Ðe wòsesẽna be nàtrɔ wò ŋku ɖe akpa ɖeka? Ðe esia nye kuxi le lãmeka adelia ŋua? Mina míasrɔ̃ nu tso Sixth Nerve Palsy ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be wò ŋku ɖeka le axadzi, si fia be esesẽna be nàtrɔea? Alo ɖe nèkpɔa nusianu le eve me zi ɖekaa? Nu siawo tɔgbe mesɔ o. Nusi gbɔ esia tso ate ŋu anye gbɔdzɔgbɔdzɔ aɖe le wò tagbɔ ƒe lãmeka adelia me. Míeyɔa esia be Sixth Nerve Palsy. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito.

Nukae Nye Sixth Nerve Palsy?

Kpuie ko la, Sixth Nerve Palsy nye dɔléle si tsoa lãmeka tɔxɛ aɖe si kpena ɖe mía ŋu míetrɔa míaƒe ŋkuwo ɖe gota (ɖe axadzi) ƒe gbegblẽ ta. Wogayɔa lãmeka sia be Abducens Lãmetsi . Esia gblẽa nu le ŋkuawo ƒe ʋuʋu ƒe ŋutete ŋu, si wɔnɛ be manya wɔ be woanɔ ɖoɖo nu o.

Ènya be tagbɔ ƒe lãmeka eve 12 ye li siwo do ƒome kple míaƒe ahɔhɔ̃ tẽa? Ema fia be eve le ƒomevi ɖesiaɖe me, ɖeka le axa ɖesiaɖe, le miame eye ɖeka le ɖusime. Tagbɔ ƒe lãmeka adelia siae do ƒome kple axadzi ƒe lãkusi si le míaƒe ŋkuwo me, si nye lãmeka si trɔa ŋkua yia gota ko . Lãmetsi siae kpena ɖe miame ŋku ŋu wòkpɔa miame eye ɖusime ŋku kpɔa ɖusime. Eyata le lãmeka adelia ƒe dɔmawɔmawɔ nyuie me la, dzesi siwo zɔna to lãmeka sia me la nu tsona, eye lãmeka si trɔa ŋkua yia gota la gbɔdzɔna alo megawɔa dɔ o.

Zi geɖe la, ŋku ɖeka koe dɔléle sia gblẽa nu le (míeyɔnɛ be akpa ɖeka), gake ɣeaɖewoɣi la, ate ŋu adze ŋku eveawo siaa dzi (afã eve).

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, Sixth Nerve Palsy mebɔ nenema gbegbe o. Le xexeame katã la, wogblɔna be ame yeye siwo ade 350,000 va ɖo 900,000 ye xɔa dɔléle sia ƒe sia ƒe. Le dukɔ abe Amerika ene gɔ̃ hã me la, ame yeye 15,000 va ɖo 37,000 koe wokpɔna ƒe sia ƒe.

Amesiame ate ŋu atu esia ɖo. Gake afɔkua lolo vie, vevietɔ ne èxɔ ƒe 50. Afɔku sia gadzina ɖe edzi ne èle tsitsim. Numekukuwo ɖee fia be amesiwo xɔ tso ƒe 60 va ɖo ƒe 75 ye ate ŋu axɔ esia wu.

Nukae nye esia ƒe dzesiwo?

Azɔ mina míakpɔ nusiwo nye Sixth Nerve Palsy ƒe dzesiwo ɖa. Nu vevitɔe nye be ŋkuawo mete ŋu ʋãna nyuie o eye womete ŋu léa ŋkuawo ɖe teƒe ɖeka o. Esia tae dzesi bubuawo dzena ɖo. Dzesi aɖewo ate ŋu atso lãmeka ƒe dɔmawɔmawɔ nyuie sia gbɔ ko, eye dzesi aɖewo hã ate ŋu anɔ anyi siwo do ƒome kple atikewɔwɔ me nɔnɔme bubu siwo hea esia vɛ.

Dzesi veviawoe nye esiawo:

• Strabismus: Womate ŋu atrɔ ŋku si ŋu dɔlélea le la ayi gota nyuie o, si ate ŋu ana ŋkuawo nadze abe ɖe womesɔ ɖe ame bubuwo nu o ene. Ate ŋu adze abe ŋku si ŋu dɔlélea le hã trɔ ɖe eme ene (esotropia) .
• Nukpɔkpɔ eve (Diplopia):Esiae nye dzesi gbãtɔ si ame geɖe dea dzesii. Ne èle nu siwo le didiƒe kpɔm alo ne èle agbagba dzem be yealé ŋku ɖe akpa si ŋu wògblẽ nu le ŋu la, ŋutega eveawo dzina ɖe edzi. Ne wole ŋku lém ɖe akpa kemɛ (afã si dzi womekpɔ ŋusẽ ɖo o) la, esia dzi ɖena kpɔtɔna vie (ne ŋku ɖeka koe wògblẽ).
• Trɔtrɔ ɖe nɔnɔme ŋu be woakpɔ nu nyuie: Amesiwo ƒe lãmeka adelia ƒe dɔmawɔmawɔ nyuie le, siwo mete ŋu trɔa ŋku ɖeka alo evea siaa ɖe mɔ aɖe nu o la srɔ̃nɛ be yewoatrɔ ta alo ŋutilã atsɔ akpɔ mɔ ma. Esia kpena ɖe wo ŋu be womekpɔa nu zi eve si ŋku ƒe ʋuʋu hena vɛ o.
• Dzesi siwo ate ŋu ado mo ɖa le nukpɔkpɔ ƒe tɔtrɔ ta la dometɔ eve koe nye esiawo. Woate ŋu atso atikewɔwɔ me nɔnɔme bubu siwo hea ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie sia hã gbɔ.
• Vevesese: Ŋkuve kple taɖuame ate ŋu ado mo ɖa ne èle ŋku lém ɖe ŋuwò ɣeyiɣi didi aɖe alo ne nukpɔkpɔ ƒe kuxiwo le ŋuwò ɣeyiɣi didi.

Nukatae lãmeka adelia sia (Abducens Nerve) mewɔa dɔ o?

Enyo, nukatae lãmeka adelia sia (abducens lãmeka) va zua dɔmawɔmawɔ nyuie alea? Susu geɖewo ate ŋu anɔ eme. Nusianu si gblẽa nu le lãmeka sia ŋu gbɔ ate ŋu ahe nɔnɔme sia vɛ. Ènyaa, lãmeka sia ƒe akpa aɖe toa míaƒe ahɔhɔ̃ me. Eyata, dɔléle siwo gblẽa nu le ahɔhɔ̃a ŋu hã ate ŋu agblẽ nu le lãmeka sia ŋu.

Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi tututu gbɔ wòtso ŋu o. Míeyɔa dɔléle siawo be idiopathic . Gake zi geɖe la, ɖɔktawo ate ŋu ake ɖe nusi gbɔ wòtso ŋu ahadae. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.

1. Nuveviwɔamewo

Bu eŋu kpɔ ne èƒo ta le afi aɖe, alo ne èdze afɔku... lãmeka adelia sia si ƒo xlã míaƒe ahɔhɔ̃ ate ŋu agblẽ. Le kpɔɖeŋu me:

• Ahɔhɔ̃ ƒe Ʋuʋudedi Kple Ahɔhɔ̃ ƒe Nuveviwɔame (TBIs ) .
• Tagbɔ ƒe gbagbã
• Abi siwo gena ɖe ta me, abe aʋawɔnu ɖaɖɛ alo tu ene

2. Dɔlékuiwo

Nugbagbevi suesuewo abe dɔlékuiwo kple dɔlékuiwo ene ate ŋu adze míaƒe lãmekawo dzi. Lãmetsi adelia sia hã ate ŋu agblẽ nu le eŋu. Le kpɔɖeŋu me:

• Herpes zoster dɔlékui (esiae hea shingles vɛ) .
• Epstein - Barr dɔlékui (esiae hea mononucleosis alo ‘mono’ vɛ) .
• Taɖuame ( taɖuame ) .
• Lãmenugbagbeviwo ƒe dɔlékui (CMV ) .
• Lyme dɔlélea
• Syphilis ƒe dɔléle
• Fungi alo parasitic dɔlékuiwo
• Ne to me dɔlékui ( otitis media ) kaka alo nu sẽ
• Dɔlékuiwo xɔxɔ kple lãkusi siwo ƒo xlã ŋkua ƒe vuvu ( orbital cellulitis ) .

Ɣeaɖewoɣi la, atike gbagbe aɖewo siwo wonana be woatsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu hã ate ŋu ana lãmeka adelia ƒe dɔmawɔmawɔ nyuie vie, si nɔa anyi ɣeyiɣi kpui aɖe. Ne edzɔ alea la, ada gbe le eɖokui si.

3. Ʋu ƒe sisi ƒe kuxiwo

Ne ʋu ƒe sisi yi míaƒe ahɔhɔ̃ me gblẽ la, ate ŋu agblẽ nu le lãmeka adelia sia ŋu. Ne ʋu ƒe sisi nu tso la, nɔnɔme aɖe si woyɔna be ischemia dzɔna. Esia fia be ne lãmenugbagbeviwo mexɔ ʋu si sɔ o la, womegawɔa dɔ o. Ne ʋusɔgbɔdɔ sia nu sẽ alo nɔa anyi eteƒe didi la, lãmenugbagbevi mawo kuna.

Ʋu ƒe sisi ƒe kuxi siwo ate ŋu ana lãmeka adelia nawɔ dɔ nyuie o dometɔ aɖewoe nye:

• Ʋu ƒe sisi to ʋuka sue ŋutɔ siwo naa ʋu yia lãmeka adelia me ƒe gbegblẽ ( microvascular ischemia ) .
• Ʋusɔgbɔdɔ Kple Ʋusɔgbɔdɔ si Nɔa Anyi Ɣeyiɣi kpui aɖe (TIAs ) .
• Ahɔhɔ̃ me ʋuka siwo me ʋu sina tona
• Ʋu si dona le ahɔhɔ̃a me ( Intracranial hemorrhages ) .

4. Dɔwɔɖoɖo, dɔdzẽ kple lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe nɔnɔme siwo gblẽa nu le ŋutilã ƒe ɖoɖo geɖe ŋu

Atikewɔwɔ me nɔnɔme aɖewo siwo gblẽa nu le ŋutilã ƒe dɔwɔwɔ geɖe ŋu hã ate ŋu ana lãmeka adelia ƒe dɔmawɔmawɔ nyuie nawɔ dɔ alo awɔe. Kpɔɖeŋuwo:

• Suklidɔ ƒomevi 2 - Esia bɔ ŋutɔ le míaƒe dukɔa me fifia, alo?
• Dzitodzito me dɔléle
• Ʋusɔgbɔdɔ ( Ʋusɔgbɔdɔ - Ʋusɔgbɔdɔ ) .
• Wernicke-Korsakoff ƒe dɔlélea
• Dɔléle si woyɔna be multiple sclerosis (MS ) .
• Lupus ƒe dɔléle ( Lupus - Systemic Lupus Erythematosus ) ƒe dɔléle .
• Amyloidosis ƒe dɔléle
• Sarcoidosis ƒe dɔléle
• Thyroid dɔlélewo

5. Ʋu ƒe dɔléle, kansa kple dɔdzẽ

Dɔléle aɖewo siwo gblẽa nu le ʋukawo ŋu ate ŋu ana ame ƒe nyaƒoɖeamenu nadzi ɖe edzi le taɖua me, si ate ŋu ami lãmeka adelia eye wòagblẽ nu le eŋu. Dɔdzẽ ƒomevi bubu siwo dona le ahɔhɔ̃a me hã ate ŋu aƒo lãmeka sia nu ƒu. Kpɔɖeŋuwo:

• Ʋumenugbagbeviɣidɔ
• Lãmetsiŋusẽ ƒe dɔléle
• Ahɔhɔ̃ me dɔdzẽ (kansa kple esiwo me dɔléle aɖeke mele o siaa) .
• Kansa siwo kaka ɖe ahɔhɔ̃a me

6. Ahɔhɔ̃mekawo ƒe dɔléle bubuwo

Dɔléle bubu geɖe siwo do ƒome kple lãmekawo ate ŋu ahe lãmeka adelia sia ƒe dɔmawɔmawɔ nyuie vɛ. Kpɔɖeŋuwo:

• Taɖuame kple taɖuame si le ƒuƒoƒo me
• Idiopathic intracranial hypertension (taɖuame ƒe nyaƒoɖeamenu gã si womenya nusi gbɔ wòtso o) .
• Hydrocephalus (tsi ƒe ƒuƒoƒo ɖe ahɔhɔ̃a me) .
• Chiari ƒe nɔnɔme gbegblẽ
• Ʋukawo me ʋukawo ƒe dɔmawɔmawɔ nyuie (AVM ) .
• Ahɔhɔ̃ me tsi (CSF) ƒe sisi

7. Atikewɔwɔ ƒe ɖoɖowo

Atikewɔwɔ alo dɔdamɔnu aɖewo ate ŋu akpɔ ŋusẽ ɖe abducens lãmeka hã dzi alo agblẽ nu le eŋu. Kpɔɖeŋu aɖewoe nye esi:

• Spinal tap (Lumbar puncture ): Esia ate ŋu ana ɣeaɖewoɣi be nyaƒoɖeamenu si le taɖua me dzi naɖe akpɔtɔ, si ate ŋu ana lãmeka adelia nawɔ dɔ nyuie o. Zi geɖe la, míaƒe ahɔhɔ̃a nɔa tsia dzi le ahɔhɔ̃mekawo me tsi (CSF) me. Ne tsi sia dzi ɖe kpɔtɔ la, ahɔhɔ̃a ate ŋu aɖiɖi vie eye wòate lãmenugbagbevi siwo le ahɔhɔ̃a te, siwo dome abducens nerve hã le, dzi.
• Epidural anesthesia : Esia hã ɖea tsi ɖa le akɔta abe alesi míegblɔe ɖe etame ene eye ate ŋu ana lãmeka adelia nawɔ dɔ nyuie o.
• Atikewɔwɔwo abe ahɔhɔ̃mekawɔwɔ alo keklẽŋusẽdɔdamɔnu ene: Esiawo hã ate ŋu agblẽ nu le lãmeka sia ŋu ne wokpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe akpa siwo te ɖe eŋu dzi.

Nukawoe nye afɔku siwo ate ŋu ahe esia vɛ?

Ame aɖewo ate ŋu anɔ afɔku gã aɖe me be lãmeka adelia ƒe dɔmawɔmawɔ nyuie sia nadze wo dzi. Le go geɖe me la, ne menye nusiwo gbɔ wòtso siwo míeyɔ ɖe etame gbɔe wòtso koŋ o hã la, nu bubuwo ate ŋu ana nɔnɔme sia nadze egɔme. Kpɔɖeŋuwo:

• Dɔléle siwo tsoa lãmenugbagbeviwo me abe suklidɔ ene ( Type 2 diabetes ) .
• Lãmetsiŋusẽ ƒe dɔlélewo abe ʋusɔgbɔdɔ ( Hypertension ) .
• Dɔléle siwo tsoa dɔdzẽ alo dɔlélenutsiŋutete gbɔ, abe lãmekawo ƒe ʋuʋu ene

Kuxi kawoe esia ate ŋu ahe vɛ?

Kuxi siwo dona tso lãmeka adelia ƒe dɔmawɔmawɔ nyuie me nɔ te ɖe nusi gbɔ wòtso kple atikewɔwɔ dzi koŋ. Esiawo ate ŋu ato vovo ŋutɔ, eyata wò ɖɔkta ate ŋu aɖo aɖaŋu na wò nyuie wu le kuxi siwo ate ŋu ado mo ɖa le wò nɔnɔmea koŋ ŋu kple nusi nàte ŋu awɔ atsɔ axe mɔ ɖe wo nu alo aɖe wo dzi akpɔtɔ ŋu.

Vevietɔ ne esia dzɔ ɖe ɖevi sue aɖe dzi la, nu ɖeka si ɖɔktawo dzea agbagba be yewoaxe mɔ ɖe enue nye dɔléle aɖe si woyɔna be amblyopia. Míeyɔa esia hã be ‘kuviatɔ ŋku’. Nusi dzɔna le esia mee nye be vivivi la, ɖevia ƒe ahɔhɔ̃ tea ŋku ɖeka ko ŋu bubu eye wòŋea aɖaba ƒua dzesi siwo tso ŋku evelia gbɔ dzi. Emegbe ŋku si womezã o la trɔna yia akpa ɖeka vivivi, si wɔnɛ be nɔnɔmea gagblẽna ɖe edzi.

Aleke wokpɔa dɔléle sia dzea sii?

Ðɔkta abe ŋkudɔdala , ahɔhɔ̃ŋutinunyala , alo ahɔhɔ̃ŋutinunyala ate ŋu azã mɔnu vovovowo atsɔ anya Sixth Nerve Palsy. Mɔnu siawo dometɔ aɖewoe nye:

• Nukpɔkpɔ dodokpɔ: Ðɔkta alo ŋkudɔdala ado wò ŋutete be nàʋuʋu wò ŋkuwo kpɔ le mɔ aɖewo nu akpɔe ɖa be lãmeka adelia koe ŋu wògblẽ nu le hã, elabena lãmeka adelia ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kpe ɖe lãmeka bubu siwo te ɖe ŋuwò ƒe dɔmawɔmawɔ nyuie ŋu, vevietɔ esiwo kpɔa ŋku ƒe ʋuʋu dzi.
• Dodokpɔwo le dodokpɔxɔ me: Esiawoe nye mɔ vevitɔ si dzi nàto anya ne nɔnɔme aɖe le ŋuwò si woate ŋu ade dzesii to dodokpɔxɔ me, abe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle, ʋudɔ, alo dɔlékui ene. Zi geɖe la, wokpɔa wò ʋumesukli alo A1C ƒe agbɔsɔsɔ. Woate ŋu alé ŋku ɖe nuwo abe ʋumenugbagbevi dzĩwo , dɔlélenutsiŋutete ƒe lãmenugbagbeviwo, alo dɔlékuiwutike siwo le wò ʋu me ƒe agbɔsɔsɔ si fia be dɔlélenutsiŋutete ƒe dɔléle aɖe le ŋuwò hã ŋu.
• MRI scan (Magnetic Resonance Imaging - MRI): MRI scan hiã vevie be woatsɔ anya lãmeka adelia ƒe dɔmawɔmawɔ nyuie , vevietɔ na amesiwo mexɔ ƒe 50 haɖe o. Dodokpɔ sia ate ŋu ana lãmenugbagbevi siwo le wò ta me ƒe nɔnɔmetata siwo me kɔ ŋutɔ, siwo dometɔ aɖewoe nye abducens lãmeka kple ahɔhɔ̃meka siwo ƒo xlãe. Esia ate ŋu akpe ɖe ame ŋu be woaɖe nɔnɔme sesẽwo alo esiwo me afɔku le, abe ʋusɔgbɔdɔ, kansa, alo dɔdzẽ ene ɖa alo agbe wo.

Aleke wowɔa nu ɖe ​​esia ŋui?

Mɔ geɖe li siwo dzi woato akpɔ esia gbɔ, eye zi geɖe la, wodzena le hatsotso eve me:

1. Nuka gbɔe dɔmawɔmawɔ sia tso, aleke woawɔ atɔ tee?

2. Dɔmawɔmawɔ nyuie sia ƒe nugbegblẽwo dada kple ne anya wɔ la, wo gbugbɔgaɖo woƒe nɔnɔme nyuitɔ me, ne ehiã.

Nu vevitɔ si gbɔ wòtsoe nye nusi gbɔ wòtso. Gake nu bubuwo hã wɔa akpa aɖe. Zi geɖe la, lãmeka adelia ƒe dɔmawɔmawɔ nyuie nu tsona le eɖokui si ne wonya da nusi gbɔ wòtso ko. Esi wònye be nu geɖe li siwo hiã be woatsɔ anya atike nyuitɔ kekeake na esia ta la, wò ɖɔkta ate ŋu ana nyatakaka wò tso atikewɔwɔ nyuitɔ kekeake siwo nàte ŋu azã ŋu. Ate ŋu atrɔ asi le nyatakakaawo ŋu wòasɔ ɖe wò nɔnɔme kple nuhiahiã tɔxɛwo nu.

Le ame akpa gãtɔ gome la, atikewɔwɔ boo aɖeke mehiã o alo womehiã kura o. Ne edze abe wò dɔlélea mehiã be woawɔ atike na wò le gɔmedzedzea me o ene la, anɔ eme be wò ɖɔkta alo ŋkuŋutinunyala aɖo aɖaŋu be nàva srã wò kpɔ be nàva kplɔ wò ɖo. Ne ehiã ko hafi wòhiã be woawɔ atike na ŋkudɔ. Gake zi geɖe la, wowɔa atike na ŋkudɔ, alo eƒe dzesiwo, ƒe ŋusẽkpɔɖeamedziwo.

Dɔmawɔmawɔ ƒe nugbegblẽwo dada le bɔbɔe vie, eye zi geɖe la, woƒe susu nɔa dzesiawo dzi ɖeɖe kpɔtɔ alo wo nu tsotso ŋu. Dɔdamɔnu aɖewo siwo ate ŋu akpe ɖe ame ŋu le esia me dometɔ aɖewoe nye:

• Ŋkuɖonu alo ŋkumeɖonu dodo: Ne ètsyɔ ŋku ɖeka dzi la, màte ŋu akpɔ evea siaa o. Esia le alea elabena ŋku ɖeka ƒe nukpɔkpɔ koe ɖoa ahɔhɔ̃a gbɔ. Le wò nɔnɔmea nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo ŋkumeɖonu ɣeaɖewoɣi alo ɣesiaɣi. Nusiwo woate ŋu ado siwo woate ŋu atsɔ abla ŋkumeɖobolo hã li, eye wowɔa dɔ nenema ke elabena woɖea kekeli ɖa.
• OnabotulinumtoxinA dodo: Atike sia ate ŋu axe mɔ na dzesiwo be woagazɔ to lãmeka siwo ŋu wole dɔ wɔm le me o hena ɣeyiɣi aɖe. Woate ŋu adoe ɖe lãmeka aɖewo gbɔ be wòaɖe ŋku ƒe ʋuʋu dzi akpɔtɔ.
• Strabismus ƒe amekoko:Amekoko geɖe li siwo ate ŋu akpe ɖe lãmeka adelia ƒe dɔmawɔmawɔ nyuie ŋu. Wo dometɔ aɖewo te ŋu ɖua axadzi ƒe lãkusi si le axadzi la dzi nyuie wu ne egbɔdzɔ. Amekoko bubuwo xɔa lãmeka si le wò ŋku ƒe akpa kemɛ (si xɔa dzesiwo tso lãmeka bubu gbɔ) ƒe akpa aɖe eye wozia edzi be wòawɔ dɔ abe axadzi ƒe lãkusi sia ene.
• Prism ɖɔɖɔɖo: Esiawo ate ŋu anye mɔ̃ sue siwo le ƒuƒoƒo vovovowo me, siwo woate ŋu atsɔ alé ɖe wò ŋkumeɖobolo ŋu. Alo, woate ŋu awɔ wò ŋkumeɖobolowo kple prism ɖɔɖɔɖo si wotu ɖe wo me. Prism aɖe bɔbɔa kekeli. Ne èbɔbɔ ɖe dzogoe si sɔ dzi la, ena wònɔa bɔbɔe na wò ŋkuwo be woƒe susu nanɔ nu ŋu ahakpɔ nuwo.

Kuxi/amekoko ƒe nugbegblẽ le ame ŋu

Ɣeaɖewoɣi la, strabismus ƒe amekoko ate ŋu ana lãmeka adelia ƒe dɔmawɔmawɔ nyuie naɖiɖi alo aɖɔe ɖo wògbɔ eme. Ne esia dzɔ la, zi geɖe la, woate ŋu atsɔ prism ɖɔɖɔɖo aɖɔ vovototoa ɖo. Esia ate ŋu axe fe ɖe ɖɔɖɔɖo si mesɔ o ta alo atrɔ ɖɔɖɔɖo si gbɔ eme la.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Ɣeyiɣi si woatsɔ ahaya le atikewɔwɔ vɔ megbe la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wò ɖɔkta ate ŋu agblɔ nusi nàkpɔ mɔ na na wò le wò nɔnɔme tɔxɛa nu.

Dɔdamɔnu aɖewo wɔa dɔ enumake, si naa gbɔdzɔe tso dzesiawo me. Esia ƒe kpɔɖeŋu aɖee nye ŋkumeɖonu dodo. Exea mɔ na ŋku ɖeka ƒe nukpɔkpɔ eye wòdzudzɔa ŋku evea siaa ƒe ŋkumekpɔkpɔ enumake. Prism ɖɔɖɔɖo hã ateŋu ana gbɔdzɔe kaba, gake ateŋu axɔ ŋkeke alo kwasiɖa geɖe hafi woatrɔ ɖe eŋu bliboe - le ɖɔɖɔɖo ƒe agbɔsɔsɔme nu.

Nukae wòle be makpɔ mɔ na ne Sixth Nerve Palsy le ŋunye?

Zi geɖe la, Sixth Nerve Palsy medea ame ƒe agbe afɔku me o, gake ate ŋu agblẽ nu le míaƒe gbesiagbegbenɔnɔ ŋu. Ate ŋu ado kplamatse sukudɔwo, dɔwɔɖui, modzakaɖeɖewo, kple hadomenuwɔnawo. Ate ŋu ana ame ƒe dzi nadze eme hã. Àte ŋu akpɔ taɖuame, aɖuɖɔtoe, kple taɖuame.

Ne lãmeka adelia ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo le ŋuwò, vevietɔ be màte ŋu atrɔ wò ŋkuwo ayi gota (alo ayi mɔ ɖesiaɖe si dzi nèle ŋku lém ɖo o) la, ele be nàyi ɖɔkta gbɔ godoo. Zi geɖe la, esia nyea kuxi sue aɖe. Gake ɣeaɖewoɣi la, nɔnɔme aɖe si nu sẽ wu gbɔe wòtso. Mɔ nyuitɔ si dzi nàto ana mɔnukpɔkpɔ nyui si ado tso eme nadzi ɖe edzi enye be nàdi dɔlélea eye nàdze atikewɔwɔ gɔme kaba ale si nàte ŋui .

Ɣeyiɣi didi kae Sixth Nerve Palsy nɔa anyi?

Ɣeyiɣi didi si esia anɔ anyi ate ŋu ato vovo. Le nɔnɔme aɖewo, abe taɖuame ene gome la, ate ŋu anɔ anyi gaƒoƒo ʋɛ aɖewo. Le nɔnɔme bubuwo gome la, ate ŋu anɔ anyi didi wu, tso ɣleti etɔ̃ va ɖo ade. Le go aɖewo me la, ate ŋu anye nɔnɔme si anɔ anyi ɖaa. Wò ɖɔktae nye ame nyuitɔ kekeake si nàte ŋu aƒo nu na tso nusi ate ŋu adzɔ ɖe dziwò kple nusi nàte ŋu awɔ be wòaɖe ɣeyiɣi si wòakpɔ ŋusẽ ɖe dziwò dzi akpɔtɔ, alo nàtrɔ ɖe eƒe ŋusẽkpɔɖeamedziwo ŋu.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Le nusianu me la, mɔkpɔkpɔ si li be lãmeka adelia ƒe dɔmawɔmawɔ nyuie la nyo. Le ame akpa gãtɔ gome la, enye ɣeyiɣi kpui aɖe ƒe nɔnɔme si nu tsona le eɖokui si alo ne woda nusi gbɔ wòtso la.

Gake le go aɖewo me la, ate ŋu atso nɔnɔme siwo nu sẽ wu gbɔ. Esia nye nyateƒe vevietɔ ne nɔnɔmea dze ame aɖe si mexɔ ƒe 50 haɖe o dzi, eye/alo wògblẽ ŋku eveawo siaa dzi. Gake anyo ɣesiaɣi be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne lãmeka adelia ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo le ŋuwò. Dɔlélea didi kaba kple edada ate ŋu ana vovototo nanɔ ame ƒe hayahaya blibo kple eƒe ŋusẽkpɔɖeamedzi si nɔa anyi didi (ɖewohĩ si anɔ anyi ɖaa) dome.

Ðe woate ŋu axe mɔ ɖe Sixth Nerve Palsy nua?

Enye nusi dzɔna kpata eye womele mɔ kpɔm na o. Menye ɣesiaɣie atikewɔwɔ ƒe nɔnɔme siwo gbɔ wòtsonae hea esia vɛ o, eye ɣeaɖewoɣi la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu o. Eyata manya wɔ be woaxe mɔ nɛ keŋkeŋ o. Gake nanewo li míate ŋu awɔ atsɔ aɖe afɔku si le eme be wòadzɔ le susu aɖewo ta dzi akpɔtɔ. Le kpɔɖeŋu me:

• Do ametakpɔnu ne ehiã: Ta ƒe abixɔxɔ, vevietɔ ahɔhɔ̃ ƒe ʋuʋu kple ahɔhɔ̃ ƒe abi si gblẽa nu le ame ŋu, ate ŋu ana lãmeka adelia nawɔ dɔ nyuie o. Ametakpɔnuwo dodo – vevietɔ gakuku, takpɔnu, kple zikpuimeka – le vevie ŋutɔ be woaxe mɔ ɖe nɔnɔme sia nu.
• Dzra wò nɔnɔme siwo nɔa anyi didi gbɔ: Woate ŋu akpɔ nɔnɔme aɖewo, abe suklidɔ ƒomevi 2 kple ʋusɔgbɔdɔ , ene gbɔ. Ne ehiã la, wò ɖɔkta ate ŋu ana mɔfiame kple atikewɔmɔnu siwo nàtia.
• Mègaŋe aɖaba ƒu dɔlékuiwo dzi o: Ne dɔlékui aɖe ƒe dzesiwo le ŋuwò si medzona le ŋkeke ʋɛ aɖewo megbe o la, yi ɖɔkta gbɔ. Dɔlékuiwo ƒe dɔlékuiwo hiã dɔlékuiwutikewo be dɔlélea nagagblẽ ɖe edzi alo akaka o. Gake ɖo ŋku edzi be dɔlékuiwutikewo mewɔa dɔ ɖe dɔlékuiwo dzi o, eye ele be dɔlékuiwo ƒe dɔlékuiwo nakɔ le wo ɖokui si alo kple beléle si akpe ɖe wo ŋu.

Aleke malé be na ɖokuinye?

Ne Sixth Nerve Palsy le ŋuwò la, wò ɖɔkta afia mɔ wò le alesi nàkpɔ egbɔe kple nɔnɔme siwo gbɔ wòtso (ne woli) siwo ate ŋu ahe dɔlélea vɛ ŋu. Ele vevie ŋutɔ be nàwɔ ɖe woƒe mɔfiamewo dzi, vevietɔ ne ehiã be nàkpɔ wò dzesiwo gbɔ. Ŋkuɖodzinu, nusiwo wotsɔna tsia ŋkume, alo ɖɔɖɔɖomɔ̃ bubuwo dodo le vevie, elabena ate ŋu akpe ɖe ŋuwò nàhaya kabakaba eye wòaɖe dzesi siwo meɖea dzi ɖi o dzi akpɔtɔ.

Ɣekaɣie wòle be makpɔ nye ɖɔkta, alo ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ele be nàyi edzi awɔ sasrãkpɔ siwo akplɔ wò ɖo abe alesi wò ɖɔkta kafui ene be nàlé ŋku ɖe tɔtrɔ siwo va le wò nɔnɔmea me ŋu eye nàtrɔ asi le wò atikewɔwɔ ŋu ne ehiã. Sixth Nerve Palsy menye nusi dzɔ kpata o, gake enye dɔléle si hiã be woakpɔ dɔlélea adze sii kaba ahadae.

Nya kawoe wòle be mabia nye ɖɔkta?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Nuka gbɔe nye lãmeka adelia ƒe dɔmawɔmawɔ nyuie tso, eye ɖe nusiwo gbɔ wòtso alo nusiwo gbɔ wòtso siwo woate ŋu ade dzesii siwo woate ŋu ada?
• Ðe esia gblẽ nu le taɖuame ƒe lãmeka bubuwo alo lãkusi siwo te ɖe eŋu ŋua?
• Dzesi kawoe wòle be makpɔ mɔ na?
• Nukae mate ŋu awɔ be nye dzesiwo dzi naɖe akpɔtɔ?
• Ðe atikewɔmɔnu aɖewo li siwo ate ŋu aɖe dzesi siwo le ŋunye fifia ƒe sesẽ dzi akpɔtɔ alo ana nye hayahaya kabakabaa?
• Nukae mate ŋu awɔ be esia nagadzɔ ake (gbugbɔgadzɔ) o?

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Eyata le nuƒo siawo katã megbe la, ɖewohĩ èse nusi Sixth Nerve Palsy nye gɔme. Menye naneke si wòle be woavɔ̃ na o, zi geɖe la, enɔa anyi ɣeyiɣi kpui aɖe ko, eye woate ŋu adae to atikewɔwɔ me. Ke hã, abe alesi míegblɔe va yi ene la, ɣeaɖewoɣi la, nu vevi aɖe ate ŋu anɔ megbe nɛ.

Eyata ne esesẽ na wò be nàtrɔ ŋku ɖe akpa ɖeka, ne èkpɔ ɖeka alo eve, alo ne dzesi bubu siwo míeyɔ ɖe etame la dometɔ aɖe le ŋuwò la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo kaba. Ne èke ɖe nusi gbɔ wòtso ŋu eye nèdze atikewɔwɔ gɔme kaba ale si nàte ŋui la, akpe ɖe ŋuwò nàhaya kaba eye nàƒo asa na kuxi siwo anɔ anyi ɣeyiɣi didi. Ekema àte ŋu alé fɔ ɖe nu vevi siwo le agbe me ŋu evɔ nɔnɔme sia ƒe ŋusẽkpɔɖeamedziwo maxe mɔ na wò o.

` Sixth Nerve Palsy, Abducens Nerve Palsy, Ŋku ƒe ʋuʋu, Nukpɔkpɔ eve, Lãmetsiŋusẽ, Ŋkudɔléle, Ahɔhɔ̃medɔlélewo