Èbu alesi nàte ŋu agbɔ ya, alesi wò dzi ƒoa nu le dzɔdzɔme nu, alesi wò ŋkuwo ʋãna le afisia kple afima ne èle nane kpɔm dũu agbagbadzedze alo manyamanya aɖeke manɔmee gɔ̃ hã ŋu kpɔa? Akpa sue aɖe le míaƒe ta me, gake ŋusẽ le eŋu ŋutɔ, eye wòle vevie ŋutɔ, si kpɔa nusiawo katã dzi. Ema ŋue míele nu ƒom tsoe egbea. Emae nye ahɔhɔ̃meka . Ne míagblɔe tututu la, esia le abe tɔdzisasrã si doa ka kple míaƒe ahɔhɔ̃ kple aklã ene.
Nukae nye ahɔhɔ̃meka? Kpuie ko la,...
Kpuie ko la, wò ahɔhɔ̃mekae nye afisi wò ahɔhɔ̃ doa ka kple wò aklã. Ne míagblɔe tututu la, ele wò ahɔhɔ̃ ƒe gɔmedzedze tututu, le wò ta ƒe megbe gome. Bu eŋu abe seƒoƒo ƒe ke, si nye seƒoƒo ƒe akpa vevitɔ kekeake, si doa ka kple seƒoƒoa kple ati la ene. Esia tae wogayɔnɛ be "ahɔhɔ̃ ƒe lãkusi."
Esia nye wò lãmekawo ƒe akpa aɖe . Akpa vevi etɔ̃ le eŋu, eye wo katã wɔa dɔ ɖekae. Dɔ aɖe koŋ le akpa ɖesiaɖe si. Esiawoe naa ŋusẽ wò be nàtrɔ ɖe nɔnɔme siwo ƒo xlã wò ŋu, azɔ azɔli, ahawɔ nuwo. Vevietɔ wu la, akɔta sue sia kpɔa ŋusẽ ɖe nusiwo ŋu mehiã be nàbu gɔ̃ hã o, nusiwo dzɔna le dzɔdzɔme nu, abe gbɔgbɔ kple dzi ƒe tsotso ene, siwo le vevie na agbe la dzi. Tsɔ kpe ɖe eŋu la, ekpena ɖe ŋuwò le nuwo abe wò dadasɔ, ŋutilã ƒe ʋuʋu ƒe ɖoɖowɔwɔ ɖe ɖoɖo nu, kple wò susu ƒe dɔwɔwɔ me ene.
Dɔ vevi kawoe ahɔhɔ̃mekawo wɔna? Nukatae wòle vevie nenema gbegbe ɖo?
Ahɔhɔ̃a le abe míaƒe ŋutilã ƒe gbedasi ƒe titina ene. Eyae nye esi tsɔa gbedasiwo yia ŋgɔ kple megbe le wò ahɔhɔ̃ kple wò ŋutilã ƒe akpa mamlɛa dome. Eye abe alesi míegblɔe va yi ene la, ekpɔa ŋusẽ ɖe nu geɖe siwo dzɔna le dzɔdzɔme nu dzi, eye mehiã be nàbu wo ŋu gɔ̃ hã o. Bu alesi wòasesẽe ne ehiã be nàbu nusiawo ŋu kpɔ?
Nu vevi siwo dzɔna le dzɔdzɔme nu eye ahɔhɔ̃mekawo kpɔa ŋusẽ ɖe wo dzi la dometɔ aɖewoe nye esi:
- Dadasɔ: Ekpena ɖe ŋuwò be màdze anyi ne èle zɔzɔm, le du ƒum, alo le tsitre ɖe teƒe ɖeka o.
- Ʋu ƒe sisi: Ekpena ɖe ame ŋu be ŋutilãa ƒe ʋu ƒe sisi nanɔ abe alesi wòle ene.
- Gbɔgbɔ: Míeɖua míaƒe gbɔgbɔ dzi le manyamanya me.
- Ŋku ƒe ʋuʋu: Ekpɔa mɔ si dzi míele ŋku lém ɖo kple míaƒe ŋkuwo ƒe ʋuʋu dzi.
- Mo ƒe ʋuʋu kple seselelãme: Mo ƒe lãmekawo ƒe ʋuʋu ne wole alɔgbɔnu kom hele nu ƒom, kple mo ƒe seselelãmewo ƒe kaka yi ahɔhɔ̃a me.
- Tosese: Ekpena ɖe mía ŋu míesea nusi míesena gɔme to eɖoɖo ɖe ahɔhɔ̃a me.
- Dzi ƒe tsotso: Woɖua dzi ƒe tsotso ƒe sesẽme dzi ne ehiã.
- Alɔ̃dɔdɔ kple ŋudzɔnɔnɔ: Ekpɔa ŋusẽ ɖe nuwo abe alɔ̃dɔdɔ na mí kple nyɔnyrɔ̃ mí ene dzi.
- Mimi: Ekpɔa nuɖuɖu kple nunono mimi dzi.
- Vivi: Wotsɔa vivisese ƒe seselelãme siwo le aɖea dzi yia ahɔhɔ̃a me.
Kpɔ dɔ si gbegbe akpa sue sia ate ŋu awɔ ɖa!
Nukae nye ahɔhɔ̃mekawo ƒe dɔwɔwɔ? Aleke wowɔa dɔe?
Anɔ eme be èse nya "reflexes. " Brainstem reflexes nye wò ŋutilã ƒe ŋuɖoɖo enumake, le manyamanya me ne tɔtrɔ siwo va le wò nutoa me. Wodzɔna mèbu wo ŋu o, elabena wò ahɔhɔ̃mekawo naa sedede wò ŋutilã le eɖokui si. Wokpena ɖe ŋuwò nèkpɔa ɖokuiwò ta eye nètsia agbe.
Nukpɔsusu mawo dometɔ aɖewoe nye esi:
- Dzi kple ʋukawo ƒe dɔwɔwɔ: Esiawoe nana wò dzi ƒe tsotso kple ʋu ƒe sisi nyuie.
- Gag reflex: Esia kpɔa wò yaƒoƒomɔ̃ ta. Bu eŋu kpɔ, esiae nana nèkɔa akɔta ne nuɖuɖu ge ɖe wò ŋɔti me .
- Mimi ƒe nɔnɔme: Esiae ʋãa nuɖuɖu kple nunono tso nu me yia dɔgboa me.
- Pupillary light reflex: Wò ŋku ƒe akpa yibɔ (si ƒe ŋkume) dzi ɖena kpɔtɔna le kekeli si klẽna me eye wòlolona ne kekeli si me kɔ o, alo? Reflex siae kpɔa edzi.
- Wò ŋkuwo nanɔ teƒe ɖeka ne wò ta le ʋuʋum (Vestibulo-ocular reflex): Esia kpena ɖe ŋuwò be wò ŋku nanɔ teƒe ɖeka evɔ màtsi dzodzodzoe o, ne èʋuʋu ta gɔ̃ hã.
- Yagbɔgbɔ ƒe ŋutete: Esiawo ɖua nuwo abe gbɔgbɔ, kɔdzi, kple aɖuɖɔtoe ene dzi.
Afikae ahɔhɔ̃mekaa le? Nukawoe nye eƒe akpa aɖewo?
Abe alesi míegblɔe va yi ene la, ahɔhɔ̃mekaa le wò ahɔhɔ̃a ƒe gɔme, ɖo ta wò ta ƒe megbe. Afi siae wò ahɔhɔ̃a doa ka kple wò aklã.
Akpa vevi etɔ̃e le ahɔhɔ̃mekaa me:
1. Ahɔhɔ̃ ƒe titina: Esiae nye akpa si le ahɔhɔ̃mekaa tame. Ekpena ɖe ame ŋu koŋ le nuwo abe ŋkuwo ʋuʋu kple nusiwo míekpɔna kple nusiwo míesena gɔmesese me.
2. Pons: Esia le ahɔhɔ̃a ƒe titina. Akpa sia wɔa ɖoɖo ɖe mo kple ŋku ƒe ʋuʋu, mo ƒe seselelãme, nusese, kple dadasɔ ŋu.
3. Medulla oblongata: Esia nye ahɔhɔ̃meka ƒe akpa si kpɔa agbemedɔ vevitɔwo, abe gbɔgbɔ, dzi ƒe tsotso, ʋu ƒe sisi, kple nu mimi ene dzi.
Tsɔ kpe ɖe akpa siawo ŋu la, `Reticular Activating System (RAS)` si le ahɔhɔ̃a ƒe ke meLãmetsiŋusẽ ƒe lãmenugbagbeviwo ƒe kadodo vevi aɖe ŋutɔ hã li si woyɔna be ``Ahɔhɔ̃mekawo``, siwo nye lãmekawo ƒe lãmenugbagbevi siwo tsɔa elektrikŋusẽ ƒe dzesiwo kple atikewo to míaƒe ahɔhɔ̃ me. ``RAS`` sia kpe ɖe wò ahɔhɔ̃ ƒe akpa bubu si woyɔna be wò ``Thalamus`` ŋue nye nusi nana míenɔa ŋu (le ŋudzɔ), nana míenyaa nusiwo ƒo xlã mí, eye wòkpɔa míaƒe alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam dzi.
Ðe míasrɔ̃ nu tso tagbɔ ƒe lãmeka siwo do ƒome kple ahɔhɔ̃meka hã ŋua?
Èse `Cranial Nerves` ŋkɔ kpɔa? Esiawoe nye lãmeka siwo dzea egɔme tso ahɔhɔ̃a me tẽ. Tagbɔ ƒe lãmeka eve eve 12 ye le míaƒe ŋutilã me. Atsu kple asi siawo dometɔ 10 (i.e. tso 3 lia va ɖo 12 lia) le ahɔhɔ̃mekawo me. Lãmetsi siawo kpena ɖe míaƒe ŋutilã ƒe ʋuʋu, seselelãme (seselelãme), vivisese, nusese, kple bubuawo ŋu.
Aleke ahɔhɔ̃mekaa le?
Ahɔhɔ̃a le abe seƒoƒo ƒe ke alo numiemie ƒe ke ene. Enye xɔ si ƒe nɔnɔme le abe mɔ̃ ene. Ahɔhɔ̃mekawoe wotsɔ wɔe. Zi geɖe la, eƒe didime nɔa sentimeta 2 va ɖo 3 (sentimeta 5 va ɖo 7).
Dɔléle kawoe gblẽa nu le ahɔhɔ̃mekawo ŋu?
Nublanuitɔe la, afɔku kple dɔléle vovovowo ate ŋu agblẽ nu le ahɔhɔ̃mekawo ŋu. Nɔnɔme siawo dometɔ aɖewoe nye:
- Ʋu ƒe sisi
- Ahɔhɔ̃ me dɔdzẽwo
- Ahɔhɔ̃ ƒe dɔléle/dɔdzẽ `(Encephalitis)`
- Dzitodzito me ʋu ƒe sisi
- Gbagbãdᴐ
- Dzi ƒe dɔmawɔmawɔ nyuie kpata
- Ahɔhɔ̃ ƒe abi si nu sẽ (TBI) .
Nukawoe nye ahɔhɔ̃mekawo ƒe kuxi ƒe dzesiwo?
Esi wònye be kuxi geɖe li siwo ate ŋu agblẽ nu le ahɔhɔ̃mekawo ŋu ta la, dzesiawo ate ŋu ato vovo. Gake le goawo katã me la, ahɔhɔ̃mekawo ƒe dɔlélewo ate ŋu anye dzesi siwo gbɔna:
- Dadasɔ ƒe bu alo taɖuame .
- Ŋutete manɔanyi be woaƒo nu alo akɔ nu ne nane tsi ŋɔti me gɔ̃ hã.
- Alɔ̃madɔmadɔ alo tɔtrɔ le alɔ̃dɔdɔ ƒe ɖoɖo si sɔ me.
- Aɖuɖɔtoe alo ʋuʋudedi .
- Nuƒoƒo si me mekɔ o .
- Ŋku ƒe ʋuʋu ƒe kuxiwo .
- Ʋusɔgbɔdɔ ƒe dzesiwo (e.g., mo alo ŋutilã ƒe akpa ɖeka ƒe ʋuʋu, tɔtɔ, nuƒoƒo sesẽ, nukpɔkpɔ ƒe tɔtrɔ).
- Nu mimi, ahanono alo nuɖuɖu sesẽ kpata.
- Kuxi siwo le lãmeka siwo wɔa dɔ le wo ɖokui si ƒe dɔwɔwɔ ŋu .
- Ame ƒe susu ƒe dɔmawɔmawɔ nyuie .
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le wò alo ame aɖe si nènya ŋu la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Nukae dzɔna ne ahɔhɔ̃mekaa gblẽ?
Ne ahɔhɔ̃mekaa gblẽ le mɔ aɖe nu la, ate ŋu ahe emetsonu sesẽ ŋutɔwo vɛ. Elabena míekpɔ alesi akpa sue sia kpɔa ŋusẽ ɖe nu vevi geɖe dzii. Ne egblẽ la, nu siawo tɔgbe ate ŋu adzɔ:
- Yagbɔgbɔ sesẽ.
- Ŋutete manɔamesi be woami nu, akɔ akɔta, alo awɔ nu ɖe ame ƒe ʋuʋu ƒe seselelãme ŋu o.
- Taɖuame alo seselelãme be yele tsatsam (Vertigo).
- Sese le eɖokui me be yemeda sɔ o.
- Dzi ƒe tsotso ƒe masɔmasɔ.
- Alɔ̃dɔdɔ sesẽ.
- Tɔtrɔ siwo vaa ame ƒe susu me.
- Nukpɔkpɔ eve nye nuwo kpɔkpɔ le eve me.
- Gbɔdzɔgbɔdzɔ kple tɔtrɔ le seselelãmewo me le ŋutilãa me.
- Tosese ƒe kuxi.
- Kuxi siwo le ŋutilã ƒe ʋuʋu kple azɔlizɔzɔ ƒe ɖoɖowɔwɔ ɖekae ŋu.
Ahɔhɔ̃ ƒe ke ƒe gbegblẽ nye nusi dzɔna kpata. Le kpɔɖeŋu me, ne ahɔhɔ̃mekawo gblẽ, abe ʋufɔku gã aɖe ene la, ate ŋu ana ahɔhɔ̃mekawo nagawɔ dɔ nyuie o. Le nɔnɔme sesẽ aɖewo me la, dzi ate ŋu atɔ, ŋutilã ate ŋu azu lãmetututɔ, eye alɔ̃madɔmadɔ gɔ̃ hã ate ŋu ava.
Nɔnɔme geɖe siwo ku ɖe ahɔhɔ̃mekawo ŋu ate ŋu ade ame ƒe agbe afɔku me. Ate ŋu ahiã gɔ̃ hã be woanɔ agbe ƒe kpekpeɖeŋu. Eyata ne ɖikeke suetɔ kekeake gɔ̃ hã li be ahɔhɔ̃mekawo gblẽ la, ele vevie ŋutɔ be woaƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake.
Nukae Nye Ahɔhɔ̃ ƒe Ku?
Ahɔhɔ̃ ƒe ku nye ahɔhɔ̃a ƒe dɔwɔwɔ ƒe bu keŋkeŋ. Esia dzɔna ne ahɔhɔ̃mekaa gblẽ tegbee alo ne wotso ʋu alo ɔksidzin si yia ahɔhɔ̃a me.
Ahɔhɔ̃a ƒe ke kpɔa ŋusẽ ɖe agbe ƒe dɔ vevitɔwo kekeake dzi. Eyata ne ahɔhɔ̃a ƒe ke ku la, womate ŋu agbugbɔ susu aɖo eŋu o. Wobiaa agbetsitsi si wowɔ kple asi hafi woate ŋu anɔ agbe. Wogayɔa nɔnɔme sia be ahɔhɔ̃ ƒe ku .
Ðe nàte ŋu ahaya tso ahɔhɔ̃mekawo ƒe abi si nèxɔ la mea?
Esi ahɔhɔ̃mekaa kpɔa ŋusẽ ɖe míaƒe ŋutilã ƒe dɔ vevi geɖe dzi ta la, nusiwo gblẽ le eŋu ate ŋu ahe emetsonu sesẽwo vɛ. Gake amewo hayana tso ahɔhɔ̃mekawo ƒe dɔléle aɖewo me.
Nu vevitɔe nye be nàyi atikewɔƒe kaba ne èsusu be ahɔhɔ̃meka aɖe xɔ abi. Ne èxɔ atike kaba la, ɖɔktawo ate ŋu aɖe nusiwo gblẽ le ŋuwò ƒe sesẽ dzi akpɔtɔ. Ne èxɔ abi le ahɔhɔ̃mekawo ŋu vɔ la, ɖewohĩ ahiã be woagbugbɔ aɖɔ wò ɖo eye woakpɔ beléle tɔxɛ bubuwo na wò.
Aleke mawɔ akpɔ nye ahɔhɔ̃meka ƒe lãmesẽ?
Ðɔktawo zãa dodokpɔ vovovowo tsɔ kpɔae ɖa be kuxi aɖe le wò ahɔhɔ̃mekawo ŋu hã.
- MRI (Magnetic Resonance Imaging) ƒe fotoɖeɖefia:Esia sea veve wu ``CT (Computed Tomography)`` scan be woatsɔ ade dzesi kuxi siwo le ahɔhɔ̃a ƒe ke me.
- `Brainstem Auditory Evoked Potentials (BAEPs):` Esia ateŋu ana nyatakaka tso ahɔhɔ̃meka ƒe dɔwɔwɔ hã ŋu.
Tsɔ kpe ɖe eŋu la, ahɔhɔ̃mekaa kpɔa dɔ vevi geɖe kple nusiwo ŋu wòtrɔna le la dzi. Eyata ne ɖɔkta aɖe do wò kpɔ la, woate ŋu awɔ nu siwo gbɔna hã:
- Toɖoɖo wò dzi ƒe tsotso kple gbɔgbɔ ƒe ɖoɖo.
- Klẽ kekeli aɖe ɖe wò ŋkuwo dzi eye nàkpɔe ɖa be asigɛ yibɔa ƒe lolome atrɔ hã.
- Biabia tso asiwò be nàʋuʋu wò ŋutilã ƒe akpa aɖewo.
Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Fifia ɖewohĩ èse egɔme be míaƒe ahɔhɔ̃ ƒe akpa sue sia si woyɔna be ahɔhɔ̃meka , si le míaƒe ahɔhɔ̃ ƒe gɔme la kpɔa nu vevi geɖe siwo ŋu míebuna gɔ̃ hã o, gake wole vevie na míaƒe agbe, abe gbɔgbɔ kple dzi ƒe tsotso ene, dzi.
Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe ame bubuwo dzi. Gake nya nyuiae nye be woate ŋu ada ahɔhɔ̃mekawo ƒe abi. Nu vevitɔe nye be nàyi atikewɔƒe enumake. Mɔzɔzɔ yi hayahaya tso abi sia tɔgbe me ate ŋu adidi. Eyata gbɔ dzi ɖi na ɖokuiwò. Na kpekpeɖeŋu tso wò ƒometɔwo, xɔlɔ̃wo, kple ɖɔktawo gbɔ. Wole afima be yewoakpe ɖe ŋuwò.
` Brainstem, Brainstem, Lãmetsiŋusẽ ƒe dɔwɔwɔ, Ahɔhɔ̃ ƒe dɔwɔwɔ, Automatic functions, Reflexes, Brain disorders

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