Ðe wò hã nèle ʋuʋum le ɖokuiwò si màte ŋu aɖu oa? Esia ate ŋu anye Cerebellar Degeneration!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemegale ŋusẽ kpɔm ɖe yeƒe ŋutilã dzi oa? Ðe nèsena le ɖokuiwò me be yele ʋuʋum ne ètsi tre alo le zɔzɔm, alo ɖe nèsena le ɖokuiwò me be yeƒe nyawo mekɔna ne èle nu ƒom? Menye ɖeko nu siawo dzɔna le vome o. Ðewohĩ kuxi aɖe si le míaƒe ahɔhɔ̃ ƒe akpa sue aɖe tae. Emae nye nusi ŋu míele nu ƒom tsoe egbea.

Nukae Nye Cerebellar Degeneration? Mina míase egɔme bɔbɔe!

Enyo, gbã la, mina míalé ŋku ɖe nusi ahɔhɔ̃meka sia nye ŋu. Wò ahɔhɔ̃ ƒe akpa sue aɖe, si le anyi vie, si míeyɔna be ahɔhɔ̃meka . Ele sue, gake ewɔa dɔ vevi ŋutɔ geɖe. Bu eŋu kpɔ, ekpɔa ŋusẽ ɖe wò dadasɔ dzi , ekpena ɖe ŋuwò nètsia tre hezɔna evɔ mèʋuʋuna o, enaa wò nuƒoƒo me kɔna, eye wònana wò abɔwo kple afɔwo wɔa dɔ nyuie.

Azɔ, nukae nye gbegblẽ ? Kpuie ko la, gbegblẽ nye lãmeka siwo le ahɔhɔ̃mekawo me ƒe gbegblẽ alo woƒe kuku vivivi. Eyata ahɔhɔ̃mekawo ƒe gbegblẽ nye nɔnɔme si me lãmeka siwo le ahɔhɔ̃mekawo me gblẽna eye womete ŋu wɔa dɔ nyuie o.

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

Susu geɖewo ate ŋu anɔ nɔnɔme sia me. Na míalé ŋku ɖe vevitɔwo ŋu.

1. Ahanono fũu akpa kple nunyiame ƒe veve

Esiae nye susu vevitɔ si wokpɔna zi geɖe. Ne míeno aha fũ la, vitamin B1 si woyɔna be thiamine mesu míaƒe ŋutilã o. Esia ate ŋu atso esi míekpɔnɛ tso nuɖuɖu me wòdea edeƒe o, alo ate ŋu anye esi ŋutilãa mete ŋu le exɔm o. Thiamine le vevie ŋutɔ na ahɔhɔ̃mekawo ƒe dɔwɔwɔ. Ne edzi ɖe kpɔtɔ la, ahɔhɔ̃menugbagbeviwo tea gbegblẽ.

2. Ahɔhɔ̃mekawo ƒe Dɔlélewo

Dɔléle aɖewo li siwo nana lãmeka siwo le míaƒe aklã kple ahɔhɔ̃ ƒe akpa vovovowo, vevietɔ ahɔhɔ̃mekawo, kuna vivivi.

• Ataxia nye dɔléle gã sia ƒomevi. Eƒe dzesi enye be ŋutilã megate ŋu ɖua eɖokui dzi o eye mewɔa nu ɖe ​​ɖoɖo nu o.
• Multiple System Atrophy nye dɔléle sia tɔgbe bubu.
• Dɔléle si mebɔ o si woyɔna be Creutzfeldt-Jakob Dɔléle hã ate ŋu anye nusi gbɔ wòtso.
• Dɔléle si nye multiple sclerosis (MS) gblẽa nu le esia ŋu ɣeaɖewoɣi.

Woate ŋu anyi lãmekawo ƒe dɔléle siawo dometɔ aɖewo ƒe dome , si fia be wotoa domenyiŋusẽfianu dzi tso dzilawo gbɔ yia ɖeviwo gbɔ. Wo dometɔ aɖewo hã ate ŋu adze le agbe me.

3. Nɔnɔme siwo dzɔna le kansa xɔxɔ me (Paraneoplastic Syndromes) .

Esia nye ŋutinya si me nyawo sesẽ vie. Ne kansa lãmenugbagbeviwo va le ame aɖewo ŋu la, woƒe dɔlélenutsiŋutete dzea agbagba be yeawɔ avu kple kansa la. Gake ɣeaɖewoɣi la, dɔlélenutsiŋutete sia dzea lãmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe le ahɔhɔ̃a me. Ne ahɔhɔ̃mekawo gblẽ la, míeyɔnae be Paraneoplastic Syndromes . Nɔnɔme sia bɔ ɖe amesiwo ŋu kansa abe no me dɔdzẽ, azigolo me kansa, vidzidɔ me kansa, ame tsitsiwo ƒe Hodgkin ƒe Lãmetsiŋusẽ, kple lãmenugbagbevi suewo ƒe lãkusi me dɔdzẽ ene ŋu.

Ameka ŋue nɔnɔme sia gblẽa nu le wu?

Togbɔ be manya wɔ be woagblɔ amesi tututu axɔ nusia o hã la, ame aɖewo le afɔku me wu.

• Le kpɔɖeŋu me, wokpɔa paraneoplastic nɔnɔme si míeyɔ va yi la zi geɖe vie le nyɔnu siwo xɔ wu ƒe 50 dome.
• Gake le goawo katã me la, ŋutsuwo ƒe dadasɔ kple nuwɔwɔ aduadu ƒe kuxiwo nɔa wo ŋu ne wole tsitsim.
• Zi geɖe la, wokpɔa ahɔhɔ̃mekawo ƒe gbagbã si ahatsunono alo nunyiame ƒe veve hena vɛ le ƒe titina, vevietɔ le amesiwo no aha ɣeyiɣi didi aɖe gome.
• Nɔnɔme sia ate ŋu adzɔ ɖe ɖevi siwo ŋu domenyiŋusẽfianu ƒe dɔléle aɖewo le hã dzi.

"Ahɔhɔ̃ ƒe ʋuʋu sia ƒomevi mebɔ nenema o. Ame siwo ŋu kansa le dometɔ siwo mede 1% o la xɔa paraneoplastic nɔnɔmewo. Ke hã, ahɔhɔ̃mekawo ƒe ʋuʋu si ahanono hena vɛ la bɔ vie wu."

Dzesi kawoe wòle be míalé ŋku ɖo?

Dɔléle sia ƒe dzesiwo ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ, gake dzesi aɖewo li siwo bɔ:

• Dadasɔ ƒe bu (Dzasɔ ƒe kuxiwo) , taɖuame alo tsatsam (Vertigo alo taɖuame). Ate ŋu ase le eɖokui me hã abe ɖe nèle ʋuʋum le anyigba ene.
• Sese le eɖokui me be lãmekawo ƒe ŋusẽ mele ye ŋu o (Hypotonia) . Afɔ kple afɔawo ate ŋu ase le wo ɖokui me be agbe mele wo ŋu o alo wole lãmetutudɔ lém.
• Ŋku ƒe kuxiwo: Nu eve kpɔkpɔ zi ɖeka (nukpɔkpɔ zi eve), ŋku ƒe ʋuʋu kabakaba, si dzi womeɖu o (nystagmus).
• Ŋutete manɔanyi be woawɔ ɖoɖo ɖe abɔ kple afɔwo ƒe ʋuʋu ŋu nyuie (Ataxia) . Le kpɔɖeŋu me, ne èdo asi ɖe kplu aɖe gbɔ la, wò asi ʋuʋuna, alo mète ŋu ɖoa kplua gbɔ nyuie o.
• Kuxi siwo le lãmekawo ƒe dɔwɔwɔ nyuie ŋu . Nuwo abe alesi wòsesẽna be nàlé wò ta ɖe dzi dzɔdzɔe, màte ŋu azã wò abɔwo alo afɔwo nyuie o ene.
• Afɔwo ƒe ʋuʋu alo ʋuʋu ne wole agbagba dzem be yewoawɔ nuwɔna aɖe .
• Azɔlizɔzɔ si meli ke o alo esi mewɔ ɖeka o kple azɔlizɔzɔ si keke, ʋuʋu tso axa ɖeka yi axa ke, kple azɔlizɔzɔ kple afɔ eveawo keke .

Tsɔ kpe ɖe dzesi siawo ŋu la, amesiwo ŋu paraneoplastic dɔléle le ate ŋu akpɔ dzesi bubu geɖe, vevietɔ:

• Ŋkuɖodzinu, tamebubu ŋutete, kple tamebubu ŋutete dzi ɖe kpɔtɔ `(Dementia)`.
• Nuƒoƒo nɔa blewu eye wòƒoa nu ƒuƒlu (Dysarthria) .

Azɔ hã, ame aɖewo siwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le ate ŋu ato nɔnɔme bubuwo abe:

• Susu ƒe Dɔmawɔmawɔ nyuie/Dɔwɔwɔ fũu akpa ƒe Dɔléle (ADHD) .
• Autism Spectrum Dɔléle
Tagbɔdɔléle-seselelãme `(Tagbɔdɔléle)`

Aleke ɖɔktawo dea dzesi esia?

Ne dzesi siawo le ŋuwò la, ne èyi ɖɔkta gbɔ la, woabia nya geɖe wò tso wò dzesiawo ŋu gbã. Nukae nye wò dzesiwo, alesi gbegbe wosẽe, alesi wokpɔa ŋusẽ ɖe wò gbesiagbedɔwo dzii, kple nenye be dɔléle sia nɔ wò ƒomea me dometɔ aɖe ŋu.

Emegbe, ɖɔktaa aɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:

• MRI (Magnetic Resonance Imaging) scan alo CT (Computed Tomography) scan: Esiawo ɖea ahɔhɔ̃a kple eƒe lãkusiwo ƒe foto siwo me kɔ ŋutɔ. Ne ahɔhɔ̃a ƒe gbagbãdɔ aɖe li la, fotoɖeɖe siawo ate ŋu aɖe alesi ahɔhɔ̃mekawo dzi ɖe kpɔtɔ eye wòɖiɖii afia. Woate ŋu ade dzesi kuxi bubuwo hã, abe ahɔhɔ̃ me dɔdzẽ, alo ʋusɔgbɔdɔ ƒe dzesiwo ene.
• Spinal Tap / Lumbar Puncture: Woyɔa tsi si ƒo xlã míaƒe ahɔhɔ̃ kple aklã ƒe ka si nye Cerebrospinal Fluid (CSF) . Woɖea tsi sia ƒe kpɔɖeŋu sue aɖe hedonɛ kpɔna. Ɣeaɖewoɣi la, woate ŋu azã nusiwo le tsi sia me atsɔ ade dzesi dɔlélenutsiŋutete ƒe dɔléle aɖe abe paraneoplastic syndrome ene.
• Ʋudodokpɔ: Ɣeaɖewoɣi la, woléa ŋku ɖe dɔlékuiwutike siwo le ʋua me ƒe agbɔsɔsɔ ŋu. Woate ŋu adzi dɔlékuiwutike siawo ɖe dzi le amesiwo ŋu kansa kple paraneoplastic dɔlélewo le me.
• Domenyiŋusẽfianu Dodokpɔ: Ne ɖɔktaa susui be domenyiŋusẽfianu ƒe nɔnɔme sia nye la, ate ŋu awɔ domenyiŋusẽfianu ƒe dodokpɔ hã.

Ðe atike blibo aɖe li na esia? Nukawoe nye atikewɔmɔnuawo?

Ne míagblɔe tututu la, fifia la, womekpɔ atike aɖeke na ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie o. Ke hã, atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Atikewo hã li siwo akpe ɖe ame ŋu woaɖu dzesi aɖewo dzi (abe ʋuʋudedi, azɔlizɔzɔ sesẽ, kple taɖuame ene).

• Paraneoplastic nɔnɔmewo dada:
• Kansa dada: Atikewɔwɔ , Kekeli ƒe Dɔdamɔnu .
• Dɔlélenutsiŋutete ƒe atikewo .
• Dɔlélenutsiŋutete ƒe atikewɔwɔ .
• Woate ŋu awɔ amekoko be woaɖe kansa ƒe dɔdzẽa ɖa, tsɔ kpe ɖe atikewɔmɔnu kple keklẽŋusẽdɔdamɔnu ŋu.

• Atikewɔwɔ na nɔnɔme siwo ahatsunono hena vɛ:
• Dzudzɔ ahanono keŋkeŋ. Esiae nye nu vevitɔ kekeake.
• Nuɖuɖu ƒe tɔtrɔ: Ele be nàtsɔ nuɖuɖu geɖe siwo me thiamine kple vitamin B bubuwo le (e.g., nuku blibowo, lã siwo me ami mele o, tɔmelã) akpe ɖe wò nuɖuɖu ŋu.
• Thiamine ƒe kpeɖeŋutɔ nono .

Nuka kee ɖahe ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie tso o, ate ŋu ahiã be woawɔ atikewo abe kamedede, dɔwɔɖui, alo nuƒoƒo ƒe atikewɔwɔ ene. Esiawo ate ŋu akpe ɖe ŋuwò:

• Tu lãmekawo ƒe dɔwɔwɔ ƒe ŋutete ɖo ale be nàte ŋu awɔ gbesiagbedɔwo le ɖokuiwò si.
• Do ŋusẽ lãmekawo eye nàna nuwɔwɔ aduadu nanyo ɖe edzi .
• Na nu mimi ƒe kuxiwo, nuƒoƒo ƒe kuxiwo, kple gbegbɔgblɔ ƒe ŋutete nanyo ɖe edzi .

Ðe woate ŋu axe mɔ ɖe esia nua?

Woate ŋu axe mɔ ɖe tagbɔdɔ si ahanono hena vɛ nu le akpa gãtɔ me ne wotsri ahanono . Gake fifia la, mɔnu aɖeke meli si ŋu kpeɖodzi le si dzi woato axe mɔ ɖe tagbɔdɔléle ƒomevi bubuwo nu o.

Nukae adzɔ emegbe? Aleke nɔnɔmea ava yi?

Dɔléle sia ƒe ŋgɔdonya nɔ te ɖe nusi gbɔ wòtso dzi.

• Kansa dada, ahanono dzudzɔ, alo tɔtrɔ le wò nuɖuɖu ŋu ate ŋu ana eƒe ɖiɖi sia nagbɔdzɔ alo atɔ te ɣeaɖewoɣi.
• Gake le ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe nɔnɔme bubuwo me la, dɔlélea ate ŋu ayi ŋgɔ le ɣeyiɣi aɖe megbe le agbɔsɔsɔ vovovowo me.

Ne dɔlélea le sesẽm ɖe edzi la, amewo mate ŋu awɔ nu aduadu o eye woazu nuwɔametɔwo vevie. Ðewohĩ ahiã be woazã bunɔkeke alo kpekpeɖeŋunu bubu aɖe hafi azɔ. Esia ate ŋu akpe ɖe ame ŋu hã be woagadze anyi o. Ne womete ŋu wɔa gbesiagbedɔwo le wo ɖokui si o la, ate ŋu abu woƒe ŋutete be woanɔ agbe le wo ɖokui si . Ame aɖewo ate ŋu anɔ aba dzi gɔ̃ hã.

Ne ɖeviwo va dze nɔnɔme sia dzi la, woate ŋu ahe ɖe megbe le woƒe tsitsi me .

Ɣekaɣie wòle be nàkpɔ ɖɔkta godoo?

Ne ède dzesi tɔtrɔ alo kuxi aɖewo le wò dadasɔ, nuƒoƒo, nukpɔkpɔ, alo gbesiagbedɔwo ŋu la, yi ɖɔkta gbɔ enumake . Ame aɖewo susuna be esiawo nye tɔtrɔ siwo sɔ ne yewole tsitsim. Ke hã, woate ŋu anye kuxi si nu sẽ wu ƒe dzesiwo hã. Eyata ne nane si ŋu nètsi dzi ɖo la, anyo wu be nàkpɔe ɖa.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò alo wò ƒomea me tɔ aɖe la, anyo be nàbia nya siawo wò ɖɔkta:

• Agbenɔnɔ ƒe tɔtrɔ kawoe mate ŋu awɔ be manɔ agbe nyuie kple dɔléle sia?
• Afikae mate ŋu akpɔ kpekpeɖeŋu le? (e.g. kpekpeɖeŋunahawo) .
• Ðe wòle be madze kamedede, dɔdamɔnu, alo nuƒoƒo ƒe atikewɔwɔ gɔmea?
• Nuka gbɔe dɔléle sia tso?
• Ðe dɔléle sia agakaka ɖe edzia? Ne nenemae la, aleke wòawɔ kabae?

Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui!

Cerebellar Degeneration nye nɔnɔme aɖe si gblẽa nu le míaƒe ahɔhɔ̃ ƒe akpa si kpɔa ŋusẽ ɖe dadasɔ, lãmekawo ƒe ʋuʋu, kple nuƒoƒo dzi dzi. Esia ate ŋu ana azɔlizɔzɔ, nuƒoƒo, kple gbesiagbedɔwo wɔwɔ nasesẽ. Nu geɖewo gbɔe esia tso. Atikewo zazã kple wo gbugbɔgaɖɔɖo ate ŋu akpe ɖe ame ŋu woakpɔ nɔnɔme sia ƒe nugbegblẽwo gbɔ. Eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesiwo le ŋuwò.

` Ahɔhɔ̃ ƒe gbagbã, ahɔhɔ̃mekawo ƒe gbegblẽ, ahɔhɔ̃medɔlélewo, dadasɔ ƒe anyimanɔmanɔ, azɔlizɔzɔ ƒe kuxiwo, ahɔhɔ̃mekawo ƒe dɔlélewo, ahanono