Ðe wò afɔwo sena le wo ɖokui me abe ɖe wole dzo dama? (Burning Feet Syndrome) - Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe afɔwo le dzo dam, le ƒoƒom, alo le ƒoƒom ne èdɔ alɔ̃ le zã me, alo le ŋkeke me gɔ̃ hã? Le ame aɖewo gome la, vevesese sia nyea dzobibi fafɛ aɖe ko, gake le ame bubuwo gome la, ate ŋu anye nusi womate ŋu ado dzi atsɔ o. Menye ɖeɖiteameŋu dzro aɖe koe esia nye o. Ðewohĩ atikewɔwɔ me susu vevi aɖewo le megbe na esia. Egbea, mina míaƒo nu tso afɔbibi ƒe dɔléle sia ŋu, alo abe alesi ɖɔktawo yɔnae ene la, ‘Afɔ ƒe Dzobibi ƒe Dɔléle’.

Nukatae nye afɔwo le dzo dam alea? Nukawoe nye susu vevi siwo tae?

Zi geɖe la, nusi koŋ gbɔ afɔwo ƒe abi sia ƒomevi tsonae nye míaƒe lãmekawo ƒe gbegblẽ. Míeyɔa esia be ahɔhɔ̃mekawo ƒe dɔléle . Kpuie ko la, ne míaƒe lãmekawo gblẽ la, womewɔa dɔ nyuie o. Eyata ne womexɔ abi aɖeke o gɔ̃ hã la, wodzea vevesese ƒe dzesi siwo mesɔ o ɖoɖo ɖe ahɔhɔ̃a gɔme. Ele abe ka gbagbã aɖe si le dzesi si mesɔ o ɖom ɖa ene. Zi geɖe la, nusiwo gblẽna sia dzea egɔme tso afɔwo dzi, si tae wosea nuwo abe abi kple afɔwo ƒe ʋuʋu ene gbã ɖo.

Eyata, susu vovovowo li siwo tae lãmeka siawo ate ŋu agblẽ.

1. Suklidɔ (Suklidɔ ƒe Ahɔhɔ̃mekawo ƒe Dɔléle) .

Esiae nye nusi gbɔ afɔveve tsona wu eye wònye nusi koŋ gbɔ wòtsona. Ne suklidɔléla ƒe suklidɔléla ƒe sukli ƒe agbɔsɔsɔ si dzi womete ŋu ɖu o le ʋu me ɣeyiɣi didi aɖe la, sukli sia si sɔ gbɔ ɖe edzi la gblẽa nu le lãmeka siwo le bɔbɔe le míaƒe ŋutilã me ŋu vivivi. Suklidɔlélawo dometɔ siwo ade 50% ate ŋu axɔ lãmekawo ƒe gbegblẽ ƒomevi sia (Peripheral Neuropathy).

2. Ahanono fũu akpa (Alcoholic Neuropathy) .

Nɔnɔme sia ate ŋu adzɔ le amesiwo noa aha fũu akpa hena ɣeyiɣi didi aɖe hã dzi. Aha sesẽ nye aɖi na lãmekawo. Azɔ hã, ame geɖe siwo ahanono zu numame na la mekpɔa nunyiame nyui o, si ate ŋu agblẽ nu le lãmekawo hã ŋu.

3. Ʋukawo ƒe Dɔléle (PAD) .

Esia dzɔna ne ʋuka siwo tsɔa ʋu yia afɔwo kple afɔwo gbɔ la xaxa. Esia ɖea ʋu si me oxygen sɔ gbɔ ɖo ƒe sisi dzi kpɔtɔna. Esia wɔnɛ be nunyiame siwo hiã la meganɔa lãmekawo ŋu o eye wògblẽa nu le wo ŋu. Ne nɔnɔme sia nu sẽ la, ate ŋu ana afɔawo naxɔ dzo si womate ŋu ado dzi atsɔ o, vevietɔ le zã me ne èle alɔ̃ dɔm .

4. Kamedefefewɔla ƒe Afɔ

Esia nye fungi ƒe dɔléle. Nuto si me dzoxɔxɔ kple tsidzadza le le afɔkpa kple sox siwo fifia me la sɔ nyuie na fungus be wòatsi. Ne tsɔ kpe ɖe dɔdzẽa ŋu la, ŋutigbalẽ le ƒoƒom eye wòle ʋuʋum le afɔbidɛwo dome la , ke anɔ eme be kamedefefewɔla ƒe afɔe.

5. Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie (Hypothyroidism) .

Ne míaƒe lãkusi mewɔa dɔ nyuie o eye lãmetsiŋusẽ ƒe dɔwɔwɔ dzi ɖe kpɔtɔ (Hypothyroidism), ne womewɔ atike nɛ nyuie o la, ate ŋu agblẽ nu le lãmekawo ŋu le go siwo mebɔ o me eye wòana afɔwo naxɔ abi.

6. Nunyiame ƒe Gbɔdzɔgbɔdzɔ

Vevietɔ vitamin B12 ƒe anyimanɔmanɔEsia ate ŋu ana lãmekawo nagblẽ eye afɔwo naxɔ abi. Nɔnɔme sia bɔ ne amewo le tsitsim eye le amesiwo ɖua amagbewo ƒe nuɖuɖu ko dome.

Ðe dɔléle kple atike bubuwo ate ŋu anye nusi gbɔ wòtsoa?

Ẽ, keŋkeŋ. Dɔléle kple atike bubu geɖewo li siwo ate ŋu ana afɔ naxɔ abi.

Aleke tututu ɖɔktaa va ke ɖe esia ŋu?

Zi geɖe la, ne dɔléle aɖe abe suklidɔ ene le ŋuwò la, ɖɔkta ate ŋu asusu nusi gbɔ wò afɔ le veve sem tsoe bɔbɔe. Mehiã be woado ame mawo kpɔ vevie o.

Gake ne esesẽ be woake ɖe nusi gbɔ wòtso ŋu, alo ne dɔlélea dze egɔme kpata eye wògblẽ ɖe edzi kabakaba la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ aɖewo, abe:

• EMG (Electromyography) dodokpɔ:Esia dzidzea elektrikŋusẽ si le wò lãmekawo me.
• Lãmetsiŋusẽ Ŋuti Numekuku (NCS): Esia doa alesi dzesiwo zɔna kabakaba to lãmekawo dzii kpɔna. Ate ŋu akpe ɖe ŋuwò nànya ne lãmeka aɖe gblẽ.
• Ʋu kple aɖuɖɔ dodokpɔ: Dodokpɔ siawo kpena ɖe ame ŋu be woakpɔ nuwo abe sukli ƒe agbɔsɔsɔ le ʋu me, vitamin B12 ƒe agbɔsɔsɔ, kple lãkusi me lãmetsi ƒe agbɔsɔsɔ ene.
• Nerve Biopsy: Esia nye dɔ si mebɔ kura o si me woɖea lãkusi sue aɖe ŋutɔ le lãmeka aɖe me hedoa ekpɔ le nusuekpɔmɔ̃ me.

Enyo, azɔ mina míakpɔ nusi nye atikewɔwɔ na esia ɖa.

Atikewɔwɔ nɔ te ɖe nusi gbɔ wò afɔ ƒe vevesese tso dzi.

• Ne suklidɔ le ŋuwò: Nu vevitɔ kekeakee nye be nàna wò ʋumesukli ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ si sɔ me. Esia ate ŋu abia nuɖuɖu, atike, kple ɖewohĩ insulin dodo.
• Ne aha sesẽ gbɔe wòtso: Ne wodzudzɔ ahanono keŋkeŋ la, ate ŋu atɔ te nusiwo gblẽ le lãmekawo ŋu eye wòana lãmeka siwo gblẽ la nahaya vaseɖe afi aɖe.
• Ne vitamin B12 ƒe anyimanɔmanɔ gbɔe wòtso: Àte ŋu ano vitamin B12 ƒe atikekuiwo alo atikekuiwo abe alesi wò ɖɔkta ƒe aɖaŋuɖoɖo gblɔe ene. Àte ŋu atsɔ nuɖuɖu siwo me B12 sɔ gbɔ ɖo abe lã dzĩ, notsi, azi, kple tɔmelã ene hã akpe ɖe wò nuɖuɖu ŋu.
• Ne ringworm gbɔe wòtso: Woate ŋu ada nɔnɔme sia keŋkeŋ to atike siwo wua fungi zazã me.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aŋlɔ atike aɖewo na wò be nàtsɔ aɖu dɔdzẽ kple vevesese si lãmekawo ƒe gbegblẽ hena vɛ dzi. Le kpɔɖeŋu me, atikewo abe Gabapentin, Pregabalin, kple Amitriptyline ene . Atikewɔlawo ƒe dzikpɔkpɔ te koe wòle be woaxɔ nusiawo.

Nu siwo akpe ɖe ŋuwò nàte ŋu awɔ le aƒeme

Tsɔ kpe ɖe atike siwo wò ɖɔkta naa wò ŋu la, nu bɔbɔe aɖewo li nàte ŋu awɔ le aƒeme be nàkpɔ gbɔdzɔe tso dɔdzẽ sia me.

• Fa wò afɔwo: Tsɔ wò afɔwo de tsi fafɛ (menye fafɛ o) me abe miniti 15 ene. Esia ana gbɔdzɔe ame hena ɣeyiɣi aɖe. Mègazã tsikpetsi gbeɖe o.
• Do soxwo kple afɔkpa siwo me kɔ: Do sox siwo wotsɔ kotoklobo wɔ siwo xɔa fifia. Tia afɔkpa nyui siwo me gbɔgbɔ le eye womate ŋu abla o.
• Ami siwo wotsɔna ƒoa ami: Ne wò ɖɔkta da asi ɖe edzi la, àte ŋu azã ami ƒomevi aɖewo siwo me vevesesenutsitikewo le (e.g., Lidocaine alo Capsaicin).
• Mlɔ xɔ si me fa miamiamia me:Mlɔƒea ƒe fafa vie hã ate ŋu ana gbɔdzɔe ame.