Ðe nèxɔ ʋu ŋuti nyatakaka kpɔ, vevietɔ ʋu ƒe xexlẽme bliboa, eye nèbia ɖokuiwò be, "Nukae nye esia?" Ne RDW ƒe asixɔxɔ si le nyatakaka ma dzi sɔ gbɔ wu alesi wòle dzɔdzɔmee la, wò ɖɔkta ate ŋu azã nya "Anisocytosis." Nya sia sese ate ŋu ado vɔvɔ̃ na ame vie, gake mègatsi dzi o. Mina míaƒo nu tso eŋu bɔbɔe eye eme nakɔ egbea.
Kpuie ko la, nukae nye Anisocytosis?
Anisocytosis menye dɔléle o. Enye nya si ɖɔktawo zãna. Kpuie ko la, efia be wò ʋumenugbagbevi dzĩwo (RBC) katã ƒe lolome mesɔ o, ke boŋ woƒe lolome to vovo. Lãmenugbagbevi aɖewo ate ŋu alolo wu alesi wòle le dzɔdzɔme nu, ɖewo ate ŋu anɔ sue wu, alo evea siaa ƒe ƒuƒoƒo.
Zi geɖe la, ame si le lãmesẽ me ƒe ʋumenugbagbevi dzĩwo katã ƒe lolome anɔ abe ɖeka ene. Eyata dzesi aɖe ko ƒe lolome ƒe vovototo sia nye na mí tso nu bubu aɖe si le edzi yim le míaƒe ŋutilã me ŋu. Eyata míebua esia be menye dɔléle o, ke boŋ be enye nɔnɔme aɖe si le ete ƒe dzesi.
Nukatae ʋumenugbagbevi dzĩwo le vevie na míaƒe ŋutilã alea gbegbe ɖo?
Bu eŋu be enye nudɔdɔ ƒe dɔwɔƒe si tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Nu mae ʋumenugbagbevi dzĩwo wɔna. Wodzɔna le míaƒe ƒumeŋuɖui me eye wotsina le abe ŋkeke 7 ene me.
- Dɔ vevitɔ: Be wòatsɔ ɔksidzin, si gena ɖe lãkusi me ne míele gbɔgbɔm, ayi lãmenugbagbevi ɖesiaɖe si le ŋutilãa me.
- Dɔ bubu: be wòana ya si woyɔna be carbon dioxide si dona le lãmenugbagbevi mawo me la natrɔ ava lãkusiwo me.
Wowɔa esia to protein aɖe si woyɔna be hemoglobin zazã me . Ʋumenugbagbevi dzĩwo hã ƒe nɔnɔme le etɔxɛ ŋutɔ. Wole abe donut si me do aɖeke mele le titina o ene, eye wole tsɛ le titina. Nɔnɔme sia nana wobɔbɔna hezɔna bɔbɔe to ʋuka suetɔ kekeake siwo le ŋutilãa me gɔ̃ hã me.
Tɔtrɔ le ʋumenugbagbevi dzĩ siawo ƒe lolome, nɔnɔme, alo xexlẽme ŋu ate ŋu akpɔ ŋusẽ ɖe míaƒe lãmesẽ dzi tẽ, elabena ŋutilãa ƒe oxygen ate ŋu agblẽ.
Aleke nàwɔ anya ne anisocytosis le ŋuwò?
Wò ɖɔkta ate ŋu azã dodokpɔ vevi eve atsɔ anya esia.
1. Ʋu Xexlẽme Blibo (CBC): Esiae nye dodokpɔ si wowɔna wu. Nyatakaka sia lɔ asixɔxɔ aɖe si woyɔna be RDW (Red Blood Cell Distribution Width) ɖe eme . Esia dzidzea alesi gbegbe vovototo, alo vovototo, le wò ʋumenugbagbevi dzĩwo ƒe lolome me.
- RDW ƒe xexlẽme si lolo fia be vovototo gã aɖe le ʋumenugbagbevi dzĩwo ƒe lolome me.
- RDW ƒe asixɔxɔ si sɔ la le 12% kple 15% dome.Ele be wòanɔ wo dome.
- Gake ɖo ŋku edzi be menye ɣesiaɣi si wò RDW ƒe asixɔxɔ dzi ɖe edzi o, ke efia be dɔléle aɖe le ŋuwò. Asixɔxɔ sia ate ŋu adzi ɖe edzi vie ne ame tsi, le fufɔɣi, kple le kamedede geɖe megbe.
2. Ʋu si Wotsɔna Kpɔa Ʋu si le Gome (PBS): Esia bia be nàɖe wò ʋu ƒe akpa aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia wɔnɛ be ɖɔkta la te ŋu kpɔa ʋumenugbagbevi dzĩawo ƒe lolome kple woƒe nɔnɔme kple ŋku eveawo.
Vovototo Si Le Anisocytosis Kple Poikilocytosis Dome
Wozãa nya siawo evea siaa tsɔ ɖɔa nusiwo mesɔ o le ʋumenugbagbevi dzĩwo me. Be nàse vovototo si le wo ame evea dome gɔme bɔbɔe la, kpɔ kplɔ̃ si le ete.
| Ɖoƒe | Nuɖᴐɖᴐ |
|---|---|
| Anisocytosis ƒe dɔléle | Tɔtrɔ le ʋumenugbagbevi dzĩwo ƒe lolome ŋu (lãmenugbagbeviwo ƒe lolo alo sue) . |
| Poikilocytosis ƒe dɔléle | Tɔtrɔ siwo vaa ʋumenugbagbevi dzĩwo ƒe nɔnɔme me (e.g. sickle-shaped, oval) . |
Ɣeaɖewoɣi la, nɔnɔme siawo evea siaa ate ŋu adzɔ ɖekae. Esia fia be ʋumenugbagbevi dzĩwo ƒe lolome kple nɔnɔme siaa trɔna. Zi geɖe la, wokpɔa esia le nɔnɔmewo abe ʋusɔgbɔdɔ ene me .
Nukawo koŋue hea Anisocytosis vɛ?
Nusi gbɔ anisocytosis tsona wu eye wònye nusi koŋ gbɔ wòtsonae nye ʋusɔgbɔdɔ , si míeyɔna be "ʋu ƒe veve." Ʋusɔgbɔdɔ nye ʋumenugbagbevi dzĩ siwo le lãmesẽ me siwo tsɔa ɔksidzin si sɔ yia wò ŋutilã ƒe lãkusiwo me ƒe anyimanɔmanɔ.
Ʋusɔgbɔdɔ ƒe dzesi siwo bɔ
- Ðeɖiteameŋu ɣesiaɣi kple alɔ̃dɔdɔ fũ akpa
- Gbɔdzɔgbɔdzɔ
- Ŋutilã si le ɣie (si ƒe amadede nye blɔ) .
- Yagbɔgbɔ sesẽ, alo ʋuʋudedi, ne wodze agbagba vie gɔ̃ hã
Anisocytosis Ƒomevi Siwo Ate Ŋu Ahe Ʋusɔgbɔdɔ Ahe
| Ʋusɔgbɔdɔ ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| Ʋusɔgbɔdɔ si me iron mele o | Iron ƒe anyimanɔmanɔ le ŋutilã me gbɔe wòtsona. Le go sia me la, zi geɖe la, ʋumenugbagbevi dzĩawo nɔa sue (microcytosis). |
| Vitamin ƒe anyimanɔmanɔ ƒe ʋusɔgbɔdɔ | Vitamin B12 alo folate ƒe anyimanɔmanɔ gbɔe ʋumenugbagbevi dzĩwo lolona le mɔ si mesɔ o nu (Macrocytosis). |
| Ʋusɔgbɔdɔ si woyɔna be sickle cell | Domenyiŋusẽ ƒe nɔnɔme si me ʋumenugbagbevi dzĩwo va zua aŋenu eye wotsrɔ̃na kabakaba. |
| Ʋusɔgbɔdɔ si tsoa dɔlélenutsiŋutete gbɔ | Ametia ŋutɔ ƒe ʋumenugbagbevi dzĩwo tsɔtsrɔ̃ to ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzi. |
Nɔnɔme bubu siwo do ƒome kple Anisocytosis tsɔ kpe ɖe ʋusɔgbɔdɔ ŋu
Numekulawo kpɔe be tsɔ kpe ɖe ʋusɔgbɔdɔ ŋu la, RDW ƒe asixɔxɔ dzina ɖe edzi le dɔléle bubu geɖe me. Eyae nye be wokpɔa Anisocytosis ƒe nɔnɔmea. Eyata wobua RDW ƒe asixɔxɔ hã be enye dzesi si naa lãmesẽ ƒe nɔnɔme bliboa ƒe dzesi aɖewo.
Nɔnɔme bubu siwo ate ŋu ado ƒome kple anisocytosis dometɔ aɖewoe nye:
- Dzitodzito me dɔléle: Ame geɖe siwo ŋu nɔnɔmewo abe dzidɔ kple dzitodzito me dɔléle ene le la ƒe RDW ƒe xexlẽme sɔ gbɔ.
- Aklãdɔléle
- Ayikudɔléle
- Kansa aɖewo: Kansa abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene, vevietɔ esiwo gblẽa nu le ƒumeŋuɖui ŋu.
- COVID-19: Wokpɔ RDW ƒe xexlẽme si dzi ɖe edzi le COVID-19 dɔnɔ aɖewo ŋu, vevietɔ amesiwo ŋu dɔléle sesẽ le.
- Nɔnɔme sia ate ŋu ado mo ɖa hena ɣeyiɣi aɖe le ʋudodo vɔ megbe alo le atike aɖewo ta hã.
Nu vevitɔ kekeake:Esi wogblɔ nɔnɔme siawo na wò ta la, mefia be ehiã be nàtsi dzodzodzoe o. RDW ƒe asixɔxɔ si kɔ mefia kokoko be dɔléle siawo dometɔ ɖeka le ŋuwò o. Ðeko wònye nusi fia be ele be nàdi dodokpɔ bubuwo.
Gbedasi si Wotsɔ Yi Aƒeme
- Anisocytosis menye dɔléle o. Enye atikewɔwɔ ƒe nɔnɔme si ɖenɛ fiana be wò ʋumenugbagbevi dzĩwo ƒe lolome to vovo. Woate ŋu ade dzesi esia to RDW ƒe asixɔxɔ si kɔ ɖe ʋu ŋuti nyatakaka aɖe dzi me.
- Nusi gbɔ esia tsona wue nye ʋusɔgbɔdɔ si iron, vitamin B12, alo folate ƒe anyimanɔmanɔ hena vɛ.
- Tsɔ kpe ɖe ʋusɔgbɔdɔ ŋu la, woate ŋu akpɔ esia le atikewɔwɔ ƒe nɔnɔme bubuwo abe dzi, aklã, kple ayikudɔ ene hã me.
- Mègavɔ̃ le RDW ƒe asixɔxɔ si kɔ ta o. Menye ɣesiaɣie wòfia be dɔléle sesẽ aɖe le ame ŋu o.
- Aɖaŋuɖoɖo vevitɔ kekeake kple ɖeka koliae nye be ne tɔtrɔ aɖe va le wò ʋu ƒe nyatakaka me, vevietɔ RDW ƒe asixɔxɔ si dzi ɖe edzi la, ele be nàƒo nu tso eŋu na wò ɖɔkta godoo eye nàdi eƒe aɖaŋuɖoɖo. Ƒo asa na ɖokuiwò didi kple ɖokuiwò dada keŋkeŋ.
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