Ðe wò hã nèdɔa alɔ̃ zi ɖeka le ŋkeke me, ne èle television kpɔm, alo ne èle bɔs mea? Ðe nèmiãa ŋku ɣeaɖewoɣi le kpekpe aɖe le ɔfis titina gɔ̃ hã? Esia nye kuxi si le ame geɖe ŋu. Togbɔ be míesusuna na mía ɖokui be, "Anye be esi míedɔ alɔ̃ nyuie le zã me o tae" hã la, ɣeaɖewoɣi la, lãmesẽkuxi aɖe ate ŋu anɔ megbe na alɔ̃dɔdɔ fũu akpa sia si ŋu míenya nu tsoe o. Egbea, míele nu ƒom tso mɔnu bɔbɔe aɖe ŋutɔ, gake wòle vevie ŋutɔ, si woate ŋu azã atsɔ anya nu tso alɔ̃dɔdɔ fũu akpa le ŋkekea me ŋu.
Nukae nye Epworth ƒe Alɔ̃dɔdɔ ƒe Dzidzenu (ESS)?
Kpuie ko la, Epworth Sleepiness Scale (ESS) nye nyabiase gbalẽvi kpui aɖe si dzidzea alesi gbegbe nèdɔa alɔ̃ le ŋkekea me. Enye wò alɔ̃dɔdɔ ƒe ɖokuiwò me dzodzro si nàte ŋu ayɔ ɖokuiwò me. Ele abe ‘nyatakakagbalẽvi’ ene na wò alɔ̃dɔdɔ.
Nyabiase 8 siwo le bɔbɔe ŋutɔ le nyabiase gbalẽvi sia me. Nyabiase siawo ku ɖe nɔnɔme siwo bɔ siwo míedoa goe le míaƒe gbesiagbegbenɔnɔ me ŋu. Le kpɔɖeŋu me, nyabiasewo abe "Aleke wòanya wɔ be nàdɔ alɔ̃ ne èle agbalẽ xlẽm?" Nusi nàwɔ koe nye be nàna dzesi si tso 0 va ɖo 3 na ɖokuiwò le alesi wòanya wɔ be nàdɔ alɔ̃ le nɔnɔme ɖesiaɖe me nu.
Nu vevitɔe nye be menye dodokpɔ si woatsɔ akpɔ dɔléleae nye esia o. Esia fia be nyabiase gbalẽvi sia mate ŋu agblɔe na wò kple kakaɖedzi nenye be dɔléle aɖe le ŋuwò o. Gake ate ŋu ana wò ɖɔkta nakpɔ wò alɔ̃dɔdɔ le ŋkeke me nyuie. Ele abe ‘dodokpɔ dodokpɔ’ sue aɖe hafi yi dodokpɔ gã aɖe dzi ene.
Nukatae ɖɔktawo zãa ESS ƒe nyabiase gbalẽvi sia?
Susu geɖe li siwo tae ɖɔkta ate ŋu azã nyabiase gbalẽvi bɔbɔe sia ɖo.
1. Se alesi wò alɔ̃dɔdɔ le ŋusẽ kpɔm ɖe wò agbe dzii gɔme: Ame aɖewo kpɔa alɔ̃dɔdɔ le ŋkeke me, gake medoa kplamatse woƒe gbesiagbedɔwo o. Le ame bubuwo gome la, alɔ̃dɔdɔ sia ate ŋu ado kplamatse woƒe ŋutete be woawɔ dɔwo le dɔwɔƒe, nusɔsrɔ̃, alo ʋukuku. Nyabiase gbalẽvi sia ate ŋu akpe ɖe wò ɖɔkta ŋu wòakpɔ alesi gbegbe wò alɔ̃dɔdɔa nu sẽe.
2. Dzidze atikewɔwɔa ƒe dzidzedzekpɔkpɔ: Tsɔe be wò ɖɔkta kpɔ dɔléle aɖe si nana nèdɔa alɔ̃ fũu akpa le ŋkeke me, abe Obstructive Sleep Apnea ene, le ŋuwò. Emegbe, wodzea atikewɔwɔ gɔme. Fifia, àdi be yeanya ne atikewɔwɔa kpɔ dzidzedze eye ne wò alɔ̃dɔdɔ dzi ɖe kpɔtɔ. Ɣemaɣi la, woabia tso asiwò be nàkpe ESS ƒe nyabiase gbalẽvi sia ɖo, zi ɖeka hafi nàdze atikewɔwɔ gɔme eye zi ɖeka le atikewɔwɔ gɔmedzedze vɔ megbe. Ne dzesia dzi ɖe kpɔtɔ la, efia be atikewɔwɔa kpɔ dzidzedze.
3. Tso nya me nenye be ehiã be nàgawɔ dodokpɔ bubuwo:Ne wò ESS ƒe dzesi sɔ gbɔ la, wò ɖɔkta ate ŋu atso nya me be ehiã be nàgawɔ dodokpɔ bubuwo atsɔ anya nusi tututu gbɔ wò alɔ̃dɔdɔ tso. Le kpɔɖeŋu me, esia ate ŋu akpe ɖe ŋuwò nàwɔ alɔ̃dɔdɔ ŋuti numekuku (polysomnography), si nye alɔ̃dɔdɔ ŋuti dodokpɔ tɔxɛ aɖe.
Aleke woawɔ akpe ESS ƒe nyabiase gbalẽvia ɖo? Nyabiase kawoe le eme?
Aɖabaƒoƒo ʋɛ aɖewo koe esia axɔ. Nusi nàwɔ koe nye be nàbu nɔnɔme siwo le kplɔ̃ si le ete la dometɔ ɖesiaɖe ŋu eye nàde dzesi alesi wòanya wɔ be nàdɔ alɔ̃ alo ami ŋku ɣemaɣi la dzi anukwaretɔe.
Mɔ si dzi woato axɔ dzesiwoe nye esi:
- 0 - Medɔa alɔ̃ gbeɖe o / memiãa ŋku gbeɖe o
- 1 - Teƒe sue aɖe li woamlɔ.
- 2 - Teƒe si sɔ li si woamlɔ.
- 3 - Mɔnukpɔkpɔ geɖe ŋutɔ li be ame nadɔ alɔ̃.
Azɔ mina míakpɔ nusiwo nye biabia 8 mawo ɖa.
| Mɔnukpɔkpɔ (edzɔna) . | Wò dzesi (0-3) . |
|---|---|
| Ne èbɔbɔ nɔ anyi xlẽ nane abe agbalẽ alo nyadzɔdzɔgbalẽ ene | |
| Esime nèle TV kpɔm | |
| Ne èbɔbɔ nɔ anyi kpoo le dutoƒo teƒe (e.g., le kpekpe aɖe me, le sinimaɖeƒe) . | |
| Ne èle mɔ zɔm abe mɔzɔla ene le ʋu me abe gaƒoƒo ɖeka ene evɔ mètɔ o | |
| Ne mlɔ anyi be yeaɖi ɖe eme le ŋkekea me | |
| Ne èbɔbɔ nɔ anyi hele nu ƒom na ame aɖe | |
| (Aha manɔmee) Ne èbɔbɔ nɔ anyi kpoo le ŋdɔnuɖuɖu vɔ megbe | |
| Ne èle ʋu kum, ne wotɔ aɖabaƒoƒo ʋɛ aɖewo le ʋuwo ƒe tsɔtsɔ ta |
Àte ŋu ana dzesi biabia siawo dometɔ ɖesiaɖe eye nàtsɔ dzesi 8 la akpe ɖe eŋu. Nukae nye wò xexlẽdzesi bliboa ?
Nukae dzesiawo katã fia?
Wò dzesiwo katã ate ŋu atso 0 va ɖo 24. Azɔ na míakpɔ nusi wò dzesia gblɔ ɖa.
| Dzesiwo ƒe didime | Gɔmeɖeɖe |
|---|---|
| 0 - 5. Ƒe 1999 me | Ŋkeke me alɔ̃dɔdɔ ƒe agbɔsɔsɔ si bɔbɔ (si sɔ) - Ƒã hafi nèsena le ɖokuiwò me be alɔ̃ le ye ŋu le ŋkeke me. Esia nye dzidzenu nyui aɖe ŋutɔ. |
| 6 - 10. Ƒe 1999 me | Ŋkeke me alɔ̃dɔdɔ ƒe agbɔsɔsɔ gã (si sɔ) - Èkpɔa alɔ̃dɔdɔ ƒe agbɔsɔsɔ aɖe le ŋkekea me. Togbɔ be esia hã le agbɔsɔsɔ si sɔ me hã la, anyo be nàtsi dzi vie nenye be zã me alɔ̃dɔdɔ le fu ɖem na wò. |
| 11 - 12. Ƒe 1999 me | Ŋkeke me alɔ̃dɔdɔ si gbɔ eme vie - Afi siae wòle be míatsi dzi ɖo. Alɔ̃dɔdɔ ƒe agbɔsɔsɔ si nèsena le ɖokuiwò me le ŋkekea me la sɔ gbɔ wu alesi wòle. |
| 13 - 15. Ƒe 1999 me | Ŋkeke me alɔ̃dɔdɔ si sɔ gbɔ va ɖo esi nu sẽ - Wò alɔ̃dɔdɔ le nu gblẽm le wò gbesiagbedɔwo ŋu fifia. Ele be nàƒo nu tso esia ŋu kple ɖɔkta godoo. |
| 16 - 24. Ƒe 1999 me | Alɔ̃dɔdɔ fũu akpa le ŋkeke me - Esia nye nɔnɔme si me afɔku le ŋutɔ . Àte ŋu adɔ alɔ̃ ɣesiaɣi. Esia nye afɔku vevietɔ ne èle ʋu kum alo le mɔ̃wo zãm. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. |
Ke ne dzesia wu 11 ya ɖe?
Ne wò dzesi bliboa nye 11 alo esi wu nenema la, efia be "Ŋkeke me Alɔ̃dɔdɔ fũu" (EDS) le ŋuwò . Esia menye dɔléle o, ke boŋ enye dzesi. Abe dzoxɔxɔ ene. Asrã nye dzesi aɖe. Ate ŋu atso dɔlékui aɖe gbɔ. Nenema ke ele be susu aɖe nanɔ anyi si tae alɔ̃dɔdɔ si gbɔ eme alea ɖo.
Mègavɔ̃ o. Esiae nye wò ŋutilã si le dzesi aɖe nam wò. Esia nye wò ŋutilã ƒe mɔ si dzi wòtona gblɔna be, "Nane gblẽ le eme, lé ŋku ɖe eŋu."
Nukae ate ŋu ana ame nadɔ alɔ̃ fũu akpa?
Susu geɖewo ate ŋu anɔ eme. Wo dometɔ vevi aɖewoe nye esi:
- Alɔ̃madɔmadɔ nyuie o: Esia ate ŋu anye susu bɔbɔetɔ kekeake. Ele be ame tsitsi nadɔ alɔ̃ gaƒoƒo 7-8 ya teti gbesiagbe. Ne èmlɔ anyi le zãtiƒe eye nèfɔ ŋdi kanya la, mebɔ be nàse le ɖokuiwò me be alɔ̃ le ye wum le ŋkeke me o.
- Alɔ̃dɔdɔ ƒe Dɔlélewo:
- Obstructive Sleep Apnea (OSA): Esia nye dɔléle si bɔ ŋutɔ. Aɖuɖɔtoe dzɔna ne gbɔgbɔ tɔ vie le alɔ̃dɔdɔ me. Esia ate ŋu adzɔ zi alafa geɖe le zã me. Emegbe ɔksidzin mesɔ gbɔ na ŋutilãa o, eye alɔ̃ me gblẽna. Èfɔna le ŋdi me ŋusẽ aɖeke manɔmee. Èsena le ɖokuiwò me be alɔ̃ le ye wum ŋkeke bliboa.
- Alɔ̃madɔmadɔ: Esia nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o si nana ame dɔa alɔ̃ kpata le ŋkekea me si dzi womate ŋu aɖu o.
- Atikewɔwɔ ƒe nɔnɔme bubuwo: Alɔ̃dɔdɔ fũ ate ŋu anye dɔléle geɖe, abe suklidɔ, ʋumenugbagbeviɣidɔ, blanuiléle, ayikudɔ, kple dzidɔ ene ƒe dzesi.
- Atike aɖewo: Atike siwo wua ʋusɔgbɔdɔ, ʋusɔgbɔdɔtike aɖewo, kple tagbɔdɔléle ƒe atike aɖewo hã ate ŋu ana ame nadɔ alɔ̃ le ŋkeke me.
Nukae wòle be mawɔ fifia?
Ne èwɔ nyabiase sia kpɔ eye wò dzesiwo wu 11 la, nu vevitɔ kekeake si nàwɔe nye be nàkpɔ wò ɖɔkta aƒo nu tso esia ŋu .
Ne èyi ɖɔkta gbɔ la, nu siawo ate ŋu adzɔ:
1. Nya bubuwo biabia: Ðɔkta la abia nu geɖe wò, abe ale si nèdɔa alɔ̃e, ne èle hũ ɖem, ne èsena le ɖokuiwò me be yegbɔdzɔ le zã me, atike bubu siwo nènona, kple ale si wò agbenɔnɔ le.
2. Lãmedodokpɔ: Woadzidze wò kpekpeme, wò kɔkɔme, kple wò ʋu ƒe sisi. Woado wò ŋɔti kpɔ.
3. Ʋudodokpɔ: Woate ŋu aɖe gbe be woado ʋu kpɔ be woatsɔ akpɔ nuwo abe thyroid hormone ƒe agbɔsɔsɔ kple sukli ƒe agbɔsɔsɔ ene.
4. Woaɖoe ɖe alɔ̃dɔdɔ ŋuti numekuku: Ne èsusu be dɔléle aɖe abe Alɔ̃dɔdɔ ƒe Gbɔgbɔmeʋuʋu ene le ye ŋu la, woaɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala bibi aɖe gbɔ be wòaɖo kpe edzi eye woawɔ Alɔ̃dɔdɔ Ŋuti Numekuku (Polysomnography).
Ðo ŋku edzi be alɔ̃dɔdɔ fũ le ŋkeke me menye nusi dzi woaŋe aɖaba aƒu o. Ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ, wò dɔwɔɖui, wò ŋutɔ wò ƒomedodowo, kple wò dedienɔnɔ gɔ̃ hã dzi. Esia tae wòle vevie be nànya esia eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ehiã.
Gbedasi si Wotsɔ Yi Aƒeme
- Epworth Sleepiness Scale (ESS) nye nyabiase gbalẽvi bɔbɔe aɖe si ame ŋutɔ ŋlɔna si dzidzea alɔ̃dɔdɔ le ŋkeke me.
- Esia menye dodokpɔ si wotsɔ dea dzesi dɔléle aɖe o, gake enye dɔwɔnu vevi aɖe si ana nàkpɔ wò alɔ̃dɔdɔ ƒe nyonyome nyuie.
- Ne wò dzesiwo katã nye 11 alo esi wu nenema la, efia be alɔ̃dɔdɔ ƒe sesẽme aɖe le ŋuwò si hiã be ɖɔkta nalé ŋku ɖe ŋuwò.
- Nusi gbɔ alɔ̃dɔdɔ fũu akpa tsona ate ŋu anye nusianu tso nu bɔbɔe aɖe abe alɔ̃madɔmadɔ nyuie ene dzi va ɖo atikewɔwɔ me dɔléle sesẽ aɖe abe Alɔ̃dɔdɔ ƒe Gbɔgbɔmeʋuʋu ene dzi.
- Ne wò dzesiwo sɔ gbɔ la, taflatse mègavɔ̃ alo aŋe aɖaba aƒu edzi o, ke boŋ ƒo nu tso eŋu na wò ɖɔkta. Nu nyuitɔ si gbɔ wòtso didi kple atike xɔxɔ ate ŋu akpe ɖe ŋuwò nàganɔ agbe si me dzo le ake.

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