Mina míasrɔ̃ nu geɖe tso do tɔxɛ sia (Ethmoid Sinus) si le wò ŋɔti kple mo me ŋu.

Èbu eŋu kpɔ be ɖe do suesuesue, alo teƒe geɖe, le míaƒe mo mea? Ðewohĩ èse nusiawo ŋu nya ne dzamezã, ŋɔti me tsi, alo ta le vevem. Egbea míele nu ƒom tso `(Ethmoid Sinus)`, si le míaƒe mo eye wòwɔa akpa vevi aɖe ŋutɔ ŋu. Ne míagblɔe tututu la, nukawoe nye esiawo, afikae wole, nukae wowɔna, dɔléle ka ƒomevie woate ŋu ahe vɛ, kple ale si woawɔ be woanɔ lãmesẽ me.

Nukae nye ethmoid sinus sia?

Kpuie ko la, wò ethmoid sinuses nye do ene siwo le eve eve siwo le wò mo, siwo woyɔna be paranasal sinuses la dometɔ ɖeka. Paranasal sinus siawo dometɔ aɖewoe nye:

• Aɖuɖɔtoe siwo le ŋgɔgbe le wò ŋgonu ƒe akpa eveawo
• Míaƒe amesi ƒe nya wogblɔna, si nye Ethmoid Sinuses
• Sphenoid sinus (sphenoid sinus) .
• Eye ``Maxillary Sinuses`` le ŋgonu ƒe akpa eveawo.

Sinus siawo katã wɔa dɔ ɖekae abe tsidzɔƒe ene. Nuɖoanyi siae nana be ʋuʋudedi dona le wò ŋɔti me, eye wòtsɔa dɔlékuiwo kple nusiwo nana ŋutilã melɔ̃a nu o. Ne míagblɔe tututu la, abe alesi wòle le paranasal sinus bubuawo gome ene la, wò ethmoid sinuses naa tsi si le eme la dona ɖe wò no me. Wole wò ŋkuwo dome, le wò ŋɔti ƒe tɔdzisasrã megbe.

Nukae dzɔna ɖe ethmoid sinus dzi?

Wò ethmoid sinuses nye network si kɔ ya si nègbɔna ŋu la ƒe akpa aɖe. Wowɔa ʋuʋudedi hã. Aɖuɖɔ siae nana be lãkusi siwo le wò ŋɔti me nɔa tsi eye wole lãmesẽ me. Bu eŋu kpɔ, nu gbegblẽ siwo katã gena ɖe wò ŋɔti me, abe ke kple dɔlékuiwo ene, tsia ʋuʋudedi sia me, eye emegbe wòdona le wò ŋɔti me kple ʋuʋudedi. Ame akpa gãtɔ bua ʋuʋudedi be enye nusi medzea ame ŋu kura o, alo? Gake le nyateƒe me la, ʋuʋudedi nye dzesi nyui aɖe be wò sinus system le dɔ wɔm nyuie eye wòle nusiwo ate ŋu anɔ dɔ lém na wò la ɖem ɖa.

Menye ema ɖeɖeko o, wosusu be wò ethmoid sinus wɔa dɔ bubu geɖe:

• Esi wònye be ƒunukpeƒetetedɔ siawo le ƒuƒlu ta la, wokpena ɖe ŋuwò be wò tagbɔ ƒe kpekpeme dzi naɖe akpɔtɔ .
• Ne wò ta ƒo nane la, esiawo ate ŋu akpe ɖe ŋuwò nàxɔ nusiwo gblẽ le wò ahɔhɔ̃ ŋu le eƒe ƒoƒo me .
• Azɔ hã, ethmoid sinus siawo ate ŋu akpe ɖe ŋuwò nàna wò gbe navivi eye wòade to (resonance) etɔxɛe .

Afikae ethmoid ƒe lãkusiwo le?

Wò ethmoid ƒunukpeƒewo le wò ethmoid ƒu me. Esia nye ƒu si le abe ƒumegbe ene, si ƒe nɔnɔme le dzogoe ene me, si ma wò ŋɔti me tso wò ahɔhɔ̃ kple wò ŋkume.

Tsɔe be ŋusẽ le ŋuwò be nàkpɔ nu abe X-ray ene. Ne ètsi tre ɖe ahuhɔ̃e ŋgɔ la, àkpɔe be wò ethmoid sinuses le wò ŋɔti ƒe tɔdzisasrã megbe, le wò ŋkuwo dome. Ethmoid sinus ɖeka le wò ŋɔti ƒe tɔdzisasrã ƒe miame, eye evelia le ɖusime.

Gake, menye do ƒuƒlu eve siwo me ya yɔ fũu koe nèkpɔna o. Elabena le ethmoid sinus ɖesiaɖe me la, do sue bubu geɖe, alo "kotokuwo," siwo woyɔna be ya ƒe lãmenugbagbeviwo le eme. Ame tsitsi ate ŋu akpɔ ya ƒe lãmenugbagbevi siawo ƒe akpa etɔ̃ va ɖo wuiatɔ̃ (3-18) le akpa ɖeka. Ne wotsɔ wo katã ƒo ƒui la, wò ethmoid sinuses ate ŋu axɔ ya si ade mililita 2 va ɖo 3 (anɔ abe teaspoon afã ene).

Aleke nusiawo ƒe wɔwɔme le?

Woate ŋu ama wò ethmoid sinuses ɖe akpa vevi eve me. Mɔ vovovo siwo dzi woɖea ʋuʋudedi tso ethmoid ƒe lãkusiwo me yia ŋɔti me la dzie wotu mama sia ɖo. Woyɔa mɔ siawo katã le wo katã me be Ostiomeatal Complex.

• Anterior Ethmoid Sinuses: Ethmoid ya kotoku siawo dometɔ aɖewo sina toa mɔ aɖe si woyɔna be Hiatus Semilunaris me. Esia hã nye alesi ŋgɔgbe lãkusi siwo le wò ŋgonu kple ŋkume lãkusi siwo le wò ŋgonu la toa mɔ sia dzi. Wo dometɔ aɖewo sina toa xɔ aɖe si woyɔna be Ethmoidal Bulla me.
• Posterior Ethmoid Sinuses: Lãmenugbagbevi siawo sina yia teƒe aɖe si woyɔna be Sphenoethmoidal Recess. Esia le xɔ aɖe si woyɔna be Superior Meatus me. Sphenoid sinuses, siwo le wò tagbɔ ƒe gogloƒe hã sina yia teƒe sia.

Le nyateƒe me la, xɔtuɖoɖo sia sesẽ vie. Nu vevi si dzi wòle be nàɖo ŋkui enye be wò ethmoid sinuses naa tsi si le lãme na wò la toa mɔ aɖewo koŋ dzi. Ɣeaɖewoɣi la, woto mɔ ɖeka dzi kple sinus bubuwo. Mɔ siawo kpena ɖe ame ŋu be ʋuʋudedia nɔa sisim eye wokpena ɖe ya ŋu wògena ɖe eme hedoa go ne èle gbɔgbɔm to wò ŋɔti me.

Nɔnɔme kple dɔléle kawoe bɔ siwo gblẽa nu le ŋutilã ƒe akpa sia ŋu?

Zi geɖe la, dzamezã, nulɔdɔwo, kple nɔnɔme aɖe si woyɔna be ethmoid sinusitis gbɔe kuxiwo tsona. Dzoxɔxɔ sia, si fia be ame navuvu eye wòabiã la, ate ŋu ana ame naxɔ dɔlékuiwo ɣeaɖewoɣi. Ðo ŋku edzi be mɔ siawo siwo bɔ siwo me ya tona eye ʋuʋudedi sina tsoa wò lãkusiwo me la le kpuie ŋutɔ. Eyata ne wovuvu le dɔdzẽ ta la, dɔlékuiwo ate ŋu age ɖe eme eye woahe dzesi siwo doa dziku vɛ.

Zi geɖe la, nɔnɔme siawo mehea kuxi sesẽwo vɛ o eye wokpɔa wo ɖokui gbɔ le ɣeyiɣi aɖe megbe.

Gake togbɔ be ƒã hã la, dɔdzẽ siwo mebɔ o, esiwo do ŋgɔ na kansa, kple esiwo me kansa le hã ate ŋu ado mo ɖa le ethmoid sinuses me. Ke hã, esia mebɔ kura o.

Nukae nye dzesi/dzesi siwo fia be nane mele dɔ wɔm nyuie o?

Dɔlékui aɖe si gblẽa nu le wò ethmoid sinus ŋu ƒe dzesiwo ate ŋu anye:

• Ŋku ƒe vevesese alo vuvu le ŋkua ŋu
• Taɖuame
• Ʋeʋẽ ƒe bu (Anosmia) .
• Vevesese alo nyaƒoɖeamenu sese le ŋɔti ƒe tɔdzisasrã ƒe teƒe
• Runny nose (ŋɔti si sina) .
• No me ʋuʋu

Vevietɔ: Ne kasia nèdze eve (diplopia) kpɔkpɔ gɔme nuxlɔ̃ame aɖeke manɔmee la, ate ŋu anye dzesi be dɔdzẽ le ethmoid sinus me. Ne edzɔ alea la, ele be nàyi ɖɔkta gbɔ enumake.

Aleke mele lãmesẽ me?

Mɔ nyuitɔ si dzi nàto ana wò ethmoid sinuses nanɔ lãmesẽ me enye be nànɔ adzɔge tso nusiwo nana ŋutilã melɔ̃a nu o gbɔ eye nàɖe afɔ siwo ana nànɔ lãmesẽ me. Esia lɔ asikɔklɔ enuenu, alɔ̃dɔdɔ nyuie, kple nuɖuɖu si me nunyiame le ɖuɖu ɖe eme.

Ne ethmoid sinusitis ƒe dzesiwo le ŋuwò la, nu ʋɛ aɖewo li nàte ŋu awɔ le aƒeme be nàkpɔ gbɔdzɔe:

• Zã tsidede ŋɔti me nàtsɔ akɔ wò ethmoid sinuswo ŋu alo nàɖe ʋuʋudedi dzi akpɔtɔ.
• Zã nusi naa tsi dea tsi lãmeka siwo vuvu eye nàda gbe le wo ŋu.
• Be nàɖe abi dzi akpɔtɔ la, no vevesesenutsitike siwo womeƒlena o (NSAID) (e.g., ibuprofen) abe alesi wò ɖɔkta gblɔe ene.
• Zã atike siwo wotsɔna ƒua gbe ɖe no me (e.g., esiwo me fluticasone le) abe alesi wò ɖɔkta gblɔe ene be nàɖe abi dzi akpɔtɔ.

Ne wò dzesiwo meva nyo ɖe edzi le kwasiɖa eve megbe o alo ne wova le sesẽm ɖe edzi la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Zi geɖe la, mehiã be nàtsi dzi ɖe ethmoid sinuses ŋu o negbe ɖe nɔnɔme aɖe abe abi ene le ŋuwò hafi. Zi geɖe la, ne dzamezã alo sinusitis ƒe dzesiwo le ŋuwòe nèsusu be paranasal sinus kuxi aɖe le ŋuwò. Dzɔgbenyuietɔe la, ame akpa gãtɔ ate ŋu ahaya ne wozã aƒeme atikewo. Ke hã, ne nɔnɔmea meva nyo o la, ɣeyiɣia de be nàyi ɖɔkta gbɔ.

Le ɣeyiɣi sia me la, alesi wò Ethmoid Sinuses wɔa dɔe nyanya akpe ɖe ŋuwò nàkpɔ ŋudzedze ɖe mɔ wɔnuku si dzi wò Paranasal Sinuses wɔa dɔ ɖekae be nànɔ lãmesẽ me ŋu! Eyata, mègaŋlɔ be be yealé be na xɔ̃wò sue siawo, gake wole vevie ŋutɔ la nyuie o!

` Ethmoid sinus, sinusitis, no me ʋuʋu, vuvɔ, taɖuame, ʋeʋẽ ƒe bu, no me tsidede