Ðe wò ŋutɔ alo viwòa dze anyi zi ɖeka le manyamanya mea? Mina míaƒo nu tso ema (Atonic Seizure) ŋu.

Èkpɔe kpɔa, alo ɖe wòdzɔ ɖe dziwò be ŋusẽ meganɔa ame ŋu zi ɖeka o eye wòdzea anyigba le susu manɔmeea? Nane si le asiwò la dze anyigba, wò ŋkuwo ʋuʋu... Esia dzi ŋɔ vie ŋutɔŋutɔ. Ɣeaɖewoɣi la, aleke gbegbe dzilawo sena le wo ɖokui me ne wokpɔ ɖevi sue aɖe wòle fefem eye wòdze anyi kpata abe ɖe agbe mele eme o ene? Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu. Ema nye alɔ̃madɔmadɔ ƒomevi aɖe si woyɔna be (Atonic Seizure) . Mègatsi dzi o, míaƒo nu tso nusianu ŋu le nya bɔbɔewo me.

Nukae nye esia (Atonic Seizure)?

Kpuie ko la, atonic seizure nye elektrikŋusẽ ƒe dɔwɔwɔ le ahɔhɔ̃a me ƒe bu kpata , si wɔnɛ be lãmeka siwo le míaƒe ŋutilã me megate ŋu ɖua wo ɖokui dzi o, alo lãmekawo ƒe ʋuʋu .

Kpɔe ɖa le susu me be fefewɔvi aɖe le ka ƒom. Puppet la nɔa tsitrenu vaseɖe esime míehe kaawo, alo? Nukae dzɔna ne míeɖe kaawo? Puppet la ƒua du agbemanɔmee, eye wòdzea anyi. Aleae wòle le esia gome. Ne (Atonic Seizure) aɖe dzɔ la, ɖeko wònɔna abe ɖe fefewɔvi la ƒe kawo do ene, eye ŋusẽ megale míaƒe lãmekawo ŋu o, eye míete ŋu tsi tre o. Esia tae míedzea anyigba zi ɖeka ɖo.

Gake esia nye ɣeyiɣi kpui aɖe ƒe nu . Ne alɔ̃madɔmadɔa wu enu ko la, wò lãmekawo agaɖu wo ɖokui dzi ake, eye àte ŋu anɔ tsitre ahazɔ nyuie. Ðɔktawo yɔa esiawo ɣeaɖewoɣi be akinetic seizures , alo ‘ drop seizures ’ alo ‘drop attacks’ , elabena wonana nèdzea anyigba zi ɖeka.

Ne atonic seizures yi edzi le fu ɖem na wò la, wò ɖɔkta agblɔ afɔɖeɖe siwo wòle be nàwɔ atsɔ akpɔ ɖokuiwò ta na wò.

Nukae nye esia ƒe dzesiwo?

Atonic seizure ƒe dzesi vevitɔwoe nye be:

• Àte ŋu abu lãmekawo ƒe ʋuʋu le wò ŋutilã ƒe akpa ɖeka pɛ ko (le kpɔɖeŋu me, wò ta ate ŋu aɖiɖi), alo wò ŋutilã bliboa. Esia fia be kasia wò lãmekawo vuvu eye wogbɔdzɔna . Abe ɖe agbe mele asiwò o ene.
• Ɣeaɖewoɣi la, ame ƒe susu ƒe dɔwɔwɔ ate ŋu abu. Eyae nye be nusiwo le dzɔdzɔm ƒo xlã wò kple nusiwo ƒo xlã wò ŋuti sidzedze bu hena ɣeyiɣi aɖe.

Gake nu vevitɔe nye be ne (atonic seizure) la wu enu la, ŋusẽ gaɖoa wò lãmekawo ŋu.

Ðe (Atonic Seizures) nye afɔkua?

Le nyateƒe me la, afɔku si le abixɔxɔ le atonic seizures me lolo ŋutɔ . Bu eŋu kpɔ, nukae adzɔ ne èle nane wɔm, ɖewohĩ èle fefem kple ɖevi, eye kasia mègate ŋu ɖu wò ŋutilã dzi o? Àte ŋu adze anyi, nane si nèlé ɖe asi ate ŋu adze anyi, wò ŋkuwo ate ŋu atsi. Ne èle nane si nèsusu be ele dedie ŋutɔ wɔm gɔ̃ hã la, nusiwo ate ŋu adzɔ ne kasia mègate ŋu ɖu wò lãmekawo dzi o lae nye esi:

• Lãɖeɖe kple lãɖeɖe
• Abi siwo woxɔna
• Ƒu siwo gbã
• Le nɔnɔme sesẽ aɖewo me la , taɖuame sesẽwo (ahɔhɔ̃ ƒe abi si nu sẽ) ate ŋu adzɔ gɔ̃ hã.

Bu eŋu kpɔ ne nusia dzɔ ɖe dziwò esime nèle zɔzɔm le ablɔdzi, alo esime nèle nu ɖam, alo esime nèbɔbɔ nɔ zikpui dzi, alo esime ɖevi aɖe le fefenu aɖe liam gɔ̃ hã? Ate ŋu adzɔ godoo be woaxɔ abi, alo? Eyata ele be amesiwo ŋu dɔléle sia le naɖɔ ŋu ɖo vevie.

Azɔ hã, afɔku le eme ŋutɔ ne èxɔ alɔ̃dɔdɔ alea esime nèle dɔ si bia be nàlé ŋku ɖe eŋu bliboe, abe ʋukuku alo mɔ̃ sesẽwo zazã ene, wɔm . Elabena ne èbu wò susu hena sɛkɛnd ʋɛ aɖewo gɔ̃ hã la, ate ŋu ahe emetsonu siwo ade wò agbe afɔku me vɛ.

Ɣeyiɣi didi kae atonic seizure le edzi yim?

Zi geɖe la, atonic seizure nɔa anyi ɣeyiɣi kpui aɖe ŋutɔ, abe sɛkɛnd 15 ene . Ate ŋu anɔ sue wu gɔ̃ hã. Ne alɔ̃madɔmadɔa wu enu la, àte ŋu atɔtɔ vie , abe, "Nukae dzɔ ɖe dzinye?" Gake zi geɖe la, èhayana kaba eye àte ŋu atrɔ ayi nusi wɔm nènɔ la gbɔ.

Gake ɣeaɖewoɣi la, alɔ̃madɔmadɔ siawo ate ŋu adzɔ ɖe wo nɔewo yome, ɖe wo nɔewo yome. Ne alɔ̃madɔmadɔ siawo ƒe ƒuƒoƒo aɖe le ŋuwò la, àte ŋu ase le ɖokuiwò me be yezu lãmetututɔ eye màte ŋu aʋuʋu aɖabaƒoƒo ʋɛ aɖewo va ɖo gaƒoƒo geɖe o. Ne alɔ̃madɔmadɔ si xɔ wu miniti 15 le ŋuwò la, wobua esia be enye atikewɔwɔ kpata . Ne edzɔ alea la, ele be nàyi kɔdzi enumake.

Nukae dzɔna le (Atonic Seizure) megbe?

Abe alesi míegblɔe va yi ene la, wò lãmekawo ƒe ŋusẽ gagbugbɔna ne atonic seizure la wu enu ko. Gake ame aɖewo ate ŋu azu lãmetutudɔ hena ɣeyiɣi aɖe , afisi womate ŋu aʋuʋu woƒe ŋutilã le sɛkɛnd ʋɛ aɖewo le alɔ̃madɔmadɔa nu vɔ megbe o.

Ðewohĩ àtɔtɔ vie le nusi dzɔ ŋu. Esia le alea elabena ɖewohĩ mànɔ nɔnɔme si me nènɔ do ŋgɔ na alɔ̃dɔdɔa me o. Le kpɔɖeŋu me, ne ètsi tre la, ke ɖewohĩ àmlɔ anyigba esime wò susu gaɖo eŋu. Ne abi aɖe le ŋuwò la, ahiã hã be nàgbɔ ɖe eme vie.

Gake nusi wɔ nuku enye be, ɖevi sue akpa gãtɔ , negbe ɖe woxɔ abi hafi la, mesea veve akpa le atonic seizure megbe o. Ne ŋusẽ gaɖo woƒe lãmekawo ŋu ko la, woate ŋu adze dɔwɔna alo dɔwɔna siwo wɔm wonɔ do ŋgɔ na alɔ̃madɔmadɔa gɔme ake.

Nukatae esia (Atonic Seizure) dzɔna?

Esia le alea elabena elektrikŋusẽ ƒe dɔwɔwɔ ƒe dzidziɖedzi kpata le míaƒe ahɔhɔ̃ ƒe akpa siwo kpɔa lãmekawo ƒe gbeɖiɖi dzi – le kpɔɖeŋu me , ŋgɔgbe ƒe akpa kple ahɔhɔ̃ ƒe ke. Ele abe nutome sue aɖe si le kpuie ene. Gake zi geɖe la, esesẽna be woade dzesi nusi tututu gbɔ esia tso.

Amekae ate ŋu atu nusiawo ɖo wu? (Afɔku Siwo Le Ame Ŋu) .

Àte ŋu anɔ afɔku gã aɖe me be atonic seizures nadze dziwò ne è:

• Ne mèxɔ ƒe 18 haɖe o (zi geɖe la, esia dzea egɔme tso ɖevime).
• Ne èxɔ alɔ̃madɔmadɔ kpɔ le wò ɖevime, si fia be le vidzĩme (vidzĩwo ƒe ʋuʋudedi ŋutinya) .
• Ne atikewɔwɔ me dɔléle bubu aɖe koŋ le ŋuwò, abe Lennox-Gastaut ƒe dɔléle alo Dravet ƒe dɔléle ene .

Atonic seizures aɖewo ate ŋu anɔ anyi vaseɖe tsitsime, gake ƒã hafi woakpɔ dɔléle sia le ame tsitsi aɖe ŋu yeyee.

Aleke ɖɔkta wɔa anya be atonic seizure le ye ŋu? (Dɔléle ƒe dzesi) .

Ðɔkta akpɔ atonic seizures to ŋutilã dodokpɔ , ahɔhɔ̃mekawo dodokpɔ , kple dodokpɔ bubuwo wɔwɔ me . Le dodokpɔ siawo me la, ɖɔktaa aɖo to wò alɔ̃madɔmadɔ ƒe dzesiwo nyuie.

Ele vevie ŋutɔ be ame aɖe si kpɔ wò alɔ̃dɔdɔ teƒe – ƒometɔ alo xɔlɔ̃ aɖe – nanɔ gbɔwò ne èyi ɖɔkta gbɔ. Ne màte ŋui o la, anyo hã be nàna woaŋlɔ nusi wokpɔ la ɖi. Esia akpe ɖe ɖɔktaa ŋu wòase nusi dzɔ la gɔme. Ɣeaɖewoɣi la, ne àte ŋu atsɔ wò telefon alé alɔ̃dɔdɔa ɖe video dzi la, ema ate ŋu akpe ɖe ŋuwò ŋutɔ.

Dodokpɔ tɔxɛwo ate ŋu akpe ɖe wò ɖɔkta ŋu wòaɖo kpe nusi gbɔ wò alɔ̃madɔmadɔ tso dzi, alo agbe nɔnɔme bubu siwo ate ŋu ana lãmekawo nagbɔdzɔ kpata eye nàtsi dzodzodzoe. Woate ŋu awɔ dodokpɔwo abe esiawo ene:

• Ʋudodokpɔwo
• Electroencephalogram (EEG) dodokpɔ – Esia léa ŋku ɖe ahɔhɔ̃a ƒe elektrikŋusẽ ƒe nɔnɔme ŋu be yeakpɔe ɖa be tɔtrɔ aɖewo li siwo ku ɖe alɔ̃madɔmadɔ ŋu hã.
• Magnetic Resonance Imaging (MRI) scan – be woakpɔe ɖa be kuxi aɖe le ahɔhɔ̃a ƒe wɔwɔme ŋu hã.
• Positron Emission Tomography (PET) scan – be woalé ŋku ɖe ahɔhɔ̃ ƒe dɔwɔwɔ ŋu.

Ne abi aɖe nɔ ŋuwò le wò alɔ̃madɔmadɔa me la, ahiã be wò ɖɔkta nawɔ dodokpɔ bubuwo, abe X-ray ene be wòakpɔe ɖa be ƒu aɖe gbã hã, le kpɔɖeŋu me.

Nukae nye esia ƒe atikewɔwɔ?

Ðɔkta ate ŋu aŋlɔ atike siwo tsia alɔ̃madɔmadɔ nu abe esiawo ene na ame be woatsɔ ada atonic seizures:

• Benzodiazepines (e.g. clonazepam alo clobazam) .
• (Felbamate) ƒe agbalẽa .
• (Levetiracetam) ƒe lãmesẽnyawo gbɔ kpɔkpɔ .
• (Topiramate) .
• (Valproic acid) (aɖi si woyɔna be valproate) .
• (Zonisamide ƒe atike) .

Wò ɖɔktae ɖoa atike siawo, le wò nɔnɔmea nu. Ne abi aɖe le ŋuwò le alɔ̃madɔmadɔa me la, wò ɖɔkta akpɔ ema hã gbɔ enumake .

Ne alɔ̃madɔmadɔtike siawo mewɔa dɔ o, alo ne alɔ̃madɔmadɔ si nɔa anyi ɖaa si nana nèxɔa abi vevie la, wò ɖɔkta ate ŋu abu atikewɔwɔ bubuwo ŋu. Esiawo dometɔ aɖewoe nye:

• Amekoko – le kpɔɖeŋu me, dɔwɔwɔ si woyɔna be corpus callosotomy . Esia ɖea elektrikŋusẽ ƒe dzesi siwo míedi o ƒe sisi le ahɔhɔ̃a ƒe akpa eveawo dome dzi kpɔtɔna.
• Vagus nerve stimulation – Wotsɔa mɔ̃ sue aɖe si doa ŋusẽ lãmeka aɖe dea akɔta ƒe ŋutigbalẽ te. Esia kpena ɖe ame ŋu be alɔ̃madɔmadɔ dzi ɖena kpɔtɔna.
• Tatsyɔnu si kpɔa ame ta dodo – be woaɖe ta ƒe abixɔxɔ dzi akpɔtɔ ne ame dze anyi. Esia le vevie ŋutɔ na ɖevi siwo dzea anyi enuenu.

Le go aɖewo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ ɖe nuɖuɖu tɔxɛ aɖe dzi, abe nuɖuɖu si me ami sɔ gbɔ ɖo, si me carb mesɔ gbɔ ɖo o si woyɔna be ketogenic diet . Wokpɔe hã be esia kpena ɖe ame ŋu wòɖua alɔ̃dɔdɔ dzi.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ? (Nukpɔsusu) .

Wò ɖɔkta ate ŋu agblɔ wò nukpɔsusu na wò nyuie wu, elabena eto vovo tso ame ɖeka gbɔ yi bubu gbɔ . Atike siwo wozãna tsɔ tsia alɔ̃dɔdɔ nu kple atike bubuwo ate ŋu akpe ɖe ŋuwò nàɖe wò alɔ̃madɔmadɔ ƒe dzidziɖedzi dzi akpɔtɔ. Gake abi siwo nèxɔ le drop seizure me ate ŋu akpɔ ŋusẽ ɖe wò nukpɔsusu dzi. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò le mɔ siwo dzi nàto axe mɔ ɖe abixɔxɔ nu le alɔ̃madɔmadɔ me ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be atonic seizures le ye ŋu geɖe wu , alo ne èle abi xɔm zi geɖe la , kpɔ egbɔ be yeyi ɖɔkta gbɔ. Emegbe wò ɖɔkta ate ŋu atrɔ asi le wò atikewɔwɔ ƒe ɖoɖoa ŋu wòasɔ na wò nyuie wu eye wòakpɔ tawò.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Le go sia me la, ele be nàyi xɔ si me wokpɔa nudzɔdzɔ kpatawo gbɔ le (ER) godoo alo nàƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ:

• Ne alɔ̃madɔmadɔ dze dziwò zi gbãtɔ le wò agbe me .
• Ne èxɔ abi vevie le alɔ̃madɔmadɔ me (le kpɔɖeŋu me, ƒu si gbã, ta sesẽ aɖe ƒoƒo).
• Ne alɔ̃madɔmadɔ zi geɖe ɖe wo nɔewo yome (si fia be alɔ̃madɔmadɔ si wu etɔ̃ le miniti 30 me, alo ne alɔ̃madɔmadɔ ɖeka kplɔ bubu ɖo le ema megbe kpuie).

Nya kawoe wòle be mabia nye ɖɔkta?

Ne (Atonic Seizures) le ŋuwò la, anyo be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Atikewɔwɔ ka ƒomevie ɖɔktaa kafu nam?
• Ðe atikewɔwɔ sia ƒe nugbegblẽ le ame ŋu aɖewo lia? Ne nenemae la, ke nukawoe wonye?
• Le gonyemeÐe mate ŋu aku ʋua? Alo afɔɖeɖe kawoe wòle be mawɔ?
• Dɔ kawoe mate ŋu awɔ dedie? Nu kawoe wòle be matsri?

Vovototo kae le atonic kple tonic seizures dome?

Esia nye nusi ŋu ame geɖe biaa nya tsoe. Vovototo vevitɔ si le atonic kple tonic seizures domee nye nusi dzɔna ɖe wò lãmekawo dzi ne ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ tɔtɔ kpata:

• (Atonic) Alɔ̃madɔmadɔ: Wò lãmekawo gbɔdzɔna eye agbe megale wo ŋu o. Wodzea anyi abe avɔ kakɛ ene.
• (Tonic) Alɔ̃madɔmadɔ: Wò lãmekawo sesẽna, abe kpe ene. Wò ŋutilã va sẽna eye àte ŋu adze anyigba abe ʋuƒo ene.

Le atonic seizure me la, àte ŋu adze anyigba zi ɖeka abe ɖe agbe mele asiwò o ene, alo àte ŋu adze anyi tso tsitrenu. Le tonic seizure me la, àte ŋu adze anyigba tẽ abe ati si wotso ene. Le atonic seizures me la, zi geɖe la, ʋuʋudedi medzɔna o, gake àte ŋu abu.

Nusi ŋu míeƒo nu tsoe le gbɔgbɔ ɖeka me (Take-Home Message) .

(Atonic Seizure) Ne èbu kasia eye nège ɖe anyigba evɔ mèkpɔ ŋusẽ aɖeke ɖe wò ŋutilã dzi o la, enyea nuteƒekpɔkpɔ dziŋɔ ŋutɔŋutɔ na wò kple wò ƒomea. Ðewohĩ ɣeyiɣi manɔ asiwò nàlé ɖokuiwò ne èdze anyi o, eye àte ŋu axɔ abi vevie gɔ̃ hã. Esia ate ŋu ana màte ŋu ayi suku, awɔ dɔ, alo awɔ nu siwo nèlɔ̃na o.

Esi wònye be zi geɖe la, alɔ̃madɔmadɔ siawo vaa ame dzi le vome ta la, ele vevie be woayi atikewɔƒe. Woatrɔ asi le wò atikewɔwɔ ƒe ɖoɖoa ŋu wòasɔ ɖe wò nuhiahiã tɔxɛwo kple wò ŋutilã ƒe nuhiahiãwo nu. Ne nya aɖe le asiwò ku ɖe atonic seizures ŋu alo nèdi be yeanya alesi nàwɔ anɔ dedie la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o. Ðo ŋku edzi be ne wowɔ atike na wò nyuie eye nèse egɔme la, àte ŋu aɖu nɔnɔme sia dzi ahanɔ agbe si me dedienɔnɔ le. Mègatsi dzi o, atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya de ŋgɔ ŋutɔ egbea.

` Atonic Seizure, ʋuʋudedi, lãmekawo ƒe gbɔdzɔgbɔdzɔ, drop seizure, akinetic seizure, asrãdɔ, ahɔhɔ̃medɔ