Ðe nèse le ɖokuiwò me kpɔ be viwòa dzudzɔ gbɔgbɔ zi ɖeka alo gbɔgbɔ sesẽ nɛ ne ele alɔ̃ dɔma? Ɣeaɖewoɣi la, esia dzɔna ɖe ɖevi suewo dzi ne wole alɔ̃ dɔm. Míeyɔa esia be "ɖevimenɔɣi ƒe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe." Esia nye nusi ŋu dzila geɖe ƒoa nu tsoe eye wòhiã be woanya.
Ðe ɖevi suewo hã tsia nu ne wole alɔ̃ dɔma? Nukae nye Abstructive Sleep Apnea?
Kpuie ko la,
ɖevi ƒe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe nye viwòa ƒe gbɔgbɔtsixetsixe ƒe ɖiɖiɖeme hena ɣeyiɣi aɖe esime wòle alɔ̃ dɔm. Esia ate ŋu adzɔ elabena mɔxenu aɖe le woƒe yaƒoƒomɔ̃a me. Alo, ate ŋu adzɔ hã le esi ahɔhɔ̃a mele dzesi nyuitɔwo ɖom ɖe woƒe gbɔgbɔmekawo o ta. Bu eŋu ale. Esi nèle alɔ̃ dɔm la, telefon la ɖina. Èfɔ kple movidzɔdzɔ, gake ègatrɔ yi alɔ̃ me evɔ mèɖo eŋu o. Aleae wòwɔa dɔe. Viwò ƒe ahɔhɔ̃ dea dzesii be ya mele yewoƒe ŋutilã me o. Emegbe ahɔhɔ̃a ɖoa dzesi aɖe ɖe lãkusiwo be woagbɔ ya. Esia ate ŋu ana viwòa nyɔna enuenu le zã titina. Togbɔ be nyɔnyrɔ̃ siawo nɔa kpuie ŋutɔ hã la, woate ŋu akpɔ ŋusẽ ɖe viwòa ƒe alɔ̃dɔdɔ dzi. Esia wɔe be
ɖeɖi ate viwòa ŋu wu le ŋkekea me. Ðewohĩ èse ɖɔktawo yɔa esia ɣeaɖewoɣi be `(Pediatric Sleep Apnea)`.
Ðe esia ƒomevi vovovowo lia?
Ẽ, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒomevi vevi etɔ̃e li le ɖevime. Na míalé ŋku ɖe nusiwo wonye ŋu.
1. Alɔ̃dɔdɔ ƒe Mɔxenu (OSA) .
Esiae nye
asrã ƒomevi si bɔ ɖe ɖevi suewo me wu . Edzɔna ne xe mɔ na ɖevia ƒe yaƒoƒomɔ, alo yaƒoƒomɔ̃. Ele abe tsi ƒe pɔmpi si xe ene.
2. Central Sleep Apnea (CSA) .
Esia nye
nɔnɔme si mebɔ o . Zi geɖe la, wokpɔnɛ le vidzĩ yeyewo me. Nusi dzɔna le afisiae nye be vidzĩa ƒe ahɔhɔ̃ mete ŋu ɖoa dze kple lãmeka siwo kpɔa gbɔgbɔ dzi nyuie o. Eyae nye be "gbedasi" si woatsɔ agbɔ la metoa eme nyuie o.
3. Mixed/Complex Sleep Apnea alo Atikewɔwɔ-Emergent Central Sleep Apnea
Esia hã nye `(Central Sleep Apnea)` ƒe ƒomevi aɖe. Esiae nye nusi dzɔna ne wotsɔ `(CPAP)` mɔ̃ da dɔ na ɖevi si ŋu `(Obstructive Sleep Apnea)` (esia nye mɔ̃ si kpena ɖe gbɔgbɔ ŋu, míaƒo nu tso eŋu emegbe), eye `(Central Sleep Apnea)` hã dze edzi.
Aleke gbegbee nɔnɔme sia bɔ ɖe ɖevi suewo gomee?
Le nyateƒe me la, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe bɔ ɖe xexeame katã ŋutɔ. Wobu akɔnta be ame siwo ade biliɔn ɖeka kpea fu le xexeame katã le nɔnɔme sia me. Le ɖevi suewo dome la,
` (Obstructive Sleep Apnea)` ateŋu adze amewo ƒe 1% va ɖo 5% dzi, ƒe ka kee woɖaxɔ o. Esia fia be vidzĩ yeyewo, ɖevi siwo le azɔli zɔm, ɖevi siwo mekpɔ de suku haɖe o, ɖevi siwo xɔ ƒe siwo de suku, kple sɔhɛ tsitsiwo katã ate ŋu ato nɔnɔme sia me. Gake la,
Ebɔ ɖe ɖevi siwo xɔ tso ƒe 2 va ɖo ƒe 6 dzi wu. Ðe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ate ŋu anye afɔkua?
Togbɔ be ɖeviwo kpɔa nɔnɔme sia ƒe dzesi fafɛwo zi geɖe hã la, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le ɖevime ate ŋu anye afɔku ne womewɔ atike nɛ o. Ate ŋu ahe kuxi siwo gbɔna hã vɛ:- Tsitsi kple tsitsi ƒe kuxiwo: Esia ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe ŋutilã kple susu ƒe tsitsi dzi.
- Aɖuɖɔtoe dzi ɖuɖu ƒe bu (abadzitsitsi - `(Enuresis)`) : Esia ateŋu ahe kuxiwo vɛ le aba dzi tsidzadza le zã me le ɖevi aɖewo me hã.
- Dzitodzito me dɔléle : Ne womewɔ atike nɛ ɣeyiɣi didi o la, ate ŋu agblẽ nu le dzi kple lãkusi ŋu.
- Attention Deficit/ Hyperactivity Disorder ( ADHD ) : Woate ŋu akpɔ nusɔsrɔ̃ ƒe kuxiwo kple ŋutetemanɔamesi be woanɔ teƒe ɖeka.
Tɔtrɔ siwo vaa ɖevi ƒe alɔ̃dɔdɔ me ate ŋu akpɔ ŋusẽ ɖe eƒe nuwɔna, seselelãme, kple sukudɔdasiwo dzi, eyata ele vevie be nànya esia.
Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?
Dzesi geɖe dzena le alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ŋu le ɖevime. Mina míama wo ɖe hatsotso eve me. Dzesi siwo woate ŋu akpɔ le alɔ̃dɔdɔ me:
- Nu me gbɔgbɔ , gbɔgbɔ sesẽ, alo aɖuɖɔtoe : Zi geɖe la, aɖuɖɔtoe nye dzesi vevitɔ.
- Gbɔgbɔ tsina alo tɔa te : Àte ŋu ade dzesii be kasia ɖevia dzudzɔ gbɔgbɔ sɛkɛnd ʋɛ aɖewo.
- Kɔdzi alo gbɔgbɔtsixetsixe : Àte ŋu anyɔ kple kɔdzi kple gbɔgbɔtsixetsixe le wò alɔ̃ me.
- Tossing and turning in bed (restless sleep) : Ʋuʋu kple tɔtrɔ ɖe mɔ ɖeka dzi, màte ŋu adɔ alɔ̃ o.
- Zã me fifia .
- Alɔ̃dɔdɔ alo alɔ̃dɔdɔ .
- Mlɔƒe ƒe tsilele .
Dzesi siwo woate ŋu akpɔ le ŋkekea me (esiawo ate ŋu anye dzesi siwo fia be alɔ̃dɔdɔ ƒe kuxi le ɖevia ŋu):
- Ðeɖiteameŋu : Ðewohĩ ɖeɖi te ŋuwò ne èfɔ le ŋdi me. Ðewohĩ àse le ɖokuiwò me be yele alɔ̃ dɔm le ŋkekea me katã.
- Lãmesẽmakpɔmakpɔ alo susu ƒe ŋutete manɔamesi : Adze abe ɖe wòsesẽna na wò be nàlé to ɖe eŋu ene, ne èle sukudɔ wɔm alo le fefem gɔ̃ hã.
- Dzikudodo, adãwɔwɔ, alo seselelãme alo nuwɔna me kuxi bubuwo : Nuwo abe dzikudodo ɖe nu suesuesuewo ta, dzrewɔwɔ kple ame bubuwo, kple bubuawo ene.
- Ŋdi taɖuame .
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le viwòa ŋu la, anyo wu be nàƒo nu kple ɖɔkta. Nukatae esia dzɔna ɖe ɖevi suewo dzi? Nukawoe nye susu siwo tae?
Nusi koŋ gbɔ Obstructive Sleep Apnea tsona le ɖevime enye mɔxexe ɖe ɖevia ƒe yaƒoƒomɔ̃ me. Dzesi siwo tso ɖevia ƒe ahɔhɔ̃ me yia yaƒoƒomɔ̃ ƒe lãmekawo me ƒe kuxi aɖe gbɔe Central Sleep Apnea tsona. Ɣeaɖewoɣi la, ne wozã CPAP-mɔ̃ gɔ̃ hã la, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si sesẽ wu ate ŋu adzɔ. Dɔléle kawoe nana alɔ̃dɔdɔ ƒe gbɔgbɔtsixe tsia ame ƒo?
- Tonsils alo adenoids siwo lolo : Esiawoe nye lãkusi siwo le ŋɔti ƒe megbe. Woate ŋu alolo ne dɔlékui alo dɔdzẽ aɖe le ɖevi ŋu . Ɣeaɖewoɣi la, lãkusi siawo ate ŋu alolo wu alesi wòle le domenyiŋusẽfianu ta. Esiae nye nusi gbɔ OSA tsona wu le ɖevi suewo me.
- Lãmetsiŋusẽ ƒe tɔtrɔ : Domenyiŋusẽfianu aɖewo, abe Down syndrome alo ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ene, ate ŋu ana ɖevi ƒe ta kple kɔ ƒe lãmekawo natrɔ. Ne ɖevia ƒe lãmekawo ƒe sesẽme sɔ le ŋkeke me hã la, lãmeka sia ate ŋu aɖiɖi le zã me ne ɖevia le alɔ̃ dɔm, si ana lãkusiawo nalé ɖe wo nɔewo ŋu eye woaxe yaƒoƒomɔ̃a.
- Ƒu ƒe wɔwɔme si mesɔ o : Mo ƒe ƒu ƒe wɔwɔme si le gbadzaa, abe aɖu sue alo aɖuɖɔ si gbɔ eme ene hã ate ŋu ahe gbɔgbɔtsixetsixe vɛ na ɖevia.
- Tumor : Dɔdzẽ ate ŋu ana yaƒoƒomɔ̃a hã naxe mɔ, gake esia mebɔ kura o.
Amekae le afɔku me wu le nɔnɔme sia me? (Afɔku Siwo Le Ame Ŋu) .
Viwò ate ŋu anɔ afɔku gã aɖe me be wòaxɔ alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le susu siwo gbɔna ta:- Nulɔdɔwo : Nuwo abe dzamezã enuenu kple ke ƒe nulɔdɔwo ene.
- Asrãdɔ .
- Ne wowɔ dɔ na wò kpɔ be aɖu me ʋuʋu alo wowɔ dɔ si do ƒome kplii (`pharyngeal flap surgery`) .
- Atamadzudzɔ ƒe dzedzeme : Ne ame aɖe le aƒea me noa atama la, ema hã ate ŋu akpɔ ŋusẽ ɖe edzi.
- Ƒomea me tɔ aɖe si ŋu dɔléle sia le ƒe amesinɔnɔ (domenyiŋusẽfianu ƒe nɔnɔme) .
- Lolo akpa : Ne ame ƒe kpekpeme lolo wu kpekpeme si sɔ na ƒexɔxɔ.
- Acid reflux kuxiwo le nuɖuɖumeŋusẽ me : abe gastritis ene.
- Yagbɔgbɔ ƒe akpa si le etame ƒe dɔléle (`Upper gbɔgbɔtsixe ƒe dɔléle`) .: Ne dzoxɔxɔ kple dzamezã xɔa wò enuenu.
Aleke ɖɔkta awɔ anya esia?
Ðɔkta aɖe akpɔ ɖevi ƒe alɔ̃dɔdɔ ƒe gbɔdzɔgbɔdzɔ to biabia wò tso viwòa ƒe dzesiwo ŋu. Woabia nyawo abe ne viwòa ƒoa aɖuɖɔ kple alesi wòdɔa alɔ̃ le zã me ene. Woawɔ ŋutilãmedɔdada hã eye woawɔ viwòa ƒe atikewɔwɔ ŋutinya bliboa. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala aɖe gbɔ. Alɔ̃dɔdɔ ŋuti nunyala ate ŋu awɔ dodokpɔwo abe:- Alɔ̃dɔdɔ ŋutinya : Viwò ƒe alɔ̃dɔdɔ le zã me ƒe nuŋlɔɖi. Woate ŋu awɔ esia to nyatakakawo biabia tso gbɔwò me.
- Yaƒoƒomɔ̃ si le etame ƒe dodokpɔ : Esia lɔ ŋutilãdodokpɔ hã ɖe eme. Ɣeaɖewoɣi la, woate ŋu awɔ X-ray alo no me dɔlékuiwo me dzodzro atsɔ akpɔe ɖa be ŋɔti me xe hã.
- Alɔ̃dɔdɔ ŋuti nusɔsrɔ̃ (`Alɔ̃dɔdɔ ŋuti nusɔsrɔ̃ / Polysomnography`) : Esiae nye dodokpɔ vevitɔ kekeake. Le afisia la, woléa ŋku ɖe ɖevia ŋu esime wòle alɔ̃ dɔm. Dodokpɔ sia dzidzea nu geɖe, abe ɖevia ƒe ahɔhɔ̃ ƒe dɔwɔwɔ, dzi ƒe tsotso, ya agbɔsɔsɔme si gena ɖe nu me kple ŋɔti me, oxygen kple carbon dioxide agbɔsɔsɔme si le ʋua me, lãmekawo ƒe dɔwɔwɔ, akɔta kple ƒodo ƒe ʋuʋu, kple alɔ̃dɔdɔ ƒe tɔtɔ ene.
Nukawoe nye atike siwo wozãna na esia?
Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe dada na ɖeviwo toa vovo le nusi gbɔ dɔlélea tso kple eƒe sesẽ nu. Ðɔktaa ƒe taɖodzinu vevitɔe nye be wòakɔ ɖevia ƒe yaƒoƒomɔ̃a me. Atikewɔwɔ ƒe tiatia ate ŋu anye:- Amekoko : Ate ŋu ahiã be woawɔ dɔ na ɖevia be woaɖe tonsils alo adenoids siwo lolo (tonsillectomy / adenoidectomy), alo be woaɖɔ nusiwo mesɔ o le ɖevia ƒe ta kple kɔ ƒe ƒu ƒe wɔwɔme me ɖo. Esia wɔnɛ be teƒe geɖe nɔa yaƒoƒomɔ̃a ŋu.
- Agbenɔnɔ ƒe tɔtrɔ : Kamedede edziedzi ate ŋu akpe ɖe viwòa ƒe yaƒoƒomɔ̃wo ŋu le dzɔdzɔme nu. Azɔ hã, tɔtrɔwɔwɔ le viwò ƒe nuɖuɖu ŋu ate ŋu akpe ɖe ŋuwò nàlé ŋutilã ƒe lolome ƒe dzesi (BMI) si le lãmesẽ me ɖe eƒe ƒexɔxɔ nu.
- Atikewo : Atikewo ate ŋu akpe ɖe viwò ƒe yaƒoƒomɔ̃ ŋu wòakɔ alo aʋu. Ðɔktaa aŋlɔ atikewo na viwòa le nusi gbɔ alɔ̃dɔdɔ ƒe gbɔgbɔtsixe tsia viwòa tso nu. Le kpɔɖeŋu me, woate ŋu ana atike siwo wua ʋumenugbagbeviɣidɔ, fluticasone (Flonase®), kple montelukast (Singulair®) na nulɔdɔwo. Woate ŋu ana atike siwo tsia no me ne gbɔgbɔtsixe ƒe akpa si le etame dɔlékui aɖe le eŋu.
- Yaƒoƒo ƒe Nyaƒoɖeamenu Nyui si Yia Edzi (CPAP) .: Esia bia be woado ametakpɔnu sue aɖe ɖe ŋɔti dzi ne wole alɔ̃ dɔm. Wotsɔa ametakpɔnu sia doa ka kple mɔ̃ sue aɖe si woate ŋu atsɔ adzoe. Mɔ̃ sia ɖoa ya to ŋɔti me yia yaƒoƒomɔ̃a me. Ya ƒe nyaƒoɖeamenu sia nana ɖevia ƒe yaƒoƒomɔ ʋuna, ale be wòate ŋu agbɔ ya nyuie ne ele alɔ̃ dɔm.
Ne viwòa xɔ alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si sesẽ le alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na dɔdada vɔ megbe la, wò ɖɔkta ate ŋu ado susu ɖa be nàtrɔ asi le ya ƒe nyaƒoɖeamenu si le CPAP-mɔ̃a dzi ŋu alo nàtrɔ asi le ametakpɔnu la ƒe nɔnɔme si sɔ ɖe viwòa ƒe mo ŋu. Zi geɖe la, esia tsoa CPAP-mɔ̃a ƒe kɔkɔ akpa alo esi bɔbɔ akpa gbɔ. Zi geɖe la, asitɔtrɔ siawo nana alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si sesẽ ƒe dzesiwo nyona ɖe edzi.
Ðɔkta alé ŋku ɖe viwòa ƒe dzesiwo ŋu nyuie hafi aɖo aɖaŋu le atikewɔwɔ alo aƒemedzikpɔkpɔ ŋu. Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
Ðo dze kple viwò ƒe ɖɔkta tso atike ɖesiaɖe si wokafu na viwòa ƒe nugbegblẽ le ame ŋu. Afɔkuwo le amekokowo katã me. Atikewo ƒe nugbegblẽ le ame ŋu toa vovo le atike ƒomevi si wozãna nu. Bia viwòa ƒe ɖɔkta nenye be nugbegblẽ le ame ŋu aɖewo li siwo ŋu wòle be nànya le atikewɔwɔ me. Ðe woate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?
Esesẽna be woaxe mɔ ɖe nusiwo hea alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe vɛ le ɖevime la dometɔ geɖe nu. Gake àte ŋu akpe ɖe viwòa ŋu be wòaɖe afɔku si le eme be wòaxɔ dɔlélea dzi akpɔtɔ to:- Kamedede edziedzi.
- Ƒo asa na teƒe siwo atama ƒe dzudzɔ le.
- Ɣeyiɣi aɖe ƒe nulɔdɔwo dzi kpɔkpɔ.
Ðɔktaa ate ŋu aɖo aɖaŋu siwo sɔ na ɖevia si ate ŋu aɖe afɔku si le ɖevia me dzi akpɔtɔ, vevietɔ ne dɔléle sia le ame aɖe ŋu le ƒomea me. Nukae dzɔna ne nɔnɔme sia le ɖevia ŋu? Ðe woahayaa?
Ne wowɔ atike nɛ la, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame ƒe dzesiwo ate ŋu nu ayi le ɖevime. Azɔ hã, ɖewohĩ makpɔ ŋusẽ aɖeke ɖe edzi ɣeyiɣi didi ne ɖevia le tsitsim o. Gake ne womedae o la, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ate ŋu anye afɔku eye ate ŋu agblẽ nu le ɖevi ƒe tsitsi kple tsitsi ŋu. Ðevi aɖewo ate ŋu ayi edzi anɔ dzesiwo kpɔm ne wole tsitsim, eye le nɔnɔme mawo me la, ahiã be woakpɔ egbɔ le woƒe tsitsime katã. Atikewɔwɔ aɖewo li siwo woatsɔ aɖe alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na alɔ̃dɔdɔ ƒe dzesiwo dzi akpɔtɔ, si ate ŋu atso nɔnɔme aɖewo gbɔ. Ne dzesi siwo nu mesẽ o le viwòa ŋu la, ate ŋu anyo ɖe edzi le eɖokui si ne ele tsitsim. Esia dzɔna elabena lãkusi si le kɔ megbe la dzi ɖena kpɔtɔna ne viwòa le tsitsim, si wɔnɛ be yaƒoƒomɔ̃a ʋuna. Amekoko be woaɖe tonsils alo adenoids ɖa nye dɔléle sia dada nyui aɖe. Gake ne xexe yeye aɖe va le viwòa ƒe yaƒoƒomɔ̃ me la, alɔ̃dɔdɔ ƒe mɔxexeɖedɔléle ƒe dzesiwo ate ŋu atrɔ ava. Ɣekaɣie wòle be makpɔ ɖɔkta? Ke ne nudzɔdzɔ kpata aɖe ya ɖe?
Ne ède dzesi alɔ̃madɔmadɔ ƒe dzesiwo le viwòa ŋu, vevietɔ ne viwò nyɔna enuenu le zã titina alo gbɔgbɔtsixe tsia eme esime wòle alɔ̃ dɔm la, yi ɖɔkta gbɔ enumake.Ne edzɔ alea la, yi xɔ si me wokpɔa nudzɔdzɔ kpatawo gbɔ le (ER) enumake, alo nàƒo ka na 1990:- Ne gbɔgbɔ le sesẽm na viwòa.
- Ne ɖevia ƒe ŋutigbalẽ, nuyiwo, kple ɖawo le ɣie, blɔ, alo ɣie.
Nya vevi siwo wòle be nàbia wò ɖɔkta
Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:- Nukae le vinyea ƒe dzesiwo hem vɛ?
- Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
- Ðe wòhiã be woawɔ dɔ na vinyea?
- Ɣeyiɣi didi kae wòahiã be vinye nazã CPAP-mɔ̃a?
Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le ɖevime ate ŋu anye nuteɖeamedzi na mia kple viwòa siaa. Ðewohĩ asesẽ na viwòa be wòadɔ alɔ̃ nyuie, si ana ɖeɖi tea eŋu le ŋkeke me. Esia ate ŋu akpɔ ŋusẽ ɖe woƒe gbesiagbedɔwo, dɔwɔnawo, seselelãmewo, kple nuwɔna dzi. Eyata ne ède dzesi alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le viwòa ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ðɔkta ate ŋu akpe ɖe mia kple viwòa ŋu miakpɔ nɔnɔmea gbɔ eye wòakpe ɖe viwòa ŋu wòagbɔ ya bɔbɔe. Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
- Obstructive Sleep Apnea nye dɔléle si bɔ ɖe ɖevi suewo dome.
- Aɖuɖɔtoe, nyɔnyrɔ̃ enuenu le zã me, kple alɔ̃dɔdɔ le ŋkeke me ate ŋu anye dzesi vevitɔwo.
- Zi geɖe la, tonsils kple adenoids siwo lolo gbɔe wòtsona.
- Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe ɖevi ƒe tsitsi, nusɔsrɔ̃, kple nuwɔna dzi.
- Woate ŋu akpɔ nɔnɔme sia gbɔ nyuie ne wokpɔ dɔlélea nyuie hedae.
- Ne ɖikeke aɖe le mewò la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o. Zi alesi wokpɔ dɔlélea le ŋuwò kaba la, zi nenemae wòanyo na viwòa.
Míele mɔ kpɔm be nyatakaka siawo akpe ɖe ŋuwò nàna viwòa nadɔ alɔ̃ nyuie, eye wòaɖe dzi ɖi!
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee