Èbu alesi míaƒe towo wɔa dɔ nukutɔe ŋu kpɔa? Menye ŋutinu eve koe wonye le míaƒe ta ƒe akpa eveawo o, ke wonye míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ hã si kpena ɖe mía ŋu míesea nu eye míedaa asɔ. Mina míaƒo nu tso esia ŋu tsitotsito egbea, elabena míaƒe towo ƒe lãmesẽ me nɔnɔ le vevie ŋutɔ.
Dɔ vevi kawoe toa wɔna? Awɔ nuku na wò!
Dɔ vevi eve le míaƒe towo ŋu: nusese kple dadasɔ . Esiawo evea siaa le vevie na míaƒe gbesiagbegbenɔnɔ, alo?
Aleke nusese dzɔnae?
Kpuie ko la, nusi dzɔnae nye esi:
1. Gbeɖiɖi ƒe ƒutsotsoewo gena ɖe wò to gota, zɔa to toa me, eye wòƒoa to ƒe ʋuƒo (tympanic membrane) . Emegbe tomeka la ʋuʋuna.
2. Ʋuʋu sia toa ƒu sue ŋutɔ etɔ̃ siwo le titinato me – siwo míeyɔna hã be ossicles . Ƒu etɔ̃ siawo doa ŋusẽ gbeɖiɖia vie wu eye woɖonɛ ɖe to ememetɔ.
3. Le to ememetɔ me la, lãmenugbagbevi suesuesue siwo le abe taɖa ene siwo léa gbeɖiɖi ƒe ʋuʋu. Woyɔa esiawo ɣeaɖewoɣi be stereocilia . Lãmenugbagbevi siawo trɔa gbeɖiɖi ƒe ʋuʋu wòzua elektrikŋusẽ ƒe dzesiwo.
4. Mlɔeba la, elektrikŋusẽ ƒe dzesi siawo toa lãmekawo me yia wò ahɔhɔ̃ me, afisi woɖea wo gɔme le be gbeɖiɖi. Ðe mewɔ nuku oa?
Aleke to kpena ɖe ame ŋu be wòada asɔ?
Èsusu be towo koe kpena ɖe mía ŋu míesea nua? Ao, towo hã wɔa akpa gã aɖe le míaƒe ŋutilã ƒe dadasɔ me.
Akpa aɖe le wò to ememetɔ si woyɔna be tɔdzisasrã siwo le gota afã me . Le esiawo me la, nusiwo dea dzesi nu siwo le abe taɖa ene siwo me tsi le eye wole nyuie ŋutɔ. Ne èʋuʋu wò ta, kpɔ dzi alo yi anyime la, tsi si le tɔdzisasrã siawo me la ʋãna yia mɔ ma dzi. Emegbe nusiwo dea dzesi nu nyui siwo le abe taɖa ene la bɔbɔna tsɔ wɔa nu ɖe ʋuʋu ma ŋu.
Nyatakaka sia, si nye nyatakaka siwo ku ɖe wò ta ƒe nɔƒe ŋu, zɔa mɔ to vestibular nerve la dzi yia ahɔhɔ̃a me. Emegbe ahɔhɔ̃a ɖoa dzesiwo ɖe wò lãmekawo, si kpena ɖe ŋuwò be nàda asɔ eye màdze anyi o. Bu alesi esia le vevie ne èle azɔli zɔm, le du ƒum, alo le ɣe ɖum ŋu kpɔ!
Ènya afisi tututu wò towo lea?
Esia nye nusi ame akpa gãtɔ nya. Wò towo le wò ta ƒe akpa eveawo. Ne míagblɔe tututu la, wole wò ahɔhɔ̃ ƒe akpa aɖe si woyɔna be temporal lobe . Ahɔhɔ̃a ƒe akpa siae kpɔa nusese, nuƒoƒo, ŋkuɖoɖonudzi, kple seselelãme aɖewo dzi.
Nukawoe nye to ƒe akpa aɖewo? Ðe míaɖee ɖe vovo kakɛkakɛa?
Woate ŋu ama to la ɖe akpa vevi etɔ̃ me, abe xɔ siwo le aƒe me ene.
1. To gota `(to gota / to gota)`
2. Titina to
3. To ememetɔ
Wò to ƒe ʋuƒo (tympanic membrane) ma gota to kple titina to dome.
To si le egodo – To si míekpɔna!
To gotatɔ nye to ƒe akpa si nàte ŋu akpɔ le gota. Esiae nye nusi míefia zi geɖe ne míegblɔ be "to". Woyɔa esia be auricle.Wogayɔa pinna la be tomeka . Wotsɔa ƒunukpeƒetetedɔ (abe ƒu si te ŋu trɔna ene) kple ŋutigbalẽ wɔe. Lãmetsi siwo ɖea tomeka, alo tomeka , hã le eme. Tometsi nye ametakpɔnu si nana ɖiƒoƒo kple gbeɖuɖɔwo megena o. To si le gota la do ƒome kple to ƒe mɔ̃, si nye mɔ si le abe funnel ene si kplɔa ame yia tomeka gbɔ.
Titina To – Afisi ƒu sueawo le!
Titinato dzea egɔme tso wò to ƒe ʋuƒo (tympanic membrane) gbɔ tututu. Ele abe xɔ sue aɖe si me ya yɔ fũu ene. Ƒu sue etɔ̃ ŋutɔ le afisia – malleus , incus, kple stapes. Esiawoe nye ƒu suetɔ kekeake le amegbetɔ ƒe ŋutilã me! Ðɔktawo yɔa ƒu etɔ̃ siawo ɖekae be ƒumeŋuɖui . Ƒu siawo do ƒome abe kɔsɔkɔsɔ ene eye wotsɔa gbeɖiɖi ƒe ʋuʋu tso tomeka me yia to ememetɔ gbɔ.
Azɔ hã, nane le wò titinato me si woyɔna be Eustachian tubes . Mɔ̃ siawo doa ka kple wò titinato kple wò ŋɔti ƒe megbe. Ne ènyɔ, kɔ, alo mi nu la, mɔ̃ siawo ʋuna hetua be ya si le wò to me nasɔ kple esi le gota. Ne èle to liam alo le yameʋu me yim la, nyaƒoɖeamenu ƒe vovototo sia tae wò towo xena. Eyata ne ènyɔ alo mi nane la, ezɔna nyuie, alo? Eustachian-tube siawo gbɔe wòtso.
To Ememetɔ – Akpa si sesẽ wu!
To ememetɔe nye to ƒe akpa si me kɔ wu eye wòle bɔbɔe wu. Xɔtuɖoɖo vevi eve le afisia:
- Cochlea: Esiae nye to ƒe ŋutinu vevitɔ. Eƒe nɔnɔme le abe ʋetsuvi ƒe go ene. Xɔ eve siwo me tsi yɔ fũu le eme, eye ɖa ƒe lãmenugbagbevi sue akpe geɖe (stereocilia siwo míeyɔ va yi) le wo dometɔ ɖesiaɖe me. Ne gbeɖiɖi ge ɖe eme la, tsi si le tome la ʋuʋuna, si wɔnɛ be ɖa ƒe lãmenugbagbevi sue siawo ʋuʋuna. Esia naa elektrikŋusẽ si zɔa mɔ yia ahɔhɔ̃a me.
- Tɔdzisasrã siwo le gota afã kple afã: Míeƒo nu tso esiawo ŋu kpɔ. Esiawo gbɔe wòtso be woada asɔ. Woyɔa wo ɣeaɖewoɣi be labyrinthines . Esi wònye be tɔdzisasrã etɔ̃ siawo le tsitre ɖe wo nɔewo ŋu ta la, woate ŋu ase ne wò ta le zɔzɔm le mɔ ɖesiaɖe nu.
Kuxi kawoe bɔ siwo gblẽa nu le to ŋu? Mina míanɔ ŋudzɔ!
Dɔléle, dɔlékuiwo, kple kuxi vovovowo hã ate ŋu akpe ɖe míaƒe towo ŋu. Na míalé ŋku ɖe wo dometɔ ʋɛ aɖewo ŋu.
To ƒe dɔléle (Middle to infection / Otitis media) .
To me dɔlékuiwo, vevietɔ titinato me dɔlékuiwo (otitis media) bɔ ɖe ɖevi suewo me wu. Gake woate ŋu akpɔ ŋusẽ ɖe ame tsitsiwo hã dzi. Wodzɔna ne dɔlékuiwo alo dɔlékuiwo to Eustachian-mɔ̃a me yi ɖe titinato me, si wɔnɛ be wòxea to. Dzesiawo dometɔ aɖewoe nye to ƒe vevesese, dzoxɔxɔ, kple tosese vie.Dzesiawo ate ŋu anye: Zi geɖe la, wonaa dɔlékuiwutikewo abe atike ene. Le nɔnɔme sesẽ aɖewo siwo nɔa anyi ɖaa me la, ahiã be woatsɔ mɔ̃ sue aɖe (`to me mɔ̃wo`) ade to me.
Eustachian tube ƒe dɔmawɔmawɔ nyuie
Nɔnɔme sia dzɔna ne Eustachian-mɔ̃ siwo ŋu míeƒo nu tsoe va yi la mewɔa dɔ nyuie o, si fia be zi geɖe la, woxea mɔ na wo. Woyɔa esia be Eustachian tube ƒe dɔmawɔmawɔ nyuie . Womewɔa ɖoɖo ɖe nyaƒoɖeamenu si le toa me ŋu nyuie o. Dzesiawo dometɔ aɖewoe nye to ƒe ɖiɖi (gbeɖiɖi si le ɖiɖim), to ƒe tosese, to me yɔ fũ, kple ɣeaɖewoɣi to ƒe vevesese . Esia ate ŋu atso nusiwo le abe dzamezã kple nulɔdɔwo ene gbɔ.
Tsiƒula ƒe to (Otitis externa) .
Woyɔa esia zi geɖe be "tsiƒula ƒe to" elabena edzɔna zi geɖe le ame siwo ƒua tsi le tsi me la me. Ðɔktawo yɔa esia be tome ƒe dɔléle si nye otitis externa . Esia nye dɔlékui si le to ƒe gotagome ƒe ŋutigbalẽ ŋu. Ate ŋu atso dɔlékuiwo alo fungiwo gbɔ. Nɔnɔme sia ate ŋu ado mo ɖa ne tsi ge ɖe to me eye tsi mele eme nyuie o. Dzesiawo dometɔ aɖewoe nye to ƒe vevesese, ʋuʋudedi, kple ɣeaɖewoɣi tsi si dona tso to me . Ate ŋu adzɔ hã ne nuwo abe ɖawutike ene ge ɖe to me, alo ne tomeka xɔ abi to kotoku me.
Vevietɔ: Ne èle wò towo kɔm la, mègatsɔ kotoku alo nu ɖaɖɛ bubuwo de to me gbeɖe o. Esia wɔwɔ ate ŋu agblẽ nu le tomeka ŋu eye wòana dɔlékuiwo nadze ame dzi abe esia ene.
Tomeka si vuvu
Ne wò tomeka (tympanic membrane) va do la, woyɔnɛ be tomeka si gbã. Titinato me dɔlékui, ƒoƒo ɖe to, toɣliɖeɖe sesẽwo (abe wowó sesĩe ene), alo dutanu siwo tsi to me ate ŋu ana tomeka navuvu. Àte ŋu ase to me vevesese kpata, nusese na wò, eye ɖewohĩ ʋu aɖe nado le to me . Zi geɖe la, tomeka si vuvu la ahaya le eɖokui si le kwasiɖa ʋɛ aɖewo megbe. Gake ɣeaɖewoɣi la, ahiã be ɖɔktawo nawɔ amekoko aɖe si woyɔna be tympanoplasty be woatsɔ aɖɔe ɖo.
Towo ƒe ʋuʋu
Otosclerosis nye ƒu ƒe tsitsi si mesɔ o si ƒo xlã ƒu suewo (ossicles) le wò titinato me. Esia wɔnɛ be ƒuawo meʋuʋuna nyuie o. Esia wɔnɛ be gbeɖiɖi mete ŋu ɖoa to ememetɔ gbɔ nyuie o, eye tosese ate ŋu adze egɔme. Zi geɖe la, edzea sɔhɛwo dzi, eye woate ŋu atso dzidzimewo me. Woate ŋu atsɔ amekoko (si nye stapedectomy) adae.
Perichondritis ƒe dɔléle
Perichondritis ƒe dɔléleEnye dɔlékui si le lãkusi si ƒo xlã ƒunukpeƒe si le wò to gota (auricle) me. Zi geɖe la, esia dzɔna le to me toto, kamedefefe ƒe abixɔxɔ, nudzodzoewo ƒe ɖuɖu, alo to ƒe dɔwɔwɔ vɔ megbe. Toa biãna, vuvuna, eye wòsea veve . Esia bia be woatsɔ dɔlékuiwutikewo adae enumake. Ne menye nenema o la, ƒunukpeƒea ate ŋu agblẽ.
Vestibular neuritis ƒe dɔléle
Vestibular neuritis nye vestibular nerve si le wò to ememetɔ me ƒe dɔdzẽ, si kpena ɖe ŋuwò be nàda asɔ. Ate ŋu adzɔ le dɔlékui ƒe dɔléle aɖe xɔxɔ vɔ megbe. Ame siwo ŋu dɔléle sia le la ƒe ta gbãna kpata, si nu sẽ ŋutɔ (vertigo), si ate ŋu akplɔe hã kple ʋuʋudedi kple ʋuʋudedi . Zi geɖe la, mekpɔa ŋusẽ ɖe tosese dzi o. Wò ɖɔkta aŋlɔ atikewo na wò eye ɖewohĩ aŋlɔ kamedede ƒe atikewɔwɔ na wò.
Meniere ƒe dɔlélea
Esia nye dɔléle si nɔa anyi didi, alo esi yia edzi, si gblẽa nu le to ememetɔ ŋu. Wosusu be tsi si le to ememetɔ ƒe nyaƒoɖeamenu dzi ɖe edzi gbɔe Meniere ƒe dɔlélea tso. Dzesiwo dona eye wodzona. Dzesi vevitɔwoe nye vertigo (se le eɖokui me be yele tsatsam), towo ƒe ɖiɖi (tome ƒe ɖiɖi), to ƒe tosese ƒe dɔmawɔmawɔ nyuie (vevietɔ gbeɖiɖi siwo mebɔ o), kple to me yɔyɔ ƒe seselelãme . Zi geɖe la, enyona ɖe edzi le eɖokui si le ɣeyiɣi aɖe megbe na ame aɖewo. Gake le nɔnɔme sesẽwo me la, ate ŋu ahiã be woawɔ dɔ nɛ.
To ƒe abixɔxɔ
To ƒe abi ate ŋu atso to ƒe lãɖeɖe, eƒe gbagbã, kple ŋusẽ si me kɔ o ƒe abixɔxɔ gbɔ. Esiawo ate ŋu adzɔ le dzrewɔwɔ alo afɔkuwo me. Ne nu si gblẽ la nu sẽ la, ate ŋu ahiã be woawɔ dɔ nɛ atsɔ aɖɔe ɖo. Esia ate ŋu anye amekoko be woatsɔ akpɔ to ta alo atsyɔ̃ɖoɖo ƒe amekoko be to ƒe dzedzeme nanyo ɖe edzi.
To me dɔdzẽ
To me dɔdzẽ ate ŋu anye esi menye kansa o (si me dɔlékui aɖeke mele o) alo kansa (vɔ̃ɖi).
- Tsitsi siwo menye kansa o: Keloids (ƒu siwo ame aɖewo xɔna le to me toto me), sebaceous cysts , osteomas, kple exostoses (ƒu ƒe tsitsi le to ƒe ƒuƒu dzi, vevietɔ le amesiwo nɔa tsi fafɛ me enuenu gome). Zi geɖe la, ehiãna be woaɖe amesiawo ɖa to amekoko me.
- Kansa: Ŋutilã me kansa ƒomevi siwo ate ŋu agblẽ nu le to ŋue nye melanoma, basal cell carcinoma, kple squamous cell carcinoma . Atikewɔwɔa nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye kansa ƒe ƒomevi, afisi wòɖo, kple ne ekaka ɖe ŋutilã ƒe akpa bubuwo.
Nukawoe nye tomedɔléle ƒe dzesi siwo bɔ? Nya nu tso esiawo ŋu!
Dzesi geɖe li siwo ate ŋu afia be nane gblẽ le wò to ŋu. Ne esiawo dometɔ aɖe le ŋuwò la, anyo be nàyi ɖɔkta gbɔ.
- Tome ƒe vevesese.
- Sese le ɖokuiwò me be to me dɔlékui aɖe le ye ŋu (asrã, to ƒe bibi ).
- To ƒe ʋuʋu, sese le ame ɖokui me be yeɖi ƒo.
- Tosese ƒe dɔmawɔmawɔ nyuie alo towo ƒe ɖiɖi.
- To siwo le ʋuʋum (ne wole ʋuʋum enuenu).
- Aɖuɖɔtoe kple ʋuʋudedi (vevietɔ ne taɖuame kpe ɖe eŋu).
- Tsi, ʋuʋudedi, alo ʋu si dona le to me.
- Towo ƒe ɖiɖi (tinnitus).
Dodokpɔ kawoe ɖɔktawo zãna tsɔ doa wò towo kpɔna?
Ne èyi ɖɔkta gbɔ le to me kuxi aɖe ta la, woazã mɔnu vovovowo atsɔ ado wò towo kpɔ. Tome dodokpɔ siwo bɔ dometɔ aɖewoe nye:
- Gbeɖiɖi dzadzɛ dodokpɔ: Esia nye tosese dodokpɔ bɔbɔe ŋutɔ. Wodea toɖoɖomɔ̃ dzi eye wobia tso asiwò be nàkɔ asi ɖe dzi alo azi abɔta aɖe dzi ne èse gbeɖiɖi fafɛ siwo kplɔ wo nɔewo ɖo. Esia wɔnɛ be ɖɔktaa te ŋu nyaa gbeɖiɖi si bɔbɔ wu si nàte ŋu ase le sesẽme kple gbeɖiɖi vovovowo me.
- Titinato dodokpɔwo: Dodokpɔ siawo ate ŋu akpɔ alesi wò tomeka ʋãna nyuie, alesi nyaƒoɖeamenu le wò titinato me, kple ne wò tomeka gbã hã. Tympanometry nye dodokpɔ mawo dometɔ ɖeka.
- Nuƒoƒo dodokpɔ: Ɣeaɖewoɣi la, woate ŋu awɔ nuƒoƒo ƒe dodokpɔ wò be nàkpɔ alesi nèsea nyawo nyuie kple nenye be àte ŋu ase wo gɔme nyuie ahagbugbɔ wo agblɔ.
- Auditory brainstem response (ABR): Le dodokpɔ sia me la, wò ɖɔkta atsɔ elektrikŋusẽnamɔ̃ suesuesuewo ade wò ta kple wò to megbe. Emegbe, woaƒo gbeɖiɖi vovovowo to toɖoɖomɔ̃ dzi eye woakpɔ alesi wò tomeŋusẽ kple ahɔhɔ̃meka wɔa nu ɖe gbeɖiɖi mawo ŋui. Zi geɖe la, wowɔa esia na ɖevi suewo alo na amesiwo ƒe to dodokpɔ edziedzi sesẽna na.
- Otoacoustic emissions (OAEs): Dodokpɔ sia dzidzea alesi taɖa ƒe lãmenugbagbevi siwo le wò to ememetɔ, si nye to me, le dɔ wɔm nyuie. Ne gbeɖiɖi ge ɖe to ememetɔ me la, gbeɖiɖi sue aɖe ŋutɔ dona tso to si le lãmesẽ me (si woyɔna be otoacoustic emission, alo OAE) me. Wodzidzea gbeɖiɖi sia ne wotsɔ nuƒomɔ̃ sue aɖe de wò to me. Ne wò to me gblẽ vevie la, womawɔ OAE siawo o. Zi geɖe la, wozãa wo tsɔ doa vidzĩ yeyewo ƒe tosese kpɔna.
Aleke mawɔ ana nye towo nanɔ lãmesẽ me? Esia le vevie na wò ŋutɔ!
Wɔ ɖe aɖaŋuɖoɖo bɔbɔe siawo dzi be wò to nanɔ lãmesẽ me le wò agbemeŋkekewo katã me:
- Na wò towo naƒu: Ne èle tsi ƒum alo le tsi ƒum la, dze agbagba nàɖe tsi si gena ɖe wò to me dzi akpɔtɔ. Ne tsi ge ɖe eme la, zã tomeka. Ne tsi ge ɖe eme la, trɔ ta ɖe axadzi be tsi nado le eme.
- Mègazã kotoklobo atsɔ akɔ wò tomeka ŋu o! Esia nye vodada si ame geɖe wɔna. Kotoklobo ate ŋu atutu wax la ɖe eme geɖe wu eye wòagblẽ nu le tomeka ŋu. To la akɔ eɖokui ŋu. Ne wax sɔ gbɔ akpa la, gblɔe na ɖɔkta.
- Do ametakpɔnu: Do ametakpɔnu abe gakuku ene ne èle kamedefefewo wɔm alo le dɔ si ate ŋu agblẽ nu le wò to ŋu wɔm.
- Ðo to sesĩe: Ne èle ha sem alo le sinima kpɔm kple tomeka alo tomeka la, mègakɔ gbeɖiɖia ɖe dzi akpa o. Toɣliɖeɖe sesẽwo me nɔnɔ ɣeyiɣi didi ate ŋu ana ame ƒe to nabu tegbee.
- Takpɔ ɖokuiwò ta tso toɣliɖeɖe sesẽwo me: Ne èle teƒe siwo toɣliɖeɖe sesẽwo le, abe dɔwɔƒe alo haƒoƒo ƒe kɔnsɛt ene la, do tomeka alo ametakpɔnu bubuwo.
- Na ɖɔkta nado wò towo kpɔ edziedzi: Na ɖɔkta nado wò towo kpɔ zi ɖeka ya teti le ƒea me, alo ne ède dzesi tɔtrɔ aɖewo le wò towo ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
Ðewohĩ èse egɔme fifia be menye ŋutinu aɖe koe míaƒe towo nye o. Wole vevie na nusese kple dadasɔ le ŋutilãa me. Wole abe mɔ̃ sue siwo gɔme sese sesẽ ene. Eyata, wò agbanɔamedzie wònye be nàlé be na wò towo nyuie eye nàkpɔ egbɔ be womegblẽ o.
Ne èkpɔ dzesiwo abe to ƒe veve, to ƒe ɖiɖi (tome ƒe ɖiɖi), tosese ƒe dɔmawɔmawɔ nyuie, alo taɖuame la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ ɖɔkta kaba ale si nàte ŋui. Ate ŋu anya nusi gbɔ wò kuxia tso eye wòaŋlɔ atike si sɔ na wò. Ðo ŋku edzi be wò towo le vevie na wò ŋutɔ! Lé be na wo.

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