Bu eŋu kpɔ be, vuvɔ fafɛ aɖe le viwòa ŋu ŋkeke eve alo etɔ̃ eye fifia eƒe lãme sẽ vie. Gake kasia, tsɔ kpe ɖe asrãa ŋu la, ɖevia ƒe nuwɔna trɔna, esesẽna nɛ be wòazɔ , eye eƒe nyawo me mekɔna ne ele nu ƒom. Enye nusi sɔ ŋutɔ be vidada alo vifofo ɖesiaɖe navɔ̃ ne ekpɔ nane si le abe esia ene. ADEM, si nye dɔléle si mebɔ o gake wòsẽa ŋu si ate ŋu ahe dzesi siawo tɔgbe vɛ lae nye nusi ŋu míele nu ƒom tsoe egbea.
Nuka tututue nye ADEM?
Kpuie ko la, ADEM (Acute Disseminated Encephalomyelitis) nye dɔdzẽ ƒe dɔléle si mebɔ o si gblẽa nu le ahɔhɔ̃ kple aklã ŋu. Le Sinhalagbe me la, woate ŋu ayɔe be acute disseminated encephalomyelitis, gake esi nya mawo sesẽ vie ta la, míazã ŋkɔ ADEM. Ðeviwo mee wokpɔa nɔnɔme sia le wu.
Míaƒe lãmekawo le abe elektrikkawo ene. Ametakpɔnu aɖe le lãmeka siawo ŋu ƒo xlã wo. Míeyɔa esia be myelin . Ele abe aŋekotoku si le elektrikka dzi ene. Myelin-kplo siae nana lãmekawo ƒe gbedasiwo zɔna kabakaba hewɔa nu pɛpɛpɛ. Le ADEM me la, míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea myelin-kplu sia dzi vodadatɔe hegblẽa nu le eŋu. Esia gblẽa lãmekawo ƒe gbedasiwo ƒe kaka ɖe ahɔhɔ̃a kple aklã me.
Togbɔ be dzesiawo ate ŋu asẽ hã la, nu nyuitɔ kekeakee nye be atike li nɛ eye ame akpa gãtɔ hayana bliboe .
Nukae nye ADEM ƒe dzesiwo?
ADEM ƒe dzesiwo ate ŋu ava kpata eye woagblẽ ɖe edzi kabakaba. Ðevi ate ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema.
Vevietɔ: Ne dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema va dze viwòa dzi zi ɖeka, vevietɔ ne edze alɔ̃dɔdɔ alo alɔ̃madɔmadɔ la, kplɔe yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
| Dzesiwo ƒe hatsotso | Nusiwo woakpɔ |
|---|---|
| Nusiwo bɔ | Asrã, taɖuame, alɔ̃dɔdɔ fũ akpa. |
| Nuwɔna ƒe tɔtrɔ | Dzikudodo le susu aɖeke manɔmee, sese le eɖokui me be yeƒe dzi gbã, tɔtɔ. |
| Ŋutilã me vevesese | Aɖuɖɔtoe kple ʋuʋudedi, lãmekawo ƒe gbɔdzɔgbɔdzɔ, dadasɔ ƒe anyimanɔmanɔ ne wole zɔzɔm. |
| Nɔnɔme siwo do ƒome kple lãmekawo ƒe dɔwɔwɔ | Nukpɔkpɔ ƒe kuxiwo (nukpɔkpɔ zi eve, nukpɔkpɔ si me mekɔ o), nuƒoƒo ƒe kuxi, lãmetutudɔ alo lãmetutudɔ le ŋutilã ƒe akpa ɖeka. |
| Dɔléle sesẽwo | Alɔ̃madɔmadɔ, alɔ̃madɔmadɔ. |
Nusiwo gbɔ ADEM xɔxɔ tsona kple afɔku siwo le eme
Ðɔktawo xɔe se be ADEM nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Esia fia be míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbevi kple lãkusi siwo le lãmesẽ me dzi vodadatɔe. Ele abe mía ŋutɔwo ƒe aʋakɔ si le mía ŋutɔwo míaƒe dukɔ dzi dzem ene.
Womenya nusi tututu gbɔ dɔlélenutsiŋutete ƒe dɔléle sia tso haɖe o, gake zi geɖe la, edzɔna ne ɖevi haya tso dɔlékui aɖe si bɔ, abe dzamezã, dzamezã, alo dɔgbo ƒe veve ene me .
Ƒã ŋutɔ hafi wogblɔa ADEM ŋu nya le atike aɖewo xɔxɔ vɔ megbe. Gake numekukuwo meɖo kpe edzi haɖe be kadodo aɖeke mele atikewɔmɔnuwo kple ADEM dome tẽ o. Ɣeaɖewoɣi la, dzesi siawo ate ŋu ado mo ɖa le susu aɖeke manɔmee.
Nukawoe nye afɔku siwo le eme?
- Ƒe: ADEM dɔnɔ siwo wu 80% nye ɖevi siwo mexɔ ƒe 10 haɖe o. Susu mamlɛawo nye ɖevi tsitsiwo.
- Ŋutsu alo nyɔnu nyenye: Ŋutsuviwo ate ŋu axɔe vie wu nyɔnuviwo.
- Yame ƒe nɔnɔme: Le dukɔ aɖewo me la, dɔlélea bɔ ɖe dzomeŋɔli kple kele me wu.
Vovototo kae le ADEM kple MS (Multiple Sclerosis) dome?
Dɔléle bubu si ƒe dzesiwo sɔ kple ADEM tɔe nyeDɔléle si nye Multiple Sclerosis (MS) ƒe dɔléle. Dɔléle eveawo siaa gblẽa nu le myelin ƒe akɔta. Esia wɔe be woate ŋu akpɔ dzesiwo abe lãmekawo ƒe gbɔdzɔgbɔdzɔ, lãmekawo ƒe ʋuʋu, kple ŋku ƒe kuxiwo le wo ame evea siaa ŋu. Gake vovototo siwo dze ƒã le wo ame evea dome.
| Memanu | ADEM ƒe nɔnɔme | MS (Multiple Sclerosis) ƒe nɔnɔme |
|---|---|---|
| Ƒe si woxɔna zi geɖe wu | Ebɔ ɖe ɖeviwo dome. | Ƒã ŋutɔ le ɖeviwo me. Ebɔ ɖe ame tsitsiwo me. |
| Nɔnɔme siwo dzena le gɔmedzedzea me | Dzesiwo abe asrã, taɖuame, asrãdɔ, kple ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ ene bɔ. | Ƒã hafi wokpɔa nɔnɔme siawo. |
| Nɔnɔme si nɔ anyi do ŋgɔ na dɔlélea xɔxɔ | Zi geɖe la, edzɔna le dɔlékui ƒe dɔléle si bɔ megbe. | Kadodo si me kɔ alea meli o. |
| Dɔlélea ƒe gbugbɔgadzɔ | Zi geɖe (anɔ abe 80%) zi ɖeka koe wòdzɔna . | Dzesiawo dzena ɣeaɖewoɣi le ɣeyiɣi aɖe megbe. |
Aleke wowɔna dea dzesi ADEM?
Dodokpɔ ɖeka aɖeke meli si woatsɔ anya ADEM o. Wò ɖɔkta alé ŋku ɖe wò dzesiwo ŋu nyuie eye wòadze agbagba be yeaɖe nɔnɔme bubu siwo me dzesi mawo tɔgbe le la ɖa. Wozãa dodokpɔ vevi eve tsɔ wɔa esia.
1. MRI-dɔdamɔnu:Dodokpɔ si me wozãa magnet-ŋusẽ kple radio-ƒutsotsoewo tsɔ wɔa ahɔhɔ̃ kple aklã ƒe nɔnɔmetata tsitotsito. Ahɔhɔ̃ ƒe gbegblẽ si wokpɔna le ADEM me to vovo na nusiwo wokpɔna le MS me. Le ADEM me la, nusiwo gblẽ ate ŋu akeke ta wu.
2. Akɔta ƒe Ʋuʋu: Esia bia be woazã aŋe sue aɖe ŋutɔ atsɔ aɖe ahɔhɔ̃metsi sue aɖe tso akɔta me ahadoe kpɔ. Le ADEM me la, ʋumenugbagbevi ɣiwo ate ŋu adzi ɖe edzi le tsia me. Womekpɔa protein siwo wokpɔna le MS me dometɔ aɖewo le ADEM me o.
Dodokpɔ siawo ate ŋu aɖe ahɔhɔ̃medɔlélewo abe taɖuame ene hã ɖa.
Nukawoe nye atike siwo wozãna na ADEM?
Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖu dɔdzẽ si le ahɔhɔ̃ kple aklã me dzi kaba eye woatɔ te dɔlélenutsiŋutete ƒe amedzidzedze vodadatɔe. Esia bia be woaxɔ ɖevia ɖe kɔdzi kwasiɖa ɖeka alo eve.
- Corticosteroids: Ame akpa gãtɔ dzea atikewɔwɔ gɔme kple steroid agbɔsɔsɔme si wodona ɖe ʋuka me (IV). Esia ate ŋu akpe ɖe viwòa ŋu wòase le eɖokui me be yeƒe lãme sẽ le gaƒoƒo ʋɛ aɖewo ko me. Le ŋkeke ʋɛ aɖewo megbe la, woaɖe atikeawo dzi akpɔtɔ vivivi wòazu atikekui alo tsinyegoe le kwasiɖa geɖe me.
- Dɔdamɔnu bubuwo: Ne steroid-tikewo mesɔ na ɖevia o alo womewɔa dɔ o la, atike bubu aɖewo li siwo naa dɔlélenutsiŋutete ƒe dɔwɔwɔ fa.
- Plasmapheresis: Le esia me la, mɔ̃ aɖe xɔa ɖevia ƒe ʋu, ɖea dɔlékuiwutike siwo gblẽa nu le ame ŋu la ɖa, eye wòtrɔa ʋu si ŋu wokɔ la yia ŋutilãa me.
- Intravenous Immunoglobulin (IVIG): Wotsɔa dɔlékuiwutike siwo wokpɔna tso ame siwo le lãmesẽ me gbɔ naa ɖevia to ʋuka aɖe si kpɔa ɖevia ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi.
Ne ɖevia do le kɔdzi vɔ la, ate ŋu ahiã be woawɔ kamedede, dɔwɔɖui, alo nuƒoƒo ƒe atikewɔwɔ.
Aleke nukpɔsusua le?
Esiae nye nu vevitɔ kekeake. Ðevi siwo ŋu ADEM le ƒe akpa gãtɔ hayana keŋkeŋ. Gake hayahaya ƒe ɖoɖo sia ate ŋu anye blewu. Ate ŋu axɔ kwasiɖa 4-6 alo ƒe ɖeka gɔ̃ hã hafi wòahaya keŋkeŋ.
Ɣeaɖewoɣi la, ɖeviwo mate ŋu ahaya tso dzesiawo katã me o. Ðewohĩ nuwo abe ŋku ƒe kuxiwo alo lãmekawo ƒe gbɔdzɔgbɔdzɔ ene ayi edzi anɔ wo ŋu. Sukudede hã ate ŋu akpɔ ŋusẽ ɖe edzi.
Zi geɖe (zi 8 le zi 10 me) zi ɖeka koe ADEM dzɔna. Gake ƒã hafi wòagate ŋu adzɔ le ɣleti ʋɛ aɖewo megbe. Le go siwo mebɔ kura o me la, ɖevi si ŋu ADEM le ate ŋu axɔ MS emegbe. Le dɔléle siwo mede 2% o me la, ADEM ate ŋu awu ame. Esia tae wòle vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dɔlélea ƒe dzesiwo nya dze ko.
Gbedasi si Wotsɔ Yi Aƒeme
- ADEM nye dɔléle sesẽ aɖe si woate ŋu ada, si gblẽa nu le ɖeviwo ƒe ahɔhɔ̃ kple aklã ŋu.
- Ne èkpɔ dzesiwo abe asrã, nuwɔna ƒe tɔtrɔ, kple azɔlizɔzɔ sesẽ, siwo kplɔa dɔlékui ƒe dzoxɔxɔ si bɔ ɖo zi geɖe la, yi ɖɔkta gbɔ kaba.
- Esia to vovo na MS (Multiple Sclerosis), afisi zi ɖeka koe ADEM dzɔna le.
- Ne wowɔ atike na ɖevi akpa gãtɔ nyuie la, woate ŋu ahaya bliboe, gake dɔyɔyɔa ate ŋu axɔ ɣeyiɣi.
- Ne ède dzesi dzesi sesẽwo abe alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ ene la, kplɔ ɖevia yi kɔdzi ƒe Atikewɔwɔ Kpata (ETU) enumake.
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