Ŋkeke aɖewo li siwo me, aleke kee míeɖadɔ alɔ̃ o, aleke kee míeɖaɖi ɖe eme o, míesena le mía ɖokui me be ŋusẽ aɖeke megale mía me o. Ðeko wòle abe ɖe ame aɖe no ŋusẽ katã le mía me ene. Ne nɔnɔme sia nye wò agbe ƒe akpa aɖe ɣleti geɖe la, mègabui be ɖeɖiteameŋu si sɔ ko o. Egbea, míele nu ƒom tso ɖeɖiteameŋu si nɔa anyi didi alea si medzona le ɖiɖiɖeme me o ŋu. Le atikewɔwɔ me la, míeyɔa esia be Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, alo (ME/CFS) kpuie.
Nukatae dɔléle sia didi sesẽ nenema gbegbe ɖo?
Kuxi gãtɔ siwo le nɔnɔme sia ŋu dometɔ ɖekae nye be womewɔa ʋudodokpɔ, X-ray, alo scan aɖeke koŋ si woatsɔ aɖo kpe edzi be esiae o. Azɔ hã, nɔnɔme sia ƒe dzesi vevitɔwo, abe ɖeɖiteameŋu si gbɔ eme, nu suesuesuewo gɔ̃ hã wɔwɔ sesẽ, kple ŋkuɖoɖonudzi kple susu ƒe kuxiwo hã nye dɔléle bubu geɖewo ƒe dzesiwo. Eyata esesẽna be ɖɔkta gɔ̃ hã nagblɔ enumake be ME/CFS ye nye esia. Exɔa ɣeyiɣi aɖe, elabena ele be nàkpɔ egbɔ gbã be dɔléle bubu aɖeke meli o.
Kpuie ko la, ME/CFS nye dɔléle si wokpɔna si nɔa anyi ne woɖe asi le nu bubu ɖesiaɖe ŋu vɔ. Eyata mɔzɔzɔ sia bia dzigbɔɖi aɖe.
Nu gbãtɔ si wòle be nàwɔ: yi ɖɔkta gbɔ
Ne ɖikeke aɖe le mewò be dzesi siawo ate ŋu anɔ ye ŋu la, nu nyuitɔ si nàwɔe nye be nàkpɔ wò ƒomea ƒe ɖɔkta (GP) enumake . Numekukuwo ɖee fia be zi alesi wokpɔ dɔléle sia kaba hedae la, zi nenemae emetsonua nyona ɖe edzii.
Ðɔktaa abia nya geɖe wò tso wò lãmesẽnyawo ŋu tsitotsito.
- Ɣekaɣie ɖeɖi te ŋuwò alea?
- Ɣekaɣie wòdzina ɖe edzi?
- Atike ƒomevi kawoe nènona? (Ele be nàyɔ atike siwo nèƒlena edziedzi le atikedzraƒe hã.)
- Ðe vitamin alo gbetike bubu aɖewo li siwo nènoa?
Esiawo katã le vevie. Elabena ɣeaɖewoɣi la, ɖeɖiteameŋu ate ŋu anye atike bubu siwo zãm nèle ƒe nugbegblẽ le ame ŋu. Azɔ hã, gbetike aɖewo siwo nèsusu be "dzɔdzɔmenuwo" ate ŋu akpɔ ŋusẽ ɖe wò ŋutilã dzi. Anɔ eme be wò ɖɔkta ado wò kpɔ nyuie eye ne ehiã la, awɔ ʋu, aɖuɖɔ, kple dodokpɔ bubuwo. Wowɔa esiawo katã be woatsɔ anya gbã nenye be dɔléle bubu aɖe le ŋuwò si woate ŋu ada.
Dɔléle bubu kawoe ƒe dzesiwo sɔ kple wo nɔewo?
Nɔnɔme bubu geɖewo li siwo ƒe dzesiwo ate ŋu asɔ kple ME/CFS tɔ. Ðɔkta adze agbagba gbã be yeaɖe nɔnɔme siawo ɖa.
- "Mono" (Mononucleosis): Esia hã nye dɔlékui ƒe dɔléle si nana ɖeɖi tea ame ŋu vevie.
- Lyme dɔléle:Dɔléle si ʋetsuviwo hena vɛ si nana ƒunukpeƒewo vea ame eye ɖeɖi tea ame ŋu.
- Lupus: Dɔléle si tso kuxi aɖe si le ŋutilã ƒe dɔlélenutsiŋutete ŋu gbɔ.
- Multiple Sclerosis: Dɔléle si gblẽa nu le lãmekawo ŋu.
- Fibromyalgia: Nɔnɔme si nana ame ƒe ŋutilã katã sea veve eye ɖeɖi tea ame ŋu.
- Alɔ̃dɔdɔ ƒe kuxiwo: Nɔnɔme siwo hea alɔ̃madɔmadɔ vɛ.
- Blanuiléle: Blanuiléle ate ŋu ana ɖeɖi nate ame ŋu vevie le ŋutilã me hã.
Bu eŋu kpɔ, ne dɔléle aɖe si woate ŋu ada le xexlẽdzesi sia me la, woate ŋu ada wò ɖeɖiteameŋua keŋkeŋ ne èzã atike nyuitɔ. Esia tae dɔléle bubu siwo le abe esia ene ɖeɖeɖa le vevie ŋutɔ ɖo.
Aleke wowɔna dea dzesi ME/CFS?
Ne wò ɖɔkta gbe nɔnɔme bubuawo katã vɔ la, alé ŋku ɖe wò dzesiawo ŋu nyuie. Be woakpɔe be ME/CFS le ŋuwò la, ele be nàɖo dzesi aɖewo koŋ gbɔ. Be nàse nusiawo gɔme nyuie wu la, kpɔ nɔnɔmetata si le ete.
| Dzesiwo ƒe hatsotso | Nuɖᴐɖᴐ |
|---|---|
| Nudidi vevitɔ | Having severe fatigue that lasts for more than 6 months , menyona ɖe edzi ne ègbɔ ɖe eme le aba dzi o, eye wòɖea wò gbesiagbedɔwo dzi kpɔtɔna ŋutɔ (dɔwɔwɔ, sukudede, hadomenuwɔnawo). |
| Tsɔ kpe ɖe eŋu la, ele be nɔnɔme vevi etɔ̃ siwo gbɔna nanɔ anyi: | |
| 1. Kamedede Le Dɔwɔwɔ Megbe ƒe Dɔmawɔmawɔ | Dzesiawo nu sẽna ɖe edzi le ŋutilã alo susu me kutrikuku sue aɖe megbe (e.g., fiase me yiyi, agbalẽ xexlẽ). Nɔnɔme sia ate ŋu anɔ anyi gaƒoƒo alo ŋkeke geɖe. |
| 2. Alɔ̃dɔdɔ si me gbɔdzɔe mele o | Eɖanye ɣeyiɣi didi kae nèdɔ alɔ̃ o, èfɔna le ŋdi me eye nèsena le ɖokuiwò me be yegbɔ ɖe eme eye yeƒe dzi dze eme. Ewɔna nam abe ɖe nènɔ ŋu zã bliboa katã ene. |
| 3. Gbesiagbedɔwo wɔwɔ ƒe ŋutete dzi ɖe kpɔtɔ | Gbesiagbe dɔwɔna siwo sɔ (dɔme yiyi, aƒemedɔwo wɔwɔ, nusɔsrɔ̃) ƒe ŋutetemanɔamesi wu ɣleti 6 le ɖeɖiteameŋu ta. |
| Tsɔ kpe ɖe nusiwo katã míegblɔ va yi ŋu la, ele be nɔnɔme eve siawo dometɔ ɖeka ya teti nanɔ anyi: | |
| 1. Tamebubu kple ŋkuɖoɖonudzi ƒe kuxiwo (Cognitive Impairment) . | Esesẽna be wò susu nanɔ nu ŋu, esesẽna be nàɖo ŋku nuwo dzi, kple "fu" ƒe seselelãme le wò susuwo me (Ahɔhɔ̃ me Fuɖename). |
| 2. Orthostatic Mɔmaɖemaɖeɖenuŋu | Taɖuame , alɔ̃madɔmadɔ, kple gbɔdzɔgbɔdzɔ ate ŋu adzɔ ne ètsi tre zi ɖeka tso anyinɔƒe alo mlɔƒe. Nukpɔkpɔ si me kɔ o alo teƒeteƒewo hã ate ŋu adzɔ. |
Ate ŋu axɔ ɣeyiɣi aɖe hafi woakpɔ dɔlélea. Le ɣeyiɣi ma me la, bia wò ɖɔkta alesi nàwɔ akpɔ wò dzesiwo gbɔe. Adze atikewɔwɔ gɔme na wò eye wòayi edzi anɔ ŋku lém ɖe ŋuwò be yeakpɔe ɖa be wole dɔ wɔm hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye ɖeɖiteameŋu si sɔ o: Ne ɖeɖiteameŋu sesẽ aɖe le ŋuwò si nɔa anyi wu ɣleti 6 eye ɖiɖiɖeme meɖea fu nɛ o la, mègaŋe aɖaba ƒu edzi o.
- Yi ɖɔkta gbɔ enumake: Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo hafi woate ŋu anya dɔlélea nyuie eye nàkpɔ egbɔ be atikewɔwɔ ƒe nɔnɔme bubu aɖeke meli si me afɔku le o.
- Dodokpɔ aɖeke koŋ meli o: Dodokpɔ aɖeke koŋ meli si woatsɔ anya ME/CFS o, eye enye dɔléle si wokpɔna le dɔléle bubuwo ɖeɖeɖa vɔ megbe.
- Gbɔ dzi ɖi: Dɔlélea didi ƒe ɖoɖoa ate ŋu axɔ ɣeyiɣi. Wɔ dɔ kplikplikpli kple wò ɖɔkta be nàkpɔ wò dzesiwo gbɔ le ɣeyiɣi sia me.
- Menye wò ɖeka koe o: Esia nye nɔnɔme si me ame geɖe tona le xexeame godoo. Ne wokpɔ dɔ nyuie hekpe ɖe eŋu la, agbe ate ŋu anyo wu.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee