Ðe nèse le ɖokuiwò me kpɔ be yeƒe alɔ alo afɔ sesẽ eye wòʋuʋu zi ɖekaa? Alo ɖe nèsena le ɖokuiwò me be yeƒe lãmekawo xɔ dzo le nɔnɔme aɖe me, si wɔe be esesẽna be nàgaɖɔ wo ɖo alo abɔbɔ wo akea? Ðe esia se le eɖokui me abe nane si dzi màte ŋu aɖu o enea? Nusi gbɔ esia tso ate ŋu anye nɔnɔme aɖe si woyɔna be spasticity , si ŋu míele nu ƒom tsoe egbea. Egbea, míaƒo nu tso nusi tututu esia nye, nusita wòdzɔna, kple nusi woate ŋu awɔ tso eŋu ŋu le mɔ bɔbɔe ŋutɔ nu.
Nuka tututue nye spasticity?
Kpuie ko la, spasticity nye míaƒe lãmekawo ƒe tete, woƒe tete, kple woƒe sesẽ le mía ɖokui si. Esia nye lɔlɔ̃nu faa, si fia be míate ŋu aɖu edzi abe alesi míedi ene o.
Bu eŋu ale. Míaƒe ŋutilã le abe dɔwɔƒe gã aɖe ene. Ahɔhɔ̃e nye eƒe dɔwɔƒegã. Lãmetsiawoe nye dɔwɔla siwo le dɔwɔƒea. Woɖoa gbedasi siwo tso dɔtɔ (ahɔhɔ̃) gbɔ le dɔwɔƒegã la ɖe dɔwɔlawo (lãmekawo) to lãmekawo dzi. Wole gbedasiwo abe ‘Tighten this muscle’, ‘Relax this’ ene ɖɔlim ɣesiaɣi le mɔ sia nu.
Spasticity dzɔna ne nu gblẽ le nuɖoanyi si ɖoa gbedasiwo ŋu, eɖanye ahɔhɔ̃, aklã , alo lãmekawo o . Esia nana gbedasi la tɔtɔna. Lãmetsiawo mexɔa gbedasi nyuitɔ o, alo woxɔa gbedasi si mesɔ o, alo woxɔa gbedasi geɖe akpa. Ɣemaɣie lãmekaawo dzea tete, ʋuʋu, eye wosẽna eye womate ŋu aɖu wo dzi o.
Menye wò vodadae nye esia o. Kuxi aɖe si le ŋutilãa ƒe lãmekawo me gbɔe ʋuʋudedi tsona, ke menye nane si nèɖo koŋ wɔ o.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Ame si ŋu spasticity le ate ŋu akpɔ dzesi vovovowo. Ame aɖewo sena le wo ɖokui me be yewoƒe lãmekawo le kpekpem ŋutɔ. Ame bubuwo sena le wo ɖokui me be yewoƒe lãmekawo tsikpe le nɔnɔme ɖeka me. Ɣeaɖewoɣi la, lãmekaawo ʋuʋuna zi ɖeka, si fia be wosẽna zi ɖeka eye wònana abɔ alo abɔ aɖe ʋuʋuna.
Mina míase dzesi siawo gɔme nyuie wu tso kplɔ̃ si le ete la dzi.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tsitretsitsi si Mesɔ O | Abɔta, abɔwo, asibidɛwo, alo asibidɛ siwo wobɔbɔ alo keke le mɔ si mewɔ nuku o nu. |
| Ʋuʋudedi siwo wowɔna enuenu | Abɔ alo afɔ ƒe ʋuʋu le ɣeyiɣi ƒe didime nu si dzi womeɖu o. |
| Lãgbalẽŋudɔwɔnu | Ne wole zɔzɔm alo le tsitre la, afɔawo tsoa wo nɔewo abe lãgbalẽŋudɔwɔnu ene evɔ amea menyae gɔ̃ hã o. |
| Reflexes ƒe nyagbɔgblɔ wògbɔ eme | Nusiwo sɔ, abe afɔ ƒe ʋuʋu ne ɖɔkta tsɔ akplɔ sue aɖe ƒo wò klo ene, dzɔna sesĩe akpa. |
| Lãmetsiwo kple ƒunukpeƒewo ƒe tete | Zi geɖe la, lãmekawo me sẽna eye ƒunukpeƒewo (e.g., abɔta, klo) sesẽna na be woabɔbɔ alo aɖɔ ɖo. |
| Vevesese alo nuwɔametɔnyenye | Spasticity nana vevesese le ŋutilã ƒe akpa si ŋu dɔlélea le alo eƒe akpa ma sesẽna tegbee le ɣeyiɣi aɖe megbe. |
Togbɔ be nɔnɔme sia ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa hã la, afɔwo ƒe lãmekawo mee wòbɔ ɖo wu. Ate ŋu akpɔ ŋusẽ ɖe lãmeka siwo kpɔa ŋusẽ ɖe míaƒe nuƒoƒo dzi hã dzi, si ana míaƒe nuƒoƒo natsi eye wòatɔtɔ.
Vevietɔ wu la, ne womekpɔ dɔléle sia gbɔ o ɣeyiɣi didi aɖe la, lãmekaawo ate ŋu aƒo tegbee eye ƒunukpeƒewo ate ŋu atɔ ɖe nɔnɔme ɖeka me (contractures). Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesiwo le ŋuwò.
Nukawoe hea spasticity vɛ?
Abe alesi míedzro eme va yi ene la, nusi koŋ gbɔ esia tsonae nye ahɔhɔ̃, aklã , alo lãmekawo ƒe gbegblẽ. Nu gbegblẽ sia ate ŋu adzɔ le susu vovovowo ta. Wo dometɔ aɖewo nye nɔnɔme siwo wodzina.
Susu vevi aɖewoe nye esi:
- Ʋusɔgbɔdɔ: Nusiwo gblẽna le ahɔhɔ̃menugbagbeviwo ŋu le ʋu ƒe sisi yi ahɔhɔ̃a me ƒe nutsotso ta.
- Ahɔhɔ̃mekawo ƒe Dɔléle :Nɔnɔme si dona zi geɖe le ahɔhɔ̃a ƒe gbegblẽ le edziɣi alo do ŋgɔ na edziɣi ta.
- Ta ƒe Nuveviwɔame: Nusiwo gblẽ le ahɔhɔ̃a ŋu le nusi gbɔ wòtso abe afɔku ene ta.
- Aklã ƒe Nuveviwɔame: Nusiwo gblẽ le aklã ŋu le afɔku aɖe si dzɔ le akɔta ta.
- Multiple Sclerosis (MS): Dɔléle si me ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea ametakpɔnu (myelin) si ƒo xlã lãmekawo dzi.
- Amyotrophic Lateral Sclerosis (ALS): Dɔléle si gblẽa lãmeka siwo kpɔa lãmekawo dzi vivivi.
- Nusiwo oxygen ƒe anyimanɔmanɔ gblẽna le ahɔhɔ̃a ŋu: Le kpɔɖeŋu me, ne tsi nyrɔ ame alo dzidɔ dze edzi.
- Domenyiŋusẽfianu aɖewo: Le kpɔɖeŋu me, `Adrenoleukodystrophy` (nɔnɔme si xea mɔ na ami ƒomevi aɖewo ƒe gbagbã) kple `Phenylketonuria` (ŋutete si mele ame si be wòagbã amino acid aɖe o).
Nusiwo dzia spasticity ɖe edzi (Triggers) .
Le amesi ŋu spasticity le xoxo gome la, nu aɖewo ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi hena ɣeyiɣi aɖe. Woyɔa esiawo be nusiwo ʋãa ame. De dzesi nusiawo kple wo ƒoƒo asa na ate ŋu awɔ akpa gã aɖe le nɔnɔmea dzi kpɔkpɔ me.
- Ʋuʋu kpata alo eƒe nɔnɔme ƒe tɔtrɔ
- Ɖeɖiteameŋu
- Yame fa miamiamia alo dzoxɔxɔ si nu sẽ ŋutɔ
- Nuto si me fafa sɔ gbɔ ɖo me nɔnɔ
- Dɔlékui bubu siwo ate ŋu axɔ ame, abe aɖuɖɔtoe me dɔlékuiwo alo abi siwo le nyaƒoɖeamenu me ene
- Nuteɖeamedzi
- Awu sesẽwo dodo
Ku ɖe agbenɔnɔ kple spasticity ŋu
Gbesiagbedɔwo wɔwɔ kple spasticity ate ŋu anye kuxi ɣeaɖewoɣi. Ate ŋu asesẽ be woazɔ, aƒo nu, alo awɔ dɔ bɔbɔewo gɔ̃ hã.
Gake nukutɔe la, ɣeaɖewoɣi la, viɖe sue aɖe koe nɔa sesẽme sia ŋu. Bu eŋu kpɔ, ne ame aɖe tsi tre alo ʋu tso aba dzi yi zikpui dzi la, afɔ sesẽwo naa ŋusẽ kple kpekpeɖeŋu vi aɖe. Azɔ hã, asibidɛ siwo sesẽ eye wobɔbɔ ate ŋu ana wòanɔ bɔbɔe be woalé nane ɣeaɖewoɣi.
Gake ne nɔnɔme sia le veve sem na wò alo le wò gbesiagbegbenɔnɔ me gblẽm vevie la , ele be nàƒo nu kple wò ɖɔkta godoo . Dɔdamɔnu vovovowo li woate ŋu azã, siwo dometɔ aɖewoe nye kamedede, akɔtaɖonu, kekeɖenudɔ, atikewo, kple le go aɖewo me la, amekoko.
Ne èsrɔ̃ nusi hea wò spasticity vɛ eye nèsrɔ̃ alesi nàƒo asa na wo la, àte ŋu anɔ agbe dzidzedzetɔe kple nɔnɔme sia.
Nu vevi bubu si wòle be nàde dzesii enye be ne kasia nède dzesii be wò ʋuʋudedi dzi ɖe edzi la, ate ŋu anye dɔléle bubu (abe aɖuɖɔtoe me dɔléle ene) ƒe dzesi. Eyata ne ède dzesi tɔtrɔ siawo dometɔ aɖe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Esi wònye be dzesiwo ƒe duƒuƒu to lãmekawo me dzi ɖena kpɔtɔna le dzɔdzɔme nu ne míele tsitsim ta la, ame aɖewo ate ŋu akpɔ ŋgɔyiyi aɖe le woƒe ʋuʋudedi me le ɣeyiɣi aɖe megbe. Gake anyo wu be nàna wò ɖɔkta nanya nu tso tɔtrɔ ɖesiaɖe si nàwɔ ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Spasticity nye nɔnɔme si me wò lãmekawo sesẽna eye woʋuʋuna màte ŋu aɖu wo dzi o. Ahɔhɔ̃, aklã, alo lãmekawo ƒe gbegblẽ gbɔe wòtsona.
- Dzesi siwo bɔ dometɔ aɖewoe nye lãmekawo ƒe sesẽ, ʋuʋu, tenɔnɔ si mesɔ o, kple afɔwo ƒe ʋuʋu.
- Nɔnɔmewo abe ʋusɔgbɔdɔ, ahɔhɔ̃mekawo ƒe ʋuʋu, kple aklã ƒe abixɔxɔ ate ŋu anye nusiwo koŋ gbɔ esia tsona.
- Nuteɖeamedzi, dɔwɔwɔ fũ akpa, awudodo sesẽ, kple dɔlékui aɖewo ate ŋu ana nɔnɔme sia nagagblẽ ɖe edzi hena ɣeyiɣi aɖe. Dze agbagba nàƒo asa na nusiawo.
- Ne èle veve sem alo gbesiagbedɔwo sesẽ na wò le spasticity ta la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Atikewɔwɔ nyuiwo li na esia.
- Ne wò ʋuʋudedi dzi ɖe edzi zi ɖeka la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake, elabena ate ŋu anye lãmesẽkuxi bubu ƒe dzesi.
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