Ðe ʋusɔgbɔdɔ suesuesuewo enuenu nana ame ƒe ŋku megaɖoa ŋku nu dzi oa? (Multi-Infarct Dementia) Mina míasrɔ̃ nusi tututu wònye!

Ðe ame tsitsi aɖe si le wò aƒeme, ɖewohĩ dawò, fofowò, alo mamawò, ŋlɔa nuwo bea? Ðe wotɔtɔna le nyawo me ne wole zɔzɔm? Alo ɖe mɔ didi sesẽna na wo ne wole zɔzɔm le ablɔ si wonya nyuie dzi gɔ̃ hã? Togbɔ be nusiawo adze abe nu dzɔdzɔe siwo dzɔna ne míele tsitsim ene hã la, ɣeaɖewoɣi la, woate ŋu agbɔ ema ŋu. Egbea míele nu ƒom tso nɔnɔme sia tɔgbe ŋu, si nye ŋkuɖoɖonudzi ƒe dɔléle si tsoa ʋusɔgbɔdɔ suesuesue siwo kplɔ wo nɔewo ɖo (nɔnɔme siwo ƒe akpa aɖe) hena vɛ ŋu.

Nukae Nye Multi-Infarct Dementia?

Kpuie ko la, Multi-Infarct Dementia (MID) nye nɔnɔme si me ʋuka siwo naa ʋu yia ahɔhɔ̃a me ƒe xexe suesuesuewo gblẽna le ahɔhɔ̃menugbagbeviwo ŋu, si wɔnɛ be ame ƒe ŋku megaɖoa ŋku nu dzi o. "Multi" le afisia gɔmee nye "geɖe" alo "geɖe." "Infarct" fia ʋu ƒe gege ɖe ahɔhɔ̃a ƒe akpa aɖe, si nana lãmenugbagbeviwo kuna. Ʋusɔgbɔdɔ siawo xea mɔ na ahɔhɔ̃mekawo be megaxɔa ʋu si sɔ o, si fia be oxygen kple nunyiame mesu esi o.

Tagbɔdɔléle nye nɔnɔme si me susu ƒe dɔwɔwɔ dzi ɖena kpɔtɔna wu alesi wònɔ tsã, si gblẽa nu le gbesiagbedɔwo ŋu ale gbegbe be gbesiagbedɔwo wɔwɔ sesẽna. Ame si ŋu tagbɔdɔ le ate ŋu axɔ nusiwo gbɔna dometɔ eve alo esi wu nenema:

• Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie.
• Ŋutete si le ame si be wòabu tame ahawɔ nyametsotsowo dzi ɖe kpɔtɔ.
• Nuƒoƒo sesẽ.
• Dadasɔ kple nuwɔwɔ aduadu dzi ɖe kpɔtɔ.
• Seselelãmewo dzi ɖuɖu ƒe ŋutetemanɔamesi, tɔtrɔ enuenu.
• Nuwɔna ƒe tɔtrɔ.

Tagbɔdɔléle sia si me ʋukawo me ʋu sina tona zi geɖe la nye dɔléle si le ʋukawo ƒe tagbɔdɔléle ƒe hatsotso me . Ʋusɔgbɔdɔ nye afɔku gã aɖe na esia.

Aleke gbegbee nɔnɔme sia bɔe?

Tagbɔdɔ si me ʋu ƒe sisi le ame geɖe ŋu nye dɔléle si bɔ ŋutɔ . Enye nu evelia si hea tagbɔdɔléle vɛ wu le Alzheimer-dɔlélea megbe . Ɣeaɖewoɣi la, dɔléle eveawo te ŋu nɔa anyi ɖekae.

Zi geɖe la, MID dzea amesiwo xɔ tso ƒe 60 va ɖo ƒe 75. Wogblɔ hã be ebɔ vie le ŋutsuwo me wu nyɔnuwo.

Nukae nye dɔléle si nye multi-infarct dementia (MID) ƒe dzesiwo?

Multi-infarct dementia (MID) ƒe dzesiwo ate ŋu adze egɔme kpata . Esiawoe nye dzesi vevitɔwo:

• Dzimaɖitsitsi kpata, ŋkuɖoɖonudzi ƒe kuxi siwo nɔa anyi ɣeyiɣi kpui aɖe (e.g. nusi nèɖuna le ŋdi me ŋɔŋlɔ be).
• Bubu, màte ŋu akpɔ wò mɔ o, le teƒe siwo nènya nyuie gɔ̃ hã.
• Azɔlizɔzɔ kple afɔɖeɖe suewo kple azɔlizɔzɔ kabakaba si trɔna.
• Aɖuɖɔ alo aɖuɖɔ dzi ɖuɖu ƒe ŋutetemanɔamesi.
• Nukoko alo avifafa le ɣeyiɣi siwo mesɔ o me.
• Mɔfiamewo gɔmesese kple wo dzi wɔwɔ sesẽ.
• Kuxi siwo le ga xexlẽ kple nuwo ƒle kple ga me.

Togbɔ be ame aɖewo siwo ŋu MID le la ƒe dzesiwo dzi ɖena kpɔtɔna hena ɣeyiɣi aɖe eye woƒe lãme sẽna hã la, ., le ʋusɔgbɔdɔ bubu alo ʋɛ aɖewo megbe la, nɔnɔmea gagblẽna ɖe edzi. Ele abe atrakpui aɖe dzi yiyi ene, kasia nɔnɔmea gagblẽ ɖe edzi, ɖewohĩ eƒe lãme sẽ vie, emegbe wògagblẽ ɖe edzi.

Nukae nye ʋusɔgbɔdɔ sue (TIA) ƒe dzesiwo?

Tagbɔdɔléle si me ʋu sina tona zi geɖe tsoa ʋusɔgbɔdɔ sue geɖe, alo ʋu ƒe sisi ɣeyiɣi kpui aɖe ƒe amedzidzedze (TIA) gbɔ . TIA ƒe dzesiwo sɔ kple ʋusɔgbɔdɔ edziedzi tɔ, gake ate ŋu anɔ bɔbɔe wu. Zi geɖe la, dzesiawo dzena kpata :

• Nukpɔkpɔ si me kɔ o alo ŋku ɖeka alo evea siaa ƒe nukpɔkpɔ ƒe bu.
• Mo, abɔ, alo afɔwo ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ, vevietɔ le ŋutilã ƒe akpa ɖeka.
• Taɖuame sesẽ.
• Azɔlizɔzɔ sesẽ.
• Taɖuame.
• Dadasɔ ƒe bu le ŋutilãa me.
• Nuƒoƒo alo nya si wogblɔ la gɔmesese sesẽ.

Nu vevitɔ kekeake: Ne èkpɔ ʋusɔgbɔdɔ alo TIA ƒe dzesiwo abe esia ene, ne wobu le ɣeyiɣi aɖe megbe gɔ̃ hã la, ele be nàyi kɔdzi godoo aɖadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake! Elabena ate ŋu anye ʋusɔgbɔdɔ gã aɖe ƒe dzesi.

Nukae hea tagbɔdɔ si woyɔna be multi-infarct dementia (MID) vɛ?

Abe alesi míegblɔe va yi ene la, ʋusɔgbɔdɔ suesuesue siwo kplɔ wo nɔewo ɖo siwo gblẽa nu le ahɔhɔ̃mekawo ŋu koŋ gbɔe esia tsona. Ʋusɔgbɔdɔ dzɔna ne wotso ʋu ƒe sisi yi ahɔhɔ̃a ƒe akpa aɖe. Ʋusɔgbɔdɔ ate ŋu adzɔ ne ʋuka siwo me ʋu sina tona xea ʋuka siwo naa ʋu yia ahɔhɔ̃a me, alo ne kpeƒekpeƒewo, siwo nye ami siwo ƒo ƒu ɖe ʋukawo me la xe ʋukawo.

Ame geɖe siwo ŋu MID le menya gɔ̃ hã be yewoxɔ mini-stroke o. Esia le alea elabena, ɣeaɖewoɣi la, le ʋusɔgbɔdɔ sue siawo me la, ʋuka si xe la ate ŋu aʋu le aɖabaƒoƒo ʋɛ aɖewo ko me. Emegbe, ɣeyiɣi kpui aɖe koe ʋusɔgbɔdɔ ƒe dzesiwo (abe ŋutilã ƒe akpa ɖeka ƒe lãmetutudɔ ene) va dona eye wodzona.

Bu eŋu kpɔ, wò aƒelika, Fofonye Nimal, le afima. Gbeɖeka esi wònɔ nu ƒom kplii la, kasia eƒe nyawo nɔ ɖiɖim, eye edze abe eƒe asi gbã hena ɣeyiɣi aɖe ene. Edzo le aɖabaƒoƒo ʋɛ aɖewo megbe. Metsɔ ɖeke le eme boo o. Esusu be, "Anye be ɖeɖi te eŋu." Gake esi nudzɔdzɔ sue ʋɛ aɖewo abe esia ene dzɔ le ɣeyiɣi aɖe megbe la, vivivi la, wova nɔ ŋusẽ kpɔm ɖe eƒe ŋkuɖoɖonudzi kple ale si wòbua tame dzi. Emae nye dɔléle sia ƒe nɔnɔme. Ʋusɔgbɔdɔ sue siawo gblẽa nu le ahɔhɔ̃mekawo ŋu. Nusiwo gblẽ alea ƒoa ƒu eye wòhea tagbɔdɔléle vɛ.

Nukawoe nye afɔku siwo ate ŋu ahe esia vɛ?

Afɔku siwo le tagbɔdɔléle si me ʋu sina tona zi geɖe me la sɔ kple esiwo le ʋusɔgbɔdɔ me. Woawoe nye:

• Ʋusɔgbɔdɔ (ʋusɔgbɔdɔ): Esiae nye afɔku vevitɔ kple vevitɔ kekeake . Ame si me ʋusɔgbɔdɔ mele o la mate ŋu axɔ MID o.
• Suklidɔ `(Suklidɔ)` .
• Nɔnɔme siwo ate ŋu ana ʋu natsi alo axe mɔ bubuwo: le kpɔɖeŋu me , ʋukawo ƒe ʋuʋu (ʋukawo ƒe gliwo ƒe ƒoƒo kple sesẽ), dzitodzito me dɔléle(dzitodzito me dɔléle), `dzitodzito me dɔléle` (dzitodzito me dɔléle) kple `carotid ʋuka me dɔléle` (ʋuka vevi siwo le kɔ ƒe akpa eveawo ƒe dɔléle).
• Lãmetsi si gblẽa nu le ame ŋu ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi (hyperlipidemia) .
• Sigaretnono.

Aleke wokpɔa dɔléle sia dzea sii? (Dɔléle ƒe dzesi) .

Dodokpɔ ɖeka aɖeke meli si ate ŋu anya tagbɔdɔ si me ʋumenugbagbeviɣidɔ geɖe tsona nyuie o . Eyata dɔlélea didi ate ŋu asesẽ. Dzesiawo ate ŋu aɖi Alzheimer ƒe dɔlélea ŋutɔ ɣeaɖewoɣi. Azɔ hã, nɔnɔme evea siaa ate ŋu anɔ ame ŋu le ɣeyiɣi ɖeka me.

Ne MID ƒe dzesiwo le ŋuwò la, wò ɖɔkta abia wò lãmesẽ ŋutinya , awɔ ŋutilã kple ahɔhɔ̃mekawo ƒe dodokpɔwo , eye wòada afɔku si le eme be nàxɔ ʋusɔgbɔdɔ la akpɔ. Esiawo ate ŋu akpe ɖe ame ŋu woanya alesi wokpɔ MID le.

Ahɔhɔ̃a ƒe MRI alo CT-dɔdamɔnu ate ŋu akpe ɖe ame ŋu wòanya MID, eye wòadi teƒe siwo ahɔhɔ̃a gblẽ le. Wò ɖɔkta ate ŋu aɖo wò ɖe eŋutinunyala bibi aɖe hã be wòado wò ahɔhɔ̃mekawo ƒe dɔwɔwɔ kpɔ be wòada kuxi siwo le wò susu ƒe dɔwɔwɔ ŋu, abe wò ŋkuɖoɖonudzi ene, akpɔ.

Nukawoe nye atike siwo wozãna na tagbɔdɔ si me ʋu sina tona zi geɖe (MID)?

Le nyateƒe me la, atike aɖeke meli si ŋu kakaɖedzi le na MID . Esi wònye be nusiwo ʋusɔgbɔdɔ gblẽna le ahɔhɔ̃a ŋu nɔa anyi ɖaa ta la, atikewɔwɔ ƒe taɖodzinu vevitɔe nye be woaxe mɔ ɖe ʋusɔgbɔdɔ si ava dzɔ le etsɔme nu . Esia bia be woaɖu nɔnɔme siwo nana ʋusɔgbɔdɔ ƒe afɔkua dzina ɖe edzi la dzi ɖuɖu.

Wò ɖɔkta aŋlɔ atike na wò na nuwo abe:

• Kpɔ wò ʋu ƒe sisi dzi.
• Ðe ʋumemi si sɔ gbɔ ɖe lãme na ame dzi kpɔtɔ.
• Kpɔ sukli ƒe agbɔsɔsɔ le ʋu me dzi (suklidɔ).
• Ʋu ƒe sisi na ame be wòaxe mɔ ɖe ʋu ƒe sisi nu.

Ðɔktaa kafui hã be nàwɔ tɔtrɔwo le agbenɔnɔ me abe:

• Kamedede edziedzi.
• Nuɖuɖu si naa lãmesẽ ɖuɖu (e.g., Mediterranea nuɖuɖu alo Dash nuɖuɖu ).
• Asiɖeɖe le atamanono kple ahanono ŋu.

Blanuiléle nye tagbɔdɔ si bɔ si ate ŋu adzɔ kple MID. Ate ŋu ana ahɔhɔ̃a ƒe dɔwɔwɔ nagblẽ ɖe edzi. Ne blanuiléle le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atike na wò hã na ema.

Tsɔ kpe ɖe ahɔhɔ̃ ƒe tɔtrɔ ŋu la, ɖɔkta ate ŋu akafu atikewɔmɔnu bubuwo atsɔ akpe ɖe amesi ŋu MID le ŋu wòanɔ te ɖe nɔnɔme yeyewo nu eye wòaɖu kpododonuwo dzi . Le kpɔɖeŋu me:

• Nuƒoƒo ƒe atikewɔwɔ
• Sidzedze ƒe atikewɔwɔ
• Lãmesẽfefewɔwɔ

Nukae mate ŋu akpɔ mɔ na nenye be MID le nye alo nye lɔlɔ̃tɔ aɖe ŋu?

Tagbɔdɔléle si tsoa ʋuka geɖe me la nu sẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe.Dɔléle aɖe. MID ƒe nɔnɔme le abe atrakpui aɖe dzi yiyi ene. Kasia wògblẽna ɖe edzi (ɣeaɖewoɣi la, ehayana emegbe vie), emegbe kasia wògagblẽna ɖe edzi ne ègaxɔ ʋusɔgbɔdɔ ake. Amesiame ƒe mɔzɔzɔ to vovo . Wò atikewɔlawo ate ŋu ana nàkpɔ nusi nàkpɔ mɔ na ƒe susu nyuitɔ kekeake le wò nɔnɔmea nu.

Le goawo katã me la, amesiwo ŋu MID kple ʋukawo ƒe tagbɔdɔ ƒomevi bubuwo le ate ŋu anɔ kpuie vie . Esia le alea elabena afɔku le wo me be woagaxɔ ʋusɔgbɔdɔ alo dzidɔ ake.

Ðe woate ŋu axe mɔ ɖe tagbɔdɔ si nye multi-infarct dementia (MID) nua?

MID dada nyuitɔe nye be woadze agbagba axe mɔ ɖe enu le eƒe ɖevime . Mɔ siwo dzi nàto adze agbagba axe mɔ ɖe MID nu to wò afɔkuwo dzi ɖeɖe kpɔtɔ me dometɔ aɖewoe nye esi:

• Ʋu ƒe sisi, ʋumemi ƒe agbɔsɔsɔ, kple sukli ƒe agbɔsɔsɔ si le ʋu me me léle ɖe asi.
• Kpekpeme si sɔ na wò la me léle ɖe asi.
• Kamedede edziedzi.
• Nuɖuɖu si naa lãmesẽ, si da sɔ ɖuɖu (e.g. Mediterranea nuɖuɖu alo Dash nuɖuɖu ).
• Asitsatsa atamanono (bia wò ɖɔkta be wòakpe ɖe ŋuwò).
• Ahanono dzi ɖeɖe kpɔtɔ.
• Nuteɖeamedzi dzi ɖuɖu (te ɖiɖiɖeme ƒe kamededewo, ŋugbledede, yoga, kple bubuawo kpɔ).
• No atike siwo katã wò ɖɔkta ŋlɔ na wò pɛpɛpɛ eye nàno ɖe game dzi . Ne wò dzesiwo trɔ alo le sesẽm ɖe edzi la, ƒo nu kple wò ɖɔkta. Mègadzudzɔ wò atikewo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme gbeɖe ne mèƒo nu kple wò ɖɔkta o.

Aleke mawɔ akpɔ amesi ŋu MID le dzi? Alo aleke malé be na ɖokuinye?

Ame si ŋu MID le ahiã kpekpeɖeŋu le woƒe gbesiagbedɔ aɖewo wɔwɔ me . Le kpɔɖeŋu me, atikewo nono, fewo xexe, kple nuɖuɖu dzadzraɖo. Togbɔ be amesiwo ŋu MID le ate ŋu awɔ nu geɖe le wo ɖokui si hã la, le alesi woƒe dzesiawo nu sẽe nu la, ɖewohĩ manɔ dedie be woawo ɖeɖe woanɔ agbe o . Ame aɖewo siwo ŋu MID le ate ŋu ahiã beléle tɔxɛ tso dɔwɔƒe siwo bi ɖe tagbɔdɔlélawo gbɔ kpɔkpɔ me.

Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?

Ele be wò alo wò dɔnɔdzikpɔla naƒo ka na wò ɖɔkta ne:

• Ne wò dzesiwo gagblẽ ɖe edzi.
• Ne dzesi yeyewo do.
• Ne atike la he nugbegblẽ le ame ŋu siwo ɖea fu na ame vɛ.

Ðe tagbɔdɔléle si tsoa ʋuka geɖe me (MID) sɔ kple Alzheimer ƒe dɔlélea?

Ao, togbɔ be nɔnɔme siawo evea siaa ate ŋu ahe tagbɔdɔléle vɛ hã la, nu vovovowo gbɔe wòtsona . Tagbɔdɔléle nye susu ƒe dɔwɔwɔ ƒe ɖiɖi ale gbegbe be wòdoa kplamatse ame ƒe gbesiagbegbenɔnɔ kple dɔwɔnawo.

Tagbɔdɔléle si tso MID gbɔ tsoa ʋusɔgbɔdɔ zi geɖe si ɖea ʋu ƒe sisi ɖe ahɔhɔ̃a me dzi kpɔtɔna eye wògblẽa nu le ahɔhɔ̃mekawo ŋu gbɔ.Alzheimer ƒe dɔléle nye tagbɔdɔ ƒomevi aɖe si protein ƒe agbɔsɔsɔ si mesɔ o si le ahɔhɔ̃a me hena vɛ. Le Alzheimer dɔlélea me la, protein siawo siwo woyɔna be `(amyloid protein)` kple `(tau protein)` ƒe ƒuƒoƒo nana ahɔhɔ̃menugbagbeviwo kuna.

Tsɔ kpe ɖe eŋu la, zi geɖe la, Alzheimer ƒe dzesiwo dzena vivivi, le ɖoɖo si mewɔa tɔtrɔ o nu . Le MID me la, tɔtrɔwo ate ŋu ava kpata alo vivivi.

Ðe tagbɔdɔ si me ʋukawo me ʋu ƒe sisi le ame ŋu (MID) sɔ kple ʋukawo me dɔlélea?

Tagbɔdɔléle si me ʋukawo me ʋu sina tona zi geɖe nye ʋukawo ƒe tagbɔdɔ ƒomevi ɖeka ko . Ʋukawo me dɔléle ƒomevi bubuwo hã li:

• Subcortical vascular dementia (Binswanger ƒe dɔléle): Nɔnɔme si me ahɔhɔ̃a ƒe gbegblẽ si menya kpɔna dzea sii bɔbɔe o dzɔna le ʋuka siwo le ahɔhɔ̃a ƒe akpa siwo le lãkusi te ƒe ƒoƒo kple woƒe tsitsi ta.
• Tagbɔdɔléle si tsoa ʋusɔgbɔdɔ gbɔ: Tagbɔdɔléle si tsoa ʋusɔgbɔdɔ zi ɖeka gbɔ.
• Tagbɔdɔléle si wotsaka: Tagbɔdɔléle si tso nusiwo wu ɖeka gbɔ. Zi geɖe la, esia nyea Alzheimer-dɔléle kple ʋukawo ƒe tagbɔdɔ siaa ƒe ƒuƒoƒo.

Enye nusi sɔ be nàse le ɖokuiwò me be yegbɔdzɔ ne èse be yeƒe lɔlɔ̃tɔa xɔ tagbɔdɔ si me ʋu sina tona zi geɖe. Gake ɖo ŋku edzi be woƒe atikewɔlawo ƒe ƒuƒoƒoa ado alɔ woa kple wò le dɔa katã me, eye woana belélename ƒe tiatia siwo sɔ na wò. Ele vevie hã be nàlé be na ɖokuiwò. Wɔ ɖeka kple kpekpeɖeŋunahawo, alo tu wò ŋutɔ wò kpekpeɖeŋunahabɔbɔ be wòakpe ɖe ŋuwò.

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

Togbɔ be tagbɔdɔléle si tsoa ʋuka geɖe me nye nusi ŋu wòle be woavɔ̃ ɖo hã la, afɔku siwo ate ŋu ado tso eme la nyanya kple wo dzi ɖuɖu le gɔmedzedzea me ate ŋu awɔ akpa gã aɖe le mɔxexe ɖe nɔnɔmea nu alo edzikpɔkpɔ me.

• Dzra nɔnɔmewo abe ʋusɔgbɔdɔ, suklidɔ, kple ʋumemi ƒe agbɔsɔsɔ ene dzi nyuie .
• Ƒo asa na atamanono keŋkeŋ.
• Dze agbenɔnɔ si me lãmesẽ le yome .
• Ne dzesi aɖewo dze , di atikewɔlawo ƒe aɖaŋuɖoɖo kaba.
• Ne nɔnɔme sia le fu ɖem na wò alo wò ame vevi aɖe la, ɖo ŋku edzi be menye wò ɖeka koe le fu ɖem na wò o. Kpekpeɖeŋu si tso ɖɔktawo, kpekpeɖeŋunahawo, kple ƒometɔwo gbɔ le vevie ŋutɔ.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` multi-infarct dementia, vascular dementia, ʋusɔgbɔdɔ, ŋkuɖoɖonudzi ƒe bu, ahɔhɔ̃ ƒe lãmesẽ, ʋusɔgbɔdɔ, tagbɔdɔ ƒe dzesiwo, ŋkuɖoɖonudzi ƒe bu, ʋusɔgbɔdɔ, ahɔhɔ̃ ƒe lãmesẽ, ʋusɔgbɔdɔ, tagbɔdɔléle ƒe dzesiwo