Ðe viwò suea gbɔa ya to woƒe nu me zi geɖea? Ate ŋu anye adenoid siwo vuvu (Adenoiditis)!

Ède dzesii kpɔ be zi geɖe la, viwò suea ƒe ŋɔti me tsi, eƒe ŋɔti me tsi, eye wògbɔa ya to eƒe nu mea? Ɣeaɖewoɣi ne edɔ alɔ̃ le zã me la, eɖea hũ abe ame tsitsi ene, alo? Vidada aɖewo gblɔna be, "Oo, ɖɔkta, vinyea ƒe ŋɔti me tsina ɣesiaɣi eye eƒe ŋɔti hã xena." Togbɔ be míesusu be dzamezã koe nu siawo nye hã la, ɣeaɖewoɣi la, esia ate ŋu atso lãkusi siwo woyɔna be adenoids, si woyɔna be adenoiditis , ƒe vuvu gbɔ. Ðe míaƒo nu tso esia ŋu tsitotsitoa?

Nuka tututue nye adenoids?

Kpuie ko la, adenoid siawo nye lãkusi sue eve siwo le abe ʋumenugbagbevi dzĩwo ene siwo le mía vi suewo ƒe ŋɔti megbe, le ŋɔti tame, alo ne míagblɔe tututu la, le ŋɔti ƒe do megbe. Bu wo be wonye dzɔla siwo léa dɔlékui siwo gena ɖe míaƒe ŋutilã me. Eyae nye be wonye mía viwo ƒe dɔlélenutsiŋutete ƒe akpa vevi aɖe . Adenoid siawo li be woalé dɔlékui, dɔlékui, kple dɔlékui siwo míedi o siwo gena ɖe míaƒe ŋutilã me tso nutoa me ne míele gbɔgbɔm hele nu ɖum, awɔ avu kpli wo, ahakpɔ wo ta be woagadze dɔ o.

Eyata nukae nye adenoiditis? Nukatae wòdzɔna ɖo?

Fifia èse nusiwo adenoids nye kple alesi wole veviee gɔme. Eyata, lãkusi siawo siwo wɔa avu kple dɔlékuiwo ate ŋu axɔ dɔlékuiwo ɣeaɖewoɣi, alo woate ŋu axɔ dɔlékuiwo. Emae nye nusi míeyɔna le atikewɔwɔ me be adenoiditis . Ne míagblɔe tututu la, esia nye adenoid-awo ƒe vuvu.

Nukae dzɔna ne edzɔ nenema? Lãmenugbagbevi siawo vuvuna eye wo lolona ɖe edzi. Emegbe yaƒoƒomɔ̃ si nana gbɔgbɔ to ŋɔti me la dzea xexe gɔme. Eva sesẽna na ɖevia be wòagbɔ ya to woƒe ŋɔti me, eye wodzea gbɔgbɔ gɔme to woƒe nu me . Ɣeaɖewoɣi la, àte ŋu ade dzesi vovototo gɔ̃ hã ne èle nu ƒom eye wò ŋɔti xe.

Nu vevi siwo gbɔ adenoids siwo vuvu tsona

Susu geɖe ate ŋu anɔ anyi siwo ta adenoid siawo vuvu ɖo. Zi geɖe la, edzea egɔme ale:

1. Dɔlékui kple dɔlékuiwo ƒe dɔlékuiwo: Gbã la, dɔlékui aɖe ate ŋu anɔ ɖevi ŋu, abe dzamezã ene, si nana gbɔgbɔtsixe ƒe akpa si le etame la gbɔdzɔ. Emegbe, dɔlékui aɖe ate ŋu axɔ teƒe ma si gbɔdzɔ. Ne dɔlékui mawo tɔgbe eve dzɔ ɖe wo nɔewo yome la, anɔ eme be adenoid-awo vuvu.

• Dɔlékui siwo hea dzamezã kple dzamezã vɛ.
• Dɔlékui siwo hea dɔlélewo abe aɖuɖɔtoedɔléle , tomedɔléle, aklãdɔ , kple ŋɔti me dɔlékuiwo (abe strep throat ene) vɛ.

2. Nulɔdɔ: Nulɔdɔ ate ŋu anɔ ɖevi aɖewo ŋu na nuwo abe ke, aŋɔ, kple nuɖuɖu aɖewo ene. Nulɔdɔ siawo ate ŋu ana adenoid-awo hã navuvu.

3. Acid ƒe gbugbɔgadzɔ:Ɣeaɖewoɣi la, adenoid-awo hã ate ŋu avuvu ne dɔgbo me acid gagbugbɔ yi dzi yi ŋɔti me eye wòde abi lãmeka siwo le afima ŋu. Esia nye nɔnɔme aɖe si woyɔna be LPR (Laryngopharyngeal Reflux) .

Amekae ate ŋu axɔ adenoiditis wu?

Nɔnɔme sia si woyɔna be adenoiditis bɔ ɖe ɖevi siwo xɔ tso ƒe 3 va ɖo ƒe 7. Dzilawo nya be ɖevi siwo xɔ ƒe sia ate ŋu axɔ dzamezã kple dzoxɔxɔ. Esia le alea elabena esusɔ vie woadze sukudede kple fefe kple ɖevi bubuwo gɔme. Azɔ hã, adenoid-awo le woƒe lolome gãtɔ kekeake me le ƒe sia me. Eyata, ʋuʋudedi sue aɖe gɔ̃ hã le ɣeyiɣi sia tɔgbe me ate ŋu ana nu geɖe naxe le no me.

Esia mebɔ kura le ame tsitsiwo gome o. Esia le alea elabena zi geɖe la, adenoid-awo dzi ɖena kpɔtɔna eye wova nɔa sue le ƒe 7 xɔxɔ vɔ megbe. Zi geɖe la, wo nu yina keŋkeŋ kaka woatsi. Gake le lãmeka agbɔsɔsɔme si susɔ nu la, adenoid siwo le ame tsitsiwo me hã ate ŋu avuvu le susu siwo míeyɔ ɖe etame ta. Ƒã hafi tsitsi si mesɔ o abe kansa ene hã ate ŋu ana adenoid siwo le ame tsitsiwo me navuvu. Esia bɔ ɖe ame tsitsiwo me wu.

Vevietɔ: Togbɔ be esɔ be adenoids nalolo le ɖevi suewo me hã la, ele vevie ŋutɔ be woatsi dzi ne ame tsitsi aɖe ƒe adenoids lolo.

Dzesi kawoe ɖevi aɖe afia ne dɔléle sia dze edzi?

Ne adenoiditis le viwò suea ŋu la, àte ŋu ade dzesi dzesi siawo dometɔ ɖeka alo esi wu nenema:

• Asrã va doa mo ɖa.
• Gbɔgbɔ to nu me (vevietɔ le zã me, ne èle alɔ̃ dɔm).
• Nye ŋɔti me tsi eye nye ŋɔti me tsi nɔa ŋɔti me ɣesiaɣi.
• Ɣeaɖewoɣi la, yaƒoƒomɔ̃a ate ŋu axe keŋkeŋ (ŋɔti ƒe xexe) .
• Sese le eɖokui me abe ʋuʋudedi ene le dodom le ŋɔti me, hele ŋɔti ƒom ɣesiaɣi (Postnasal drip) .
• Aɖuɖɔtoe le zã me . Ɣeaɖewoɣi la, ate ŋu ase le ɖokuiwò me abe ɖe nèle gbɔgbɔm ene.
• Vemexɔabi .
• Vidzĩ siwo wona noe ate ŋu asesẽ na nuɖuɖu le esi woƒe ŋɔti xe ta.
• To me dɔlékuiwo ate ŋu adzɔ enuenu.
• Ne èle nu ƒom la, àte ŋu aɖi abe ɖe nèle nu ƒom to wò ŋɔti me ene (no me gbe).

Kuxi kawoe ate ŋu ado mo ɖa ne adenoids ƒe kuxia gakpɔtɔ li?

Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo. Ne adenoid-awo vuvu eye yaƒoƒomɔ̃wo xena ɣesiaɣi la, kuxi ɖeka ate ŋu ahe kuxi bubu geɖewo vɛ.

Bu eŋu kpɔ, ne eva sesẽ be woagbɔ ya to ŋɔti me la, ɖevia yia edzi le gbɔgbɔm to nu me. Ne wole gbɔgbɔm to nu me ɣeyiɣi didi nenema gbegbe la , mɔnukpɔkpɔ gã aɖe li be dowo nado le aɖuawo me eye woaɖu wo le mɔ si mesɔ o nu. Elabena ne nu me ʋu la, aɖuɖɔ si le nu me la ƒuna, si menyo na aɖuawo o. Menye ema ɖeɖeko o, ke ekpɔa ŋusẽ ɖe mo ƒe ƒuwo ƒe tsitsi hã dzi.Esia ate ŋu akpɔ ŋusẽ ɖe mo ƒe nɔnɔme dzi eye wòatrɔe vie gɔ̃ hã.

Gbɔgbɔ sesẽ ate ŋu ana be alɔ̃dɔdɔ le zã me nasesẽ. Ɣeaɖewoɣi la, gbɔgbɔ nu tsona hena ɣeyiɣi aɖe eye emegbe wògadzea egɔme ake. Míeyɔa esia be ‘Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixe si xea mɔ na ame’ . Emegbe esesẽna na ɖevia be wòalé to ɖe eŋu le ŋkekea me, esesẽna nɛ be wòatsɔ eƒe susu aɖo sukudɔwo ŋu, eye esia ate ŋu akpɔ ŋusẽ ɖe nusɔsrɔ̃ ƒe ŋutete hã dzi. Ðevia ate ŋu ase le eɖokui me hã be ɖeɖi te eŋu ɣesiaɣi.

Nu bubue nye be adenoid siawo siwo vuvu ate ŋu axe Eustachian tubes, siwo doa ka kple ɖevia ƒe titinato kple ŋɔti ƒe megbe. Tube siawo ƒe dɔe nye be woana nyaƒoɖeamenu si le to me nasɔ. Ne mɔ̃ siawo xe la, woate ŋu ana tome natsi enuenu, to me naxɔ dɔlékuiwo , eye ɣeaɖewoɣi la, woƒe to megasena nyuie o .

Aleke ɖɔkta awɔ anya adenoiditis nyuie?

Ne èkplɔ viwò suea yi ɖɔkta gbɔ la, woabia wò tso dzesiawo ŋu gbã. Woabia nya geɖe wò, abe ɣeyiɣi didi si dɔlélea ƒe dzesiwo le, alesi wosena le wo ɖokui me le zã me, kple alesi woɖua nu kple nunono ene. Emegbe, woate ŋu awɔ dodokpɔ ʋɛ aɖewo atsɔ anya ne adenoiditis le ŋuwò kple nusi gbɔ wòtso:

• Lãmesẽdodokpɔ: Ɣeaɖewoɣi la, ɖɔkta atsɔ ahuhɔ̃e sue aɖe (abe esiwo aɖudɔdalawo zãna ene) ade ŋɔti me be yeakpɔe ɖa be adenoids vuvu hã. Gake esia kpɔkpɔ nyuie ate ŋu asesẽ, vevietɔ le ɖevi suewo gome.
• Endoscopy: Zi geɖe la, esiae nye mɔ nyuitɔ si dzi woato akpɔ adenoids. Esia bia be nàde mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ kple kekeli le eƒe nuwuwu (si woyɔna hã be nasal endoscopy ) to wò ŋɔti me nyuie eye nàlé ŋku ɖe adenoid-awo ŋu nyuie. Esia wɔnɛ be nàte ŋu akpɔ alesi tututu wovuvu, alesi wololoe, kple alesi gbegbe ŋɔti me mɔwo xe. Esia ate ŋu ana ame naɖe dzi ɖi vie, gake mevea ame boo o.
• Dodokpɔ le ʋuʋudedi/tsi ƒe kpɔɖeŋu ŋu: Woate ŋu atsɔ ŋɔti me tsi (si woyɔna be ŋɔti ƒe dekɔnu ) akpɔe ɖa be dɔlékuiwo le eme hã, vevietɔ dɔlékui siwo hea strep throat vɛ .
• Nulɔdɔ dodokpɔwo: Ne ɖɔktaa susu be nulɔdɔ gbɔe abi la tso la, ate ŋu awɔ dodokpɔ siwo ku ɖe ema ŋu hã.

Ɣeaɖewoɣi la, woate ŋu awɔ X-ray atsɔ akpɔ adenoid-awo ƒe lolome.

Nukawoe nye atike siwo wozãna na esia? Ðe wònye nusi wòle be woavɔ̃ na?

Adenoiditis dada nɔ te ɖe nusi gbɔ wòtso dzi.

Zi geɖe la, ne adenoids vuvu le dɔlékui aɖe ta la, ɖevia ƒe dɔlélenutsiŋutete wɔa avu kplii eye wòhayana le ŋkeke ʋɛ aɖewo alo kwasiɖa ɖeka me. Mehiã be woawɔ atike tɔxɛ aɖeke nɛ o. Nusi nàwɔ koe nye be nàno atike aɖewo na asrã kple ŋutilã ƒe vevesese, aɖi ɖe eme nyuie, eye nàno tsi geɖe.

Gake ne nu bubu aɖe gbɔe wòtso la, avuvua dzi aɖe akpɔtɔ ne woda nu ma si gbɔ wòtso. Le kpɔɖeŋu me:

• Ne ɖɔktaa ɖo kpe edzi be dɔlékuiwo ƒe dɔlélee la, aŋlɔ dɔlékuiwutikewo na wò . Amoxicillin kple Penicillin ye nye dɔlékuiwutike siwo ame geɖe lɔ̃a zazã wu siwo woŋlɔna na amewo zi geɖe. Ele be woano atike siawo abe alesi wogblɔe ene pɛpɛpɛ, hena ŋkeke agbɔsɔsɔme si tututu. Menyo be nàdzudzɔ wo tsɔtsɔ yi afã kple afã o.
• Ne nulɔdɔ gbɔe wòtso la, wò ɖɔkta ate ŋu aŋlɔ atike siwo wua ʋumenugbagbeviɣidɔ alo atike si wotsɔna ƒua gbe ɖe ŋɔti me, abe Flonase® ene, na wò.
• Tsidede no me kple dze si wotsɔ klɔa no me kpena ɖe ame ŋu wòɖea nusiwo nana ame ƒe ŋutilã melɔ̃a nu alo dɔlékuiwo ɖa eye wòkpena ɖe ame ŋu hã be woaɖe no me ʋuʋu dzi akpɔtɔ.
• Ne acid reflux le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atikewo na wò, abe proton pump inhibitors (PPIs) alo H2 blockers ene .

Ke ne atikewo mewɔa dɔ o ɖe? Ðe wòhiã be woawɔ dɔ nam (Adenoidectomy)a?

Ɣeaɖewoɣi la, togbɔ be wozã atike hã la, adenoid-awo ƒe vuvu ate ŋu anɔ anyi. Alo, ne adenoiditis le ŋuwò enuenu, si nana nètsia to me enuenu, alo gbɔgbɔ sesẽna le zã me (Obstructive Sleep Apnea) la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò , si woyɔna be adenoidectomy . Esia bia be woawɔ amekoko atsɔ aɖe adenoid siwo vuvu la ɖa. To, ŋɔti, kple ŋɔti ŋuti nunyala bibi (Otolaryngologist - ENT doctor) ye wɔa dɔ sia .

Fifia ɖewohĩ ànɔ eŋu bum be, ‘Oo, ɖe dɔlélenutsiŋutete ƒe akpa aɖe ɖeɖe ɖa ana vinyea nadze dɔ bɔbɔea?’ Mega tsi dzi o . Ema madzɔ o. Le nyateƒe me la, dɔlélenutsiŋutete ƒe akpa sue ɖeka koe adenoid-awo nye. Wo ɖeɖe ɖa mana viwòa nadze dɔ bɔbɔe o. Dɔlélenutsiŋutete susɔea (abe tonsils kple lymph nodes ene) awɔ dɔ nyuie wu eye wòakpɔ viwòa ta tso dɔlékuiwo si me. Le nyateƒe me la, adenoid siwo vuvu, siwo dze dɔ zi geɖe la ɖeɖeɖa ate ŋu ana viwòa magadze dɔ ŋutɔŋutɔ o.

Nukae dzɔna le adenoids dɔwɔwɔ vɔ megbe? Ðe ɖevi suea le nyuiea?

Adenoiditis anyo kaba ne woda nusi gbɔ wòtso. Ne dɔlékui aɖee la, anyo ɖe edzi le abe kwasiɖa ɖeka ene megbe. Ðevia ƒe lãme asẽ le ŋkeke ʋɛ aɖewo megbe tso esime wòdze dɔlékuiwutikewo zazã gɔme. Gake ele be woana atike siwo katã ɖɔkta la ŋlɔ na wo la pɛpɛpɛ eye woana wo ɖe game dzi. Mègatɔ le mɔa ƒe afã me le esi nèse le ɖokuiwò me be yeƒe lãme sẽ vie ta ko o.

Ne wowɔ dɔ na wò be woaɖe adenoids (Adenoidectomy) la, zi geɖe la, wowɔa esia le ŋkeke ɖeka dzi eye àte ŋu ayi aƒeme (ŋkeke ƒe amekoko). Le amekokoa megbe ŋkeke ʋɛ aɖewo la, wò ŋɔti ate ŋu anɔ veve sem vie, eye màse le ɖokuiwò me vie ne èle nu ɖum o. Ðɔktaa ana vevesesenutsitikewo wò ɖe esia ta. Zi geɖe la, ehiãna be nàɖi ɖe eme le aƒeme kwasiɖa ɖeka ya teti. Le ema megbe la, ɖevia ate ŋu ayi suku aɖafe le mɔ si sɔ nu. Ðevi geɖe kpɔa gbɔdzɔe gã aɖe le dɔwɔwɔ sia megbe, eye nuwo abe gbɔgbɔ to ŋɔti me kple alɔ̃dɔdɔ ene nyona ɖe edzi sã.

Aleke nàwɔ akpɔ viwòa dzi le aƒeme? Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne èle ɖevi si ŋu adenoiditis le dzi kpɔm la, ele be nàlɔ̃ ame ŋutɔ ahalé to ɖe eŋu . Be woana woƒe dzi nadze eme la, na tsi geɖe wo (abe tsi, mɔli, atikutsetse me tsi ene) eye nàgbɔ ɖe eme geɖe. Ne woƒe ŋɔti le vevem la, aƒeme atike geɖe li nàte ŋu ate kpɔ, abe anyitsi vi aɖe nana wo kple dzetsi tsɔtsɔ ƒo woe (ne viwòa ate ŋu akpɔ egbɔ).

Nu vevitɔe nye be nàlé ŋku ɖe ale si viwòa le sesem le eɖokui me ŋu ɣesiaɣi. Bia ɣesiaɣi be, ‘Aleke nèle, viŋutsu/nyɔnuvi?’. Ema akpe ɖe wo ŋu be woƒe dzi nadze eme. Àte ŋu agblɔ nya si tututu wòle be nàgblɔ nɛ hã na ɖɔktaa.

Le nɔnɔme siawo me la, ele be nàkpɔ ɖɔkta godoo:

• Ne dzesiawo meva nyo ɖe edzi o alo dzoxɔxɔa nu mefa le ŋkeke eve ƒe dɔlékuiwutikewo zazã gɔmedzedze megbe o.
• Ne dzesi yeyewo va dze ɖevia dzi, alo ne dzesi siwo li xoxo la gavlo ɖe edzi (e.g., gbɔgbɔtsixe ƒe dzidziɖedzi, nuyiwo ƒe blɔ).
• Ne asrãa gakpɔtɔ li togbɔ be wona atike si ɖea asrã dzi kpɔtɔna hã.
• Ne ɖevia ƒe gbɔgbɔ le sesẽm ŋutɔ.
• Ne wogbe nu ɖuɖu alo nunono, alo ne woɖu aɖuɖɔ.

Eya ta, mina míaɖo ŋku nu vevitɔwo dzi, alo?

Ðevi geɖe xɔa adenoid siwo vuvu ne wodze dɔ. Gake dzamezã kple dzamezã akpa gãtɔ va nyona ɖe edzi le ɣeyiɣi aɖe megbe. Nusiwo gbɔ wòtsona dometɔ aɖewo – dɔlékuiwo ƒe dɔléle, dɔgbo me acid ƒe kuxiwo, nulɔdɔ – woateŋu atsɔ atike adae. Gake ne ehiã be woawɔ dɔ na viwòa la, ɖo ŋku edzi be enye dɔ si bɔ ŋutɔ eye wòkpɔa dzidzedze. Ðevi ate ŋu anɔ lãmesẽ me adenoids manɔmee.

Dzila geɖe mebua atikewɔwɔ me nya ‘adenoiditis’ ŋu ne wokpɔ wo vi ƒe dzesiwo o. Ke boŋ adenoid siwo vuvu ate ŋu adze abe dzamezã alo dzamezã ene. Le ɣeyiɣi aɖe megbe la, woate ŋu adze abe to me dɔlékui siwo gbugbɔna ene. Gake nusi le vevie wu atikewɔwɔ me nya la nyanyae nye ɣeyiɣi si wòle be woakpɔ ɖɔkta la nyanya. Ðevi akpa gãtɔ ƒe lãme sẽna ne ɣeyiɣiawo va le yiyim. Gake ne dzesiawo xɔ wu kwasiɖa ɖeka, alo nu sẽ la, yɔ ɖɔkta. Woate ŋu akpe ɖe viwòa ŋu wòahaya kaba. Didi be viwò suea nahaya kaba!

` Adenoids, adenoiditis, ɖeviwo ƒe lãmesẽ, ŋɔti me vevesese, ŋɔti ƒe ʋuʋu, nu me gbɔgbɔ, adenoidectomy