Nusianu si wòle be nànya tso ʋumenugbagbeviɣidɔ dodokpɔa ŋu

Ðe nèsena le ɖokuiwò me hã be ɖeɖi te ye ŋu eye agbe mele ye si ɣesiaɣia? Ðe wòsena le ɖokuiwò me ɣeaɖewoɣi be taɖuame alo wò abɔwo kple afɔwo vuvɔa? Susu ɖeka si tae nu siawo tsona ate ŋu anye ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si le wò ʋu me dzi ɖeɖe kpɔtɔ. Eyata egbea, mina míaƒo nu bɔbɔe kple xɔlɔ̃wɔwɔtɔe tso nusi ʋumenugbagbeviɣi sia nye, nusi dodokpɔ si dzidzenɛ gblɔ, kple dɔléle siwo wòate ŋu ade dzesii ŋu.

Kpuie ko la, nukae nye hemoglobin?

Bu eŋu kpɔ, ʋumenugbagbevi dzĩwoe nye ‘agbatsɔʋu’ sue siwo tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Emegbe esi koŋ tsɔa ɔksidzin dea agbatsɔʋu mawo me eye wòmaae ɖe ŋutilã ƒe akpawo katã la woyɔna be hemoglobin . Esia nye protein tɔxɛ aɖe si le ʋumenugbagbevi dzĩwo me. Iron le ʋumenugbagbevi dzĩ me. Iron siae blana ɖe oxygen ŋu eye wòkpena ɖe eŋu wòtsoa lãkusi me yia ŋutinu kple lãkusi bubu ɖesiaɖe si le ŋutilãa me gbɔ.

Kpuie ko la, hemoglobin agbɔsɔsɔme si le wò ʋu me naa nèkpɔa alesi wò ʋumenugbagbevi dzĩwo le lãmesẽ me nyuie. Ne ènya agbɔsɔsɔ sia la, ate ŋu akpe ɖe wò ɖɔkta ŋu wòakpɔ dɔléle siwo do ƒome kple ʋu kple nɔnɔme bubuwo abe ʋusɔgbɔdɔ ene.

Nukatae wowɔa ʋumenugbagbeviɣidɔ dodokpɔ sia?

Ne èyi ɖado wò kpɔ edziedzi la, anɔ eme be wò ɖɔkta aɖe gbe be woado ʋumenugbagbeviɣidɔ kpɔ abe ʋuxexlẽ blibo (CBC) ƒe akpa aɖe ene. CBC dzidzea ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me. Nyatakaka sia ate ŋu ana nàkpɔ wò lãmesẽ bliboa ƒe nɔnɔmetata nyuie.

Tsɔ kpe ɖe eŋu la, ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò be ʋumenugbagbeviɣidɔ mesɔ gbɔ alo sɔ gbɔ o la, wò ɖɔkta aɖo aɖaŋu na wò godoo be nàdoe kpɔ.

Ðe wòhiã be nàdzra ɖo hafi adze dodokpɔa gɔmea?

Dodokpɔ si me woalé ŋku ɖe ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ ŋu ko mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke o. Woate ŋu awɔe le aɖabaƒoƒo ʋɛ aɖewo ko me.

Gake ɣeaɖewoɣi la, wò ɖɔkta aɖe gbe be woagawɔ ʋudodokpɔ ʋɛ aɖewo kpe ɖe dodokpɔ sia ŋu. Ne ele alea la, woabia tso asiwò be nàtsi nu adɔ (nuɖuɖu alo nunono manɔmee) gaƒoƒo ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Eyata anyo wu be nàbia wò ɖɔkta be wòagblɔ mɔfiame siwo tututu wò.

Aleke nèwɔa dodokpɔ siae?

Esia le bɔbɔe ŋutɔ. Ðɔkta alo dɔnɔdzikpɔla aɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu (si te ɖe abɔta ŋu) alo wò asi ƒe megbe me. Le vidzĩ sue gome la, woate ŋu aɖe ʋu ɖeka tso afɔkpodzi alo asibidɛ ƒe nugbɔ.

Gbã la, wotsɔa aha klɔa teƒea, eye wotsɔa elastic-ka ƒoa xlã alɔnu si le etame be ʋukaa nadze. Emegbe, wotsɔa aŋe sue aɖe dea ʋukaa me. Àse veve vie ne wotsɔ aŋea de eme, gake enɔa agbe kpuie. Emegbe, woƒoa ʋua nu ƒu ɖe go sue aɖe me heɖonɛ ɖe dodokpɔxɔa me be woadoe kpɔ.

Nukae dodokpɔa ƒe nyatakakaa gblɔ?

Dodokpɔ sia aɖee afia wò tututu nenye be wò ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔme sɔ, bɔbɔ, alo sɔ gbɔ. Ate ŋu ana nàkpɔ alesi gbegbe nɔnɔmea nu sẽe hã.

Esia le abe ŋkuléle ɖe eŋu be tsi si le aƒe aɖe ƒe tsigoe me le sue alo lolo ene. Ne tsia mesɔ gbɔ o la, ele be nàlé ŋku ɖe eŋu ɖe vovo akpɔe ɖa be nusi gbɔ wòtsoe nye pɔmpi si le ʋuʋu ɖi, do aɖe si le tsigoa me, alo kuxi aɖe le mɔ̃a ŋu hã. Nenema ke be ɖɔktaa nanya nusi gbɔ ʋumenugbagbeviɣidɔ si bɔbɔ/si sɔ gbɔ tsoe la, alé ŋku ɖe wò dzesiwo kple dodokpɔ bubuwo katã ŋuti nyatakakawo ŋu be yeatso nya me.

Nukae nye ʋumenugbagbeviɣi ƒe agbɔsɔsɔ si sɔ?

Hemoglobin ƒe agbɔsɔsɔ si sɔ na ame tsitsi nɔa gram 12 va ɖo 17.4 le ʋu desilita ɖeka me (`12 g/dL - 17.4 g/dL`). Gake asixɔxɔ sia ate ŋu ato vovo vie le ƒe si nèxɔ, ŋutsu alo nyɔnu nyenye, kple to si me nètso nu. Azɔ hã, nusiwo do ƒome kple wò agbenɔnɔ ate ŋu akpɔ ŋusẽ ɖe wò ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ dzi, abe:

• Kɔkɔme si le afisi nèle
• Wò nuɖuɖu
• Kamedede ƒe agbɔsɔsɔme
• Atike aɖewo siwo nènona

Nukae ʋumenugbagbeviɣidɔ si mebɔ o fia?

Ʋusɔgbɔdɔ nye nɔnɔme si me ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ le sue wu alesi wòle. Esia ate ŋu afia be wò ŋutilã mele ʋumenugbagbevi dzĩwo wɔm wòsɔ gbɔ o, alo be ʋumenugbagbevi dzĩ siwo wòwɔna la le tsɔtsrɔ̃m kabakaba akpa. Azɔ hã, ʋu si dona le ame ŋu ɣeyiɣi didi (e.g., dzinukpɔkpɔ sesẽ, dɔgbo me abi) nye nu vevi si nana ʋumenugbagbeviɣidɔ nɔa anyi.

Susu bubu aɖewo siwo ate ŋu ana ʋumenugbagbeviɣidɔ naɖiɖi:

• Iron ƒe anyimanɔmanɔ
• Nunyiame ƒe veve, abe vitamin B12 alo folic acid ene
• Kansa siwo gblẽa nu le ʋu alo ƒumeŋuɖui ŋu
• Thalassemia ƒe dɔléle
• Ayikudɔléle
• Aklãdɔléle
• Sickle cell ƒe dɔléle
• Ʋu si dona le amekoko, afɔku, alo nu bubu aɖe ta

Nukae ʋumenugbagbeviɣidɔ ƒe dzidziɖedzi fia?

Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu ana wò ʋumenugbagbevi dzĩwo ƒe xexlẽme nadzi ɖe edzi, si ana wò ʋumenugbagbeviɣidɔ nadzi ɖe edzi. Esia nana wò ʋu nɔa ƒoƒom eye wònana ʋu ƒe sisi dzi ɖena kpɔtɔna. Esia ate ŋu aɖe ɔksidzin si wò ŋutinuwo xɔna dzi akpɔtɔ. Tsikunɔamesi hã ate ŋu ana wò ʋumenugbagbeviɣidɔ nadzi ɖe edzi hena ɣeyiɣi aɖe.

Nɔnɔme geɖe siwo ate ŋu ana ʋumenugbagbeviɣidɔ nadzi ɖe edzi:

• Nɔnɔme si woyɔna be `Polycythemia vera`
• Dzidɔ si wodzina
• Ayikudɔ aɖewo, siwo dome ayiku me kansa hã le
• Aɖuɖɔtoedɔléle si nɔa anyi didi (COPD, aklã me ʋu ƒe sisi) .

Ðe esia sɔ kple hemoglobin A1c (HbA1c) dodokpɔa?

Afi siae ame geɖe tɔtɔna le. Hemoglobin dodokpɔ si wozãna ɖaa kple hemoglobin A1c (`HbA1c`) nye dodokpɔ eve siwo to vovo kura.

• Hemoglobin dodokpɔ si sɔ: Esia dzidzea ʋumenugbagbeviɣi agbɔsɔsɔme si le wò ʋu me. Wozãnɛ koŋ tsɔ dea dzesi nɔnɔmewo abe ʋusɔgbɔdɔ ene.
• Hemoglobin A1c (`HbA1c`) dodokpɔ: Wowɔa esia tsɔ dea dzesi suklidɔ (`Diabetes Mellitus`) alo be woakpɔe ɖa be suklidɔléla aɖe kpɔ eƒe ʋumesukli ƒe agbɔsɔsɔ dzi le ɣleti 2-3 siwo va yi me hã. Sukli (glucose) si le wò ʋu me la léna ɖe hemoglobin ŋu. `HbA1c` dzidzea hemoglobin ƒe alafa memamã si me sukli sia kpe ɖe eŋu.

Ne wò nyatakakaa ɖe dzidzenu siwo mesɔ o fia la, wò ɖɔkta aɖe esia me na wò. Ate ŋu aɖe gbe hã be woawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wòtso. Atikewɔwɔ nɔ te ɖe nusi gbɔ wò ʋumenugbagbeviɣi ƒe agbɔsɔsɔ ƒe tɔtrɔ tso dzi. Eyata dzro nya sia me kple wò ɖɔkta ɣesiaɣi eye nàwɔ ɖe eƒe aɖaŋuɖoɖo dzi.