Èse le ɖokuiwò me be yegbɔdzɔa? Èse le ɖokuiwò me be ʋu mesɔ gbɔ ɖe ye me oa? Esia ate ŋu anye Macrocytic Anemia!

Ðe ɖeɖi tea ŋuwò ɣesiaɣia? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ŋusẽ aɖeke mele ye ŋu o eye wòsesẽna na wò be nàgbɔ ya? Ðewohĩ esiawo menye ɖeɖiteameŋu ko o. Kuxi sue aɖe ate ŋu anɔ ʋumenugbagbevi dzĩ siwo le wò ŋutilã me hã ŋu. Egbea, míaƒo nu tso nɔnɔme sia si woyɔna be Macrocytic Anemia ŋu.

Nukae Nye Lãmenugbagbeviwo ƒe Ʋusɔgbɔdɔ?

Kpuie ko la, Macrocytic Anemia nye ʋumenugbagbeviɣidɔ si me wò ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩ gãwo le mɔ si mesɔ o nu . Bu eŋu abe ʋu sue siwo le míaƒe ŋutilã me siwo tsɔa ɔksidzin ƒoa xlãe ene. Gake ʋumenugbagbevi dzĩ gã siawo le abe ʋu gã siwo ŋu viɖe aɖeke mele o ene. Nunyiame siwo ʋumenugbagbevi dzĩ siwo sɔ hiã be woate ŋu awɔ dɔ nyuie la mele wo si o. Esia menye dɔléle sesẽ o, gake ne womedae nyuie o la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ. See?

Nukawoe nye ʋusɔgbɔdɔ si me ʋumenugbagbevi dzĩwo le ƒomevi veviwo?

Macrocytic anemia ƒomevi vevi eve ye li. Esiawo dzɔna ne nunyiame aɖewo mele wò ŋutilã me o. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Megaloblastic macrocytic ʋusɔgbɔdɔ

Esiae nye ƒomevi si bɔ wu. Edzɔna ne vitamin B12 kple/alo vitamin B9 (folate) mesu asiwò o. Nunyiame siawo manɔmee la, wò ƒumeŋuɖui mate ŋu awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me o. Ema fia be mate ŋu awɔ lãmenugbagbevi siwo tsɔa ɔksidzin ƒoa xlã wò ŋutilã o. Bu eŋu abe amesi le dɔ wɔm nuɖuɖu manɔmee ene. Nu bubue nye be, lãmenugbagbevi siwo mesɔ o siwo dzɔna alea kuna hafi lãmenugbagbevi siwo sɔ. Eyata ʋumenugbagbevi dzĩ siwo le ŋutilãa me ƒe xexlẽme dzi ɖena kpɔtɔna.

2. Ʋusɔgbɔdɔ si menye megaloblastic macrocytic ʋusɔgbɔdɔ o

Esia ƒomevi ate ŋu adze egɔme ne lãmesẽkuxi bubu siwo gblẽa nu le wò ŋutilã ƒe ŋutete be wòaxɔ nunyiamewo ŋu la le ŋuwò. Esia fia be ne èɖu nu nyuie hã la, wò ŋutilã mele nunyiame siwo wòhiã la xɔm o. Dɔléle aɖewo ate ŋu ahe esia vɛ.

Nɔnɔme siwo hea non-megaloblastic macrocytic anemia vɛ

Susu vevi geɖewo tae wòle alea ɖo:

• Myelodysplastic syndrome: Le nyateƒe me la, dɔlélewo ƒe ƒuƒoƒo aɖee nye esia. Nusi dzɔna le afisia enye be nane gblẽ le wò ƒumeŋuɖui ŋu eye mate ŋu awɔ ʋumenugbagbevi siwo le lãmesẽ me o. Ele abe mɔ̃ si gbã le dɔwɔƒe si mate ŋu awɔ adzɔnu nyuiwo o ene.
• Ahatsunono ƒe kuxi: Ne èno aha fũu akpa la, wò ŋutilã megaxɔa vitamin B12 o. Esia nye kuxi na ame geɖe. Ame aɖewo susuna be ahanono vi aɖe menyo o, gake ne èno aha fũ la, kuxiwo doa mo ɖa.
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie:Esia nye nɔnɔme si gblẽa nu le lãkusi ƒe dɔwɔwɔ ŋu. Lãmetsi sue sia si le míaƒe kɔ me la kpɔa ŋusẽ ɖe ŋutilãa ƒe dɔwɔwɔ geɖe dzi. Eyata ne mewɔ dɔ nyuie o la, ʋusɔgbɔdɔ abe esia ene ate ŋu adzɔ.

Nukatae ʋusɔgbɔdɔ si woyɔna be macrocytic anemia dzɔna?

Abe alesi nàte ŋu akpɔe ene la, vitamin B12 kple/alo folate (vitamin B9), siwo le vevie na ʋumenugbagbevi dzĩ siwo le lãmesẽ me wɔwɔ, alo atikewɔwɔ me nɔnɔme bubu siwo xea mɔ na ŋutilãa be wòagaxɔ nunyiame siawo o ƒe anyimanɔmanɔ koŋ gbɔe nɔnɔme sia tsona. Kpuie ko la, "nu siwo wɔa ʋumenugbagbevi dzĩwo la mesɔ gbɔ o, alo ŋutilã mete ŋu xɔa wo o.

Aleke ɖɔktawo dea dzesi esia?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si ɖɔkta alo dɔnɔdzikpɔla awɔe nye be wòado wò kpɔ ahabia wò dzesiawo. Woabia wò ɣeyiɣi didi kae ɖeɖi te ŋuwò, alesi wò nuɖuɖu le, kple nenye be atikewɔwɔ me dɔléle bubu aɖewo le ŋuwò hã. Emegbe woate ŋu adɔ be woado ʋu kpɔ, abe:

• Ʋu ƒe xexlẽme blibo (CBC): Esia nye ʋudodokpɔ vevi aɖe si wowɔna zi geɖe. Eléa ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe xexlẽme, ʋumenugbagbevi ɣiwo ƒe xexlẽme, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme ŋu. Ate ŋu akpɔe ɖa hã be wò ʋumenugbagbevi dzĩwo dzi ɖe edzi le ʋusɔgbɔdɔ si woyɔna be macrocytic anemia me kple alesi woƒe ʋumenugbagbeviɣidɔ le hã.
• Ʋu si woɖena le lãme na ame (PBS): Esia nye dodokpɔ tɔxɛ aɖe. To vovo na ʋudodokpɔ aɖewo la, ɖɔktawo ɖea wò ʋu ƒe kpɔɖeŋu, tsɔa ahuhɔ̃e si wotsɔna ƒoa ɖii, dea ɖii, eye wokpɔnɛ le nusuekpɔmɔ̃ me be woakpɔe ɖa be ʋumenugbagbeviwo le eme hã. Esia wɔnɛ be woate ŋu akpɔ lãmenugbagbeviawo ƒe nɔnɔme, woƒe lolome, kple woƒe amadede. Woate ŋu akpɔ ʋumenugbagbevi dzĩ gãwo (macrocytes) nyuie.
• Reticulocyte ƒe xexlẽme: Reticulocyte nye ʋumenugbagbevi dzĩ yeye siwo metsi o. Wole abe "vidzĩ" lãmenugbagbevi siwo dzɔna le ƒumeŋuɖui me eye emegbe woɖea asi le wo ŋu yia ʋukawo me ene. Dodokpɔ sia léa ŋku ɖe wò ƒumeŋuɖui ŋu le ʋumenugbagbevi dzĩ siwo le lãmesẽ me si sɔ wɔm hã. Dodokpɔ sia ate ŋu ana nàkpɔ alesi wò ƒumeŋuɖui le lãmenugbagbevi yeyewo wɔm nyuie le ʋusɔgbɔdɔ ta.

Tsɔ kpe ɖe dodokpɔ siawo ŋu la, woate ŋu awɔ dodokpɔ vovovowo hã atsɔ akpɔ vitamin B12 kple folate ƒe agbɔsɔsɔ, ne ehiã.

Aleke wowɔa nu ɖe ​​esia ŋui?

Atikewɔwɔ nɔ te ɖe nusi gbɔ dɔlélea tso dzi . Ðɔktawo adze agbagba akpe ɖe wò ƒumeŋuɖui ŋu wòagawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me ake.

Tsɔe be, nɔnɔme sia le ŋuwò le esi mèle nu ɖum nyuie o ta, alo le esi Vitamin B12 alo Folate mele wò nuɖuɖu me o ta.Ate ŋu adzɔ. Vitamin B12 ate ŋu agbɔ amagbeɖula geɖe ŋu, elabena lãwo ƒe nuɖuɖu mee wònɔna wu. Ne nenemae la, wò ɖɔkta ate ŋu ana atike siwo me nunyiame sia le wò, le atikekuiwo alo ɖewohĩ atikewo dodo me. Woate ŋu agblɔ na wò be nàno atike siawo vaseɖe esime ʋudodokpɔwo naɖo kpe edzi be wò ƒumeŋuɖui le ʋumenugbagbevi dzĩ siwo le lãmesẽ wɔm wɔm.

Ɣeaɖewoɣi la, amewo ɖua nu nyuie, gake kuxi aɖe li si xea mɔ na ŋutilãa mete ŋu xɔa nunyiame mawo o . Le kpɔɖeŋu me, esia ate ŋu adzɔ le dɔgbo ƒe kuxi aɖewo ta. Le nɔnɔme mawo me la, ɖɔkta ate ŋu aŋlɔ atike siwo woatsɔ akpe ɖe eŋu hã.

Nu vevitɔ kekeakee nye be woada nusi gbɔ wòtso.

Le kpɔɖeŋu me, atikewɔwɔ me dɔlélewo (abe myelodysplastic syndrome ene) le ame aɖewo ŋu si wɔnɛ be ŋutilãa mete ŋu xɔa nunyiame veviwo o. Ne edzɔ alea la, ehiã be woada dɔlélea. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, atikewo nono hã ate ŋu akpe ɖe ŋuwò le wò ʋusɔgbɔdɔ me.

Ame geɖe xɔa ʋusɔgbɔdɔ sia si nye macrocytic anemia le esi wonoa aha fũ ta. Ne nenemae la, wò ɖɔkta ate ŋu aɖo wò ɖe atikewɔwɔ kple aɖaŋuɖoɖo gbɔ be wòakpe ɖe ŋuwò nàɖu wò ahanono dzi. Esia mele bɔbɔe o, gake woate ŋu awɔe to kpekpeɖeŋu me.

Ðe woate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?

Esi wònye be nu geɖe gbɔe macrocytic anemia tsona ta la, esesẽna na mí be míaxe mɔ ɖe atikewɔwɔ me nɔnɔme aɖewo siwo le ete nu. Gake ne atikewɔwɔ me dɔléle aɖe koŋ mele ŋuwò o la, afɔɖeɖe geɖe li nàte ŋu aɖe atsɔ aɖe afɔku sia dzi akpɔtɔ, eye ɖewohĩ axe mɔ ɖe enu gɔ̃ hã:

• Lé be na wò lãmesẽ bliboa: Macrocytic anemia ƒe dzesiwo ate ŋu anɔ bɔbɔe le gɔmedzedzea me, gake woate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Ne ède dzesi tɔtrɔ aɖewo le wò ŋutilã me, abe ɖeɖiteameŋu si gbɔ eme, ɖeɖiteameŋu, akɔtave, alo ŋutigbalẽ si le ɣie ene la, ƒo nu kple wò ɖɔkta enumake. Mègatsɔe ko be "vovo mele ye ŋu akpa le ŋkeke siawo me o."
• Ƒo nuɖuɖu si naa lãmesẽ: Zi geɖe la, nusi ate ŋu ahe esia vɛ wue nye vitamin B12 kple/alo folate si sɔ gbɔ makpɔmakpɔ. Eyata ele vevie ŋutɔ be woaɖu nuɖuɖu si da sɔ, si me nunyiame le.
• Nuɖuɖu siwo me vitamin B12 sɔ gbɔ ɖo: lã, tɔmelã, azi, notsi kple nyinotsibabla (yogurt, cheese).
• Nuɖuɖu siwo me folate sɔ gbɔ ɖo: Amagbe damawo, amagbe siwo ƒe aŋgbawo le (aŋanyi, kale, sabala), nukuwo, gbegãdzi, lãmi, amititsetse, atikutsetse.

Dze agbagba nàtsɔ esiawo akpe ɖe wò nuɖuɖu ŋu.

Nukae dzɔna ne Macrocytic Anemia le ŋunye?

Ame geɖe hayana tso ʋusɔgbɔdɔ sia si nye macrocytic me ne wono vitamin kpeɖeŋutɔ vɔ. Eyae nye be zi geɖe la, emetsonua nyona.Gake nusi wogblɔ ɖi na amesi ŋu atikewɔwɔ me dɔléle aɖe le la nɔ te ɖe atikewɔwɔ ƒe nɔnɔme si gbɔ wòtso kple woƒe ame ɖekaɖekawo ƒe nɔnɔme dzi. Wò ɖɔkta aɖe nya sia me na wò.

Aleke malé be na ɖokuinye?

Ne nɔnɔme sia le ŋuwò la, àte ŋu awɔ nusiawo atsɔ akpɔ ɖokuiwò dzi:

• No atike siwo ɖɔkta ŋlɔ na wò la pɛpɛpɛ le ɣeyiɣi si me nàda dɔa me. Esia le vevie ŋutɔ. Ame aɖewo dzudzɔa woƒe atikewo nono ne woƒe lãme sẽ vie, eyata mègawɔe nenema o.
• Tu nuɖuɖu nyuiwo ɖo be nàkpɔ egbɔ be vitamin B12 kple folate sɔ gbɔ na ye. Àte ŋu adi aɖaŋuɖoɖo tso nuɖuɖuŋutinunyala aɖe hã gbɔ.
• Ne èse le ɖokuiwò me be yeƒe ʋusɔgbɔdɔ ƒe dzesiwo le tɔtrɔm (e.g., ɖeɖi te ye ŋu ake, yeƒe lãme gbɔdzɔ) la, yi ɖɔkta gbɔ enumake.
• Ne ahanono nye kuxi la, bia kpekpeɖeŋu be nàɖu edzi.

Eyata abe alesi nàte ŋu akpɔe ene la, ʋusɔgbɔdɔ si woyɔna be macrocytic anemia va dzea amewo dzi ne womekpɔ nunyiame si akpe ɖe woƒe ŋutilã ŋu wòatsi ʋumenugbagbevi dzĩ siwo le lãmesẽ me o. Esia ate ŋu adzɔ ɖe amesiwo zɔna ɖe nuɖuɖu aɖewo dzi alo atikewɔwɔ ƒe nɔnɔme aɖewo le wo ŋu dzi. Ðo ŋku edzi be ʋusɔgbɔdɔ si woyɔna be macrocytic anemia menye dɔléle sesẽ o, gake ate ŋu ahe atikewɔwɔ me kuxi sesẽwo vɛ ne womedae o. Nuɖuɖu si naa lãmesẽ ɖuɖu ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nɔnɔme sia nu. Ne esia tsi dzi na wò la, ƒo nu kple wò ɖɔkta. Ate ŋu ada wò nɔnɔmea kpɔ eye wòakafu mɔ siwo dzi nàto ana wò nuɖuɖu nanyo ɖe edzi. Ne ʋusɔgbɔdɔ si woyɔna be macrocytic anemia le ŋuwò la, anɔ eme be wò ɖɔkta aŋlɔ atike siwo akpe ɖe ŋuwò nàgakpɔ nunyiame siwo mehiã o la na wò. Akpe ɖe ŋuwò hã be nàtu numame nyuiwo ɖo.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

• Macrocytic anemia nye nɔnɔme si me ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩ gãwo le mɔ si mesɔ o nu.
• Nusiwo koŋ gbɔ esia tsonae nye vitamin B12 kple/alo folate (vitamin B9) ƒe anyimanɔmanɔ alo kuxi siwo le wo xɔxɔ me.
• Ate ŋu atso nɔnɔmewo abe ahatsunono fũ kple ʋumenugbagbeviɣidɔ hã gbɔ.
• Ne èkpɔ dzesiwo abe ɖeɖiteameŋu enuenu, gbɔgbɔ sesẽ, kple ŋutigbalẽ si le ɣie ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo.
• Zi geɖe la, woate ŋu ada nɔnɔme sia ne woɖu nu nyuie eye wono atike siwo ɖɔkta ŋlɔ na wo.
• Ne atikewɔwɔ me dɔléle aɖe li si gbɔ wòtso la , ele vevie be woadae.

Lé be na wò lãmesẽ, ɖu nuɖuɖu si da sɔ, eye mègaŋlɔ be be yeayi ɖɔkta ne ède dzesi nu bubu aɖe o!

` Macrocytic anemia, ʋusɔgbɔdɔ, vitamin B12, folate, ʋumenugbagbevi dzĩwo, ƒumeŋuɖui, nunyiame ƒe veve