Ðe nèle hũ ɖem hã le wò alɔ̃ mea? Mina míasrɔ̃ nu tso (Catathrenia - Zã me ɣlidodo) ŋu!

Ðe ame aɖe gblɔ na wò kpɔ be èdoa hũɖeɖe wɔnukuwo ne èle alɔ̃ dɔma? Ðewohĩ srɔ̃wò, srɔ̃wò, alo ame bubu aɖe si le wò aƒemee. Enye nusi sɔ be ŋu nakpe wò vie, ŋu nakpe wò, eye vɔvɔ̃ naɖo ŋuwò vie gɔ̃ hã ne èse nya ma tɔgbe. Gake esia menye nane si le etɔxɛ na wò o. Togbɔ be ame geɖe menya nu tso eŋu o hã la, ame aɖewo li siwo nɔa agbe kple nɔnɔme sia. Egbea, míaƒo nu tso alɔ̃dɔdɔ ƒe hũɖeɖe sia ŋu tsitotsito, si nye nɔnɔme si míeyɔna be `(Catathrenia)` alo `(Zã me hũɖeɖe)` le atikewɔwɔ me.

Nukae nye Catathrenia? Ne míagblɔe kpuie la...

Catathrenia nye gbɔgbɔtsixetsixe si dona tso alɔ̃dɔdɔ me. Eƒe dzesi enye ɣlidodo alo ɣlidodo ne èle gbɔgbɔm esime nèle alɔ̃ dɔm. Gbeɖiɖia ate ŋu asẽ ŋutɔ. Ate ŋu anɔ anyi tso sɛkɛnd ʋɛ aɖewo va ɖo sɛkɛnd 40 le ɣeyiɣi ɖeka me. Le ame aɖewo gome la, ate ŋu adzɔ zã sia zã. Ele vevie be míade dzesii be esia ate ŋu adzɔ le alɔ̃dɔdɔ ƒe akpa siwo nye REM kple esiwo menye REM o siaa me.

Zi geɖe la, hũɖeɖe sia menyɔa wò o. Ðewohĩ màsee o alo àse le ɖokuiwò me gɔ̃ hã be yele ewɔm. Ke hã, zi geɖe la, amesi nèmlɔna kplii (wò zɔhɛ) alo ame bubu si le aƒea me ye senɛ gbã. Ɣeaɖewoɣi la, àte ŋu afɔ le ŋdi me eye ɖeɖi te ŋuwò, abe "Nyemedɔ alɔ̃ nyuie nyitsɔ zã o."

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, catathrenia menye dɔléle si bɔ ŋutɔ o. Esia dze le numekuku eve siwo wowɔ le dukɔ vovovowo me le xexeame godoo me. Le kpɔɖeŋu me, le numekuku aɖe si wowɔ le Japan le ƒe 10 me le ame 15,052 ŋu me la, 0.17% (si nye ame 25) koe dɔléle sia nɔ. Le numekuku aɖe si wowɔ le Norway le ƒe ɖeka me le ame 1,004 ŋu me la, wogblɔ be ele ame 0.4% (ema nye ame 4).

Gake amesiwo ŋu dɔléle sia le ƒe xexlẽme ŋutɔŋutɔ ate ŋu asɔ gbɔ wu akɔntabubu siawo. Esia le alea elabena ame geɖe menya be ele yewo ŋu o, alo womebunɛ be enye nusi ŋu wòle be woaƒo nu tsoe na ɖɔkta o. Ame aɖewo ate ŋu abu vodadatɔe gɔ̃ hã be enye aɖuɖɔtoe ko .

Nukawoe nye Catathrenia ƒe dzesiwo?

Nɔnɔme sia ƒe dzesi vevitɔ si dze ƒã wue nye hũɖeɖe alo hũɖeɖe si mebɔ o le wò alɔ̃ me. Esia dzɔna ne ègbɔ ya. Gbeɖiɖi sia nu tsona ne ègbɔ ya. Woate ŋu ase gbeɖiɖi sia le mɔ vovovowo nu:

• Toɣliɖeɖe sesẽ aɖe .
• Gbeɖiɖi si wosena le gbeɖiɖi ɖeka me (monotone).
• Ame aɖewo hã ate ŋu ase esia abe gbɔdɔdɔ ƒe gbeɖiɖi ene.
• Ate ŋu axɔ nublanuinya, nublanuinya ƒe nɔnɔme.
• Woate ŋu ase gbeɖiɖi aɖe si le ɖiɖim sesĩe abe anyi ene.
• ɖewohĩGbea ate ŋu aɖi abe ɖe wòle ʋuʋum ene.
• Mlɔeba la, àte ŋu alé gbɔgbɔ ɖe te eye nàtɔ kple ɣlidodo alo hũɖeɖe.

Zi geɖe la, dzesi sia dzena zã sia zã. Togbɔ be menye amesiame si ŋu catathrenia le ye ŋu nyatoƒoetoto le alɔ̃dɔdɔ ŋu o hã la, ame aɖewo ate ŋu agblɔ be:

• Aɖuɖɔtoe.
• Nu me gbɔgbɔ.
• Alɔ̃dɔdɔ ƒe nutsotsowo.

Eyata ne èfɔ le ŋdi me la, àte ŋu ato nusiwo le abe:

• Ðeɖiteameŋu sesẽ .
• Grogginess, kuviawɔwɔ.
• Nu ƒuƒu .
• Gbe si me kɔ .
• Kɔmeve aɖe si le ŋɔti me .
• Taɖuame aɖe .
• Esesẽna be susu nanɔ nu ŋu .

Alesi nègbɔa ya ne èle alɔ̃ dɔm (si gbɔa ya to wò nu me ko) kple ŋusẽ si wòkpɔna ɖe wò alɔ̃dɔdɔ ƒe nyonyome dzi koŋ gbɔe vevesese sia ƒomevi le ŋdi me. Esia ate ŋu ana wò alɔ̃dɔdɔ nagaɖe dzi ɖi o eye wòana nànyɔ enuenu le zã me.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae wòle alea ɖo?

Ne míagblɔe tututu la, womenya nusi tututu gbɔ catathrenia tsona haɖe o. Gake numekulawo gblɔ be ate ŋu atso lãmekawo ƒe lãmenugbagbevi aɖewo (ahɔhɔ̃mekawo) ƒe dɔmawɔmawɔ nyuie le gbɔgbɔtsixe ƒe dɔwɔƒe (Medulla Oblongata) le míaƒe ahɔhɔ̃ me gbɔ. Lãmetsiŋusẽ siawo kpɔa míaƒe gbɔgbɔ dzi. Dɔmawɔmawɔ nyuie sia nana wogbɔa ya ɣeyiɣi didi. Emegbe ne ègbɔ ya la, wò gbeɖiɖikawo ʋuʋuna, eye esiae nana ɣlidodo ma ɖina.

Ðe dzimaɖitsitsi gbɔe esia tsoa?

Womenya haɖe ne dzimaɖitsitsi hea catathrenia vɛ o. Wole numekuku bubuwo wɔm tso esia ŋu. Wole numekuku wɔm hã nenye be nɔnɔme bubuwo, abe nuteɖeamedzi sesẽ ene, ate ŋu ana dzesi siawo nagado gã ɖe edzi hã.

Ðe esia nye nusi dzɔ tso dzidzimewo mea?

Numekuku siwo wowɔ fifia ɖee fia be ne dɔléle sia le wò ƒomea me tɔ aɖe ŋu, vevietɔ ʋu ƒe ƒometɔ aɖe la, ke èle afɔku me hã be nàxɔ ``Zã me hũɖeɖe''.

Ðe Catathrenia nye nɔnɔme si me afɔku lea?

Nya nyuiae nye be catathrenia menye nɔnɔme si me afɔku le si agblẽ nu le wò ŋutilã ƒe lãmesẽ ŋu vevie o. Gake ate ŋu aɖe wò alɔ̃dɔdɔ dzi akpɔtɔ eye wòagblẽ nu le wò ame nɔewo dome ƒomedodowo ŋu.

Catathrenia ate ŋu ahe nuteɖeamedzi sesẽ alo ŋukpe vɛ na ame aɖewo le hadome.Ate ŋu adzɔ. Bu alesi wòate ɖe dziwòe ne màte ŋu aɖu toɣliɖeɖe siwo le dodom tso wò ŋutilã me dzi esime nèle alɔ̃ dɔm o la ŋu kpɔ. Le esia ta la, ame aɖewo dina be yewoaƒo asa na nɔnɔmewo abe zã ɖeka nɔnɔ kple ame bubuwo ene, eye wosusuna be ame bubuwo ase woƒe nyawo, be aɖe fu na yewo, eye be ŋu akpe yewo.

Aleke ɖɔktawo wɔa dea dzesi dɔléle siae?

Ðɔkta aɖe kpɔa catarrhal syndrome le dɔdaƒe dodokpɔ vɔ megbe. Esia ate ŋu alɔ wò dɔlélea ƒe dzesiwo biabia wò (atikewɔwɔ ŋutinya), ŋutilãmedɔdada, kple ɖewohĩ dodokpɔ bubu aɖewo wɔwɔ ɖe eme. Ðɔkta la abia wò hã be aleke nèsena le ɖokuiwò me ne èfɔ le ŋdi me, kple nusi ame bubuwo se hekpɔ esime nènɔ alɔ̃ dɔm hã.

Ne anya wɔ la, lé wò gbe ɖe mɔ̃ dzi esime nèle alɔ̃ dɔm. Esia akpe ɖe wò ɖɔkta ŋu wòaɖo toe eye wòade vovototo alɔ̃dɔdɔ ƒe nuƒoƒo kple nɔnɔme bubuwo abe aɖuɖɔtoe ene dome.

Wò Atikewɔla Gbãtɔ ate ŋu aɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala (`(Somnologist)`). Ðewohĩ ahiã hã be nàkpɔ gome le alɔ̃dɔdɔ ŋuti numekuku (`(Polysomnogram)`) me. Esia bia be woatsi alɔ̃dɔƒe. Le afima la, woléa ŋku ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ, gbɔgbɔ, kple ŋutilã ƒe dɔwɔwɔ bubuwo ŋu ne èle alɔ̃ dɔm.

Nukawoe nye atike siwo wozãna na esia?

Menye ɣesiaɣie wòhiãna be woawɔ atike na catathrenia o. Gake ne dzesiawo nu sẽ alo le ŋusẽ kpɔm ɖe wò agbe dzi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Wodoa nu me dɔwɔnuwo (si sɔ kple nusi léa wò aɖuwo ɖe te) le zã me. Esia kpena ɖe ŋuwò be wò yaƒoƒomɔ̃ si le etame la nɔa ʋuʋu ɖi le zã me.
• CPAP (Continuous Positive Airway Pressure) mɔ̃ zazã le zã me. Esia kpena ɖe ŋuwò be wò yaƒoƒomɔ̃a nɔa ʋuʋu ɖi to ya tsɔtsɔ to mɔ̃ aɖe me yia wò ŋɔti alo nu me.
• Woaɖoe ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (`(Otolaryngology specialist / ENT specialist)`) be wòakpɔe ɖa be ehiã be woawɔ dɔ nɛ hã.

Aleke agbea ayi ŋgɔe le nɔnɔme sia me? `(Nukpɔsusu)`

Womenya be catathrenia hea lãmesẽkuxi gã aɖeke vɛ ɣeyiɣi didi o. Togbɔ be ate ŋu ado vɔvɔ̃ na xɔ̃wòwo alo ƒowòmetɔwo vie be woase wò hũɖeɖe le zã me hã la, nɔnɔmea ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ dzi.

Akpa nyuitɔ kekeakee nye be, atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ame ŋu be woaɖe zã me ɣlidodo sia dzi akpɔtɔ alo atɔ te keŋkeŋ.Anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò gbã. Ame geɖe kpɔnɛ be yewoƒe dzesiwo nu yina ne yewodze CPAP-mɔ̃ zazã gɔme.

Tsɔ kpe ɖe eŋu la, ne dzesi siawo le ŋusẽ kpɔm ɖe woƒe susu ƒe lãmesẽ alo hadomekadodowo dzi la, ame geɖe kpɔa gbɔdzɔe ne woƒo nu kple susumedɔdala aɖe .

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne aɖuɖɔɖɔɖɔ ƒe nɔnɔme aɖe le ŋuwò le zã me, alo ne ame aɖe gblɔe na wò la, ke yi ɖɔkta gbɔ godoo. Azɔ hã, ne èse le ɖokuiwò me be yemele alɔ̃ dɔm nyuie o la, ƒo nu tso ema hã ŋu na wò ɖɔkta. Elabena alɔ̃dɔdɔ nyuie hiã hafi woate ŋu anɔ agbe le lãmesẽ me.

Àte ŋu abia nya siawo wò ɖɔkta hã:

• Ðe wòhiã be makpɔ gome le alɔ̃dɔdɔ ŋuti numekuku (Alɔ̃dɔdɔ Ŋuti Nusɔsrɔ̃ / Polysomnogram) mea?
• Ðe ɖɔktaa di be maƒo nu tso nya siwo mesena ne mele alɔ̃ dɔm la ŋu na nye abadzizɔhatia?
• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Ðe atikewɔmɔnu siawo ƒe nugbegblẽ le ame ŋu aɖewoa?

Vovototo kae le Catathrenia kple Snoring dome?

Catathrenia kple aɖuɖɔtoe siaa nye gbeɖiɖi siwo ate ŋu ado ne èle alɔ̃ dɔm, gake vovototo siwo dze ƒã le wo ame evea dome.

• Aɖuɖɔtoe dzɔna ne ègbɔ ya .
• Le catathrenia me la, ʋuʋudedia dzɔna ne ègbɔ ya .
• Le catathrenia me la, gbeɖiɖi si le ʋuʋum la tsoa wò gbeɖiɖikawo (aɖuɖɔtoe, alo gbeɖiɖiɖaka) me.
• Aɖuɖɔtoe ƒe ɖiɖi tsoa wò ŋɔti ƒe akpa si le etame (`(Pharynx)`).

Bu nyabiase agbɔsɔsɔme si ava susu me na wò ne wò zɔhɛ nyɔ wò le zã titina hegblɔ be, "Èle hũ ɖem/le toɣliɖeɖe wɔnuku aɖe wɔm." Togbɔ be aɖabaŋeŋe ƒu edzi ahatrɔ ayi alɔ̃ me adze abe egbɔkpɔnu bɔbɔetɔ kekeake ɣemaɣi ene hã la, ɖeko wòana nàse le ɖokuiwò me be ɖeɖi te ŋuwò wu ne èfɔ le ŋdi me. Ne alɔ̃dɔdɔ sesẽna na wò kple wò zɔhɛ zã sia zã la, anyo godoo be nàƒo nu kple ɖɔkta.

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, mele mɔ kpɔm be fifia miese catarrhenia si ŋu míeƒo nu tsoe egbea gɔme nyuie wu. Nu vevitɔ kekeakee nye be esia menye dɔléle si me afɔku le o. Ke hã, ate ŋu akpɔ ŋusẽ ɖe wò akɔfafa le agbe me, wò susu me dzidzɔkpɔkpɔ dzi.

• Menye wò ɖeka koe o: ame bubuwo hã li siwo le nɔnɔme mawo tɔgbe me. Eya ta mègakpe ŋu alo navɔ̃ o.
• Atikewɔwɔ aɖewo li: Atike aɖewo li siwo ate ŋu aɖe ʋuʋudedi sia dzi akpɔtɔ alo atɔ te. ``(CPAP)`` mɔ̃a hea dzidzedzekpɔkpɔ ƒe emetsonuwo vɛ na ame geɖe.
• Di atikewɔlawo ƒe aɖaŋuɖoɖo:Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò. Woagblɔ nusi tututu nàwɔ na wò.
• Susu ƒe lãmesẽ hã le vevie: Ne esia le fu ɖem na wò la, mègahe ɖe megbe le tagbɔdɔléle ŋuti aɖaŋuɖola ƒe kpekpeɖeŋu didi me o.

Wò alɔ̃dɔdɔ le vevie ŋutɔ na wò lãmesẽ bliboa, eyata ne alɔ̃dɔdɔ ŋuti nya aɖewo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o.

` Catathrenia, Zã me hũɖeɖe, Alɔ̃dɔdɔ ƒe kuxiwo, Yagbɔgbɔ ƒe kuxiwo, Aɖuɖɔtoe, CPAP, Alɔ̃dɔdɔ ƒe Kuxiwo