Ðe wò gbe va le ɖiɖim? Esia ate ŋu atso Reinke ƒe Edema gbɔ!

Ðe nède dzesii hã be wò gbe trɔ le ŋkeke siawo me, si nye gbeɖiɖi si le ɖiɖim? Ðewohĩ ɖeɖi tea wò ŋɔti ŋu ne èle nu ƒom, alo wò gbe aɖi ɖe eme viea? Ekema esia nye nusi ate ŋu anɔ vevie na wò. Ele vevie ŋutɔ be nànya nɔnɔme sia, elabena numame aɖewo ate ŋu ahe esia vɛ.

Nukae nye Reinke ƒe Edema?

Kpuie ko la, Reinke ƒe Edema nye wò gbeɖiɖi ƒe ƒuƒoƒo , siwo nye wò ŋɔti ƒe akpa eve siwo ʋuʋuna ne èle nu ƒom la ƒe vuvu. Ame aɖewo hã yɔnɛ be ‘Polypoid Corditis’. Ne míagblɔe tututu la, vuvu sia dzɔna ne tsi ƒomevi aɖe yɔ lãkusi si le gbeɖiɖi ƒe akpawo tame. Wokpɔnɛ zi geɖe le amesiwo noa atama ɣeyiɣi didi ŋu . Gake ate ŋu atso dɔgboa me aɖi ƒe sisi atraɖii (acid reflux) alo gbea zazã atraɖii le mɔ si agblẽ nu le eŋu nu, si fia be wòana gbea nate ɖe ame dzi madzemadzee (gbe ƒe nuveviwɔame) hã gbɔ .

Gbeɖiɖi ƒe vuvu sia menye nɔnɔme si me afɔku le abe kansa ene o, si fia be enye nɔnɔme ‘si me dɔlékui aɖeke mele o’ . Gake efia be wò gbeɖiɖikawo gblẽ. Vuvu sia ate ŋu adzɔ le ŋɔti ƒe akpa ɖeka alo akpa evea siaa. Esia ate ŋu ana gbea natsi, eye ɣeaɖewoɣi la, gbea te ŋu dea to ŋutɔ. Le nɔnɔme sesẽwo me la, abi sia ate ŋu axe yaƒoƒomɔ̃wo gɔ̃ hã, si ana gbɔgbɔ nasesẽ na ame .

Zi geɖe la, Reinke ƒe ʋuʋudedi mesẽna o, eye mehiã be woawɔ atike nɛ ɣesiaɣi o. Gake ele vevie be nàɖo ŋku edzi be ɖewohĩ wò gbe ƒe tɔtrɔ manyo ɖe edzi ne mèdzudzɔ atamanono alo amekoko o . Ne tɔtrɔ siwo medzea ŋuwò o le wò gbe me la, yi toŋutinunyala gbɔ. Woate ŋu akpe ɖe ŋuwò.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, Reinke ƒe ʋuʋudedi nye dɔléle si mebɔ kura o . Edzea ame siwo mede 1% o le amewo katã dome. Ebɔ ɖe amesiwo xɔ wu ƒe 50 kple atamanolawo dome koŋ.

Numekukuwo ɖee fia be nyɔnuwo ate ŋu axɔ Reinke ƒe ʋuʋudedi. Gake nusitae wòle alea ate ŋu anye be nyɔnuwo dea dzesi dzesi siwo fia be gbea le goglom ɖe edzi. Elabena ɖewohĩ amesi ƒe gbe de to le dzɔdzɔme nu la made dzesi tɔtrɔ sue ma tɔgbe o. Emegbe womedia atike o.

Nukawoe nye dzesiawo?

Reinke ƒe ʋuʋudedi ƒe dzesiwo dometɔ aɖewoe nye:

• Gbea ƒe nyonyome alo gbeɖiɖi ƒe sesẽme ƒe tɔtrɔ.
• Gbea va dea to ɖe edzi vivivi.
• Gbe si le ɖiɖim alo esi woda kpekpeme.

Zi geɖe la, ɖeɖi tea amesiwo ŋu Reinke ƒe ʋuʋudedi le ŋu wu alesi wònɔna ne wole woƒe gbe zãm. Gbea ate ŋu ase le eɖokui me be ɖeɖi te ye ŋu ŋutɔ eye yeƒe kpekpeme le kpekpem.

Dzesi siwo mebɔ o

Womekpɔa esiawo zi geɖe vie o:

• Nuƒoƒo blewu sesẽ.
• Sese le eɖokui me be yeƒe dzi dze eme alo vevesese ne èle nu ƒom alo le ha dzim.
• Nuƒoƒo alo hadzidzi sesĩe ƒe ŋutete manɔamesi.
• Kɔ ƒe vevesese alo eƒe sesẽ.
• Yagbɔgbɔ sesẽ (Dyspnea).
• Toɣliɖeɖe ne wole gbɔgbɔm (Stridor).

Nukae hea Reinke ƒe ʋuʋudedi vɛ?

Nusi koŋ gbɔ gbeɖiɖika siawo ƒe vuvu tsonae nye atamanono ɣeyiɣi didi . Emae nye fɔɖila gbãtɔ.

Woate ŋu ayɔ susu bubuwo be:

• Acid ƒe ʋuʋu (GERD/Acid ƒe ʋuʋu).
• Acid ƒe sisi yi ɖe lãkusi me (Laryngopharyngeal Reflux - LPR).
• Nusiwo le abe atikewo ene zazã ɣeyiɣi didi.
• Gbea zazã fũ akpa alo nu gbegblẽ le gbeɖiɖikawo ŋu (e.g., nuƒoƒo fũ, hadzidzi, alo nusianu si tea gbeɖiɖikawo). Bu eŋu kpɔ, nufiala, nufiala, alo ame aɖewo li siwo doa ɣli ɣesiaɣi. Woate ŋu aɖo afɔku me hã. Míaƒe aƒelika Nimal wɔa dɔ le ɣlidodo ƒe fiase aɖe me ŋkeke bliboa katã, eye tsɔ kpe ɖe eŋu la, ɣeyiɣi aɖewo li siwo me sigaret gɔ̃ hã nɔa eƒe nu me. Eƒe gbe hã va nɔ ɖiɖim vie nyitsɔ laa.

Aleke ɖɔktawo dea dzesi esia?

Ne èyi toŋutinunyala gbɔ la, woalé ŋku ɖe wò ta kple kɔ ŋu gbã. Emegbe woawɔ dodokpɔ aɖe si woyɔna be laryngoscopy be woalé ŋku ɖe wò gbeɖiɖikawo ŋu tẽ. Le dodokpɔ sia me la, ɖɔktaa alé ŋku ɖe:

• Yameʋuɖoɖowo.
• Nu.
• Vetome.
• Thyroid ƒe lãkusi.

Le wò sasrãkpɔ me la, wò ɖɔkta aƒo nyatakaka bubuwo nu ƒu tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Woate ŋu abia nyawo abe:

• Ɣekaɣie nède dzesii be yeƒe gbe trɔ zi gbãtɔ?
• Dzesi bubu kawoe le ŋuwò?
• Aleke dzesi siawo kpɔa ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzii?
• Lãmesẽnya kawoe le ŋuwò alo nènɔ ŋuwò kpɔ?
• Ðe nènoa atama? Ne nenemae la, ata nenie nènoa?
• Ðe nènoa aha sesẽa? Ne nenemae la, ke aleke gbegbee?
• Ðe wokpɔe be dɔgbo me acid le ŋuwò kpɔa?
• Atike kawoe nèzãna?
• Ðe wowɔ dɔ na wò kpɔa?
• Ðe wowɔ keklẽŋusẽdɔdamɔnu na wò kpɔa?

Dodokpɔ siwo wowɔ

Laryngoscopy na ɖɔktaa te ŋu léa ŋku ɖe wò gbeɖiɖikawo ŋu tẽ.Wozãa dodokpɔa. Ne Reinke ƒe ʋuʋudedi le ŋuwò la, àte ŋu akpɔ teƒe siwo vuvu kple/alo nusiwo le abe polyp ene le wò gbeɖiɖikawo ŋu siwo le abe weintsetse suewo alo tsi ƒe ʋuʋudedi ene.

Azɔ hã, woawɔ gbe me dzodzro atsɔ akpɔ wò gbe ƒe nɔnɔme vovovowo, abe gbeɖiɖi ƒe sesẽme, eƒe nyonyome, kple gbɔgbɔ ƒe sesẽme ene. Le numekuku sia me la, woalé ŋku ɖe wò lãkusi ŋu ahabia tso asiwò be nàƒo nu ɖe ​​nuƒomɔ̃ me, esime wole wò gbe lém ɖe mɔ̃ dzi.

Le Reinke ƒe dɔlélea me la, gbeɖiɖikawo ate ŋu avuvu abe ʋuƒo eve siwo me tsi yɔ fũ ene. Bu eŋu kpɔ, emae nana gbea nɔa ɖiɖim.

Aleke wowɔa atike nɛ?

Taɖodzinu vevitɔ si le Reinke ƒe ʋuʋudedi dada ŋue nye be woagbugbɔ gbea awɔ dɔ alo ana wòanyo ɖe edzi . Atikewɔwɔ nɔ te ɖe nusi gbɔ ʋuʋudedia tso dzi. Zi geɖe la, ɖɔktawo dzea egɔme kple atike siwo menye amekoko o, abe atamanono dzudzɔ ene.

Atikewɔwɔ si menye amekoko o

Be nàɖe Reinke ƒe ʋuʋudedi ɖa la, ele be nàda nusi gbɔ wòtso gbã . Be nàte ŋu awɔ esia la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• Dzudzɔ atamanono: Ne atamanolae nènye la, nu gbãtɔ si nàwɔe nye be nàdzudzɔ. Le go aɖewo siwo mesẽ o me la, esia ɖeɖe ate ŋu aɖe wò gbeɖiɖikawo ƒe vuvu dzi akpɔtɔ.
• Atikewo na GERD kple LPR: Ne dɔgbo me acid le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ atikewo abe H2 blockers alo proton pump inhibitors ene na wò. Woate ŋu aɖo aɖaŋu hã be woatrɔ asi le nuɖuɖu ŋu be woaɖe acid ƒe dzidziɖedzi dzi akpɔtɔ.
• Gbe ƒe Dɔdamɔnu: Nuƒoƒo ƒe atikewɔwɔ, si Nuƒoƒo kple Gbegbɔgblɔ ƒe Dɔléleŋutinunyala (SLP) wɔna, ate ŋu akpe ɖe ame ŋu wòado ŋusẽ gbeɖiɖikawo ƒe dɔwɔwɔ eye wòakpe ɖe wo ŋu woada gbe le wo ŋu. Ðɔktawo zãa atikewɔmɔnu sia tsɔ kpe ɖe atike siwo menye amekoko o kple esiwo wowɔna le amekoko siaa ŋu.

Amekoko ƒe atikewɔwɔ

Ne atikewɔwɔ siwo menye amekoko o mena wò dzesiwo nyo ɖe edzi o la, wò ɖɔkta aƒo nu na wò tso afɔɖeɖe siwo kplɔe ɖo ŋu. Esiawo ate ŋu anye:

• Microlaryngoscopy: Amekola zãa dɔwɔnu nyui ŋutɔwo tsɔ ɖea lãkusi siwo vuvu la ɖa esime wòle wò gbeɖiɖikawo kpɔm to nusuekpɔmɔ̃ dzi.
• Laser-dɔdamɔnu: Amekola zãa laser-kekeli ƒe ŋusẽ tsɔ ɖea gbeɖiɖikawo ɖa alo ɖea woƒe lolome dzi kpɔtɔna.

Le amekoko vɔ megbe la, ele vevie ŋutɔ be nànɔ adzɔge tso nusiwo na Reinke la vuvu le gɔmedzedzea me gbɔ . Eɖanye atamanono dzi yiyi alo dɔgbo me acid dada o, abi la ate ŋu atrɔ ava le amekoko megbe – ɣeaɖewoɣi le kwasiɖa ʋee aɖewo gɔ̃ hã me!

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Esi wowɔ dɔ na Reinke le eƒe vuvu ta vɔ la, .Exɔa abe kwasiɖa ene va ɖo ade ene hafi wòhayana keŋkeŋ. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàgbɔ ɖe eme bliboe le gbe me ŋkeke atɔ̃ va ɖo adre. Esia ana wò gbeɖiɖikawo nakpɔ ɣeyiɣi ada hafi nàgazã wo ake.

Nukae míate ŋu abu tso nɔnɔme sia ŋu? (Nukpɔsusu) .

Zi geɖe la, amesiwo ŋu Reinke ƒe ʋuʋudedi le ate ŋu akpɔ mɔ be yewoahaya nyuie . Togbɔ be gbeɖiɖika ƒe vuvu ate ŋu ahe dzesi siwo medzea ame ŋu o vɛ hã la, zi geɖe la, megblẽa nu le ame ŋu o . Eye ne èƒo asa na nusiwo ate ŋu agblẽ nu le ŋuwò la, nɔnɔmea magadzɔ ake o.

Ðe woate ŋu axe mɔ ɖe Reinke ƒe ʋuʋudedi nua?

Ẽ, zi geɖe la, woate ŋu axe mɔ ɖe Reinke ƒe vuvu nu ne woƒo asa na afɔku siwo le eme . Ne ènoa atama la, edzudzɔ ate ŋu aɖe wò gbeɖiɖika ƒe vuvu ƒe afɔkua dzi akpɔtɔ ŋutɔ . Ne acid reflux ƒe dzesiwo le ŋuwò la, ƒo nu kple wò ɖɔkta tso atike siwo ate ŋu akpe ɖe ŋuwò ŋu. Ne èzãa wò gbe enuenu la, ɖe afɔ aɖewo be màgazãe wòagbɔ eme o. Le kpɔɖeŋu me, ne ènye hadzila, nufiala, alo amesi wɔa dɔ le dɔ aɖe si bia be nàƒo nu enuenu me la, àte ŋu aɖe afɔku si le eme dzi akpɔtɔ ne ègbɔ ɖe eme eye nèno tsi geɖe.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ɣeaɖewoɣi la, Reinke ƒe lãkusiwo ƒe vuvu ate ŋu ana wò yaƒoƒomɔ̃wo natsi eye wòana gbɔgbɔ nasesẽ . Ne ède dzesi dzesi siawo dometɔ aɖe la, gblɔe na wò ɖɔkta enumake . Ne ède dzesi tɔtrɔ aɖewo le wò gbe me si xɔ wu kwasiɖa ene la, ele be nàkpɔ to, ŋɔti, kple ŋɔti ŋuti nunyala bibi aɖe (tolaryngologist) si ate ŋu ado wò gbeɖiɖikawo kpɔ tẽ.

Zi geɖe la, gbeɖiɖikawo ƒe vuvu mekpɔa ŋusẽ gã aɖeke ɖe wò lãmesẽ dzi o. Ke hã, ate ŋu ana wò gbe natrɔ ɖedzesiwo. Ate ŋu anye ŋukpe kple ŋukpe na ame aɖewo. Amekoko ate ŋu akpe ɖe ame ŋu. Gake be nàxe mɔ ɖe dzesiawo ƒe gbugbɔgadzɔ nu la, ele be nàƒo asa na afɔkuwo abe atamanono kple wò gbe zazã fũu akpa ene godoo. Bia wò ɖɔkta tso atikewɔmɔnu siwo nàte ŋu azã ŋu.

Nya kpui siwo dzi wòle be míaɖo ŋkui

Enyo, eyata, le nusi ŋu míeƒo nu tsoe tso Reinke ƒe Edema ŋu nu la, ɖo ŋku nusiawo dzi:

• Nusi koŋ gbɔ wòtsoe nye atamanono: Zi geɖe la, esia gbɔe wòtsona.
• Gbe si le ɖiɖim nye nu vevi aɖe: gbea ate ŋu age ɖe to hã.
• Menye kansa o: gake eɖenɛ fiana be gbeɖiɖikawo gblẽ.
• Asiɖeɖe le atamanono ŋu le vevie: Esia le vevie ŋutɔ be atikewɔwɔa nakpɔ dzidzedze.
• Di atikewɔlawo ƒe aɖaŋuɖoɖo: Ne gbea ƒe tɔtrɔ yi edzi la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Woate ŋu axe mɔ ɖe enu: Àte ŋu aƒo asa na esia ne èƒo asa na atamanono eye nèkpɔ wò gbe ta.

Eyata, lé be na wò gbe. Elabena enye wò lãmesẽ ƒe akpa aɖe hã! See?

` Reinke ƒe Edema, gbe ƒe tɔtrɔ, gbe si le ɖiɖim, gbeɖiɖika ƒe vuvu, atamanono, ŋɔti me vevesese