Ðe nèsea ʋuʋudedi kple dzobibi si womate ŋu ado dzi atsɔ o hã le wò abɔta si le gota gomea? Ate ŋu anye (Notalgia Paresthetica)!

Ède dzesi alesi ame aɖewo ƒoa woƒe gota gome, vevietɔ woƒe abɔta, ɣesiaɣia? Alo ɖe wò ŋutɔ èto nane si le abe esia ene me kpɔa? Enye nusi dzi womate ŋu ado dzi atsɔ o, ɣeaɖewoɣi la, ewɔna nam abe dzobibi ene, abe ʋuʋudedi ene... Ate ŋu ado dziku ŋutɔŋutɔ. Egbea míele nu ƒom tso fuɖename sia tɔgbe tututu ŋu.

Nukae nye Notalgia Paresthetica?

Kpuie ko la, Notalgia Paresthetica nye dɔléle si nana wò akɔta ʋuʋuna, dzobibi, alo ʋuʋu si womate ŋu ado dzi atsɔ o, zi geɖe la, wò abɔta ƒe akpa si le eme. Ne èƒoe alea gbegbe la, ame geɖe ƒe ŋutigbalẽ ƒe amadede atrɔ eye wòazu yibɔ le teƒe ma. Nɔnɔme sia ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã ɣeaɖewoɣi.

Bu eŋu kpɔ, nya "notalgia" gɔmee nye "vevesese le akɔta." "Paraesthesia" gɔmee nye "dzobibi, ʋuʋudedi, alo ʋuʋudedi." Eyata ŋkɔa ɖe nusi esia nye fia, alo?

Susu vevitɔ si tae nye be lãmeka siwo le nuto ma me gblẽa nu le wo ŋu alo wogblẽa nu le wo ŋu le mɔ aɖe nu. Gake mègatsi dzi o, esia menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me alo si me afɔku le o. Gake agbenɔnɔ kple vevesese sia sesẽ vie.

Amekae ate ŋu axɔ nusia wu?

Nɔnɔme sia si woyɔna be notalgia paraesthetica , bɔ ɖe ame tsitsiwo dome wu, vevietɔ amesiwo xɔ wu ƒe 50. Ebɔ ɖe nyɔnuwo hã me vie wu ŋutsuwo.

Ke hã, ƒã ŋutɔ, ne nɔnɔme sia dzɔ ɖe ɖevi suewo dzi la, ate ŋu anye nɔnɔme si mebɔ o, si tso domenyiŋusẽfianu me si woyɔna be ``Multiple Endocrine Neoplasia 2A.`` ƒe dzesi. Eyata anyo wu be nàkpɔ ɖɔkta ne nane le ɖevi sue aɖe ŋu abe esia ene.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, akɔntabubu aɖeke meli ku ɖe alesi notalgia paraesthetica kaka ɖe hadomegbenɔnɔ me ŋu o. Gake ɖɔktawo xɔe se be enye dɔléle si bɔ . Míenya be ʋuʋudedi si nɔa anyi didi , si nye dɔléle si nɔa anyi didi la, dzea ame siwo ade 20% dzi. Notalgia paraesthetica nye ʋuʋudedi ƒomevi mawo dometɔ ɖeka si nɔa anyi didi. Woxɔe se be notalgia paraesthetica gbɔe ʋuʋudedi mawo katã ƒe 8% lɔƒo tsona.

Nukae nye esia ƒe dzesiwo?

Dzesi vevitɔ si ɖea fu na ame wue nye ʋuʋudedi (pruritus) si womate ŋu ado dzi atsɔ le akɔta, le abɔta kple akɔta dome. Zi geɖe la, esia dzɔna le akɔta ƒe akpa ɖeka, gake ɣeaɖewoɣi la, ate ŋu adzɔ le akpa eveawo.

Tsɔ kpe ɖe ʋuʋudedi sia ŋu la, àte ŋu ase nu siawo tɔgbe hã le nutoa me:

• Tingling - abe anyidi siwo le du dzi ene, alo abe elektrikŋusẽ ene.
• Numbness - Ele abe ɖe màte ŋu ase egɔme o ene.
• Nutete(Burning) - Abe alesi chili pepper ƒoe ene.
• Vevesese - Ame aɖewo ate ŋu ase veve kpe ɖe vevesese si nu mesẽ o ŋu.
• Tenderness - Evea ame ne woka asi eŋu alo te ɖe eŋu.
• Dzoxɔxɔ - Ewɔna nam abe ɖe teƒea xɔ dzo ene.
• Vuvɔ - Ame aɖewo ate ŋu ase le wo ɖokui me be vuvɔ le wɔwɔm le teƒe ma.

Fifia, ne èle ŋeŋem alea gbegbe la, ɖe nàte ŋu adzudzɔ ƒoƒoa? Esesẽ ŋutɔ, alo? Le ʋuʋudedi kple asitutu ɣesiaɣi mawo katã ta la, ŋutigbalẽ si le teƒe ma ƒe amadede trɔna zi geɖe, eye wòwɔa ŋutigbalẽ ƒe amadede si trɔna si dzena abe aŋutiɖiɖi alo yibɔ ene ɣeaɖewoɣi.

Nu vevitɔe nye be nɔnɔme sia si woyɔna be notalgia paresthetica la medzea egɔme tso ʋuʋudedi dzi o. Enye ahɔhɔ̃mekawo ƒe kuxi, ke menye ŋutigbalẽ ƒe dɔléle o. Ne ʋuʋudedi le ŋuwò kpe ɖe ʋuʋudedi ŋu la, ate ŋu anye nɔnɔme bubu.

Nukatae nodalgia paraesthetica sia dzɔna? Nukawoe gbɔ wòtsona?

Ne míagblɔe tututu la, numekulawo mekpɔ nya nusi tututu hea noctalgia paresthetica vɛ haɖe o. Gake wosusu be anɔ eme be lãmekawo ƒe dzikudodo ƒomevi aɖe alo dɔlékuiwutike si le míaƒe lãmekawo me ƒe dɔmawɔmawɔ nyuie gbɔe wòtso .

Numekula akpa gãtɔ lɔ̃ ɖe edzi be esia nye lãmeka ƒe dɔléle si woyɔna be ``Ahɔhɔ̃mekawo ƒe dɔléle.`` Ke hã, nukpɔsusu si me kɔ haɖe o le nenye be lãmeka aɖe si tso akɔta ƒe nutete gbɔe wòtso (woyɔa esia be ``Radiculopathy`` ) alo lãmeka aɖe ƒe dɔmawɔmawɔ nyuie alo eƒe gbegblẽ le ŋutigbalẽa me gbɔ (``Ahɔhɔ̃mekawo ƒe dɔléle``).

Bu eŋu kpɔ ko, susu vovovowo li siwo ta míaƒe ŋutilã ƒe lãmekawo ate ŋu agblẽ alo akpɔ ŋusẽ ɖe wo dzi ɖo. Le kpɔɖeŋu me:

• Degenerative Disk Disease - Ne míele tsitsim la, míaƒe aklã ƒe diskwo gblẽna, si ate ŋu ana lãmekawo natsi.
• Herniated Disk - Míegblɔna be "herniated disk." Esia ate ŋu akpɔ ŋusẽ ɖe lãmekawo hã dzi.
• Osteoarthritic Lesions on your spine - Esia hã nye ƒunukpeƒetetedɔ ƒomevi aɖe si vaa ame ƒe tsitsi me.
• Lãmetsiŋusẽ ƒe nɔnɔme aɖewo, le kpɔɖeŋu me, suklidɔ - Ame siwo ŋu suklidɔ le la ate ŋu axɔ lãmekawo ƒe gbegblẽ.
• Dɔlékui aɖewo, le kpɔɖeŋu me, shingles (herpes zoster) - esia hã nye dɔlékui si gblẽa nu le lãmekawo ŋu.

Eyata le susu siawo tɔgbe ta la, lãmekawo gblẽa nu le ame ŋu, eye dzesiwo abe ʋuʋudedi kple abi si nèyɔ ene ate ŋu ado mo ɖa.

Aleke ɖɔkta wɔna dea dzesi esia?

Zi geɖe la, ɖɔkta dea dzesi dɔléle sia si woyɔna be notalgia paresthetica to ŋutilãmedɔdada kple wò atikewɔwɔ ŋutinya xɔxɔ me.

Ne èyi ɖɔkta gbɔ la, abia nya wò tso nu siawo ŋu:

• Nukawoe nye wò dzesiwo? (Aleke gbegbe wòʋẽnae, ɣekaɣie wògavloe wu, nukae nègasena le ɖokuiwò me?)
• Nukawoe nye wò atikewɔwɔ ƒe nɔnɔme siwo nɔ ŋuwò va yi? (Atikewɔwɔ ŋutinya) .
• Atike kawoe nèle zãm fifia? (Atike siwo wozãna fifia) .

Emegbe, ɖɔkta alo dɔnɔdzikpɔla ado wò kpɔ, vevietɔ wò akɔta.

Zi geɖe la, mehiã be woawɔ atikewɔwɔ me dodokpɔ gã aɖeke hafi anya dɔléle sia o. Eyae nye be ƒã hafi wowɔa nɔnɔmetatawo dodokpɔ alo ʋudodokpɔ. Ne ɖikeke aɖe li be ahɔhɔ̃mekawo alo ahɔhɔ̃mekawo ƒe dɔléle aɖe le ŋuwò tsɔ kpe ɖe dzesi siwo míeyɔ ɖe etame ŋu ko hafi wowɔa wo.

Nukawoe nye atike siwo wozãna na esia?

Nane si ŋu wòle be nàbu enye si. Notalgia paresthetica dada ate ŋu anye ayemɔ. Dɔdamɔnu geɖewo li, gake menye wo katãe wɔa dɔ na amesiame o. Ðewohĩ nusi wɔa dɔ na ame aɖe mawɔ dɔ na ame bubu o. Dɔdamɔnuawo ƒe taɖodzinu koŋ nye be woaɖe dzesiwo abe ʋuʋudedi ene dzi akpɔtɔ hena ɣeyiɣi aɖe. Atike aɖeke meli na esia haɖe o.

Atikewɔwɔ siwo li fifia dometɔ aɖewoe nye esi:

Atike Siwo Wonona

• Gabapentin: Esiae nye atike si wozãna wu na notalgia paresthetica. Le atike siwo woano dome la, eɖee fia be nu nyuiwo dona tso eme le ʋuʋudedi dzi ɖeɖe kpɔtɔ me.
• Antihistamines: Esiawo ate ŋu akpe ɖe ame ŋu ɣeaɖewoɣi be woaɖe ʋuʋudedi dzi akpɔtɔ le zã me.

Atike Siwo Wozãna Ðe Atikewo Ŋu

Esiawo ate ŋu anɔ abe kreme, atike siwo wotsɔna ƒoa ɖae, kple gel ene.

• Ami siwo me capsaicin le: Esiae nye nusi naa chili pepperwo ʋẽna lilili. Esiae nye ami si wozãna wu na nɔnɔme sia. Ðewohĩ àse le ɖokuiwò me be yefiã vie le gɔmedzedzea me, gake ʋuʋudedia ate ŋu aɖiɖi emegbe.
• Ami siwo me steroid le: Esiawo ate ŋu aɖe abi kple ʋuʋudedi dzi akpɔtɔ.
• Ami siwo me atike siwo naa alɔ̃dɔdɔ ame le (e.g., lidocaine): Esiawo nana teƒea tsia dzodzodzoe hena ɣeyiɣi aɖe eye woɖea ʋuʋudedi dzi kpɔtɔna.

Botulinum aɖi (Botox®) ƒe atikewo dodo

Wozãa Botox® ƒe atikewo (Botulinum Toxin Injections) hã na esia. Wokpɔe be atike siawo xea mɔ na lãmekawo ƒe dzesiwo, enaa lãmekawo ɖea dzi ɖi, eye woɖea vevesese kple ʋuʋudedi dzi kpɔtɔna. Ke hã, womewɔa dɔ na amesiame o.

Elektrikŋusẽ ƒe Lãmetsiŋusẽ (TENS) ƒe atikewɔwɔ

Togbɔ be esia adze abe ŋkɔ si me kɔ vie ene hã la, .Transcutaneous Electrical Nerve Stimulation (TENS) nye atikewɔwɔ si zãa elektrikŋusẽ si mebɔ o tsɔ ɖea vevesese dzi kpɔtɔna. Numekuku aɖe ɖee fia be ne wozã TENS aɖabaƒoƒo 20 gbesiagbe, ŋkeke atɔ̃ le kwasiɖa me la, eɖea ʋuʋudedi dzi kpɔtɔna 60% le numekukua me nɔlawo ƒe akpa etɔ̃lia lɔƒo me.

Aklã ƒe Lãmetsiŋusẽ ƒe Mɔxexe

Esia bia be woado vevesesenutsitike kple atike si tsia dzodzodzoetsitsi nu ƒokpli ɖe lãmeka alo lãmekawo ƒe ƒuƒoƒo si ŋu dɔlélea le la me. Wozãa atike sia ƒomevi tsɔ daa notalgia paresthetica to lãmeka siwo xea mɔ na lãmeka siwo naa abɔta la dodo me.

Lãmesẽnyawo Gbɔkpɔkpɔ

Ame aɖewo hã kpɔ nu nyuiwo tso kamedede ƒe atikewɔwɔ me . Vevietɔ kamedede siwo doa ŋusẽ paraspinal lãmeka siwo le etame kple akɔta ƒe lãmekawo keke ate ŋu akpe ɖe ame ŋu.

Ðe woate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?

Nublanuitɔe la, mɔ aɖeke meli si wonya fifia si dzi woato axe mɔ ɖe nodalgia paraesthetica ƒe dzɔdzɔ nu o, elabena womenya nusi tututu gbɔ wòtsona haɖe o.

Nukae nye dɔléle sia ƒe ŋgɔdonya?

Alesi notalgia paresthetica ƒe dɔlélea ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, ate ŋu adzo le ɣleti ʋɛ aɖewo megbe, evɔ le ame bubuwo gome la, ate ŋu anɔ anyi ƒe geɖe. Atikewɔwɔ ate ŋu akpe ɖe ame ŋu be woaɖe dzesiawo dzi akpɔtɔ. Ɣeaɖewoɣi la, nɔnɔmea ate ŋu nu ayi le eɖokui si le ɣeyiɣi aɖe megbe (woyɔa esia be tsɔtsɔke) .

Togbɔ be menye nɔnɔme si ate ŋu ade wò agbe afɔku me o hã la, vevesese si wòhena vɛ ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ dzi. Edzɔna ne èƒoa nu atraɖii, ne mète ŋu dɔa alɔ̃ le zã me o, eye wòsesẽna na wò be nàwɔ dɔ, alo?

Ɣekaɣie wòle be míayi ɖɔkta gbɔ?

Ne ɖɔkta kpɔe be notalgia paresthetica le ŋuwò, eye atike siwo wowɔ na wò mekpena ɖe ŋuwò o, alo ne èkpɔ nugbegblẽ le atikewɔwɔawo ŋu la, kpɔ egbɔ be yegakpɔ ɖɔkta ake be yeadzro atikewɔmɔnu bubuwo me.

Togbɔ be notalgia paresthetica menye lãmesẽkuxi sesẽ o hã la, eƒe dzesiwo ate ŋu adze ame ŋu ŋutɔ eye wòaɖe fu na ame. Ne nɔnɔme sia le nu gblẽm le wò agbenɔnɔ ŋu la, ele vevie be nàƒo nu kple ɖɔkta. Ate ŋu akafu atikewɔwɔ ƒe ɖoɖo si sɔ na wò. Ðewohĩ axɔ ɣeyiɣi aɖe hafi nàte ŋu akpɔ atike si sɔ na wò, gake enyo be nàtee kpɔ.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Enyo, eyata nu aɖewo siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me lae nye esi:

• Notalgia paraesthetica nye dɔléle si dzɔna le akɔta kple abɔta.Ʋuʋudedi sesẽ, dzobibi, alo lãmetutudɔ.
• Esia nye ahɔhɔ̃mekawo ƒe kuxi , ke menye ŋutigbalẽdɔ o. Eyata ʋuʋudedi aɖeke menɔa anyi le gɔmedzedzea me o.
• Ne wole ƒoƒom ɣesiaɣi la , ate ŋu ana ŋutigbalẽ si le teƒe ma ƒe amadede natrɔ.
• Togbɔ be womekpɔ atike blibo aɖeke na esia o hã la, atikewɔmɔnu aɖewo li siwo dzi woato aɖu dzesiawo dzi.
• Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo abui be enye kuxi o, ke boŋ yi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Mehiã be nànɔ agbe kple vevesese sia o.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nuteƒekpɔkpɔ sia tɔgbe dzɔ ɖe dziwò kpɔ la, mègaŋlɔ be be yeaƒo nu tso eŋu na ɖɔkta o.

` Notalgia Paresthetica, Akɔta ƒe ʋuʋu, Abɔta ƒe ʋuʋu, Lãmetsiŋusẽ ƒe ʋuʋu, Ŋutilã ƒe ʋuʋu, Dzoxɔxɔ, Notalgia Paresthetica Sinhala