Ðe wò abɔwo kple afɔwo le ƒoƒom? Ðe wosena le wo ɖokui me be yewole dzo dama? Mina míaƒo nu tso Peripheral Neuropathy ŋu.

Ðe nèse le ɖokuiwò me be yeƒe asiwo alo afɔwo le ʋuʋum kpɔa? Le ame aɖewo gome la, menye ʋuʋudedi koe esia nye o, ke ate ŋu anye dzobibi kple vevesese si womate ŋu ado dzi atsɔ o hã. Nusi gbɔ nu mawo tso ate ŋu anye kuxi si le wò lãmekawo ŋu. Peripheral Neuropathy nye ŋkɔ si bɔ na lãmekawo ƒe dɔléle mawo dometɔ geɖe. Togbɔ be ŋkɔ sia aɖi nusi wɔ nuku vie hã la, nɔnɔme sia bɔ ŋutɔ le míaƒe dukɔa me. Eyata mina míaƒo nu tso eŋu le nya bɔbɔewo me egbea.

Kpuie ko la, nukae nye Peripheral Neuropathy?

Enyo, be míase esia gɔme la, ele be míanya nu vi aɖe tso míaƒe lãmekawo ŋu gbã. Akpa vevi eve le míaƒe lãmekawo ŋu.

1. Central Nervous System: Esia nye míaƒe ahɔhɔ̃ kple aklã. Bu eŋu be enye kɔmpiuta vevitɔ kple ka vevitɔ le míaƒe ŋutilã me.

2. Lãmetsiŋusẽ si le gota: Esia fia lãmeka siwo katã keke tso ka gã la, si nye aklã kple ahɔhɔ̃a, vaseɖe abɔwo, afɔwo, kple asibidɛwo ƒe nugbɔ. Esiawo le abe ka sue siwo tso ka gã la gbɔ yi aƒea ƒe akpa sia akpa ene.

Èse egɔme fifiaa? Peripheral Neuropathy nye nɔnɔme si dzɔna ne nusiwo gblẽ alo dɔléle aɖe le peripheral nervous system , si nye lãmeka sue siwo kaka ɖe ŋutilã bliboa me ŋu. Ne lãmeka siawo gblẽ la, womeɖoa gbedasiwo ɖe ahɔhɔ̃a kple wo gbɔe nyuie o. Esia tae míedzea nuwo abe lãmetutudɔ kple vevesese ene sese gɔme ɖo.

Nɔnɔme sia ate ŋu adze ame sia ame si xɔ ƒe ɖesiaɖe dzi, gake afɔku si le eme be wòaxɔe la dzina ɖe edzi ne ame tsi kple amesiwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le.

Aleke lãmeka siawo gblẽna?

Be míase esia gɔme la, mina míalé ŋku ɖe nusi lãmeka nye ŋu. Bu lãmeka be enye elektrikka, ka si tsɔa elektrikŋusẽ.

• Axon: Esiae nye elektrikŋusẽnamɔ̃ si le ka la me. Afi siae wotsɔa lãmekawo ƒe gbedasiwo yinae.
• Myelin: Esiae nye aŋekotoku si ƒo xlã ka la. Ekpɔa axon la ta eye wòkpena ɖe gbedasiwo ŋu wozɔna kabakaba.

Mɔ vevi eve li siwo dzi ahɔhɔ̃mekawo ƒe dɔléle si le lãme na ame ate ŋu ato adzɔ:

1. Demyelinating Neuropathy: Esiae nye esime lãmekawo ƒe plastic-kploa gblẽ. Esia fia be elektrikŋusẽ ƒe dzesiwo, alo lãmekawo ƒe gbedasiwo mezɔa mɔ nyuie o, eye gbedasiwo ateŋu "atso" gɔ̃ hã.

2. Axonal Neuropathy: Esiae nye ƒomevi si bɔ wu. Afi siae lãmeka siwo le lãmekaa me gblẽna le. Esi wònye be lãmeka diditɔ kekeake le míaƒe ŋutilã me le míaƒe afɔwo me ta la, zi geɖe la, ahɔhɔ̃mekawo ƒe dɔléle sia ƒomevi ƒe dzesi gbãtɔwo nyea afɔwo kple afɔwo.

Alesi nugbegblẽ sia dzɔna kabakabae nɔ te ɖe nusi gbɔ wòtso dzi. Afɔku ate ŋu adzɔ enumake. Dɔlékuiwo kple abi aɖewo ate ŋu adzɔ le ŋkeke alo kwasiɖa aɖewo megbe. Dɔlélewo abe suklidɔ ene ate ŋu axɔ ɣleti alo ƒe geɖe hafi agblẽ nu sia.

Nukae nye Peripheral Neuropathy ƒe dzesiwo?

Esia ƒe dzesiwo to vovo ŋutɔ. Esia le alea elabena ate ŋu akpɔ ŋusẽ ɖe lãmeka ƒomevi vovovowo dzi le míaƒe ŋutilã me. Woate ŋu ama dzesiawo ɖe hatsotso etɔ̃ me koŋ.

Nuka koŋ tae wòle alea ɖo?

Nu geɖe li siwo gbɔ ahɔhɔ̃mekawo ƒe dɔléle si le gota gome tsona. Wo dometɔ aɖewo bɔ ŋutɔ, evɔ bubuwo ya mebɔ vie o.

• Suklidɔ si Dzi Womate Ŋu Aɖu O (Suklidɔ Ƒomevi 2): Esiae nye nu vevitɔ si hea Peripheral Neuropathy vɛ le xexeame kple míaƒe dukɔa me. Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me le ɣeyiɣi didi aɖe me gblẽa nu le lãmekawo ŋu, vevietɔ lãmeka siwo le afɔwo me.
• Ahanono fũu akpa: Ahanono fũu akpa ɣeyiɣi didi gblẽa nu le lãmekawo ŋu tẽ.
• Vitamin ƒe anyimanɔmanɔ: Vitamin, vevietɔ vitamin B12, B1, kple B6 ƒe anyimanɔmanɔ ate ŋu agblẽ nu le lãmekawo ƒe dɔwɔwɔ ŋu. Azɔ hã, vitamin B6 nono fũu akpa gblẽa nu le lãmekawo ŋu.
• Dɔlélenutsiŋutete ƒe nɔnɔmewo: Le dɔlélewo abe Guillain-Barré ƒe dɔléle, Lupus, kple Rheumatoid arthritis ene me la, mía ŋutɔwo míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea lãmekawo dzi.
• Atikewo kple aɖinuwo: Atike aɖewo kple atike bubu siwo wozãna tsɔ daa kansa ate ŋu agblẽ nu le lãmekawo ŋu. Ga kpekpewo abe lifi kple mercury ene hã ate ŋu agblẽ nu le lãmekawo ŋu.
• Dɔlékuiwo: Dɔlékuiwo abe HIV, shingles, kple dɔlékuiwo abe Lyme dɔléle ene ate ŋu agblẽ nu le lãmekawo ŋu.
• Afɔku alo amekoko: Afɔku alo amekoko ate ŋu agblẽ nu le lãmeka aɖe ŋu ne elãe, egbãe, alo ehee.
• Domenyiŋusẽfianu: Ahɔhɔ̃mekawo ƒe dɔléle aɖewo tsoa dome, le kpɔɖeŋu me, Charcot-Marie-Tooth dɔléle.
• Idiopathic Neuropathy: Le go aɖewo me la, togbɔ be wodoe kpɔ hã la, womate ŋu akpɔ nusi koŋ gbɔ wòtso o .

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ. Ðɔktaa awɔ afɔɖeɖe geɖe atsɔ anya dɔléle sia.

1. Nyawo biabia wò tsitotsito: Woabia nya geɖe wò, abe nukae nye wò dzesiwo, ɣeyiɣi didi si nèxɔe, nenye be dɔléle bubuwo abe suklidɔ ene le ŋuwò, atike siwo nènona, kple nenye be ènoa aha.

2. Lãmesẽdodokpɔ:Ðɔktaa alé ŋku ɖe wò abɔwo kple afɔwo ŋu, vevietɔ lãmekawo ƒe ŋusẽ, alesi nèwɔa dɔe (abe wò klo ƒoƒo kple akplɔ sue ene), kple seselelãme (atsɔ kotoku alo aŋe sue aɖe aka asi wò abɔ kple afɔ ŋu be yeakpɔe ɖa be àte ŋu ase egɔme hã).

3. Dodokpɔ tɔxɛwo: Ne ehiã la, ɖɔkta ate ŋu aɖo wò ɖe dodokpɔ bubu geɖe wɔwɔ me.

• Ʋudodokpɔ: Di nusiwo gbɔ wòtsona abe suklidɔ, vitamin ƒe anyimanɔmanɔ, kple ayiku ƒe kuxiwo ene.
• Lãmetsiŋusẽ ƒe Ʋuʋu Ŋuti Numekuku (Electromyogram - EMG): Esia nye dodokpɔ si me wowɔa nu tɔxɛ aɖe le vie wu. Edzidzea elektrikŋusẽ ƒe dzesi siwo zɔna to wò lãmekawo me ƒe duƒuƒu kple ŋusẽ. Esia ate ŋu akpe ɖe ŋuwò nànya ne lãmekaa gblẽ eye ne egblẽ la, afikae wògblẽ.
• Nerve Biopsy: Ƒã ŋutɔ hafi woate ŋu axɔ lãmeka sue aɖe ahadoe kpɔ le nusuekpɔmɔ̃ me.

Nukawoe nye atikewɔmɔnuawo? Ðe woate ŋu ada esiaa?

Atikewɔwɔ na ahɔhɔ̃mekawo ƒe dɔléle si le lãme na ame nɔ te ɖe nusi gbɔ wòtso dzi.

• Nusi gbɔ wòtso dada: Le kpɔɖeŋu me, ne suklidɔ ta ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò la, atikewɔwɔ vevitɔ kekeakee nye be nàlé sukli ƒe agbɔsɔsɔ ɖe ʋu me dzi . Ne vitamin ƒe anyimanɔmanɔe la, woana vitaminwo wò.
• Atike siwo woatsɔ aɖu vevesese kple abi dzi: Vevesesenutsitike siwo wozãna edziedzi meɖea lãmekawo ƒe vevesese dzi kpɔtɔna o. Atike aɖewo koŋ li na esia. Wò ɖɔkta aŋlɔ atike si sɔ na wò.
• Lãmesẽnyawo Gbɔkpɔkpɔ: Ne lãmekawo gbɔdzɔ la, kamedede ate ŋu akpe ɖe wo ŋu ŋutɔ le ŋusẽdodo wo me, azɔlizɔzɔ ƒe kuxiwo nanyo ɖe edzi, eye woada asɔ nyuie wu.
• Beléle na afɔwo etɔxɛe: Suklidɔlélawo koŋ ƒe afɔwo ƒe seselelãme dzi ɖena kpɔtɔna, eyata ɖewohĩ womase abi aɖeke le wo ɖokui me o. Eyata ele vevie be nàlé ŋku ɖe wò afɔwo ŋu gbesiagbe, ado afɔkpa siwo sɔ, eye nàkpɔ afɔdzidela.

Le go aɖewo me, vevietɔ ne wokpɔ nusi gbɔ wòtso eye wodae kaba la, woate ŋu atrɔ lãmeka siwo gblẽ la dometɔ aɖewo. Gake zi geɖe la, ahɔhɔ̃mekawo ƒe dɔléle si dɔléle siwo nɔa anyi didi abe suklidɔ ene hena vɛ la nɔa anyi ɖaa. Gake ne wowɔ atike na wo nyuie la, woate ŋu aɖu dzesiawo dzi ahanɔ agbe si sɔ .

Ɣekaɣie wòhiã be nàkpɔ ɖɔkta alo ayi ETU le nɔnɔme kpata aɖe me?

Zi geɖe la, menye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me nyea Peripheral Neuropathy o. Gake ne èkpɔ dzesi siwo gbɔna dometɔ aɖe la, yi ɖɔkta enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU):Si hiã.

• Gbɔdzɔgbɔdzɔ kpata le ŋutilã ƒe akpa ɖeka, nu ƒe ɖiɖi ɖe akpa ɖeka, nuƒoƒo sesẽ: Esiawo ate ŋu anye ʋusɔgbɔdɔ ƒe dzesiwo .
• Gbɔdzɔgbɔdzɔ alo lãmetutudɔ si dzea egɔme tso afɔwo me eye wòkakana kabakaba ɖe ŋutilãa me, gbɔgbɔ alo nu mimi sesẽ: Esiawo ate ŋu anye nɔnɔme si me afɔku le abe Guillain-Barré ƒe dɔléle ene ƒe dzesiwo .
• Ne èsena le ɖokuiwò me enuenu be yeƒe ta gbãna eye yeƒe susu meganɔa dɔme o ne èle tsitrenu alo nèfɔ (vevietɔ ne anyidzedzea na wòxɔ abi le ta, kɔ, alo akɔta).
• Dzi ƒe tsotso si mesɔ o (kasia kabakaba alo blewu ŋutɔ).

Le nɔnɔme kpata sia tɔgbe me la, mèganɔ aƒeme ahadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake o.