Bu ʋumenugbagbevi dzĩ siwo le wò ŋutilã me be wonye ‘dɔdzikpɔƒe’ si tsɔa ɔksidzin yia wò ŋutilã katã me. Fifia, ne ʋumenugbagbevi dzĩ siawo ƒe xexlẽme dzi ɖe kpɔtɔ, alo ne womewɔa dɔ nyuie o la, ŋutilã ƒe lãkusiwo mexɔa ɔksidzin si hiã o. Esiae nye nɔnɔme si míeyɔna ko be ‘ʋusɔgbɔdɔ’ alo ‘ʋu ƒe veve’. Emegbe èsena le ɖokuiwò me ɣesiaɣi be ɖeɖi te ye ŋu, yegbɔdzɔ, eye agbe mele ye si o. Mía dometɔ akpa gãtɔ nya ʋusɔgbɔdɔ si iron ƒe anyimanɔmanɔ hena vɛ. Gake ʋusɔgbɔdɔ ƒomevi aɖewo hã li siwo ame ʋɛ aɖewo koe xɔna eye míese nu geɖe tso wo ŋu o. Egbea, míaƒo nu tso ʋusɔgbɔdɔ ƒomevi siwo mebɔ o dometɔ aɖewo ŋu.
Nukae Nye Aplastic Anemia?
Wotsɔa lãmenugbagbevi siwo le ƒumeŋuɖui me wɔa míaƒe ʋumenugbagbeviwoe. Esiawoe nye ʋumenugbagbeviwo katã ƒe nuku gbãtɔwo. Le amesi ŋu ʋusɔgbɔdɔ si woyɔna be aplastic anemia le gome la, lãmenugbagbevi siawo siwo le ƒumeŋuɖui me gblẽna. Esia wɔe be ŋutilãa mete ŋu wɔa ʋumenugbagbevi yeyewo (ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo) wòsɔ gbɔ be woatsɔ akpɔ eƒe nuhiahiãwo gbɔ o.
Nɔnɔme sia ate ŋu anye nusi wodzina, si fia be woate ŋu ato domenyiŋusẽfianu siwo tso dzilawo gbɔ dzi. Alo ate ŋu adzɔ le agbe me. Wokpɔa ƒomevi evelia sia zi geɖe wu. Ɣeaɖewoɣi la, ate ŋu anɔ anyi ɣeyiɣi kpui aɖe ko.
Nusiwo gbɔ wòtsona gotagome:
- Dɔlélenutsiŋutete ƒe dɔlélewo abe lupus kple ƒunukpeƒetetedɔ ene.
- Atikewo abe nudzodzoeviwutike, arsenic, kple benzene ene zazã. (Ne èsusu be yeɖu atike aɖe la, te ɖe Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi ŋu enumake.)
- Dɔlékuiwo abe aklãdɔ, Epstein-Barr dɔlékui, kple HIV dɔlékui ene.
- Kekeli kple atikewo zazã ɖe kansa ŋu.
Dɔléle sia ƒe dzesiwo dometɔ aɖewoe nye gbɔgbɔtsixetsixe, taɖuame, taɖuame, ŋutigbalẽ si le ɣie, akɔtave, dzi ƒe tsotso, kple asiwo kple afɔwo ƒe vuvɔ. Dɔdamɔnua dometɔ aɖewoe nye ʋudodo kple lãmenugbagbeviwo dodo na ame.
Ʋusɔgbɔdɔ si le axadzi
Esia hã nye ʋusɔgbɔdɔ. Nusi dzɔna le afisiae nye be, togbɔ be iron le ŋutilãa me hã la, mete ŋu zãa iron ma tsɔ wɔa hemoglobin o. Hemoglobin nye protein si kpena ɖe ʋumenugbagbevi dzĩwo ŋu be woatsɔ oxygen. Esi womate ŋu azã gayibɔa o ta la, gayibɔa ƒoa ƒu ɖe ƒumeŋuɖui me eye wòwɔa ʋumenugbagbevi dzĩ ƒomevi aɖe si mesɔ o si woyɔna be sideroblasts.
Esia ƒomevi vevi evee li. Ðeka tsoa atike alo atike aɖe si wokpɔna tso egodo gbɔ. Bubu la tso domenyiŋusẽfianu ƒe tɔtrɔ si yia dzidzimewo me, si gblẽa ʋumenugbagbeviɣidɔ me. Dzesiawo dometɔ aɖewoe nye akɔtave, dzi ƒe tsotso kabakaba, taɖuame, kple gbɔgbɔ sesẽ.
Nu vevitɔ kekeakee nye be nàdi nusi gbɔ dɔlélea tso. Ne atike alo atike aɖe gbɔe dɔlélea tso la, ele be woaƒo asa nɛ le atikewɔlawo ƒe aɖaŋuɖoɖo nu.
Vitamin B6 zazã kple ƒumeŋuɖui dodo na ame hã nye esia ƒe atikewo.
Ʋusɔgbɔdɔ ƒomevi bubu aɖewo siwo mebɔ o
Tsɔ kpe ɖe ʋusɔgbɔdɔ ƒomevi bubu siwo ŋu míeƒo nu tsoe le etame ŋu la, ʋusɔgbɔdɔ ƒomevi bubu geɖewo li siwo ŋu míese nu geɖe tsoe o. Mina míalé ŋku ɖe esiawo hã ŋu kpuie.
| Ʋusɔgbɔdɔ ƒomevi | Numeɖeɖe bɔbɔe | Nusiwo bɔ |
|---|---|---|
| Lãmetsiŋusẽ ƒe Dɔléle (MDS) . | Nɔnɔme si me ƒumeŋuɖui gblẽna eye mete ŋu wɔa ʋumenugbagbevi siwo le lãmesẽ me o. Wobua esia be enye kansa ƒomevi aɖe. | Abi, ʋu, dɔlékuiwo, dzoxɔxɔ, vuvɔ, ɖeɖiteameŋu, lolo dzi ɖeɖe kpɔtɔ. |
| Ʋusɔgbɔdɔ si Trɔna le Dɔlélenutsiŋutete Ŋu | Wò ŋutɔ wò dɔlélenutsiŋutete gblẽa wò ŋutɔ wò ʋumenugbagbevi dzĩwo, eye wògblẽa wo kabakaba wu alesi woate ŋu aɖɔlii. | Ðeɖiteameŋu, ŋutigbalẽ ƒe ɣie, dzi ƒe tsotso kabakaba, taɖuame, vuvɔ, akɔtave, ŋutigbalẽ ƒe ɣie (jaundice). |
| Megaloblastic Ʋusɔgbɔdɔ | Ʋumenugbagbevi dzĩ siwo wowɔ le ƒumeŋuɖui me lolo le mɔ si mesɔ o nu eye wometsi o. Esia wɔnɛ be womete ŋu tsɔa ɔksidzin o. Vitamin B12 alo B9 (folate) ƒe anyimanɔmanɔ gbɔe wòtsona. | Taɖuame, ɖeɖiteameŋu, aɖuɖɔtoe, ʋuʋudedi, dzi ƒe tsotso kabakaba, lãmekawo ƒe vevesese, ʋuʋudedi. |
| Fanconi Ʋusɔgbɔdɔ | Domenyiŋusẽfianu ƒe nɔnɔme si wotsɔna tsoa dzidzimewo me. Ƒumeŋuɖui mewɔa ʋumenugbagbevi siwo sɔ o. | Afɔbidɛ gã siwo mesɔ o, abi/ʋu si dona bɔbɔe, dɔlékuiwo xɔxɔ enuenu, dzi, ayiku, ƒu ƒe kuxiwo, ŋutigbalẽ ƒe amadede ƒe tɔtrɔ. Kansa xɔxɔ ƒe afɔkua dzina ɖe edzi (vevietɔ AML). |
Nɔnɔme bubu siwo mebɔ o abe Diamond-Blackfan kple CDA ene
- Diamond-Blackfan Anemia: Domenyiŋusẽfianu ƒe tɔtrɔ hã gbɔe esia tsona. Ƒumeŋuɖui mete ŋu wɔa ʋumenugbagbevi dzĩ siwo sɔ o. Ðevi siawo le kpuie, woƒe ƒuwo gbɔdzɔ, eye ɖewohĩ woƒe dzi le liʋiliʋilili.
- Congenital Dyserythropoietic Anemia (CDA): Esia hã nye ʋusɔgbɔdɔ ƒomevi aɖe si ƒe dome wonyi. Eɖea ʋumenugbagbevi dzĩ siwo le lãmesẽ me ƒe xexlẽme dzi kpɔtɔna. Ðewohĩ mahiã be woawɔ atike aɖeke na ame aɖewo o, gake ne dɔléle sesẽwo nu sẽ la ate ŋu ahiã be woado ʋu na wo alo ado lãmenugbagbeviwo na wo.
Nukae nèwɔna le nɔnɔme sia tɔgbe me?
Abe alesi nàte ŋu akpɔe ene la, ʋusɔgbɔdɔ ƒomevi siawo katã ƒe dzesi siwo bɔe nye ɖeɖiteameŋu si gbɔ eme, ɣie, gbɔgbɔtsixetsixe, kple dzi ƒe tsotso kabakaba. Eyata ne dzesi siawo nɔa ŋuwò ɣesiaɣi la, mègaŋe aɖaba ƒu wo dzi ko o.
Tamebubu le ɖokuiwò me kple gayibɔtikewo nono le atikedzraƒe makpɔ kuxi deto si le abe esia ene gbɔ o. Nu vevitɔ kekeakee nye dɔlélea didi nyuie.
Nu nyuitɔ si nàte ŋu awɔe nye be nàkpɔ wò ɖɔkta. Awɔ ʋudodokpɔ kple ƒumeŋuɖui dodokpɔ, ne ehiã, be yeanya nusi tututu gbɔ dɔlélea tso. Atikewɔwɔ anɔ te ɖe nusi gbɔ wòtso dzi. Togbɔ be woate ŋu atsɔ atike ada nɔnɔme aɖewo hã la, le nɔnɔme sesẽwo me la, ahiã be woawɔ atike gãwo abe ƒumeŋuɖui dodo na ame ene. Ne dzesi sesẽwo le ŋuwò (e.g., taɖuame sesẽ, akɔtave) la, ele vevie be nàyi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) me enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye iron ƒe anyimanɔmanɔ gbɔe ‘ʋusɔgbɔdɔ’ tsona ɣesiaɣi o. Wo dometɔ siwo mebɔ o gake wole vevie ŋutɔ.
- Ne èyi edzi le dzesiwo abe ɖeɖiteameŋu ɣesiaɣi, ɖeɖiteameŋu, ŋutigbalẽ ƒe ɣie, kple taɖuame ene kpɔm la, mègaŋe aɖaba ƒu wo dzi o.
- Dɔlélea didi nyuie le vevie ŋutɔ. Le ema ta la, kpɔ egbɔ be yeyi ɖɔkta bibi aɖe gbɔ. Mègadze agbagba be yeada dɔ na ɖokuiwò o.
- Dɔléle siawo dometɔ geɖe nye domenyiŋusẽfianu, si fia be woate ŋu atso dzidzimewo me. Ne ʋumedɔ siawo dometɔ aɖe le wò ƒomea me la, na wò ɖɔkta nanya nu tso eŋu.
- Ne wozã atike nyuitɔ la, woate ŋu aɖu nɔnɔme siawo dometɔ geɖe dzi eye woate ŋu ada wo dometɔ aɖewo keŋkeŋ. Eyata mègavɔ̃ o eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi.
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