Mí katã míenya be esɔ be dawò, fofowò, alo mamawò naŋlɔ nu aɖewo be ne wole tsitsim. Gake ɖe nèse le ɖokuiwò me kpɔ be ɣeaɖewoɣi la, ŋkuɖoɖonudzi sia yia ŋgɔ wu alesi wòle dzɔdzɔmeea? Àte ŋu aŋlɔ nusi ŋu nèƒo nu tsoe le ŋdi me hafi fiẽ naɖo la be, àte ŋu aŋlɔ afisi nèda nusiwo nèzãna enuenu ɖo be, eye ɣeaɖewoɣi la, màte ŋu ade dzesi ame siwo dome nèle gɔ̃ hã o. Zi geɖe la, nɔnɔme sia ate ŋu anye Alzheimer Dɔléle ƒe dzesi. Eyata mina míaƒo nu tso esia ŋu egbea.
Nukae nye Alzheimer-dɔlélea? Nukae nye tagbɔdɔ?
Ame geɖe tɔtɔa nya eve siawo. Eyata gbã la, mina míase vovototo si tututu le wo ame evea dome gɔme.
Kpuie ko la, tagbɔdɔ menye ŋkɔ na dɔléle aɖe koŋ o. Enye nya si wozãna le mɔ gbadza nu, abe "asrã" ene. Nu vovovo geɖewo li siwo hea asrã vɛ, abe dengue dɔléle kple asrã ene, alo? Nenema ke tagbɔdɔléle nye nya si wozãna na dzesi siwo katã kpɔa ŋusẽ ɖe ŋkuɖoɖonudzi, tamebubu, nuwɔna, kple gbesiagbedɔwo wɔwɔ sesẽ dzi ƒe ƒuƒoƒo.
Alzheimer-dɔléle koŋue hea tagbɔdɔléle vɛ eye wòbɔ wu . Eyae nye be menye amesiame si ŋu tagbɔdɔ le lae axɔ Alzheimer ƒe dɔlélea o, gake menye amesiame si ŋu Alzheimer ƒe dɔlélea le lae axɔ tagbɔdɔ o.
Alzheimer ƒe dɔlélea nye ahɔhɔ̃mekawo (lãmenugbagbeviwo) ƒe bu vivivi le ɣeyiɣi aɖe megbe. Esia nana be ŋkuɖoɖonudzi, tamebubu, kple nuwɔna trɔna vivivi. Zi geɖe la, edzea amesiwo xɔ wu ƒe 65. Gake menye tsitsi ƒe akpa si sɔ o.
Alzheimer-dɔlélea ƒe akpa etɔ̃awo
Dɔléle sia medzɔna kpata o. Etsina vivivi, to akpa etɔ̃ me.
| Dɔléle ƒe afɔɖeɖe | Nusiwo woate ŋu akpɔ |
|---|---|
| Eƒe gɔmedzedze (Mild) . | Le ɣeyiɣi sia me la, dzesiawo medzena gaglãa nenema gbegbe o. Amesiwo le kadodo kplikplikpli me koe ade dzesi vovototo sue aɖe. Nu aɖewo ate ŋu anɔ anyi abe nusiwo dzɔ nyitsɔ laa ŋlɔɖi be, nyawo didi sesẽ, kple afisi nèda nuwo ɖo be. Gake nuwo abe ʋukuku ɖeɖe kple gomekpɔkpɔ le hadomenuwɔnawo me ene gakpɔtɔ li. |
| Le ve dome | Esiae nye dɔlélea ƒe akpa si didi wu. Dzesiawo va le dzedzem dzedzem fifia. Ƒometɔwo kple xɔlɔ̃wo va zua amesiwo womate ŋu ade dzesii o. Zã me dzimaɖitsitsi dzɔna. Woate ŋu akpɔ nuwɔna ƒe tɔtrɔwo abe tɔtɔ, dzikudodo, kple dzikudodo ene. Esi wònye be esesẽna be woawo ɖeɖe woawɔ gbesiagbedɔwo ta la, dɔnɔa hiã ame aɖe (dzikpɔla) godoo be wòakpe ɖe eŋu le afɔɖeɖe sia me. |
| Akpa mamlɛtɔ (Esesẽ) . | Le ɣeyiɣi sia me la, ehiã be woakpɔ dɔnɔa dzi gaƒoƒo 24 gbesiagbe. Womete ŋu wɔa nu veviwo abe azɔlizɔzɔ, anyinɔƒe, kple nu mimi ene gɔ̃ hã o. Wobu woƒe nuƒoƒo ƒe ŋutete keŋkeŋ. Ðewohĩ womenya nu tso nusiwo ƒo xlã wo ŋu o. Le ɣeyiɣi sia me la, dɔlélenutsiŋutete ƒe dɔwɔƒewo le vevie ŋutɔ be woado alɔ dɔnɔa kple eƒe ƒomea. |
Nukae hea Alzheimer-dɔlélea vɛ?
Dzɔdzɔmeŋutinunyalawo mekpɔ ŋuɖoɖo si ŋu kakaɖedzi le 100% le nusita ame aɖewo xɔa dɔléle sia ŋu haɖe o, gake wokpɔe be nusiwo gblẽ le ahɔhɔ̃mekawo ƒe lãmenugbagbeviwo ŋu ƒomevi eve koŋue hea dɔléle sia vɛ.
1. Lãmetsiŋusẽ ƒe lãmenugbagbeviwo ƒe wɔwɔme: Protein ƒomevi aɖe si le míaƒe ahɔhɔ̃ ƒe lãmekawo me la va xaxana eye wòtɔtɔna. Míeyɔa esia be `neurofibrillar tangles`.
2. Nusiwo nɔa lãmekawo dome: Protein ƒomevi aɖe si woyɔna be `beta-amyloid` nɔa lãmekawo dome, eye wòwɔa nu gbogbo aɖe si le abe gbeɖuɖɔ ene. Woyɔa esiawo be `kpewo`.
Bu lãmenugbagbevi siwo le míaƒe ahɔhɔ̃ me ŋu be wonye elektrikka siwo tsɔa nyatakakawo. Le ʋuʋudedi kple nusiwo wotsɔ ƒu gbe siwo míeyɔ ɖe etame ta la, elektrikka siawo mete ŋu wɔa dɔ nyuie o. Gbedasiwo ƒe kaka nu tsona, eye mlɔeba lãmeka mawo kuna. Esiae nye nu vevitɔ si tae ŋkuɖoɖonudzi meganɔa anyi o.
Ðe domenyiŋusẽfianuwo kpɔa ŋusẽ ɖe esia dzia?
Ẽ, domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi aɖe li. Ne Alzheimer ƒe dɔlélea nɔ dziwòlawo alo nɔviwòwo ŋu la, anɔ eme be wò hã nàxɔe vie. Gake ema mefia be àwɔe o. Wokpɔe be domenyiŋusẽfianu aɖewo, abe `ApoE (apolipoprotein E),` ene nana dɔléle sia xɔxɔ ƒe afɔkua dzina ɖe edzi. Gake menye dɔléle si tso domenyiŋusẽfianu ɖeɖeko gbɔe esia nye o.
Aleke woawɔ anya dɔlélea?
Ne èsusu be ye alo ame aɖe si te ɖe ye ŋu le Alzheimer-dɔléle ƒe dzesiwo kpɔm la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ enumake, eye anyo wu be nàkpɔ ahɔhɔ̃ŋutinunyala.
Ðɔktaa abia wò kple wò ƒomea tso nuwo abe:
- Kuxi kawoe le ŋkuɖoɖonudzi kple tamebubu ŋu? Aleke gbegbee wo nu sẽe?
- Ðe tɔtrɔ aɖewo va le nuwɔna alo amenyenye mea?
- Ðe kuxi siawo gblẽ nu le wò gbesiagbegbenɔnɔ ŋua?
Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:
- Ŋkuɖodzi kple susu ƒe ŋutete dodokpɔ: Nyabiasewo biabia, biabia tso wo si be woawɔ akɔntabubu bɔbɔewo, kple gbegbɔgblɔ ƒe ŋutete dodokpɔ.
- Ʋu kple aɖuɖɔ dodokpɔ: Kpɔ atikewɔwɔ ƒe nɔnɔme bubuwo (e.g., vitamin ƒe anyimanɔmanɔ) siwo ate ŋu ana ŋkuɖoɖonudzi nabu hã.
- Ahɔhɔ̃mekawo: CT, MRI, alo PET scans ate ŋu ade dzesi tɔtrɔ siwo va le ahɔhɔ̃a me.
- Spinal Tap: Le go aɖewo me la, wodoa ahɔhɔ̃metsi (CSF) kpɔna be protein aɖewo li siwo do ƒome kple Alzheimer ƒe dɔlélea hã.
Nu vevitɔe nye be màgakpe ŋu alo avɔ̃ be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesi dzesi siawo ko o. Zi alesi wokpɔ dɔlélea kaba la, zi nenemae wònɔa bɔbɔe na dɔnɔa kple eƒe ƒomea be woadzra ɖo ɖe nɔnɔmea ŋu.
Atikewɔwɔ kple edzikpɔkpɔ
Nublanuitɔe la, womekpɔ atike aɖeke na Alzheimer ƒe dɔlélea haɖe o. Gake , atike geɖe li siwo ate ŋu akpe ɖe ame ŋu be dɔlélea ƒe ŋgɔyiyi nagbɔdzɔ eye wòakpɔ dzesiawo gbɔ.
Atike yeyewo abe `Lecanemab (Leqembi)` kple `Donanemab (Kinsula)` le agbagba dzem be yewoaɖu dɔlélea ƒe ŋgɔyiyi dzi to protein siwo gblẽa nu le ame ŋu siwo ƒoa ƒu ɖe ahɔhɔ̃a me la ɖeɖeɖa me. Azɔ hã, atikewo abe `Cholinesterase inhibitors` kple `Memantine` kpena ɖe ame ŋu be ŋkuɖoɖonudzi kple susu ƒe dɔwɔwɔ nanɔ anyi vaseɖe afi aɖe.
Ðɔkta ƒe aɖaŋuɖoɖo ko hafi wòle be woano atike siawo katã.
Tsɔ kpe ɖe atikewo ŋu la, nɔnɔme si me dzidzeme kple dedienɔnɔ le wɔwɔ na dɔnɔa, gbesiagbenuwɔnawo dzi wɔwɔ, kple kamedede bɔbɔewo wɔwɔ kpena ɖe dɔnɔa ƒe agbenɔnɔ ƒe nyonyome ŋu ŋutɔ.
Ne èle ame aɖe si ŋu Alzheimer dɔlélea le la dzi kpɔm...
Ne ènye amesi ŋu Alzheimer-dɔléle le dzikpɔla la, ate ŋu anye dɔ sesẽ ŋutɔ eye wòabia nu geɖe tso asiwò. Nu aɖewo siwo ate ŋu akpe ɖe ŋuwòe nye esi:
- Ðo ɖoɖowɔɖi aɖe anyi: Wɔ nuwo abe nuɖuɖu, tsilele, kple alɔ̃dɔdɔ le ɣeyiɣi ɖeka me gbesiagbe. Esia aɖe dɔnɔa ƒe tɔtɔ dzi akpɔtɔ.
- Ƒo nu eme nakɔ eye nàfa tu: zã nya bɔbɔewo, nyagbe kpuiwo. Ðo to wo dzigbɔɖitɔe.
- Lé be na dedienɔnɔ: Ðe modzakaɖebɔ siwo le glidzaglidza le aƒea me ɖa. De asiléƒewo tsileƒea. Kpɔ nyuie ne dɔnɔa ɖeɖe do go.
- Ðe mɔ na ɖokuisinɔnɔ: Ðe mɔ na wo be woawɔ nu siwo woate ŋu awɔ le wo ɖokui si. Esia akpɔ woƒe bubudede wo ɖokui ŋu ta.
- Bu ɖokuiwò hã ŋu kpɔ:Dɔnɔ dzi kpɔkpɔ tea ɖeɖi ame ŋu le susu kple ŋutilã me. Eyata di ɣeyiɣi aɖe nàɖi ɖe eme, wɔ nane si doa dzidzɔ na wò, eye nàge ɖe kpekpeɖeŋunahawo me ne ehiã. Ne wò lãme sẽ ko hafi nàte ŋu akpɔ dɔnɔa dzi nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Alzheimer-dɔléle menye tsitsi ƒe akpa si sɔ o. Enye dɔléle si gblẽa nu le ahɔhɔ̃a ŋu.
- Ne dzesiwo abe ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie, nuwɔna ƒe tɔtrɔ, alo gbesiagbedɔwo wɔwɔ sesẽna na wò ene le ŋuwò la, mègakpe ŋu nàyi ɖɔkta gbɔ o.
- Togbɔ be womate ŋu ada dɔlélea keŋkeŋ o hã la, atikewɔmɔnu aɖewo li siwo dzi woato akpɔ eƒe ŋgɔyiyi dzi ahakpɔ dzesiawo gbɔ.
- Beléle na amesi ŋu Alzheimer-dɔlélea nye kuxi sesẽ aɖe. Ebia dzigbɔɖi, lɔlɔ̃, kple sidzedze nyuitɔ. Abe dɔnɔdzikpɔla ene la, ele vevie be nàlé be na wò ŋutɔ wò lãmesẽ hã.
- Agbenɔnɔ si me lãmesẽ le (nuɖuɖu nyui, kamedede, kple ʋusɔgbɔdɔ dzi ɖuɖu) ate ŋu aɖe Alzheimer-dɔlélea xɔxɔ ƒe afɔkua dzi akpɔtɔ.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee