Ènya nu tso ƒu suesuesue siwo le wò to me ŋua? (Ossicles) Mina míaƒo nu tso esiawo ŋu!

Èbu alesi nàwɔ ase gbeɖiɖiwo katã nyuie ŋu kpɔa? Esia tso akpa suesuesue siwo le míaƒe to me, gake wole vevie ŋutɔ la gbɔ. Woyɔa akpa sue mawo be ƒumeŋuɖui . Le nyateƒe me la, esiawo nye ƒu suetɔ kekeake siwo le míaƒe ŋutilã me la dometɔ etɔ̃. Egbea, míaƒo nu tso ƒunukpeƒe siawo, woƒe dɔwɔwɔ, kple kuxi siwo woate ŋu ahe vɛ ŋu tsitotsito.

Nukae nye ƒumeŋuɖui? Afikae wole?

Kpuie ko la, ƒumeŋuɖuiawo nye ƒu sue etɔ̃ le wò titinato me . Wodo ƒome kple wo nɔewo abe ka siwo le kɔsɔkɔsɔ me ene. Ƒu etɔ̃ siawoe nye:

1. Malleus: Wogayɔa esia be "hammer" elabena eƒe nɔnɔme le abe hammer ene.

2. Incus: Wogayɔa esia be "anvil". Ewɔa dɔ abe aŋɔ si wotsɔa akplɔ ƒoae ene.

3. Stapes: Esiae nye ƒu suetɔ kekeake le míaƒe ŋutilã me. Wogayɔnae be "strap" elabena eɖi sɔ ƒe sɔti ƒe nɔnɔme.

Bu alesi ƒu etɔ̃ siawo le suee ŋu kpɔ! Gake woawo manɔmee la, míate ŋu ase naneke nyuie o. Ƒumeŋuɖui ƒe kɔsɔkɔsɔ sia dzea egɔme tso wò tomeka (tympanic membrane) gbɔ . Tomeka nye lãkusi tsɛ aɖe si le wò to gota kple titina dome. Ƒumeŋuɖui ƒe kɔsɔkɔsɔa wu enu ɖe ​​to ƒe to si le to ememetɔ me .

Ne èyi ŋgɔ vie la...

• Malleus: Esia ƒe akpa ɖeka do ƒome kple tomeka. Ne tomeka le ʋuʋum la, malleus hã ʋuʋuna. Malleus ƒe akpa kemɛ do ƒome kple incus.
• Incus: Esia le abe domenɔla si le malleus kple stapes dome ene. Dɔ si incus wɔnae nye be wòaxɔ ʋuʋudedi tso malleus gbɔ eye wòatsɔ wo ayi stapes la gbɔ.
• Stapes: Ƒu sue sia xɔa ʋuʋudedi siwo tso incus la me eye wòtutua wo yia teƒe aɖe si woyɔna be oval window , si nye ʋɔtru ƒomevi aɖe si le to me le to ememetɔ me.

Ðe nèse alesi mɔ̃ sue sia sesẽ eye wòle vevie la gɔme azɔa?

Aleke ƒumeŋuɖuiwo wɔa dɔe? Aleke wokpena ɖe mía ŋu míesea gbeɖiɖi?

Enyo, azɔ mina míakpɔ alesi ƒu sue siawo siwo woyɔna be ossicles kpena ɖe mía ŋu míesea gbeɖiɖie ɖa. Ele abe kɔsɔkɔsɔ ƒe nuwɔna ene .

1. Gbã la, gbeɖiɖi ƒe ƒutsotsoe siwo tso egodo gena ɖe wò to me eye wòƒoa wò tomeka. Emegbe tomekaa dzea ʋuʋu gɔme . Abe alesi ne èƒo kpẽ ene la, eʋuʋuna.

2. Malleus ƒu si do ƒome kple tomeka hã ʋãna kple ʋuʋudedia.

3. Ne malleus la le ʋuʋum la, incus ƒu si lé ɖe eŋu hã ʋãna.

4. Eyome, incus la tsɔa ʋuʋudedi sia yia stapes ƒua gbɔ.

5. Stapes ƒua ƒoa ʋuʋudedi sia ɖe to si le to ememetɔ me ƒe fesre si le abe dzogoe ene la me.

Nu vevitɔe nye be ne gbeɖiɖi ƒe ʋuʋu to ƒumeŋuɖui ƒe kɔsɔkɔsɔ sia me la, wodoa ŋusẽ wo . Eyae nye be tomeka xɔa gbeɖiɖi ƒe dzesi sesẽ aɖe wu gbeɖiɖi si tso tomeka me. Esia tae míete ŋu sea gbeɖiɖi fafɛwo gɔ̃ hã nyuie.

Tsi aɖe kple taɖa ƒe lãmenugbagbevi aɖewo siwo sea veve ŋutɔ le tome . Ʋuʋudedi siwo tso stapes me ʋãa tsi sia, si doa ŋusẽ ɖa ƒe lãmenugbagbeviwo. Taɖa ƒe lãmenugbagbevi siawo trɔa gbeɖiɖi ƒe ʋuʋu wòzua elektrikŋusẽ ƒe dzesiwo eye woɖoa wo ɖe ahɔhɔ̃a me. Ahɔhɔ̃a ɖea dzesi mawo gɔme hegblɔna na mí be, "Oo, gbeɖiɖi si le ɖiɖim ye nye ema."

Bu eŋu kpɔ, nusiawo katã dzɔna le ŋkuʋuʋu me! Ewɔ nuku ŋutɔ, alo?

Dɔléle kple nɔnɔme kawoe bɔ siwo gblẽa nu le ƒumeŋuɖuiwo ŋu?

Ne kuxi aɖe le ƒu sue siawo ŋu la, gbeɖiɖi ƒe ʋuʋu mezɔna nyuie yia to ememetɔ gbɔ o, si ate ŋu ana tosese si me ʋu sina tona la nabu . Nɔnɔme aɖewo siwo gblẽa nu le ƒumeŋuɖuiwo ŋu dometɔ aɖewoe nye:

• Ƒumeŋuɖui ƒe dɔmawɔmawɔ nyuie si wodzina: Ƒã ŋutɔ la, wodzia vidzĩ aɖewo ƒu manɔmee, eye wometsina nyuie o, alo wotsina akpa. Ɣeaɖewoɣi la, ƒu siawo mate ŋu aƒo ƒu nyuie o, alo woate ŋu adidi tso wo nɔewo gbɔ alo aƒo ƒu ɖekae.
• Otosclerosis: Esia nye ne ƒumeŋuɖuiawo dometɔ ɖeka (zi geɖe la, stapes bone) léna ɖe lãkusi siwo ƒo xlãe ŋu eye mete ŋu ʋãna faa o, abe ɖe wòku ɖe ame kuku aɖe me ene.
• Cholesteatoma: Le esia me la, ŋutigbalẽmenugbagbeviwo ƒoa ƒu ɖe titinato me, eye wowɔa ƒunukpeƒetetedɔ. Esia ate ŋu agblẽ nu le ƒumeŋuɖuiawo ŋu eye wòaxe mɔ na woƒe ʋuʋu.
• Titinato me dɔlékui siwo nɔa anyi didi: To me dɔlékui siwo nɔa anyi ɖaa ate ŋu ana titinatoa naxɔ abi, tsi nayɔe fũ, eye wòado kplamatse ƒumeŋuɖuiawo ƒe ʋuʋu. Ne womewɔ atike na wo nyuie o la, ate ŋu agblẽ nu le eŋu tegbee.
• Ƒumeŋuɖui ƒe kɔsɔkɔsɔ ƒe ʋuʋu: Ne abi gã aɖe le ta ŋu la, ƒu ƒe kɔsɔkɔsɔ sia ate ŋu aʋuʋu alo agbã. Esia wɔnɛ be ʋuʋudediwo mete ŋu kakana nyuie o. Kɔsɔkɔsɔ sia ate ŋu agbã to tsitsi aɖewo siwo mesɔ o (dɔdzẽ) alo to me dɔlékui siwo nɔa anyi didi hã me.

Dzesi kawoe dzena le nɔnɔme sia me?

Ne kuxi aɖe le wò ƒumeŋuɖui ŋu la, àte ŋu akpɔ dzesiwo abe:

• To ɖeka alo evea siaa ƒe tosese, tokunɔnyenye, alo tomesese kura.
• Gbeɖiɖi si le ɖiɖim le to me sese (tomeʋuʋu) .
• To ƒe vevesese.
• Tsi aɖe si le abe ʋuʋudedi ene le dodom tso toa me.
• To ɖeka alo evea siaa ƒe kpekpe alo yɔyɔ ƒe seselelãme.
• Dadasɔ ƒe nyawo (siwo dometɔ aɖewoe nye ne nɔnɔmea gblẽ nu le vestibular system si le to me, si kpɔa ŋusẽ ɖe dadasɔ dzi).

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele be nàkpɔ ɖɔkta godoo .

Dodokpɔ kawoe wowɔna tsɔ nyaa ne kuxi aɖe le ƒumeŋuɖuiawo ŋu?

Ne èyi ɖɔkta gbɔ la, anɔ eme be ado wò to kpɔ. Zi geɖe la, wowɔa dodokpɔ siwo gbɔna:

• Otoscopy: Esia bia be nàtsɔ dɔwɔnu sue aɖe (``otoscope'') si me akaɖi le akpɔ wò to me. Esia ate ŋu alé ŋku ɖe nuwo abe tomeka, tsi si le to titina, kple dɔlékuiwo ene ŋu.
• Tosese dodokpɔ (Audiometry): Dodokpɔ siawo ate ŋu anya alesi nàte ŋu ase nu nyuie kple gbeɖiɖi siwo màte ŋu ase o.
• Tympanometry dodokpɔ: Esia dzidzea tomeka ƒe ʋuʋu kple nyaƒoɖeamenu si le titinato me, si wɔnɛ be wokpɔnɛ nenye be tsi le titinatoa me alo kuxi aɖe le ƒumeŋuɖuiwo ŋu.
• CT scan: Ɣeaɖewoɣi la, woate ŋu awɔ CT scan be woakpɔ nusiwo gblẽ le ƒumeŋuɖuiawo ŋu, afisi wole, kple alesi lãkusi siwo ƒo xlãe le nyuie.

Nukawoe nye atikewɔwɔ na kuxi siawo siwo do ƒome kple ƒumeŋuɖui?

Atikewɔwɔ nɔ te ɖe nɔnɔme si le ŋuwò dzi. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:

• Dɔlékuiwutikewo: Ne dɔlékui aɖe gbɔe kuxia tso la, woate ŋu ana dɔlékuiwutikewo atsɔ adae.
• Tomemɔ̃wo: Ne mèse nyuie o la, àte ŋu azã tomemɔ̃wo atsɔ akpe ɖe ŋuwò nàse nu nyuie wu.
• Amekoko: Le go aɖewo me la, ate ŋu ahiã be woawɔ dɔ na ame, le kpɔɖeŋu me, be woaɖe ƒunukpeƒetetedɔ abe cholesteatoma ene ɖa, be woaɖe asi le ƒu si xaxa ŋu ne tome gblẽ, alo be woagbugbɔ ƒu siwo gbã/siwo ʋu le wo teƒe la aɖo wo nɔewo ŋu (ossiculoplasty).

Ðo ŋku edzi be dɔlélea didi kaba kple edada le vevie ŋutɔ. Esia akpe ɖe mía ŋu míaxe mɔ ɖe nusiwo agblẽ nu tegbee nu.

Aleke míewɔna be míaƒe to ƒe ƒuwo nanɔ lãmesẽ me?

Nu nyuitɔ si nàte ŋu awɔ be wò ƒu sue siawo siwo xɔ asi ŋutɔ la nanɔ lãmesẽ me enye be nàɖe afɔ aɖewo atsɔ axe mɔ ɖe to me dɔlékuiwo nu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne ède dzesi tɔtrɔ aɖewo le wò to me.

• Ƒo asa na tsi ƒe gege ɖe to me. Kpɔ nyuie ne èle tsi ƒum hele tsi ƒum.
• Ne èle wò towo kɔm la, mègade nuwo abe kotoku ene wò to me o elabena esia ate ŋu agblẽ nu le wò to me.
• Ne dzamezã alo dzamezã dze dɔ la, kpɔ egbɔ be womekpɔ ŋusẽ ɖe wò to dzi o.
• Zã tomeka ne èle teƒe siwo gbeɖiɖi sesẽ ŋutɔ.

Woate ŋu ada nɔnɔme geɖe siwo gblẽa nu le ƒumeŋuɖuiwo ŋu ahada wo. Gake ne wohe atikewɔwɔa ɖe megbe la, ate ŋu agblẽ nu le eŋu ɣeyiɣi didi. Eyata, yi ɖɔkta gbɔ ne ènya de dzesi tɔtrɔ suetɔ kekeake gɔ̃ hã le wò to me ko.

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be míaɖo ŋkui

Ƒumelãwo nye nuwɔwɔ wɔnuku aɖe le míaƒe ŋutilã me vavã. Dɔ gã si ƒu sue etɔ̃ siawo wɔna ɖekae lae na míesea gbeɖiɖi vovovo siwo le xexeame eye míesea vivi na wo.

Ƒumeŋuɖui nye ƒu sue etɔ̃ siwo woyɔna be malleus, incus, kple stapes. Wole to titina eye wofɔa gbeɖiɖi ƒe ʋuʋu tso to me, doa ŋusẽ wo, eye woɖoa wo ɖe to si le to ememetɔ me. Le afima la, wotrɔa ʋuʋudediawo wozua elektrikŋusẽ ƒe dzesi siwo zɔa mɔ yia ahɔhɔ̃a me, si wɔnɛ be míesea gbeɖiɖi gɔme.

Eyata, lé be na wò towo. Ne tosese ƒe kuxi aɖewo le ŋuwò la, mègaŋe aɖaba ƒu edzi o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ekema kalẽtɔ sue etɔ̃ siawo ayi edzi akpe ɖe ŋuwò nàse xexeame ƒe gbeɖiɖiwo!

` To ƒe ƒuwo, ƒumeŋuɖuiwo, malleus, incus, stapes, tosese, tomeka, tosese, to titina, to ememetɔ, tomeka