Ðe viwòa le alɔ̃madɔmadɔ lém zi ɖekaa? Mina míasrɔ̃ nu tso Cortical Dysplasia ŋu!

Ðe viwò suea le alɔ̃madɔmadɔ lém zi ɖekaa? Alo ɖe asrãdɔ ƒe dzesi siawo ƒomevi le ame aɖe si nènya ŋua? Ɣeaɖewoɣi la, vɔvɔ̃ ɖoa mí ŋutɔŋutɔ ne míekpɔ nusiawo, alo? Susu ɖeka si tae nye ahɔhɔ̃medɔ aɖe si ŋu ɖewohĩ mèse nu tsoe o. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, si nye Cortical Dysplasia . Togbɔ be ŋkɔa aɖi nya sesẽ vie hã la, mina míagbãe.

Nukae nye cortical dysplasia?

Kpuie ko la, cortical dysplasia nye dɔléle si mebɔ o si ate ŋu ana ame naxɔ alɔ̃ . Ðɔktawo yɔnɛ ɣeaɖewoɣi be focal cortical dysplasia, alo (FCD). Woyɔe be "co-ticle" kple "dys-pla-sia."

Nɔnɔme sia gblẽa nu le wò ahɔhɔ̃mekawo ŋu . Eyae nye míaƒe ahɔhɔ̃ ƒe akpa si le gota wu. Bu eŋu kpɔ, ahɔhɔ̃meka sia kpɔa nu vevi geɖe abe míaƒe ŋutilã ƒe ʋuʋu, míaƒe tamesusuwo, nuƒoƒo, ŋkuɖoɖonudzi, nunya, kple amenyenye dzi. Ele abe míaƒe kɔmpiuta ƒe `CPU` ene.

Atikewɔwɔ me nya "dysplasia" fia lãmenugbagbeviwo ƒe tsitsi si mesɔ o le ŋutilã me. Eyata le amesi ŋu cortical dysplasia le gome la, lãmenugbagbevi siwo le ahɔhɔ̃mekawo, alo ahɔhɔ̃mekawo me, metsina nyuie o. Esia dzɔna esime vidzĩa gakpɔtɔ le vidzidɔa me .

Nukawoe nye cortical dysplasia ƒomevi veviwo?

Ðɔktawo ma nɔnɔme sia si woyɔna be cortical dysplasia ɖe ƒomevi vevi etɔ̃ me, le ahɔhɔ̃mekawo (lobes) ƒe akpa siwo ŋu wògblẽ nu le, alo alesi lãmenugbagbevi siwo mesɔ o la dzɔna le ahɔhɔ̃a me nu.

Ƒomevi 1 lia

Le lãmenugbagbevi sia ƒomevi me la, lãmenugbagbevi siwo mesɔ o va dzɔ ɖe wò lãkusi, alo ahɔhɔ̃menugbagbevi siwo mewɔ ɖoɖo ɖe ɖoɖo nu abe alesi wòle be woanɔ ene o. Esia ate ŋu agblẽ nu le ahɔhɔ̃a ƒe akpa ɖesiaɖe ŋu. Gake ebɔ wu le temporal lobe , si nye ahɔhɔ̃a ƒe akpa si ɖo ta towo gbɔ, alo frontal lobe , si nye akpa si ɖo ta ŋgonu gbɔ.

Ƒomevi 2 lia

Le ƒomevi sia me la, lãmenugbagbevi siwo le ahɔhɔ̃mekawo me lolona wu alesi wòle, alo woƒe dzedzeme to vovo. Ƒomevi evelia sia sesẽ vie eye wònye nu sesẽ wu ƒomevi gbãtɔa. Ekpɔa ŋusẽ ɖe ŋgɔgbe kple akɔta ƒe lãkusiwo hã dzi wu.

Ƒomevi 3 lia

Esia ƒomevi dzɔna ne cortical dysplasia ƒomevi 1 alo ƒomevi 2 kple nu bubu siwo mesɔ o le ahɔhɔ̃a me le ŋuwò. Le kpɔɖeŋu me, ate ŋu adzɔ ne ahɔhɔ̃ me dɔdzẽ, ʋuka siwo mesɔ o, alo ahɔhɔ̃ me abi. Ahɔhɔ̃a ƒe akpa si ŋu wògblẽ nu le la nɔ te ɖe afisi dɔdzẽa le alo ahɔhɔ̃a ƒe akpa si wògblẽ nu le dzi.

Nukawoe nye dzesiawo? Aleke nèwɔ dea dzesii?

Le cortical dysplasia me laDzesi vevitɔ kple esi bɔ wue nye alɔ̃madɔmadɔ. Esiae míeyɔna hã be ʋuʋudedi. Aɖuɖɔtoedɔ sia ate ŋu ava le nɔnɔme vovovowo me:

• Focal Seizures: Esiawo dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka. Womekakana ɖe akpa kemɛ o. Àte ŋu akpɔ nuwo abe ʋuʋu kple ʋuʋu ene le ɣeyiɣi sia me. Gake menye amesiamee xɔa ema o. Ðewohĩ ɖeko nàse le ɖokuiwò me be yewɔ nuku alo yeto vovo.
• Tonic-clonic (Grand Mal) Alɔ̃madɔmadɔ: Alɔ̃madɔmadɔ sia ƒomevi gblẽa nu le ahɔhɔ̃a ƒe akpa eveawo ŋu. Esiae nye esime ŋutilãa ʋuʋuna heʋuʋuna le mɔ si dzi womate ŋu aɖu o nu. Ekpɔa ŋusẽ ɖe ŋutilãa ƒe akpa eveawo siaa dzi.
• Vidzĩwo ƒe Ʋuʋudedi: Esia nye alɔ̃madɔmadɔ tɔxɛ aɖe si dzɔna ɖe vidzĩ siwo mexɔ ƒe ɖeka haɖe o ko dzi . Le esia me la, kasia vidzĩa kekea woƒe abɔwo, afɔwo, kple kɔ, emegbe wògahea wo ɖe megbe kaba. Ðeko wòle abe ɖe wole alɔ̃madɔmadɔ lém ene. Esia ate ŋu adzɔ zi geɖe gbesiagbe.

Nu vevitɔe nye be asrãdɔ siawo ate ŋu adze egɔme ɣesiaɣi le agbe me. Ame aɖewo dzea wo xɔxɔ gɔme le woƒe ɖevime, le woƒe vidzĩme. Gake ame aɖewo ate ŋu axɔ woƒe asrãdɔ zi gbãtɔ le woƒe tsitsime.

Tsɔ kpe ɖe asrãdɔ ŋu la, àte ŋu akpɔ dzesi bubuwo:

• Esesẽna be woatsɔ susu aɖo nu ŋu, ŋutete manɔamesi be wòana susua nanɔ teƒe ɖeka .
• Nu yeyewo kple nukpɔsusu yeyewo sɔsrɔ̃ sesẽ.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka (hemiparesis).

Cortical dysplasia ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe ŋutilã ƒe wɔwɔme hã dzi. Gake MRI scan koe ɖɔkta ate ŋu akpɔ tɔtrɔ siawo, si nye mɔ ɖeka kolia si dzi wòato ade dzesi tɔtrɔ siwo va le ahɔhɔ̃a ƒe lãkusi (nu ɣi) me pɛpɛpɛ.

Nukatae nɔnɔme sia dzɔna ɖo? Nuka tae?

Cortical dysplasia nye domenyiŋusẽfianu ƒe dɔléle . Esia fia be le domenyiŋusẽfianu ƒe tɔtrɔ ta la, ahɔhɔ̃a metsina nyuie le fugboe ƒe nɔnɔme me o, si fia be ne vidzĩa le tsitsim le vidzidɔa me.

Gake numekulawo mete ŋu gblɔ nusi tututu domenyiŋusẽfianu ƒe tɔtrɔ hea esia vɛ haɖe o. Wogale numekuku wɔm tso nusiwo ate ŋu ahe esia vɛ ŋu kokoko.

Eŋutinunyala aɖewo xɔe se be domenyiŋusẽfianu si woyɔna be MTOR mɔ ƒe tɔtrɔ gbɔe Type 2 cortical dysplasia tsona . Domenyiŋusẽfianu siawo wɔa protein si kpena ɖe míaƒe lãmenugbagbeviwo, vevietɔ ahɔhɔ̃mekawo ŋu, wotsina hetsina. Eyata ne tɔtrɔ aɖe va le MTOR domenyiŋusẽfianu me la, ate ŋu ana lãmenugbagbevi siwo mesɔ o natsi.

Aleke ɖɔktawo dea dzesi esiae? (Dɔléle ƒe dzesi) .

Ðɔkta aɖe toa nɔnɔmetatawo dodokpɔ tɔxɛwo dzi dea dzesi cortical dysplasia .

Ele be nàgblɔ wò dzesiwo kple ɣeyiɣi si nède dzesii zi gbãtɔ na wò ɖɔkta . Ne anya wɔ la, ele vevie be nàgblɔ wò alɔ̃madɔmadɔ ƒe ɣeyiɣiwo ŋuti nyatakakawo tsitotsito (i.e. alesi wodze egɔmee, ɣeyiɣi didi si wòxɔ, nusi nɔ dzɔdzɔm ɣemaɣi, kple bubuawo) elabena nyatakaka siawo ate ŋu akpe ɖe ŋuwò nàkpɔ dɔlélea.Ðɔktaa ate ŋu ade dzesi nusi ƒomevi esia nye.

Emegbe ɖɔktaa aɖe wò ahɔhɔ̃ ƒe nɔnɔmetatawo akpɔe ɖa be lãmenugbagbevi aɖewo siwo ƒe nɔnɔme mesɔ o alo esiwo mesɔ o le ahɔhɔ̃mekawo me hã. Dodokpɔ siwo woate ŋu azã na esiae nye:

• `MRI (Magnetic Resonance Imaging):` Esia ateŋu aɖe ahɔhɔ̃a ƒe foto siwo me kɔ ŋutɔ .
• `EEG (Electroencephalogram)`: Esia dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ. Esia kpena ɖe ame ŋu wòkpɔa afisi asrãdɔ tsona.
• `MEG (Magnetoencephalography):` Esia nye dodokpɔ si léa ŋku ɖe ahɔhɔ̃ ƒe dɔwɔwɔ ŋu, abe `EEG.` ene
• ``PET ƒe dodokpɔ (Positron Emission Tomography ƒe dodokpɔ)''.
• `SPECT scan (Foton Ðeka ƒe Ʋuʋu Kɔmpiuta Tomography scan)`

Nusi dodokpɔ siawo wɔna koe nye be woalé ŋku ɖe nusiwo le edzi yim le ahɔhɔ̃a me ŋu.

Dɔdamɔnu kawoe li?

Wò ɖɔkta aɖo aɖaŋu na wò be nàzã atike siwo nàzã atsɔ aɖu wò dzesiwo dzi eye nàɖe asrãdɔ ƒe alɔ̃madɔmadɔ dzi akpɔtɔ.

Zi geɖe la, woadze egɔme kple atike siwo wozãna tsɔ tsia alɔ̃madɔmadɔ nu . Gake nya lae nye esi. Ɣeaɖewoɣi la, cortical dysplasia ate ŋu ana asrãdɔ si atikewo mete ŋu nɔa te ɖo o. Ema fia be ate ŋu asesẽ vie be woaɖu edzi to atikewo zazã me wu ne wozã asrãdɔ edziedzi. Togbɔ be atikewo ate ŋu awɔ dɔ le gɔmedzedzea me hã la, ate ŋu magawɔ dɔ boo o le ɣeyiɣi aɖe megbe.

Ketogenic nuɖuɖu (alo keto nuɖuɖu) dzi wɔwɔ ate ŋu akpe ɖe ame ŋu be wòaɖe asrãdɔ ƒe alɔ̃madɔmadɔ dzi akpɔtɔ. Esia bia be woaɖu nuɖuɖu si me ami sɔ gbɔ ɖo eye carbohydrates mesɔ gbɔ o. Esia trɔa alesi ahɔhɔ̃a kpɔa ŋusẽe. Àte ŋu adi nuɖuɖuŋutinunyala ƒe kpekpeɖeŋu hã be wòakpe ɖe ŋuwò nàtrɔ ɖe nuɖuɖu sia ƒomevi ŋu.

Ne atikewɔwɔ bubuwo mete ŋu ɖu wò asrãdɔa dzi nyuie o la, ahiã be woawɔ dɔ na wò le asrãdɔa ŋu . Wò amekola aɖe amekoko si ƒomevi woawɔ na wò kple nusi nàkpɔ mɔ na la me.

Ðe woate ŋu aɖe nɔnɔme sia ɖa keŋkeŋ to amekoko mea?

Ðewohĩ wò amekola ate ŋu aɖe nɔnɔme sia ɖa. Esia anɔ te ɖe nu geɖe dzi:

• Cortical dysplasia ƒomevi ka ƒomevie le ŋuwò?
• Afikae ahɔhɔ̃mekawo ƒe dɔléle dzea egɔme tsoe?
• Alesi dysplasia ƒe nɔnɔmea nu sẽe.

Ne amekolaa ate ŋu aɖe lãmenugbagbevi mawo siwo mesɔ o ɖa evɔ magblẽ nu le wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu o la, ke enyo ŋutɔ. Lãmenugbagbevi siawo ɖeɖeɖa ate ŋu aɖe alɔ̃madɔmadɔ dzi akpɔtɔ eye wòaɖe atike agbɔsɔsɔme si wòle be nàno dzi akpɔtɔ. Gake ɣeaɖewoɣi ne ele be nàɖe lãmenugbagbevi mawo katã siwo mesɔ o ɖa la, ɖewohĩ ahiã be nàɖe ahɔhɔ̃meka nyui aɖewo hã ɖa.Ne edzɔ alea la, ate ŋu akpɔ ŋusẽ ɖe wò ŋutete be nàʋuʋu, akpɔ nu, ahase le ɖokuiwò me le gɔmesese bubuwo nu. Wò amekola aɖe amekoko sia ƒe viɖe kple kuxiwo katã me na wò eye wòakpe ɖe ŋuwò nàtso nya me ne esɔ na wò.

Mɔ bubue nye be woaɖe lãmenugbagbevi siawo siwo mesɔ o la ɖa tso ahɔhɔ̃a ƒe akpa bubuwo gbɔ. Esia xea mɔ na asrãdɔ ƒe kaka tso lãmenugbagbevi mawo me. Ɣeaɖewoɣi la, amekola ateŋu agblẽ lãmenugbagbevi siawo siwo mesɔ o hã kple ``laser-dɔdamɔnu'', si me afɔku mele boo o eye mewɔa nuvevi ame boo o wu ahɔhɔ̃mekadodo xoxo.

Aleke gbegbee cortical dysplasia sesẽe?

Nɔnɔme ɖesiaɖe si agblẽ nu le ahɔhɔ̃a ŋu ate ŋu anye nu sesẽ. Cortical dysplasia nye nɔnɔme mawo dometɔ ɖeka. Gake mègatsi dzi o . Wò ɖɔkta adi mɔ siwo dzi wòato akpɔ wò asrãdɔ kple dzesi bubuwo gbɔ. Vivivi la, àte ŋu aɖe ŋusẽ si nɔnɔme sia kpɔna ɖe wò gbesiagbegbenɔnɔ dzi dzi akpɔtɔ.

Ðe woate ŋu ada esia keŋkeŋa?

Ate ŋu adzɔ, vevietɔ le amekoko vɔ megbe, be ɖewohĩ màgadze alɔ̃dɔdɔ azɔ o. Nya gã aɖee nye ema!

Ke hã, cortical dysplasia menye "atike" abe atike nono na dzamezã ene o. Atikewɔwɔ nɔa te ɖe dzesiwo kple asrãdɔ dzi kpɔkpɔ dzi wu atike si woatsɔ adae .

Aleke agbea anɔ le nɔnɔme sia me?

Zi geɖe la, cortical dysplasia mehea kuxi siwo wua ame vɛ alo kpɔa ŋusẽ ɖe wò agbenɔƒe dzi o. Nya nyui aɖee nye ema. Gake ne alɔ̃madɔmadɔ sesẽwo nɔa ŋuwò enuenu (vevietɔ tonic-clonic seizures) la, ate ŋu ana nàku kaba vie ƒe afɔkua nadzi ɖe edzi . Ne ètsi dzi ɖe alesi esia ate ŋu akpɔ ŋusẽ ɖe wò lãmesẽ dzi ɣeyiɣi didi ŋu la, ƒo nu kple wò ɖɔkta. Ate ŋu akpe ɖe ŋuwò nànɔ dedie ahanɔ lãmesẽ me.

Ɣekaɣie wòle be míayi ɖɔkta gbɔ?

Wò ɖɔkta agblɔ zi nenie wòle be nàtrɔ ava (`sasrãkpɔ siwo woatsɔ akplɔe ɖo`) kple dodokpɔ siwo wòle be nàwɔ na wò. Le gɔmedzedzea me, vevietɔ ne èdze atikewɔwɔ gɔme kple do ŋgɔ na amekoko kple emegbe la, ahiã be nàyi ɖɔkta gbɔ zi geɖe.

Vevietɔ: Ne èle alɔ̃madɔmadɔ geɖe wu xɔm, alo ne edze abe esẽ wu tsã ene la, kpɔ egbɔ be yegblɔe na wò ɖɔkta . Ate ŋu anye dzesi be ehiã be woatrɔ wò atikewɔwɔ, alo ate ŋu anɔ lãmetutudɔ si me atikewo te ŋu nɔa te ɖo la xɔm.

Nukae nèwɔna ne nɔnɔme kpata aɖe dzɔ?

Ne alɔ̃madɔmadɔ aɖe le ŋuwò si xɔ wu miniti atɔ̃, alo ne èxɔ alɔ̃ zi geɖe ɖe wo nɔewo yome la, ƒo ka na 911 (alo wò nutoa me xexlẽdzesi kpata) enumake. Esia nye nudzɔdzɔ kpata aɖe.

Nya vevi siwo wòle be nàbia wò ɖɔkta

Ne èyi wò ɖɔkta gbɔ la, mègahe ɖe megbe le nya siawo tɔgbe biabia me o:

• Cortical dysplasia ƒomevi ka ƒomevie le ŋunye?
• Ðe asrãdɔtikewo awɔ dɔ nam?
• Ɣekaɣie wòle be mabu amekoko ŋu?
• Amekoko ka ƒomevie nyo nam wu?

Esesẽ be míasusu alesi lãmenugbagbevi sue ʋɛ aɖewo siwo le ahɔhɔ̃a me ate ŋu akpɔ ŋusẽ gã aɖe ɖe míaƒe lãmesẽ dzi alea gbegbe. Gake, bia wò ɖɔkta alo amekola nya alo nusiwo ŋu nètsi dzi ɖo . Woaɖe nusianu si wòle be nànya tso nusiwo le edzi yim le wò ahɔhɔ̃ kple wò ŋutilã me ŋu me, kple nusi woate ŋu awɔ atsɔ akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe lãme sẽ.

Nusiwo me míedzro ƒe kpukpui aɖee nye esi (Take-Home Message):

Enyo, eyata fifia èse Cortical Dysplasia si ŋu míeƒo nu tsoe egbea gɔme nyuie wu. Ɖo ŋku edzi:

• Esia nye nɔnɔme si dzɔna ne ahɔhɔ̃mekawo metsi nyuie o eye ate ŋu ana ame naxɔ asrã .
• Esia ate ŋu atso domenyiŋusẽfianu gbɔ .
• Dzesi vevitɔe nye asrãdɔ ƒomevi vovovowo .
• Wotoa dodokpɔ tɔxɛwo abe MRI ene dzi dea dzesi esia.
• Atikewɔwɔ ƒe tiatia aɖewoe nye atike, ketogenic nuɖuɖu, kple ne ehiã la, amekoko .
• Le esi teƒe be míaƒo nu tso "atike" blibo aɖe ŋu la, ele vevie be woaɖu dzesiawo dzi .
• Ate ŋu adzɔ be nànɔ agbe si sɔ kple nɔnɔme sia, gake ele be nàkpɔ nyuie le asrãdɔ sesẽwo ŋu.
• Ele vevie ŋutɔ be nànɔ kadodo me kple wò ɖɔkta edziedzi eye nàwɔ ɖe eƒe mɔfiamewo dzi.

Ne dzesi siawo le wò alo ame aɖe si nènya ŋu la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi hena aɖaŋuɖoɖo xɔxɔ o. Ne wokpɔ dɔlélea kaba kple edada ate ŋu ana tɔtrɔ gã aɖe nava.

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