Èse nya ‘tomeka’ kpɔa? Ðewohĩ èsee tso ɖɔkta alo ame bubu aɖe gbɔ kpɔ. Esia nye lãkusi sue aɖe si le tsɛ ŋutɔ, si le vevie na míaƒe tosese. Ne mewɔ dɔ nyuie o la, míaƒe xexeame ate ŋu azi ɖoɖoe. Eyata egbea, mina míaƒo nu tso tomeka sia ŋu, alo le atikewɔwɔ me la, tomeka si woyɔna be tympanic membrane, le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye tomeka sia?
Tomeka nye lãkusi tsɛ aɖe si le gotagome si ma wò to ƒe gota gome (to gotatɔ) kple wò to ememetɔ (titina to) ƒe titina. Abe ale si ko kpẽ ƒe ŋutigbalẽ ʋuʋuna ne èƒoe ene la, míaƒe tomekawo hã ʋuʋuna ne gbeɖiɖi ƒe ƒutsotsoewo ɖo wo gbɔ. Ʋuʋudedi siae kpena ɖe mía ŋu míedea dzesi gbeɖiɖi be enye gbeɖiɖi.
Bu eŋu kpɔ, esia nye nuwɔna wɔnuku aɖe ŋutɔ. Na míakpɔ ale si esia dzɔnae ɖa.
- Gbã la, gbeɖiɖi ƒe ƒutsotsoe siwo tso nutoa me zɔna yia wò to me eye woƒoa wò tomeka.
- Ne gbeɖiɖi ƒutsotsoe mawo ƒo la, tomekaa tea ʋuʋu abe kpẽ ƒe ŋutigbalẽ ene.
- Eyome, ʋuʋudedi sia yia ƒu sue ŋutɔ etɔ̃ (míeyɔa esiawo be ``Ossicles'') siwo kpe ɖe tomeka ŋu.
- Wodoa ŋusẽ ʋuʋudediawo to ƒu kakɛ siawo me eye wozɔa mɔ yia toa me yia akpa aɖe si me tsi yɔ fũu, si le abe ʋetsuvi ene, si woyɔna be tomeka.
- Taɖa ƒe lãmenugbagbevi nyui siwo le tome la léa ʋuʋudedi siawo hetrɔa wo wozua elektrikŋusẽ ƒe dzesiwo.
- Mlɔeba la, tomeka tsɔa elektrikŋusẽ ƒe dzesi siawo yia ahɔhɔ̃a me. Ahɔhɔ̃a ɖea dzesi siawo gɔme hegblɔna na mí be, "Oo... hadzidzie nye esia" alo "Ame aɖe ƒe nuƒoƒo ƒe gbeɖiɖie nye esia."
Èse egɔmea? Míaƒe tomekae nye nusi dze dɔ sia katã gɔme. Ne ɖe menɔ dɔ wɔm nyuie o la, anye ne nusiawo dometɔ aɖeke madzɔ o.
Afikae tomeka le? Aleke woate ŋu akpɔe?
Tomeka le tomemɔ si kplɔa ame yia wò to me la ƒe nuwuwu. Ne míagblɔe tututu la, tomekae ma wò to gota kple wò titinato dome. Ƒu sue etɔ̃ mawo siwo ŋu míeƒo nu tsoe va yi la le tomeka ƒe akpa kemɛ.
Zi geɖe la , tomeka si le lãmesẽ me nyea amadede ɣi si le abe dzonu ene va ɖo ɣie . Ewɔa nu le gaglãgbe hã vie. Ne míagblɔe tututu la, edze abe fesre si me afu le ene, alo aŋekotoku si keke. Eƒe lolome le sue ŋutɔ, eƒe didime anɔ abe sentimeta ɖeka ene.
Nukae wotsɔ wɔa tomeka?
Lãmetsi sue sia nye ƒuƒoƒo etɔ̃. Dɔ aɖe koŋ le layer ɖesiaɖe si.
1. Akpa si le egodo wu: Esia nyea lãkusi si me lãkusiwo le. Kpuie ko la, lãkusi ƒomevi si wotsɔ wɔ míaƒe ŋutigbalẽe la kee wotsɔ wɔ ƒuƒoƒo siae.
2. Titina ƒe ƒuƒoƒo:Lãmetsi siwo te ŋu trɔna bɔbɔe, siwo me ka le lae wotsɔ wɔe. Akpa siae nye afisi lãmekawo kple ʋukawo le.
3. Innermost layer: Esia nye mucous membrane si woyɔna be `(Mucosa).` Lãmenugbagbeviwo abe míaƒe nuɖuɖumeŋusẽ ene hã tsyɔa eme to lãmeka sia ke me.
Nukawoe nye nɔnɔme siwo bɔ siwo gblẽa nu le tomeka ŋu?
Esi míaƒe tomekawo le tsɛ ale gbegbe ta la, woate ŋu agblẽ nu le wo ŋu bɔbɔe wu. Dɔlékui vovovowo kple afɔkuwo ate ŋu agblẽ nu le tomeka ŋu. Na míalé ŋku ɖe nɔnɔme siwo bɔ wu dometɔ aɖewo ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tome ƒe gbagbã | To ƒe abi (e.g., to ƒoƒo, nu ɖaɖɛ aɖe si tsi to me) alo to ƒe dɔléle sesẽ ate ŋu ana do nado le to me. Esia ate ŋu ahe dzesiwo abe to ƒe dɔmawɔmawɔ nyuie, tsi si le dodom le to me, alo to me ƒe ɖiɖi atraɖii (tinnitus) . Ɣeaɖewoɣi la, esia akpɔ egbɔ le eɖokui si . Gake le nɔnɔme sesẽwo me la, ate ŋu ahiã be woawɔ dɔ nɛ. |
| Tympanosclerosis ƒe dɔléle | Esia nye tomeka ƒe abi. Ne to me dɔlékuiwo le ŋuwò enuenu alo to me xɔ abi la, esia ate ŋu ana abi ɣiwo nadze tomeka dzi. Abi sia ate ŋu axe mɔ na gbeɖiɖi ƒe ƒutsotsoewo be woagazɔ nyuie o eye ate ŋu ana ame nase nu nyuie. Esia ƒe atikewɔwɔe nye tympanoplasty . Esia bia be woaɖe abi ƒe lãkusia ɖa ahadzra teƒe siwo gblẽ la ɖo. |
| Lãmetsi si le tomeka megbe | Woyɔa esia le atikewɔwɔ me be `(Otitis media with effusion)`. Ame aɖewo hã yɔnɛ be `(Glue to)`. Woyɔa mɔ̃ si doa ka kple to kple ŋɔti la be Eustachian tube.Esia nye ne tsi ƒoa ƒu ɖe tomekaa megbe ne eva xe. Esia ate ŋu atso nusiwo le abe to me dɔlékuiwo, nulɔdɔwo, kple sigaret ƒe dzudzɔ ene gbɔ. Zi geɖe la, adzo le eɖokui si . Ne mewɔe o la, ate ŋu ahiã be woazã dɔlékuiwutikewo. |
| Tomeka si me dɔlékui le | Titinato me dɔlékui alo tomeka si gbã ate ŋu ana tomeka naxɔ dɔlékui. Esia ate ŋu ahe dzesiwo abe to ƒe vevesese, tosese, kple taɖuame ene vɛ . Zi geɖe la, esia nu ayi le eɖokui si . Gake ne dzesiawo yi edzi wu kwasiɖa eve la, ele vevie be nàyi ɖɔkta gbɔ. |
Eyata aleke míeléa be na tomeka xɔasi siawo?
Ne èlé be na wò towo nyuie la, àte ŋu ana wò tomekawo hã nanɔ lãmesẽ me. Aɖaŋuɖoɖo bɔbɔe aɖewoe nye esi:
- Mègatsɔ nusiwo le abe kotoku ene de wò to me gbeɖe be nàkɔ wo ŋu o. Esia ana tomeka nayi ŋgɔ wu eye wòana afɔku si le eme be wòagblẽ nu le wò tomeka ŋu nadzi ɖe edzi. Ŋutete le wò to ŋu be wòakɔ eɖokui ŋu.
- Ne èle teƒe siwo toɣliɖeɖe sɔ gbɔ ɖo, abe haƒoƒo ƒe kɔnsɛtwo ene, yi ge la, do tometakpɔnu.
- Ne èle ha sem to toɖoɖomɔ̃ alo tomeka dzi la, mègakɔ gbeɖiɖia ɖe dzi akpa o. Ne ame aɖe si te ɖe ŋuwò te ŋu senɛ la, ke wò gbeɖiɖia nu sẽ akpa.
- Na television kple radio ƒe gbeɖiɖi nanɔ abe alesi wòle ene le aƒeme.
- Ne èse le ɖokuiwò me be tɔtrɔ aɖe va le wò to me la, yi toŋutinunyala gbɔ be wòado wò tome kpɔ.
Nukae dzɔna ne do le tomekaa me?
Zi geɖe la, tomeka ƒe aɖatsi sue aɖe alo nusiwo gblẽ la ahaya le eɖokui si le kwasiɖa ʋɛ aɖewo megbe. Gake ne wò dzesiwo (vevesese, tsi si le dodom) le sesẽm ɖe edzi, alo ne womeganyo ɖe edzi le kwasiɖa ʋɛ aɖewo megbe o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
Ðe míate ŋu akpɔ ame aɖe ƒe tomeka?
Ao, míate ŋu akpɔ ame aɖe ƒe tomeka kple ŋku o. Gake ɖɔkta ateŋu azã dɔwɔnu si woyɔna be ``Otoscope'' atsɔ akpɔ wò tomeka nyuie. Esia nye haƒonu si me akaɖi le, si doa nu geɖe ɖe edzi.
Àte ŋu ase nu tomeka manɔmeea?
Tomeka manɔmee la, gbeɖiɖi siwo míesena la nu sẽna ŋutɔ. Ewɔna nam abe ɖe míele to ɖom le tsi te ene. Ame si ƒe to me do ate ŋu ase nu vaseɖe afi aɖe vaseɖe esime wòahaya.
Kpuie ko la, wò tomeka le vevie be nàse nu nyuie, eyata wò agbanɔamedzie wònye be nàlé be nɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Tomeka (tympanic membrane) nye tomeka si le tsɛ ŋutɔ si le vevie na wò tosese. Lãmetsi siae trɔa gbeɖiɖi ƒe ƒutsotsoewo wozua ʋuʋudedi.
- To me dɔlékuiwo, afɔkuwo, kple toɣliɖeɖe sesẽwo ate ŋu agblẽ nu le tomeka ŋu, si ahe dzesiwo abe tomeve kple tosese ene vɛ.
- Zi geɖe la, nu suesuesue siwo gblẽ le tomeka ŋu la daa gbe le eɖokui si . Enye ŋutilã ƒe ŋutete wɔnuku aɖe.
- Mègade kotoklobo alo nu ɖaɖɛ bubuwo wò to me gbeɖe be nàkɔ wo ŋu o.
- Ne to me le veve sem na wò, sese le ɖokuiwò me be nane le dodom le to me, alo to me gblẽ la, mègagblẽ ɣeyiɣi aɖeke eye nàyi ɖɔkta gbɔ o. Emae nye nu nyuitɔ kekeake si nàte ŋu awɔ.
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