Nukae nye glottis sia si kpena ɖe wò gbe ŋu? Mina míakpɔe ɖa!

Èbu alesi wò gbe dona, alesi nya siawo dzɔna ne míele nu ƒom hele ha dzim ŋu kpɔa? Míaƒe ŋɔti ƒe akpa sue aɖe si le vevie ŋutɔ la kpena ɖe mía ŋu ŋutɔ le esia me. Woyɔa akpa ma be glottis. Ðewohĩ mèse ŋkɔ sia kpɔ o. Gake esia menyo o, egbea míele nu ƒom tso eŋu bɔbɔe.

Eyata nukae dzɔna le glottis sia me? Nukatae wòle vevie na míaƒe ŋutilã?

Kpuie ko la, wò glottis nye teƒe si le wò gbeɖiɖiɖaka , alo wò gbeɖuɖɔ titina. Afi mae wò gbeɖiɖikawo (alo gbeɖiɖikawo) le. Elɔ teƒe si le gbeɖiɖika mawo kple ƒunukpeƒe si ʋãa wo dome hã ɖe eme.

Ame geɖe bua aɖuɖɔtoe be enye aɖaka si me gbeɖiɖika siwo wɔa gbea le ko. Gake le lãkusi ƒe akpawo gome la, le nyateƒe me la, akpa sia si woyɔna be glottis koe wò gbeɖiɖikawo le. Glottis sia kple gbeɖiɖikawo tae nète ŋu ƒoa nu hewɔa gbeɖiɖi siwo ame bubuwo te ŋu dea dzesi wò.

Glottis wɔa dɔ vevi etɔ̃:

1. Ekpena ɖe ŋuwò nègbɔa ya: Zi geɖe la, wò gbeɖiɖikawo ʋuna le "V" ƒe nɔnɔme me le glottis la me. Ne èle gbɔgbɔm la, ya si tso wò ŋɔti alo nu me toa gbeɖiɖika siawo siwo le ʋuʋu ɖi me yia wò yaƒoƒomɔ̃ me eye wògena ɖe wò lãkusi me. Ne ègbɔ ya la, gbeɖiɖikawo nɔa ʋuʋu ɖi.

2. Exea mɔ na nuɖuɖu be wòagage ɖe lãkusiwo me o: Ne èmi nane la, epiglottis, si nye wò lãkusi si le etame ƒe akpa si le abe aʋala ene, xea mɔ na lãkusia. Emegbe, nuɖuɖua yia wò nuɖuɖutome ɖe wò yaƒoƒomɔ̃ teƒe. Le ɣeyiɣi ma ke me la, wò gbeɖiɖikawo hã tuna ɖe glottis la me. Esia nye dedienɔnɔ ƒe mɔnu bubu si xea mɔ na nuɖuɖu be wòagage ɖe gbɔgbɔtsixe me o. Bu alesi wòasesẽe ne nuɖuɖu alo tsi vi aɖe ge ɖe wò yaƒoƒomɔ̃ me ŋu kpɔ! Mɔnu sia li be wòaxe mɔ na ema be wòagadzɔ o.

3. Ekpena ɖe ŋuwò nèwɔa gbeɖiɖiwo: Ne èdze nuƒoƒo alo hadzidzi gɔme la, wò gbeɖiɖikawo xana eye wotsia. Ya si dona tso wò lãkusi me gena ɖe teƒe si le gbeɖiɖikawo te, eye ne ya ma ƒe sisi sesẽ la, gbeɖiɖikawo dzea ʋuʋu gɔme. Ʋuʋudedi mae nana gbeɖiɖi ƒe ƒutsotsoewo dona. Àte ŋu aƒo nu ahawɔ gbeɖiɖi vovovowo le ʋuʋudedi siwo dzɔna le glottis la me ta.

Nukae nye glottal stop? Mina míase egɔme vie.

Glottal stop sia nye mɔ nyui aɖe si dzi nàto ase alesi glottis kpena ɖe ŋuwò nèƒoa nui gɔme.Te ``Glottal Stop.`` Gbeɖiɖi akpa gãtɔ dzea egɔme tso wò glottis me, eye emegbe gbeɖiɖia toa teƒe si le glottis tame, yia wò sinus me, eye wògena ɖe wò nu me, afisi wòxɔa eƒe nɔnɔme tɔxɛwo le. Gake kple ``Glottal Stop,`` gbeɖiɖia dzea egɔme eye wòwua enu le glottis me.

Be nàwɔ Glottal Stop la, ele be nàtɔ te ya ƒe mɔ si le Glottis la me esime nèle ablɔɖegbeɖiɖi ƒe ɖiɖi wɔm. Bu eŋu abe gbɔgblɔ be "uh-oh" ene. Alo, gblɔ "t" si le nya "du" me evɔ màyɔe o (si-e). Ne èwɔ esia la, wò gbeɖiɖikawo ʋuʋuna le nya la ƒe gɔmedzedze, emegbe wotua wo kabakaba le titina (le kpɔɖeŋu me, le "a" megbe le "a-uh" me alo le "si" megbe le "si-e" me). Ètɔa gbeɖiɖia le Glottis la me. Azɔ, dze agbagba nàyɔ "t" si le nya "du" me nyuie. Àƒo asa na Glottal Stop.

Dze agbagba nàse vovototo si le alesi gbeɖiɖia sena le eɖokui me ne etɔ ɖe glottis me alea, kple alesi wòsena le eɖokui me ne ègblɔ nyawo le dzɔdzɔme nu ema manɔmee dome.

Afika tututue glottis sia le?

Wò glottis le thyroid cartilage, si nye ƒu si le wò ŋɔti me, alo wò Adam ƒe akɔɖu megbe. Enɔa wò lãkusi ƒe akpa si le etame (si woyɔna be supraglottis) kple ete (si woyɔna be subglottis) dome.

• Supraglottis: Esia nye teƒe si le abe dzinuvi ene le wò kɔ ƒe ŋgɔgbe si keke tso hyoid ƒua tame va ɖo glottis. Afi siae wò epiglottis le, eye afisi nàkpɔ mucous membrane ƒe bablawo (si woyɔna be ventricular folds, si woyɔna ɣeaɖewoɣi be "false vocal cords").
• Glottis: Esia kekena tso supraglottis ƒe liƒo si le anyime va ɖo subglottis ƒe liƒo si le etame.
• Subglottis: Esia kekena tso glottis ƒe gɔme va ɖo cricoid cartilage (ƒunukpeƒe si le abe asigɛ ene si ƒo xlã wò yaƒoƒomɔ̃).

Nukawoe nye Glottis ƒe akpawo?

Nu vevi eve le glottis la ŋu: wò gbeɖiɖikawo kple ʋuƒo si le wo dome, si nye rima glottidis .

• Gbeɖiɖimɔ̃wo: Esiawoe nye lãmeka eve siwo kpɔa wò gbe ƒe ɖiɖime dzi (alesi wòkɔ alo bɔbɔe). Gbeɖiɖika gã siwo le ɣie la naa gbe si mebɔ o (si le ɣie) dona, eye gbeɖiɖika sue siwo le sue la naa gbe sesẽ (falɛfalɛ) dona.
• Rima Glottidis ƒe ŋkɔ:Esiae nye ʋuƒo si le wò gbeɖiɖikawo dome. Ne rima glottidis la ʋu la, ya ate ŋu ato gbeɖiɖikawo me. Ne èle nu ƒom la, wotua rima glottidis la. Ya la zɔna to gbeɖiɖikawo me. Le nɔnɔme sia si me wotu nu ɖo me la, ʋuʋudedi siwo nana wodzea wo nɔewo dzi la wɔa gbeɖiɖi.

Ƒunukpeƒetetedɔ , lãkusiwo , kple lãmeka siwo doa alɔ wò gbeɖiɖikawo heʋãna hã le wò lãkusi me. Wò gbe ƒe sesẽme koŋue nɔa te ɖe wò gbeɖiɖikawo ƒe lolome kple kpekpeme dzi, gake alesi nèɖua wo dzii hã kpɔa ŋusẽ ɖe esia dzi. Le kpɔɖeŋu me, lãmeka siawo ate ŋu asẽ alo aɖi ɖe eme ne èsrɔ̃ gbe si le gbɔgbɔm alo le ha dzim sesĩe.

Aleke glottis la le?

Ne àte ŋu akpɔ glottis la tso dziƒo tẽ la, ɖewohĩ aɖo ŋku avu ƒe ŋku dzi na wò. Bu rima glottidis ŋu be enye ŋkuvi yibɔ si le ŋkua titina, eye gbeɖiɖikawo nye ŋkuvi ma ƒe ɖusime kple miame.

Glottis ƒe dzedzeme toa vovo le alesi wò rima glottidis ʋu alo tu nu. Ne wotue la, gbeɖiɖikaawo ƒoa ƒu ɖekae eye wodzena abe fli ene. Ne rima glottidis la ʋu la, àte ŋu akpɔ "V" ƒe nɔnɔme, eye gbeɖiɖikawo awɔ "V" ƒe miame kple ɖusime.

Dɔléle kple dɔléle kawoe gblẽa nu le glottis ŋu?

Nɔnɔme kple dɔléle vovovowo li siwo ate ŋu agblẽ nu le glottis ŋu. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Glottic Stenosis: Esia nye lãkusi ƒe ʋuʋu ƒomevi aɖe. Glottic stenosis nye ne wò glottis va le kpuie akpa. Ate ŋu anɔ anyi le edziɣi. Alo ate ŋu adze egɔme le abi ƒe lãkusiwo ƒe dzɔdzɔ le abi alo dɔlékui aɖe ta megbe.
• Gbeŋutise ƒe Dɔmawɔmawɔ nyuie: Le nɔnɔme sia me la, gbeɖiɖikawo metua nyuie ne èle nu ƒom o. Esia ate ŋu ana nuɖuɖu kple nunono ƒe gege ɖe yaƒoƒomɔ̃a me (aspiration) nadzi ɖe edzi. Ate ŋu ahe dzesiwo abe gbeɖiɖi ƒe ɖiɖi kple nu mimi sesẽ hã vɛ.
• Glottic Cancer: Esia nye lãkusi me dɔdzẽ ƒomevi aɖe. Glottic cancer dzea egɔme tso wò gbeɖiɖikawo alo lãkusi siwo doa alɔ wo le glottis me.

Azɔ hã, nɔnɔme siwo gblẽa nu le wò gbeɖiɖikawo ŋu hã ate ŋu akpɔ ŋusẽ ɖe wò gbeɖiɖikawo dzi. Wo dometɔ aɖewoe nye:

• Laryngitis (esiae nye dɔléle si bɔ wu) .
• Laryngospasm (aɖuɖɔtoe ƒe ʋuʋu kpata) .
• Muscle Tension Dysphonia (Gbe ƒe kuxi siwo tso lãmekawo ƒe tete gbɔ) .
• Reinke ƒe Edema (nɔnɔme si me gbeɖiɖikawo vuvu le) .
• Spasmodic Dysphonia (gbe ƒe tɔtrɔ si tso ahɔhɔ̃mekawo ƒe kuxi aɖe gbɔ) .
• Inducible Laryngeal Obstruction (si woyɔna tsã be Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie) .
• Gbeɖiɖi ƒe Ʋuʋudedi, Polyps, Kple Cysts
• Gbeɖiɖi ƒe Ʋuʋudedi alo Gbeɖiɖi ƒe Ʋuʋudedi (Vocal Cord Paralysis alo Paresis) .

Nukawoe nye dzesi siwo bɔ ɖe kuxi aɖe si le glottis ŋu me?

Ne dɔléle aɖe le ŋuwò si gblẽa nu le wò glottis ŋu la, àte ŋu akpɔ dzesi siawo abe esiawo ene:

• Gbe ƒe ɖiɖi alo tɔtrɔ (Dysphonia) .
• Vevesese alo vevesese ƒe seselelãme ne èle nu mimim alo le nu ƒom
• Kɔmeve alo kɔdzidɔ
• Nu mimi sesẽ (Dysphagia) .
• Yagbɔgbɔ sesẽ (Dyspnea) .

Ne dzesi siawo tɔgbe le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukawoe nye dodokpɔ siwo wowɔna zi geɖe tsɔ léa ŋku ɖe glottis ƒe lãmesẽ ŋu?

Le wò dzesiwo nu la, ahiã be nàkpɔ eŋutinunyala bibi aɖe be wòakpɔ dɔléle siwo gblẽa nu le glottis ŋu. To, ŋɔti, kple ŋɔti (ENT) ŋuti nunyala bibiwo, lãkusiŋutinunyala siwo daa gbe ƒe aɖaka ƒe dɔlélewo, kple nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyala (SLP) siwo bi ɖe esia me ate ŋu akpe ɖe ŋuwò.

Dodokpɔ aɖewo siwo nàdi be yeawɔ:

• Dodokpɔ siwo zãa fotoɖemɔ̃ tɔxɛ aɖe tsɔ léa ŋku ɖe wò glottis ŋu nyuie. Kpɔɖeŋu aɖewoe nye laryngoscopy kple videostroboscopy.
• Nɔnɔmetatawo dodokpɔ be woatsɔ adi xɔtunu siwo mesɔ o. Le kpɔɖeŋu me, CT scan (Computed Tomography Scan) alo MRI (Magnetic Resonance Imaging) scan.
• Dodokpɔ siwo wowɔna le dodokpɔxɔ me be woatsɔ akpɔe ɖa be dɔlékui le ame ŋu hã, abe ʋudodokpɔ kple ŋɔti ƒe dekɔnu ene.
• Lãmetsiŋusẽ ƒe kpɔɖeŋu aɖe me dzodzro be woakpɔe ɖa be kansa ƒe dzesiwo li hã. Woyɔa esia be biopsy.

Nukawoe nye atike siwo wozãna zi geɖe na dɔléle siwo do ƒome kple glottis?

Atikewɔwɔ siwo bɔ dometɔ aɖewoe nye esi:

• Atike siwo woatsɔ aɖe dɔlékuiwo kple vuvu dzi akpɔtɔ, eye woaɖe vevesese dzi akpɔtɔ.
• Gbe ƒe Atikewɔwɔ .
• Gbea gbɔɖeme (menye nuƒoƒo alo hadzidzi o).
• Le go aɖewo me la, ehiãna be woawɔ dɔ na ame .

Aleke mawɔ akpɔ nye glottis dzi nyuie? (Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui)

Beléle na wò glottis nyuie fia ŋutɔŋutɔ be nàɖe afɔ aɖewo atsɔ akpɔ wò gbeɖiɖikawo ta. Nu siwo nàte ŋu awɔ dometɔ aɖewoe nye esi:

• Ƒo asa na atamanono eye nàɖo seɖoƒe na ahanono:Afɔku si le glottic cancer xɔxɔ me dzina ɖe edzi ne atamanono kple aha sesẽ nono fũ. Sigaretnono kple aha sesẽ hã ate ŋu ana wò gbeɖiɖikawo naƒu, si ana wòate ŋu agblẽ nu le wo ŋu bɔbɔe.
• Tsi Nyi edzi: Tsi nɔnɔ me fia be mehiã be wò gbeɖiɖikawo nawɔ dɔ sesĩe nenema hafi woaʋuʋu o. Esia wɔnɛ be wò gbe zazã nɔa bɔbɔe eye megblẽa nu le eŋu boo o. Azɔ hã, tsi ƒe agbɔsɔsɔ si le lãme na wò kpena ɖe ŋuwò be ʋuʋudedi si ate ŋu aƒo ƒu ɖe wò glottis me la naɖiɖi, si wɔnɛ be wònɔa bɔbɔe be nàkɔ. Esia akpe ɖe ŋuwò nàƒo asa na kɔdzidede kple wò ŋɔti me kɔklɔ. Kɔdzi menyo na wò gbeɖiɖikawo o.
• Mɔxexe ɖe gbɔgbɔmedɔlékuiwo nu: Wɔ afɔɖeɖewo be màgadze dɔ o. Klɔ asi enuenu, eye nànɔ adzɔge tso amesiwo ŋu dzamezã le gbɔ va se ɖe esime wohaya.
• Te ɖa tso nusiwo gblẽa nu le wò ŋɔti ŋu gbɔ: Te ɖa le nuto siwo me ke kple atikewo sɔ gbɔ ɖo ŋu alesi nàte ŋui. Esiawo ate ŋu agblẽ nu le wò ŋɔti ŋu.
• Ƒo asa na wò gbe teteɖeanyi: Ne wò gbe le ɖiɖim alo nèse le ɖokuiwò me be yegbɔdzɔ la, dze agbagba be màgaƒo nu o hena ɣeyiɣi aɖe. Ne èdi kokoko be yeaƒo nu, gake nèdi be yeana yeƒe gbe nagbɔ ɖe eme la, zã nuƒomɔ̃.

Togbɔ be nya "gbe ƒe aɖaka" aɖi nu bɔbɔe hã la, le nyateƒe me la, wò lãkusi nye xɔtunu sesẽ aɖe si ƒe akpa vovovowo, siwo dome glottis hã le. Ne ènya nu tso wò glottis ŋu la, ate ŋu akpe ɖe ŋuwò nàse alesi wò gbeɖiɖikawo wɔa dɔe gɔme geɖe wu. Ate ŋu akpe ɖe ŋuwò hã be nàlé be na wo nyuie. Togbɔ be wò glottis nye wò ŋɔti ƒe akpa sue aɖe hã la, ŋutinu sue sia wɔa akpa gã aɖe le kpekpeɖeŋu nana wò be nàgbɔ ya, aƒo nu, ahawɔ wò ŋutɔ wò gbe tɔxɛa me. Eyata, ele vevie be nàlé be nɛ!

Glottis , gbeɖiɖikawo, gbe, lãkusi, gbɔgbɔ, ŋɔti me dɔlélewo, gbeɖiɖiɖaka