Ðe wò tomeka vuvua? Ðe wò to sesẽa? (Ruptured Eardrum/Perforated Tympanic Membrane) Mina míaƒo nu tso esia ŋu!

Ðe to na wò kpata, si nu sẽ, to megate ŋu sea nu kpata o, alo nèse le ɖokuiwò me be nane le dodom le to me kpɔa? Alo ɖe nèsena le ɖokuiwò me abe ɖe nane tsi to me ene, alo nèsea gbeɖiɖi siwo wotu ɖe to mea? Esiawo ate ŋu anye dzesi siwo fia be wò tomeka gbã. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito.

Nukae nye tomeka si gbã?

Kpuie ko la, wò tomeka nye lãkusi tsɛ aɖe si ma wò to gota kple wò titinato dome. Ele abe kpẽ ƒe ŋutigbalẽ ene. Ewɔa dɔ ɖe ame dzi ŋutɔ . Ne titinato me dɔlékui sesẽ aɖe le ŋuwò , alo ne èdze afɔku alo xɔ abi le to me la, wò to ate ŋu agbã alo ado. Esiae míeyɔna be tomeka si me do le, alo abe alesi ɖɔktawo yɔnɛ ene la, tomeka si me do le. Ne wò tomeka gbã la, ate ŋu agblẽ nu le wò tosese ŋu . Ame aɖewo hã ate ŋu ato dadasɔ ƒe kuxiwo me. Zi geɖe la, tomeka si vuvu la ahaya le eɖokui si atike aɖeke mawɔmawɔe. Gake le go aɖewo me la, ahiã be woawɔ dɔ na ame be woatsɔ aɖɔ tomeka si gblẽ la ɖo. Eyata beléle na wò towoe nye mɔ nyuitɔ si dzi nàto axe mɔ na tomeka ƒe gbagbã.

Aleke tomeka si vuvu kpɔa ŋusẽ ɖe wò ŋutilã dzii?

Wò tomeka nye wò tomeŋusẽ ƒe akpa vevitɔwo dometɔ ɖeka. Bu eŋu ale. Gbeɖiɖi si dona tso wò to gotatɔ me nana wò tomeka ʋuʋuna. Ele abe kpẽ ƒoƒo ene. Ʋuʋudedi siawo ɖoa dzesi aɖe ɖe wò tomeka, si ɖoa dzesia ɖe wò ahɔhɔ̃. Ahɔhɔ̃a ɖea dzesi ma gɔme be enye gbeɖiɖi. Fifia, ne wò tomeka gbã la, ele abe ʋuka kpui aɖe si le wò tomemɔ̃ me ene. Elabena tomeka mete ŋu tsɔa gbeɖiɖia ɖoa ame gbɔ nyuie o. Menye ema ɖeɖeko o, tomeka hã kpɔa wò titinato ta tso tsi, dutanuwo abe dɔlékuiwo, kple gbeɖuɖɔwo abe ŋutigbalẽmenugbagbevi kukuwo ene gɔ̃ hã me. Ne tomeka gbã la, eva zua afisi dɔlékui siwo hea to me dɔlékuiwo vɛ (otitis media) ate ŋu age ɖo bɔbɔe. Ɣeaɖewoɣi la, ŋutigbalẽ me lãmenugbagbeviwo kple gbeɖuɖɔ bubuwo te ŋu gena ɖe to titina, eye wowɔa ƒunukpeƒetetedɔ si woyɔna be cholesteatoma. Protein siwo le ƒunukpeƒe siawo me ate ŋu agblẽ nu le wò titinato ƒe ƒu tsɛwo ŋu. Kpe siawo ate ŋu ana wò titinato me dɔlékuiwo hã nadzi ɖe edzi.

Ðe tomeka ƒe gbagbã nye nɔnɔme sesẽ aɖea?

Le go aɖewo me la, ne do alo tome ƒe gbagbã mehaya le eɖokui si o la, ate ŋu ava zu lãmesẽkuxi sesẽ aɖe . Le kpɔɖeŋu me, tomeka si vuvu ate ŋu ana nusiwo gbɔna:

• Tosese ƒe Dɔmawɔmawɔ Ɣeyiɣi Didi .
• Taɖuame si nɔa anyi ɖaa `(Vertigo ƒe dɔléle .
• Taɖuame ɣeyiɣi didi .
• Dɔlékui si ate ŋu akaka ɖe to me.
• Tomeʋuʋu si nɔa anyi ɖaa.

Nukawoe nye dzesi siwo bɔ ɖe tome ƒe gbagbã me?

Negbe ɖe nane ƒo wò to ko hafi la, ɖewohĩ màkpɔe gɔ̃ hã be tomeka si gbã la le ye ŋu o vaseɖe esime nàkpɔ tɔtrɔ le to me alo ʋu le dodom alo ʋuʋudedi le dodom tso to me. Dzesi siwo bɔ ɖe tome ƒe gbagbã me dometɔ aɖewoe nye:

• Tosese ƒe kuxi kpata. Ðewohĩ màse gbeɖiɖi aɖeke kura o, alo gbeɖiɖia ate ŋu aɖiɖi ŋutɔ, alo aɖi abe ɖe woxe mɔ na nane ene.
• Vevesese sesẽ kpata le to me .
• Aɖuɖɔ alo tsi si le abe ʋu ene si le dodom tso to me.
• Tome ƒe ʋuʋu nye gbeɖiɖi si le ɖiɖim alo le ɣli dom si dona tso wò to me.

Le ame aɖewo gome la, vevesese sia nu yina le ɣeyiɣi aɖe megbe, vevietɔ ne to titina ƒe nyaƒoɖeamenu dzi ɖena kpɔtɔna le tomeka ƒe gbagbã megbe.

Aleke tomeka si gbã la sena le eɖokui me?

Zi geɖe la, tomeka si gbã la senɛ le eɖokui me abe to me vevesese kpata si nu sẽ ene . Esia nye nyateƒe vevietɔ ne nu ɖaɖɛ aɖe to tomekaa me alo ne nane ƒo toa sesĩe ŋutɔ. Bu eŋu abe esime nènɔ fefem le ɖevime eye xɔ̃wò aɖe tsɔ pɛnsil ƒe nugbɔ ƒo wò le vo me ene.

Nukatae tsi dona le to me ne tomeka gbã?

Ne titinato me dɔlékui aɖe le ŋuwò la, ʋuʋudedi si ƒo ƒu tso dɔlékuia me ate ŋu ado to do aɖe si le tomeka me. Esia tae tsi dona le to me na wò ɣeaɖewoɣi ɖo.

Nukawoe hea tomeka ƒe gbagbã vɛ?

Nu vevitɔ si gbɔ tomeka si gbãnae nye to titinadɔléle . Tsɔ kpe ɖe eŋu la, tomeka ate ŋu agbã le mɔ bubu geɖe nu:

• Dutanuwo: Ne èzã kotoklobo alo nu sue bubu siwo le nugbɔ tsɔ kɔ wò to ŋu, alo ne èle to ƒom la, wò tomeka ate ŋu agbã. Ɣeaɖewoɣi la, ate ŋu agbã hã le afɔku aɖe si womele mɔ kpɔm na o ta. Le kpɔɖeŋu me, pɛnsil si wotsɔ ƒu gbe ate ŋu aƒo wò to, alo alɔ si tso ati si le bɔbɔe me ate ŋu aƒo wò to esime nèle du ƒum.

Vevietɔ: Togbɔ be ame geɖe wɔa esia hã la, ne wotsɔ kotoklobo kɔ woƒe towo ŋu la, ate ŋu agblẽ nu le tomeka ŋu. Wotrɔ asi le míaƒe towo ŋu be woanya tomeka le dzɔdzɔme nu.

• Nuveviwɔame: Ne ame aɖe tsɔ asi ƒo wò to (abe ƒoƒo ɖe ŋgonu ene), alo ne woƒo wò sesĩe ɖe to alo ta ƒe axadzi la, wò tomeka ate ŋu agbã.
• Ya ƒe nyaƒoɖeamenu ƒe tɔtrɔ (Barotrauma): Eustachian tube si le wò to meNe Eustachian tube la xe alo vuvu la, nɔnɔme sia ate ŋu ado mo ɖa. Esia wɔnɛ be ya tsia tomeka kple titinato dome, eye ne ya ƒe nyaƒoɖeamenu trɔ kpata (le kpɔɖeŋu me, ne yameʋu le dzi yim alo le ɖiɖim) la, anɔ eme be tomeka la agbã.
• Gbeɖiɖi siwo atɔ dzo kpata: Ne ègogo bɔmb alo tudada sesẽ aɖe la, gbeɖiɖia ate ŋu agbã wò tomeka hã. Dzokeke gɔ̃ hã ate ŋu awó le wò to gbɔ.

Aleke ɖɔktawo dea dzesi esia?

Zi geɖe la, ɖɔktawo tsɔa dɔwɔnu aɖe si woyɔna be otoscope léa ŋku ɖe wò to me. Esia nye haƒonu sue aɖe si me akaɖi le si kpena ɖe ŋuwò nèkpɔa tomeka. Tomeŋutinunyalawo ate ŋu awɔ tomedodokpɔwo hã atsɔ adzidze wò tosese ahalé ŋku ɖe wò tomeka ƒe ʋuʋu ŋu. Dodokpɔ siawo ate ŋu anye:

• Odiometry/Odiogram: Esiawo nye tosese dodokpɔwo. Wodzidzea alesi nàte ŋu ase gbeɖiɖiwo nyuie le gbeɖiɖi vovovowo me kple alesi nàte ŋu ase wo blewui. Odiogram nye nɔnɔmetata si ɖea dodokpɔ sia me tsonu fiana.
• Tympanometry: Dodokpɔ sia dzidzea tomeka ƒe ʋuʋu, si nye alesi tomekaa ʋuʋuna nyuie.

Ðe tomeka si gbã la ada gbe le eɖokui sia? Alo ɖe wòhiã be woawɔ atike nɛa?

Zi geɖe la, tomeka si gbã la ada le eɖokui si . Gake ne mewɔe o la, ele be nàkpɔ to, ŋɔti, kple ŋɔti (ENT) ŋuti nunyala bibi aɖe godoo adzro atikewɔwɔ bubuwo me. Atikewɔwɔ ƒe tiatia aɖewoe nye:

• Myringoplasty: Le dɔ sia wɔwɔ me la, wò ENT ɖɔkta atsɔ pepa tɔxɛ aɖe si ŋu atike le la ade do si le wò to me alo avuvu la dzi. Le ɣeyiɣi aɖe megbe la, wò tomeka agatsi ake eye wòayɔ doa me alo avuvu.
• Tympanoplasty: Esia nye amekoko si me wozãa ŋutigbalẽ, ƒunukpeƒetetedɔ, alo nu bubu siwo woɖe tso wò ŋutilã ƒe akpa bubu tsɔ xea do alo vuvu si le wò tomeka me.

Aleke nàwɔ axe mɔ ɖe tomeka si gbã nu?

Beléle na wò towoe nye nu vevitɔ kekeake si nàte ŋu awɔ be tomeka nagagbã o. Mɔ siwo dzi nàto akpɔ wò to kple tomekawo ta dometɔ aɖewoe nye esi:

• Na atike na titinato me dɔlékuiwo kaba: Titinato me dɔlékuiwo ƒe dzesiwo dometɔ aɖewoe nye to ƒe vevesese, ŋɔti ƒe ʋuʋu, dzoxɔxɔ, kple to ƒe dɔmawɔmawɔ nyuie. Ne dzesi siawo gakpɔtɔ li wu ŋkeke ʋɛ aɖewo la, yi ɖɔkta gbɔ.
• Kpɔ nyuie ne èle wò towo kɔm: Mègazã kotoku alo nu bubu aɖeke atsɔ akɔ wò towo ŋu o. Kotoklobo gɔ̃ hã ate ŋu agbã wò tomeka bɔbɔe. Ke boŋ zã asibidɛ dzadzɛ alo avɔ dzadzɛ ƒe dzogoe nàtsɔ atutu wò to ƒe gota blewuu.
• Ƒo asa na yameʋu ƒe to:Woyɔa esia be `(Barotrauma).` Èsena le ɖokuiwò me abe ɖe balloon le yeƒe ta me ene. Esia ate ŋu adzɔ ne èle yameʋu me. Kɔkɔme ƒe tɔtrɔ kpata ne yameʋua le dzodzom hele ɖiɖim ate ŋu akpɔ ŋusẽ ɖe wò to dzi. Àte ŋu aƒo asa na esia ne èɖe aɖuɖɔ, aŋe, alo tomeka tɔxɛ siwo kpɔa ya ƒe nyaƒoɖeamenu ƒe tɔtrɔ dzi dodo.
• Takpɔ wò towo ta tso toɣliɖeɖe sesẽwo me: Toɣliɖeɖe sesẽwo, abe tudada kple bɔmb ƒe wowó ene, ate ŋu agbã wò tomekawo. Zã tomeka alo tometakpɔnu bubu ɣesiaɣi si nèsusu be yeate ŋu ado go toɣliɖeɖe sesẽ mawo.

Ɣeyiɣi didi kae wòxɔna hafi tomeka si vuvu la hayana?

Ate ŋu axɔ ɣleti geɖe hafi wò tomeka si vuvu la nahaya. Ne dzesiwo abe vevesese, to me tsi si le dodom, alo tosese ƒe kuxiwo gakpɔtɔ le ŋuwò la, yi wò ɖɔkta gbɔ. Ðewohĩ ahiã be woawɔ atike bubuwo na wò.

Aleke mawɔ alé be na nye tomeka vaseɖe esime wòahaya?

Nu vevitɔ kekeakee nye be nàkpɔ wò tomeka si gbã la ta. Àte ŋu awɔ esia to mɔ siawo dzi:

• Mègana wò tomekawo natsi o: Ne èle tsi ƒum alo le tsi ƒum la, zã tomeka siwo me tsi mate ŋu age ɖo o alo kotoklobo siwo wotsɔ ami nyrɔ ɖe eme. Ne èle tsi ƒum hena kamedede la, taflatse tia kamedede ƒomevi bubu. Tsi si ge ɖe wò to me esime nèle tsi ƒum ate ŋu agblẽ nu le wò tomekawo ŋu.
• Mègakɔ wò to ŋu o: Ne èkɔ wo ŋu blewuu hã la, ate ŋu ahe tomeka ƒe dɔyɔyɔ ɖe megbe.
• Mègaku wò ŋɔti o: Afisi nàte ŋui la, mègaku wò ŋɔti o vaseɖe esime wò tomeka nahaya. Ne nulɔdɔ le ŋuwò la, bia wò ɖɔkta tso mɔ siwo dzi nàto axe mɔ ɖe ŋɔti ƒe ʋuʋu nu ŋu.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ ne wò tomeka gbã?

Ne ènya be tomeka gbã la, yi ɖɔkta gbɔ ne dzesiawo meva nyo ɖe edzi le kwasiɖa ʋɛ aɖewo megbe o.

Ɣekaɣie wòle be nàyi xɔ si me wowɔa dɔ kpata le ne wò tomeka gbã?

Ne èsusu be nane ge ɖe wò to me tso gota eye wògblẽ nu le wò to me la, ele be nàyi xɔ si me wowɔa dɔ kpata le .

Nya kawoe wòle be mabia ɖɔkta?

Ne èsusu be tomeka gbã la, nya aɖewo siwo wòle be nàbia ɖɔktae nye esi:

• Ðe tomeka si vuvu le ŋunye nyateƒea?
• Ne tomeka gbã la, nukae woate ŋu awɔ atsɔ adae?
• Nukae wòle be mawɔ atsɔ akpɔ nye tomeka ta vaseɖe esime esia nahaya?
• Nɔnɔme kawo mee wòle be míabu atikewɔmɔnu bubuwo ŋu le?

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Wò tomeka nye ŋutinu si le tsɛ ŋutɔ eye wòle vevie ŋutɔ . Tomeka si gbã ate ŋu akpɔ ŋusẽ ɖe wò tosese kple dadasɔ dzi. Azɔ hã, tomeka si gblẽ mate ŋu akpɔ titinato ta tso dɔlékuiwo si me o, si wɔnɛ be to me dɔlékuiwo xɔxɔ ƒe afɔkua dzina ɖe edzi.

Esia tae wòle vevie ŋutɔ be nàkpɔ wò tomeka ta. Togbɔ be zi geɖe la, tomeka siwo vuvu la haya le wo ɖokui si hã la, ate ŋu axɔ ɣeyiɣi. Ne wò tomeka gbã eye mehaya o la, kpɔ egbɔ be yena yeƒe ɖɔkta nanya. Ðewohĩ ahiã be woawɔ dɔ na wò. Lé be na wò towo ɣesiaɣi eye mègatsɔ nu siwo mehiã o ade to me o.