Ðe wò mo ƒe akpa ɖeka ʋuʋuna ɣesiaɣia? Mina míaƒo nu tso Hemifacial Spasm ŋu

Enye nusi sɔ be woaɖe ŋku ɖa ɣeaɖewoɣi. Gake ne èkpɔ be wò mo ƒe akpa ɖeka, abe wò ŋku, ŋgonu, alo nuyi ene, le ʋuʋum le mɔ si dzi womate ŋu aɖu o nu la, ke enye nusi ŋu wòle be nàtsi dzi ɖo. Woyɔa nɔnɔme sia le atikewɔwɔ me be Hemifacial Spasm. Togbɔ be ate ŋu anye nuteƒekpɔkpɔ si ɖea fu na ame vie hã la, atikewɔwɔ nyui aɖe li eyata naneke meli si ŋu woatsi dzi ɖo o. Mina míaƒo nu tso eŋu tsitotsito.

Kpuie ko la, nukae nye Hemifacial Spasm?

Hemifacial Spasm nye ahɔhɔ̃mekawo ƒe dɔléle si nana wò mo ƒe akpa ɖeka ƒe lãmekawo ʋuʋuna enuenu eye màte ŋu aɖu wo dzi o. Esia ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe.

• "Hemifacial" gɔmee nye "mo ƒe afã."
• "Spasm" gɔmee nye "lãmeka ƒe ʋuʋu."

Zi geɖe la, ame tsitsi siwo xɔ tso ƒe 40 va ɖo ƒe 60. Azɔ hã, nyɔnuwo ate ŋu axɔ dɔléle sia abe ŋutsuwo tɔ ene zi gbɔ zi eve.

Woate ŋu ayɔ esia hã be ʋuʋu ƒe kuxi si dzɔna le míaƒe ŋutilã ƒe lãmeka siwo le gota gome.

Ðe mo ƒe akpa eve ƒe ʋuʋu ƒomevi vevi aɖewo lia?

Ẽ, esia ƒomevi vevi eve li, le alesi dzesiawo yia edzii le ɣeyiɣi aɖe megbe nu.

1. Primary Hemifacial Spasm: Le ʋuʋu sia ƒomevi me la, lãmeka siwo ƒo xlã ŋkuawo ƒe ʋuʋu dzea egɔme. Vivivi la, ekakana ɖe mo ƒe akpa si le anyime le ɣleti alo ƒe geɖe gɔ̃ hã me.

2. Secondary Hemifacial Spasm: Le ƒomevi sia me la, mo ƒe akpa si le etame kple ete siaa ƒe ʋuʋu dzea egɔme le ɣeyiɣi ɖeka kloe me. Gbã la, evaa eye wòdzona, gake emegbe la, ate ŋu anɔ anyi ɖaa.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Dzesi vevitɔe nye lãmeka siwo le wò mo ƒe akpa ɖeka ƒe ʋuʋu si dzi màte ŋu aɖu o. Esia bɔ ɖe miame wu ɖusime. Ƒã ŋutɔ be wòadze mo ƒe akpa eveawo dzi.

Alesi dzesiawo dzea egɔme zi geɖe eye woyia ŋgɔe nye esi:

• Edzea egɔme kple ŋkuʋuʋu. Esia va eye wòdzona.
• Le ɣeyiɣi aɖe megbe la, ŋkua ate ŋu atɔ le eɖokui si .
• Eyome, àte ŋu ase le ɖokuiwò me be yeƒe ŋkume le tsitsim le dzɔdzɔme nu .
• Emegbe la, lãmeka siwo le mo ƒe akpa si le anyime hã tea sesẽ. Esia ate ŋu ana nu nahe ɖe axa ɖeka .
• Mlɔeba la, lãmeka siwo le mo ƒe akpa ɖeka ate ŋu akeke tegbee.

Zi geɖe la, ʋuʋudedi siawo mevea ame o. Ke hã, woate ŋu ana wò dzi nadze eme ŋutɔ eye wòado ŋukpe wò ne èle dutoƒo. Nuteɖeamedzi, ɖeɖiteameŋu, nuɖuɖu, kple dzimaɖitsitsi hã ate ŋu ahe wo vɛ.Dzesi siawo ate ŋu agado gã ɖe edzi le ɣeyiɣi siawo tɔgbe me. Ame aɖewo kpɔa ʋuʋudedi siawo ne wole alɔ̃ dɔm gɔ̃ hã , si ate ŋu agblẽ alɔ̃dɔdɔ me.

Dzesi bubuwo

Ame aɖewo ate ŋu akpɔ nu bubuwo tsɔ kpe ɖe dzesi vevi siawo ŋu.

• Gbeɖiɖi "ticking" sese le to me
• To ƒe vevesese
• Tosese ƒe kuxi (vevietɔ evelia) .

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nu vevitɔ si gbɔ mo ƒe akpa eve ƒe ʋuʋu tsonae nye mo ƒe lãmeka (tagbɔ ƒe lãmeka adrelia) si nye lãmeka vevi aɖe si kpɔa mo ƒe ʋuʋu dzi ƒe nyaƒoɖeamenu ɣeyiɣi didi.

Bu nusi adzɔ ne womimi ʋuka aɖe si zɔna ɖe lãmeka vevi sia si kpɔa míaƒe mo ƒe ʋuʋu dzi tututu la ŋu kpɔ? Ele abe kpe si ge ɖe tsi ƒe pɔmpi dzi ene. Emegbe dzesi siwo tso lãmeka ma me la agblẽ. Lãmetsiŋusẽa ƒe ametakpɔnu si wotsɔ tsyɔa nu (`myelin-kplo`) la agblẽ. Le dzesi siawo siwo tɔtɔ ta la, lãmekaawo adze ʋuʋu gɔme le wo ɖokui si.

Esiae nye nu vevitɔ si gbɔ mo ƒe akpa eve ƒe ʋuʋu gbãtɔ tsona .

Secondary Hemifacial Spasm tsoa mo ƒe lãmeka ƒe nyaƒoɖeamenu le atikewɔwɔ ƒe nɔnɔme alo nusi gbɔ wòtso bubu ta gbɔ. Nusiwo gbɔ wòtso dometɔ aɖewoe nye:

• Nuveviwɔame si te ɖe mo ƒe lãmeka ŋu
• Nɔnɔmewo abe Bell ƒe lãmetutudɔ ene
• Nusiwo gblẽ le ahɔhɔ̃meka ŋu le nɔnɔmewo abe lãmekawo ƒe ʋuʋu alo ʋusɔgbɔdɔ ene ta
• Kuxi siwo le ʋuka siwo le ahɔhɔ̃a me ŋu, le kpɔɖeŋu me `brain aneurysms`
• To me dɔlékuiwo abe otitis media ene
• Dɔdzẽ siwo dona le parotid gland me, woɖanye kansa alo esiwo menye kansa o
• Xɔtuɖoɖo ƒe kuxiwo le taɖua ƒe akpa si le anyime

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne dzesi siawo le ŋuwò la, ɖɔkta ado wò ŋutilã kpɔ gbã eye wòado wò ahɔhɔ̃mekawo kpɔ.

Emegbe zi geɖe la, wokafua MRI-dɔdamɔnu be woatsɔ agbe nɔnɔme sesẽ bubu siwo le dzesiawo hem vɛ eye woake ɖe nusi tututu gbɔ mo ƒe akpa eve ƒe ʋuʋu tso ŋu. Le ƒomevi gbãtɔ me la, zi geɖe la, woate ŋu akpɔ ʋuka si le lãmekaa tem la le MRI la dzi.

Ɣeaɖewoɣi la, dzesi siawo ateŋu asɔ kple nɔnɔme bubuwo, abe `blepharospasm` (nɔnɔme si me ŋkumeɖonu koe ʋuʋuna le) alo `complex partial motor seizures` (asixɔxɔ ƒomevi aɖe). Le nɔnɔme mawo me la, ɖɔkta ate ŋu awɔ dodokpɔ aɖe si woyɔna be EMG (Electromyography) hã ne wodi be yewoaɖo kpe nusi tututu wònye dzi.

Nukawoe nye atike siwo wozãna na esia?

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe mo ƒe ʋuʋu zi geɖe kple eƒe sesẽ dzi akpɔtɔ. Atikewɔwɔmɔnu vovovowo li le nusi gbɔ dɔlélea tso kple eƒe sesẽ nu.

Ðe Hemifacial Spasm nye nɔnɔme si me afɔku lea?

Mo ƒe akpa eve ƒe ʋuʋu ŋutɔ menye afɔku le ŋutilã me o. Gake atikewɔwɔ me nɔnɔme si gbɔ wòtsonae nye.(e.g. ahɔhɔ̃ me dɔdzẽ) ate ŋu anye afɔku. Esia tae wòle vevie be nàyi ɖɔkta gbɔ ne dzesiawo dze ko.

Tsɔ kpe ɖe eŋu la, nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe agbenɔnɔ ƒe nyonyome dzi.

• Alɔ̃dɔdɔ ƒe tɔtɔ
• Susu me kuxiwo abe hadomedzimaɖitsitsi, dzimaɖitsitsi, kple blanuiléle ene
• Afɔku siwo ate ŋu adzɔ le ŋku ƒe ʋuʋu le eɖokui si ta, abe ne wole ʋu kum ene

Zi geɖe la, nɔnɔme sia mehayana le eɖokui si o. Ke hã, woka nya ta be ekpɔa egbɔ le eɖokui si le dɔléle siwo ade 10% me. Womenya alesi tututu esia dzɔna haɖe o.

Hemifacial Spasm nye nɔnɔme si doa dziku ŋutɔŋutɔ si doa kplamatse gbesiagbegbenɔnɔ. Menye seselelãme nyui aɖekee wònye be nàse le ɖokuiwò me be yemate ŋu aɖu yeƒe ŋutilã dzi o. Gake nu nyuitɔ kekeakee nye be atikewɔmɔnu siwo wɔa dɔ ŋutɔ le eŋu fifia. Ne èse le ɖokuiwò me hã be yeƒe mo ƒe akpa ɖeka le ʋuʋum ɣesiaɣi, eye wòdze abe ɖe wòle gbegblẽm ɖe edzi ene la, ke yi ɖɔkta gbɔ godoo. Ate ŋu ado wò kpɔ, adi nusi gbɔ wòtso, eye wòana atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake wò na wò.