbɔsɔsɔme ƒe didime si sɔ ate ŋu ato vovo vie tso dodokpɔxɔ me yi bubu gbɔ. Ne èxɔ wò nyatakaka la, agblɔ nusi nye didime si sɔ na dodokpɔxɔ ma.

Gake le goawo katã me la, ferritin ƒe agbɔsɔsɔ si sɔ la le ale:

• Le nyɔnuwo gome la : Nanogram 14.7 va ɖo 205.1 le mililita ɖeka me (14.7 va ɖo 205.1 ng/mL).
• Le ŋutsuwo gome la : Nanogram 30.3 va ɖo 565.7 le mililita ɖeka me (30.3 va ɖo 565.7 ng/mL).

Ne nya aɖe le asiwò ku ɖe wò nyatakakaa ŋu la, anyo godoo be nàbia wò ɖɔkta. Mègabu eŋu gɔ̃ hã be yeabia be, "Ðɔkta, ɖe esia sɔ nam?"

Nukae ferritin si sɔ gbɔ ɖe eme fia?

Ne ferritin ƒe agbɔsɔsɔ si le asiwò sɔ gbɔ la, nu ɖeka si ate ŋu atsoe nye nɔnɔme aɖe si woyɔna be hemochromatosis , si nye iron geɖe ƒe ƒoƒo ɖe ŋutilãa me.

Gake menye esia koe na ferritin dzina ɖe edzi o. Ferritin nye dzesi vevi aɖe si ɖea dɔdzẽ fiana le ŋutilã me. Eyata ne dɔlékui alo dɔdzẽ aɖe le ŋutilãa me la, ɖeko ferritin ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi.

Susu bubu siwo tae ferritin ate ŋu adzi ɖe edzi ɖo dometɔ aɖewoe nye:

• Ahanono fũu akpa (Ahanono ƒe kuxi).
• Dɔléle siwo nɔa anyi didi abe Suklidɔ kple Dɔlélenutsiŋutete ƒe dɔlélewo ene .
• Kansa ƒomevi aɖewo , le kpɔɖeŋu me, ʋumenugbagbeviɣidɔ (Leukemia alo Lymphoma).
• Amidada .
• Lãmetsiŋusẽ ƒe dɔwɔwɔ ƒe dzidziɖedzi (Hyperthyroidism).
• Still ƒe dɔléle si dzea egɔme tso ame tsitsiwo gbɔ .
• Aklãdɔlélewo , le kpɔɖeŋu me , aklãdɔléle .
• Nusiwo gblẽ le ƒumeŋuɖui, ƒumeŋuɖui, alo aklã ŋu .

Nukae ferritin si mebɔ o fia?

Ne wò ferritin ƒe nyatakaka ɖiɖi wu alesi wòle dzɔdzɔmee la, ate ŋu afia nusiwo le abe:

• Ʋusɔgbɔdɔ si me iron mele o . Esia fia be ʋumenugbagbevi dzĩ siwo le lãmesẽ me mesɔ gbɔ le wò ŋutilã me o. Esiae nye nusi ate ŋu ana ferritin ƒe agbɔsɔsɔ si mede ame dzi o tsona wu .
• Ʋu si dona le ame ŋu (zi geɖe la, etsoa dɔgboa me).
• Ðewohĩ wò ŋutilã mele iron xɔm nyuie tso nuɖuɖu siwo nèɖuna me o.

Ne ferritin ƒe agbɔsɔsɔ si le asiwò mesɔ gbɔ o la, anɔ eme be wò ɖɔkta aɖe gbe be woagado ʋu na wò zi ʋɛ aɖewo. Ne wotsɔ esia sɔ kple nyatakakaa la, woate ŋu anya alesi tututu iron mesɔ gbɔ na wò o. Dodokpɔ bubuwoe nye:

• Serum iron .
• Gayibɔ ƒe ŋutete bliboa (TIBC) .
• Transferrin ƒe ʋeʋẽ lilili .

Ðe wòle be matsi dzi ne nye ferritin ƒe agbɔsɔsɔ trɔa?

Esi wò ferritin ƒe nyatakaka la le sue alo sɔ gbɔ ta la, mefia be dɔléle sesẽ aɖe le ŋuwò o.

Ɣeaɖewoɣi la, nuwo abe wò nuɖuɖu kple dɔdzẽ ƒe nɔnɔme bubu siwo le wò ŋutilã me ene ate ŋu akpɔ ŋusẽ ɖe wò ferritin ƒe agbɔsɔsɔ dzi. Alo, vodada sue aɖe ate ŋu adzɔ ne wole ʋua xɔm hena dodokpɔa, tsɔe yi dodokpɔxɔ, alo le dodokpɔa wɔm le dodokpɔxɔa me.

Ne èkpɔ nusi mesɔ o la, wò ɖɔkta aƒo nu tso eŋu na wò eye ate ŋu awɔ dodokpɔ bubuwo atsɔ anya nusita asixɔxɔa trɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be iron ƒe anyimanɔmanɔ alo iron ƒe agbɔsɔsɔ fũ ƒe dzesi siwo ŋu míeƒo nu tsoe va yi la dometɔ aɖe le ye ŋu la, yi ɖɔkta gbɔ kaba ale si nàte ŋui.

Enye nusi sɔ be nàtsi dzodzodzoe vie ne èkpɔ tɔtrɔ aɖe le nyatakaka aɖe me. Gake ɖo ŋku edzi be wò ferritin mesɔ gbɔ alo sɔ gbɔ o, mefia ɣesiaɣi be dɔléle aɖe le ŋuwò alo ehiã be nàno atike o. Ame siwo le lãmesẽ me dometɔ ɖeka le 20 ɖesiaɖe me ate ŋu akpɔ nyatakaka si to vovo na alesi wòle be wòanɔ. Wò ɖɔkta agblɔ na wò ne ehiã be nàgawɔ dodokpɔ bubu aɖewo kple nusita asixɔxɔa trɔ.

Akpa nyuitɔ kekeakee nye be woate ŋu atsɔ atikewo, nuɖuɖu ƒe tɔtrɔ, alo atike bubuwo ada nɔnɔme geɖe siwo iron ƒe anyimanɔmanɔ hena vɛ dzidzedzetɔe.Eyata mègavɔ̃ be yeabia nya wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo wòle be míatsɔ ayi aƒemee tso ŋutinya sia mee nye:

Enyo, eyata míeƒo nu geɖe tso Ferritin dodokpɔa ŋu egbea, alo?

Kpuie ko la, esia dzidzea gayibɔ agbɔsɔsɔme si nèdzra ɖo ɖe wò ŋutilã me . Iron le vevie ŋutɔ na míaƒe ŋutilã.

• Dodokpɔ sia ate ŋu ade dzesi iron ƒe anyimanɔmanɔ (ʋusɔgbɔdɔ) kpakple iron ƒe agbɔsɔsɔ fũ .
• Ðewohĩ ahiã be nàdzudzɔ nuɖuɖu alo nunono hafi adoe kpɔ. Bia wò ɖɔkta tso esia ŋu.
• Ʋudodo le bɔbɔe, ewɔa dɔ kabakaba , eye afɔku mele eme boo o.
• Mègavɔ̃ na emetsonu si to vovo na nusi sɔ o . Ðo dze kple wò ɖɔkta be nànya nusitae.
• Ne dzesi aɖewo le ŋuwò si tso tɔtrɔ le iron ƒe agbɔsɔsɔ me gbɔ la, yi ɖɔkta gbɔ enumake .

Ðo ŋku edzi be dodokpɔ siawo li be woakpe ɖe mía ŋu míanɔ lãmesẽ me. Eyata ne ɖɔkta aɖe bia tso asiwò be nàwɔ dodokpɔ sia la, na nànya nu tso eŋu bliboe eye nàdze ŋgɔe.

` Iron, Ferritin, Ʋudodokpɔ, Ʋusɔgbɔdɔ, Ʋumenugbagbeviɣidɔ, Lãmesẽ, Dzesiwo