Ðe kɔ kple akɔta le veve sem ɣesiaɣia? Ate ŋu anye Klippel-Feil Dɔléle (KFS)!

Ðe wòsesẽna na wò ɣeaɖewoɣi be nàtrɔ kɔa? Alo ɖe wò kɔ dze abe ɖe wòle kpuie vie enea? Ðewohĩ ède dzesi tɔtrɔ ma tɔgbe le viwò ƒe kɔ ŋu. Togbɔ be susu geɖe li siwo tae wòle alea hã la, egbea míele nu ƒom tso nɔnɔme aɖe si mebɔ o gake wòle vevie si woyɔna be Klippel-Feil Syndrome (KFS) ŋu. Mègatsi dzi o, míana wòanɔ bɔbɔe.

Eyata nukae nye Klippel-Feil Dɔléle (KFS)?

Kpuie ko la, Klippel-Feil Syndrome (KFS) nye nɔnɔme si me míaƒe kɔ ƒe akɔtaƒu eve alo esi wu nenema, alo aklã ƒe ƒunukpeƒewo, tsaka ɖekae, eye wowɔa ƒu ɖeka. Esia nye nɔnɔme si wodzina. Zi geɖe la, teƒe sue aɖe nɔa míaƒe kɔ ƒe akɔtaƒuwo dome (si woyɔna hã be `(cervical vertebrae)`), siwo yɔ fũ kple akpa siwo le abe jelly ene siwo woyɔna be `(intervertebral discs)`. Esiawoe nana míete ŋu trɔa míaƒe kɔ yia ŋgɔ kple megbe bɔbɔe. Gake le amesi ŋu KFS le gome la, akɔtaƒu siawo ƒoa ƒu ɖekae, si ate ŋu ana kɔa nagaʋuʋu o.

Akɔtaƒu 33 ye le míaƒe akɔta. Akɔtaƒu 7 siwo le etame la le kɔ me (C1 va ɖo C7). Le KFS me la, akɔtaƒu eve siwo ŋu wògblẽa nu le wue nye C2 kple C3. Gake ɣeaɖewoɣi la, nɔnɔmea ate ŋu akpɔ ŋusẽ ɖe akɔtaƒu bubu siwo le akɔta si le kɔ te la dzi.

Wotsɔ ŋkɔ na dɔlélea be Klippel-Feil Syndrome le ɖɔkta eve siwo ke ɖe eŋu zi gbãtɔ la ƒe ŋkɔ me.

KFS ƒe nɔnɔme vevi etɔ̃e li (esiawo ate ŋu anye ɖeka, eve, alo wo katã, alo ɖewohĩ ɖeke kura o):

• Kɔa tɔtrɔ sesẽ le esi akɔtaƒu siwo le kɔa me lé ɖe wo nɔewo ŋu ta.
• Kɔ ƒe dzedzeme kpuie.
• Taɖa ƒe ka, si le ta ƒe megbe la, le teƒe si bɔbɔ wu alesi wòle dzɔdzɔmee.

Menye kɔ me koe nɔnɔme sia le o. Ɣeaɖewoɣi la, ate ŋu agblẽ nu le dzi, lãkusi, ayiku, nu, ŋku, to, lãmeka, lãmeka, aklã, kple ƒu bubuwo hã ŋu.

Aleke gbegbee Klippel-Feil Dɔléle (KFS) bɔe?

Le nyateƒe me la, KFS nye nɔnɔme si mebɔ kura o. Edzea vi siwo wodzi yeyee abe ɖeka le 40,000 va ɖo 42,000 ɖesiaɖe me le xexeame katã. Wogblɔna hã be ebɔ ɖe nyɔnuviwo me vie.

Aleke mawɔ anya ne Klippel-Feil Syndrome (KFS) le vinye ŋu?

Ɣeaɖewoɣi la, le nɔnɔmea ƒe sesẽ nu la, woate ŋu ade dzesii le ultrasound scan wɔwɔ me le fufɔfɔ ƒe ɣleti etɔ̃ gbãtɔ me. Alo, ne dzesi aɖeke medze ƒã le edziɣi, le vidzĩme, alo ɖevimenɔɣi o la, woate ŋu ade dzesii le tsitsime alo emegbe. Gake ne míebu dzesi vovovowo kple kuxi bubu siwo ate ŋu akpe ɖe nɔnɔme sia ŋu ta la, ƒã hafi woade dzesii vaseɖe emegbe.

Nukae nye Klippel-Feil Dɔléle (KFS) ƒe dzesiwo?

Nukutɔe la, ɖewohĩ dzesi aɖeke manɔ ame aɖewo siwo ŋu KFS le ŋu kura o, alo dzesi siwo nu mesẽ ŋutɔ koe anɔ wo ŋu o. Ke hã, dzesiwo dzena le ame geɖe ŋu.Togbɔ be nusiawo ate ŋu agblẽ nu le ame aɖewo ŋu tufafatɔe ŋutɔ hã la, woate ŋu agblẽ nu le ame bubuwo ŋu vevie wu. Esia fia be dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Esiawoe nye dzesi siwo bɔ siwo wokpɔna zi geɖe:

• Kɔ tɔtrɔ sesẽ: Esiae nye ŋutilã me dzesi si bɔ wu. Edzɔna elabena akɔtaƒu siwo le kɔa me dometɔ ɖeka alo esi wu nenema lé ɖe wo nɔewo ŋu.
• Taɖa ƒe fli, si le ta ƒe megbe, le ete.
• Kɔ ƒe dzedzeme kpuie.
• Vovototo le mo ƒe axawo ƒe lolome kple nɔnɔme me.
• Akɔtaƒu siwo le kɔ si le etame, siwo do ƒome kple taɖua ƒe malikenyenye. Esia ate ŋu anye afɔku gã aɖe, vevietɔ ne èxɔ abi le afɔku, ʋufɔku, alo le kamedefefewo abe rugby alo bɔlƒoƒo ene me.
• Scoliosis: Woate ŋu akpɔ esia le ame 30 va ɖo 50 le alafa me.
• Taɖuame.
• Tokunɔnyenye: Esia ate ŋu agblẽ nu le ame siwo ade 30 le alafa me ŋu.
• Esesẽna be woatrɔ akɔta ƒe akpa si le etame.
• Lãmetsiŋusẽ ƒe vevesese si klẽna ɖe abɔ alo afɔwo ŋu.
• Lãmetsiwo ƒe vevesese le kɔ kple/alo akɔta.
• Lãmetsi siwo le kɔ alo akɔta ƒe gbegblẽ.
• Aklã ƒe ʋuʋu: Esia ate ŋu agblẽ nu le aklã ŋu.
• Ayikudɔ: Esia ate ŋu adze ame siwo ade 30 le alafa me dzi.

Tsɔ kpe ɖe eŋu la, kuxi bubuwo ate ŋu ado mo ɖa:

• Tosese ƒe kuxi alo tokunɔnyenye.
• Aɖu si me ʋuʋu alo aɖu ƒe nɔnɔme si mesɔ o.
• Vidzidzi ƒe dɔmawɔmawɔ nyuie, aɖuɖɔtoe, dzi, lãkusi, akɔta ƒe dɔmawɔmawɔ nyuie, abɔ kple afɔ ƒe dɔmawɔmawɔ nyuie.
• Lãmetsi siwo le kɔ tame siwo do ƒome kple taɖua ƒe gbɔdzɔgbɔdzɔ. Esia ate ŋu ana aklãa natsi eye wòagblẽ nu le lãmekawo ŋu ne kɔa le ʋuʋum.

Nukae hea Klippel-Feil Dɔléle (KFS) vɛ?

Numekulawo mese nusi tututu gbɔ KFS tsona gɔme bliboe haɖe o. Zi geɖe la, wobua eŋu be enye nusi dzɔna ɣeaɖewoɣi. Eyae nye be ate ŋu adzɔ ne womekpɔ dɔlélea le ƒomea me o alo domenyiŋusẽfianu si me kɔ o.

Gake le go aɖewo me la, domenyiŋusẽfianu ɖeka alo esi wu nenema si kpɔa gome le ƒu kple aklã ƒe tsitsi me ƒe tɔtrɔ (trɔtrɔ) gbɔe nɔnɔme sia ate ŋu atso.

KFS ate ŋu adzɔ ɣeaɖewoɣi kpe ɖe atikewɔwɔ ƒe nɔnɔme bubuwo ŋu, alo abe dɔléle bubu si wodzina ƒe nugbegblẽ le ame ŋu ene. KFS dzɔna abe dɔléle bubu ƒe nugbegblẽ ene, le tɔtrɔ (`(nutations)`) le domenyiŋusẽfianu siwo do ƒome kple dɔléle mawo me ta.

Atikewɔwɔ ƒe nɔnɔme siwo ate ŋu ado ƒome kple KFS dometɔ aɖewoe nye:

• Ahanono le fufɔɣi ateŋu ahe lãmekawo ƒe dɔwɔwɔ ƒe kuxiwo kple kuxi bubuwo vɛ (`(fetal alcohol syndrome)`).
• Nɔnɔme si me ŋku, to, kple akɔta ƒe tsitsi si mesɔ o (`(Goldenhar syndrome)`).
• Abɔtaƒu ƒe tsitsi si mesɔ o (`(Sprengel deformity)`).
• Ŋku ƒe ʋuʋu ƒe masɔmasɔ (`(Duane ƒe dɔléle)`).
• Ayiku ɖeka alo evea siaa ƒe anyimanɔmanɔ (renal agenesis).
• Nɔnɔme si me ŋku, to, kple akɔta ƒe tsitsi si mesɔ o le kɔ me (`(Wildervanck syndrome)`).
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie (le kpɔɖeŋu me, nɔnɔmewo abe Chiari ƒe dɔmawɔmawɔ nyuie, aklã ƒe dɔwɔwɔ nyuie, kple syringomyelia ene).

Ðe Klippel-Feil Dɔléle (KFS) tso domenyiŋusẽfianu mea?

Zi geɖe la, menye domenyiŋusẽfianue KFS tsona o. Gake abe alesi míegblɔe va yi ene la, le go aɖewo me la, tɔtrɔ (`(nutations)`) le domenyiŋusẽfianu etɔ̃ siwo wokpɔ la dometɔ ɖeka alo esi wu nenema me ate ŋu ahe nɔnɔmea vɛ. Ne domenyiŋusẽfianu ma tɔgbe li la, woate ŋu anyi KFS hã ƒe dome.

Aleke wowɔna dea dzesi Klippel-Feil Dɔléle (KFS)?

Ðɔkta anɔ te ɖe wò dzesiwo, dɔdaƒe ƒe dodokpɔ, kple nɔnɔmetatawo dodokpɔ vovovowo dzi akpɔ KFS. Zi geɖe la, wokpɔa dɔlélea le ɖevime. Ɣeaɖewoɣi la, woate ŋu akpɔe kaba le fugboe me ke.

Wò ɖɔkta abia wò atikewɔwɔ ŋutinya kple wò ƒome ŋutinya. Emegbe woawɔ ŋutilãmedɔdada. Le dodokpɔ sia me la:

• Wò mo, kɔ (be nàkpɔe ɖa be ele kpuie hã), wò akɔta ƒe akpa mamlɛa, kple wò ɖa ƒe ka (be nàkpɔe ɖa be ebɔbɔ ɖe wò ta megbe hã).
• Wodia dzesi siwo fia be vidzidɔ ƒe lãmeka aɖe te ɖe wo ŋu (radiculopathy) alo woƒe aklã ƒe dɔwɔwɔ gblẽ (myelopathy).
• Doa reflexes siwo dzi aklã kple lãmeka bubuwo kpɔ ŋusẽ ɖo la kpɔ.
• Woalé ŋku ɖe wò azɔlizɔzɔ ŋu.
• Woɖoa to akɔta kple ƒodo eye wotsɔa asiwo senɛ le wo ɖokui me.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Womewɔ dodokpɔ aɖeke koŋ le dodokpɔxɔ me be woatsɔ anya KFS o. Gake ne dzesi geɖe le ŋuwò la, wò ɖɔkta ate ŋu aɖe gbe be woado ʋu kpɔ be wòaɖe dɔléle bubuwo ɖa. Woate ŋu alé ŋku ɖe nusiwo mesɔ o le wò dzi, ayiku, dɔgbo, kple aɖuɖɔtoe me hã ŋu. Woate ŋu ado wò tosese hã kpɔ. Wò ɖɔkta ate ŋu aƒo nu tso domenyiŋusẽfianu dodokpɔ hã ŋu na wò.

Akɔta ƒe Nɔnɔmetatawo Dodokpɔwo

Ahiã be wò ɖɔkta nawɔ X-ray . Woate ŋu abia hã be woawɔ CT-dɔdamɔnu (Computed Tomography scan) alo MRI-dɔdamɔnu (Magnetic Resonance Imaging) .

• X-ray: Woate ŋu alé ŋku ɖe akɔta bliboa ŋu akpɔe ɖa be akɔtaƒuawo tsaka ɖekae hã, nenye be ƒunukpeƒetetedɔ aɖe le eŋu, alesi akɔta la li kee, kple nenye be nu bubu aɖewo li siwo mesɔ o.
• CT-dɔdamɔnu (`(CT-dɔdamɔnu)`):Àte ŋu alé ŋku ɖe akɔtaƒu kple aklã siwo wotsɔ tsaka ƒe wɔwɔme ŋu tsitotsito.
• MRI scan: Scan sia kpena ɖe ame ŋu wòkpɔa lãmeka falɛfalɛwo abe aklã, disk siwo le akɔtaƒuwo, lãmekawo ƒe kewo, kple lãkusi siwo le aklã me dome nyuie, eye wòdea dzesi nusiwo mesɔ o le ŋutilã ƒe akpa bubuwo.

Aleke wodaa Klippel-Feil Dɔléle (KFS)e?

Atikewɔwɔ nɔ te ɖe wò dzesiwo dzi. Ðewohĩ ahiã be nàzã atike kple/alo kamedede. Ele be nànya afɔku siwo le afɔku me eye nàƒo asa na nuwɔna siwo me afɔku le. Menye amesiame si ŋu KFS le ye hiã be woawɔ dɔ na o.

Atikewɔwɔ kple atike siwo wozãna le mɔ gbadza nu

Ame geɖe siwo mehiã be woawɔ dɔ na o la wɔa dɔ nyuie ne wozã atike bɔbɔewo abe vidzidɔ ƒe kɔmewu, akɔtaɖonu, kple ʋuka siwo hea vi ene. Ðɔkta ate ŋu aŋlɔ atike na wò hã be wòaɖe vevesese kple abi dzi akpɔtɔ.

Amekoko (`(Amekoko)`) .

Anɔ eme be ahiã be woawɔ dɔ na wò wu ne:

• Ne kuxi aɖe le wò lãmekawo, si fia wò ahɔhɔ̃, aklã, kple lãmekawo ŋu.
• Ne wò akɔta ƒe nɔnɔme gblẽ alo meli ke o.
• Ne lãmeka yeyewo ƒe gbɔdzɔgbɔdzɔ le ŋuwò la, esia ate ŋu anye nu vevi aɖe si do ƒome kple wò akɔta alo wò aklã ƒe dzesi.
• Ne nusiwo mesɔ o le ŋutinu bubuwo me.

Ne akɔtaƒu ɖeka alo esi wu nenema le wò kɔ me le C3 akɔtaƒu te (si fia be le C1 kple C2 akɔtaƒu siwo te ɖe taɖua ŋu wu te) la, ate ŋu asɔ be nàdo wò kpɔ edziedzi ko ahalé ŋku ɖe nɔnɔmea ŋu. Ne wò alo viwò mieƒoa kamedefefe siwo me wodoa ka kple wo nɔewo abe hockey alo rugby ene la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàyi kamedefefe mawo ƒoƒo dzi ne èsrɔ̃ alesi nàkpɔ wò kɔ tae vɔ.

Gake ne akɔtaƒu siwo wotsɔ tsaka le C3 akɔtaƒua tame le wò kɔ me (i.e. te ɖe taɖu ŋu wu) la, ele be nàƒo asa na kamedefefe siwo kpɔa ŋusẽ gã aɖe ɖe ame dzi godoo, elabena afɔku le eme be nàxɔ abi si me afɔku le le aklã me.

Wò ɖɔkta alé ŋku ɖe wò dzi, lãkusi, vidzidzi, ayiku, kple ŋutinu bubuwo ŋu edziedzi ale be wòate ŋu ade dzesi kuxi ɖesiaɖe kaba ahakpɔ tɔtrɔawo gbɔ alo ada wo, alo aɖo aɖaŋu be woawɔ dɔ na wò.

Ðe Klippel-Feil Dɔléle (KFS) ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbea?

Ẽ, Klippel-Feil Dɔléle (KFS) ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Ne nane si mesɔ o le wò akɔta la, anɔ eme be kuxiwo ava do mo ɖa ne èle tsitsim. Le kpɔɖeŋu me, degenerative disc ƒe nyawo ate ŋu ana lãmekawo natsi, akɔta kple aklã ƒe vevesese, alo abɔ kple afɔwo nagbɔdzɔ.

Anɔ eme hã be àxɔ abi le anyidzedze kple nu bubu siwo gblẽa nu le wò ŋutilã ŋu ta. Le ɣeyiɣi aɖe megbe la, ememe kuxi bubuwo ate ŋu ado mo ɖa. Esia tae wòle vevie ŋutɔ be nàdo go kple wò atikewɔlawo ƒe ƒuƒoƒoa edziedzi ɖo. Woado wò kpɔ, awɔ dodokpɔ ɖesiaɖe si hiã, eye woatso nya me le wò atikewɔwɔ ŋu alo atrɔe.

Ðe Klippel-Feil Dɔléle (KFS) kpɔa ŋusẽ ɖe agbenɔƒe dzia?

Klippel-Feil Dɔléle (KFS) ƒe dzedze kaba nye nu vevi aɖe. Ɣemaɣie woate ŋu akpɔ lãmesẽkuxiwo gbɔ to amekoko, mɔnu siwo menye amekoko o, alo ŋkuléle ɖe wo ŋu nyuie le ɣeyiɣi aɖe megbe. Ne èda dɔ na nusiwo mesɔ o eye nèwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi tsɔ kpɔ wò akɔta ta la, zi geɖe la, àte ŋu anɔ agbe si sɔ.

Etsɔme ka ƒomevie amesi ŋu Klippel-Feil Syndrome (KFS) le ate ŋu akpɔ mɔ na?

Wò emetsonu anɔ te ɖe dɔléle ƒomevi si le ŋuwò (wò ŋutilã ƒe akpa siwo ŋu wògblẽ nu le) kple nɔnɔme bubu ɖesiaɖe si ate ŋu anɔ ŋuwò dzi. Amesiame to vovo. Wò atikewɔlawo ƒe ƒuƒoƒoa aƒo nu tso wò nɔnɔmea ŋu na wò le sasrãkpɔ edziedzi me. Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o, evɔ dzesi ɖedzesi aɖewo ate ŋu anɔ ame bubuwo ŋu si ana woƒe agbenɔnɔ naɖiɖi.

Wò ɖɔktawo aƒo nu na wò tso nenye be ehiã be nàwɔ nane atsɔ akpɔ wò akɔta ta, nenye be àte ŋu awɔ kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ, alo nenye be ehiã be nàwɔ tɔtrɔ bubuwo le agbenɔnɔ me ŋu. Woadzro alesi wòhiã be woawɔ dɔ na ame hã me.

Amekawoe nye lãmesẽdɔwɔla siwo ate ŋu akpɔ gome le nye beléle me?

Lãmesẽdɔwɔla ƒomevi vovovowo li siwo ate ŋu akpɔ gome le wò beléle na wò me. Wo dometɔ aɖewoe nye:

• Wò dɔwɔƒe si naa kpekpeɖeŋu wò edziedzi.
• Ðeviwo alo ememe dɔdamɔnu ŋuti nunyala bibi.
• Ahɔhɔ̃ŋutinunyala aɖe.
• Ahɔhɔ̃mekawo ƒe Dɔwɔla.
• Ƒumeŋutinunyala aɖe.
• Nu me kple mo ƒe amekola.
• Dzidɔŋutinunyala aɖe.
• Dɔgboŋutinunyala nye ɖɔkta si bi ɖe nuɖuɖumeŋusẽ me.
• Ayikuŋutinunyala bibi aɖe (Ayikuŋutinunyala).
• To, ŋɔti, kple ŋɔti ŋuti nunyala bibi (Otolaryngologist).
• Toŋutinunyala aɖe.
• Vevesesenutsitike ŋuti nunyala bibi.
• Lãmesẽdɔwɔla.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Klippel-Feil Syndrome (KFS) nye aklãdɔ si mebɔ o si me akɔtaƒu eve alo esi wu nenema le kɔ me ƒoa ƒu ɖekae.Nɔnɔme sia ate ŋu ahe kuxi bubu geɖewo vɛ le akɔta, eye ate ŋu agblẽ nu le ŋutilã ƒe akpa bubuwo hã ŋu.

Ke hã, menye ame sia ame ƒe nɔnɔme sɔ o. Ðewohĩ KFS ƒe dɔléle si nu mesẽ o le ŋuwò, eye dzesi gã aɖeke manɔ ŋuwò o. Alo, lãmesẽkuxi sesẽwo ate ŋu anɔ ŋuwò siwo ahiã be woakpɔ wo gbɔ ɣeyiɣi didi. Mègatsi dzi o, wò eŋutinunyalawo ƒe ƒuƒoƒoa anɔ kpli wò le mɔa ƒe afɔɖeɖe ɖesiaɖe me.

Nusi le vevie wue nye be nànya dɔlélea kaba, akpɔ atike nyuitɔ, eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi. Emegbe zi geɖe la, àte ŋu anɔ agbe si sɔ, si me dzidzɔ le. Ne nya aɖe alo ɖikeke aɖe le mewò la, mègakpe ŋu be yeabia wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò.

` Klippel-Feil ƒe dɔléle, KFS, kɔve, aklãdɔlélewo, akɔta ƒe ƒoƒo, vidzidzi ƒe dɔléle, kɔ ƒe sesẽ, akɔta ƒe ƒoƒo