Mina míasrɔ̃ nu tso Wallenberg Dɔléle si dzɔna ne ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖe kpɔtɔ ŋu.

Èse dɔléle aɖe si woyɔna be Wallenberg Syndrome ŋu nya kpɔa? Ðewohĩ ŋkɔa aɖi nu yeye na wò. Gake enye ahɔhɔ̃mekawo ƒe dɔléle si ate ŋu adzɔ ne ʋu si yi ahɔhɔ̃a me xe mɔ, vevietɔ ʋusɔgbɔdɔ alo ʋu ƒe sisi, si ɖea ʋu ƒe sisi yi ahɔhɔ̃a me dzi kpɔtɔna . Bu eŋu kpɔ, ne kasia nu mimi sesẽ na wò, taɖuame, alo wò ŋkuwo te ʋuʋu kabakaba ya ɖe? Esiawoe nye dzesi siwo nàkpɔ le go sia me.

Eyata nukae nye Wallenberg ƒe Dɔlélea?

Kpuie ko la, Wallenberg Dɔléle nye dɔléle si dzɔna ne ʋu si yi ahɔhɔ̃a ƒe akpa aɖe koŋ, si nye medulla oblongata ƒe axadzi, me gblẽ. Esia ate ŋu atso ʋuka si tsɔa ʋu yia ahɔhɔ̃a me si woyɔna be posterior inferior cerebellar artery (PICA) ƒe xexe gbɔ. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu ayɔe hã be lateral medullary syndrome alo posterior inferior cerebellar artery syndrome, elabena nusiwo gblẽna le teƒe mawo ŋu.

Ne nɔnɔme sia nya do mo ɖa ko la, dzesiwo abe nu mimi sesẽ, aɖuɖɔtoe ƒe ɖiɖi, aɖuɖɔtoe enuenu, vivisese, ŋku ƒe ʋuʋu kabakaba (nystagmus), nukpɔkpɔ zi eve, dadasɔ, taɖuame kple ʋuʋudedi (vertigo), kple vevesese alo lãmetutudɔ ate ŋu ado mo ɖa. Bu alesi azɔlizɔzɔ asesẽe ne edze abe nusianu si nèkpɔ la le akɔta eye mète ŋu da sɔ nyuie o ene ɖa.

Nu vevitɔe nye be nàde dzesi nusi gbɔ dɔléle sia tso eye nàdae kaba ale si nàte ŋui . Esiae nye mɔ si dzi nàto akpɔ nu nyuitɔ kekeake eye nàɖe kuxi siwo ate ŋu ado mo ɖa dzi akpɔtɔ.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, Wallenberg Dɔlélee nye dɔléle si wokpɔna wu le ʋusɔgbɔdɔ megbe, si tsoa ʋu ƒe anyimanɔmanɔ yi ahɔhɔ̃a ƒe megbe gbɔ. Numekuku aɖe ɖee fia be wokpɔa ame yeye siwo wu 60,000 ƒe sia ƒe le United States ɖeɖe dzaa. Esia fia be esia menye nɔnɔme si mebɔ o.

Nukae nye Wallenberg Dɔléle ƒe dzesiwo?

Míeƒo nu tso esia ŋu vie va yi, gake ne míelé ŋku ɖe eŋu tsitotsito vie la, dzesi siawo ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ, le ahɔhɔ̃a ƒe akpa si gblẽ nu.

• Nu mimi sesẽ: Ðewohĩ màte ŋu ami nuɖuɖu alo tsi sue aɖe gɔ̃ hã o. Ɣeaɖewoɣi la, nuɖuɖu si nèɖuna ate ŋu age ɖe wò yaƒoƒomɔ̃ me gɔ̃ hã.
• Gbe ƒe ɖiɖi: Gbea trɔna ne ele nu ƒom, eye wòva nɔa ɖiɖim.
• Aɖuɖɔɖɔɖɔ enuenu: Àte ŋu akpɔ aɖuɖɔtoe enuenu si màte ŋu adzudzɔ o.
• Nuɖuɖu ƒe vivi bu: Nuɖuɖu ƒe vivi bu.
• Ŋku ƒe ʋuʋu kabakaba le lɔlɔ̃nu faa me (nystagmus):Nye ŋkuwo dzea ʋuʋu kabakaba yia ŋgɔ kple megbe, yia dzi kple anyime, eye wòdzena abe ɖe womate ŋu aɖu wo dzi o ene.
• Nukpɔkpɔ eve: Nu eve kpɔkpɔ zi ɖeka.
• Kuxi siwo le dadasɔ kple nuwɔwɔ aduadu me: Esesẽna be woada asɔ ne wole zɔzɔm, ŋutete manɔamesi be wòawɔ ɖeka kple abɔwo kple afɔwo nyuie.
• Taɖuame kple taɖuame: Sese le ɖokuiwò me be yeƒe ta le tsatsam eye nuwo le tsatsam.
• Vevesese alo lãmetutudɔ: Àte ŋu ase veve, alɔ̃madɔmadɔ, alo dzoxɔxɔ alo vuvɔ ƒe seselelãme maganɔ ŋuwò o, vevietɔ le wò mo ƒe akpa ɖeka, evɔ akpa kemɛ ya sɔ.

Bu eŋu kpɔ, màte ŋu ase naneke le wò mo ƒe ɖusime o, gake miame ya sɔ. Esiawoe nye dzesi siwo nèkpɔna le go sia me.

Dzesi siawo ate ŋu adzi ɖe edzi vivivi le gaƒoƒo ʋɛ aɖewo alo ŋkeke ʋɛ aɖewo gɔ̃ hã me.

Nukae hea esia vɛ?

Nusi koŋ gbɔ wòtsoe nye ahɔhɔ̃mekawo ƒe ʋusɔgbɔdɔ . Esia ate ŋu anye:

• Le nusiwo gblẽ le medulla oblongata ƒe axadzi ƒe akpa si le míaƒe ahɔhɔ̃ ƒe ke ŋu ta.
• Le ʋu ƒe sisi le ahɔhɔ̃meka si le megbe (PICA), si tsɔa ʋu yia ahɔhɔ̃meka alo akɔta ƒe ʋuka si le ahɔhɔ̃meka me ta.

Esiawoe nye susu vevi siwo tae. Gake susu bubu geɖe siwo mebɔ o ate ŋu anɔ anyi:

• Vertebral artery dissection: Esia nye ʋuka gã aɖe si tsɔa ʋu yia ahɔhɔ̃a me ƒe gli ƒe vuvu.
• Ʋukawo ƒe dɔmawɔmawɔ nyuie: Esia sesẽ vie wu. Kpuie ko la, enye ʋukawo (ʋukawo kple ʋukawo) ƒe ʋuʋu si mesɔ o le ahɔhɔ̃a me.
• Ta ƒe abixɔxɔ: Nuveviwɔame sesẽ aɖe le ta ŋu.
• Multiple sclerosis: Esia nye dɔléle bubu si gblẽa nu le lãmekawo ŋu.

Amekawoe le afɔku gã me be woaxɔ esia?

Ame aɖewo ate ŋu axɔ Wallenberg ƒe Dɔlélea. Mina míalé ŋku ɖe amesiwo wonye ŋu:

• Ame siwo noa atama alo zãa atamanuwo.
• Ame siwo ŋu ʋusɔgbɔdɔ le (ʋusɔgbɔdɔ).
• Ame siwo ŋu suklidɔ le.

Tsɔ kpe ɖe esiawo ŋu la, amesiwo ŋu kadodoŋusẽ ƒe dɔlélewo le hã ate ŋu anɔ afɔku me. Le kpɔɖeŋu me:

• Marfan ƒe dɔlélea
• Ehlers–Danlos ƒe dɔlélea
• Fibromuscular dysplasia ƒe dɔléle

Esiawo nye nɔnɔme siwo mebɔ kura o.

Kuxi kawoe esia ate ŋu ahe vɛ?

Nɔnɔme aɖe si woyɔna be Wallenberg Syndrome ate ŋu ahe tɔtrɔ aɖewo siwo anɔ anyi ɖaa vɛ le ʋusɔgbɔdɔ megbe. Esiawo dometɔ aɖewoe nye:

• Azɔlizɔzɔ sesẽ: Ðewohĩ màte ŋu azɔ nyuie o, eye ahiã be nàzã azɔlizɔzɔ ƒe kpeɖeŋutɔ.
• Vevesese atraɖii: Ðewohĩ ahiã be nànɔ agbe kple vevesese si yia edzi.
• Aɖuɖɔtoedɔ: Esia fia nɔnɔme siwo le abe alɔ̃madɔmadɔ ene.
• Nusɔsrɔ̃ ƒe kuxiwo: Ate ŋu asesẽ be woasrɔ̃ nu yeyewo ahaɖo ŋku wo dzi.

Aleke nèwɔ de dzesi esia?

Ðɔkta toa ŋutilãdodokpɔ, ahɔhɔ̃mekadodokpɔ, kple dodokpɔ tɔxɛ bubu geɖe dzi dea dzesi nɔnɔme sia .

Ðɔktaa alé ŋku ɖe eŋu gbã be wòakpɔe ɖa be wò ŋutilã ƒe akpa ɖeka koe wò dzesiawo gblẽa nu le hã. Le kpɔɖeŋu me, ne màte ŋu aɖɔ wò aɖe ƒe ɖusime o la, ɖɔkta ate ŋu abui be wò ahɔhɔ̃meka ƒe miame gblẽ. Esia le alea elabena míaƒe ahɔhɔ̃ wɔa dɔ abe ahuhɔ̃e ene. Ahɔhɔ̃a ƒe ɖusime kpɔa ŋusẽ ɖe ametia ƒe miame dzi, eye miame hã kpɔa ŋusẽ ɖe ŋutilãa ƒe ɖusime. See?

Be ɖɔktaa naɖo kpe dɔlélea dzi la, ate ŋu awɔ dodokpɔwo abe:

• MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu aɖe ahɔhɔ̃a ƒe nɔnɔmetata tsitotsito.
• Angiogram: Dodokpɔ sia léa ŋku ɖe ʋukawo ƒe nɔnɔme ŋu.

Ɣeaɖewoɣi la, woate ŋu awɔ ʋudodokpɔ alo electrocardiogram (ECG) atsɔ akpɔ wò dzi ƒe tsotso be woatsɔ aɖe dɔléle bubu siwo me dzesi mawo tɔgbe le la ɖa.

Aleke wowɔa atike nɛ?

Ne wole Wallenberg ƒe dɔlélea dam la, nu gbãtɔ si ŋu wotsia dzi ɖoe nye be woaɖe ʋu si xea mɔ na ahɔhɔ̃mekawo la ɖa. Ne ʋusɔgbɔdɔ gbɔe wòtso la, wò ɖɔkta ate ŋu ana atike siawo dometɔ ɖeka alo esi wu nenema wò kaba:

• Tissue plasminogen activator (tPA): Esia nye atike si wodona ɖe ʋuka me (IV) si wonana be wòatsɔ alɔ ʋu ƒe sisi.
• Atike si tsia ʋumenugbagbeviɣidɔ nu alo ʋumenugbagbeviɣidɔlékuiwutike: Xɔ mɔ na ʋu ƒe sisi bubuwo be woagadzɔ o.
• Thrombectomy: Ɣeaɖewoɣi la, wodea ka si me ʋu sina tona la me be wòaɖe ʋu si le ƒoƒom la ɖa.

Ne èda dɔ na mɔxenua vɔ la, àdze dzesiwo kple kuxi siwo dona tso eme dzi kpɔkpɔ gɔme . Esia ate ŋu alɔ nusiwo le abe:

• Nuɖuɖu ƒe mɔ̃ dede eme kple eŋudɔwɔwɔ: Esia hiã ne nu mimi sesẽ.
• Lens tɔxɛwo (prisms) dodo na ŋku ƒe kuxiwo.
• Nuƒoƒo ƒe atikewɔwɔ: Na nuƒoƒo kple nu mimi ƒe kuxiwo.
• Lãmesẽfefe: Gbugbɔ tu ŋutilã ƒe ʋuʋu kple dadasɔ ɖo.
• Dɔwɔwɔ ƒe atikewɔwɔ: Hehenana be woawɔ gbesiagbedɔwo le wo ɖokui si.

Atike ka ƒomevie wonana ɖe esia ta?

Ne vevesese atraɖii kpe ɖe Wallenberg Dɔlélea ŋu la, wò ɖɔkta ate ŋu aŋlɔ atike aɖe si woyɔna be gabapentin . Togbɔ be le nyateƒe me la, esia nye atike na asrãdɔ hã la, ate ŋu akpe ɖe lãmekawo ƒe vevesese hã ŋu.

Ne èle atike bubuwo alo kpeɖeŋutɔtikewo zãm xoxo la, ele vevie be nàƒo nu kple wò ɖɔkta hafi adze atike yeye zazã gɔme. Ate ŋu aɖo aɖaŋu na wò tso atike mawo ƒe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme ŋu.

Ðe atike blibo aɖe li na esia?

Nublanuitɔe la, womekpɔ atike aɖeke na Wallenberg Dɔlélea fifia o. Gake ne ède dzesi ʋusɔgbɔdɔ ƒe dzesi gbãtɔwo eye nèdze atikewɔwɔ gɔme kaba , àte ŋu aɖe kuxi siwo ate ŋu ado mo ɖa dzi akpɔtɔ ŋutɔ. Ne èwɔ atike na wò la, àte ŋu aɖu wò dzesiwo dzi eye nàdze agbagba atrɔ wò agbenɔnɔ ayi nɔnɔme si sɔ me.

Aleke nukpɔsusua le? (Nukpɔsusu) .

Wò ɖɔkta ate ŋu ana nyatakaka siwo de pɛpɛpɛ wu tso esia ŋu, elabena esia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, abe ahɔhɔ̃a ƒe akpa si gblẽ kple alesi gbegbe wògblẽe ene.

Ame aɖewo ƒe dzesiwo dzi aɖe akpɔtɔ le kwasiɖa alo ɣleti ʋɛ aɖewo me eye woadze egɔme ase le wo ɖokui me abe alesi wose le wo ɖokui me do ŋgɔ na ʋusɔgbɔdɔa ene. Gake ʋusɔgbɔdɔ ate ŋu agblẽ nu tegbee kple ahɔhɔ̃mekawo ƒe tɔtrɔ siwo gblẽa nu le gbesiagbegbenɔnɔ hã ŋu . Gake mègatsi dzi o, atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ŋuwò nànɔ te ɖe ʋusɔgbɔdɔ megbe nɔnɔme siawo nu eye nàtrɔ ɖe agbenɔnɔ yeye ŋu.

Ðe woate ŋu axe mɔ ɖe Wallenberg Dɔlélea nua?

Togbɔ be manya wɔ be nàxe mɔ ɖe nɔnɔme ɖesiaɖe nu keŋkeŋ o hã la, àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èwɔ nusiawo:

• Ne ènoa atama la, dzudzɔe, alo ƒo asa na atamanuwo zazã.
• Lãmesẽ ƒe nɔnɔme bubu siwo le ete (e.g., ʋusɔgbɔdɔ, suklidɔ) dzi kpɔkpɔ nyuie.
• Nuɖuɖu si da sɔ ɖuɖu kple kamedede edziedzi .

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne wò ŋutɔ alo wò lɔlɔ̃tɔ aɖe kpɔ ʋusɔgbɔdɔ ƒe dzesiwo zi ɖeka la, ƒo ka na 911 enumake alo yi kɔdzi si te ɖe ŋuwò ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ.

Ʋusɔgbɔdɔ ƒe dzesiwo ate ŋu anye:

• Nuƒoƒo alo nu mimi sesẽ.
• Kuxi siwo le dadasɔ kple nuwɔwɔ aduadu me.
• Sidzenuwo ƒe tɔtrɔ, abe ŋutilã ƒe akpa ɖeka ƒe ʋuʋu kple gbɔdzɔgbɔdzɔ ene.
• Vertigo kple taɖuame.
• Tɔtrɔ siwo va le nukpɔkpɔ me.

Ne èkpɔ dzesi aɖe abe esia ene la , nuwɔwɔ kabakaba ɣeyiɣi gbegblẽ manɔmee ate ŋu axɔ ame ɖe agbe.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo wò ɖɔkta be wòase nɔnɔme sia gɔme nyuie wu:

• Nukatae Wallenberg ƒe Dɔlélea dze dzinye?
• Atikewɔwɔ ka ƒomevie nèkafu?
• Ðe atikewɔmɔnuwo ate ŋu ahe kuxiwo vɛa?
• Ðe kuxi siwo anɔ anyi ɣeyiɣi didi aɖe ava?
• Nukae nye nye nyagblɔɖi?

Wallenberg Dɔlélea gblẽa nu le amesiame ŋu le mɔ vovovowo nu, elabena womate ŋu agblɔ nusiwo ʋusɔgbɔdɔ gblẽna le ame ŋu ɖi o. Ate ŋu anye nuteƒekpɔkpɔ si dzi ŋɔ ŋutɔ na wò kple wò ƒomea. Togbɔ be dzesi aɖewo ate ŋu aɖiɖi le ɣleti ʋɛ aɖewo megbe hã la, ɣeaɖewoɣi la, kuxiwo doa mo ɖa. Esiawo ate ŋu akpɔ ŋusẽ ɖe ale si nèsena le ɖokuiwò me kple ale si nèwɔa wò gbesiagbedɔwoe dzi.

Nu vevitɔe nye be nàƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ ne ènya de dzesi ʋusɔgbɔdɔ ƒe dzesiwo ko. To mɔ sia dzi la, wò ɖɔkta ate ŋu anya Wallenberg Dɔlélea kple nusi gbɔ wòtso kaba, eye wòadze atikewɔwɔ gɔme be wòagagblẽ nu le eŋu o.

Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe wò nɔnɔmea ŋu la, wò ɖɔkta koe ate ŋu ana nyatakaka siwo de pɛpɛpɛ wu eye wosɔ ɖe ɣeyiɣia nu la wò. Ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ.

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

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, nu vevi siawoe wòle be nàɖo ŋkui:

• Wallenberg Dɔléle nye ahɔhɔ̃mekawo ƒe dɔléle sesẽ aɖe si tsoa ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ gbɔ (zi geɖe la, ʋusɔgbɔdɔ gbɔe wòtsona).
• Dzesiawo ate ŋu anye nu mimi sesẽ, taɖuame, ŋku ƒe ʋuʋu le eɖokui si, gbe ƒe tɔtrɔ, kple ŋutilã ƒe akpa ɖeka ƒe ʋuʋu .
• Ne èkpɔ ʋusɔgbɔdɔ ƒe dzesiwo (nuƒoƒo sesẽ, ŋutilã ƒe akpa ɖeka ƒe susu ƒe dɔwɔwɔ, taɖuame kpata) , ele vevie be nàdi kɔdziyiyi enumake.
• Atikewɔwɔ kaba ate ŋu aɖe kuxiwo dzi akpɔtɔ eye wòana ame nahaya vaseɖe afi aɖe . Togbɔ be womate ŋu adae bliboe o hã la, atikewɔwɔ kple ɖɔɖɔɖomɔnu aɖewo li siwo ate ŋu ana agbenɔnɔ nanyo ɖe edzi.
• Woate ŋu aɖe afɔku si le nɔnɔme sia me dzi akpɔtɔ to nuwo abe atamanono, ʋusɔgbɔdɔ dzi ɖuɖu, kple suklidɔ ene me .

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Wallenberg ƒe dɔléle, ʋusɔgbɔdɔ, ahɔhɔ̃meka, taɖuame, nu mimi sesẽ, ahɔhɔ̃mekawo ƒe dɔléle, Sinhalagbe me atikewɔwɔ me nyati, ʋusɔgbɔdɔ, ahɔhɔ̃mekawo ƒe ʋusɔgbɔdɔ, Wallenberg ƒe dɔléle