Ðe wò nukpɔkpɔ bu zi ɖeka eye wògakpɔe akea? Mina míasrɔ̃ nu tso (Amaurosis Fugax) ŋua?

Ðe ŋku ɖeka, alo ɖewohĩ ŋku evea siaa, ƒe nukpɔkpɔ bu zi ɖeka hena ɣeyiɣi kpui aɖe, eye emegbe wògakpɔe le aɖabaƒoƒo ʋɛ aɖewo me kpɔa? Ate ŋu anye nuteƒekpɔkpɔ dziŋɔ aɖe, abe ɖe xɔmetsovɔ yibɔ aɖe ge ɖe ŋkuwòme ene, alo ame aɖe le xɔmetsovɔ hem tso axadzi ene. Egbea míele nu ƒom tso ɣeyiɣi kpui aɖe ƒe nukpɔkpɔ ƒe bublu sia ƒomevi ŋu.

Nukae nye Amaurosis Fugax?

Kpuie ko la, `(Amaurosis Fugax)` sia fia be wò nukpɔkpɔ bu le ŋku ɖeka me, alo ɣeaɖewoɣi ŋku eveawo siaa, hena ɣeyiɣi aɖe, si fia be ɣeyiɣi kpui aɖe. Gake mèsea veve aɖeke le esia me o. Nusitae nye be ʋu si sina yia ŋkume , si nye lãmenugbagbevi siwo le ŋkua ƒe megbe si ɖoa dzesiwo ɖe ahɔhɔ̃a ku ɖe nusi míekpɔna ŋu la, tɔa te hena ɣeyiɣi aɖe eye wòtɔa te. Tsɔe be míaƒe ŋku le abe fotoɖemɔ̃ ene, eye ŋkumekpɔnu sia wɔa dɔ abe eƒe film ene. Emegbe ne ʋua mete ŋu sina yia egbɔ nyuie o la, nɔnɔmetataawo dzudzɔna kpɔkpɔ hena ɣeyiɣi aɖe.

Woɖe ŋkɔ ``Amaurosis Fugax'' tso Helagbe me nya ``amaurosis'' si gɔmee nye 'viviti'' kple Latingbe me nya ``fugax'' si gɔmee nye 'ɣeyiɣi kpui aɖe'' alo 'hena ɣeyiɣi kpui aɖe''. Abe alesi ŋkɔa ɖee fia ene la, zi geɖe la, nukpɔkpɔ ƒe bublu sia nɔa anyi tso sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ʋɛ aɖewo . Ɣeaɖewoɣi la, nukpɔkpɔ ate ŋu abu keŋkeŋ, alo eƒe akpa aɖe koe ate ŋu agbã.

Ðɔktawo yɔa nɔnɔme sia ɣeaɖewoɣi be `ŋku ɖeka ƒe ŋkumaʋumaʋu ɣeyiɣi kpui aɖe`, `ŋku ɖeka ƒe nukpɔkpɔ ƒe bu ɣeyiɣi kpui aɖe`, alo `ŋku eve ƒe nukpɔkpɔ ƒe bu ɣeyiɣi kpui aɖe`. Ema fia `nukpɔkpɔ ƒe bu le ŋku ɖeka me hena ɣeyiɣi aɖe` alo `nukpɔkpɔ ƒe bu le ŋku eveawo me hena ɣeyiɣi aɖe`.

Togbɔ be nusiwo gbɔ ŋkudɔ sia ƒomevi tsona dometɔ aɖewo ate ŋu anɔ sue hã la, bubuwo ate ŋu anye nɔnɔme sesẽ siwo hiã be woalé ŋku ɖe wo ŋu vevie . Wò ŋkudɔdala akpe ɖe ŋuwò nànya nusi tututu gbɔ wòtso. Ema ko hafi nàte ŋu adze atikewɔwɔ nyuitɔ gɔme.

Nu vevitɔe nye be nàɖo ŋku edzi be ne wò ŋku bu zi ɖeka le susu aɖe ta la, ke enye nusi dzɔ kpata eye ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nukae nye esia ƒe dzesiwo?

Ne `(Amaurosis Fugax)` le ŋuwò la, dzesi vevitɔe nye viviti dodo kpata, vevesese aɖeke manɔmee, blukɔ, alo ŋku ƒe nukpɔkpɔ keŋkeŋ le wò ŋku ƒe akpa aɖe me. Le ame aɖewo gome la, esia sena le eɖokui me abe xɔmetsovɔ si le gegem tso dziƒo alo xɔmetsovɔ hem le ŋkume ene. Ate ŋu anye nuteƒekpɔkpɔ si sɔ kple xɔmetsovɔa tutu le fefe aɖe me.

Bu eŋu kpɔ, esime Nilanthi nɔ eƒe ŋdi tii nom la, kasia xɔmetsovɔ yibɔ aɖe ge ɖe eƒe ɖusiŋku ŋkume. Mete ŋu kpɔ naneke o abe aɖabaƒoƒo ɖeka ene. Vɔvɔ̃ ɖoe ŋutɔ. Gake le ɣeyiɣi aɖe megbe la, egate ŋu kpɔ nu ake. Esia nye `(Amaurosis Fugax)` ƒe nɔnɔme.

Abe alesi ŋkɔa ɖee fia ene la, ɣeyiɣi kpui aɖe koe esia nye.. Ema fia be anyo ɖe edzi le eɖokui si le ɣeyiɣi aɖe megbe, eye wò ŋutega agatrɔ ava. Ke hã, esia ate ŋu adzɔ wu zi ɖeka. Eyata ɖo ŋku edzi be nukpɔkpɔ ƒe bu kpata, eɖanye vevesese alo mele eme o, nye nusi wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Elabena susu vevi aɖe ate ŋu anɔ megbe na esia.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nu vevitɔ si gbɔ `(Amaurosis Fugax)` tsona enye, abe alesi míeƒo nu tso eŋu xoxo ene la, ʋuka aɖe si naa ʋu yia ŋkume ƒe ŋkume ƒe akpa si le ŋkua me la va xena le susu aɖewo ta. Nu vevitɔe nye be nànya nusi tututu gbɔ mɔxenu sia tso. Ema ko hafi wò ɖɔkta ate ŋu atso nya me le atikewɔwɔ nyuitɔ ŋu.

Susu geɖewo li siwo ate ŋu ana ŋku ƒe ʋukawo naxe:

• Ʋu ƒe sisi: Ʋu si dona le ŋutilãa ƒe akpa bubuwo ate ŋu agbã eye wòatsi ʋuka sue aɖe si naa ʋu yia ŋkua me la me.
• Plaque si tso Atherosclerosis gbɔ: Ɣeaɖewoɣi la, ami siwo le míaƒe ʋuka gãwo ƒe gliwo me ƒoa ke ɖe to (nɔnɔme si woyɔna be atherosclerosis). Kpe sia ƒe akpa sue aɖe ate ŋu agbã eye wòatsi ʋuka me, abe alesi ɖiƒoƒo kakɛ aɖe tsi pɔmpi me ene.
• Wò ŋku ƒe lãmeka ƒe dɔdzẽ: Dɔlékui alo dɔdzẽ si le ŋkume ƒe lãmeka si tsɔa gbedasiwo tso ŋkua gbɔ yia ahɔhɔ̃a me (abe ŋkume ƒe dɔléle ene) hã ate ŋu ana ame nakpɔ nu nyuie hena ɣeyiɣi aɖe.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta akpɔe hã be nɔnɔme bubu aɖewo le ŋuwò si ate ŋu anye ``Amaurosis Fugax'' ƒe dzesi.

• Transient Ischemic Attack (TIA): Esia le abe ʋusɔgbɔdɔ sue aɖe ene. Ʋu si sina yia ahɔhɔ̃a me la nu tsona hena ɣeyiɣi kpui aɖe eye emegbe wògatrɔna va nɔa nɔnɔme si sɔ me. Esia ate ŋu anye nuxlɔ̃amedzesi be ʋusɔgbɔdɔ si lolo wu gbɔna.
• Ʋusɔgbɔdɔ: Nɔnɔme sesẽ aɖe si dzɔna ne wotso ʋu si yia ahɔhɔ̃a ƒe akpa aɖe me keŋkeŋ.
• Lãmenugbagbevi Gãwo ƒe Ʋukawo ƒe Dɔléle: Wogayɔnae be Temporal Arteritis, esia nye dɔléle si nana ʋuka gã kple titina siwo le ta kple kɔ me vuvuna eye woxɔa abi. Ate ŋu akpɔ ŋusẽ ɖe ʋuka siwo naa ʋu ŋkuwo hã dzi.
• Ŋku ƒe Ahɔhɔ̃mekawo ƒe Dɔléle: Ŋku ƒe lãkusi ƒe vuvu alo dɔdzẽ.
• Multiple Sclerosis (MS): Esia nye dɔléle si gblẽa nu le lãmekawo ŋu.
• Ta ƒe abixɔxɔ (Traumatic Brain Injury - TBI): Nukpɔkpɔ ƒe kuxi siawo ƒomevi ateŋu adzɔ ɣeaɖewoɣi le ta ƒe abixɔxɔ megbe.

Amekae le afɔku me wu?

Afɔku geɖewo li siwo ateŋu awɔ akpa aɖe le `(Amaurosis Fugax)` ƒe dzɔdzɔ me. Esiawo dometɔ aɖewo nye nusiwo woate ŋu atrɔ, gake bubuwo ya nye nusiwo womate ŋu atrɔ o. Wo dometɔ aɖewoe nye esi:

• Carotid Artery Stenosis: Ne ami siwo le ʋuka me xe mɔ na ʋuka vevitɔ (carotid artery) si tsɔa ʋu tso kɔ ƒe akpa eveawo yia ahɔhɔ̃a me.
• Ʋusɔgbɔdɔ (Hypertension): Esiae nye nusi ʋusɔgbɔdɔ fia.
• Ʋumemi ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me (Hypercholesterolemia): Lãmetsi gbegblẽ ƒe agbɔsɔsɔ si le ʋu me dzina ɖe edzi.
• Sigaretnono: Esia nye nusi hea dɔléle geɖe vɛ.
• Ne `(TIA)` aɖe nɔ asiwò va yi.
• Suklidɔ: Wogayɔnae be suklidɔ.
• Dzidɔ: Afɔku sia lolo wu na amesiwo ŋu dzidɔ le hã.
• Cocaine zazã.
• Ahanono fũu akpa (`Ahanono ƒe kuxi`).
• Ƒe 50 alo esi wu nenema: Dɔléle aɖewo xɔxɔ ƒe afɔkua dzina ɖe edzi ne ame tsi.

Abe alesi nàte ŋu akpɔe ene la, afɔku siawo dometɔ geɖe do ƒome kple nɔnɔmewo abe dzidɔ kple ʋusɔgbɔdɔ ene hã, eyata ele vevie be nànya nusiawo.

Ðe esia ate ŋu anye afɔkua? Nukawoe nye kuxi siwo dona tso eme?

Ẽ, le nusi gbɔ nukpɔkpɔ ƒe bu hena ɣeyiɣi aɖe si woyɔna be `(Amaurosis Fugax)` , nu la, kuxi siwo ateŋu ado tso esia me ateŋu alolo ŋutɔ. Vevietɔ ne enye ŋgɔdonya na `(Stroke)` alo `(dzitodzito me nudzɔdzɔ`) la, ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Esia tae míegblɔna be ne wò ŋku bu zi ɖeka la , mègaŋe aɖaba ƒu edzi kura o, eye nàkpɔ ɖɔkta enumake . Ne wokpɔ nusi gbɔ wòtso kaba la, woate ŋu axe mɔ ɖe kuxi sesẽwo nu vaseɖe afi aɖe.

Aleke ɖɔktawo dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò atikewɔwɔ ŋutinya kple dzesi siwo nɔ fu ɖem na wò ŋu. Emegbe, woawɔ ŋkudɔ bliboe. Ele vevie hã be nànya ne atikewɔwɔ me dɔléle bubu aɖewo, abe ʋusɔgbɔdɔ alo dzidɔ ene, le ŋuwò.

Nukawoe nye dodokpɔawo?

Ne wò ɖɔkta susu be `(Amaurosis Fugax)` le ŋuwò la, ate ŋu adɔ dodokpɔ vovovo geɖe. Esiawo ƒe akpa gãtɔ nye dodokpɔ siwo ku ɖe wò `ʋukawo ƒe lãmesẽ` ŋu. Alesi woƒe dzedzeme le enye si:

• Ŋutilãmedodokpɔ: Atikewɔlawo ƒe dodokpɔ si wowɔna le afisiafi.
• Ʋudodokpɔ:
• Ʋu Xexlẽme Blibo (CBC) .
• Sukli ƒe agbɔsɔsɔ le ʋu me (`ʋume sukli dodokpɔ`) .
• Kpɔ nuwo abe ʋu ƒe sisi ƒe ɣeyiɣiwo ene ɖa.
• Wò ʋukawo ƒe nɔnɔmetata dodokpɔwo:
• Ultrasound scans (`Ultrasounds`): Wozãa esiawo tsɔ léa ŋku ɖe carotid ʋukawo ƒe nɔnɔme ŋu, vevietɔ le kɔ me.
• MRI ƒe fotoɖeɖe (`Magnetic Resonance Imaging - MRI`):Woate ŋu aɖe ahɔhɔ̃a kple ʋukawo ƒe nɔnɔmetata tsitotsito.
• CT scan (`Computed Tomography - CT`): Esia ateŋu aɖe ahɔhɔ̃ kple ʋukawo hã ƒe foto.
• ECG dodokpɔ (`An electrocardiogram`): Eléa ŋku ɖe dzia ƒe dɔwɔwɔ ŋu.
• Holter monitor testing: Mɔ̃ si léa ŋku ɖe dzi ƒe tsotso ŋu gaƒoƒo 24 alo esi wu nenema.
• C-reactive protein (CRP) dodokpɔ: Eléa ŋku ɖe eŋu be dɔdzẽ le ŋutilãa me hã.
• Erythrocyte sedimentation rate (ESR) dodokpɔ: Esia ate ŋu ana woakpɔ dɔléle ƒe nɔnɔmewo hã.

Nukae nye esia ƒe atikewɔwɔ?

Atikewɔwɔ na `(Amaurosis Fugax)` nɔ te ɖe nusi gbɔ wòtso dzi. Nusiwo gbɔ wòtsona míeƒo nu tsoe va yi dometɔ aɖewo, abe `(Stroke),` ene hiã be woawɔ atike na wo enumake. Ne nɔnɔme bubu aɖe gbɔe wòtso, abe `(Giant Cell Arteritis) ene la, ekema atikewɔwɔ tɔxɛ aɖewo li na nɔnɔme ma.

Kpuie ko la, `(Amaurosis Fugax)` nye dzesi aɖe. Eyata dɔléle si gbɔ wòtso si he dzesi ma vɛ lae atikewɔwɔa nye. Le kpɔɖeŋu me:

• Ne nusi gbɔ wòtsoe nye ʋu ƒe sisi , woate ŋu ana ʋumenugbagbeviɣitikewo (abe aspirin ene).
• Ne ʋuka si me ʋu sina tona la xaxa vevie (Carotid Artery Stenosis) , la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ nɛ (Carotid Endarterectomy) alo woade ʋuka si me ʋu sina tona la eme.
• Ne enye dɔléle si naa dɔdzẽ abe `Giant Cell Arteritis` ene la, woate ŋu ana atike siwo tsia dɔdzẽ nu abe `steroids` ene.

Eyata nu vevitɔ kekeakee nye be nàdi nusi gbɔ wòtso kaba eye nàdze atikewɔwɔ si sɔ gɔme.

Nukae mate ŋu akpɔ mɔ na le nɔnɔme sia me?

Wò nukpɔsusu na `(Amaurosis Fugax)` hã ​​nɔ te ɖe nusi gbɔ wòtso dzi. Ne enye nɔnɔme sesẽ aɖe abe `(Stroke),` ene la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

``(Amaurosis Fugax)`` nye, abe alesi ŋkɔa ɖee fia ene la, ɣeyiɣi kpui aɖe ƒe nɔnɔme. Esia fia be nukpɔkpɔ ƒe bublua akpɔ egbɔ le eɖokui si le ɣeyiɣi aɖe megbe. Gake ne atikewɔwɔ me nɔnɔme aɖewo li siwo gbɔ wòtso la, ahiã be woawɔ atike na wo ahakpɔ wo gbɔ.

Le kpɔɖeŋu me, ne dɔléle aɖe abe `Giant Cell Arteritis` alo `Multiple Sclerosis (MS)` le ŋuwò la, ele be nàwɔ ɖe atikewɔwɔ si wò ɖɔkta kafu na dɔléle mawo dzi pɛpɛpɛ. Ne woda dɔléle si le ete la, woaɖu dzesi `(Amaurosis Fugax)` hã ​​dzi.

Ðe woate ŋu axe mɔ ɖe Amaurosis Fugax nua?

Nublanuitɔe la, mɔ aɖeke meli si dzi woato axe mɔ ɖe `(Amaurosis Fugax)` nu keŋkeŋ o. Gake àte ŋu aɖe afɔku si le eme be nàxɔ dɔléle sia dzi akpɔtɔ ne èkpɔ wò lãmesẽ bliboa dzi nyuie.

Aleke mawɔ aɖe afɔkua dzi akpɔtɔ?

Nu siawo ate ŋu akpe ɖe ŋuwò nàɖe afɔku si le `(Amaurosis Fugax) xɔxɔ me dzi akpɔtɔ:

• Dzra nɔnɔme siwo nɔa anyi didi gbɔ: Dzra nɔnɔme siwo li fifia abe ʋusɔgbɔdɔ, suklidɔ, kple ʋumemi ƒe agbɔsɔsɔ ene gbɔ. No wò atikewo abe alesi wò ɖɔkta gblɔe ene.
• Nuɖuɖu si naa lãmesẽ dzi wɔwɔ: Ƒo atikutsetsewo, amagbewo, mɔli, nuku blibowo, lã siwo me ami mele o, kple tɔmelã geɖe wu. Nuɖuɖu siwo naa lãmesẽ siawo dometɔ geɖe le míaƒe nutoa me nuɖuɖu hã me. (Le kpɔɖeŋu me, wogblɔna be Mediterranea-nuɖuɖua naa lãmesẽ.) Ðe nuɖuɖu siwo me ami, sukli, kple dze sɔ gbɔ ɖo dzi kpɔtɔ alesi nàte ŋui.
• Lé kpekpeme si sɔ na wò la me ɖe asi: Dze agbagba nàlé kpekpeme si sɔ ɖe wò kɔkɔme nu me ɖe asi.
• Nɔ kamedede dzi: Wɔ nane abe azɔlizɔzɔ alo kamedede ene aɖabaƒoƒo 30 ya teti gbesiagbe.
• Dzudzɔ atamanono: Ne ènoa atama la, bia kpekpeɖeŋu be nàdzudzɔ.
• Ðe ahanono dzi kpɔtɔ: Ne ènoa aha sesẽ la, anyo wu be nàɖee dzi akpɔtɔ va ɖo agbɔsɔsɔ si seɖoƒe li na ŋutɔ, alo nàdzudzɔe keŋkeŋ.

Ɣekaɣie wòle be makpɔ ɖɔkta le ŋku ƒe kuxiwo ŋu?

Esia le vevie ŋutɔ. Ne wò ŋku bu zi ɖeka, eye vevesese le ŋuwò alo mele veve sem o la, yi atikewɔƒe enumake. Bu eŋu abe nusi dzɔ kpata ene. Mègagblẽ ɣeyiɣi o.

Ne menye nudzɔdzɔ kpatae o hã la, yi ŋkudodokpɔ edziedzi abe alesi wò ɖɔkta kafui ene. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi nɔnɔme aɖewo hafi woadze egɔme.

Nya kawoe wòle be mabia nye ɖɔkta tso Amaurosis Fugax ŋu?

Ne nya aɖe le asiwò ku ɖe esia ŋu la, mègavɔ̃ gbeɖe be yeabia wò ɖɔkta o. Àte ŋu abia nya siawo tɔgbe:

• Ðe nye ``Amaurosis Fugax'' do ƒome kple lãmesẽkuxi bubu aɖea?
• Le gonyeme la, nukae ɖɔktaa buna be enye nusi dzɔ kpata? (i.e., dzesi kawoe wòle be mava enumake ne mexɔ wo?)
• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Nukawoe ate ŋu agblẽ le atikewɔwɔ ma ŋu?
• Ðe nèɖo aɖaŋu be woayi atikewɔla bibi aɖe gbɔ be woawɔ atike nɛa?
• Ðoɖowɔɖi ka dzie wòle be mawɔ ɖo hena ŋkudodokpɔ?

Eyata nu vevi kawoe wòle be míatsɔ ayi aƒemee tso ŋutinya sia me?

Enyo, esiawo nye nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe vaseɖe fifia me.

Ne èbu nu kpuie ŋutɔ gbeɖeka – abe ɖe xɔmetsovɔ aɖe ge ɖe wò ŋkume ene la – ate ŋu anye `(Amaurosis Fugax)`. Ne edzɔ alea, alo kasia wò ŋku megakpɔa nu nyuie o ɣesiaɣi la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Emegbe ɖɔktawo awɔ dɔ kpli wò akpɔ nusi gbɔ `(Amaurosis Fugax)` ƒe nɔnɔmea tso, kple nenye be dɔléle bubu aɖewo siwo do ƒome kplii le ŋuwò.

Zi geɖe la, zi alesi wokpɔ dɔlélea kaba la, zi nenemae woate ŋu adze atikewɔwɔ gɔme kaba, eye zi nenemae emetsonua nyona ɖe edzii.

Eya ta, ne èle veve sem alo mèle veve sem o, mègahe ɖe megbe le kpekpeɖeŋu didi me ne wò ŋku bu zi ɖeka o. Azɔ hã, mègahe ɖe megbe le wò ɖɔkta biabia be wòana numekɔkɔ ye le nyabiase ɖesiaɖe si anɔ asiwò ku ɖe dɔlélea didi kple edada ŋu o. Wò lãmesẽ le vevie na wò ŋutɔ.

` Amaurosis Fugax, nukpɔkpɔ ƒe bu, ŋku ƒe nukpɔkpɔ, ŋku ƒe ŋkume ƒe ʋuʋu, ʋukawo ƒe xexe, TIA, Ʋusɔgbɔdɔ, lãmetutudɔ