Ðe tsi aɖe si le abe tsi ene le dodom tso wò ta alo megbea? Ðe esia nye ahɔhɔ̃mekawo ƒe tsi si le dodom (CSF leak)?

Ðe tsi si me kɔ abe tsi ene koe le sisim tso wò ŋɔti me ɣeaɖewoɣia? Alo ɖe taɖuame si vaa dziwò ne ètsi tre, bɔbɔ ta, alo mlɔ anyia? Ðewohĩ àsusu be dzamezã alo nu bubu aɖe koe esiawo nye. Ke hã, ɣeaɖewoɣi la, esia ate ŋu anye nusi ŋu wòle be woatsi dzi ɖo. Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe dzesi mawo tɔgbe vɛ, gake mebɔ boo o, gake ele vevie ŋutɔ be woanya eŋu. Ema nye ahɔhɔ̃mekawo ƒe tsi si le dodom , alo abe alesi ɖɔktawo yɔnɛ ene la (Cerebrospinal Fluid Leak) , alo (CSF Leak) kpuie.

Nukae nye ahɔhɔ̃mekawo ƒe tsi (CSF)? Nukatae wòdona le tsia me?

Kpuie ko la, ahɔhɔ̃metsi, alo CSF, nye tsi tɔxɛ aɖe si ƒo xlã míaƒe ahɔhɔ̃ kple aklã hekpɔa eta . Ekɔ abe tsi ene. Dɔ vevi geɖe le CSF ŋu:

1. Nunyiame: Nunyiame siwo míaƒe ahɔhɔ̃ hiã la le tsi sia me.

2. Takpɔkpɔ nana: Abe ʋu ƒe ʋuʋudedi ene la, tsi sia kpɔa míaƒe ahɔhɔ̃ kple aklã ta tso nusiwo ʋuʋudedi kple ʋuʋudedi hena vɛ me. Enaa mɔnu aɖe hã ahɔhɔ̃a be wòate ŋu aƒu tsi.

Bu eŋu ale. Nukae dzɔna ne míetsɔ weintsetse de ahuhɔ̃e me heʋuʋui sesĩe? Weintsetsea ate ŋu agbã, agbã, alo? Emae nye nusi dzɔna ɖe míaƒe ahɔhɔ̃ dzi CSF manɔmee. Ke hã, ne míetsɔ tsi de aŋetu ma me, tsɔ weintsetsea de eme, eye míeʋuʋui la, tsia ana weintsetsea naʋuʋu sesĩe, eya ta magblẽ nu boo aɖeke o. Aleae CSF kpɔa míaƒe ahɔhɔ̃ tae.

Eyata, woyɔa (CSF) sia si le dodom tso afisi wòle be wòanɔ la be (CSF Leak) . Ne tsi si le dodom sia lolo la, ate ŋu ahe dzesi sesẽwo vɛ na wò. Ate ŋu ana gbesiagbedɔwo wɔwɔ nasesẽ gɔ̃ hã.

Amekae nɔnɔme sia (CSF Leak) gblẽa nu le wu?

Togbɔ be esia ate ŋu adze ame sia ame dzi hã la, ame aɖewo te ŋu xɔa esia bɔbɔe wu.

• Amesiwo xɔ wu ƒe 30, vevietɔ amesiwo xɔ ƒe 42 lɔƒo, ate ŋu akpɔ CSF ƒe sisi le wo ɖokui si evɔ womekpɔ nusi gbɔ wòtso o.
• Nyɔnuwo hã ate ŋu axɔ nɔnɔme sia wu ŋutsuwo.

Ðe CSF Leak nye nɔnɔme si bɔa?

Le nyateƒe me la, CSF ƒe sisi nana tsi si le ta me ƒe nyaƒoɖeamenu dzi ɖena kpɔtɔna. Woyɔa esia be Intracranial Hypotension . "Intracranial" gɔmee nye "le tagbɔ me," eye "Hypotension" gɔmee nye "nyaƒoɖeamenu si bɔbɔ wu esi sɔ." Nɔnɔme sia si woyɔna be Intracranial Hypotension nye dɔléle si mebɔ kura o. Edzɔna le ame siwo ade 5 le 100,000 me.

Gake eŋutinunyalawo xɔe se be CSF ƒe tsi si dona le lãme na ame bɔ wu . Nusitae nye be esesẽna be woakpɔ wo. Ɣeaɖewoɣi la, ɖɔktawo gɔ̃ hã bua wo vodadatɔe be wonye nɔnɔme bubuwo abe taɖuame ene .Woate ŋu abu vodadatɔe be sinus dɔlékuiwo nye nulɔdɔwo .

Aleke nɔnɔme sia kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Ne CSF le dodom la, tsi si ƒo xlã ahɔhɔ̃a ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Esia ɖea ahɔhɔ̃a ƒe ametakpɔkpɔ kple eƒe ʋuʋu dzi kpɔtɔna.

• Ne tsi si le dodom la le sue la , ɖewohĩ màde dzesi vovototo gã aɖeke o. Alo, dzesiwo ate ŋu anɔ ŋuwò gake nàsusu be nu bubue wonye.
• Gake ne tsi si le dodom la lolo ale gbegbe , si na ʋusɔgbɔdɔ si le taɖuame me dzi ɖena kpɔtɔna la, wò ahɔhɔ̃a adze nyɔnyrɔ gɔme le wò tagbɔ me. Esia dea nyaƒoɖeamenu madzemadzee ɖe wò ahɔhɔ̃ ƒe akpa siwo le ete. Esia ate ŋu ado kplamatse akpa mawo ƒe dɔwɔwɔ, si ahe dzesi siwo ate ŋu atso dzesi suesuesue siwo womate ŋu ade dzesii tututu o dzi va ɖo dzesi sesẽ siwo womate ŋu ado dzi atsɔ o dzi vɛ.

Nukae nye CSF Leak ƒe dzesiwo?

Ne tsi si le dodom la le sue la, ɖewohĩ dzesi aɖeke madze le ŋuwò o. Ne menye nenema o la, ɖewohĩ àsusu be nu bubu aɖee. Gake ne tsi si le dodom le eme lolo eye wòna ahɔhɔ̃a ƒe nyaƒoɖeamenu dzi ɖe kpɔtɔ (intracranial hypotension) la, àdze dzesiwo kpɔkpɔ gɔme.

Dzesi vevitɔ kple esi bɔ wue nye taɖuame le nɔnɔme me.

Esiae nye nusi dzɔna:

• Wò taɖuame nu sẽna ɖe edzi ne ètsi tre alo bɔbɔ nɔ anyi .
• Ne èbɔbɔ alo mlɔ anyi la, taɖuamea dzi ɖena kpɔtɔna alo nu yina kura.

Dzesiawo toa vovo le afisi tsi si le dodom le la nu.

Dzesi aɖewo ate ŋu ato vovo le afisi tsi si le dodom le la nu. Teƒe vevi eve siwo ahɔhɔ̃mekawo me tsi (CSF) ate ŋu ado lee nye wò lãkusiwo kple wò ŋɔti . Aleke kee wòɖale o, tsi ate ŋu ado le wò ŋɔti me si me kɔ eye tsi le abe tsi ene (rhinorrhea) . Esia menye dzamezã si bɔ o. Eƒe ƒomevi eve li:

1. Ne ètsɔ lãkusi tutu wò ŋɔti la, ne ʋuʋudedi si sɔ la ƒu la, lãkusia ƒuna vie eye wòsẽna . Gake ne eƒu (CSF) la, lãkusia meva nɔa nenema o .

2. No me tsi sia ate ŋu adzɔ le nɔnɔme aɖewo koŋ me ɣeaɖewoɣi. Le kpɔɖeŋu me, ne èbɔbɔ ɖe ŋgɔ, fɔ nane tso anyigba, alo bla wò afɔkpa ƒe ka .

Teƒe bubu si CSF ƒe sisi ate ŋu ahe dzesiwo vɛ le enye towo me . Tsi si me kɔ si dona le to me (Otorrhea) hã nye CSF ƒe sisi ƒe dzesi. Ke hã, esia medzɔna boo o. Be esia nate ŋu adzɔ la, ahiã hã be do nanɔ wò tomeka (Tympanic Membrane) me .

Dzesi bubu siwo ate ŋu ado mo ɖa ne CSF Leak

• Ʋeʋẽ ƒe bu (Anosmia): Zi geɖe la, esia dzɔna ne ahɔhɔ̃mekawo me tsi (CSF) le dodom le mo ƒe abi si woxɔ ta.
• Nukpɔkpɔ si me mekɔ o alo nukpɔkpɔ eve (Diplopia): Esia ate ŋu adzɔ le ŋku ƒe lãmekawo ƒe nyaƒoɖeamenu ne ahɔhɔ̃a ɖiɖi ta.
• To ƒe tɔtrɔ alo to ƒe dɔmawɔmawɔ nyuie: Abe alesi míegblɔe le etame ene la, esia hã ate ŋu atso lãmeka siwo do ƒome kple towo ƒe nyaƒoɖeamenu ne wole nɔnɔme trɔm gbɔ.
• Pulsatile Tinnitus: Ame ŋutɔ ƒe dzi ƒe tsotso ƒe ɖiɖi sese haƒonu aɖeke manɔmee.
• Alɔ̃madɔmadɔ: Esiawo ate ŋu adzɔ ne tsi si le dodom gã (CSF) alo nɔnɔme sesẽ (Intracranial Hypotension) le ame ŋu.
• Kɔ ƒe vevesese kple eƒe sesẽ.
• Nuɖuɖua mevivina o.
• Taɖuame: Ɣeaɖewoɣi la, esia ate ŋu asẽ ŋutɔ eye womate ŋu ado dzi atsɔe o.
• Taɖuame alo seselelãme be yele tsatsam le ye ŋu (Vertigo).
• Aɖuɖɔtoe kple ʋuʋudedi.
• Fotovɔvɔ̃ (ŋutete be woalé ŋku ɖe kekeli ŋu o).
• Dadasɔ kple azɔlizɔzɔ ƒe kuxiwo ne èle zɔzɔm.

Nukawoe hea CSF Leak vɛ?

Eŋutinunyalawo gblɔ be abixɔxɔ gbɔe CSF si dona le lãme na ame ƒe 90% lɔƒo tsona . 10% susɔeawo dzɔna le wo ɖokui si alo le susu siwo womenya o ta.

CSF ƒe Tsi Siwo Tso Nuveviwɔame Gbɔ

CSF ƒe sisi ate ŋu adzɔ le abi vovovowo ta. Kpɔɖeŋuwo:

• Nuveviwɔame le mo, ta, kɔ, alo akɔta: Kpɔɖeŋu siwo bɔ dometɔ aɖewoe nye ʋufɔkuwo. Nuveviwɔame le ŋɔti, lãkusi, to, to megbe, alo taɖu te ate ŋu ahe esia vɛ wu. Whiplash ate ŋu ana ahɔhɔ̃metsi (CSF) hã nado le aklãa ŋu.
• Abi siwo gena ɖe lãme: abe hɛ ƒoƒo, tudada ene.
• Nuveviwɔame siwo ahɔhɔ̃mekadodo hena vɛ.
• Nuveviwɔame siwo atikewɔwɔ siwo ku ɖe ŋɔti, to, kple ŋɔti ŋu (ENT ƒe dɔwɔwɔwo) hena vɛ.
• Atikewɔwɔ siwo ku ɖe akɔta ŋu: Le kpɔɖeŋu me, ne wole atike si naa alɔ̃dɔdɔ le akɔta , le akɔta tom , alo le tsi xɔm le akɔta (spinal tap) .

Nu bubu siwo gbɔ wòtsona siwo menye abixɔxɔ o

Le dɔléle siwo ade 10% me la, womenya nusi tututu gbɔ CSF ƒe sisi tso o. Gake eŋutinunyalawo kpɔe be kuxi sia do ƒome kple atikewɔwɔ ƒe nɔnɔme bubu aɖewo. Womenya haɖe be nɔnɔme siawo nana CSF tsina o, gake wole numekuku wɔm tso esia ŋu.

• Lãmetsiŋusẽ ƒe Dɔléle siwo nana lãmeka siwo léa CSF la ƒe ƒuƒoƒo gbɔdzɔna: Le kpɔɖeŋu me, nɔnɔmewo abe Marfan Dɔléle kple Ehlers-Danlos Dɔléle ene .
• Nyaƒoɖeamenu si dzina ɖe edzi le taɖua me (Intracranial Hypertension): Esia ate ŋu ana lãkusi siwo ƒo xlãe navuvu eye tsi nado.
• Pseudotumor Cerebri ƒe dɔléle.
• Lolo akpa: Vevietɔ lolo akpa si nu sẽ.
• Xɔtuɖoɖo ƒe gbɔdzɔgbɔdzɔ siwo wodzina alo esiwo woxɔ le alesi ŋɔti, lãkusi, alo taɖu ƒe akpa bubuwo dzɔnae me.

Ðe esia nye dɔléle si xɔa ame mea?

Ao, (CSF Leak) menye dɔléle si xɔa ame me o.Màte ŋu akaka esia na ame bubu aɖeke o, eye màte ŋu akakae na ame bubu aɖeke hã o.

Aleke ɖɔktawo dea dzesi esiae?

Ðɔkta ate ŋu anya CSF ƒe tsi si le dodom to ŋutilã me dodokpɔ, wò dzesiwo biabia, kple wò atikewɔwɔ ŋutinya kple nɔnɔme siwo me nèle fifia biabia me. Woate ŋu azã dodokpɔ vovovowo le dodokpɔxɔ me kple nɔnɔmetatawo ɖeɖe hã atsɔ aɖo kpe CSF ƒe tsi si le dodom dzi alo aɖee ɖa.

Dodokpɔ ƒomevi si nàwɔ anɔ te ɖe afisi nèsusu be tsi si le dodom le eme le kple nenye be abi aɖe nɔ ŋuwò va yi (xoxo alo yeye) dzi.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Dodokpɔ geɖe li siwo woate ŋu azã atsɔ anya be CSF me tsi le dodom. Esiawo ƒe akpa gãtɔ nye nɔnɔmetatawo dodokpɔ. Esiawo nana ɖɔktawo léa ŋku ɖe wò ta kple akɔta ƒe eme be yewoakpɔ afisi tsi si le dodom le kple nusiwo ate ŋu agblẽ le eŋu.

• Lãmetsi dodokpɔ: Ne ŋɔti me sisi ƒe dzesiwo le ŋuwò (vevietɔ tso ŋɔti me) la, wò ɖɔkta adi be yeado tsi la kpɔ. Dodokpɔ vevitɔ si wowɔna tsɔ doa esia kpɔe nye beta-2 transferrin dodokpɔ . Esia dia protein si woyɔna be tau , si le CSF me gake mele no me tsiwo me o. Dodokpɔ bubu si woate ŋu awɔe nye suklidɔ dodokpɔ . Esia le alea elabena sukli ƒe agbɔsɔsɔ si le CSF me sɔ kple agbɔsɔsɔ si le ʋua me. Gake sukli ƒe agbɔsɔsɔ si le no me tsiwo me le sue ŋutɔ, alo meli kura gɔ̃ hã o.

• Nɔnɔmetatawo ɖeɖe kple dɔlélewo didi ƒe dodokpɔwo:
• CT-dɔdamɔnu (Computerized Tomography) .
• MRI-dɔdamɔnu (Magnetic Resonance Imaging) .
• Digitál Subtraction Angiography (Angiography si Wotsɔ Ðea Nu le Nu Me).
• Myelography ( X-ray si zãa amadede tsɔ doa akɔta) .
• Cisternography ( scan si wowɔna tsɔ léa ŋku ɖe CSF ƒe mɔwo ŋu) .
• Lumbar Puncture / Spinal Tap: Gake zi geɖe la, esia menye dodokpɔ gbãtɔ si wowɔna ne wosusu be CSF le dodom o.

Aleke wowɔa atike na CSF Leaks? Ðe woate ŋu adaea?

Zi geɖe la, ɖɔktawo medaa CSF ƒe sisi tẽ o. Esia le alea elabena CSF ƒe sisi si abi geɖe hena vɛ la ahaya le wo ɖokui si le ɣeyiɣi aɖe megbe ne wogbɔ ɖe eme ko .

Gake ne anɔ eme be CSF ƒe tsi si le dodom la mahaya le eɖokui si o, alo ne wonya be mahaya o la, atikewɔwɔ vovovowo li siwo ate ŋu akpe ɖe ame ŋu. Zi geɖe la, woate ŋu adzra tsi si le dodom ɖo la ɖo alo atre enu . Esia ana dzesiawo nagagblẽ ɖe edzi alo ana woagadzɔ o.

Dɔléle aɖewo siwo nɔa anyi didi, vevietɔ (Marfan Dɔléle) alo (Ehlers-Danlos Dɔléle) .Womate ŋu ada kadodoŋusẽ ƒe dɔlélewo abe esia ene o. Ne CSF ƒe sisi le nɔnɔme sia tɔgbe ta eye womate ŋu adae tẽ o la, ɖɔktawo adze agbagba ada wò dzesiwo.

Atike alo atike ka ƒomevie wozãna?

Atike si nàxɔ anɔ te ɖe nusiwo gbɔ CSF ƒe sisi tso kple afisi wòle dzi.

• Atikewɔwɔ si Me Womekpɔa Nu Le O: Esia menye atikewɔwɔ tẽ na CSF Leaks o. Esia bia be woagbɔ ɖe eme le aba dzi hena ɣeyiɣi aɖe. Azɔ hã, tsi si le lãme na ame ƒe anyinɔnɔ . Vevesese kple vuvu ƒe atikewo hã bɔ. Ne tsi si le dodom la na CSF ƒe nyaƒoɖeamenu dzi ɖe kpɔtɔ la, woate ŋu aɖo aɖaŋu na wò be nàno caffeine kple dzetikewo . Ne atikewɔmɔnu siawo siwo wozãna le mɔ gbadza nu mekpena ɖe ŋuwò le kwasiɖa ɖeka alo eve megbe o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be woawɔ atike na wò tẽ wu.

• Amekoko Kple Dɔwɔna Siwo Do Ƒome Kplii: Amekoko nye mɔ si bɔ si dzi woato adzra CSF ƒe tsi si le dodom ɖo. Ne abi gã aɖe gbɔe tsi si le dodom la tso la, amekoko ate ŋu axe tsi si le dodom la tẽ alo adzra teƒe si gblẽ la ɖo. Woate ŋu awɔ amekoko aɖewo to taɖua dzi. Woate ŋu awɔ bubuwo to ŋɔti alo nu me. Amekoko ƒe ƒomevi nɔ te ɖe afisi tsi si le dodom le, nusi gbɔ wòtso, kple alesi wòsẽe dzi.

• Ʋu ƒe Dodokpɔ: Atike vevi siwo menye amekoko o na CSF ƒe sisi dometɔ ɖekae nye Ʋu ƒe Ʋuʋudedi . Le esia me la, ɖɔkta tsɔa aŋe dea wò akɔta (akɔta ƒe akpa) me. Ne enya ɖo teƒe nyuitɔ ko la, woɖea wò ŋutɔ wò ʋu sue aɖe hedonɛ ɖe CSF si ƒo xlã wò aklã me. Emegbe ʋua “ɖɔa” tsi si le dodom la, alo tunɛ. Ɣeaɖewoɣi la, ate ŋu ahiã be woazã Ʋu ƒe Atike siwo wu ɖeka. Ke hã, ame akpa gãtɔ kpɔa gbɔdzɔe aɖe le gbãtɔa megbe.

• Atikewo: Atike ƒomevi vovovowo li siwo ate ŋu akpe ɖe ame ŋu le CSF ƒe sisi me. Wo dometɔ aɖewo ɖea nyaƒoɖeamenu si le taɖua me dzi kpɔtɔna. Wona bubuwo ɖe dzesi sesẽwo abe vevesese ene ta. Woate ŋu ana dɔlékuiwutikewo hã. Ne dɔlékuiwo to CSF ​​dzi ge ɖe ahɔhɔ̃a me la, dɔlékui siwo me afɔku le abe taɖuame kple tagbɔdɔ ene ate ŋu adze ame dzi.

Nukawoe nye atikewɔwɔa ƒe kuxiwo alo nugbegblẽ le ame ŋu?

Kuxi siwo dona tso atikewɔwɔ me kple eƒe nugbegblẽ le ame ŋu nɔ te ɖe afisi wò (CSF) si le dodom le, eƒe sesẽme, nusi gbɔ wòtso, kple atike si nèxɔ dzi. Wò ɖɔkta ate ŋu aɖe kuxi siwo ate ŋu ado tso eme kple nugbegblẽ le ame ŋu le wò nɔnɔmea koŋ ŋu kple nusi nàte ŋu awɔ be nàɖo seɖoƒe na wo alo aƒo asa na wo me.

Aleke malé be na ɖokuinye/akpɔ dzesiwo gbɔe?

CSF ƒe tsi si le dodom menye nusi nàte ŋu akpɔ alo ada le ɖokuiwò si o. Ne èsusu be dɔléle sia le ye ŋu la, ele be nàkpɔ ɖɔkta kaba ale si nàte ŋui.Esia le alea elabena nɔnɔme sia ƒe dzesiwo ate ŋu asɔ kple atikewɔwɔ me nɔnɔme sesẽ siwo hiã be woakpɔ egbɔ enumake.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ɣeyiɣi si wòxɔna hafi wòhayana eye wòsena le eɖokui me be yeƒe lãme sẽ la toa vovo le atikewɔwɔa nu. Ame geɖe sea gbɔdzɔe aɖe ne womlɔ anyi heɖi ɖe eme ko. Gake le ame bubuwo gome la, ate ŋu axɔ ŋkeke geɖe, kwasiɖa geɖe gɔ̃ hã hafi ahaya.

Aleke mawɔ aɖe nɔnɔme sia ƒe dzɔdzɔ ƒe afɔkua dzi akpɔtɔ alo axe mɔ ɖe enu?

(CSF Leak) nye nusi dzɔna le vome. Eyata womate ŋu axe mɔ nɛ keŋkeŋ o. Gake àte ŋu adze agbagba akpɔ ye ɖokui ta tso nɔnɔme alo nɔnɔme siwo ate ŋu ana tsi nado le eme la me. Gake nusiwo gbɔ wòtso siwo tso abixɔxɔ gbɔ koe nàte ŋu awɔ esia.

Nu vevitɔ kekeake si nàte ŋu awɔ atsɔ axe mɔ na CSF ƒe sisi tso abi me enye be nàdo ametakpɔnu . Nuveviwɔame le mo, ta, kɔ, kple akɔta ate ŋu ana ame naxɔ abi si ate ŋu ana CSF nado. Èɖale dɔwɔƒe alo le wò ŋutɔ wò agbe me o, àte ŋu aɖe afɔku sia dzi akpɔtɔ ne èzã ametakpɔnu kple dɔwɔnuwo.

Nukae mate ŋu akpɔ mɔ na ne nɔnɔme sia le ŋunye?

Ɣeaɖewoɣi la, ate ŋu asesẽ be woakpɔ CSF ƒe tsi si le dodom. Gake nɔnɔme sia me tsonu bliboa nyo . Togbɔ be dzesiawo ate ŋu aɖe fu, asẽ, alo ado kplamatse gbesiagbedɔwo hã la, zi geɖe la, woate ŋu ada dɔlélea. Ame siwo ŋu CSF ƒe tsi si le dodom le ƒe akpa gãtɔ hayana ne wonya ɖɔ tsi si le dodom la ɖo ko, to atikewɔwɔ alo amekoko me.

Ɣeyiɣi didi kae CSF ƒe tsi si le dodom xɔa?

CSF ƒe sisi ate ŋu anɔ anyi ŋkeke geɖe, kwasiɖa geɖe, alo ɣleti geɖe gɔ̃ hã. Enɔ te ɖe tsi si le dodom ƒe lolome kple nusi gbɔ wòtso dzi. Atikewɔwɔ ate ŋu aɖe ɣeyiɣi si nèsena le ɖokuiwò me be CSF ƒe sisi ƒe ŋusẽkpɔɖeamedziwo dzi akpɔtɔ ŋutɔ. Wò ɖɔktae nye ame nyuitɔ kekeake si anya ɣeyiɣi didi si nɔnɔme sia akpɔ ŋusẽ ɖe dziwò kple nusi woate ŋu awɔ atsɔ akpe ɖe ŋuwò.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Le nusianu me la, mɔkpɔkpɔ si li be CSF nado le eme la nyo ŋutɔ . Ame siwo ŋu CSF ƒe sisi le la dometɔ siwo ade 98% hayana, eɖanye nuka gbɔe wòtso o.

Aleke malé be na ɖokuinye?

Ne CSF si le dodom le ŋuwò la, ele be nàwɔ ɖe wò ɖɔkta ƒe mɔfiame siwo ku ɖe alesi nàlé be na ɖokuiwò ŋu dzi. Woawoe nye nyatakakatsoƒe nyuitɔ kekeake tso nusi nàte ŋu awɔ kple nusi wòle be nàwɔ ŋu. Woagblɔ nuxlɔ̃amedzesi alo dzesi siwo ŋu wòle be nàlé ŋku ɖo, kple nusiwo nàƒo asa na hã na wò.

Ɣekaɣie wòle be makpɔ nye ɖɔkta alo adi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne èsusu be CSF ƒe sisi le ye ŋu la, ele be nàƒo nu kple ɖɔkta alo ayi egbɔ. Togbɔ be zi geɖe la, nɔnɔme sia mehea kuxi sesẽwo alo esiwo ate ŋu ade ame ƒe agbe afɔku me vɛ o hã la, eƒe dzesiwo sɔ kple nɔnɔme kpata kple afɔku ƒe dzesiwo.

Ne wokpɔe be CSF ƒe sisi le ŋuwò la, wò ɖɔkta awɔ ɖoɖo ɖe sasrãkpɔ siwo akplɔ wò ɖo be woalé ŋku ɖe ŋuwò ne èle hayahayam. Ne èse le ɖokuiwò me be yeƒe dzesiwo le sesẽm ɖe edzi alo le tɔtɔ yeyewo hem vɛ na wò gbesiagbegbenɔnɔ la, ele be nàyi ɖɔkta gbɔ.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne CSF si le dodom le ŋuwò la, ele be nàyi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le ne taɖuame sesẽ aɖe le ŋuwò kpata, lãmekawo gbɔdzɔ, alo tsitretsitsi sesẽ na wò . Ele be nàkpɔ wo hã ne èse veve alo gbɔdzɔgbɔdzɔ le wò ŋutilã ƒe akpa ɖesiaɖe, vevietɔ le wò abɔwo, afɔwo, afɔwo, kple abɔwo kple afɔwo me . Esiawo ate ŋu anye dzesi siwo fia be èxɔ abi le wò aklã ŋu, si ate ŋu ana nàzu lãmetutudɔ tegbee gɔ̃ hã.

Azɔ hã, ele be nàdi atikewɔla kpata ne èkpɔ dzesi siwo ɖi ʋusɔgbɔdɔ . Esiawo dometɔ aɖewoe nye:

• Gbɔdzɔgbɔdzɔ, lãmetutudɔ, alo lãmetutudɔ le ŋutilã ƒe akpa ɖeka.
• Nuƒoƒo si me mekɔ o alo nuƒoƒo si me mekɔ o.
• Mo ƒe akpa ɖeka ƒe gege alo ŋku ɖeka ƒe nukpɔkpɔ ƒe bu.
• Nu mimi sesẽ.
• Tɔtɔ, dzikudodo, alo zitɔtɔ.
• Esesẽna be susu nanɔ nu ŋu, abu tame, alo aɖo ŋku nu dzi.
• Taɖuame sesẽ kpata, vevietɔ ne edo kplamatse wò dɔwɔna siwo nèwɔna ɖaa.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ahɔhɔ̃ me tsi ƒe sisi, alo CSF ​​ƒe sisi, nye nɔnɔme si ŋu womeƒoa nu tsoe zi geɖe o, gake ate ŋu ahe dzesi siwo me dziɖeleameƒo le ŋutɔ eye wosẽna vɛ ɣeaɖewoɣi. Gake, mègatsi dzodzodzoe o. Esi egbegbe atikewɔwɔ kple mɔ̃ɖaŋununya va le ŋgɔ yim ta la, ɖɔktawo te ŋu de dzesi kuxi sia kabakaba eye wòle bɔbɔe wu. Azɔ hã, fifia ɖɔktawo te ŋu da kuxi sia nyuie wu tsã. Eyata nɔnɔme sia ƒe mɔkpɔkpɔ nyo ŋutɔ .

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesi siawo le ŋuwò, tsɔ wu be nàsusui . Ɣeaɖewoɣi la, ɖiɖiɖeme bɔbɔe ate ŋu akpe ɖe ŋuwò. Ne menye nenema o la, àte ŋu ahaya kaba ne wowɔ atike na wò nyuie. Wò ɖɔkta ana mɔfiame nyuitɔ kekeake wò. Nɔ lãmesẽ me!

` Ahɔhɔ̃ me tsi, CSF ƒe sisi, taɖuame, ŋɔti me sisi, akɔtave, ahɔhɔ̃mekawo ƒe dɔléle, ahɔhɔ̃a ƒe nyaƒoɖeamenu