Ðe wò to hã le veve sem alo biãa? Ate ŋu anye perichondritis!

Ðe woto wò towo kpɔa? Vevietɔ to la tame, afisi ƒunukpeƒea le? Alo ɖe wò to xɔ abi sue aɖe kpɔ, eye emegbe wò to biã, vuvu, eye wòse veve ne èka asi eŋua? Le nɔnɔme ma me la, ɖewohĩ dɔléle aɖe si woyɔna be perichondritis va dze dziwò. Mina míaƒo nu tso esia ŋu egbea, elabena ate ŋu anye afɔku ne womewɔ atike nɛ o.

Nukae nye Perichondritis?

Kpuie ko la, perichondritis nye dɔlékui si dzɔna ne dɔlékui aɖe ge ɖe lãkusi si ƒo xlã ƒunukpeƒe si le míaƒe to ƒe gota gome la me. Lé ŋku ɖe míaƒe to ƒe gota gome ɖa. Nusi nàte ŋu ase le ɖokuiwò me la sesẽ vie, gake etrɔna ɖe nɔnɔmewo ŋu. Aleae woyɔna be ƒunukpeƒetetedɔ . Ele abe ŋɔti ƒe ŋgɔgbe ene. Ƒunukpeƒe siae naa toa ƒe nɔnɔme nɔa eŋu. Eyata ne nane abe dɔlékuiwo ene ge ɖe lãkusi tsɛ si ƒo xlã ƒunukpeƒe sia (míeyɔnɛ be perichondrium, si nye afisi ƒunukpeƒea kpɔa nunyiame le) la, dɔlékuiwo gena ɖe eme eye wòdzea vuvu gɔme, wòbiãna, eye wòvea ame. Ɣeaɖewoɣi la, wogayɔa esia be auricular perichondritis.

Zi geɖe la , abi si woxɔ le to ŋu, dzobibi, alo to me toto gbɔe esia tsona, vevietɔ to si wodo ɖe to me wòkɔ . Ɣeaɖewoɣi la, ʋuʋudedi ate ŋu aƒo ƒu ɖe ƒunukpeƒea kple lãkusia dome, si ana wòazu ƒunukpeƒetetedɔ .

Nu vevitɔe nye be ne womede dzesi esia hedae kaba o la, ƒunukpeƒea ate ŋu atso ʋua me eye wòaku (necrosis). Ne edzɔ alea la, to ate ŋu azu nuwɔametɔ tegbee. Woyɔa esia be ‘seƒoƒotsihe ƒe to’ .

Vovototo kae le Perichondritis kple Cellulitis dome?

Fifia àte ŋu anɔ eŋu bum be, "Ne ŋutigbalẽ ƒe dɔlélee le to me la, ke cellulitis ye, alo?" Ẽ, wo ame evea siaa nye ŋutigbalẽdɔlékuiwo, eye wo ame evea siaa ate ŋu ana ame naxɔ abi. Gake vovototo sue aɖe le wo dome.

• Perichondritis: Zi geɖe la, ƒunukpeƒetetedɔ si le to ƒe akpa si le tome la tame koe esia gblẽa nu le. Mekpɔa ŋusẽ ɖe akpa falɛfalɛ si le to te (to ƒe akpa) dzi o.
• Cellulitis: Esia ate ŋu akaka ɖe to bliboa me, le to ƒe tame kple akpa falɛfalɛ si le ete siaa.

Eyata ele bɔbɔe be ɖɔkta nade dzesi vovototo sia.

Aleke gbegbee nɔnɔme sia bɔe?

Perichondritis menye ŋutigbalẽ ƒe dɔléle si bɔ ŋutɔ o, gake numekulawo gblɔ be edo ƒome kple to me toto fũ, vevietɔ le sɔhɛwo dome.Tso esime wòva xɔ ŋkɔ la, dɔléle sia ƒe dzɔdzɔ dzi ɖe edzi. Numekuku aɖe si wowɔ le England ɖee fia be dɔnɔ siawo ƒe xexlẽme dzi ɖe edzi zi gbɔ zi eve tso ƒe 1990 va ɖo ƒe 1998. Wokpɔe be nɔnɔme sia gbɔe esia tso. Elabena mɔnukpɔkpɔ si li be wòaxɔ dɔlékuia lolona ŋutɔ ne woto ƒunukpeƒea wu ne woto to ƒe akpa falɛfalɛa me. Eyata mɔnukpɔkpɔ geɖe wu li be nàge ɖe kuxi me le nane si wowɔ ta be wòanya kpɔ ta, alo?

Nukae nye Perichondritis ƒe dzesiwo?

Dzesi vevitɔ kple esi bɔ wue nye to ƒe vevesese, bibi, kple to ƒe vuvu . Ate ŋu ase le eɖokui me abe ɖe ame aɖe ƒo wò alo nane tsi to me ene. Zi geɖe la, abi sia dzea egɔme tso abi, lãɖeɖe, alo ʋuʋudedi gbɔ. Ðo ŋku edzi be ƒunukpeƒe si le toa tame koe esia gblẽa nu le, ke menye akpa falɛfalɛ si le to te (to ƒe akpa) o.

Dzesi bubu geɖewo ate ŋu anɔ eŋu:

• Àte ŋu axɔ asrã .
• Àte ŋu ase veve vevie ne èka asi to ŋu (veve).
• Àte ŋu ase dzoxɔxɔ ne èka asi wò to ŋu.
• Ne ʋuʋudedi aɖe do la, tsi si le abe ʋuʋudedi ene hã ate ŋu ado le eme.

Ne dzesi siawo tɔgbe le ŋuwò la, ele be nàkpɔ ɖɔkta godoo.

Nukatae perichondritis dzɔna? Nukawoe gbɔ wòtsona?

Le nyateƒe me la, esia nye dɔlékuiwo ƒe dɔléle . Dɔlékui siwo bɔ wu siwo gbɔ esia tsoe nye `Pseudomonas aeruginosa` . Le ema ɖeɖeko megbe la, `Staphylococcus aureus` kple `Escherichia coli` hã ateŋu ahee vɛ.

Kpuie ko la, esia dzɔna ne dɔlékuiwo ge ɖe to si le gota ƒe ƒunukpeƒe. Susu vevi geɖewo li siwo tae esia ate ŋu adzɔ ɖo:

Nu vevitɔ si gbɔ wòtso - to me toto (vevietɔ ƒunukpeƒetetedɔ) .

Esiae nye susu vevitɔ si ta míekpɔnɛ le ŋkeke siawo me. Ne èto ƒunukpeƒe si le wò to tame la, dɔlékuiwo ate ŋu ato abi ma me age ɖe eme bɔbɔe. Ne mèkɔ eŋu nyuie o, alo ne dɔwɔnu si wotsɔ doa nu la ƒo ɖi la, afɔkua lolo wu sã.

Susu bubuwo tae

• Nuveviwɔame le to alo ta ƒe axadzi: Esia ate ŋu adzɔ tso afɔku, anyidzedze, alo dzrewɔwɔ gɔ̃ hã me.
• Nuveviwɔame le kamedefefewo me: Kamedefefewo abe kɔdada kple rugby ene ate ŋu ana woaƒo towo.
• Dzobibi: Ne nane abe tsi dzodzoe alo ami ene ge ɖe to me.
• Nudzodzoewo ƒe ɖuɖu: Ðewohĩ lã aɖe abe nudzodzoe alo anyidi ene ɖu wò.
• Atikewɔwɔ: Tomekadodo ate ŋu ahe dɔlékuiwo vɛ ɣeaɖewoɣi.

Susu siwo womekpɔna fũ o

• To ƒe dɔwɔwɔ na ame.
• Ne womeda dɔlékui aɖe si le to me (abe titinato me dɔlékui ene) nyuie o la, ate ŋu akaka ɖe to me.
• Nuveviwɔame suesuesuewo, abe tomekadodo enuenu ene.
• Ate ŋu atso herpes zoster dɔlékui alo shingles, si dzɔna le koklozi megbe hã gbɔ.

Amekawoe le afɔku me wu?

Ame aɖewo ate ŋu axɔ dɔléle sia wu:

• Ame siwo ŋu dɔdzẽ ƒe nɔnɔmewo le le ŋutilã me, le kpɔɖeŋu me, dɔlélewo abe `granulomatosis with polyangiitis`.
• Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ .
• Ame siwo ŋu dɔlélewo abe suklidɔ ene le .

Aleke ɖɔktawo dea dzesi esiae?

Ne èyi ɖɔkta gbɔ la, nu gbãtɔ si wowɔnae nye be woado wò to kpɔ nyuie . Woléa ŋku ɖe eŋu, senɛ le eɖokui me, heléa ŋku ɖe eŋu be evuvu, biã, eye wòle veve sem hã. Emegbe wobiaa nya wò tso wò dzesiwo ŋu.

Woabia wò atikewɔwɔ ŋutinya hã. Esia fia nenye be exɔ abi le to me nyitsɔ laa, wowɔ dɔ na wò to, dzobibi, alo abidada na wò. Nyatakaka siawo akpe ɖe ɖɔktaa ŋu wòanya nenye be perichondritis ye. Zi geɖe la, mehiã be woawɔ dodokpɔ aɖeke koŋ na esia o.

Nukawoe nye atike siwo wozãna na perichondritis?

Dɔlékuiwutikewoe nye esia ƒe atike vevitɔ. Dɔlékuiwutike si ƒomevi woana wò anɔ te ɖe wò nɔnɔmea ƒe sesẽ kple dɔlékui ƒomevi si hea dɔlélea vɛ dzi.

Atikewo zazã

• Zi geɖe la, woŋlɔa dɔlékuiwutike si nye fluoroquinolone na ame. Esia ate ŋu anye atikekui si nèno alo atike si nàtsɔ asisi ɖe to si ŋu dɔlélea le la dzi tẽ.
• Nukpɔsusu vovovowo le amewo si ku ɖe fluoroquinolones nana ɖeviwo ŋu . Numekuku aɖewo ɖee fia be atike sia ate ŋu ahe nugbegblẽ le ame ŋu abe ƒunukpeƒewo ƒe sesẽ kple lãkusi ƒe gbagbã ene vɛ na ɖeviwo. Gake Amerikatɔwo ƒe Ðeviwo ƒe Dɔlélewo Ŋuti Nusrɔ̃ƒe gblɔ be atike sia mele dedie na ɖeviwo o. Ke hã, ɖɔkta lae tsoa nya me le nusi nyo wu ŋu.
• Ðɔktaa aɖe nu bubu ɖesiaɖe si tso to me, abe togɛ alo ke ene, ɖa.
• Woate ŋu ana corticosteroid si woano wò (esia kpena ɖe ŋuwò be nàɖe abi dzi akpɔtɔ).
• Wogblɔna be woatsɔ atike siwo me dzo le asisi ɖe wo ŋu .
• Wogblɔ be woano vevesesenutsitike siwo womeƒlena le atikedzraƒe o be woatsɔ aɖe vevesesea dzi akpɔtɔ.

Ke ne ʋuʋudedi aɖe do ya ɖe?

Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ ate ŋu adzɔ le toa me, si axe mɔ na ʋu ƒe sisi yi ƒunukpeƒea. Le go sia me la, ehiã be woawɔ dɔ na ame sue aɖe . Ðɔktaa ɖea nu sue aɖe le ƒunukpeƒea, ɖea ʋuʋudedi siwo katã le eme la ɖa, eye wòɖea ƒunukpeƒe alo ŋutigbalẽ kuku ɖesiaɖe ɖa. Lãɖeɖe sia nana ƒunukpeƒea gadzea ʋu dodo gɔme ake.

Ðɔktaa ate ŋu agblẽ mɔ̃ sue aɖe (tsi si toa eme) ɖe afima ŋkeke ɖeka va ɖo etɔ̃, vaseɖe esime aɖuɖɔa nado keŋkeŋ. Be ʋu nayi edzi ayi ƒunukpeƒea la, ɖɔkta ate ŋu atɔ wò lãkusi hã ɖe teƒe si wòle.

Aleke nàwɔ akpɔ ɖokuiwò ta tso esia me? (Mɔxexe ɖe enu) .

Mɔ nyuitɔ si dzi nàto aƒo asa na esiae nye be nàƒo asa na ƒunukpeƒetetedɔ si le toa tame la toto alesi nàte ŋui . Le nyateƒe me la, enye dɔdamɔnu si me afɔku le ŋutɔ. Ne ele be nàto wò to me la, na woato akpa falɛfalɛ si le to te (to ƒe akpa) la. Afɔku si le dɔlékuiwo xɔxɔ me le ʋɛ wu kura le afima.

Nu ʋɛ bubuwo gali nàte ŋu awɔ:

• Ƒo asa na abɔtasisi na to (ne èwɔe la, ame si le dzadzɛ ŋutɔ, si dze koe nawɔe).
• Ne to me dɔlékui aɖe dze dziwò la, na woadae kaba . Mègahe ɖe megbe o.
• Kpɔ nyuie be màgade abi wò towo ŋu ne èle kamedefefe aɖewo siwo wotsɔa ka ɖe wo nɔewo ŋu wɔm (e.g., tatsyɔnu zazã).
• Ƒo asa na to ɖeɖe enuenu kple nuwo dede to me alesi nàte ŋui.

Nukae dzɔna ne èxɔ perichondritis? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Tsɔe be esia le asiwò. Mègatsi dzodzodzoe o! Ne èyi ɖɔkta gbɔ kaba eye nèno dɔlékuiwutike nyuitɔ la, wò dzesiwo adze egɔme aɖiɖi le ŋkeke eve alo etɔ̃ megbe . Ðewohĩ àse le ɖokuiwò me be yemele dedie vie o hena ɣleti ɖeka alo esi wu nenema. Gake, àte ŋu ahaya bliboe.

Gake ne abi aɖe le ŋuwò eye wòhiã be woawɔ dɔ na wò la, ahiã be woaɖe tsi si ɖɔktaa de eme la ɖa le ŋkeke ʋɛ aɖewo megbe. Le amekoko vɔ megbe la, ahiã be woana abi la nanɔ dzadzɛ, ablae, ahablae vaseɖe esime wòahaya nyuie.

Kuxi siwo ate ŋu ado mo ɖa ne womekpɔ wo gbɔ o

Esiae nye nusi me afɔku le wu. Ne mèdae o, abe alesi megblɔe va yi ene la, abi ate ŋu atso ʋu si yia ƒunukpeƒea me eye wòana ƒunukpeƒea naku (necrosis). Ne edzɔ alea la, toa ate ŋu azu nuwɔametɔ tegbee, si ahe nɔnɔme aɖe si woyɔna be ‘seƒoƒotsihe to’ vɛ . Toa le abe seƒoƒotsihe ene.

Menye ema ɖeɖeko o, perichondritis ate ŋu ana dɔlékui (chondritis) nadze to ƒe ƒunukpeƒewo hã dzi. Esia ate ŋu agblẽ nu le to ƒe nɔnɔme ŋu vevie. Lãmetsi siwo le to me dometɔ aɖewo kuna eye ɖewohĩ ahiã be woawɔ dɔ na wo. Emegbe woate ŋu awɔ to ƒe nɔnɔme yeye ƒe amekoko be toa nagaɖo eƒe nɔnɔme si sɔ me.

Eyata ne to ƒe tame le veve sem, biã, alo vuvu la, mègaŋe aɖaba ƒu edzi ko o. Kpɔ ɖɔkta enumake eye nàxɔ atike.

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

Enyo, eyata mele mɔ kpɔm be àte ŋu aɖo ŋku nya vevi aɖewo dzi tso nusiwo ŋu míeƒo nu tsoe me.

• Perichondritis nye dɔlékui si xɔa to ƒe lãkusi si ƒo xlã to ƒe ƒunukpeƒe.
• Nusi koŋ gbɔ esia tsoe nye ƒunukpeƒetetedɔ si le toa tame ƒe toto .
• To ƒe veve, bibibi, kple vuvu ye nye dzesi vevitɔwo.
• Ne wodae kaba la, woate ŋu adae keŋkeŋ.
• Ne womewɔ atike nɛ o la, ‘cauliflower to’.Nuwɔametɔ siwo nɔa anyi ɖaa ate ŋu adzɔ.
• Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso esia mee nye be màƒo asa na ƒunukpeƒetetedɔ si le toa tame la toto .

Eyata, lé be na wò towo. Mègage ɖe kuxi me o, vevietɔ ne èle atsyãwo dom ɖe ŋgɔ. Togɛ nyui aɖe si le akpa falɛfalɛ si le to te la sɔ gbɔ, alo? Elabena, lãmesẽe nye nu vevitɔ kekeake!

` To ƒe dɔléle, to ƒe ʋuʋu, to me toto, perichondritis, ƒunukpeƒe ƒe dɔléle, to ƒe vevesese, to si me seƒoƒotsihe ƒe to