Ðe viwòa yia edzi wɔa nu mawo kea? Mina míasrɔ̃ nu tso (Streotypic Movement Disorder) ŋu!

Ðewohĩ èkpɔ ɖevi suewo, ɖewohĩ wò ŋutɔ viwò, wole woƒe abɔwo ƒom, wole ta ʋuʋum, alo wole woƒe ŋutilã ʋuʋum nenema ke. Ðe nusiawo nye fefenuwo ko, alo ɖe wonye nane si ŋu wòle be míatsi dzi ɖo ƒe dzesia? Egbea míele nu ƒom tso ʋuʋu siawo siwo gbugbɔna yia edzi ŋu, vevietɔ nɔnɔme aɖe si woyɔna be Stereotypic Movement Disorder (SMD) . Mègatsi dzi o, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae nye `(Stereotypic Movement Disorder)`?

Kpuie ko la, Stereotypic Movement Disorder nye nɔnɔme si me ɖevi wɔa ʋuʋu enuenu, si gbugbɔna gbugbɔna, taɖodzinu aɖeke si me kɔ o . Bu ta ƒoƒo, ŋutilã ʋuʋu, kple bubuawo ŋu.Ʋuʋu siawo ate ŋu ado kplamatse ɖevi ƒe dɔwɔna siwo sɔ eye woate ŋu agblẽ nu le ŋutilã ŋu ɣeaɖewoɣi.

Le mɔfiame siwo ɖɔktawo zãna tsɔ dea dzesi nɔnɔme sia, si nye Diagnostic and Statistical Manual of Mental Disorders (DSM-5) nu la, woyɔa ʋuʋu siawo be "SMD" ne womate ŋu aɖe wo me to atikewɔwɔ ƒe nɔnɔme alo atike bubu aɖeke dzi o.

Zi geɖe la, nɔnɔme sia dzea egɔme hafi xɔ ƒe 3 , eye ate ŋu anɔ anyi ɣeaɖewoɣi vaseɖe ame tsitsi me.

Nukae `(Motor Stereotypies)` fia? Ðe esia to vovo tso `(SMD)` gbɔa?

Ẽ, vovototo vi aɖe le wo ame evea dome. Hafi míaɖo `(SMD)` gbɔ la, mina míase nusi `(Motor Stereotypies)` fia gɔme. `(Motor Stereotypies)` fia ʋuʋu mawo, si nye dzesiawo. `(Stereotypic Movement Disorder)` fia nɔnɔme ma, si nye dɔlélea.

Ðɔktawo ma ``Motor Stereotypies`` ɖe ƒomevi eve me:

• Mɔ̃ɖaŋununya Blewuwo: Esiawo bɔ ŋutɔ. Woate ŋu akpɔ wo le ɖevi suewo kpakple ame tsitsiwo hã me. Le kpɔɖeŋu me, asibidɛ mimi, afɔ ƒoƒo, ɖa ƒe ʋuʋu, kple ɖa ɖuɖu. Zi geɖe la, ʋuʋu bɔbɔe siawo medoa kplamatse gbesiagbedɔwo alo hea nuteɖeamedzi gã aɖe vɛ o. Menye nu siawo koe míewɔna ne míenye ɖeviwo ko o, ke ɣeaɖewoɣi ne míele tsitsim gɔ̃ hã.

• Mɔ̃ɖaŋununya ƒe Nɔnɔme Siwo Sesẽ: Esiawo nye ʋuʋu sesẽ siwo gbugbɔna yia edzi. Le kpɔɖeŋu me, asiƒoƒo, ŋutilã ʋuʋu, kple nu kple mo ʋuʋu enuenu. Zi geɖe la, ʋuʋu sesẽ siawo dzea egɔme hafi woxɔa ƒe 3 , ɣeaɖewoɣi la, wonɔa anyi vaseɖe ƒewuiwo me, eye woate ŋu anɔ anyi vaseɖe tsitsime. Woate ŋu ado kplamatse gbesiagbedɔwo eye woate ŋu agblẽ nu le ame ŋu le ŋutilã me. Wokpɔa lãmekawo ƒe dɔwɔwɔ ŋuti nukpɔsusu sesẽ siawo le SMD me zi geɖe.

Emegbe la, wogama ``Motor Stereotypies'' ƒomevi eve siawo ɖe ƒomevi eve me:

• Mɔ̃ɖaŋununya Gbãtɔ: Esiawo dzɔna nusi gbɔ wòtso aɖeke manɔmee, si fia be ahɔhɔ̃mekawo ƒe tsitsi ƒe dɔléle bubu aɖeke manɔmee.

• Mɔ̃ ƒe Nukpɔsusu Evelia:Esiawo ate ŋu adzɔ abe atikewɔwɔ ƒe nɔnɔme bubu ƒe akpa aɖe ene. Le kpɔɖeŋu me, ɖevi si ŋu dɔléle aɖe le si woyɔna be ``Autism Spectrum Disorder (ASD)`` alo ``Developmental Delay`` ateŋu akpɔ ʋuʋu siawo.

Kpuie ko la, ne ɖevi si ŋu `(ASD)` le wɔa ʋuʋu siawo ƒomevi la, ɖɔktawo bua eŋu be enye `(ASD)` ŋutɔ ƒe akpa aɖe. Ame aɖewo hã yɔnɛ be `(stimming)`. Be woayɔe be `(SMD)` la, nu bubu aɖeke si me kɔ (atikewɔwɔ ƒe nɔnɔme bubu) mate ŋu anɔ ʋuʋu siawo ŋu o.

Aleke gbegbee Stereotypic Movement Disorder bɔe?

Numekulawo meka ɖe alesi tututu SMD bɔe dzi o, gake zi geɖe la, wobua eŋu be enye dɔléle si mebɔ o . Gake nyatakaka aɖewo li ku ɖe Motor Stereotypies ŋu.

Mɔ̃ɖaŋununya ƒe Mɔfiame Siwo Mebɔ o mebɔ o. Numekukuwo ɖee fia be wodzea ɖevi siwo ade 3% va ɖo 4% dzi. Gake xexlẽme sia sɔ gbɔ wu le ɖevi siwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le gome. Le kpɔɖeŋu me, ɖevi siwo ƒe tsitsime gblẽ ƒe 61% kple ɖevi siwo ŋu autism spectrum disorder (ASD) le ƒe 88% ate ŋu akpɔ ʋuʋu sesẽ siawo.

Gake lãmekawo ƒe dɔwɔwɔ ŋuti nukpɔsusu bɔbɔewo bɔ ŋutɔ. Woate ŋu adze ɖevi siwo le tsitsim le mɔ nyuitɔ nu ƒe 20% va ɖo 70% dzi . Esia fia be womedoa vɔvɔ̃ na ame abe alesi nàsusui ene o.

Nukae nye `(Stereotypic Movement Disorder)` ƒe dzesiwo?

Ðevi si ŋu SMD le ate ŋu akpɔ ŋutilã ƒe dɔwɔwɔ ŋuti nukpɔsusu totro siwo doa kplamatse gbesiagbedɔwo alo agblẽ nu le ame ŋu le ŋutilã me. Kpɔɖeŋu aɖewoe nye:

• Asi ƒoƒo
• Ŋutilã ƒe ʋuʋu
• Ta ƒoƒo
• Asibidɛ alo asi ƒe ʋuʋu atraɖii
• Nu kple mo ƒe ʋuʋu ƒomevi ɖeka wɔwɔ (orofacial movements) .
• Ðokuiwò ƒoƒo, ɖokuiwò ƒoƒo, ɖokuiwò ɖuɖu.
• ɖa ƒe ɖuɖu vevie

Nuwɔna siawo bɔ wu le ɣeyiɣi siawo tɔgbe me:

• Ne nuteɖeamedzi dzi ɖe edzi
• Ne dzimaɖitsitsi va
• Ne èle dzidzɔ kpɔm ŋutɔ (dzidzɔkpɔkpɔ) .
• Ne wò susu katã le nane ŋu (focused concentration) .
• Ne èse le ɖokuiwò me be nu te ɖe ye dzi `(kuviawɔwɔ)`

Gake ne wotrɔ susu ɖa la, zi geɖe la, nuwɔna siawo dzi ɖena kpɔtɔna alo nu yina.

Ðevi siwo ŋu SMD le gblɔna zi geɖe be yewosena le yewo ɖokui me be yewokpɔa dzidzɔ eye "enyo" ne yewowɔ ʋuʋu siawo. Esia to vovo na nɔnɔme abe Obsessive-Compulsive Disorder (OCD) ene. Le OCD me la, wowɔa ʋuʋuawo be woatsɔ ahe woƒe susu ɖa le susu siwo ɖea fu na ame ŋu. Gake ne èdze agbagba be yeaxe mɔ na ɖevi si ŋu SMD le be wòagawɔ ʋuʋu siawo o la, ate ŋu ado dziku, ate ŋu atsi dzimaɖi, alo atsi dzimaɖi .

Nukae nye nusiwo gbɔ `(Stereotypic Movement Disorder)` tsona?

Numekulawo mekpɔ nusi tututu gbɔ Stereotypic Movement Disorder tsona haɖe o. Ʋuʋu siawo siwo gbugbɔna yia edzi la medo ƒome kple ahɔhɔ̃mekawo ƒe dɔléle alo ahɔhɔ̃mekawo ƒe tsitsi ƒe dɔléle bubu aɖeke o.

Gake le ƒomedodo bliboa me la, numekulawo susu be ``Motor Stereotypies`` siawo ateŋu atso tɔtrɔ le atike aɖewo ƒe dadasɔ me le ahɔhɔ̃a me, si míeyɔna be ``neurotransmitters``, le kpɔɖeŋu me ``dopamine``, ``acetylcholine`` kple ``GABA`` .

Edze abe domenyiŋusẽfianu ƒe kadodo aɖe le `(Motor Stereotypies)` sesẽwo dome ene. Esia fia be anɔ eme be ƒometɔ kplikplikpli aɖe (nɔviŋutsu, nɔvinyɔnu, alo dzila) si ŋu dɔlélea le le ɖevi si ƒe ʋuʋu siawo le la si. Gake womede dzesi domenyiŋusẽfianu aɖeke koŋ haɖe o.

Aleke woawɔ anya `(Streotypic Movement Disorder)`?

Hafi ɖɔkta nakpɔe be Stereotypic Movement Disorder (SMD) le viwòa ŋu la, ele be woawɔ ɖe nɔnɔme siawo katã dzi :

• Ele be ʋuʋu siawo siwo wogbugbɔ gblɔna la naxɔ kwasiɖa ene ya teti .
• Ele be ʋuʋu siawo nado kplamatse ɖevia ƒe hadomenuwɔnawo, sukudɔwo, kple gbesiagbedɔwo wɔwɔ, alo ele be ɖevia nawɔ nuvevi eɖokui.
• Atikewɔwɔ me susu bubu aɖeke mate ŋu anɔ ʋuʋu siawo ŋu o.

Gbã la, viwòa ƒe ɖɔkta awɔ eƒe ŋutilã dodokpɔ eye wòabia viwòa ƒe atikewɔwɔ ŋutinya wò. Woabia nya tso viwòa ƒe dzesiwo hã ŋu, le kpɔɖeŋu me:

• Ɣekaɣie habɔbɔ sia dze egɔme?
• Zi nenie nusiawo dzɔna?
• Ðe nɔnɔme alo nuto aɖewo tae nusiawo dzina ɖe edzia?
• Aleke nusiawo kpɔa ŋusẽ ɖe ɖevia ƒe gbesiagbedɔwo dzii?

Ele vevie hã be woaɖe nɔnɔme bubu siwo bɔ siwo ate ŋu ahe lãmekawo ƒe dɔwɔwɔ ŋuti nukpɔsusu sesẽ siawo vɛ, abe Autism Spectrum Disorder (ASD) ene, ɖa. Esia ate ŋu abia be woawɔ numekuku kple dodokpɔ vovovowo.

Viwòa ƒe ɖɔkta ate ŋu aɖo aɖaŋu hã be yeado dodokpɔ aɖewo, abe ʋudodokpɔ ene, be yeakpɔe ɖa be ŋutilã me nu aɖe si gbɔ ʋuʋu siawo tso hã.

Nukae nye atikewɔwɔ na `(Stereotypic Movement Disorder)`?

Zi geɖe la, mehiã be woawɔ atike aɖeke koŋ na Stereotypic Movement Disorder o. Gake ne viwòa hiã kpekpeɖeŋu be wòaɖe ʋuʋu siawo dzi akpɔtɔ, alo ne ele nu gblẽm le eɖokui ŋu le nuwɔna siawo ta la, nuwɔna ƒe atikewɔwɔ si woyɔna be Habit Reversal Training (HRT) ate ŋu awɔ dɔ ŋutɔ. Esia ate ŋu akpe ɖe ame ŋu be woaɖe ʋuʋuawo ƒe sesẽme kple alesi wodzɔna zi gbɔ zi geɖe dzi akpɔtɔ.

Le mɔnu si woyɔna be `(HRT)` me la, wona hehe ɖevia be wòade dzesi dzesiawo ne ʋuʋu siawo le gɔmedzedzea me eye wòawɔ nuwɔna bubuwo ɖe eteƒe. Ðevia srɔ̃a alesi wòaɖu eƒe nuwɔna dzi to mɔnu siawo zazã me. Le sukuxɔ me kple aƒeme la, mia kple ɖevia ƒe nufiala miate ŋu adzudzɔ nuwɔna siawo eye miate ŋu ahe ɖevia ƒe susu ne wonya de dzesii ko.

Ne viwòa le nu gblẽm le eɖokui ŋu (le kpɔɖeŋu me, wole woƒe ta ƒom alo le wo ɖokuiwo ƒom) le ``Mɔ̃ɖaŋununya'' siawo ta la, ahiã be woawɔ afɔɖeɖe tɔxɛwo atsɔ akpɔ wo ta. Esia ateŋu alɔ be woana woado ``gakuku'' alo asigɛ dodo be woaɖe nutsotso dzi akpɔtɔ. Àte ŋu abia aɖaŋuɖoɖo tso viwò ƒe ɖɔkta alo ``Dɔwɔƒe ƒe Dɔdamɔnufiala'' gbɔ le mɔnu tɔxɛ siwo sɔ na viwò ƒe nuwɔna ŋu.

Numekukuwo ɖee fia be atike aɖewo ate ŋu akpe ɖe ɖevi siwo ŋu autism kple ahɔhɔ̃mekawo ƒe tsitsi ƒe dɔléle bubuwo le ŋu be woaɖu lãmekawo ƒe dɔwɔwɔ ŋuti nukpɔsusu sesẽwo dzi. Gake numekuku aɖeke meli si ɖee fia be atike siawo kpena ɖe ame ŋu le Stereotypic Movement Disorder me o.

Ne `(Stereotypic Movement Disorder)` le vinye ŋu la, nukae wòle be makpɔ mɔ na?

`(SMD)` ƒe nuwɔnawo ateŋu ayi edzi zi geɖe vaseɖe ƒewuiwo kple tsitsime. Ðo ŋku edzi be zi alesi ɖevia mele nu gblẽm le eɖokui ŋu o ko la, nuwɔna siawo megblẽa nu le ame ŋu o. Ate ŋu anye be woawo ŋutɔ ƒe mɔ si dzi woato awɔ nu ɖe ​​xexeame ŋu koe nye esia. Ẽ, ate ŋu ato vovo tso ame bubuwo gbɔ. Gake menye ‘nu gbegblẽ’e wònye o.

Ne viwòa hiã kpekpeɖeŋu le ʋuʋu siawo ŋu la, yi woƒe ɖɔkta alo dɔdamɔnufiala gbɔ. Ne èna viwòa gblɔ nya aɖewo le nyametsotso siwo wòwɔ le beléle nɛ ŋu me la, ate ŋu akpe ɖe eŋu wòase le eɖokui me be yekpɔ ŋusẽ ɖe yeƒe ŋutilã dzi eye ate ŋu akpɔ ŋusẽ nyui ɖe eƒe susu ƒe lãmesẽ dzi.

Nya kawoe wòle be mabia vinye ƒe ɖɔkta?

Ne Stereotypic Movement Disorder le viwòa ŋu la, anyo be nàbia nya siawo abe esiawo ene ɖɔktaa:

• "Nukatae, Ðɔkta/Aƒenɔ, `(Stereotypic Movement Disorder)` sia le vinye ŋu?"
• "Aleke míawɔ anya kple kakaɖedzi be dɔléle sia le vinye ŋu ke menye dɔléle bubu aɖeke o?"
• "Ðe dzesi bubu aɖewo li siwo ŋu wòle be manɔ ŋudzɔ ɖoa?"
• "Aleke mate ŋu akpe ɖe vinye si ŋu Stereotypic Movement Disorder le ŋu?"
• "Eŋutinunyala bibi ka ƒomevie ate ŋu akpe ɖe vinye ŋu?"

Ðe woate ŋu axe mɔ ɖe Stereotypic Movement Disorder nua?

Esi womenya nusi tututu gbɔ Stereotypic Movement Disorder tso o ta la, womate ŋu axe mɔ ɖe enu o.

Abe dzila ene la, esɔ be nàtsi dzimaɖi ne ède dzesi tɔtrɔ suetɔ kekeake gɔ̃ hã le viwò ƒe nuwɔna me. ‘SMD’ koŋ nye mɔnu aɖe si dzi woato ade ʋuʋu siwo gbugbɔna, taɖodzinu aɖeke manɔmee abe esia ene ɖe hatsotsowo me ko. Ðewohĩ viwòa ahiã kpekpeɖeŋu le esia me alo mahiãe o. Ke hã, nu vevitɔ kekeakee nye be nàdo alɔ viwòa. Àte ŋu axɔ kpekpeɖeŋu tso viwòa ƒe ɖɔkta hã gbɔ. Mègavɔ̃ be yeabia nya eye yeagblɔ yeƒe susuwo o. Wole afima be yewoakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

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

• Stereotypic Movement Disorder (SMD) nye nɔnɔme si me ʋuʋu siwo wogbugbɔna wɔna le mɔ ɖeka nu evɔ taɖodzinu aɖeke mekɔ o.
• Menye ʋuʋu siawo katãe nye nu veviwo o. ``Motor stereotypies`` bɔbɔe ŋutɔwo bɔ.
• Ne ʋuʋu siawo do kplamatse ɖevia ƒe gbesiagbegbenɔnɔ, ne egblẽ nu le eɖokui ŋu, alo ne esia le fu ɖem na ɖevia la, di atikewɔlawo ƒe aɖaŋuɖoɖo.
• Nuwɔna ƒe atikewɔwɔwo abe ``Habit Reversal Training (HRT)`` ateŋu akpeɖeŋu le nɔnɔme sia dzi ɖuɖu me.
• Nu vevitɔe nye be nàse ɖevia gɔme, ana lɔlɔ̃ kple kpekpeɖeŋui, eye nàxɔ ʋuʋu siawo be wonye eƒe akpa aɖe.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo na wò ƒomea ƒe ɖɔkta alo ɖeviwo ƒe dɔdala o.

` Stereotypic Movement Disorder, ʋuʋu enuenu, motor stereotypies, autism, ASD, nuwɔna ƒe kuxiwo, ɖeviwo ƒe susu ƒe lãmesẽ, nuvevi wɔwɔ ame ɖokui