Nukae dzɔna ɖe ahɔhɔ̃a dzi ne èƒo ta - Mina míasrɔ̃ nu tso Traumatic Brain Injury (TBI) ŋu!

Èbu nusi dzɔna ɖe wò ahɔhɔ̃ dzi ne èƒo ta sesĩe, alo ne nane ƒo ta na wò xɔ abi kpɔa? Ɣeaɖewoɣi la, nudzɔdzɔ siawo ƒomevi ate ŋu anye nu sesẽ wu alesi nèsusui. Egbea míele nu ƒom tso taɖu ƒe abi sia ƒomevi ŋu, si nye nɔnɔme aɖe si woyɔna be Traumatic Brain Injury (TBI) . Esia nye atikewɔwɔ me dɔléle sesẽ aɖe si gblẽa nu le míaƒe ahɔhɔ̃ ƒe dɔwɔwɔ ŋu ŋutɔŋutɔ.

Nuka tututue nye Ahɔhɔ̃ ƒe Nuveviwɔame (TBI)?

Kpuie ko la, ahɔhɔ̃a ƒe abi si nu sẽ (TBI) nye nusiwo gblẽ le ahɔhɔ̃a ŋu le esi woƒo ta sesĩe, ʋuʋu, alo nusi ge ɖe taɖua me hege ɖe ahɔhɔ̃a me ta. Bu eŋu ale: abe alesi koklozi le gegem tso agakpe kɔkɔ aɖe dzi eye tsi si le eme la dona ene la, míaƒe ahɔhɔ̃ hã le taɖua me, eyata ne èƒo ta sesĩe la, ahɔhɔ̃a ate ŋu aƒo taɖua ƒe eme. Alo, ne nu ɖaɖɛ aɖe ƒo ta na wò la, ate ŋu age ɖe taɖua me eye wòagblẽ nu le ahɔhɔ̃a ŋu.

Nɔnɔme sia si woyɔna be TBI ye nye nusi koŋ gbɔ ame kuna kple nuwɔametɔnyenye ɣeyiɣi didi le dukɔwo abe United States ene me. Ate ŋu ahe lãmesẽkuxi siwo anɔ anyi ɣeyiɣi kpui aɖe kple esiwo anɔ anyi didi siaa vɛ. Ema fia be ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ ƒe akpa sia akpa dzi. Gake nya nyuiae nye be, atikewɔmɔnu aɖewo li na esia. Vevietɔ wu la, mɔ aɖewo li siwo dzi woato axe mɔ ɖe afɔku siawo ƒomevi nu.

Zi geɖe la, míesea nu tso taɖuame abe esia ene ŋu le Sri Lanka, alo? Keke dzi gege, ta ƒoƒo esime nèle kamedefefe wɔm, ʋufɔku... esiawo katã ateŋu ahe TBI vɛ. Eyata ele vevie ŋutɔ be míanya esia.

Aleke gbegbee TBI bɔe?

Le nyateƒe me la, esia nye nɔnɔme si bɔ wu alesi nàsusui. Le kpɔɖeŋu me, le ƒe 2020 me la, woxɔ ame siwo wu 214,000 ɖe kɔdzi le United States ɖeɖe dzaa le TBI ta. Eye ame 69,000 kple edzivɔ ku le kuxi siwo do ƒome kple TBI ta. Eyata esia menye nusi woabu nu tsɛe o.

Nukawoe nye ahɔhɔ̃ me abi si nu sẽ (TBI) ƒomeviwo?

Ðɔktawo ma TBI siawo ɖe hatsotso vevi eve me:

1. TBI si gena ɖe ame me: Esia nye ne nane ɖaɖɛ (abe tu, hɛ, alo ga kakɛ ene) ge ɖe wò tagbɔ me eye wògblẽ nu le ahɔhɔ̃mekawo ŋu. Ðɔktawo yɔa esia ɣeaɖewoɣi be ``Open TBI''.

2. Non-penetrating/Blunt TBI: Esia dzɔna ne woƒo wò ta sesĩe, si na ahɔhɔ̃a ʋãna alo trɔna le taɖua me. Ðɔktawo hã yɔa esia be ``Closed head TBI'' alo ``Blunt TBI''. Esia ate ŋu adzɔ le ʋufɔku, anyidzedze, ƒoƒo ɖe ta, wowó, alo ƒoƒo ɖe ta ne wole kamedefefe wɔm me.

Tsɔ kpe ɖe eŋu la, ɖɔktawo hã bua TBI ƒe nɔnɔmewo ɖe hatsotso siwo mesẽ o, esiwo mesẽ o, kple esiwo nu sẽ .

• TBI si mesẽ o:Esiae nye ƒomevi si bɔ wu, eye wòxɔa TBIwo katã ƒe 75% kple edzivɔ. Ɣeaɖewoɣi la, ɖɔktawo yɔa TBI fafɛ sia be ʋuʋudedi . Gake togbɔ be mefa o hã la, ate ŋu ahe kuxi vevi siwo anɔ anyi ɣeyiɣi didi vɛ. Ate ŋu asesẽ na amesi ŋu TBI si nu mesẽ o le be wòatrɔ ayi gbesiagbedɔwo abe dɔme yiyi ene.
• TBI si le titina kple esi nu sẽ: Zi geɖe la, nɔnɔme siawo evea siaa hea lãmesẽkuxi vevi siwo nɔa anyi didi vɛ.

Nukawoe nye TBI ƒe dzesiwo?

Ne TBI le ŋuwò la, efia be woƒo wò ta le afi aɖe eye woʋuʋu wò ahɔhɔ̃ alo wòtro ɖe wò tagbɔ me. Ne edzɔ alea la, wò ahɔhɔ̃ ate ŋu agblẽ eye ʋuka siwo le wò ahɔhɔ̃ me hã ate ŋu axɔ abi. TBI nana atikewo trɔna le wò ahɔhɔ̃ me, si wɔnɛ be ahɔhɔ̃mekawo megawɔa dɔ nyuie o.

TBI ƒe dzesiwo toa vovo le alesi wòle bɔbɔe, esi sɔ, alo esi nu sẽ nu. Gake TBI ɖesiaɖe ate ŋu ahe dzesiwo vɛ. Esiawo ate ŋu anye ŋutilãmekuxiwo, tamebubu kple ŋkuɖoɖonudzi sesẽ, kple hadome alo seselelãmekuxiwo. Dzesi ɖeka tɔgbe le ame tsitsiwo kple ɖeviwo siaa ŋu. Gake ne TBI le vidzĩ sue aɖe ŋu la, dzesiwo ate ŋu anɔ eŋu abe nuɖuɖu alo no nana sesẽ ene, alo ate ŋu afa avi le mɔ si dzi womate ŋu aɖu o nu aleke kee wofa akɔ na wo o.

TBI Fafɛ ƒe Dzesiwo

TBI si nu mesẽ o ƒe dzesiwo toa vovo. Woate ŋu adze le abixɔxɔ vɔ megbe teti, le ŋkeke ʋɛ aɖewo megbe, alo le kwasiɖa ɖeka megbe gɔ̃ hã. Ðewohĩ màde dzesi kadodo aɖeke le ta si nèxɔ kple vevesese si nèsena le ɖokuiwò me dome o. Azɔ hã, dzesiwo ate ŋu atrɔ ne ahɔhɔ̃a le hayahayam.

Dzesi vevi geɖewo li:

Ŋutilã me kuxiwo:

• Aɖuɖɔtoe kple ʋuʋudedi
• Taɖuame alo dadasɔ ƒe anyimanɔmanɔ
• Taɖuame
• Kekeli kpɔkpɔ ƒe ŋutete manɔamesi (edze abe ŋkuwo trɔ zu blɔ ene) .
• Ðeɖiteameŋu, gbɔdzɔgbɔdzɔ ƒe seselelãme
• Le kpɔɖeŋu me, ŋku ƒe kuxiwo na nukpɔkpɔ me mekɔna o

Kuxi siwo le tamebubu alo ŋkuɖoɖo nu dzi:

• Tɔtɔ
• Esesẽna be susu nanɔ nu ŋu
• Esesẽ be woabu tame nyuie
• Ɣeyiɣi kpui aɖe ƒe ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ
• Sese le ɖokuiwò me be nusianu le dzɔdzɔm vivivi, abe ɖe nèle blewu ene.
• Grogginess ƒe nuwɔna

Hadomegbenɔnɔ alo seselelãmekuxiwo:

• Dzitsitsi
• Dzimaɖitsitsi enuenu
• Dzikudodo

Alɔ̃dɔdɔ ƒe kuxiwo:

TBI si mesẽ o hã ate ŋu akpɔ ŋusẽ ɖe wò alɔ̃dɔdɔ dzi. Esia ate ŋu alɔ alɔ̃dɔdɔ sesẽ, alɔ̃madɔmadɔ fũ wu alesi wònɔna ɖaa, alo alɔ̃dɔdɔ wu alesi wònɔna ɖaa.

TBI si Le Dzedzeme alo Esesẽ ƒe Dzesiwo

Abe TBI si nu mesẽ o ene la, TBI si sɔ alo esi nu sẽ ƒe dzesiwo ate ŋu atrɔ le ɣeyiɣi aɖe megbe.

Ŋutilã me kuxiwo:

Esiawo ate ŋu anye nya veviwo ŋutɔ, le kpɔɖeŋu me:

• Ame ƒe susu meganɔa ame ŋu o. TBI si sɔ ate ŋu anɔ anyi wu miniti 30 eye mede gaƒoƒo 24 o. TBI sesẽ ate ŋu anɔ anyi wu gaƒoƒo 24.
• Coma
• Gbɔdzɔgbɔdzɔ le abɔwo kple afɔwo ŋu
• Kuxi siwo le dadasɔ kple nuwɔwɔ aduadu me
• Tosese alo nukpɔkpɔ ƒe kuxiwo
• Tɔtrɔ siwo vaa seselelãmewo me, abe asikaka ame ŋu ene

Kuxi siwo le tamebubu alo ŋkuɖoɖo nu dzi:

TBI si sɔ alo esi nu sẽ ate ŋu ahe dzesiwo abe:

• Tɔtɔ
• Esesẽna be susu nanɔ nu ŋu
• Esesẽ be woabu tame nyuie
• Ɣeyiɣi kpui aɖe ƒe ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ
• Dzeɖoɖo kple ame bubuwo ƒe sesẽ
• Grogginess ƒe nuwɔna

Hadomegbenɔnɔ alo seselelãmekuxiwo:

TBI si sɔ alo esi nu sẽ ate ŋu ahe dzesiwo abe:

• Dzitsitsi
• Dzimaɖitsitsi enuenu
• Dzikudodo
• Blanuiléle, vevesese
• Teteɖeanyi
• Dziku
• Aglãdzedze
• Nuwɔna dzi ɖuɖu sesẽ
• Dɔwɔwɔ ŋumaɖɔɖotɔe wu alesi wònɔna ɖaa

Nukawoe nye kuxi siwo ate ŋu ado tso TBI me?

TBI si nu mesẽ o, si mesẽ o, kple esi nu sẽ ate ŋu ahe kuxi vovovowo vɛ.

Ne TBI si nu mesẽ o le ŋuwò, eye mèna ɣeyiɣi wò ahɔhɔ̃ be wòada gbe le ŋuwò o la, ke èle afɔku me be nàxɔ dɔléle aɖe si ate ŋu ade wò agbe afɔku me si woyɔna be second-impact syndrome . Esiae nye esime ahɔhɔ̃a vuvu zi ɖeka eye ahɔhɔ̃mekawo trɔna tso teƒe yi teƒe.

TBI si sɔ alo esi nu sẽ ate ŋu ahe emetsonu siwo anɔ anyi ɣeyiɣi didi vɛ, siwo dometɔ aɖewoe nye:

• Ʋu si dona le ahɔhɔ̃ me
• Alɔ̃madɔmadɔ
• Ahɔhɔ̃ ƒe gbegblẽ kple nuwɔametɔnyenye tegbee
• Agbenɔƒe ƒe didime dzi ɖeɖe kpɔtɔ

Tsɔ kpe ɖe eŋu la, TBI si sɔ alo esi nu sẽ nana be nɔnɔmewo abe:

• Alzheimer ƒe dɔlélea
• Dzitsitsi
• Chronic Traumatic Encephalopathy (CTE) (dɔléle si dzɔna ɖe amesiwo ƒoa ta enuenu, abe kamedefefewɔlawo ene dzi) .
• Teteɖeanyi
• Ʋuʋu ƒe kuxiwo
• Nuteɖeamedzi le Nuveviwɔame megbe (PTSD) .

Aleke wowɔa dea dzesi TBI?

Ne èsusu be TBI si nu mesẽ o le ye ŋu la, wò ɖɔkta ado wò kpɔ ahabia wò dzesiwo. Woadze agbagba hã be yewoanya nusi gbɔ abi la tso. Woate ŋu awɔ dodokpɔwo abe:

• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ me dzodzro
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo. Woate ŋu awɔ CT scan alo MRI atsɔ akpɔe ɖa be ʋu le dodom le ahɔhɔ̃a me alo vuvu hã.
• Ʋudodokpɔwo

Ne TBI si sɔ alo esi nu sẽ le ŋuwò la, anɔ eme be wò ɖɔkta aɖe gbe be woado ʋu kpɔ eye woawɔ CT-dɔdamɔnu aɖe atsɔ anya atikewɔwɔ si hiã enumake.

Nukawoe nye TBI ƒe atikewo?

Atike vovovowo li na TBI si nu mesẽ o kple esi le titina/sesẽ. Atikewɔwɔ tɔxɛwo ate ŋu ato vovo le wò nɔnɔmea nu.

TBI si nu mesẽ o ƒe atikewɔwɔ

Ne TBI si nu mesẽ o le ŋuwò la, ɖɔktawo ate ŋu aɖo aɖaŋu na wò:

• Gbɔɖeme: Esiae nye nu vevitɔ kekeake. Ele be nàna ɣeyiɣi wò ahɔhɔ̃ be wòada gbe le eŋu.
• Vevesesenutsitike siwo menye -NSAID o siwo woate ŋu ano ɖɔkta ƒe atikewɔmɔnu manɔmee (e.g. paracetamol. Gake anyo wu be nàbia wò ɖɔkta.)
• Atikewɔlawo ƒe dodokpɔ edziedzi be woakpɔe ɖa be dzesi yeyewo do alo ne dzesi siwo li xoxo la agblẽ ɖe edzi le kwasiɖa ʋɛ siwo gbɔna me hã.

TBI si sɔ alo esi nu sẽ ƒe atikewɔwɔ

TBI si sɔ alo esi nu sẽ nye atikewɔwɔ kpata. Ðɔktawo ate ŋu awɔ dɔ na amewo abe:

• Ðe nyaƒoɖeamenu si le taɖua me dzi kpɔtɔ.
• Le TBI si gena ɖe lãme (si fia be nane gbã to taɖua me eye wòge ɖe ahɔhɔ̃mekawo me) gome la, ɖe gbeɖuɖɔ ɖesiaɖe si le taɖua me ɖa.
• Ðe ʋu ƒe sisi ɖa.
• Dzra taɖu ƒe gbagbãwo ɖo.
• De mɔ̃ siwo léa ŋku ɖe nu ŋu siwo ate ŋu adzidze nyaƒoɖeamenu kple ɔksidzin ƒe agbɔsɔsɔ le ahɔhɔ̃a me.

Ðɔktawo ate ŋu aŋlɔ atikewo abe esiawo ene hã na ame:

• Vevesesenutsitike siwo ɖɔkta ŋlɔ na wò.
• Atike siwo wozãna tsɔ tsia alɔ̃madɔmadɔ nu.
• Atike siwo xea mɔ na ʋu ƒe sisi le ʋukawo me (venous thromboembolism).
• Nusiwo doa ŋusẽ ame siwo nana ame ƒe ŋudzɔnɔnɔ dzina ɖe edzi.
• Blanuilélenutsitikewo.
• Atike siwo wozãna tsɔ tsia dzimaɖi (Anxiolytics).

Ne èhaya tso amekoko me vɔ la, anɔ eme be àdze atikewɔwɔ si ana nàgbugbɔ aɖɔ wò ɖo gɔme. Taɖodzinu si le gbugbɔgaɖɔɖo ŋue nye be wòana wò ŋutete nanyo ɖe edzi be nàwɔ gbesiagbedɔwo eye wòakpe ɖe ŋuwò nàkpɔ kuxiwo abe kadodo alo susu ƒe lãmesẽkuxiwo ene gbɔ. Àte ŋu axɔ atikewo abe:

• Lãmesẽfefewɔwɔ
• Dɔwɔwɔ ƒe atikewɔwɔ
• Nuƒoƒo ƒe atikewɔwɔ
• Yagbɔgbɔ ƒe atikewɔwɔ
• Susuŋutinunya ƒe atikewɔwɔ be wòakpe ɖe ame ŋu le seselelãme alo susu ƒe lãmesẽkuxi ɖesiaɖe me

Ðe wòanya wɔ be woahaya bliboe tso TBI mea?

Enɔ te ɖe wò nɔnɔmea dzi ŋutɔŋutɔ. Kuxiwo ate ŋu anɔ TBI ɖesiaɖe ŋu. Le go aɖewo me la, TBI ate ŋu akpɔ ŋusẽ ɖe ame dzi ɣeyiɣi didi. Ne TBI le ŋuwò la, bia wò ɖɔkta nusi nàte ŋu akpɔ mɔ na.

Vevietɔ: Amesiame ƒe hayahaya ƒe ɖoɖo to vovo, eyata mègatsɔ ɖokuiwò sɔ kple ame bubuwo o. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Ðe woate ŋu axe mɔ ɖe TBI nua?

Ðewohĩ màte ŋu aƒo asa na nusianu si ate ŋu ahe TBI vɛ o. Gake nanewo li nàte ŋu awɔ atsɔ akpɔ wò ta ta eye nàɖe TBI xɔxɔ ƒe afɔkua dzi akpɔtɔ. Wo dometɔ aɖewoe nye esi:

• Ðe afɔku si le asiwò be nàdze anyi dzi kpɔtɔ: Ne èxɔ wu ƒe 65 la, ke afɔku le eme be nàdze anyi. Bu asiléƒewo dede atrakpuiwo dzi kple mɔ siwo me kɔ, siwo le dedie wɔwɔ ƒo xlã wò aƒea ŋu kpɔ (le kpɔɖeŋu me, xɔmenuwo, elektrikka didiwo, kple xɔmenuwo ƒe nu suesuesue siwo ate ŋu agbã wò la ɖeɖe ɖa).
• Fefe dedie: Do ametakpɔnu (abe gakuku ene) ne èle kamedefefe siwo me nàte ŋu aƒo ka na ame le, doa gasɔ, alo doa dzokeke.
• Kpe wò zikpuimeka: Ne èle ʋu kum la, bla wò zikpuimeka eye nàkpɔ egbɔ be ame bubu siwo le gbɔwò hã do zikpuimeka. Ne èle mɔ zɔm kple vidzĩ suewo kple ɖeviwo la, da wo ɖe ʋuzikpuiwo alo zikpui siwo dzi wodoa ŋusẽe dzi ɣesiaɣi.

TBI si mesẽ o le ŋunye. Aleke mawɔ alé be na ɖokuinye?

Ame akpa gãtɔ siwo ŋu TBI fafɛ le la ƒe lãme sẽna ne wogbɔ ɖe eme ŋkeke ʋɛ aɖewo. Ne TBI si mesẽ o le ŋuwò la, àte ŋu akpɔ ɖokuiwò dzi to:

• Ƒo asa na dɔwɔna siwo ate ŋu agade abi wò ta kple ahɔhɔ̃ ŋu ake.
• Ne ta le vevem na wò la, bia wò ɖɔkta be vevesesenutsitike kawoe nàte ŋu azã kple ɣeyiɣi si nàzã wo hã.
• Gbɔ ɖe eme geɖe. Wò ahɔhɔ̃ hiã ɣeyiɣi hafi wòada gbe le eŋu. Ne alɔ̃dɔdɔ sesẽ na wò la, ƒo nu tso nusiwo nàte ŋu awɔ be nàdɔ alɔ̃ nyuie ŋu na wò ɖɔkta.

Ɣekaɣie wòle be amesiwo ŋu TBI le nayi xɔ si me wowɔa dɔ kpata le?

Ne TBI le ŋuwò la, di atikewɔlawo ƒe kpekpeɖeŋu enumake ne dzesi siawo dometɔ aɖe le ŋuwò:

• Ne taɖuamea nu meyi o, alo ne eva le sesẽm ɖe edzi.
• Ne ʋuʋudedia medzudzɔ o.
• Nuƒoƒo si me mekɔ o.

Ne èle ame aɖe si ŋu TBI le dzi kpɔm la, di atikewɔlawo ƒe kpekpeɖeŋu enumake ne ède dzesi nusiwo gbɔna dometɔ aɖe:

• Womenya naneke o, eye màte ŋu anyɔ wo o.
• Ne woƒe ʋuʋudedi le wo ŋu.
• Ne ède dzesii la, ŋkuvi yibɔ si le woƒe ŋku ɖeka me lolo wu evelia sã.

TBI si sɔ alo esi nu sẽ ŋutɔ le ame aɖe si te ɖe ŋunye ŋu. Aleke mate ŋu akpe ɖe wo ŋu?

Ne èle ame aɖe si ŋu TBI le dzi kpɔm la, àte ŋu ahiã kpekpeɖeŋu kple mɔfiame le alesi nàkpe ɖe eŋu wòagbugbɔ eƒe agbenɔnɔ atu ŋu. Aɖaŋuɖoɖo aɖewoe nye esi:

• Srɔ̃ alesi TBI kpɔa ŋusẽ ɖe wo dzii. Nusi nàkpɔ mɔ na nyanya ate ŋu akpe ɖe ŋuwò nàdo alɔ wò lɔlɔ̃tɔa nyuie wu ne wole kuxiwo me tom.
• De dzi ƒo na wo be woakpɔ gome le atikewɔwɔ me.
• Wɔ nusianu si nàte ŋui nàtsɔ akpe ɖe wo ŋu woagbɔ ɖe eme nyuie.
• Lé be na ɖokuiwò hã.Beléle na amesi ŋu TBI sesẽ le ate ŋu ate ɖeɖi ame ŋu ŋutɔ eye wòate ɖeɖi ame ŋu. Bia wò lɔlɔ̃tɔa ƒe ɖɔktawo tso subɔsubɔdɔwo kple ɖoɖo siwo ate ŋu akpe ɖe ŋuwò nàgbɔ ɖe eme vie ŋu.
• Wɔ ɖeka kple kpekpeɖeŋunaha aɖe. Kadodo kple ame siwo se nusi me tom nèle gɔme ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be menye ye ɖeka koe o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne TBI si nu mesẽ o le ŋuwò la, àte ŋu abia nya siawo wò ɖɔkta:

• TBI ƒomevi ka ƒomevie le ŋunye?
• Ðe wòahiã be woawɔ dɔ nam alo awɔ atike nam?
• Ɣekaɣie nye lãme asẽ?
• Ɣekaɣie mate ŋu atrɔ ayi dɔme alo suku?

Ne èle ame aɖe si ŋu TBI sesẽ le dzi kpɔm la, àte ŋu abia nya siawo ɖokuiwò:

• Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?
• Gbugbɔgaɖɔɖo ka ƒomevie woahiã?
• Mɔnukpɔkpɔ kawoe li be woahaya?
• Aleke mate ŋu akpe ɖe wo ŋu woakpɔ nɔnɔme sia gbɔe?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ahɔhɔ̃ ƒe abi si nu sẽ (TBI) , si nye taɖuame sesẽ aɖe ate ŋu ade ame ƒe agbe afɔku me le nɔnɔme siwo vɔ̃ɖi wu me. Gake TBI si mesẽ o gɔ̃ hã ate ŋu atrɔ wò agbenɔnɔ. TBI ate ŋu adzɔ ne èƒo ta alo nane ƒo ta. Esiawo ate ŋu ahe kuxi siwo anɔ anyi ɣeyiɣi kpui aɖe alo ɣeyiɣi didi aɖe vɛ, eye woate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ ƒe akpa sia akpa dzi. TBI ate ŋu atrɔ ale si nèbua tamee, ale si nèwɔa nui, ale si nèsena le ɖokuiwò me, eye nèsrɔ̃a nu. Ate ŋu akpɔ ŋusẽ ɖe wò ŋutete be nàwɔ dɔ kple ƒomedodo tutuɖo hã dzi.

Nu geɖe ate ŋu ahe TBI vɛ, siwo dometɔ aɖewoe nye anyidzedze le vome, ʋufɔkuwo, kple ame nɔewo dome ŋutasẽnuwɔwɔ. Kakaɖedzi aɖeke meli be àte ŋu aƒo asa na nusianu si ate ŋu ahe TBI vɛ o. Gake àte ŋu aɖe afɔ aɖewo atsɔ aɖe wò afɔkua dzi akpɔtɔ. Ne ètsi dzi be yeate ŋu axɔ TBI la, bia ɖɔkta tso alesi nàwɔ akpɔ ɖokuiwò kple wò ahɔhɔ̃ ta tso TBI me ŋu. Wò ta nye nu xɔasi aɖe, eye wò agbanɔamedzie wònye be nàlé be nɛ.

` TBI, ahɔhɔ̃ ƒe abi, ta ƒe abi, ʋuʋudedi, taɖu ƒe abi, ahɔhɔ̃ ƒe gbegblẽ, ahɔhɔ̃mekawo ƒe dɔléle