Ðe nèse ʋuʋudedi alo ʋuʋudedi sue aɖe le wò kɔ ƒe ŋgɔgbe kpɔa? Alo ɖewohĩ, le wò ɖɔkta ƒe dodokpɔ si wowɔna edziedzi me la, egblɔ be, “Aɖuɖɔtoe sue aɖe le ŋuwò.” Nya sia sese ate ŋu ado vɔvɔ̃ na ame godoo, gake taflatse mègatsi dzodzodzoe o! Le go akpa gãtɔ me la, thyroid nodules megblẽa nu kura o. Ke hã, nyanyanana le vevie na wò lãmesẽ. Egbea, mina míadzro nusiwo nye thyroid nodules, siwo wowɔ bɔbɔe na wò ɖeɖeko me.
Nuka Tututue Nye Thyroid Nodule?
Kpuie ko la, thyroid nodule nye lãmenugbagbeviwo ƒe tsitsi si mesɔ o le wò thyroid gland me, si wɔa ƒuƒoƒo sue aɖe.
Be nàkpɔ afisi wòle le susu me la, bu lãkusi sue aɖe si le abe kpakpaluʋui ene si le wò kɔ ƒe ŋgɔgbe, le wò Adam ƒe akɔɖu te tututu ŋu kpɔ. Esiae nye wò lãkusi , si nye lãmenugbagbeviwo ƒe lãkusi vevi aɖe . Ewɔa lãmetsi vevi eve: thyroxine (T4) kple triiodothyronine (T3) . Lãmetsiŋusẽ siawo wɔa dɔ abe wò ŋutilã ƒe dɔdzikpɔla veviwo ene, eye wowɔa dɔ veviwo abe:
- Your metabolism , si nana wònɔa dɔ wɔm nyuie.
- Wò ŋutilã ƒe dzoxɔxɔ.
- Wò seselelãme kple ŋusẽ ƒe agbɔsɔsɔ bliboa.
- Wò dzi ƒe tsotso kple wò dzi ƒe tsotso .
- Wò nuɖuɖumeŋusẽ , be wòanɔ edzi yim edziedzi.
Esi wònye be thyroid gland la wɔa dɔ ale gbegbe ta la, nodules te ŋu dona ɣeaɖewoɣi le eƒe lãmenugbagbeviwo me. Nodules siawo le nɔnɔme vovovowo me:
- Nodule ɖeka kolia (ƒunukpeƒe ɖeka).
- Nodules geɖe (ƒuƒoƒo geɖe).
- Kpe siwo me tsi yɔ fũu, siwo woyɔna be cystic nodules .
- Kpe sesẽ siwo sesẽ keŋkeŋ, siwo woyɔna be nodules sesẽwo .
Nyadzɔdzɔ si naa kakaɖedzi ame wue nye esi: ʋumenugbagbeviɣidɔ siwo wokpɔ le ame tsitsiwo ŋu ƒe 90% kple edzivɔ menye kansa o (siwo menyo o) . Esia fia be zi geɖe la, womegblẽa nu le ame ŋu o. Gake ƒunukpeƒetetedɔ siawo dometɔ siwo ade 4.0% va ɖo 6.5% ate ŋu anye kansa (thyroid cancer) . Esia tae wòle vevie ŋutɔ be woada nodule ɖesiaɖe kpɔ le aɖaŋu me be woaɖee ɖa be dɔléle vɔ̃ɖi aɖeke mele eŋu o. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu afia asi lãkusidɔ bubu siwo gbɔ wòtso hã.
Amekae Le Afɔku Me Be Woaxɔ Thyroid Nodules?
Togbɔ be ʋumenugbagbeviɣidɔ ate ŋu adze ame sia ame dzi—ɖeviwo kple ame tsitsiwo hã le eme—la, ebɔ ɖe nyɔnuwo me ale gbegbe. Le nyateƒe me la, nyɔnuwo ate ŋu axɔ thyroid nodules abe zi gbɔ zi ene ene wu ŋutsuwo .
Tsɔ kpe ɖe eŋu la, wobɔ ɖe xexeame ƒe nuto siwo me iodine ƒe anyimanɔmanɔ le nuɖuɖu me bɔ ɖo wu sã, elabena wò lãkusi hiã iodine hafi wòate ŋu awɔ eƒe lãmetsiwo.
Afɔku vevi bubu siwo ate ŋu ana wò thyroid nodules xɔxɔ nadzi ɖe edzi dometɔ aɖewoe nye:
- Kekeli ƒe atikewɔwɔ ( thyroid radiation ) ƒe ŋutinya na wò kɔ alo lãkusi ƒe akpa si nèzãna.
- Ƒome ŋutinya si me thyroid nodules alo thyroid cancer le.
- Tsitsi (afɔkua dzina ɖe edzi le dzɔdzɔme nu ne èle tsitsim).
- Ʋusɔgbɔdɔ si me iron mele o ƒe amesinɔnɔ .
- Sigaretnono ƒe numame .
- Agbenɔnɔ kple lolo akpa .
- Lãmetsiŋusẽ ƒe dɔléle si le ame ŋu .
- Ahanono edziedzi .
- Insul-like growth factor-1 (lãmetsiŋusẽ vevi aɖe) ƒe agbɔsɔsɔ si dzi ɖe edzi le ʋu me.
- Nyɔnu siwo ŋu vidzidɔ me fibroids le.
Aleke gbegbee Thyroid Nodules Bɔe?
Nodules siawo bɔ ale gbegbe. Le ŋutilãmedɔdada si wowɔna edziedzi me la, ɖɔktawo ate ŋu ase le wo ɖokui me be ʋumenugbagbeviɣidɔ aɖe le ame tsitsi siwo ade 5% va ɖo 7% ŋu . Gake ne míezã ultrasound imaging si sea nu gɔme ŋutɔ la, wokpɔa nodules le ame tsitsi 20% va ɖo 76% me! Esia fia be nodule ate ŋu anɔ ŋuwò bɔbɔe eye màkpɔe adze sii gɔ̃ hã gbeɖe o.
To vovo na ema la, womebɔ ɖe ɖeviwo me kura o.
Ðe Wòle Be Nàtsi Dzi Ðe Thyroid Nodule Ŋua?
Zi geɖe la, mehiã kura be nàtsi dzodzodzoe o. Abe alesi míegblɔe va yi ene la, thyroid nodules ƒe akpa gãtɔ nye esiwo ŋu dɔléle aɖeke mele kura o (menye kansa o). Gake esi wònye be alafa memamã sue aɖe ate ŋu anye lãkusi me dɔdzẽ ta la , ele vevie ŋutɔ be nàbia wò ɖɔkta be wòadae kpɔ nyuie ne èke ɖe ƒunukpeƒetetedɔ aɖe ŋu. Ne eva dzɔ be kansae wònye la, ekpɔkpɔ kaba kple edada kaba hea nu nyuitɔ kekeake si woate ŋu ado tso eme vɛ .
Ðo ŋku edzi be: mègasusui enumake be nusi gblẽ wu alo ti kpo aƒo nya ta ne ède dzesii be ƒu aɖe le eŋu o. Gake ɖoɖowɔwɔ ɖe dɔnyala ƒe numekuku ŋu nye afɔɖeɖe si mele be nàdzo le edzi gbeɖe o.
Nukae Nye Thyroid Nodules ƒe Dzesiwo?
Dzesi aɖeke mele ʋumenugbagbeviɣidɔ akpa gãtɔ ŋu kura o, si fia be àse le ɖokuiwò me be yeƒe lãme sẽ bliboe eye tɔtrɔ aɖeke mava eme le ŋutilã me kura o. Gake ne ƒunukpeƒetetedɔ geɖe le ŋuwò alo ne lãkusi ɖeka tsi lolo ŋutɔ la, àte ŋu ade dzesi ƒunukpeƒetetedɔ aɖe si woate ŋu akpɔ alo esi woate ŋu akpɔ le kɔ me mlɔeba.
Le ɣeyiɣi siwo mebɔ o me la, nodule si lolo ŋutɔ ate ŋu aƒo ɖe xɔ siwo te ɖe eŋu ŋu, si ana:
- Kuxi le nu mimi alo gbɔgbɔ me. Le kpɔɖeŋu me, àte ŋu ase "ƒuƒoƒo" ƒe seselelãme si nɔa anyi ɖaa ne èle nuɖuɖu mimi alo asesẽ vie be nàno tsi.
- Wò gbe ƒe tɔtrɔ, abe gbeɖiɖi si me mekɔ o ene .
- Vevesese si nɔa anyi ɖaa le wò kɔ ƒe ŋgɔgbe.
- Lãmetsiŋusẽ ƒe lãkusi si lolo, si woyɔna zi geɖe be goiter .
Nodules aɖewo, vevietɔ thyroid nodules siwo wɔa dɔ akpa , wɔa dɔ le wo ɖokui si eye wowɔa thyroid hormone agbɔsɔsɔme si gbɔ eme. Esia ate ŋu ahe nɔnɔme aɖe si woyɔna be hyperthyroidism (thyroid si wɔa dɔ fũu akpa) vɛ. Ne edzɔ alea la, àte ŋu akpɔe be:
Hyperthyroidism (Lãmetsiŋusẽ si sɔ gbɔ wu) ƒe dzesiwo .
- Dzi ƒe tsotso kabakaba alo esi le du dzi (dzi ƒe tsotso kabakaba alo dzi ƒe tsotso) .
- Dzimaɖitsitsi si womate ŋu aɖe o alo seselelãme si le ʋuʋum kple/alo dzitsitsi .
- Kpekpeme dzi ɖeɖe kpɔtɔ le manyamanya me , ne wò nuɖuɖudzroame dzi ɖe edzi gɔ̃ hã.
- Nuɖuɖudzroame si dzi ɖe edzi .
- Aɖuɖɔtoe alo aɖuɖɔtoe enuenu kple aɖuɖɔtoe enuenu wu .
- Alɔ̃dɔdɔ sesẽ (alɔ̃madɔmadɔ).
- Lãmetsiŋusẽ ƒe lãkusi si lolo (goiter) .
- Dzinukpɔkpɔ si medzɔna edziedzi o, si le bɔbɔe etɔxɛe alo esi to nyɔnuwo ŋu.
Le go bubu me la, ame aɖewo siwo ŋu thyroid nodules le ate ŋu awɔ thyroid dɔ nyuie o, si wɔnɛ be thyroid hormone ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Woyɔa atikewɔwɔ me dɔléle sia be hypothyroidism , eye eƒe dzesiwo dometɔ aɖewoe nye:
Hypothyroidism (Thyroid Hormones ƒe Dɔmawɔmawɔ nyuie) ƒe Dzesiwo .
- Ðeɖiteameŋu alo ɖeɖiteameŋu si nu me mekɔ o, si nɔa anyi ɖaa.
- Wò asiwo kple asibidɛwo ƒe ʋuʋu kple ʋuʋudedi .
- Kpekpeme ƒe dzidziɖedzi si womeɖe o .
- Edze ƒã be ŋutigbalẽ kple ɖa ƒu, siwo le ƒuƒlu .
- Dɔmeɖui enuenu .
- Dziɖeleameƒo alo blanuiléle ƒe seselelãme .
- Dzinukpɔkpɔ si nu sẽ wu, si nu sẽna le nyɔnuwo me.
Nukae Hea Thyroid Nodules vɛ?
Zi geɖe la, susu si tututu tae thyroid nodule dzɔna la gakpɔtɔ nye nya ɣaɣla. Gake nɔnɔme vovovo geɖe ate ŋu ahe woƒe tsitsi vɛ, si ana woakpɔ nodules ƒomevi vovovowo:
- Colloid nodules: Esiae nye ƒomevi si bɔ wu. Wotsi tre ɖi na lãkusi si sɔ ƒe tsitsi akpa gake womewɔa dɔ nyuie kura o (womenye kansa o). Togbɔ be woate ŋu alolo hã la, womekakana yia ŋgɔ wu wò thyroid gland o.
- Thyroid cysts: Esiawo nye do siwo me tsi yɔ fũ alo esiwo me tsi yɔ fũ. Afɔku si le dɔléle vɔ̃ɖi si le cysts me la le sue ŋutɔ. Gake ne wololo wu sentimeta 2 la, wò ɖɔkta ate ŋu alé ŋku ɖe wo ŋu nyuie alo aɖo aɖaŋu be woaɖe woƒe lãmenugbagbeviwo ɖa .
- Dɔdzẽ ƒe lãkusiwo: Esiawo dzɔna le lãkusi ƒe dɔdzẽ si nɔa anyi didi alo nɔa anyi didi (thyroiditis) ta. Woate ŋu ahe vevesese si le teƒea vɛ alo womahe vevesese vɛ o.
- Multinodular goiter: Ɣeaɖewoɣi la, lãkusi geɖe nɔa lãkusi si lolo (goiter) me. Zi geɖe la, nodules siawo hã nye esiwo me dɔléle aɖeke mele o.
- Thyroid nodules siwo wɔa dɔ fũu akpa: Nodules siawo wɔa thyroid hormones le wo ɖokui si, si ate ŋu axe mɔ ɖe lãkusia ƒe akpa mamlɛa nu eye wòahe ʋumenugbagbeviɣidɔ si gbɔ eme vɛ . Wohiãa atikewɔwɔ si sɔ ɣesiaɣi.
- Thyroid cancer: Le dzɔdzɔme nu la, esiae nye nusi ŋu wotsi dzi ɖo wu ne wokpɔ nodule. Dzɔgbenyuietɔe la, lãkusi me dɔdzẽ mebɔ kura o, eye wòxɔa ʋumenugbagbeviɣidɔ siwo katã woda asɔ la ƒe 6.5% .
Aleke Wokpɔa Thyroid Nodules ƒe Dɔléle?
Àte ŋu ake ɖe nodule aɖe ŋu le ɖokuiwò si ne èse ƒu aɖe le eŋu alo nède dzesii le ahuhɔ̃e me. Alo wò ɖɔkta ate ŋu ase le eɖokui me le kɔ dodokpɔ si wowɔna edziedzi me, alo woate ŋu akpɔe le vo me le nɔnɔmetatawo dodokpɔ (abe ultrasound alo CT scan ene) si wowɔ le atikewɔwɔ ƒe susu bubu kura ta me.
Togbɔ be ʋumenugbagbeviɣidɔ ƒe akpa gãtɔ nye esiwo me dɔlékui aɖeke mele o hã la, ehiã be woada dɔlékuiwutikewo katã kloe kpɔ hafi woate ŋu agbe kansa sue si ate ŋu adzɔ o.
Dodokpɔ Kawoe Nàhiã?
Be wò ɖɔkta nada wò thyroid nodule kpɔ nyuie la, ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema:
- Thyroid ʋudodokpɔ: Esiawo léa ŋku ɖe thyroid hormone ƒe agbɔsɔsɔ si le wò ʋukawo me ŋu. Togbɔ be zi geɖe la, lãmetsiŋusẽ ƒe agbɔsɔsɔ nɔa ɖoɖo nu keŋkeŋ ne nodule le ŋuwò gɔ̃ hã la, emetsonu siwo mesɔ o ate ŋu afia be ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ le ŋuwò.
- Thyroid ultrasound: Dodokpɔ sia si le dedie la zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa wò thyroid ƒe nɔnɔmetata tsitotsito. Ekpena ɖe wò ɖɔkta ŋu wòkpɔnɛ nenye be ƒunukpeƒetetedɔ sesẽ alo tsi yɔe fũ (cystic), elabena ƒunukpeƒetetedɔ sesẽwo ate ŋu axɔ kansa vie. Edzidzea nodule la ƒe lolome tututu hã eye ate ŋu afia mɔ aŋe nyui aɖe ƒe ŋutilã ƒe akpa aɖe ɖeɖe pɛpɛpɛ.
- Fine-needle biopsy: Le dɔwɔwɔ kabakaba sia me la, wò ɖɔkta zãa aŋe si le sue ŋutɔ tsɔ ɖea lãmenugbagbeviwo ƒe kpɔɖeŋu sue aɖe tso nodule la me. Wodoa lãmenugbagbevi siawo kpɔna le nusuekpɔmɔ̃ me le nudokpɔƒe be woakpɔe ɖa be kansa le wo me hã. Ne lãmenugbagbeviwo ƒe dɔwɔwɔ me tsonu metso nya me o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ dodokpɔa ake alo awɔ dɔ na wò atsɔ aɖe lãkusia ɖa ahadae kpɔ.
- Thyroid uptake scan: Le dodokpɔ sia gome la, èmia iodine si me keklẽŋusẽ le sue aɖe si megblẽa nu le ame ŋu o . Emegbe fotoɖemɔ̃ tɔxɛ aɖe léa ŋku ɖe iodine agbɔsɔsɔme si wò lãkusi kple lãkusia xɔna ŋu. Esia naa dɔwɔwɔ ŋuti nyatakaka vevi siwo kpena ɖe wò ɖɔkta ŋu be wòada afɔku si le kansa xɔxɔ me kpɔ eye wòanya mɔnu nyuitɔ kekeake.
Nukae Nye Atikewɔwɔ Tiatia Siwo Woate Ŋu Azã na Thyroid Nodules?
Atikewɔwɔ ƒe ɖoɖoa nɔ te ɖe wò ʋumenugbagbeviɣidɔ ƒe ƒomevi kple nusi gbɔ wòtso koŋ dzi ɣesiaɣi. Tiatia vevi siwo nàte ŋu awɔe nye esi:
- Active surveillance ("Kpɔ eye nàlala"): Ne wò biopsy ɖee fia be nodule la menyo o la, wò kple wò ɖɔktaate ŋu alɔ̃ ɖe edzi be mehiã be woawɔ atike nɛ enumake o. Ke boŋ woawɔ dodokpɔ kple ultrasound na wò edziedzi be nàlé ŋku ɖe nodule la ŋu be tɔtrɔ ɖesiaɖe le eƒe lolome alo dzedzeme ŋu hã.
- Iodine si me keklẽŋusẽ le: Zi geɖe la, ɖɔktawo zãa iodine si me keklẽŋusẽ le tsɔ daa ƒunukpeƒetetedɔ siwo wɔa dɔ fũu akpa alo lãkusi geɖe siwo me ʋu sina tona. Ne wò lãkusi le iodine la xɔm la, lãkusiawo dzi ɖena kpɔtɔna, eye lãmetsiŋusẽ ƒe wɔwɔme gatrɔna yia nɔnɔme si sɔ me.
- Amekoko (Thyroidectomy): Ne kansa le ƒunukpeƒetetedɔ aɖe ŋu, ɖikeke le eŋu ŋutɔ, alo lolo ale gbegbe be wòdo kplamatse wò gbɔgbɔ alo nu mimi la, zi geɖe la, amekoko me ɖeɖee nyea atike si wozãna le sika nu.
Ðe Àte Ŋu Axe Mɔ Ðe Thyroid Nodules Nua?
Esi womenya nusiwo tututu gbɔ thyroid nodules akpa gãtɔ tsona o ta la, zi geɖe la, womate ŋu axe mɔ ɖe wo nu o.
Gake àte ŋu aɖe afɔ aɖewo atsɔ akpɔ afɔku aɖewo gbɔ. Ne lolo akpae nèle agbe ɖo la, wɔ dɔ kple wò ɖɔkta be nàlé wò lolo nyuie me ɖe asi. Ne ènoa atama la, afɔɖeɖewo wɔwɔ be nàdzudzɔ atamanono aɖe vi na wò lãkusi ƒe lãmesẽ bliboa. Azɔ hã, kpɔ egbɔ be yexɔ iodine si sɔ le nuɖuɖu me ; zi geɖe la, kplɔ̃dzidze si me iod le zazã sɔ gbɔ be wòakpɔ wò gbesiagbe nuhiahiãwo gbɔ.
Enyo be míade dzesii be dɔdamɔnu ŋuti numekuku aɖewo ɖee fia be mɔxexeɖefufɔfɔnu siwo woano alo statin siwo ɖea ʋumemi dzi kpɔtɔna nono ate ŋu ado ƒome kple afɔku si le thyroid nodules xɔxɔ me dzi ɖeɖe kpɔtɔ.
Nukae Nye Ɣeyiɣi Didi ƒe Mɔkpɔkpɔ (Nyagblɔɖi)?
Nusiwo wogblɔ ɖi na thyroid nodules siwo me dɔlékui aɖeke mele o nyo ŋutɔ . Wo dometɔ akpa gãtɔ mahiã be woawɔ atike na wo vevie alo ahe kuxiwo vɛ gbeɖe o. Le nyateƒe me la, ƒunukpeƒetetedɔ siwo me dɔlékui mele o ƒe 1% lɔƒo koe hea thyroid ƒe dɔmawɔmawɔ nyuie vɛ , eye woate ŋu ada esiawo ŋutɔ.
Ne nodule aɖe nye dɔléle vɔ̃ɖi la, ɣeyiɣi didi ƒe mɔkpɔkpɔ nɔ te ɖe nu vevi geɖe dzi, siwo dometɔ aɖewoe nye:
- Lãmetsiŋusẽ ƒe dɔdzẽ ƒomevi koŋ .
- Ƒe si nèxɔ le ɣeyiɣi si me wokpɔ dɔlélea le ŋuwò .
- Dɔdzẽa ƒe lolome bliboa .
- Eɖanye be kansa la kaka ɖe lãkusi siwo te ɖe eŋu alo ʋuka siwo me ʋu sina tona me o .
- Eɖanye be ekaka ɖe ŋutilãa ƒe akpa siwo le didiƒe ʋĩ o.
Ne wokpɔe be lãkusi me kansa le ŋuwò la, wò ɖɔkta ate ŋu ana wò lãmesẽnyawo ŋuti nyatakaka tɔxɛ si sɔ na wò ŋutɔ eye wòde pɛpɛpɛ.
Ðe Ðeviwo Ate Ŋu Axɔ Thyroid Nodules?
Thyroid nodules mebɔ ɖe ɖeviwo me boo o ne wotsɔe sɔ kple ame tsitsiwo, togbɔ be wogale nu srɔ̃m tso alesi tututu wòbɔe ŋu hã.
Ele vevie be míade dzesii be ne wokpɔ nodules le ɖeviwo kple ƒewuiviwo me la, afɔku si le wo me be woanye dɔléle vɔ̃ɖiwo lolo vie wu esiwo wokpɔna le ame tsitsiwo me. Togbɔ be ele alea hã la, ɖeviwo ƒe ʋumenugbagbeviɣidɔ siwo wu 75% nye esiwo me dɔléle aɖeke mele kura o .
Dzesiawo, dɔlélewo didi ƒe mɔnuwo, kple atikewɔwɔ ƒe ɖoɖowo na ɖeviwo sɔ kple ame tsitsiwo tɔ koŋ.
Wò Gbedasi si Nàtsɔ Yi Aƒeme
Thyroid nodules bɔ ŋutɔ, eye wo dometɔ akpa gãtɔ magblẽ wò agbenɔnɔ me gbeɖe o. Gake ne èkpɔ ƒu yeye aɖe le wò kɔ ƒe ŋgɔgbe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Togbɔ be nodules akpa gãtɔ mewɔa dɔ nyuie o hã la, eŋutinunyalawo ƒe numekuku koe nye mɔ si dzi woato agbe kansa eye susu nadze akɔ anyi bliboe.
Ne nodule si wokpɔ le ŋuwò xoxo eye wò ɖɔkta ɖo aɖaŋu be nàzã "kpɔ eye nàlala" mɔnu la, mègadzo le wò kplɔkplɔ ɖo ƒe ɣeyiɣiwo dzi o . Dodokpɔ edziedzi le vevie ŋutɔ be woakpɔ egbɔ be nodule la mele tɔtrɔm le ɣeyiɣi aɖe megbe o.
Ne ètsi dzi ɖe afɔku si le wò ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ bubuwo xɔxɔ ŋu la, taflatse ɖo dze faa kple wò lãmesẽnyawo gbɔ kpɔha. Le afisia le Nirogi Lanka , míexɔe se be wò ŋutilã gɔmesesee nye afɔɖeɖe gbãtɔ si ana nànɔ lãmesẽ me. Mègana vɔvɔ̃ naxe mɔ na wò o—yi edzi nànya nu tso eŋu eye nàkpɔ wò lãmesẽnyawo gbɔ egbea!
