Zi geɖe la, ewɔa nuku na mí ne míekpɔ tɔtrɔ siwo míele mɔ kpɔm na o le míaƒe ame vevi aɖewo ƒe nuwɔna kple nuƒoƒo me, alo? Egbea míele nu ƒom tso atikewɔwɔ ƒe nɔnɔme aɖe si ate ŋu anye nusi le megbe na tɔtrɔ mawo ŋu. Togbɔ be nyati sia nye nya si gɔme sese sesẽ vie hã la, mina míadze agbagba ase egɔme bɔbɔe.
Nukae Nye Pick ƒe Dɔléle? Aleke wòto vovo tso Niemann-Pick ƒe dɔlélea gbɔe?
Kpuie ko la, Pick ƒe Dɔléle nye dɔléle si gblẽa nu le ahɔhɔ̃a ŋu, eye wòwua lãmenugbagbeviwo vivivi. Enye tagbɔdɔ ƒomevi aɖe si woyɔna be frontotemporal dementia (FTD) . Wokpɔnɛ zi geɖe le amesiwo mexɔ ƒe 65 haɖe o ŋu. Tsã la, woyɔa ŋkume kple ŋkume ƒe tagbɔdɔ ŋutɔ hã be Pick ƒe dɔléle. Gake fifia la, nɔnɔme siwo me woɖo dzidzenu aɖewo gbɔ le koe ɖɔktawo zãa ŋkɔ sia.
Fifia àte ŋu anɔ eŋu bum be, "Oo... ɖe Pick ƒe dɔlélea sɔ kple Niemann-Pick ƒe dɔlélea?" Ao, wonye dɔléle eve siwo to vovo kura. Togbɔ be ŋkɔa ƒe akpa si nye "Pick" la sɔ le vo me hã la, dɔléle eveawo medo ƒome o.
- Pick ƒe Dɔléle: Wotsɔ ŋkɔ nɛ tso Arnold Pick, Czechtɔ ahɔhɔ̃ŋutinunyala kple tagbɔdɔdala si de dzesi dɔlélea zi gbãtɔ le ƒe 1892. Enye ŋkume ƒe tagbɔdɔ (FTD) ƒomevi aɖe, si fia be wò ahɔhɔ̃ koe wògblẽa nu le.
- Niemann-Pick Dɔléle: Wotsɔ Germany ɖɔkta eve, Albert Niemann kple Ludwig Pick ƒe ŋkɔ na dɔléle sia, eye eƒe dzesi enye ami siwo ƒoa ƒu ɖe ŋutilã me kple dɔléle si le alesi wokpɔa wo dzii me. Ne amiwo ƒo ƒu la, ate ŋu agblẽ nu le ŋutinu geɖe ŋu, siwo dometɔ aɖewoe nye ahɔhɔ̃, aklã, dɔgbo, ƒumeŋuɖui, kple lãkusi.
Èse vovototo si le wo dome gɔmea? Ðeka nye nusi seɖoƒe li na ahɔhɔ̃a, eye evelia nye nusi gblẽa nu le ŋutilã ƒe akpa vovovowo ŋu.
Amekawoe xɔa dɔléle sia? Aleke gbegbe wòbɔe?
Zi geɖe la, wokpɔa Pick ƒe dɔlélea le eƒe ɖevime wu dɔléle bubuwo abe tagbɔdɔ ene. Wokpɔnɛ zi geɖe le amesiwo xɔ ƒe 50 kple 60 ŋu. Gake ate ŋu adzɔ le amesiwo xɔ ƒe 20 alo xɔ ƒe 80 pɛ ko dzi ɣeaɖewoɣi.
Kpeɖodzi aɖewo li be dɔlélea ate ŋu aƒu du le ƒomewo me. Numekulawo de dzesi domenyiŋusẽfianu ƒe tɔtrɔ etɔ̃ ya teti siwo do ƒome kplii. Gake zi geɖe la, dɔlélea dzɔna ɣeaɖewoɣi. Esia fia be ame aɖe ate ŋu atu eŋu ƒome ŋutinya aɖeke manɔmee.
Esesẽ be míagblɔ alesi tututu dɔléle sia bɔe. Eŋutinunyalawo bu akɔnta be ame 15 va ɖo 22 ye xɔa dɔa le ame 100,000 ɖesiaɖe me. Gake ɖikeke le akɔntabubu siawo ƒe nyateƒenyenye ŋu, elabena esesẽna ŋutɔ be woakpɔ dɔlélea le agbe me, eye ɣeaɖewoɣi le ku megbe gɔ̃ hã la, esesẽna be woakpɔ dɔlélea. Eyata dɔnɔawo ƒe xexlẽme ŋutɔŋutɔ ate ŋu asɔ gbɔ wu.
Aleke Pick ƒe Dɔlélea gblẽa nu le ŋutilã ŋui?
Pick ƒe dɔlélea nye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, si nye tagbɔdɔ ƒomevi aɖe si woyɔna be frontotemporal dementia (FTD). Kpuie ko la, ahɔhɔ̃mekawo (ahɔhɔ̃mekawo) dzudzɔa dɔwɔwɔ vivivi. Ahɔhɔ̃a ƒe akpa siwo ŋu wògblẽ nu le la dzea ɖeɖeɖa gɔme (atrophy). Emegbe, ŋutete siwo dzi akpa mawo ɖuna tsã la buna. Togbɔ be eɖi Alzheimer ƒe dɔlélea vie hã la, zi geɖe la, Pick ƒe dɔlélea dzea egɔme tso eƒe ɖevime, eye vovototo vevi geɖe le wo dome.
Esi wònye be ahɔhɔ̃a ƒe akpa aɖewo koe Pick ƒe Dɔlélea dzea egɔme ta la, dzesi vevitɔwoe nye tɔtrɔ le nuwɔna alo gbegbɔgblɔ ƒe ŋutete ŋu . Zi geɖe la, amesiwo ŋu Pick ƒe Dɔléle le mete ŋu dea dzesii be kuxi alo nɔnɔme aɖe le yewo ŋu o. Esia le alea elabena woƒe ahɔhɔ̃ mete ŋu wɔa dɔ tso woƒe nɔnɔmea ŋuti nyatakakawo ŋu o. Woyɔa esia be "gɔmesese ƒe anyimanɔmanɔ."
Nukae nye Pick ƒe Dɔléle ƒe dzesiwo?
Pick ƒe Dɔlélea dzɔna le mɔ vevi eve nu: ɖeka nye behavioral variant frontotemporal dementia (bvFTD) , eye evelia nye primary progressive aphasia (PPA), si gblẽa nu le ahɔhɔ̃a ƒe akpa siwo do ƒome kple gbegbɔgblɔ ŋu.
Nuwɔna ƒe vovototo si nye frontotemporal dementia (bvFTD) .
Woate ŋu ama bvFTD nɔnɔme sia ƒe dzesiwo ɖe hatsotso vevi ade me:
- Mɔxexeɖenu ƒe bu: "Mɔxexe" nye ahɔhɔ̃ ƒe akpa si gblɔna na mí be "mègawɔ esia o." Ne akpa siawo gblẽ la, míate ŋu axe mɔ na mía ɖokui be míagagblɔ nya siwo mesɔ o alo awɔ wo o.
- "Filter" ƒe anyimanɔmanɔ na nya si wogblɔ: Nya si le susu me na wò gbɔgblɔ, ɣeaɖewoɣi le mɔ si ave ame bubuwo nu, nye amemabumabu, alo mesɔ o. Le kpɔɖeŋu me, vlododo ame aɖe zi ɖeka le ƒomea ƒe kpekpe aɖe me.
- Bubumademade ame bubuwo ŋu: Ðewohĩ womade bubu ame bubuwo ƒe nya ɣaɣlawo ŋu o, woate ŋu aka asi wo ŋu le lɔlɔ̃nu faa me, ate ŋu adze agbagba be yewoawɔ nu le mɔ si mesɔ o nu le gbɔdɔdɔ gome, eye zi ɖeka ate ŋu ado dziku alo atsi dzimaɖi.
- Nuwɔna kple nuwɔna ŋumaɖɔɖotɔe: Esia ate ŋu alɔ ga zazã agbanɔamedzimanɔmee, kple ɖewohĩ fiase me fififi gɔ̃ hã ɖe eme.
- Ðekematsɔleme: Esia adze abe blanuiléle ene, gake eto vovo vie.
- Nu aɖeke meganɔa ame si o: Nu siwo doa dzidzɔ na wò tsã (modzakaɖeɖe, ɣeyiɣi zazã ɖe xɔ̃wòwo ŋu) meganɔa anyi o.
- Hadomegbenɔnɔ: Ƒo asa na xɔlɔ̃wo kple ƒometɔwo gbɔ nɔnɔ.
- Ameɖokuidzikpɔkpɔ dzi ɖeɖe kpɔtɔ: Megatsɔa ɖeke le tsilele, awu ɖɔliɖɔli, kple dzadzɛnyenye me o.
- Veveseseɖeamenu ƒe bu:Wogayɔa esia be "seselelãme ƒe ʋuʋu." Eva sesẽna be míase ame bubuwo ƒe seselelãmewo gɔme. Womeɖea kpekpeɖeŋu fiana le ame bubuwo ƒe nuxaxa alo dzidzɔkpɔkpɔwo me abe tsã ene o.
- Nuwɔna siwo dzi wozi: Ame siwo ŋu dɔléle sia le la ɖea nuwɔna siwo to vovo kura tso ame bubuwo gbɔ fiana.
- Ʋuʋu enuenu: Ʋuʋu suesuesuewo wɔwɔ enuenu, abe asiƒoƒo, afɔtutu, kple azɔlizɔzɔ yi ŋgɔ kple megbe ene.
- Nuwɔna sesẽwo alo kɔnuwɔwɔ: sinima ɖeka mawo ke kpɔkpɔ zi gbɔ zi geɖe, agbalẽ ɖeka mawo ke xexlẽ, nu ƒomevi ɖeka mawo ke nuƒoƒoƒu. Esia lɔ nuƒoƒoƒu ɖe eme.
- Gbugbɔgagblɔ: Gbeɖiɖi, nya, kple nyagbe ɖeka mawo ke gbugbɔgagblɔ zi gbɔ zi geɖe.
- Tɔtrɔ le nuɖuɖu alo nuwɔna siwo ku ɖe nu me ŋu: Ame siwo ŋu dɔléle sia le ate ŋu akpɔ nɔnɔme aɖe si woyɔna be "hyperorality," si nye ɖetsɔleme si mebɔ o ɖe nusiwo do ƒome kple nu ŋu.
- Tɔtrɔ siwo vaa nuɖuɖu ƒe nɔnɔmewo me: Amewo dina be yewoaɖu nu siwo wolɔ̃na wu, vevietɔ numeɖenuwo, nu viviwo, kple aha sesẽwo. Esia ate ŋu ana ame nalolo.
- Nu me ƒe nuwɔna siwo wozi ɖe ame dzi: Atamanono dzizizitɔe, nuɖuɖu fũu akpa, kple bubuawo Azɔ hã, nu me didi. Togbɔ be esia sɔ na ɖevi suewo be woawɔe ne wole xexeame dzrom hã la, mebɔ be ame tsitsiwo nawɔe o.
- Pica: Esia nye nusiwo womate ŋu aɖu o, siwo me nunyiame mele o (gaku, ɖiƒoƒo, kpe gbadzɛwo) ɖuɖu dzizizitɔe.
- Dɔdzikpɔla ƒe dɔwɔwɔ ƒe bu gake ŋutete bubuwo ya megblẽ o: "Dɔwɔƒe ƒe dɔwɔwɔ" fia ŋutete si le ame si be wòawɔ ɖoɖo ɖe ŋkekea ŋu, akpɔ kuxiwo gbɔ, eye wòawɔ nuwo. Togbɔ be ŋutete siawo gblẽna le amesiwo ŋu dɔléle sia le ŋu hã la, ŋutete bubuwo, abe ŋkuɖoɖonudzi kple ŋku ƒe dɔwɔwɔ ene, mekpɔa ŋusẽ ɖe wo dzi nenema gbegbe le gɔmedzedzea me o. Esia nye nu vevi aɖe si dea vovototo ŋgɔgbe kple ŋkume ƒe tagbɔdɔ kple Alzheimer ƒe dɔlélea dome.
Aphasia si Yia Edzi Gbãtɔ (PPA) .
Pick ƒe dɔléle hã ate ŋu ahe PPA vɛ. Esia wɔnɛ be gbegbɔgblɔ ƒe ŋutetewo, abe nuƒoƒo ƒe ŋutete kple nusi ame bubuwo le gbɔgblɔm gɔmesese ene, buna vivivi. Togbɔ be PPA ƒe hatsotso sue vevi etɔ̃e li hã la, ƒomevi vevi eve siwo woate ŋu atsɔ asɔ kple Pick ƒe dɔléleae nye:
- Nonfluent variant PPA (nfvPPA): Le ƒomevi sia me la, esesẽna be woatsɔ nyawo asɔ kple wo nɔewo eye woazã gbeŋutise nyuitɔ. Togbɔ be woate ŋu ase nya ɖeka kple nyagbe bɔbɔewo gɔme hã la, nyagbe sesẽwo gɔmesese sesẽna.
- Gɔmesese ƒe tɔtrɔ PPA (svPPA):Esesẽna na ame sia ƒomevi be wòatia nya nyuitɔ alo ase nyawo gɔme. Ðewohĩ gɔmesese manɔ nya aɖewo gbɔgblɔ ŋu o, eye asesẽ be míase nya siwo gblɔm ame bubuwo le la gɔme. Ðewohĩ kuxiwo anɔ nuxexlẽ kple nuŋɔŋlɔ me, gake woate ŋu agbugbɔ nya siwo ame bubuwo gblɔ la agblɔ nenema ke.
Bu eŋu kpɔ, kasia fofowò va to vovo tso amesi wònye tsã gbɔ, eƒoa fi dea amesiame, zãa ga ŋumaɖɔɖotɔe, alo nɔa ha ɖeka ƒom ŋkeke bliboa. Alo, ne èƒo nu kplii la, eƒe nyawo tɔtɔna, eye wòsena le eɖokui me be yemese nya si gblɔm nèle la gɔme o. Esiawo nye nusiwo ŋu míeƒo nu tsoe la ƒe kpɔɖeŋuwo.
Nukae hea nɔnɔme sia vɛ? Ðe wòxɔa amea?
Pick ƒe Dɔléle nye ŋkume ƒe tagbɔdɔ (FTD) ƒomevi aɖe si gbɔ wòtso koŋ ŋutɔ. Protein tɔxɛ aɖe si woyɔna be tau le míaƒe ahɔhɔ̃ kple lãmekawo me. Ele be nɔnɔme aɖe koŋ nanɔ protein siawo si, ne menye nenema o la, womawɔ dɔ nyuie o.
Ne tau proteinwo mewɔa dɔ nyuie o, wobla ɖe wo nɔewo ŋu, eye woƒo ƒu ɖe ahɔhɔ̃mekawo me la, lãmenugbagbevi mawo gblẽna eye wogblẽna. Woyɔa ahɔhɔ̃meka siwo gblẽ la be "Pick cells." Wova vuvu eye woƒe nɔnɔme le abe balloon ene. Woyɔa tau protein ƒe ƒuƒoƒo siwo xatsa ɖe lãmenugbagbeviwo me be "Pick bodies." Woate ŋu akpɔ nusiawo le nusuekpɔmɔ̃ me. Vevietɔ la, womekpɔa Pick cells kple Pick ŋutilã siawo le dɔléle bubu aɖeke me o.
Nusita tau protein siawo mewɔa dɔ nyuie o gakpɔtɔ nye nya ɣaɣla. Togbɔ be numekulawo gblɔ be domenyiŋusẽfianu ƒe tɔtrɔ aɖewo do ƒome kple esia hã la, le go geɖe me la, dɔlélea metsoa domenyiŋusẽfianu me o.
Dɔléle sia mexɔa ame o. Menye ame ɖeka gbɔe wòtsona yia ame bubu gbɔ o. Togbɔ be ate ŋu adzɔ be woatsɔe ayi dzidzimewo me hã la, medzɔna le go geɖe me o.
Aleke wokpɔa Pick ƒe Dɔlélea? Dodokpɔ kawoe wowɔna?
Ðɔktawo ate ŋu anya ŋkume ƒe tagbɔdɔ (FTD) to ŋutilã kple ahɔhɔ̃mekawo ƒe dodokpɔwo, dɔlélewo didi kple nɔnɔmetatawo ɖeɖefia me, eye emetsonuwo ate ŋu anya nenye be enye nuwɔna ƒe FTD alo PPA ƒe ƒomevi sue aɖe.
Gake mɔ ɖeka kolia si dzi woato anya kple kakaɖedzi nenye be Pick ƒe dɔlélea gbɔe ame aɖe ƒe ŋkume ƒe tagbɔdɔ (FTD) tsoe nye be woadi Pick ŋutilãwo kple Pick lãmenugbagbeviwo le woƒe ahɔhɔ̃mekawo me. Ne wolé ŋku ɖe ahɔhɔ̃mekawo ƒe kpɔɖeŋu aɖe ŋu le nusuekpɔmɔ̃ me ko hafi woate ŋu akpɔ esia. Esia fia be ne ame aɖe ku vɔ ko hafi woate ŋu anya Pick ƒe dɔlélea godoo, le amekukudzraɖoƒe.
Woate ŋu awɔ dodokpɔ siawo tɔgbe atsɔ anya FTD:
- Ʋudodokpɔ: Esiawo dia atike ƒe dzesi siwo woyɔna be "biomarkers" siwo ate ŋu akpe ɖe ame ŋu woanya dɔléle aɖewo.
- Ahɔhɔ̃ me tsi dodokpɔwo:Wowɔa esia to tsi ɖeɖe tso aklã me (spinal tap / lumbar puncture).
- CT scan (Kɔmpiuta dzi tomography - CT scan) .
- EEG (Elektroencephalogram) .
- Domenyiŋusẽfianu dodokpɔ
- MRI-dɔdamɔnu (Magnetic resonance imaging - MRI) .
- PET scan (Positron ƒe dodo ƒe tomography - PET scan) .
Ðe atike aɖe li na Pick ƒe Dɔlélea? Ðe woate ŋu adaea?
Nublanuitɔe la, atike aɖeke meli si woatsɔ ada Pick ƒe dɔlélea, adae, alo axe mɔ ɖe enu o. Ðɔktawo ate ŋu aŋlɔ atikewo na ame be wòakpe ɖe ŋuwò nàɖu dzesiwo abe blanuiléle, ɖekematsɔleme, kple adãwɔwɔ dzi. Gake esi wònye be dɔdamɔnu siawo to vovo tso ame ɖeka gbɔ yi bubu gbɔ ta la, wò ɖɔktae nye ame nyuitɔ kekeake si nàte ŋu aƒo nu kplii.
Ðe woate ŋu aɖe afɔku si le dɔléle sia xɔxɔ me dzi akpɔtɔa?
Pick ƒe Dɔlélea dzɔna le mɔ siwo womate ŋu agblɔ ɖi o, siwo womenya o nu. Eyata fifia la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu alo aɖe afɔku si le eme be wòaxɔe dzi akpɔtɔ o.
Etsɔme ka ƒomevie amesi ŋu dɔléle sia le ate ŋu akpɔ mɔ na?
Le FTD ƒomevi ɖesiaɖe me, si me Pick ƒe Dɔléle hã le la, ahɔhɔ̃a gblẽna vivivi. Ne ele ewɔm la, ahɔhɔ̃a ƒe akpa siwo ŋu wògblẽ nu le la megate ŋu wɔa dɔ o. Le Pick ƒe Dɔlélea me la, zi geɖe la, esia gblẽa nu le ahɔhɔ̃a ƒe akpa siwo kpɔa nuwɔna dzi alo ahɔhɔ̃a ƒe akpa siwo wɔa ɖoɖo ɖe nuƒoƒo ŋu kple ŋutete si le ame si be wòase nya si gblɔm ame bubuwo le gɔme.
Ðewohĩ màgase wò nɔnɔmea gɔme hã o. Eyae nye be, ate ŋu adzɔ be màte ŋu ase dzesiawo kple nusi le dzɔdzɔm ɖe dziwò gɔme o le dɔléle sia ta.
Vivivi la, ŋutete meganɔa amesiwo ŋu ŋkume ƒe tagbɔdɔléle (FTD) le be woanɔ agbe le wo ɖokui si o. Ne dɔlélea le sesẽm ɖe edzi la, ate ŋu ahiã be woƒe lɔlɔ̃tɔwo alo dɔnyala bibi siwo wona hehee nakpɔ wo dzi gaƒoƒo 24 sɔŋ. Esia ate ŋu abia beléle na ame ɣeyiɣi didi gɔ̃ hã.
Ame siwo ŋu FTD le ate ŋu asesẽ na wo be woami nu (dysphagia) , si ate ŋu ana nuɖuɖu, nunono, kple nuƒoƒo nasesẽ. Esia dzia afɔku si le nɔnɔmewo abe aklãdɔ alo gbɔgbɔtsixetsixe ene xɔxɔ me ɖe edzi.
FTD ƒomevi ɖesiaɖe, si me Pick ƒe dɔlélea hã le, nye agbemedɔlélewo. Dɔlélea nu sẽ ŋutɔ, eye vivivi la, egblẽa ahɔhɔ̃a ƒe akpa veviwo. Kuxiawo ate ŋu asẽ eye woate ŋu awu ame gɔ̃ hã. Esi ame ƒe agbenɔƒe le vovovo ta la, esesẽna be woagblɔ alesi tututu dɔlélea akpɔ ŋusẽ ɖe dziwò kple ɣeyiɣi didi si wòanɔ anyi. Wò ɖɔkta (alo ɖɔkta si le wò lɔlɔ̃tɔa dam) ate ŋu agblɔ nya geɖe tso esia ŋu na wò.
Aleke nàwɔ awɔ wò lɔlɔ̃nu ŋudɔ ne màte ŋu awɔ nyametsotsowo na ɖokuiwò o?
Ne wokpɔe be ŋkume ƒe tagbɔdɔ (FTD) le ŋuwò le eƒe gɔmedzedze la, ele vevie be nàƒo nu kple wò ɖɔkta, wò ƒomea alo wò lɔlɔ̃tɔwo, kple amesiwo dzi nèka ɖo siwo ate ŋu awɔ nyametsotso veviwo na wò kaba ale si nàte ŋui. Dzeɖoɖo sia ate ŋu asesẽ, gake nuƒoƒo tso nu siawo ŋu kaba tsɔ wu be nàƒo nu emegbe akpe ɖe wò lɔlɔ̃tɔwo ŋu woanya nusi nye wò didiwo ne mète ŋu le nu ƒom tso wò nyawo ŋu alo le nyametsotsowo wɔm o.
Tsɔ kpe ɖe dzeɖoɖo ma ŋu la, ele vevie hã be nàŋlɔ wò didiwo kple nyametsotsowo ɖe agbalẽ me. Ne màte ŋu akpɔ ɖokuiwò dzi o, alo ne mète ŋu le nyametsotsowo wɔm le wò beléle alo wò nyonyo ŋu o la, bu senyawo ŋuti nuŋlɔɖiwo dzadzraɖo ŋu. Àte ŋu axɔ kpekpeɖeŋu tso senyala gbɔ atsɔ adzra agbalẽ siawo ɖo, gake wò ŋutɔ àte ŋu adzra wo dometɔ aɖewo ɖo hã (le se si le miaƒe nutoa me nu la, woate ŋu abia be agbalẽŋlɔla alo amegã bubu nada asi ɖe wo dzi).
Nukae nèwɔna ne ame aɖe si te ɖe ŋuwò ɖe dzesi siawo fia?
Zi geɖe la, amesiwo ŋu FTD le la mesea woƒe dzesiwo alo nɔnɔmea gɔme o. Esi womekpɔe be kuxi aɖe le yewo ŋu o ta la, womexɔe se be yewohiã atikewɔƒe o. Nugɔmesesemanɔamesi sia ate ŋu ado dziku na amesi ŋu dzesiawo le kple amesiwo te ɖe eŋu wu.
Ne ame aɖe si te ɖe ŋuwò le FTD alo nɔnɔme ma tɔgbe ƒe dzesiwo ɖem fia la, àte ŋu adze agbagba akpe ɖe ŋuwò le mɔ siawo nu:
- Bia alesi nàte ŋu akpe ɖe eŋu: Togbɔ be FTD le amesiwo ŋu FTD le ƒe dzesiwo ɖem fia hã la, ɖewohĩ womenya be esiawo nye ahɔhɔ̃medɔ sesẽ aɖe ƒe dzesiwo o. To toɖoɖo wo, na wò kpekpeɖeŋu me la, woate ŋu ase le wo ɖokui me be kadodo le yewo kple amesiwo dzi yewoka ɖo dome, eye woate ŋu akpɔ dzideƒo si hiã be woayi ɖɔkta gɔ̃ hã.
- De dzi ƒo na wo be woadi kpekpeɖeŋu: Togbɔ be ŋkume ƒe tagbɔdɔ (FTD) nye dɔléle si ŋu atike alo atike aɖeke mele o hã la, mɔ aɖewo li siwo dzi woato ada dzesiawo dometɔ aɖewo ahakpɔ wo gbɔ. Agbagbadzedze siawo ate ŋu awɔ akpa gã aɖe le amesi ŋu dɔlélea le ƒe agbenɔnɔ nanyo ɖe edzi me. Ðɔkta yiyi ate ŋu akpe ɖe amesi ŋu FTD le ŋu wòakpɔ dɔlélea. Beléle tɔxɛ ate ŋu ana gbɔdzɔe tso dzesi siwo mevona o dometɔ aɖewo me na amesiwo ŋu dɔlélea le kple woƒe ƒomewo.
- Nɔ anyi kpoo eye mègabu nuwo abe ame ŋutɔ ene o: Zi geɖe la, amesiwo ŋu FTD le la mekpɔa ŋusẽ aɖeke ɖe nya siwo wogblɔna alo wɔna dzi o. Esia adze abe ɖe woɖoe koŋ le agbagba dzem be yewoado dziku na ame bubuwo, ado ŋukpe wo, alo awɔ nuvevi wo ene, gake le nyateƒe me la, atikewɔwɔ me kuxie wònye.
- Mègavɔ̃ be yeabia kpekpeɖeŋu o: Beléle na amesi ŋu FTD le ate ŋu asesẽ ŋutɔ, vevietɔ esi nɔnɔmea le gbegblẽm ɖe edzi le ɣeyiɣi aɖe megbe. Mègavɔ̃ be yeabia kpekpeɖeŋu alo nunɔamesiwo o. Dukɔa kple dɔwɔƒe geɖe siwo menye dziɖuɖua tɔ o naa kpekpeɖeŋunaɖoɖowo kple dɔwɔnawo, abe ame tsitsiwo ƒe ŋkeke ɖeka dzikpɔƒe, gbɔɖemeƒe, kple dɔnɔdzikpɔlawo ƒe aƒeme dzikpɔkpɔ bibiwo ene.
- Beléle na ame ɣeyiɣi didi ate ŋu anye tiatia nyuitɔ: Le ame geɖe gome la, beléle na woƒe lɔlɔ̃tɔ si ŋu FTD le ate ŋu ase le eɖokui me abe ɣeyiɣiawo katã ƒe dɔ ene. Menye amesiamee ate ŋu azã ɣeyiɣi alo agbagbadzedze ma gbegbe atsɔ akpɔ eƒe ame vevi aɖe dzi o. Eyata ele vevie be nàbu eŋu nenye be wò lɔlɔ̃tɔa hiã beléle le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ ɣeyiɣi didi le si me dɔnɔdzikpɔla bibiwo le. Togbɔ be esia ate ŋu anye nyametsotso sesẽ aɖe hã la, beléle ma tɔgbe ate ŋu anye mɔ nyuitɔ si dzi woato akpɔ egbɔ be yewole dedie, yewoƒe dzi dze eme, eye be dɔnɔdzikpɔla bibi siwo wona hehee le yewo si.
Mlɔeba la, gbedasi si woatsɔ ayi aƒemee
Pick ƒe Dɔléle nye dɔléle aɖe si woyɔna be frontotemporal dementia (FTD), si nye tagbɔdɔ ƒomevi aɖe si gblẽa nu le ahɔhɔ̃a ŋu vivivi le eƒe ɖevime wu ahɔhɔ̃medɔ bubu siwo do ƒome kple tsitsi. FTD kpɔa ŋusẽ ɖe ahɔhɔ̃a ƒe akpa siwo kpena ɖe ame ŋu wòsea eƒe nuwɔna ƒe alesi wòsɔ kple esi mesɔ o gɔme hã dzi. Esia ate ŋu ahe dziɖeleameƒo, nugɔmemasemase, kple tɔtɔ gã bubuwo vɛ na amesiame si kpɔ gome le eme ƒe agbenɔnɔ. Togbɔ be woate ŋu ada dzesi aɖewo hã la, atike aɖeke meli si ate ŋu atrɔ dɔlélea ŋutɔ o, eye zi geɖe la, amesiwo ŋu dɔlélea le hiã beléle na wo ɣesiaɣi gaƒoƒo 24 sɔŋ.
Ne wò alo ame aɖe si te ɖe ŋuwò le dzesi siawo kpɔm la, nu nyuitɔ si nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ðo ŋku edzi be menye wò ɖeka koe o, eye teƒe aɖewo li siwo nàte ŋu axɔ kpekpeɖeŋu le.
` Pick ƒe Dɔléle, Frontotemporal Dementia, Tagbɔdɔléle, Ahɔhɔ̃medɔléle, Neurodegenerative, Tau Protein, Nuwɔna ƒe Tɔtrɔ

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