Ðe viwò suea ƒe ŋutilã sesẽ eye wòsẽna nukutɔea? Ðe wòate ŋu anye Spastic Cerebral Palsy? Mina míaƒo nu tso esia ŋu!

Ède dzesii kpɔ be viwòa ƒe ŋutilã sesẽ vie, alo be eƒe abɔwo le sesẽm le mɔ wɔnuku aɖe nua? Ède dzesii kpɔ be ne edze azɔlizɔzɔ gɔme la, eƒe afɔwo bɔbɔna ɖe eme eye wòzɔna abe lãgbalẽŋudɔwɔnu enea? Alo ɖe wòdzena abe ɖe wòtsi megbe vie ne ele tsitsim enea? Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be Spastic Cerebral Palsy ƒe dzesiwo. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito.

Nukae Nye Spastic Cerebral Palsy?

Kpuie ko la, Cerebral Palsy nye ahɔhɔ̃mekawo ƒe dɔlélewo ƒe ƒuƒoƒo aɖe si gblẽa nu le ahɔhɔ̃ kple lãmekawo ŋu. Esia wɔnɛ be esesẽna be woaɖu ŋutilã ƒe ʋuʋu kple eƒe nɔnɔme dzi. Spastic Cerebral Palsy ye nye ahɔhɔ̃mekawo ƒe dɔléle ƒomevi si bɔ wu . Le nɔnɔme sia me la, ɖevia ƒe lãmekawo sesẽna (esiae nye nusi míeyɔna be ``Spasticity'') eye womegate ŋu trɔna ɖe nɔnɔmewo ŋu o. Ɣeaɖewoɣi la, ne sesẽme sia nu sẽ la, ate ŋu ave ame. Azɔ hã, ɖevia ate ŋu akpɔ lãmekawo ƒe ʋuʋu kpata, si dzi womate ŋu aɖu o, alo lãmekawo ƒe ʋuʋu.

Bu eŋu kpɔ, ne viwòa do asi ɖa be yealé fefenu aɖe la, eƒe asi ʋuʋuna eye mete ŋu lénɛ nyuie o. Alo ne ele zɔzɔm la, edzea agbagba be yeazɔ afɔbidɛwo dzi le esi teƒe be yeana yeƒe afɔwo nanɔ anyigba. Ɣeaɖewoɣi ne edo asi ɖa kasia be yealé nane abe bɔl ene la, ate ŋu ase veve. Woate ŋu akpɔ nu siawo tɔgbe le nɔnɔme sia me.

Nukawoe nye Spastic Cerebral Palsy ƒomevi veviwo?

Spastic Cerebral Palsy ƒomevi vevi etɔ̃e li. Na míakpɔ nusiwo wonye ɖa.

Spastic diplegia/diparesis ƒe dɔléle

Esia gblẽa nu le ɖevia ƒe afɔwo ŋu koŋ . Lãmetsi siwo le akɔta kple afɔwo me va sẽna, si wɔnɛ be azɔlizɔzɔ sesẽna. Ðewohĩ èkpɔ ɖevi aɖewo wonɔ zɔzɔm kple woƒe afɔwo hem yi eme eye woƒe klowo ka asi wo nɔewo ŋu (abe lãgbalẽŋudɔwɔnu ene). Emae nye nusi dzɔna le nɔnɔme sia me. Míeyɔa esia hã be ‘azɔlizɔzɔ si wotsɔ lãgbalẽ wɔe’ .

Spastic hemiplegia/hemiparesis ƒe dɔléle

Le go sia me la, ɖevia ƒe ŋutilã ƒe akpa ɖeka koe dzesiawo dzena le . Eyae nye be, ɖusime alo miame. Alɔ, afɔ, alo abɔ kple afɔ eve siwo le akpa ma ate ŋu agblẽ nu le eŋu.

Spastic quadriplegia/ene ƒe ʋuʋu

Esiae nye dɔlélea ƒe ƒomevi si nu sẽ wu . Dzesiawo ate ŋu adze abɔ eveawo, afɔ eveawo, kple mo dzi . Ðevi aɖewo hã ate ŋu akpɔ nusɔsrɔ̃ ƒe kuxiwo (si ƒe susu ƒe dɔwɔwɔ ƒe megbetsitsi) kple alɔ̃madɔmadɔ.

Nukae nye Spastic Cerebral Palsy ƒe dzesiwo?

Enyo, azɔ na míakpɔ dzesi siwo ɖevi ate ŋu aɖe afia le nɔnɔme sia me ɖa.

• Lãmetsi siwo le sesẽm
• Lãmetsiwo ƒe sesẽ, asitɔtrɔ le nɔnɔmewo ŋu dzi ɖe kpɔtɔ
• Lãmetsiwo ƒe vevesese
• Lãmetsiwo ƒe ʋuʋu alo woƒe ʋuʋu le wo ɖokui si

Dzesi siawo nana abɔ kple afɔ siwo ŋu dɔlélea le la ʋãna ŋutɔ eye womele blɔ o. Dzesi siawo ate ŋu anɔ bɔbɔe le ɖevi aɖewo gome, gake ate ŋu asẽ wu le bubuwo gome.

Nukawoe nye Spastic Cerebral Palsy ƒe dzesi gbãtɔwo?

Ɣeaɖewoɣi la, dzesi aɖewo nɔa anyi siwo woate ŋu ade dzesii le woƒe ɖevime. Wò ɖɔkta alé ŋku ɖe esiawo ŋu etɔxɛe ne ele viwòa dom kpɔ.

• Gbeɖiɖi si dzi ɖe edzi le abɔ kple afɔwo me ( woate ŋu ade dzesi esia le ɖɔkta ƒe dodokpɔ me) .
• Esesẽna be woakeke ƒunukpeƒewo ɖe enu bliboe
• Heheɖemegbe le tsitsi ƒe nu veviwo wɔwɔ me (le kpɔɖeŋu me, ʋuʋudedi, azɔlizɔzɔ, nane léle) .
• Esesẽna le ɖoɖowɔwɔ ɖe nu ŋu me
• Azɔlizɔzɔ sesẽ alo azɔlizɔzɔ ƒe ɖoɖo si mebɔ o (le kpɔɖeŋu me, wò klowo ƒoƒo ɖekae ne èle zɔzɔm) .
• Afɔkpodzi ɖeɖeko dzi zɔzɔ

Nukatae Spastic Cerebral Palsy dzɔna?

Le nyateƒe me la, ahɔhɔ̃a ƒe mɔ siwo kpɔa lãmekawo kple ʋuʋu dzi ƒe gbegblẽ gbɔe nɔnɔme sia tsona. Nusiwo gblẽ sia ate ŋu atso ɔksidzin ƒe anyimanɔmanɔ na ahɔhɔ̃a, abixɔxɔ le ahɔhɔ̃a ŋu, alo , ƒã ŋutɔ la, domenyiŋusẽfianu ƒe tɔtrɔ (trɔtrɔ le DNA me) gbɔ.

Nɔnɔme geɖe li siwo me ahɔhɔ̃a ƒe gbegblẽ alo oxygen ƒe anyimanɔmanɔ ate ŋu adzɔ le le fufɔɣi, vidzidzi, alo le vidzidzi megbe kpuie:

• Ʋu ƒe sisi yi ahɔhɔ̃a me ƒe gbegblẽ (e.g., nɔnɔme aɖe si woyɔna be ``ischemic stroke'') .
• Ʋu si dona le ahɔhɔ̃a me (e.g., nɔnɔme aɖe si woyɔna be ʋusɔgbɔdɔ) .
• Ahɔhɔ̃ ƒe gbegblẽ le dɔlékui aɖe ta
• Ahɔhɔ̃ ƒe abi si nu sẽ (TBI) .

Tsɔ kpe ɖe eŋu la, anɔ eme be ɖevi naxɔ Spastic Cerebral Palsy vie ne:

• Vidzidzi do ŋgɔ na ɣeyiɣi si woɖo nɛ
• Vidzidzi ƒe kpekpeme si bɔbɔ
• Jaundice sesẽ si womekpɔ nyuie o
• Dɔlékui si dzea vidada, fugboe, alo vidzidɔa dzi le fufɔɣi
• Vi geɖe dzidzi le vidzidɔ me, abe venɔvi alo vi etɔ̃ ene (Multiples) .
• Kuxi siwo dona tso fufɔɣi (le kpɔɖeŋu me, nɔnɔme sesẽwo abe vidzidɔ ƒe gbagbã alo vidzidɔ ƒe gbagbã ene) .
• Atike si me aɖi le si ate ŋu agblẽ nu le ahɔhɔ̃a ŋu (le kpɔɖeŋu me, mercury si le ƒumelãwo me ɣeyiɣi didi) .

Kuxi bubu kawoe ate ŋu ado mo ɖa le Spastic Cerebral Palsy ta?

Menye ɖevia ƒe lãmekawo koe nɔnɔme sia gblẽa nu le o. Kuxi bubuwo ate ŋu ado mo ɖa. Esiawo dometɔ aɖewoe nye:

• Nuƒoƒo kple dzeɖoɖo sesẽ
• Kuxi siwo ku ɖe nusɔsrɔ̃ ƒe ŋutete ŋu (Susu ƒe nuwɔametɔnyenye) .
• Alɔ̃madɔmadɔ
• Nukpɔkpɔ ƒe bublu
• Tosese ƒe dɔmawɔmawɔ nyuie

Aleke wowɔna dea dzesi Spastic Cerebral Palsy?

Zi geɖe la, wokpɔa nɔnɔme sia le vidzĩme alo ɖevimenɔɣi. Afɔɖeɖe gbãtɔ si nàwɔ atsɔ anya dɔléleae nye be wò ɖɔkta alo vixela nado viwòa kpɔ le ŋutilã me.

Ðɔktaa alé ŋku ɖe viwòa ƒe lãmekawo ƒe ŋusẽ, eƒe ʋuʋu, eƒe lãmekawo ƒe dɔwɔwɔ, kple eƒe dɔwɔwɔ ɖekae ŋu. Abia wò hã be viwòa le tsitsim wòsɔ ɖe eƒe ƒexɔxɔ nu (e.g., ɖe wòle tsatsam alo le zɔzɔm).

Dodokpɔ ka ƒomevie ɖo kpe nɔnɔme sia dzi?

Ne ŋutilãmedɔdada ɖee fia be ahɔhɔ̃mekawo ƒe ʋuʋu ate ŋu anye nusi gbɔ wòtso la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ atsɔ adi teƒe siwo ahɔhɔ̃a gblẽ le. Woate ŋu aɖe gbe hã be woawɔ dodokpɔwo atsɔ aɖe nɔnɔme bubu siwo ate ŋu ahe dzesi mawo tɔgbe vɛ la ɖa.

• MRI (Magnetic Resonance Imaging) dodokpɔ
• CT scan (`(CT scan - Kɔmpiuta dzi Tomography scan)`)
• Ʋudodokpɔwo
• Domenyiŋusẽfianu dodokpɔ

Aleke wowɔa atike na Spastic Cerebral Palsy?

Taɖodzinu vevitɔ si le nɔnɔme sia dada ŋue nye be woana ɖevia nate ŋu aʋuʋu. Togbɔ be womate ŋu adae keŋkeŋ o hã la, woate ŋu aɖu dzesiawo dzi eye woate ŋu akpe ɖe ɖevia ŋu wòanɔ agbe nyui.

Wozãa esiawo abe atikewɔwɔmɔnu ene:

• Gbesiagbe kamedede le aƒeme be lãmekawo ƒe tete nagadzi ɖe edzi le ɣeyiɣi aɖe megbe o
• Lãmesẽfefewɔwɔ, dɔwɔwɔ ƒe atikewɔwɔ, kple/alo nuƒoƒo ƒe atikewɔwɔ
• Kpekpeɖeŋunu tɔxɛwo zazã atsɔ akpe ɖe lãmekawo ŋu woakeke to abɔ alo afɔwo léle ɖe nɔnɔme ɖeka me me
• Kpekpeɖeŋunuwo abe afɔzɔlawo alo bunɔkekewo ene zazã
• Atike siwo ɖea lãmekawo ƒe sesẽ kple woƒe ʋuʋu dzi kpɔtɔna (abe `(Baclofen)`, `(Diazepam)`, `(Clonazepam)`, `(Dantrolene)` kple `(Tizanidine)`)
• Botulinum aɖi dodo (si woyɔna hã be Botox®) kpena ɖe lãmekawo ŋu woɖea dzi ɖi.
• Baclofen zazã le lãkusi me nye mɔnu si me wodoa atike ɖe aklã me tẽ.
• Selective dorsal rhizotomy, si nye amekoko si wowɔna tsɔ ɖea lãmekawo ƒe sesẽ dzi kpɔtɔna

Atikewɔlawo ƒe ƒuƒoƒoa atso nya me le atikewɔwɔ ƒe ɖoɖo si nyo na viwòa ŋu. Esia ate ŋu ato vovo tso ɖevi ɖesiaɖe gbɔ.

Nukae ɖevi si ŋu Spastic Cerebral Palsy le ƒe agbenɔƒe?

Zi geɖe la, Spastic Cerebral Palsy mekpɔa ŋusẽ ɖe ɖevi ƒe agbenɔƒe dzi tẽ o. Gake ne dzesiawo nu sẽ eye womeda wo nyuie o , kuxi siwo doa mo ɖa ate ŋu agblẽ nu le ɖevi ƒe agbenɔƒe ŋu ɣeaɖewoɣi. Ðo ŋku edzi be togbɔ be dɔléle sia ƒe atike aɖeke meli o hã la, ne wowɔ atike na ɖevia la, ate ŋu anɔ agbe nyui.

Ðe nɔnɔme sia gagblẽna ɖe edzi le ɣeyiɣi aɖe megbea? (Ðe wònye ŋgɔyiyia?)

Spastic Cerebral Palsy menye dɔléle si le ŋgɔ yim o. Esia fia be lãmeka siwo ŋu wògblẽ nu le le ɖevime la ke gagblẽa nu le wo ŋu emegbe le woƒe tsitsime. Mekpɔa ŋusẽ ɖe lãmeka yeyewo dzi o. Gake ne womewɔ atike nɛ o la, lãmeka siwo ŋu dɔlélea le ƒe sesẽ ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe.

Atikewɔwɔ le vevie ŋutɔ elabena lãmekawo ƒe sesẽ dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ɖevia ƒe dɔwɔwɔ ŋu ŋutɔ (abe azɔlizɔzɔ, awu ɖɔliɖɔli, kple nuwo léle ene). Ate ŋu aɖe vevesese hã dzi akpɔtɔ. Ðevia ahiã atikewɔlawo ƒe ƒuƒoƒo aɖe ƒe kpekpeɖeŋu le eƒe agbemeŋkekewo katã me hafi wòate ŋu anɔ agbe kple nɔnɔme sia.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi dzesi aɖewo kaba be Spastic Cerebral Palsy ate ŋu anɔ viwòa ŋu la, yi ɖɔkta gbɔ enumake. Tsi dzi vevie ne ède dzesi tɔtrɔ aɖewo alo hehe ɖe megbe le viwòa ƒe ʋuʋu kple tsitsi ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

Nyabiase geɖe ate ŋu anɔ asiwò ne èva nya nu tso viwòa ƒe nɔnɔmea ŋu. Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• "Àte ŋu akpe ɖe ŋunye mase vinye ƒe dɔléle si wokpɔ le eŋu la gɔmea?"
• "Atikewɔwɔ ka ƒomevie nèkafu?"
• "Nukae nye atikewɔwɔ ƒe taɖodzinuwo?"
• "Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?"
• "Ɣeyiɣi didi kae wòle be mawɔ kamedede alo dɔwɔwɔ ƒe atikewɔwɔ?"
• "Ðe amekoko ana vinye ƒe dzesiwo nanyo ɖe edzia?"

Nu vevitɔ kekeake siwo dzi nàɖo ŋkui (Take-Home Message) .

Spastic Cerebral Palsy ate ŋu anye nɔnɔme sesẽ aɖe na ɖevi kple woƒe ƒomea elabena ɖevia ƒe ahɔhɔ̃ kple lãmekawo meɖoa dze nyuie o. Dzesi siawo ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe ŋutete be wòaʋuʋu dedie ahanɔ eɖokui si dzi.

Gake togbɔ be womate ŋu adae o hã la, dzidzɔtɔe la, atikewɔwɔ vovovowo li siwo dzi woate ŋu akpɔ. Lãmesẽnyawo gbɔ kpɔkpɔ, dɔwɔɖui, nuƒoƒo ƒe dɔdamɔnu, kple atikewo zazã ate ŋu ana ɖevia ƒe agbenɔnɔ nanyo ɖe edzi. Ahiã be nànɔ kadodo me kple viwòa ƒe atikewɔlawo ƒe ƒuƒoƒoa. Ne nya aɖe le mia alo wò ƒomea si ku ɖe esia ŋu la, mègavɔ̃ be yeabia ɖɔkta o.

` Spastic Cerebral Palsy, Spastic Cerebral Palsy, Cerebral Palsy, Lãmetsiwo ƒe Sesẽ, Spasticity, Ðeviwo ƒe Ahɔhɔ̃ŋutinunya, Ʋuʋu ƒe Dɔlélewo, Ðeviwo ƒe Tsitsi