Ðe wò gbe le tɔtrɔma? Mina míanɔ ŋudzɔ ɖe gbeɖiɖika ƒe abi ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe gbe le ƒoƒom alo le ɖiɖim ne èle nu ƒoma? Ðewohĩ awɔ na wò abe ɖe nane tsi wò ŋɔti me ene, alo awɔ na wò abe ɖe wòsesẽ be nàƒo nu ene. Esiawo nye kuxi suesuesue siwo le gbeɖiɖikawo ŋu siwo ŋu míaƒo nu tsoe egbea ƒe dzesiwo. Naneke meli si ŋu míatsi dzi ɖo o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukawoe nye gbeɖiɖi ƒe abi siawo?

Kpuie ko la, wò gbeɖiɖikawo nye lãkusi tsɛ eve siwo le wò ŋɔti, alo lãkusi , alo gbeɖiɖiɖaka me. Wole abe ka siwo le gita dzi ene. Ne èle nu ƒom alo le ha dzim la, haƒoha eve siawo ʋuʋuna ɖekae. Ʋuʋudedi mae nana gbeɖiɖia dona. Eyata ne ʋuʋudedi sue aɖe, abi, alo ʋuʋudedi le gbeɖiɖika siawo ŋu la, ɣemaɣie gbe ƒe kuxiwo dzea egɔme.

Abi siawo dometɔ aɖewo menye kansa o (siwo me dɔlékui aɖeke mele o). Eyae nye be womekakana ɖe ŋutilã ƒe akpa bubuwo o eye afɔku mele wo me boo o. Gake ƒã hafi abi siwo me kansa le (siwo gblẽa nu le ame ŋu) hã ate ŋu adzɔ. Egbea míaƒo nu tso abi siawo siwo menye kansa o , si nye abi siwo ŋu dɔléle aɖeke mele o ŋu koŋ. Esiawo ate ŋu ana nuƒoƒo nasesẽ, ana ame nase veve, eye wòatrɔ gbe.

Nukawoe nye gbeɖiɖikawo ƒe abi siwo menye kansa o ƒomevi siwo bɔ wu?

Míaƒo nu tso ƒomevi vevi etɔ̃ ŋu: Nodules, Polyps, kple Cysts.

1. Gbeɖiɖi ƒe Ka ƒe Nodules

Esiawo le abe do siwo le míaƒe asiwo me ene. Ne èzãa wò gbe madzemadze ɣesiaɣi, le kpɔɖeŋu me , ne èdo ɣli sesĩe akpa, ne èdoa ɣli hesrɔ̃a nu ɣesiaɣi, alo ne èdzia ha atraɖii la, esia ate ŋu adzɔ. Kpekpe siawo dzɔna le gbeɖiɖikawo titina, vevietɔ le teƒe si ʋuʋu le wu. Zi geɖe la, ƒunukpeƒetetedɔ siawo dzɔna ɖe gbeɖiɖika eveawo dzi.

Woyɔa esiawo ɣeaɖewoɣi be “hadzila ƒe nugbɔ.” Gake menye hadzilawo koe woate ŋu atsi ɖo o, ke boŋ le ɖevi suewo, nufialawo, hehenalawo, hehenalawo, ne míagblɔe bubui la, amesiame si zãa woƒe gbe edziedzi hã me. Kpɔe ɖa le susu me be nufiala aɖe doa ɣli ɖe ɖeviwo le suku, eye woƒe gbe te ŋu nɔa ɖiɖim le ɣeyiɣi aɖe megbe, alo? Aleae wòle.

2. Gbeɖiɖi ƒe Ka ƒe Polyps

Polyps, abe nodules ene, ate ŋu ado mo ɖa le gbea zazã madzemadzee ta, alo ne gbea gblẽ kpata (le kpɔɖeŋu me, to ɣlidodo atraɖii le kriket hoʋiʋli me). Esiawo ate ŋu alolo vie wu nodules eye woate ŋu anɔ nɔnɔme vovovowo me. Zi geɖe la, wova nɔa gbeɖiɖika ɖeka me. Gake ne ɖeka tsi la, ate ŋu adzɔ be wòakaka ɖe evelia me eye wòawɔ polyp le evelia me.

Vevietɔ le atamanolawo domePolyp ƒomevi tɔxɛ aɖe li si woateŋu akpɔ, woyɔnɛ be `(Reinke ƒe edema)` (Reinke ƒe edema) alo polypoid corditis. Ne atamanolae nènye eye wò gbe le ɖiɖim la, ele be nàyi ɖɔkta gbɔ godoo eye nàdo esia kpɔ. Elabena esia ate ŋu anye kansa ƒe dzesi hã.

Togbɔ be ame sia ame ate ŋu axɔ polyps hã la, anɔ eme be woaxɔ ne gbea gblẽ kpata, le kpɔɖeŋu me, to ɣlidodo me, alo ne gbea bu kpata.

3. Gbeɖiɖi ƒe Ʋuʋudedi

Cyst nye tsitsi sue aɖe si le abe kotoku ene si me tsi alo nusi sesẽ afã kple afã yɔ fũ. Womebɔ abe gbeɖiɖi ƒe ka kple polyps ene o, gake dzesiawo ɖi wo nɔewo ŋutɔ. Menye gbe ƒaƒã gbɔgblɔ gbɔe wotso kokoko o. Woate ŋu atso lãkusi aɖe si xe le gbeɖiɖikawo me alo lãmekawo ƒe gbeɖuɖɔwo ƒe ƒuƒoƒo gbɔ. Wole ƒomevi vevi eve: ʋuʋudedi siwo léa ʋuʋudedi kple lãkusi siwo le lãkusi me.

Nukae nye abi siawo ƒe dzesiwo?

Dzesi si bɔ wue nye gbea ƒe ɖiɖi alo kpekpeme ƒe seselelãme. Gake dzesiawo ate ŋu ato vovo le abi ƒe lolome kple alesi gbegbe wòdoa kplamatse gbeɖiɖikawo ƒe ʋuʋu, woƒe tutu, kple woƒe ʋuʋu nu.

Nu bubu aɖewoe nye esi:

• Gbe ƒe ɖiɖi .
• Gbɔgbɔtsixetsixe.
• Gbeɖiɖi ƒe ɖeɖiteameŋu.
• Gbe ƒe bu alo gbeɖiɖi aɖeke kura megale dodom o.
• Gbe ƒe didime ƒe bu – le kpɔɖeŋu me, ha si mete ŋu dzia ha sesĩe abe tsã ene o.
• Gbe si gbãna bɔbɔe.
• Gbea va zua nya sesẽ, ƒoƒo, kple ƒoƒo.
• Kɔdziyiyi enuenu, ŋɔti me veve, kple ɖeɖiteameŋu le goawo katã me.
• Kɔ ƒe vevesese si bɔ alo vevesese si tso to me yi to me si naa ame ƒoa ame.

Bu eŋu kpɔ, ne wò gbe trɔ wu ŋkeke eve alo etɔ̃ la, mègaŋe aɖaba ƒu edzi ko, nàsusu be esɔ o.

Nukatae abi siawo ƒomevi dzɔna?

Zi geɖe la, gbea zazã le mɔ gbegblẽ nu alo zazã fũu akpa gbɔe nodules kple polyps tsona. Nuƒoƒo atraɖii, hadzidzi, ɣlidodo, kple gbea ƒe tete katã ate ŋu ana gbeɖiɖikawo nabiã, avuvu, eye mlɔeba woaxɔ abi. Hadzilawo, nufialawo, hehenalawo, kple nudzralawo koŋue le afɔku me.

Tsɔ kpe ɖe eŋu la, nu bubuwo hã li siwo ate ŋu ana abi siawo nadze alo ana nɔnɔme si li fifia nagado gã ɖe edzi:

• Sigaretnono .
• Sinusitis ( ŋɔti me dɔdzẽ).
• Nulɔdɔ `(Nulɔdɔwo .
• Lãmetsiŋusẽ ƒe dɔwɔwɔ dzi ɖe kpɔtɔ (Hypothyroidism).
• Nɔnɔme si bɔ enye dɔgbo ƒe dɔléle, si fia be dɔgbo me acid dona ɖe ŋɔti me ( GERD – Gastroesophageal Reflux Disease).
• Aha sesẽ alo aha siwo me caffeine le, abe kɔfi ene, nono fũ (esiawo nana gbeɖiɖikawo ƒuna).
• Wò gbe zazã ne dɔléle aɖe abe dzamezã alo asrã ene le ŋuwò .

Gbeɖiɖi ƒe ʋuʋudedi ate ŋu adzɔ ne lãkusi aɖe si le gbeɖiɖika me xe, alo ne lãmenugbagbeviwo ƒe gbeɖuɖɔ va xa ɖe gbeɖiɖika ƒe lãkusi me.

Aleke ɖɔkta aɖe dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, woalé ŋku ɖe wò ta kple kɔ ŋu. Woabia nya siwo ku ɖe ale si nèzãa wò gbe hã ŋu, abe nenye be èdo ɣli alo nɔ ha dzim nyitsɔ laa ene. Emegbe, woate ŋu awɔ dodokpɔ geɖe atsɔ alé ŋku ɖe wò gbeɖiɖikawo ŋu:

• Laryngoscopy: Esia nye wò gbe ƒe aɖaka me dzodzro. Ðɔkta tsɔa mɔ̃ sue aɖe (scope) dea wò ŋɔti alo nu me. Fotoɖemɔ̃ kple akaɖi le eŋu, si wɔnɛ be nàte ŋu akpɔ wò gbeɖiɖikawo nyuie.
• Stroboscopy: Esiae nye dodokpɔ si wozãna tsɔ dia nusi gbɔ gbe sesẽ tsona. Le dodokpɔ sia me la, wotsɔa mɔ̃ sue aɖe toa ŋɔti alo ŋɔti me be woatsɔ alé ŋku ɖe gbeɖiɖikawo ƒe ʋuʋu ŋu. Akaɖi tɔxɛ aɖe si wotsɔ bla ɖe mɔ̃a ŋu la klẽna ne gbeɖiɖikawo le ʋuʋum. Esia wɔnɛ be woate ŋu alé ŋku ɖe gbeɖiɖikawo ƒe dɔwɔwɔ ŋu tsitotsito ŋutɔ. Zi geɖe la, lãkusiŋutinunyala alo nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala si xɔ hehe tɔxɛ le gbe me ye wɔa dodokpɔ sia.

Aleke wowɔa atike nɛ?

Dɔdamɔnu vovovowo li woate ŋu azã. Wo dometɔ aɖewo le bɔbɔe ŋutɔ, evɔ bubuwo ya hiã be woawɔ dɔ sue aɖe ko.

• Gbe ƒe Dɔdamɔnu: Nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala akpe ɖe ŋuwò le esia me. Woafia wò ale si nàzã wò gbe le mɔ si akpe ɖe wò gbeɖiɖikawo ŋu woada gbe le wo ŋu eye womagagblẽ nu le wo ŋu o nu. Woafia alesi nàwɔ axe mɔ na abi siawo be woagadzɔ ake hã wò. Zi geɖe la, gbeɖiɖi ƒe atikewɔwɔe nye atike vevitɔ na nodules.
• Nuwɔna ƒe Tɔtrɔ: Ðewohĩ ahiã be nàwɔ tɔtrɔ aɖewo le wò agbenɔnɔ ŋu. Le kpɔɖeŋu me, atamanono dzudzɔ, nuteɖeamedzi dzi ɖeɖe kpɔtɔ , kple nuɖuɖu dzi ɖuɖu ate ŋu akpe ɖe ŋuwò nàɖe dzesiwo dzi akpɔtɔ eye wòakpe ɖe abiwo ŋu woahaya.
• Atikewɔwɔ me nɔnɔme siwo gbɔ wòtso ƒe atikewɔwɔ:Ɣeaɖewoɣi la, nuwo abe dɔgbo ƒe dɔléle (GERD), nulɔdɔwo, kple ƒunukpeƒetetedɔ hã ate ŋu ana gbeɖiɖikawo naxɔ abi eye woaxɔ abi. Eyata nɔnɔme mawo siwo gbɔ wòtso la dada ate ŋu akpe ɖe ame ŋu wòada abi siawo eye wòaɖe dzesiawo dzi akpɔtɔ.
• Amekoko: Ðewohĩ ahiã be woawɔ dɔ na ƒunukpeƒetetedɔ siwo medzɔ to atikewɔwɔ bɔbɔewo abe nuƒoƒo ƒe atikewɔwɔ ene me o. Ne polyps alo cysts li la, anɔ eme be amekokoe hiã wu. Esi wònye be esiawo mele abe nodules ene o ta la, ƒã hafi nuƒoƒo ƒe atikewɔwɔ ɖeɖe dzaa kpɔa wo gbɔ. Gake nuƒoƒo ƒe atikewɔwɔ ate ŋu ahiã le amekoko vɔ megbe be woaxe mɔ ɖe abi siawo ƒe gbugbɔgadzɔ nu.

Aleke nàwɔ akpɔ ɖokuiwò ta tso nɔnɔme sia me?

Nu geɖe li nàte ŋu awɔ atsɔ axe mɔ ɖe abi siawo ƒomevi nu:

• Ƒo asa na hadzidzi kple nuƒoƒo fũu akpa ne gbɔgbɔtsixe ƒe akpa si le etame dɔlékui aɖe, abe dzamezã alo dzamezã ene, le ŋuwò.
• Ƒo asa na nuƒoƒo atraɖii evɔ màna wò gbe nagbɔ ɖe eme o, eye nàɖe gbe sesẽ dzi akpɔtɔ.
• Ðe aha kple caffeine (abe kɔfi kple tii ene) nono fũu akpa dzi kpɔtɔ. Esiawo nana gbeɖiɖikawo ƒuna.
• Ƒo asa na atamanono eye nàɖe wò atamanono dzi akpɔtɔ.

Azɔ hã, wɔ ɖe numame siawo dzi be wò gbeɖiɖikawo nanɔ lãmesẽ me eye nàkpɔ ɖokuiwò ta tso dɔlélewo me:

• No tsi geɖe.
• Klɔ asi enuenu.
• Mlɔ anyi nyuie.
• Ne ehiã be nàƒo nu sesĩe la, zã nuƒomɔ̃.
• Do dzo na wò gbe hafi nàdzi ha alo aƒo nu ɣeyiɣi didi aɖe.
• Ne nuƒoƒo alo hadzidzi geɖe le asiwò nàwɔ le etsɔme la, na wò gbe nagbɔ ɖe eme do ŋgɔ.
• Humidifier zazã le aƒeme ate ŋu akpe ɖe ŋuwò be wò gbeɖiɖikawo natsi.
• Nuteɖeamedzi dzi ɖeɖe kpɔtɔ ƒe mɔnuwo, susuŋudɔwɔwɔ ƒe atikewɔwɔ, alo yoga ate ŋu akpe ɖe ame ŋu be lãmekawo ƒe tete naɖe akpɔtɔ.

Na atike nyuitɔ na nɔnɔme siwo do ƒome kple gbeɖiɖi ƒe abixɔxɔ abe `(GERD)`, `(Sinusitis)`, `(Allergies)` kple `(Hypothyroidism)`. Ne èsusu be gbe ƒe kuxi aɖe le ye ŋu la, yi gbeŋutinunyala aɖe gbɔ kaba ale si nàte ŋui. Ne èxɔ atike kaba la, àte ŋu ahaya evɔ mahiã be nàwɔ atike gãwo abe amekoko ene o.

Nukae nàte ŋu akpɔ mɔ na ne èle agbe kple nɔnɔme sia?

Wò hayahaya nɔ te ɖe abi si ƒomevi nèxɔ kple alesi gbegbe wògblẽ nu le wò gbeɖiɖikawo ŋui dzi. Ne womewɔ atike na wò o la, nodules, polyps, kple cysts ate ŋu agblẽ nu le wò gbeɖiɖikawo ŋu ɣeyiɣi didi. Aɖuɖɔtoe siwo womeda dɔ na o hã ate ŋu agbã eye wòahe kuxiwo vɛ.

Gake ne wowɔ atike na wo nyuie la, mɔnukpɔkpɔ si li be woahaya la nyo ŋutɔ.Zi geɖe la, nodules hayana le ɣleti eve va ɖo ade me to gbedada kple gbe ƒe ɖiɖiɖeme me. Ne wowɔ dɔ na wò be woaɖe polyps alo cysts ɖa vɔ la, gbedada kple gbe ƒe ɖiɖiɖeme ate ŋu akpe ɖe ŋuwò nàgaɖo wò gbe ɖe nɔnɔme nyuitɔ me.

Nukae dzɔna ne womewɔ atike na gbeɖiɖika ƒe lãkusiwo o?

Kpe siwo womewɔ atike na o ate ŋu agblẽ nu le wò gbeɖiɖikawo ŋu geɖe wu to wò gbe ƒe teteɖeanyi me. Zi geɖe la, ʋuʋudediwo hayana ne wotsɔ gbe ƒe atikewɔwɔ kple nuwɔna ƒe tɔtrɔwo va. Ƒã hafi wòhiãna be woawɔ dɔ na ame. Ke hã, ahiã be nàsrɔ̃ ale si nàlé be na wò gbeɖiɖikawo vaseɖe esime woahaya. Amewo abe nuƒoƒodɔdalawo ene ate ŋu akpe ɖe ŋuwò nànya nusi he ƒunukpeƒetetedɔa vɛ kple nusiwo le tsitsim. Ne ènya nyae ko la, àte ŋu atrɔ nɔnɔme gbegblẽ mawo.

Ðe gbeɖiɖi ƒe lãkusiwo nye afɔkua?

Gbeɖiɖi ƒe lãkusiwo menye kansa o (siwo me dɔlékui aɖeke mele o). Esia fia be womekakana hegblẽa nu abe kansa ene o. Ke hã, woate ŋu ana ame nase veve eye wòana nuƒoƒo nasesẽ. Ne wò gbe le vevie ŋutɔ na wò dɔ alo agbe (e.g., hadzila, nufiala, alo nudzrala) la, nodules siawo ƒe amesinɔnɔ ate ŋu ase le ɖokuiwò me be yele vevie ŋutɔ.

Nya nyuiae nye be woate ŋu ada ƒunukpeƒe geɖe amekoko manɔmee. Eye, ne èlé be na wò gbe la, àte ŋu axe mɔ na wo gɔ̃ hã be woagawɔ o.

Ðe nodules siawo nu ayi le wo ɖokui sia?

Kpe geɖe nu yina le wo ɖokui si ne ènya dzudzɔ wò gbe zazã le mɔ gbegblẽ nu ko. Dɔléle ɖesiaɖe si le ete si na gbeɖiɖikawo le dzo dam hã ate ŋu akpe ɖe ame ŋu. Dɔwɔwɔ kple nuƒoƒoŋutinunyala ate ŋu akpe ɖe ŋuwò nàde dzesi nusi tututu le ƒunukpeƒetetedɔ siawo hem vɛ kple nusi le wo gblẽm ɖe edzi. Ne ènya nyae ko la, àte ŋu atrɔ nuwɔna mawo.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne gbeɖiɖi ƒe ɖiɖi alo gbeɖiɖi ƒe abi ƒe dzesi bubuwo le ŋuwò wu kwasiɖa eve va ɖo etɔ̃ , yi ENT (To, Nose and Throat) ɖɔkta gbɔ. Alo laryngologist, si nye eŋutinunyala bibi si wona hehee etɔxɛe le gbe ƒe dɔmawɔmawɔ nyuie me.

Gbeɖiɖi ƒe abi siawo ƒomevi ate ŋu ado kplamatse wò ŋutete be nàɖo dze kple ame bubuwo eme nakɔ eye wòanɔ bɔbɔe. Nuteƒekpɔkpɔ sia ate ŋu aɖe fu na wò ŋutɔ, vevietɔ ne wò dɔa nɔ te ɖe nuƒoƒo si me kɔ kple wò gbe zazã dzi. Eyata ne ƒunukpeƒetetedɔ, polyp, alo cyst ƒe dzesi siwo nɔa anyi ɖaa le ŋuwò la, mègahe atikewɔwɔ didi ɖe megbe o. Abi siwo menye kansa o gɔ̃ hã ate ŋu ana nàzã wò gbe le mɔ gbegblẽ nu eye wòagagblẽ nu le wò gbeɖiɖikawo ŋu geɖe wu. Le go geɖe me la, wò gbeɖiɖikawo ƒe dɔwɔwɔ ta kpɔkpɔ ate ŋu anɔ bɔbɔe abe ɣeyiɣi nana wo be woada gbe le wo ŋu eye nàsrɔ̃ alesi nàxe mɔ ɖe nusiwo agblẽ le etsɔme nu to gbeɖiɖi ƒe atikewɔwɔ me ene.

Mlɔeba la, nu vevitɔ kekeake (Take-Home Message) .

Wò gbe nye nunɔamesi xɔasi aɖe si wona wò. Wò agbanɔamedzie wònye be nàkpɔ eta.

• Ne ède dzesii be yeƒe gbe trɔ vie, yeƒe gbe le ɖiɖim, alo nuƒoƒo sesẽ na wò wu ŋkeke ʋɛ aɖewo la, mègaŋe aɖaba ƒu edzi o.
• Vevietɔ ne ènye amesi zãa wò gbe enuenu (abe nufiala, hadzila, alo nufiala ene) la, lé be na wò gbe geɖe wu.
• Dzudzɔ numame gbegblẽwo abe atamanono ene.
• No tsi geɖe eye nàna wò gbe nagbɔ ɖe eme.
• Ne kuxi aɖewo le fu ɖem na wò la, di atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui. Atikewɔwɔ kaba ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe kuxi gãwo nu.

Wɔ ɖe aɖaŋuɖoɖo siawo dzi be wò gbe nanɔ lãmesẽ me!