Ðe wò ʋumenugbagbevi dzĩwo loloa? (Macrocytosis) – Mina míasrɔ̃ nu tso eŋu! | Nirogi Lanka ƒe agbalẽ

Ðe nèto wò ʋu ƒe dɔwɔwɔ me tsonu ( ʋu ƒe nyatakaka ) me kpɔ eye nède dzesi nuŋlɔɖi aɖe si ku ɖe ʋumenugbagbevi dzĩ siwo lolo ŋu, alo ɖewohĩ wò ɖɔkta ƒo nu tso nɔnɔme aɖe si woyɔna be “Macrocytosis” ŋua? Enye dzɔdzɔme nu be nàse le ɖokuiwò me be yetsi dzi vie, gake taflatse nɔ anyi kpoo. Macrocytosis menye dɔléle le eɖokui si o; ɖeko wònye nusi ŋu nèke ɖo be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle dzɔdzɔmee.

Nukae nye Macrocytosis?

Kpuie ko la, Macrocytosis fia be wò ʋumenugbagbevi dzĩwo lolo wu lolome si wozãna ɖaa. Womebunɛ be enye dɔléle o, gake ewɔa dɔ abe dɔdamɔnu ƒe dzesi si fia asi nusi gbɔ wò ŋutilã le ene. Zi geɖe la, ètoa Ʋu Xexlẽme Blibo (CBC) / Ʋu Xexlẽme Blibo ( FBC ) dzi ke ɖe esia ŋu. Ðɔktawo ɖea gbe na dodokpɔ sia enuenu be woatsɔ akpɔ wò lãmesẽ bliboa kple alesi wò ʋumenugbagbeviɣiwo le dɔ wɔme.

Wò CBC nyatakaka la de asixɔxɔ aɖe si woyɔna be `MCV (Mean Corpuscular Volume)`, si dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu. Le ame tsitsiwo me la, ne `MCV` ƒe xexlẽme sɔ gbɔ wu femtoliter 100 (`100 fL`) la, wobua eŋu be enye Macrocytosis.

Togbɔ be zi geɖe la, menye nu vevi o hã la, nunyiame siwo hiã be woawɔ dɔ nyuie la menɔa lãmenugbagbevi siawo siwo lolo akpa la si ɣeaɖewoɣi o, si fia be woʋlina vevie be yewoawɔ yewoƒe dɔ vevitɔ: be woatsɔ ɔksidzin ayi wò ŋutilã katã me. Woyɔa nɔnɔme sia be `Macrocytic Anemia` (macrocytic anemia ). Ne womewɔ atike nɛ o la, ate ŋu ahe lãmesẽkuxi siwo ɖe dzesi wu vɛ.

Aleke gbegbee nɔnɔme sia bɔe?

Macrocytosis le xexeame katã ƒe 2% va ɖo 4% lɔƒo. Le ƒuƒoƒo sia me la, amesiwo ade 60% hã xɔa ʋusɔgbɔdɔ kpe ɖe eŋu.

Gake wokpɔa Macrocytosis si dzɔna ʋusɔgbɔdɔ manɔmee le vidzĩwo kple ame tsitsiwo me wu vie.

Nukae nye Macrocytosis ƒe dzesiwo?

Zi geɖe la, Macrocytosis ƒe dzesi ɖeka koe nye `MCV` ƒe asixɔxɔ si kɔ ɖe wò `CBC` nyatakaka dzi. Ne dzesiwo dze ƒã la, zi geɖe la, wodo ƒome kple nusi gbɔ ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi tso.

Le kpɔɖeŋu me, ne `Macrocytic Anemia` le ŋuwò la, àte ŋu akpɔ ʋusɔgbɔdɔ ƒe dzesi siwo wonya nyuie abe ɖeɖiteameŋu , ɖeɖiteameŋu, kple ŋutigbalẽ si le ɣie ene. Gakpe ɖe eŋu la, ne nunyiame ƒe gbɔdzɔgbɔdzɔe nye nusi gbɔ wòtso la, àte ŋu akpɔ aɖuɖɔtoe, ŋkuɖoɖonudzi ƒe kuxiwo, alo màda asɔ o .

Esi wònye be susu geɖe li siwo tae Macrocytosis tsona ta la, dzesiawo ate ŋu ato vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ.

Nukae hea Macrocytosis vɛ?

Wò ʋumenugbagbeviɣiwo dzɔna le wò ƒumeŋuɖui me. Eyata Macrocytosis ate ŋu atso kuxi siwo le ƒumeŋuɖui ƒe ʋumenugbagbevi dzĩwo wɔwɔ me alo nya siwo ku ɖe ʋumenugbagbevi dzĩwo ŋutɔ ƒe wɔwɔme ŋu gbɔ. Ɣeaɖewoɣi la, ʋumenugbagbevi dzĩ siwo metsi o (si woyɔna be `reticulocytes`) ƒe dzidziɖedzi ateŋu ana `MCV` nakɔ, elabena le dzɔdzɔme nu la, lãmenugbagbevi siawo lolo wu ʋumenugbagbevi dzĩ siwo tsi.

Nu vevi siwo gbɔ Macrocytosis tsona dometɔ aɖewoe nye esi:

Nunyiame ƒe Gbɔdzɔgbɔdzɔ

Wò ŋutilã hiã nunyiamewo abe Vitamin B12 kple folate (Vitamin B9) be wòatu ʋumenugbagbevi dzĩ siwo le lãmesẽ me ɖo. Ne mèle nusiawo xɔm wòsɔ gbɔ to wò nuɖuɖu me o, alo ne lãmesẽkuxi aɖe si le ŋuwò xe mɔ na wò ŋutilã be wòate ŋu axɔ wo o la, wò ʋumenugbagbevi dzĩwo matsi nyuie o. Vitamin B12 kple folate ƒe anyimanɔmanɔ nye nusiwo gbɔ `Macrocytic Anemia` tsona. Le kpɔɖeŋu me, aŋgba damawo kple atikutsetsewo ɖuɖu vie ate ŋu ana folate nagbɔdzɔ, evɔ veganuɖuɖu sesẽwo ya ate ŋu ana Vitamin B12 nagbɔdzɔ.

Atike Aɖewo

Atike vovovowo ateŋu ahe Macrocytosis vɛ, siwo dometɔ aɖewoe nye `hydroxyurea` (si wozãna zi geɖe na sickle cell dɔléle), `chemotherapy` ƒe atike tɔxɛwo, kple `antiretroviral therapy (ART)` na HIV. Anɔ eme be wò ɖɔkta anya ne atike aɖe si zãm nèle la he afɔku sia vɛ.

Ahanono ƒe Ahanono

Ahanono atraɖii alo esi gbɔ eme nye nusi gbɔ Macrocytosis tsona zi geɖe. Aha ate ŋu ado kplamatse ŋutilã ƒe ŋutete be wòaxɔ nunyiame vevi siwo hiã hena ʋumenugbagbevi dzĩwo wɔwɔ le lãmesẽ me.

Aklãdɔléle

Macrocytosis ate ŋu anye aklãdɔ ƒe dzesi ɣeaɖewoɣi. Togbɔ be edo ƒome kple ahanono enuenu hã la, ate ŋu atso aklãdɔ bubu siwo meku ɖe ahanono ŋu o hã gbɔ.

Ʋusɔgbɔdɔ si Gbɔ ʋumenugbagbeviɣidɔ

Le `Hemolytic anemia` me la, wò ʋumenugbagbevi dzĩwo tsrɔ̃na kaba. Be wòaxe fe la, wò ŋutilã ɖea `reticulocytes` (lãmenugbagbevi siwo metsi o) geɖe ɖe ʋukawo me, si ateŋu ado wò MCV ƒe agbɔsɔsɔ ɖe dzi.

Ʋu ƒe Bubu Vevietɔ

Le afɔku, amekoko, alo nuveviwɔame bubu aɖe megbe la, ne ʋu gbogbo aɖe bu na wò la, wò ŋutilã ƒua du be yeawɔ lãmenugbagbevi yeyewo, si ɖea asi le `reticulocytes` ŋu yia ʋu ƒe sisi me, si sɔ kple alesi wokpɔna le ʋusɔgbɔdɔ si me ʋu sina tona me.

Myelodysplastic Dɔléle si woyɔna be Myelodysplastic Dɔléle

Esia nye kansa siwo do ƒome kple ƒumeŋuɖui ƒe ƒuƒoƒo aɖe si xea mɔ na ŋutilãa be wòagawɔ ʋumenugbagbevi siwo le lãmesẽ me siwo tsi nyuie o.

Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie

Thyroid gland si mewɔa dɔ nyuie o, alo `Hypothyroidism`, hã ateŋu asɔ kple Macrocytosis, eɖanye ʋusɔgbɔdɔ le eme alo mele eme o.

Ɣeaɖewoɣi la, womate ŋu ade dzesi nusi me kɔ si gbɔ Macrocytosis tso o, vevietɔ ne ʋusɔgbɔdɔ alo dzesi bubu aɖeke mele ŋuwò o.

Aleke wowɔna dea dzesi Macrocytosis?

Abe alesi míegblɔe va yi ene la, nya aɖe si wozãna tsɔ ɖɔa ʋumenugbagbevi dzĩ siwo lolo ɖe edzi koe macrocytosis nye, ke menye dɔléle si dziɖuɖua da asi ɖo le eɖokui si o. Ne wò CBC nyatakaka ɖee fia be MCV ƒe xexlẽme si wu 100 fL , efia be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle dzɔdzɔmee.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu anɔ te ɖe macrocytosis ƒe sesẽme dzi anya nusi ate ŋu atsoe. Le kpɔɖeŋu me, ne wò MCV ƒe asixɔxɔ dzi ɖe edzi ŋutɔ (abe 110 – 115 fL ene), ate ŋu anye nɔnɔme sesẽ aɖe abe macrocytic anemia , si me megaloblastic anemia hã le ƒe dzesi.

Dodokpɔ Siwo Wowɔna tsɔ Dea Dzesi Nusi Gbɔ Macrocytosis Hna

Ne wò ɖɔkta tsi dzi ɖe wò ʋumenugbagbevi dzĩ siwo le dzidzim ɖe edzi ŋu la, abia nyawo atsɔ anya nusi gbɔ wòtso. Woate ŋu abia nya tso wò...atikewɔwɔ ŋuti ŋutinya si nèzã va yi, atike siwo nèzãna, wò nuɖuɖu, kple ahanono si nèno . Tsɔ kpe ɖe eŋu la, woate ŋu akafu dodokpɔ siwo gbɔna:

• Ʋu si le gota: Le dɔ sia wɔwɔ me la, wodoa wò ʋu sue aɖe kpɔ le nusuekpɔmɔ̃ me. Esia wɔnɛ be ɖɔktaa te ŋu léa ŋku ɖe nusiwo mesɔ o siwo ate ŋu ahe macrocytosis vɛ ŋu, abe nya siwo ku ɖe ʋumenugbagbevi dzĩwo ƒe tsitsi ŋu ene.
• Vitamin B12 kple folate ƒe agbɔsɔsɔ dodokpɔ: Vitamin B12 alo folate ƒe agbɔsɔsɔ si mesɔ gbɔ o le wò ʋu me fia be nunyiame mele ŋuwò o, si fia be nusiwo hiã be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me mele wò ŋutilã me o.
• Reticulocyte count: Dodokpɔ sia dzidzea ʋumenugbagbevi dzĩ siwo metsi o ƒe xexlẽme le wò ʋu me, si kpena ɖe ŋuwò nènya ne esia gbɔe MCV ƒe dzidziɖedzi tso .
• Aklã ƒe dɔwɔwɔ dodokpɔwo: Dodokpɔ siawo daa alesi wò aklã le dɔ wɔm nyuie le nunyiame siwo hiã be woatsɔ awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me ŋudɔwɔwɔ me kpɔ.
• Ƒumeŋuɖui me ɖeɖe: Ne wò ɖɔkta susui be nɔnɔme aɖe le wò ƒumeŋuɖui me si xea mɔ na ʋumenugbagbevi dzĩwo ƒe wɔwɔ la, woate ŋu ado susu ɖa be woawɔ dodokpɔ sia. Woƒoa ƒumeŋuɖui sue aɖe nu ƒu hedoa wo kpɔna le nusuekpɔmɔ̃ me be naneke mesɔ o hã.

Aleke Wowɔa Atike Na Macrocytosis?

Ne ʋusɔgbɔdɔ ƒe dzesi aɖeke mele ŋuwò o eye wò dodokpɔ me tsonu meɖe nu bubu aɖeke si mesɔ o fia o la, ɖewohĩ màhiã atikewɔwɔ aɖeke kura o. Ne menye nenema o la, nusi koŋ gbɔ wò ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi tsoe afia atikewɔwɔ ƒe ɖoɖoa.

• Ne nunyiame ƒe veve gbɔe wò macrocytosis tso la, ahiã be nàtrɔ asi le wò nuɖuɖu ŋu alo ano vitamin kpeɖeŋutɔ .
• Ne atike aɖe gbɔe wòtso la, wò ɖɔkta ate ŋu atrɔ asi le agbɔsɔsɔme si nàzã ŋu alo aŋlɔ atike bubu aɖe na wò .
• Ne ʋusɔgbɔdɔ sesẽ aɖe le fu ɖem na wò tsɔ kpe ɖe macrocytosis ŋu la, ahiã be woado ʋu na wò .

Vevietɔ wu la, eɖanye nuka gbɔe wò macrocytosis tso o, wɔ ɖe wò ɖɔkta ƒe atikewɔwɔ ƒe ɖoɖoa dzi pɛpɛpɛ.

Ðe Woate Ŋu Ada Dɔ le Macrocytosis Ŋua?

Zi geɖe la, ne wonya da atike si gbɔ wòtso ko la, macrocytosis ƒe nɔnɔmea trɔna. Ƒo nu kple wò ɖɔkta tso alesi wò atikewɔwɔ ƒe ɖoɖoa akpɔ ŋusẽ ɖe wò lãmesẽ bliboa dzii ŋu.

Aleke Nàte Ŋu Aɖe Afɔku Si Le Macrocytosis Ŋu Dzi Akpɔtɔ?

Togbɔ be míate ŋu axe mɔ ɖe nusianu si hea macrocytosis vɛ nu o hã la, numame nyuiwo zazã ate ŋu akpe ɖe ŋuwò nàɖe wò afɔkua dzi akpɔtɔ. Le kpɔɖeŋu me:

• De nuɖuɖu siwo me Vitamin B12 kple folate sɔ gbɔ ɖo – abe tɔmelã, nyinotsibabla, azi , aŋgba damawo, kple nuku siwo ŋu wodo ŋusẽe ene – be wòaɖe afɔku si le wò ʋusɔgbɔdɔ si macrocytic anemia xɔxɔ me dzi akpɔtɔ.
• Ahanono dzi ɖeɖe kpɔtɔle vevie ŋutɔ.
• Gakpe ɖe eŋu la, mègadzo le wò ƒe sia ƒe ʋudodokpɔ dzi o. Zi geɖe la, wokpɔa lãmenugbagbevi gãwo ƒe dɔléle le vo me le ʋudodokpɔ edziedzi me. Ne wokpɔ dɔlélea kaba eye wodae ɖe game dzi ate ŋu axe mɔ na dɔlélea be wòagasẽ o.

Nukae Dzɔna Ne Womewɔ Atike Na Macrocytosis O?

Wò ɖɔkta koe ate ŋu atso nya me nenye be wò macrocytosis hiã be woade nu eme. Ne macrocytosis si kpe ɖe ʋusɔgbɔdɔ ŋu le ŋuwò la, atikewɔwɔ didi le vevie ŋutɔ. Ne womewɔ atike nɛ o la , ate ŋu ahe lãmesẽkuxi sesẽwo vɛ le macrocytic anemia ta .

Nukae Wòle Be Mabia Nye Ðɔkta?

Ne èva nya be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle be wòanɔ la, wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi le afɔɖeɖe siwo kplɔe ɖo ŋu. Àte ŋu abia nya siawo:

• Ðe wòle be matsi dzi ɖe nye MCV si kɔ ŋua ?
• Dodokpɔ kawoe wòahiã be matsɔ anya nusi gbɔ nye macrocytosis tso?
• Ðe mehiã atike na nusi gbɔ nye ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi tsoa?
• Agbenɔnɔ ƒe tɔtrɔ kawoe mate ŋu awɔ be makpɔ nɔnɔme sia gbɔ?

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Menye ɣesiaɣie macrocytosis alo MCV ƒe asixɔxɔ si dzi ɖe edzi nyea nusi gbɔ wòtsona be woavɔ̃ o. Mègatsi dzodzodzoe ne asixɔxɔ siawo dze le wò CBC nyatakakaa me kɔkɔ o. Di mɔfiame tso wò ɖɔkta gbɔ be nàse wò emetsonuwo gɔme. Le nusiwo ŋu nèke ɖo nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàtrɔ asi le nuɖuɖu ŋu alo nàzã vitamin kpeɖeŋutɔ. Mègahe ɖe megbe le alesi wò atikewɔwɔ ƒe ɖoɖoa akpɔ ŋusẽ ɖe wò ʋumenugbagbevi dzĩwo kple wò lãmesẽ bliboa dzii biabia me o. Lãmesẽ me nɔnɔ ye le vevie wu!