Nukae nye alɔ̃madɔmadɔ? Mina míase egɔme bɔbɔe.
Kpuie ko la, alɔ̃madɔmadɔ nye elektrikŋusẽ ƒe gbagbã kpata le míaƒe ahɔhɔ̃ me le mɔ si mesɔ o nu. Bu eŋu abe kɔmpiutadziɖoɖo sesẽ aɖe ene. Lãmetsiŋusẽ ƒe lãmenugbagbevi miliɔn geɖe siwo woyɔna be ahɔhɔ̃mekawo le eme. Esiawo toa elektrikŋusẽ ƒe dzesi suewo dzi ɖoa dze kple wo nɔewo. Eyata ne elektrikŋusẽ ƒe dzesiɖoɖo sia me gblẽ kpata le susu aɖe ta, alo elektrikŋusẽ ƒe dɔwɔwɔ sɔ gbɔ akpa la, ɣemaɣie alɔ̃madɔmadɔ aɖe dzɔna. Ne ame akpa gãtɔ bu alɔ̃madɔmadɔ ŋu la, nɔnɔme sesẽ aɖe si me ŋutilãa ʋuʋuna eye womegatsia dzodzodzoe o la vaa susu me na wo. Ema nye dzesi ɖeka. Gake menye alɔ̃madɔmadɔ katãe sɔ o. Ɣeaɖewoɣi la, ame aɖe ate ŋu adzudzɔ nu si wɔm wòle eye wòanɔ ŋku lém ɖe eŋu ƒuƒlu hena ɣeyiɣi aɖe. Ame bubu ƒe alɔ alo afɔ ate ŋu aʋuʋu alo aʋuʋu, alo woƒe lãmekawo ate ŋu aʋuʋu. Ðewohĩ zi ɖeka koe adze ame aɖewo dzi le woƒe agbenɔɣi. Ame bubuwo ate ŋu adze alɔ̃ zi geɖe gbesiagbe. Esia fia be ne alɔ̃madɔmadɔ le ŋuwò la, ate ŋu ato vovo kura tso esi ame bubu le gbɔ. Susu geɖewo ate ŋu anɔ esia ta. Elabena nu geɖe li siwo ate ŋu agblẽ elektrikŋusẽ ƒe ɖoɖo si sɔ le ahɔhɔ̃a me. Ate ŋu atso nusianu gbɔ tso sukli ƒe agbɔsɔsɔ si le ʋu me ƒe tɔtrɔ dzi va ɖo dɔléle, afɔku, alo atikewɔwɔ ƒe nɔnɔme si gbɔ wòtso dzi. Esia tae wòle vevie be nàyi ɖɔkta gbɔ be yeanya atike si sɔ na wò.Nukawoe nye alɔ̃madɔmadɔ ƒomeviwo?
Alɔ̃madɔmadɔ ƒomevi vevi evee li. Na míalé ŋku ɖe nusiwo wonye ŋu. 1. Alɔ̃madɔmadɔ Siwo Gbɔna: Esiae nye ne elektrikŋusẽ dzea egɔme tso ahɔhɔ̃a ƒe akpa eveawo le ɣeyiɣi ɖeka me. Le ɣeyiɣi sia me la, wò ŋutilã ate ŋu aʋuʋu le akpa eveawo, akpa ɖeka ko ate ŋu aʋuʋu, alo àte ŋu adzudzɔ nusi wɔm nènɔ eye nànɔ ŋku lém ɖe eŋu ko. Togbɔ be zi geɖe la, nusiawo dzɔna ɖe ɖevi suewo alo sɔhɛ tsitsiwo dzi wu hã la, nɔnɔme sia ate ŋu adzɔ le amesiame si xɔ ƒe ɖesiaɖe me. 2. Focal Seizures: Esia nye ne elektrikŋusẽ ƒe dɔwɔwɔ dze egɔme tso ahɔhɔ̃a ƒe akpa ɖeka, alo le teƒe ɖeka koŋ (`(focus)`). Zi geɖe la, dzesiawo dzea ame ƒe akpa ɖeka dzi, eye àte ŋu anɔ ŋudzɔ alo mànɔ ŋudzɔ o. Esia fia be àte ŋu aɖo ŋku alɔ̃dɔdɔa dzi alo màɖo ŋku edzi o. Ɣeaɖewoɣi la, alɔ̃madɔmadɔ si me susu mele o ate ŋu anye nusi ŋu woate ŋu aɖo ŋkui alo akaka ɖe ahɔhɔ̃a ƒe akpa eveawo.Nyatakaka bubu vi aɖe tso alɔ̃madɔmadɔ ƒomevi siwo bɔ ŋu
Alɔ̃madɔmadɔ siwo bɔ ɖe afisiafi ƒomevi vovovowo hã li. Mina míalé ŋku ɖe ema hã ŋu:- Alɔ̃madɔmadɔ: Le esia me la, kasia nèdzudzɔa nusi wɔm nènɔ eye nènɔa ŋku lém ɖe eŋu ƒuƒlu. Ètrɔna yia nɔnɔme si nènɔna tsã me le sɛkɛnd ʋɛ aɖewo ko me. Ðewohĩ gotagome eteƒekpɔla made dzesi esia gɔ̃ hã o.
- Atonic Seizures (Drop Seizures): Le esia me la, lãmekawo megate ŋu ɖua wo dzi zi ɖeka o, si wɔnɛ be amea dzea anyigba. Wogayɔa esia be `(Drop Seizures)`.
- Clonic Seizures: Esia ate ŋu ana ame ƒe akpa eveawo naʋuʋu eye ame ƒe susu nadzo. Alo ate ŋu ana ame nase le eɖokui me be yeaʋuʋu le ŋutilãa ƒe akpa ɖeka evɔ ame ƒe susu nagabu o.
- Myoclonic Seizures: Esiawo nye lãmeka ɖeka alo geɖe siwo le ŋutilãa me ƒe ʋuʋu kpata, abe ɖe elektrikŋusẽ ƒo wo ene.
- Secondary Generalized Seizures: Le esia me la, focal seizure (si fia be elektrikŋusẽ ƒe dɔwɔwɔ dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka) dzɔna gbã, eye emegbe wòzua generalized seizure (si fia be elektrikŋusẽ ƒe dɔwɔwɔ kaka ɖe ahɔhɔ̃a ƒe akpa eveawo).
- Tonic-Clonic Seizures: Esiae nye ƒomevi si nu sẽ wu si ame akpa gãtɔ susuna ne wose nya " alɔ̃madɔmadɔ ." Lãmetsiwo sesẽna (tonic), megate ŋu le ŋugble dem o, eye emegbe ŋutilãa ʋuʋuna (clonic).
- Tonic Seizures: Le esia me la, ame ƒe susu buna eye lãmekawo ƒe sesẽ, gake lãmekawo meʋuʋuna o.
Mina míasrɔ̃ nu tso alɔ̃madɔmadɔ ƒomevi siwo nye focal seizures hã ŋu.
Focal seizures ƒomevi vevi eve hã li:- Focal Onset Aware Seizures (Simple Partial Seizure): Le esia me la, ènya nu tso alɔ̃madɔmadɔa ŋu eye àte ŋu aɖo ŋku edzi.
- Focal Onset Impaired Awareness Seizures (Complex Partial Seizure): Le alɔ̃madɔmadɔ sia ƒomevi me la, mègatsia dzimaɖi o eye nèsena le ɖokuiwò me be yetɔtɔ (`(tɔtɔ)`). Mèɖoa ŋku alɔ̃dɔdɔa hã dzi o.
Aleke gbegbee woyɔa nɔnɔme sia be alɔ̃madɔmadɔ?
Ènya be ame siwo ade 10% le xexeame katã xɔa alɔ̃dɔdɔ zi ɖeka ya teti le woƒe agbenɔɣia? Ema fia be menye nusi mebɔ nenema gbegbe o.Nukawoe nye alɔ̃madɔmadɔ ƒe dzesiwo?
Dzesiawo ate ŋu ato vovo le alɔ̃madɔmadɔa ƒomevi kple eƒe sesẽ nu. Gake dzesi aɖewo li siwo bɔ siwo woate ŋu akpɔ:- Ame ƒe susu meganɔa ame ŋu o.
- Ŋutilã ƒe akpa aɖewo ƒe ʋuʋu si dzi womate ŋu aɖu o (e.g., ʋuʋudedi, lãmekawo ƒe ʋuʋu , ʋuʋudedi).
- Dzudzɔkpɔkpɔ ƒuƒlu.
- Seselelãme ƒe tɔtrɔ kpata (e.g., tɔtɔ, vɔvɔ̃, dzidzɔkpɔkpɔ, dzimaɖitsitsi ).
- Aɖuɖɔtoe .
- Aɖuɖɔɖɔɖɔ.
- Ŋku ƒe ʋuʋu si mesɔ o.
- Aɖuɖɔtoe alo dɔgbo dzi ɖuɖu ƒe bu.
- Gbeɖiɖi siwo mebɔ o wɔwɔ (e.g., aɖuɖɔtoe).
Ðe afɔɖeɖe aɖewo li siwo me alɔ̃madɔmadɔ dzea ame dzia?
Ẽ, alɔ̃madɔmadɔ ate ŋu awɔ akpa vovovowo. Gake menye amesiamee toa wo katã me o. 1. Prodrome phase: Ŋkeke ʋɛ aɖewo do ŋgɔ na alɔ̃madɔmadɔ la, àte ŋu akpɔ tɔtrɔ le wò seselelãme alo nuwɔna me, wò ta natsi, alo wòasesẽ na wò be wò susu nanɔ nu ŋu. Alɔ̃dɔdɔ ate ŋu asesẽ na ame aɖewo hã. 2. Aura ƒe akpa: Hafi alɔ̃madɔmadɔ ƒe dzesi gbãtɔwo nadze egɔme teti la, àte ŋu akpɔ tɔtrɔ le wò nukpɔkpɔ me (akaɖi siwo klẽna, nukpɔkpɔ si tro), taɖuame, taɖuame, ʋuʋudedi, vɔvɔ̃ alo dzimaɖitsitsi, kple tɔtrɔ le wò sidzenuwo ŋu (vivi, ʋeʋẽ, gbeɖiɖi, asikaka ame ŋu). Esia le abe nuxlɔ̃amedzesi sue aɖe hafi alɔ̃dɔdɔa nadze egɔme ene. 3. Ictal phase: Esiae nye ɣeyiɣi si me alɔ̃madɔmadɔa dzɔna ŋutɔŋutɔ. Esiae nye afisi nèkpɔa alɔ̃madɔmadɔ ƒe dzesiwo le. 4. Postictal phase: Ne alɔ̃madɔmadɔa wu enu teti la, ɖeɖi ate ŋuwò ŋutɔ, taɖuame, ŋutilã nave wò, eye seselelãme sesẽwo (abe blanuiléle alo dzidzɔkpɔkpɔ ene) ate ŋu anɔ ŋuwò. Le ɣeyiɣi sia me la, ame ate ŋu adɔ alɔ̃ vevie.Nu vevitɔe nye be menye amesiamee toa afɔɖeɖe siawo katã me o. Vevietɔ ``Aura'' ƒe fefewɔƒea. Zi geɖe la, alɔ̃madɔmadɔ dzea ame dzi zi ɖeka, eye ɖewohĩ màse nuxlɔ̃amedzesi aɖeke o.
Nukawoe nye nuxlɔ̃amedzesi siwo doa ŋgɔ na alɔ̃madɔmadɔ?
Ame aɖewo ate ŋu akpɔ nuxlɔ̃amedzesiwo hafi alɔ̃madɔmadɔ nadze wo dzi. Esiawo sɔ kple ``aura'' ƒe akpaa.- Sidzenuwo ƒe dzesiwo: akaɖi siwo le keklẽm kpɔkpɔ, nukpɔkpɔ ƒe tɔtɔ, gbeɖiɖi kpata, vivisese si mènya o (ga alo veve) alo ʋeʋẽ , ŋutigbalẽ ƒe seselelãme wɔnukuwo ( lãmetutudɔ alo ʋuʋudedi).
- Seselelãme ƒe tɔtrɔ: vɔvɔ̃ alo dzidzɔkpɔkpɔ kpata, deja vuNuwo abe ``(jamais vu)`` (nuteƒekpɔkpɔ yeye aɖe se le eɖokui me be yenyae le mɔ aɖe nu) alo ``(jamais vu)`` (nuteƒekpɔkpɔ nyanyɛ aɖe se le eɖokui me be yenye nu yeye le mɔ aɖe nu).
- Dzesi siwo dzena le wo ɖokui si: Esiawo kpɔa ŋusẽ ɖe ŋutilã ƒe dɔwɔwɔ siwo dzi míaƒe ahɔhɔ̃ kpɔa ŋusẽ ɖo le eɖokui si la dzi. Le kpɔɖeŋu me, fifia, aɖuɖɔɖɔɖɔ , dɔgbo si le veve sem, kple ŋutigbalẽ si le ɣie.
Nukatae alɔ̃madɔmadɔ siawo dzɔna? Nukawoe gbɔ wòtsona?
Abe alesi míedzro eme va yi ene la, elektrikŋusẽ ƒe gbagbã kpata le ahɔhɔ̃a me gbɔe alɔ̃madɔmadɔ tsona. Lãmenugbagbevi siwo le míaƒe ahɔhɔ̃ me la ɖoa dze kple wo nɔewo to elektrikŋusẽ ƒe dzesiwo ɖoɖo ɖa me. Ne alɔ̃madɔmadɔ aɖe dzɔ la, ahɔhɔ̃menugbagbevi siwo ŋu wògblẽ nu le la dzea dzesiwo ɖoɖo ɖe lãmenugbagbevi bubu siwo le nuto si ƒo xlãe me gɔme eye womekpɔa wo dzi o. Elektrikŋusẽ sia si gbɔ eme la xɔa ahɔhɔ̃a ƒe akpa siwo sɔ la wògbɔa eme, eye esiae hea alɔ̃madɔmadɔ ƒe dzesiwo vɛ. Woate ŋu ama nusiwo gbɔ alɔ̃madɔmadɔ tsona ɖe hatsotso vevi eve me, le nusita wòdzɔna nu.- Provoked Seizures (Nonepileptic): Nusiawo tsoa nusi hea dɔlélea vɛ gbɔ. Eyae nye be ɣeyiɣi kpui aɖe ƒe nɔnɔme alo nɔnɔme aɖewo ate ŋu ahe alɔ̃dɔdɔ ƒe dzesiwo vɛ. Esiawo metso dɔléle aɖe si woyɔna be ``Epilepsy'' gbɔ o.
- Alɔ̃madɔmadɔ si Medoa Dziku Na O (Epileptic): Alɔ̃madɔmadɔ siawo dzɔna le wo ɖokui si, eye susu aɖeke medze ƒã o. Woate ŋu adzɔ enuenu. Alɔ̃madɔmadɔ siawo ƒomevie nye dɔléle si woyɔna be `(Epilepsy).` ƒe dzesi vevitɔ
Nusiwo Hea Alɔ̃madɔmadɔ
Nu aɖewo ate ŋu ana afɔku si le alɔ̃dɔdɔ me nadzi ɖe edzi. Míeyɔa esiawo hã be ``Triggers''.- Sukli ƒe agbɔsɔsɔ si mesɔ o le ʋu me (sukli ƒe agbɔsɔsɔ si le ʋu me alo sukli si sɔ gbɔ ŋutɔ le ʋu me).
- Atike aɖewo, le kpɔɖeŋu me `(Wellbutrin®)` alo `(bupropion)`.
- Akaɖi siwo le keklẽm alo esiwo le keklẽm.
- Dzoxɔxɔ ƒe dɔléle.
- Asrã sesẽ.
- Alɔ̃madɔmadɔ.
- Nuteɖeamedzi.
- Atike vɔ̃ɖiwo zazã (si me ahanono hã le).
Atikewɔwɔ ƒe nɔnɔme bubu siwo hea alɔ̃dɔdɔ vɛ
Atikewɔwɔ ƒe nɔnɔme bubu geɖewo ate ŋu ana ame naxɔ alɔ̃. Kpɔɖeŋu ʋɛ aɖewoe nye esi:- Ahɔhɔ̃ me ʋuka siwo me ʋu sina tona.
- Ahɔhɔ̃ me dɔdzẽwo.
- Oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a (Cerebral hypoxia).
- Ahɔhɔ̃mekawo ƒe dɔléle.
- Suklidɔ.
- Ta ƒe abi sesẽwo, vevietɔ esiwo nana ame ƒe susu meganɔa nu ŋu o (Ahɔhɔ̃ ƒe ʋuʋu sesẽ kple ahɔhɔ̃ ƒe abi si nu sẽ).
- Dɔléle siwo gbɔdzɔa ahɔhɔ̃a vivivi, abe Alzheimer ƒe dɔléle alo ŋkume ƒe tagbɔdɔ ene.
- Ʋusɔgbɔdɔ kple alɔ̃madɔmadɔ le fufɔɣi (Eclampsia).
- Ŋutilã me dzewo ƒe masɔmasɔ, vevietɔ sodium si mesɔ gbɔ o (hyponatremia), calcium alo magnesium si mebɔ o.
- Epilepsy (alɔ̃madɔmadɔ enuenu si me nusi gbɔ wòtso si me kɔ o).
- Domenyiŋusẽfianu ƒe nɔnɔmewo.
- Tɔtrɔ siwo do ƒome kple lãmetsiŋusẽ.
- Dɔlékuiwo, vevietɔ tagbɔdɔ, taɖuame, alo dɔlékuiwutikewo.
- Dzoxɔxɔ si tso dɔlélenutsiŋutete ƒe nɔnɔmewo gbɔ.
- Susu ƒe lãmesẽkuxiwo (si woyɔna hã be ``susu ƒe alɔ̃madɔmadɔ''), e.g. ``dzimetɔtrɔ ƒe kuxi''.
- Kuxi siwo le ahɔhɔ̃ ƒe tsitsi ŋu (ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie si wodzina).
- Ʋusɔgbɔdɔ.
- Aɖinuwo (abe carbon monoxide ƒe aɖi alo ga kpekpewo ƒe aɖi ene).
- Da ɖua alo ɖua lã bubu siwo me aɖi le.
Amekawoe le afɔku gã me be woaxɔ alɔ̃madɔmadɔ?
Amesiame ate ŋu axɔ alɔ̃dɔdɔ le ƒe ɖesiaɖe me. Gake àte ŋu anɔ afɔku me vie ne è:- Ne atikewɔwɔ me dɔléle bubu aɖe le ŋuwò.
- Ne wò ƒomea me tɔ aɖe xɔ alɔ̃madɔmadɔ (domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi).
- Ne ɖevie nènye (mexɔ ƒe 18 haɖe o).
- Ne èxɔ ƒe 50 kple edzivɔ.
Kuxi kawoe ate ŋu ado tso alɔ̃madɔmadɔ me?
Le alɔ̃madɔmadɔ me la, àte ŋu abu eye nàdze anyi. Ne èwɔe alea la, ate ŋu axɔ abi ne èdze anyi alo ne ètɔ te nusi wɔm nènɔ zi ɖeka (abe ʋukuku, mɔ̃wo zazã, alo kɔkɔƒe lialia ene). Ne èle ʋuʋum la, wò abɔwo ate ŋu adze nu sesẽwo dzi, si ana nàtso, abi, alo agbã ƒuwo. Status epilepticus nye nɔnɔme si dzɔna ne alɔ̃madɔmadɔ xɔ wu miniti atɔ̃, alo ne alɔ̃madɔmadɔ bubu gadzɔ hafi nèhaya keŋkeŋ tso alɔ̃madɔmadɔ ɖeka me. Esia nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ate ŋu agblẽ nu le ahɔhɔ̃a ŋu alo aku gɔ̃ hã.Ðe kadodo aɖe le alɔ̃madɔmadɔ kple susu ƒe lãmesẽ domea?
Ẽ, alɔ̃madɔmadɔ ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ dzi. Ebɔ be woakpɔ dzesiwo abe dzimaɖitsitsi kple blanuiléle ene kpe ɖe alɔ̃madɔmadɔ ŋu. Esia le alea elabena alɔ̃madɔmadɔ ate ŋu agblẽ nu le wò agbenɔnɔ si sɔ ŋu. Woate ŋu ana nànɔ adzɔge tso nusiwo doa dzidzɔ na wò gbɔ. Àte ŋu atsi dzimaɖi ahatsi dzi be yeagaxɔ alɔ̃dɔdɔ ake. Ðewohĩ màdɔ alɔ̃ le zã me anɔ ɖokuiwò biam be ɣekaɣie esi kplɔe ɖo ava hã. Ne alɔ̃madɔmadɔ le ŋuwò le ame bubuwo ŋkume la, ŋu ate ŋu akpe wò eye màdi be yeado go alo akpɔ vovo ɖe xɔ̃wòwo ŋu o. Esi wònye be alɔ̃madɔmadɔ nye nusi dzi màte ŋu aɖu o ta la, esɔ be seselelãme siawo nanɔ ame me. Susuŋutinunyala ate ŋu akpe ɖe ŋuwò nàkpɔ ŋusẽ si alɔ̃madɔmadɔ le ŋusẽ kpɔm ɖe wò seselelãme ƒe nyonyo dzi.Aleke nèwɔ dea dzesi nɔnɔme sia si woyɔna be alɔ̃madɔmadɔ?
Zi geɖe la, ahɔhɔ̃ŋutinunyalae dea dzesi alɔ̃dɔdɔ. Esia bia be woawɔ ŋutilãmedɔ, ahɔhɔ̃mekawo dodokpɔ, kple dodokpɔ bubu geɖe. Le dodokpɔ siawo me la, ɖɔktaa abia wò dɔlélea ƒe dzesiwo, wò atikewɔwɔ ŋutinya, kple wò ƒomea ƒe lãmesẽ ŋutinya. Ate ŋu aɖe vi ne èkplɔ ame aɖe si kpɔ alɔ̃madɔmadɔa teƒe la ɖe ɖɔkta gbɔ. Esi ɖewohĩ màɖo ŋku nusi dzɔ dzi o ta la, ame ma ate ŋu aɖe nusi nèkpɔ la me.Dodokpɔ kawoe wowɔna na esia?
Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nànya nenye be alɔ̃madɔmadɔ le ŋuwò eye ne ele nenema la, nusi gbɔ wòtso. Akpa vevi aɖe si le alɔ̃madɔmadɔ didi me enye teƒe aɖe koŋ didi le ahɔhɔ̃a me (`(focal point)`) afisi alɔ̃madɔmadɔa dzea egɔme tsoe. Teƒe ma tɔgbe didi ate ŋu akpe ɖe wò ɖɔkta ŋu wòawɔ ɖoɖo ɖe atikewɔwɔ ŋu. Dodokpɔ siwo wozãna tsɔ dea dzesi alɔ̃madɔmadɔ aɖewo dometɔ aɖewoe nye:- Ʋudodokpɔwo.
- CT scan `(Kɔmpiuta tomography (CT) scan)`.
- EEG dodokpɔ (Electroencephalogram (EEG)) ƒe dodokpɔ. Esia dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ.
- Domenyiŋusẽfianu dodokpɔwo.
- MRI scan `(Magnetic resonance nɔnɔmetatawo (MRI))`.
- PET scan `(Positron ƒe dodo tomography (PET) scan)`.
- Spinal tap (akɔta ƒe ʋuʋu) dodokpɔ.
Nukawoe nye atike siwo wozãna na alɔ̃madɔmadɔ?
Atikewɔwɔ ƒe tiatia vovovowo le alesi alɔ̃madɔmadɔa ƒomevi, eƒe sesẽme, kple nusi gbɔ wòtso nu. Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be:- Nusiwo gbɔ wòtso alo atikewɔwɔ me nɔnɔmewo dzi kpɔkpɔ: Ðɔktaa adze agbagba gbã be yeada atikewɔwɔ me nɔnɔme ɖesiaɖe si le ete si le alɔ̃madɔmadɔa hem vɛ (e.g., ʋusɔgbɔdɔ, sukli ƒe ɖiɖi le ʋu me). Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe alɔ̃dɔdɔ le etsɔme nu.
- Atike siwo tsia alɔ̃madɔmadɔ nu nono:Atike siawo kpena ɖe ame ŋu be woaxe mɔ ɖe alɔ̃madɔmadɔ nu alo ɖea eƒe dzɔdzɔ zi geɖe dzi kpɔtɔna.
- Amekoko: To atikewɔwɔ na ahɔhɔ̃a ƒe akpa si (``focal point``) afisi alɔ̃dɔdɔ dzea egɔme tsoe la, amekoko ateŋu aɖe alɔ̃madɔmadɔ ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ.
- Ahɔhɔ̃ ƒe ʋuʋu: Amekola dea mɔ̃ aɖe ahɔhɔ̃a me eye wòtsɔa elektrikŋusẽ fafɛ aɖe toa eme. Elektrikŋusẽ sia gblẽa ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o me eye wòdzea agbagba be yeatɔ te. Mɔnu vovovowo li na esia, le kpɔɖeŋu me, `(vagus nerve stimulation)`.
Atike siwo wozãna na alɔ̃madɔmadɔ
Atikewo ate ŋu akpe ɖe ame ŋu wòaɖu alɔ̃madɔmadɔ dzi le mɔ siwo gbɔna nu:- Dzudzɔ alɔ̃madɔmadɔ ne edzɔ ko.
- Xɔ mɔ ɖe alɔ̃madɔmadɔ siwo ava dzɔ le etsɔme nu.
- Ðe alɔ̃madɔmadɔ ƒe sesẽ dzi kpɔtɔ.
- Ðe alɔ̃madɔmadɔ ƒe dzidziɖedzi dzi kpɔtɔ.
- `Benzodiazepine ƒe atike`
- `Carbamazepine ƒe atike`
- `Diazepam`
- `Gabapentin`
- `Lamotrigine`
- `Oxcarbazepine ƒe atike`
- `Phenytoin`
- `Pregabalin`
- `Valproic acid`
Ðe woate ŋu axe mɔ ɖe alɔ̃madɔmadɔ nua?
Esi wònye be womate ŋu agblɔe ɖi o ta la, womate ŋu axe mɔ ɖe enu keŋkeŋ o. Nu nyuitɔ si nàte ŋu awɔe nye be nàƒo asa na nusiwo ate ŋu ahe alɔ̃dɔdɔ, alo ``Triggers.'' Le kpɔɖeŋu me, wò ʋumesukli ƒe agbɔsɔsɔ dzi ɖuɖu, kple ɖokuiwò takpɔkpɔ tso dɔléle kple abixɔxɔ me.Nukae nàkpɔ mɔ na ne alɔ̃madɔmadɔ dze dziwò? Nukae nye mɔkpɔkpɔa?
Ame siwo ƒe alɔ̃madɔmadɔ si womedo dziku na o la dometɔ siwo mede afã o la agaxɔ alɔ̃madɔmadɔ ake. Ne alɔ̃madɔmadɔ zi evelia la, ɖɔktawo ate ŋu aɖo aɖaŋu be woadze atike siwo wua alɔ̃madɔmadɔ gɔme. Le alɔ̃madɔmadɔ si wodo dziku na gome la, afɔku si le alɔ̃dɔdɔ bubu me nɔ te ɖe nusi he alɔ̃dɔdɔ gbãtɔ vɛ dzi. Ne woate ŋu ada nusi gbɔ wòtso la, afɔku si li be woagaxɔ alɔ̃dɔdɔ ake la mesɔ gbɔ o (negbe ɖe nɔnɔme si na alɔ̃dɔdɔ gbãtɔa gadze ake ko hafi). Atikewo ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe alɔ̃madɔmadɔ nu alo aɖe alɔ̃madɔmadɔ dzi akpɔtɔ. Gake ɣeaɖewoɣi la, ehiãna be woate atike geɖe (alo atike vovovowo) kpɔ be woakpɔ esi awɔ dɔ nyuie wu. Le go aɖewo me la, ate ŋu asesẽ be woatsɔ atike ɖeɖeko aɖu alɔ̃madɔmadɔ dzi. Ne edzɔ alea la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na ame, aɖu nu tɔxɛ aɖe, alo awɔ atike bubuwo. Ne alɔ̃madɔmadɔ le ŋuwò enuenu la, wò ɖɔkta ate ŋu akpe ɖe ŋuwò nànɔ dedie. Àte ŋu ado atikewɔgbalẽvi alo agbalẽvi alo atsɔe ale be ame bubuwo nanya nusi woawɔ ne èxɔ alɔ̃dɔdɔ.Ɣeyiɣi didi kae alɔ̃madɔmadɔ ate ŋu anɔ anyi?
Zi geɖe la, alɔ̃madɔmadɔ ƒe dzesiwo nɔa anyi tso sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ʋɛ aɖewo, eye aɖabaƒoƒo 15 koe wòxɔna. Ne alɔ̃madɔmadɔ geɖe dzɔ ɖe wo nɔewo yome (esia nye atikewɔwɔ kpata) la, dzesiawo ate ŋu anɔ anyi eteƒe nadidi.Nukae nye alɔ̃dɔdɔ ƒe mɔkpɔkpɔ?
Esi wònye be amesiame ƒe alɔ̃dɔdɔ ƒe nuteƒekpɔkpɔ to vovo ta la, nukpɔsusua ate ŋu ato vovo ŋutɔ. Wò nukpɔsusu ate ŋu anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye:- Èke ɖe susu aɖe ŋua?
- Ðe woate ŋu akpɔ nusi gbɔ wòtso ma gbɔ alo adaea?
- Alɔ̃madɔmadɔ ka ƒomevie dze ŋuwò?
- Aleke gbegbee alɔ̃dɔdɔa nu sẽe eye ɣeyiɣi didi kae wòxɔ?
- Ðe esia nye wò alɔ̃dɔdɔ zi gbãtɔa?
- Ðe atikewɔwɔ me dɔléle aɖe le ŋuwò si ƒe dzesiwo nyea alɔ̃madɔmadɔa?
- Atikewɔwɔ kawoe li siwo akpe ɖe ame ŋu woakpɔ alɔ̃madɔmadɔ sia ƒomevi gbɔ?
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne alɔ̃madɔmadɔ dze dziwò zi gbãtɔ le wò agbe me, alo ne ètsi dzodzodzoe eye mènya nusi gbɔ wòtso o la, ele be nàyi xɔ si me wowɔa dɔ kpata le godoo. Ne wò ɖeka koe li eye nèsusu be zi gbãtɔe nye ema ye le alɔ̃madɔmadɔ lém la, ele be nàkpɔ ɖɔkta alo aƒo nu kplii enumake. Ne alɔ̃madɔmadɔ dze dziwò kpɔ la, ele vevie be nànɔ ŋudzɔ ɖe alɔ̃dɔdɔ bubu ŋu. Ne èdze alɔ̃ zi evelia la, ele vevie ŋutɔ be nàkpɔ ɖɔkta kaba ale si nàte ŋui.Alɔ̃madɔmadɔ nana tɔtrɔwo vaa wò ahɔhɔ̃ me, si wɔnɛ be alɔ̃madɔmadɔ geɖe wu nɔa ŋuwò. Eyata anyo wu be woakpɔ dɔlélea ahadae kaba. Le amesi ƒe alɔ̃dɔdɔ enuenu gome la, ɖewohĩ mahiã be woayɔ dɔnɔdzikpɔʋu le alɔ̃madɔmadɔ megbe o. Gake ne ènya nusitae wòxɔ abi gɔ̃ hã la, ɖewohĩ èxɔ abi si hiã be woakpɔ egbɔ.Nya kawoe wòle be mabia ɖɔktaa?
Ne alɔ̃madɔmadɔ le ŋuwò la, àte ŋu abia wò ɖɔkta nya siawo abe esiawo ene:- Nukatae alɔ̃madɔmadɔ sia va dze dzinye?
- Aleke mawɔ aƒo asa na `(Triggers)`?
- Atikewɔwɔ ka ƒomevie nèkafu?
- Ðe atikewɔwɔ ma ƒe nugbegblẽ le ame ŋu aɖewoa?
- Ðe alɔ̃madɔmadɔ agadze ŋunyea?
- Aleke mawɔ akpɔ ɖokuinye ta?
Alɔ̃madɔmadɔ ƒomevi kawoe gblẽa nu le ɖeviwo ŋu?
Ðeviwo hã ate ŋu axɔ alɔ̃dɔdɔ. Nu mawo ke siwo hea alɔ̃dɔdɔ vɛ na ame tsitsiwo hã gblẽa nu le ɖeviwo ŋu zi geɖe. Alɔ̃madɔmadɔ kple alɔ̃madɔmadɔ ƒomevi siwo wokpɔna le ɖevime dometɔ aɖewoe nye:- Absence seizures (ɖevimenɔɣi ƒe absence epilepsy).
- Aɖuɖɔtoedɔ le ɖeviwo ŋu.
- Febrile seizures (alɔ̃madɔmadɔ si dzɔna ne asrãa dzi ɖe edzi).
- Vidzĩwo ƒe ʋuʋudedi.
- Ðeviwo ƒe myoclonic epilepsy.
- Lennox-Gastaut ƒe dɔlélea.
- Tonic-clonic ƒe alɔ̃madɔmadɔ.
Ðe wòle dedie be mafɔ fu ne alɔ̃madɔmadɔ le ŋunyea?
Ẽ, àte ŋu afɔ fu dedie ne alɔ̃madɔmadɔ le ŋuwò. Gake wò ɖɔkta ate ŋu aɖo aɖaŋu be nàdo wò kpɔ edziedzi be nàlé ŋku ɖe wò kple viwòa ƒe lãmesẽ ŋu. Atike aɖewo siwo tsia alɔ̃madɔmadɔ nu mele dedie le fufɔɣi o. Eyata wò ɖɔkta aɖo aɖaŋu na wò be nàzã atike bubu siwo le dedie wu be wòakpe ɖe ŋuwò nàɖu wò dzesiwo dzi. Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò la, wò ɖɔktae nye ame nyuitɔ si nàƒo nu kplii. Alɔ̃madɔmadɔ adze abe nudzɔdzɔ wɔdɔɖeamedzi siwo nèkpɔna le television dzi alo sinimawo me ene, gake ate ŋu anye nusi wò alo wò lɔlɔ̃tɔ aɖe tona gbesiagbe alo zi geɖe. Woƒe kpɔkpɔ mevivina o eye wo kpɔkpɔ doa vɔvɔ̃ na ame wu. Àte ŋu ase le ɖokuiwò me be yeƒe lãme mekɔ o do ŋgɔ na alɔ̃dɔdɔ, le ewɔɣi, kple emegbe, eye ate ŋu axɔ ɣeyiɣi hafi nàhaya. Ne màte ŋu aɖu wò alɔ̃dɔdɔ dzi o hã la, ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ. Wò ɖɔkta afia mɔ siwo dzi nàto akpɔ wò dɔlélea gbɔ, alo ade dzesi nusiwo aʋã wò ahaƒo asa na wo. Atikewo ate ŋu akpe ɖe ame ŋu wòaɖe alɔ̃madɔmadɔ dzi akpɔtɔ, eye amekoko ate ŋu anye tiatia ne atikewɔwɔ bubuwo mewɔ dɔ o.Ne nyabiase aɖewo le asiwò ku ɖe nusi nàkpɔ mɔ na ne alɔ̃dɔdɔ le ŋuwò, alo alesi nàkpɔ ɖokuiwò alo wò lɔlɔ̃tɔ aɖe tae ŋu la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi o.
Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme
Enyo, eyata míeƒo nu geɖe tso alɔ̃madɔmadɔ ŋu egbea. Nu vevi siwo dzi wòle be woaɖo ŋkui dometɔ aɖewoe nye esi:- Alɔ̃madɔmadɔ nye elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o le ahɔhɔ̃a me. Menye alɔ̃madɔmadɔ katãe sɔ o, eye dzesiawo hã toa vovo.
- Susu geɖewo ate ŋu anɔ eme. Wo dometɔ aɖewo nye esiwo nɔa anyi ɣeyiɣi kpui aɖe, evɔ bubuwo ya tsoa atikewɔwɔ me nɔnɔme siwo le wo me gbɔ.
- Ne alɔ̃madɔmadɔ aɖe dze dziwò alo wò susu meganɔ dɔ wɔm o zi gbãtɔ la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Ne alɔ̃madɔmadɔ le ŋuwò enuenu la, ƒo nu kple wò ɖɔkta be nàwɔ ɖoɖo ɖe atikewɔwɔ kple edzikpɔkpɔ ŋu. Ele vevie ŋutɔ be nàzã wò atikewo nyuie.
- De dzesi `(Triggers)` eye nàdze agbagba aƒo asa na wo.
- Menye wò ɖeka koe o. Ne nɔnɔme sia le nuteɖeamedzi me tom na wò la, ƒo nu tso eŋu na wò ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola .
` Alɔ̃madɔmadɔ, Taɖuame, Ahɔhɔ̃medɔlélewo, Ahɔhɔ̃mekawo ƒe Dɔlélewo, Alɔ̃madɔmadɔ ƒe Dzesiwo, Alɔ̃madɔmadɔ ƒe Atikewɔwɔ











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