Egbea míele nu ƒom tso nu vevi aɖe ŋutɔ na mía kpli wò ŋu. Ema nye dodokpɔ si wowɔna ɖe ʋu si le míaƒe ŋutilã me ŋu. Ðewohĩ èse ɖɔkta aɖe gblɔ be, "Mina míawɔ ʋudodokpɔ" ne èyi ɖɔkta gbɔa? Ʋudodokpɔ siawo dometɔ ɖeka si bɔ wu eye wòle vevie wu enye "Complete Blood Count (CBC)". Esia ate ŋu agblɔ nu geɖe na mí tso dɔwɔla sue siwo le míaƒe ŋutilã me ŋu. Eyata, mina míakpɔ nusi `CBC` dodokpɔ sia nye, nusita wowɔe, kple nusi wògblɔ na mí?
Nukae nye ʋu, eye nukatae wòxɔ asi na mí alea gbegbe ɖo?
Bu eŋu kpɔ, míaƒe ŋutilã le abe du gã aɖe ene. Mɔ siwo dzi woato atsɔ adzɔnuwo, gbedasiwo, kple gbeɖuɖɔwo ayi afisiafi le du sia me, alo? Aleae ʋu si toa míaƒe ʋukawo me la le. Nu wɔnuku geɖewo le ʋu sia me, ele abe xexe sue aɖe ene! Akpa etɔ̃ koŋue nye esiwo ŋu míeléa ŋku ɖo le `CBC` dodokpɔ sia me.
Ʋumenugbagbevi dzĩwo - Míaƒe ŋutilã ƒe agbeʋu
Ènya amesi tsɔa ɔksidzin si gena ɖe lãkusi me ne míegbɔ ya ɖe lãmenugbagbevi sue ɖesiaɖe si le ŋutilãa me, tso míaƒe asibidɛwo ƒe nugbɔ va ɖo ahɔhɔ̃mekawo mea? Subɔsubɔdɔ gã ma nye esi ʋumenugbagbevi dzĩwo, alo `Red Blood Cells (RBCs) wɔna. Esiawo le abe disk sue siwo le goglo, siwo me woɖe nu me le ene. Esiawoe nye esiwo tsɔa oxygen yia ŋutilã bliboa me, maae ɖe lãmenugbagbevi ɖesiaɖe me, eye wogbugbɔa lãmenugbagbevi mawo ƒe gbeɖuɖɔ, `Carbon Dioxide`, vaa lãkusiwo me. Míekpɔa ŋusẽ tsɔ ƒua du, tia kpo, wɔa dɔ, hebua tame elabena ʋumenugbagbevi dzĩ siawo wɔa woƒe dɔ nyuie. Ne ʋumenugbagbevi dzĩ siawo le sue la, míegblɔa nyawo abe ``ʋusɔgbɔdɔ'', ``pale'', ``ɖeɖiteameŋu vie'', ``ɖeɖiteameŋu ƒe seselelãme''. Ðɔktawo hã yɔa nɔnɔme sia be `` ʋusɔgbɔdɔ ''.
Ʋumenugbagbeviɣiwo - Ŋutilãa Takpɔha Asrafowo
Azɔ kpɔ ɖa, ne dɔlékui siwo hea dɔléle vɛ, abe dɔlékuiwo, dɔlékuiwo, kple fungi ene, dze agbagba be yewoage ɖe míaƒe ŋutilã me la, ɖe ame aɖe li si awɔ avu kpli woa? Emae nye nusi ʋumenugbagbevi ɣiwo, alo `White Blood Cells (WBCs), nye na. Ame siawo le abe asrafowo kple kpovitɔwo le míaƒe dukɔa me ene. Ʋumenugbagbevi ɣi siawoe nye míaƒe ŋutilã ƒe dɔlélenutsiŋutete ƒe akpa vevitɔ kekeake .
Ʋumenugbagbevi ɣi siawo ƒomevi vovovowoe li, eye dɔ aɖe koŋ le ƒomevi ɖesiaɖe si.
- Ʋumenugbagbevi ɣi aɖewo yia dɔlékuiawo gbɔ tẽ eye ‘woɖua wo’ (woyɔa esia be `Phagocytosis`).
- Ame bubuwo wɔa protein tɔxɛ siwo woyɔna be `antibodies` ɖe dɔlékui mawo ŋu. Dɔlékuiwutike siawo léna ɖe dɔlékuiawo ŋu eye womewɔa dɔ o.
Eyata ne dɔlékui aɖe dze míaƒe ŋutilã dzi la, ʋumenugbagbevi ɣi siawo ƒe xexlẽme dzina ɖe edzi be míadzra ɖo ɖe aʋawɔwɔ ŋu. Nenema ke le nulɔdɔ aɖewo me la, ʋumenugbagbevi ɣi siawo ƒomevi aɖewo hã ate ŋu adzi ɖe edzi.
Ʋumenugbagbeviɣidɔ - kalẽtɔ sue siwo dzudzɔa ʋu ƒe dodo
Èɖo ŋku ɣeyiɣi si me nèdze anyi esime nènɔ fefem alo tsɔ hɛ lã asi esime nèle amagbewo lãm, eye ʋua nu tso le ɣeyiɣi aɖe megbea? Emae nye nusi ʋumenugbagbevi dzĩwo, alo `Platelets` (ŋkɔ bubue nye `Thrombocytes`), kpena ɖe eŋu. Le nyateƒe me la, esiawo menye lãmenugbagbevi blibowo o, ke boŋ kakɛ siwo mãna tso lãmenugbagbevi gãwo me le ƒumeŋuɖui me. Gake togbɔ be wole sue hã la, wowɔa dɔ gã aɖe. Ne ʋuka aɖe gblẽ le afi aɖe eye ʋu dze dodo gɔme la, ʋumenugbagbevi dzĩ siawoe vaa afima kaba heléna ɖe wo nɔewo ŋu, eye wowɔa lãgbalẽ aɖe tsɔ xea abi la. Abe alesi ko ne do aɖe do ɖe tsiɖɔɖɔɖɔƒe le mɔ dzi ene la, wozãa kpe kple ke tsɔ yɔa eme. Woyɔa esia be ʋu ƒe sisi . Ne ʋumenugbagbevi dzĩ siawo ƒe xexlẽme dzi ɖe kpɔtɔ la, ate ŋu asesẽ be woadzudzɔ ʋudodo le abi sue aɖe gɔ̃ hã me. Ɣeaɖewoɣi la, ʋu ate ŋu ado le aɖuawo me, eye ɖeko ŋutilãa ate ŋu atrɔ blɔ le teƒe aɖewo (abe ɖe woƒoe teti ko ene).
Eyata nukae nye Ʋu Xexlẽme Blibo (CBC) dodokpɔ sia?
Enyo, fifia susu vi aɖe va su asiwò le asrafo kple dɔwɔla vevi siwo le wò ʋu me ŋu. Eyata, `Complete Blood Count (CBC)` sia nye dodokpɔ si xlẽa ʋumenugbagbevi dzĩ siawo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩ siawo dometɔ nenie le wò ʋu ƒe kpɔɖeŋu aɖe me. Menye ema ɖeɖeko o, ate ŋu adzidze nyatakaka vevi bubuwo hã tso lãmenugbagbevi siawo ŋu, le kpɔɖeŋu me, alesi ʋumenugbagbevi dzĩwo lolo alo le sue (si nye woƒe lolome), alesi woƒe nɔnɔme le, kple alesi gbegbe hemoglobin `(Haemoglobin alo Hb)`, si nye protein vevitɔ kekeake si le ʋumenugbagbevi dzĩwo me si tsɔa oxygen, nye. Eléa ŋku ɖe ʋumenugbagbevi ɣi ƒomevi ɖesiaɖe ƒe agbɔsɔsɔme hã ŋu.
Ðɔkta ateŋu adɔ ``CBC`` dodokpɔ sia le susu vovovowo ta.
- Kpɔe ɖa be dɔléle aɖe le ŋuwò hã: Ne dzesiwo abe dzoxɔxɔ, ŋutilã ƒe veve, ɖeɖiteameŋu si gbɔ eme, ɣie, kple dɔlékuiwo xɔxɔ enuenu ene le ŋuwò la, esia ate ŋu akpe ɖe ŋuwò nànya nenye be dɔlékui, ʋusɔgbɔdɔ, alo kuxi bubu aɖe gbɔe wòtso.
- Kpɔ dɔléle aɖe si li xoxo ƒe nɔnɔme ɖa: Le dɔléle aɖewo me (e.g. ʋumenugbagbeviɣidɔ, dɔléle aɖewo siwo tsoa dɔlélenutsiŋutete gbɔ) la, tɔtrɔwo dzɔna le ʋumenugbagbeviwo me. Eyata, CBC hã kpena ɖe ame ŋu be woakpɔe ɖa be wole dɔlélea dzi ɖum eye nenye be atikewɔwɔa le dɔ wɔm hã.
- Kpɔ atike aɖewo ƒe ŋusẽkpɔɖeamedzi ɖa: Atike aɖewo (e.g., atikewɔmɔnu, dɔlékuiwutikewo) ate ŋu akpɔ ŋusẽ ɖe ƒumeŋuɖui si wɔa ʋumenugbagbeviwo dzi. Eyata ne wona atike mawo wò la, zi geɖe la, wowɔa dodokpɔ sia be woakpɔe ɖa be wole nu gblẽm le wo ŋu alo le ʋumenugbagbeviwo ƒe xexlẽme dzi ɖem kpɔtɔ hã.
- Hafi woawɔ dɔ gã aɖe: CBC le vevie hafi woawɔ dɔ nɛ be woatsɔ akpɔe ɖa be ʋua sɔ gbɔ hã, nenye be ʋua te ŋu ʋãna nyuie, eye ne dɔlékui aɖe le eŋu hã.
- Abe lãmesẽ dodokpɔ si wowɔna edziedzi ƒe akpa aɖe ene la:Ne dɔléle aɖeke meli o hã la, ɣeaɖewoɣi la, woate ŋu awɔ CBC abe ƒe sia ƒe ƒe dodokpɔ ƒe akpa aɖe ene be woakpɔ egbɔ be nusianu le dɔ wɔm nyuie le míaƒe ŋutilã me. Ɣeaɖewoɣi la, ate ŋu akpe ɖe mía ŋu míade dzesii kaba, ne enye dɔléle si dzea egɔme le míaƒe dɔme evɔ míenya o gɔ̃ hã.
Nukae míate ŋu asrɔ̃ tso CBC dodokpɔ me?
Ne èkpɔ xexlẽdzesi kple ŋɔŋlɔdzesi geɖe le `CBC` ƒe nyatakaka sia me la, àte ŋu anɔ eŋu bum be, "Oo, nukae nye esia?" Mègavɔ̃ o. Wò ɖɔkta koe ate ŋu aɖe nyatakaka sia gɔme nyuie eye wòaɖo aɖaŋu na wò ku ɖe wò nɔnɔmea ŋu koŋ. Gake ne míadi nyatakaka siwo katã le eme la, mina míalé ŋku ɖe nya vevi aɖewo siwo wògblɔ ŋu.
Nusiwo ŋu wòle be woalé ŋku ɖo le ʋumenugbagbevi dzĩwo (RBC) ƒe nukpɔsusu nu:
- Ʋumenugbagbevi dzĩwo ƒe xexlẽme (RBC Xexlẽme): Esia nye ʋumenugbagbevi dzĩ siwo katã le ŋutilãa me ƒe xexlẽme. Ne esia ɖiɖi wu alesi wòle be wòanɔ la, ate ŋu afia be ʋusɔgbɔdɔ le lãme na ame.
- Hemoglobin (Hb): Esiae nye protein si le ʋumenugbagbevi dzĩwo me si tsɔa ɔksidzin. Agbɔsɔsɔ sia dzi ɖeɖe kpɔtɔ hã nye ʋusɔgbɔdɔ ƒe dzesi vevi aɖe. Dzidzenu siwo sɔ la toa vovo na ŋutsuwo, nyɔnuwo, ɖevi suewo, kple funɔwo.
- Hematocrit (Hct) / Packed Cell Volume (PCV): Esia gblɔa wò ʋu ƒe alafa memamã si me ʋumenugbagbevi dzĩwo le la wò. Kpuie ko la, ele abe ʋumenugbagbevi dzĩ siwo le wò ʋu me ƒe ‘titrime’ ene. Esia kpena ɖe ŋuwò hã be nànya ne ʋusɔgbɔdɔ le ŋuwò. Ðɔktawo hã léa ŋku ɖe alesi `PCV` ƒe asixɔxɔ sia trɔna le dɔlélewo abe dengue ene me ŋu.
- MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Haemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), RDW (Red Cell Distribution Width): Eŋlisigbe me ŋɔŋlɔdzesi siawo gblɔa wò ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu, hemoglobin (Hb) ƒe agbɔsɔsɔ si le ʋumenugbagbevi dzĩ ɖeka me, alesi gbegbe ʋumenugbagbevi dzĩwo loloe, kple alesi ʋumenugbagbevi dzĩwo loloe na wò ʋumenugbagbevi dzĩwo (i.e. woƒe lolome vovovoawo). Esiawoe nye nusiwo wò ɖɔkta ate ŋu azã atsɔ anya ne ʋusɔgbɔdɔ le ŋuwò, eɖanye ʋusɔgbɔdɔ si me iron mele o, vitamin B12 alo folic acid ƒe anyimanɔmanɔ (Megaloblastic Anaemia), domenyiŋusẽfianu abe thalassaemia ene, alo nu bubu aɖe gbɔe wòtso o.
Nusiwo ŋu wòle be woalé ŋku ɖo le ʋumenugbagbevi ɣiwo (WBC) gome:
- Ʋumenugbagbeviɣiwo Xexlẽme (WBC Xexlẽme): Esia nye ʋumenugbagbevi ɣi siwo katã le ŋutilãa me ƒe xexlẽme. Ne esia sɔ gbɔ wu alesi wòle dzɔdzɔmee la, zi geɖe la, dɔlékui alo dɔdzẽ aɖe si le ŋutilãa ƒe akpa aɖe gbɔe wòtsona. Ɣeaɖewoɣi la, xexlẽme sia ate ŋu asɔ gbɔ le mɔ si mesɔ o nu le kansa ƒe nɔnɔmewo abe ʋumenugbagbeviɣidɔ ene me. Enye kuxi hã ne xexlẽme sia le ʋɛ wu alesi wòle dzɔdzɔmee. Ate ŋu atso dɔlékui aɖewo ƒe dɔléle (e.g., dengue ƒe gɔmedzedze), ƒumeŋuɖui ƒe kuxiwo, alo atike aɖewo gbɔ.
- Vovototo ƒe Xexlẽme (DC):Esia gblɔa ʋumenugbagbevi ɣi ƒomevi vovovo neni (vevietɔ) le wo me abe alafa memamã ene.
- Neutrophils: Esiawoe nye asrafo vevitɔ siwo wɔa avu kple dɔlékuiwo ƒe dɔlékuiwo. Woƒe alafa memamã kple xexlẽme bliboa dzina ɖe edzi le dɔlékuiwo ƒe dɔlélewo xɔxɔ me.
- Lãmetsiŋusẽ: Esiawo kpena ɖe ame ŋu wòwɔa avu kple dɔlékuiwo ƒe dɔlékuiwo eye wòtua dɔlélenutsiŋutete ɖo. Le dɔlékui ƒe dzoxɔxɔ abe dengue ene me la, woƒe alafa memamã ateŋu adzi ɖe edzi, gake neutrophils ƒe alafa memamã ateŋu aɖiɖi (woyɔa esia be `Relative Lymphocytosis`).
- Monocytes: Esiawo wɔa dɔ ɖe dɔlékuiwo hã ŋu, ‘wokɔa’ lãmenugbagbevi kukuwo kple dɔlékuiwo ŋu.
- Eosinophils: Woate ŋu adzi esiawo ɖe edzi le nulɔdɔ ƒe nɔnɔmewo me (e.g. asrã, eczema, nulɔdɔ na ke ƒe ʋetsuviwo) kple dɔlékui siwo tsoa dɔlékuiwo gbɔ (e.g. pinworms).
- Basophils: Esiawo le vevie le nulɔdɔwo kple dɔdzẽ ƒe nɔnɔme aɖewo hã me.
Nusiwo ŋu wòle be woabu le ʋumenugbagbevi dzĩwo ƒe nukpɔsusu nu:
- Ʋumenugbagbevi dzĩwo ƒe Xexlẽme: Esiae nye ʋumenugbagbevi dzĩ siwo kpena ɖe ʋu ŋu be ʋu natsi. Ne esiawo le ʋɛ wu alesi wòle dzɔdzɔmee (woyɔa esia be `Thrombocytopenia`), ʋudodo ƒe mɔnukpɔkpɔ geɖe li. Ðewohĩ èse nu tso alesi ʋumenugbagbevi dzĩ siawo dzi ɖena kpɔtɔna le dengue dɔlélea me ŋu. Ate ŋu anye afɔku. Azɔ hã, ne esiawo sɔ gbɔ wu (`Thrombocytosis`), ɣeaɖewoɣi la, ʋu ƒe sisi ate ŋu adzɔ ɖe ʋukawo me madzemadzee.
Vevietɔ ŋutɔ: Xexlẽdzesi siawo dometɔ ɖesiaɖe ƒe "Normal Range" le esi. Gake ele be nànya be dometsotso mawo ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ, eye wòanɔ te ɖe nuwo abe ƒe si nèxɔ, ŋutsu alo nyɔnu nyenye, kple wò kɔkɔme ene dzi. Eyata be nànya xexlẽdzesi siwo le wò nyatakakaa me tsitotsito la, ele be nàƒo nu kple wò ɖɔkta godoo . Taflatse mègatsɔe be dɔléle aɖe le ye ŋu to ŋkuléle ɖe nuwo ŋu le internet dzi alo tsɔtsɔ sɔ kple xɔ̃wò aɖe ƒe nyatakaka ko me o. Ðeko ema ahe vɔvɔ̃ si mehiã o vɛ.
Aleke wowɔa CBC dodokpɔae? Ðe wònye nusi wòle be woavɔ̃ na?
Fifia àte ŋu anɔ ɖokuiwò biam be ɖe `CBC` dodokpɔ sia nye nusi wòle be nàwɔ, alo ɖe wòave wò hã. Naneke meli si ŋu woavɔ̃ ɖo o. Ele bɔbɔe ŋutɔ, eye aɖabaƒoƒo ʋɛ aɖewo koe wòxɔna.
Zi geɖe la, ebia be nàɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me (zi geɖe la, le wò abɔta te tututu, afisi wòdzena le bɔbɔe). Ðɔkta, dɔnɔdzikpɔla si xɔ hehe, alo atikewɔwɔ ŋuti nudokpɔƒe ƒe mɔ̃ɖaŋudɔwɔla si le dodokpɔxɔ me ye wɔa esia.
1. Gbã la, wotsɔa dɔlékuiwutike abe aha ene klɔa teƒe si woaɖe ʋua le la nyuie.
2. Emegbe wotsɔa aŋe sue aɖe si le sue (aŋe si me dɔlékui mele o) dea ʋukaa me nyuie, eye woƒoa ʋu agbɔsɔsɔme si hiã (anɔ abe mililita ʋɛ aɖewo ene) nu ƒu ɖe mɔ̃ tɔxɛ aɖe me. Atike aɖe (anticoagulant) le mɔ̃ sia me si xea mɔ na ʋua ƒe ƒoƒo.
3. Ne èɖe aŋea ɖa vɔ la, tsɔ aŋɔ alo kotoku sue aɖe da ɖe teƒea eye nàlée ɖe afima hena ɣeyiɣi aɖe vaseɖe esime ʋua natɔ keŋkeŋ.
Ne wotsɔ aŋea de eme la, ate ŋu ase le eɖokui me abe anyidi alo nudzodzoe sue aɖe le ɖum wò ene . Gake sɛkɛnd ʋɛ aɖewo koe wònɔa anyi. Le ema megbe la, vevesese aɖeke meganɔa anyi o. Ame aɖewo vɔ̃na na aŋewo vie, si nye nusi sɔ. Ne èle nenema la, àte ŋu aɖe ŋku ɖa ahagbɔ ya sesĩe esime wole ʋua hem. Esia ate ŋu akpe ɖe ŋuwò nàɖe vɔvɔ̃a dzi akpɔtɔ vie. Ne èlé wò asi hena ɣeyiɣi aɖe le ʋua ɖeɖe vɔ megbe hã akpe ɖe ŋuwò nàɖe mɔnukpɔkpɔ si li be teƒea natrɔ blɔ dzi akpɔtɔ.
Emegbe woɖoa ʋu sia ɖe dodokpɔxɔa, afisi woxlẽa lãmenugbagbevi ƒomevi siwo míeyɔ va yi le eye wodoa woƒe nyatakakawo kpɔna tsitotsito. Zi geɖe la, ate ŋu axɔ gaƒoƒo ʋɛ aɖewo, ɣeaɖewoɣi gbesiagbe hafi nyatakakaa nava, le dɔ si dodokpɔxɔa wɔna nu.
Eyata nu vevi kawoe wòle be míaɖo ŋkui le CBC sia ŋu? (Gbedasi si Wotsɔ Yi Aƒeme)
Enyo, míeƒo nu geɖe tso `Ʋu Xexlẽme Blibo (CBC)` dodokpɔa ŋu. Eyata, nya vevi siwo dzi wòle be nàɖo ŋkui tso esiawo katã me lae nye esi:
- `CBC` nye dodokpɔ si bɔ ŋutɔ eye wòxɔ asi ŋutɔ si dzidzea lãmenugbagbevi ƒomevi vevi siwo le wò ʋu me, siwo nye ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo, kpakple woƒe nɔnɔme vevi bubuwo (abe hemoglobin ene).
- Dodokpɔ sia kpena ɖe ŋuwò nèkpɔa dɔléle aɖewo le wò ŋutilã me (e.g. ʋusɔgbɔdɔ, dɔlékui vovovowo, kansa aɖewo), kpɔa dɔlélea ƒe nɔnɔme fifia, eye nèléa ŋku ɖe atikewo ƒe ŋusẽkpɔɖeamedzi ŋu.
- Dɔ aɖe koŋ le lãmenugbagbevi ƒomevi ɖesiaɖe si le ʋua me. Lãmenugbagbevi dzĩwo tsɔa ɔksidzin, lãmenugbagbevi ɣiwo kpɔa ame ta tso dɔléle me, eye ʋumenugbagbevi dzĩwo dzudzɔa ʋudodo. Ne nusiawo dometɔ aɖe mehiã o la, ate ŋu agblẽ nu le míaƒe lãmesẽ ŋu.
- Ele vevie be woagblẽ xexlẽdzesiwo kple ŋɔŋlɔdzesi siwo le `CBC` ƒe nyatakakaa me gɔmeɖeɖe ɖe ɖɔkta si si me. `Normal Range` ateŋu ato vovo vie tso dodokpɔxɔ me yi bubu gbɔ. Eyata, mègati kpo va ƒo nya ta eye vɔvɔ̃ alo dzi nadzɔ wò madzemadzee o.
- Ʋudodo nye dɔ bɔbɔe aɖe ŋutɔ si me vevesese sue aɖe si xɔa sɛkɛnd ʋɛ aɖewo koe le. Naneke meli si ŋu woavɔ̃ ɖo o.
- Ne èle dɔ lém alo dzesi aɖewo siwo womeɖe o le ŋuwò (e.g., ɖeɖiteameŋu atraɖii, dzoxɔxɔ si nɔa dodom enuenu, ʋu si dona le wò ŋutilã ƒe akpa vovovowo) la, yi ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo. Ate ŋu adɔ be woawɔ CBC alo dodokpɔ bubuwo ne ehiã.
Mlɔeba la, `CBC` dodokpɔ sia le abe `huhɔ̃e' si gblɔa nu geɖe tso xexe sue si le míaƒe ŋutilã me ŋu, tso míaƒe lãmesẽ ŋu. Eya ta, enye kpekpeɖeŋu gã aɖe na mí ne míena wowɔ dodokpɔ sia le ɣeyiɣi nyuitɔ dzi, míezã nyatakaka siwo míexɔ tso eme la nyuie, eye míelé míaƒe lãmesẽ me ɖe asi. Míele lãmesẽ nyui dim na amesiame!
` Ʋu ƒe xexlẽme blibo, CBC, ʋudodokpɔ, ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, hemoglobin, dɔléle didi











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee