Eyata nukae nye lãmeka siwo le gota (PNS) sia?
Kpuie ko la, PNS nye lãmeka siwo toa wò ŋutilã me, negbe wò ahɔhɔ̃ kple aklã (si míeyɔna be Central Nervous System alo CNS) koe mele eme o. Ahɔhɔ̃ kple aklã le abe du gã eve siwo le dukɔ aɖe me ene. Gake mele be mɔdodo siwo aƒo du eve mawo, kple kɔƒe kple aƒe bubu ɖesiaɖe nu ƒu nanɔ anyi o. Aleae PNS la le. Dɔ vevi eve le esi: 1. Nyatakakawo nuƒoƒoƒu tso wò ŋutilã ƒe akpa vovovowo – wò abɔwo, ŋutigbalẽ, ŋkuwo, towo, kple bubuawo – kple wo ɖoɖo ɖe ahɔhɔ̃ kple aklã. 2. Sededewo xɔxɔ tso ahɔhɔ̃ kple aklã me kple wo ɖoɖo ɖe wò ŋutilã ƒe akpa siwo sɔ – wò lãmekawo, lãkusiwo, kple bubuawo Kpɔe ɖa le susu me be ŋù sue aɖe le wò afɔ ƒom. Aleke nàse veve ma? Afi mae lãmeka siwo le `(PNS)` me tsɔa gbedasi "Mexɔ ŋù" yia ahɔhɔ̃a gbɔ le. Emegbe ahɔhɔ̃a tso nya me be, "Ah, ehiã be maʋuʋu nye afɔ ɖa." Sedede ma trɔna toa `(PNS)` me yia lãmeka siwo le wò afɔ me gbɔ, eye nèʋuʋua wò afɔ ɖa. Ðe mewɔ nuku oa? Nusiwo dzi `(PNS)` sia kpɔ ŋusẽ ɖo dometɔ aɖewo, le kpɔɖeŋu me, wò dzi ƒe tsotso kple wò dɔgbo ƒe ʋuʋu, dzɔna le wo ɖokui si . Ema fia be mehiã be nàbu wo ŋu gɔ̃ hã o. Gake nuwo abe asi dodo ɖe dzi kple nuƒoƒo ene nye nusiwo nèwɔna le nyanya me . `(PNS)` la le nusiawo evea siaa me.Vovototo kae le `(PNS)` kple `(CNS)` dome?
Abe alesi míegblɔe va yi ene la, míaƒe lãmekawo ƒe akpa vevi eve li:- Central Nervous System (CNS): Ahɔhɔ̃ kple aklã koe nye esia . Esia le abe míaƒe ŋutilã ƒe "dziɖuƒe" ene.
- Peripheral Nervous System (PNS): Esia nye lãmeka siwo katã le CNS godo. Lãmetsi siawo dzea egɔme tso aklã kple ahɔhɔ̃a ƒe akpa aɖewo eye woƒua du yia wò mo kple wò ŋutilã ƒe akpa bubu ɖesiaɖe gbɔ. Nya "peripheral" gɔmee nye "ƒo xlã" alo "le titina godo."
Nukae lãmeka siwo le gota (PNS) wɔna?
Wò `(PNS)` ƒe akpa sue vevi eve li: 1. `(Autonomic Nervous System)`:Esiawoe nye dɔwɔwɔ siwo dzi nèɖuna le ɖokuiwò si, mèbu wo ŋu o. Le kpɔɖeŋu me, gbɔgbɔ, dzi ƒe tsotso, nuɖuɖumeŋusẽ. 2. Somatic Nervous System: Esiawoe nye dɔwɔwɔ siwo dzi nèɖuna le nyanya me. Le kpɔɖeŋu me, azɔlizɔzɔ, nuŋɔŋlɔ, nuƒoƒo. To ɖoɖo sue eve siawo dzie PNS wɔa eƒe dɔ vevi etɔ̃awo:- Sidzenuwo : PNS le vevie ŋutɔ le nyatakaka nana ahɔhɔ̃a tso xexe si ƒo xlã wò ŋu me. Esia nye Somatic Nervous System ƒe akpa aɖe. Nusiwo nèkpɔ, se, sese le ɖokuiwò me (fa, dzoxɔxɔ, asikaka , vevesese), vivi, ʋeʋẽ, katã yia ahɔhɔ̃a me to PNS dzi.
- Ʋuʋu: Lãmetsi siwo le PNS me tsɔa sededewo yia wò ŋutilã ƒe lãmeka ɖesiaɖe si dzi nàte ŋu aɖu le nyanya me. Esia hã nye Somatic Nervous System ƒe akpa aɖe. Elɔ nusianu ɖe eme tso nane si le bɔbɔe abe wò ŋɔti ƒoƒo ene dzi va ɖo nane si sesẽ abe ɣeɖuɖu ene dzi.
- Nuwɔna siwo me susu mele o: Esiawoe nye nu vevi siwo ahɔhɔ̃a wɔna be wòana nànɔ agbe evɔ màbu wo ŋu o. Le kpɔɖeŋu me, nuwo abe dzi ƒe tsotso kple ʋu ƒe sisi ene . `` Autonomic Nervous System '' kpena ɖe esia ŋu.
Alesi wotsɔa nyatakakawo vaa ahɔhɔ̃a gbɔe (seselelãme) .
Kpɔe ɖa le susu me be wò ahɔhɔ̃ nye kɔmpiuta gã aɖe si ŋu ŋusẽ le ŋutɔ. Gake kɔmpiuta ma, si me nya aɖeke mele tso gota o la, mate ŋu anya naneke tso gotagome xexeame ŋu o. Esia tae PNS le vevie alea gbegbe ɖo. Abe alesi ko kɔmpiuta hiã fotoɖemɔ̃, nuƒomɔ̃, kple keyboard be wòaxɔ nyatakakawo tso gota ene la, nenema ke ahɔhɔ̃ hã hiã PNS. Wò PNS nye alesi wò ahɔhɔ̃ xɔa nyatakaka tso gotagome xexeame ŋu. Lãmetsi geɖe siwo le PNS me la doa ka kple aklãa eye woyia ŋutilã ƒe akpa bubuwo. Gake lãmeka ƒomevi tɔxɛ aɖe li si woyɔna be Cranial Nerves , siwo do ƒome kple ahɔhɔ̃a tẽ. Lãmetsi siawo tsɔa dzesiwo tso wò ŋɔti, to, kple nu me, kpakple dzesi siwo tso sidzenu bubu geɖewo gbɔ yia ahɔhɔ̃a me. Tagbɔ ƒe lãmeka siawo hãe nana wò mo, ta, kple kɔ ƒe ŋutigbalẽ ka asi eŋu. Lãmetsi bubu siwo le gota la kaka ɖe wò ŋutilã katã me. Esiawo ƒua du va ɖoa wò asibidɛwo kple afɔbidɛwo ƒe nugbɔ ke. Sidzenu siwo le wò asiwo kple afɔwo me hã kpena ɖe wò ahɔhɔ̃ ŋu wòxɔa nyatakaka tso gotagome xexeame. Motor nerves ye nye nusiwo nana nète ŋu ʋãa wò ŋutilã ƒe akpa vovovowo.Alesi woaɖu ʋuʋu dzi
Lãmetsi siwo le gota, siwo doa alɔ ɖe wò ŋutilã katã me la tsɔa sededewo tso wò ahɔhɔ̃ me yia wò lãmekawo gbɔ. Woawoe nye nusiwo ɖea mɔ na wò be nàʋuʋu ahawɔ nuwo. Woate ŋu awɔ nusianu tso nu bɔbɔewo abe wò ŋɔti ƒoƒo ene dzi va ɖo nu sesẽwo abe bɔl etɔ̃ alo ene tsɔtsɔ ƒu gbe ene dzi.Nusiwo yia edzi le manyamanya me dzi ɖuɖu
Wò ``Autonomic Nervous System'' wɔa dɔ mèbu eŋu o. Enye wò ahɔhɔ̃ ƒe akpa aɖe si nɔa dɔ wɔm ɣesiaɣi, si kpɔa ŋusẽ ɖe dɔwɔwɔ siwo nana nènɔa agbe dzi. Wò ``PNS'' le vevie na wò ahɔhɔ̃ be wòaɖu dɔwɔwɔ mawo dzi. Le kpɔɖeŋu me, wò dzi ƒe tsotso, gbɔgbɔ, ʋu ƒe sisi, kple nuɖuɖu ƒe zɔzɔ to wò dɔgbowo me.Nukawoe nye lãmekawo ƒe dzesi ƒomeviwo?
Lãmetsiŋusẽ ƒe lãmenugbagbevi geɖe (Nerve Cells alo Neurons) ye le wò lãmekawo me. Akpa didi aɖe si le abe alɔ ene si woyɔna be axon . Wotrɔa lãmeka siawo kple woƒe axonwo ɖekae wòzua lãmekawo. Ele abe ka si wotsɔ lɔ̃a ka geɖe to ka geɖe ƒoƒo ɖekae me ene. Lãmetsi siwo le lãmeka siawo me dometɔ aɖewo tsɔa nyatakakawo yia ahɔhɔ̃a me, eye bubuwo tsɔa nyatakakawo yia ahɔhɔ̃a gbɔ. Lãmetsiŋusẽ ƒe dzesi ƒomevi vevi etɔ̃e li:- Sidzenuwo: Esiawo tsɔa nyatakakawo yia ahɔhɔ̃a kple aklã me. Wotoa tagbɔ ƒe lãmekawo dzi doa ka kple ahɔhɔ̃a tẽ , alo wotsɔa nyatakakawo yia aklã ƒe lãmekawo gbɔ, eye emegbe wozɔa mɔ yia aklã me. Sidzenu ƒe lãmeka siwo do ƒome kple aklã la le aklãa ƒe megbe.
- Motor Nerves: Esiawo tsɔa sededewo tso ahɔhɔ̃a gbɔ yia ŋutilã ƒe akpa vovovowo. Ahɔhɔ̃a godo koe esiawo tsɔa nyatakakawo yinae. Motor nerves doa ka kple aklã si le ŋgɔgbe. Esia fia be ɖeko lãmeka siawo le afima be woaɖo sededewo ɖa be woaʋuʋu lãmekawo .
- Lãmetsi Siwo Kpɔa Wo Ðokui Si: Esiawoe nye lãmeka siwo kpɔa wò ŋutilã ƒe ŋutinuwo kple dɔwɔɖoɖowo ƒe dɔwɔwɔ le wo ɖokui si dzi. Zi geɖe la, lãmeka siwo tsakana nɔa lãmeka siwo le wo ɖokui si ŋu. Wo dometɔ aɖewo tsɔa sededewo tso ahɔhɔ̃a gbɔ yia teƒe si sɔ, eye bubuwo tsɔa nyatakaka siwo ku ɖe ŋutinu mawo ƒe dɔwɔwɔ ŋu yia ahɔhɔ̃a gbɔ.
Aleke PNS kpena ɖe sidzenu bubuwo ŋui?
Autonomic Nervous System, si nye wò PNS ƒe akpa aɖe, kpena ɖe wò ahɔhɔ̃ ŋu wòɖua wò ŋutilã ƒe ŋutinu veviwo katã dzi. Ekpena ɖe wò ahɔhɔ̃ hã ŋu be wòalé be na eɖokui. Le kpɔɖeŋu me, wò ahɔhɔ̃e kpɔa wò dzi ƒe tsotso dzi. Ekpɔa egbɔ be wò dzi tsɔa ʋu yia wò ŋutilã kple ahɔhɔ̃ me. Ʋu ma ƒe sisi manɔmee la, wò ahɔhɔ̃ ate ŋu aku le aɖabaƒoƒo ʋɛ aɖewo ko me. PNS la tsɔa lãmekawo ƒe dzesi siwo tso ŋutinu mawo me hã yia wò ahɔhɔ̃ me. Le kpɔɖeŋu me, dzoxɔxɔ ƒe seselelãme le wò dɔgbo me ne èno nu dzodzoe aɖe, alo sese le ɖokuiwò me be yeƒe lãme yɔ fũ le nuɖuɖu vɔ megbe.Afikae `(PNS)` le?
Wò ``(PNS)`` kaka ɖe wò ŋutilã katã me negbe wò aklã kple ahɔhɔ̃ koe mele eme o. Eƒe akpa aɖewoe nye:- Tagbɔ ƒe Lãmetsiwo: Lãmetsi eve 12 ye do ƒome kple ahɔhɔ̃a tẽ. Esiawo dometɔ 11 nye PNS tɔ (tagbɔ ƒe lãmeka evelia - esi kpɔa wò ŋku dzi - nye CNS tɔ). Lãmetsi 11 siawoe nana nèsea ʋeʋẽ, gbeɖiɖi, vivisese, kple asikaka nu ŋu le wò ta, mo, kple kɔ ƒe ŋutigbalẽ me. 11 siawo dometɔ ɖeka, si nye Vagus Nerve, ƒua du yia anyime eye wòdoa ka kple ŋutinu vevi ɖesiaɖe tso wò kɔ dzi va ɖo wò dɔgbo me.
- Aklã ƒe Lãmetsiwo: Esiawoe nye lãmeka eve 31 siwo do ƒome kple aklãa le wò akɔta ƒe akɔtaƒu (ƒu) ɖesiaɖe ƒe seƒe lɔƒo.
Bu lãmekawo ƒe dɔwɔwɔ abe ati si trɔ ɖe anyigba ene. Wò ahɔhɔ̃e nye ati la ƒe ke, wò aklãe nye atikutsetse. Wò ``PNS'' le abe ati la ƒe alɔwo kple aŋgbawo ene, eye wòkaka ɖe wò ŋutilã ƒe akpa mamlɛa me.
Nukae wotsɔ wɔ `(PNS)`?
Lãmetsiŋusẽ ƒe lãmenugbagbevi kple woƒe wɔwɔme vovovo geɖee nye wò PNS. Ahɔhɔ̃mekawoe nye afisiwo wokpɔa lãmeka siwo le gota kple tagbɔ le, eye axon kple dendrites le wo si, siwo le abe mɔ gã siwo tsɔa nyatakakawo ene. Lãmenugbagbevi ƒomeviwoe nye esiawo, eye wogblɔ wo ŋuti nyatakaka bubuwo le ete:Ahɔhɔ̃mekawo
Ahɔhɔ̃mekawo nye lãmenugbagbevi siwo zãa elektrikŋusẽ kple atike ƒe dzesiwo tsɔ ɖoa dzesiwo ɖa hexɔa wo ɖe wò lãmekawo katã me. Akpa siawo le ahɔhɔ̃meka ɖesiaɖe si:- Lãmenugbagbeviwo ƒe ŋutilã: Esiae nye lãmenugbagbevi ƒe akpa vevitɔ.
- Axon: Esia nye akpa didi aɖe si le abe abɔ ene si keke tso lãmenugbagbeviwo ƒe ŋutilã me. Le axon la ƒe nuwuwu la, kekeɖenudɔ geɖe siwo le abe asibidɛ ene, afisi wotrɔa ahɔhɔ̃mekaa ƒe elektrikŋusẽ ƒe dzesi wòzua atike ƒe dzesiwo le. Kekeɖenudɔ siawo siwo woyɔna be synapses , doa ka kple lãmeka ƒe lãmenugbagbevi bubu siwo te ɖe wo ŋu.
- Dendrites: Esiawo nye lãmenugbagbevi sue siwo le alɔdzewo me le lãmenugbagbevi ƒe ŋutilã dzi (ŋkɔa tso Latingbe me nya aɖe si gɔmee nye "ati-si le abe ati ene" me). Dendrites nye afisi woxɔa atike ƒe dzesi siwo tso ahɔhɔ̃meka bubuwo ƒe lãkusiwo me le.
- Myelin: Esia nye atike siwo me ami le ƒe ƒuƒoƒo sue aɖe. Myelin ƒo xlã ahɔhɔ̃meka geɖe ƒe axonwo, eye wòwɔa dɔ abe ametakpɔnu ene.
Glial lãmenugbagbeviwo
Dɔ vovovo geɖe le glial cells (si woyɔna be gl-yal) si. Wokpena ɖe ame ŋu be ahɔhɔ̃mekawo natsi eye woalé be na wo ne ènye sɔhɛ, eye wokpɔa alesi ahɔhɔ̃mekawo wɔa dɔe le wò agbemeŋkekewo katã me hã dzi. Wokpɔa wò lãmekawo ta tso dɔlékuiwo me, wowɔa wò lãmekawo ƒe atikewo ƒe dadasɔ, eye wowɔa myelin-kplu si ƒo xlã ahɔhɔ̃mekawo ƒe axonwo. Glial lãmenugbagbeviwo sɔ gbɔ wu ahɔhɔ̃mekawo zi gbɔ zi ewo le wò lãmekawo me.Dɔléle kple nɔnɔme kawoe bɔ siwo gblẽa nu le lãmeka sia ŋu?
Peripheral Neuropathy nye nɔnɔme si me wò peripheral nervous system (PNS) va dzea dɔ alo gblẽna le eŋu. Esia ate ŋu atso nu geɖe gbɔ. Kpɔɖeŋu siwo bɔ dometɔ aɖewoe nye:- Suklidɔ Ƒomevi 2: Suklidɔ ƒomevi 2 si dzi womeɖu o alo esi womewɔ atike nɛ o ate ŋu agblẽ nu le wò lãmeka siwo le gota (PNS) ŋu. Esia tae suklidɔlélawo le afɔku me be woƒe afɔwo kple afɔwo magase le wo ɖokui me o. Suklidɔ sia ƒomevie nye nusi gbɔ ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie tsona wu.
- Dɔlélenutsiŋutete kple dɔdzẽ ƒe nɔnɔmewo: Esiawo dometɔ aɖewoe nye dɔlélewo abe Lupus, Guillain-Barré ƒe dɔléle, kple ƒunukpeƒetetedɔ ene.
- Hansen ƒe dɔléle (si woyɔna nyuie wu be anyidɔ): Togbɔ be dɔléle sia si mebɔ le dukɔ deŋgɔwo me o ƒe ŋusẽkpɔɖeamedzi dzena le ŋutigbalẽ ŋu wu hã la, ate ŋu agblẽ nu le PNS hã ŋu.
- Nɔnɔme siwo wodzina kple domenyiŋusẽfianu: Esiawo nye kuxi siwo wodzi wò. Domenyiŋusẽfianu ƒe nɔnɔmewo nye esiwo ƒe dome wonyi tso dzila ɖeka alo wo ame evea siaa gbɔ.
- Dɔlékuiwo: Dɔlékuiwo abe HIV alo dɔlékuiwo abe Borrelia burgdorferi ene, si hea Lyme dɔléle vɛ ate ŋu atso lãmekawo ƒe gbegblẽ. Kpɔɖeŋu bubu si bɔ enye shingles, si ate ŋu ana lãmekawo nase veve hena ɣeyiɣi aɖe.
- Atikewo kple atikewɔwɔ ƒe mɔnuwo: Dɔlékuiwutike ƒomevi aɖewo kple atike siwo wozãna tsɔ daa kansa ate ŋu agblẽ nu le PNS ŋu. Lãmetsiŋusẽ ƒe gbegblẽ sia ƒomevi ate ŋu adzɔ hã abe amekoko ƒe nugbegblẽ le ame ŋu ene.
- Aɖi kple aɖi: Ga kpekpe siwo me aɖi le abe mercury alo lead ene ate ŋu agblẽ nu le PNS ŋu. Atike geɖe siwo wozãna le dɔwɔƒewo hã ate ŋu agblẽ nu alea.
- Nuveviwɔame: Afɔkuwo ate ŋu agblẽ nu le lãmekawo ŋu. Ate ŋu anɔ anyi ɣeyiɣi didi alo anɔ anyi ɖaa. Ʋuʋudedi si abixɔxɔ hena vɛ hã ate ŋu ana lãmekawo natsi le PNS me. Carpal Tunnel Syndrome kple Sciatica nye nɔnɔme siwo lãmekawo ƒe tete hena vɛ ƒe kpɔɖeŋuwo.
- Dɔdzẽ: Dɔdzẽ vɔ̃ɖiwo kple esiwo me dɔlékui aɖeke mele o siaa ate ŋu ado kplamatse wò PNS ƒe dɔwɔwɔ.
Nukae nye dzesi alo dzesi siwo bɔ ɖe kuxi siwo do ƒome kple `(PNS)` ŋu?
Kuxi siwo le PNS ŋu ƒe dzesiwo nɔ te ɖe lãmeka ƒomevi si ŋu wògblẽ nu le dzi. Nusiwo gblẽ le lãmekawo ŋu ate ŋu akpɔ ŋusẽ ɖe lãmekawo dzi le mɔ siwo gbɔna nu:- Gbɔdzɔgbɔdzɔ.
- Lãmetsiwo ƒe ʋuʋu, ʋuʋu, ʋuʋu, alo ʋuʋu.
- Lãmetsiwo ƒe gbegblẽ (gbegblẽ).
- Amesi megate ŋu ɖua eɖokui dzi o.
- Asikaka ame ŋu ƒe ŋutete dzi ɖe kpɔtɔ alo bu le teƒe si dɔlélea le: Ne asikaka ame ŋu dzi ɖe kpɔtɔ la, ate ŋu ase le ɖokuiwò me abe asigɛ alo nane si xe mɔ na wò asikaka nu ŋue nèdo ene. Ðewohĩ màgate ŋu ase dzoxɔxɔ alo ʋuʋudedi hã gɔme o. Ne nɔnɔme sia gblẽ nu le asiwo alo afɔwo ŋu la, dɔ bɔbɔewo abe azɔlizɔzɔ alo awudziwui ƒe abɔta ene ate ŋu asesẽ ŋutɔ.
- Seselelãme ƒe ʋuʋu alo seselelãme ƒe bu (Paresthesia): Esia sɔ kple alɔ alo afɔ ƒe ʋuʋu. Ne míagblɔe bubui la, enye "pins and needles" ƒe seselelãme le teƒe si dɔlélea le.
- Ahɔhɔ̃mekawo ƒe vevesese: Zi geɖe la, esia senɛ le eɖokui me abe vevesese si le bibim alo vevesese si le dzo dam le teƒe si dɔlélea le ene. Ɣeaɖewoɣi la, vevesesea nu sẽ ale gbegbe be màte ŋu adɔ alɔ̃ alo awɔ dɔ siwo sɔ o. Le nɔnɔme aɖewo abe Allodynia ene me la, woate ŋu ase vevesesea ne nane falɛfalɛ, abe awu alo abadzivɔ ene, ka wò ŋutilã gɔ̃ hã.
- Ʋu ƒe sisi ƒe ɖoɖo: Ne nu gblẽ le lãmeka siwo wɔa dɔ le wo ɖokui si ŋu la, ate ŋu ado kplamatse ŋutilãa ƒe ŋutete be wòakpɔ ʋu ƒe sisi dzi.
- Nuɖuɖumeŋusẽ: Le nuɖuɖumeŋusẽ ƒe akpa si ŋu wògblẽ nu le nu la, nuɖuɖumeŋusẽ ƒe kuxiwo ate ŋu ado mo ɖa.
- Ŋutilã kple dzoxɔxɔ dzi kpɔkpɔ: Ate ŋu asesẽ na amesiwo ƒe lãmeka siwo le wo ɖokui si ƒe dɔmawɔmawɔ nyuie be woaɖe dzi ɖi le yame ƒe dzoxɔxɔ me. Woate ŋu fifia agbɔ eme (hyperhidrosis) alo womafi fi kura o (anhidrosis).
Nukawoe nye dodokpɔ siwo wowɔna zi geɖe tsɔ léa ŋku ɖe ŋutilã ƒe akpa sia ƒe lãmesẽ ŋu?
Dodokpɔ geɖe li siwo ate ŋu akpe ɖe ŋuwò nànya nɔnɔme siwo gblẽa nu le wò PNS ŋu. Dodokpɔ si bɔ wue nye ahɔhɔ̃mekawo ƒe dodokpɔ . Wò ɖɔkta abia tso asiwò be nàzã wò ŋutilã ƒe akpa vovovowo, vevietɔ wò abɔwo, asiwo, afɔwo, kple afɔwo, le mɔ aɖewo nu. Dodokpɔ siwo bɔ wu dometɔ aɖewoe nye:- Ʋudodokpɔ: Esiawo ate ŋu ade dzesi kuxi vovovowo, tso dɔlélenutsiŋutete ƒe kuxiwo dzi va ɖo aɖi kple aɖi, vevietɔ ga siwo le abe mercury alo lifi ene dzi.
- Lãmetsiŋusẽ ƒe dɔwɔwɔ dodokpɔwo .
- Elektrikŋusẽŋununya (EMG).
- Lãmetsiŋusẽ ƒe ultrasound `(Lãmetsiŋusẽ ƒe ultrasound)` .
- Lãmetsiŋusẽ ƒe dɔwɔwɔ .
- Domenyiŋusẽfianu dodokpɔ .
- Magnetic Resonance Imaging (MRI) ƒe nɔnɔmetatawo .
Nukawoe nye atike siwo wozãna zi geɖe na ŋutinu sia?
Kuxi siwo do ƒome kple PNS ƒe atikewɔwɔ to vovo abe kuxiawo ŋutɔ ene. Zi geɖe la, nusi gbɔ PNS ƒe kuxiwo tsona dada ate ŋu akpe ɖe ame ŋu be wòaɖe ŋusẽ si wògblẽna le ɖoɖo ma ŋu dzi akpɔtɔ. Azɔ hã, ɖewohĩ atikewɔmɔnu siwo wɔa dɔ na nɔnɔme ɖeka (alo nɔnɔme mawo tɔgbe) mawɔ dɔ na kuxi ƒomevi bubuwo o. Atikewɔwɔ siwo woate ŋu azã dometɔ aɖewoe nye, gake menye woawo koe o:- Atikewo: Atike geɖe li woatsɔ ada PNS ƒe kuxiwo. Esiawo ate ŋu anɔ nɔnɔme vovovowo me, abe atike siwo wodona ɖe lãme na ame, atike siwo woano, alo atike siwo wodona blewu ene.
- Amekoko: Amekoko ate ŋu akpe ɖe ame ŋu be lãmeka siwo wotso la nagaɖo kadodo me eye wòaɖe vevesese si lãmeka siwo woƒo hena vɛ la dzi akpɔtɔ.
- Transcutaneous Electrical Nerve Stimulation (TENS): Esia zãa elektrikŋusẽ fafɛ aɖe tsɔ gblẽa alesi lãmekawo tsɔa vevesese ƒe dzesiwo ɖonae.
- Lãmetsiŋusẽ ɖeɖeɖa: Dɔwɔwɔ sia ɖonɛ koŋ gblẽa nu le lãmeka si mewɔa nu nyuie o ŋu. Nusiwo gblẽ sia nana lãmeka si mewɔa nu nyuie o la megaɖoa dzesiwo ɖe ahɔhɔ̃a o, si ate ŋu akpe ɖe ame ŋu wòada vevesese atraɖii.
- Lãmesẽfefewɔwɔ: Esia ate ŋu akpe ɖe ŋuwò nàhaya tso abi alo atikewɔwɔ me, alo aɖe vevesese ƒe dzesiwo dzi akpɔtɔ. Ate ŋu akpe ɖe ŋuwò hã be nàtrɔ ɖe tɔtrɔ siwo va le wò lãmekawo me ŋu.
- Atikewɔwɔ: Le mɔnu sia me la, wotsɔa aŋe siwo le sue ŋutɔ dea wò ŋutilã ƒe teƒe vovovowo. Togbɔ be wonya mɔnu sia be enye Chinatɔwo ƒe blema mɔnu hã la, eŋudɔwɔwɔ le egbegbe atikewɔwɔ me le dzidzim ɖe edzi. Ðɔkta geɖe, vevietɔ atikewɔla siwo naa alɔ̃dɔdɔ alo vevesesenutsitike bibiwo, zãa asibide tsɔ daa lãmekawo ƒe kuxiwo.
- Mɔ̃wo kple dɔwɔnu siwo woate ŋu ado: Esia lɔ atikewɔnuwo, abe afɔkpa siwo wotsɔ blaa afɔkpawo, atikplɔwo kple afɔtiwo ene, kpakple nuwo abe afɔkpa siwo woŋlɔ na ame ene ɖe eme.
Aleke mawɔ akpɔ ɖokuinye ta tso dɔlélewo kple kuxi siwo do ƒome kple `(PNS)` me?
Nu vevitɔe nye be nàƒo asa na nɔnɔme geɖe siwo ate ŋu agblẽ nu le `(PNS)` ŋu. Nu vevi siwo nàte ŋu awɔ dometɔ aɖewoe nye esi:- Ƒo nuɖuɖu si da sɔ:Vitamin aɖewo ƒe anyimanɔmanɔ, vevietɔ vitamin B12 ƒe anyimanɔmanɔ, ate ŋu agblẽ nu le wò lãmekawo ŋu eye wòahe kuxi sesẽwo vɛ. Vitamin bubuwo, vevietɔ B6, nye aɖi ne woɖu wo wògbɔ eme, si ateŋu ahe `(Peripheral Neuropathy)` vɛ.
- Nɔ kame dem eye nàlé wò kpekpeme ɖe te: Esia le vevie be nàxe mɔ ɖe abi siwo ate ŋu agblẽ nu le wò lãmekawo ŋu nu. Esia, tsɔ kpe ɖe wò nuɖuɖu ŋu, ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe suklidɔ ƒomevi eve, si ate ŋu agblẽ nu le wò PNS ŋu le ɣeyiɣi aɖe megbe, alo ahe eƒe dzɔdzɔ ɖe megbe.
- Do ametakpɔnu ne ehiã: Nuveviwɔame nye nu vevi aɖe si nana lãmekawo gblẽna. Ne èzã ametakpɔnu le dɔwɔƒe kple fefe me la, àte ŋu akpɔ ɖokuiwò ta tso abi siawo me eye nàɖe abi siwo wòxɔ la ƒe sesẽ dzi akpɔtɔ.
- Dzra nɔnɔme siwo nɔa anyi didi gbɔ abe alesi wokafui ene: Ne dɔléle aɖe si nɔa anyi didi si ate ŋu agblẽ nu le wò (PNS) ŋu, vevietɔ suklidɔ ƒomevi 2 la, ele vevie be nàkpɔ egbɔ abe alesi wò ɖɔkta kafui ene. Esia ate ŋu akpe ɖe ŋuwò nàɖe nɔnɔmea ƒe nugbegblẽwo dzi akpɔtɔ alo ahe ɣeyiɣi si wòxɔna hafi wògblẽna ɖe edzi la ɖe megbe.
Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .
Wò Lãmetsiŋusẽ ƒe Dɔwɔɖoɖo (PNS) nye wò agbe ƒe akpa vevi aɖe ŋutɔ. Ekpena ɖe ŋuwò nèʋãna eye wòtsɔa nyatakaka veviwo tso wò sidzenuwo gbɔ yia wò ahɔhɔ̃ me. Mɔxexe ɖe enue nye nu vevitɔ ne ehiã be woakpɔ lãmeka sia dzi. Ne dɔléle aɖe le ŋuwò si gblẽa nu le wò PNS ŋu la, mɔ vovovowo li ɖɔktawo si dzi woato anya dɔlélea ahadae. Ne nɔnɔme siwo womate ŋu ada o le ŋuwò gɔ̃ hã la, zi geɖe la, àte ŋu aɖo seɖoƒe na ŋusẽ si dzesiawo kpɔna ɖe wò agbe dzi. Eyata ne èkpɔ nane si mebɔ o, abe vevesese, lãmetutudɔ, alo gbɔdzɔgbɔdzɔ ene la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màŋe aɖaba aƒu edzi o.Lãmetsiŋusẽ si le gota, PNS, lãmekawo, ahɔhɔ̃, aklã, ahɔhɔ̃mekawo ƒe dɔléle, seselelãme, ʋuʋu, ɖokuisinɔnɔ ƒe dɔwɔwɔ, ahɔhɔ̃mekawo ƒe vevesese
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