Ðe wò alɔ alo afɔ ɖeka tu? Mina míaƒo nu tso (Monoplegia) ŋu!

Ðe nèse le ɖokuiwò me zi ɖeka be yezu lãmetututɔ eye màte ŋu aʋuʋu alɔ alo afɔ oa? Alo ɖe vivivi la, megate ŋu ɖua wò abɔ alo afɔ ɖeka dzi oa? Esia ate ŋu anye nuteƒekpɔkpɔ dziŋɔ ŋutɔŋutɔ. Eyata egbea míele nu ƒom tso nɔnɔme sia ŋu, atikewɔwɔ ƒe nɔnɔme aɖe si woyɔna be `(Monoplegia)`.

Nukae nye `(Monoplegia)`? Mina míase egɔme bɔbɔe!

Kpuie ko la, `(Monoplegia)` fia be wò ŋutilã ƒe alɔ ɖeka alo afɔ ɖeka tu keŋkeŋ. Eyae nye be mète ŋu ʋãa alɔ alo afɔ ma le ɖokuiwò si o. Zi geɖe la, míezãa nya abe "paralysis" ene na esia, gake le `(Monoplegia)` me la, abɔ ɖeka koe wògblẽa nu le. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu anɔ anyi ɣeyiɣi kpui aɖe, si fia be ate ŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe. Ke hã, zi geɖe la, `(Monoplegia)` nye nɔnɔme si nɔa anyi ɖaa.

Nukatae esia le dzɔdzɔm? Nukae le dzɔdzɔm le míaƒe ŋutilã me?

Bu eŋu kpɔ, míaƒe ŋutilã nye mɔ̃ wɔnuku aɖe. `(Nervous System)`, si nye lãmekawo ƒe dɔwɔwɔ le esi. Esia le abe míaƒe ŋutilã ƒe "dziɖuƒe" ene. Gbedasi siwo tso ahɔhɔ̃a me, abe elektrik gbedasiwo ene, yia ŋutilã ƒe akpa bubuawo to lãmeka sia dzi. Eɖanye be míedi be míaʋuʋu alɔ alo akɔ afɔ ɖe dzi o, ele be gbedasi sia natso ahɔhɔ̃a me to `Aklã` me, emegbe ato lãmeka ƒe ke siwo sɔ, lãmekawo, eye emegbe ayi `lãmekawo` gbɔ.

Azɔ kpɔ ɖa, nukae dzɔna ne nu gblẽ alo tɔtɔ aɖe dzɔ le gbedasimɔ sia ƒe teƒe aɖe, si nye ahɔhɔ̃a, aklã me, lãmekawo ƒe kewo, alo lãmekawo ŋutɔ me? Ekema gbedasi ma meyia lãmekawo gbɔ nyuie o. Ɣemaɣie alɔ alo afɔ ma tu, si fia be `(Monoplegia)` dzɔna. Enye nusi sesẽ ŋutɔ, alo? Esia tae teƒe geɖe li siwo ate ŋu ahe esia vɛ ɖo.

Nukae nye `(Monoplegia)` ƒe dzesiwo? Aleke nèwɔ dea dzesii?

``Monoplegia'' ƒe dzesi vevitɔ kple esi dze ƒã wu enye alesi womete ŋu ʋãa alɔ alo afɔ ɖeka o. Gake tsɔ kpe ɖe esia ŋu la, àte ŋu ade dzesi dzesi bubuwo hã le wò alɔ alo afɔ si ŋu dɔlélea le ŋu:

• Sese le ɖokuiwò me abe wò asibidɛwo le ƒoƒom ene: Wò asibidɛwo alo afɔbidɛwo ate ŋu aƒo ɖe eme eye woaƒo wo evɔ mànya gɔ̃ hã o.
• Lãmetsiwo ƒe ʋuʋu: Ate ŋu ase le eɖokui me abe ɖe alɔ/afɔ "ɖe asi le eŋu" eye ŋusẽ aɖeke mele eŋu o ene.
• Lãmetsiŋusẽ ƒe dzidziɖedzi: Ɣeaɖewoɣi la, lãmekawo ate ŋu asẽ eye woase le wo ɖokui me be "wosesẽ abe kpe ene".
• Lãmetsiwo ƒe ʋuʋu alo woƒe sesẽ: Kasia lãmekawo ate ŋu ase le wo ɖokui me abe ɖe wole ʋuʋum, wole ʋuʋum, alo ɖeko wole sesẽm ene.

Alesi dzesi siawo dzenae hã toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le kpɔɖeŋu me, ne abi alo ʋusɔgbɔdɔ le ŋuwò la, dzesi siawo ate ŋu adze kpata.Gake le nɔnɔme si wodzina abe Cerebral Palsy ene me la, dzesi siawo dona vivivi vivivi.

Nukae nye nu vevi siwo gbɔ `(Monoplegia)` tsona?

Abe alesi míedzro eme va yi ene la, nɔnɔme sia ate ŋu atso nusiwo gblẽ le lãmekawo ƒe akpa aɖe ŋu gbɔ. Mina míalé ŋku ɖe nu vevi siwo gbɔ wòtsona ŋu:

• Cerebral Palsy : Esiae nye nusi gbɔ Monoplegia tsona wu. Esia nye nɔnɔme si ku ɖe lãmekawo ƒe dɔwɔwɔ ŋu. Edzɔna ne ahɔhɔ̃a ƒe akpa siwo kpɔa lãmekawo dzi metsi nyuie o alo wogblẽ. Zi geɖe la, nɔnɔme sia nɔa ame ŋu tso edziɣi.
• Ahɔhɔ̃ ƒe abi si nu sẽ: Nɔnɔme sia ate ŋu ado mo ɖa ne ta la xɔ abi vevie, abe afɔku aɖe ene, si agblẽ nu le ahɔhɔ̃a ŋu.
• Aklã ƒe abi: Ne aklã si le megbe gblẽ le afɔku me la, woate ŋu atɔ te lãmeka ƒe gbedasi siwo to eme, si ana ``Monoplegia'' nado tso eme.
• Nuveviwɔame le alɔ alo afɔ si ŋu dɔlélea le ŋu: Ɣeaɖewoɣi la, abi gã aɖe si woxɔ le lãmeka gã aɖe si le alɔ alo afɔ ŋu hã ate ŋu anye nusi gbɔ wòtso.
• Dɔlékuiwo: Dɔlékui aɖewo, abe polio ene, ate ŋu agblẽ nu le lãmekawo ŋu eye woahe nɔnɔme sia vɛ.
• Ʋusɔgbɔdɔ kple ʋuka siwo me ʋu sina tona: Esiawo ate ŋu ana ʋu si sina yia ahɔhɔ̃a ƒe akpa aɖe la natɔ, si ana lãmenugbagbevi siwo le akpa ma naku, si ana ʋuka ɖeka natsi.
• Dɔlékui siwo le aklã alo ahɔhɔ̃ me: Dɔlékui alo dɔlékui ƒe dɔlékui siwo le ahɔhɔ̃ alo aklã me hã nye nusi gbɔ wòtsona.
• Dɔdzẽ siwo le aklã alo ahɔhɔ̃ me: Dɔdzẽ siawo ate ŋu agblẽ nu le lãmekawo ŋu.

Kuxi bubu siwo ateŋu ado mo ɖa le `(Monoplegia)` ta

Monoplegia ate ŋu ahe lãmesẽkuxi bubuwo vɛ, eye ele vevie be nànya esiawo hã.

• Ʋu ƒe sisi: Afɔku li be ʋu nado le alɔ alo afɔ si tu la me, elabena ʋu meganɔa sisim nyuie o. Deep Vein Thrombosis (DVT), si nye nɔnɔme si me ʋu ƒe sisi le afɔwo ƒe ʋuka gogloawo me, ate ŋu anye afɔku vevietɔ.
• Nuwɔametɔnyenye: Ne alɔ alo afɔ ɖeka bu la, esesẽna be woawɔ gbesiagbedɔwo, si fia be nuwɔametɔ aɖe dzɔna.
• Susu ƒe lãmesẽnyawo: Agbenɔnɔ kple nɔnɔme si anɔ anyi ɣeyiɣi didi abe esia ene ate ŋu ahe susu me nuteɖeamedzi vɛ. Nɔnɔmewo abe blanuiléle kple dzimaɖitsitsi ene ate ŋu ado mo ɖa.

Mègase le ɖokuiwò me be ye ɖeka koe le ɣeyiɣi sia tɔgbe me o. Ele vevie be nàxɔ kpekpeɖeŋu tso ƒometɔwo, xɔlɔ̃wo, kple ɖɔktawo gɔ̃ hã gbɔ.

Aleke ɖɔktawo wɔa dea dzesi nɔnɔme si nye `(Monoplegia)`?

Ne dzesi siawo le ŋuwò la, ne èyi ɖɔkta gbɔ la, woabia nya wò gbã. Ðe abi aɖe xɔ wò nyitsɔ laa, kple ɣeyiɣi si nède dzesi dzesi siawo zi gbãtɔa. Emegbe woawɔ ŋutilãmedɔdada. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔwo abe esiawo ene be wòakpe ɖe wo ŋu woanya nusi tututu gbɔ wòtso:

• X-ray: Kpɔe ɖa be ƒuwo gblẽ hã.
• `(Computed tomography - CT) scan` (CT scan): Ðe ahɔhɔ̃ alo aklã ƒe foto si me kɔ wu.
• Magnetic resonance imaging (MRI) scan: Esia ate ŋu ana míanya nu geɖe tso ahɔhɔ̃, aklã, kple lãmekawo hã ŋu tsitotsito.
• Electromyogram (EMG): Dodokpɔ sia léa ŋku ɖe eŋu nenye be elektrikŋusẽ ƒe dzesiwo le ɖoɖom tso lãmekawo me yina wò lãmekawo me eye nenye be lãmekaawo le nu wɔm ɖe wo ŋu.

Nukae nye atikewɔwɔ na `(Monoplegia)`?

Ne míagblɔe tututu la, atike aɖeke meli na dɔléle si nye monoplegia fifia o. Gake ɖɔktawo dzea agbagba be yewoada nusi gbɔ wòtso eye yewoakpɔ wò dzesiwo gbɔ be wò agbenɔnɔ nanyo ɖe edzi.

Atikewɔwɔmɔnu vovovowo li:

1. Atikewɔwɔ

• Lãmesẽfefewɔwɔ: Esia kpena ɖe ŋuwò be wò alɔ/afɔ si tu la ƒe ŋusẽ, te ŋu trɔna ɖe nɔnɔmewo ŋu, kple eƒe ʋuʋu nyona ɖe edzi. Wozãa kamedede kple dɔwɔnu vovovowo hena esia.
• Dɔdamɔnu: Dɔdamɔnu sia kpena ɖe ŋuwò be nàgawɔ gbesiagbedɔwo, abe awudodo, nuɖuɖu, kple nuŋɔŋlɔ ene, ake le ɖokuiwò si.
• Tagbɔdɔdada: "Nuƒoƒo ƒe atikewɔwɔ" sia kpena ɖe ŋuwò nèkpɔa susu me kuxiwo (abe blanuiléle, dziku, kple mɔkpɔkpɔbuɖeame) siwo dona tso agbenɔnɔ kple nuwɔametɔ me gbɔ, eye wòkpena ɖe ŋuwò nèdea dzesi seselelãme kple nuwɔna siwo mele lãmesẽ me o eye nètrɔa wo.

2. Kpekpeɖeŋunamɔ̃wo

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã mɔ̃wo abe esiawo ene be wòakpe ɖe ŋuwò nàʋuʋu ahawɔ dɔwo:

• Bunɔkeke aɖe
• Atizɔtiwo
• Skuter tɔxɛ aɖe

3. Atikewo zazã

Le wò nɔnɔmea nu la, woate ŋu ana atikewo be woatsɔ aɖu dzesi aɖewo dzi:

• Vevesesenutsitikewo
• Lãmetsiŋusẽtikewo
• Wozãa atike si woyɔna be ``Botulinum toxin`` ɣeaɖewoɣi tsɔ daa lãmekawo ƒe ʋuʋu alo abɔ/afɔwo ƒe ʋuʋu.

4. Amekoko

Ƒã ŋutɔ la, ɖɔktawo ate ŋu aɖo aɖaŋu hã be woawɔ dɔ nɛ atsɔ aɖɔ ŋutilãa ƒe nɔnɔme aɖewo siwo mesɔ o ɖo (le kpɔɖeŋu me, ne lãmeka aɖe ƒo ɖe eŋu).

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkpɔ ``Stroke'' ƒe dzesiwo (e.g., mo ƒe akpa ɖeka ƒe gege ɖe anyi kpata, nuƒoƒo ƒe ŋutetemanɔamesi, alɔ ƒe dɔmawɔmawɔ nyuie), alo ne èsusu be abi gã aɖe le wò ta, kɔ, alo akɔta ŋu la, .Ƒo ka na 1990 (Sri Lanka Ambulance Service) enumake alo yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le si te ɖe ŋuwò.

Tsɔ kpe ɖe eŋu la, yi ɖɔkta gbɔ ne dzesi siawo dometɔ aɖe le ŋuwò:

• Ne wò asiwo alo afɔwo le ʋuʋum alo le ʋuʋum atraɖii.
• Ne lãmekawo ƒe gbɔdzɔgbɔdzɔ nɔa anyi ɖaa alo wòva nɔa dzodzom.
• Ne kasia mègate ŋu ʋãa wò lãmekawo o.

Nukae wòle be mabia nye ɖɔkta?

Ne wokpɔ be ``Monoplegia'' le ŋuwò la, àte ŋu abia nya siawo wò ɖɔkta. Esiawo akpe ɖe ŋuwò nàse nɔnɔmea gɔme eye nàna nànya nu tso atikewɔwɔ le etsɔme ŋu.

• "Ðɔkta, nye `(Monoplegia)` nɔnɔmea nye ɣeyiɣi kpui aɖe ƒe nɔnɔme loo alo nɔa anyi ɖaa?"
• "Ɣeyiɣi didi kae wòaxɔ nam be magaʋuʋu alɔ/afɔ sia ake?"
• "Atikewɔwɔmɔnu kae nèkafu si sɔ nam wu?"
• "Atikewɔwɔ alo kpekpeɖeŋunu kawoe li siwo ate ŋu akpe ɖe nye nɔnɔmea ŋu?"
• "Kuxi kawoe wòle be manya nu tsoe etɔxɛe?"
• "Àkafu `(Lãmesẽfefewɔwɔ)` alo `(Dɔwɔƒe ƒe atikewɔwɔ)` geɖe wu nam?"

Nukae nye nɔnɔme si nye `(Monoplegia)` ƒe mɔkpɔkpɔ?

Nusiwo wogblɔ ɖi na monoplegia nɔ te ɖe nusi gbɔ nɔnɔmea tso kple eƒe sesẽ dzi. Ɣeaɖewoɣi la, nɔnɔmea nyona ɖe edzi vie le ɣeyiɣi aɖe megbe. Ke hã, ame geɖe gakpɔtɔ nyea lãmetututɔ tegbee. Gake atikewɔwɔ nyuie ate ŋu aɖe dzesiawo dzi akpɔtɔ eye wòana agbenɔnɔ nanyo ɖe edzi.

Vovototo kae le `(Monoplegia)` kple `(Monoparesis)` dome?

Togbɔ be nya eve siawo ɖi wo nɔewo vie hã la, vovototo sue aɖe le wo dome.

• Monoplegia nye lɔlɔ̃nu faa ʋuʋu le wò abɔ alo afɔ ɖeka me keŋkeŋ .
• Monoparesis nye ne wò alɔ alo afɔ ɖeka ʋuʋu ƒe ŋutete ƒe akpa aɖe koe bu. Ema fia be ŋusẽ meganɔa ŋuwò kura o, ɖeko nègbɔdzɔna vie.

Kpuie ko la, le ``Monoplegia'' me la, agbe aɖeke mele eme kura o, gake le ``Monoparesis'' me la, agbe aɖe li, gake egbɔdzɔ.

Vovototo kae le `(Monoplegia)` kple `(Hemiplegia)` dome?

Ele vevie be nànya esia hã.

• Monoplegia nye lãmetutudɔ si dzea abɔ kple afɔ ɖeka ko dzi (alɔ ɖeka alo afɔ ɖeka).
• Hemiplegia nye ŋutilã ƒe akpa ɖeka ƒe bu keŋkeŋ (e.g., ɖusibɔ, ɖusifɔ, kple ɖewohĩ mo ƒe ɖusime).

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Monoplegia nye dɔléle si trɔa ame ƒe agbenɔnɔ. Ðewohĩ ahiã be nàtrɔ alesi nèwɔa wò gbesiagbedɔwoe – ne wò lãmetutudɔa nye ɣeyiɣi kpui aɖe ko gɔ̃ hã. Enye nusi sɔ be nàse seselelãme vovovowo (blanuiléle, dziku, vɔvɔ̃) le esia ŋu.

Gake, nu vevitɔe nye be nàɖo ŋku edzi be atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàɖe nɔnɔme sia ƒe dzesiwo dzi akpɔtɔ eye wòana wò agbenɔnɔ nanyo ɖe edzi. Ƒo nu kple wò ɖɔkta be nànya tiatia siwo li na wò. Mègase le ɖokuiwò me gbeɖe be ye ɖeka koe le mɔzɔzɔ sia me o.

` monoplegia, lãmetutudɔ, alɔ ƒe bu, afɔ ƒe bu, ahɔhɔ̃mekawo ƒe dɔléle, ahɔhɔ̃mekawo ƒe ʋuʋu, atikewɔwɔ