Na míasrɔ̃ nu tso viwòa ƒe ta kple ahɔhɔ̃ ƒe tsitsi ŋu (Cephalic Disorders) .

Ne vidada si ava zu viwòe nènye alo wò ƒomea me tɔ aɖe le mɔ kpɔm na vidzĩ la, ele vevie ŋutɔ be nànya nusianu tso viwòa ƒe lãmesẽ ŋu, alo? Ɣeaɖewoɣi la, nɔnɔme aɖewo li siwo me vidzĩa ƒe ta, ahɔhɔ̃, alo aklã metsi nyuie le vidzidɔa me o. Esiawo nye nɔnɔme siwo míeyɔna be Tagbɔdɔléle . Mègavɔ̃ ne èse ŋkɔ sia o, togbɔ be esesẽ vie hã la, míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukawoe nye Tagbɔdɔléle siawo?

Kpuie ko la, tagbɔdɔléle nye nɔnɔme siwo dzɔna le fugboe ƒe ɣeyiɣi me, si fia be ne vidzĩ le tsitsim le vidzidɔa me, ne ahɔhɔ̃ kple aklã metsi nyuie o. Esiawo nye lãmekawo ƒe akpa aɖewo ƒe nɔnɔme gbegblẽ. Nɔnɔme siawo ate ŋu ana ŋutilãa ƒe akpa bubuwo, ŋutinuwo, kple dɔwɔɖoɖo bubuwo nasɔ ɣeaɖewoɣi.

Nya "cephalic" tso blema Helagbe me nya aɖe si gɔmee nye "ta" me. Togbɔ be ahɔhɔ̃a koŋue le nɔnɔme siawo me hã la, woate ŋu akpɔ ŋusẽ ɖe aklãa hã dzi, ne ahɔhɔ̃a kple aklãa le tsitsim ɖekae. Wo katã wowɔa míaƒe Central Nervous System (CNS) .

Nɔnɔme siawo ate ŋu atso esiwo mesẽ o dzi va ɖo esiwo nu sẽ ŋutɔ dzi. Le nɔnɔme sesẽ aɖewo me la, ɖewohĩ fugboea mate ŋu anɔ agbe le nɔnɔme siawo me o. Esia ate ŋu ana woaɖe fu le fufɔfɔ ƒe kwasiɖa 20 gbãtɔwo me, alo vi kuku le kwasiɖa 20 megbe.

Ðe tagbɔdɔléle ƒomevi aɖewo lia?

Ẽ, atikewɔla bibiwo nɔa te ɖe nu vevi etɔ̃ dzi daa nɔnɔme siawo ɖe hatsotsowo me:

1. Teƒe si wòdze: Lãmetsiŋusẽ ƒe akpa kawoe wògblẽa nu le? Ðe wògblẽa nu le ŋutilã ƒe akpa bubuwo, ŋutinuwo, alo dɔwɔɖoɖo bubuwo ŋua?

2. Dɔwɔwɔ ɖe ame dzi ƒe nɔnɔme: Aleke lãmekawo ƒe akpa siwo ŋu wògblẽ nu le la tsi le mɔ bubu nu wu alesi wokpɔ mɔe? Eyae nye be, ɖe wololo wu, ɖe wole sue wu, alo ɖe wotrɔ le mɔ bubu aɖe nua?

3. Nusi gbɔ wòtso: Nuka gbɔe tsitsi ƒe megbetsitsi sia tso? Ðe wòtso nudzɔdzɔ alo nuto aɖe si gblẽ nu le vidada funɔa ŋu gbɔa, alo domenyiŋusẽfianu gbɔe wòtsoa?

Aleke gbegbee nɔnɔme siawo bɔe?

Le nyateƒe me la, tagbɔdɔléle nye nɔnɔme siwo mebɔ kura o. Wodzea vidzĩ yeyewo ƒe 0.14% va ɖo 0.16% dzi. Numekukuwo ɖee fia be nɔnɔme siawo gbɔe vi siwo wodzina ƒe 3% va ɖo 6% tsona.

Nukawoe nye tagbɔdɔléle ƒomevi veviwo?

Woate ŋu ama nɔnɔme siawo ɖe hatsotso etɔ̃ me koŋ:

• Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie
• Vovototo le lolome me ( le ta alo ahɔhɔ̃ me) .
• Nɔnɔme ƒe vovototo ( le tagbɔ alo ahɔhɔ̃ me) .

Ahɔhɔ̃mekawo ƒe Gblẽƒewo

Ahɔhɔ̃meka nye nu tɔxɛ aɖe si dona le fugboea me le fufɔfɔ ƒe ɣleti gbãtɔ me. Esia mee ahɔhɔ̃, aklã, kple aklã va dona emegbe. Ne míagblɔe bubui la, eyae nye vidzĩa ƒe lãmekawo ƒe gɔmeɖoanyi. Eyata nɔnɔme siawo siwo do ƒome kple ahɔhɔ̃mekawo kpɔa ŋusẽ ɖe lãmeka siwo le titina (CNS) ƒe tsitsi dzi tẽ.

Nɔnɔme siawo ate ŋu ana afɔɖeɖe aɖewo le ahɔhɔ̃ alo aklã ƒe tsitsi me nagblẽ, alo madzɔ kura o. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Anencephaly: Esia nye nɔnɔme sesẽ aɖe ŋutɔ si me ahɔhɔ̃ kple taɖu ƒe akpa akpa gãtɔ metsi o alo wometsi kura o.
• Encephalocele: Do si le taɖua me si nana ahɔhɔ̃mekawo kple ahɔhɔ̃mekawo me tsi dona le taɖua me abe kotoku ene.
• Spina bifida: Aklã ƒe kpododonu ƒe tsitsi bliboe. Esia ƒomevi bubuwo hã li, abe meningocele kple myelomeningocele ene.
• Chiari malformation: Nɔnɔme si me ahɔhɔ̃a ƒe akpa aɖe dona to ʋuƒo si le taɖua te la me. (Ame ƒomevi II ate ŋu ahe dɔléle aɖe si woyɔna be myelomeningocele si woyɔna be spina bifida vɛ.)

Vovototo Siwo Le Agbɔsɔsɔme Me

Esiawo nye tɔtrɔ siwo kpɔa ŋusẽ ɖe ta alo lãmeka siwo le titina ƒe lolome dzi. Bu eŋu kpɔ, ɣeaɖewoɣi la, ta ate ŋu alolo ŋutɔ, ɣeaɖewoɣi ate ŋu anɔ sue ŋutɔ.

• Vovototo siwo le taɖu ƒe lolome me:
• Macrocephaly: Ta si lolo le mɔ si mesɔ o nu ƒe amesinɔnɔ.
• Microcephaly: Ta sue si mesɔ o ƒe amesinɔnɔ.
• Ahɔhɔ̃ ƒe lolome ƒe tɔtrɔ:
• Megalencephaly: Ahɔhɔ̃ si lolo le mɔ si mesɔ o nu ƒe amesinɔnɔ.
• Microencephaly: Ahɔhɔ̃ si le sue le mɔ si mesɔ o nu.

Nɔnɔme ƒe Vovototowo

Esiawo nye tɔtrɔ siwo vaa taɖu alo ahɔhɔ̃ ƒe nɔnɔme me.

• Tɔtrɔ siwo va le taɖu ƒe nɔnɔme me:
• Acrocephaly: Ta kɔkɔ alo esi le dzogoe ene me.
• Brachycephaly: Ta la keke eye wòle gbadzaa le megbe, le esi teƒe be wòanɔ goglo.
• Tɔtrɔ siwo vaa ahɔhɔ̃a ƒe nɔnɔme me:
• Holoprosencephaly: Ahɔhɔ̃a ƒe akpa vovovoawo (axawo) mema tso wo nɔewo gbɔ o.
• Lissencephaly: Ahɔhɔ̃ si le gbadzaa si me ʋuʋudedi alo ʋuʋudedi si le abe asibidɛ ƒe dzesi ene mele ahɔhɔ̃a ƒe anyime o.
• Hydranencephaly: Nɔnɔme si me ahɔhɔ̃mekawo metsina nyuie o le ahɔhɔ̃mekawo ƒe tsi si sɔ gbɔ ɖe taɖua me ta. (Esia to vovo na nɔnɔme si woyɔna be hydrocephalus.)

Nukae nye nɔnɔme siawo ƒe dzesiwo?

Tagbɔdɔléle ƒe dzesiwo toa vovo ŋutɔ le nɔnɔmea nu. Esi wònye be nɔnɔme siawo sɔ gbɔ ta la, dzesiawo hã ate ŋu ato vovo.

Dzesi siwo bɔ siwo wokpɔna zi geɖe dometɔ aɖewoe nye:

• Susu ƒe nuwɔametɔnyenye.
• Alɔ̃madɔmadɔ alo asrãdɔ.
• Lãmetsiŋusẽ dzi ɖuɖu ƒe kuxiwo kple ʋuʋu ƒe kuxiwo.
• Sidzenuŋutetewo ƒe akpa aɖe alo keŋkeŋ (nukpɔkpɔ, tosese, ʋeʋẽse, vivisese, asikaka nu ŋu).
• Gbɔdzɔgbɔdzɔ alo lãmetutudɔ si tso kuxi siwo le akɔta alo aklã ƒe lãmekawo ŋu gbɔ.
• Tɔtɔ le ŋutilã ƒe dɔwɔwɔ le eɖokui si abe nuɖuɖumeŋusẽ kple gbɔgbɔ ene me.
• Vevesese (esia ate ŋu atso susu vovovowo gbɔ eye ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ).

Tsɔ kpe ɖe ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie siawo ŋu la, ate ŋu agblẽ nu le ŋutilãa ƒe ɖoɖo bubuwo hã ŋu alo kuxiwo ate ŋu ado mo ɖa. Esiawo ate ŋu ato vovo ŋutɔ le nusi gbɔ wòtso kple nɔnɔme si me wole nu. Wò ɖɔkta ate ŋu aɖe dzesi siwo ate ŋu ado mo ɖa le wò nɔnɔme tɔxɛa nu me nyuie wu.

Nukawoe hea Tagbɔdɔléle vɛ?

Nusianu si akpɔ ŋusẽ ɖe alesi ahɔhɔ̃ alo lãmekawo tsinae dzi ate ŋu ahe tagbɔdɔléle vɛ. Nusiwo ate ŋu ahe esia vɛ la dze le hatsotso vevi geɖe me:

• Domenyiŋusẽfianu: DNA ƒe tɔtrɔ siwo ƒe dome wonyi tso dzilawo gbɔ alo esiwo dzɔ yeyee gbɔ ate ŋu ahe tagbɔdɔ geɖe vɛ.
• Vidada ƒe atikewɔwɔ ƒe nɔnɔmewo le fufɔɣi: Atikewɔwɔ ƒe nɔnɔme vovovowo ate ŋu akpɔ ŋusẽ ɖe fugboea ƒe tsitsi dzi. Le kpɔɖeŋu me, lãmenugbagbeviwo ƒe dɔwɔwɔ kple nunyiame ƒe veve (vevietɔ mineralwo abe akɔbli, zinc kple folate (folic acid - vitamin B9) Azɔ hã, dɔlékui aɖewo abe toxoplasmosis, cytomegalovirus alo rubella ateŋu ahe nɔnɔme siawo vɛ.
• Nu aɖewo zazã: Nu aɖewo, atikewo, alo nɔnɔme aɖewo ate ŋu akpɔ ŋusẽ ɖe fugboea ƒe tsitsi dzi. Eŋutinunyalawo yɔa esiawo hã be "teratogens." Kpɔɖeŋuwo: ga siwo me aɖi le abe lifi kple mercury ene, dɔlékuiwutike aɖewo, alo ʋumenugbagbeviɣitikewo.
• Nutoa me ƒe nɔnɔmewo: Kekeli, abe esi tso X-ray-mɔ̃wo gbɔ ene, alo ɣeyiɣi zazã le tsi dzodzoe alo sauna me hã ate ŋu agblẽ nu le fugboea ŋu. Ŋutilã me abixɔxɔ le fufɔɣi hã ate ŋu ana fugboea ƒe nugbegblẽ le eŋu nadzi ɖe edzi eye wòagblẽ nu le lãmekawo ƒe tsitsi ŋu.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme siawo vɛ?

Nu geɖe li siwo ate ŋu ana tagbɔdɔlélewo nadze ame dzi. Nu aɖewo, abe wò domenyiŋusẽfianu kple wò ƒome ŋutinya ene, nye nusi dzi míate ŋu aɖu o. Woate ŋu akpɔ wo dometɔ aɖewo, abe asaƒoƒo na dɔwɔna alo dɔ aɖewo wɔwɔ le fufɔɣi, alo tɔmelã ƒomevi aɖewo ɖuɖu dzi ɖeɖe kpɔtɔ (tɔmelã siwo ɖua tɔmelã bubuwo ƒe mercury sɔ gbɔ ɖe wo me) le fufɔɣi ene, dzi.

Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nànya nusiwo ate ŋu ahe wò afɔku kple nusi nàte ŋu awɔ tso wo ŋu. Ne tagbɔdɔléle le wò ƒomea me tɔ aɖe ŋu la, woate ŋu aɖo aɖaŋu na wò hã be nàkpɔ dɔdala bibi bubu, abe domenyiŋusẽfianu ŋuti aɖaŋuɖola ene.

Nukawoe nye Tagbɔdɔléle ƒe kuxiwo?

Abe nɔnɔme siawo ene la, woƒe kuxiwo hã toa vovo ŋutɔ. Kuxi suesuesuewo koe nɔa nɔnɔme aɖewo me, alo ɖewohĩ kuxi aɖeke kura mele wo ŋu o. Kuxi sesẽwo le ame bubuwo ŋu, abe gbɔgbɔtsixetsixe, alɔ̃madɔmadɔ, alo dzidɔ ene. Le nɔnɔme siwo nu sẽ wu me la, tagbɔdɔléle xea mɔ na ahɔhɔ̃a kple lãmekawo ƒe tsitsi nyuie. Esia tae zi geɖe la, nɔnɔme sesẽwo dea ame ƒe agbe afɔku me ɖo.

Wò ɖɔktae nye ame nyuitɔ kekeake si agblɔ kuxi siwo ate ŋu ado mo ɖa le viwòa ŋu kple nusi nàte ŋu awɔ tso wo ŋu na wò.

Aleke wokpɔa tagbɔdɔlélewo dzea sii?

Woate ŋu azã nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya abe sonography ene akpɔ tagbɔdɔ geɖe hafi woadzi wo. Woate ŋu akpɔ wo dometɔ aɖewo le wo dzidzi megbe to ŋutilãmedodokpɔ me. Le go bubuwo me la, ate ŋu ahiã be woagawɔ dodokpɔ bubuwo le dɔlélewo didi, nɔnɔmetatawo ɖeɖe, kple dodokpɔxɔ me be woatsɔ ade dzesi nɔnɔme si gbɔ wòtso nyuie.

Dodokpɔ siwo woate ŋu awɔ do ŋgɔ na vidzĩa dzidzi kple emegbe la dometɔ aɖewoe nye esi:

• X-ray alo Computed Tomography (CT) ƒe fotoɖeɖefia.
• Magnetic Resonance Imaging (MRI) ƒe fotoɖeɖefia.
• Dodokpɔ siwo wowɔna le dodokpɔxɔ me le ʋu alo ŋutilã me tsi bubuwo ŋu.
• Domenyiŋusẽfianu dodokpɔ (do ŋgɔ na vidzidzi alo emegbe).

Le nɔnɔme si wosusu be ele ame ŋu, eƒe dzesiwo, kple nu bubuwo nu la, woate ŋu awɔ dodokpɔ bubuwo le vidzĩa dzidzi vɔ megbe. Wò ɖɔktae nye ame nyuitɔ si agblɔ dodokpɔ siwo wokafu na wò wu.

Aleke wokpɔa nɔnɔme siawo gbɔe? Ðe woate ŋu ada gbe le wo ŋua?

Atikewɔwɔ na tagbɔdɔlélewo to vovo ŋutɔ. Womate ŋu ada nɔnɔme aɖewo o, eye woƒe ŋusẽkpɔɖeamedziwo nu sẽ ale gbegbe be womate ŋu anɔ agbe ɖe wo nu o.

Woate ŋu atsɔ amekoko alo mɔnu bubuwo ada nɔnɔme aɖewo. Gake womate ŋu ada tagbɔdɔ geɖe tẽ o, eye tiatia ɖeka koe nye be woadze agbagba akpɔ dzesiawo gbɔ. Esia ate ŋu abia be woazã atikewo, amekoko, mɔ̃ siwo kpena ɖe ame ŋu, kple akɔtaɖonu siwo woatsɔ aɖɔ ame ɖo.

Esi wònye be esia ate ŋu ato vovo ŋutɔ ta la, wò ɖɔktae nye ame nyuitɔ kekeake si aɖe tiatia siwo li na wò alo wò lɔlɔ̃tɔa me. Woate ŋu agblɔ atikewɔmɔnu kple tiatia siwo li, nusiwo wokafu, kple nusiwo nàte ŋu awɔ na viwòa be wòakpɔ viɖe geɖe tso atikewɔmɔnuwo me alo ana wòawɔ dɔ nyuie wu la na wò.

Nukae mate ŋu akpɔ mɔ na ne tagbɔdɔléle aɖe le vinye ŋu?

Zi geɖe la, wò, dzila, vidzikpɔla, alo ame bubu si le viwòa dzi kpɔm lae nye ame gbãtɔ si nya be tagbɔdɔ le viwòa ŋu. Esia le alea elabena wokpɔa tagbɔdɔ akpa gãtɔ le wo dzidzi me alo le woƒe agbenɔƒe ʋɛ gbãtɔwo me. Esia ate ŋu ato vovo ŋutɔ, eyata wò ɖɔktae nye ame nyuitɔ si agblɔ nusi nàkpɔ mɔ na na wò.

Tagbɔdɔléle aɖewo ate ŋu akpɔ ŋusẽ sue aɖe ko ɖe ɖevi ƒe agbenɔnɔ dzi eye woate ŋu akpɔ wo gbɔ to kpekpeɖeŋu vi aɖe alo tɔtrɔwo me. Woate ŋu aɖɔ wo dometɔ aɖewo ɖo le woƒe tsitsime gɔ̃ hã to amekoko alo atikewɔmɔnu bubuwo dzi.

Gake zi geɖe la, tagbɔdɔlélewo nu sẽna ŋutɔ. Woate ŋu aɖe ɖevi ƒe ŋutete be wòakpɔ eɖokui dzi, awɔ nyametsotso na eɖokui, alo anɔ agbe le eɖokui si dzi akpɔtɔ. Le go geɖe me la, ɖevi siwo ŋu nɔnɔme siawo le ƒe ahɔhɔ̃ gblẽna vevie. Ðewohĩ womate ŋu akpɔ wo ɖokui dzi alo ase woƒe nɔnɔmea gɔme o.

Ɣeyiɣi didi kae nɔnɔme siawo nɔa anyi?

Tagbɔdɔléle nye nɔnɔme siwo wodzina, si fia be wonɔa anyi le vidzidzi me. Togbɔ be woate ŋu aɖɔ ɖewo ɖo ƒe akpa aɖe alo keŋkeŋ le wo dzidzi megbe hã la, wo dometɔ geɖe mate ŋu aɖɔ wo ɖo o. Ne womate ŋu aɖɔ wo ɖo alo ada wo o la, ke wonyea agbemedɔlélewo.

Nukae nye nɔnɔme siawo ƒe mɔkpɔkpɔ?

Nukpɔsusu si le tagbɔdɔlélewo ŋu toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ, le amesiwo ŋu dɔléle ɖeka le gɔ̃ hã dome. Esia le alea elabena nɔnɔme siawo ate ŋu ado mo ɖa le mɔ tɔxɛwo nu na ame ɖesiaɖe. Viwòa ƒe ɖɔktae nye ame nyuitɔ kekeake si agblɔ alesi wòanya wɔe kple nusi nàte ŋu awɔ be wòanyo ɖe edzi la na wò.

Ðe woate ŋu axe mɔ ɖe Tagbɔdɔléle nua?

Nɔnɔme siawo ate ŋu adzɔ le vome, eyata womate ŋu axe mɔ ɖe wo nu kple kakaɖedzi 100% o. Togbɔ be domenyiŋusẽfianu ƒe nɔnɔme siwo hea wo vɛ la nyea domenyinyi zi geɖe hã la, woate ŋu atso domenyiŋusẽfianu ƒe tɔtrɔ siwo dzɔna le wo ɖokui si hã gbɔ, si fia be wometsɔa wo tso gbɔwò yia viwò gbɔ o.

Togbɔ be manya wɔ be woaxe mɔ nɛ keŋkeŋ o hã la, nanewo li nàte ŋu awɔ atsɔ aɖe kuxi siwo ate ŋu ado mo ɖa le fugboe ƒe tsitsi ŋu le fufɔɣi dzi akpɔtɔ.

Nukae mate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ?

Mɔ geɖe li siwo dzi woato aɖe kuxi siwo le fugboe ƒe tsitsi me dzi akpɔtɔ:

• Ƒo asa na teratogens:Ƒo asa na ga kpekpewo, atikewo, kple atike siwo ate ŋu agblẽ nu le fugboea ƒe tsitsi ŋu ŋutɔ. Ƒo asa na ahanono, atike siwo womeŋlɔ na wò o zazã, kple atamanuwo (siwo dome vaping hã le) hã.
• Takpɔ ɖokuiwò ta tso afɔkuwo me: Ƒo asa na nuwɔna siwo ate ŋu agblẽ nu le fugboea ŋu le ŋutilã me le fufɔɣi. Azɔ hã, ƒo asa na nuwɔna siwo me dzoxɔxɔ si nu sẽ le, abe tsi dzodzoewo kple sauna ene.
• Nya afɔku si le wò ƒomea me: Ne tagbɔdɔléle le wò ƒomea me kpɔ la, ƒo nu kple wò ɖɔkta tso nenye be ele be woado wò domenyiŋusẽfianu kpɔ hafi afɔ fu alo le wò fufɔfɔ ƒe gɔmedzedze. Ne womenya afɔku si le wò ƒomea me o la, wò ɖɔkta aɖo aɖaŋu na wò nenye be ele be woado wò kpɔ.
• Tsɔ nunyiame ɖo nɔƒe gbãtɔ: Ne èfɔ fu alo nèle ɖoɖo wɔm be yeafɔ fu kpuie la, ele be nàtsɔ nunyiame aɖo nɔƒe gbãtɔ le fufɔɣi. Kpɔ egbɔ be yexɔ nunyiame veviwo abe folate (si woyɔna hã be folic acid alo vitamin B9) si wokafu be yeɖu gbesiagbe. Le Sri Lanka la, wonaa folic acid vidada siwo le fu fɔm edziedzi. Wò ɖɔkta aɖo aɖaŋu na wò le agbɔsɔsɔ si nèhiã kple nunyiame bubu siwo wòle be nàno ŋu. Àte ŋu abia aɖaŋuɖoɖo tso Ƒomea ƒe Lãmesẽdɔwɔla (PHM) si le mia gbɔ hã gbɔ.

Aleke malé be na vinyea?

Ne woate ŋu akpɔ ɖevi si ŋu tagbɔdɔléle le kple alesi woate ŋu akpɔ edzii la nɔ te ɖe nu geɖe dzi. Esia lɔ ɖevia ƒe nɔnɔme kple eƒe sesẽ ɖe eme. Ðevi geɖe siwo ŋu tagbɔdɔléle le la gblẽa nu le wo ŋu vevie ale gbegbe be wohiã be woakpɔ wo gbɔ le woƒe agbemeŋkekewo katã me. Ðewohĩ ahiã be woayi atikewɔƒe enuenu ko. Ame bubuwo ate ŋu abia beléle si me aɖaŋu le ŋkeke 24 kple zã 7 si woate ŋu ana le atikewɔƒe ko.

Esi ŋuɖoɖo sia ate ŋu ato vovo ŋutɔ ta la, wò ɖɔktae nye ame nyuitɔ si agblɔ na wò nenye be viwò, alo wò lɔlɔ̃tɔ si ŋu dɔléle sia le ate ŋu akpɔ wo ɖokui dzi. Wò ɖɔkta ate ŋu afia mɔ wò le ale si nàlé be na viwòa nyuie wu hã ŋu.

Dzila siwo le mɔ kpɔm na vi la medi gbeɖe be yewoase be nane gblẽ le fugboea ƒe tsitsi ŋu alo be dɔléle sesẽ aɖe le yewo vi si wodzi yeyee ŋu o. Tagbɔdɔ aɖewo le sue, si fia be womekpɔa ŋusẽ boo aɖeke ɖe vidzĩa ƒe agbenɔnɔ dzi o alo womekpɔa ŋusẽ aɖeke kura o. Woate ŋu ada dɔ na ame bubuwo. Nublanuitɔe la, wo dometɔ aɖewo nu sẽ ale gbegbe be woate ŋu awu ame alo ahe kuxiwo vɛ le woƒe agbemeŋkekewo katã me.

Enye nusi sɔ be vɔvɔ̃, dzimaɖitsitsi, alo dzikudodo ne nɔnɔme sia tɔgbe kpɔ ŋusẽ ɖe wò agbenɔnɔ dzi le mɔ aɖe nu. Le esiawo katã me la, ele vevie be wò susu nanɔ ɖokuiwò kple wò lɔlɔ̃tɔwo dzi kpɔkpɔ ŋu. Wò ɖɔktawo ate ŋu afia mɔ wò le ɖoɖo sia me eye woaɖo nyabiase siwo ku ɖe nusi nàkpɔ mɔ na ŋu ŋu. Woate ŋu akpe ɖe ŋuwò hã be nàkpɔ nunɔamesiwo kple kpekpeɖeŋu siwo nèhiã be nàse nusiwo le dzɔdzɔm kple nusi nàte ŋu awɔ gɔme. Eɖanye nuka kee ado tso eme mlɔeba o, nanewo li nàte ŋu awɔ atsɔ anɔ te ɖe nusianu si adzɔ nu, akpɔ egbɔ, alo ada gbe le eŋu, eye menye ɖoɖo si me wò ɖeka nàto o.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

• Tagbɔdɔléle nye nɔnɔme siwo dzɔna ne vidzĩ ƒe ahɔhɔ̃ kple aklã metsi nyuie le vidzidɔa me o.
• Esiawo mebɔ o, gake woate ŋu atso suewo dzi va ɖo esiwo nu sẽ ŋutɔ dzi.
• Susuawo to vovo: domenyiŋusẽfianu, vidada ƒe nɔnɔmewo le fufɔɣi, nu aɖewo zazã, kple bubuawo.
• Dzesiwo, atikewɔwɔ, kple nukpɔsusu toa vovo ŋutɔ le nɔnɔmea nu. Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
• Togbɔ be womate ŋu axe mɔ ɖe enu keŋkeŋ o hã la, woate ŋu aɖe afɔkua dzi akpɔtɔ va ɖo afi aɖe ne wozɔ ɖe agbe nyui nɔnɔ dzi le fufɔɣi (vevietɔ folic acid nono) eye woƒo asa na afɔku siwo le eme.
• Enye nusi sɔ be nàse le ɖokuiwò me be vɔvɔ̃ le ye ŋu le nɔnɔme sia tɔgbe me. Menye wò ɖeka koe o, xɔ kpekpeɖeŋu tso ɖɔktawo kple kpekpeɖeŋunahawo gbɔ.

` Tagbɔdɔlélewo, Ahɔhɔ̃ ƒe Dɔmawɔmawɔ nyuie, Ahɔhɔ̃mekawo ƒe Dɔmawɔmawɔ nyuie, Microcephaly, Hydrocephalus, Fufɔfɔ ƒe Lãmesẽ, Fugboe ƒe Tsitsi