Ne ɖɔkta gblɔ na wò be nane le viwòa ƒe ŋutilã ƒe akpa si le anyime, si nye eƒe akɔta, afɔwo, alo aɖuɖɔ kple aɖuɖɔtoewo me la, vidada alo vifofo ɖesiaɖe si ase esia la awɔ nuku ŋutɔ. Ðewohĩ èse ŋkɔ ‘Caudal Regression Syndrome’ kpɔa? Esia nye atikewɔwɔ me nɔnɔme si mebɔ o, gake ele vevie be woanya. Egbea, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.
Nukae Nye Caudal Regression Syndrome ƒe Dɔléle?
Kpuie ko la, esia nye nɔnɔme si mebɔ o si nɔa anyi le vidzidzi me (vidzidzi ƒe gbɔdzɔgbɔdzɔ). Le míaƒe ŋutilã me la, ‘caudal’ gɔmee nye be míaɖo ta asike gbɔ, si fia ŋutilã ƒe akpa si le anyime wu. ‘Regression’ fia tsitsi ƒe megbetsitsi alo megbedede. Eyata nusi dzɔna le nɔnɔme sia mee nye be ŋutilã ƒe akpa si le anyime la metsina nyuie esime vidzĩa le tsitsim le vidzidɔa me o.
Esia ate ŋu agblẽ nu le ŋutinu geɖe ŋu, siwo dometɔ aɖewoe nye akɔta, aklã, afɔ, nuɖuɖumeŋusẽ ƒe akpa si le anyime (dɔgbowo, dɔgbo), kple aɖuɖɔtoe (ayiku, tsinyegoe). Woyɔa nɔnɔme sia ɣeaɖewoɣi be ‘sacral syndrome’.
Nukawoe hea nɔnɔme sia vɛ?
Ðɔktawo mete ŋu le nu ɖeka aɖeke si ŋu kakaɖedzi le 100% si gbɔ dɔléle sia tso la dim haɖe o. Gake woxɔe se fifia be nutoa me kple domenyiŋusẽfianu ƒe ƒuƒoƒo ate ŋu awɔ akpa aɖe le nɔnɔme sia hehe vɛ me. Mina míalé ŋku ɖe nu vevi siwo wosusu be etso wo gbɔ ŋu.
| Nusi kpɔa ŋusẽ ɖe ame dzi | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Dada ƒe lãmesẽ ƒe nɔnɔme | Vevietɔ ne womeɖu vidadaa ƒe suklidɔ dzi nyuie le fufɔɣi o la, sukli ƒe agbɔsɔsɔ si le ʋu me ate ŋu akpɔ ŋusẽ ɖe vidzĩa ƒe tsitsi dzi le vidzidɔa me. Gake nɔnɔme sia medzɔna ɖe vidada siwo katã ŋu suklidɔ le ƒe vidzĩwo dzi o. Ate ŋu adzɔ le vidada siwo si suklidɔ mele o ƒe vidzĩwo hã dzi. Wogale numekuku wɔm tso ƒomedodo sia ŋu kokoko. |
| Domenyiŋusẽfianu ƒe Nuwo | Nufiafia aɖe li be ɖewohĩ domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi gbɔe esia tso. Eyae nye be domenyiŋusẽfianu siwo toa dzidzimewo me ƒe tɔtrɔ aɖewo ate ŋu gbɔe wòtso. |
| Kuxi siwo dona le fugboea ƒe gɔmedzedze | Le fufɔfɔ ƒe ɣleti gbãtɔ me la, vidzĩa ƒe ŋutilã ƒe dɔwɔwɔwo dzea wɔwɔ gɔme. Ŋusẽkpɔɖeamedzi alo kuxi ɖesiaɖe si anɔ vidzidɔa me le ɣeyiɣi sia me ate ŋu ado kplamatse vidzĩa ƒe ƒuwo, nuɖuɖumeŋusẽ, kple aɖuɖɔtoe ƒe tsitsi. |
| Ʋu ƒe sisi ƒe kuxiwo | Nufiafia bubue nye be ʋu ƒe sisi ɖe vidzĩ si le tsitsim le vidzidɔa me ƒe akpa si le anyime dzi ɖeɖe kpɔtɔ gbɔe nɔnɔme sia tsona. Oxygen kple nunyiame siwo le ʋua me ƒe ɖiɖi kpɔa ŋusẽ ɖe tsitsi dzi. |
| Kuxi siwo le fugboe ƒe lãkusi ŋu | Le vidzĩ ƒe tsitsi ƒe kwasiɖa ʋɛ gbãtɔwo me la, lãkusi vevi etɔ̃e nɔa eme. Lãmetsiŋusẽ ƒe akpa si le titina, si woyɔna be mesoderm, ye naa ƒu, lãmeka, kple ayiku geɖe siwo le ŋutilã ƒe akpa si le ete la dona. Eyata dzɔdzɔmeŋutinunyalawo susui be ne tɔtɔ aɖe do mo ɖa le mesoderm sia ƒe tsitsi ŋu la, nɔnɔme sia ate ŋu ado mo ɖa. |
Nukawoe nye nu vevi siwo woate ŋu akpɔ?
Menye ɖevi siwo katã ŋu dɔléle sia le la ƒe dzesiwo sɔ o. Ðevi aɖewo ƒe dzesiwo ate ŋu anɔ bɔbɔe ŋutɔ, evɔ kuxi sesẽwo ate ŋu anɔ ɖevi aɖewo ŋu. Na míalé ŋku ɖe dzesi siwo bɔ wu dometɔ aɖewo ŋu.
| Ŋutilã ƒe akpa si ŋu wògblẽ nu le | Nusiwo woate ŋu akpɔ |
|---|---|
| Akɔta ƒe akɔta | Scoliosis nye nɔnɔme si me akɔtaƒu siwo le akɔta ƒe akpa si le anyime la bu alo womewɔ ɖeka nyuie o. Esia ate ŋu akpɔ ŋusẽ ɖe akɔta ƒe wɔwɔme dzi eye wòana gbɔgbɔ nasesẽ. |
| Ameti ƒe akpa si le ete | Akɔtaƒu suewo, akɔta gbadzaa. Afɔ ƒe ƒuwo ƒe tsitsi si mesɔ o. Klowo trɔna ɖe axa ɖesiaɖe alo afɔwo trɔna yia eme/do go. Seselelãme ƒe bu le afɔwo me. |
| Ayikuwo kple aɖuɖɔtoewo ƒe dɔwɔwɔ | Ayiku ɖeka alo evea siaa bu, alo ayiku eveawo do ƒome kple wo nɔewo. Esia ate ŋu ana ame naxɔ aɖuɖɔtoe me dɔlékuiwo enuenu alo ayiku ƒe dɔmawɔmawɔ nyuie. Aɖuɖɔtoe dzi ɖuɖu sesẽ le lãmeka siwo le tsinyegoea me ƒe gbegblẽ ta. |
| Vidzinuwo | Le ŋutsuviwo gome la, tsinyegoea nɔa ŋutsu ƒe vidzinu te alo vidzidɔa medona le ŋutilãa me o. Le nyɔnuviwo gome la, kadodo si mesɔ o nɔa nyɔnu ƒe vidzidɔ kple akɔta dome. Le ɖevi aɖewo gome la, vidzinuwo metsi bliboe o. |
| Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ | Kuxiwo abe dɔgbo ƒe ʋuʋu, dɔgbo ƒe ʋuʋu, kple dɔgbo ƒe ʋuʋu ene. |
Aleke wowɔa atike nɛ?
Atikewɔwɔ ɖeka aɖeke meli na esia o. Esi wònye be ɖevi ɖesiaɖe ƒe nɔnɔme to vovo ta la, wonɔa te ɖe kuxi tɔxɛ siwo le ɖevia ŋu dzi ɖoa atikewɔwɔ nɛ. Le esia ta la, ele be eŋutinunyala bibiwo ƒe ƒuƒoƒo aɖe nawɔ dɔ ɖekae.
Ele vevie ŋutɔ be woanya dɔléle sia ahadze edada gɔme kaba ale si woate ŋui na ɖevi si ŋu dɔléle sia le. Esia ate ŋu ana ɖevia ƒe agbenɔnɔ nanyo ɖe edzi ŋutɔ.
Zi geɖe la, atikewɔla bibiwo abe:
- Ðeviwo ƒe dɔdalawo
- Ahɔhɔ̃mekaŋutinunyalawo
- Ahɔhɔ̃ŋutinunyalawo
- Aɖuɖɔtoedɔdalawo (amekola siwo bi ɖe aɖuɖɔtoe me) .
- Ƒumeŋutinunyalawo
- Dzidɔŋutinunyalawo
- Aɖuŋutinunyalawo
Amekoko le ɖevi ƒe ɖevime be woatsɔ aɖɔ kuxi siwo le ɖevi ƒe aɖuɖɔtoe, akɔta, dzi, dɔgbo, alo abɔ kple afɔwo ŋu ɖoÐewohĩ ahiã be woawɔ nu geɖe. Azɔ hã, woate ŋu ana atike tɔxɛwo na aɖuɖɔtoe me kuxiwo, eye woate ŋu abia be woawɔ lãmesẽnyawo gbɔ kpɔkpɔ, susuŋutinunyalawo ƒe kpekpeɖeŋu, kple kpekpeɖeŋunadɔ bubuwo le woƒe agbemeŋkekewo katã me.
Ne dɔléle sia le viwòa ŋu alo ɖikeke aɖe le eŋu la, nu nyuitɔ si nàwɔe nye be màtsi dzodzodzoe o, ke boŋ nàƒo nu kple wò ɖɔkta atsɔ wo ayi eŋutinunyala bibi siwo hiã gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Caudal Regression Syndrome nye vidzidzi ƒe gbɔdzɔgbɔdzɔ si mebɔ o si gblẽa nu le ɖevi ƒe ŋutilã ƒe akpa si le ete ƒe tsitsi ŋu.
- Togbɔ be womekpɔ nusi tututu gbɔ esia tso o hã la, vidadaa ƒe lãmesẽ le fufɔɣi (vevietɔ suklidɔ si dzi womeɖu o) kple domenyiŋusẽfianu ate ŋu awɔ akpa aɖe.
- Dzesiawo toa vovo tso ɖevi ɖesiaɖe gbɔ. Ate ŋu agblẽ nu le akɔta, afɔ, ayiku, tsinyegoe, kple dɔgbo ŋu.
- Atikewɔwɔ bia be woawɔ atikewɔla bibi vovovowo ƒe ƒuƒoƒo, eye wowɔa ɖoɖo ɖe atikewɔwɔ ŋu le ɖevia ƒe nuhiahiãwo nu.
- Dɔlélea didi kaba kple atikewɔwɔ ƒe ɖoɖo si me kɔ nyuie gɔmedzedze le vevie be nàkpɔ egbɔ be viwòa nanɔ agbe nyuie. Dzro nusianu si ŋu nètsi dzi ɖo me kple wò ɖɔkta.
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