Ðe nèdi be yeanya nu tso Multiple Sclerosis hã ŋua? Va, na míaƒo nu!

Hello! Ðewohĩ èse ŋkɔ si nye Multiple Sclerosis kpɔ, alo ɖewohĩ dɔléle sia le ame aɖe si nènya ŋu. Alo ɖewohĩ èdi be yeanya nu geɖe tso eŋu. Nyabiase geɖewo ate ŋu anɔ susu me na wò, abe alesi woyɔe, nukatae wòdzɔna, dzesi kawoe le eŋu, eye ɖe atike aɖe li? Eyata egbea míaƒo nu tso nusiawo katã ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nuka tututue nye Multiple Sclerosis?

Kpuie ko la, Multiple Sclerosis nye dɔléle aɖe si gblẽa nu le míaƒe lãmeka siwo le titina , si nye ahɔhɔ̃ kple aklã ŋu. Bu eŋu abe lãmeka siwo zɔna abe elektrikka ene le míaƒe ŋutilã katã me ene. Lãmetsi siawo tsɔa gbedasiwo tso ahɔhɔ̃a me yia míaƒe abɔwo, ŋkuwo, kple míaƒe ŋutilã katã dzi, eye wotsɔa seselelãmewo (abe dzoxɔxɔ, vuvɔ, vevesese ene) hã yia ahɔhɔ̃a me.

Ametakpɔnu aɖe ƒo xlã lãmeka siawo, abe plastik-nulénu si ƒo xlã elektrikka ene. Míeyɔa esia be myelin ƒe akɔta . Myelin-kplo siae nana lãmekawo ƒe gbedasiwo zɔna kabakaba eye wowɔa dɔ nyuie alea gbegbe.

Gake, le amesi ŋu dɔléle si nye multiple sclerosis (MS) le gome la, nane si to vovo vie dzɔna. Woƒe ŋutilã ŋutɔ ƒe ametakpɔnu, si nye dɔlélenutsiŋutete , dzea myelin-kplo ma dzi dzedze gɔme vodadatɔe. Ele abe woawo ŋutɔ ƒe asrafowo le nu vevi aɖe tsrɔ̃m na wo ene. Míeyɔa esia be dɔlélenutsiŋutete ƒe dɔléle .

Ne myelin ƒe akɔta gblẽ la, lãmekawo ƒe gbedasiwo ƒe kaka va nɔa ɖoɖo nu kura. Ɣeaɖewoɣi la, gbedasiawo zɔna nyuie ŋutɔ, ɣeaɖewoɣi la, womezɔna nyuie o, eye ɣeaɖewoɣi la, woxea mɔ na wo keŋkeŋ. Bu eŋu abe elektrikka ƒe nusi xea mɔ na dzoxɔxɔ si le ʋuʋum le teƒe aɖewo, eye elektrikŋusẽa dzudzɔa sisi ene.

Nya "sclerosis" gɔmee nye "abi." Esia le alea elabena abi suesuesuewo dzɔna le afisi myelin ƒe akɔtaɖonua gblẽ le. "Ame geɖe" gɔmee nye "ame geɖe." Esia fia be nugbegblẽ sia ate ŋu adzɔ le teƒe siwo wu ɖeka le lãmekawo ƒe dɔwɔwɔ me.

Nukatae dɔléle si nye multiple sclerosis (MS) dzea ame dzi? Nukawoe gbɔ wòtsona?

Le nyateƒe me la, womenya nusi tututu gbɔ MS tsona haɖe o , gake ɖɔktawo kple dzɔdzɔmeŋutinunyalawo xɔe se be ate ŋu anye nu vovovowo ƒe ƒuƒoƒo.

• Domenyiŋusẽfianu ƒe nɔnɔme: Esia fia be domenyiŋusẽfianu ƒe nɔnɔme aɖe li. Ke hã, esia menye dɔléle si tso dzila gbɔ yi vi gbɔ tẽ o. Gake ne MS le ƒomea me tɔ aɖe ŋu la, mɔnukpɔkpɔ si li be ame bubuwo naxɔe la lolona vie. Gake enye alafa memamã sue aɖe ŋutɔ.
• Nutoa me ƒe nɔnɔmewo: Nu aɖewo siwo le nuto si me míele me ate ŋu akpɔ ŋusẽ ɖe mía dzi.
• Dɔlékuiwo ƒe dɔléle: Dɔlékui ƒomevi aɖewo, le kpɔɖeŋu me, Epstein-Barr dɔlékui (EBV) .Wokpɔe be wodzia MS xɔxɔ ƒe afɔkua ɖe edzi.
• Vitamin D ƒe anyimanɔmanɔ: Numekuku aɖewo ɖee fia be amesiwo me vitamin D, si míekpɔna tso ɣe ƒe keklẽ me, mesɔ gbɔ o la, ate ŋu axɔ MS.
• Atamanono: Amesiwo noa atama la ate ŋu axɔ MS, eye atamanono hã ate ŋu ana dɔlélea nagagblẽ ɖe edzi.
• Anyigba ƒe nɔnɔme: Dukɔ aɖewo, vevietɔ esiwo le didiƒe ʋĩ tso equator gbɔ, ye me MS le wu.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Abe alesi míegblɔe va yi ene la, ɣeyiɣi sia mee dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmenugbagbeviwo dzi. Womenya nusi tututu tae wòle alea ɖo haɖe o.

Nu vevitɔe nye be MS menye dɔléle si xɔa ame me o. Esia fia be womate ŋu akakae tso ame ɖeka me ayi ame bubu gbɔ to aɖuɖɔɖɔɖɔ alo asidada ɖe ame dzi ko me o.

Nukawoe nye dɔléle sia ƒe dzesi siwo bɔ wu?

MS ƒe dzesiwo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ . Dzesi aɖewo ate ŋu anɔ ame aɖewo ŋu siwo manɔ ame bubuwo si o. Azɔ hã, dzesiawo ate ŋu atrɔ le ɣeyiɣi aɖe megbe. Ɣeaɖewoɣi la, dzesiawo mate ŋu asẽ o, eye ɣeaɖewoɣi la, woate ŋu asẽ wu. Míeyɔa ɣeyiɣi siawo siwo me dɔlélea nu sẽna (gbugbɔgadzɔ) kple dɔlélea ƒe tsɔtsɔke (dɔlélea ƒe tsɔtsɔke) .

Dzesi siwo bɔ wu dometɔ aɖewoe nye esi:

• Nukpɔkpɔ ƒe kuxiwo:
• Nukpɔkpɔ si me mekɔ o.
• Dzedze nukpɔkpɔ gɔme le mɔ eve nu (diplopia).
• Vevesese ne wole ŋkuwo trɔm ɖe axa ɖeka, ɣeaɖewoɣi la, ŋku ɖeka megate ŋu kpɔa nu o hena ɣeyiɣi aɖe (si woyɔna hã be ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ).
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ kple lãmekawo ƒe ʋuʋu:
• Sese le ɖokuiwò me be yeƒe abɔwo le ʋuʋum, azɔlizɔzɔ sesẽ.
• Dadasɔ ƒe bubu kple anyidzedze.
• Lãmetsi siwo le abɔ kple afɔwo me ƒe sesẽ, esesẽna be woabɔbɔ wo ahakeke wo ( spasticity ).
• Aɖuɖɔtoe alo ʋuʋudedi:
• Asiwo, afɔwo, mo, alo ŋutilã ƒe akpa bubuwo ƒe ʋuʋu, ʋuʋudedi, alo elektrikŋusẽ ƒe ʋuʋu abe elektrikŋusẽ ene.
• Ðeɖiteameŋu/ɖeɖiteameŋu si gbɔ eme:
• Esia nye nusi ate ŋu agblẽ nu le amesiwo ŋu MS le ŋu ŋutɔŋutɔ. Menye ɖeɖiteameŋu si sɔ koe wònye o, ke boŋ ɖeɖiteameŋu si gbɔ eme ƒe seselelãme si medzona o eɖanye aleke kee nèdɔ alɔ̃ alo ɖiɖi ɖe eme o. Bu eŋu kpɔ ko, ame aɖewo ate ŋu afɔ le ŋdi me ase le wo ɖokui me abe ɖe yewole dɔ wɔm ŋkeke bliboa ene.
• Tsinyegoe kple dɔgbo ƒe kuxiwo:
• Aɖuɖɔtoe enuenu, aɖuɖɔtoe kabakaba, kple aɖuɖɔtoe dzi ɖuɖu sesẽ.
• Miléle.
• Taɖuame kple taɖuame:
• Ðeko wòsena le ɖokuinye me be taɖuame eye wòsesẽna nam be matsi tre.
• Vevesese:
• Ahɔhɔ̃mekawo ƒe vevesese kple lãmekawo ƒe vevesese ate ŋu adzɔ.
• Sidzedze ƒe tɔtrɔwo:
• Esesẽna be woaɖo ŋku nuwo dzi.
• Esesẽna be susu nanɔ nu ŋu.
• Exɔa ɣeyiɣi aɖe hafi woate ŋu awɔ nyametsotsowo ahawɔ ɖoɖo.
• Seselelãme ƒe tɔtrɔwo:
• Blanuiléle le susu aɖeke manɔmee nye blanuiléle .
• Vɔvɔ̃, dzimaɖitsitsi , kple dzimaɖitsitsi ɣesiaɣi .
• Susu ƒe tɔtrɔ kabakaba.
• Nuƒoƒo ƒe kuxiwo:
• Nuƒoƒo si me mekɔ o ( dysarthria) ate ŋu adzɔ, esime nyawo va le gbegblẽm.
• Nu mimi ƒe kuxiwo:
• Ame aɖewo ate ŋu ase le wo ɖokui me be yewole ʋuʋum ne wole nuɖuɖu kple nunono mimi ( dysphagia ).

Mègasusu be MS le ye ŋu le esi dzesi siawo dometɔ ɖeka alo eve le ye ŋu ta ko o. Atikewɔwɔ ƒe nɔnɔme bubuwo hã ate ŋu ahe nusiawo vɛ. Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Amekae ate ŋu axɔ MS wu?

Togbɔ be MS ate ŋu adze egɔme le ƒe ɖesiaɖe me hã la, wokpɔnɛ zi geɖe le:

• Le amesiwo xɔ tso ƒe 20 va ɖo ƒe 50 dome la .
• Nyɔnuwo ate ŋu axɔ MS zi gbɔ zi eve va ɖo zi etɔ̃ wu ŋutsuwo.
• Ne MS le ƒomea me (abe alesi míegblɔe va yi ene la, esia menye domenyiŋusẽfianu tẽ o, gake afɔku sue aɖe le eme).
• MS bɔ ɖe to aɖewo me wu, le kpɔɖeŋu me, amesiwo tso Dziehe Europa. Gake MS dɔnɔwo le Sri Lanka hã.

Aleke wokpɔa MS le? (Dɔléle ƒe dzesi) .

Dodokpɔ ɖeka aɖeke meli si woatsɔ anya MS o. Ðɔktawo zãa dzesiwo, atikewɔwɔ ŋutinya, kple dodokpɔ geɖe me tsonu ƒokpli tsɔ kpɔa dɔlélea.

• Atikewɔwɔ ŋutinya kple ahɔhɔ̃mekawo ƒe dodokpɔ: Ðɔktaa abia wò dzesiwo kple ƒomea ƒe atikewɔwɔ ŋutinya, eye wòalé ŋku ɖe wò nukpɔkpɔ, ŋusẽ, dadasɔ, kple wò susu ƒe dɔwɔwɔ hã ŋu.
• MRI (Magnetic Resonance Imaging) scan: Esia nye dodokpɔ vevi aɖe ŋutɔ le MS didi me. Ate ŋu akpɔe nyuie nenye be myelin ƒe akɔta si le ahɔhɔ̃a kple aklã me la gblẽ eye abiwo do.
• Numekuku siwo woate ŋu ahe vɛ: Dodokpɔ sia dzidzea alesi lãmekawo wɔa nu kabakabae ne wotsɔ nusi doa ŋusẽ ame ƒe ŋku, to, alo ŋutigbalẽ. Ðewohĩ ŋuɖoɖo sia ahe ɖe megbe le myelin ƒe gbegblẽ ta.
• Lumbar puncture / Spinal tap: Le dodokpɔ sia me la, wotsɔa aŋe sue aɖe ŋutɔ dea aklã me eye woɖea ahɔhɔ̃metsi sue aɖe (CSF) ɖa. Woate ŋu akpɔ tɔtrɔ aɖewo le tsi sia me le amesiwo ŋu MS le ŋu.
• Dɔléle bubuwo ɖeɖeɖa: Wowɔa dodokpɔwo hã be woakpɔ egbɔ be nɔnɔme bubu aɖeke meli si ahe dzesi siwo ɖi MS tɔ vɛ o (e.g., dɔlékui aɖewo, vitamin ƒe anyimanɔmanɔ, ahɔhɔ̃medɔ bubuwo).

Dɔdamɔnu kawoe li?

Gbã la, womekpɔ atike aɖeke na MS haɖe o . Gake mègatsi dzi o! Atikewɔwɔ nyui geɖe li siwo ate ŋu akpe ɖe ŋuwò nàɖu dɔlélea dzi, aɖe dzesiwo dzi akpɔtɔ, eye wòana wò agbenɔnɔ nanyo ɖe edzi.

Woate ŋu ama atikewɔwɔ ɖe akpa vevi geɖe me:

1. Dɔlélenutsitsi ƒe Dɔdamɔnu (DMTs):

• Atike siawo wɔa dɔ to dɔlélenutsiŋutete ƒe amedzidzedze ɖe myelin ƒe akɔta ŋu dzi ɖeɖe kpɔtɔ me.
• Esia ate ŋu aɖe alesi dɔlélea gbugbɔnae dzi akpɔtɔ, aɖe woƒe sesẽ dzi akpɔtɔ, eye wòahe nuwɔametɔnyenye si nɔa anyi didi si dɔlélea hena vɛ la ɖe megbe.
• DMT ƒomevi vovovowo li (e.g., atikekuiwo dodo, atikekuiwo, ʋuka me). Ahɔhɔ̃ŋutinunyala aɖe akpɔ DMT si nyo na wò wu.

2. Atikewɔwɔ na dɔlélea gbugbɔgadzɔ:

• Ne dzesiawo gagblẽ ɖe edzi zi ɖeka (egadze egɔme ake) la, woate ŋu ana atikewo abe corticosteroids ene hena ɣeyiɣi kpui aɖe. Esiawo ate ŋu aɖe abi kple abi si le lãmekawo me dzi akpɔtɔ kaba eye wòakpe ɖe ame ŋu wòaɖe dzesiawo dzi akpɔtɔ.

3. Atikewɔwɔ be woatsɔ aɖu dzesiawo dzi (Dzesiwo dzi kpɔkpɔ):

• Atike vovovowo li na dzesi vovovo siwo MS hena vɛ.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Ekpena ɖe ame ŋu le nuwo abe azɔlizɔzɔ ƒe kuxiwo, lãmekawo ƒe sesẽ, kple dadasɔ ene me.
• Dɔwɔwɔ ƒe atikewɔwɔ: Ekpena ɖe ame ŋu le gbesiagbedɔwo, aƒemedɔwo, kple dɔwɔnu kple dɔwɔnu siwo hiã na dɔwɔwɔ me.
• Atikewo na dzesi tɔxɛwo: Atike vovovowo li na nuwo abe ɖeɖiteameŋu si gbɔ eme, vevesese, tsinyegoe ƒe kuxiwo, kple lãmekawo ƒe sesẽ (spasticity).
• Susu ƒe lãmesẽnyawo gbɔ kpɔkpɔ ƒe kpekpeɖeŋu: Aɖaŋuɖoɖo kple ne ehiã la, atikewo zazã le vevie na nuteɖeamedzi, blanuiléle, kple dzimaɖitsitsi siwo ate ŋu adzɔ ne wole agbe kple MS la gbɔ kpɔkpɔ.
• Nuƒoƒo kple nu mimi ƒe atikewɔwɔ: Ne nuƒoƒo alo nu mimi sesẽ na wò la, àte ŋu adi kpekpeɖeŋu tso eŋutinunyala bibiwo gbɔ.

4. Asitɔtrɔ le agbenɔnɔ ŋu:

• Nuɖuɖu si naa lãmesẽ: Ele vevie be nàɖu nuɖuɖu si da sɔ.
• Kamedede edziedzi: Kamedede siwo sɔ na wò wɔwɔ ate ŋu ana ŋusẽ nanɔ ŋuwò, nàte ŋu atrɔ ɖe nɔnɔmewo ŋu, eye wò lãmesẽ bliboa nanyo ɖe edzi.
• Ƒo asa na atamanono: Ne ènoa atama la, ele be nàdzudzɔ godoo.
• Gbɔɖeme kple alɔ̃dɔdɔ nyuie: Esia kpena ɖe ame ŋu wòɖua ɖeɖiteameŋu si gbɔ eme dzi.
• Nuteɖeamedzi dzi ɖuɖu: Nuwo abe yoga kple ŋugbledede ene ate ŋu akpe ɖe ŋuwò.

Ku ɖe agbenɔnɔ kple MS ŋu

MS nye nɔnɔme sesẽ aɖe, gake ema mefia be agbea wu enu o.Ne wowɔ atike na ame geɖe siwo ŋu MS le eye wodo alɔ wo nyuie la, wonɔa agbe si me dzidzɔ le eye wokpɔa dzidzedze.

Ðo ŋku edzi be menye wò ɖeka koe o. Tu kpekpeɖeŋunaha sesẽ aɖe ɖo na ame bubu siwo ŋu MS le, ƒometɔwo, xɔlɔ̃wo, kple ɖɔktawo.

MS ƒe nɔnɔmee nye be ŋkeke aɖewo nyo, eye ŋkeke aɖewo hã sesẽna vie. Eyata, ele vevie be nàɖo to wò ŋutilã, ase wò seɖoƒe gɔme, eye nàbia kpekpeɖeŋu ne èhiãe. Ne ènya nu tso wò nɔnɔmea ŋu nyuie, èwɔna ɖe wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi, eye nɔnɔme nyui nanɔ asiwò la, ate ŋu ana tɔtrɔ gã aɖe nava.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata míeƒo nu geɖe tso Multiple Sclerosis ŋu egbea. Mele mɔ kpɔm be èse esia gɔme nyuie.

• MS nye dɔlélenutsiŋutete ƒe dɔléle sesẽ aɖe si gblẽa nu le ahɔhɔ̃ kple aklã ŋu.
• Dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ eye woate ŋu atrɔ le ɣeyiɣi aɖe megbe.
• Togbɔ be womate ŋu adae bliboe o hã la, atikewɔmɔnu siwo wɔa dɔ ŋutɔ li siwo dzi woato aɖu dɔlélea dzi ahaɖe dzesiawo dzi akpɔtɔ.
• Ele vevie ŋutɔ be woanya dɔlélea eye woadze edada gɔme kaba.
• Ne èsusu be MS ƒe dzesiwo le ye alo ame aɖe si nènya ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Kpekpeɖeŋu kple nugɔmesese nana amesiwo le MS le vevie ŋutɔ.

Numekuku le MS ŋu le edzi yim. Ðewohĩ atikewɔmɔnu siwo nyo wu anɔ anyi le etsɔme. Eya ta, nu vevitɔ kekeakee nye be nànɔ mɔkpɔkpɔ me eye dzi nanɔ ƒowò. Ne nya bubu aɖewo gale asiwò la, mègahe ɖe megbe le nuƒoƒo kple ɖɔkta me o.

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