Gbe ƒe tɔtrɔ aɖea? Ðewohĩ esia nye (Gbe ƒe Dɔléle)! Ðe míaƒo nua?

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe gbe trɔ, yeƒe gbe le ɖiɖim, alo nuƒoƒo sesẽna na yea? Ðewohĩ nane tsi wò ŋɔti me, alo ɖeɖi te ŋuwò ne èle nu ƒom? Ðewohĩ menye dzamezã ƒe dzesiwo koe esiawo nye o. Woate ŋu anye ‘Gbe ƒe Dɔléle’ ƒe dzesiwo . Mina míaƒo nu tso esia ŋu tsitotsito vie egbea.

Nukae nye Gbe ƒe Dɔlélewo?

Kpuie ko la, gbe ƒe dɔmawɔmawɔ nyuie nye nusianu si gblẽa nu le wò nuƒoƒo ŋutete ŋu. Esia ate ŋu atrɔ wò gbe ƒe nyonyome, eƒe ɖiɖime, alo wò gbe ƒe sesẽme.

Bu eŋu kpɔ, ne míeƒoa nu zi geɖe la, esiae dzɔna. Ne míegbɔ ya la, ya si tso lãkusi me toa yaƒoƒomɔ̃ (yaƒoƒomɔ̃) si le ŋɔti tame la me yia lãkusi me . Gbeɖiɖika eve le wò lãkusi me, le yaƒoƒomɔ̃a tame . Ne míegbɔ ya la, gbeɖiɖika eve siawo ʋuna. Gake ne míedze agbagba be míaƒo nu la, gbeɖiɖika eve siawo va kpena henɔa ʋuʋum ne ya si le dodom tso lãkusiwo me to eme. Ʋuʋudedi mae nana míaƒe gbe dona.

Gake le amesi ƒe gbe me kuxi le gome la, nane doa kplamatse dɔ sia wɔwɔ. Ɣemaɣie gbea ƒe ɖiɖi to vovo.

Woate ŋu ama gbe ƒe dɔléle siawo ɖe hatsotso vevi etɔ̃ me:

1. Nu gbagbewo ƒe dɔléle: Esia fia be nane gblẽ le wò lãkusi, gbeɖiɖika, alo lãkusi ƒe wɔwɔme ŋu. Le kpɔɖeŋu me, tsitsi si mesɔ o le lãkusi me.

2. Ahɔhɔ̃mekawo ƒe Dɔlélewo: Esiae nye ne ŋusẽ aɖe le lãmeka siwo kpɔa lãkusia dzi la ŋu. Bu eŋu kpɔ, ne nane gblẽ le lãmeka siwo kpɔa ŋusẽ ɖe míaƒe gbe dzi ŋu la, tɔtrɔ ate ŋu ava gbea me.

3. Dɔwɔwɔ ƒe Dɔmawɔmawɔ nyuie: Le esia me la, nuwo ƒe wɔwɔme siwo naa gbe, abe aɖuɖɔtoe, gbeɖiɖika, kple lãkusi ene, sɔ, gake womate ŋu azã wo nyuie o. Esia dzɔna zi geɖe ne gbeɖiɖikawo ƒe lãmekawo zazã nyuie va sesẽ. Ɣeaɖewoɣi la, nuteɖeamedzi si gbɔ eme, seselelãme, kple tɔtrɔ le wò susu ƒe nɔnɔme hã ate ŋu akpɔ ŋusẽ ɖe wò gbe dzi.

Ɣeaɖewoɣi la, ƒomevi siawo dometɔ siwo wu ɖeka ate ŋu adzɔ ɖekae, si ana gbe ƒe dɔmawɔmawɔ nyuie nadze ame dzi. Le kpɔɖeŋu me, ate ŋu anye be gbe ƒe akpa si le ʋuʋum la le lãmetutudɔ lém na wò.Mina míagblɔ be ele. Ema fia be gbeɖiɖi ƒe akpa ɖeka mele dɔ wɔm nyuie o. Emegbe gbeɖiɖi ƒe akpa bubu, si mele dɔ wɔm nyuie o, ate ŋu awɔ dɔ sesĩe wu, si ana wò ŋɔti nate ɖe dziwò. Esia nye dɔwɔwɔ ƒe kuxi. Alo, ŋɔti ƒe tete si gbɔ eme (dɔwɔwɔ ƒe kuxi) ate ŋu ahe xɔtuɖoɖo ƒe kuxiwo abe gbeɖiɖi ƒe ʋuʋudedi ene vɛ.

Gbe ƒe dɔmawɔmawɔ nyuie ate ŋu ana wòasesẽ na wò be nàɖo dze kple ame bubuwo ahaɖe wò susu agblɔ. Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi. Gake ɖo ŋku edzi be atikewɔmɔnu aɖewo li na esia.

Nukawoe nye dɔléle siwo bɔ siwo nana gbe trɔna?

Dɔléle ƒomevi geɖewo li siwo ate ŋu ana gbe natrɔ. Wo dometɔ aɖewoe nye esi:

• Laryngitis: Esia nye wò gbeɖiɖikawo ƒe dzikudodo alo vuvu. Zi geɖe la, enɔa anyi ɣeyiɣi kpui aɖe ko. Ate ŋu atso nulɔdɔ alo gbɔgbɔtsixe ƒe dɔlékui si le etame gbɔ. Esiae nana wò gbe nɔa ɖiɖim ne vuvɔ le ŋuwò.
• Muscle Tension Dysphonia: Esiae nye esime lãmeka siwo le wò gbeɖiɖiɖaka (larynx) me kple/alo ƒo xlãe la me sẽ akpa. Nɔnɔme sia ate ŋu agblẽ nu le wò kɔ, abɔta, kple akɔta ƒe lãmekawo hã ŋu. Ate ŋu ase le eɖokui me abe ɖe nèle nu ƒom ene.
• Spasmodic Dysphonia / Laryngeal Dystonia: Esia nye ahɔhɔ̃mekawo ƒe dɔléle. Enaa gbeɖiɖikawo ʋuʋuna kpata. Ate ŋu ana wò gbe nagbã alo wòase le ɖokuiwò me be yeƒe gbe le ɖiɖim ne èle nu ƒom.
• Gbeɖiɖi ƒe Abi: Esiawo nye tsitsi siwo menye kansa o (siwo me dɔlékui aɖeke mele o). Le kpɔɖeŋu me, nodules, polyps, alo cysts ate ŋu adzɔ ɖe gbeɖiɖikawo dzi. Esiawo ate ŋu akpɔ ŋusẽ ɖe gbea dzi.
• Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie: Esia nye ne wò gbeɖiɖikawo dzudzɔ dɔwɔwɔ nyuie, si wɔnɛ be mègate ŋu ɖua lãmeka siwo le wò lãkusi me dzi o.

Tsɔ kpe ɖe esia ŋu la, wò yaƒoƒomɔ̃ si le etame hã ƒe dɔlélewo hã li. Togbɔ be esiawo medo ƒome kple gbea zazã tẽ o hã la, wodo ƒome kple aɖuɖɔtoe kple gbeɖiɖikawo. Woawoe nye:

• Inducible Laryngeal Obstruction (ILO): Wogayɔa esia be Paradoxical Vocal Fold Motion Disorder (PVFM) si nye gbe ƒe ʋuʋu ƒe dɔléle si nye Paradoxical Vocal Fold Motion Disorder. Alo Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie.
• Kamedede ƒe Ʋuʋudedi (EILO):

Ne `ILO` alo `EILO` le asiwò la, wò gbeɖiɖikawo alo xɔtunu bubu siwo le wò ŋɔti me ateŋu aʋuʋu masɔmasɔ ne èle gbɔgbɔm. Esia ate ŋu ana wòasesẽ be woagbɔ ya nyuie.

Nukawoe nye gbe ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo?

Gbe ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo toa vovo le nusi gbɔ wòtso nu. Wò gbe ate ŋu aɖi ale:

• Gbe sesẽ aɖe si me kɔ (`Strained`): Abe ɖe ŋɔti me xaxa ne ele nu ƒom ene.
• Raspy alo hoarse: Abe ʋuʋudedi ene.
• Gbɔgbɔ alo ya le eme: Gbea me mekɔna o, abe ɖe ya koe wònye ene.
• Seselelãme si nye be ʋuʋudedi si le ŋɔti me, tsi ƒe seselelãme (`Gurgly alo tsi`):
• Gbɔdzɔgbɔdzɔ, gbeɖiɖi si bɔbɔ, esesẽ be woaɖee afia: Mete ŋu ƒoa nu sesĩe o, edze abe eƒoa nu blewu ene.
• Gbe si kɔ akpa alo bɔbɔ akpa:
• Gbea sese sesĩe akpa alo fafɛ akpa:
• Gbeɖiɖi si mesɔ o alo ʋuʋu, si me gbeɖiɖi ƒe ɖiɖi alo dometsotso le: Mete ŋu léa gbe si li ke me ɖe asi ne ele nu ƒom o.

Tsɔ kpe ɖe eŋu la, àte ŋu ase veve ne èle nu ƒom, alo ahiã be nàku kutri hafi aƒo nu. Àte ŋu ase le ɖokuiwò me be `ƒuƒoƒo aɖe le wò ŋɔti me`.

Nukawoe hea gbe ƒe dɔmawɔmawɔ nyuie vɛ?

Nusi koŋ gbɔ gbe ƒe kuxiwo tsonae nye wò gbe zazã fũu akpa . Ne èdo ɣli, dzi ha, alo ƒo nu fũu akpa ko la, wò gbe ate ŋu agblẽ. Bu eŋu kpɔ, esi amewo abe nufialawo kple hadzilawo ene zãa woƒe gbe ɣesiaɣi ta la, nɔnɔme siawo ate ŋu adze wo dzi bɔbɔe wu. Le kpɔɖeŋu me, hadzidzifiala aɖe nɔ míaƒe sukua si ƒe gbe me kuxiwo nɔa eŋu ɣesiaɣi le esi wòti kɔ nɛ be wòafia ha ɖeviwo ŋkeke bliboa ta.

Ɣeaɖewoɣi la, dɔléle siawo tsoa dɔléle siwo nɔa anyi ɣeyiɣi kpui aɖe (si nu sẽ) abe dzamezã, nulɔdɔ, alo sinus infections (sinusitis) gbɔ. Dɔléle siawo nana abi le ŋɔti me, si trɔa alesi ya sinae. Ne dɔlélea nya wu enu ko la, zi geɖe la, gbea gatrɔna va nɔa nɔnɔme si sɔ me le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe.

Gake gbe ƒe dɔmawɔmawɔ nyuie wu la dzɔna ne kuxi aɖe le aɖuɖɔtoe, gbeɖiɖikawo, alo gbeɖiɖikawo ƒe wɔwɔme, lãmekawo, alo lãmekawo ŋu.

Amekawoe le afɔku gã aɖe me be woaxɔ gbe ƒe dɔmawɔmawɔ nyuie?

Gbe ƒe dɔmawɔmawɔ nyuie ate ŋu adze amesiame dzi, gake nu aɖewo ate ŋu ana afɔkua nadzi ɖe edzi:

• Ƒe si woxɔ kple ŋutsu alo nyɔnu nyenye: Nyɔnu siwo xɔ wu ƒe 60 le afɔku me wu.
• Dɔ: Na amesiwo wɔa dɔ siwo bia be woazã gbeɖiɖi geɖe, abe nufialawo, hadzilawo, kple asitsalawo le telefon dzi ene. (Le numekuku aɖe si wowɔ le nufiala siwo ade 1,000 ŋu me la, gbe ƒe dɔmawɔmawɔ nyuie nɔ wo dometɔ siwo wu afã ŋu.)
• Nuwɔnawo: Nuwo abe ahanono, atamanono ene.
• Amekoko:Ne wowɔ dɔ na wò le wò ŋɔti me (e.g., thyroidectomy) alo gbɔgbɔtsixe ƒe mɔ̃ aɖe.
• Lãmetsiŋusẽ ƒe Dɔlélewo: Ne dɔlélewo abe Suklidɔ, Thyroid Dɔléle, alo Polycystic Ovary Syndrome (PCOS) ene le ŋuwò.
• Atikewɔwɔ me dɔléle bubuwo: Ahɔhɔ̃mekawo ƒe Dɔlélewo, Dɔlélenutsiŋutete ƒe Dɔlélewo, Dɔgbo ƒe Tsitretsitsidɔ (GERD), Dɔgbo ƒe Tsitretsitsi (LPR), Aɖuɖɔtoe me Dɔdzẽ, Atike Vɔ̃ɖiwo Zazã ƒe Dɔlélewo, alo Ahanono ƒe Dɔlélewo.

Aleke woawɔ anya gbe ƒe dɔmawɔmawɔ nyuie?

Ðewohĩ wò lãmesẽdɔwɔla vevitɔ ate ŋu akpɔ gbe ƒe dɔléle aɖe. Alo, woate ŋu aɖo wò ɖe nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyala (SLP) alo to, ŋɔti, kple ŋɔti ƒe ɖɔkta (aɖuɖɔtoeŋutinunyala) gbɔ.

Ðɔkta siawo abia nyawo wò tso wò dzesiwo, wò atikewɔwɔ ŋutinya, kple alesi kuxi siawo le wò gbe ŋu le ŋusẽ kpɔm ɖe dziwò le aƒeme, dɔwɔƒe, kple suku ŋu.

Ðɔktaa aɖo to nyuie ne èle nu ƒom. Alé ŋku ɖe wò mo, ta, kɔ, kple ŋɔti ŋu ne èle nu ƒom hele gbɔgbɔm. Ate ŋu agblɔ na wò be nàgblɔ nyagbɔgblɔ aɖewo, alo nàlé gbeɖiɖi aɖewo ɖe te ɣeyiɣi didi, alo nàkɔ wò gbe dzi alo aɖiɖi ɖe anyi.

Ne èkpɔ dzesi aɖewo esime nèle kamedede siawo wɔm – abe vevesese, ŋɔti ƒe ʋuʋu, alo gbɔgbɔ sesẽ ene – mègaŋlɔ be be yeagblɔe na wò ɖɔkta o.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Be nàkpɔ alesi wò lãkusi kple gbeɖiɖikawo le dɔ wɔm nyuie la, àte ŋu awɔ nɔnɔmetatawo dodokpɔ abe esiawo ene:

• Laryngoscopy: Esia bia be nàzã mɔ̃ (scope) tsɛ aɖe si te ŋu trɔna bɔbɔe si ŋu videoɖemɔ̃ le be nàlé ŋku ɖe wò ŋɔti me. Ðɔktaa ate ŋu axɔ ʋu ƒe sisi (biopsy) hã tso gbeɖiɖikawo me atsɔ akpɔe ɖa be ƒunukpeƒetetedɔ (nodules), polyps, alo cysts aɖeke mele wo ŋu o hã.
• Videostroboscopy: Esia zãa mɔ̃ (scope) si wotsɔ bla ɖe fotoɖemɔ̃ tɔxɛ aɖe ŋu. Ate ŋu akpɔ wò gbeɖiɖikawo ƒe zɔzɔ blewu ne èle gbeɖiɖi aɖe wɔm. Ele abe video si woɖena blewu ene.
• Laryngeal Electromyography (LEMG): Esia zãa elektrikŋusẽnamɔ̃ tsɔ dzidzea lãmeka ƒe dzesi siwo dona ne èzã lãmeka siwo le wò lãkusi me.
• MRI alo CT-dɔdamɔnu:Esia wɔnɛ be ɖɔktaa te ŋu ɖea gbeɖiɖikawo kple aɖuɖɔtoewo ƒe foto tsitotsito. Esia wɔnɛ be ɖɔktaa kpɔae ɖa be tsitsi aɖe si mesɔ o le eme hã.

Aleke wodaa gbe ƒe dɔmawɔmawɔ nyuie?

Woate ŋu ada gbe ƒe kuxi aɖewo siwo nɔa anyi ɣeyiɣi kpui aɖe ne èna wò gbe ɖi ɖe eme ko. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdzudzɔ ɣlidodo, hadzidzi, alo gbe tete ɖe edzi ŋkeke ʋɛ aɖewo. Woate ŋu agblɔ na wò hã be nàƒo nu vie alesi nàte ŋui.

Dɔdamɔnu bubuwoe nye:

• Gbe ƒe Dɔdamɔnu: Nuƒoƒo Kple Gbegbɔgblɔ Ŋuti Dɔléleŋutinunyalawo (SLP) fiaa aɖaŋu kple kamedede siwo akpe ɖe ŋuwò nàzã wò gbe nyuie wu la wò. Esia akpe ɖe ŋuwò nàɖo dze nyuie. Wofiaa alesi nàlé be na wò gbe hã wò be wò gbe nanɔ lãmesẽ me.
• Atikewo: Ne LPR (acid reflux) alo GERD (acid reflux disease) gbɔe wò gbe ƒe kuxia tso la, proton pump inhibitors (PPIs) alo atike bubuwo ate ŋu akpe ɖe ŋuwò. Gbe ƒe kuxi aɖewo ate ŋu abia be woazã steroid alo dɔlékuiwutikewo.
• Atikewɔwɔ ƒe mɔnuwo alo amekoko: Ðewohĩ ahiã be woawɔ dɔ na wò be woaɖe abi aɖe si le wò gbeɖiɖikawo ŋu la ɖa. Ðewohĩ ahiã be woado aɖi si nye botulinum be wòaɖe gbeɖiɖika ƒe lãmeka siwo le sesẽm la dzi akpɔtɔ. Ne wò gbeɖiɖikawo tu la, wò ɖɔkta ate ŋu ado atike si wotsɔ yɔa nu me be wòaxe dometsotso si le wò gbeɖiɖikawo dome. Alo, àte ŋu ahiã be woatsɔ nusi ade wò gbe me be wòakpe ɖe ŋuwò nàƒo wò gbeɖiɖikawo nu ƒu (si woyɔna be medialization laryngoplasty).

Ðe woate ŋu axe mɔ ɖe gbe ƒe dɔmawɔmawɔ nyuie nua?

Togbɔ be woate ŋu axe mɔ ɖe gbe ƒe dɔmawɔmawɔ nyuie aɖewo siwo zazã fũu akpa hena vɛ nu hã la, esesẽna be woaxe mɔ ɖe wo dometɔ geɖe nu. Gake àte ŋu aɖe afɔku si le eme dzi akpɔtɔ ne èlé be na wò gbe. Nu siwo nàte ŋu awɔ dometɔ aɖewoe nye esi:

• Ƒo asa na atamanono, modzakaɖetikewo zazã, kple ahanono.
• Na tsi nanɔ wò gbeɖiɖikawo me to tsi geɖe nono me. (Ne èno tsi la, egena ɖe wò ŋutilã me eye wòkpena ɖe wò gbeɖiɖikawo ŋu woƒua du toa wo nɔewo dzi bɔbɔe wu.)
• Ðe afɔ siwo nàtsɔ axe mɔ ɖe dɔléle nu to nuwo abe asikɔklɔ enuenu ene wɔwɔ me.
• Ne èwɔa dɔ le dɔ si bia gbe geɖe me la, na wò gbe nagbɔ ɖe eme edziedzi.
• Srɔ̃ seɖoƒe siwo le lãmesẽ me na wò gbe zazã.

Ne ele be nàƒo nu alo adzi ha geɖe la, na wò ŋutilã nazu numame na wò. Gbea zazã ƒe agbɔsɔsɔ tɔtrɔ kpata, dzadzraɖo nyuie manɔmee la, ate ŋu ana ɖeɖi nate ame ŋu eye wòaxɔ abi.

Nukae nye amesiwo ŋu dɔléle sia le ƒe mɔkpɔkpɔ?

Zi geɖe la, gbe ƒe dɔmawɔmawɔ nyuie si zazã fũ alo dɔléle sesẽwo hena vɛ la nɔa anyi ɣeyiɣi kpui aɖe. Womegblẽa nu tegbee o. Gake ne wò gbe ƒe dɔmawɔmawɔ nyuie sesẽ wu la, ate ŋu abia agbagbadzedze vie hafi woate ŋu ada dɔlélea alo akpɔ egbɔ. Ðewohĩ ahiã be woawɔ dɔ na wò alo awɔ gbeɖiɖi ƒe dɔdamɔnu ʋɛ aɖewo. Gake ame geɖe ɖua woƒe gbe ƒe kuxiwo dzi to atikewɔwɔ me.

Aleke mawɔ alé be na ɖokuinye?

Mɔ nyuitɔ si dzi nàto alé be na wò gbee nye be nàwɔ ɖe wò atikewɔwɔ ƒe ɖoɖoa dzi. Ke hã, ele vevie hã be nàlé be na wò susu ƒe lãmesẽ. Ne nuƒoƒo sesẽ la, amewo ate ŋu ase le wo ɖokui me be yewomate ŋu agblɔ yewoƒe susu faa o. Le ɖeviwo gome la, esia ate ŋu ana woade bubu wo ɖokui ŋu bɔbɔe. Ele be woadze agbagba vevie be woƒe gbe nado go ate ŋu aɖe fu ŋutɔŋutɔ eye wòaɖe wo ɖokui ɖe aga.

Ne èle avu wɔm kple nya siawo la, ƒo nu kple wò ɖɔkta. Biae tso nunɔamesi siwo ate ŋu akpe ɖe ŋuwò ŋu.

Ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne ède dzesi tɔtrɔ siwo me mekɔ o le wò gbe me si meva nyo ɖe edzi le kwasiɖa ʋɛ aɖewo megbe o la, wɔ ɖoɖo be yeayi ɖɔkta enumake. Atikewɔwɔ kaba ate ŋu akpe ɖe ŋuwò be dzesiawo nagagblẽ ɖe edzi o. Ate ŋu axe mɔ na wò gbeɖiɖikawo ƒe gbegblẽ ɣeyiɣi didi hã, si ate ŋu abia be woawɔ atike na wò vevie wu, abe amekoko ene, zi geɖe.

Nya kawoe wòle be mabia ɖɔktaa?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Nuwɔna kawoe wòle be matrɔ be nye gbe nanyo ɖe edzi?
• Atikewɔwɔ ka ƒomevie mehiã eye ɣeyiɣi didi kae wòaxɔ?
• Lãmesẽdɔwɔla ka ƒomevie wòle be mawɔ dɔ kplii?
• Mɔnukpɔkpɔ kawoe li be nye gbe ƒe kuxiwo nada keŋkeŋ?
• Àte ŋu agblɔ dɔwɔnu siwo ate ŋu akpe ɖe ŋunye makpɔ gbe ƒe kuxi aɖe gbɔ nam?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Gbe ƒe dɔmawɔmawɔ nyuie ate ŋu ana wòasesẽ be míaɖo dze kple ame bubuwo. Gake ne wowɔ atike na wò nyuie la, àte ŋu ana wò gbe nanyo ɖe edzi. Esia ate ŋu akpe ɖe ŋuwò nàte ɖe ame bubuwo ƒe gɔmesese ŋu afɔɖeɖe ɖeka evɔ maɖe fu na wò gbe o.

Ne ède dzesi tɔtrɔ aɖe le wò gbe me si xɔ wu kwasiɖa ʋɛ aɖewo la, yi ɖɔkta gbɔ kaba. Ate ŋu anya nusi gbɔ wòtso eye wòana atike si nèhiã la wò. Ðo ŋku edzi be atikewɔwɔ kaba le vevie ŋutɔ!

` Gbe ƒe Dɔlélewo, Gbeɖiɖi ƒe Kawo, Laryngitis, Gbe ƒe Hehenasuku, Kɔmeve, Nuƒoƒo ƒe Dɔdamɔnu