Tsɔe be wò dɔgbo le veve sem ŋkeke ʋɛ aɖewoe nye esia. Eyata èyi ɖakpɔ ɖɔkta. Ðɔkta la biaa nyawo wò, do wò kpɔ, eye wògblɔ be, "Hmm... ateŋu anye dɔgbo ƒe dɔléle, ateŋu anye dɔgbo ƒe dɔléle. Mina míawɔ dodokpɔ aɖewo." Èbia ɖokuiwò kpɔ be nukatae ɖɔktawo megblɔa nusi nye kuxia ko o, ke wogblɔa nya ʋɛ aɖewo siwo ate ŋu anye nu gbegblẽ ko? Emae nye nusi míeyɔna be vovototodedeameme ƒe dɔlélewo didi le atikewɔwɔ me. Mègatsi dzi o, nya gã aɖee wònye, gake ele bɔbɔe ŋutɔ. Mina míaƒo nu tso eŋu egbea.
Kpuie ko la, nukae nye vovototodedeameme ƒe dɔlélewo didi?
Menye esiae nye dɔléle mamlɛtɔ si nàkpɔ o. Bu ʋɔnudrɔ̃la nyui aɖe ŋu kpɔ. Ne eyi nuvlowɔƒe aɖe la, megblɔna enumake be, "Amesiae nye fɔɖila la," alo? Nu gbãtɔ si wòwɔnae nye be wòaŋlɔ ame siwo wòsusu be ɖewohĩ woawoe wɔ nu vlo la ƒe ŋkɔwo ɖi . Emegbe eƒoa kpeɖodziwo nu ƒu, léa ŋku ɖe wo nɔewo ŋu, ɖea ame siwo mehiã o ɖa le ŋkɔ ma me, eye mlɔeba la, eléa fɔɖila ŋutɔŋutɔ.
Ðɔkta hã wɔa nu ma tɔgbe. Ne èva kple dzesi aɖewo la, ɖɔktaa va ŋlɔa dɔléle siwo ate ŋu adze ame dzi siwo sɔ ɖe dzesi mawo nu. "Dɔléle siwo ate ŋu anɔ anyi ƒe xexlẽdzesi" mae nye nusi míeyɔna be (Differential Diagnosis). Esia nye afɔɖeɖe gbãtɔ vevi aɖe ŋutɔ le dɔlélewo didi ƒe ɖoɖoa me.
Afɔ kawoe ɖɔkta zãna tsɔ dea dzesi dɔléle aɖe nyuie?
Mɔzɔzɔ aɖe li si wowɔ ɖe ɖoɖo nu si ɖɔktaa zɔna be yeanya nusi tututu dɔlélea nye. Ele abe atrakpui aɖe lialia ene. Màte ŋu adzo le afɔɖeɖe ɖeka pɛ hã dzi o.
1. Wobiaa nya geɖe wò tso wò dzesiwo ŋu be: "Aleke nèle sesem le ɖokuiwò me?", "Ɣeyiɣi didi kae kuxi sia le ŋuwò?", "Aleke vevesesea le? Ðe wòle ƒoƒom? Alo ɖe wòle abe nane le tetem enea?", "Kuxi bubu kawoe le fu ɖem na wò?" Wodzea agbagba be yewoakpɔ wò nɔnɔmea ƒe nɔnɔmetata bliboe to nyabiasewo abe: "Aleke nèle sesem le ɖokuiwò me?", "Ɣeyiɣi didi kae kuxi sia le fu ɖem na wò."
2. Bia nu tso wò atikewɔwɔ ŋutinya ŋu be: "Ðe nusia dzɔ ɖe dziwò kpɔa?", "Ðe dɔléle bubuwo abe suklidɔ alo ʋusɔgbɔdɔ ene le ŋuwòa?", "Ðe dɔléle siawo le ame aɖe ŋu le wò ƒomea mea?", "Ðe nèle atike alo vitamin aɖewo noma?" Esiawo katã le vevie.
3. Lãmesẽdodokpɔ: Le esia me la, woaka asi wò ŋutilã ŋu, woaka asi wò ƒodo ŋu, woatsɔ nuƒomɔ̃ aɖo to wò akɔta kple lãkusiwo, adzidze wò ʋu ƒe sisi, eye woalé ŋku ɖe wò dzoxɔxɔ ŋu. Esiawo ana ɖɔktaa nakpɔ kpeɖodzi geɖe.
4. Wowɔa dɔléle siwo ate ŋu adze ame dzi ƒe xexlẽdzesi (Differential Diagnosis) le susu me: Fifia, esi ɖɔktaa ƒo nyatakaka siwo katã nègblɔ na mí kple nusiwo nèse le wo ɖokui me le dodokpɔa me nu ƒu vɔ la, esusu be, "Enyo, le dzesi siawo nu la, esia ate ŋu anye dɔléle sia."
5. Ne ehiã la, woaŋlɔ dodokpɔ bubuwo be:Kpeɖodzi geɖe hiã be woatsɔ adi fɔɖila ŋutɔŋutɔ tso amesiwo ŋu wole ɖi kem le ƒe ŋkɔ ma me. Esia tae wowɔa nuwo abe ʋudodokpɔ, aɖuɖɔ dodokpɔ, fotoɖeɖe, kple X-ray ene.
6. Dodokpɔa Me Tsonuwo Kple Dzesiwo Me Toto: Ne dodokpɔa me tsonu nya va la, ɖɔktaa atsɔ wo asɔ kple wò dzesiwo. Emegbe, ate ŋu aɖe dɔléle siwo le xexlẽdzesiawo me dometɔ aɖewo ɖa to gbɔgblɔ be, "Ao, esia mate ŋu anye o."
7. Vava Ðe Dɔléle Mamlɛtɔ Gbɔ: Ne wowɔ nusiawo katã vɔ la, ɖɔktaa te ŋu gblɔna kple kakaɖedzi mlɔeba be, "Ẽ, dɔléle sia le ŋuwò." Ema ko hafi woate ŋu adze atikewɔwɔ si sɔ la gɔme.
Dɔ sia ate ŋu axɔ ɣeyiɣi aɖe. Esesẽna be woanya dɔlélea enumake, vevietɔ le nɔnɔme sesẽwo me. Eyata ele vevie ŋutɔ be míagbɔ dzi ɖi.
Nukatae wòhiã be woaŋlɔ ŋkɔ sia tɔgbe? Ðe wòate ŋu anye nu gbegblẽ tae?
Ne míagblɔe tututu la, wozãa mɔnu sia tsɔ xea mɔ na vodadawo . Bu eŋu kpɔ, ne ame aɖe ge ɖe eme kple akɔtave la, ɖɔktaa susuna be, "Oo, dɔgbo ƒe dɔlélee nye esia" eye wòna atike wo ɖe eta, gake ne dzidɔ ƒe gɔmedzedze ŋutɔŋutɔ ya ɖe? Ema ate ŋu anye afɔku gã aɖe, alo?
Gake ne ɖɔkta zã Differential Diagnosis mɔnu la, esusuna be, "Akɔtave sia ate ŋu atso dɔgbo ƒe dɔléle gbɔ. Le ɣeyiɣi ma ke me la, ate ŋu atso lãmekawo ƒe tete hã gbɔ. Gake nusi me afɔku le wue nye be mɔnukpɔkpɔ sue aɖe li be ate ŋu anye dzidɔ." Emegbe ewɔa dodokpɔ siwo hiã (e.g., ECG) tsɔ ɖoa kpe edzi nenye be nusi me afɔku le wu ate ŋu adzɔ alo mate ŋu adzɔ o. Ne wonya ɖo kpe edzi be menye dzidɔe o ko la, ate ŋu alé ŋku ɖe nu bubu siwo gbɔ wòtso ŋu. Esia nye be woakpɔ egbɔ be yele dedie.
Dɔléle siwo ƒe dzesiwo sɔ kple wo nɔewo ƒe kpɔɖeŋu aɖewo
Be míase alesi gbegbe nuwɔna sia le vevie gɔme la, mina míalé ŋku ɖe dzesi aɖewo siwo bɔ kple atikewɔwɔ me nɔnɔme vovovo siwo ate ŋu ahe wo vɛ ŋu.
| Wò dzesiwo | Dɔléle siwo ate ŋu ado mo ɖa le ɖɔkta ƒe susu me (Differential Diagnosis) . |
|---|---|
| Dɔgbo ƒe vevesese |
|
| Kpe | |
| Akɔtave | |
| Taɖuame | |
| Ɖeɖiteameŋu | |
| Aɖuɖɔtoe me dɔléle (UTI Dzesiwo) . |
Fifia àte ŋu akpɔ nu vovovo geɖe siwo ate ŋu ahe dzesi ɖeka vɛ, alo? Eyata àte ŋu akpɔ alesi gbegbe wòle vevie na wò dedienɔnɔ be ɖɔkta nabu tame alea.
Nukae wòle be wòadzɔ le wò akpa dzi le ɖoɖo sia me?
Le detektiv mɔzɔzɔ sia me la, wòe nye ɖasefo vevitɔ. Eyata wò kpekpeɖeŋua xɔ asi ŋutɔ na ɖɔktaa .
- Ðo nyateƒe le nusianu me: Mègaɣla nu suetɔ kekeake siwo le sesem le ɖokuiwò me gɔ̃ hã o. Ɣeaɖewoɣi la, nane si nèsusu be "esia mele vevie ŋutɔŋutɔ o" ateŋu anye kpeɖodzi gã aɖe na ɖɔkta be wòake ɖe kuxia ŋu.
- Tsɔ wò atikewo ƒe xexlẽdzesi ɖe asi: Gblɔ atike siwo katã nèzãna (esiwo wozãna na dɔléle bubuwo, vitaminwo, atikekuiwo, Sinhalagbe me atikewo gɔ̃ hã) na wò ɖɔkta . Ɣeaɖewoɣi la, nusi gbɔ wò dzesiawo tso ate ŋu anye atike bubu si zãm nèle.
- Mègavɔ̃ be yeabia nyawo o: "Ðɔkta, dɔléle ka ƒomevie esia ate ŋu anye?", "Dodokpɔ ka ƒomevie wòle be mawɔ?", "Nukae mate ŋu akpɔ mɔ na tso dodokpɔ siawo me?" Bia. Zi alesi nènya nu geɖee la, zi nenemae vɔvɔ̃a maganɔ ŋuwò o.
- Nɔ anyi kpoo: Mègavɔ̃ ne ɖɔkta gblɔ be, "Ate ŋu anye dɔléle sia, ate ŋu anye dɔléle ma o." Ðo ŋku edzi be ema mefia be dɔléle mawo katã le ŋuwò o. Ðeko wòfia be wole nusiwo katã ate ŋu adzɔ ŋu bum hafi woate ŋu ade dzesi dɔlélea tututu.
Ɣekaɣie nèdi be yeagakpɔ ɖɔkta ake?
Le dɔlélea didi me la, ele vevie be nàna wò ɖɔkta nanya ne tɔtrɔ aɖewo va le wò nɔnɔmea ŋu. Kpɔ egbɔ be yegaƒo ka alo yi ɖɔkta gbɔ le nɔnɔme siwo gbɔna me:
- Ne wò dzesiwo gagblẽ ɖe edzi zi ɖeka alo nu yi keŋkeŋ.
- Ne èva dze dzesi yeyewo gɔme.
- Ne ele be woaxɔ wò ɖe kɔdzi le susu bubu aɖe ta.
- Ne ehiã be nàwɔ tɔtrɔ aɖewo le atike siwo zãm nèle fifia ŋu (e.g. ne ɖɔkta bubu ŋlɔ atike yeye aɖe na wò) .
Nyatakaka siawo akpe ɖe ɖɔktaa ŋu wòanya wò dɔlélea.
Gbedasi si Wotsɔ Yi Aƒeme
- Vovototodedeameme ƒe dzesi nye "dɔléle siwo ate ŋu anɔ ŋuwò ƒe xexlẽdzesi" si le asiwò, ke menye wò dɔléle mamlɛtɔ didi o.
- Esia nye dɔ vevi aɖe ŋutɔ si bɔ si ɖɔktawo zãna tsɔ xea mɔ na vodadawo eye wokpɔa egbɔ be èle dedie.
- Ne ègblɔ wò dzesiwo, dɔléle siwo nèzã va yi, kple atike siwo nèzãna ŋu nya na wò ɖɔkta anukwaretɔe bliboe la, akpe ɖe ŋuwò ŋutɔ le dɔlélea tututu didi me.
- Mègavɔ̃ ne ɖɔkta aɖe gblɔ dɔléle geɖe siwo ate ŋu ado mo ɖa na wò o. Esia fia be woaɖe nɔnɔme bubuwo ɖa to dodokpɔ me be woake ɖe nusi tututu gbɔ wòtso ŋu.
- Ne tɔtrɔ aɖe va le wò dzesiwo ŋu la, mègahe ɖe megbe gbeɖe le wò ɖɔkta nyanya me o.

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