Ðe wò nuyiwo kple ŋgonu vuvua? Ðe ema nye Orofacial Granulomatosis? Mina míaƒo nu tso esia ŋu!

Ðe wò nuyiwo, ŋgonu, alo wò mo ƒe akpa bubuwo vuvu zi ɖekaa? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi abe ƒunukpeƒe suesuesuewo enea? Togbɔ be esia aɖi nusi wɔ nuku vie hã la, le nyateƒe me la, ate ŋu anye atikewɔwɔ me nɔnɔme. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be `Orofacial Granulomatosis` si ɖea dzesi mawo tɔgbe fiana, si mebɔ vie o gake wòle vevie be woanya nu tso eŋu.

Nukae nye `Orofacial Granulomatosis`?

Kpuie ko la, `Orofacial Granulomatosis` nye ŋutigbalẽ ƒe dɔléle si nana míaƒe mo, le nu me, vevietɔ le nuyiwo kple ŋgonu vuvu kple ƒunukpeƒewo. Esia mebɔ vie o. Ɣeaɖewoɣi la, woate ŋu akpɔ ƒunukpeƒetetedɔ siawo kple ŋku dzro eye woate ŋu ase wo kple asi.

Fifia, ne `Orofacial Granulomatosis` nɔnɔme sia nye nuyiwo ko la, ŋkɔ tɔxɛ geɖewo li nɛ. Woawoe nye:

• `Cheilitis granulomatosa`
• `Granulomatous cheilitis`
• Miescher ƒe cheilitis ƒe dɔléle

Togbɔ be ŋkɔ siawo aɖi nya sesẽ vie hã la, wo katã gɔmeɖeɖe sɔ - si nye nuyiwo ƒe vuvu kple ƒuƒoƒo ƒe nɔnɔme si míeyɔ va yi.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Enyo, azɔ mina míakpɔ amesi ate ŋu axɔ `Orofacial Granulomatosis` wu. Le nyateƒe me la, esia menye nɔnɔme si bɔ ŋutɔ o. Edzea ame siwo mede 1% o dzi. Togbɔ be ate ŋu adze amesiame si xɔ ƒe ɖesiaɖe dzi hã la, ebɔ ɖe sɔhɛ siwo xɔ tso ƒe 20 va ɖo ƒe 40 dzi wu .

Nu bubue nye be nɔnɔme sia ate ŋu adzɔ ɣeaɖewoɣi eya ɖeka (idiopathic), si fia be ate ŋu adzɔ dɔléle bubu aɖeke manɔmee. Gake ate ŋu adzɔ ɣeaɖewoɣi le atikewɔwɔ me nɔnɔme bubuwo hã me. Le kpɔɖeŋu me:

• Crohn ƒe dɔléle : Ðewohĩ èse esia, si nye dɔgbowo ƒe dɔdzẽ si nɔa anyi didi.
• Sarcoidosis : Esia hã nye nɔnɔme si me lãmenugbagbevi suesuesuewo (granulomas) dzɔna le ŋutilã ƒe akpa vovovowo, vevietɔ le lãkusiwo kple ʋukawo me.
• Dɔléle vovovo siwo xɔa ame : Le kpɔɖeŋu me, esia ate ŋu ado ƒome kple dɔlékuiwo abe yɔmekpe ene.

Nya dodzidzɔname bubu enye be zi geɖe la, nɔnɔme sia si woyɔna be `Orofacial Granulomatosis` do ƒome kple ahɔhɔ̃mekawo ƒe dɔléle si woyɔna be `Melkersson-Rosenthal syndrome` . Dzesi vevi etɔ̃e le dɔléle sia ŋu:

• Mo alo nuyiwo ƒe vuvu.
• Aɖe ate ŋu adze abe ƒutsotsoe ene alo do goglowo (akɔ alo ʋuʋudedi).
• Mo ƒe dɔwɔwɔ ƒe bu enuenu, si fia be ŋutete manɔamesi be wòaɖu mo ƒe dzedzeme dzi (`mo ƒe lãmetutudɔ`).

Nukae hea `Orofacial Granulomatosis` vɛ?

Nuka tututue gbɔ `Orofacial Granulomatosis` tsona?Dzɔdzɔmeŋutinunyalawo menya nusi tututu wòhena vɛ haɖe o, gake woyi edzi le numekuku wɔm tso eŋu. Fifia wosusu be nu geɖe li siwo ate ŋu ahe esia vɛ:

• Nuɖuɖu aɖewo ƒe nulɔdɔ alo seselelãme : Le kpɔɖeŋu me, nuwo abe sinamɔn, tsokolet, kple nusiwo wotsɔ dzraa nuɖuɖu ɖo dometɔ aɖewo ene.
• Dɔlékui alo fungi ƒe dɔlékuiwo .
• Tɔtrɔ siwo vaa amesiwo ŋu domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie aɖewo le ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ (dɔlélenutsiŋutete ƒe dɔwɔwɔ) me .

Dzɔdzɔmeŋutinunyalawo xɔe se be ʋuʋudedi sia dzɔna elabena lãmenugbagbevi sue siwo woyɔna be `granulomas` (siwo nye ƒuƒoƒo sue siwo dɔlélenutsiŋutete ƒe lãmenugbagbeviwo wɔ ŋutɔŋutɔ) xea mɔ na míaƒe ʋukawo . Bu eŋu ale: ʋukawo nye tsidzɔƒe si ɖea gbeɖuɖɔwo ɖa le míaƒe ŋutilã me. Eyata ne ɖoɖo sia dzudzɔ dɔwɔwɔ nyuie le `granulomas` siawo ta la, ʋuka me tsi ƒoa ƒu eye wònana wòvuvuna. Woyɔa esia be `ʋumenugbagbeviɣidɔ` .

Nukae nye nɔnɔme sia ƒe dzesiwo?

Orofacial Granulomatosis ƒe dzesi gbãtɔ si bɔ wue nye nuyi ɖeka alo evea siaa ƒe vuvu fafɛ si me vevesese aɖeke mele o. Zi geɖe la, nuyi si le ete la vuvuna wu nuyi si le etame. Vuvu sia vana eye wòdzona. Ɣeaɖewoɣi la, ate ŋu anɔ anyi kwasiɖa alo ɣleti geɖe. Le ɣeyiɣi aɖe megbe la, abi sia ate ŋu azu goma, asẽ, ave ame, alo anɔ anyi ɖaa.

Tsɔ kpe ɖe dzesi vevi sia ŋu la, woate ŋu akpɔ dzesi bubu geɖewo:

• Nuyi siwo gbã .
• Drooling , ɣeaɖewoɣi le mɔ si dzi womate ŋu aɖu o nu.
• Ŋutilã ƒuƒu, si biã, si le ʋuʋum ƒo xlã wò nu .
• Abe alesi míegblɔe va yi ene la, do alo ʋuʋudedi le wò aɖe ŋu .
• Nu me ƒe abi alo ʋuʋudedi suewo alo ŋutigbalẽ ƒe dzesi siwo le nu me .
• Nuƒoƒo alo nuɖuɖu sesẽ .
• Àte ŋu akpɔ vuvu alo ƒunukpeƒetetedɔ le wò nu, ŋgonu, aɖu, aɖe, asike, ŋku, ŋgonu, alo wò taɖa gɔ̃ hã me . Bu alesi esia ate ŋu ana ame naɖe dzi ɖi o ŋu kpɔ.

Ðe `Orofacial Granulomatosis` nye dɔlékuiwo?

Nyabiase aɖe si le ame geɖe sie nye nenye be exɔa ame. Orofacial Granulomatosis ate ŋu akaka tso mo ƒe akpa ɖeka ayi bubu. Ema fia be ate ŋu adze egɔme tso nuyiwo dzi eye wòaʋu ayi ŋgonu. Gake menye dɔléle si xɔa ame me o . Eyata naneke meli si ŋu woatsi dzi ɖo o.

Aleke woawɔ ade dzesi nɔnɔme sia?

Enyo, ekema aleke tututue wokpɔa nɔnɔme sia si nye `Orofacial Granulomatosis` le?

Be ŋutigbalẽŋutinunyala aɖe nanya esia la, alé ŋku ɖe teƒe si vuvua le ŋu.Woɖea ŋutigbalẽ sue aɖe hedonɛ kpɔna (`biopsy`). Esia le abe amekoko sue aɖe ene. Emegbe dɔléleŋutinunyala aɖe léa ŋku ɖe ŋutigbalẽ ƒe akpa sia ŋu le nusuekpɔmɔ̃ me be yeakpɔe ɖa be `nonncaseating granulomas` (si nye atikewɔwɔ me ŋkɔ na lãmenugbagbevi siawo ƒe ƒuƒoƒo) aɖewo li hã. Ne wole afima la, woɖoa kpe dɔlélea dzi.

Tsɔ kpe ɖe dodokpɔ vevi sia ŋu la, ɖɔkta ate ŋu awɔ dodokpɔ ʋɛ aɖewo hã atsɔ akpɔe ɖa be atikewɔwɔ me nɔnɔme bubuwo hã le ye ŋu, abe alesi míedzro eme va yi be esia ate ŋu ado ƒome kple dɔléle bubuwo ene.

• Ʋudodokpɔ be woalé ŋku ɖe dɔlékuiwo abe yɔmekpe ene ŋu.
• Akɔta ƒe X-ray wɔwɔ be woatsɔ akpɔe ɖa be sarcoidosis hã le eme hã.
• Colonoscopy (dodokpɔ si wotsɔa fotoɖemɔ̃ wɔna le dɔgboa me) kple ʋudodokpɔ be woatsɔ akpɔe ɖa be Crohn ƒe dɔlélea le eŋu hã.
• Wowɔa patch tests tsɔ léa ŋku ɖe nulɔdɔ alo seselelãme ƒe dɔlélewo ŋu hã. Esia bia be nàtsɔ nu aɖewo asisi ɖe ŋutigbalẽa ŋu akpɔe ɖa be nulɔdɔ le ŋuwò hã.

Aleke wowɔa atike na `Orofacial Granulomatosis`?

Azɔ mina míakpɔ alesi woawɔ ada `Orofacial Granulomatosis` sia ɖa. Menye amesiamee dzea atikewɔwɔ gɔme enumake o. Ðɔktaa ɖoe be yeadze atikewɔwɔ gɔme le nɔnɔme siwo gbɔna me:

• Ne ètsi dzi vevie alo lé blanui ɖe wò dzedzeme ŋu la .
• Ne vevesese aɖe li la .
• Ne esesẽ na wò be nàzã wò mo alo nu nyuie, si fia be nàƒo nu, aɖu nu, alo ano nu .

Atike si bɔ wu na dɔléle siae nye atike ƒomevi aɖe si woyɔna be `Corticosteroids` zazã . Ðewohĩ èse ŋkɔ sia kpɔ. Esiawo nye steroid ƒomevi aɖe. Steroid ƒomevi si woana kple alesi woanae ato vovo le alesi dɔlélea nu sẽe nu:

• Steroid siwo wozãna ɖe lãme : Esiawo ate ŋu ava abe ami, atike siwo wotsɔna klɔa nu, alo atike siwo wotsɔna klɔa nu me ene.
• Wodoa cortisone ɖe teƒe si vuvu le tẽ .
• Systemic steroids : Zi geɖe la, woyɔa steroid ƒomevi si wonana be "Prednisone."

Tsɔ kpe ɖe steroid-tike siawo ŋu la, ɖɔkta ate ŋu akafu nu siwo gbɔna hã:

• Ne dɔlékuiwo li la, tsɔ `Dɔlékuiwutikewo` wɔ avu kpli wo .
• Ne wokpɔe be nulɔdɔ aɖe le ŋuwò la, woabia tso asiwò be nàwɔ tɔtrɔ le wò nuɖuɖu ŋu wòasɔ ɖe enu .
• Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo : Woate ŋu ana esiawo abe atike siwo woano ene alo abe atike siwo woatsɔ awɔ dɔe ene.
• Ne vuvu si nɔa anyi ɖaa le nu gblẽm le dɔ veviwo abe nuƒoƒo, nuɖuɖu, kple ahanono ene ŋu la, woate ŋu awɔ dɔ na ame be wòaɖe abi la dzi akpɔtɔ .

Ðe esia ƒe atike aɖe li tegbeea?

Nya si ame geɖe bianae nye be ɖe atike aɖe li na esia tegbee hã . Nublanuitɔe la, fifia la, atike aɖeke meli si woatsɔ ada Orofacial Granulomatosis si anɔ anyi ɖaa o. Dɔlélea ƒe taɖodzinu koŋue nye be woaɖu dzesiawo dzi eye woaɖe vevesese si dɔnɔa kpɔna dzi akpɔtɔ, si ana akɔfafa aɖe nanɔ eŋu.

Ðe woate ŋu axe mɔ ɖe Orofacial Granulomatosis nua?

Esi womenya nusi tututu gbɔ Orofacial Granulomatosis tso o ta la, mɔ aɖeke meli si ŋu kpeɖodzi le fifia si dzi woato axe mɔ ɖe enu o .

Nukae nye amesiwo ŋu dɔléle sia le ƒe mɔkpɔkpɔ?

Dɔléle sia, `Orofacial Granulomatosis`, dada sesẽ vie . Ate ŋu axɔ ɣleti geɖe, ƒe geɖe gɔ̃ hã hafi atike siwo wozãna fifia naɖe emetsonuwo afia. Esia fia be emetsonuwo nɔa blewu ŋutɔ. Ɣeaɖewoɣi la, ɖewohĩ atikewɔmɔnuawo makpe ɖe ame ŋu kura o.

Ƒã ŋutɔ, si fia be, ƒã ŋutɔ, nɔnɔme sia ate ŋu anyo ɖe edzi kasia le eɖokui si (`spontaneous remission`) atikewɔwɔ aɖeke manɔmee. Gake ema mebɔ kura o.

Aleke nèwɔna nɔa te ɖe nɔnɔme sia nu nyuie?

Agbenɔnɔ kple nɔnɔme sia, `Orofacial Granulomatosis`, ate ŋu asesẽ ŋutɔŋutɔ . Ate ŋu akpɔ ŋusẽ ɖe wò dzedzeme, wò nu ƒe dɔwɔwɔ dzi, eye ate ŋu akpɔ ŋusẽ geɖe ɖe susu dzi hã. Gake mɔ aɖewo li siwo dzi nàto akpe ɖe ŋuwò nànɔ te ɖe nɔnɔme sia nu:

• Aɖaŋuɖoɖo ƒe ɣeyiɣiwo : Esia ate ŋu akpe ɖe ŋuwò ŋutɔ le nuƒoƒo tso wò seselelãmewo kple seselelãmewo ŋu kple alesi nàwɔ akpɔ wo gbɔe sɔsrɔ̃ me.
• Kpekpeɖeŋunahawo : Esia nye mɔnukpɔkpɔ gã aɖe be nàdo ka kple ame bubu siwo le nɔnɔme mawo tɔgbe me tom eye nàgblɔ nuteƒekpɔkpɔwo. Esia akpe ɖe ŋuwò nàse le ɖokuiwò me be menye ye ɖeka koe o.
• Nu nyuiwo ŋu bubu ƒe kamededewo : Nuwo abe wò nɔnɔme nyuitɔwo ŋu bubu kple woƒe susu tsɔtsɔ ɖo wo ŋu ene, nusiwo nèwɔ.
• Gomekpɔkpɔ le hadomenuwɔnawo me : Ele vevie be nàzã ɣeyiɣi kple xɔlɔ̃wo kple ƒometɔwo siwo kpena ɖe ŋuwò, siwo sea nu gɔme na wò ale be màgase le ɖokuiwò me be yetsi akogo o.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne èkpɔ gbɔdzɔgbɔdzɔ alo lãmetutudɔ le wò mo ƒe akpa aɖe zi ɖeka la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake . Azɔ hã, ne ède dzesii be ʋuʋudedi alo ʋuʋudedi le wò aɖe ŋu abe alesi míegblɔe va yi ene la, ele be nàna wò ɖɔkta hã nanya tso eŋu . Dzesi siawo ate ŋu anye Melkersson-Rosenthal ƒe dɔléle si ŋu míeƒo nu tsoe ƒe dzesiwo alo nɔnɔme sesẽ bubu aɖe.

Orofacial Granulomatosis nye ŋutigbalẽ ƒe dɔléle si mebɔ o si ate ŋu ana wò nuyiwo, nu, kple wò mo ƒe akpa bubuwo navuvu. Eyata ne vuvu aɖe le mo na wò la, anyo wu be nàyi ɖɔkta gbɔ be wòakpɔ dɔlélea nyuie ahadae. Atike aɖeke meli na Orofacial Granulomatosis o, gake atikewɔwɔ abe corticosteroids ene ate ŋu akpe ɖe ame ŋu be woaɖe dzesiawo dzi akpɔtɔ.

Nu vevi kawoe wòle be míatsɔ ayi aƒemee tso ŋutinya sia me?

Enyo, eyata míeƒo nu geɖe tso `Orofacial Granulomatosis` ŋu. Nu bɔbɔe aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Orofacial Granulomatosis nye dɔléle si mebɔ o si naa mo vuvu eye wòƒona, vevietɔ nuyiwo kple ŋgonu.
• Womenya nusi tututu gbɔ esia tso haɖe o , gake wosusu be nulɔdɔ, dɔlékuiwo, domenyiŋusẽfianu, kple dɔlélenutsiŋutete ƒe kuxiwo wɔa akpa aɖe.
• Dzesi vevitɔe nye nuyiwo ƒe vuvu. Gake nu me ƒoƒo, aɖe ƒe tɔtrɔ, kple nuɖuɖu kple nuƒoƒo sesẽ hã ate ŋu ado mo ɖa.
• Esia menye nusi xɔa ame me o .
• Mɔnu vevitɔ si dzi woato anya dɔléleae nye ŋutigbalẽ ƒe lãmenugbagbeviwo ɖeɖe.
• Zi geɖe la, wozãa corticosteroids abe atike ene. Ɣeaɖewoɣi la, ate ŋu ahiã be woawɔ dɔ na ame gɔ̃ hã.
• Togbɔ be fifia la, womekpɔ atike si anɔ anyi ɖaa o hã la, woate ŋu aɖu dzesiawo dzi .
• Ne ède dzesii be mo ƒe dzedzeme bu kpata alo wò aɖe ƒe tɔtrɔ si mebɔ o la, yi ɖɔkta gbɔ enumake .

Mègaŋlɔ be o, ne dzesi siawo le ŋuwò la, mègakpe ŋu na wò alo nàvɔ̃ wo o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Nu vevitɔe nye be woakpɔ dɔlélea nyuie eye woadi atike si sɔ. Azɔ hã, susu me nɔnɔ le vevie ŋutɔ ne èle nɔnɔme sia tɔgbe gbɔ kpɔm.

` Mo ƒe ʋuʋu, nuyi ƒe vuvu, orofacial granulomatosis, ŋutigbalẽ ƒe ʋuʋu, nodules, Melkersson-Rosenthal syndrome, corticosteroids