Ðe dzesi siawo le viwòa ŋua? Mina míasrɔ̃ nu tso Hypothalamic Hamartoma ŋu!

Ðe viwò suea wɔa nu wɔnuku aɖe ɣeaɖewoɣi, abe ɖe wole nu kom sɛkɛnd ʋɛ aɖewo ko enea? Alo ɖe wole sɔhɛmenɔɣi ƒe dzesiwo ɖem fiaa? Gɔmesese le eŋu be vɔvɔ̃ naɖo ŋuwò vie ne èkpɔ nusiawo. Egbea míele nu ƒom tso ahɔhɔ̃medɔ aɖe si ate ŋu ahe dzesi siawo vɛ ŋu, si mebɔ vie o, gake ele vevie be míanɔ ŋudzɔ.

Eyata nukae nye hypothalamic hamartoma sia?

Kpuie ko la, Hypothalamic Hamartoma (HH) nye dɔdzẽ si dona le hypothalamus, si nye ahɔhɔ̃a ƒe akpa aɖe si le ahɔhɔ̃a ƒe gogloƒe . Gake menye kansae wònye o, si fia be kansa lãmenugbagbeviwo (siwo menye kansa o) mele eme o . Hypothalamus nye nu sue aɖe si ƒe lolome anɔ abe almond ene. Gake ewɔa akpa vevi aɖe ŋutɔ le míaƒe ŋutilã me. Ewɔa dɔ abe ɖoɖowɔla ene le míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ kple lãmekawo dome , eye wòkpena ɖe ame ŋu be homeostasis (dadasɔ) nanɔ ŋutilãa me.

Bu eŋu kpɔ ale, hypothalamus le abe mɔ̃ si dzi wokpɔna le míaƒe ŋutilã me ene. Ekpɔa ŋusẽ ɖe nu siawo dzi:

• Ʋu ƒe sisi
• Ŋutilã ƒe dzoxɔxɔ
• Nyaƒoɖeamenu kple nuteɖeamedzi si míesena le mía ɖokui me
• Dɔwuame kple tsikɔwuame
• Lãmetsiŋusẽ siwo dona tso lãkusi si me ʋu sina tona me
• Alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam

Dɔdzẽ sia, si woyɔna be hypothalamic hematoma , dzea egɔme nɔa wɔwɔm esime vidzĩ gakpɔtɔ le vidzidɔa me (`fugboea tsina`) . Emegbe vivivi la, elolona ɖe edzi ne ahɔhɔ̃a le tsitsim. Akpa nyuitɔ kekeakee nye be mekaka ɖe ahɔhɔ̃a ƒe akpa bubuwo alo ŋutilã ƒe akpa bubuwo o . Zi geɖe la, dɔdzẽ ɖeka koe nɔa anyi, gake ƒã ŋutɔ hafi woate ŋu asɔ gbɔ. Atike nyuiwo li siwo dzi woato aɖu nɔnɔme sia ƒe dzesiwo dzi.

Eyata nukawoe nye hypothalamic hematoma (HH) ƒe nɔnɔme sia ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, gake dzesi vevi ʋɛ aɖewo li siwo woate ŋu akpɔ:

• Ƒewuiwo ƒe tsitsi kaba
• Alɔ̃madɔmadɔ
• Ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesiwo

Nukae nye `Precocious Puberty`?

Nusi dzɔnae nye be míaƒe ahɔhɔ̃ dzea gbɔdɔdɔ ƒe lãmetsiwo dodo gɔme hafi woƒe ɣeyiɣi ɖoɖi. Zi geɖe la , nyɔnuviwo ate ŋu aɖe dzesi siawo afia hafi axɔ ƒe 8 eye ŋutsuviwo ate ŋu axɔ ƒe 9 .

Dzesi siwo nyɔnuviwo ate ŋu akpɔ:

• No ƒe tsitsi
• Taɖa ƒe tsitsi le abɔta kple ame ŋutɔ ƒe teƒewo
• Dzinukpɔkpɔ ƒe gɔmedzedze
• Aklãdɔ

Dzesi siwo ŋutsuviwo ate ŋu akpɔ:

• Gbea ƒe goglome
• Taɖa ƒe tsitsi le mo, abɔta, kple ame ŋutɔ ƒe teƒewo
• Akɔta kple vidzidɔ ƒe lolome
• Aklãdɔ

Bu alesi wòagbã dzi na wò kple viwònyɔnuvi ne wodze tɔtrɔ siawo ɖeɖefia gɔme kaba sã wu wo xɔlɔ̃wo ŋu kpɔ. Eyata ne èkpɔ nane si le abe esia ene la, anyo wu be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui.

Mina míasrɔ̃ nu tso alɔ̃madɔmadɔ hã ŋu.

Ebɔ ŋutɔ hã be asrãdɔ nadzɔ kple nɔnɔme sia. Nusiwo bɔ wu dometɔ ɖekae nye ‘gelastic seizure’ . Esia nye nukoko kpata si dzi womate ŋu aɖu o le susu aɖeke si medze o ta . Elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o le ahɔhɔ̃a me gbɔe wòtsona. Esia ate ŋu anɔ anyi sɛkɛnd ʋɛ aɖewo, gake ate ŋu adzɔ zi geɖe gbesiagbe, alo le nɔnɔme sesẽwo me la, zi geɖe le gaƒoƒo ɖeka me.

Zi geɖe la, asrãdɔ sia ƒomevi dzea egɔme hafi ɖevia xɔ ƒe ɖeka gɔ̃ hã . Gake le ƒe 10 xɔxɔ megbe la, woate ŋu akpɔe be esia ƒe dzɔdzɔ zi geɖe dzi ɖena kpɔtɔna.

Tsɔ kpe ɖe gelatinous epilepsy sia ŋu la, woate ŋu akpɔ asrã ƒomevi bubuwo hã:

• Atonic seizures: Le esia me la, lãmekawo megate ŋu ɖua wo dzi zi ɖeka o, eye àte ŋu adze anyi, abe ɖe ame aɖe ƒo wò ene.
• Dacrystic seizures: Esia nye avifafa ƒe ʋuʋu kpata si dzi womate ŋu aɖu o. Esia dzɔna le susu aɖeke ta o.
• Tonic-clonic seizures: Esiae nye nusi ame geɖe nya be "fit." Ame ƒe tagbɔ buna, eye ŋutilãa ʋuʋuna heʋãna le mɔ si dzi womate ŋu aɖu o nu.

Nukawoe nye ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesiwo?

Nɔnɔme sia si woyɔna be hypothalamic hematoma (HH) ate ŋu akpɔ ŋusẽ ɖe viwòa ƒe nuwɔna, seselelãme, kple susu ƒe dɔwɔwɔ hã dzi . Esia fia be:

• Susu ƒe dɔmawɔmawɔ nyuie/dɔwɔwɔ fũu akpa ƒe dɔléle (ADHD) .
• Agbenɔnɔ ƒe tɔtɔ
• Susu ƒe nuwɔametɔnyenye
• Seselelãme ƒe tɔtrɔ, nɔnɔ ɖeka le ɣeyiɣi vovovowo me (`Mood disorders`) .
• Tsitretsiɖeŋu ƒe dɔléle (tsitretsiɖeŋu ƒe dɔléle) .
• Nuwɔna siwo wɔa nu ɖe ​​ame ŋu (le kpɔɖeŋu me, dzikudodo kabakaba, adãwɔwɔ) .
• Kuxi siwo le ŋkuɖoɖonudzi ɣeyiɣi kpui aɖe me

Abe dzilawo ene la, míetsia dzimaɖi vevie ne ɖevi aɖe ɖe dzesi siawo dometɔ ɖeka alo esi wu nenema fia. Gake ele vevie be míaɖo ŋku edzi be atike siwo atikewɔlawo kafu na esiawo katã li.

Nukawoe nye ʋumenugbagbeviɣidɔ (HH) ƒomevi veviwo?

Hypothalamic hematoma ƒomevi vevi eve li, siwo woda ɖe hatsotsowo me le afisi dɔdzẽa le kple dzesi siwo wòhena vɛ nu :

1. Intrahypothalamic lesion: Le go sia me la, dɔdzẽa le wò hypothalamus ƒe megbe gbɔ. Esia gblẽa elektrikŋusẽ ƒe dɔwɔwɔ me le ahɔhɔ̃a me, si ate ŋu ana ame naxɔ alɔ̃ eye wòawɔ nu si mesɔ o.

2. Parahypothalamic lesion (Abi si wotsɔ abi si wotsɔa abi wɔe - `Parahypothalamic lesion`):Le go sia me la, ƒunukpeƒea te ɖe hypothalamus ƒe ŋgɔgbe ŋu. Zi geɖe la, esia ƒomevi do ƒome kple sɔhɛmenɔɣi ƒe gɔmedzedze.

Gake ɣeaɖewoɣi la, ƒomevi siawo evea siaa ate ŋu anɔ ame ɖeka me le ɣeyiɣi ɖeka me.

Nukatae ʋumenugbagbeviɣidɔ sia (HH) dzɔna? Nuka gbɔe wòtso?

Le nyateƒe me la, eŋutinunyalawo menya nusi tututu hea HH vɛ haɖe o . Eye mɔ aɖeke meli si dzi woato axe mɔ ɖe enu o. Zi geɖe la, nɔnɔmea dzɔna `le vome.' Ema fia be meƒua du le ƒomewo me o . Eyata mɔnukpɔkpɔ si li be nànyi eƒe dome la le sue ŋutɔ.

Gake numekuku siwo wowɔ nyitsɔ laa ɖe domenyiŋusẽfianu si woyɔna be GLI3 ƒe ŋutilã ƒe tɔtrɔ aɖe le dɔdzẽ ƒe lãkusi me tso dɔdzẽ siwo woɖe ɖa me. Wokpɔ domenyiŋusẽfianu ƒe vovototo bubuwo hã le dɔdzẽ siawo siwo woɖe ɖa me. Wole numekuku bubuwo wɔm tso domenyiŋusẽfianu siawo ŋu.

Nu bubue nye be ɖewohĩ kadodo aɖe le ʋumenugbagbeviɣidɔ sia kple domenyiŋusẽfianu ƒe dɔléle aɖe si woyɔna be Pallister-Hall syndrome (PHS) dome . Domenyiŋusẽfianu ƒe tɔtrɔ aɖe gbɔe PHS nɔnɔme sia tsona. Ate ŋu ana asiwo, afɔwo, lãkusi (gbe ƒe aɖaka), kple aɖuɖɔtoe ƒe tsitsi nato vovo.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Nɔnɔme sia ate ŋu agblẽ nu le ame sia ame ŋu. Ebɔ ɖe ŋutsuwo me vie wu . Ðeviwo kple sɔhɛ tsitsiwo koŋue HH gblẽa nu le. Gake le go aɖewo me la, woate ŋu ade dzesi nɔnɔmea o vaseɖe esime dzesiawo dze le ame tsitsi me.

Kuxi kawoe ate ŋu ado tso ʋumenugbagbeviɣidɔ si woyɔna be hypothalamic hematoma (HH) me?

Ðevi ƒe sɔhɛmenɔɣi kaba ate ŋu agblẽ nu le ɖevi ƒe ŋutilã kple susu ƒe lãmesẽ ŋu , vevietɔ ne woƒe ŋutilã trɔ kabakaba wu ɖevi bubu siwo nye woƒe ƒemetɔwo. Le kpɔɖeŋu me, woƒe kɔkɔme ate ŋu anɔ kpuie . Tsɔ kpe ɖe eŋu la, ɖewohĩ ɖevia mate ŋu ase tɔtrɔ siawo gɔme nyuie o. Esia ate ŋu akpɔ ŋusẽ ɖe woƒe bubudede wo ɖokui ŋu kple woƒe seselelãme ƒe nyonyo dzi. Viwòa ƒe atikewɔlawo ƒe ƒuƒoƒo ate ŋu akpe asi ɖe kuxi ɖesiaɖe si ate ŋu ado mo ɖa ŋu.

Aleke wowɔna dea dzesi hypothalamic hematoma (HH) ƒe nɔnɔme sia?

Wò ɖɔkta ate ŋu awɔ nɔnɔmetatawo dodokpɔ geɖe atsɔ aɖo kpe edzi be HH le ame ŋu.

• MRI scan (MRI - Magnetic Resonance Imaging): Esia ate ŋu aɖe wò ahɔhɔ̃ ƒe foto siwo me kɔ ŋutɔ, siwo me kɔ nyuie. Ðewohĩ ahiã be woana atike si naa ame ƒe dzi dzea eme vie ɖevi suewo be woanɔ anyi kpoo le MRI wɔwɔ me. Esia le alea elabena ne woʋuʋu la, nɔnɔmetataawo ate ŋu adze blukɔ. Bu eŋu abe foto si woɖena ene eye ne woʋuʋu la, nɔnɔmetataawo adze blukɔ.

• EEG dodokpɔ (`EEG - Electroencephalogram`): Ne asrãdɔ le ŋuwò la, wò ɖɔkta ate ŋu aɖe gbe hã be woawɔ EEG dodokpɔ. Wowɔa esia be woatsɔ alé ŋku ɖe elektrikŋusẽ ƒe dɔwɔwɔ le wò ahɔhɔ̃ me ŋu . Abe míaƒe dzi ƒe ECG ene la, esia doa ahɔhɔ̃a ƒe dɔwɔwɔ kpɔna.

• Ahɔhɔ̃mekawo ƒe dodokpɔ: Esiawo dzidzea alesi gbegbe susu ƒe kuxiwo abe tamebubu, nusɔsrɔ̃, kple ŋkuɖoɖonudzi ene, keke tae . Wò ɖɔkta ate ŋu awɔ ʋudodokpɔwo hã atsɔ akpɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ. Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nàwɔ ɖoɖo ɖe atikewɔwɔ ŋu.

Ɣeaɖewoɣi la, HH ƒe dzesiwo nyanya ate ŋu asesẽ elabena eƒe dzesiwo ate ŋu asɔ kple ahɔhɔ̃mekawo ƒe dɔléle bubuwo tɔ .

Enyo, eyata nukawoe nye atike siwo woawɔ na esia?

Nya nyuiae nye be atike aɖewo li na dɔléle sia, si nye hypothalamic hematoma (HH). Atikewɔwɔ ƒe mɔnu vevi eve li:

• Atike siwo woatsɔ aɖu sɔhɛmenɔɣi kaba dzi: Esia zãa atikewo ƒe hatsotso aɖe si woyɔna be `Gonadotropin-releasing hormone agonists` . Esiawo wɔa dɔ to lãmetsiŋusẽ ƒe dodo kaba dzi ɖuɖu me, abe alesi míegblɔe va yi ene.
• Amekoko be woatsɔ aɖu asrãdɔ dzi: Mina míaƒo nu tso esia ŋu tsitotsito vie.

Tsɔ kpe ɖe eŋu la, viwòa ƒe ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàna hehexɔxɔ le suku, atikewɔwɔ, alo atike bubu siwo woatsɔ akpɔ seselelãme, nuwɔna, kple susu me kuxiwo gbɔe.

Amekoko kawoe wowɔna na ʋumenugbagbeviɣidɔ si woyɔna be hypothalamic hematoma (HH)?

Be ɖɔkta nate ŋu aɖu alɔ̃madɔmadɔ dzi la, ate ŋu aɖo aɖaŋu be woawɔ dɔ na ame alo awɔ dɔ bubu aɖe atsɔ aɖe ʋumenugbagbeviɣidɔa ɖa alo atsrɔ̃e. Zi geɖe la , atike siwo wua alɔ̃madɔmadɔ mewɔa dɔ na gelastic seizures o . Gake woate ŋu akpe ɖe ame ŋu wòaɖu alɔ̃madɔmadɔ ƒomevi bubuwo dzi.

Azɔ mina míakpɔ nusiwo amekoko siawo ƒomevi nye ɖa:

• Gamma Knife ƒe amekoko: Le nyateƒe me la, esia nye amekoko ƒomevi aɖe, gake enye keklẽŋusẽ ƒe dɔdamɔnu ƒomevi aɖe si wowɔna evɔ wometsoa ŋutigbalẽa o . Etɔxɛe la, ezãa ŋusẽ ƒe keklẽ sesẽwo tsɔ tsrɔ̃a dɔdzẽa.
• Resection (amekoko si woɖena ɖa): Le esia me la, amekola ɖea dɔdzẽa ɖa to taɖua ʋuʋu (tagbɔ ɖeɖe) alo to do sue aɖe wɔwɔ ɖe taɖua me eye wòdea dɔwɔnu sue aɖe si woyɔna be endoscope to eme me.
• Stereotactic laser ablation: Esia mewɔa dɔ boo aɖeke o.Mɔnu aɖe. Laser-kekeli si woɖona to fiber optic ka dzi gblẽa dɔdzẽa.
• Stereotactic thermoablation: Esia hã nye atike si wotsɔna ɖea lãme na ame ƒomevi aɖe. Ezãa dzoxɔxɔ tsɔ daa ʋumenugbagbeviɣidɔa . Amekola aɖe tsɔa nu tsɛwo toa taɖua me dea teƒe si dɔdzẽa le. Emegbe wozãa radio ƒutsotsoewo tsɔ doa dzo na nusiwo wotsɔna dzroa nu me be woatsɔ atsrɔ̃ dɔdzẽa ƒe lãkusi.

Togbɔ be amekokomɔnu siawo aɖi nu sesẽ vie hã la, ɖɔktawo aɖe nusianu me na wò tsitotsito.

Nukae nye ŋgɔdonya si wogblɔ ɖi na hayahaya le nɔnɔme sia me?

Zi geɖe la , nyagblɔɖi (alo nukpɔsusu) na hypothalamic hematoma (HH) nyo , elabena atike nyuiwo li siwo dzi woato aɖu dzesiawo dzi.

Amekoko ate ŋu aɖe alɔ̃madɔmadɔ ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ. Ame aɖewo gakpɔtɔ nyea alɔ̃madɔmadɔ kura le amekoko vɔ megbe . Le go aɖewo me la, ne woate ŋu aɖe ʋumenugbagbeviɣidɔa ɖa dedie eye woaɖee ɖa keŋkeŋ la, woate ŋu ada dɔlélea. Gake afɔku li be alɔ̃madɔmadɔawo nagatrɔ ava.

Abe alesi míegblɔe va yi ene la, atike siwo xea mɔ na lãmetsi aɖewo ƒe dodo ɣleti sia ɣleti ate ŋu akpe ɖe ame ŋu wòaɖu sɔhɛmenɔɣi kaba ƒe dzesiwo dzi. Ne viwòa ɖo ƒe si me sɔhɛmenɔɣi dzɔna le dzɔdzɔme nu la, ɖɔkta ate ŋu adzudzɔ atikeawo zazã. Ðevi kple sɔhɛ akpa gãtɔ ato sɔhɛmenɔɣi kple gbɔdɔdɔ ƒe tsitsi me abe alesi wokpɔ mɔe le ɣeyiɣi sia me ene .

Le viwòa ƒe nɔnɔme nu la, woƒe ɖɔkta ate ŋu ana nyatakaka nyuitɔ kekeake wò.

Ke alesi wotsia agbe ya ɖe?

Ŋutete si le ame si be wòanɔ agbe kple nɔnɔme sia (`agbenɔƒe ƒe didime`) ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi:

• Hematoma tumor ƒe lolome kple eƒe ƒomevi
• Aleke gbegbee asrãdɔa nu sẽna eye wòdzɔna enuenue
• Aleke gbegbee atikewɔwɔa kpɔa dzidzedzee?

Wò ɖɔkta aɖe esia me na wò ne ebu nu siawo katã ŋu vɔ.

Gake afɔku le ku kpata si womele mɔ kpɔm na o le asrãdɔ (SUDEP) me kple ʋumenugbagbeviɣidɔ sia. Eyata wò ɖɔkta akpe ɖe ŋuwò nànɔ dedie eye nàwɔ atikewɔwɔ ƒe ɖoɖo aɖe si dzi nàto aɖu wò asrãdɔ dzi.

Ne dzesi siawo le vinye ŋu la, ɣekaɣie wòle be makpɔ ɖɔkta?

Ne nane si ŋu nètsi dzi ɖo le viwòa ŋu la, wòe nya wo nyuie wu . Eyata mègahe ɖe megbe le ɖɔkta gbɔ yiyi me o, ne nu sue aɖe koe wònye gɔ̃ hã. Lé ŋku ɖe dzesi siawo ŋu vevietɔ:

• Aɖuɖɔtoe ƒe nɔnɔmewo (nukoko, ʋuʋu, anyidzedze) .
• Ƒewuiwo ƒe tsitsi kaba (e.g., ɖa ƒe tsitsi kaba, gbe ƒe gogloƒe) .
• Tɔtrɔ siwo vaa susu, ŋkuɖoɖonudzi, alo nusɔsrɔ̃ ŋutete me
• Nuwɔna ƒe tɔtrɔ (e.g., dzikudodo ɖe nu suewo ta, dzitsitsi) .
• Lãmetsiŋusẽ ƒe masɔmasɔ (e.g., tsikɔwuame fũ, nuɖuɖu ƒe dzodzro ƒe tɔtrɔ, seselelãme ƒe tɔtrɔ kpata) .

Ne ʋumenugbagbeviɣidɔ (HH) le vinye ŋu la, nya kawoe wòle be mabia ɖɔktaa?

Ne ènya nya be HH le viwòa ŋu ko la, àte ŋu abia nya siawo abe esiawo ene ɖɔktaa:

• Atikewɔwɔ ka ƒomevie nèkafu?
• Aleke wòanya wɔe be ahiã be woawɔ dɔ nɛ alo awɔ dɔ nɛ zi geɖe?
• Nukawoe nye atikeawo ƒe nugbegblẽ le ame ŋu?
• Aleke atikewɔwɔ sia akpɔ ŋusẽ ɖe vinyea ƒe gbesiagbedɔwo, sukudɔdasiwo, kple nuwɔna siwo wòwɔna ɖaa dzii?

Enye nusi sɔ be vɔvɔ̃ naɖo wò eye nàtsi dzodzodzoe ne wogblɔ na wò be ahɔhɔ̃ me dɔdzẽ le ŋuwò, ne alɔ̃madɔmadɔ le ŋuwò, alo ne èkpɔ tɔtrɔwo le wò ŋutilã me hafi nètsi. Gake nusi nyo wue nye be atike nyuiwo li woatsɔ akpɔ ʋumenugbagbeviɣidɔ ƒe dzesiwo gbɔ . Ahiã be nànɔ kadodo me kple wò atikewɔlawo ƒe ƒuƒoƒoa. Woakpɔ egbɔ be wò dzesiwo medo kplamatse wò ŋutilã alo susu ƒe lãmesẽ o. Amekoko ate ŋu aɖe wò dzesiawo ƒe dzɔdzɔ zi gbɔ zi geɖe kple woƒe sesẽ dzi akpɔtɔ, eyata ƒo nu kple wò ɖɔkta tso eŋu nenye be ènye ame nyui aɖe si woate ŋu akpɔe.

Eyata nu vevi kawo dzie wòle be míaɖo ŋkui le nusiwo ŋu míeƒo nu tsoe me? (Gbedasi si Wotsɔ Yi Aƒeme)

Hypothalamic hematoma (HH) nye nya si doa vɔvɔ̃ na ame vie, gake ele vevie ŋutɔ be nànyae.

Ðo ŋku edzi be menye kansae nye esia o. Eye esia nye nɔnɔme si dzɔna ne wodzi vidzĩ.

• Nu vevi siwo dzena: Ƒewuimenɔɣi kaba, asrãdɔ ƒomevi vovovowo (vevietɔ ‘Gelastic seizures’), kple nuwɔna/nusɔsrɔ̃ ƒe kuxiwoe nye vevitɔwo.
• Womenya nusi tututu gbɔ wòtso o: Zi geɖe la, esia nyea nusi dzɔna le vome. Ƒã hafi wòanye domenyiŋusẽfianu.
• Dɔdamɔnu nyuiwo li: Atikewɔwɔ nyuiwo li, abe atikewo kple amekoko ene, be woatsɔ aɖu dzesiawo dzi, vevietɔ na asrãdɔ kple sɔhɛmenɔɣi kaba.
• Ele vevie be nàde dzesii kaba: Ne èsusu be dzesi siawo dometɔ aɖe le viwòa ŋu la, yi ɖɔkta gbɔ enumake. Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae emetsonua nyonae.
• Menye wò ɖeka koe o: Esia ate ŋu asesẽ na wò kple viwòa siaa le seselelãme gome. Kpekpeɖeŋu si ɖɔktawo, aɖaŋuɖolawo, kple ƒometɔwo nana la xɔ asi ŋutɔ.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Nuka kee ɖadzɔ o, anyo wu be nàƒo nu kple ɖɔkta ahaxɔ aɖaŋuɖoɖo vɔvɔ̃manɔmee.

` Hypothalamic hematoma, ahɔhɔ̃ me dɔdzẽ, ɖevimenɔɣi ƒe sɔhɛmenɔɣi, asrã, gelatinous epilepsy, lãmetsiŋusẽ ƒe kuxiwo, ahɔhɔ̃ ƒe dɔwɔwɔ