Ðe wò ŋkuwo le veve sem ɣesiaɣia? Mina míasrɔ̃ nu tso ŋkume ƒe Ʋuʋu si Yia Eme Ŋu!

Ðe nèsea veve si nu màte ŋu ado dzi atsɔ o hã ne èʋu ŋku le ŋdi mea? Ðe wòwɔna na wò abe nane le wò ŋku me ene, abe nane le wò ƒom enea? Esesẽna be woalé ŋku ɖe kekelia ŋu, eye ɖeko aɖatsiwo le sisim? Esiawo ate ŋu anye nusiwo gblẽ le wò ŋku ƒe akpa si le etame, si nye ŋkume ƒe akpa si le etame, si nye nɔnɔme si me woɖea ŋkume ƒe akpa si le etame la ɖa le. Míeyɔa esia be ŋkume ƒe ʋuʋu si yia edzi enuenu (RCE) . Togbɔ be ŋkɔa sesẽ vie hã la, nɔnɔme sia nye esi bɔ. Mègatsi dzi o, mina míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nuka tututue nye Recurrent Corneal Erosion (RCE)?

Kpuie ko la, lãkusi si me kɔ le wò ŋku ƒe ŋgɔgbe, abe ʋu ƒe yaƒoƒo ƒe ahuhɔ̃e ene, ye nye nusi míeyɔna be ŋkume ƒe ŋkume . Esiae kpɔa ŋkua ƒe akpa siwo sea nu gɔme tso gotagome xexeame ta. Ele abe dedienɔnɔ ƒe ahuhɔ̃e si woda ɖe míaƒe ŋkuwo dzi ene. Kplɔ̃ atɔ̃, alo ƒuƒoƒo atɔ̃ le ŋkume ƒe ŋkume ƒe ŋkumekpɔnu sia ŋu. Le Recurrent Corneal Erosion (RCE) gome la, egblẽa nu le ƒuƒoƒo eve siwo le etame ŋu.

Dzisasrã eve mawoe nye:

• Epithelium: Esiae nye ŋkume ƒe akpa si le gota wu. Lãmetsiŋusẽ ƒe nuwuƒe geɖe le eŋu, si wɔe be wòsea veve zi gbɔ zi akpe alafa geɖe wu míaƒe ŋutigbalẽ. Míate ŋu ase ke sue aɖe gɔ̃ hã gɔme.
• Bowman ƒe lãkusi: Protein aɖe si woyɔna be collagen ye wotsɔ wɔa ƒuƒoƒo sia ƒe akpa gãtɔ. Bu eŋu abe jelly si ƒoa ƒu heléna ɖe wo nɔewo ŋu ene, eye aleae wòwɔa dɔe. Bowman ƒe lãkusi léa lãkusi si le etame kple esi le ete la ɖekae, si kpena ɖe wo ŋu wonɔa anyi ɖekae.

Fifia ne RCE le ŋuwò la, lãkusia ŋutɔ kple Bowman ƒe lãkusia meku ɖe wo nɔewo ŋu nyuie o eye womedo ƒome nyuie o. Kadodo ma gbɔdzɔ. Emegbe akpa si le etame, si nye lãkusia ŋutɔ, ate ŋu adzo bɔbɔe, abe lãgbalẽ ene. Ne edzɔ alea la, ƒuƒoƒo siwo le ete siwo ŋu woate ŋu adze bɔbɔe wu la dona. Esia nye nuteƒekpɔkpɔ si me vevesese le ŋutɔ elabena lãmekawo ƒe nuwuwu yɔ lãkusia me fũ.

Aleke gbegbee RCE ƒe nɔnɔme sia bɔe?

RCE nye dɔléle si bɔ ŋutɔ, gake esesẽ be woagblɔ ame agbɔsɔsɔme si tututu wòxɔna. Numekuku aɖe si wowɔ le London, England, ɖee fia be nɔnɔmea gblẽa nu le du ma me tɔ siwo ade 1% ŋu ƒe sia ƒe. Gake xexlẽme ma ate ŋu aɖiɖi wu xexlẽme ŋutɔŋutɔ. Esia le alea elabena ɖewohĩ ƒoƒo sue aɖe gɔ̃ hã mahiã be woakpɔ egbɔ o. Wotrɔ asi le míaƒe ŋkume ƒe ŋkumeʋuʋu ŋu be wòada gbe le eɖokui ŋu kaba ŋutɔ. Eyata, ʋuʋudedi suesuesuewo ate ŋu ahaya le aɖabaƒoƒo alo gaƒoƒo ʋɛ aɖewo me.

Nukawoe nye RCE ƒe dzesiwo?

Ne RCE le ŋuwò la, zi geɖe la, dzesiawo dzena ne èʋu ŋku zi gbãtɔ le ŋdi me . Le kpɔɖeŋu me, le zã me la, kadodo si le wò ŋkume kple wò ŋkume ƒe akpa si le etame dome ate ŋu agbɔdzɔ. Ne èʋu ŋku le ŋdi me la, wò ŋkume ƒe akpa si le etame ate ŋu ahe ɖa le teƒe si gbɔdzɔ la ŋu kpe ɖe wò ŋkume ƒe ʋuʋudedi ŋu. Ne edzɔ alea la, àte ŋu akpɔ dzesiwo abe:

• Vevesese sesẽ:Vevesesea ate ŋu ase le eɖokui me abe ɖe nane ƒo ɖe ŋkua me ene, abe ɖe wotsɔ hɛ ƒoe ene.
• Ŋkuwo ƒe biã.
• Fotovɔvɔ̃: Kekeli sue aɖe gɔ̃ hã ate ŋu anye nusi dzi womate ŋu ado dzi le o.
• Aɖatsi si le dodom tso ŋkuwo me fũ akpa (Epiphora).
• Ewɔna nam abe ke sue aɖe alo nane si le ŋkua me ene, gake ɖewohĩ màkpɔ naneke le ŋkua me ŋutɔŋutɔ o.

Nukatae RCE ƒe nɔnɔme sia dzɔna?

Esia le abe amadede yeye sisi ɖe gli si nɔ ʋuʋum ŋu evɔ mèkɔe nyuie o ene. Elabena amadede si le ete la mekɔ o, eye le nusiwo gblẽ le eŋu ta la, amadede yeyea malé ɖe eŋu nyuie o. Ne èka asi eŋu ko hã la, ƒuƒoƒo yeyea ate ŋu ado, alo? Aleae wòle. Ne gbɔdzɔgbɔdzɔ alo nu gblẽ le ŋkume ƒe akpa siwo le ete ŋu la, ke akpa si le etame la malé ɖe eŋu nyuie o.

Zi geɖe la , nusi koŋ gbɔ RCE tsonae nye abi si woxɔ va yi le ŋkua ŋu . Ate ŋu anye nane abe wò ŋutɔ wò asibidɛ, pepa ƒe dzogoe, alo ati ƒe aŋgba, alɔ sue aɖe ƒe ƒoƒo alo abixɔxɔ. Tsɔe be èle dɔ wɔm le abɔa me eye alɔ sue aɖe dze wò ŋku dzi. Ne madze nu gã aɖeke ɣemaɣi o hã la, le ŋkeke ʋɛ aɖewo, alo ƒe aɖewo gɔ̃ hã megbe la, àte ŋu anyɔ kple vevesese sesẽ ne èʋu ŋku le ŋdi me. Mehiã be abi sia nanye nyitsɔ laa o. Ame aɖewo ate ŋu axɔ RCE tso ŋku ƒe abi si woxɔ ƒe aɖewoe nye esi va yi me. Zi geɖe la, ŋku ɖeka koe RCE si abi mawo hena vɛ la dzea edzi.

RCE ate ŋu atso ŋkume ƒe dɔléle aɖewo kple nɔnɔme siwo nɔa anyi didi siwo gblẽa nu le ŋkuwo ŋu hã gbɔ. Togbɔ be zi geɖe la, ŋku ɖeka koe nusiawo gblẽa nu le ame ŋu hã la, ame aɖewo ate ŋu akpɔ dzesiwo le ŋku evea siaa ŋu.

Esia ƒe kpɔɖeŋu aɖewoe nye:

• Epithelial Basement Membrane Dystrophy (EBMD): Wogayɔnae be map-dot-fingerprint dystrophy, eye esia nye gbɔdzɔgbɔdzɔ le ŋkume ƒe akpa siwo le ete.
• Dry eye syndrome: Nɔnɔme sia dzɔna ne aɖatsi siwo dona le ŋkuwo me dzi ɖe kpɔtɔ.
• Suklidɔ ƒomevi 2 lia.
• Ŋku ƒe ʋuʋu kple dɔdzẽ (Blepharitis).
• Ocular rosacea: Esia nye ŋku ƒe kuxi si dzɔna le ŋutigbalẽ ƒe dɔléle aɖe me.

Nukawoe nye kuxi siwo ate ŋu ado tso RCE me?

Zi geɖe la, kuxi siwo RCE hena vɛ la medea ame ƒe agbe afɔku me o, gake woate ŋu anye esiwo me dziɖeleameƒo le ŋutɔ eye woasesẽ.

Woawoe nye:

• Afɔku si lolo wu be RCE nagadzɔ ake le etsɔme: Ne RCE nya dzɔ ko la, mɔnukpɔkpɔ si li be ŋkume ƒe ŋkume ƒe dɔwɔwɔ nagagblẽ ake.
• Cornea haze: Ne RCE gblẽ nu le ŋkume ƒe ŋkume ŋu enuenu la, eƒe ŋkume ƒe keklẽ ate ŋu aɖe akpɔtɔ. Esia ɖea kekeli si gena ɖe ŋkua me dzi kpɔtɔna, si wɔnɛ be nukpɔkpɔ sesẽna na wò.
• Dɔlékuiwo xɔxɔ ƒe afɔku si dzina ɖe edzi:Wò ŋkume ƒe ŋkumeʋuʋu nye mɔxenu si kpɔa ame ta. Ne egblẽ la, dɔlékuiwo gena ɖe ƒuƒoƒo siwo le ete la me. Esia ate ŋu ana ŋkudɔlélewo nadze ame dzi bɔbɔe . Esiawo ate ŋu anye nya veviwo ɣeaɖewoɣi.

Aleke woawɔ ade dzesi RCE ƒe nɔnɔme?

Zi geɖe la, enɔa bɔbɔe be woakpɔ RCE. Ŋkudɔdala alo ŋkudɔdala ate ŋu ake ɖii ne ebia wò tso wò dzesiwo, wò atikewɔwɔ ŋutinya, kple ŋku ƒe abi ɖesiaɖe si nèxɔ va yi ŋu.

Emegbe wowɔa dodokpɔ aɖewo tsɔ ɖoa ​​kpe esia dzi. Hafi nàwɔ dodokpɔ mawo la, woate ŋu ana atike aɖe si naa ame ƒe dzi gbãna be wòaɖe vevesesea dzi akpɔtɔ.

Dodokpɔ siwo woate ŋu awɔe nye:

• Slit lamp exam: Le dodokpɔ sia me la, wò ɖɔkta tsɔa nusuekpɔmɔ̃ tɔxɛ aɖe (slit lamp) doa wò ŋku kpɔna. Le dodokpɔ sia me la, wotsɔa amadede blɔ aɖe si woyɔna be fluorescein dea wò ŋku ŋu (abe ŋkumeɖonu alo kple atike tɔxɛ aɖe ene). Esia wɔnɛ be nàte ŋu akpɔ ʋuʋudedi ɖesiaɖe si le ŋkume ƒe ŋkume.
• Dodokpɔ si wotsɔ léa nu ɖe ​​nu ŋu: Esia bia be woatsɔ amekoko ƒe ƒumebɔbɔ aka ŋkume ƒe ŋkume blewuu. Ne RCE le ŋuwò la, ŋkume ƒe akpa si le etame la aʋuʋu kple ƒumebɔbɔa, eye malé ɖe wo nɔewo ŋu nyuie o. Esia ɖea vi ne dodokpɔ bubuwo meɖe ʋuʋudedi aɖeke fia kɔte o.

Aleke wowɔa atike na RCE?

Ðɔktawo daa RCE le afɔɖeɖe ɖesiaɖe me. Zi geɖe la, wodzea egɔme kple atikewɔwɔ bɔbɔewo eye ne womekpena ɖe ame ŋu o ko hafi woyia amekoko siwo sesẽ wu dzi. Gake ne RCE la nu sẽ la, woate ŋu ayi atikewɔwɔ siwo sesẽ wu dzi tẽ.

Atikewɔwɔ me dzikpɔkpɔ

Taɖodzinu vevitɔe nye be nàwɔ nɔnɔme si me wò ŋku anɔ bɔbɔe be wòada gbe le eɖokui si. Ame ŋutɔe wɔa atike geɖe. Wò ɖɔkta ana mɔfiame tɔxɛwo wò ku ɖe nusi nàwɔ ŋu.

Dɔdamɔnu aɖewo ate ŋu anɔ anyi ŋkeke alo kwasiɖa geɖe. Le RCE ƒe sesẽme nu la, ɖewo ate ŋu anɔ anyi ɣleti geɖe.

Atikewɔwɔ dzi kpɔkpɔ ate ŋu alɔ nusiwo gbɔna dometɔ ɖeka alo esi wu nenema ɖe eme:

• Vevesese dzi ɖuɖu: RCE nye dɔléle si me vevesese le. Vevesesenutsitikewo abe nonsteroidal anti-inflammatory drugs (NSAIDs) ene ate ŋu akpe ɖe ame ŋu be vevesese dzi naɖe akpɔtɔ. Azɔ hã, ami tɔxɛwo kple ŋkumeɖonu siwo wotsɔ blaa nu ate ŋu akpe ɖe ame ŋu be vevesese dzi naɖe akpɔtɔ.
• Amisisi na ŋku: Woate ŋu atsɔ aɖatsi siwo wowɔ kple asi, dzetsi, gel, alo ami ana ŋkuawo. Ðɔktawo kafui be woatsɔ nusiawo asisi ɖe eŋu le zã me hafi amlɔ anyi. Wowɔa esia be woatsɔ axe mɔ ɖe RCE ƒe gɔmedzedze alo eƒe gbegblẽ nu ne èʋu ŋku le ŋdi me.
• Dze si me ʋu ƒe sisi sɔ gbɔ ɖo:Tsi sia nana tsi si le ŋkua dzi la xɔna ɖe edzi. Esia kpena ɖe lãkusia ŋu wòléna ɖe ƒuƒoƒo siwo le ete ŋu nyuie wu. Ðɔktawo kafui be nàzã esia le ŋkeke me, tsɔ kpe ɖe ami si nèsina le zã me ŋu.
• Dɔlékuiwutikewo ƒe tsi alo ami: Wona esiawo be woakpe ɖe ŋkudɔ ɖesiaɖe si le RCE hem vɛ ŋu, alo be woaxe mɔ ɖe dɔlékuiwo ƒe dzɔdzɔ nu vaseɖe esime ŋkua nahaya.
• Lãmetsiŋusẽ ƒe ŋkumeɖonu siwo wotsɔ blaa nu alo blaa wo: Esiawo evea siaa naa ametakpɔnu bubu aɖe va se ɖe esime ŋkua nahaya. Bandage lens nye aŋe si wotsɔ blaa ŋkua, abe ŋkumeɖonu si wotsɔna blaa ŋkue ene. Ekpena ɖe ŋkua ŋu wòdaa gbe le eɖokui ŋu.
• Cycloplegia: Lãmetsi siwo kpɔa wò ŋkuwo dzi la trɔa wò ŋkuwo ƒe nɔnɔme vie. Esiae na nète ŋu kpɔa nuwo le didiƒe vovovowo nyuie. Cycloplegia nana lãmeka siwo le ŋku si ŋu dɔlélea le la megawɔa dɔ o hena ɣeyiɣi aɖe. Esia wɔnɛ be ŋkua nɔa nɔnɔme ɖeka me, si wɔnɛ be wònɔa bɔbɔe be wòahaya.
• Serum drops: Dɔlélenutsiŋutete ƒe proteinwo kple nu bubu siwo kpena ɖe ŋkua ŋu wòhayana le tsi tɔxɛ siawo me. Woate ŋu anye autologous , si fia be wotsɔ wò ŋutɔ wò ʋu wɔ wo, alo woate ŋu atsɔ ʋu si nèdo awɔ woe.
• Atike tɔxɛwo: Esiawo ate ŋu anye atike siwo xea mɔ na protein siwo doa kplamatse ŋkume ƒe dɔyɔyɔ, abe corticosteroids alo doxycycline , alo atike siwo me tsitsinu siwo doa ŋusẽ ŋku ƒe dɔyɔyɔ le.

Amekoko ƒe atikewɔwɔwo

Amekoko ƒe atikewɔwɔwo bia be woaɖe lãkusia ƒe akpa siwo gblẽ ɖa eye woana wòagatsi le mɔ ɖeka nu, eye abi aɖeke manɔ eŋu o. Zi geɖe la, wowɔa amekoko siawo le atike si naa alɔ̃dɔdɔ ame ŋu me, eyata vevesese aɖeke menɔa wo ŋu o.

Le atikewɔwɔ siawo megbe gɔ̃ hã la, wò ɖɔkta ate ŋu aŋlɔ atikewo na wò abe alesi míegblɔe le etame ene. Zi geɖe la, lãkusia gatsina ake le ŋkeke ʋɛ aɖewo megbe. Gake ate ŋu axɔ kwasiɖa alo ɣleti geɖe ƒe atikewɔwɔ dzi yiyi hafi lãkusia nalé ɖe ƒuƒoƒo siwo le ete ŋu nyuie.

Amekoko ƒe atikewɔwɔ ate ŋu anye nusiwo gbɔna dometɔ ɖeka alo esi wu nenema:

• Debridement: Esia bia be woatsɔ dɔwɔnu tɔxɛwo aɖe lãkusi si gblẽ la ɖa.
• Diamond burr polishing: Ðɔkta zãa dɔwɔnu tɔxɛ aɖe tsɔ ƒoa lãkusi si le ŋkume ƒe akpa si ŋu dɔlélea le la ɖa, si wɔnɛ be teƒe bliboa gatsina sɔsɔe.
• Stromal punctures: Ðɔkta zãa aŋe alo laser sue aɖe ŋutɔ tsɔ doa do suesuesuewo ɖe stroma , si nye ŋkua ƒe ƒuƒoƒo si le Bowman ƒe lãkusi te la me. Ne woda do siawo ɖe teƒe siwo sɔ la, ŋkua daa gbe le eɖokui ŋu tso do mawo me. Esia doa ŋusẽ kadodo si le ƒuƒoƒo siwo le etame dome.
• Amniotic membrane placement: Esia wɔa dɔ abe atike si wotsɔ blaa nu ene, gake ezãa lãkusi si woɖe tso vidzidɔa me. Woɖea vidzidɔa ɖa to vidzidɔ me eye emegbe wowɔa vidzidzi ƒe ɖoɖo sesẽ aɖe. Ðɔktaa tsɔnɛ dana ɖe ŋkua ƒe akpa si dɔlélea le la dzi tẽ. Vidzidɔa ƒe lãkusi kpɔa ŋkua ta eye wòkpena ɖe ŋkua ƒe gota gome ŋu wògatsina ake.

Kuxiwo/dɔdamɔnu ƒe nugbegblẽ le ame ŋu

Kuxi siwo dona tso atikewɔwɔ me kple eƒe nugbegblẽ le ame ŋu toa vovo ŋutɔ le atikewɔwɔ si nèxɔ nu. Wò ɖɔkta ate ŋu agblɔ nusiwo ate ŋu ado tso eme kple nusi nàte ŋu awɔ atsɔ aɖe wo dzi akpɔtɔ alo axe mɔ ɖe wo nu na wò nyuie wu.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Ɣeyiɣi si woatsɔ ahaya le atikewɔwɔ vɔ megbe nɔ te ɖe nu geɖe dzi. Wò ŋkume ƒe lãkusi ate ŋu agbugbɔ atsi eye wòahaya kaba ŋutɔ. Gake ate ŋu axɔ kwasiɖa alo ɣleti geɖe hafi ƒuƒoƒo siwo le ete la nahaya bliboe ahabla ɖe wo nɔewo ŋu nyuie. Wò ɖɔkta ate ŋu agblɔ ɣeyiɣi didi si wòaxɔ hafi nàhaya kple ɣeyiɣi si nàte ŋu akpɔ mɔ be yeakpɔ tɔtrɔ le wò dzesiwo, nukpɔkpɔ, alo ale si wò ŋkuwo sena le wo ɖokui me la ŋu na wò.

Nukae wòle be makpɔ mɔ na ne RCE le ŋunye?

Ne RCE le ŋuwò la, dzesi vevitɔe nye vevesese . Dzesi bubuwo bɔ, womeɖea dzi ɖi o, eye wodoa kplamatse gbesiagbedɔwo. Gake zi geɖe la, ʋuʋudedi suesuesuewo hayana kaba. Ame akpa gãtɔ yia atikewɔƒe ne woƒe ʋuʋudediwo le titina va ɖo esiwo nu sẽ.

Kuxi vevitɔ si nàdo goe enye be nusiawo ate ŋu agadzɔ ake . Ne esia dzɔ la, mɔnukpɔkpɔ gã aɖe li be kuxiwo nagblẽ nu le wò ŋku ŋu.

Eyata anyo wu be nàyi ŋkudɔdala gbɔ ne ède dzesi RCE ƒe dzesiwo, vevietɔ ne èʋu ŋku zi gbãtɔ le ŋdi me . Atikewɔwɔ kaba ate ŋu aɖe nusiwo RCE gblẽna le ame ŋu dzi akpɔtɔ eye wòaɖe afɔku si le eme be wòagadzɔ ake le etsɔme dzi akpɔtɔ.

Ɣeyiɣi didi kae RCE ate ŋu anɔ anyi?

Ŋutete wɔnuku aɖe le wò ŋkume ƒe ŋkume ŋu be wòada gbe le eɖokui ŋu. Nu suesuesue siwo gblẽ ate ŋu ahaya le gaƒoƒo ʋɛ aɖewo me, eye nusiwo gblẽ le eŋu vevie wu ate ŋu axɔ ŋkeke ʋɛ aɖewo.

Gake ɖo ŋku edzi be ne wò ŋkuwo mehaya nyuie o ko hafi RCE dzɔna. Ne edzɔ alea la, ahiã be nàyi edzi azã wò ŋkutikewo alo atike bubuwo abe alesi wò ɖɔkta gblɔe ene kwasiɖa alo ɣleti geɖe. Adze abe dɔ si tea ɖeɖi ame ŋu eye wòtea ɖeɖi ame ŋu ene, gake enye mɔ nyuitɔ si dzi nàto akpɔ egbɔ be wò ŋkuwo haya nyuie eye nàxe mɔ na RCE be wòagadzɔ le etsɔme o.

Nukae nye mɔkpɔkpɔ na RCE ƒe ɖoƒe?

RCE vea ame, meɖea dzi ɖi o, eye ɣeaɖewoɣi la, esẽna, gake medea ame ƒe agbe afɔku me o. Ɣeaɖewoɣi la, egatrɔna vaa eme, gake woate ŋu ada eƒe gbugbɔgadzɔ. Dzɔgbenyuietɔe la, kuxi siwo gblẽa nu le wò ŋku ŋu ɣeyiɣi didi alo tegbee la mebɔ o.

Ðe woate ŋu axe mɔ ɖe RCE nu alo aɖe afɔkua dzi akpɔtɔa?

RCE-wo ate ŋu adzɔ le vome. Womate ŋu axe mɔ ɖe wo nu keŋkeŋ o, gake nanewo li nàte ŋu awɔ atsɔ aɖe mɔnukpɔkpɔ si li be woadzɔ dzi akpɔtɔ.

Nusi woawɔ atsɔ axe mɔ ɖe RCE nuNu vevitɔ kekeakee nye be woaxe mɔ ɖe ŋku ƒe abixɔxɔ nu. Do ŋkumeɖobolo, modzakaɖenu, alo dedienɔnɔ ƒe ŋkumewu ɣesiaɣi si wò ŋkuwo ate ŋu axɔ abi. Esia le vevie ŋutɔ ne èle dɔ wɔm kple dɔwɔnuwo alo le nɔnɔme si me afɔku le be nuwo nage ɖe wò ŋkume.

Aɖatsi, gel, alo ami siwo wowɔ kple asi sisi ɖe ŋku ŋu hafi mlɔ anyi ate ŋu akpe ɖe ŋuwò ŋutɔ, vevietɔ ne èfɔ kple ŋku siwo le veve sem le ŋdi me. Ne ŋkume ƒe ŋkume kple ŋkume ƒe akpa si le tsia dzi la, ekpena ɖe ame ŋu be womegaléna ɖe nu ŋu si nana wòvuvuna o.

Aleke malé be na ɖokuinye?

Ne èsusu be RCE le ye ŋu la, anyo wu be nàdi atike kaba . Esia akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ eye wòaɖe kuxi siwo ate ŋu ado mo ɖa le etsɔme dzi akpɔtɔ.

Ne RCE le ŋuwò la, wò ɖɔkta afia mɔ wò le alesi nàkpɔ egbɔe ŋu. Ele vevie ŋutɔ be nàwɔ ɖe woƒe mɔfiamewo dzi pɛpɛpɛ. Ne èwɔ ɖe mɔfiameawo dzi pɛpɛpɛ eye nèno atike alo atikewɔwɔa abe alesi wogblɔe ene la, anɔ eme be àhaya kuxi aɖeke manɔmee.

Ɣekaɣie wòle be makpɔ nye ɖɔkta alo adi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne RCE le ŋuwò la, ele be nàyi sasrãkpɔ siwo akplɔ wò ɖo abe alesi wò ɖɔkta kafui ene. Esia ana woate ŋu alé ŋku ɖe alesi wò ŋkume ƒe ŋkumeʋuʋu le hayahayame ŋu eye woatrɔ asi le wò atikewɔwɔ ŋu ne ehiã. Ne ède dzesi tɔtrɔ aɖewo le wò dzesiwo, wò nukpɔkpɔ, alo wò atikewɔwɔ ƒe dɔwɔwɔ me la, ele be nàƒo nu kpli wo alo ayi wo gbɔ.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Zi geɖe la, RCE menyea nudzɔdzɔ kpata o, gake ate ŋu ave ame eye wòagblẽ nu le gbesiagbedɔwo ŋu vevie. Ne RCE ƒe dzesiwo le ŋuwò la, anyo be nàƒo ka na wò ƒomea ƒe ɖɔkta ƒe dɔwɔƒe abia mɔfiame. Àte ŋu ayi atikewɔƒe si wokpɔa dɔnɔwo gbɔ kpata hã.

Togbɔ be zi geɖe la, RCE menyea nusi dzɔna kpata o hã la, eɖi ŋku ƒe abi siwo nu sẽ wu abe ŋkume ƒe ʋuʋu , si nye ŋkume ƒe lãɖeɖe kple aɖatsiwo ene.

Ne ɖikeke le ŋuwò la, di atikewɔwɔ kpata enumake. Esia wɔwɔ ate ŋu ana tɔtrɔ gã aɖe nava le atikewɔwɔ, hayahaya, kple wò ŋkumekpɔkpɔ ta kpɔkpɔ me.

Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò kpe ɖe ŋku ƒe vevesese ŋu la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo:

• Nuveviwɔame si le wò ŋku ŋu, abe alesi wotso wò ŋku, ƒoƒoe, ŋeŋe, alo abi si woto ene.
• Nukpɔkpɔ ƒe bu kpata (ne ɣeyiɣi kpui aɖe ƒe nukpɔkpɔ alo nukpɔkpɔ ƒe akpa aɖe koe wògblẽ nu le gɔ̃ hã).
• Wò ŋkuwo le dzo dam alo le dzo dam le mɔ si màte ŋu aɖe eme o nu.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Taɖuame .
• Asrã.
• Seselelãme abe nane ene tsi wò ŋku me (eɖanye be àte ŋu akpɔ nane si ate ŋu ahe seselelãmea vɛ alo màte ŋu akpɔ o).

Mlɔeba la, vi aɖe...

Ne míaƒe ŋkuwo le dɔ wɔm nyuie la, míebua alesi gbegbe míezãnɛ gɔ̃ hã ŋu o ɖe, alo? Gake ne míaƒe ŋkuwo le veve sem, eye míenya nusitae o la, ate ŋu ado vɔvɔ̃ na mí ŋutɔ. RCE nye dɔléle sesẽ aɖe si me vevesese le, gake atike nyuiwo li na esia.

Ne RCE ƒe dzesiwo le ŋuwò, vevietɔ ne wonye yeyewo la, ƒo nu kple ɖɔkta alo ŋkudɔdala. Zi alesi wokpɔ dɔlélea le ŋuwò kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàhaya kaba eye nàxe mɔ ɖe dɔlélea ƒe gbugbɔgadzɔ nu le etsɔme.

` Ŋku ƒe abi, Ŋku ƒe abi, Ŋku ƒe vevesese, Ŋku ƒe bibi, Ŋku ƒe ʋuʋu enuenu, Ŋku ƒe ʋuʋu, Ŋku ƒe vevesese