Ðe tɔtrɔ aɖe le wò gbe alo gbɔgbɔ mea? Esia ate ŋu anye Recurrent Respiratory Papillomatosis (RRP)!

Ðe wò ŋutɔ alo viwòa ƒe gbe trɔna, eƒe gbe ɖina vie, alo ɣlidodo vie ne èle gbɔgbɔm? Alo ɖe nèle avu wɔm kple nane abe kɔdzidɔ si nu metsina o enea? Esiawo ate ŋu anye dzamezã ƒe dzesiwo hã. Ke hã, egbea míele nu ƒom tso nɔnɔme aɖe si mebɔ o gake wòtsia dzimaɖi ŋu. Woyɔe be (Recurrent Respiratory Papillomatosis) alo (RRP) kpuie. Ŋkɔ bubue nye `(Laryngeal Papilloma)`. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye esia (RRP)? Mina míakpɔe ɖaa?

Kpuie ko la, (RRP) nye nɔnɔme si dɔlékui aɖe si woyɔna be `(Human Papillomavirus)` alo `(HPV)` hena vɛ. Nusi dzɔna le esia me enye be tsitsi suesuesue siwo le abe ʋuʋudedi ene (míeyɔa esiawo be `(Papillomas)`) dzɔna le míaƒe gbɔgbɔtsixe me, si nye mɔ si tso nu me yi ŋɔti kple lãkusi me. Ne míagblɔe tututu la, tsitsi siawo dzɔna zi geɖe le ŋɔti ƒe akpa si gbeɖiɖikawo (`(Vocal Cords)`) le afisi wowɔa míaƒe gbe le, si nye `(Larynx)`. Gake ɣeaɖewoɣi la, tsitsi siawo ate ŋu akaka ɖe gbɔgbɔtsixe ƒe dɔwɔwɔ me hã. Ema nye:

• Trachea ƒe ʋuka
• Bronchi ƒe ʋuʋudedi
• Dzitodzito

Teƒe siwo le abe esia ene hã li.

Nu vevitɔe nye be dɔdzẽ siawo (RRP) menye benign , si fia be womenye kansa o. Gake woate ŋu atsi kabakaba ŋutɔ eye woagadzɔ ake, si wɔnɛ be atikewɔwɔ nasesẽ vie. Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo zi geɖe le ƒe ɖeka me.

Amekae nɔnɔme sia (RRP) gblẽa nu le wu?

Nɔnɔme sia si woyɔna be (RRP) ate ŋu adzɔ ɖe ɖevi suewo kple ame tsitsiwo siaa dzi. Na míakpɔ ale si wòdzɔnae ɖa.

RRP si dzea egɔme tso ɖeviwo gbɔ

Zi geɖe la , wokpɔa esia hafi ɖevia xɔ ƒe 5 . Ne wotsɔe sɔ kple ame tsitsiwo la, RRP le ɖevi suewo me nu sẽna wu eye wòte ŋu gadzɔna le atikewɔwɔ vɔ megbe. Eya ta ehiã be míatsi dzi ɖe nɔnɔme sia si le ɖevi suewo ŋu koŋ ŋu.

RRP si dzea egɔme tso ame tsitsiwo gbɔ

Esia ate ŋu adzɔ le ƒe ɖesiaɖe me, zi geɖe le ƒe 14 xɔxɔ megbe. Gake nya nyuiae nye be dɔlélea gbugbɔgadzɔ ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ vie le ame tsitsiwo gome.

Aleke gbegbee (RRP) bɔe?

Le nyateƒe me la, RRP nye dɔléle si mebɔ kura o . Le akɔntabubu nu la, edzea ame abe ɖeka le ene ɖesiaɖe me dzi le ame akpe alafa ɖesiaɖe me.

Gake nane si wòle be míade dzesii enye si. HPV ƒe atikewɔmɔnu la wɔa dɔ ŋutɔ ɖe nɔnɔme sia (RRP) ŋu. Zi geɖe la, wokafunɛ na ɖevi sue siwo dzea egɔme tso ƒe 11. Lãmesẽŋutinunyalawo le mɔ kpɔm be atike sia aɖe kansa siwo do ƒome kple HPV kple nɔnɔmewo abe (RRP) ene dzi akpɔtɔ le etsɔme.

HPV dɔlékui ƒomevi kawoe hea (RRP) vɛ?

Human papillomavirus (HPV) nye dɔlékui siwo wu 100 siwo do ƒome kplii ƒe ƒuƒoƒo. Esiawo dometɔ aɖewo nana míaƒe ŋutigbalẽ kple lãkusi siwo me tsi le (le kpɔɖeŋu me, nu, ŋɔti, nyɔnu ƒe vidzidɔ, akɔta) ƒoa ƒu. Esi wònye gbɔdɔdɔ mee HPV tsona ta la, ebɔ ŋutɔ.

HPV ƒomevi eve koŋue hea RRP vɛ. Esiawoe nye HPV 6 kple HPV 11. Esiawoe nye esiwo hea vidzinuwo ƒe ʋuʋudedi akpa gãtɔ vɛ. HPV ate ŋu ahe kansa ƒomevi vovovowo hã vɛ, abe vidzidɔ me kansa kple lãkusi me kansa ene. Ƒã ŋutɔ la, ate ŋu ahe aɖuɖɔtoemekansa hã vɛ.

Le nyateƒe me la, HPV dɔlékui xɔxɔ bɔ ŋutɔ. Gake zi geɖe la, edzona le eɖokui si evɔ mehea lãmesẽkuxi aɖeke vɛ o. Ðɔktawo menya nusita tututu ame aɖewo koe xɔa dɔléle siwo do ƒome kple HPV haɖe o.

Aleke HPV kakana le (RRP) me?

Ðɔktawo mese alesi HPV kakana le (RRP) me gɔme bliboe haɖe o. Gake susu aɖewoe nye esi:

Na ɖevi suewo

Ne wodzi vidzĩ la, ne `(Genital Warts)` (genital warts) si le dɔ wɔm le vidadaa ŋu la, woate ŋu ato edzi akaka `(HPV)` la na vidzĩa. Gake ele vevie be míaɖo ŋku edzi be menye vidzĩ ɖesiaɖe si wodo goe le mɔ sia nu lae axɔ (RRP). Esia fia be edzɔna ɖe alafa memamã sue aɖe ko dzi.

Ɣeaɖewoɣi la, vidzĩ ate ŋu axɔ RRP ne wodzii to vidzidɔ me gɔ̃ hã. Esia fia be ɖewohĩ HPV kaka ɖe vidzĩa me esime wògakpɔtɔ nɔ vidzidɔa me.

Le ame tsitsiwo gome

Woxɔe se be woate ŋu axɔ HPV na ame tsitsiwo to gbɔdɔdɔ to nu me me. Nufiafia bubue nye be ɖewohĩ ame tsitsi siwo ŋu RRP le la do go HPV le wo dzidzi me, eye ɖewohĩ dɔlékuia “ɣla” lãmenugbagbevi siwo le lãmesẽ me le ŋutilãa me, eye emegbe wogawɔ dɔ ake le susu aɖewo ta, si na RRP vɛ.

Nukae nye (RRP) ƒe dzesiwo?

Ne tsitsi mawo (`(Papillomas)`) siwo míeyɔ va yi la va le gbeɖiɖikawo kple yaƒoƒomɔ̃wo dzi la, ate ŋu ana nuƒoƒo, gbɔgbɔ, kple nu mimi nasesẽ. Dzesi siwo bɔ wue nye:

• Gbe ƒe ɖiɖi alo gbe ƒe bu keŋkeŋ.
• Stridor nye gbeɖiɖi sesẽ alo esi nu sẽ ne wole gbɔgbɔm. Eɖina abe kpẽkuku ene.
• Gbɔgbɔ kabakaba alo sesẽ .
• Kɔdzidede atraɖii ƒe amesinɔnɔ .
• Nuɖuɖu mimi sesẽ .

Wò ɖɔkta ado wò alo viwòa kpɔ nyuie akpɔe ɖa be esia nye RRP alo nɔnɔme bubu aɖe, abe asrã alo nulɔdɔwo ene.

Aleke wokpɔa (RRP) dɔlélea?

Gbã la, wò ɖɔkta abia wò alo viwòa tso wò dzesiwo ŋu eye wòado wò ŋutilã kpɔ. Woate ŋu azã ahuhɔ̃e kple akaɖi atsɔ alé ŋku ɖe wò ŋɔti me atsɔ alé ŋku ɖe wò gbeɖiɖikawo ŋu. Ne wò dzesiwo kple dodokpɔwo ɖee fia be ɖewohĩ RRP le ŋuwò la, wò ɖɔkta aɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (ENT eŋutinunyala) gbɔ.

Dodokpɔ kawoe wozãna tsɔ dea dzesi dɔlélea (RRP)?

Anɔ eme be wò ENT ŋuti nunyala awɔ dodokpɔ aɖe si woyɔna be laryngoscopy . Esia bia be nàde mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe (si woyɔna be endoscope) si me fotoɖemɔ̃ sue aɖe kple kekeli le la eme, eye nàtsɔe ato wò ŋɔti me ayi wò ŋɔti me atsɔ ado wò lãkusi kple yaƒoƒomɔ̃ kpɔ. Mègavɔ̃ o, hafi nàwɔ esia:

• Wò alo viwòa ƒe ŋɔti kple ŋɔti le ʋuʋum.
• Emegbe, wotsɔa mɔ̃a toa ŋɔti me, yia ŋɔti me, eye wògena ɖe gbeɖiɖikawo me.
• Emegbe ɖɔktaa ate ŋu alé ŋku ɖe ƒuƒu sue mawo, abe weintsetsewo ƒe ƒuƒoƒo ene, siwo woyɔna be papillomas, ŋu.

Be woaɖo kpe (RRP) ƒe dzesi dzi la, ahiã be `(ENT)` eŋutinunyala nawɔ `(Biopsy)` . Esia fia be woaɖe lãkusi sue aɖe tso ƒunukpeƒea me eye woadoe kpɔ be `(HPV)` dɔlékui la le eme hã, eye ne ele nenema la, ke ƒomevi kae wònye. Zi geɖe la, wowɔa `(Biopsy)` sia le amekokoxɔ me, le atike si naa alɔ̃dɔdɔ ame katã te. Wozãa dɔwɔnu tɔxɛ siwo wotsɔ bla ɖe `(Endoscope)` ŋu tsɔ xɔa lãkusi ƒe kpɔɖeŋu sia. Emegbe wodonɛ kpɔna le dodokpɔxɔ aɖe me.

Ƒã ŋutɔ la, ahiã be aklãŋutinunyala hã nalé ŋku ɖe yaƒoƒomɔ̃a me le mɔ sia nu ahaxɔ eƒe kpɔɖeŋu.

Ðe woate ŋu ada (RRP) keŋkeŋa?

Nublanuitɔe la, atike aɖeke meli na RRP fifia o . Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe dɔdzẽawo ɖa eye woaxe mɔ na wo be woagatsi ake o. Ðewohĩ ahiã be woawɔ dɔ na wò alo viwòa kple atike vovovowo.

Aleke wozãa amekoko na (RRP)?

RRP ƒe atikewɔwɔ vevitɔe nye amekoko . Ðɔktaa dzea agbagba be yeaɖe dɔdzẽa ƒe akpa gãtɔ ɖa alesi yeate ŋui evɔ magblẽ nu le lãmeka siwo le lãmesẽ me ŋu o. Mɔnu geɖe li wozãna tsɔ ɖea dɔdzẽ siawo ɖa:

• Laser-dɔdamɔnu: Esia zãa laser-ya tsɔ ɖea dɔdzẽwo dzi kpɔtɔna alo tsrɔ̃a wo.
• Microdebrider: Esia nye mɔ̃ deŋgɔ aɖe si zãa nu mimi blewu tsɔ hea dɔdzẽa yia akplɔ tɔxɛ aɖe gbɔ, eye wòɖenɛ ɖa kabakaba ŋutɔ eye wòwɔa dɔ nyuie.
• Cryoablation: Le mɔnu sia me la, wozãa dzoxɔxɔ si fa miamiamia ŋutɔ tsɔ wua dɔdzẽ ƒe lãmenugbagbeviwo.

Wowɔa RRP amekoko akpa gãtɔ, vevietɔ esiwo wowɔna na ɖeviwo, le amekokoxɔ me le atike si naa alɔ̃dɔdɔ ame katã me. Esia fia be èle alɔ̃ dɔm le amekokoa wɔɣi.

Woate ŋu awɔ dɔ na ame tsitsi aɖewo hã le ɔfis le laser dzi. Esia dzɔna kabakaba eye mehiã be woazã atike si naa alɔ̃dɔdɔ ame katã o. Woana atike si naa alɔ̃dɔdɔ wò le teƒea ale be màse veve aɖeke o, gake ànɔ ŋudzɔ.

Amekoko nenie wòahiã be nye alo vinye nawɔ na RRP?

Le amekoko megbe la, anɔ eme be RRP dɔdzẽwo gatrɔna vaa wo gbɔ wu. Ehiã be woagawɔ atike na ame aɖewo le kwasiɖa ʋɛ aɖewo megbe. Ame bubuwo ate ŋu ayi ƒe ɖeka alo esi wu nenema le atikewɔwɔawo dome. Egbugbɔgadzɔ sia bɔ ɖe ɖeviwo me wu.

Aleke wotsɔa atikewo daa (RRP)e?

Ehiã be woana atike ame aɖewo tsɔ kpe ɖe amekoko ŋu. Esiawo dometɔ aɖewoe nye:

• Amesiwo wowɔa dɔ na wu ene ƒe sia ƒe (RRP).
• Amesiwo ƒe kewo gatsina kabakaba ŋutɔ.
• Ame siwo gbɔgbɔ sesẽna le esi yaƒoƒomɔ̃wo xe le dɔdzẽ ta.
• Wo dometɔ siwo kaka ɖe teƒe geɖe le atikutsetse ƒe ŋutilã me.

Woyɔa atike siawo ƒomevi be ``adjuvant therapies'' elabena wonaa wo le atikewɔwɔ vevitɔ (amekoko) megbe be woakpe ɖe ame ŋu be dɔdzẽa nagatrɔ ava o. Ame siwo ŋu (RRP) le la dometɔ siwo ade 20% (si nye 1 le 5 ɖesiaɖe me) hiã atikewɔwɔ bubu sia ƒomevi.

Atike siwo kpena ɖe ame ŋu siwo wonana (RRP) ɖea dɔdzẽ ƒe tsitsi dzi kpɔtɔna le mɔ vovovowo nu:

• Cidofovir nye dɔlékuiwutike si xea mɔ na HPV dɔlékuia ƒe dzidziɖedzi.
• Dɔlélenutsiŋutete ƒe atikewo, abe Pembrolizumab , zãa wò ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete tsɔ tsrɔ̃a dɔdzẽ ƒe lãmenugbagbeviwo.

Ðe (HPV) ƒe atikewɔmɔnua kpena ɖe ame ŋu le (RRP) dada mea?

Numekulawo kpɔe be HPV-tikea ate ŋu anye atikewɔmɔnu nyui aɖe si akpe ɖe ame ŋu hã. Numekuku gbãtɔwo ɖee fia be HPV ƒe atike ate ŋu aɖe dɔdzẽ ƒe tsitsi dzi akpɔtɔ eye wòaɖe amekoko si hiã dzi akpɔtɔ. Wole numekuku bubuwo wɔm.

Nukawoe nye kuxi siwo ate ŋu ado tso (RRP) me?

Ne RRP nu sẽ la, wò yaƒoƒomɔ̃ ate ŋu axe keŋkeŋ. Ne edzɔ alea la, ahiã be woaɖe ya si le ʋuka me la ɖa be ya naɖo wò lãkusi me. Esia bia be nàwɔ do aɖe ɖe wò kɔ me si woyɔna be yagbɔgbɔ. Tracheostomy wɔwɔ ate ŋu akpɔ ŋusẽ ɖe wò nuƒoƒo ŋutete dzi. Wò atikewɔlawo ƒe ƒuƒoƒoa afia alesi nàlé be na wò tracheostomy kple alesi nàzã wò gbee wò.

Kansa hã nye kuxi bubu. Gake esia mebɔ kura o . Nɔnɔme si me dɔlékui aɖeke mele o (RRP) ate ŋu atrɔ azu dɔléle vɔ̃ɖi. Esia ate ŋu adzɔ ƒe geɖe le dɔlélea kpɔkpɔ vɔ megbe. Afɔku sia lolo ŋutɔ ne dɔdzẽa kaka ɖe gbɔgbɔtsixe ƒe akpa siwo le ete. Ðɔktawo menya nusita tututu (RRP) trɔna zua kansa haɖe o.

Aleke nàwɔ akpɔ ɖokuiwò ta tso (RRP) si me?

Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso nɔnɔme sia me enye HPV ƒe atike.Xɔe. Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒe (CDC) kafui be ɖeviwo katã naxɔ HPV ƒe atike ne woxɔ ƒe 11 alo 12. Amesiwo womedo atike na esime wonye sɔhɛ tsitsiwo o ate ŋu axɔ atike la vaseɖe ƒe 26 xɔxɔ.

Azɔ hã, kɔndɔm zazã ate ŋu aɖe HPV si woxɔna to gbɔdɔdɔ me ƒe afɔkua dzi akpɔtɔ, eyata RRP kpɔa ame ta vie. Gake ne vidzinuwo ƒe ʋuʋudedi le teƒe siwo kɔndɔm metsyɔ o la, kɔndɔm mekpɔa ame ta bliboe o.

Ne vidzinuwo le fu ɖem na wò, èfɔ fu, alo nèle ɖoɖo wɔm be yeafɔ fu la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta. Le goawo katã me la, afɔku si le wo tsɔtsɔ na viwòa me la mesɔ gbɔ o. Ne wò ɖɔkta tso nya me be yeada vidzinuwo ƒe ʋuʋudedi le fufɔɣi la, ke atikewɔmɔnu geɖe li siwo me afɔku mele o.

Nukae nye mɔkpɔkpɔ na amesiwo ŋu (RRP) le?

Ðevi kple ame tsitsi akpa gãtɔ siwo ŋu RRP le ƒe mɔkpɔkpɔ nyo . Amekoko kple atikewo zazã ate ŋu aɖu dɔdzẽawo dzi eye woana woagado kplamatse gbesiagbedɔwo o. Ƒã ŋutɔ hafi wòhiãna be woaɖe yaƒoƒomɔ̃ ɖa alo wova zua kansa.

Aleke woawɔ anɔ agbe kple (RRP)?

Ne RRP le ŋuwò alo viwòa ŋu la, wò ɖɔkta alé ŋku ɖe ŋuwò nyuie eye wòawɔ atikewɔwɔ ƒe ɖoɖo. Wɔ ɖe mɔfiame mawo dzi nyuie eye nàwɔ ɖe wò ɣeyiɣi siwo nèɖo ɖi dzi. Esia wɔwɔ ate ŋu akpe ɖe ame ŋu wòaɖu nɔnɔmea dzi eye wòaxe mɔ ɖe yaƒoƒomɔ̃ ƒe xexe si ate ŋu ade ame ƒe agbe afɔku me nu. Ne gbɔgbɔ sesẽ na wò la, ƒo ka na wò ɖɔkta enumake alo nàƒo ka na 911.

(RRP) nye dɔléle si amegbetɔ ƒe dɔlékui si woyɔna be papillomavirus (HPV) hena vɛ. Ðɔktawo daae to amekoko me, eye le nɔnɔme sesẽwo me la, wozãa atike. Ele be woawɔ dɔ nɛ enuenu ate ŋu asesẽ le ŋutilã kple seselelãme gome, vevietɔ na ɖeviwo. Ne èhiã kpekpeɖeŋu la, ƒo nu kple wò ɖɔkta. Ate ŋu aɖo wò ɖe dɔwɔnu siwo kpena ɖe ame siwo le dɔléle siwo nɔa anyi didi ŋu la gbɔ.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míaƒo nu tso nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo ŋu kpuie:

• (RRP) nye dɔléle si (HPV) dɔlékui si nana be gbɔgbɔtsixe tsina abe ʋuʋudedi ene, vevietɔ le gbeɖiɖikawo ŋu. Esiawo menye kansa o, gake woate ŋu agadzɔ ake.
• Ne èkpɔ dzesiwo abe gbeɖiɖi ƒe ɖiɖi, gbɔgbɔ sesẽ, alo kɔdzidede atraɖii ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo.
• Amekokoe nye atikewɔwɔ vevitɔ. Ɣeaɖewoɣi la, atikewo hã ate ŋu ahiã. Togbɔ be womate ŋu ada dɔlélea keŋkeŋ o hã la, woate ŋu aɖu dɔlélea dzi nyuie.
• HPV ƒe atikewɔmɔnu le vevie ŋutɔ be woaxe mɔ ɖe enu (RRP). Na atike sia ɖeviwo ɖe game dzi.
• Ele vevie be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi eye nànɔ susu me sẽm ne èle agbe kple nɔnɔme sia. Mègavɔ̃ be yeabia kpekpeɖeŋu ne èhiãe o.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta. Nɔ lãmesẽ me!

`Yagbɔgbɔ ƒe ʋuʋu, RRP, HPV, gbeɖiɖi ƒe ɖiɖi, gbɔgbɔ sesẽ, ŋɔti me dɔdzẽ, lãkusi ƒe ʋuʋu