Ðe wò abɔwo kple afɔwo le ʋuʋum alo le veve sema? Esia ate ŋu anye (Neuropraxia)!

Ðe nèse le ɖokuiwò me kpɔ be yeƒe alɔ alo afɔ le ƒoƒom, alo le veve sem esime nèle kamedefefe wɔm alo le afɔku sue aɖe megbea? Ɣeaɖewoɣi la, nusiawo dzɔna ne nu sue aɖewo gblẽ le lãmeka siwo le míaƒe ŋutilã me ŋu. Emae nye nɔnɔme si ŋu míele nu ƒom tsoe egbea, si woyɔna be ahɔhɔ̃mekawo ƒe dɔléle . Mègatsi dzi o, nɔnɔme sia nye esi zi geɖe la, eƒe lãme sẽna ɖe edzi. Mina míaƒo nu tso esia ŋu tsitotsito .

Nukae nye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie? Mina míase egɔme bɔbɔe.

Kpuie ko la, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye nusi gblẽa nu le wò lãmeka siwo le gota ŋu hena ɣeyiɣi aɖe . Fifia ɖewohĩ ànɔ nusi nye lãmeka siwo le gota gome ŋu bum. Esiawoe nye lãmeka siwo tsɔa elektrikŋusẽ tso míaƒe ahɔhɔ̃ kple aklã me yia ŋutilã ƒe akpa mamlɛa. Wowɔa dɔ abe ka suewo ene le míaƒe ŋutilã me.

Le ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie me la, nyaƒoɖeamenu, nutete, alo nu sue aɖewo gblẽna le lãmeka siawo ŋu. Gake nu vevitɔe nye be lãmekaa metso keŋkeŋ o. Ema fia be wokpɔa lãmekaa ƒe wɔwɔme ta le akpa gãtɔ me. Gake nusiwo gblẽ la gblẽa dzesiwo ƒe kaka to lãmekaa me. Esia tae míedzea nuwo abe lãmetutudɔ kple vevesese ene sese gɔme ɖo.

Amekawoe ate ŋu axɔ nɔnɔme sia?

Ate ŋu adzɔ ɖe amesiame dzi, vevietɔ le afɔku aɖe megbe , abe anyidzedze, ʋufɔku, alo abi si wòxɔ le kamedefefe me ene . Le kpɔɖeŋu me, ne ège tso wò keke dzi eye nètsi, alo ne èƒo bɔl vodadatɔe esime nèle kriket ƒom la, esia ate ŋu adzɔ.

Ðewohĩ ànɔ ɖokuiwò biam hã be ɖe ŋkɔ bubuwo li na esia hã. Ẽ, ɣeaɖewoɣi la, woyɔnɛ be ahɔhɔ̃mekawo ƒe dɔwɔwɔ alo ahɔhɔ̃mekawo ƒe dɔwɔwɔ le gotagome .

Nukawoe nye lãmeka siawo siwo le míaƒe ŋutilã me? Nukae wowɔna?

Míaƒe lãmeka siwo le gota nye kadodo wɔnuku aɖe. Etsɔa míaƒe lãmeka siwo le titina , si nye ahɔhɔ̃ kple aklã, doa ka kple ŋutilã ƒe akpa bubu ɖesiaɖe. Lãmetsi siawo dzie gbedasi siwo tso ahɔhɔ̃a me zɔna yia míaƒe lãmekawo gbɔ be woawɔ dɔ, eye wòtsɔa nyatakaka siwo tso míaƒe sidzenuwo (abe nukpɔkpɔ, nusese, kple asikaka nu ŋu ene) hã yia ahɔhɔ̃a me.

Ka ƒomevi aɖe si woyɔna be axon . Axon siawo tsɔa elektrikŋusẽ ƒe dzesiwo. Ametakpɔnu aɖe si wotsɔ ami kple protein siwo woyɔna be myelin wɔ la ƒo xlã axon siawo . Myelin-kplo siae nana lãmekawo ƒe dzesiwo zɔa mɔ kabakaba. Ele abe aŋe si wotsɔ tsyɔ elektrikka ŋu ene. Le ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie me la, nusi koŋ gblẽna le eŋue nye myelin-kplu sia. Esia wɔnɛ be woxea mɔ na dzesia.

Ðe ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye dɔléle gã aɖea? Ðe ahɔhɔ̃mekawo ƒe dɔléle ƒomevi bubuwo lia?

Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye lãmekawo ƒe abi sue aɖe ko . Esia fia be zi geɖe la, edaa gbe le eŋu keŋkeŋ. Gake lãmekawo ƒe abi siwo nu sẽ wu hã li. Le kpɔɖeŋu me:

• (Axonotmesis): Esiae nye esime lãmekaa ƒe axon fibers gblẽ, gake lãmekaa ƒe gota gome ate ŋu anɔ anyi. Esia sesẽ vie wu ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie.
• Neurotmesis: Esiae nye nɔnɔme si nu sẽ wu. Le afisia la, wotsoa lãmekaa keŋkeŋ eye wotsonɛ.

Vevietɔ: Be nànyae kple kakaɖedzi be ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie alo dɔléle aɖe si nu sẽ wu le ŋuwò la, ele be nàkpɔ ɖɔkta godoo. Eya koe ate ŋu akpɔ dɔlélea nyuie eye wòana atike si hiã wò.

Aleke gbegbee nɔnɔme sia bɔe?

Ƒe sia ƒe la, afɔku siwo ade 350,000 nana lãmekawo dea abi ame ŋu. Le esiawo dome la, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye dɔléle si bɔ, vevietɔ le amesiwo ƒoa kamedefefewo dome . Le kpɔɖeŋu me, wokpɔe be nɔnɔme sia dzɔna le bɔlƒola 50% va ɖo 65% kple rugby ƒola siwo ade 34% me. Eyata le míaƒe dukɔa me la, anɔ eme be ɖevi sue siwo ƒoa kriket, rugby, kple kamedefefewo hã ate ŋu axɔ nɔnɔme sia.

Nukae dzɔna ɖe ŋutilãa dzi ne ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò?

Abe alesi míegblɔe va yi ene la, le ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie me la, lãmekaa metsona keŋkeŋ o, si fia be lãmekaa me gblẽ o . Gake lãmekawo mete ŋu zɔa mɔ yia teƒe si gblẽ o. Ele abe ʋuwo ƒe xaxa ne èle dɔ wɔm le mɔ aɖe dzi ene. Nukpɔsusu mawo siwo woxe mɔ na lae nye nusiwo nèkpɔna abe dzesiwo ene.

Nukawoe hea ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie vɛ?

Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ le susu geɖe ta. Vevietɔ enye ne womiã lãmeka aɖe alo wogbãe . Ne edzɔ alea la, lãmekaa mete ŋu ɖoa elektrikŋusẽ ƒe dzesiwo ɖa o. Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒomevi bubuwo ate ŋu adzɔ le afɔkuwo ta:

• Ƒu ƒe gbagbã : Ne ƒu aɖe gbã la, lãmeka aɖe si te ɖe eŋu ate ŋu agblẽ.
• Ʋuʋu : Ne ƒunukpeƒe aɖe vuvu la, woate ŋu aƒo lãmeka siwo do ƒome kplii la nu ƒu.
• Nuveviwɔame le lãkusiwo kple lãkusiwo ŋu : Ne esiawo vuvu la, ate ŋu agblẽ nu le lãmekawo hã ŋu.

Bu eŋu kpɔ, ne ège tso ati dzi, alo nège to atrakpui aɖe dzi, eye le ɣeyiɣi ma me la, alɔ alo afɔ aɖe tro le mɔ si mesɔ o nu la, lãmekawo ƒe tete sia ƒomevi ate ŋu adzɔ.

Tsɔ kpe ɖe eŋu la, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ:

• Le amekoko vɔ megbe: Amekoko aɖewo, vevietɔ le alɔ̃dɔdɔ vɔ megbe, ate ŋu agblẽ nu le lãmekawo ŋu hena ɣeyiɣi aɖe.
• Vidzidzi : Nyaƒoɖeamenu si le vidzidzi me ate ŋu akpɔ ŋusẽ ɖe lãmeka aɖewo dzi.
• Aɖudɔ : Mɔnukpɔkpɔ sue aɖe li be lãmeka aɖe nagblẽ le aɖuɖeɖe, alɔ̃dɔdɔ, alo aɖuɖɔtoedɔdada me.

Nukae nye esia ƒe dzesiwo? Aleke wòsena le eɖokui me?

Ne ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò la, àte ŋu akpɔ ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesiwo . Dzesi siawo dometɔ aɖewoe nye:

• Dzobibi ƒe seselelãme
• Gbɔdzɔgbɔdzɔ
• Vevesese si nu sẽ
• Gbɔdzɔgbɔdzɔ le nuto si ŋu nya ku ɖo me.

Afikae woate ŋu ase dzesi siawo le ŋutilãa ŋu le? (Ame ƒomevi vovovowo) .

Wosea ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo le teƒe si gogo lãmeka si gblẽ la . Ahɔhɔ̃mekawo ƒe dɔléle ƒomevi vovovowo li, le lãmeka si gblẽ nu:

• Axillary neuropraxia: Esiae nye esime wò axillary nerve gblẽ. Lãmetsi sia tsɔa dzesiwo yia wò abɔta ƒe ƒunukpeƒe kple lãmeka siwo le wò abɔta. Eyata, àte ŋu ase dzesiwo le wò abɔta, alɔnu, kple ɖewohĩ wò asi gɔ̃ hã ŋu. Bu eŋu kpɔ, nusi ate ŋu adzɔ ne èƒo wò abɔta le mɔ gbegblẽ nu.
• Brachial plexus neuropraxia: Esia nye lãmeka siwo le wò abɔta ƒe kadodo si woyɔna be brachial plexus . Lãmetsi siawo tsɔa dzesiwo tso wò aklã me yia wò abɔwo kple asiwo gbɔ. Zi geɖe la, wosea dzesiawo le alɔ ɖeka me. Le kamedefefewo abe rugby ene me la, nɔnɔme aɖe si woyɔna be "stinger" alo "burner" tsoa asi ƒe lãkusi sia ƒe gbegblẽ gbɔ.
• Radial nerve neuropraxia: Esia nye nusiwo gblẽ le wò radial nerve ŋu . Esiae ɖoa dzesiwo ɖe wò asi kple abɔta ƒe megbe. Àte ŋu ase le ɖokuiwò me be yeƒe asi le ƒoƒom, vevietɔ le wò asibidɛ, asibidɛ si wotsɔ fiaa nu, kple titina, alo asi ƒe megbe. Ame aɖewo ƒe asiwo vuvu le ŋdi me ne wole alɔ̃ dɔm, si ate ŋu atso lãmeka sia (si woyɔna hã be Saturday night palsy) ƒe mitete gbɔ.
• Sural nerve neuropraxia: Wò sural nerve ye gblẽ le afisia. Lãmetsi sia tsɔa dzesiwo yia wò ahɔhɔ̃ kple wò nyivi, afɔkpodzi, kple afɔ dome. Eyata, dzesiawo dzena le wò afɔkpodzi kple afɔ ŋu.

Aleke ɖɔkta awɔ akpɔe be esia nye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie?

Ne èdze afɔku alo dzesi siawo tɔgbe va dze ŋuwò le amekokoa megbe la, .Ele vevie ŋutɔ be nàkpɔ ɖɔkta enumake eye woakpɔ dɔlélea le ŋuwò.

Ðɔktaa awɔ ŋutilãmedɔ gbã atsɔ akpɔe ɖa be lãmekawo gblẽ hã. Ate ŋu adɔ hã be woado ʋu aɖewo kpɔ . Amesiawo adi:

• Ʋu Xexlẽme Blibo (CBC) .
• Ayikuwo ƒe dɔwɔwɔ
• Aklã ƒe dɔwɔwɔ
• Thyroid ƒe dɔwɔwɔ

Wowɔa dodokpɔ siawo be woakpɔe ɖa be dɔléle bubu aɖe gbɔe dzesi siawo tso hã.

Dodokpɔ bubu kawoe nèwɔna?

Ne ehiã la, ɖɔkta ate ŋu aɖe gbe be woagawɔ dodokpɔ bubuwo atsɔ anya afisi tututu lãmekawo gblẽ le kple alesi tututu wògblẽe. Esiawo ate ŋu anye:

• CT-dɔdamɔnu
• Electromyogram (EMG): Esia dzidzea elektrikŋusẽ ƒe dɔwɔwɔ le lãmekawo kple lãmekawo me. Ate ŋu anya ne lãmekawo ƒe dzesiwo le sisim nyuie alo nenye be mɔxenu aɖe xe le teƒe aɖe.
• MRI
• Ultrasound scan na lãmeka siwo le gota kple lãmekawo
• X-ray: Be woatsɔ akpɔe ɖa be dzesi aɖeke le eŋu be yeƒe lãme gbã hã.

Menye amesiamee wòle be woado dodokpɔ siawo katã na o. Wò ɖɔkta anɔ te ɖe wò nɔnɔmea dzi atso nya me le dodokpɔ siwo sɔ ŋu.

Nukawoe nye atike siwo wozãna na esia? Aleke mawɔ ahaya?

Nya nyuiae nye be ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye dɔléle aɖe si nu yina le eɖokui si zi geɖe . Esia fia be lãmekaa atrɔ ava nɔ abe alesi wònɔ tsã ene le ɣeyiɣi aɖe megbe atike tɔxɛ aɖeke mawɔmawɔe. Gake wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàɖu vevesese kple vevesese bubuwo dzi. Ate ŋu akafu nusiwo le abe:

• Akɔtaɖonu, aŋetu, kple aŋetu: Wozãa esiawo tsɔ naa teƒe si xɔ abi la meʋãna o eye womegagblẽa nu le eŋu o.
• Gbɔɖeme, Tsikpe, Nutete, Kple Kɔkɔme (RICE): Wogayɔa esia be RICE mɔnu. Eɖea vi ŋutɔ le abi kple vevesese dzi ɖeɖe kpɔtɔ me le abixɔxɔ ƒe gɔmedzedze.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be woada kamedede , si lɔ kamedede ɖe eme. Kamedede siawo ate ŋu akpe ɖe ƒunukpeƒewo ƒe ʋuʋu ƒe didime ŋu wòanyo ɖe edzi eye woado ŋusẽ lãmekawo.

Ɣeaɖewoɣi la, nuwo abe asisisi kple abɔtasisi ene ate ŋu akpe ɖe ame ŋu, gake ne ɖɔkta kafui ko hafi wòle be woawɔ esiawo.

Ðe nènaa atikewo hã?

Ẽ, ɖɔkta ate ŋu aŋlɔ atike aɖewo na ame be wòatsɔ aɖu dzesiawo dzi:

• Blanuilélenutsitikewo:Womenaa nusiawo be woatsɔ aɖe blanuiléle dzi akpɔtɔ o. Blanuilélenutsitike aɖewo kpena ɖe ame ŋu wòɖea lãmekawo ƒe vevesese dzi kpɔtɔna.
• Corticosteroids: Wona esiawo be woatsɔ aɖe abi kple abi dzi akpɔtɔ.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): Wozãa esiawo hã tsɔ ɖea vevesese kple abi dzi kpɔtɔna (e.g., Ibuprofen, Diclofenac).

Ðe esia ate ŋu ahe kuxiwo vɛa?

Ame akpa gãtɔ siwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le la hayana keŋkeŋ . Gake ame aɖewo ate ŋu ato kuxiwo me. Esiawo dometɔ aɖewoe nye:

• Nutete
• Lãmetsiŋusẽ ƒe vevesese ɣeyiɣi didi, lãmekawo ƒe ʋuʋu, alo gbɔdzɔgbɔdzɔ
• Afi siwo le lãkusi si te ɖe teƒe si gblẽ ŋu

Ne abi ƒe lãkusiwo do la, ate ŋu ahiã be woawɔ dɔ nɛ . Amekolawo aɖe lãmekaa ɖa le abi ƒe lãkusia me, alo aɖe asi le teƒe si lãmekaa te ɖe eŋu le. Esia ana mɔnukpɔkpɔ lãmekaa nahaya.

Nukae wòle be nàwɔ ne dzesiwo le ŋuwò?

Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ . Ne dzesi yeye aɖewo dze le ŋuwò la, na wò ɖɔkta nanya enumake. Mègayi ɖawɔ nusianu si nèdi be yeawɔ o.

Aleke míawɔ akpɔ mía ɖokui ta tso nɔnɔme sia me? Aleke míawɔ aɖe afɔkua dzi akpɔtɔ?

Mɔ vovovowo li siwo dzi woato akpe ɖe ame ŋu be woaxe mɔ ɖe ahɔhɔ̃mekawo ƒe dɔléle nu. Ele vevie ŋutɔ be woado ametakpɔnu ne èle nuwɔna siwo ate ŋu alɔ nuwɔna siwo akpɔ ŋusẽ ɖe ame dzi vevie la wɔm . Le kpɔɖeŋu me, gakukuwo kple abɔtaɖonuwo.

Azɔ hã, ne abi aɖe le ŋuwò si gblẽa nu le lãmeka aɖe ŋu le mɔ aɖe nu la, ele vevie ŋutɔ be nàkpɔ teƒe si nèxɔ abi la ta tso abi bubuwo me vaseɖe esime wòahaya. Ðewohĩ ahiã hã be nàgbɔ ɖe eme tso kamedefefe alo kamedede bubuwo me hena ɣeyiɣi aɖe.

Nukae ame si ŋu ahɔhɔ̃mekawo ƒe dɔléle le ate ŋu akpɔ mɔ na?

Àte ŋu ase veve kple vevesese aɖewo le dɔyɔyɔa me. Ƒo nu kple wò ɖɔkta tso alesi nàwɔ akpɔ dzesi siawo gbɔe ŋu.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ɣeyiɣi si ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ate ŋu atso ŋkeke ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo, le abi si wòxɔ ƒe nɔnɔme nu . Ame akpa gãtɔ hayana keŋkeŋ. Gake ame aɖewo, vevietɔ ame tsitsiwo, ate ŋu axɔ ɣeyiɣi didi vie hafi ahaya.

Ðe esia nɔa anyi ɖaaa?

Ao, esia menɔa anyi ɖaa le go akpa gãtɔ me o. Ame akpa gãtɔ hayana keŋkeŋ ne myelin ƒe akɔta si le lãmekaa dzi dzra eɖokui ɖo ko. Gake ne ègadze afɔku ake la, àte ŋu agakpɔ ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ake.

Aleke malé be na ɖokuinye?

Ƒo nu kple wò ɖɔkta tso nenye be ele be nàgbɔ ɖe eme le dɔwɔna aɖewo me vaseɖe esime nàhaya. Ele vevie be nàna lãmeka si xɔ abi la nagbɔ ɖe eme. Esia akpe ɖe lãmekaa ŋu wòahaya kabakaba.

Ɣekaɣie wòhiã be nàgakpɔ ɖɔkta ake?

Wɔ ɣeyiɣi siwo katã nèɖo ɖi na wò ɖɔkta la dzi. Azɔ hã, ne dzesi yeye aɖewo dze le ŋuwò alo ne wò dzesiawo gagblẽ ɖe edzi la, gblɔe na wò ɖɔkta enumake.

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

Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie nye abi sue aɖe si xɔa lãmeka siwo le gota la hena ɣeyiɣi kpui aɖe. Zi geɖe la, edaa gbe le eɖokui si ne ɣeyiɣi kple gbɔɖeme si sɔ.

Ðo dze kple wò ɖɔkta tso mɔ nyuitɔ siwo dzi nàto akpɔ vevesese kple dzesi bubuwo gbɔ ŋu. Wɔ ɖe eƒe aɖaŋuɖoɖo dzi.

Mègatsi dzi o, menye nɔnɔme sesẽ aɖekee nye esia o. Gake ne dzesiwo le ŋuwò la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Míele didim be nàhaya kaba!

` Ahɔhɔ̃mekawo ƒe dɔwɔwɔ, lãmekawo ƒe dɔléle, lãmetutudɔ, vevesese, lãmeka siwo le gota, lãmekawo ƒe tete, kamedefefe ƒe kuxiwo