Ðe nèsena le ɖokuiwò me be yeƒe asiwo kple afɔwo le ʋuʋum eye wole ʋuʋum? Mina míaƒo nu tso esia ŋu! (Ahɔhɔ̃mekawo ƒe Dɔléle) .

Ɣeaɖewoɣi ne míetsi tre le anyinɔƒe ɖeka hena ɣeyiɣi aɖe megbe la, míaƒe asiwo kple afɔwo nɔa ʋuʋum, alo? Edzona le ɣeyiɣi aɖe megbe. Gake ɖe nèsena le ɖokuiwò me zi geɖe be yeƒe asiwo kple afɔwo le ʋuʋum, alo veve abe gavi kple aŋe ene, alo ɣeaɖewoɣi la, dzobibi nɔa ŋuwòa? Ekema esia ate ŋu anye nusi de ŋgɔ wu ʋuʋudedi si sɔ ko. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be ‘Peripheral Neuropathy’ si hea dzesi siawo vɛ ŋu. Togbɔ be ŋkɔ sia nye esi dzi ŋɔ vie hã la, ne ènyae la, edzikpɔkpɔ mesesẽ abe alesi nèsusui ene o.

Kpuie ko la, nukae nye Peripheral Neuropathy?

Ŋkɔ sia sesẽ vie, eyata mina míase egɔme gbã. Míaƒe ŋutilã ƒe lãmekawo ma ɖe akpa vevi eve me. Ðekae nye Central Nervous System . Elɔ míaƒe ahɔhɔ̃ kple aklã (lãmeka vevitɔ si toa akɔta) ɖe eme. Esia le abe míaƒe ŋutilã ƒe ‘Dɔwɔƒegã’ ene.

Akpa bubue nye Peripheral Nervous System . Esia lɔ lãmeka siwo katã keke tso ɔfis gã la, si nye ahɔhɔ̃ kple aklã me, eye wokaka ɖe ŋutilã bliboa me ɖe eme. Ele abe telefon kawo ƒe ɖoɖo aɖe si keke tso ɔfis gã la me yi dukɔ bliboa me ene. Lãmetsi siawo tsɔa seselelãmewo kple gbedasiwo yia míaƒe asiwo, afɔwo, mo, kple asibidɛwo gbɔ hetsɔa wo yina.

Eyata, Peripheral Neuropathy nye nɔnɔme alo nusiwo gblẽ le lãmeka siwo le ‘dɔwɔƒegã’ godo ŋu, si fia be lãmeka siwo le gota ƒe lãmekawo me. Esi wònye be nu geɖe ate ŋu ahe esia vɛ ta la, dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ ŋutɔ.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Peripheral Neuropathy ate ŋu adze ame sia ame dzi, metsɔ le ƒe si wòxɔ, ŋutsu alo nyɔnu nyenye, alo ameƒomevinyenye me o. Gake ame aɖewo le afɔku me wu. Vevietɔ, .

• Le amesiwo ŋu Suklidɔ le gome la .
• Afɔku si le nɔnɔme sia xɔxɔ me dzina ɖe edzi ne ame tsi. Wobu akɔnta be ame siwo xɔ wu ƒe 45 dometɔ 5% va ɖo 7% le xexeame katã ƒe ahɔhɔ̃mekawo ƒe dɔléle ƒomevi aɖe le wo ŋu.
• Le amesiwo ŋu domenyiŋusẽfianu ƒe dɔléle aɖewo le gome.

Aleke lãmeka siawo gblẽna?

Be míase esia gɔme la, ele be míanya nu vi aɖe tso alesi wowɔa míaƒe ahɔhɔ̃mekawoe ŋu. Bu ahɔhɔ̃meka aɖe be ele abe elektrikka ene.

• Axon: Esia nye elektrikka ƒe akpa si le abe akɔbli ka ene. Afi siae gbedasiwo zɔa mɔ le.
• Myelin Sheath: Esiae nye plastik si wotsɔ xea mɔ na akɔbli ka la. Ekpena ɖe gbedasi la ŋu wòzɔa mɔ kabakaba, si me tsi aɖeke metona o, eye wòkpɔa axon la ta.

Peripheral Neuropathy ate ŋu adzɔ le mɔ vevi eve nu:

1. Demyelinating Neuropathy: Esia le abe plastic si wotsɔ xea mɔ na elektrikka si le ʋuʋum ene. Esia nana gbedasiwo ƒe zɔzɔ kabakaba dzi ɖena kpɔtɔna, eye gbedasiawo va nɔa tsatsam.

2. Axonal Degeneration: Esia sɔ kple nusiwo gblẽ le akɔbli ka la ŋutɔ ŋu. Esiae nye ƒomevi si bɔ wu. Lãmetsi diditɔ kekeake siwo le míaƒe ŋutilã me la tsoa aklã me va ɖoa míaƒe afɔbidɛwo ƒe nugbɔ. Eyata ne nugbegblẽ sia ƒomevi dzɔ la, afɔwo kple afɔwoe nyea gbãtɔ siwo ŋu wògblẽa nu le.

Nukae nye esia ƒe dzesiwo?

Dzesi geɖe ate ŋu anɔ eŋu. Enɔ te ɖe lãmeka si ƒomevi gblẽ dzi. Ɣeaɖewoɣi la, ate ŋu agblẽ nu le lãmeka ɖeka ko ŋu, alo ate ŋu agblẽ nu le lãmeka geɖe ŋu zi ɖeka. Dzesi ƒomevi 3 koŋue li.

Nukae ate ŋu anye nusi gbɔ esia tso?

Nu geɖe ate ŋu ahe Peripheral Neuropathy vɛ. Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu o. Míeyɔa esia be ‘Idiopathic Neuropathy’. Nusiwo gbɔ wòtsona zi geɖee nye:

• Suklidɔ (Suklidɔ Ƒomevi 2): Nu vevitɔ si hea ahɔhɔ̃mekawo ƒe dɔléle vɛ le Sri Lanka kple xexeame godoo eye wòbɔ wue nye suklidɔ si dzi womeɖu o. Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me le ɣeyiɣi didi aɖe me gblẽa nu le lãmeka siwo mebɔbɔ o la ŋu.
• Vitamin ƒe anyimanɔmanɔ: Vitamin aɖewo ƒe anyimanɔmanɔ, vevietɔ vitamin B12, B1, B6, B9 (folic acid), kple vitamin E, ate ŋu agblẽ nu le lãmekawo ŋu. Vitamin B6 ɖuɖu fũu akpa hã gblẽa nu le lãmekawo ŋu.
• Ahanono fũu akpa: Ahanono fũu akpa ɣeyiɣi didi gblẽa nu le lãmekawo ŋu tẽ.
• Dɔlékuiwo: Dɔlékui aɖewo (e.g. HIV, herpes zoster) kple dɔlékuiwo ƒe dɔlékuiwo ate ŋu agblẽ nu le lãmekawo ŋu.
• Dɔlélenutsiŋutete ƒe Dɔlélewo: Le dɔlélewo abe Guillain-Barré ƒe dɔléle, lupus, kple ƒunukpeƒetetedɔ ene me la, mía ŋutɔwo míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea lãmekawo dzi.
• Atike aɖewo kple aɖi aɖewo: Atike aɖewo siwo wozãna tsɔ daa kansa, dɔlékuiwutike aɖewo, kple aɖiwo abe agblemenukuwo kple ga kpekpewo (lead, mercury) ene zazã.
• Nuveviwɔame: Nusiwo gblẽ le lãmeka aɖe ŋu tẽ le afɔku alo amekoko me.
• Domenyiŋusẽfianu ƒe Nɔnɔmewo: Dɔléle siwo ƒe dome míenyi abe Charcot-Marie-Tooth dɔléle ene.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: ayikudɔ, aklãdɔ, kansa (dɔdzẽ si tea lãmeka aɖe), kple ʋukawo me kuxiwo.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èyi ɖɔkta gbɔ la, abia nya geɖe wò gbã tso wò dzesiwo, atikewɔwɔ ŋutinya, kple nenye be wò ƒomea me tɔ aɖe xɔ dɔléle mawo tɔgbe kpɔ. Emegbe awɔ ŋutilãmedɔdada eye wòado wò ahɔhɔ̃mekawo ƒe dɔwɔwɔ (seselelãme, lãmekawo ƒe ŋusẽ, nuŋububu) kpɔ.

Tsɔ kpe ɖe eŋu la, woate ŋu azã dodokpɔ siawo tɔgbe atsɔ ade dzesi nusi gbɔ wòtso:

• Ʋudodokpɔ: Be woade dzesi nuwo abe suklidɔ, vitamin ƒe anyimanɔmanɔ, ayiku ƒe dɔwɔwɔ, kple dɔlélenutsiŋutete ƒe kuxiwo ene.
• Nerve Conduction Study (NCS) kple Electromyogram (EMG): Esiawo dzidzea alesi gbedasiwo zɔna kabakaba to lãmekawo dzi kple elektrikŋusẽ ƒe dɔwɔwɔ le lãmekawo me. Esia le vevie ŋutɔ le enyanya ne lãmekawo gblẽ kple afisi wòle.
• Nerve Biopsy: Ɣeaɖewoɣi la, woɖea ŋutigbalẽ sue aɖe tso lãmeka si le bɔbɔe me hedoa eŋu le nusuekpɔmɔ̃ me.
• MRI-dɔdamɔnu aɖe.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ nɔ te ɖe nusi gbɔ wò ahɔhɔ̃mekawo ƒe dɔléle si le gota gome tso dzi.

1. Atikewɔwɔ na nusi gbɔ wòtso be:

• Ne suklidɔ le ŋuwò: Nu vevitɔ kekeakee nye be nàlé wò ʋumesukli ƒe agbɔsɔsɔ dzi nyuie.
• Ne vitamin ƒe anyimanɔmanɔ gbɔe wòtso: Na vitamin siwo sɔ.
• Ne dɔlélenutsiŋutete ƒe dɔléle aɖe gbɔe wòtso: Na atike si woŋlɔ na wò.
• Ne atike aɖe gbɔe wòtso: Wò ɖɔkta atso nya me nenye be yeatrɔ atikeawo alo adzudzɔe, ne anya wɔ.

2. Dzesiwo dzi ɖuɖu:

• Vevesesenutsitikewo: Vevesesenutsitike dzrowo meɖea lãmekawo ƒe vevesese dzi kpɔtɔna o. Atike aɖewo koŋ li na esia. Woate ŋu ana atike aɖewo siwo wozãna na asrãdɔ kple blanuiléle le agbɔsɔsɔ sue aɖe me be woatsɔ aɖu lãmekawo ƒe vevesese dzi vaseɖe afi aɖe.
• Amiwo Kple Amiwo: Atike kple atike aɖewo li siwo woate ŋu atsɔ asisi ɖe teƒe si vevesesea le.
• Lãmesẽnyawo Gbɔkpɔkpɔ: Kamedede kple dɔdamɔnu bubuwo kpena ɖe ame ŋu wòdoa ŋusẽ lãmekawo, wodaa asɔ nyuie wu, eye woɖea vevesese dzi kpɔtɔna.
• Afɔkpa kple dɔwɔnu tɔxɛwo: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo afɔkpa tɔxɛwo be wòakpe ɖe ame siwo ƒe afɔwo megasena le wo ɖokui me o la be woagaxɔ abi o. Ðewohĩ ahiã be azɔlizɔzɔ sesẽ na ame siwo nazã mɔ̃ aɖe abe atikplɔ ene.

Ɣekaɣie wòle be míadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake? (Ɣekaɣie woayi ETU)

Togbɔ be zi geɖe la, ahɔhɔ̃mekawo ƒe dɔléle si le lãme na ame medea ame ƒe agbe afɔku me enumake o hã la, dzesi aɖewo ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi. Ne dzesi siwo gbɔna le ŋuwò alo ame aɖe si nènya la, yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata (ETU) enumake.

Peripheral Neuropathy, ahɔhɔ̃mekawo ƒe dɔléle, lãmetutudɔ, dɔdzẽ, suklidɔ, lãmekawo ƒe vevesese, lãmekawo ƒe vevesese, lãmekawo ƒe ʋuʋu, lãmekawo ƒe gbɔdzɔgbɔdzɔ