Ðe ʋumenugbagbeviɣidɔ le wò ʋu mea? Mina míasrɔ̃ nu tso Ʋumenugbagbeviɣidɔ ŋu le mɔ bɔbɔe aɖe nu!

Ðe wò ŋutilã xɔa abi ɣeaɖewoɣia? Alo ɖe wòxɔa ɣeyiɣi didi hafi ʋua nu tsona le lãɖeɖe sue aɖe megbea? Ðewohĩ ʋu le dodom le wò aɖuwo me ɣesiaɣia? Esiawo ate ŋu anye ʋumenugbagbevi dzĩwo, si nye lãmenugbagbevi sue ƒomevi aɖe si le míaƒe ʋu me, ƒe kuxi aɖe ƒe dzesi ɣeaɖewoɣi. Egbea, míaƒo nu tso nusiwo ʋumenugbagbeviɣidɔ siawo nye ŋu.

Nukawoe nye ʋumenugbagbeviɣidɔ siawo?

Kpuie ko la, ʋumenugbagbeviɣidɔ nye nɔnɔme siwo gblẽa nu le ʋumenugbagbevi dzĩwo ƒe xexlẽme si le wò ʋu me alo alesi wowɔa dɔe ŋu. Enyo, fifia ɖewohĩ èle eŋu bum be, "Nukae nye ʋumenugbagbevi dzĩ siawo?" Mina míaɖe nya ma hã me.

Nukae nye ʋumenugbagbevi dzĩwo?

Tsɔe be abi sue aɖe le ŋuwò. Ʋua nu tsona le ɣeyiɣi aɖe megbe, alo? Enyo, ʋumenugbagbevi dzĩ siawo kpena ɖe ame ŋu le ema me. Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi kakɛ suewo ŋutɔ (abe lãmenugbagbevi kakɛwo ene) le míaƒe ʋu me. Wodzɔna le míaƒe ƒumeŋuɖui me. Ne abi aɖe dzɔ la, ʋumenugbagbevi dzĩ siawo va ƒoa ƒu, xea abi la nu eye wodzudzɔa ʋu si le dodom. Ele abe dzɔdzɔme aŋɔ si le míaƒe ŋutilã me ene! Woléna ɖe wo nɔewo ŋu eye wowɔa ʋu ƒe sisi. Esiae nye nu vevitɔ si nana ʋu si dona le lãme na ame.

Eyata nukae nye ʋumenugbagbeviɣidɔ?

Eyata ʋumenugbagbeviɣidɔ nye nusi gblẽ le ʋumenugbagbevi dzĩ siawo ŋu. Ema fia be, wò ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu anɔ ʋɛ, alo asɔ gbɔ, alo ne ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si sɔ le asiwò gɔ̃ hã la, womate ŋu awɔ dɔ nyuie o. Aleke kee wòɖale o, ate ŋu ahe ʋudodo ƒe kuxiwo vɛ.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒomevi veviwo?

Ʋumenugbagbeviɣidɔ ƒomevi vevi etɔ̃e li:

1. Thrombocytosis: Esia fia be ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me sɔ gbɔ sã wu alesi wòle dzɔdzɔmee .

2. Thrombocytopenia: Esiae nye ɣeyiɣi si me ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me ɖiɖi kura wu alesi wòle .

3. Ʋumenugbagbeviɣidɔ: Le afisia la, togbɔ be ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me sɔ hã la, womewɔa dɔ nyuie o. Ðeko wòle abe taya ene le ʋu ŋu ene, gake wo dometɔ ɖeka ya le gbagbãm.

Zi geɖe la, ʋumenugbagbeviɣidɔ siawo ƒe dzesiwo mesẽna o. Ðewohĩ ame aɖewo maɖe dzesi aɖeke gɔ̃ hã afia o. Gake le go aɖewo me, vevietɔ ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o alo womele dɔ wɔm nyuie o la, ʋudodo ƒe afɔku ate ŋu adzi ɖe edzi. Azɔ hã, ne ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ gbɔ akpa la, afɔku ate ŋu anɔ eme be ʋu ƒe sisi nadzɔ (ʋu ƒe sisi si me afɔku le) .

Wò ɖɔkta ate ŋu aɖe afɔku siawo me eye wòakafu atikewɔmɔnu siwo hiã le wò nɔnɔmea nu.

Nukawoe nye dzesi siawo?

Dzesi siwo woate ŋu akpɔ le ʋumenugbagbeviɣidɔ me dometɔ aɖewoe nye:

• Dzesi siwo fia be ʋu le dodom le ŋutigbalẽa te:
• Ðeko abiwo dzena le teƒe aɖewo le ŋutilãa ŋu. Woyɔa esia ɣeaɖewoɣi be purpura.
• Teƒe sue dzĩ siwo le abe pin-point ene (petechiae) dzena le ŋutigbalẽa ŋu. Zi geɖe la, esiawo nyea teƒe siwo me ʋuʋudedi mele o siwo metrɔna zua ɣie le wo ɖokui si o.
• Nyɔnuwo ƒe ʋu dona vevie le dzinukpɔkpɔ me (enɔa anyi didi wu alesi wònɔna ɖaa, ʋu dona le wo ŋu vevie).
• Ʋu si dona le ŋɔti me enuenu.
• Ʋu si dona le aɖuwo me ne èle aɖuwo klɔm.
• Ʋu le wò aɖuɖɔ me (si ate ŋu azu yibɔ) alo ʋu le wò aɖuɖɔ me (si ate ŋu atrɔ azu dzĩ/pink).
• Sese le eɖokui me be yegbɔdzɔ, taɖuame, alo yeƒe tagbɔ gblẽ (vevietɔ ne ʋu le dodom).
• Ɣeaɖewoɣi la, ʋu ƒe sisi si mesɔ o ate ŋu adzɔ (vevietɔ le ʋumenugbagbeviɣidɔ ƒe xexlẽme si sɔ gbɔ me).

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Ʋumenugbagbeviɣidɔ ate ŋu adzɔ le susu vovovowo ta. Ɣeaɖewoɣi la, woate ŋu atso atikewɔwɔ ƒe nɔnɔme bubu si le ŋuwò alo atike aɖe si nèno gbɔ. Ɣebubuɣiwo la, domenyiŋusẽfianu ƒe nɔnɔme aɖe si ƒe dome nènyi tso dziwòlawo gbɔ ate ŋu atso wo gbɔ.

Nusiwo hea ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ vɛ

Susu vevi eve tae ʋumenugbagbevi dzĩwo dzina ɖe edzi ɖo:

• Ʋumenugbagbeviɣidɔ vevi aɖe: Esia nye nɔnɔme si mebɔ o si me wò ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩ geɖe wu alesi wòle be wòanɔ le domenyiŋusẽfianu ƒe tɔtrɔ ta.
• Reactive thrombocytosis: Esiae nye ƒomevi si bɔ wu. Edzɔna ne ŋutilãa wɔ ʋumenugbagbevi dzĩwo fũ akpa le nɔnɔme bubu aɖe ta. Le kpɔɖeŋu me:
• Ʋusɔgbɔdɔ si me iron mesɔ gbɔ ɖo o.
• Dzoxɔxɔ ƒe nɔnɔmewo le ŋutilã me (e.g. kansa, dɔlékuiwo).
• Nuveviwɔamewo.
• Atike aɖewo.

Nusiwo gbɔ ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o tsona

Susu geɖe ate ŋu anɔ anyi siwo tae wò ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu aɖiɖi ɖo:

• Ŋutilãa mewɔa ʋumenugbagbevi dzĩwo wòsɔa gbɔ o: Esia ate ŋu atso kuxi aɖe si le ƒumeŋuɖui ŋu gbɔ.
• Ʋumenugbagbeviɣidɔ ƒe tsɔtsrɔ̃ le dɔléle aɖe ta: Le kpɔɖeŋu me, le `(Autoimmune diseases)` (dɔlélenutsiŋutete ƒe dɔlélewo) me la, ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete gblẽa eya ŋutɔ ƒe ʋumenugbagbevi dzĩwo. `(Dɔlélenutsiŋutete ƒe ʋumenugbagbeviɣidɔ - ITP)` nye nɔnɔme sia tɔgbe.
• Aɖuɖɔtoe dzraa ʋumenugbagbevi dzĩ geɖe ɖo: Zi geɖe la, aɖuɖɔ dzraa míaƒe ʋumenugbagbevi dzĩwo ƒe akpa etɔ̃lia lɔƒo ɖo. Gake le dɔléle aɖewo me la, agbɔsɔsɔ sia dzina ɖe edzi.
• Susu bubuwo tae:
• Ʋu me kansa (si tsoa ƒumeŋuɖui me yɔyɔ kple kansa lãmenugbagbeviwo gbɔ).
• Ʋudɔ aɖewo, le kpɔɖeŋu me `(Thrombotic thrombocytopenic purpura - TPP)` kple `(Disseminated intravascular coagulation - DIC)`.
• Dɔlékui sesẽwo.
• Atike aɖewo kple kansa dada (Chemotherapy, Radiation therapy).

Nusiwo hea ʋumenugbagbevi dzĩwo ƒe dɔmawɔmawɔ nyuie vɛ

Ɣeaɖewoɣi la, ne ʋumenugbagbevi dzĩwo ƒe xexlẽme sɔ hã la, kuxi aɖe ate ŋu anɔ woƒe dɔwɔwɔ ŋu. Susuwo hã li siwo tae:

• Nɔnɔme siwo wodzina (domenyiŋusẽfianu): Esiawo mebɔ kura o. Kpɔɖeŋuwo: `(Bernard Soulier ƒe dɔléle)`, `(Glanzman ƒe ʋuka me ʋu ƒe sisi)`, `(Von Willebrand ƒe dɔléle)` (si gblẽa nu le ʋumenugbagbevi dzĩwo ƒe dɔwɔwɔ kpakple nu bubu siwo kpɔa gome le ʋu ƒe sisi me), `(Wiskott-Aldrich ƒe dɔléle)`.
• Nɔnɔme siwo woxɔ: Dɔlélewo abe ayiku ƒe dɔmawɔmawɔ nyuie, aklãdɔ, kple lupus ene ate ŋu akpɔ ŋusẽ ɖe alesi ʋumenugbagbevi dzĩwo wɔa dɔe dzi.
• Atikewo: Atike aɖewo, vevietɔ SSRI blanuilélenutsitikewo kple NSAID-tikewo, ate ŋu agblẽ ʋumenugbagbevi dzĩwo ƒe dɔwɔwɔ me. Le nyateƒe me la, ʋumenugbagbevi dzĩwo ƒe dɔmawɔmawɔ nyuie si atikewo hena vɛ ye nye nusi gbɔ wòtsona wu.

Amekawoe le afɔku gã me be woaxɔ nusiawo?

Nu geɖe li siwo nana ʋumenugbagbeviɣidɔ ƒe afɔkua dzina ɖe edzi:

• Ƒe: Ʋumenugbagbeviɣidɔ aɖewo ate ŋu adzɔ le ƒe aɖewo me wu.
• Ŋutsu alo nyɔnu nyenye: Togbɔ be ame sia ame ate ŋu axɔe hã la, nyɔnuwo ƒe dzesiwo dzena le ɣeyiɣi siwo me ʋu le dodom le wo ŋu, abe dzinukpɔkpɔ kple vidzidzi ene, me.
• Ƒome ŋutinya: Woate ŋu atso domenyiŋusẽfianu ƒe dɔléle aɖewo tso dzidzime yi dzidzime.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Dɔléle geɖe, abe dɔléle siwo dɔlélenutsiŋutete wɔna, dɔlékuiwo, ayiku kple aklãdɔ, kple kansa ene, ate ŋu ahe ʋumenugbagbeviɣidɔ ƒe kuxiwo vɛ.
• Kansa dada: Atike kple keklẽŋusẽ zazã ate ŋu aɖe ʋumenugbagbeviɣidɔ dzi akpɔtɔ.
• Atikewo: Dɔlékuiwutikewo kple asrãtike aɖewo hã ate ŋu agblẽ nu le ʋumenugbagbevi dzĩwo ŋu.
• Agbenɔnɔ: Ahanono fũu akpa kple atamanuwo zazã ate ŋu agblẽ nu le ʋumenugbagbevi dzĩwo ƒe wɔwɔme ŋu.

Kuxi kawoe ate ŋu ado tso nɔnɔme sia me?

Ne womekpɔ ʋumenugbagbeviɣidɔ gbɔ nyuie o la, kuxi aɖewo ate ŋu ado mo ɖa:

• Ʋudodo: Abi sue aɖe gɔ̃ hã ate ŋu ana ʋu geɖe nado.
• Ʋu si dona le nyɔnuwo ŋu vevie le dzinukpɔkpɔ me (Menorrhagia).
• Ʋu si dona le dɔgboa me.
• Le nɔnɔmewo abe `essential thrombocytosis` ene me la, nɔnɔme siwo me afɔku le abe ʋu ƒe sisi le afɔ ƒe ʋukawo me (deep vein thrombosis) alo ʋu ƒe sisi le lãkusi me (pulmonary embolism) ateŋu adzɔ.
• Afɔku si le dzidɔ alo ʋusɔgbɔdɔ me (vevietɔ ne ʋu ƒe sisi le lãme na ame bɔbɔe).

Gake ɖo ŋku edzi be, .Ne wowɔ dɔ kple ɖɔkta eye wowɔ ɖe atikewɔwɔ ƒe ɖoɖo nyuitɔ dzi la, woate ŋu aƒo asa na kuxi siawo dometɔ geɖe.

Aleke nèwɔ kpɔ esia? (Dɔléle ƒe dzesi) .

Ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò la, ɖɔkta awɔ wò ŋutilã dodokpɔ gbã. Woabia nya tso wò dɔlélea ƒe dzesiwo, atike siwo nènona, kple nenye be wò ƒomea me tɔ aɖe to kuxi mawo tɔgbe me kpɔ hã ŋu. Woaxɔ atikewɔwɔ ŋutinya hã. Emegbe, woawɔ ʋudodokpɔ aɖewo atsɔ alé ŋku ɖe wò ʋumenugbagbevi dzĩwo ŋu.

Ʋudodokpɔ vevitɔwoe nye:

• Ʋu ƒe xexlẽme blibo (CBC): Esia dzidzea ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me.
• Peripheral blood smear (PBS): Le dodokpɔ sia me la, woɖea wò ʋu ƒe akpa aɖe hedoa wo kpɔ le nusuekpɔmɔ̃ me be woakpɔe ɖa be ʋumenugbagbevi dzĩawo dzena abe ɖe wosɔ ene eye be tɔtrɔ aɖewo va le woƒe nɔnɔme alo woƒe lolome me hã.
• Ʋumenugbagbevi dzĩwo ƒe dɔwɔwɔ dodokpɔ: Dodokpɔ siawo léa ŋku ɖe alesi wò ʋumenugbagbevi dzĩwo wɔa ʋu ƒe sisi nyuie kple ne wole dɔ wɔm nyuie hã ŋu.

Ne dodokpɔ siawo ɖo kpe edzi be ʋumenugbagbeviɣidɔ le ŋuwò la, ahiã be nàgawɔ dodokpɔ bubuwo be nànya nusi gbɔ wòtso. Le kpɔɖeŋu me:

• Ƒumeŋuɖui ƒe lãmenugbagbeviwo ɖeɖe: Le esia me la, woɖea ƒumeŋuɖui sue aɖe hekpɔa lãmenugbagbevi siwo mesɔ o (ʋumedɔ alo kansa ƒe dzesiwo) hã.
• Domenyiŋusẽfianu dodokpɔ: Esi wònye be domenyiŋusẽfianu gbɔe ʋumenugbagbeviɣidɔ aɖewo tsona ta la, dodokpɔ sia dia domenyiŋusẽfianu ƒe tɔtrɔ siwo do ƒome kplii.

Nukawoe nye atikewɔmɔnuawo?

Ʋumenugbagbeviɣidɔ ƒe atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Nɔnɔme aɖewo nɔa anyi ɣeyiɣi kpui aɖe eye ne nusi gbɔ wòtso la nu yi ko. Gake ne ʋumenugbagbeviɣidɔ si nɔa anyi didi (si nɔa anyi didi) le ŋuwò la, ahiã be nàyi ʋumenugbagbeviɣidɔdala gbɔ ahawɔ atike na wò be wò ʋumenugbagbeviɣidɔ nanɔ dedie.

Woate ŋu awɔ nusiwo gbɔna abe atikewɔwɔ ene:

• Lala nyuie: Ne wò dzesiwo mesẽ o la, ɖewohĩ mahiã be woawɔ atike na wò enumake o. Ke boŋ wò ɖɔkta atsɔ ʋudodokpɔ edziedzi alé ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu.
• Atikewo: Ne wò ʋumenugbagbeviɣiwo sɔ gbɔ akpa, eɖanye le nɔnɔme aɖe abe `essential thrombocytosis` alo ʋumenu bubu (abe `(myeloproliferative disease)` ene) gbɔ o, woate ŋu ana atike wò be wòaɖe edzi akpɔtɔ. Nenema ke ne wò ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, woate ŋu ana atike wò be wòana woƒe wɔwɔme nadzi ɖe edzi alo aɖe woƒe tsɔtsrɔ̃ dzi akpɔtɔ.
• Ʋumenugbagbeviɣidɔ ƒe vɔvɔ: Ƒã ŋutɔ hafi wowɔa esia. Dɔdamɔnu aɖe si woyɔna be apheresis ɖea ʋumenugbagbevi dzĩ siwo sɔ gbɔ ɖe ʋua me ɖa.
• Ʋumenugbagbeviɣidɔ:Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋɛ ŋutɔ (vevietɔ ne ʋu le dodom le ŋuwò) la, woate ŋu ana ʋumenugbagbevi dzĩwo wò le gota.
• Plasma therapy / Plasma exchange: Atikewɔwɔ sia ateŋu ahiã le dɔléle abe TPP ene ƒe nɔnɔmewo me. Esia bia be woaɖɔli ʋua ƒe akpa si bu si woyɔna be (ADAMTS13).

Aleke nènɔa agbe kple nɔnɔme sia? Aleke nèléa be na ɖokuiwòe?

Wò nuteƒekpɔkpɔ anɔ te ɖe ʋumenugbagbeviɣidɔ si ƒomevi le ŋuwò kple nusi gbɔ wòtso dzi. Zi geɖe la, wò ʋumenugbagbevi dzĩwo ƒe xexlẽme atrɔ ava nɔ abe alesi wònɔ tsã ene ne wonya da nusi gbɔ wòtso ko. Alo, ɖewohĩ wò nɔnɔmea made wò agbe afɔku me o vaseɖe esime nèxɔ abi. Ne edzɔ alea la, ahiã be nàɖe afɔ aɖewo atsɔ aɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ. Ne nane le abe amekoko ene wɔm na wò la, ahiã be wò atikewɔlawo nakpɔ nyuie etɔxɛe be ʋu nagado le ŋuwò o.

Le nɔnɔme siwo nu sẽ wu me la, ahiã be nàyi atikewo nono dzi, awɔ atike na wò edziedzi, eye woadoe kpɔ be ʋumenugbagbevi dzĩ siwo le lãmesẽ me sɔ gbɔ le wò ŋutilã me hã.

Ne ele be nànɔ agbe kple ʋumenugbagbeviɣidɔ la, nu nyuitɔ si nàte ŋu awɔe nye be nàse alesi tututu nàwɔ aɖe ʋudodo alo ʋu ƒe sisi si me afɔku le ƒe afɔkua dzi akpɔtɔ gɔme. Ele vevie be nànya nu siawo:

• Dɔ siwo wòle be nàƒo asa na: Ʋumenugbagbeviɣidɔ aɖewo ate ŋu ana ʋu nado le ŋuwò vevie ne èxɔ abi. Eyata ele be woaƒo asa na dɔwɔna siwo me abixɔxɔ ƒe afɔku le ŋutɔ (e.g., kadodo kple amewo ƒe kamedefefewo).
• Alesi woalé be na abi: Ne ʋu ate ŋu ado le eme la, ele vevie be nànya alesi nàzi abi dzi be ʋu nadzudzɔ dodo. Wò ɖɔkta ate ŋu afia ale si nàwɔ esia wò.
• Atike siwo nàno (eye màno o): Ðewohĩ ahiã be nàyi atikewo nono dzi be nàkpɔ ʋumenugbagbeviɣidɔ aɖe gbɔ. Ðewohĩ ahiã hã be nàƒo asa na atike aɖewo (abe NSAID abe aspirin ene) siwo doa kplamatse ʋumenugbagbevi dzĩwo ƒe dɔwɔwɔ eye wodzia ʋu ƒe dodo ƒe afɔku ɖe edzi.
• Kpekpeɖeŋunu siwo wòle be woaƒo asa na: Kpekpeɖeŋunanu aɖewo ate ŋu ana ʋudodo ƒe afɔkua nadzi ɖe edzi le amesiwo ŋu ʋumenugbagbeviɣidɔ le ŋu. Bia wò ɖɔkta be nukae nye esiawo hã.
• Alesi nàɖo dze kple wò ɖɔktawo: Ne èle ɖoɖo wɔm be yeawɔ nane si ate ŋu ana ʋu nado le ŋuwò, eɖanye dɔ sue aɖe abe aɖuɖeɖe alo amekoko gã aɖe ene o la, ele be nàna wò ɖɔktawo nanya nu tso eŋu.

Di aɖaŋuɖoɖo tso nusiawo katã ŋu tso wò ʋumenugbagbeviɣidɔdala alo ɖɔkta si le wò dɔlélea dzi kpɔm gbɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne ède dzesi ʋumenugbagbeviɣidɔ ƒe dzesiwo, abe abi si nɔa ame ŋu atraɖii le susu aɖeke manɔmee ene (vevietɔ abi siwo lolo wu gaku si ƒe home nye rupee atɔ̃ si dzi mèɖo ŋkui o) , yi ɖɔkta gbɔ.

Ne ʋu si le dodom vevie ƒe dzesiwo le ŋuwò (e.g., ʋu si le dodom si madzudzɔ o, taɖuame sesẽ, wò susu ƒe dɔwɔwɔ) alo ʋu ƒe sisi ƒe dzesiwo (e.g., akɔtave, gbɔgbɔ sesẽ, nuƒoƒo sesẽ, alɔ alo afɔ ƒe ʋuʋu - esiawo ateŋu anye ``dzidɔ'' alo ``dzidɔ'' ƒe dzesiwo), yi xɔ si me wowɔa dɔ kpata le enumake.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, mègahe ɖe megbe le nya siawo tɔgbe biabia me o:

• Aleke gbegbee nye nɔnɔmea nu sẽe?
• Ðe woate ŋu ada esia keŋkeŋa?
• Dɔdamɔnu ka ƒomevie akpe ɖe ŋunye?
• Zi nenie wòle be malé ŋku ɖe nye ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu?
• Nukae mate ŋu awɔ atsɔ axe mɔ ɖe ʋu ƒe dodo alo ʋu ƒe sisi si me afɔku le nu?

Gbedasi mamlɛtɔ si woatsɔ ayi aƒemee

Nu geɖe li siwo ate ŋu agblẽ nu le ʋumenugbagbevi dzĩwo ŋu, eye atikewɔwɔ aɖewo gɔ̃ hã ate ŋu agblẽ nu le wo ŋu. Eyata mègatsɔe be nusi gblẽ wu ne èva kpɔe be wò ʋumenugbagbeviɣidɔ mesɔ o. Ke hã, ele vevie be nànya nusi tututu gbɔ kuxia tso. Ema ko hafi nànya nusi tututu nèle nu wɔm kplii.

Ne èsusu be ʋumenugbagbeviɣidɔ ƒe dzesiwo le ye ŋu la, yi ɖɔkta gbɔ. Ate ŋu akafu atikewɔmɔnu siwo akpe ɖe ŋuwò nàna wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ nagaɖo eƒe nɔnɔme nyuitɔ me alo akpɔ wò nɔnɔmea gbɔ. Mɔ nyuitɔ si dzi nàto anɔ lãmesẽ me enye be nàʋu wò dzi me, abia nyawo, eye nàse wò nɔnɔmea gɔme nyuie.

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