Ɣeaɖewoɣi la, míaƒe ŋutilã ƒe akpa aɖewo biãna zi ɖeka, ʋuʋudedi suesuesuewo nɔa wo ŋu, eye ɣeaɖewoɣi la, woƒe lãme ʋãna ŋutɔ, alo? Ɣeaɖewoɣi la, evea ame, eye wòvea ame. Esiae nye nusi míeyɔna zi geɖe be ‘ʋuʋudedi’, ʋuʋudedi, alo ʋuʋudedi. Le nyateƒe me la, esia nye nusi bɔ ŋutɔ si amesiame kloe tona zi ɖeka ya teti le eƒe agbe me. Eyata ɖe esia nye nusi ŋu mele be míatsi dzi ɖo oa? Alo ɖe wònye nusi ŋu wòle be míatsi dzi ɖoa? Mina míaƒo nu tso esia ŋu tsitotsito vie eye míaƒo nu tso eŋu bɔbɔe egbea.
Nukae nye ŋutigbalẽdɔ sia (Skin Rash)?
Kpuie ko la, ŋutigbalẽdɔ alo ‘aɖuɖɔtoe’ nye tɔtrɔ si dzɔna ɖe míaƒe ŋutigbalẽ dzi. Esiae nye esime ŋutigbalẽa biã, vuvu vie, eye ɣeaɖewoɣi la, ewɔa ƒuƒuie. ‘Aɖuɖɔtoe’ ƒomevi aɖewo ƒuna ŋutɔ eye wòʋẽna. Bubuwo hã vea ame. Nu geɖewo gbɔe ŋutigbalẽdɔléle siawo tsona. Woate ŋu atso dɔlékuiwo, dɔlékuiwo, nusiwo nana ŋutilã melɔ̃a nu o, kple ŋutigbalẽ ƒe nɔnɔmewo abe eczema ene gbɔ.
Aleke gbegbee ŋutigbalẽdɔ siawo bɔe? Amekae ate ŋu axɔ wo?
Le nyateƒe me la, esia nye nusi bɔ ŋutɔ. Esesẽna be woakpɔ ame aɖe si ƒe ŋutigbalẽ ƒe dɔléle aɖeke menɔ eŋu zi ɖeka ya teti le eƒe agbenɔɣi o. Ebɔ ŋutɔ be lãme nasẽ vie, abiã, alo ado dziku vie.
Esia ate ŋu adzɔ ɖe ame sia ame dzi, eɖanye ƒe ka kee wòɖaxɔ o. Amesiame tso vidzĩ sue dzi va ɖo ame tsitsi dzi ate ŋu axɔ ŋutigbalẽdɔlélewo.
- Le vidzĩ suewo gome: Diaper rash kple cradle cap, siwo nye nɔnɔme siwo le abe ʋuʋudedi ene le ta ŋu la bɔ ɖe vidzĩwo me.
- Le ɖeviwo gome: Ðeviwo ate ŋu axɔ nɔnɔmewo abe atopic dermatitis ene. Dɔlékuiwo ƒe dɔlélewo abe koklozi ene ƒe ʋuʋudediwo hã bɔ ɖe ɖevime.
- Ame tsitsiwo: Contact dermatitis, si nye dɔléle si nulɔdɔ le nu aɖewo ŋu hena vɛ, bɔ ɖe sɔhɛwo kple ame tsitsiwo me.
Nukawoe nye ŋutigbalẽdɔléle ƒomevi veviwo?
Ŋutilãmedɔléle ƒomevi geɖewo li. Gake mina míalé ŋku ɖe ƒomevi vevi ʋɛ aɖewo siwo míekpɔna zi geɖe ŋu. Anɔ bɔbɔe na wò be nàse nya siawo gɔme tsitotsito le kplɔ̃ dzi.
| Dɔléle ƒomevi | Kpuie ko la,... | Kpɔɖeŋuwo |
|---|---|---|
| Ka ɖe Ŋutilã ƒe Dɔléle dzi | Nɔnɔme si dzɔna ne míaƒe ŋutilã do go nane si ŋu wòlɔ̃a nu le. Esiae nye alesi ŋutilãa wɔa nui ɖe nu ma ŋu. | Nickel, si nye ga si wokpɔna le ami ʋeʋĩwo, nusiwo wotsɔ dzraa nu ɖo, kple togɛ siwo ƒe asi bɔbɔ, kpakple adzalẽ aɖewo, atike siwo wotsɔna klɔa nu, kple atike siwo wotsɔna klɔa nu ŋu me. |
| Eczema/Atopic Ŋutilã ƒe Dɔléle | Zi geɖe la, esia dzea egɔme tso ɖevime, gake edzi ɖena kpɔtɔna akpa gãtɔ ne ɖevia le tsitsim. Ate ŋu anye domenyiŋusẽfianu. | Amesiwo ŋu asrã alo nulɔdɔ bubuwo le la ate ŋu axɔ nɔnɔme sia. Ŋutilãa ƒuna, biãna, eye wònɔa ʋuʋum. |
| Hives/Urticaria ƒe dɔléle | Kpɔe ɖa le susu me be nudzodzoe aɖe ɖui, eye wògblẽa ƒuƒu gã siwo le ʋuʋum ɖe teƒea katã. Esiawo biã, wovuvu, eye wole ʋuʋum. | Ate ŋu atso nane ƒe nulɔdɔ, nudzodzoewo ƒe ɖuɖu, dzoxɔxɔ alo vuvɔ si nu sẽ, alo dɔlékui aɖewo gɔ̃ hã gbɔ. |
| Psoriasis ƒe dɔléle | Esia nye ŋutigbalẽ ƒe dɔléle si nɔa ŋutigbalẽa me le eƒe agbemeŋkekewo katã me si nana be ŋutigbalẽa ƒe ʋuʋudedi siwo le ɣie, siwo me ʋuʋudedi le la dona. | Zi geɖe la, edzɔna le abɔta, klo, akɔta, ta, kple vidzinuwo ƒe teƒewo. Ate ŋu anye domenyiŋusẽfianu hã. |
| Dɔlékui ƒe Ʋuʋudedi | Woate ŋu abu ŋutigbalẽ ƒe abi be enye dɔlékui ƒe dɔléle geɖe ƒe dzesi vevitɔ. | Nɔnɔme siwo woyɔna be Koklozi, Aɖitsi, kple Molluscum Contagiosum. |
Nukatae ŋutigbalẽdɔléle siawo tɔgbe dzea mía dzi?
Nu geɖewo li siwo nana ŋutigbalẽdɔlélewo dzea ame dzi. Wo dometɔ vevitɔwoe nye:
- Nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o:Nuwo abe ke, aŋɔ, kple nuɖuɖu aɖewo siwo le nutoa me ene.
- Dɔlékuiwo ƒe dɔléle: Le kpɔɖeŋu me, ŋɔti me dɔléle (strep throat) hã ate ŋu ana ŋutigbalẽ naxɔ dzo.
- Ŋutilã ƒe nɔnɔmewo: Nɔnɔmewo abe eczema ene, si ŋu míeƒo nu tsoe va yi.
- Nusiwo doa dziku na ame: Adzalẽ sesẽwo, atike siwo wotsɔna klɔa ŋutigbalẽ, kple atikewo sisi ɖe ŋutigbalẽa ŋu.
- Dɔlékuiwo ƒe dɔlékuiwo: Dɔlékuiwo abe koklozi kple aɖitsi ene.
Nukae nye ŋutigbalẽdɔléle ƒe dzesiwo?
Ŋutilã ƒe dɔléle ƒe dzesiwo toa vovo le nusi gbɔ wòtso kple eƒe ƒomevi nu. Ɣeaɖewoɣi la, ŋutilã ƒe akpa ɖeka koe ate ŋu agblẽ nu le eŋu. Ɣeaɖewoɣi la, ate ŋu akaka ɖe ŋutilã bliboa me. Dzesi siwo bɔ dometɔ aɖewoe nye:
- Ŋutilã si ƒu
- Tsi ƒe ʋuʋudedi
- Dzedzeme si le abe teƒe ene
- Dzobibi alo ʋuʋudedi ƒe seselelãme
- Ŋutilã ƒe ʋuʋu
- Be wòagblẽ nu geɖe abe anyiwo ƒe atɔ ene
- Ŋutilã ƒe vuvu
- Ʋuʋudedi sesẽ
- Vevesese
- Ŋutilã ƒe dzodzro
Aleke ɖɔkta awɔ anya nusi tututu esia nye?
Esi wònye be nu geɖe gbɔe ŋutigbalẽ ƒe nɔnɔmewo tsona ta la, ate ŋu asesẽ ɣeaɖewoɣi be woanya nusi wònye. Wò ɖɔkta alé ŋku ɖe wò ʋuʋudedi ŋu nyuie gbã. Emegbe woabia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔwo hã atsɔ aɖo kpe dɔlélea dzi.
Ŋutilã sue aɖe dodokpɔ (Biopsy) .
Esia bia be woaɖe ŋutigbalẽ sue aɖe ŋutɔ tso teƒe si ʋuʋudedia le eye woadoe kpɔ be dɔlékui alo dɔlékui aɖe gbɔe wòtso hã.
Nulɔdɔ ƒe Dodokpɔ
Wowɔa dodokpɔ siawo be woatsɔ anya ne nane ƒe nulɔdɔ le ŋuwò. Wo dometɔ vevitɔwoe nye ``Skin Prick Test`` kple ``Patch Test``. Esia bia be nàna wò ŋutigbalẽ nakpɔ nusi nèsusu be ɖewohĩ yeƒe ŋutilã melɔ̃na o la ƒe agbɔsɔsɔ sue aɖe ŋutɔ eye nàkpɔe ɖa be wò ŋutigbalẽ wɔa nu ɖe eŋu hã. Ne wò ŋutigbalẽ biã, vuvu, alo ʋuʋudedi le eŋu la, efia be nu ma melɔ̃a nu le ŋuwò o.
Ʋudodokpɔwo
Nu (antibodies) aɖewo siwo le míaƒe ʋu me gbɔe ŋutigbalẽdɔ aɖewo tsona. Woate ŋu ade dzesi nusiawo to ʋudodokpɔ me. Azɔ hã, esi ŋutigbalẽdɔlélewo ate ŋu ado mo ɖa abe dɔléle bubu ƒe nugbegblẽ ene ta la, wodoa ʋu kpɔna hã be woakpɔe ɖa be ŋutinu bubuwo hã le ŋutilãa me hã.
Nukawoe nye ŋutigbalẽdɔléle ƒe atikewo?
Atikewɔwɔ nɔ te ɖe nusi gbɔ dɔlélea tso dzi. Aɖuɖɔɖɔɖɔ aɖewo ate ŋu axɔ kwasiɖa geɖe hafi woahaya. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:
- Atike siwo wozãna na nulɔdɔwo:Atike siwo wozãna tsɔ tsia ʋuʋudedi nu ɖea ʋuʋudedi dzi kpɔtɔna.
- Atike siwo tsia dzodzodzoetsitsi nu: Atikewo abe `(Hydrocortisone)` ɖea ŋutigbalẽ ƒe dɔdzẽ kple ʋuʋudedi dzi kpɔtɔna.
- Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Ne dɔlélenutsiŋutete ƒe dɔwɔwɔ, abe ʋuʋudedi ene gbɔe ʋuʋudedia tso la, wonaa atike siawo be woaɖe dɔwɔwɔ ma dzi akpɔtɔ.
- Oatmeal Bath: Menye oats ŋutɔŋutɔe wotsɔ wɔa esiae o. Enye oatmeal si wowɔ etɔxɛe si woyɔna be ‘Colloidal Oatmeal’. Ne ènyrɔ ɖe tsi fafɛ me la, ate ŋu akpe ɖe ŋutigbalẽ si ƒu eye wòle ʋuʋum la ŋu wòafa.
- Steroids: Ne dzesiawo gakpɔtɔ li la, wò ɖɔkta ate ŋu aŋlɔ steroid na wò, abe atike si wotsɔna ƒoa lãme na ame ene alo abe atikekui ene abe Prednisone ene. Esiawo ate ŋu aɖe abi kple ʋuʋudedi dzi akpɔtɔ kaba.
Nu vevitɔe nye be, mègatsɔ atike aɖeke si nèdi la asisi ɖe eŋu gbeɖe ne mèbia ɖɔkta o. Ɣeaɖewoɣi la, ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
Ðe esia ate ŋu ahe nɔnɔme siwo me afɔku le vɛa?
Togbɔ be ŋutigbalẽ ƒe nɔnɔmewo ɖea fu na ame zi geɖe hã la, woate ŋu ada wo nyuie. Gake le go siwo mebɔ o me la, kuxi sesẽwo ate ŋu ado mo ɖa.
Nulɔdɔ sesẽ (Anaphylaxis) .
Esia nye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me si hiã be woawɔ atike na ame kpata . Nulɔdɔ sesẽ ate ŋu adzɔ kpe ɖe ŋutigbalẽ ƒe ʋuʋu ŋu. Esia nana ŋutilãa vuvu wògbɔa eme. Vevietɔ ŋɔti kple nu ate ŋu avuvu eye wòaxe yaƒoƒomɔ̃a. Ele be woado `(Epinephrine)` (`(EpiPen)`) na amesi ŋu dɔléle sia le enumake eye woatsɔe ayi kɔdzi. Ne èxɔ abi kpɔ eye nèse le ɖokuiwò me be yeƒe ŋɔti alo nu le vuvu la, ƒo nu tso eŋu na wò ɖɔkta eye nàxɔ aɖaŋuɖoɖo le `(EpiPen)` si te ɖe ŋuwò nenye be èhiãe ŋu.
Dɔdzedze
Aɖuɖɔtoe si nɔa ʋuʋum atraɖii ate ŋu ana ame naƒo abi, si ate ŋu ana dɔlékuiwo nage ɖe abi la me eye wòana dɔlékuiwo naxɔ ame. Ne abi la biã, vuvu, xɔ dzo, eye ʋuʋudedi ɣi si le dodom la, efia be dɔlékui le eŋu.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?
Esiae nye akpa vevitɔ kekeake. Enyo be nàyi ɖɔkta gbɔ le aɖuɖɔtoe bɔbɔe aɖe gɔ̃ hã ta. Gake ne dzesi siwo gbɔna le ŋuwò la, mègahe ɖe megbe eye nàyi ɖɔkta gbɔ enumake alo nàyi ETU (Emergency Treatment Unit) si le kɔdzi si te ɖe ŋuwò wu.
| Nuxlɔ̃amedzesi siwo ŋu wòle be woalé ŋku ɖo |
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Gbedasi si Wotsɔ Yi Aƒeme
- Ŋutilã me ʋuʋudedi bɔ ŋutɔ. Zi geɖe la, womenyea afɔku o, gake woate ŋu ado dziku na ame.
- De dzesi nusiwo ŋu wò nulɔdɔ le kple nusiwo gblẽa nu le wò ŋutigbalẽ ŋu, eye nàdze agbagba anɔ adzɔge tso wo gbɔ.
- Ne ʋuʋudedi le ŋuwò la, ƒo asa na ʋuʋudedi alesi nàte ŋui. Ne woƒo ŋutigbalẽa la, ate ŋu agblẽ nu le ŋutigbalẽa ŋu eye wòana dɔlékuiwo nadze ame dzi.
- Ne ʋuʋudedi si ŋu dzesi sesẽwo abe dzoxɔxɔ kple gbɔgbɔ sesẽ ene kpe ɖo la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Le ŋutigbalẽ ƒe nɔnɔme ɖesiaɖe gome la, yi ɖɔkta gbɔ be wòakpɔ dɔlélea nyuie wu kple atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake. Mègasusui ko eye nàda atike na ɖokuiwò o.
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