Ðe ʋumenugbagbevi ƒomevi etɔ̃awo katã mesɔ gbɔ ɖe mewòa? Mina míaƒo nu tso pancytopenia ŋu!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣia? Alo ɖe nèdzea dɔ le nu suetɔ kekeake mea, alo ɖe nèdea dzesi abi le wò ŋutilã katã ŋua? Esiawo ate ŋu atso tɔtrɔ aɖewo siwo va le wò ʋu me gbɔ. Egbea míele nu ƒom tso nɔnɔme aɖe si ateŋu adzɔ le ɣeyiɣi mawo tɔgbe me, si ɖɔktawo yɔna be "pancytopenia" ŋu. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye pancytopenia?

Kpuie ko la, pancytopenia nye nɔnɔme si me ʋumenugbagbevi gã etɔ̃ siwo katã le míaƒe ŋutilã me – ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo – ɖiɖi wu alesi wòle dzɔdzɔmee. Bu eŋu abe dɔwɔƒe gã aɖe ene. Dɔwɔla vovovowo le dɔwɔƒe sia hena dɔ vovovowo wɔwɔ. Nenema kee ʋumenugbagbevi siawo hã le. Dɔ aɖe koŋ le ƒomevi ɖesiaɖe si.

Azɔ lé ŋku ɖe nusi dzɔna ne lãmenugbagbevi ƒomevi siawo dzi ɖe kpɔtɔ ŋu:

• Ʋumenugbagbevi dzĩwo dzi ɖe kpɔtɔ: Esiawoe nye lãmenugbagbevi siwo tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Protein tɔxɛ aɖe si woyɔna be hemoglobin le lãmenugbagbevi siawo me . Emae léa oxygen la ɖe asi. Eyata ne ʋumenugbagbevi dzĩwo alo hemoglobin dzi ɖe kpɔtɔ la, míeyɔnae be "ʋusɔgbɔdɔ" alo "ʋu ƒe veve."
• Ʋumenugbagbevi ɣiwo ƒe xexlẽme: Ʋumenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩwo, le abe ŋutilãa ƒe ametakpɔnu ene. Wowɔa avu kple dɔlékuiwo eye wokpɔa mía ta tso dɔléle me. Le lãmenugbagbevi ɣi siawo dome la, woyɔa ƒomevi si bɔ wu be neutrophils . Woyɔa ʋumenugbagbevi ɣiwo dzi ɖeɖe kpɔtɔ be ʋumenugbagbeviɣidɔ . Wogayɔa neutrophils ƒe dzidziɖedzi be neutropenia .
• Ʋumenugbagbeviɣidɔ si mebɔ o: Ʋumenugbagbeviɣidɔ nye lãmenugbagbevi suesuesuewo. Gake wowɔa dɔ gã aɖe. Ne míetso lãme na mí la, ʋumenugbagbevi dzĩ siawo kpena ɖe mía ŋu míedzudzɔa ʋu si dona le mía ŋu. Wole vevie ŋutɔ na ʋu ƒe sisi. Eyata ne ʋumenugbagbevi dzĩwo ƒe xexlẽme mede o la, woyɔa nɔnɔmea be ʋumenugbagbeviɣidɔ .

Ne pancytopenia le ŋuwò la, àte ŋu akpɔ dzesi siwo tso nɔnɔme siawo dometɔ ɖeka, geɖe, alo wo katã gbɔ, le alesi wò ʋumenugbagbeviɣiwo le sue nu.

Aleke gbegbee pancytopenia bɔe?

Le nyateƒe me la, nɔnɔme si woyɔna be pancytopenia mebɔ abe alesi nàsusui ene o. Esi wònye be nu geɖe li siwo ate ŋu ahe dɔlélea vɛ ta la, esesẽ be woagblɔ ame agbɔsɔsɔme si tututu wòxɔa dɔlélea.

Nukae nye pancytopenia ƒe dzesiwo?

Ɣeaɖewoɣi la, pancytopenia ate ŋu anɔ bɔbɔe ŋutɔ. Ðewohĩ màde dzesi dzesi vevi aɖeke o. Ɣeaɖewoɣi la, ɖɔkta aɖe akpɔe ne wowɔ ʋudɔ siwo wowɔna edziedzi. Gake ɣeyiɣi aɖewo li siwo me nɔnɔmea ate ŋu asẽ ŋutɔ eye wòade ame ƒe agbe afɔku me. Le nɔnɔme mawo me la, ele be nàdi atike enumake.

Azɔ na míakpɔ nusiwo dzesi vovovoawo nye ne ʋumenugbagbevi siawo dzi ɖe kpɔtɔ.

Ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o (ʋusɔgbɔdɔ) ƒe dzesiwo .

Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ na wò o la, wò ŋutilã ƒe ŋutinu bubuwo kple lãkusiwo makpɔ oxygen si sɔ o. Àte ŋu akpɔ dzesiwo abe:

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðɖiteameŋu): Seselelãme si nye be ɖeɖi te ye ŋu eye yemedi be yeawɔ naneke o.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixe): Gbɔgbɔtsixetsixe ƒe seselelãme ne èdze agbagba vie gɔ̃ hã.
• Sese le eɖokui me be taɖuame.
• Taɖuame.
• Dzi ƒe tsotso ƒe dɔmawɔmawɔ nyuie nye seselelãme be dzia le ƒoƒom kabakaba alo mele ƒoƒom edziedzi o.
• Ŋutilã si le ɣie alo vuvɔ kple fifia ƒe seselelãme.

Ʋumenugbagbevi ɣiwo ƒe agbɔsɔsɔ si mede o (leukopenia) ƒe dzesiwo .

Ne ʋumenugbagbevi ɣiwo mesɔ gbɔ na wò o la, ŋutete si le wò ŋutilã ŋu be wòawɔ avu kple dɔlélewo dzi ɖena kpɔtɔna. Esia fia be àte ŋu axɔ dɔlékuiwo bɔbɔe. Dɔlékui siawo ate ŋu ahe dzesiwo abe:

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðeɖiteameŋu).
• Asrã kple vuvɔ.
• Kɔmeve alo dɔlékui (pharyngitis).
• Nu me ƒe abiwo.
• Kɔdzidede geɖe.
• Dɔmetɔtrɔ.
• Yagbɔgbɔ sesẽ.
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu.
• Pus si le dodom tso lãɖeɖewo me.

Ʋumenugbagbeviɣidɔ ƒe dzesiwo (thrombocytopenia) .

Ne wò ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, wò ʋu metsina nyuie o. Esia ate ŋu ahe nuwo abe:

• Nu suetɔ kekeake gɔ̃ hã ƒe abixɔxɔ le wò ŋutilã ŋu.
• Ʋu si le dodom si nu tsotso sesẽ alo esi nɔa anyi eteƒe didi.
• Ʋu si dona fũu akpa le nyɔnuwo ƒe dzinukpɔkpɔ me.
• Ʋu si dona le ame ŋu kple aɖuɖɔ, aɖuɖɔ , alo ʋuʋudedi.
• Teƒe dzĩ alo aŋutiɖiɖi le ŋutigbalẽa ŋu (petechiae) – si sɔ kple ʋuʋudedi. Ɣeaɖewoɣi la, teƒe dzĩ, aŋutiɖiɖi, alo aŋutiɖiɖi (purpura) hã ate ŋu adze.

Nukae hea pancytopenia ƒe nɔnɔme sia vɛ?

Zi geɖe la , ʋumenugbagbevi dzĩwo wɔwɔ le míaƒe ƒumeŋuɖui me ƒe gbegblẽ gbɔe pancytopenia tsona . Ènya be míaƒe ʋumenugbagbeviwo dzɔna le ƒumeŋuɖui mea? Woyɔa nuwɔna sia be ʋumenugbagbeviɣidɔ . Lãmenugbagbevi siawo dona le ƒumeŋuɖui me eye wogena ɖe míaƒe ʋukawo me ne wotsi vɔ ko.

Eyata, pancytopenia ate ŋu adzɔ ne wò ƒumeŋuɖui mewɔ ʋumenugbagbevi siwo le lãmesẽ me wòsɔ gbɔ o, alo ne ʋumenugbagbevi siawo tsrɔ̃ kaba akpa le wo wɔwɔ vɔ megbe.

Nu geɖe li siwo ate ŋu ado kplamatse ʋumenugbagbevi siawo ƒe wɔwɔ alo agblẽ wo:

• Dɔléle siwo do ƒome kple ƒumeŋuɖui:Dɔléle aɖewo li siwo nana ƒumeŋuɖui wɔa ʋumenugbagbevi siwo mesɔ o. Esiawo ƒe akpa gãtɔ nye `woxɔ` le míaƒe agbenɔɣi. Wo dometɔ aɖewo nye `domenyilawo`. Le kpɔɖeŋu me:
• Aplastic ʋusɔgbɔdɔ
• Fanconi ʋusɔgbɔdɔ
• Diamond-Blackfan ʋusɔgbɔdɔ

• Kansa: Ne kansa lãmenugbagbeviwo kaka ɖe ƒumeŋuɖui me la, wodoa kplamatse ʋumenugbagbevi siwo le lãmesẽ me ƒe wɔwɔ. Kansa ƒomevi aɖewo siwo ate ŋu ahe pancytopenia vɛ dometɔ aɖewoe nye:
• Ʋumenugbagbeviɣidɔ
• Lãmetsiŋusẽ ƒe dɔléle
• Multiple myeloma ƒe dɔléle
• Myelofibrosis ƒe dɔléle
• Myelodysplastic ƒe dɔlélewo
• Kansa ƒe kaka tso teƒe bubuwo yi ƒumeŋuɖui me (kansa si kaka ɖe teƒe bubuwo) .

• Nunyiame ƒe veve kple ahanono: Ne nunyiame abe vitamin B12 kple folate ene mesu wò ŋutilã o la, ɖewohĩ mate ŋu awɔ ʋumenugbagbevi siwo le lãmesẽ me o. Azɔ hã, aha sesẽ nono fũ ate ŋu anye nu vevi aɖe si gbɔ pancytopenia tsona.

• Dɔlékui siwo xɔa ame me: Dɔlékui ƒomevi aɖewo hã ate ŋu ahe nɔnɔme sia vɛ. Kpɔɖeŋuwo:
• Nucleosis ɖeka `(Nucleosis ɖeka - mono)`
• HIV (amegbetɔ ƒe dɔlélenutsiŋutete ƒe dɔlékui) .
• Aklãdɔléle C
• Dɔlékui B19 `(Dɔlékui B19)`
• Yɔmekpe ƒe dɔléle
• Asrãdɔ

• Dɔlélenutsiŋutete ƒe nɔnɔmewo: Esiae nye esime wò ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete ƒe lãmenugbagbeviwo dzea ʋumenugbagbevi siwo le lãmesẽ me dzi. Dɔlélenutsiŋutete ƒe dɔléle siwo ate ŋu ahe pancytopenia vɛ dometɔ aɖewoe nye:
• Lupus ƒe dɔléle
• Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ

• Atikewo zazã: Atike aɖewo, vevietɔ atike siwo wozãna tsɔ daa kansa, ate ŋu aɖe ʋumenugbagbeviwo ƒe wɔwɔ dzi akpɔtɔ.

• Aɖinuwo ƒe dzedzeme: Aɖi siwo le nutoa me abe benzene kple arsenic ene ate ŋu agblẽ nu le wò ʋumenugbagbeviwo ŋu. Kekeli ƒe keklẽ hã ate ŋu aɖe wò ʋumenugbagbeviwo dzi akpɔtɔ.

• Aɖuɖɔtoe ƒe ʋuʋu:Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu ana ʋumenugbagbeviwo naƒo ƒu ɖe wò dɔgbo me. Dɔlélenutsiŋutete ƒe dɔlélewo, aklã ƒe ʋuʋu, kple kansa aɖewo ate ŋu ahe esia vɛ. Ne edzɔ alea la, dɔgbo ate ŋu avuvu eye wòase veve (splenomegaly).

Le go siwo mebɔ o me la, ɖɔktawo mate ŋu ake ɖe nusi tututu gbɔ ʋumenugbagbevi dzĩwo ƒe ɖiɖi sia tso ŋu o. Woyɔa esia be idiopathic pancytopenia .

Amekawoe le afɔku gã me be woaxɔ pancytopenia?

Amesiame si ŋu nɔnɔme siwo ŋu míeƒo nu tsoe va yi le ate ŋu axɔ pancytopenia. Gake ne ʋudɔ le wò ƒomea me dometɔ aɖe ŋu, alo ne èle atike siwo gblẽa nu le ʋumenugbagbeviɣiwo ƒe wɔwɔ ŋu zãm la, anɔ eme be dɔléle sia nadze dziwò.

Aleke wowɔa dea dzesi pancytopenia?

Ʋu xexlẽ blibo (CBC) si wowɔna edziedzi ate ŋu akpɔe ɖa be ʋumenugbagbeviɣiwo mesɔ gbɔ o hã. Dzidzenu siawo ate ŋu ato vovo vie le nusiwo le abe ƒexɔxɔ, ameƒomevinyenye, kple lãmesẽ ƒe nɔnɔme ene nu.

Esiawoe nye agbɔsɔsɔ siwo wobuna zi geɖe be wole bɔbɔe:

• Ʋumenugbagbevi dzĩwo: Le nyɔnuwo gome la, lãmenugbagbevi siwo mede miliɔn 4.2 le ʋu microlita ɖeka me o alo hemoglobin si mede gram 12 (g) o (g) o. Le ŋutsuwo gome la, lãmenugbagbevi siwo mede miliɔn 4.7 le ʋu microlita ɖeka me o alo hemoglobin si mede gram 13 o (deciliter ɖeka).
• Ʋumenugbagbevi ɣiwo: Ʋumenugbagbevi ɣi siwo mede 4,000 o le ʋu microlita ɖeka me, alo neutrophil ƒe xexlẽme mede 1,800 le ʋu microlita ɖeka me o. Neutrophils ye nye ʋumenugbagbevi ɣi ƒomevi si bɔ wu, eyata xexlẽme sia le vevie ŋutɔ.
• Ʋumenugbagbevi dzĩwo: Ʋumenugbagbevi dzĩ siwo mede 150,000 o le ʋu microlita ɖeka me.

Dodokpɔ bubu kawoe wole wɔwɔm be woake ɖe nusi gbɔ wòtso ŋu?

Ne wò ɖɔkta nya kpɔe be pancytopenia le ŋuwò ko la, woate ŋu awɔ dodokpɔ bubu aɖewo atsɔ anya nusi gbɔ wòtso. Ðewohĩ ahiã hã be nàyi ɖɔkta si bi ɖe ʋumenugbagbeviɣiwo me (ʋumenugbagbeviŋutinunyala) gbɔ .

Dodokpɔ siawo ate ŋu anye:

• Ʋu si wotsɔna ƒoa ʋu le lãme na ame: Dodokpɔ sia léa ŋku ɖe wò ʋumenugbagbeviwo ŋu le nusuekpɔmɔ̃ me. Ne lãmenugbagbevi aɖewo li siwo ƒe nɔnɔme mesɔ o la, ate ŋu ana míanya nusi gbɔ wòtso.
• Vitamin B12 kple folate ƒe agbɔsɔsɔ dodokpɔ: Zi geɖe la, nunyiame ƒe veve hã gbɔe pancytopenia tsona. Eyata ne èlé ŋku ɖe agbɔsɔsɔ siawo ŋu la, ate ŋu akpe ɖe ŋuwò nànya ne ema gbɔe wòtso.
• Ƒumeŋuɖui ƒe ʋuʋu kple lãmenugbagbeviwo ɖeɖe: Le dɔ sia wɔwɔ me la, ɖɔkta ɖea wò ƒumeŋuɖui sue aɖe hedonɛ kpɔna be dɔléle aɖewo li siwo hea pancytopenia, abe kansa ene, vɛ hã.

Le wò dodokpɔ me tsonu, atikewɔwɔ ŋutinya, kple dzesiwo nu la, wò ɖɔkta ate ŋu awɔ dodokpɔwo abe esiawo ene hã atsɔ adi nu bubu siwo gbɔ wòtso:

• Dɔlékui dodokpɔwo.
• Dodokpɔwo hena dɔlékuiwo.
• Dodokpɔwo hena dɔlélenutsiŋutete ƒe nɔnɔmewo.
• Dodokpɔwo hena domenyiŋusẽfianu ƒe tɔtrɔ (trɔtrɔ le wò DNA me).

Aleke wodaa pancytopeniae?

Atikewɔwɔ koŋue nye be woadi nusi gbɔ dɔlélea tso, edada, kple dzesiawo dzi ɖeɖe kpɔtɔ. Atikewɔmɔnu aɖewo hã li siwo ate ŋu ana wò ʋumenugbagbeviɣiwo nadzi ɖe edzi tẽ. Esiawo dometɔ aɖewoe nye:

• Atikewo: Atike aɖewo li siwo doa ŋusẽ ƒumeŋuɖui eye wokpena ɖe eŋu wòwɔa ʋumenugbagbevi geɖe.
• Ʋudodo: Ne wò ʋumenugbagbeviɣiwo le sue akpa eye ate ŋu agblẽ nu le wò lãmesẽ ŋu la, woate ŋu ana ʋumenugbagbevi dzĩwo alo ʋumenugbagbevi dzĩwo nado wò.
• Lãmenugbagbevi alo ƒumeŋuɖui dodo na ame: Dɔwɔwɔ siawo bia be woaɖe lãmenugbagbevi siwo mewɔa dɔ nyuie o (esiawoe nye lãmenugbagbevi vevi siwo le ƒumeŋuɖui me siwo wɔa ʋumenugbagbeviwo) ɖa eye woado lãmenugbagbevi siwo le lãmesẽ me.

Ne wò neutrophil ƒe agbɔsɔsɔ le ʋɛ ŋutɔ eye nèle afɔku gã aɖe me be nàxɔ dɔlékuiwo la, woate ŋu ana dɔlékuiwutike siwo ƒe dɔwɔwɔ keke ta hã wò .

Nukae wòle be amesi ŋu pancytopenia le nakpɔ mɔ na?

Mɔnukpɔkpɔ si li be nàhaya nɔ te ɖe nusi na ʋumenugbagbeviɣidɔa dzi ɖe kpɔtɔ dzi. Fifia la, nyatakaka aɖeke meli si ŋu kakaɖedzi le ku ɖe alesi pancytopenia ƒe atikewɔwɔwo kpɔ dzidzedze ŋu o. Ke boŋ numekulawo léa ŋku ɖe alesi atikewɔwɔwo wɔa dɔ nyuie na nɔnɔme si gbɔ wòtso ŋu.

Nu vevitɔe nye be ne dɔléle siwo gbɔ wòtso ƒe atikewɔwɔwo le nyonyom ɖe edzi la, nusiwo dona tso eme na amesiwo ŋu pancytopenia le hã nyona ɖe edzi. Eyata ele vevie be nàƒo nu tso nya sia ŋu na wò ɖɔkta. Ate ŋu agblɔ numekuku ŋuti nyatakaka yeyewo na wò eye wòaɖe alesi wòkpɔa ŋusẽ ɖe wò nɔnɔmea dzii me na wò.

Ðe pancytopenia nye dɔléle sesẽ aɖea?

Ẽ, ate ŋu anye nu vevi aɖe. Enɔ te ɖe nusi le wò ʋumenugbagbeviɣiwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ hem vɛ hã dzi. Ne pancytopenia le ŋuwò la, wò ɖɔkta adi nusi gbɔ wòtso eye wòakpɔ alesi gbegbe wòsesẽe.

Ɣekaɣie wòle be mayi kɔdzi (ETU) kaba ale si mate ŋui?

Pancytopenia ate ŋu asẽ eye wòade ame ƒe agbe afɔku me ne womewɔ atike nɛ o. Ne èkpɔ dzesi siawo dometɔ aɖe la, yi xɔ si me wowɔa dɔ kpata le (ETU) me enumake:

• Ne asrãa kɔ wu dzidzenu Celsius 101 (Celsius 38).
• Ne wò susu bu (blacking out).
• Ne gbɔgbɔ sesẽ na wò vevie.
• Tɔtɔ kpata.
• Ne èdze taɖuame yeye xɔxɔ gɔme.
• Ne ʋu le dodom vevie.
• Ne akɔta le veve sem na wò.
• Ne alɔ̃madɔmadɔ aɖe dzɔ.

Pancytopenia ate ŋu agblẽ nu le ŋuwò le mɔ vovovowo nu. Enɔ te ɖe alesi wò ʋumenugbagbeviɣiwo le sue kple nusi gbɔ wòtso dzi. Ne wò ʋumenugbagbeviɣiwo de wò afɔku me be ʋusɔgbɔdɔ, dɔlékuiwo, alo ʋu nado fũu akpa la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie. Bia dzesi ɖesiaɖe si ate ŋu afia be ele be nàkpɔ wò ɖɔkta hã.

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

Eyata, ɖewohĩ èse egɔme azɔ be pancytopenia nye nɔnɔme si me míaƒe ʋumenugbagbevi etɔ̃awo katã, siwo nye ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo, dzi ɖena kpɔtɔna zi ɖeka. Nu geɖe ate ŋu ahe esia vɛ, eye dzesiawo hã to vovo.

Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne dzesi siawo le ŋuwò. Emegbe ate ŋu akpɔ nusi gblẽ eye wòadze atikewɔwɔ si nèhiã la gɔme. Ne èlée kaba la, zi geɖe la, àte ŋu akpɔ nɔnɔme siawo gbɔ nyuie. Eya ta, lé be na wò ŋutilã, eye ne ède dzesi nane si to vovo la, lé to ɖe eŋu. Nɔ lãmesẽ me!

` Pancytopenia, Pancytopenia, Ʋumenugbagbeviɣidɔ, Ʋumenugbagbevi dzĩwo, Ʋumenugbagbevi ɣiwo, Ʋumenugbagbevi dzĩwo, Ƒumeŋuɖui, Ʋusɔgbɔdɔ, Leukopenia, Thrombocytopenia