Wodo ʋu na mí katã kpɔ. Ɣeaɖewoɣi la, ɖɔkta bia tso mía si be míawɔ `Full Blood Count (FBC)`. Ne míexɔ nyatakaka ma la, dzidzenu geɖe nɔa lɛta ɖesiaɖe ŋgɔ siwo gɔme míese o. Ne le esiawo dome la, `WBC` nye `Low` la, ekema míevɔ̃na vie ŋutɔŋutɔ. Nukae nye `WBC` sia? Nukatae edzi ɖena kpɔtɔna? Ðe esia nye nusi wòle be woavɔ̃ na? Ne biabia mawo le susu me na wò la, mina míaƒo nu tso eŋu bɔbɔe eye míawɔ xɔlɔ̃wɔwɔtɔe egbea.
Gbã la, mina míakpɔe ɖa, nukae nye ʋumenugbagbeviɣidɔ?
Kpuie ko la, Leukopenia nye nɔnɔme si me ʋumenugbagbevi ɣiwo (Leukocytes) ƒe xexlẽme le wò ʋu me le ʋɛ wu alesi wòle dzɔdzɔmee. Bu míaƒe ŋutilã abe dukɔ ene. Ʋumenugbagbevi ɣi siawoe nye asrafoha si le dukɔ ma me. Aʋakɔ siae kpɔa míaƒe ŋutilã ta tso gotagome futɔwo (i.e. dɔlélewo) abe dɔlékuiwo kple dɔlékuiwo ene gbɔ.
Asrafoha vovovowo le asrafoha sia me. Le wo dome la , ŋusẽ vevitɔ kple vevitɔ kekeakee nye neutrophils. Abe alesi Asrafoha Tɔxɛ ƒe asrafowo le asrafoha me ene. Ne dɔlékui aɖe ge ɖe ŋutilãa me la, nu gbãtɔ si yia avu kplii enye neutrophils. Eyata le ʋumenugbagbeviɣidɔ gome la, nu vevitɔ si dzɔnae nye be neutrophils ƒe xexlẽme dzi ɖena kpɔtɔna. Nukae dzɔna ɣemaɣi? Míaƒe ŋutilã ƒe ametakpɔnu la gbɔdzɔna. Mɔnukpɔkpɔ si li be woaxɔ dɔléle sue aɖe gɔ̃ hã bɔbɔe la dzina ɖe edzi.
Nukae nye ʋumenugbagbevi ɣiwo ƒe xexlẽme si sɔ?
Zi geɖe la, ʋumenugbagbevi ɣi siwo ade 4,000 va ɖo 11,000 nɔa ame tsitsi si le lãmesẽ me le ʋu microlita ɖeka me. Xexlẽme sia ate ŋu ato vovo vie le ƒe si woxɔ kple ŋutsu alo nyɔnu nyenye nu. Ne wò WBC xexlẽme si le wò FBC nyatakaka me mede 4,000 o la, wò ɖɔkta ate ŋu akpɔe be dɔléle aɖe si woyɔna be ʋumenugbagbeviɣidɔ le ŋuwò.
Nyabiase si doa vɔvɔ̃ na ame geɖe: Ðe ʋumenugbagbeviɣidɔ nye kansaa?
Ao, ne míagblɔe tututu la, Leukopenia menye kansa o. Gake kadodo aɖe le wo ame evea dome. Ele vevie ŋutɔ be míase nya ma gɔme.
- Kansa dada ate ŋu ana ʋumenugbagbeviɣidɔ natsi: Kansa dada akpa gãtɔ, vevietɔ atikewɔmɔnu, wua lãmenugbagbevi siwo mãna kabakaba le míaƒe ŋutilã me. Abe kansa lãmenugbagbeviwo ene la, ʋumenugbagbeviwo (siwo dome ʋumenugbagbevi ɣiwo hã le) siwo wowɔna le míaƒe ƒumeŋuɖui me hã ma kabakaba ŋutɔ. Eyata atikewɔmɔnu ate ŋu awu lãmenugbagbevi nyui siawo kpe ɖe kansa lãmenugbagbeviwo ŋu. Esia tae ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖena kpɔtɔna eye ʋumenugbagbeviɣidɔ dzɔna ɖo.
- Ʋumenugbagbeviɣidɔ ate ŋu ahe ʋumenugbagbeviɣidɔ vɛ:Ʋumenugbagbeviɣidɔ nye kansa si le ʋu me. Nusi dzɔna le afisiae nye be ʋumenugbagbevi ɣi gbogbo aɖewo siwo mesɔ o, siwo ŋu viɖe aɖeke mele o la dzɔna le ƒumeŋuɖui me. Ne lãmenugbagbevi siawo siwo mesɔ o le dzidzim ɖe edzi la, teƒe si woate ŋu awɔ ʋumenugbagbevi ɣi siwo le lãmesẽ me le la buna. Esia wɔnɛ be ʋumenugbagbevi ɣi siwo le lãmesẽ me ƒe xexlẽme dzi ɖena kpɔtɔna, si wɔnɛ be ʋumenugbagbeviɣidɔ dzɔna.
Ðeko nàɖo ŋku edzi be: ʋumenugbagbeviɣidɔ mehea ʋumenugbagbeviɣidɔ vɛ o, gake woate ŋu abu ʋumenugbagbeviɣidɔ be enye ʋumenugbagbeviɣidɔ ƒe dzesi.
Nukawoe hea ʋumenugbagbevi ɣiwo ƒe ɖiɖi vɛ?
Susu geɖewo li siwo tae ʋumenugbagbeviɣidɔ ate ŋu adzɔ ɖo. Wo dometɔ aɖewo nye esiwo nɔa anyi ɣeyiɣi kpui aɖe, evɔ bubuwo ya hiã be woawɔ atike na wo ɣeyiɣi didi. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.
| Susu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Dɔléle Siwo Do Ƒome Kple Ƒumeŋuɖui | Ƒumeŋuɖui ye nye dɔwɔƒe si wɔa míaƒe ʋumenugbagbeviwo. Ne dɔwɔƒe sia gblẽ la, ʋumenugbagbeviɣidɔ dzi ɖena kpɔtɔna. Le kpɔɖeŋu me, dɔlélewo abe Aplastic Anemia kple Multiple Myeloma ene dzɔna. |
| Dɔlélenutsiŋutete ƒe Dɔlélewo | Esiae nye esime míaƒe ŋutilã ƒe dɔlélenutsiŋutete mewɔa dɔ nyuie o eye wòdze mía ŋutɔwo ƒe lãmenugbagbevi siwo le lãmesẽ me dzi. Lupus kple ƒunukpeƒetetedɔ nye dɔléle mawo ƒe kpɔɖeŋuwo. |
| Dɔlékuiwo | Dɔlékui sesẽ aɖewo, vevietɔ esiwo le abe HIV , ene, dzea míaƒe ʋumenugbagbevi ɣiwo dzi tẽ hegblẽa wo. Dɔlélewo abe dengue kple typhoid ene hã ate ŋu ana ʋumenugbagbevi ɣiwo dzi naɖe akpɔtɔ hena ɣeyiɣi aɖe. |
| Kansa dada | Abe alesi míegblɔe va yi ene la , atikewɔmɔnu kple keklẽŋusẽ zazã ate ŋu agblẽ nu le ƒumeŋuɖui ŋu eye wòaɖe ʋumenugbagbevi ɣiwo ƒe wɔwɔ dzi akpɔtɔ. |
| Atike aɖewo | Dɔlékuiwutike aɖewo kple atike siwo wozãna na dɔléle bubuwo hã ate ŋu ana ʋumenugbagbevi ɣiwo dzi naɖe akpɔtɔ. |
| Nunyiame ƒe veve | Vitamin kple mineral, vevietɔ vitamin B12, folate, kple copper ƒe anyimanɔmanɔ ate ŋu agblẽ nu le ʋumenugbagbevi ɣiwo ƒe wɔwɔme ŋu. |
Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo?
Nu vevi aɖee nye esi. Dzesi aɖeke koŋ meli si do ƒome kple ʋumenugbagbeviɣidɔ o. Eyae nye be mèsena le ɖokuiwò me be yeƒe ʋumenugbagbevi ɣiwo mesɔ gbɔ o. Gake nukae dzɔna ne wò ʋumenugbagbevi ɣiwo mesɔ gbɔ o? Afɔku si le asiwò be nàxɔ dɔlékuiwo dzina ɖe edzi ŋutɔ. Eyata, dzesi siwo nèkpɔna la nye dɔlékui siwo dzɔna ƒe dzesiwo.
Ne wò ʋumenugbagbevi ɣiwo ƒe xexlẽme mede o la, ele be nàɖɔ ŋu ɖo ŋutɔ le dɔlékui ƒe dzesi siawo ŋu:
- Asrã kple vuvɔ si nɔa ame ŋu enuenu
- Nu me abi alo teƒe ɣi alo dzĩ siwo le nu me
- Kɔmeve kple kɔdzidɔ sesẽ
- Yagbɔgbɔ sesẽ
- Dzobibi ne wole aɖuɖɔ tom kple aɖuɖɔ si ʋẽna lilili
- Dɔmetɔtrɔ
- Aɖuɖɔ si le dodom tso ŋutigbalẽ ƒe abiwo me
- Tsi si dona le nyɔnuwo ƒe vidzidɔ me alo ʋuʋudedi si mesɔ o
Ne ènya be ʋumenugbagbeviɣidɔ le ye ŋu la, mègaŋe aɖaba ƒu dzesi sue siawo dometɔ aɖeke dzi o. Asrã fafɛ gɔ̃ hã ate ŋu anye dɔlékui sesẽ aɖe ƒe gɔmedzedze. Eyata yi wò ɖɔkta gbɔ enumake.
Aleke ɖɔktaa wɔa anya esia? Nukae nye atikewɔwɔa?
Dodokpɔ vevitɔ si woatsɔ anya ʋumenugbagbeviɣidɔe nye Ʋu Xexlẽme Blibo (CBC) si ŋu míeƒo nu tsoe va yi. Esia ana nàxlẽ wò ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi dzĩwo nyuie.
Ne dɔlékui aɖe ƒe dzesiwo le ŋuwò la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wòtso.
- Aɖuɖɔtoe dodokpɔ: Kpɔe ɖa be aɖuɖɔtoe me dɔléle aɖe le ŋuwò hã.
- Akɔta ƒe X-ray: Be woaɖe aɖuɖɔtoedɔléle abe aklãdɔ ene ɖa.
Dɔdamɔnu siwo wozãna
Leukopenia dada nɔ te ɖe nusi gbɔ wòtso dzi.
- Dɔlékuiwo dada: Wona dɔlékuiwutikewo ne dɔlékuiwo ƒe dɔléle gbɔe wòtso. Ne dɔlékui ƒe dɔlélee la, wonaa atike siwo sɔ.
- Nusiwo nana wòtsina: Esiawo nye atike tɔxɛ siwo doa ŋusẽ ƒumeŋuɖui eye wokpena ɖe eŋu wòwɔa ʋumenugbagbevi ɣi geɖe.
- Atikewɔwɔ ƒe heheɖemegbe: Ne èle kansa dam eye wò ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖe kpɔtɔ akpa la, wò ɖɔkta ate ŋu atso nya me be yeadzudzɔ atikewɔmɔnu zazã hena ɣeyiɣi aɖe alo aɖe agbɔsɔsɔa dzi akpɔtɔ. Woagadze atikewɔwɔ gɔme ake ne wò ʋumenugbagbevi ɣiwo ƒe xexlẽme gaɖo eƒe nɔnɔme nyuitɔ me.
Nukae wòle be míawɔ atsɔ akpɔ mía ɖokui ta tso dɔlékuiwo xɔxɔ me?
Ne ʋumenugbagbeviɣidɔ le ŋuwò la, ele be wò taɖodzinu vevitɔ nanye be nàkpɔ ɖokuiwò ta tso dɔlékuiwo me alesi nàte ŋui. De numame bɔbɔe siawo wò agbe me.
Ame ŋutɔ ƒe dzadzɛnyenye
- Klɔ asi enuenu: Klɔ asi nyuie kple adzalẽ kple tsi. Na wòazu numame na wò be nàklɔ asi enuenu, abe ne èdo go, hafi ɖu nu, kple ne èzã tsileƒe vɔ ene. Zã asikɔklɔtike si me aha le ne adzalẽ mele asiwò o.
- Mègama nu kple ame bubuwo o: Mègatsɔ nuwo abe agba, kplu, gaze, afɔkpa, aŋe, kple aɖututu na ame bubuwo o.
- Takpɔ wò ŋutigbalẽ ta: Kpɔ nyuie be màgatso alo aƒo wò ŋutigbalẽ o. Ne èwɔe la, kɔ abi la ŋu enumake eye nàde atikee. Womekafui be woaŋlɔ nu ɖe nu ŋu ahaɖe ame ƒe ŋutilã le ɣeyiɣi sia me o.
Nutome kple nuɖuɖu
- Ƒo asa na teƒe siwo amewo sɔ gbɔ ɖo: Te ɖa tso amesiwo ŋu asrã alo dzamezã le gbɔ. Ðe wò sasrãkpɔ le teƒe siwo amewo sɔ gbɔ ɖo abe dutoƒoʋuwo, sinimaɖeƒewo, kple fiasewo ene dzi kpɔtɔ.
- Nuɖuɖu ƒe Dedienɔnɔ: Klɔ amagbewo kple atikutsetsewo nyuie hafi nàɖu. Miɖa lã kple tɔmelã nyuie. Ƒo asa na lã ƒuƒu, tɔmelã, kple azi ɖuɖu keŋkeŋ.
- Abɔdzikpɔkpɔ kple aƒemelãwo: Do asigɛwo ne èle dɔ wɔm le abɔ me. Ƒo asa na aƒemelãwo ƒe gbeɖuɖɔwo fɔfɔ. Ne ele be nàwɔe la, do asigɛwo eye nàklɔ asi nyuie ne èwu enu.
- Te ɖa le tsidzɔƒewo ŋu: Ƒo asa na tsiƒuƒu le tɔsisiwo, tɔʋuwo, tawo, kple tsitawo me. Dɔlékui siwo ate ŋu ahe dɔlékuiwo ate ŋu anɔ teƒe siawo.
Ne èwɔ ɖe mɔfiame siawo dzi la, àte ŋu aɖe dɔlékui aɖe xɔxɔ ƒe afɔkua dzi akpɔtɔ ŋutɔ. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ ɣesiaɣi.
Gbedasi si Wotsɔ Yi Aƒeme
- Leukopenia nye ʋumenugbagbevi ɣi siwo le ʋua me ƒe xexlẽme dzi ɖeɖe kpɔtɔ. Esia ɖea ŋutilã ƒe dɔlélenutsiŋutete dzi kpɔtɔna, si fia be ŋutete si le esi be wòatsi dɔléle nu.
- Esia menye kansa o, gake ate ŋu atso kansa dada kple kansa ƒe nɔnɔmewo abe ʋumenugbagbeviɣidɔ ene gbɔ.
- Dzesi aɖeke koŋ mele ʋumenugbagbeviɣidɔ ŋutɔ ŋu o, gake dɔléle ƒe dzesiwo abe dzoxɔxɔ, nu me ƒoƒo enuenu, kple kɔdzidɔ ate ŋu ado mo ɖa.
- Ne ʋumenugbagbeviɣidɔ le ŋuwò la, ele vevie be nànɔ ŋudzɔ ŋutɔ ɖe dɔlékui ƒe dzesiwo ŋu eye nàɖe afɔ aɖewo atsɔ akpɔ ɖokuiwò ta tso wo me.
- Ne dɔlélea ƒe dzesi aɖewo dze la, mègawɔ atike na ɖokuiwò eye nàkpɔ wò ɖɔkta enumake o.
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