Ðe ʋumenugbagbevi ɣiwo le viwòa ŋua? Mina míasrɔ̃ nu tso nɔnɔme sia si me afɔku le (Neutropenia) ŋu!

Dadawo kple Papawo, ɖewohĩ mievɔ̃ vie esi miekpɔ mia vi ƒe ʋu ŋuti nyatakaka eye ɖɔkta aɖe gblɔ be, ‘Neutrophils le sue’ alo ‘Ʋumenugbagbevi ɣiwo le sue’, alo? Alo ne viwòa le dɔ lém enuenu la, ɖewohĩ èbia ɖokuiwò be ɖe esia gbɔe wòtso hã. Eyata egbea míele nu ƒom tso nɔnɔme si woyɔna be `(Neutropenia)` (woyɔnae be: neutro-pe-nia) ŋu. Ne èse esia gɔme nyuie la, anye kpekpeɖeŋu gã aɖe na wò be nàkpɔ edzi nyuie evɔ màvɔ̃ madzemadzee o.

Nukae `(Neutropenia)` fia ko?

Kpuie ko la, `(Neutropenia)` fia be ʋumenugbagbevi ɣi ƒomevi tɔxɛ aɖeke mele míaƒe ʋu me o. Míeyɔa ʋumenugbagbevi ɣi siawo be `(Neutrophils)`. Bu `(Neutrophils)` siawo be wonye asrafo sue siwo le míaƒe ŋutilã me. Woƒe dɔ vevitɔe nye be woawɔ avu kple dɔlékuiwo abe `(Bacteria)` siwo gena ɖe míaƒe ŋutilã me eye wokpɔa mía ta tso dɔlélewo me. `(Dɔlékui)` nye dɔlékui ƒomevi aɖe, eye woawoe naa dɔlékui vovovowo mí.

Eyata nukae dzɔna ne míebu asrafo siawo siwo woyɔna be `(Neutrophils)` siwo sɔ gbɔ ɖe míaƒe ʋu me? Míaƒe ŋutilã ƒe ametakpɔnu gbɔdzɔ. Ekema dɔlékuiwo ate ŋu age ɖe ŋutilãa me bɔbɔe eye woahe dɔlékui sesẽwo vɛ. Esia tae ne ɖevi si ŋu `(Neutropenia)` le la xɔ dzo, dzesi siwo fia be eƒe lãme biã le afisi wotsoe, alo vuvɔ le eŋu eye wòʋuʋu la, ele vevie be wòadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake . Gake megatsi dzi o, ne èxɔ atike kaba la, woateŋu ada dɔlékui akpa gãtɔ le ɖevi siwo ŋu `(Neutropenia)` le me.

Nukae nye ɖevi si ŋu ``(Neutropenia)'' le ƒe dzesiwo?

Ðevi si ŋu ``(Neutropenia)`` le la ate ŋu axɔ dɔlékuiwo wu ɖevi bubu siwo le lãmesẽ me. Azɔ hã, dɔlékui siawo:

• Ate ŋu adzɔ enuenu.
• Ate ŋu agblẽ wu.
• Ate ŋu agblẽ ɖe edzi kabakaba.

Dzesiawo nɔ te ɖe dɔlékui ƒomevi si le viwòa ŋu dzi. Le kpɔɖeŋu me, ɖevi si to me dɔlékui le ate ŋu anɔ to me vevem. Ɣeaɖewoɣi la, woate ŋu aɖe dzesi siwo bɔ abe dzoxɔxɔ, ŋutilã ƒe vevesese, kple nuɖuɖu ƒe dzodzro ene hã afia.

Nukatae `(Neutropenia)` sia dzɔna? Nukawoe gbɔ wòtsona?

Míenya azɔ be ``Neutropenia'' tso ``Neutrophils'' ƒe xexlẽme dzi ɖeɖe kpɔtɔ le ʋu me gbɔ. Nu geɖe li siwo nana esia dzɔna:

• Dɔlékui vovovowo: Dɔlékui alo dɔlékui aɖewo ƒe dɔléle ateŋu aɖe ``(Neutrophils)'' dzi akpɔtɔ hena ɣeyiɣi aɖe.
• Atikewo: Atikewo zazã, vevietɔ atike siwo wozãna tsɔ wua kansa lãmenugbagbeviwo, ate ŋu agblẽ nu le ƒumeŋuɖui ŋu eye wòaɖe neutrophils ƒe wɔwɔ dzi akpɔtɔ. Atike bubu aɖewo hã ate ŋu ahe esia vɛ.
• Kekeli ƒe dɔdamɔnu: Kekeli ƒe dɔdamɔnu si wozãna tsɔ tsrɔ̃a kansa lãmenugbagbeviwo hã ate ŋu agblẽ nu le ƒumeŋuɖui ŋu eye wòagblẽ nu le ʋumenugbagbevi dzĩwo wɔwɔ ŋu.
• Domenyiŋusẽfianu ƒe kuxiwo:Ðevi aɖewo ateŋu axɔ ``Neutropenia`` le domenyiŋusẽfianu ƒe nɔnɔme aɖe si nɔa wo dziɣi ta. Wogayɔa esia be ``Congenital neutropenia``.
• Ƒumeŋuɖui ƒe dɔmawɔmawɔ nyuie: Ƒumeŋuɖui nye akpa si le abe ƒumebɔbɔ ene le míaƒe ƒuwo me. Afi siae wowɔa míaƒe ʋumenugbagbeviwo le. Eyata, kuxi ɖesiaɖe si le ƒumeŋuɖui sia me ateŋu ahe `(Neutrophils)` ƒe wɔwɔ dzi akpɔtɔ.
• Dɔlélenutsiŋutete dzea eya ŋutɔ ƒe ``Neutrophils'' dzi: Woyɔa esia be ``Autoimmune neutropenia''. Nusi dzɔna le afisia enye be dɔlélenutsiŋutete si wɔa avu kple dɔlékui siwo le mía ŋutɔwo míaƒe ŋutilã me la gblẽa eya ŋutɔ ƒe ``Neutrophils'' lãmenugbagbeviwo vodadatɔe.

Ɣeaɖewoɣi la, neutropenia ate ŋu ava eye wòadzo (cyclic neutropenia) . Esia fia be neutrophils ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna ŋkeke ʋɛ aɖewo ɖesiaɖe eye emegbe wògatrɔna yia nɔnɔme si sɔ me. Le go bubuwo me la, ɖɔktawo mate ŋu akpɔ nusi gbɔ neutropenia (idiopathic neutropenia) tsona o .

Aleke nàwɔ anya ne `(Neutropenia)` le ŋuwò?

Ðɔktawo tsɔa ʋudodokpɔ si woyɔna be Complete Blood Count (CBC) dea dzesi neutropenia. Esia dzidzea lãmenugbagbevi ƒomevi vovovo siwo le ʋua me ƒe xexlẽme.

Be woanya nusi tututu tae neutropenia le ɖevi ŋu la, ʋumenugbagbeviɣidɔŋutinunyala, ɖɔkta si bi ɖe ʋumedɔlélewo me ate ŋu awɔ dodokpɔ bubu geɖe. Esiawo dometɔ aɖewoe nye:

• Ðevia ƒe ʋu me dzodzro to nusuekpɔmɔ̃ dzi.
• Ƒumeŋuɖui ƒe kpɔɖeŋu sue aɖe ŋutɔ ɖeɖe (`(Bone marrow biopsy)`) eye woadoe kpɔ le nusuekpɔmɔ̃ me.
• Dɔlékui vovovowo dodokpɔ.
• Domenyiŋusẽfianu dodokpɔwo.

Dodokpɔ siawoe dea dzesi nusi tututu gbɔ ʋumenugbagbeviɣidɔ tsona.

Aleke wowɔa atike na Neutropenia?

`(Neutropenia)` ƒe atikewɔwɔ nɔ te ɖe nusi gbɔ nɔnɔmea tso kple eƒe sesẽ dzi. Menye `(Neutropenia)` ƒe dɔlélewo katãe hiã atikewɔwɔ o.

Ðɔktawo zãa asixɔxɔ aɖe si woyɔna be `ANC (Absolute Neutrophil Count)` tsɔ wɔa atikewɔwɔ ŋuti nyametsotsowo. `ANC` nye `(Neutrophils)` lãmenugbagbevi siwo le ʋu me ƒe xexlẽme dzidzedze pɛpɛpɛ. Zi alesi asixɔxɔ sia le ʋɛe la, zi nenemae afɔku si le ɖevi si be wòaxɔ dɔlékui sesẽ aɖe la dzina ɖe edzii.

Ne ehiã be woawɔ atike na ame la, mɔnu vovovowo li:

1. `(Neutropenia)` nɔnɔmea ɖɔɖɔɖo:

• Granulocyte Colony-Stimulating Growth Factor (G-CSF) dodo: Esiawo ʋãa ƒumeŋuɖui be wòawɔ neutrophils geɖe.
• Steroid-tikewo: Wozãa atike siawo tsɔ xea mɔ na ŋutilã ƒe dɔlélenutsiŋutete be wòagagblẽ neutrophils o (vevietɔ le autoimmune neutropenia me).
• Ʋumenugbagbevi ɣiwo dodo: Lãmenugbagbevi bubuwo nana ɖevia be wòawɔ avu kple dɔlékuiwo.
• Lãmenugbagbeviwo dodo na ame:Esia bia be woatsɔ ʋumenugbagbevi siwo le lãmesẽ me siwo tso ame aɖe si naa ʋu la aɖɔ li lãmenugbagbevi siwo wɔa ʋu siwo ŋu dɔléle le. Wowɔa esia zi geɖe le nɔnɔme sesẽwo me.
• Splenectomy: Ɣeaɖewoɣi la, aɖuɖɔtoea gblẽa neutrophils, eyata neutrophils ɖeɖe ate ŋu ana neutrophils ƒe agbɔsɔsɔ nadzi ɖe edzi.

2. Mɔxexe ɖe dɔlékuiwo nu kple wo dada:

• Dɔlékuiwutikewo: Wona dɔlékuiwutikewo tsɔ daa dɔlékuiwo ne edzɔ alo ɣeaɖewoɣi be woatsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu.

3. Mɔfiame tɔxɛwo na ɖevi siwo ƒe neutrophil ƒe xexlẽme le sue ŋutɔ eye dɔléle ƒe afɔku gã aɖe le wo ŋu:

Ele be woakpɔ ɖevi siawo ta tso dɔlékuiwo xɔxɔ me etɔxɛe.

Vevietɔ: Mɔfiame siawo dzi wɔwɔ ate ŋu akpɔ viwòa ta tso dɔlékui geɖe xɔxɔ me.

• Ƒo asa na teƒe siwo amewo sɔ gbɔ ɖo, abe sukuwo ene, alesi nàte ŋui.
• Tete ɖa tso ame siwo le dɔ lém gbɔ.
• Do motsyɔnu ne èle mɔ zɔm ɖe nu veviwo ta.
• Klɔ asi nyuie (klɔ adzalẽ kple tsi sɛkɛnd 20 ya teti) zi geɖe.
• Aɖututu kple aɖututu gbesiagbe.
• Mègazã dzoxɔxɔdzidzenu si le dɔgboa me atsɔ akpɔe ɖa be asrã le ŋuwò o (esia ate ŋu ana nàxɔ abi eye wòana dɔlékuiwo nado).
• Ne èxɔ abi sue aɖe la, kɔ eŋu kaba eye nàtsɔ aŋɔ asisi ɖe eŋu.
• Ƒo asa na nu ɖaɖɛwo abe lãgbalẽŋudɔwɔnu ene zazã (elabena woate ŋu ahe dɔlékuiwo vɛ ne wotsoe).
• Ƒo asa na nuɖuɖu aɖewo:
• Notsi kple nyinotsi nuɖuɖu siwo wometsɔ dɔlékuiwutike wɔe o.
• Atikutsetse ƒuƒu, amagbewo, kple nukuwo – zi alesi woklɔ wo nyuie eye woɖa wo ko la, naneke megblẽ le eŋu o.
• Anyi ƒuƒu si womeɖa o.
• Woƒoa asa na nuɖuɖu siawo elabena dɔlékuiwo ate ŋu anɔ wo me.

Aleke mi dzilawo miate ŋu akpe asi ɖe eŋu?

Ne neutropenia le viwòa ŋu la, ele vevie be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

• Na woawɔ ʋudodokpɔ le ŋkeke siwo woɖo ɖi dzi.
• Na atike si woŋlɔ na wò la pɛpɛpɛ eye nànae ɖe game dzi.
• Wɔ ɖe mɔfiame siwo wona dzi be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu pɛpɛpɛ.

Ne èwɔ nusiawo nyuie la, àte ŋu akpɔ viwòa ƒe nɔnɔmea gbɔ nyuie.

Ɣekaɣie wòle be nàkpɔ ɖɔkta? (Nudzɔdzɔ kpatawo!)

Ele vevie ŋutɔ be woayi atikewɔƒe enumake ne ɖevi si ŋu ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie le ɖe dɔlélea ƒe dzesi aɖewo fia. Ne wowɔ atike na ɖevia kaba la, zi geɖe la, ehayana kaba.

Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe , na wò ɖɔkta nanya enumake:

• Ne asrãa kɔ wu Celsius 38 (100.4 Fahrenheit).
• Ne vuvɔ le wɔwɔm, ʋuʋu kple/alo fifia.
• Kɔdzi, gbɔgbɔ sesẽ.
• Nu me ƒoƒo, ŋɔti me vevesese.
• Vevesese ne wole aɖuɖɔ tom.
• Ne ŋutigbalẽ ƒe abi biã eye wòkaka ɖe ŋutigbalẽ ƒe abi aɖe ŋu.
• Aɖuɖɔtoe alo aɖuɖɔtoe.
• Vevesese yeye aɖewo.

Ne èkpɔ dzesi aɖe abe esia ene la, yi ɖɔkta gbɔ kaba.

Nu bubu siwo wòle be nànya...

Vi si ŋu dɔléle sesẽ aɖe le ƒe dzidzi ate ŋu asesẽ na ƒome ɖesiaɖe. Gake ɖo ŋku edzi be menye wò ɖeka koe o. Ƒo nu kple amesiame si le viwò ƒe atikewɔlawo ƒe ƒuƒoƒoa me eye nàbia mɔ siwo dzi nàto axɔ kpekpeɖeŋu si nèhiã. Àte ŋu akpɔ nyatakaka bubuwo kple kpekpeɖeŋu le atikewɔwɔ ƒe nyatakakadzraɖoƒe siwo dzi nèka ɖo hã le Internet dzi (e.g., Xexeame ƒe Lãmesẽ Habɔbɔ ƒe nyatakakadzraɖoƒe, kɔdzi siwo ŋu ŋkɔ le ƒe nyatakakadzraɖoƒewo). Gake menye nyatakaka siwo katã wokpɔna le Internet dzi la de pɛpɛpɛ o, eyata ele vevie be nàƒo nu kple ɖɔkta aɖe atsɔ akpɔe ɖa be nyatakakaawo de pɛpɛpɛ hã.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata, tso nusi míedzro egbea me la, mele mɔ kpɔm be èse `(Neutropenia)` gɔme nyuie wu.

Neutropenia nye ʋumenugbagbevi ɣi siwo woyɔna be neutrophils ƒe xexlẽme dzi ɖeɖe kpɔtɔ le ʋua me. Esia ate ŋu ana dɔlékuiwo nate ŋu axɔ wò bɔbɔe wu.

Susu geɖewo ate ŋu anɔ eme, eye ɣeaɖewoɣi la, màte ŋu akpɔ susu aɖeke gɔ̃ hã o.

Wotoa ʋudodokpɔ dzi dea dzesi dɔlélea.

Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso kple alesi wòsẽe dzi. Menye amesiamee hiã atikewɔwɔ o.

Nu vevitɔe nye be nànɔ ŋudzɔ ɖe dɔlékui ƒe dzesiwo ŋu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne ède dzesi ɖewo.

Àte ŋu akpɔ viwòa ta ne èwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi pɛpɛpɛ eye nèwɔ mɔxexeɖedɔléle nu ƒe mɔnuwo ŋudɔ.

Didi be viwòa nahaya kaba! Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò.

` Neutropenia, neutropenia, ʋumenugbagbevi ɣiwo ƒe xexlẽme si bɔbɔ, ɖeviwo ƒe dɔlélewo, dɔlékuiwo, ANC, ʋumenugbagbeviɣiwo, dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ