Ènya be ƒu sue etɔ̃ siwo le wò ŋutilã bliboa me la le wò to mea? Ẽ, ewɔ nuku ŋutɔŋutɔ. Wole sue ale gbegbe, womelolo wu bliku ʋɛ aɖewo o. Gake ƒu sue siawo wɔa dɔ geɖe. Le nyateƒe me la, ƒu sue etɔ̃ siawo kpena ɖe mía ŋu míesea xexe si ƒo xlã mí ƒe gbeɖiɖiwo, míesea vivi na haƒoƒo, eye míedea dzesi míaƒe lɔlɔ̃tɔwo ƒe gbe. Eyata egbea, mina míaƒo nu tso ƒu (ossicles) wɔnuku siawo ŋu.
Nukae nye ƒumeŋuɖui siawo?
Kpuie ko la, ƒu sue etɔ̃ siwo le wò titinato me lae nye esiwo míeyɔna be ƒumeŋuɖui . Esiawoe nye:
1. Malleus - Wogayɔa esia be ‘hammer’.
2. Incus - Wogayɔa esia be 'antler'.
3. Stapes - Woyɔa esia nenema elabena eƒe nɔnɔme le abe ‘fli’ ene.
Ame etɔ̃ siawo wɔa dɔ ɖekae abe kɔsɔkɔsɔ ene. Esia tae wogayɔa ɖoɖo sia be Ossicular Chain . Woƒe dɔ vevitɔe nye be woaxɔ gbeɖiɖi ƒe ʋuʋu si vaa wò to me, ado wo ɖe ŋgɔ, eye woaɖo wo ɖe to si le to ememetɔ me, si nye teƒe vevitɔ si wokpɔa gbeɖiɖi le. Le afima la, wotrɔa ʋuʋudedi siawo wozua elektrikŋusẽ ƒe dzesi siwo gɔme ahɔhɔ̃a ate ŋu ase.
Bu eŋu kpɔ ko, ne menye ƒu sue etɔ̃ siawo le wò to me o la, míaƒe tosese dzi aɖe akpɔtɔ ŋutɔ, eye míate ŋu abu kura gɔ̃ hã. Aleae xɔlɔ̃ sue etɔ̃ siawo le vevie na míaƒe tosese.
Aleke tututu ƒunukpeƒe ƒe kɔsɔkɔsɔ sia wɔa dɔe?
Esia le abe duɖimekeke si wotsɔa amewo yia teƒe bubuwo ene. Abe alesi kamedefefewɔla ɖeka tsɔa atikplɔa naa nɔvia ene la, ƒu etɔ̃ siawo tsɔa gbeɖiɖi ƒe ʋuʋu yia wo nɔewo gbɔe. Na míakpɔ alesi ɖoɖo sia wɔa dɔe ɖa.
1. Afɔɖeɖe 1: Gbeɖiɖi ƒe ƒutsotsoewo gena ɖe wò to me eye woƒoa tomeka (tympanic membrane). Emegbe tomekaa dzea ʋuʋu gɔme, abe alesi kpẽ ƒe ŋutigbalẽ ʋuʋuna ne èƒoe ene.
2. Afɔɖeɖe 2: Malleus , alo ‘hammer’ ƒu, si do ƒome kple tomeka tẽ la xɔa ʋuʋudedia. Ne tomeka le ʋuʋum la, malleus hã ʋuʋuna nenema ke.
3. Afɔɖeɖe Etɔ̃lia: Malleus la tsɔa dzidziƒoame si wòxɔ la yia exɔlɔ̃ si kplɔe ɖo, si nye incus, alo ‘anvil’ ƒu gbɔ.
4. Afɔɖeɖe Enelia: Incus la xɔa ʋuʋudedi ma eye wòtsɔnɛ yia stapes, alo ‘line’, ƒu si nye ka mamlɛtɔ le kɔsɔkɔsɔa me la gbɔ.
5. Afɔɖeɖe mamlɛtɔ: Stapes ƒu, si xɔa ʋuʋudedi si wòxɔ la, tea fesre si le abe to me ene, si nye teƒe si le abe to me tome ƒe mɔnu ene.
Ne ʋuʋudedi sia ge ɖe tome la, tsi kple seselelãme ƒe taɖa ƒe lãmenugbagbevi siwo le afima la doa ŋusẽ wo eye wowɔa elektrikŋusẽ ƒe dzesiwo. Dzesi siawoe nye nusiwo míekpɔna dzea sii be "gbeɖiɖi" le ahɔhɔ̃a me. Le esia wɔwɔ me la, gbeɖiɖi ƒe ƒutsotsoea dzina ɖe edzi ne ele ƒu etɔ̃ siawo me tom. Esia tae míete ŋu sea gbeɖiɖi siwo menya kpɔna dzea sii bɔbɔe o gɔ̃ hã nyuie.
Na míasrɔ̃ nu geɖe tso ƒu sue etɔ̃ siawo ŋu vie.
Mina míatsɔ ƒu etɔ̃ siawo alé ŋku ɖe wo ŋu ɖe vovo.
Malleus (Malleus - aŋetu) .
Esiae nye ƒumeŋuɖuiawo dometɔ gbãtɔ kple gãtɔ kekeake. Exɔ ŋkɔa elabena eƒe nɔnɔme le abe akplɔ ene. Wotsɔa eƒe nugbɔ ɖeka kpena ɖe tomeka ŋu. Eyata ne tomeka le ʋuʋum la, malleus ƒu bliboa ʋãna. Eƒe nugbɔ kemɛa lé ɖe incus ƒua ŋu.
Incus (Incus - Akpɔkplɔ) .
Esiae nye kɔsɔkɔsɔa ƒe titina kadodo. Eƒe nɔnɔme le abe aŋetu si gaŋudɔwɔla zãna ene. Ʋuʋudedi siwo tso malleus me la ƒo esia. Ele abe alesi wotsɔa akplɔ ƒoa aŋea ene. Incus la ƒe akpa ɖeka do ƒome kple malleus, eye akpa kemɛ do ƒome kple stapes.
Stapes (Stapes - fli) .
Esiae nye kalẽtɔ suetɔ kekeake le ŋutinyaa me. Stapes nye ƒu suetɔ kekeake le amegbetɔ ƒe ŋutilã bliboa me. Milimeta ʋɛ aɖewo koe wòdidi eye wòkeke. Eƒe nɔnɔme le abe sɔ ƒe afɔ ƒe ka ene ne wole edom. Esiae nye dɔ vevitɔ kekeake si nye be woaɖe ʋuʋudediwo tso incus la me eye woatsɔ wo ayi to ememetɔ gbɔ tẽ.
Dɔléle kawoe bɔ siwo gblẽa nu le ƒu siawo ŋu?
Ne tɔtɔ aɖe do le ƒu sue siawo ƒe dɔwɔwɔ me la, gbeɖiɖi ƒe ʋuʋu meɖoa to ememetɔ gbɔ nyuie o. Woyɔa tosese si dona tso esia me be conductive hearing loss . Na míalé ŋku ɖe kuxi siwo gblẽa nu le ƒu siawo ŋu dometɔ aɖewo ŋu le ete.
| Kuxi / nɔnɔme | Kpuie ko la, nukae dzɔna? |
|---|---|
| Nusiwo mesɔ o siwo wodzina | Ƒã ŋutɔ hafi woate ŋu adzi vidzĩ aɖewo kple ƒu siawo dometɔ ɖeka si bu, matsi nyuie o, alo wòaƒo ƒu gɔ̃ hã. |
| Towo ƒe ʋuʋu | Zi geɖe la, stapes ƒua va tsakana kple lãkusi si ƒo xlãe eye mete ŋu ʋãna faa o, si wɔnɛ be ʋuʋudediwo mete ŋu kakana o. |
| Cholesteatoma ƒe dɔléle | Le nɔnɔme sia me la, ŋutigbalẽmenugbagbeviwo ƒoa ƒu ɖe titinato me abe ƒunukpeƒetetedɔ ene. Kpe sia ate ŋu agblẽ nu le ƒuawo ŋu eye wòado kplamatse woƒe ʋuʋu. |
| Titinato me dɔlékui siwo nɔa anyi ɖaa | To me dɔléle enuenu ate ŋu ana tsi naƒo ƒu ɖe to titina eye wòavuvu, si ana ƒuawo nagaʋuʋu o. Ne womewɔ atike nɛ o la, ate ŋu agblẽ nu le ame ŋu tegbee. |
| Ossicular-chain ƒe ʋuʋu | Ta ƒe abixɔxɔ kple ƒoƒo ate ŋu ana ƒu ƒe kɔsɔkɔsɔ sia ƒe kadodowo nadzo le wo nɔewo gbɔ eye woavuvu. Emegbe ʋuʋudediawo mezɔa mɔ o. |
Aleke woawɔ ade dzesi kuxi aɖe si le ƒuwo ŋu? (Dɔléle dzesi)
Ne wò to ƒe ƒuwo gblẽ la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema.
- Tosese alo tosese kpata: Edzena abe gbeɖiɖiwo le adzɔge ene, alo to la sena le eɖokui me abe ɖe wòxe mɔ ene.
- Towo ƒe ɖiɖi: Gbeɖiɖi si nɔa ɖiɖim ɖaa le to me.
- To ƒe vevesese: Seselelãme si nye vevesese le to me.
- Tsi si le abe ʋuʋudedi ene si le dodom tso to me: Woate ŋu akpɔ esia vevietɔ le dɔlékuiwo me.
- To ƒe yɔyɔ alo nyaƒoɖeamenu: Seselelãme abe ɖe ya yɔ to me ene.
- Dadasɔ ƒe kuxiwo: Ɣeaɖewoɣi la, kuxi siawo ate ŋu akpɔ ŋusẽ ɖe vestibular system hã dzi, si nye ɖoɖo si kpɔa to ƒe dadasɔ dzi, si nana ame ƒe ta natɔ.
Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Anyo wu be nàkpɔ wò ɖɔkta kaba ale si nàte ŋui eye nàxɔ aɖaŋuɖoɖo.
Dodokpɔ ka ƒomevie ɖɔktaa awɔ?
Ne èyi ɖɔkta gbɔ la, abia wò dzesiwo eye wòado wò to kpɔ. Ne ehiã la, woate ŋu aɖo wò ɖe dodokpɔ siawo dometɔ aɖewo wɔwɔ me.
| Dodokpɔ | Nukae esia wɔna? |
|---|---|
| Otoscopy ƒe dɔwɔwɔ | Wotsɔa mɔ̃ tɔxɛ aɖe si me akaɖi le doa toa ƒe eme be woakpɔe ɖa be kuxi aɖeke mele tomeka kple titinato ŋu hã. |
| Tosese dodokpɔwo | Míedzidzea afisi nàte ŋu ase gbeɖiɖiwo ase ɖo kple nenye be wò tosese ƒe kuxi aɖe le ŋuwò. |
| Tympanometry dodokpɔ | Dodokpɔ sia kpena ɖe ame ŋu be woakpɔe ɖa be tsi yɔ titinatoa me eye nenye be tomeka le ʋuʋum nyuie hã. |
| CT-dɔdamɔnu | Esia kpena ɖe ame ŋu wòkpɔnɛ nyuie nenye be nane gblẽ le ƒuwo alo lãmenugbagbevi siwo ƒo xlãe ŋu, wogbã, alo tsi le mɔ si mesɔ o nu. |
Nukawoe nye atikewɔwɔ na nɔnɔme siawo?
Atikewɔwɔ nɔ te ɖe kuxi si koŋ le ŋuwò dzi. Wò ɖɔkta ado wò kpɔ ahaŋlɔ atike si nyo na wò. Esiawoe nye atikewɔmɔnu siwo wozãna wu:
- Dɔlékuiwutikewo: Ne dɔlékui aɖe gbɔe kuxia tso la, wonaa esiawo be woatsɔ adae.
- Tomemɔ̃wo: Mɔ̃ siawo kpena ɖe ŋuwò nèsea gbeɖiɖiwo nyuie wu ne wò to me gblẽ tegbee.
- Amekoko: Ɣeaɖewoɣi la, ahiã be woawɔ dɔ na ame be woatsɔ aɖɔ ƒu siwo gblẽ la ɖo, aɖe tsitsi siwo mesɔ o ɖa, alo atsɔ ƒu siwo wowɔ kple asi ade eme.
Aleke nèwɔna be ƒu xɔasi siawo nanɔ lãmesẽ me?
Nu nyuitɔ si nàte ŋu awɔ atsɔ akpɔ ƒu sue siawo tae nye be nàɖe afɔ siwo axe mɔ ɖe to me dɔlékuiwo nu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne ède dzesi tɔtrɔ aɖewo le wò to me.
- Ne tsi ge ɖe wò to me la, tutue nyuie eye nàna wòaƒu.
- Ne nuwo abe dzamezã ene dze dziwò la, woate ŋu ana to me naxɔ dɔlékuiwo, eyata na atike nyui na wò.
- Do gakuku siwo akpɔ ame ta ne èle kamedefefe siwo me afɔku le na wò ta wɔm.
- Ne wò to me gblẽ, nèse veve, alo nèle ɖiɖim la, yi ɖɔkta enumake .
Woate ŋu ada nɔnɔme geɖe siwo gblẽa nu le ƒu siawo ŋu dzidzedzetɔe ne wokpɔe kaba. Gake ne atikewɔwɔa tsi megbe la, ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi. Eya ta, mègaŋe aɖaba ƒu kuxi sue aɖe gɔ̃ hã dzi o.
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒu sue etɔ̃ (ossicles) siwo le wò ŋutilã me la le to titina. Woawoe nye Malleus, Incus, kple Stapes.
- Ƒu ƒe kɔsɔkɔsɔ sia le vevie ŋutɔ be míate ŋu ase gbeɖiɖiwo. Wotsɔa gbeɖiɖi ƒe ʋuʋu yia to ememetɔ gbɔ.
- To me dɔlékuiwo, ta ƒe abixɔxɔ, kple atikewɔwɔ ƒe nɔnɔme aɖewo (abe to ƒe ʋuʋu ene) ate ŋu agblẽ nu le ƒu siawo ŋu.
- Ne èkpɔ dzesiwo abe nusese, to ƒe vevesese, alo to ƒe ɖiɖi ene la, mègaŋe aɖaba ƒu edzi o eye nàyi ɖɔkta gbɔ enumake.
- Atike nyui xɔxɔ kaba ate ŋu ada kuxi geɖe eye wòaxe mɔ na tome ƒe gbegblẽ tegbee.

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