Ðe viwòa ƒe mo ƒe akpa ɖeka le sue wu evelia? Mina míaƒo nu tso Hemifacial Microsomia ŋu!

Ède dzesii kpɔ be ɣeaɖewoɣi la, vidzĩ ƒe mo ƒe akpa ɖeka toa vovo vie tso evelia gbɔ, ɖewohĩ eto vovo viea? Alo to la le teƒe si to vovo vie, alo edze abe ŋgonu medzɔ nyuie o ene. Enye nusi sɔ be dzila navɔ̃ vie eye wòatsi dzimaɖi ne ekpɔ nane si le abe esia ene. Emae nye nɔnɔme si ŋu míaƒo nu tsoe egbea, si woyɔna be Hemifacial Microsomia. Mègatsi dzi o, mina míaƒo nu tso esia ŋu tsitotsito.

Nukae nye Hemifacial Microsomia?

Kpuie ko la, Hemifacial Microsomia nye dɔléle si wodzina . Edzɔna ne vidzĩ ƒe mo ƒe akpa ɖeka, abe to, nu, kple aɖuƒu ene, metsi nyuie o ne wotsɔe sɔ kple akpa kemɛ. Bu eŋu be enye ‘nu vevi’ vi aɖe si bu le akpa ɖeka ne mo le wɔwɔm. Woyɔa esia ɣeaɖewoɣi be Craniofacial Microsomia.

Zi geɖe la, mo ƒe akpa ɖeka koe esia gblẽa nu le . Gake ƒã ŋutɔ be nɔnɔme sia ate ŋu adze mo ƒe akpa eveawo dzi. Le nɔnɔme ma me la, míeyɔnɛ be Bilateral Hemifacial Microsomia.

Nɔnɔme sia ate ŋu agblẽ nu le mo ƒe akpa siwo gbɔna ŋu:

• Akɔtaƒuwo
• Ŋkuwo
• To ƒe gota gome kple titinato
• Mo ƒe lãmekawo (esiawoe kpɔa míaƒe mo ƒe dzedzeme kple nukoko dzi) .
• Mandible ƒe lãkusi
• Mo ƒe lãmekawo
• Kɔ
• Tagbɔkuku
• Aɖuwo

Togbɔ be ƒã ŋutɔ hã la, ɣeaɖewoɣi la, kuxi siwo le ŋutilã ƒe dɔwɔwɔ bubuwo abe dzi, ayiku, akɔtaƒuwo (akɔta), kple akɔta ene ate ŋu akpe ɖe Hemifacial Microsomia ŋu.

Le akɔntabubu nu la, nɔnɔme sia dzea vidzĩ siwo wodzina dometɔ 1 le 3,000 va ɖo 5,600 ɖesiaɖe me. Enye mo ƒe dɔmawɔmawɔ nyuie si wodzina wu evelia, le nuyi si me ʋuʋu alo aɖu si me ʋuʋu le megbe.

Nukawoe ate ŋu anye dzesiawo?

Nɔnɔme sia ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ ŋutɔ. Vi aɖe koe wògblẽa nu le ame aɖewo ŋu, gake ame bubuwo ya gblẽa nu le wo ŋu vevie wu . Esia fia be dzesi siawo ƒe nɔnɔme kple woƒe sesẽme toa vovo le alesi mo ƒe akpa si do mo ɖae nu.

Esiawo nye dzesi siwo bɔ wu dometɔ aɖewo:

• Microtia: Esia nye nɔnɔme si me to la le sue, mesɔ ɖe ɖoɖo nu o, alo eƒe nɔnɔme mesɔ o. Ate ŋu abu keŋkeŋ gɔ̃ hã.
• Aɖuɖɔtoedɔ: Aɖu aɖewo megena ɖe eme gbeɖe o. Eyae nye be aɖuawo metsina tso gɔmedzedzea me o.
• Mo ƒe lãmetutudɔ le mo ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ ta: Ate ŋu asesẽ be woawɔ nuwo abe ŋku tutu nyuie le akpa si ŋu dɔlélea le, alɔgbɔnukoko, alo mo ʋuʋu ene.
• Ŋutilã ƒe dzesiwo:Zi geɖe la, wokpɔa ŋutigbalẽ kakɛ siawo siwo sɔ gbɔ wu le to gbɔ, ɣeaɖewoɣi le ŋgonu.
• Ŋku ɖeka ƒe suenyenye (Microphthalmia): Ŋku si ŋu dɔlélea le ate ŋu adze sue wu ne wotsɔe sɔ kple ŋku evelia. Ŋkua ŋutɔ hã ate ŋu anɔ sue wu.
• Alɔgbɔnukoko si mesɔ o: Esi lãmekawo kple lãmekawo metsi nyuie o ta la, ɖewohĩ mo ƒe akpa eveawo masɔ ne wole alɔgbɔnu kom o.

Esiawoe nye dzesi vevi siwo wokpɔna. Gake abe alesi megblɔe va yi ene la, menye amesiamee dzesi siawo katã le o, eye dzesi siwo le eme ƒe sesẽme to vovo ŋutɔ.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Le nyateƒe me la, eŋutinunyalawo menya nusi tututu gbɔ Hemifacial Microsomia tsona haɖe o . Woxɔe se be nane si gblẽa fugboea ƒe tsitsi me le kwasiɖa ade gbãtɔ siwo kplɔ fufɔfɔ megbe (emae nye fufɔfɔ ƒe ɣleti gbãtɔ kple afã) gbɔe nɔnɔmea tsona. Ðo ŋku edzi be kwasiɖa ʋɛ gbãtɔ mawo mee vidzĩa ƒe mo ƒe akpa aɖewo dzea wɔwɔ gɔme. Ɣemaɣie nane, ɖewohĩ ʋu ƒe anyimanɔmanɔ vie, ate ŋu agblẽ.

Numekulawo mekpɔ domenyiŋusẽfianu alo nutome ƒe nɔnɔme tɔxɛ aɖeke si do ƒome kple esia haɖe o. Ema fia be mègatsɔe be nane si vidadaa wɔ alo mewɔ le fufɔɣi o tae o. Esia menye ame aɖeke ƒe vodada o.

Gake esi wònye be ame siwo ŋu dɔlélea le wu ɖeka le ƒome aɖewo me ta la, wosusuna be ate ŋu anye domenyiŋusẽfianu gbɔe wòtso . Gake numekuku si sɔ gbɔ be woatsɔ aɖo kpe esia dzi haɖe o.

Kuxi kawoe ate ŋu ado mo ɖa le nɔnɔme sia ta?

Tsɔ kpe ɖe mo ƒe tɔtrɔ ŋu la, ɖevi siwo ŋu Hemifacial Microsomia le ate ŋu ado go kuxi bubu aɖewo. Enyo be nànya nusiawo hã:

• Tosese: Kuxi sia ate ŋu ado mo ɖa, vevietɔ ne to kple to me tsi nyuie o. Ɣeaɖewoɣi la, nusese ate ŋu abu keŋkeŋ le akpa ɖeka.
• Nunyuimakpɔɖui le nuɖuɖu sesẽ ta: Ne aɖu si le ete mesɔ nyuie o alo kuxiwo le aɖuawo ŋu la, ate ŋu asesẽ na vidzĩa be wòano no, aɖu nuɖuɖu emegbe, eye wòaɖu. Esia ate ŋu ana ame ƒe lolo naɖiɖi eye wòagatsi o.
• Nu me ƒe lãmesẽnyawo: Aɖuwo tutu, aɖu siwo le ƒoƒom, kple dowo bɔ.
• Nuƒoƒo ƒe kuxiwo: Ate ŋu asesẽ be woayɔ nyawo ahaƒo nu nyuie le kuxi siwo le mo ƒe lãmekawo, aɖuƒu, kple aɖu ŋu ta.
• Nukpɔkpɔ ƒe nyawo: Nuwo abe microphthalmia (ŋku sue) kple ŋku ƒe kuxi bubuwo ate ŋu akpɔ ŋusẽ ɖe nukpɔkpɔ dzi.
• Yagbɔgbɔ ƒe kuxiwo:Vevietɔ ne aɖu si le ete le sue ŋutɔ eye ŋɔti me dowo le kpuie la, gbɔgbɔtsixetsixe (alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe) ate ŋu ado mo ɖa ne wole alɔ̃ dɔm.

Ele vevie ŋutɔ be nànya nu siawo eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kple atikewɔwɔ si hiã.

Aleke nèwɔna dea dzesi esia?

Zi geɖe la, ɖɔktawo doa vidzĩa ƒe ŋutilã kpɔ nyuie gbã. Le go geɖe me la, woate ŋu ade dzesi nɔnɔme sia ne wonya dzi vidzĩa ko, elabena mo ƒe tɔtrɔ, vevietɔ le to kple asike me, dzena nyuie.

Gake le go aɖewo me la, dodokpɔ siwo wowɔ do ŋgɔ na vidzidzi alo MRI (Magnetic Resonance Imaging) dodokpɔ siwo wowɔ hafi wodzi vidzĩa, si fia be egakpɔtɔ le vidadaa ƒe dɔme, ate ŋu ana míanya nɔnɔme sia. Ke hã, esia medzɔna ɣesiaɣi o.

Be woaɖo kpe Hemifacial Microsomia ƒe dzesi dzi, be woanya alesi gbegbe wògblẽe, eye woanya ahɔhɔ̃a ƒe akpa siwo tututu ŋu wògblẽ nu le la, ɖɔktawo ate ŋu awɔ nɔnɔmetatawo dodokpɔ bubuwo . Le kpɔɖeŋu me:

• X-ray: Kpɔ mo ƒe ƒuwo ƒe nɔnɔme ɖa.
• CT scans (Computed Tomography scans): Esiawo ate ŋu ana ame ƒe ƒuwo kple mo ƒe lãkusi falɛfalɛwo ƒe nɔnɔmetata si me kɔ wu, si le akpa etɔ̃ me. Esia kpena ɖe ame ŋu ŋutɔ le ɖoɖowɔwɔ ɖe amekoko ŋu me.

Dodokpɔ siawo ate ŋu ana woakpɔ mo ƒe ƒuwo, lãmekawo, kple lãmekawo nyuie, si nye kpekpeɖeŋu gã aɖe le ɖoɖowɔwɔ ɖe atikewɔwɔ ŋu me.

Aleke wowɔa atike nɛ?

Dɔléle sia ƒe atikewɔwɔ nɔ te ɖe alesi wògblẽa nu le ɖevia ŋu vevie dzi. Zi geɖe la, ehiãna be woawɔ dɔ na ɖevi siwo ŋu hemifacial microsomia le be woadzra mo ƒe akpa aɖewo ɖo alo agbugbɔ wo atu.

Nusi amekoko siawo nye kple ɣeyiɣi si woawɔ wo la toa vovo tso ɖevi ɖesiaɖe gbɔ, le ɖevia ƒe nuhiahiãwo, ƒe si wòxɔ, kple akpa siwo ŋu wògblẽ nu le nu.

Ele vevie ŋutɔ be ne vidzĩa le sue, si fia be le vidzĩme , atikewɔwɔ ƒe taɖodzinu vevitɔe nye be wòakpe ɖe vidzĩa ŋu wòagbɔ ya ahaɖu nu nyuie . Esiawoe nye gɔmedzenuawo.

Emegbe ne ɖevia le tsitsim, si fia be le ɖevime kple ƒewuiwo me la , atikewɔwɔ ƒe taɖodzinue nye be wòana mo ƒe dɔwɔwɔ kple dzedzeme nanyo ɖe edzi . Eyae nye be woana mo ƒe nɔnɔme kple dzedzeme nanyo ɖe edzi esime wole nuwo abe nuƒoƒo, nuɖuɖu, kple alɔgbɔnukoko ene wɔm bɔbɔe.

Zi geɖe la, womate ŋu awɔ amekoko sia zi ɖeka o. Ne ɖevia le tsitsim la, mo ƒe ƒuwo tsina eye wowɔa dɔa le akpa vovovowo me.Esiawoe nye nusiwo wòle be woawɔ. Ele be woahe amekoko aɖewo ɖe megbe ne ɖevia le tsitsim. Esia nye nusi xɔa ɣeyiɣi aɖe eye wòbia dzigbɔɖi.

Amekoko ƒe atikewɔwɔ

Amekoko na Hemifacial Microsomia ate ŋu anye nusiwo gbɔna. Ðɔkta bibiwo ƒe ƒuƒoƒo aɖee wɔa esiawo:

• To, ŋɔti kple ŋɔti ƒe dɔwɔwɔ (ENT dɔwɔwɔ): vevietɔ to gbugbɔgatu kple tomeka.
• Mo ƒe plastic kple amekoko si wotsɔ gbugbɔa mo ɖona: Na mo ƒe nɔnɔme nasɔ kple eƒe dzedzeme. Amidede alo lãkusi bubuwo dodo ɖe teƒe siwo lãkusi falɛfalɛwo mele o.
• Ŋkudɔwɔwɔ / Ŋkudɔ: Ne ŋkuawo le sue alo kuxiwo le ŋkume ƒe ʋuʋu ŋu la, dzra wo ɖo.
• Maxillofacial surgery / Orthognathic surgery: Be woaɖɔ aɖu si le ete, aɖu si le etame, ŋgonu, kple bubuawo ƒe didime kple nɔƒe ɖo Ɣeaɖewoɣi la, wozãa distraction osteogenesis techniques.
• Nu me dɔwɔwɔ: Aɖuwo ɖeɖe ne wohe wo, aɖu siwo sɔ gbɔ ɖe wo me ɖeɖe.

Wowɔa esiawo katã be wòakpe ɖe ɖevia ŋu wòanɔ agbe abe alesi wòanya wɔe ene.

Amekoko siwo wowɔna na vidzĩ yeyewo

Ne gbɔgbɔ sesẽ le vidzĩ si wodzi yeyee ŋu alo mete ŋu le no nam o la , ɖɔktawo ate ŋu adze atikewɔwɔ gɔme ne wonya dzi vidzĩa ko. Esiawo ate ŋu anye agbeɖeɖe ƒe afɔɖeɖewo.

Mɔnu eve li siwo bɔ siwo woate ŋu awɔ le vidzĩa dzidzi vɔ megbe teti:

• Tracheostomy: Esia bia be woaɖe vidzĩa ƒe kɔ kple yaƒoƒomɔ̃ sue aɖe eye woatsɔ mɔ̃ aɖe ade eme be wòakpe ɖe eŋu wòagbɔ ya. Wowɔa esia ne yaƒoƒomɔ̃a xe.
• Tube feeding (Nasogastric tube alo Gastrostomy tube): Ne vidzĩa mete ŋu noa no le eɖokui si o la, wozãa tube tsɔ naa nunyiame. Esia ate ŋu anye mɔ̃ si toa ŋɔti me yia dɔgboa me (NG tube), alo mɔ̃ si yia dɔgboa me tẽ (G-tube).

Dɔdamɔnu siwo menye amekoko o

Tsɔ kpe ɖe amekoko ŋu la, ɖɔktawo ate ŋu akafu atike siwo menye amekoko o abe esiawo ene hã. Esiawo hã le vevie ŋutɔ be ɖevia ƒe agbenɔnɔ nanyo ɖe edzi:

• Aɖuɖɔtoewo kple aɖuɖɔɖɔɖomɔ̃ bubuwo: Wozãa esiawo tsɔ ɖɔa aɖuawo ƒe nɔƒe ɖo ne wohe aɖuwo.
• Tomemɔ̃wo: Ne wò to me gblẽ la, ahiã be nàzã tomemɔ̃ alo tomemɔ̃ siwo wotsɔa ƒu wɔe (BAHA).
• Nuƒoƒo ƒe atikewɔwɔ:Ne nu mimi sesẽ, ne nuƒoƒo sesẽ la, kpe ɖe wo ŋu. Esia kpena ɖe ame ŋu wòyɔa nyawo nyuie eye wòdoa ŋusẽ mo ƒe lãmekawo.

Nu siawo katã va kpena ɖe wo nɔewo ŋu be wòana ɖevi ƒe agbenɔnɔ nanɔ bɔbɔe. Esia bia be ame geɖe nado alɔe, siwo dometɔ aɖewoe nye ɖɔktawo, amekolawo, aɖudɔdalawo, nuƒoƒodɔdalawo, kple toŋutinunyalawo.

Ðe woate ŋu axe mɔ ɖe Hemifacial Microsomia nua?

Nublanuitɔe la, womate ŋu axe mɔ ɖe nɔnɔme sia nu o . Elabena abe alesi megblɔe va yi ene la, numekulawo menya nusi tututu gbɔ wòtsona haɖe o. Togbɔ be wosusui be domenyiŋusẽfianu ƒe kadodo aɖe ate ŋu anɔ eme hã la, womekpɔ ke ɖe ema hã ŋu godoo haɖe o.

Ele vevie ŋutɔ be nàse egɔme be ne Hemifacial Microsomia le viwòa ŋu la, menye nane si nèwɔ alo mèwɔ le fufɔɣi tae o . Mègase veve ɖe eta o, eye mègabu fɔ ɖokuiwò o.

Nukae nye nɔnɔme sia ƒe nukpɔsusu?

Zi geɖe la, nɔnɔme sia meɖoa seɖoƒe na ɖevi ƒe agbenɔƒe o . Esia fia be ɖevi si ŋu dɔléle sia le ate ŋu anɔ agbe abe ɖevi si ŋu dɔléle sia mele o ene.

Gake Hemifacial Microsomia ate ŋu akpɔ ŋusẽ ɖe ɖevi ƒe agbenɔnɔ dzi . Ne ɖeviwo le tsitsim la, ele be woadze ŋgɔ kuxi siwo dona tso enyanya be yewoƒe dzedzeme to vovo na ame bubuwo gbɔ.

Ne amekokoa dze edzi hã la, nu siwo ɖevi bubuwo ate ŋu awɔ bɔbɔe ŋutɔ, abe nuɖuɖu, nuƒoƒo, kple alɔ̃dɔdɔ ene ate ŋu asesẽ na ɖevi siawo. Eyata ele be míaɖɔ ŋu ɖo le ema hã ŋu.

Aleke malé be na vinyea?

Ðevi siwo ŋu Hemifacial Microsomia le hiã atikewɔwɔ si yia edzi, si ate ŋu alɔ amekoko zi geɖe ɖe eme. Gake kaka woava ɖo tsitsime ƒe gɔmedzedze la, ɖewohĩ magahiã be woawɔ dɔ na wo o.

Gake ate ŋu ahiã be woakplɔ ame ɖo ɣeyiɣi didi be woakpɔe ɖa be kuxiwo gadzena ake alo ne kuxi siwo li la gagblẽna ɖe edzi le ɣeyiɣi aɖe megbe hã. Le kpɔɖeŋu me, ɖewohĩ ahiã be woatrɔ asi le nuwo abe tomemɔ̃wo kple nusiwo wotsɔ dea ame me ene ŋu tso ɣeyiɣi yi ɣeyiɣi. Ele be woalé be na aɖuwo ƒe lãmesẽ hã edziedzi.

Abe alesi wòle le ŋutilã me kuxiwo gome ene la, susu me ŋusẽkpɔɖeamedzi siwo ne ame to vovo ate ŋu akpɔ ŋusẽ ɖe ɖevi ƒe seselelãme ƒe lãmesẽ dzi. Eyata ele vevie be ɖevia naxɔ aɖaŋuɖoɖo be wòakpe ɖe eŋu wòato tenɔnɔ ɖe nɔnɔmea nu ƒe mɔnuwo vɛ.

Abe dzila ene la, mese egɔme be èdi be amesiame nakpɔ viwòa abe alesi nèkpɔnɛ ene.Enye nusi sɔ be ɖeviwo nase le wo ɖokui me be vɔvɔ̃ ɖo yewo ne wole tsitsim eye wodze suku gɔme. Ɣeaɖewoɣi la, ɖeviwo, vevietɔ amesiwo wosena le wo ɖokui me be yewoto vovo tso yewo gbɔ, ate ŋu anye ame vɔ̃ɖiwo ahaɖu fewu le wo ŋu.

Ne viwòa tsi ate ŋu ase egɔme ko la, ƒo nu tso woƒe nɔnɔmea ŋu na wo gaglãa . Menye ɖeko dzeɖoɖo sia ƒomevi wɔwɔ wòanye nusi dzɔna edziedzi ana ŋusẽ nanɔ wo ŋu ko o, ke akpe ɖe wo ŋu hã be woase egɔme be woƒe mo ƒe vovototowo meɖea amesiwo wonye fiana o.

Amekoko ate ŋu aɖɔ Hemifacial Microsomia ƒe ŋutilã ƒe nɔnɔme geɖe ɖo. Tsɔ kpe ɖe eŋu la, nuƒoƒo ƒe atikewɔwɔ ate ŋu akpe ɖe viwòa ŋu wòasrɔ̃ alesi wòaɖe eƒe seselelãmewo agblɔ eye wòawɔ dɔ nyuie kple ame bubuwo le hadome. Bia wò ɖɔkta be wòana nyatakaka bubuwo kple kpekpeɖeŋu. Wole afima be yewoakpe ɖe ŋuwò.

Vovototo kae le Hemifacial Microsomia kple Goldenhar Syndrome dome?

Goldenhar Dɔléle nye dɔléle si mebɔ o si wodzina. Wogayɔnae be Oculoauriculovertebral spectrum (OAVS) ƒe ɣeyiɣi ƒe didime.

Le nyateƒe me la, Hemifacial Microsomia ate ŋu anye Goldenhar Dɔléle ƒe dzesi aɖe. Eyae nye be, tsɔ kpe ɖe Hemifacial Microsomia ƒe nɔnɔmewo ŋu la, ame si ŋu Goldenhar Syndrome le ate ŋu akpɔ dɔdzẽ siwo menye kansa o hã le ŋkuwo me (epibulbar dermoids) alo aklã ƒe dɔmawɔmawɔ nyuie (e.g., fusion of the vertebrae). Kuxiwo ate ŋu anɔ dzi alo ayiku hã ŋu.

Kpuie ko la, Hemifacial Microsomia nye dɔléle si kpɔa ŋusẽ ɖe mo ƒe tsitsi dzi koŋ. Goldenhar Dɔléle nye dɔléle si ate ŋu adze dzesi vovovowo, eye wòadze ŋutilã ƒe akpa bubuwo hã dzi. Menye amesiame si ŋu Hemifacial Microsomia le ye si Goldenhar Syndrome le o, gake Hemifacial Microsomia ƒe dzesiwo le ame geɖe siwo ŋu Goldenhar Syndrome le ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso Hemifacial Microsomia ŋu siwo ŋu míeƒo nu tsoe ŋue nye esi:

• Esia nye nɔnɔme si wodzina si me mo ƒe akpa ɖeka (alo ɖewohĩ evea siaa) ƒe akpa aɖewo metsina nyuie o.
• Nyemenya nusita tututu nusia dzɔ o. Eyata, menye wò vodadae o.
• Dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ , ɖewo mesɔ gbɔ o, ɖewo hã sɔ gbɔ wu.
• Amekoko kple atike bubuwo li woate ŋu awɔ . Ðɔkta bibiwo ƒe ƒuƒoƒo aɖee wɔa ɖoɖo ɖe nusiawo ŋu ne ɖevia le tsitsim.
• Ðevi siwo ŋu dɔléle sia le ate ŋu anɔ agbe si sɔ .
• Na ɖeviaEle vevie ŋutɔ be woana kpekpeɖeŋu, le ŋutilã kple susu siaa me. Di kpekpeɖeŋu tso ɖɔktawo kple aɖaŋuɖolawo gbɔ.
• Nuƒoƒo na viwòa gaglãa nyea ŋusẽ gã aɖe na wo be woanɔ agbe ɖe nɔnɔme sia nu.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne kuxi sia le fu ɖem na wò alo ame aɖe si nènya la, nu nyuitɔ si nàwɔe nye be nàdi atikewɔla bibiwo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui. Woate ŋu ana mɔfiame nyuitɔ wò.

` Hemifacial Microsomia, Hemifacial Microsomia, Mo ƒe Dɔmawɔmawɔ nyuie, Vidzidzi ƒe Nuwɔametɔnyenye, Ðeviwo ƒe Lãmesẽ, Amekoko, Tagbɔdɔléle, Goldenhar Dɔléle