Ðe nèsena le ɖokuiwò me be yemate ŋu aɖu yeƒe ŋutilã ƒe ʋuʋu aɖewo dzi oa? Mina míaƒo nu tso Functional Movement Disorder ŋu.

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe alɔ, afɔ, alo yeƒe ŋutilã ƒe akpa bubu aɖe le ʋuʋum le mɔ si mèdi o nua? Ate ŋu anye ʋuʋu, ʋuʋu, alo ʋuʋu. Enye nusi sɔ be nàse le ɖokuiwò me be vɔvɔ̃ kple dzimaɖitsitsi vevie ne mète ŋu ɖu nusiawo dzi ŋutɔŋutɔ o. Egbea míele nu ƒom tso nɔnɔme ɖeka si ate ŋu ahe dzesi siawo vɛ ŋu. Emae nye dɔwɔwɔ ƒe ʋuʋu ƒe kuxi, alo `(Dɔwɔwɔ ƒe ʋuʋu ƒe kuxi - FMD)` .

Nukae Nye Dɔwɔwɔ ƒe Ʋuʋu ƒe Dɔléle (FMD)? Mina míase egɔme bɔbɔe!

Kpuie ko la, FMD nye dɔléle si le alesi wò ahɔhɔ̃ kpɔa wò ŋutilã ƒe ʋuʋu dzii me. Ne míagblɔe tututu la, kuxi aɖe le alesi wò ahɔhɔ̃ ɖoa gbedasiwo ɖa hexɔa woe ŋu. Esia hea ʋuʋu le lɔlɔ̃nu faa me (si woyɔna be ʋuʋu le lɔlɔ̃nu faa me) si dzi màte ŋu aɖu o vɛ. Kpɔɖeŋu aɖewoe nye ʋuʋudedi, ʋuʋudedi, ʋuʋudedi, lãmekawo ƒe sesẽ, kple azɔlizɔzɔ sesẽ.

Nu vevitɔe nye be menye wò ahɔhɔ̃, wò aklã, alo lãmekawo ƒe nugbegblẽ le ŋutilã ŋu gbɔe ʋuʋu siawo siwo mesɔ o tsona o . Le nyateƒe me la, zi geɖe la, ahɔhɔ̃mekadodo kple ʋudodokpɔ meɖea nusi mesɔ o fiana o. Ke hã, ema mefia be kuxi aɖeke mele ŋuwò o, alo be nɔnɔmea menye nu ŋutɔŋutɔ o. Kuxia le alesi wò ahɔhɔ̃ wɔa dzesi siwo do ƒome kple ʋuʋu ŋudɔe me .

Bu eŋu kpɔ, kɔmpiuta aɖe li si wɔa dɔ nyuie eye vodada aɖeke mele eŋu o. Gake kɔmpiutaa mewɔa dɔ nyuie o le kuxi sue aɖe si le kɔmpiutadziɖoɖoa me ta. Ŋutilã ƒe akpawo nyo, gake kuxi sue aɖe le mɔ̃ si dzi wokpɔna la me.

Dɔwɔwɔ ƒe ʋuʋu ƒe dɔléle nye Functional Neurological Disorders (FND) ƒe hatsotso gãtɔ ƒe hatsotso sue aɖe .

Nukawoe nye FMD ƒe dzesiwo?

FMD ƒe dzesi vevitɔe nye ʋuʋu si mesɔ o si nèsena le ɖokuiwò me be yemate ŋu aɖu o. Ðewohĩ ʋuʋu ƒomevi ɖeka koe le asiwò, alo ʋuʋu ƒe kuxi vovovowo ƒe ƒuƒoƒo ate ŋu anɔ ŋuwò.

FMD ƒe ʋuʋu siwo bɔ wu dometɔ aɖewoe nye esi:

• Ʋuʋu abe dystonia ene: Esiae nye esime lãmekawo ƒoa ƒu le mɔ si mesɔ o nu. Ðewohĩ ànɔ ʋuʋum enuenu, si atrɔ wò ŋutilã. Zi geɖe la, vevesese kpena ɖe nusiawo ŋu. Le kpɔɖeŋu me, wò asibidɛwo ƒoƒo, wò afɔkpodziwo bɔbɔ ɖe eme, alo wò mo ƒe lãmekawo ʋuʋu.
• Azɔlizɔzɔ kple dadasɔ ƒe nyawo: Azɔlizɔzɔ fia alesi nèzɔnae. Esia ate ŋu alɔ azɔlizɔzɔ ƒe kuxi vovovowo ɖe eme. Le kpɔɖeŋu me, ame aɖewo ate ŋu azɔ kple azɔlizɔzɔ si me ŋuɖɔɖɔɖo le ŋutɔ, "abe azɔlizɔzɔ le tsikpe dzi ene," ame bubuwo ate ŋu ahe woƒe afɔwo, eye bubuwo ate ŋu abɔbɔ klo ko.
• Ʋuʋudedi alo ʋuʋu si le abe myoclonus ene:Esiawo nye lãmekawo ƒe ʋuʋu si mesɔ o kpata kple ɣeyiɣi kpui aɖe. Kpɔɖeŋu aɖewoe nye ta, kɔ, akɔta, abɔwo, alo afɔwo ƒe ʋuʋu.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ: Àte ŋu akpɔ lãmekawo ƒe gbɔdzɔgbɔdzɔ le wò mo, alɔnu, alo afɔ ŋu si ate ŋu ava eye wòadzo le ɣeyiɣi aɖe megbe. Esia fia be gbɔdzɔgbɔdzɔa ate ŋu ava eye wòadzo.
• Ʋuʋudedi alo ʋuʋu: Ʋuʋudedi nye ʋuʋudedi si ate ŋu adzɔ le ŋutilã ƒe akpa ɖesiaɖe, abe ta, abɔ, alo afɔ ene. Esiae nye FMD ƒe dzesi si bɔ wu .

Ʋuʋu ƒe dzesiwo hã li siwo womekpɔna fũ o:

• Ʋuʋu abe chorea ene: Esia ate ŋu ana nàse le ɖokuiwò me abe ɖe nèle ɣe ɖum, le ʋuʋum, alo ɖeko nèle avu wɔm ene.
• Ʋuʋu abe Parkinson ƒe dɔléle ene: Le esia me la, woate ŋu akpɔe be ʋuʋu yia edzi vivivi.
• Ʋuʋu si le abe tik ene: Esiawo nye ʋuʋu kabakaba, si gbugbɔna yia edzi, si me lãmeka suewo ƒe ƒuƒoƒowo le.

Dzesi bubuwo li siwo dzena zi geɖe le FMD ŋu:

• Ahɔhɔ̃ me fuɖename: Sese le eɖokui me be yeƒe susu tɔtɔ eye yeƒe ta me mekɔ o.
• Ðeɖiteameŋu: Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi.
• Taɖuame: Taɖuame sesẽ.
• Vevesese: Vevesese le ŋutilã ƒe akpa vovovowo.
• Alɔ̃dɔdɔ ŋuti nyawo: Alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ.

Ðewohĩ menye FMD gbɔe nusiawo tso tẽ o, gake zi geɖe la, wokpɔa dzesi siawo le nɔnɔme sia ŋu.

Le ame geɖe gome la, dzesiawo dzea egɔme kpata . Esia fia be dzesiawo nu sẽna kabakaba. Gake le ame aɖewo gome la, dzesiawo ate ŋu anɔ teƒe ɖeka. Esia fia be dzesiawo ate ŋu atrɔ vivivi alo atrɔ le ɣeyiɣi aɖe megbe.

Nukawoe hea FMD vɛ?

Woxɔe se fifia be nu vevitɔ si hea dɔwɔwɔ ƒe ʋuʋu ƒe kuxi vɛ enye ahɔhɔ̃a ƒe kadodo siwo kpɔa ʋuʋu dzi ƒe dɔmawɔmawɔ nyuie . Ahɔhɔ̃a ƒe dɔwɔwɔ ƒe fotoɖeɖe ɖee fia be ahɔhɔ̃a ƒe akpa aɖewo va nɔa dɔ wɔm akpa alo womewɔa dɔ nyuie o, ne amea le ɖiɖim ɖe eme kple ne ele dɔ aɖewo wɔm siaa.

Net vevi ɖeka li si woyɔna be "self-agency" network. Esiae nana nèsena le ɖokuiwò me be yekpɔ ŋusẽ ɖe yeƒe ʋuʋu dzi. Numekukuwo ɖee fia be ɖewohĩ kadodo sia mele dɔ wɔm nyuie le amesiwo ŋu FMD le gome o. Esia tae nèsena le ɖokuiwò me be yemate ŋu akpɔ ŋusẽ aɖeke ɖe yeƒe ʋuʋu dzi o, togbɔ be adze abe ɖe wòlɔ̃ faa ene hã.

Tsɔ kpe ɖe eŋu la, ahɔhɔ̃meka siwo kpɔa ŋusẽ ɖe seselelãmewo, nukpɔkpɔ, kple seselelãmewo gɔmesese dzi hã ate ŋu akpɔ gome le eme.

Nukawoe nye nusiwo ate ŋu ahe FMD ƒe dzesiwo vɛ?

``Nu siwo ʋãa ame`` nye nudzɔdzɔwo alo nɔnɔme siwo me nuteɖeamedzi le siwo hea FMD ƒe dzesiwo vɛ alo gagblẽa wo ɖe edzi. Esiawo ate ŋu anye:

• Nuveviwɔame sue aɖe, dɔléle, amekoko, alo ŋutilã me nuveviwɔame.
• Nuteɖeamedzi vevi aɖe le agbe me, abe ame vevi aɖe ƒe ku, nyaƒoɖeamenu le dɔwɔƒe, alo seselelãme ƒe fuɖename sesẽ ene.
• Tɔtrɔ gã aɖe le nutoa me, amewo dome masɔmasɔwo, alo agbanɔamedzi siwo gbɔ eme.

Nu siwo gbɔna ate ŋu ana dzesiawo dada nasesẽ eye wòana FMD nazu nusi nɔa anyi didi:

• Wò ahɔhɔ̃ "srɔ̃a" ʋuʋu ƒe ɖoɖo si mebɔ o. Esia tae ʋuʋua ate ŋu ayi edzi ne nusi aʋãe la megali o gɔ̃ hã.
• Vɔvɔ̃ na ʋuʋu. Esia wɔnɛ be woƒoa asa na ʋuʋu, nuteɖeamedzi dzina ɖe edzi, eye nuwɔametɔnyenye gagblẽna ɖe edzi.
• Kpekpeɖeŋu si tso ƒometɔwo alo lãmesẽdɔwɔlawo gbɔ ƒe anyimanɔmanɔ. Esia ate ŋu ana ame natsi akogo eye mɔkpɔkpɔ bu ɖee.
• Kakaɖedzimanɔamesi le wò dɔléle si wokpɔ ŋu, atikewɔwɔ me dodokpɔwo wɔwɔ enuenu, alo dɔléle bubuwo yometiti tsɔ wu be nàde atikewɔƒe.
• Nuwo abe nya siwo wotsɔ ɖe ame ŋu le ʋɔnu, nuwɔametɔwo ƒe nyawo, alo dɔwɔlawo ƒe fexexe ƒe nyawo ene ate ŋu ahe nuteɖeamedzi bubuwo vɛ eye wòana nàbu dɔlélea ŋu zi geɖe.

Menye nu ɖeka aɖe gbɔe dzesiawo tsona o, ke boŋ nu vovovowo gbɔe wòtsona . Gɔmesese sia fiaa mɔ atikewɔwɔmɔnu siwo léa ŋku ɖe hehenana, gbugbɔgaɖɔɖo, susuŋutinunya ƒe kpekpeɖeŋu, kple agbenɔnɔ ƒe tɔtrɔ ŋu be woaɖe dzesiawo dzi akpɔtɔ eye wòana wò nyonyo bliboa nanyo ɖe edzi.

Nukawoe nye nusiwo ate ŋu ana woaxɔ FMD?

FMD bɔ ɖe ame tsitsiwo me wu, anɔ abe ƒe 40. Gake ate ŋu adze ame sia ame dzi, ɖeviwo hã le eme.

Afɔku si le FMD xɔxɔ me lolo wu ne nusiwo gbɔna le eme:

• Taɖuame, vevesese atraɖii, alo lãmekawo ƒe dɔwɔwɔ fũ akpa ƒe amesinɔnɔ.
• Dzimaɖitsitsi, blanuiléle, alo nudzɔdzɔ dziŋɔwo me toto va yi.
• Nuteɖeamedzi sesẽwo ƒe amesinɔnɔ le ɖevime, ɖevimenɔɣi gbegblẽ, alo seselelãme ƒe kpekpeɖeŋu maxɔmaxɔ.

Aleke ɖɔktawo wɔa dea dzesi FMD?

Lãmesẽdɔwɔla (ɖɔkta) abia wò dzesiwo kple atikewɔwɔ ŋutinya gbã. Emegbe woawɔ ŋutilãmedɔ kple ahɔhɔ̃mekawo dodokpɔ. Le ahɔhɔ̃mekawo ƒe dodokpɔa me la, woate ŋu alé ŋku ɖe nuwo abe wò susu ƒe dɔwɔwɔ, nuwɔwɔ aduadu, lãmekawo ƒe ŋusẽ, lãmekawo ƒe ʋuʋu, azɔlizɔzɔ, kple ŋutete be nàʋuʋu ene ŋu.

Mɔ vevitɔ si dzi ɖɔktawo tona dea dzesi FMD enye be woadi dzesi tɔxɛ siwo le etɔxɛ na FMD eye womekpɔnɛ le ahɔhɔ̃medɔ bubuwo me o, le ŋutilã kple ahɔhɔ̃mekadodokpɔ me . Dzesi siawo na ɖɔktawo te ŋu ɖoa kpe dɔlélea dzi evɔ mehiã be woado wo kpɔ vevie o.

Aleke wowɔa atike na FMD?

Esi wònye be FMD megblẽa nu le ahɔhɔ̃a ŋu tegbee o ta la, ŋutete le wò ahɔhɔ̃ ŋu be "wòagasrɔ̃" ʋuʋu.Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye be woaɖe dzesiwo dzi akpɔtɔ, woana dɔwɔwɔ nanyo ɖe edzi, eye woana agbenɔnɔ nanyo ɖe edzi.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo gbɔna na FMD:

• Lãmesẽfefe: Esia ku ɖe ʋuʋu dzi ɖuɖu, dadasɔ nanyo ɖe edzi, kple ʋuʋu si mesɔ o dzi ɖeɖe kpɔtɔ ŋu.
• Dɔwɔwɔ ƒe atikewɔwɔ: Esia kpena ɖe gbesiagbedɔwo abe awudodo, nuɖaɖa, kple nuŋɔŋlɔ ene ŋu.
• Nuƒoƒo ƒe atikewɔwɔ: Ne FMD gblẽ nu le wò nuƒoƒo, nu mimi, alo tamebubu ŋu la, nuƒoƒo ŋuti dɔdamɔnufiala ate ŋu akpe ɖe ŋuwò nàna nusiawo nanyo ɖe edzi.
• Nuteɖeamedzi kple seselelãme dzi ɖuɖu: FMD menye tagbɔdɔ o. Gake nuteɖeamedzi kple dzimaɖitsitsi ate ŋu ana dzesiawo nagagblẽ ɖe edzi alo ana wo dzi ɖuɖu nasesẽ. Nuƒoƒo kple atikewɔla ate ŋu akpe ɖe ŋuwò nàse alesi wò seselelãmewo, tamesusuwo, kple nuwɔnawo le ŋusẽ kpɔm ɖe wò dzesiwo dzii gɔme. Atikewɔwɔ ate ŋu akpe ɖe ŋuwò hã be nàkpɔ nusiawo gbɔ le mɔ nyuitɔ nu.
• Gbesiagbe nuwɔna: Kamedede edziedzi , nuɖuɖu nyuie, kple alɔ̃dɔdɔ nyuie kpena ɖe wò ahɔhɔ̃ ŋu wòwɔa dɔ.
• Ŋugbedodo me nɔnɔ: Yi edzi nànɔ nu siwo nèlɔ̃na la wɔm eye nàzã ɣeyiɣi ɖe ame siwo doa alɔ wò ŋu.
• Atikewo: Atikewo medaa FMD tẽ o. Gake ne nɔnɔme bubuwo abe blanuiléle, dzimaɖitsitsi, kple/alo vevesese atraɖii ene le ŋuwò la, atikewo nono be woatsɔ akpɔ wo gbɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ na dzesi mawo be woagado kplamatse FMD dada o.

Menye atikewɔlawo katãe nya nu tso FMD ŋu o, eyata anyo wu be nàkpɔ atikewɔla si si nuteƒekpɔkpɔ le le FMD dada me.

Ɣeyiɣi didi si woatsɔ ada dɔa toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe ʋuʋu si mesɔ o ƒomevi kple nu bubu siwo le etɔxɛ na wò dzi. Atikewɔwɔ ate ŋu axɔ tso kwasiɖa ʋɛ aɖewo va ɖo ɣleti geɖe, alo ƒe geɖe gɔ̃ hã. Wò lãmesẽnyawo gbɔ kpɔha ana nàkpɔ esia nyuie. Ele vevie ŋutɔ be nàlé wò atikewɔwɔ ƒe ɖoɖoa kple hayahaya ƒe ɖoɖoa me ɖe asi be nu nyuitɔ nado tso eme.

Nukae nye ŋgɔdonya na amesi ŋu FMD le?

Ebɔ be amesiwo ŋu FMD le la ƒe "ŋkeke nyuiwo" kple "ŋkeke vɔ̃wo," alo ɣeyiɣi siwo me dzesiawo dzina ɖe edzi alo dzi ɖena kpɔtɔna.

Numekuku siwo wowɔ tso nusiwo dona tso amesiwo ŋu FMD le me ɣeyiɣi didi ŋu ɖee fia be nu vovovowo do tso eme:

• Ame aɖewo hayana keŋkeŋ.
• Togbɔ be ame bubuwo ate ŋu akpɔ ŋgɔyiyi gã aɖe hã la, dzesiawo ate ŋu agadze ɣeaɖewoɣi kokoko.
• Le ame aɖewo gome la, dzesiawo ate ŋu anɔ anyi togbɔ be wodze agbagba ɖesiaɖe hã.

Nusiwo ate ŋu axe mɔ na dɔyɔyɔe nye:

• Tɔtɔ le wò dɔléle si wokpɔ le ŋuwò ŋu.
• Heheɖemegbe le dɔlélea didi me.
• Kpekpeɖeŋu si tso lɔlɔ̃tɔwo gbɔ ƒe anyimanɔmanɔ.
• Mɔxenu siwo xea mɔ na lãmesẽnyawo gbɔ kpɔkpɔ kple atikewɔwɔ.
• Ðɔkta siwo si nuteƒekpɔkpɔ le le FMD dada me ƒe anyimanɔmanɔ.

Nusiwo nana mɔnukpɔkpɔ si li be atikewɔwɔ nakpɔ dzidzedze dzina ɖe edzi:

• Lãmesẽ nyui ƒe amesinɔnɔ.
• Hadomegbenɔnɔ nyui nɔnɔ.
• Ekpɔkpɔ be atikewɔwɔa wɔa dɔ nyuie.
• Nuteɖeamedzi dzi ɖuɖu ƒe mɔnu nyuiwo zazã.

Eŋutinunyalawo le mɔ kpɔm be ne amewo va nya nu tso FMD ŋu geɖe wu, woɖe ameŋugblẽnyawo dzi kpɔtɔ, eye wova kpɔ atike nyuie wu la, woakpɔ emetsonu nyuitɔwo le etsɔme.

Ne dɔwɔwɔ ƒe ʋuʋu ƒe kuxi aɖe le ŋuwò, alo ne wò ɖɔkta susui be dɔléle aɖe le ŋuwò la, esɔ be nàtɔtɔ ahatsi dzi ɖe nusi wòfia ŋu. Ne seselelãme sesẽwo le ŋuwò le dɔléle si ŋu nèkpɔ dɔlélea le ŋu la, kpɔ egbɔ be yegblɔ wo na wò ɖɔkta. Wò ɖɔkta ƒe dɔe nye be wòakpe ɖe ŋuwò, ke menye be wòadrɔ̃ ʋɔnu wò o . Wò ɖɔkta se wò dzimaɖitsitsiwo kple vɔvɔ̃wo gɔme. Ate ŋu akpe ɖe ŋuwò nàna wò susu naɖe dzi ɖi to toɖoɖo wò, kpekpeɖeŋu nana wò, kple egbɔkpɔnuwo nana me.

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

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe (Functional Movement Disorder - FMD) gɔme nyuie. Nu vevitɔ kekeakee nye:

• FMD nye tɔtrɔ si vaa alesi ahɔhɔ̃a kpɔa ŋutilã ƒe ʋuʋu dzii, eye menye ŋutilã me nugbegblẽ le ahɔhɔ̃ alo lãmekawo ŋu gbɔe wòtsona o.
• Ne ʋudodowo kple ʋudodokpɔwo sɔ hã la, nɔnɔme sia nye nu ŋutɔŋutɔ eye ele be nàlé ŋku ɖe eŋu.
• Togbɔ be woate ŋu ase le wo ɖokui me be womate ŋu aɖu dzesiawo dzi o hã la, ne woda wo nyuie eye wogbugbɔ wo ɖo la, woate ŋu ahaya eye agbenɔnɔ nanyo ɖe edzi .
• Ele vevie be nàlé ŋku ɖe wò seselelãmewo kple nuteɖeamedziwo ŋu, elabena woate ŋu akpɔ ŋusẽ ɖe dzesiawo dzi.
• Menye wò ɖeka koe o . Di kpekpeɖeŋu tso ɖɔktawo, atikewɔlawo, kple wò lɔlɔ̃tɔwo gbɔ. Ðo dze kple wò ɖɔkta tso wò nyabiasewo kple vɔvɔ̃wo ŋu.

Míele mɔ kpɔm be nyatakaka siawo akpe ɖe ŋuwò. Ne dzesi siawo dometɔ aɖe le ŋuwò, alo nèdi be yeanya nu geɖe la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

` Dɔwɔna ƒe ʋuʋu ƒe kuxiwo, FMD, ʋuʋu si dzi womate ŋu aɖu o, ahɔhɔ̃medɔlélewo, kamedede, susu ƒe lãmesẽ, ahɔhɔ̃ ƒe dɔwɔwɔ