Ðe ŋɔti hã le ŋuwòa? Ðe nuwo abe ŋɔti me tsi si le dodom, aɖuɖɔɖɔɖɔ ɣesiaɣi, kple ŋɔti me tsi si le dodom ene ɖea fu na wò ɣesiaɣia ? Ɣeaɖewoɣi la, menye dzamezã si bɔ si míesusunae hea esia vɛ o, ke boŋ ŋutilã ƒe tsitsi sue aɖe ƒomevi aɖe si dzɔna le ŋɔti me alo le ŋɔti me. Egbea míele nu ƒom tso nɔnɔme sia si le ame geɖe ŋu, gake womenyae tututu o, si nye Nasal Polyps .
Nuka tututue nye Nasal Polyps?
Kpuie ko la, wonye tsitsi siwo menye kansa o, siwo fa miamiamia, siwo le abe lã ene, siwo dzɔna ɖe yakotokuwo (siwo woyɔna hã be sinus) me alo ƒo xlãe le míaƒe ŋɔti me. Woƒe nɔnɔme le abe aɖatsi ene. Ne wololo la, wodzena abe weintsetse si woɖe ɖa ene .
Zi geɖe la, nusiawo do ƒome kple nɔnɔmewo abe nulɔdɔ alo asrã ene. Ne nodules siawo le sue ŋutɔ la, ɖewohĩ dzesi aɖeke madze le ŋuwò o. Gake ne wololo vie ko hafi kuxiwo dzea egɔme.
Tsɔe be mɔ̃ sue aɖe le míaƒe ŋɔti me si wɔnɛ be ʋuʋudedi kple nu bubuwo dona. Ne lãgbalẽ siawo lolo la, woxea mɔ na ɖoɖo ma. Emegbe ʋuʋudedia mete ŋu dona o eye wòƒoa ƒu ɖe eme, si wɔnɛ be dɔlékuiwo ƒe tsitsi kple dɔlékuiwo ƒe mɔnukpɔkpɔ dzina ɖe edzi .
Nu vevitɔe nye be esiawo menye kansa o. To vovo na polyp aɖewo siwo dona le dɔgbo alo tsinyegoe me la, ƒã hafi lã siawo siwo tsina le ŋɔti me va zua kansa. Eyata mègatsi dzodzodzoe madzemadzee o.
Nukae nye esia ƒe dzesiwo?
Ne dɔléle sia le ŋuwò la, àte ŋu akpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema. Na míalé ŋku ɖe nusiwo nye esiawo ŋu.
| Dzesi si dzena | Alesi wòsena le eɖokui me/dzenae |
|---|---|
| No me ʋuʋu | Yagbɔgbɔ sesẽ, sese le ɖokuiwò me be yeƒe ŋɔti xea mɔ na wò ɣesiaɣi le axa ɖeka alo akpa eveawo. |
| Soto tsi ƒe sisi | Tsi si dona le ŋɔti me enuenu alo ʋuʋudedi le ŋɔti me (postnosal drip). |
| Ʋeʋẽ kple vivisese ƒe bu | Ŋutete si le esi be wòase nuwo abe nuɖuɖu ƒe vivi alo seƒoƒowo ƒe ʋeʋẽ ene gɔme dzi ɖeɖe kpɔtɔ alo eƒe bu keŋkeŋ. |
| Mo ƒe vevesese | Sese le eɖokui me be yeƒe ŋgonu, ŋgonu, kple teƒe siwo ƒo xlã ŋkuwo le kpekpem alo le veve sem. |
| Aɖuɖɔɖɔɖɔ enuenu | Aɖuɖɔɖɔɖɔ enuenu le susu aɖeke koŋ ta o. |
| Sinus me dɔlékuiwo xɔxɔ enuenu | Nɔnɔmewo abe dzoxɔxɔ si me ʋuʋudedi le, taɖuame, kple bubuawo ene ƒe dzɔdzɔ enuenu. |
Esiawo dometɔ siwo bɔ wue nye no me ʋuʋu kple ŋɔti me tsi si le dodom . Ame aɖewo hã ate ŋu ase veve ɖe dzudzɔ, ke, kple ʋeʋẽ sesẽwo nu wògbɔa eme. Azɔ hã, ʋuʋudedi siawo bɔ ɖe amesiwo ƒe aspirin nulɔna vevie la dome. Ne nulɔdɔ sia tɔgbe le ŋuwò la, anyo be nàƒo nu tso esia hã ŋu na wò ɖɔkta .
Nukawoe hea nusiawo vɛ kple nusiwo ate ŋu ahe afɔku vɛ?
Le nyateƒe me la, womenya nusi tututu gbɔ nɔnɔme siawo tso haɖe o. Gake eŋutinunyalawo xɔe se be míaƒe ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ alo lãkusi siwo le ŋɔti me ƒe dɔdzẽ ɣeyiɣi didi gbɔe wotso. Ɣeaɖewoɣi la, woate ŋu atsɔ wo ayi dzidzimewo me.
Togbɔ be ame sia ame ate ŋu axɔ dɔléle sia hã la, ebɔ ɖe ame tsitsi siwo xɔ wu ƒe 40. Ŋutsuwo ate ŋu axɔe abe nyɔnuwo tɔ ene zi gbɔ zi eve.
Esiawo mebɔ kura le ɖevi siwo mexɔ ƒe 10 haɖe o me.
Aleke ɖɔkta awɔ anya esia?
Ne èyi ɖɔkta gbɔ kple dzesi siawo la, abia nya wò gbã eye wòado wò ŋɔti kpɔ.
Emegbe, wowɔa no me dɔlékuiwo me dzodzro zi geɖe. Esia bia be nàzã mɔ̃ tsɛ aɖe si ŋu fotoɖemɔ̃ sue aɖe le atsɔ alé ŋku ɖe wò ŋɔti ƒe eme kple wò ŋɔti ƒe dowo ŋu nyuie. Esia ate ŋu akpe ɖe ame ŋu wòanya ne polyp aɖewo li kple alesi wololoe.
Ne dodokpɔ mawo metso nya me o la, ɖɔkta ate ŋu aɖo aɖaŋu be woagawɔ dodokpɔ geɖe wu.
- CT scan: Esia ate ŋu ana woakpɔ akpa siwo me ŋutilã le kple kuxi bubu siwo le ŋɔti kple ŋɔti me dowo me la nyuie ŋutɔ.
- Nulɔdɔ dodokpɔwo: Dodokpɔ siawo kpena ɖe ame ŋu be nànya ne nulɔdɔ aɖe gbɔe wò dɔlélea tso.
- Ʋudodokpɔ: Ɣeaɖewoɣi la, nuwo abe vitamin D ƒe anyimanɔmanɔ ene ate ŋu akpɔ ŋusẽ ɖe esia dzi, eyata woate ŋu awɔ ʋudodokpɔ atsɔ anya.
Nukawoe nye atike siwo wozãna na esia?
Dzɔgbenyuietɔe la, atike nyuiwo li siwo dzi woato aɖu nɔnɔme sia dzi ahadae.
Ne èhiã atikewɔwɔ la, zi geɖe la, wò ɖɔkta adze egɔme kple atike si woyɔna be corticosteroid si wotsɔna ƒua gbe ɖe no me . Le ame geɖe gome la, atike sia zazã kpena ɖe aɖuɖɔtoeawo ŋu wòtsina, eye ɣeaɖewoɣi gɔ̃ hã wobuna keŋkeŋ.
Gake le ame aɖewo gome la, ɖewohĩ atike si woatsɔ aƒu gbe ɖeɖe dzaa masɔ gbɔ o. Le nɔnɔme mawo me la, woate ŋu ana corticosteroid-tike (abe prednisone ene) abe kwasiɖa ɖeka ene. Ne atike siawo mewɔ dɔ o la, woate ŋu ado atike abe dupilumab (Dupixent) ene.
Nublanuitɔe la, ʋuʋudedi siawo ate ŋu atrɔ ava, vevietɔ ne nulɔdɔ alo dɔlékui si gbɔ wòtso la gakpɔtɔ li. Eyata, ɖewohĩ ahiã be nàyi atike si wotsɔna ƒua gbe la zazã dzi eye nàdo wò ɖɔkta kpɔ edziedzi.
Ðe wòahiã be woawɔ dɔ na amea?
Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo te ŋu lolona ale gbegbe be womate ŋu atsɔ atike aɖu wo dzi o. Le nɔnɔme ma me la, amekokoe nye egbɔkpɔnu nyuitɔ kekeake.
Esia bia be woazã endoscope atsɔ aɖe lãmenugbagbevi siwo le ŋɔti me la ɖa, tsɔ wu be woatso ŋɔti godo. Esia nye dɔ bɔbɔe aɖe, eye zi geɖe la, àte ŋu ayi aƒeme gbemagbe ke.
Kpɔnyuiedodo! Mègadze agbagba gbeɖe be ye ŋutɔ yeatsɔ yeƒe asibidɛwo alo dɔwɔnu bubu aɖeke aɖe lãgbalẽgolo siawo ɖa o! Esia wɔwɔ ate ŋu ana ʋu nado le eme vevie, dɔlékuiwo nadze ame dzi, eye wòagblẽ nu le ŋɔti ŋu vevie. Di atikewɔla bibi ƒe aɖaŋuɖoɖo kple atikewɔwɔ ɣesiaɣi.
Kuxi bubu siwo ate ŋu ado mo ɖa le esia ta
Ne womewɔ atike na lãgbalẽgolo siawo o la, woate ŋu ahe lãmesẽkuxi bubu geɖe vɛ.
- Sinusitis si nɔa anyi didi: Sinusitis ƒe dɔlékuiwo ate ŋu adze ame dzi enuenu le esi ʋuʋudedi mekɔna nyuie o ta.
- Asrã ƒe sesẽ: Ne asrã le ŋuwò xoxo la, wò dzesiwo ate ŋu agblẽ ɖe edzi.
- Abstructive Sleep Apnea: Esia nye nɔnɔme si nu sẽ wu. Yaƒoƒomɔ̃a xea mɔ na ʋuʋudedi, si wɔnɛ be nètɔna hedzea gbɔgbɔ gɔme enuenu ne èle alɔ̃ dɔm. Esia ate ŋu ahe aɖuɖɔtoe geɖe hã vɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Nasal polyps nye tsitsi siwo menye kansa o siwo dzɔna le ŋɔti me. Mègavɔ̃ wo madzemadzee o.
- Ne èle ŋɔti me ʋuʋum enuenu, ʋeʋẽ megale dɔ wɔm o, alo tsi si dona le ŋɔti me la, lé ŋku ɖe eŋu eye nàkpɔ ɖɔkta.
- Woate ŋu aɖu nɔnɔme sia dzi dzidzedzetɔe to atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, atikekuiwo, kple ne ehiã la, amekoko me.
- Vevietɔ wu: Mègadze agbagba be ye ŋutɔ yeaɖe aŋgba siawo siwo me lã le ɖa le susu aɖeke ta o. Ate ŋu anye afɔku.
- Le atikewɔwɔ vɔ megbe gɔ̃ hã la, àte ŋu axe mɔ ɖe nusiawo ƒe gbugbɔgadzɔ nu ne èɖu nulɔdɔwo dzi, ƒo asa na nuwo abe ke ene, eye nèwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.
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