Ðe sinus ƒe kuxiwo nɔa ŋuwò zi geɖea? Mina míaƒo nu tso sinusitis ŋu!

Ðe ŋɔti hã le ŋuwòa? Ðe wòwɔna na wò abe ɖe ʋuʋudedi le dodom le wò ŋɔti me enea, alo ɖe ʋuʋudedi ɣiwo dona le wò ŋɔti mea? Ðe wò mo kple ŋgonu tena eye wòsea veve nukutɔe, tsɔ kpe ɖe taɖuame ŋu ɣeaɖewoɣia? Esiawo ate ŋu anye dzesi siwo fia be sinusitis le ŋuwò. Ame geɖe yɔa esia hã be sinusitis. Eyata, mina míaƒo nu tso esia ŋu tsitotsito vie eye wòanɔ bɔbɔe egbea.

Nukae nye Sinusitis? Nukae nye Sinus-wo?

Kpuie ko la, sinusitis nye wò ƒunukpeƒetetedɔ ƒe ʋuʋudedi. Fifia ɖewohĩ ànɔ nusi nye lãkusi siawo ŋu bum.

Bu eŋu kpɔ, le wò mo me, wò ŋɔti godo, wò ŋkuwo te, kple wò ŋgonu ƒe akpa aɖe la, do sue ene siwo me ya yɔ fũ (siwo le eveveve) le eme. Wole abe agado suewo ene. Esiawoe míeyɔna be sinus. Wotsɔa mɔ tsɛwo doa ka kple do siawo. Zi geɖe la, ya yɔa lãkusi siawo me fũ.

Sinus siawo naa tsi si le abe ʋuʋudedi ene dona. Nusiwo dona le eme sia sina toa ŋɔti me. Esia kpena ɖe ŋuwò be wò ŋɔti nanɔ dzadzɛ eye wòkpɔa eta tso dɔlékuiwo, abe dɔlékuiwo kple nusiwo nana ŋutilã melɔ̃a nu o ene me.

Gake ne le susu aɖe ta, le kpɔɖeŋu me, dɔlékui aɖe, dɔlékui ƒe dɔléle, alo nulɔdɔ aɖe ta la, ʋuka siawo ƒe lãkusiwo xɔa dzo, si xea mɔ na mɔ siwo dzi ʋuʋudedi la tona. Emegbe ʋuʋudedia gena ɖe eme, si wɔnɛ be nyaƒoɖeamenu nɔa lãkusiawo me. Emae míeyɔna be sinusitis, alo abe alesi ame aɖewo yɔnɛ ene la, rhinosinusitis. Esiae hea dzesiwo abe mo ƒe vevesese kple ŋɔti ƒe ʋuʋu ene vɛ.

Ðe sinusitis ƒomevi aɖewo lia?

Ẽ, sinusitis ƒomevi vovovowo li. Ɣeyiɣi didi si nɔnɔmea nɔ anyi, kpakple nusi gbɔ wòtso koŋ dzie wodaa esiawo ɖo.

Ðo wo ɖe ɖoɖo nu le ɣeyiɣi ƒe didime nu:

• Sinusitis Sesẽ: Dzesiwo (no me ʋuʋu, ŋɔti me tsi si le dodom, mo ƒe vevesese/nyaƒoɖeamenu, ʋeʋẽ ƒe bu) nɔa anyi mede kwasiɖa ene o . Zi geɖe la, dɔlékui aɖe, abe dzamezã ene, gbɔe wòtsona.
• Subacute Sinusitis: Sinusitis sia ƒomevi dzɔna ne dzesiawo xɔ tso kwasiɖa ene va ɖo kwasiɖa wuieve (ɣleti 3) .
• Sinusitis si nɔa anyi didi: Dzesiawo nɔa anyi kwasiɖa wuieve (ɣleti 3) ya teti . Zi geɖe la, dɔlékuiwo ƒe dɔlékuiwo gbɔe wòtsona.
• Sinusitis si gbugbɔna dzɔna: Esia fia amesiwo ŋu sinusitis le zi ene alo esi wu nenema le ƒea me , eye dzesiawo nɔa anyi mede kwasiɖa eve ɣesiaɣi o.

Ƒomedodo ɖe hatsotsowo me le nusi gbɔ wòtso nu:

• Dɔlékuiwo ƒe Sinusitis:Dɔlékui ƒe dɔléle ate ŋu ana dɔlékuiwo naxɔ ame ɣeaɖewoɣi, si ahe sinusitis vɛ. Ne ŋɔti me tsi si le dodom, ŋɔti si xe, kple mo ƒe vevesese medzo le abe ŋkeke ewo ene me o la, ate ŋu anye dɔlékui ƒe dɔléle. Ɣeaɖewoɣi la, dzesiawo ate ŋu aɖiɖi eye emegbe woagatrɔ ava. Zi geɖe la, dɔlékuiwutikewo kple atike siwo ɖea ʋu ƒe sisi ɖa wɔa dɔ nyuie na esia.
• Dɔlékui ƒe Sinusitis: Dɔlékuiwo, abe dɔlékui siwo hea dzamezã vɛ ene gbɔe sinusitis akpa gãtɔ tsona.
• Fungal Sinusitis: Esia mebɔ vie o, gake enyo be woabui nu vevii vie wu ƒomevi bubuawo. Anɔ bɔbɔe be nàxɔ sinusitis sia ƒomevi, vevietɔ ne wò dɔlélenutsiŋutete gbɔdzɔ (le kpɔɖeŋu me, ne HIV, kansa, alo atike aɖewo zãm le ŋuwò).

Ðe sinusitis, COVID, dzamezã, alo nulɔdɔwo le ŋunyea? Aleke mawɔ anya kple kakaɖedzi?

Esia nye kuxi ŋutɔŋutɔ na ame geɖe. Esi wònye be dzamezã, COVID-19, nulɔdɔ, kple sinus dɔlékuiwo ƒe dzesiwo katã ɖi wo nɔewo ŋutɔ ta la, ate ŋu asesẽ vie be woade vovototo wo dome.

• Vuvɔ: Zi geɖe la, edzɔna le ŋkeke ʋɛ aɖewo megbe, wògblẽna ɖe edzi, eye vivivi la, eɖiɖina. Woate ŋu anɔ anyi tso ŋkeke ʋɛ aɖewo va ɖo abe kwasiɖa ɖeka ene.
• No me nulɔdɔ: Dzesi vevitɔwoe nye aɖuɖɔɖɔɖɔ enuenu, ŋɔti kple ŋku ƒe ʋuʋu, ŋɔti me ʋuʋu, ŋɔti me tsi si le dodom, kple tsi si dona le ŋɔti megbe. Gake zi geɖe la, nulɔdɔwo mehea mo ƒe vevesese abe sinus dɔlékuiwo ene vɛ o.
• COVID-19: Esia ate ŋu ahe dzesi bubuwo abe asrã kple gbɔgbɔ sesẽ ene vɛ.
• Sinusitis: Dzesiawo dometɔ aɖewoe nye mo ƒe tete, vevesese, ʋuʋudedi ɣi alo amadede dzẽ si le ɣie, kple gbɔgbɔtsixe ƒoƒo (halitosis).

Nu vevitɔe nye be dzamezã, COVID, alo nulɔdɔ ate ŋu atso sinus infection gbɔ. Fifia àte ŋu ado dɔlékuiwo abe COVID-19 kple dzamezã ene kpɔ hã.

Nukawoe nye sinusitis ƒe dzesiwo?

Esiawoe nye dzesi siwo bɔ wu le sinus dɔlékui me:

• Postnosal tsidzadza.
• Sisi le ŋɔti me si me ʋuʋudedi ɣi alo amadede dzẽ le.
• No me ʋuʋu.
• Nyaƒoɖeamenu alo mo ƒe tete ƒe seselelãme (vevietɔ le ŋɔti, ŋku, kple ŋgonu ŋu). Esia ate ŋu agblẽ wu ne èle ta ʋuʋum alo mlɔ anyi.
• Nyaƒoɖeamenu alo vevesese le aɖuwo me.
• Nyaƒoɖeamenu alo vevesese le to me.
• Asrã.
• Gbɔgbɔ vɔ̃ (halitosis) alo vivi gbegblẽ le nu me.
• Kpe.
• Taɖuame.
• Ɖeɖi te eŋu.

Nukawoe hea sinus dɔlékuiwo vɛ?

Dɔlékuiwo, dɔlékuiwo, fungiwo, kple nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o ate ŋu ahe sinusitis vɛ. Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye:

• Fa.
• Dzamezã alo dzamezã.
• Dɔlékui ƒomevi aɖewo, le kpɔɖeŋu me `(Streptococcus pneumoniae)`, `(Haemophilus influenzae)`, `(Moraxella catarrhalis)`.
• No me kple ɣeyiɣi aɖe ƒe nulɔdɔwo.

Amekawoe le afɔku gã me be woaxɔ sinusitis?

Ame aɖewo ate ŋu axɔ sinusitis wu ame bubuwo. Afɔku siawoe nye:

• Le amesiwo ƒe ŋɔti me nulɔdɔ le gome.
• Le amesiwo ŋu asrã le gome.
• Le amesiwo ŋu nuwo abe no me ʋuʋudedi alo no me dɔdzẽ ene le gome.
• Le amesiwo ƒe septum si tra mɔ (lãmeka si le ŋɔti titina si woyɔna be septum) gome. Ne esia to vovo la, mɔ si le ŋɔti ƒe akpa ɖeka ate ŋu atso eye wòaxe mɔ.
• Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ. Esia ate ŋu atso dɔlélewo abe HIV alo kansa ene, alo atike aɖewo gbɔ.
• Le amesiwo noa atama gome.

Ðe sinusitis xɔa ame mea?

Sinusitis ŋutɔ mexɔa ame o. Ke hã, dɔlékuiwo kple dɔlékui siwo henɛ vɛ ate ŋu anye. Eyata ne èle dɔ lém la, ele vevie ŋutɔ be nàwɔ ɖe dzadzɛnyenye ƒe ɖoɖo nyuiwo abe alesi nànɔ adzɔge tso ame bubuwo gbɔ, asikɔklɔ enuenu, kple abɔtatsɔtsɔ atsyɔ nu nu kple ŋɔti dzi ene dzi.

Nukae dzɔna ne womewɔ atike na sinusitis o?

Menye sinusitis katãe wòle be woada o. Zi geɖe la, adzo le eɖokui si. Gake le go siwo mebɔ o me la , ne womewɔ atike nɛ o la, dɔlékui sia ate ŋu akaka ɖe ahɔhɔ̃, ŋku, alo ƒu siwo te ɖe eŋu me, si ana dɔlékuiwo alo fungiwo nakaka eye wòazu ame ƒe agbe afɔku. Esia tae wòle vevie be nàlé ŋku ɖe dzesiawo ŋu ɖo.

Aleke ɖɔkta wɔa anya be ʋuka me dɔlékui aɖe le ye ŋu?

Ðɔktawo nɔa te ɖe wò dzesiwo kple wò lãmesẽ ŋutinya dzi dea dzesi sinusitis. Ðɔkta alé ŋku ɖe wò to, ŋɔti, kple ŋɔti ŋu akpɔe ɖa be vuvu, ʋuʋudedi, alo xexe hã. Woate ŋu azã dɔwɔnu sue aɖe si me akaɖi le si woyɔna be endoscope hã atsɔ alé ŋku ɖe wò ŋɔti me.

Wò dɔnɔdzikpɔla gbãtɔ ate ŋu aɖo wò ɖe dɔdala bibi aɖe hã, abe toŋutinunyala alo ENT ƒe dɔdala bibi ene.

Dodokpɔ tɔxɛ siwo woawɔ atsɔ anya sinusitis:

Le go aɖewo me la, ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:

• Nasal endoscopy: Esia bia be woatsɔ mɔ̃ aɖe si me fotoɖemɔ̃ sue aɖe le ade ŋɔti me.
• No me tsiwo: Woɖea ʋuʋudedi ƒe kpɔɖeŋu tso ŋɔti me hedoa wo kpɔna be dɔlékuiwo alo dɔlékui bubuwo le eme hã.
• Nɔnɔmetatawo ɖeɖe: Ɣeaɖewoɣi la, woateŋu abia tso asiwò be nàwɔ ``(CT) scan`` (Computed Tomography scan) be nàkpɔ nusi tututu le edzi yim le wò sinus me.
• Nulɔdɔ dodokpɔ: Ne sinusitis si nɔa anyi didi le ŋuwò la, woate ŋu awɔ dodokpɔ sia be nànya nusiwo ŋu nulɔdɔ le siwo gbɔ wòtso.
• Biopsy: Ƒã ŋutɔ la, woate ŋu aɖe lãkusi aɖe le ŋɔti me adoe kpɔ.

Aleke wodaa sinusitis ƒe dɔlélee?

Atike geɖe li na sinusitis, le wò dzesiwo kple ɣeyiɣi didi si nèxɔe nu. Àte ŋu ate nu siawo kpɔ le aƒeme:

• Atike siwo ʋua ŋɔti (Decongestants).
• Vuvɔ kple nulɔdɔwo ƒe atike siwo woƒlena le atikedzraƒe (OTC) siwo woate ŋu aƒle le atikedzraƒe.
• Dze si wotsɔna klɔa no me.
• Tsi geɖe nono.
• Tsi dzodzoe ƒe dzoxɔxɔ léle.

Ne wò sinusitis ƒe dzesiwo meva nyo ɖe edzi le abe ŋkeke 10 ene megbe o la, ɖɔkta ate ŋu aŋlɔ atikewo abe:

• Dɔlékuiwutikewo.
• Atike siwo wotsɔna ɖea nu me alo no me ʋu ƒe sisi ɖa.
• Steroid-tike siwo woŋlɔna na ame le no me. (Mègazã atike siwo womeƒlena le atikedzraƒe o wu ŋkeke etɔ̃ va ɖo atɔ̃ o, elabena woate ŋu ana wò ŋɔti natsi wu.)

Ne wole atike wɔm na amesiwo ŋu sinusitis si nɔa anyi didi la, wodaa nusi gbɔ wòtsona. Esia ate ŋu alɔ:

• Steroid-tike siwo wotsɔna ƒua gbe ɖe ŋɔti me.
• Atike siwo wotsɔna tsia lãme na ame alo atikekui siwo woano.
• Atike siwo le atikewo ƒe ƒuƒoƒo si woyɔna be `Leukotriene antagonists` me, le kpɔɖeŋu me `(montelukast)`.
• Amekoko ate ŋu ahiã hã le ŋɔti ƒe wɔwɔme ƒe kuxiwo, polyps, alo fungi dɔlékuiwo ta.

Nukae nye atike nyuitɔ kekeake na sinus dɔlékui?

Ne èhiã dɔlékuiwutike la, ƒomevi si wò ɖɔkta aŋlɔ na wò ate ŋu ato vovo le wò nɔnɔmea nu. Kpɔɖeŋu aɖewoe nye:

• `(Augmentin)` (amoxicillin/klavulanate) ƒe ʋuƒoƒo.
• `(Amoxicillin)`
• `( Doxycycline ( Doxycycline) ) `. Nusiwo wotsɔna ƒoa ƒui
• `(Levofloxacin)`
• `(Cefixime)`
• `(Cefpodoxime)`
• `(Clindamycin)`

Vevietɔ: Mègano dɔlékuiwutikewo le ɖokuiwò si gbeɖe ne ɖɔkta meŋlɔe na wò o.

Ðe atikewɔmɔnu siwo kpena ɖe wo nɔewo ŋu kple esiwo wozãna ɖe wo teƒe kpena ɖe ame ŋu le sinusitis mea?

Ame aɖewo kpɔe be acupressure, acupuncture, alo mo ƒe asisisi ate ŋu akpe ɖe ame ŋu be woaɖe sinusitis ƒe dzesiwo, abe ʋuʋudedi, nyaƒoɖeamenu, kple vevesese ene dzi akpɔtɔ. Anyo be nàbia wò ɖɔkta nenye be atikewɔwɔ siawo sɔ na wò.

Ðe sinus dɔlékuiwo katã hiã dɔlékuiwutikewoa?

Ao, ɖɔkta akpa gãtɔ alala akpɔ ɣeyiɣi didi si wò dzesiawo le hafi atso nya me nenye be yewoana dɔlékuiwutikewo wò. Dɔlékuiwo gbɔe sinus dɔlékui akpa gãtɔ tsona. Dɔlékuiwutikewo medaa dɔlékuiwo ƒe dɔlékuiwo o. Dɔlékuiwutikewo zazã madzemadzee, alo wo zazã na dɔlékuiwo ƒe dɔlékuiwo, ate ŋu ahe nugbegblẽ le ame ŋu vɛ eye ate ŋu ana dɔlékuiwutikewo natsi tre ɖe dɔlékuiwo ŋu, si ate ŋu ana wòasesẽ be woada dɔlékui siwo ava emegbe.

Ðe woate ŋu axe mɔ ɖe sinusitis nua?

Le nusi gbɔ wòtso nu la, mɔ vovovowo li siwo dzi woato aɖe afɔku si le ʋuka me dɔlékuiwo xɔxɔ me dzi akpɔtɔ. Woawoe nye:

• Dzetsi (saline) klɔ ŋɔti abe alesi ɖɔkta ɖo aɖaŋue ene.
• Afɔɖeɖewo wɔwɔ be woaxe mɔ ɖe nulɔdɔwo nu. Esia lɔ atikewo, nulɔdɔ ƒe atikewo zazã, kple asaƒoƒo na nusiwo ŋu wò nulɔdɔ le (e.g., ke, aŋɔ, dzudzɔ) ɖe eme.
• Zã steroid-tike siwo wotsɔna ƒua gbe ɖe no me ne wò ɖɔkta kafui.
• Numame nyui siwo ate ŋu akpɔ ame ta tso dɔléle siwo xɔa ame me, abe asikɔklɔ nyuie ene, tutuɖo.
• Ƒo asa na atamanono. Ne ènoa atama la, mɔ aɖewo li siwo akpe ɖe ŋuwò nàdzudzɔ.

Nukae amesi ŋu sinusitis le ate ŋu akpɔ mɔ na?

Zi geɖe la , sinusitis nɔa anyi abe kwasiɖa ɖeka va ɖo ŋkeke ewo ene . Zi geɖe la, woate ŋu atsɔ atike siwo womeƒlena le atikedzraƒe o kple aƒeme atikewo adae. Gake ne sinusitis si nɔa anyi didi le ŋuwò, alo ne edzɔna enuenu la, ate ŋu anye nu bubu siwo gbɔ wòtso. Ele be woawɔ atike na amesiawo.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ le aɖuɖɔtoedɔléle aɖe ta?

Zi geɖe la, àte ŋu akpɔ sinus kuxiwo gbɔ le aƒeme. Gake ne dzesi siwo nɔa anyi ɖaa le ŋuwò, nètsia dzi ɖe wo ŋu, alo dɔlékuiwo le fu ɖem na wò enuenu la, anyo wu be nàƒo nu kple ɖɔkta. Ate ŋu agblɔ nusi nàwɔ emegbe na wò.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne dɔlékui sesẽ aɖe ƒe dzesiwo le ŋuwò , si fia dzesi siwo le ete dometɔ aɖe la, yi xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò alo nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake :

• Asrã si nu sẽ ŋutɔ (si wu Fahrenheit 103/Celsius 40).
• Tɔtɔ alo susu me tɔtrɔ bubuwo.
• Nukpɔkpɔ trɔna, vevietɔ ne ŋkuwo le veve sem alo vuvu.
• Alɔ̃madɔmadɔ le abe alɔ̃madɔmadɔ ene.
• Kɔ sesẽ.

Nya kawoe wòle be mabia nye ɖɔkta?

Anyo be nàbia wò ɖɔkta be wòafia alesi nàzã mɔ̃ siwo wòkafu na wò nyuie (e.g., atike siwo wotsɔna ƒua gbe ɖe no me, mɔ̃ siwo wotsɔ dea tsi no me). Aɖe vi hã be nàbia nya siawo:

• Aleke mawɔ ada ƒunukpeƒetetedɔ le aƒeme?
• Aleke tututu wòle be mano nye atike?
• Ɣekaɣie magava kpɔ wò ake?

Sinus dɔlékuiwo bɔ eye zi geɖe la, womesẽna o. Nu vovovowo ate ŋu atso wo gbɔ, siwo dometɔ aɖewoe nye dɔlékuiwo, dɔlékuiwo, ŋɔti me dɔlékuiwo, alo nulɔdɔwo. Zi geɖe la, àte ŋu ada wo le aƒeme to ɖiɖiɖeme geɖe, atike siwo womeƒlena le atikedzraƒe o zazã, kple tsi geɖe nono me. Gake ne wò dzesiwo medzo o, wole sesẽm ɖe edzi, alo ne dzesi aɖewo le ŋuwò si ɖea fu na wò la, yi wò ɖɔkta gbɔ.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata mina míato nyateƒenya vevitɔ kekeake siwo ku ɖe sinusitis ŋu siwo ŋu míeƒo nu tsoe la me.

• Sinusitis nye ʋuʋudedi si le wò mo ƒe lãkusiwo me.
• Esia ate ŋu atso dɔlékuiwo, dɔlékuiwo, fungiwo, alo nulɔdɔwo gbɔ .
• Dzesi vevitɔwoe nye ŋɔti me ʋuʋu, ʋuʋudedi, mo ƒe vevesese, kple nyaƒoɖeamenu.
• Zi geɖe la, edaa gbe le eɖokui si , alo eƒe lãme sẽna to aƒeme dɔdamɔnu bɔbɔewo zazã me.
• Menye ɣesiaɣie dɔlékuiwutikewo hiãna o. Viɖe aɖeke mele wo ŋu ɖe dɔlékuiwo ƒe dɔlékuiwo ŋu o.
• Ne dzesiawo gakpɔtɔ li wu ŋkeke 10 , edzena enuenu, alo dzesi sesẽwo abe dzoxɔxɔ sesẽ kple ŋku ƒe tɔtrɔ ene le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Nuwo abe lãmesẽmenɔnɔ ƒe nɔnɔme nyuiwo, nulɔdɔwo dzi ɖuɖu, kple atamanono ƒoƒo asa na ene ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe enu .

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Sinusitis, sinus, ŋɔti si xe, vuvɔ, taɖuame, dɔlékui, atikewɔwɔ