Ɣeaɖewoɣi la, míexɔa ʋuʋudedi le asi alo afɔ ɖeka me, eye wòdzona le eɖokui si le ɣeyiɣi aɖe megbe, alo? Gake bu eŋu kpɔ, ne ŋusẽ megava le wò asiwo kple afɔwo ŋu vivivi o, te ƒoƒo, eye nɔnɔmea va le dzidzim ɖe edzi vivivi le ɣeyiɣi si wu ɣleti eve mea? Esia nye ahɔhɔ̃mekawo ƒe dɔléle aɖe si mebɔ o si woyɔna be CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) ƒe dzesi veviwo dometɔ ɖeka . Togbɔ be ŋkɔa sesẽ vie hã la, mina míase egɔme bɔbɔe. Togbɔ be esia nye dɔléle si mebɔ kura o hã la, ele vevie ŋutɔ be amesiame nanya nu tso esia ŋu.
Kpuie ko la, nukae nye CIDP?
CIDP nye nɔnɔme si nɔa anyi didi si dzɔna ne míaƒe dɔlélenutsiŋutete (si kpɔa mía ta tso dɔléle me ) dze mía ŋutɔwo ƒe lãmekawo dzi vodadatɔe . Etɔxɛe la, egblẽa nu le ametakpɔnu si ƒo xlã lãmekawo (si woyɔna be myelin ) ŋu. Bu nutsyɔnu sia be enye aŋekotoku si ƒo xlã elektrikka . Ne akɔta sia gblẽ la, lãmekawo meɖoa gbedasiwo ɖe ahɔhɔ̃a kple ŋutilã ƒe akpa bubuwo nyuie o. Emae hea dzesiwo abe gbɔdzɔgbɔdzɔ kple abɔ kple afɔwo ƒe ʋuʋu vɛ.
Togbɔ be dɔléle sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ame tsitsiwo kple ŋutsuwo dome wu.
Vovototo kae le CIDP kple Guillain-Barre ƒe dɔléle (GBS) dome?
Ðewohĩ èse Guillain-Barre ƒe dɔléle ( GBS ) ŋu nya kpɔ. Dɔléle siawo evea siaa gblẽa nu le lãmekawo ŋu eye woƒe dzesiwo sɔ. Gake vovototo siwo dze ƒã le wo ame evea dome.
- Guillain-Barre Syndrome (GBS): Zi geɖe la, esia dzea egɔme kpata le ŋkeke ʋɛ aɖewo le dɔlélea xɔxɔ vɔ megbe, abe dɔgbo ƒe veve ene. Gake ne wowɔ atike nɛ la, anɔ eme be ahaya kaba.
- CIDP: Esia nye dɔléle si nɔa anyi didi si doa mo ɖa le ɣleti geɖe me, eye zi geɖe la, kadodo aɖeke menɔa eŋu kple dɔlékui aɖe o. Ƒã hafi GBS ate ŋu ayi ŋgɔ ava zu CIDP ne womewɔ atike nɛ o.
Nukae nye CIDP ƒe dzesiwo?
CIDP ƒe dzesiwo mesɔ na amesiame o. Woate ŋu ato vovo le CIDP ƒomevi si le asiwò nu. Le goawo katã me la, ɖeɖi ate ŋu agbɔ eme, ana nàtsi dzodzodzoe, eye nàse veve. Esia ate ŋu ana wò susu ƒe dɔwɔwɔ nagbɔdzɔ eye wò abɔwo kple afɔwo nagbɔdzɔ.
Dzesi vevitɔ kple gbãtɔ si wokpɔnae nye lãmekawo ƒe dzidziɖedzi vivivi le ɣleti eve alo esi wu nenema me.Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ . Gbɔdzɔgbɔdzɔ sia gblẽa nu le ŋutilãa ƒe akpa eveawo siaa ŋu. Etɔxɛe:
- Akɔta kple ata
- Abɔta kple abɔta
- Asiwo
- Afᴐwo
Tsɔ kpe ɖe dzesi vevi sia ŋu la, woate ŋu akpɔ dzesi bubuwo:
- Lãmetsiwo ƒe gbagbã: Lãmetsiwo dzi ɖena kpɔtɔna eye wova nɔa sue.
- Paresthesia: Asibidɛwo ƒe ʋuʋu alo ʋuʋudedi ƒe seselelãme.
- Azɔlizɔzɔ sesẽ: Dadasɔ kple azɔlizɔzɔ nyuie ƒe ŋutetemanɔamesi.
- Ahɔhɔ̃mekawo ƒe vevesese: Vevesese sesẽ si tsoa lãmekawo ƒe dɔwɔwɔ ƒe kuxiwo gbɔ.
- Gbɔdzɔgbɔdzɔ ƒe ŋuɖoɖowo (Deep tendon problems): Ne ɖɔkta tsɔ akplɔ sue aɖe ƒo kloa la, ŋuɖoɖoa nu yina, abe ɖe wole afɔa kekem ene.
Ƒã ŋutɔ la, nu mimi sesẽ (nuɖuɖu ƒe kuxi) kple nukpɔkpɔ eve hena ɣeyiɣi aɖe (diplopia) hã ate ŋu adzɔ.
Be woake ɖi CIDP la, ele be dzesi siawo nanɔ anyi kwasiɖa 8 ya teti .
Ðe CIDP ƒomevi vovovowo lia?
Ẽ, woate ŋu ama CIDP ɖe hatsotso vevi geɖe me le dzesiawo nu. Nyatakaka kplɔ̃ sia ana nàkpɔ susu si me kɔ.
| CIDP ƒomevi | Nu vevi siwo le eme |
|---|---|
| CIDP si bɔ | Esia ƒomevi le ame akpa gãtɔ ŋu, si hea seselelãmekuxiwo abe lãmekawo ƒe gbɔdzɔgbɔdzɔ kple lãmekawo ƒe ʋuʋu ene si gblẽa nu le ŋutilã ƒe akpa eveawo ŋu. |
| Multifocal motor ahɔhɔ̃mekawo ƒe dɔléle | Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ dzɔna le ŋutilã ƒe akpa ɖeka alo le teƒe aɖewo (asymmetric). |
| Lewis-Sumner ƒe dɔlélea | Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ kple seselelãme ƒe kuxiwo siaa dzɔna le ŋutilãa ƒe akpa ɖeka. |
| Sidzenuwo ƒe CIDP dzadzɛ | Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ aɖeke meli o, gake lãmetutudɔ, vevesese, kple azɔlizɔzɔ sesẽ ya li. |
| Mɔ̃ dzadzɛ CIDP | Sidzenuwo ƒe kuxi aɖeke meli o, gake lãmekawo ƒe gbɔdzɔgbɔdzɔ kple ŋutilã ƒe akpa eveawo megate ŋu wɔa dɔ o. |
Azɔ hã, ɖɔktawo daa dɔlélea ɖe hatsotso etɔ̃ me le alesi wòwɔa nui nu:
- Vivivi: Dzesiawo nu sẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe.
- Enuenu: Dzesiawo dzena, nu yina, eye wogadzena ake.
- Monophasic: Zi ɖeka koe dɔlélea dzɔna le ame ƒe agbe me. Ekpɔa egbɔ le abe ƒe 1-3 ene megbe.
Nukae hea CIDP vɛ? Ðe wòxɔa amea?
Womenya nusi tututu gbɔ CIDP tsona haɖe o, gake míenya be lãmekawo kple lãmekawo ƒe kewo ƒe dɔdzẽ gbɔe wòtsona. Abe alesi míegblɔe va yi ene la, esia gblẽa nu le myelin ƒe akɔta si ƒo xlã lãmekawo ŋu.
Nu vevitɔe nye be CIDP menye dɔléle si xɔa ame me o. Màte ŋu alée le ame bubu gbɔ o, eye màte ŋu alée le ame bubu hã gbɔ o.
Aleke wowɔa dɔlélea ƒe dzesi?
Dodokpɔ aɖeke koŋ meli na CIDP o. Eyata, wò ɖɔkta abia wò dzesiwo gbã (ɣekaɣie wodze egɔme, alesi nèsena le ɖokuiwò me), emegbe awɔ ŋutilãmedɔ eye wòakafu dodokpɔ ʋɛ aɖewo be nànya nusi tututu gblẽ le wò lãmekawo ŋu eye wòaɖe nɔnɔme bubuwo ɖa.
Dodokpɔ siawo ate ŋu anye:
- Ʋu kple aɖuɖɔ dodokpɔ.
- Lãmetsiŋusẽ ƒe ʋuʋu ŋuti numekuku kple Electromyogram (EMG): Esiawo dia nusiwo gblẽ le lãmekawo kple myelin ƒe akɔta ŋu.
- Akɔta ƒe dodo: Woɖea tsi sue aɖe tso aklã me tsɔ léa ŋku ɖe protein ƒe agbɔsɔsɔ si dzi ɖe edzi ŋu, si bɔ ɖe CIDP me.
- Nerve biopsy: Woɖea lãkusi sue aɖe tso lãmeka aɖe me hedoa eŋu le nusuekpɔmɔ̃ me.
- MRI scan: Ate ŋu akpɔe ɖa be lãmekawo ƒe kewo vuvu hã.
Vevietɔ ŋutɔ: Ele vevie be woakpɔ dɔléle sia le eƒe gɔmedzedze eye woadze edada gɔme.Ele vevie ŋutɔ. Ate ŋu axe mɔ na lãmekawo ƒe gbegblẽ. Ne womedae o la, dzesiawo ate ŋu asẽ, eye ɣeaɖewoɣi ale gbegbe be ahiã be woazã bunɔkeke.
Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?
Ame geɖe hiã atikewɔwɔ. Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu ame si be wòahaya bliboe.
Atike ƒomeviwo
- Corticosteroids: Esiawo nye atike siwo nye steroid ƒomevi siwo ɖea dɔdzẽ dzi kpɔtɔna eye wokpɔa dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi.
- Dɔlélenutsiŋutete ƒe atikewɔwɔ: Atike siawo xea mɔ na dɔlélenutsiŋutete be wòagadze myelin dzi o.
- Dɔlékuiwutikewo: Wozãa atikewo abe Vyvgart, si nye atike yeye aɖe si dzi woda asi ɖo nyitsɔ laa ene hã hena esia wɔwɔ.
Atikewɔwɔ tɔxɛwo
- Intravenous immunoglobulin (IVIG): Wodoa dɔlékuiwutike ƒomevi aɖe si me wodea amii si woɖe ɖe vovo tso ame siwo le lãmesẽ me ƒe ʋu me la na wò. Esia kpena ɖe ŋuwò nèɖua wò dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie dzi.
- Plasma exchange (PE): Esia bia be nàxɔ wò ʋu, aɖoe ɖa to mɔ̃ tɔxɛ aɖe dzi, aɖe ʋumenugbagbeviɣi si me dɔlékuiwutike siwo gblẽa nu le ame ŋu le la ɖa, eye emegbe nàgbugbɔ ʋu dzadzɛ ado ɖe wò ŋutilã me.
- Lãmenugbagbeviwo dodo na ame: Le atikewɔwɔ sia si mebɔ kura o me la, wodoa lãmenugbagbevi siwo le lãmesẽ me be woatsɔ "agbugbɔ" dɔlélenutsiŋutetea aɖo anyi.
Atikewɔwɔ bubu siwo kpena ɖe ame ŋu
- Lãmesẽfefewɔwɔ: Esia kpena ɖe ame ŋu ŋutɔ le ŋusẽ si bu la gbugbɔgaxɔ, azɔlizɔzɔ, kple dadasɔ ƒe nyonyo me.
- Dɔwɔwɔ ƒe atikewɔwɔ: Efiaa alesi nàwɔ gbesiagbedɔwo bɔbɔe wu togbɔ be nɔnɔmea le ŋuwò hã.
- Kamedede kple nuɖuɖu: Kamedede si sɔ ate ŋu akpe ɖe ŋuwò be ŋusẽ nanɔ ŋuwò. Gake wò ɖɔkta alo ŋutilãmedɔdala ƒe dzikpɔkpɔ te koe wòle be nàde kame. Nuɖuɖu si da sɔ ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe lolo si mehiã o nu.
Agbenɔnɔ kple CIDP kple nukpɔsusu
Ne wokpɔ CIDP dɔlélea le ŋuwò la, àte ŋu ase le ɖokuiwò me be yegbɔdzɔ. Ema sɔ. Ele vevie be nànɔ kadodo me kple wò ɖɔkta eye nàƒo nu tso wò dzesiwo kple atikewɔwɔ ŋu.
Nuxlɔ̃ame Kpata: Ne gbɔgbɔ sesẽ na wò la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Ele vevie ŋutɔ hã be nàdi eŋutinunyalawo ƒe kpekpeɖeŋu be nàkpɔ vevesese gbɔ eye nàkpɔ gbɔdzɔe le susu me. Wò ƒometɔwo, xɔlɔ̃wo, kple wò atikewɔlawo ƒe ƒuƒoƒoa anye ŋusẽtsoƒe gã aɖe na wò le mɔzɔzɔ sia me.
Le nukpɔsusu si le asiwò gome la, enɔ te ɖe ƒe si nèxɔ, dɔléle si ƒomevi nèxɔ, alesi wodze atikewɔwɔ gɔme kaba, kple alesi wò ŋutilã wɔa nui ɖe atikewɔwɔ ŋu dzi.Nya nyuiae nye be ne wowɔ atike na ame la, ame siwo ade 90% hayana. Ame aɖewo ate ŋu akpɔe be dɔlélea ƒe dzesiwo nagatrɔ ava. Gake zi geɖe la, CIDP meɖea agbenɔƒe dzi kpɔtɔna o.
Gbedasi si Wotsɔ Yi Aƒeme
- CIDP nye nɔnɔme si mebɔ o, si nɔa anyi didi, si me ŋutilãa ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmekawo dzi.
- Dzesi vevitɔe nye lãmekawo ƒe gbɔdzɔgbɔdzɔ kple lãmetutudɔ si dzina ɖe edzi vivivi le ɣleti geɖe me.
- Esia menye dɔléle si xɔa ame me o, eye womekpɔ nusi tututu gbɔ wòtsona haɖe o.
- Ne dzesi siawo le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ enumake. Ne wokpɔ dɔlélea kaba hedae ate ŋu axe mɔ ɖe lãmekawo ƒe gbegblẽ nu.
- Ne woda dɔ na ame geɖe nyuie la, woate ŋu anɔ agbe nyui, eye zi geɖe la, esia menyea dɔléle si ate ŋu ade woƒe agbe afɔku me o.
CIDP, ahɔhɔ̃mekawo ƒe dɔléle, lãmekawo ƒe gbɔdzɔgbɔdzɔ, myelin, Guillain-Barre ƒe dɔléle, dɔlélenutsiŋutete ƒe dɔdamɔnu, dɔléle siwo dɔlélenutsiŋutete hena vɛ, CIDP sinhala
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee