Nukae Nye Fat Necrosis? Mina míaƒo nu tso eŋu bɔbɔe!

Ðe nèse ƒuƒu alo ƒu sesẽ aɖe le wò ŋutigbalẽ te si do vɔvɔ̃ na wò kpɔa? Alo ɖewohĩ le amekoko vɔ megbe la, wò ŋutigbalẽ ƒe amadede trɔ eye wòse le eɖokui me be yeƒe ŋutigbalẽ le ƒoƒom? Esia ate ŋu anye nɔnɔme aɖe si woyɔna be Fat Necrosis . Mègatsi dzi o, mina míadi nu geɖe tso eŋu.

Nukae Nye Fat Necrosis? Kpuie ko la,...

‘Necrosis’ nye lãmeka siwo le míaƒe ŋutilã me ƒe ku. Zi geɖe la, esia dzɔna ne ʋu si le lãmeka ma me bu. Eyata, Fat Necrosis nye ne ami ƒe lãkusi (ami ƒe lãkusi - ne míagblɔe tututu la, lãmenugbagbevi siwo dzraa ami ɖo ƒe ƒuƒoƒo) si le wò ŋutilã me gblẽ, eye ami ƒe lãmenugbagbevi mawo ku. Bu eŋu kpɔ, woƒo wò vevie le teƒe aɖe, alo wowɔ dɔ na wò, ɣemaɣie nɔnɔme sia ate ŋu ado mo ɖa.

Esia medzɔna zi ɖeka o. Enye nusi yia edzi blewu, si yia edzi vivivi. Afɔɖeɖe vovovowoe le esia me. Ne ami siawo dze kuku gɔme la, àde dzesi tɔtrɔ siwo va le ŋutigbalẽa ƒe nɔnɔme kple dzedzeme ŋu le teƒe ma. Àte ŋu ase le ɖokuiwò me be ƒu alo teƒe sesẽ aɖe le ŋutigbalẽa te. Alo teƒea ate ŋu abiã, avuvu, alo adze abe abi ene. Esiawo katã nye nusiwo wòle be woakpɔ mɔ na. Zi geɖe la, nusiawo nyea ɣeyiɣi kpui aɖe ko. Le ɣeyiɣi aɖe megbe la, wò lãmekawo atrɔ ava nɔ abe tsã ene.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

Ami ƒe kuku ate ŋu adzɔ ŋutɔŋutɔ le amesiame si gblẽ ami ƒe lãkusiwo ŋu. Ke hã, anɔ eme be ame aɖewo axɔe.

Wokpɔa nɔnɔme sia zi geɖe be:

• Le nyɔnuwo kple amesiwo ŋu no le gome la: Ami ƒe kuku gblẽa nu le no ƒe lãkusi ŋu wu. Esia le alea elabena ami ƒe agbɔsɔsɔ si le noawo me sɔ gbɔ vie. Ne no me lãkusi geɖe le ŋuwò la, afɔku sia lolona vie.
• Le amesiwo wowɔ dɔ na no gome: Afɔku sia lolona ŋutɔ ne wole ami dodo ƒe dɔ wɔm na wo.
• Le amesiwo xɔ keklẽŋusẽdɔdamɔnu na kansa gome: Kekelidɔdada ate ŋu agblẽ nu le ami siwo le lãmesẽ me hã ŋu.
• Wokpɔa nɔnɔme sia le amesiwo xɔ wu ƒe 50 hã ŋu .

Gake ƒã ŋutɔ la, Fat Necrosis ate ŋu adzɔ le nɔnɔme siwo gbɔna hã me:

• Le amesiwo ŋu dɔdzẽ sesẽ sesẽ aɖe le gome la: Esia ate ŋu atso kuxi aɖe si le dɔgboa ŋu hã gbɔ.
• Le vidzĩ siwo wodzi le vidzidzi sesẽ ŋutɔ gome: Ɣeaɖewoɣi la, ami hã ate ŋu agblẽ le nyaƒoɖeamenu bubuwo le vidzidzi me ta.

Afikae Fat Necrosis ate ŋu adzɔ le?

Le nyateƒe me la, Fat Necrosis ate ŋu adzɔ le afisiafi si ami le kple afisi wògblẽ le.

Gake no ƒe akpa si wokpɔnɛ le wu.. Elabena noe nye ami ƒe akpa gãtɔ kekeake eye wòate ŋu adze afɔku bɔbɔe wu le míaƒe ŋutilã me. Le kpɔɖeŋu me, ne zikpuimeka ƒo wò vevie le ʋufɔku aɖe me, alo ne wowɔ dɔ na wò le lãmekawo me, le keklẽŋusẽdɔdamɔnu me, alo wowɔ dɔ na wò le kansa dada me la, no me lãkusi ate ŋu agblẽ.

Menye ema ɖeɖeko o, nɔnɔme sia ate ŋu adzɔ le teƒe siwo ami sɔ gbɔ ɖo, abe dɔgbo, akɔta, kple ata ene hã, le atikewɔwɔ alo atsyɔ̃ɖoɖo ƒe amekoko ta. Le kpɔɖeŋu me, ne wole dɔgbo tum la, ate ŋu adzɔ be ami si le ƒodoa me ate ŋu agblẽ. Azɔ hã, ne wole amekoko siwo xɔa ami tso teƒe ɖeka eye wodoe ɖe teƒe bubu, le kpɔɖeŋu me, Braziltɔwo ƒe akɔtafɔ (BBL) la, ami si wodo la ate ŋu agblẽ eye wòana `necrosis`, eye lãkusi si wodo la ate ŋu ado kpo nu.

Ɣeaɖewoɣi la, ne dɔgbo ƒe dɔléle sesẽ aɖe dzɔ la, Fat Necrosis ate ŋu adzɔ le ami siwo ƒo xlã dɔgboa hã me. Ne nuɖuɖumeŋusẽ siwo dɔgboa ɖena doa goe la sina yia ŋutilãa me la, ate ŋu atɔ dzo lãmeka siwo ƒo xlãe eye woaxɔ abi. Zi geɖe la, ƒodo ƒe doa koe Fat Necrosis sia si do ƒome kple dɔgboa gblẽa nu le. Gake ƒã hafi ate ŋu age ɖe ami si le ŋutigbalẽa te hã me eye wòakaka ɖe ŋutilã bliboa me. Míeyɔa esia be `Panniculitis`.

Nukae nye Fat Necrosis ƒe dzesiwo? Aleke wòsena le eɖokui me eye aleke wòdzenae?

Àte ŋu ade dzesii be Fat Necrosis le ŋuwò ne ède dzesii be wò ami ƒe nɔnɔme alo eƒe dzedzeme trɔ. Tɔtrɔ siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe afisi nu gblẽ le, alesi gbegbe nu gblẽ le eŋu, kple afisi dɔa yi ŋgɔe dzi. Ɣeaɖewoɣi la , dzesi siawo ate ŋu adze le ɣleti alo ƒe geɖe gɔ̃ hã le nusiwo gblẽ le wo ŋu zi gbãtɔ megbe .

Aleke Fat Necrosis le?

• Àte ŋu ase le ɖokuiwò me be ƒu alo tsitsi aɖe le yeƒe ŋutigbalẽ te .
• Ne ami geɖe si le ŋutigbalẽa te ku la, ate ŋu adze abe ɖe teƒea nyrɔ ɖe eme eye wòle ŋeŋem ene .
• Ne ami ƒe kuku dzɔ le no me la, no ate ŋu anyrɔ ɖe eme .
• Le atike siwo ami ƒe lãmenugbagbevi siwo le kukum dona ɖe go ta la, ŋutigbalẽ si le teƒe ma ate ŋu adze dzĩ, avuvu, alo aƒo .

Aleke Fat Necrosis sena le eɖokui me le asi me?

• Ewɔna nam abe ami ƒe ƒuƒoƒo alo lãkusi sesẽ aɖe ene .
• Fat Necrosis nye dɔléle si dzea egɔme tso dɔlélea ƒe gɔmedzedze. Ne ami lãmenugbagbeviwo le kukum la, woƒe amiawo dona eye woƒoa ƒu, eye wowɔa kotoku sue aɖe si woyɔna be ``ami ƒe ʋuʋudedi.''
• Le ɣeyiɣi aɖe megbe la, calcium ate ŋu aƒo ƒu ɖe ʋuʋudedi sia ƒe gliwo me, si ana woasesẽ .
• Ne nuku siawo dze gbagbã gɔme la, woate ŋu azu gbadzaa .

Ðe Fat Necrosis hea vevesese vɛa?

Zi geɖe la, vevesese aɖeke menɔa eme o.. Gake ƒã ŋutɔ la, ate ŋu ave wò ne èzi teƒea dzi vie. Ami ƒe kuku, si dzɔna le ŋutigbalẽ te eye wòdo ƒome kple `Panniculitis`, nyea vevesese zi geɖe. Elabena dɔdzẽ si yia edzi (dɔdzẽ si nɔa anyi didi) li.

Nukawoe hea Fat Necrosis vɛ?

Ami ƒe kuku dzɔna ne wò ami ƒe lãkusi (ami ƒe lãkusi) gblẽ eye lãmenugbagbeviawo ku. Mɔ vovovowo li siwo dzi nu sia ato agblẽ nu le:

• Nuveviwɔame si me mekɔ o: Le kpɔɖeŋu me, le ʋufɔku me.
• Amekoko ƒe mɔnuwo: Ate ŋu atso dɔdamɔnu kple atsyɔ̃ɖoɖo siaa ƒe amekoko gbɔ.
• Biopsy ƒe mɔnuwo: Esia ate ŋu adzɔ ne woɖe lãkusi aɖe hedoe kpɔ hã.
• Kekeli ƒe dɔdamɔnu: Le keklẽŋusẽ ƒe dɔdamɔnu siwo wonana na nuwo abe kansa ene ta.
• Nusiwo dɔdzẽ ƒe enzymewo gblẽna le dɔgbo ƒe dɔléle sesẽ me.

Nukawoe nye kuxi siwo ate ŋu ado tso Fat Necrosis me?

Togbɔ be afɔku mele Fat Necrosis me o hã la, ate ŋu ahe kuxi suesuesuewo vɛ ɣeaɖewoɣi:

• Atsyɔ̃ɖoɖo ƒe nyawo: Ɣeaɖewoɣi la, esia ate ŋu ana nuwo abe no gbugbɔgatu ƒe amekoko ene nado kpo nu keŋkeŋ. Ŋutilã ƒe dzedzeme ate ŋu atrɔ.
• Amekoko ake: Ne ami ƒe kuku dzɔ le atsyɔ̃ɖoɖo ƒe amekoko megbe la, ate ŋu ahiã be woagawɔ dɔ nɛ ake be woaɖɔe ɖo.
• Dɔlékuiwo ƒe gege ɖe lãkusia me: Esia mebɔ kura o. Ne edzɔ la, ahiã be nàno dɔlékuiwutikewo alo woawɔ dɔ na wò.
• Nuteɖeamedzi: Esia ate ŋu anye nuteɖeamedzi gã aɖe, vevietɔ na amesi le kansa dam. Bu eŋu kpɔ, ne èwu keklẽŋusẽdɔdamɔnu alo amekoko nu dzidzedzetɔe vɔ la, ke ne ehiã be nàtrɔ ayi kɔdzi abe atikewɔwɔ mawo ƒe nugbegblẽ le ame ŋu ene ya ɖe? Ðewohĩ ahiã be woagawɔ dɔ na wò ake, alo wò lãme gblẽ. Nu vevitɔe nye be Fat Necrosis sia ate ŋu adze abe kansa ene. Menye kansa ŋutɔŋutɔe o, gake ɣeaɖewoɣi la, esesẽna be woade vovototo wo ame evea dome. Eyata ɖewohĩ ànɔ vɔvɔ̃m be kansa la gatrɔ gbɔ.

Aleke ɖɔktawo wɔa anya Fat Necrosis?

Zi geɖe la, woate ŋu akpɔ ami ƒe kuku to keklẽŋusẽdɔdamɔnu dzi. Ke hã, kuxi sue eve aɖewo li siwo ate ŋu ado mo ɖa le afisia.

Gbãtɔe nye be Fat Necrosis dzɔna ɣeyiɣi didi aɖe le abi gbãtɔ si wòxɔ megbe. Zi geɖe la, medzea dzesiwo ɖeɖefia gɔme o vaseɖe abe ƒe ɖeka kple afã megbe hafi. Ne mèɖo ŋku abi si nèxɔ dzi o, alo ne mènya be wò lãmekawo nɔ gbegblẽm ɣemaɣi o la, wò ŋutɔ alo wò ɖɔkta mate ŋu asusui be Fat Necrosis le ŋuwò o.

Afi mae tɔwò le.Lãmesẽ ŋutinya tsitotsito le vevie. Ðɔktaa abia nya wò tso afɔku, amekoko, kple dɔléle ɖesiaɖe si nèdo goe le ƒe ʋɛ siwo va yi me ŋu.

Kuxi bubue nye be ami ƒe kuku ate ŋu adze abe kansa ene. Wo ame evea siaa ate ŋu adze ɖeka ne èka asi eŋu kple le nɔnɔmetatawo dodokpɔ me. Togbɔ be amesi ŋu kansa le tsã ate ŋu axɔ ami ƒe kuku hã la, ekpɔkpɔ ate ŋu ana woatsi dzi hã be kansa la gatrɔ gbɔ. Eyata ele be wò kple wò ɖɔkta siaa mianya wo dometɔ si tututu nye esi. Ɣeaɖewoɣi la, ahiã be woaɖe ŋutilã ƒe akpa aɖewo (lãmekawo ƒe kpɔɖeŋu) atsɔ aɖo kpe esia dzi.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi Fat Necrosis?

Wò ɖɔkta ateŋu aɖo aɖaŋu be nàwɔ scan ƒomevi vovovowo (`imaging tests`) atsɔ anya Fat Necrosis. Wo dometɔ aɖewoe nye:

• X-ray (`X-ray`) .
• Ultrasound scan (`Gbeɖiɖi sesẽ`) .
• CT scan (`CT scan` - Kɔmpiuta dzi Tomography scan) .
• MRI Scan (MRI - Magnetic Resonance Nɔnɔmetatawo Ƒe Nɔnɔmetata) .

Ɣeaɖewoɣi la, ne ɖɔktaa di be yeaɖo kpe Fat Necrosis dzi le nudokpɔƒe la, woate ŋu awɔ aŋenu aɖe atsɔ aɖe lãkusi sue aɖe ɖa .

Ðe Fat Necrosis nyona le eɖokui sia?

Zi geɖe la, ẽ! Esia anyo ɖe edzi le eɖokui si le ɣeyiɣi aɖe megbe.

Ne mehe vevesese alo nuteɖeamedzi ɖedzesi aɖeke vɛ na wò o la, mehiã be nàdae alo aɖee ɖa o. Gake ne eɖe fu na wò alo edze abe ɖe wòle ɣeyiɣi didi aɖe xɔm be wòada le eɖokui si ene la, àte ŋu ana woaɖee ɖa.

Aleke woawɔ aɖe Fat Necrosis ɖa?

Ðɔktawo zãa mɔnu mawo ke tsɔ ɖea ami ƒe kuku ɖa abe alesi woazãe le ŋutilã ƒe akpa aɖewo ɖeɖeɖa me ene. Ɣeaɖewoɣi la, woate ŋu aɖe ami ƒe kukua ɖa le dɔléle ŋuti numekuku si wowɔna tsɔ dia dɔlélea me. Mɔnu vovovowo li:

• Fine needle aspiration: Le dɔ sia wɔwɔ me la, wozãa aŋe didi si le sue kple syringe tsɔ ɖea lãmenugbagbeviwo, lãkusiwo, kple tsi ɖa evɔ wometsoa ŋutigbalẽa o. Woate ŋu azã aŋe sia atsɔ aɖe ami si le eme la ɖa. Emegbe tsi si le ʋukaa me la atso.
• Vacuum-assisted core needle biopsy: Le dɔ sia wɔwɔ me la, wozãa aŋe sue aɖe si me do le tsɔ ɖea lãkusiwo ɖa to lãɖeɖe sue aɖe me. Wotsɔa ultrasound alo X-ray fiaa mɔ aŋea, eye wotsɔa yaƒoƒomɔ̃ aɖe dea aŋea ŋu, si noa lãkusia, abe amiɖeɖe ɖe lãme ene. Zi geɖe la, wowɔa esia le atike si wua alɔ̃dɔdɔ le teƒea me.
• Excision biopsy si woɖe le lãme na ame:Lãmenugbagbeviawo ɖeɖe ɖae nye mɔnu mamlɛtɔ. Esia le alea elabena amekoko ate ŋu ana Fat Necrosis nagadzɔ ake. Gake le go aɖewo me la, ehiã be woalã lãkusia. Le kpɔɖeŋu me, ne ƒuƒua lolo akpa be woate ŋu atsɔ aŋe aɖe aɖee, alo ne ɖikeke sesẽ aɖe li be ate ŋu anye kansa. Woate ŋu awɔ amekoko sia le atike si naa alɔ̃dɔdɔ ame le teƒea alo atike si naa alɔ̃dɔdɔ ame katã me. Ke hã, agblẽ abi sue aɖe ɖi.

Ɣeyiɣi didi kae Fat Necrosis ate ŋu anɔ anyi?

Esia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ate ŋu axɔ ɣleti geɖe va ɖo ƒe geɖe hafi ami ƒe kuku nabu keŋkeŋ eye ŋutilãa nagbãe. Ɣeaɖewoɣi la, ne ami ƒe lãmenugbagbevi vovovowo le `necrosis` ƒe dɔwɔwɔ sia ƒe akpa vovovowo me la, ateŋu adze abe ɖe wòle lolom ɖe edzi eye wòle kakam ene. Gake le ɣeyiɣi aɖe megbe la, ele be wòadze egɔme anɔ ɖeɖem kpɔtɔ.

Nukae nye etsɔme na amesi ŋu Fat Necrosis le?

Ami ƒe kuku megblẽa nu le ame ŋu o . Le nyateƒe me la, zi geɖe la , edzona le eɖokui si . Mehea kuxi sesẽwo vɛ o. Ne èna woɖee ɖa la, ate ŋu agblẽ abi sue aɖe alo do sue aɖe ɖe ŋutigbalẽa me. Ne ami ƒe tsɔtsɔ yi teƒe bubu ƒe mɔnu aɖe si do kpo nu gbɔe wò ami ƒe kukua tso la, ahiã be nàgate kpɔ ake, atrɔ asi le eŋu, alo awɔ dɔ bubu na wò.

Ɣekaɣie wòle be nàtsi dzi ɖe Fat Necrosis ŋu?

Ne wò Fat Necrosis ƒe dzedzeme le alea la, yi ɖɔkta gbɔ godoo:

• Ne ehe vevesese vɛ.
• Ne edze abe ɖe wòle lolom ɖe edzi ene.
• Ne, le dɔlélea didi vɔ megbe la, tɔtrɔ yeyewo dze dodo gɔme.

Ami ƒe kuku menye nɔnɔme si gblẽa nu le ame ŋu o. Gake ami ƒe ʋuʋudedi siawo siwo le ŋutigbalẽa te ate ŋu adze abe kansa ƒe dɔdzẽ ene. Eyata esɔ be vɔvɔ̃ naɖo ŋuwò ne èkpɔ esia. Vevietɔ ne mèɖo ŋku afɔku aɖeke si dzɔ va yi dzi o alo ne kansa dze dziwò kpɔ. Atikewɔwɔ me dodokpɔwo ate ŋu aɖe wò vɔvɔ̃ dzi akpɔtɔ kaba.

Gake ele vevie be amesiwo le kansa dam alo wole no gbugbɔgatu wɔm nanya afɔku si le Fat Necrosis me. Ne edzɔ alea la, ahiã be nàtrɔ ayi kɔdzi be woagawɔ dodokpɔ bubuwo alo awɔ dɔ na wò, le ɣeyiɣi didi aɖe megbe gɔ̃ hã.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Fat necrosis nye ne ami ƒe lãmenugbagbevi siwo le ŋutilãa me kuna ne wogblẽ. Esia ate ŋu ana ŋutigbalẽa naƒo ƒu, ƒu sesẽ, eye ɣeaɖewoɣi ŋutigbalẽ ƒe amadede natrɔ le ŋutigbalẽa te.

• Esia menye kansa o. Gake ate ŋu adze abe kansa ene ɣeaɖewoɣi, eyata ele vevie be woadoe kpɔ be yeanya kakaɖedzitɔe.
• Zi geɖe la, Fat Necrosis ƒe lãme sẽna le eɖokui si eye mehiã be woawɔ atike tɔxɛ nɛ o.
• Ne vevesese le eme, ne ƒunukpeƒea le lolom ɖe edzi, alo ɖikeke aɖe le mewò la, .Kpɔ ɖɔkta gbɔ godoo.
• Nɔnɔme sia ate ŋu adzɔ le nuwo abe kansa dada kple amekoko ene megbe hã, eyata enyo be nànyae.

Mègatsi dzi o, zi geɖe la, esia menyea nɔnɔme si me afɔku le o. Ke hã, nunya le eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le ƒunukpeƒetetedɔ ɖesiaɖe si ŋu ɖikeke le ŋu.

` Fat Necrosis, ami ƒe ku, no me ƒuƒu, ŋutigbalẽ ƒe ƒuƒu, kuxi siwo dona tso amekoko megbe, keklẽŋusẽ ƒe atikewɔwɔ ƒe nugbegblẽ le ame ŋu, ami ƒe gbegblẽ