Ðe nèlé ŋku ɖe Ʋu Blibo Xexlẽme ƒe nyatakaka aɖe ŋu eye nèbu dzidzenu aɖewo siwo le eme ŋu kpɔa? Ðewohĩ wò ɖɔkta agblɔ be, "Wò ʋumenugbagbevi dzĩwo dzena gã vie." Emae nye nusi míeyɔna le atikewɔwɔ me be Macrocytosis. Le nyateƒe me la, menye dɔlélee wònye le eɖokui si o. Gake enye dzesi vevi aɖe be nane gblẽ le míaƒe ŋutilã ŋu. Ne èŋe aɖaba ƒu edzi la, àte ŋu ava zu ʋusɔgbɔdɔ sesẽ aɖe si woyɔna be macrocytic anemia gɔ̃ hã. Eyata, mègatsi dzi o. Mina míaƒo nu tso nusianu ŋu eme nakɔ eye wòanɔ bɔbɔe.
Nuka tututue nye Macrocytosis?
Kpuie ko la, Macrocytosis nye ne ʋumenugbagbevi dzĩ siwo le wò ʋu me lolo wu alesi wòle. Woyɔa esia ɣeaɖewoɣi be megalocytosis alo macrocythemia. Ne èxlẽ ʋu blibo la, nyatakakaa agblɔ wò ʋumenugbagbevi dzĩwo ƒe lolome na wò. Asixɔxɔ vevi eve li siwo ŋu ɖɔkta alé ŋku ɖo ne wosusu be nɔnɔme sia le ŋuwò: 1.
MCV (Mean Corpuscular Volume): Esiae nye wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔme le mama dedie nu. 2.
MCH (Mean Corpuscular Hemoglobin): Esiae nye ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le ʋumenugbagbevi dzĩ me. Ne xexlẽme siawo dometɔ ɖeka alo evea siaa kɔ wu alesi wòle dzɔdzɔmee la, ke enye dzesi nyui aɖe be Macrocytosis ate ŋu anɔ ŋuwò.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Zi geɖe la,
ʋusɔgbɔdɔ si va kpena ɖe Macrocytosis ŋu la va nɔa blewu ŋutɔ le ŋutilãa me. Eyata nɔnɔmea
meɖea dzesi gã aɖeke fiana o vaseɖe esime wòsẽ vie. Gake ne nɔnɔmea nu sẽ vie la, dzesi siwo le ete la dometɔ aɖewo ate ŋu adze.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|
| Dɔmetɔtrɔ | Fuɖename enuenu. |
| Aɖe ƒe dɔdzẽ | Aɖe biã, vuvu, alo vevesese. |
| Nuɖuɖumadzroame ƒe dɔléle | Nuɖuɖudzroame dzi ɖe kpɔtɔ. |
| Ahɔhɔ̃mekawo ƒe Dɔléle si le Gome | Seselelãme be abɔ kple afɔwo le ʋuʋum eye wole dzo dam. |
| Azɔlizɔzɔ trɔna | Esesẽna be woada asɔ ne wole zɔzɔm. |
Nukawoe hea macrocytosis vɛ?
Abe alesi míegblɔe va yi ene la, Macrocytosis menye dɔléle ɖeka ko o. Lãmesẽkuxi bubu aɖe gbɔe wòtso. Na míakpɔ nusiwo koŋ gbɔ wòtsona be wògblẽa nu le eŋu.
| Susu vevi siwo tae |
|---|
| Vitamin B12 ƒe anyimanɔmanɔ | Vitamin B12 ƒe agbɔsɔsɔ si mesu ame si o alo esi mete ŋu xɔe o. |
| Folate ƒe anyimanɔmanɔ | Folate, si wogayɔna be vitamin B9, le vevie na lãmenugbagbeviwo ƒe tsitsi. Eƒe gbɔdzɔgbɔdzɔ hã nye nu vevi aɖe si gbɔ wòtsona. |
| Aklãdɔléle | Aklã ƒe dɔmawɔmawɔ nyuie. |
| Ahatsunono | Aha sesẽ xea mɔ na vitaminwo ƒe xɔxɔ eye wògblẽa nu le ƒumeŋuɖui hã ŋu. |
| Lãmetsiŋusẽ ƒe kuxiwo (Hypothyroidism) . | Lãmetsiŋusẽ si le lãkusi me dzi ɖe kpɔtɔ. |
Tsɔ kpe ɖe eŋu la,
ate ŋu anye atike aɖewo siwo wozãna tsɔ daa nɔnɔmewo abe kansa, alɔ̃madɔmadɔ, alo dɔlélenutsiŋutete ƒe dɔléle (dɔléle siwo me ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea eɖokui dzi le) ƒe nugbegblẽ le ame ŋu .Macrocytosis ate ŋu adzɔ le ƒumeŋuɖui me kansa (myelodysplastic syndrome) hã ta.
Aleke woawɔ ade dzesi nɔnɔme sia?
Ne wò ɖɔkta ɖi ɖase le esia ŋu la, aɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe edzi.
Nu vevitɔe nye be menye ɖeko dodokpɔ siawo léa ŋku ɖe Macrocytosis ƒe anyinɔnɔ ŋu ko o, ke wokpɔa nusi tututu gbɔ wòtso hã.
Dodokpɔ vevi siwo wowɔnae nye:
- Ʋu Xexlẽme Blibo (CBC): Ʋu Xexlẽme Bliboe.
- Peripheral Smear (Ʋu Siwo Wotsɔna Klɔa Nu): Esia nye dodokpɔ vevi aɖe ŋutɔ. Wodoa ʋu aɖe kpɔna le nusuekpɔmɔ̃ me be woatsɔ alé ŋku ɖe ʋumenugbagbevi dzĩawo ƒe nɔnɔme kple woƒe lolome ŋu.
- Reticulocyte Count: Edzidzea ʋumenugbagbevi dzĩ siwo dzɔ yeyee le ƒumeŋuɖui me ƒe xexlẽme.
- Vitamin B12 Kple Folate ƒe Agbɔsɔsɔ: Vitamin siawo ƒe agbɔsɔsɔ si le ʋu me me dzodzro.
Woate ŋu akpɔ macrocytosis nyuie wu ne wozã peripheral smear. Tsɔ kpe ɖe ʋumenugbagbevi dzĩ siwo lolo ŋu la, ne dzesiwo li be
Howell-Jolly ŋutilãwo (kakɛ sue siwo le lãmenugbagbeviwo me) kple
granulocytes (ʋumenugbagbevi ɣi ƒomevi aɖe) ƒe mama fũ akpa la, efia be macrocytic anemia le ame ŋu vevie.
Aleke wowɔa atike nɛ?
Nu vevitɔ kekeake le macrocytosis dada me enye
be woadi nusi gbɔ wòtsona ahadae . Ne wonya kpɔ nusi gbɔ wòtso ko la, wò ɖɔkta atso nya me le atikewɔwɔ ƒe ɖoɖo si woawɔ ŋu.
- Vitamin ƒe anyimanɔmanɔ ƒe atikewɔwɔ: Ne vitamin B12 alo folate ƒe anyimanɔmanɔ gbɔe wòtso la, ekema wokafui be woatrɔ nuɖuɖu si sɔ, vitamin kpeɖeŋutɔ, alo vitamin dodo ne ehiã. Gake ɖo ŋku edzi be wò ɖɔkta koe ate ŋu atso nya me nenye be èhiã vitamin bubuwo kple agbɔsɔsɔme si nàno. Eyata mègano vitaminwo atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ʋusɔgbɔdɔ sesẽ: Ne ʋusɔgbɔdɔa nu sẽ ŋutɔ la, ahiã be woado ʋu na ame .
Nuɖuɖu siwo me vitamin B12 sɔ gbɔ ɖo
Ame tsitsi siwo xɔ wu ƒe 14 hiã vitamin B12 si ade microgram 2.4 gbesiagbe. Vidada siwo fɔ fu kple esiwo le no nam viwo hiã microgram 2.6-2.8 dome. Nuɖuɖu siwo me vitamin siawo sɔ gbɔ ɖo zi geɖe dometɔ aɖewoe nye:
- Tɔmelã kple ƒumelã ƒomeviwo
- Aklã
- Lã dzĩ
- Aziwo
- Koklo
- Notsi me nuɖuɖuwo abe notsi, cheese, yogurt
- Ɣetrɔ me nuku siwo ŋu wodo ŋusẽe
Nuɖuɖu siwo me folate sɔ gbɔ ɖo
Amesiame si xɔ wu ƒe 19 hiã folate microgram 400 gbesiagbe. Vidada si fɔ fu hiã 600, eye vidada si le no nam hiã 500. Ele vevie hã be amesiwo noa aha naxɔ microgram 600 gbesiagbe, elabena ahanono gblẽa folate ƒe xɔxlɔ̃ me.
- Amagbe dama viviwo abe aŋanyi, kale, sabala, broccoli
- Mɔliwo abe gbe kple peas ene
- Akɔɖu
- Sunflower ƒe nukuwo
- Atikutsetse yeyewo
- Nuku blibowo
- Ƒumelãwo
- Aziwo
- Nuɖuɖu siwo ŋu wodo ŋusẽe
Gbedasi si Wotsɔ Yi Aƒeme
- Macrocytosis fia be wò ʋumenugbagbevi dzĩwo lolo wu alesi wòle dzɔdzɔmee. Menye dɔléle le eɖokui si o, ke boŋ enye kuxi bubu si le ŋutilãa me ƒe dzesi.
- Nusi gbɔ wòtsona wue nye vitamin B12 alo folate ƒe anyimanɔmanɔ. Nu bubu siwo gbɔ wòtsonae nye aklãdɔ kple ahatsunono .
- Ne wò MCV ƒe asixɔxɔ dzi ɖe edzi le wò ʋu ŋuti nyatakaka me la, mègatsi dzodzodzoe o eye nàƒo nu kple wò ɖɔkta enumake.
- Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Nu nyuitɔ si gbɔ wòtso didi kple edada ate ŋu aɖu nɔnɔme sia dzi keŋkeŋ.
- Nuɖuɖu si da sɔ si me nunyiame le me léle ɖe asi le vevie ŋutɔ.
Macrocytosis, ʋumenugbagbevi dzĩwo, ʋudodokpɔ, vitamin B12, folate, ʋusɔgbɔdɔ, MCV
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee