Èse ‘Susu ƒe Nɔnɔme Dodokpɔ’ ŋu nya kpɔa? Ðewohĩ wò ɖɔkta ɖo wò ɖe ame aɖe gbɔ. Esia nye dodokpɔ vevi aɖe ŋutɔ. Mina míalé ŋku ɖe nusi wònye kple alesi wowɔe ŋu, le mɔ bɔbɔe aɖe nu.

Kpuie ko la, nukae nye Susu ƒe Nɔnɔme Dodokpɔ sia?

Bu eŋu abe ɖɔkta si le wò ŋutilã dom kpɔ be yeakpɔ dɔléle aɖe ene (`ŋutilã dodokpɔ`), esia hã le nenema, gake esia hã léa ŋku ɖe wò susu ƒe lãmesẽ kple dɔwɔwɔ ŋu . Eyae nye be, ɖɔktawo daa alesi nèsrɔ̃a nuwo nyuie eye nèsea nusiwo ƒo xlã wò gɔme (`susu ƒe ŋutete`) kpɔna. Le esia me la, ɖɔkta la léa ŋku ɖe ŋuwò, biaa nyawo wò. Wotoa esia dzi léa ŋku ɖe nu siwo gbɔna ŋu tso ŋuwò:

• Dzedzeme kple nɔnɔme si me amewo katã le.
• Nuwɔna kple ʋuʋu.
• Alesi woakpɔ nuwo adze sii (Perceptions).
• Seselelãme kple ŋusẽkpɔɖeamedzi.
• Nunya ƒe dɔwɔnawo (`Sidzedze`) abe susu, ŋkuɖoɖonudzi, tamebubu ƒe ŋutete, kple nyametsotsowɔwɔ ƒe ŋutete.

Togbɔ be esia adze abe ``ŋutilã dodokpɔ`` si tagbɔdɔdalawo wɔna ene hã la, ɖɔkta ɖesiaɖe ateŋu awɔ dodokpɔ sia ŋutɔŋutɔ. ``Susu ƒe Nɔnɔme Dodokpɔ`` sia nye kpekpeɖeŋu gã aɖe le susu ƒe lãmesẽ ƒe nɔnɔme vovovowo (abe ``Schizophrenia`` alo dzimaɖitsitsi ƒe dɔlélewo) kple ahɔhɔ̃medɔlélewo (abe ``Alzheimer ƒe dɔléle`` alo ``Parkinson ƒe dɔléle`` ene didi kple wo dzi kpɔkpɔ me.

Ɣekaɣie wowɔa dodokpɔ sia?

Zi geɖe la, ne èyi ɖɔkta gbɔ, alo hena atikewɔwɔ si akplɔe ɖo la, anɔ eme be ɖɔktawo awɔ ``Susu ƒe Nɔnɔme Dodokpɔ sia.'' Nusiwo do tso eme akpe ɖe wo ŋu woase dodokpɔ bubu siwo nèhiã kple atikewɔwɔ ƒomevi siwo sɔ gɔme.

Gake nu ɖeka si dzi wòle be míaɖo ŋkui enye be `Susu ƒe Nɔnɔme Dodokpɔ` sia nye `nukpɔsusu ƒe dodokpɔ` si ateŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ . Ema fia be le ame ɖeka gɔ̃ hã gome la, ɖɔkta vovovowo ate ŋu aƒo nya ta vovovowo. Azɔ hã, ɖɔkta ƒe nunya hã kpɔa ŋusẽ ɖe esia dzi.

Ðɔktawo dzea agbagba be yewoabu nu geɖe ŋu ne wole dodokpɔ sia wɔm, elabena nu siawo ate ŋu akpɔ ŋusẽ ɖe wò dodokpɔa ƒe dɔwɔwɔ dzi:

• Wò dekɔnuwo.
• Mia degbe.
• Wò sukudede ƒe seƒe kple nuxexlẽ ƒe ŋutete.
• Nɔnɔme bubu siwo tea ɖeɖi ame ŋu abe alɔ̃madɔmadɔ, dɔwuame, vevesese ene.

Azɔ hã, ɖɔktawo menɔa te ɖe dɔléle si wokpɔna le `Susu ƒe Nɔnɔme Dodokpɔ` sia me tsonu dzi ko o . Wobua nu bubu geɖewo hã ŋu. Le kpɔɖeŋu me:

• Wò atikewɔwɔ ƒe nɔnɔme si me nèle fifia ŋuti nyatakakawo.
• Wò susu ƒe lãmesẽ ŋutinya si va yi.
• Wò atikewɔwɔ ŋutinya si va yi.
• Atike vɔ̃ɖiwo zazã ƒe ŋutinya.
• Hadomegbenɔnɔ ƒe nɔnɔme.
• Lãmesẽdodokpɔ.
• Ahɔhɔ̃mekawo ƒe dodokpɔ.
• Dodokpɔ me tsonu abe ʋudodokpɔ ene.

Nukae dodokpɔ sia lɔ ɖe eme?

Ðɔktawo zãa ŋkuléle ɖe nu ŋu kple nyabiase siaa le ``Susu ƒe Nɔnɔme Dodokpɔ me.'' To ɖoɖo sia me la, wodoa wò susu ƒe ŋutete ƒe akpa vovovowo kpɔna. Woate ŋu ama esiawo ɖe hatsotso vevi geɖe me.

Ðɔkta ƒe Nukpɔsusuwo

Nu aɖewo li siwo wò ɖɔkta ate ŋu ada asɔ kaba ne elé ŋku ɖe ŋuwò. Esiawo dometɔ aɖewoe nye:

• Dzedzeme: Ðɔktaa ade dzesi nuwo abe wò dzadzɛnyenye ene, ne wò dzedzeme sɔ kple ƒe si nègblɔ, kple ne abi alo abi aɖewo siwo woate ŋu akpɔ.
• Nuwɔna: Woléa ŋku ɖe nuwo abe alesi nèle nuteɖeamedzi me, alesi nèwɔa nu aduadui, nenye be èle vevesese aɖeke me, kple bubuawo hã ŋu.Woléa ŋku ɖe nusita nèle kɔdzi kple nenye be èle nu wɔm abe alesi wokpɔ mɔe ene le nɔnɔme sia tɔgbe me hã ŋu.
• Motor activity / movements: Susu, ahɔhɔ̃mekawo ƒe tsitsi, kple ahɔhɔ̃mekawo ƒe nɔnɔme aɖewo ateŋu ahe ʋuʋu si mesɔ o vɛ. Le kpɔɖeŋu me, nuwɔwɔ fũu akpa, ʋuʋudedi, ʋuʋudedi, sesẽme, kple Parkinson ƒe dɔléle.
• Nuƒoƒo: Le dodokpɔa katã me la, ɖɔkta ade dzesi alesi nèƒoa nui kple alesi nèƒoa wò nyawo nu ƒui. Woalé ŋku ɖe wò gbe ƒe duƒuƒu, eƒe tsɔtsɔme, gbeɖiɖi ƒe sesẽme, kple gbeɖiɖi hã ŋu. Woate ŋu akpɔe hã be nuƒoƒo ƒe kuxi aɖewo le ŋuwò, abe nyawo ƒe nyagbɔgblɔ gbegblẽ (dysarthria) ene.
• Ŋusẽkpɔɖeamedzi: Ðɔktaa alé ŋku ɖe wò dzesi siwo menye nyagbɔgblɔ o ŋu. Woate ŋu azã nyawo abe dzidzɔ, blanuiléle, dziku, blanuiléle, dzimaɖitsitsi, alo dzidzɔkpɔkpɔ ene. Woalé ŋku ɖe eŋu hã be wò seselelãmewo sɔ kple wò seselelãme si nègblɔ hã.
• Tamebubu ƒe ɖoɖo: Ðɔktaa alé ŋku ɖe ale si wò susuwo le ɖoɖo nu ŋu. Woɖɔa tamebubu ƒe ɖoɖo si sɔ be enye nusi le tẽ eye taɖodzinu le eŋu. Ne wò tamebubu ƒe ɖoɖo mele ɖoɖo nu o la, ke wò tamebubu ate ŋu atɔ ɖe nɔnɔme aɖe koŋ me. Ðewohĩ màkpɔ nɔnɔmetata bliboa o. Alo ɖewohĩ èle nusi ame aɖewo yɔna be ``susuwo ƒe dzodzo'' me tom.

Nya siwo wòle be woabia wò

Ðɔktawo biaa nya tẽ be woatsɔ ado wò susuŋutete ƒe akpa aɖewo kpɔ. Woate ŋu atsɔ nyabiase siawo ada:

• Seselelãme: Ðɔktaa bia alesi nèle sesem le ɖokuiwò me eye wòde dzesi wò ŋuɖoɖoa.
• Nusi ŋu bum nèle: Nusi ŋu bum nèle (le kpɔɖeŋu me, nusi nèsusu tso nu aɖe koŋ ŋuÐɔktaa ada wò kpɔ to toɖoɖo wò kple nya siwo nàbia tẽe me. Vevietɔ la, woalé ŋku ɖe ameɖokuiwuwu ƒe susuwo, ame bubuwo wuwu ƒe susuwo, kple susu totrowo ŋu.
• Alesi nèbua xexe si ƒo xlã wò: Ðɔkta la abia nya tso nusiwo nèsena le ɖokuiwò me (se, sea nu, kpɔna, sea ʋeʋẽ, ka asi) le nuto si me nèle me ŋu. Wobiaa esia koŋ be yewoakpɔe ɖa be èle susumenuwo kpɔm hã.
• Gɔmesese: Esia fia alesi nèse ɖokuiwò gɔmee kple alesi nèwɔa dɔe le xexe si ƒo xlã wò me . Ðɔktaa daa esia kpɔ to toɖoɖo wò kple nyawo biabia me. Woaɖɔ wò nugɔmesese be enyo, esɔ, seɖoƒe li na, alo menyo o. Woaɖe nu me hã nenye be ele gbegblẽm ɖe edzi alo le nyonyom ɖe edzi wu tsã.
• Ʋɔnudɔdrɔ̃: Esia fia ŋutete si le asiwò be nàwɔ nyametsotso nyuiwo. Ðɔktawo daa esia kpɔ to alesi nèwɔna le nɔnɔme aɖewo me biabia wò me. Wotue ɖe wò ŋutinya hã dzi — le kpɔɖeŋu me, ne èno wò atikewo ɖe game dzi.

Wò susuŋudɔwɔwɔ me dzodzro

Susu ƒe Nɔnɔme Dodokpɔ ƒe akpa vevi aɖee nye sidzedze ŋutetewo ƒe dodokpɔ (`sidzedze`). Wogama `sidzedze` ƒe hatsotso sia ɖe akpa vovovowo me:

• Ŋudzɔnɔnɔ: Esiae nye alesi gbegbe wò susu le nu ŋui. Le kpɔɖeŋu me.
• Mɔfiame: Esia fia alesi nènya nɔnɔmea kple nuto si me nèle.Ðɔkta ate ŋu abia wò ne ènya wò ŋkɔ, afisi nèle (du, nuto si me nèle hã le), kple ŋkeke si me nèle hã.
• Lɔlɔ̃ ɖe nu dzi kple susu tsɔtsɔ ɖe nu ŋu: Ðɔktawo alé ŋku ɖe ale si nèléa to ɖe nya siwo wobia wò ŋu nyuie ŋu. Woate ŋu abia tso asiwò hã be nàwɔ dɔ aɖewo atsɔ ado wò susu ƒe dɔwɔwɔ kpɔ tẽ. Le kpɔɖeŋu me, woate ŋu abia tso asiwò be nàƒo asi ɣesiaɣi si nèse ŋɔŋlɔdzesi aɖe koŋ tso ŋɔŋlɔdzesi siwo woŋlɔ ɖe vome ƒe xexlẽdzesiwo me.
• Ŋkuɖodzinyawo: Ðɔkta ate ŋu ado ŋkuɖoɖonudzi ƒomevi vovovowo kpɔ. Esiawo dometɔ aɖewoe nye ŋkuɖoɖonudzi enumake, ŋkuɖoɖonudzi nyitsɔ laa, kple ŋkuɖoɖonudzi ɣeyiɣi didi. Le kpɔɖeŋu me, woate ŋu abia tso asiwò be nàgbugbɔ nya aɖe si yewogblɔ la agblɔ. Woate ŋu abia nyawo abe sekɛndrisuku si nède kple afisi wodzi wò le hã wò.
• Nuŋububu si me susu mele o: Esia daa wò ŋutete be nàse gɔmesesewo kple nukpɔsusuwo gɔme la kpɔ. Le kpɔɖeŋu me, ɖɔkta ate ŋu abia tso asiwò be nàɖe nu eve siwo sɔ kple wo nɔewo, alo nyagbɔgblɔ ɖeka me.

Nukae dodokpɔ sia me tsonu gblɔ?

Le dodokpɔa megbe la, ɖɔktaa adzro wò nuŋlɔɖi siwo ku ɖe nusiwo wokpɔ kple alesi nèɖo woƒe biabiawo ŋui me. Emegbe ne wotsɔ ŋkuléleɖenuŋu kple ŋuɖoɖo siawo katã ƒo ƒui la, woate ŋu akpɔe ɖa be woɖe kuxi aɖe koŋ fia hã.

Bu eŋu kpɔ, ne esesẽ na wò be nàwu nunya alo nuwɔna ƒe dɔ eve gɔ̃ hã nu la, ate ŋu afia be wokpɔ dɔléle aɖe abe `Mild Cognitive Impairment` alo `(Dementia)` ene.

Ne ègblɔ be yele susumenuwo kpɔm la, ate ŋu afia tagbɔdɔ abe tagbɔdɔléle si ƒe tagbɔ gblẽ, nɔnɔme aɖe abe tagbɔdɔléle ene, alo ahɔhɔ̃mekawo ƒe dɔléle abe Parkinson ƒe dɔléle ene.

Dodokpɔ siawo kpena ɖe ɖɔktawo hã ŋu be woalé ŋku ɖe ahɔhɔ̃mekawo ƒe dɔlélewo ƒe tsitsi ŋu.

Zi geɖe la, ɖɔktawo tsɔa nuŋlɔɖi siawo kpena ɖe wò atikewɔwɔ ŋuti nuŋlɔɖiwo ŋu.

Nukae woawɔ azɔ ne emetsonuwo mesɔ o?

Ne ``Susu ƒe Nɔnɔme Dodokpɔ`` sia me tsonu mesɔ o la, wò ɖɔkta ateŋu abia nya geɖe be yeanya nu geɖe tso wò atikewɔwɔ kple susu ƒe lãmesẽ ŋutinya ŋu. Le kpɔɖeŋu me, ne mèdɔ alɔ̃ nyuie o ŋkeke etɔ̃ sɔŋ la, ate ŋu aɖe nusita wòsesẽna na wò be wò susu nanɔ nu ŋu ahalé wò tamesusuwo ɖe ɖoɖo nu la me.

Wò ɖɔkta ate ŋu abia hã be woado wò kpɔ le nudokpɔƒe be woakpɔe ɖa be ŋutilã me nɔnɔme aɖee le wò dzesiwo hem vɛ hã. Dodokpɔ siawo ate ŋu anye:

• Suklidɔ dodokpɔ le ʋu me: Sukli ƒe agbɔsɔsɔ si sɔ gbɔ (suklidɔ ƒe agbɔsɔsɔ fũ) alo esi bɔbɔ (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) ate ŋu akpɔ ŋusẽ ɖe wò susu ƒe ŋutete dzi.
• Ʋu me urea nitrogen (BUN) dodokpɔ: Uremia ate ŋu ana ɖeɖi nate ame eye susu natɔtɔ.
• Aɖuɖɔtoe me dzodzro: Aɖuɖɔtoedɔléle (UTI) ate ŋu ana ame ƒe susu kple agbenɔnɔ natrɔ.
• Thyroid hormone dodokpɔ: Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie ate ŋu ana ame natsi dzimaɖi, evɔ ʋumenugbagbeviɣidɔ ya ate ŋu ana ame nalé blanui.

Le go aɖewo me la, woate ŋu adɔ dodokpɔ bubuwo hã, abe:

• Nɔnɔmetata dodokpɔwo abe `(PET scan)` alo `(Brain MRI)`.
• Elektroencephalogram (EEG) dodokpɔ.
• Ahɔhɔ̃ me tsiwo me dzodzro.

Wò ɖɔkta aɖe dodokpɔa me tsonu me na wò, eye emegbe mia kplii miatso nya me ɖekae le nusi miawɔ akplɔe ɖo ŋu.

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

``Susu ƒe Nɔnɔme Dodokpɔ`` sia nye dɔwɔnu vevi aɖe ŋutɔ si ɖɔktawo zãna tsɔ daa wò susu ƒe ŋutete kpɔna, si nye wò nunya, seselelãme, nuwɔna, kple alesi nèbua nuwoe. Dodokpɔ siawo ate ŋu afia wò susu alo ahɔhɔ̃mekawo ƒe dɔléle ɖesiaɖe si ate ŋu anɔ ŋuwò.Gake anɔ eme be ahiã be woagawɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔléle aɖe si le ŋuwò dzi. Ne nya aɖe le asiwò ku ɖe `Susu ƒe Nɔnɔme Dodokpɔ` ƒe emetsonuwo ŋu la, mègahe ɖe megbe le biabia me o. Wò ɖɔkta le afima be yeakpe ɖe ŋuwò.

` Susu ƒe Nɔnɔme Dodokpɔ, Susu ƒe Lãmesẽ, Susu ƒe Ŋutete, Seselelãme, Nuwɔna, Ahɔhɔ̃mekawo ƒe Dɔléle