Ðe nètsi dzi ɖe viwò ƒe kɔkɔme kpui ŋua? Mina míasrɔ̃ nu tso Pseudoachondroplasia ŋu!

Ɣeaɖewoɣi la, àte ŋu asusui be, ‘Oo, vinyea le kpuie vie wu ɖevi bubuwo, alo?’ Alo ɖe ɖɔktaa lé ŋku ɖe viwòa ƒe tsitsi ƒe nɔnɔmetata ŋu hegblɔ nya aɖe abe, ‘Viwòa ƒe kɔkɔme to vovo vie’? Le ɣeyiɣi siawo tɔgbe me la, nusi gbɔ wòtso ate ŋu anye dɔléle aɖe si woyɔna be pseudoachondroplasia, si ŋu míele nu ƒom tsoe egbea. Togbɔ be nya sia adze abe nya gã aɖe ene hã la, mina míaƒo nu tso eŋu bɔbɔe.

Kpuie ko la, nukae nye `(Pseudoachondroplasia)`?

Kpuie ko la, pseudoachondroplasia nye domenyiŋusẽfianu ƒe dɔléle si mebɔ o si gblẽa nu le míaƒe ƒuwo ƒe tsitsi ŋu. Esiae nana ame aɖewo nɔa kpuie, alo ‘kpuie’ abe alesi míeyɔnɛ ene. Ate ŋu anye domenyinu ɣeaɖewoɣi, alo ate ŋu adzɔ le vome hã.

Nu vevitɔ enye be togbɔ be amesi ŋu `(Pseudoachondroplasia)` le ƒe abɔwo le kpuie wu alesi wòle dzɔdzɔmee hã la, woƒe mo ƒe dzedzeme, ta ƒe lolome, kple nunya sɔ. Esia fia be esia mekpɔa ŋusẽ ɖe nunya dzi o. Eyata mègatsi dzi ɖe eŋu o.

Ŋkɔ bubuwo hã li na esia, eye ɖewohĩ èse ɖɔktawo zã ŋkɔ siawo kpɔ:

• `(PSACH)`
• `(Pseudoachondroplastic ƒe dɔmawɔmawɔ nyuie)`
• `(Pseudoachondroplastic spondyloepiphyseal ƒe dɔmawɔmawɔ nyuie ƒe dɔléle)`

Esiawo katã nye ŋkɔ siwo wotsɔ na nɔnɔme ɖeka ma ke.

Aleke gbegbee wòakɔ ne nɔnɔme sia le eŋu?

Zi geɖe la, ɖevi si ŋu `(Pseudoachondroplasia)` le la menɔa kpuie le edziɣi o. Wodzia wo abe alesi wòle ene. Gake , ne woxɔ ƒe eve lɔƒo ko hafi wodzea woƒe kɔkɔme dzi ɖeɖe kpɔtɔ vie ne wotsɔe sɔ kple ɖevi bubuwo tɔ. Esia fia be wodzea egɔme ŋlɔa ɖevia ƒe kɔkɔme be ele kpuie wu ɖevi bubuwo le tsitsi ƒe nɔnɔmetata siwo ɖɔktawo zãna la dzi.

Mlɔeba la, amesiame kloe si ŋu dɔléle sia le la anɔ kpuie wu le mama dedie nu. Ŋutsu ate ŋu akpɔ mɔ be yeƒe kɔkɔme anɔ abe afɔ 3 kple sentimeta 1.19 ene, eye nyɔnu ate ŋu akpɔ mɔ be yeƒe kɔkɔme anɔ abe afɔ 3 kple sentimeta 1.14 ene .

Vovototo kae le `(Pseudoachondroplasia)` kple `(Achondroplasia)` dome?

Ðewohĩ èse nɔnɔme aɖe si woyɔna be `(Achondroplasia)` hã. Esia nye domenyiŋusẽfianu ƒe nɔnɔme bubu si nana ame ƒe kɔkɔme nɔa kpuie. Tsã la, wobua `(Pseudoachondroplasia)` kple `(Achondroplasia)` be wonye nɔnɔme ɖeka. Gake numekuku siwo wowɔ nyitsɔ laa ɖee fia be togbɔ be wo ame evea siaa nana ame ƒe kɔkɔme nɔa kpuie hã la, nɔnɔme vovovo evee wonye.

Domenyiŋusẽfianu bubu aɖe ƒe tɔtrɔ gbɔe achondroplasia tsona. Ame siwo ŋu achondroplasia le hã ƒe mo ƒe nɔnɔme to vovo. Gake le pseudoachondroplasia, si ŋu míele nu ƒom tsoe egbea gome la, mo ƒe nɔnɔme tɔxɛ mawo medzɔna o.

Aleke gbegbee nɔnɔme sia bɔe?

Pseudoachondroplasia nye dɔléle si mebɔ kura o. Le dzɔdzɔmeŋutinunyalawo ƒe nya nu la, .Nɔnɔme sia dzɔna le vidzĩ siwo wodzina dometɔ ɖeka le 30,000 ɖesiaɖe me alo ɖeka le 100,000 ɖesiaɖe me. Eyata menye nusi bɔ ŋutɔe wònye o.

Nukatae `(Pseudoachondroplasia)` sia dzɔna? Nukawoe gbɔ wòtsona?

Nusi koŋ gbɔ esia tsoe nye domenyiŋusẽfianu aɖe si le míaƒe ŋutilã me ƒe tɔtrɔ. Ne míagblɔe tututu la, nɔnɔme sia tso domenyiŋusẽfianu `(COMP)` (si nye ``Cartilage Oligomeric Matrix Protein`` ƒe kpukpui) ƒe tɔtrɔ gbɔ.

Fifia àte ŋu anɔ eŋu bum be nukae nye `(COMP)` domenyiŋusẽfianu sia, nukae nye `(chondrocytes)` sia hã. Ðeko nàbu eŋu ale:

Hafi ƒuwo nadzɔ ɖe míaƒe ŋutilã me la, nane si woyɔna be ƒunukpeƒetetedɔ nɔa teƒe mawo. Enye lãkusi si te ŋu trɔna vie abe rababa ene. Woyɔa lãmenugbagbevi siwo wɔa ƒunukpeƒe sia be `(chondrocytes)` . Domenyiŋusẽfianu `(COMP)` le vevie ŋutɔ na `(chondrocytes)` lãmenugbagbevi siawo be woawɔ dɔ nyuie eye woanɔ lãmesẽ me. Abe alesi nèhiãa anyikpe nyuiwo be nàtu aƒe ene la, ele be lãmenugbagbevi siawo siwo nye `(chondrocytes)` nanɔ lãmesẽ me hafi ƒuwo nate ŋu awɔ nyuie.

Zi geɖe la, ne vidzĩ le tsitsim le vidzidɔa me la, ƒunukpeƒe sia trɔna zua ƒu vivivi. Gake ƒunukpeƒe aɖewo gakpɔtɔ le míaƒe ŋutilã me, vevietɔ be woakpɔ ƒunukpeƒewo ta ahatsyɔ ƒuwo ƒe nuwuwu.

Eyata, le amesi ŋu `(Pseudoachondroplasia)` le gome la, le tɔtrɔ si woyɔ le `(COMP)` domenyiŋusẽfianu me ta la, protein siwo mesɔ o ƒoa ƒu ɖe `(chondrocytes)` lãmenugbagbevi siawo me. Emegbe lãmenugbagbevi siawo kuna kaba. Ne edzɔ alea la, kuxiwo doa mo ɖa le ƒunukpeƒewo, eye ƒuwo metsina nyuie o. Esia tae ame ƒe kɔkɔme dzi ɖeɖe kpɔtɔ kple kuxi bubu siwo do ƒome kple ƒuwo doa mo ɖa ɖo.

`(COMP)` domenyiŋusẽfianu ƒe tɔtrɔ sia ateŋu atso dzilawo gbɔ na ɖeviwo ɣeaɖewoɣi. Esia fia be ne dɔlélea le vidadaa alo fofoa ŋu la, mɔnukpɔkpɔ si ade 50% le wo viwo si be wòanyie ƒe dome. Nu tɔxɛ bubue nye be ne vidadaa alo vifofoa dometɔ ɖeka koe dɔlélea le hã la, ɖevia ate ŋu axɔe kokoko.

Gake zi geɖe la, domenyiŋusẽfianu ƒe tɔtrɔ siawo dzɔna le vome, si fia be wodzɔna ƒome ŋutinya aɖeke manɔmee (nutɔtrɔ siwo dzɔna le wo ɖokui si).

Nukae nye dzesi siwo ate ŋu ade dzesi wò be èle `(Pseudoachondroplasia)`?

Zi geɖe la, `(Pseudoachondroplasia)` ƒe dzesiwo medzena le vidzidzi me o. Abe alesi míegblɔe va yi ene la, mo ƒe dzedzeme, ta ƒe lolome, kple nunya katã sɔ. Gake , ƒunukpeƒetetedɔ dzea egɔme dzena le ƒe 9 kple ƒe 3 dome. Emegbe dzesi siawo va dzena nyuie wu le ɖevimenɔɣi katã.

Le ɣeyiɣi aɖe megbe la, àte ŋu ade dzesi dzesiwo abe esiawo ene:

• Afɔwo ƒe nɔnɔme ƒe tɔtrɔ: Ðevi aɖewo ƒe afɔwo ate ŋu abɔbɔ alo aƒo klowo. Ɣeaɖewoɣi la, afɔ ɖeka ate ŋu anɔ mɔ ɖeka dzi eye evelia ate ŋu anɔ mɔ bubu dzi (yaƒoƒo ƒe nɔnɔme madeamedzi).
• Akɔta ƒe ƒoƒo: Nɔnɔme si me akɔta ƒoa xlã axa ɖeka (Scoliosis) alo ƒoa xlãe yia ŋgɔ (Kyphosis) ate ŋu adzɔ. Esiawo ate ŋu ana akɔta nase veve eye gbɔgbɔ nasesẽ.
• Ƒunukpeƒewo ƒe ʋuʋu kple sesẽ: Ƒunukpeƒe geɖewo (e.g., asibidɛwo, asibidɛwo) ate ŋu aɖiɖi wu alesi wòle (ƒunukpeƒewo ƒe ʋuʋu). Gake abɔta kple akɔta ate ŋu asẽ vie ɣeaɖewoɣi.
• Ƒunukpeƒeveame: Esia ate ŋu ava zu ƒunukpeƒetetedɔ le ɣeyiɣi aɖe megbe. Esia fia be ƒunukpeƒeveame ate ŋu adzi ɖe edzi, vevietɔ ne èle tsitsim.
• Kɔ ƒe malikenyenye: Odontoid hypoplasia, si nye nɔnɔme si me akɔta ƒe akpa si le etame metsi nyuie o, ate ŋu ana kɔ nagali ke o. Esia nye nusi ŋu wòle be woatsi dzi ɖo, elabena ate ŋu agblẽ nu le lãmeka siwo le kɔ me ŋu.
• Asiwo kple asibidɛwo ƒe kpuie: Asiwo kple asibidɛwo ate ŋu anɔ kpuie wu alesi wòle dzɔdzɔmee.
• Kpuienyenye: Esiae nye nɔnɔme vevitɔ kekeake si dze ƒã wu.
• Ŋutilã ƒe ʋuʋu: Le teƒe aɖewo la, àte ŋu akpɔ ŋutigbalẽ ƒe akpa bubuwo.
• Tɔtrɔ siwo va le azɔlizɔzɔ ƒe atsyã me: Ne akɔtaƒuwo mesɔ o ate ŋu ana ame nazɔ azɔli abe dadi ene ne ele zɔzɔm.

Dzesi siawo mevana na amesiame le mɔ ɖeka nu o. Dzesiawo dometɔ aɖewo koe ate ŋu anɔ ame aɖewo ŋu, evɔ ame bubuwo ya ate ŋu asɔ gbɔ wu. Eto vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Aleke ɖɔktawo wɔa anya dɔléle sia (Pseudoachondroplasia)?

Ðɔkta ate ŋu anya pseudoachondroplasia vevietɔ ne edo ɖevia kpɔ eye wòɖe X-ray tsɔ lé ŋku ɖe ƒuwo kple ƒunukpeƒewo ƒe nɔnɔme ŋu. X-ray te ŋu kpɔa ƒuawo ƒe nɔnɔme kple woƒe tsitsi nyuie, kpakple tɔtrɔ tɔxɛ ɖesiaɖe si ava ƒuawo ƒe nuwuwu.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ domenyiŋusẽfianu dodokpɔ atsɔ aɖo kpe edzi be domenyiŋusẽfianu ƒe tɔtrɔ (le COMP domenyiŋusẽfianu me) si hea nɔnɔme sia vɛ la li hã. Zi geɖe la, esia bia be woaɖe ʋu.

Ne `(Pseudoachondroplasia)` le ƒomea me, si fia be, ne èle ƒome si me afɔku gã aɖe le be dɔléle sia xɔxɔ me la, woate ŋu awɔ domenyiŋusẽfianu dodokpɔ le fugboe ƒe afɔɖeɖea me. Eyae nye be, esime vidzĩa gakpɔtɔ le vidzidɔa me. Wowɔa esia to dodokpɔmɔnu siwo woyɔna be `(Chorionic Villus Sampling)` alo `(Amniocentesis) zazã me.` Esiawo nye dodokpɔ siwo wowɔna ne ehiã ko, le ɖɔkta bibiwo ƒe aɖaŋuɖoɖo nu.

Nukae nye atikewɔwɔ na nɔnɔme si nye `(Pseudoachondroplasia)`?

Pseudoachondroplasia dada nɔ te ɖe nɔnɔmea ƒe sesẽme kple wò lãmesẽ bliboa dzi. Ɣeaɖewoɣi la, mehiã be woawɔ atike aɖeke koŋ o, ɖeko woléa ŋku ɖe eŋu edziedzi be woakpɔe ɖa be kuxiwo do mo ɖa hã. Ke hã, ame aɖewo hiã atikewɔwɔ. Atikewɔwɔ ate ŋu anye:

• Vevesesenutsitikewo: Woateŋu ana vevesesenutsitikewo abe ``Analgesics`` be woatsɔ aɖe ƒunukpeƒeveame dzi akpɔtɔ.
• Aɖuɖɔtoe ƒe ʋuʋudediwo ɖɔɖɔɖo:Ne akɔta ƒe ƒoƒo (scoliosis, kyphosis) la, woate ŋu ana nu tɔxɛwo (braces) wo be woado, alo woate ŋu aɖɔ wo ɖo to amekoko me.
• Aɖaŋuɖoɖo: Ele vevie ŋutɔ be woadi aɖaŋuɖoɖo be woakpɔ susu kple hadomenuwɔna siwo ame ƒe kɔkɔme kpui gblẽna le ame ŋu gbɔ. Esia le vevie na ɖevia kple dzilawo siaa.
• Domenyiŋusẽfianu ƒe aɖaŋuɖoɖo: Esi nɔnɔme sia ate ŋu agblẽ nu le ƒomea me tɔ bubuwo hã ŋu ta la, anyo be nàdi domenyiŋusẽfianu ŋuti aɖaŋuɖoɖo na wo. Esia akpe ɖe mía ŋu le ɖoɖowɔwɔ ɖe ƒome ŋu le etsɔme.
• Lãmesẽfefewɔwɔ kple dɔdamɔnu: Lãmesẽfefewɔwɔ kple dɔdamɔnu ate ŋu akpe ɖe ŋuwò nàna wò ŋusẽ nanyo ɖe edzi, be ƒunukpeƒewo nate ŋu atrɔ ɖe nɔnɔmewo ŋu, eye nàwɔ gbesiagbedɔwo bɔbɔe wu.
• Amekoko na ƒu kple ƒunukpeƒekuxiwo: Amekoko bubu siwo do ƒome kple ƒunukpeƒewo, abe akɔta ɖɔliɖɔli kple klo ƒe ƒu ɖeɖe ene, ate ŋu ahiã. Esiawo ate ŋu aɖe vevesese dzi akpɔtɔ eye wòana ƒunukpeƒewo nawɔ dɔ nyuie wu.
• Amekoko be akɔta kple kɔ nali ke: Ne kɔ kple akɔta meli ke o la, woate ŋu awɔ amekoko ƒe fuɖeɖe be akɔtaƒu eve alo esi wu nenema nali ke to wo tsɔtsɔ ƒo ƒui me.

Menye amesiamee hiã atikewɔmɔnu siawo le mɔ ɖeka nu o. Wò atikewɔlawo ƒe ƒuƒoƒoa atso nya me le atikewɔwɔ ƒe ɖoɖo si anyo na wò ŋu.

Aleke etsɔme anɔ na amesi ŋu `(Pseudoachondroplasia)` le?

Esia nye tamesusu fakɔname na ame geɖe. Nɔnɔme si nye `(Pseudoachondroplasia)` mekpɔa ŋusẽ ɖe wò susu ƒe tsitsi alo agbenɔƒe dzi o. Zi geɖe la, amesiwo ŋu `(Pseudoachondroplasia)` le nɔa agbe si me wowɔa dɔ le, si me viɖe le. Wo dometɔ geɖe hã ƒe ƒomegbenɔnɔ le wo si. Eyata naneke meli si ŋu woatsi dzi ɖo o. Nu vevitɔe nye be nàde dzesi kuxi siwo ate ŋu ado mo ɖa kaba eye nàda wo nyuie.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe nɔnɔme sia nua?

Esi wònye be domenyiŋusẽfianu ƒe tɔtrɔ gbɔe pseudoachondroplasia tsona ta la, le nyateƒe me la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu keŋkeŋ o.

Ne nɔnɔme sia le ŋuwò, ne èfɔ fu la, mɔnukpɔkpɔ anɔ abe 50% ene be viwòa anyi domenyiŋusẽfianu sia dome. Abe alesi míegblɔe va yi ene la, domenyiŋusẽfianu dodokpɔ do ŋgɔ na vidzidzi ate ŋu ade dzesi domenyiŋusẽfianu ƒe tɔtrɔ sia. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be woaɖo aɖaŋu na wò ƒometɔ kplikplikpliwo.

Aleke nèléa be na ɖokuiwò kple viwò si ŋu `(Pseudoachondroplasia)` le nyuie?

Ne pseudoachondroplasia le ŋuwò alo viwòa ŋu la, àte ŋu akpɔ ɖokuiwò dzi nyuie to:

• Atikewɔwɔ me dodokpɔ siwo ŋu wowɔ ɖoɖo ɖo:De dodokpɔ siwo katã wò ɖɔkta kafu be woatsɔ akplɔe ɖo. Esia akpe ɖe ŋuwò nàlé ŋku ɖe wò lãmesẽ ŋu eye nàde dzesi kuxi ɖesiaɖe si ado mo ɖa kaba.
• Ƒo asa na nuwɔna siwo gblẽa nu le ƒunukpeƒewo ŋu: Ƒo asa na nuwɔna siwo ana nàse veve eye nàde nuteɖeamedzi madzemadzee na ƒunukpeƒewo alesi nàte ŋui. Le kpɔɖeŋu me, kamedefefe siwo wowɔna kple kamedede kple kamedefefe siwo me woti kpo fũu akpa le la mesɔ o.
• Lé be na wò kɔ: Ƒo asa na wò kɔ bɔbɔ akpa, elabena esia ate ŋu ana aklã me kuxiwo nadzi ɖe edzi. Ele be nàkpɔ nyuie le esia ŋu vevietɔ ne `(Odontoid hypoplasia)` le ŋuwò.
• Kamedede siwo sɔ na ƒunukpeƒewo: Lé fɔ ɖe kamedede siwo meɖea nuteɖeamedzi boo aɖeke na wò ƒuwo kple ƒunukpeƒewo o ŋu. Nuwo abe azɔlizɔzɔ kple tsiƒuƒu ene nyo ŋutɔ. Esiawo doa ŋusẽ wò ƒunukpeƒewo eye wòɖea vevesese dzi kpɔtɔna.

Nu siawo dzi kpɔkpɔ ate ŋu ana agbea nanɔ bɔbɔe wu.

Aleke nàte ŋu akpe ɖe ɖevi si ŋu `(Pseudoachondroplasia)` le ŋu wòanɔ te ɖe nɔnɔme sia nu dzidzedzetɔe?

Ðevi aɖewo ate ŋu akpe ŋu ahakpe ŋu na wo le tɔtrɔ siwo wokpɔna, abe woƒe kɔkɔme kpui ene ta. Esia ate ŋu akpɔ ŋusẽ ɖe woƒe hadomekadodowo hã dzi. Nu siwo nàte ŋu awɔ atsɔ akpe ɖe viwòa ŋu wòanɔ te ɖe nɔnɔme sia nu dometɔ aɖewoe nye esi:

• Kpɔ susumedɔléle ŋuti aɖaŋuɖola : Bu susumedɔléle ŋuti aɖaŋuɖola gbɔ yiyi ŋu be wòakpe ɖe viwòa ŋu wòase eƒe seselelãmewo gɔme ahakpɔ wo dzi.
• Ðo dze kple viwòa gaglãa: Ƒo nu faa tso nɔnɔmea ŋu kple viwòa le gbe bɔbɔe si gɔme woate ŋu ase me. Ðo woƒe biabiawo ŋu dzigbɔɖitɔe. Gblɔ nyawo abe, "Èto vovo vie tso ame bubuwo gbɔ, gake asixɔxɔ le ŋuwò ŋutɔ."
• Na ame siwo gbɔ ɖevia le zi geɖe la nanya: Anyo be nàna ame siwo gbɔ ɖevia le zi geɖe, abe sukunufialawo, xɔlɔ̃wo, kple ƒometɔwo ene, nanya nu tso nɔnɔme sia ŋu. Ekema woate ŋu ase nu gɔme hã ahakpe ɖe ŋuwò.
• Wɔ ɖeka kple kpekpeɖeŋunahawo: Ne kpekpeɖeŋunahawo alo dukɔa ƒe habɔbɔ siwo ʋlia amewo ta li siwo me nàte ŋu ado go ƒome bubu siwo le nɔnɔme mawo tɔgbe me le la, wo me nɔnɔ ate ŋu anye ŋusẽtsoƒe gã aɖe. Nu geɖe li míasrɔ̃ tso ame bubuwo ƒe nuteƒekpɔkpɔwo me.
• Kpekpeɖeŋunana le suku: Di nuwɔwɔ aduadu ƒe ɖoɖo tso nufialawo gbɔ ale be ɖevia nate ŋu asrɔ̃ nu nyuie eye wòawɔ dɔ aduadu kple ame bubuwo le suku anyrawɔwɔ aɖeke manɔmee. Ðewohĩ àte ŋu awɔ ɖoɖo ɖe nuwo abe sukuxɔ me zikpui kple kplɔ̃ ene ŋu be wòanɔ bɔbɔe na ɖevia.
• Srɔ̃ alesi nàɖo nyabiasewo ŋui: Ƒo nu kple viwòa tso ale si nàɖo nyabiasewo ŋu ne ame aɖe biae ŋu. Le kpɔɖeŋu me, àte ŋu asrɔ̃ nya bɔbɔe kple kpui aɖe gbɔgblɔ, abe, "Wodzim kple nɔnɔme aɖe si me nye ƒuwo megatsi o."

Ðo ŋku edzi be wò lɔlɔ̃, kpekpeɖeŋu, kple nugɔmesese nye ŋusẽ gãtɔ kekeake si ahiã viwòa be wòanɔ agbe le dzidzɔ me kple nɔnɔme sia.Kpɔ ŋudzedze ɖe woƒe ŋutetewo ŋu eye nàde dzi ƒo na wo.

Eyata nu vevi kawoe wòle be míatsɔ ayi aƒemee tso ŋutinya sia me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, míeƒo nu geɖe tso `(Pseudoachondroplasia)` ŋu fifia, alo? Nu bɔbɔe aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Pseudoachondroplasia nye domenyiŋusẽfianu ƒe dɔléle si gblẽa nu le ƒu ƒe tsitsi ŋu, si wɔnɛ be ƒu ƒe kɔkɔme nɔa kpuie.
• Esia mekpɔa ŋusẽ ɖe nunya alo agbenɔƒe dzi o.
• Woate ŋu akpɔ dzesiwo abe abɔ kple afɔwo ƒe kpuie, ƒunukpeƒeveame, kple akɔta ƒe ƒoƒo.
• Woate ŋu aɖo kpe esia dzi to atikewɔwɔ me dodokpɔwo, X-ray, kple domenyiŋusẽfianu dodokpɔ me.
• Dɔdamɔnu aɖewo li siwo woate ŋu azã. Woate ŋu akpɔ kuxiawo gbɔ to nuwo abe vevesesenutsitikewo, kamedede, kple ne ehiã la, amekoko ene dzi.
• Togbɔ be womate ŋu axe mɔ ɖe nɔnɔme sia nu o hã la, ne ède dzesii kaba eye nèkpɔ egbɔ nyuie la, ate ŋu akpe ɖe ŋuwò nànɔ agbe si me lãmesẽ le, si me dzo le.
• Ne nɔnɔme sia le ɖevi ŋu la, nu vevitɔ kekeakee nye be nàna lɔlɔ̃, kpekpeɖeŋu, kple nugɔmesese na wo. Na ŋusẽ si wohiã be woawɔ dɔ nyuie le hadomegbenɔnɔ me la wo.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo na wò ƒomea ƒe ɖɔkta alo ƒuŋutinunyala aɖe o. Woate ŋu akpe ɖe ŋuwò geɖe wu.

` Pseudoachondroplasia, kɔkɔme kpui, dwarfism, ƒu ƒe tsitsi, domenyiŋusẽfianu ƒe dɔlélewo, COMP domenyiŋusẽfianu, ƒunukpeƒeveame