Ðe nèƒo ta na wòa? Aleke nàwɔ anya ne ahɔhɔ̃a gblẽ? (Ʋuʋu ƒe Dodokpɔ) .

Tsɔe be bɔl ƒo wò ta esime nèle kriket ƒom, alo viwò sue la ge tso keke dzi heƒo woƒe ta sesĩe. Míesusuna zi geɖe be, "Oo... abi koe wònye, anyo le ɣeyiɣi kpui aɖe megbe." Gake ne woƒo ta sue aɖe gɔ̃ hã la, ate ŋu anye nu sesẽ ɣeaɖewoɣi. Le nɔnɔme siawo tɔgbe me la, ele vevie be mí katã míanya nu tso nusiwo gblẽ le ahɔhɔ̃a ŋu hena ɣeyiɣi kpui aɖe, si woyɔna be ‘ʋuʋudedi’, si ate ŋu axɔ ame ƒe agbe la ŋu.

Kpuie ko la, nukae nye ʋuʋudedi sia?

Ʋuʋudedi nye ahɔhɔ̃a ƒe dɔwɔwɔ nyuie ƒe tɔtɔ hena ɣeyiɣi aɖe si tsoa ƒoƒo sesẽ, ʋuʋu, alo ƒoƒo ɖe ta dzi gbɔ. Le atikewɔwɔ gome la, esia nye ahɔhɔ̃ me abi si nu sẽ si mesẽ o . Abe alesi woʋuʋua tsigoe sesĩe ene la, tsi si le eme hã ʋuʋuna ne woƒo ta. Ʋuʋudedi sia gblẽa nu le ahɔhɔ̃menugbagbeviwo ŋu hena ɣeyiɣi aɖe, eye wògblẽa kadodo si le wo dome hena ɣeyiɣi aɖe.

Nukpɔsusu totro si bɔ enye be ele be wò susu nadzo hafi ʋua naʋuʋu. Esia mesɔ kura o. Le nyateƒe me la, ame akpa gãtɔ siwo ƒe lãme ʋuʋuna la mebuna gbeɖe o. Eyata mègasusu be, "Nyemebu nye susu o, eyata menyo o" le wò ta ƒoƒo vɔ megbe o. ƒoƒo sue aɖe gɔ̃ hã ate ŋu anye nu sesẽ, eya ta nunya anɔ eme ɣesiaɣi be nàyi ɖɔkta gbɔ eye nàdo wò kpɔ.

Nukawoe nyea ʋuʋudedi ƒe dzesiwo?

Dzesi geɖe li siwo ate ŋu afia be ame aɖe si xɔ abi le ta la le ʋuʋum. Dzesi siawo dometɔ aɖewo ate ŋu adze le abixɔxɔ vɔ megbe teti, eye bubuwo ate ŋu adze le gaƒoƒo alo ŋkeke aɖewo megbe gɔ̃ hã. Eyata ele vevie be woalé ŋku ɖe amesi xɔ abi le ta ŋu ŋkeke geɖe.

Be gɔmesese nanɔ bɔbɔe la, mina míama dzesi siawo ɖe hatsotso vovovowo me.

Ɣekaɣie wòle be woado wò akpɔ be ʋuʋudedi le ŋuwò hã?

Ŋuɖoɖo bɔbɔeae nye: Ɣesiaɣi si ame aɖe ƒo ta ɖedzesi aɖe . Ate ŋu atso kamedefefe, ʋufɔku me nɔnɔ, alo anyidzedze esime nèle aƒemedɔwo wɔm gbɔ. Ʋuʋudedi dodokpɔ nye mɔnu si léa ŋku ɖe alesi wò ahɔhɔ̃ ƒe ŋutete be wòabu tame ahawɔ nyatakakawo ŋudɔ le ƒoƒo ɖe ta dzi megbe ŋu.

Woagawɔ dodokpɔ siawo ake emegbe be woakpɔ alesi wò ahɔhɔ̃a haya nyuie kple nenye be àte ŋu atrɔ ayi dɔwɔna siwo nèwɔna ɖaa (suku, dɔwɔɖui, kamedefefewo) me.

Nukae ahɔhɔ̃a ƒe ʋuʋu ƒe dodokpɔ léa ŋku ɖe eŋu?

Dodokpɔ vovovo geɖe li siwo wowɔna tsɔ doa ʋu ƒe sisi ƒe dodokpɔ. Wo dometɔ aɖewo le bɔbɔe ŋutɔ, kamedefefewo ƒe hehenala gɔ̃ hã ate ŋu awɔ wo. Wo dometɔ aɖewo nye dodokpɔ sesẽ siwo ɖɔktawo wɔna. Esiawo katã bia be woado ahɔhɔ̃a ƒe dɔwɔwɔ vovovowo kpɔ to nuƒoƒo, nuŋɔŋlɔ, alo kɔmpiuta dzi dodokpɔwo zazã me.

Nu vevi siwo wodona kpɔe nye:

• Ŋudzɔnɔnɔ Kple Toɖoɖo: Aleke gbegbee nèle to ɖom nyuie?
• Ŋkuɖodzinyawo: Aleke ŋkuɖoɖonudzi ɣeyiɣi kpui aɖe kple ɣeyiɣi didi ƒe ŋkuɖoɖonudzi le?
• Tamebubu kabakaba: Ɣeyiɣi didi kae wòxɔna hafi nèɖoa nyabiase aɖe ŋu alo sea nane gɔme?
• Ðo ŋku edzi: Ðe nàte ŋu aɖo ŋku nya aɖe si nègblɔ fifia dzi ahagbugbɔe agblɔa?
• Nukpɔkpɔ:Ðe ŋkuawo le dɔ wɔm nyuiea?
• Dadasɔ Kple Ðekawɔwɔ: Ðe nàte ŋu anɔ tsitre ɖe afɔ ɖeka dzi alé wò dadasɔ me ɖe asia?
• Reflexes: Aleke ŋutilãa ƒe dɔwɔwɔ le eɖokui si le?

Nukawoe nye ʋu ƒe sisi ƒe dodokpɔ siwo wozãna wu?

Mɔnu geɖe li siwo ŋkɔ woyɔ tsɔ doa ʋu ƒe sisi kpɔ le xexeame godoo. Esiawo ƒe akpa gãtɔ nye nyabiasewo alo dzesiwo ƒe xexlẽdzesiwo. Dzesidede ƒe ɖoɖowo hã le wo si.

Kpɔɖeŋu aɖewoe nye esi:

Dodokpɔwo le fefewɔƒea

• SAC Dodokpɔ (Standardized Assessment of Concussion): Wozãa esia tsɔ daa kamedefefewɔla ƒe susu ƒe nɔnɔme kpɔ kaba le bɔlƒoƒea alo le xɔ si me wowɔa dɔ kpata le (ETU). Ebiaa nya bɔbɔewo tso nuwo abe ŋkeke kple gaƒoƒo, ŋkuɖoɖonudzi, kple ŋkuléle ɖe nu ŋu ene ŋu.
• SCAT 5 Dodokpɔ (Kamedefefewo ƒe Ʋuʋudedi ƒe Dɔwɔnu 5): Esia nye dodokpɔ si me kɔ wu SAC. Wotsɔa esia naa amesiwo xɔ wu ƒe 13. Eléa ŋku ɖe nu geɖe ŋu, abe kɔ ƒe nɔnɔme, ŋutilã ƒe dadasɔ, kple dzesi siwo woŋlɔ ɖi ene. (ɖeviwo ƒe dɔléle) ƒe tɔtrɔ bubu aɖe hã li na ɖeviwo.
• King-Devick Dodokpɔ: Esia bia be woaxlẽ agbalẽvi siwo ŋu xexlẽdzesi le siwo kplɔ wo nɔewo ɖo kaba ale si nàte ŋui. Wowɔa esia hafi wodzea fefe aɖe gɔme eye woŋlɔa ɣeyiɣia ɖi. Wogawɔa esia ake le ta ƒe abixɔxɔ vɔ megbe. Ne exɔ sɛkɛnd 5 alo esi wu nenema wu tsã la, ate ŋu anye ʋuʋudedi ƒe dzesi.

Dodokpɔ Siwo Wowɔna be Woada Asɔ

• BESS dodokpɔ (Balance Error Scoring System): Esia dzidzea wò dadasɔ. Wobia tso asiwò be nàlé teƒe vovovowo ɖe teƒe si li ke kple teƒe si meli ke o (e.g., le foam mat dzi) eye nàmiã ŋku hena sɛkɛnd 20. Wonɔa te ɖe alesi gbegbe nèʋuʋuna alo dze anyi dzi naa dzesi wò.

Dzesiwo ƒe Dzesiwo

• ACE (Acute Concussion Evaluation): Esia nye nyabiase gbalẽvi si ɖɔktawo zãna. Eƒoa nyatakaka gbogbo aɖewo nu ƒu tso dzesi 22, alesi afɔkua dzɔe, nenye be ame aɖewo xɔ abi le ta va yi, kple atikewɔwɔ ƒe nɔnɔme bubuwo ŋu.
• PCSS dodokpɔ (Post-Concussion Symptom Scale): Le esia me la, dɔnɔa bua dzesi 21 le alesi wosẽe nu (menye kura o, fafɛ, sesẽe).

Kɔmpiuta dzi Ahɔhɔ̃mekawo ƒe Dodokpɔwo

• ImPACT Dodokpɔ (Ame ƒe Ʋuʋudedi megbe Dzodzro Enumake Kple Sidzedze Dodokpɔ):Esia nye dodokpɔ si wowɔna le kɔmpiuta dzi na fefewɔla siwo xɔ wu ƒe 12. Ele abe videofefe ene. Ate ŋu adzidze nu geɖe, siwo dometɔ aɖewoe nye ŋkuɖoɖonudzi kple nuƒoƒo, ɣeyiɣi si woatsɔ awɔ nui, kple alesi ahɔhɔ̃a wɔa nyatakakawo ŋudɔ kabakabae.

Dodokpɔ ka kee woɖawɔ o, ɖɔkta ado wò kpɔ nyuie hafi aƒo nya ta mamlɛtɔ. Ne ehiã la, woate ŋu abia hã be woawɔ MRI alo CT scan atsɔ akpɔe ɖa be ʋu le dodom le ahɔhɔ̃a ŋu alo le abi ƒom hã.

Nukae nàwɔ ne èsusu be lãmetutudɔ aɖe le ŋuwò le aƒeme?

Gbã la, ɖo ŋku edzi be ɖɔkta koe ate ŋu anya dɔléle si nye ʋuʋudedi ahaɖo kpe edzi . Ke hã, ne ame aɖe si te ɖe ŋuwò (ɖevi, dzila) dze anyi heƒo ta la, nu aɖewo li nàte ŋu aƒo ƒu hafi ayi ɖɔkta gbɔ. Esiawo akpe ɖe ɖɔktaa ŋu ŋutɔ le dɔlélea didi me.

Àte ŋu alé ŋku ɖe nu siwo gbɔna ŋu ahagblɔ nyatakaka mawo na wò ɖɔkta:

• Bia nya bɔbɔewo: bia eƒe ŋkɔ, afi si wòle, gaƒoƒo, ŋkeke, kple nusi dzɔ fifia.
• Do wò ŋkuɖoɖonudzi kpɔ: Bia ame kemɛa be wòagblɔ nya bɔbɔe aɖe (e.g. "xexeme").
• Bia nu tso dzesiawo ŋu: Bia ne taɖuame, taɖuame, alo lãmetutudɔ le ŋuwò.
• Kpɔ ŋku ƒe ʋuʋu ɖa: Kpɔ wò asibidɛ ɖa eye nàbia tso esi be wòaʋuʋu ŋku eveawo ɖe mɔ si dzi wòle ʋuʋum le nu. Kpɔe ɖa be ŋku eveawo siaa le ʋuʋum ɖekae nyuie hã.
• Tɔtrɔ siwo vaa ŋutilãa me: Bia nenye be lãmetutudɔ alo agbemanɔamesi ƒe seselelãme aɖe le ŋutilãa ƒe akpa aɖe.
• Nuƒoƒo ƒe tɔtrɔ: Kpɔe ɖa be ŋutinyaa tɔtɔ alo ne amea le nu ƒom le mɔ si mesɔ o nu.
• Sukuvi: Kpɔe ɖa be sukuvi eveawo siaa ƒe lolome sɔ alo ɖeka lolo wu evelia hã.
• Nuwɔna ƒe tɔtrɔ: Kpɔe ɖa be edze abe ɖe wòtsi dzimaɖi, eƒe dzi gbã, alo tɔtɔ wu alesi wònɔna ɖaa ene.

Nukae dzɔna le dodokpɔa me tsonu nu?

Ne ɖɔktaa ɖo kpe edzi be ʋuʋudedi le ŋuwò la, ana ɖoɖo aɖe wò be nàhaya. Nusiwo gbɔna koŋue le ɖoɖo sia me:

• Gbɔɖeme: Ehiã be nàɖi ɖe eme ahadɔ alɔ̃ nyuie wu alesi nèwɔna ɖaa. Gake ema mefia be nànɔ aba dzi ŋkeke bliboa o. Wò ahɔhɔ̃ hã hiã gbɔɖeme. Ema fia be nàɖo seɖoƒe na ɣeyiɣi si nèzãna ɖe television kpɔkpɔ, wò telefon zazã, agbalẽwo xexlẽ, kple kɔmpiuta dzi fefewo ƒoƒo ŋu.
• Ƒo asa na nusiwo hea dzesiwo vɛ: Di nusiwo nana wò taɖuame kple taɖuame gagblẽna ɖe edzi, eye nànɔ adzɔge tso nu mawo gbɔ hena ɣeyiɣi aɖe.
• Vivivi ƒe hayahaya: Ne dzesiawo le ɖiɖim la, àte ŋu atrɔ ayi dɔ siwo nèwɔna ɖaa dzi vivivi. Ne vi le asiwò la, wɔ ɖe wò ɖɔkta ƒe mɔfiame siwo ku ɖe alesi nàtrɔ ayi suku kple ɣeyiɣi si nàtrɔ ayi kamedefefewo me ŋu dzi.
• Nuwɔwɔ ɖekae: Ele be nàƒo nu kple sukua ƒe nufialawo kple kamedefefefialawo, aɖe ɖevia ƒe nɔnɔmea me, eye nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi.