Ðe nènɔ fli me alo le ŋdɔ me eye kasia wò ŋkuwo biã, wò towo ʋuʋu, eye mète ŋu kpɔ naneke ƒo xlã wò o kpɔa? Ðewohĩ èdze anyi gɔ̃ hã. Zi geɖe la, míeyɔa esia be ‘alɔ̃madɔmadɔ’. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be syncope. Togbɔ be edzɔna ɖe ame geɖe dzi hã la, ele vevie be nànya nusitae nusia dzɔna, nenye be enye nusi ŋu wòle be nàtsi dzi ɖo, kple ɣeyiɣi si wòle be nàyi ɖɔkta gbɔ.
Kpuie ko la, nukae nye alɔ̃madɔmadɔ?
Alɔ̃madɔmadɔ, alo ``Syncope``, nye ame ƒe susu ƒe bu kpata, ɣeyiɣi kpui aɖe eye ame ƒe ŋutilã megate ŋu ɖua ame dzi o le ʋu si yia ahɔhɔ̃a me ƒe ɖiɖi hena ɣeyiɣi kpui aɖe ta. Zi geɖe la, hafi nusia nadzɔ la, àte ŋu ase le ɖokuiwò me be yeƒe ta natsi alo yeƒe ta le fafam. Míeyɔa esia be ``Presyncope``.
Esia bɔ ŋutɔ. Dɔnɔ siwo vaa dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ED) ƒe 3% koe woxɔna ɖe kɔdzi le susu sia ta. Ɣeaɖewoɣi la, ate ŋu adzɔ ɖe ame si le lãmesẽ me dzi eye atikewɔwɔ ƒe nɔnɔme aɖeke mele eŋu o. Gake ne ame tsitsi aɖe tsi dzodzodzoe la, anɔ eme be woaxɔ abi vevie le anyidzedze ta. Akpa nyuitɔ kekeakee nye be zi geɖe la, amesi tsi dzodzodzoe la gaɖoa eɖokui ŋu bliboe le aɖabaƒoƒo ʋɛ aɖewo ko me.
Nu vevi siwo gbɔ alɔ̃madɔmadɔ tsona kple eƒe ƒomeviwo
Susu geɖewo ate ŋu anɔ anyi siwo tae ame ƒe tagbɔ natsi. Wo dometɔ aɖewo le bɔbɔe ŋutɔ, gake ɖewo ya le vevie wu eye wohiã be woalé ŋku ɖe wo ŋu. Na míalé ŋku ɖe ƒomevi vevi eveawo ŋu.
1. Vasovagal Syncope ƒe Dɔléle
Esiae nye ƒomevi si bɔ wu . Ame siwo katã tsia dzodzodzoe la ƒe afã kple edzivɔe dɔléle sia ƒomevi le. Ebɔ ɖe ɖeviwo kple sɔhɛwo koŋ me. Míaƒe lãmekawo ƒe dɔwɔwɔ kpata gbɔe wòtsona.
Bu eŋu ale. Èyi ɖado ʋu, eye ne èkpɔ aŋea, alo ne èse veve vevie, alo ne seselelãme ƒe dzidziƒoame sesẽ aɖe le ŋuwò la, kasia míaƒe lãmekawo nana dzi ƒe tsotso dzi ɖena kpɔtɔna eye wòɖea ʋu ƒe sisi dzi kpɔtɔna. Ekema, ʋu agbɔsɔsɔme si yina ahɔhɔ̃a me mesɔ gbɔ o, eye alɔ̃madɔmadɔ dzɔna. Woyɔa esia be `Vasovagal Syncope` alo `Neurally Mediated Syncope`.
2. Dzidɔ ƒe Dɔléle
Esiae nye ƒomevi si ŋu wòle be míatsi dzi ɖo wu . Esia dzɔna ne dzia mete ŋu tsɔa ʋu si sɔ yia ahɔhɔ̃a me o le kuxi aɖe ta.
- Dzi ƒe tsotso si mesɔ o (dzi ƒe tsotso kabakaba akpa alo blewu akpa) .
- Dzia ƒe wɔwɔme ƒe gbɔdzɔgbɔdzɔwo, abe dzia ƒe ʋukawo ƒe ʋuʋu ene
- Aklã me Ʋuʋudedi
Alɔ̃madɔmadɔ sia ƒomevi ate ŋu adzɔ le susuwo abe: Zi geɖe la, esia nyea nɔnɔme sesẽ aɖe, eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Dzesi kawoe wò ŋutilã nana hafi nèfɔa fu?
Zi geɖe la, hafi wò susu nadzo zi ɖeka la, wò ŋutilã ana ‘dzesi’ suesuesuewo wò. Ne ède dzesi esiawo la, àte ŋu anɔ anyi alo amlɔ anyi dedie, aƒo asa na anyidzedze.
Ne èse le ɖokuiwò me be yegbɔdzɔ la, bɔbɔ nɔ anyi kaba ale si nàte ŋui, nɔ zikpui dzi eye wò ta nanɔ wò klowo dome, alo mlɔ anyigba eye nàkɔ wò afɔwo ɖe dzi vie.
Nusiwo bɔ dometɔ aɖewoe nye esi:
- Fifia fifia abe vuvɔ ene
- Sese le eɖokui me be yeƒe ta le ɣie, yeƒe ta le ʋuʋum, eye yeƒe ŋkuwo le blɔ
- Yagbɔgbɔ sesẽ
- Nukpɔkpɔ trɔna (edoa viviti ƒo xlã ŋkuwo, teƒeteƒewo kpɔkpɔ) .
- Aɖuɖɔtoe kple ʋuʋudedi
- Mo ƒe ɣie
- Ŋutilã si le sesem le eɖokui me be yeƒe lãme le ƒoƒom eye vuvɔ le wɔwɔm
- Afɔ kple afɔwo ƒe ʋuʋu
- Sese le eɖokui me be yemele dedie o, vɔvɔ̃ le ye ŋu
| Nu bubu siwo gbɔ wòtsona zi geɖe be ame ƒe alɔ̃madɔmadɔ | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tsitretsitsi zi ɖeka | Woyɔa esia be ``Orthostatic Hypotension''. Edzɔna ne womekpɔ ʋu ƒe sisi nyuie o ne wole nɔnɔme trɔm kpata. Ebɔ ɖe ame tsitsiwo kple amesiwo noa atike aɖewo dome. |
| Tsikuɖiɖi kple dɔwuame | Ne tsi vɔ le ŋutilãa me eye sukli ƒe agbɔsɔsɔ le ʋu me ɖiɖi (hypoglycemia) la, ʋu si yia ahɔhɔ̃a me ate ŋu aɖiɖi, si ana ame natsi dzodzodzoe. |
| Ʋusɔgbɔdɔ | Le ʋu ƒe anyimanɔmanɔ le ŋutilãa me ta la, ʋua ƒe ŋutete be wòatsɔ ɔksidzin dzi ɖena kpɔtɔna. Esia ate ŋu ana hã be ahɔhɔ̃a maxɔ ɔksidzin si sɔ o, si ana ame natsi dzodzodzoe. |
| Atike aɖewo | Ʋusɔgbɔdɔ, blanuiléle, kple asrãdɔ ƒe atike aɖewo ate ŋu ana alɔ̃dɔdɔ ƒe afɔkua nadzi ɖe edzi. |
| Fufɔfɔ | Ebɔ be ame natsi dzodzodzoe le lãmetsiŋusẽ ƒe tɔtrɔ kple ʋu ƒe sisi ƒe tɔtrɔ le fufɔɣi ta. |
Ðe ‘blackout’ kple ‘fainting’ nye nu vovovowoa?
Ẽ, esia nye nusi ame geɖe tɔtɔna. Esiawo nye nɔnɔme eve siwo to vovo kura.
- Alɔ̃madɔmadɔ: Esia fia be ame ƒe tagbɔ gblẽ . Mènya nu siwo le dzɔdzɔm ƒo xlã wò o, eye nèdze anyi ɖe anyigba.
- Blackout: Esia nye ŋkuɖoɖonudzi ƒe bu . Èle ŋudzɔ le ɣeyiɣi sia me. Èle nu ƒom, le dɔ wɔm, eye nèle zɔzɔm. Gake ne ètrɔ kpɔ megbe la, mèɖo ŋku naneke si dzɔ le ɣeyiɣi ma me dzi o.
Nusi koŋ gbɔ elektrikŋusẽ ƒe nutsotso tsonae nye ahanono fũu akpa. Azɔ hã, ta ƒe abixɔxɔ (ʋuʋudedi) kple asrã (epilepsy) hã ate ŋu ana ame naɖo ŋku nu sia ƒomevi dzi.
Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?
Zi geɖe la, alɔ̃madɔmadɔ zi ɖeka alo zi eve menye kuxi gã aɖeke o. Gake ne ètsia dzodzodzoe enuenu , ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si le ŋuwò ƒe dzesi. Eyata ele vevie be nàkpɔ wò ɖɔkta be yeanya nusi gbɔ wòtso.
Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake, vevietɔ le nɔnɔme siwo gbɔna me:
| Nɔnɔme siwo me wòle be nàyi kɔdzi (ETU) enumake! | |
|---|---|
| Alɔ̃madɔmadɔ le kamedede me: | Esia mesɔ o eye zi geɖe la, ate ŋu anye dzidɔ ƒe dzesi. |
| Akɔtave alo dzi ƒe tsotso: | Ne èse le ɖokuiwò me be yeƒe akɔta le veve sem, yeƒe akɔta le tetem, alo yeƒe dzi le ƒoƒom do ŋgɔ na yeƒe alɔ̃dɔdɔ, esime yeƒe alɔ̃dɔdɔ le ye ŋu, alo le yeƒe alɔ̃dɔdɔ megbe. |
| Ɣeyiɣi didi aɖe tsɔtsɔ be yeƒe susu nagaɖo eŋu: | Ne ètsi dzodzodzoe wu miniti ʋɛ aɖewo. |
| Dzesi bubuwo: | Ne taɖuame sesẽ aɖe le ŋuwò, mèkpɔa nu nyuie o, nuƒoƒo sesẽna na wò, alo tɔtɔ le ŋuwò ne ègakpɔtɔ le susu me gɔ̃ hã. |
| Ta ƒe abixɔxɔ le anyidzedze ta: | Ne ètsi dzodzodzoe eye nèdze anyi heƒo ta sesĩe la, ele be woado wò kpɔ le atikewɔƒe godoo. |
Vevietɔ: Ne ehiã be nàƒo nu tso kuxi aɖe si aha sesẽ alo atike bubu aɖe hena vɛ ŋu la, àte ŋu aƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Sri Lanka Dukɔa ƒe Kɔdzi . Àte ŋu axɔ kpekpeɖeŋu tso dɔwɔƒewo abe Dukɔa ƒe Tagbɔdɔléle Ŋuti Nusrɔ̃ƒe (NIMH) ƒe telefonkadodo 1926 hã gbɔ hena kuxi siwo ahanono hena vɛ kple susu ƒe lãmesẽnyawo gbɔ kpɔkpɔ ƒe kpekpeɖeŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Syncope nye ame ƒe susu ƒe bublu ɣeyiɣi kpui aɖe si tsoa ʋu ƒe sisi yi ahɔhɔ̃a me ƒe ɖiɖi hena ɣeyiɣi aɖe ta.
- Alɔ̃madɔmadɔ akpa gãtɔ (vevietɔ `vasovagal` ƒomevi) menye nu sesẽ o, gake ɖewo ateŋu anye nɔnɔme si nu sẽ wu, abe dzidɔ ene ƒe dzesi.
- Ne ènya se le ɖokuiwò me be yegbɔdzɔ ko la, mlɔ anyigba eye nàkɔ wò afɔwo ɖe dzi vie. Alo, nɔ anyi nàɖiɖi ta ɖe wò klowo dome.
- Ne alɔ̃madɔmadɔ dzɔna enuenu, edzɔna le kamedede me, alo dzesiwo abe akɔtave kple gbɔgbɔtsixetsixe ene kpe ɖe eŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- Mègabu alɔ̃dɔdɔ nu tsɛe gbeɖe o, vevietɔ le ame tsitsiwo gome, elabena anyidzedze ate ŋu ana ame naxɔ abi vevie.
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