Àdi be yeanya nusianu tso gbeɖiɖika siwo naa agbe wò gbe ŋua?

Mía ŋutɔwo ƒe gbe tɔxɛ le mí katã si, alo? Ɣeaɖewoɣi la, ne míekpɔ ame aɖe o hã la, míedea dzesii to ale si wòƒoa nui dzi. Eyata ɖe nèbu alesi wowɔa míaƒe gbee ŋu kpɔa? Nu sue kae le míaƒe ŋutilã me kpena ɖe ema ŋu? Ŋuɖoɖoae nye gbeɖiɖikawo . Egbea, míaƒo nu tso gbeɖiɖika wɔnuku siawo, woƒe dɔwɔwɔ, kple alesi woawɔ be woanɔ lãmesẽ me ŋu.

Nukawoe nye gbeɖiɖikawo? Kpuie ko la,...

Kpuie ko la, wò gbeɖiɖikawo nye lãmeka eve siwo le teƒe sue aɖe si le abe aɖaka ene le wò ŋɔti me si woyɔna be lãkusi . Aɖuɖɔtoe sia le wò yagbɔgbɔ , si nye mɔ̃ si tsɔa ya yia wò lãkusi me ne èle gbɔgbɔm la tame.

Ne èle gbɔgbɔm hele gbɔgbɔm la, gbeɖiɖika eve siawo ɖea dzi ɖi, si wɔnɛ be ya te ŋu toa eme faa. Gake ne èdze nuƒoƒo gɔme la, gbeɖiɖika eve siawo tena ɖe wo nɔewo ŋu, eye gbɔgbɔ si nègbɔna la ʋuʋuna ɖekae le titina. Ʋuʋudedi mae dona abe wò gbe ene.

Ðɔkta geɖe yɔa esiawo be “gbe ƒe ƒoƒo” tsɔ wu be woayɔe be “gbe ƒe ka .” Susu aɖe li si tae. Tsã la, amewo bua wo be wonye ka eve siwo le haƒonu aɖe dzi siwo ɖina ne woƒo wo. Gake fifia míenya be menye ka eve koe wonye o, ke boŋ lãmeka kple ƒunukpeƒe siwo do ƒome kple wo nɔewo siwo kplɔ wo nɔewo ɖo. Ne míagblɔe tututu la, menye xɔtunu ɖeka koe wonye o, ke boŋ wodo ƒome kple lãmeka kple ƒunukpeƒe vovovo siwo le lãkusia me.

Nu vevi kawoe gbeɖiɖikawo wɔna?

Nu vevitɔe nye be woaɖe gbea, gake tsɔ kpe ɖe ema ŋu la, gbeɖiɖika siawoe wɔa dɔ vevi bubu geɖewo.

1. Mía ŋutɔwo ƒe gbe tɔxɛ wɔwɔ

Esiae nye nu vevitɔ kekeake. Ne èle nu ƒom, le ha dzim, le ɣli dom, le hũ ɖem, le ɣli dom - esiawo katã nye gbeɖiɖi siwo gbeɖiɖika siawo wɔna. Ne gbeɖiɖikawo vuvu la, ya si dona tso yaƒoƒomɔ̃a me mate ŋu asi o eye wòtsia mɔ̃ me. Ya sia si xaxa la hea nyaƒoɖeamenu vaa gbeɖiɖikawo dzi. Nyaƒoɖeamenu sia tae ya la dona abe tsitete ene, si wɔnɛ be gbeɖiɖikawo ʋuʋuna. Le wò gbe ƒe ɖiɖime nu la, gbeɖiɖika siawo ate ŋu aʋuʋu zi alafa geɖe le sɛkɛnd ɖeka me! Ʋuʋudedi sia kple ya ƒo ƒu wɔa wò gbe.

Bu eŋu kpɔ, nusiwo katã le mo na wò, abe wò nuyiwo, aɖe, aɖuwo, ŋgonu, kple ʋuka siwo me ʋu sina tona ene, wɔa dɔ ɖekae tsɔ naa gbeɖiɖi si dona tso gbeɖiɖika siawo me la me kɔ, ɖoa atsyɔ̃ na wo, eye wotrɔa asi le eŋu, eye wowɔa wò ŋutɔ wò gbe tɔxɛ.

2. Míaƒe yaƒoƒomɔ̃wo takpɔkpɔ

Esia hã le vevie ŋutɔ.

• Ne èmi nu: Wò lãkusi le abe ƒoƒo ene. Afi mae mɔ eve siwo yi yaƒoƒomɔ̃ (yaƒoƒomɔ) kple nuɖuɖutome (nuɖuɖu kple nunono) me ma le. Ne èle nu ɖum la, gbeɖiɖika siawo tuna, si wɔnɛ be nuwo abe nuɖuɖu kple nunono ene mete ŋu gena ɖe yaƒoƒomɔ̃a me o. Ne èmi nu la, lãkusia kɔna, eye wòkplɔa nuɖuɖua yia nuɖuɖutome tẽ.
• Ne èle kɔdzim la:Ne nane dze agbagba be yeage ɖe yaƒoƒomɔ̃a me la, kasia gbeɖiɖikawo xana, si wɔnɛ be kɔdzidɔa dzɔna. Azɔ hã, ne vuvɔ le ŋuwò la, kɔdzidɔ kpena ɖe ŋuwò nèɖea nusiwo mèdi o ɖa le gbɔgbɔtsixe ƒe dɔwɔwɔ me. Ɣesiaɣi si nèkɔ wò ŋɔti me, ɣesiaɣi si nèkɔ la, gbeɖiɖika siawo tsia.

3. Wò gbɔgbɔ dzi ɖuɖu

Ne èle gbɔgbɔm hele gbɔgbɔm la, gbeɖiɖikawo ʋãna, si wɔnɛ be yaƒoƒomɔ̃a toa eme mɔxeɖenu aɖeke manɔmee.

Afikae gbeɖiɖikawo le?

Wò gbeɖiɖikawo le wò ŋutilã ƒe akpa aɖe si woyɔna be larynx , si wogayɔna be "gbeɖiɖiɖaka" la me. Esia le yaƒoƒomɔ̃a tame, le Adam ƒe akɔɖu si le wò ŋɔti ƒe titina titina la megbe tẽ. Ne ètsɔ asibidɛ ɖeka alo eve de ƒu sia dzi hezi edzi la, àse le ɖokuiwò me be ele dzi yim. Ne èʋu wò nu la, àse le ɖokuiwò me be eɖiɖi.

Nukae nye gbeɖiɖikawo ƒe nɔnɔme kple woƒe wɔwɔme?

Gbeɖiɖikawo nye lãkusi ɣi eve siwo le abe dzonu ene siwo le wò lãkusi titina. Ne gbeɖiɖikawo ʋu la, esi le ɖusime kple esi le miame la va ƒoa ƒu wɔa "V" si wogbugbɔ trɔ. Ne wotu wo la, wova ƒoa ƒu abe fli tsɛ aɖe ene.

Gbeɖiɖika siawo tsoa aɖuɖɔtoe ƒe miame yia ɖusime, eye tso ŋgɔgbe yi megbe. Woléna ɖe lãmekawo kple ƒunukpeƒetetedɔ siwo le lãkusia me ŋu siwo kpena ɖe ame ŋu wòɖua gbeɖiɖikawo ƒe ʋuʋu dzi.

Wotsɔa nutsyɔnu si xɔ dzo, si kpɔa ame ta si woyɔna be mucous membrane tsyɔa gbeɖiɖikawo dzi. Le nutsyɔnu sia te la, gbeɖiɖikawo nyea ƒuƒoƒo vevi etɔ̃:

• Woyɔa lãmenugbagbeviwo ƒe akpa si le gota wu be lãmenugbagbevi siwo woyɔna be epithelium .
• Titina ƒe akpa si woyɔna be lamina propria ye kpena ɖe gbeɖiɖikawo ŋu woʋãna.
• Lãmetsiwo ƒe akpa si le ememe wu. Esia lɔ Vocalis Lãmetsi kple Thyroarytenoid Lãmetsi ɖe eme .

Aleke gbeɖiɖikawo ƒe lolome trɔnae?

Ne wodzi wò la, wò gbeɖiɖikawo didi tso milimeta 6 va ɖo 8. Ne èle tsitsim la, wodidina hã. Gbeɖiɖikaawo ƒe didime kple woƒe titrime ye afia wò gbe ƒe sesẽme . Gbeɖiɖika siwo le kpekpem wu la naa gbe si de to wu, si me kɔ wu (gbeɖiɖi si bɔbɔ ɖe anyi wu).

• Le ŋutsuwo gome: Ne ŋutsuviwo ɖo woƒe ƒewuiwo me la, lãmetsi si nye testosterone nana woƒe gbeɖiɖikawo tsina hedidina. Esia tae woƒe gbewo va dea to ɖe edzi ɖo. Ŋutsu tsitsi ƒe gbeɖiɖikawo didi tso sentimeta 1.75 va ɖo 2.5 le mama dedie nu. Womate ŋu atrɔ tɔtrɔ siawo o. Esia fia be amesiwo wɔa nyɔnu ƒe lãmetsiŋusẽdɔdamɔnu hafi woazu nyɔnuwo la, ahiã be woawɔ dɔ kple nuƒoƒoŋutinunyala aɖe be woatrɔ woƒe gbe ƒe ɖiɖi, woawɔ dɔ na wo be woana woƒe gbe nazu nyɔnu, alo woƒe gbewo anɔ goglo.
• Nyɔnuwo ƒe:Nyɔnuviwo hã kpɔa gbeɖiɖi ƒe ka didi aɖewo ne woɖo woƒe sɔhɛmenɔɣi. Nyɔnu tsitsi ƒe gbeɖiɖika le mama dedie nu didi tso sentimeta 1.25 va ɖo 1.75. Ne wozã testosterone hormone therapy (masculizing hormone therapy) be woazu ŋutsu la, woƒe gbeɖiɖikawo hã lolona eye wodidina. Esia wɔnɛ be woƒe gbe va dea to ɖe edzi.

Ne ame aɖewo le tsitsim la, woƒe gbeɖiɖikawo kple lãmeka bubu siwo le ŋɔti me la gbɔdzɔna eye wovuvuna, si wɔnɛ be nuƒoƒo sesẽna.

Dɔléle kawoe gblẽa nu le gbeɖiɖikawo ŋu?

Míaƒe gbeɖiɖikawo hã ate ŋu axɔ dɔléle vovovowo. Na míakpɔ nusiwo wonye ɖa.

Nɔnɔme siwo wokpɔna zi geɖe:

• Laryngitis: Esia nye gbeɖiɖikawo ƒe dɔdzẽ. Esia ate ŋu ana wò gbe natsi, agbɔdzɔ, aɖi, alo aɖi. Ate ŋu atso eŋudɔwɔwɔ fũu akpa, dɔlékuiwo xɔxɔ, atamanono, kple acid reflux si nɔa anyi didi (GERD - Gastroesophageal Reflux Disease) gbɔ .
• Vocal Cord Nodules, Polyps and Cysts: Esiawo nye tsitsi siwo menye kansa o (siwo me dɔlékui mele o). Nodules kple polyps nye ƒuƒoƒo sesẽwo, gake cysts nye kotoku siwo me tsi yɔ fũ. Esiawo hã ate ŋu ana wò gbe nagbɔdzɔ, aɖiɖi, alo maganɔ anyi kura o. Nusi gbɔ wòtsona wue nye wò gbe ƒe tete (zazã fũ alo ezazã le mɔ gbegblẽ nu). Nu bubu siwo gbɔ wòtsonae nye atamanono, sinusitis , kple nulɔdɔwo.
• Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie: Esia nyea ɣeyiɣi si me gbeɖiɖikawo mete ŋu ʋuna alo tua wo le mɔ si sɔ nu o. Esia ate ŋu ana nuƒoƒo, gbɔgbɔ, kple nu mimi nasesẽ. Nɔnɔme vovovo siwo gblẽa nu le lãmekawo ŋu ate ŋu ana lãmeka siwo le gbeɖiɖikawo me nadzudzɔ dɔwɔwɔ nyuie. Esia ate ŋu ana gbea naɖi gbɔgbɔ, alo ana wòasesẽ be nàkɔ kɔ alo akɔ wò ŋɔti me.

Nɔnɔme siwo womekpɔna fũ o:

• Aɖuɖɔtoeme Kansa: Kansa ate ŋu adze aɖuɖɔtoe ƒe akpa aɖewo, siwo dome gbeɖiɖikawo hã le.
• Laryngospasm: Esia nye gbeɖiɖikawo ƒe ʋuʋu kpata, si wɔnɛ be gbɔgbɔ kple nuƒoƒo sesẽna. Womele mɔ kpɔm na ʋuʋudedi siawo o eye zi geɖe la, womexɔa aɖabaƒoƒo ɖeka o.
• Muscle Tension Dysphonia (MTD): Esia dzɔna ne lãmeka siwo le wò ta kple kɔ me va le dɔ wɔm akpa. Èsẽa lãmeka siwo le wò lãkusi ƒe eme, egodo, alo evea siaa me. Tete sia ate ŋu ana wòasesẽ na wò gbeɖiɖikawo be woaʋuʋu faa eye wòanɔ bɔbɔe, si ana nàse le ɖokuiwò me be yeƒe ŋɔti kple/alo kɔ nate ɖe ye ŋu eye yeƒe dzi mefa o.
• Reinke ƒe Ʋuʋudedi: Esia nye nɔnɔme si me tsi ƒoa ƒu ɖe gbeɖiɖikawo ƒe akpa si woyɔna be ‘Reinke ƒe teƒe’ eye wòvuvuna. Esia ate ŋu ana gbea naɖiɖi eye gbeɖiɖia naɖiɖi.
• Spasmodic Dysphonia ƒe dɔléle:Esia nye nɔnɔme si nɔa anyi didi si me wò gbeɖiɖikawo me mekɔna alo sẽna ne èle agbagba dzem be yeaƒo nu.
• Inducible Laryngeal Obstruction (ILO): Nɔnɔme sia nana gbeɖiɖikawo ʋuʋu sesẽna, si wɔnɛ be gbɔgbɔ sesẽna. Wogayɔa esia be Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie .

Nukawoe nye gbeɖiɖi ƒe dɔlélewo ƒe dzesi siwo bɔ?

Dzesiawo nɔ te ɖe nɔnɔme tɔxɛ si gblẽa nu le gbeɖiɖikawo ŋu dzi, gake dzesi aɖewo li siwo bɔ:

• Gbe ƒe ɖiɖi sesĩe.
• Gbe ƒe bublu.
• Gbe gbɔdzɔ alo nusese blewu.
• Gbe ƒe tɔtrɔ, vevietɔ tɔtrɔ tso gbeɖiɖi kɔkɔ dzi yi gbeɖiɖi si bɔbɔ me alo gbeɖiɖi ƒe ɖiɖi.
• Kɔdziyiyi enuenu, nu mimi sesẽ, alo kɔ ƒe vevesese.
• Nu mimi, nuƒoƒo, alo gbɔgbɔ sesẽ.

Mɔnu kawoe wozãna tsɔ doa gbeɖiɖikawo kpɔna?

Ne wò gbe trɔ (abe gbe ƒe ɖiɖi, nuƒoƒo sesẽ ene) wu kwasiɖa eve la, ele be nàkpɔ ɖɔkta godoo. Le wò dzesiwo nu la, ahiã be nàkpɔ gbeŋutinunyala alo to, ŋɔti, kple ŋɔti (ENT) ŋuti nunyala. Ðewohĩ ahiã hã be nàyi aɖuɖɔtoeŋutinunyala, ɖɔkta si bi ɖe aɖuɖɔtoedɔlélewo me, alo nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala bibi aɖe gbɔ.

Ne èyi wò ɖɔkta gbɔ la, abia wò atikewɔwɔ ŋutinya eye wòado wò ŋutilã kpɔ. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔwo abe:

• CT scan alo MRI: Nɔnɔmetatawo dodokpɔ siawo ate ŋu adi ƒuƒu, ƒunukpeƒetetedɔ, alo dɔdzẽ siwo le wò ŋɔti me.
• Dɔlékuiwo ƒe Dekɔnu Dodokpɔ: Ðɔkta ate ŋu aɖe wò ŋɔti me be yeakpɔe ɖa be dɔlékui siwo ate ŋu ahe dɔlékuiwo vɛ hã.
• Laryngoscopy: Le dɔ sia wɔwɔ me la, ɖɔktaa dea mɔ̃ tsɛ aɖe (laryngoscope) si me akaɖi kple fotoɖemɔ̃ le la wò lãkusi me eye wòdoa wò gbeɖiɖikawo kpɔna.
• Videostroboscopy: Esia sɔ kple laryngoscopy, gake ezãa akaɖi tɔxɛ aɖe ale be ɖɔktaa nate ŋu akpɔ alesi wò gbeɖiɖikawo ʋuʋunae.
• Biopsy: Ðɔkta ate ŋu aɖe lãkusi aɖe le wò gbeɖiɖikawo me eye wòalé ŋku ɖe lãmenugbagbevi siwo mesɔ o ŋu.
• Laryngeal Electromyography (LEMG): Dodokpɔ sia ate ŋu akpe ɖe ame ŋu wòanya gbeɖiɖi ƒe dɔmawɔmawɔ nyuie. Edzidzea alesi wò lãmekawo kpɔa lãmeka siwo le wò lãkusi me dzii.

Nukawoe nye gbeɖiɖi ƒe dɔlélewo dada?

Atikewɔwɔ hã nɔ te ɖe dɔlélea ƒe nɔnɔme dzi. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:

• Gbea ƒe ɖiɖiɖeme (menye nuƒoƒo alo hadzidzi o - gbeɖiɖi ƒe ɖiɖiɖeme).
• Atike siwo ɖea abi kple vevesese dzi kpɔtɔna.
• Amekoko be woaɖe nuwo abe ƒunukpeƒetetedɔ kple dɔdzẽ ene ɖa.
• Gbe ƒe Dɔdamɔnu: Esia ate ŋu akpe ɖe ŋuwò nàda gbe le wò gbeɖiɖikawo ŋu alo afia alesi nàzã wo nyuie. Ate ŋu akpe ɖe ŋuwò hã be nàƒo nu kple kakaɖedzi kple ɖokuidziɖuɖu geɖe wu.

Nukae míate ŋu awɔ be míaƒe gbeɖiɖikawo nanɔ lãmesẽ me?

Míaƒe gbe nye nusi xɔ asi ŋutɔ na mí. Eyata gbeɖiɖika siawo léle ɖe te hã le vevie ŋutɔ. Nu nyuitɔ kekeakee nye be nàzã wo nyuie, evɔ màte ɖe wo dzi o.

Mègayɔ nu siawo ŋkɔ o:

• Ðeɖi te wò gbe ŋu to eŋudɔwɔwɔ fũu akpa (nuƒoƒo fũu akpa, hadzidzi fũu akpa).
• Ne wò gbe se le eɖokui me be yeƒe gbe le ɖiɖim alo gbɔdzɔ la, te nuƒoƒo alo hadzidzi kpɔ.
• Sigaretnono, sigaret ƒe dzudzɔ dodo.
• Do ɣlidodo ɣeyiɣi didi, alo nuƒoƒo le ɣlidodo me. Nu siawo evea siaa tea gbeɖiɖikawo.

Wɔ nu siawo:

• Ne GERD/LPRD le ŋuwò la, na woawɔ atike nɛ nyuie.
• No tsi si sɔ gbesiagbe eye nàna tsi nanɔ wò ŋutilã me.
• Ne èdi be woase wò gbe le didiƒe ʋĩ la, zã nuƒomɔ̃.
• Te ɖa le nuto siwo me ke geɖe le eye atike sesẽwo le wo me ŋu.
• Ne dɔlékui aɖe le ŋuwò la, ɖe nuƒoƒo ƒe agbɔsɔsɔ (kple gbeɖiɖi ƒe sesẽme) dzi kpɔtɔ.
• Ne èle nu ƒom alo le ha dzim la, srɔ̃ gbɔgbɔ ɖe wò ŋutilã ƒe akpa si le anyime, ke menye ɖe wò akɔta o.
• Vevietɔ le yame ƒe nɔnɔme si me tsi medzana le o (abe dzomeŋɔli ene) la, zã nufamɔ̃ be ya si nègbɔna la natsi.

Gbedasi si Wotsɔ Yi Aƒeme

Wò gbeɖiɖikawoe kpena ɖe ŋuwò nèƒoa nu, dzia ha, eye nègbɔa ya gɔ̃ hã. Togbɔ be wole sue hã la, xɔ̃wòwo kple ƒowòmetɔwo ate ŋu ade dzesi wò to gbeɖiɖi si woɖena ne wole ʋuʋum la me.

Ta wò gbeɖiɖikawo ta tso ɖeɖiteameŋu me. Mègaɖe fu na wo to nuƒoƒo sesĩe akpa alo hadzidzi didi akpa me o. Ƒo asa na atamanono (si me atamanono hã le), eye nàno tsi geɖe. Mègazã wò gbeɖiɖikawo le mɔ gbegblẽ nu eye nàna wò gbe nanɔ lãmesẽ me o. Le nyateƒe me la, wò gbe nye nunɔamesi vevi aɖe na wò!

` Gbe, gbeɖiɖikawo, lãkusi, ŋɔti me dɔlélewo, gbe takpɔkpɔ, lãkusi ƒe dɔléle, gbe ƒe tɔtrɔ