Ðe teƒe blɔ/aɖabɛ le viwòa ƒe ŋutilã ŋua? Mina míaƒo nu tso ‘Blueberry Muffin Rash’ sia ŋu!

Mese vɔvɔ̃ kple dzimaɖitsitsi si vidada alo vifofo sena ne wokpɔ nu wɔnuku aɖe le wo vi suea ƒe ŋutilã ŋu la gɔme. Vevietɔ ne vidzĩ si wodzi yeyee ƒe ŋutigbalẽ va zu blɔ kple aŋutiɖiɖi zi ɖeka la, ate ŋu atsi dzimaɖi ŋutɔ. Nɔnɔme siae nye nusi míeyɔna le atikewɔwɔ me be "Blueberry Muffin Rash." Ŋkɔ sia aɖi nusi wɔ nuku, gake ele vevie be nànyae elabena nu vevi geɖewo ate ŋu anɔ megbe nɛ.

Nukae nye ‘blueberry muffin ƒe ʋuʋudedi’ sia?

Kpuie ko la, ŋutigbalẽ ƒe dɔléle aɖee nye esia si ate ŋu adze vidzĩ yeyewo kple vidzĩ suewo dzi. Woyɔa esia be ‘blueberry muffin rash’ elabena teƒeawo le abe blɔ-aɖabɛ ƒe dzesi siwo le blueberry muffin dzi ene. Woate ŋu adze abe ʋuʋudedi siwo le gota ene alo abe ʋuʋudedi siwo kɔ ɖe ŋutigbalẽa dzi ene.

Susu vevi etɔ̃ tae teƒe siawo ate ŋu adze ɖo:

1. Extramedullary hematopoiesis: Zi geɖe la, míaƒe ʋu dona le ƒumeŋuɖui me. Gake le atikewɔwɔ ƒe nɔnɔme aɖewo ta la, lãmenugbagbevi siwo wɔa ʋu la dzea ƒoƒo ƒu eye wowɔa ƒuƒoƒo le ƒumeŋuɖui godo, abe ŋutigbalẽ me ene. Lãmenugbagbevi siawo ƒe hatsotsowoe nye nusiwo dzena abe teƒeteƒewo ene.

2. Ʋu si dona le ŋutigbalẽa me (Purpura): Teƒe dzĩ sia ƒomevi ate ŋu adzɔ ne ʋu ge ɖe ŋutigbalẽa me le esi ʋukawo gblẽ alo gbɔdzɔgbɔdzɔ le ʋu ƒe sisi ƒe ɖoɖoa me ta.

3. Kansa lãmenugbagbeviwo ƒe kaka (Metastasis): Le kansa ƒomevi aɖewo me la, kansa lãmenugbagbeviwo ate ŋu akaka ɖe ŋutigbalẽ me tso ŋutilã ƒe akpa bubuwo eye woahe ƒunukpeƒetetedɔ abe esia ene vɛ.

Atikewɔwɔ me nɔnɔme siwo gbɔ wòtsona ƒe akpa gãtɔ siwo hea nusiawo etɔ̃awo katã vɛ la mebɔ o. Azɔ hã, zi geɖe la, dzesi bubuwo anɔ viwòa ŋu kpe ɖe teƒe siawo ŋu. Teƒe siawo mahaya le wo ɖokui si o. Eyata ‘blueberry muffin rash’ nye dzesi sẽŋu aɖe be viwòa hiã atikewɔla enumake.

Nu vevi kawoe ate ŋu ahe esia vɛ?

Mègatsi dzi o, míaƒo nu tso susu vevi siwo kpɔa ŋusẽ ɖe esia dzi la ŋu eme nakɔ, ɖekaɖeka.

TORCH Dɔlékuiwo

TORCH nye kpukpui na dɔlékuiwo ƒe hatsotso geɖe siwo dzea fugboe alo vidzĩ yeye si le vidzidɔ me dzi. Dɔlékui siawo ate ŋu atso vidada gbɔ ayi vi gbɔ le fufɔɣi, le vidzidzi me, alo le vidzidzi megbe.

TORCH tsi tre ɖi na:

• T - Toxoplasmosis ƒe dɔléle
• O - Dɔlékui bubuwo - le kpɔɖeŋu me, syphilis, koklozi, parvovirus B19
• R.- Rubella ƒe ŋkɔ
• C - Lãmenugbagbeviwo ƒe dɔlékui (CMV) .
• H - Herpes simplex dɔlékui (HSV) .

Tsɔ kpe ɖe dɔlékui siawo ŋu la, vidzĩa ate ŋu aɖe dzesi bubuwo hã afia abe dzoxɔxɔ, nuɖuɖu sesẽ, ʋuʋudedi, vidzidzi ƒe kpekpeme si bɔbɔ, tosese, kple aklã ƒe ʋuʋu.

Esia ɖe alesi wòle vevie be woayi ɖɔkta gbɔ ɖe game dzi ahawɔ dodokpɔ siwo hiã le fufɔɣi la fia. To esia dzi la, àte ŋu anya do ŋgɔ nenye be dɔlékui siawo ƒomevi le ŋuwò alo ne dɔlélenutsiŋutete le ŋuwò.

Dɔdzẽ Kple Kansa Aɖewo

Ðeviwo ƒe kansa ƒomevi aɖewo hã ateŋu ahe ‘blueberry muffin rash’ sia vɛ. Esiawo nye nɔnɔme siwo mebɔ kura o.

• Histiocytosis ƒe dɔwɔwɔ
• Ʋumenugbagbeviɣidɔ (ʋumenugbagbeviɣidɔ) .
• Mastocytosis ƒe dɔléle
• Ahɔhɔ̃mekawo ƒe dɔléle
• Rhabdomyosarcoma ƒe dɔléle
• Transient myeloproliferative disorder - Esia bɔ vevietɔ le ɖevi siwo ŋu Down syndrome le me.

Dzesiwo abe ɖeɖiteameŋu si gbɔ eme, dzoxɔxɔ, lolo dzi ɖeɖe kpɔtɔ, ŋutigbalẽ ƒe amadede dzẽ (le ʋusɔgbɔdɔ ta), ʋuka siwo vuvu, kple gbɔgbɔ sesẽ ate ŋu akpe ɖe nɔnɔme siawo ŋu.

Kuxi bubu siwo do ƒome kple ʋu ƒe wɔwɔme (Extramedullary Hematopoiesis) .

Abe alesi míeƒo nu tso eŋu va yi ene la, ʋu ƒe sisi le ʋuka godo hã gbɔe teƒe siawo tsona. Nu bubu aɖewo siwo nana esia dzɔnae nye:

• Vidzĩ yeye ƒe ʋumenugbagbeviɣidɔ: Vidzĩa ƒe ʋumenugbagbevi dzĩwo ƒe gbagbã kabakaba le nusiwo abe ABO ʋu ƒe hatsotso ƒe masɔmasɔ le vidadaa kple vidzĩa dome ene ta.
• Domenyiŋusẽfianu ƒe spherocytosis: Domenyiŋusẽ ƒe nɔnɔme si nana ʋumenugbagbevi dzĩwo ƒe nɔnɔme trɔna.
• Tsit-to-twin transfusion syndrome: Ʋu ƒe sisi masɔmasɔ le venɔvi siwo ƒe vidzidɔ ɖeka me tɔwo dome o.

Aleke ɖɔktawo wɔa ake ɖe nusi gbɔ wòtso ŋutɔŋutɔ ŋu?

Viwòa ƒe ɖɔkta ado viwòa kpɔ nyuie gbã eye wòalé ŋku ɖe eŋu be dzesi bubuwo le eŋu hã. Emegbe, woaɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ adi nusi tututu gbɔ wòtso.

Ne wosusu be TORCH dɔlékui aɖe le eŋu la, ɖɔkta ate ŋu aɖo aɖaŋu hã be woawɔ dodokpɔ siwo sɔ na vidadaa.

Nukawoe nye atike siwo wozãna na esia?

Esia nye kuxi si le ame geɖe ŋu. Ðo ŋku edzi be atikewɔwɔ na ‘blueberry muffin rash’ enye be woada nɔnɔme si gbɔ wòtso si he wò vɛ. Eyae nye be esi wònye be teƒe siawo nye dzesi ta la, ele be míada nɔnɔme si gbɔ wòtso si he dzesia vɛ.

Le kpɔɖeŋu me:

• Ne nusi gbɔ wòtsoe nye TORCH dɔlékui la, wonaa dɔlékuiwutikewo, dɔlékuiwutikewo, alo dɔlékuiwutikewo.
• Ne kansa abe ahɔhɔ̃mekawo ƒe dɔléle ene gbɔe wòtso la, amekoko, atikewɔmɔnu, dɔlélenutsiŋutete ƒe dɔdamɔnu, alo keklẽŋusẽdɔdamɔnu ate ŋu ahiã.

Viwòa ƒe atikewɔlawo ƒe ƒuƒoƒo aɖe atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake si woawɔ na viwòa me, eyata mègahe ɖe megbe le nuƒoƒo na wo tso nyabiase alo dzimaɖitsitsi ɖesiaɖe si anɔ ŋuwò ŋu o.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?

Esia ƒe ŋuɖoɖo ɖeka koe nye "Enumake!"

Togbɔ be nɔnɔme sia mebɔ o hã la, ate ŋu anye dzesi be nu vevi aɖe le dzɔdzɔm ɖe viwòa ƒe ŋutilã dzi. Esia ate ŋu ado vɔvɔ̃ na ame ŋutɔ, gake nu vevitɔ kekeakee nye be màgatsi dzodzodzoe ahawɔ nu kaba o. Atikewɔlawo ƒe ƒuƒoƒoa ake ɖe nusi gbɔ wòtso ŋu kaba eye woawɔ atike nyuitɔ kekeake na viwòa.