Ðe nèsusui kpɔ be ne èkpe ɖe ŋuwò zi ɖeka ko la, àte ŋu axɔ ame aɖe si dɔléle sesẽ aɖe abe ʋumenugbagbeviɣidɔ ene le fu ɖem na la ƒe agbe katãa? Ðe esia mewɔ nuku ŋutɔŋutɔ oa? Emae nye nusi ʋumenugbagbeviɣidɔ nye. Ŋkɔ sia sese ate ŋu aɖi vɔvɔ̃ vie, eye adze abe nya gã aɖe ene. Gake egbea míaƒo nu tso esia ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.
Nukawoe nye ʋumenugbagbevi siawo?
Kpuie ko la, lãmenugbagbeviwo nye lãmenugbagbevi ‘bibi’ ƒomevi aɖe le míaƒe ŋutilã me. Eyae nye be lãmenugbagbevi siawo ate ŋu ava zu lãmenugbagbevi ƒomevi ɖesiaɖe si ŋutilã hiã. Ʋumenugbagbevi siawo siwo ŋu míele nu ƒom tsoe ate ŋu awɔ lãmenugbagbevi vevi etɔ̃ siwo katã le míaƒe ʋu me: ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo. Zi geɖe la, lãmenugbagbevi siawo nɔa míaƒe ƒumeŋuɖui me.
Eyata ne ʋumenugbagbeviɣidɔ abe ʋumenugbagbeviɣidɔ ene dze ame aɖe dzi la, nusi dzɔnae nye be dɔwɔƒe si wɔa lãmenugbagbeviwo le ƒumeŋuɖui me la gblẽna. Ema fia be le lãmenugbagbevi siwo le lãmesẽ me teƒe la, wowɔa lãmenugbagbevi siwo mesɔ o, siwo ŋu dɔléle le. Ɣemaɣie wòhiã be woado lãmenugbagbevi siwo le lãmesẽ me na ame.
Amekae hiã be woado lãmenugbagbeviwo na ame?
Dɔléle geɖe li siwo me atikewɔwɔ sia ate ŋu axɔ ame ƒe agbe le. Zi geɖe la, dɔléle siawo do ƒome kple ʋu kple dɔlélenutsiŋutete.
Dɔdamɔnu sia bia be woatsrɔ̃ dɔnɔa ƒe ƒumeŋuɖui si gblẽ eye dɔléle le eŋu eye woatsɔ lãmenugbagbevi siwo woɖe tso ame si le lãmesẽ me gbɔ aɖo eteƒe. Emegbe lãmenugbagbevi yeye siawo va nɔa dɔnɔa ƒe ƒumeŋuɖui me eye wodzea ʋumenugbagbevi yeye siwo le lãmesẽ me wɔwɔ gɔme.
Nɔnɔme vevi siwo hiã be woawɔ atike sia dometɔ aɖewoe nye esi:
- Ʋumenugbagbeviɣidɔ: Ʋumenugbagbevi ɣiwo ƒe kansa.
- Lãmetsiŋusẽ: Kansa si le ʋukawo me.
- Multiple Myeloma: Kansa si le ʋumenugbagbevi dzĩwo me le ƒumeŋuɖui me.
- Aplastic Anemia: Nɔnɔme si me ƒumeŋuɖui mete ŋu wɔa lãmenugbagbevi yeyewo o.
- Sickle Cell Anemia: Domenyiŋusẽ ƒe dɔléle si nana ʋumenugbagbevi dzĩwo ƒe nɔnɔme trɔna.
- Myeloma kple ƒumeŋuɖui ƒe dɔléle vovovo bubuwo.
Aleke nètiaa ‘ame si sɔ nyuie wu’?
Esiae nye ɖoɖoa ƒe akpa vevitɔ kekeake eye wòsesẽ wu. Abe alesi ʋu ƒe hatsotso sɔ kple wo nɔewo ne wole ʋu nam ene la, lãmenugbagbeviwo nana hã bia be woatsɔ wo asɔ kple wo nɔewo si de to wu gɔ̃ hã. Woyɔa esia be HLA (Human Leukocyte Antigen) ƒe sɔsɔ .
HLA nye dzesi siwo le lãmenugbagbevi ɖesiaɖe si le míaƒe ŋutilã me ƒe anyime. Míaƒe dɔlélenutsiŋutete léa ŋku ɖe dzesi siawo ŋu be yeade dzesii nenye be ‘esia nye mía ŋutɔwo míaƒe ŋutilã ƒe akpa aɖe’ alo ‘esia nye dutanu.’ Ele be amesi nae kple amesi xɔe ƒe HLA dzesiwo nasɔ alesi wòanya wɔe. Ne womele nenema o la, dɔnɔa ƒe ŋutilã ate ŋu agbe lãmenugbagbevi siwo wodo yeyee la, alo lãmenugbagbevi yeyeawo ate ŋu adze dɔnɔa ƒe ŋutilã dzi.
Ðɔktawo dia amesi sɔ le ɖoɖo sia nu:
1. Ƒomea me tɔ kplikplikpliwo: Nɔviwoe ate ŋu anye amesiwo sɔ nyuie wu. Dzilawo kple ɖeviwo ƒe sɔsɔ hã ate ŋu anɔ anyi.
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3. Haploidentical donors: Ɣeaɖewoɣi la, woate ŋu azã ƒomea me tɔ (e.g., dzilawo, ɖeviwo) si sɔ kple afã pɛpɛpɛ le HLA dzesiwo me.
Ðe wò hã àte ŋu azu nudzɔla? - Dɔwɔwɔa afɔɖeɖe ɖesiaɖe
Ne ame aɖe di be yeawɔ nu bubu aɖe abe esia ene la, ɖoɖo nyui aɖe li na esia. Esia wɔnɛ be nunala kple amesi xɔe siaa le dedie wu.
| Afɔɖeɖewo | Nuɖᴐɖᴐ |
|---|---|
| 1. Ŋkɔŋlɔɖi | Gbã la, ele be nàge ɖe nunala ƒe ŋkɔwo ŋɔŋlɔ ƒe dɔwɔƒe aɖe, afisi nàkpe nyabiase gbalẽvi aɖe ɖo tso wò lãmesẽ ŋutinya ŋu eye nàɖee afia be yelɔ̃ ɖe edzi. |
| 2. HLA dodokpɔ | Wowɔa dodokpɔ aɖe be woanya wò HLA ƒomevi. Ele bɔbɔe ŋutɔ. Ètsɔa kotoku sue aɖe ƒoa wò nu me eye nèɖoa lãmenugbagbevi ma ƒe kpɔɖeŋu ɖa be woadoe kpɔ. |
| 3. Ame si sɔ kplii didi | Ne wò HLA ƒomevi sɔ kple dɔnɔ aɖe la, agbalẽŋlɔƒea aƒo ka na wò. Esia ate ŋu axɔ ɣleti geɖe, ɖewohĩ ƒe geɖe. Alo ɖewohĩ manye nusi sɔ kple wo nɔewo gbeɖe o. |
| 4. Dodokpɔ siwo wowɔna tsɔ ɖoa kpe edzi | Ne wokpɔ nusi sɔ la, woaɖe ʋu atsɔ aɖo kpe nyatakaka bubuwo kple ɖekawɔwɔ dzi. Woawɔ atikewɔlawo ƒe dodokpɔ blibo hã be woakpɔ egbɔ be èle lãmesẽ me. |
| 5. Nyanyanana kple lɔlɔ̃ ɖe edzi | Aɖaŋuɖola aɖe dɔa katã, afɔku siwo le eme, kple nu bubu ɖesiaɖe me na wò. Emegbe, woaxɔ wò lɔlɔ̃nu faa si ŋu nènya nu tsoe. |
Amekae medze na esia o?
Menye amesiamee ate ŋu ana lãmenugbagbeviwo o. Ƒe si ame xɔ kple lãmesẽ ƒe nɔnɔmee nye nu vevi siwo gbɔ wòtso. Zi geɖe la, amesiwo le lãmesẽ me siwo xɔ tso ƒe 18-40 ate ŋu aŋlɔ ŋkɔ. Nɔnɔme aɖewo siwo ate ŋu ana màdze na nudzɔdzɔ o dometɔ aɖewoe nye:
- HIV/AIDS dɔlékui xɔxɔ.
- Dɔlélenutsiŋutete ƒe dɔlélewo abe ƒunukpeƒetetedɔ sesẽ ene (e.g. Rheumatoid Arthritis).
- Dzidɔ ƒe ŋutinya ƒe amesinɔnɔ (dzidɔ, amekoko si wowɔna to mɔ bubu dzi).
- Esi woda kansa nɛ (vevietɔ le ƒe 5 siwo va yi me).
- Suklidɔ le insulin zazã me.
- Aklãdɔléle B alo C ƒe dɔléle.
- Ayikudɔ sesẽ aɖe.
Nuŋlɔɖi sia meyɔ fũ o. Ne èdi be yeadzɔ nu gake mèka ɖe edzi be yedze o la, anyo wu be nàƒo nu tso eŋu na wò ɖɔkta.
Alesi lãmenugbagbeviwo ŋeŋe ƒe ɖoɖoa wɔa dɔe
Ne wonya xɔ wò abe nunala ene ko la, woado atike na wò gbesiagbe tso ŋkeke ʋɛ aɖewo do ŋgɔ na gbesigbe woaƒo wò lãmenugbagbeviwo nu ƒu. Woyɔa esia be Filgrastim . Atike sia ʋãa wò ƒumeŋuɖui be wòaɖe lãmenugbagbevi gbogbo aɖewo ɖe wò ʋukawo me. Atike sia ate ŋu ahe nugbegblẽ suesuesuewo, abe ŋutilã ƒe veve, dzoxɔxɔ vi aɖe, kple taɖuame ene vɛ. Gake esiawo nu ayi kaba le atikeawo dodo vɔ megbe.
Le ŋkeke si dzi woaƒo lãmenugbagbeviwo nu ƒu la, nusia dzɔna:
1. Woatsɔ wò aɖo zikpui alo aba nyui aɖe dzi.
2. Woade cannula (tube sue aɖe) ʋuka aɖe me le wò abɔ eveawo me.
3. Le go ɖeka me la, wò ʋu gena ɖe mɔ̃ aɖe me. Mɔ̃ sia ɖea lãmenugbagbeviwo ɖeɖeko ɖa tso ʋua gbɔ.
4. Ne woɖe lãmenugbagbeviawo ɖe vovo vɔ la, ʋu si susɔ la trɔna yia wò ŋutilã me to ʋuka si le alɔ kemɛa me dzi.
Dɔwɔwɔ bliboa xɔa abe gaƒoƒo 4-6 ene. Ate ŋu axɔ ŋkeke 2-3 hafi woaƒo lãmenugbagbevi siwo hiã la nu ƒu. Ele abe ʋudodo ene, gake exɔa ɣeyiɣi didi vie.
Afɔku alo nugbegblẽ le ame ŋu gã aɖeke mele dɔwɔwɔ sia megbe o. Ame aɖewo ate ŋu akpɔ calcium ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ vie eye lãmekawo nate ŋu agbã. Ɣemaɣi la, atikewɔlawo ƒe ƒuƒoƒoa ana calcium-tike wò. Ne wowu nudzɔdzɔa nu vɔ la, àte ŋu ayi wò dɔwɔna siwo nèwɔna ɖaa dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋumenugbagbeviɣidɔ nana nye nuwɔna si ŋu bubu le, abe agbe tsɔtsɔ na amesi dɔléle sesẽwo abe ʋumenugbagbeviɣidɔ ene le fu ɖem na ene.
- Esia nye mɔnu si le dedie ŋutɔ na nunala la. Nuvevi aɖeke manɔ wò ŋutilã ŋu ɣeyiɣi didi o.
- Be nàzu nunala la, ele be nànye ame si le lãmesẽ me eye nàwɔ ɖe atikewɔwɔ ŋuti mɔfiamewo dzi.
- Esi wònye be nunala kple dɔnɔ ƒe sɔsɔ nɔ te ɖe HLA ƒomevi dzi ta la, ate ŋu anye nudzɔdzɔ si mebɔ kura o. Eyata ele vevie ŋutɔ be ame geɖe naŋlɔ ŋkɔ abe nunala ene.
- Ne èdi be yeanya nu geɖe tso ɖoɖo sia ŋu la, ƒo nu tso eŋu na wò ɖɔkta. Woana mɔfiame nyuitɔ wò.
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