Mète ŋu kpɔ nusi gbɔ wò dɔlélea tso oa? Nukae "idiopathic" fia?

Ɣeaɖewoɣi la, ɖɔkta aɖe ate ŋu agblɔ na wò be yewomenya nusi tututu gbɔ wò dɔlélea tso o. Ɣemaɣi la, ɖewohĩ àse le ɖokuiwò me be vɔvɔ̃ kple dzimaɖitsitsi vi aɖe, alo? ‘Nukatae esia dzɔ?’, ‘Nukae mawɔ fifia?’ Nyabiase geɖewo ate ŋu ava susu me na wò. Egbea, míaƒo nu tso nya "Idiopathic" si ɖɔktawo zãna le nɔnɔme mawo tɔgbe me ŋu, kple nusiwo wòle be nànya tso eŋu.

Nukae " idiopathic " fia?

Kpuie ko la, " idiopathic " nye nya si ɖɔktawo zãna tsɔ ɖɔa dɔléle alo nɔnɔme aɖe si womenya nusi gbɔ wòtso o. Esia fia be ne ɖɔkta ayɔe be "idiopathic" ne wote dodokpɔ ɖesiaɖe si woate ŋui kpɔ le wò dzesiwo ŋu eye wogbe nu bubu siwo katã ate ŋu ahe wò dɔlélea vɛ vɔ ko. Dɔléle aɖewo li siwo ƒe ŋkɔ me nya "idiopathic" le. Esia le alea elabena dɔlélea ƒe nɔnɔme tɔxɛ aɖee nye be womate ŋu ake ɖe nusi gbɔ wòtso ŋu o. Le kpɔɖeŋu me, àte ŋu ano ƒunukpeƒedɔ si woyɔna be ``Juvenile Idiopathic Arthritis'' si dzea ɖevi suewo dzi.

Ke ne ɖɔkta yɔ wò dɔlélea be "idiopathic" ya ɖe?

Azɔ tsɔe be wò ɖɔkta gblɔ na wò be womenya nusi gbɔ wò nɔnɔmea tso o, be enye "idiopathic." Enye nusi sɔ be nàse le ɖokuiwò me be vɔvɔ̃ ɖo ye vie. Àte ŋu abu nyawo abe, ‘Aleke mawɔ aɖɔ esia ɖo ne nyemenya nusi gbɔ wòtso o?’, ‘Aleke mewɔ va kpɔ esia?’ ene.

Nu vevitɔe nye be nàƒo nu tso eŋu na wò ɖɔkta. Biae nenye be nu bubu aɖewo li siwo ate ŋu ahe esia vɛ alo nu bubu aɖewo li siwo nèsusu be ate ŋu anye nusiwo gbɔ wòtso. Ɣeaɖewoɣi la, ne dodokpɔ siwo wowɔ le dodokpɔxɔ me alo nɔnɔmetatawo me dodokpɔwo mete ŋu de dzesi nusi tututu gbɔ wòtso o hã la, wò ɖɔkta ate ŋu akpɔ susu aɖe tso wò dzesiwo kple wò atikewɔwɔ ŋutinya me, eye wòagblɔ be, "Oo... esia ate ŋu anye nusi gbɔ wòtso."

Wò ɖɔkta ate ŋu aƒo nu na wò hã tso atikewɔmɔnu siwo nàte ŋu azã ŋu. Le go geɖe me la, ne womenya nusi tututu gbɔ wò dɔlélea tso o hã la, woate ŋu azã atike atsɔ aɖu dzesiawo dzi alo aɖe wo dzi akpɔtɔ. Àte ŋu akpɔ gome le dɔdamɔnu dodokpɔ aɖe hã me, si nye numekuku si wowɔna tsɔ dia atike yeyewo. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàtso nya me le nusi nàwɔ kple alesi nàkpɔ wò dɔlélea gbɔe ŋu.

Dɔléle kawoe woyɔna be "idiopathic"?

Enyo, eyata mina míalé ŋku ɖe dɔléle siawo dometɔ aɖewo siwo dze le "idiopathic" ƒe hatsotso me ŋu azɔ, si fia be womenya nusi gbɔ wòtso o. Ðewohĩ èse nusiawo dometɔ aɖewo ŋkɔ kpɔ.

• Chronic Idiopathic Urticaria: Esia nye ne aɖuɖɔtoewo le wò ŋutigbalẽ ŋu ɣeyiɣi didi aɖe, alo wova yina, gake womate ŋu akpɔ nusi aʋã wò o.
• Diffuse Idiopathic Skeletal Hyperostosis (DISH): Esia hã nye ƒunukpeƒetetedɔ ƒomevi aɖe . Eƒe dzesi enye ƒu ƒe lãkusi yeyewo ƒe tsitsi fũ akpa le ƒuwo me. Esia hea vevesese kple ʋuʋu ƒe kuxiwo vɛ.
• Idiopathic Intracranial Hypertension: Esia nye nɔnɔme si me ahɔhɔ̃mekawo me tsi (CSF) ƒoa ƒu ɖe ahɔhɔ̃a me le mɔ si mesɔ o nu. Esia ate ŋu ana ta naɖu ame vevie eye wòatrɔ ŋkume.
• Idiopathic Pulmonary Fibrosis: Le nɔnɔme sia me la, lãkusia ƒe lãkusiwo xɔa abi eye wòtsia. Esia dzina ɖe edzi vivivi eye wònana gbɔgbɔ sesẽna.
• Idiopathic Scoliosis: Esia nye ne akɔta ƒo xlã axa ɖeka. Womate ŋu ake ɖe nusi gbɔ wòtso ŋu o. Esiae nye ƒunukpeƒetetedɔ ƒomevi si bɔ wu.
• `Juvenile Idiopathic Arthritis`: Esia nye ƒunukpeƒetetedɔ ƒomevi si bɔ wu si dzea ɖeviwo kple sɔhɛ tsitsiwo dzi. Enaa ƒunukpeƒewo vea veve , wovuvuna, eye woƒe lãme ʋuʋuna.
• Ménière ƒe Dɔléle (idiopathic endolymphatic hydrops): Esia nye dɔléle si mebɔ o si gblẽa nu le to ememetɔ ŋu. Ðɔktawo xɔe se be tsi si woyɔna be endolymph, si le to me, si sɔ gbɔ akpa gbɔe dzesiwo abe taɖuame kple tomeʋuʋu ene tsona. Gake womenya nusita tututu tsia ƒoa ƒu ɖo o.

Eyata, numekuku siwo woawɔ le etsɔme ate ŋu ake ɖe nusi gbɔ dɔléle siawo tso ŋu, gake fifia la, ɖɔktawo da wo ɖe hatsotsowo me be "idiopathic."

Dɔléle siwo nyea "idiopathic" zi geɖe, gake ɣeaɖewoɣi la, woate ŋu ake ɖe nusi gbɔ wòtso ŋu.

Azɔ mina míaƒo nu tso dɔléle bubu aɖewo ŋu. Zi geɖe la, esiawo nyea "idiopathic," si fia be womenya nusi gbɔ wòtso o. Gake ɣeyiɣi aɖewo li siwo me ɖɔktawo te ŋu dia nusi koŋ gbɔ dɔléle siawo tsona na ame aɖewo. Na míakpɔ nusi ema nye ɖa.

• Castleman Dɔléle: Esia nye nɔnɔme si me ʋuka siwo me ʋu sina tona la vuvu. Le ame aɖewo gome, vevietɔ amesiwo ƒe nɔnɔme le teƒe vovovowo la, woate ŋu akpɔ nusi gbɔ wòtso. Gake zi geɖe la, enyea nusi me susu mele o.
• `Nyaƒoɖeamenu si sɔ ƒe Hydrocephalus` (NPH):Esia hã nana ahɔhɔ̃mekawo me tsi ƒoa ƒu ɖe ahɔhɔ̃a me. Ɣeaɖewoɣi la, ʋuka si gbagbã le ahɔhɔ̃a me (ahɔhɔ̃ me ʋuka si me ʋu sina tona) alo ahɔhɔ̃ me dɔdzẽ ate ŋu atso esia gbɔ. Ke hã, le ame siwo xɔa NPH ƒe 50% ko me la, nusi gbɔ wòtsona nye "idiopathic".
• Parkinson ƒe Dɔléle: Esia nye dɔléle si me ahɔhɔ̃menugbagbeviwo kuna le vivivi. Ate ŋu anye domenyiŋusẽfianu alo "idiopathic." Ame siwo ade 9 le 10 ɖesiaɖe me siwo xɔe la nye "idiopathic."
• Pericarditis: Esia nye lãkusi si le abe kotoku ene si ƒo xlã dzia (pericardium) ƒe dɔdzẽ. Ate ŋu atso nu vovovowo gbɔ, tso dɔlékuiwo dzi va ɖo akɔta ƒe abixɔxɔ dzi. Gake le go geɖe me la, womate ŋu akpɔ nusi gbɔ wòtso si me kɔ o.
• Aklã me Ʋukawo ƒe Ʋusɔgbɔdɔ (PAH): Ne ʋuka sue siwo le lãkusi me gblẽ la, ʋuka vevi siwo tsɔa ʋu yia lãkusi me (aklã me ʋukawo) ƒe nyaƒoɖeamenu dzina ɖe edzi. Ɣeaɖewoɣi la, ɖɔktawo ate ŋu ake ɖe nusi gbɔ nugbegblẽ sia tso ŋu. Gake zi geɖe la, PAH nyea "idiopathic" nɔnɔme.
• `Uveitis` ( எவையியிட்டு ): Esia nye titina ƒe akpa si le ŋkua me (`uvea`) ƒe dɔdzẽ. Ate ŋu atso nusiwo le abe dɔlékuiwo, ŋku ƒe abixɔxɔ, kple dɔléle siwo dɔlélenutsiŋutete wɔna gbɔ. Gake zi geɖe la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu le dodokpɔwo wɔwɔ vɔ megbe gɔ̃ hã o.

Vovototo kae le "Idiopathic" kple "Occult" dome?

Fifia, ɖewohĩ èse nya bubu kpe ɖe nya "Idiopathic," si nye "Occult" ŋu. Gɔmesese eve le nya eve siawo ŋu. Migana míatɔtɔ wo o, enyoa?

• " Idiopathic " fia, abe alesi míegblɔe va yi ene, be womenya nusi gbɔ wòtso o. Ne wogbe nusiwo katã wonya be etso dɔléle aɖe gbɔ ko hafi ɖɔkta ayɔ dɔléle aɖe be "idiopathic" vɔ.
• "Aɖaŋudzedze" gɔmee nye nusi woɣla alo nusi womekpɔna o . Ðɔktawo zãa nya sia tsɔ fiaa nuwo abe:
• Ne womate ŋu ake ɖe kansa ƒe teƒe gbãtɔ ŋu o: Kansa aɖewo (`Occult primary cancer` alo `cancer of unknown primary`) ate ŋu adze egɔme tso teƒe ɖeka le ŋutilãa me eye woakaka ɖe teƒe bubuwo. Gake ne womete ŋu ke ɖe teƒe gbãtɔa ŋu o la, wogblɔna be "Occult" alo ɣaɣlaƒee wònye.
• Nusiwo womedea dzesii bɔbɔe to dodokpɔwo me o: Le kpɔɖeŋu me, ``Fecal Occult Blood Test'' dia ʋu suesuesue siwo le wò aɖuɖɔ me siwo ŋku dzro ko mate ŋu akpɔ o. Azɔ hã, keklẽŋusẽŋutinunyala aɖewo, siwo wɔa nuwo abe X-ray kple CT scan ene, yɔa kuxi siwo womekpɔna le nɔnɔmetata dodokpɔ ɖeka me o (e.g., ``X-ray'') gake wodzena le bubu me (e.g., ``CT scan'') be "gɔmedzedze."

Èse vovototo si le wo dome gɔmea? "Idiopathic" fia be womenya nusi gbɔ wòtso o. "Occult" gɔmee nye nusi woɣla, menye nusi wokpɔna o.

Mègavɔ̃ o, yi edzi nànɔ mɔ kpɔm!

Míetea mí katã, abe amegbetɔwo ene, be míabia be ‘nukatae?’ ne nane dzɔ, alo? Vevietɔ ne nane dzɔ ɖe míaƒe ŋutilã dzi, ɖe míaƒe lãmesẽ dzi la, esɔ be ‘nukata’ biabia sia nava susu me na mí. Nyabiasewo abe ‘Nukatae nusia dzɔ?’, ‘Nukatae nusia dzɔ ɖe dzinye?’, ‘Aleke mawɔ aɖɔ esia ɖo?’ ene. va susu me na wò.

Eyata, ne èva nya be "idiopathic" nɔnɔme aɖe le ye ŋu la, àte ŋu anɔ susum be, "Oo, mɔ aɖeke meli si dzi woato aɖɔ esia ɖo o," elabena ŋuɖoɖo aɖeke meli na biabia si nye "nukatae?" Gake mègatsi dzi o. Ðɔktawo kple numekulawo le nu yeyewo srɔ̃m tso nɔnɔme siawo siwo womenya nusi gbɔ wòtso o ŋu ɣesiaɣi. Eye, gbesiagbe la, wokpɔa atikewɔmɔnu yeye siwo wɔa dɔ wu.

Míele mɔ kpɔm be ŋuɖoɖo geɖe anɔ mía si etsɔ wu esiwo le mía si egbea. Le ɣeyiɣi sia me la, wò ɖɔkta akpe ɖe ŋuwò nàse wò nɔnɔmea gɔme eye nànɔ anyi nyuie alesi nàte ŋui.

Nu vevitɔ kekeake si míedi be míatsɔ ayi aƒemee tso ŋutinya sia mee nye

Enyo, míeƒo nu geɖe tso "idiopathic" ŋu egbea. Le nyataƒoƒo me la, nu vevi siwo dzi wòle be nàɖo ŋkui dometɔ aɖewoe nye esi:

• "Idiopathic" nye nya si ɖɔktawo zãna ne womete ŋu kpɔ nusi gbɔ dɔléle aɖe tso o. Efia be wò ɖɔkta gbe nu bubu siwo katã wonya be nusiwo gbɔ wòtsona.
• Mègavɔ̃ na hlɔ̃biabia le esi nègblɔ be yemenya nusitae o ta o. Ðo dze kple wò ɖɔkta gaglãa. Bia wò nyawo, eye nàɖe asi le wò vɔvɔ̃ kple ɖikekewo ŋu.
• Le "idiopathic" nɔnɔme geɖewo gɔ̃ hã me la, atikewɔwɔwo li siwo dzi woato aɖu dzesiawo dzi eye woana agbea nanɔ bɔbɔe.
• Atikeŋutinunya le ŋgɔ yim. Nane si womenya nusi gbɔ wòtso egbea o ate ŋu anye nusi gbɔ wòtso etsɔ. Atikewɔmɔnu yeyewo ate ŋu ava. Eyata yi wò mɔkpɔkpɔwo dzi.
• Menye wò ɖeka koe o. Wò ɖɔkta le afima be yeakpe ɖe ŋuwò ahafia mɔ wò.

Eyata, mele mɔ kpɔm be nyatakaka sia ɖe vi na wò. Nɔ lãmesẽ me!

` Idiopathic , idiopathic, dɔléle si womenya nusi gbɔ wòtso o, atike, dzesiwo, lãmesẽ, atikewɔwɔ