TIBC Dodokpɔ - Mina míaƒo nu tso esia ŋu!

Èbu alesi nunyiame si nye iron le vevie le míaƒe ŋutilã me, alesi wòʋãna le ŋutilã bliboa me, kple ne dodokpɔ aɖewo li siwo ate ŋu adzidzee hã ŋu kpɔa? Ɣemaɣie wòle be míaƒo nu tso ʋudodokpɔ tɔxɛ sia si woyɔna be TIBC (Total Iron-Binding Capacity) ŋu. Togbɔ be esia nye atikewɔwɔ me ŋkɔ vie hã la, ele bɔbɔe ŋutɔ. Egbea, míaƒo nu tso esia ŋu le Sinhalagbe me si gɔme nàte ŋu ase.

Nukae nye TIBC (Total Iron-Binding Capacity)? Kpuie ko la,...

Kpuie ko la, TIBC (Total Iron-Binding Capacity) nye ʋudodokpɔ si dzidzea ŋutete si le wò ʋu ŋu be wòabla ɖe mineral iron ŋu ahatsɔe ayi wò ŋutilã katã me. Ele abe teƒe agbɔsɔsɔme si amewo anɔ le bɔs me ene. Edzidzea gayibɔ agbɔsɔsɔme si míaƒe ʋu ate ŋu "atsɔ."

Ðɔktawo zãa dodokpɔ sia tsɔ dea dzesi nɔnɔmewo abe ʋusɔgbɔdɔ si me iron mele o alo kuxi bubu siwo do ƒome kple iron le ŋutilã me ene.

Be míayi ŋgɔ vie la, le nyateƒe me la, TIBC dodokpɔa dzidzea protein si woyɔna be transferrin ƒe agbɔsɔsɔ le wò ʋu me. Transferrin sia nye protein tɔxɛ aɖe si míaƒe aklã wɔ. Protein siae kpɔa iron ƒe gege ɖe míaƒe ʋu me dzi, si fia be ekpɔa edzi.

Bu transferrin be enye ʋu si tsɔa gayibɔ. TIBC dzidzea gayibɔ agbɔsɔsɔme si ʋu sia ate ŋu atsɔ.

Míaƒe ŋutilã hiã iron be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me . Ʋumenugbagbevi dzĩ siawo tsɔa ɔksidzin tso míaƒe lãkusi me yia míaƒe ŋutilã ƒe akpa mamlɛa. Iron hiã vevie hã na lãmeka siwo le lãmesẽ me, ƒumeŋuɖui, kple ŋutinu bubuwo ƒe dɔwɔwɔ.

Ðe TIBC kple Ferritin nye nu ɖeka?

Ao, TIBC kple ferritin nye dodokpɔ vovovo eve, togbɔ be wodo ƒome hã.

Ferritin dodokpɔ dzidzea protein si woyɔna be ferritin ƒe agbɔsɔsɔ. Ferritin nye protein si dzraa iron ɖo ɖe míaƒe lãmenugbagbeviwo me. Kpuie ko la, togbɔ be TIBC dzidzea gayibɔ agbɔsɔsɔme si wotsɔ yi ŋutilã bliboa me (to transferrin dzi) hã la, ferritin dodokpɔ ya dzidzea gayibɔ agbɔsɔsɔme si wodzra ɖo ɖe ŋutilãa me. Ferritin nye dzesi nyuitɔ si woatsɔ ada asɔ pɛpɛpɛ nenye be iron ƒe agbɔsɔsɔ si mede ame dzi o.

Ɣekaɣie wòhiã be woawɔ TIBC dodokpɔ?

Ðɔktawo koŋ ɖea gbe be woawɔ TIBC dodokpɔwo atsɔ anya kuxi siwo do ƒome kple iron. Eyae nye be, iron ƒe agbɔsɔsɔ si mebɔ o (si woyɔna be iron-deficiency anemia) alo iron ƒe agbɔsɔsɔ si sɔ gbɔ (si woyɔna be hemochromatosis ).

Zi geɖe la, wowɔa TIBC dodokpɔa abe "gayibɔ ƒe akpa aɖe" ene. Dodokpɔ bubu geɖe ate ŋu anɔ gayibɔ ƒe akpa sia ŋu:

• Nutsitsidɔ ƒe iron ʋu dodokpɔ.
• Transferrin ƒe agbɔsɔsɔ alo gayibɔ ƒe agbɔsɔsɔ ƒe alafa memamã.
• Ferritin ƒe ʋudodokpɔ.

Ðɔktawo zãa TIBC dodokpɔa hã tsɔ léa ŋku ɖe nɔnɔme siwo do ƒome kple iron ŋu.

Amekae wɔa TIBC dodokpɔ sia? Aleke nèdzrana ɖo ɖe eŋu?

Zi geɖe la, atikewɔla ƒe kpeɖeŋutɔ si woyɔna be ʋuka me ʋu ƒe dɔwɔwɔ ŋuti nunyalae xɔa ʋu . Ɣeaɖewoɣi la, dɔnɔdzikpɔla alo ɖɔkta ate ŋu awɔ esia. Woɖoa ʋua ɖe dodokpɔxɔ aɖe, afisi atikewɔƒe ƒe dzɔdzɔmeŋutinunyala aɖe tsɔa mɔ̃ tɔxɛwo (siwo woyɔna be "analyzers" ) doa ʋua kpɔna le.

Ðe wòhiã be nàdzra ɖo hafi adze dodokpɔa gɔmea?

Ẽ, ɣeaɖewoɣi la, wò ɖɔkta agblɔ na wò be nàtsi nu adɔ (si fia be mègaɖu nu alo ano naneke o negbe tsi ko) gaƒoƒo 12 hafi nàdoe kpɔ. Woate ŋu abia tso asiwò hã be nàdzudzɔ iron-tikewo nono le ɣeyiɣi sia me. Ne nya aɖe le asiwò ku ɖe alesi nàdzra ɖoe ŋu la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta.

Nukae dzɔna le dodokpɔa wɔɣi?

Esiae nye nusi wòle be nàkpɔ mɔ na zi geɖe ne wole ʋu ɖem le ŋuwò:

• Ànɔ zikpui dzi. Emegbe atikewɔla aɖe atia ʋuka bɔbɔe aɖe le wò alɔnu be wòaɖe ʋu. Zi geɖe la, wowɔa esia le wò abɔta ƒe akpa si le eme.
• Ne wonya ke ɖe ʋukaa ŋu ko la, wokɔa teƒea ŋu nyuie hewua dɔlékuiwo.
• Emegbe, woatsɔ aŋe sue aɖe ade ʋukaa me eye woaɖe ʋu. Àte ŋu ase le ɖokuiwò me be yeƒe lãme le ʋuʋum vie le ɣeyiɣi sia me.
• Ne wotsɔ aŋea de eme vɔ la, woƒoa ʋu vi aɖe nu ƒu ɖe dodokpɔmɔ̃ me.
• Ne woxɔ ʋua vɔ la, woɖea aŋea ɖa eye wotsɔa kotoku alo gaze kakɛ aɖe dana ɖe teƒea be ʋua natɔ te eye wolénɛ ɖe teƒea hena ɣeyiɣi aɖe.
• Mlɔeba la, wotsɔa aŋɔ ƒoa teƒea eye wowua dɔa nu.

Zi geɖe la, dɔ bliboa mexɔa aɖabaƒoƒo atɔ̃ o, eyata susu aɖeke meli si ta nàtsi dzi o.

Nukae woakpɔ mɔ na le dodokpɔa megbe?

Ne woɖe wò ʋu vɔ la, woaɖoe ɖe nudokpɔƒe be woadoe kpɔ. Ne wonya do dodokpɔa me tsonu ko la, wò ɖɔkta ana nànya dodokpɔa me tsonuawo.

Ðe afɔku aɖewo le TIBC dodokpɔa mea?

Ʋudodokpɔ nye atikewɔwɔ me dodokpɔ kple dɔléle didi ƒe akpa si bɔ ŋutɔ eye wòhiã. Afɔku siwo le ʋudodokpɔ me la le sue ŋutɔ. Àte ŋu akpɔ abi alo abi aɖe le afisi woɖe ʋua le, gake esia ahaya kaba.

Ɣeyiɣi didi kae wòxɔna hafi woxɔa TIBC dodokpɔa me tsonu?

Zi geɖe la, ele be TIBC dodokpɔa me tsonu nanɔ anyi le ŋkeke ɖeka alo eve me. Ke hã, ɣeaɖewoɣi la, ate ŋu axɔ ɣeyiɣi didi vie. Enɔ te ɖe nuwo abe dɔwɔwɔ ƒe agba si le dodokpɔxɔa me ene dzi.

Nukae nye asixɔxɔ siwo sɔ na TIBC dodokpɔ?

Nudokpɔƒe vovovowo ateŋu akpɔ nufiame ƒe didime vovovowo na TIBC ƒe asixɔxɔ siwo sɔ. Esia fia be dodokpɔxɔ ɖeka ƒe asixɔxɔ si sɔ ate ŋu ato vovo vie tso dodokpɔxɔ bubu tɔ gbɔ. Ne èxɔ wò ʋudodokpɔ ŋuti nyatakaka la, agblɔ nusi nye ʋudodo ƒe agbɔsɔsɔme si sɔ na dodokpɔxɔ ma hã.

Zi geɖe la, ele be TIBC ƒe asixɔxɔ nanɔ microgram 240 va ɖo 450 dome le desilita ɖeka me (240 mcg/dL va ɖo 450 mcg/dL).

Gake ele vevie be míaɖo ŋku edzi be ne ɖɔktawo le dɔléle aɖe dim la, menye TIBC ƒe asixɔxɔ koe wobua eŋu o, ke wobua dodokpɔ bubuwo, abe iron ƒe agbɔsɔsɔ le ʋu me kple ferritin ene me tsonu hã ŋu.

Ne wò TIBC ƒe asixɔxɔ le sue la, nukae ema fia?

Ne wò TIBC le sue eye iron ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔ la, ate ŋu atso nɔnɔme aɖe si woyɔna be hemochromatosis (si fia be iron sɔ gbɔ ɖe ŋutilã me) gbɔ. Ne wò TIBC le sue eye wò iron ƒe agbɔsɔsɔ le sue la, ate ŋu atso nɔnɔmewo abe:

• Cirrhosis ( aklãdɔléle aɖe) .
• Dzoxɔxɔ si nɔa anyi didi
• Dɔdzedze
• Nunyuimakpɔɖui
• Nephrotic syndrome (ayikudɔléle) .

Nukae dzɔna ne Ferritin mesɔ gbɔ o eye TIBC sɔ gbɔ?

Zi geɖe la, ferritin ƒe agbɔsɔsɔ si bɔbɔ kple TIBC ƒe agbɔsɔsɔ si sɔ gbɔ fia be ʋusɔgbɔdɔ si me iron mele o le ŋuwò . Esiae nye ʋusɔgbɔdɔ ƒomevi si bɔ wu. Nɔnɔme sia dzɔna ne iron mesɔ gbɔ na wò ŋutilã be wòate ŋu awɔ hemoglobin o . Hemoglobin nye nusi le ʋumenugbagbevi dzĩwo me si kpena ɖe ame ŋu wòtsɔa oxygen ƒoa xlã ŋutilãa.

Ðe wòle be matsi dzi ne nye TIBC ƒe dodokpɔ me tsonu mesɔ oa?

Nusiwo do tso wò TIBC dodokpɔa me si mesɔ o mefia ɣesiaɣi be dɔléle aɖe le ŋuwò o. Nu siwo gbɔna hã ate ŋu akpɔ ŋusẽ ɖe wò dɔwɔwɔ me tsonu dzi:

• Ʋudodo nyitsɔ laa .
• Fluoride zazã .
• Vidzidzinutsitike siwo woano ( ƒome ƒe ɖoɖowɔwɔ ƒe atikekuiwo).
• Chloramphenicol (atike si wozãna na ŋku ƒe dɔlékui siwo le gotagome).
• Vodada ɖesiaɖe si dzɔ le ʋufɔfɔ, etsɔtsɔ, alo eŋudɔwɔwɔ me hena dodokpɔ.

Ne èkpɔ dɔléle aɖe si mesɔ o la, wò ɖɔkta aƒo nu tso eŋu na wò. Ðɔktaa abu nu bubu geɖewo ŋu hafi aɖo dɔléle aɖe gbɔ. Ate ŋu abia be woawɔ dodokpɔ bubuwo hã.

Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ne èkpɔ dodokpɔ me tsonu si mesɔ o. Gake ɖo ŋku edzi be TIBC ƒe dodokpɔ si mesɔ o mefia kokoko be dɔléle aɖe le ŋuwò o. Ame siwo le lãmesẽ me abe 1 le 20 ɖesiaɖe me ƒe dɔwɔwɔwo to vovo na esiwo sɔ. Wò ɖɔkta adzro emetsonu siawo me kpli wò eye wòatso nya me le nusi nàwɔ azɔ ŋu. Nya nyuiae nye be woate ŋu ada nɔnɔme geɖe siwo nana iron ƒe agbɔsɔsɔ si le ŋutilãa me dzi ɖena kpɔtɔna alo sɔa gbɔ ɖo.

Mlɔeba la, nusiwo dzi wòle be nàɖo ŋkui (Take-Home Message) .

TIBC dodokpɔ nye dodokpɔ si naa nyatakaka veviwo tso wò ŋutilã ƒe iron ƒe asitɔtrɔ ŋu.

• Esia dzidzea ŋutete si le wò ʋu ŋu be wòabla gayibɔ ahatsɔe ayi teƒe bubu.
• Esia kpena ɖe ame ŋu wòkpɔa nɔnɔmewo abe ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o alo ʋumenugbagbeviɣidɔ ene .
• Ðewohĩ ahiã be nàwɔ ɖe mɔfiame tɔxɛwo, abe nutsitsidɔ ene dzi hafi adze dodokpɔa gɔme.
• Ne emetsonuwo mesɔ o hã la, susu geɖe ate ŋu anɔ eme. Eyata ele vevie be nàƒo nu kple wò ɖɔkta ahaxɔ aɖaŋuɖoɖo nyuitɔ.
• Woate ŋu ada kuxi geɖe siwo do ƒome kple iron dzidzedzetɔe, eyata mègatsi dzodzodzoe o eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Nɔ lãmesẽ me!

` Iron, TIBC, ʋudodokpɔ, ʋusɔgbɔdɔ, ferritin, transferrin, lãmesẽ