Ðe wò ʋumenugbagbevi dzĩwo mesɔ gbɔ oa? Mina míasrɔ̃ nu tso ʋumenugbagbeviɣidɔ ŋu pɛpɛpɛ!

Egbea míele nu ƒom tso nɔnɔme aɖe si va kple nya si doa vɔvɔ̃ vie, gake woate ŋu akpɔ edzi nyuie ne wona nyanya wò nyuie la ŋu. Emae nye Thrombocytopenia . Ðewohĩ mèse ŋkɔ sia kpɔ o. Alo ɖewohĩ ɖɔkta aɖe gblɔe na wò alo ame aɖe si nènya. Nukae wotsɔ ŋkɔ sia na le mɔ wɔnuku aɖe nu be Thrombocytopenia? Nukatae esia dzɔna ɖo? Ðe wònye afɔkua? Ele be biabia mawo dometɔ geɖe nanɔ susu me na wò. Eyata mina míaƒo nu tso nusiawo katã ŋu eme nakɔ eye míanɔ bɔbɔe, abe nuƒoƒo na mía xɔlɔ̃ ene.

Nukae nye ʋumenugbagbeviɣidɔ?

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ne ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe wò ʋu me o wu alesi wòle be nànɔ. Fifia ɖewohĩ èle eŋu bum be, "Nukae nye ʋumenugbagbevi dzĩ siawo?" Mègatsi dzi o, míaƒo nu tso ema hã ŋu.

Bu eŋu ale: míaƒe ŋutilã le abe dɔwɔƒe gã aɖe ene. Dɔwɔla ƒomevi vovovowo le dɔwɔƒe sia hena dɔ vovovowo wɔwɔ. Nenema kee lãmenugbagbevi ƒomevi vovovowo le míaƒe ʋu me, eye dɔ aɖe koŋ le wo dometɔ ɖesiaɖe si. Ʋumenugbagbevi dzĩwo nye dɔwɔla bibiwo ƒe ƒuƒoƒo mawo dometɔ ɖeka.

Eyata ne ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖiɖi wu agbɔsɔsɔ si wobia la, míeyɔnae be Thrombocytopenia. Ðeko wòle abe ne dedienɔnɔdzikpɔlawo mesɔ gbɔ le dɔwɔƒe o ene la, kuxi suesuesuewo ate ŋu ava lolo.

Nukae nye ʋumenugbagbevi dzĩwo? Nukae wowɔna?

Ʋumenugbagbevi dzĩwo, alo abe alesi míeyɔnae ene , ʋumenugbagbevi dzĩwo, nye lãmenugbagbevi suesuesue siwo me amadede mele o le míaƒe ʋu me. Wodzɔna le míaƒe ƒu ƒe akpa falɛfalɛ si woyɔna be ƒumeŋuɖui me . Bu ƒumeŋuɖui be enye ʋumenugbagbeviɣidɔ. Afi mae ʋumenugbagbevi dzĩwo (lãmenugbagbevi siwo naa ʋu ƒe amadede biã eye wòtsɔa ɔksidzin), ʋumenugbagbevi ɣiwo (lãmenugbagbevi siwo kpɔa mía ta tso dɔléle me), kple ʋumenugbagbevi dzĩwo le.

Eyata togbɔ be wole sue hã la, ʋumenugbagbevi dzĩwo wɔa dɔ gã aɖe ŋutɔ. Woƒe dɔ vevitɔe nye be woadzudzɔ ʋudodo, si fia be woaxe ʋua. Ne èxɔ abi le afi aɖe la, ʋua nu tsona le ɣeyiɣi aɖe megbe, alo? Enyo, ʋumenugbagbevi dzĩ siawo kpena ɖe ame ŋu le ema me. Wovaa teƒe si abi le eye woléna ɖe wo nɔewo ŋu, abe tɔdzisasrã ene, eye woxea mɔ na ʋua be wòagado go o.

Eyata susua va su asiwò, alo? Ʋumenugbagbevi dzĩwo nye míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ si kpɔa ʋu ƒe dodo dzi, eye wowɔa dɔ abe "plaster" suewo ene.

Nukatae Thrombocytopenia dzɔna? Nukawoe gbɔ wòtsona?

Enyo, fifia míenya be ʋumenugbagbeviɣidɔ nye ʋumenugbagbevi dzĩwo dzi ɖeɖe kpɔtɔ. Gake nukatae wòdzɔna alea? Susu geɖewo ate ŋu anɔ esia ta. Mina míama wo ɖe hatsotso vevi etɔ̃ me:

1. Ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi tso ƒumeŋuɖui me

Ne míaƒe ʋumenugbagbeviɣidɔwɔƒe, si nye ƒumeŋuɖui, mele dɔ wɔm nyuie o la, ʋumenugbagbevi dzĩ siwo wowɔna ƒe xexlẽme ate ŋu aɖiɖi. Esia ate ŋu atso:

• Dɔlékui aɖewo (e.g., ɖewohĩ èse be ʋumenugbagbevi dzĩwo dzi ɖena kpɔtɔna ne dengue dɔléle le ŋuwò).
• Atike aɖewo (vevietɔ atikewɔmɔnu).
• Vitamin B12 alo folic acid ƒe anyimanɔmanɔ.
• Dɔléle siwo gblẽa nu le ƒumeŋuɖui ŋu (e.g., Leukemia , Aplastic Anemia ).
• Ahanono fũu akpa.

2. Ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ kabakaba (wo ƒe gbagbã fũu akpa) .

Ɣeaɖewoɣi la, togbɔ be ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩwo nyuie hã la, wogblẽna kabakaba le ŋutilãa me. Abe alesi adzɔnu aɖewo siwo wowɔ nyuie gbãna le ʋuɖoɖo me ene. Susu siwo tae wòle alea ɖoe nye:

• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Ɣeaɖewoɣi la, míaƒe ŋutilã ŋutɔ ƒe ametakpɔnu (immune system) dzea eya ŋutɔ ƒe ʋumenugbagbevi dzĩwo tsɔtsrɔ̃ gɔme vodadatɔe. Woyɔa esia be `(Dɔlélenutsiŋutete ƒe Ʋumenugbagbeviɣidɔ ƒe Purpura - ITP)`. Woate ŋu akpɔ esia le ɖevi suewo hã ŋu.
• Abe atike aɖewo (e.g. heparin) ƒe nugbegblẽ le ame ŋu ene.
• Dɔlékuiwo ƒe nɔnɔme aɖewo.
• Ame aɖewo ate ŋu akpɔ ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ vie le fufɔɣi, gake zi geɖe la, menye nɔnɔme sesẽ aɖekee wònye o.

3. Ʋumenugbagbevi dzĩwo ƒoa ƒu ɖe teƒe ɖeka le ŋutilãa me (vevietɔ le dɔgboa me) .

Ŋutinu aɖe le míaƒe ŋutilã me si woyɔna be aɖuɖɔtoe. Enɔa ƒodoa ƒe miame. Dɔ siwo dɔgboa wɔna dometɔ ɖekae nye be wòaɖe ʋumenugbagbevi xoxowo ɖa. Gake ɣeaɖewoɣi ne aɖuɖɔtoea lolo (le kpɔɖeŋu me, le dɔlélewo abe aklã ƒe ʋuʋu ene me) la, ate ŋu aƒo ʋumenugbagbevi dzĩwo nu ƒu akpa, si ate ŋu aɖe ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi akpɔtɔ le ʋua me.

Aleke nàwɔ anya ne ʋumenugbagbeviɣidɔ le ŋuwò? Nukawoe nye dzesiawo?

Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o la, ŋutete si le wo si be woadzudzɔ ʋudodo dzi ɖena kpɔtɔna, eyata dzesi vovovowo ate ŋu adze. Ke hã, dzesi siawo medzena le ame sia ame ŋu o. Ðewohĩ ame aɖewo maɖe dzesi aɖeke afia o ne woƒe ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue vie gɔ̃ hã. Gake ne ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ ŋutɔ la, àte ŋu akpɔ nanewo abe:

• Abi bɔbɔe: Abi sue aɖe gɔ̃ hã ate ŋu ana abi gã si do viviti nado. Ɣeaɖewoɣi la, teƒe blɔwo ate ŋu adze le ŋutilãa ŋu.
• Teƒe sue dzĩ/aɖabɛ siwo le ŋutigbalẽa ŋu (petechiae): Esiawo nye ʋu ƒe teƒe suesuesue siwo dzena abe ɖe wotsɔ ati sue aɖe ƒo wo ene eye wometrɔna zua ɣie ne wozi wo dzi o. Zi geɖe la, wodzena gbã le afɔwo dzi.
• Ʋu si le dodom le aɖuwo me: Ʋu si le dodom le aɖuwo me, eɖanye ne èle aɖuwo tutum alo ne ètsi anyi ko o.
• Ʋu si dona le ŋɔti me enuenu.
• Exɔa ɣeyiɣi didi hafi ʋu si dona le ame ŋu la nu tsona le abixɔxɔ vɔ megbe.
• Ʋu si dona fũu akpa le nyɔnuwo ƒe dzinukpɔkpɔ me.
• Ƒã hafi ʋu ate ŋu anɔ aɖuɖɔ alo aɖuɖɔ me.
• Le nɔnɔme siwo nu sẽ ŋutɔ (si mebɔ o) me la, nɔnɔme siwo me afɔku le abe ʋu si le dodom le ahɔhɔ̃a me ene ate ŋu adzɔ.

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mefia kokoko be ʋumenugbagbeviɣidɔ le ŋuwò o. Ke hã, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

Aleke nàwɔ anya ne ʋumenugbagbeviɣidɔ le ŋuwò? (Dɔléle ƒe dzesi) .

Ne èyi ɖɔkta gbɔ la, woabia wò dɔlélea ƒe dzesiwo eye woado wò kpɔ (vevietɔ ne èxɔ abi alo abi ɖesiaɖe). Emegbe woate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene atsɔ anya ne ʋumenugbagbeviɣidɔ le ŋuwò eye ne ele nenema la, nusi gbɔ wòtso:

• Ʋu Xexlẽme Blibo (CBC): Esiae nye dodokpɔ vevitɔ kekeake. Edzidzea ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple vevietɔ wu la, ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me. Ʋumenugbagbeviɣidɔ ƒe xexlẽme si sɔ le ame si le lãmesẽ me ŋu le ʋu mililita ɖeka me tso 150,000 va ɖo 450,000. Thrombocytopenia nye ne xexlẽme sia ɖiɖi wu 150,000.
• Ʋu si Le Gome: Le esia me la, woɖea ʋu ɖeka hedoa eŋu le nusuekpɔmɔ̃ me be woakpɔ alesi ʋumenugbagbevi dzĩawo le kple alesi wololoe.
• Dodokpɔ bubuwo: Ne woɖo kpe ʋumenugbagbeviɣidɔ dzi la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wòtso. Le kpɔɖeŋu me:
• Dodokpɔwo hena dɔlékuiwo ƒe dɔlélewo.
• Dodokpɔ siwo ku ɖe dɔlélenutsiŋutete ŋu (be woatsɔ akpɔ nɔnɔme aɖe abe ITP ene hã).
• Ne ehiã la, woate ŋu awɔ ƒumeŋuɖui ƒe ʋuʋu/biopsy hã. Esia bia be woatsɔ aŋe sue aɖe axɔ ƒumeŋuɖui aɖe ahadoe kpɔ be ƒumeŋuɖui la le ʋumenugbagbevi dzĩwo wɔm nyuie hã. Zi geɖe la, wowɔa esia le nɔnɔme siwo sesẽ wu me.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe atikewo?

Ʋumenugbagbeviɣidɔ dada nɔ te ɖe nusi gbɔ ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ, alesi ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue, kple alesi wò dzesiawo nu sẽe dzi.

• Nusi gbɔ wòtso la dada: Ɣeaɖewoɣi la, ne woda nusi gbɔ ʋumenugbagbeviɣidɔ tsona la, ʋumenugbagbevi dzĩwo ƒe xexlẽme atrɔ ava nɔ abe alesi wònɔ tsã ene. Le kpɔɖeŋu me, ne atike aɖe na ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ la, atikeawo dzudzɔ ate ŋu akpe ɖe ŋuwò. Ne vitamin ƒe anyimanɔmanɔe la, vitamin-tikewo nono ate ŋu akpe ɖe ame ŋu.
• Thrombocytopenia si nu mesẽ o: Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme mede tututu o, eye dzesi gã aɖeke mele ŋuwò o la, ɖewohĩ mahiã be woawɔ atike tɔxɛ aɖeke na wò o. Wò ɖɔkta agblɔ na wò be nàdo ʋu kpɔ edziedzi (dzikpɔkpɔ).
• ITP (Dɔlélenutsiŋutete ƒe Thrombocytopenic Purpura) ƒe Atikewɔwɔ:
• Steroids: Esiawo ɖea dɔlélenutsiŋutete si gblẽa ʋumenugbagbevi dzĩwo ƒe dɔwɔwɔ dzi kpɔtɔna.
• Intravenous Immunoglobulin (IVIG): Esia hã gblẽa nu le dɔlélenutsiŋutete ŋu eye wòɖea ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ dzi kpɔtɔna.
• Atike bubu siwo tsia dɔlélenutsiŋutete nu.
• Le dɔléle sesẽ aɖewo me la, woate ŋu aɖe dɔgboa ɖa, elabena aɖuɖɔtoe koŋue ʋumenugbagbevi dzĩwo gblẽna le.
• Ʋumenugbagbeviɣidɔ: Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ eye ʋu ƒe dodo ƒe afɔku le eme la, woate ŋu ana ʋumenugbagbevi dzĩwo le gota. Ke hã, esia nye egbɔkpɔnu si anɔ anyi ɣeyiɣi kpui aɖe.

Vevietɔ: Wò ɖɔkta atso nya me le atikewɔwɔ si sɔ na wò ŋu, eyata ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

Nukae wòle be amesi ŋu ʋumenugbagbeviɣidɔ le nanya?

Ne ʋumenugbagbeviɣidɔ le ŋuwò la, anyo be nàlé be na nu siawo be nàɖe ʋudodo ƒe afɔkua dzi akpɔtɔ:

• Ƒo asa na kamedefefewo kple dɔwɔna siwo ate ŋu ahe abi vɛ: Te ɖa le kamedefefe siwo me kadodo le (e.g. rugby, kɔdada).
• Kpɔ nyuie ne èle dɔwɔnu ɖaɖɛwo zãm: Kpɔ nyuie ŋutɔ ne èle nuwo abe hɛ kple lãgbalẽŋudɔwɔnu ene zãm.
• Zã aɖututu falɛfalɛ ne èle wò aɖuwo klɔm. Ƒo asa na nuvevi wɔwɔ wò aɖuwo.
• Mègano atike aɖewo wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o: Mègazã atike siwo naa ʋu mekɔna o, vevietɔ aspirin alo ibuprofen, ne wò ɖɔkta meda asi ɖe edzi o. Esiawo dzia ʋu ƒe dodo ƒe afɔkua ɖe edzi.
• Ðe ahanono dzi kpɔtɔ alo dzudzɔ enono keŋkeŋ.
• Ƒo asa na dɔmeɖui: Ƒo nuɖuɖu siwo me fibre sɔ gbɔ ɖo (amagbewo, atikutsetsewo) eye nàno tsi geɖe, elabena dɔmeɖui ate ŋu ana ʋu nado le ame ŋu ne èle ʋuʋum.
• Gblɔe na wò ɖɔkta enumake ne èkpɔ ʋu si mebɔ o, taɖuame sesẽ, alo dzesi yeye bubuwo.

Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Togbɔ be ŋkɔ thrombocytopenia ate ŋu ado vɔvɔ̃ na ame hã la, enye nɔnɔme si dzi nàte ŋu akpɔ nyuie ne ènyae, yi ɖɔkta gbɔ le ɣeyiɣi nyuitɔ dzi, eye nèxɔ atike si sɔ.

Ɖo ŋku edzi:

* Thrombocytopenia nye ʋumenugbagbevi dzĩwo ƒe ɖiɖi le ʋua me.

* Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo kpena ɖe ame ŋu be ʋu nagadona o.

* Susu geɖewo ate ŋu anɔ esia ta.

* Ne èkpɔ dzesiwo abe blɔ blɔ bɔbɔe alo ʋu si le dodom le aɖuwo me ene la, yi ɖɔkta gbɔ.

* Woate ŋu ade dzesi esia bɔbɔe to ʋudodokpɔ si woyɔna be CBC me.

* Atikewɔwɔ nɔ te ɖe nusi gbɔ dɔlélea tso kple alesi wòsẽe dzi.

Eya ta, ne kuxi sia tɔgbe le wò alo ame aɖe si nènya ŋu la, mègatsi dzodzodzoe o, mègatsi dzodzodzoe o, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Sidzedze nyuitɔe nye ametakpɔnu nyuitɔ kekeake!

ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, ʋu ƒe dodo, ƒumeŋuɖui, ʋumenugbagbeviɣidɔ ƒe dzesiwo, nusiwo gbɔ ʋumenugbagbeviɣidɔ tsona