So ɛyɛ den ma wo nso sɛ wobɛhome afa wo hwene mu? Eyi betumi afi Nasal Valve Collapse!

So wotaa te nka sɛ ɛyɛ den ma wo sɛ wobɛhome afa wo hwene mu? So ɛte sɛ nea wo hwene asiw kɛkɛ, titiriw bere a woreteɛteɛ w’apɔw mu anaa woda no? Afei ebia wubenya tebea bi a wɔfrɛ no Nasal Valve Collapse . Mma ɛnhaw wo, eyi yɛ ɔhaw a nnipa pii wɔ. Momma yɛnka ho asɛm nkɔ akyiri.

Dɛn ne Nasal Valve Collapse?

Sɛ yɛbɛka no tiawa a, Nasal Valve Collapse yɛ tebea a ɛma nasal valve, mframa kwan a ɛwɔ wo hwene mu a ɛboa wo ma wohome no yɛ teateaa. Susuw ho saa kwan yi so, hwene no te sɛ ɔpon a ɛtwetwe mframa na ɛho tew bere a yɛhome no. Ɛtrɛw fi hwene no mfinimfini kosi fam.

Enti, sɛ saa valve yi bubu, kyerɛ sɛ, sɛ ɛyɛ teateaa a, mframa ntumi mfa hwene no mu yiye. Ɛno ne bere a ɛyɛ den ma yɛn sɛ yɛbɛhome. Ɛtɔ da bi a, hwene no tumi yɛ teateaa kakra anaasɛ ɛkɔ mu efisɛ valve a ɛwɔ hwene no mu no ayɛ teateaa. Nanso ɛnyɛ bere nyinaa na wotumi hu eyi fi abɔnten.

So anom ntini ahorow bi wɔ hɔ a ɛhwe ase?

Yiw, ahorow atitiriw abien na ɛwɔ hɔ. Yɛn hwene mu ntini no wɔ afã abien: hwene mu ntini a ɛwɔ mu ne akyi anom. Ɛsono baabi a abien no wɔ na adan a ɛboa wɔn no yɛ soronko.

• Internal Nasal Valve Collapse: Eyi ne nea ɛtaa ba. Saa hwene mu ntini yi wɔ hwene no mfinimfini, mframa kwan no mu.
• External Nasal Valve Collapse: Eyi wɔ hwene no ase, bɛn hwene no mu. Saa ɔkwan yi ntaa mma, nanso ɛda adi sɛ wotumi hu. Nea enti a ɛte saa ne sɛ, sɛ wofa wo hwene mu home a, ebetumi ayɛ te sɛ nea hwene mu tokuru biako anaa abien no nyinaa rebubu.

Saa tebea yi abu so dɛn?

Nokwarem no, hwene mu ntini a ɛhwe ase ne ade titiriw a ɛma hwene no siw. Anom a ɛsiw yɛ tebea a aso, hwene, ne menewa ho abenfoɔ (Otolaryngologists - ENT specialists) taa sa. Anom a ɛsiw ba bere a hwene no mu asiw a ɛmma mframa nkɔ mu no.

Dɛn ne Nasal Valve Collapse ho sɛnkyerɛnne ahorow?

Sɛ anom ntini no bubu a, ɛbɛyɛ den sɛ wobɛhome afa hwene tokuru biako anaa abien no nyinaa mu. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:

• Ɔhome a ɛyɛ den: Eyi betumi asɛe titiriw bere a woreyɛ apɔw-mu-teɛteɛ anaa bere a woada hɔ no. Sɛ nhwɛso no, sɛ woretu mmirika anaa woreforo antweri na ɛsɛ sɛ wohome fa w’ano mmom sen sɛ wobɛhome afa wo hwene mu a, eyi betumi ayɛ sɛnkyerɛnne.
• Ano a wobɛhome awia ne ahurututu anadwo: Esiane sɛ wuntumi mfa wo hwene mu home yiye nti, ebia ɛbɛyɛ wo su sɛ wode w’ano bɛhome a wunnim. Anadwo a wɔde ahurututu nso ne eyi wɔ abusuabɔ.
• Anom a Ɛyɛ Fɛ:Ɛyɛ sɛ bere nyinaa mete nka sɛ makɔda rut mu ara kwa.

Sɛ wowɔ akyi hwene a abubu a, ebia wo hwene bɛyɛ soronko kakra. Ɛne sɛ, ebia ɛbɛyɛ teateaa wɔ mmeae bi, anaasɛ ɛnyɛ te sɛ nea ɛyɛ pɛpɛɛpɛ wɔ afã abien no nyinaa.

Dɛn na ɛde eyi ba?

Nasal Valve Collapse fi ntini a ɛyɛ mmerɛw, titiriw cartilage, a ɛboa wo hwene valve no. Eyi ma mframa kwan no yɛ teateaa. Nneɛma pii wɔ hɔ a ebetumi ama eyi aba:

• Nsonsonoe a ɛwɔ nipadua mu: Ebia wɔbɛwo nnipa binom a nsonsonoe bi wɔ wɔn hwene gyinabea mu.
• Oprehyɛn: Ebia efi hwene mu oprehyɛn a wɔadi kan ayɛ (rhinoplasty anaa hwene adwuma).
• Opira: Ebetumi nso afi akwanhyia a emu yɛ den a ɛba hwene mu.

Dɛn ne nneɛma a ɛde asiane ba?

Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ Nasal Valve Collapse no yɛ kɛse:

• Deviated Septum: Mpɛn pii no, nnipa a wɔn septum no atwe ne ho no benya septum a ɛkɔ akyiri (nnompe ne dompe a ɛyɛ tratraa) wɔ wɔn hwene mfinimfini. Sɛ wɔtwe saa septum yi fi hɔ a, wɔkyekyɛ septum no mu abien a ɛnyɛ pɛ. Saa nhyehyɛe a ɛnteɛ yi betumi ama ɔfã biako anaa abien no nyinaa abubu.
• Anom a wɔde wo awo: Ebia wɔbɛwo wo a wowɔ su ahorow a ɛma asiane a ɛwɔ hɔ sɛ hwene mu ntini bɛhwe ase no yɛ kɛse. Sɛ nhwɛso no, sɛ wowɔ hwene a ɛkɔ akyirikyiri, hwene mu ntokuru a ɛyɛ teateaa, baabi a ɛtrɛw wɔ hwene no ntam (columella), anaasɛ hwene a ɛpue dodo a, ebetumi ama asiane a ɛwɔ hɔ no ayɛ kɛse.
• Rhinoplasty: Sɛnea yɛadi kan aka no, saa tebea yi betumi aba bere a wɔayɛ rhinoplasty akyi. Nanso, mpɛn pii no, ɛyɛ teateaa kakra mmom sen sɛ ɛbɛhwe ase denneennen.

Nea ɛho hia: Sɛ ɛyɛ den ma wo sɛ wobɛhome bere a wɔayɛ wo hwene oprehyɛn akyi a, ɛho hia paa sɛ wobɔ wo duruyɛfo amanneɛ wɔ ho.

Nneɛma afoforo bi a ɛde asiane ba:

• Mpanyinyɛ: Bere a worenyin no, ntini a ɛboa hwene no mu no betumi ahwere ahoɔden.
• Opira: Nnompe ne ntini a ɛwɔ hwene no mu a opira no betumi ama ahoɔden a ɛboa no ayɛ mmerɛw.

Ɔkwan bɛn so na wohu tebea yi (Nasal Valve Collapse)?

Sɛ wokɔ oduruyɛfo nkyɛn a, wobebisa wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Ebia wobebisa wo nsɛm nso afi biribi te sɛ Nasal Obstruction Symptom Evaluation (NOSE) nsɛmmisa kratasin no mu . NOSE nsɛmmisa kratasin no kyerɛ wo sɛnkyerɛnne ahorow no fi nea emu nyɛ den kosi nea emu yɛ den. Nsɛmmisa no na ɛkyerɛ sɛnea wo home, wo hwene a ɛyɛ den, ne nna ho haw ahorow renya w’asetra so nkɛntɛnso kɛse.

Afei oduruyɛfo no bɛhwɛ wo hwene ne wo menewa mu yiye. Ebia sɔhwɛ ahorow pii bɛka eyi ho.

Sɔhwɛ ahorow a wɔyɛ de hu sɛ anom ntini abubu

• (Endoscopy): Nasal endoscopy yɛ adeyɛ a wɔde endoscope (afiri a ɛyɛ mmerɛw a mfoninitwa afiri ne kanea wom) di dwuma de hwɛ hwene no mu. Eyi ma wotumi hu hwene no mu yiye.
• Cottle Maneuver: Wɔ sɔhwɛ yi mu no, oduruyɛfo no bɛtwe wo hwene akɔ ɔfã biako na wabɔ mmɔden sɛ ɔbɛtrɛw hwene kwan no mu. Sɛnea ɛbɛyɛ foforo no, oduruyɛfo no betumi de adwinnade ketewaa bi anaa kotoku a wɔde kyekyere hwene no mu atrɛw. Eyi bɛboa oduruyɛfo no ma wahu baabi a asiw no wɔ.

Ɔkwan bɛn so na wɔsa eyi?

Mpɛn pii no, ɛho hia sɛ wɔyɛ oprehyɛn de sa hwene mu ntini a abubu. Nanso, sɛ wo yare no ho sɛnkyerɛnne no mu nyɛ den a, ebia wo duruyɛfo bɛkamfo akwan a ɛnyɛ oprehyɛn a wobɛfa so adi kan adi wo sɛnkyerɛnne ahorow no ho dwuma.

Oprehyɛn a wɔyɛ ma anom ntini a abubu

Wo duruyɛfo bɛkamfo oprehyɛn a eye sen biara a wɔbɛyɛ de asiesie wo hwene mu ntini a abubu no akyerɛ wo. Wɔyɛ oprehyɛn dodow no ara wɔ ayaresabea, a ɛkyerɛ sɛ wubetumi akɔ fie da koro no ara a wɔbɛyɛ wo oprehyɛn no.

Ayaresa ahorow pii a wobetumi apaw:

• Grafting: Eyi hwehwɛ sɛ wugye cartilage anaa dompe fi wo nipadua no fã foforo te sɛ w’aso anaa w’aso, na wode hyɛ wo hwene mu. Wɔde saa ntini a ɛboro so yi trɛw hwene mu ntini no mu. Nneɛma ahorow pii wɔ hɔ a wɔde hyɛ nipadua mu, na nea ɛtaa ba ne Alar Batten a wɔde hyɛ nipadua mu.
• Nneɛma a Wɔde Hyehyɛ Mu: Wɔde afiri bi hyɛ hwene no mu de boa ntini a abubu no. Eyi betumi ayɛ afiri a ɛte sɛ titanium ntontom ne ade a wɔde twitwiw nipadua mu a wɔfrɛ no Latera®.
• Suture Suspension: Eyi hwehwɛ sɛ wɔde nhama di dwuma de bata anom ntini a ɛwɔ aniwa no ase no ho. Saa adeyɛ yi twe hwene mu ntini no kɔ soro na efi mu ba, na ɛma baabi a ɛwɔ no trɛw.

Ebia ebehia nso sɛ wɔyɛ wo oprehyɛn de siesie nhyehyɛe mu haw afoforo a ebia ɛrema anom ntini no abubu no. Nhwɛsoɔ:

• Septoplasty: Oprehyɛn a wɔyɛ de siesie septum a ayera.
• Turbinate Reduction: Oprehyɛn a wɔyɛ de tew turbinates a ɛyɛ nnompe a ɛwɔ hwene no mu no kɛse so.

Ayaresa a Wɔde Ma Nasal Valve Collapse a Wɔnyɛ Oprehyɛn

• Ntama a Wɔde home: Eyinom yɛ nhama a wɔde gu hwene no akyi. Wɔma were no so na wobue hwene mu. Wobetumi aboa wo ma woahome yiye anadwo na woada yiye.
• Internal Nasal Dilators: Eyinom yɛ mfiri a wɔde hyɛ hwene mu. Wɔpia ntini no kɔ abɔnten na wɔtrɛw hwene mu akwan no mu. Te sɛ afiri a wɔde home no, ebetumi aboa wo ma woada yiye anadwo.

(Nasal Valve Collapse) So tebea no bɛkɔ so asɛe?

Ɛnyɛ bere nyinaa na ɛba, nanso ebetumi aba. Nneɛma a ɛboa hwene mu mframa kwan no a ɛyɛ mmerɛw na ɛde hwene mu ntini a ɛhwe ase no ba. Enti, sɛ wɔanyɛ mmeae a ayɛ mmerɛw no ho adwuma mfa nhyɛ mu den a, saa adan yi betumi abubu bio.

Dɛn na efi tebea yi a wɔsa mu ba?

Nnipa pii ka sɛ bere a wɔyɛɛ wɔn oprehyɛn de siesie hwene a abubu akyi no, wɔn yare no ho sɛnkyerɛnne no atu mpɔn kɛse. Sɛ wosiesie ahwease no wie a, wubetumi ahome ayɛ mmerɛw na woada yiye.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Wubetumi abisa oduruyɛfo no nsɛm te sɛ:

• Ɔkwan a ɛhwee ase no nye dɛn?
• So ebehia sɛ wɔyɛ me oprehyɛn na ama wɔasiesie eyi?
• Oprehyɛn ahorow bɛn na wokamfo kyerɛ?
• Asiane bɛn na ebetumi aba wɔ oprehyɛn mu?
• Dɛn na oprehyɛn a wɔkamfo kyerɛ no di nkonim?
• Bere tenten ahe na ebegye ansa na asa?

Kae: Sɛ wo hwene ayɛ wo hwene a ɛtra hɔ daa, ɛnyɛ yiye, anaasɛ ɛma ɛyɛ den sɛ wobɛhome a, kɔ oduruyɛfo nkyɛn. Saa sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛfa nipadua no nhyehyɛe mu sintɔ te sɛ hwene mu ntini a abubu ho. Sɛ ahwease no nyɛ kɛse a, ebia wo duruyɛfo bɛkamfo ayaresa ahorow a ɛbɛma woatumi asiw ɔhaw no ano. Wɔ tebea horow bi mu no, oprehyɛn ne ɔkwan a eye sen biara a wobɛfa so ahwɛ ahu sɛ wubenya mframa a ɛdɔɔso afa wo hwene mu. Wo duruyɛfo bɛkyerɛ wo akwan horow a eye ma wo.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Ɛyɛ den sɛ wobɛhome afa wo hwene mu no nyɛ biribi a ɛsɛ sɛ wobu no adewa. Ebetumi anya w’asetra pa so nkɛntɛnso kɛse. Ebia wunhu mpo, nanso ebia ɛyɛ den ma wo sɛ wobɛda anadwo na wote nka sɛ woabrɛ awiabere. Eyi nyinaa betumi afi ɔhaw bi a ɛwɔ wo hwene mu.

Enti, sɛ wowɔ sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛfo afotu. Mprempren ayaresa a etu mpɔn wɔ hɔ ma tebea bi a wɔfrɛ no (Nasal Valve Collapse). Sɛ wohu na wɔsa wo yare ntɛm a, wobɛtumi ahome ntɛmntɛm bio!

` Anom Valve a Ɛhwe ase, Anom a Ɛyɛ Den, Ɔhome a Ɛyɛ Den, Ahurututu, Hwene Oprehyɛn, Deviated Septum, ENT