Ðe wò afɔwo ʋuʋuna ne ètsi trea? Ðe nèsena le ɖokuiwò me be yemegale dadasɔ me oa? Ate ŋu anye Orthostatic Tremor!

Ðe nèse le ɖokuiwò me kpɔ be yeƒe afɔwo le ŋeŋem, le ʋuʋum, alo le dadasɔ me bum ne ètsi tre, vevietɔ le tsitretsitsi ɣeyiɣi didi aɖe megbea? Gake ne, nukutɔe la, vevesese sia nu fa ne èbɔbɔ nɔ anyi alo zɔ azɔli la, ke nɔnɔme aɖe si woyɔna be ``Orthostatic Tremor'' ate ŋu anɔ ŋuwò. Esia ate ŋu anye nya wɔnuku aɖe si woase, gake mina míaƒo nu tso eŋu bɔbɔe.

Nukae nye `(Orthostatic Tremor)`? Ne míagblɔe kpuie ŋutɔ la...

Kpuie ko la, Orthostatic Tremor nye lãmekawo ƒe dɔléle si mebɔ o si nana wò afɔwo ƒe lãmekawo ƒoa ƒu kabakaba (ʋuʋuna) ne ètsi tre. Ʋuʋudedi sia ate ŋu ana nàse le ɖokuiwò me be yemeli ke o ne ètsi tre, màda asɔ o, eye wòase le ɖokuiwò me be yele gegem. Gake nukutɔe la, zi geɖe la, ʋuʋudedi sia dzi ɖena kpɔtɔna alo nu yina keŋkeŋ ne èzɔ, bɔbɔ nɔ anyi, alo nɔ te ɖe nane dzi.

Nɔnɔme sia bɔ ɖe amesiwo xɔ wu ƒe 60. Gake numekukuwo ɖee fia be ate ŋu adze amesiame si xɔ tso ƒe 13 va ɖo ƒe 85 dzi. Bu eŋu kpɔ ko, ɖɔktawo ke ɖe nɔnɔme sia si woyɔna be ``Orthostatic Tremor'' ŋu zi gbãtɔ eye woɖɔe le ƒe 1984. Eyata ema fia be enye nɔnɔme yeye aɖe ŋutɔ. Ðɔktawo gale nu geɖe srɔ̃m tso eŋu.

Nukae nye esia ƒe dzesiwo? Aleke nèsena le ɖokuiwò me?

Dzesi vevitɔ si ame siwo ŋu `(Orthostatic Tremor)` le gblɔna zi geɖe enye mali ke si wosena le wo ɖokui me ne wole tsitre. Eyae nye seselelãme be anyigba le ʋuʋum, alo be yewoƒe ŋutilã meda sɔ o. Gake womesea veve sia ne wobɔbɔ nɔ anyi alo le zɔzɔm o. Ne wofɔ tso tsitrenu, dze azɔlizɔzɔ gɔme, bɔbɔ ɖe nane si le abe gli ene ŋu, alo mlɔ anyi la, ʋuʋu sia, mamã ma, dzi ɖena kpɔtɔna ŋutɔ alo nu yina keŋkeŋ.

Be nàɖe malikenyenye sia dzi akpɔtɔ la, àte ŋu adze agbagba le manyamanya me be yeaɖe yeƒe afɔwo ɖa vie, abe ɖe nètsɔ wò afɔbidɛwo le asi kam anyigba ene . Bu eŋu abe ɖe nèle tsitre ɖe bɔs alo keteke me hele agbagba dzem be yeada asɔ ene.

Zi geɖe la, ɖewohĩ màde dzesii alo akpɔe adze sii gɔ̃ hã be wò afɔwo le ʋuʋum kabakaba ne èle tsitrenu o. Ðewohĩ ɖeko nàse le ɖokuiwò me be yemele ke o alo mèda asɔ o si ŋu meƒo nu tsoe. Gake ne ètsɔ wò asiwo da ɖe wò ata alo akɔta la, àte ŋu ase le ɖokuiwò me be lãmekawo le ʋuʋum kabakaba abe ƒutsotsoewo ene . Zi geɖe la, vevesese aɖeke menɔa ʋuʋu sia me o. Gake ne ɣeyiɣiawo va le yiyim la, afɔ ƒe lãmekawo ate ŋu ase veve.

Ame aɖewo siwo ŋu ``Primary Orthostatic Tremor'' (míaƒo nu tso esia ŋu emegbe) hã ateŋu akpɔ ʋuʋudedi le woƒe abɔwo alo akɔta tsɔ kpe ɖe woƒe afɔwo ŋu. Gake ɖewohĩ womakpɔ ahɔhɔ̃mekawo ƒe dzesi bubu aɖeke o.

``Orthostatic Tremor'' ƒe sesẽme ateŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo ate ŋu adze ʋuʋu gɔme ne wonya tsi tre ko. Le ame bubuwo gome la, ʋuʋu ate ŋu adze egɔme le aɖabaƒoƒo ʋɛ aɖewo ƒe tsitretsitsi megbe. Le ame geɖe gome la, ʋuʋua dzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe.

Nukatae `(Orthostatic Tremor)` sia dzɔna? Nukawoe gbɔ wòtsona?

Le nyateƒe me la, ɖɔktawo kple numekulawo gale nu srɔ̃m tso ``Orthostatic Tremor'' ŋu, eyata womenya nusi tututu gbɔ wòtso haɖe o. Eŋutinunyala aɖewo xɔe se be enye ʋuʋudedi ƒomevi bubu si woyɔna be ``Essential Tremor'' ƒe tɔtrɔ. Ame bubuwo xɔe se be ``Orthostatic Tremor'' nye nɔnɔme si to vovo kura, si le eɖokui si.

Zi geɖe la, nɔnɔme sia dzɔna le vome, eye susu aɖeke koŋ menɔa eŋu o. Gake ƒã hafi wogblɔ be edzɔna le ƒomea me tɔwo me. Le kpɔɖeŋu me, le venɔviwo, nɔviwo, alo dzila kple vi me. Eyata numekulawo le ŋku lém ɖe eŋu nenye be domenyiŋusẽfianu, abe domenyiŋusẽfianu ƒe tɔtrɔ ene, wɔa akpa aɖe.

Ðe `(Orthostatic Tremor)` ƒomevi aɖewo lia?

Ẽ, zi geɖe la, ɖɔktawo maa `(Orthostatic Tremor)` ɖe ƒomevi vevi eve me:

1. Primary Orthostatic Tremor: Wogayɔa esia be idiopathic. Esia fia be womenya nusi tututu gbɔ wòtso o. Ame siwo ŋu lãmekawo ƒe ʋuʋu gbãtɔ le la mekpɔa lãmekawo ƒe dɔléle bubu aɖeke ƒe dzesiwo o.

2. Secondary Orthostatic Tremor: Atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔe esia tsona. Numekukuwo ɖee fia be atikewɔwɔ me nɔnɔme vovovowo ate ŋu atso ʋuʋudedi evelia si le ƒunukpeƒewo gbɔ. Nɔnɔme siawo dometɔ aɖewoe nye:

• Graves ƒe dɔléle (dɔléle si le lãkusi me) .
• Ta ƒe ʋuʋu
• Multiple Sclerosis (MS) (dɔléle si gblẽa nu le lãmekawo ŋu) .
• `Parkinsonism` (nɔnɔme si hea dzesi siwo ɖi Parkinson ƒe dɔlélea vɛ)
• Restless Legs Syndrome (nɔnɔme aɖe si nana afɔwo meɖea dzi ɖi o) .
• Nusiwo gblẽ le ahɔhɔ̃a ƒe akpa aɖewo ŋu (e.g., Pontine kple ahɔhɔ̃ titina ƒe abiwo) .
• Akɔta ƒe abi
• `Ame sesẽ ƒe dɔléle`
• Vitamin B12 ƒe anyimanɔmanɔ

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesi siawo le ŋuwò. Mègakpɔ dɔlélea le ɖokuiwò si o.

Aleke tututu nèwɔna dea dzesi esia? (Dɔléle ƒe dzesi) .

Be nànya orthostatic tremor la, wò ɖɔkta abia wò dzesiwo kple atikewɔwɔ ŋutinya wò gbã. Emegbe, woawɔ ŋutilãmedɔ kple ahɔhɔ̃mekadodokpɔ atsɔ akpɔ alesi ʋuʋudedia dzɔe kple ɣeyiɣi si wòadzɔe.

Le dɔwɔƒe tɔxɛ aɖewo la, woɖo kpe `(Orthostatic Tremor)` ƒe dɔléle ŋuti dzesi dzi to `Surface EMG (Electromyography)` meWowɔa dodokpɔ aɖe si woyɔna be ‘muscle electromyography’. Gake ɣeaɖewoɣi la, ʋuʋu ƒe kuxi ŋuti nunyala bibiwo (Ʋuʋu ƒe kuxiwo ŋuti nunyala bibiwo) ate ŋu anɔ te ɖe dɔléle ƒe dzesiwo dzi anya esia. ‘EMG’ dodokpɔ aɖe léa ŋku ɖe wò ƒumeŋuɖui ƒe lãmekawo kple lãmeka siwo kpɔa wo dzi ƒe lãmesẽ kple dɔwɔwɔ ŋu. Ne míagblɔe tututu la, ebia be nàda ‘nulénu’ suesuesuewo ɖe wò afɔ ƒe ŋutigbalẽ dzi eye nàdzidze elektrikŋusẽ si le wò lãmekawo me.

Wò ɖɔkta ateŋu aɖo aɖaŋu hã be nàwɔ dodokpɔ bubuwo – abe ʋudodokpɔ kple nɔnɔmetata dodokpɔwo (e.g., MRI scan) – be nàɖe nɔnɔme bubu siwo ateŋu ahe wò ʋuʋudedi vɛ la ɖa.

Nublanuitɔe la, esi wònye be Orthostatic Tremor nye dɔléle si mebɔ o ta la, ɖɔktawo bua eŋu vodadatɔe ɣeaɖewoɣi be enye nu bubu. Vevietɔ la, wotɔtɔnɛ zi geɖe kple Functional Tremor (si woyɔna hã be Psychogenic Tremor), si nye ʋuʋu ƒe kuxi si ate ŋu atso nuwo abe nuteɖeamedzi ene gbɔ. Eyata dɔlélea didi nyuie ate ŋu asesẽ vie.

Nukawoe nye atikewɔmɔnuawo? Ðe woate ŋu adaea?

Atike aɖeke meli na Orthostatic Tremor o. Gake atike aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi, si fia be woaɖe ʋuʋu kple madzudzɔmadzudzɔe dzi akpɔtɔ.

Atike gbãtɔ si woŋlɔna zi geɖe enye `Clonazepam` (atike si le `(Benzodiazepine)` ƒe hatsotso me). Ke hã, atike sia mewɔa dɔ na amesiame o. Eyata atike bubuwo li siwo woate ŋu azã ɖe eteƒe:

• `Gabapentin`
• `Primidone`
• `Propranolol`
• `Pregabalin`
• `Phenobarbital ƒe lãgbalẽ`

Atikewɔwɔ siwo kpena ɖe ʋuʋudedi ƒomevi bubuwo ŋu ate ŋu akpe ɖe ``Orthostatic Tremor'' ƒe dzesiwo hã ŋu. Gake esia gakpɔtɔ le numekuku ƒe afɔɖeɖea me. Dɔdamɔnu mawo dometɔ aɖewoe nye:

• Ahɔhɔ̃ ƒe Ʋuʋudedi Goglo (DBS) .
• Aklã ƒe Ʋuʋudedi

Esi numekulawo gale nu srɔ̃m tso Orthostatic Tremor ŋu vevie ta la, àte ŋu adze akpɔ gome le dɔdamɔnu dodokpɔ aɖe me. Bia wò ɖɔkta nenye be esia nye tiatia na wò.

Aleke nènɔa agbe ɖe nɔnɔme sia nu? Nukae nàte ŋu akpɔ mɔ na?

Orthostatic Tremor nye kuxi koŋ ne èle tsitrenu, gake ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ ƒe nyonyome dzi. Le kpɔɖeŋu me, àte ŋu adze asaƒoƒo na nɔnɔme siwo me wòle be nàtsi tre ɖo, abe tsilele, fli me nɔnɔ, aƒemedɔwo wɔwɔ, alo nuɖaɖa ene. Esia ate ŋu ado dziku na ame ŋutɔŋutɔ.

Gake tɔtrɔ aɖewo wɔwɔ le wò gbesiagbedɔwo ŋu ate ŋu ana agbenɔnɔ kple nɔnɔme sia nanɔ bɔbɔe vie.Le kpɔɖeŋu me, tsileƒe ƒe zikpui zazã le tsileƒe, alo bunɔkeke zazã ne ele be nàlala le fli me. Dɔdamɔnufiala ate ŋu akpe ɖe ŋuwò nàdi mɔ siwo dzi nàto awɔ gbesiagbedɔwo bɔbɔe wu.

Esi wònye be esia nye nɔnɔme si mebɔ kura o ta la, ate ŋu asesẽ na ame bubuwo ɣeaɖewoɣi be woase `(Orthostatic Tremor)` sia gɔme, eye ɖɔktawo hã nakpɔe nyuie. Eya ta ele vevie ŋutɔ be nàxɔ wò ame veviwo ƒe kpekpeɖeŋu. Ne èle susu ƒe lãmesẽkuxiwo abe `(Orthostatic Tremor)`, `(Anxiety)`, alo ne èse le ɖokuiwò me be woɖe ye ɖe aga tso hadomegbenɔnɔ gbɔ la, mègahe ɖe megbe le susumedɔléle ŋuti aɖaŋuɖola abe `(Susuŋutinunyala)` gbɔ yiyi me o. Ema ana gbɔdzɔe geɖe wò.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe esia nua?

Nublanuitɔe la, esi womenya nusi tututu gbɔ Orthostatic Tremor tsona o ta la, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe enu o.

Ne eva sesẽ ko hafi míekpɔa alesi gbegbe asixɔxɔ le eŋu be míate ŋu anɔ te sesĩe eye vevesese aɖeke manɔ mía ŋu o. Esi wònye be Orthostatic Tremor nye dɔléle si mebɔ o ta la, mɔzɔzɔ yi dɔlélea didi nyuie gbɔ ate ŋu adidi. Ðewohĩ ahiã be nàƒo nu na ɖokuiwò ahadi nyatakaka. Gake be woakpɔ dɔlélea nyuie adze agbagba. Ðo ŋku edzi be atike aɖewo kple kpekpeɖeŋunu siwo kpena ɖe ame ŋu be wòaʋuʋu ate ŋu ana agbenɔnɔ kple Orthostatic Tremor nanɔ bɔbɔe wu.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, mele mɔ kpɔm be susu aɖe va su asiwò azɔ tso ``Orthostatic Tremor'' si ŋu míenɔ nu ƒom tsoe la ŋu.

Esia nye nɔnɔme si me kɔ vie eye mebɔ o, gake ne wose egɔme nyuie eye wodo alɔe la, woate ŋu anɔ agbe ɖe enu dzidzedzetɔe.

Nu ʋɛ aɖewo siwo dzi wòle be míaɖo ŋkuie nye:

• Ne èse le ɖokuiwò me be yeƒe afɔwo le ʋuʋum alo nèse le ɖokuiwò me be yemegale dadasɔ me o esime nèle tsitrenu la, mègaŋe aɖaba ƒu edzi o. Kpɔ ɖɔkta gbɔ.
• Ðɔkta koe ateŋu agblɔe kple kakaɖedzi nenye be esia nye ``Orthostatic Tremor'' fafɛ.
• Atikewɔwɔ ate ŋu aɖu dzesiawo dzi.
• Menye wò ɖeka koe o. Xɔ kpekpeɖeŋu tso ƒometɔwo, xɔlɔ̃wo, kple ne ehiã la, susumedɔdalawo gbɔ.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o. Ate ŋu aɖe esia me na wò nyuie wu.

Orthostatic tremor, ʋuʋudedi, afɔ ʋuʋu, tsitretsitsi sesẽ, dadasɔ, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, ʋuʋu ƒe kuxiwo