Ðe wò ŋku se le eɖokui me abe ɖe wòle nyɔnyrɔm ɖe eme enea? Mina míaƒo nu tso Silent Sinus Syndrome ŋu!

Ðe nède dzesii be wò mo ƒe akpa ɖeka trɔ vie, vevietɔ le ŋku ƒe akpa si ƒo xlãea? Ðewohĩ wò ŋku nyrɔ ɖe eme vie, alo wò ŋkume le ŋeŋea? Togbɔ be esiawo adze abe nya sue aɖe ene hã la, ɣeaɖewoɣi la, nɔnɔme aɖe ate ŋu anɔ megbe nɛ si ŋu míese nu geɖe tsoe o, gake ele vevie be míanya nu tso eŋu. Woyɔa nɔnɔme mawo dometɔ ɖeka be ‘Silent Sinus Syndrome.’ Ŋkɔa aɖi nusi wɔ nuku vie, gake mina míana wòanɔ bɔbɔe.

Nukae Nye Silent Sinus Syndrome ƒe Dɔléle?

Kpuie ko la, esia nye nɔnɔme si lɔ do siwo ƒo xlã míaƒe ŋɔti, si woyɔna be ‘sinus’ ɖe eme. Ekpɔa ŋusẽ ɖe do siwo le míaƒe ŋɔti ƒe akpa eveawo dzi, si woyɔna be `(Maxillary sinus)`. Le nɔnɔme sia me la, ŋku ɖeka alo ɣeaɖewoɣi evea siaa nyrɔna ɖe eme vie (`(Enophthalmos)`). Alo ŋkumeʋuʋua ɖiɖina yia ŋkume (`(Ŋku ƒe ʋuƒo)`). Bu eŋu abe ʋuʋudedi si le ya ƒom hele ɖeɖem ene, esia dzɔna elabena míaƒe lãkusiwo ƒe gliwo ƒoa xlã wo yia eme. Woɖiɖia ŋkumeɖonu si le abe lãkusi siawo tame ene la ƒe anyigba to mɔ sia nu.

Susu vevitɔ si tae nye be sinus ƒe dowo xena. Emegbe womate ŋu aɖe tsi siwo le lãkusiwo me la ɖa ahaƒo ƒu o, eye le ɣeyiɣi aɖe megbe la, wogaxɔa wo ɖe ŋutilãa me ake. Le esia ta la, ya aɖe dona le sinus ƒe doa me, eye doa dzi ɖena kpɔtɔna vivivi. Ɣemaɣie ŋkua nyrɔna.

Wotsɔ nya ‘ɖoɖoezizi’ kpe ɖe eŋu elabena zi geɖe la, vevesese aɖeke menɔa nɔnɔmea me o. Gake mo ƒe nɔnɔme, vevietɔ le akpa ɖeka, ate ŋu anye esi mesɔ o. Zi geɖe la, mo ƒe akpa ɖeka koe wòdzena, gake ƒã hafi, ate ŋu adze akpa eveawo siaa dzi. Atikewɔwɔ le vevie be woatsɔ axe mɔ na dzesiawo be woagagblẽ ɖe edzi o eye woaxe mɔ ɖe kuxiwo abe ŋku ƒe nukpɔkpɔ le gota alo nukpɔkpɔ to mɔ̃ me ene nu.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, nɔnɔme sia si woyɔna be ``Silent Sinus Syndrome'' mebɔ kura o . Woke ɖe eŋu zi gbãtɔ eye woƒo nu tso eŋu le ƒe 1964. Tso ɣemaɣi la, ame ʋɛ aɖewo ko, siwo ade 100, koe wokpɔ le xexeame katã. Eyata womeƒoa nu tso eŋu boo o.

Nukawoe nye dzesiawo? Aleke nàte ŋu ase wo le wo ɖokui me?

Zi geɖe la, ``Silent Sinus Syndrome'' ƒe dzesiwo dzena vivivi le kwasiɖa va ɖo ɣleti geɖe me. Gake ɣeaɖewoɣi la, dzesi siawo ate ŋu adze kaba wu. Dzesi vevi siwo wokpɔnae nye tɔtrɔ siwo vaa wò mo ƒe dzedzeme me.

• Enophthalmos: Esiae nye dzesi si bɔ wu. Dɔnɔwo katã kloe le eŋu. Ŋku ƒe ʋuʋu ƒe agbɔsɔsɔme ate ŋu anɔ milimeta 2 va ɖo 6.
• Ŋku ƒe ʋuʋu yi anyime (`(Hypoglobus)`):Dɔnɔwo ƒe afã lɔƒo kpɔa dzesi sia. Esia fia be ŋkumeʋuʋua ɖiɖi yi ŋkume. Esia ate ŋu anɔ abe milimeta 1 va ɖo 6 ene.
• Tɔtrɔ le ŋkume: Wokpɔ tɔtrɔ le ŋkume ƒe akpa si le etame ƒe nɔnɔme ŋu le dɔnɔ siwo ade 88% me.
• Nukpɔkpɔ eve (`(Diplopia)`): Numekuku gã eve ɖee fia be dɔnɔ siwo le 28% va ɖo 65% la doa go nɔnɔme aɖe si me wokpɔa nu eve zi ɖeka.

Tsɔ kpe ɖe dzesi vevi siawo ŋu la, dzesi bubu geɖewo ate ŋu anɔ anyi:

• Ptosis (alo Blepharoptosis): Ŋku ƒe akpa si le etame ƒe ɖiɖi alo eƒe ɖiɖi.
• Ŋkuʋuʋu: Woɖiɖi ŋkume, si wɔnɛ be wòdzena abe ŋkuwo le ʋuʋum ene.
• Nukpɔkpɔ si me mekɔ o: Esesẽna be nàkpɔ nuwo nyuie eye wòsesẽna na wò be wòatsɔ susu aɖo nu ŋu.
• Sinusitis: Sinus ƒe dowo ƒe vuvu kple dɔlékuiwo xɔxɔ.
• Rhinorrhea (ŋɔti me tsi si sina): Tsi si dona le ŋɔti me, si le abe ʋuʋudedi ene.
• Postnosal drip: Tsi si sɔ gbɔ la ƒoa ƒu eye wòsina yia kɔa ƒe megbe .
• Mo ƒe nyaƒoɖeamenu alo vevesese: Vevesese alo ʋuʋu le lãkusi ƒe teƒewo, abe ŋku, ŋgonu, kple ŋgonu ƒo xlãe ene.

Nukatae silent sinus syndrome dzɔna? Nukawoe gbɔ wòtsona?

Tso esime woke ɖe dɔléle sia ŋu la, numekulawo to nufiafia vovovowo vɛ ku ɖe nusiwo gbɔ wòtsona ŋu. Ame geɖe xɔe se be nusi koŋ gbɔ nɔnɔme sia tsoe nye míaƒe ŋɔti ƒe akpa aɖe si woyɔna be ``osteomeatal complex'' ƒe xexe. ``Osteomeatal complex'' sia nye wɔwɔme si me kɔ si kpena ɖe ʋuʋudedi kple ya ŋu be wòado le ŋɔti me. Ne míagblɔe tututu la, ele abe míaƒe ƒunukpeƒetetedɔ ƒe mɔnu ene.

Teƒe siawo ate ŋu axe mɔ na wo le susu vovovowo ta. Ne woxe la, tsi siwo dona le lãme na ame la ƒoa ƒu ɖe ƒunukpeƒetetedɔa me. Le ɣeyiɣi aɖe megbe la, míaƒe ŋutilã gaxɔa tsi siawo siwo ƒo ƒu la ake. Nusi dzɔna enye be wowɔa vacuum (`(Vacuum effect)`) le sinus cavity la me. Le nyaƒoɖeamenu sia si nɔa anyi didi ta la, gli siwo le lãkusiwo me hea wo yia eme vivivi eye wotsina. Le esia ta la, ŋkume ƒe anyigba (`(Orbital floor)`) si le sinus cavity tame la hea anyigba. Esia ate ŋu ana ƒuawo natsi eye woƒe nɔnɔme natrɔ gɔ̃ hã.

Amekae ate ŋu axɔ nusia wu?

Amesiame ateŋu axɔ nɔnɔme sia, si woyɔna be ``Silent Sinus Syndrome.`` Ke hã, amesiwo ƒe no ƒe ŋutilã ƒe wɔwɔme mebɔ o le afɔku me wu. Vevietɔ wobua amesiwo ƒe septum tra mɔ la be wole afɔku gã aɖe me.

Wokpɔa dɔléle sia le amesiwo xɔ ƒe 30 kple 40 me wu. Azɔ hã, atamanolawo le afɔku gã aɖe me be woaxɔ dɔléle sia.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?

Bu nusi adzɔ ne wò sinus ƒe dowo dzi ɖe kpɔtɔ eye wò ŋkuwo ayi edzi anɔ nyɔnyrɔm ɖe eme.Ne womewɔ atike nɛ o la, ``Silent Sinus Syndrome'' sia ateŋu ayi edzi akpɔ ŋusẽ ɖe wò sinus dzi eye wòana wò dzesiwo nagagblẽ ɖe edzi. Wò ŋku alo ŋku eveawo ate ŋu anyrɔ ɖe eme geɖe wu eye wò ŋkumeʋuʋu ate ŋu aɖiɖi ɖe anyi wu. Le ɣeyiɣi aɖe megbe la, esia ateŋu ahe ``Peripheral vision loss'' vɛ, si nye nɔnɔme si me nèkpɔa nuwo tso axawo dzi eye nèkpɔnɛ abe ɖe nèle ŋku lém ɖe mɔ̃ aɖe me ene. Menye ema ɖeɖeko o, ate ŋu ahe lãmesẽkuxi bubuwo hã vɛ.

Aleke nèwɔna dea dzesi dɔléle sia pɛpɛpɛ?

Ne dzesi siawo le ŋuwò la, ne èyi ɖɔkta gbɔ zi gbãtɔ la, ado wò kpɔ ahabia wò dzesiwo. Emegbe, woate ŋu aɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (to kple ŋɔtiŋutinunyala, alo ENT ɖɔkta).

Eŋutinunyala la ado wò ŋkuwo kpɔ nyuie eye wòanɔ te ɖe wò dzesiwo dzi anya dɔlélea. Adi nuwo abe ŋku siwo nyrɔ, ŋkumeɖonu siwo le gegem ɖe anyigba, kple ŋkumeɖonu siwo le gegem ɖe anyigba ene.

Be woaɖo kpe nɔnɔme sia dzi la, wò ɖɔkta ateŋu abia tso asiwò hã be nàwɔ ``CT scan`` (Computed Tomography scan). Esia ate ŋu akpɔ nɔnɔme si me sinus ƒe dowo le la nyuie.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adaea?

Nya nyuiae nye be, ẽ, le go geɖe me la , amekokoe nye dɔléle sia (Silent Sinus Syndrome) dada. Amekoko ƒomevi vevi eve li:

• Antrostomy: Esia bia be woazã endoscope, si nye mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le, atsɔ aɖe mɔxenu si le sinus ƒe doa me ɖa eye woana nusiwo dona le eme la nado nyuie. Enaa lãkusi si le kuxia hem vɛ ƒe ʋuʋu hã lolona. Zi geɖe la, esia dzena le endoscopic sinus surgery ƒe hatsotso me.
• Orbital floor repair: Le go aɖewo me la, amekoko ate ŋu alɔ orbital floor dzadzraɖo hã ɖe eme. Ke hã, ɖɔkta aɖewo gblɔ be esia mehiã ɣesiaɣi o.

Le atikewɔwɔ siawo megbe la, ʋuka siwo me ʋu sina tona la gadzea dɔwɔwɔ gɔme abe alesi wòle ene, eye dzesiwo abe ŋku ƒe dodo ene ate ŋu atrɔ ava nɔ abe alesi wòle ene.

Mɔkpɔkpɔ ka ƒomevie ate ŋu anɔ asiwò le atikewɔwɔ vɔ megbe?

Zi alesi nède dzesi ``Silent Sinus Syndrome'' nɔnɔme sia kaba la, zi nenemae wòanyo na wò wu. Emegbe àteŋu axe mɔ ɖe ŋku ƒe kuxi sesẽwo nu eye nàkpɔ kuxia gbɔ kple ``Endoscopic sinus surgery'' ko, evɔ mahiã be nàwɔ dɔ gã aɖeke o (abe ``Orbital floor repair'' ene).

Ne womewɔ atike nɛ o, abe alesi míegblɔe va yi ene la, nɔnɔmea ate ŋu agblẽ ɖe edzi eye wòahe kuxiwo abe ŋku ƒe nukpɔkpɔ le gota gome, ŋku ƒe ʋuʋu, kple ŋku ƒe ʋuʋu ene vɛ. Eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Ðe mɔ aɖe li si dzi woato axe mɔ na esia be wòagadzɔ oa?

Le nyateƒe me la, ``Silent Sinus Syndrome'' sia nye nɔnɔme si ateŋu adze ame sia ame dzi. Esi numekulawo mekpɔ nusi tututu gbɔ esia tso haɖe o ta la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu be wòagadzɔ o. Gake ne nane si mesɔ o le ŋɔti me la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dzesi yeye aɖewo dze le ŋuwò, abe ŋku ƒe ʋuʋu, ŋkume ƒe ʋuʋu, alo ŋkume ƒe ʋuʋu ene la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Esiawo ate ŋu anye nu bɔbɔewo, gake ele vevie be nàkpɔ egbɔ be naneke mele vevie o.

Nya kawoe wòle be nàbia wò ɖɔkta?

Ne èyi ɖɔkta gbɔ la, nya siawo tɔgbe biabia ate ŋu akpe ɖe ŋuwò nàse nɔnɔmea gɔme nyuie wu:

• Aleke mewɔ xɔ ``Silent Sinus Syndrome'' sia?
• Atikewɔwɔ kawoe nèkafu?
• Ðe wòhiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi ame nahaya le amekoko vɔ megbe? Nuka ŋue wòle be matsi dzi ɖo le ɣeyiɣi ma me?
• Ðe nane li mate ŋu awɔ be ``Silent Sinus Syndrome'' sia nagadzɔ ake oa?

Ðe ŋkɔ bubu aɖe li na esia?

Ẽ, wotsɔ ŋkɔ bubu geɖewo yɔa ``Silent Sinus Syndrome'' sia. Le kpɔɖeŋu me, wozãa ``Chronic maxillary atelectasis'' kple ``Imploding antrum syndrome''. Gake numekula aɖewo bua nɔnɔme siawo be wonye nɔnɔme siwo to vovo, siwo le tẽ.

Eyata nu vevi kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me?

Enyo, eyata mele mɔ kpɔm be fifia miakpɔ nusi ŋu míeƒo nu tsoe, ``Silent Sinus Syndrome.`` Ðo ŋku edzi be, togbɔ be esia nye nɔnɔme si mebɔ o hã la, ateŋu akpɔ ŋusẽ ɖe ŋkuwo dzi le esi míaƒe sinus ƒe dowo xe ta.

Nu vevitɔ enye be ne ède dzesi tɔtrɔ yeye alo esi mebɔ o le wò mo, vevietɔ le wò ŋkuwo ŋu – abe ŋku si nyrɔ alo ŋkume ƒe ʋuʋu ene – mègaŋe aɖaba ƒu edzi o. Ðewohĩ manye naneke si ŋu woatsi dzi ɖo o. Ke hã, anyo wu be nàyi ɖɔkta gbɔ be nànya nusi tututu le edzi yim eye ne ehiã la, nàdze atikewɔwɔ gɔme kaba. Esia akpe ɖe mía ŋu míaxe mɔ ɖe kuxi siwo mehiã o nu. Wò lãmesẽe nye nu vevitɔ kekeake na mí!

` Silent sinus syndrome, ŋku ƒe tsiƒuƒu, ŋkumeʋuʋu, enophthalmos, hypoglobus, no me do, ENT