Ðe wò gbe le ɖiɖim? Esia ate ŋu atso gbeɖiɖika ƒe lãmetutudɔ gbɔ.

Ɣeaɖewoɣi la, ne míefɔ le ŋdi me la, míaƒe gbe to vovo vie, alo? Alo ne míewu ha nyui aɖe dzidzi nu, alo ne míedo ɣli heƒo nu la, míaƒe gbe va nɔa ɖiɖim vie. Zi geɖe la, nu siawo nyona ɖe edzi le ŋkeke ɖeka alo eve megbe. Gake ne wò gbe to vovo alo le ɖiɖim kwasiɖa geɖe, ne ɖeɖi te ŋuwò ne èle nu ƒom, alo ne èse le ɖokuiwò me be yeƒe gbe le ƒoƒom ne yemi nuɖuɖu kple nunono la, menye nusi woabu nu tsɛe o. Egbea, míele nu ƒom tso nɔnɔme ɖeka aɖe koŋ si ate ŋu ahe dzesi mawo tɔgbe vɛ ŋu. Emae nye gbeɖiɖi ƒe lãmetutudɔ, alo abe alesi míegblɔna le Eŋlisigbe me ene la, nɔnɔme aɖe si woyɔna be ‘Vocal Cord Paralysis’.

Kpuie ko la, nukae nye gbeɖiɖi ƒe dɔmawɔmawɔ nyuie?

Be míase esia gɔme la, mina míalé ŋku ɖe nusi gbeɖiɖika siawo nye ŋu gbã. Tsɔe be le míaƒe ŋɔti me, vevietɔ le yagbɔgbɔ ƒe gɔmedzedze, le akpa si woyɔna be lãkusi me la, lãmeka tsɛ eve le eme. Abe ʋɔtru eve siwo le agbo nu ene. Esiawoe míeyɔna be gbeɖiɖikawo.

Dɔ geɖe le esiawo ŋu:

• Ne èle gbɔgbɔm: Ka eve siawo ʋãna, si wɔnɛ be ya gena ɖe lãkusiwo me.
• Ne èle nuɖuɖu mimim: Esiawo tua nu nyuie eye wokpɔa nuɖuɖu ta be wòagage ɖe yaƒoƒomɔ̃a me o.
• Ne míele nu ƒom: Míaƒe gbe dona ne haƒoha eve siawo va ƒo ƒu heʋuʋu kple ya si tso lãkusi me.

Fifia èse alesi gbegbe gbeɖiɖika siawo le vevie gɔmea? Eyata gbe ƒe dɔmawɔmawɔ nyuie fia be nu gblẽ le lãmeka siwo kpɔa ŋusẽ ɖe gbeɖiɖika siawo dzi ŋu vie, eye lãmeka siawo mewɔa dɔ nyuie o. Eyae nye be ‘agbo ʋɔtru’ siawo meʋuna hedoa wo nyuie o. Esia ate ŋu ana nuƒoƒo, nu mimi, kple gbɔgbɔ gɔ̃ hã nasesẽ.

Nɔnɔme sia ƒomevi vevi evee li.

Woate ŋu ama gbeɖiɖika ƒe dɔmawɔmawɔ nyuie sia ɖe hatsotso vevi eve me, le alesi gbeɖiɖika ɖeka alo evea siaa mewɔa dɔ nyuie o nu.

Ðe dzesi siawo hã le ŋuwòa?

Gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo ate ŋu ato vovo le alesi gbegbe wòsẽe kple afisi gbeɖiɖika siwo mewɔa dɔ nyuie o le nu.

Esiawoe nye dzesi siwo bɔ:

• Gbe ƒe tɔtrɔ: gbeɖiɖi si le ɖiɖim, gbɔdzɔgbɔdzɔ, gbɔgbɔ ƒe gbeɖiɖi.
• Tɔtrɔ le gbea ƒe ɖiɖime kple gbeɖiɖi ŋu: Gbea ƒe ɖiɖime kple eƒe sesẽme ate ŋu atrɔ.
• Gbɔgbɔ kpui ne èle nu ƒom: Eva sesẽna be nàgbɔ ya ne èƒo nu ɣeyiɣi kpui aɖe gɔ̃ hã, eye ɖeɖi tea ŋuwò.
• Ʋuʋudedi: Ʋuʋudedi ate ŋu adzɔ ne èle gbɔgbɔm.
• Nu mimi sesẽ (Dysphagia): Seselelãme be ƒu aɖe le ŋɔti me ne èle nuɖuɖu alo nunono mimi.
• Aɖuɖɔtoe: Sese le ɖokuiwò me abe ɖe nèle ƒoƒom ɣesiaɣi ene ne èno tsi vi aɖe alo ɖu nu.
• Esesẽna be woaɖe ŋɔti me: Sese le ame ɖokui me abe ɖe ʋuʋudedi le ŋɔti me ene, gake esesẽna be woaɖee ɖa.

Nukawo gbɔe nɔnɔme sia tso?

Susu geɖewo li siwo tae lãmeka siwo kpɔa gbeɖiɖikawo dzi ate ŋu agblẽ. Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu o.

Susu vevi aɖewoe nye esi:

• Amekoko: Lãmetsi siawo ate ŋu agblẽ, vevietɔ le amekoko siwo me kɔ, akɔta, kple ta le (le kpɔɖeŋu me, thyroidectomy) me. Yagbɔgbɔmɔ̃ si woda ɖe alɔ̃dɔdɔ me le amekoko me hã ate ŋu agblẽ nu le wo ŋu.
• Nuveviwɔame: Afɔku sesẽ aɖe si dzɔ ɖe kɔ, ta, alo akɔta ate ŋu agblẽ nu le lãmekawo ŋu.
• Ahɔhɔ̃medɔlélewo: Dɔléle siwo nana lãmekawo gbɔdzɔna, abe Parkinson ƒe dɔléle, multiple sclerosis (MS), alo ʋusɔgbɔdɔ ene, ate ŋu agblẽ nu le lãmeka siawo ŋu.
• Dɔdzẽ: Dɔdzẽ, eɖanye vɔ̃ɖi alo dɔléle aɖeke o, siwo dona le lãkusi me alo le lãmekawo ƒe mɔwo dzi ate ŋu aƒo lãmekawo nu ƒu ahagblẽ nu le wo ŋu.
• Dɔlékuiwo: Dɔlékui aɖewo ƒe dɔlékuiwo, le kpɔɖeŋu me, herpes, Epstein-Barr dɔlékui, kple COVID-19, ate ŋu ana ame naxɔ abi eye wòagblẽ nu le lãmekawo ŋu.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Nɔnɔme sia ate ŋu atso dɔléle siwo me ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea lãmekawo dzi, le kpɔɖeŋu me, myasthenia gravis hã gbɔ.
• Aɖinuwo: Aɖinuwo abe lifi, mercury, kple arsenic ɖuɖu ate ŋu agblẽ nu le lãmekawo ŋu. Ne èsusu be yeɖu aɖinu aɖe la, ƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi enumake hena aɖaŋuɖoɖo.

Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu ado mo ɖa le dzamezã si bɔ vɔ megbe gɔ̃ hã. Woyɔa dɔléle siwo me womate ŋu akpɔ nusi gbɔ wòtso si me kɔ o be ‘idiopathic’.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne dzesi siawo le ŋuwò la, ele be nàyi to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (ENT-dɔdala) gbɔ godoo. Ðɔktaa aɖo to wò dzesiwo kple atikewɔwɔ ŋutinya nyuie gbã. Le ema megbe la, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

• Laryngoscopy: Esia bia be nàde mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ sue aɖe le to wò ŋɔti alo nu me be nàlé ŋku ɖe wò gbeɖiɖikawo ŋu tẽ. Mègatsi dzi o, woana atike si naa ame ƒe lãme ʋuʋuna ne ehiã hafi nàwɔ esia. Esia wɔnɛ be nàte ŋu akpɔe nyuie ne wò gbeɖiɖikawo le ʋuʋum alo mele ʋuʋum o.
• Videostroboscopy: Esia sɔ kple laryngoscopy, gake ezãa fotoɖemɔ̃ tɔxɛ aɖe tsɔ kpɔa gbeɖiɖikawo ƒe ʋuʋu blewu ne èle nu ƒom.
• Nɔnɔmetatawo ŋuti numekukuwo: Woate ŋu awɔ CT scan alo MRI scan atsɔ akpɔe ɖa be ƒunukpeƒetetedɔ le teƒewo abe ahɔhɔ̃, kɔ, kple akɔta ene.
• Laryngeal electromyography (LEMG): Esia dzidzea elektrikŋusẽ ƒe dzesi siwo tso lãmekawo me yia lãkusi ƒe lãmekawo me. Esia ate ŋu akpe ɖe ŋuwò nànya ne lãmekawo gblẽ.
• Ʋudodokpɔ: Woate ŋu awɔ ʋudodokpɔ ne wosusu be dɔléle aɖe le ame ŋu alo dɔléle si tsoa dɔlélenutsiŋutete gbɔ.

Nukawoe nye atike siwo wozãna na esia?

Dɔlélea ƒe sesẽme, eƒe dzesiwo, kple nusi gbɔ wòtsoe nɔa te ɖe atikewɔwɔa dzi.

Gbe ƒe Atikewɔwɔ

Esiae nye atikewɔwɔ vevitɔ. Ewɔa dɔ ŋutɔ, vevietɔ ne nɔnɔmea mesẽ akpa o. Le afisia la, nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala aɖe afia kamedede tɔxɛ siwo ado ŋusẽ wò gbeɖiɖikawo ahaɖu wò gbɔgbɔ dzi ne èle nu ƒom la wò.

Amekoko kple atikewɔwɔ bubuwo

Ne nɔnɔmea nu sẽ alo womate ŋu atsɔ gbedada aɖu wo dzi o la, ate ŋu ahiã be woawɔ dɔ nɛ.

• Ne gbeɖiɖika ɖeka mele dɔ wɔm o (Unilateral Paralysis):
• Gbeɖiɖi ƒe ka dodo: Le dɔ sia wɔwɔ me la, wodoa nu tɔxɛ aɖe si wotsɔ yɔa gbeɖiɖikawo me be wòatsɔ axe dometsotso si le gbeɖiɖikawo dome. Esia wɔnɛ be nuƒoƒo kple nu mimi nɔa bɔbɔe.
• Amekoko si wowɔna tsɔ wɔa dɔe: Le esia me la, wotsɔa nusi wotsɔ nusi le abe silicone ene dea lãkusia me to amekoko sue aɖe me, si wɔnɛ be gbeɖiɖika si mewɔa dɔ nyuie o la tua titina. Esia wɔnɛ be gbeɖiɖika kemɛa te ŋu gena ɖe eme hedona bɔbɔe.
• Reinnervation: Esia bia be woaxɔ lãmeka si le lãmesẽ me si yia lãmeka bubu si le kɔa me eye woatsɔe aƒo ƒu kple lãmeka si le gbeɖiɖika siwo mewɔa dɔ nyuie o me.

• Ne gbeɖiɖika eveawo siaa mele dɔ wɔm o (Bilateral Paralysis):
• Esi wònye be kuxi vevitɔ si le esia mee nye gbɔgbɔ sesẽ ta la, nu gbãtɔ si woawɔe nye be woawɔ gbɔgbɔmɔ aɖe. Nu vevitɔ si woawɔ na emae nye amekoko be woaɖe yaƒoƒomɔ̃ ɖa .
• Le amekoko sia me la, woɖea do sue aɖe ɖe kɔa ƒe ŋgɔgbe eye wotsɔa mɔ̃ aɖe dea yaƒoƒomɔ̃a me tẽ. Esia wɔnɛ be dɔnɔa te ŋu gbɔa ya bɔbɔe.
• Tsɔ kpe ɖe eŋu la, woate ŋu azã laser-yawo atsɔ aɖe gbeɖiɖikawo ƒe megbe ƒe akpa sue aɖe ɖa be yaƒoƒomɔ̃a nakeke.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?

Ne dzesiwo abe gbe ƒe tɔtrɔ, gbe ƒe ɖiɖi, alo nu mimi sesẽ ene le ŋuwò la, mègaŋe aɖaba ƒu edzi nàyi ɖɔkta gbɔ o. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae nàte ŋu axe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o.

Yagbɔgbɔ sesẽ ate ŋu anye gbeɖiɖika eveawo ƒe dɔmawɔmawɔ nyuie ƒe dzesi. Azɔ hã, ne nuɖuɖu alo nunono tsi eye wòge ɖe lãkusi me la, ate ŋu ahe dɔlékui sesẽwo abe aspiration pneumonia ene vɛ. Eyata kpɔ nyuie ŋutɔ le dzesi siawo ŋu.