Ède dzesii kpɔ be viwò suea ƒe to le vevem eye kasia, esi wònɔ nyonyom ɖe edzi la, to ƒe megbe vuvu, biã, eye wòse veve ne woka asi eŋua? Alo ɖe wò ŋutɔ èto nusia me kpɔa? Mègabu esia be enye tomeveve bɔbɔe o. Esia ate ŋu anye nɔnɔme sesẽ aɖe si ate ŋu atso titinato me dɔlékui si womekpɔ atike na o gbɔ. Egbea, míele nu ƒom tso nɔnɔme aɖe si woyɔna be ‘Mastoiditis’ ŋu, si wòle be nàke ɖi le ɣeyiɣi sia tɔgbe me.
Nukae nye Mastoiditis sia?
Kpuie ko la, mastoiditis nye dɔlékui aɖe si xɔa mastoid ƒu, si nye taɖu si le míaƒe to megbe ƒe akpa aɖe. Menye ƒu sesẽ aɖe koe ƒu sia nye o. Le eme abe do suesuesue siwo le anyitsi me ene la, xɔ sue siwo me ya yɔ fũ (ya lãmenugbagbeviwo) geɖe le eme. Dɔ vevitɔ si esiawo wɔnae nye be woakpɔ xɔtunu tsɛ siwo le toa me ta, woaɖɔ to me ƒe nyaƒoɖeamenu ɖo, eye woaɖe nusiwo gblẽ le taɖua ŋu dzi akpɔtɔ ne afɔku aɖe dzɔ.
Nusi dzɔna zi geɖe enye be ne womeda titinato ƒe dɔléle (Otitis Media) nyuie o la, dɔlékui siwo he dɔlélea vɛ la kaka tso titinato me yi ya ƒe teƒe siwo le mastoid ƒua me. Esiae nye ɣeyiɣi si me mastoiditis dzɔna. Nɔnɔme sia bɔ ɖe ɖevi suewo me wu, gake ate ŋu adzɔ le ame tsitsiwo hã gome.
Esi wònye be lãmeka kple ʋuka vevitɔwo kekeake le míaƒe ŋutilã me toa mastoid ƒu sia me ta la, ne dɔlékui aɖe dzɔ le afisia la, ate ŋu akaka ɖe ƒua godo eye wòahe lãmesẽkuxi sesẽ ŋutɔ vɛ.
Ame aɖewo hã ate ŋu akpɔ dɔléle aɖe si nɔa anyi didi si woyɔna be ‘Chronic Mastoiditis’, si nana tsi si le abe ʋuʋudedi ene dona tso to me atraɖii.
Nukatae nɔnɔme sia dzɔna ɖo?
Abe alesi megblɔe va yi ene la, nusi koŋ gbɔ esia tsona eye wòbɔ wue nye titinato me dɔléle (Otitis Media) si womekpɔ kpɔ o alo womedae bliboe o. Dɔlékui siwo le titinato me ʋuna yia mastoid ƒua me vivivi.
Gakpe ɖe eŋu la, nusi mebɔ kura o si gbɔ wòtsonae nye nɔnɔme aɖe si woyɔna be ‘cholesteatoma’. Esia nye ŋutigbalẽmenugbagbevi siwo ƒoa ƒu ɖe to me le mɔ si mesɔ o nu, si wɔa ƒunukpeƒetetedɔ. Kpe sia ate ŋu axe mɔ na to me tsi ƒe sisi, si ana dɔlékuiwo nadze ame dzi eye wòana ame naxɔ tomedɔléle.
Nukae nye esia ƒe dzesiwo?
Ele be nàtsi dzi ɖe dzesi siawo ŋu vevie, vevietɔ ne to me dɔlékui aɖe dze viwòa dzi nyitsɔ laa.
| Dzesi si dzena | Woɖe eme kpuie |
|---|---|
| To megbe biã kple vuvu | Esiae nye dzesi vevitɔ. Ƒu si le to megbe la va biãna eye wòvuvuna ŋutɔ. Evea ame ŋutɔ ne woka asi eŋu. |
| To si wotsɔ ƒu gbe ɖe ŋgɔ | Ate ŋu adze abe ɖe wole tomeʋuʋua megbe ƒom ɖe ŋgɔ kple anyime ene. |
| Tsi si dona le to me | Tsi si ʋẽna lilili, si le abe ʋuʋudedi ɣi alo amadede dzẽ ene ate ŋu ayi edzi anɔ dodom tso toa me. |
| Asrã, lãmetutudɔ | Dɔlékui aɖe si le ŋutilãa me ate ŋu ana ame naxɔ dzo, ame ƒe ŋutilã nase veve, eye wòase le eɖokui me be ɖeɖi te ye ŋu akpa be yeate ŋu awɔ naneke o. Zi geɖe la, woblaa ŋku ɖe ɖevi suewo ŋu. |
Afɔku kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?
Esiae wòle be mí katã míavɔ̃ na wu. Ne míesusu be tomeveve koe wònye la, dɔlékuia ate ŋu akaka eye wòahe kuxi sesẽ ŋutɔwo vɛ, siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
| Kuxi si dona tso eme | Woɖe eme kpuie |
|---|---|
| Tosese ƒe Dɔmawɔmawɔ nyuie | Dɔlékuia ate ŋu agblẽ nu le to ƒe akpa siwo le tsɛ la ŋu eye wòana ame ƒe to nagate ŋu ase nu tegbee. |
| Mo ƒe lãmetutudɔ | Esi lãmeka si kpɔa mo ƒe lãmekawo dzi toa ƒu sia me ta la, dɔlékuia ate ŋu akaka eye wòana mo ƒe akpa ɖeka naɖiɖi. |
| Tagbɔdɔ alo ahɔhɔ̃mekawo ƒe ʋuʋu | Dɔlékuia ate ŋu akaka ɖe taɖua me, si ana taɖuame alo ahɔhɔ̃mekawo natsi. Esia ade ame ƒe agbe afɔku me. |
| Vertigo ƒe dɔléle | Ne dɔlékuia kaka ɖe to ƒe akpa siwo do ƒome kple ŋutilã ƒe dadasɔ (Labyrinthitis) la, taɖuame kple ʋuʋudedi sesẽ ate ŋu adzɔ. |
| Ʋu ƒe Ʋuʋudedi | Ƒã ŋutɔ hafi ʋu ƒe sisi ate ŋu adzɔ le ahɔhɔ̃a ƒe ʋukawo me, si ahe dzesiwo abe ŋku ƒe tɔtrɔ kple taɖuame sesẽ ene vɛ. |
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne wò alo viwòa ƒe to le vevem eye asrã, vevesese, to biã, alo to megbe vuvu kpe ɖe eŋu la, yi ɖɔkta enumake. Ðɔktaa atsɔ dɔwɔnu aɖe si woyɔna be otoscope ado toa ƒe akpa si le eme la akpɔ gbã. Ƒã hafi mastoiditis mebɔ ne titinato me dɔléle aɖeke mele eŋu o.
Emegbe, woate ŋu axɔ to me tsi ƒe kpɔɖeŋu aɖe aɖo ɖa be woadoe kpɔ le nudokpɔƒe (culture) be woanya dɔlékui siwo tututu le dɔlélea hem vɛ.
Ne ɖikeke aɖe li be nɔnɔmea nu sẽ, alo wosusu be kuxi aɖewo do mo ɖa la, woaɖo wò be woawɔ CT scan na wò . Esia ate ŋu akpɔ mastoid ƒua kple nuto siwo ƒo xlãe ƒe nɔnɔme nyuie. Ne nane abe cyst ene le afi aɖe la, ele be woaɖee ɖa ahadae.
Nukawoe nye atike siwo wozãna na esia?
Esia ƒe atike vevitɔe nye dɔlékuiwutikewo .
Zi geɖe la, ne wokpɔe be mastoiditis le ŋuwò la, ahiã be nàxɔ wò alo viwòa ɖe kɔdzi be woawɔ atike nɛ. Le afima la, to, ŋɔti, kple ŋɔti ŋuti nunyala bibi aɖe (ENT eŋutinunyala) akpɔ wò. Woana dɔlékuiwutikewo to atikekui (IV - Intravenous) dzi be woatsɔ aɖu dɔlékuia dzi kaba.
Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dɔ sue aɖe si woyɔna be myringotomy atsɔ aɖe ʋuʋudedi ɖa le titinato me. Esia bia be woawɔ do sue aɖe ŋutɔ le tomekaa me eye woaɖe ʋuʋudedi aɖewo ato eme. Ɣeaɖewoɣi la, wotsɔa mɔ̃ sue aɖe dea doa me be wòanɔ ʋuʋu ɖi. Tube sia adze le eɖokui si le ɣleti 6-12 me.
Ne dɔlékuiwutike siwo wozãna le ʋuka me mena wodaa dɔ kaba o, alo ne kuxiwo abe abi alo ƒu ƒe gbagbã ene do mo ɖa la, ate ŋu ahiã be woaɖe no me . Esia bia be woawɔ dɔ na mastoid ƒu ƒe akpa si ŋu dɔlélea le la ɖa.
Mègaŋlɔ be o, ne wokpɔ dɔlélea kaba eye wotsɔ dɔlékuiwutike nyuitɔ da dɔ nɛ eye ne ehiã la, wowɔ dɔ nɛ la, woate ŋu axe mɔ ɖe kuxi sesẽ siawo katã nu eye woate ŋu ahaya bliboe.
Gbedasi si Wotsɔ Yi Aƒeme
- Mastoiditis nye ƒu si le to megbe ƒe dɔléle sesẽ aɖe. Nusi koŋ gbɔ esia tsonae nye titinato me dɔlékui si mehaya nyuie o.
- Dzesi vevitɔwoe nye to megbe vuvu, abibi, vevesese sesẽ, dzoxɔxɔ, kple tsi si dona le to me.
- Mègaŋe aɖaba ƒu dzesi siawo dzi gbeɖe o, vevietɔ le ɖevi suewo gome.
- Nu nyuitɔ si nàwɔ ne èkpɔ dzesi sia tɔgbee nye be nàkpɔ wò ɖɔkta enumake.
- Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae kuxi siwo me afɔku le abe to ƒe dɔmawɔmawɔ nyuie kple taɖuame ene madze o.
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