Ðe ʋuʋudedi sue aɖe le wò ŋutigbalẽ ŋu si le ʋuʋum? Ate ŋu anye (Pyogenic Granuloma)!

Ðe nède dzesi aŋɔ sue aɖe si dzena le wò ŋutilã ƒe teƒe aɖe, ɖewohĩ le asibidɛ, nuyi, alo wò nu me, si va lolona vivivi eye ʋu le dodom le ŋuwò kpɔa? Ne ƒunukpeƒetetedɔ aɖe si le abe esia ene si ʋu le dodom ne èka asi eŋu gɔ̃ hã, eye wòbiã vie la, ɖewohĩ ànɔ nusi wònye ŋu bum. Egbea míele nu ƒom tso nɔnɔme sia ŋu, si le atikewɔwɔ me la, woyɔna be `(Pyogenic Granuloma)`. Mègatsi dzi o, menye kansae nye esia o.

Nukae nye `(Pyogenic Granuloma)` sia? Ðe míaɖe eme pɛpɛpɛa?

Kpuie ko la, pyogenic granuloma nye ƒu si me dɔlékui aɖeke mele o , si kɔ ɖe dzi, si dzɔna ɖe wò ŋutigbalẽ alo lãkusiwo dzi (lãmeka tsɛ siwo xɔ dzo le wò nu kple ŋɔti me). Zi geɖe la, tsi ate ŋu ado le ƒunukpeƒe siawo me, eye ʋu ate ŋu ado le wo me bɔbɔe hã.

Gake le nyateƒe me la, ŋkɔ sia nye ŋkɔ si mesɔ o vie. Nya ``Pyogenic`` gɔmee nye "pus-producing." ``Granuloma`` nye ƒu si dzɔna ne ʋumenugbagbevi ɣiwo ƒo ƒu ɖe dɔlékui aɖe ŋu. Ke hã, ƒã ŋutɔ be dɔlékuiwo gbɔe ``Pyogenic Granuloma`` ƒe ƒuƒoƒo siawo tsona, eye zi geɖe la, ʋumenugbagbevi ɣiwo alo ʋuʋudedi menɔa wo me o.

Ðɔktawo yɔa nɔnɔme sia wòdea pɛpɛpɛ wu be ``(Lobular Capillary Hemangioma)``. Eyae nye be enye ƒunukpeƒetetedɔ si ʋuka siwo mesɔ o wɔ. Bu eŋu kpɔ, ʋuka sue geɖewo va ƒo ƒu ɖe teƒe ɖeka eye wowɔ abe bɔl sue aɖe ene. Aleae esia le.

Amekae ate ŋu axɔ `(Pyogenic Granuloma)` sia wu?

Nɔnɔme sia ate ŋu adze ame sia ame si xɔ ƒe ɖesiaɖe, ameƒomevi ɖesiaɖe, alo ŋutsu alo nyɔnu ɖesiaɖe me. Gake ɖevi siwo mexɔ ƒe 6 haɖe o, ɖevi suewo, sɔhɛ tsitsiwo, kple vevietɔ funɔwo mee wòbɔ ɖo wu .

Ne ƒunukpeƒetetedɔ siawo va le funɔwo ŋu la, ŋkɔ tɔxɛ geɖe nɔa wo ŋu. Le kpɔɖeŋu me, wozãa ŋkɔwo abe `(Granuloma Gravidarum)`, `(Granuloma of Pregnancy)` alo `(Epulis Gravidarum)`. Zi geɖe la, nusiawo buna le wo ɖokui si le vidzidzi megbe.

Aleke gbegbee nɔnɔme sia bɔe?

Pyogenic granuloma nye dɔléle si bɔ vie, vevietɔ le fufɔɣi. Gake esesẽ be woagblɔ alesi tututu wòbɔe, elabena ame geɖe media atikewɔƒe ne wode dzesi ƒunukpeƒetetedɔ sue aɖe abe esia ene o, eye eyata womegblɔnɛ o.

Eyata ɖe kansa siae nye esia? Ðe wòle be matsi dzia?

Esia nye kuxi si le ame geɖe ŋu. `(Pyogenic Granuloma)` nye dɔdzẽ si wowɔ tso ʋuka siwo mesɔ o me. Gake esia menye kansa kura o. Eya ta susu aɖeke meli si tae wòle be míavɔ̃ na esia madzemadzee o. Esia mehea wò agbe afɔku aɖeke vɛ o.

Nukae hea Pyogenic Granuloma vɛ?

Womenya nusi tututu gbɔ ƒunukpeƒetetedɔ siawo tso haɖe o. Gake wogblɔ be nu aɖewo do ƒome kple nɔnɔmea. Esiawo dometɔ aɖewoe nye:

• Lãmetsiŋusẽ ƒe tɔtrɔ: Lãmetsiŋusẽ ƒe tɔtrɔ le ɣeyiɣiwo abe fufɔfɔ ene, alo vidzidzinutsitikewo zazã ate ŋu anye nusiwo gbɔ esia tso dometɔ ɖeka. Lãmetsiŋusẽ ƒe tɔtrɔ gã siwo dzɔna le ŋutilãa me le fufɔɣi dzia mɔnukpɔkpɔ si li be ƒunukpeƒetetedɔ mawo nadze ame dzi la ɖe edzi.
• Dɔlékuiwo ƒe dɔléle: Dɔlékui si nye `(Staphylococcus aureus)` (dɔlékui si hea "staph" dɔlékui siwo mí katã míenya) ƒe dɔléle ate ŋu ahe esia vɛ ɣeaɖewoɣi.
• Abi suesuesuewo alo nyaƒoɖeamenu sue aɖewo le ŋutigbalẽ alo lãkusiwo ŋu: Le kpɔɖeŋu me, abi sue aɖe, ʋuʋudedi, nu me abi, kple ɣeaɖewoɣi ƒo xlã to ƒe ʋuʋu alo ŋɔti me ƒoƒo. Nu me dzadzɛnyenye manyomanyo nye nusiwo gbɔ esia tsona dometɔ ɖeka.
• Atike aɖewo zazã: Wokpɔe be ƒunukpeƒetetedɔ siawo ate ŋu adzɔ ne wozã atike aɖewo hã. Atike siawo dometɔ aɖewoe nye:
• `(Antieoplastics)` (atike siwo wua kansa lãmenugbagbeviwo) .
• `(Antiretrovirals)` (atike siwo wonana na dɔlékuiwo abe HIV ene)
• `(Immunosuppressants)` (atike siwo ɖea ŋutilã ƒe dɔlélenutsiŋutete dzi kpɔtɔna, le kpɔɖeŋu me, atike siwo wonana le ŋutinu dodo na ame megbe)
• `(Retinoids)` (atike siwo me vitamin A le, siwo wozãna na ŋutigbalẽdɔlélewo)

Afikae `(Pyogenic Granuloma)` sia ate ŋu adze le ŋutilãa me?

Kpe siawo ate ŋu adze le wò ŋutigbalẽ ƒe akpa sia akpa alo le lãkusiwo dzi (abe wò nu alo ŋɔti me ene). Teƒe siwo woate ŋu akpɔ wo le wue nye:

• Mo
• Nu: aɖu, nuyi, aɖe, ŋɔti me
• Asibidɛwo (asiwo kple afɔwo) .

Bu eŋu kpɔ, ƒunukpeƒetetedɔ sue aɖe do ɖe wò aɖu dzi, eye ne èklɔ aɖuwo la, ʋu dona le eme. Alo bɔl dzĩ sue aɖe dona ɖe wò asibidɛ dzi, eye ne esesẽ vie hã la, ʋu sue aɖe dona. Esiawo ateŋu anye `(Pyogenic Granuloma)` ŋutɔ.

Aleke `(Pyogenic Granuloma)` sia le?

Edzea egɔme abe lãgbalẽ sue aɖe si dona tso wò ŋutigbalẽ alo wò lãkusi me ene. Zi geɖe la, etsina kabakaba. Ate ŋu adzi tso milimeta ʋɛ aɖewo (si ƒe lolome anɔ abe pɛnsil ƒe nugbɔ ene) va ɖo sentimeta afã (anɔ abe asibidɛ ƒe nugbɔ ene).

Ðɔktawo gblɔna ɣeaɖewoɣi be amesiawo ƒe dzedzeme nye “abe lã si wotu ene.” Woate ŋu anye pink, dzĩ, dzĩ-blɔ, alo aŋutiɖiɖi. Zi geɖe la, woate ŋu akpɔ "kɔla" ɣi aɖe si le abe koral ene le ƒuƒoƒoa ƒe gɔme.

Ne ƒunukpeƒe siawo lolo la, ɖewo ate ŋu atsɔ ati sue aɖe (`(pedunculated)`) abla ɖe ŋutigbalẽa ŋu. Alo woate ŋu atsɔ ɖewo abla ɖe ŋutigbalẽa ŋu tẽ (`(sessile)`).

`(Pyogenic Granuloma)` ateŋu ƒe akpa si le gbadzaa le gɔmedzedzea me, gake emegbe ateŋu azu ʋuʋudedi eye wòazu ƒuƒlu. Esi wònye be ƒunukpeƒetetedɔ siawo le bɔbɔe ŋutɔ ta la, woate ŋu ado eye ʋu nado le wo me bɔbɔe. Ne èka asi wo ŋu alo vuvu awu aɖe gɔ̃ hã la, ʋu ate ŋu ado le wo me.

Ðe nusiawo xɔa ame mea?

Ao, `(Pyogenic Granuloma)` menye dɔléle si xɔa ame me o. Eyata mègatsi dzi be yeaxɔ dɔa le ame bubu ŋu le esi wòxɔe ta ko o. Zi geɖe la, ƒunukpeƒetetedɔ ɖeka koe ame xɔna le ɣeyiɣi ɖeka me, gake ɣeaɖewoɣi la, wo dometɔ geɖe ate ŋu adze zi ɖeka.

Aleke ɖɔkta awɔ ade dzesi esia be enye ``Pyogenic Granuloma''?

Ne èyi ɖɔkta gbɔ si ŋu ƒunukpeƒetetedɔ le abe esia ene la, woawɔ nusiwo gbɔna atsɔ anya nenye be enye ``Lobular Capillary Hemangioma'':

• Bia nenye be abi alo ʋuʋudedi aɖe dzɔ nyitsɔ laa le teƒe ma.
• Woado wò ŋutigbalẽ alo wò lãkusi me.
• Bia nenye be èfɔ fu (ne nyɔnue nènye).
• Wobiaa nya tso atike ɖesiaɖe si nèzãna ŋu .

Zi geɖe la, ɖɔktawo anɔ te ɖe nyatakaka siawo dzi anya pyogenic granuloma. Gake ɣeaɖewoɣi, vevietɔ ne ɖikeke aɖe le ƒunukpeƒea ƒe dzedzeme ŋu la, woate ŋu atsɔ ƒunukpeƒea ƒe akpa sue aɖe aɖoe ɖe dodokpɔxɔa be woadoe kpɔ le nusuekpɔmɔ̃ me. Woyɔa esia be biopsy.

Ðe mɔ aɖewo li siwo dzi woato ada `(Pyogenic Granuloma)` sia?

Ẽ, atikewɔmɔnu aɖewo li woatsɔ ada nɔnɔme sia. Atike vevi siwo li na dɔléle siae nye:

• Woɖea ƒunukpeƒea ɖa keŋkeŋ.
• Nusiwo ʋãa ame siwo nèsusu be ɖewohĩ woawo gbɔe wòtso la ɖeɖeɖa. Le kpɔɖeŋu me, ne atike aɖee nèzãna, atike ma tɔtrɔ (le atikewɔlawo ƒe aɖaŋuɖoɖo nu), ne nu me dɔdzẽe, edada, alo ne togɛe wònye la, eɖeɖe ɖa.

Nu vevitɔe nye be ne èfɔ fu la, zi geɖe la, ƒunukpeƒetetedɔ siawo nu ayi le wo ɖokui si le vidzĩa dzidzi vɔ megbe. Eyata zi geɖe la, àte ŋu aƒo asa na esia ƒe atikewɔwɔ veviwo le fufɔɣi, gake ne kuxi aɖewo abe ʋudodo ene le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo.

Aleke woawɔ aɖe `(Pyogenic Granuloma)` sia ɖa?

Ðɔktaa ate ŋu ada wò nɔnɔmea kpɔ eye wòaɖo aɖaŋu na wò be nàzã mɔnuwo abe atikewo alo amekoko sue aɖe atsɔ aɖe ƒunukpeƒea ɖa.

Atike siwo wozãna tsɔ ɖea ƒunukpeƒea dzi kpɔtɔna:

• Atikewo abe `(Klosalo nitrate)`, `(phenol)` kple `(trichloroacetic acid / TCA)` tsɔtsɔ de ƒuƒoƒoa me. Ne wotsɔ nusiawo de eme la, ƒunukpeƒea dzi ɖena kpɔtɔna.
• Ne ƒunukpeƒetetedɔ si le abe esia ene le wò ŋku me la, àte ŋu azã ŋkumeɖonu abe ``(timolol)`` ene.
• Kreme ƒomevi aɖe si wotsɔna ƒoa ŋutigbalẽ si woyɔna be `(Imiquimod)`.
• Steroid dodo ɖe ƒunukpeƒea me.

Atikewɔwɔ ƒe mɔnu siwo woatsɔ aɖe ƒunukpeƒewo ɖa:

• Cryotherapy: Mɔnu si dzi woato atsɔ vuvɔ si nu sẽ (nane si le abe tsikpe ene) atɔ dzo ʋuʋudedi me eye emegbe woatɔ dzoe be wòaɖee ɖa.
• (Curettage and cautery): Wotsɔa dɔwɔnu tɔxɛ aɖe (`(curettage)`) ƒoa ƒua doa goe, eye emegbe wotɔa dzo teƒea (`(cautery)`) be ʋu nadzudzɔ dodo eye wòaɖe afɔku si le eme be wòagadzɔ ake dzi akpɔtɔ.
• Laser-dɔdamɔnu:Wozãa laser-yawo tsɔ tsrɔ̃a lãkusi siwo mesɔ o.
• Amekoko ƒe lãɖeɖe: Amekoko sue aɖe si wowɔna tsɔ ɖea ƒunukpeƒea ɖa keŋkeŋ. Zi geɖe la, esiae nye mɔnu si kpɔa dzidzedze wu elabena woɖea ƒunukpeƒea ɖa keŋkeŋ, si wɔnɛ be mɔnukpɔkpɔ si li be wòagadzɔ ake dzi kpɔtɔna.

Ðe nane li míate ŋu awɔ atsɔ aɖe nusia ƒe dzɔdzɔ dzi akpɔtɔa?

Esi womenya nusiwo tututu gbɔ pyogenic granuloma tsona o ta la, esesẽ be woagblɔ alesi woawɔ axe mɔ nɛ keŋkeŋ be wòagatsi o. Gake àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èƒo asa na nusiwo wokpɔ be wodo ƒome kple dɔlélea dometɔ aɖewo.

• Ƒo asa na atikewo (le atikewɔlawo ƒe aɖaŋuɖoɖo nu) siwo wosusu be woawoe hea nɔnɔme sia vɛ.
• Ƒo asa na nuveviwɔame si mehiã o le ŋutigbalẽa ŋu. Le kpɔɖeŋu me, kpɔ nyuie ne èle togɛ ɖɔlim enuenu, nèle nu ƒom, eye nèle tome tom.
• Nu me ƒe lãmesẽ nyui me léle ɖe asi. Aɖututu nyuie gbesiagbe kple wò nu me dzadzraɖo le vevie ŋutɔ.
• Klɔ ŋutigbalẽ ƒe abiwo abe lãɖeɖe, ŋeŋe, kple dzobibi ene nyuie, tsɔ atikewo de eme be dɔlékuiwo nagage ɖe eme o, eye nàtsyɔ wo dzi.

Nukae adzɔ ne Pyogenic Granuloma le ŋunye?

Nusiwo wogblɔ ɖi na amesi ŋu Pyogenic Granuloma le nyo ŋutɔ. Zi geɖe la, ƒunukpeƒetetedɔ siwo dona le fufɔɣi la nu yina le wo ɖokui si. Togbɔ be ƒomevi bubuwo hiã atikewɔwɔ hã la, wowɔa nu ɖe ​​atikewɔwɔ ŋu nyuie.

Nu vevitɔe nye be, ƒunukpeƒetetedɔ siawo mezua kansa o, eye womeɖea wò agbenɔƒe dzi kpɔtɔna o.

Gake dɔlékui ate ŋu axɔ ʋuʋudedi siawo, vevietɔ ne èdo wo alo mimi wo. Azɔ hã, ne woɖe abi la ɖa vɔ la, ate ŋu agblẽ abi sue aɖe ɖi.

Ne esia nya dzɔ eye wòhaya ko la, ɖe wòagate ŋu adzɔ akea?

Ẽ, le atikewɔwɔ kple eɖeɖe dzidzedzetɔe megbe gɔ̃ hã la, ɣeaɖewoɣi la, `(Pyogenic Granuloma)` ate ŋu agadzɔ le teƒe ɖeka alo le ŋutilã ƒe akpa bubu. Le numekuku aɖewo nu la, amesiawo ƒe gbugbɔgadzɔ ƒe agbɔsɔsɔme ateŋu ade 40%. Eya ta mègasusui be ne ènya xɔ ɖeka eye wòhaya ko la, magagadzɔ ake o.

Ne `(Pyogenic Granuloma)` le ŋunye la, aleke mawɔ akpɔ edzi? Ðe wòhiã be makpɔ ɖɔktaa?

In most cases , anyo wu be nàdi atikewɔla ne ``Pyogenic Granuloma'' le ŋuwò, elabena esia ateŋu axe mɔ na ʋudodo, dɔlékuiwo xɔxɔ, eye ateŋu akpeɖeŋu hã be nàkpɔ egbɔ be menye kansae o.

Ne ètso nya me be yemayi atikewɔƒe o (si míeɖo aɖaŋu na wò o) la, tsɔ aŋe si le dzadzɛ la tsyɔ ƒunukpeƒea. Esia ate ŋu akpe ɖe ame ŋu wòaxe mɔ ɖe ʋu ƒe dodo kple dɔlékuiwo xɔxɔ nu.

Gake ne èkpɔ dzesi siawo dometɔ aɖe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ:

• Le teƒe si ƒunukpeƒea le alo ƒo xlãeNe vevesese alo vevesese si wokpɔna le nyaƒoɖeamenu me dzi ɖe edzi.
• Ne nane abe ʋuʋudedi ene le dodom tso nuto ma me.
• Ne fli dzĩ alo aŋutiɖiɖi dze le ŋutigbalẽa ŋu.
• Ne vuvu le ƒunukpeƒea ŋu.

Esiawo ate ŋu anye ŋutigbalẽdɔléle ƒe dzesiwo, eyata ele vevie be nàdi atike kaba.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Pyogenic granuloma nye ƒu si menye kansa o, si kɔ ɖe dzi, si dzɔna ɖe ŋutigbalẽ alo lãkusiwo dzi. Ʋuka siwo mesɔ o siwo ate ŋu ado ʋu bɔbɔe ne woxɔ abi la gbɔe wòtsona.

• Esia menye kansa o, eyata mègavɔ̃ madzemadzee o.
• Esiawo bɔ le fufɔɣi eye zi geɖe la, wobuna le wo ɖokui si le vidzidzi megbe.
• Mègagbã esiawo alo amimi wo o, elabena esia ate ŋu ahe dɔlékuiwo vɛ.
• Ne ƒunukpeƒetetedɔ aɖe le ŋuwò abe esia ene la, anyo wu be nàyi ɖɔkta gbɔ adzro atikewɔmɔnu siwo sɔ me. Emegbe àte ŋu aɖo kpe edzi nenye be enye `(Pyogenic Granuloma)` vavã.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne kuxi ma tɔgbe le ŋuwò la, mègaŋlɔ be be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui o.

` Pyogenic Granuloma, Ŋutilãmedɔlélewo, Ʋudodo, Ŋutilãŋutinunya, Fufɔfɔ, Lobular Capillary Hemangioma, Ŋutilã ƒe Ƒuƒoƒo