Ðɔkta si kpɔa ta kple kɔdɔlélewo gbɔ: Amekae nye toŋutinunyala?

Ðe kuxi aɖe do mo ɖa le wò to, ŋɔti, alo ŋɔti ŋu eye nèbia ɖokuiwò kpɔ be amekae yeakpɔ? Ðewohĩ wò ƒomea ƒe ɖɔkta ɖo wò ɖe dɔdala bibi aɖe gbɔ. Egbea, míele nu ƒom tso eŋutinunyala bibi aɖe si ate ŋu akpe ɖe mía ŋu le ɣeyiɣi siawo tɔgbe me ŋu. Emae nye toŋutinunyala . Togbɔ be ŋkɔa aɖi didi vie hã la, ame siawo daa dɔléle geɖe siwo do ƒome kple míaƒe ta kple kɔ.

Amekae nye ‘Tomeŋutinunyala’ sia? Kpuie ko la,...

Toŋutinunyala nye ɖɔkta si bi ɖe nɔnɔme siwo ku ɖe wò ta kple kɔ ŋu didi kple wo dada me. Woate ŋu awɔ dɔ siwo menye amekoko o, eye woate ŋu awɔ dɔ siwo me amekoko le ne ehiã. Esia fia be ɖɔkta siawo ate ŋu akpe asi ɖe nɔnɔme siwo woate ŋu atsɔ atike adae, kpakple nɔnɔme siwo hiã be woawɔ dɔ na wo ŋu.

Ŋkɔ sia ɖi nusi wɔ nuku vie, alo? Woyɔe be ‘Oto-laryn-go-lo-gist’. Gake esi wòsesẽ be woaɖo ŋku edzi ta la, ame geɖe yɔa ɖɔkta siawo kple ŋkɔ kpui bubu.

Ðe esia sɔ kple ‘ENT’ ɖɔkta tɔa?

Ẽ, èto nyateƒe! Ðewohĩ èse ‘ENT’ ɖɔkta aɖe ŋkɔ zi geɖe. ‘ENT’ nye ‘To, ŋɔti, kple ŋɔti’ ƒe kpukpui . Efia ɖɔkta si bi ɖe to, ŋɔti, kple ŋɔti me . Eyata, woyɔa ‘ Tomeŋutinunyala ’ hã be ‘ENT’ ɖɔkta.

Fifia àte ŋu anɔ eŋu bum be, nukatae woazã ŋkɔ didi si nye ‘otolaryngologist’ na esia, evɔ wòle bɔbɔe be woagblɔ be ‘ENT’ ko? Le nyateƒe me la, ‘ENT’ ye nye nya si wozãna wu, elabena eƒe ŋkuɖoɖo edzi le bɔbɔe wu. Ke hã, nya si sɔ le atikewɔwɔ me enye ‘otolaryngologist’.

‘Tolaryngologist’ geɖe dina be woatsɔ ŋkɔ ma ayɔ yewo, elabena menye to, ŋɔti, kple ŋɔti koe wodaa dɔ o, ke wodaa ta kple kɔ ƒe dɔléle vovovowo hã. Eyata wogblɔna be nya ‘ENT’ meɖɔ yewoƒe dɔwɔnawo bliboe o.

Aleke nàwɔ azu Tomeŋutinunyala?

Eŋutinunyala bibi nyenye abe esia ene mele bɔbɔe o. Ebia ɖokuitsɔtsɔna kple hehexɔxɔ geɖe.

Gbã la, ele be nàto Ordinary Level kple Advanced Level dodokpɔwo me eye nàxɔ atikewɔwɔ ŋuti ɖaseɖigbalẽ (MBBS) le yunivɛsiti. Emegbe, be nàzu ‘otolaryngologist’, si fia be sidzedze tɔxɛ si ku ɖe ta kple kɔ ŋu nasu asiwò la, ele be nàgaxɔ ƒe atɔ̃ bubu ƒe hehe tɔxɛ le afima nɔnɔ ŋu .

Bu ɣeyiɣi didi si ema axɔ hafi nàsrɔ̃e ŋu kpɔ! Ðɔkta aɖewo yia ŋgɔ wu ema gɔ̃ hã eye wosrɔ̃a nu tso dɔ tɔxɛ bubu siwo le dɔ ma ke me ŋu. Le kpɔɖeŋu me .

Nukawoe nye dɔléle vevi siwo ‘otolaryngologist’ daa?

Abe alesi míegblɔe va yi ene la, ɖɔkta kple dɔnɔdzikpɔla siawo daa dɔ vovovo siwo gblẽa nu le ta kple kɔ ŋu. Esiawo ate ŋu anye nu suesuesuewo abe kɔdzidɔ bɔbɔe alo ŋɔti me sisi ene , alo nu sesẽwo abe ta kple kɔ me kansa ene.

Le esia ta la, wona hehe wo le atikewɔwɔ siwo menye amekoko o kple amekoko siaa me. Mina míalé ŋku ɖe dɔléle ƒe hatsotso vevi siwo wodana ŋu.

To ƒe nɔnɔmewo

Ne kuxi aɖe le wò to ŋu la, ɖɔkta siae wòle be nàkpɔ.

• To me dɔlékuiwo: Dɔlékui siwo dzɔna ɖe to gota, to titina, alo to ememetɔ me.
• Tinnitus : To me ƒe ɖiɖi alo toɣliɖeɖe ƒe seselelãme. Le ame aɖewo gome la, esia ate ŋu anye fuɖename ne wole alɔ̃ dɔm le zã me gɔ̃ hã.
• Taɖuame: Sese le eɖokui me be yemele dadasɔ me o. Zi geɖe la, kuxi siwo le to ememetɔ me ate ŋu ahe esia vɛ.
• Vertigo: Esia to vovo vie tso taɖuame gbɔ. Le vertigo me la, èsena le ɖokuiwò me be nuwo le tsatsam, alo nèsena le ɖokuiwò me be yele tsatsam.
• Tomeka si gbã: Do si le tomeka, alo tomeka si le tomeka me .
• Eustachian tube dysfunction: Tube si do ƒome kple titinato kple ŋɔti si le etame la ƒe xexe. Esia ate ŋu ana ame nase le eɖokui me be to me xe.
• Otosclerosis: Ƒu siwo le titinato me ƒe tsitsi si mesɔ o.
• Ménière ƒe dɔléle: To ememetɔ ƒe dɔléle si mebɔ o si ate ŋu agblẽ nu le nusese kple dadasɔ ŋu.
• Tosese ƒe dɔmawɔmawɔ nyuie: Esia ate ŋu atso tokunɔnyenye si nu mesẽ o dzi va ɖo tokunɔnyenye keŋkeŋ dzi.

No ƒe nɔnɔmewo

Ðɔkta siawo daa kuxi vovovo siwo doa mo ɖa le ŋɔti me hã.

• Sinusitis: Ya kotokuwo (sinus) siwo ƒo xlã ŋɔti la ƒe dɔdzẽ alo dɔlékuiwo xɔxɔ. Esia ate ŋu ana ta naɖu ame eye eƒe ŋɔti naxe.
• Nusiwo ŋu nulɔdɔ le:Nulɔdɔ siwo tso nusiwo abe aŋɔ, aƒemelãwo ƒe ʋuʋudedi, kple ke ene gbɔ.
• Rhinitis: Ʋuka si le ŋɔti me ƒe dɔdzẽ.
• Ʋu si dona le ŋɔti me: Susu vovovowo ate ŋu ado le ŋɔti me, siwo dometɔ aɖewoe nye dɔlékuiwo, nulɔdɔwo, kple abixɔxɔ.
• Postnosal drip: Aɖuɖɔ si sɔ gbɔ la sina toa ŋɔti ƒe megbe. Esia ate ŋu ana nàse le ɖokuiwò me ɣesiaɣi be yekɔ yeƒe ŋɔti me.
• Deviated septum: Ƒunukpeƒe si le ŋɔtiwo dome (septum) ƒe tete ɖe axa ɖeka.
• Nasal polyps: Tsitsi siwo menye kansa o siwo dzɔna zi geɖe le amesiwo ŋu nulɔdɔ le enuenu, asrã, alo sinus dɔlékuiwo ŋu.
• No kple no me dɔdzẽ: Dɔdzẽ siwo dona le ŋɔti me ate ŋu anye kansa alo esiwo menye kansa o.

Kɔme ƒe nɔnɔmewo

Eŋutinunyala bibi siawo daa nuwo abe ŋɔti me veve kple nu mimi sesẽ hã.

• Kɔmeve: Ate ŋu atso dɔlékuiwo, nulɔdɔwo, alo nusiwo doa dziku na ame aɖewo gbɔ.
• Tonsillitis: Dɔlékuiwo ƒe gege ɖe tonsils me.
• Laryngitis: Gbeɖiɖiɖaka ƒe dɔdzẽ. Esia wɔnɛ be gbea nɔa ɖiɖim.
• Nu mimi sesẽ (dysphagia): Nuɖuɖu alo nunono mimi sesẽ. Esia ate ŋu atso kuxi aɖe si le nu, ŋɔti, alo nuɖuɖutome gbɔ.
• Gbeɖiɖi ƒe nɔnɔmewo: Nɔnɔmewo abe gbeɖiɖi ƒe ʋuʋu, gbeɖiɖi ƒe dɔmawɔmawɔ nyuie, alo gbeɖiɖi ƒe lãmetutudɔ ene.

Alɔ̃dɔdɔ ƒe kuxiwo

Ðewohĩ awɔ nuku na wò, gake ɖɔkta siawo daa alɔ̃dɔdɔ ƒe kuxi aɖewo hã.

• Aɖuɖɔtoe: Aɖuɖɔtoe ate ŋu adzɔ ne yaƒoƒomɔ̃ si le etame ƒe lãkusi falɛfalɛwo vuvu akpa ne wole alɔ̃ dɔm. Toɣliɖeɖe sia dona ne ya to lãmenugbagbevi sia si xaxa me.
• Obstructive sleep apnea: Esia nye nɔnɔme si me yaƒoƒomɔ̃a xaxa alo xena keŋkeŋ le yaƒoƒomɔ̃a ƒe lãkusi ƒe ɖiɖi ta. Esia nana gbɔgbɔtsixe tsia dzodzodzoe hena ɣeyiɣi aɖe le alɔ̃dɔdɔ me (yagbɔgbɔ ƒe ɣeyiɣiwo).

Wò ta kple kɔ ƒe dɔdzẽwo

Ðɔkta siawo ate ŋu awɔ dɔ atsɔ aɖe dɔdzẽ (siwo nye kansa kple esiwo menye kansa o) ɖa le ta kple kɔ ŋu. Kpɔɖeŋu aɖewoe nye:

• Ʋumenugbagbeviɣidɔ: Esiawo nye tsitsi siwo menye kansa o siwo me ʋuka gbogbo aɖewo le. Wobɔ ɖe vidzĩ siwo wodzi yeyee me.
• Aɖuɖɔtoe me dɔdzẽ: Esiawo ate ŋu anye kansa alo esiwo menye kansa o.
• Nu me kansa:Ta kple kɔ me kansa ƒomevi si bɔ wu. Ate ŋu agblẽ nu le nuyiwo, ŋgonu me, aɖe, kple nu ƒe akpa si le etame kple ete ŋu.
• Oropharyngeal cancer: Kansa si dzea ŋɔti ƒe titina. Wo dometɔ si bɔ wue nye squamous cell carcinoma.
• Laryngeal cancer: Kansa si gblẽa nu le gbeɖiɖikawo (larynx) ŋu.
• Nasopharyngeal cancer: Kansa si xɔa ŋɔti ƒe akpa si le etame (nasopharynx), si doa ka kple ŋɔti kple gbɔgbɔtsixe ƒe akpa mamlɛa.
• Thyroid cancer: Kansa si gblẽa nu le thyroid gland si wɔa lãmetsiŋusẽ, si ƒe nɔnɔme le abe kpakpaluʋui ene le kɔ me la ŋu.

Ɣekaɣie wòle be míayi toŋutinunyala gbɔ?

Zi geɖe la, wò ƒomea ƒe ɖɔkta (Primary Care Physician - PCP) aɖo wò ɖe dɔdala bibi sia ƒomevi gbɔ. Ne dzesi siwo gbɔna le ŋuwò la, anyo be nàyi toŋutinunyala gbɔ:

• Kɔmeve si nɔa anyi ɖaa.
• Tsi si dona le vidzidɔ me atraɖii (kwasiɖa eve ya teti alo esi mede nenema o) .
• Kɔdzidede si nɔa anyi didi.
• Sinus ƒe ʋuʋu enuenu alo no ƒe ʋuʋu enuenu.
• Taɖuame.
• Vertigo ( seselelãme si nye be yele tsatsam le ye ŋu) .
• Nulɔdɔ sesẽwo.
• Nu mimi sesẽ (dysphagia).
• Tosese ƒe kuxi.
• Gbe sesẽ si nɔa anyi ɖaa alo ɣlidodo.
• To me dɔlékuiwo xɔxɔ enuenu.
• Tonsillitis enuenu (tonsillitis si nɔa anyi didi).
• Kpe yeye aɖe si le mo alo kɔ ŋu.
• Aɖuɖɔtoe sesẽ.
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe.

Vevietɔ: Dzesi siawo dometɔ ɖeka alo esi wu nenema ƒe amesinɔnɔ mefia kokoko be dɔléle sesẽ aɖe le ŋuwò o. Ke hã, nunya le eme be nàyi ɖɔkta gbɔ be nànya nusi tututu gblẽ.

Nukae nye ‘Tomeŋutinunyala si xɔ ɖaseɖigbalẽ tso Habɔbɔa gbɔ’?

Esia hã sɔ be míanya. Be ɖɔktaa nanye ‘dɔdzikpɔha ƒe ɖaseɖigbalẽ’ fia be tsɔ kpe ɖe woƒe hehexɔxɔ tɔxɛ ŋu la, elɔ̃ faa wɔ dodokpɔ tɔxɛwo eye wòto eme be woatsɔ aɖo kpe woƒe aɖaŋu kple dɔa ƒe ɖokuitsɔtsɔna dzi . Esia lɔ dodokpɔ siwo woŋlɔ kple nuƒoƒo, kple dodokpɔ siwo wowɔna ŋutɔŋutɔ gɔ̃ hã ɖe eme.

Kpuie ko la, esia le abe woƒe sidzedze kple aɖaŋu ƒe ɖaseɖigbalẽ deŋgɔ bubu ene. Dɔwɔha siwo dea dzesi ɖɔkta bibi mawo hã le Sri Lanka.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata, ‘Tomeŋutinunyala’, alo abe alesi mí katã míenyae ene la, ‘ENT’ ɖɔkta, nye eŋutinunyala vevi aɖe ŋutɔ si daa dɔléle siwo do ƒome kple míaƒe ta kple kɔ.Ne to, ŋɔti, alo ŋɔti me kuxi aɖe si nɔa anyi ɖaa le ŋuwò, alo ne dzesi siwo ŋu míeƒo nu tsoe va yi dometɔ aɖe le ŋuwò la, mègahe ɖe megbe le aɖaŋuɖoɖo didi tso wò ƒomea ƒe ɖɔkta gbɔ o eye ne ehiã la, yi toŋutinunyala gbɔ.

Zi geɖe la, ne wokpɔe kaba hedae la, ate ŋu ana ame nahaya kabakaba eye wòaxe mɔ ɖe nɔnɔme sesẽwo nu. Eyata, lé be na wò lãmesẽ.

` Toŋutinunyala, ENT, to, ŋɔti, ŋɔti, ta kple kɔdɔlélewo, tosese ƒe kuxiwo