Ðe nèle ŋutilã me kuxi vovovowo me toma? Ðewohĩ kasia màte ŋu azɔ o, wò abɔ kple afɔwo aʋuʋu, alɔ̃madɔmadɔ, alo nuƒoƒo sesẽ na wò. Gake ne èkpɔ ɖɔkta geɖe, wodoe kpɔ hewɔ scan gɔ̃ hã na wò la, wo katã wogblɔna be mèle dɔ lém oa? Ðe nèle blanui lém vevie le esia ta? Ame aɖeke mesea wò kuxia gɔme o, ɖe ame bubuwo susuna be èle nu wɔma? Ne nenemae la, ke mègatsi dzi o. Menye wò ɖeka koe o. Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu anɔ ame geɖe siwo dzea ŋgɔ nuteƒekpɔkpɔ mawo tɔgbe ŋu, gake esesẽna be woakpɔe ɖa. Emae nye Functional Neurological Disorder, alo FND kpuie.
Kpuie ko la, nukae nye FND (Ahɔhɔ̃mekawo ƒe Dɔléle)?
Bu wò ahɔhɔ̃ be enye kɔmpiuta ƒe xɔtunuwo. Lãmetsiŋusẽ ƒe dɔwɔwɔ le abe ka siwo doa ka kple kɔmpiuta ma ene. Esiawo evea siaa wɔa dɔ bliboe. Ema fia be ne èwɔ CT scan alo MRI scan la, naneke megblẽ le wò ahɔhɔ̃ ŋu o. Nusianu le lãmesẽ me.
Eyata afikae kuxia le?
Kuxia le kɔmpiutadziɖoɖo si le dɔ wɔm le kɔmpiutaa dzi la me. Eyae nye be vodada sue aɖe le gbedasiɖoɖo si tsɔa nyatakakawo yia ahɔhɔ̃a kple ŋutilãa dome la me. Gbedasi siwo ahɔhɔ̃a ɖona ɖe ŋutilãa, kple gbedasi siwo ŋutilãa xɔna tso ahɔhɔ̃a gbɔ la, womeɖɔlia wo nɔewo nyuie o. Abe alesi ko ne telefon la ƒe dzesi bu ene la, kaƒoƒoa gblẽna eye gbeɖiɖia trona. Le dzesi ƒe gbegblẽ sia ta la, wò ŋutilã dzea dzesiwo ɖeɖefia gɔme ŋutɔŋutɔ.
Esiawo nye dzesi ŋutɔŋutɔwo. Menye ɖe nèle wo kpɔm le susu me o. Gake esi gotagometɔ aɖe mate ŋu akpɔ susu si tae wòle alea ɖo o ta la, woate ŋu asusu be aʋatsokaka koe nèle. Esia ate ŋu anye vevesese gã aɖe na wò.
Tsã la, woyɔa esia be Dzimetɔtrɔ ƒe Dɔléle. Nukatae ŋkɔa trɔ?
Tsã la, ɖɔktawo susui be susu me kuxi dzro aɖe koe esia nye. Eyae nye be wosusu be nuwo abe nuteɖeamedzi, blanuiléle, kple nuteƒekpɔkpɔ dziŋɔwo "trɔ" wozu ŋutilã me dzesiwo. Esia tae woyɔnɛ tsã be ``Tɔtrɔ ƒe Dɔléle.''
Gake numekuku yeyewo ɖee fia fifia be esesẽ wu ema. Scan tɔxɛwo, abe functional MRI (fMRI) ene, ɖea tɔtrɔ siwo vaa amesiwo ŋu FND le ƒe ahɔhɔ̃ ƒe dɔwɔwɔ me fiana. Azɔ hã, menye amesiame si ŋu FND le la dzɔ nublanuitɔe alo ahɔhɔ̃ me abi si wɔ nublanuitɔe kpɔ o. Eyata womegazãa ŋkɔ xoxoa o.
Dzesi kawoe ate ŋu akpɔ amesi ŋu FND le?
Zi geɖe la, FND ƒe dzesiwo dona kpata. Woate ŋu ado kplamatse wò gbesiagbedɔwo hã. Ɣeaɖewoɣi la, dzesiawo ate ŋu agblẽ ɖe edzi ne èbu wo ŋu, alo woate ŋu nu ayi ne ètsɔ wò susu ɖo nu bubu aɖe ŋu.
Nɔnɔme sia ƒe dzesi siwo bɔ wu dometɔ aɖewoe nye esi.
| Dzesiwo ƒe hatsotso | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Nɔnɔme siwo le abe alɔ̃dɔdɔ ene (PNES) . | Esiawo ate ŋu adze abe asrãdɔ ene. Ate ŋu adzɔ be ame naʋuʋu eye ame ƒe susu nabu. Gake ahɔhɔ̃ dodokpɔ (Electroencephalogram - EEG) gblɔ be esɔ. Woyɔa esiawo be (Psychogenic Non-Epileptic Seizures - PNES) . |
| Kuxi siwo le ŋutilã ƒe ʋuʋu ŋu | Ʋuʋudedi, ŋutilã ƒe ʋuʋu, azɔlizɔzɔ sesẽ, kple ŋutilã megate ŋu ɖua eɖokui dzi o. Nu siawo sena le ɖokuiwò me abe ɖe wole dzɔdzɔm le wò ŋusẽmanɔmee ene. |
| Kuxi siwo do ƒome kple sidzenu atɔ̃awo | Kuxi siwo le nukpɔkpɔ, nusese, ʋeʋẽ, vivisese, kple asikaka ame ŋu me. Le kpɔɖeŋu me, ate ŋu adzɔ be ame ƒe nu nate ŋu akpɔ nu blukɔ kpata, ame ƒe ŋku nate ŋu akpɔ nu zi eve, ame ƒe nusese dzi ɖe kpɔtɔ, alo ame ƒe ŋutilã ƒe akpa aɖewo natsi. |
| Kuxi siwo le tamebubu kple ŋkuɖoɖonudzi me | Ahɔhɔ̃ me fuɖename, kasia nàŋlɔ nya si gblɔ ge nèle esime nèle nu ƒom be, nàŋlɔ nyawo be, nàŋlɔ afisi nèda nu veviwo ɖo be. Ate ŋu asesẽ hã be míaƒe susu nanɔ nu ŋu. |
| Taɖuame kple dadasɔ | Sese le ɖokuiwò me abe ɖe nèle tsia dzi le tɔdziʋu me ene, tsɔ wu be nàse le ɖokuiwò me be yeƒe ta natsi. Ðewohĩ màda asɔ o ne èle tsitrenu. |
| Vevesese | Ŋutilã ƒe vevesese, vevesese sesẽ siwo wotsɔa tu ƒoa ame, dzobibi. Vevesese sia ate ŋu anɔ anyi ɖaa alo ava eye wòadzo. Taɖuame hã ate ŋu adzɔ enuenu. |
Tsɔ kpe ɖe eŋu la, àte ŋu akpɔ nɔnɔme siawo hã:
- Ðeɖiteameŋu si gbɔ eme kple ŋusẽ ƒe anyimanɔmanɔ ƒe seselelãme ɣesiaɣi .
- Nuƒoƒo alo kukɔkukɔ ƒe sesẽ .
- Nɔnɔmewo abe lãmekawo ƒe gbɔdzɔgbɔdzɔ alo lãmetutudɔ ene.
- Nane mimi sesẽ .
Nukatae FND va doa mo ɖa? Nukawoe kpɔa ŋusẽ ɖe edzi?
Ðɔktawo menya nusi tututu hea FND vɛ haɖe o. Gake míenya be kuxi aɖe si le alesi woɖoa gbedasiwo ɖe ahɔhɔ̃a kple ŋutilã domee gbɔe wòtso. Ne míezã kɔmpiuta ƒe kpɔɖeŋu ma ke si ŋu míeƒo nu tsoe va yi la, hardware kple wiring katã nyo, gake "glitch" sue aɖe le software la me.
Gblẽƒe sia trɔa alesi ahɔhɔ̃a ɖoa gbedasiwo ɖa hexɔa woe. Ne míagblɔe bubui la, ahɔhɔ̃a le "ɖoɖo si mesɔ o" wɔm. Atikewɔwɔ bia be woaɖe ɖoɖo gbegblẽ sia ɖa eye "woagbugbɔ ana hehe" ahɔhɔ̃ kple lãmekawo ale be gbedasiwo nagasi nyuie ake.
Nu vevitɔe nye be, naneke mele wò ŋutilã me si "gbã" alo "nu gblẽ le mɔ si womate ŋu aɖɔ ɖo o" me o. Dɔwɔwɔa koe nye kuxia.
Nusiwo hea FND ƒe dzesiwo vɛ
Nudzɔdzɔ alo nɔnɔme aɖewo ate ŋu ana FND ƒe dzesiwo nadze zi ɖeka.
- Dɔlékui vovovo siwo xɔa ame
- Taɖuame
- Ŋutilãmefɔkuwo alo abixɔxɔ
- Nuteɖeamedzi sesẽwo alo nudzɔdzɔ dziŋɔwo
Ɣeaɖewoɣi la, le nusi ʋãa ame abe esia ene megbe la, ahɔhɔ̃a ate ŋu "atsi" dzesi ma ŋu, abe disk si gbã si le tsatsam le teƒe ɖeka ene. Eŋutinunyalawo xɔe se be nɔnɔme sia ate ŋu ahe FND vɛ.
Aleke ɖɔktawo wɔa anya FND?
FND ƒe dzesiwo didi ate ŋu anye ayemɔ, elabena dzesiawo sɔ kple ahɔhɔ̃mekawo ƒe dɔléle bubu geɖe tɔ, si wɔnɛ be esesẽna be woade vovototo eveawo dome.
Ðewohĩ ahiã be nàyi ɖɔkta geɖe gbɔ eye woawɔ dodokpɔ geɖe na wò. Esia ate ŋu anye mɔzɔzɔ si tea ɖeɖi ame ŋu ŋutɔ eye wòtea ɖeɖi ame ŋu. Ame aɖewo ate ŋu agblɔ na wò gɔ̃ hã be wò dɔlélea "katã le wò susu me." Gake wò ɖɔkta ana kakaɖedzi wò be wò dzesiwo nye nu ŋutɔŋutɔwo eye be nu nyuitɔe nèle wɔwɔm.
Zi geɖe la, ƒuƒoƒo aɖe si me tɔwo wɔa dɔ vovovowo, siwo dome ahɔhɔ̃ŋutinunyalawo, tagbɔdɔdalawo, kple ŋutilãmedɔdalawo le, wɔa dɔ aduadu tsɔ dea dzesi FND.
Dodokpɔ siwo wowɔna tsɔ dia dɔlélewoe
Le wò dzesiwo nu la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:
- Ʋudodokpɔwo
- CT-dɔdamɔnu
- EEG dodokpɔ
- Electromyogram (dodokpɔ si dzidzea lãmekawo ƒe dɔwɔwɔ) .
- MRI si wɔa dɔ (fMRI) .
- Ahɔhɔ̃mekawo ƒe dodokpɔ blibo
Wowɔa dodokpɔ siawo katã be woatsɔ agbe ŋutilã ƒe nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ (e.g., asrã, lãmekawo ƒe ʋuʋu). Ne dodokpɔa me tsonuawo katã sɔ eye wò dzesiwo sɔ kple FND la, wò ɖɔkta ate ŋu aɖo kpe edzi be wokpɔ FND.
Nukawoe nye atike siwo wozãna na FND?
Esi wònye be FND nye dɔléle sesẽ aɖe ta la, womate ŋu atsɔ atike ɖeka adae o. Wodaae to atike vovovowo tsɔtsɔ ƒo ƒui me. Taɖodzinu vevitɔe nye be woagbugbɔ dzesiwo ƒe ɖoɖo si le ahɔhɔ̃a kple ŋutilãa dome la aɖo anyi.
| Atikewɔwɔ ƒe mɔnu | Nukae dzɔna? |
|---|---|
| Lãmesẽnyawo Gbɔkpɔkpɔ | Esia le vevie ŋutɔ na amesiwo ŋu ʋuʋu ƒe kuxiwo le (azɔlizɔzɔ sesẽ, ʋuʋudedi). Nusi wɔm nèle le afisiae nye be nàgbugbɔ ana hehe ahɔhɔ̃a ɖe ʋuʋu ƒe ɖoɖo nyuitɔ ŋu. Ne míagblɔe bubui la, ele abe ɖe nèɖe kɔmpiutadziɖoɖo si mesɔ o ɖa eye nède esi sɔ ene. |
| Dɔwɔƒe ƒe Atikewɔwɔ | Kpekpeɖeŋu nana be woawɔ gbesiagbedɔwo (e.g., awudodo, nuɖaɖa) le wo ɖokui si ake. |
| Nuƒoƒo ƒe Dɔdamɔnu | Nuƒoƒo alo nu mimi ƒe kuxiwo dada. |
| Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) . | Ekpena ɖe ŋuwò nèsea alesi wò tamesusuwo, seselelãmewo, kple nuwɔna do ƒome kple wo nɔewoe gɔme. Esia ate ŋu akpe ɖe ŋuwò nàde dzesi tamebubu siwo nana dzesiawo nu sẽna ɖe edzi ahakpɔ wo dzi. |
| Atikewo zazã | Atike aɖeke koŋ meli na FND o. Gake ne dɔléle bubuwo, abe blanuiléle, dzimaɖitsitsi, alo vevesese atraɖii ene le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atike na wò atsɔ ada wo. |
Ðe mɔkpɔkpɔ ate ŋu anɔ asiwò esime nèle agbe kple FND?
Ate ŋu adzɔ godoo. FND menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me o. Gake ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi.
Menye ɖe ame sia ame ƒe hayahaya mesɔna o. Ame aɖewo hayana kaba. Bubuwo xɔa ɣeyiɣi. Ɣeaɖewoɣi la, dzesiawo ate ŋu anyo ɖe edzi eye emegbe woagadze ake. Ema nye mɔzɔzɔa ƒe akpa aɖe. Mefia be èdo kpo nu o.
Nusiwo gbɔna le vevie na emetsonu dzidzedzetɔe:
- Dɔléle si sɔ pɛpɛpɛ xɔxɔ kaba ale si wòanya wɔ.
- Ƒomedodo nyui tutuɖo kple wò ɖɔkta kple atikewɔha .
- De dzesi nuteɖeamedzi siwo hea dzesiawo vɛ eye nàkpɔ wo gbɔ .
- Dze atikewɔwɔ gɔme kpuie .
Ðo ŋku edzi be èhiã ŋusẽ hafi nàte ŋu ato mɔzɔzɔ sia me. Gake nyateƒe si wònye be èva ɖo afisia ɖe alesi gbegbe ŋusẽ le ŋuwòe fia. Mehiã be nàkpɔ nusianu gbɔ zi ɖeka o. Ne afɔɖeɖe sue aɖee wònye hã la, enye dɔyɔyɔ ƒe mɔzɔzɔa ƒe akpa aɖe.
Gbedasi si Wotsɔ Yi Aƒeme
- FND nye kuxi ŋutɔŋutɔ le alesi ahɔhɔ̃a ɖoa dze kple ŋutilãa ŋu. Menye "wò ta me koe wòle" o.
- Wò dzesiwo, si fia be ŋutilã me vevesese siwo nèsena le ɖokuiwò me la nye nu ŋutɔŋutɔwo 100%. Esi wò dodokpɔ ŋuti nyatakakawo sɔ ta la, mefia be dɔlélea mele ŋuwò o.
- Ate ŋu axɔ ɣeyiɣi hafi woate ŋu akpɔ dɔlélea nyuie, gake mègana ta o. Ele vevie be nàkpɔ ɖɔkta nyuitɔ.
- Atikewɔwɔ bia be woagbugbɔ ana hehe ahɔhɔ̃a. Nuwo abe kamedede kple susumedɔdada ene le vevie ŋutɔ na esia.
- Dɔyɔyɔ medzɔna le zã ɖeka me o, ke boŋ enye nusi yia edzi. Ŋkeke nyuiwo kple ŋkeke vɔ̃wo anɔ anyi. Gake yi edzi nànɔ ŋgɔ yim kple mɔkpɔkpɔ.











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