Na míanya nu tso wò ʋumenugbagbevi dzĩwo ƒe xexlẽme ŋua? Vovototowo kple nusiwo wòle be woanya

Èkpɔ asixɔxɔ aɖe si woyɔna be ‘PLT’ ne èlé ŋku ɖe Ʋu Blibo Xexlẽme ƒe nyatakaka aɖe ŋu kpɔa? Alo ɖe nèxɔ abi sue aɖe kpɔ si na nèxɔ abi gã aɖe, alo ʋu le dodom le aɖuwo me ne èle aɖuwo klɔm kpɔa? Esiawo katã ate ŋu ado ƒome kple lãmenugbagbevi sue aɖe si le wò ʋu me si woyɔna be ʋumenugbagbevi dzĩwo. Wogayɔa wo be ʋumenugbagbevi dzĩwo. Eyata, egbea míaƒo nu tso nusi ʋumenugbagbevi dzĩ siawo nye kple nusi dzɔna ne woɖiɖi akpa ŋu.

Eyata nukawoe nye ʋumenugbagbevi dzĩ siawo?

Kpuie ko la, ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo le míaƒe ʋu me siwo wowɔna le míaƒe ƒumeŋuɖui me. Woƒe dɔ vevitɔe nye be woadzudzɔ ʋudodo ne míexɔ abi. Bu ale si wò ʋu nu tsona le ɣeyiɣi kpui aɖe megbe ne ètso wò alɔnu ŋu kpɔ. Le ɣeyiɣi ma me la, ʋumenugbagbevi dzĩ siawo va nɔa abe kalẽtɔwo ene, wova ƒoa ƒu wɔa ʋuka, eye wotrea abi la nu. Ele abe mɔ̃ɖaŋudɔwɔla suewo ƒe ƒuƒoƒo aɖe si le du dzi be yewoaɖɔ pɔmpi si gbã la ɖo ene.

Aleke wodzidzea Ʋumenugbagbeviɣidɔ ƒe Xexlẽme?

Wotsɔa ʋudodokpɔ si wowɔna edziedzi dzidzea ʋumenugbagbevi dzĩwo ƒe xexlẽme. Wodzidzea esia le Ʋu Xexlẽme Blibo (CBC) dodokpɔ si míewɔna edziedzi me. Esia ate ŋu akpɔ ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋua me tsɔ kpe ɖe ʋumenugbagbevi ɣiwo kple ʋumenugbagbevi dzĩwo ŋu.

Mina míalé ŋku ɖe alesi wòle be ʋumenugbagbevi dzĩwo ƒe xexlẽme si sɔ nanɔ ame si le lãmesẽ me ƒe ʋu me ŋu.

Mina míaƒo nu tso ʋumenugbagbeviɣidɔ (Thrombocytopenia) ŋu .

Ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme mede 150,000 o la, ɖɔktawo yɔa nɔnɔme sia be ʋumenugbagbeviɣidɔ. Esia nye ne ʋumenugbagbevi dzĩwo mesɔ gbɔ na wò be nàdzudzɔ ʋudodo le abixɔxɔ vɔ megbe o.

Nukawoe nye dzesiawo?

Ɣeaɖewoɣi la, ʋumenugbagbevi dzĩwo ƒe ɖiɖi vie mate ŋu ahe dzesi aɖeke vɛ o. Gake ne xexlẽmea ɖiɖi ŋutɔ la, àte ŋu ade dzesi nuwo abe:

• Abi bɔbɔe: Ne èƒoe vie gɔ̃ hã la, ate ŋu ana abi gã siwo ƒe amadede nye blɔ/aɖabɛ.
• Ʋu si dona le ame ŋu si nu tsotso sesẽ: Ʋu si dona le aɖuwo me ne èle aɖu tutu, ʋu si dona le ŋɔti me enuenu, ʋu si dona le abi sue aɖe gɔ̃ hã me ɣeyiɣi didi.
• Ʋu si dona le ememe: Ʋu le aɖuɖɔ me, ʋu le aɖuɖɔ me (aɖuɖɔ ate ŋu anye yibɔ), ʋu le ʋuʋudedi me (ate ŋu adze abe kɔfi ƒuƒu ene).
• Teƒe dzĩwo le ŋutigbalẽa ŋu: Teƒe suesuesue siwo le dzo dam (petechiae) siwo ʋu si le dodom tso ʋuka siwo le ŋutigbalẽa te me hena vɛ.
• Teƒe siwo le ŋutigbalẽa ŋu siwo ƒe amadede nye aŋutiɖiɖi: Teƒe gã siwo le dzo dam, siwo le dzo dam, siwo ƒe amadede nye aŋutiɖiɖi (Purpura) siwo tsoa ʋu si dona le ŋutigbalẽa te gbɔ.
• Ðeɖiteameŋu kple gbɔdzɔgbɔdzɔ si gbɔ eme.
• Ʋu si dona vevie le nyɔnuwo ƒe dzinukpɔkpɔ me.
• Aɖuɖɔtoe alo aklã ƒe vuvu.

Nukatae ʋumenugbagbevi dzĩwo dzi ɖena kpɔtɔna?

Susu vevi etɔ̃ tae ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o:

1. Ƒumeŋuɖui mewɔa ʋumenugbagbevi dzĩ siwo sɔ o.

2. Ʋumenugbagbevi dzĩwo tsɔtsrɔ̃ kabakaba alo wo zazã le ŋutilãa me.

3. Aɖuɖɔtoea léa ʋumenugbagbevi dzĩwo ɖe te eye meɖea wo ɖa ne ehiã o.

Esiawo nye dɔléle kple nusiwo gbɔ wòtsona siwo ate ŋu ahe nɔnɔme siawo vɛ la dometɔ aɖewo:

• Ƒumeŋuɖui ƒe dɔlélewo: Nɔnɔme siwo mebɔ o abe Aplastic Anemia, ʋumenugbagbeviɣidɔ abe Leukemia alo Lymphoma ene.
• Kansa dada: Atike kple keklẽŋusẽ zazã ate ŋu agblẽ nu le ƒumeŋuɖui ŋu.
• Vitamin ƒe anyimanɔmanɔ: Ne vitamin B12 kple folate mesɔ gbɔ o la, esesẽna na ƒumeŋuɖui be wòawɔ ʋumenugbagbevi dzĩwo.
• Dɔlélenutsiŋutete ƒe nɔnɔmewo: Le dɔlélewo abe Lupus kple Rheumatoid Arthritis ene me la, ŋutilãa ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe ʋumenugbagbevi dzĩwo dzi vodadatɔe hegblẽa wo.
• Dɔlékuiwo: Dɔlékuiwo ƒe dɔlélewo abe HIV, Aklãdɔléle C, kple dɔlékui aɖewo ƒe dɔlékuiwo.
• Atike aɖewo:Atike aɖewo, abe Heparin kple Quinine ene, ate ŋu ana ʋumenugbagbevi dzĩwo nagblẽ.
• Dɔlélewo abe aklã ƒe ʋuʋu ene: Esiawo ate ŋu ana aɖuɖɔtoea navuvu eye ʋumenugbagbevi dzĩwo natsi eme.
• Ahanono fũu akpa.
• Amekoko gã aɖewo: Le kpɔɖeŋu me, dzidɔ.

Mina míasrɔ̃ nu tso ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi hã ŋu (Thrombocythemia/Thrombocytosis) .

Ʋumenugbagbeviɣidɔ ƒe xexlẽme si wu 450,000 hã nye kuxi. Esia ate ŋu ana ʋu ƒe sisi si womedi o nadzɔ . Ʋuka siawo ate ŋu atɔ ɖe ʋukawo me eye woahe nɔnɔme siwo me afɔku le abe dzidɔ, ʋusɔgbɔdɔ, kple aklã me ʋu ƒe sisi ene vɛ.

Nɔnɔme sia ƒomevi eve li:

• Primary Thrombocythemia: Esia tsoa ʋumenugbagbevi dzĩwo ƒe wɔwɔme si mesɔ o gbɔ le ƒumeŋuɖui me. Zi geɖe la, domenyiŋusẽfianu ƒe tɔtrɔ gbɔe esia tsona.
• Ʋumenugbagbeviɣidɔ evelia: Esiae nye ʋumenugbagbeviɣidɔ ƒomevi si bɔ wu, afisi woʋãa ƒumeŋuɖui be wòawɔ ʋumenugbagbeviɣidɔ geɖe le atikewɔwɔ ƒe nɔnɔme bubu aɖe ta (e.g., dɔlékui, iron ƒe anyimanɔmanɔ).

Zi geɖe la, dzesiawo dzena wu le gɔmedzedzea me. Kpɔɖeŋu aɖewoe nye:

• Asiwo kple afɔwo biã, dzobibi, kple lãmetutudɔ.
• Akɔtave.
• Taɖuame, taɖuame, gbɔdzɔgbɔdzɔ.
• Tɔtrɔ siwo va le nukpɔkpɔ me.
• Ʋudodo (togbɔ be ʋumenugbagbevi dzĩwo sɔ gbɔ hã la, ɣeaɖewoɣi la, womewɔa dɔ nyuie o).

Nukae woawɔ ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o?

Atikewɔwɔ na ʋumenugbagbeviɣidɔ si mebɔ o nɔ te ɖe nusi gbɔ dɔlélea tso kple alesi wòsẽe dzi. Wò ɖɔktae atso nya me le atikewɔwɔ nyuitɔ kekeake ŋu.

• Nusi gbɔ wòtso dada: Ne atike aɖee na ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ la, woate ŋu adzudzɔ atike ma eye woana bubu. Ne iron alo vitaminwo mesɔ gbɔ o la, woate ŋu ana kpeɖeŋutɔe.
• Atikewo: Woateŋu ana atikewo abe `Corticosteroids` (e.g. Prednisone) be woadzi ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖe edzi, atikewo abe `Eltrombopag` kple `Romiplostim` be woadzi ʋumenugbagbevi dzĩwo ƒe wɔwɔ ɖe edzi le ƒumeŋuɖui me, kple atikewo abe `Immunoglobulin` si ana ŋutilãa nagagblẽ ʋumenugbagbevi dzĩwo o.
• Ʋu alo ʋumenugbagbevi dzĩwo dodo: Ne ʋu le dodom alo ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ le sue ŋutɔ la, woate ŋu ado ʋumenugbagbevi dzĩwo le gota.
• Aɖuɖɔtoe ɖeɖeɖa: Ne dɔdamɔnu bubuwo medze edzi o eye dɔgboa le ʋumenugbagbevi dzĩwo gblẽm la, wò ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na wò be woaɖe aɖuɖɔtoea ɖa .