Kupezeka kwa matenda a sinus (sinusitis) kawirikawiri kumayambira pa zizindikiro zanu ndi kuunika kwa thupi. Ngati zizindikiro zikupitirira ndipo zisathetsedwe ndi mankhwala, X-rays kapena CT scan akhoza kuchitidwa. Nthawi zina mawonedwe owonetseratu ndi zochepa za endoscope zidzachitidwa ndipo fanizo lingatengedwe kuti liwoneke ndi chikhalidwe . Ngakhale kuti palibe matenda onse a uchimo amafunika chithandizo, kudziwitsa mankhwala oyambirira ndi kuyamba, ngati n'koyenera-sikungakuthandizeni kuti mukhale bwinoko msanga, koma zingateteze kuti matenda asapitirire.
Odzifufuza okha
Matenda ambiri a sinus amayamba ndi matenda a tizilombo monga chimfine . Chifukwa dokotala wanu akufuna kupewa kukupatsani mankhwala opha tizilombo mosafunikira (amangogwiritsira ntchito mabakiteriya sinusitis, osati tizilombo toyambitsa matenda), zimalangizidwa kuti mudikire ndikuwona ngati zizindikiro zanu zikukhala bwino pakapita masiku ochepa chisanachitike chithandizo.
Pamene mukudikira, dziwani pamene zizindikiro zanu zayamba ndi momwe iwo apitira patsogolo. Dziwani izi zidzakuthandizani dokotala ngati mutha kukafufuza.
Kaya ndi ana, ana, kapena akulu, chimfine chiyenera kukhala bwino pakatha sabata. Vutoli limaphatikizapo ziphuphu ndipo zimatulutsa mpweya wosasuntha, kuthamanga kwa sinus, ndi madzi osambira kwa masiku asanu ndi awiri. Panthawi imeneyo, matenda opatsirana pogonana ayenera kusonyeza kusintha.
Komabe, ngati zakhala masiku khumi ndipo zizindikiro sizikuyenda bwino kapena zimakhala bwino, koma zimakhala zoipitsa (zomwe zimatchedwa kudwala kawiri) -kutheka kwa matenda a bacterial sinus.
Zizindikiro zina zikuphatikizapo kupitiriza kapena kutentha thupi; ululu waukulu wa sinus, makamaka pa mbali imodzi yokha; ndi kutulutsa kutuluka kwa mimba, makamaka mbali imodzi. Izi ziyenera kukulimbikitsani kuti muitane ndi dokotala kuti mupite kukonzekera kukayezetsa magazi.
Ngati nthawi iliyonse mumakhala ndi zizindikiro zoopsa, kuphatikizapo kusintha kwa masomphenya anu, kutupa m'maso kapena pamphumi, mutu waukulu, kapena chisokonezo, muyenera kuonana ndi dokotala mwamsanga.
Izi ndi zizindikiro zazikulu kuti matenda a bacterial sinus akufalikira.
Kufufuza
Matenda a sinus akhoza kupezedwa ndi kuwachiritsidwa ndi dokotala wanu wa ana kapena wothandizira. Kawirikawiri, matenda a sinus amapezeka pokhapokha pa zizindikiro za wodwalayo ndi kuyezetsa kuchipatala.
Onetsetsani kuti mumagawana zonse zomwe mwatenga: Pamene matenda anu adayamba, ndi zizindikiro ziti zomwe mwakhala mukukumana nazo, ndipo ngati mwakhalapo kale ndi matenda, pamene adachitika ndi nthawi yayitali kuti athetse. Kukhala ndi matenda anayi kapena ochulukirapo m'chaka kudzatsogolera dokotala kuyang'ana zinthu zomwe zikupangitsa kuti mukhale ndi chiopsezo. Gawani chilichonse chomwe chikudziwika bwino , kuphatikizapo mbiri ya matenda, chifuwa cha mphumu, ndi zinthu zilizonse zomwe zingachepetse chitetezo chanu cha mthupi.
Mayeso enieniwo adzaphatikizapo kufufuza mkati mwa mphuno yanu ndi speculum ndi flashlight. Dokotala wanu adzazindikira komwe mumamva kupweteka kapena kukoma mtima monga momwe izi zingakhozere kuti ndizo ziti zomwe zimakhudzidwa. Dokotala wanu adzafunanso purulent ngalande m'mphuno ndi mmero. Kuyang'ana m'mphuno kungathandize kudziwa ngati pali thupi linalake, sevisi yopotoka, minofu yamphongo, zotupa, kapena nosebleed.
Mapulogalamu ndi Mayesero
Dokotala wanu angasankhe kuyesa mayesero ena, koma izi sizichitika nthawi zonse.
Izi ziphatikizapo:
- Chikhalidwe cha mchere wamadzi omwe amasonkhanitsidwa kudzera mu swab ya mphuno kapena sinus
- Mayeso a magazi (mlingo wa erythrocyte sedimentation, CBC, P-proactive protein)
- Kuyezetsa magazi, makamaka matenda aakulu a sinus kapena kubwereza matenda a sinus
Kujambula ndi Ndondomeko
Kujambula kawirikawiri sikunayende panthawi ya sinusitis yovuta. Amagwiritsiridwa ntchito kwambiri kwa sinusitis yosatha kapena sinusitis nthawi zonse kuti ayang'ane zowonongeka. Zingathenso kuchita ngati muli ndi zizindikiro zoopsa zomwe zimatanthawuza kuti matendawa akhoza kufalikira.
Zithunzi za X-ray sinus zikhoza kuchitidwa kuti zizindikire zamadzimadzi m'matumbo ndi m'masamba.
Koyesedwa kwa CT kumapereka chithunzi chokwanira cha machimowa ndipo tsopano akusankhidwa. Mankhwalawa sagwiritsidwa ntchito mobwerezabwereza chifukwa samasiyanitsa mpweya ndi fupa.
Nthaŵi zina, dokotala adzachita rhinoscopy (nasal endoscopy) kuti ayang'ane ndime zamkati. Mutha kutumizidwa kwa katswiri wa ENT mwa njirayi. Endoscope yamphuno ndi chubu lochepa kwambiri lomwe limalowetsedwa m'mphuno mwako kuti liwone ndime zanu zamkati ndi machimo. Ili ndi chingwe chowala, chachitsulo, ndi lens loyang'ana. Zikhoza kumangidwira kamera ya kanema kotero dokotala akhoza kuona zithunzi pawindo ndikulemba mayeso.
Kuti mumve bwino mukamapanga mpweya, mumapatsidwa mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo komanso kupopera mankhwala amkati kuti muswe mphuno. Kuyezetsa uku kungagwiritsidwe ntchito poyang'ana zothandizira zamkati, nsalu yotayika, turbineti, zotupa, ndi pus. Ikhoza kugwiritsidwanso ntchito kuchotsa minofu kuti adokotala akhoze kufufuza matenda a bakiteriya kapena fungal.
Dokotala wanu angayesetse kudziwa bwino zamoyo zomwe zimayambitsa matenda a sinus, makamaka ngati matenda omwe samayankha maantibayotiki kapena akufalitsa. Chitsanzochi chimapezeka pogwiritsa ntchito mankhwala osokoneza bongo omwe amapezeka m'magazi. Khungu la sinus limachitidwa potaya malo opuma (nthawi zambiri pansi pa mphuno kapena mkati mwa pakamwa), kuika singano, ndi kuchotsa aspirate.
Kusanthula Kusiyanasiyana
Dokotala wanu adzayamba kufuna kusiyanitsa pakati pa zoopsa zowonongeka, mavairasi, mabakiteriya, kapena zizindikiro za zizindikiro za matenda a sinus. Mankhwalawa amatha kukhala ndi mchere wamtundu wambiri m'malo mofiira, obiriwira kapena obiriwira omwe amawoneka mu bacteria kapena fungal sinusitis. Dokotala akhoza kukulozerani chifukwa cha kuyesedwa koyambitsa matenda ngati akukuyikira. Ngati muli ndi ululu wa nkhope ndi mutu, gwero likhoza kukhala migraine osati sinusitis. Palinso milandu, makamaka kwa ana, ya thupi lachilendo limakanikiza mphuno zomwe zimayambitsa kutupa.
Nthawi yodikira asanayambe kuchiza mankhwala opha tizilombo amathandiza dokotala kuti awonetse kuti sagonjetsa mankhwala opha tizilombo, omwe sangathandize kuthetsa matenda a tizilombo, matenda oopsa, kapena zina zotha kupweteka, ndipo zingayambitse kukana.
Ngati zizindikirozo zikupitirira kwa masiku opitirira khumi ndipo ngati akuyezetsa akuwonetsa zizindikiro za kukhudza thupi, kapena ngati muli ndi malungo, dokotala angapereke mankhwala opha tizilombo poganiza kuti ndi bacterial sinusitis.
Acute sinusitis idzatuluka ndi masabata anayi. Mukadakhala ndi zizindikiro kwa masabata khumi ndi 12 zidzatchedwa matenda aakulu. Izi zikhoza kukhala chifukwa cha zifukwa zomwe zimayambitsa matendawa, kutentha kwa fungal sinusitis, fungal sinusitis, mitsempha yamphongo, zilonda zamanyazi zakupha kapena zonunkhira zoipa, zotupa za turbinates, kapena septum yopotoka.
> Zotsatira:
> Acute Sinusitis. Chipatala cha Mayo. http://www.mayoclinic.org/diseases-conditions/acute-sinusitis/basics/definition/con-20020609.
> Radojicic C. Sinusitis. Clinical Cleveland. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/.
> Sinusitis. MedlinePlus. http://www.nlm.nih.gov/medlineplus/ency/article/000647.htm.
> Sudan, Nayak JV. Nthenda yotchedwa Endoscopy. American Rhinologic Society. http://care.american-rhinologic.org/nasal_endoscopy.