Ðe nèle seselelãme wɔnukuwo sem le wò ŋutilã mea? Ðewohĩ ele vevie be nànya nu tso Multiple System Atrophy (MSA) ŋu!

Ðe nèsena le ɖokuiwò me kpɔ be nuwo le tɔtrɔm le wò ŋutilã me le mɔ siwo dzi màte ŋu aɖu o nua? Ɣeaɖewoɣi la, ɖeko wònɔna abe ɖe mègada asɔ ne èle zɔzɔm o ene, alo wò ta ʋuʋuna ne ètsi tre kpata. Esiawo nye nusiwo ŋu míeléa ŋku ɖo boo ɣeaɖewoɣi o, gake woate ŋu anye ahɔhɔ̃medɔ aɖewo siwo mebɔ o ƒe dzesiwo hã. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka si sesẽ vie ŋu, gake ele vevie ŋutɔ be míanɔ ŋudzɔ. Emae nye Dɔwɔɖoɖo Geɖewo ƒe Atrophy (MSA) .

Nuka tututue nye Multiple System Atrophy (MSA)?

Kpuie ko la, Multiple System Atrophy (MSA) nye ahɔhɔ̃medɔléle si mebɔ o si me míaƒe ahɔhɔ̃ ƒe akpa aɖewo gbɔdzɔna vivivi, si fia be wogblẽna. Le ɣeyiɣi aɖe megbe la, míaƒe ŋutilã ƒe dɔwɔwɔ kple ŋutete siwo dzi ahɔhɔ̃a ƒe akpa siawo kpɔ ŋusẽ ɖo la tea gbegblẽ. Le nyateƒe me la, esia nye nɔnɔme sesẽ aɖe vie, elabena esesẽna be woahaya tso eme bliboe.

Tsã la, wotsɔ ŋkɔ vovovo geɖe yɔa MSA. Ðewohĩ èse ŋkɔwo abe `Shy-Drager ƒe dɔléle`, `Sporadic olivopontocerebellar atrophy`, `Striatonigral degeneration`. Emegbe hafi ɖɔktawo va kpɔe be nɔnɔme aɖewo le nɔnɔme siawo katã me. Esia tae woƒo wo katã nu ƒu hetsɔ ŋkɔ yeye na wo be, `Multiple System Atrophy` (MSA). Dzesiawo toa vovo le ahɔhɔ̃a ƒe akpa si gblẽ nu. Esia tae ame ɖesiaɖe kpɔa dzesi vovovo siwo wotsɔ ƒo ƒui ɖo.

MSA ƒomevi eve li, alo? Nukawoe wonye?

Ẽ, be ɖɔktawo nade dzesi MSA ƒe nɔnɔmea nyuie wu la, womae ɖe hatsotso vevi eve me, le dzesi siwo dzena nu:

1. MSA-C : 'C' si le afisia tsi tre ɖi na `cerebellar'. Nusi ƒomevi sia kpɔa ŋusẽ ɖe wò ŋutete be nàwɔ ɖoɖo ɖe wò ʋuʋu ŋu koŋ dzi. Eyae nye be, èbu wò dadasɔ , si ɖɔktawo hã yɔna be `ataxia'. Esiae nye dzesi vevitɔ si ɖea dzesi sia ƒomevi. Le ɣeyiɣi ma ke me la, àte ŋu akpɔ kuxiwo hã le ŋutilã ƒe automatic control systems (`autonomic dysfunction`) kple anyidzedze enuenu.

2. MSA-P : 'P' si le afisia tsi tre ɖi na `parkinsonism'. Le ƒomevi sia me la, wokpɔa dzesi siwo ɖi Parkinson ƒe dɔlélea. Togbɔ be Parkinson ƒe dzesi siawo dzena wu le gɔmedzedzea me hã la, le ɣeyiɣi aɖe megbe la, kuxi siwo le autonomic nervous system ŋu kple `ataxia' ƒe dzesiwo hã ate ŋu ado mo ɖa.

Amekae MSA ƒe nɔnɔme sia gblẽa nu le wu? Aleke gbegbe wòbɔe?

Zi geɖe la, MSA dzea ame tsitsi siwo xɔ wu ƒe 30. Anɔ eme be dzesiawo dzena le ƒe 50 va ɖo ƒe 59. Ate ŋu adze ame sia ame dzi, eɖanye ŋutsu alo nyɔnue wònye o.

Gake MSA nye nɔnɔme si mebɔ kura o . Eŋutinunyalawo gblɔ be ame yeye 0.6 alo 0.7 koe woxɔna le ame 100,000 ɖesiaɖe me ƒe sia ƒe. Wobu akɔnta be dɔléleawo katã ƒe xexlẽme anɔ 3.4 va ɖo 4.9 le ame 100,000 ɖesiaɖe dome. Eyata àte ŋu akpɔ alesi gbegbe esia mebɔ o.

Nukae dzɔna ɖe ŋutilã si ŋu MSA le dzi? Ahɔhɔ̃a ƒe akpa kawoe wògblẽa nu le?

MSA nye dɔléle si yia edzi ɖaa si dzea ahɔhɔ̃a ƒe akpa vovovowo. Dzesiawo nɔ te ɖe ahɔhɔ̃a ƒe akpa si ŋu wògblẽ nu le dzi. Ahɔhɔ̃a ƒe akpa vevi siwo ŋu MSA gblẽa nu lee nye:

• Basal ganglia : Esiawo le ahɔhɔ̃a titina tututu. Wodoa ka kple ahɔhɔ̃a ƒe akpa vovovowo eye wokpena ɖe wo ŋu wowɔa dɔ ɖekae. Ele abe ahɔhɔ̃a ƒe xɔ vevitɔ si dzi wokpɔna ene .
• Brainstem : Esiae kpɔa ŋusẽ ɖe nusiwo dzɔna le mía ɖokui si le míaƒe ŋutilã me la dometɔ geɖe dzi. Eyae nye nusiwo dzɔna le wo ɖokui si evɔ míebu wo ŋu o, le kpɔɖeŋu me, gbɔgbɔ, dzi ƒe tsotso, kple ʋu ƒe sisi. Esiawo le vevie na agbetsitsi.
• Cerebellum : Esia le ta ƒe megbe, le eƒe gɔme. Eƒe dɔ koŋue nye be wòakpɔ ʋuʋu dzi ahada asɔ. Ewɔa dɔ kple ahɔhɔ̃a ƒe akpa bubuwo hã. Numekulawo gale nu srɔ̃m tso eƒe dɔwɔwɔ bliboe ŋu, gake kpeɖodzi aɖewo ɖee fia be ekpɔa gome le míaƒe seselelãmewo kple nyametsotsowɔwɔ hã me.

Eyata ne ahɔhɔ̃a ƒe akpa siawo gblẽ la, womate ŋu awɔ dɔ siwo dzi akpa mawo kpɔ ŋusẽ ɖo la nyuie o. Le kpɔɖeŋu me, ne `Ahɔhɔ̃meka` gblẽ la, kuxi siwo le nusiwo wowɔna le wo ɖokui si abe ʋu ƒe sisi ene ate ŋu ado mo ɖa.

Nukae nye MSA ƒe dzesiwo? Aleke míewɔna dea dzesi woe?

MSA ƒe dzesi aɖewo bɔ ɖe ƒomevi eveawo siaa me, eye ɖewo bɔ ɖe ƒomevi ɖesiaɖe koŋ me. Gake nu ɖeka si bɔ ɖe ƒomevi eveawo siaa mee nye ɖokuisinɔnɔ ƒe dɔmawɔmawɔ nyuie. Kpuie ko la, wò ŋutilã ƒe mɔ̃ siwo kpɔa wo dzi le wo ɖokui si la mewɔa dɔ nyuie o.

Dzesi siwo tso kuxi siwo le autonomic nervous system ŋu gbɔ:

• Orthostatic hypotension : Esia nye ne wò ʋu ƒe sisi ɖiɖi zi ɖeka, si naa ta gbãna , ne ètrɔ nɔnɔme, le kpɔɖeŋu me, ne ètsi tre kpata tso anyinɔƒe.
• Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (`urinary incontinence`) kple aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (`fecal incontinence`).
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie, vevietɔ le ŋutsuwo gome, nye tsitretsitsi sesẽ (erectile dysfunction).
• Rapid eye movement (REM) sleep behavior disorder : Abe alesi wòle le Parkinson ƒe dɔlélea gome ene la, ne èle drɔ̃e kum la, le nyateƒe me la, èwɔa nusiwo nèwɔ le wò drɔ̃ewo me la ƒe fefe. Àte ŋu ado ɣli alo aʋuʋu wò abɔwo.
• Fifia dzi ɖe kpɔtɔ (anhidrosis).
• Nukpɔkpɔ ƒe kuxiwo.
• Nu ƒuƒu.
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe.
• Nuɖuɖumeŋusẽ blewu kple dɔmeɖui.

Bu eŋu kpɔ be ɖokuisinɔnɔ ƒe dzesi siawo dometɔ geɖe ate ŋu adze ɣleti geɖe, ƒe geɖe gɔ̃ hã hafi lãmekawo ƒe dɔwɔwɔ ƒe dzesiwo nadze. Esia dzɔna le MSA dɔnɔwo ƒe 20% va ɖo 75% dome.

Susu kple seselelãme ƒe nɔnɔmewo

Ame siwo ŋu MSA le la dometɔ siwo ade akpa etɔ̃lia doa go kuxiwo le woƒe tamebubu kple susu tsɔtsɔ ɖo nu ŋu ƒe ŋutete me. Esesẽna na wo hã be woaɖu woƒe seselelãmewo dzi. Esia ate ŋu ahe susu ƒe lãmesẽkuxiwo abe:

• Dzitsitsi.
• Teteɖeanyi.
• Seselelãme ƒe malikenyenye: Eyae nye avifafa kple nukoko le mɔ si mesɔ o nu.
• Vɔvɔ̃ ƒe amedzidzedze.
• Nuvevi wɔwɔ alo amewuwu ƒe susuwo.

Nusiwo do ƒome kple ʋuʋu

MSA-C (ahɔhɔ̃meka ƒomevi) ƒe nɔnɔmewo:

Esia ƒomevi lɔ `ataxia` (dadasɔ ƒe bu) ɖe eme koŋ. `Crebellum` nye ahɔhɔ̃ ƒe akpa aɖe si wɔa akpa vevi aɖe le lãmekawo ƒe ʋuʋu dzi ɖuɖu me. Eyata ne nuwɔwɔ aduadu ma bu la, nu siawo tɔgbe ate ŋu adzɔ:

• Afɔwo ƒe ʋuʋu si dzi womeɖu o, si me zitɔtɔ le .
• Action tremor : Esia fia be ne èdze agbagba be yeawɔ nane la, ʋuʋudedi si le wò abɔwo me dzina ɖe edzi.
• Azɔlizɔzɔ kple afɔ siwo keke si mebɔ o .
• Ŋku ƒe ʋuʋu si dzi womate ŋu aɖu o (nystagmus).

MSA-P (Parkinson ƒe dɔléle ƒomevi) ƒe nɔnɔmewo:

Zi geɖe la, dzesi sia ƒomevi dzea egɔme tso ŋutilã ƒe akpa ɖeka eye emegbe wòkakana ɖe akpa evea siaa. Zi geɖe la, dzesi siawo dzena ale:

• Ʋuʋu blewu (bradykinesia), sese le ame ɖokui me abe ɖe agbe mele ŋutilãa me o ene .
• Sese le eɖokui me be yeƒe ŋutilã le sesẽm eye yeƒe lãme sẽ, si wɔnɛ be ame ƒe nɔnɔme dzena abe ɖe wòle ŋgɔgbe ene.
• Nukikli enuenu ne èle zɔzɔm.
• Kukudodo ne èle nu ƒom, nuƒoƒo si me mekɔ o .

Nukatae MSA sia dzɔna? Nuka tae?

Womenya nusi tututu gbɔ MSA tso haɖe o , gake eŋutinunyalawo susui be edo ƒome kple protein tɔxɛ aɖe si woyɔna be `alpha-synuclein`, si ateŋu aƒo ƒu ɖe míaƒe ahɔhɔ̃ ƒe akpa vovovowo. Wosusui hã be protein sia ke gbɔe Parkinson ƒe dɔlélea tsona vevie.

Protein nye atike veviwo na míaƒe ŋutilã be wòate ŋu awɔ dɔ. Wokpena ɖe ame ŋu le nu geɖe me, abe kadodo si le ŋutilãa ƒe ɖoɖo vovovowo dome kple atikewo tsɔtsɔ yi teƒe bubuwo ene. Gake ne protein siawo ƒo ƒu ɖe teƒe siwo mesɔ o la, woate ŋu agblẽ nu le wo ŋu. Eŋutinunyalawo xɔe se be nugbegblẽ siae nana ahɔhɔ̃mekawo kuna vivivi le MSA me.

Dzɔdzɔmeŋutinunyalawo gale numekuku wɔm le nusita `alpha-synuclein` protein sia ƒoa ƒu ɖe ahɔhɔ̃a ƒe akpa aɖewo ŋu. Wosusui hã be domenyiŋusẽfianu ƒe tɔtrɔ aɖewo ate ŋu atrɔ alesi lãmenugbagbevi aɖewo zãa `alpha-synuclein` siae. Kpeɖodziwo hã li be MSA-C ƒomevi la zɔna le ƒomewo me. Gake womekpɔ domenyiŋusẽfianu ƒe kadodo ma tɔgbe aɖeke le MSA-P ƒomevi la ŋu haɖe o.

Nu vevitɔ kekeakee nye be MSA menye dɔléle si xɔa ame me o . Màte ŋu alée le ame bubu gbɔ o, eye màte ŋu akakae na ame bubu hã o.

Aleke nàwɔ anya kple kakaɖedzi be MSA le ŋuwò? Dodokpɔ kawoe wowɔna?

Be MSA liMɔ ɖeka kolia si dzi woato aka ɖe edzi 100% enye be woado ahɔhɔ̃mekawo kpɔ le ame aɖe ƒe ku megbe, elabena mɔ aɖeke meli si dzi woato akpɔe nyuie nenye be `alpha-synuclein` ƒo ƒu ɖe ahɔhɔ̃a ƒe akpa aɖewo esime ame aɖe le agbe o.

Ne ame aɖe le agbe la, ɖɔktawo bua MSA le dɔlélea ƒe dzesiwo, atikewɔwɔ ŋutinya, ƒome ŋutinya, kple nenye be ewɔa nu ɖe ​​atike aɖewo ŋu alo mewɔa nu ɖe ​​eŋu o ta. Zi geɖe la, dɔléle gbãtɔ si wokpɔnae nye Parkinson ƒe dɔléle alo ʋuʋu ƒe kuxi bubu si sɔ kplii, eye wotrɔa dɔlélea wòzua MSA emegbe ne dzesi yeyewo do mo ɖa alo atike aɖewo dzudzɔ dɔwɔwɔ.

Nu vevi geɖe li siwo ate ŋu ade vovototo MSA kple Parkinson ƒe dɔlélea dome:

• MSA yia ŋgɔ kabakaba : Exɔa ƒe geɖe hafi amesi ŋu Parkinson ƒe dɔlélea le la va kpɔa kuxiwo le lãmeka siwo wɔa dɔ le wo ɖokui si ŋu. Gake le MSA me la, kuxi siawo ate ŋu adze egɔme le ƒe ɖeka me.
• Dzesi aɖewo dzena le mɔ vovovowo nu : Autonomic nervous system ƒe dzesiwo, vevietɔ, nu sẽna wu le MSA me. Gake nuwo abe ʋuʋudedi ene ate ŋu masẽ boo o, alo womanɔ anyi kura o. Alesi dzesiawo kaka ɖe ŋutilã bliboa me hã ate ŋu ato vovo.
• Atikewɔwɔwo mewɔa dɔ o : Levodopa ye nye atike vevitɔ na Parkinson ƒe dɔlélea. Gake levodopa mewɔa dɔ boo aɖeke le MSA me o. Zi geɖe la, esiae nye susu vevitɔ si ta ɖɔktawo susuna be ɖewohĩ MSA ye ke menye Parkinson ƒe dɔléle o.

Dodokpɔ kawoe wole wɔwɔm na esia?

Dodokpɔ ʋɛ aɖewo koe li siwo kpena ɖe ame ŋu tẽ be woanya MSA. Wowɔa dodokpɔ akpa gãtɔ be woatsɔ aɖe dɔléle bubuwo ɖa eye woaƒo kpeɖodzi geɖe nu ƒu atsɔ aɖo kpe ɖikeke si nye be ate ŋu anye MSA dzi. Esiawo dometɔ aɖewoe nye:

• Magnetic resonance imaging (MRI) scan : Esia ate ŋu aɖe ahɔhɔ̃a ƒe akpa siwo gblẽ la afia ɣeaɖewoɣi. Esia ate ŋu akpe ɖe ame ŋu be woate ŋu akpɔ dɔlélea nyuie wu. Eɖea vi hã le dzesidede MSA-C me, elabena ateŋu aɖe atitsoga ƒe nɔnɔme aɖe afia le ahɔhɔ̃a ƒe akpa aɖe ("hot cross bun" dzesi). Gake woate ŋu akpɔ dzesi sia le dɔléle bubuwo hã me, eyata mesɔ gbɔ be woakpɔ MSA le wo ɖokui si o.
• Domenyiŋusẽfianu dodokpɔ : Esia ate ŋu alé ŋku ɖe domenyiŋusẽfianu ƒe tɔtrɔ si kpɔa ŋusẽ ɖe alesi ame ƒe ŋutilã wɔa dɔ le alpha-synuclein ŋu dzi. Dodokpɔ siawo ate ŋu ade dzesi domenyiŋusẽfianu ƒe tɔtrɔ siwo do ƒome kple MSA-C le Japantɔwo dome wu.
• Ŋutilã ƒe lãmenugbagbeviwo ɖeɖe : Ŋutilã ƒe lãmenugbagbeviwo ɖeɖe ƒomevi aɖewo ate ŋu ade dzesi dzesi siwo fia be alpha-synuclein ƒo ƒu ɖe lãmekawo me. Gake ehiã be woagawɔ numekuku geɖe wu be woakpɔe ɖa be esia ɖea vi ale gbegbe be wòanye dɔlélewo didi ƒe akpa si wozãna ɖaa hã.

Wò ɖɔkta agblɔ dodokpɔ bubu siwo sɔ kple alesi woate ŋu akpe ɖe ŋuwòe na wò. Woabu wò lãmesẽ ŋutinya, ƒome ŋutinya, kple nu bubuwo ŋu be woawɔ nyametsotso nyuitɔ kekeake na wò.

Ðe atike aɖe li na MSA? Ðe woate ŋu adaea?

Vaseɖe fifia la, womekpɔ atike aɖeke si ŋu kakaɖedzi le na MSA o.Eyata atikewɔwɔa ƒe taɖodzinu koŋ nye be woaɖu dzesiawo dzi ɣeyiɣi didi si woate ŋui. MSA ƒe dzesiwo dada nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye dɔnɔa ƒe dzesiwo kple woƒe sesẽme.

Atike alo atike kawoe wozãna?

Atike ƒomevi geɖe li siwo ate ŋu akpe ɖe ame ŋu wòaɖu MSA ƒe dzesiwo dzi. Atike si ƒomevi nàna anɔ te ɖe wò dzesiwo kple nu bubuwo dzi. Wò ɖɔktae nye ame nyuitɔ si akafu atike nyuitɔ kekeake na wò, elabena woawoe anya nu tso wò nɔnɔmea ŋu wu. Woaɖe atikeawo ƒe nugbegblẽ le ame ŋu hã me na wò.

Vevietɔ: MSA nye dɔléle si ɖɔkta si xɔ hehe si dze ko ate ŋu akpɔe. Eyata mègadze agbagba be ye ŋutɔ yeade dzesi dɔlélea ƒe dzesiwo alo ada wo ɖɔkta maƒo nu o.

Ðe mɔ aɖe li si dzi woato axe mɔ na MSA be wòagadze oa?

Eŋutinunyalawo menya nusi hea MSA vɛ alo nusiwo gbɔ wòtsona haɖe o. Eyata fifia la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu alo aɖe afɔkua dzi akpɔtɔ o .

Etsɔme ka ƒomevie amesi ŋu MSA le ate ŋu akpɔ mɔ na?

Zi geɖe la, dzesi siwo do ƒome kple ʋuʋu dzea amesiwo ŋu MSA le la dzi gbã. Nɔnɔme sia gagblẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe. Dɔnɔ siwo ade afã hiã kpekpeɖeŋu le azɔlizɔzɔ me le ɣeyiɣi sia me. Esia fia be woazã atizɔti alo afɔti. Anɔ abe ƒe atɔ̃ le MSA ƒe gɔmedzedze megbe la, ehiã be dɔnɔ siwo ade 60% nazã bunɔkeke. Le ƒe ade va ɖo enyi me la, dɔnɔawo ƒe afã ya teti mlɔa aba dzi.

Ne dɔlélea le sesẽm ɖe edzi la, ate ŋu ahiã be woawɔ dɔ bubuwo alo woawɔ nu bubuwo be woalé ŋutilã ƒe dɔwɔwɔ ɖe te eye woaxe mɔ ɖe kuxi siwo me afɔku le nu. Esiawo dometɔ aɖewoe nye:

• Tracheostomy be woalé gbɔgbɔ ɖe te.
• Nuɖuɖu to mɔ̃ me (`Tube feeding` / `nuɖuɖu le dɔgboa me`).
• Indwelling catheters alo urostomy na aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie.
• Colostomy na dɔgbo ƒe ʋuʋu ƒe kuxiwo.

Ɣeyiɣi didi kae MSA nɔa anyi?

MSA nye dɔléle si nɔa anyi ɖaa le eƒe agbemeŋkekewo katã me. Agbenɔƒe si wokpɔ mɔ na le mamã dedie nu kple dɔlélea nye ƒe ade va ɖo ewo . Le dɔléle siwo mesẽ boo o me la, ate ŋu anɔ anyi ƒe 15 sɔŋ. Gake le nɔnɔme siwo nu sẽ wu me la, agbenɔƒe ate ŋu anɔ kpuie wu sã. Zi geɖe la, dzesi siwo gbɔna la nɔa dɔléle sesẽ siawo me:

• Lãmetsiŋusẽ si le eɖokui si ƒe dzesiwo nu sẽna hafi dzesi siwo do ƒome kple ʋuʋu dzea egɔme.
• Ƒe tsitsi le dɔlélea didi me.
• Ʋuʋu ƒe dzesi siwo nana ame dzea anyi enuenu ƒe amesinɔnɔ.

Nukpɔsusu kae le amewo si ku ɖe nɔnɔme sia ŋu?

MSA ƒe mɔkpɔkpɔ menyo tututu o. Nɔnɔme sia ƒe dzesiwo gagblẽna ɖe edzi vivivi, eye zi geɖe la, wodoa kplamatse ŋutilãa ƒe dɔwɔwɔ eye wòhea kuxi siwo wua ame vɛ. Kuxi siwo ate ŋu ana ame naku dometɔ aɖewoe nye:

• Aklãdɔléle.
• Aɖuɖɔtoe me dɔlékuiwo (UTI) ate ŋu ahe sepsis (ʋu me aɖi) vɛ.
• Ku kpata (zi geɖe le zã me, le tɔtɔ le alesi ahɔhɔ̃a ɖua gbɔgbɔ dzi le alɔ̃ me ta).

Aleke mawɔ akpɔ ɖokuinye/nye lɔlɔ̃tɔ dzi? Nuka ŋue wòle be matsi dzi ɖo?

Dzesiawo nɔa amesiwo ŋu MSA le ŋu vivivi. Esia fia be ne dzesiawo nya ɖo afi aɖe ko la, womegate ŋu nɔa agbe le wo ɖokui si o. Nɔnɔmea ate ŋu akpɔ ŋusẽ ɖe wò ŋutete be nàbu tame, aƒo nu, ahatso nya me le ɖokuiwò si hã ŋu mlɔeba. Le nu siawo katã ta la, ele vevie be nàƒo nu tso wò didiwo ŋu na wò lɔlɔ̃tɔwo le etsɔme eye nàwɔ ɖoɖo ɖe wò atikewɔwɔ ŋu ne mète ŋu le nyametsotsowo wɔm o .

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

MSA ƒe dzesi gbãtɔ geɖe nye nusiwo ŋu wòle be nàdzro kple ɖɔkta. Esiawo dometɔ aɖewoe nye:

• Gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ.
• Orthostatic hypotension (taɖuame si nɔa anyi ɖaa alo alɔ̃madɔmadɔ le susu aɖeke si medze o ta).
• Alɔ̃dɔdɔ ƒe kuxiwo kple alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe (ame ƒe gbɔgbɔtsixe tsia ame ƒo le alɔ̃dɔdɔ me).

Ne ɖɔkta aɖe kpɔe be ʋuʋu ƒe kuxi aɖe abe Parkinson ƒe dɔléle ene le ŋuwò la, ele vevie be nàƒo nu tso tɔtrɔ ɖesiaɖe si ava wò dzesiwo ŋu na wo. Wò ɖɔkta awɔ ɖoɖo ɖe sasrãkpɔ siwo akplɔ wò ɖo be yealé ŋku ɖe wò nɔnɔmea ŋu ahatrɔ asi le wò atikewo ŋu. Àte ŋu aƒo nu tso tɔtrɔ ɖesiaɖe si nède dzesii le sasrãkpɔ siawo me ŋu. Ebɔ be amesiwo ŋu wokpɔ Parkinson ƒe dɔlélea le la natrɔ woƒe dɔlélea emegbe, ne dzesi yeyewo do mo ɖa alo ne levodopa dzudzɔ dɔwɔwɔ nyuie.

Zi geɖe la, amesiwo ŋu MSA le la kpɔa dzesi bubuwo, vevietɔ susu ƒe lãmesẽkuxiwo. Ele vevie be woadi atike na susumedɔléle siwo do ƒome kple MSA, kpakple ŋutilã me dzesiwo. Wò ɖɔkta ate ŋu akafu atikewɔwɔ na wò alo aɖo wò ɖe susumedɔdala aɖe gbɔ.

Kpuie ko la (Take-Home Message) .

Multiple System Atrophy (MSA) nye dɔléle sesẽ aɖe si wua ame mlɔeba. Nublanuitɔe la, womekpɔ atike alo atike aɖeke na dɔléle sia tẽ haɖe o.

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Gake woate ŋu ada eƒe dzesi geɖe , eye mɔ aɖewo li siwo dzi woato aɖe eƒe ŋusẽkpɔɖeamedzi kple dzesiwo dzi akpɔtɔ. Ne wowɔ atike na ame geɖe la, woate ŋu alé woƒe agbenɔnɔ ƒe nyonyome me ɖe asi ƒe geɖe, azã ɣeyiɣi xɔasi aɖe ɖe woƒe lɔlɔ̃tɔwo ŋu, eye woawɔ woƒe ɣeyiɣiwo ŋudɔ nyuie. Eyata ele vevie be woakpɔ dzesiawo gbɔ kple atikewɔlawo ƒe aɖaŋuɖoɖo nyuitɔ, evɔ màhe dziɖeleameƒo vɛ o.

`Multiple System Atrophy, MSA, Ahɔhɔ̃mekawo ƒe Dɔléle, Ahɔhɔ̃medɔléle, Parkinson ƒe Dzesiwo, Ʋuʋu ƒe Dɔlélewo, Autonomic Nervous System Problems