So w’ani te sɛ nea ɛrekɔ fam? Momma yɛnka Silent Sinus Syndrome ho asɛm!

So woahu nsakrae kakra wɔ w’anim fã biako, titiriw wɔ aniwa no fã bi ho pɛn? Ebia w’ani akɔ fam kakra, anaasɛ w’aniwa ayɛ mmerɛw? Bere a eyinom betumi ayɛ te sɛ asɛm ketewaa bi no, ɛtɔ mmere bi a tebea bi betumi aba akyi a yɛntee ho asɛm pii, nanso ɛho hia sɛ yehu ho asɛm. Wɔfrɛ tebea a ɛte saa no biako ‘Silent Sinus Syndrome.’ Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, nanso momma yɛmma ɛnyɛ mmerɛw.

Dɛn ne Silent Sinus Syndrome?

Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a ɛfa hwene a atwa yɛn hwene ho ahyia, a wɔfrɛ no ‘sinus’ ho. Ɛka yɛn hwene no afã abien no nyinaa a wɔfrɛ no `(Maxillary sinus)`. Wɔ saa tebea yi mu no, aniwa biako anaa ɛtɔ mmere bi a abien no nyinaa kɔ mu kakra (`(Enophthalmos)`). Anaasɛ aniwa no sian kɔ aniwa no mu (`(Eye socket)`). Fa no sɛ balloon a mframa rebɔ na ɛretew, eyi ba efisɛ yɛn sinus cavities no afasu twetwe kɔ mu. Wɔma aniwa no ase a ɛte sɛ saa sinus ntokuru yi atifi no si fam wɔ saa kwan yi so.

Ade titiriw nti a ɛte saa ne sɛ sinus cavities no siw. Afei nsu a ɛwɔ ntini no mu no ntumi nyi mfi mu na ɛboaboa ano, na bere kɔ so no, ɛsan twetwe kɔ nipadua no mu. Esiane eyi nti, vacuum bi ba sinus cavity no mu, na cavity no twetwe nkakrankakra. Ɛno ne bere a aniwa no kɔ fam.

Wɔde asɛmfua ‘komm’ ka ho efisɛ tebea no taa nyɛ yaw. Nanso, sɛnea anim no te, titiriw ɔfã biako, betumi ayɛ nea ɛnsɛ. Mpɛn pii no, ɛka anim no fã biako pɛ, nanso ɛntaa nsi, ebetumi aka afã abien no nyinaa. Ayaresa ho hia na amma yare no ho sɛnkyerɛnne no ankɔ so anyɛ kɛse na wɔasiw nsɛnnennen te sɛ aniwa a ɛyera wɔ akyirikyiri anaasɛ aniwa a ɛkɔ ɔkwan a ɛkɔ akyirikyiri so no ano.

Saa tebea yi abu so dɛn?

Nokwarem no, saa tebea yi a wɔfrɛ no ``Silent Sinus Syndrome'' no ho yɛ na yiye . Wodii kan huu na wɔkaa ho asɛm wɔ 1964. Efi saa bere no, nnipa kakraa bi pɛ, bɛyɛ 100, na wɔabɔ amanneɛ wɔ wiase nyinaa. Enti, wɔnka ho asɛm pii.

Dɛn ne sɛnkyerɛnne ahorow no? Wobɛyɛ dɛn ate wɔn nka?

``Silent Sinus Syndrome'' ho sɛnkyerɛnne taa da adi nkakrankakra wɔ adapɛn kosi asram pii mu. Nanso, ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi tumi da adi ntɛm. Nsɛnkyerɛnne titiriw a wotumi hu ne nsakrae a ɛba w’anim hwɛbea mu.

• Enophthalmos: Eyi ne sɛnkyerɛnne a ɛtaa ba. Ɛkame ayɛ sɛ ayarefo nyinaa wɔ bi. Sɛnea aniwa no bɛbɔ no betumi afi milimita 2 kosi 6.
• Aniwa no a ɛkɔ fam (`(Hypoglobus)`):Ayarefo bɛyɛ fã nya saa sɛnkyerɛnne yi. Eyi kyerɛ sɛ aniwa no asian akɔ aniwa no mu. Eyi betumi ayɛ bɛyɛ milimita 1 kosi 6.
• Nsakrae a ɛba aniwa no mu: Wɔahu nsakrae a ɛba wɔ aniwa a ɛwɔ soro no gyinabea mu wɔ ayarefo bɛyɛ 88% mu.
• Anisoadehu abien (`(Diplopia)`): Nhwehwɛmu akɛse abien ada no adi sɛ ayarefo 28% kosi 65% nya tebea bi a wohu nneɛma abien prɛko pɛ.

Wɔ sɛnkyerɛnne atitiriw yi akyi no, ebia sɛnkyerɛnne afoforo pii wɔ hɔ:

• Ptosis (anaa Blepharoptosis): Aniwa a ɛwɔ soro no a ɛkɔ fam anaasɛ ɛkɔ fam.
• Aniwa a ɛyɛ mmerɛw: Wɔma aniwa no si fam, na ɛma ɛyɛ te sɛ nea aniwa no twitwiw.
• Anisoadehu a wontumi nhu: Ɛyɛ den sɛ wubehu nneɛma yiye na ɛyɛ den sɛ wode w’adwene besi biribi so.
• Sinusitis: Sinus no mu ntini a ɛho ahonhon na ɛde ɔyare mmoawa ba.
• Rhinorrhea (hwene mu nsuo): Nsuo a ɛtu a ɛte sɛ nsuo a ɛfiri hwene mu.
• Postnosal drip: Nsu a ɛboro so no boaboa ano na ɛsen kɔ menewa no akyi .
• Anim nhyɛso anaa ɛyaw: Ɛyaw anaa ntini a ɛyɛ den te sɛ aniwa, moma so, ne afono ho a wobɛte nka.

Dɛn nti na silent sinus syndrome ba? Dɛn na ɛde ba?

Efi bere a wohuu saa yare yi no, nhwehwɛmufo de nsusuwii ahorow aba wɔ nea ɛde ba no ho. Nnipa pii gye di sɛ nea ɛde tebea yi ba titiriw ne yɛn hwene no fã bi a ɛsiw a wɔfrɛ no ``osteomeatal complex.'' Saa ``osteomeatal complex'' yi yɛ nhyehyɛe a ɛyɛ mmerɛw a ɛboa ma nsu ne mframa fi hwene no mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛte sɛ ɔkwan a wɔfa so kɔ yɛn sinus cavities no mu.

Saa mmeae yi betumi ayɛ nea wɔasiw esiane nneɛma ahorow nti. Sɛ wɔsiw a, nsuo a ɛfiri nsuo mu no boaboa ano wɔ sinus no mu. Bere kɔ so no, yɛn nipadua no san twe saa nsu a aboaboa ano yi. Nea ɛba ne sɛ wɔbɔ vacuum (`(Vacuum effect)`) wɔ sinus cavity no mu. Esiane nhyɛso a ɛtra hɔ kyɛ yi nti, sinus no afasu no twetwe nkakrankakra kɔ mu na ɛtwetwe. Esiane eyi nti, aniwa no socket (`(Orbital floor)`) a ɛwɔ sinus cavity no atifi no twetwe kɔ fam. Eyi betumi ama nnompe no ayɛ mmerɛw mpo na ne nsusuwii asakra.

Hena na ɛda adi sɛ obenya eyi?

Obiara betumi anya saa tebea yi, a wɔfrɛ no ``Silent Sinus Syndrome.`` Nanso, nnipa a wɔwɔ anom nipadua a ɛyɛ soronko no wɔ asiane kɛse mu. Titiriw no, wobu nnipa a wɔn septum a ɛdannan no wɔ asiane kɛse mu.

Nnipa a wɔadi mfe 30 ne 40 na wɔtaa hu saa yare yi. Afei nso, sigaretnomfo wɔ asiane kɛse mu sɛ wobenya saa tebea yi.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Susuw nea ɛbɛba sɛ wo sinus cavities no so tew na w'ani kɔ so kɔ mu Sɛ wɔansa a, saa ``Silent Sinus Syndrome'' yi betumi akɔ so aka wo sinus no na ama wo sɛnkyerɛnne ahorow no asɛe kɛse. Ebia w’ani anaa w’ani abien no nyinaa bɛkɔ fam kɛse na w’aniwa no nso akɔ fam kɛse. Bere kɔ so no, eyi betumi ama ``Peripheral vision loss'' aba, a ɛyɛ tebea a wuhu nneɛma fi nkyɛnkyɛn na wuhu te sɛ nea worehwɛ wɔ tube mu. Ɛnyɛ ɛno nko, na mmom ebetumi de akwahosan ho haw afoforo nso aba.

Wobɛyɛ dɛn ahu yare yi pɛpɛɛpɛ?

Sɛ wowɔ saa nsɛnkyerɛnne yi a, sɛ wudi kan kɔ oduruyɛfo nkyɛn a, ɔbɛhwehwɛ wo mu na wabisa wo yare no ho sɛnkyerɛnne. Afei, wobetumi de wo akɔ aso, hwene, ne menewa ho ɔbenfo nkyɛn (aso ne hwene ho oduruyɛfo, anaa ENT oduruyɛfo).

Oduruyɛfo a ɔyɛ ɔbenfo no bɛhwɛ w’ani yiye na wagyina wo sɛnkyerɛnne ahorow so ahu tebea no. Ɔbɛhwehwɛ nneɛma te sɛ aniwa a akɔ fam, aniwa a ahwe ase, ne aniwa a ahwe ase.

Sɛ wobɛsi saa tebea yi so dua a, wo duruyɛfoɔ nso bɛtumi abisa wo sɛ yɛ ``CT scan`` (Computed Tomography scan). Eyi tumi hu tebea a sinus cavities no wom pefee.

Dɛn ne ayaresa ahorow a wɔde sa eyi? So wobetumi asa no yare?

Asɛmpa no ne sɛ, yiw, wɔ nsɛm dodow no ara mu no , oprehyɛn ne tebea yi (Silent Sinus Syndrome) ayaresa. Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ:

• Antrostomy: Nea ɛka eyi ho ne sɛ wɔde endoscope, afiri a ɛyɛ tratraa a mfoninitwa afiri wom, bedi dwuma de ayi akisikuru a ɛwɔ sinus no mu no afi hɔ na ama nsu a ɛwɔ mu no akɔ yiye. Ɛsan nso ma sinus cavity a ɛde ɔhaw no reba no bue. Mpɛn pii no eyi hyɛ endoscopic sinus oprehyɛn no mu.
• Orbital fam a wosiesie: Wɔ tebea horow bi mu no, ebia oprehyɛn nso bɛka orbital fam a wosiesie ho. Nanso, nnuruyɛfo binom ka sɛ ɛnyɛ bere nyinaa na eyi ho hia.

Wɔ saa ayaresa ahorow yi akyi no, ahurututu no mu ntini no fi ase yɛ adwuma sɛnea ɛsɛ bio, na sɛnkyerɛnne te sɛ aniwa mu nsu a ɛtɔ no betumi asan aba sɛnea na ɛte kan no.

Anidaso bɛn na wubetumi anya wɔ ayaresa akyi?

Dodow a wuhu saa ``Silent Sinus Syndrome'' tebea yi ntɛm no, dodow no ara na eye ma wo. Afei wubetumi asiw aniwa mu nsɛnnennen a emu yɛ den ano na wode ``Endoscopic sinus oprehyɛn'' nkutoo adi ɔhaw no ho dwuma, a enhia sɛ woyɛ oprehyɛn kɛse (te sɛ ``Orbital floor repair'').

Sɛ wɔansa, sɛnea yɛadi kan aka no a, tebea no betumi asɛe na ɛde nsɛnnennen te sɛ aniwa a ɛyera wɔ nipadua no akyi, aniwa a ɛyɛ mmerɛw, ne aniwa a ɛyɛ mmerɛw aba. Enti, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Nokwarem no, saa ``Silent Sinus Syndrome'' yi yɛ tebea a ebetumi aka obiara. Esiane sɛ nhwehwɛmufo nnya nhuu nea ɛde eyi ba ankasa nti, ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw ano. Nanso, sɛ biribi a ɛnteɛ wɔ hwene mu a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne foforo biara, te sɛ w’ani a wote nka sɛ akɔ fam, w’ani a ahwe ase, anaa w’ani a ahwe ase a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Ebia eyinom yɛ nneɛma a ɛnyɛ den, nanso ɛho hia sɛ wohwɛ hu sɛ aniberesɛm biara nni hɔ.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, nsɛm a ɛte sɛ eyi a wubebisa no betumi aboa wo ma woate tebea no ase yiye:

• Ɛyɛɛ dɛn na minyaa saa ``Silent Sinus Syndrome'' yi?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ebegye na obi ho atɔ no wɔ oprehyɛn akyi? Dɛn na ɛsɛ sɛ ɛhaw me wɔ saa bere no mu?
• So biribi wɔ hɔ a metumi ayɛ de asiw saa ``Silent Sinus Syndrome'' yi ano bio?

So edin foforo bi wɔ hɔ a wɔde frɛ eyi?

Yiw, wɔde din afoforo pii frɛ saa ``Silent Sinus Syndrome'' yi. Sɛ nhwɛso no, wɔde ``Chronic maxillary atelectasis'' ne ``Imploding antrum syndrome'' na edi dwuma. Nanso, nhwehwɛmufo binom bu eyinom sɛ tebea horow a ɛsono emu biara, na ɛyɛ pɔtee.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

Okay, enti mewɔ anidaso sɛ seesei woanya adwene pa wɔ nea yɛaka ho asɛm no ho, ``Silent Sinus Syndrome.`` Kae, ɛwom sɛ eyi yɛ tebea a ɛntaa nsi de, nanso ebetumi aka aniwa no esiane yɛn sinus cavities a asiw nti.

Adeɛ a ɛho hia paa ne sɛ, sɛ wohunu nsakraeɛ foforɔ anaa soronko biara wɔ w’anim, titire wɔ w’ani ho – te sɛ aniwa a akɔ fam anaa aniwa a ɛrehwe ase – mmu w’ani ngu so. Ebia ɛnyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Nanso, ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na wahu nea ɛrekɔ so ankasa na sɛ ɛho hia a, wufi ase sa yare no ntɛm ara sɛnea wubetumi. Eyi bɛboa ma wɔasiw nsɛnnennen a ɛho nhia ano. W’akwahosan ne ade a ɛho hia yɛn sen biara!

` Sinus syndrome a ɛyɛ komm, aniwa a ɛsensɛn nsu mu, sinus, enophthalmos, hypoglobus, hwene mu, ENT