Ðe nèse le ɖokuiwò me kpɔ be yeƒe ŋutigbalẽ ƒe akpa aɖewo va le ƒoƒom vie eye wole ƒuƒlu? Alo ɖe nède dzesi ʋuʋudedi alo teƒe suesuesuewoa? Ðewohĩ ànɔ nusiawo nye kple nusita wodzɔna ŋu bum. Emae nye nusi ŋu míele nu ƒom tsoe egbea.
Nukae nye `(Hyperkeratosis)` sia?
Kpuie ko la, `(Hyperkeratosis)` nye wò ŋutigbalẽ ƒe akpa aɖewo ƒe ƒoƒo . Protein aɖe si woyɔna be ``Keratin`` le míaƒe ŋutigbalẽ ƒe akpa si le etame. Nusiwo le ƒoƒom sia dzɔna ne ``Keratin`` sia sɔ gbɔ wu. Esia ate ŋu adzɔ le wò ŋutilã ƒe akpa sia akpa, si me wò asiwo, afɔwo, wò nu me, ŋɔti me, kple wò ɖa gɔ̃ hã le.
Amesiame ate ŋu axɔ nɔnɔme sia. Wodzia ame aɖewo kple esia. Le ame bubuwo gome la, nɔnɔme sia ate ŋu adze wo dzi le woƒe ɖevime alo woƒe tsitsime. Bu eŋu kpɔ ko, ɣeaɖewoɣi la, ɖeko míaƒe asibidɛwo kple afɔkpodziwo va nɔa kpekpem ɖe edzi, alo? Emae nye nusi ŋu nya sia ku ɖo.
Hyperkeratosis ƒomevi vevi evee li, alo?
Ẽ, esɔ nenema. Wole ƒomevi vevi eve:
1. Non-pressure-related hyperkeratosis: Esia nye ŋutigbalẽa ƒe ƒoƒo si tsoa domenyiŋusẽfianu gbɔ zi geɖe. Esia fia be ate ŋu anye domenyiŋusẽfianu. Le afisia la, ŋutigbalẽa ƒe ʋeʋẽ alo nyaƒoɖeamenu aɖeke manɔmee.
2. Nyaƒoɖeamenu ƒe dɔléle si nye hyperkeratosis: Esia nye ŋutigbalẽa ƒe ƒoƒoe si tsoa nyaƒoɖeamenu alo nyaƒoɖeamenu ɣesiaɣi ɖe ŋutigbalẽa ƒe akpa aɖe ŋu, alo le dɔdzẽ alo dzikudodo ta. Bu eŋu ale: ne míezɔ afɔ ƒuƒlu le anyigba sesẽ dzi, míaƒe afɔkpodziwo sesẽna, alo ne míedo afɔkpa sesẽwo la, míaƒe afɔwo ƒe akpa aɖewo sesẽna eye ƒunukpeƒewo dona.
Nukae nye `(Hyperkeratosis)` ƒomevi vovovoawo? Aleke míewɔna dea dzesi woe?
Le nyateƒe me la, nya ``Hyperkeratosis'' ateŋu ava le nɔnɔme geɖe me. Na míalé ŋku ɖe wo dometɔ aɖewo ŋu. Ðewohĩ èse esiawo dometɔ aɖewo alo kpɔ wo.
- Actinic keratosis: Esiawo nyea teƒe siwo biã, siwo me ʋuʋudedi le, eye ɣeaɖewoɣi la, wo me mekɔna vie. Zi geɖe la, wodzena le teƒe siwo ŋdɔ ʋuna le enuenu - abe mo, to, kɔ, kple asiwo ene. Esiawo nye nusiwo ŋu wòle be woatsi dzi ɖo, elabena woate ŋu anye tsitsi siwo do ŋgɔ na kansa ƒe dzesi ɣeaɖewoɣi.
- Bli kple bli: Esia nye nusi ame geɖe nya nyuie. Esiawo nye ŋutigbalẽ sesẽ siwo le ɣie siwo dzɔna. Wokpɔa wo zi geɖe le teƒewo abe asibidɛwo kple afɔkpodziwo ene. Zi geɖe la, teƒe ɖeka ƒe nyaƒoɖeamenu alo ʋuʋudedi ɣesiaɣi gbɔe wotsona.
- Eczema: Esia nana ŋutigbalẽa ƒuna, ƒuna, biãna ɣeaɖewoɣi, eye wòʋãna vevie. Ate ŋu adze abe nusiwo le ŋutigbalẽa ŋu ene. Esia le ame aɖewo ŋu tso woƒe ɖevime ke.
- Epidermolytic hyperkeratosis ƒe dɔléle:Esia nye nɔnɔme si mebɔ o si wodzina. Edzena abe ŋutigbalẽ ƒe akpa siwo le ʋeʋẽm ene le asiwo kple afɔwo dzi (vevietɔ afɔkpodzi, si woyɔna be ``plantar hyperkeratosis``). Ɣeaɖewoɣi la, ʋuʋudediwo hã ate ŋu ado.
- Keratosis pilaris (si woyɔna hã be follicular hyperkeratosis): Esia nye nɔnɔme si me ʋuʋudedi suesuesue siwo le abe ʋuʋudedi ene dzena le ŋutigbalẽa ŋu. Woate ŋu adze abe koklozi ƒe lãgbalẽ ene . Wokpɔa wo zi geɖe le abɔta, ata, kple ɣeaɖewoɣi akɔta. Togbɔ be womegblẽa nu boo o hã la, ame aɖewo tsia dzi ɖe woƒe dzedzeme ŋu.
- Lichen planus: Esia nana be ƒoƒoe siwo ƒe amadede nye aŋutiɖiɖi, siwo le keklẽm, siwo le gbadzaa la dzena le asiwo, afɔwo, kple ɣeaɖewoɣi le nu kple vidzinuwo me. Ate ŋu aɖu ame ŋutɔ hã.
- Psoriasis: Esia nye nɔnɔme si me klosalo, ʋuʋudediwo dzena le ŋutigbalẽa ŋu. Ŋutilãa ate ŋu aƒo, abiã, eye wòavuvu. Esia nye nɔnɔme si dɔlélenutsiŋutete ƒe kuxi aɖe hena vɛ.
- ``Retention hyperkeratosis``: Esia nye ne ŋutigbalẽmenugbagbevi kuku siwo tso míaƒe ŋutigbalẽ me mekɔna nyuie o eye wotsia ɖa ƒe ƒuƒuwo me. Esia ate ŋu ana aklãdɔ, ɖa yibɔ, kple ta ɣiwo nadze ame dzi .
- Seborrheic keratosis: Esiawo nyea esiwo menye kansa o, wonyea yibɔ alo aŋutiɖiɖi, eye ɣeaɖewoɣi la, woƒe amadede nyea waxy. Woate ŋu adze le akɔta, mo, kɔ, kple abɔta. Wova bɔ ɖe edzi ne èle tsitsim.
- Subungual hyperkeratosis (hyperkeratosis of the nails): Esia nye nusi ƒoa ƒu ɖe ɖaawo te abe chalky ene. Ate ŋu adzɔ be ɖaa natsi, akɔ ɖe dzi, eye eƒe amadede natrɔ. Woate ŋu atɔtɔe hã kple fungi nail infection.
- Aɖuɖɔtoe: Akɔta suesuesue siwo le ŋutigbalẽa ŋu. Dɔlékui aɖe si woyɔna be HPV (human papillomavirus) ye hea nusiawo vɛ. Afɔkpodzi ƒe ʋuʋudedi siwo le afɔkpodzi ate ŋu ase veve ne wozɔ edzi.
Nukatae `(Hyperkeratosis)` sia dzɔna? Nukawoe gbɔ wòtsona?
Susu geɖe li siwo tae hyperkeratosis ate ŋu adzɔ ɖo. Na míalé ŋku ɖe susu vevi aɖewo ŋu:
- Nulɔdɔ: Ame aɖewo ate ŋu akpɔ ŋutigbalẽ ƒe tɔtrɔ siawo le nu aɖewo ƒe nulɔdɔwo ta.
- Dɔlélenutsiŋutete ƒe dɔlélewo: Esiawo nye dɔléle siwo me míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi le. Hyperkeratosis ate ŋu adzɔ le nɔnɔme mawo me hã.
- Ŋutilã ƒe dɔdzẽ si nɔa anyi didi (dermatitis): Le ŋutigbalẽa ƒe dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi (e.g. eczema) ta.
- Ŋutilã me dɔlékuiwo: Dɔlékui kple dɔlékui aɖewo ƒe dɔlékuiwo, le kpɔɖeŋu me, HPV (human papillomavirus) ate ŋu ahe ʋuʋudedi vɛ.
- Domenyiŋusẽfianu:Abe alesi megblɔe va yi ene la, ate ŋu anye nane si tso dzidzimewo me.
- Atike aɖewo: Le kpɔɖeŋu me, atikewo abe atike siwo wozãna tsɔ daa kansa ene.
- Wò ŋutigbalẽ ƒe nyaƒoɖeamenu alo etutu: Ne nyaƒoɖeamenu le teƒe ɖeka ma ke ɣesiaɣi la, bu eŋu abe ne èdo afɔkpa sesẽwo eye wò afɔ ƒe akpa aɖewo va le sesẽm ene.
- Psoriatic arthritis: Esia nye ƒunukpeƒetetedɔ si do ƒome kple ƒunukpeƒetetedɔ.
- Alesi atikewo wɔa nui: Ɣeaɖewoɣi la, ŋutigbalẽ ate ŋu awɔ nu ɖe nuwo abe tattoo ink ene ŋu.
- Ɣe ƒe keklẽ: Nu vevi aɖe si gbɔ wòtsona, vevietɔ actinic keratosis.
- Vitamin A ƒe anyimanɔmanɔ: Vitamin A ƒe anyimanɔmanɔ hã ate ŋu akpɔ ŋusẽ ɖe ame dzi ɣeaɖewoɣi.
Nukae nye `(Hyperkeratosis)` ƒe dzesiwo?
Dzesi vevitɔe nye be teƒe siwo le ƒuƒlu nɔa ŋutigbalẽa ŋu le keratin si sɔ gbɔ ta. Eyae nye teƒe siwo wosena le wo ɖokui me be yeto vovo eye woƒe nɔnɔme le ƒuƒlu ne woka asi wo ŋu.
Dzesi bubuwo toa vovo le hyperkeratosis ƒe ƒomevi nu. Le kpɔɖeŋu me, eczema ate ŋu ana wòavuvu eye wòabiã, gake psoriasis ya ate ŋu ana wòazu klosalo.
Zi geɖe la, hyperkeratosis mevea ame o. Ke hã, esiawo ate ŋu ave ame:
- Calluses ƒe nyawo
- Bliwo
- Afɔkpodzi ƒe ʋuʋudedi
Aleke `(Hyperkeratosis)` le?
Hyperkeratosis ate ŋu ato vovo na amesiame. Enɔ te ɖe eƒe ƒomevi kple afisi wòle le ŋutilãa dzi dzi. Gake nusi sɔ kple ƒomevi ɖesiaɖee nye be teƒe aɖe li si le ƒuƒlu eye wòto vovo tso ŋutigbalẽ si le lãmesẽ me si ƒo xlãe gbɔ.
Ne èsusu be nane si le abe esia ene le ye si la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ. Woate ŋu anya nusi tututu gblẽ eye woaɖo aɖaŋu na wò be nàzã atike si sɔ na wò.
Aleke wokpɔa `(Hyperkeratosis)` ƒe dɔlélea? Aleke ɖɔkta léa ŋku ɖe esia ŋui?
Ne èyi ɖɔkta gbɔ la, abia nyawo abe:
- Ðe ŋutigbalẽ ƒe dɔléle aɖe le ame aɖe ŋu le wò ƒomea mea? (`Ƒome ŋutinya le ŋutigbalẽ ƒe nɔnɔmewo ŋu`)
- Ɣe ƒe keklẽ agbɔsɔsɔme kae le asiwò? (`Ɣe ƒe keklẽ ƒe ŋutinya`)
- Dɔléle, nulɔdɔ, kple ŋutigbalẽ ƒe nya bubu kawoe le ŋuwò? (`Atikewɔwɔ ŋutinya, si me nulɔdɔwo, dɔlélenutsiŋutete ƒe dɔlélewo kple ŋutigbalẽ ƒe nyawo hã le`)
- Atike kawoe nènona?
- Nukawoe nye wò dzesiwo? (`Dzesiwo`)
Emegbe ɖɔktaa ado wò kpɔ ahalé ŋku ɖe wò ŋutigbalẽ ŋu nyuie. Ɣeaɖewoɣi la, woazã dɔwɔnu sue aɖe si me akaɖi le (`dermatoscope`) atsɔ ado wò ŋutigbalẽ kpɔ, vevietɔ be woadi ŋutigbalẽ ƒe dzesi ɖesiaɖe.
Ne wosusu be nɔnɔme aɖe si woyɔna be ``Hyperkeratosis`` le wo ŋu la, wo...Woate ŋu awɔ ŋutigbalẽ ƒe lãmenugbagbeviwo ŋuti numekuku atsɔ anya hyperkeratosis ƒomevi si tututu. Woate ŋu akafui hã be woado nulɔdɔ kpɔ be woanya nusi gbɔ wòtso.
Nukae nye atikewɔwɔ na `(Hyperkeratosis)`? Ðe woate ŋu ada dɔ na amesiawoa?
Atikewɔwɔ ƒe tiatia nɔ te ɖe hyperkeratosis ƒomevi si le ŋuwò dzi. Atike ɖeka aɖeke meli na nɔnɔme ɖesiaɖe o.
Ðɔktaa ate ŋu aŋlɔ atikewo abe:
- Wozãa corticosteroids ( ami alo atikekuiwo) na nɔnɔmewo abe eczema, lichen planus, kple subungual hyperkeratosis.
- Wozãa atikewɔtikewo tsɔ daa actinic keratosis, psoriasis, kple subungual hyperkeratosis. Esiawo dometɔ aɖewo kpena ɖe ame ŋu be keratin dzi ɖena kpɔtɔna.
- Atike siwo woano na epidermolytic hyperkeratosis, keratosis pilaris, kple psoriasis.
Míate ŋu aɖo aɖaŋu le atikewɔwɔwo abe esiawo ene hã ŋu:
- Wozãa atikewo ƒe lãgbalẽ ( si woɖea ŋutigbalẽ ƒe akpa si le etame ɖa to atikewo zazã me) tsɔ daa actinic keratosis.
- Exfoliation nye ŋutigbalẽ me lãmenugbagbevi kukuwo ɖeɖe ɖa hena `keratosis pilaris` kple `retention hyperkeratosis`. Woate ŋu azã kreme alo atike tɔxɛwo atsɔ awɔ esiae.
- Filing down of skin be woaɖe callus kple bli ɖa.
- Wozãa cryotherapy tsɔ daa actinic keratosis, seborrheic keratosis, kple ʋuʋudedi. Wozãa nane abe nitrogen si nye tsi ene tsɔ wɔa esiae.
- Laser-dɔdamɔnu na keratosis pilaris kple ʋuʋudedi.
- LED-kaɖi ƒe atikewɔwɔ na actinic keratosis, eczema, kple psoriasis.
- Lũlũ ɖeɖeɖa mɔnu na seborrheic keratosis kple ʋuʋudedi.
Ðo ŋku edzi be ɣeaɖewoɣi la, nɔnɔme aɖe si woyɔna be ``Keratosis pilaris`` ateŋu anyo ɖe edzi le eɖokui si atike aɖeke manɔmee, vevietɔ ne èle tsitsim. Ke hã, atike aɖeke meli na nɔnɔme siwo wodzina abe ``epidermolytic hyperkeratosis`` ene o, gake atikewo ateŋu akpeɖeŋu le dzesiawo dzi ɖuɖu me.
Aleke gbegbee mate ŋu akpɔ mɔ be emetsonuwo nado tso eme kaba le atikewɔwɔ vɔ megbe?
Alesi emetsonuwo ana kabakabae nɔ te ɖe hyperkeratosis ƒomevi si le ŋuwò, alesi dɔlélea nu sẽe, kple atike si woawɔ na wò dzi. Ɣeaɖewoɣi la, wokpɔa emetsonuwo enumake (e.g., ne woɖe ʋuʋudedi aɖe ɖa), gake ɣebubuɣiwo la , woate ŋu axɔ kwasiɖa alo ɣleti geɖe (e.g., ne wotsɔ atike siwo wotsɔna ƒoa ƒui da dɔe).
Wò ɖɔkta ayi edzi anɔ ŋku lém ɖe ŋuwò (‘sasrãkpɔ siwo akplɔ wò ɖo’) be yeakpɔ alesi nèle nu wɔm ɖe atikewɔwɔ ŋui. Emegbe ne atikewɔmɔnu ɖeka mewɔ dɔ o la, woate ŋu aɖo aɖaŋu bubuwo atsɔ awɔ dɔe. Ele vevie be nàgbɔ dzi ɖi le atikewɔwɔ me.
Ne `(Hyperkeratosis)` le ŋunye la, nukae wòle be makpɔ mɔ na?
Woate ŋu aɖu hyperkeratosis ƒomevi geɖe dzi ne woda dɔ nyuie. Gake ne womedae o la, nɔnɔmea ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Le kpɔɖeŋu me, ne womekpɔ nane abe actinic keratosis ene nyuie hedae nyuie o la, ate ŋu ava zu ŋutigbalẽ me kansa ƒomevi aɖe si woyɔna be squamous cell carcinoma. Eyata ele vevie be nànya esia.
Nukae mate ŋu awɔ be wòaɖe afɔku si le hyperkeratosis xɔxɔ me dzi akpɔtɔ?
Nu aɖewo li nàte ŋu awɔ be nàɖe afɔku si le wò ʋuka me dɔléle si nye hyperkeratosis ƒomevi aɖewo xɔxɔ me dzi akpɔtɔ:
- Actinic keratosis: Takpɔ wò ŋutigbalẽ ta tso ɣe ƒe nugbegblẽ me. Esia fia be woaɖo seɖoƒe na ɣe ƒe keklẽ tẽ (vevietɔ le ŋdi ga 10 kple fiẽ ga 4 dome), woazã ɣe ƒe keklẽŋusẽtike nyui si ƒe SPF 30 ya teti gbesiagbe, woado ametakpɔnu, eye woado kposɔ ne wole ŋdɔ me.
- Bli kple afɔkpa siwo me ʋuʋudedi le: Do afɔkpa siwo me kɔ, siwo me mekɔ o. Tia afɔkpa siwo asɔ na wò afɔwo nyuie.
- Eczema: De dzesi nusiwo hea dɔléle siwo ŋu wò nulɔdɔ le eye nàƒo asa na wo. Le kpɔɖeŋu me, ya ƒuƒu, teƒe siwo fa miamiamia alo dzoxɔxɔ si nu sẽ ŋutɔ, adzalẽ ʋeʋĩwo, kple atike sesẽwo.
- Ŋutilã ƒe dɔdzẽ: Te ɖa le nusiwo nana ŋutilã melɔ̃a nu o abe aƒemelãwo ƒe ƒuƒu kple aŋɔ ene gbɔ alesi nàte ŋui.
- Aɖuɖɔtoewo: Mègazɔ afɔ ƒuƒlu le dutoƒo teƒewo abe kamedefefewɔƒewo, dutoƒo tsileƒewo, tsiƒuƒewo, kple bubuawo o. Mègazã ame bubuwo ƒe afɔkpa alo afɔkpa o.
Gake míate ŋu aɖe afɔku si le dɔléle ƒomevi siwo ƒe dome míenyi abe epidermolytic hyperkeratosis ene me dzi akpɔtɔ o.
Aleke mawɔ akpɔ ɖokuinye dzi abe amesi ŋu `(Hyperkeratosis)` le ene?
Ne hyperkeratosis le ŋuwò, vevietɔ ne ʋuʋudedi le wò mo, kɔ, alo ta ŋu la, ate ŋu ana wò seselelãme nagbɔdzɔ vie. Ema sɔ. Nuƒoƒo tso eŋu na wò ɖɔkta alo aɖaŋuɖola ate ŋu akpe ɖe ŋuwò.
Tsɔ kpe ɖe eŋu la, nu ʋɛ bubu siwo nàte ŋu awɔe nye esi:
- Mègate aƒeme atikewo kpɔ ne mèƒo nu kple ɖɔkta o.Nu aɖewo ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
- No tsi geɖe. Ekpena ɖe ame ŋu be tsi nɔa ŋutigbalẽa me.
- Negbe ne èle atike zãm ko la, mègaka asi teƒe siwo teƒe mawo siwo le abe koral ene le ŋu, afɔ wo, alo aƒo wo o. Esia ate ŋu ahe dɔlékuiwo kple abixɔxɔ vɛ.
- Lé dzadzɛnyenye nyui me ɖe asi. Na ŋutigbalẽ nanɔ dzadzɛ eye nàƒo asa na eƒe ƒuƒu.
- Mègale tsi le tsi dzodzoe me o. Ate ŋu ana wò ŋutigbalẽ naƒu wu. Zã tsi fafɛ.
- Zã atike siwo me adzalẽ mele o alo adzalẽ fafɛwo. Adzalẽ sesẽwo ɖea eƒe dzɔdzɔmemiwo ɖa le ŋutigbalẽa ŋu.
- Ne èle tsi vɔ la, na tsi na wò ŋutigbalẽ nyuie eye nàde tsi si naa tsi wò ŋutigbalẽ.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne ède dzesi ŋutigbalẽ ƒe tɔtrɔ bubu aɖe abe esiawo ene le atikewɔwɔ me la, yi ɖɔkta gbɔ enumake:
- Vevesese sesẽ (`Vevesese`) .
- Ne ʋuʋudedi (`Pus`) le dodom
- Ne dzodzroa dzi ɖe edzi alo kaka
- Tete
Azɔ hã, ne ètsi dzi ɖe atikewɔwɔa ƒe nugbegblẽ le ame ŋu ŋu, alo ne mèle emetsonuwo kpɔm o la, gblɔ ema hã na wò ɖɔkta . Ðewohĩ woate ŋu aɖo aɖaŋu le atikewɔmɔnu bubu siwo ate ŋu akpe ɖe ŋuwò ŋu. Ƒo nu kple wò ɖɔkta evɔ mègahe naneke ɖe megbe o.
Èdi be yeaɖe `(Hyperkeratosis)` ɖaa?
Enɔ te ɖe afisi wòle, alesi gbegbe nɔnɔmea nu sẽe, kple alesi wòmeɖea dzi ɖi na wò o dzi. Ðɔktawo ate ŋu aɖe hyperkeratosis ƒomevi aɖewo, abe ʋuʋudedi alo ʋuʋudedi ene, ɖa ne wole veve sem alo womeɖe dzi ɖi o. Atike ƒomevi bubuwo, abe lichen planus alo keratosis pilaris ene, ate ŋu abia be woazã atikewo, atike siwo wotsɔna ƒoa ƒui, alo atike bubu siwo akpɔ dzesiawo dzi tsɔ wu be woaɖe wo ɖa.
Enye nusi sɔ be nàtsi dzi ɖe ŋutigbalẽ ƒe akpa siwo le ƒuƒlu ŋu, vevietɔ ne womedzo o. Nu gbãtɔ si nàwɔe nye be woakpɔ dɔlélea. Ne èsusu be hyperkeratosis le ye ŋu la, yi ɖɔkta gbɔ. Woate ŋu akpe ɖe ŋuwò nànya nusi gbɔ wò dzesiawo tso eye woakafu atike si sɔ na wò.
Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me (Take-Home Message) .
Hyperkeratosis nye nɔnɔme si me ŋutigbalẽa tsina le protein si woyɔna be keratin ƒe dzidziɖedzi fũ ta. Esia ate ŋu adzɔ le mɔ vovovowo nu eye le susu vovovowo ta.
- Mègavɔ̃ o: Afɔku mele hyperkeratosis ƒomevi akpa gãtɔ me o, gake ele be woabu ƒomevi aɖewo (e.g. actinic keratosis) ŋu, elabena woate ŋu atrɔ azu kansa.
- Kpɔ ɖɔkta gbɔ:Ne ède dzesi teƒe yeye siwo to vovo, ƒuƒu, alo teƒe siwo le ƒuƒlu le wò ŋutigbalẽ ŋu la, anyo wu be nàƒo nu tso eŋu na ɖɔkta. Woate ŋu anya nusi tututu gblẽ eye woadze atikewɔwɔ si hiã la gɔme.
- Atikewɔwɔwo li: Atike vovovowo li woateŋu awɔ le `(Hyperkeratosis)` ƒe ƒomevi nu. Togbɔ be ame aɖewo mate ŋu adae keŋkeŋ o hã la, woate ŋu aɖu dzesiawo dzi.
- Ðe wò afɔkua dzi kpɔtɔ: Àte ŋu aɖe wò afɔku si le hyperkeratosis ƒomevi aɖewo me dzi akpɔtɔ ne èkpɔ ɖokuiwò ta tso ŋdɔkutsu dzatsɛ me, afɔkpa nyuiwo dodo, eye nèƒo asa na nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o.
- Mègawɔ atike na ɖokuiwò o: Mègate ɖokuiwò dada kpɔ ne mèbia ɖɔkta o. Ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
Beléle na wò ŋutigbalẽ le vevie ŋutɔ. Elabena míaƒe ŋutigbalẽe nye ŋutinu gãtɔ kekeake le míaƒe ŋutilã me! Eyata mina míadze agbagba ana wòanɔ lãmesẽ me.
` Hyperkeratosis, Ŋutilã ƒe ƒoƒo, Keratin, Ŋutilã ƒe dɔlélewo, Ŋutilãŋutinunya, Ŋutilã ƒe teƒeteƒewo, Ŋutilã ƒe ʋuʋudedi, Actinic keratosis, Eczema, Psoriasis, Warts

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