Ðe wò ŋgonu vuvu eye wòdze abe ƒunukpeƒetetedɔ wɔnuku aɖe enea? Esia ate ŋu anye Pott ƒe Puffy Tumor!

Ɣeaɖewoɣi la, àse le ɖokuiwò me be ƒu sue aɖe le yeƒe ŋgonu si le abe dɔdzẽ ene. Ðewohĩ taɖuame kple asrã hã ate ŋu anɔ ŋuwò. Esɔ be nàvɔ̃ vie ne èkpɔ nane si le abe esia ene. Gake mehiã be wòanye kansa gã aɖe ɣesiaɣi o. Egbea míele nu ƒom tso nɔnɔme aɖe si ɖea dzesi siawo fiana ŋu, gake ele be nàɖɔ ŋu ɖo vie. Woyɔa ema be Pott ƒe Dɔdzẽ si Fuɖename . Togbɔ be ŋkɔa gblɔ be "tumor" hã la, esia menye kansa ŋutɔŋutɔ o. Eyata mina míakpɔ nusi wònye ɖa.

Nukae nye esia (Pott ƒe Fuɖename)?

Kpuie ko la, Pott’s Puffy Tumor nye dɔlékui si dzɔna ɖe wò ŋgonu ƒe ŋgɔgbeƒu me . Esia nana be ʋuʋudedi ƒoa ƒu ɖe teƒe si le wò ŋkuwo dome, si wɔnɛ be ʋuʋudedi . Zi geɖe la , nɔnɔme sia dzɔna abe sinusitis ƒe kuxi ene . Ne tsinyegoe me kuxiwo nɔa ŋuwò enuenu la, ele be nàɖɔ ŋu ɖo le esia ŋu vevietɔ. Ate ŋu adzɔ hã ne èƒo ta sesĩe, si nye abi si nèxɔ le ta .

Ame si ŋu Pott’s Puffy Tumor le ate ŋu avuvu alo aƒo ƒu ɖe eƒe ŋgonu wòadze ƒã. Gake abe alesi megblɔe va yi ene la, esia nye "dɔdzẽ" abe alesi ŋkɔa ɖee fia ene, ke menye kansa o. Le nyateƒe me la, enye ʋuʋudedi si ƒumeŋuɖui aɖe hena vɛ. Exɔ ŋkɔ tso ƒe alafa 18 lia me Eŋlisi amekola Aƒetɔ Percivall Pott, amesi ƒo nu tso nɔnɔmea ŋu zi gbãtɔ la gbɔ.

Nu vevitɔe nye be ne womekpɔ esia gbɔ kaba o la, ate ŋu ahe kuxi siwo me afɔku le siwo ate ŋu ade wò agbe afɔku me vɛ le wò ta me . Eyata esia nye nɔnɔme si mele be woabu nu tsɛe o eye wòhiã be woakpɔ egbɔ kaba.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, Pott ƒe Fuɖename nye dɔléle si mebɔ kura le ŋkeke siawo me o . Nusitae nye be woate ŋu atsɔ dɔlékuiwutikewo aɖu dɔlékui akpa gãtɔ dzi hafi woakaka. Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, ɖevi suewo (ƒewuiviwo) ye wokpɔnɛ zi geɖe .

Wosusu be esia tso tɔtrɔ siwo va le diploic veins , si nye vein ƒomevi aɖe si doa ka kple woƒe tagbɔ ƒe eme kple egodo, me le woƒe sɔhɛmenɔɣi gbɔ. Esia le alea elabena ʋuka yeyewo le tsitsim kabakaba wu (vascularization), si wosusu be ana dɔlékuia kaka kabakaba wu ame tsitsiwo.

Nukae nye (Pott ƒe Tumor) ƒe dzesiwo?

Tsɔ kpe ɖe ŋgonu ƒe vuvu ŋu la, Pott’s Puffy Tumor ate ŋu ahe dzesi siwo gbɔna hã vɛ:

• Asrãdɔ xɔxɔ .
• Taɖuame ɣesiaɣi.
• Light sensitivity , si fia be esesẽna be woakpɔ akaɖi siwo le keklẽm.
• No me si le sisim .
• Vevesese ne èle teƒe si vuvu la tem.
• Ŋkuawo ƒe dodo (Proptosis), si nana ŋkuawo dzena abe ɖe wololo ene.
• Vevesese ne èka asi ŋgɔgbeƒu ƒe akpa si (le ŋɔti ƒe tɔdzisasrã tame kple ŋkume ƒe akpa si le eme) ŋu .

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.

Nukawoe hea Pott ƒe Dɔdzẽ si Fuɖename vɛ?

Abe alesi megblɔe va yi ene la, nusi koŋ gbɔ Pott ƒe Dɔdzẽ si Fuɖename tsonae nye sinusitis . Ne sinusitis dzɔna enuenu la, dɔlékuia ate ŋu akaka ɖe taɖu ƒe ƒuwo me eye wòahe nɔnɔme sia vɛ.

Nu evelia si gbɔ wòtsona wue nye abixɔxɔ le ta, abe ta sesẽ ƒoƒo ene . Tsɔe be èdze anyi heƒo ta le afi aɖe, gake nɔnɔme sia hã ate ŋu ado mo ɖa.

Tsɔ kpe ɖe esia ŋu la, nu bubu geɖewo hã li siwo mebɔ o siwo gbɔ wòtsona :

• Aɖudɔlékuiwo .
• Nudzodzoewo ƒe ɖuɖu .
• Atike vɔ̃ɖiwo abe cocaine ene ƒe aɖuɖɔtoe .

Nukawoe nye afɔku siwo le eme?

Nusi ate ŋu ahe afɔku vɛ nye nane si nana mɔnukpɔkpɔ si li be nàxɔ dɔléle aɖe dzina ɖe edzi. Le Pott’s Puffy Tumor gome la, esia ate ŋu atso lãmesẽkuxi siwo kpɔa ŋusẽ ɖe alesi wò dɔlélenutsiŋutete wɔa nui ɖe dɔlékuiwo ŋu dzi . Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Aplastic anemia ( dɔléle si me ʋumenugbagbeviɣidɔ dzi ɖena kpɔtɔna le).
• Suklidɔ .
• Ayiku ƒe dɔmawɔmawɔ nyuie .

Amesiwo ŋu dɔléle siawo le la le afɔku gã aɖe me be woaxɔ nusiwo abe Pott ƒe Dɔdzẽ si Fuɖename ene elabena ŋutete si le wo si be woawɔ avu kple dɔlékuiwo dzi ɖe kpɔtɔ.

Nukawoe nye nɔnɔme sia ƒe kuxiwo?

Ne womewɔ atike na Pott ƒe Dɔdzẽ si Fuɖename o la, ate ŋu ahe kuxi sesẽ ŋutɔwo vɛ . Esia tae wònye nɔnɔme si ŋu wòle be míaɖɔ ŋu ɖo vevie ɖo. Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye:

• Ʋu si dona le ahɔhɔ̃ me .
• Cavernous sinus thrombosis ( ʋu ƒe sisi le ʋuka gã aɖe me le ahɔhɔ̃a me).
• Dural venous sinus thrombosis ( ʋu ƒe sisi le ahɔhɔ̃a ƒe ʋuka veviwo me).
• Ischemia ( lãmekawo ƒe ku le ʋu ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ ta).
• Meningitis ( dɔléle si le lãkusi siwo tsyɔ ahɔhɔ̃a me).
• Orbital cellulitis (dɔlékui si le lãkusi siwo ƒo xlã ŋkuwo me).
• Sepsis ( dɔlékui sesẽ aɖe si kaka ɖe ŋutilã bliboa me).
• Thrombosis ( ʋu ƒe sisi le ʋukawo me).

(Pott’s Puffy Tumor) nye dɔléle si ate ŋu awu ame . Ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesii be nane gblẽ ko.

Aleke wowɔna dea dzesi Pott ƒe Dɔdzẽ si Fuɖename?

Zi geɖe la , to, ŋɔti, kple ŋɔti (ENT) ɖɔktae kpɔa Pott ƒe Dɔdzẽ si Fuɖename . Awɔ dodokpɔ geɖe:

• CT scan (computed tomography scan) nye dodokpɔ si ate ŋu akpɔ ta ƒe akpa si me kɔ nyuie.
• Nasal endoscopy nye dodokpɔ si me wotsɔa mɔ̃ si me fotoɖemɔ̃ sue aɖe le dea ŋɔti me.
• Lãmesẽdodokpɔ . Ðɔktaa ado wò kpɔ ahabia wò dzesiwo.

Dodokpɔ siawo akpe ɖe ɖɔktaa ŋu wòagbe nɔnɔme bubu siwo ate ŋu ahe dzesi mawo tɔgbe vɛ eye wòaɖo kpe dɔlélea dzi (Pott’s Puffy Tumor).

Nɔnɔme bubu siwo ƒe dzesiwo sɔ kple wo nɔewo

Ɣeaɖewoɣi la, dɔléle ɖeka ƒe dzesiwo ate ŋu asɔ kple dɔléle bubu geɖewo ƒe dzesiwo. Ne edzɔ alea la, ele be ɖɔktawo nawɔ dodokpɔwo atsɔ anya nusi tututu gblẽ. Woyɔa esia be differential diagnosis , si fia be woatia esi sɔ tso dɔléle siwo ƒe dzesiwo ɖi wo nɔewo dome.

Nɔnɔme bubu siwo ate ŋu adze kple dzesi siwo sɔ kple Pott ƒe Puffy Tumor la dometɔ aɖewoe nye:

• Sinusitis si bɔ kpata alo esi nɔa anyi didi .
• Cephalohematoma (ʋu si ƒoa ƒu ɖe tagbɔ ƒe anyime, vevietɔ le vidzĩ siwo wodzi yeyee gome).
• Encephalitis ( ahɔhɔ̃ ƒe dɔdzẽ).
• Dzoxɔxɔ si tso abi si woxɔ ta.
• Non-Hodgkin lymphoma (kansa si le ʋumenugbagbeviɣidɔ me).
• Dɔlékui siwo le ŋutigbalẽ alo lãmeka falɛfalɛwo ŋu .
• Dɔdzẽ bubuwo ( kansa alo esiwo menye kansa o).

Aleke wodaa Pott ƒe Fuɖenamedɔae?

Zi geɖe la, Pott’s Puffy Tumor dada bia be woawɔ amekoko atsɔ aɖe dɔlékuia ɖa eye woatsɔ dɔlékuiwutike siwo ƒe dɔwɔwɔ keke ta si wodona ɖe ʋuka me (IV) kwasiɖa ene va ɖo ade. Wona dɔlékuiwutike siawo be dɔlékuia nagatrɔ ava o. "Broad- spectrum" fia be wowɔa dɔ ɖe dɔlékui ƒomevi vovovowo ŋu.

Zi geɖe la, amekolawo te amekoko si me womewɔa nu boo aɖeke le o la kpɔ gbã. Emegbe ne ehiã la, woate ŋu awɔ dɔ bubuwo.

Amekoko ƒe mɔnu vovovowo li na Pott ƒe Puffy Tumor:

• Functional endoscopic sinus surgery : Esia bia be woakeke sinus ƒe mɔwo ale be ʋuʋudedi kple tsi bubuwo nate ŋu ado nyuie wu. Esia nye atike si me womezãa nu boo aɖeke le o eye mehiã be woatsoe aɖeke o. Amekolaa zãa no me dɔlékuiwutike tsɔ wɔa dɔ sia.
• Tagbɔtsotso: Le go aɖewo me la, ahiã be amekola naɖe taɖua ƒe akpa sue aɖe ɖa hafi wòate ŋu age ɖe ahɔhɔ̃a me. Ne woɖe dɔlékuia ɖa vɔ la, wogatsɔa taɖua ƒe kakɛa blanɛ ake.
• Trephination : Le amekoko sia me la, wowɔa do sue aɖe ɖe taɖua me be wòaɖe nyaƒoɖeamenu si ƒo xlã ahɔhɔ̃a dzi akpɔtɔ.
• Frontal sinus obliteration : Le dɔ sia wɔwɔ me la, amekolaa ɖea ŋgɔgbe lãkusiwo ɖa be wòaɖe dɔlékui siwo nɔa anyi didi ƒe afɔkua dzi akpɔtɔ.

Nukae nye Pott ƒe Puffy Tumor ƒe hayahaya ƒe agbɔsɔsɔme?

Mɔnukpɔkpɔ si li be nàhaya nɔ te ɖe alesi nèdze atikewɔwɔ gɔme kaba dzi tẽ . Zi alesi nèhe atikewɔwɔ ɖe megbe la, zi nenemae kuxi siwo me afɔku le ƒe afɔkua dzina ɖe edzii.

Ne wodae kaba la, zi geɖe la, Pott ƒe Dɔdzẽ si Fuɖename ƒe ŋgɔdonya nyona . Ke hã, ele be nàyi atikewɔƒe ne ènya de dzesi dzesiawo ko – vevietɔ ŋgonu ƒe vuvu. Ðevi sue siwo ŋu Pott ƒe Puffy Tumor le ƒe 12% kuna , le kuxiwo abe sepsis, ischemia, thrombosis, kple taɖuame ƒe nyaƒoɖeamenu ƒe dzidziɖedzi ta. Nudede eme kaba ate ŋu aɖe afɔku sia dzi akpɔtɔ .

Ðe woate ŋu axe mɔ ɖe Pott ƒe Puffy Tumor nua?

Ðewohĩ womate ŋu axe mɔ ɖe Pott ƒe Dɔdzẽ si Fuɖename nu ɣesiaɣi o, gake nu aɖewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Nya nu tso aɖuɖɔtoedɔléle ƒe dzesiwo ŋu : Ne ƒunukpeƒetetedɔ le ŋuwò enuenu, tsɔ kpe ɖe taɖuame, dzoxɔxɔ, ŋɔti me tsi si le dodom, alo wò ŋgonu ƒe vuvu ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Takpɔ ɖokuiwò ta tso nudzodzoewo ƒe ɖuɖu me : Pott’s Puffy Tumor ƒe dɔléle aɖewo tsoa nudzodzoewo ƒe ɖuɖu gbɔ, eyata zã nudzodzoeviwutike ɣesiaɣi si nèdo go.
• Kpɔ aɖudɔdala edziedzi : Nu me dɔlékui aɖewo hã ate ŋu ahe Pott’s Puffy Tumor vɛ. Aɖuwo ŋu kɔklɔ edziedzi kple wo me toto ate ŋu aɖe afɔku sia dzi akpɔtɔ.
• Klɔ asi enuenu : Esia ate ŋu aɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ le goawo katã me.
• Do ametakpɔnu ne èle kadodo ƒe kamedefefe aɖewo wɔm : Gakuku si sɔ nyuie dodo ate ŋu aɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ (Pott’s Puffy Tumor).

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne sinus dɔlékui aɖe le ŋuwò si medzona o alo wògatrɔna gbɔna la, gblɔe na wò ɖɔkta. Azɔ hã, ne èxɔ ŋɔti si le ƒoƒom, si le sisim, taɖuame, alo – vevietɔ wu la – ƒu alo ƒoƒo wɔnuku aɖe le wò ŋgonu , di atikewɔla enumake, alo yi xɔ si te ɖe ŋuwò kpata.

Enye nusi sɔ be nàtsi dzimaɖi ne èfɔ le ŋdi me eye nède dzesii be ƒu aɖe le wò ŋgonu (alo viwòa ƒe ŋgonu). Ne èse le ɖokuiwò me be nane gblẽ la, ke ɖo to wò dɔgbo. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake .Ne wohe atikewɔwɔ ɖe megbe la, ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ. Gake dɔlékuiwutikewo kple amekoko ate ŋu aɖe dɔlékuia ɖa eye wòana mɔnukpɔkpɔ nyuitɔ kekeake wò be nàhaya.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, ŋkɔ dziŋɔ aɖe ate ŋu anɔ Pott ƒe Puffy Tumor ŋu, gake fifia ènya be menye kansae o, ke boŋ dɔlékui aɖee. Nu vevitɔe nye be, ne ŋgonu vuvu, dzoxɔxɔ, taɖuame, vevietɔ ne sinus ƒe kuxiwo kpe ɖe eŋu la, mègaŋe aɖaba ƒu edzi o . Bu eŋu kpɔ ne xɔ̃wòa ƒe vi ƒe lãkusi me kuxiwo nɔa eŋu ɣesiaɣi, eye gbeɖeka woƒe ŋgonu vuvu eye asrã le wo ŋu eye woƒe ta le vevem la, ɖe màgblɔ na wo be woayi ɖɔkta gbɔ enumake oa? Aleae wòle.

Ne wokpɔ dɔléle sia dze sii hedae kaba la, woate ŋu adae keŋkeŋ. Eyata mègaŋe aɖaba ƒu dzesiawo dzi gbeɖe o. Lé ŋku ɖe wò ŋutilã ŋu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ède dzesi tɔtrɔ aɖewo. Emae nye mɔ nyuitɔ si dzi nàto anɔ lãmesẽ me!

` Pott ƒe Fuɖename Tumor, Ŋgo ƒe Vuvu, Sinusitis, Tadɔléle, Ahɔhɔ̃medɔléle, Tagbɔdɔléle, Amekoko