Ðe wò ʋumenugbagbevi dzĩwo le suea? Woyɔa esia be ʋusɔgbɔdɔ si woyɔna be microcytic anemia!

Ðe ɖeɖi tea ŋuwò, kuviawɔwɔ, alo taɖuame na wò zi geɖe ne ètsi trea? Ðe wò ŋutigbalẽ dzena vie wu tsã ne èle ahuhɔ̃e me kpɔma? Mègabu nusiawo be wonye ŋutilãmedɔléle ko o. Elabena, esiawo ate ŋu anye kuxi aɖe si le wò ʋumenugbagbevi dzĩwo ŋu ƒe dzesiwo. Enyo, woyɔa nɔnɔme aɖe si mía dometɔ geɖe nya, gake míenyae o, be Microcytic Anemia .

Nukae Nye Microcytic Anemia ?

Kpuie ko la, ʋusɔgbɔdɔ si woyɔna be microcytic anemia nye ne wò ʋumenugbagbevi dzĩwo le sue wu alesi wòle. Nukatae esia dzɔna ɖo? Susu vevitɔe nye be protein si le ʋumenugbagbevi dzĩ siawo siwo woyɔna be hemoglobin me dzi ɖena kpɔtɔna. Bu eŋu ale: ʋumenugbagbeviɣidɔ le abe ʋu si tsɔa ɔksidzin yia míaƒe ŋutilã katã me ene. Eyata ne ʋu sia dzi ɖe kpɔtɔ la, ʋumenugbagbevi dzĩawo mete ŋu tsɔa ɔksidzin nyuie o. Nenema ke ne ʋumenugbagbevi dzĩwo ƒe amadede dzi ɖe kpɔtɔ la, ʋumenugbagbevi dzĩwo ƒe amadede hã dzi ɖena kpɔtɔna, si fia be wozua hypochromic . Zi geɖe la, amesiwo ŋu ʋusɔgbɔdɔ si woyɔna be microcytic anemia le ƒe ʋumenugbagbevi dzĩwo ƒe amadede me mekɔna o.

Ðɔktawo bua eŋu ɣeaɖewoɣi be enye atikewɔwɔ, kpakple ʋusɔgbɔdɔ kple ʋusɔgbɔdɔ bubuwo ƒe dzesi. Wodaae to nusi gbɔ wòtso didi kple nusi gbɔ wòtso la dada me.

Nukae nye ʋusɔgbɔdɔ si nye microcytic anemia ƒe dzesiwo ?

Ne dɔléle sia le ŋuwò la, àte ŋu akpɔ dzesi vovovowo. Menye amesiamee akpɔ wo teƒe le mɔ ɖeka nu o. Gake dzesi siwo bɔ wu dometɔ aɖewoe nye:

• Sese le ɖokuiwò me be ɖeɖi te ye ŋu eye agbe mele ye ŋu o ɣesiaɣi, abe ɖe nèle dɔ wɔm ŋkeke bliboa ene.
• Taɖuame, seselelãme si nye be èle tsatsam.
• Ŋutilã si ƒe ŋutigbalẽ le ɣie. Wò ŋutigbalẽ ate ŋu abɔbɔ wu alesi wònɔna ɖaa.
• Sese le ɖokuiwò me be yeƒe dzi le ƒoƒom sesĩe.
• Yagbɔgbɔ sesẽ, abe alɔ̃madɔmadɔ ene. Nu suetɔ kekeake wɔwɔ gɔ̃ hã nana nètsia dzodzodzoe.
• Ŋutilã si ƒu.
• Ŋutilãa vuvuna bɔbɔe. Etrɔna zua blɔ ne woƒoe vie gɔ̃ hã.

Nukatae ʋusɔgbɔdɔ sia si tso lãmenugbagbeviwo me la dzɔna?

Nusi koŋ gbɔ esia tsona eye wòbɔ wue nye iron ƒe anyimanɔmanɔ . Ènya be iron hiã vevie na ʋumenugbagbevi dzĩwo wɔwɔ le míaƒe ʋumenugbagbevi dzĩwo mea? Eyata ne iron mesɔ gbɔ o la, womewɔa hemoglobin o eye ʋumenugbagbevi dzĩawo dzi ɖena kpɔtɔna. Ɣeaɖewoɣi la, domenyiŋusẽfianu hã ate ŋu ado kplamatse ʋumenugbagbevi dzĩwo ƒe tsitsi.

Azɔ, mina míaƒo nu tso susu vevi aɖewo siwo kpɔa ŋusẽ ɖe esia dzi ŋu tsitotsito:

• Ʋusɔgbɔdɔ si me iron mele o (IDA): Esia nye ʋusɔgbɔdɔ si me ʋu sina tona le lãmenugbagbevi suewo me.Nusi gbɔ `(microcytic hypochromic anemia)` tsona wu enye ʋudodo fũ (le kpɔɖeŋu me, ʋu si dona le nyɔnuwo me le dzinukpɔkpɔ me, alo ʋu si dona le dɔgbo sue aɖe ƒe abi ta) alo le esi iron mesɔ gbɔ tso nuɖuɖu si míeɖuna me o ta. Bu eŋu kpɔ, ɣeaɖewoɣi le míaƒe aƒewo me la, ame aɖewo meɖua amagbe, lã kple tɔmelã nyuie o. Alo, ne míeno nuwo abe notsi tii ene kpe ɖe nuɖuɖu ŋu la, ŋutilãa mexɔa iron fũ o. Ekema ate ŋu adzɔ be iron ƒe agbɔsɔsɔ si mede mía dzi o.
• Thalassemia: Esiawo nye domenyiŋusẽfianu ƒe ʋumenugbagbeviɣidɔ siwo gblẽa nu le ŋutilã ƒe ŋutete be wòawɔ hemoglobin kple ʋumenugbagbevi dzĩwo ŋu. Esia nye nɔnɔme si wokpɔna vaseɖe afi aɖe le míaƒe dukɔa me hã.
• Ʋusɔgbɔdɔ si tso dɔléle si nɔa anyi didi gbɔ: Ʋusɔgbɔdɔ sia ƒomevi ate ŋu adze ame dzi ne atikewɔwɔ me dɔléle aɖe le ŋuwò ɣeyiɣi didi aɖe si nana wò ŋutilã xɔa abi . Esia fia be wò ŋutilã mete ŋu zãa gayibɔ si le esi o. Kpɔɖeŋu aɖewoe nye dɔlékui siwo nɔa anyi didi, dɔléle siwo dɔlélenutsiŋutete wɔna (abe ƒunukpeƒetetedɔ, lupus ene), kple kansa.
• Sideroblastic anemia : Esia nye ʋumenugbagbeviɣidɔ si mebɔ kura o. Esia fia be wò ƒumeŋuɖui mete ŋu wɔa ʋumenugbagbevi dzĩ siwo sɔ o. Esia fia be ne iron le asiwò hã la, womate ŋu azãe atsɔ awɔ hemoglobin o.
• Lifi ƒe aɖi: Lãmetsiŋusẽ ƒe ʋusɔgbɔdɔ si tso lãmenugbagbeviwo me hã ate ŋu atso lifi zazã ɣeyiɣi didi me. Tsã la, wokpɔa lifi le amadedewo kple fefenu aɖewo me. Fifia se geɖe li ku ɖe eŋu, gake woate ŋu akpɔ lifi le nutoa me kokoko.

Tsɔ kpe ɖe esia ŋu la, susu bubuwo ate ŋu anɔ anyi:

• Akɔbli si sɔ gbɔ kpɔkpɔ tso nuɖuɖu me. Akɔbli kpena ɖe iron ƒe asitɔtrɔ le lãmenugbagbeviwo ŋu hã ŋu.
• Zinc geɖe xɔxɔ tso nuɖuɖu alo kpeɖeŋutɔ me. Zinc nono fũ ate ŋu aɖe ŋutilã ƒe ŋutete be wòaxɔ iron dzi akpɔtɔ.
• Atike aɖewo (vevietɔ esiwo wozãna le atikewɔlawo ƒe aɖaŋuɖoɖo nu).
• Ahanono fũu akpa . Ahanono ate ŋu ana nunyiame ƒe veve nasu ame si.

Dɔléle kawoe hea ʋusɔgbɔdɔ si woyɔna be microcytic anemia vɛ ?

Nɔnɔme vovovowo li siwo nana ŋutilãa xɔa abi. Ne dɔdzẽ li ɣeyiɣi didi la , ate ŋu akpɔ ŋusẽ ɖe ʋumenugbagbevi dzĩwo ƒe wɔwɔ dzi, eye ate ŋu ana ʋusɔgbɔdɔ si woyɔna be microcytic anemia . Le kpɔɖeŋu me:

• Dɔlélenutsiŋutete ƒe nɔnɔmewo:Esiawo nye dɔléle siwo me mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi le. Kpɔɖeŋu aɖewoe nye dɔgbo ƒe dɔléle si naa dɔdzẽ (abe Crohn ƒe dɔléle kple abi ƒe dɔléle ene), ƒunukpeƒetetedɔ, kple lupus.
• Kansa
• Ayikudɔ si nɔa anyi didi
• Dɔlékui siwo nɔa anyi didi ( abe yɔmekpe ene) .

Esia hã ate ŋu ahe nɔnɔme sia vɛ.

Aleke wokpɔa ʋusɔgbɔdɔ si me ʋumenugbagbevi dzĩwo le?

Vevietɔ ɖɔktawo wɔa ʋudodokpɔ geɖe tsɔ dea dzesi dɔléle sia:

• Ʋu ƒe xexlẽme blibo (CBC): Dodokpɔ sia naa nyatakaka veviwo ɖɔktawo ku ɖe wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ, ʋumenugbagbevi dzĩwo ƒe xexlẽme, kple vevietɔ wu la, wò ʋumenugbagbevi dzĩwo ƒe lolome ŋu. Ne wò MCV (Mean Corpuscular Value) mede femtolitres 80 (80 fL) o la, efia be microcytosis (ʋumenugbagbevi dzĩ suewo) le ŋuwò.
• Peripheral blood smear (PBS): Esia bia be woaɖe wò ʋu aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia ate ŋu akpe ɖe ŋuwò nàkpɔe ɖa be wò ʋumenugbagbevi dzĩwo le sue wu alesi wòle (microcytosis) alo le ɣie (hypochromic) hã . Ate ŋu akpe ɖe ŋuwò hã be nàkpɔe ɖa be tɔtrɔ aɖewo le wò ʋumenugbagbevi dzĩwo ƒe nɔnɔme me hã.
• Iron ŋuti numekukuwo: Wowɔa dodokpɔ siawo be woakpɔ alesi wò ŋutilã dzraa iron ɖo hezãnɛ. Ferritin dodokpɔ ( si gblɔa iron agbɔsɔsɔme si le wò ŋutilã me na wò) kple total iron-binding capacity (TIBC) dodokpɔ nye dodokpɔ siwo ate ŋu akpe ɖe esia ŋu.

Ne ɖɔktaa kpɔ microcytic anemia , vɔ la, ate ŋu awɔ dodokpɔ bubuwo (e.g., aɖuɖɔ dodokpɔ, endoscopy) be yeanya nusi tututu gbɔ wòtso.

Aleke wodaa ʋusɔgbɔdɔ si tso lãmenugbagbeviwo me?

Wodaa esia to nusi gbɔ wòtso la dada me . Eyae nye be, wokpɔa nusi gbɔ wòtso gbã si na dzesi siawo dzena hedaae.

Le kpɔɖeŋu me, ne ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o le ŋuwò la, wò ɖɔkta ate ŋu ana atike siwo nye iron wò . Zi geɖe la, ehiãna be woano esiawo ɣleti geɖe. Ɣeaɖewoɣi la, ne atikekuiawo dzi ɖuɖu sesẽna (abe esi dɔgbo le veve sem alo dɔgbo le ʋuʋum ene), alo ne wò ŋutilã mele iron xɔm nyuie o (abe le dɔgbomedɔ aɖewo me ene) la, woate ŋu ana iron, si nye tsi si me iron le, ado wò to ʋuka aɖe me . Esia ate ŋu ana wò gayibɔ ƒe agbɔsɔsɔme nagaɖo kaba.

Ne ʋu geɖe bu le ŋuwò kasia, wò ʋumenugbagbeviɣidɔ dzi ɖe kpɔtɔ ŋutɔ, eye ʋusɔgbɔdɔ le ŋuwò vevie la, ɖewohĩ ahiã be nàwɔeAte ŋu ahiã be woado ʋu hã.

Ne dɔléle aɖe si nɔa anyi didi gbɔe ʋusɔgbɔdɔ si woyɔna be microcytic anemia tso la, zi geɖe la, ʋusɔgbɔdɔa nu yina ne woda dɔléle ma. Le domenyiŋusẽfianu ƒe nɔnɔmewo abe thalassemia ene gome la, edzikpɔkpɔ ate ŋu ato vovo, eye ate ŋu abia be woawɔ atike nɛ ɣeyiɣi didi.

Ðe woate ŋu axe mɔ ɖe ʋusɔgbɔdɔ si tso lãmenugbagbeviwo me nu?

Le nyateƒe me la, ʋusɔgbɔdɔ si woyɔna be microcytic anemia dzɔna ne nane gblẽ nu le wò ŋutilã ƒe ŋutete be wòawɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me ŋu. Eyata, ɣeaɖewoɣi la, míate ŋu aɖu nu mawo dzi o.

Le kpɔɖeŋu me, iron ƒe anyimanɔmanɔ nye nusi gbɔ wòtsona zi geɖe. Le go aɖewo me la, nuɖuɖu si me iron sɔ gbɔ ɖo (nyilã, koklolã, tɔmelã, azi, lãmi, gbe dama, peas, peas kple gbe ƒuƒu, amagbe siwo ƒe aŋgbawo le amadede dzẽ me abe aŋanyi, kale, collard greens, dates, kple raisins ene) ɖuɖu ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe ʋusɔgbɔdɔ si me iron mele o nu. Azɔ hã, nuɖuɖu siwo me vitamin C sɔ gbɔ ɖo (abe lime, amititsetse, tangerine, kple guava ene) ɖuɖu kple nuɖuɖu siwo me iron sɔ gbɔ ɖo ate ŋu akpe ɖe ame ŋu wòaxɔ iron ɖe edzi. Gake ɣeaɖewoɣi la, atikewɔwɔ ƒe nɔnɔme siwo dzi míate ŋu aɖu o ate ŋu ado kplamatse ŋutilãa ƒe ŋutete be wòaxɔ gayibɔ alo awɔ ʋumenugbagbevi dzĩwo. Nu geɖe nɔ te ɖe wò ame ɖekaɖekawo ƒe nɔnɔme dzi .

Nukae adzɔ ne nɔnɔme sia dzɔ?

Alesi esia akpɔ ŋusẽ ɖe dziwòe nɔ te ɖe nusi gbɔ ʋusɔgbɔdɔ si tso microcytic anemia gbɔ dzi . Ɣeaɖewoɣi la, ate ŋu anye nɔnɔme sesẽ aɖe si hiã be woakpɔ edzi le eƒe agbemeŋkekewo katã me (abe thalassemia ene) ƒe dzesi. Ɣebubuɣiwo la, ate ŋu anɔ anyi ɣeyiɣi kpui aɖe ko . Woate ŋu adae keŋkeŋ hã ne wotsɔ nane si le bɔbɔe abe gayibɔtike aɖewo nono ene.

Ne ɖɔktaa nya de dzesi nusi gbɔ wòtso ko la, aɖe alesi wòakpɔ ŋusẽ ɖe wò lãmesẽ dzii me na wò. Ne ɖikeke alo vɔvɔ̃ aɖe le mewò be ɖewohĩ dɔléle sesẽ aɖe le ŋuwò la, wò ɖɔktae nye ame nyuitɔ si nànya kple kakaɖedzi. Ana kpekpeɖeŋu kple mɔfiame si nèhiã la wò.

Aleke malé be na ɖokuinye?

Ne ʋusɔgbɔdɔ si woyɔna be microcytic anemia , le ŋuwò la, nu nyuitɔ si nàte ŋu awɔe nye be nàwɔ ɖe wò ɖɔkta ƒe atikewɔwɔ kple mɔfiamewo dzi pɛpɛpɛ. Ele vevie be nàno wò atikewo ɖe game dzi eye nàwɔ wò ɖɔkta ƒe ɣeyiɣiwo dzi. Tsɔ kpe ɖe eŋu la, nu siawo ate ŋu akpe ɖe ame ŋu:

• Ƒo nuɖuɖu si me iron sɔ gbɔ ɖo (tiatia nyuiwoe nye nyilã, koklolã, tɔmelã, azi, lãgbalẽ, gbe dama, peas, gbe, broccoli, kple amagbe siwo ƒe aŋgbawo le amadede dzẽ me).
• Dze agbagba nàdɔ alɔ̃ nyuie . Ðeɖiteameŋu nye nɔnɔme sia ƒe dzesi vevi aɖe, eyata gbɔɖeme hiã vevie.
• No tsi geɖe be tsi nagage le wò ŋutilã me o.
• Dze agbagba ɖesiaɖe be nàƒo asa na dɔlékuiwo xɔxɔ to asikɔklɔ enuenu me, elabena ʋusɔgbɔdɔ nana dɔlékuiwo xɔxɔ ƒe afɔkua dzina ɖe edzi.
• Ðe ahanono dzi kpɔtɔ alo dzudzɔ enono keŋkeŋ.

Vevietɔ wu la:Hafi nàwɔ tɔtrɔ gã aɖeke – le kpɔɖeŋu me, nàdze iron-tikewo nono gɔme gbesiagbe (atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee) – kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Ate ŋu afia mɔ wò le mɔ siwo le dedie wu eye wowɔa dɔ nyuie wu siwo dzi nàto ana agbenɔnɔ kple ʋusɔgbɔdɔ si woyɔna be microcytic anemia nanɔ bɔbɔe wu la ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Nɔnɔme siwo hea ʋusɔgbɔdɔ si tso microcytic anemia vɛ ƒe dzesiwo ate ŋu ado mo ɖa vivivi le ɣeyiɣi aɖe megbe . Ðewohĩ màde dzesi tɔtrɔ aɖeke le wò ŋutilã me enumake o. Esia tae wòle vevie be nànya wò lãmesẽ eye nàƒo nu kple wò ɖɔkta ne ède dzesi tɔtrɔ aɖewo (e.g., ɖeɖiteameŋu si mebɔ o, ŋutigbalẽ ƒe ɣie, gbɔgbɔ sesẽ).

Microcytic anemia ate ŋu magblẽ nu le ame ŋu o, alo ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si ate ŋu ahe lãmesẽkuxi sesẽwo vɛ ne womedae o la ƒe dzesi. Anyo wu be nàyi ɖɔkta gbɔ be nànya nusi tututu gbɔ wò dzesiawo tso. Zi alesi nède dzesii kaba la, zi nenemae edada nɔa bɔbɔe wu.

Nukae wòle be mabia ɖɔktaa?

Ne wokpɔe be microcytic anemia , le ŋuwò la, esɔ be nyabiase geɖe nanɔ asiwò. Mègavɔ̃ o, bia wò ɖɔkta tso nu siawo ŋu:

• Nuka gbɔe nye nɔnɔmea tso?
• Aleke gbegbe nye ʋusɔgbɔdɔ si me ʋu suesuesuewo le la nu sẽe ? (Aleke nye ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ le?)
• Atikewɔwɔ kawoe nèdo ɖa?
• Ɣeyiɣi didi kae wòahiã be mawɔ atike nam?
• Nu gbegblẽ kawoe woate ŋu akpɔ mɔ na tso atikewɔwɔawo me? Nukae woate ŋu awɔ tso wo ŋu?
• Ðe woate ŋu atrɔ nye ʋusɔgbɔdɔ si nye microcytic anemia (adaae keŋkeŋ)a?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ eye nye dzesiwo nu nafa?
• Tɔtrɔ kawoe wòle be mawɔ le nye nuɖuɖu me?
• Nu kawo ƒomevie wòle be maɖɔ ŋu ɖo?

Ame geɖe va kpɔnɛ be ʋusɔgbɔdɔ si nye microcytic anemia le yewo ŋu le ʋudodokpɔ edziedzi megbe alo le dzesiwo ta. Enye nusi sɔ be nàtsi dzimaɖi ahavɔ̃ ne èkpɔ nusi do tso eme alea. Gake ɖo ŋku edzi be esiae nye afɔɖeɖe gbãtɔ si woawɔ atsɔ akpɔ atikewɔwɔ me kuxi si na ʋusɔgbɔdɔ si woyɔna be microcytic anemia la gbɔ . Zi geɖe la, iron ƒe anyimanɔmanɔ gbɔe wòtsona. Gake nu geɖe ate ŋu ahe esia vɛ. Kpɔ egbɔ be yebia wò ɖɔkta be nukae wò dodokpɔ me tsonu fia kple afɔ siwo wòle be nàɖe kplɔe ɖo hã.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, Microcytic Anemia nye ne míaƒe ʋumenugbagbevi dzĩwo va le sue. Nusi koŋ gbɔ esia tsoe nye ʋumenugbagbeviɣidɔ ƒe ɖiɖi. Iron ƒe anyimanɔmanɔe nye nusi gbɔ wòtsona wu. Ke hã, nu bubuwo ate ŋu atsoe abe Thalassemia, si nye dɔdzẽ si dɔléle siwo nɔa anyi didi hena vɛ ene.

Ne dzesiwo abe ɖeɖiteameŋu, taɖuame, ŋutigbalẽ si le ɣie, alo ɖeɖiteameŋu ene le ŋuwò la, ele be nàkpɔ ɖɔkta godoo. Woate ŋu akpɔ esia to ʋudodokpɔwo abe CBC kple PBS ene me. Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi.

Mègatsi dzi o, zi geɖe la, woate ŋu akpɔ nɔnɔme sia gbɔ nyuie ne wokpɔe dze sii eye wodae nyuie. Ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi, aɖu nuɖuɖu si da sɔ si me iron sɔ gbɔ ɖo, eye nàwɔ lãmesẽmenɔnɔ ƒe nɔnɔme nyuiwo . Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò la, ƒo nu kple wò ɖɔkta. Wò lãmesẽ ɖe vi ŋutɔ!

` Microcytic anemia , ʋusɔgbɔdɔ, ʋumenugbagbevi dzĩwo, hemoglobin, iron ƒe anyimanɔmanɔ, dzesiwo, atikewɔwɔ