Ðe nane si wɔ nuku le wò ʋumenugbagbeviwo ŋua? Mina míakpɔ nusi (Peripheral Blood Smear - PBS) dodokpɔa gblɔ ɖa!

Ðe wodo ʋu na wò kpɔ eye ɖɔkta gblɔ na wò be nane gblẽ le nyatakakaa ŋua? Alo, le esi dzesi aɖewo le ŋuwò siwo gɔme mèse o ta la, ɖe ɖɔkta aɖe bia tso asiwò be nàwɔ ʋudodokpɔ tɔxɛ aɖea? Le ɣeyiɣi sia tɔgbe me la, woate ŋu abia tso asiwò be nàwɔ dodokpɔ aɖe si woyɔna be `(Peripheral Blood Smear)` alo `(PBS)`. Mina míaƒo nu tso dodokpɔ sia ŋu egbea ko.

Mina míakpɔ nusi `(Peripheral Blood Smear - PBS)` dodokpɔ sia nye gbã.

Kpuie ko la, Peripheral Blood Smear nye dodokpɔ si me wotsɔa nusuekpɔmɔ̃ léa ŋku ɖe ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩ siwo le wò ʋu me ŋu. Mɔ̃woe wɔa ʋudodokpɔ aɖewo. Gake le PBS me la, ɖɔkta alo atikewɔɖaŋudɔwɔla bibi aɖe léa ŋku ɖe lãmenugbagbevi siwo le wò ʋu me ŋu le nusuekpɔmɔ̃ me eye wòléa ŋku ɖe woƒe nɔnɔme, lolome, kple xexlẽme ŋu. Ele abe ʋɔnudrɔ̃la aɖe si le tɔtrɔ suesuesuewo dim le wò ʋumenugbagbeviwo me ene.

Nukatae ɖɔkta aɖe agblɔ na wò be nàwɔ `(PBS)` dodokpɔ sia?

Susu geɖe li siwo tae ɖɔkta ate ŋu abia tso asiwò be nàwɔ PBS dodokpɔ na wò ɖo.

• Ne vovototo le wò Ʋu Xexlẽme Blibo (CBC) me: Ðewohĩ èwɔ CBC kpɔ. Ne emetsonuwo ɖee fia be wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩwo mesɔ o, alo be woƒe xexlẽme le sue akpa alo sɔ gbɔ akpa la, wò ɖɔkta adi be yeanya nusitae. Ɣemaɣie CBC léa ŋku ɖe wò ʋumenugbagbeviwo ŋu nyuie be yeadze agbagba anya nusi tututu le edzi yim. Le kpɔɖeŋu me, CBC ate ŋu agblɔ na wò be wò ʋumenugbagbevi ɣiwo mesɔ gbɔ akpa. CBC ate ŋu agblɔ nu geɖe na wò tso wò ʋumenugbagbevi ɣiwo ƒe nɔnɔme ŋu, alo ʋumenugbagbevi ɣi ƒomevi si mebɔ o.
• Ne dzesi siawo dometɔ aɖe le ŋuwò: ɣeaɖewoɣi la, èsena le ɖokuiwò me be ɖeɖi te ye ŋu si womate ŋu aɖe o, èdzea dɔ enuenu, ʋu le dodom le wò ŋutilã ƒe teƒe aɖewo, alo dzesi bubu siwo mebɔ o le ŋuwò la, wò ɖɔkta ate ŋu asusui be ʋukuxi aɖe le ŋuwò. Ɣemaɣi gɔ̃ hã la, `(PBS)` sia ate ŋu ana nyatakaka veviwo.
• Kpɔe ɖa be wò ŋutilã le nu wɔm ɖe atikewɔwɔ ŋu hã: Ne èle dɔléle aɖe, abe kansa ene ƒe atike wɔm la, ɖɔktawo zãa dodokpɔ sia si nye ``(PBS)`` tsɔ kpɔae ɖa be atikewɔwɔa kpɔ dzidzedze hã eye ne wò ʋumenugbagbeviwo le tɔtrɔm ɖe nɔnɔme si sɔ me hã.
• Hafi woado lãmenugbagbeviwo: Dodokpɔ sia hã le vevie be woasrɔ̃ nu geɖe tso ame ƒe ƒumeŋuɖui kple ʋumenugbagbeviɣiwo ŋu ne wole wo dzram ɖo ɖe lãmenugbagbeviwo dodo na wo ŋu.

Ðo ŋku edzi be PBS dodokpɔ me tsonu ɖeɖe mate ŋu ade dzesi dɔléle aɖe godoo o. Ðɔkta akpɔ dɔlélea to nyatakaka siwo katã tso wò atikewɔwɔ ŋutinya, ŋutilãmedodokpɔ, kple dodokpɔ siwo wowɔ le nudokpɔƒe abe PBS ene me la ƒoƒo ƒu me.

Nuka tututue woate ŋu akpɔ kple `(PBS)` dodokpɔ sia?

Be míase nusi `(PBS)` dodokpɔ ɖena fiana gɔme la, mina míasrɔ̃ nu vi aɖe tso lãmenugbagbevi ƒomevi veviwo kple ʋumenugbagbevi dzĩ siwo le míaƒe ʋu me ŋu gbã.

• Ʋumenugbagbevi dzĩwo: Esiawo le abe "amedɔdɔ ƒe dɔwɔƒe" si tsɔa oxygen yia wò ŋutilã katã me ene. Bu eŋu ale, woxɔa ɔksidzin tso wò lãkusi me hetsɔnɛ yia lãmenugbagbevi ɖesiaɖe si le wò ŋutilã me gbɔ. Ɣemaɣie lãmenugbagbevi mawo kpɔa ŋusẽ be woawɔ dɔ. Ne wotrɔ gbɔ la, wofɔa ya si woyɔna be carbon dioxide (ya gbegblẽ aɖe) si dona le lãmenugbagbevi mawo me eye wogbugbɔnɛ vaa wò lãkusi me. Emegbe ya si woyɔna be carbon dioxide ma dona ne míegbɔ ya.
• Ʋumenugbagbevi ɣiwo: Esiawoe nye wò ŋutilã ƒe "ametakpɔŋusẽwo." Ʋumenugbagbevi ɣi siawo kpɔa tawò tso dɔlékui kple dɔléle vovovowo me. Lãmenugbagbevi siawo ƒomevi vovovo atɔ̃e li, eye ƒomevi ɖesiaɖe wɔa avu kple dɔlékuiwo le mɔ vovovowo nu.
• Ʋumenugbagbevi dzĩwo: Esiawoe kpena ɖe wò ʋu ŋu be wòatsi. Tsɔe be lã sue aɖe le ŋuwò, eye ʋumenugbagbevi dzĩ siawo kpena ɖe ŋuwò be ʋua natɔ te. Ne amesiawo ƒe xexlẽme mesɔ gbɔ o la, ʋu ate ŋu ado, eye ate ŋu anye kansa, dɔlékuiwo, alo lãmesẽkuxi bubuwo ƒe dzesi hã.

Eyata, le ``(PBS)`` dodokpɔ me la, ɖɔkta la léa ŋku ɖe ʋumenugbagbevi dzĩ siawo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ŋu le nusuekpɔmɔ̃ me. Emegbe ate ŋu akpɔ nuwo abe:

• Tɔtrɔ le ʋumenugbagbeviwo kple ʋumenugbagbevi dzĩwo ƒe lolome kple nɔnɔme ŋu: Le ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ aɖewo me la, lãmenugbagbevi siawo ƒe nɔnɔme kple woƒe lolome ate ŋu atrɔ. Le kpɔɖeŋu me, ʋumenugbagbevi dzĩwo ate ŋu alolo, anɔ sue, alo woƒe nɔnɔme mebɔ o.
• Tɔtrɔ siwo vaa ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo ƒe xexlẽme me: Esia ate ŋu aɖee afia ne lãmenugbagbevi ƒomeviwo le ʋɛ alo wosɔ gbɔ akpa. Tɔtrɔ siawo ate ŋu afia be nane gblẽ le ƒumeŋuɖui (afisi wowɔa ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo le) ŋu.
• Tɔtrɔ siwo mesɔ o le ʋumenugbagbevi ɣi ƒomevi vovovowo me: Ʋumenugbagbevi ɣi ƒomevi atɔ̃e li. Vovototo si le ƒomevi ɖesiaɖe ƒe xexlẽme, nɔnɔme, kple nɔnɔme bubuwo me ate ŋu ana míanya nu tso dɔléle vovovowo ŋu.
• Dɔlékuiwo me dzodzro le ʋua me: Le dɔléle aɖewo, abe asrã ene me la, woate ŋu akpɔ dɔlékuiwo le ʋua me. ``PBS'' hã ateŋu ade dzesi nu mawo tɔgbe.

Dɔléle kawoe `(Peripheral Blood Smear)` ate ŋu akpe ɖe ame ŋu wòanya?

Ðɔktawo zãa PBS dodokpɔa tsɔ kpena ɖe ame ŋu wòkpɔa ʋumedɔ vovovowo, ʋumekansa, kple dɔlékuiwo. Nɔnɔme siawo ate ŋu ado mo ɖa ne lãmenugbagbevi siwo le ƒumeŋuɖui me va zu esiwo mesɔ o eye wova zu kansa lãmenugbagbevi siwo mesɔ o (siwo woyɔna hã be blasts). Kpɔɖeŋu aɖewoe nye:

• Ʋumenugbagbeviɣidɔ: Esia nye kansa si dona le ʋu kple ƒumeŋuɖui me. Lãmenugbagbevi siwo le ƒumeŋuɖui me va zua esiwo mesɔ o eye wodzea ʋumenugbagbevi siwo le lãmesẽ me wu esiwo sɔ wɔwɔ gɔme. Woate ŋu atsɔ ʋu si wotsɔna ƒoa ʋu (PBS) akpɔ lãmenugbagbevi siawo siwo mesɔ o.
• Myelodysplastic syndrome: Esia hã nye kansa ƒomevi aɖe. Ʋumenugbagbeviɣiwo ƒe tɔtrɔ gbɔe wòtsona. Dzɔdzɔmenugbagbevi siawo xea mɔ na ŋutilãa be wòagawɔ ʋumenugbagbevi ɣi siwo le lãmesẽ me, siwo tsi bliboe, ʋumenugbagbevi dzĩwo, kple/alo ʋumenugbagbevi dzĩwo o.
• Ʋusɔgbɔdɔ: Ʋusɔgbɔdɔ dzɔna ne ʋumenugbagbevi dzĩ siwo le lãmesẽ me mele wò ŋutilã me o. Ʋudodokpɔ (PBS) ate ŋu akpe ɖe ŋuwò nànya nusi gbɔ ʋusɔgbɔdɔa tso to ŋkuléle ɖe wò ʋumenugbagbevi dzĩwo ƒe lolome kple nɔnɔme ŋu me.
• Do ƒome kple Dzidɔ: Ɣeaɖewoɣi la, ʋumenugbagbevi dzĩwo ƒe xexlẽme si sɔ gbɔ wu esi sɔ ate ŋu anye oxygen ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesi, si do ƒome kple nɔnɔmewo abe dzidɔ ene.
• Lãmetsiŋusẽ: Esia nye kansa si dzea egɔme tso ʋukawo me, zi geɖe la, edzea egɔme tso ʋukawo me. Ʋumenugbagbevi ɣi siwo dona tso ƒumeŋuɖui me la le wò ʋukawo me. Zi geɖe la, lãmenugbagbevi siawo ƒe lolome dzina ɖe edzi ne ŋutilãa wɔa nu ɖe ​​dɔlékuiwo ŋu, eye emegbe woƒe xexlẽme dzi ɖena kpɔtɔna. Lãmetsiŋusẽdɔléle dzɔna ne ʋumenugbagbevi ɣi aɖe si le ʋukawo me va zu kansa eye wònɔa anyi evɔ eƒe xexlẽme alo lolome dzi meɖe kpɔtɔ o.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Dɔléle siawo dzɔna ne wò ŋutɔ wò dɔlélenutsiŋutete dze wò ŋutɔ wò ŋutilã dzi vodadatɔe. Ʋumenugbagbevi ɣiwo ƒe agbɔsɔsɔ si mede o ate ŋu anye dɔléle sia ƒomevi ƒe dzesi.
• Asrã: Asrã dzɔna ne nudzodzoe aɖe si tsɔ asrãdɔlékuiwo ɖu wò eye dɔlékuiawo ge ɖe wò ʋukawo me. Woate ŋu akpɔ dɔlékui siawo kple PBS.

Aleke wowɔa dodokpɔ sia si nye `(Peripheral Blood Smear)`?

Ele bɔbɔe ŋutɔ. Wotsɔa wò ʋu ƒe tsitete ɖeka dana ɖe ahuhɔ̃e me eye wokakanɛ wòzua ʋu tsɛ aɖe. Emegbe, wotsɔa atike tɔxɛ aɖe dea eme be ʋumenugbagbevi siawo ƒe nɔnɔme tɔxɛwo nadze nyuie wu (si woyɔna hã be staining). Mlɔeba la, wotsɔa nusuekpɔmɔ̃ doa kpɔɖeŋu sia si wodzra ɖo la kpɔna. Ele abe alesi nèna nɔnɔmetata aɖe me kɔ wu ene.

Nukae dodokpɔa ƒe nyatakakaa gblɔ? Nukae ɖɔktaa wɔna kplii?

Ðɔkta ate ŋu abia be woawɔ PBS dodokpɔ le susu aɖe koŋ ta. Ate ŋu anye be nàku nu me tso emetsonu si mesɔ o ŋu le wò CBC dzi. Alo ate ŋu anye be nàdi nusi gbɔ wò dzesiawo tso. Gake wò ɖɔkta aɖe nusita wole PBS dodokpɔa wɔm kple nusi emetsonuwo fia me na wò.

Nu vevitɔe nye be Peripheral Blood Smear dodokpɔa nye dɔlélewo didi ƒe ɖoɖoa ƒe akpa ɖeka ko.Ðɔktaa ava ƒo nya ta to nyatakaka siwo tso esia me, wò atikewɔwɔ ŋutinya, kple ŋutilãmedodokpɔa me tsonu ƒoƒo ƒu me. Ðewohĩ ahiã be nàwɔ dodokpɔ bubuwo hã. Eyata ne nya aɖe le asiwò ku ɖe dodokpɔ sia alo dodokpɔ bubu aɖe ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Aɖe nuwo me na wò.

Eyata, nusiwo dzi wòle be nàɖo ŋkui tso esiawo katã me lae nye esi (Take-Home Message) .

• Peripheral Blood Smear (PBS) nye dodokpɔ si wotsɔ léa ŋku ɖe ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩ siwo le wò ʋu me ŋu le nusuekpɔmɔ̃ me.
• Esia ate ŋu ade dzesi tɔtrɔ siwo va le ʋumenugbagbeviɣiwo ƒe nɔnɔme, woƒe lolome, kple woƒe xexlẽme ŋu.
• Wozãnɛ tsɔ léa ŋku ɖe nusiwo mesɔ o le ``(CBC)'' me, dzesi siwo me mekɔ o, kple ŋkuléle ɖe atikewɔwɔwo ƒe dzidzedzekpɔkpɔ ŋu.
• Esia kpena ɖe ame ŋu be woakpɔ kpeɖodzi tso dɔléle vovovowo abe ʋumenugbagbeviɣidɔ, ʋusɔgbɔdɔ, kple asrã ene ŋu.
• Esia ɖeɖe mate ŋu ade dzesi dɔléle aɖe pɛpɛpɛ o, afɔɖeɖe ɖeka koe wònye le dɔléle aɖe didi me.
• Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta. Mègavɔ̃ o, ɖɔktawo li be yewoakpe ɖe ŋuwò.

Mele mɔ kpɔm be nyatakaka sia ɖe vi na wò! Nɔ lãmesẽ me!

` Peripheral Blood Smear, PBS, ʋu film dodokpɔ, ʋumenugbagbeviwo, dɔléle didi, ʋumenugbagbeviɣidɔ, ʋusɔgbɔdɔ