Ɣeaɖewoɣi la, ɖewohĩ èse le ɖokuiwò me be yeƒe asibidɛwo le ʋuʋum zi ɖeka, alo vevesese sesẽ aɖe le wò afɔ ŋu. Egbea míele nu ƒom tso vevesese sia ƒomevi si le teƒe ɖeka, ŋutilã ƒe akpa ɖeka ko ŋu. Ðewohĩ esia le fu kpem wò ɣeyiɣi didi aɖee nye esia. Eyata mina míakpɔ alesi woyɔa esia le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me, nusitae esia dzɔna, kple nusi woate ŋu awɔ tso eŋu ɖa.
Kpuie ko la, nukae nye Mononeuropathy?
Ne èse nya mononeuropathy la, àsusu be enye dɔléle sesẽ aɖe ŋutɔ. Gake gɔmesese si le eŋu la le bɔbɔe ŋutɔ. "Mono" gɔmee nye "ɖeka", "Neuro" gɔmee nye "lãmeka", eye "dɔléle" gɔmee nye "dɔléle". Ne míagblɔe bɔbɔe la, ahɔhɔ̃meka ɖeka ƒe dɔléle nye ne lãmeka ɖeka aɖe gblẽ le míaƒe ŋutilã me.
Bu míaƒe ŋutilã be enye xɔ gã aɖe. Xɔ sia ƒe xɔ vevitɔ si dzi wokpɔnae nye ahɔhɔ̃ kple aklã. Ka siwo tsɔa elektrik gbedasiwo yia xɔa ƒe akpa sia akpa la le xɔ sia si dzi wokpɔa nu le me. Ka ƒe ɖoɖo mae nye míaƒe lãmekawo ƒe dɔwɔwɔ. Le ahɔhɔ̃meka ɖeka ƒe dɔléle me la, nusi dzɔnae nye be ka ɖeka koe gblẽna le ka ƒe ɖoɖo sia me.
Nu gbegblẽ sia ate ŋu adzɔ le mɔ eve nu.
1. Nusiwo gblẽ le ametakpɔnu si ƒo xlã lãmekaa ŋu (abe aŋekotoku si ƒo xlã ka ene). Míeyɔa esia be `(Myelin ƒe akɔta)`.
2. Nusiwo gblẽ le lãmeka ƒe lãmenugbagbevi ŋutɔ ƒe akpa aɖe ŋu (``Axon'').
Nuka kee wòɖagblẽ o, gbedasi siwo toa lãmekaa me mezɔna nyuie o. Esia wɔnɛ be míedzea nuwo abe vevesese, lãmetutudɔ, kple lãmekawo ƒe gbɔdzɔgbɔdzɔ ene sese gɔme.
Lãmetsi kawo dzie nɔnɔme sia gblẽa nu le wu?
Le nyateƒe me la, lãmeka ɖeka ɖesiaɖe si le míaƒe ŋutilã me ate ŋu agblẽ le mɔ sia nu. Gake lãmeka aɖewo li siwo ate ŋu agblẽ le afisi wole nu (vevietɔ lãmeka siwo te ɖe ŋutigbalẽa ŋu alo ƒu aɖe ŋu). Ŋkɔ tɔxɛwo gɔ̃ hã le nɔnɔme siawo dometɔ aɖewo ŋu. Ðewohĩ èse ŋkɔ siawo kpɔ.
| Lãmetsiŋusẽ kple nɔnɔme si ŋu wògblẽ nu le | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Median Lãmetsiŋusẽ (Abɔta ƒe Mɔdodo ƒe Dɔléle) . | Esia bɔ ɖe amesiwo zãa ɣeyiɣi geɖe tsɔ ŋlɔa nu ɖe kɔmpiuta dzi, tsɔa avɔlɔ̃nuwo, doa gasɔ, alo wɔa dɔ bubu siwo naa woƒe asibidɛwo tea ɖeɖi wo ŋu ɣesiaɣi. Wosea asibidɛwo, abe asibidɛ gã, asibidɛ si wotsɔ fiaa nu, kple titinasibidɛ ene, ƒe ʋuʋu kple vevesese. |
| Sciatic Lãmetsiŋusẽ (Sciatica ƒe dɔléle) . | Le míaƒe kɔƒewo me la, wogayɔa esia be ‘Riri Yakage ƒe vevesese’. Dzesi vevitɔe nye vevesese sesẽ si tso megbe to akɔta yi afɔ ƒe megbe. Esia ate ŋu adzɔ le nu kpekpe aɖe kɔkɔ alo anyinɔƒe si mesɔ o megbe. |
| Ulnar ƒe Lãmetsiŋusẽ (Ulnar Lãmetsiŋusẽ ƒe Mɔ̃) . | Ne èwɔ dɔ ɣeyiɣi didi aɖe eye nètsɔ wò abɔta le kplɔ̃ dzi la, ɖe nèsena le ɖokuiwò me abe wò asibidɛ suea kple wò asibidɛ si le asigɛa ƒe afã le ʋuʋum enea? Esia le alea elabena wole lãmeka sia tem ɖe anyi. |
| Radial Lãmetsiŋusẽ (Radial Tunnel Syndrome ƒe Dɔléle) . | Asi ƒe akpa si le etame ƒe nyaƒoɖeamenu gbɔe wòtsona. Ɣeaɖewoɣi la, ate ŋu asesẽ be woaɖɔ asibidɛa ɖo. |
| Peroneal Nerve (Ame ƒe Lãmetsiŋusẽ). | Lãmetsi sia ate ŋu agblẽ ne wotsi tre eye wotso afɔ ɖeka ɣeyiɣi didi, alo ne woƒo klo sesĩe. Esia ate ŋu ana be mate ŋu akɔ afɔbidɛwo ɖe dzi o (afɔ ƒe ɖiɖi). |
| Mo ƒe Lãmetsiŋusẽ (Bell ƒe Lãmetsiŋusẽ ƒe Dɔléle) . | Esia nye nɔnɔme si gblẽa nu le lãmeka (`(Cranial Nerve)`) si tso ahɔhɔ̃a me tẽ ŋu. Kasia mo ƒe akpa ɖeka meganɔa agbe o, eye nu ƒe dzogoe ɖeka trɔna yia anyime. Togbɔ be esia vɔ̃na na ame geɖe hã la, zi geɖe la, enyea dɔléle si woate ŋu ada. |
Nu vevitɔe nye be ɣeaɖewoɣi la, lãmeka eve alo esi wu nenema siwo le ŋutilã ƒe akpa siwo mewɔ ɖeka o ate ŋu agblẽ le ɣeyiɣi ɖeka me. Woyɔa esia be ``Multiple Mononeuropathy''.
Nukae nye esia ƒe dzesiwo?
Dzesiawo nɔ te ɖe lãmeka si ŋu wògblẽ nu le kple alesi gbegbe wògblẽe dzi , gake dzesi aɖewo li siwo bɔ.
- Ʋuʋudedi kple ʋuʋudedi: Seselelãme si le teƒe si dɔlélea le la dzi ɖena kpɔtɔna alo wòbu keŋkeŋ. Ewɔna nam abe ɖe wona atike si naa alɔ̃dɔdɔ wò ene.
- Vevesese alo dzobibi: Vevesesea ate ŋu ase le eɖokui me abe dzobibi, akplɔ, alo elektrikŋusẽ ƒe ƒoƒo ene.
- Pins kple needles sensation: Esia nye dzesi si bɔ ŋutɔ. Míeyɔa esia be "pins kple needles". Atikewɔwɔ ƒe ŋkɔ na esia enye ``Paresthesia``.
- Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ: Lãmetsi siwo dzi lãmeka si sɔ kplii kpɔ ŋusẽ ɖo la gbɔdzɔna. Le kpɔɖeŋu me, ne lãmeka aɖe si le asi me gblẽ la, ɖewohĩ màte ŋu atsɔ asi alé nane sesĩe o, alo àte ŋu atsɔ nuwo aƒu gbe. Le ɣeyiɣi aɖe megbe la, lãmeka siawo hã ate ŋu azu tsɛ (Muscle Atrophy).
Ne dzesi siawo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi abe alesi wòle dzɔdzɔmee ene o. Kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Ne wohe atikewɔwɔa ɖe megbe la, ate ŋu ana ame nase veve atraɖii, ame ƒe seselelãme nabu tegbee, alo wòazu lãmetutudɔ .
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?
Nu vevi etɔ̃e li siwo hea ahɔhɔ̃mekawo ƒe dɔléle vɛ.
1. Nuveviwɔamewo
Esiae nye nusi gbɔ wòtsona wu: nusiwo gblẽna le lãmeka aɖe ŋu tẽ.
- Ʋuʋu ma ke dzi yiyi: Le kpɔɖeŋu me, ame aɖe si ŋlɔa nu ɖekae ŋkeke bliboa, alo ame aɖe si zãa woƒe asiwo le mɔ ɖeka nu le awudzraƒe.
- Ƒunukpeƒetetedɔ: Esia ate ŋu adzɔ ɣeaɖewoɣi, abe ne wole kamedefefe wɔm ene.
- Gbagbã: Ne ƒu aɖe si le abɔ alo afɔ aɖe me gbã la, lãmeka aɖe si te ɖe ƒu ma ŋu ate ŋu agblẽ.
- Amekoko alo lãɖeɖe kple dɔwɔnu ɖaɖɛ: Woate ŋu atso lãmeka aɖe le amekoko alo afɔku me.
- Kekeli ƒe atikewɔwɔ na kansa: Atikewɔwɔ siawo ate ŋu agblẽ nu le lãmekawo ŋu.
2. Lãmetsiŋusẽ ƒe Nutete
Lãmetsi si lãmeka siwo ƒo xlãe alo nu bubu aɖe le tetem ɖe eŋu.
- Dɔdzẽ ƒe tsitsi: Dɔdzẽ ate ŋu adzɔ le lãmeka aɖe gbɔ eye wòate ɖe edzi.
- Vuvu si gbɔ eme (`Edema`): Vuvu si tso abi alo atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔ ate ŋu aƒo lãmekawo nu ƒu.
- Aŋe si wotsɔ blaa afɔkpodzi sesĩe: Ne nusi wotsɔ blaa abɔ kple afɔ si gbã) la sesẽ akpa la, ate ŋu aƒo lãmeka siwo le eme la nu ƒu.
- Atizɔtiwo zazã le mɔ gbegblẽ nu:Ne wozã atizɔtiwo kple atizɔtiawo ƒe kpekpeme le abɔta tẽ la, woate ŋu aƒo lãmeka siwo ƒua du le abɔta te.
- Nɔnɔme gbegblẽ: Dɔwɔwɔ le abɔ me le klo dzi ɣeyiɣi didi, afɔwo tsotso, alo abɔta ƒoƒo ɖe kplɔ̃a dzi ate ŋu ana lãmekawo natsi.
3. Lãmesẽ Nɔnɔme Bubuwo
Atikewɔwɔ ƒe nɔnɔme aɖewo hã ate ŋu ahe monooneuropathy vɛ, gake nɔnɔme siawo ate ŋu agblẽ nu le lãmeka siwo wu ɖeka ŋu.
- Suklidɔ: Ne womeɖu suklidɔ dzi o la, sukli ƒe agbɔsɔsɔ si le ʋu me ate ŋu agblẽ nu le lãmekawo ŋu le ɣeyiɣi aɖe megbe.
- Dɔlélenutsiŋutete ƒe dɔlélewo: Le dɔlélewo abe Lupus kple Rheumatoid Arthritis ene me la, mía ŋutɔwo míaƒe ŋutilã ƒe dɔlélenutsiŋutete ate ŋu adze lãmekawo dzi.
- Dɔlékui aɖewo: Dɔlékuiwo abe HIV kple herpes (`Shingles`) ateŋu agblẽ nu le lãmekawo ŋu.
- Vitamin ƒe anyimanɔmanɔ: Vitamin ƒe anyimanɔmanɔ, vevietɔ esiwo le B ƒuƒoƒoa me, ate ŋu akpɔ ŋusẽ ɖe lãmekawo ƒe dɔwɔwɔ dzi.
- Ahanono ƒe kuxi: Ahanono fũu ɣeyiɣi didi nye aɖi na lãmekawo.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Zi geɖe la, ɖɔkta bibi ate ŋu anya nɔnɔme sia ne eɖo to wò dzesiwo eye wòdo wò kpɔ.
- Biabia tso wò atikewɔwɔ ŋutinya ŋu: Ðɔkta la abia nya tso atikewɔwɔ ƒe nɔnɔme bubu siwo le ŋuwò (abe suklidɔ ene), dɔ si nèwɔna, kple afɔku ɖesiaɖe si dzɔ nyitsɔ laa ŋu.
- Lãmetsiŋusẽ kple lãmekawo me dzodzro: Woléa ŋku ɖe wò lãmekawo ƒe ŋusẽ, wò seselelãme, kple alesi nèwɔa dɔe ŋu.
Gake ɣeaɖewoɣi ne nusi gbɔ wòtso me mekɔ o, alo ne dzesiawo nu sẽ la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ tɔxɛ aɖewo atsɔ aɖo kpe edzi geɖe wu.
- EMG (Electromyography): Wowɔa esia be woatsɔ alé ŋku ɖe alesi elektrikŋusẽ ƒe dzesiwo tsoa lãmekawo me yia wò lãmekawo me ŋu.
- Lãmetsiŋusẽ ƒe Ʋuʋu Ŋuti Numekuku: Esia dzidzea alesi elektrikŋusẽ ƒe dzesi aɖe zɔna kabakaba le lãmeka aɖe ŋu. Ne lãmeka aɖe gblẽ la, duƒuƒu sia dzi ɖena kpɔtɔna.
- Ʋudodokpɔ: Be woalé ŋku ɖe suklidɔ, vitamin ƒe veve, alo atikewɔwɔ ƒe nɔnɔme bubuwo ŋu.
- Nɔnɔmetatawo Dodokpɔwo: Woate ŋu abia tso asiwò be nàwɔ ultrasound, MRI, alo CT scan akpɔe ɖa be dɔdzẽ alo nu bubu aɖee le lãmekaa tem ɖe edzi hã.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ nɔ te ɖe lãmekawo ƒe gbegblẽ ƒomevi, nusi gbɔ wòtso, kple alesi wò dzesiawo nu sẽe dzi. Wò ɖɔkta akpɔ atike si anyo na wò wu.
- Gbɔɖeme kple vevesesenutsitikewo: Le gɔmedzedzea me la, atikewɔwɔ ɖeka koliae nye be woaƒo asa na dɔwɔna siwo dea nyaƒoɖeamenu ɖe lãmekaa dzi eye woano vevesesenutsitikewo.
- Splints:Vevietɔ le nɔnɔmewo abe Carpal Tunnel Syndrome ene me la, wokafui be woatsɔ aŋe abla asibidɛa be wòagaʋuʋu o. Esia nana lãmekaa gbɔ ɖe eme.
- Steroid dodo: Woate ŋu ado steroid be wòaɖe abi si ƒo xlã lãmekaa dzi akpɔtɔ eye wòaɖe nyaƒoɖeamenua dzi akpɔtɔ.
- Lãmesẽfefewɔwɔ: Kamedede tɔxɛ siwo wowɔna le kamededeŋutinunyala ƒe mɔfiafia te ate ŋu ado ŋusẽ lãmekawo, aɖe vevesese dzi akpɔtɔ, eye wòana ƒunukpeƒewo nagaʋuʋu.
- Dɔléle si gbɔ wòtso dada: Ne suklidɔ gbɔe nɔnɔme sia tso la, ele vevie be woaɖu suklidɔa dzi nyuie.
- Amekoko: Ne dɔdamɔnu bubuwo mekpena ɖe ame ŋu o, eye lãmekaa te ɖe edzi vevie la, ahiã be woawɔ dɔ sue aɖe na ame be wòaɖe nutetea dzi akpɔtɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Mononeuropathy nye lãmeka ɖeka ko ƒe gbegblẽ le míaƒe ŋutilã me. Esia menye nɔnɔme sesẽ aɖe si ŋu wòle be woavɔ̃ ɖo o, gake menye nusi dzi woaŋe aɖaba aƒu hã o.
- Dzesi vevitɔwoe nye lãmekawo ƒe ʋuʋu, vevesese, dɔdzẽ, kple lãmekawo ƒe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka.
- Dɔwɔwɔ le nɔnɔme ɖeka me atraɖii, afɔkuwo, dzimaɖitsitsi, kple atikewɔwɔ me nɔnɔmewo abe suklidɔ ene ate ŋu anye nusiwo koŋ gbɔ esia tsona.
- Ele vevie ŋutɔ be nàyi ɖɔkta gbɔ ne dzesiawo dze egɔme ko. Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu ame si be wòahaya bliboe.
- Woate ŋu akpɔ nɔnɔme sia gbɔ dzidzedzetɔe to gbɔɖeme, vevesesenutsitikewo, kamedede, kple amekoko ɣeaɖewoɣi me.
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