Ðe nèdi hã be yeanya nu tso ‘alɔ̃madɔmadɔ’ sesẽ kple ʋuʋudedi sia ƒomevi ŋua? Mina míaƒo nu!

Ɣeaɖewoɣi la, ɖewohĩ èkpɔ ame aɖe ƒe tagbɔ bu, eƒe lãme ʋuʋu, eye wòdze anyi eye ʋuʋudedi do tso eƒe nu me. Alo ɖewohĩ wò ŋutɔ èto eme kpɔ. Esiae nye nusi míeyɔna be alɔ̃madɔmadɔ. Ate ŋu anye nu dziŋɔ aɖe. Gake ne ènya nusi wònye la, naneke meli si ŋu nàvɔ̃ ɖo o. Na míakpɔ nusi nye alɔ̃dɔdɔ, nusita wòdzɔna, kple nusi míawɔ ɖa.

Nukae nye ‘alɔ̃madɔmadɔ’ sia?

Kpuie ko la, alɔ̃madɔmadɔ nye elektrikŋusẽ ƒe dzidziɖedzi kpata le mɔ si mesɔ o nu le lãmekawo (ahɔhɔ̃mekawo) dome le wò ahɔhɔ̃ me. Bu wò ahɔhɔ̃ be enye elektrikŋusẽ ƒe ɖoɖo sue aɖe. Ɣeaɖewoɣi la, esia ate ŋu ahe ‘nutome kpui’ vɛ. Esiae nye ɣeyiɣi si me dzesi siawo dzena. Menye amesiamee xɔa alɔ̃dɔdɔ le mɔ ɖeka nu o. Ame aɖewo ƒe susu ate ŋu abu eye woƒe lãme naʋuʋu. Ðewohĩ ame bubuwo mawɔe o, ke boŋ wodzudzɔ nusi wɔm wole henɔa ŋku lém ɖe wo ŋu ƒuƒlu hena ɣeyiɣi aɖe. Woate ŋu ase le wo ɖokui me gɔ̃ hã be yewoƒe abɔwo alo afɔwo le ʋuʋum. Zi ɖeka koe alɔ̃madɔmadɔ dzea ame aɖewo dzi le woƒe agbenɔɣi. Ame bubuwo ate ŋu anɔ wo ŋu zi geɖe gbesiagbe. Eyata wò nuteƒekpɔkpɔ ate ŋu ato vovo kura tso ame bubu tɔ gbɔ.

Nukawoe nye alɔ̃madɔmadɔ ƒomevi veviwo?

Azɔ mina míakpɔ nusiwo koŋ nye alɔ̃madɔmadɔ ƒomeviwo ɖa. Wole ƒomevi vevi eve:

1. Alɔ̃madɔmadɔ si bɔ (alo alɔ̃madɔmadɔ si dzea egɔme le afisiafi): Esiae nye esime elektrikŋusẽ dzea dɔwɔwɔ gɔme le ahɔhɔ̃a ƒe akpa eveawo le ɣeyiɣi ɖeka me. Ðewohĩ ʋuʋudedi le wò ŋutilã ƒe akpa eveawo, alo akpa ɖeka ko. Ɣeaɖewoɣi la, àte ŋu anɔ tsitre ɖe afima ko ʋuʋu aɖeke manɔmee. Zi geɖe la, esia ƒomevi bɔ ɖe ɖevi suewo kple ƒewuiviwo me wu, gake ate ŋu adzɔ ɖe amesiame si xɔ ƒe ɖesiaɖe dzi.

2. Focal seizures (alo focal onset seizures): Le seizure sia ƒomevi me la, elektrikŋusẽ ƒe dɔwɔwɔ dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka, alo le teƒe ɖeka koŋ ("focus"). Zi geɖe la, dzesiawo dzea ame ƒe akpa ɖeka dzi. Àte ŋu anɔ ŋudzɔ alo mànɔ ŋudzɔ le ɣeyiɣi sia me o. Esia fia be àte ŋu aɖo ŋku alɔ̃dɔdɔa dzi alo màɖo ŋku edzi o. Focal seizures ate ŋu atɔ ɣeaɖewoɣi, alo ate ŋu akaka ɖe ahɔhɔ̃a ƒe akpa eveawo.

Nukae nye alɔ̃madɔmadɔ ƒomevi siwo gblẽa nu le ahɔhɔ̃ bliboa ŋu (`Generalized seizures`)?

Azɔ mina míalé ŋku ɖe alɔ̃madɔmadɔ ƒomevi vovovo siwo gblẽa nu le ahɔhɔ̃ bliboa ŋu (`Generalized seizures`) ŋu tsitotsito vie.

• `Absence seizures`: Le esia me la, kasia èdzudzɔ nusi wɔm nènɔ, èkpɔa ŋku ƒuƒlu, eye wòdzena abe mète ŋu sea naneke o hena ɣeyiɣi aɖe ene. Ðeko wòle abe ɖe ‘èdo le xexeame’ hena ɣeyiɣi aɖe ene. Esia nu yina le eɖokui si le sɛkɛnd ʋɛ aɖewo ko me.
• `Atonic seizures` (si woyɔna hã be `drop seizures`): Le esia me la, kasia ŋutilãa megate ŋu ɖua lãmekawo dzi o eye wòdzea anyigba.
• `Clonic seizures`: Le esia me la, ŋutilã ƒe akpa eveawo siaa ʋuʋuna, eye ate ŋu adzɔ be ame ƒe susu nabu. Ɣeaɖewoɣi la, ŋutilãa ƒe akpa ɖeka koe ate ŋu aʋuʋu, eye emegbe ɖewohĩ ame ƒe susu magabu o.
• `Myoclonic seizures`: Le esia me la, lãmeka ɖeka alo lãmeka geɖe siwo do ƒome kple wo nɔewo la ʋuʋuna zi ɖeka. Ele abe ʋuʋudedi sue aɖe ene, abe elektrikŋusẽ ƒe ʋuʋu ene.
• `Secondary generalized seizures`: Le esia me la, elektrikŋusẽ ƒe dɔwɔwɔ dzea egɔme gbã le ahɔhɔ̃a ƒe akpa ɖeka (`focal seizure`), eye emegbe wòkakana ɖe ahɔhɔ̃ bliboa me (`generalized seizure`).
• `Tonic-clonic seizures`: Esia nye ƒomevi si ame akpa gãtɔ susuna ne wose nya `seizure.` Gbã la, ŋutilã ƒe lãmekawo sesẽna (`tonic phase`), emegbe manyamanya eye ŋutilã bliboa dzea ʋuʋu gɔme (`clonic phase` - `convulsions`).
• Tonic seizures: Le esia me la, ame ƒe susu buna eye ŋutilã ƒe lãmekawo sesẽna, gake ʋuʋudedi (ʋuʋudedi) medzɔna o.

Nukae nye alɔ̃madɔmadɔ ƒomevi siwo gblẽa nu le ahɔhɔ̃a ƒe akpa ɖeka ko ŋu (`Focal seizures`)?

Azɔ mina míalé ŋku ɖe alɔ̃madɔmadɔ ƒomevi siwo gblẽa nu le ahɔhɔ̃a ƒe akpa ɖeka ko ŋu (`Focal seizures`).

• Focal seizures (si woyɔna tsã be simple partial seizures): Le alɔ̃madɔmadɔ sia ƒomevi me la, ènya nusi le dzɔdzɔm, si fia be èsenɛ le ɖokuiwò me, eye nèɖoa ŋku edzi le ema megbe.
• Focal seizures (si woyɔna tsã be complex partial seizures): Ne alɔ̃madɔmadɔ aɖe dzɔ la, mègatsia dzodzodzoe, mènya nusiwo ƒo xlã wò o, eye mègaɖoa ŋku nusi dzɔ le ema megbe dzi o.

Aleke gbegbee alɔ̃madɔmadɔ bɔe?

Ðewohĩ ànɔ alesi gbegbe alɔ̃madɔmadɔ siawo bɔ ŋutɔŋutɔ ŋu bum. Le xexeame katã la, wobu akɔnta be ame abe ɖeka le ame 10 ɖesiaɖe me axɔ alɔ̃dɔdɔ zi ɖeka ya teti le woƒe agbenɔɣi. Eyata menye esia koe nye nusi mebɔ o.

Nukawoe nye alɔ̃madɔmadɔ ƒe dzesiwo?

Alɔ̃madɔmadɔ ƒe dzesiwo toa vovo le alɔ̃madɔmadɔa ƒomevi kple eƒe sesẽ nu, gake dzesi siwo bɔ dometɔ aɖewoe nye:

• Ame ƒe susu meganɔa ame ŋu o.
• Ŋutilã ƒe ʋuʋu si dzi womate ŋu aɖu o (ʋuʋudedi, lãmekawo ƒe ʋuʋu, ʋuʋudedi).
• Dzudzɔkpɔkpɔ, ŋkuléle ɖe naneke ŋu manɔmee .

Tsɔ kpe ɖe esia ŋu la, nɔnɔme bubuwo ate ŋu anɔ anyi:

• Seselelãmewo ƒe tɔtrɔ kpata (tɔtɔ, vɔvɔ̃, dzidzɔkpɔkpɔ, dzimaɖitsitsi).
• Aɖuɖɔtoe.
• Aɖuɖɔɖɔɖɔ.
• Ŋku siwo le ʋuʋum le mɔ si mele dzɔdzɔme nu o nu.
• Aɖuɖɔtoe alo dɔgbo dzi ɖuɖu ƒe bu.
• Toɣliɖeɖe wɔnukuwo wɔwɔ (abe ɣlidodo, ʋuʋudedi ene).

Gake ɖo ŋku edzi be dzesi siawo nɔa anyi ɣeyiɣi kpui aɖe ko . Zi geɖe la, wonɔa anyi tso sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ʋɛ aɖewo.

Afɔɖeɖe kawoe nyea alɔ̃dɔdɔ ƒe afɔɖeɖewo?

Afɔɖeɖe vovovo vovovowoe nɔa alɔ̃madɔmadɔ aɖewo ŋu, gake menye amesiamee kpɔa afɔɖeɖe siawo katã o.

1. Prodrome ƒe akpaa:Àte ŋu ade dzesi tɔtrɔ le wò seselelãme kple nuwɔna ŋu ŋkeke ʋɛ aɖewo do ŋgɔ na alɔ̃madɔmadɔ. Àte ŋu ase le ɖokuiwò me be yeƒe ta le ƒoƒom, asesẽ na wò be yeƒe susu nanɔ nu ŋu, alo alɔ̃dɔdɔ sesẽ na wò.

2. Aura ƒe akpa: Àte ŋu akpɔ dzesi aɖewo hafi alɔ̃madɔmadɔ ƒe dzesi gbãtɔwo nadze egɔme. Esiawo ate ŋu anye tɔtrɔ le nukpɔkpɔ me (akaɖi siwo le keklẽm kpɔkpɔ, nuwo kpɔkpɔ le mɔ gbegblẽ nu), taɖuame, taɖuame, ʋuʋudedi, vɔvɔ̃ ƒe seselelãme, dzimaɖitsitsi, kple tɔtrɔ le wò sidzenuwo ŋu (tɔtrɔ le vivisese, ʋeʋẽ, gbeɖiɖi, kple asikaka ame ŋu me).

3. Ictal phase: Esiae nye ɣeyiɣi si me alɔ̃madɔmadɔa dzɔna ŋutɔŋutɔ. Ɣemaɣie nàkpɔ dzesi siwo míeyɔ va yi.

4. Postictal phase: Ne ènya wu alɔ̃dɔdɔa nu ko la, àte ŋu atɔtɔ, ɖeɖi ate ŋuwò vevie, ŋutilã nave wò, eye seselelãme sesẽwo (blanuiléle, dziku, dzidzɔkpɔkpɔ).

Nu vevitɔ enye be menye alɔ̃madɔmadɔ katãe si do ŋgɔ na dzesi ƒe akpa sia si woyɔna be ``Aura.`` Zi geɖe la, alɔ̃madɔmadɔ dzɔna kpata, nuxlɔ̃ame aɖeke manɔmee.

Nukawoe nye nuxlɔ̃amedzesi siwo doa ŋgɔ na alɔ̃madɔmadɔ?

Ame aɖewo ate ŋu akpɔ nuxlɔ̃amedzesiwo hafi alɔ̃madɔmadɔ, gake esia mebɔ ɖe amesiame gome o.

• Seselelãme ƒe dzesiwo: akaɖi siwo le keklẽm kpɔkpɔ, nuwo kpɔkpɔ le mɔ bubu nu, gbeɖiɖi wɔnukuwo sese zi ɖeka, vivisese wɔnukuwo (abe ga, veve) alo ʋeʋẽwo sese zi ɖeka, seselelãme wɔnukuwo le ŋutigbalẽa me (abe ʋuʋudedi alo ʋuʋudedi ene).
• Seselelãme ƒe tɔtrɔ: Seselelãme sesẽwo ƒe gɔmedzedze kpata (vɔvɔ̃, dzidzɔkpɔkpɔ), sese le ame ɖokui me be nane dzɔ do ŋgɔ togbɔ be enye nu yeye hã (`déjá vu`), alo sese le ame ɖokui me abe nu yeye ene togbɔ be wonyae nyuie hã (`jamais vu`).
• Dzesi siwo dzena le wo ɖokui si: Esiawo nye dzesi siwo gblẽa nu le ŋutilã ƒe dɔwɔwɔ siwo dzi wò ahɔhɔ̃ kpɔa ŋusẽ ɖo le wo ɖokui si ŋu. Kpɔɖeŋu aɖewoe nye fifia, aɖuɖɔɖɔɖɔ, dɔgbo si le veve sem, kple ŋutigbalẽ si le ɣie.

Nukawoe hea alɔ̃dɔdɔ vɛ?

Nukatae alɔ̃madɔmadɔ dzɔna? Abe alesi megblɔe va yi ene la, nusi koŋ gbɔ esia tsoe nye elektrikŋusẽ ƒe dzidziɖedzi kpata, si mesɔ o, si dzi womeɖu o le lãmekawo ƒe lãmenugbagbeviwo (`Neurons`) dome le wò ahɔhɔ̃ me. Lãmetsiŋusẽ ƒe lãmenugbagbevi siawo ɖoa dze kple wo nɔewo to elektrikŋusẽ ƒe dzesiwo dzi. Le alɔ̃madɔmadɔ me la, ahɔhɔ̃menugbagbevi siwo ŋu dɔlélea le la ɖoa dzesi siawo ɖe lãmenugbagbevi bubu siwo le nuto si ƒo xlãe me evɔ womeɖua wo dzi o. Elektrikŋusẽ ƒe kaka fũu akpa siae hea alɔ̃madɔmadɔ ƒe dzesiwo vɛ.

Woate ŋu ama nusiwo gbɔ alɔ̃madɔmadɔ tsona ɖe hatsotso vevi eve me:

1. Alɔ̃madɔmadɔ si doa dziku na ame (alo alɔ̃madɔmadɔ si menye alɔ̃madɔmadɔ o): Nɔnɔme aɖe si nɔa anyi ɣeyiɣi kpui aɖe alo nudzɔdzɔ aɖe koŋ (si woyɔna be nusi ʋãa ame) gbɔe esiawo tsona. Esia fia be nane ye hea alɔ̃dɔdɔa vɛ.

2. Alɔ̃madɔmadɔ si womeʋã o (`Alɔ̃madɔmadɔ si womeʋã o` alo `alɔ̃madɔmadɔ ƒe alɔ̃madɔmadɔ`):Esiawo dzɔna le wo ɖokui si, eye susu aɖeke medze ƒã o. Woate ŋu adzɔ enuenu hã. Alɔ̃madɔmadɔ siawoe nye nɔnɔme aɖe si woyɔna be asrãdɔ ƒe dzesi vevitɔ.

Ɣeaɖewoɣi la, womate ŋu akpɔ nusi gbɔ wòtso be alɔ̃madɔmadɔa dze ƒã o. Míeyɔa esiawo be `idiopathic seizures`.

Nukawoe hea alɔ̃dɔdɔ vɛ?

Menye nusiwo ʋãa ame ɖekae li na amesiame o, gake esiwo bɔ dometɔ aɖewoe nye esi:

• Sukli ƒe agbɔsɔsɔ si mesɔ o le ʋu me (si bɔbɔ akpa alo wòsɔ gbɔ akpa).
• Atike aɖewo (abe `Wellbutrin®` alo `bupropion` ene).
• Akaɖi siwo le keklẽm, siwo le keklẽm alo le keklẽm.
• Dzoxɔxɔ ƒe dɔléle.
• Asrã sesẽ.
• Alɔ̃madɔmadɔ.
• Nuteɖeamedzi.
• Atike vɔ̃ɖi alo ahanono zazã (vevietɔ ahanono ƒe asiɖeɖe le eŋu ƒe dzesiwo ne èdzudzɔ ahanono).

Ne alɔ̃madɔmadɔ dzea dziwò enuenu la, ele vevie ŋutɔ be nàŋlɔ nusi wɔm nènɔ kple alesi nuto si me nèle hafi axɔ wò la ɖi. Nyatakaka siawo akpe ɖe wò ɖɔkta ŋu wòanya nusiwo nye nusiwo ʋãa wò.

Atikewɔwɔ me nɔnɔme bubu kawoe ate ŋu ana ame naxɔ alɔ̃?

Atikewɔwɔ ƒe nɔnɔme bubu vovovowo ate ŋu ahe alɔ̃madɔmadɔ vɛ. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Nusiwo mesɔ o le ahɔhɔ̃a ƒe ʋukawo me (`Aneurysms`).
• Ahɔhɔ̃ me dɔdzẽwo.
• Oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a (`Cerebral hypoxia`).
• Ahɔhɔ̃mekawo ƒe dɔléle.
• Suklidɔ.
• Ta ƒe abi sesẽwo (`Ahɔhɔ̃ ƒe ʋuʋu sesẽ` kple `ahɔhɔ̃ ƒe abi si nu sẽ`), vevietɔ le nɔnɔme siwo me ame ƒe susu megale dɔ wɔm o me.
• Dɔléle siwo gbɔdzɔa ahɔhɔ̃a vivivi, le kpɔɖeŋu me, Alzheimer ƒe dɔléle alo ŋkume ƒe tagbɔdɔ.
• Ʋusɔgbɔdɔ kple alɔ̃madɔmadɔ (`Eclampsia`) le fufɔɣi.
• Elektrikŋusẽ ƒe kuxiwo, vevietɔ sodium (hyponatremia), calcium, alo magnesium ƒe agbɔsɔsɔ si mede ame dzi o.
• Aɖuɖɔtoetetedɔ - Esia ƒe dzesi enye alɔ̃madɔmadɔ enuenu evɔ womekpɔ nusi gbɔ wòtso si dze ƒã o.
• Domenyiŋusẽfianu ƒe nɔnɔmewo.

Susu bubuwo ate ŋu anɔ anyi:

• Lãmetsiŋusẽ ƒe tɔtrɔ (`Tɔtrɔ siwo do ƒome kple lãmetsiŋusẽ`).
• Dɔlékuiwo (vevietɔ tagbɔdɔ, taɖuame, alo dɔlékuiwutikewo).
• Dzoxɔxɔ tso dɔlélenutsiŋutete ƒe nɔnɔmewo gbɔ.
• Susu ƒe lãmesẽkuxiwo (si woyɔna be `susu ƒe alɔ̃madɔmadɔ`), le kpɔɖeŋu me `trɔtrɔ ƒe dɔléle`.
• Kuxi siwo le ahɔhɔ̃ ƒe tsitsi ŋu siwo dzɔna le vidzidzi me (`Congenital brain abnormalities`).
• Ʋusɔgbɔdɔ.
• Aɖinuwo ɖuɖu (aɖi si nye carbon monoxide, aɖi si le ga kpekpewo me).
• Da ƒe ɖuɖu alo lã bubu siwo me aɖi le ƒe ɖuɖu.

Amekawoe le afɔku gã me be woaxɔ alɔ̃madɔmadɔ?

Ame sia ame, le ƒe ɖesiaɖe me, ate ŋu axɔ alɔ̃dɔdɔ. Gake ame aɖewo le afɔku si lolo wu me vie:

• Le amesiwo ŋu atikewɔwɔ me nɔnɔme bubuwo le gome.
• Ne alɔ̃madɔmadɔ (domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi) xɔ ame aɖe le ƒomea me.
• Na ɖevi (siwo mexɔ ƒe 18 haɖe o).
• Le amesiwo xɔ wu ƒe 50 gome.

Kuxi kawoe ate ŋu ado tso alɔ̃madɔmadɔ me?

Le alɔ̃madɔmadɔ me la, afɔku gã aɖe li be woaxɔ abi , elabena zi geɖe la, amewo ƒe susu meganɔa nu ŋu o eye wodzea anyi. Afɔku ate ŋu adzɔ ne wole gegem, alo ne wole nu bubu aɖe wɔm (abe ʋukuku, mɔ̃wo zazã, alo kɔkɔƒe lialia ene). Ne ŋutilãa le ʋuʋum la, abɔ kple afɔwo ate ŋu adze nu sesẽwo dzi, si ana woatso, abi, eye ƒuwo gɔ̃ hã agbã.

Status epilepticus nye dɔléle si me afɔku le. Edzɔna ne alɔ̃madɔmadɔ aɖe xɔ wu miniti atɔ̃, alo ne alɔ̃madɔmadɔ bubu gadze hafi amea haya keŋkeŋ tso alɔ̃madɔmadɔ ɖeka me. Esia nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ate ŋu agblẽ nu le ahɔhɔ̃a ŋu eye wòaku gɔ̃ hã.

Kadodo sẽŋu aɖe hã le alɔ̃madɔmadɔ kple susu ƒe lãmesẽ dome. Amesiwo ŋu alɔ̃dɔdɔ le la ate ŋu axɔ susu me kuxiwo abe dzimaɖitsitsi kple blanuiléle ene . Esia le alea elabena alɔ̃madɔmadɔ ate ŋu ado kplamatse gbesiagbedɔwo kple nusiwo doa dzidzɔ na wo. Àte ŋu atsi dzimaɖi ahatsi dzi be yeagaxɔ alɔ̃dɔdɔ ake. Ðewohĩ màte ŋu dɔ alɔ̃ le zã me anɔ ɖokuiwò biam be ɣekaɣie esi kplɔe ɖo ava o. Ne alɔ̃madɔmadɔ le ŋuwò le ame bubuwo ŋkume la, ŋu ate ŋu akpe wò eye màdi be yeado go alo akpɔ vovo ɖe xɔ̃wòwo ŋu o. Esi wònye be alɔ̃madɔmadɔ nye nusi dzɔna le wò ŋusẽ godo ta la, esɔ be seselelãme siawo nanɔ ame me. Tagbɔdɔléle ŋuti aɖaŋuɖola ate ŋu akpe ɖe ŋuwò nàɖu seselelãme siawo dzi.

Aleke nèwɔna dea dzesi alɔ̃dɔdɔ?

Ðɔkta, si zi geɖe nye ahɔhɔ̃ŋutinunyala, dea dzesi alɔ̃dɔdɔ. Esia bia be woawɔ ŋutilãmedɔ, ahɔhɔ̃mekawo dodokpɔ, kple dodokpɔ bubuwo. Le dodokpɔ siawo me la, ɖɔktaa abia wò dɔlélea ƒe dzesiwo, wò atikewɔwɔ ŋutinya, kple nenye be dɔléle sia tɔgbi nɔ wò ƒomea me tɔ aɖe hã ŋu.

Eɖea vi ŋutɔ be nàtsɔ ame aɖe si kpɔ wò alɔ̃dɔdɔ teƒe la ɖe asi ava ɖɔkta gbɔ. Esi wònye be ɖewohĩ màɖo ŋku nusi dzɔ ɣemaɣi dzi o ta la, ame ma ate ŋu agblɔ nyaawo tsitotsito na ɖɔktaa.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi alɔ̃madɔmadɔ?

Dodokpɔ siawo kpena ɖe ŋuwò nèɖoa kpe edzi nenye be alɔ̃madɔmadɔ le ŋuwò ŋutɔŋutɔ, eye ne ele nenema la, ke nusi gbɔ wòtso. Nu vevitɔwo dometɔ ɖeka le alɔ̃madɔmadɔ didi me enye be woanya ne teƒe aɖe koŋ le ahɔhɔ̃a me (`focal point`) afisi alɔ̃madɔmadɔa dzea egɔme tsoe. Ne wonya ke ɖe `focal point` sia ŋu ko la, enɔa bɔbɔe na ɖɔkta be wòawɔ ɖoɖo ɖe atikewɔwɔ ŋu.

Dodokpɔ siwo wozãna tsɔ dea dzesi alɔ̃madɔmadɔ dometɔ aɖewoe nye esi:

• Ʋudodokpɔwo.
• CT scan (`Kɔmpiuta dzi tomography (CT) scan`).
• EEG dodokpɔ (`Elektroencephalogram (EEG)`). Esia dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ.
• Domenyiŋusẽfianu dodokpɔwo.
• MRI-dɔdamɔnu (Magnetic resonance imaging (MRI)).
• PET ƒe fotoɖeɖe (Positron emission tomography (PET) ƒe fotoɖeɖe).
• Akɔta ƒe pɔmpi alo akɔta ƒe ʋuʋu.

Ne ɖɔktaa susui be abi alo kuxi aɖe le alɔ̃madɔmadɔa ta la, ate ŋu aɖe gbe hã be woadoe kpɔ. Ðɔktaa agblɔ dodokpɔ siwo wɔm wole kple nusitae na wò (alo ame aɖe si wɔa atikewɔwɔ ŋuti nyametsotsowo na wò).

Nukawoe nye atike siwo wozãna na alɔ̃madɔmadɔ?

Atikewɔwɔ na alɔ̃dɔdɔ toa vovo le eƒe ƒomevi, eƒe sesẽme, kple nusi gbɔ wòtso nu. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ atikewo abe:

• Nusi gbɔ wòtso alo nɔnɔmea dada: Ðɔktaa adze agbagba gbã be yeada dɔléle si gbɔ wòtso si na wòxɔ alɔ̃ (abe ʋusɔgbɔdɔ alo sukli si ɖiɖi le ʋu me ene). Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe alɔ̃dɔdɔ le etsɔme nu.
• Atike siwo tsia alɔ̃madɔmadɔ nu nono: Atike siawo ate ŋu atɔ te alɔ̃madɔmadɔ alo aɖe alɔ̃madɔmadɔ ƒe dzidziɖedzi dzi akpɔtɔ.
• Amekoko: Ne woɖe ahɔhɔ̃a ƒe teƒe si alɔ̃dɔdɔ dzea egɔme tsoe la ɖa alo trɔ asi le eŋu la, ate ŋu aɖe alɔ̃madɔmadɔ ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ.
• Ahɔhɔ̃ ƒe ʋuʋu: Amekola aɖe tsɔa mɔ̃ sue aɖe dea wò ahɔhɔ̃ me. Esia naa elektrikŋusẽ aɖe yia ahɔhɔ̃a me. Elektrikŋusẽ sia gblẽa elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o la me eye wòdzea agbagba be yeatɔ tei. Ahɔhɔ̃ ƒe ʋuʋu ƒomevi vovovowo li, eƒe kpɔɖeŋu ɖekae nye vagus nerve stimulation.

Ne atikewɔmɔnu aɖewo mewɔ dɔ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàtrɔ wò nuɖuɖu. Numekuku aɖewo ɖee fia be nuɖuɖu si me carb alo ketogenic mesɔ gbɔ ɖo o ate ŋu aɖe alɔ̃madɔmadɔ dzi akpɔtɔ. Ke hã, wogale numekuku wɔm tso esia ŋu kokoko.

Atike kawoe wozãna na alɔ̃madɔmadɔ?

Atikewo ate ŋu akpe ɖe ame ŋu wòaɖu alɔ̃madɔmadɔ dzi to:

• Edzudzɔna ne alɔ̃madɔmadɔ dze ame dzi ko.
• Exea mɔ na alɔ̃dɔdɔ le etsɔme.
• Eɖea alɔ̃dɔdɔ ƒe sesẽ dzi kpɔtɔna.
• Eɖea alɔ̃dɔdɔ ƒe dzidziɖedzi dzi kpɔtɔna.

Atike siwo bɔ ɖe alɔ̃madɔmadɔ ŋu dometɔ aɖewoe nye esi (esiawo nye kpɔɖeŋuwo ko; wò ɖɔkta akpɔ atike si sɔ na wò):

• `Benzodiazepine ƒe atike`
• `Carbamazepine ƒe atike`
• `Diazepam`
• `Gabapentin`
• `Lamotrigine`
• `Oxcarbazepine ƒe atike`
• `Phenytoin`
• `Pregabalin`
• `Valproic acid`

Ne èdze atike yeye zazã gɔme vɔ la, wò ɖɔkta alé ŋku ɖe ŋuwò edziedzi be yeakpɔ alesi wòle dɔ wɔm nyuie hã. Ate ŋu axɔ ɣleti geɖe hafi mia kple wò ɖɔkta miakpɔ atike kple agbɔsɔsɔme si sɔ. Ne wò lãme sẽ hã la, ele vevie ŋutɔ be nàyi wò atikewo nono dzi abe alesi wò ɖɔkta gblɔe na wò ene.

Numekukuwo ɖee fia be amesiwo noa atike siwo tsia alɔ̃madɔmadɔ nu la dometɔ siwo ade 33% kpɔa gbɔdzɔe keŋkeŋ tso woƒe alɔ̃madɔmadɔ ƒe dzesiwo me. 33% bubuwo gblɔ be yewoƒe dzesiwo dzi ɖena kpɔtɔna zi gbɔ zi geɖe le atikeawo nono vɔ megbe.

Ðe woate ŋu axe mɔ ɖe alɔ̃madɔmadɔ nua?

Esi wònye be alɔ̃madɔmadɔ nye nusi dzɔna kpata ta la, womate ŋu axe mɔ ɖe enu keŋkeŋ o. Nu nyuitɔ si nàte ŋu awɔe nye be nàƒo asa na nusiwo ate ŋu ahe alɔ̃madɔmadɔ, alo `nu siwo aʋã ame`. Le kpɔɖeŋu me, ɖu sukli ƒe agbɔsɔsɔ le ʋu me dzi, eye nàkpɔ ɖokuiwò ta tso dɔlélewo kple abixɔxɔ me.

Nukae dzɔna ne alɔ̃madɔmadɔ dze dzinye? Nukae wòle be makpɔ mɔ na?

Ame siwo ƒe alɔ̃dɔdɔ zi ɖeka evɔ womekpɔe o la dometɔ siwo mede afã o la axɔ bubu. Gake ne alɔ̃madɔmadɔ zi evelia la, zi geɖe la, ɖɔktawo dzea atike siwo tsia alɔ̃madɔmadɔ nu gɔme. Le alɔ̃madɔmadɔ si wodo dziku na me la, afɔku si le alɔ̃dɔdɔ bubu me nɔ te ɖe nusi he alɔ̃dɔdɔ gbãtɔ vɛ dzi. Ne woate ŋu ada nusi gbɔ wòtso ma la, anɔ eme be màgadze alɔ̃ bubu ake o (negbe ɖe nɔnɔme ma ke si na wòdze gbãtɔa gadzɔ ko hafi).

Atikewo ate ŋu atɔ te alɔ̃madɔmadɔ alo aɖe eƒe dzɔdzɔ edziedzi dzi akpɔtɔ. Gake ɣeaɖewoɣi la, ele be nàte atike geɖe (alo atike vovovowo) kpɔ hafi akpɔ esi awɔ dɔ na wò.

Le go aɖewo me la, ate ŋu asesẽ be woaɖu alɔ̃dɔdɔ dzi ne wozã atike ɖeɖeko. Le nɔnɔme mawo me la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na ame, aɖu nu tɔxɛ aɖe, alo awɔ atike bubuwo.

Ne alɔ̃madɔmadɔ le ŋuwò enuenu la, wò ɖɔkta agblɔ afɔɖeɖe siwo ate ŋu akpe ɖe ŋuwò nànɔ dedie la na wò. Àte ŋu ado atikewɔgbalẽvi alo agbalẽvi alo atsɔe ɖe asi. Esia ana ame bubuwo nanya nusi woawɔ ne alɔ̃dɔdɔ dze ŋuwò.

Ɣeyiɣi didi kae wòxɔ tso esime nèxɔ alɔ̃madɔmadɔ?

Zi geɖe la, alɔ̃madɔmadɔ ƒe dzesiwo nɔa anyi tso sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ʋɛ aɖewo, eye aɖabaƒoƒo 15 koe wòxɔna. Gake ne alɔ̃madɔmadɔ zi geɖe ɖe wo nɔewo yome (esia nye atikewɔwɔ kpata) la, dzesiawo ate ŋu anɔ anyi eteƒe nadidi wu.

Nukae anye nye etsɔme mɔkpɔkpɔ le alɔ̃madɔmadɔ ŋu?

Esi wònye be amesiame ƒe alɔ̃dɔdɔ ƒe nuteƒekpɔkpɔ to vovo ta la, nukpɔsusua ate ŋu ato vovo ŋutɔ. Enɔ te ɖe nu geɖe dzi:

• Ðe nèke ɖe susu aɖe ŋua?
• Ðe woate ŋu ada nusi gbɔ wòtso ma ahakpɔ egbɔa?
• Alɔ̃madɔmadɔ ka ƒomevie nɔ ŋuwò?
• Aleke gbegbee alɔ̃dɔdɔa nu sẽe eye ɣeyiɣi didi kae wòxɔ?
• Ðe esia nye wò alɔ̃dɔdɔ zi gbãtɔa?
• Ðe atikewɔwɔ me dɔléle aɖe le ŋuwò si ƒe dzesiwo nyea alɔ̃madɔmadɔa?
• Atike kawoe li woatsɔ akpɔ alɔ̃madɔmadɔ sia ƒomevi gbɔ?

Wò ɖɔktae nye ame nyuitɔ kekeake si ana nyatakaka yeyetɔ kekeake wò tso nusiwo nàkpɔ mɔ na ŋu. Kpɔ egbɔ be yebiae ne nya aɖe le asiwò.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èxɔ alɔ̃madɔmadɔ zi gbãtɔ le wò agbe me , alo ne ètsi dzodzodzoe eye mènya nusi gbɔ wòtso o la, ele be nàyi xɔ si me wowɔa dɔ kpata le godoo.Ne èsusu be yele alɔ̃madɔmadɔ lém zi gbãtɔ esime ye ɖeka yele la, ele be nàkpɔ ɖɔkta alo aƒo nu kplii kaba ale si nàte ŋui.

Ne alɔ̃madɔmadɔ dze dziwò kpɔ la, ele vevie be nànɔ ŋku lém ɖe dzesi siwo fia be dɔléle bubu aɖe le ŋuwò hã. Ne èdze alɔ̃ zi evelia la, ele vevie ŋutɔ be nàkpɔ ɖɔkta kaba ale si nàte ŋui. Esia le alea elabena alɔ̃madɔmadɔ ate ŋu ana tɔtrɔwo nava wò ahɔhɔ̃ me, si ana wòanɔ bɔbɔe be nàgadze alɔ̃ bubu. Eyata anyo wu be woakpɔ dɔlélea eye woadze atikewɔwɔ gɔme kaba ale si nàte ŋui.

Ne ame aɖe ƒe alɔ̃dɔdɔ enuenu la, ɖewohĩ mahiã be woayɔ dɔnɔdzikpɔʋu le alɔ̃madɔmadɔ ɖesiaɖe megbe o. Gake ne ènya nusitae alɔ̃madɔmadɔa dze dziwò hã la, abi siwo wòhe vɛ ate ŋu ahiã kokoko be woakpɔ egbɔ kokoko.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne alɔ̃madɔmadɔ le ŋuwò la, àte ŋu abia wò ɖɔkta nya siawo abe esiawo ene:

• Nukatae alɔ̃madɔmadɔ sia va dze dzinye?
• Aleke mawɔ aƒo asa na `nu siwo ʋãa ame`?
• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
• Ðe alɔ̃madɔmadɔ agadze ŋunyea?
• Aleke mawɔ anɔ dedie?

Alɔ̃madɔmadɔ ƒomevi kawoe gblẽa nu le ɖeviwo ŋu?

Ðeviwo hã ate ŋu axɔ alɔ̃dɔdɔ. Nu mawo ke siwo hea alɔ̃dɔdɔ vɛ na ame tsitsiwo hã gblẽa nu le ɖeviwo ŋu zi geɖe. Alɔ̃madɔmadɔ kple alɔ̃madɔmadɔ ƒomevi siwo bɔ wu le ɖeviwo me dometɔ aɖewoe nye esi (esiawo nye kpɔɖeŋuwo ko):

• Absence seizures (si woyɔna hã be ɖevimenɔɣi ƒe absence epilepsy).
• Aɖuɖɔtoedɔ le ɖeviwo ŋu.
• Asrã ƒe alɔ̃madɔmadɔ.
• Vidzĩwo ƒe ʋuʋudedi.
• Ðeviwo ƒe myoclonic epilepsy.
• `Lennox-Gastaut ƒe dɔléle`.
• `Tonic-clonic ƒe alɔ̃madɔmadɔ`.

Ðe wòle dedie be mafɔ fu ne alɔ̃madɔmadɔ le ŋunyea?

Ẽ, àte ŋu afɔ fu dedie ne asrãdɔ le ŋuwò. Gake wò ɖɔkta adi be yealé ŋku ɖe wò kple viwòa ƒe lãmesẽ ŋu edziedzi. Atike aɖewo siwo tsia asrãdɔ nu mesɔ be woazã le fufɔɣi o. Emegbe wò ɖɔkta ate ŋu ana atike bubu siwo le dedie wu wò be wòakpe ɖe ŋuwò nàɖu wò dzesiwo dzi. Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe esia ŋu la, ame nyuitɔ si nàƒo nu nae nye wò ɖɔkta.

Togbɔ be alɔ̃madɔmadɔ adze abe nusi nèkpɔna le television alo sinimawo me ene hã la, ate ŋu anye nusi nèkpɔna le wò ŋutɔ alo wò lɔlɔ̃tɔ aɖe me gbesiagbe, alo zi geɖe wu gɔ̃ hã. Le nyateƒe me la, womevivina be woakpɔ wo o, eye wo kpɔkpɔ doa vɔvɔ̃ na ame wu. Àte ŋu ase le ɖokuiwò me be yemenye ye ŋutɔ ye do ŋgɔ na alɔ̃dɔdɔ, le ewɔɣi, kple emegbe, eye ate ŋu axɔ ɣeyiɣi hafi nàhaya.

Ne màte ŋu aɖu wò alɔ̃dɔdɔ dzi o hã la, ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ dzesiawo gbɔ kaba. Wò ɖɔkta ate ŋu afia mɔ siwo dzi nàto akpɔ wò dɔlélea gbɔ, alo akpe ɖe ŋuwò nàde dzesi nusiwo aʋã wò ahaƒo asa na wò. Atikewo ate ŋu akpe ɖe ame ŋu wòaɖe alɔ̃dɔdɔ enuenu dzi akpɔtɔ, eye amekoko ate ŋu anye tiatia ne atikewɔwɔ bubuwo mewɔ dɔ o.

Nu vevi kawoe míedi be míatsɔ ayi aƒemee tso ŋutinya sia me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata nu aɖewo siwo wòle be wòanɔ susu me na mí tso nusiwo ŋu míeƒo nu tsoe me lae nye esi:

• Alɔ̃madɔmadɔ nye ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o. Togbɔ be ate ŋu ado vɔvɔ̃ na ame hã la, atikewɔmɔnu aɖewo li le nusi gbɔ wòtso kple eƒe ƒomevi nu.
• Menye alɔ̃madɔmadɔ katãe sɔ o. Ame aɖewo ƒe ʋuʋu le ʋuʋum, ame aɖewo nɔa ŋku lém ɖe ŋuwò ko. Dzesiawo ate ŋu ato vovo ŋutɔ.
• Ne alɔ̃madɔmadɔ dze dziwò zi gbãtɔ susu aɖeke manɔmee, alo ne èbu ta la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne edzɔ zi evelia hã la, yi ɖɔkta gbɔ enumake.
• Ele vevie ŋutɔ be nàno atike si wò ɖɔkta ŋlɔ na wò pɛpɛpɛ eye nànoe ɖe game dzi. Mègadzudzɔ enono le ɖokuiwò si o.
• Kpɔ nusiwo nye wò `nu siwo ʋãa wò` eye nàdze agbagba aƒo asa na wo.
• Menye wò ɖeka koe o. Ðɔktawo, ƒometɔwo, kple xɔlɔ̃wo li siwo ate ŋu akpe ɖe amesiwo ŋu alɔ̃madɔmadɔ le ŋu ahakpe ɖe wo ŋu. Lé be na wò susu ƒe lãmesẽ hã.
• Status epilepticus (alɔ̃madɔmadɔ si xɔa wu miniti 5 alo alɔ̃madɔmadɔ si yia edzi) nye atikewɔwɔ kpata. Ebia be woaxɔ ame ɖe kɔdzi enumake.

Ne nyabiase bubu aɖewo le wò alo ame aɖe si nènya si ku ɖe alɔ̃madɔmadɔ ŋu la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o. Woakpe ɖe ŋuwò.

` Alɔ̃madɔmadɔ, Aɖuɖɔtoedɔ, Ahɔhɔ̃medɔléle, Ahɔhɔ̃mekawo ƒe Dɔléle, Dzesiwo