Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ne èdze agbagba be yeaʋuʋu alɔ alo afɔ la, esẽna zi ɖeka abe ɖe kpe aɖe ƒoe enea? Alo ɖe nèsena le ɖokuiwò me be yeƒe lãmekawo le ʋuʋum hele veve sem ne ètsi tre ɖe teƒe ɖeka ko gɔ̃ hã? Esia nye nɔnɔme si me ame geɖe tona, gake womenya nusi tututu wònye o. Le atikewɔwɔ me la, míeyɔa esia be Spasticity. Mègatsi dzi o, egbea míaƒo nu tso nusianu ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye Spasticity?
Spasticity nye nuɖoanyi si kpɔa míaƒe lãmekawo ƒe ʋuʋu dzi ƒe dɔléle. Bu eŋu kpɔ, ne míebɔbɔ alɔ ɖeka le dzɔdzɔme nu la, lãmekawo ƒe hatsotso ɖeka sesẽna (wotsia), eye lãmekawo ƒe hatsotso evelia ya ɖea dzi ɖi. Ele abe aʋawɔwɔ si wotsɔ hea amewoe ene; ne wohe akpa ɖeka la, ele be akpa kemɛa naɖe dzi ɖi. Míaƒe lãmeka siwo le titina, si nye ahɔhɔ̃ kple aklã (lãmeka si le aklã me) ye kpɔa ŋusẽ ɖe nuwɔna sia dzi .
Ne lãmeka sia gblẽ le susu aɖe ta la, dzesiɖoɖo si yia lãmeka mawo gbɔ la me gblẽna. Nusi dzɔna ɣemaɣie nye be ne èdze agbagba be yeaʋuʋu alɔ aɖe la, lãmeka siwo wòle be woasẽ kple lãmeka siwo wòle be woaɖe la siaa sesẽna le ɣeyiɣi ɖeka me. Esia wɔnɛ be ʋuʋu sesẽna, ena lãmekawo me sẽna, eye ate ŋu ana ame nase veve.
Le ame aɖewo gome la, nɔnɔme sia ate ŋu anɔ bɔbɔe, lãmekawo ƒe tete vie ko. Le ame bubuwo gome la, ate ŋu ayi ŋgɔ va ɖo nɔnɔme si me abɔ kple afɔa va le sesẽm ale gbegbe be womate ŋu aɖu wo dzi o, si ana woase veve vevie.
| Nɔnɔme si le ame ŋu | Numeɖeɖe bɔbɔe |
|---|---|
| Lãmetsiwo ƒe ʋuʋu ƒe dzidziɖedzi (Hypertonia) . | Ne èle tsitrenu ko gɔ̃ hã la, wò lãmekawo me mekɔna o eye womeɖea wo ɖa o. |
| Lãmetsiwo ƒe ʋuʋu | Lãmetsiwo ƒe tete kple woƒe tete kpata si dzi womate ŋu aɖu o. |
| Clonus ƒe ŋkɔ | Ʋuʋudedi kabakaba siwo le abe afɔkpodzi ene siwo kplɔ wo nɔewo ɖo le teƒewo abe afɔkpodzi ene. |
| Tsitretsitsi si Mesɔ O | Wobɔbɔa abɔwo kple afɔwo abe abɔwo kple afɔwo ene eye wokekea wo le mɔ wɔnukuwo nu. |
| Vevesese kple vevesese | Vevesese si lãmekawo ƒe tete kple lãmekawo ƒe ʋuʋu hena vɛ. |
| Nubabla ƒe nubabla | Lãmetsiwo sẽna eye ƒunukpeƒewo tena tegbee, abe kpee wotsɔ wɔ wo ene, le ɣeyiɣi aɖe megbe. |
| Nudede gbesiagbedɔwo me | Dɔ bɔbɔewo abe awudodo, tsilele, alo nuɖuɖu le ɖokuiwò si gɔ̃ hã wɔwɔ sesẽ. |
Nukawoe hea spasticity vɛ?
Abe alesi megblɔe va yi ene la, nusi koŋ gbɔ esia tsoe nye nusiwo gblẽ le míaƒe lãmeka siwo le titina, si nye ahɔhɔ̃ alo aklã ŋu vie. Nu geɖe li siwo ate ŋu ahe nusiwo gblẽ le ame ŋu sia vɛ.
- Abi si woxɔ le aklã ŋu: Nusiwo gblẽ le akɔta ŋu le afɔku aɖe ta .
- Multiple Sclerosis (MS): Dɔléle si gblẽa nu le lãmekawo ƒe lãkusiwo ŋu.
- Cerebral Palsy: Nɔnɔme si dona tso nusiwo gblẽ le ahɔhɔ̃a ŋu le ɖevime ta.
- Ʋusɔgbɔdɔ: Nusiwo gblẽna le ahɔhɔ̃menugbagbeviwo ŋu le ʋu ƒe sisi yi ahɔhɔ̃a me ƒe nutsotso ta.
- Ahɔhɔ̃ alo ta ƒe abi: Afɔku si dzɔna ɖe ta dzi.
- Amyotrophic Lateral Sclerosis (ALS): Dɔléle si nana lãmeka siwo kpɔa ŋusẽ ɖe ʋuʋu dzi la gbɔdzɔna vivivi.
- Domenyiŋusẽfianu bubu geɖewo hã ate ŋu ahe spasticity vɛ.
Aleke wowɔa atike na spasticity?
Nu nyuitɔ kekeakee nye be mɔ geɖe li siwo dzi woato ada nɔnɔme sia. Togbɔ be womate ŋu ada spasticity keŋkeŋ o hã la, nu geɖe li nàte ŋu awɔ atsɔ akpɔ dzesiawo gbɔ, aɖe vevesese dzi akpɔtɔ, eye wòana wò agbenɔnɔ nanɔ bɔbɔe.
Mɔ nyuitɔ kekeake si dzi woato ada esiae nye be woawɔ dɔ kple ɖɔktawo ƒe ƒuƒoƒo si me tɔwo wɔa dɔ vovovowo, ke menye ame ɖeka ko o. Ahɔhɔ̃ŋutinunyala, lãmesẽŋutinunyala, ŋutilãmedɔdala, kple dɔdamɔnufiala ate ŋu anɔ ƒuƒoƒo sia me.
Dɔdamɔnu siwo menye amekoko o
Esiawoe nye atike gbãtɔ siwo woazã.
- Lãmesẽfefewɔwɔ: Esia lɔ kamedede siwo kekena kple ŋusẽdodo na lãmeka siwo le sesẽm, kpakple hehexɔxɔ le azɔlizɔzɔ kple tsitretsitsi ŋu koŋ ɖe eme.
- Dɔdamɔnu: Esia bia be nàde kame na wò asiwo ƒe lãmekawo ale be nàte ŋu awɔ wò gbesiagbedɔwo, abe awudodo, tsilele, kple nuɖaɖa ene, le ɖokuiwò si.
- Nuƒoƒo ƒe atikewɔwɔ: Ne spasticity gblẽ nu le wò mo, nu, kple ŋɔti ƒe lãmekawo ŋu la, atikewɔwɔ sia ate ŋu akpe ɖe ŋuwò nàɖu nuƒoƒo kple nu mimi sesẽ dzi.
- Atikewo: Atike aɖewo li siwo woate ŋu azã atsɔ ana lãmekawo naɖe dzi ɖi. Le kpɔɖeŋu me, atikewo abe `(Baclofen)`, `(Tizanidine)`, `(Diazepam)`. Gake esiawo ate ŋu ahe nugbegblẽ le ame ŋu abe alɔ̃dɔdɔ kple gbɔdzɔgbɔdzɔ ene vɛ ɣeaɖewoɣi. Eyata , ele vevie be woazã atike siawo abe alesi ɖɔkta gblɔe ene ko.
Botox ƒe atike si wodona ɖe lãme na ame
Ẽ, `(Botox®)` ma ke si ŋu nèse nu tsoe lae. Menye atsyɔ̃ɖoɖo koe esia nye o, ke boŋ enye atike si wɔa dɔ ŋutɔ na spasticity hã. Nusi nèwɔna le afisiae nye be nàdo atike sia ɖe lãmeka siwo le sesẽm la me tẽ. Emegbe lãmeka mawo ɖea dzi ɖi. Esia ƒe ŋusẽkpɔɖeamedzi nɔa anyi abe ɣleti 3 ene.
Amekoko (amekoko) .
Zi geɖe la, wozãa nusiawo ne dɔlélea nu sẽ wu.
- ITB Dɔdamɔnu: Esia bia be woatsɔ pɔmpi sue aɖe ade ƒodo ƒe ŋutigbalẽ te to amekoko me, si ɖea atike aɖe si woyɔna be ``(Baclofen)`` ƒe agbɔsɔsɔ tɔxɛ aɖe ɖe go tẽ ɖe tsi si ƒo xlã aklã ƒe lãmekawo me. Eƒe nugbegblẽ le ame ŋu mesɔ gbɔ o wu nono to nu me.
- Selective Dorsal Rhizotomy (SDR): Esia nye amekoko si sesẽ vie wu. Le esia me la, lãmeka ƒe ke siwo le kuxia hem vɛ koe wotia hetsona. Esia ate ŋu aɖe afɔ ƒe sesẽ sesẽ dzi akpɔtɔ.
- Ƒumeŋutinunya: Amekoko be woagbugbɔ ƒunukpeƒewo kple lãkusi siwo sesẽ eye wosẽ le ƒunukpeƒetetedɔ ta la aɖo wo te.
Ɣekaɣie wòle be nàkpɔ ɖɔkta godoo?
Esia le vevie ŋutɔ.
Ne èkpɔ lãmekawo ƒe tete kple ʋuʋu alea kasia kuxi aɖeke manɔmee do ŋgɔ la, ate ŋu anye dzesi be ahɔhɔ̃ alo akɔta gblẽ, eyata yi ɖɔkta gbɔ enumake kaba.Yi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ne ehiã.
Ne ènya xoxo be spasticity le ye ŋu la, ƒo nu kple wò ɖɔkta ne nusiwo gbɔna dzɔ:
- Ne ʋuʋudedi kple ʋuʋudedi le dzidzim ɖe edzi gbesiagbe.
- Ne vevesesea dzi ɖe edzi.
- Ne gbesiagbedɔwo wɔwɔ le sesẽm na wò wu.
Gbedasi si Wotsɔ Yi Aƒeme
- Spasticity nye nɔnɔme si me lãmekawo sesẽna heʋuʋuna le mɔ si dzi womate ŋu aɖu o nu, eye ahɔhɔ̃ alo aklã ƒe gbegblẽ gbɔe wòtsona.
- Esia ƒe sesẽ ate ŋu atso vevesese si nu mesẽ o dzi va ɖo vevesese sesẽ si wɔnɛ be gbesiagbedɔwo manya wɔ o dzi.
- Mega tsi dzi o. Dɔdamɔnu geɖe li siwo kpɔa dzidzedze, tso kamedede dzi va ɖo amekoko dzi.
- Ne èƒo nu kple wò atikewɔlawo ƒe ƒuƒoƒoa la, àte ŋu awɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò.
- Ne èkpɔ dzesi yeye aɖewo alo wò nɔnɔmea gagblẽ ɖe edzi la, di atikewɔlawo ƒe aɖaŋuɖoɖo kaba.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee