Ðe nèsena le ɖokuiwò me hã be yele yeƒe dadasɔ me hele gegem? (Balance Problems) - Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be taɖuame, taɖuame ne ètsi tre, alo taɖuame ne èle zɔzɔm? Ɣeaɖewoɣi la, esia ate ŋu ado dziku na ame ŋutɔ. Dadasɔ sia si bu le míaƒe ŋutilã me lae nye nusi míeyɔna be "Dadasɔ ƒe Kuxiwo" alo ``Dadasɔ ƒe Dɔlélewo''. Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, elabena ate ŋu akpɔ ŋusẽ ɖe ame geɖe dzi.

Nukatae dadasɔ sia le vevie na mí nenema gbegbe ɖo? Aleke míaƒe ŋutilã wɔa ɖoɖo ɖe eŋu?

Bu ale si míewɔna be míagadze anyi ne míele zɔzɔm, le tsitrenu, alo le ʋuʋum o ŋu kpɔ. Nusitae nye míaƒe ŋutilã ƒe dadasɔ dzi kpɔkpɔ ƒe ɖoɖo wɔnuku la. Ewɔa dɔ abe kɔmpiuta gã aɖe ene. Akpa vevi geɖe kpena ɖe esia ŋu:

1. To Ememetɔ alo `(Vestibular system)`: Míaƒe to ememetɔ ƒe akpa siae ɖoa dzesiwo ɖe ahɔhɔ̃a tso míaƒe ŋutilã ƒe nɔƒe le nusi ku ɖe nuheŋusẽ ŋu ne míele ʋuʋum, ʋuʋu míaƒe ta, eye míele míaƒe ŋutilã ʋuʋum. Ele abe `(Gyroscope)` si le telefon me ene.

2. Ŋkuwo (alo ``Nukpɔkpɔ``): Míezãa míaƒe ŋkuwo tsɔ kpɔa afisi míele kple alesi míaƒe nutowo le, eye míetsɔa nyatakaka mawo yia ahɔhɔ̃a gbɔ. Aleae ahɔhɔ̃a sea afisi míaƒe ŋutilã le le yamenutome gɔmee.

3. Ŋutilã, Ƒunukpeƒewo, Kple Lãmetsiwo: Nyaƒoɖeamenu si míaƒe ŋutigbalẽ, ƒunukpeƒewo, kple lãmekawo sena le mía ɖokui me (le kpɔɖeŋu me, ne èbɔbɔ ɖe megbe la, nyaƒoɖeamenu si wò afɔkpodziwo sena na ahɔhɔ̃a be mèda sɔ o) katã yia ahɔhɔ̃a gbɔ.

Ahɔhɔ̃a ƒoa nyatakakawo nu ƒu tso teƒe siawo katã hedzroa wo me be wòada asɔ le míaƒe ŋutilã me. Bu eŋu kpɔ, ne kuxi sue aɖe le nuɖoanyi sia ƒe akpa aɖe, ne dzesiawo meɖo ahɔhɔ̃a gbɔ nyuie o la, ekema míedzea taɖuame kple taɖuame gɔme.

Nukawoe nye dzesi siwo dona tso dadasɔ me?

Dzesiawo ate ŋu ato vovo tso ame ɖeka si ŋu dɔléle sia le gbɔ, gake dzesi aɖewo li siwo bɔ:

• Nukpɔkpɔ si me kɔ o: Ðeko wòle abe ɖe màte ŋu akpɔ nu nyuie o ene, vevietɔ ne èle ta ʋuʋum tso axa ɖeka yi axa ke. Nɔnɔmetatawo dzena abe ɖe womekɔ o ene.
• Taɖuame: Taɖuame ƒe seselelãme kple ʋuʋu ƒe seselelãme.
• Tagbɔdɔléle: Sese le ɖokuiwò me abe ɖe yeƒe susu le nu bu ge ene, abe ɖe wò ta le ƒuƒlu zi ɖeka ene .
• Mali ke: Mali ke ne èle tsitrenu alo le zɔzɔm.
• Vertigo: Esia nye nu tɔxɛ aɖe vie. Enye ne èse le ɖokuiwò me be nusianu si ƒo xlã ye le tsatsam kabakaba, togbɔ be mèle ʋuʋum o hã. Ame aɖewo hã sea veve ne edzɔ.

Dzesi siawo ate ŋu ava kpata alo adze egɔme vivivi. Ɣeyiɣi aɖewo koŋ me koe ame aɖewo toa wo me le, abe ne wotsi tre kpata alo ne wole teƒe si amewo sɔ gbɔ ɖo ene.

Nukatae dadasɔ ƒe kuxi siawo doa mo ɖa? Nukawoe nye susu siwo tae?

Susu geɖewo li siwo tae dadasɔ ate ŋu akpɔ ŋusẽ ɖe edzi ɖo. Togbɔ be ebɔna wu ne míele tsitsim hã la, ate ŋu adze ame sia ame dzi le ƒe ɖesiaɖe me. Woate ŋu ama nusiwo koŋ gbɔ wòtsona ɖe hatsotso eve me: to ememe dɔlélewo kple lãmesẽkuxi bubuwo.

To ememetɔ ƒe dɔlélewo

Míenya azɔ be míaƒe to ememetɔ wɔa akpa vevi aɖe le dadasɔ me. Eyata dɔléle siwo gblẽa nu le akpa sia ŋu ate ŋu ahe dadasɔ ƒe kuxiwo vɛ.

• Acoustic neuroma: Esia nye dɔdzẽ si menye kansa o si dona ɖe lãmeka si kpena ɖe ame ŋu wòsea nu eye wòdaa asɔ le to ememetɔ me.
• BPPV (Benign Paroxysmal Positional Vertigo): Esia nye vertigo sesẽ aɖe si dzɔna sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ɖeka ne woʋuʋu ta zi ɖeka, le kpɔɖeŋu me ne wole ʋuʋum le aba dzi alo le ɖiɖim tso aba dzi. Esiae nye nɔnɔme si bɔ ɖe ame akpa gãtɔ me wu.
Labyrinthitis: To ememetɔ ƒe dɔdzẽ. Esia ate ŋu akpɔ ŋusẽ ɖe dadasɔ kple nusese dzi.
• Ménière ƒe dɔléle: Esia nye nɔnɔme si ƒe dzesi enye be ame ƒe ta ʋuʋu kpata, si nu sẽ ŋutɔ. Dzesiawo ateŋu anye tosese, nyaƒoɖeamenu ƒe seselelãme le to me, kple gbeɖiɖi "whooshing" le to me.
• PPPD (Persistent Postural Perceptual Dizziness): Esia nye taɖuame ƒomevi aɖe si nɔa anyi ɖaa. Ate ŋu agado gã ɖe edzi ne woʋuʋu, teƒe siwo amewo sɔ gbɔ ɖo, alo ŋkuléle ɖe kɔmpiuta dzi.
• Vestibular neuritis: Lãmetsi aɖe si ɖoa dadasɔ ƒe dzesiwo ɖe ahɔhɔ̃a ƒe dɔdzẽ.

Lãmesẽ ƒe nɔnɔme bubuwo

Menye to ememetɔ ƒe kuxiwo koe ate ŋu ahe dadasɔ ƒe kuxiwo vɛ o, ke boŋ dɔléle bubu vovovowo hã ate ŋu ahe:

• Ta ƒe abixɔxɔ: Ta ƒe abi, abe ʋuʋudedi ene, ate ŋu akpɔ ŋusẽ ɖe dadasɔ dzi le ɣeyiɣi kpui alo didi aɖe me.
• Dzidɔ: Ne ʋu ƒe sisi yi ŋutilã me nyuie o, vevietɔ ɖe ahɔhɔ̃a me la, taɖuame kple alɔ̃dɔdɔ ate ŋu adzɔ.
• Taɖuame: Ame aɖewo ƒe ta gbãna ne taɖuame dze wo dzi.
• Ʋuʋudedi: Ame aɖewo ƒe ta gbãna eye woƒe lãme gbãna ne wole bɔs, keteke, alo meli me, kpakple ne wole kɔmpiuta alo telefonwo kpɔm.
• Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie: Dɔlélewo abe Parkinson ƒe dɔléle kple Alzheimer ƒe dɔléle ene ate ŋu agblẽ nu le ahɔhɔ̃a ƒe ŋutete be wòada asɔ ŋu.
• Orthostatic hypotension: Esia nye ʋu ƒe sisi kpata ne ètsi tre tso tsitrenu. Esia ate ŋu ana ame natsi dzodzodzoe hã.
• Ahɔhɔ̃mekawo ƒe dɔléle: Ne lãmeka siwo le abɔ kple afɔwo me gblẽ (si ate ŋu atso dɔlélewo abe suklidɔ ene gbɔ) la, dzesi siwo tso ŋutilãa gbɔ yi ahɔhɔ̃a me la me gblẽna.

Aleke ɖɔkta awɔ anya dɔléle siae?

Ne dzesi siawo le ŋuwò la, ele be nàyi ɖɔkta gbɔ godoo . Ðɔktaa abia wò dzesiwo gbã eye wòado wò ŋutilã kpɔ. Emegbe, woate ŋu awɔ dodokpɔ tɔxɛ aɖewo (vestibular tests) be woakpɔ alesi wò ŋkuwo, towo, kple ahɔhɔ̃ wɔa dɔ ɖekae be woada asɔ.

Dodokpɔ siwo bɔ wu dometɔ aɖewoe nye esi:

• DVA (Dynamic Visual Acuity Test): Esia bia be nàxlẽ ŋɔŋlɔdzesi siwo kplɔ wo nɔewo ɖo esime wò ta le anyi kpoo, emegbe nàʋuʋu ta ahagbugbɔ axlẽ wo. Esia doa alesi ʋuʋu kpɔa ŋusẽ ɖe wò nukpɔkpɔ dzii kpɔna.
• mCTSIB (Modified Clinical Test of Sensory Interaction on Balance): Wodoa dadasɔ kpɔna to nana be nàtsi tre ɖe teƒe vovovowo (e.g., foam) dzi eye wò ŋkuwo ʋu eye nàtu.
• Rotary chair dodokpɔ: Wotsɔa wò dana ɖe zikpui si trɔna dzi eye wozãa ŋkumeɖonu tɔxɛwo tsɔ dzidzea wò ŋkuwo kple towo.
• VHIT (Video Head Impulse Test): Esi nèle ŋku lém ɖe taɖodzinu aɖe ŋu la, ɖɔktaa ʋuʋua wò ta kabakaba yia ŋgɔ kple megbe. Wotoa ŋkumeɖobolo tɔxɛwo dzi léa ŋku ɖe wò ŋku ƒe ʋuʋu ŋu.
• VEMP (Vestibular-Evoked Myogenic Potentials): Wodea gbeɖiɖiwo me eye wotsɔa nusiwo dea dzesi nu la dana ɖe wò kɔ alo ŋkuwo ŋu be woatsɔ adzidze alesi lãmekawo wɔa nui.
• VNG (Videonystagmography): Le afisia hã la, wobia tso asiwò be nàlé ŋku ɖe nusi le ʋuʋum ŋu esime nèdo ŋkumeɖobolo tɔxɛwo. Woléa ŋku ɖe wò ŋku ƒe ʋuʋu ƒe ɖoɖo ŋu.

Dodokpɔ siawo aɖi vɔvɔ̃ vie, gake woawoe akpe ɖe ŋuwò nàke ɖe nusi tututu gbɔ wò kuxia tso ŋu.

Aleke wokpɔa dadasɔ ƒe kuxi siawo gbɔe?

Atikewɔwɔ nɔ te ɖe nusi gbɔ wò dadasɔ ƒe kuxia tso dzi. Wò ɖɔkta ada dɔléle si gbɔ wòtso la gbã . Eɖanye to, ahɔhɔ̃, alo teƒe bubu aɖe ƒe kuxi o, atikewɔwɔa anɔ te ɖe nusi gbɔ wòtso dzi.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã Vestibular Rehabilitation Therapy (VRT) . Le nyateƒe me la, esia nye kamedede ƒe atikewɔwɔ tɔxɛ aɖe. Ebia be woawɔ kamedede tɔxɛ siwo kpena ɖe ame ŋu be woada asɔ eye wòaɖe taɖuame dzi akpɔtɔ. Ne èwɔ kamedede siawo nyuie la, àte ŋu akpɔ emetsonu nyuiwo ŋutɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsena le ɖokuiwò me be yeƒe ta le ƒoƒom alo mèli ke ɣesiaɣi o la, ƒo nu kple wò ɖɔkta enumake . Ele vevie ŋutɔ be nàgblɔe na wò ɖɔkta ne èle atike zãm xoxo gake wò dzesiwo meganyo ɖe edzi alo le gbegblẽm ɖe edzi o. Ðewohĩ ahiã be woawɔ atike bubu na wò nɔnɔme si gbɔ wòtso.

Nukae wòle be makpɔ mɔ na ne dadasɔ ƒe kuxiwo le ŋunye?

Wò ɖɔkta akpe ɖe ŋuwò nànya wò dɔlélea ahadae. Ne lãmesẽkuxi aɖe le ŋuwò si le wò dadasɔ ƒe kuxiwo hem vɛ la, woada ema gbã.

Tsɔ kpe ɖe eŋu la, àte ŋu ahiã atikewɔwɔ tɔxɛwo (abe VRT ene) be wòakpe ɖe wò ahɔhɔ̃ kple ŋutilã ŋu wòatrɔ ɖe nɔnɔme yeye sia ŋu. Exɔa ɣeyiɣi aɖe hafi wohayana, gake ne wowɔ atike na ame geɖe nyuie la, wokpɔa gbɔdzɔe eye wokana ɖe wo ɖokui dzi .

Enye nusi sɔ be nàse le ɖokuiwò me be yeƒe ta le ʋuʋum alo yeƒe ta le ƒoƒom ɣeaɖewoɣi. Gake ne eyi edzi la, ate ŋu anye nu bubu aɖe ƒe dzesi. Dadasɔ ƒe kuxi siwo nɔa anyi ɖaa ate ŋu ado dziku na wò ŋutɔ eye ate ŋu axɔ wò vivisese le agbe me gɔ̃ hã. Eyata, mègalala nàyi ɖɔkta gbɔ o . Ne èɖo aɖaŋu na wò nyuie le atikewɔnyawo me hewɔ atike na wò la, àte ŋu agate ŋu ali ke ahaka ɖe edzi ake.

Eyata nukae míesrɔ̃ tso esia me? (Gbedasi si Wotsɔ Yi Aƒeme)

• Míaƒe ŋutilã ƒe dadasɔ nye nuwɔna sesẽ aɖe si lɔ ŋkuwo, to ememetɔ, lãmekawo, kple ahɔhɔ̃ ɖe eme.
• Susu geɖe ate ŋu anɔ anyi siwo tae ame ƒe dadasɔ nabu; tso to ememetɔ ƒe dɔlélewo dzi va ɖo dɔléle bubuwo dzi.
• Ne èkpɔa dzesiwo abe taɖuame, ŋutilã ƒe vevesese, kple ɖeɖiteameŋu ene enuenu la, mègaŋe aɖaba ƒu wo dzi o.
• Ele vevie ŋutɔ be nàkpɔ ɖɔkta eye woakpɔ dɔlélea nyuie ahadae nyuie .
• Atikewɔwɔwo abe `Vestibular Rehabilitation Therapy (VRT)` ateŋu ahe emetsonu nyuiwo ŋutɔ vɛ.
• Mègatsi dzi o, ne wowɔ atike na wò nyuie la, àte ŋu ahaya tso nɔnɔme sia me eye wòana wò agbe nadze akɔ anyi ake.

Ðo ŋku edzi be menye wò ɖeka koe o. Ame geɖe li siwo ŋu kuxi mawo tɔgbe le. Nu vevitɔ kekeakee nye be nàbia kpekpeɖeŋu.

` Dadasɔ, Taɖuame, Taɖuame, Dadasɔ ƒe Kuxiwo, Vertigo, BPPV, Meniere ƒe dɔléle, To ememetɔ, Atikewɔwɔ ƒe aɖaŋuɖoɖo