Miiri k’a filɛ, opereli kɛra i nugu datugulen na, ani i y’a miiri ko i bɛna se ka ninakili ka ɲɛ sisan. Nka hali opereli kɔfɛ, aw bɛ a ye hali bi ko a datugulen don ani a ninakili ka gɛlɛn kosɛbɛ. Ni dɔgɔtɔrɔ y’i sɛgɛsɛgɛ, a b’a fɔ ko fɛn si tɛ i nugu kɔnɔ, wa ko tɛmɛsira dabɔlen don pewu. Nin dusukunnata kabakoma in, min bɛ ɲɔgɔn sɔsɔ, o de ye an bɛ kuma min kan bi, n’o ye Nugu lankolon (ENS) ye. I n’a fɔ a tɔgɔ b’a jira cogo min na, nin bana in min bɛ wele ko ‘nugu lankolon’, o man ca kosɛbɛ, wa a fana ye fɛn ye min bɛ degun caman lase mɔgɔ caman ma.
Nin bana in bɛ wele mun ma ko Nugula lankolon?
N’an y’a fɔ cogo nɔgɔman na, nugu lankolon (ENS) ye waati ye ni i y’a ye ko i nugu datugulen don ani i tɛ se ka ninakili, hali ni yɔrɔ caman bɛ yen ka ninakili i nugu fɛ. A ka ca a la o bɛ se ka kɛ nugu opereli kɔfɛ.
Fɛn misɛnnin saba bɛ an nugu kɔnɔ minnu bɛ i n’a fɔ tabali, n’u bɛ wele ko ‘Turbinates’. U ka baara kunba ye an bɛ fiɲɛ min sama, k’o saniya, k’a mɔ, k’a sumaya, k’o ci fogonfogon ma. Tuma dɔw la, ka a sababu kɛ fɛnw ye i n’a fɔ faritanabana ni banakisɛw, o turbinate ninnu bɛ se ka funu ani ka nugulatumu bila mɔgɔ la. O cogo la, dɔgɔtɔrɔw bɛ opereli kɛ walasa ka o turbinate ninnu bonya dɔgɔya (Turbinate reduction surgery). Tuma dɔw la, a ka kan ka o turbinate ninnu yɔrɔ dɔ bɔ (Partial turbinectomy) walima pewu (Complete turbinectomy).
O opereli ninnu fanba bɛ ɲɛ. Nka, a man teli kosɛbɛ , ni turbinate farikolo yɔrɔ caman bɔra walima ni u tiɲɛna opereli senfɛ, ENS bɛ se ka kɛ. O bɛ se ka kɛ sababu ye ka aw kɛ i n’a fɔ aw bɛ ka sɔgɔsɔgɔ, hali ni aw nugulayɔrɔw dabɔlen don hali bi. A bɛ iko puzzle.
Mun bɛ kɛ sababu ye ka ENS sɔrɔ?
Sɛgɛsɛgɛli bɛ senna hali bi ENS sababu tigitigi kan, nka a bɛ fɔ ko a bɛ sɔrɔ turbinate (turbinate) bɔli kojugu fɛ nugu opereli waati.
Miiri k’a filɛ, an nugu tɛ tubabukan dɔrɔn ye min bɛ fiɲɛ bila ka tɛmɛ. O ye sigida ye min ka gɛlɛn kosɛbɛ.
- Nɛrɛmugu tiɲɛni : Nɛrɛ misɛnnin dɔw bɛ o turbinate ninnu sanfɛ minnu bɛ fɛnw dɔn i n’a fɔ fiɲɛ tansiyɔn ni funteni. Ni an bɛ ninakili, o nɛrɛmuguw bɛ taamasiyɛn ci kunkolo ma min bɛ "fiɲɛ don sisan." Ni o nɛrɛmuguma ninnu bɔra walima ni u tiɲɛna opereli senfɛ, hakili tɛ o taamasiɲɛ sɔrɔ. Sugunɛ b'a kɔrɔ fɔ ko "Ne tɛ se ka ninakili, ne nugu datugulen don."
- Fiɲɛbɔcogo bɛ Changé: Ni nugu kɔnɔ yɔrɔ bɛ bonya kojugu opereli kɔfɛ, fiɲɛbɔyɔrɔ bɛ taa tilennen dɔrɔn. A bɛ turbinate (turbinates) gosi, ka girin, wa a tɛ jigin. O bɛ se ka kɛ sababu ye ka kunsɛmɛ a kɛ i n’a fɔ a bɛ ninakili ka ɲɛ.
- Banakisɛw ka balanbaliya : Numugu min bɛ nugu la, o bɛ dɛmɛ ka banakisɛ kɛnɛmanw lakana. Ni nin layini in tiɲɛna opereli fɛ, banakisɛ kɛnɛmanw bɛ se ka dɔgɔya ani banakisɛ jugumanw bɛ se ka bonya. O bɛ se ka dɔ fara banakisɛw ni ENS taamasiɲɛw kan.
Nugu lankolon (ENS) taamasiɲɛw ye jumɛnw ye?
ENS taamasiɲɛw bɛ se ka ye dɔgɔkun caman, kalo caman walima hali san caman opereli kɔfɛ. Nin taamasiɲɛ ninnu bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la.
| A taamasiɲɛ suguya | Cogojirali |
|---|---|
| Taamasiɲɛ minnu bɛ sɔrɔ ninakili fɛ | Ninakili gɛlɛya, nugulatumu bɛ kɛ tuma bɛɛ, nɛnɛ bɛ kɛ nugu la ni ninakili bɛ, ninakilidegun walima i bɛ jigin. |
| Taamasiɲɛ minnu bɛ nugu ni dawolo la | Nu ni dawolo jalen kojugu, nugu joli bɔli, nɔgɔ bɔli dɔgɔyali, nugu kurulen, ani nugu kɔfɛ ji bɔli. |
| Farikolo cogoya wɛrɛw | Kungolodimi tuma caman, ɲɛnamini, kasa mɛnni dafalen walima a dɔgɔyali (anosmia), dumuni duman dɔnni dɔgɔyali (ageusia), sɛgɛnba, sunɔgɔbaliya. |
Jɛɲɔgɔnya min bɛ ENS ni hakili kɛnɛya cɛ
Nin ye hakilina ye min nafa ka bon kosɛbɛ. Ni i b’a ye ko ninakili gɛlɛya bɛ i la tuma bɛɛ ani ko i dalen tɛ a la, o bɛ se ka nɔba bila mɔgɔ hakili kɛnɛya la . ENS bɛ mɔgɔ minnu na, olu dɔw ye:
- Jɔrɔ
- Farifaga
- Sebaliya ka i hakili to a la
- Dimi min bɛ kɛ tuma caman na
Kow i n’a fɔ: olu ka ca. Kalan dɔw y’a jira ko ENS bɛ mɔgɔ minnu na, fo ka se 70% ma, olu bɛ degun sɔrɔ.
Nafama: Ni aw walima aw dɔnbaga dɔ bɛ ka miiri a la ka kojugu kɛ a yɛrɛ la, aw bɛ taa dɔgɔtɔrɔso la joona, walima aw bɛ taa kɔrɔtɔko ɲɛmɔgɔso la (ETU) dɔgɔtɔrɔso la min ka surun aw la. A nafa ka bon kosɛbɛ ka kuma o kan ani ka dɛmɛ ɲini.
Yala ENS ye bana yɛrɛ de ye wa? Dɔgɔtɔrɔ bɛ a sɛgɛsɛgɛ cogo di?
Ɔwɔ, ENS ye furakɛli bana ye min bɛ kɛ tiɲɛ na, nka a man ca kosɛbɛ. O de kama a sɛgɛsɛgɛli bɛ se ka gɛlɛya tuma dɔw la barisa sɛgɛsɛgɛli tɛ a jira ko nugu kɔnɔna datugulen don.
Dɔgɔtɔrɔ bɛna baara kɛ ni i ka bana taamasiɲɛw ni opereli tariku ye kosɛbɛ walasa ka ENS sɛgɛsɛgɛ. Ani fana,
- Endoskopu, tubabufura fitinin min bɛ ni kamera ye, o bɛ se ka kɛ ka nu kɔnɔna sɛgɛsɛgɛ.
- CT walima MRI sɛgɛsɛgɛli bɛ se ka kɛ walasa ka sababu wɛrɛw bɔ a la (misali la, nugulatumuw, kansɛri).
- "Cotton Test": Nin ye sɛgɛsɛgɛli ye min ka nɔgɔn kosɛbɛ, nka a nafa ka bon. Dɔgɔtɔrɔ bɛ bɔgɔmugu min su ji la, o bila aw nugu kɔnɔ, turbinate tun bɛ yɔrɔ min na fɔlɔ. Miniti 20-30 ɲɔgɔn kɔfɛ, u bɛna a lajɛ ni aw ka bana taamasiɲɛw i n’a fɔ ninakilidegun ni jalen bɛ ɲɛ. Ni o taamasiɲɛ suguw ɲɛnabɔra hali waati dɔɔni kɔnɔ, o ye taamasiɲɛ barikama ye min b’a jira ko ENS bɛ aw la.
ENS furakɛcogo jumɛnw bɛ yen?
Fura tɛ ENS la, nka fɛɛrɛ caman bɛ yen ka bana taamasiɲɛw kunbɛn ani ka ɲɛnamaya kɛcogo ɲɛ .
- Aw bɛ nugu ko: Ni aw bɛ kɔgɔjifiyɛlanw walima jeliw kɛ, ka ji caman min tile bɛɛ kɔnɔ, ani ka nugulama kɛ sugo la, o bɛ se ka dɔ bɔ nugu jalen na.
- CPAP masin : Mɔgɔ dɔw b’a ye ko ni aw bɛ CPAP masin kɛ ni aw bɛ sunɔgɔ, o bɛ dɛmɛ ka nɛnɛ ni fiɲɛ mara.
- Fura : Dɔgɔtɔrɔ bɛ se ka furaw di aw ma minnu bɛ joli siraw bonya aw nugu la ani ka dɛmɛ don ka ɲɛgɛnɛsira funu dɔgɔya.
- Opereli : Ni bana taamasiɲɛw ka jugu, opereli bɛ se ka kɛ walasa ka turbinate bɔlenw bila fɛn dɔ bila u nɔ na. O bɛ se ka kɛ ni fɛn dilannenw ye i n’a fɔ Gore-Tex walima fɛn minnu bɛ bɔ hadamaden farikolo yɔrɔw la i n’a fɔ acellular dermis walima platelet-rich plasma (PRP). O bɛ baara kɛ ni nugu kɔnɔna yɔrɔ dɔgɔyali ye, ka fiɲɛbɔyɔrɔ dɔgɔya, ani k’a ɲini ka ninakilicogo segin a cogo kɔrɔ la.
Take-Home cikan
- Nugu lankolon (ENS) ye furakɛli bana ye min man teli ka sɔrɔ nka a bɛ kɛ tiɲɛ na, a bɛ se ka kɛ nugu opereli kɔfɛ, o la, nugu bɛ kɛ i n’a fɔ a bɛ datugu hali ni a lankolon don.
- O kunba bɛ jate ka kɛ turbinate (turbinate) caman bɔli ye nugu la opereli waati.
- Farikolola taamasiɲɛw i n’a fɔ ninakili gɛlɛya, nugu jalen, ani kasa bɔli, ka fara hakili ta fan fɛ nɔw kan i n’a fɔ degun ni jɔrɔnanko.
- Ni aw ye nugu opereli kɛ, ni nin taamasiɲɛ ninnu bɛ aw la, a nafa ka bon kosɛbɛ aw ka kuma aw tulo, nugu ani galaka (ENT) operelikɛla fɛ o ko la.
- Hali ni a tɛ se ka kɛnɛya pewu, fura dɔw bɛ yen minnu bɛ se ka bana taamasiɲɛw kunbɛn ani ka ɲɛnamaya ɲuman kɛ.
- Ni aw bɛ nugu opereli kɛ, aw bɛ baro kɛ ni dɔgɔtɔrɔ ye ENS farati kan ani opereli nafa ka bon cogo la min bɛ farikolo yɔrɔ caman mara.











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