Ðe wòxɔa ɣeyiɣi didi wu alesi wònɔna hafi lãɖeɖe sue aɖe nadzudzɔ ʋudodoa? Alo ɖe ʋu le dodom le wò aɖuwo me ne èle aɖuwo klɔm? Ðewohĩ abi aɖewo le wò ŋutilã ŋu siwo medze abe naneke gbɔe wòtso o ene. Esiawo ate ŋu anye dzesi siwo fia be ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ le wò ŋutilã me. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be Thrombocytopenia. Togbɔ be ŋkɔa aɖi nusi wɔ nuku hã la, nɔnɔme sia bɔ ɖe mía dome. Eyata egbea míele nu ƒom tso Thrombocytopenia sia si dzea ame geɖe dzi gake womenyae nyuie o la ŋu. Mègatsi dzi o, míaƒo nu tso nusianu ŋu bɔbɔe eye eme nakɔ.
Kpuie ko la, nukae nye Thrombocytopenia?
Enyo, mina míase nusi ʋumenugbagbevi dzĩwo nye gɔme gbã. Tsɔe be ‘aŋɔ’ suesuesuewo le du dzi le wò ŋutilã me. Woyɔa esiawo be ʋumenugbagbevi dzĩwo. Wodzɔna le míaƒe ƒumeŋuɖui me. Woƒe dɔ vevitɔe nye be woaƒo ƒu kaba ɖe afisi woxɔ abi le eye woawɔ ʋuka aɖe be ʋua natɔ te. Ele abe do aɖe si wodo ɖe gli ŋu ene.
Thrombocytopenia nye ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le wò ʋu me le ʋɛ wu alesi wòle. Nukae dzɔna ne edzɔ nenema? ‘Aŋɔ’ si xea mɔ na ʋua megasɔ gbɔ o. Eyata abi sue aɖe gɔ̃ hã ate ŋu ado ʋu geɖe, eye ate ŋu axɔ ɣeyiɣi didi hafi ʋua natɔ te.
Zi geɖe la, dɔléle sia tsoa atikewɔwɔ me nɔnɔme bubu aɖe gbɔ, abe dɔléle si dɔlékuiwo ƒe dɔlélenutsiŋutete wɔna ene, alo abe atike aɖewo siwo míenona ƒe nugbegblẽ le ame ŋu ene. Nu nyuitɔ kekeakee nye be ne wonya de dzesi nusi gbɔ wòtso ko la, woate ŋu adae eye woate ŋu ana ʋumenugbagbevi dzĩwo ƒe xexlẽme nagaɖo eƒe nɔnɔme nyuitɔ me.
Aleke wodzidzea ʋumenugbagbevi dzĩwo ƒe xexlẽme? Agbɔsɔsɔ si sɔ kple esi mesɔ o
Ne míewɔ ʋudodokpɔ (Full Blood Count) la, míate ŋu anya ʋumenugbagbevi dzĩwo ƒe xexlẽme tututu. Zi geɖe la, ʋumenugbagbevi dzĩ 150,000 va ɖo 450,000 nɔa ame tsitsi si le lãmesẽ me ŋu le ʋu microlita ɖeka me. Le ʋumenugbagbeviɣidɔ me la, xexlẽme sia dzi ɖena kpɔtɔna. Míedaa nɔnɔmea ƒe sesẽ ɖe hatsotsowo me le alesi wòɖiɖie nu.
| Ɖoƒe | Ʋumenugbagbevi dzĩwo ƒe xexlẽme (ʋu microlita ɖeka) . |
|---|---|
| Le mama dedie nu ƒe dzidzenu | 150,000 - 450,000 ƒe xexlẽme |
| Thrombocytopenia si nu mesẽ o | 101,000 - 140,000 ƒe xexlẽme |
| Thrombocytopenia si le titina | 51,000 - 100,000 ƒe xexlẽme |
| Thrombocytopenia sesẽ | Womede 51,000 o |
Zi geɖe la, amesiwo ƒe dɔmawɔmawɔ nyuie meɖea dzesi vevi aɖeke fiana o. Gake ne eɖo afisi wòle vevie la, ele be míaɖɔ ŋu ɖo.
Aleke nàwɔ anya ne ʋumenugbagbeviɣidɔ le ŋuwò? Kpɔ nyuie le dzesi siawo ŋu
Ðewohĩ dzesi aɖeke madze ame aɖewo ŋu o ne ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue vie gɔ̃ hã. Gake ne dzesiawo dze la, woate ŋu anye: Ne esiawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|---|
| Nuveviwɔame bɔbɔe | Abi blɔ alo aŋutiɖiɖi dzena le ŋutilãa ŋu nuvevi aɖeke mawɔmawɔe. Ʋu suesuesue siwo dona le ŋutigbalẽa te gbɔe esiawo tsona. |
| Ʋu si le dodom le aɖuɖɔtoewo me | Menye ne èle aɖuwo klɔm koe aɖuwo ate ŋu ado le o, ke ne ètsi tre ɖe afima ko hã. |
| Ʋu si dona le ŋɔti me | Ʋu si dona le ŋɔti me enuenu le susu aɖeke koŋ ta o. |
| Teƒe suesuesue siwo biã/aɖabɛ dzĩ le ŋutigbalẽa ŋu (Petechiae) . | Tete suesuesue siwo le dzo dam siwo dzena le ŋutigbalẽa te, zi geɖe le afɔ siwo le ete. Esiawo ate ŋu adze abe ʋuʋudedi ene. |
| Ʋu si dona le nyɔnuwo ŋu vevie le dzinukpɔkpɔ me | Dzinukpɔkpɔ nɔa anyi didi wu alesi wòle dzɔdzɔmee alo ʋu si dona le eŋu wògbɔa eme wu alesi wònɔna ɖaa. |
| Ʋu le aɖuɖɔ me | Ne aɖuɖɔ yibɔ alo dzĩ dzẽ geɖe le ŋuwò la, ate ŋu anye ʋu si le dodom le nuɖuɖumeŋusẽ me ƒe dzesi. |
| Ʋu le aɖuɖɔ me | Ne aɖuɖɔa trɔ zu pink alo dzĩ la, ema hã nye dzesi si ŋu wòle be woatsi dzi ɖo. |
Nu vevitɔe nye be nàkpɔ ɖɔkta eye nàdi aɖaŋuɖoɖo, tsɔ wu be nàgbe dzesi sia be "ate ŋu anye nu bubu aɖe ko."
Nukatae ʋumenugbagbevi dzĩwo dzi ɖena kpɔtɔna alea? Nukawo koŋ gbɔe wòtsona?
Woate ŋu ama nusiwo gbɔ ʋumenugbagbeviɣidɔ tsona ɖe hatsotso vevi etɔ̃ me.
1. Ƒumeŋuɖui ƒe ʋumenugbagbeviɣidɔ si mesɔ gbɔ o: Kuxi aɖe le ƒumeŋuɖui si nye míaƒe ‘ʋumenugbagbevi dzĩwo ƒe dɔwɔƒe’ ŋu, si na be ewɔwɔ dzi ɖena kpɔtɔna.
2. Ʋumenugbagbevi dzĩ siwo wowɔ la gblẽna alo zãa wo le ŋutilãa me: Dɔwɔƒea wɔa dɔ nyuie, gake ʋumenugbagbevi dzĩ siwo wowɔ la gblẽna kabakaba le susu aɖewo ta.
3. Ʋumenugbagbevi dzĩwo ƒe léle ɖe dɔgboa me: Aɖuɖɔtoe nye ŋutinu aɖe si le míaƒe ƒodo ƒe miame le etame. Ɣeaɖewoɣi la, eléa ʋumenugbagbevi dzĩ geɖe wu alesi wòle be wòalé ɖe asi, si wɔnɛ be womete ŋu dona ɖe ʋua me o.
Azɔ na míakpɔ nu siwo koŋ tae wòle alea ɖo.
- Dɔlélenutsiŋutete ƒe Dɔlélewo: Esiae nye esime míaƒe ŋutilã ŋutɔ ƒe ametakpɔnu dze mía ŋutɔwo ƒe ʋumenugbagbevi dzĩwo dzi hegblẽa wo. Kpɔɖeŋu aɖewoe nye nɔnɔmewo abe `(Immune Thrombocytopenia - ITP)`, `(Lupus)`, kple `(Rheumatoid Arthritis)`.
- Ʋume Kansa: Kansa abe Leukemia kple Lymphoma ene ate ŋu agblẽ nu le ƒumeŋuɖui ŋu eye wòaɖe ʋumenugbagbevi dzĩwo ƒe wɔwɔ dzi akpɔtɔ.
- Kansa ƒe atikewɔwɔwo:Menye kansa lãmenugbagbeviwo koe atikewo kple keklẽŋusẽdɔdamɔnu siwo wua kansa ate ŋu agblẽ o, ke ate ŋu agblẽ nu le lãmenugbagbevi siwo le lãmesẽ me le ƒumeŋuɖui me hã ŋu.
- Dɔlékui aɖewo: Dɔlékuiwo abe dengue ene, kpakple dɔlékui aɖewo ƒe dɔlékuiwo ate ŋu aɖe ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi akpɔtɔ hena ɣeyiɣi aɖe.
- Atikewo: Dɔlékuiwutike aɖewo, ʋumenugbagbeviɣitikewo abe heparin ene, kple alɔ̃dɔdɔ ƒe atikewo hã ate ŋu ana ʋumenugbagbevi dzĩwo naɖiɖi abe eƒe nugbegblẽ le ame ŋu ene.
- Ahanono fũu akpa: Ahanono ɖea ƒumeŋuɖui ƒe dɔwɔwɔ dzi kpɔtɔna eye wòɖea ʋumenugbagbevi dzĩwo ƒe wɔwɔ dzi kpɔtɔna.
- Fufɔfɔ: Funɔ aɖewo ate ŋu akpɔ ʋumenugbagbevi dzĩwo dzi ɖeɖe kpɔtɔ vie, vevietɔ le vidzidziɣia. Zi geɖe la, esia gatrɔna va nɔa nɔnɔme si sɔ me le vidzidzi megbe.
- Atike siwo me aɖi le zazã: Nusiwo le abe arsenic, benzene, kple nudzodzoeviwutikewo ene zazã ɣeyiɣi didi hã ate ŋu ahe esia vɛ.
Ðe esia nye nusi wòle be woavɔ̃ na? Kuxi siwo ate ŋu ado mo ɖa
Ʋumenugbagbeviɣidɔ si nu mesẽ o alo esi sɔ gbɔ le ame akpa gãtɔ ŋu. Megblẽa nu boo aɖeke o. Gake ne ʋumenugbagbeviɣidɔa nu sẽ ŋutɔ , si fia be ne xexlẽmea ɖiɖi va ɖo 20,000 la, afɔku aɖe li.
- Ʋu si le dodom le ememe: Esiae nye kuxi sesẽtɔ kekeake. Ʋu ate ŋu ado le nuɖuɖumeŋusẽ me alo le ahɔhɔ̃a me. Ʋu si le dodom le ahɔhɔ̃a me nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me, si hiã be woakpɔ egbɔ enumake le atikewɔƒe.
- Dzidɔ: Ƒã ŋutɔ la, nɔnɔme sia ate ŋu ana ʋu ƒe sisi yi dzia me naxe mɔ.
Nɔnɔme sesẽ ŋutɔwo me koe nusiawo dzɔna le. Eyata ne dzesiwo le ŋuwò la, ɖɔkta gbɔ yiyi kaba kple atike xɔxɔ ate ŋu axe mɔ ɖe nɔnɔme sesẽ mawo nu.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo, atike siwo nènona, kple nenye be dɔléle sia tɔgbi nɔ wò ƒomea me dometɔ aɖe ŋu hã. Emegbe awɔ ŋutilãmedodokpɔ atsɔ akpɔe ɖa be abi, teƒe dzĩwo, kple bubuawo le eŋu hã.
Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:
- Ʋu Xexlẽme Blibo (CBC): Esiae nye dodokpɔ vevitɔ kekeake kple vevitɔ kekeake. Menye ʋumenugbagbevi dzĩwo ƒe xexlẽme koe ate ŋu alé ŋku ɖe eŋu o, ke ate ŋu alé ŋku ɖe ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi ɣiwo hã ŋu.
- Ʋu si Le Gome: Esia bia be woaɖe ʋu aɖe atsɔ akpɔe le nusuekpɔmɔ̃ me. Àte ŋu akpɔ ʋumenugbagbevi dzĩawo ƒe nɔnɔme ne èlé ŋku ɖe woƒe nɔnɔme kple lolome ŋu.
- Ʋu ƒe Ʋuʋu Dodokpɔ:Dodokpɔ siwo dzidzea ɣeyiɣi didi si wòxɔna hafi wò ʋu natsi. `(PT)` kple `(PTT)` nye dodokpɔ eve siawo tɔgbe.
- Ƒumeŋuɖui Ŋuti Numekuku: Ne wò ɖɔkta susui be wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si bɔbɔ la tso kuxi aɖe si le wò ƒumeŋuɖui ŋu gbɔ la, ate ŋu aɖe gbe be woado wò kpɔ. Esia bia be nàɖe ƒumeŋuɖui sue aɖe tso wò akɔtaƒu me ahadoe kpɔ.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔa nɔ te ɖe alesi wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue kple nusi gbɔ wòtso dzi.
Ɣeaɖewoɣi la, ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue vie eye dzesi aɖeke mele ŋuwò o la, wò ɖɔkta ate ŋu atso nya me be yealé ŋku ɖe ŋuwò ko atike aɖeke manɔmee.
Gake ne ehiã be woawɔ atike na ame la, zi geɖe la, wowɔa nu siawo tɔgbe:
- Nusi gbɔ wòtso la dada: Esiae nye nu vevitɔ kekeake. Le kpɔɖeŋu me, ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋɛ le atike aɖe si nèzãna ta la, wò ɖɔkta atrɔ atike ma. Ne dɔlékui aɖe gbɔe wòtso la, woadae.
- Steroids: Atike siawo ate ŋu aɖu dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi vaseɖe afi aɖe eye woaɖe ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ dzi akpɔtɔ.
- Ʋudodo: Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ eye ʋu ate ŋu ado le ŋuwò la, woate ŋu ado ʋumenugbagbevi dzĩwo na wò le gota. Ke hã, esia nye egbɔkpɔnu si anɔ anyi ɣeyiɣi kpui aɖe.
- Aɖuɖɔtoe ɖeɖe ɖa: Ne dɔdamɔnu bubuwo do kpo nu eye wokpɔe be ʋumenugbagbeviɣidɔlékui gbogbo aɖewo le ʋuka me la, wò ɖɔkta ate ŋu atso nya me be yeawɔ dɔ na ye aɖe aɖuɖɔtoea ɖa. Ahiã be nàdo atike siwo hiã do ŋgɔ, elabena afɔku le eme be nàxɔ dɔlékuiwo ne woɖe dɔgboa ɖa vɔ.
Nusiwo nàte ŋu awɔ ne èle agbe kple ʋumenugbagbeviɣidɔ
Ne dɔléle sia le ŋuwò la, nu geɖe li wò ŋutɔ nàte ŋu awɔ be ʋu si dona le lãme na wò kple abi ƒe ƒoƒo dzi naɖe akpɔtɔ.
- Mègano vevesesenutsitike atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o: Vevesesenutsitike aɖewo, abe `(Aspirin)` kple `(Ibuprofen),` ate ŋu aɖe ʋu ƒe ƒoƒo ƒe ŋutete dzi akpɔtɔ geɖe wu. Eyata bia wò ɖɔkta hafi nàno atike aɖeke.
- Ƒo asa na nuwɔna siwo ate ŋu ana nàxɔ abi: Anyo wu be nànɔ adzɔge tso kamedefefe siwo me wodoa ka kple ame le abe rugby kple bɔlƒoƒo ene, kpakple kpekpeme kɔkɔ gbɔ. Ke boŋ àte ŋu alé fɔ ɖe kamedede siwo le dedie abe tsiƒuƒu kple azɔlizɔzɔ ene ŋu. Ƒo nu tso esia ŋu kple wò ɖɔkta eye nàtia nusi sɔ na wò.
- Ðe ahanono dzi kpɔtɔ: Abe alesi míegblɔe va yi ene la, aha sesẽ doa kplamatse ʋumenugbagbeviɣidɔ. Eya ta ne ènoa aha sesẽ la, ke noe le mɔ si sɔ nu.
- Kpɔ nyuie ne èle aɖuwo klɔm:Zã aɖututu si ƒe ɖa le fafɛ. Klɔ wò aɖuwo nyuie be màgade abi wò aɖuwo ŋu o.
- Mɔzɔzɔ dedie: Do zikpuimeka ɣesiaɣi ne èle ʋu me zɔm.
- Na ɖɔkta bubuwo nanya: Ne èle aɖudɔdala gbɔ yim alo le amekoko bubu aɖe wɔm na wò la, kpɔ egbɔ be yena ɖɔkta mawo nanya be ʋumenugbagbeviɣidɔ le ye ŋu kple atike siwo zãm nèle.
Gbedasi si Wotsɔ Yi Aƒeme
- Thrombocytopenia nye nɔnɔme si me ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋɛ wu alesi wòle le ʋua me. Esia ate ŋu ana ʋu nado le ame ŋu bɔbɔe eye wòaxɔ abi.
- Ne dzesiwo abe aɖu siwo le dodom le ŋuwò, abi siwo le ƒoƒom le vome, alo teƒe dzĩ siwo le wò ŋutigbalẽ ŋu ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o.
- Susu geɖewo ate ŋu anɔ nɔnɔme sia ŋu, eyata ele vevie ŋutɔ be nàdi nusi sɔ si gbɔ wòtso ahadae.
- Ne dzesi siawo le ŋuwò la, mègatsi dzodzodzoe eye nàyi ɖɔkta gbɔ kaba ale si nàte ŋui be wòaɖo aɖaŋu na wò. Zi alesi nède dzesii kaba la, zi nenemae wòanɔ bɔbɔe be nàɖu edzi.
- Ne èwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi eye nèwɔ tɔtrɔ suesuesuewo le agbenɔnɔ me la, àte ŋu anɔ agbe le lãmesẽ me kple nɔnɔme sia.
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