Ðe viwò suea zɔna ɖe woƒe afɔbidɛwo dzia? Mina míaƒo nu tso afɔbidɛ zɔzɔ ŋu!

Ne viwò suea dze azɔlizɔzɔ gɔme la, èléa ŋku ɖe nu sue ɖesiaɖe si le eŋu la ŋu nyuie, alo? Ɣeaɖewoɣi la, ède dzesii be viwòa tsɔa eƒe afɔbidɛwo zɔna le esi teƒe be eƒe afɔkpodziwo naka anyigba. Esiae nye nusi míeyɔna be ``Afɔbidɛ ƒe Azɔlizɔzɔ''. Dzila aɖewo vɔ̃na vie ne wokpɔ esia. Gake ɖe esia nye nusi wòle be woavɔ̃ na ɣesiaɣia? Mina míaƒo nu tso eŋu tsitotsito.

Nuka tututue nye afɔbidɛ ƒe zɔzɔ? (Toe Walking) Ðe wòsɔa?

Kpuie ko la, ``Afɔbidɛwo ƒe Azɔlizɔzɔ'' fia be viwòa zɔna le woƒe afɔwo kple afɔbidɛwo ƒe bɔlwo dzi, woƒe afɔtiwo ƒe afɔkpodziwo mekaa anyigba o. Ele abe ɣeɖula ene, gake míele nu ƒom tso azɔlizɔzɔ to mɔ sia dzi ɣesiaɣi.

Fifia, kpɔ ɖa, esɔ ŋutɔ be ɖevi sue siwo mexɔ ƒe eve haɖe o nazɔ woƒe afɔbidɛwo dzi alea ne wole azɔlizɔzɔ srɔ̃m. Naneke meli si ŋu woatsi dzi ɖo o. Ne wole tsitsim la, woadze azɔlizɔzɔ gɔme nyuie eye woƒe afɔkpodziwo le anyigba. Zi geɖe la, esia mehiã be woawɔ atike tɔxɛ aɖeke gɔ̃ hã o.

Gake ne viwòa yi edzi le afɔkpodzi ƒom le ƒe eve xɔxɔ vɔ megbe gɔ̃ hã la , ate ŋu anye lãmesẽkuxi aɖe ƒe dzesi ɣeaɖewoɣi, eyata anyo be nàtsi dzi vie.

Esia bɔ ale gbegbe be le ɖevi siwo le tsitsim zi geɖe dome la, wo dometɔ siwo ade 2 le 100 ɖesiaɖe me (2%) gakpɔtɔ zɔa afɔkpodzi ne woxɔ ƒe 5 1/2. Gake le ɖevi siwo ƒe tsitsimekuxi aɖewo alo esiwo tsi megbe dome la, wokpɔa abe 41% ene be wozɔa afɔkpodzi le ƒe sia me.

Nukawoe ɖe dzesi bubu siwo le afɔbidɛ zɔzɔ ŋu?

Dzesi vevitɔe nye be ɖevia le afɔbidɛwo dzi zɔm. Enye nusi ame sia ame ate ŋu akpɔ. Ne ègblɔ na ɖevi sue aɖewo be, ‘Viŋutsu/nyɔnuvi, zɔ afɔ gbadzaa ɖe anyigba’ la, woate ŋu awɔe nenema. Gake ne woyi edzi le afɔbidɛwo dzi zɔm la, àkpɔ nu bubuwo abe esiawo ene:

• Dadasɔ kple nuwɔwɔ aduadu ƒe anyimanɔmanɔ: Edze abe esesẽna be nàda asɔ ene.
• Adze anyi enuenu: Ate ŋu adze anyi wu ɖevi bubuwo.
• Afɔkpa dodo sesẽ: Ðewohĩ afɔkpa aɖewo madze nyuie o alo wo dodo ate ŋu asesẽ.
• Gomekpɔkpɔ le kamedefefewo alo modzakaɖeɖe bubuwo me sesẽ: Ate ŋu asesẽ be woakpɔ gome le fefe siwo bia be woaƒu du ahati kpo kple ɖevi bubuwo me.
• Nuƒoƒo tso vevesese le afɔwo me ŋu: Ɣeaɖewoɣi la, àte ŋu agblɔ hã be wò afɔwo le veve sem.
• Afɔkpodzi zɔzɔ sesẽna: Esia fia be ne wobia tso asiwò be nàzɔ afɔbidɛwo ɖe dzi eye wò afɔkpodziwo nanɔ anyigba la, esia wɔwɔ asesẽ.
• Afɔkpodzi ƒe Kawo/Achilles ƒe Ʋukawo ƒe Sesẽ: Afɔkpodzi ƒe lãkusi siwo le afɔkpodzia tame, ate ŋu ase le wo ɖokui me be wole sesẽm.

Nu ka tae ɖevi suewo zɔna le woƒe afɔbidɛwo dzi? Nukawoe nye susu siwo tae?

Zi geɖe la, susu aɖeke koŋ meli si tae wòtsɔa afɔkpodzi nɔa afɔkpodzi ɣesiaɣi ɖo o.Ðɔktawo yɔa esia be ``Idiopathic Toe Walking.'' Ema gɔmee nye ''nusi womenya nusi gbɔ wòtso o.'' Ateŋu anye numame ɣeaɖewoɣi.

Ke hã, susu bubu aɖewo ate ŋu anɔ anyi.

Achilles Tendon si le kpuie

Le wò afɔ ƒe megbe, afisi wò nyivi ƒe lãmekawo va kpena le la, lãkusi sesẽ aɖe si woyɔna be Achilles Tendon le. Esiae do ƒome kple wò afɔkpodzi ƒe ƒu. Ne èzã wò nyitsu ƒe lãmekawo la, Achilles Tendon sia hea wò afɔkpodzi yia dzi.

Le afɔbidɛzɔla aɖewo gome la, lãkusi sia ate ŋu anɔ kpuie vie le wo dzidzi me. (Gake zi geɖe la, esia medzɔna zi geɖe o negbe ɖe ɖevia ƒe afɔ ƒe gbɔdzɔgbɔdzɔ si wodzina abe ``Club Foot'' ene le eŋu. Woyɔa nɔnɔme sia ɣeaɖewoɣi be ``Equinus Deformity''.) Alo, le ɣeyiɣi aɖe megbe la, lãkusi sia ateŋu atso kpuie. Esia wɔnɛ be esesẽna na ɖevia be wòazɔ le mɔ si sɔ nu eye woƒe afɔkpodziwo nanɔ anyigba. Esia nye kuxi kple nɔnɔme si mebɔ o.

Ðevi tsitsi aɖewo siwo ƒoa afɔkpodzi ate ŋu awɔe le numame ta. Alo, ate ŋu anye esi woƒe lãkusiwo kple lãkusiwo sesẽ le ɣeyiɣi aɖe megbe eye wòvea wo ne wozɔ nyuie kple woƒe afɔkpodziwo ɖe anyigba tae.

Nu bubu siwo mebɔ kura o siwo gbɔ wòtsona

Togbɔ be zi geɖe la, menye nusi ŋu woatsi dzi ɖo o hã la, le go siwo mebɔ o me la , afɔbidɛ zɔzɔ ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si le ete ƒe dzesi. Le kpɔɖeŋu me:

• Ahɔhɔ̃ ƒe dɔléle: Nɔnɔme abe `(Cerebral Palsy)`.
• Lãmetsi alo lãmeka ƒe dɔléle: Nɔnɔme abe ``Muscular Dystrophy'' ene.
• Akɔta ƒe nɔnɔme si mesɔ o.
• Autism Spectrum Disorder (ASD) ƒe Dɔléle .

Ðe kadodo aɖe le autism kple afɔkpodzidada domea?

Ẽ, afɔbidɛwo zɔzɔ bɔ ɖe ɖevi siwo ŋu Autism Spectrum Disorder (ASD) le dome wu. Numekuku gã aɖe ɖee fia be ɖevi siwo ŋu ASD le dometɔ siwo ade 9% zɔna kple woƒe afɔbidɛwo. Numekuku ma ke ɖee fia be ɖevi siwo si ASD mele o dometɔ siwo mede 0.5% o ye zɔ mɔ sia.

Nusi tututu gbɔ esia tso la me mekɔ haɖe o , elabena womekpɔ kadodo aɖeke tẽ le autism kple afɔbidɛwo dome o. Ate ŋu anye be ʋuka siwo le afɔkpodzia me ƒe ʋuʋu xea mɔ na ʋuʋu.

Alo, ate ŋu anye nane si do ƒome kple seselelãme ƒe dɔwɔwɔ . Ðevi geɖe siwo ŋu autism le la ƒe vestibular system gblẽ vie. Vestibular system siae naa míaƒe ahɔhɔ̃ ŋuti nyatakaka ku ɖe ʋuʋu, tenɔnɔ, kple teƒe ƒe nɔnɔme ŋu. Esia ate ŋu anye susu si ta afɔbidɛwo zɔna hã. Ele be dzɔdzɔmeŋutinunyalawo nawɔ numekuku geɖe tso esia ŋu be woase alesi tututu seselelãme ƒe dɔwɔwɔ kpɔa ŋusẽ ɖe afɔbidɛwo ƒe zɔzɔ dzii gɔme.

Ðe míate ŋu akpɔ afɔkpodzidada le ame tsitsiwo domea?

Ẽ, ame aɖewo gakpɔtɔ zɔna ɖe woƒe afɔbidɛwo dzi ne wotsi. Ðewohĩ wodze agbagba be yewoaɖɔe ɖo esime wonɔ sue, gake medzo keŋkeŋ o, alo ɖewohĩ atikewɔwɔa medze edzi o.

Ɣebubuɣiwo, ne ètsi gɔ̃ hã la, àte ŋu adze afɔbidɛwo dzi zɔzɔ gɔme le susu aɖeke manɔmee. Lãmesẽnya aɖewo siwo gblẽa nu le afɔwo ŋu, abe bli, calluses, kple peripheral neuropathy hã ate ŋu ana afɔbidɛwo nazɔ.

Aleke ɖɔktawo wɔa dea dzesi afɔbidɛwo ƒe zɔzɔ nyuie?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, abia wò gbã tso viwòa ƒe atikewɔwɔ ŋutinya bliboa ŋu . Emegbe, awɔ eƒe ŋutilã dodokpɔ . Abe dodokpɔ sia ƒe akpa aɖe ene la, ɖɔktaa alé ŋku ɖe ale si viwòa zɔnae ŋu nyuie. Akpɔe ɖa be kuxi aɖewo le viwòa ƒe afɔwo kple afɔwo ŋu hã. Alé ŋku ɖe ɖevia ƒe ʋuʋu ƒe didime kple ne seɖoƒe aɖewo li hã ŋu.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ ahɔhɔ̃mekawo ƒe dodokpɔ geɖe atsɔ akpɔe ɖa be kuxi aɖewo le ɖevia ƒe lãmekawo ŋu hã. Esiawo dometɔ aɖewoe nye:

• Ðevia ƒe susu ƒe dɔwɔwɔ me dzodzro.
• Seselelãme ƒe sesẽme dzidzedze le abɔwo kple afɔwo me.
• Lãmetsiŋusẽ dodokpɔ.

Dɔdamɔnu kawoe woate ŋu awɔ atsɔ atɔ te afɔbidɛwo ƒe zɔzɔ?

Atikewɔwɔ be woadzudzɔ afɔbidɛwo ƒe zɔzɔ nɔ te ɖe nu geɖe dzi. Esiawo dometɔ aɖewoe nye:

• Ƒe si viwòa xɔ .
• Aleke gbegbe ɖevia ƒoa afɔkpodzii vɔ̃ɖie nye si .
• Nuka gbɔe nɔnɔme sia tso?

Anɔ eme godoo be wò ɖɔkta aɖo aɖaŋu na wò gbã be nàzã atike siwo menye amekoko o . Esiawo dometɔ aɖewoe nye:

• Lãmesẽnyawo Gbɔkpɔkpɔ: Ðevia wɔa dɔ kple kamededeŋutinunyala aɖe wɔa kamedede siwo kekea afɔkpodzi kple afɔkpodzi ƒe lãmekawo. Esia ate ŋu akpe ɖe ame ŋu be wòaɖe sesẽme dzi akpɔtɔ eye wòana eƒe ʋuʋu nadzi ɖe edzi. Ɣeaɖewoɣi la, kamedede ƒe atikewɔwɔ si wozãna tsã zãa mɔnu aɖe si woyɔna be serial casting. Le esia me la, ɖevia doa azɔlizɔwu kwasiɖa geɖe. Esia kpena ɖe lãmeka kple lãkusi siwo le afɔkpodzi ŋu be wokekena hedidina.
• Ankle-Foot Orthotics (AFOs): Viwò ate ŋu ado plastik-fɔkpa. Esia kpena ɖe eŋu be afɔa nɔa dzogoe 90 dzi esime ɖevia le zɔzɔm le ŋkekea me katã, eye wòkekea lãmekawo kple lãkusi siwo le afɔkpodzia me. Wowɔa esia le nuwɔwɔ aduadu kple kamededeŋutinunyala kple ƒunukpeƒeŋutinunyala (atikewɔla bibi aɖe si bi ɖe aŋekotokuwo kple aŋekotokuwo me).
• Nukpɔkpɔ:Ɣeaɖewoɣi la, ɖɔkta agblɔ na wò be nàwɔ ``lala-ne-kpɔ'' mɔnu. Eyae nye be woakpɔe ɖa be nɔnɔmea nyo ɖe edzi le eɖokui si hã. Gake womezãa mɔnu sia wu ɣleti ade o.
• Botulinum A Toxin (Botox®) Dodo: Woate ŋu ado Botox® be wòagbɔdzɔ ɖevia ƒe lãmekawo eye wòana wòanɔ bɔbɔe be woaƒoe.

Bu eŋu kpɔ ko, ate ŋu adze nusi mebɔbɔ vie be nàdo akɔtaɖonu alea ne viwòa le fefem ŋkeke bliboa. Gake le ɣeyiɣi didi aɖe megbe la, viɖe siwo dona tso eme la ɖea vi ŋutɔ.

Ne viwòa xɔ wu ƒe 5 la , wò ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dɔ na wò be wòaɖe Achilles ƒe lãkusiwo kple nyivi ƒe lãmekawo eye woadidi wo. Amekoko sia ate ŋu akpe ɖe viwòa ƒe afɔ kple afɔkpodzi ƒe ʋuʋu kple dɔwɔwɔ nyuie wu.

Azɔ hã, atikewɔwɔ si woyɔna be ``Vestibular-Sensory Therapy'' ateŋu akpeɖe ɖevia ŋu. Le esia me la, ɖevia doa go kple dɔdamɔnufiala alo ŋutilãmedɔdala eye wòxɔa atikewɔwɔ si doa ŋusẽ woƒe ``Vestibular System''.

Ðe nàte ŋu axe mɔ na afɔbidɛwo ƒe zɔzɔa?

Ẽ, anya wɔ vaseɖe afi aɖe. Ke hã, ele vevie ŋutɔ be nàna viwòa ƒe ɖeviwo ƒe dɔdala nanya nu tso esia ŋu. Emegbe ate ŋu aku nɔnɔmea me nyuie ahawɔ nusi hiã.

Ne viwòa le tsitsim la, àte ŋu akpe ɖe eŋu wòakeke woƒe Achilles lãkusiwo eye wòaɖe afɔbidɛ ƒe azɔlizɔzɔ ƒe mɔnukpɔkpɔ dzi akpɔtɔ. Ekpena ɖe ame ŋu hã be nàtia afɔkpa siwo asɔ nyuie eye woalé wo ɖe te nyuie.

Nukae nye ŋgɔdonya na ɖevi siwo ƒe afɔkpodziwo?

Ðevia ƒe etsɔme nɔ te ɖe nusi gbɔ woƒe afɔbidɛwo zɔna dzi. Le afɔbidɛ zɔzɔ si mebɔ o, afisi womate ŋu akpɔ nusi gbɔ wòtso o gome la, ɖevi akpa gãtɔ hayana keŋkeŋ ne wowɔ atike na wo eye wosrɔ̃a azɔlizɔzɔ si sɔ kple woƒe afɔkpodziwo ɖe anyigba. Zi geɖe la, wote ŋu kpɔa gome le kamedefefewo kple dɔwɔna bubuwo me.

Gake ɖevi aɖewo ate ŋu ayi edzi anɔ afɔkpodzi ƒom le atikewɔwɔ alo amekoko vɔ megbe gɔ̃ hã . Ɣemaɣie wòhiã be woatsɔ afɔtiwo abla afɔti eye ate ŋu akpe ɖe ame ŋu.

Kuxi kawoe ate ŋu ado mo ɖa ne èyi edzi le afɔbidɛwo dzi zɔm?

Afɔkpodzizɔzɔ atraɖii ate ŋu ana viwòa ƒe Achilles lãkusiwo kple nyivi ƒe lãmekawo nasẽ. Esia ate ŋu ana wòasesẽ, ne menye nenema o hã la, manya wɔ o hã , be viwòa nazɔ nyuie eye eƒe afɔkpodziwo anɔ anyigba.

Tsɔ kpe ɖe eŋu la, ɖewohĩ ɖevia ƒe afɔ kple afɔkpodzi ƒe ʋuʋu dzi ɖe kpɔtɔ, alo ate ŋu asesẽ nɛ be wòado afɔkpa aɖewo, vevietɔ esiwo wozãna tsɔ ƒua du le tsikpe dzi. Ne ɖevia mekpɔ ŋusẽ ɖe afɔbidɛ ƒe zɔzɔ sia dzi esime wole tsitsim o la, lãmekawo ƒe kuxi bubuwo kple vevesese ate ŋu ado mo ɖa.

Nukae wòle be mabia ɖɔktaa tso esia ŋu?

Ne viwòa yi edzi le afɔkpodzi ƒom le ƒe eve xɔxɔ vɔ megbe la, anyo be nàbia eƒe ɖɔkta tso nya siwo gbɔna ŋu:

• Eŋutinunyala bibi kae wòle be vinyea nayi atsɔ ada esia?
• Ðe vinyea ahiã be woatsɔ akɔtaɖonuwo alo afɔdzideƒewo ?
• Dodokpɔ kawoe wòle be woawɔ be woakpɔ egbɔ be atikewɔwɔ me dɔléle bubu aɖeke abe Cerebral Palsy ene meli o?
• Ðe wòle be matsi dzi ɖe dɔléle bubu abe Autism Spectrum Disorder ene ƒe dzesiwo ŋua?
• Ne nɔnɔme sia yi edzi la, aleke wòakpɔ ŋusẽ ɖe vinyea ƒe agbemeŋkeke mamlɛawo dzii?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata afɔbidɛ zɔzɔ nye nuwɔna si bɔ ɖe ɖevi suewo me, vevietɔ ne wole azɔlizɔzɔ srɔ̃m. Ðevi akpa gãtɔ tsina wu esia le ɣeyiɣi aɖe megbe eye wodzea azɔlizɔzɔ gɔme abe alesi wòle ene eye woƒe afɔkpodziwo nɔa anyigba.

Gake ƒã ŋutɔ be afɔbidɛwo zɔzɔ ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si le ame me ƒe dzesi. Eyata ne dzimaɖitsitsi alo dzimaɖitsitsi aɖe le viwòa ƒe afɔbidɛ zɔzɔ ŋu la, kpɔ egbɔ be yeƒo nu kple ɖɔkta. Wò ɖɔkta ate ŋu anya nenye be kuxi ŋutɔŋutɔe wònye eye ne ele nenema la, ate ŋu anya atike si sɔ nɛ.

Ðo ŋku edzi be menye afɔbidɛwo zɔzɔ katãe nye nu vevi o. Gake ele vevie be nànyae eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ehiã. Neva eme be etsɔme nyui kple dzidzɔ nanɔ viwò suea si!

` Afɔkpodzizɔzɔ, afɔbidɛ zɔzɔ, ɖeviwo, afɔkuxiwo, kamedede, autism, atikewɔwɔ