Srɔ̃ nu tso Autoimmune Hemolytic Anemia, si nye ʋumenugbagbeviɣidɔ si gblẽa ʋu le wò ŋutilã me ŋu.

Ðe ɖeɖi tea ŋuwò hã ɣesiaɣia? Ðe wò ta ʋuʋuna ne èzɔ ɣeyiɣi aɖe gɔ̃ hã? Ðe wò ŋutigbalẽ ƒe amadede trɔna ɣeaɖewoɣi eye wòdzena ɣia? Esiawo ate ŋu anye ʋusɔgbɔdɔ si bɔ ƒe dzesiwo. Gake ɣeaɖewoɣi la, ŋutinya aɖe si sesẽ wu nɔa megbe nɛ. Enye nɔnɔme si mebɔ o si me wò ŋutilã ŋutɔ ƒe ametakpɔnu dzea aʋa gɔme kple wò ŋutɔ wò ʋumenugbagbeviwo. Emae nye nusi ŋu míele nu ƒom tsoe egbea.

Nukae Nye Autoimmune Hemolytic Anemia (AIHA) ƒe Ʋusɔgbɔdɔ?

Kpuie ko la, Autoimmune Hemolytic Anemia (AIHA) nye nɔnɔme si me míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo míaƒe ʋumenugbagbevi dzĩ siwo le lãmesẽ me dzi vodadatɔe hegblẽa wo.

Bu eŋu kpɔ, míaƒe ʋumenugbagbevi dzĩwo nye ʋu suesuesue siwo tsɔa ɔksidzin yia ŋutilã bliboa me. Wowɔa wo le dɔwɔƒe aɖe si woyɔna be ƒumeŋuɖui le míaƒe ƒuwo me. Le mama dedie nu la, ʋumenugbagbevi dzĩ aɖe nɔa agbe abe ŋkeke 120 ene.

Gake le amesi ŋu AIHA le gome la, dɔlélenutsiŋutete si le abe ŋutilã ƒe ametakpɔnu ene la kpɔa ʋumenugbagbevi dzĩ siawo be wonye futɔ lãmenugbagbeviwo. Emegbe, ametakpɔnu siawo, si nye dɔlékuiwutikewo, léa ʋumenugbagbevi dzĩ siawo hetsrɔ̃a wo. Alesi tsɔtsrɔ̃ sia le kabakaba wu alesi ƒumeŋuɖui ate ŋu awɔ ʋumenugbagbevi dzĩ yeyewoe. Ɣeaɖewoɣi la, lãmenugbagbevi aɖe si wosusu be anɔ agbe ŋkeke 120 la tsrɔ̃na le ŋkeke ʋɛ aɖewo ko me. Eyata, ŋutilãa mekpɔa oxygen agbɔsɔsɔme si hiã o eye dzesiwo abe ɖeɖiteameŋu kple gbɔdzɔgbɔdzɔ ene dzea egɔme dzena.

Nukawoe nye AIHA ƒomevi veviwo?

Woma AIHA ɖe hatsotso eve me koŋ, le alesi ŋutilãa wɔa nui ɖe dzoxɔxɔ ŋu nu.

• Warm Autoimmune Hemolytic Anemia: Esiae nye esi bɔ wu. Le esia me la, dɔlélenutsiŋutete tsrɔ̃a ʋumenugbagbevi dzĩwo le ŋutilã ƒe dzoxɔxɔ si sɔ me alo wu nenema. Dɔlékuiwutike ƒomevi aɖe koŋ si woyɔna be IgG gbɔe esia tsona.
• Cold Autoimmune Hemolytic Anemia (Aglutinin Dɔléle - CAD): Esia nye ƒomevi si mebɔ kura o. Le esia me la, ʋumenugbagbevi dzĩwo tsrɔ̃na ne ŋutilãa do go vuvɔ. Zi geɖe la, le dzoxɔxɔ si bɔbɔna abe Celsius degree 3-4 ene me. Dɔlékuiwutike ƒomevi aɖe si woyɔna be IgM gbɔe esia tsona.

Nukae nye dɔléle sia ƒe dzesiwo?

AIHA ƒe dzesi geɖe sɔ kple ʋusɔgbɔdɔ si bɔ. Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o.

Nukae hea AIHA vɛ?

Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi koŋ gbɔ wòtso ŋu o. Míeyɔa esia be AIHA Gbãtɔ. Gake zi geɖe la, ate ŋu atso atikewɔwɔ ƒe nɔnɔme alo atike bubu aɖe gbɔ (Secondary AIHA).

Susu vevi geɖewo tae:

• Dɔléle bubu siwo dɔlélenutsiŋutete hena vɛ: Amesiwo ŋu dɔléle bubu siwo dɔlékuiwutikewo tsona, abe lupus ene, le afɔku me be woaxɔ AIHA.
• Kansa ƒomevi aɖewo: vevietɔ kansa siwo do ƒome kple ʋu abe Chronic Lymphocytic Leukemia kple Non-Hodgkin Lymphoma .
• Dɔlékui kple dɔlékuiwo ƒe dɔlékuiwo: Dɔlékuiwo abe Epstein-Barr dɔlékui (dɔlékui si hea mononucleosis vɛ, si le abe dzamezã ene), Cytomegalovirus , HIV , kple Mycoplasma pneumoniae .
• Atike aɖewo: Dɔlékuiwutike aɖewo (e.g., penicillin) kple atike bubuwo hã ate ŋu ahe nɔnɔme sia vɛ. Eyata ele vevie ŋutɔ be nàgblɔ atike siwo katã zãm nèle la na wò ɖɔkta.

Aleke nàwɔ anya ne AIHA le ŋuwò?

Ne dzesi siawo le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Abia nya wò tso wò dzesiwo, atike siwo zãm nèle ŋu, eye wòado wò kpɔ. Ne ehiã la, woatsɔ wò ayi ʋumenugbagbeviɣidɔdala gbɔ.

Wowɔa ʋudodokpɔ geɖe koŋ tsɔ ɖoa ​​kpe AIHA dzi.

• Ʋu Xexlẽme Blibo (CBC): Esia léa ŋku ɖe wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme ŋu. Ʋumenugbagbevi dzĩwo ƒe xexlẽme si mede o nye ʋusɔgbɔdɔ ƒe dzesi.
• Peripheral Smear: Wotsɔa nusuekpɔmɔ̃ doa ʋu aɖe kpɔna be woakpɔ ʋumenugbagbevi dzĩawo ƒe nɔnɔme kple nenye be wogblẽ.
• Reticulocyte Count: Esia dzidzea ʋumenugbagbevi dzĩ siwo metsi o siwo ƒumeŋuɖui le wɔwɔm ƒe xexlẽme. Ne xexlẽme sia sɔ gbɔ la, efia be ƒumeŋuɖui le dɔ wɔm vevie akpa be yeawɔ lãmenugbagbevi yeyewo atsɔ axɔ ɖe esiwo le tsɔtsrɔ̃m la teƒe.
• Coombs ƒe Dodokpɔ: Esiae nye dodokpɔ vevitɔ kekeake si woatsɔ anya AIHA. Ate ŋu anya ne wò ŋutilã le dɔlékuiwutikewo wɔm ɖe ʋumenugbagbevi dzĩwo ŋu.
• Dodokpɔ bubuwo: Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔwo abe Bilirubin kple Haptoglobin ene.

Nukawoe nye atike siwo wozãna na AIHA?

Ne wò nɔnɔmea mesẽ o la, ɖewohĩ mahiã be woawɔ atike na wò o. Ke hã, ele be nànɔ ɖɔkta ƒe dzikpɔkpɔ te ɣesiaɣi. Ne dzesiwo li alo ne ʋusɔgbɔdɔa nu sẽ la, woadze atikewɔwɔ gɔme.

• Steroids: Steroids, abe prednisolone ene, ye nye atike gbãtɔ si wozãna. Esiawo tea dɔlélenutsiŋutete si wɔa dɔ fũu akpa la ɖe to eye wodzudzɔa ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃.
• Atike bubu siwo kpɔa dɔlélenutsiŋutete dzi (Immunosuppressants): Ne dɔlélea mewɔa nu ɖe ​​steroid ŋu o la, wozãa atikewo abe Rituximab kple Azathioprine ene.
• Aɖuɖɔtoe ɖeɖeɖa: Le nɔnɔme siwo me atikewo mewɔa dɔ o, vevietɔ le AIHA si me dzo le me la, wowɔa dɔ na aɖuɖɔtoe si nye afisi ʋumenugbagbevi dzĩwo tsrɔ̃na le wu.
• Ʋudodo: Ne ʋusɔgbɔdɔa nu sẽ ŋutɔ eye wòdea ame ƒe agbe afɔku me la, ahiã be woado ʋu.
• Vitamin kple nunyiametikewo: Wò ɖɔkta ate ŋu akafu nuwo abe folic acid, si hiã be woatsɔ awɔ ʋumenugbagbevi dzĩwo ene. Mègano vitamin aɖeke gbeɖe ne mèbia wò ɖɔkta o.

Aɖaŋuɖoɖo tɔxɛ na amesiwo ŋu Cold AIHA le

Ne vuvɔ ƒe dɔléle ƒomevi aɖe le ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖokuiwò ta tso vuvɔ me .

• Do asigɛwo ne èle nuwo ɖem le fridzi alo nufamɔ̃ me.
• Ne èle gota le ŋkeke siwo dzi vuvɔ wɔna dzi la, do awu nyuie, do kposɔ, kple muffler.
• Mègaɖiɖi AC la ɖe anyi akpa le aƒeme o.
• Hafi nàge ɖe ʋua me le ŋkeke si dzi vuvɔ le wɔwɔm la, dze egɔme vie eye nàna ʋua ƒe eme naxɔ dzo.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?

Ne womekpɔ AIHA dzi o la, kuxi sesẽwo ate ŋu ado mo ɖa.

• Ʋu ƒe sisi: Afɔku gã aɖe le ʋu ƒe sisi me, vevietɔ le afɔwo kple lãkusiwo me. Ʋu ƒe sisi le lãkusi me (Pulmonary Embolism) ate ŋu ade ame ƒe agbe afɔku me.
• Dzidɔ: Ʋusɔgbɔdɔ si nɔa anyi didi ate ŋu ana dzia nagbɔdzɔ elabena ele be dzia nawɔ dɔ sesĩe wu.
• Ayikuwo ƒe gbegblẽ: Ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ fũ ate ŋu ana ayiku nagblẽ.