Ðe tsi ʋeʋĩ aɖe le dodom tso wò to mea? Alo ɖe wò to ɖeka megate ŋu sea nu nyuie o eye nèsena le ɖokuiwò me be yeƒe to le kpekpem ɣesiaɣia? Esiawo menye dzesi siwo dzi woaŋe aɖaba aƒu ko o. Esiawo ate ŋu anye tsitsi si menye kansa o ƒe dzesi siwo wòle be woada. Le atikewɔwɔ me la, míeyɔa esia be cholesteatoma . Ŋkɔa aɖi nusi mewɔ nuku o, gake mègavɔ̃ o. Egbea, míaƒo nu tso eŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye Cholesteatoma?
Lãmenugbagbevi siwo le míaƒe ŋutilã me ate ŋu aƒo ƒu awɔ ƒuƒu suesuesuewo. Míeyɔa esiawo be ƒunukpeƒetetedɔ, alo ƒunukpeƒetetedɔ. Woate ŋu ayɔ wo me fũ kple ya, tsi, alo nu bubuwo. Cholesteatoma hã nye nu ma tɔgbe. Gake ŋutigbalẽmenugbagbevi kuku siwo le to me ƒe ƒuƒoƒo mee wowɔe .
Zi geɖe la, dɔdzẽ sia dzea egɔme tso tomeka gbɔ, le toa ƒe gogloƒe ke. Emegbe etsina vivivi va zua titinato kple to ememetɔ. Megagblɔe ake be, menye kansae nye esia o. Gake ne womewɔ atike nɛ o la, ate ŋu ahe kuxi sesẽwo abe to ƒe dɔmawɔmawɔ nyuie kple to ƒe gbegblẽ ene vɛ.
Nɔnɔme sia mebɔ boo o. Togbɔ be ate ŋu adze le ƒe ɖesiaɖe me hã la, ebɔ vie le ŋutsuwo me wu nyɔnuwo.
Nukawoe nye esia ƒe dzesi veviwo?
Zi geɖe la, to ɖeka koe cholesteatoma hea dzesiwo vɛ. Lé ŋku ɖe eŋu nàkpɔe ɖa be dzesi siawo le ŋuwò hã.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Lãmetsi si le dodom tso to me | Tsi aɖe si ʋẽna lilili, si ƒe amadede nyea ɣi alo dama ɣeaɖewoɣi la yia edzi le dodom tso toa me. |
| Tosese ƒe kuxi | Sese le ame ɖokui me abe nusese ene le to ɖeka me dzi ɖe kpɔtɔ vivivi. |
| To ƒe yɔyɔ | Mesena le ɖokuinye me ɣesiaɣi be nane yɔ fũ eye wòle kpekpem le nye to me. |
| Tomeve alo dɔlékuiwo xɔxɔ | To me dɔlékuiwo xɔxɔ enuenu alo vevesese si tso to me. |
| Taɖuame kple towo ƒe ɖiɖi | Ame aɖewo ate ŋu ase le wo ɖokui me be yewole tsatsam (vertigo). Ame bubuwo ate ŋu akpɔ towo ƒe ɖiɖi ɣesiaɣi (tome ƒe tomeʋuʋu). |
| Gbɔdzɔgbɔdzɔ le mo ƒe akpa ɖeka | Ƒã ŋutɔ hafi ne dɔdzẽa lolo la, ate ŋu agblẽ nu le mo ƒe lãmekawo ŋu, si ana mo ƒe akpa ɖeka natsi alo agbɔdzɔ. |
Nu vevitɔe nye be ne womeda dɔdzẽ sia ɖi ɣeyiɣi didi o la, ate ŋu agblẽ nu le ŋutinu siwo kpena ɖe ŋutilãa ŋu be wòada asɔ le to me, kpakple to ƒe ƒuwo hã ŋu. Ƒã ŋutɔ hafi dɔlékui sia ate ŋu akaka ɖe ahɔhɔ̃a me eye wòahe nɔnɔme sesẽwo abe taɖuame ene vɛ. Eyata mègaŋe aɖaba ƒu dzesi siawo dzi o.
Nukatae nane si le abe esia ene dzɔna? Nukawoe nye susu siwo tae?
Susu vevi geɖewo li siwo tae ʋumenugbagbeviɣidɔ dzea ame dzi ɖo.
- Tomedɔléle enuenu: Esia koŋ gbɔe wòtsona. Ne to me dɔlékuiwo le ŋuwò enuenu, ne to me kuxiwo le ŋuwò ne dzamezã le ŋuwò, alo ne to xɔ abi la, afɔku sia lolo wu. Bu eŋu kpɔ, mɔ̃ sue aɖe li si doa ka kple míaƒe ŋɔti kple to. Míeyɔa esia be Eustachian tube . Tube sia ɖɔa nyaƒoɖeamenu si le toa me ɖo. Ne mɔ̃ sia xe le dɔlékui aɖe ta la, woɖea ya aɖe dona le titinatoa me. Nyaƒoɖeamenu sia hea tomeka la yia eme. Emegbe akpa sue aɖe si le abe kotoku ene la dzɔna. Kplu ma mee ŋutigbalẽmenugbagbevi kukuwo ƒoa ƒu ɖo eye dɔdzẽ sia dzɔna.
- Kuxi siwo le Eustachian tube ƒe dɔwɔwɔ ŋu: Wodzia ame aɖewo kple tube sia mewɔa dɔ nyuie o. Ɣemaɣi gɔ̃ hã, abe alesi míegblɔe le etame ene la, dɔdzẽ ate ŋu ado ɖe tomeka me.
- Dzidzime: Ƒã ŋutɔ hafi vidzĩ aɖewo ate ŋu axɔ dɔdzẽ sia ne woƒe towo gakpɔtɔ le tsitsim le vidzidɔa me, afisi ŋutigbalẽmenugbagbevi aɖewo xana ɖe to ƒe ƒuwo dome. Zi geɖe la, wokpɔa nusiawo le ɖevimenɔɣi.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èkpɔ ɖɔkta si ŋu dzesi siwo míeyɔ ɖe etame le la, nu gbãtɔ si wòawɔe nye be wòatsɔ otoscope, si nye mɔ̃ aɖe si me kekeli kple ŋkumeɖonu si lolona le, ado wò to ƒe akpa si le eme. Emegbe, awɔ tosese dodokpɔ be yeakpɔ alesi nèle to ɖom nyuie.
Ne wosusu be dɔdzẽ aɖe le ŋuwò la, wò ɖɔkta aɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala (ENT specialist) , amesi ate ŋu awɔ dodokpɔ geɖe atsɔ alé ŋku ɖe dɔdzẽa ŋu nyuie wu.
- CT scan (Computerized Tomography): Esia le abe X-ray-nɔnɔmetata gbogbo aɖewo ƒoƒo ƒu be woatsɔ awɔ ƒuwo, ʋukawo, kple lãkusi siwo le to me ƒe nɔnɔmetata si me kɔ nyuie le 3D me ene. Esia wɔnɛ be ɖɔkta la te ŋu kpɔa alesi tututu dɔdzẽa loloe, nenye be egblẽ nu le to ƒe ƒuwo ŋu, kple nenye be ekaka ɖe akpa siwo gblẽa nu le nusese kple dadasɔ ŋu. Zi geɖe la, wowɔa esia hafi wowɔa dɔ nɛ.
- MRI scan (Magnetic Resonance Imaging): Ne CT scan ɖee fia be dɔlékuia kaka ɖe ahɔhɔ̃a me la, woate ŋu awɔ MRI scan atsɔ aɖo kpe esia dzi.
Aleke wowɔa atike nɛ?
Womate ŋu atsɔ atike ada esia o. Atikewɔwɔ ɖeka koliae nye amekoko be woaɖe dɔdzẽa ɖa keŋkeŋ. Woatsɔ atike si naa alɔ̃dɔdɔ wò (adɔ alɔ̃) na amekoko sia, si zi geɖe xɔa gaƒoƒo 2-3. Mahiã be nànɔ kɔdzi o.
Amekoko ƒomevi vevi eve li:
1. Mastoidectomy: Mastoid ƒu nye ƒu si le wò to megbe. Amekolaa ʋua ƒu sia, toa eme, eye wòɖea dɔdzẽa ɖa keŋkeŋ.
2. Tympanoplasty: Esia nye amekoko si wowɔna tsɔ dzraa do aɖe si le wò tomeka (tympanic membrane) me si dɔdzẽ aɖe hena vɛ la ɖo. Esia bia be nàzã ƒunukpeƒe alo lãmeka aɖe si woɖe tso wò to ƒe akpa bubu.
Wò tosese ate ŋu atrɔ ava nɔ nɔnɔme nyui me vaseɖe afi aɖe le amekoko vɔ megbe, gake esia medzɔna ɣesiaɣi o.
Cholesteatoma nye dɔléle si ate ŋu agadzɔ ake le nɔnɔme si nu sẽ wu me. Ne womeɖee ɖa keŋkeŋ o la, ate ŋu agadzɔ ake. Eyata ele vevie ŋutɔ be nàkplɔ wò ɖɔkta ɖo edziedzi le amekoko vɔ megbe gɔ̃ hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Cholesteatoma menye kansa o, gake enye dɔléle si wòle be woada.
- Tsi dzi ne dzesiwo abe tsi si ʋẽna lilili si le dodom tso to me, to ɖeka ƒe nusese dzi ɖe kpɔtɔ, alo to me kpekpem le ɖokuiwò me ene le ŋuwò.
- Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ kaba. Anyo wu be nàkpɔ to, ŋɔti, kple ŋɔti ŋuti nunyala bibi aɖe.
- Esia ƒe atikewɔwɔ ɖeka koe nye be woaɖe dɔdzẽa ɖa to amekoko me.
- Le amekoko vɔ megbe gɔ̃ hã la, ele vevie ŋutɔ be woado wo kpɔ le atikewɔƒewo edziedzi be woakpɔe ɖa be egadzɔ ake hã.
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