Ðe vevesese si lãmeka si ƒo ɖe teƒe ɖeka hena vɛ hã le fu ɖem na wòa? Mina míaƒo nu tso (Mononeuropathy) ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe alɔ alo afɔ ƒe akpa ɖeka tsia dzodzodzoe alo le veve sem veviea? Àte ŋu ase le ɖokuiwò me hã be yegbɔdzɔ vie le go ma me. Ne dzesi siawo le ŋuwò la, ate ŋu anye be nɔnɔme aɖe si tso lãmeka ɖeka ƒe gbegblẽ gbɔe wòtso. Le atikewɔwɔ me la, míeyɔa esia be ``Mononeuropathy`` . Kpuie ko la, esia nye nusiwo gblẽ le wò ŋutilã ƒe lãmeka ɖeka ko ŋu.

Nukae nye `(Mononeuropathy)` sia? Nuka tututue dzɔna?

Ènyaa, ka suesuesue siwo tsɔa gbedasiwo tso ahɔhɔ̃a me yia ŋutilãa ƒe akpa mamlɛa, siwo woyɔna be lãmekawo, le míaƒe ŋutilã me. ``Mononeuropathy`` nye nusiwo gblẽ le lãmeka siawo dometɔ ɖeka ŋu. Enɔ hatsotso gã aɖe si woyɔna be ``peripheral neuropathy.`` Eyae nye nɔnɔme si gblẽa nu le lãmeka siwo le ahɔhɔ̃ kple aklã godo ŋu.

Bu eŋu abe elektrikka si le wò aƒe me ene. Eƒe akpa ememetɔ si woyɔna be ``axon'' si tsɔa gbedasiwo, kple gotagome nutsyɔnu si woyɔna be ``myelin sheath'' si kpɔa eta. Ele abe akɔbli ka si le elektrikka me kple plastik si ƒo xlãe ene. Ne nyaƒoɖeamenu le lãmeka sia ŋu atraɖii, alo ne abi aɖe le eŋu, alo ne dɔdzẽ le eŋu la, myelin ƒe akɔta sia alo axon ate ŋu agblẽ. Emegbe woate ŋu aɖe gbedasi siwo toa lãmekaa dzi la dzi akpɔtɔ, alo atɔ te wo keŋkeŋ gɔ̃ hã. Ɣemaɣie dzesi siwo míeyɔ va yi, abe lãmetutudɔ kple vevesese ene, dzena.

Aleke `(Mononeuropathy)` ate ŋu adzɔ? Nukawoe nye ƒomevi siwo bɔ wu?

Le nyateƒe me la, lãmeka ɖeka ɖesiaɖe si le míaƒe ŋutilã me ate ŋu agblẽ nu le mɔ sia nu. Gake lãmeka siwo te ɖe ŋutigbalẽa ŋu alo te ɖe ƒu ŋu la ate ŋu agblẽ nu le wo ŋu wu. Ŋkɔ tɔxɛwo gɔ̃ hã le amesiawo dometɔ aɖewo si. Ðewohĩ èse ŋkɔ siawo ŋu nya kpɔ:

• Carpal Tunnel Syndrome: Esia nye kuxi si bɔ ɖe ame geɖe dzi. Ne èŋlɔa nu ɖe ​​kɔmpiuta dzi ŋkeke bliboa alo nèwɔa asidɔwo (abe avɔlɔlɔ̃ alo atikpadɔ ene) la, titina lãmeka si toa wò asibidɛ me ate ŋu aƒo, si ana wò asibidɛwo natsi eye woase veve.
• Sciatica: Esia hã bɔ ŋutɔ. Vevesese sesẽ sia dzɔna ne lãmeka gã aɖe (si nye lãmeka si woyɔna be sciatic nerve) si tso míaƒe akɔta to míaƒe akɔta va ɖo míaƒe afɔwo dzi la te ɖe mía ŋu. Ɣeaɖewoɣi la, esia ate ŋu atso nane si kpekpe, anyinɔƒe si mesɔ o, alo ʋuʋudedi si le míaƒe akɔtaƒuwo dome gbɔ.
• Ulnar Lãmetsiŋusẽ ƒe Mɔ̃ le Abɔta:Le amesiwo tsɔa woƒe abɔta ɖoa kplɔ̃ dzi ɣesiaɣi, alo ne nane te ɖe abɔta ŋu la, lãmeka sia ate ŋu aƒo, si ana asibidɛ suea kple asibidɛ si le asigɛa ƒe afã natsi eye wòagbɔdzɔ. Wogayɔa esia be `(Cubital Tunnel Syndrome)`.
• Radial Tunnel Syndrome: Lãmetsi aɖe si le alɔnu (radial nerve) ƒe nutete gbɔe wòtsona .
• Lãmetsi bubu si le asibidɛ me (`(Guyon's Canal Syndrome)`): Esia ku ɖe ulnar lãmeka hã ŋu, gake nutetea dzɔna le asibidɛa me.
• Peroneal Nerve Problems: Lãmetsi sia ate ŋu aƒo ne wobɔbɔ afɔa ɣeyiɣi didi aɖe, alo ne kloa xɔ abi. Esia ate ŋu ana afɔa kɔkɔ nasesẽ.
• Axillary Nerve Problems: Esia ate ŋu adzɔ le abi si woxɔ le abɔta ta.
• Kuxi siwo do ƒome kple akɔta ƒe lãkusi si le axadzi: Lãmetsi sia ƒe tete nana be ata ƒe megbe vuvu eye wòxɔa abi .

Tsɔ kpe ɖe esia ŋu la, ``cranial mononeuropathies`` (mononeuropathies si do ƒome kple tagbɔ ƒe lãmekawo) ƒomevi aɖe hã li. Esia fia be lãmeka 12 siwo dona tso míaƒe ahɔhɔ̃ me tẽ la dometɔ ɖeka gblẽ. Kpɔɖeŋu aɖee nye ``Bell ƒe lãmetutudɔ`` (Bell ƒe lãmetutudɔ) . Le esia me la, lãmeka aɖe si le mo (``mo ƒe lãmeka`` - tagbɔ ƒe lãmeka adrelia) gblẽa nu le eŋu, si wɔnɛ be mo ƒe akpa ɖeka ɖiɖina zi ɖeka.

Ɣeaɖewoɣi la, lãmeka siwo wu ɖeka, si fia be lãmeka eve alo etɔ̃, ate ŋu agblẽ le ɣeyiɣi ɖeka me, le ŋutilã ƒe akpa vovovowo. Woyɔa esia be `ahɔhɔ̃mekawo ƒe dɔléle geɖe`.

Bu eŋu kpɔ ko, Amerikatɔ 40% akpɔ sciatica le woƒe agbemeɣeyiɣi aɖe me! Bell ƒe Dɔlélea dzea ame abe 1 le 60 ɖesiaɖe me ene. Carpal Tunnel Syndrome dzea ame abe 3 le 1,000 ɖesiaɖe me ƒe sia ƒe. Eyata esiawo mebɔ nenema gbegbe o.

Nukae nye `(Mononeuropathy)` sia ƒe dzesiwo?

Dzesiawo ate ŋu ato vovo le lãmeka si gblẽ nu, gake dzesi siwo bɔ wu dometɔ aɖewoe nye:

• Aɖuɖɔtoe le teƒe si dɔlélea le .
• Vevesese alo dzobibi ƒe seselelãme.
• Seselelãme abe "anyidi siwo le du dzi le tsatsam" alo "pins and needles".
• Lãmetsi siwo le teƒe si dɔlélea le ƒe gbɔdzɔgbɔdzɔ . Ne esia yi edzi la, lãmekaawo ate ŋu aɖiɖi (muscle atrophy).

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖɔkta enumake. Esia le alea elabena nɔnɔmea ate ŋu agblẽ ɖe edzi ne womewɔ atike nɛ o. Ne nenemae la:

• Vevesese atraɖii ate ŋu adzɔ.
• Ðewohĩ asikaka ame ŋu ƒe seselelãmea nu ayi .
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ alo lãmetutudɔ tegbeeNɔnɔme sia tɔgbe ate ŋu adzɔ.

Nukatae `(Mononeuropathy)` sia dzɔna? Nukawoe gbɔ wòtsona?

Susu geɖe ate ŋu anɔ esia ta. Vevietɔ:

1. Nuveviwɔamewo

Zi geɖe la, abi si woxɔna ɖe lãmeka aɖe ŋu tẽ gbɔe esia tsona. Ate ŋu atso nusiwo le abe:

• Ʋuʋu enuenu / abi siwo woxɔna le teteɖeanyi me enuenu: Kpɔ ame aɖe si ŋlɔa nu ɖe ​​kɔmpiuta ƒe keyboard dzi ŋkeke bliboa, alo ame aɖe si lɔ̃a awu, alo ame aɖe si zãa woƒe asiwo nenema ke le dɔwɔƒe aɖe ɖa. Ʋuʋu enuenu alea ate ŋu agblẽ nu sue aɖe le lãmeka mawo ŋu.
• Ƒunukpeƒe aɖe ƒe keke ɖe enu wògbɔa eme.
• Nɔ anyi ɣeyiɣi didi aɖe kple asi sesẽ ɖe ŋutilã ŋu: Abe aʋawɔnu kpekpe aɖe léle sesĩe ɣeyiɣi didi ene.
• Lãmetsi aɖe ƒe gbegblẽ le ƒu ƒe gbagbã ta.
• Nuveviwɔame (nuveviwɔame le lãmeka aɖe ŋu, abe alesi wotsoe kple dɔwɔnu ɖaɖɛ alo amekoko ene).
• Ate ŋu atso keklẽŋusẽ ƒe atikewɔwɔ na kansa hã gbɔ.

2. Lãmetsiŋusẽ ƒe Nutete

Nusiwo gbɔna ate ŋu ahe ahɔhɔ̃meka ɖeka ƒe dɔléle vɛ:

• Nane abe dɔdzẽ si le lãmeka aɖe tem ene.
• Ʋuʋudedi si gbɔ eme (edema).
• Aŋe si me mekɔ nyuie o: Ne nusi wotsɔ ƒoe la sesẽ akpa na afɔ alo alɔ si gbã la, ate ŋu aƒo lãmekawo.
• Atizɔtiwo zazã.
• Nɔ anyi ɖe nɔnɔme ɖeka me, abɔbɔ ɖe anyi, ɣeyiɣi didi aɖe: abe tɔtrɔ ɖe axa ɖeka dzi eye wò abɔwo nanɔ tewòƒe ne èle dɔ wɔm le abɔ me alo nèle alɔ̃ dɔm ene.
• Ne wotsi aba dzi alo le nɔnɔme ɖeka me ɣeyiɣi didi aɖe.

3. Lãmesẽ Nɔnɔme Bubuwo

Dɔléle aɖewo hã ateŋu ahe ``Mononeuropathy.`` Ke hã, zi geɖe la, dɔléle siawo gblẽa nu le lãmeka siwo wu ɖeka ŋu.

• Ahanono fũu akpa (`Ahanono ƒe kuxi`).
• Dɔlélenutsiŋutete kple dɔdzẽ ƒe nɔnɔmewo: Le kpɔɖeŋu me, dɔlélewo abe Lupus kple Rheumatoid Arthritis ene. Esiawo nye dɔléle siwo ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie hena vɛ.
• Dɔlékui aɖewo: HIV (AIDS), Shingles (herpes zoster - nɔnɔme si dzɔna le koklozi megbe).
• Suklidɔ: Amesiwo ŋu suklidɔ le ate ŋu axɔ lãmekawo ƒe gbegblẽ. Esia nye nusi gbɔ wòtsona zi geɖe ŋutɔ.
• Vitamin kple nunyiame ƒe anyimanɔmanɔ.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Zi geɖe la, ɖɔkta abia wò be:

• To toɖoɖo kple nusɔsrɔ̃ tso dzesiawo ŋu me la, .
• To wò dɔléle siwo nèkpɔ va yi ŋuti nyatakakawo nyanya me (`atikewɔwɔ ŋutinya`), .
• To ŋutilãmedɔdada kple ahɔhɔ̃mekawo dodokpɔ me la, .

Woateŋu akpɔ nɔnɔme sia be ``Mononeuropathy''.

Gake esi wònye be nu vovovowo ate ŋu ahe esia vɛ ta la, ne nusi gbɔ wòtso me mekɔ o, alo ne wò dzesiwo nu sẽ la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔ bubuwo. Dodokpɔ siawo ate ŋu akpe ɖe ame ŋu wòaɖo kpe dɔlélea dzi eye woake ɖe nusi gbɔ wòtso ŋu. Kpɔɖeŋuwo:

• EMG - Electromyography: Esia doa alesi wò lãmekawo kple lãmeka siwo do ƒome kpli wo le dɔ wɔm nyuie la kpɔna.
• Lãmetsiŋusẽ ƒe dɔwɔwɔ ŋuti numekuku: Esia dzidzea alesi gbedasiwo toa lãmekawo me kabakabae. Ne lãmeka aɖe gblẽ la, duƒuƒu sia dzi ɖena kpɔtɔna.
• Ʋudodokpɔ: Kpɔ dɔléle bubuwo abe suklidɔ kple vitamin ƒe veve ene ɖa.
• Nɔnɔmetatawo dodokpɔ: Woate ŋu azã dodokpɔwo abe ultrasound, MRI scan, alo CT scan ene atsɔ adi lãmekawo ƒe tete alo dɔdzẽ.

Nukae nye atike siwo wozãna na ``Mononeuropathy''?

Atikewɔwɔ nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye:

• Lãmetsi kae gblẽ?
• Nuka tae?
• Aleke gbegbe nɔnɔmea gblẽe?
• Nukawoe nye wò dzesiwo?

Wò ɖɔkta aɖo aɖaŋu na wò be nàzã atike si sɔ wu na wò nɔnɔmea. Atikewɔwɔ siwo bɔ dometɔ aɖewoe nye esi:

• Atikewɔwɔ le mɔ gbadza nu: ɖiɖiɖeme, vevesesenutsitikewo zazã.
• Aŋekotokuwo dodo: Wozãa esiawo tsɔ naa teƒe si dɔlélea le la nagaʋuʋu o. Le kpɔɖeŋu me, wotsɔa aŋe blaa asibidɛ na amesiwo ŋu Carpal Tunnel Syndrome le.
• Steroid dodo: Wodoa atike siawo ɖe teƒe si woƒo lãmekaa le be wòaɖe vevesese, abi, kple abi dzi akpɔtɔ.
• Lãmesẽfefewɔwɔ: Esia kpena ɖe lãmekawo ŋu wògawɔa dɔ nyuie eye wòdoa ŋusẽ lãmekawo to kamedede tɔxɛwo kple atikewɔwɔ bubuwo me.
• Dɔléle aɖe si gbɔ wòtso dada: Ne dɔléle aɖe abe suklidɔ ene gbɔe esia tso la, ele vevie ŋutɔ be woaɖu dɔléle ma dzi.
• Amekoko: Ne dɔdamɔnu bubuwo mekpe ɖe ame ŋu o la, ate ŋu ahiã be woawɔ dɔ na ame be wòaɖe asi le lãmeka si woƒo la ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne vevesese, lãmekawo ƒe gbɔdzɔgbɔdzɔ, kple lãmekawo ƒe gbɔdzɔgbɔdzɔ ƒe dzesi siwo míeyɔ va yi la le fu ɖem na wò la, ele vevie be nàyi ɖɔkta gbɔ. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàkpɔ dzidzedze.

Ne wokpɔe be ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò xoxo la, na wò ɖɔkta nanya ne wò dzesiawo gagblẽ ɖe edzi alo ne dzesi yeyewo do mo ɖa.

Anyo be nàbia nya siawo wò ɖɔkta:

• ``Mononeuropathy'' ƒomevi kae le ŋunye?
• Nuka tae wòle alea ɖo?
• Atikewɔwɔmɔnu kawoe le asinye? Nukae nèkafu?
• Ɣeyiɣi didi kae wòaxɔ hafi esia nahaya?
• Ðe mahaya keŋkeŋ, alo eƒe akpa aɖe ko?
• Nukae wòle be mawɔ be esia nagadzɔ ake o?

Mɔnukpɔkpɔ kawoe li be woahaya le nɔnɔme sia me?

Esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nusiwo le abe lãmeka si gblẽ, nusi gbɔ wòtso, kple alesi lãmekaa gblẽe dzi.

Nɔnɔme sia ate ŋu ase veve eye ate ŋu ado kplamatse gbesiagbedɔwo. Ele be dzesi siawo nakpe fu ame aɖewo ɣeyiɣi didi aɖe. Ke ne ɖɔkta ateŋu akpɔ nusi gbɔ wòtso eye atikewɔwɔa kpɔ dzidzedze la, ``Mononeuropathy`` ateŋu anye ɣeyiɣi kpui aɖe ƒe nɔnɔme.

Vovototo kae le `(Mononeuropathy)` kple `(Polyneuropathy)` dome?

Polyneuropathy nye ne lãmeka geɖe siwo le wò ŋutilã me do kpo nu le ɣeyiɣi ɖeka me. Kpɔɖeŋu aɖee nye nɔnɔme aɖe si woyɔna be Guillain-Barré ƒe dɔléle, si dzɔna kpata.

Ke hã, `(Mononeuropathy)` fia be lãmeka ɖeka koe gblẽ le wò ŋutilã me. Ɣeaɖewoɣi la, `multiple mononeuropathy`, si gblẽa nu le lãmeka geɖe ŋu zi ɖeka, ateŋu asesẽ vie na ɖɔktawo be woade vovototo `(Polyneuropathy)` dome.

Ðewohĩ èse `(Mononeuropathy)` ŋkɔwo abe `(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` alo `(Sciatica)` ene. Esiawo katã nye nu ɖeka - nusiwo gblẽ le lãmeka ɖeka ŋu. Nu vevitɔe nye be, ne dzesiwo abe vevesese, lãmetutudɔ, alo ʋuʋudedi ene le ŋuwò la, yi atikewɔƒe enumake. To mɔ sia dzi la, àte ŋu ahaya kaba.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Mononeuropathy menye nusi wòle be woavɔ̃ na o, gake menye nusi dzi woaŋe aɖaba aƒu hã o. Ne wò ŋutilã ƒe akpa aɖe le lãmetutudɔ, vevesese, alo gbɔdzɔgbɔdzɔ si nu metsina o la, mègaŋe aɖaba ƒu edzi ko o. Kpɔ ɖɔkta enumake. Ne wokpɔ dɔlélea nyuie eye wowɔ atike nɛ kaba la, àte ŋu ahaya kaba eye nàgatrɔ ɖe wò gbesiagbedɔwo ŋu.

` Mononeuropathy, ahɔhɔ̃mekawo ƒe dɔléle, lãmetutudɔ, lãmekawo ƒe vevesese, lãmekawo ƒe tete, carpal tunnel syndrome, sciatica