Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe gbe le ɖiɖim ŋutɔ, alo be etrɔna ne èle nu ƒom, abe ɖe vuvɔ le ŋuwò enea? Ðewohĩ èsena le ɖokuiwò me be yeƒe ŋɔti le vevem le tsi vi aɖe nono vɔ megbe gɔ̃ hã, alo kasia nèsena le ɖokuiwò me be gbɔgbɔtsixe tsi ye ƒo ne èle nu ƒom. Menye dzamezã ƒe dzesiwo koe esiawo nye o, gake ɖewohĩ nusi gbɔ esia tsoe nye nɔnɔme aɖe si woyɔna be Vocal Cord Paralysis, si ŋu míele nu ƒom tsoe egbea. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.
Nukae Nye Gbeɖiɖimɔ̃ ƒe Dɔmawɔmawɔ nyuie?
Kpuie ko la, gbeɖiɖika ƒe dɔmawɔmawɔ nyuie nye ne gbeɖiɖika siwo le wò ŋɔti me siwo naa wò gbe la dometɔ ɖeka alo evea siaa mele dɔ wɔm nyuie o. Bu wo abe gita ƒe ka ene. Gake wole aɖaka sue aɖe si le wò ŋɔti me si woyɔna be lãkusi me . Aɖuɖɔtoea le wò yaƒoƒomɔ̃ (yagbɔgbɔ) tame .
Ne míele gbɔgbɔm la, gbeɖiɖika eve siawo ʋãna, si wɔnɛ be ya te ŋu gena ɖe lãkusia me. Ne míemi nuɖuɖu alo nunono la, lãmeka eve siawo tuna sesĩe, alo nuɖuɖu alo nunono ate ŋu atɔ ɖe yaƒoƒomɔ̃a me. Ne míele nu ƒom alo le ha dzim la, gbeɖiɖika siawo va ƒoa ƒu heʋuʋuna ne ya si tso lãkusi me le ʋuʋum, si wɔnɛ be gbeɖiɖi dona.
Eyata nusi dzɔna le gbeɖiɖika ƒe dɔmawɔmawɔ nyuie me enye be ne lãmeka siwo kpɔa gbeɖiɖika siawo dzi gblẽ la , lãmeka mawo meʋuna alo tua wo nyuie o. Ekema ate ŋu asesẽ be woaƒo nu, ami nu, eye ɣeaɖewoɣi la, gbɔgbɔ gɔ̃ hã. See?
Gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒomevi kawoe nye?
Ƒomevi eve koŋue li:
1. Gbe ɖeka ƒe lãmetutudɔ: Esia nye ne gbeɖiɖika ɖeka koe tu. Ne akpa ɖeka mele dɔ wɔm o la, gbe ate ŋu atrɔ, eye nu mimi ate ŋu asesẽ na ame aɖewo. Gake zi geɖe la, gbɔgbɔ sesẽ aɖeke mesesẽna na ame o.
2. Gbe ƒe akpa eve ƒe lãmetutudɔ: Le afisia la, gbeɖiɖika eveawo siaa tu. Esia nye nɔnɔme sesẽ aɖe. Elabena ne gbeɖiɖika eveawo siaa tu la, zi geɖe la, wotɔna ɖe wo nɔewo gbɔ. Emegbe yaƒoƒomɔ̃a va xena, si wɔnɛ be gbɔgbɔ sesẽna vevie. Esia ate ŋu ade ame ƒe agbe afɔku me.
Ðo ŋku edzi be akpa ɖeka ƒe dɔmawɔmawɔ nyuie ye bɔ wu. Ƒã hafi gbeɖiɖika eveawo siaa mewɔa dɔ nyuie o. Gake ƒomevi evea siaa ate ŋu adze le ƒe ɖesiaɖe me.
Aleke gbegbee nɔnɔme sia ate ŋu asesẽe?
Le akpa ɖeka ƒe lãmetutudɔ me la, dzesiawo ate ŋu atso esiwo nu mesẽ o dzi va ɖo esiwo nu sẽ dzi. Le kpɔɖeŋu me, nuƒoƒo ate ŋu asesẽ na ame aɖewo. Le nɔnɔme siwo nu sẽ wu me la, gbɔgbɔtsixe ate ŋu anɔ wo ŋu ne wole nu ƒom. Woate ŋu akpɔ kɔdzi kple ŋɔti me veve hã ne wole nu ɖum alo le nu nom.
Le akpa eve ƒe dɔmawɔmawɔ nyuie me la, gbeɖiɖikawo tena ɖe wo nɔewo ŋu eye woxea yaƒoƒomɔ̃a, si wɔnɛ be gbɔgbɔ sesẽna ŋutɔ. Enaa nu mimi hã sesẽna. Ne nuɖuɖu alo nunono ge ɖe yaƒoƒomɔ̃a me eye wòge ɖe lãkusi me la, nɔnɔme si me afɔku le si woyɔna be aspiration pneumonia ate ŋu ado mo ɖa.
Ne gbɔgbɔ alo nu mimi sesẽ na wò la, yi ɖɔkta gbɔ enumake.
Nukawoe nye gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo?
Dzesiawo nɔ te ɖe alesi gbegbe gbeɖiɖikawo ƒe dɔmawɔmawɔ nyuie le kple alesi gbeɖiɖikawo le ne wotsɔ wo sɔ kple wo nɔewoe dzi.
Esiawoe nye dzesi siwo bɔ:
- Gbe va zua gbeɖiɖi sesẽ, gbɔdzɔgbɔdzɔ, ʋuʋudedi, alo yaƒoƒo .
- Gbea ƒe ɖiɖime ƒe tɔtrɔ .
- Gbea ƒe sesẽme ƒe tɔtrɔ .
- Yagbɔgbɔ sesẽ (Dyspnea) alo gbe ƒe bu.
- Toɣliɖeɖe ne èle gbɔgbɔm (e.g., abe kpẽkuku ene).
- Nu mimi sesẽ (Dysphagia).
- Mate ŋu akɔ ŋɔti me tso kɔdzi me o.
- Kɔ ƒe tete ne èle agbagba dzem be yeami.
Aleke gbeɖiɖika kuku sena le eɖokui me?
Ðewohĩ màse seselelãme aɖeke tso wò gbeɖiɖikawo me tẽ o. Ke boŋ àte ŋu ase dzesi siwo tso wò gbeɖiɖika siwo mewɔa dɔ nyuie o gbɔ. Àte ŋu ase teteɖeanyi kple ɖeɖiteameŋu geɖe ne èle agbagba dzem be yeana ya geɖe nage ɖe yeƒe lãkusi me alo yeana yeƒe gbe naɖi abe alesi nèdi ene. Àte ŋu ase le ɖokuiwò me be yeƒe ŋɔti le xexe ne nuɖuɖu alo nunono tsi wò yaƒoƒomɔ̃ me. Ame aɖewo sena le wo ɖokui me be ʋuʋudedi yɔa yewoƒe ŋɔti me ɣesiaɣi eye womete ŋu kɔa eŋu o.
Ðe wòanya wɔ be woaƒo nu kple gbeɖiɖi ƒe dɔmawɔmawɔ nyuiea?
Ame akpa gãtɔ te ŋu ƒoa nu, gake ebia agbagbadzedze geɖe. Àde dzesi tɔtrɔwo le wò gbe me. Àte ŋu ava nɔ ɣli dom ne èle nu ƒom. Ne dɔmawɔmawɔ nyuie nu sẽ la, àte ŋu abu wò gbe kura gɔ̃ hã.
Nukawoe hea gbeɖiɖi ƒe dɔmawɔmawɔ nyuie vɛ?
Susu geɖewo li siwo tae lãmeka siwo kpɔa gbeɖiɖikawo ƒe ʋuʋu dzi ate ŋu agblẽ ɖo:
- Dɔlélenutsiŋutete ƒe dɔlélewo: Dɔléle siwo doa kplamatse kadodo si le lãmekawo kple lãmekawo dome, le kpɔɖeŋu me , Myasthenia Gravis (MG) .
- Dɔlékuiwo: Dɔlékuiwo abe Lyme dɔléle, herpes, Epstein-Barr dɔlékui, kple COVID-19 ate ŋu ana lãmeka siwo kpɔa gbeɖiɖikawo dzi la navuvu eye woagblẽ nu le wo ŋu.
- Nuveviwɔame: Nuveviwɔame le kɔ, ta, kple akɔta ƒe akpa aɖe ate ŋu agblẽ nu le lãmekawo ŋu.
- Ahɔhɔ̃mekawo ƒe dɔlélewo: Dɔléle siwo do ƒome kple lãmekawo ƒe tsɔtsrɔ̃ alo woƒe gbegblẽ, abe lãmekawo ƒe ʋuʋu (MS) , Parkinson ƒe dɔléle , kple ʋusɔgbɔdɔ .
- Nusiwo me aɖi le:Aɖiwo abe lifi, mercury, kple arsenic ene ate ŋu agblẽ nu le lãmekawo ŋu.
- Amekoko: Ta kple kɔ ƒe dɔwɔwɔ, abe thyroidectomy , parathyroid dɔwɔwɔ, dzi ƒe dɔwɔwɔ, kple vidzidɔ ƒe akɔta ƒe dɔwɔwɔ ene, ate ŋu agblẽ nu le lãmekawo ŋu abe kuxi ene. Yagbɔgbɔmɔ̃ zazã le amekoko me hã ate ŋu agblẽ nu le lãmeka siwo le lãkusia me ŋu ɣeaɖewoɣi.
- Dɔdzẽ: Dɔdzẽ vɔ̃ɖiwo kple esiwo me dɔlékui aɖeke mele o siaa ate ŋu aƒo lãmeka siwo le lãkusia me, si agblẽ nu le wo ŋu. Lãmetsiŋusẽ kple lãkusi me dɔdzẽ siaa ate ŋu agblẽ nu le lãmeka siawo ŋu.
Ɣeaɖewoɣi la, gbeɖiɖika ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ le vuvɔ alo gbɔgbɔtsixe ƒe dɔlékui si le etame megbe. Ðewohĩ ɖɔktawo mate ŋu ake ɖe nusi koŋ gbɔ wòtso ŋu ɣesiaɣi o. Woyɔa nɔnɔme mawo be gbeɖiɖi ƒe dɔmawɔmawɔ nyuie si nye idiopathic alo post-viral vocal dysfunction.
Aleke ɖɔktawo wɔa dea dzesi gbeɖiɖi ƒe dɔmawɔmawɔ nyuie?
Tomeŋutinunyalawo, vevietɔ tomeŋutinunyalawo, ye nye ɖɔkta siwo dea dzesi dɔléle sia hedaae. Gbã la, woabia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Be nàɖo kpe dɔlélea dzi la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔwo abe:
- Nɔnɔmetatawo ŋuti numekukuwo: MRI alo CT-mɔ̃wo ate ŋu aɖe ahɔhɔ̃, ŋɔti, gbeɖiɖikawo, lãkusi, lãkusi, kple akɔta ƒe foto tsitotsito. Esiawo ate ŋu akpe ɖe ame ŋu woade dzesi nuwo abe dɔdzẽ ene siwo ate ŋu anɔ nu gblẽm le lãmeka siwo le lãkusi me ŋu. Woate ŋu abia tso asiwò hã be nàwɔ wò nuɖuɖutome alo akɔta ƒe X-ray .
- Laryngoscopy: Esia wɔnɛ be ɖɔktawo te ŋu léa ŋku ɖe aɖuɖɔtoe kple gbeɖiɖikawo ŋu tẽ. Ðɔktaa tsɔa mɔ̃ didi aɖe si le sue si woyɔna be laryngoscope dea ŋɔti me eye wògena ɖe ŋɔti me. Fotoɖemɔ̃ le mɔ̃ sia si te ŋu trɔna bɔbɔe la ƒe nuwuwu si ɖea aɖuɖɔtoe kple gbeɖiɖikawo ƒe foto. Woɖea nɔnɔmetataawo fiana le ŋkuléleɖenuŋumɔ̃ dzi be ɖɔktaa nakpɔ.
- Videostroboscopy: Esia wɔnɛ be ɖɔktawo te ŋu kpɔa alesi wò gbeɖiɖikawo ʋuʋuna kple alesi wogogo wo nɔewoe ne èle nu ƒom. Dɔwɔwɔ sia sɔ kple lãkusi me dɔlékuiwo me dzodzro. Zi geɖe la, wowɔa wo ame evea ɖekae. Videostroboscopy zãa fotoɖemɔ̃ tɔxɛ aɖe tsɔ ɖea alesi wò gbeɖiɖikawo ʋãna blewu ne èle gbeɖiɖiwo wɔm. Esia kpena ɖe ɖɔktaa ŋu wòkpɔa kuxi ɖesiaɖe.
- Elektrikŋusẽŋununya (LEMG): .Dodokpɔ sia dzidzea alesi lãmekawo kpɔa ŋusẽ ɖe lãkusi ƒe lãmekawo dzii. Wodzidzea elektrikŋusẽ si tso lãmeka siawo me heŋlɔa wo ɖi.
- Ʋudodokpɔ: Ne wò ɖɔkta susui be dɔlékui alo dɔlélenutsiŋutete ƒe dɔléle aɖe gbɔe wò gbe ƒe dɔmawɔmawɔ nyuie tso la, abia be woado ʋu kpɔ.
Aleke wodaa gbe ƒe dɔmawɔmawɔ nyuie?
Atikewɔwɔ nɔ te ɖe alesi dɔmawɔmawɔ nyuiea nu sẽe kple wò dzesiwo dzi. Ne dɔmawɔmawɔ nyuie mesẽ o la, àte ŋu ahiã gbedada na wò be wò gbeɖiɖikawo nawɔ dɔ nyuie wu. Le atikewɔwɔ sia me la, èwɔa kamedede tɔxɛ siwo doa ŋusẽ wò gbeɖiɖikawo, fiaa alesi nàɖu lãmeka siwo kpena ɖe ŋuwò nèƒoa nu dzii, eye wònana ale si nègbɔa yae ne èle nu ƒom la nanyo ɖe edzi.
Gbeɖiɖi ƒe dɔmawɔmawɔ nyuie si nu sẽ wu ate ŋu abia be woawɔ dɔ nɛ.
Atikewɔwɔ na gbeɖiɖi ƒe dɔmawɔmawɔ nyuie le akpa ɖeka
Le akpa ɖeka ƒe dɔmawɔmawɔ nyuie gome la, zi geɖe la, ɖɔktawo lalana vaseɖe esime nɔnɔmea nanyo ɖe edzi eye wohea amekokoa ɖe megbe abe ƒe ɖeka ene. Ɣeaɖewoɣi la, gbeɖiɖikawo ate ŋu avuvu alo avuvu, eye exɔa ɣeyiɣi hafi wohayana. Esia ate ŋu axɔ ɣleti geɖe. Gbe ƒe dɔdamɔnu kple nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyala ate ŋu awɔ dɔ ŋutɔ ɣeaɖewoɣi, si akpe ɖe ame ŋu wòado ŋusẽ gbea ne kuxia mesẽ o va ɖo esi mede nenema o.
Aɖuɖɔtoeŋutinunyala ate ŋu akafui be woawɔ dɔ na ame alo ado gbe na ame be wòana gbe, nu mimi, kple gbɔgbɔ ƒe kuxiwo nanyo ɖe edzi. Tiatia siwo nàte ŋu awɔ dometɔ aɖewoe nye:
- Gbekadodo: Ðɔktaa doa nusi wotsɔ yɔa nu me to aŋe me. Nusiwo wotsɔna yɔa nu me siwo le dedie ƒomevi vovovowo li. Nusi wotsɔ yɔa nu sia xea dometsotso si le gbeɖiɖikawo dome.
- Gbe ƒe aɖaka me dodo (Aɖuɖɔtoe ƒe dɔwɔwɔ): Ðɔktaa dea xɔtunu aɖe wò lãkusi me. Silicone ye wotsɔ wɔa xɔtunu akpa gãtɔ. Dɔwɔnu sia léa gbeɖiɖikaawo ɖe wo nɔƒe eye wòkpena ɖe ame ŋu be woatu gbeɖiɖika eveawo siaa. Dɔdamɔnu siawo dometɔ aɖewoe nye dɔdamɔnu aɖe si woyɔna be medialization laryngoplasty (Thyroplasty) .
- Reinnervation surgery: Ðɔkta xɔa lãmeka aɖe si doa ka kple wò kɔ ƒe lãmeka bubuwo eye wògatsɔnɛ doa ka kple lãmeka si ʋãa wò gbeɖiɖikawo. Dɔwɔwɔ sia mekpɔa ŋusẽ ɖe wò kɔ ƒe lãmeka bubuawo dzi o.
Gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒe atikewɔwɔ
Amesiwo ƒe gbeɖiɖika eveawo megale dɔ wɔm nyuie o la ƒe yaƒoƒomɔ̃wo ate ŋu axe mɔ si me afɔku le. Ðewohĩ ahiã be woawɔ tracheostomy (yagbɔgbɔmɔ̃ si woda ɖe kɔ me) be woaʋu yaƒoƒomɔ̃a eye wòakpe ɖe wo ŋu woagbɔ ya.
Le amekoko sia me la, ɖɔkta aɖe lãa wò kɔ eye wòdea mɔ̃ aɖe wò ŋɔti me. Yaƒoƒomɔ̃a ʋua wò yaƒoƒomɔ̃a eye wòkpena ɖe ŋuwò nègbɔa ya. Ɣeaɖewoɣi la, ɖɔkta zãa laser tsɔ ɖea gbeɖiɖika ɖeka alo evea siaa ƒe megbe ƒe akpa aɖe ɖa, si wɔnɛ be yaƒoƒomɔ̃a kekena ale be nàte ŋu agbɔ ya bɔbɔe. Ne woɖe yaƒoƒomɔ̃ le ŋuwò la, tiatia bubu si ate ŋu akpe ɖe ŋuwò nàgbɔ ya didi wue nye yaƒoƒomɔ̃ si me mɔ̃ aɖeke mele o.
Ðe woate ŋu agbugbɔ gbeɖiɖika si mewɔa dɔ nyuie o la aɖo anyia?
Ɣeaɖewoɣi la, gbeɖiɖikawo ada gbe le wo ɖokui si. Esia ate ŋu axɔ ɣleti geɖe. Ne èzã gbe ƒe dɔdamɔnu, wodo gbe ƒe ka, alo de gbe me la, wò gbe ate ŋu ado ŋusẽ eye ame bubuwo ate ŋu ase wò nyuie ne èle nu ƒom. Àte ŋu akpɔe hã be wò nu mimi kple gbɔgbɔ nyona ɖe edzi ne wowɔ atike nɛ. Bia wò ɖɔkta be wò gbeɖiɖika ƒe dɔwɔwɔ ƒe agbɔsɔsɔme kae nàte ŋu agbugbɔ awɔ ne èwɔ atike nɛ hã.
Ðe woate ŋu axe mɔ ɖe gbeɖiɖi ƒe dɔmawɔmawɔ nyuie nua?
Womate ŋu axe mɔ ɖe gbeɖiɖi ƒe dɔmawɔmawɔ nyuie nu ɣesiaɣi o. Ƒo nu kple wò ɖɔkta ne dɔléle aɖe le ŋuwò si nana wò afɔkua dzina ɖe edzi. Woate ŋu aɖo aɖaŋu be nàdo wò gbeɖiɖi ƒe kawo kpɔ edziedzi. Ðewohĩ ahiã be nàzã gbe ƒe dɔdamɔnu hã be wò gbeɖiɖikawo nawɔ dɔ nyuie wu.
Nukae nye amesiwo ƒe gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒe mɔkpɔkpɔ?
Gbeɖiɖi ƒe dɔmawɔmawɔ nyuie akpa gãtɔ ate ŋu ada le wo ɖokui si le ɣeyiɣi aɖe megbe. Nuƒoƒo ƒe atikewɔwɔ kple ɖewohĩ atike si wodona na wò ate ŋu akpe ɖe ŋuwò nàna dzesiawo nanyo ɖe edzi esime wò gbeɖiɖikawo le hayahayam. Ne wò gbeɖiɖika ƒe dɔmawɔmawɔ nyuie nɔa anyi ɖaa la, ke dede ame me be wòalé gbeɖiɖika la ɖe teƒeae nye atike nyuitɔ kekeake. Ƒã hafi ne nusi wotsɔ de eme la ʋu le teƒe si wòle la, ahiã be wò ɖɔkta nagbugbɔe aɖo teƒe bubu.
Ne wowɔ atike na ame akpa gãtɔ la, woƒe nuƒoƒo kple nu mimi ƒe ŋutete gaɖo wo ŋu le gbeɖiɖi ƒe dɔmawɔmawɔ nyuie megbe. Wò hayahaya ƒe agbɔsɔsɔme anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye ne dɔmawɔmawɔ nyuie le gbeɖiɖika ɖeka alo evea siaa me, kple nenye be eƒe lãme mesẽ o alo nu sẽ.
Ɣekaɣie wòle be makpɔ ɖɔkta le gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ŋu?
Ne gbeɖiɖi ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo le ŋuwò la, ƒo nu kple ɖɔkta. Tɔtrɔ le wò gbe me, gbe ƒe ɖiɖi si womate ŋu aɖe o, ʋuʋudedi ƒe ɖiɖi ne èle gbɔgbɔm, gbɔgbɔtsixe tsia ƒo ne èle nu ƒom, alo kɔdzidede kple ŋɔti me veve ne èle nu ɖum alo le nu nom la mebɔ o. Atikewɔwɔ kaba ate ŋu akpe ɖe ŋuwò be wò nɔnɔmea nagagblẽ ɖe edzi o. Le go aɖewo me la, dɔdamɔnu siwo mewɔa dɔ o, abe gbedada ene, ate ŋu akpe ɖe ŋuwò nàƒo asa na amekoko.
Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?
Ne gbɔgbɔ alo nu mimi sesẽ na wò la, yi atikewɔƒe enumake. Ya si mesɔ gbɔ o nye gbeɖiɖi ƒe dɔmawɔmawɔ nyuie le akpa eve ƒe dzesi, si nye dɔlélea ƒe ƒomevi si nu sẽ wu. Aspiration pneumonia dzɔna ne nuɖuɖu alo nunono ge ɖe yaƒoƒomɔ̃a me le esi gbeɖiɖikawo metu nyuie o ta.Ate ŋu adze egɔme, eye ne womewɔ atike nɛ o la, ate ŋu awu ame.
Gbedasi si Wotsɔ Yi Aƒeme
Ne dzesiwo abe wò gbe ƒe tɔtrɔ si dze ƒã, gbe ƒe ɖiɖi, gbɔgbɔ sesẽ ne èle nu ƒom, nu mimi sesẽ, alo nuɖuɖu kple nunono ƒe ʋuʋu enuenu ene le ŋuwò la, mègaŋe aɖaba ƒu edzi ko o. Esiawo ate ŋu anye gbeɖiɖi ƒe lãmetutudɔ ƒe dzesiwo .
Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui:
* Ne gbɔgbɔ sesẽ na wò alo nu mimi sesẽ na wò la, yi kɔdzi enumake.
* Ne dzesi bubuwo le ŋuwò la, yi to, ŋɔti, kple ŋɔti (ENT) dɔdala gbɔ enumake.
* Ne wokpɔ dɔléle sia dze sii hedae kaba la, zi geɖe la, woate ŋu akpɔ dɔléle sia gbɔ nyuie, eye ate ŋu adae keŋkeŋ gɔ̃ hã.
Mehiã be nàtsi dzodzodzoe o, gake ele vevie be nànya dzesi siawo. Ƒo nu kple wò ɖɔkta eye nàwɔ dodokpɔ kple atike siwo hiã.
` Gbe ƒe tɔtrɔ, gbeɖiɖi ƒe dɔmawɔmawɔ nyuie, gbe ƒe ɖiɖi, nu mimi sesẽ, gbɔgbɔ sesẽ, Gbe ƒe Dɔléle, Laryngoscopy, gbe ƒe atikewɔwɔ











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee