Ðe ʋumenugbagbevi dzĩ siwo le wò ʋu me la katã ƒe lolome to vovoa? Mina míasrɔ̃ nu tso Anisocytosis ŋu!

Ðe nèxɔ wò ʋudodokpɔ me tsonu kpɔ eye nèkpɔ nya aɖewo le wo dzi eye nètsi dzodzodzoe vie, henɔ eŋu bum be, ‘Nukae esia fia?’? Ɣeaɖewoɣi la, esɔ be míavɔ̃ vie ne míekpɔ nya aɖe si míenya o. Nya mawo dometɔ ɖekae nye ‘Anisocytosis.’ Togbɔ be àsusu be enye dɔléle sesẽ aɖe hã la, le nyateƒe me la, efia be ʋumenugbagbevi dzĩ siwo le wò ʋu me ƒe lolome to vovo, si fia be ɖewo lolo wu eye ɖewo le sue wu.

Nuka tututue nye ‘Anisocytosis’?

Kpuie ko la, ‘anisocytosis’ nye atikewɔwɔ me nya si wozãna na ne wò ʋumenugbagbevi dzĩwo katã ƒe lolome mesɔ o, gake woƒe lolome to vovo. Ɣeaɖewoɣi la, wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ sia ate ŋu anye lãmesẽkuxi aɖe si le ŋuwò ƒe dzesi. Ðewohĩ ne wodo ʋu kpɔ ko hafi nànya nu tso nɔnɔme sia ŋu.

Be míase nya ‘anisocytosis’ ƒe gɔmesese gɔme le mɔ bɔbɔe aɖe nu la, mina míagbãe, alo?

• Aniso gɔmee nye ‘mesɔ o’ alo ‘mesɔ o’.
• Lãmenugbagbeviwo ƒe dɔléle nye nane si do ƒome kple lãmenugbagbeviwo (le go sia me la, ʋumenugbagbevi dzĩwo koŋ).

Emegbe ne wotsɔ eveawo ƒo ƒui la, susu le eme be efia ‘lãmenugbagbevi siwo mesɔ o’, alo?

Zi geɖe la, ele be ame si le lãmesẽ me ƒe ʋumenugbagbevi dzĩwo katã ƒe lolome kple nɔnɔme nasɔ (abe disk sue si le goglo ene). Susu aɖe tae ʋumenugbagbevi dzĩ ƒe nɔnɔme kple lolome le alea. Esia tae wòte ŋu wɔa eƒe dɔ vevitɔ, si nye be wòatsɔ ɔksidzin ayi lãmenugbagbeviwo gbɔ le míaƒe ŋutilã katã me. Oxygen siae naa ŋusẽ si míaƒe ŋutinuwo hiã be woate ŋu awɔ dɔ.

Eyata ne wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ sia ƒomevi (anisocytosis) la, efia be ɖewohĩ womate ŋu atsɔ ɔksidzin nyuie o. Esia ate ŋu ahe nɔnɔmewo abe ʋusɔgbɔdɔ ene vɛ . Ɣeaɖewoɣi la, ʋumenugbagbevi dzĩwo hã ƒe nɔnɔme ate ŋu anɔ ɖoɖo nu, si woyɔna be ‘poikilocytosis.’

Tɔtrɔ kawoe le ʋumenugbagbevi dzĩwo ƒe lolome ŋu?

Ne anisocytosis le ŋuwò la, wò ʋumenugbagbevi dzĩwo ate ŋu anɔ sue alo alolo wu ʋumenugbagbevi dzĩ siwo sɔ.

• Macrocytosis fia be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle dzɔdzɔmee.
• Microcytosis fia be wò ʋumenugbagbevi dzĩwo le sue wu alesi wòle dzɔdzɔmee.

Ɣeaɖewoɣi la, lãmenugbagbevi gãwo kple suewo siaa ƒe tsakatsaka ate ŋu anɔ anyi.

Nu vevitɔe nye be nya siawo (Macrocytosis, Microcytosis) nye nya siwo ɖɔa nu ko. Anisocytosis ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si hiã be woawɔ atike nɛ ƒe dzesi alo manye o. Eyata mègavɔ̃ ne èse ŋkɔ sia o.

Nukae nye Anisocytosis ƒe dzesiwo?

Fifia ɖewohĩ èle eŋu bum be, ‘Enyo, nukae dzɔna ne nye ʋumenugbagbevi dzĩwo ƒe lolome trɔ? Dzesi kawoe makpɔ?’ Zi geɖe la, nɔnɔme sia ƒe dzesiwo sɔ kple ʋusɔgbɔdɔ. Wo dometɔ aɖewoe nye:

• Gbɔdzɔgbɔdzɔ alo ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi.
• Yagbɔgbɔ sesẽ (abe gbɔgbɔtsixetsixe ene) (Dyspnea).
• Dzi ƒe tsotso kabakaba alo esi mesɔ o (Arrhythmia).
• Ɣeaɖewoɣi la, gbeɖiɖi "ringing" sese le to me (Pulsatile tinnitus).
• Taɖuame.
• Taɖuame.
• Ŋutilã si ƒe ŋutigbalẽ le ɣie.
• Akɔtave.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukawoe hea Anisocytosis vɛ?

Zi geɖe la, anisocytosis nyea ʋusɔgbɔdɔ ƒe dzesi. Nu vovovo geɖewo li siwo gbɔ ʋusɔgbɔdɔ tsona. Atikewɔwɔ me nɔnɔme bubu siwo medo ƒome kple ʋusɔgbɔdɔ o hã ate ŋu ahe anisocytosis vɛ.

Ʋusɔgbɔdɔ ƒomevi siwo ate ŋu ado ƒome kple anisocytosis:

• Ʋusɔgbɔdɔ si tsoa dɔlélenutsiŋutete gbɔ
• Ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o
• Ʋusɔgbɔdɔ si woyɔna be megaloblastic ʋusɔgbɔdɔ
• Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu
• Ʋusɔgbɔdɔ si woyɔna be sickle cell
• Ʋusɔgbɔdɔ si woyɔna be sideroblastic anemia

Ebɔ be ʋusɔgbɔdɔ nadze ame dzi le fufɔɣi . Wò ʋudodokpɔ ate ŋu aɖee afia be anisocytosis le ŋuwò. Esia le alea elabena wò ŋutilã hiã iron be wòawɔ ʋumenugbagbevi dzĩwo. Mia kple viwòa siaa miahiã iron geɖe, eyata ate ŋu asesẽ ɣeaɖewoɣi be miakpɔ nu asu tso nuɖuɖu ɖeɖeko me. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã nuɖuɖu alo iron kpeɖeŋutɔ na wò.

Nɔnɔme bubu siwo ate ŋu ado ƒome kple Anisocytosis:

• Dɔgbo me dɔdzẽ
• Dzidɔ
• Domenyinu ƒe spherocytosis
• Ayikudɔléle
• Aklãdɔléle
• Myelodysplastic ƒe dɔléle si nye myelodysplastic ƒe dɔléle
• Lãmetsiŋusẽ ƒe dɔléle
• Thyroid dɔléle
• Thalassemia ƒe dɔléle

Tsɔ kpe ɖe eŋu la, ʋudodokpɔ me tsonu ate ŋu aɖee afia be anisocytosis le ʋudodo vɔ megbe . Atike aɖewo hã ate ŋu ahe nɔnɔme sia vɛ .

Ðe Anisocytosis ate ŋu ahe kuxiwo vɛa?

Ne womeda nɔnɔme si gbɔ anisocytosis tsona o la, kuxi aɖewo ate ŋu ado mo ɖa. Le kpɔɖeŋu me, ʋusɔgbɔdɔ ƒomevi aɖewo ate ŋu agblẽ nu le ŋutinuwo ŋu . Ne womeda ʋusɔgbɔdɔ le ɖevi suewo ŋu o la, woƒe tsitsi ate ŋu ahe ɖe megbe .

Togbɔ be ʋusɔgbɔdɔ si nu mesẽ o bɔ le fufɔɣi hã la, ʋusɔgbɔdɔ sesẽ ate ŋu ahe kuxiwo abe vidzidzi kaba ene vɛ ne womewɔ atike nɛ o.

Ne wò ɖɔkta nya de dzesi nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe lolome trɔ ko la, aŋlɔ atike si hiã be woatsɔ axe mɔ ɖe kuxiwo nu.

Aleke wowɔna dea dzesi Anisocytosis?

Ðɔktawo ate ŋu azã dodokpɔ siawo dometɔ ɖeka alo evea siaa atsɔ anya anisocytosis:

• Ʋu ƒe xexlẽme bliboa (CBC) kple ʋumenugbagbevi dzĩwo ƒe mama ƒe kekeme (RDW):

Ʋudodo blibo (CBC) nye ʋudodokpɔ si ɖɔktawo wɔna edziedzi tsɔ léa ŋku ɖe wò ʋumenugbagbeviwo ŋu. Eléa ŋku ɖe asixɔxɔ tɔxɛ aɖe si woyɔna be RDW ƒe asixɔxɔ ŋu. Esia dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome vovovo agbɔsɔsɔme. Zi geɖe la, ele be RDW ƒe asixɔxɔ sia nanɔ 12% kple 15% dome. Nusianu si kɔ wu ema fia be tɔtrɔ geɖe le wò ʋumenugbagbevi dzĩwo ƒe lolome me wu alesi wòle dzɔdzɔmee.

• Ʋu si wotsɔna ƒoa ʋu le lãme na ame (PBS):

Le dodokpɔ sia (PBS) me la, dodokpɔxɔ me dɔwɔla aɖe tsɔa wò ʋu ƒe kpɔɖeŋu aɖe ƒua gbe ɖe glass slide dzi eye wòléa ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia wɔnɛ be wokpɔa ʋumenugbagbevi dzĩwo ƒe lolome ƒe vovototowo nyuie eye wodea dzesi ‘anisocytosis’.

Dodokpɔ bubuwo be woake ɖe nusi gbɔ anisocytosis tsona ŋu

Wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe wu be yeanya nusi tututu na wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le tɔtrɔm. Abia nya wò tso wò dzesiwo, atike alo kpeɖeŋutɔ ɖesiaɖe si nàno, kple atikewɔwɔ ƒe nɔnɔme ɖesiaɖe si le wò ƒomea me ŋu. Ate ŋu abia nya tso wò nuɖuɖu hã ŋu.

Woate ŋu alé ŋku ɖe nu siawo ŋu:

• Vitamin B12 kple folate ƒe agbɔsɔsɔ: Nunyiame siawo le vevie na ŋutilãa be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me.
• Iron ƒe agbɔsɔsɔ: Iron hã hiã hafi woate ŋu awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me.
• Ferritin ƒe agbɔsɔsɔ: Ferritin nye protein si dzraa iron ɖo.
• Aklã ƒe dɔwɔwɔ: Aklã xɔa nunyiame siwo hiã be woatsɔ awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me.

Ne ehiã la, ɖɔkta ate ŋu awɔ dodokpɔ bubuwo hã.

Aleke wowɔa atike na Anisocytosis?

Alesi woada esiae nɔ te ɖe nusi gbɔ ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ tso dzi. Atikewɔwɔ ƒe tiatia aɖewoe nye :

• Ne nunyiame ƒe veve gbɔe wòtso la, ke bu vitamin B12 kple folate ƒe kpeɖeŋutɔ nana ŋu .
• Ʋudodo na domenyiŋusẽfianu aɖewo, abe sickle cell dɔléle ene.
• Ne kuxi aɖe le ʋumenugbagbevi dzĩwo wɔwɔ ŋu la, .Ƒumeŋuɖui dodo na ame. Míaƒe ʋumenugbagbevi dzĩwo dzɔna le ƒumeŋuɖui me. Atikewɔwɔ sia ate ŋu ahiã ne anisocytosis le ŋuwò le nɔnɔmewo abe myelodysplastic syndromes alo kansa ƒomevi aɖewo ta.

Nukae nye nɔnɔme si nye ‘Anisocytosis’ ƒe mɔkpɔkpɔ?

Zi geɖe la, woate ŋu ada nusiwo hea anisocytosis vɛ alo aɖu wo dzi to atikewɔwɔ me. Gake nɔnɔme aɖewo, abe kansa, kple nɔnɔme siwo nɔa anyi didi, abe sickle cell dɔléle ene, bia be woayi edzi akpɔ wo gbɔ eye woakplɔ wo ɖo nyuie .

Numekuku aɖewo ɖee fia be anisocytosis ate ŋu anye nusi doa ŋgɔ na dɔléle aɖewo ƒe sesẽ. Dɔléle siwo ate ŋu agado gã ɖe edzi to anisocytosis me dometɔ aɖewoe nye:

• Covid-19 (COVID-19) kple ame bubuwo.
• Dzidɔ
• Ayikudɔléle
• Aklãdɔléle
• Gbagbãdᴐ

Ehiã be woagawɔ numekuku geɖe wu be woase ƒomedodo si tututu le ʋumenugbagbevi dzĩ siawo ƒe xexlẽme si mesɔ o kple alesi dɔlélea nu sẽe dome gɔme.

Ðe woate ŋu axe mɔ ɖe Anisocytosis nua?

Míate ŋu axe mɔ ɖe nusianu si hea esia vɛ la nu o.

Gake ne ètsɔ nunyiame nyuitɔwo de wò nuɖuɖu me la, àte ŋu aɖe afɔku si le eme be nàxɔ dɔléle siwo do ƒome kple anisocytosis dometɔ aɖewo dzi akpɔtɔ, vevietɔ:

• Vitamin B12: Enɔa nyinotsi kple lã aɖewo me. Vitamin B12 hã le nuku aɖewo me.
• Folate: Wokpɔnɛ le atikutsetse, amagbe, nuku, kple mɔli aɖewo me. Wotsɔa folate dea nuku aɖewo hã me.
• Iron: Wokpɔnɛ le lã, gbe, kple amagbe aɖewo me. Wotsɔa gayibɔ kpena ɖe abolo kple nuku aɖewo hã ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò, abe ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi, gbɔgbɔtsixe tsia ƒowò, alo ŋutigbalẽ si le ɣie ene la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Azɔ hã, mègadzo le wò ƒe sia ƒe ʋudodokpɔ dzi o, elabena ate ŋu akpe ɖe ŋuwò nàde dzesi lãmesẽkuxi ɖesiaɖe si ɣla kaba.

Kpuie ko la (Take-Home Message) .

Mègavɔ̃ ne èse nya ‘anisocytosis’ o. Menye dɔléle sesẽ aɖe si wokpɔnae wònye o. Ðeko wòfia be wò ʋumenugbagbevi dzĩwo ƒe lolome to vovo. Susu geɖewo ate ŋu anɔ anyi siwo tae wò ʋumenugbagbevi dzĩwo ƒe lolome ate ŋu ato vovo ɖo. Wɔ dɔ kple wò ɖɔkta be nànya nusi gbɔ wòtso. Ne ‘anisocytosis’ nye dɔléle aɖe ƒe dzesi la, wò ɖɔkta aɖo aɖaŋu na wò be nàzã atike siwo ate ŋu akpe ɖe ŋuwò. Nu vevitɔe nye be màgatsi dzodzodzoe ahawɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi o.

` Anisocytosis, Ʋumenugbagbevi dzĩwo, Ʋusɔgbɔdɔ, Ʋudodokpɔ, RDW, Anisocytosis, Dzesiwo