I-Nasal Sinus Surgery Inkcazo
Kwaziwa nangokuthi : ukuvuza kwe-cerebrospinal fluid (CSF)
I-cerebrospinal fluid (CSF) i-rhinorrhea yigama lezonyango kwiimeko ezingaqhelekanga apho umkhuhlane ovame ukukhupha ubuchopho kunye nomgudu womgudu, umgca wecerebrospinal, uvela kwimpumlo. Ukuze kwenzeke le ndlela engafanelekanga phakathi kwendawo engaphantsi kwendawo yengqondo kunye neengxowa zamaspala / i-sinus.
Esi sikhala esingavamile singabangelwa ngu:
- isifo sesono esiswini
- ezinye iziphoso zokuzalwa
- i-obnetive obstructive sleep apnea ebangela ukunyuka kwexinzelelo lwe-intracranial (ICP)
- ukuxhatshazwa kwintloko kunye nobuso obangela ukuphazamiseka kwe-naso-orbito-ethmoid kunye nomonakalo kwi-cribriform plate (inxalenye ye-lobe yangaphambili eyenza "uphahla" lwesono)
Ingxaki ekhoyo ye-CSF i-rhinorrhea ayiyazi kodwa ezinye izifundo zicebise ukuba izinga le-CSF ye-rhinorrhea ingxaki evela kwi-sinus ukuhlinzwa ngu-0.5%. Ngombulelo, ukususela ekuphunyezweni kwemithetho yebhanti yokuhlala, iziganeko ze-CSF i-rhinorrhea ebangelwa ukuxhwalaleka iye yanqabana.
Iimpawu ze-CSF iRhinorrhea
I-Rhinorrhea (impumlo ye-runny) ecacileyo kwaye amanzi ayenokuba ngumqondiso wokuqala we-cerebrospinal fluhyrrhea. Ezinye iimpawu kunye neempawu zingabandakanya:
- intloko
- umjelo wamanzi ngomnwa okanye ngesinki
- Umjelo ukwanda xa ugxila phambili kunye nentloko
- ukungabikho kovumba (asemia)
- ukudibanisa kwamanzi
Kubalulekile ukuqaphela ukuba ezi zimpawu zenzeka kwezinye ezininzi, eziqhelekileyo, kwaye zifanele zihlolwe yi- otolaryngologist (indlebe, impumlo, ingcali yomlomo okanye i-ENT). Nangona kunjalo ukuba unempawu ezibalwe apha ngasentla, akufanele ulibazise uvavanyo kuba i-CSF i-rhinorrhea ingakhokelela kwiimeko ezinzima.
Yintoni ongayenza xa Usola u-Cerebrospinal Fluid Rhinorrhea
Ukuba unayo impawu echazwe ngasentla, kufuneka ufune ukuvavanywa ngu-otolaryngologist. Ukuba utyunjelwe, kufuneka uhambe kumgqirha owenza inkqubo yakho. Nangona kunjalo, ukuba awuzange ube nokuhlinzwa kweyasus, kufuneka ufumane nayiphi na isicatshulwa se-CT okanye ezinye iifoto ze-radiographic zakho ezenzekayo ngaphambili kwaye uzifake kwi-ENT ingcali yokuvavanya.
Ngethuba lo kuqeshwa unokucelwa ukuba wenze uvavanyo lweNtsholongwane yokuShawula ukujonga ukuba kukho i-odfactory (smell) ukungasebenzi. Olu vavanyo lufanele lwenziwe ngaphambi kokuba nayiphi na unyango ukuze kuqinisekiswe umsebenzi ophantsi. Ugqirha wakho angenza i- endoscopy , oku kuquka ugqirha usebenzisa ikhamera encinane ukujonga ngeso nasiphi na into engafanelekanga kwi-platebriform plate. Olunye uvavanyo olunokuyalelwa ngugqirha wakho lubandakanya:
- CT scan
- MRI
- I-B-2 transfrin test (uvavanyo lwebhubhoratri kumanzi wamanzi)
- I-radioactive ipledget ukuskena
- Intrathecal fluorescein
Izinyango zokwelapha kwi-Cerebrospinal Fluid Rhinorrhea
Ukuba une-cerebrospinal fluid rhinorrhea kubalulekile ukuba ufumane unyango olufanelekileyo ukukhusela i-meningitis okanye i-pneumocephalus (umoya emoyeni).
Ukunyanga i-cerebrospinal fluid rhinorrhea, kuya kufuneka ukuba utyando. Uhlobo lotyando olufunekayo luya kuxhomekeka kwisizathu sesimo sakho (ukuhlinzwa, ukuxhwalalisa, ukuphalaza kwe-apnea ...). Inqanaba lokuphumelela ngophulophu lilungile, nangona kunjalo iingxaki ezinokuthi zenzeke nayiphi na inkqubo yokucoca, ingakumbi ezo zibandakanya i- anesthesia jikelele . Kufuneka uxubushe umngcipheko kunye nezibonelelo zokuba utyando kunye nodokotela wakho kwaye ulandele nayiphi na imiyalelo abakunike yona ngokuphathelele ukutya ukutya ngosuku nosuku lokuhlinzwa kwakho kunye nayiphi na imiyalelo malunga nendlela omele uzinake ngayo emva kwenkqubo.
Nangona i-cerebrospinal fluid ye-rhinorrhea yimeko engavumelekanga, iingxaki (umzekelo, i-meningitis) ingaba yinto enzulu kwaye akufanele ithathwe ngokulula.
Imithombo:
Goldenberg, D. & Goldstein, BJ (2011). I-Handbook ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Isixeko saseNew York, i-NY: Thieme Medical Publishers, Inc.
Kuzniar, TJ, Gruber, B. & Gokhan, MM (2005). I-Cerebrospinal Fluid Leak nge-Meningitis ehlangene neNalal Continuous Positive Impression Airway Press. Esifubeni. Kufumaneka: Matshi 11, 2012 ukusuka http://journal.publications.chestnet.org/article.aspx?articleid=1083773