Ðe viwò ƒe to léna abe aŋe enea? Esiae nye ‘Glue Ear’!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be viwò sue la mate ŋu ase wò nya o ne èle nu ƒom kpli woa? Alo ɖe nètrɔa TV la sesĩe akpaa? Ate ŋu anye esi tsi si le ʋeʋẽm si léna ɖe nu ŋu yɔ viwò suea ƒe to me tae. Abe ɖɔktawo ene la, míeyɔa nɔnɔme sia be ‘Glue Ear’. Le atikewɔwɔ me la, wogayɔnɛ be `(Otitis Media with Effusion - OME)` alo `(Secretory Otitis Media)`. Esia ate ŋu adzɔ le ɖevi ƒe to ɖeka alo evea siaa me. Wokpɔnɛ zi geɖe le to me dɔlékui xɔxɔ vɔ megbe, gake ate ŋu atso susu bubuwo hã gbɔ. Mègatsi dzi o, zi geɖe la, nɔnɔme sia va nyona ɖe edzi le ɣeyiɣi aɖe megbe. Gake ne eyi edzi la, ate ŋu akpɔ ŋusẽ ɖe viwòa ƒe tosese dzi.

Nuka tututue nye ‘Glue Ear’? Aleke wòdzɔnae?

Kpuie ko la, ‘glue ear’ nye tsi si le ʋeʋẽm eye wòléna ɖe nu ŋu si ƒoa ƒu ɖe viwòa ƒe titinato (teƒe ƒuƒlu si le tomeka megbe) me. Woyɔa esia be ‘glue ear’ elabena eɖi aŋe.

Bu eŋu kpɔ be, hafi míate ŋu ase nu nyuie la, ele be míaƒe titinato nakɔ eye ya nayɔe fũ. Ya sia toa mɔ̃ eve siwo woyɔna be Eustachian tubes me gena ɖe titinato me . Mɔ̃ eve siawo doa ka kple míaƒe titinato kple ŋɔti. Ne míagblɔe tututu la, mɔ̃ siawo tsoa ŋɔti ƒe megbe va ɖoa ŋɔti me eye wogena ɖe to titina. Dɔ vevi siwo Eustachian-tu siawo wɔna dometɔ ɖekae nye be woaɖe tsi siwo womedi o siwo ƒoa ƒu ɖe to titina la ɖa. Míemia tsi si dona le eme evɔ míenya o.

Eustachian-tu siawo siwo le ɖevi suewo me la keke wu le ame tsitsiwo me, eye wole tsia dzi hã. Eyata womewɔa dɔ nyuie abe ame tsitsiwo ene o. Eyata ne ɖevi ƒe Eustachian-mɔ̃wo xe le susu aɖe ta la, ya megena ɖe to titina o. Emegbe lãmenugbagbevi siwo le titinato ƒe akpa si le eme la dzea tsi si le ʋeʋẽm eye wòléna ɖe nu ŋu la wɔwɔ gɔme. Emae nye nusi woyɔna be 'glue ear'.

Ne tsi yɔ titinato me fũ la, to ƒe ʋuƒoa mete ŋu ʋuʋuna nyuie o. Ekema gbeɖiɖi ƒe ƒutsotsoewo mezɔa mɔ nyuie yia to ememetɔ gbɔ o. Esia tae vidzĩwo mete ŋu sea nu nyuie o.

Amekae ate ŋu axɔ ‘glue to’ ƒe nɔnɔme sia wu? Aleke gbegbe wòbɔe?

‘Glue ear’ nye nɔnɔme si dzea ɖevi suewo dzi wu , vevietɔ vidzĩwo kple ɖevi siwo mexɔ ƒe 6 haɖe o. Gake ate ŋu adze ame tsitsiwo hã dzi ɣeaɖewoɣi.

Esia bɔ ale gbegbe be ne èkplɔ ɖevi atɔ̃ siwo mekpɔ de suku haɖe o la, ‘glue to’ anɔ wo dometɔ ɖeka ŋu ɣesiaɣi. Azɔ hã, ɖevi siwo ade enyi le ewo ɖesiaɖe me axɔ nɔnɔme sia ɣeaɖeɣi hafi woaxɔ ƒe 10. Eyata esia menye nu yeye o.

Aleke mawɔ anya ne ‘glue to’ le vinye suea ŋu? Nukawoe nye dzesiawo?

‘Glue to’ ƒe dzesi vevitɔ le ɖeviwo kple ame tsitsiwo ŋue nye tosese . Esia ate ŋu adzɔ le to ɖeka alo to eveawo me zi ɖeka. Ate ŋu ase le ɖokuiwò me abe tomeka eve le wò to me ene, si ana gbeɖiɖi si ƒo xlã wò dzi naɖe akpɔtɔ eye wòana nàse le ɖokuiwò me be yeƒe to me tsi. Ne ɖevi sue aɖe yi edzi le tosese me la, ate ŋu akpɔ ŋusẽ ɖe woƒe nuƒoƒo kple gbegbɔgblɔ ƒe ŋutete dzi . Le kpɔɖeŋu me, ɖewohĩ womate ŋu agblɔ nyawo nyuie o.

Tsɔ kpe ɖe eŋu la, viwòa ate ŋu ato nu siwo gbɔna me:

• To ƒe vevesese aɖe.
• Tome ƒe ɖiɖi nye gbeɖiɖi si le ɖiɖim alo le ɖiɖim le to me.
• Nyaƒoɖeamenu, yɔyɔ, alo ‘pop’ ƒe gbeɖiɖi le to me ne wole nu mimim.

Vidzĩwo mesea egɔme ne ègblɔ na wo be yewomate ŋu ase nu o. Eyata wòe wòle be nànɔ ŋudzɔ ɖe dzesi siawo ŋu. Ne ‘glue to’ le viwò alo viwò si le zɔzɔm la ŋu la, àte ŋu ade dzesi nusiwo le abe esiawo ene:

• Nuwɔna ƒe tɔtrɔ: Alɔ̃dɔdɔ ɣesiaɣi, dzikudodo kabakaba wu tsã.
• Wometsɔa ɖeke le eme o: Edze abe ɖe wometsɔa ɖeke le nusianu me o ene.
• Elɔ̃na be ye ɖeka yeafe.
• Mèɖo eŋu ne èƒo ka o.
• Biabia tso ame aɖe si be wòagbugbɔ nya si nègblɔ la agblɔ.
• Biabia be woadzi TV ƒe gbeɖiɖi ɖe dzi ŋutɔ.
• Nuƒoƒo sesĩe wu tsã.

Ne viwòa le dzesi siawo dometɔ ɖeka alo esi wu nenema ɖem fia la, anyo wu be nàyi ɖɔkta gbɔ hena aɖaŋuɖoɖo.

Nukae hea ‘glue to’ vɛ?

Zi geɖe la, to si wotsɔa aŋe ƒoa nui dzɔna le to me dɔléle aɖe xɔxɔ vɔ megbe . Tsi si susɔ ɖe to me ne dɔlékuia kɔ vɔ gbɔe wòtsona. Gake menye ɣesiaɣie to me dɔlékui aɖe gbɔe glue to tsona o. Nusi gbɔ wòtsona wue nye ɖevia ƒe Eustachian tube ƒe xexe. Susu vovovowo ate ŋu atso mɔxenu sia gbɔ:

• Vuvɔ kple asrã.
• Nulɔdɔ vovovowo.
• Adenoids siwo vuvu: Esiawo te ɖe ŋɔti kple ŋɔti ƒe mɔwo ŋu, le towo gbɔ.
• Nusiwo doa dziku na ame abe sigaret ƒe dzudzɔ ene ƒe amedzidzedze (Passive smoking). Esia le vevie ŋutɔ.
• Domenyiŋusẽfianu aɖewo abe ``(Down syndrome)``.
• Aɖu si me mã.
• GERD (gastroesophageal reflux disease) alo acid ƒe ʋuʋu si nɔa anyi didi.
• No nana esime nèmlɔ anyi: Esia ate ŋu adzɔ ne ètsɔ viwòa da ɖe eƒe akɔta esime nèle nu nom tso aŋetu me.
• Ya ƒe nyaƒoɖeamenu ƒe tɔtrɔ kpata: abe ne èle yameʋu me alo le tsi ƒum ene.

Vevietɔ: Glue to medzɔna tso tomeka ƒe ƒuƒoƒo me o. Eye metsoa tsi si gena ɖe to me ne ele tsi alo le tsi ƒum hã me o.

Aleke ɖɔktawo wɔa dea dzesi ‘glue to’?

Be viwòa ƒe ɖɔkta nakpɔe ɖa be glue le to me hã la, ado viwòa ƒe towo kpɔ gbã. Woazã dɔwɔnu sue aɖe (otoscope) atsɔ adi tsi si le toa me.

Ɣeaɖewoɣi la, ɖɔkta la agblɔ be, "Mina míalala vie akpɔe ɖa be esia nu ayi le eɖokui si hã." Elabena nenemae wònɔna zi geɖe. Gake ne dzesiawo gakpɔtɔ le ɣleti ʋɛ aɖewo megbe la, ekema woaɖo wò ɖe dodokpɔ bubuwo kple atikewɔwɔ me.

Dodokpɔ ka ƒomevie wowɔna?

Ne wò ɖɔkta tso nya me be ehiã be yeagawɔ dodokpɔ bubuwo la, aɖo wò ɖe toŋutinunyala alo to, ŋɔti, kple ŋɔti (ENT) ŋuti nunyala bibi aɖe gbɔ.

Dɔwɔla bibi la awɔ dodokpɔ aɖe si woyɔna be tympanometry test atsɔ alé ŋku ɖe viwòa ƒe to ŋu. Dodokpɔ sia dzidzea alesi ɖevia ƒe tomeka te ŋu ʋãna nyuie. Woade mɔ̃ tɔxɛ aɖe si me nuƒomɔ̃ kple gbeɖiɖitsoƒe le ɖevia ƒe to me. Mɔ̃a adzidze alesi nyaƒoɖeamenu si le tomekaa me trɔnae, eye gbeɖiɖi ƒe ƒutsotsoeawo adzo le tomekaa me. Ne tsi le ɖevia ƒe titinato me la, tomeka maʋã nyuie o. Woazã nɔnɔmetata si woyɔna be tympanogram atsɔ alé ŋku ɖe emetsonu siawo ŋu.

Tsɔ kpe ɖe eŋu la, eŋutinunyala ate ŋu awɔ tosese dodokpɔ hã . Esia alé ŋku ɖe tsi agbɔsɔsɔme si le to titina ŋu kpɔ ŋusẽ ɖe ɖevia ƒe tosese dzi hã. Tomedodokpɔ ate ŋu akpe ɖe ame ŋu wòanya alesi gbegbe tosese ƒe kuxia nu sẽe kple nusi gbɔ wòtso.

Nukae nye atike siwo wozãna na ‘glue ear’?

Zi geɖe la, to si wotsɔa aŋe ƒoa nui la anyo ɖe edzi le eɖokui si atike aɖeke mawɔmawɔe . Zi geɖe la, viwòa ƒe ɖɔkta alala ɣleti ʋɛ aɖewo akpɔe ɖa be tsi si le eme la nu ayi le eɖokui si hã. Ne viwòa ƒe dzesiwo meva nyo le wo ɖokui si o la, atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ŋuwò:

• Dɔlékuiwutikewo: Ne viwòa le veve sem tsɔ kpe ɖe tsi si ƒo ƒu ɖe woƒe to me ŋu la, ate ŋu anye to me dɔlékui. Le nɔnɔme mawo me la, ɖɔktaa aŋlɔ dɔlékuiwutikewo na wò be woatsɔ adae.
• Myringotomy: Ɣeaɖewoɣi la, eŋutinunyala ate ŋu ado susu ɖa be woawɔ dɔ sue aɖe si woyɔna be ``Myringotomy.'' Esia bia be woaɖe ɖevia ƒe tomeka sue aɖe eye woaɖe tsi si le titinato me la ɖa. Ɣeaɖewoɣi la, eŋutinunyala la ade mɔ̃ sue aɖe si me do le (Ear tube / Grommet) to afisi wotsoe la me. Tube sia kpena ɖe ame ŋu be nyaƒoɖeamenu si le tomeka kple titinato dome la nasɔ. Ekpena ɖe ame ŋu hã be tsi sina tso titinato me yia to gota. Zi geɖe la, mɔ̃ sia gena le eɖokui si le abe ƒe ɖeka ene me.
• Adenoidectomy: Ne adenoids siwo vuvu gbɔe viwò ƒe ‘glue ear’ tso la, wò ɖɔkta ate ŋu awɔ ‘Adenoidectomy’. Zi geɖe la, wowɔa amekoko sia kpe ɖe ‘Myringotomy’ ŋu, si bia be woaɖe adenoid siwo vuvu la ɖa.
• Tomemɔ̃wo: Tomemɔ̃wo nye mɔ̃ siwo doa gbeɖiɖi ɖe ŋgɔ. Ðɔkta ate ŋu akafu tomemɔ̃wo be woatsɔ akpe ɖe ɖevi siwo ƒe to me gblẽ hena ɣeyiɣi aɖe ŋu. Ðeviwo zãa esiawo esime ‘glue ear’ le hayahayam, alo ne ‘myringotomy’ amekoko mate ŋu adzɔ o.

Ðe kuxi aɖewo doa mo ɖa le amekoko megbea?

Anɔ eme godoo be kuxi aɖeke manɔ viwòa ŋu le myringotomy ɖeɖe vɔ megbe o. Ðewohĩ tsi aɖe ado le viwòa ƒe to me ŋkeke ʋɛ aɖewo le amekokoa megbe. Ne tsia yi edzi le dodom wu ŋkeke ʋɛ aɖewo la, ƒo nu kple wò ɖɔkta.

Ðe mɔ aɖewo li siwo dzi woato aɖe ‘glue to’ dzi akpɔtɔ le aƒemea?

Ẽ, ɣeaɖewoɣi la, kamedede bɔbɔe ʋɛ aɖewo li nàte ŋu awɔ le aƒeme siwo ate ŋu akpe ɖe viwòa ƒe to titina ŋu hena ɣeyiɣi aɖe:

• Valsalva ƒe afɔɖeɖe: Esia nye gbɔgbɔ ƒe mɔnu. Gblɔ na ɖevia be wòatu woƒe ŋɔtiwo, axe nu, eye wòadze agbagba aƒo ya ado le woƒe ŋɔti me. Ðevia ase le eɖokui me be yewoƒe towo "do" ʋuʋu.
• Otovent® nasal balloon: Mɔ̃ sia, si woyɔna be ``(Otovent®)``, kpena ɖe ŋuwò be tsi dona le viwò ƒe to me. Wotsɔa nugbɔ aɖe si wotsɔ blaa ʋuƒoa ŋu dea ŋɔti ɖeka me eye wotsɔa asibidɛ tua ŋɔti evelia. Emegbe ɖevia dzea agbagba be yeakɔ ʋuƒoa to woƒe ŋɔti me. Esia zia ya si tso ŋɔti ƒe megbe dzi yia to titina, si kpena ɖe ame ŋu wòʋua Eustachian ƒe mɔ̃a.

Gake ele vevie ŋutɔ be nàbia wò ɖɔkta hafi ate mɔnu siawo kpɔ.

Ðe woate ŋu axe mɔ ɖe to si wotsɔa aŋe ƒoa nui nua?

Viwò ƒe to me dɔlékuiwo xɔxɔ ƒe afɔkua dzi ɖeɖe kpɔtɔ hã ate ŋu akpe ɖe ŋuwò nàɖe ‘glue ear’ ƒe afɔkua dzi akpɔtɔ. Nu aɖewo siwo nàte ŋu awɔ be viwòa ƒe to me dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔe nye esi:

• No nana: Nunyiame siwo le no me kpena ɖe vidzĩwo ŋu wowɔa avu kple dɔlékuiwo. Numekukuwo ɖee fia be vidzĩ siwo wona no la mexɔa ‘glue ear’ o.
• Lé viwòa ɖe tsitrenu ne èle nu nam: Èɖale no nam alo nèle no nam le aŋetu me o, lé viwòa ɖe anyinɔƒe tsɔ wu be nàmlɔ anyi. Esia ate ŋu akpe ɖe ame ŋu be tsi nagage ɖe Eustachian-mɔ̃wo me ne wole nu ɖum o.
• Ƒo asa na atamanono: Ðevi siwo wodo goe le atama si wozãna tsã me la le afɔku me be woaxɔ ‘glue ear’. Ƒo asa na atamanono le xɔme kple ʋuwo me alesi nàte ŋui.
• Nulɔdɔ dodokpɔ: Nulɔdɔ siwo bɔ abe aŋɔ, ke, kple lãwo ƒe ƒuƒu ate ŋu ana Eustachian ƒe ʋukawo navuvu. Ne èsusu be esia gbɔe viwòa ƒe ‘glue to’ tso la, bia wò ɖɔkta tso nulɔdɔ dodokpɔ ŋu.
• Dzadzɛnyenye kple dɔlékuiwutikewo: Fia viwòa alesi wòaklɔ asi nyuie. Klɔ woƒe asiwo kple adzalẽ kple tsi sɛkɛnd 20 ya teti. Azɔ hã, na aƒemenuwo kple fefenuwo nanɔ dzadzɛ to wo tutu ɖe anyi edziedzi me.

Nukae wòle be makpɔ mɔ na ne ‘glue to’ le vinye ŋu?

‘Glue ear’ nye nɔnɔme si bɔ ŋutɔ si zi geɖe la, ehayana le eɖokui si. Gake ne dzesiawo yi edzi ɣleti geɖe la, ate ŋu agblẽ nu le ɖevi ƒe tosese ŋu. Ate ŋu akpɔ ŋusẽ ɖe woƒe gbegbɔgblɔ kple gbegbɔgblɔ ƒe ŋutete dzi. Kuxi siawo ate ŋu ahe nusɔsrɔ̃ ƒe kuxiwo vɛ, eye woate ŋu ahe kuxiwo vɛ le dzeɖoɖo kple hadede kple ame bubuwo me.

Gake nu nyuitɔ kekeakee nye be, ne tsi gakpɔtɔ le to me ɣleti geɖe hã la, ɖevi akpa gãtɔ mesea tosese alo nuƒoƒo ƒe kuxiwo ɣeyiɣi didi o le nɔnɔme sia ta o.

Ɣeyiɣi didi kae ‘glu ƒe ƒe’ ate ŋu anɔ anyi?

Zi geɖe la, to si wotsɔa aŋe ƒoa nui la anyo ɖe edzi le eɖokui si le kwasiɖa eve va ɖo etɔ̃ me. Ɣeaɖewoɣi la, nɔnɔmea te ŋu nɔa anyi ɣleti geɖe. Ne meva nyo le eɖokui si le ɣleti etɔ̃ me o la, ƒo nu kple viwòa ƒe ɖɔkta tso atikewɔwɔ si sɔ ŋu.

Ðe ɖevi si ŋu ‘glue to’ le ate ŋu aƒu tsi alo aƒu tsia?

Ne tomekawo le viwòa ŋu la, ɖɔktaa agblɔ na wo be woagatsi towo me o kwasiɖa eve va ɖo ene le amekokoa megbe. Esia fia be womagaƒu tsi alo aƒu tsi o. Woate ŋu aklɔ woƒe ŋutilã evɔ woƒe towo matsi o. Le ɣeyiɣi ma megbe la, zi geɖe la, womexea mɔ ɖe tsilele alo tsiƒuƒu le tadeaguƒewo nu o.

Gake ɖewohĩ ahiã be ɖevi aɖewo siwo ate ŋu axɔ dɔlékuiwo la nawɔ afɔɖeɖe geɖe wu. Ne nenemae la, viwòa ƒe ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• Ƒo asa na titri ɖe tsia me alo tsi me nɔnɔ.
• Zã tomeka kple tsiƒuƒuwu ne èle tsi ƒum.
• Te ɖa le teƒewo abe tawo kple tsiƒuƒe siwo me klorin mele o ene gbɔ.
• Ne èle viwò ƒe taɖa klɔm la, kpɔ nyuie be tsi nagage ɖe to me na wo o.

Ðe wònye kuxi ne ɖevi si ŋu ‘glue to’ le zɔ mɔ le yameʋu mea?

Ðevi akpa gãtɔ siwo ŋu glue to le la makpɔ kuxi aɖeke le yameʋu me o. Gake anyo be nàbia viwò ƒe ɖɔkta tso viwòa ƒe nɔnɔme tɔxɛa ŋu. Tsi si le titinato me ate ŋu akeke le yameʋua ƒe dzodzo kple anyidzedze me, si ate ŋu ana ame nase veve. Woyɔa esia be ``yameʋu ƒe to.'' Nane ɖuɖu alo nono le yameʋua ƒe dzodzo kple anyidzedze me ateŋu akpeɖe ŋuwò be wòaʋu viwò ƒe Eustachian tube eye wòaɖe vevesese dzi akpɔtɔ.

Nya kawoe wòle be mabia vinye ƒe ɖɔkta?

Ne ‘glue ear’ le viwò ŋu la, nyabiase geɖe ate ŋu anɔ asiwò ku ɖe nɔnɔme sia ŋu. Viwò ƒe ɖɔkta ate ŋu aɖo nyabiase ɖesiaɖe si anɔ asiwò ŋu. Nya aɖewo siwo nàte ŋu abia ɖɔktaae nye esi:

• Nukatae tsi le vinye ƒe to me?
• Ðe vinyea hiã atikewɔwɔa?
• Atikewɔwɔ ka ƒomevie vinyea hiã?
• Aleke míawɔ axe mɔ na nɔnɔme sia be wòagadzɔ le etsɔme o?

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

Glue ear (Otitis Media with Effusion) nye dɔléle si bɔ ŋutɔ le ɖevi suewo me. Zi geɖe la, enyona ɖe edzi le eɖokui si.Gake tsi ƒe ƒoƒo ɖe to me ate ŋu agblẽ nu le ɖevi ƒe to ŋu, si ate ŋu akpɔ ŋusẽ ɖe nuƒoƒo kple gbegbɔgblɔ ƒe tsitsi dzi.

Eyata ne ède dzesi nɔnɔme sia ƒe dzesi aɖewo la, yi viwòa ƒe ɖɔkta gbɔ enumake. Emegbe ɖɔkta ate ŋu ado viwòa kpɔ eye wòana atike si sɔ ne ehiã. Nya nyuiae nye be ɖevi akpa gãtɔ mekpɔa tosese alo nuƒoƒo ƒe kuxiwo ɣeyiɣi didi le nɔnɔme sia ta o. Eyata mègatsi dzodzodzoe madzemadzee o, gake ele vevie be nànɔ ŋudzɔ.

` Glue To, Glue To, Otitis Media kple Effusion, To me Tsi, To Dɔlélewo le Ðeviwo me, Tosese ƒe Dɔmawɔmawɔ nyuie, Eustachian Tube, Myringotomy