Ðe nèle nɔnɔme wɔnuku aɖe me tom zi ɖekaa? Ate ŋu anye alɔ̃dɔdɔ si ƒe susu nɔa nu ŋu!

Ðe wòsena le ɖokuiwò me zi ɖeka be nane si wɔ nukua? Ðe nèse nane si wɔ nuku, abe wò ŋutilã ƒe akpa aɖe si le ʋuʋum le mɔ si mèle mɔ kpɔm na o nu ene, alo se gbeɖiɖi aɖe si me ame aɖeke mele o, alo wò susu bu hena ɣeyiɣi aɖe kpɔa? Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be focal seizure, si tso elektrikŋusẽ ƒe tɔtrɔ sue aɖe si le wò ahɔhɔ̃ ƒe akpa ɖeka gbɔ la ƒe dzesiwo. Mègatsi dzi o, míaƒo nu tso nya sia ŋu tsitotsito egbea, abe ɖe míele nu ƒom na mía xɔlɔ̃ aɖe ene.

Nukae nye alɔ̃madɔmadɔ si ŋu wotsia dzi ɖo?

Kpuie ko la, alɔ̃dɔdɔ le teƒe ɖeka nye elektrikŋusẽ ƒe dzidziɖedzi kpata si dzi womeɖu o si dzɔna le wò ahɔhɔ̃ ƒe akpa aɖe koŋ ko . Bu eŋu be enye elektrikŋusẽ ƒe dzesi sue aɖe si le sisim to ahɔhɔ̃meka siwo le wò ahɔhɔ̃ me me. Esi wònye be edzea egɔme tso teƒe ɖeka le ahɔhɔ̃a me ta la, ehea dzesi siwo ku ɖe nuto ma koŋ ŋu vɛ. Woyɔa esia tsã be alɔ̃madɔmadɔ ƒe akpa aɖe.

Ɣeaɖewoɣi la, ne alɔ̃madɔmadɔ ƒe dzesi gbãtɔwo dze la, àte ŋu anɔ ŋudzɔ, si fia be ènya nusi le dzɔdzɔm. Gake ne dɔlélea kaka ɖe ahɔhɔ̃a ƒe akpa bubuwo la, àte ŋu abu eye nàva zu nɔnɔme si me wò ŋutilã bliboa ʋuʋu (tonic-clonic seizures).

Vovototo kae le Focal Seizures kple Generalized Seizures dome?

Ènya be míaƒe ahɔhɔ̃a ƒe akpa vevi eve, alo afã kple afã le? Alɔ̃madɔmadɔ si bɔ nye nɔnɔme si gblẽa nu le ahɔhɔ̃a ƒe akpa eveawo siaa ŋu le ɣeyiɣi ɖeka me. Emegbe dzesiwo ate ŋu ado mo ɖa si agblẽ nu le ŋutilãa ƒe akpa eveawo siaa ŋu. Zi geɖe la, nusiawo nu sẽna vie wu.

Gake ahɔhɔ̃a ƒe akpa ɖeka koŋ ƒe alɔ̃madɔmadɔ dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka. Gake ne nɔnɔmea le sesẽm ɖe edzi la, elektrikŋusẽ sia ate ŋu akaka tso teƒe ɖeka ayi bubu, eye ɣeaɖewoɣi tso ahɔhɔ̃a ƒe akpa ɖeka ayi bubu. Ɣeaɖewoɣi la, alɔ̃madɔmadɔ si le teƒe ɖeka ate ŋu ayi ŋgɔ ava zu ŋutilã bliboa ƒe alɔ̃madɔmadɔ si woyɔna be "focal to bilateral tonic-clonic seizure."

Vevietɔ: Alɔ̃madɔmadɔ kple asrãdɔ nye nu vovovo eve. Menye alɔ̃madɔmadɔ katãe nye asrãdɔ o.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

Le nyateƒe me la, ame sia ame ate ŋu axɔ alɔ̃dɔdɔ le susu ɖesiaɖe ta. Gake ne ahɔhɔ̃medɔ aɖewo le ŋuwò la, anɔ eme be alɔ̃madɔmadɔ si me susu mele o nadze ŋuwò. Le kpɔɖeŋu me:

• Ta ƒe abixɔxɔ
• Ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie aɖewo siwo wodzina
• Asrã ƒe alɔ̃madɔmadɔ le ɖevime
• Ahɔhɔ̃ me dɔlélewo (e.g. tagbɔdɔléle) .
• Gbagbãdᴐ
• Ahɔhɔ̃ me dɔdzẽwo

Nɔnɔme sia ate ŋu adzɔ le nuwo abe:

Aleke gbegbee alɔ̃madɔmadɔ siwo wokpɔna le teƒe ɖeka bɔe?

Le nyateƒe me la, alɔ̃madɔmadɔ si wokpɔna le teƒe ɖeka ye nye alɔ̃madɔmadɔ ƒomevi si bɔ wu . Woawoe nyea amesiwo katã xɔa alɔ̃dɔdɔ ƒe afã kple edzivɔ. Vevietɔ, alɔ̃madɔmadɔ siwo le teƒe ɖeka, siwo me ame ƒe susu ƒe dɔwɔwɔ gblẽ vie ko la, nyea alɔ̃madɔmadɔ siwo katã ƒe akpa etɔ̃lia lɔƒo.

Aleke nɔnɔme sia kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Dzesi siwo dzena le ahɔhɔ̃a ƒe akpa si ŋu wògblẽ nu le dzi . Ele vevie be woaɖu alɔ̃madɔmadɔ siwo le teƒe ɖeka dzi. Esia le alea elabena, ne woyi edzi ɣeyiɣi didi la, woate ŋu ahe ŋkuɖoɖonudzi ƒe kuxiwo vɛ, tamebubu ƒe kuxiwo, eye woana susu me kuxiwo abe blanuiléle kple dzimaɖitsitsi ene ƒe afɔkua nadzi ɖe edzi.

Ðe nuxlɔ̃amedzesiwo li hafi alɔ̃madɔmadɔa dzɔa?

Ẽ, ame aɖewo ate ŋu akpɔ "aura" hafi axɔ focal seizure. Le nyateƒe me la, aura sia ate ŋu anye dzesi gbãtɔ si fia be ame ƒe susu nɔa nu ŋu. Le ɣeyiɣi sia me la, èle ŋudzɔ, si fia be èse nusi le dzɔdzɔm gɔme. Àte ŋu akpɔ dzesi vovovowo le aura sia me. Ne focal seizure mekaka o la, aura sia ate ŋu anye alɔ̃dɔdɔa ƒe dzesi ɖeka kolia.

Aura ate ŋu ato nɔnɔme geɖe me:

• Seselelãme ƒe dzesiwo: Nuteƒekpɔkpɔ wɔnuku siwo ku ɖe nukpɔkpɔ, nusese, ʋeʋẽ, vivisese, alo asikaka nu ŋu.
• Seselelãme ƒe tɔtrɔ: Vɔvɔ̃, dzimaɖitsitsi, alo dziku ƒe seselelãme kpata.
• Dzesi siwo dzena le eɖokui si: Tɔtrɔ siwo vaa ŋutilãa ƒe dzɔdzɔmedɔwo me, abe fifia kple aɖuɖɔtoe ene.

Zi geɖe la, auras menɔa amesiwo ŋu asrãdɔ si bɔ ɖo ŋu o. Aura ƒe anyinɔnɔ nye dzesi be focal epilepsy ate ŋu anɔ anyi. Ɣeaɖewoɣi la, aura sia ate ŋu anye nuxlɔ̃amedzesi hafi alɔ̃dɔdɔ nadze ame dzi, si ana ame ƒe susu nabu.

Nukawoe nye dzesi bubu siwo ɖee fia be alɔ̃madɔmadɔ le teƒe ɖeka?

Abe alesi míegblɔe va yi ene la, dzesiawo toa vovo le alɔ̃madɔmadɔ ƒomevi kple ahɔhɔ̃a ƒe akpa si wòdze nu. Focal seizures ƒomevi vevi etɔ̃e li:

1. Focal aware seizures: Tsã la, woyɔa esiawo be simple focal seizures alo simple partial seizures. Nu vevitɔ si le esia ŋue nye be ènya ne alɔ̃dɔdɔa dzɔ . Nusi va abe aura ene lae nye alɔ̃madɔmadɔa ŋutɔŋutɔ.

2. Focal impaired awareness seizures: Tsã la, woyɔa esiawo be complex partial seizures alo complex focal seizures. Le esiawo me la , wò sidzedze me gblẽna . Ne aura aɖe dzɔ la, eva do ŋgɔ na ame ƒe susu ƒe dɔwɔwɔ. Zi geɖe la, esiawo mexɔa wu miniti etɔ̃ o. Alɔ̃madɔmadɔ sia ƒomevi nyea alɔ̃dɔdɔ katã ƒe 36% lɔƒo, si wɔe be wònye alɔ̃madɔmadɔ ƒomevi si bɔ wu .

3. Focal to bilateral tonic-clonic seizure: Tsã la, woyɔnɛ be generalized tonic-clonic seizures, eye alɔ̃madɔmadɔ sia ƒomevi lɔa ŋutilã bliboa ƒe dɔwɔwɔ ɖe eme eye wòhea ʋuʋudedi vɛ .

Woate ŋu ama dzesi siwo dzena le alɔ̃madɔmadɔ si wokpɔna le teƒe ɖeka ŋu ɖe hatsotso vevi ene me. Ðewohĩ hatsotso siawo dometɔ siwo wu ɖeka anɔ alɔ̃madɔmadɔ ɖeka me:

• Mɔ̃
• Sidzenuwo ƒe dɔwɔwɔ
• Ðokuisidziɖuɖu
• Le susume

Mɔ̃ ƒe nɔnɔmewo

Alɔ̃madɔmadɔ si me lãmekawo ƒe dɔwɔwɔ le nye ŋutilã ƒe akpa aɖewo ƒe ʋuʋu le wo ɖokui si alo esiwo dzi womeɖu o . Zi geɖe la, wogblẽa nu le mo, abɔ, kple afɔ ƒe akpa aɖewo ŋu le axa ɖeka. Woate ŋu anye ʋuʋu, ʋuʋu, lãmekawo ƒe tete, alo ʋuʋu enuenu alo le eɖokui si abe nuyiwo ƒoƒo, ŋkuʋuʋu, alo asi alo asibidɛ ƒoƒo ene.

Ɣeaɖewoɣi la, lãmekawo ƒe dɔwɔwɔ ƒe dzesi siawo ate ŋu akaka ɖe ŋutilã ƒe akpa si ŋu dɔlélea le la katã me kple ŋutilã ƒe akpa bubuwo. Woyɔa esia be "Jacksontɔwo ƒe azɔlizɔzɔ." Alɔ̃madɔmadɔ siawo dzea egɔme tso teƒe sue aɖe eye "wozɔna" toa ŋutilã ƒe akpa bliboa dzi, ɣeaɖewoɣi la, wokakana ɖe ŋutilã ƒe akpa bubuwo le akpa ɖeka alo yi mo.

Ne focal motor symptoms do mo ɖa vɔ la, ame geɖe ate ŋu akpɔ ŋutilã ƒe akpa siwo ŋu dɔlélea le la ƒe lãmetutudɔ hena ɣeyiɣi aɖe . Woyɔa esia be "Todd ƒe lãmetutudɔ." Esia nyea ɣeyiɣi kpui aɖe ko, gake ate ŋu anɔ anyi gaƒoƒo geɖe. Esia gbɔgblɔ na wò ɖɔkta ate ŋu akpe ɖe ŋuwò nànya dɔlélea ahadae.

Sidzenuwo ƒe nɔnɔmewo

Ne aura aɖe dzɔ la, ne lãmeka siwo le wò ahɔhɔ̃ me siwo do ƒome kple wò sidzenuwo kpɔ ŋusẽ ɖe wo dzi la, lãmenugbagbevi mawo ate ŋu awɔ nu vodadatɔe abe ɖe wole seselelãme aɖe sem ŋutɔŋutɔ ene. Ðewohĩ àse le ɖokuiwò me abe ɖe nane le dzɔdzɔm si mele dzɔdzɔm ŋutɔŋutɔ o ene. Dzesi siawo, siwo woyɔna be susumenuwo , ate ŋu akpɔ ŋusẽ ɖe wò sidzenu atɔ̃awo katã dzi. Kpɔɖeŋuwo:

• Nukpɔkpɔ: Akaɖi siwo klẽna, kekeli dzena. Alesi nuwo dzenae la trɔna (wodzena lolo alo le sue wu).
• Tosese: Kasia nèse gbeɖiɖi wɔnukuwo, toɣliɖeɖewo. Kpɔe ɖa le susu me ne wò ɖeka koe li eye nèse ame aɖe le nu ƒom, gake ne èlé ŋku ɖe eŋu la, ame aɖeke mele afima o. Nane si le abe ema ene.
• Ʋeʋẽ: Ʋeʋẽ si dona tso afi aɖeke o; zi geɖe la, kasia, le mɔ si womate ŋu agblɔ ɖi o nu.
• Vivi: Kasia vivisese wɔnuku aɖe ƒe seselelãme; abe ga, ʋeʋẽ, alo veve ƒe vivi ene.
• Kakaɖedzi: Seselelãme wɔnuku aɖe si le ŋutigbalẽa ŋu le teƒe aɖe; abe pin kple aŋe, ʋuʋudedi, nane si le ʋuʋum, alo dzoxɔxɔ alo vevesese ene.

Gblɔ seselelãme ƒe dzesi alo susumenuwo ɖesiaɖe si nàkpɔ la na wò ɖɔkta nyuie alesi nàte ŋui, elabena ne ènya sidzenu si ŋu wògblẽ nu le la, akpe ɖe ɖɔktawo ŋu woanya afisi alɔ̃madɔmadɔa le dzɔdzɔm le le ahɔhɔ̃a me.

Ðokuisi ƒe nɔnɔmewo

Ne aura aɖe dzɔ la, ate ŋu akpɔ ŋusẽ ɖe ŋutilã ƒe dɔwɔwɔ siwo dzi wò ahɔhɔ̃ kpɔ ŋusẽ ɖo hã dzi. Kpɔɖeŋu aɖewoe nye esi:

• Fifia ƒe ʋuʋu.
• Aɖuɖɔɖɔɖɔ alo aɖuɖɔtoe si gbɔ eme.
• Ŋutilã ƒe amadede trɔna (akɔ alo biã).
• Seselelãme wɔnuku aɖe si nye be wodo tso dɔgbo me ("gastric uprising").

Sidzedze ƒe nɔnɔmewo

Wò aura ate ŋu ana wò seselelãme ƒe nɔnɔme natrɔ. Kpɔɖeŋuwo:

• Seselelãme gbegblẽwo: vɔvɔ̃, dzimaɖitsitsi, vɔvɔ̃, alo dziku.
• Seselelãme nyuiwo: dzidzɔkpɔkpɔ, dzidzɔkpɔkpɔ, alo nukoko si dzi womate ŋu aɖu o.
• Kuxi siwo le nu ŋutɔŋutɔ ŋu:Sese le ɖokuiwò me abe drɔ̃e mee nèle ene alo ŋkuɖoɖo nudzɔdzɔ siwo va yi dzi (flashbacks). Ame aɖewo hã gblɔna be yewosena le yewo ɖokui me be ŋusẽ tɔxɛwo le yewo si alo yewole nu ƒom na mawu aɖe.
• Déjá vu: Fransegbe me nya aɖe. Seselelãme si nye be yenya nu tso nuteƒekpɔkpɔ yeye aɖe ŋu, abe ɖe wòdzɔ va yi ene.
• Jamais vu: Esia hã nye Fransegbe me nya. Efia nuteƒekpɔkpɔ nyanyɛ aɖe, ke hã ewɔna nam abe nu yeye aɖe ene.

Sidzedze ƒe tɔtrɔ bubu siwo dzɔna le susu ƒe alɔ̃madɔmadɔ me dometɔ aɖewoe nye tɔtrɔ siwo vaa ame ƒe susu ƒe seƒe, tɔtrɔ le ŋkuɖoɖonudzi me, tɔtrɔ le gbegbɔgblɔ alo kadodomɔnu me, kple ŋutete si le ame si be wòawɔ nu kple nutoa me ƒe ɖiɖi.

Nukae hea alɔ̃madɔmadɔ siwo le teƒe ɖeka vɛ?

Nu vovovo geɖe li siwo gbɔ alɔ̃madɔmadɔ siwo le teƒe ɖeka tsona. Wo dometɔ aɖewoe nye:

• Kuxi siwo le ʋuka siwo le ahɔhɔ̃a me ŋu (e.g. aneurysms).
• Dzi ƒe tsotso ƒe masɔmasɔ (arrhythmias).
• Ahɔhɔ̃ me dɔdzẽ (siwo dome kansa hã le).
• Oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a (Cerebral hypoxia).
• Ahɔhɔ̃ ƒe ʋuʋu kple abi si nu sẽ.
• Dɔléle siwo gblẽa ahɔhɔ̃a vivivi (e.g. Alzheimer ƒe dɔléle, frontotemporal dementia).
• Asiɖeɖe le atike muamewo alo ahanono ŋu.
• Ʋusɔgbɔdɔ le fufɔɣi (Eclampsia).
• Dze siwo le ŋutilã me ƒe masɔmasɔ (vevietɔ sodium si mesɔ gbɔ o - hyponatremia, calcium alo magnesium si mesɔ gbɔ o).
• Asrã, vevietɔ asrã sesẽ (asrã ƒe alɔ̃madɔmadɔ).
• Domenyiŋusẽfianu ƒe dɔlélewo (dɔléle siwo ƒe dome wonyi tso dzilawo gbɔ).
• Lãmetsiŋusẽ ƒe tɔtrɔ (nyɔnu aɖewo ate ŋu axɔ alɔ̃dɔdɔ le dzinukpɔkpɔ ƒe ŋkeke aɖewo dzi - catamenial epilepsy).
• Dɔlékuiwo (vevietɔ ahɔhɔ̃medɔlélewo abe tagbɔdɔ alo taɖuame ene; dɔlékuiwo, dɔlékuiwo, alo dɔlékuiwo ate ŋu atso esiawo gbɔ).
• Dzoxɔxɔ si dɔlélenutsiŋutete ƒe kuxiwo hena vɛ.
• Alɔ̃madɔmadɔ kple kuxi bubu siwo do ƒome kple alɔ̃dɔdɔ.
• Lãmetsiŋusẽ ƒe kuxiwo (vevietɔ sukli si sɔ gbɔ ɖe ʋu me - suklidɔ alo sukli si bɔbɔ ɖe ʋu me - sukli ƒe ɖiɖi).
• Kuxi siwo le ahɔhɔ̃ ƒe wɔwɔme ŋu (vevietɔ esiwo nɔa anyi le vidzidzi me).
• Dɔlélenutsiŋutete ƒe ŋuɖoɖo sesẽ ɖe dɔlékui si kaka ɖe ŋutilã bliboa me (Sepsis) ŋu.
• Ʋusɔgbɔdɔ alo ʋumenugbagbeviɣidɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIAs).
• Atike vɔ̃ɖi kple aha sesẽ zazã (siwo dometɔ aɖewoe nye atike siwo woŋlɔ na ame, atike siwo ŋu se meɖe mɔ ɖo o, kple kɔfi).

Ðe alɔ̃madɔmadɔ siwo wokpɔna le teƒe ɖeka la xɔa ame mea?

Ao, alɔ̃dɔdɔ le teƒe ɖeka mexɔa ame o. Gake nɔnɔme aɖewo siwo hea alɔ̃dɔdɔ le teƒe ɖeka ate ŋu atso domenyiŋusẽfianu gbɔ (si fia be àte ŋu anyi wo dome tso dziwòlawo gbɔ, eye àte ŋu atsɔ wo ana viwòwo).

Aleke woawɔ ade dzesi alɔ̃dɔdɔ le teƒe ɖeka?

Zi geɖe la, ahɔhɔ̃ŋutinunyala anɔ te ɖe wò dzesiwo (alo nusiwo ŋu ame bubuwo ƒo nu tsoe) kple dodokpɔ me tsonu dzi akpɔ dɔléle si nye focal seizures. Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nànya nenye be alɔ̃madɔmadɔ dze dziwò kpɔ eye nenye be wodo dziku na wò alo womedo dziku na wò o. Domenyiŋusẽfianu dodokpɔ ate ŋu aɖe nɔnɔme siwo ƒe dome wonyi siwo hea alɔ̃dɔdɔ vɛ hã afia.

Nu vevitɔ kekeake le alɔ̃madɔmadɔ si wokpɔna le teƒe ɖeka didi me enye be woadi teƒe si tututu alɔ̃madɔmadɔa dzea egɔme tsoe (teƒe si wotsia dzi ɖo) . Teƒe sia didi nye kpekpeɖeŋu gã aɖe le atikewɔwɔ me.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Dodokpɔ geɖe li siwo woate ŋu awɔ le alɔ̃madɔmadɔ ƒe nɔnɔme me:

• Ʋudodokpɔ: Esiawo léa ŋku ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ kple ʋu ƒe dɔwɔwɔ ƒe masɔmasɔ, dɔlélenutsiŋutete ƒe kuxiwo, aɖinuwo, kple atike siwo wonana na alɔ̃dɔdɔ ƒe agbɔsɔsɔ ŋu.
• Electroencephalogram (EEG): Dodokpɔ si dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ.
• Video-EEG ƒe ŋkuléle ɖe nu ŋu.
• Magnetic Resonance Imaging (MRI): Eɖea ahɔhɔ̃a ƒe foto tsitotsito.
• Positron Emission Tomography (PET) ƒe fotoɖeɖefia.
• Ictal Single-Photon Emission Computed Tomography (SPECT) ƒe fotoɖeɖefia si me woɖea foto ɖeka le.
• Magnetoencephalography (MEG) ƒe dɔwɔwɔ ŋuti numekuku.
• Intracranial EEG monitoring: Dodokpɔ si me wotsɔa elektrikŋusẽnamɔ̃wo dea ahɔhɔ̃a me, ɣeaɖewoɣi le amekoko vɔ megbe.
• Akɔta me toto: Wowɔa esia ne ɖɔktaa susui be dɔlékui alo dɔlélenutsiŋutete ƒe dɔléle aɖe gbɔe asrãdɔa tso.

Ðɔktawo ate ŋu aɖo aɖaŋu hã be woawɔ dodokpɔ bubuwo atsɔ akpɔ abi, nugbegblẽ le ame ŋu, alo kuxi siwo dona tso alɔ̃dɔdɔ me hã. Wò ɖɔktae nye ame nyuitɔ kekeake si agblɔ dodokpɔ siwo nyo na wò kple nusita wole wo wɔm na wò.

Aleke wowɔa atike na alɔ̃madɔmadɔ siwo le teƒe ɖeka? Ðe woate ŋu ada gbe le wo ŋua?

Wodzea alɔ̃madɔmadɔ siwo le teƒe ɖeka ƒe dɔlélewo didi kple wo dada gɔme kple enyanya nenye be wodo dziku na wo alo womedo dziku na wo o. Ne anya wɔ la, nusi gbɔ alɔ̃madɔmadɔ si wodo dziku tsona la dada ate ŋu akpe ɖe ame ŋu wòatɔ te alɔ̃madɔmadɔa . Ne womate ŋu ada nusi gbɔ wòtso o la, zi geɖe la, ɖɔktawo daa aɖuɖɔtoeawo be woaɖe woƒe sesẽ alo zi gbɔ zi geɖe dzi akpɔtɔ.

Ne èxɔ alɔ̃madɔmadɔ gbãtɔ si womenya o , eye mèle afɔku gã aɖe me be bubu nadze ŋuwò o la, zi geɖe la, ɖɔktawo mekafua atikewɔwɔ na wò o. Gake ne èle afɔku gã aɖe me, alo èxɔ alɔ̃madɔmadɔ si womenya o va yi la, ɖɔktawo ate ŋu akpɔe be asrãdɔ le ŋuwò eye woaɖo aɖaŋu na wò be nàdze atikewɔwɔ gɔme.

Atike alo atike ka ƒomevie wozãna?

Atikewɔwɔ na alɔ̃madɔmadɔ le teƒe ɖeka la to vovo ŋutɔ. Le alɔ̃madɔmadɔ siwo ŋu nusi gbɔ wòtso gome la, ɣesiaɣi kloe la, atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Atikewɔwɔ na alɔ̃madɔmadɔ si womeʋã o kple esi me asrãdɔ le nɔ te ɖe alɔ̃madɔmadɔ ƒomevi, nusi gbɔ alɔ̃madɔmadɔa tso, kple atikewɔmɔnu siwo wɔa dɔ nyuie wu dzi.

Atike vovovowo li woate ŋu azã na alɔ̃madɔmadɔ si asrãdɔ hena vɛ:

• Atikewo: Tsɔ kpe ɖe atike siwo dzudzɔa alɔ̃madɔmadɔ ne edzɔ ŋu la, atike aɖewo hã li siwo ate ŋu axe mɔ ɖe alɔ̃madɔmadɔ nu alo aɖe eƒe dzidziɖedzi dzi akpɔtɔ. Wodoa ɖewo to ʋuka me (IV) ne alɔ̃madɔmadɔ aɖe dzɔ. Wonoa bubuwo abe atikekui ene gbesiagbe.
• Nuɖuɖu ƒe tɔtrɔ: Nuɖuɖu siwo me carbohydrate mesɔ gbɔ ɖo o alo esiwo me carbohydrate mele o (e.g., ketogenic) ate ŋu atɔ te asrãdɔ ƒe alɔ̃madɔmadɔ keŋkeŋ ɣeaɖewoɣi alo aɖe woƒe dzidziɖedzi dzi akpɔtɔ.
• Amekoko: Ɣeaɖewoɣi la, amekoko ate ŋu atɔ te alɔ̃madɔmadɔ ne woɖe ahɔhɔ̃a ƒe akpa si ŋu dɔlélea le ɖa alo ɖee ɖe vovo tso ahɔhɔ̃a ƒe akpa bubuwo gbɔ.
• Vagal Nerve Stimulation (VNS): Elektrikŋusẽ ƒe ʋuʋu vagus nerve si le ahɔhɔ̃a ƒe miame, si do ƒome kple ahɔhɔ̃a tẽ la ate ŋu aɖe alɔ̃madɔmadɔ dzi akpɔtɔ.
• Responsive Neurostimulation (RNS): Esia lɔ mɔ̃ aɖe si dea dzesi asrãdɔ ƒe dɔwɔwɔ le wò ahɔhɔ̃ me eye wòtsɔa elektrikŋusẽ yia wò ahɔhɔ̃ ƒe akpa si le dɔa hem vɛ tẽ. RNS-mɔ̃ sia ate ŋu aɖe wò alɔ̃madɔmadɔ dzi akpɔtɔ le ɣeyiɣi aɖe megbe.
• Deep Brain Stimulation (DBS): Dɔdamɔnu sia bia be woatsɔ ka abla mɔ̃ aɖe ɖe ahɔhɔ̃a ƒe akpa aɖe koŋ ŋu. Mɔ̃a naa elektrikŋusẽ fafɛ aɖe si gblẽa elektrikŋusẽ si dona le alɔ̃dɔdɔ me.

Nukawoe nye atikewɔwɔa ƒe kuxiwo/nugbegblẽ le ame ŋu?

Kuxi siwo dona tso alɔ̃madɔmadɔ ƒe atikewɔwɔ me nɔ te ɖe nusi gbɔ wòtso, alɔ̃dɔdɔ ƒe ƒomevi, kple nu bubu geɖe dzi. Wò ɖɔktae nye ame nyuitɔ kekeake si agblɔ nusi nàkpɔ mɔ na, ​​alo nusi nàkpɔ mɔ na na wò, elabena ate ŋu ana nyatakaka siwo ku ɖe wò nɔnɔme tɔxɛa ŋu koŋ wò.

Aleke malé be na ɖokuinye/akpɔ dzesiwo gbɔe?

Mele be nàdze agbagba akpɔ dɔléle si nye focal seizure le ɖokuiwò si alo adae o . Zi geɖe la, alɔ̃madɔmadɔ nyea ahɔhɔ̃medɔ sesẽ aɖe ƒe dzesi. Ne wò ŋutɔ alo wò lɔlɔ̃tɔ aɖe ƒe lãme gbã zi gbãtɔ la, yi ɖɔkta gbɔ kaba ale si nàte ŋui. Wò ɖɔkta agblɔ dzesi alo eƒe ŋusẽkpɔɖeamedzi siwo wòle be nàdi atikewɔla ne asrãdɔ le ŋuwò.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ɣeyiɣi si nàhaya la nɔ te ɖe alɔ̃madɔmadɔ si ƒomevi nèxɔ kple atike si woawɔ na wò dzi. Wò ɖɔkta agblɔ nusi nàkpɔ mɔ na, ​​ɣeyiɣi didi si wòaxɔ hafi nàhaya, kple ɣeyiɣi si nàdze egɔme adze lãme na wò.

Aleke mawɔ aɖe nye afɔkua dzi akpɔtɔ? Ðe woate ŋu axe mɔ ɖe alɔ̃madɔmadɔ siwo le teƒe ɖeka nua?

Amesiame le afɔku me be wòaxɔ alɔ̃dɔdɔ, eye manya wɔ be woagblɔ ɣeyiɣi si wòadzɔ o. Eyata manya wɔ be woaxe mɔ ɖe wo nu keŋkeŋ o. Nu nyuitɔ si nàte ŋu awɔe nye be nàɖe mɔnukpɔkpɔ si li be nàxɔ alɔ̃dɔdɔ dzi akpɔtɔ to asaƒoƒo na nusiwo ate ŋu aʋãe me.

Afɔ vevi aɖewo li nàte ŋu aɖe atsɔ aɖe afɔku si le wò alɔ̃dɔdɔ me dzi akpɔtɔ:

• Ðu nuɖuɖu si da sɔ eye nàlé wò lolo si naa lãmesẽ me ɖe asi. Nɔnɔme geɖe siwo do ƒome kple wò ʋu ƒe sisi kple dzi ate ŋu agblẽ nu le wò ahɔhɔ̃ ƒe akpa aɖewo ŋu. Ʋusɔgbɔdɔ kple nɔnɔme siwo do ƒome kplii do ƒome vevie kple alɔ̃madɔmadɔ le teƒe ɖeka.
• Mègaŋe aɖaba ƒu dɔlékuiwo dzi o. Ele be woada ŋku kple to me dɔlékuiwo kaba. Ne dɔlékui siawo kaka ɖe ahɔhɔ̃a me la, ate ŋu ana ame naxɔ alɔ̃. Dɔlékuiwo ate ŋu ana asrã sesẽ hã nadze ame dzi, si ate ŋu ana ame naxɔ alɔ̃ hã.
• Do dedienɔnɔ ƒe nuzazãwo. Ta ƒe abixɔxɔ nye nu vevi aɖe si hea alɔ̃madɔmadɔ siwo le teƒe ɖeka vɛ. Dedienɔnɔ ƒe nuzazãwo dodo ɣesiaɣi si wòhiã ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe ahɔhɔ̃a ƒe gbegblẽ si ate ŋu ana ame ƒe susu nadze ame ŋu alo ana wòadzɔ le etsɔme la nu. Kpɔɖeŋuwo: gakukuwo, zikpuimekawo.
• Dzra wò lãmesẽnyawo ɖo. Nɔnɔme siwo nɔa anyi didi dzi kpɔkpɔ ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe alɔ̃madɔmadɔ nu, vevietɔ alɔ̃madɔmadɔ siwo do ƒome kple sukli ƒe agbɔsɔsɔ le ʋu me le suklidɔ ta (suklidɔ Ƒomevi 1 alo suklidɔ Ƒomevi 2).

Nukae wòle be makpɔ mɔ na ne alɔ̃madɔmadɔ ɖeka alo esi wu nenema le ŋunye?

Ame geɖe siwo xɔ woƒe focal seizure gbãtɔ ate ŋu axɔ focal seizure bubu evɔ womenya nusi gbɔ wòtso o. Eya ta ele vevie be nàƒo nu kple ɖɔkta be woakpɔ dɔlélea ahadae. Ame aɖewo siwo ŋu focal epilepsy le ate ŋu axɔ nɔnɔme aɖe si woyɔna be "atike-tsitretsitsi alo atikewɔwɔ meɖe mɔ na epilepsy." Esia fia be woƒe asrãdɔa mele kpekpeɖeŋu si sɔ xɔm tso atikewo me o. Zi geɖe la, woate ŋu ada asrãdɔ si mete ŋu nɔa te ɖe atikewo nu o to amekoko me. Ele vevie be nàdi mɔfiame tso ɖɔkta si bi ɖe asrãdɔ ƒe amekoko me gbɔ.

Ɣeyiɣi didi kae nɔnɔme sia anɔ ŋunye?

Le alɔ̃madɔmadɔ siwo wodo dziku na me la, afɔku si le wò be nàgaxɔ bubu nɔ te ɖe nusi he gbãtɔa vɛ dzi. Ne woate ŋu ada nusi gbɔ wòtso la, anɔ eme be bubu aɖeke maganɔ ŋuwò o (negbe ɖe nusi gbɔ wòtso la gadze ake ko hafi).

Le alɔ̃madɔmadɔ si womeʋã o gome la, woate ŋu atsɔ atike siwo sɔ siwo tsia alɔ̃madɔmadɔ nu aɖu akpa gãtɔ dzi . Gake ne alɔ̃madɔmadɔ siwo le teƒe ɖeka gakpɔtɔ li la, ele vevie be woadi atike le asrãdɔlélawo ƒe dɔwɔƒe. Ne asrãdɔa nya nu tso ko la, ɖewohĩ màgaxɔ alɔ̃ o le wò agbemeŋkekewo katã me.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ na alɔ̃dɔdɔ le teƒe ɖeka kple asrãdɔ nɔ te ɖe nusi gbɔ wòtso, alesi wòsẽe, kple nenye be atike siwo tsia alɔ̃madɔmadɔ nu kpena ɖe ame ŋu dzi. Le nusianu me la, afɔku mele alɔ̃dɔdɔ le teƒe ɖeka o, gake ate ŋu ade ame ƒe agbe afɔku me, abe tonic-clonic alɔ̃madɔmadɔ ene.Woate ŋu azu afɔku ne wonɔ anyi eteƒe didi alo wova enuenu.

Le akpa gãtɔ me la, nukpɔsusu nyui le alɔ̃madɔmadɔ siwo le teƒe ɖeka ŋu ne wozã atike alo amekoko.

Wò ɖɔktae nye ame nyuitɔ kekeake si nàƒo nu tso alesi alɔ̃dɔdɔ kple asrãdɔ ate ŋu anɔ anyi kple nusi nàte ŋu akpɔ mɔ na ŋu. Ate ŋu ana nyatakaka siwo sɔ ɖe wò nɔnɔme kple nɔnɔmea nu, eye wòafia mɔ wò le nusiwo ate ŋu akpe ɖe ŋuwò le nɔnɔme siawo me ŋu.

Ku kpata si womele mɔ kpɔm na o le asrãdɔ (SUDEP) me .

Ame siwo ŋu asrãdɔ le la le afɔku sue aɖe me be woaxɔ nɔnɔme aɖe si woyɔna be "Ku kpata si womele mɔ kpɔm na o le asrãdɔ me" (SUDEP) . Eŋutinunyalawo xɔe se be dzi ƒe tsotso ƒe kuxiwo alo gbɔgbɔ ƒe kuxiwo gbɔe SUDEP tsona, gake womenya nusi tututu gbɔ wòtso haɖe o.

Le amesiwo ŋu asrãdɔ si wokpɔ nyuie le dome la, ƒe sia ƒe ƒe ku ƒe agbɔsɔsɔme anɔ abe ame ɖeka le 1,000 ɖesiaɖe me ene. Le amesiwo ŋu asrãdɔ si dzi womate ŋu aɖu o dome la, amesiwo kuna ƒe sia ƒe ade ame eve le 1,000 ɖesiaɖe me. Togbɔ be esia nye afɔku sue aɖe hã la, ele vevie be nànyae.

Aleke malé be na ɖokuinye? (Ne wokpɔe be asrãdɔ le ame ŋu) .

Ne èxɔ alɔ̃dɔdɔ zi ɖeka va yi la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo hena dodokpɔ si sɔ. Ne alɔ̃madɔmadɔ yi edzi le fu ɖem na wò la, ele vevie ŋutɔ be nàdi atike le asrãdɔlélawo ƒe dɔwɔƒe si bi ɖe dodokpɔ deŋgɔwo wɔwɔ na amesiwo ŋu asrãdɔ si dzi womate ŋu aɖu o me. Esia le alea elabena, ne èxɔ alɔ̃madɔmadɔ ɣeyiɣi didi aɖe la, wò ahɔhɔ̃ ate ŋu atrɔ, si ana wòanɔ bɔbɔe be alɔ̃dɔdɔ geɖe wu eye wòakpɔ ŋusẽ ɖe wò tamebubu kple ŋkuɖoɖonudzi ƒe ŋutete dzi. Tsɔ kpe ɖe eŋu la, alɔ̃madɔmadɔ si dzi womeɖu o do ƒome kple ahɔhɔ̃medɔ bubuwo abe blanuiléle kple dzimaɖitsitsi ene ƒe afɔku si dzina ɖe edzi. Ne wokpɔ dɔlélea kaba hedae ate ŋu akpe ɖe esia ŋu.

Ne ɖɔkta aɖe kpɔe be asrãdɔ le ŋuwò la, àte ŋu awɔ nusiawo atsɔ akpe ɖe ɖokuiwò ŋu:

• No wò atikeawo abe alesi woŋlɔe na wò ene. Atike siwo wua asrãdɔ ate ŋu aɖe wò alɔ̃madɔmadɔ ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ. Eyata ele vevie be nàno wò atikewo abe alesi woŋlɔe ene. Mele be nàdzudzɔ wò atikewo nono gbeɖe wò ɖɔkta ƒe mɔfiafia kple dzikpɔkpɔ manɔmee o.
• Ðo dze kple wò ɖɔkta tso tiatia siwo nàte ŋu awɔ ŋu. Ne ehiã be nàɖe atikewo dzi akpɔtɔ alo atrɔ wo la, wò ɖɔkta ate ŋu afia mɔ wò le nenye be dɔ ma akpɔ dzidzedze kple alesi nàwɔe dedie ŋu.
• Kpɔ wò ɖɔkta edziedzi. Wò ɖɔkta awɔ ɖoɖo ɖe sasrãkpɔ siwo akplɔe ɖo ŋu. Ɣeyiɣi siawo le vevie elabena wonana wò ɖɔkta te ŋu léa ŋku ɖe wò nɔnɔmea ŋu hetrɔa asi le wò atikewo ŋu.
• Mègaŋe aɖaba ƒu dzesiawo dzi alo aŋe aɖaba aƒu wo dzi o. Zi geɖe la, mɔkpɔkpɔ na alɔ̃madɔmadɔ kple asrã nyona wu ne wokpɔ dɔlélea dze sii hedae kaba.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne alɔ̃madɔmadɔ medze ŋuwò kpɔ oNe wò susu bu zi ɖeka alo wò susu meganɔ nu ŋu o le susu aɖeke manɔmee la, ele be nàyi kɔdzi. Ne èsusu be yele alɔ̃madɔmadɔ lém esime ye ɖeka yele la, yɔ wò ɖɔkta kaba ale si nàte ŋui.

Zi geɖe la, mehiã be amesiwo ŋu asrãdɔ le nayɔ dɔnɔdzikpɔʋu alo ayi kɔdzi le alɔ̃madɔmadɔ megbe o. Gake ne alɔ̃madɔmadɔa na woxɔ abi alo ne alɔ̃madɔmadɔa xɔ ɣeyiɣi didi wu (wu aɖabaƒoƒo eve) , ate ŋu ahiã be woakpɔ wo gbɔ le atikewɔƒe.

Alɔ̃madɔmadɔ le teƒe ɖeka ate ŋu ahe dzesi vovovowo vɛ. Wo dometɔ geɖe, ne mèto wo me kpɔ o la, ate ŋu atɔtɔ alo ado vɔvɔ̃ na ame. Alɔ̃madɔmadɔ siawo bɔ ɖe ɖeviwo me, eye woate ŋu ado vɔvɔ̃ na ɖeviwo kple dzilawo siaa. Gake zi geɖe la, alɔ̃madɔmadɔ le teƒe ɖeka kple asrãdɔ nyea nɔnɔme siwo woate ŋu ada. Zi geɖe la, ɖevi siwo ŋu asrãdɔ si woyɔna be focal epilepsy le la tsina wu nɔnɔmea ne wole tsitsim eye womegaxɔa alɔ̃madɔmadɔ o le woƒe agbemeŋkekewo katã me. Ame tsitsiwo ate ŋu anɔ agbe kple alɔ̃madɔmadɔ kple asrãdɔ hã, eye ne wowɔ atike na ame geɖe eye wokpɔ wo dzi la, woate ŋu anɔ agbe kple ŋusẽ sue aɖe ko tso woƒe nɔnɔmea gbɔ.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

• Focal seizure nye elektrikŋusẽ ƒe dzidziɖedzi kpata si dzea egɔme tso ahɔhɔ̃a ƒe akpa aɖe koŋ.
• Dzesiwo ateŋu ato vovo ŋutɔ le afisi ahɔhɔ̃a me wògblẽ nu le nu (abe ʋuʋudedi, ʋeʋẽ/gbeɖiɖi wɔnukuwo, seselelãme ƒe tɔtrɔ, susu ƒe dɔwɔwɔ ene).
• Aura ate ŋu anye nuxlɔ̃amedzesi si nèsena le ɖokuiwò me hafi alɔ̃dɔdɔ.
• Ne wò alo viwòa xɔ alɔ̃dɔdɔ zi gbãtɔ la, kpɔ egbɔ be yeyi ɖɔkta gbɔ .
• Zi geɖe la, woate ŋu atsɔ atikewo kple amekoko ɣeaɖewoɣi aɖu alɔ̃madɔmadɔ si le teƒe ɖeka kple asrãdɔ dzi.
• Ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi nyuie eye nàno wò atikewo abe alesi wogblɔe ene.
• Mègatsi dzi o, àte ŋu anɔ agbe kple nɔnɔme siawo dzidzedzetɔe. Menye wò ɖeka koe o, xɔ kpekpeɖeŋu.

` Focal seizures, asrã, ʋuʋudedi, ahɔhɔ̃medɔlélewo, ahɔhɔ̃medɔlélewo, alɔ̃madɔmadɔ ƒe dzesiwo, alɔ̃madɔmadɔ ƒe atikewɔwɔ