Ðe nètsi dzimaɖi kpɔ ne viwòa ʋuʋu zi ɖeka alo eƒe susu megava oa? Alo ɖe viwòa nɔa ŋku lém ɖe ŋuwò vie, eye meɖoa to wò nyawo oa? Enye nusi sɔ be dzila alo dzila navɔ̃ ŋutɔ ne wokpɔ nu siawo tɔgbe. Egbea míele nu ƒom tso asrãdɔ, alo abe alesi ame aɖewo yɔnɛ ene, nɔnɔme aɖe si ate ŋu adzɔ ɖe ɖeviwo dzi ŋu. Mègatsi dzi o, ne wona nyanya mí nyuie tso esia ŋu la, míate ŋu anɔ te ɖe nɔnɔme sia nu nyuie.
Nukae nye asrãdɔ dzro ko?
Enyo, mina míalé ŋku ɖe nusi asrãdɔ nye ŋu gbã. Kpuie ko la, asrãdɔ nye
nɔnɔme si elektrikŋusẽ ƒe tɔtɔ le ɖevi ƒe ahɔhɔ̃ me hena ɣeyiɣi aɖe. Míaƒe ahɔhɔ̃menugbagbeviwo toa elektrikŋusẽ ƒe gbedasi suewo dzi ɖoa dze kple wo nɔewo. Bu eŋu kpɔ, kasia, kuxi sue aɖe do mo ɖa le elektrik-nyatakakaɖoɖo sia me, eye wole elektrik-gbedasi gbogbo aɖewo ɖom ɖa le mɔ si mesɔ o nu. Ɣemaɣie
‘alɔ̃madɔmadɔ’ dzɔna. Ðewohĩ èkpɔ ame aɖe si ŋu dɔdzẽ le la ƒe susu megava o eye wòʋuʋu. Gake menye alɔ̃madɔmadɔ katãe sɔ o. Ðevi aɖewo ƒe lãme gbãna ne èle lalam, alo woate ŋu ase le wo ɖokui me be yetɔtɔ vie.
Nu vevitɔe nye be menye ɣesiaɣi si ɖevi ƒe alɔ̃madɔmadɔ dze edzi o la, asrãdɔ gbɔe wòtsona . Hafi ɖɔkta naƒo nya ta be ɖevia xɔ asrãdɔ , ke ele be ɖevia xɔ alɔ̃madɔmadɔ wu zi ɖeka, eye atikewɔwɔ me dɔléle bubu aɖeke menɔ eŋu o. Ɣeaɖewoɣi la , ɖɔktawo yɔa esia be ‘ɖeviwo ƒe asrãdɔ’ alo ‘ alɔ̃madɔmadɔ ’.
Nukawoe nye asrãdɔ ƒomevi siwo le ɖeviwo ŋu?
Aɖuɖɔtoetetedɔ ƒomevi vovovowo li siwo ɖeviwo ate ŋu axɔ. Mina míalé ŋku ɖe ƒomevi siwo bɔ wu dometɔ aɖewo ŋu:
- Absence epilepsy: Le esia me la, kasia ɖevia nɔa ŋku lém ɖe ŋuwò hena ɣeyiɣi aɖe, eye wòdzena abe ɖe menya nu tso nusiwo ƒo xlãe ŋu o ene. Ne èle nu ƒom la, ɖevia meɖoa eŋu o. Ðeko wòle abe sinima kpɔkpɔ eye kasia ‘wòtɔ te’ ene. Ðevia gatrɔna va nɔa nɔnɔme si me wònɔ tsã me le sɛkɛnd ʋɛ aɖewo megbe.
- Rolandic epilepsy (self-limited epilepsy with centrotemporal spikes): Esia ƒomevi dzɔna le ɖevi siwo ŋu asrãdɔ le ƒe 15% lɔƒo me. Zi geɖe la, alɔ̃madɔmadɔawo dzɔna ne wole alɔ̃ dɔm alo nyɔ le ŋdi me. Ðewohĩ ʋuʋu si dzi womate ŋu aɖu o anɔ ŋutilãa ƒe akpa ɖeka, vevietɔ mo kple alɔnu. Nuƒoƒo hã ate ŋu anye nusi me kɔ o.
- Juvenile myoclonic epilepsy: Esia bɔ wu le sɔhɛmenɔɣi. Abɔwo kple afɔwo ʋuʋuna zi ɖeka, abe ɖe elektrikŋusẽ ƒo wo ene. Esia ate ŋu adzɔ vevietɔ ne èfɔ le ŋdi me.
- Vidzĩwo ƒe ʋuʋu (West syndrome): Esia nye asrãdɔ si nu mesẽ o si dzea vidzĩwo dzi. Edzɔna ne wole alɔ̃ dɔm alo nyɔ. Kasia ɖevia ƒe ŋutilã bɔbɔ ɖe ŋgɔ, ʋuʋu, eye abɔwo kple afɔwo keke. Sɛkɛnd ʋɛ aɖewo koe ƒoƒo sia xɔa, gake ate ŋu adzɔ zi geɖe ɖe wo nɔewo yome, eye ɖiɖiɖeme kpui aɖe le wo dome.
- Lennox-Gastaut ƒe dɔléle (LGS): Esia hã nye dɔléle si nu sẽ wu. Le esia me la, ɖevia ƒe lãmekawo ate ŋu asẽ zi ɖeka eye emegbe woagaɖe dzi ɖi ake. Ɣeaɖewoɣi la, woƒe susu ate ŋu adzo, woatɔtɔ, eye womate ŋu awɔ nu ɖe nuƒoƒo ŋu o.
Aleke gbegbee asrãdɔ bɔ ɖe ɖeviwo domee?
Ame miliɔn 3 kple edzivɔ siwo ŋu asrãdɔ le le United States ɖeɖe dzaa, eye wo dometɔ 450,000 nye ɖevi siwo mexɔ ƒe 17 haɖe o. Eyata esia menye dɔléle si mebɔ o.
Nukae nye dzesi gbãtɔ siwo dzena le ɖevi ŋu be asrãdɔ le ame ŋu?
Dzesi vevitɔ si dzena le asrãdɔ ŋue nye alɔ̃madɔmadɔ. Hafi alɔ̃madɔmadɔ nadze ame dzi la, àte ŋu akpɔ dzesiwo kaba abe:
- Sese le ɖokuiwò me abe ɖe nèle nu siwo ƒo xlã wò la bum ene.
- Sese le eɖokui me be yetɔtɔ.
- Ðeko nèle ŋku lém ɖe nu ŋu (blank stare).
- Tɔtrɔ le nusese, nukpɔkpɔ , vivisese, alo ʋeʋẽ ŋu.
- Sese le eɖokui me be yemele dedie o, abe dɔgbo ƒe veve alo ŋutilã ƒe dzoxɔxɔ ƒe tɔtrɔ ene.
Gake ɣeaɖewoɣi la, lãmetutudɔ ate ŋu ava kpata dzesi aɖeke manɔmee do ŋgɔ.
Dzesi kawoe ɖevi kpɔna ne exɔ alɔ̃madɔmadɔ?
Zi geɖe la, aɖabaƒoƒo ʋɛ aɖewo koe dzesi siwo dzena le alɔ̃dɔdɔ me. Dzesi siwo bɔ wu dometɔ aɖewoe nye:
- Ame ƒe susu ƒe bu alo dzedze si me susu mele o.
- Lãmetsiwo ƒe ʋuʋu, ʋuʋu, alo ŋutilã ƒe akpa aɖe ƒe ʋuʋu atraɖii le mɔ ma ke nu si dzi womeɖu o.
- Nuƒoƒo ƒe ŋutetemanɔamesi, nuyi ƒoƒo, alo nu ɖuɖu ƒe ʋuʋu.
- Dzi ƒe tsotso .
- Gbɔgbɔ kabakaba .
Alesi dɔlélea le ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Menye ɣesiaɣie wòlɔa ʋuʋudedi ɖe eme o. Gake ame geɖe kpɔa dzesi ɖeka alo esiwo ɖi wo nɔewo le woƒe dɔléle ɖesiaɖe me.
Ate ŋu asesẽ be woade dzesi dɔléle aɖe le vidzĩ sue ŋu wu esi tsi vie. Eyata ele vevie ŋutɔ be wò, vidzikpɔla, nalé ŋku ɖe nuwɔna ɖesiaɖe si mebɔ o, ɣeyiɣi didi si wòxɔ, eye nàgblɔe na viwòa ƒe ɖɔkta ŋu nyuie.
Ne ɖevia wu enu vɔ la,
ɖeɖi tea ɖevia ŋu eye wòtɔtɔna.Ðewohĩ àse le ɖokuiwò me. Ðewohĩ màgaɖo ŋku nusi dzɔ dzi gɔ̃ hã o.
Taɖuame hã bɔ le lãmetutudɔ megbe.
Ƒe nenie asrãdɔ ƒe dzesiwo dzea egɔme zi geɖe?
Esia toa vovo le asrãdɔ ƒomevi si le ɖevia ŋu nu. Dzesi aɖewo dzea egɔme tso vidzĩme, eye bubuwo ate ŋu adze egɔme tso sukudede alo ƒewuiwo me.
Nukae hea asrãdɔ vɛ na ɖeviwo?
Abe alesi míegblɔe va yi ene la, dɔmawɔmawɔ nyuie si le ɖevi ƒe ahɔhɔ̃ ƒe elektrikŋusẽ ƒe dɔwɔwɔ me si dzi womate ŋu aɖu o gbɔe asrãdɔ tsona. Bu eŋu kpɔ, elektrikŋusẽ zɔa mɔ le ahɔhɔ̃menugbagbeviwo dome. Aleae lãmenugbagbeviwo ɖoa dze kple wo nɔewoe. Ɣeaɖewoɣi la, elektrikŋusẽ sia megava nɔa ɖoɖo nu o, eye wòtrɔa gbedasi siwo woɖona ɖe lãmenugbagbeviwo dome hena ɣeyiɣi aɖe. Madzɔmadzɔnyenye mae hea ɣeyiɣi kpui aɖe ƒe dzesi siwo nye be ame ƒe lãme gbãna vɛ. Ne ahɔhɔ̃a gate ŋu ɖo gbedasi nyuitɔwo ɖa ko la, dzesi mawo nu yina. Nu geɖe li siwo ate ŋu ana asrãdɔ nadze ame dzi:
- Ta ƒe abixɔxɔ alo ahɔhɔ̃ ƒe gbegblẽ.
- Nuveviwɔame le vidzidzi me.
- Dɔlékui aɖe (e.g., ahɔhɔ̃medɔlélewo abe taɖuame alo tagbɔdɔ ene).
- Nusi mesɔ o si dzɔna le ahɔhɔ̃a ƒe tsitsi me esime vidzĩa le vidzidɔ me.
- Domenyiŋusẽfianu ƒe nɔnɔme.
Ɣeaɖewoɣi la, ɖewohĩ nusi me kɔ aɖeke manɔ anyi si gbɔ asrãdɔ tsona o. Ate ŋu anye nusi dzɔ le vome hã. Esia nye nusi ŋu wole numekuku wɔm le yi ŋgɔe.
Amekawoe le afɔku gã me be woaxɔ asrãdɔ?
Viwò ate ŋu anɔ afɔku me vie be wòaxɔ asrãdɔ ne nu siwo gbɔna la dometɔ aɖe nɔ eŋu alo woxɔe kpɔ:
- Ƒomea me tɔ (ƒometɔ ŋutɔŋutɔ) si ŋu asrãdɔ (domenyiŋusẽfianu ƒe dɔléle) le ƒe amesinɔnɔ.
- Ne èxɔ abi vevie va yi.
- Ne ahɔhɔ̃medɔléle aɖe dze dziwò va yi.
- Ne lãmekawo ƒe dɔléle alo kuxi bubuwo le ŋuwò.
Kuxi kawoe ate ŋu ado mo ɖa le asrãdɔ ta?
Asrã ate ŋu agblẽ nu le ɖevi ƒe
ŋutilã kple susu ƒe lãmesẽ ŋu . Kuxi siwo bɔ dometɔ aɖewoe nye:
- Ŋutilã me abixɔxɔ (abe anyidzedze le lãmetutudɔ me ene).
- Vɔvɔ̃ be yeagaxɔ dɔléle bubu.
- Alɔ̃dɔdɔ ƒe kuxiwo.
- Bubudede ame ɖokui ŋu si mede ame dzi o.
- Esesẽna be susu nanɔ nu ŋu.
- Blanuiléle Kple Dzimaɖitsitsi.
Le ʋusɔgbɔdɔɣi, vevietɔ ne ɖevia ƒe susu megava le eɖokui si o eye wòdze anyi la, afɔku gã aɖe le eme be wòaxɔ abi. Ne èkpɔ dzesi siwo fia be ɖevia le lãme na wò la,
kplɔ ɖevia yi teƒe si le dedie enumake. Mlɔ wo ɖe anyigba eye
nàkpɔ wo ta tso nu sesẽwo, nu ɖaɖɛwo, nu kpekpewo, alo nusianu si ate ŋu adze wo dzi la si me. Vaseɖe esime fit la wu enu
De nane falɛfalɛ, abe avɔ alo awudziwui ene, ɖe ɖevia ƒe ta te. Lé ɖevia eye mègadze agbagba be yeatɔ te ʋuʋudediawo o. Zi geɖe la, aɖabaƒoƒo ʋɛ aɖewo megbe la, aɖabaƒoƒo ʋɛ aɖewo megbe. Ne lãmetutudɔa xɔ wu miniti atɔ̃ la, bia wò ɖɔkta nusi nàwɔ. Ðe asrãdɔ nye afɔku na ɖeviwoa?
Aɖuɖɔtoedɔ ƒomevi aɖewo nu sẽna wu, eye woƒe dzesiwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Kuxi sesẽwo ate ŋu anye:- Susu ƒe nuwɔametɔnyenye.
- Status epilepticus: Esia nye nɔnɔme si me alɔ̃madɔmadɔ dzɔna atraɖii, alo ne alɔ̃madɔmadɔ ɖeka dzɔna ɣeyiɣi si mesɔ gbɔ be wòahaya o. Esia nye nudzɔdzɔ kpata si me afɔku le ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me.
- Ahɔhɔ̃ ƒe gbegblẽ alo ku.
Ðɔktawo ate ŋu ada viwòa eye woakpe ɖe ŋuwò nàɖu dzesiawo dzi be woaxe mɔ ɖe kuxi siawo siwo ate ŋu ade eƒe agbe afɔku me nu. Esi numekukuwo le edzi yim la, atikewɔmɔnu yeyewo ate ŋu aɖe viwòa ƒe afɔkua dzi akpɔtɔ. Aleke nàwɔ anya asrãdɔ nyuie?
Ðɔkta ado ɖevia kpɔ eye wòawɔ dodokpɔ aɖewo atsɔ anya ne asrãdɔ le wo ŋu. Dodokpɔ siawo ate ŋu anye:- Lãmedodokpɔ: Le esia me la, ɖɔktaa xɔa nyatakaka siwo ku ɖe ɖevia ƒe lãmesẽ bliboa, eƒe dzesiwo, kple eƒe ƒomea ƒe atikewɔwɔ ŋutinya ŋu.
- Ahɔhɔ̃mekadodokpɔ: Esia léa ŋku ɖe alesi ɖevia ƒe ahɔhɔ̃ kple lãmekawo le dɔ wɔm ŋu.
- Ʋudodokpɔ: Woate ŋu awɔ ʋudodokpɔ be woakpɔe ɖa be nu bubu aɖe hã li si gbɔ dzesiawo tso hã.
- Nɔnɔmetatawo dodokpɔ: Le kpɔɖeŋu me, dodokpɔwo abe MRI (Magnetic Resonance Imaging) ene ate ŋu ana nyatakaka geɖe tso ɖevia ƒe ahɔhɔ̃ ƒe dɔwɔwɔ ŋu.
- Electroencephalogram (EEG): Esia nye dodokpɔ si me vevesese aɖeke mele o si dzidzea elektrikŋusẽ si le ɖevia ƒe ahɔhɔ̃ me. Wowɔa esia to sensor suesuesuewo dede ta ŋu me.
Dodokpɔ siawo ate ŋu akpe ɖe ɖɔktaa ŋu wòase nusi gbɔ ɖevia ƒe alɔ̃madɔmadɔ tso kple nenye be atikewɔwɔ ƒe nɔnɔme bubuwo li hã gɔme. Ðewohĩ axɔ ɣeyiɣi aɖe hafi woaƒo nya ta godoo be asrãdɔ gbɔe wòtso, eye medzɔna le zã ɖeka me o. Nukawoe nye atike siwo wozãna na asrãdɔ?
Woate ŋu azã esiawo abe ɖeviwo ƒe asrãdɔ ƒe atikewo ene:- Atike siwo tsia alɔ̃madɔmadɔ nu: Ðeko atike siawo ɖua aɖuɖɔtoedɔ ƒe dzesiwo dzi eye woɖea alɔ̃madɔmadɔ ƒe dzidziɖedzi dzi kpɔtɔna, womedaa nusi gbɔ asrãdɔ tsona o. Atike siawo kpena ɖe ame ŋu be elektrikŋusẽ si mewɔa dɔ nyuie o si le ahɔhɔ̃a me xea mɔ na wo, gake ne atike la le ʋuka me ko hafi wowɔa dɔ. Eyata ele vevie ŋutɔ be nàna atike la viwòa abe alesi wogblɔe ene pɛpɛpɛ, eye nànae ɖe game dzi.
- Amekoko:Ne atikewo mewɔa dɔ nyuie o la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ tɔxɛ aɖe na ahɔhɔ̃a be woatsɔ aɖo ŋku nusi gbɔ asrãdɔa tso.
- Atikewɔmɔ̃ siwo wotsɔ dea lãme na ame: Ne atikewo mewɔa dɔ nyuie o la, wozãa mɔ̃ɖaŋununya deŋgɔwo tsɔ léa asrãdɔ ƒe dzesiwo nu. Mɔ̃ siwo bɔ wue nye Vagus nerve stimulator alo Deep brain stimulator. Nusiwo doa ŋusẽ ame siawo ɖoa elektrikŋusẽ ɖe ahɔhɔ̃a ƒe akpa aɖewo koŋ, eye woɖɔa alesi ahɔhɔ̃menugbagbeviwo wɔa dɔe ɖo.
- Ketogenic nuɖuɖu: Ketogenic nuɖuɖu ate ŋu akpe ɖe ɖevi aɖewo siwo ŋu asrãdɔ si dzi ɖuɖu sesẽ le ŋu. Esia nye nuɖuɖu ƒe ɖoɖo si me ami sɔ gbɔ ɖo, si me carbohydrate mesɔ gbɔ ɖo o. Enyo wu be woawɔe le atikewɔlawo ƒe ƒuƒoƒo aɖe ƒe dzikpɔkpɔ te.
Ðewohĩ atikewɔmɔnu si wɔa dɔ na ɖevi ɖeka mawɔ dɔ na ɖevi bubu o. Eyata ate ŋu ahiã be atikewɔlawo nate atike vovovo geɖe kpɔ vaseɖe esime woakpɔ esi awɔ dɔ nyuie na ɖevia. Nukae wòle be manya abe dzila ene ne mele asrãtike nam vinye?
Ne viwòa le asrãdɔ ƒe atikewo zãm la, àte ŋu awɔ dɔ kple ɖɔktaa akpɔ egbɔ be yewole atikeawo nom nyuie. Kpɔ nyuie le nu siawo ŋu vevietɔ:- Nya ɣeyiɣi si tututu nàna atike la (zi nenie nànae gbesiagbe, nenye be nànae kple nuɖuɖu, kple bubuawo).
- Kpɔ nusi nàwɔ ne èŋlɔ be be yeana atike viwòa ɖa .
- Kpɔe ɖa be ehiã be woado ʋu kpɔ le atike aɖewo ŋu hã.
- Nya nu tso atikewo ƒe nugbegblẽ le ame ŋu kple nusi nàwɔ ne wodzɔ ŋu.
- Bia wò ɖɔkta nusi wòawɔ ne asrã le viwòa ŋu alo le dɔ lém . Ɣeaɖewoɣi la, asrã ate ŋu ana ame naxɔ abi.
- Na sukua nanya be viwòa le asrãdɔ ƒe atikewo zãm eye ne ehiã la, wɔ ɖoɖo be yeana atikeawo le suku.
- Kpɔ egbɔ be yewɔ ɖoɖo ɖe alɔ̃dɔdɔ ƒe xɔname ŋu ne èxɔ alɔ̃dɔdɔ le suku.
Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
Nusiwo ate ŋu ado tso eme la toa vovo tso atike ɖeka gbɔ yi bubu gbɔ. Gake atike aɖewo siwo wozãna tsɔ tsia alɔ̃madɔmadɔ nu ate ŋu ahe nusiwo le abe:- Alɔ̃dɔdɔ.
- Tɔtrɔ siwo vaa ɖevia ƒe aklã ƒe dɔwɔwɔ alo ƒumeŋuɖui ƒe dɔwɔwɔ me.
- Ŋutilã ƒe ʋuʋudedi.
- Dɔgbo ƒe vevesese.
- Tɔtrɔ siwo vaa nuɖuɖudzroame me.
Bia wò ɖɔkta tso atike si viwòa le nonom ƒe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme ŋu. Nu gbegblẽ siawo ate ŋu aɖe akpɔtɔ le ɣeyiɣi aɖe megbe ne viwòa ƒe ŋutilã le tɔtrɔm ɖe atikea ŋu. Ne viwòa ƒe nugbegblẽ le ame ŋu la, ƒo nu kple wò atikewɔlawo ƒe ƒuƒoƒoa be nàkpɔ egbɔ be atike la sɔ na ye.Ðe woate ŋu axe mɔ ɖe ɖeviwo ƒe asrãdɔ nua?
Mɔ aɖeke meli si dzi woato axe mɔ ɖe nusiwo katã hea asrãdɔ vɛ nu o. Gake àte ŋu akpe ɖe viwòa ŋu be wòaɖe afɔku si le eme be wòaxɔ asrãdɔ dzi akpɔtɔ to mɔxexe ɖe abixɔxɔ le ta nu me . Le kpɔɖeŋu me, to nana be viwòa nado ametakpɔnu ne ele fefem. Ne èfɔ fu la, àte ŋu adze agbagba axe mɔ ɖe abixɔxɔ le vidzidzi me nu to atikewɔwɔ si hiã xɔxɔ hafi woadzi viwòa me. Gake aleke kee nèɖaɖɔ ŋu ɖoe o, ta ate ŋu adzɔ kokoko. Nukae nye ɖevi si ŋu asrãdɔ le ƒe mɔkpɔkpɔ?
Nyagblɔɖia ato vovo le asrãdɔ ƒomevi si le viwòa ŋu kple alesi wòxɔa alɔ̃dɔdɔ zi gbɔ zi geɖe nu, eyata ƒo nu tso esia ŋu kple viwòa ƒe ɖɔkta. Dɔlélea didi kaba kple edada nye nu vevitɔ si ana woakpɔ nu nyuitɔ kekeake. Ƒã hafi alɔ̃madɔmadɔ aɖewo ate ŋu ade ame ƒe agbe afɔku me eye ate ŋu ana ame naku le vome gɔ̃ hã. Ðe ɖevimenɔɣi ƒe asrã nu yina ne míele tsitsima?
Ðevi siwo wu 60% tsina wu woƒe asrãdɔ hafi va ɖoa tsitsime. Ðewohĩ ahiã be ame bubuwo nanɔ agbe kple nɔnɔmea ahakpɔ edzi le woƒe agbemeŋkekewo katã me. Anɔ eme be asrã ƒomevi aɖewo tsina wu bubuwo. Ðe ɖevi si ŋu asrãdɔ le ate ŋu anɔ agbe si sɔa?
Ðevi geɖe siwo ŋu asrãdɔ le ate ŋu anɔ agbe si sɔ, si dzi womekpɔa ŋusẽ ɖo o abe ɖevi bubu siwo le woƒe ƒemetɔwo me ene. Ðevi siwo wokpɔ be woxɔ asrãdɔ la dometɔ siwo ade 70% mekpɔa tɔtrɔ gã aɖeke le woƒe tsitsi alo gbesiagbedɔwo me o. Vovototo si le wo dome koe ate ŋu anye be ehiã be woano atike edziedzi. Gake ebɔ be ɖevi siwo ŋu wokpɔ be asrãdɔ le wo ŋu la ƒe dzi gbã, ŋu kpea wo, eye yewoɖe yewo ɖokui ɖe aga . Esia le alea elabena woate ŋu ase le wo ɖokui me be yewoƒe nɔnɔmea na yewodzea ame vɔ̃ɖiwo le ame bubuwo ŋkume. Asrã ate ŋu ana ame nabu ame ɖokui, blanuiléle, kple dzimaɖitsitsi . Eyata ɖevi geɖe kpɔa gbɔdzɔe gã aɖe ne woƒo nu kple tagbɔdɔléle ŋuti aɖaŋuɖola tso wo vi ƒe susu ƒe nyonyo ŋu. Azɔ hã, lɔlɔ̃ kple kpekpeɖeŋu si woxɔna tso wo dzilawo, dɔnɔdzikpɔlawo, kple atikewɔlawo gbɔ le vevie ŋutɔ le tenɔnɔ ɖe nɔnɔme sia ƒe kuxiwo nu me. Ðe Keto nuɖuɖua akpe ɖe vinye si ŋu asrãdɔ le ŋua?
Ðevi aɖewo kpɔe be tɔtrɔ le nuɖuɖu me be woatsɔ aɖu woƒe asrãdɔ ƒe dzesiwo dzi ate ŋu akpe ɖe wo ŋu. Ketogenic nuɖuɖu (alo Keto nuɖuɖu) nye nuɖuɖu si me ami sɔ gbɔ ɖo, si me carbohydrate mesɔ gbɔ ɖo o. Wò ɖɔkta ate ŋu akafu nuɖuɖu ƒe ɖoɖo sia na viwòa. Wosusui be etrɔa alesi viwò ƒe ahɔhɔ̃ zãa ŋusẽ kple alesi wòzãnɛ. Wò ɖɔkta agblɔ na wò ne ehiã be nàwɔ tɔtrɔ aɖewo le viwò ƒe nuɖuɖu ŋu. Aleke mawɔ ana vinye si ŋu asrãdɔ le nanɔ dedie?
Esi nènye ɖevi si ŋu asrãdɔ le dzikpɔla ta la, esɔ be nàtsi dzi ɖe viwòa ƒe dedienɔnɔ ŋu ne kasia wòxɔ alɔ̃dɔdɔ. Nu geɖe li nàte ŋu awɔ atsɔ akpɔ viwò ta siwo hã kpena ɖe ɖevi siwo ŋu asrãdɔ mele o ŋu. Ne wokpɔ viwòa ƒe alɔ̃dɔdɔ dzi nyuie la, dɔwɔna akpa gãtɔ le dedie na viwòa. Gake wò ɖɔkta agblɔ na wò nenye be kamedefefe alo nuwɔna aɖewo le dedie na viwòa. Nu siawo nenɔ susu me na wò ne èle viwòa dzi kpɔm:- Do dedienɔnɔwu ne èle kamedefefewo wɔm hele gome kpɔm le wo me. Le kpɔɖeŋu me, do gakuku ne èle gasɔ dom.
- Kpɔ egbɔ be ame aɖe le ɖevia dzi kpɔm esime wòle fefem, le kame dem, alo le nu bubuwo wɔm. Ele be dɔnɔdzikpɔlawo nanya ɖevia ƒe atikewɔwɔ eye woanya nusi woawɔ ne dɔléle aɖe le eŋu.
- Ne alɔ̃madɔmadɔ aɖe le viwò suea ŋu la, bia wò ɖɔkta hafi nàna woaku ʋu. Ʋukuku ŋuti aɖaŋuɖoɖowo toa vovo le dukɔ/dukɔwo nu.
- Mègana viwòa mlɔ abati si le etame dzi o. Nya nu tso afɔku bubu siwo do ƒome kple kɔkɔƒewo ŋu (e.g., agakpewo lialia, atiwo lialia).
Nusiwo ŋu wòle be nàɖɔ ŋu ɖo vevietɔ ne èle dɔ wɔm kple tsi, abe ne èle tsi ƒum ene (Tsi ƒe dedienɔnɔ ŋuti aɖaŋuɖoɖowo) .
Ne èle ɖevi si ŋu asrãdɔ le dzi kpɔm la, ɖo ŋku dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo dzi ku ɖe tsi ŋu:- Gblẽ tsileƒea ƒe ʋɔtruwo ɖi woaʋu. Na eme nakɔ na ƒomea me tɔ mamlɛawo be viwòa hiã be wòanɔ adzame le tsileƒe.
- Kpɔ viwòa dzi ɣesiaɣi si wògogo tsi, eɖanye le aƒeme alo gota o. Esia lɔ nuwo abe tsileƒe alo tsiƒuƒe si le megbexɔ me ene ɖe eme.
- Mègadɔ ɖevi si ŋu asrãdɔ le be eya ɖeka nale tsi alo aƒu tsi o.
- Kpɔe ɖa be tsi si le tsileƒea le dɔ wɔm nyuie hã.
- Na tsi si le tsigoa me nabɔbɔ.
- Na tsi ƒe dzoxɔxɔ nabɔbɔ (be ŋutigbalẽ nagafiã o).
- Le ɖevi tsitsiwo gome la , de tsileƒe alo tsinyegoe me zikpui. Anyo wu ne dedienɔnɔ ƒe ka le zikpui la ŋu.
- Na elektrikmɔ̃wo katã nanɔ adzɔge tso tsinyegoe alo tsileƒea gbɔ.
Ne viwòa ƒe lãme gbã esime wòle tsi ƒum , ɖe wo do goe le tsia me kaba ale si nàte ŋui eye nàlé ŋku ɖe gbɔgbɔ kple dzi ƒe tsotso ŋu hã. Ne edze abe nane gblẽ ene la, yɔ ɖɔkta alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake. Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?
Kpɔ ɖɔkta ne nusiwo gbɔna dometɔ aɖe le viwòa ŋu:- Ne alesi wòdzenae zi gbɔ zi geɖe dzi ɖe edzi.
- Ne atike si xea mɔ na lãmetutudɔa hea nugbegblẽ le ame ŋu vɛ.
- Ne èle dzesiwo abe blanuiléle alo dzimaɖitsitsi ene kpɔm.
- Ne ètsi megbe le tsitsi ƒe nu vevi siwo sɔ ɖe wò ƒexɔxɔ nu gbɔ ɖoɖo me.
Na Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) .Ɣekaɣie nèdi be yeayi?
Ne viwòa kpɔ dzesi siawo dometɔ aɖe la, ƒo ka na 911 (alo xexlẽdzesi si le mia gbɔ) alo tsɔe yi xɔ si me wokpɔa nudzɔdzɔ kpatawo gbɔ le enumake:- Ne èxɔ abi zi gbãtɔ le wò agbe me.
- Ne èxɔ abi le lãmetutudɔ me.
- Ne fit la xɔ wu miniti atɔ̃.
- Ne dɔléle bubu aɖe va hafi gbãtɔa da gbe le eŋu.
- Ne ètsi dzodzodzoe wu miniti 10-15 le alɔ̃madɔmadɔa nu tsotso vɔ megbe.
- Ne exɔ wu miniti 30 hafi wòhaya tso lãmetutudɔ me.
Status epilepticus nye dɔléle si me afɔku le. Efia be ɖevi xɔa alɔ̃madɔmadɔ ɣeyiɣi didi aɖe, alo ne wotso alɔ̃madɔmadɔ ɖeka me yi bubu me evɔ ɣeyiɣi aɖeke menɔ wo si be woahaya nyuie o. Esia nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me, eyata ehiã be woakpɔ atikewɔƒe enumake. Le alɔ̃madɔmadɔ si nɔa anyi ɖaa gome la, "xɔnametike" tɔxɛwo ateŋu anye esiwo dɔnɔdzikpɔlawo, abe dzilawo alo nufialawo ene (to akɔta alo abe atike si woatsɔ aƒu gbe ɖe ŋɔti me ene). Bia wò ɖɔkta nenye be esɔ be xɔnametike siawo ƒomevi nanɔ viwòa si. Nya vevi kawoe wòle be míabia ɖɔktaa?
- Asrãdɔ ka ƒomevie le vinyea ŋu?
- Dzesi kawo ŋue wòle be malé ŋku ɖo?
- Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu?
- Ðe wòhiã be woawɔ dɔ na vinyea?
- Nukae wòle be mawɔ ne dɔléle aɖe le ŋunye?
- Aleke mawɔ ana sukua nanya nu tso vinyea ƒe nɔnɔmea ŋu?
- Ðe vinye ate ŋu awɔ kamedefefea?
Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme
Ðevi dzi kpɔkpɔ sesẽ ale gbegbe, gake ɖevi si ŋu asrãdɔ le dzi kpɔkpɔ ate ŋu asesẽ wu. Enye nusi sɔ be dzi naɖe le ƒowò, atɔtɔ, eye nàtsi dzimaɖi ɖe nusi me tom viwòa le ŋu. Mègavɔ̃ o. Viwòa ƒe ɖɔktawo awɔ dɔ aduadu akpe ɖe ŋuwò nàse nɔnɔmea gɔme eye woafia mɔ wò le alesi nàkpe ɖe viwòa ŋu ne ele tsitsim ŋu. Te ɖe wò atikewɔlawo ŋu ne nya aɖe le asiwò ku ɖe dɔléle si wokpɔ le viwò ŋu ŋu, alo ne ède dzesi eƒe nugbegblẽ le ame ŋu, dzesi yeyewo, alo dzesi siwo le sesẽm ɖe edzi.
Numekukuwo yi edzi le kpekpem ɖe ɖevi siwo ŋu asrãdɔ le ŋu be woanɔ dzidzɔ kpɔm, eye woƒe ɖevime nakpɔ dzidzeme evɔ magblẽ nu gã aɖeke le woƒe gbesiagbegbenɔnɔ me o. Menye wò ɖeka koe o, xɔ kpekpeɖeŋu si nèhiã.
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