Ðe dzesi siawo hã le ŋuwòa? Mina míasrɔ̃ nu tso Hemolytic Anemia ŋu le nya bɔbɔewo me!

Ðe ɖeɖi tea ŋuwò ɣesiaɣia, alo ɖeɖi tea ŋuwò veviea? Ðe wòsena le ɖokuiwò me ɣeaɖewoɣi be gbɔgbɔ sesẽna na wò vie, alo wò akɔta le ƒoƒom kabakabaa? Ðe ame aɖe gblɔ na wò kpɔ be wò ŋutigbalẽ ƒe amadede kple wò ŋku ƒe ɣiwo trɔ zu ɣie viea? Nu siawo ate ŋu anye dɔléle aɖe si woyɔna be Hemolytic Anemia, si ŋu míele nu ƒom tsoe egbea, ƒe dzesiwo. Mègatsi dzi o, míaƒo nu tso esia ŋu egbea le mɔ si le tẽ eye wòle bɔbɔe nu. Elabena nɔnɔme sia nyanya le vevie ŋutɔ na wò kple wò ƒomea.

Nukae Nye Ʋusɔgbɔdɔ si Me Ʋumenugbagbeviɣidɔ Le? Kpuie ko la,...

Lãmenugbagbevi ƒomevi aɖe si woyɔna be ʋumenugbagbevi dzĩwo le míaƒe ʋu me. Esiae nye nusi míeyɔna be `(Ʋumenugbagbevi Dzĩwo)`. Ʋumenugbagbevi dzĩ siawo tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Bu eŋu kpɔ, wole abe agbatsɔʋu sue siwo maa ɔksidzin ɖe míaƒe ŋutilã ƒe akpa sia akpa ene. Zi geɖe la, ʋumenugbagbevi dzĩ aɖe si le ame si le lãmesẽ me ƒe ŋutilã me nɔa agbe abe ŋkeke 120 ene. Le ema megbe la, wokuna, eye lãmenugbagbevi yeyewo dzɔna ɖe wo teƒe. Esiae nye nusi wowɔna le mɔ si sɔ nu.

Gake le nɔnɔme aɖe si woyɔna be Hemolytic Anemia me la, ʋumenugbagbevi dzĩ siawo gblẽna alo wogblẽna hafi woƒe ɣeyiɣi ɖoɖi, si fia be hafi ŋkeke 120 naɖo. Nukae dzɔna ɣemaɣi? Míaƒe ƒumeŋuɖui (teƒe si le ƒuawo me si wɔa lãmenugbagbevi siawo) mete ŋu wɔa ʋumenugbagbevi dzĩ yeyewo tsɔ ɖoa ​​ʋumenugbagbeviɣia teƒe o, si fia be lãmenugbagbeviawo tsrɔ̃na kabakaba wu alesi wowɔ woe. Ɣemaɣie ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna le ŋutilãa me, eye ʋusɔgbɔdɔ, si nye ʋu ƒe anyimanɔmanɔ le ŋutilãa me, dzɔna. Hemolytic anemia nye ʋusɔgbɔdɔ ƒomevi aɖe si dzɔna le ʋumenugbagbevi dzĩwo ƒe gbagbã kabakaba ta.

Ðe ʋusɔgbɔdɔ ƒomevi bubuwo lia?

Ẽ, le nyateƒe me la, nu geɖe li siwo gbɔ ʋusɔgbɔdɔ tsona, alo nusi míeyɔna be "ʋu ƒe agbɔsɔsɔ si bɔbɔ."

• Ɣeaɖewoɣi la, ne ʋu geɖe bu le ŋutilãa me le abi alo dɔléle aɖe ta la, ʋumenugbagbevi dzĩwo ate ŋu aɖiɖi.
• Ɣebubuɣiwo la, ʋumenugbagbevi dzĩwo ƒe wɔwɔme dzi ɖeɖe kpɔtɔ alo woƒe wɔwɔme si mesɔ o, abe iron ƒe anyimanɔmanɔ ene ate ŋu ahe ʋusɔgbɔdɔ vɛ.

Ʋusɔgbɔdɔ si me ʋu sina tona mebɔ vie wu ʋusɔgbɔdɔ si nu bubu siawo hena vɛ, gake enye nɔnɔme si ŋu wòle be míatsi dzi ɖo hã.

Nukae dzɔna ne womewɔ atike na ʋusɔgbɔdɔ si nana ʋu sina tona o?

Esia nye nya vevi aɖe ŋutɔ. Ame aɖewo ate ŋu asusu be, "Oo, nukae adzɔ ne ʋu si le wò ŋutilã me dzi ɖe kpɔtɔ vie?" Gake ne ʋusɔgbɔdɔ si nana ʋu sina toa ʋu me va nu sẽ eye womewɔ atike nɛ nyuie o la, ate ŋu ahe dzidɔ sesẽwo vɛ.

Esia fia be nɔnɔme sia ate ŋu asẽ, eye wòahe dzi ƒe dɔmawɔmawɔ nyuie, abe dzi ƒe dɔmawɔmawɔ nyuie, dzitodzito ƒe dɔmawɔmawɔ nyuie, kple dzi ƒe dɔmawɔmawɔ nyuie gɔ̃ hã vɛ. Esia tae menyo be míabu esia nu tsɛe o.

Amekawoe ate ŋu axɔ nɔnɔme sia?

Ʋusɔgbɔdɔ ƒomevi vovovowo li siwo nana ʋu sina tona. Esia ƒomevi ɖesiaɖe ate ŋu akpɔ ŋusẽ ɖe amesiame dzi, le ƒe ɖesiaɖe me, le ameƒomevi ɖesiaɖe me, eye ŋutsu alo nyɔnu ka kee ɖale eŋu o.Eyata mègasusu be, "Madzɔ ɖe dzinye o." Enyo be mí katã míanya esia.

Vovototo kae le Ʋusɔgbɔdɔ kple Ʋusɔgbɔdɔ si Trɔna le Dɔlélenutsiŋutete Ŋu (AIHA) dome?

Mina míaɖe nya sia me vie. Autoimmune Hemolytic Anemia (AIHA) nye nɔnɔme si me mía ŋutɔwo ƒe dɔlélenutsiŋutete (si kpɔa mía ta tso dɔléle me) dea dzesi mía ŋutɔwo ƒe ʋumenugbagbevi dzĩwo vodadatɔe be wonye "futɔ". Emegbe ewɔa dɔlékuiwutikewo tsɔ tsrɔ̃a lãmenugbagbevi mawo. Esia wɔnɛ be ʋumenugbagbevi dzĩawo gblẽna eye wònana ʋusɔgbɔdɔ.

Ne míeƒo nu tso ʋusɔgbɔdɔ si me ʋu sina tona le lãme na ame katã ŋu la, ate ŋu atso nu vovovowo gbɔ, siwo dometɔ aɖewoe nye domenyiŋusẽfianu, dɔlékuiwo, kple atike aɖewo. `AIHA` nye ʋusɔgbɔdɔ ƒomevi aɖe koŋ.

Nukawoe hea Ʋusɔgbɔdɔ vɛ?

Susu vevi geɖewo li siwo gbɔ nɔnɔme sia tso. Mina míalé ŋku ɖe wo ŋu ɖekaɖeka.

1. Nɔnɔme Siwo Dome Ame

Ɣeaɖewoɣi la, esia ate ŋu anye domenyiŋusẽfianu, si fia be enye nusi tso dzidzime yi dzidzime.

• Sickle Cell Anemia: Esia nye nɔnɔme si me ʋumenugbagbevi dzĩwo menɔa goglo le dzɔdzɔme nu o, ke boŋ woxɔa nɔnɔme si mesɔ o abe sickle ene. Lãmenugbagbevi siawo siwo mesɔ o la tsia ʋuka sue siwo le dɔgboa me me eye wogbãna bɔbɔe.
• Thalassemia: Esia hã nye ʋumenugbagbeviɣidɔ si tso domenyiŋusẽfianu me. Le go sia me la, ŋutilãa hã wɔa ʋumenugbagbevi dzĩ siwo mesɔ o. Wotsrɔ̃a wo hã kabakaba ŋutɔ. Ðewohĩ ènya be thalassemia dɔnɔwo le míaƒe dukɔa hã me.
• G6PD ƒe Gbɔdzɔgbɔdzɔ: Esia nye domenyiŋusẽfianu ƒe nɔnɔme. G6PD nye enzyme si kpɔa ʋumenugbagbevi dzĩwo ta. Ne enzyme sia mesɔ gbɔ o la, ʋumenugbagbevi dzĩwo gblẽna bɔbɔe ne wodo go dɔlékui alo atike aɖewo.

2. Dɔlékuiwo

Dɔléle aɖewo, abe dɔlékuiwo ene hã ate ŋu ahe ʋusɔgbɔdɔ si nana ʋu sina tona vɛ.

• Asrã: Le dɔléle sia si nudzodzoeviwo hena vɛ me la, asrã ƒe dɔlékuiwo gena ɖe míaƒe ʋu me. Ne womeda asrãdɔ nyuie o la, ate ŋu ahe ʋusɔgbɔdɔ si nana ʋu sina toa ʋu me vɛ.
• Rocky Mountain Spotted Fever: Esia nye dɔlékui ƒe dɔléle si ʋetsuviwo (Rickettsia rickettsii) xɔna.
• Haemophilus influenzae dɔléle: Esia nye dɔlékui si dɔlékui H. influenzae hena vɛ.
• HIV (Amegbetɔ ƒe Dɔlélenutsiŋutete ƒe Dɔlékui): Dɔlékui sia hea dɔléle aɖe si woyɔna be AIDS (Acquired Immune Deficiency Syndrome) vɛ. Amesiwo ŋu HIV dɔlékuia le hã ate ŋu axɔ ʋusɔgbɔdɔ si me ʋu sina tona.

3. Atike Aɖewo

Ʋusɔgbɔdɔ si me ʋu sina tona hã ate ŋu adzɔ abe atike aɖewo ƒe nugbegblẽ le ame ŋu ene. Gake menye amesiame si noa atike siawoe axɔ nɔnɔme sia o. Wò ɖɔkta alé ŋku ɖe wò lãmesẽ ŋutinya ŋu eye wòakpɔe ɖa be atike sia sɔ na wò hã.

Kpɔɖeŋu aɖewo:

• `Penicillin` (dɔlékuiwutike aɖe) .
• `Quinine` (atike si wozãna na asrãdɔ) .
• Methyldopa (atike si wozãna na ʋusɔgbɔdɔ) .
• Sulfonamides (dɔlékuiwutikewo) .

4. Susu bubuwo tae

Tsɔ kpe ɖe eŋu la, ɣeaɖewoɣi la, ʋumenugbagbevi dzĩwo ƒe gbagbã ate ŋu adzɔ, abe ne wodo ʋu tso ʋu si mesɔ o me ene.

Nukawoe nye Hemolytic Anemia ƒe dzesiwo?

Dzesi siawo ate ŋu anɔ bɔbɔe ŋutɔ na ame aɖewo, eye woate ŋu asẽ wu le ame bubuwo gome. Woate ŋu ado kpata alo atsi vivivi le ɣeyiɣi aɖe megbe. Dzesi vevi siwo woate ŋu akpɔe nye:

• Jaundice: Esia nye ŋutigbalẽ, ƒunukpeƒetetedɔ, kple lãkusiwo (abe nu me ƒe akpa si le eme ene) ƒe ɣie. Esia dzɔna ne nusi woyɔna be bilirubin, si dona ne ʋumenugbagbevi dzĩwo gblẽ, ƒe ʋu dzi ɖe edzi.
• Gbɔgbɔtsixetsixe: Ne ʋumenugbagbevi dzĩ siwo tsɔa oxygen yia ŋutilã bliboa me dzi ɖe kpɔtɔ la, gbɔgbɔtsixe tsi ƒowò eye nàse le ɖokuiwò me abe ɖe nèle ya ƒom ene.
• Ðeɖiteameŋu: Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi eye yemate ŋu awɔ naneke o. Ðewohĩ ɖeɖi te ŋuwò ale gbegbe be màte ŋu awɔ gbesiagbedɔwo gɔ̃ hã o.
• Tachycardia: Sese le ame ɖokui me be dzia le ƒoƒom kabakaba akpa. Ne dzia le ƒoƒom kabakaba akpa la, ɣeyiɣi menɔa esi be wòayɔ ʋu nyuie o, eye mete ŋu naa oxygen si ŋutilãa hiã o.
• Ʋusɔgbɔdɔ: Ʋu ƒe sisi si bɔbɔ kura wu alesi wokpɔ mɔe.
• Ʋumenugbagbeviɣidɔ: Ʋu si le aɖuɖɔ me . Esia bɔ ɖe amesiwo ŋu ʋusɔgbɔdɔ si woyɔna be sickle cell anemia le koŋ me.
• Aɖuɖɔtoe alo aklã ƒe lolome: Aɖuɖɔtoe kple aklã ƒe dɔe nye be woɖea ʋumenugbagbevi dzĩ siwo gbã kple xoxo siwo le míaƒe ŋutilã me ɖa hegblẽa wo dome. Ne ʋumenugbagbevi dzĩwo gbã akpa la, ŋutinu siawo ate ŋu avuvu eye woalolo elabena ele be woawɔ dɔ sesĩe wu.

Ðe ʋusɔgbɔdɔ ate ŋu anye atikewɔwɔ kpata?

Ẽ, ɣeaɖewoɣi la, ʋusɔgbɔdɔ ate ŋu anye nusi dzɔna kpata. Míeyɔa esia be ʋusɔgbɔdɔ sesẽ. Esia dzɔna ne ʋu geɖe bu le ŋuwò kasia, alo ne wò ʋumenugbagbevi dzĩwo te gbagbã kabakaba ŋutɔ. Esia nye na amewo abe:

• Ðewohĩ àse le ɖokuiwò me be yegbɔdzɔ ŋutɔ .
• Dzia ate ŋu ase le eɖokui me abe ɖe wòle ƒoƒom sesĩe hele ƒoƒom kabakaba ene .
• Ate ŋu asesẽ be woagbɔ ya .

Ne dzesi siawo va do kpata la, ate ŋu anye nudzɔdzɔ kpata. Ne edzɔ alea la, nu nyuitɔ si nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Aleke nàwɔ anya ne ʋusɔgbɔdɔ le ŋuwò?

Ne dzesi siawo le ŋuwò la, ne èyi ɖɔkta gbɔ la, awɔ nu siwo gbɔna:

• Wò atikewɔwɔ ŋutinya bliboaBia nu tso eŋu. Vevietɔ bia ne ʋusɔgbɔdɔ le ƒomea me kpɔ.
• Woabia wò nenye be dɔlékui aɖewo dze ŋuwò nyitsɔ laa alo atike kawoe nèzãna , elabena esiawo ate ŋu ana ʋusɔgbɔdɔ si me ʋu sina tona nado na wò.
• Woado ŋutilãmedɔ kpɔ , si akpɔ ʋusɔgbɔdɔ, ʋusɔgbɔdɔ, kple dɔgbo alo aklã si vuvu ƒe dzesiwo.

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Zi geɖe la, ɖɔktawo doa ʋu kpɔ zi geɖe tsɔ dea dzesi ʋusɔgbɔdɔ si nana ʋu sina le ame ŋu. Woate ŋu ado domenyiŋusẽfianu ƒe dzesiwo hã akpɔ be domenyiŋusẽfianue wònye hã.

Ʋudodokpɔ Gbãtɔ:

Nu gbãtɔ si nàwɔe nye be nàkpɔe ɖa be ʋusɔgbɔdɔ gbɔe wò dzesiawo tso nyateƒe hã.

• Ʋu Xexlẽme Blibo (CBC): Esia léa ŋku ɖe ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme si le wò ʋu me, wò ʋumenugbagbevi dzĩwo ƒe lolome, hemoglobin ƒe agbɔsɔsɔ, protein si tsɔa oxygen, kple hematocrit, si dzidzea teƒe agbɔsɔsɔme si wò ʋumenugbagbevi dzĩwo le le wò ʋu me.

Dodokpɔ Tɔxɛ Bubuwo:

Ne CBC ɖo kpe ʋusɔgbɔdɔ dzi la, wogawɔa dodokpɔ bubuwo tsɔ nyaa ʋusɔgbɔdɔ ƒomevi si tututu wònye, nenye be ʋusɔgbɔdɔ si me ʋu sina tonae wònye.

• Coombs Dodokpɔ (Direct Antiglobulin Test): Esia léa ŋku ɖe ʋusɔgbɔdɔ si tsoa dɔlélenutsiŋutete gbɔ (AIHA) hã.
• Reticulocyte Xexlẽme: Reticulocytes nye ʋumenugbagbevi dzĩ siwo metsi o. Dodokpɔ sia léa ŋku ɖe ƒumeŋuɖui ŋu le ʋumenugbagbevi dzĩ siwo le lãmesẽ me wɔm hã.
• Haptoglobin Dodokpɔ: Haptoglobin nye protein si woɖena le ʋumenugbagbevi dzĩ siwo gbã me. Protein sia ƒe agbɔsɔsɔ si mede o ɖenɛ fiana be ʋumenugbagbevi dzĩwo le gbagbãm.
• Lactate Dehydrogenase (LDH): LDH nye enzyme si le ʋumenugbagbevi dzĩwo me. LDH ƒe agbɔsɔsɔ fũ ɖee fia be ʋumenugbagbevi dzĩ geɖe wu le tsɔtsrɔ̃m.
• Bilirubin si wometsɔ ƒo ƒui o: Wowɔa bilirubin ne ʋumenugbagbevi dzĩwo gblẽ. Dodokpɔ sia dzidzea bilirubin si wometsɔ ƒo ƒui o si aklãa wɔ. Esia ƒe agbɔsɔsɔ si sɔ gbɔ nye dzesi be ʋumenugbagbevi dzĩwo le gbagbãm akpa.
• Ʋu si Woaɖe le Gome: Esia bia be woaɖe ʋu aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me akpɔe ɖa be lãmenugbagbevi dzĩawo ƒe nɔnɔme kple lolome mesɔ o hã.
• Hemoglobin Electrophoresis: Esia dzroa protein si nye hemoglobin me. Ekpena ɖe ame ŋu wòdea dzesi nɔnɔmewo abe thalassemia kple sickle cell ene.

Aleke wodaa ʋusɔgbɔdɔ si me ʋusɔgbɔdɔ le?

Woɖoa atikewɔwɔmɔnu siwo wozãnaEnɔ te ɖe nusi he dɔlélea vɛ kple alesi wò dzesiawo nu sẽe dzi.

Le kpɔɖeŋu me, ne wò ɖɔkta susu be ʋusɔgbɔdɔ sesẽ aɖe le ŋuwò la, ate ŋu ado ʋu na wò gbã be wò ʋumenugbagbevi dzĩwo ƒe xexlẽme nali ke. Emegbe, woadi nusi gbɔ ʋusɔgbɔdɔa tso ahadae (e.g., dɔlékui aɖe, atike aɖe ƒe nugbegblẽ le ame ŋu, domenyiŋusẽfianu ƒe nɔnɔme aɖe).

Aleke woawɔ aɖe ʋusɔgbɔdɔ si me ʋu sina tona ƒe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔ?

Nu geɖe li siwo ate ŋu ana ʋusɔgbɔdɔ si nana ʋu sina tona nado ame nasu ame si si dzi míate ŋu aɖu o. Le kpɔɖeŋu me, ate ŋu atso abi alo domenyiŋusẽfianu ƒe nɔnɔme aɖe gbɔ.

Gake nu vevitɔ si nàte ŋu awɔe nye be nàƒo nu tso eŋu kple ɖɔkta kaba ne èkpɔ ʋusɔgbɔdɔ ƒe dzesiwo. Esia ate ŋu akpe ɖe ŋuwò nàde dzesi dɔlélea eye nàdze atikewɔwɔ gɔme kaba, si aɖe afɔku si le nɔnɔme sesẽwo xɔxɔ me dzi akpɔtɔ.

Nukae mate ŋu akpɔ mɔ na ne Hemolytic Anemia le ŋunye?

Esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ɣeaɖewoɣi la, ʋusɔgbɔdɔ si me ʋu sina tona ate ŋu anye dɔléle sesẽ aɖe si ate ŋu abia be woawɔ atike nɛ ɣeyiɣi didi la ƒe dzesi.

Ɣebubuɣiwo la, ate ŋu anye dɔléle alo atike aɖe ƒe nuwɔna. Le nɔnɔme mawo me la, dɔlékui la dada alo atike tɔtrɔ ate ŋu ada dɔlélea keŋkeŋ.

Aleke malé be na ɖokuinye? / Aleke mawɔ akpɔ nye lãmesẽ dzii?

Ðɔktawo ate ŋu ada wò ʋusɔgbɔdɔ si me ʋu sina tona. Ne èhaya vɔ la, nu siawo ate ŋu akpe ɖe ŋuwò nànɔ lãmesẽ me eye nàxe mɔ na nɔnɔmea be wòagadzɔ ake o:

• Ðu nuɖuɖu si naa lãmesẽ si me vitamin B12, C, kple B9 (folic acid) sɔ gbɔ ɖo. Àte ŋu aƒo nu kple nuɖuɖuŋutinunyala hã be nàsrɔ̃ nu geɖe tso nuɖuɖu siwo kpena ɖe ŋuwò be wò ʋumenugbagbevi dzĩwo nasẽ ŋu.
• No tsi agbɔsɔsɔme si wò ŋutilã hiã.
• De kame edziedzi. Ke hã, bia wò ɖɔkta tso ale si nàde kame dedie ŋu.
• Ƒo asa na dɔlékuiwo xɔxɔ. Klɔ asi enuenu eye nànɔ adzɔge tso ame siwo le dɔ lém gbɔ.
• Wɔ wò dzesiwo ŋuti nuŋlɔɖi. Ne tɔtrɔ aɖe va le wò dzesiwo ŋu la, gblɔe na wò ɖɔkta.

Kpuie ko la, nusiwo dzi wòle be míaɖo ŋkui (Take-Home Message) .

Hemolytic anemia nye nɔnɔme aɖe si dzɔna ne wò ʋumenugbagbevi dzĩwo tsrɔ̃. Ate ŋu atso domenyiŋusẽfianu, dɔlékuiwo, alo atike aɖewo gbɔ. Nuka kee ɖatsoe o, wò ɖɔkta akpɔ nusi gbɔ wòtso eye wòadae. Ne wodze atikewɔwɔ gɔme kaba la, ate ŋu ana vovototo nanɔ ame ƒe lãme sẽ alo eƒe lãme gblẽ dome.

Ʋusɔgbɔdɔ ƒe dzesiwo ate ŋu adze abe dɔléle si sɔ, si mesẽ nenema gbegbe o ene ɣeaɖewoɣi. Gake, wòe nya wò ŋutilã nyuie wu.Ne dɔléle aɖe si bɔ la le ɣeyiɣi didi aɖe xɔm wu alesi wònɔna be wòahaya, alo ne dzesi yeye siwo mebɔ o va dze ŋuwò la, metsi megbe gbeɖe be nàƒo nu kple ɖɔkta o. Atikewɔwɔ kaba ate ŋu akpe ɖe ŋuwò nàhaya kabakaba!

` Hemolytic anemia, ʋusɔgbɔdɔ, ʋumenugbagbevi dzĩwo, ʋu, dzesiwo, atikewɔwɔ, nusiwo gbɔ wòtsona