Ðe ɖeɖi te ŋuwò be nànɔ dɔ lém ɣesiaɣi kple dzamezã , kɔdzidɔ, kple asrã? Ɣeaɖewoɣi la, míesusuna be, “Oo, nye ŋutilã gbɔdzɔ.” Gake menye nenemae wòtsona ɣesiaɣi o. Ɣeaɖewoɣi la, nusi gbɔ esia tso ate ŋu anye gbɔdzɔgbɔdzɔ le míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete. Egbea, míele nu ƒom tso nɔnɔme sia tɔgbe, si nye dɔléle aɖe si woyɔna be CVID , si ate ŋu agblẽ nu le míaƒe gbesiagbegbenɔnɔ ŋu vevie la ŋu.
Nukae nye CVID?
Kpuie ko la, CVID (Common Variable Immunodeficiency) nye domenyiŋusẽfianu ƒe dɔléle si do ƒome kple míaƒe ŋutilã ƒe dɔlélenutsiŋutete. Edze le dɔlélewo ƒe hatsotso si woyɔna be `primary immunodeficiency disease (PIDD)` me.
Bu eŋu abe mɔ̃ sesẽ ene. Asrafowo le mɔ̃ sesẽ sia me be woakpɔ eta tso futɔ siwo woyɔna be dɔlékuiwo si me . Asrafo siawoe nye nusi míeyɔna be dɔlékuiwutikewo le atikewɔwɔ me. Ame si ŋu CVID le la wɔa dɔlékuiwutike siawo le agbɔsɔsɔ si bɔbɔ ŋutɔ me. Eyata nukae dzɔna ne asrafo siwo le míaƒe mɔ̃ sesẽa me dzi ɖe kpɔtɔ? Duta futɔwo, siwo nye dɔlékuiwo, ate ŋu age ɖe ŋutilãa me bɔbɔe eye woahe dɔlélewo vɛ .
Esia wɔnɛ be zi geɖe la, to me dɔlékuiwo , lãkusi me dɔlékuiwo, kple lãkusidɔlélewo xɔa amesiwo ŋu CVID le . Nɔnɔmea dzia nɔnɔme siwo nu sẽ wu, abe dɔgbo me kuxiwo, ʋu kple dɔlélenutsiŋutete ƒe dɔlélewo, kple kansa ene xɔxɔ hã ɖe edzi .
Amekawoe le afɔku gã me be woaxɔ CVID?
Ne wotsɔe sɔ kple dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie ƒe dɔléle bubuwo la, CVID nye dɔléle si bɔ vie. Le mama dedie nu la, edzea ame ɖeka le 25,000 ɖesiaɖe me.
Togbɔ be ate ŋu adze ame sia ame dzi hã la, ame tsitsiwo mee wòbɔ ɖo wu. Togbɔ be CVID ate ŋu adze ɖeviwo kple sɔhɛ tsitsiwo dzi hã la, zi geɖe la, wokpɔnɛ le tsitsime. Zi geɖe la , wokpɔa dɔlélea le ƒe 20 va ɖo ƒe 50 dome .
Gake numekukuwo ɖee fia be wokpɔ dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie le amesiwo ŋu CVID le abe 2 le 10 ɖesiaɖe me ene le woƒe ɖevime.
Nukae hea CVID vɛ?
Le nyateƒe me la, ɖɔktawo menya nusi tututu nana CVID dɔnɔ akpa gãtɔ xɔa nɔnɔme sia haɖe o.
Gake le amesiwo ŋu CVID le abe ɖeka le ewo ɖesiaɖe me gome la, domenyiŋusẽfianu gbɔe wòtsona. Esia fia be domenyiŋusẽfianu ƒe tɔtrɔ le wò DNA me ate ŋu atso nɔnɔmea gbɔ . Kpuie ko la, ɖewohĩ ènyi nɔnɔmea ƒe dome tso dawò, fofowò, alo ƒomea me tɔ bubu aɖe gbɔ.
CVID ate ŋu atso domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ le dɔlélenutsiŋutete me hã gbɔ. Gblẽƒe siawo nana ŋutilãa wɔa immunoglobulin, si nye protein ƒomevi aɖe si wɔa avu kple dɔlékuiwo, kple vevietɔ dɔlékuiwutike siwo woyɔna be immunoglobulin G (IgG) ƒe agbɔsɔsɔ si medea ame dzi kura o. Esia nana dɔlélenutsiŋutete gbɔdzɔna. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu ava do mo ɖa le eƒe tsitsime.
Nukae nye CVID ƒe dzesiwo?
CVID ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Dzesi siwo nu mesẽna o nɔa ame aɖewo ŋu, evɔ ame bubuwo ya ate ŋu asẽ ŋutɔ. Enɔ te ɖe alesi wò dɔlélenutsiŋutete gbɔdzɔe dzi.
Tabla si le ete la ɖe CVID ƒe dzesi siwo bɔ wu dometɔ aɖewo fia.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Yagbɔgbɔ ƒe dɔlékuiwo | Kɔdziyiyi enuenu kple ɣeyiɣi didi, gbɔgbɔ sesẽ, kple lãkusi me dɔlékuiwo (si ate ŋu ahe nɔnɔmewo abe aɖuɖɔtoedɔ alo aklãdɔ ene vɛ). |
| To kple ʋuka me dɔlékuiwo | To me dɔlékuiwo kple sinus dɔlékuiwo xɔxɔ enuenu. |
| Nuɖuɖumeŋusẽ ƒe kuxiwo | Aɖuɖɔtoe, ʋuʋudedi, ʋuʋudedi, kple lolo dzi ɖeɖe kpɔtɔ si womenya o. |
| Ƒunukpeƒewo kple lãkusiwo | Ƒunukpeƒewo abe klowo, abɔta, kple asibidɛwo ene ƒe vuvu kple vevesese. Aɖuɖɔtoe ƒe lolome. |
| Nɔnɔme bubuwo | Aklã ƒe dɔwɔwɔ ƒe kuxiwo, ʋumenugbagbevi dzĩwo ƒe ɖiɖi, kple atikewɔmɔnu siwo mebɔ o alo esiwo nu sẽ ŋutɔ. |
Aleke wowɔna dea dzesi CVID?
Ne to, lãkusi, alo lãkusi me dɔlékuiwo le fu ɖem na wò ɣesiaɣi, alo ne dɔlékuiwutike siwo wokafu zi geɖe la wɔa nu ɖe ŋuwò le mɔ si mebɔ o nu la, kpɔ egbɔ be yena wò ɖɔkta nanya.
Ne ègblɔ dzesi siawo na wò ɖɔkta la, ate ŋu asusu be CVID. Be wòaɖo kpe dɔlélea dzi la, abia wò atikewɔwɔ ŋutinya kple wò ƒomea ƒe atikewɔwɔ ŋutinya. Emegbe, woaɖe gbe be woado ʋu aɖewo kpɔ. Ʋudodokpɔ siawo ate ŋu alé ŋku ɖe alesi wò ŋutilã ƒe dɔlékuiwutikewo le sue kple alesi wò dɔlélenutsiŋutete le dɔ wɔm nyuie ŋu.
Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu ana dɔléle bubu ƒe atike wò eye wòadoe kpɔ be wò ŋutilã ƒe dɔlékuiwutikewo ƒe agbɔsɔsɔ dzina ɖe edzi le alesi wòle be wòawɔe hã.
Ðe atike aɖe li na CVID?
Atike aɖeke meli na CVID haɖe o. Gake mègatsi dzi o. Àte ŋu akpɔ nɔnɔmea gbɔ nyuie, akpɔ ɖokuiwò ta tso dɔlékuiwo me, eye nànɔ agbe si sɔ, si me lãmesẽ le.
Atike vevitɔe nye dɔlélenutsiŋutete (IgG) ɖɔliɖɔli ƒe atikewɔwɔ . Esia bia be woana IgG dɔlékuiwutikewo dɔnɔa, siwo woxɔ tso ʋudola siwo le lãmesẽ me gbɔ. Esia nana dɔlékuiwutikewo ƒe agbɔsɔsɔ dzina ɖe edzi le wò ŋutilã me eye wòdoa ŋusẽ dɔlélenutsiŋutete.
Woate ŋu akpɔ atikewɔwɔ sia le mɔ eve nu:
1. IV mɔnu: Abe dzetsi si wotsɔna dea vein (IV) me zi ɖeka le ɣletia me ene.
2. Mɔnu si wozãna le ŋutigbalẽ te: Abe atike si wodona ɖe ŋutigbalẽ te zi ɖeka le kwasiɖa me alo kwasiɖa eve ɖesiaɖe ene.
Nu vevitɔe nye be ele be woawɔ atike sia le woƒe agbemeŋkekewo katã me.
Ame akpa gãtɔ mekpɔa nugbegblẽ ɖedzesi aɖeke tso atikewɔwɔ sia me o. Gake ame aɖewo ate ŋu akpɔ taɖuame alo nulɔdɔwo. Ðo dze kple wò ɖɔkta be nànya atikewɔwɔ si nyo na wò.
Tsɔ kpe ɖe eŋu la, ne dɔlékui aɖe le ŋuwò la, wò ɖɔkta aŋlɔ dɔlékuiwutikewo alo dɔlékuiwutikewo na wò be woatsɔ adae.
Kuxi bubu siwo ate ŋu ado mo ɖa le CVID ta
Esi dɔlélenutsiŋutete mewɔa dɔ nyuie o ta la, amesiwo ŋu CVID le la le afɔku me be woaxɔ atikewɔwɔ me dɔléle sesẽ bubuwo.
- Dɔlélenutsiŋutete ƒe dɔlélewo: Esiae nye ne ŋutilãa ƒe dɔlélenutsiŋutete dze eya ŋutɔ ƒe lãmenugbagbevi siwo le lãmesẽ me dzi vodadatɔe. Esiawo ateŋu ahe nɔnɔmewo abe `autoimmune hemolytic anemia` (ʋumenugbagbevi dzĩ siwo le lãmesẽ me tsɔtsrɔ̃), `ƒunukpeƒetetedɔ` (ƒunukpeƒetetedɔ), kple `thrombocytopenia` (ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si mede o) vɛ.
- Kansa: CVID nana kansa ƒomevi aɖewo, abe ʋumenugbagbeviɣidɔ alo dɔgbo me dɔdzẽ ene, xɔxɔ ƒe afɔkua dzina ɖe edzi.
- Aɖuɖɔtoemedɔléle: Aɖuɖɔtoedɔléle enuenu ate ŋu agblẽ nu le yaƒoƒomɔ̃ siwo le lãkusia me ŋu eye wòana woakeke tegbee. Esia ate ŋu ana ame nakɔ akɔta atraɖii kple ʋuʋudedi eye wòana wòasesẽ be woaɖe ʋuʋudedia ɖa.
- Granulomas: Esiawo nye ƒu suesuesue siwo dona tso ʋumenugbagbevi ɣiwo ƒe ƒuƒoƒo me. Wokpɔa wo zi geɖe le lãkusi, ŋutigbalẽ, alo ŋutinu bubuwo me.
Gbedasi si Wotsɔ Yi Aƒeme
- CVID nye domenyiŋusẽfianu ƒe nɔnɔme si gbɔdzɔa dɔlélenutsiŋutete le esi dɔlékuiwutike siwo ŋutilãa wɔna ƒe agbɔsɔsɔ si mede o ta.
- To, lãkusi, kple lãkusi me dɔlékuiwo xɔxɔ enuenue nye dzesi vevitɔwo.
- Ne dzesi siawo le ŋuwò alo ame aɖe si nènya la, yi ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo.
- Togbɔ be womate ŋu ada CVID keŋkeŋ o hã la, woate ŋu akpɔ egbɔ nyuie ne wozã dɔlékuiwutikewo zazã le woƒe agbemeŋkekewo katã me (IgG dɔdamɔnu).
- Ne CVID le ŋuwò la, ele vevie ŋutɔ be nàlé dzadzɛnyenye ƒe nɔnɔme nyuiwo me ɖe asi, abe asikɔklɔ enuenu ene, be nàkpɔ ɖokuiwò ta tso dɔlékuiwo si me.
CVID, Common Variable Immunodeficiency, dɔlélenutsiŋutete, dɔléle enuenu, dɔlékuiwo, dɔlékuiwutikewo, IgG dɔdamɔnu
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