Ame ƒe tagbɔ bu kpataa? Mina míasrɔ̃ nu tso nɔnɔme sia si mebɔ o (Primary Periodic Paralysis) ŋu .

Bu eŋu kpɔ be, èle lãmesẽ me eye kasia wò abɔ alo afɔ ɖeka vuvu eye nètsi dzodzodzoe. Alo wò ŋutilã bliboa gbɔdzɔna ale gbegbe be màte ŋu aʋuʋu o. Enye nusi sɔ be vɔvɔ̃ naɖo ame ŋutɔ ne nane si le abe esia ene dzɔ. Ame geɖe susuna be ɖeɖiteameŋu alo nu bubu aɖe gbɔe esia tso. Gake ɣeaɖewoɣi la, atikewɔwɔ me susu aɖe ate ŋu anɔ megbe na esia si ŋu wòle be míadzro tsitotsito. Egbea míele nu ƒom tso atikewɔwɔ me nɔnɔme sia tɔgbe si mebɔ o gake wòle vevie ŋutɔ si ŋu wòle be míanya nu tsoe ŋu.

Kpuie ko la, nukae nye Primary Periodic Paralysis (PPP)?

Primary Periodic Paralysis, alo PPP kpuie, nye nɔnɔme siwo mebɔ o ƒe ƒuƒoƒo aɖe si gblẽa nu le míaƒe lãmekawo ŋu zi ɖeka. Nusi dzɔnae nye be, nuxlɔ̃ame aɖeke manɔmee , kasia wò lãmekawo gbɔdzɔna, wosẽna, alo woƒe lãme tuna keŋkeŋ. Nɔnɔme sia ate ŋu anɔ anyi aɖabaƒoƒo ʋɛ aɖewo le ame aɖewo gome, evɔ le ame bubuwo gome la, ate ŋu anɔ anyi ŋkeke geɖe.

Susu vevitɔ si gbɔ esia tsoe nye míaƒe lãmekawo me. Tsɔe be mɔ suesuesuewo le míaƒe lãmekawo me. Mɔ siawoe nye afisi tomenu veviwo abe potassium, sodium, kple calcium ene gena ɖe lãmenugbagbeviwo me hedoa go le. Be lãmeka nate ŋu awɔ dɔ nyuie la, ele be tomenu siawo ƒe agbɔsɔsɔ si le lãmenugbagbevi la me kple egodo nada asɔ bliboe. Nusi dzɔna ɖe amesi ŋu PPP le dzi enye be dadasɔ sia bu le mɔ̃ siawo ƒe gbegblẽ ta. Ekema lãmekawo mate ŋu awɔ dɔ nyuie o.

Zi geɖe la, dzesi siawo dzea egɔme tso ɖevime alo ƒewuiwo me, gake ɖewohĩ ame aɖewo maɖe dzesi aɖeke afia o vaseɖe esime woxɔ ƒe 60 alo 70.

Nukawoe nye dɔléle sia ƒomevi vevitɔwo?

Woma PPP ɖe hatsotso vevi geɖewo me. mineral channel defect si le wò lãmekawo me koŋue kpɔa ŋusẽ ɖe hatsotso sia dzi.

Nukae nye nusiwo gbɔ nɔnɔme sia tsona kple nusiwo "ʋãa ame"?

Domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ aɖe gbɔe PPP tsona . Kpuie ko la, domenyiŋusẽfianu siwo kpɔa mɔ siwo le lãmekawo ƒe lãmenugbagbeviwo me si ŋu míeƒo nu tsoe va yi la ƒe gbɔdzɔgbɔdzɔ gbɔe wòtso. Zi geɖe la, ɖevi nyia domenyiŋusẽfianu sia si gblẽ la ƒe dome tso wo dzilawo dometɔ ɖeka gbɔ. Gake ƒã ŋutɔ be ɖevi ate ŋu axɔ dɔlélea ne domenyiŋusẽfianu sia mele dzilawo si o gɔ̃ hã.

Azɔ mina míalé ŋku ɖe nusi ate ŋu "aʋã" lãmeka ƒe gbɔdzɔgbɔdzɔ sia ŋu. Esiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

• Nuɖuɖu: Nuɖuɖu siwo me potassium sɔ gbɔ ɖo (le hyperKPP me) alo potassium si mebɔ o (le hypoKPP me) ɖuɖu fũ akpa. Azɔ hã, nuɖuɖu siwo me carbohydrates sɔ gbɔ ɖo (starch/sugar) ɖuɖu.
• Kamedede : Ne èle ɖiɖim ɖe eme le kamedede sesẽ megbe.
• Gbɔɖeme: Nɔ anyi ɖe nɔnɔme ɖeka me ɣeyiɣi didi, ne èfɔ le ŋdi me, alo ne èdɔ alɔ̃ vɔ.
• Nu bubu siwo gbɔ wòtsona: Nuteɖeamedzi, vuvɔ si nu sẽ, ahanono, kple atike aɖewo (e.g., lãmekawo ƒe gbɔdzɔe, asrãtike aɖewo, vevesesenutsitikewo).

Nukawoe nye dzesi vevitɔwo?

Dzesi vevitɔe nye lãmekawo ƒe gbɔdzɔgbɔdzɔ kpata alo lãmetutudɔ keŋkeŋ. Esia ate ŋu agblẽ nu le alɔ alo afɔ ɖeka ko ŋu le ɣeyiɣi ɖeka me, alo ate ŋu agblẽ nu le ŋutilã bliboa ŋu le ɣeyiɣi bubuwo me.

Tsɔ kpe ɖe dzesi vevi sia ŋu la, ame aɖewo ate ŋu akpɔ dzesi bubuwo hã ne wokpɔ gbɔdzɔgbɔdzɔ sia:

• Mo ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ
• Lãmetsiwo ƒe vevesese kple woƒe sesẽ
• Dzi ƒe tsotso si mesɔ o
• Gbɔgbɔ alo nu mimi sesẽ

HypoKPP (potassium ƒomevi si mebɔ o) .

Dzesiawo ate ŋu adze enuenu abe zi ɖeka gbesiagbe ene, alo ƒã abe zi ɖeka le ƒea me ene. Woate ŋu anɔ anyi gaƒoƒo ɖeka alo eve, alo woate ŋu anɔ anyi ŋkeke eve alo etɔ̃. Le ɣeyiɣi aɖe megbe la, lãmekaawo ate ŋu agbɔdzɔ tegbee.

HyperKPP (potassium si dzina ɖe edzi ƒomevi) .

Gbɔdzɔgbɔdzɔa ate ŋu anɔ anyi ɣeyiɣi kpui aɖe, gake ate ŋu adzɔ enuenu. Dzesiawo ate ŋu ado kpata, eye ɣeaɖewoɣi la, woanɔ anyi aɖabaƒoƒo ʋɛ aɖewo gɔ̃ hã. Ne gbɔdzɔgbɔdzɔ aɖeke mele eŋu o gɔ̃ hã la, àte ŋu ase le ɖokuiwò me be lãmekawo le ʋuʋum alo yeƒe lãme sẽ.

Andersen-Tawil ƒe Dɔléle (ATS) .

Tsɔ kpe ɖe lãmekawo ƒe gbɔdzɔgbɔdzɔ ŋu la, wokpɔa ŋutilã me dzesi bubuwo hã.

• Dzi ƒe tsotso kabakaba alo esi medzɔna edziedzi o
• Scoliosis ƒe dɔléle
• Asibidɛ siwo wotsɔ lãgbalẽ wɔe
• Asi kple afɔ siwo le sue wu le mama dedie nu
• Mo ƒe tɔtrɔ aɖewo (e.g., ŋgonu gbadza, to siwo mebɔbɔ o) .

Aleke woawɔ anya dɔléle sia pɛpɛpɛ?

Esi wònye be PPP nye dɔléle si mebɔ o eye eƒe dzesiwo sɔ kple dɔléle bubu siwo bɔ ta la, ate ŋu axɔ ɣeyiɣi aɖe hafi woate ŋu anya dɔlélea nyuie. Eyata ne dzesi siawo le ŋuwò la, anyo wu be nàkpɔ ɖɔkta si bi ɖe dɔléle siwo do ƒome kple lãmekawo ƒe dɔwɔwɔ me (Ahɔhɔ̃ŋutinunyala) .

Wò ɖɔkta ate ŋu abia nya siawo abe esiawo ene atsɔ anya dɔlélea:

• Ɣekaɣie dzesi siawo dze egɔme?
• Ðe nɔnɔme sia tɔgbi le ƒomea me tɔ bubu aɖe hã ŋua?
• Nukae dzɔna ne gbɔdzɔgbɔdzɔ va?
• Ðe nèse le ɖokuiwò me kpɔ be nuɖuɖu alo nuwɔna aɖe koŋ ye he esia vɛa?

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:

• Ʋudodokpɔ: Kpɔ potassium, thyroid hormone, kple nu bubuwo ƒe agbɔsɔsɔ ɖa.
• Electromyography (EMG): Be woado lãmekawo kple lãmekawo ƒe dɔwɔwɔ kpɔ.
• Electrocardiogram (EKG): Be woalé ŋku ɖe dzi ƒe tsotso edziedzi ŋu.
• Muscle Biopsy: Lãmetsi sue aɖe ɖeɖe kple edodokpɔ.

Aleke woawɔ akpɔ egbɔe ahakpɔ egbɔ?

Esia ƒe atike vevitɔe nye be woade dzesi nusiwo hea dɔlélea vɛ ahaƒo asa na wo . Esia fia be nàwɔ tɔtrɔ aɖewo le wò nuɖuɖu kple kamedede ƒe ɖoɖoa ŋu.

Tsɔ kpe ɖe eŋu la, atike aɖewo li siwo ana woakpɔ potassium ƒe agbɔsɔsɔ si le ŋutilãa me dzi.

• Woda asi ɖe atike si nye Dichlorphenamide (Keveyis) dzi be wòada hypoKPP kple hyperKPP siaa.
• Ðɔktawo hã kafua atike aɖe si woyɔna be Acetazolamide (Diamox) hã ɣeaɖewoɣi .
• Wonaa potassium kpeɖeŋutɔ amesiwo ŋu HypoKPP le.
• Ame si ŋu HyperKPP le ate ŋu aɖu gbɔdzɔgbɔdzɔ dzi ɣeaɖewoɣi to aha si me sukli le (e.g., soda) nono ne edze egɔme ko.

Àte ŋu aɖu nɔnɔme sia dzi vaseɖe afi aɖe ne èwɔ tɔtrɔ suesuesuewo le wò agbenɔnɔ me.

• Nuɖuɖu: Ne hyperKPP (potassium sɔ gbɔ) le ŋuwò la, ahiã be nàɖe nuɖuɖu siwo me potassium sɔ gbɔ ɖo abe akɔɖu, dati, broccoli, kple atikutsetse ene dzi akpɔtɔ. Ne hypoKPP (potassium si mebɔ o) le ŋuwò la, ahiã be nàɖe nuɖuɖu siwo me carbohydrate sɔ gbɔ ɖo abe abolo, pasta, bli, kple nu viviwo ene dzi akpɔtɔ. Xɔ aɖaŋuɖoɖo nyuitɔ tso wò ɖɔkta gbɔ tso esia ŋu.
• Kamedede: Abe kamedede si gbɔ eme ene la, kamedede aɖeke hã menyo o. Ðo dze kple wò ɖɔkta tso kamedede si sɔ na wò ŋu.