Ðe wò ŋutilã ƒe ametakpɔnuwo le suea? Mina míaƒo nu tso neutropenia ŋu!

Ðe nèdzea dɔ zi geɖea? Alo ɖe ɖɔkta aɖe lé ŋku ɖe wò ʋudodokpɔ ŋu hegblɔ kpɔ be, "Wò ʋumenugbagbevi ɣiwo ɖiɖi viea?" Ðewohĩ asrã le ŋuwò, èsena le ɖokuiwò me be yegbɔdzɔ vie, gake màte ŋu anya nusitae o. Le ɣeyiɣi siawo tɔgbe me la, ate ŋu anɔ vevie ŋutɔ be nànya nɔnɔme sia si woyɔna be neutropenia, si ŋu míele nu ƒom tsoe egbea. Mègatsi dzi o, mina míaɖe eme bɔbɔe.

Nukae nye neutropenia? Ele bɔbɔe ŋutɔ!

Kpuie ko la, ʋumenugbagbeviɣidɔ nye nɔnɔme si me ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be neutrophils ƒe xexlẽme le wò ʋu me le ʋɛ wu alesi wòle be wòanɔ. Bu neutrophil siawo be wonye kpovitɔ siwo wona hehee etɔxɛe le míaƒe ŋutilã me. Woawoe wɔa avu kple dɔlékuiwo, abe dɔlékuiwo kple dɔlékuiwo ene, siwo gena ɖe míaƒe ŋutilã me hekpɔa mía ta tso dɔléle me.

Wowɔa asrafo siawo siwo woyɔna be neutrophils le dɔwɔƒe aɖe si le míaƒe ƒumeŋuɖui me koŋ. Eyata ne neutrophil siawo ƒe xexlẽme dzi ɖe kpɔtɔ la, ŋutete si le míaƒe ŋutilã ŋu be wòawɔ avu kple dɔlékuiwo hã dzi ɖena kpɔtɔna. Ema fia be mɔnukpɔkpɔ si li be woaxɔ dɔlékuiwo dzina ɖe edzi ŋutɔ. Le nɔnɔme sesẽ aɖewo me la, dɔlékui siwo le dzɔdzɔme nu mehea kuxi boo aɖeke vɛ na ame si le lãmesẽ me o, abe esiwo le míaƒe nu me alo dɔgbo me ene, gɔ̃ hã ate ŋu ahe dɔléle sesẽwo vɛ. Èse egɔmea?

Nukae wòle be neutrophils ƒe agbɔsɔsɔ si sɔ nanye?

Woda ʋumenugbagbeviɣidɔ ɖe hatsotsowo me le ʋumenugbagbevi dzĩ siwo le ʋu me ƒe xexlẽme nu. Wolɔ̃ ɖe edzi zi geɖe be ele be neutrophils 1,500 ya teti nanɔ ame tsitsi si le ʋu microlita ɖeka me. (Ame aɖewo bua seɖoƒe sia be enye 1,800). Alesi wògblẽnae nye esi:

• Neutropenia fafɛ: Neutrophils 1,000 – 1,500 domee.
• Neutropenia si sɔ gbɔ: Neutrophils 500 – 1,000 dome.
• Neutropenia sesẽ: Neutrophils mede 500 o.

Nɔnɔme sia ate ŋu anɔ anyi ɣeyiɣi kpui aɖe (si nu sẽ) alo ɣeyiɣi didi (si nɔa anyi didi). Ate ŋu anye nusi wodzina alo ame si woxɔ hã.

Amekae ate ŋu axɔ neutropenia wu?

Dɔlékuiwo gbɔe neuropenia ate ŋu atso ɣeaɖewoɣi. Gake zi geɖe la, wobua eŋu be enye kansadɔdamɔnu, vevietɔ atikewɔmɔnu, ƒe nugbegblẽ le ame ŋu. Numekulawo gblɔ be amesiwo xɔa atikewo dometɔ siwo ade 50% ate ŋu axɔ ʋumenugbagbeviɣidɔ.

Ƒomevi bubu aɖe hã li si woyɔna be `Benign Ethnic Neutropenia (BEN).` Esia nye nɔnɔme si wodzina, si nɔa anyi didi. Ame siwo tso Afrika, Titina Ɣedzeƒe, kple Ɣetoɖoƒe Indiatɔwo mee wòbɔ ɖo wu. Ame siawo ƒe ʋumenugbagbevi dzĩwo ƒe xexlẽme mede 1,500 o, gake womele afɔku gã aɖe me be woaxɔ dɔlékuiwo o.

Aleke neutropenia kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Neutropenia ƒe ŋusẽkpɔɖeamedziwo toa vovo le wò neutrophil xexlẽme nu. Ðewohĩ dzesi aɖeke manɔ amesi ŋu neutropenia si nu mesẽ o le ŋu o. Zi geɖe la, woke ɖe eŋu le vo me le ʋudodokpɔ me be dɔléle bubu aɖe le ame ŋu. Gake ne neutropenia si sɔ gbɔ va ɖo esi nu sẽ le ŋuwò la, ke èle afɔku gã aɖe me be nàxɔ dɔlékuiwo. Neutropenia sesẽ ate ŋu ade ame ƒe agbe afɔku me ne womedae nyuie o. Esia tae wòle vevie be míanya nɔnɔme sia ɖo.

Nukatae neutropenia dzɔna? Nukawoe gbɔ wòtsona?

Nu vevi etɔ̃ ate ŋu ana neutropenia natso:

1. Wò ƒumeŋuɖui mele neutrophils wɔm wòsɔ gbɔ o.

2. Neutrophils siwo wowɔna ƒe gbagbã kabakaba (atsrɔ̃).

3. Alo, be woatsrɔ̃ neutrophils siwo dzɔ.

Susu siwo tae dometɔ aɖewoe nye esi:

• Domenyiŋusẽfianu ƒe nɔnɔmewo: Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu atso dzilawo gbɔ ayi ɖeviwo gbɔ to domenyiŋusẽfianuwo dzi. Benign Ethnic Neutropenia (BEN), Cyclic neutropenia, kple Severe congenital neutropenia nye ƒomevi siwo tso domenyiŋusẽfianu mawo gbɔ la dometɔ aɖewo.
• Dɔlékuiwo: Dɔlékuiwo, dɔlékuiwo, kple dɔlékuiwo ƒe dɔlékuiwo hã ate ŋu ahe neuropenia vɛ. Kpɔɖeŋu aɖewoe nye HIV, aklãdɔ, yɔmekpe, sepsis (ʋu me dɔlékui sesẽ aɖe), kple Lyme dɔléle.
• Kansa: Kansa abe ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, kple dɔléle bubu siwo ku ɖe ʋu alo ƒumeŋuɖui ŋu ate ŋu ana ŋutilãa magate ŋu awɔ ʋumenugbagbevi ɣi siwo le lãmesẽ me siwo wòhiã o, si ana neutropenia nava.
• Atikewo: Kansa dada, abe atikewɔmɔnu kple keklẽŋusẽdɔdamɔnu ene, ate ŋu agblẽ nu le ʋumenugbagbevi dzĩwo kple ƒumeŋuɖui si naa wo ŋu. Azɔ hã, atike aɖewo siwo wozãna na dɔléle bubu siwo menye kansa o ate ŋu aɖe neutrophil ƒe agbɔsɔsɔ dzi akpɔtɔ abe eƒe nugbegblẽ le ame ŋu ene.
• Nunyiame ƒe veve: Neutropenia ate ŋu adzɔ ne vitamin kple mineral, abe vitamin B12, folate, alo copper ene mesu ŋutilãa si o.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ: Esia nye ne mía ŋutɔwo ƒe dɔlélenutsiŋutete mesea mía ŋutɔwo ƒe dɔlélenutsiŋutete gɔme nyuie o eye wòwɔa dɔlékuiwutike siwo gblẽa neutrophils siwo le lãmesẽ me. Ele abe mía ŋutɔwo ƒe aʋakɔ si le eɖokui dzi dzem ene. Crohn ƒe dɔléle, lupus, kple ƒunukpeƒetetedɔ nye nɔnɔme siawo dometɔ aɖewo.

Ɣeaɖewoɣi la, nɔnɔme aɖe nɔa anyi si woyɔna be `Chronic idiopathic neutropenia`. Eyae nye be neutropenia li, gake womate ŋu ake ɖe nusi tututu gbɔ wòtso ŋu o .

Nukatae kansa dada nana neutropenia nɔa ame ŋu?

Kansa dada abe atikewɔmɔnu ene nye atike siwo ŋu ŋusẽ le ŋutɔ. Wowua kansa lãmenugbagbeviwo. Gake woate ŋu agblẽ nu le lãmenugbagbevi siwo le lãmesẽ me siwo mãna kabakaba hã ŋu. Míaƒe neutrophils kple ƒumeŋuɖui me lãmenugbagbevi siwo wɔa wo hã nye lãmenugbagbevi siwo mãna kabakaba. Esia tae neutropenia bɔ ɖe atikewo zazã me ɖo. Zi geɖe la, neutrophil ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna wu le kwasiɖa eve gbãtɔ siwo wotsɔ da dɔae me. Le ema megbe la, wogadzina ɖe edzi vivivi.

Ele vevie ŋutɔ be nàɖe afɔ bubuwo atsɔ akpɔ ɖokuiwò ta tso dɔlékuiwo me le ɣeyiɣi sia me, elabena ɣeyiɣi sia mee ŋutilãa ƒe ametakpɔnuwo gbɔdzɔna wu.

Nukawoe nye neutropenia ƒe dzesiwo?

Dzesi aɖeke koŋ mele neutropenia ŋutɔ ŋu o. Gake ne èxɔ dɔlékuiwo le neutropenia ta la, àte ŋu akpɔ dɔlékui mawo ƒe dzesiwo. Dɔlékuiwo xɔxɔ enuenu hã ate ŋu anye neutropenia ƒe dzesi. Dzesiawo dometɔ aɖewoe nye esi:

• Asrã (vevietɔ nɔnɔme si woyɔna be febrile neutropenia) .
• Ɖeɖiteameŋu
• Kɔmeve (Pharyngitis) .
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu
• Abi siwo le nu me alo ƒo xlã aɖuɖɔtoe
• Vevesese, vuvu, kple abibibi le afisi dɔlélea le
• Nuɖuɖumadzroame, aɖuɖɔtoe
• Aɖuɖɔtoe ƒe dzesiwo, abe dzobibi ne wole aɖuɖɔ tom kple aɖuɖɔtoe enuenu ene

Ne neutropenia si nu mesẽ o le ŋuwò la, ɖewohĩ neutrophils sɔ gbɔ le wò ŋutilã me be wòawɔ avu kple dɔlékuiwo. Ne edzɔ alea la, ɖewohĩ màkpɔ dzesi aɖeke o.

Aleke wowɔa dea dzesi neutropenia?

Dodokpɔ vevitɔ kple bɔbɔetɔ kekeake si woatsɔ anya esiae nye ʋu ƒe xexlẽme blibo (CBC) si me vovototo le . Ne èle atike wɔm abe atikewɔmɔnu ene la, wò ɖɔkta awɔ dodokpɔ sia edziedzi be yealé ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu.

Ne wò ɖɔkta meka ɖe nusi gbɔ wò neutropenia tso dzi o la, ate ŋu adɔ be woawɔ dodokpɔ bubuwo. Le kpɔɖeŋu me, woate ŋu atsɔ wò ƒumeŋuɖui ƒe kpɔɖeŋu aɖe adoe kpɔ le nusuekpɔmɔ̃ me. Dodokpɔ sia ate ŋu anya nenye be wole neutrophils wɔm nyuie le wò ƒumeŋuɖui me, alo nenye be wole wo tsrɔ̃m le wo wɔwɔ vɔ megbe. Nyatakaka siawo ate ŋu akpe ɖe wò ɖɔkta ŋu wòaɖo kpe dɔlélea dzi.

Nukawoe nye atike siwo wozãna na ʋumenugbagbeviɣidɔ?

Ðewohĩ neutropenia ƒomevi aɖewo mahiã be woada wo o. Atikewɔmɔnu bubuwo nɔ te ɖe nusi gbɔ wò neutrophil ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi tso dzi.

Woate ŋu awɔ nusiwo gbɔna abe atikewɔwɔ ene:

• Dɔlékuiwutikewo: Ne dzoxɔxɔ ƒe ʋumenugbagbeviɣidɔ le ŋuwò eye asrã le ŋuwò la, dɔlékuiwutikewo ate ŋu aɖe wò agbe. Zi geɖe la, woaxɔ wò ɖe kɔdzi eye woana dɔlékuiwutikewo, abe saline ene, to ʋuka me. Le ɣeyiɣi sia me la, woawɔ dodokpɔwo be woakpɔ nusi gbɔ dɔlélea tso.
• Corticosteroids: Ne neutropenia le ŋuwò si tso dɔlélenutsiŋutete ƒe dɔléle aɖe gbɔ la, wò ɖɔkta ate ŋu aŋlɔ atike aɖe si woyɔna be corticosteroids na wò. Atike siawo ɖea wò dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi kpɔtɔna, si gblẽa wò ʋumenugbagbevi dzĩwo.
• Granulocyte colony-stimulating factor (G-CSF): Wò ɖɔkta ate ŋu aŋlɔ atike siwo ana wò ƒumeŋuɖui nawɔ ʋumenugbagbevi ɣiwo hã na wò. Ne èle atikewo zãm la, woate ŋu ado G-CSF sia wò.

Ne wokpɔe be atike aɖe si zãm nèle gbɔe neutropenia tso la, wò ɖɔkta agblɔ na wò be nàdzudzɔ atike ma nono alo nàtrɔ atikeawo ƒe agbɔsɔsɔme.

Ðe woate ŋu axe mɔ ɖe ʋumenugbagbeviɣidɔ nua?

Míate ŋu axe mɔ ɖe neutropenia ƒomevi siwo wodzina nu o. Gake ne èle atikewo zãm la, ne wò ɖɔkta susui be wò neutrophil ƒe agbɔsɔsɔ le ʋɛ la, ate ŋu ahe atikewɔmɔnu si kplɔe ɖo ɖe megbe alo aɖe agbɔsɔsɔ si woazã dzi akpɔtɔ. Woate ŋu aɖo aɖaŋu hã be woado G-CSF be wòana ʋumenugbagbevi ɣiwo nadzi ɖe edzi.

Aleke mawɔ akpɔ ɖokuinye ta tso dɔlékuiwo me ne neutropenia le ŋunye?

Ne ènya be yeƒe ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, afɔ geɖe li nàte ŋu aɖe atsɔ akpɔ ɖokuiwò ta tso dɔlékuiwo me. Esiawo nye nu vevi ŋutɔ siwo wòle be woanɔ susu me na mí.

• Klɔ asi edziedzi kple adzalẽ alo zã asikɔklɔtike si me aha le.
• Wo dometɔ aɖewoe nye dzamezã kple Covid-19 `(COVID-19)`Na wò atikewɔmɔnuwo katã nasu asiwò ɖe game dzi.
• Te ɖa le ame siwo le dɔ lém kple teƒe siwo amewo sɔ gbɔ ɖo si nàte ŋu ado go ame aɖe si le dɔ lém le la gbɔ.
• Kpɔ nyuie le ƒoƒo, lãɖeɖe, kple abi (siwo dometɔ aɖewoe nye nuŋɔŋlɔ kple ŋutilã ƒe ƒoƒo hã) ŋu. Da ŋutigbalẽ ƒe nugbegblẽ ɖesiaɖe enumake.
• Klɔ atikutsetsewo kple amagbewo nyuie, ɖe lã kple tɔmelãwo ɖa tso nuɖuɖu bubuwo gbɔ, eye nàɖa nuɖuɖu le nuɖaƒe si le dzadzɛ, eye nàɖae nyuie. To mɔ sia dzi la, àte ŋu axe mɔ na dɔlékuiwo ƒe kaka.
• Mègatsɔ nuɖunu, kplu, alo nuɖuɖu kple nunono na ame bubuwo o.
• Mègatsɔ nu siwo le abe afɔkpawo, lãgbalẽŋudɔwɔnuwo, kple aɖututuwo ene na ame bubuwo o.
• Ne èle dɔ wɔm le abɔ me la, do asigɛwo.
• Ƒo asa na aƒemelãwo ƒe gbeɖuɖɔ ɖeɖeɖa kple vidzĩ yeyewo ƒe aklala ɖɔliɖɔli alesi nàte ŋui (ne ele be nàwɔe la, do asigɛwo eye nàklɔ asi nyuie ne èwu enu).
• Ƒo asa na tawo, tsitawo, tɔsisiwo, kple tsi dzodzoewo zazã.
• Zã atikeawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu.

Aɖaŋuɖoɖo siawo dometɔ geɖe nye nusiwo míewɔna zi geɖe be míanɔ lãmesẽ me. Gake ne neutropenia le ŋuwò la, ele be nàɖɔ ŋu ɖo geɖe wu. Bia wò ɖɔkta be nukae nàte ŋu awɔ atsɔ akpɔ ɖokuiwò ta tso dɔlékuiwo me, le wò agbenɔnɔ kple lãmesẽ ƒe nɔnɔme nu.

Nukae nye ŋgɔdonya na amesiwo ŋu neutropenia le? (Nyagblɔɖi) .

Woate ŋu ada ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, eyata nukpɔsusu si le ame akpa gãtɔ si la nyo. Nu vevitɔe nye be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu eye nàdi atike enumake (ne èdze dɔ).

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èle atikewo zãm alo dɔléle bubu aɖe le ŋuwò si ate ŋu ana neutropenia natsi wò la, yi ɖɔkta enumake ne èkpɔ dzesi siawo dometɔ aɖe, alo yɔ wò ɖɔkta enumake be wòaɖo aɖaŋu na wò le nusi nàwɔ ŋu:

• Asrã si ƒe sesẽme nye Celsius dzidzenu 38 alo esi wu nenema.
• Fifia alo ʋuʋu le vuvɔ ta.
• Yagbɔgbɔ sesẽ.
• No me ʋuʋu.
• Kɔ alo kɔ ƒe sesẽ.
• Kɔdzi yeye alo kɔdzidɔ si li xoxo ƒe gbegblẽ.
• Aɖuɖɔtoe kple/alo ʋuʋudedi.
• Tsi si dona le vidzidɔ me alo ʋuʋudedi.
• Vevesese, abi, alo vuvu le ŋutilãa ƒe akpa ɖesiaɖe.
• Tɔtrɔ le aɖuɖɔtoe me (vevesese, dzobibi, aɖuɖɔtoe ƒe hiahiã enuenu).
• Vevesese ƒe gɔmedzedze yeye, vevietɔ le dɔgbo alo dɔgbo me.
• Sese le eɖokui me be yetɔtɔ alo yeƒe susu to vovo tso alesi wònɔna ɖaa gbɔ.
• Sese le eɖokui me be ɖeɖi te ye ŋu akpa alo yeƒe lãme mesẽ o.

Alesi nèkpɔa neutropenia la nɔ te ɖe nusi na wò neutrophil ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ dzi. Ne wò agbɔsɔsɔ dzi ɖe kpɔtɔ le dɔlékui aɖe si nèxɔ nyitsɔ laa ta la, anɔ eme be atrɔ ava nɔ abe alesi wònɔ tsã ene ne wò ŋutilã le hayahayam. Ne dɔléle alo atike si nèzãna ɣeyiɣi didi aɖe gbɔe wò ʋumenugbagbeviɣidɔ tso la, wò ɖɔkta alé ŋku ɖe wò ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ ŋu edziedzi be wòaxe mɔ ɖe kuxi siwo dɔlékuiwo ate ŋu ado mo ɖa nu. Bia wò ɖɔkta nenye be wò neutropenia hiã be nàdoe kpɔ le atikewɔwɔ me edziedzi eye nàzã atikewo atsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Neutropenia nye nɔnɔme si me ŋutilãa ƒe ʋumenugbagbevi ɣi siwo woyɔna be neutrophils mesɔ gbɔ o. Esia dzia dɔlékuiwo xɔxɔ ƒe afɔkua ɖe edzi. Nɔnɔme sia bɔ ɖe amesiwo le kansa ƒe atikewo abe atikewɔmɔnu ene zãm koŋ me.

Menye naneke si ŋu woatsi dzi ɖo o, atikewɔwɔwo li na esia. Nu vevitɔ kekeakee nye:

• Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
• Afɔ ɖesiaɖe si nàte ŋui wɔwɔ be nàkpɔ ɖokuiwò ta tso dɔlékuiwo xɔxɔ me.
• Ne ède dzesi dɔlékui ƒe dzesi aɖewo, abe asrã ene la , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Ne ènya esia eye nèɖɔ ŋu ɖo la, àte ŋu anɔ lãmesẽ me ne neutropenia gɔ̃ hã. Mègahe ɖe megbe gbeɖe le nuƒoƒo na wò ɖɔkta tso nyabiase alo nusiwo ŋu nètsi dzi ɖo ŋu gbeɖe o.

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` Neutropenia, neutrophils, ʋumenugbagbevi ɣiwo, dɔlélenutsiŋutete, dɔlékuiwo, kansa, atikewɔmɔnu