Ðe wò ʋumenugbagbevi ƒomevi etɔ̃awo katã mebɔ oa? Mina míaƒo nu tso Pancytopenia | Nirogi Lanka ƒe agbalẽ

Ðe nèsena le ɖokuiwò me zi geɖe be ɖeɖi te ye ŋu le mɔ si mebɔ o nua? Ðewohĩ àkpɔe be yedze dɔ bɔbɔe, alo nède dzesii be yeƒe ŋutigbalẽ le ƒoƒom si womate ŋu aɖe oa? Woate ŋu agblɔ be dzesi siawo do ƒome kple tɔtrɔ siwo va le wò ʋumenugbagbeviwo me. Egbea, míedi be míaƒo nu na mi tso nɔnɔme aɖe si ɖɔktawo yɔna be "Pancytopenia" ŋu. Taflatse migatsi dzodzodzoe o; mina míakplɔ wò ato esia me le nya bɔbɔe siwo me kɔ me.

Nukae nye Pancytopenia?

Kpuie ko la, Pancytopenia nye nɔnɔme si me ʋumenugbagbevi ƒomevi vevi etɔ̃awo katã—ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo—ƒe xexlẽme ɖiɖina wu alesi wòle be wòanɔ. Bu wò ŋutilã be enye dɔwɔƒe gã aɖe si me nu sesẽwo le. Abe alesi ko dɔwɔƒe ɖoa ŋu ɖe dɔnyala bibi vovovowo ŋu be woana dɔwɔwɔ nayi edzi ene la, wò ŋutilã nɔa te ɖe ʋumenugbagbevi siawo koŋ dzi be wòawɔ dɔ veviwo.

Nusi dzɔna ne lãmenugbagbevi siawo ƒe xexlẽme ɖiɖi enye si:

• Ʋumenugbagbevi Dzĩ Siwo Mebɔ O: Lãmenugbagbevi siawo, siwo me protein si woyɔna be hemoglobin , le la, ƒe dɔe nye be woatsɔ oxygen ayi wò ŋutilã katã me. Ne wò ʋumenugbagbevi dzĩwo alo ʋumenugbagbevi dzĩwo ƒe xexlẽme mede o la, esia wɔnɛ be Ʋusɔgbɔdɔ .
• Ʋumenugbagbevi Dzĩ Siwo Mebɔ O: Wogayɔnae be ʋumenugbagbevi dzĩwo , esiawoe nye wò ŋutilã ƒe ametakpɔnu. Wowɔa avu kple dɔlékuiwo eye wokpɔa tawò tso dɔlékuiwo me. Neutrophils ye nye ʋumenugbagbevi ɣi ƒomevi si bɔ wu. Woyɔa ʋumenugbagbevi ɣiwo ƒe ɖiɖi be ʋumenugbagbeviɣidɔ , eye woyɔa ʋumenugbagbevi dzĩwo ƒe ɖiɖi koŋ be ʋumenugbagbeviɣidɔ .
• Ʋumenugbagbeviɣidɔ si mebɔ o: Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi kakɛ suesuesue siwo wɔa dɔ gã aɖe: wokpena ɖe ŋuwò be wò ʋu natsi. Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o, si woyɔna be thrombocytopenia , la, wò ŋutilã ʋlina vevie be yeadzudzɔ ʋudodo ne èxɔ abi.

Ne Pancytopenia le ŋuwò la, àte ŋu akpɔ dzesi siwo do ƒome kple gbɔdzɔgbɔdzɔ siawo dometɔ ɖeka, ɖewo, alo wo katã, le alesi wò ʋumenugbagbeviɣiwo ƒe xexlẽme dzi ɖe kpɔtɔe nu.

Aleke gbegbee Pancytopenia Bɔe?

Womebua pancytopenia kokoko be mebɔ o, gake esi wònye be atikewɔwɔ me nya vovovo siwo le ete gbɔe wòtso ta la, esesẽna be woade dzesi alesi wòbɔe ƒe xexlẽme tututu.

Nukae Nye Pancytopenia ƒe Dzesiwo?

Ɣeaɖewoɣi la, Pancytopenia ate ŋu anɔ bɔbɔe, eye ɖewohĩ màde dzesi dzesi aɖeke kura o; ɖewohĩ le ʋudododɔ si wowɔna edziedzi me koe woake ɖe eŋu. Gake le nɔnɔme siwo nu sẽ wu me la, ate ŋu ade ame ƒe agbe afɔku me, si abia be woakpɔ egbɔ kpata enumake. Ne èkpɔ dzesi sesẽwo la, te ɖe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (911) alo yi kɔdzi si te ɖe ŋuwò.

Dzesi siwo do ƒome kple lãmenugbagbevi ƒomevi ɖesiaɖe ƒe ɖiɖi nye esi:

Ʋumenugbagbevi dzĩ siwo mebɔ o (Ʋusɔgbɔdɔ) ƒe dzesiwo .

Ne ʋumenugbagbevi dzĩwo mele asiwò o la, wò lãmekawo kple ŋutinuwo mexɔa oxygen si sɔ o, si ate ŋu ana:

• Ðeɖiteameŋu: Ðeɖiteameŋu alo ŋusẽmanɔamesi ƒe seselelãme atraɖii.
• Yagbɔgbɔ sesẽ (Yagbɔgbɔ kpuie): Yaƒoƒo ƒe ƒoƒo ne womedze agbagba boo aɖeke o gɔ̃ hã.
• Taɖuame.
• Taɖuame.
• Arrhythmia: Dzi ƒe tsotso si le du dzi alo esi mesɔ o.
• Ŋutilã si le ɣie alo ŋutigbalẽ si fa miamiamia eye wòle ʋeʋẽm.

Ʋumenugbagbeviɣidɔ ƒe Dzesiwo (Leukopenia) .

Ʋumenugbagbevi ɣiwo ƒe xexlẽme si dzi ɖena kpɔtɔna nana wò dɔlélenutsiŋutete gbɔdzɔna, si wɔnɛ be dɔlékuiwo xɔxɔ bɔbɔe ŋutɔ, si ate ŋu adze abe:

• Ðeɖiteameŋu si nɔa anyi ɖaa.
• Asrã kple vuvɔ.
• Pharyngitis (Kɔti me vevesese).
• Nu me ƒe abiwo.
• Kɔdzidede sesẽ.
• Dɔmetɔtrɔ.
• Yagbɔgbɔ kpuie.
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu.
• Tsi si yɔ fũ kple ʋuʋudedi tso lãɖeɖe alo abi me.

Ʋumenugbagbeviɣidɔ ƒe Dzesiwo (Thrombocytopenia) .

Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme mede o la, wò ʋu mate ŋu axe nyuie o, si ate ŋu ana:

• Nuveviwɔame bɔbɔe.
• Ʋu si dona ɣeyiɣi didi le lãɖeɖe suesuesuewo ta.
• Eƒe kpekpeme lolo wu dzinukpɔkpɔ si sɔ.
• Ʋu le aɖuɖɔ, aɖuɖɔ, alo ʋuʋudedi me.
• Petechiae: Teƒe suesuesue siwo le dzo dam alo aŋutiɖiɖi le ŋutigbalẽa ŋu siwo ɖi ʋuʋudedi. Àte ŋu akpɔ teƒe siwo lolo wu siwo woyɔna be purpura hã.

Nukae Hea Pancytopenia vɛ?

Zi geɖe la, pancytopenia dzɔna ne tɔtɔ aɖe le wò ƒumeŋuɖui , afisi ʋumenugbagbeviwo dzɔna le. Woyɔa nuwɔna sesẽ sia be ʋumenugbagbeviɣidɔ . Ne lãmenugbagbevi siawo tsi ko la, woɖea asi le wo ŋu yia wò ʋukawo me.

Le Nirogi Lanka la, míele nya vevi eve dim: wò ƒumeŋuɖui mele lãmenugbagbevi siwo le lãmesẽ me wɔm wòsɔ gbɔ o, alo lãmenugbagbeviawo le tsɔtsrɔ̃m kabakaba wu alesi wowɔ woe.

Nusiwo bɔ ɖe eme dometɔ aɖewoe nye:

• Ƒumeŋuɖui ƒe dɔmawɔmawɔ nyuie: Nɔnɔme aɖewo nana ƒumeŋuɖui la wɔa lãmenugbagbevi siwo mesɔ o. Àte ŋu axɔ nusiawo le wò agbenɔɣi alo nànyi wò dome. Kpɔɖeŋu aɖewoe nye:
• Aplastic ʋusɔgbɔdɔ
• Fanconi ʋusɔgbɔdɔ
• Diamond-Blackfan ʋusɔgbɔdɔ

• Kansa: Ne kansa lãmenugbagbeviwo ge ɖe wò ƒumeŋuɖui me la, wogblẽa ʋumenugbagbevi siwo le lãmesẽ me ƒe wɔwɔ me. Kansa ƒomevi geɖe ate ŋu ana ame naxɔ pancytopenia, siwo dometɔ aɖewoe nye:
• Ʋumenugbagbeviɣidɔ
• Lãmetsiŋusẽ ƒe dɔléle
• Multiple myeloma ƒe dɔléle
• Lãmetsiŋusẽ ƒe dɔléle
• Myelodysplastic ƒe dɔlélewo
• Metastatic cancer (kansa si kaka tso ŋutilã ƒe akpa bubu yi ƒumeŋuɖui me) .

• Nunyiame ƒe Gbɔdzɔgbɔdzɔ Kple Ahanono: Ne nunyiame veviwo abe Vitamin B12 kple folate ene mele wò ŋutilã me o la, ate ŋu aʋli vevie be yeawɔ ʋumenugbagbevi siwo le lãmesẽ me. Tsɔ kpe ɖe eŋu la, ahanono fũu akpa si nɔa anyi didi ate ŋu anye nu vevitɔ si ana ame naxɔ pancytopenia.

• Dɔlékuiwo: Dɔlékui kple dɔlékui aɖewo ate ŋu ahe nɔnɔme sia vɛ, abe:
• Nucleosis ɖeka ƒe dɔléle (mono) .
• HIV (amegbetɔ ƒe dɔlélenutsiŋutete ƒe dɔlékui) .
• Aklãdɔléle C
• Parvovirus B19 ƒe dɔlékui
• Yɔmekpe ƒe dɔléle
• Asrãdɔ

• Dɔlélenutsiŋutete ƒe nɔnɔmewo: Le nɔnɔme siawo me la, wò ŋutɔ wò dɔlélenutsiŋutete dzea ʋumenugbagbevi siwo le lãmesẽ me dzi vodadatɔe. Dɔlélenutsiŋutete ƒe dɔléle siwo ate ŋu ahe pancytopenia vɛ dometɔ aɖewoe nye:
• Lupus ƒe dɔléle
• Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ

• Atikewo: Atikewɔwɔ aɖewo, vevietɔatike siwo wozãna na kansa, ate ŋu axe mɔ ɖe ʋumenugbagbeviɣidɔ nu le ƒumeŋuɖui me.

• Aɖinuwo ƒe Gomekpɔkpɔ: Aɖi siwo le nutoa me abe benzene alo arsenic ene ate ŋu agblẽ nu le wò ʋumenugbagbevi siwo wɔa ʋu ŋu. Gakpe ɖe eŋu la, keklẽŋusẽ ƒe agbɔsɔsɔ gã aɖe hã ate ŋu ana ʋumenugbagbeviɣiwo dzi naɖe akpɔtɔ.

• Aɖuɖɔtoe ƒe ʋuʋu: Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu ana ʋumenugbagbeviwo natsi wò dɔgbo me . Dɔlélenutsiŋutete ƒe dɔlélewo, aklã me ʋu ƒe sisi , kple kansa aɖewo ate ŋu ahe esia vɛ. Nuwɔna sia ate ŋu ana dɔgboa nalolo ( splenomegaly ), si ate ŋu ana ƒodo nase veve.

Le go siwo mebɔ o me la, ɖewohĩ ɖɔktawo mate ŋu anya nusi tututu gbɔ ʋumenugbagbeviɣidɔa tso o; woyɔa esia be idiopathic pancytopenia .

Amekawoe le afɔku gã me be woaxɔ Pancytopenia?

Amesiame si ŋu dɔléle siwo gbɔ wòtso si míeyɔ ɖe etame le ate ŋu axɔ pancytopenia. Gake ne ʋumenugbagbeviɣidɔ le wò ƒomea me alo nèle atikewo abe atikewɔmɔnu siwo gblẽa nu le ʋumenugbagbeviɣidɔ ŋu ene wɔm fifia la, ke àte ŋu anɔ afɔku me geɖe wu.

Aleke wowɔna dea dzesi Pancytopenia?

Zi geɖe la, wò ɖɔkta azã Ʋu Xexlẽme Blibo (CBC) atsɔ anya ne wò ʋumenugbagbeviɣiwo mesɔ gbɔ o. Taflatse nenɔ susu me na wò be didime siwo sɔ ate ŋu ato vovo vie le wò ƒexɔxɔ, to si me nètso, kple wò lãmesẽnyawo katã nu.

Zi geɖe la, wobua agbɔsɔsɔ siwo gbɔna be wobɔbɔ:

• Ʋumenugbagbevi dzĩwo: Lãmenugbagbevi siwo mede miliɔn 4.2 o le microlitre ɖeka me na nyɔnuwo, alo ʋumenugbagbeviɣidɔ si mede 12 g/dL o; le ŋutsuwo gome la, lãmenugbagbevi siwo mede miliɔn 4.7 o le microlitre ɖeka me, alo hemoglobin si mede 13 g/dL o.
• Ʋumenugbagbevi ɣiwo: Ʋumenugbagbevi ɣi siwo mede 4,000 o le microlitre ɖeka me, alo neutrophil xexlẽme bliboa (ANC) si mede 1,800 le microlitre ɖeka me o. Esi wònye be ʋumenugbagbevi dzĩwoe nye ʋumenugbagbevi ɣi ƒomevi si bɔ wu ta la, dzidzedze sia le vevie ŋutɔ.
• Ʋumenugbagbevi dzĩwo: Ʋumenugbagbevi dzĩ siwo mede 150,000 o le microlitre ɖeka me.

Dodokpɔ bubu kawoe hiã be woatsɔ ade dzesi nusi gbɔ wòtso?

Ne wò ɖɔkta nya kpɔe be pancytopenia le ŋuwò ko la, woate ŋu awɔ numekuku bubuwo atsɔ anya nusi gbɔ wòtso. Woate ŋu aɖo wò ɖe ʋumenugbagbeviɣidɔdala (ʋumedɔlélewo ŋuti nunyala bibi aɖe) gbɔ.

Dodokpɔ siwo bɔ siwo wowɔna tsɔ kplɔa ame ɖo dometɔ aɖewoe nye:

• Ʋu si wotsɔna ƒoa ʋu le lãme na ame: Eŋutinunyala bibi aɖe tsɔa nusuekpɔmɔ̃ léa ŋku ɖe wò ʋumenugbagbeviwo ŋu. Lãmenugbagbeviwo ƒe nɔnɔme si mesɔ o ate ŋu ana kpeɖodzi veviwo ku ɖe nusi gbɔ wòtso ŋu.
• Vitamin B12 kple folate ƒe agbɔsɔsɔ dodokpɔ: Esi wònye be nunyiame ƒe veve nye nusi gbɔ wòtsona ta la, agbɔsɔsɔ siawo dodokpɔ kpena ɖe ame ŋu be woagage ɖe eme alo ado le eme o.
• Ƒumeŋuɖui ƒe ʋuʋu kple lãmenugbagbeviwo ɖeɖe: Ðɔkta ƒoa wò ƒumeŋuɖui sue aɖe nu ƒu be yeatsɔ akpɔ dɔlélewo abe kansa ene siwo ate ŋu anɔ ŋusẽ kpɔm ɖe eƒe wɔwɔme dzi hã.

Le wò dodokpɔa me tsonu, atikewɔwɔ ŋutinya, kple dzesiwo nu la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔwo hã ɖe:

• Dɔlékuiwo ƒe dɔlélewo.
• Dɔlékui bubu siwo le ete.
• Dɔlélenutsiŋutete ƒe dzesiwo.
• Domenyiŋusẽfianu ƒe tɔtrɔ (trɔtrɔ le wò DNA me).

Aleke wodaa Pancytopeniae?

Atikewɔwɔa ku ɖe nusi gbɔ wòtso la didi kple edzikpɔkpɔ ŋu esime wole wò dzesiwo dzi ɖem kpɔtɔ. Le go aɖewo me la, atikewɔmɔnu siwo ana wò ʋumenugbagbeviɣiwo nadzi ɖe edzi tẽ ate ŋu ahiã:

• Atikewo: Atike aɖewo ate ŋu aʋã ƒumeŋuɖui be ʋumenugbagbeviɣidɔ nadzi ɖe edzi.
• Ʋudodo: Ne wò ʋusɔgbɔdɔ ɖiɖi ŋutɔ eye wòdea lãmesẽ afɔku me la, woate ŋu ado ʋumenugbagbevi dzĩwo alo ʋumenugbagbevi dzĩwo na wò.
• Lãmenugbagbevi alo ƒumeŋuɖui dodo na ame: Dɔwɔwɔ sia tsɔa lãmenugbagbevi siwo gblẽ alo esiwo mewɔa dɔ o siwo le wò ƒumeŋuɖui me ɖɔlia esiwo le lãmesẽ me.

Ne wò neutrophil ƒe agbɔsɔsɔ le ʋɛ ŋutɔ, si na be dɔlékuiwo xɔxɔ ƒe afɔku gã aɖe le eme la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutike siwo ƒe dɔwɔwɔ keke ta . Ne èse le ɖokuiwò me be yeƒe dzesiwo nu sẽ kpata la, taflatse di beléle enumake le dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò alo nàƒo ka na 911.

Nukae wòle be nàkpɔ mɔ na ne Pancytopenia le ŋuwò?

Wò hayahaya ƒe mɔkpɔkpɔ nɔ te ɖe nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ tso dzi bliboe. Akɔntabubu ɖeka aɖeke meli na "pancytopenia ƒe hayahaya" o elabena menye dɔléle si le eɖokui si o. Ke boŋ alesi wò nɔnɔme si gbɔ wòtso la wɔa nu ɖe ​​atikewɔwɔ ŋu nyuie ye afia wò ŋgɔdonya.

Vevietɔ wu la, esi nɔnɔme siwo gbɔ wòtso ƒe atikewɔwɔwo yi edzi le ŋgɔ yim la, nenema kee emetsonuwo hã le ŋgɔ yim na amesiwo le pancytopenia dzi kpɔm. Ele vevie ŋutɔ be nànɔ dze ɖom faa kple wò ɖɔkta. Woate ŋu ana dɔdamɔnu ŋuti nyatakaka yeyewo wò eye woaɖe alesi tututu wòku ɖe wò lãmesẽ ƒe nɔnɔme tɔxɛa ŋui me.

Ðe Pancytopenia nye dɔléle sesẽ aɖea?

Ẽ, ate ŋu anye atikewɔwɔ me dzitsitsi vevie. Nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ kple alesi xexlẽme siawo dzi ɖe kpɔtɔ ŋutɔe afia alesi wòsẽe. Ne wokpɔe be pancytopenia le ŋuwò la, wò ɖɔkta atsɔ nusi gbɔ wòtso la nyanya aɖo nɔƒe gbãtɔ be yeanya alesi gbegbe atikewɔlawo awɔ nu ɖe ​​ŋuwòe.

Ɣekaɣie wòle be nàdi beléle kpata (ER/ETU)?

Ne womedae o la, pancytopenia sesẽ ate ŋu ava zu ame ƒe agbe afɔku. Ne èto nusi gbɔna dometɔ aɖe me la, yi atikewɔla kpata enumake le Atikewɔwɔ Kpata (ETU) alo xɔ si me wokpɔa dɔnɔwo gbɔ kpata le si te ɖe ŋuwò:

• Asrã si ƒe dzoxɔxɔ nye 38°C alo esi wu nenema.
• Alɔ̃madɔmadɔ alo viviti dodo.
• Gbɔgbɔtsixetsixe sesẽ.
• Tɔtɔ kpata alo susu ƒe nɔnɔme si trɔ.
• Taɖuame si nu sẽ kpata.
• Ʋu si dona le ame ŋu si dzi womeɖu o alo esi nu sẽ ŋutɔ.
• Akɔtave.
• Alɔ̃madɔmadɔ.

Pancytopenia gblẽa nu le amesiame ŋu le mɔ vovovowo nu, le alesi wò xexlẽme le sue kple nusi koŋ gbɔ wòtsona nu. Esi ʋu ƒe agbɔsɔsɔ si mede o dzia ʋusɔgbɔdɔ, dɔlékuiwo xɔxɔ, kple ʋudodo ƒe afɔkua ɖe edzi ta la, taflatse wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Bia wò lãmesẽdɔwɔla koŋ be dzesi kawoe wòle be nàyi kɔdzi enumake.

Gbedasi si Wotsɔ Yi Aƒeme

Abe alesi míedzro eme ene la, pancytopenia dzɔna ne wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo katã ɖiɖi le ɣeyiɣi ɖeka me le afɔku me. Nu vovovowo li siwo gbɔ wòtsona eye dzesi vovovo siwo ate ŋu ado tso eme.

Nu vevitɔ kekeake si nàtsɔ ayi: ne èsusu be dzesi siawo le ye ŋu la, mègalala o. Kpɔ wò ɖɔkta enumake ale be woate ŋu ade dzesi nya si gbɔ wòtso eye woadze atikewɔwɔ ƒe ɖoɖo si sɔ gɔme. Ne wokpɔ nɔnɔme siawo kaba hekpɔ wo gbɔ la, zi geɖe la, woate ŋu akpɔ nɔnɔme siawo gbɔ wu sã. Nirogi Lanka de dzi ƒo na wò be nàɖo to wò ŋutilã eye nànɔ ŋudzɔ le wò lãmesẽ ŋu. Míele lãmesẽ dim na wò!

Nya veviwo: Pancytopenia, Ʋu ƒe agbɔsɔsɔ si bɔbɔ, Ʋumenugbagbevi dzĩwo, Ʋumenugbagbevi ɣiwo, Ʋumenugbagbevi dzĩwo, Ƒumeŋuɖui, Ʋusɔgbɔdɔ, Ʋumenugbagbeviɣidɔ, Ʋumenugbagbeviɣidɔ