Ðe ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe wò ʋu me oa? Mina míaƒo nu tso Thrombocytopenia ŋu!

Ne ètso nu sue aɖe la, ɖeko ʋua nu tsona le ɣeyiɣi aɖe megbe, alo? Alo ède dzesii kpɔ be ɣeaɖewoɣi la, èxɔa abi blɔ alo aŋutiɖiɖi le wò ŋutilã ŋu evɔ mèƒoa naneke oa? Susu vevitɔ si le megbe na nusiawoe nye lãmenugbagbevi sue siwo woyɔna be ‘ ʋumenugbagbevi dzĩwo ’ le míaƒe ʋu me. Gake nukae dzɔna ne kpeɖeŋutɔ siawo ƒe xexlẽme dzi ɖe kpɔtɔ? Emae nye nusi míeyɔna be Thrombocytopenia le atikewɔwɔ me. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Kpuie ko la, nukae nye Thrombocytopenia?

Thrombocytopenia nye nɔnɔme si me ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me le ʋɛ wu alesi wòle be wòanɔ. Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo le abe disk ene le míaƒe ʋu me. Woƒe dɔ vevitɔe nye be woawɔ ʋuʋudedi le afisi abi le be ʋu nadzudzɔ. Ele abe ɖe wole do aɖe si le gli ŋu la ƒom ene.

Èbu nusi nya sia fia ŋu kpɔa? “Thrombocytes” nye ŋkɔ bubu na ʋumenugbagbevi dzĩwo. “Penia” fia be nane mesɔ gbɔ o, nusi mehiã o. Eyata ne ame eve siawo va kpe ta la, “Thrombocytopenia” dzɔna.

Zi geɖe la, ele be ʋumenugbagbevi dzĩ siwo ade 150,000 va ɖo 450,000 nanɔ ame si le lãmesẽ me si le ʋu microlita ɖeka me (ʋu si le tsia me la ade microlitre 35). Ne xexlẽme sia mede 150,000 le wò ʋu ŋuti nyatakaka me o la, wobua eŋu be enye dɔléle si woyɔna be ʋumenugbagbeviɣidɔ.

Ðe dzesi siawo tɔgbe le ŋuwòa?

Zi geɖe la, ʋumenugbagbevi dzĩwo dzi ɖeɖe kpɔtɔ vie mehea dzesi aɖeke vɛ o. Gake ne wò ʋumenugbagbeviɣidɔ dzi ɖe kpɔtɔ ŋutɔ la, àte ŋu akpɔ dzesi siawo:

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

Susu geɖe ate ŋu anɔ anyi siwo tae ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o. Ƒã ŋutɔ hafi ate ŋu anye domenyiŋusẽfianu. Gake zi geɖe la, atikewɔwɔ ƒe nɔnɔme bubu alo atike aɖe si nèzãna gbɔe wòtsona. Kpuie ko la, nu vevi etɔ̃e li siwo gbɔ wòtsona.

1. Elabena ŋutilãa mewɔa ʋumenugbagbevi dzĩwo wòsɔa gbɔ o

Míaƒe ƒumeŋuɖui ye nye dɔwɔƒe si wɔa ʋumenugbagbevi dzĩ siawo. Ne dɔwɔƒe ma ƒe nuwɔwɔ gblẽ la, ʋumenugbagbevi dzĩwo dzi aɖe akpɔtɔ.

• Kansa ƒe nɔnɔmewo abe ʋumenugbagbeviɣidɔ ene
• Ʋusɔgbɔdɔ ƒomevi aɖewo
• Dɔlékuiwo ƒe dɔlélewo , le kpɔɖeŋu me, dengue, hepatitis C , alo HIV
• Atikewɔwɔ alo keklẽŋusẽ ƒe atikewɔwɔ na kansa
• Ahanono fũu akpa
• Aɖinuwo abe nudzodzoeviwutikewo kple arsenic ene ɖuɖu

2. Elabena ʋumenugbagbevi dzĩwo tsrɔ̃na kabakaba wu alesi wowɔe

Ne dɔwɔƒea wɔ dɔ nyuie hã la, ne dzodoƒea gblẽ kaba la, ʋumenugbagbevi dzĩwo ahiã.

• Fufɔfɔ (na ame aɖewo) .
• Dɔlélenutsiŋutete ƒe dɔlélewo. Esiae nye esime míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete gblẽ eya ŋutɔ ƒe ʋumenugbagbevi dzĩwo vodadatɔe. Le kpɔɖeŋu me, lupus.
• Dɔlékui alo dɔlékui aɖewo ƒe dɔlékuiwo
• Atike aɖewo (e.g. Heparin) .
• Nɔnɔme siwo mebɔ o abe Thrombotic thrombocytopenic purpura (TTP) ene .

3. Elabena ʋumenugbagbevi dzĩwo tsia dɔgboa me

Zi geɖe la, míaƒe ʋumenugbagbevi dzĩwo ƒe akpa etɔ̃lia lɔƒo dzrana ɖo ɖe dɔgboa me. Gake ne dɔlékui aɖe abe aklã ƒe ʋuʋu ene tae aɖuɖɔtoea lolo la, ʋumenugbagbevi dzĩ gbogbo aɖewo xana ɖe eme, si wɔnɛ be ʋumenugbagbevi dzĩ siwo le tsatsam le ʋua me dzi ɖena kpɔtɔna.

Ʋumenugbagbeviɣidɔ ƒomevi vovovowo hã li.

Woate ŋu ama ʋumenugbagbeviɣidɔ ɖe hatsotso vevi geɖe me le nusi gbɔ wòtso nu.

• Immune Thrombocytopenic Purpura (ITP): Esiae nye ƒomevi si bɔ wu. Nusi dzɔna le afisia enye be míaƒe dɔlélenutsiŋutete gblẽa mía ŋutɔwo ƒe ʋumenugbagbevi dzĩwo le kuxi aɖe ta. Esia ate ŋu anɔ ƒomevi eve me: ITP si nu sẽ le ɖeviwo me kple ITP si nɔa anyi didi le ame tsitsiwo me.
• Thrombotic Thrombocytopenic Purpura (TTP): Esia nye dɔléle si mebɔ o gake afɔku le eme. Ʋu suesuesuewo dzɔna le ŋutilã bliboa me. Esi wònye be wozãa ʋumenugbagbevi dzĩwo fũ akpa tsɔ wɔa ʋumenugbagbeviɣi siawo ta la, ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna le ʋua me.
• Atikewo ƒe Ʋumenugbagbeviɣidɔ (DIT): Nɔnɔme sia ate ŋu adzɔ abe atike aɖewo ƒe nugbegblẽ le ame ŋu ene. Zi geɖe la, edzona ne wodzudzɔ atikeawo zazã.
• Gestational Thrombocytopenia: Nɔnɔme si dzɔna le fufɔɣi, zi geɖe la, mesẽna o. Zi geɖe la, ekpɔa egbɔ le vidzidzi megbe.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Zi geɖe la, wokpɔnɛ le vo me le ʋudodokpɔ si wowɔna edziedzi (Full Blood Count – FBC) si wowɔna le susu bubu aɖe ta me. Ne wò ɖɔkta nya kpɔe be ʋumenugbagbeviɣidɔ le ŋuwò ko la, abia be woagawɔ dodokpɔ ʋɛ aɖewo ake be woanya nusi gbɔ wòtso.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu ado wò ŋutilã kpɔ eye wòawɔ ƒodo ƒe ultrasound scan atsɔ akpɔe ɖa be dɔgbo alo aklã me kuxi aɖe lolo hã.

Ðe nɔnɔme sia ate ŋu anye nu sesẽa?

Le ame akpa gãtɔ gome la, esia menye kuxi gã aɖeke o. Gake ne ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖiɖi va ɖo 20,000 la, ate ŋu anye afɔku. Esia le alea elabena ʋu ate ŋu ado le ŋutilãa me, vevietɔ le ahɔhɔ̃a me, ne womexɔ abi aɖeke o gɔ̃ hã. Esia ade ame ƒe agbe afɔku me.

Eyata ne Thrombocytopenia le ŋuwò la, ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ eye nàyi atikewɔƒewo ɖe game dzi. Ne èkpɔ dzesiwo abe taɖuame sesẽ, nukpɔkpɔ ƒe tɔtrɔ, alo nuƒoƒo sesẽ la, ele be nàyi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake elabena esiawo ate ŋu anye ahɔhɔ̃ me ʋu ƒe sisi ƒe dzesiwo.

Aleke wowɔa atike nɛ?

Atikewɔwɔ nɔ te ɖe nusi gbɔ wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ kple alesi wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔe dzi.

• Nusi gbɔ wòtso dada: Ne atike aɖee na ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ la, ɖɔktaa adzudzɔ atike ma nono eye wòaŋlɔ atike bubu nɛ. Ne dɔlékui aɖee wònye la, woadae.
• Atikewo: Ne dɔlélenutsiŋutete ƒe kuxi aɖe abe ITP ene li la, wokpɔa dɔlélenutsiŋutete dzi to atikewo abe steroid ene nana me.
• Ʋu alo ʋumenugbagbevi dzĩwo dodo: Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ alo ʋu le dodom vevie la, wodoa ʋumenugbagbevi dzĩwo ɖe gota (Platelet transfusion).
• Amekoko: Ne dɔdamɔnu bubuwo mete ŋu ɖu nɔnɔmea dzi o la, ahiã be woaɖe dɔgboa ɖa.
• Plasma Exchange: Wozãa atikewɔwɔmɔnu sia le nɔnɔmewo abe TTP ene me.

Aleke nàte ŋu akpɔ ɖokuiwò dzii?

Ne èle agbe kple nɔnɔme sia la, ele vevie be woaɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ.

• Ƒo asa na nuwɔna siwo me afɔku le: Te ɖa le kamedefefe siwo me wodoa ka kple ame le abe kɔdada, karat, kple rugby ene gbɔ.
• Kpɔ nyuie le atikewo zazã ŋu: Bia wò ɖɔkta ɣesiaɣi hafi nàzã vevesesenutsitike siwo nana ʋudodo ƒe afɔkua dzina ɖe edzi, abe aspirin kple ibuprofen ene.
• Ðe ahanono dzi kpɔtɔ: Ahanono ate ŋu aɖe ʋumenugbagbevi dzĩwo wɔwɔ le ƒumeŋuɖui me dzi akpɔtɔ, eyata anyo wu be nàɖe ahanono dzi akpɔtɔ.

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