Ðe gbɔgbɔtsixe tsi ƒowò le ŋɔti ƒe dɔwɔwɔ vɔ megbea? Mina míaƒo nu tso Empty Nose Syndrome (ENS) ŋu .

Tsɔe be wowɔ dɔ na wò le ŋɔti si xe ta, eye nèsusu be yeate ŋu agbɔ ya nyuie fifia. Gake le amekokoa megbe gɔ̃ hã la, ègasena le ɖokuiwò me kokoko be yexe mɔ eye wòsesẽna ŋutɔ be nàgbɔ ya. Ne ɖɔktaa do wò kpɔ la, egblɔna be naneke mexe wò ŋɔti me o, eye be mɔa ʋu bliboe. Seselelãme wɔnuku sia si tsi tre ɖe wo nɔewo ŋue nye nusi ŋu míele nu ƒom tsoe egbea, si nye Empty Nose Syndrome (ENS). Abe alesi ŋkɔa ɖee fia ene la, nɔnɔme sia si woyɔna be ‘ŋɔti ƒuƒlu’ mebɔ kura o, eye enye nusi hã hea nuteɖeamedzi geɖe vɛ na ame geɖe.

Nukae woyɔna be nɔnɔme sia si woyɔna be Empty Nose Syndrome?

Kpuie ko la, Empty Nose Syndrome (ENS) nye ne èse le ɖokuiwò me be yeƒe ŋɔti xe eye mète ŋu le gbɔgbɔm o, togbɔ be teƒe geɖe li nàgbɔ to wò ŋɔti me hã. Zi geɖe la, esia ate ŋu adzɔ le no me dɔwɔwɔ vɔ megbe.

Nu sue etɔ̃ siwo le abe agbalẽdzraɖoƒe ene le míaƒe ŋɔti me siwo woyɔna be ‘Turbinates’. Woƒe dɔ vevitɔe nye be woakɔ ya si míegbɔna la ŋu, ade tsii, ahado dzoe eye woaɖoe ɖe lãkusiwo me. Ɣeaɖewoɣi la, le nuwo abe nulɔdɔwo kple dɔlékuiwo ene ta la, turbinate siawo ate ŋu avuvu eye woana aɖu me naxe. Ne edzɔ alea la, ɖɔktawo wɔa dɔ aɖe tsɔ ɖea turbinate siawo ƒe lolome dzi kpɔtɔna (Turbinate reduction surgery). Ɣeaɖewoɣi la, ehiã be woaɖe turbinate siawo ƒe akpa aɖe ɖa (Partial turbinectomy) alo keŋkeŋ (Complete turbinectomy).

Amekoko siawo ƒe akpa gãtɔ kpɔa dzidzedze. Gake ƒã ŋutɔ , ne woɖe turbinate ƒe lãkusi ƒe akpa gãtɔ alo gblẽ le amekokoa me la, ENS ate ŋu adzɔ. Esia ate ŋu ana nàse le ɖokuiwò me abe ɖe nèle gbɔgbɔm ene, togbɔ be wò ŋɔti me mɔwo gakpɔtɔ le ʋuʋu ɖi hã. Ele abe aɖaŋunu aɖe ene.

Nukae hea ENS vɛ?

Wogale numekuku wɔm tso nusi tututu gbɔ ENS tso ŋu, gake woxɔe se be turbinate ƒe lãkusi ɖeɖeɖa fũu akpa le no me dɔwɔwɔ me gbɔe wòtso .

Bu eŋu kpɔ, menye mɔ̃ si naa ya toa eme koe míaƒe ŋɔti nye o. Enye ɖoɖo si gɔme sese sesẽ ŋutɔ.

• Lãmetsiŋusẽ ƒe gbegblẽ: Lãmetsi suesuesuewo le turbinate siawo ƒe anyime siwo dea dzesi nuwo abe ya ƒe nyaƒoɖeamenu kple dzoxɔxɔ ene. Ne míegbɔ ya la, lãmeka siawo ɖoa dzesi si "gbɔa ya fifia" la ɖe ahɔhɔ̃a. Ne woɖe lãmeka siawo ɖa alo gblẽ nu le wo ŋu le amekoko me la, ahɔhɔ̃a mexɔa dzesi ma o. Ahɔhɔ̃a ɖe egɔme be "Nyemete ŋu le gbɔgbɔm o, nye ŋɔti xe."
• Ya ƒe sisi trɔna: Ne teƒe si le ŋɔti me va lolo akpa le amekoko vɔ megbe la, ɖeko yaƒoƒomɔ̃a zɔna tẽ. Eƒoa turbinatewo, ƒoa xlãe, eye metsia tsi o. Esia ate ŋu ana ahɔhɔ̃a nagase le eɖokui me be yegbɔna nyuie o.
• Dɔlékuiwo ƒe masɔmasɔ: Lãmetsi si le ŋɔti me kpena ɖe ame ŋu wòkpɔa dɔlékui siwo le lãmesẽ me ta. Ne amekoko gblẽ nu le ƒuƒoƒo sia ŋu la, dɔlékui siwo le lãmesẽ me ate ŋu aɖe akpɔtɔ eye dɔlékui siwo gblẽa nu le ame ŋu ate ŋu atsi. Esia ate ŋu ana dɔlékuiwo xɔxɔ kple ENS ƒe dzesiwo nadzi ɖe edzi.

Nukae nye Empty Nose Syndrome (ENS) ƒe dzesiwo?

ENS ƒe dzesiwo ate ŋu adze le amekokoa megbe kwasiɖa geɖe, ɣleti geɖe, alo ƒe geɖe gɔ̃ hã. Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Ƒomedodo si le ENS kple susu ƒe lãmesẽ dome

Esia nye nya vevi aɖe ŋutɔ. Ne èse le ɖokuiwò me be gbɔgbɔ le fu ɖem na ye ɣesiaɣi eye womexɔ wò dzi se o ate ŋu akpɔ ŋusẽ gã aɖe ɖe ame ƒe susu ƒe lãmesẽ dzi . Le amesiwo ŋu ENS le dome la:

• Dzitsitsi
• Teteɖeanyi
• Ŋutete be yeƒe susu nanɔ nu ŋu
• Dzikudodo enuenu

Nɔnɔmewo abe: bɔ. Numekuku aɖewo ɖee fia be blanuiléle le amesiwo ŋu ENS le ƒe 70% ŋu.

Ðe ENS nye dɔléle ŋutɔŋutɔa? Aleke ɖɔkta awɔ anya dɔléleae?

Ẽ, ENS nye atikewɔwɔ me dɔléle ŋutɔŋutɔ, gake mebɔ ŋutɔ o. Esia tae ate ŋu asesẽ ɣeaɖewoɣi be woakpɔ dɔlélea elabena fotoɖeɖe meɖea ŋɔti me xe mɔ aɖeke fiana o.

Ðɔkta azã wò dzesiwo kple amekoko ŋutinya koŋ atsɔ anya ENS. Kpeɖe eŋu la,

• Woate ŋu azã endoscope, si nye mɔ̃ sue aɖe si me fotoɖemɔ̃ le, atsɔ ado ŋɔti ƒe eme.
• Woate ŋu awɔ CT alo MRI scan atsɔ agbe nu bubu siwo gbɔ wòtso (e.g. nasal polyps, cancer).
• "Cotton Test": Esia nye dodokpɔ bɔbɔe ŋutɔ, gake wòle vevie. Ðɔktaa tsɔa kotoklobo si wotsɔ dzetsi ƒo tsii la dea wò ŋɔti me, le teƒe si turbinate-awo nɔ tsã. Le abe miniti 20-30 ene megbe la, woakpɔe ɖa be wò dzesiwo abe gbɔgbɔtsixetsixe kple kuɖiɖi ene nyo ɖe edzi hã. Ne dzesi mawo nyo ɖe edzi hena ɣeyiɣi aɖe gɔ̃ hã la, efia vevie be ENS le ŋuwò.

Nukawoe nye atike siwo wozãna na ENS?

Atike aɖeke meli na ENS o, gake mɔ geɖe li siwo dzi woato akpɔ dzesiawo gbɔ eye woana agbenɔnɔ nanyo ɖe edzi .

• De tsi ŋɔti me: Dzewutike alo gelũhɛwo zazã, tsi geɖe nono le ŋkekea me katã, kple tsifamɔ̃ zazã le xɔdɔme me ate ŋu akpe ɖe ŋuwò nàɖe ŋɔti ƒe ƒuƒu dzi akpɔtɔ.
• CPAP-mɔ̃: Ame aɖewo kpɔe be CPAP-mɔ̃ zazã ne wole alɔ̃ dɔm kpena ɖe ame ŋu be fafa kple ya nayi edzi.
• Atikewo: Wò ɖɔkta ate ŋu aŋlɔ atike siwo ana ʋuka siwo le ŋɔti me nakeke eye wòakpe ɖe ŋuwò nàɖe ʋuka siwo me ʋu sina tona la ƒe vuvu dzi akpɔtɔ.
• Amekoko: Ne dzesiawo nu sẽ la, woate ŋu awɔ dɔ na ame atsɔ aɖɔli turbinate siwo woɖe ɖa la. Esia ate ŋu abia be woazã nusiwo wowɔ abe Gore-Tex alo nusiwo woɖe tso amegbetɔ ƒe lãkusi me abe acellular dermis alo platelet-rich plasma (PRP) ene. Esia wɔa dɔ to teƒe si le ŋɔti me dzi ɖeɖe kpɔtɔ, yaƒoƒomɔ̃a dzi ɖeɖe kpɔtɔ, kple agbagbadzedze be yeana gbɔgbɔ ƒe seselelãme nagaɖo ahɔhɔ̃a me.