Nukae nye Evans ƒe Dɔlélea? Mina míaƒo nu tso eŋu!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣia? Alo ɖe wòsesẽna na wò be nàdzudzɔ ʋudodo tso nu suetɔ kekeake gɔ̃ hã mea? Ðewohĩ esi wò ŋutilã ƒe dɔlélenutsiŋutete le dɔ wɔm ɖe ŋuwò tae. Egbea míele nu ƒom tso nɔnɔme sia tɔgbe si mebɔ o gake wòle vevie ŋutɔ si ŋu wòle be míanya nu tsoe ŋu. Emae nye Evans ƒe Dɔléle . Mègatsi dzi o, míaƒo nu tso nusianu ŋu le nya bɔbɔewo me.

Eyata nukae nye Evans Dɔlélea?

Kpuie ko la, Evans Syndrome nye dɔléle si dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna . Nusi dzɔnae nye be asrafo siwo wobu be woakpɔ míaƒe ŋutilã, si nye dɔlélenutsiŋutete ta la, dzea mía ŋutɔwo míaƒe ʋumenugbagbevi aɖewo tsɔtsrɔ̃ gɔme vodadatɔe. Ele abe mía ŋutɔwo ƒe aʋakɔ si le mía ŋutɔwo míaƒe amewo dzi dzem ene. Esia wɔnɛ be ʋumenugbagbevi agbɔsɔsɔme si hiã la buna le míaƒe ŋutilã me. Ʋumenugbagbeviwo ƒe ɖiɖi sia si mesɔ o ye nye nusi míeyɔna be cytopenia le atikewɔwɔ me.

Ʋumenugbagbevi dzĩwo ƒe ɖiɖi (nɔnɔme si woyɔna be ʋusɔgbɔdɔ ) kple ʋumenugbagbevi dzĩwo (nɔnɔme si woyɔna be ʋumenugbagbeviɣidɔ ) ye gblẽa nu le ame akpa gãtɔ siwo ŋu Evans Dɔlélea le ŋu gbã. Tsɔ kpe ɖe wo ame evea siaa ŋu la, ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be neutrophils (nɔnɔme si woyɔna be neutropenia ) hã ate ŋu anɔ ame aɖewo si.

Ne ʋumenugbagbevi siawo mesɔ gbɔ o la, nu vevi geɖe siwo le míaƒe ŋutilã me, abe oxygen xɔxɔ, ʋu ƒe sisi, kple avuwɔwɔ kple dɔléle ene, gblẽa nu le ame ŋu. Esia tae míesena le mía ɖokui me be míegbɔdzɔ, ɖeɖi tea mía ŋu, míedzea ʋu dodo gɔme bɔbɔe, eye míedzea dɔ zi geɖe wu .

Nɔnɔme sia ate ŋu adze ame aɖewo dzi fafɛ ŋutɔ, evɔ bubuwo ya ate ŋu asẽ ŋutɔ. Eye eƒe ŋusẽkpɔɖeamedziwo menɔa anyi ɖekae le agbemeŋkekewo katã me o. Nu nyuitɔ kekeakee nye be togbɔ be atike aɖeke meli nɛ o hã la, atikewɔwɔ ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi eye wòaɖe eƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ .

Nukawoe nye Evans Dɔléle ƒe dzesiwo?

Evans Syndrome ƒe dzesiwo ate ŋu ato vovo ŋutɔ. Enɔ te ɖe cytopenia ƒomevi si le ŋuwò kple alesi wòsẽe dzi. Zi geɖe la, ʋusɔgbɔdɔ alo ʋumenugbagbeviɣidɔ dzɔna gbã, eye bubuawo dona emegbe.

Ʋumenugbagbevi dzĩwo ƒe anyimanɔmanɔ ( ʋusɔgbɔdɔ ) ƒe dzesi gbãtɔwo :

Ðe ɖeɖi tea ŋuwò ne èzɔ mɔ kpui aɖe gɔ̃ hã? Ðe ɖeɖi te ŋuwò eye màte ŋu awɔ nu siwo nèwɔna tsã oa? Ðewohĩ wò mo le dzedzem abe ɖe wòle ɣie vie ene. Esiawo nye ʋusɔgbɔdɔ ƒe dzesi gbãtɔ aɖewo :

• Ðeko sese le ɖokuinye me be ɖeɖi te ŋunye vevie .
• Ŋutilã si ƒe amadede nye aŋutiɖiɖi (palor) .
• Tagbɔdɔ alo taɖuame .
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Dzi ƒe tsotso kabakaba (tachycardia) .
• Sese le ɖokuiwò me alo sese le ɖokuiwò me be yeƒe dzi le ƒoƒom le mɔ si mesɔ o nu (dzi ƒe tsotso) .

Ʋumenugbagbeviɣidɔ ƒe dzesi gbãtɔwo (thrombocytopenia):

Ède dzesii be ɣeaɖewoɣi la, teƒe dzĩ suesuesuewo dzena le wò ŋutigbalẽ ŋua? Alo ɖeko nèxɔa abi le wò ŋutilã katã ŋua? Ðe nèsena le ɖokuiwò me be ʋu le dodom le yeƒe aɖuwo me wu alesi wònɔna ne èle aɖuwo klɔm? Esiawoe nye ʋumenugbagbeviɣidɔ ƒe dzesi siwo ate ŋu anɔ ame ŋu:

• Ʋuʋudedi suesuesue dzĩwo (petechiae) le ŋutigbalẽa te.
• Teƒe siwo le ŋutigbalẽa ŋu siwo ƒe amadede nye aŋutiɖiɖi (purpura) .
• Abi (ecchymosis) si dzɔna le susu aɖeke manɔmee.
• Ʋu si le dodom tso aɖu alo ŋɔti me fũ akpa.
• Ʋu si dona vevie le nyɔnuwo ƒe dzinukpɔkpɔ me.
• Ʋu si dona le ame ŋu kple aɖuɖɔ alo aɖuɖɔ.

Neutropenia ƒe dzesiwo (esiawo ate ŋu ava emegbe alo womadzɔ emegbe o):

Esɔ be ame naxɔ dzamezã ɖeka alo eve ɣleti sia ɣleti. Gake ɖe nèdzea dɔ zi geɖe kple asrãa? Ðe nu me xɔa abi ɣesiaɣia? Ðe wòdze abe exɔa ɣeyiɣi didi hafi wohayaa? Nusiwo ate ŋu adzɔ ne wò neutrophils mesɔ gbɔ o dometɔ aɖewoe nye esi:

• Asrã.
• Nu me ƒe abi .
• Vuvɔ, dzoxɔxɔ, kple dɔgbo ƒe veve enuenu.
• To me dɔlékui siwo gbugbɔna dzɔna.
• Fungi ƒe dɔléle siwo nɔa anyi didi.
• Aɖuɖɔtoe me dɔlélewo (UTIs) .

Evans Syndrome ƒe dzesi bubuwo (esiawo ate ŋu adze ɣeaɖewoɣi):

• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu le kɔ me.
• Aɖuɖɔtoe si lolo .
• Aklã si lolo .
• Jaundice ƒe dɔléle .

Nukatae Evans ƒe Dɔlélea dzɔna?

Abe alesi míegblɔe va yi ene la, Evans Syndrome nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Esia fia be míaƒe ŋutilã ƒe dɔlélenutsiŋutete dea dzesi mía ŋutɔwo ƒe ʋumenugbagbevi aɖewo vodadatɔe be wonye "futɔ" eye wòdzea wo dzi dzedze gɔme.

B lãmenugbagbeviwo, si nye lãmenugbagbevi tɔxɛ aɖe le míaƒe dɔlélenutsiŋutete me ye wɔa dɔ sia. B lãmenugbagbevi siawo wɔa nane si woyɔna be dɔlékuiwutikewo . Dɔlékuiwutike siawo yia ɖaléa ʋumenugbagbevi maɖifɔ mawo hegblẽa wo. Zi geɖe la, wodzea ʋumenugbagbevi ƒomevi ɖeka dzi dzedze gɔme gbã, eye emegbe woate ŋu adze ʋumenugbagbevi ƒomevi bubuwo dzi dzedze gɔme.

Dɔwɔwɔ siae nana ʋumenugbagbevi ƒomevi eve ya teti ƒe gbɔdzɔgbɔdzɔ (cytopenia) nɔa ŋuwò mlɔeba, eye ɣeaɖewoɣi la, etɔ̃awo katã hã mesɔna o. Woyɔa nusi gbɔ eme le etɔ̃awo katã me be pancytopenia . Nɔnɔme vevi etɔ̃ siwo me ʋumenugbagbevi siawo mebɔ ɖo o ye nye:

• Ʋusɔgbɔdɔ si tsoa dɔlélenutsiŋutetewo gbɔ (AIHA) .: Esiae nye esime ʋumenugbagbevi dzĩwo dzi ɖe kpɔtɔ. Eyae nye be wotsrɔ̃na kabakaba wu alesi ŋutilãa ate ŋu awɔ woe.
• Dɔlélenutsiŋutete ƒe ʋumenugbagbeviɣidɔ (ITP) : Esia nye nɔnɔme si me ʋumenugbagbevi dzĩwo dzi ɖena kpɔtɔna le. Dɔlélenutsiŋutete dzea ʋumenugbagbevi dzĩwo dzi heɖea ʋumenugbagbevi dzĩwo ɖa le ʋukawo me.
• Autoimmune neutropenia (AIN) : Esia nye nɔnɔme si me neutrophils, si nye ʋumenugbagbevi ɣi ƒomevi aɖe, ƒe xexlẽme dzi ɖena kpɔtɔna. Dɔlélenutsiŋutete dzea ʋumenugbagbevi dzĩwo dzi hetsrɔ̃a wo.

Bu eŋu kpɔ, susu geɖe ate ŋu anɔ anyi siwo tae ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna (cytopenia). Ɣeaɖewoɣi la, ate ŋu anye esi ƒumeŋuɖui mele ʋumenugbagbevi siwo sɔ wɔm o tae. Gake le autoimmune cytopenia me la, dɔlélenutsiŋutete gblẽa eya ŋutɔ ƒe ʋumenugbagbeviwo.

Nukawoe hea Evans Dɔlélea vɛ?

Dzɔdzɔmeŋutinunyalawo menya nusita tututu dɔléle siawo siwo dɔlélenutsiŋutete hena vɛ la va doa mo ɖa haɖe o. Gake wode dzesii be zi geɖe la, dɔléle siawo dzea egɔme le dɔléle sesẽ aɖe alo nudzɔdzɔ aɖe si dea nuteɖeamedzi geɖe dɔlélenutsiŋutete dzi megbe. Woyɔa esiawo be nusiwo ʋãa ame .

Azɔ hã, ne dɔléle ɖeka si tso dɔlélenutsiŋutete gbɔ le ŋuwò la, le akɔntabubu nu la, anɔ eme be bubu adze ŋuwò. Ðeko wòle abe ɖe dɔlélenutsiŋutete ƒe dɔléle sia kaka tso ŋutilã ƒe akpa ɖeka yi bubu ene.

Evans ƒe dɔlélea ate ŋu adzɔ le eɖokui si (woyɔa esia be Evans ƒe dɔléle gbãtɔ ), alo ate ŋu adzɔ abe nɔnɔme evelia si do ƒome kple dɔléle bubu ene (woyɔa esia be Evans ƒe dɔléle evelia) . Nɔnɔme siwo woate ŋu atsɔ asɔ kple wo nɔewo le mɔ sia nu dometɔ aɖewoe nye:

• Lãmetsiŋusẽ si nye lupus erythematosus (lupus) si le lãme na ame .
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie si trɔna si bɔ
• IgA ƒe anyimanɔmanɔ si wotia
• Sjögren ƒe dɔlélea
• Ʋumenugbagbeviɣidɔ si menye Hodgkin o
• Ʋumenugbagbeviɣidɔ si nɔa anyi didi
• Aklãdɔléle C si nɔa anyi didi
• HIV dɔlékuia ƒe dɔléle si nɔa anyi didi

Ne Evans ƒe dɔléle gbãtɔ le ŋuwò la, ate ŋu adzɔ le ɣeyiɣi kpui aɖe ƒe dɔléle megbe, alo ɖewohĩ nusi gbɔ wòtso si me kɔ o. Dzɔdzɔmeŋutinunyalawo bu Evans ƒe dɔlélea be enye dɔléle si nye idiopathic . Esia fia be womekpɔ nusi gbɔ wòtso tẽ o.

Kuxi kawoe ate ŋu ado tso Evans Dɔlélea me?

Menye amesiame si ŋu Evans ƒe Dɔlélea le lae axɔ kuxiwo o. Dzesi siwo nu mesẽ kura o koe dzena le ame aɖewo ŋu. Gake le nɔnɔme sesẽwo me la, ʋumenugbagbeviɣidɔ siawo (cytopenias) ate ŋu ade ame ƒe agbe afɔku me. Le kpɔɖeŋu me:

• Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ be woatsɔ oxygen ayi ŋutilãa me o la, oxygen mesɔ gbɔ le ʋua me o (hypoxemia) . Esia sesẽna na dzia ŋutɔ eye ate ŋu ahe dzidɔ kple dzi ƒe dɔmawɔmawɔ nyuie vɛ.
• Ne ʋumenugbagbevi dzĩwo , siwo kpena ɖe wò ʋu ŋu wòtsi la, mesɔ gbɔ na wò o la , wò ʋu metsina nyuie o. Esia ate ŋu ana ʋu nado le ŋuwò bɔbɔe eye wòawɔ kaba. Esia ate ŋu ahe ʋusɔgbɔdɔ sesẽ vɛ kaba.
• Ne neutrophils , siwo kpena ɖe ŋuwò nèwɔa avu kple dɔlékuiwo bu le wò ŋutilã me la, anɔ eme be dɔlékuiwo axɔ wò zi geɖe, eye woate ŋu asẽ eye woakaka ɖe wò ŋutilã katã me. Esia ate ŋu ahe nɔnɔme aɖe si me afɔku le si woyɔna be sepsis vɛ .

Aleke ɖɔktawo wɔa anya Evans ƒe Dɔlélea?

Woto ʋudodokpɔwo dzi dea dzesi Evans Dɔlélea . Woate ŋu ade dzesii ne cytopenia ƒe dzesiwo dze le ŋuwò, alo le ʋumenugbagbeviɣi si wowɔ le lãmesẽ me dzodzro edziedzi me.

Ne wò Ʋu Xexlẽme Blibo (CBC) ɖee fia be ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, alo ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, wò atikewɔlawo awɔ dodokpɔ geɖe wu. Le kpɔɖeŋu me, woalé ŋku ɖe wò ʋu me be dɔlékuiwutike siwo do ƒome kple Evans Dɔlélea sɔ gbɔ hã. Woalé ŋku ɖe nɔnɔme bubu siwo ate ŋu ana lãmenugbagbeviwo nagbɔdzɔ, abe dɔlékui aɖewo alo kansa ene hã ŋu.

Ðɔktawo ɖo kpe Evans Dɔlélea dzi esi wogbe nu bubu siwo katã gbɔ wòtsona. Ɣeaɖewoɣi la, ate ŋu ahiã hã be woawɔ CT scan (computed tomography scan) alo ƒumeŋuɖui ŋuti numekuku be woaɖe nɔnɔme bubuwo ɖa.

Ðe atike blibo aɖe li na Evans Dɔlélea? Aleke wowɔa atike nɛ?

Le nyateƒe me la, atike blibo aɖeke meli na Evans Syndrome, alo dɔléle bubu aɖeke si dɔlélenutsiŋutete hena vɛ o. Ðɔktawo daa dɔléle siawo siwo dɔlélenutsiŋutete wɔna to atike siwo ɖea wò dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi kpɔtɔna nana wò me.

Tsɔ kpe ɖe eŋu la, woate ŋu ada wò dzesiwo ɖe vovo. Le kpɔɖeŋu me, ne wò ʋumenugbagbeviɣiwo mesɔ gbɔ kura o la, wò ɖɔkta ate ŋu aɖɔ esia ɖo to ʋudodo ɣeaɖewoɣi me .

Abe dɔléle geɖe siwo dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete hena vɛ ene la, Evans Dɔlélea ate ŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe. Ɣeaɖewoɣi la, adze abe dzesiawo nu ayi ene (si woyɔna be dɔlélea ƒe tsɔtsɔke) , gake emegbe woate ŋu atrɔ ava alo agblẽ ɖe edzi (si woyɔna be dɔlélea gbugbɔgadzɔ ).

Ðewohĩ ahiã be nàte atike vovovowo kpɔ le wò agbemeŋkekewo katã me, elabena woƒe dzidzedzekpɔkpɔ ate ŋu ato vovo le ɣeyiɣi aɖe megbe. Wò ɖɔkta adze agbagba akpɔ tawò tso Evans Syndrome ƒe kuxi sesẽtɔwo kekeake me.

Nukawoe nye atikewɔmɔnuawo?

Evans Syndrome ƒe atike si wozãna ɖaae nye atike siwo tsia dɔlélenutsiŋutete nu eye ne ehiã la, woado ʋu na ame. Dɔlélenutsiŋutete siawo wɔa dɔ to wò dɔlélenutsiŋutete ƒe amedzidzedze vodadatɔe dzi ɖeɖe kpɔtɔ me.

Atike ƒomevi vevi siwo wonana:

• Corticosteroids , abe prednisone ene . Zi geɖe la, esiae nye atike gbãtɔ si wowɔna.
• Dɔlélenutsiŋutete ƒe dɔdamɔnu si wodona ɖe ʋuka me (IVIg) bia be woana atike si me amegbetɔ ƒe dɔlékuiwutikewo le to ʋuka aɖe me. Dɔlékuiwutike yeye siawo ate ŋu abla ɖe dɔlélenutsiŋutete ƒe dɔlékuiwutike siwo gblẽ la ŋu eye woawɔ wo nuwɔametɔwoe.

Ne mèwɔ nu ɖe ​​atikewɔmɔnu siwo wozãna ɖaa ŋu nyuie o la, wò ɖɔkta ate ŋu ate atike bubuwo kpɔ. Esiawo dometɔ aɖewoe nye:

• Dɔlékuiwutike siwo nye monoclonal dɔlékuiwo abe rituximab ene . Esiawo nye dɔlékuiwutike siwo wowɔ le dodokpɔxɔ me. Ɣeaɖewoɣi la, esiawo ate ŋu atɔ te dɔlélenutsiŋutete ƒe dɔwɔwɔ. Wò ɖɔkta ate ŋu aɖo aɖaŋu siawo ne atike bubuwo mewɔ dɔ o.
• Aɖuɖɔtoe ɖeɖeɖa . Le nɔnɔme sesẽwo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na wò atsɔ aɖe wò dɔgbo ɖa. Wò dɔgbo mee woɖea ʋumenugbagbevi xoxowo ɖa le. Eyata ne woɖe dɔgboa ɖa la, dɔa dzi ɖena kpɔtɔna vie.

Ðe kuxi aɖewo alo nugbegblẽ le ame ŋu le atikewɔwɔa mea?

Ne èno dɔlélenutsiŋutete ƒe atikewo la, wò dɔlélenutsiŋutete ƒe dɔwɔwɔ ɖe wò dɔlélenutsiŋutete ƒe dɔlélea ŋu dzi ɖena kpɔtɔna. Gake wò dɔlélenutsiŋutete ɖe dɔlékuiwo ŋu hã dzi ɖena kpɔtɔna . Eyata ahiã be nàwɔ afɔɖeɖe tɔxɛwo be màgadze dɔ o.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike bubuwo tsɔ kpe ɖe esiwo nèxɔ xoxo ŋu. Ne wò dɔlélenutsiŋutete gbɔdzɔ (dɔlélenutsiŋutete me gblẽ) la, ɖewohĩ dɔléle siwo màxɔ le dzɔdzɔme nu o la ate ŋu adze dziwò bɔbɔe.

Ðe agbenɔnɔ kple Evans Syndrome kpɔa ŋusẽ ɖe agbenɔƒe dzia?

Evans ƒe Dɔlélea mekpɔa ŋusẽ ɖe wò agbenɔƒe dzi kokoko o. Dzesi siwo nu mesẽna kura o, ɣeaɖewoɣi koe ame aɖewo dzena. Gake kuxi aɖewo, abe ʋudodo, dzidɔ, kple dɔlékuiwo xɔxɔ ene ate ŋu ade ame ƒe agbe afɔku me.

Ne Evans ƒe dɔléle evelia le ŋuwò, si fia be dɔléle bubu si nɔa anyi didi hã le ŋuwò la, ema hã ate ŋu akpɔ ŋusẽ ɖe wò agbenɔƒe dzi. Ðewohĩ kuxi siwo ate ŋu ade wò agbe afɔku me siwo ava kpe ɖe wò nɔnɔme bubua ŋu.

Nukae nye mɔkpɔkpɔ na amesi ŋu Evans Dɔlélea le?

Nuteƒekpɔkpɔ siwo ame siwo ŋu Evans ƒe Dɔléle le kpɔna la to vovo ŋutɔ. Dzesiawo ate ŋu anɔ bɔbɔe alo nu sesẽ. Ame aɖewo sena le wo ɖokui me be yewoƒe dzesiwo nu yina keŋkeŋ (remission). Ame bubuwo gakpɔa wo emegbe (gbugbɔgadzɔ).

Ame geɖe hiã atikewɔwɔ ƒomevi aɖe eye woado wo kpɔ le atikewɔƒe edziedzi. Zi geɖe la, atikewɔwɔwo wɔa dɔ nyuie, gake menye ɣesiaɣie o. Ɣeaɖewoɣi la, adze abe atikewɔwɔwo ƒe dɔwɔwɔ dzi ɖena kpɔtɔna le ɣeyiɣi aɖe megbe ene. Ðewohĩ ahiã be nàte atikewɔmɔnu bubuwo kpɔ.

Aleke malé be na ɖokuinye esime mele agbe kple Evans Syndrome?

Ne Evans Syndrome le ŋuwò la, ele vevie be nànɔ atikewɔwɔ me dodokpɔ siwo wowɔna edziedzi la dzi . Ne èse le ɖokuiwò me be yeƒe lãme sẽ hã la, wò ɖɔkta adi be yealé ŋku ɖe wò nɔnɔmea ŋu ahalée kaba ne egblẽ ɖe edzi.

Azɔ hã, ele be nàlé ŋku ɖe ɖokuiwò ŋu ɣesiaɣi eye nànɔ ŋudzɔ ɖe dzesi yeye ɖesiaɖe ŋu. Ne dzamezã le ŋuwò si mehaya o, alo ne ʋu le dodom le ŋuwò si dzi màte ŋu aɖu o la, yɔ wò ɖɔkta enumake .

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia wò ɖɔkta nya siawo abe esiawo ene:

• Ʋumenugbagbevi kawo ƒomevie mele hiãm o?
• Aleke gbegbee wo dzi ɖe kpɔtɔ?
• Dzesi alo nuxlɔ̃amedzesi kawo ŋue wòle be malé ŋku ɖo?
• Aleke mawɔ anya ne atikewɔwɔa le dɔ wɔm alo mele dɔ wɔm o?
• Nukae dzɔna ne atikewɔwɔa mewɔ dɔ o?
• Ɣekaɣie wòle be mawɔ ɖoɖo ɖe nye ɖɔkta ƒe kpekpe si kplɔe ɖo ŋu?

Evans Syndrome nye dɔléle si mebɔ o si ŋu ɖewohĩ mèse nu tsoe kpɔ o. Dzesiawo ate ŋu awɔ nuku eye wòaɖe fu na ame. Nusi le edzi yim kple nusi wòfia gɔmesese ate ŋu anye nusi dzi ŋɔ vie.

Togbɔ be Evans ƒe Dɔlélea nye dɔléle si nɔa ame ŋu le eƒe agbemeŋkekewo katã me hã la, menye nenemae wònɔna ɣesiaɣi o. Mɔkpɔkpɔ nanɔ asiwò be yeƒe lãme asẽ, ɣeaɖewoɣi ya teti. Aleke kee nèɖase le ɖokuiwò me o, wò atikewɔlawo ƒe ƒuƒoƒoa anɔ anyi ana beléle si nèhiã la wò.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Enyo, eyata mina míaɖo ŋku nu vevitɔ kekeake siwo ŋu míeƒo nu tsoe la dometɔ aɖewo dzi na wò.

• Nukae nye Evans ƒe Dɔlélea?Dɔléle si mebɔ o si me wò ŋutɔ wò dɔlélenutsiŋutete dzea wò ŋutɔ wò ʋumenugbagbeviwo dzi le.
• Esia ate ŋu ana ʋumenugbagbevi dzĩwo ( ʋusɔgbɔdɔ ), ʋumenugbagbevi dzĩwo (ʋumenugbagbeviɣidɔ), kple ɖewohĩ ʋumenugbagbevi dzĩwo (ʋumenugbagbeviɣidɔ) dzi naɖe akpɔtɔ .
• Dzesiwo abe ɖeɖiteameŋu akpa, ŋutigbalẽ ƒe amadede dzẽ, ƒoƒo bɔbɔe, ʋu si dona le ame ŋu enuenu, kple dɔlékuiwo xɔxɔ enuenu ene ate ŋu ado mo ɖa.
• Togbɔ be womekpɔ atike blibo aɖeke na esia o hã la, woate ŋu aɖu dzesiawo dzi to atikewɔwɔ me .
• Ele vevie ŋutɔ be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo dzi edziedzi eye nàlé ŋku ɖe dɔlélea ƒe dzesiwo ŋu.
• Menye wò ɖeka koe o. Wò ɖɔktawo kple wò lɔlɔ̃tɔwo akpe ɖe ŋuwò. Ele vevie ŋutɔ hã be míanɔ nu nyuiwo ŋu bum.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nya aɖe le asiwò la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o.

Evans ƒe dɔléle, dɔlélenutsiŋutete ƒe dɔléle, lãmenugbagbeviwo ƒe ʋɛnyenye, ʋusɔgbɔdɔ, ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ