Ðe nèsena le ɖokuiwò me be yeƒe ta le ƒoƒom ne èbɔbɔ nɔ anyia? Ðe wò dzi le ƒoƒom? Ate ŋu anye POTS!

Ðe nusia dzɔ ɖe dziwò kpɔa? Ne ètsi tre zi ɖeka tso anyinɔƒe, alo ne èfɔ tso mlɔƒe la, wò ta ʋuʋuna eye ɣeaɖewoɣi wò dzi ƒoa kabakaba. Togbɔ be esia adze abe nusi sɔ ene hã la, ate ŋu anye nɔnɔme aɖe si woyɔna be Postural Orthostatic Tachycardia Syndrome , alo POTS kpuie ƒe dzesi ɣeaɖewoɣi. Mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe.

Nukae nye esia (POTS)? Mina míase egɔme bɔbɔe ŋutɔ, alo?

(Postural Orthostatic Tachycardia Syndrome) ate ŋu ado vɔvɔ̃ na ame vie ne èse ŋkɔ didia, alo? Gake mina míagbãe eye míase egɔme.

• Nɔnɔme: Esia fia nane si do ƒome kple wò ŋutilã ƒe nɔnɔme . Eyae nye be, alesi nèle – bɔbɔ nɔ anyi, tsi tre, alo mlɔ anyi.
• Orthostatic: Esia fia nane si do ƒome kple tsitretsitsi .
• Tachycardia: Ðewohĩ èse esia ŋu nya kpɔ. Efia be wò dzi le ƒoƒom kabakaba wu 100 le miniti ɖeka me .
• Dɔléle: Esia fia dzesiwo ƒe ƒuƒoƒo aɖe si dzɔna ɖekae .

Kpuie ko la, POTS nye nɔnɔme si me wò dzi ƒe tsotso dzina ɖe edzi le mɔ si mesɔ o nu ne ètsi tre tso anyinɔƒe alo mlɔƒe. Esia dze le orthostatic intolerance ƒe hatsotso me .

Esiae dzɔna zi geɖe. Lãmetsiŋusẽ si wɔa dɔ le eɖokui si le míaƒe ŋutilã me , si le abe dɔdzikpɔla sue aɖe ene le míaƒe ŋutilã me. Enaa míaƒe dzi ƒe tsotso kple ʋu ƒe sisi nɔa dadasɔ me eɖanye nɔnɔme ka mee míele o, eye wònana ʋu nɔa sisim nyuie le afisiafi. Gake le amesi ŋu POTS le gome la, lãmeka sia si le eɖokui si la mete ŋu léa dadasɔ sia me ɖe asi nyuie o. Eyae nye be, ɖekawɔwɔ si le ʋukawo mimi kple dzi ƒe tsotso dzi ɖuɖu dome la me gblẽna. Ekema, womate ŋu ana ʋu ƒe sisi nanɔ te o. Esia tae dzesi ɖesiaɖe dzena ɖo.

Gake nu ɖeka si dzi wòle be míaɖo ŋkui: POTS mekpɔa ŋusẽ ɖe amesiame dzi le mɔ ɖeka nu o. Dzesi aɖewo nɔa ame aɖewo ŋu siwo vaa wo gbɔ eye wodzona, ɣeaɖewoɣi ƒe geɖe. Akpa nyuitɔ kekeakee nye be le go geɖe me la, ne wotrɔ agbenɔnɔ, woƒe nuɖuɖu trɔna, wozãa atike aɖewo, eye wodea kame la, woate ŋu akpɔ nɔnɔmea gbɔ eye agbenɔnɔ ƒe nyonyome nanyo ɖe edzi .

Amekae ŋu POTS gblẽa nu le wu?

Nɔnɔme sia si woyɔna be POTS la bɔ ɖe nyɔnu siwo xɔ tso ƒe 15 va ɖo ƒe 50. Gake ŋutsuwo hã ate ŋu axɔe.

Ɣeaɖewoɣi la, anɔ eme be POTS nadze egɔme le nuteɖeamedzi alo masɔmasɔ gã aɖe megbe. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Le dɔléle sesẽ aɖe megbe: Le kpɔɖeŋu me, le dɔlékui ƒe dɔléle abe mononucleosis ene megbe, alo le dɔléle sesẽ aɖe xɔxɔ vɔ megbe.
• Le fufɔɣi.
• Ne ŋutilã me afɔku gã aɖe do mo ɖa la:Ewɔna nam abe taɖui ene.
• Ne wole amekoko gã aɖe wɔm nɛ.

Azɔ hã, amesiwo ŋu dɔlélenutsiŋutete ƒe dɔléle aɖewo le, abe Sjogren ƒe dɔléle , lupus , kple celiac dɔléle , si me míaƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbevi siwo le lãmesẽ me dzi le la, ate ŋu axɔ POTS.

Aleke gbegbee (POTS) bɔe?

Le nyateƒe me la, POTS nye nɔnɔme si bɔ wu alesi nàsusui. Le kpɔɖeŋu me, wobu akɔnta be ame siwo ade miliɔn 1 va ɖo miliɔn 3 ye le dɔléle sia lém le United States. Ðewohĩ ame aɖewo anɔ Sri Lanka siwo ŋu dɔléle sia le, gake ɖewohĩ womekpɔ dɔléle sia dze sii nyuie o.

Aleke POTS kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Bu eŋu kpɔ, kasia nètsi tre tso teƒe si nèbɔbɔ nɔ anyi ɖo. Emegbe le nuheŋusẽ ta la, ʋu si le wò ŋutilã me ƒe 10% va ɖo 15% ƒoa ƒu ɖe wò ƒodo, afɔwo, kple abɔwo me. Esia fia be ʋu si yina wò ahɔhɔ̃ me dzi ɖena kpɔtɔna vie. Esia tae ɣeaɖewoɣi la, wò ta ʋuʋuna vie ɖo. Gake ne POTS mele ŋuwò o la, màse taɖuame sia nenema gbegbe o, elabena lãmeka siwo le wò afɔwo me kpena ɖe ŋuwò be ʋua trɔna yia wò dzi me.

Menye ema ɖeɖeko o, ke wò lãmeka siwo wɔa dɔ le wo ɖokui si hã dzea egɔme. Be nàxe ʋu si sina yia wò dzi me si dzi ɖe kpɔtɔ ne ètsi tre la, wò ŋutilã ɖea lãmetsi siwo woyɔna be adrenaline kple norepinephrine .

Lãmetsiŋusẽ siawo nana dzia ƒoa kabakaba vie eye wòsẽna ɖe edzi. (Norepinephrine) hã nana ʋukawo me sẽna vie, si fia be wotsia. Esiawo katãe nana ʋu gatena ɖe dzia kple ahɔhɔ̃a me nyuie.

Gake ne amesiwo ŋu POTS le tsi tre la, ʋu gbogbo aɖe ƒoa ƒu ɖe ʋuka siwo le woƒe dzi te me wu alesi wòle dzɔdzɔmee. Emegbe ŋutilãa dzea agbagba be yeana ʋukawo nasẽ to norepinephrine alo epinephrine geɖe dodo ɖe go me. Gake le susu aɖewo ta la, woƒe ʋukawo mewɔa nu ɖe ​​lãmetsi siawo ŋu nyuie o. Gake dzia te ŋu wɔa nu ɖe ​​lãmetsi siawo ŋu, eyata dzi ƒe tsotso dzina ɖe edzi ŋutɔ.

Dadasɔ sia hea dzesi vovovowo abe taɖuame, alɔ̃madɔmadɔ, kple ɖeɖiteameŋu si gbɔ eme ene vɛ.

Ðe POTS nye nɔnɔme sesẽ aɖea?

(POTS) menye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me o. Ke hã, ate ŋu anye mɔxenu gã aɖe na gbesiagbedɔwo. Nya nyuiae nye be woate ŋu atsɔ atikewɔwɔ kple mɔnu vovovowo akpɔ dzesiawo gbɔ.

Nukae nye (POTS) ƒe dzesiwo?

POTS ate ŋu ava kpata alo vivivi. Dzesiawo ate ŋu adze le tsitretsitsi tso anyinɔƒe alo aɖabaƒoƒo ʋɛ aɖewo megbe teti. Dzesi aɖewo ate ŋu aɖe dzi akpɔtɔ ne mlɔ anyi.

POTS ƒe dzesi geɖe ate ŋu anɔ anyi, eye woate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Dzesi vevi aɖewoe nye esi:

• Taɖuame alo taɖuame: Vevietɔ ne èle tsitrenu, tsi tre ɖe nɔnɔme ɖeka me ɣeyiɣi didi aɖe, alo nèle zɔzɔm didi.
• Alɔ̃madɔmadɔ alo sese le eɖokui me be yegbɔdzɔ.
• Nuŋlɔɖi be kple susu tsɔtsɔ ɖo nu ŋu sesẽ: Wogayɔa esia be ahɔhɔ̃mekawo ƒe afu . Ðeko wòle abe afu xɔ wò ahɔhɔ̃ ene.
• Dzi ƒe tsotso alo dzi ƒe tsotso ƒe dzidziɖedzi.
• Ðeɖiteameŋu/ɖeɖiteameŋu si gbɔ eme.
• Sese le eɖokui me be yemeɖe dzi ɖi o alo yetsi dzimaɖi.
• Ʋuʋudedi kple fifia si gbɔ eme.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe).
• Akɔtave.
• Taɖuame.
• Sese le eɖokui me be yele dɔ lém.
• Ʋuʋudedi.
• Moa zua ɣie eye abɔ kple afɔwo trɔna zua aŋutiɖiɖi ne wole dzia ƒe kɔkɔme te.
• Alɔ̃dɔdɔ ƒe tɔtɔ: le akɔtave, dzi ƒe tsotso ƒe dzidziɖedzi, kple fifia fũ le zã me ta.

Ɣeaɖewoɣi la, dzesi siawo ate ŋu asẽ wu. Nya siwo dzɔ la dometɔ aɖewoe nye esi:

• Ne èle teƒe si dzoxɔxɔ le: Ne èle tsi dzodzoe, le tsi ƒum, alo le ŋkeke si dzi yame xɔ dzo ŋutɔ.
• Ne ètsi tre enuenu: abe ne èle fli me, ne èle nu ƒlem ene.
• Ne èle kame dem vevie.
• Ne dɔléle aɖe le ŋuwò: abe dzamezã ene, dɔlékui aɖe.
• Le dzinukpɔkpɔ me.

Nukawoe hea POTS vɛ?

Numekulawo menya nusi tututu hea POTS vɛ haɖe o. Woxɔe se fifia be nu geɖe li siwo ate ŋu ahe esia vɛ. Woma POTS ɖe hatsotso sue geɖe me le nusiwo gbɔ wòtso ta:

• (Neuropathic POTS): Esia tsoa peripheral denervation, si nana lãmeka siwo le ʋukawo me, vevietɔ le afɔwo kple ʋukawo me gbɔdzɔna gbɔ.
• (Hyperadrenergic POTS): Esia tsoa wò veveseseɖeamenu ƒe lãmekawo ƒe dɔwɔwɔ fũ akpa gbɔ.
• POTS siwo me ʋu sina mesɔ gbɔ ɖo o: POTS ate ŋu atso ʋu ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ le ŋutilãa me hã gbɔ. Ʋu ƒe agbɔsɔsɔ si mede o ƒe dzesiwo ate ŋu asɔ kple POTS ƒomevi eve bubuawo ƒe dzesiwo.

Azɔ hã, kpeɖodziwo li fifia be POTS nye dɔléle si dɔlélenutsiŋutete hena vɛ , si fia be míaƒe dɔlélenutsiŋutete ate ŋu anɔ lãmenugbagbevi siwo le lãmesẽ me dzi dzem le susu aɖe si womenya o ta.

Aleke wowɔa dea dzesi POTS?

POTS ate ŋu asesẽ na ɖɔktawo be woakpɔ dɔlélea elabena dzesiawo ate ŋu adze le ɣeyiɣi aɖe megbe. Ame aɖewo ƒe dzesiwo ate ŋu adze ɣleti geɖe alo ƒe geɖe gɔ̃ hã hafi woakpɔe be POTS le wo ŋu mlɔeba.

Ðɔkta abia nya wò tso wò dzesiwo, atike siwo nènona, kple wò atikewɔwɔ ŋutinya ŋu. Awɔ ŋutilãmedɔdada hã.

Mɔnu vevitɔ si dzi woato anya POTS enye tilt table test.Dodokpɔ sia dzidzea wò dzi ƒe tsotso kple wò ʋu ƒe sisi ne èle wò nɔnɔme trɔm. Èmlɔ kplɔ̃ aɖe dzi eye kplɔ̃a le blewuu wòbɔbɔ nɔ tsitrenu.

Tsɔ kpe ɖe tilt table dodokpɔa ŋu la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ aɖo kpe POTS ƒe anyinɔnɔ dzi alo be woagbe nu bubu siwo gbɔ wòtso. Esiawo dometɔ aɖewoe nye:

• Ʋu kple aɖuɖɔ dodokpɔ be woatsɔ ade dzesi nusiwo ate ŋu ahe POTS kple nɔnɔme bubu siwo ƒe dzesiwo sɔ kple POTS vɛ.
• (QSART): Esia dzidzea lãmeka siwo wɔa dɔ le wo ɖokui si siwo kpɔa fifia dzi.
• Gbɔgbɔ dodokpɔ le ɖokuiwò si: Esia dzidzea alesi wò dzi ƒe tsotso kple ʋu ƒe sisi wɔa nui ne ède kame.
• Ŋutilã ƒe lãmekawo ƒe dɔwɔwɔ.

Nukawoe nye atike siwo wozãna na POTS?

Nublanuitɔe la, atike aɖeke meli na POTS o. Gake ɖɔktawo zãa mɔnu vovovowo tsɔ kpɔa POTS ƒe dzesiwo gbɔ. Wotrɔ asi le atikewɔwɔa ŋu wòsɔ ɖe wò dzesiwo kple nusi awɔ dɔ nyuie na wò nu.

Dɔdamɔnu vevitɔwoe nye:

• Kamedede kple kamedede.
• Nuɖuɖu kple nunyiame.

Tsɔ kpe ɖe eŋu la, atikewɔwɔ ƒe afɔkpa tɔxɛ siwo wotsɔna ƒoa ʋue zazã ate ŋu akpe ɖe ame ŋu hã be woaɖe POTS ƒe dzesiwo dzi akpɔtɔ to ʋu tutu yi dzi to afɔawo me.

Kamedede kple kamedede

Kamedede kple kamedede le vevie ŋutɔ na POTS dzi kpɔkpɔ.

Togbɔ be dzi le lãmesẽ me le ame geɖe siwo ŋu POTS le ŋu hã la, wò ɖɔkta ate ŋu aɖo wò ɖe dzidɔ ɖɔɖɔɖo ƒe ɖoɖo aɖe me . Kamedede ƒe ɖoɖo sia zãa kamedede tsɔ kpena ɖe wò ŋutilã ŋu wògatrɔna ɖe nɔnɔme nyui me eye wòkpɔa wò POTS dzi. Kpeɖodzi nyuitɔ kekeake siwo woatsɔ ada POTS dometɔ aɖewo tso dzitodzito me dɔlélewo gbɔ kpɔkpɔ me.

Numekukuwo ɖee fia be kamedede si me ya si woyɔna be aerobic reclined aerobic exercise , abe tsiƒuƒu, tɔdziʋukuku, kple gasɔdodo mlɔ anyi ene, naa nu nyuitɔ kekeake dona tso eme. Ŋusẽdodo lãmeka siwo le wò nuto kple afɔwo me hã ɖea vi ŋutɔ.

Nu vevi aɖewo siwo wòle be nànya ne èle kamedede ƒe ɖoɖo aɖe gɔme dzem lae nye esi. Bia wò ɖɔkta be wòana mɔfiame tɔxɛwo tso kamedede siawo ŋu.

• Srɔ̃ Isometric kamededewo: Kamedede siawo bia be nàƒo wò lãmekawo evɔ màʋuʋu wò ŋutilã ŋutɔŋutɔ o. Esia nana lãmekawo me sẽna eye wòzia ʋu dzi wògatrɔna yia wò dzi me. Esiawo wɔwɔ le bɔbɔe ŋutɔ, eye àte ŋu awɔ wo ne mlɔ aba dzi alo nèbɔbɔ nɔ zikpui dzi. Anyo be nàwɔ esiawo le aba dzi hafi afɔ tso aba dzi. Esia ana wò ŋutilã nadzra ɖo ɖe anyinɔƒe kple tsitretsitsi ŋu.
• Ne èle nɔƒewo trɔm la, wɔ nu siwo gbɔna:Tso tso wò mlɔƒe eye nànɔ anyi ɖe aba dzi. Nɔ afima aɖabaƒoƒo ʋɛ aɖewo, si ana wò ŋutilã natrɔ ɖe nɔnɔme ƒe tɔtrɔ ŋu. Ne ètsi tre vɔ la, lala aɖabaƒoƒo ʋɛ aɖewo hafi nàzɔ, eye nàna wò ʋu natrɔ ake. Ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom le ɣeyiɣi aɖe me la, nɔ nɔnɔme ma me aɖabaƒoƒo ʋɛ aɖewo nàkpɔe ɖa be edzo hã. Ne menye nenema o la, trɔ yi nɔnɔme si me nènɔ tsã la me. Nu vevitɔe nye be nàwɔ dɔ tso wò tenɔnɔ ŋu.
• Dze azɔlizɔzɔ ƒe ɖoɖo sue aɖe gɔme: Kpɔ afɔɖeɖe agbɔsɔsɔme si nàte ŋu azɔ evɔ màkpɔ dzesi aɖeke o ɖa. Emae nye wò gɔmedzedze. Dze egɔme kple azɔlizɔzɔ zi ɖeka gbesiagbe eye nàdzi ɣeyiɣi, didime, alo afɔɖeɖe ƒe xexlẽme ɖe edzi vivivi. Ne èse le ɖokuiwò me be yeƒe lãme sẽ la, zɔ zi evelia gbesiagbe. Mɔ bɔbɔe aɖe si dzi woato axlẽ afɔɖeɖewoe nye be woazɔ afɔ 100-300 le gaƒoƒo ɖeka me le ŋkekea me. Fitness trackers zazã le bɔbɔe be woaxlẽ afɔɖeɖewo. Dzi afɔɖeɖe siwo katã nèzɔna gbesiagbe ɖe edzi, zi ɖeka le kwasiɖa me alo kwasiɖa ʋɛ aɖewo ɖesiaɖe.
• Wɔ yoga kamedede bɔbɔewo: Yoga kamedede vevi siwo me wotsia dzi ɖe gbɔgbɔ ŋu wɔwɔ ate ŋu akpe ɖe ŋuwò nàɖe POTS ƒe dzesiwo dzi akpɔtɔ.

Nuɖuɖu kple nunyiame

Nu vevi bubu si woatsɔ akpɔ POTS ƒe dzesiwo gbɔe nye nuɖuɖu kple nunyiame.

Ne hypovolemic POTS (ʋu ƒe agbɔsɔsɔ si bɔbɔ) le ŋuwò la, anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàno tsi kple dze geɖe be wò ʋu nadzi ɖe edzi.

POTS ƒe dzesiwo ate ŋu agblẽ ɖe edzi le nuɖuɖu gbogbo aɖe ɖuɖu vɔ megbe. Esia le alea elabena ŋutilãa trɔa ʋu geɖe yia dɔgboa me be wòakpe ɖe nuɖuɖumeŋusẽ ŋu. Esia tae ɖɔktawo ɖoa aɖaŋu zi geɖe be woaɖu nu suesuesue geɖe gbesiagbe, tsɔ wu be woaɖu nu gã eve alo etɔ̃.

Nuɖuɖuŋutinunyala alo nuɖuɖuŋutinunyala ate ŋu akpe ɖe ŋuwò le wò nuɖuɖu me. Aɖaŋuɖoɖo sia ɖea vi na wò vevietɔ ne celiac dɔléle alo nuɖuɖu ƒe seselelãme bubuwo le ŋuwò.

Mɔfiame gbadza aɖewo siwo ku ɖe tɔtrɔ le nuɖuɖu ŋu ŋue nye esi:

• Tsɔ dze miligram 3,000 va ɖo 10,000 (mg) de wò nuɖuɖu me gbesiagbe .
• No tsi lita 2 va ɖo 2.5 gbesiagbe . Tsi nyo wu.
• Ƒo nuɖuɖu suewo enuenu ɖe ​​nuɖuɖu gã geɖe teƒe.
• Nuɖuɖu si me fibre kple carbohydrates sesẽwo sɔ gbɔ ɖo ɖuɖu ate ŋu akpe ɖe ŋuwò nàɖe sukli ƒe agbɔsɔsɔ si dzina ɖe edzi kpata le ʋu me dzi akpɔtɔ eye wòaɖe POTS ƒe dzesiwo dzi akpɔtɔ.
• Lé nuɖuɖu si da sɔ me ɖe asi si me protein, amagbewo, nyinotsi me nuɖuɖuwo, kple atikutsetsewo le.
• Tia numeɖenu siwo me dze si naa lãmesẽ le: abe lãmi, atadi, amititsetse, sardine, sprat, kple nuku ene. Mègaɖo ŋu ɖe nuwo abe bisiklet kple crackers ene ɖeɖeko ŋu hena dze o.
• Ne èyi nuɖuɖudzraƒe la, ŋlɔ ŋkɔ, tia nuɖuɖu siwo naa lãmesẽ, eye nàɖo ŋku edzi nàtsɔ wò POTS-nuzazãwo (tsi, dze kpeɖeŋutɔ) ɖe asi. Ne èse le ɖokuiwò me be yegbɔdzɔ la, bia ame aɖe be wòakpe ɖe ŋuwò nàfɔ nuwo, akɔ wo, ahatsɔ wo ayi aƒemee.

Atikewo

Atike aɖeke meli si dzi U.S. Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖo be woatsɔ ada POTS o. Gake ɖɔktawo ate ŋu aŋlɔ atike aɖewo (off-label) , si nye atike siwo dzi woda asi ɖo na nɔnɔme bubuwo, be woatsɔ akpe ɖe POTS ƒe dzesi aɖewo ŋu.

Atike mawo dometɔ aɖewoe nye:

• (Fludrocortisone): Enaa dze tsia lãme eye wònana ʋu ƒe agbɔsɔsɔ dzina ɖe edzi.
• (Pyridostigmine): Ate ŋu aɖe dzitodzito ƒe ʋuʋu dzi akpɔtɔ.
• (Midodrine): Enaa ʋukawo tsia (vasoconstrict).
• Beta-blockers: Ate ŋu aɖe dzi ƒe tsotso ƒe dzidziɖedzi dzi akpɔtɔ ne wole tsitrenu (upright tachycardia).

Atike siawo katã ate ŋu agblẽ nu le ame ŋu. Wò ɖɔkta adzro eme kpli wò nenye be atike la sɔ na wò.

Nukae magate ŋu awɔ atsɔ akpɔ POTS dzi?

Tsɔ kpe ɖe kamedede kple nuɖuɖu ƒe tɔtrɔ ŋu la, nu bubu siwo nàte ŋu awɔ atsɔ akpɔ POTS gbɔe nye ŋkuléle ɖe wò ʋu ƒe sisi kple ʋu ƒe sisi ŋu edziedzi, kple alɔ̃dɔdɔ nyuie.

Lé ŋku ɖe ʋu ƒe sisi kple ʋu ƒe sisi ŋu

Wò ʋu ƒe sisi kple wò ʋu ƒe sisi dzidzedze kple eŋɔŋlɔ ate ŋu akpe ɖe ŋuwò nàse POTS gɔme eye wòakpe ɖe wò ɖɔkta ŋu wòatrɔ asi le atikewɔwɔ ƒe ɖoɖo ŋu.

Kpɔ wò ʋu ƒe sisi kple wò ʋu ƒe sisi le ɣeyiɣi ɖeka me gbesiagbe (ŋdi kple fiẽ). Esia kpena ɖe ame ŋu vevietɔ le ɣleti ʋɛ gbãtɔ siwo me wokpɔ dɔlélea le vɔ megbe. Azɔ hã, lé ŋku ɖe wò ʋu ƒe sisi kple wò dzi ƒe tsotso ŋu ne èse le ɖokuiwò me be yeƒe lãme mekɔ o gɔ̃ hã.

Àte ŋu aƒle ʋu ƒe sisidzidzenu le atikedzraƒe akpa gãtɔ, Internet dzi, alo teƒe siwo wodzraa atikewɔnuwo le.

Alesi woawɔ akpɔ alɔ̃dɔdɔ gbɔ kple POTS

(POTS) ate ŋu agblẽ wò alɔ̃dɔdɔ me. Alɔ̃dɔdɔ le vevie ŋutɔ na wò lãmesẽ bliboa, eyata ele be nàtsɔe aɖo nɔƒe gbãtɔ. Aɖaŋuɖoɖo siawo siwo ku ɖe nusianu ŋu akpe ɖe ŋuwò:

• Be nàɖe POTS ƒe dzesiwo dzi akpɔtɔ la, kɔ wò aba ƒe ta ɖe dzi sentimeta ade va ɖo ewo. Ele be aba bliboa nanɔ dzogoe ɖeka dzi. Wò aba ƒe ta kɔkɔ alea nana tsi si le wò ʋukawo me ƒe agbɔsɔsɔ dzina ɖe edzi le ŋdi me. Esia ate ŋu akpe ɖe ŋuwò nànyɔ bɔbɔe.
• Kpɔ egbɔ be wò xɔdɔme ƒe dzoxɔxɔ sɔ eye nàdɔ alɔ̃ nyuie.
• Dze agbagba nàlé alɔ̃dɔdɔ ƒe ɖoɖowɔɖi me ɖe asi . Mlɔ anyi le ɣeyiɣi ɖeka me gbesiagbe eye nànyɔ le ɣeyiɣi ɖeka me. Alɔ̃dɔdɔ ƒe dzadzɛnyenye nyuitɔ kekeake kple alɔ̃dɔdɔ si me gbɔdzɔe le la tsoa dɔwɔwɔ le wò alɔ̃dɔdɔ ƒe ɖoɖowɔɖi ŋu gbesiagbe me.
• Ƒo asa na alɔ̃dɔdɔ fũ le ŋkeke me, elabena esia ate ŋu ado kplamatse wò alɔ̃dɔdɔ le zã me.
• Nɔ anyi ɖe aba dziƑo asa na television kpɔkpɔ fũ akpa, telefon zazã, kple kɔmpiuta zazã. Mɔ̃ɖaŋununya siawo ate ŋu ado kplamatse alɔ̃dɔdɔ ƒe nyonyome.

Ne POTS gblẽ wò alɔ̃dɔdɔ vevie la, ƒo nu kple wò ɖɔkta.

Ðe woate ŋu axe mɔ ɖe POTS nua?

Nublanuitɔe la, naneke meli nàte ŋu awɔ atsɔ axe mɔ na POTS be wòagatsi o. Gake àte ŋu anya nusi hea wò dzesiawo vɛ eye nàdze agbagba aƒo asa na wo.

Aɖaŋuɖoɖo siwo woatsɔ axe mɔ ɖe dzesiawo nu be woagagblẽ ɖe edzi o dometɔ aɖewoe nye esi:

• Lé dzoxɔxɔ si mewɔa tɔtrɔ o me ɖe asi: Dzoxɔxɔ si sɔ me léle ɖe asi le vevie ŋutɔ na amesiwo ŋu POTS le. Dzoxɔxɔ si gbɔ eme, vevietɔ dzoxɔxɔ, ate ŋu ana dzesiawo nagagblẽ ɖe edzi. Yameʋuɖoɖo, fafawuwo, asi me misters, fesre suewo, kple awuwo dodo be woatrɔ ɖe dzoxɔxɔ ƒe tɔtrɔ ŋu ate ŋu akpe ɖe ame ŋu. Ne èle tsi ƒum la, dze agbagba nàzã tsi fafɛ , elabena tsi dzodzoe kple fafɛ siaa ate ŋu ana POTS ƒe dzesiwo nagado gã ɖe edzi. Tsilelezikpui zazã hã kpena ɖe ame ŋu.
• Ƒo asa na tsitretsitsi ɣeyiɣi didi: Ame geɖe siwo ŋu POTS le la kpɔa dzesi siwo nu sẽna ɖe edzi ne wotsi tre ɣeyiɣi didi. Ne ele be nàtsi tre ɣeyiɣi didi aɖe la, dze agbagba nàwɔ nuwo abe wò afɔwo kple lãmekawo ƒoƒo kple wo ƒoƒo , alo wò kpekpeme tɔtrɔ tso afɔ ɖeka dzi yi bubu dzi ene.
• Ƒo asa na ahanono: Ahanono naa tsi vɔna le wò ŋutilã me eye ate ŋu ana dzesiawo nagagblẽ ɖe edzi.

Nukae nye POTS ƒe ŋgɔdonya?

Zi geɖe la, mɔkpɔkpɔ na POTS nyo, gake ate ŋu agblẽ nu le gbesiagbegbenɔnɔ ŋu ŋutɔ. POTS ƒe dzesiwo ate ŋu ava eye woadzo ƒe geɖe. Le abe 80% ene me la, nɔnɔmea nyona ɖe edzi, gake dzesi siwo susɔ ate ŋu anɔ ame geɖe ŋu.

Afɔku gãtɔ kekeake si le amesiwo ŋu POTS le ŋue nye abixɔxɔ ne wotsi dzodzodzoe eye wodze anyi.

Ðe POTS nana ame ƒe agbenɔƒe nɔa kpuiea?

Ame siwo ŋu POTS le ƒe agbenɔƒe sɔ . Nɔnɔme sia meɖea agbenɔƒe dzi kpɔtɔna o.

Aleke mawɔ akpɔ ɖokuinye dzi ne POTS le ŋunye?

Agbenɔnɔ kple POTS ate ŋu asesẽ. Nu aɖewo siwo nàte ŋu awɔ atsɔ alé be na ɖokuiwòe nye esi:

• Ƒo nu tso wò POTS dɔlélea ŋu gaglãa kple anukwareɖiɖi na wò lɔlɔ̃tɔwo. Ƒo nu tso wò vɔvɔ̃wo, mɔkpɔkpɔwo, avuwɔwɔwo, kple kuxi siwo nèdoa goe kple nɔnɔme sia ŋu. De dzi ƒo na amesiwo doa alɔ wò be woasrɔ̃ nu geɖe tso POTS ŋu.
• Mlɔ anyi nyuie eye nàɖu nu nyuie be wòakpe ɖe ŋuwò nàɖu nuteɖeamedzi dzi.
• Bu eŋu kpɔ be yeage ɖe POTS ƒe kpekpeɖeŋunaha aɖe me (le Internet dzi alo ame ŋutɔ gbɔ). Esiawo ate ŋu akpe ɖe ame ŋu be woaɖe ame ɖokui ɖeɖe ɖe aga ƒe seselelãmewo dzi akpɔtɔ.
• Kpɔ nyuie ŋutɔ le egbɔkpɔnu kabakaba siwo tso teƒe siwo menye atikewɔlawo o kple ame ɖekaɖekawo gbɔ ŋu. Zi geɖe la, nuwo ɖɔɖɔɖo kabakaba mekpena ɖe POTS ŋu o, eye le nyateƒe me la, ate ŋu ahe nuteɖeamedzi geɖe vɛ.
• Bu susumedɔdada didi be nàsrɔ̃ alesi nàwɔ anɔ te ɖe lãmesẽkuxi si nɔa anyi didi nu ŋu. Aɖaŋuɖoɖo ate ŋu akpe ɖe ame ŋu hã be woakpɔ susumedɔléle bubu siwo ate ŋu akpɔ ŋusẽ gbegblẽ ɖe POTS dzi la gbɔ.
• De ŋugble, alo zã miniti ʋɛ aɖewo nàɖi ɖe eme alo nàɖe vovo atsɔ aɖe wò POTS ƒe dzesi aɖewo dzi akpɔtɔ. Seselelãmewo ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò gbesiagbegbenɔnɔ kple lãmesẽ dzi. Ate ŋu aɖe vi be nàƒo nu kple aɖaŋuɖola alo POTS ƒe kpekpeɖeŋunaha aɖe be nàde dzesi seselelãme siawo.

Ɣekaɣie wòle be makpɔ ɖɔkta le POTS ŋu?

Ne èkpɔ dzesi siwo mebɔ o ne ètsi tre, abe taɖuame alo dzi ƒe tsotso kabakaba ene la, yi ɖɔkta gbɔ.

Ne POTS le ŋuwò la, dze agbagba nàkpɔ ɖɔkta si bi ɖe POTS me be nàkpɔ atike nyuitɔ kekeake. Àhiã ɖɔkta gbãtɔ hã be wòakpɔ wò lãmesẽ kple nyonyo bliboa gbɔ.

Ne ènya be Postural Orthostatic Tachycardia Syndrome (POTS) le ŋuwò la, ate ŋu awɔ nuku na wò ŋutɔ. Gake ɖo ŋku edzi be atikewɔwɔ kple agbenɔnɔ ƒe tɔtrɔ vovovowo li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ. Ame eve siwo ŋu POTS le la mekpɔa ŋusẽ ɖeka o, eyata ele vevie be nàxɔ beléle si sɔ na wò ŋutɔ si le etɔxɛ na wò nɔnɔmea. Mègavɔ̃ be yeabia nya wò ɖɔkta tso POTS ŋu o. Wole afisia be yewoana kpekpeɖeŋu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

• Ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom alo yeƒe dzi le ƒoƒom ne ènya tsi tre tso anyinɔƒe alo mlɔƒe ko la, ate ŋu anye POTS. Mègalala ko o, yi ɖɔkta gbɔ.
• POTS menye nɔnɔme si dea ame ƒe agbe afɔku me o, gake ate ŋu ado kplamatse gbesiagbedɔwo.
• Nu nyuitɔ kekeakee nye be woate ŋu aɖu edzi nyuie to agbenɔnɔ ƒe tɔtrɔ, nuɖuɖu, kamedede, kple ɣeaɖewoɣi atikewo zazã me .
• Nuwo abe nɔnɔme tɔtrɔ enuenu, tsi kple dze si sɔ nono, kple nuɖuɖu suesuesuewo ɖuɖu enuenu ate ŋu akpe ɖe ŋuwò.
• Menye wò ɖeka koe o. Kpekpeɖeŋunahawo kple aɖaŋuɖohawo ate ŋu akpe ɖe ŋuwò nàkpɔ nɔnɔme sia gbɔ.
• Mègana mɔkpɔkpɔ gbeɖe o! Ne èkpɔ egbɔ nyuie la, àte ŋu anɔ agbe nyui kple POTS gɔ̃ hã.

` POTS, postural orthostatic tachycardia syndrome, taɖuame, dzi ƒe tsotso, autonomic nervous system, ʋu ƒe sisi, alɔ̃madɔmadɔ