Èbu afi si ʋu sia si le míaƒe ŋutilã me la tso kple alesi wowɔe ŋu kpɔa? Míenya alesi gbegbe ʋu sia le vevie be wòana míanɔ lãmesẽ me, akpɔ mía ta tso dɔlélewo me, eye wòatsɔ oxygen ayi míaƒe ŋutilã ƒe akpa sia akpa. Eyata egbea míele nu ƒom tso nuwɔna wɔnuku sia ŋu, si fia be míaƒe ŋutilã wɔa ʋumenugbagbevi yeyewo le eɖokui si. Ele abe dɔwɔƒe sue aɖe si le ŋutilãa me ene.
Nukae nye ʋumenugbagbeviɣidɔ?
Kpuie ko la, Hematopoiesis nye ʋumenugbagbeviwo wɔwɔ le míaƒe ŋutilã me. Esi ʋumenugbagbevi xoxowo le kukum la, ele be woawɔ ʋumenugbagbevi yeyewo ɣesiaɣi be woaxɔ ɖe wo teƒe. Woawo manɔmee la, míaƒe ʋu ƒe agbɔsɔsɔ agblẽ. Nuwɔna sia dzea egɔme hafi wodzia mí eye wòyia edzi le tsatsam le míaƒe agbemeŋkekewo katã me.
Nya sia aɖi nya sesẽ vie, gake gɔmesese si le eŋu la le bɔbɔe ŋutɔ. Helagbe me nya evee wotsɔ wɔe:
- Haîma (Haima): gɔmee nye "ʋu".
- Poiēsis: gɔmee nye "nane wɔwɔ".
Fifia èse egɔme, alo? Ne wotsɔ nya eve siawo ƒo ƒui la, efia be "ʋu ƒe wɔwɔme." Ɣeaɖewoɣi la, wozãa nyawo abe `(hemopoiesis)` kple `(hematogenesis)` hã na esia.
Ʋumenugbagbevi ƒomevi vevi kawoe to mɔnu sia dzi wɔna?
Lãmenugbagbevi ƒomevi vovovowo ƒe ƒuƒoƒoe nye míaƒe ʋu. Wowɔa lãmenugbagbevi siawo ƒomevi katã le ʋumenugbagbeviɣidɔa me. Mina míalé ŋku ɖe nusiwo nye ƒomevi vevitɔwo kple woƒe dɔwɔwɔwo ŋu.
| Ʋumenugbagbevi ƒomevi | Dɔa le bɔbɔe. |
|---|---|
| Ʋumenugbagbevi dzĩwo alo Ʋumenugbagbevi dzĩwo | Esiawoe nye ‘dɔlékuiwo ɖoɖoɖa ƒe dɔwɔƒe’ si xɔa ɔksidzin tso míaƒe lãkusiwo me eye wòtsɔnɛ yia ŋutinu kple lãmenugbagbevi bubu ɖesiaɖe si le ŋutilãa me gbɔ. Wotsɔa carbon dioxide gbeɖuɖɔ siwo lãmenugbagbeviawo wɔna hã yia lãkusiwo me. Ʋumenugbagbevi dzĩwo sɔ gbɔ wu le míaƒe ʋu me. Woyɔa alesi wowɔa esiawoe be Erythropoiesis . |
| Ʋumenugbagbeviɣiwo alo Ʋumenugbagbevi dzĩwo | Esiawoe nye míaƒe ŋutilã ƒe ‘aʋakɔ’. Ʋumenugbagbevi ɣi siawo kpɔa mía ta tso dɔlélewo me to avuwɔwɔ kple amedzro siwo va dzea mía dzi abe dɔlékuiwo, dɔlékuiwo, kple dɔlékuiwo ene me. Wokpena ɖe ame ŋu hã be wogblẽa lãmenugbagbevi siwo mesɔ o siwo dzɔna le ŋutilãa me. Woyɔa alesi wowɔa woe be ʋumenugbagbeviɣidɔ . |
| Ʋumenugbagbevi dzĩwo alo Thrombocytes | Bu nusi adzɔ ne ètso asi ŋu kpɔ. Le ɣeyiɣi aɖe megbe la, ʋua nu tsona, alo? Emae nye nusi ʋumenugbagbevi dzĩwo kpena ɖe ame ŋu le. Esiawo nye lãmenugbagbevi kakɛ siwo léna ɖe nu ŋu. Ne abi aɖe li la, woƒoa ƒu wɔa ʋuka si me ʋu sina tona, si wɔnɛ be ʋua nu tsona. Woyɔa alesi wowɔa esiawoe be ʋumenugbagbeviɣidɔ . |
Ðe ʋumenugbagbevi ɣi ƒomevi aɖewo lia?
Ẽ, abe alesi wòle le míaƒe asrafowo gome ene la, ʋumenugbagbevi ɣi ƒomevi vovovowo li. Dɔ aɖe koŋ le wo dometɔ ɖesiaɖe si wòawɔ. Woƒe ƒomevi vevitɔwoe nye:
- Neutrophils ƒe dɔwɔwɔ
- Basophils ƒe lãwo
- Eosinophils ƒe lãwo
- Monocytes ƒe lãmenugbagbevi siwo woyɔna be monocytes
- Lymphocytes - Wogamã esiawo ɖe B-lãmenugbagbeviwo, T-lãmenugbagbeviwo, kple Dzɔdzɔmewuwu lãmenugbagbeviwo me.
Afikae ʋu ƒe wɔwɔme sia dzɔna le ŋutɔŋutɔ?
Dɔwɔƒe vevitɔ si wɔa ʋumenugbagbevi siawo le míaƒe ƒumeŋuɖui me . Ƒumeŋuɖui nye lãkusi falɛfalɛ si le abe ƒumeŋuɖui ene le míaƒe ƒu gãwo me. Wowɔa ʋumenugbagbeviwo le ƒumeŋuɖui me, si va kpena ɖe míaƒe ʋukawo ŋu emegbe.
Togbɔ be ʋu dona le ƒumeŋuɖui me le dzɔdzɔme nu hã la, le nɔnɔme tɔxɛ aɖewo me la, le kpɔɖeŋu me, ne dɔléle aɖe va le ƒumeŋuɖui me si xea mɔ nɛ be wòate ŋu awɔ ʋu o la, ŋutinu siwo le abe míaƒe aklã kple dɔgbo ene hã ate ŋu adze ʋu dodo gɔme.
Gake teƒe siwo ʋu sia dona le la to vovo vie do ŋgɔ na mí dzidzi kple emegbe.
Hafi woadzii (le fugboe ƒe nɔnɔme me) .
Le fufɔfɔ ƒe kwasiɖa ʋɛ gbãtɔwo me la, ʋu dona le nusi woyɔna be kotoku me. Emegbe ne fufɔfɔa le ŋgɔ yim la, wotsɔa dɔ sia yia aklã kple dɔgbo me. Kaka fufɔfɔ ƒe ɣleti atɔ̃lia lɔƒo naɖo la, ƒumeŋuɖui me koŋ ʋu dzea dodo gɔme.
Le vidzidzi megbe
Tso gbesigbe wodzi mí vaseɖe tsitsime la, ƒumeŋuɖui koŋue nye ʋumenugbagbeviɣidɔ. Gake ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be lymphocytes hã dona le teƒewo abe thymus ene, siwo nye ʋumenugbagbeviɣidɔ ƒe akpa aɖe, tsɔ kpe ɖe ƒumeŋuɖui ŋu.
Aleke ʋumenugbagbeviɣidɔ ƒe ɖoɖoa dzɔnae?
Dɔwɔwɔ sia katã dzea egɔme tso lãmenugbagbevi tɔxɛ ɖeka dzi. Woyɔa esia be Ʋumenugbagbeviɣidɔ (HSC).Mina míayɔ esia be "dada lãmenugbagbevi" alo "lãmenugbagbevi gbãtɔ." Vidada lãmenugbagbevi sia ate ŋu azu ʋumenugbagbevi dzĩ, ʋumenugbagbevi ɣi, ʋumenugbagbevi dzĩ, ʋumenugbagbevi ƒomevi ɖesiaɖe.
Bu esia be enye anyikpe aɖe. Abe alesi wòle le ze me ene la, woate ŋu azã anyikpe aɖe atsɔ awɔ ze, agba, alo nu bubu ɖesiaɖe la, woate ŋu atsɔ HSC lãmenugbagbevi sia awɔ ʋumenugbagbevi ɖesiaɖe.
HSC lãmenugbagbevi sia va zua lãmenugbagbevi "do ŋgɔ" gbã. Emegbe lãmenugbagbevi sia si do ŋgɔ na wo la mãna hetoa vovo zi gbɔ zi geɖe, eye mlɔeba la, eva zua ʋumenugbagbevi dzĩ, ʋumenugbagbevi ɣi, alo ʋumenugbagbevi dzĩ si tsi bliboe.
- Ʋumenugbagbevi dzĩwo wɔwɔ (Erythropoiesis): HSC lãmenugbagbevi la tsina zua lãmenugbagbevi si doa ŋgɔ si woyɔna be ``erythroblast'', si va zua ʋumenugbagbevi dzĩ mlɔeba.
- Ʋumenugbagbevi ɣiwo wɔwɔ (Leukopoiesis): Mɔ eve li siwo dzi woato awɔ wo le afisia. Wowɔa ʋumenugbagbevi ɣi aɖewo to ``myeloid cell line`` mɔ dzi, eye ʋumenugbagbevi dzĩwo toa ``lymphoid cell line`` mɔ dzi.
- Ʋumenugbagbevi dzĩwo wɔwɔ (Thrombopoiesis): HSC lãmenugbagbevi la tsina zua lãmenugbagbevi gã aɖe si woyɔna be ``megakaryocyte.'' Emegbe, ʋumenugbagbevi dzĩwo dzɔna to wo mama ɖe akpa vovovowo me tso lãmenugbagbevi gã sia me.
Ke ne kuxi aɖe le ɖoɖo sia ŋu ya ɖe?
Míaƒe ŋutilã bi ɖe ʋumenugbagbevi siawo ƒe wɔwɔ dzi kpɔkpɔ me ŋutɔ. Ema fia be lãmenugbagbevi agbɔsɔsɔme si míehiã koe míewɔna. Gake dɔléle aɖewo ate ŋu agblẽ nu le ɖoɖo sia ŋu. Emegbe ʋumenugbagbevi ʋɛ aɖewo koe woate ŋu awɔ, alo woate ŋu awɔ geɖe akpa. Esiawo dometɔ aɖeke menyo na ŋutilãa o.
| Ʋumenugbagbevi ƒomevi | Ne lãmenugbagbeviwo ƒe xexlẽme dzi ɖe kpɔtɔ (Too Few) . | Ne lãmenugbagbeviwo ƒe xexlẽme dzi ɖe edzi (Too Many) . |
|---|---|---|
| Ʋumenugbagbevi dzĩwo | Woyɔa nɔnɔme sia be ʋusɔgbɔdɔ . Ŋutilãa senɛ le eɖokui me be ɖeɖi te ye ŋu eye yegbɔdzɔ le esi ŋutilãa ƒe lãmenugbagbeviwo mele oxygen si wohiã la xɔm o ta. | Woyɔa nɔnɔme sia be Erythrocytosis . Ate ŋu ana ʋua natsi, si ana nɔnɔmewo abe dzidɔ alo ʋusɔgbɔdɔ ene ƒe afɔkua nadzi ɖe edzi. |
| Ʋumenugbagbevi ɣiwo | Woyɔa nɔnɔme sia be Leukopenia . Ne ʋumenugbagbevi ɣiwo mesɔ gbɔ o la, ŋutilãa ƒe dɔlélenutsiŋutete gbɔdzɔna, eye dɔlékuiwo ate ŋu adze ame dzi enuenu. | Woyɔa nɔnɔme sia be Leukocytosis . Zi geɖe la, edzɔna ne èle avu wɔm kple dɔlékui aɖe. Gake ate ŋu adzɔ le ʋudɔ alo kansadɔ aɖewo hã me. |
| Ʋumenugbagbeviɣidɔ | Woyɔa nɔnɔme sia be Thrombocytopenia . Nuveviwɔame sue aɖe gɔ̃ hã ate ŋu ana ʋu nado le ame ŋu si madzudzɔ o. Abi ate ŋu adzɔ ɖe ŋutilãa hã dzi. | Woyɔa nɔnɔme sia be thrombocytosis , eye wònana ʋuka siwo me afɔku le nadzɔ ɖe ʋukawo me ƒe afɔkua dzina ɖe edzi. |
Nɔnɔme kawoe doa kplamatse ʋumenugbagbeviɣidɔa?
Woate ŋu atɔtɔ ʋu ƒe wɔwɔme sia le susu vovovowo ta.
- Tsitsi: Ne míele tsitsim la, ami si le ƒumeŋuɖui me ate ŋu adzi ɖe edzi, si ana ŋutete si le mía si be míawɔ ʋumenugbagbeviwo dzi akpɔtɔ.
- Ʋumenugbagbeviɣidɔ kple kansa: Kansa abe ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, kple ʋumenugbagbeviɣidɔ ene ate ŋu ana ʋumenugbagbevi gbogbo aɖewo siwo mesɔ o nadzɔ siwo mewɔa dɔ nyuie o.
- Atike aɖewo: Le kpɔɖeŋu me, menye kansadɔlékuiwo ɖeɖeko ate ŋu awu kansadɔdamɔnu o, ke ate ŋu awu ʋumenugbagbevi siwo le lãmesẽ me hã. Esia nye atike aɖewo ƒe nugbegblẽ le ame ŋu.
Ne dzesiwo le ŋuwò abe ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi, dzoxɔxɔ kple dɔlékuiwo xɔxɔ enuenu, ƒoƒoe le susumanɔmee, alo ʋu si le dodom le abi si xɔa ɣeyiɣi didi hafi wòdzudzɔna ta ene la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta. Esiawo ate ŋu anye ʋu ƒe kuxi aɖe ƒe dzesiwo.
Ʋumenugbagbeviɣidɔ nye nusi yia edzi ɣesiaɣi, si le vevie ŋutɔ na míaƒe agbetsitsi. Dɔwɔƒe sue sia si le míaƒe ƒumeŋuɖui me ye nana míenɔa lãmesẽ me hesẽa ŋu. Esia tae wòle vevie ŋutɔ be míalé be na míaƒe ʋu ƒe lãmesẽ.
Gbedasi si Wotsɔ Yi Aƒeme
- ƲumenugbagbeviɣidɔEfia alesi míaƒe ŋutilã wɔa ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo.
- Ƒumeŋuɖui si le míaƒe ƒuwo me koŋue nuwɔna sia dzɔna le.
- Ʋumenugbagbevi dzĩwo tsɔa ɔksidzin, ʋumenugbagbevi ɣiwo kpɔa mía ta tso dɔléle me, eye ʋumenugbagbevi dzĩwo dzudzɔa ʋudodo ne míexɔ abi.
- Ʋumenugbagbeviɣidɔ si ɖiɖi alo esi sɔ gbɔ wu alesi wòle be wòanɔ ate ŋu ahe atikewɔwɔ ƒe nɔnɔme vovovowo vɛ.
- Ne èkpɔ dzesiwo abe ɖeɖiteameŋu si gbɔ eme si womenya o, dɔlékuiwo xɔxɔ enuenu, alo ʋu si mebɔ o ene la, ele vevie be nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò.

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