Ðe tsi aɖe le dodom tso wò to mea? (Otorrhea) – Mina míanɔ ŋudzɔ ɖe esia ŋu!

Ðe nède dzesi tsi aɖe si le abe tsi ene, si ƒe amadede nye ɣie, alo ɣeaɖewoɣi la, nu ɣi aɖe si le abe ʋuʋudedi ene dona le wò to me kpɔa? Ame aɖewo yɔa esia be "to me tsi si dona" alo "tsi le to me." Ðevi suewo ate ŋu ato nɔnɔme sia me zi geɖe ŋutɔ. Menye naneke si ŋu nàtsi dzi ɖo o, gake ele vevie be nànyae. Egbea, míaƒo nu tso nɔnɔme sia, alo abe alesi ɖɔktawo yɔnae ene , tomeka .

Nukae nye Otorrhea? Kpuie ko la,...

Kpuie ko la, to me dɔléle nye tsi si dona le to me. Zi geɖe la, esia dzɔna ne to me dɔlékui aɖe na tomeka gbã. Esia wɔnɛ be tsi si tso titinato me dona to tomeka me. Ke hã, nu bubuwo hã li siwo gbɔ wòtso. Le kpɔɖeŋu me, tsiƒula ƒe to, nɔnɔme si dzɔna ɖe ame siwo ƒua tsi enuenu dzi, alo nu bubu aɖe si tsi to me, alo abi si wòxɔ le ta le afɔku aɖe ta.

Ðe to me dɔléle nyea dɔlékui ɣesiaɣia?

Ao, menye nyateƒee o. Enye nyateƒe be nu vevitɔ si hea tomeʋuʋu vɛ enye dɔlékuiwo. Zi geɖe la, enyea to titinadɔléle, si woyɔna be otitis media , alo to ƒe gotadɔléle alo tomeka kple tomeka ƒe dɔdzẽ, si woyɔna be otitis externa . Gake abe alesi míegblɔe va yi ene la, ne nane tsi to me alo ne èxɔ abi vevie le ta me la, ate ŋu ana tsi nado le to me hã. Eyata ne èkpɔ tsi le dodom tso wò to me la, mègasusu be dɔlékui aɖee o, gake anyo wu be nàyi ɖɔkta gbɔ be nànya nusi tututu gbɔ wòtso.

Amekae dɔléle sia (Otorrhea) gblẽa nu le wu?

Le nyateƒe me la, nɔnɔme sia bɔ ɖe ɖevi suewo dome ŋutɔ. Nusitae nye be to me dɔlékuiwo xɔa wo zi geɖe. Ame tsitsiwo hã ate ŋu axɔe, gake zi geɖe la, nane abe abi si woxɔ le to me le vo me ene gbɔe wòtsona.

Nu bubu enye be zi geɖe la, ɖevi sue aɖewo xɔa to me dɔlékuiwo, eyata ɖɔktawo dea mɔ̃ sue aɖe woƒe to me (``to ƒe mɔ̃``). Ðevi siwo si mɔ̃ siawo le la dometɔ siwo ade 17%, alo wuiadre le alafa ɖesiaɖe me, ava xɔ tsi le woƒe to me mlɔeba. Ne ``to me mɔ̃`` siawo dometɔ ɖeka le viwò ŋu la, ɖɔkta agblɔ na wò be nàzã dɔlékuiwutike aɖewo atsɔ atɔ te tsi la. Ne tsiteteawo metɔ te tsia o la, ɖɔktaa agalé ŋku ɖe ɖevia ŋu ake eye wòawɔ dodokpɔ bubuwo.

Ne ɖevi alo ame tsitsi aɖewo li siwo me tsi le dodom le woƒe towo me le esi míeyɔ va yi (otitis externa) alo `tsiƒula ƒe to` ta la, woate ŋu azã `tomeka` tɔxɛ siwo wotsɔ dea woƒe to me ne wole tsi ƒum alo le tsi ƒum. Alo àte ŋu atsɔ ami sue aɖe asisi ɖe kotoku sue aɖe ŋu eye nàtsɔe ade to me. Esia ate ŋu aɖe tsi si gena ɖe to me dzi akpɔtɔ va ɖo afi aɖe.

Lãmetsi ƒomevi kawoe dona tso to me?

Lãmetsi ƒomevi vevi atɔ̃e dona tso to me:

• Purulent: Esiae nye ɣeyiɣi si me ʋuʋudedi dona. Zi geɖe la, eƒe amadede nyea ɣie eye ate ŋu anye esi le ɣie.
• Serous: Esia fia tsi (serum) si me protein sɔ gbɔ ɖo le míaƒe ʋu me. Ate ŋu anye tsi vie, eye ate ŋu anye ɣie si me kɔ.
• Ʋu: Ɣeaɖewoɣi la, woate ŋu atsaka ʋu.Ate ŋu anye dzĩ dzẽ alo dzĩ si me kɔ.
• Mucoid: Esia nye tsi si le ʋeʋẽm, si ɖi mucus.
• Clear: Tsi si me kɔ , si me amadede mele o, abe tsi ene.

To mɔ sia dzi la, ɖɔkta ate ŋu anɔ te ɖe tsi si le eme ƒe nɔnɔme dzi akpɔ nusi gbɔ wòtso ƒe susu aɖe.

Aleke gbegbee Otorrhea bɔe?

Le nyateƒe me la, tomeka nye dɔléle si bɔ ŋutɔ. Ɣeaɖewoɣi la, ate ŋu atso nɔnɔme bɔbɔe aɖe si mesẽ o gbɔ, gake ɣeaɖewoɣi la, ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi. Nusi gbɔ wòtsona wue nye to me dɔlékui.

Nukae nye esia ƒe dzesiwo?

Dzesi vevitɔe nye tsi si dona le to me . Ðewohĩ tsi sia si dona le eme la meʋẽna o alo ate ŋu aʋẽ lilili. Ate ŋu anɔ tsɛ, tsi le eme, alo le ɣie. Amadedea hã sɔ; ate ŋu anɔ amadede vovovowo me, abe esi me kɔ, ɣie, alo amadede dzẽ ene.

Tsɔ kpe ɖe dzesi vevi sia ŋu la, dzesi bubu geɖe siwo bɔ ate ŋu anɔ anyi:

• To ƒe vevesese
• To si le ʋuʋum
• Gbeɖiɖi vovovowo sese le to me (ɖɔktawo yɔa esia be `tinnitus`) .

Gake ame aɖewo ate ŋu akpɔ dzesi siwo nu sẽ wu . Le nɔnɔme mawo me la, ele vevie be woayi ɖɔkta gbɔ enumake. Dzesi mawo dometɔ aɖewoe nye:

• Asrã
• Ŋutilã si ƒo xlã to ƒe biã (woyɔa esia be `erythema`) .
• Tosese ƒe dɔmawɔmawɔ nyuie
• Kuxi siwo le lãmeka siwo le taɖua me ŋu , le kpɔɖeŋu me, nuƒoƒo, nu mimi, alo nukpɔkpɔ sesẽ.
• Taɖuame ƒe seselelãme (vertigo) .

Ðewohĩ amesiwo ŋu dzesi siawo le la xɔ abi nyitsɔ laa le ta (ta ƒe ƒoƒo).

Ele be amesiwo ŋu suklidɔ le alo amesiwo ƒe dɔlélenutsiŋutete gblẽ la naɖɔ ŋu ɖo vevietɔ le dzesi siawo ŋu, elabena woate ŋu axɔ kuxiwo. Ne dzesi sesẽ siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake .

Nukatae esia (Otorrhea) dzɔna? Nukawoe gbɔ wòtsona?

Abe alesi míegblɔe va yi ene la, nu geɖe li siwo gbɔ tomeʋuʋu tsona.

Nusiwo gbɔ wòtsona zi geɖe:

• Tomeka si vuvu
• Titinato me dɔlékuiwo(Esiawo ateŋu anye ɣeyiɣi kpui aɖe ƒe `acute` alo ɣeyiɣi didi ƒe `chronic`)
• To gota dɔlékuiwo , abe tsiƒula ƒe to, alo fungi yeast dɔlékui siwo le to ƒe mɔ̃ me ene
• Dutatɔ aɖe si tsi to me

Nusiwo mebɔ o, gake woate ŋu ahe dɔléle sesẽwo vɛ dometɔ aɖewoe nye:

• Ŋutilã ƒe tsitsi si mesɔ o le tomeka megbe (woyɔa esia be cholesteatoma . Esia nye nɔnɔme si sesẽ vie wu) .
• Gbagbã le wò tagbɔ ƒe gɔme
• Kansa si le wò to me
• To gotagome dɔlékui sesẽ (woyɔa esia be `Malignant (necrotizing) external otitis`. Esia nye dɔlékui sesẽ aɖe si gblẽa nu le to ƒe gotagome mɔ kple taɖu ƒe ƒuwo ŋu)

Ðe (Otorrhea) xɔa ame mea?

Otorrhea ŋutɔ mexɔa ame o. Nenema ke zi geɖe la, to me dɔlékuiwo mexɔa ame tso ame gbɔ yi ame bubu gbɔ o. Gake ne to me dɔlékui kple dzamezã le ŋuwò la, àte ŋu akaka vuvɔ ma ɖe ame bubuwo me ne èle kɔdzi alo aɖuɖɔ.

Aleke ɖɔkta awɔ anya dɔléle sia (Otorrhea)?

Ne èyi ɖɔkta gbɔ la, ado wò kpɔ gbã. Zi geɖe la, dodokpɔ sia lɔ:

• Woalé ŋku ɖe wò dzoxɔxɔ kple dzesi vevi bubuwo ŋu.
• Woado wò to me nyuie akpɔe ɖa be tsi, dɔlékui aɖe, alo do aɖe le tomeka me hã.
• Woase le wo ɖokui me le wò to, asike ƒe akpa, kple kɔ ŋu be yewoakpɔe ɖa be vuvu aɖe alo nu bubu aɖe si mebɔ o hã.
• Woléa ŋku ɖe ŋutigbalẽ si ƒo xlã toa hã ŋu be eƒe amadede biã eye wòvuvu (dɔdzẽ).

Dodokpɔ bubu kawoe nèwɔna?

Zi geɖe la, wò ɖɔkta ate ŋu akpɔ tome dɔléle to ŋutilãmedɔdada si míeyɔ ɖe etame dzi. Gake ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔlélea dzi alo atsɔ ade dzesi nusi gbɔ wòtso.

• Tosese dodokpɔ (`Audiometry`): Esia doa alesi nàte ŋu ase nu nyuie kple nusi wò tose ƒe didime nye kpɔ.
• CT scan: Esia nye nɔnɔmetatawo dodokpɔ. Ate ŋu akpɔe ɖa be dɔlékuia kaka wu to titina hã.
• MRI scan: Ne èxɔ abi le ta me la, MRI sia ate ŋu ade dzesi tsi si le dodom le ahɔhɔ̃mekawo me tsi (CSF) si ƒo xlã wò ahɔhɔ̃ me.
• Tagbɔdɔléle ƒe lãmekawo dodokpɔ: Ne èxɔ abi nyitsɔ laa le ta alo nukpɔkpɔ, nu mimi, alo nuƒoƒo sesẽ na wò la, wò ɖɔkta akpɔe ɖa be wò tagbɔ ƒe lãmekawo le dɔ wɔm nyuie hã.
• Dekɔnu: Woɖea tsi sue aɖe tso to me hedonɛ kpɔna le nudokpɔƒe be woakpɔe ɖa be dɔlékui alo fungi aɖewo tsi le eme hã.

Aleke wowɔa nu ɖe ​​esia ŋui?

Tome ƒe dɔléle dada nɔ te ɖe nusi gbɔ tsi si le dodom le wò to me tso dzi . Le kpɔɖeŋu me, ne dɔlékuiwo le wò titinato me la, wò ɖɔkta ana dɔlékuiwutike siwo woano wò. Le to ƒe gotagome dɔlékuiwo gome la, woana tomeka siwo wua dɔlékuiwo wò zi geɖe .

Ne tomeka si vuvu le ŋuwò la, ɖewohĩ ahaya le eɖokui si le kwasiɖa ʋɛ aɖewo megbe. Ke hã, ehiã be woawɔ dɔ na ame aɖewo be woaxe doa. Woyɔa esia be tympanoplasty .

Ne womete ŋu ke ɖe nusi gbɔ wòtso ŋu enumake o la, wò ɖɔkta aɖo wò ɖe dɔdala bibi aɖe gbɔ. Woaɖo ame siwo ŋu to me dɔlékuiwo le enuenu la ɖe to, ŋɔti kple ŋɔti ŋuti nunyala bibi aɖe (otolaryngologist - ENT surgeon) . Ne ɖikeke aɖe li be abi si nèxɔ le ta gbɔe nɔnɔmea tso la, wò ɖɔkta aɖo wò ɖe ahɔhɔ̃ŋutinunyala gbɔ be wòagawɔ dodokpɔ bubuwo na wò ahawɔ atike na wò.

Ðe woate ŋu axe mɔ ɖe tomeʋuʋu nua?

Zi geɖe la, esesẽna na mí be míaɖu nusiwo hea (Otorrhea) vɛ dzi. Eyata manya wɔ be woaxe mɔ nɛ keŋkeŋ o. Ke hã, le amesiwo xɔa nɔnɔme si woyɔna be `tsiƒula ƒe to` enuenu gome la, woate ŋu aɖe afɔku si le tsi si le to me me dzi akpɔtɔ to `tomeka` tɔxɛwo zazã ne wole tsi ƒum hele tsi ƒum.

Nukae dzɔna ne (Otorrhea) le ŋunye? Ðe wòle be matsi dzia?

Zi geɖe la, tomeka dada mesesẽna nenema gbegbe o. Ne dɔlékui aɖe le ŋuwò la, wò ɖɔkta aŋlɔ dɔlékuiwutike siwo woano alo tomeka siwo wua dɔlékuiwo na wò be woatsɔ adae.

Ne to me dɔlékuiwo (to me dɔléle siwo nɔa anyi didi) le ŋuwò alo viwòa ŋu enuenu la, wò ɖɔkta ate ŋu aɖo wò ɖe ENT ɖɔkta gbɔ be woado wò kpɔ ake.

Gake ne tsia le dodom le wò to me abe abi si nèxɔ nyitsɔ laa ƒe nugbegblẽ le ŋuwò ene la, wò ɖɔkta aɖo wò ɖe ahɔhɔ̃ŋutinunyala aɖe be wòakpɔ nusi nàwɔ azɔ. Esia nye nudzɔdzɔ kpata, eyata ehiã be woalé ŋku ɖe eŋu enumake.

Ɣeyiɣi didi kae nɔnɔme sia ate ŋu anɔ anyi?

Otorrhea ateŋu anye ɣeyiɣi kpui aɖe (`acute`) alo ɣeyiɣi didi (`chronic`). Ɣeyiɣi didi si wòanɔ te ɖe nusi gbɔ wòtso dzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne wò to me tsi si dona wu ŋkeke etɔ̃ , ele be nàyi ɖɔkta gbɔ godoo. Azɔ hã, ne to le veve sem na wò, asrã le ŋuwò, wò to biã, alo wò kɔ le vuvu , yi ɖɔkta gbɔ enumake. Otorrhea nye dzesi si ate ŋu atso susu vovovowo ta. Togbɔ be nusiwo gbɔ wòtsona dometɔ aɖewo mesẽ o hã la, bubuwo ate ŋu anye nu sesẽ. Eyata ele vevie ŋutɔ be woakpɔ dɔlélea kaba ale si nàte ŋui.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne tsi le dodom le wò to me le ta ƒe abi alo abi si nèxɔ nyitsɔ laa megbe la, .Ƒo ka na 911 enumake alo yi xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò. Azɔ hã, ne nu mimi, nuƒoƒo, alo nukpɔkpɔ sesẽ na wò , ele be nàyi atikewɔƒe enumake.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Nukatae tsi sia le dodom tso nye to me? Nuka gbɔe wòtso?
• Ðe to me dɔlékui aɖe le ŋunyea? Ne nenemae la, ke dɔlékui ka ƒomevie wònye?
• Atike ka ƒomevie wòle be mano?
• Ðe wòhiã be makpɔ eŋutinunyala bibi aɖea?
• Ðe wòahiã be mawɔ dodokpɔ bubuwoa?
• Ðe mehiã be woawɔ atike nam kpataa?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Otorrhea nye tsi si dona le to me. Ate ŋu atso nu vovovowo gbɔ. Zi geɖe la, to me dɔlékui alo tomeka si me do le gbɔe wòtsona. Ne wowɔ atike nɛ la, zi geɖe la, edzona le ŋkeke ʋɛ aɖewo megbe. Gake ɣeaɖewoɣi la, Otorrhea ate ŋu anye dzesi be lãmesẽkuxi sesẽ bubu aɖe le ŋuwò.

Eyata nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ ne ènya de dzesi dzesi aɖewo abe tsi si le dodom le to me ene ko, evɔ màbu eŋu nu tsɛe o. Ekema àte ŋu axɔ atike nyuitɔ eye nàhaya kaba. Mègatsi dzodzodzoe o, gake mègahe ɖe megbe hã o!

` otorrhea, to me tsi si dona, to me dɔlékui, to ƒe gbagbã, tsiƒula ƒe to