Ðe wò alo ame aɖe si te ɖe ŋuwò la xɔa alɔ̃dɔdɔ enuenua? Mina míaƒo nu tso asrãdɔ ŋu!

Ne míekpɔ míaƒe ame veviwo dometɔ ɖeka ƒe alɔ̃madɔmadɔ zi ɖeka, eƒe lãme ʋuʋu, eƒe susu mega le eɖokui si o, eye wòge ɖe anyigba la, vɔvɔ̃ anɔ mí katã ŋu vevie, alo? Enye nusi dzi ŋɔ vavã. Gake ne míenya nɔnɔme sia nyuie la, ŋusẽ anɔ mía ŋu ŋutɔ be míakpe ɖe ame ma ŋu ahanɔ agbe kple dɔléle sia. Eyata egbea, mina míaƒo nu tso dɔléle sia si woyɔna be epilepsy, alo abe alesi ame geɖe nyae ene ŋu.

Nukae nye asrãdɔ? Mina míase egɔme bɔbɔe!

Kpuie ko la, asrãdɔ nye dɔléle si nɔa anyi didi. Elektrikŋusẽ ƒe dzesi siwo tso míaƒe ahɔhɔ̃menugbagbeviwo me ƒe tɔtrɔ si mesɔ o gbɔe wòtsona, si wɔnɛ be míexɔa alɔ̃ enuenu. Bu eŋu abe akaɖi suesuesuewo ene. Wodo ƒome kple wo nɔewo eye wowɔa dɔ le elektrikŋusẽ ƒe ɖoɖo aɖe nu. Gake le amesi ŋu asrãdɔ le ƒe ahɔhɔ̃ me la, elektrikŋusẽ ƒe dɔwɔwɔ sia zɔna zi ɖeka, si wɔnɛ be elektrikŋusẽ si dzi womeɖuna o dona abe dzikedzo ƒe ahom ene. Ɣemaɣie alɔ̃dɔdɔ dzɔna. Esia ate ŋu ana tɔtrɔ nava wò susu me, wò lãmekawo dzi ɖuɖu (abe abɔ kple afɔ ƒe ʋuʋu ene), seselelãme, seselelãme, kple nuwɔna. Wogayɔa esia be alɔ̃madɔmadɔ .

Amekae ate ŋu atu alɔ̃madɔmadɔ sia ɖo?

Le nyateƒe me la, ame sia ame, le ƒe ɖesiaɖe me, eɖanye ŋutsu alo nyɔnu, alo ameƒomevi ka kee wòɖanye o, ate ŋu axɔ taɖuame. Eyata esesẽ be woabu eŋu be, "Nyemaxɔ wo o."

Aleke gbegbee nɔnɔme sia bɔ ɖe xexeamee?

Le United States ɖeɖe dzaa la, taɖuame le ame siwo ade miliɔn 3.4 ŋu. Ema ade ame tsitsi miliɔn 3 kple ɖevi 470,000. Le xexeame katã la, ame siwo ade miliɔn 65 ye le dɔléle sia lém. Eyata menye nusi bɔ nenema gbegbe o.

Nuka tututue dzɔna le ahɔhɔ̃a me le alɔ̃madɔmadɔ me?

Lãmenugbagbevi siwo le míaƒe ahɔhɔ̃ me ɖoa gbedasiwo ɖe ŋutilã bliboa me hexɔa wo. Gbedasi siawo zɔna abe elektrikkawo ene, tso lãmenugbagbevi ɖeka me yia bubu me le elektrikŋusẽ ƒe ʋuʋu ƒe nɔnɔme me. Elektrikŋusẽ ƒe ɖoɖo sia si le bɔbɔe eye wòwɔa dɔ nyuie la ƒe tɔtɔ gbɔe asrãdɔ tsona. Ke boŋ elektrikŋusẽ ƒe dzidziɖedzi kpata le lãmenugbagbevi siwo le ahɔhɔ̃a ƒe akpa ɖeka alo esi wu nenema dome, abe dzikedzo ƒe ahom si womele mɔ kpɔm na o ene . Elektrikŋusẽ ƒe tɔtɔ sia nana ame ƒe susu meganɔa nu ŋu o, eƒe seselelãme ƒe tɔtrɔ, seselelãme ƒe tɔtrɔ, kple lãmekawo ƒe ʋuʋu si dzi womeɖuna o.

Nukawoe nye alɔ̃madɔmadɔ ƒomeviwo kple woƒe dzesiwo?

Ðɔktawo nɔa te ɖe alɔ̃madɔmadɔ ƒomevi si dzɔna dzi daa alɔ̃dɔdɔ ɖe hatsotsowo me. Woma hatsotso sia nɔ te ɖe afisi ahɔhɔ̃a me alɔ̃dɔdɔa dze egɔme tsoe, alesi nèle ŋudzɔ le alɔ̃madɔmadɔa me, kple ne lãmekawo le ʋuʋum alo womele ʋuʋum o dzi.

Alɔ̃madɔmadɔ ƒe hatsotso vevi eve li:

1. Alɔ̃madɔmadɔ siwo dzea egɔme le teƒe ɖeka

Alɔ̃madɔmadɔ sia ƒomevi dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka, le teƒe ɖeka koŋ alo lãmenugbagbeviwo ƒe kadodo aɖe me. Woyɔa esia tsã be ``partial onset seizure``. Esia ƒomevi eve hã li:

• Focal onset aware seizure: 1999 me ƒe alɔ̃dɔdɔ.Le esia me la, èle ŋudzɔ eye nènya nusi le dzɔdzɔm. Tsã la, woyɔa esia be `simple partial seizure`. Dzesiawo ate ŋu anye:
• Tɔtrɔ le wò sidzenuwo me - tɔtrɔ le vivisese, ʋeʋẽ, kple nusese me.
• Seselelãmewo ƒe tɔtrɔ.
• Lãmetsiwo ƒe ʋuʋu si dzi womeɖu o, zi geɖe le abɔ alo afɔwo me.
• Sese le ɖokuiwò me abe ɖe nèle akaɖiwo kpɔm ene, taɖuame, sese le ɖokuiwò me be yeƒe lãme gbã.

• Focal onset impaired awareness seizure: Le esia me la, wò sidzedze tɔtɔna, alo àte ŋu abu ta keŋkeŋ. Woyɔa esia tsã be `complex partial seizure`. Dzesiawo ate ŋu anye:
• Be woalé ŋku ɖe teƒe ɖeka ŋu ƒuƒlu.
• Nu ɖeka mawo ke gbugbɔgagblɔ zi gbɔ zi geɖe, abe ŋkuʋuʋu, nuyiwo ƒoƒo, abe ɖe nèle nane ɖum ene, alo asiwo tutu ene.

2. Alɔ̃madɔmadɔ Siwo Dzea Egɔme le Mɔ Gbãtɔ Nu

Alɔ̃madɔmadɔ sia ƒomevi gblẽa nu le lãmenugbagbevi siwo le ahɔhɔ̃a ƒe akpa eveawo ƒe kadodo aɖe ŋu zi ɖeka. Wole ƒomevi vevi ade:

• Alɔ̃madɔmadɔ si me ame aɖeke mele o: Esiawo nye alɔ̃madɔmadɔ kpata, si mewɔa nu ɖe ​​ame ŋu o, si fia be woƒe susu meganɔa nu ŋu o hena ɣeyiɣi aɖe. Ðewohĩ lãmeka suewo ƒe ʋuʋu abe ŋkuʋuʋu, nuyiwo ƒe ʋuʋu, alo asi ƒe ʋuʋu suewo ene akpe ɖe wo ŋu. Esiawo bɔ ɖe ɖeviwo me wu eye wonɔa anyi sɛkɛnd ʋɛ aɖewo (zi geɖe la, medea sɛkɛnd 10 o). Zi geɖe la, woate ŋu abu wo vodadatɔe be wonye ŋkeke me drɔ̃ekuku. Tsã la, woyɔa wo be `petit mal seizures`.

• Atonic seizures: `Atonic` gɔmee nye ``tone manɔmee.`` Esia fia be le seizures sia me la, wò lãmekawo dzi ɖuɖu bu alo gbɔdzɔna. Nuwo abe wò ŋkume kple ta ene ate ŋu aɖiɖi, alo àdze anyigba zi ɖeka. Esia hã nyea alɔ̃madɔmadɔ kpui aɖe (zi geɖe la, medea sɛkɛnd 15 o). Wogayɔa esia be ``drop seizure`` alo ``drop attack.

• Tonic seizures: `Tonic` gɔmee nye ``toning.`` Esia nye ɣeyiɣi si me wò lãmekawo sesẽna zi ɖeka, abe ɖe wole ʋuʋum ene. Wò abɔwo, afɔwo, akɔta, alo wò ŋutilã bliboa ate ŋu asẽ, eye àte ŋu adze anyi. Le alɔ̃madɔmadɔ kpui sia me (zi geɖe la, medea sɛkɛnd 20 o) la, àte ŋu anɔ susu me na wò, alo wò susu ate ŋu atrɔ vie.

• Clonic seizures: Clonus nye lãmeka ƒe tete kabakaba, si gbugbɔna yia edzi ("jerking"). Le esia me la, lãmekaa yia edzi nɔa ʋuʋum sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ɖeka, alo lãmekaa nɔa ʋuʋum eye emegbe wònɔa ʋuʋum sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo eve.

• Tonic-clonic seizures: Esia nye ƒomevi si ame akpa gãtɔ susuna ne wose nya "seizure".Esia nye tonic kple clonic lãmekawo ƒe ʋuʋu ƒe ƒuƒoƒo. Ðɔktawo hã yɔa esia be `convulsion`, eye tsã la, woyɔnɛ be `grand mal seizure`. Esia bia be ame ƒe susu nabu, ame ƒe gege ɖe anyigba, kple lãmekawo ƒe ʋuʋu si xɔa miniti ɖeka va ɖo atɔ̃. Aɖe ate ŋu abla, aɖuɖɔ ate ŋu atso nu me, eye aɖuɖɔ alo aɖuɖɔ ate ŋu ado.

Bu eŋu kpɔ, kasia xɔ̃wò Kamal do ɣli hedze anyi ɖe anyigba. Emegbe eƒe ŋutilã ʋuʋuna, emegbe eƒe abɔwo tea ʋuʋu kabakaba. Eɖea ʋuʋudedi le eƒe nu me, eye ɖewohĩ ne eƒe susu gaɖo eŋu la, etsɔ tsi ƒo eƒe awuwo evɔ menya gɔ̃ hã o. Emae nye tonic-clonic seizure sia ƒe nɔnɔme.

• Myoclonic seizures: Esiawo nye lãmekawo ƒe ʋuʋu kpata, abe elektrikŋusẽ ene alo woƒe ʋuʋu ("myo" gɔmee nye lãmeka, "clonus" fia lãmeka ƒe ʋuʋu). Zi geɖe la, wonɔa anyi sɛkɛnd ʋɛ aɖewo.

Ne wò ɖɔkta le wò nɔnɔmea me kum yi ŋgɔe la, wò alɔ̃madɔmadɔ ƒomevi ate ŋu atrɔ azu ƒomevi eve dometɔ ɖeka: `focal` alo `generalized onset seizure`.

Ðe nusiwo koŋ gbɔ alɔ̃dɔdɔ tsona (nusiwo hea alɔ̃madɔmadɔ) vɛa?

Ẽ, nu aɖewo li siwo dzɔna hafi alɔ̃madɔmadɔ dzea egɔme, alo siwo kpena ɖe ame ŋu wòdzea alɔ̃dɔdɔ gɔme. Míeyɔa nusiwo hea alɔ̃dɔdɔ ƒe nuwɔna siawo be .

Nusiwo ŋu woka nya ta le wu be nusiwo hea dɔlélea vɛ enye:

• Nuteɖeamedzi.
• Kuxi siwo do ƒome kple alɔ̃dɔdɔ - abe alɔ̃madɔmadɔ, alɔ̃madɔmadɔ nyuie, ɖeɖiteameŋu fũ, alɔ̃dɔdɔ ƒe tɔtɔ, kple alɔ̃dɔdɔ ƒe kuxiwo abe ``(Sleep apnea)'' ene.
• Ahanono, ahanono dzudzɔ, atike muamewo zazã.
• Lãmetsiŋusẽ ƒe tɔtrɔ, vevietɔ esiwo do ƒome kple nyɔnuwo ƒe dzinukpɔkpɔ.
• Dɔléle, dzoxɔxɔ.
• Akaɖiwo alo nɔnɔmetata siwo le keklẽm.
• Nuɖuɖu si naa lãmesẽ, si da sɔ maɖumaɖu, tsi si sɔ nono; vitamin kple mineral ƒe anyimanɔmanɔ, kple nuɖuɖu dzi ɖeɖe kpɔtɔ.
• Ŋutilã me ɖeɖiteameŋu.
• Nuɖuɖu aɖewo (caffeine nye nusi gbɔ wòtsona zi geɖe).
• Tsikuɖiɖi.
• Ɣeyiɣi aɖewo koŋ le ŋkeke alo zã me.
• Atike aɖewo zazã. Woka nya ta be nusi nye ``(Diphenhydramine)`` si wokpɔna le vuvɔ, nulɔdɔ, kple alɔ̃dɔdɔ ƒe atike aɖewo me be enye nusi hea dɔléle vɛ.
• Ɣeyiɣi si woatsɔ ano alɔ̃dɔdɔ ƒe atikewo dzi ɖeɖe kpɔtɔ.

Aleke mawɔ anya nusiwo hea nye alɔ̃madɔmadɔ vɛ?

Ame aɖewo kpɔnɛ be yewoƒe alɔ̃madɔmadɔ dzɔna le ŋkekea ƒe ɣeyiɣi aɖe koŋ me, alo do ƒome kple nudzɔdzɔ aɖe koŋ alo nu bubu aɖe. Àte ŋu awɔ alɔ̃dɔdɔ ŋuti nuŋlɔɖigbalẽ.Dzrae ɖo. Ŋlɔ ɣeyiɣi si me alɔ̃dɔdɔa, nudzɔdzɔ tɔxɛ ɖesiaɖe si dzɔ le ɣeyiɣi ma me, kple alesi nèse le ɖokuiwò me la ɖi. Ne èsusu be nane nye nusi ʋãa ame la, dze agbagba nàkpɔe ɖa be ele nenema hã. Le kpɔɖeŋu me. Ðewohĩ manye nusi aʋãe le ɣeyiɣi aɖe megbe o.

Nukae nye dzesi kple dzesi siwo fia be ame ƒe lãme ʋuʋu?

Asrãdɔ ƒe dzesi vevitɔe nye alɔ̃dɔdɔ enuenu. Gake dzesiawo toa vovo le alɔ̃madɔmadɔ si ƒomevi nèxɔ nu.

Dzesi kple dzesi siwo bɔ dometɔ aɖewoe nye:

• Ame ƒe susu meganɔa ame ŋu o hena ɣeyiɣi aɖe alo eƒe susu ƒe dɔwɔwɔ dzi ɖena kpɔtɔna.
• Lãmetsiwo ƒe ʋuʋu si dzi womeɖu o, lãmekawo ƒe ʋuʋu, lãmekawo ƒe ʋuʋu.
• Edze abe ele ŋku lém ɖe teƒe ɖeka ŋu ƒuƒlu ene.
• Tɔtɔ hena ɣeyiɣi aɖe, tamebubu blewu, nuƒoƒo kple nugɔmesese sesẽ.
• Tɔtrɔ siwo vaa seselelãmewo abe nusese, nukpɔkpɔ, vivisese, ʋeʋẽ, lãmetutudɔ, alo ʋuʋudedi ene me.
• Nuƒoƒo alo nugɔmesese sesẽ.
• Dɔgbo si le veve sem, dzoxɔxɔ alo vuvɔ, alo taɖuame.
• Ʋuʋu abe nuyiwo ƒoƒo, nane ɖuɖu, asiwo tutu, nane wɔwɔ kple asibidɛwo ene.
• Susu me dzesiwo abe vɔvɔ̃, vɔvɔ̃, dzimaɖitsitsi, alo déjà vu (seselelãme si le abe esia ene dzɔ kpɔ).
• Dzi ƒe tsotso kple/alo gbɔgbɔ ƒe tsotso ƒe dzidziɖedzi.

Ame geɖe siwo ŋu asrãdɔ le la ƒe alɔ̃madɔmadɔ ƒomevi ɖeka ma ke nɔa wo ŋu ɣesiaɣi. Eyata dzesiawo sɔ le alɔ̃madɔmadɔ ɖesiaɖe me.

Nukawoe hea asrãdɔ vɛ?

Le go geɖe me (anɔ abe 70% ene) , womate ŋu akpɔ nusi gbɔ alɔ̃dɔdɔ tsona o. Nusiwo wonya be nusiwo gbɔ wòtsona dometɔ aɖewoe nye:

• Domenyiŋusẽfianu: Asrã ƒomevi aɖewo (e.g., ɖeviwo ƒe myoclonic asrã, ɖeviwo ƒe anyimanɔmanɔ ƒe asrã) ate ŋu adzɔ le ƒomewo me. Numekulawo xɔe se be domenyiŋusẽfianu aɖewo le eme, gake ɖeko domenyiŋusẽfianu siawo dzia afɔku si li be woaxɔ asrãdɔ ɖe edzi, eye nu bubuwo hã ate ŋu awɔ akpa aɖe.
• Mesial temporal sclerosis: Esia nye abi si dona le ahɔhɔ̃a ƒe akpa si le eme ƒe akpa si le eme. Ate ŋu ana ame naxɔ alɔ̃dɔdɔ le teƒe ɖeka.
• Ta ƒe abixɔxɔ: Ate ŋu atso ʋufɔkuwo, anyidzedze, alo ƒoƒo bubu ɖesiaɖe si woƒo ɖe ta me.
• Ahɔhɔ̃ me dɔlélewo: Kpɔɖeŋu aɖewoe nye `(ahɔhɔ̃ me ʋuʋudedi)`, `(tagbɔdɔ)`, `(ahɔhɔ̃medɔléle)` kple `(ahɔhɔ̃mekawo ƒe dɔléle)`.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Nɔnɔme siwo me wò dɔlélenutsiŋutete dzea ahɔhɔ̃menugbagbeviwo dzi (dɔlélenutsiŋutete ƒe dɔlélewo) ate ŋu ana taɖuame nadze ame dzi.
• Tsitsi ƒe kuxiwo:Nusiwo mesɔ o le ahɔhɔ̃a me siwo dzɔna le vidzidzi me nye nusi gbɔ asrãdɔ tsona zi geɖe, vevietɔ le amesiwo ƒe alɔ̃madɔmadɔ dzi womate ŋu atsɔ atikewo aɖu o gome. Kpɔɖeŋuwo: `(focal cortical dysplasia)`, `(polymicrogyria)`, `(tuberous sclerosis)`.
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie: Ame siwo ŋu kuxiwo le le alesi ŋutilã xɔa ŋusẽe ŋu (metome ƒe nɔnɔme) ate ŋu axɔ taɖuame.
• Ahɔhɔ̃medɔlélewo kple ʋukawo ƒe dɔmawɔmawɔ nyuie: Ʋukawo ƒe dɔmawɔmawɔ nyuie abe ahɔhɔ̃mekawo ƒe dɔdzẽ, ʋusɔgbɔdɔ, tagbɔdɔléle, kple ʋukawo ƒe dɔmawɔmawɔ nyuie ate ŋu atso taɖuame.

Aleke wokpɔa dɔléle sia dzea sii?

Le mɔ̃ɖaŋununya gome la, ne èxɔ alɔ̃madɔmadɔ zi eve alo esi wu nenema, eye menye nu bubu si wonya gbɔe wòtso o (e.g., ahanono, sukli ƒe agbɔsɔsɔ si mede ʋu me o) la, wobua wò be èxɔ asrãdɔ. Hafi nànya dɔlélea la, wò ɖɔkta (alo ɖɔkta si bi ɖe asrãdɔ me) ado wò ŋutilã kpɔ, abia wò atikewɔwɔ ŋutinya, eye ate ŋu aɖe gbe be woado ʋu kpɔ (be woagbe nu bubu siwo gbɔ wòtsona). Woabia nu tso wò dzesiwo ŋu le ɣeyiɣi si me nèxɔ alɔ̃ eye woate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo hã.

Ðɔktaa ate ŋu abia wò alo ƒometɔ aɖe si kpɔ wò alɔ̃dɔdɔa teƒe be nu siwo gbɔna la dzɔ le alɔ̃madɔmadɔa me hã:

• Ðe nèhe wò lãmekawoa?
• Ðe lãmekaawo me sẽa?
• Ðe nèto aɖuɖɔ alo aɖuɖɔ mea?
• Ðe tɔtrɔ aɖe va le gbɔgbɔ mea?
• Ðe wò ŋutigbalẽ ƒe amadede trɔ zu ɣiea?
• Ðe nènɔ lalam alɔgbɔnukoko manɔmeea?
• Ðe wò susu megale dɔ wɔm oa?
• Ðe wòsesẽ na wò be nàƒo nu alo ase nya si wogblɔ la gɔmea?

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Dodokpɔ vevitɔwoe nye:

• Electroencephalography (EEG): Esia dzidzea wò ahɔhɔ̃ ƒe elektrikŋusẽ ƒe dɔwɔwɔ. Elektrikŋusẽ ƒe nɔnɔme aɖewo siwo mesɔ o do ƒome kple alɔ̃madɔmadɔ.
• Ahɔhɔ̃ ƒe fotoɖeɖe: Dodokpɔwo abe `(Magnetic Resonance Imaging - MRI)` ene léa ŋku ɖe nuwo abe ahɔhɔ̃ me dɔdzẽ, dɔlékuiwo, alo ʋukawo ƒe nɔnɔme siwo mesɔ o ŋu.

Nukawoe nye taɖuame ƒe atikewo?

Atike siwo woatsɔ aɖu taɖuame dzi dometɔ aɖewoe nye atike siwo wozãna tsɔ tsia alɔ̃madɔmadɔ nu, nuɖuɖu tɔxɛwo (zi geɖe la, wotsɔa atikewo kpena ɖe eŋu), kple amekoko .

Atike siwo wozãna tsɔ tsia alɔ̃dɔdɔ nu

Atike siawo ateŋu aɖu alɔ̃madɔmadɔ dzi le amesiwo ŋu asrãdɔ le ƒe 60% va ɖo 70% me. Atike siawo ƒe dɔwɔwɔ to vovo tso ame ɖeka gbɔ yi bubu gbɔ. U.S. Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖe atike siwo wu 20 dzi be woatsɔ ada asrãdɔ. Wò ɖɔkta ate ŋu ate atike vovovowo kpɔ vaseɖe esime wòakpɔ atike, agbɔsɔsɔme, alo atike vovovo siwo sɔ na wò.

Ne èle atike tiam la, bu nu siawo ŋu:

• Alɔ̃madɔmadɔ ƒomevi.
• Alesi nèwɔ nui ɖe alɔ̃dɔdɔ ƒe atike siwo nèzã va yi ŋu.
• Dɔléle bubu siwo le ŋuwò.
• Ate ŋu adzɔ be atike bubu siwo nèzãna ƒe nugbegblẽ le ame ŋu.
• Atike si naa alɔ̃madɔmadɔ ƒe nugbegblẽ le ame ŋu (ne woli).
• wò ƒexɔxɔ.
• Lãmesẽ ƒe nɔnɔme bliboa.
• Asixᴐxᴐ.

Vevietɔ: Atike aɖewo siwo tsia alɔ̃dɔdɔ nu ate ŋu agblẽ nu le vidzĩa ŋu le fufɔɣi, eyata kpɔ egbɔ be yena wò ɖɔkta nanya ne èfɔ fu alo nèle ɖoɖo wɔm be yeafɔ fu.

Ne atike siwo tsia alɔ̃madɔmadɔ nu meɖu wò alɔ̃madɔmadɔ dzi o la, wò ɖɔkta adzro atikewɔmɔnu bubuwo me, siwo ate ŋu anye nuɖuɖu tɔxɛwo, atikewɔnuwo, alo amekoko.

Nuɖuɖu ŋuti atikewɔwɔ

Wokafu ketogenic nuɖuɖu kple Atkins ƒe nuɖuɖu si ŋu wotrɔ asi le — nuɖuɖu siwo me ami sɔ gbɔ ɖo, esiwo me protein sɔ gbɔ ɖo, kple esiwo me carbohydrate mesɔ gbɔ ɖo o siaa — na ame aɖewo siwo ŋu asrãdɔ le. Zi geɖe la, wokafua wo na ɖevi siwo mewɔ nu ɖe ​​atike ŋu o eye womesɔ na amekoko o. Nuɖuɖu siwo me suklidɔ mesɔ gbɔ ɖo o hã ate ŋu akpe ɖe ame aɖewo ƒe alɔ̃madɔmadɔ dzi ɖeɖe kpɔtɔ ŋu.

Amekoko kple mɔ̃wo

Ne atikewo mete ŋu ɖu wò alɔ̃madɔmadɔ dzi o, eye wò alɔ̃madɔmadɔ nu sẽ la, wò ɖɔkta ate ŋu abu eŋu be yeawɔ dɔ na ye. Ne atike ƒomevi siwo wu eve mete ŋu ɖu wò alɔ̃madɔmadɔ dzi o la, asrãdɔ ƒe amekoko ate ŋu anye atike si le dedie eye wòawɔ dɔ nyuie. Ne atikewo mete ŋu ɖua wò alɔ̃madɔmadɔ dzi o la, ele vevie be woada wò kpɔ le asrãdɔlélawo ƒe dɔwɔƒe akpɔe ɖa be ènye ame nyui aɖe si woawɔ dɔ na wò hã.

Amekoko ƒe tiatia aɖewoe nye amekoko ƒe lãkusi si mesɔ o ɖeɖeɖa, ka siwo do ƒome kple ahɔhɔ̃a ƒe akpa aɖewo ƒe kadodo ɖeɖeɖa, stereotactic radiosurgery (ahɔhɔ̃meka siwo mesɔ o tsɔtsrɔ̃ si woɖo taɖodzinu na), alo ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe mɔ̃wo dede ame me. Mɔ̃ siawo ɖoa elektrikŋusẽ ɖe ahɔhɔ̃a, si wɔnɛ be alɔ̃madɔmadɔ dzi ɖena kpɔtɔna le ɣeyiɣi aɖe megbe.

Ðe woate ŋu axe mɔ ɖe asrãdɔ nua?

Togbɔ be nu geɖe siwo hea taɖuame vɛ nye nusiwo dzi míate ŋu aɖu alo axe mɔ na o hã la, àte ŋu aɖe afɔku si le nɔnɔme siwo ate ŋu ahe taɖuame vɛ dometɔ aɖewo xɔxɔ me dzi akpɔtɔ:

• Ðe ahɔhɔ̃mekawo ƒe abixɔxɔ si me afɔku le dzi kpɔtɔ: Do zikpuimeka ɣesiaɣi ne èle ʋu kum eye nàku ʋu dedie; do gakuku ne èle gasɔ dom; na nu kple ka siwo mehiã o nanɔ anyigba le aƒeme be woagadze anyi o; ƒo asa na atrakpuiwo lialia.
• Ðe wò ʋusɔgbɔdɔ ƒe afɔkua dzi kpɔtɔ: Ƒo nuɖuɖu si naa lãmesẽ (e.g., Mediterranea nuɖuɖu), na wò kpekpeme nanɔ lãmesẽ me, eye nàde kame edziedzi.
• Na atike muamewo zazã ɖe mɔ gbegblẽ nu ƒe atike. Aha kple atike bubu siwo ŋu se meɖe mɔ ɖo o ate ŋu agblẽ nu le wò ahɔhɔ̃ ŋu, si ate ŋu ana nànɔ tagbɔdɔ lém.

Ðe taɖuame ƒe atike blibo aɖe lia?

Ao, fifia la, womekpɔ atike blibo aɖeke na taɖuame o. Gake tiatia geɖe li woatsɔ ada taɖuame.

Ðe alɔ̃madɔmadɔ anɔ ŋunye ɣesiaɣia?

Ne wowɔ atike nyuie la, ame siwo ade 70% maxɔ alɔ̃madɔmadɔ le ƒe ʋee aɖewo me o. Nɔnɔme aɖe le ame 30% susɔeawo ŋu si woyɔna be asrã si te ŋu nɔa te ɖe atikewo nu. Ele be ame siawo nayi aɖuɖɔtoedɔlélawo ƒe dɔwɔƒe aɖe akpɔe ɖa be yewonye ame nyui aɖe si woate ŋu awɔ dɔ na yewo hã.

Ɣeyiɣi didi kae wòahiã be mano atike siwo naa alɔ̃madɔmadɔ?

Enɔ te ɖe asrãdɔ ƒomevi si le ŋuwò kple alesi nèwɔa nui ɖe atikewo ŋu dzi. Ame aɖewo siwo ŋu alɔ̃madɔmadɔ menɔ o ƒe geɖe la ate ŋu adzudzɔ woƒe atikewo nono. Wò ɖɔktae wɔa nyametsotso sia. Abu nu geɖe ŋu, abe ahɔhɔ̃ me abi siwo mele wò MRI, EEG nuŋlɔɖiwo, kple wò atikewɔwɔ ŋutinya me o ene. Ðewohĩ ahiã be ame aɖewo nano atike le woƒe agbemeŋkekewo katã me.

Ɣekaɣie wòle be makpɔ ɖɔkta? Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ne mèxɔ alɔ̃madɔmadɔ kpɔ o, eye nèsusu be ɖe le ye ŋu - alo ne ame siwo ƒo xlã wò gblɔ be "wode zoned out" alo yeƒe lãme megale dɔ wɔm o - yi wò ƒomea ƒe ɖɔkta. Ate ŋu aɖo wò ɖe ahɔhɔ̃ŋutinunyala gbɔ be wòagawɔ dodokpɔ bubuwo na wò.

Kpomenya! Ne alɔ̃madɔmadɔ aɖe le ŋuwò si xɔ wu miniti atɔ̃, alo ne èxɔ alɔ̃dɔdɔ zi geɖe ɖe wo nɔewo yome eye mète ŋu gaɖo eɖokui me o la, ƒo ka na 911 enumake (alo gblɔ na xɔ̃wò alo ame aɖe si te ɖe ŋuwò be wòaƒo ka na 911). Le Sri Lanka la, ƒo ka na ƒe 1990 Suwaseriya Dɔnɔdzikpɔƒe.

Aleke mawɔ akpɔ nye alɔ̃madɔmadɔ gbɔe?

Nu siawo ate ŋu akpe ɖe ŋuwò nàɖu wò alɔ̃madɔmadɔ dzi:

• No wò atike abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ. Ne atike ƒe agbɔsɔsɔme aɖe to ŋuwò la, yɔ wò ɖɔkta enumake.
• Dɔ alɔ̃ nyuie (zi geɖe la, edɔa alɔ̃ gaƒoƒo adre va ɖo enyi le zã me).
• Kpɔ nuteɖeamedzi dzi. Nuteɖeamedzi nana atike aɖewo dona le ahɔhɔ̃a ƒe akpa siwo alɔ̃dɔdɔ bɔbɔe wu. Te yoga, ŋugbledede, gbɔgbɔ deto ƒe kamedede, biofeedback, alo ɖiɖiɖememɔnu bubuwo kpɔ be nàɖe nuteɖeamedzi dzi akpɔtɔ.
• De kame edziedzi (anɔ abe miniti 30 ene gbesiagbe, ŋkeke atɔ̃ le kwasiɖa me).
• Ƒo asa na ahanono fũu akpa.
• Gblɔ na wò ɖɔktawo katã be asrãdɔ le ŋuwò. Ne ɖɔkta bubu ŋlɔ atike na wò na dɔléle bubu la, bia ɖɔkta si le wò asrãdɔa dam. Atike aɖewo, abe blanuilélenutsitikewo, ʋumenugbagbeviɣitikewo, kple atike siwo doa ŋusẽ ame ene ate ŋu ado kplamatse wò alɔ̃madɔmadɔtikewo ƒe dɔwɔwɔ alo ahe kuxiwo vɛ.
• Gblɔ nusianu si nènona na wò ɖɔkta ɣesiaɣi - atike siwo womexɔna le atikedzraƒe o, vitaminwo, kpeɖeŋutɔtikewo, kple atike siwo wozãna tsã.
• De dzesi nusiwo hea wò alɔ̃dɔdɔ vɛ eye nàƒo asa na wo.
• Ƒo nuɖuɖu si naa lãmesẽ.

Ðe mate ŋu aku ʋu ne asrãdɔ le ŋunyea?

Le Sri Lanka la, ehiã be woaxɔ atikewɔlawo ƒe nyatakaka ne wole ʋukugbalẽvi biam alo le ewɔm yeyee. Ne dɔléle aɖe abe asrãdɔ ene le ŋuwò la, ele be nàna wò ɖɔkta nanya. Bia wò ɖɔkta nenye be àte ŋu aku ʋu. Le goawo katã me la, manyo be nàku ʋu o vaseɖe esime wokpɔ wò alɔ̃madɔmadɔ dzi nyuie.

Nukawoe nye taɖuame ƒe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me?

Alɔ̃madɔmadɔ ate ŋu ana ame naxɔ abi vevie le ŋutilã me. Tsɔ kpe ɖe eŋu la, nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me siwo do ƒome kple alɔ̃madɔmadɔ dometɔ aɖewoe nye status epilepticus kple Sudden Unexplained Death in Epilepsy (SUDEP).

Nɔnɔme si nye epilepticus

Esia nye alɔ̃madɔmadɔ si nɔa anyi didi (aɖabaƒoƒo 5 va ɖo 30), alo alɔ̃madɔmadɔ siwo kplɔ wo nɔewo ɖo siwo dzɔna ɖe wo nɔewo yome, eye ɣeyiɣi aɖeke menɔa anyi be woahaya le wo dome o. Wobua esia be enye atikewɔwɔ kpata.

Woate ŋu awɔ nusiwo gbɔna abe atikewɔwɔ kpata ene le kɔdzi:

• Atikewo, ɔksidzin, kple tsiwo nana to ʋuka me.
• Atike siwo naa alɔ̃dɔdɔ ame nana ame be wòana ame natsi alɔ̃ me eye wòadzudzɔ alɔ̃madɔmadɔ.
• EEG dzi kpɔkpɔ be nàkpɔ alesi nèle nu wɔm ɖe atikewɔwɔ ŋui.
• Dodokpɔwo be woakpɔ nusi gbɔ alɔ̃madɔmadɔa tso.

Ku Kpata si Womeɖe O Le Aɖuɖɔtoedɔ (SUDEP) Me .

Ku kpata si womele mɔ kpɔm na o le asrãdɔ ta nye nɔnɔme si mebɔ o si me amesi le lãmesẽ me, ɖekakpui alo ƒe titina si ŋu asrãdɔ le la kuna le susu aɖeke manɔmee. Zi geɖe la, ku sia dzɔna le zã me alo le alɔ̃ me, eye womedea dzesii o. Numekulawo susui be nusiwo ate ŋu ahe esia vɛ dometɔ aɖewoe nye:

• Dzi ƒe tsotso si mesɔ o: Alɔ̃madɔmadɔ ate ŋu ana dzi ƒe tsotso ƒe kuxi sesẽ aɖe alo dzi natɔ te.
• Yagbɔgbɔ sesẽ: Ne gbɔgbɔtsixe tsi tre (le kpɔɖeŋu me, le alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ta) la, oxygen ƒe anyimanɔmanɔ na dzia kple ahɔhɔ̃a ate ŋu ade ame ƒe agbe afɔku me. Azɔ hã, ɣeaɖewoɣi le alɔ̃madɔmadɔ me la, yaƒoƒomɔ̃a ate ŋu axe, si ate ŋu ana ame nagbɔdzɔ.
• Aɖuɖɔtoe gbɔgbɔ: Aɖuɖɔtoe gbɔgbɔ le alɔ̃dɔdɔ me alo le ewɔwɔ vɔ megbe ate ŋu axe yaƒoƒomɔ̃a.
• Ahɔhɔ̃a ƒe dɔwɔwɔ ƒe tɔtɔ: Alɔ̃madɔmadɔ ate ŋu agblẽ ahɔhɔ̃a ƒe akpa siwo kpɔa gbɔgbɔ kple dzi ƒe tsotso dzi.

Ame siwo ade ɖeka le 1,000 ɖesiaɖe me siwo ŋu asrãdɔ le kuna ƒe sia ƒe le SUDEP ta. Eyae nye nusi koŋ wua amesiwo ƒe alɔ̃madɔmadɔ si dzi womeɖu o. Be nàɖe SUDEP xɔxɔ ƒe afɔkua dzi akpɔtɔ la, nya nusiwo hea wò alɔ̃madɔmadɔ vɛ eye nàƒo asa nɛ, no wò atikewo abe alesi wogblɔe ene, eye nàwɔ ɖe lãmesẽnyawo gbɔ kpɔkpɔ ƒe nɔnɔmewo katã dzi (dɔ alɔ̃ nyuie, de kame, ɖu nuɖuɖu nyui, ƒo asa na atamanono, eye nàƒo asa na ahatsunono alo atike muamewo zazã fũu akpa).

Vovototo kae le "ʋuʋudedi", "alɔ̃madɔmadɔ" kple "aɖuɖɔtoedɔ" dome?

• Ʋuʋudedi:Esia nye nɔnɔme si nana lãmekawo ʋuʋuna le mɔ si dzi womeɖu o nu eye wòbua tame. Ke hã, ame geɖe zãa nya "ʋuʋudedi" kple "alɔ̃madɔmadɔ" ɖe wo nɔewo yome. Wozãa nya "convulsion" hã tsɔ fiaa tonic-clonic seizure.
• Alɔ̃madɔmadɔ: Elektrikŋusẽ si mesɔ o si tso wò ahɔhɔ̃menugbagbeviwo me gbɔe esiawo tsona. Àte ŋu axɔ alɔ̃dɔdɔ ne dzesi aɖeke mele ŋuwò o gɔ̃ hã. Ðɔktawo yɔa esia be `EEG seizure` (si woateŋu akpɔ to EEG dodokpɔwo me). Zi geɖe la, dzesi vovovo siwo míeyɔ ɖe etame la akpe ɖe alɔ̃madɔmadɔ ŋu. Aɖuɖɔtoe nye alɔ̃madɔmadɔ ƒe dzesi, gake menye alɔ̃madɔmadɔ katãe tsoa aɖuɖɔtoe me o.
• Aɖuɖɔtoedɔ: Esia nye lãmekawo ƒe dɔléle. Woɖe egɔme be enye alɔ̃madɔmadɔ enuenu, si nɔa anyi ɖaa. Aɖuɖɔtoedɔ nye dɔléle si nɔa ame ŋu le eƒe agbemeŋkekewo katã me.

Mlɔeba la, ɖo ŋku esia dzi !

Asrãdɔ mebɔ abe alesi nàsusui ene o. Ame geɖe nɔa agbe kple nɔnɔme sia le xexeame godoo. Nu vevitɔe nye be woate ŋu aɖu edzi.

Ðo ŋku edzi be menye wò ɖeka koe o. Ne wowɔ atike na wò nyuie, trɔ agbenɔnɔ nyuie, eye wò lɔlɔ̃tɔwo kpe ɖe ŋuwò la, àte ŋu anɔ agbe kple nɔnɔme sia dzidzedzetɔe.

• Ne taɖuame le ŋuwò alo ame aɖe si nènya la, wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo nyuiwo dzi.
• No wò atike ɖe game dzi.
• De dzesi nusiwo hea wò alɔ̃dɔdɔ vɛ eye nàƒo asa na wo.
• Dze agbagba nàdɔ alɔ̃ nyuie, aɖu nu nyui, eye nànɔ agbe si me nuteɖeamedzi mele o.
• Mègana mɔkpɔkpɔ gbeɖe o. Esi mɔ̃ɖaŋununya le ŋgɔ yim la, atikewɔmɔnu yeyewo va dona.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta o. Wole klalo ɣesiaɣi be yewoakpe ɖe ŋuwò!

` Taɖuame, ʋuʋudedi, asrã, ahɔhɔ̃medɔ, ahɔhɔ̃medɔ, alɔ̃madɔmadɔ, atikewɔwɔ