Àdi be yeanya MCH ƒe asixɔxɔ le wò ʋu ŋuti nyatakaka mea? (Hemoglobin si le lãmekawo me ƒe mamã dedie) .

Ðe nèfɔ ʋu ŋuti nyatakaka aɖe, lé ŋku ɖe ŋɔŋlɔdzesi kple xexlẽdzesi siwo le edzi ŋu, eye nèsusu be, ‘Nukae nye esia?’ kpɔa. CBC, WBC, RBC, MCH... Nya siawo dometɔ geɖe nye esiwo míenya o, alo? Ɣeaɖewoɣi la, ɖeko míevɔ̃na ne míekpɔ wo. Eyata egbea míele nu ƒom tso asixɔxɔ mawo dometɔ ɖeka ŋu, si nye MCH ƒe asixɔxɔ. Na míakpɔ nusi wòfia ko, kple nusi wògblɔna tso míaƒe ŋutilã ŋu ne edzi ɖe edzi alo dzi ɖe kpɔtɔ.

Mina míakpɔe ɖa gbã, nukae nye MCH?

MCH nye Eŋlisigbe me nya siwo nye ‘Mean Corpuscular Hemoglobin’ ƒe kpukpui. Ne míagblɔe bɔbɔe la, esia dzidzea ʋumenugbagbevi dzĩ agbɔsɔsɔme si le wò ʋumenugbagbevi dzĩwo me . Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ‘Nukae nye ʋumenugbagbeviɣidɔ sia?’ Hemoglobin nye protein tɔxɛ aɖe si le míaƒe ʋumenugbagbevi dzĩwo me si tsɔa oxygen yia ŋutilã bliboa me. Ne míagblɔe tututu la, ʋumenugbagbevi dzĩ siae nye ‘dɔ si wotsɔna naa ame’ si tsɔa ɔksidzin si míexɔna tso míaƒe lãkusi me yia lãmenugbagbevi ɖesiaɖe si le ŋutilãa me gbɔ. Eyata MCH ƒe asixɔxɔ nye agba agbɔsɔsɔme si (hemoglobin si tsɔa oxygen) le ʋuwo (ʋumenugbagbevi dzĩwo) me le mamã dedie nu le ʋuɖoɖodɔ sia me. Zi geɖe la, ànya nu tso MCH ƒe asixɔxɔ sia ŋu ne èwɔ ʋudodokpɔ si woyɔna be CBC (Complete Blood Count) . Esia nye dodokpɔ si bɔ ŋutɔ. Ðɔkta zãa asixɔxɔ sia tsɔ kpena ɖe ŋuwò nènya ne nunyiame ƒe veve, aklã ƒe kuxi, alo atikewɔwɔ bubu aɖe le ŋuwò.

CBC (Complete Blood Count) dodokpɔa ŋuti ŋgɔdonya kpui aɖe

Dodokpɔ sia le vevie ŋutɔ elabena ate ŋu ana nyatakaka tso wò ʋu ƒe akpa vevi geɖe ŋu. Vevietɔ:

• Ʋumenugbagbevi dzĩwo : Esiawoe nye lãmenugbagbevi siwo tsɔa ɔksidzin si ŋu míeƒo nu tsoe fifia.
• Ʋumenugbagbeviɣiwo : Abe míaƒe ŋutilã ƒe ‘aʋakɔ’ si wɔa avu kple dɔlékuiwo ene.
• Hemoglobin : Oxygen tsɔla le ʋumenugbagbevi dzĩwo me.
• Ʋumenugbagbevi dzĩwo: Lãmenugbagbevi siwo kpena ɖe ʋu ŋu ne abi aɖe le ame ŋu.

Wò ɖɔkta ate ŋu adɔ dodokpɔ sia abe wò ƒe sia ƒe ƒe dodokpɔ ƒe akpa aɖe ene, alo ne èsusu be atikewɔwɔ ƒe nɔnɔme aɖe le ŋuwò le wò dzesiwo ta (e.g., ɖeɖiteameŋu, ŋutigbalẽ ƒe amadede dzẽ). Esia bia be nàɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Woɖonɛ ɖe dodokpɔxɔ aɖe be woadoe kpɔ ahaxɔ nyatakaka.

Nukae wòle be MCH ƒe asixɔxɔ nanye le dzɔdzɔme nu?

Dzidzenu si wotsɔ dzidzea MCH enyeNɔnɔmetatawo (pikogramwo alo axa). Zi geɖe la, asixɔxɔ sia na ame tsitsi kple ɖevi si le lãmesẽ me nɔa 27 pg kple 31 pg dome. Le vidzĩ si wodzi yeyee gome la, esia lolo vie, si fia be ate ŋu atso 32 pg va ɖo 34 pg .

Gake ɖo ŋku edzi be asixɔxɔ siawo ateŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ, eyata anyo wu be nàtsɔ wo asɔ kple ‘Normal Range’ si le wò nyatakaka me.

Ke ne MCH ƒe asixɔxɔ le sue ɖe?

MCH ƒe xexlẽme si bɔbɔ fia be ʋumenugbagbevi dzĩwo ƒe ʋumenugbagbeviɣi ƒe agbɔsɔsɔ si le ʋɛ wu esi sɔ. Esia ate ŋu ana wò ʋumenugbagbevi dzĩwo nadze abe ‘wole ɣie’ alo ‘wole ɣie’ vie. Susu vevi geɖewo tae wòle alea ɖo. Mina míalé ŋku ɖe nusiwo wonye kple dzesi siwo woɖena fiana ŋu.

Susu si tae MCH ƒe asixɔxɔ le sue ɖo	Dzesi siwo woate ŋu akpɔ
Ʋusɔgbɔdɔe nye nusi gbɔ wòtsona wu. Ʋumenugbagbevi dzĩ siwo le lãmesẽ me be woatsɔ oxygen ayi ŋutilãa me ƒe anyimanɔmanɔ gbɔe wòtsona. Esia ate ŋu atso iron, vitamin B12, alo folate ƒe anyimanɔmanɔ gbɔ.	Ðeɖiteameŋu si gbɔ eme ƒe seselelãme ɣesiaɣi Ŋutilã si ƒe ŋutigbalẽ le ɣie Gbɔgbɔ sesẽ (ne wodze agbagba vie gɔ̃ hã) . ( Taɖuame ) alo alɔ̃madɔmadɔ
Hemoglobinopathies nye dɔléle siwo ƒe dome wonyi si tsoa hemoglobin molecule ƒe nɔnɔme alo eƒe wɔwɔme ƒe gbegblẽ gbɔ. Kpɔɖeŋuwo: Thalassemia kple Sickle Cell Dɔléle.	Le thalassemia me: ʋusɔgbɔdɔ ƒe dzesiwo, ƒodo ƒe vuvu, aɖuɖɔ si do viviti. Le sickle cell dɔléle me: ʋusɔgbɔdɔ ƒe dzesiwo, aɖuɖɔ si do viviti, ŋkuwo ƒe ɣie, asiwo kple afɔwo ƒe vevesese kple vuvu, kple vevesese sesẽ le ŋutilã me ɣeaɖewoɣi.

Ðe MCH ƒe asixɔxɔ ate ŋu adzi ɖe edzia?

Ẽ, ɣeaɖewoɣi la, MCH ƒe asixɔxɔ ate ŋu akɔ wu alesi wòle dzɔdzɔmee. Esia fia be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle dzɔdzɔmee. Woyɔa nɔnɔme sia le atikewɔwɔ me be Macrocytosis . Zi geɖe la, esia menyea nusi ŋu woatsi dzi ɖo o. Gake ɣeaɖewoɣi la, ate ŋu anye atikewɔwɔ ƒe nɔnɔme aɖe ƒe dzesi.

Susu siwo tae MCH ƒe asixɔxɔ dzi ɖe edzi ɖo:

• Vitamin B12 alo Folate ƒe Agbɔsɔsɔ: Megawɔ nuku o, ne nunyiame siawo mesɔ gbɔ o la, ʋusɔgbɔdɔ (MCH dzi ɖe kpɔtɔ) ate ŋu adzɔ, kpakple ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi (MCH ƒe dzidziɖedzi). Woyɔa esia be Macrocytic Anemia.
• Aklãdɔ aɖewo: Kuxi aɖewo siwo le aklã ƒe dɔwɔwɔ ŋu ate ŋu ana MCH ƒe agbɔsɔsɔ nadzi ɖe edzi.
• Ahanono fũu akpa: Ahanono fũu akpa le ɣeyiɣi didi aɖe me hã nye nusi gbɔ esia tso.
• Hypothyroidism: Esiae nye esime ŋutilãa mewɔa thyroid hormone si mesɔ gbɔ o.
• Vovototo sia ate ŋu atso atike aɖewo hã gbɔ: atikewo abe atikewɔmɔnu, dɔlékuiwutike aɖewo, kple dɔlékuiwutikewo ene.
• Kansa aɖewo siwo do ƒome kple ʋu.

Nu vevitɔe nye be MCH ƒe agbɔsɔsɔ si dzi ɖe edzi mehea dzesi aɖeke koŋ vɛ o. Gake dɔléle si le wo me si hea wo vɛ ate ŋu ahe dzesiwo vɛ. Le kpɔɖeŋu me, ne Hypothyroidism le ŋuwò la, àte ŋu akpɔ dzesiwo abe ɖeɖiteameŋu, lolo, wò asiwo kple asibidɛwo ƒe ʋuʋu, kple lãmekawo ƒe vevesese. Ne aklãdɔ le ŋuwò la, àte ŋu ase veve le ƒodo si le etame, nuɖuɖu magadzro wò o, eye wò ŋkuwo nazu ɣie.

Gbedasi si Wotsɔ Yi Aƒeme

• MCH nye asixɔxɔ ɖeka ko le wò ʋu ŋuti nyatakaka me. Ena nèkpɔa ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si le wò ʋumenugbagbevi dzĩwo me.
• MCH ƒe xexlẽme si bɔbɔ alo esi lolo ate ŋu atso nɔnɔme aɖe si bɔ abe ʋusɔgbɔdɔ ene gbɔ, alo ate ŋu anye nɔnɔme si nu sẽ wu si hiã be woalé ŋku ɖe eŋu wu ƒe dzesi ɣeaɖewoɣi.
• Mèganɔ te ɖe ʋudodokpɔ dzi akpɔ dɔlélea le ɖokuiwò ŋu alo adi nyatakakawo le internet dzi gbeɖe o. Ðeko esia ahe nuteɖeamedzi si mehiã o vɛ.
• Ne tɔtrɔ aɖe va wò MCH ƒe asixɔxɔ alo asixɔxɔ bubu aɖe me la, wò ɖɔkta koe ate ŋu aɖo aɖaŋu nyuitɔ kekeake si de pɛpɛpɛ wu wò. Awɔ dodokpɔ bubuwo, ne ehiã, be yeanya nusi tututu gbɔ wòtso, eye wòaŋlɔ atike si hiã.

MCH, Mean Corpuscular Hemoglobin, ʋudodokpɔ, ʋu ƒe nyatakaka, CBC, ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, ʋusɔgbɔdɔ, Thalassemia, vitamin B12