Ðe wòle sesẽm na wò hã be nàgbɔ ya to wò ŋɔti mea? Esia ate ŋu atso Nasal Valve Collapse gbɔ!

Ðe nèsena le ɖokuiwò me zi geɖe be gbɔgbɔ to wò ŋɔti me sesẽna na yea? Ðe wòsena le eɖokui me abe ɖe wò ŋɔti xe ene, vevietɔ ne èle kame dem alo le alɔ̃ dɔma? Emegbe ɖewohĩ dɔléle aɖe si woyɔna be Nasal Valve Collapse ate ŋu anɔ ŋuwò. Mègatsi dzi o, esia nye kuxi si le ame geɖe ŋu. Mina míaƒo nu tso eŋu tsitotsito.

Nukae Nye Nasal Valve Collapse?

Kpuie ko la, Nasal Valve Collapse nye nɔnɔme si me nasal valve, si nye yaƒoƒomɔ̃ si le wò ŋɔti me si kpena ɖe ŋuwò nègbɔa ya la, xaxana le. Bu eŋu kpɔ ale, ŋɔti ƒe ʋuƒo le abe agbo si ɖea ya hekɔa eŋu ne míele gbɔgbɔm ene.Ekekena tso ŋɔti titina vaseɖe anyime ke.

Eyata ne ʋuƒo sia mu, si fia be ne eva le kpuie la, ya mate ŋu ato ŋɔti me nyuie o. Ɣemaɣie gbɔgbɔ sesẽna na mí. Ɣeaɖewoɣi la, ŋɔti ate ŋu adze abe ɖe wòle tsɛ vie alo nyrɔ ɖe eme ene elabena ʋuƒo si le ŋɔti me la le kpuie. Gake menye ɣesiaɣie esia dzena tso gota o.

Ðe no me ʋuka ƒe gbagbã ƒomevi aɖewo lia?

Ẽ, ƒomevi vevi evee li. Akpa eve ye le míaƒe ŋɔti me: ŋɔti si le eme kple ŋɔti gota. Wo ame evea le eye xɔtunu siwo lé wo ɖe te la to vovo.

• Internal Nasal Valve Collapse: Esiae nye ƒomevi si bɔ wu. No me ʋuka sia le ŋɔti titina, le yaƒoƒomɔ̃a me.
• External Nasal Valve Collapse: Esia le ŋɔti ƒe gɔme, le ŋɔti ƒe dowo gbɔ. Esia ƒomevi mebɔ o, gake anɔ eme be woate ŋu akpɔe wu. Esia le alea elabena ne ègbɔ ya to wò ŋɔti me la, ate ŋu adze abe ŋɔti ɖeka alo evea siaa le mumum ene.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, aɖuɖɔtoe ƒe gbagbãe nye nu vevitɔ si nana ŋɔti me xena. No ƒe xexe nye nɔnɔme si to, ŋɔti, kple ŋɔti ŋuti nunyalawo (Otolaryngologists - ENT specialists) daa dɔ na zi geɖe. No ƒe xexe dzɔna ne xe ƒe do le no me si xea mɔ na ya ƒe sisi.

Nukae nye Nasal Valve Collapse ƒe dzesiwo?

Ne ŋɔti ƒe ʋuƒoa mu la, esesẽna be woagbɔ ya to ŋɔti ɖeka alo evea siaa me. Dzesi vevitɔwoe nye:

• Yagbɔgbɔ sesẽ: Esia ate ŋu agblẽ nu le ame ŋu vevietɔ le kamedede alo ne mlɔ anyi. Le kpɔɖeŋu me, ne èle du dzi alo le atrakpuiwo liam eye wòhiã be nàgbɔ ya to wò nu me tsɔ wu be nàgbɔ ya to wò ŋɔti me la, esia ate ŋu anye dzesi.
• Nu me gbɔgbɔ le ŋkeke me kple hũɖeɖe le zã me: Esi màte ŋu agbɔ ya nyuie to wò ŋɔti me o ta la, ate ŋu azu numame na wò le manyamanya me be nàgbɔ ya to wò nu me. Aɖuɖɔɖɔɖɔ le zã me hã do ƒome kple esia.
• No ƒe Ʋuʋudedi:Ðeko wònye be mesena le ɖokuinye me ɣesiaɣi abe ɖe meku ɖe ʋuʋudedi aɖe me ene.

Ne gotagome ŋɔti si mu la, wò ŋɔti ate ŋu ato vovo vie. Eyae nye be ate ŋu adze tsɛ wu le teƒe aɖewo, alo madze abe ɖe wòsɔ le akpa eveawo o.

Nukae hea esia vɛ?

Nasal Valve Collapse tsoa lãmeka, vevietɔ ƒunukpeƒe, si doa alɔ wò ŋɔti ƒe ʋuka ƒe gbɔdzɔgbɔdzɔ gbɔ. Esia wɔnɛ be yaƒoƒomɔ̃a xaxa. Nu geɖe li siwo ate ŋu ana esia nadzɔ:

• Vovototo le ŋutilã ƒe wɔwɔme me: Woate ŋu adzi ame aɖewo kple vovototo aɖewo le woƒe ŋɔti ƒe nɔnɔme me.
• Amekoko: Ate ŋu atso ŋɔti ƒe dɔwɔwɔ na ame va yi (nyitsu alo ŋɔti me dɔwɔwɔ) gbɔ.
• Nuveviwɔame: Ate ŋu atso afɔku sesẽ aɖe si dzɔ ɖe ŋɔti me hã gbɔ.

Nukawoe nye afɔku siwo le eme?

Nu geɖe li siwo nana Aŋɔ ƒe Ʋuʋudedi ƒe afɔkua dzina ɖe edzi:

• Deviated Septum: Zi geɖe la, amesiwo ƒe septum tra mɔ la ƒe septum (ƒunukpeƒe kple ƒu ƒe ka tsɛ aɖe) anɔ woƒe ŋɔti titina. Ne woɖe septum sia ɖa la, womaa septum la ɖe akpa eve siwo mesɔ o me. Xɔ sia si mesɔ o ate ŋu ana akpa ɖeka alo evea siaa namu.
• No ƒe wɔwɔme si wodzina: Ðewohĩ wodzi wò kple nɔnɔme siwo ana wò ŋɔti ƒe ʋuʋu ƒe afɔkua nadzi ɖe edzi. Le kpɔɖeŋu me, ne ŋɔti ƒe ʋuƒo si tra mɔ, ŋɔti ƒe do siwo le gbadzaa, teƒe gbadza si le ŋɔti dome (columella), alo ŋɔti si do go akpa ate ŋu ana wò afɔkua nadzi ɖe edzi.
• Rhinoplasty: Abe alesi míegblɔe va yi ene la, nɔnɔme sia ate ŋu adzɔ le rhinoplasty megbe. Gake zi geɖe la, enyea ʋuʋu vie tsɔ wu be wòagbã vevie.

Vevietɔ: Ne gbɔgbɔ sesẽ na wò le ŋɔti ƒe dɔwɔwɔ vɔ megbe la, ele vevie ŋutɔ be nàna wò ɖɔkta nanya nu tso eŋu.

Afɔku bubu aɖewo:

• Tsitsi: Ne èle tsitsim la, ŋusẽ ate ŋu abu lãmeka siwo léa aɖuɖɔtoea ɖe te.
• Nuveviwɔame: Nuveviwɔame le ƒuwo kple lãkusi siwo le ŋɔti me ŋu ate ŋu ana ŋusẽ si léa wo ɖe te la gbɔdzɔ.

Aleke wowɔna dea dzesi nɔnɔme sia (Nasal Valve Collapse)?

Ne èyi ɖɔkta gbɔ la, woabia wò dɔlélea ƒe dzesiwo kple wò atikewɔwɔ ŋutinya. Woate ŋu abia nyawo wò hã tso nane abe Nasal Obstruction Symptom Evaluation (NOSE) ƒe nyabiase gbalẽvi ene me . NOSE ƒe nyabiase gbalẽvia bua wò dzesiwo tso esiwo mesẽ o dzi va ɖo esiwo nu sẽ dzi. Nyabiaseawoe afia alesi gbegbe wò gbɔgbɔ, ŋɔti me ʋuʋu, kple alɔ̃dɔdɔ ƒe kuxiwo le ŋusẽ kpɔm ɖe wò agbenɔnɔ dzii.

Emegbe ɖɔktaa alé ŋku ɖe wò ŋɔti kple ŋɔti ŋu nyuie. Esia ate ŋu alɔ dodokpɔ geɖe ɖe eme.

Dodokpɔ siwo wowɔna tsɔ dea dzesi no me ʋuka ƒe gbagbã

• (Endoscopy): Nasal endoscopy nye dɔ si me wozãa endoscope (si nye mɔ̃ si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ kple akaɖi le) tsɔ léa ŋku ɖe ŋɔti me. Esia wɔnɛ be woate ŋu akpɔ ŋɔti ƒe eme nyuie.
• Cottle Maneuver: Le dodokpɔ sia me la, ɖɔktaa ahe wò ŋgonu ayi axa ɖeka eye wòadze agbagba be yeakeke ŋɔti ƒe mɔa ɖe enu. Alo ɖɔkta ate ŋu azã dɔwɔnu sue aɖe alo kotoklobo atsɔ akeke ŋɔti si ŋu dɔlélea le la ɖe enu. Esia akpe ɖe ɖɔktaa ŋu wòade dzesi afisi mɔxenua le.

Aleke wowɔa nu ɖe ​​esia ŋui?

Zi geɖe la, ehiãna be woawɔ dɔ na ame be woatsɔ ada aɖuɖɔtoe si mu. Gake ne wò dzesiawo mesẽ o la, wò ɖɔkta ate ŋu akafu mɔ siwo menye amekoko o siwo dzi nàto akpɔ wò dzesiawo gbɔ gbã.

Amekoko na aɖuɖɔtoe ƒe gbagbã

Wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ amekoko nyuitɔ kekeake atsɔ aɖɔ wò ŋɔti ƒe gbagbã ɖo. Wowɔa amekoko akpa gãtɔ le kɔdzi, si fia be àte ŋu ayi aƒeme gbemagbe ke.

Atikewɔwɔmɔnu geɖe:

• Grafting: Esia bia be woaɖe ƒunukpeƒe alo ƒu le wò ŋutilã ƒe akpa bubu, abe wò to alo akɔta ene, eye nàtsɔe ade wò ŋɔti me. Wozãa lãkusi sia si sɔ gbɔ wu tsɔ kekea aɖuɖɔtoea ɖe enu. Atike ƒomevi vovovowo li siwo wotsɔ doa lãe, eye esiwo bɔ wue nye Alar Batten ƒe atikutsetse.
• Nusiwo Wotsɔ Dea ŋɔti me: Wodea mɔ̃ aɖe ŋɔti me be wòalé ƒunukpeƒe si mu la ɖe te. Esia ate ŋu anye mɔ̃ si ƒe nɔnɔme le abe titanium kpakpaluʋui ene kple nusi wodona ɖe lãme na ame si woyɔna be Latera®.
• Suture Suspension: Esia bia be woazã aŋenuwo atsɔ abla ŋɔti me lãkusia ɖe lãkusi si le ŋkua te ŋu. Dɔwɔwɔ sia hea aɖuɖɔtoea yia dzi hedoa goe, si wɔnɛ be teƒea kekena.

Ðewohĩ ahiã be woawɔ dɔ na wò hã atsɔ aɖɔ xɔtuɖoɖo ƒe kuxi bubu siwo ate ŋu anɔ nu ƒom tso no me ʋukaa ƒe mumu ŋu. Le kpɔɖeŋu me:

• Septoplasty: Amekoko be woaɖɔ septum si tra mɔ ɖo.
• Turbinate Reduction: Amekoko be woaɖe turbinate siwo nye ƒu siwo le ŋɔti me ƒe lolome dzi akpɔtɔ.

Atikewɔwɔ na Nasal Valve Collapse Amekoko manɔmee

• Gbɔgbɔmenuwo: Esiawo nye ka siwo wotsɔ dana ɖe ŋɔti ƒe gota. Wokɔa ŋutigbalẽa ɖe dzi eye woʋua ŋɔtiwo. Woate ŋu akpe ɖe ŋuwò nàgbɔ ya bɔbɔe le zã me eye nàdɔ alɔ̃ nyuie.
• Internal Nasal Dilators: Esiawo nye mɔ̃ siwo wotsɔ dea ŋɔti me. Wotutua ƒunukpeƒea yia gota eye wokekea ŋɔti ƒe mɔwo ɖe enu. Abe gbɔgbɔtsixe ƒe mɔ̃wo ene la, woate ŋu akpe ɖe ŋuwò nàdɔ alɔ̃ nyuie le zã me.

(Nasal Valve Collapse) Ðe nɔnɔmea agagblẽ ɖe edzia?

Menye ɣesiaɣie wòdzɔna o, gake ate ŋu adzɔ. Nusiwo doa alɔ ŋɔti ƒe yaƒoƒomɔ̃wo ƒe gbɔdzɔgbɔdzɔ gbɔe aɖuɖɔtoe ƒe gbagbã tsona. Eyata, ne womewɔ atike na teƒe siwo gbɔdzɔ be woado ŋusẽ wo o la, xɔ siawo ate ŋu agbã ɖe edzi.

Nukawoe dona tso nɔnɔme sia dada me?

Ame geɖe gblɔna be esi wowɔ dɔ na yewo be yewoaɖɔ ŋɔti ƒe ʋuka si mu la ɖo vɔ la, yewoƒe dzesiwo nyo ɖe edzi ŋutɔ. Ne wonya ɖɔ alesi wògbãe ɖo ko la, àte ŋu agbɔ ya bɔbɔe eye nàdɔ alɔ̃ nyuie wu.

Nya kawoe wòle be mabia ɖɔktaa?

Àte ŋu abia ɖɔktaa nyawo abe:

• Aleke gbegbee afɔkua gblẽe?
• Ðe wòahiã be woawɔ dɔ nam be maɖɔ esia ɖoa?
• Amekoko ƒomevi kawoe nèkafu?
• Afɔku kawoe ate ŋu ado tso amekoko me?
• Nukae nye amekoko si wokafu ƒe dzidzedzekpɔkpɔ?
• Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?

Ðo ŋku edzi be: Ne wò ŋɔti me tsi si nɔa anyi ɖaa, mehayana o, alo wònana gbɔgbɔ sesẽna na wò la, yi ɖɔkta gbɔ. Dzesi siawo ate ŋu atso nuwo ƒe wɔwɔme ƒe gbɔdzɔgbɔdzɔ abe ŋɔti ƒe ʋuƒo si mu ene gbɔ. Ne anyidzedzea mesẽ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo nàzã atsɔ aɖu vevesesea dzi. Le go aɖewo me la, amekokoe nye mɔnu nyuitɔ kekeake si dzi nàto akpɔ egbɔ be ya si sɔ to wò ŋɔti me. Wò ɖɔkta agblɔ tiatia siwo nyo na wò la na wò.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Gbɔgbɔ sesẽ to wò ŋɔti me menye nusi woabu nu tsɛe o. Ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi. Ðewohĩ màkpɔe adze sii gɔ̃ hã o, gake ate ŋu anɔ sesẽm na wò be nàdɔ alɔ̃ le zã me eye ɖeɖi te ŋuwò le ŋkeke me. Esiawo katã ate ŋu atso kuxi aɖe si le wò ŋɔti ŋu gbɔ.

Eyata ne dzesi siwo míeyɔ le nyati sia me le ŋuwò la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o. Fifia atike nyuiwo li na dɔléle aɖe si woyɔna be (Nasal Valve Collapse). Ne wokpɔe dze sii hedae kaba la, àgate ŋu agbɔ ya bɔbɔe ake!

` No ƒe Ʋuʋudedi, No ƒe Ʋuʋu, Gbɔgbɔsesẽ, Aɖuɖɔtoe, Nome Amekoko, Deviated Septum, ENT