Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemegale dadasɔ me o alo yele ʋuʋum ne yetsi tre alo le zɔzɔm? Alo ɖe kuxi sia le ame tsitsi aɖe si le wò aƒeme ŋua? Le nyateƒe me la, susu geɖe ate ŋu anɔ anyi siwo tae ame ƒe dadasɔ nabu. Eyata egbea míele nu ƒom tso dodokpɔ bɔbɔe aɖe ŋutɔ, gake wòle vevie ŋutɔ, si ɖɔktawo zãna tsɔ nyaa nusi gbɔ wòtso la ŋu. Emae nye Romberg dodokpɔ, alo `Romberg dodokpɔ`.
Nukae nye Romberg Dodokpɔa le nya bɔbɔewo me?
Kpuie ko la, Romberg Dodokpɔ nye ŋutilãmedodokpɔ bɔbɔe ŋutɔ si léa ŋku ɖe eŋu be kuxi aɖe le wò ŋutilã ƒe dadasɔ ŋu hã, eye nenye be nusi gbɔ wòtso do ƒome kple nane si woyɔna be proprioception hã.
Fifia àte ŋu anɔ eŋu bum be nukae nye `proprioception` hã. Ele bɔbɔe ŋutɔ. Enye alesi míaƒe ahɔhɔ̃ dea dzesi míaƒe ŋutilã ƒe nɔƒe, ʋuʋu si míewɔna . Bu eŋu kpɔ ko, ne èmiã ŋku hã la, àte ŋu ase afisi wò asi le, afisi wò afɔ le kokoko. Emae nye nusi míeyɔna be `proprioception`.
Lãmetsimɔ tɔxɛ aɖe si le míaƒe ahɔhɔ̃ kple aklã me ye kpɔa ŋusẽ sia dzi. Míeyɔa esia be `dorsal column pathway`. Eyata `Romberg Dodokpɔ` koŋue léa ŋku ɖe eŋu nenye be lãmeka ƒe mɔ sia le dɔ wɔm nyuie hã.
Dodokpɔ sia le bɔbɔe ŋutɔ. Nusi nàwɔ koe nye be nàtsi tre eye nàtsɔ wò afɔwo aƒo ƒu eye nàtsɔ wò abɔwo abla ɖe axawo alo akɔta. Gbã la, ele be nàʋu wò ŋkuwo, emegbe nàtu wo. Le ɣeyiɣi sia me la, ɖɔktaa alé ŋku ɖe ŋuwò nyuie ahalé ŋku ɖe eŋu ne wò ŋutilã le ʋuʋum alo megale dadasɔ me o.
Aleke míewɔna be míaƒe ŋutilã nada asɔ?
Míaƒe ŋutilã ƒe dadasɔ nye nu wɔnuku aɖe ŋutɔ. Nuɖoanyi vovovowo ƒe ƒuƒoƒoe kpɔa edzi. Ele abe ƒuƒoƒo ƒe dɔwɔwɔ ene. Nuɖoanyi vevi etɔ̃e kpena ɖe esia ŋu.
- Nukpɔkpɔ: Nusi míekpɔna kple ŋku. Míaƒe ŋkuwo ɖoa nyatakaka ɖe ahɔhɔ̃a ku ɖe alesi míele nɔnɔme me le nusiwo ƒo xlã mí ŋu.
- Proprioception: Abe alesi megblɔe va yi ene la, enye dzesi siwo míaƒe ahɔhɔ̃ xɔna tso afisi míaƒe abɔwo, ƒunukpeƒewo, kple lãmekawo le ŋu. Míaƒe afɔwo dea dzesii gɔ̃ hã nenye be anyigba le gbadzaa alo agakpe.
- Vestibular System: Esia le míaƒe to ememetɔ me. Nuɖoanyi sia kpena ɖe mía ŋu míeɖua míaƒe ŋutilã ƒe dadasɔ dzi ne míetrɔ ta, le zɔzɔm, hele ti kpom.
Eyata nusi dzɔna le `Romberg Test` me enye be ne èmi ŋku la, nu vevi etɔ̃ siwo kpɔa dadasɔ (nukpɔkpɔ) dzi la dometɔ ɖeka ɖa. Emegbe ele be ŋutilãa naɖo ŋu ɖe ɖoɖo eve bubuawo (proprioception kple vestibular system) ɖeɖeko ŋu. Ne èda sɔ ne èmiã ŋku la, zi geɖe la, efia be gbɔdzɔgbɔdzɔ aɖe le wò `proprioception` ɖoɖoa me, si fia be le `dorsal column` lãmeka ƒe mɔ ma me.
Nɔnɔme kawo mee ɖɔkta wɔa Romberg Dodokpɔa le?
Zi geɖe la, ne èyi ɖɔkta gbɔ la, ègblɔna be:
- Taɖuame ɣesiaɣi
- Mesena le ɖokuinye me be nyemate ŋu ada asɔ ne mele zɔzɔm o.
- Esusɔ vie wòadze anyi alo adze anyi
Le nɔnɔme siawo tɔgbe me la, ɖɔktaa awɔ `Romberg Dodokpɔa` godoo.Wowɔa esia hã abe ŋutilãmedɔdada bliboa si ku ɖe lãmekawo ƒe dɔwɔwɔ ŋu ƒe akpa aɖe ene.
Dodokpɔ sia kpena ɖe ame ŋu wòkpɔa ahɔhɔ̃mekawo ƒe dɔléle vovovowo heɖoa kpe wo dzi. Le kpɔɖeŋu me:
- Parkinson ƒe dɔlélea
- Friedreich ƒe ataxia ƒe dɔléle
- Vitamin B12 ƒe anyimanɔmanɔ
- Tertiary syphilis (syphilis ƒe akpa mamlɛtɔ) .
- `Normal Pressure Hydrocephalus (NPH)` nye nɔnɔme si ateŋu adzɔ le ame tsitsi siwo dzea anyi enuenu la me.
- Wernicke ƒe dɔlélea
- Meniere ƒe dɔlélea
- Eye dɔléle bubu geɖe siwo do ƒome kple lãmekawo ƒe dɔwɔwɔ.
Aleke woawɔ dodokpɔ siae? Ele bɔbɔe ŋutɔ!
Esia nye dodokpɔ bɔbɔe aɖe ŋutɔ si woate ŋu awɔ le miniti ʋɛ aɖewo ko me.
1. Gbã la, wobia tso asiwò be nàɖe wò afɔkpa.
2. Emegbe ahiã be nàtsi tre dzɔdzɔe eye nàtsɔ wò afɔwo aƒo ƒui.
3. Àte ŋu ana wò abɔwo naɖiɖi ɖe wò axawo dzi alo atso wo ɖe wò akɔta.
4. Azɔ ʋu ŋku eye nàdze agbagba be màgaʋuʋu o abe sɛkɛnd 30 ene. Le ɣeyiɣi sia me la, ɖɔktaa anɔ ŋku lém ɖe ŋuwò.
5. Eyome, miã ŋku abe alesi nèle ene. Fifia ele be nànɔ nenema abe sɛkɛnd 30 alo aɖabaƒoƒo ɖeka ene. Le ɣeyiɣi sia me la, ɖɔktaa alé ŋku ɖe alesi wò dadasɔ hã ŋu nyuie.
Mègatsi dzi o, ɖɔktaa anɔ afima tututu be yealé wò ne èdze anyi. Azɔ hã, hafi míawɔ dodokpɔ sia la, míeɖea nusianu si ƒo xlã wò akɔta si ate ŋu ana nàdze anyi la ɖa. Eyata esia nye dodokpɔ si le dedie ŋutɔ.
Nukawoe nye emetsonuwo? Nukae nye nu nyui kple nu gbegblẽ?
Ne wonya wu dodokpɔa nu ko la, ɖɔkta ate ŋu agblɔ dodokpɔa me tsonu na wò. Nusiwo dona tso eme siawo ƒomevi eve li. Mina míalé ŋku ɖe kplɔ̃ sia ŋu be míase egɔme nyuie.
| Metsonu | Gɔmesese bɔbɔe |
|---|---|
| Romberg ƒe Dodokpɔ Nyui aɖe | Esia fia be ne èʋu ŋku la, enyo, gake ne ènya miã ŋku ko la, mègada asɔ o . Wò ŋutilã dzea ʋuʋu gɔme hedzea anyi. Esia fia be nusi gbɔ wò dadasɔ ƒe kuxia tso ate ŋu atso proprioception , si fia be kuxi aɖe ate ŋu anɔ akɔta ƒe lãmeka ƒe mɔ ŋu. |
| Romberg ƒe Dodokpɔ si Menyo O | Esia fia be àte ŋu alé wò dadasɔ me ɖe asi ne èʋu ŋku eye nètu, abe alesi nàte ŋui ne èmiã ŋku ene . Ʋuʋu vie nye nusi sɔ, gake màdze anyi o. Esia fia be wò dadasɔ ƒe kuxia ate ŋu atso nu bubu aɖe si menye proprioception gbɔ o, abe kuxi si le wò to ememetɔ (vestibular system) ŋu ene. |
Nu vevitɔe nye be Romberg dodokpɔ si me wokpɔ dɔlélea le la magblɔ nusi tututu kuxia nye na wò o . Ðeko wònana nèkpɔa afisi kuxia le. Emegbe ɖɔktaa aɖe gbe be woawɔ dodokpɔ bubuwo (e.g. MRI scan, ʋudodokpɔ) be yeanya nusi tututu gbɔ wòtso.
Ðe wòle be makpɔ ɖɔktaa?
Ẽ, keŋkeŋ. Mele be woaŋe aɖaba aƒu dadasɔ ƒe kuxiwo dzi gbeɖe o. Ne wodze anyi ate ŋu ana ame naxɔ abi vevie. Ne dzesi siwo le ete dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ .
| Dzesi siwo wòle be wòaʋã wò nàyi ɖɔkta gbɔ |
|---|
| - Mali ke, seselelãme be yemeli ke o |
| - Taɖuame |
| - Tagbɔdɔ, sese le ɖokuiwò me abe ɖe nèle tsia dzi ene |
| - Nukpɔkpɔ si me kɔ o |
| - Dadasɔ ƒe bu kple anyidzedze alo anyidzedze |
| - Sese le ɖokuiwò me be nuwo le tsatsam |
| - Sese le ɖokuiwò me be yele ʋuʋum esime nèle tsitre ɖe teƒe ɖeka |
Gbedasi si Wotsɔ Yi Aƒeme
- Romberg Dodokpɔ nye dodokpɔ bɔbɔe ŋutɔ, si le dedie, eye wòwɔa dɔ kabakaba be nàtsɔ akpɔe ɖa be dadasɔ ƒe kuxiwo le wò ŋutilã me hã.
- Esia koŋ dia nusiwo mesɔ o ɖesiaɖe le ɖoɖo si woyɔna be `proprioception`, si ɖoa nyatakaka ɖe ahɔhɔ̃a tso wò ŋutilã ƒe nɔnɔme ŋu.
- Dodokpɔ si nye ``positive`` fia be dɔnɔa megadaa asɔ ne wotu ŋkuwo o. Esia fia be kuxi aɖe le lãmekawo ŋu.
- Ne kuxiwo abe taɖuame, azɔlizɔzɔ sesẽ, taɖuame, alo anyidzedze ene le ŋuwò la, mègaŋe aɖaba ƒu edzi o eye nàyi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò .
- Dodokpɔ bɔbɔe abe esia ene ate ŋu anye afɔɖeɖe gbãtɔ kple vevitɔ kekeake si ana nàdi nusi gbɔ wò kuxia tso eye nàkpɔ atike nyuitɔ.
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