Ðe ʋumenugbagbeviɣidɔ dze dziwò kpɔ eye fifia wò abɔ kple afɔwo gabu akea? Mina míasrɔ̃ nu tso (Post-Polio Syndrome) sia ŋu!

Èɖo ŋku dɔléle si woyɔna be polio dzi tsãa? Ðewohĩ wò hã èkpɔe kpɔ eye wòsesẽ na wò be nàhaya. Ne èhaya eye emegbe nèse le ɖokuiwò me be ɖeɖi te ye ŋu eye yegbɔdzɔ ƒe geɖe la, ateŋu anye nɔnɔme aɖe si woyɔna be ``Post-Polio Syndrome'' ƒe dzesi. Mina míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe nu egbea, ale be nàte ŋu ase egɔme.

Nukae Nye Post-Polio Dɔléle?

Kpuie ko la, ``Post-Polio Syndrome'' alo ``PPS'' nye ne ame si haya tso polio me va yi la gakpɔ lãmekawo ƒe gbɔdzɔgbɔdzɔ le ƒe aɖewo me – ɖewohĩ ƒe 10, 20, alo 40. Lãmetsiawo hã ate ŋu avuvu alo aɖiɖi gɔ̃ hã.

Abe alesi nàɖo ŋku edzi ene la, polio, alo ``Poliomyelitis'', nye dɔléle si dɔlékui aɖe si woyɔna be ``Poliovirus'' hena vɛ. Ame akpa gãtɔ siwo xɔe la meɖea dzesi gã aɖeke fiana o, eye ame aɖewo xɔa asrã si nu mesẽ o. Gake le ame aɖewo gome la, ate ŋu ahe nɔnɔme sesẽwo abe lãmetutudɔ kple ku gɔ̃ hã vɛ ɣeaɖewoɣi.

`(Poliovirus)` sia ƒomevi vevi etɔ̃e nɔ anyi. Woawoe nye ƒomevi 1, 2, kple 3. Fifia, woɖe ƒomevi 2 kple 3 ɖa le xexeame. Ƒomevi 1 koe wogakpɔna le xexeame ƒe akpa aɖewo. Polio megali o kloe le Sri Lanka fifia. Gake ame siwo xɔ dɔlélea va yi la ate ŋu axɔ `(PPS)` nɔnɔme sia.

Amekae ate ŋu axɔ ``Post-Polio Syndrome'' wu?

Ame siwo ŋu ʋusɔgbɔdɔ le va yi koe nɔnɔme sia dzena. Zi geɖe la, edzea egɔme dzena le ƒe 10 alo esi wu nenema megbe. Ɣeaɖewoɣi la, ate ŋu adzɔ le ƒe 40 megbe gɔ̃ hã.

Numekukuwo ɖee fia be amesiwo ŋu polio le la dometɔ 30% va ɖo 40% xɔa nɔnɔme sia. Azɔ hã, ne èxɔ polio va yi, si fia be wò abɔ kple afɔwo gbɔdzɔ ŋutɔ la, àte ŋu akpɔ dzesi siwo nu sẽ wu ne PPS dze ŋuwò.

Aleke gbegbee ``Post-Polio Syndrome'' bɔe?

Le nyateƒe me la `(Post-Post Syndrome)` nye nɔnɔme si mebɔ kura egbea o. Nusitae nye be polio hã mebɔ kura fifia o. Polio ƒe atikewɔmɔnu ɖe ​​polio ɖa le dukɔ geɖe me le xexeame, siwo dome Sri Lanka hã le. Ke hã, esi wònye be dukɔ geɖe gakpɔtɔ li siwo me polio le, eye ame aɖewo gakpɔtɔ li siwo ŋu polio le va yi ta la, wokpɔa `(PPS)` dɔnɔwo tso ɣeyiɣi yi ɣeyiɣi.

Nukae nye `(Post-Post Syndrome)` ƒe dzesiwo?

``Post-Polio Syndrome'' ƒe dzesi vevitɔ kple gbãtɔ enye be lãmeka siwo gbɔdzɔ le polio dɔlékuia xɔxɔ me la ƒe ŋusẽ gabuna vivivi. Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo ate ŋu akpɔ ŋusẽ ɖe wo dzi le agbɔsɔsɔ gã alo sue aɖe me.

Esiawo nye dzesi siwo bɔ dometɔ aɖewo:

• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ vivivi: Seselelãme si nye be alɔ, afɔ, alo lãmeka bubu aɖe si gbɔdzɔ tsã le polio ta la gagbɔdzɔ vivivi ake.
• Ðeɖiteameŋu:Menye ɖeɖiteameŋu ɖeɖekoe o, ke boŋ ɖeɖiteameŋu ƒe seselelãme si dzi womate ŋu ado dzi atsɔ o, si xɔ aƒe ɖe ame me. Ðeko wòle abe ɖe ɖeɖi tea ŋuwò ne èwɔ dɔ vi aɖe vɔ gɔ̃ hã ene.
• Lãmetsiwo ƒe gbagbã: Esia fia be lãmekaawo nɔa ɖeɖem kpɔtɔ vivivi eye wova nɔa sue.
• Lãmetsiwo ƒe vevesese kple ʋuʋu: Lãmetsiwo le veve sem, ɣeaɖewoɣi la, ewɔna nam abe ɖeko lãmekaawo le titim yi dzi kple anyime ene, wole ʋuʋum.
• Ƒunukpeƒewo ƒe vevesese: Vevesese ate ŋu adzɔ le ƒunukpeƒewo abe klo kple abɔta ene.
• Ƒu ƒe dɔmawɔmawɔ nyuie: Le kpɔɖeŋu me, nanewo ate ŋu anɔ anyi abe ƒumeŋuɖui ene.

Bu eŋu kpɔ, ame aɖe li si ŋkɔe nye Nimal, amesi xɔ polio esime wònye ɖevi eye eƒe ɖusifɔ gbɔdzɔ vie. Enɔ agbe si sɔ ƒe geɖe. Gake fifia esi wòxɔ ƒe 50 la, ese le eɖokui me abe ɖe eƒe ɖusifɔ gagale ŋusẽ kpɔm ɖe edzi vivivi ene. Ðeɖi tea eŋu ŋutɔ ne ele atrakpui aɖe liam alo zɔ afɔ kpui aɖe. Aleae wòkpɔa ŋusẽ ɖe edzii.

Gakpe ɖe eŋu la, ne ``(PPS)`` sia gblẽ nu le lãmeka siwo wozãna hena gbɔgbɔ alo lãmeka siwo wozãna tsɔ mia nu ŋu la, gbɔgbɔ sesẽ kple nu mimi ƒe kuxiwo ate ŋu ado mo ɖa.

Le PPS ƒe dɔléle sesẽ aɖewo me la, dzesiawo ate ŋu aɖi ahɔhɔ̃mekawo ƒe dɔléle si nye Amyotrophic Lateral Sclerosis (ALS) tɔ. Gake ele vevie be míaɖo ŋku edzi be esia mesɔ kple ALS o.

Nukae hea `(Post-Polio Syndrome)` vɛ?

Dzɔdzɔmeŋutinunyalawo mekpɔ nya nusi tututu hea Post-Polio Syndrome vɛ haɖe o. Ke hã, nufiafia ɖeka aɖe li ku ɖe eŋu. Eyae nye be ne èhaya tso polio me la, wò ŋutilã ƒe lãmekawo trɔna.

Bu eŋu ale, polio dɔlékui `(Poliovirus)` gblẽa nu le míaƒe lãmekawo dometɔ aɖewo ŋu `(Neurons).` Lãmetsiŋusẽ siawoe tsɔa gbedasiwo be woana lãmekawo nawɔ dɔ. Eyata ne polio wu enu la, le esi teƒe be lãmeka siwo gblẽ la, lãmeka siwo susɔ siwo le lãmesẽ me la dzea dɔwɔwɔ gɔme geɖe wu. Lãmetsiŋusẽ siawo siwo le lãmesẽ me, tso woƒe alɔ vevi `(Axons)` me, wɔa alɔ sue bubuwo `(Dendrites)`, eye woxɔa lãmeka ƒe ka siwo dzi lãmeka siwo gblẽ la kpɔ ŋusẽ ɖo la dzi kpɔkpɔ. Ðeko wòle abe dɔwɔla ɖeka xɔ ame mamlɛawo ƒe dɔ ene.

Eyata dzɔdzɔmeŋutinunyalawo susui be le dɔwɔwɔ si gbɔ woƒe ŋutete ŋu ƒe geɖe megbe la, lãmeka mawo siwo nɔ lãmesẽ me le gɔmedzedzea me la gbɔdzɔna vivivi eye ɖeɖi tea wo ŋu. Alɔ sue mawo (dendrites) dzi ɖena kpɔtɔna vivivi. Emegbe lãmeka mawo siwo nɔ dɔ wɔm nyuie tsã hã gadzea gbɔdzɔgbɔdzɔ gɔme ake. Anɔ eme be emae nye nusi gbɔ ``PPS'' nɔnɔme sia tso, si wosusu fifia be eya gbɔe wòtso.

Ðe `(Post-Polio Syndrome)` nye dɔléle si xɔa ame mea?

Ao , ``Post-Polio Syndrome`` menye dɔléle si ateŋu atso ame ɖeka gbɔ ayi ame bubu gbɔ o. Gake polio dɔlékuia nye dɔlékui si xɔa ame me ŋutɔ. Esia tae wòle vevie ŋutɔ be nàkpɔ ɖokuiwò ta tso dɔlélea me to polio ƒe atike xɔxɔ me.

Aleke woawɔ ade dzesi `(Post-Polio Syndrome)`?

Fifia dodokpɔ aɖeke meli si ate ŋu aɖo kpe ``Post-Polio Syndrome'' ƒe anyinɔnɔ dzi pɛpɛpɛ o.

Ke boŋ ɖɔktawo dea dzesi dɔlélea to ŋutilãmedɔdada, atikewɔwɔ ŋuti ŋutinya tsitotsito wɔwɔ (abe nenye be ʋumenugbagbeviɣidɔ dze dziwò va yi kple ɣekaɣie ene), kple biabia tso wò dzesi siwo le ŋuwò fifia ŋu. Wodi hã be yewoakpɔ egbɔ be menye atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔe dzesiawo tso o.

Wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe atsɔ akpɔe ɖa be PPS hã le eme eye wòaɖe nɔnɔme bubuwo ɖa, abe:

• Akɔta ƒe MRI (Magnetic Resonance Imaging) kple CT (Computed Tomography) ƒe fotoɖeɖe: Esiawo ate ŋu akpɔe ɖa be kuxi aɖeke le akɔta kple lãmeka siwo do ƒome kplii ŋu hã.
• Electromyogram (EMG) dodokpɔ: Esia doa elektrikŋusẽ si le lãmekawo kple lãmeka siwo kpɔa wo dzi la kpɔna. Esia kpena ɖe ame ŋu be woanya ne lãmekawo ƒe gbɔdzɔgbɔdzɔ tso lãmekawo ƒe kuxi aɖe gbɔ loo alo lãmekawo ŋutɔ ƒe kuxi aɖe gbɔe wòtso.
• Muscle Biopsy: Ɣeaɖewoɣi la, woɖea lãmeka sue aɖe hedoa eŋu le nusuekpɔmɔ̃ me. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi tɔtrɔ siwo va le lãmekaa me.
• Akɔta ƒe Tsiwo Me Dzodzro: Dodokpɔ si me woɖea tsi sue aɖe le wò akɔta. Esia ate ŋu akpe ɖe ŋuwò nàlé ŋku ɖe ahɔhɔ̃mekawo ƒe kuxi bubuwo ŋu.

Aleke wokpɔa `(Post-Polio Syndrome)` gbɔe?

Nublanuitɔe la, fifia la, atike tɔxɛ aɖeke meli si ate ŋu ada ``Post-Polio Syndrome (PPS)`` keŋkeŋ o. Eyata ɖɔktawo ƒe taɖodzinu vevitɔe nye be yewoaɖu dzesiawo dzi eye yewoana wò ``Agbenyuinɔnɔ`` nanyo ɖe edzi.

Ne PPS le ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖɔkta si bi ɖe ahɔhɔ̃mekawo ƒe dɔlélewo me.

Mɔ siwo dzi nàto akpe ɖe ŋuwò nàkpɔ PPS ƒe dzesiwo gbɔ dometɔ aɖewoe nye esi:

• Kamedede siwo me ɖeɖi tea ame ŋu o: Kamedede siwo mehea vevesese alo ɖeɖiteameŋu fũ o ate ŋu ana lãmekawo ƒe ŋusẽ nanyo ɖe edzi eye wòaɖe ɖeɖiteameŋu bliboa dzi akpɔtɔ. Àte ŋu anya nusiwo nye esiawo ne èbia lãmesẽdɔwɔla aɖe.
• Dzitodzito me dzidodo ƒe hehexɔxɔ: Esiae nye ɖoɖo si ana dɔ si wò dzi, lãkusi, kple lãmekawo ate ŋu awɔ ɖekae le kamedede didi me nanyo ɖe edzi. Ele be nàƒo nu kple wò ɖɔkta godoo hafi adze hehe sia ƒomevi gɔme.
• Nusiwo kpena ɖe ame ŋu be wòaʋuʋu: Nuwo abe atikplɔ, afɔzɔlawo, bunɔkeke, alo ʋufɔtiwo zazã ate ŋu ana wòanɔ bɔbɔe be woazɔ mɔ eye wòaɖe lãmekawo ƒe ɖeɖiteameŋu dzi akpɔtɔ.
• Dɔwɔwɔ ƒe atikewɔwɔ:Dɔwɔla ate ŋu awɔ tɔtrɔ siwo hiã le wò nutoa me be gbesiagbedɔwo le aƒea me (e.g., awudodo, nuɖaɖa) nanɔ bɔbɔe.
• Nuƒoƒo ƒe atikewɔwɔ: Ne nu mimi sesẽ na wò le PPS ta la, nuƒoƒo ŋuti dɔdala ate ŋu akpe ɖe ŋuwò.
• Agbenɔnɔ ƒe tɔtrɔ: Anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàɖu nuɖuɖu si naa lãmesẽ, aɖu wò kpekpeme dzi, adɔ alɔ̃ nyuie, eye nàdzudzɔ atamanono . Nu siawo ate ŋu akpe ɖe ŋuwò nàɖu dzesiawo dzi eye wòana wò lãmesẽ bliboa nanyo ɖe edzi.

Tsɔ kpe ɖe eŋu la, susumedɔdada ate ŋu akpe ɖe mia kple wò ƒomea ŋu mianɔ te ɖe PPS nu. Ate ŋu aɖe vi hã be nàge ɖe kpekpeɖeŋunahawo me afisi nàte ŋu aƒo nu kple ame bubu siwo le nu ma ke me tom le ahagblɔ wò nuteƒekpɔkpɔwo.

Ðe woate ŋu ada `(Post-Polio Syndrome)`a?

Ao, le nyatakaka siwo li fifia nu la, atike aɖeke meli na ``Post-Polio Syndrome'' o. Dɔdamɔnuawo ƒe taɖodzinue nye be woaɖu dzesiwo dzi eye woakpe ɖe ame ŋu be agbea nanɔ bɔbɔe.

Aleke woawɔ axe mɔ ɖe `(Post-Polio Syndrome)` nu?

Mɔ ɖeka kolia si dzi woato axe mɔ ɖe polio nue nye be woaxe mɔ ɖe polio xɔxɔ nu. Mɔ ɖeka kolia si dzi woato awɔ emae nye be woaxɔ ʋumenugbagbeviɣidɔlékuiwutikea. Zi geɖe la, wonaa polio ƒe atike ene ɖeviwo tso woƒe ɣleti 2 xɔxɔ dzi. Ne mèxɔ atike sia le wò ɖevime o la, àte ŋu axɔe le ame tsitsi me.

Gake ne ʋumenugbagbeviɣidɔ le ŋuwò xoxo eye nèhaya la, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe PPS xɔxɔ nu le etsɔme o. Dzɔdzɔmeŋutinunyalawo menya nusita ame aɖewo siwo ŋu polio le la xɔa PPS evɔ ame bubuwo ya mexɔa PPS o la nyuie haɖe o.

Nukae nye `(Post-Polio Syndrome)` ƒe ŋgɔdonya?

Mɔkpɔkpɔ le Post-Polio Syndrome (PPS) ŋu toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe lãmeka siwo ŋu wògblẽ nu le kple alesi dzesiawo nu sẽe dzi.

PPS ƒe dzesiwo ate ŋu ana wòasesẽ na wò be nàwɔ nuwo le ɖokuiwò si. Gake nuwo abe kpekpeɖeŋunu siwo kpena ɖe ame ŋu le ʋuʋum kple dɔwɔwɔ ƒe atikewɔwɔ, siwo ŋu míeƒo nu tsoe va yi ene ate ŋu akpe ɖe ame ŋu ŋutɔ.

Wò lãmesẽ bliboa le afɔku me wu ne wò gbɔgbɔ ƒe lãmekawo gbɔdzɔ le PPS ta, alo ne wò nu mimi ƒe lãmekawo gbɔdzɔ.

Ðe ``Post-Polio Syndrome'' nana ame ƒe agbenɔƒe nɔa kpuiea?

Zi geɖe la, amesi ŋu ``Post-Polio Syndrome'' le ƒe agbenɔƒe sɔ. ``PPS'' nye nɔnɔme si dea ame ƒe agbe afɔku me si mebɔ kura o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta tso `(Post-Polio Syndrome)` ŋu?

Ne polio dze dziwò va yi, eye le ƒe geɖe megbe la, èse le ɖokuiwò me abe ɖe wò lãmekawo gagbɔdzɔ vivivi ene la, .Kpɔ ɖɔkta godoo eye nàƒo nu tso esia ŋu.

Ne wokpɔ PPS le ŋuwò la, ele be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be yeƒe atikewɔwɔ ƒe ɖoɖoa le dɔ wɔm eye yeawɔ tɔtrɔ ɖesiaɖe si hiã.

Nu vevitɔe nye be menye amesiame si ŋu Post-Polio Syndrome le lae wògblẽa nu le le mɔ ɖeka nu o. Mɔ nyuitɔ si dzi nàto anya alesi tututu nɔnɔme sia gblẽa nu le ŋuwò kple nusi nàkpɔ mɔ na enye be nàyi ɖɔkta si bi ɖe ahɔhɔ̃mekawo ƒe dɔlélewo kple PPS me gbɔ. Wole afisia be yewoakpe ɖe ŋuwò.

Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata, tso nusiwo me míedzro me la, mele mɔ kpɔm be èse `(Post-Polio Syndrome)` gɔme nyuie wu. Kpuie ko la:

• ``(PPS)`` nye lãmekawo ƒe gbɔdzɔgbɔdzɔ ƒe nɔnɔme si dzɔna le ƒe aɖewo megbe le amesiwo ŋu polio le va yi me.
• Togbɔ be atike aɖeke meli koŋ na esia o hã la, nu geɖe li nàte ŋu awɔ atsɔ aɖu dzesiawo dzi ahana agbea nanɔ bɔbɔe.
• Kamedede si me ŋusẽ mele o, kamedede, azɔlizɔzɔ ƒe kpekpeɖeŋunuwo ne ehiã, kple agbenɔnɔ ƒe tɔtrɔ nyuiwo le vevie ŋutɔ.
• Ne dzesi siawo le ŋuwò la, yi ahɔhɔ̃ŋutinunyala gbɔ godoo.
• Ðo ŋku edzi be menye wò ɖeka koe o. Ame aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ nɔnɔme sia gbɔ ahanɔ agbe nyuie.

Mègavɔ̃ o, nu vevitɔe nye be nàna nànya eye nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo siwo hiã dzi.

` post-polio syndrome, polio, lãmekawo ƒe gbɔdzɔgbɔdzɔ, ahɔhɔ̃mekawo ƒe dɔléle, PPS, post-polio syndrome, ŋutilã ƒe ɖɔɖɔɖo