Ðe wò ʋumenugbagbevi dzĩwo mesɔ gbɔ oa? Mina míasrɔ̃ nu tso ʋumenugbagbeviɣidɔ ŋu le nya bɔbɔewo me!

Ðe wòxɔa ɣeyiɣi didi hafi ʋua nu tsona ne ètso nu sue aɖea? Alo ɖeko nètrɔna zua blɔ hewɔa abi evɔ mèƒoa naneke le wò ŋutilã ŋu oa? Ne esia dzɔ ɖe dziwò la, ate ŋu atso esi ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o tae . Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be Thrombocytopenia (si woyɔna be “thrombo-cyto-penia”). Mègatsi dzi o, míana nusianu nanɔ bɔbɔe.

Kpuie ko la, nukae nye Thrombocytopenia?

Tsɔ kpe ɖe ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi ɣiwo ŋu la, lãmenugbagbevi tɔxɛ bubu si woyɔna be ʋumenugbagbevi dzĩwo hã le míaƒe ʋu me. Woƒe dɔ vevitɔe nye be woakpe ɖe mía ŋu míadzudzɔ ʋudodo ne míexɔ abi. Ne míagblɔe tututu la, wowɔa ʋuka aɖe eye wodzudzɔa ʋu si le dodom.

Fifia, Thrombocytopenia nye ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le míaƒe ʋu me le ʋɛ wu agbɔsɔsɔ si hiã. Míaƒe ƒumeŋuɖui ye wɔa esiawo . Eyata ne ƒumeŋuɖui medzi ʋumenugbagbevi dzĩwo wòsɔ gbɔ o, alo ne ʋumenugbagbevi dzĩ siwo dona la tsrɔ̃ kaba akpa la, nɔnɔme sia ate ŋu ado mo ɖa. Nuwo abe dɔléle aɖewo kple atike aɖewo hã ate ŋu ahe esia vɛ.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, nɔnɔme sia le ame geɖe ŋu le agbɔsɔsɔ si nu mesẽ kura o me. Ðewohĩ womenya gɔ̃ hã be ele yewo ŋu o elabena dzesi gã aɖeke mele yewo ŋu o. Eyata esesẽ be míagblɔ alesi tututu wòbɔe.

Gake wokpɔe be dɔléle bubu si do ƒome kplii, si nye Immune Thrombocytopenia , dzea ɖevi kple ame tsitsi siwo ade 3-4 le 100,000 ɖesiaɖe me dzi. Azɔ hã, funɔ siwo ade 5% ate ŋu axɔ ʋumenugbagbeviɣidɔ si nu mesẽ o do ŋgɔ teti na vidzidzi.

Nukawoe nye kuxi siwo ate ŋu ado mo ɖa le ʋumenugbagbeviɣidɔ ta?

Ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si ɖiɖi ŋutɔ ate ŋu ahe nɔnɔme siwo me afɔku le vɛ.

• Ʋu si dona vevie le ŋutilãa me: Ʋu ate ŋu ado tso teƒewo abe dɔgbo kple dɔgbowo ene. Afɔku si gagblẽ ɖe edzi wue nye ʋu si le dodom le ahɔhɔ̃a me. Esia ate ŋu anye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me.
• Dzidɔ: Ne ʋumenugbagbevi dzĩwo dzi ɖe kpɔtɔ la, ate ŋu aɖe ʋu si sina yia dzia me dzi akpɔtɔ, si ana dzidɔ ƒe afɔkua nadzi ɖe edzi.

Nukae nye ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si sɔ kple esi mebɔ o?

Ne èlé ŋku ɖe wò ʋu ŋuti nyatakaka ŋu la, àkpɔe be woŋlɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖi. Mina míalé ŋku ɖe nusiwo nye agbɔsɔsɔ si sɔ kple agbɔsɔsɔ si bɔbɔ ŋu.

Ðe dzesi siawo hã le ŋuwòa? Thrombocytopenia ƒe dzesiwo

Ðewohĩ dzesi aɖeke manɔ amesiwo ƒe ʋumenugbagbeviɣidɔ nu mesẽ o ŋu o. Gake ne dzesiwo dze la, nu gbãtɔ siwo nède dzesii dometɔ ɖekae nye be esesẽna na wò be nàdzudzɔ ʋu si dona le lãme na ame le lãɖeɖe sue aɖe alo ŋɔti me ʋu si dona le ŋɔti me. Dzesi bubu aɖewoe nye esi.

• Ʋu si le dodom le aɖuɖɔtoewo me: Àte ŋu ade dzesi ʋu le wò aɖututu ŋu ne èle wò aɖuwo klɔm. Wò aɖuwo hã ate ŋu adze abe ɖe wovuvu ene.
• Ʋu le aɖuɖɔ me: Aɖuɖɔ ate ŋu atrɔ zu yibɔ viviti ŋutɔ.
• Ʋu le aɖuɖɔ me: Ne tsi si le nugododeƒea dzena pink vie le aɖuɖɔtoe vɔ megbe la, ate ŋu anye esi ʋu le aɖuɖɔ me tae.
• Ʋu si le dodom: Esia fia be ʋu le dodom le wò ƒodo ƒe akpa si le etame.
• Ʋu si dona le ŋuwò vevie le dzinukpɔkpɔ me: Ne wò dzinukpɔkpɔ wu ŋkeke 7 ɣleti sia ɣleti, alo ne ʋu le dodom le ŋuwò wu alesi wònɔna ɖaa la, ate ŋu anye dzesi aɖe.
• Petechiae ƒe ŋkɔ:Edze abe teƒe sue dzĩ/aɖabɛ dzĩwo ƒe ʋuʋudedi le afɔawo ŋu ene, vevietɔ le akɔta ƒe akpa si.
• Purpura: Teƒe dzĩ, aŋutiɖiɖi, alo aŋutiɖiɖi le ŋutigbalẽa ŋu. Ʋu si le dodom tso ʋuka sue siwo le ŋutigbalẽa te me gbɔe esia tsona.
• Abi: Abiwo dzɔna ne ʋu ƒo ƒu ɖe ŋutigbalẽa te. Àte ŋu ade dzesii be yexɔa abi bɔbɔe wu alesi nèwɔnɛ ɖaa.
• Ʋu si le dodom le dɔgboa me: Àte ŋu ade dzesi ʋu le nugododeƒea alo ne èle eŋu kɔm.

Nukatae ʋumenugbagbevi dzĩwo dzi ɖena kpɔtɔna alea? Nukawoe gbɔ wòtsona?

Woate ŋu ama nusiwo gbɔ ʋumenugbagbeviɣidɔ tsona ɖe hatsotso vevi etɔ̃ me.

1. Wò ƒumeŋuɖui mele ʋumenugbagbevi dzĩwo wɔm wòsɔ gbɔ o: Esia ate ŋu adzɔ le ʋumenugbagbeviɣidɔ abe ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ene me.

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3. Ʋumenugbagbevi dzĩwo ƒe léle ɖe dɔgboa me: Zi geɖe la, míaƒe ʋumenugbagbeviɣidɔlékui siwo ade akpa etɔ̃lia dzraa míaƒe ʋumenugbagbevi dzĩwo ɖo. Gake le go aɖewo me la, eléa ʋumenugbagbevi dzĩ geɖe ɖe asi akpa.

Susu ʋɛ aɖewo koŋ tae

• Dɔlélenutsiŋutete ƒe dɔlélewo: Le dɔlélewo abe Immune Thrombocytopenia (ITP) kple Lupus ene me la, mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea ʋumenugbagbevi dzĩwo dzi hegblẽa wo.
• Ʋumekansa: Dɔlélewo abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene ate ŋu agblẽ nu le ƒumeŋuɖui ŋu eye wòana ʋumenugbagbevi dzĩwo nagawɔe o.
• Kansa dada: Atike kple keklẽŋusẽ zazã ate ŋu agblẽ lãmenugbagbevi siwo azu ʋumenugbagbevi dzĩwo ne menye nenema o la.
• Ʋumedɔ aɖewo: Le nɔnɔmewo abe Thrombotic Thrombocytopenic Purpura (TPP) ene me la, ʋu suesuesuewo dzɔna le ŋutilã bliboa me, si wɔnɛ be ʋumenugbagbevi dzĩwo vɔna kabakaba.
• Dɔlékuiwo: Dɔlékuiwo kple dɔlékuiwo ƒe dɔlékuiwo hã ate ŋu ana ʋumenugbagbevi dzĩwo naɖiɖi.
• Ahanono fũu akpa: Ahanono nana ʋumenugbagbevi dzĩwo ƒe wɔwɔme dzi ɖena kpɔtɔna.
• Atike siwo me aɖi le: Nuwo abe arsenic, benzene, kple nudzodzoeviwutikewo ƒe amedzidzedze hã ate ŋu agblẽ nu le eŋu.
• Atike aɖewo: Dɔlékuiwutikewo, asrãtikewo, dzidɔtikewo, kple ʋukaɖitikewo abe heparin ene hã ate ŋu ahe esia vɛ.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èyi ɖɔkta gbɔ la, ado wò kpɔ gbã. Alé ŋku ɖe abi, teƒeteƒewo, kple bubuawo ŋu hã.Abia wò atikewɔwɔ ŋutinya kple atike siwo zãm nèle hã. Emegbe ate ŋu abia tso asiwò be nàwɔ dodokpɔ aɖewo abe esia ene.

• Ʋu Xexlẽme Blibo (CBC): Esia nye ʋudodokpɔ si wowɔna edziedzi. Eléa ŋku ɖe ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi ɣi siwo le wò ʋu me ƒe xexlẽme ŋu.
• Ʋu ƒe Ʋuʋu le Gome: Esia bia be nàdo wò ʋumenugbagbevi dzĩwo kpɔ le nusuekpɔmɔ̃ me.
• Ʋu ƒe sisi ƒe dodokpɔwo: Esiawo dzidzea ɣeyiɣi didi si wòxɔna hafi wò ʋu natsi (abe PTT kple PT dodokpɔwo ene).
• Ƒumeŋuɖui Ŋuti Numekuku: Ne ʋudodokpɔwo ɖee fia be wò ʋumenugbagbevi dzĩwo le ʋɛ ŋutɔ eye nusi gbɔ wòtso me mekɔ o la, wò ɖɔkta ate ŋu atso nya me be yeaxɔ wò ƒumeŋuɖui sue aɖe atsɔ adoe kpɔ.

Nukawoe nye atike siwo wozãna na esia?

Ne wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si bɔbɔ mele kuxi gã aɖeke hem vɛ o la, ke ɖewohĩ màhiã atike aɖeke o. Zi geɖe la, ɖɔktawo ada nusi gbɔ dɔlélea tso. Le kpɔɖeŋu me, ne atike aɖe si nèzãna gbɔe wòtso la, woate ŋu atrɔ atike ma.

Dɔdamɔnu bubuwoe nye:

• Steroids: Atike siawo ate ŋu ana ʋumenugbagbevi dzĩwo nadzi ɖe edzi.
• Ʋudodo: Ne wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ le sue ŋutɔ la, woate ŋu ana ʋu (ʋumenugbagbeviɣidɔ) wò be wòana wò ʋumenugbagbeviɣidɔ nadzi ɖe edzi hena ɣeyiɣi aɖe.
• Aɖuɖɔtoe ɖeɖe ɖa: Ne dodokpɔwo ɖee fia be wò dɔgbo le mɔ xem na ʋumenugbagbevi dzĩwo akpa la, wò ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na wò be woaɖe wò dɔgboa ɖa. Gake esi wònye be aɖuɖɔtoea ɖeɖe nana be dɔlékuiwo xɔxɔ ƒe afɔkua dzina ɖe edzi ta la, ahiã be woado atike na wò be nàkpɔ ɖokuiwò ta tso eme.

Nusiwo ŋu wòle be woabu ne wole agbe kple nɔnɔme sia

Ne ʋumenugbagbeviɣidɔ le ŋuwò la, ele vevie ŋutɔ be nàwɔ tɔtrɔ sue aɖewo le wò agbenɔnɔ ŋu.

• Agbenɔnɔ si me lãmesẽ le: Ne ènoa atama la, dzudzɔ. Ne ènoa aha la, ke se ɖe enu. Lé aɖuwo ƒe lãmesẽ me ɖe asi, elabena ate ŋu ana ʋu nado le aɖuwo kple aɖuwo me.
• Mègano atike atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o: Vevesesenutsitike aɖewo (e.g. ibuprofen, aspirin) te ŋu ɖea ʋu ƒe sisi ɖa. Mègano vevesesenutsitike, kpeɖeŋutɔ, alo gbetike aɖeke ne mèbia wò ɖɔkta gbã o.
• Ƒo asa na nuwɔna siwo ate ŋu ana nàxɔ abi eye ʋu nado le ŋuwò: Anyo wu be nàƒo asa na kamedefefe siwo me wodoa ka kple ame nɔewo abe rugby kple bɔlƒoƒo ene. Bia wò ɖɔkta tso kamedede siwo le dedie siwo sɔ na wò ŋu.
• Mɔzɔzɔ dedie: Do zikpuimeka ɣesiaɣi ne èle ʋu me.
• Na wò ɖɔktawo nanya: Ne wole dɔ wɔm na wò alo wole aɖu ɖem na wò la, na ɖɔktaa nanya do ŋgɔ be ʋumenugbagbeviɣidɔ kple atike siwo zãm nèle la le ŋuwò.

Thrombocytopenia, ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, abi, petechiae, purpura, CBC dodokpɔ sinhala, ƒumeŋuɖui, ƒumeŋuɖui, ƒumeŋuɖui ɖeɖeɖa, Sri Lanka