Ðe dɔdzẽ aɖe le wò to mea? Mina míasrɔ̃ nu tso tomekawo ŋu!

Ðe nèsena le ɖokuiwò me be nu wɔnuku aɖe le to me na yea? Ðewohĩ enye ƒunukpeƒetetedɔ sue aɖe, alo ɖewohĩ to ƒe vevesesee, alo nane abe to ƒe dɔmawɔmawɔ nyuie enea? Mègaŋe aɖaba ƒu nusiawo dzi o, xɔ̃nye. Elabena esiawo ate ŋu anye dzesi siwo fia be dɔdzẽ aɖe le tsitsim le wò to me. Mina míaƒo nu tso esia ŋu tsitotsito egbea.

Nukae nye to me dɔdzẽ?

Kpuie ko la, to me dɔdzẽ nye ƒuƒoƒo alo ƒunukpeƒetetedɔ si dzɔna ɖe wò to me le lãmenugbagbevi siwo mesɔ o ta . Ate ŋu adze abe ƒunukpeƒetetedɔ sue aɖe ene. Zi geɖe la, to me dɔdzẽ siawo mewɔa dɔ nyuie o , si fia be womenye kansa o. Gake ɣeaɖewoɣi la, woate ŋu anye dɔlékui vɔ̃ɖiwo , si fia be woate ŋu azu kansa.

Tomeka ate ŋu adze le wò to ƒe akpa sia akpa. Esia fia be ate ŋu adzɔ le to ƒe akpa ɖesiaɖe, eɖanye to ememetɔ, to titina, alo to gotatɔ o . Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu akpɔ ŋusẽ ɖe wò tosese hã dzi . Esia tae wòle vevie be nàkpɔ ɖɔkta enumake ne èsusu be ɖɔkta le ye ŋu. Ne kuxi aɖe do mo ɖa la, anyo ɣesiaɣi be nàna woadae hafi wòagblẽ ɖe edzi .

Vovototo kae le tomeka kple tomeʋuʋu dome?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ‘Ðe ƒunukpeƒewo katã le tomekawo mea? Alo ɖe ɖewo nye ʋuʋudedi ko?’ Ẽ, èto nyateƒe. Ne èkpɔ ƒu alo ƒoƒoe le to me la, ate ŋu anye ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ . Na míakpɔ vovototo si le wo ame evea dome ɖa.

• Ʋuʋudedi: Zi geɖe la, esiawo nyea kotoku sue siwo me tsi yɔ fũu . Zi geɖe la, womenyea kansa o. Tsi ƒomevi si bɔ wu le to mee nye sebaceous cyst , si woyɔna hã be epidermal inclusion cyst. Woate ŋu adze le wò to me, le wò to megbe, alo le wò to me.
• Dɔdzẽ: Esiawo nye lãkusi sesẽwo ƒe ƒuƒoƒo. Abe alesi míegblɔe va yi ene la, woate ŋu anye kansa alo esiwo menye kansa o. To me dɔdzẽ akpa gãtɔ nye dɔdzẽ siwo me dɔlékui aɖeke mele o siwo dzɔna le to si le gota me.

To me dɔdzẽ siwo menye kansa o (siwo me dɔlékui aɖeke mele o) ƒomeviwo

Tomeka si menye kansa o hã ate ŋu ahe kuxiwo vɛ. Le kpɔɖeŋu me, woate ŋu axe tomeka eye woana tomeka naƒo ƒu . Ne ƒomevi aɖewo tsi le to me la, woate ŋu alolo eye woagblẽ ŋutinu siwo kpena ɖe mía ŋu míesea nu heda sɔ la ŋu . Mina míalé ŋku ɖe tomeka ƒomevi aɖewo siwo menye kansa o ŋu:

• Acoustic neuromas : Wogayɔnae be ``vestibular schwannomas.'' Esiawo dzɔna ɖe vestibulocochlear nerve , si le wò to ememetɔ me eye wòdoa ka kple wò ahɔhɔ̃.
• Adenomas : Esiawo nye dɔdzẽ siwo mebɔ kura o , siwo menye kansa o siwo dzɔna le to titina.
• Cholesteatomas : Esiawo nye kotoku siwo me tsi, ya, alo ŋutigbalẽ me lãmenugbagbeviwo yɔ fũ. Wodzɔna le tomeka megbe, le titinato me. Ne womewɔ atike na wo kaba o la, woate ŋu ana ame ƒe to nabu .
• Exostoses kple Osteomas : Esiawo nye ƒumeŋuɖui siwo menye kansa o siwo dzɔna ɖe to ƒe gotagome ƒuwo dzi.
• Glomus tympanicum paraganglioma : Esia gblẽa nu le tympanic nerve si le wò titinato me ŋu . Lãmetsi siae do ƒome kple tomeka.
• Keloids : Esiawo le abe abi ƒe lãkusi si sesẽ ene . Woate ŋu adzɔ le to me toto alo abi bubu siwo woxɔ le to gotatɔ ŋu megbe. Wokpɔa wo zi geɖe le ɖevi sue siwo doa to kple togɛ siwo woɖe to me.

To me dɔdzẽ vɔ̃ɖi ƒomeviwo

Azɔ mina míaƒo nu tso to me dɔdzẽ siwo ate ŋu anye kansa, si fia kansa ŋu . Esiawo ate ŋu ava do le to me alo egodo. Gake to me dɔdzẽ mebɔ kura o .

Kansa akpa gãtɔ siwo gblẽa nu le to ŋu la nye ŋutigbalẽ me kansa ŋutɔŋutɔ . Wobu akɔnta be ŋutigbalẽ me kansa siwo ade 6% va ɖo 10% dzea egɔme tso to gota . Ŋutilã me kansa ƒomevi aɖewo siwo ate ŋu adze to dzi lae nye esi:

• Basal cell carcinoma ƒe dɔléle si nye basal cell carcinoma
• Melanoma ƒe dɔléle
• Squamous cell carcinoma si nye lãmenugbagbevi siwo woyɔna be squamous cell carcinoma

Kansa siwo gblẽa nu le to ƒe titina alo ememe ŋu tẽ la mebɔ wu gɔ̃ hã o:

• Adenoid cystic carcinoma : Esia nye kansa si mebɔ kura o. Zi geɖe la, edzɔna le míaƒe aɖuɖɔtoewo me . Ƒã wu gɔ̃ hã la, ate ŋu adze tome.
• Ceruminous adenoma : Esia dzɔna le lãmenugbagbevi siwo wɔa tomeka me. Kansa sia mekakana o , gake ate ŋu agblẽ tomeka ƒe akpa aɖewo.
• Rhabdomyosarcoma : Esia nye ɖeviwo ƒe kansa si mebɔ o si gblẽa nu le lãmekawo ŋu. Ate ŋu adze le ta alo kɔ me, si me titinato hã le.

Nukae nye to me dɔdzẽ ƒe dzesiwo?

To me dɔdzẽ ƒe dzesiwo toa vovo le dɔdzẽ ƒomevi kple to ƒe akpa si wògblẽ nu le nu . Dzesi aɖewo siwo fia be to me dɔdzẽ ate ŋu anɔ ŋuwòe nye esi:

• Kpe alo ƒuƒu aɖe dzena le to si le gota la me.
• Taɖuame alo dadasɔ ƒe kuxiwo .
• Ʋu alo tsi bubu si le dodom tso to me.
• To ƒe vevesese .
• Taɖuame .
• Tosese ƒe dɔmawɔmawɔ nyuie .
• Abi alo abi si mehaya o ƒe amesinɔnɔ le to me.
• To ƒe ŋutigbalẽ ƒe amadede ƒe tɔtrɔ , teƒe yeyewo ƒe dzedze, alo teƒe aɖe si li xoxo ƒe tɔtrɔ.
• Lãmetsiŋusẽ siwo vuvu , vevietɔ le to ŋu.
• Towo me ƒe ɖiɖi sese (Tinnitus) - abe 'ɖiɖi' ene.
• Mo ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ .

Nukawoe hea tomekawo ƒe wɔwɔme vɛ?

To me dɔdzẽwo dona ne wò ŋutilã wɔ lãmenugbagbevi yeyewo kabakaba wu alesi wòle dzɔdzɔmee . Ɣeaɖewoɣi la, lãmenugbagbevi xoxo siwo gblẽ la mekuna abe alesi wòle be woaku ene o. Emegbe lãmenugbagbevi xoxo kple yeye siawo ƒoa ƒu ɖekae, eye wowɔa dɔdzẽ . Bu eŋu abe lãmenugbagbeviwo ƒe ƒuƒoƒo si mèdi o ene.

Tomeka siwo me kansa le la dona ne lãmenugbagbevi siawo dze tsitsi gɔme le wo ɖokui si . Ne womeda dɔ na kansa lãmenugbagbevi siawo o la, woate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo (kansa si kaka ɖe teƒe bubuwo) . Esia tae dɔlélea didi kaba kple edada le vevie ɖo.

Afɔku siwo le tomeka ƒe wɔwɔme me

Tomeka ate ŋu adze ame sia ame si xɔ ƒe ɖesiaɖe, ɖeviwo gɔ̃ hã me . Gake nanewo li siwo dzia afɔkua ɖe edzi. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• To me dɔléle enuenu (to me dɔléle si nɔa anyi didi) .
• To me toto, vevietɔ to me toto, ate ŋu ana keloid nadzɔ le ame aɖewo me.
• Nɔnɔme aɖewo nye domenyiŋusẽfianu , le kpɔɖeŋu me, dɔlélewo abe `(Neurofibromatosis - NFS)`.
• Kekeli ƒe keklẽ do ŋgɔ .
• Tsi fafɛ me nɔnɔ enuenu , le kpɔɖeŋu me, tsi me nɔnɔ kple ƒutsotsoewo ƒe ƒuƒu (ƒudzidela ƒe to).
• Sigaretnono , kpakple atamanono si wozãna tsã .

Kuxi kawoe ate ŋu ado tso tomekawo me?

Togbɔ be togbɔ be menye kansae o hã la, ate ŋu ana ame ƒe to nabu ɣeaɖewoɣi . Woate ŋu ahe to me dɔlékuiwo vɛ enuenu eye woakpɔ ŋusẽ ɖe ŋutinu siwo le to me siwo kpena ɖe mía ŋu míesea nu heda sɔ la dzi.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò le nenye be enyo be nàlé ŋku ɖe dɔdzẽ aɖe ŋu ko alo nenye be ehiã be nàdae hafi kuxi siawo tɔgbe nado mo ɖa.

Aleke woawɔ anya tomeka? (Dɔléle ƒe dzesi) .

Wò ɖɔkta ate ŋu akpɔ ƒu aɖe le wò to me le ŋutilãmedɔdada si nèwɔna edziedzi me . Emegbe ate ŋu aɖo wò ɖe toŋutinunyala gbɔ be woado wò tose kpɔ . Anɔ eme be àkpɔ to, ŋɔti, kple ŋɔti (ENT alo toŋutinunyala), si bi ɖe tomedɔlélewo me hã gbɔ.

Ne wò ɖɔkta susui be kansa ate ŋu anye wò tomeƒu la, awɔe be woaɖe wò tomeka . Esia bia be woaɖe ƒunukpeƒea ƒe akpa sue aɖe, alo aŋɔ bliboa ɖa, eye woana dɔléleŋutinunyala —si nye ɖɔkta si srɔ̃a nu tso dɔlélewo ŋu — nadoe kpɔ le nudokpɔƒe. Ema ko hafi woate ŋu akpɔ dɔlélea si ŋu kakaɖedzi le.

Esi wònye be esesẽna be woaɖo dɔdzẽ siwo le to ememetɔ me gbɔ ahaɖe woƒe lãmenugbagbeviwo ɖa ta la, wò ɖɔkta ate ŋu abia be woawɔ CT scan alo MRI scan na ye be yeanya nu geɖe tso dɔdzẽa ŋu. Ƒã ŋutɔ la, ate ŋu ahiã be woawɔ dɔ na ame be woaɖe dɔdzẽa ɖa hafi woate ŋu akpɔ dɔlélea.

Aleke wodaa tomeka siwo menye kansa o (siwo me dɔlékui mele o)?

Ðewohĩ mahiã be woawɔ atike na to me dɔdzẽ aɖewo siwo menye kansa o negbe ɖe wokpɔ ŋusẽ ɖe wò tosese alo wò dadasɔ dzi hafi . Anɔ eme be wò ɖɔkta alé ŋku ɖe dɔdzẽa ŋu akpɔe ɖa be ele lolom hã, eye wòabia wò hã edziedzi nenye be dzesi aɖewo le ŋuwò hã.

Zi geɖe la , atikewɔwɔ vevitɔe nye amekoko alo mɔnu bubu siwo dzi woato aɖe dɔdzẽa ɖa . Le kpɔɖeŋu me, zi geɖe la, ɖɔktawo zãa radiosurgery , si wogayɔna be gamma knife surgery, tsɔ ɖea to me dɔdzẽ siwo menye kansa o abe acoustic neuromas ene ɖa. Esia bia be woaɖo keklẽŋusẽ gbogbo aɖewo ɖe dɔdzẽa tẽ. Menye amekoko ŋutɔŋutɔe wònye o, gake ate ŋu aɖe dɔdzẽa ɖa pɛpɛpɛ abe amekoko ene.

Be nàda keloids , wò ɖɔkta ate ŋu ado corticosteroid ɖe dɔdzẽa me. Ðewohĩ ahiã be woawɔ dɔ na keloid aɖewo eye emegbe woatsɔ keklẽŋusẽtike awɔ dɔ na wo be woatsɔ atsrɔ̃ lãmenugbagbevi ɖesiaɖe si susɔ.

Aleke wodaa tomedɔlékui vɔ̃ɖiwoe?

Lãmesẽŋutinunyalawoe daa to gotagome ŋutigbalẽ me kansa . Tomeka siwo me kansa le ƒe atikewɔwɔ toa vovo le kansa ƒomevi kple afisi wòle nu . Atikewɔwɔ ate ŋu anye:

• Mohs ƒe amekoko be woaɖe ŋutigbalẽmenugbagbevi siwo me kansa le ɖa.
• Kekeli ƒe dɔdamɔnu, keklẽŋusẽdɔdamɔnu, alo atikewɔmɔnu be woatsɔ atsrɔ̃ kansa lãmenugbagbeviwo.
• Ele be woawɔ dɔ na ame be woaɖe dɔdzẽa ɖa, eye ate ŋu abia hã be woaɖe ʋuka siwo te ɖe afima ŋu le afisi kansa lãmenugbagbeviwo ate ŋu kaka ɖo.

Nukae nye etsɔme na amesiwo ŋu to me dɔdzẽ le? (Nyagblɔɖi) .

Ðewohĩ to me dɔdzẽ sue siwo mehea dzesi aɖeke vɛ o la mahiã be woawɔ atike aɖeke na wo o. Gake ne dɔdzẽ aɖe na ame ƒe to megasesẽ o alo kuxi bubuwo do mo ɖa la, ahiã be woawɔ dɔ nɛ be woaɖee ɖa. Ame geɖe hayana nyuie ne wowɔ dɔ na wo alo wozã to me dɔdzẽ siwo menye kansa o (siwo me dɔlékui mele o) ƒe atike bubuwo.

Le to me dɔdzẽ gome la, nusi wogblɔ ɖi la nɔ te ɖe dɔdzẽa ƒe ƒomevi, afisi wòle, kple afisi kansa la kaka ɖo (afɔɖeɖe) dzi . Gake le melanoma , si nye ŋutigbalẽ me kansa ƒomevi si nu sẽ wu gɔ̃ hã gome la, ne wowɔ dɔ na kansa la hafi kaka la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme ade 99% .

Ŋutilã me kansa si dona le to gota gome ate ŋu atrɔ ava ɣeaɖewoɣi alo akaka ɖe ŋutilã ƒe akpa bubuwo , eyata ahiã be nàdo wò ŋutigbalẽ kpɔ edziedzi be wòagadze ake hã.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne nane si le abe esia ene dzɔ ɖe dziwò la, yi ɖɔkta gbɔ enumake:

• Dadasɔ ƒe kuxiwo alo taɖuame .
• Ʋu, tsi si dona, alo vevesese tso to me.
• Tosese ƒe dɔmawɔmawɔ nyuie .
• Towo ƒe ɖiɖi sese (tomeʋuʋu) .
• Ne ède dzesi tɔtrɔ aɖewo le ŋutigbalẽ si le to me ŋu la, ke ƒuƒu, teƒe, alo abi yeye aɖe si mahaya o.

Nya siwo wòle be nàbia wò ɖɔkta

Àte ŋu abia nya siawo wò ɖɔkta:

• Ðe ƒu si le nye to me nye kansa (vɔ̃ɖi) alo menye kansa o (si me dɔlékui aɖeke mele o)?
• Tomedɔ ka ƒomevie le ŋunye?
• Nukae nye atikewɔwɔ nyuitɔ kekeake nam?
• Afɔku kple nugbegblẽ kawoe le atikewɔwɔa me?
• Ðe wòle be manya kuxi siwo dona tso eme ƒe dzesiwoa?

Nu vevitɔ kekeake (Take-Home Message) .

To me dɔdzẽ akpa gãtɔ nye esiwo ŋu dɔléle aɖeke mele o eye mehiã be woawɔ atike na wo o. Gake ne to me dɔdzẽ si menye kansa o le nu gblẽm le wò tosese alo wò dadasɔ ŋu la, ahiã be nàwɔ dɔ na wò, abe radiosurgery ene, atsɔ aɖee ɖa.

Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne ède dzesii be tɔtrɔ aɖe va le wò to me, èse le ɖokuiwò me be ƒu aɖe le wò to me alo egodo, alo nède dzesi tɔtrɔ aɖe le wò to ƒe ŋutigbalẽ ŋu. Zi geɖe la, ekpɔkpɔ kabae nyea tiatia nyuitɔ kekeake.

` Tome Dɔdzẽ, Tome Dɔdzẽ, Tome Dɔdzẽ Si Mesẽ O, Tome Dɔdzẽ Vɔ̃ɖiwo, To ƒe Dzesiwo