Nukae nye ƒu wɔnuku sia si le tsitsim le wò to me? (Cholesteatoma) Mina míakpɔe ɖa pɛpɛpɛ.

Ðe tsi si ʋẽna lilili dona le to me na wò ɣeaɖewoɣia? Alo ɖe nèsena le ɖokuiwò me zi geɖe be ƒuƒu alo nyaƒoɖeamenu aɖe le wò to mea? Togbɔ be ame geɖe susuna be tomeve alo dɔlékui dzro aɖe koe esia nye hã la, ɣeaɖewoɣi ate ŋu anye nusi nu sẽ wu. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu. Woyɔa esia be Cholesteatoma. Togbɔ be ŋkɔa aɖi nusi wɔ nuku hã la, ele vevie be míanya nu tso eŋu.

Kpuie ko la, nukae nye Cholesteatoma?

Cholesteatoma nye tsitsi si mesɔ o si dona le wò tomeka (tympanic membrane) megbe, le titinato me. Togbɔ be le nyateƒe me la, dɔdzẽe wònye hã la, menye kansae o. Eyata mègatsi dzi ɖe eŋu o. Ŋutilãmenugbagbevi kukuwo ƒe ƒuƒoƒoe wɔe. Eɖi ale si míaƒe ŋutigbalẽmenugbagbevi kukuwo ƒoa ƒu hewɔa ƒuƒu sue aɖe le to me. Le ɣeyiɣi aɖe megbe la, lãmenugbagbeviwo ƒe ƒuƒoƒo sia va lolona vivivi. Ɣeaɖewoɣi la, edzena abe dzonu ene, eyata ame aɖewo yɔnɛ be "dzonu ƒe dɔdzẽ."

Nɔnɔme sia ate ŋu adzɔ le mɔ vevi eve nu:

• Cholesteatoma si wodzina: Ðevi aɖewo ate ŋu akpɔ tsitsi sia le woƒe to me le wo dzidzi me. Esia mebɔ vie o.
• Cholesteatoma si woxɔ: Esiae nye esi bɔ wu. Edzɔna le ɣeyiɣi aɖe megbe le kuxi bubu siwo le to me ta.

Dzesi kawoe dzena ne nɔnɔme sia do mo ɖa?

Cholesteatoma ƒe dzesiwo ate ŋu ato vovo vie le alesi wòle le vidzidzi me alo emegbe nu. Ne wodzi ɖevi sue aɖe kple esia la, ɖewohĩ dzesi aɖeke manɔ eŋu o vaseɖe esime dɔdzẽa lolo. Ðevia ƒe ɖɔkta ate ŋu ade dzesii gbã le dodokpɔ si wowɔna edziedzi me.

Gake le goawo katã me la, woate ŋu akpɔ dzesi siwo gbɔna le nɔnɔme sia me.

Nukatae cholesteatoma sia dzɔna? Nukawo koŋ gbɔe wòtsona?

Susu vevitɔ si tae nye tomeka si wole hehem yi eme, si woyɔna be `(Retracted eardrum)`. Azɔ na míakpɔ ale si wòdzɔnae ɖa.

Bu eŋu kpɔ, mɔ̃ sue aɖe li si doa ka kple míaƒe to kple ŋɔti. Míeyɔa esia be Eustachian tube . Eƒe dɔ vevitɔe nye be wòana ya ƒe nyaƒoɖeamenu le to ƒe akpa si le eme (titinato) kple gota gome dome nasɔ eye wòada asɔ. Ne míeɖe hũ alo mi nu la, míesea "pop" gbeɖiɖi aɖe le míaƒe towo me eye wòwɔna na mí abe ɖe wole ʋuʋum ene elabena mɔ̃ sia le dɔ wɔm.

Azɔ tsɔe be dzamezã, nulɔdɔ le ŋuwò, alo ʋuka me kuxi aɖe le ŋuwò. Nusi dzɔna enye be Eustachian ƒe mɔ̃a vuvu eye wòxena. Nukae dzɔna ɣemaɣi? Ya la dzudzɔa sisi yia titinato me, eye ya si le afima la nona yia ŋutilãa me. Esia wɔe be , nyaƒoɖeamenu si le titinatoa me dzi ɖena kpɔtɔna, si wɔnɛ be ya si me ya mele o dona.

Le yaƒoƒo ƒe nyaƒoɖeamenu sia ta la, wohea tomeka si mete ŋu nɔa te ɖe gota ya ƒe nyaƒoɖeamenu nu o la yia eme le eƒe gbɔdzɔgbɔdzɔƒe wu. Abe alesi wozia ya vi aɖe ɖe aŋetu ƒuƒlu me ne womiãe ene.

Tsɔ kpe ɖe susu vevi sia ŋu la, .

• Le to me dɔléle siwo nɔa ame ŋu enuenu ta (Chronic otitis media) .
• Le afɔku aɖe abe tomeka si gbã ene ta .
• Ƒã ŋutɔ hafi nɔnɔme sia ate ŋu adzɔ le vidzidzi me .

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne dzesi siwo míeyɔ ɖe etame la le ŋuwò la, ele be nàyi wò ƒomea ƒe ɖɔkta gbɔ gbã. Abia nya wò tso wò dzesiwo kple nenye be to me dɔlékuiwo nɔ ŋuwò kpɔ hã.

Emegbe, ɖɔktaa zãa dɔwɔnu sue aɖe si woyɔna be otoscope tsɔ doa wò to kpɔna. Ate ŋu alé ŋku ɖe toa me akpɔe ɖa be ŋutigbalẽmenugbagbevi kukuwo ƒo ƒu ɖe tomekaa megbe alo nenye be do aɖe le tomekaa me hã.

Ne wosusu be ʋumenugbagbeviɣidɔ le ŋuwò la, wò ɖɔkta aɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala bibi aɖe (tolaryngologist alo ENT eŋutinunyala) . Eŋutinunyala ate ŋu awɔ dodokpɔ bubuwo atsɔ aɖo kpe nɔnɔmea dzi eye wòanya alesi gbegbe nu gblẽ le eŋu.

• CT scan (Computed Tomography scan): Esia ate ŋu akpɔ alesi gbegbe dɔdzẽa loloe, nenye be ƒu siwo le tsɛ ŋutɔ siwo woyɔna be ƒumeŋuɖui siwo le to me la gblẽ, alo ne ekaka ɖe ahɔhɔ̃a me.
• Tosese dodokpɔ: Wowɔa tosese dodokpɔ vovovowo tsɔ dzidzea alesi gbegbe wò tosese gblẽ nu le. Tympanometry nye dodokpɔ tɔxɛ aɖe si ate ŋu akpe ɖe ame ŋu wòanya dɔléle sia.

Nukawoe nye atike siwo wozãna na esia?

Nya sia nye nya si ame geɖe biana. Ðe womate ŋu ada esia to atike nono me oa?

Woate ŋu ana atikewo, vevietɔ dɔlékuiwutikewo kple tomeka, gake ɖeko wonaa wo be woatsɔ aɖu dɔlékui si ƒunukpeƒea hena vɛ dzi. Eyae nye be woaɖe ʋuʋudedi kple vevesese si dona tso to me dzi akpɔtɔ hena ɣeyiɣi aɖe. Gake atikewo mana ʋuʋudedia nadzo gbeɖe o.

Taɖodzinu vevi eve le amekoko ŋu:

1. Cholesteatoma ƒe dɔdzẽa ɖeɖeɖa keŋkeŋ eye woatɔ te dɔlékuia ƒe kaka.

2. Be woadze agbagba aɖɔ nusiwo gblẽ le to ŋu ɖo alesi woate ŋui eye woagase nu ake.

Woyɔa amekoko siwo wowɔna ɖe esia ta be ``Mastoidectomy'' kple ``Tympanoplasty.'' Dɔwɔla bibi la atso nya me le amekoko si sɔ na wò wu ŋu le wò nɔnɔmea nu.

Nukae adzɔ le amekoko vɔ megbe? Eye nuka ŋue wòle be míaɖɔ ŋu ɖo?

Ame akpa gãtɔ ƒe dzesiwo nu tsona keŋkeŋ le amekoko vɔ megbe. Gake afɔku li be cholesteatoma nagadzɔ ake. Eyata ele vevie be nàyi edzi akplɔ wò ɖɔkta ɖo le amekoko vɔ megbe.

Wò dɔwɔla bibi agblɔ na wò be nàtrɔ ava le ɣeyiɣi aɖewo koŋ me . Le dodokpɔ siawo me la:

• Megale nye to me dzrom ake.
• Wole tosese me dzrom.
• Ɣeaɖewoɣi la, woɖea to la ɖa (klɔa eŋu) . Esia bia be woaɖe ŋutigbalẽmenugbagbevi kuku ɖesiaɖe kple lãmenugbagbevi bubu siwo ate ŋu aƒo ƒu la ɖa nyuie.

Ðe woate ŋu axe mɔ ɖe cholesteatoma nua?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe ƒomevi si nɔa anyi le vidzidzi me nu o. Gake nanewo li míate ŋu awɔ atsɔ aɖe afɔku si le dɔléle si bɔ wu, si dzea egɔme emegbe la xɔxɔ me dzi akpɔtɔ.

• Tomedɔlélewo dada kabakaba kple wo dada nyuie:Ne wò alo viwòa le to me dɔlékuiwo xɔm enuenu la, ele vevie be nàyi atikewɔƒe be nànya nusi gbɔ wòtso eye nàdae nyuie. Ele vevie hã be woada nɔnɔme siwo gblẽa nu le Eustachian tube ƒe dɔwɔwɔ ŋu, abe dzamezã kple nulɔdɔwo ene.
• Towo Takpɔkpɔ: Ele vevie hã be woakpɔ towo ta tso nuwo kple afɔku siwo ate ŋu agbã tomeka la me.