Ne ètso wò asibidɛ la, ɖeko ʋua nu tsona le ɣeyiɣi aɖe megbe, alo? Alo ne èvuvu wò klo esime nèle fefem la, ʋu ƒona ɖe abi la dzi eye wòxea enu. Èbia ɖokuiwò kpɔ be amekae wɔa nu wɔnuku sia? Le nyateƒe me la, esia nye ametakpɔnu wɔnuku aɖe ŋutɔ le míaƒe ŋutilã me ƒe akpa aɖe. Ewɔa lãmenugbagbevi suetɔ kekeake siwo le míaƒe ʋu me, gake wole vevie ŋutɔ la dometɔ aɖewo. Míeyɔa esiawo le atikewɔwɔ me be ʋumenugbagbevi dzĩwo, alo ʋumenugbagbevi dzĩwo . Ame aɖewo hã yɔa wo be `(Thrombocytes)`. Eyata egbea, mina míaƒo nu tso kalẽtɔ sue siawo ŋu.
Kpuie ko la, nukae nye ʋumenugbagbevi dzĩwo?
Bu eŋu abe Band-Aid sue aɖe si dzɔna le dzɔdzɔme nu le wò ŋutilã me ene. Emae nye nusi ʋumenugbagbevi dzĩwo nye. Menye lãmenugbagbevi blibowoe wonye ŋutɔŋutɔ o, ke boŋ wonye lãmenugbagbevi suesuesue siwo mãna tso lãmenugbagbevi gã siwo woyɔna be megakaryocytes me le míaƒe ƒumeŋuɖui me. Wole sue ŋutɔ eye amadede aɖeke mele wo ŋu o. Gake wowɔa dɔ geɖe.
Ne èno wò ʋu ƒe go ɖeka la, ʋumenugbagbevi dzĩ siawo akpe ewo le eme. Be míaƒe ŋutilã nanɔ lãmesẽ me la, ele be ʋumenugbagbevi dzĩ siawo ƒe xexlẽme nada asɔ bliboe.
- Ʋumenugbagbeviɣidɔ si mebɔ o (Thrombocytopenia): Ne wotso wò la, ʋua madzudzɔ o eye ʋu ate ŋu ado le ŋuwò geɖe. Esia ate ŋu anye afɔku.
- Ne ʋumenugbagbevi dzĩwo dzi ɖe edzi (Thrombocytosis): Esia ate ŋu ana ʋu nado madzemadzee, si ate ŋu age ɖe ʋukawo me. Esia ate ŋu ahe nɔnɔme sesẽwo abe dzidɔ alo ʋusɔgbɔdɔ ene vɛ.
Esia fia be ne ʋumenugbagbevi dzĩwo sɔ gbɔ ko hafi ʋu ate ŋu atɔ te ne woxɔ abi, eye wòaxe mɔ na ʋu ƒe sisi si mehiã o hã.
Dɔ vevitɔ si ʋumenugbagbevi dzĩwo wɔnae nye be woadzudzɔ ʋudodo.
Dɔ vevitɔ kple vevitɔ kekeake si ʋumenugbagbevi dzĩwo wɔnae nye be wòadzudzɔ ʋudodo ne nu gblẽ le míaƒe ʋukawo dometɔ ɖeka ŋu, si nye abi aɖe. Míeyɔa ɖoɖo sia be ``Ʋudɔléle``. Esia nye nusi dzɔna le mɔ wɔnuku aɖe nu, le afɔɖeɖe geɖe me. Bu tsi ƒe pɔmpi aɖe si me do le ŋu kpɔ. Ʋumenugbagbevi dzĩ siawo wɔa dɔ abe aŋɔ si míetsɔna tuae ene.
Ale si wòdzɔnae nye esi:
1. Nuléle ɖe nu ŋu: Ne wonya tso ʋuka aɖe ko la, ʋumenugbagbevi dzĩ siwo zɔna toa ŋutilã bliboa me kple ʋua la ƒua du yia afisi wògblẽ nu le eye woléna ɖe gli si gbã la ŋu. Ðeko wòle abe do aɖe kpɔkpɔ eye nèyi be yealée ene.
2. Dɔwɔwɔ: Ʋumenugbagbevi dzĩ mawo siwo tsi anyi la va zua "dɔwɔwɔ." Eyae nye be wotrɔa woƒe nɔnɔme. Wotrɔna tso nɔnɔme si le abe agba ene dzi va zua nɔnɔme si le abe akpɔkplɔ ene eye kawo dona ɖe gota. Afɔ siawo te ŋu léa abi la ƒe gliwo kple ʋumenugbagbevi dzĩ bubuwo nyuie wu. Azɔ hã, ʋumenugbagbevi dzĩ siawo siwo wɔa dɔ la ɖea atikewo ɖa. Atike siawo ɖoa dzesi ɖe ʋumenugbagbevi dzĩ bubuwo, gblɔna be, "Kuxi aɖe le afisia, va kaba!"
3. Nuƒoƒoƒu:Ne wonya xɔ dzesi ma ko la, ʋumenugbagbevi dzĩ akpe geɖe bubuwo va ɖoa teƒea eye wowɔa ƒuƒoƒo. Ƒuƒoƒo sia xea abi la hena ɣeyiɣi aɖe. Míeyɔa esia be "Platelet Plug."
Esia le abe anyigba yɔyɔ kotokuwo me ne tɔdzisasrã aɖe gbã le tɔsisi aɖe dzi ene. Enye ɣeyiɣi kpui aɖe ƒe egbɔkpɔnu.
Emegbe ne ʋumenugbagbevi dzĩ siawo le ƒoƒom ɖekae la, dɔ sesẽ bubu dzea egɔme. Woyɔe be ``Coagulation Cascade.'' Le esia me la, protein bubu siwo le ʋua me (clotting factors) ƒoa ƒu wɔa lãgbalẽ sesẽ aɖe si woyɔna be fibrin . Fibrin-ka sia gadoa ŋusẽ ʋumenugbagbevi dzĩwo, si wɔnɛ be ʋu si le ƒoƒom sesĩe eye wòsẽna. Ɣemaɣie ʋua nu tsona keŋkeŋ.
Afikae ʋumenugbagbevi dzĩ siawo le le míaƒe ŋutilã me?
Teƒe etɔ̃ koŋue woate ŋu akpɔ ʋumenugbagbevi dzĩwo le le míaƒe ŋutilã me.
- Ƒumeŋuɖui: Esiae nye "dɔwɔƒe" na ʋumenugbagbevi dzĩwo. Wowɔ míaƒe ʋumenugbagbeviwo le ƒumeŋuɖui si le míaƒe ƒuwo me. Lãmenugbagbevi gã siwo woyɔna be ``Megakaryocytes'' mãa ʋumenugbagbevi dzĩwo ɖe akpa suewo me le afisia eye woɖea asi le wo ŋu yia ʋua me.
- Ʋu: Ne ʋumenugbagbevi dzĩ siawo nya ge ɖe ʋukawo me ko la, wotoa ʋukawo me toa ŋutilã bliboa me. Esi wo mekɔ ta la, wonɔa ʋukawo ƒe gliwo ŋu kplikplikpli. Eya ta ne ame aɖe xɔ abi la, woate ŋu aɖo teƒea kaba.
- Spleen: Esiae nye "nudzraɖoƒe" kple "nudzraɖoƒe" na ʋumenugbagbevi dzĩwo. Wodzraa ʋumenugbagbevi dzĩ siwo dona le míaƒe ŋutilã me ƒe akpa etɔ̃lia lɔƒo ɖo hedzrana ɖo ɖe dɔgboa me. Eɖea ʋumenugbagbevi dzĩwo kple esiwo gblẽ hã ɖa hegbugbɔa wo zãna.
Ʋumenugbagbevi dzĩ nenie wòle be ame si le lãmesẽ me nanɔ eƒe ʋu me?
Ʋumenugbagbeviɣidɔ si ade 150,000 va ɖo 450,000 le ame tsitsi si le lãmesẽ me si le ʋu microlitre (ʋu sue aɖe ŋutɔ) ɖeka me. Ele vevie ŋutɔ be xexlẽme sia nanɔ seɖoƒe siawo me.
Ʋumenugbagbeviɣidɔ ƒe agbenɔƒe le kpuie ŋutɔ. Wotsrɔ̃a ʋumenugbagbevi dzĩ aɖe le ŋkeke 7 va ɖo 10 me. Eyata ele be míaƒe ƒumeŋuɖui natsɔ ʋumenugbagbevi dzĩwo akpe ɖe ʋukawo ŋu ɣesiaɣi. Esia nye nusi yia edzi ɖaa.
Dɔléle vevi kawoe do ƒome kple ʋumenugbagbeviɣidɔ?
Woate ŋu ama dɔléle akpa gãtɔ siwo do ƒome kple ʋumenugbagbevi dzĩwo ɖe hatsotso eve me: ʋumenugbagbeviɣidɔ si mebɔ o alo ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si sɔ gbɔ.
| Atikewɔwɔ ƒe nɔnɔme | Gɔmesese kple ŋusẽkpɔɖeamedzi bɔbɔe |
|---|---|
| Ʋumenugbagbeviɣidɔ | Esia nye ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ . Nɔnɔme sia ate ŋu ado mo ɖa ne dɔléle aɖe abe dengue ene le ŋuwò. Nɔnɔme sia dzɔna ne ŋutilãa mewɔa ʋumenugbagbevi dzĩwo o alo ne ʋumenugbagbevi dzĩ siwo dona la tsrɔ̃na kabakaba akpa. Afɔku vevitɔ si le afisiae nye ʋu si dona fũu akpa, tso abi sue aɖe gɔ̃ hã me. |
| Ʋumenugbagbeviɣidɔ | Esia nye ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi . Nɔnɔme sia dzɔna ne ʋumenugbagbevi dzĩwo sɔ gbɔ akpa le kuxi aɖe si le ƒumeŋuɖui me ta. Afɔku vevitɔ si le afisiae nye ʋuka siwo mehiã o ƒe wɔwɔme le ŋutilãa me. Ne ʋuka siawo xe ʋuka siwo kplɔa ame yia dzi, ahɔhɔ̃, alo lãkusi me la, ate ŋu ade ame ƒe agbe afɔku me. |
Dzesi kawoe ɖee fia be kuxi aɖe le ʋumenugbagbevi dzĩwo ŋu?
Ne ʋumenugbagbevi dzĩ siwo le wò ŋutilã me ƒe xexlẽme meda sɔ o la, àte ŋu akpɔ dzesi siwo gbɔna. Ne esiawo dometɔ ɖeka alo esi wu nenema yi edzi le fu ɖem na wò la, ele vevie ŋutɔ be nàkpɔ wò ɖɔkta enumake .
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Nuveviwɔame le susu aɖeke manɔmee | Ne èxɔ abi blɔ alo aŋutiɖiɖi le wò ŋutilã ŋu evɔ mèƒo naneke o la, ɣeaɖewoɣi la, teƒe dzĩ suesuesuewo (petechiae) hã ate ŋu adze le ŋutigbalẽa te. |
| Ʋu si dona le ŋɔti kple aɖu me enuenu | Ne ʋu le dodom le wò aɖuwo me zi geɖe ne èle aɖuwo klɔm, alo ne ʋu le dodom le wò ŋɔti me enuenu. |
| Ʋu le aɖuɖɔ alo aɖuɖɔ me | Aɖuɖɔ yibɔ alo ʋu, aɖuɖɔ dzĩ alo pink. |
| Ʋu si dona le nyɔnuwo ŋu vevie le dzinukpɔkpɔ me | Ʋu si dona le ame ŋu le dzinukpɔkpɔ me ɣeyiɣi didi wu alesi wònɔna alo kpekpe wu alesi wònɔna ɖaa. |
| Ʋu si dona fũu akpa le abi sue aɖe si woxɔ ta | Ne abi suetɔ kekeake gɔ̃ hã xɔa ɣeyiɣi didi hafi ʋu dona. |
| Ʋuʋudedi, abɔ kple afɔwo ƒe vuvu | Dzesi si ate ŋu ado mo ɖa ne ʋumenugbagbevi dzĩwo dzi ɖe edzi. Esia ate ŋu adzɔ ne ʋu ƒe sisi xe mɔ na ʋu ƒe sisi. |
| Taɖuame sesẽ, taɖuame, gbɔdzɔgbɔdzɔ | Esiawo hã nye dzesi sesẽ siwo ate ŋu ado mo ɖa le ʋu ƒe sisi le ʋuka siwo naa ʋu yia ahɔhɔ̃a me le ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi ta. |
Aleke nèwɔna léa ŋku ɖe ʋumenugbagbevi dzĩwo ƒe lãmesẽ ŋu?
Ne ɖikeke aɖe le wò ɖɔkta me le wò ʋumenugbagbevi dzĩwo ŋu la, ate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe edzi.
- Ʋu Xexlẽme Blibo (CBC): Le Sri Lanka la, míeyɔa esia zi geɖe be Ʋu Xexlẽme Blibo (FBC). Esia bia be nàɖe wò ʋu eye nàdzidze ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme si tututu le eme.
- Ʋu si Wotsɔ Ƒoa Ʋu Le Gome (PBS): Esia bia be woatsɔ ʋu sue aɖe asisi ɖe glass slide dzi ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia wɔnɛ be woate ŋu akpɔ ʋumenugbagbevi dzĩawo le nɔnɔme kple lolome si mesɔ o me.
- Ʋu ƒe Ʋuʋu Dodokpɔwo: Dodokpɔ siwo léa ŋku ɖe alesi wò ʋu ƒuna kabakabae ŋu. Esiawo ate ŋu ana nàkpɔ ale si wò ʋumenugbagbevi dzĩwo wɔa dɔe.
- Ƒumeŋuɖui Ŋuti Numekuku: Le go aɖewo me la, woɖea ƒumeŋuɖui sue aɖe tso akɔtaƒu me le atike si naa alɔ̃dɔdɔ ame me be woatsɔ akpɔe ɖa be kuxi aɖewo le ƒumeŋuɖui, afisi ʋumenugbagbevi dzĩwo dzɔna le hã ŋu.
Nukawoe nye atikewɔwɔ na nɔnɔme mawo?
Atikewɔwɔ nɔ te ɖe ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue alo sɔ gbɔ, kple nusi gbɔ wòtso dzi.
Vevietɔ ŋutɔ: Enyo be nànya nu tso atikewɔmɔnu siwo gbɔna ŋu, gake mègadze atike aɖeke zazã gɔme alo adzudzɔ wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
- Atikewo: Ne ʋumenugbagbeviɣidɔ geɖe le ŋuwò la, woate ŋu ana atike siwo ɖea woƒe wɔwɔme dzi kpɔtɔna la wò. Ne dɔlélenutsiŋutete ƒe kuxi aɖe gbɔe ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o tso la, woate ŋu ana atike bubuwo atsɔ adae.
- Aspirin: Be woaɖe ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ le amesiwo ƒe ʋumenugbagbevi dzĩwo sɔ gbɔ me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàno aspirin si ƒe agbɔsɔsɔme mede o gbesiagbe.
- Ʋumenugbagbeviɣidɔ: Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ eye ʋudodo ƒe afɔku gã aɖe le eme la, wotsɔa ʋumenugbagbevi dzĩ siwo woxɔ tso ame si le lãmesẽ me gbɔ la naa ŋutilãa to ʋu me.
- Splenectomy: Le nɔnɔme aɖewo me la, aɖuɖɔtoea léa ʋumenugbagbevi dzĩ geɖe akpa hegblẽa wo. Le nɔnɔme mawo me la, ne dɔdamɔnu bubuwo medze edzi o la, ahiã be woawɔ dɔ na ame be woaɖe aɖuɖɔtoea ɖa.
Nukae míate ŋu awɔ be ʋumenugbagbevi dzĩwo nanɔ lãmesẽ me?
Ne dɔléle aɖe si do ƒome kple ʋumenugbagbeviɣidɔ le ŋuwò xoxo la, ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Tsɔ kpe ɖe eŋu la, zi geɖe la, nu siawo kpena ɖe mía ŋu be míaƒe ʋumenugbagbevi dzĩwo nanɔ lãmesẽ me.
- Ðe ahanono dzi kpɔtɔ. Ahanono fũ ate ŋu agblẽ nu le ƒumeŋuɖui ƒe dɔwɔwɔ ŋu eye wòaɖe ʋumenugbagbeviɣidɔ dzi akpɔtɔ.
- Ƒo asa na atamanono. Sigaretnono ate ŋu agblẽ nu le ʋukawo ŋu eye wòana ʋumenugbagbevi dzĩwo nalé ɖe wo nɔewo ŋu geɖe wu.
- Te ɖa le atike siwo me aɖi le ŋu. Atike aɖewo, abe nudzodzoeviwutikewo ene zazã ate ŋu agblẽ nu le ƒumeŋuɖui ŋu.
- Takpɔ ɖokuiwò ta tso nuveviwɔame me. Ne wò ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, ele be nàkpɔ nyuie etɔxɛe be nàkpɔ ɖokuiwò ta tso anyidzedze kple abidede me.
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo le míaƒe ʋu me siwo dzudzɔa ʋudodo ne míexɔ abi.
- Ʋumenugbagbeviɣidɔ ƒe dzidziɖedzi (thrombocytopenia) kple ʋumenugbagbeviɣidɔ ƒe dzidziɖedzi (thrombocytosis) siaa nye nɔnɔme siwo me kuxiwo le.
- Mègaŋe aɖaba ƒu dzesiwo abe abi si womenya o, ʋu si dona le ŋɔti me enuenu, alo ʋu si le dodom le aɖuwo me ene dzi o. Esiawo ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesiwo.
- Ne dzesi siawo tɔgbe le ŋuwò la, mègatsɔe ko be, yi wò ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo o.
- Mègazã atike aɖeke si nèse le ɖokuiwò me gbeɖe be atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
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