Mí katã míenya nu tso ƒu siwo le míaƒe ŋutilã me ŋu, alo? Gake ènya be le ƒu sesẽ siawo me la, dɔwɔƒe wɔnuku aɖe le vevie na míaƒe agbea? Woyɔa lãkusi falɛfalɛ sia abe ƒumeŋuɖui ene be ƒumeŋuɖui . Kpuie ko la, esiae nye ʋuwɔƒe vevitɔ le míaƒe ŋutilã me. Eyata egbea, mina míaƒo nu tso ƒumeŋuɖui sia ŋu, vevietɔ eƒe ƒomevi ɖeka , ƒumeŋuɖui dzĩ, be míase nusianu gɔme le mɔ bɔbɔe aɖe nu.
Ƒumeŋuɖui ƒomevi eve li.
Ƒumeŋuɖui ƒomevi vevi eve le míaƒe ŋutilã me. Wo ame evea siaa ƒe dɔwɔwɔ to vovo vie. Na míakpɔ nusiwo wonye ɖa.
| Ƒumeŋuɖui ƒomevi | Numeɖeɖe kple dɔwɔwɔ |
|---|---|
| Ƒumeŋuɖui Dzĩ | Esiawoe nye míaƒe ʋuwɔƒea ƒe akpa vevitɔ. Woƒe akpa gãtɔ le ƒu gbadzawo abe akɔtaƒu, taɖu, kple akɔtaƒu ene me. Lãmenugbagbevi tɔxɛ siwo le esiawo me ye wɔa ʋumenugbagbevi siwo woyɔna be ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo. |
| Ƒumeŋuɖui Dzĩ | Esiawo dzena le abɔwo ƒe ƒu didiwo me wu. Abe alesi ŋkɔa ɖee fia ene la, woƒe amadede nyea ɣie elabena amie nye woƒe akpa gãtɔ. Ami sia naa nunyiame si hiã ƒuawo. Azɔ hã, lãmenugbagbeviwo le ƒumeŋuɖui ɣi sia me. Lãmenugbagbevi siawo ate ŋu azu ƒu ƒe lãmenugbagbeviwo, ƒunukpeƒe lãmenugbagbeviwo, alo ami lãmenugbagbeviwo ne ehiã. |
Dɔ wɔnuku si ƒumeŋuɖui dzĩ wɔna
Míeyɔa lãmenugbagbevi siwo le ƒumeŋuɖui dzĩ me be ``Hematopoietic stem cells''. Esiawo menye ʋumenugbagbevi siwo sɔ o, ke boŋ wonye lãmenugbagbevi ƒomevi aɖe si ate ŋu awɔ ʋumenugbagbevi bubuawo katã. Woyɔa ʋumenugbagbevi yeyewo wɔwɔ ƒe ɖoɖo sia be Hematopoiesis le atikewɔwɔ me. To mɔ sia dzi la, lãmenugbagbevi ƒomevi vevi etɔ̃ dzɔna.
1. Ʋumenugbagbevi dzĩwo
Esiawoe tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Protein si le ʋumenugbagbevi dzĩwo me si woyɔna be hemoglobin ye xɔa ɔksidzin tso lãkusi me hetsɔnɛ yia lãmeka siwo katã le ŋutilãa me. Hemoglobin siae nana míaƒe ʋu ƒe amadede biã. Ʋumenugbagbevi dzĩ siawo hãe tsɔa ya si woyɔna be carbon dioxide si dona le lãmenugbagbeviawo me la trɔna vaa lãkusiwo me.
2. Ʋumenugbagbeviɣiwo
Esiawoe nye míaƒe ŋutilã ƒe aʋakɔ . Ʋumenugbagbevi ɣi siawo kpɔa mía ta tso dɔlélewo me to avuwɔwɔ kple dɔlékuiwo abe dɔlékuiwo kple dɔlékui siwo gena ɖe ŋutilã me ene me. Esiawo ƒomevi vovovowoe li, eye ƒomevi ɖesiaɖe wɔa avu kple dɔlékuiwo le mɔ vovovowo nu.
Bu eŋu kpɔ, ne míaƒe ŋutilã nye dukɔ la, ke ʋumenugbagbevi ɣiawoe nye dedienɔnɔdzikpɔla vovovo siwo le dukɔ ma me, abe asrafowo, ƒudzisrafowo, kple yamesrafowo ene. Amesiame wɔa dɔ ɖekae tsɔ kpɔa dukɔa (ŋutilã) ta.
| Ʋumenugbagbevi ɣiwo ƒe ƒomevi | Nusi woawɔ bɔbɔe |
|---|---|
| Lãmetsiŋusẽ ƒe lãmenugbagbeviwo | Esiawo wɔa dɔlékuiwutikewo eye wogblẽa dɔlékuiwo ƒe lãmenugbagbeviwo dome. |
| Granulocytes ƒe lãmenugbagbevi siwo woyɔna be granulocytes | Woyia teƒe siwo dɔlélea le eye wowɔa avu kple dɔlékuiwo tẽ. |
| Monocytes ƒe lãmenugbagbevi siwo woyɔna be monocytes | Esiawo va zua ‘macrophages’ eye woxɔa lãmenugbagbevi siwo tso duta siwo ge ɖe ŋutilãa me. |
3. Ʋumenugbagbeviɣidɔ
Ne abi sue aɖe le ŋuwò eye ʋu dze dodo gɔme la, ʋua nu tsona le ɣeyiɣi aɖe megbe, alo? Emae nye nusi ʋumenugbagbevi dzĩ siawo kpena ɖe ame ŋu le. Ne abi aɖe li ko la, lãmenugbagbevi siawo va ɖoa teƒea, wowɔa ɖeka, wɔa ʋu ƒe sisi, eye ʋua nu tsona .
Ƒumeŋuɖui kple míaƒe lãmesẽ
Fifia ɖewohĩ èse alesi ƒumeŋuɖui le vevie na míaƒe lãmesẽ gɔme. Ɣeaɖewoɣi la, le susu vovovowo ta la, míaƒe ƒumeŋuɖui ƒe dɔwɔwɔ ate ŋu agblẽ. Emegbe ʋumenugbagbeviɣidɔwɔƒe sia ƒe dɔwɔwɔ gblẽna. Esiawo nye dɔléle siwo ate ŋu ado mo ɖa le esia ta la dometɔ aɖewo.
- Kansa: Kansa ƒomevi vovovowo ate ŋu adze ƒumeŋuɖui me. Ʋumenugbagbeviɣidɔ nye kansa ƒomevi vevitɔwo dometɔ ɖeka. Le esia me la, ʋumenugbagbevi ɣi ƒomevi aɖe si mele dɔ wɔm nyuie o la dzea mama gɔme hedzina ɖe edzi le mɔ si dzi womate ŋu aɖu o nu. Ne lãmenugbagbevi siawo siwo ŋu viɖe aɖeke mele o yɔ ŋutilãa me la, ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi dzĩ siwo le lãmesẽ me wɔwɔ nu tsona, eye ŋutilãa mete ŋu wɔa avu kple dɔlékuiwo o.
- Aplastic Anemia : Esia nye dɔléle si mebɔ o. Esia dzɔna ne ƒumeŋuɖui gblẽ eye lãmenugbagbeviwo bu. Esia wɔnɛ be ʋumenugbagbeviwo wɔwɔ nu tsona keŋkeŋ.
- Ʋusɔgbɔdɔ: Esia nye dɔléle si bɔ ŋutɔ. Ate ŋu adzɔ ne iron, vitamin B12 , alo folate mesɔ gbɔ le ŋutilãa me o. Nunyiame siawo le vevie na ƒumeŋuɖui be wòawɔ ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo. Le amesi ŋu ʋusɔgbɔdɔ le gome la, .
- Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi
- Mesena le ɖokuinye me be agbe mele asinye o.
- Gbɔgbɔ sesẽna nam le agbagbadzedze vi aɖe megbe gɔ̃ hã.
- Ŋutilãa trɔna zua ɣie.
- Mesena le ɖokuinye me be nye lãme gbɔdzɔ.
- Plasma Cell Disorders: Plasma cells nye ʋumenugbagbevi ɣi ƒomevi aɖe si wɔa dɔlékuiwutikewo. Ne lãmenugbagbevi siawo tsi akpa eye womete ŋu ɖu wo dzi o la, ate ŋu ana dɔlélenutsiŋutete nagbɔdzɔ eye wòagblẽ nu le ŋutinuwo ŋu. Multiple Myeloma nye kansa ƒomevi aɖe si dona le mɔ sia nu.
- Dɔléle bubuwo: Le nɔnɔmewo abe Myelodysplastic Syndromes kple Myeloproliferative Neoplasms ene me la, ƒumeŋuɖui wɔa lãmenugbagbevi ƒomevi siwo mesɔ o geɖe akpa alo lãmenugbagbevi ƒomevi ɖeka sɔ gbɔ akpa. Esia wɔnɛ be lãmenugbagbevi ƒomevi bubuwo mehiãna o eye wòhea kuxi vovovowo vɛ.
Dɔléle siawo ƒe atike kawoe?
Ne wokpɔe be ƒumeŋuɖui le ŋuwò la, wò ɖɔktae atso nya me le atike nyuitɔ si nàzã ŋu. Atikewɔwɔ toa vovo le dɔlélea ƒomevi kple eƒe sesẽ nu. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:
- Ƒumeŋuɖui dodo na ame
- Ʋudodo
- Iron, vitamin B12, alo folate nana abe atikekui, vitamin dodo, alo saline ene
- Atike siwo wozãna tsɔ tsia kansa nu (Chemotherapy) .
- Dɔlélenutsiŋutete si tea atikewo ɖe to
Zi geɖe la, ɖewohĩ dɔléle sia ƒomevi ƒe dzesi vevi aɖeke manɔ anyi le gɔmedzedzea me o. Àte ŋu anya to wò ƒe sia ƒe ʋudodokpɔ me, si fia beƲu ƒe xexlẽme blibo (CBC) koe nye mɔ si dzi woato anya. Eyata ele vevie ŋutɔ be nàlé be na wò lãmesẽ ɣesiaɣi eye nàyi ɖɔkta gbɔ ne èse le ɖokuiwò me be yeƒe lãme mekɔ o.
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒumeŋuɖui ye nye dɔwɔƒe vevitɔ si le míaƒe ƒuwo me si wɔa ʋumenugbagbevi siwo míaƒe ŋutilã hiã.
- Ƒumeŋuɖui dzĩe wɔa lãmenugbagbevi ƒomevi etɔ̃awo katã: ʋumenugbagbevi dzĩwo (siwo tsɔa ɔksidzin), ʋumenugbagbevi ɣiwo (siwo wɔa avu kple dɔlékuiwo), kple ʋumenugbagbevi dzĩwo (siwo kpena ɖe ʋu ƒe sisi ŋu).
- Ne kuxi aɖe le ƒumeŋuɖui ƒe dɔwɔwɔ ŋu la, dɔléle vovovowo abe ʋumenugbagbeviɣidɔ kple ʋusɔgbɔdɔ ene ate ŋu ado mo ɖa.
- Ne dzesiwo abe ɖeɖiteameŋu ɣesiaɣi, ŋutigbalẽ ƒe amadede dzẽ, kple ƒoƒo ɣeaɖewoɣi ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o.
- Ne ɖikeke aɖe le mewò le wò lãmesẽ ŋu la, mègahe ɖe megbe o eye nàyi wò ɖɔkta gbɔ.
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