Ðe wò abɔwo kple afɔwo vuvuna zi geɖea? Ðe esia ate ŋu anye ʋumenugbagbeviɣidɔa?

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi abe ɖe wò alɔ, afɔ, alo wò ŋutilã ƒe akpa bubu aɖe vuvu hele kpekpem ko enea? Ðewohĩ wò awuwo kple atsyɔ̃ɖonuwo le xɔxlɔ̃m. Ne èle nusiawo me tom la, ate ŋu atso nɔnɔme aɖe si woyɔna be lymphedema gbɔ. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito egbea.

Nukae nye Lymphedema?

Kpuie ko la, ʋumenugbagbeviɣidɔ le vuvum le míaƒe ŋutilã ƒe akpa vovovowo. Nusitae nye be nane gblẽ le míaƒe ʋukawo ŋu . Fifia ɖewohĩ èle nusi nye ʋumenugbagbeviɣidɔ sia ŋu bum.

Bu eŋu kpɔ, le míaƒe ŋutilã me la, mɔ̃ suesuesuewo ƒe kadodo aɖe le mía si, abe míaƒe ʋukawo ene. Tubewo ƒe kadodo siae nye nusi míeyɔna be ʋukawo ƒe dɔwɔwɔ. Eƒe dɔ vevitɔe nye be wòaƒo tsi, protein, kple aɖi siwo sɔ gbɔ wu siwo dona tso míaƒe lãmenugbagbeviwo kple lãkusiwo me la nu ƒu hetrɔ wo va míaƒe ʋukawo me. Ele abe tsidzɔƒe si le míaƒe aƒewo me ene, si le nusiwo míedi o ɖem ɖa.

Eyata nukae dzɔna ne ʋuka sia mewɔa dɔ nyuie o? Lãmetsi kple protein siwo wòle be woaɖe ɖa la tsia teƒe ɖeka, eye teƒe ma tea vuvu. Abɔwo kple afɔwo mee wokpɔa vuvu sia zi geɖe. Ke hã, ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, anɔ eme be dɔlékuiwo axɔ wò le teƒe ma si vuvu la.

Nɔnɔme sia ate ŋu ado mo ɖa le amekoko aɖewo megbe, alo le dɔléle aɖewo alo domenyiŋusẽfianu ƒe nɔnɔme aɖewo ta. Ɣeaɖewoɣi la, ʋumenugbagbeviɣidɔ ate ŋu adzɔ evɔ womekpɔ nusi gbɔ wòtso si dze ƒã o. Míeyɔa esia be `nusi dzɔna le eɖokui si`.

Lãmetsiŋusẽ ƒe dzesiwo ate ŋu anɔ bɔbɔe, eye woavuvu vie eye woƒe dzi nadze eme. Gake le ame aɖewo gome la, ate ŋu asẽ ŋutɔ, si ana woavuvu eye woase veve vevie, eye ŋutigbalẽ me kuxiwo hã nado mo ɖa (e.g., dɔlékuiwo, abi) . Togbɔ be ɖɔktawo mate ŋu ada ʋumenugbagbeviɣidɔ keŋkeŋ o hã la, atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ame ŋu be wòaɖe abi kple vevesese dzi akpɔtɔ. Nu geɖewo hã li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàɖe ŋusẽ si nɔnɔmea kpɔna ɖe wò agbe dzi dzi akpɔtɔ.

Aleke ʋumenugbagbeviɣidɔ gblẽa nu le nye ŋutilã ŋui?

Ne ʋumenugbagbeviɣidɔ le ŋuwò la, wò abɔwo, afɔwo, afɔwo, kple wò ŋutilã ƒe akpa bubuwo ate ŋu adze abe ɖe wovuvu ene eye woase le wo ɖokui me be wovuvu. Lãmetsiŋusẽ ƒe ʋuʋu ate ŋu ave wò eye ate ŋu ado kplamatse wò gbesiagbedɔwo. Ame geɖe tsia dzi ɖe alesi woƒe dzedzeme atrɔe ŋu le ʋumenugbagbeviɣidɔ, si ate ŋu ate ɖe ame dzi ŋutɔ ta.

Ðe ʋumenugbagbeviɣidɔ nye dɔléle sesẽ aɖea?

Ẽ, le go aɖewo me la, esia ate ŋu anye nu sesẽ. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, ke àte ŋu axɔ dɔlékuiwo to wò ŋutigbalẽ dzi. Dɔlékui siawo ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi. Togbɔ be ƒã ŋutɔ hã la, ʋumenugbagbeviɣidɔ ate ŋu ahe ŋutigbalẽ me kansa ƒomevi aɖe si mebɔ kura o si woyɔna be `lymphangiosarcoma` hã vɛ.

Ðe ʋumenugbagbeviɣidɔ ƒomevi vovovowo lia?

Ẽ, ʋumenugbagbeviɣidɔ ƒomevi vevi eve li – Ʋumenugbagbeviɣidɔ Gbãtɔ kple ʋumenugbagbeviɣidɔ evelia.

Nukae Nye Lãmetsiŋusẽ ƒe Dɔléle Gbãtɔ?

Nɔnɔme aɖe si mebɔ o, si ƒe dome míenyi, si kpɔa ŋusẽ ɖe alesi míaƒe ʋukawo tsinae dzi la gbɔe ʋumenugbagbeviɣidɔ gbãtɔ tsona. Edzea ame ɖeka le 100,000 ɖesiaɖe me le United States. Lãmetsiŋusẽ ƒe ʋuʋu si nɔnɔme siawo hena vɛ ate ŋu adze le ƒe siawo me:

• Le vidzĩme: Woate ŋu adzi vidzĩ aɖewo kple ʋumenugbagbeviɣidɔ ƒomevi aɖe si wodzina si woyɔna be `Milroy ƒe dɔléle`.
• Le sɔhɛmenɔɣi, fufɔfɔ, alo vaseɖe ƒe 35 xɔxɔ me: Nɔnɔme aɖe si woyɔna be `Meige dɔléle (lymphedema praecox)` ateŋu adze amewo dzi le sɔhɛmenɔɣi, fufɔfɔ, kple vaseɖe ƒe 35 xɔxɔ me.
• Le ƒe 35 xɔxɔ megbe: Lãmetsiŋusẽ ƒe dɔléle si mebɔ o, si dzea egɔme megbe si woyɔna be `Lymphedema tarda` ate ŋu ana afɔwo navuvu.

Nukae Nye Lãmetsiŋusẽ ƒe Dɔléle Evelia?

Lãmetsiŋusẽ ƒe ʋuʋu evelia ate ŋu adzɔ ne amekoko, nuveviwɔame, alo keklẽŋusẽdɔdamɔnu gblẽ nu le wò ʋukawo ŋu. Wokpɔnɛ zi geɖe le amesiwo woda no me dɔdzẽ ta. Gake ele vevie be míaɖo ŋku edzi be menye amesiame si ŋu no me dɔdzẽ ƒe atike le ye xɔa ʋumenugbagbeviɣidɔ o.

Ðe ʋumenugbagbeviɣidɔ nye kansa?

Ao, menye kansa ƒomevi aɖee esia nye o.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo?

Dzesi si bɔ wue nye abi. Vuvu sia ate ŋu adze egɔme vivivi. Ðewohĩ màde dzesi abi aɖeke si mebɔ o le gɔmedzedzea me o. Azɔ hã, ʋuʋudedi si ʋumenugbagbeviɣidɔ hena vɛ ate ŋu ado kpata. Dzesi bubu siwo nàte ŋu akpɔ dometɔ aɖewoe nye:

• Ʋuka alo lãkusi siwo le wò asiwo kple afɔwo me megale dzedzem alo ɖina o.
• Edze abe wò abɔwo alo afɔwo ƒe lolome to vovo vie ene.
• Ewɔna nam abe ɖeko wò ƒunukpeƒewo tsi, abe ɖe womate ŋu abɔbɔ alo akeke bɔbɔe o ene.
• Wò ŋutigbalẽ dzena abe ɖe wòvuvu alo biã ene .
• Asiwo, afɔwo, alo ŋutilã ƒe akpa bubuwo ƒe vuvu.
• Sese le ɖokuiwò me be yemele dedie o, abe wò abɔwo, afɔwo, alo wò ŋutilã ƒe akpa bubuwo ene la, ɖeko wòlolo eye wòyɔ fũ.
• Wò awuwo kple atsyɔ̃ɖonuwo sena le wo ɖokui me be yexaxa wu alesi wòle be woanɔ .
• Ɣeaɖewoɣi la, ewɔna nam abe dzobibi alo ʋuʋudedi ene .
• Wò ŋutigbalẽ ƒoa ƒu ŋutɔ.

Nukawoe hea ʋumenugbagbeviɣidɔ vɛ?

Nu geɖe li siwo gbɔ ʋumenugbagbeviɣidɔ tsona. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• No me dɔdzẽ ƒe amekoko: No me dɔdzẽ ƒe amekoko aɖewo bia be woaɖe ʋuka siwo le akɔta te ɖa. Esia ate ŋu agblẽ nu le ʋuka siwo te ɖe wo ŋu me.
• Amekoko le akɔta: Amekoko be woaɖe ʋuka siwo le akɔta ƒe akpa si le akɔta hã ate ŋu ana ʋukawo natsi.
• Kekeli ƒe atikewɔwɔ:Kekeli ƒe atikewɔwɔ ate ŋu ana abi nanɔ ʋukawo me eye wòagblẽ nu le ʋukawo ŋu. Esia ate ŋu ana ŋutigbalẽa naxɔ abi eye wòana ʋu ƒe sisi natsi ʋukawo me.
• Nuveviwɔame: Míaƒe ʋukawo nye ʋuka siwo kekena ɖe ŋutigbalẽa te kple ŋutilã bliboa siaa. Ɣeaɖewoɣi la, abixɔxɔ le ŋutilã ƒe akpa ɖesiaɖe ate ŋu agblẽ nu le ʋuka siwo le ŋutigbalẽa te ŋu, si ana ʋukawo natsi.
• Dɔlékui: Dɔlékui ate ŋu ana nusiwo gblẽ le ʋukawo ŋu nadzi ɖe edzi.
• Lolo akpa: Ami si sɔ gbɔ ɖe ame siwo lolo akpa me ate ŋu aƒoe ɖe ʋukawo kple ʋukawo nu. Nyaƒoɖeamenu sia si sɔ gbɔ wu ate ŋu akpɔ ŋusẽ ɖe tsi si sina toa ʋukawo me dzi.
• Dɔmawɔmawɔ: Lãmetsi siwo le míaƒe afɔwo me kpena ɖe ʋukawo ƒe sisi ŋu. Ne mèle dɔ wɔm tututu o la, wò afɔwo ate ŋu avuvu.
• Dɔdzẽ: Dɔdzẽ aɖewo ate ŋu axe mɔ na ʋuka me tsi ƒe sisi.
• Dzidɔ: Amesiwo ŋu dzidɔ le, vevietɔ dzitodzito ƒe dɔmawɔmawɔ nyuie, ate ŋu axɔ ʋumenugbagbeviɣidɔ. Míaƒe ʋuka siwo me ʋu sina tona la tsɔa ʋukawo trɔna yia dzia me. Eyata ne wò dzi mele dɔ wɔm nyuie o la, àte ŋu akpɔe be yeƒe lolome nadzi ɖe edzi eye yeƒe afɔwo navuvu.
• Ʋukawo ƒe kuxiwo: Tsi siwo le míaƒe ŋutilã me ƒe 80% va ɖo 90% toa ʋukawo me. Ne kuxi aɖe le ʋukawo ƒe dɔwɔwɔ ŋu la, ʋuka me dɔléle siwo nɔa anyi didi ate ŋu ado mo ɖa. Esiawo ate ŋu ahe ʋumenugbagbeviɣidɔ hã vɛ.
• Ayikudɔ: Míaƒe ayikuwoe ɖea tsi kple gbeɖuɖɔ siwo sɔ gbɔ ɖe míaƒe ŋutilã me ɖa. Ne míaƒe ayikuwo mele dɔ wɔm nyuie o la, eva sesẽna na míaƒe ŋutilã be wòaɖe tsi ɖa. Lãmetsi sia si sɔ gbɔ wu la nana ame ƒe lãme vuvu, si ate ŋu ana ʋukawo natsi.

Aleke ɖɔktawo wɔa dea dzesi ʋumenugbagbeviɣidɔ?

Ne vuvu le ŋuwò si ate ŋu atso ʋumenugbagbeviɣidɔ gbɔ la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe atsɔ anya ne ʋumenugbagbeviɣidɔ gbɔe wòtso. Dodokpɔ siawo ate ŋu anye:

• Doppler ultrasound: Dodokpɔ sia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ (ultrasound) tsɔ léa ŋku ɖe ʋu ƒe sisi to ʋumenugbagbevi dzĩwo me ŋu. Esia ate ŋu akpe ɖe ame ŋu wòake ɖe nusiwo xe mɔ na ame ŋu eye wòaɖe nu bubu siwo hea vuvu vɛ, abe ʋu ƒe sisi ene, ɖa.
• Magnetic Resonance Imaging (MRI): Esia zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa wò ŋutilã ƒe akpa etɔ̃ (3D) ƒe nɔnɔmetata tsitotsito ɖe wo nɔewo yome. Ðɔktawo zãa dodokpɔ sia tsɔ kpɔae ɖa be, le kpɔɖeŋu me, nane abe dɔdzẽ ene le nyaƒoɖeamenu dem lãmekawo me hã.
• Computed Tomography scan (CT scan): Dodokpɔ sia zãa X-ray tsɔ wɔa wò ŋutilã ƒe wɔwɔme ƒe nɔnɔmetata tsitotsito, siwo wotso ɖe wo nɔewo ŋu. Abe MRI ene la, ɖɔktawo zãnɛ tsɔ léa ŋku ɖe dzesi siwo fia be nyaƒoɖeamenu le ʋukawo ŋu hã.

Ðe ʋumenugbagbeviɣidɔ ƒe afɔɖeɖe aɖewo lia?

Ẽ, ɖɔktawo zãa afɔɖeɖe ƒe ɖoɖo si gbɔna:

• Afɔɖeɖe 0: Teƒe si dɔlélea le ate ŋu avuvu, axa, eye wòase le eɖokui me be yele kpekpem, gake vuvu aɖeke madzemadzee o.
• Afɔɖeɖe I: Ɣeaɖewoɣi la, ate ŋu avuvu. Ne èkɔ teƒe si dɔlélea le ɖe dzi la, akpe ɖe ŋuwò nàɖe abi la dzi akpɔtɔ.
• Afɔɖeɖe II: Ɣesiaɣi kloe la, teƒe si dɔlélea le la vuvuna. Ŋutilã si le teƒe ma ate ŋu ase le eɖokui me be yesẽ vie wu teƒe si ƒo xlãe.
• Afɔɖeɖe III: Vuvu gã aɖe le teƒe si dɔlélea le, eye woate ŋu akpɔ tɔtrɔ le ŋutigbalẽ ƒe amadede kple eƒe nɔnɔme hã ŋu.

Aleke woawɔ aɖe ʋumenugbagbeviɣidɔ ɖa keŋkeŋ?

Atike aɖeke meli na ʋumenugbagbeviɣidɔ o. Ema fia be womate ŋu aɖee ɖa keŋkeŋ o. Gake atikewɔwɔ geɖe li siwo ate ŋu akpe ɖe ŋuwò nàɖe ŋusẽ si nɔnɔmea kpɔna ɖe wò agbenɔnɔ dzi dzi akpɔtɔ eye nànɔ agbe si nyo wu.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe atikewo?

Atikewɔwɔ na ʋumenugbagbeviɣidɔ le vovovo le nusi gbɔ wò dɔlélea tso kple afisi wò dɔlélea le nu. Atikewɔwɔ siawo ate ŋu anye kamedede alo atikewɔwɔ bubu siwo ana ʋuka me tsi nayi edzi anɔ sisim eye woaɖe abi kple vevesese dzi akpɔtɔ. Wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutikewo alo vevesesenutsitikewo hã na wò na dɔlékuiwo.

Nukawoe nye ŋutilã me dɔdamɔnu siwo wozãna na ʋumenugbagbeviɣidɔ?

Zi geɖe la, ʋumenugbagbeviɣidɔ ƒe atikewɔwɔwo lɔa kamedede kple awu tɔxɛwo alo bablawo tsɔtsɔ ƒo ƒui be wòakpe ɖe tsi ŋu wòado le teƒe siwo ʋumenugbagbeviɣidɔ le. Ne èle ŋutilãmedɔdamɔnu zãm le ʋumenugbagbeviɣidɔ ta la, ele vevie be nàyi edzi anɔ awu alo aŋetu siawo zãm le atikewɔwɔ vɔ megbe be emetsonuwo nanɔ anyi. Lãmesẽfefewɔwɔ na ʋumenugbagbeviɣidɔ ate ŋu anye:

• Awu siwo wotsɔa nutete: Esiawo ate ŋu anye soxwo, abɔtawu, alo nusiwo wotsɔ blaa nu. Nyaƒoɖeamenu si wowɔna kpena ɖe ŋuwò be tsi tso wò lãkusiwo me trɔna yia wò ʋukawo me. Esia ɖea abi kple kuxi siwo dona tso ʋumenugbagbeviɣidɔ me dzi kpɔtɔna.
• Lãmesẽfefe: Lãmesẽdɔwɔla siwo bi ɖe ʋumenugbagbeviɣidɔ me zãa asilili ame ŋu tufafatɔe tsɔ doa ŋusẽ ʋu ƒe sisi. Woyɔa esia be Manual Lymphatic Drainage (MLD) . Atikewɔla siawo ate ŋu afia alesi wò ŋutɔ nàwɔ asisisi sia hã wò.
• Multilayer compression bandaging: Le MLD zazã vɔ megbe la, wò kamededeŋutinunyala ate ŋu atsɔ multilayer compression bandaging asisi wò ŋutilã ƒe akpa siwo vuvu la. (Ne èvuvu wò afɔkpodzi kpɔ la, àte ŋu atsɔ aŋe kpui aɖe asisi ɖe teƒea be wòaɖe abi dzi akpɔtɔ. Multilayer compression bandaging wɔa dɔ nenema ke na lymphedema.) Lãmesẽdɔwɔlawo tsɔa aŋe gbogbo aɖewo ƒoa wò ŋutilã ƒe akpa siwo vuvu la, eye wotsɔa nyaƒoɖeamenu vovovowo dea eme. Atike siawo nana wò lãmekawo tea ɖe wo dzi eye wokpena ɖe ame ŋu be tsi nagatrɔ ayi wò ʋukawo me.
• Mɔ̃ siwo wotsɔna ƒoa ʋu: Mɔ̃ siawo siwo woyɔna be pneumatic compression pumps, nana tsi nɔa sisim to ʋuka siwo me ʋu sina tona kple ʋukawo me to nyaƒoɖeamenu ɣeaɖewoɣi me. Esia wɔnɛ be tsi la meƒoa ƒu ɖe abɔwo, afɔwo, kple ŋutilã ƒe akpa bubuwo o. Mɔ̃ siawo wɔa dɔ to pɔmpia tsɔtsɔ de abɔta si woxatsa ɖe teƒe si dɔlélea le ŋu. Pɔmpia doa ya ɖe abɔta eye wòɖea ya le eme le nyaƒoɖeamenu ƒe tsatsam edziedzi me. Pɔmpi siwo wotsɔna ƒoa ʋu ƒe sisi ate ŋu aɖe ʋumenugbagbeviɣidɔ ƒe kuxiwo hã dzi akpɔtɔ.
• Kɔkɔme: Nuheŋusẽ kpɔa ŋusẽ ɖe ʋumenugbagbeviɣidɔ ƒe dzesiwo hã dzi. Ele be nàdze agbagba ana ŋutilã ƒe akpa si ŋu dɔlélea le la nakɔ alesi nàte ŋui.
• Kamedede: Kamedede le vevie ŋutɔ be wòana ʋuka me tsi nayi edzi.

Ðe amekoko ƒe atike aɖe li na ʋumenugbagbeviɣidɔa?

Ne atikewɔwɔ siwo menye amekoko o mekpena ɖe wò dzesiwo ŋu o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò. Wowɔa esia le dɔwɔƒe tɔxɛwo. Zi geɖe la, ne wò ʋumenugbagbeviɣidɔa nu sẽ ko hafi wowɔa dɔ na wò ʋumenugbagbeviɣidɔ. Azɔ hã, menaa atike blibo aɖeke o. Menye amesiamee ate ŋu awɔ dɔ na o. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, bia wò ɖɔkta nenye be amekokoa sɔ na wò. Amekoko ƒe atikewɔwɔwo ate ŋu anye:

• Lãmetsiŋusẽ ƒe dɔwɔwɔ: Amekoko sia bia be woatsɔ ʋuka siwo me ʋu sina tona kple ʋukawo aƒo ƒui, atrɔ woƒe zɔzɔme, eye woana ʋuka me tsi nate ŋu age ɖe ŋutilãa ƒe ʋukawo me, ato nusiwo xe mɔ na wo ŋu.
• Lãmetsiŋusẽ ƒe ʋuʋu: Amekolawo doa ʋuka siwo le lãmesẽ me tso ŋutilãa ƒe akpa bubuwo be woatsɔ aɖɔli ʋuka siwo gblẽ. Esia le abe ʋuka yeye wɔwɔ le ŋutilã ƒe akpa si ŋu ʋumenugbagbeviɣidɔ le ene.
• Debulking: Wozãa amekoko sia tsɔ daa ʋumenugbagbeviɣidɔ si nu sẽ ŋutɔ. Ebia be woawɔ amekoko atsɔ aɖe ŋutigbalẽa, ami, kple lãkusiwo katã ɖa le teƒe si dɔlélea le, eye woatsɔ ŋutigbalẽa adoe akplɔe ɖo.

Nukae wòle be makpɔ mɔ na ne ʋumenugbagbeviɣidɔ le ŋunye?

Lymphedema nye dɔléle si nɔa anyi didi. Togbɔ be atikewɔwɔ kple agbenɔnɔ ƒe tɔtrɔ medaa ʋumenugbagbeviɣidɔ o hã la, wonye mɔ nyui siwo dzi woato akpɔ ʋumenugbagbeviɣidɔ ƒe dzesiwo gbɔ.

Aleke mawɔ aɖe ʋumenugbagbeviɣidɔ xɔxɔ ƒe afɔkua dzi akpɔtɔ?

Togbɔ be màte ŋu aɖe ʋumenugbagbeviɣidɔ ƒe afɔkua dzi akpɔtɔ keŋkeŋ o hã la, nanewo li nàte ŋu awɔ atsɔ aɖe abi dzi akpɔtɔ, eye ɖewohĩ axe mɔ ɖe enu gɔ̃ hã. Ne wole no me dɔdzẽ ƒe dɔ wɔm na wò alo le atike bubu aɖe wɔm na wò la, bia wò amekola kple lãmesẽdɔwɔla bubuwo tso kamedede siwo ate ŋu akpe ɖe ŋuwò nàɖe abi dzi akpɔtɔ ŋu. Afɔɖeɖe bubuwoe nye:

• Lé ŋku ɖe wò ŋutilã ŋu:Bia wò ɖɔkta nenye be àte ŋu adzidze teƒe si dɔlélea le eye nàlé ŋku ɖe tɔtrɔ sue ɖesiaɖe si ava hafi nàse abi aɖe ŋu. Ne ède dzesi tɔtrɔwo kaba la, àte ŋu adze atikewɔwɔ gɔme kaba.
• Do teƒe si dɔlélea le ɖe dzi: Ɣesiaɣi si wòanya wɔ la, na wò alɔ alo afɔ si ŋu dɔlélea le la nanɔ dziwò.
• Yi edzi nànɔ ʋuʋum: Esi nèle hayahayam la, di mɔ siwo dzi nàto anɔ ʋuʋum edziedzi. Esia akpe ɖe wò tsiwo ŋu be woazɔ nyuie wu.
• Ƒo asa na dzoxɔxɔ si nu sẽ: Dzoxɔxɔ si nu sẽ ate ŋu ana ʋumenugbagbeviɣidɔ ƒe afɔkua nadzi ɖe edzi.

Kafukafu bubuwo

Ate ŋu asesẽ be nànɔ dziɖeɖi me ne wò alɔ alo afɔ vuvu. Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ŋuwò:

• Nɔ anyi kpoo: Do ​​awu siwo me mekɔ o siwo maxe wò abɔwo kple afɔwo o. Ƒo asa na sox siwo sesẽ, tights, kple hosiery. Do afɔkpa siwo me kɔ eye woƒe afɔbidɛwo tu. Ðewohĩ màte ŋu ado atsyɔ̃ɖonuwo alo gaƒoɖokui ɖe asi si ŋu dɔlélea le la ŋu o. Gake ne anya wɔ la, kpɔ egbɔ be wò gaƒoɖokui alo atsyɔ̃ɖonuwo mexe wò asi o.
• Nɔ anyi nyuie: Ne èbɔbɔ nɔ anyi la, na wò afɔwo nanɔ gbadzaa ɖe anyigba eye mègatso wo o. Esia akpe ɖe tsi si le wò afɔwo me ŋu be tsi nado nyuie wu. Dze agbagba nàfɔ azɔ aɖabaƒoƒo 30 ɖesiaɖe.
• Mɔzɔzɔ dedie: Ne èle yameʋu me kpuie la, bia wò ɖɔkta nenye be ele be nàdo awu siwo wotsɔna ƒoa nu ɖe ​​alɔ alo afɔ si ŋu dɔlélea le ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be yeƒe alɔ alo afɔ si ŋu dɔlélea le la vuvu wu alesi wònɔna ɖaa , alo ne èsusu be dɔlékui aɖe le ye ŋu la, yi ɖɔkta gbɔ enumake.

Aleke mawɔ akpɔ ʋumenugbagbeviɣidɔ gbɔe?

Togbɔ be atike aɖeke meli na ʋumenugbagbeviɣidɔ tegbee o hã la, tɔtrɔ suesuesue siwo nàwɔ le wò gbesiagbegbenɔnɔ me ate ŋu akpe ɖe ŋuwò nàɖe abi kple dzesi bubuwo dzi akpɔtɔ. Tɔtrɔ sue siwo ŋu wòle be nàbu dometɔ aɖewoe nye ɖokuiwò takpɔkpɔ tso dɔlékuiwo me, kamedede, kple tɔtrɔ suesuesuewo wɔwɔ le wò nuɖuɖu me.

Aleke mawɔ akpɔ ɖokuinye ta tso dɔlékuiwo me?

Lãmetsiŋusẽ ƒe ʋuʋu nana wò ŋutigbalẽ tea ɖe dzi, si wɔnɛ be anɔ eme be dɔlékui aɖe axɔ wò tso lãɖeɖe, ƒoƒo, alo abi bubuwo me. Dɔlékuiwo ate ŋu ahe lãmesẽkuxi sesẽwo vɛ na amesiwo ŋu ʋumenugbagbeviɣidɔ le. Àte ŋu akpe asi ɖe ɖokuiwò takpɔkpɔ tso dɔlékuiwo me to dzadzɛnyenye nyui wɔwɔ kple wò ŋutigbalẽ takpɔkpɔ me . Aɖaŋuɖoɖo aɖewoe nye esi:

• Klɔ asi: Klɔ asi kple adzalẽ kple tsi dzodzoe le ŋkekea me katã, hafi nàɖa nuɖuɖu, le nugododeƒe zazã vɔ megbe, kple ne èka asi awu ƒoɖiwo alo aklala ŋu vɔ megbe.
• Takpɔ wò ŋutigbalẽ: Do asigɛwo be màgavuvu o. Zã elektrik-lãgbalẽŋudɔwɔnu ne èle lũlũm. De nudzodzoeviwutike be nudzodzoewo nagaɖu wo o. De ɣe ƒe keklẽŋusẽtike (SPF 30 alo esi wu nenema) ne èle gota.
• Da abi ɖesiaɖe kaba:Nuveviwɔame suesuesuewo gɔ̃ hã ate ŋu ana woaxɔ dɔlékuiwo. Ne ètso alo ƒo abi la, tsɔ adzalẽ kple tsi klɔ abi la, nàtsɔ ami si wua dɔlékuiwo asisi ɖe eŋu, eye nàtsɔ aŋe atsyɔ edzi. Yɔ wò ɖɔkta ne ède dzesi dɔlélea ƒe dzesiwo, abe abibi, vevesese, vuvu si dzi ɖe edzi, alo dzoxɔxɔ ene .

Aleke kamedede kpena ɖe ame ŋu le ʋumenugbagbeviɣidɔ me?

Lãmetsiŋusẽ ƒe ʋuʋu dzɔna ne tsi ƒo ƒu ɖe ŋutilãa ƒe akpa ɖeka. Mɔ nyuitɔ siwo dzi nàto ana tsi nanɔ sisim dometɔ ɖekae nye kamedede. Ðo dze kple wò ɖɔkta hafi nàdze kamedede ƒe ɖoɖo aɖe gɔme. Ate ŋu aɖo aɖaŋu na wò eye ate ŋu aɖo aɖaŋu na wò gɔ̃ hã be nàwɔ kamedede aɖewo koŋ. Aɖaŋuɖoɖo bubuwoe nye:

• Dzoxɔxɔ Kple Fafa: Kamedede ka kee nèɖawɔ o, dze wò kamededea gɔme kple aɖabaƒoƒo atɔ̃ ƒe keke eye nàwu enu kple aɖabaƒoƒo atɔ̃ va ɖo ewo ƒe kamedede si ana nàfa.
• Dze egɔme blewu: Na ɣeyiɣi wò ŋutilã be wòatrɔ ɖe wò kamedede ƒe ɖoɖoa ŋu. Dze egɔme kple aɖabaƒoƒo 10 ƒe kamedede le gɔmedzedzea me, eye nàɖoe be yeade kame aɖabaƒoƒo 20-30 gbesiagbe.
• Na wòanɔ bɔbɔe: Ƒo asa na kamedede sesẽ si ana wò alɔ alo afɔ si ŋu dɔlélea le la nate ɖe edzi.
• Kpɔ nyuie le kpekpeme kɔkɔ ŋu: Ne èkɔa kpekpemewo edziedzi alo nèwɔa ŋusẽdodo hehexɔxɔ la, bia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedede mawo gɔme ake. Ate ŋu akafu kamedede siwo wòle be nàƒo asa na alo aɖo seɖoƒe na kpekpeme agbɔsɔsɔme si nàte ŋu akɔ.
• Mègawɔ dɔ fũu akpa o: Lé ŋku ɖe wò alɔ alo afɔ si ŋu dɔlélea le ŋu. Ne èse le ɖokuiwò me be alɔ alo afɔ ma le gbɔdzɔgbɔdzɔm la, gbɔ ɖe eme vie. Wɔ wò fafa kamededewo, emegbe nàgbɔ ɖe eme eye nàkɔ alɔ alo afɔ ma ɖe dzi wu wò dzi.
• Mègade kame kple vevesese o: Dzudzɔ kamedede ɖesiaɖe si ana nàse veve eye nàkpɔ wò ɖɔkta. Ðewohĩ adi be yeado wò alɔ alo afɔ si ŋu dɔlélea le la kpɔ.

Aleke tɔtrɔ le nye nuɖuɖu ŋu akpe ɖe ŋunyee?

Nuɖuɖu nyui ate ŋu akpe ɖe ŋuwò nàɖu abi dzi. Nunyiame siwo tso atikutsetsewo, amagbewo, nuku blibowo, kple protein si me ami mele o me kpena ɖe wò ʋukawo ŋu wòwɔa dɔ nyuie wu. Nuɖuɖu si naa lãmesẽ ate ŋu akpe ɖe ŋuwò hã be wò kpekpeme nanɔ lãmesẽ me. Aɖaŋuɖoɖo aɖewoe nye:

• Ðe dze dzi kpɔtɔ: Dze ate ŋu ana tsi nalé ɖe lãme na ame geɖe wu. Te amagbe yeyewo kple nu ʋeʋĩ bubuwo kpɔ be nàtsɔ avivi wò nuɖuɖua.
• No tsi: Tsi si ƒe kpekpeme nye ounce 8 kplu 8 nono gbesiagbe kpena ɖe ame ŋu be tsiwo nado le eme.

Lãmetsiŋusẽ nye dɔléle si nana ŋutilã ƒe akpa vovovowo vuvu ne nane gblẽ nu le wò ʋukawo ŋu. Enye dɔléle si nɔa anyi didi si ate ŋu akpɔ ŋusẽ ɖe wò lãmesẽ, seselelãme, kple bubudede ɖokuiwò ŋu dzi. Lãmetsiŋusẽ ƒe ʋuʋu nye nɔnɔme sesẽ aɖe. Gake àte ŋu aɖe afɔ aɖewo atsɔ akpɔ wò dzesiwo gbɔ eye nàna agbenɔnɔ kple ʋumenugbagbeviɣidɔ nanɔ bɔbɔe wu. Tɔtrɔ suesuesuewo abe nuɖuɖu nyui ɖuɖu kple kamedede ene ate ŋu ana tɔtrɔ gã aɖe nava. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàzã atike siwo akpe ɖe ŋuwò nàɖe wò ʋumenugbagbeviɣidɔ ƒe dzesiwo dzi akpɔtɔ. Ne ʋumenugbagbeviɣidɔ le fu ɖem na wò la, na woanya. Woate ŋu akpe ɖe ŋuwò nàxɔ kpekpeɖeŋu si nèhiã, alo afia mɔ nyuitɔ si dzi nàto adie la wò.

Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me! (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata míeƒo nu geɖe tso ʋumenugbagbeviɣidɔ ŋu egbea, alo? Ðo ŋku edzi be esia nye vuvu si tso ʋukawo ƒe dɔmawɔmawɔ nyuie gbɔ.

• Ele vevie be nàde dzesii kaba: Ne ède dzesii be wò abɔwo le vuvu, kpekpe, alo ŋutigbalẽ ƒe tɔtrɔ si mebɔ o la, yi ɖɔkta gbɔ enumake.
• Togbɔ be womate ŋu adae bliboe o hã la, woate ŋu akpɔ egbɔ: Woate ŋu akpɔ nɔnɔme sia gbɔ nyuie ne wowɔ atike nyuitɔ, kamedede, awu siwo wotsɔna ƒoa nu, kple agbenɔnɔ ƒe tɔtrɔ.
• Kpɔ nyuie le dɔlékuiwo ŋu: Na wò ŋutigbalẽ nanɔ dzadzɛ eye nàlé be na abi suewo gɔ̃ hã nyuie.
• Menye wò ɖeka koe o: Agbenɔnɔ kple nɔnɔme sia ate ŋu agbɔ eme. Gake ɖo ŋku edzi be ɖɔktawo, ŋutilãmedɔdalawo, kple ame vevi aɖewo li siwo ate ŋu akpe ɖe ŋuwò.

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

` Lãmetsiŋusẽ, ʋuʋudedi, ʋumenugbagbeviɣidɔ, abɔ kple afɔwo ƒe vuvu, Lãmetsiŋusẽ Sinhala, ʋukawo, Lãmetsiŋusẽ ƒe dɔdamɔnu Sinhala