Amekae nye ahɔhɔ̃ŋutinunyala? Èdo go ɖeka kpɔa?

Èse ‘ahɔhɔ̃mekaŋutinunyala’ ŋkɔ kpɔa? Ðewohĩ ɖɔkta aɖe ɖo aɖaŋu nenema na wò alo ame aɖe si nènya, alo? Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò vie ne èse nya ma. "Oo, mebia ɖokuinye be ɖe wòahiã be mawɔ dɔ fifia hã." Gake ameka tututue nye ahɔhɔ̃ŋutinunyala? Ðe amekoko koe wòwɔa? Míaɖe nusiawo katã me le mɔ bɔbɔe aɖe ŋutɔ nu egbea, le mɔ si gɔme nàte ŋu ase nu.

Amekae nye ahɔhɔ̃ŋutinunyala sia? (Ahɔhɔ̃mekaŋutinunyala) .

Kpuie ko la, ahɔhɔ̃ŋutinunyala nye ɖɔkta si xɔ hehe tɔxɛ . Ekpɔa dɔléle siwo gblẽa nu le míaƒe lãmekawo ŋu hedaa wo – ahɔhɔ̃, aklã (lãmeka vevitɔ si le aklã me), kple lãmeka bubuawo katã . Ame geɖe susuna be amekoko koe ahɔhɔ̃mekawo wɔa dɔ na. Gake menye nenemae o. Wowɔa atike siwo menye amekoko o hã, abe atikewo, steroid dodo, kple kamedede ƒe atikewɔwɔ ene . Le nyateƒe me la, wodzea agbagba be yewoada dɔlélea amekoko manɔmee ɣesiaɣi si wòanya wɔ. Ne wote atikewɔmɔnu bubuawo katã kpɔ eye womewɔ dɔ o ko hafi wokafua amekoko.

Ahɔhɔ̃mekadɔdalawo daa dɔléle siwo le míaƒe lãmekawo ƒe akpa siwo doa alɔe hã. Ema nye:

• Ŋusẽ si wòkpɔna ɖe wò tagbɔ dzi .
• Dɔléle siwo le aklã ƒe akɔtaƒuwo ŋu .
• Kuxi siwo le aklã ƒe lãkusiwo ŋu (ame geɖe gblɔna be ‘slipped disc’, nusi wònye).
• Kuxi siwo ku ɖe ʋukawo ŋu .
• Nusiwo gblẽna le ametakpɔnu kple lãkusi falɛfalɛ siwo tsyɔa nuwo abe míaƒe ahɔhɔ̃ kple aklã ene ŋu.

Ðɔkta bubuwo gɔ̃ hã yia ahɔhɔ̃ŋutinunyalawo gbɔ ne wohiã sidzedze deto tso lãmekawo ŋu, elabena aleae woƒe hehexɔxɔ keke tae.

Vovototo kae le Ahɔhɔ̃ŋutinunyala kple Ahɔhɔ̃ŋutinunyala dome?

Esia hã nye nusi ŋu ame geɖe tɔtɔna le. Na míakpɔ vovototo vevitɔ si le ame eve siawo dome ɖa.

Ahɔhɔ̃ŋutinunyala nye ɖɔkta si dea dzesi dɔléle siwo gblẽa nu le míaƒe lãmekawo (ahɔhɔ̃, aklã, lãmekawo) ŋu, daa wo, eye wokpɔa wo dzi. Gake ahɔhɔ̃ŋutinunyala mewɔa dɔ na ame o.

Le go bubu me la, ahɔhɔ̃ŋutinunyala dea dzesi lãmekawo ƒe dɔlélewo eye wòdaa wo to amekoko kple atikewɔwɔ siwo menye amekoko o me .

Bu eŋu kpɔ, ne dɔléle aɖe alo afɔku aɖe si do ƒome kple lãmekawo ƒe dɔwɔwɔ le ŋuwò la, àte ŋu ayi ahɔhɔ̃ŋutinunyala gbɔ gbã. Ado wò kpɔ ahakpɔ dɔlélea. Emegbe ne esusu be wò nɔnɔmea ahiã be woawɔ dɔ na wò alo aɖe vi na wò la, aɖo wò ɖe ahɔhɔ̃ŋutinunyala gbɔ be wòaɖo aɖaŋu bubuwo na wò eye ne ehiã la, awɔ dɔ na wò. See?

Nukae ahɔhɔ̃ŋutinunyala wɔna?

Ahɔhɔ̃ŋutinunyala léa ŋku ɖe nɔnɔme siwo gblẽa nu le míaƒe ŋutilã ƒe lãmekawo ŋu, siwo dometɔ aɖewoe nye ahɔhɔ̃, aklã, kple aklã, kpakple lãmeka siwo katã doa alɔ tso aklã me, eye wòdaa wo.

Togbɔ be ahɔhɔ̃ŋutinunyalawo ate ŋu awɔ dɔ sesẽwo na wò akɔta kple ahɔhɔ̃ hã la, zi geɖe la, wokafua atikewɔwɔ siwo menye amekoko o, siwo menye amekoko o gbã. Le kpɔɖeŋu me, ne akɔtave atraɖii le ŋuwò la, wò ahɔhɔ̃ŋutinunyala ate ŋu aɖo aɖaŋu na wò gbã be nàzã atike siwo wua dɔdzẽ kple/alo kamedede. Ne atikewɔwɔ siawo meɖe wò vevesesea dzi kpɔtɔ o la, ekema woate ŋu abu amekoko, ne anya wɔ la, ŋu.

Ahɔhɔ̃ŋutinunyala bi ɖe amekoko kple atikewɔwɔ vovovowo me. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Amekoko le gaglãgbe : Esia fia amekoko si me wotsoe bɔbɔe.
• Amekoko si me womewɔa nu boo aɖeke le o : Esia bia be woade dɔwɔnuwo abe fotoɖemɔ̃wo ene to teƒe sue siwo wotso me. Esia wɔnɛ be abi suewo nɔa ame ŋu eye wòhayana kabakaba.
• Endoscopic surgery : Esia hã nye mɔnu si sɔ kple amekoko si me womezãa nu boo aɖeke le o.
• Amekoko suesuesuewo : Amekoko si wowɔna le mɔ si me kɔ ŋutɔ nu to nusuekpɔmɔ̃ zazã me.
• Radiosurgery : Le nyateƒe me la, esia mebia be woatsoe o. Wodaae to keklẽŋusẽ gbogbo aɖewo nana me.
• Endovascular surgery : Amekoko si wowɔna to dɔwɔnu suewo tsɔtsɔ to ʋukawo me.
• Vevesese si nɔa anyi didi ƒe nudede nyawo me ƒe mɔnuwo : Atikewɔwɔ tɔxɛwo na vevesese atraɖii .

Wona hehe ahɔhɔ̃mekawo hã nyuie le dodokpɔ siwo hiã be woatsɔ anya ahɔhɔ̃mekawo ƒe dɔlélewo ahada wo me. Wobi ɖe dɔwɔwɔ kple dodokpɔ mawo me tsonu me dzodzro me:

• CT-dɔdamɔnu (Computed Tomography scans) .
• MRI ƒe fotoɖeɖe (MRI ƒe fotoɖeɖe / Magnetic Resonance Imaging ƒe fotoɖeɖe) .
• PET ƒe fotowo (Positron Emission Tomography ƒe fotoɖeɖewo) .
• Magnetoencephalography (MEG) ƒe dɔwɔwɔ ƒe mɔnu .
• EEG dodokpɔwo `(Elektroencephalograms (EEG))`

Nɔnɔme kawoe nye esiwo bɔ siwo ahɔhɔ̃mekawo da dɔ na?

Dɔléle geɖe li siwo ahɔhɔ̃mekawo da dɔ na. Na míalé ŋku ɖe wo dometɔ ʋɛ aɖewo ŋu:

• Ahɔhɔ̃ me dɔdzẽwo
• Carpal tunnel syndrome : Nɔnɔme si dona tso lãmeka aɖe si le asibidɛ me ƒe tete me. Zi geɖe la, edzɔna ɖe ame siwo wɔa dɔ le kɔmpiutawo gbɔ alo tsɔa asi wɔa dɔ siwo wogbugbɔ gblɔna la dzi.
• Ahɔhɔ̃ me tsi (CSF) ƒe sisi: Esiae nye tsi si ƒo xlã ahɔhɔ̃ kple aklã. Eɖea tsi si dona le eme.
• Akɔta alo kɔ ƒe vevesese atraɖii
• Ahɔhɔ̃medɔléle siwo wodzina : Le kpɔɖeŋu me, `(Chiari malformations)` kple `(Arachnoid cysts)`.
• Aklã ƒe dɔléle siwo wodzina : Le kpɔɖeŋu me, `(Spina bifida)` kple `(Tethered spinal cord)`.
• Essential tremor : Nɔnɔme si me nuwo abe asiwo, afɔwo, kple ta ʋuʋuna le.
• Herniated disks : Abe alesi míegblɔe va yi ene la, aklã ƒe disk la dona.
• Hydrocephalus : Nɔnɔme si me tsi ƒoa ƒu ɖe ahɔhɔ̃a me, si wɔnɛ be ta lolona.
• Intracranial aneurysms : Ʋuka aɖe si le ahɔhɔ̃a me ƒe ʋuʋudedi si le abe ʋuƒo ene.
• Lãmetsiŋusẽ ƒe Dɔléle (MS) .
• Parkinson ƒe dɔlélea
• Lãmetsi siwo ƒo ƒu
• Sciatica : Vevesese sesẽ si zɔa mɔ yia afɔ dzi.
• Alɔ̃madɔmadɔ ƒe dɔlélewo, abe Aɖuɖɔtoedɔ ene
• Akɔtaƒu ƒe ƒunukpeƒewo (osteophytes) .
• Aklã ƒe ʋuʋu
• Aklã ƒe gbagbã
• Aklã me dɔdzẽwo
• Aklã ƒe dɔmawɔmawɔ nyuie : Le kpɔɖeŋu me, scoliosis kple spondylolisthesis.
• Ta, ahɔhɔ̃, kɔ alo akɔta ƒe abi siwo gblẽa nu le ame ŋu

Mègavɔ̃ ne èkpɔ xexlẽdzesi sia o. Dɔléle siawo katã ƒe atikewo li, eye menye wo katãe hiã be woawɔ dɔ na wo o.

Amekoko ka ƒomevie ahɔhɔ̃ŋutinunyalawo wɔna?

Ahɔhɔ̃mekadɔdalawo wɔa dɔ vovovowo le lãmekawo ƒe akpa vovovowo, siwo dometɔ aɖewoe nye ahɔhɔ̃, aklã, kple lãmeka siwo le abɔ kple afɔwo me. Na míalé ŋku ɖe wo dometɔ aɖewo ŋu:

Ahɔhɔ̃ ƒe amekoko ƒomeviwo:

• Ʋu ƒe sisi ɖeɖeɖa
• Aneurysm Dzadzraɖo
• Tumor ɖeɖeɖa
• Ʋudodo le Ahɔhɔ̃a me Nu Tsitsi
• Nusiwo gblẽ le afɔku aɖe me dzadzraɖo
• Shunt dede (ɖe tsi si sɔ gbɔ ɖe ahɔhɔ̃a me ɖa) .

Peripheral nerve surgery (afɔ kple afɔ ƒe lãmekawo):

• Carpal tunnel ƒe asiɖeɖe le eŋu
• Ulnar lãmekawo ƒe dodo
• Vagus lãmekawo ƒe ʋuʋu

Amekoko ƒomevi siwo wowɔna na ame ƒe akɔta:

• Stereotactic akɔta ƒe radiosurgery
• Diskectomy (disk la ƒe akpa aɖe ɖeɖe ɖa) .
• Laminectomy ɖeɖeɖa
• Aklã ƒe fusion
• Vertebroplasty kple kyphoplasty (si wotsɔa siminti ɖɔa akɔtaƒu si gbã ɖo) .
• Aklã ƒe liƒolili kple eƒe gbugbɔgatu

Ŋkɔwo koe esiawo nye. Menye amekokowo katãe wowɔna na amesiame o. Ðɔktaa atia nusi asɔ na wò nɔnɔmea nyuie wu.

Nukatae wòhiã be nàyi ahɔhɔ̃ŋutinunyala gbɔ?

Zi geɖe la, wò ƒomea ƒe ɖɔkta alo wò ahɔhɔ̃ŋutinunyala aɖo wò ɖe ahɔhɔ̃ŋutinunyala gbɔ ne ehiã be woada wò ahɔhɔ̃mekawo ƒe dɔlélea kpɔ nyuie wu alo ne wosusu be amekoko ate ŋu aɖe vi na ye.

Ðo ŋku edzi be esi ɖɔkta aɖe ɖo wò ɖe ahɔhɔ̃ŋutinunyala gbɔ ta la, mefia be ahiã be woawɔ dɔ na wò godoo o!

Ke boŋ woawɔ ahɔhɔ̃mekawo ƒe dɔwɔwɔ ŋuti dodokpɔ blibo , wò dzesiwo kple atikewɔwɔ ŋutinya ŋutinya tsitotsito , kple nɔnɔmetatawo dodokpɔ tsitotsito (abe MRI kple CT scans ene) be woatsɔ anya nusi gbɔ wò dzesiawo tso. Emegbe, wò ahɔhɔ̃ŋutinunyala – ɣeaɖewoɣi kple eŋutinunyala bibi bubuwo ƒe kpekpeɖeŋu – adzro atikewɔwɔmɔnu nyuitɔwo kekeake me kpli wò. Esia ate ŋu anye atikewɔwɔ si menye amekoko o, amekoko, alo evea siaa ƒe ƒuƒoƒo.

Nukae wòle be nànya ne èyi ahɔhɔ̃ŋutinunyala gbɔ?

Ne èyi ahɔhɔ̃ŋutinunyala gbɔ la, àte ŋu abia nya siawo tɔgbe wo. Esiawo akpe ɖe ŋuwò nàɖu vɔvɔ̃ kple ɖikeke ɖesiaɖe si anɔ mewò dzi.

Nya siwo nàte ŋu abia:

• "Ðɔkta, aleke gbegbee nuteƒekpɔkpɔ le asiwò le amekoko sia ƒomevi wɔwɔ me?"
• "Aleke gbegbee wòhiã be woawɔ amekoko sia kaba?"
• "Afɔku kawoe ate ŋu ado tso amekoko sia me?"
• "Viɖe kawoe le amekoko sia ŋu?"
• " Aleke wowɔa amekokoae?"
• "Ðe wòle be maxɔ nukpɔsusu eveliaa?"
• "Amekawoe nye eŋutinunyala bibi bubu siwo le nye amekoko ƒe ƒuƒoƒoa me?"
• "Amekae aganɔ nye hayahaya ƒe ƒuƒoƒoa me le amekoko vɔ megbe?"
• "Ɣeyiɣi didi kae wòahiã be manɔ kɔdzi? Afikae mahaya le?"
• "Aleke gbegbee mate ŋu ahaya kaba eye wòahaya keŋkeŋ?"
• "Nukae wòle be mawɔ atsɔ adzra ɖo ɖe amekoko ŋu?"

Alesi nàdzra ɖo ɖe kpekpea ŋue nye esi:

• Ŋlɔ nu vevitɔ kekeake siwo ŋu wòle be nàdzro kple wò ahɔhɔ̃ŋutinunyala ɖi.
• Wò tɔeGblɔ tɔtrɔ siwo va le wò lãmesẽ bliboa me ŋu nya nam.
• Gblɔ dzesi yeye ɖesiaɖe si le fu ɖem na wò alo tɔtrɔ ɖesiaɖe si ava dzesi xoxoawo me na mí .
• Xɔ dodokpɔ ŋuti nyatakakawo ƒe kɔpi siwo woɖe tso skan me tso ɖɔkta bubuwo gbɔ.
• Tsɔ atikewo, vitaminwo, kpeɖeŋutɔtikewo, kple dekɔnutike siwo katã nèzãna fifia ƒe ŋkɔwo ɖe asi.
• Gblɔ wò nulɔdɔwo ŋu nya na mí .
• Ne anya wɔ la, yi kple xɔ̃wò alo ƒometɔ aɖe. Woate ŋu aŋlɔ nya si ɖɔkta la gblɔ ɖi ahakpe ɖe ŋuwò.
• Ne nu bubu aɖe gali si wòle be nànya la, bia be yeate ŋu anae ŋkeke bubu hã.

Ɣeyiɣi didi kae wòxɔna hafi wozua ahɔhɔ̃ŋutinunyala? Ðe wònye mɔzɔzɔ bɔbɔe aɖea?

Ahɔhɔ̃ŋutinunyala nyenye mele bɔbɔe o. Ebia ƒe geɖe ƒe hehexɔxɔ kple hehexɔxɔ. Zi geɖe la,:

• Ƒe 4 do ŋgɔ na sukunuwuwu (Pre-medical education).
• Ƒe 4 ƒe atikewɔsuku.
• Ƒe 1 ƒe dɔsrɔ̃ƒe le amekoko bliboa me.
• Residency le ahɔhɔ̃mekawo ƒe dɔwɔwɔ me nye ƒe 5-7.

Ema fia be exɔa ƒe 14 va ɖo ƒe 16 hafi ame nazu ahɔhɔ̃ŋutinunyala! Esia nye hehexɔxɔ diditɔ kekeake le atikewɔwɔ me la dometɔ ɖeka. Elabena agble sia sesẽ ale gbegbe.

Ahɔhɔ̃ŋutinunyala aɖewo, le hehe sia megbe la, xɔa ``Fellowship`` hã le dɔ tɔxɛ bubu me (e.g., akɔta, ɖeviwo ƒe ahɔhɔ̃mekawo ƒe dɔwɔwɔ). Azɔ hã, ele be woayi edzi anɔ nu yeyewo srɔ̃m eye woanya mɔ̃ɖaŋununya yeyewo.

Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe akpa sue aɖewo:

• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ (si do ƒome kple ahɔhɔ̃a ƒe ʋukawo) .
• Endovascular amekoko ahɔhɔ̃mekawo ƒe keklẽŋusẽŋutinunya
• Amekoko na asrãdɔ
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ si wɔa dɔ
• Neuro-oncology (lãmekawo ƒe dɔdzẽ) .
• Ðeviwo ƒe ahɔhɔ̃mekawo ƒe dɔwɔwɔ
• Amekoko le aklã me

Gbedasi si Wotsɔ Yi Aƒeme

Enye nusi sɔ be nàtsi dzimaɖi ne wokpɔ dɔléle aɖe le ŋuwò. Gake ne vevesese atraɖii alo nɔnɔme aɖe si gblẽa nu le lãmekawo ŋu, abe Parkinson ƒe dɔléle ene, le ŋuwò la, ahɔhɔ̃ŋutinunyala ate ŋu akpe ɖe ŋuwò nàkpɔ wò dɔlélea gbɔ ahadae.

Ahɔhɔ̃mekaŋutinunyalawoe nye eŋutinunyala gãtɔwo le go sia me. Sidzedze le wo si ku ɖe atike yeye siwo wozãna, dɔdamɔnu, kple amekoko siwo ate ŋu akpe ɖe ŋuwò ŋu.

Wò ahɔhɔ̃ŋutinunyala awɔ dɔ kpli wò akpɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò. Eya ta, do go wo faa adzro nu siwo ŋu nètsi dzi ɖo me. Ðo ŋku edzi be menye ɣesiaɣie amekokoe nyea egbɔkpɔnu mamlɛtɔ o. Le go geɖe me la, woawɔ woƒe ŋutete ɖesiaɖe akpe ɖe ŋuwò nàhaya amekoko manɔmee.

` Ahɔhɔ̃ŋutinunyala, Ahɔhɔ̃ ƒe amekoko, Aklãdɔ, Ahɔhɔ̃ŋutinunya, Ahɔhɔ̃ŋutinunyala, Lãmetsiŋusẽ ƒe dɔwɔwɔ