Ðe ʋusɔgbɔdɔ ate ŋu adze dziwò ne suklidɔ le ŋuwòa? Mina míaƒo nu tso esia ŋu!

Ðe suklidɔ le ŋuwòa? Ekema ele be nàtsi dzi ɖe sukli si le ʋu me ŋu ɣesiaɣi, alo? Ema nye nu nyui aɖe ŋutɔ. Gake nɔnɔme sesẽ siwo ate ŋu ado mo ɖa le suklidɔ ta dometɔ ɖekae nye ʋusɔgbɔdɔ, alo abe alesi míegblɔnɛ le Eŋlisigbe me ene la , ʋusɔgbɔdɔ . Ame geɖe menya esia o. Eyata, egbea míaƒo nu tso ƒomedodo si le suklidɔ kple ʋusɔgbɔdɔ dome ŋu tsitotsito , nusi wòate ŋu ahe vɛ, kple vevietɔ wu la, alesi nàkpɔ ɖokuiwò ta tso eme. Elabena esia ate ŋu anɔ vevie na wò kple wò ame veviwo ŋutɔ.

Nukae nye ʋusɔgbɔdɔ? Mina míase egɔme bɔbɔe

Enyo, mina míalé ŋku ɖe nusi ʋusɔgbɔdɔ nye ŋu gbã. Kpuie ko la, ʋusɔgbɔdɔ dzɔna ne ʋuka si tsɔa ʋu yia míaƒe ahɔhɔ̃ me xe alo gbã. Bu eŋu abe tsi ƒe pɔmpi si dzudzɔa sisi ene. Míaƒe ahɔhɔ̃menugbagbeviwo hiã oxygen kple nunyiame hafi woate ŋu awɔ dɔ. Esiawo tsoa ʋu me. Eya ta ne ʋua tɔ te le mɔ ma nu la, ahɔhɔ̃a ƒe akpa aɖe mexɔa ɔksidzin kple nunyiame o. Emegbe ahɔhɔ̃menugbagbevi mawo dzea kuku gɔme.

Vevietɔ: Ne ahɔhɔ̃a gblẽ la, ŋutilã ƒe dɔwɔwɔ siwo dzi akpa si gblẽ la kpɔ ŋusẽ ɖo ate ŋu agblẽ.

Nu geɖe li siwo ate ŋu anɔ esia hem vɛ:

• Nuƒoƒo sesẽ, alo nya si gblɔm wole gɔme masemase. Ɣeaɖewoɣi la, nyawo tɔtɔna, si wɔnɛ be esesẽna be woaƒo nu nyuie.
• Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie. Ðewohĩ àŋlɔ nu nyanyɛwo be gɔ̃ hã.
• Ŋutilã ƒe akpa ɖeka ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ (woyɔa esia be lãmetutudɔ). Le kpɔɖeŋu me, mo, alɔ, alo afɔ ƒe akpa ɖeka ate ŋu azu lãmetututɔ.
• Ŋutilã ƒe vevesese ƒe amesinɔnɔ.
• Seselelãmewo dzi ɖuɖu sesẽ, alo blanuiléle alo blanuiléle ƒe seselelãme kpata.
• Tamebubu, susu tsɔtsɔ ɖo nu ŋu, nu yeyewo sɔsrɔ̃, kple nyametsotsowɔwɔ sesẽ.
• Le dɔléle sesẽ aɖewo me la , ku ate ŋu adzɔ gɔ̃ hã.

Èkpɔ alesi gbegbe nɔnɔme sia sesẽe.

Afɔku kae le ʋusɔgbɔdɔ me na amesiwo ŋu suklidɔ le?

Azɔ mina míalé ŋku ɖe alesi wòanya wɔ be suklidɔléla aɖe naxɔ ʋusɔgbɔdɔ ŋu. Le nyateƒe me la, ne wotsɔ ame tsitsi si ŋu suklidɔ le sɔ kple amesi ŋu suklidɔ mele o la, ate ŋu axɔ ʋusɔgbɔdɔ zi gbɔ zi 1.5 . Azɔ hã, amesiwo ŋu suklidɔ le ate ŋu aku le dzidɔ alo ʋusɔgbɔdɔ ta zi gbɔ zi eve kloe wu amesiwo ŋu suklidɔ mele o. Akɔntabubu siawo doa vɔvɔ̃ na ame vie, alo? Gake mègatsi dzi o, esia nyanyae nye afɔɖeɖe gbãtɔ.

Aleke suklidɔ nana ame ƒe lãme ƒuna ?

Nukatae esia dzɔna ɖo? Ne suklidɔ le mía ŋu la, míaƒe ŋutilã mete ŋu zãa nuɖuɖu nyuie o. Wò ŋutilã mate ŋu awɔ lãmetsi aɖe si woyɔna be insulin , wòade edeƒe o, alo mate ŋu azã insulin si wòwɔna nyuie o. Insulin siae nye sukli si le nuɖuɖu si míeɖuna me, si woyɔna be sukli., si kpena ɖe mía ŋu míewɔa ŋusẽ to míaƒe lãmenugbagbeviwo me yiyi me.

Eyata ne insulin mewɔ dɔ nyuie o la, sukli sia megena ɖe lãmenugbagbeviwo me o eye wòƒoa ƒu ɖe ʋua me boŋ. Ne sukli sɔ gbɔ ɖe ʋu me alea ɣeyiɣi didi aɖe la, egblẽa nu le ʋuka siwo le míaƒe ŋutilã me ŋu. Ele abe gbeɖuɖɔ si le ame kuku aɖe ɖum ene. Ʋukawo ƒe gliwo ƒoa ke, woxatsana, eye womegate ŋu trɔna ɖe nɔnɔmewo ŋu o. Míeyɔa nɔnɔme sia hã be (ʋukawo me ʋu ƒe sisi) . Ne edzɔ alea la, ʋukawo ate ŋu axe alo agbã bɔbɔe. Esia nye nyateƒe vevietɔ le ʋuka siwo yia ahɔhɔ̃a me, si ate ŋu ana ame naxɔ ʋusɔgbɔdɔ la gome.

Lãmesẽkuxi bubuwo hã ate ŋu anɔ ame tsitsi geɖe siwo ŋu suklidɔ le ŋu si nana woƒe ʋusɔgbɔdɔ ƒe afɔkua dzina ɖe edzi:

• Ŋutilã ƒe kpekpeme si gbɔ eme: Ami ƒe ƒuƒoƒo, vevietɔ le ƒodo ŋu. Zi geɖe la, woɖea kpekpeme si le lãmesẽ me gɔme be enye Ŋutilã ƒe Agbɔsɔsɔme (BMI) si le 18.5 va ɖo 24.9 dome.
• Dzidɔ: Suklidɔ hã nye nu vevi aɖe si hea dzidɔ vɛ.
• Ʋusɔgbɔdɔ: Esia gblẽa nu le ʋukawo hã ŋu.
• Lãmetsi si sɔ gbɔ: Ami ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi hã ate ŋu ana ʋukawo naxe.

Ne wotsɔ nusiawo katã ƒo ƒui la, lãmetutudɔ ƒe afɔkua gadzina ɖe edzi.

Nukawoe nye lãmetutudɔ si suklidɔ hena vɛ ƒe dzesiwo?

Nu ɖeka si wòle be míade dzesii le afisiae nye be ʋusɔgbɔdɔ si suklidɔ hena vɛ ƒe dzesiwo sɔ kple ʋusɔgbɔdɔ si sɔ ƒe dzesiwo. Esia fia be ne èkpɔ dzesi siawo la, ele be nàwɔ nu kaba.

• Nuƒoƒo sesẽ aɖewo: nya siwo wogblɔna le mɔ gbegblẽ nu, nya si gblɔm wole gɔme masemase, nuƒoƒo ƒe ŋutete manɔmee.
• Taɖuame, dadasɔ ƒe anyimanɔmanɔ ne ele zɔzɔm, alo azɔlizɔzɔ sesẽ.
• Taɖuame sesẽ si dona kpata: Esia mele abe taɖuame si sɔ ene o, ke boŋ enye vevesese sesẽ si vaa ame dzi kpata.
• Tɔtɔ kpata: Ame ƒe susu meganɔa nu ŋu o, teƒe kple ɣeyiɣi ƒe bu.
• Nukpɔkpɔ ƒe kuxiwo: nukpɔkpɔ si me mekɔ o kpata, nukpɔkpɔ eve.
• Gbɔdzɔgbɔdzɔ alo lãmetutudɔ le ŋutilã ƒe akpa ɖeka: Le kpɔɖeŋu me, mo ƒe akpa ɖeka ƒe gege ɖe anyi, alɔ alo afɔ kɔkɔ manɔamesi, sese le eɖokui me be agbe mele ye si o.

Lé to ɖe eŋu! Lãmetsiŋusẽ nye atikewɔwɔ kpata . Ne ède dzesi dzesi siawo dometɔ aɖe la, ele be nàyi kɔdzi enumake. Sɛkɛnd ɖesiaɖe si va yina la dzia nusiwo gblẽna le ahɔhɔ̃a ŋu ɖe edzi. Le Sri Lanka la, àte ŋu aƒo ka na ƒe 1990 Suwaseriya dɔnɔdzikpɔƒe hã.

Aleke woawɔ ade dzesi ʋusɔgbɔdɔ?

Ne èsusu be ʋusɔgbɔdɔ le ye ŋu la, ɖɔktawo awɔ nu siwo gbɔna:

• Woalé ŋku ɖe eŋu be àte ŋu aʋuʋu wò mo ƒe lãmekawo, abɔwo, kple afɔwo nyuie hã.
• Woabia nya bɔbɔewo wò be woatsɔ akpɔ wò susu ƒe nɔnɔme, alo abia tso asiwò be nàɖɔ nɔnɔmetata alo nane.
• Woaɖe gbe be woawɔ dodokpɔwo atsɔ aɖe wò ahɔhɔ̃ ƒe foto. Esia ate ŋu alɔ CT-dɔdamɔnu hã ɖe eme.Ðeka – si nye X-ray dodokpɔ tɔxɛ aɖe si ateŋu aɖe wò ahɔhɔ̃ ƒe foto siwo wotso – alo MRI scan – dodokpɔ si zãa magnetic waves tsɔ ɖea ahɔhɔ̃a ƒe foto tsitotsito – ateŋu ade eme.
• Ðewohĩ woawɔ dodokpɔwo abe electrocardiogram (ECG) ene atsɔ alé ŋku ɖe wò dzi ŋu, eye woawɔ dodokpɔwo abe ultrasound scan alo arteriogram ene atsɔ alé ŋku ɖe wò ʋukawo ŋu.

Dodokpɔ siawo ate ŋu aɖe nu geɖe afia, abe nenye be ʋusɔgbɔdɔ aɖe li, ne ele nenema la, ƒomevi ka, kple afisi wògblẽa nu le le ahɔhɔ̃a me ene.

Aleke wodaa lãmetutudɔ si suklidɔ hena vɛ?

Ne wokpɔ ʋusɔgbɔdɔ alo afɔku si le ʋusɔgbɔdɔ me kaba la, atikewɔwɔ aɖewo ate ŋu akpe ɖe ame ŋu.

Atikewɔwɔ kabakaba

• Atike siwo xea mɔ na ʋu ƒe sisi: Ne ʋuka aɖe xe la, atike siawo ate ŋu akpe ɖe ame ŋu wòaʋuʋu ʋukaa eye wòana ʋu nagayi ake. Gake ele be woana wo le gaƒoƒo ʋɛ aɖewo me tso esime dzesiawo dze egɔme. Esia tae wòle vevie be nàɖo kɔdzi kaba ɖo.
• Carotid Stenting: Ɣeaɖewoɣi la, ʋuka vevitɔ si le kɔ me (carotid artery) ate ŋu axe. Wotsɔa mɔ̃ sue aɖe si le abe lãgbalẽ ene (stent) dea eme be nugoa nanɔ ʋuʋu ɖi.
• Carotid Endarterectomy: Esia hã nye amekoko si wowɔna ne ʋuka siwo me ʋu sina tona xe le ami siwo le lãme na ame ta .

Gbugbɔgaɖɔɖo

Ame aɖewo ate ŋu akpɔ ŋusẽ ɖe ame dzi ɣeyiɣi didi le ʋusɔgbɔdɔ megbe. Gbugbɔgaɖɔɖo ƒe atikewɔwɔ le vevie ŋutɔ na wo be woagatrɔ ava nɔ agbe si sɔ me.

• Dɔwɔwɔ ƒe atikewɔwɔ: Ekpena ɖe ŋuwò nèsrɔ̃a gbesiagbedɔ veviwo abe nuŋɔŋlɔ kple awudodo le ɖokuiwò si ene.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Wozãa kamedede kple atikewɔwɔ tsɔ naa ŋusẽ gaɖoa abɔwo kple afɔwo ŋu eye wowɔa dɔ.
• Susuŋutinunyalawo ƒe aɖaŋuɖoɖo: Ekpena ɖe ŋuwò nènɔa te ɖe susumekuxiwo (abe blanuiléle kple dzimaɖitsitsi ene) siwo ate ŋu ado mo ɖa le lãmetutudɔ ta la nu.
• Nuƒoƒo ƒe atikewɔwɔ: Ekpena ɖe ame ŋu be nuƒoƒo nanyo ɖe edzi ne egblẽ nu le eŋu.

Gbugbɔgaɖɔɖo ƒe ɖoɖo sia xɔa ɣeyiɣi aɖe eye ebia dzigbɔɖi, gake ate ŋu ahe ŋgɔyiyi gã aɖe vɛ.

Nukae nye amesi ƒe lãmetutudɔ le suklidɔ ta ƒe hayahaya ƒe nɔnɔme?

Alesi woahaya tso ʋusɔgbɔdɔ me la toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye ʋusɔgbɔdɔ ƒomevi, alesi gbegbe ahɔhɔ̃a gblẽe, kple alesi wowɔa atike kabakabae. Ame aɖewo ate ŋu axɔ ʋusɔgbɔdɔ suesuesuewo eye woahaya kaba evɔ makpɔ ŋusẽ aɖeke ɖe wo dzi ɣeyiɣi didi o. Ame bubuwo ate ŋu axɔ ʋusɔgbɔdɔ sesẽ si ate ŋu ana woazu nuwɔametɔwo le woƒe agbemeŋkekewo katã me.

Nenema ke togbɔ be ame aɖewo te ŋu yia aƒeme kaba le lãmetutudɔ ƒe atikewɔwɔ vɔ megbe hã la, ate ŋu ahiã be ame bubuwo nanɔ kɔdzi alo le ɖɔɖɔɖodɔwɔƒe ɣeyiɣi didi wu.

Suklidɔ le ŋunye, ɖe mate ŋu aɖe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔa?

Ẽ, àte ŋui! Esiae nye nyati sia ƒe akpa vevitɔ kekeake. Ne suklidɔ le ŋuwò la, nu geɖe li nàte ŋu awɔ atsɔ aɖe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔ. Esiawo nye tɔtrɔ sue ʋɛ aɖewo siwo nàte ŋu awɔ le wò agbenɔnɔ me.

• Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ ɖa edziedzi. Dze agbagba nàna wòanɔ lãmesẽ me (70-130 mg/dL do ŋgɔ na nuɖuɖu, si mede 140 mg/dL o gaƒoƒo eve le nuɖuɖu vɔ megbe). No wò atikeawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
• Kpɔ wò ʋu ƒe sisi ɖa edziedzi. Gblɔe na wò ɖɔkta ne nane si ŋu nètsi dzi ɖo. Dze agbagba nàna wòanɔ 140/90 mmHg teƒe.
• Ƒo nuɖuɖu si me nunyiame le, si da sɔ. Esia ate ŋu akpe ɖe ame ŋu wòaɖe ʋumemi dzi akpɔtɔ eye wòalé kpekpeme nyui me ɖe asi. Migaɖu ami, dze, kple sukli fũ o, eye migaɖu amagbewo, atikutsetsewo, amagbewo, kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo geɖe wu.
• De kame edziedzi. Nu bɔbɔe aɖe abe azɔlizɔzɔ aɖabaƒoƒo 30 gbesiagbe ene gɔ̃ hã ate ŋu akpe ɖe ŋuwò.
• Na alɔ̃ si wò ŋutilã hiã. Mlɔ anyi gaƒoƒo 7-8 ya teti gbesiagbe.
• Yi ɖɔktawo gbɔ ɖe game dzi eye nàwɔ ɖe woƒe mɔfiamewo dzi.
• Ðe dze si nètsɔna dea wò nuɖuɖu me dzi kpɔtɔ. Esia akpe ɖe ŋuwò nàɖu ʋu ƒe sisi dzi.
• Lé kpekpeme si sɔ na wò la me ɖe asi, vevietɔ ɖe ƒodo me ami dzi kpɔtɔ.
• Ne ènoa atama la, dzudzɔ enumake. Dzudzɔ atamanuwo zazã hã.
• No atike siwo katã woŋlɔ na wò abe alesi tututu wò ɖɔkta gblɔ na wò ene, eye nàno ɖe game dzi.

Ne èwɔ ɖe nusiawo dzi nyuie la, menye ʋusɔgbɔdɔ ƒe afɔkua koe nàte ŋu akpɔ ta na o, ke àte ŋu akpɔ ɖokuiwò ta tso kuxi bubu geɖe siwo suklidɔ hena vɛ hã me.

Ɣekaɣie wòle be nàyi kɔdzi enumake? (Alo ƒo ka na ƒe 1990?)

Ne suklidɔ le ŋuwò la, ele vevie be wò kple wò ƒomea mianya nu tso ʋusɔgbɔdɔ ƒe dzesiwo ŋu. Ne ède dzesi dzesi siawo dometɔ aɖe la, mègahe ɖe megbe o eye nàdi atikewɔlawo ƒe kpekpeɖeŋu enumake.

• Nuƒoƒo sesẽna na ame aɖewo.
• Taɖuame, dadasɔ ƒe anyimanɔmanɔ ne ele zɔzɔm, alo azɔlizɔzɔ sesẽ.
• Taɖuame sesẽ aɖe si dzɔna zi ɖeka.
• Tɔtɔ kpata.
• Nukpɔkpɔ sesẽ, nu ɖeka alo nu eve kpɔkpɔ.
• Gbɔdzɔgbɔdzɔ alo lãmetutudɔ le ŋutilã ƒe akpa ɖeka (e.g., mo, alɔ, alo afɔ).

Àte ŋu azã kpukpui si nye FAST hã atsɔ aɖo ŋku nɔnɔme siawo dzi.

Mo – Ðe wò mo ƒe akpa ɖeka ɖiɖia? Ðe akpa ɖeka ʋuʋuna ne èko alɔgbɔnua?

Abɔwo – Ne wobia tso esi be wòakɔ abɔ eveawo ɖe dzi la, ɖe alɔ ɖeka ɖiɖia?

Nuƒoƒo – Ðe nètɔtɔna ne èle nu ƒom? Màte ŋu agblɔ nyagbe bɔbɔe aɖe gɔ̃ hã nyuie oa?

Ɣeyiɣi – Ne nɔnɔme siawo dometɔ aɖe li la, .Mègagblẽ ɣeyiɣi eye nàƒo ka na 1990 enumake alo ayi kɔdzi o.

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Amesiwo ŋu suklidɔ le ate ŋu axɔ ʋusɔgbɔdɔ. Ate ŋu ahe lãmesẽkuxi sesẽwo kple nuwɔametɔwo vɛ. Gake nya nyuiae nye be àte ŋu aɖe afɔku sia dzi akpɔtɔ ŋutɔ.

Ele vevie be nàɖu sukli ƒe agbɔsɔsɔ, ʋu ƒe sisi, ʋumemi ƒe agbɔsɔsɔ, kple wò kpekpeme dzi. Wɔ agbenɔnɔ si me lãmesẽ le. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie.

Ƒo nu tso afɔku si le wò ʋusɔgbɔdɔ ŋu kple mɔ siwo dzi nàto axe mɔ ɖe enu ŋu na wò ɖɔkta. Mègatsi dzi o, nyanyanana kple nuwɔwɔ do ŋgɔe nye nu vevitɔ kekeake siwo ana nànɔ lãmesẽ me. Neva eme be ŋusẽ nanɔ ŋuwò nànɔ lãmesẽ me!

` Suklidɔ, Lãmetsiŋusẽ, Ʋusɔgbɔdɔ, Suklidɔ, Ahɔhɔ̃ me Ʋusɔgbɔdɔ, Sukli ƒe Agbɔsɔsɔ, Ʋumemi, Lãmetsiŋusẽ, Lãmesẽ, Sri Lanka