Ðe nèsena le ɖokuiwò me be yeƒe ʋukawo le veve sem alo le tetem ɖe ye ŋua? Mina míaƒo nu tso lãmekawo ƒe vevesese sia ŋu.

Ðe nèse le ɖokuiwò me kpɔ be yeƒe afɔwo alo abɔwo le ƒoƒom, ƒoƒo, alo dzobibi le ye ŋu kpɔa? Togbɔ be nu siawo adze nu sue aɖe hã la, woate ŋu anye dzesi tso wò ŋutilã ƒe lãmekawo gbɔ. Lãmetsiŋusẽ sia kpɔa gome le nusianu me tso gbɔgbɔ dzi va ɖo wò lãmekawo dzi ɖuɖu dzi va ɖo dzoxɔxɔ kple vuvɔ sese dzi. Eyata ne lãmeka siawo gblẽ alo le veve sem la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbe dzi. Eyata, mina míaƒo nu tso esia ŋu tsitotsito vie egbea.

Na míakpɔe ɖa gbã be, nukawoe nye lãmeka siawo?

Kpuie ko la, lãmekawoe nye ‘ka ƒe ɖoɖo’ si tsɔa nyatakakawo ƒoa xlã míaƒe ŋutilã. Womae ɖe akpa eve me. Ðekae nye Central Nervous System . Esia lɔ míaƒe ahɔhɔ̃ kple aklã hã ɖe eme. Bubue nye Peripheral Nervous System . Esia tsɔa gbedasiwo tso ahɔhɔ̃ kple aklã me yia ŋutilã ƒe akpa bubuawo katã.

Lãmetsi ƒomevi vevi etɔ̃e le míaƒe ŋutilã me:

1. Lãmetsi siwo wɔa dɔ le wo ɖokui si: Esiawoe kpɔa nusiwo ‘wɔna le wo ɖokui si’ le míaƒe ŋutilã me dzi. Bu nu siwo dzi míeɖuna le nyanya me o, abe míaƒe dzi ƒe tsotso , ʋu ƒe sisi, fifia, kple nuɖuɖumeŋusẽ ene ŋu kpɔ. Lãmetsi siawo kpena ɖe nusiawo ŋu wodzɔna le wo ɖokui si.

2. Motor nerves: Lãmetsi siawo kpɔa míaƒe ʋuʋu dzi, abe míaƒe abɔwo kple afɔwo ʋuʋu, azɔlizɔzɔ, kple bubuawo ene.‘Motor’ nerves siawo tsɔa gbedasiwo tso ahɔhɔ̃a gbɔ yia lãmekawo gbɔ, si hea ʋuʋu mawo vɛ.

3. Sidzenu ƒe lãmekawo: Lãmetsi siawo tsɔa seselelãme siwo míesena le mía ɖokui me tso míaƒe ŋutigbalẽ kple lãmekawo me - nuwo abe vevesese, asikaka ame ŋu, kple dzoxɔxɔ ene - trɔna yia ahɔhɔ̃ kple aklã me. Abe ‘dɔla’ ene.

Nukawoe nye lãmekawo ƒe gbegblẽ ƒe dzesiwo?

Lãmetsiŋusẽ ƒe gbegblẽ ƒe dzesiwo toa vovo le lãmeka ƒomevi si gblẽ kple afisi wògblẽ nu le nu. Mina míalé ŋku ɖe lãmeka ƒomevi ɖesiaɖe ƒe gbegblẽ ƒe dzesiwo ŋu.

Ɣeaɖewoɣi la, ame ate ŋu akpɔ ahɔhɔ̃mekawo ƒe dɔléle ƒomevi eve alo etɔ̃ ƒe dzesiwo le ɣeyiɣi ɖeka me. Le kpɔɖeŋu me, àte ŋu akpɔ gbɔdzɔgbɔdzɔ le wò afɔwo ŋu tsɔ kpe ɖe dzobibi ŋu.

Nukatae lãmeka siawo gblẽna? Nukawoe gbɔ wòtsona?

Nu 100 kple edzivɔe nana lãmekawo gblẽna. Dzesiwo kple atikewɔwɔ ate ŋu ato vovo le nu ɖesiaɖe si gbɔ wòtso nu. Nu vevi siwo gbɔ wòtsona dometɔ aɖewoe nye esi.

• Suklidɔ: Nu vevitɔ si nana lãmekawo gblẽna wu eye wòbɔ wue nye suklidɔ. Suklidɔléla siwo ade 70% ƒe lãmekawo gblẽna vaseɖe afi aɖe. Ne womeɖu dɔlélea dzi o la, nɔnɔme sia agblẽ ɖe edzi. Míeyɔa esia be suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle.
• Dɔléle siwo dɔlélenutsiŋutete hena vɛ:Dɔléle siwo me mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmekawo dzi le. Kpɔɖeŋu aɖewoe nye dɔlélewo abe Multiple Sclerosis, Guillain-Barré syndrome, kple Lupus ene.
• Kansa: Lãmetsiŋusẽ ƒe gbegblẽ ate ŋu adzɔ ne dɔdzẽwo te ɖe lãmekawo ŋu alo kansa ƒomevi aɖewo na nunyiame ƒe veve le ŋutilãa me. Azɔ hã, lãmekawo ƒe vevesese ate ŋu adzɔ abe atike kple keklẽŋusẽdɔdamɔnu aɖewo siwo wozãna tsɔ daa kansa ƒe nugbegblẽ le ame ŋu ene.
• Compression/Trauma: Lãmetsiŋusẽ ƒe gbegblẽ ate ŋu atso nɔnɔmewo abe lãmeka ƒe ʋuʋu, abi gã aɖe, alo Carpal Tunnel Syndrome ene ta.
• Nunyiame ƒe anyimanɔmanɔ: Vitamin, vevietɔ vitamin B6 kple B12, ƒe anyimanɔmanɔ ate ŋu ana lãmekawo nagbɔdzɔ, woase veve, eye woaxɔ abi. Nɔnɔme sia ate ŋu ado mo ɖa le amesiwo noa aha fũu akpa hã ŋu.
• Aha kple Aɖinuwo: Ahanono fũu akpa ɣeyiɣi didi nye nu vevi si nana lãmekawo gblẽna. Azɔ hã, aɖinuwo abe lifi, arsenic, kple mercury ene ɖuɖu hã ate ŋu agblẽ nu le lãmekawo ŋu. Ne èsusu be yeɖu aɖinu aɖe le manyamanya me la, te ɖe Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi ŋu enumake.
• Dɔléle siwo xɔa ame me: Dɔlékui aɖewo, abe Lyme dɔléle, herpes dɔlékuiwo, HIV, kple Hepatitis C ene, ate ŋu agblẽ nu le lãmekawo ŋu.
• Atikewo ƒe nugbegblẽ le ame ŋu: HIV dɔlékuia ƒe atike aɖewo kple kansa ƒe atike aɖewo ate ŋu ana lãmekawo nase veve abe eƒe nugbegblẽ le ame ŋu ene.

Nukawoe nye atike siwo wozãna na esia?

Zi geɖe la, esesẽna be woada lãmeka siwo gblẽ la keŋkeŋ. Ke hã, atikewɔmɔnu geɖe li siwo ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi eye wòana agbea nanɔ bɔbɔe. Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne dzesiawo dze egɔme ko. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae wòanɔ bɔbɔe be nàxe mɔ ɖe nusiwo agblẽ nu le ŋuwò tegbee nu.

Dɔdamɔnua ku ɖe nɔnɔme si gbɔ lãmekawo ƒe vevesesea tso la dada ŋu gbã.

• Ne suklidɔ le ŋuwò la, na wò ʋumesukli ƒe agbɔsɔsɔ dzi nakpɔ ŋusẽ ɖe edzi .
• Ne nunyiame ƒe veve aɖe li la, na vitamin siwo hiã.
• Ne atike aɖe gbɔe nɔnɔme sia tso la, ƒo nu kple wò ɖɔkta eye nàtrɔ atikeawo.
• Lãmesẽfefewɔwɔ alo amekoko na nɔnɔme aɖe abe lãmeka si le ʋuʋum ene.
• Atikewo nana na dɔléle siwo dɔlélenutsiŋutete tsona.

Vevesesenutsitikewo

Wò ɖɔkta ate ŋu aŋlɔ atikewo abe esiawo ene be wòakpe ɖe ŋuwò nàɖe vevesese dzi akpɔtɔ:

• Vevesesenutsitike siwo bɔ.
• Blanuilélenutsitike aɖewo, abe Amitriptyline kple Duloxetine (Cymbalta) ene.
• Atike aɖewo na asrãdɔ (alɔ̃madɔmadɔ). Togbɔ be esiawo nye atike siwo wozãna na asrãdɔ hã la, wowɔa dɔ ŋutɔ le lãmekawo ƒe vevesese dzi ɖuɖu hã me. Kpɔɖeŋuwo: Gabapentin (Neurontin) kple Pregabalin (Lyrica).
• Ŋutilã ƒe atike ƒomeviwo. Kpɔɖeŋuwo: Atike siwo me Capsaicin kple Lidocaine le.

Atikewɔwɔ bubuwo

Tsɔ kpe ɖe atikewo ŋu la, ɖɔkta ate ŋu akafu atikewɔmɔnuwo abe:

• Lãmesẽfefe: Kamedede kple asikaka ame ŋu ate ŋu akpe ɖe ame ŋu be lãmekawo nagagbɔdzɔ o eye wòana ƒunukpeƒewo nate ŋu azɔ nyuie.
• Amekoko: Amekoko ate ŋu anye vevesese si lãmeka si woƒo alo afɔku aɖe hena vɛ gbɔ kpɔnu nyuitɔ kekeake.
• Lãmetsiŋusẽ ƒe Mɔxexe: Atike si naa ame ƒe lãme gbãna dodo ƒo xlã lãmeka si le veve sem la nana vevesese ƒe dzesiwo megaɖoa ahɔhɔ̃a gbɔ o hena ɣeyiɣi aɖe.
• TENS (Transcutaneous Electrical Nerve Stimulation): Mɔ̃ si zãa elektrikŋusẽ ƒe dzesi suesuesuewo tsɔ ɖua vevesese dzi.
• Atikewɔwɔ bubuwo: Nuwo abe abɔtasisi, ŋugbledede, kple vitamin aɖewo (le atikewɔlawo ƒe dzikpɔkpɔ te) hã ate ŋu ana gbɔdzɔe ame aɖewo. Gake kpɔ egbɔ be yeƒo nu kple wò ɖɔkta hafi nàdze atikewɔwɔ bubu ɖesiaɖe gɔme.