Ðe nèsena le ɖokuiwò me be yeƒe ŋkuɖoɖonudzi le vɔvɔm vivivia? Mina míaƒo nu tso MCI (Mild Cognitive Impairment) ŋu!

Mí katã míeŋlɔa nuwo be ɣeaɖewoɣi, alo? Bu eŋu kpɔ, ne èdo le aƒea me hezɔ mɔ kpui aɖe vɔ la, kasia nèsusu be, "Oo nye Mawu, ɖe medo ʋɔa?" Alo kasia èŋlɔa nya si gblɔ ge nèle la be esime nèle dze ɖom kple xɔ̃wò aɖe vividoɖeameŋutɔe. Nu siawo bɔ ŋutɔ, eye naneke meli si ŋu woatsi dzi ɖo o. Gake, ɖe wò, dawò, fofowò, alo ame aɖe si nèlɔ̃ la, èsena le ɖokuiwò me be ŋkuɖoɖonudzi siawo le dzidzim ɖe edzi vivivi, eye wole tɔtɔ suesuesuewo hã hem vɛ na wò gbesiagbedɔwoa? Ekema nyati sia anɔ vevie na wò ŋutɔ. Egbea míele nu ƒom tso MCI, si tsi tre ɖi na Mild Cognitive Impairment ŋu.

Nuka tututue nye MCI?

Kpuie ko la, MCI (Mild Cognitive Impairment) nye nɔnɔme si me ame ƒe ŋkuɖoɖonudzi kple tamebubu ƒe ŋutete me gblẽna vie . Esia sɔ gbɔ vie wu ŋkuɖoɖonudzi si sɔ si dona tso tsitsi me. Gake mesẽna abe ŋkuɖoɖonudzi ƒe nɔnɔme sesẽ si woyɔna be tagbɔdɔ ene o.

Bu eŋu ale. Ðewohĩ asesẽ na wò be nàde dzesi ametafatafa ƒe kaƒoƒo, alo àte ŋu aŋlɔ nuwo abe gbesigbe nèyi ɖɔkta gbɔ ene be. Mia kple wò ƒomea miate ŋu ade dzesi tɔtrɔ siawo. Gake nu vevitɔe nye be amesi ŋu MCI le ate ŋu awɔ eƒe gbesiagbedɔwo kokoko ame bubuwo ƒe kpekpeɖeŋu manɔmee. Ema fia be woate ŋu awɔ nuwo abe nuɖaɖa, awudodo, kple aƒemedɔwo wɔwɔ le wo ɖokui si.

Nya nyuiae nye be menye ɣesiaɣie MCI nɔa anyi ɖaa o. Le go aɖewo me la, dzesiawo ate ŋu anyo ɖe edzi ne wonya da atike si gbɔ wòtso ko. Gake MCI ƒe amesinɔnɔ dzia wò tagbɔdɔléle, abe Alzheimer ƒe dɔléle ene, xɔxɔ le etsɔme ɖe edzi vie.

MCI ƒomevi vevi eve li:

Míema MCI ƒe nɔnɔmea ɖe akpa vevi eve me. Be wòase egɔme bɔbɔe la, maɖe eme alea.

Ðe nɔnɔme siawo le asiwò hãa?

MCI ƒe nɔnɔme vevitɔe nye ŋutete siwo ŋu míele nu ƒom tsoe fifia ƒe ɖiɖi. Kpɔe ɖa be esiawo ɖi nusiwo nènya nyuie hã.

• Lé ŋku ɖe nu ŋu: Esesẽna be wò susu nanɔ nu ɖeka ŋu, eye susua ƒe susu nɔa nu ŋu bɔbɔe.
• Ʋɔnudɔdrɔ̃: Esesẽna be nàtia nyui tso vɔ̃ dome, be nàwɔ nyametsotso nyui.
• Gbegbɔgblɔ: Esesẽna be woake ɖe nya siwo sɔ ŋu ne èle nu ƒom.
• Ŋkuɖodzinyawo: Ŋlɔ nuwo be zi geɖe wu tsã.
• Ðoɖowɔwɔ: Esesẽna be woawɔ ɖoɖo ɖe dɔ aɖe ŋu ahawɔe ɖe ɖoɖo nu.
• Tamebubu: Esesẽna be woase kuxi aɖe gɔme ahakpɔ egbɔkpɔnu.

Aleke nusiawo dzena le gbesiagbegbenɔnɔ me?

• Zi geɖe la, meŋlɔa afisi metsɔa nye safuiwo, ŋkumeɖobolowo, kple telefon ɖona be hedia wo.
• Meŋlɔa nuwo abe elektrikŋusẽ kple tsi ƒe fewo xexe be.
• Woŋlɔa kpekpe veviwo, azãɖuɖuwo, kple ƒomea ƒe ŋkeke tɔxɛwo be.
• Ne èle nu ƒom la, kasia nèŋlɔa nya si gblɔ ge nèle be eye nèdzudzɔna.

Ame aɖewo siwo ŋu MCI le hã ate ŋu akpɔ dzesiwo abe azɔlizɔzɔ sesẽ kple ʋeʋẽ ƒe ŋutete ƒe bu.

Nukatae esia dzɔna ɖo? Nukawoe hea MCI vɛ?

Míaƒe ahɔhɔ̃ ƒe akpa aɖewo li siwo kpena ɖe ame ŋu le ŋkuɖoɖonudzi kple tamebubu me. Le kpɔɖeŋu me, teƒewo abe hippocampus kple temporal lobes ene. Le MCI me la, nusiwo gblẽ alo xɔtuɖoɖo ƒe tɔtrɔwo dzɔna le teƒe siawo. Ahɔhɔ̃ ƒe tɔtrɔ siawoe na wòsesẽna be woaɖo ŋku nuwo dzi nyuie abe tsã ene, abu tame nyuie, ahalé to ɖe eŋu.

Ɣeaɖewoɣi la, MCI ate ŋu anye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe nɔnɔme sesẽ aɖe si me ahɔhɔ̃menugbagbeviwo tsrɔ̃na vivivi la ƒe gɔmedzedze ŋutɔ . Nɔnɔme siawo dometɔ aɖewoe nye:

• Alzheimer ƒe dɔlélea
• Frontotemporal tagbɔdɔléle
• Lewy ŋutilã ƒe tagbɔdɔléle
• Parkinson ƒe dɔlélea
• Ʋukawo ƒe tagbɔdɔléle

Amekawoe le afɔku gã me be woaxɔ MCI?

Amesiame ate ŋu axɔ MCI, gake ame aɖewo ya le afɔku me wu.

Afɔku siwo dzi womate ŋu aɖu o:

• Ƒe 65 kple edzivɔ: Afɔkua dzina ɖe edzi ne ame tsi.
• Ƒome ŋutinya:Ne tagbɔdɔléle le ƒomea me kpɔ.
• Domenyiŋusẽfianu: Domenyiŋusẽfianu si woyɔna be APOE-e4 (domenyiŋusẽfianu si naa Alzheimer-dɔléle ƒe afɔkua dzina ɖe edzi) ƒe amesinɔnɔ.

Afɔku siwo dzi woate ŋu aɖu alo akpɔ wo gbɔ:

• Dzi kple ʋukawo ƒe kuxiwo: Nɔnɔmewo abe ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ, kple ʋusɔgbɔdɔ ene.
• Dɔléle siwo nɔa anyi didi: Suklidɔ, COPD, ƒunukpeƒetetedɔ.
• Susu ƒe lãmesẽkuxiwo: blanuiléle kple dzimaɖitsitsi.
• Alɔ̃dɔdɔ ƒe kuxiwo: aɖuɖɔtoe kple alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame.
• Vitamin ƒe anyimanɔmanɔ: vevietɔ vitamin B12 ƒe anyimanɔmanɔ.
• Lãmetsiŋusẽ ƒe kuxiwo: Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie.
• Dɔlékuiwo: Nuwo abe aɖuɖɔtoedɔléle (UTI) ene ate ŋu ana ame nagbɔdzɔ, vevietɔ na ame tsitsiwo.
• Ta ƒe abixɔxɔ: (Ahɔhɔ̃ ƒe abi si dzɔna ɖe ame dzi vevie).
• Atike aɖewo: Atike aɖewo abe antihistamines, blanuilélenutsitikewo, opiate, kple benzodiazepines hã ate ŋu ana ame naɖo ŋku nu dzi abe eƒe nugbegblẽ le ame ŋu ene.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Dodokpɔ ɖeka aɖeke meli si ate ŋu agblɔe na wò kple kakaɖedzi nenye be MCI le ŋuwò o. Ne èyi ɖɔkta gbɔ la, ado wò kpɔ nyuie.

1. Bia wò kple wò ƒomea tso tɔtrɔawo ŋu: Ɣekaɣie wò dzesiawo dze egɔme, nu ka ƒomeviwoe nèŋlɔna be, eye ne ekpɔa ŋusẽ ɖe wò gbesiagbedɔwo dzia? Àte ŋu abia ame aɖe si le gbɔwò hã tso tɔtrɔ siawo ŋu.

2. Lãmesẽ kple ahɔhɔ̃mekawo ƒe dodokpɔ: Woléa ŋku ɖe wò dadasɔ, alesi nèwɔa nui, kple wò lãmekawo ƒe dɔwɔwɔ ŋu.

3. Dodokpɔ siwo dzidzea ŋkuɖoɖonudzi kple tamebubu ŋutete: Woate ŋu abia nya kpui aɖewo wò, abia tso asiwò be nàta nɔnɔmetatawo, alo nàɖo ŋku nyawo dzi atsɔ adzidze wò susu ƒe dɔwɔwɔ. Míeyɔa esia be Neuropsychological dodokpɔ.

4. Dodokpɔ bubuwo:

• Ʋu kple aɖuɖɔ dodokpɔ: Kpɔe ɖa be nu bubu siwo gbɔ wòtsona hã, abe vitamin ƒe anyimanɔmanɔ, thyroid ƒe kuxiwo, kple dɔlékuiwo ene.
• Ahɔhɔ̃ ƒe fotoɖeɖe: CT alo MRI scan ate ŋu adi ahɔhɔ̃ me dɔdzẽ, ʋusɔgbɔdɔ ƒe dzesiwo, alo nuwo ƒe wɔwɔme ƒe tɔtrɔ bubuwo.
• Akɔta ƒe ʋuʋu:Le go tɔxɛ aɖewo me la, woate ŋu awɔ dodokpɔ sia atsɔ akpɔ protein siwo do ƒome kple Alzheimer ƒe dɔlélea ɖa.

Nukawoe nye atikewɔwɔ na MCI?

MCI dada nɔ te ɖe nusi gbɔ wòtso dzi. Atikewɔwɔ ɖeka aɖeke meli si sɔ na amewo katã o. Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be:

• Nɔnɔme siwo gbɔ wòtso dada: Ne nusi gbɔ MCI tsonae nye nane abe suklidɔ, ʋusɔgbɔdɔ, alɔ̃dɔdɔ ƒe kuxiwo (alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe), alo vitamin ƒe veve la, nɔnɔme ma dada nyuie ate ŋu ana ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ nanyo ɖe edzi.
• Atikewo tɔtrɔ: Ne atike aɖewo siwo zãm nèle le ŋusẽ kpɔm ɖe wò ŋkuɖoɖonudzi dzi la, wò ɖɔkta ate ŋu atrɔ wo alo aɖe atikeawo dzi akpɔtɔ.
• Dɔwɔna siwo ʋãa ahɔhɔ̃a: Aɖaŋuɖoɖowo gbɔ kpɔkpɔ, nu yeye aɖe sɔsrɔ̃ (abe gbegbɔgblɔ, haƒonu ene), agbalẽwo xexlẽ, kple hadede kple ame bubuwo nye kamedede nyuiwo na ahɔhɔ̃a.
• Agbenɔnɔ ƒe tɔtrɔ:
• Dzudzɔ atamanono kple ahanono alo ɖe edzi.
• Nuɖuɖu si da sɔ ɖuɖu (amagbe, atikutsetse, tɔmelã geɖe).
• Kamedede edziedzi.
• Dedienɔnɔ ƒe kakaɖedzi: Ðewohĩ ahiã be nàbu nuwo abe alesi nàɖɔ afɔku siwo ate ŋu ado tso wò aƒeme adze anyi ahadze anyi (e.g. modzakaɖebɔwo) kple ɖewohĩ ʋukuku ŋu bubu ake ene ŋu.

Nukae nye amesi ŋu MCI le ƒe etsɔme?

Esiae nye biabia si ame geɖe vɔ̃na na. Nɔnɔme si woyɔna be MCI mesɔ na amesiame o.

• Le ame aɖewo gome la: Le atikewɔwɔ vɔ megbe la, dzesiawo ate ŋu anyo ɖe edzi eye woagatrɔ ava nɔ woƒe ƒexɔxɔ nu.
• Le ame aɖewo gome la: Dzesiawo ate ŋu anɔ nenema ke, evɔ womagblẽ ɖe edzi o.
• Le ame bubuwo gome: Le ɣeyiɣi aɖe megbe la, MCI ate ŋu ava zu tagbɔdɔ. Numekukuwo ɖee fia be amesiwo xɔ wu ƒe 65 siwo ŋu MCI le la dometɔ 10% va ɖo 20% axɔ tagbɔdɔ le ƒe ɖeka me.

Gake menye amesiame si ŋu MCI le lae axɔ tagbɔdɔ o. Ame geɖe te ŋu yia edzi wɔa woawo ŋutɔ ƒe dɔwo eye wonɔa wo ɖokui si. Nu vevitɔe nye be nàlé ƒomedodo me ɖe asi kple wò ɖɔkta edziedzi . Ele vevie ŋutɔ be nàkpɔe le ɣleti 6 va ɖo 12 ɖesiaɖe be nàlé ŋku ɖe wò nɔnɔmea ŋu.