Ðe nèsena le ɖokuiwò me be ʋumenugbagbevi dzĩwo sɔ gbɔ akpaa? Mina míaƒo nu tso ʋumenugbagbeviɣidɔ ŋu!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣi, ta ɖua wò, alo nèsena le ɖokuiwò me be yegbɔdzɔa? Zi geɖe la, míeléa ŋku ɖe nu sue siawo ŋu boo o, alo? Gake ne ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe edzi wu alesi wokafui, si nye nusi ɖɔktawo yɔna be erythrocytosis alo polycythemia , la, dzesi siawo ate ŋu adze. Esia nye nusi ŋu wòle be nàtsi dzi ɖo vie ɣeaɖewoɣi. Eyata, egbea míaƒo nu tsitotsito tso nusi erythrocytosis nye, nusita wòdzɔna, kple nusi woate ŋu awɔ tso eŋu ŋu.

Nuka tututue nye ʋumenugbagbeviɣidɔ?

Kpuie ko la, Erythrocytosis nye ne Ʋumenugbagbevi dzĩwo (Erythrocytes) sɔ gbɔ ɖe wò ʋu me wu alesi wòle be wòanɔ. Abe alesi nènyae ene la, míaƒe ʋu nye akpa eve. Ðekae nye akpa si sesẽ, si nye ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo. Akpa bubue nye tsi ƒe akpa si míeyɔna be plasma. Le ʋumenugbagbeviɣidɔ me la, ʋumenugbagbevi dzĩwo ƒe xexlẽme dzina ɖe edzi ne wotsɔe sɔ kple akpa si nye tsi, si nye ʋumenugbagbevi dzĩ.

Ne wodo ʋu kpɔ la, àkpɔ asixɔxɔ eve le nyatakakaa me: Hematocrit kple Hemoglobin .

• Hematocrit (HCT): Esia fiaa wò ʋu ƒe alafa memamã si nye ʋumenugbagbevi dzĩwo.
• Hemoglobin (HB): Esia nye protein vevi aɖe ŋutɔ si le ʋumenugbagbevi dzĩwo me si tsɔa oxygen yia míaƒe ŋutilã katã me.

Le ʋumenugbagbeviɣidɔ me la, ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ siawo dometɔ ɖeka alo evea siaa ate ŋu asɔ gbɔ wu esi sɔ.

Aleke ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi sia kpɔa ŋusẽ ɖe ŋutilãa dzii?

Ʋumenugbagbevi dzĩwo le vevie na míaƒe ŋutilã. Wotsɔa ɔksidzin tso lãkusi me yia lãmenugbagbevi kple lãmenugbagbevi ɖesiaɖe si le ŋutilãa me. Esia tae míaƒe lãkusiwo ɖua nu eye wole lãmesẽ me ɖo.

Gake ne ʋumenugbagbevi dzĩ siawo dzi ɖe edzi akpa la, kuxiwo ate ŋu ado mo ɖa. Enɔ te ɖe nusita ʋumenugbagbevi dzĩwo le dzidzim ɖe edzi dzi. Nusiwo wògblẽna le ame ŋu dometɔ aɖewo le sue ŋutɔ. Ðewohĩ nuwo abe taɖuame kple ɖeɖiteameŋu ene koe nàse le ɖokuiwò me. Gake ne ʋumenugbagbevi dzĩwo dzi ɖe edzi le susu vevi aɖewo ta la, ʋua tea ƒoƒo. Emegbe afɔku li be nɔnɔme siwo me afɔku le abe ʋu ƒe sisi, dzidɔ alo ʋusɔgbɔdɔ ene ate ŋu adze ame dzi .

Esia tae, ne dzesi mawo tɔgbe le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ be nànya nusi tututu gbɔ wòtso. Ema ko hafi nàte ŋu akpɔ atike nyui, aɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ, alo axe mɔ ɖe nɔnɔme siwo me afɔku le nu.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒomevi veviwo?

Woate ŋu ama ʋumenugbagbeviɣidɔ ɖe hatsotso eve me le alesi lãmenugbagbevi dzĩ siawo dzina ɖe edzii nu:

1. Absolute Erythrocytosis: Esiae nye ɣeyiɣi si me ʋumenugbagbevi dzĩ siwo dona le wò ŋutilã me ƒe xexlẽme sɔ gbɔ wu alesi wòle ŋutɔŋutɔ.

2. Relative Erythrocytosis: Esiae nye ɣeyiɣi si me ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu anɔ abe alesi wòle ene, gake ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le ʋua me dzi ɖena kpɔtɔna, eyata edze abe ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ dzina ɖe edzi ene. Le kpɔɖeŋu me, ne èɖea aɖuɖɔ geɖe eye aɖuɖɔtoe le ŋuwò eye tsi geɖe bu le wò ŋutilã me la, wò ʋu ƒe sisi dzi ɖena kpɔtɔna. Nɔnɔme sia ate ŋu adzɔ le ɣeyiɣi siawo tɔgbe me.

Wogamã Absolute Erythrocytosis ɖe hatsotso eve me, le nusi gbɔ wòtso nu:

Erythrocytosis Gbãtɔ

Kuxia le míaƒe ƒumeŋuɖui me. Abe alesi nènyae ene la, ƒumeŋuɖui ye nye dɔwɔƒe vevitɔ le míaƒe ŋutilã me si wɔa ʋumenugbagbevi dzĩwo. Eyata le ʋumenugbagbeviɣidɔ gbãtɔ sia me la, le domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ aɖe si le lãmenugbagbeviwo (trogenitor cells) me le ƒumeŋuɖui me ta la, ʋumenugbagbevi dzĩwo wɔwɔ dzina ɖe edzi le mɔ si dzi womate ŋu aɖu o nu. Woate ŋu anyi domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ sia ƒe dome (abe vidzidzi ƒe gbɔdzɔgbɔdzɔ ene), alo ate ŋu adzɔ le agbe me hã.

• Acquired Primary Erythrocytosis: Esia ƒe kpɔɖeŋu nyui aɖee nye dɔléle aɖe si woyɔna be Polycythemia Vera . Ame geɖe tɔtɔa Erythrocytosis kple Polycythemia Vera be dɔléle ɖeka ma ke. Ke hã, womele ɖeka o. Polycythemia Vera nye nɔnɔme tɔxɛ aɖe si nu sẽ ŋutɔ si hea Erythrocytosis vɛ.
• Domenyinyi Gbãtɔ ƒe Ʋukawo ƒe Dɔléle: Ɣeaɖewoɣi la, domenyiŋusẽfianu siwo ƒe dome wonyi tso dzilawo gbɔ ƒe gbegblẽ ate ŋu ana ƒumeŋuɖui nawɔ lãmenugbagbevi dzĩ geɖe akpa.

Evelia ƒe Ʋumenugbagbeviɣidɔ

Menye ƒumeŋuɖui mee kuxia le le afisia o, ke boŋ nu bubu si mele ƒumeŋuɖui godo o. Zi geɖe la, lãmetsi si woyɔna be erythropoietin , alo EPO , si míaƒe ŋutilã wɔna fũ akpa gbɔe ʋumenugbagbeviɣidɔ evelia tsona. `EPO` nye atikewo ƒe dɔla. Enye nusi gblɔna na ƒumeŋuɖui be "wòawɔ lãmenugbagbevi dzĩ geɖe."

Tsɔe be, lãkusidɔ alo dzidɔ le ŋuwò. Ekema oxygen agbɔsɔsɔme si ŋutilãa xɔna la mesɔ gbɔ o. Ɣemaɣi la, ŋutilã la dzea agbagba be yeawɔ lãmetsiŋusẽ si nye `EPO` geɖe wu, eye to edzi la, eʋãa ƒumeŋuɖui be wòawɔ lãmenugbagbevi dzĩ geɖe. Elabena lãmenugbagbevi dzĩwo tsɔa ɔksidzin. Gake ne lãmenugbagbevi dzĩwo ƒe wɔwɔ le mɔ sia nu dzi ɖe edzi akpa la, ehea ʋumenugbagbeviɣidɔ evelia vɛ. Domenyiŋusẽfianu aɖewo hã ate ŋu ahe ʋumenugbagbeviɣidɔ evelia sia vɛ, gake domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ mawo menye esiwo le ƒumeŋuɖui me o.

Aleke nèwɔna léa ŋku ɖe ʋu ƒe agbɔsɔsɔme ŋu be yeakpɔe ɖa be ʋumenugbagbeviɣidɔ le ŋuwò hã?

Le nyateƒe me la, ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si wobu be esɔ la ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Nu geɖe kpɔa ŋusẽ ɖe esia dzi, siwo dometɔ aɖewoe nye ƒe si nèxɔ, ŋutsu alo nyɔnue nènye, kple nuto si me nèle ƒe kɔkɔme (eɖanye atsiaƒu ƒe kɔkɔme alo tonyigba dzie nèle o).

Zi geɖe la, wokpɔa ʋumenugbagbeviɣidɔ le ame tsitsiwo me to ʋumenugbagbeviɣidɔ (HCT) kple/alo ʋumenugbagbeviɣidɔ (HB) ƒe dzidziɖedzi me. Woateŋu adzidze asixɔxɔ siawo kple ʋudodokpɔ si woyɔna be ``Complete Blood Count (CBC)``.

Le ŋutsuwo gome la:

• Hematocrit (HCT): Ne ewu 50% .
• Hemoglobin (HB): Ne ewu 17.5 g/dL

Le nyɔnu siwo mefɔ fu o gome la:

• Hematocrit (HCT): Ne ewu 45% .
• Hemoglobin (HB): Ne ewu 15.3 g/dL

Vevietɔ: Mɔfiame si wozãna le mɔ gbadza nu koe dzidzenu siawo nye. Wò ɖɔkta akpɔe ɖa be ʋumenugbagbeviɣidɔ le ŋuwò hã ne ebu wò lãmesẽ bliboa ŋu vɔ.

Nukawoe hea Relative Erythrocytosis vɛ?

Esia tsoa tsi ƒe agbɔsɔsɔ si le ŋutilãa me ƒe ɖiɖi gbɔ, si wɔnɛ be ʋua ƒe sisi (plasma) dzi ɖena kpɔtɔna eye ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ dzina ɖe edzi. Eyata nusi koŋ gbɔ esia tsoe nye tsikuɖiɖi .

• Aɖuɖɔtoe sesẽ
• Dɔmetɔtrɔ
• Atike aɖewo, le kpɔɖeŋu me, diuretics (atike siwo ɖea tsi ɖa le ŋutilã me) (Wotsɔa esiawo naa ʋusɔgbɔdɔ alo tsi ƒe léle ɖe lãme).

Le susu mawo ta la, tsi ƒe agbɔsɔsɔ si le ŋutilãa me ate ŋu aɖe akpɔtɔ eye wòana ʋumenugbagbevi dzĩwo natsi vie.

Nukawoe hea Absolute Erythrocytosis vɛ?

Nu eve vovovowo gbɔe esia tsona: gbãtɔ kple evelia.

Nusiwo hea ʋumenugbagbeviɣidɔ gbãtɔ vɛ:

Zi geɖe la, domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ si gblẽa nu le ƒumeŋuɖui ŋu gbɔe esia tsona.

• Polycythemia Vera kple Myeloproliferative Neoplasms Bubuwo: Esiawo nye nɔnɔme siwo me ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi bubuwo wògbɔa eme. Polycythemia Vera ye nye esi bɔ wu le esiawo dome.
• Vidzidzi ƒe gbɔdzɔgbɔdzɔ: Woate ŋu adzi ame aɖewo kple domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ si nana ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩwo fũ akpa.

Nusiwo hea ʋumenugbagbeviɣidɔ evelia vɛ:

Zi geɖe la, lãmetsi si nye `EPO` ƒe dzidziɖedzi gbɔe esia tsona.

• Nɔnɔme siwo ɖea oxygen dzi kpɔtɔna va zua lãmenugbagbeviwo:
• Aklãdɔléle (e.g. aklãdɔléle si nɔa anyi didi, ʋuʋudedi) .
• Dzidɔ (e.g. dzidɔ si wodzina) .
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe
• Hemoglobinopathy: Esiawo nye nɔnɔme siwo me hemoglobin protein si le ʋumenugbagbevi dzĩwo me mete ŋu tsɔa oxygen nyuie o le nusi gblẽ ta.
• Ayikudɔlélewo kple ayiku dodo na ame:
• Renal Artery Stenosis (ʋuka siwo naa ayikuwo ƒe ʋuʋu) .
• Hydronephrosis (ayikuwo ƒe vuvu le aɖuɖɔ ƒe ƒuƒoƒo ta) .
• Nɔnɔme sia ate ŋu ado mo ɖa ɣeaɖewoɣi le ayiku dodo vɔ megbe gɔ̃ hã.
• Dɔdzẽ: Dɔdzẽ kple esiwo menye kansa o dometɔ aɖewo ate ŋu aɖe EPO lãmetsi si sɔ gbɔ ɖe lãme na ame.
• Kansa ƒe dɔdzẽ: Ayiku me Lãmenugbagbeviwo ƒe Dɔdzẽ, Ʋumenugbagbeviɣidɔ, Aklãmenugbagbeviwo ƒe Dɔdzẽ, Parathyroid Dɔdzẽ.
• Dɔdzẽ siwo menye kansa o: Vidzidɔ me Fibroids, Pheochromocytoma, Meningioma.
• Carbon monoxide ƒe aɖi kple atamanono: Atamanono fũ ate ŋu ana carbon monoxide ƒe aɖi nadze ame dzi, si ate ŋu aɖe oxygen dzi akpɔtɔ na lãmekawo.
• Atike kple atike aɖewo:
• Anabolic Steroids (si kamedefefewɔlawo nona be ŋusẽ nadzi ɖe edzi) .
• Lãmetsiŋusẽ si nye testosterone nono.

Dzesi kawoe ate ŋu akpɔ amesi ŋu ʋumenugbagbeviɣidɔ le?

Dzesi siwo nèkpɔna (kple alesi wosẽe) nɔ te ɖe nusi gbɔ wò ʋumenugbagbeviɣidɔ tso dzi. Le kpɔɖeŋu me, amesi ŋu ʋumenugbagbeviɣidɔ evelia le ate ŋu akpɔ dzesiwo abe:

• Taɖuame
• Tɔtɔ, esesẽna nɛ be wòatsɔ susu aɖo nu ŋu
• Alɔ̃dɔdɔ sesẽ
• Sese le eɖokui me be yegbɔdzɔ, ɖeɖi te ye ŋu

Ame si ŋu ʋumenugbagbeviɣidɔ gbãtɔ le (vevietɔ polycythemia vera) ate ŋu akpɔ dzesi siwo nu sẽ wu:

• Ʋu ƒe Ʋuʋudedi
• Fifia si gbɔ eme le zã me
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee
• Vevesese sesẽ, vuvu, kple ƒunukpeƒewo biã (si woyɔna hã be gout ) .
• Ʋudodo ƒe kuxiwo (ʋu si dona le ŋɔti me enuenu, ʋu si dona le ame ŋu alo abi si dona tso abi sue aɖe gɔ̃ hã me) .
• Ŋutilã si le ʋuʋum (ʋuʋudedi ate ŋu adzi ɖe edzi, vevietɔ le tsilele dzodzoe megbe) .
• Afɔwo ƒe ʋuʋu, seselelãme abe anyidiwo le du dzi le tsatsam ene
• Dzo biã kple abi le mo, asiwo, kple afɔwo ŋu.

Aleke ɖɔktawo wɔa dea dzesi ʋumenugbagbeviɣidɔ?

Wò ɖɔkta adze agbagba gbã be yeanya nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ gbɔ ɖo, eye wòazã dodokpɔ kple dɔdamɔnu vovovowo.

Gbã la, woabia nyawo tso wò atikewɔwɔ ŋutinya, atike siwo nèno, wò agbenɔnɔ (e.g., ɖe nènoa atama), kple wò dzesiwo ŋu, eye woalé ŋku ɖe ʋumenugbagbeviɣidɔ si sɔ gbɔ (si tsoa ʋumenugbagbeviɣi si dzi ɖe kpɔtɔ le ʋua me gbɔ) ŋu. Woawɔ ŋutilãmedɔdada hã.

Nusi kplɔe ɖo si wòle be nàlé ŋku ɖe eŋue nye nenye be gɔmedzesuku alo evelia le asiwò . Àte ŋu awɔ dodokpɔ ʋɛ bubuwo hã kple nyatakaka siwo míeyɔ ɖe etame.

Dodokpɔ kawoe wole wɔwɔm?

• Ʋu Xexlẽme Blibo (CBC): Esia ate ŋu akpɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme, hemoglobin (HB), kple hematocrit (HCT) ƒe agbɔsɔsɔ.
• Peripheral Blood Smear (PBS): Esia bia be woaɖe ʋu sue aɖe ahalé ŋku ɖe lãmenugbagbeviawo ŋu le nusuekpɔmɔ̃ me akpɔe ɖa be woƒe nɔnɔme alo lolome mesɔ o hã. Ne dɔléle aɖe abe Polycythemia Vera ene le ŋuwò la, àte ŋu akpɔ lãmenugbagbevi siwo mesɔ o.
• Ayiku Kple Aklã ƒe Dɔwɔwɔ Dodokpɔwo: Esia ate ŋu ana woakpɔe ɖa be ayikudɔ alo dɔdzẽ aɖe li si le EPO wɔm fũ akpa hã.
• Pulse Oximetry: Sensor sue aɖe si woda ɖe asibidɛa dzi dzidzea oxygen ƒe agbɔsɔsɔ le ʋua me. Esia ate ŋu akpe ɖe ame ŋu wòanya ne nusiwo abe dzidɔ alo lãkusidɔ ene gbɔe nɔnɔmea tso.
• Erythropoietin (EPO) ƒe agbɔsɔsɔ me dzodzro: Ne `EPO` ƒe agbɔsɔsɔ le sue la, ateŋu anye erythrocytosis gbãtɔ, ne `EPO` ƒe agbɔsɔsɔme sɔ gbɔ la, ateŋu anye erythrocytosis evelia.
• Aɖuɖɔtoe me dzodzro: Woɖea aɖuɖɔ ƒe kpɔɖeŋu be woatsɔ akpɔe ɖa be nusiwo mesɔ o hã. Ne ʋumenugbagbevi dzĩwo le aɖuɖɔ me la, ate ŋu atso ayikudɔ gbɔ.

Ne ɖɔktaa susui be dɔléle aɖe koŋ le eŋu, abe polycythemia vera ene la, ate ŋu awɔ dodokpɔ bubuwo hã, abe ƒumeŋuɖui me ɖeɖe ene .

Aleke wodaa ʋumenugbagbeviɣidɔe?

Zi geɖe la, womate ŋu ada nusi gbɔ ʋumenugbagbeviɣidɔ tsona keŋkeŋ o. Gake atikewɔwɔ ate ŋu aɖu dzesiawo dzi ahaɖe wo dzi akpɔtɔ. Le ʋumenugbagbeviɣidɔ si tso nu sesẽwo gbɔ gome la, wozãa atikewɔwɔ hã tsɔ xea mɔ na nɔnɔme siwo me afɔku le abe ʋu ƒe sisi ene.

• Phlebotomy alo Venesection ƒe ʋuʋu:

Esiae nye atike si wozãna wu na polycythemia vera. Ele abe ʋudodo ene, gake ebia be woaɖe ʋu sue aɖe tso ʋuka aɖe me eye woaɖe ʋumenugbagbevi dzĩwo kple ʋu ƒe agbɔsɔsɔ si sɔ gbɔ akpa dzi akpɔtɔ. Zi geɖe la, ʋumenugbagbeviɣidɔ evelia mehiã be woawɔ atike sia o.

• Atikewo:
• Le amesiwo ŋu ʋu ƒe sisi ƒe afɔku le ŋutɔ gome la, ɖɔkta ate ŋu aɖo aɖaŋu be woano aspirin si ƒe agbɔsɔsɔme le sue gbesiagbe.
• Atike aɖewo hã li siwo ɖea ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi kpɔtɔna:
• Hydroxycarbamide `(Haidroksikarbamide)`
• Hydroxyurea `(Hydroxyurea)`
• Busulfan ƒe ŋkɔ
• Interferon alfa `(Interferon alfa)`
• Ruxolitinib ƒe atike

Wò ɖɔkta aŋlɔ atike siwo sɔ ɖe wò nɔnɔmea nu. Woaŋlɔ atike na dɔléle si gbɔ wòtso hã, le nusi gbɔ wò ʋumenugbagbeviɣidɔ tso nu.

Ne nɔnɔme sia le ŋunye la, nukae wòle be makpɔ mɔ na?

Wò nuteƒekpɔkpɔ anɔ te ɖe nusi gbɔ wò ʋumenugbagbeviɣidɔ tso kple alesi wòsẽe dzi. Le kpɔɖeŋu me, domenyiŋusẽfianu ƒe nɔnɔme aɖewo siwo nye ʋumenugbagbeviɣidɔ gbãtɔ hea dzesi fafɛwo ko vɛ eye womedea ame ƒe agbe afɔku me o. Gake nɔnɔme siwo nu sẽ wu, abe polycythemia vera ene, ate ŋu abia be woawɔ atike na wo le woƒe agbemeŋkekewo katã me.

Aleke malé be na ɖokuinye?

Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Le ɣeyiɣi sia me la, tɔtrɔ ʋɛ aɖewo li siwo nàwɔ le agbenɔnɔ me siwo ate ŋu akpe ɖe ŋuwò:

• Ne ènoa atama la, dzudzɔe.
• Na wò kpekpeme nanɔ lãmesẽ me.
• Ne ʋusɔgbɔdɔ le ŋuwò la, ke ɖu edzi.
• Ƒo asa na mɔzɔzɔ tso atsiaƒu ƒe kɔkɔme yi teƒe siwo kɔkɔ ŋutɔ (tonyigbawo) alesi nàte ŋui.

Ɣekaɣie wòle be mayi kɔdzi kpata (ETU) ?

Ne dɔléle aɖe si do ƒome kple ʋumenugbagbeviɣidɔ le ŋuwò si dea ʋu ƒe sisi ƒe afɔku me la, ele vevie be nànya ʋu ƒe sisi ƒe dzesiwo. Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe la, yi atikewɔƒe enumake:

• Deep Vein Thrombosis (DVT): Afɔ ɖeka ƒe vuvu, vevesese, kple biã.
• Ʋu ƒe sisi le lãkusi me (Pulmonary Embolism - PE): Akɔtave, gbɔgbɔ sesẽ, taɖuame.
• Ʋusɔgbɔdɔ: Dadasɔ, nuwɔwɔ aduadu, lãmekawo ƒe gbɔdzɔgbɔdzɔ alo ŋutilã ƒe akpa ɖeka ƒe ʋuʋu kpata.
• Dzidɔ: Akɔtave, gbɔgbɔtsixetsixe, taɖuame, fifia.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, taflatse yi ɖɔkta gbɔ enumake kaba.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Erythrocytosis nye ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi le wò ʋu me. Esia ate ŋu anye nɔnɔme sue aɖe, alo ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi ɣeaɖewoɣi.

• Ne dzesi aɖewo siwo mebɔ o le ŋuwò (vevietɔ ɖeɖiteameŋu atraɖii, taɖuame, ŋutigbalẽ ƒe ʋuʋu, gbɔgbɔ sesẽ) la, yi ɖɔkta gbɔ.
• Ðɔktaa akpɔ nusi tututu gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ gbɔ ɖo.
• Ɣeaɖewoɣi la, agbenɔnɔ ƒe tɔtrɔ bɔbɔewo (e.g., atike siwo nènona dzi ɖeɖe kpɔtɔ, tsikuɖiɖi dada) ate ŋu akpɔ kuxi sia gbɔ.
• Ne dɔléle aɖe si nu sẽ wu gbɔe erythrocytosis tso la, wò ɖɔkta alé ŋku ɖe ŋuwò edziedzi eye wòana atike si hiã wò.

Wò lãmesẽ dzi kpɔkpɔ le vevie ŋutɔ, eyata ne nane si ŋu nètsi dzi ɖo la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o.

` Erythrocytosis, polycythemia, ʋumenugbagbevi dzĩwo, hemoglobin, hematocrit, ʋu ƒe sisi, ƒumeŋuɖui