Aleke gbegbee vidada alo vifofo ɖesiaɖe avɔ̃ ne ekpɔ yewo vi suea wònɔ ʋuʋum zi ɖeka, eƒe susu meganɔ dɔ wɔm o, eye wòdze anyigba le fefe vɔ megbe? Le gbegbɔgblɔ si bɔ me la, míeyɔa esia be ‘alɔ̃madɔmadɔ ƒe amesinɔnɔ’, ‘alɔ̃madɔmadɔ ƒe amesinɔnɔ’, alo ‘alɔ̃madɔmadɔ ƒe amesinɔnɔ’. Esia nye nukpɔkpɔ dziŋɔ ŋutɔŋutɔ be woakpɔ. Gake le atikewɔwɔ me la, míeyɔa nɔnɔme sia be asrãdɔ. Nu vevitɔe nye be nànya nusi wònye, nusita wòdzɔna, kple alesi woakpɔ ɖevi dzi, tsɔ wu be nàvɔ̃e. Eya ta mègavɔ̃ o. Esia nye nɔnɔme si dzi woate ŋu akpɔ nyuie. Mina míaƒo nu tso nusianu ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Nuka tututue nye asrãdɔ le ɖeviwo ŋu?
Kpuie ko la, asrãdɔ nye nɔnɔme aɖe si dzɔna le ɖevi ƒe ahɔhɔ̃ me. Nusi dzɔna enye be elektrikŋusẽ ƒe dzesiwo ƒe asitɔtrɔ le ahɔhɔ̃mekawo dome masɔmasɔ kpata, abe ‘short circuit’ ene. Elektrikŋusẽ ƒe dɔwɔna sia si medzɔna edziedzi o me tsonu enye nusi míeyɔna be ‘alɔ̃madɔmadɔ’.
Mía dometɔ geɖe bua lãmetutudɔ be enye lãmetutudɔ si me ŋutilãa ʋuʋuna, nu ƒuƒlu, eye ɖevia megatsia dzodzodzoe o ko. Gake menye fits katãe le nenema o. Ðevi aɖewo ate ŋu anɔ ŋku lém ɖe teƒe ɖeka ŋu vie, abe ɖe womele manyamanyae ene, alo woƒe dzi nadze eme kura o.
Nu vevi aɖe li si dzi wòle be míaɖo ŋkui le afisia. Esi ɖevi aɖe xɔ alɔ̃ zi ɖeka ta la, mefia be asrãdɔ le wo ŋu o. Alɔ̃madɔmadɔ ate ŋu adzɔ le susu bubuwo hã ta, abe dzoxɔxɔ ƒe alɔ̃madɔmadɔ si dzɔna ne asrã do dzi ene. Ne ɖevi aɖe xɔ alɔ̃dɔdɔ wu zi ɖeka evɔ metso nu bubu aɖeke si dze ƒã o ko hafi ɖɔkta akpɔe be asrãdɔ le eŋu.
Nukawoe nye asrãdɔ ƒomevi siwo bɔ ɖe ɖeviwo me wu?
Aɖuɖɔtoedɔ ƒomevi vovovowo li. Menye wo katãe le ɖeka o. Mina míalé ŋku ɖe ƒomevi siwo bɔ wu siwo wokpɔna le ɖeviwo ŋu la dometɔ aɖewo ŋu.
| Aɖuɖɔtoedɔ Ƒomevi | Kpuie ko la, nukae le dzɔdzɔm le afisia? |
|---|---|
| Absence epilepsy ƒe dɔléle | Esiae nye ne kasia ɖevia dzudzɔ nusi wɔm wole henɔ ŋku lém ɖe eŋu ƒuƒlu sɛkɛnd ʋɛ aɖewo. Abe ɖe wòbu le drɔ̃eƒexexe aɖe me ene. Ne èƒo nu na wo ɣemaɣi la, ɖevia masee alo aɖo eŋu o. Ekema woayi edzi anɔ nu wɔm abe ɖe naneke medzɔ o ene. |
| Rolandic asrãdɔ si woyɔna be epilepsy | Wokpɔa esia ƒomevi zi geɖe ne ɖevia le alɔ̃ dɔm alo nyɔ le ŋdi me. Ne lãmeka sia dzɔ la, mo, nu, kple aɖe ate ŋu agbã, aʋuʋu, eye nuƒoƒo nasesẽ. Ɣeaɖewoɣi la, ŋutilãa ƒe akpa ɖeka aʋuʋu. |
| Ðeviwo ƒe myoclonic epilepsy | Zi geɖe la, esia dzea egɔme ne ɖevia ɖo sɔhɛmenɔɣi. Vevietɔ ne èfɔ le ŋdi me la, abɔ alo abɔta ʋuʋuna zi ɖeka. Ewɔna nam abe elektrikŋusẽ ƒe ʋuʋu ene. Ɣeaɖewoɣi la, woate ŋu atsɔ nane abe kplu si le asi me ene aƒu gbe. |
| Vidzĩwo ƒe ʋuʋu (West syndrome) . | Esia nye nɔnɔme sesẽ aɖe si dzea vidzĩ sue ŋutɔwo dzi. Kasia vidzĩa bɔbɔna, ekekena, eye wòʋuʋuna ne ele alɔ̃ dɔm alo nyɔ. Ʋuʋudedi siawo nɔa anyi sɛkɛnd ʋɛ aɖewo, gake woate ŋu adzɔ zi geɖe ɖe wo nɔewo yome kple ɖiɖiɖeme kpuiwo. Esia ate ŋu akpɔ ŋusẽ ɖe vidzĩa ƒe ahɔhɔ̃ ƒe tsitsi dzi eye ahiã be woawɔ atike nɛ enumake. |
| Lennox-Gastaut ƒe dɔléle (LGS) . | Esia hã nye asrãdɔ sesẽ aɖe. Le esia me la, ɖevia ate ŋu axɔ lãmetutudɔ ƒomevi vovovowo. Ɣeaɖewoɣi la, lãmekaawo sesẽna zi ɖeka hedzea anyi, eye ɣebubuɣiwo la, edzena abe ɖe womele manyamanya me o ene. Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe nusɔsrɔ̃ kple tsitsi dzi. |
Dzesi kawoe woate ŋu akpɔ do ŋgɔ na lãmetutudɔ kple ne ewɔe?
Ɣeaɖewoɣi la, lãmetutudɔ ate ŋu ava nuxlɔ̃ame aɖeke manɔmee , gake ɖevi aɖewo ɖea dzesiwo fiana hafi dɔlélea dzɔna.
Dzesi gbãtɔ siwo ate ŋu adze hafi adze ame dzi:
- Sese le eɖokui me be taɖuame vie.
- Nusiwo ƒo xlãe ƒe manyamanya, tɔtɔ.
- Teƒe ɖeka kpɔkpɔ ƒuƒlu.
- Tɔtrɔ siwo va le nusese, nukpɔkpɔ, ʋeʋẽ, kple vivisese me.
- Sese le ɖokuiwò me be yeƒe dɔgbo le dɔ lém, yeƒe dɔgbo le ʋuʋum, alo sese le ɖokuiwò me be yeƒe ŋutilã ƒe dzoxɔxɔ le tɔtrɔm.
Dzesi siwo woate ŋu akpɔ le lãmetutudɔ me:
Zi geɖe la, aɖabaƒoƒo ʋɛ aɖewo koe ame ƒe lãme gblẽna. Le ɣeyiɣi ma me la, nu siawo tɔgbe ate ŋu adzɔ:
- Eƒe susu ƒe tagbɔ gblẽ keŋkeŋ eye wòdze anyigba.
- Lãmetsiwo ƒe ʋuʋu, ʋuʋu, alo ŋutilã ƒe akpa ɖeka ƒe ʋuʋu atraɖii le mɔ ma ke nu si dzi womeɖu o.
- Nuƒoƒo ƒe ŋutetemanɔamesi, nuyiwo ƒoƒo, alo nu ɖuɖu ƒe ʋuʋu.
- Dzi ƒe tsotso.
- Gbɔgbɔ kabakaba.
Nu vevitɔe nye be menye ɖevi ɖesiaɖee ŋu dɔlélea le o. Fit aɖewo melɔ ʋuʋu aɖeke ɖe eme kura o. Azɔ hã, ate ŋu asesẽ be woakpɔe adze sii be ɖevi sue aɖe sɔ wu ɖevi tsitsitɔ. Eyata ne ède dzesi nuwɔna aɖe si mebɔ o alo si wɔ nuku le viwòa ŋu la, de dzesi ɣeyiɣi didi si wòle edzi yim eye nàƒo nu kple wò ɖɔkta.
Le ɖevia ƒe lãmetutudɔa megbe la, ɖeɖi ate ŋu ana ɖevia ŋutɔ eye wòatɔtɔ . Ðewohĩ maɖo ŋku nusi dzɔ ɣemaɣi dzi o. Ebɔ hã be ta naɖu ame le lãmetutudɔ megbe.
Nukatae ɖeviwo xɔa asrãdɔ?
Abe alesi míedzro eme va yi ene la, ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔmawɔmawɔ nyuie gbɔe asrãdɔ tsona. Gake nukatae wòdzɔna ɖo? Ɣeaɖewoɣi la, esesẽna be woakpɔ nusi gbɔ wòtso si me kɔ. Gake nu aɖewo li siwo bɔ siwo ate ŋu ana ɖeviwo naxɔ asrãdɔ.
- Ta ƒe abixɔxɔ: Le abi si wòxɔ le ta le afɔku gã aɖe me ta.
- Kuxi siwo dona le vidzidzi me: Nusiwo gbɔ wòtsona abe oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a le vidzidzi me ene.
- Dɔlékuiwo: Dɔlékui siwo gblẽa nu le ahɔhɔ̃a ŋu, le kpɔɖeŋu me, taɖuame alo tagbɔdɔ.
- Ahɔhɔ̃ ƒe Tsitsi ƒe Masɔmasɔ: Ahɔhɔ̃ ƒe tsitsi ƒe gbɔdzɔgbɔdzɔ si dzɔna esime vidzĩa le tsitsim le vidzidɔa me.
- Domenyiŋusẽfianu: Ne asrãdɔ le ƒomea me la, afɔku aɖe li be ɖevia hã axɔe.
Ɣeaɖewoɣi la, asrã ate ŋu adze ame dzi evɔ naneke medze ƒã o. Numekuku gale edzi yim le esia ŋu.
Ðe asrãdɔ ate ŋu ahe kuxi bubuwo vɛ na ɖevia?
Ẽ, asrãdɔ ate ŋu agblẽ nu le ɖevi ƒe ŋutilã kple susu ƒe lãmesẽ ŋu.
- Nuveviwɔame le ŋutilã me: Àte ŋu axɔ abi ne èdze anyi mèle manyamanya me le lãmetutudɔ me.
- Vɔvɔ̃ be yeagadze edzi ake: Vɔvɔ̃ sia ate ŋu adzɔ ɖe ɖevia kple dzilawo siaa dzi.
- Alɔ̃dɔdɔ ƒe kuxiwo: Alɔ̃dɔdɔ ƒe tɔtɔ.
- Bubudede ame ɖokui ŋu si mebɔ o: Elabena wosena le wo ɖokui me be yewoto vovo tso ɖevi bubuwo gbɔ.
- Esesẽna be susu nanɔ nu ŋu: Ekpɔa ŋusẽ ɖe nusɔsrɔ̃ dzi.
- Blanuiléle Kple Dzimaɖitsitsi: Susu me nuteɖeamedzi.
Ele vevie ŋutɔ be nàkpɔ viwòa ta le alɔ̃madɔmadɔ me. Ne èse le ɖokuiwò me be viwòa le alɔ̃ dɔm la, mlɔ wo ɖe anyigba enumake. Ne wole nu sesẽ aɖe dzi la, da nane falɛfalɛ, abe avɔ ene, ɖe woƒe ta te. Mègadze agbagba be yeatɔ te alɔ̃madɔmadɔa o. Esia ate ŋu ade abi viwòa ŋu. Mègade naneke woƒe nu me o. Aɖuɖɔtoea atɔ le eɖokui si le aɖabaƒoƒo ʋɛ aɖewo megbe. Ne alɔ̃madɔmadɔa xɔ wu miniti 5 la, bia wò ɖɔkta nusi nàwɔ.
Aɖuɖɔtoedɔ sesẽ aɖewo ate ŋu ade ame ƒe agbe afɔku me. Kpɔɖeŋu aɖee nye nɔnɔme aɖe si woyɔna be status epilepticus . Esia nye ne èxɔ alɔ̃madɔmadɔ ɖeka ɖe wo nɔewo yome alo alɔ̃madɔmadɔ ɖeka hafi nèhaya tso bubu me. Esia nye atikewɔwɔ kpata.
Aleke ɖɔktaa wɔa anya nenye be esia nye asrãdɔ?
Ðɔktaa le dodokpɔ geɖe wɔm be yeanya dɔléle sia.
- Nyatakakawo nuƒoƒoƒu kple ŋutilãmedodokpɔ: Woabia nyatakakaawo katã wò, abe alesi ɖevia ƒe lãmesẽ dze egɔmee, ɣeyiɣi didi si wòxɔ, kple nenye be dɔléle sia le ƒomea me dometɔ aɖe ŋu ene.
- Ahɔhɔ̃mekadodokpɔ: Wodoa ɖevia ƒe ahɔhɔ̃ kple lãmekawo ƒe dɔwɔwɔ kpɔna.
- Ʋudodokpɔ: Kpɔe ɖa be atikewɔwɔ me nɔnɔme aɖewo siwo ate ŋu ana amea nasɔ hã.
- Nɔnɔmetatawo dodokpɔ: Dodokpɔ siwo ɖea ahɔhɔ̃a ƒe foto. Esia ate ŋu alɔ MRI-dɔdamɔnu hã ɖe eme .
- EEG (Electroencephalogram) dodokpɔ: Esiae nye dodokpɔ vevitɔ kekeake. Esia bia be woatsɔ nu suesuesue siwo dea dzesi nu ɖevia ƒe ta ŋu vevesesemanɔmee eye woalé elektrikŋusẽ ƒe nɔnɔme siwo le ahɔhɔ̃a me la ɖi. Ele abe dzia ƒe ECG wɔwɔ ene. Esia ate ŋu ade dzesi elektrikŋusẽ ƒe dɔwɔwɔ ɖesiaɖe si mesɔ o le ahɔhɔ̃a me.
Nukawoe nye atike siwo wozãna na asrãdɔ?
Dzɔgbenyuietɔe la, atike nyuiwo li siwo dzi woato aɖu asrãdɔ dzi.
- Atike siwo tsia alɔ̃madɔmadɔ nu: Esiae nye atike si wozãna wu. Atike siawo wɔa dɔ to elektrikŋusẽ si mewɔa dɔ nyuie o si le ahɔhɔ̃a me dzi ɖuɖu kple mɔxexe ɖe alɔ̃madɔmadɔ nu me. Nu vevitɔe nye be woana atike la ɖevia abe alesi tututu ɖɔkta gblɔ nɛ ene, le ɣeyiɣi nyuitɔ dzi, kple le agbɔsɔsɔ nyuitɔ me, eye ŋkeke ɖeka pɛ hã mato eme o.
- Amekoko: Wokafua amekoko ɣeaɖewoɣi na asrãdɔ si womate ŋu atsɔ atikewo aɖu o eye wòdzɔna tso ahɔhɔ̃a ƒe akpa aɖe koŋ.
- Atikewɔnu siwo wodo ɖe lãme na ame: Wozãa vagus nerve stimulator alo Deep brain stimulator ɣeaɖewoɣi na ɖevi siwo mewɔa nu ɖe atike ŋu o.Wodea mɔ̃ siawo tɔgbe ŋutilãa me. Esiawo ɖoa elektrikŋusẽ ƒe dzesiwo ɖe ahɔhɔ̃a be wòakpɔ alesi wòsɔe dzi.
- Ketogenic nuɖuɖu: Esia nye nuɖuɖu tɔxɛ aɖe si me ami sɔ gbɔ ɖo eye carbohydrates mesɔ gbɔ ɖe eme o. Nuɖuɖu sia ate ŋu aɖe vi na ɖevi aɖewo siwo ŋu asrãdɔ si dzi ɖuɖu sesẽna le. Gake ɖɔkta kple nuɖuɖuŋutinunyala ƒe dzikpɔkpɔ teti koe wòle be woawɔ esia.
Aleke mawɔ akpɔ vinye si ŋu asrãdɔ le ta?
Abe dzila ene la, esɔ be nàtsi dzi ɖe viwòa ƒe dedienɔnɔ ŋu. Viwò ate ŋu adzɔ ɣesiaɣi, eyata nɔ ŋudzɔ ɖe nusiawo ŋu be viwòa nanɔ dedie.
Dedienɔnɔ ƒe ɖoɖo siwo bɔ
- Kpɔ egbɔ be yedo ametakpɔnu, abe gakuku ene , ne èle kamedefefe wɔm alo le gasɔ dom.
- Na viwòa nanɔ ame tsitsiwo ƒe dzikpɔkpɔ te ne ele fefem hele kame dem. Na viwòa dzikpɔlawo kple sukunufialawo nanya nu tso viwòa ƒe nɔnɔmea kple nusi woawɔ ne dɔléle aɖe le eŋu.
- Ne viwòa nye ɖevi la, ƒo nu kple wò ɖɔkta eye nàɖo aɖaŋu na wò hafi nàxɔ ʋukugbalẽvi .
- Mègana viwòa mlɔ aba si dzi wotsɔa abati ɖona ƒe dzisasrã si le etame dzi o .
- Lé ŋku ɖe eŋu geɖe wu ne èle dɔwɔnawo wɔm le teƒe kɔkɔwo, abe atiwo kple towo lialia ene.
Ðo ŋku nu siawo dzi be nàƒo asa na tsi ƒe afɔku siwo ate ŋu ado tso eme
Afɔku gã aɖe le afɔku siwo do ƒome kple tsi me.
- Gblẽ tsileƒea ƒe ʋɔtruwo ɖi woaʋu .
- Mègagblẽ viwò ɖeka ɖe tsileƒe, tsileƒe, alo tsiƒuƒe gbɔ gbeɖe o. Kpɔ edzi ɣesiaɣi.
- Mègana ɖevia ɖeka naƒu tsi o.
- Na tsi si le tsileƒea nabɔbɔ.
- Na elektrikmɔ̃wo nanɔ adzɔge tso tsileƒe kple tsinyegoe gbɔ.
Ɣekaɣie wòle be makpɔ ɖɔkta? Ɣekaɣie wòle be mayi ETU?
Ele vevie ŋutɔ be míanya vovototo sia tututu.
| Kpɔ ɖɔkta le ɣeyiɣi sia tɔgbe me. | Le nɔnɔme sia tɔgbe me la, yi ETU (Emergency Treatment Unit) enumake. |
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Ðe vinyea ate ŋu anɔ agbe si sɔ kple asrãdɔa?
Ẽ bliboe. Ðevi siwo ŋu asrãdɔ le dometɔ siwo ade 70%, alo adre le ewo ɖesiaɖe me, ate ŋu anɔ agbe si sɔ, si me dzidzɔ le abe ɖevi bubu siwo nye woƒe ƒemetɔwo ene. Womekpɔa ŋusẽ ɖe woƒe tsitsi kple gbesiagbedɔwo dzi boo o. Ðewohĩ vovototo si le wo dome koe nye be ehiã be woano woƒe atikewo le ɣeyiɣi ɖeka me gbesiagbe.
Azɔ hã, ɖevi siwo ŋu asrãdɔ le siwo wu 60%, alo ade le ewo ɖesiaɖe me, atsi wu nɔnɔmea keŋkeŋ kaka woazu ame tsitsiwo . Esia fia be anyo ɖe edzi keŋkeŋ ne wole tsitsim.
Gake ɖevi aɖewo ate ŋu ato susu me kuxi aɖewo me le nɔnɔme sia ta. Ðewohĩ ŋu akpe wo, dzi aɖe le wo ƒo, eye woalé blanui le esi wosena le wo ɖokui me be yewoto vovo tso ame bubuwo gbɔ ta. Le ɣeyiɣi mawo me la, wò lɔlɔ̃ kple kpekpeɖeŋu le vevie na ɖevia ŋutɔ. Ne ehiã la, tagbɔdɔléle ŋuti aɖaŋuɖola ƒe kpekpeɖeŋu didi hã anye ŋusẽ gã aɖe na ɖevia.
Gbedasi si Wotsɔ Yi Aƒeme
- Aɖuɖɔtoedɔ nye ahɔhɔ̃medɔ si dzi woate ŋu aɖu. Menye nusi ŋu wòle be ŋu nakpe le alo aɣlae o.
- Menye fits katãe sɔ o. Nya viwòa ƒe nɔnɔme tɔxɛwo.
- Na atike si ɖɔktaa ŋlɔ na viwòa, abe alesi wògblɔe ene pɛpɛpɛ, eye ŋkeke ɖeka pɛ hã mato ŋuwò o.
- Srɔ̃ alesi nàkpɔ viwòa ta le eƒe lãmetutudɔ me. Mègatsi dzodzodzoe eye nànɔ anyi kpoo.
- Ne ɖevia xɔ wu miniti 5 alo ɖevia tsi megbe le eƒe susu ƒe dɔwɔwɔ me la, ke enye nusi dzɔ kpata. Kplɔ ɖevia yi ETU enumake.
- Menye wò ɖeka koe le mɔzɔzɔ sia me o. Do ka kple wò ɖɔkta, bia nyawo, eye nàxɔ kpekpeɖeŋu si nèhiã.
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