Ðe wò ʋumenugbagbeviɣiwo mesɔ gbɔ oa? Mina míaƒo nu tso cytopenia ŋu!

Ðe ɖeko nèsena le ɖokuiwò me ɣeaɖewoɣi be ɖeɖi te ye ŋu eye yeƒe lãme gbɔdzɔa? Alo ɖe nèdzea dɔ ɣesiaɣia? Ðewohĩ esi lãmenugbagbevi ƒomevi aɖewo mesɔ gbɔ le wò ʋu me o tae wòle alea ɖo. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be cytopenia. Mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe.

Lãmenugbagbevi ka ƒomeviwoe le míaƒe ʋu me? Nukae adzɔ ne wo dzi ɖe kpɔtɔ?

Enyo, gbã la, mina míalé ŋku ɖe lãmenugbagbevi ƒomevi vevi siwo le míaƒe ʋu me kple nusi wowɔna ŋu. Abe alesi ko ʋu ƒe akpa vovovoawo va ƒoa ƒu be wòaƒu du ene la, lãmenugbagbevi ƒomevi etɔ̃ siawo katã le vevie ŋutɔ le míaƒe ŋutilã ƒe lãmesẽ me nɔnɔ me.

• Ʋumenugbagbevi dzĩwo (Erythrocytes): Esiawoe nye lãmenugbagbevi siwo tsɔa oxygen yia míaƒe ŋutilã katã me. Bu eŋu kpɔ ko, míaƒe ŋutilã ƒe akpa sue ɖesiaɖe hiã ŋusẽ hafi wòate ŋu awɔ dɔ. Oxygen si ʋumenugbagbevi dzĩ siawo tsɔna kpena ɖe ame ŋu wònaa ŋusẽ ma.
• Ʋumenugbagbevi ɣiwo (Leukocytes): Esiawo le abe ŋutilãa ƒe dedienɔnɔdzikpɔlawo ene. Ne dɔlékuiwo, abe dɔlékuiwo, dɔlékuiwo, dɔlékuiwo, kple fungiwo ene ge ɖe ŋutilã me la, lãmenugbagbevi ɣi siawo wɔa avu kpli wo eye wokpɔa mía ta tso dɔlélewo me. Woawoe nye míaƒe dɔlélenutsiŋutete ƒe akpa veviwo.
• Ʋumenugbagbeviɣiwo (Thrombocytes): Èbu alesi lãɖeɖe sue aɖe ate ŋu adzudzɔ ʋudodo ŋu kpɔa? Ʋumenugbagbevi dzĩ siawo kpena ɖe ame ŋu le ema me. Ne ʋu le dodom la, ʋumenugbagbevi dzĩ siawo ƒoa ƒu wɔa ʋuka, si wɔnɛ be ʋua nu tsona. Ne menye nenema o la, míate ŋu abu ʋu gbogbo aɖe le lãɖeɖe sue aɖe gɔ̃ hã me.

Eyata ɖe lãmenugbagbeviwo ƒe tsɔtsrɔ̃ ƒomevi vovovowo lia?

Tututu. Cytopenia menye dɔléle ɖeka ko o. Wodae ɖe hatsotsowo me le lãmenugbagbevi ƒomevi si mele wò ʋu me o nu.

• Ʋusɔgbɔdɔ: Ðewohĩ èse nya sia kpɔ. Enye nɔnɔme si me ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o. Nukae dzɔna ɣemaɣi? Oxygen ƒe agbɔsɔsɔ si ɖoa ŋutilãa me dzi ɖena kpɔtɔna.
• Leukopenia: Esia nye ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ. Ðo ŋku edzi be lãmenugbagbevi ɣiwoe wɔa avu kple dɔléle. Eyata ne wo dzi ɖe kpɔtɔ la, míele afɔku me be míadze dɔ. Woyɔa nɔnɔme bubu si do ƒome kple esia be neutropenia . Esia nye ʋumenugbagbevi ɣi ƒomevi tɔxɛ aɖe si woyɔna be neutrophils dzi ɖeɖe kpɔtɔ. Neutrophils ye nye esiwo bɔ wu le míaƒe ʋumenugbagbevi ɣiwo dome.
• Thrombocytopenia: Esia nye ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ, si kpena ɖe ʋu ŋu. Ne esiawo mesɔ gbɔ o la, ʋu metsina nyuie o. Abi sue aɖe gɔ̃ hã ate ŋu ana ʋu nado gã, alo ate ŋu asesẽ be woadzudzɔ ʋudodo.
• Pancytopenia: Esia nye dɔléle si nu sẽ wu. Esiae nye esime lãmenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩ etɔ̃ siwo míeyɔ ɖe etame la katã dzi ɖe kpɔtɔ zi ɖeka.

Nu bubu aɖe hã li si woda ɖe hatsotsowo me, si wotu ɖe nusi gbɔ lãmenugbagbeviwo ƒe tsɔtsrɔ̃ sia tso dzi:

• Dɔlélenutsiŋutete ƒe Lãmenugbagbeviwo ƒe Ðeɖekpɔkpɔ:Ɣeaɖewoɣi la, míaƒe dɔlélenutsiŋutete gblẽna eye wòdzea mía ŋutɔwo míaƒe ʋumenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme. Ele abe kpewo dada ɖe mía ŋutɔwo ƒe aƒe dzi ene. Ne edzɔ alea la, ʋumenugbagbevi ɖeka alo esi wu nenema ate ŋu abu.
• Refractory Cytopenia: Esiae nye míaƒe ƒumeŋuɖui ƒe akpa si wɔa ʋumenugbagbeviwo. Enɔa ƒu gã aɖewo me, abe ƒumebɔbɔ ene. Eyata, esiae nye ŋkɔ si wotsɔ na nɔnɔme si dzɔna ne ƒumeŋuɖui sia mewɔa ʋumenugbagbeviɣiwo le mɔ si sɔ nu o, si fia be ne ʋumenugbagbeviwo wɔwɔ dzi ɖe kpɔtɔ.

Dzesi kawoe míekpɔna ne ʋumenugbagbevi siawo dzi ɖe kpɔtɔ?

Nyabiase nyui aɖe. Elabena menye amesiamee dzesiwo le o. Ðewohĩ ame aɖewo menya naneke o, eye ʋudodokpɔ me koe woke ɖe eŋu le vome. Gake ne wowɔe la, dzesiawo ate ŋu ato vovo le lãmenugbagbevi siwo ƒomevi dzi ɖe kpɔtɔ, agbɔsɔsɔme si dzi ɖe kpɔtɔ, kple nusi gbɔ wòtso nu.

Na míakpɔ nɔnɔme siwo ate ŋu aku ɖe ƒomevi ɖesiaɖe ŋu ɖa:

Ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o (ʋusɔgbɔdɔ) ƒe dzesiwo:

• Sese le eɖokui me be ɖeɖi te ye ŋu eye agbe mele ye si ɣesiaɣi o.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) dzɔna ne wole nane si tea ɖeɖi ame ŋu wɔm, abe atrakpui aɖe lialia ene.
• Dzi ƒe tsotso si medzɔna edziedzi o alo kabakaba.
• Ŋutilãa va nɔa ɣie eye wòfana .
• Ɣeaɖewoɣi la, akɔta ate ŋu anɔ veve sem .

Ʋumenugbagbevi ɣiwo ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo (leukopenia/neutropenia):

• Ðeko sese le ɖokuinye me be ɖeɖi te ŋunye .
• Asrã kple vuvɔ .
• Kɔmeve (Pharyngitis) .
• Nu me ƒe abi .
• Kɔdzidɔ sesẽ aɖe .
• Dɔmetɔtrɔ .
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu .

Dzesi siwo fia be ʋumenugbagbevi dzĩwo mesɔ gbɔ o (thrombocytopenia):

• Nyateƒe si wònye be ʋuʋudedi sue aɖe gɔ̃ hã ate ŋu ana ʋu ƒe ɖiɖi (aɖuɖɔtoewo) nadze le ŋutilãa ŋu bɔbɔe .
• Ʋu si metsona ne èxɔ abi o, alo ʋu si nɔa dodom ɣeyiɣi didi .
• Ɣeaɖewoɣi la, teƒe sue dzĩ alo aŋutiɖiɖi (petechiae) dzena le ŋutigbalẽa ŋu. Le nyateƒe me la, esiawo nye ʋu suesuesue siwo dona le ŋutigbalẽa te.

Nukatae nye ʋumenugbagbeviwo dzi le ɖeɖem kpɔtɔ alea? Nukawo gbɔe esia tsona?

Susu geɖe ate ŋu anɔ nɔnɔme sia si woyɔna be cytopenia ŋu. Kpuie ko la, susu vevi eve ate ŋu anɔ anyi. Ðekae nye be kuxi aɖe le ʋumenugbagbevi dzĩwo wɔwɔ tso ƒumeŋuɖui me si megblɔ va yi. Alo, ne wowɔ ʋumenugbagbeviawo le ƒumeŋuɖui me eye wotsɔ wo kpe ɖe ʋua ŋu vɔ la, lãmenugbagbevi mawo tsrɔ̃na le susu aɖewo ta.

Susu siawo dometɔ aɖewo ate ŋu anye domenyinyi , si fia be nusiwo tso domenyiŋusẽfianu me. Woate ŋu axɔ ɖewo, si va dona emegbe .

Nusiwo ate ŋu ahe ʋusɔgbɔdɔ vɛ:

Zi geɖe la, nunyiame ƒe veve gbɔe ʋusɔgbɔdɔ tsona.Elabena. Vevietɔ iron ƒe anyimanɔmanɔ `(Iron-deficiency Anemia)` . Nunyiamewo abe iron, vitamin B12 `(Vitamin B12)`, kple folate `(Folate)` le vevie na míaƒe ƒumeŋuɖui be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me. Ne esiawo mesɔ gbɔ o la, ʋumenugbagbevi dzĩwo dzi aɖe akpɔtɔ. Tsɔ kpe ɖe eŋu la, ʋusɔgbɔdɔ ate ŋu atso ʋu si dona le ame ŋu (le abixɔxɔ, amekoko, kple bubuawo ta) kple dɔléle siwo gblẽa ʋumenugbagbevi dzĩwo hã ta.

• Dɔlélenutsiŋutete ƒe Dɔlélewo
• Ʋu ƒe dɔlélewo kple Ƒumeŋuɖui ƒe dɔlélewo
• Kansa
• Domenyiŋusẽfianu ƒe nɔnɔmewo
• G6PD ƒe anyimanɔmanɔ
• Atike aɖewo
• Nunyiame ƒe veve
• Fufɔfɔ
• Pyruvate kinase ƒe anyimanɔmanɔ
• Sickle cell ƒe dɔléle
• Thalassemia ƒe dɔléle

Nusiwo ate ŋu ahe Leukopenia/Neutropenia vɛ:

Kansa dada, vevietɔ atikewɔmɔnu kple keklẽŋusẽ, nye nu vevi aɖe si nana ʋumenugbagbevi ɣiwo dzi ɖena kpɔtɔna. Dɔdamɔnu siawo wua kansa lãmenugbagbeviwo, gake abe eƒe nugbegblẽ ene la, woate ŋu atsrɔ̃ lãmenugbagbevi aɖewo siwo le lãmesẽ me (abe ʋumenugbagbeviwo ene) hã.

• Dɔlélenutsiŋutete ƒe Dɔlélewo
• Ʋu Kple Ƒumeŋuɖui ƒe Dɔlélewo
• Kansa
• Kansa ƒe atikewɔwɔwo
• Domenyiŋusẽfianu ƒe nɔnɔmewo
• Dɔlékuiwo
• Atike aɖewo
• Nunyiame ƒe veve

Nusiwo ate ŋu ahe ʋumenugbagbeviɣidɔ vɛ:

• Ahanono ƒe kuxi
• Dɔlélenutsiŋutete ƒe dɔlélewo, le kpɔɖeŋu me , Immune Thrombocytopenia
• Ʋu kple ƒumeŋuɖui ƒe dɔlélewo, abe Thrombotic Thrombocytopenic Purpura (TPP) ene .
• Kansa
• Kansa ƒe atikewɔwɔwo
• Domenyiŋusẽfianu ƒe nɔnɔmewo
• Dɔlékuiwo
• Atike aɖewo, le kpɔɖeŋu me , ʋumenugbagbeviɣidɔ si heparin hena vɛ (HIT) .
• Nunyiame ƒe veve
• Fufɔfɔ
• Atike siwo me aɖi le zazã

Lãmenugbagbeviwo ƒe dzidziɖedzi ƒomevi aɖewo hã li siwo me womate ŋu ake ɖe nusi tututu gbɔ wòtso ŋu o:

Ɣeaɖewoɣi la, ɖɔktawo mete ŋu dea dzesi nusi tututu gbɔ ʋumenugbagbeviɣidɔ siawo tso o. Le nɔnɔme mawo me la, nɔnɔme siawo dzena le hatsotso eve me:

• Clonal Cytopenia of Undetermined Significance (CCUS) tso:Esiae nye esime ʋumenugbagbevi geɖe ƒe domenyiŋusẽfianu ƒe tɔtrɔ ɖeka si ƒe dome wonyi le woƒe DNA me. Ame si ŋu CCUS le la ate ŋu axɔ ʋudɔ aɖewo kple dzitodzito me dɔlélewo.
• Idiopathic Cytopenia of Undetermined Significance (ICUS): Le esia me la, womekpɔa domenyiŋusẽfianu ƒe tɔtrɔ ma tɔgbe aɖeke le ʋumenugbagbeviawo ƒe DNA me o.

Aleke ɖɔktawo wɔa anya dɔléle sia si nye cytopenia? Dodokpɔ kawoe wowɔna?

Zi geɖe la, wokpɔa esia ne dzesiwo le ŋuwò, alo ne wodo ʋu kpɔ le susu bubu aɖe ta. Woyɔa dodokpɔ vevitɔ be ʋudodo blibo (CBC) . Esia nye ʋudodokpɔ si bɔ ŋutɔ. Ena wò ɖɔkta kpɔa lãmenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩ agbɔsɔsɔme si le asiwò, kple ne tɔtrɔ aɖewo va le lãmenugbagbevi mawo ƒe nɔnɔme me. Ate ŋu ana kpeɖodziwo hã tso dɔléle aɖewo ŋu.

Ne CBC ɖee fia be ʋumenugbagbeviɣiwo mesɔ gbɔ o la, ekema ɖɔktaa adze agbagba anya nusitae ʋumenugbagbeviɣia le sue nenema gbegbe ɖo. Ate ŋu awɔ dodokpɔ bubuwo atsɔ anya ema.

Dodokpɔ bubu kawoe wowɔna tsɔ dia nusi gbɔ wòtso?

• Ʋu si Wotsɔ Ƒoa Ʋu Le Gome: Esia bia be woaɖe wò ʋu sue aɖe, atsɔe ade ahuhɔ̃e me, eye nàlé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Lãmenugbagbeviawo ƒe nɔnɔme kple dzedzeme ate ŋu ana míanya nusi gbɔ kuxia tso.
• Bone Marrow Aspiration and Biopsy: Esia nye dodokpɔ si sesẽ vie wu. Le dodokpɔ sia me la, ɖɔkta aɖe ɖea ƒumeŋuɖui sue aɖe eye wòléa ŋku ɖe eŋu be lãmenugbagbevi siwo mesɔ o le eme hã. Dodokpɔ sia le vevie hena dɔléle sesẽwo abe kansa alo nɔnɔme bubu siwo gblẽa nu le ʋu kple ƒumeŋuɖui ŋu la didi.

Tsɔ kpe ɖe esia ŋu la, woate ŋu awɔ dodokpɔ bubu vovovowo le dodokpɔxɔ me be woakpɔ nusi tututu gbɔ wòtso.

Enyo, azɔ nukawoe nye atikewɔwɔ na cytopenia ƒe nɔnɔme sia?

Atikewɔwɔa nɔ te ɖe alesi wò dɔlélea nu sẽe, ne dzesiwo le ŋuwò, kple nusi gbɔ wòtso dzi. Le go aɖewo siwo mesẽ o me, si fia be naneke meli si gbɔ wòtso o eye dzesi aɖeke hã mele eŋu o la, ɖewohĩ mahiã be woawɔ atike nɛ o .

Gake ne ehiã be woawɔ atike na ame la, zi geɖe la, wowɔa esia tsɔ daa dɔléle si gbɔ ʋumenugbagbeviɣidɔa tso. Le kpɔɖeŋu me, ne nunyiame ƒe veve gbɔe wòtso la, wò ɖɔkta ate ŋu agblɔ na wò be nàwɔ tɔtrɔ le wò nuɖuɖu ŋu alo nàno nunyiametikewo. Ne dɔlékui aɖe gbɔe ʋumenugbagbeviɣidɔa tso la, woate ŋu ana dɔlékuiwutikewo wò .

Le nɔnɔme sesẽ aɖewo me la, atike siwo ana ʋumenugbagbeviɣiwo nadzi ɖe edzi tẽ ate ŋu ahiã. Esiawo dometɔ aɖewoe nye:

• Granulocyte Colony-Nu si doa ŋusẽ ame (G-CSF):Esiawo nye atikewo. Wowɔa dɔ to wò neutrophils, si nye ʋumenugbagbevi ɣi ƒomevi aɖe, dzi ɖeɖe kpɔtɔ me. Zi geɖe la, wonaa G-CSF amesiwo le atikewo zãm be woatsɔ axe mɔ ɖe ʋumenugbagbeviɣidɔ nu.
• Ʋudodo: Ne wò ŋutilã mate ŋu awɔ eya ŋutɔ ƒe ʋumenugbagbeviwo o la, ahiã be woado ʋu na wò tso ame bubu gbɔ.
• Ƒumeŋuɖui alo Lãmenugbagbeviwo Dodo Ðe Ame Ŋu: Esia bia be nàɖe ʋumenugbagbevi siwo mesɔ o, siwo metsi o le wò ƒumeŋuɖui me eye nàtsɔ lãmenugbagbevi siwo le lãmesẽ me aɖo wo teƒe. Emegbe lãmenugbagbevi siawo ava zu ʋumenugbagbevi tsitsiwo eye woatrɔ ava wò ʋukawo me.
• Aɖuɖɔtoe ɖeɖeɖa: Esia nye amekoko si wowɔna tsɔ ɖea wò aɖuɖɔ ɖa . Ɣeaɖewoɣi la, dɔgboa te ŋu léa ʋumenugbagbeviwo eye wòɖea wo ɖa le ʋukawo me. Amekoko sia ate ŋu ahiã le nɔnɔme mawo me.

Ðe nane li míate ŋu awɔ be lãmenugbagbeviwo ƒe agbɔsɔsɔ sia nagatsi oa?

Le nyateƒe me la, nusiwo gbɔ wòtsona dometɔ aɖewo, le kpɔɖeŋu me, dɔléle siwo dɔlékuiwo ƒe dɔlélenutsiŋutete wɔna, ʋu kple ƒumeŋuɖui, kple kansa, nu sesẽ na mí be míaxe mɔ na. Wonye nusiwo dzɔna le míaƒe ŋusẽ te.

Gake míate ŋu aɖe afɔku si le cytopenias ƒomevi aɖewo xɔxɔ me dzi akpɔtɔ ne míekpɔ egbɔ be nunyiame siwo míaƒe ŋutilã hiã be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me la su esi. Le kpɔɖeŋu me, ne iron sɔ gbɔ ɖe wò nuɖuɖu me la, ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o nu .

Ele vevie hã be woaɖe ahanono dzi akpɔtɔ , elabena aha sesẽ ate ŋu ado kplamatse ŋutilãa ƒe ŋutete be wòaxɔ nunyiamewo. Esia ate ŋu ana ʋumenugbagbeviɣiwo hã naɖiɖi. Ne wonya dzudzɔ ahanono ko la, ʋumenu siawo siwo mesɔ o ate ŋu atrɔ ava nɔ abe tsã ene.

Eyata nukae nye nyagblɔɖi si woatsɔ ahaya tso nɔnɔme sia me? (Nyagblɔɖi) .

Wò ŋgɔdonya, alo nukpɔsusu, nɔ te ɖe nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ tso dzi bliboe. Le kpɔɖeŋu me, ne nunyiame ƒe veve gbɔe ʋusɔgbɔdɔ tso la, woate ŋu adae keŋkeŋ ne wodae nyuie eye woɖu nu nyuie. Ne wò ʋumenugbagbevi ɣiwo ƒe xexlẽme le sue le dɔlékui alo dɔlékui aɖe ta la, dɔlékuia dada ate ŋu akpe ɖe wò ʋumenugbagbevi ɣiwo ƒe xexlẽme ŋu wòatrɔ ava nɔ abe tsã ene.

Gake ne domenyiŋusẽfianu ƒe nɔnɔme aɖe, ʋu alo ƒumeŋuɖui ƒe dɔléle, alo kansa gbɔe lãmenugbagbeviwo ƒe tsɔtsrɔ̃ tso la, ate ŋu abia be woawɔ atike nɛ wòasesẽ wu . Ðewohĩ ahiã be wò ɖɔkta nalé ŋku ɖe wò ʋumenugbagbeviɣiwo ŋu ahawɔ dodokpɔwo edziedzi be nàka ɖe edzi be èle lãmesẽ me.

Eyata anyo wu be nàbia wò ɖɔkta be nukae nye wò nɔnɔmea ƒe hayahaya.

Nya vevi kawoe wòle be nàbia wò ɖɔkta?

Ne èva nya be dɔléle sia le ye ŋu la, esɔ be nyabiase geɖe nanɔ ye si. Mègavɔ̃ o. Bia wò ɖɔkta tso nu siawo ŋu eme nakɔ:

• "Cytopenia ƒomevi ka ƒomevie le ŋunye?"
• "Nukae le nye ʋumenugbagbeviwo ƒe xexlẽme si le ʋɛm la hem vɛ?"
• "Atikewɔwɔ ƒe tiatia kawoe le asinye?"
• "Nukae nye atikewɔwɔ siawo ƒe nugbegblẽ le ame ŋu?"
• "Ɣeyiɣi didi kae wòaxɔ hafi nye ʋumenugbagbeviɣiwo natrɔ ava nɔ abe tsã ene?"
• "Ɣeyiɣi didi kae wòahiã be maxɔ atike? Zi nenie wòahiã be mava dodokpɔwo?"
• "Ðe woate ŋu ada nye nɔnɔmea keŋkeŋa?"

Ðe ʋusɔgbɔdɔ ŋutɔŋutɔe nye cytopenia?

Esia hã nye teƒe si ame geɖe tɔtɔna le. Ʋusɔgbɔdɔ nye nɔnɔme ƒomevi ɖeka ko le nya si nye cytopenia te . Ʋusɔgbɔdɔ nye ʋumenugbagbevi dzĩwo (erythrocytes) ƒe xexlẽme dzi ɖeɖe kpɔtɔ. Ate ŋu atso protein hemoglobin si le ʋumenugbagbevi dzĩwo me ƒe ɖiɖi hã gbɔ. Hemoglobin siae kpena ɖe ame ŋu wòtsɔa oxygen.

Cytopenia nye nya si wozãna na ʋumenugbagbevi ɖeka alo esi wu nenema dzi ɖeɖe kpɔtɔ . Elɔ ʋusɔgbɔdɔ (ʋumenugbagbevi dzĩwo ƒe ɖiɖi), ʋumenugbagbeviɣidɔ (ʋumenugbagbevi ɣiwo ƒe ɖiɖi), ʋumenugbagbeviɣidɔ (ʋumenugbagbevi dzĩwo ƒe ɖiɖi), ʋumenugbagbeviɣidɔ (ʋumenugbagbevi dzĩwo ƒe ɖiɖi), kple pancytopenia (ʋumenugbagbevi siawo katã ƒe ɖiɖi) ɖe eme.

Eya ta, ne èkpɔe be yeƒe ʋumenugbagbevi ɖeka alo esi wu nenema mesɔ gbɔ o la, ƒo nu kple wò ɖɔkta hafi nàtsi dzodzodzoe. Le nusi gbɔ wòtso nu la, àte ŋu ahiã atikewɔwɔ alo mahiã o. Wò ɖɔktae nye ame nyuitɔ kekeake si aɖo aɖaŋu na wò le esia ŋu.

Mlɔeba la, nu vevi aɖewo siwo dzi wòle be nàɖo ŋkui

Enyo, míeƒo nu geɖe tso cytopenia ŋu fifia. Nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Cytopenia nye ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩwo dometɔ ɖeka alo esi wu nenema ƒe xexlẽme dzi ɖeɖe kpɔtɔ le wò ʋu me.
• Susu geɖewo ate ŋu anɔ esia ta; tso nunyiame ƒe veve dzi va ɖo dɔlékuiwo, domenyiŋusẽfianu ƒe nɔnɔmewo, kansa, kple atike aɖewo gɔ̃ hã dzi.
• Dzesiwo mevaa amesiame dzi le mɔ ɖeka nu o . Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o. Ðeɖiteameŋu, dɔléle enuenu, kple abi ƒoƒo bɔbɔe bɔ.
• Ʋudodokpɔ bɔbɔe (CBC) ate ŋu ade dzesi esia. Emegbe, woate ŋu awɔ dodokpɔ bubuwo atsɔ adi nusi gbɔ wòtso.
• Atikewɔwɔ nɔ te ɖe nusi gbɔ dɔlélea tso kple alesi wòsẽe dzi. Ɣeaɖewoɣi la, womehiãa atike aɖeke o, ɣeaɖewoɣi la, wodaa nusi gbɔ wòtso, eye le dɔléle sesẽwo me la, atike tɔxɛ aɖewo li siwo nana ʋumenugbagbeviɣiwo dzina ɖe edzi.
• Woate ŋu axe mɔ ɖe cytopenias ƒomevi aɖewo nu , vevietɔ to nuɖuɖu si da sɔ ɖuɖu kple ahanono dzi ɖeɖe kpɔtɔ me.
• Ne ɖikeke alo nyabiase aɖe le mewò le esia ŋu la, ƒo nu kple wò ɖɔkta godoo . Mègavɔ̃ alo awɔ nyametsotsowo le ɖokuiwò si o.

Ðo ŋku edzi be nu vevitɔ kekeakee nye be míanɔ ŋudzɔ ɖe nɔnɔme siawo ŋu ale be míate ŋu adi atikewɔlawo ƒe aɖaŋuɖoɖo kaba eye míanɔ agbe le lãmesẽ me.

` lãmenugbagbeviwo ƒe ɖiɖi, ʋumenugbagbeviwo, ʋusɔgbɔdɔ, ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, ƒumeŋuɖui, ʋudodokpɔ