Ðe wò ŋutilã ƒe lãmenugbagbeviwo le wo ɖokui wuma? Mina míaƒo nu tso Autoimmune Hemolytic Anemia (AIHA) ŋu!

Ðe nèsena le ɖokuiwò me ɣesiaɣi be ɖeɖi te ye ŋu eye yegbɔdzɔa? Ðe ta na wò ne èzɔ mɔ vie alo lia atrakpui aɖea? Zi geɖe la, míeyɔa esia be "ʋusɔgbɔdɔ" alo "ʋusɔgbɔdɔ." Nyateƒee. Gake, ɖe nèsusui kpɔ be ye ŋutɔ yeƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete, ate ŋu anɔ ye ŋutɔ yeƒe ʋumenugbagbevi dzĩwo dzi dzem hele wo tsrɔ̃m? Egbea míele nu ƒom tso dɔléle aɖe si mebɔ o si ŋu ame sia ame le vevie ŋutɔ be wòanɔ ŋudzɔ la ŋu. Woyɔa esia be Autoimmune Hemolytic Anemia , alo (AIHA) kpuie.

Kpuie ko la, nukae nye AIHA sia?

Be míase esia gɔme la, mina míalé ŋku ɖe nusi ʋusɔgbɔdɔ nye ŋu gbã. Ʋusɔgbɔdɔ nye ʋumenugbagbevi dzĩ siwo tsɔa ɔksidzin le wò ŋutilã me ƒe xexlẽme dzi ɖeɖe kpɔtɔ. Wowɔa lãmenugbagbevi dzĩ siawo le míaƒe ƒumeŋuɖui me. Zi geɖe la, ʋumenugbagbevi dzĩ ɖeka nɔa agbe abe ŋkeke 120 ene. Ne lãmenugbagbevi siawo dzi ɖe kpɔtɔ la, ŋutilãa ƒe ŋutinuwo mexɔa oxygen agbɔsɔsɔme si hiã o. Esia tae míesena le mía ɖokui me be ɖeɖi te mía ŋu eye míegbɔdzɔ ɖo.

Fifia, nane si wɔ nuku ŋutɔ dzɔ le AIHA. Dɔlélenutsiŋutete , si kpɔa míaƒe ŋutilã ta tso dɔléle me la, dea dzesi eya ŋutɔ ƒe ʋumenugbagbevi dzĩ siwo le lãmesẽ me vodadatɔe be wonye “futɔwo.” Ele abe dukɔ aɖe ƒe aʋakɔ si le eya ŋutɔ ƒe amewo dzi dzem ene. Ne dɔlélenutsiŋutete dze ʋumenugbagbevi dzĩwo tsɔtsrɔ̃ gɔme alea la, wobuna le agbɔsɔsɔ si ƒumeŋuɖui mate ŋu awɔ ɖeka kplii o me. Ɣeaɖewoɣi la, ʋumenugbagbevi dzĩ aɖe ƒe agbenɔƒe nɔa ŋkeke ʋɛ aɖewo ko. Emae nye nusi míeyɔna be Autoimmune Hemolytic Anemia (AIHA).

Nukawoe nye AIHA ƒomevi veviwo?

Woma AIHA ɖe hatsotso vevi eve me. Wotu ɖeka ɖe nusi gbɔ wòtso dzi. Bubu la nɔ te ɖe dzoxɔxɔ si me ʋumenugbagbevi dzĩawo tsrɔ̃na dzi. Na míakpɔ nusiwo nye esiawo ɖa.

Nukae nye nɔnɔme sia ƒe dzesiwo?

AIHA ƒe dzesi geɖe sɔ kple ʋusɔgbɔdɔ bubuwo tɔ, gake ɖewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o ne ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ nu sẽ ale gbegbe.

Dzesi siwo wokpɔna zi geɖe:

• Gbɔdzɔgbɔdzɔ kple ɖeɖiteameŋu: Ðeɖiteameŋu si gbɔ eme si wòsena le eɖokui me le dɔ vi aɖe wɔwɔ vɔ megbe gɔ̃ hã.
• Ŋutilã si le ɣie: Ŋutilã, nuyi, kple ɖa ƒe ɣie.
• Tachycardia: Seselelãme si nye be dzia le ƒoƒom sesĩe ne ètsi tre ɖe teƒe ɖeka ko gɔ̃ hã.
• Gbɔgbɔtsixetsixe: Esia dzɔna ne ɖeɖi te ŋuwò vie.
• Akɔtave.
• Ŋku kple ŋutigbalẽ ƒe ɣie (Jaundice): Esiae nye nɔnɔme si míeyɔna be jaundice.
• Aɖuɖɔ si do viviti: Aɖuɖɔ si ƒe amadede nye viviti, abe cola ene.
• Sese le eɖokui me be yeɖi ƒo: Esia tsoa dɔgbo si lolo gbɔ.

Ame siwo ŋu AIHA (CAD) si nye vuvɔ le hã ate ŋu akpɔ dzesi bubu siawo:

• Asiwo kple afɔwo fa miamiamia ɣesiaɣi.
• Asiwo kple afɔwo trɔna blɔ/dzẽ ne wodo wo ɖe vuvɔ me.
• Taɖuame.
• Akɔta kple afɔ ƒe vevesese.

Nukawoe hea AIHA vɛ?

Zi geɖe la, esesẽna be woakpɔ nusi koŋ gbɔ nɔnɔme sia tso (AIHA Gbãtɔ). Gake ɣeaɖewoɣi la, ate ŋu atso atikewɔwɔ ƒe nɔnɔme bubuwo gbɔ (Secondary AIHA).

• Dɔléle bubu siwo dɔlélenutsiŋutete hena vɛ: Le kpɔɖeŋu me, dɔlélewo abe lupus ene.
• Kansa ƒomevi aɖewo:Vevietɔ kansa siwo do ƒome kple ʋu abe ʋumenugbagbeviɣidɔ (Chronic Lymphocytic Leukemia) kple ʋumenugbagbeviɣidɔ (Non-Hodgkin Lymphoma).
• Dɔlékuiwo: Dɔlékuiwo ƒe dɔlélewo abe *Mycoplasma pneumoniae* ene.
• Dɔlékuiwo: Dɔlékuiwo abe Epstein-Barr dɔlékui, HIV, kple aklãdɔ ene.
• Atike aɖewo: Esia ate ŋu adzɔ hã abe atike aɖewo abe penicillin kple methyldopa ene ƒe nuwɔna ene.

Aleke wowɔa dɔlélea ƒe dzesi?

Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò la, nu gbãtɔ si nàwɔe nye be nàyi ɖɔkta gbɔ enumake . Abia nya wò tso wò dzesiwo kple atike siwo zãm nèle ŋu, eye wòado wò kpɔ. Ne ehiã la, atsɔ wò ayi ʋumenugbagbeviɣidɔdala gbɔ.

Wowɔa ʋudodokpɔ geɖe koŋ tsɔ dea dzesi dɔlélea.

• Ʋu Xexlẽme Blibo (CBC): Esia léa ŋku ɖe ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme ŋu. Lãmenugbagbevi dzĩwo ƒe xexlẽme si mede o nye ʋusɔgbɔdɔ ƒe dzesi.
• Coombs ƒe Dodokpɔ: Esiae nye dodokpɔ si ku ɖe AIHA ŋu koŋ wu. Eléa ŋku ɖe eŋu be wò ŋutilã le dɔlékuiwutikewo wɔm ɖe ʋumenugbagbevi dzĩwo ŋu hã.
• Peripheral Smear: Wodoa ʋu aɖe kpɔ le nusuekpɔmɔ̃ me be woakpɔ dzesi siwo fia be ʋumenugbagbevi dzĩwo tsrɔ̃.
• Bilirubin Dodokpɔ: Ne ʋumenugbagbevi dzĩwo tsrɔ̃ la, nusi woyɔna be bilirubin ƒe agbɔsɔsɔ dzina ɖe edzi le ʋua me. Esiae hea amadede ɣia vɛ.
• Reticulocyte Count: Esia dzidzea ʋumenugbagbevi dzĩ yeye siwo metsi o siwo ƒumeŋuɖui le wɔwɔm ƒe xexlẽme. Xexlẽme si sɔ gbɔ fia be ƒumeŋuɖui le dɔ wɔm sesĩe akpa be wòawɔ lãmenugbagbevi yeyewo atsɔ axɔ ɖe esiwo le tsɔtsrɔ̃m la teƒe.

Nukawoe nye atike siwo wozãna na AIHA?

Atikewɔwɔ nɔ te ɖe wò dzesiawo ƒe sesẽme, AIHA ƒomevi, kple nusi gbɔ wòtso dzi. Ne wò dzesiawo mesẽ o la, ɖewohĩ mahiã be woawɔ atike na wò o.

• Steroids: Steroid-tikewo abe Prednisolone ene ye nye atike gbãtɔ si wozãna. Esiawo wɔa dɔ to dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ kple mɔxexe ɖe enu be wòagagblẽ ʋumenugbagbevi dzĩwo o me.
• Dɔlélenutsiŋutete Bubuwo: Ne dɔlélea mewɔa nu ɖe ​​steroid ŋu o la, wozãa atike bubuwo abe Rituximab ene.
• Splenectomy: Zi geɖe la, ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ dzɔna le aɖuɖɔtoea me. Eya ta ne atikewo mete ŋu ɖu edzi o la, ɖɔktawo ate ŋu atso nya me be woawɔ dɔ na yewo aɖe aɖuɖɔtoea ɖa.
• Ʋudodo: Ne ʋusɔgbɔdɔ nu sẽ la, ahiã be woado ʋu na ame be wòaɖe ame ƒe agbe.
• Takpɔkpɔ tso vuvɔ me (na Cold AIHA/CAD): Ne vuvɔ AIHA le ŋuwò la, ɖokuiwò takpɔkpɔ tso vuvɔ me le vevie ŋutɔ.
• Do asigɛwo ne èle nuwo ɖem le fridzi me.
• Ne èdo go le vuvɔŋɔli la, do kposɔwo, aɖabɛwuwo, kple awudziwuiwo.
• Ne èle teƒe si AC sɔ gbɔ ɖo yim la, do awu dzodzoe aɖewo.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàno folic acid (Vitamin B9) kpeɖeŋutɔ, elabena vitamin sia hiã hafi ʋumenugbagbevi dzĩwo nado kabakaba.

Kuxi kawoe ate ŋu ado mo ɖa le nɔnɔme sia ta?

Ne womeda AIHA nyuie o la, kuxi aɖewo ate ŋu ado mo ɖa.

• Ʋu ƒe sisi: Ʋu ƒe sisi ate ŋu adzɔ le ʋukawo me, vevietɔ le afɔwo me. Ne amesiawo zɔ mɔ yi lãkusiwo me (Pulmonary Embolism) la, enye nɔnɔme si me afɔku le ŋutɔ.
• Ayiku ƒe gbegblẽ: AIHA si dzi womeɖu o ate ŋu agblẽ nu le ayiku ŋu.
• Dzidɔ: Ʋusɔgbɔdɔ si nɔa anyi didi nana dzia wɔa dɔ sesĩe wu, si ate ŋu ana dzia nagbɔdzɔ.