Ðe nèyi ɖɔkta gbɔ kpɔ le ŋutigbalẽ ƒe kuxi aɖe ta eye nèse wogblɔ be, “Ehiã be míatsɔ esia ƒe akpa sue aɖe adoe kpɔ” kpɔa? Zi geɖe la, míeyɔa esia be ‘ biopsy .’ Aleae ɖɔkta bibi aɖe xɔa wò ŋutigbalẽ, ɖa, alo ɖa ƒe akpa sue aɖe hekpɔa nusi tututu dɔlélea nye. Nusi wɔ nuku enye be, míedoa go ɖɔkta sia ŋutɔŋutɔ gbeɖe o. Egbea míele nu ƒom tso kalẽtɔ si le megbe si kpena ɖe ŋuwò nèkpɔa wò dɔlélea nyuie, si nye Dermatopathologist.
Kpuie ko la, amekae nye Ŋutilãŋutinunyala sia?
Ŋkɔ sia aɖi nya sesẽ vie, gake le nyateƒe me la, egɔmesese le bɔbɔe ŋutɔ. Enye nya eve ƒe ƒuƒoƒo.
1. Ŋutilãŋutinunya : Esia nye ŋutigbalẽdɔlélewo ŋuti dzɔdzɔmeŋutinunya kple atikewɔwɔ . Èyia ŋutigbalẽŋutinunyala gbɔ le ŋutigbalẽ ƒe kuxi aɖe ta.
2. Dɔléleŋutinunya: Esiae nye dzɔdzɔmeŋutinunya si srɔ̃a nu tso dɔlélewo ŋu. Wotsɔa nusuekpɔmɔ̃ léa ŋku ɖe lãmenugbagbevi kple lãmenugbagbevi siwo le míaƒe ŋutilã me ŋu be woanya dɔlélewo. Ðɔkta siawo ate ŋu anya nenye be kansa alo dɔlékui aɖee.
Ne agble eve siawo va ƒo ƒu la, ŋutigbalẽdɔléle ƒe subspecialty la dzɔna. Eyata ŋutigbalẽŋutinunyala nye ɖɔkta si xɔ hehe tɔxɛ be wòatsɔ nusuekpɔmɔ̃ alé ŋku ɖe ŋutigbalẽ, taɖa, kple ɖa ŋu ƒe kpɔɖeŋuwo ŋu ahade dzesi dɔlélewo pɛpɛpɛ. Ne míagblɔe tututu la, ame aɖe le abe ʋɔnudrɔ̃la si dia dɔlélewo le ŋutigbalẽŋutinunya me ene .
Nuka tututue ɖɔkta siawo wɔna?
Tsɔe be wò ŋutigbalẽŋutinunyala de dzesi teƒe wɔnuku aɖe le wò ŋutigbalẽ ŋu eye wòɖe eƒe kpɔɖeŋu sue aɖe (biopsy). Nukae dzɔna emegbe?
Wodzraa ŋutigbalẽ sue ma ɖo le ɖoɖo tɔxɛ aɖe nu eye woɖonɛ ɖe dodokpɔxɔa me. Afi mae Dermatopathologist ƒe dɔ dzea egɔme tsoe. Ezãa nusuekpɔmɔ̃ siwo ŋu ŋusẽ le ŋutɔ (kekeli ƒe nusuekpɔmɔ̃wo, elektrɔnik nusuekpɔmɔ̃wo) tsɔ srɔ̃a nu tso tɔtrɔ siwo va le ŋutigbalẽ ƒe akpa ma ŋu le lãmenugbagbeviwo ƒe ɖoɖo nu.
Woléa ŋku ɖe eŋu be nane li si to vovo na lãmenugbagbevi siwo le lãmesẽ me nyuie hã. Ðe wònye kansa lãmenugbagbevi aɖea? Ðe wònye tɔtrɔ si nulɔdɔ aɖe hena vɛa? Dɔlékuiwo alo fungiwo.Le dodokpɔ sia megbe ko hafi míate ŋu agblɔe kple kakaɖedzi nenye be dɔlékui alo dɔlélenutsiŋutete ƒe kuxie.
Emegbe, eŋutinunyala bibi sia aŋlɔ nyatakaka blibo aɖe si me nusiwo katã ŋu wòke ɖo hã le. Woagbugbɔ nyatakaka ma aɖo ɖe wò ŋutigbalẽŋutinunyala. Woanɔ te ɖe nyatakaka ma dzi adze wò atikewɔwɔ gɔme.
Aleke gbegbe wòsesẽe be woazu Ŋutilãŋutinunyala?
Esia menye mɔzɔzɔ bɔbɔe abe alesi nàsusui ene o. Esia nye atikewɔwɔ ƒe akpa aɖe si bia hehe deŋgɔ. Zi geɖe la, mɔzɔzɔa yia edzi ale:
- Gɔmedzedze ƒe ɖaseɖigbalẽ: Ƒe 4 ƒe Dzɔdzɔmeŋutinunya ƒe Dzesidegbalẽ.
- Atikewɔwɔ Suku: Ƒe 4-5 ƒe atikewɔwɔ ŋuti ɖaseɖigbalẽ (MBBS).
- Dɔsrɔ̃ƒe : Ƒe 1 ƒe hehexɔxɔ.
- Hehexɔxɔ le sukunuwuwu megbe (Residency): Le afisia la, woxɔa ƒe 3-4 ƒe hehe tɔxɛ le Ŋutilãŋutinunya alo Dɔléleŋutinunya me.
- Habɔbɔ: Le ema megbe la, ƒe 1-2 ƒe hehe deto bubu gali le dɔ tɔxɛ sia si woyɔna be Dermatopathology .
Bu eŋu kpɔ ko, kaka nusiawo katã nawu enu la, ahiã be nàzã ƒe 10-12 kple edzivɔ ɖe sukudede kple hehexɔxɔ ŋu. Esia ɖe ale si gbegbe dɔ sia le vevie kple adzɔgbeɖeɖe si wobia tso esi la fia.
Nɔnɔme kawo ƒomevie eŋutinunyala siawo dea dzesii?
Ŋutilãŋutinunyala mewɔa dɔ na dɔnɔwo tẽ o. Ke hã, woƒe dɔléleae afia atike si nàxɔ. Mina míalé ŋku ɖe nɔnɔme vevi aɖewo siwo wokpɔna ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Akpa si ŋutigbalẽŋutinunyala wɔna |
|---|---|
| Ŋutilãme Kansawo | De dzesi kansa ƒomevi siwo bɔ kple esiwo nu sẽ, abe Basal Cell Carcinoma kple Melanoma ene . Enaa nyatakaka ku ɖe alesi kansa la kakae kple alesi lãmenugbagbeviawo le mama kabakabae ŋu. Nyatakaka sia le vevie ŋutɔ na ɖoɖowɔwɔ ɖe atikewɔwɔ ŋu. |
| Psoriasis ƒe dɔléle | Esia nye dɔléle si dɔlélenutsiŋutete ƒe kuxi aɖe hena vɛ. Ɣeaɖewoɣi la, woate ŋu atɔtɔe kple ŋutigbalẽdɔ bubuwo. Biopsy ate ŋu aɖo kpe edzi nenye be psoriasis ye nye esia alo menyee o kple ƒomevi si wònye. |
| Taɖa ƒe ʋuʋu (Alopecia Areata) . | Nɔnɔme sia, si me ɖa dona le teƒeteƒewo hã nye kuxi na dɔlélenutsiŋutete. Woate ŋu aɖo kpe dɔléle sia dzi ne wolé ŋku ɖe lãkusi sue aɖe si woɖe tso taɖa ŋu me eye wokpɔe ɖa be dɔlélenutsiŋutete ƒe lãmenugbagbeviwo ƒo ƒu ɖe taɖaa ŋu hã. |
| Nulɔdɔwo kple dɔlékuiwo | Ne wotsɔ nusuekpɔmɔ̃ lé ŋku ɖe ŋutigbalẽ ƒe abiwo abe ʋuʋudedi, ʋuʋudedi, kple ʋuʋudedi ene ŋu la, woɖoa kpe edzi nenye be nulɔdɔ, dɔlékui, dɔlékui, alo fungi ƒe dɔlékui aɖe gbɔe wòtso. |
Nukatae mehiã be nàyi Lãmesẽŋutinunyala gbɔ o?
Ne kuxi aɖe le wò ŋutigbalẽ, ɖa, alo ɖa ŋu la, ele be nàyi ŋutigbalẽŋutinunyala gbɔ gbã . Le kpɔɖeŋu me:
- Dzigbedzesi aɖe ƒe amadede, nɔnɔme, alo lolome ƒe tɔtrɔ le ŋutigbalẽa ŋu.
- Aklãdɔ si nɔa anyi ɖaa.
- Hives alo ʋuʋudedi vovovowo.
- Abidede ame ŋu.
- Fungi ƒe dɔlékui siwo le ɖawo ŋu.
- Taɖa ƒe ŋeŋe si mebɔ o.
Wò ɖɔkta alé ŋku ɖe dzesi siawo ŋu, awɔ eƒe ŋutilã ƒe akpa aɖe ne ehiã, eye wòayi ŋutigbalẽŋutinunyala gbɔ be wòakpɔ eƒe susu. Esia fia be mahiã be nàyi ŋutigbalẽŋutinunyala gbɔ tẽ o.
Nukatae dɔlélea didi nyuie le vevie nenema gbegbe ɖo?
Ne wokpɔ dɔléle si mesɔ o la, àte ŋu ava xɔ atike si mesɔ o. Ate ŋu ana wò nɔnɔmea nagado gã ɖe edzi gɔ̃ hã. Bu nusi ate ŋu adzɔ ne wokpɔe vodadatɔe be nane si nu sẽ abe ŋutigbalẽ me kansa ene nye ŋutigbalẽ ƒe dɔléle si bɔ ŋu kpɔ. Ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
Eyata vevietɔ ne èsusu be nɔnɔme sesẽ aɖe abe ŋutigbalẽ me kansa ene le ŋuwò la, ele vevie ŋutɔ be nàbia wò ɖɔkta nenye be ŋutigbalẽŋutinunyala ado ŋutilã ƒe akpa si woɖe tso lãme na ame ƒe kpɔɖeŋua kpɔ hã. Ne ehiã la, àte ŋu axɔ nukpɔsusu evelia hã tso eŋutinunyala bibi ma tɔgbe gbɔ.
Esia ɖe alesi gbegbe ɖɔkta bibi mawo siwo wɔa dɔ le megbe na míaƒe lãmesẽ, togbɔ be míekpɔa wo o hã, ƒe subɔsubɔdɔwo xɔ asii fia.
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmetsiŋutinunyala nye ɖɔkta si xɔ hehe tɔxɛ be wòate ŋu anya dɔlélewo to ŋutigbalẽ, taɖa, kple ɖa ƒe kpɔɖeŋuwo me dzodzro le nusuekpɔmɔ̃ me.
- Ne woɖe ŋutigbalẽ ƒe dɔléle aɖe le ŋuwò la, eŋutinunyala sia ado kpɔɖeŋua kpɔ. Gake màdo go eyama ŋutɔŋutɔ o.
- Wò ŋutigbalẽŋutinunyala atso nya me le atikewɔwɔ ŋu le nyatakaka si ŋutigbalẽŋutinunyala la na nu.
- Woƒe nunya le vevie ŋutɔ be woate ŋu anya dɔléle geɖe abe ŋutigbalẽ me kansa, psoriasis, kple ɖa ƒe ŋeŋe ene pɛpɛpɛ.
- Ne èsusu be ŋutigbalẽ ƒe dɔléle sesẽ aɖe le ŋuwò la, ele vevie be nàbia wò ɖɔkta nenye be ŋutigbalẽŋutinunyala ate ŋu ado lãkusia ƒe kpɔɖeŋua kpɔ.
Dermatopathologist, Dermatopathology, Ŋutilãmedɔléle, Ŋutilãmedɔléle, Biopsy, Biopsy, Ŋutilãme Kansa, Melanoma, Psoriasis
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