Yala i ɲɛ bɛ i n’a fɔ a bɛ ka jigin a kɔnɔ wa? An ka kuma Syndrome Sinus Silent kan!

Yala aw delila ka fɛn dɔ kɔlɔsi aw ɲɛda fan kelen na, kɛrɛnkɛrɛnnenya la ɲɛ yɔrɔ lamini na wa? N’a sɔrɔ i ɲɛ bɛ jigin dɔɔni kɔnɔ, walima i ɲɛkisɛ bɛ jigin wa? Hali ni ninnu bɛ se ka kɛ i n’a fɔ ko fitininw, tuma dɔw la, cogoya dɔ bɛ se ka kɛ o kɔfɛ, an ma fɛn caman mɛn min ko la, nka a nafa ka bon k’a dɔn. O bana sugu dɔ bɛ wele ko ‘Silent Sinus Syndrome’. Tɔgɔ in bɛ se ka kɛ kabako ye dɔɔnin, nka an k’a nɔgɔya.

Sindrome silencieux ye mun ye?

N’an y’a Fɔ a nɔgɔya la, nin ye bana ye min bɛ an nugu lamini yɔrɔw de la, n’u bɛ Weele ko ‘sinus’. A bɛ nɔ bila an nugu fan fila bɛɛ la, a bɛ wele ko `(Maxillary sinuses)`. O cogo la, ɲɛ kelen walima tuma dɔw la, ɲɛ fila bɛɛ bɛ jigin dɔɔni kɔnɔna na (`(Enophthalmos)`). Walima ɲɛkisɛ bɛ jigin ɲɛkisɛ la (`(Eye socket)`). Aw bɛ miiri a la i n’a fɔ balon min bɛ fiɲɛ bɔ ani ka dɔgɔya, o bɛ kɛ barisa an ka sinji kogow bɛ sɔgɔsɔgɔ ka taa kɔnɔna na. Ɲɛkisɛ duguma, min bɛ i n’a fɔ o sinjiw sanfɛla, o bɛ jigin o cogo la.

O kunba ye ko sinjiw bɛ datugu. O kɔ, fɛnɲɛnamafagalan minnu bɛ sinji kɔnɔ, olu tɛ se ka bɔ ka dalajɛ, wa waati tɛmɛnen kɔfɛ, u bɛ segin ka don farikolo la. O de kosɔn, bɔgɔdaga dɔ bɛ Dabɔ sinji kɔnɔna na, o kɔnɔna bɛ Dɔgɔya dɔɔni dɔɔni. O waati de la ɲɛ bɛ jigin.

Daɲɛ ‘makun’ bɛ fara a kan barisa a ka ca a la dimi tɛ bana in na. Nka, ɲɛda cogoya, kɛrɛnkɛrɛnnenya la a fan kelen fɛ, o bɛ se ka kɛ ɲɔgɔndan ye. A ka ca a la, a bɛ ɲɛda fan kelen dɔrɔn de minɛ, nka a man teli, a bɛ se ka kɛ ɲɛda fan fila bɛɛ la. Furakɛli nafa ka bon walasa ka bana taamasiɲɛw bali ka juguya ani ka gɛlɛyaw bali i n’a fɔ ɲɛda lamini yeli walima tunɛri yeli.

Nin bana in ka ca cogo di?

Tiɲɛ na, nin bana in min bɛ wele ko ``Silent Sinus Syndrome'' , o man ca kosɛbɛ . A sɔrɔla fɔlɔ ani a ɲɛfɔra san 1964. Kabini o waati, bana damadɔ dɔrɔn de sɔrɔla diɲɛ kɔnɔ, n’o ye 100 ɲɔgɔn ye. O la, kuma caman tɛ kɛ o ko la.

A taamasiɲɛw ye mun ye? I bɛ se k’u dusukunnataw dɔn cogo di?

``Silent Sinus Syndrome'' taamasiɲɛw ka teli ka bɔ dɔɔni dɔɔni dɔgɔkun caman kɔnɔ ka se kalo caman ma. Nka, tuma dɔw la, o taamasiɲɛw bɛ se ka ye joona. Taamasiɲɛ yelenba minnu bɛ ye, olu ye fɛn caman yeli ye i ɲɛda cogoya la.

• Enophthalmos : Nin ye bana taamasiɲɛ ye min ka teli ka kɛ. A bɛ se ka fɔ ko banabagatɔ bɛɛ bɛ a sɔrɔ. Ɲɛ kuru hakɛ bɛ se ka bɔ milimɛtɛrɛ 2 la ka se milimɛtɛrɛ 6 ma.
• Ɲɛkisɛw jiginni duguma (`(Hypoglobus)`):Banabagatɔ tilancɛ ɲɔgɔn bɛ nin taamasiɲɛ in sɔrɔ. O kɔrɔ ye ko ɲɛkisɛ jiginna ɲɛkisɛ la. O bɛ se ka kɛ milimɛtɛrɛ 1 fo 6 ɲɔgɔn ye.
• Yɛlɛma donna ɲɛkisɛ la : Yɛlɛma donna ɲɛkisɛ sanfɛla jɔyɔrɔ la banabagatɔ 88% ɲɔgɔn na.
• Yeli fila (`(Diplopie)`): Kalanba fila y’a jira ko banabagatɔ 28% ni 65% cɛ bɛ bana dɔ sɔrɔ, u bɛ fɛn fila ye siɲɛ kelen.

Ka fara nin taamasiɲɛ kunbaba ninnu kan, taamasiɲɛ damadɔ wɛrɛw bɛ se ka sɔrɔ:

• Ptosis (walima Blepharoptosis): Ɲɛkisɛ sanfɛla bɛ jigin walima ka jigin.
• Ɲɛkisɛ: Ɲɛkisɛw bɛ jigin, o b’a to a bɛ kɛ i n’a fɔ ɲɛw bɛ sɔgɔsɔgɔ.
• Yelibaliya: A ka gɛlɛn ka fɛnw ye ka jɛya ani ka gɛlɛya sɔrɔ ka i hakili to a la.
• Sinkɔrɔkɛrɛdimi: Sinsinnanw fununi ni banakisɛw bɛ sɔrɔ a la.
• Rhinorrhea (nugu bɔli): Ji bɛ bɔ nugu la min bɛ bɔ nugu la, a bɛ i n’a fɔ nɔgɔ.
• Nu kɔfɛla jibɔ : Nɔgɔ tɛmɛnen bɛ caya ka ji bɔ ka jigin galaka kɔfɛ .
• Ɲɛda degun walima dimi : Dimi walima dimi bɛ kɛ sinji yɔrɔw la, i n’a fɔ ɲɛ, ɲɛda ani ɲɛda lamini.

Mun na sinkɔrɔkɛrɛdimi bɛ kɛ? O sababu ye mun ye?

Kabini bana in Sɔrɔla, ɲininikɛlaw Nàna ni hakilina suguya caman ye a sababuw kan. Mɔgɔ caman dalen b’a la ko nin bana in sababuba ye an nugu yɔrɔ dɔ datuguli ye min bɛ wele ko ``osteomeatal complex.'' Nin ``osteomeatal complex'' in ye fɛn nɔgɔlen ye min bɛ nɔgɔ ni fiɲɛ dɛmɛ ka bɔ nugu la. Ni an b’a fɛ k’a fɔ tigitigi, a bɛ i n’a fɔ an ka sinjiw dondaw.

O yɔrɔw bɛ se ka datugu kun suguya caman kosɔn. Ni u datugulen don, fɛnɲɛnamafagalanw bɛ lajɛ sinji kɔnɔ. Waati tɛmɛnen kɔfɛ, an farikolo bɛ o fɛnɲɛnamafagalan dalajɛlenw minɛ tuguni. Min bɛ Kɛ o ye ko vacuum (`(Vacuum effect)`) bɛ Dabɔ sinus kɔnɔna na. O degun kuntaalajan in sababu fɛ, sinji kogow bɛ sama dɔɔni dɔɔni ka taa kɔnɔna na ka dɔgɔya. O de kosɔn, ɲɛdawolo duguma (`(Orbital floor)`) min bɛ sinji sanfɛ, o bɛ sama ka jigin. O yɛrɛ bɛ se ka kɛ sababu ye ka kolotugudaw ka fin ani ka u cogoya Changer.

Jɔn de ka teli ka nin ko in sɔrɔ?

Mɔgɔ o mɔgɔ bɛ se ka nin bana in sɔrɔ, min bɛ wele ko ``Silent Sinus Syndrome.`` Nka, nugu farikolo cogoya tɛ kelen ye mɔgɔ minnu na, olu farati ka bon. Kɛrɛnkɛrɛnnenya la, mɔgɔ minnu ka septum deviated bɛ jate faratiba la.

Nin bana in ka teli ka sɔrɔ mɔgɔw la minnu si bɛ san 30 ni san 40 la. Ani fana, sigarɛtiminnaw ka farati ka bon ka nin bana in sɔrɔ.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ ni a ma furakɛ?

Miiri k’a filɛ min bɛna kɛ ni aw ka sinjiw bɛ dɔgɔya ani ni aw ɲɛw bɛ to ka jigin a kɔnɔ Ni aw ma furakɛ, nin ``Silent Sinus Syndrome'' in bɛ se ka taa a fɛ ka aw ka sinjiw degun ani ka aw ka bana taamasiɲɛw juguya. Aw ɲɛ walima aw fila bɛɛ bɛ se ka jigin ka taa a fɛ ani aw ɲɛkisɛw bɛ se ka jigin ka taa a fɛ. Waati tɛmɛnen kɔfɛ, o bɛ se ka kɛ sababu ye ka ``Peripheral vision loss'' sɔrɔ, o ye bana ye min na i bɛ fɛnw ye ka bɔ kɛrɛ fɛ, k’a ye i n’a fɔ i bɛ ka filɛli kɛ tubabukan na. O dɔrɔn tɛ, a bɛ se ka kɛ sababu ye ka kɛnɛyako gɛlɛya wɛrɛw fana lase mɔgɔ ma.

Aw bɛ nin bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Ni nin taamasiɲɛ ninnu bɛ aw la, ni aw bɛ taa dɔgɔtɔrɔso la fɔlɔ, a bɛna aw sɛgɛsɛgɛ ka aw ka bana taamasiɲɛw ɲininka. O kɔ, aw bɛ se ka taa tulo, nugu ani galakala dɔgɔtɔrɔ dɔ fɛ (tulolamini dɔgɔtɔrɔ, walima ENT dɔgɔtɔrɔ).

Kɛrɛnkɛrɛnnenya la, dɔgɔtɔrɔ bɛna aw ɲɛw sɛgɛsɛgɛ ka ɲɛ ani ka bana in sɛgɛsɛgɛ ka kɛɲɛ ni aw ka bana taamasiɲɛw ye. A bɛna fɛnw ɲini i n’a fɔ ɲɛw jigintɔ, ɲɛkisɛw jigintɔ, ani ɲɛkisɛw jigintɔ.

Walasa ka nin bana in dafa, dɔgɔtɔrɔ bɛ se fana k’a ɲini aw fɛ aw ka ``CT scan`` (Computed Tomography scan) kɛ. O bɛ se ka sinjiw cogoya ye ka jɛya.

O furakɛcogo jumɛnw bɛ yen? Yala a bɛ se ka furakɛ wa?

Kibaru duman ye ko, ɔwɔ, a ka ca a la , opereli de ye nin bana in furakɛli ye (Silent Sinus Syndrome). Opereli suguya fila de bɛ yen:

• Antrostomy (Antrostomie) : O ye ka baara kɛ ni endoskopu ye, o ye minɛn finman ye min bɛ ni kamera ye, walasa ka sinbara kɔnɔna datugulen bɔ ani ka a to fɛnɲɛnamafagalanw ka bɔ ka ɲɛ. A bɛ sinji dabɔli fana bonya min bɛ gɛlɛya lase mɔgɔ ma. A ka ca a la, o bɛ don sinji opereli endoskopi la.
• Orbital floor repair: Tuma dɔw la, opereli bɛ se ka kɛ fana ka orbital floor dilan. Nka, dɔgɔtɔrɔ dɔw b’a fɔ ko o man kan tuma bɛɛ.

Nin furakɛli ninnu kɔfɛ, sinjiw bɛ daminɛ ka baara kɛ ka ɲɛ tuguni, wa taamasiɲɛw i n’a fɔ ɲɛ bɔli bɛ se ka segin u cogo kɔrɔ la.

Jigiya sugu jumɛn bɛ se ka sɔrɔ i la furakɛli kɔfɛ?

Ni aw ye nin ``Silent Sinus Syndrome'' bana in dɔn joona, a ka fisa aw ma. O kɔfɛ, aw bɛ se ka ɲɛ gɛlɛya jugumanw bali ani ka gɛlɛya in ɲɛnabɔ ni ``Endoscopique sinus opereli'' dɔrɔn ye, k'a sɔrɔ aw mago tɛ operelibaw la (i n'a fɔ ``Orbital floor repair'').

Ni a ma furakɛ, i n’a fɔ a fɔra cogo min ka tɛmɛ, bana in bɛ se ka juguya ani ka gɛlɛyaw lase mɔgɔ ma i n’a fɔ ɲɛda lamini ɲɛnamini, ɲɛnamini, ani yelikɛbaliya. O la, a nafa ka bon ka dɔgɔtɔrɔ ka ladilikan ɲini joona.

Yala fɛɛrɛ bɛ yen min bɛ se ka o bali wa?

Tiɲɛ na, nin ``Silent Sinus Syndrome'' in ye bana ye min bɛ se ka mɔgɔ bɛɛ minɛ. Ikomi ɲininikɛlaw ma o sababu tigitigi Sɔrɔ fɔlɔ, fɛɛrɛ kɛrɛnkɛrɛnnen tɛ yen min bɛ Se k’a bali ka Kɛ. Nka, ni fɛn dɔ bɛ nugu la, a nafa ka bon ka dɔgɔtɔrɔ dɔ ka ladilikan ɲini.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni taamasiɲɛ kura dɔw bɛ aw la, i n’a fɔ aw ɲɛ bɛ jigin, ɲɛkisɛ bɛ jigin, walima ɲɛkisɛ bɛ jigin, aw ye aw jija ka taa dɔgɔtɔrɔso la. Ninnu bɛ se ka kɛ fɛn nɔgɔmanw ye, nka a nafa ka bon ka a lajɛ ko foyi jugu si tɛ yen.

Aw ka kan ka ɲininkali jumɛnw kɛ aw ka dɔgɔtɔrɔ la?

Ni aw taara dɔgɔtɔrɔso la, ni aw ye nin ɲininkali ninnu kɛ, o bɛ se ka aw dɛmɛ ka ko in faamuya ka ɲɛ:

• Ne ye nin ``Silent Sinus Syndrome'' in sɔrɔ cogo di?
• Aw bɛ furakɛli jumɛnw fɔ?
• Yala ne ka kan ka opereli kɛ wa?
• A bɛna waati joli ta walasa ka kɛnɛya opereli kɔfɛ? Ne ka kan ka hami mun na o waati kɔnɔ?
• Yala fɛn bɛ yen ne bɛ se ka min kɛ walasa ka nin ``Silent Sinus Syndrome'' in bali ka kɛ tugun wa?

Yala tɔgɔ wɛrɛ bɛ o la wa?

Ɔwɔ, nin ``Silent Sinus Syndrome'' in bɛ wele ni tɔgɔ damadɔ wɛrɛw ye. Misali la, ``Atelectasis chronique maxillaire'' ani ``Syndrome antrum implodant'' bɛ kɛ. Nka, ɲininikɛla dɔw b’a jate ko ninnu ye cogoya kɛrɛnkɛrɛnnenw ye minnu tɛ kelen ye.

O la sa, fɛn jumɛnw nafa ka bon kosɛbɛ an ka kan ka an hakili to minnu na nin bɛɛ la?

O bɛ ɲɛ, o la ne jigi b’a kan ko sisan aw ye hakilina ɲuman sɔrɔ an tun bɛ kuma min kan, ``Silent Sinus Syndrome.`` Aw ye aw hakili to a la, hali ni nin ye bana ye min man teli ka kɛ, a bɛ se ka ɲɛw degun ka a sababu kɛ an ka sinus dingɛw datuguli ye.

Min nafa ka bon kosɛbɛ, o ye ko ni aw ye fɛn kura walima fɛn dɔ kɔlɔsi min tɛ deli ka kɛ aw ɲɛda la, kɛrɛnkɛrɛnnenya la aw ɲɛ lamini na – i n’a fɔ ɲɛ jiginen walima ɲɛkisɛ min bɛ jigin – aw kana aw ɲɛmajɔ o la. A bɛ se ka kɛ ko o tɛ haminanko ye. Nka, a ka fisa aw ka taa dɔgɔtɔrɔso la walasa ka a dɔn tigitigi min bɛ ka kɛ, ani ni a mago bɛ a la, aw bɛ furakɛli daminɛ joona. O bɛna dɛmɛ ka gɛlɛya kunntanw bali. Aw ka kɛnɛya de nafa ka bon an bolo kosɛbɛ!

` Sinsin silent syndrome, ɲɛda wulilenw, sinus, enophtalmos, hypoglobus, nugulatumu, ENT