Eɖanye dzamezã alo dɔléle bubu aɖe le ŋuwò o, wò ɖɔkta abia tso asiwò zi geɖe be nàdo ʋu kpɔ, alo? Zi geɖe la, míewɔa ʋudodo blibo (FBC). Esia naa nèkpɔa lãmenugbagbevi agbɔsɔsɔme si le wò ʋu me nyuie. Gake ɣeaɖewoɣi la, wò ɖɔkta adi be yealé ŋku ɖe wò ʋumenugbagbeviwo ŋu nyuie vie, abe alesi ʋɔnudrɔ̃la si le nusuekpɔmɔ̃ te ene, be yeakpɔ alesi tututu lãmenugbagbevi mawo ƒe nɔnɔme, lolome, kple amadede le. Esia tae míeyɔa dodokpɔ tɔxɛ si wowɔna na ema be Peripheral Blood Smear (PBS) alo "ʋu ƒe film dodokpɔ."
Kpuie ko la, nukae nye ʋumenugbagbeviɣi dodokpɔ (PBS) sia?
Ʋu ƒe Ʋuʋudedi (PBS) nye dodokpɔ si me woɖea wò ʋu ƒe tsitete aɖe, kakaa eƒe ʋu tsɛ aɖe le ahuhɔ̃e me, tsɔa amadede tɔxɛwo dea amae, eye nèléa ŋku ɖe eŋu le nusuekpɔmɔ̃ me.
Nu tɔxɛ si le esia ŋue nye be le esi teƒe be mɔ̃ aɖe nana nyatakaka abe ʋudodokpɔ aɖewo ene la, Atikewɔwɔ Ŋuti Nudokpɔƒe ƒe Mɔ̃ɖaŋununya (MLT) alo Dɔléleŋutinunyala si xɔ hehee léa ŋku ɖe esia ŋu. Esia fia be wotsɔa amegbetɔ ƒe ŋku doa wò ʋumenugbagbevi sue ɖesiaɖe kpɔna . Woate ŋu atsɔ ŋku bibi ade dzesi tɔtrɔ suesuesuewo kple lãmenugbagbevi siwo ƒe nɔnɔme mebɔ o siwo mɔ̃ mate ŋu afɔ o gɔ̃ hã.
Nukatae ɖɔkta aɖe agblɔ na wò be nàwɔ PBS dodokpɔ sia?
Susu geɖe ate ŋu anɔ anyi siwo tae nàdi be yeawɔ dodokpɔ sia ɖo.
Tsɔe be wò ʋu ƒe xexlẽme bliboa (FBC) ƒe nyatakaka ɖee fia be wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖiɖi ŋutɔ alo sɔ gbɔ ŋutɔ wu alesi wòle dzɔdzɔmee. Wò ɖɔkta adi be yeanya be, "Nukatae esia le dzɔdzɔm?"
FBC ƒe nyatakakaa le abe agbalẽ aɖe ƒe akpa dzi ene. Enaa nyatakaka vevi aɖewo abe agbalẽa ƒe tanya kple agbalẽa ŋlɔla ene wò. Gake be nànya ŋutinya si le agbalẽa me ŋutɔŋutɔ la, ele be nàtrɔ axaawo axlẽ, alo? Aleae PBS le. PBS zãa kpeɖodzinya siwo FBC naa tsɔ kpɔa nusi tututu ʋumenugbagbeviawo ƒe ‘ŋutinya si le eme’ nye.
Azɔ hã, woate ŋu abia tso asiwò be nàwɔ dodokpɔ sia le susu bubu geɖewo ta:
- Dzesi siwo womeɖe o: Ne dzesiwo abe ɖeɖiteameŋu ɣesiaɣi, dzoxɔxɔ enuenu, kple abi siwo womenya o ene le ŋuwò la, dodokpɔ sia ate ŋu akpe ɖe ŋuwò nàke ɖe nusi gbɔ wòtso ŋu.
- Kpɔe ɖa be dɔdamɔnua kpɔ dzidzedze hã: Ne èle dɔléle aɖe si do ƒome kple ʋu ƒe dɔdamɔnu wɔm na wò la, woawɔ PBS dodokpɔ atsɔ akpɔe ɖa be dɔdamɔnua kpɔ dzidzedze hã eye ne wò ʋumenugbagbeviwo gatrɔ va ɖo nɔnɔme nyuitɔ me hã.
- Hafi woado ƒumeŋuɖui na ame:Wozãnɛ hã tsɔ srɔ̃a nu geɖe tso wò ʋumenugbagbeviɣiwo kple ƒumeŋuɖui ƒe nɔnɔme ŋu hafi nane abe lãmenugbagbeviwo dodo na ame ene.
Nukae dodokpɔ sia ate ŋu afia na mí tso míaƒe ʋu ŋu?
Be míase nusi dim PBS dodokpɔa di gɔme la, mina míaɖo ŋku ame vevi etɔ̃ siwo le míaƒe ʋu me dzi na mía ɖokui gbã.
| Ʋumenugbagbevi ƒomevi | Nusi nèwɔna la le bɔbɔe. |
|---|---|
| Ʋumenugbagbevi Dzĩwo | Esiawoe nye ‘dɔ si wotsɔna ɖoa amewo gbɔ’ si tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Woxɔa ɔksidzin tso lãkusi me hetsɔnɛ yia lãmenugbagbevi ɖesiaɖe me. |
| Ʋumenugbagbeviɣiwo | Esiae nye ‘aʋakɔ’ si le míaƒe ŋutilã me. Ekpɔa mía ta to avuwɔwɔ kple dɔlékuiwo (dɔlékuiwo, dɔlékuiwo) siwo hea dɔléle vɛ me. Ame siawo ƒomevi 5 ye li. |
| Ʋumenugbagbeviɣidɔ | Abe ‘plaster’ ene. Ne míexɔ abi la, amesiawoe nana ʋu si dona le mía ŋu eye wokpena ɖe mía ŋu be ʋua natsi. |
Le PBS dodokpɔ me la, nusuekpɔmɔ̃a dzroa lãmenugbagbevi ƒomevi etɔ̃awo katã me tsitotsito. Woƒe susu nɔa:
- Tɔtrɔ siwo vaa lãmenugbagbeviwo ƒe lolome kple woƒe nɔnɔme me: Le kpɔɖeŋu me, woate ŋu atrɔ ʋumenugbagbevi dzĩwo ƒe nɔnɔme, abe ne wole abe aŋe ene alo wole abe taɖodzinu ene. Tɔtrɔ siawo ate ŋu ana míanya nu tso ʋumenugbagbeviɣidɔ vovovowo ŋu.
- Tɔtrɔ siwo vaa lãmenugbagbeviwo ƒe xexlẽme me: Abe alesi wòle le FBC gome ene la, esia hã léa ŋku ɖe lãmenugbagbeviwo ƒe xexlẽme ŋu. Le ɣeyiɣi ma ke me la, eléa ŋku ɖe lãmenugbagbeviawo ƒe dzedzeme "le lãmesẽ me" alo "siwo mesɔ o" ŋu hã.
- Vovototo le ʋumenugbagbevi ɣiwo me: Ʋumenugbagbevi ɣi ƒomevi 5 ye li. Woléa ŋku ɖe ƒomevi ɖesiaɖe ƒe lolome ŋu koŋ, nenye be nanewo mesɔ le woƒe dzedzeme me o, eye ne lãmenugbagbevi siwo metsi o (blasts) aɖewo li hã.
- Dɔlékui siwo le ʋua me:Ɣeaɖewoɣi la, woate ŋu akpɔ dɔlékui siwo hea dɔlélewo abe asrã ene vɛ le ʋumenugbagbevi dzĩwo me. PBS dodokpɔ nye dodokpɔ vevi aɖe ŋutɔ be woatsɔ anya asrãdɔ.
Dɔléle kawoe PBS dodokpɔa ate ŋu akpe ɖe ame ŋu woade dzesii?
Dodokpɔ sia nye dɔwɔnu sẽŋu aɖe ŋutɔ si wozãna tsɔ dea dzesi dɔléle geɖe siwo do ƒome kple ʋu.
Ʋumenugbagbeviɣidɔ - Ʋu me kansa
Míaƒe ƒumeŋuɖui nye míaƒe ‘ʋuwɔƒe’. Ne ʋumenugbagbevi ɣi gbogbo aɖewo siwo mesɔ o dze wɔwɔ gɔme le dɔwɔƒe sia me la, woƒoa lãmenugbagbevi siwo le lãmesẽ me nu ƒu. Woate ŋu akpɔ kansa lãmenugbagbevi siawo siwo metsi o, siwo metsi o (blasts) nyuie le PBS dodokpɔ me.
Ʋusɔgbɔdɔ
Ʋusɔgbɔdɔ nye ne ʋumenugbagbevi dzĩ siwo le lãmesẽ me mesɔ gbɔ le ŋutilãa me o. Esia ate ŋu adzɔ le susu geɖe ta. Le nɔnɔmewo abe iron ƒe anyimanɔmanɔ, vitamin B12 ƒe anyimanɔmanɔ, alo thalassemia ene me la, ʋumenugbagbevi dzĩwo ƒe nɔnɔme kple lolome trɔna. Woate ŋu atsɔ PBS ade dzesi tɔtrɔ siawo bɔbɔe eye ate ŋu ana mɔfiame le nusi gbɔ ʋusɔgbɔdɔa tso didi ŋu.
Myelodysplastic Dɔléle si woyɔna be Myelodysplastic Dɔléle
Esia hã nye ƒumeŋuɖui ƒe kansa. Le go sia me la, ƒumeŋuɖui mete ŋu wɔa ʋumenugbagbevi siwo le lãmesẽ me, siwo tsi (dzẽ, ɣi, alo ʋumenugbagbevi dzĩwo) o. Wokpɔa lãmenugbagbevi siawo siwo ƒe nɔnɔme mesɔ o, siwo ƒe nɔnɔme mesɔ o le PBS la me.
Lymphoma - kansa si le ʋukawo me
Esia nye kansa si dona le míaƒe ʋukawo me. Ɣeaɖewoɣi la, kansa lãmenugbagbevi siawo hã te ŋu gena ɖe ʋua me. Ne edzɔ alea la, woate ŋu atsɔ PBS dodokpɔa ade dzesi ʋumenugbagbevi dzĩ mawo siwo mesɔ o.
Dɔlékuiwo Kple Dɔlélenutsiŋutete ƒe Dɔlélewo
Ne nane le ŋutilã me abe dɔlékui ƒe dɔléle ene la, ʋumenugbagbevi ɣi ƒomevi aɖe (neutrophils) si wɔa avu kplii dzina ɖe edzi, eye àte ŋu akpɔ tɔtrɔ le woƒe dzedzeme ŋu (aɖi ƒe tɔtrɔ). Nenema ke le dɔlékuiwo abe dengue ene me la, àte ŋu akpɔ tɔtrɔ le ʋumenugbagbevi ɣi ƒomevi aɖewo (lymphocytes) ŋu. Le autoimmune diseases (dɔléle siwo me míaƒe ŋutilã ƒe ametakpɔnu dzea mía ŋutɔwo míaƒe ŋutilã dzi) me la, àte ŋu akpɔ ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ alo tɔtrɔ bubuwo hã.
Asrãdɔ
Dɔlékui aɖe si tso nudzodzoe aɖe me gena ɖe míaƒe ʋu me gbɔe asrã tsona. Dɔlékui sia nɔa míaƒe ʋumenugbagbevi dzĩwo me. Ne wokpɔ nusuekpɔmɔ̃ le PBS dodokpɔ me la, woate ŋu akpɔ dɔlékui siawo nyuie le ʋumenugbagbevi dzĩawo me. Eyata esia nye dodokpɔ vevi aɖe le asrãdɔ didi me.
Aleke wowɔa dodokpɔ siae? Ðe wòvea amea?
Naneke meli si ŋu woavɔ̃ ɖo le esia ŋu o. Ele bɔbɔe ŋutɔ.
1. Abe ʋudodokpɔ si sɔ ene la, woɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me.
2. Emegbe, wotsɔa ʋu sue aɖe dana ɖe glass slide dzi, eye wozãa slide bubu tsɔ kakanɛ abe film tsɛ aɖe ene.
3. Ne eƒu vɔ la, wotsɔa amadede tɔxɛwo dea amae eye wotsɔa nusuekpɔmɔ̃ léa ŋku ɖe eŋu.
Ðeko nàse le ɖokuiwò me be aŋea le ƒoƒom vie. Ne menye ema o la, vevesese alo vevesese bubu aɖeke meli si do ƒome kple dodokpɔ sia o.
Nuka gɔmee wòle be míase tso nyatakaka siwo le nyatakakaa me la me?
Esiae nye nu vevitɔ kekeake. Ne èxɔ wò PBS nyatakaka la, mègavɔ̃ na nya siwo le edzi o. Peripheral Blood Smear ƒe nyatakaka menye dɔléle mamlɛtɔ didi o.
Esia le abe aɖaŋunu aɖe ƒe akpa ɖeka ene. Be nàkpɔ nɔnɔmetata bliboa la, ele be nàƒo nu bubuawo nu ƒu, abe nusi ɖɔktaa va nya tso ŋuwò, wò dzesiwo, kple wò FBC nyatakaka ene.
PBS ƒe nyatakakaa kpena ɖe ɖɔktaa ŋu wògabua tame yi ŋgɔe, ɖoa kpe eƒe ɖikekewo dzi, alo tsoa nya me le dodokpɔ siwo wòawɔ kplɔe ɖo ŋu.
Eyata mègavɔ̃ gbeɖe be yeawɔ Google dzi nya siwo le nyatakakaa me ahakpɔ nusi ado mo ɖa o . Gɔmesese vovovowo ate ŋu anɔ nya ɖeka ŋu le dɔléle geɖe me. Ðɔkta si da dɔ na wò koe nya alesi wòsɔ ɖe wò nɔnɔmea nu. Eyata tsɔ nyatakakaa, do go wò ɖɔkta eye nàƒo nu tso eŋu. Aɖe nusianu me na wò eme nakɔ eye wòanɔ bɔbɔe.
Gbedasi si Wotsɔ Yi Aƒeme
- Peripheral Blood Smear (PBS) nye dodokpɔ tsitotsito si léa ŋku ɖe wò ʋumenugbagbevi dzĩwo (dzẽ, ɣi, kple ʋumenugbagbevi dzĩwo) ƒe nɔnɔme, lolome, kple dzedzeme ŋu le nusuekpɔmɔ̃ me.
- Zi geɖe la, wowɔa esia tsɔ kua nusi gbɔ nusi mesɔ o tso le FBC ƒe nyatakaka aɖe me.
- Dodokpɔ sia le vevie ŋutɔ be woatsɔ anya ʋusɔgbɔdɔ, ʋumenugbagbeviɣidɔ, dɔlékui vovovowo (abe asrã ene), kple dɔléle bubu geɖewo.
- PBS ƒe nyatakaka menye dɔlélea didi mamlɛtɔ o . Kpeɖodzi bubu aɖe koe wònye si kpena ɖe ɖɔktaa ŋu wòkpɔa dɔlélea.
- Mɔ nyuitɔ kple ɖeka kolia si dzi nàto ase wò nyatakakaa me tsonu gɔmee nye be nàƒo nu tso eŋu na wò ɖɔkta. Mègatso nyataƒoƒo siwo wotu ɖe nyatakaka siwo le internet dzi dzi o.
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