"Oo, ɖɔkta, ɖeɖi te ŋunye ŋutɔ hena ɣeyiɣi aɖe fifia. Dɔ vi aɖe wɔwɔ gɔ̃ hã nana mesena le ɖokuinye me be megbɔdzɔ. Nye ŋutilã se le eɖokui me abe ɖe wòku ene." Ènya ŋutinya sia ƒomevi nyuiea? Ðewohĩ nɔnɔme sia le fu ɖem na wò hã. Susu vevi siwo gbɔ ɖeɖiteameŋu kple gbɔdzɔgbɔdzɔ ƒe seselelãme sia si nɔa anyi ɖaa tsona dometɔ ɖeka ate ŋu anye ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si le wò ŋutilã me dzi ɖeɖe kpɔtɔ. Egbea, mina míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme amesiame ate ŋu ase nu.
Kpuie ko la, nukae nye hemoglobin?
Tsɔe be dɔwɔƒe aɖe li si tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Ʋu siwo wotsɔ ɖoa ʋu ma ƒe ʋuwoe nye ʋumenugbagbevi dzĩ siwo le míaƒe ʋu me. Eyata, woyɔa amesi tsɔa ɔksidzin-kotokuawo ɖe ʋu ma me be hemoglobin . Hemoglobin nye protein tɔxɛ aɖe si le ʋumenugbagbevi dzĩwo me. Esiae xɔa ɔksidzin tso lãkusi me hetsɔnɛ yia lãmenugbagbevi ɖesiaɖe si le ŋutilãa me gbɔ.
Eyata nukae dzɔna ne ʋumenugbagbeviɣidɔ sia dzi ɖe kpɔtɔ? Ðeko wòle abe oxygen-babla siwo le ʋu siwo tsɔa nuawo yina na amewo me dzi ɖena kpɔtɔna ene. Ekema míaƒe lãmenugbagbeviwo mekpɔa ɔksidzin si sɔ be woatsɔ awɔ ŋusẽ si wohiã la o. Esia tae míedzea ɖeɖiteameŋu, kuviawɔwɔ, kple kuviawɔwɔ gɔme ɣesiaɣi.
Nukae wòle be wòanye ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ?
Hemoglobin ƒe agbɔsɔsɔ toa vovo vie le ŋutsuwo kple nyɔnuwo dome. Zi geɖe la, agbɔsɔsɔ si le lãmesẽ me le ale:
| Ame | Hemoglobin ƒe agbɔsɔsɔ si le lãmesẽ me (gm/dL) . | Wobunɛ be enye dzidzenu si bɔbɔ ɖe anyi |
|---|---|---|
| Ŋutsuwo | 14.0 - 17.5 gm/dL ƒe kpekpeme | Menye 13.0 gm/dL o |
| Nyɔnu (si mefɔ fu o) . | 12.3 - 15.3 gm/dL ƒe kpekpeme | Menye 12.0 gm/dL o |
Nu vevitɔe nye be, mègatu wò nyametsotsowo ɖe xexlẽdzesi siawo ɖeɖeko dzi o. Ne wò ʋudodokpɔ ɖee fia be ʋumenugbagbeviɣidɔ mesɔ gbɔ o la, ele be nàƒo nu kple wò ɖɔkta tso nusi wòfia kple nusi nàwɔ tso eŋu ŋu godoo.
Nukatae hemoglobin ƒe agbɔsɔsɔ sia le ɖiɖim?
Nu geɖe li siwo ate ŋu ana ʋumenugbagbeviɣidɔ naɖiɖi. Woate ŋu ama wo ɖe hatsotso vevi geɖe me.
1. Ʋumenugbagbevi dzĩwo ƒe wɔwɔme si mesɔ gbɔ le ŋutilãa me o
Míaƒe ƒumeŋuɖui ye nye dɔwɔƒe si wɔa ʋumenugbagbevi dzĩwo. Ne dɔléle aɖe do kplamatse dɔwɔƒe sia ƒe dɔwɔwɔ la, ʋumenugbagbevi dzĩwo wɔwɔ dzi ɖena kpɔtɔna.
- Kansa: Le kansa ƒomevi aɖewo, abe ʋumenugbagbeviɣidɔ , ʋumenugbagbeviɣidɔ , alo ʋumenugbagbeviɣidɔ ene me la, kansa lãmenugbagbeviwo xɔa ƒumeŋuɖui eye woxea mɔ na ʋumenugbagbevi dzĩwo ƒe wɔwɔ.
- Ayikudɔ si Nɔa Anyi: Míaƒe ayikuwo wɔa lãmetsi aɖe si naa dzesi ƒumeŋuɖui be wòawɔ ʋumenugbagbevi dzĩwo. Le ayikudɔ me la, nuwɔna sia gblẽna.
- Aplastic Anemia: Esia nye ne ƒumeŋuɖui mete ŋu wɔa ʋumenugbagbevi siwo sɔ o.
- Atike aɖewo: Atike siwo wozãna tsɔ daa kansa alo dɔlékuiwutike aɖewo ate ŋu agblẽ nu le ƒumeŋuɖui ŋu.
2. Ʋu si le sisim do goe alo le dodom tso ŋutilãa me
Ne ʋu sue aɖe gɔ̃ hã bu le mía si la, iron kple hemoglobin hã buna.
- Dzinukpɔkpɔ: Nyɔnu aɖewo ate ŋu akpɔ ʋumenugbagbeviɣidɔ dzi ɖeɖe kpɔtɔ le ʋu si dona le wo ŋu vevie le dzinukpɔkpɔ me ta.
- Ʋu si le dodom le ememe: Ðewohĩ màte ŋu akpɔ ʋu si le dodom le wò ŋutilã me tso nane si le abe abi ene gbɔ o, gake ate ŋu ana ʋumenugbagbeviɣidɔ hã naɖiɖi.
- Abi: Ʋu si dona le ame ŋu le abi gã aɖe si woxɔ ta.
3. Ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ kabakaba
Zi geɖe la, ʋumenugbagbevi dzĩ aɖe nɔa agbe abe ŋkeke 120 ene. Gake le dɔléle aɖewo ta la, lãmenugbagbevi siawo gblẽna eye wogblẽna kabakaba.
- Splenomegaly: Aɖuɖɔtoe nye ŋutinu aɖe si le míaƒe ŋutilã me si ɖea ʋumenugbagbevi dzĩ xoxo siwo gblẽ la ɖa. Ne dɔgboa vuvu le dɔléle aɖewo ta la, ate ŋu alé ʋumenugbagbevi dzĩ geɖe wu alesi wòle dzɔdzɔmee ahagblẽ wo dome.
- Sickle Cell Anemia kple Thalassemia: Esiawo nye ʋumenugbagbeviɣidɔ siwo nyina, siwo gblẽa nu le ʋumenugbagbeviɣidɔ ƒe wɔwɔme ŋu.
4. Nunyiame ƒe veve
Nunyiame vevi geɖewo li siwo hiã be woatsɔ awɔ ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo. Ne mèkpɔ wo wòsɔ gbɔ to wò nuɖuɖu me o la, wò ʋumenugbagbeviɣia dzi aɖe akpɔtɔ.
- Iron ƒe anyimanɔmanɔ: Iron hiã vevie na ʋumenugbagbeviɣidɔ. Woyɔa nɔnɔme si dona ne iron mesɔ gbɔ o la be ʋusɔgbɔdɔ si me iron mele o .
- Vitamin B12 kple B9 (folic acid) ƒe anyimanɔmanɔ: Vitamin siawo hã le vevie na ʋumenugbagbevi dzĩwo wɔwɔ.
Aleke nàwɔ anya ne wò ʋumenugbagbeviɣidɔ mesɔ gbɔ o?
Mɔ ɖeka kolia si dzi nàto anyae kple kakaɖedzie nye be woado ʋu kpɔ . Wò ɖɔkta abia be woawɔ Ʋu Blibo Xexlẽme (FBC) . Esia alé ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe xexlẽme kple ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ ŋu. Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ bubuwo abe Hemoglobin Electrophoresis , ene atsɔ adi nusi gbɔ wòtso.
Nukae woate ŋu awɔ be ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ nagaɖo eŋu?
Wodaa esia to nusi gbɔ ʋumenugbagbeviɣidɔa tsona didi kple edada me.
Mègadze agbagba be yeawɔ atike na ʋumenugbagbeviɣidɔ si mebɔ o le ɖokuiwò si o. Iron-tikewo nono evɔ womekpɔ nusi gbɔ wòtso nyuie o ate ŋu anye afɔku.
Ðɔktaa ake ɖe nusi gbɔ wòtso ŋu eye wòaŋlɔ atike si sɔ nɛ. Le kpɔɖeŋu me:
- Ne iron mesɔ gbɔ ɖe lãme na wò o la: No iron kpeɖeŋutɔ alo nuɖuɖu siwo me iron sɔ gbɔ ɖo.
- Ne vitamin ƒe veve aɖe li: Na vitamin B12 alo folic acid ƒe atikekuiwo.
- Ne ayikudɔ le ŋuwò: Le dɔlélea dada me la, woate ŋu ado atike siwo ana ʋumenugbagbevi dzĩwo nawɔ la wò.
- Ne ʋu le dodom: Wowɔa atike be woatɔ te ʋua.
- Le nɔnɔme sesẽwo me: Ate ŋu ahiã be woado ʋu na ame.
Nusiwo nàte ŋu awɔ le aƒeme
Tsɔ kpe ɖe atikewɔwɔ ŋu la, ele vevie ŋutɔ be woaɖu nuɖuɖu si da sɔ si me iron kple nunyiame bubuwo sɔ gbɔ ɖo.
- Lã dzĩ (nyilã) kple eƒe akpa aɖewo abe aklã, gizzards
- Tɔmelã
- Amagbe dama viviwo kple gbetikewo (spinach, kale, collard greens, spinach) .
- Mɔliwo abe lãmi, chickpeas, green beans, kple peas ene
- Atikutsetse ƒuƒuwo kple nukuwo abe waintsetse ƒuƒu, dati ene
Gbedasi si Wotsɔ Yi Aƒeme
- Ne dzesiwo abe ɖeɖiteameŋu ɣesiaɣi, gbɔdzɔgbɔdzɔ, ɣie, kple gbɔgbɔ sesẽ ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o.
- Hemoglobin ƒe agbɔsɔsɔ si mede ame dzi o nye dzesi, ke menye dɔléle o. Ele vevie be woake ɖe atikewɔwɔ me nɔnɔme si gbɔ wòtso ŋu.
- Ne wò ʋudodokpɔ ɖee fia be ʋumenugbagbeviɣidɔ mesɔ gbɔ o la, kpɔ egbɔ be yena nyaa me kɔ eye yeda atike nyuitɔ.Kpɔ wò ɖɔkta ɖa.
- Mègazã iron-tike alo nunyiametike bubuwo ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.
- Nuɖuɖu si me nunyiame le, si da sɔ me léle ɖe asi kpena ɖe ame ŋu ŋutɔ le hemoglobin ƒe agbɔsɔsɔ si le lãmesẽ me léle ɖe asi me.

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