Matenda a sinus, omwe amatchedwanso sinusitis, ndi kutupa kwa mpweya m'mapiko kuzungulira mphuno ndi maso. Pamene malo osungiramo zitsulo atsekedwa, amadzaza ndi ntchentche ndipo mumatha kupweteka ndi kupanikizika. Matenda owopsa a sinus amayamba ndi kutupa ku matenda a chiwindi kapena matenda a tizilombo (monga chimfine) ndipo nthawi zina timakhala tizilombo toyambitsa matenda.
Matenda osachiritsika achilendo amayamba chifukwa cha kutupa. Zovuta zochitika m'zochimo zingayambitse sinusitis yosatha kapena yowonongeka. Matenda a fungal sinus amapezedwanso, makamaka mwa anthu omwe ali ndi mphamvu zowonongeka.
The Sinuses
Zachimbuzi ndizozembera m'mapfupa oyandikana maso anu, mphuno, masaya, ndi pamphumi. Zimaphatikizapo kutsogolo, maxillary, sphenoid, ndi sinuses zamatimu. Zomwe zimayambitsa matendawa zimakhala ndi timadzi timene timatulutsa timadzi timene timathandizira kumangirira zowonongeka. Maselo monga cilia maselo amamangiriza ma membrane ndipo amafera pamphuno, yomwe nthawi zambiri imagwera m'magazi ndipo imamezedwa tsiku lonse.
Komabe, pamene malo osungiramo zitsulo atsekedwa, ziphuphu sizingathe kukhetsa ndipo matenda akhoza kukula. Mankhwalawa ali ndi nthendayi yowonjezera ndi maselo otupa ndipo amasintha kuchokera ku madzi mpaka kufika pofiira mpaka ku chikasu kapena chobiriwira.
Zizindikiro
Matenda a Sinus akhoza kugawidwa m'magulu osiyanasiyana malinga ndi momwe kachilombo ka HIV kakhala kotalika.
Ndi sinusitis yovuta , zizindikiro zilipo kwa milungu yosachepera inayi. Subacute sinusitis imasonyeza zizindikiro zomwe zilipo kwa milungu iwiri koma yosachepera 12.
Zizindikiro zomwe zimagwirizanitsidwa ndi acute ndi subacute sinusitis zikuphatikizapo:
- Kupweteka kwa nkhope ndi kupsinjika pa zomwe zimakhudza uchimo
- Kusokonezeka kwapadera
- Kusamba kwa minofu yamitundu
- Pewani kununkhiza ndi kulawa zowawa
- Fever
- Mutu
- Kuipa koipa / kupweteka
- Kutopa
- Kukuda
- Kupweteka kwa dzino
- Kupweteka kwa khutu / ululu
Matenda a kachilombo ka HIV amayamba kusintha tsiku ndi tsiku (popanda mankhwala). Kachilombo koyambitsa matenda a bacterial sinus, kumbali inayo, akuganiza ngati zizindikiro zanu zatha masiku 10, zowonjezereka pambuyo poti zikhale bwino, kapena zimakhala zovuta.
Matenda opweteka kwambiri a fungus ndi mtundu wosawoneka umene umapezeka mwa anthu omwe ali ndi chitetezo champhamvu kwambiri cha chitetezo cha mthupi. Zizindikiro zimayamba ndi malungo, chifuwa, kupumphuka, ndi mutu. Amafulumira kukhala ndi zizindikiro za maso (kutupa, masomphenya akusintha) ndi zizindikiro za kukhudza ubongo.
Mukupezeka kuti muli ndi sinusitis yonyansa pamene zizindikiro zanu zilipo kwa masabata 12 kapena kuposa.
Zizindikiro za matenda aakulu a sinusitis angakhale ofatsa ndipo ayenera kukhala ndi awiri mwa awa:
- Kusokonezeka kwapadera
- Kutsetsereka kwapansi kapena mphuno yothamanga ndi ntchentche
- Ululu kapena kupanikizika pamaso
- Kutheka kwa kununkhiza ndi kulawa
- Chifuwa chachikulu (mwa ana)
Ngati sinusitis yosatha imachokera ku sininitis (fungal ball) yosagwirizana ndi fungal (ball fungal ball), pali zizindikiro zochepa, zomwe zingaphatikizepo kumverera kwachidzalo, kupweteka kwa uchimo, ndi zina zotuluka.
Chilombo cha sinusitis chosachiritsika chimakhala chikuwoneka mwa odwala osamvetsetseka ndipo amasonyeza zizindikiro za matenda aakulu a sinusitis kwa nthawi yayitali, koma akhoza kukhala ndi zizindikiro zazikulu za kuchepa kwa masomphenya ndi kusayang'ana kwa maso pamene matendawa akuyenda.
Mukuganiziridwa kuti muli ndi sinusitis nthawi zonse mukakhala ndi matenda anayi kapena ambiri mu chaka. Matendawa a sinus ali ndi zizindikiro zowopsa za sinusitis ndi kuthetsa pakati pa zigawo.
Zovuta za matenda a sinus ndizosazolowereka, koma n'zotheka kuti matendawa afalikire kumatenda ozungulira maso, fupa, kapena ubongo. Onani dokotala mwamsanga ngati muli ndi zizindikiro monga kutentha thupi, kutupa m'maso kapena pamphumi, chisokonezo, mutu waukulu, kapena masomphenya akusintha.
Zimayambitsa
Chomwe chiri pamzu wa matenda anu a uchimo chimadalira mtundu umene muli nawo.
Matenda ovuta kapena Subacute Sinus
Matenda owopsa kapena owopsa a chiwindi amayamba ndi kutupa kwa mimba chifukwa cha kukhumudwa, matenda, kapena matenda, monga chimfine. Zotsatira za kusungidwa kwa malo osungirako zitsulo ndizo zomwe zimayambitsa chitukuko chokha.
Matenda Osayembekezereka Kapena Omwe Amakhalapo Nthawi Zonse
Sinusitis yosalekeza kapena yowonongeka kawirikawiri imayambitsidwa ndi kutupa kwanthawi zonse osati matenda. Zitha kukhalapo chifukwa cha matenda oopsa a rhinitis , fungal allergies, aspirin-yowonjezereka matenda opatsirana (AERD), kutengeka ndi zowopsya (monga utsi wa ndudu), kapena matenda opatsirana mobwerezabwereza.
Zina mwa zifukwa za matenda akuluakulu a chikhalire kapena ochiritsira nthawi zonse zimakhala zolakwika m'zinthu zamphongo ndi uchimo, monga sevalo losasunthika (kapangidwe kamene kamagawanika pambali kumbali ziwiri); adenoids owonjezera; Mitambo yowonjezereka (nyumba zomwe zimalimbikitsa mphepo m'mphuno mwanu); masana; ndi zina zosavuta zomwe zingalepheretse kuchimwa.
Matenda a Fungal Sinus
Matenda a fungal sinus akhoza kukhala ngati fungal mpira wosakhala wowopsya kapena matenda opatsirana omwe amatha kuwononga malo oyandikira. Mbalame yotchedwa fungal mpira ingapangitse pamene maselo akufa ndi zowonongeka kuchokera ku kutupa kapena kuvulala kuwonjezereka mu sinus ndi bowa zomwe zimapezeka mumlengalenga zimayamba kukula. Izi zingayambitse kupsa mtima ndi kutupa. Matenda opatsirana amtunduwu amapezeka kwambiri kwa anthu omwe ali ndi ziphuphu zolimbana ndi matenda. Mitundu ya bowa yomwe imapezeka imapezeka mlengalenga koma samafala thupi. Amatha kukula pamene chitetezo cha mthupi ndi chochepa kwambiri.
Zowopsa Zowopsa
Kukhala ndi tizilombo toyambitsa matenda kapena kuthamanga kwapachipatala kumatuluka pamwamba pa mndandanda wa zifukwa zoopsa za sinusitis. Mutha kukhala ovuta kwambiri ku mtundu uliwonse wa sinusitis ngati muli ndi zovuta zomwe zimalepheretsa kukhetsa madzi.
Matenda omwe ali ndi mphamvu yoteteza thupi kuthupi ndiyo yaikulu kwambiri kwa anthu omwe amachititsa kuti matendawa akhale oopsa kwambiri, komanso amachititsa kuti mitundu yosiyanasiyana ya matenda a tizilombo ndi mabakiteriya awonongeke. Mafayala amatha kuchitika chifukwa cha matenda a chibadwa (monga cystic fibrosis ), matenda (monga HIV / Edzi), kapena matenda omwe amakhudza ma antibody (monga multipleeloma ). Matenda a shuga angakhalenso chiwopsezo cha matenda a fungal sinus.
Matenda ena omwe angapangitse mwayi kuti munthu akhale ndi matenda a sinus ndi matenda a reflux a gastroesophageal (GERD) ndi omwe sali othetsera rhinitis .
Kudziwa
Matenda a sinus amapezeka chifukwa cha zizindikiro zanu ndi kuunika kwa thupi ndi wothandizira zaumoyo wanu. Palibe mayesero ena omwe amafunika kuti apeze matenda ovuta kapena ovuta a subacute sinus. Ngati mukuganiza kuti mukudwala matendawa, mukhoza kutumizidwa kuti muyesedwe. Ngati muli ndi sinusitis nthawi zonse, dokotala wanu akhoza kulamula X-rays kapena CT imaging kuti ayang'anire chomwe chimayambitsa. Kuyeza kwa microscopic ndi chikhalidwe cha aspirate kuchokera ku sinus kungathandize kuthandizira matenda opatsirana kapena okhudzidwa ndi mabakiteriya.
Pa milandu yoopsa ya sinusitis, makamaka omwe samayankha mankhwala ochiritsira, mukhoza kutumiziridwa ku katswiri wamakutu (throat-throat (ENT) kapena otolaryngologist .
Chithandizo
Matenda omwe amachititsa kuti munthu asatenge kachilombo ka HIV kapena matendawa amatha kudzisintha yekha masiku khumi kapena kuposerapo. Inu kapena mwana wanu mumangodalira chithandizo cha zizindikiro kuti mupereke chitonthozo ndi mpumulo. Mchere wa saline kapena, kwa akuluakulu, mchere wamchere wamchere , ukhoza kuthandizira kuchotsa ntchentche kuchokera m'magazi ndi ziphuphu. Mankhwalawa angathandizenso akuluakulu omwe ali ndi sinusitis omwe satha.
Chithandizo chachikulu cha matenda a bakiteriya sinus ndi mankhwala a antibiotic (masiku onse a 10 mpaka 14) (makamaka amoxicillin, amoxicillin-clavulanate, kapena doxycycline).
Chithandizo cha matenda a sinus nthawi zambiri chimaphatikizapo mankhwala a nasal spray. Panthawi ya kutupa kwakukulu, kugwiritsa ntchito mankhwala otchedwa steroids monga oral prednisone kwa masiku atatu kapena 10 nthawi zambiri amalimbikitsidwa. Mankhwala ena othandiza amaphatikizapo kupweteka kwambiri m'mimba. Mankhwala opha tizilombo angayambe kapena sangapangidwe malinga ndi matenda omwe amabakiteriya alipo. Ngati ndi choncho, mankhwalawa akhoza kupitirira masabata anayi kapena asanu ndi limodzi.
Anthu ena amafunika opaleshoni kuti athetse vuto lalikulu la matendawa, makamaka lovuta ndi mavuto a zomangamanga kapena mapepala a nasal . Kuchitidwa opaleshoni kungaperekedwe ku matenda opatsirana a fungal.
Mawu Ochokera
Ngakhale matenda a sinus angawoneke ngati aang'ono kwa ena, zingakhale zofooketsa pamene muli nazo, nthawi zambiri zimakulepheretsani kuchoka pa chilichonse koma vuto lomwe limayambitsa. Kumbukirani kuti mpumulo umakhala masiku ambiri. Pamene mukudikirira, kutenganso kupweteka kwa makompyuta, kumwa madzi ambiri, kupeza mpumulo wochuluka, kugwiritsa ntchito pulogalamu yokonza, komanso kugwiritsa ntchito compress yofewa pamaso panu kungathandize. Ndipo ngati zizindikiro zanu zikupitirira kwa masiku opitirira khumi, onetsetsani kuti mukuyankhula ndi adokotala kachiwiri.
> Zotsatira:
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