Ðe wò ŋɔti ƒuna ɣesiaɣia? Ðe ʋeʋẽ lilili kple eƒe ƒuƒuwo le emea? Ate ŋu anye (Atrophic Rhinitis)!

Ðe nèsena le ɖokuiwò me hã be yeƒe ŋɔti ƒuna ɣesiaɣia? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋɔti ʋẽna lililia, alo ɖe nèsena le ɖokuiwò me be nusiwo le ƒuƒlu le ƒoƒom ɖe yeƒe ŋɔti mea? Ekema esia nye nusi ate ŋu anɔ vevie na wò. Míeyɔa nɔnɔme sia be `(Atrophic Rhinitis)`. Mina míaƒo nu tso eŋu bɔbɔe eye le mɔ si gɔme sese le bɔbɔe nu.

Nukae nye `(Atrophic Rhinitis)`?

Kpuie ko la, `(Atrophic Rhinitis)` nye nɔnɔme si me lãkusi si le wò ŋɔti me ƒuna eye wòtsina. Bu eŋu abe numiemie si le ƒuƒum tsi manɔmee ene. Le ɣeyiɣi aɖe megbe la, lãkusi sia va nɔa tsɛ eye wòte ŋu sesẽna ɣeaɖewoɣi . Esia wɔnɛ be yaƒoƒomɔ̃ siwo toa wò ŋɔti me la kekena ɖe edzi. Gake kuxiae nye be esi tsi mele wò ŋɔti me o ta la, ƒunukpeƒetetedɔ aɖe dzɔna ɖe wò ŋɔti me si ʋẽna lilili ŋutɔ . Esia nye nɔnɔme si doa dziku ŋutɔŋutɔ.

Nukae nya "Atrophic" kple "Rhinitis" fia?

Be míase nɔnɔme sia gɔme nyuie la, mina míadzro nya eve siawo me vie.

• Atrophic alo atrophy nye atikewɔwɔ me nya si wozãna na lãmekawo ƒe ɖeɖeɖa, woƒe ƒuƒu, alo woƒe bu. Le atrophic rhinitis me la, nu tsɛ si le tsɛ (si sɔ kple ŋutigbalẽ) si le wò ŋɔti me si woyɔna be mucosa la va nɔa tsɛ eye emegbe wòsẽna . Lãmetsi sia tsyɔa ƒu suesuesue siwo le wò ŋɔti me siwo woyɔna be turbinates, siwo naa ya si míegbɔna la xɔa dzo, dea tsii, eye wòɖenɛ ɖa. Ɣeaɖewoɣi la, turbinate siawo hã ate ŋu aɖiɖi alo aɖiɖi.
• Rhinitis nye aɖuɖɔtoewo ƒe vuvu (si woyɔna hã be edema) kple dɔdzẽ. Dzoxɔxɔ sia ate ŋu agblẽ nu le wò gbɔgbɔtsixe ŋu eye wòana gbɔgbɔ nasesẽ na wò.

Eyata, eme kɔ na wò azɔ be `(Atrophic Rhinitis)` nye nɔnɔme si me lãkusi siwo le ŋɔti me la tsina, vuvu, eye woxɔa abi.

Aleke gbegbee `(Atrophic Rhinitis)` bɔe?

Atrophic Rhinitis nye aɖuɖɔtoedɔ ƒomevi aɖe si menye nulɔdɔ aɖeke gbɔe wòtsona o . Vuvɔ si bɔ hã nye esia ƒe kpɔɖeŋu bubu. Le ɣeyiɣi ɖesiaɖe me la, wobu akɔnta be ame siwo ade miliɔn 30 ye xɔa aɖuɖɔtoedɔ aɖe si me nulɔdɔ mele o le United States. Sri Lanka hã mele nɔnɔme sia me o.

Vovototo si le aɖuɖɔtoedɔ si me nulɔdɔ mele o kple aɖuɖɔtoedɔ si me nulɔdɔ mele o dome

Vovototo vi aɖe le ame eve siawo dome.

• Nu aɖewo (allergens) siwo ʋãa míaƒe ŋutilã ƒe dɔlélenutsiŋutete (dɔlélenutsiŋutete) gbɔe wòtsona be nulɔdɔ ( si wogayɔna be hay fever) tsona. Kpɔɖeŋu aɖewoe nye aŋɔ, aŋɔ, kple lãwo ƒe aŋgba. Dzesiawo dometɔ aɖewoe nye ŋɔti me tsi si le dodom, aɖuɖɔɖɔɖɔ, kple ŋku siwo le ʋuʋum .Dzesiawo ate ŋu anye ŋɔti me tsi si le dodom, aɖuɖɔɖɔɖɔ, ŋɔti me veve, kple tsi si le dodom le ŋɔti megbe.
• Le non-allergic rhinitis , me la, zi geɖe la, nusiwo abe ʋeʋẽ, dzudzɔ, atike aɖewo, kple lãmetsiŋusẽ ƒe masɔmasɔ gbɔe aɖuɖɔɖɔɖɔ kple ŋɔti me tsi si le dodom tsona. Tsi si dona le ŋɔti megbe hã ate ŋu ana ame nakɔ akɔta atraɖii. Atrophic rhinitis dze le hatsotso sia me.

Nukae nye `(Atrophic Rhinitis)` ƒomeviwo?

`(Atrophic Rhinitis)` ƒomevi vevi eve li:

1. Primary Atrophic Rhinitis : Esia mebɔ kura le dukɔwo abe Dziehe Amerika ene me o. Ke hã, le dukɔ siwo me yame ƒe dzoxɔxɔ kple kuɖiɖi le abe India, Afrika, kple Saudi Arabia ene me la, ame tsitsi siwo ade 1% ate ŋu axɔ esia. Nukutɔe la, ƒomevi sia ate ŋu adze le lãwo abe nyiwo kple ha ene hã me.

2. Secondary Atrophic Rhinitis : Esia dzea amesiwo wowɔ dɔ na le aɖuɖɔtoe me ŋu wu. Esia ate ŋu adzɔ vevietɔ le amekoko si me woɖe turbinate dzi kpɔtɔ vɔ megbe. Amekoko sia bia be woaɖe turbinate aɖewo alo wo katã ɖa. Esia nana be lãkusia dzi ɖena kpɔtɔna.

Azɔ hã, nɔnɔme si woyɔna be `(Rhinitis Medicamentosa)` nenɔ susu me na wò: Ame aɖewo zãa `(nasal decongestants)` (le kpɔɖeŋu me `(sprays)` abe `(oxymetazoline)` kple `(phenylephrine)`) ɣeyiɣi didi aɖe. Zi geɖe la, womeɖo aɖaŋu be woazã `(srays)` abe esia ene wu ŋkeke etɔ̃ ɖe wo nɔewo yome o. Ne èyi edzi le ezãm la, àte ŋu axɔ nɔnɔme aɖe si woyɔna be `(Rhinitis Medicamentosa)`, si ateŋu ahe `(Atrophic Rhinitis)` gɔ̃ hã vɛ. Eyata anyo wu be woazã no me `(sprays)` abe alesi ɖɔkta gblɔe ene ko.

Nukae nye nusiwo gbɔ `(Atrophic Rhinitis)` gbãtɔ tsona?

Nu geɖe li siwo ate ŋu ahe atrophic rhinitis gbãtɔ vɛ:

• Nusiwo ŋu nulɔdɔ le.
• Dɔlékuiwo ƒe dɔlélewo.
• Lãmetsiŋusẽ si nye estrogen ƒe dadasɔ.
• Ne `(Atrophic Rhinitis)` (nusi nye domenyiŋusẽfianu) le ƒomea me.
• Nunyiame siwo le abe iron, vitamin A, alo vitamin D ene ƒe anyimanɔmanɔ.
• Ne vidzidzi (`(dzidzime)`) ƒe wɔwɔme ƒe tɔtrɔwo le no me mɔwo me.

Nukae nye nusiwo hea evelia ƒe `(Atrophic Rhinitis)` vɛ?

Tsɔ kpe ɖe no me dɔwɔwɔ ŋu la, afɔku bubu geɖewo li siwo ana woaxɔ ``Atrophic Rhinitis`` evelia:

• Autoimmune diseases (dɔléle siwo me míaƒe ŋutilã ŋutɔ ƒe ametakpɔnu dzea mía ŋutɔwo míaƒe ŋutilã dzi le).
• Dɔlélewo abe `(Granulomatosis kple polyangiitis (GPA))` (si woyɔna tsã be `(Wegener ƒe)`).
• Dɔlékui bubuwo, siwo dome sinus dɔlékuiwo hã le.
• Kekeli ƒe atikewɔwɔ na kansa.
• Dɔléle aɖe si woyɔna be ``Sarcoidosis``.
• Gbɔdɔdɔ ƒe dɔlélewo abe syphilis ene.
• Afɔku alo abixɔxɔ le ŋɔti me.
• Abe alesi míegblɔe va yi ene la, atike siwo wotsɔna tsia ŋɔti me zazã ɣeyiɣi didi.

Nukae nye `(Atrophic Rhinitis)` ƒe dzesiwo?

Dzesi vevitɔ, kple esi ame bubuwo dea dzesii bɔbɔe, enye ŋɔti me ʋuʋudedi si ƒe ʋeʋẽ gblẽna ŋutɔ la ƒe wɔwɔme . Ne èdze agbagba be yeatsɔ asi alo nu bubu aɖe aɖe lãgbalẽgoloa ɖa la, àte ŋu akpɔ ʋu le ŋɔti me (`(epistaxis)`). Àte ŋu ase ʋeʋẽ gbegblẽ aɖe hã tso nu me (`(halitosis)`).

Nusi wɔ nukue nye be, ɖewohĩ màde dzesi ʋeʋẽ gbegblẽ sia o! Gake ame siwo dome nèle la ade dzesii godoo. Esia ate ŋu ana nàse le ɖokuiwò me be yemele dedie le dutoƒo o.

Dzesi bubu siwo woate ŋu akpɔ dometɔ aɖewoe nye:

• Ʋu si dona le ŋɔti me enuenu (epistaxis).
• Tsi si le abe ʋuʋudedi ene si dona tso ŋɔti me.
• No ƒuƒu eye wòle ƒuƒuie (esiae nye nusi nèsena le ɖokuiwò me gbã).
• Sinus ƒe dɔlékuiwo (sinusitis).

Bu eŋu kpɔ, ame aɖe li si ŋkɔe nye Nilanthi, amesi ƒe ŋɔti ƒomevi siawo le ƒoƒom ɖe eƒe ŋɔti ŋu ɣeyiɣi aɖee nye esia, eye wòʋẽna hã. Enɔ aɖaba ŋem ƒu edzi. Emegbe exɔlɔ̃wo gblɔ be, "Nilanthi, ɣeaɖewoɣi ne mele gbɔwò la, meʋẽna vie." Ɣemaɣie Nilanthi ɖoe be yealé ŋku ɖe esia ŋu. Eya ta, ɣeaɖewoɣi la, míate ŋu ana ame bubuwo ƒe dzi nadze eme evɔ míanya gɔ̃ hã o.

Aleke woawɔ anya `(Atrophic Rhinitis)`?

Ne dzesi siawo le ŋuwò la, ele be nàyi to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (to kple ŋɔti ŋuti ɖɔkta, alo ENT ɖɔkta). Ado wò kpɔ eye wòanɔ te ɖe wò dzesiwo dzi anya dɔlélea gbã.

Tsɔ kpe ɖe eŋu la, àte ŋu awɔ dodokpɔwo abe esiawo ene hã:

• Nulɔdɔ dodokpɔwo be woatsɔ aɖo kpe edzi nenye be nulɔdɔ le ŋuwò alo mele ŋuwò o.
• Ðe foto siwo me kɔ nyuie (CT scan).
• Dodokpɔ aɖe si woyɔna be nasal endoscopy bia be woatsɔ mɔ̃ si te ŋu trɔna bɔbɔe (endoscope) si me fotoɖemɔ̃ le ade ŋɔti me be woatsɔ adi polyps (tsitsi) alo kuxi bubu siwo le ŋɔti me.
• ``Nasal inspiratory flow test'' dzidzea ya agbɔsɔsɔme si gena ɖe ŋɔti me ne èle gbɔgbɔm.

Aleke wodaa `(Atrophic Rhinitis)`?

Ne míagblɔe tututu la, fifia la, atike aɖeke meli na `(Atrophic Rhinitis)` o. Gake atike aɖewo li siwo dzi woato aɖe ƒunukpeƒetetedɔ ma si ʋẽna lilili dzi akpɔtɔ eye woaɖu dzesiawo dzi. Mègatsi dzi o, àte ŋu akpɔ gbɔdzɔe to atikewɔwɔ siawo me.

Dɔdamɔnu si wozãna le mɔ gbadza nu

• De dɔlékuiwutikewo ƒe amiwo ɖe ŋɔti me (ne dɔlékui aɖe le eŋu).
• Wonaa ami siwo naa tsi nɔa no me be ŋɔti nanɔ tsi.
• Atikekui siwo me estrogen le alo atike si wotsɔna ƒua gbe ɖe no me.
• Vitamin siwo le lãme na ame.
• Zã fafamɔ̃ nàtsɔ adzi ya si le aƒeme ƒe fafa ɖe edzi.

Amekoko ƒe atikewɔwɔ

Esia mebɔ kura o, gake ehiã be woawɔ dɔ na ame aɖewo be woatsɔ ada dɔléle sia. Amekoko ƒe tiatia vovovowo li. Wò ɖɔkta aɖe tiatia si nyo na wò la me na wò.

Amekoko ate ŋu awɔ nuwo abe:

• Ŋɔti ɖeka kple ŋɔti ƒe do ƒe nutsotso (ɣeaɖewoɣi la, wozãa ametia ƒe mɔ̃).
• No me mɔwo dzi ɖeɖe kpɔtɔ.
• Atike siwo wodona ɖe no me.

Atike kawoe woate ŋu awɔ le aƒeme?

Àte ŋu awɔ nusiawo le aƒeme be nàɖe `(Atrophic Rhinitis)` ƒe dzesiwo dzi akpɔtɔ:

• Na wò ŋɔti me mɔwo natsi : Zã atike siwo wotsɔna ƒua gbe alo atike siwo wotsɔna tsia ŋɔti me abe alesi wò ɖɔkta kafui ene. Tsi si me dze le klɔ ŋɔti nye nu nyui aɖe.
• Tsɔ tsi de ya me : Zã fafamɔ̃ be tsi nanɔ ya me le aƒeme, vevietɔ le xɔdɔme me.
• Tsidede ŋɔti me : Ne wotsɔ dzetsi (si wowɔ to dze vi aɖe dede tsi si woɖa me) klɔ no me mɔwo ŋu la, ekpena ɖe ame ŋu wòɖea ŋɔti ƒe ƒuƒuwo ɖa eye wòkɔa ŋɔti me. Àte ŋu azã nane abe neti ze ene na esia.

Nukae nye kuxi siwo ate ŋu ado tso `(Atrophic Rhinitis)` me?

Ƒã ŋutɔ, gake atrophic rhinitis ate ŋu ana màgase ʋeʋẽ kura o (anosmia) . Ðewohĩ nɔnɔme aɖe si woyɔna be ŋɔti ƒuƒlu ƒe dɔléle hã ate ŋu anɔ ŋuwò . Esia nye nɔnɔme wɔnuku aɖe. Esiae nye esime wò ŋɔti me ʋuwo le ʋuʋu eye wokeke, gake ègasena le ɖokuiwò me kokoko be nane tsi wò ŋɔti me. Eyata togbɔ be ya si sɔ le wò lãkusiwo me hã la, gbɔgbɔtsixe tsia ƒowò kokoko.

Ðe woate ŋu axe mɔ ɖe `(Atrophic Rhinitis)` nua?

Nublanuitɔe la, fifia la, mɔ aɖeke meli si dzi woato axe mɔ ɖe `(Atrophic Rhinitis)` ƒe dzɔdzɔ nu o.

Nukae nye mɔkpɔkpɔ na amesi ŋu `(Atrophic Rhinitis)` le?

Atrophic Rhinitis nye dɔléle si nɔa anyi didi (si nɔa anyi didi) . Esia fia be medzona keŋkeŋ le ɣeyiɣi kpui aɖe ko me o. Gake mègatsi dzi o. Àte ŋu awɔ nuwo abe wò ŋɔti me mɔwo nana tsi, nàɖe wò dzesiwo dzi akpɔtɔ, eye nànɔ agbe si sɔ ene. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne dzesi siawo tɔgbe le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò:

• Ne gbɔgbɔ sesẽ na wò.
• Ne edze abe wò ʋeʋẽse dzi ɖe kpɔtɔ ene.
• Ne kɔdzidɔ si nu metsina o le ŋuwò.
• Ne ŋɔti la yi edzi le ƒuƒum eye wòle ƒuƒuie.
• Ne èse le ɖokuiwò me be nane xe mɔ (`(nasal obstruction)`) togbɔ be wò no me mɔwo le ʋuʋu hã.
• Ne ʋu le dodom le wò ŋɔti me enuenu.

Togbɔ be nusiawo ate ŋu adzɔ kple dzamezã si bɔ hã la, ne woyi edzi la, ele be nàkpɔ ɖɔkta godoo.

Nusiwo nàbia wò ɖɔkta

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• Nukatae `(Atrophic Rhinitis)` le ŋunye?
• Atike kawoe ate ŋu akpe ɖe ŋunye?
• Nukae mate ŋu awɔ le aƒeme be wòaɖe dzesiawo dzi akpɔtɔ?
• Ðe wòahiã be woawɔ dɔ nam?
• Ðe wòle be manya kuxi siwo dona tso emea?

Nusiwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me

Ne ŋɔti ƒu eye wòle ʋeʋẽm la, ate ŋu ado dziku na ame ŋutɔŋutɔ. Wòe le afɔku me vevietɔ be nàxɔ atrophic rhinitis le dɔwɔwɔ na wò abe turbinectomy ene megbe. Gake aɖuɖɔtoedɔ sia si mebɔ o si me nulɔdɔ mele o ate ŋu atso nu bubuwo hã gbɔ, abe mo ƒe abixɔxɔ alo dɔlékuiwo ƒe dɔléle ene.

Nu vevitɔe nye be ne dzesi siawo le ŋuwò la, mègavɔ̃ be yeayi ɖɔkta gbɔ ahaɖo aɖaŋu na wò o. Emegbe àte ŋu aƒo nu tso atikewɔmɔnu siwo sɔ na wò ŋu. Àte ŋu akpɔ gbɔdzɔe to atikewo kple aƒeme atikewo zazã me. Ƒã ŋutɔ be wòahiã be nàto amekoko dzi. Eyata, ele vevie ŋutɔ be nànya esia.

` Atrophic rhinitis, ŋɔti ƒuƒu, ŋɔti ƒe ƒuƒu, gbɔgbɔ vɔ̃, ŋɔti me ʋu, ENT, gbɔgbɔmedɔlélewo