Ɣeaɖewoɣi ne míelé ŋku ɖe ʋu ŋuti nyatakaka aɖe ŋu la, míekpɔa nya siwo míenya o, alo? Ne ɖɔkta gblɔ nya sia tɔgbi la, míesena le mía ɖokui me be míedi be míanya nu vie, ɖewohĩ míevɔ̃na vie gɔ̃ hã. Ŋkɔ mawo dometɔ ɖekae nye ‘Heinz Bodies’. Eyata egbea, mina míaƒo nu tso nusi tututu esia nye ŋu, ɖe wònye dɔlélea, alo dɔléle aɖe ƒe dzesi aɖee. Ne èse esia gɔme pɛpɛpɛ la, wò vɔvɔ̃ nu ayi.
Kpuie ko la, nukawoe nye Heinz Ŋutilã siawo?
Kpuie ko la, Heinz Bodies menye dɔléle o. Dzesi aɖe koe wonye be wò ʋumenugbagbevi dzĩwo gblẽ. Abe alesi ko ne míekpɔ ʋuʋudedi le ʋu me ene la, míenya be woƒoe le afi aɖe, eye nenema kee nye esia hã.
Esiawo nye ʋuʋudedi suesuesue siwo le míaƒe ʋumenugbagbevi dzĩwo ŋu. Ne wozã amadede tɔxɛ aɖe eye wokpɔ wo le nusuekpɔmɔ̃ me ko hafi ɖɔktawo (vevietɔ dɔléleŋutinunyalawo) ate ŋu akpɔ wo. Le nyateƒe me la, protein aɖe si woyɔna be hemoglobin si gblẽ lae nyea ʋeʋẽ siawo. Eyata ne wokpɔ nusiawo le ʋudodokpɔ me fia be nane gblẽ le ʋumenugbagbevi dzĩawo ŋu. Ate ŋu anye nɔnɔme aɖe abe ʋusɔgbɔdɔ ene ƒe dzesi.
Mina míase alesi wowɔa esiawoe gɔmea?
Be míase esia gɔme la, ele be míanya nu vi aɖe tso míaƒe ʋumenugbagbevi dzĩwo ŋu gbã.
Bu ʋumenugbagbevi dzĩwo be wonye ʋumenugbagbeviɣidɔ si tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Agba si le ʋu sia si tsɔa nu yinae me enye hemoglobin. Hemoglobin siae xɔa ɔksidzin hetsɔnɛ tsoa lãkusi me yia ŋutilã ƒe akpawo katã. Hemoglobin siae nana míaƒe ʋu ƒe amadede biã.
Zi geɖe la, nucleus le lãmenugbagbevi aɖe si le míaƒe ŋutilã me. Gake nucleus mele ʋumenugbagbevi dzĩ si tsi nyuie me o. Eyata hemoglobin molecule miliɔn geɖe ate ŋu anɔ eme.
Ne le susu aɖe ta hemoglobin siawo gblẽ (oxidative damage) , la, womewɔa dɔ nyuie o. Woƒoa ƒu ɖekae eye woƒoa ƒu ɖekae. Míeyɔa hemoglobin kakɛ mawo siwo ƒo ƒu eye wogblẽ la be Heinz Bodies. Ne edzɔ alea la, ʋumenugbagbevi dzĩawo mete ŋu tsɔa ɔksidzin nyuie o. Azɔ hã, wodzea gbagbã gɔme eye wotsrɔ̃na kabakaba wu alesi wòle dzɔdzɔmee. Le atikewɔwɔ me la, woyɔa ʋumenugbagbevi dzĩwo ƒe gbagbã kabakaba sia be ʋumenugbagbeviɣidɔ .
Dzesi kawoe ate ŋu ado mo ɖa ne Heinz Bodies le afima?
Menye Heinz Ŋutilãwo gbɔe dzesiawo tsona ŋutɔŋutɔ o, ke boŋ nɔnɔme si gbɔ wòtsona, si nye ʋumenugbagbevi dzĩwo ƒe xexlẽme si bɔbɔ (ʋusɔgbɔdɔ). Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ la, ɖewohĩ dzesi aɖeke madze le ŋuwò kura o. Zi geɖe la, wò ŋutilã mexɔa oxygen si sɔ gbɔ o gbɔe dzesi siawo tsona.
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|---|
| Ɖeɖiteameŋu | Ðeɖiteameŋu si gbɔ eme sese le eɖokui me naneke mawɔmawɔe gɔ̃ hã. |
| Taɖuame | Taɖuame kple dadasɔ ƒe seselelãme. |
| Ŋutilã si ƒe ŋutigbalẽ le ɣie | Ŋutilã kple nuyi siwo le ɣie le ʋu ƒe anyimanɔmanɔ ta. |
| Dzi ƒe tsotso kabakaba (Tachycardia) . | Dzi ƒe tsotso kabakaba, sese le ɖokuiwò me abe ɖe wò akɔta le ƒoƒom ene. |
| Yagbɔgbɔ sesẽ (Dyspnea) . | Gbɔgbɔtsixetsixe, sese le eɖokui me be yegbɔdzɔ ne wodze agbagba vie gɔ̃ hã. |
| Jaundice ƒe dɔléle | Ŋutilã ƒe ɣie kple ŋku ƒe ɣie. |
| Splenomegaly ƒe dɔléle | Aɖuɖɔtoea ƒe lolome, si ɖea ʋumenugbagbevi dzĩ siwo gblẽ ɖa. |
Aleke nèwɔna ke ɖe nusiawo ŋu?
Ðɔktawo dea dzesi Heinz Ŋutilã siawo to dodokpɔ aɖe si woyɔna be peripheral blood smear me . Esia bia be nàɖe ʋu sue aɖe le wò asibidɛ me atsɔ asisi ɖe glass slide dzi, atsɔ amadede tɔxɛ aɖe akpe ɖe eŋu, eye nàlé ŋku ɖe eŋu le nusuekpɔmɔ̃ me.
Nusi wɔ nuku ŋutɔŋutɔe nye be ʋumenugbagbevi dzĩ siawo siwo ŋu Heinz Bodies le la dzena ɣeaɖewoɣi abe ɖe ame aɖe ɖu lãmenugbagbevi la ƒe akpa aɖe ene. Míeyɔa esiawo be "lãmenugbagbevi siwo ɖua ame."
Ale si wòwɔa dɔe nye esi: Ne ʋumenugbagbevi dzĩ siwo gblẽ to míaƒe dɔgbo me la, dɔgboa wɔa dɔ abe nusi wotsɔna tsia ʋuka me ene. E "ɖua" Heinz Ŋutilã siwo gblẽ la ɖa. Ʋumenugbagbevi dzĩ siwo susɔ la le abe nuɖuɖu kakɛ aɖe si ame aɖe ɖu ene.
Nukawoe nye atikewɔwɔ me nɔnɔme vevi siwo me wokpɔa Heinz ƒe Ŋutilãwo le?
Míenya azɔ be Heinz Ŋutilãwo nye dɔléle aɖe ƒe dzesi. Eyata, nɔnɔme vevi siwo me wokpɔa wo le la dometɔ aɖewoe nye esi.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Ʋusɔgbɔdɔ si Gbɔ ʋumenugbagbeviɣidɔ | Ʋumenugbagbevi dzĩwo ƒe gbagbã kple wo tsɔtsrɔ̃ kabakaba wu alesi wowɔa woe gbɔe ʋusɔgbɔdɔ tsona. |
| G6PD ƒe Gbɔdzɔgbɔdzɔ | Esia nye domenyiŋusẽfianu (si ƒe dome wonyi) ƒe nɔnɔme. Enzyme G6PD ƒe anyimanɔmanɔ nana ʋumenugbagbevi dzĩwo ƒe gbegblẽ dzina ɖe edzi. |
| Alpha-thalassemia ƒe dɔléle | Esia hã nye domenyiŋusẽfianu ƒe dɔléle. Le go sia me la, ŋutilãa mete ŋu wɔa hemoglobin si le lãmesẽ me o. |
| Aɖuɖɔtoe si Lolo | Ele be dɔgboa nawɔ dɔ sesĩe wu be wòaɖe ʋumenugbagbevi dzĩ gbogbo aɖewo siwo gblẽ, si ana wòalolo. |
Nukatae Heinz Ŋutilã siawo dzɔna? Nukawoe gbɔ wòtsona?
Susu vevi geɖewo li siwo ate ŋu agblẽ nu le ʋumenugbagbeviɣidɔ ŋu.
- Atike kple atike aɖewo zazã: Le kpɔɖeŋu me, atike aɖewo siwo wozãna na aɖuɖɔtoedɔlékuiwo (UTIs) kple atike siwo wozãna na anyidɔ.
- Mineral deficiencies: Tomenu, vevietɔ selenium, ƒe anyimanɔmanɔ le ŋutilã me.
- Nuɖuɖu tɔxɛwo na amesiwo ŋu G6PD ƒe anyimanɔmanɔ le: Ne amesi ŋu G6PD mele o ɖu nuɖuɖuwo abe fava beans , woƒe ʋumenugbagbevi dzĩwo ate ŋu agblẽ eye Heinz Bodies ate ŋu adzɔ.
Atikewɔwɔ kple mɔxexe ɖe enu
Esia nye kuxi si le ame geɖe ŋu. Atike aɖeke meli koŋ na Heinz Bodies o. Elabena menye dɔlélee wònye o, ke boŋ dɔléle aɖe ƒe dzesie. Nu vevitɔe nye be nàdi nɔnɔme si gbɔ wòtsona eye nàdae. Wò ɖɔkta awɔ dodokpɔ siwo hiã, anya nusi tututu gbɔ wòtso, eye wòaŋlɔ atike si sɔ na wò.
Ðe woate ŋu axe mɔ ɖe enua? Ẽ, le go aɖewo me la, ate ŋui.
Le kpɔɖeŋu me, ne ènya be G6PD ƒe vevesese le ye ŋu la, ele be nàƒo asa na fava-ku ɖuɖu kura. Azɔ hã, ne èle atike nom na dɔléle bubu ɖesiaɖe la, ele vevie ŋutɔ be nàna wò ɖɔkta nanya be G6PD ƒe dɔmawɔmawɔ nyuie le ŋuwò. To mɔ sia dzi la, wò ɖɔkta ate ŋu aŋlɔ atike aɖe si magblẽ nu le ŋuwò o la na wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Heinz Ŋutilãwo menye dɔléle o, ɖeko wonye dzesi be wò ʋumenugbagbevi dzĩwo gblẽ.
- Wotoa dodokpɔ tɔxɛ aɖe si wowɔna le ʋu ƒe dodo (Peripheral Blood Smear) ŋu me dea dzesi nusiawo.
- Esiawo ate ŋu atso domenyiŋusẽfianu ƒe nɔnɔmewo abe G6PD ƒe anyimanɔmanɔ, thalassemia, alo atike aɖewo gbɔ.
- Atike aɖeke meli koŋ na Heinz Bodies o. Wotrɔa asi le dɔléle si gbɔ wotso ŋu.
- Ne ŋkɔ sia tɔgbe le wò ʋu ŋuti nyatakaka me la, mègatsi dzi ɖe eŋu o, yi wò ɖɔkta gbɔ enumake nàƒo nu tso eŋu. Aɖo aɖaŋu siwo katã nèhiã la wò.
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