Mitundu yambiri yamtunduwu ndi kukula komwe kumabwera chifukwa cha chimfine chomwe chimatuluka m'magazi ndi m'magazi. Amatha kutsegula pamphuno, ngakhale mpaka kummero ndipo amalepheretsa mazenera.
Mankhwalawa amadziwika ndi matenda ena aakulu ndipo amatha kukhala nthawi yaitali. Iwo akhoza kubwerera ngakhale atalandira chithandizo chamankhwala kapena kuchotsedwa opaleshoni.
Matenda Ogwirizana ndi Nasal Polyps
Mankhwalawa amatha kuchitika pamodzi ndi matenda ena ambiri a kupuma, monga odwala matenda a rhinitis , aakulu a sinusitis (chifukwa cha matenda opatsirana ndi mabakiteriya), mphumu , ndi aspirin . Zikuwoneka kuti nsomba za nasal zimakhala zofala kwambiri kwa anthu omwe sali odzola rhinitis komanso osagwirizana ndi asthma, m'malo mosiyana ndi mitundu yonse ya izi.
Mankhwalawa amatha kukhala chizindikiro cha matenda a immunodeficiency. Mwachitsanzo, ana amphongo amatha kukhala chizindikiro cha cystic fibrosis. Matenda ena, monga matenda oyambirira a ciliary dyskinesia, matenda a Churg-Strauss, kuchepa kwa IgA, ndi mavitamini omwe amatha kusintha kwambiri (CVID), amatha kugwiritsidwa ntchito ndi nsonga zamadzimadzi.
Zonsezi, nsomba zam'madzi zimakhala zosawerengeka, zikuchitika pafupifupi 4 peresenti ya anthu. Komabe, chiwerengero ichi n'chokwanira kwambiri kwa anthu omwe ali ndi matenda ena, monga omwe adatchulidwa pamwambapa.
Zizindikiro ndi Zizindikiro za Zambiri Zam'madzi
Ambiri mwa anthu omwe ali ndi mapepala am'mimba amatha kusokonezeka ndi mitsempha, yomwe ingakhale yovuta, yomwe siimathandizidwa ndi mankhwala omwe amachititsa kuti asatengeke.
Zizindikiro zina zowonjezera ndizo:
- Mphuno yothamanga yokhala ndi zofiira kapena zofiira
- Kutaya kapena kuchepa kwa kununkhiza ndi kulawa
- Mutu
- Kupweteka kwa sinus
Komabe, kupweteka kwa nkhope kumakhala kofala kwambiri kwa anthu omwe ali ndi sinusitis osakanikirana poyerekeza ndi omwe ali ndi nsonga zamphongo.
Munthu yemwe ali ndi mapuloteni amphamvu amatha kuwona mapuloteni m'mphuno mwawo omwe amawoneka ngati ziphuphu za Jello-O.
Zakale zamkati zamkati zimatha kukulitsa mlatho wamphuno, zomwe zingapangitse maso kukhala akulekanitsa.
Kodi Nthendayi Zimadziwika Bwanji?
Nthaŵi zina, dokotala akhoza kupanga chingwe cha minofu pofufuza mavesi amkati. Izi zingaphatikizepo kumapeto kwa nasal, yomwe imaphatikizapo kuyiika kamera pamphuno kuti muyang'ane bwino ndime zamkati. Komabe, kaŵirikaŵiri, CT ("cat scan") yamachimo amafunika kuti adziwe.
Popeza kuti matenda ena amapezeka nthawi zambiri pamene munthu ali ndi mapepala am'mimba, mayesero ena opatsirana angayambe kuchitidwa.
Kodi Nsomba Zamtundu Wambiri Zimatha Bwanji?
Mankhwalawa amatha kuchiritsidwa ndi mankhwala opaleshoni ndi opaleshoni. Pa milandu yovuta, opaleshoni ya sinus nthawi zambiri imafunika kuchotsa nsonga zamphongo ndi matenda alionse omwe amatsatira. Komabe, popeza mankhwala amkati amatha kubwerera m'mbuyo mwa osachepera atatu mwa odwala, kugwiritsa ntchito mopaleshoni kumafunika kupeŵa.
Thandizo labwino la mankhwala a nasal nthawi zambiri limaphatikizapo kugwiritsa ntchito mankhwala opaleshoni ochiritsidwa ndi mankhwala ochiritsira, chifukwa njirayi imathandizira kuchepetsa mwayi woti mapuloteniwo abwererenso.
- Nasal Steroid Sprays ndi Madontho
Mapuloteni otchedwa sopal nasal steroid , monga Flonase (fluticasone propionate) ndi Nasonex (mometasone furoate), amathandiza kuchepetsa kukula kwa nsalu zamkati ndi kupewa mapuloteni kuti asabwerere atatha opaleshoni. Madokotala ena amagwiritsa ntchito madontho a nasal steroid, m'malo mopopera mankhwala, kuti apindule bwino m'magawo amtundu ndikufika pamphuno yamphongo.
- Corticosteroids
Ma oral corticosteroids , monga prednisone, amatha kuchepetsa kukula kwa nsonga zamphongo ndipo amathandiza anthu omwe ali ndi zizindikiro zoopsa. Pambuyo pa kanthawi kochepa ka corticosteroids (pafupi masabata 1 mpaka 2), komabe, mankhwala opatsirana amtundu wa nasal steroid amatha kuteteza zizindikiro bwino ndikulepheretsa kuti mapepala apitirize kukula.
Nthawi zina, monga ngati fungal sinusitis ndi chifukwa cha minofu yamphongo, mlingo wochepa wa oral corticosteroids ungafunikire kwa masabata kwa miyezi itatha opaleshoni pofuna kuteteza mapuloteni kuti asabwerere.
- Mankhwala a Antileukotriene
Mankhwala a oral antileukotriene, monga Singulair (montelukast), ndi opindulitsa kwambiri kwa anthu omwe ali ndi mapuloteni - makamaka omwe ali ndi aspirin. Anthu omwe ali ndi aspirin amadziwika kuti ali ndi ma leukotriene ambiri , kotero mankhwala omwe amaletsa mankhwalawa athandizidwe kuchepetsa zizindikiro za matenda aakulu a sinus ndi mapangidwe apamwamba.
- Mchere Wothirira Mchere wa Nasal
Mchere wothirira mchere ukhoza kukhala wothandiza makamaka kwa anthu omwe ali ndi matenda a nasal komanso matenda aakulu a sinus. Izi ndi zowona makamaka kwa iwo omwe adakhala opaleshoni ya sinus, monga saline ikhoza kuthetseratu sinus osati mazenera okha.
- Zotsatira Zozizira
Ambiri amatsenga angagwiritse ntchito zida zowonongeka pofuna kuyesa kapena kuteteza mapewa am'mimba kuti asabwerere atatha opaleshoni. Deta yabwino kwambiri yogwiritsira ntchito zizindikiro zowonongeka ndi omwe ali ndi matenda oopsa a fungal sinusitis; Kuwombera mankhwala kungakhale kothandiza kwa iwo omwe ali ndi mapepala amphongo ndi umboni wa zovuta zomwe zimayambitsa matenda.
Zotsatira:
> Bachert C, van Cauwenberge P. Nasal Polyps ndi Sinusitis. Mu: Adkinson NF, Yunginger JW, Busse WW, ndi al, eds. Zochitika Zosagwirizana ndi Zochitika Zakale za Middleton, Machitidwe ndi Zochita. 6th ed. Philadelphia: Mosby; 2003: 1421-36.
> Pawankar R. Nasal Polyposis: Zosintha. Makondomu Opin Odwala Clinic Immunol. 2003; 3 (1): 1-6.
> Kupukuta GK. Kufanizitsa Chithandizo cha Zamankhwala ndi Opaleshoni cha Nasal Polyposis. Zochitika Zamakono Zamakono ndi Zolemba za Asayansi. 2002; 2: 494-9.