Ðe wò ʋumenugbagbevi dzĩwo le suea? Mina míaƒo nu tso Microcytosis ŋu!

Ɣeaɖewoɣi ne wodo wò ʋu kpɔ la, vɔvɔ̃ ɖoa wò vie ne èkpɔ nya aɖewo le nyatakakaa dzi, alo? Nya mawo dometɔ ɖekae nye ‘Microcytosis’. Gake mègavɔ̃ o, menye dɔléle sesẽ aɖe ƒe ŋkɔe nye esia o. Ðeko wòfia be wò ʋumenugbagbevi dzĩwo le sue vie wu alesi wòle dzɔdzɔmee. Egbea, míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nukae nye Microcytosis?

Kpuie ko la, microcytosis nye ne ʋumenugbagbevi dzĩ siwo le wò ʋu me le sue wu alesi wòle. Míebua esia be enye dɔléle o, ke boŋ enye nusi ŋu woke ɖo si woate ŋu akpɔ le ʋudodokpɔ vɔ megbe. Esiae nye nusi nàte ŋu anya zi geɖe ne èxlẽ ʋu bliboa (CBC). Bu eŋu abe nyatakaka si gblɔ ʋumenugbagbevi siwo le wò ŋutilã me ŋuti nyatakakawo tsitotsito ene.

Asixɔxɔ aɖe le `CBC` nyatakaka sia me, si woyɔna be `Mean Corpuscular Volume` (MCV) . Wozãa `MCV` ƒe asixɔxɔ sia tsɔ dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu. Le ame tsitsi gome la, ne `MCV` ƒe asixɔxɔ sia mede femtolita 80 `(80 fL)` o la, ekema míegblɔna be microcytosis li.

Zi geɖe la, nɔnɔme sia si woyɔna be microcytosis ate ŋu anye ʋusɔgbɔdɔ ƒomevi aɖe si woyɔna be microcytic anemia ƒe dzesi . Le ʋusɔgbɔdɔ sia si tso lãmenugbagbeviwo me la, ʋumenugbagbevi dzĩwo mesɔ gbɔ o. Ènya be hemoglobin nye protein vevi aɖe ŋutɔ si kpena ɖe míaƒe ʋumenugbagbevi dzĩwo ŋu be woatsɔ oxygen ayi ŋutilã bliboa mea?

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, nɔnɔme sia si woyɔna be Microcytic Anemia nye ʋusɔgbɔdɔ ƒomevi aɖe si bɔ ŋutɔ si wokpɔna le ame tsitsiwo kple ɖevi suewo dome. Eyata ele vevie ŋutɔ be míanya esia.

Nukae nye Microcytosis ƒe dzesiwo?

Zi geɖe la, dzesi aɖeke koŋ menɔa eŋu o. Nusi wokpɔ le nyatakakaa me koe nye be `MCV` ƒe asixɔxɔ le sue.

Gake ne dzesiwo dze la, wosɔ kple nɔnɔme si nye Microcytic Anemia si megblɔ va yi ƒe dzesiwo. Woawoe nye:

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi. Abe ɖe agbe aɖeke mele ŋutilãa me o ene.
• Ŋutilã si ƒe ŋutigbalẽ le ɣie. Ɣeaɖewoɣi la, nuyiwo kple aɖe hã ate ŋu azu ɣie.
• Yagbɔgbɔ sesẽ. Àte ŋu ase le ɖokuiwò me be yegbɔdzɔ ne èdze agbagba vie gɔ̃ hã.
• Dzi ƒe tsotso dzina ɖe edzi.
• Nɔnɔme aɖe si woyɔna be ‘Pica’. Ne iron ƒe anyimanɔmanɔ na microcytosis va ko hafi esia dzɔna. ‘Pica’ nye didi be woaɖu nusiwo womate ŋu aɖu o abe ɖi, tsikpe, kple anyi ene.

Tsɔ kpe ɖe dzesi siawo ŋu la, àte ŋu akpɔ dzesi siwo do ƒome kple nusi gbɔ microcytosis tsona hã.

Nukatae microcytosis sia dzɔna?

Nusi gbɔ microcytosis tsona wue nye be iron si sɔ gbɔ ɖe wò ŋutilã me o. Woyɔa esia be ʋusɔgbɔdɔ si me iron mele o . Ðo ŋku edzi be megblɔ be iron hiã vevie hafi woate ŋu awɔ hemoglobin.

Tsɔ kpe ɖe eŋu la, nutoa me ƒe nɔnɔmewo, atikewɔwɔ ƒe nɔnɔme aɖewo (siwo wodzina kple esiwo woxɔ siaa), kple numame aɖewo hã ate ŋu ahe microcytosis vɛ.

Nu vevi siwo gbɔ microcytosis tsona:

• Iron ƒe anyimanɔmanɔ:
• Iron si sɔ gbɔ kpɔkpɔ tso nuɖuɖu me: Ɣeaɖewoɣi la, nuɖuɖu si míeɖuna la mate ŋu ana iron si sɔ na míaƒe ŋutilã o. Ele be amagbeɖulawo koŋ nakpɔ nyuie le esia ŋu.
• Kuxi siwo le iron ƒe xɔxlɔ̃ ŋu: Bu eŋu kpɔ, ne èɖu nuɖuɖu siwo me iron le gɔ̃ hã, ne dɔléle aɖe abe ‘Celiac dɔléle’ alo dɔgbo me dɔléle abe ‘H. pylori dɔlékui’ , ŋutilãa mate ŋu axɔ gayibɔ ma nyuie o. Azɔ hã, nɔnɔme sia ate ŋu adzɔ le amekoko abe ‘Gastric bypass surgery’ ene hena lolo dzi ɖeɖe kpɔtɔ megbe.
• Iron ƒe anyimanɔmanɔ le ʋu ƒe dodo ta: Le nyɔnuwo gome la, ʋu si dona le dzinukpɔkpɔ me vevie le dzinukpɔkpɔ me ate ŋu ana iron nagbɔdzɔ. Azɔ hã, ʋu si dona le dɔgboa me (GI) le abi si le dɔgboa alo dɔgbo me ta hã nye nu bubu si gbɔ wòtsona.

• Thalassemia ƒe dɔléle:
• Esia nye domenyiŋusẽfianu ƒe dɔléle si ƒe dome wonyi. Le nɔnɔme sia me la, ŋutilãa mete ŋu wɔa hemoglobin nyuie o. Ʋumenugbagbevi dzĩwo ate ŋu anɔ ame si ŋu thalassemia le la ƒe xexlẽme si sɔ alo adzi ɖe edzi, gake ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le lãmenugbagbevi mawo me ya mesɔ gbɔ o. Woyɔa esia be hypochromic microcytosis . Le thalassemia ƒomevi aɖewo siwo mesẽ o me la, microcytosis koe woate ŋu akpɔ ʋusɔgbɔdɔ manɔmee.

• Ʋusɔgbɔdɔ si tso dɔléle si nɔa anyi didi gbɔ:
• Dzoxɔxɔ si tso dɔléle siwo nɔa anyi didi abe dɔlélenutsiŋutete ƒe dɔlélewo ( e.g. ƒunukpeƒetetedɔ), dɔlékui siwo nɔa anyi didi, ayikudɔ, kple kansa gbɔ ate ŋu agblẽ nu le ŋutilã ƒe ŋutete be wòazã iron atsɔ awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me.

Nusiwo mebɔ o siwo hea microcytosis vɛ:

Esiawo le ʋɛ vie, gake enyo be nànya:

• Domenyiŋusẽfianu ƒe nɔnɔme siwo mebɔ o siwo doa kplamatse ʋumenugbagbevi dzĩwo ƒe wɔwɔ kple woƒe dɔwɔwɔ.
• Tomenu siwo mebɔ o (le kpɔɖeŋu me, akɔbli ƒe anyimanɔmanɔ).
• Aɖi si me lifi le.

Aleke nàwɔ anya pɛpɛpɛ nenye be microcytosis le ŋuwò?

Abe alesi megblɔe va yi ene la, microcytosis menye ŋkɔ si dziɖuɖua nana dɔléle aɖe o. Ðeko wòfia be wò ʋumenugbagbevi dzĩwo le sue wu alesi wòle dzɔdzɔmee.

Wò ɖɔkta abu wò dzesiwo, ƒe si nèxɔ, ŋutsu alo nyɔnu nyenye, kple wò atikewɔwɔ ŋutinya ŋu be yeanya nusi ate ŋu anye nusi gbɔ esia tso. Le kpɔɖeŋu me, ne ʋu le dodom le ŋuwò vevie le wò dzinukpɔkpɔ me la, ate ŋu anye ʋusɔgbɔdɔ si me iron mele o. Alo, ne thalassemia le wò ƒomea me la, ema hã ate ŋu anye nusi gbɔ wòtso.

Ðɔktaa ate ŋu awɔ dodokpɔ geɖe wu be yeanya nusi tututu gbɔ wòtso.

Dodokpɔ kawoe wole wɔwɔm na esia?

Dodokpɔ geɖe li siwo ate ŋu akpe ɖe ɖɔkta ŋu wòanya nusi gbɔ dɔléle sia tso:

• Ʋu si le gota: Esia bia be woaɖe wò ʋu aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia ate ŋu aɖo kpe edzi nenye be wò ʋumenugbagbevi dzĩwo le sue ŋutɔŋutɔ eye nenye be nu bubu aɖewo siwo mesɔ o le wo ŋu. Ne wò ʋumenugbagbevi dzĩwo ƒe lolome kple nɔnɔme le vovovo (Poikilocytosis) la, ate ŋu anye kpeɖodzi na dɔléle siwo hea microcytosis vɛ la dometɔ aɖewo.
• Lãmenugbagbevi dzĩwo mama ƒe kekeme (RDW): Esia hã dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ. Esia hã nye asixɔxɔ si wokpɔ le CBC ƒe nyatakakaa me. Zi geɖe la, ʋumenugbagbevi dzĩwo ƒe lolome sɔ. Gake ne vovototo gã aɖe le lãmenugbagbeviwo ƒe lolome me (Anisocytosis) la, ate ŋu ana susu aɖe hã nasu ame aɖe si ku ɖe dɔléle aɖewo ŋu.
• Iron ƒe agbɔsɔsɔ: Iron ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me nye ʋusɔgbɔdɔ si me iron mele o ƒe dzesi.
• Ferritin ƒe agbɔsɔsɔ: Ferritin nye protein si dzraa iron ɖo ɖe míaƒe lãmenugbagbeviwo me. Ne èlé ŋku ɖe ferritin ƒe agbɔsɔsɔ sia ŋu la, àte ŋu anya iron agbɔsɔsɔme si le ŋutilãa me.
• Total iron binding capacity (TIBC): Ne wowɔ dodokpɔ sia kpe ɖe iron kple ferritin ƒe agbɔsɔsɔ ŋu la, ate ŋu anye kpekpeɖeŋu gã aɖe le iron ƒe anyimanɔmanɔ didi me. Ate ŋu akpe ɖe ame ŋu hã le ʋusɔgbɔdɔ si dɔléle siwo nɔa anyi didi alo dɔdzẽ hena vɛ la didi me.

Ne wonya ɖo kpe edzi be iron ƒe veve aɖeke meli o ko la, be woanyae kple kakaɖedzi nenye be thalassemia gbɔe wòtso la, ahiã be woawɔ dodokpɔwo abe hemoglobin electrophoresis kple domenyiŋusẽfianu dodokpɔwo ene.

Aleke wowɔa dɔ na Microcytosis?

Atikewɔwɔ nɔ te ɖe nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ gbɔ. Ɣeaɖewoɣi la, ne dzesi aɖeke mele ŋuwò o eye dodokpɔa me tsonu mesẽ akpa o la, ɖewohĩ mahiã be nàdae o.

Le nusi gbɔ wòtso nu la, woate ŋu awɔ atike siwo gbɔna:

• Nuɖuɖu ƒe tɔtrɔ: Nuɖuɖu siwo me iron sɔ gbɔ ɖo (e.g., tɔmelã, soya-nuɖuɖu (tofu), peas, beans, greens, atikutsetsewo) tsɔtsɔ kpe ɖe nuɖuɖua ŋu.
• Iron kpeɖeŋutɔ: Wotsɔa esiawo naa amesiwo ŋu ʋusɔgbɔdɔ si me iron mele o le.
• Ʋudodo: Ne ʋusɔgbɔdɔa nu sẽ ŋutɔ ko hafi wowɔa esia.

Nu vevitɔe nye be nàwɔ ɖe atikewɔwɔ ƒe ɖoɖo si wò ɖɔkta na wò dzi pɛpɛpɛ le kuxi si gbɔ wòtso nu.

Ðe woate ŋu atrɔ Microcytosis?

Ema hã nɔ te ɖe nusi gbɔ wòtso dzi. Zi geɖe la, microcytosis nu ayi ne wonya da dɔ na nɔnɔme si gbɔ wòtso ko. Wò ɖɔkta ate ŋu agblɔ alesi atikewɔwɔ akpɔ ŋusẽ ɖe wò ʋumenugbagbeviɣiwo kple wò lãmesẽ bliboa dzii na wò.

Nukae dzɔna ne womewɔ atike nɛ o?

Menye amesiame si ŋu microcytosis alo microcytic anemia le lae ahiã atikewɔwɔ o. Gake ne dɔléle sesẽ aɖe le ŋuwò si na wò ʋumenugbagbevi dzĩwo le sue la, ele vevie be nàna woakpɔe ahadae kaba. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ku ɖe ne èhiã atikewɔwɔ kple nusi nàkpɔ mɔ na tso atikewɔwɔ me ŋu.

Ðe Microcytosis nye nu sesẽa?

Microcytosis nye wò ʋumenugbagbevi dzĩwo ƒe nɔnɔme ɖeka ko. Ate ŋu anye dɔléle aɖe si hiã atikewɔwɔ (kple dzesi bubuwo) ƒe dzesi. Gake zi geɖe la, menye nu vevi aɖekee wònye o, eye ate ŋu anye nane si nàkpɔ le nyatakakaa me ko.

Wò ɖɔkta agblɔ na wò nenye be wò microcytosis fia nɔnɔme aɖe si hiã be woawɔ atike nɛ.

Nukae mate ŋu awɔ atsɔ aɖe afɔku sia dzi akpɔtɔ?

Manya wɔ be woaxe mɔ ɖe dɔléle siwo katã ate ŋu ana ʋumenugbagbevi dzĩwo nagblẽ nu o. Gake àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èwɔ ɖe lãmesẽmenɔnɔ ƒe nɔnɔme aɖewo dzi.

Nu vevitɔ si ana nàwɔ esiae nye be nàkpɔ egbɔ be iron si sɔ le ye si tso yeƒe nuɖuɖu me. Nuɖuɖu siwo me iron sɔ gbɔ ɖo dometɔ aɖewoe nye:

• Ƒumelãwo abe tuna kple mackerel ene
• Nusiwo wotsɔ soya wɔe (Tofu) .
• Mɔliwo abe peas, green beans, chickpeas, kple lentils ene
• Amagbe siwo ƒe aŋgbawo le amadede dzẽ me abe aŋanyi, kale, kple collard greens ene
• Atikutsetsewo abe dati kple waintsetse ƒuƒu ene
• Lãwo, vevietɔ lã dzĩ (nyilã, gbɔ̃) kple koklolã

Azɔ hã, ne wowɔ dɔ na wò le dɔgboa me alo dɔléle bubu aɖe le ŋuwò si ɖea wò ŋutete be nàxɔ iron tso nuɖuɖu me dzi kpɔtɔna la, ƒo nu kple wò ɖɔkta tso iron kpeɖeŋutɔ siwo nèhiã ŋu.

Ne dɔléle aɖe le ŋuwò si dea ʋusɔgbɔdɔ ƒe afɔku me, abe thalassemia alo dɔléle si dɔlékuiwutikewo tsona ene la, wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi le alesi nàɖe wò afɔkua dzi akpɔtɔ ŋu.

Nukae wòle be mabia ɖɔktaa?

Ne èva nya be microcytosis le ye ŋu la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le nusi nàwɔ azɔ ŋu. Àte ŋu abia nyawo abe:

• ‘Ðe wòle be matsi dzi ɖe nye MCV si bɔbɔ ŋua?’
• ‘Dodokpɔ bubu kawoe wòahiã be mawɔ be makpɔ nusi gbɔ microcytosis la tso?’
• ‘Ðe mahiã be woawɔ atike na ma?’
• ‘Nu ka ƒomevie wòle be makpɔ mɔ na tso atikewɔwɔa me?’
• ‘Agbenɔnɔ ƒe tɔtrɔ kawoe mate ŋu awɔ be matrɔ microcytosis sia?’

Ðe kadodo aɖe le microcytosis kple kansa domea?

Microcytosis ate ŋu anye kansa ƒe dzesi ɣeaɖewoɣi, gake zi geɖe la, enyea nɔnɔme bubuwo ƒe dzesi. Zi geɖe la, microcytosis nyea iron ƒe anyimanɔmanɔ ƒe dzesi. Nu vevitɔe nye be mègatsi dzodzodzoe ahatsɔe be kansa (alo nu bubu aɖe)e o vaseɖe esime wò ɖɔkta nate ŋu aɖe nusi le edzi yim le wò ʋudodokpɔwo me la me.

Enye nusi sɔ be nàtsi dzimaɖi ne èkpɔ nusi mebɔ o le atikewɔwɔ me dodokpɔ aɖe me. Gake ne ranges si mesɔ o ƒe amesinɔnɔ mefia be èle dɔ lém alo nèhiã atikewɔwɔ o. Asixɔxɔwo abe ``MCV'' nye nyatakaka siwo kpena ɖe wò ɖɔkta ŋu wòsea wò lãmesẽ bliboa gɔme ko. Bia wò ɖɔkta be wòafia mɔ wò le alesi wò dodokpɔ me tsonu ate ŋu akpɔ ŋusẽ ɖe wò atikewɔwɔ le etsɔme dzi ŋu.

Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me?

Enyo, mina míadzro nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo me ko:

• Microcytosis menye dɔléle o, ɖeko wòfia be wò ʋumenugbagbevi dzĩwo le sue wu alesi wòle dzɔdzɔmee.
• Wodea dzesi esia zi geɖe kple ``CBC`` (ʋu ƒe xexlẽme blibo).
• Nusi gbɔ wòtsona wue nye iron ƒe anyimanɔmanɔ, gake nu bubuwo hã ate ŋu anɔ anyi, abe thalassemia kple dɔléle siwo nɔa anyi didi ene.
• Ame geɖe meɖea dzesi aɖeke fiana o. Ne wowɔe nenema la, ɖeɖi ate ŋu adze wo dzi, woƒe ŋutigbalẽ biã, eye gbɔgbɔ sesẽ na wo.
• Ðɔktaa awɔ dodokpɔ geɖe wu be yeanya nusi gbɔ wòtso.
• Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Ɣeaɖewoɣi la, ɖewohĩ atikewɔwɔ mahiã kura o.
• Mègatsi dzodzodzoe o! Ne ède dzesii be wò MCV le sue la, ƒo nu kple wò ɖɔkta be nànya nusitae tututu kple nusi nàwɔ.
• Ele vevie be nàlé nuɖuɖu nyui me ɖe asi, vevietɔ nuɖuɖu siwo me iron sɔ gbɔ ɖo ɖuɖu.

Ðo ŋku edzi be nyatakaka nana koe nyatakaka siawo nye, ke menye be woado vɔvɔ̃ na wò nàsusu be dɔléle aɖe le ye ŋu o. Ne ɖikeke alo nyabiase aɖewo le mewò la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

`Microcytosis, Ʋumenugbagbevi dzĩwo, Ʋusɔgbɔdɔ, Iron ƒe anyimanɔmanɔ, Hemoglobin, MCV