Iipolisi ze-soal zikhulayo ezibangelwa yimimbrane evulekileyo kwi-sinus nakwiindinyana zamanzi. Bangakwazi ukunweba ekuvulekeni kwamakha, okanye nakwehla kummandla wengqumbo kwaye banokubamba iindinyana zomlomo.
Izilwanyana ezinamaxesha amaninzi zihlala zihlobene nezinye izifo ezingapheliyo kwaye zihlala zihlala ixesha elide. Baya kukhula kwakhona emva kokunyanga kwonyango okanye ukususwa kocwangco.
Izifo ezinxulumene neNasal Polyps
Iiplasps ze-nasal ziyakwenzeka kunye nezinye izifo zokuphefumula, ezifana ne -allergenic rhinitis , i-sinusitis engapheliyo (ngenxa yokusuleleka kwe-bacterial and fungal), i- asthma , ne- aspirin . Kubonakala ukuba iifolps zamanzi ziqhelekile kubantu abane -rhinitis engeyona ingxaki kunye ne-asthma engeyona i-allergic, kunokuba iindidi zezilwanyana zolu hlobo.
Iipolisi ze-nasal nazo zingabonakalisa izifo zokuzikhusela i-immunodeficiency. Ngokomzekelo, ama-polyp nasal kubantwana banokuba ngumqondiso we-cystic fibrosis. Ezinye izidalwa ezingekho emzimbeni, ezinjenge-primary ciliary dyskinesia, i-Churg-Strauss, i-IgA yokuntuleka, kunye nokuxhaphaka kwe- immunodeficiency (CVID) eqhelekileyo, inokudityaniswa ne-polyp nasps.
Ngokubanzi, ii-polyps zamanqabzana aziqabile, zivela kwi-4% kuphela yabantu. Nangona kunjalo, eli nani liphezulu kakhulu kubantu abanezinye izifo, njengalezo zibhalwe ngasentla.
Iimpawu kunye neempawu zeNetal Polyps
Uninzi lwabantu abanama-polyp nasal luya kufumana ukudibanisa kwamanzi, okunokuba lunzima, olungenakuncedwa ngamachiza aqhelekileyo.
Ezinye iimpawu eziqhelekileyo ziquka:
- Iphunga le-Runny nge-mucus ecacileyo okanye enemibala
- Ukulahleka okanye ukuphungula umgangatho wokunuka kunye nokunambitha
- Intloko
- Uxinzelelo lweSinus
Nangona kunjalo, intlungu ebusweni ixhaphake kakhulu kubantu abane-sinusitis engapheliyo.
Umntu onamaqabunga amaninzi angamazinyo angakwazi ukubona ama-polyps emaqanda awo akhangeleka njengeziqhamo ze-Jello-O ecacileyo.
Iipolisi zamanzi ezide zide zikhokelela ekukhuliseni ibhuloho yangasese, ezinokubangela ukuba amehlo abonakale esecaleni.
I-Nasal Polyps ifunyenwe njani?
Kwezinye iimeko, ugqirha unokwenza i-polyal diagnostic diagnostic ngokuhlola iindinyana zomntu. Oku kungabandakanya i-endoscopy yamaspala, equka ukubeka ikhamera encinci kwimpumlo ukuze ibukeke bhetele kwiindinyana zomlomo. Ngokuqhelekileyo, nangona kunjalo, i-CT ("i-scan scan") yezidakamizwa iyadingeka ukuze ixilongwe.
Ekubeni ezinye izifo zihlala zikhona xa umntu enama-polyps e-nasal, iimvavanyo ezingakumbi zonyango zifuna ukuba zenziwe.
I-Nasal Polyps ithathwa njani?
Iipolisi zeplastiki zingaphathwa ngonyango oluphangaleleyo kunye nonyango. Kwiimeko ezinzima, utyando lwe-sinus luvame ukufuneka ukuba ususe iipolps zamanzi kunye naluphi na isifo sesifo esilandelayo . Nangona kunjalo, ekubeni i-polyps yamanzi ikhula ngokuphindaphindiweyo kwisigidi sesithathu sezigulane, ukusetyenziswa kakubi kokuhlinzwa kufuneka kugwenywe.
Unyango olungcono kakhulu lweengqungquthela ze-nasp ngokuqhelekileyo lubandakanya ukusetyenziswa kwezonyango zokugqithwa ezilandelwa yonyango lwezonyango, njengoko le ndlela inceda ukunciphisa ithuba lokuba iipolps ziyakhula.
- I-Nasal Steroid Sprays kunye ne-Drops
Iiprostical nasal steroid sprays , ezifana neFlonase (fluticasone propionate) kunye ne-Nasonex (i-mometasone furoate), inokunceda ukunciphisa ubukhulu beeplasps zangasese kunye nokuthintela iipolisi ukuba zikhule emva kokuhlinzwa. Abanye oogqirha basebenzisa ama-drop nasal steroid, kunokuba bahlasele, ukwenzela ukuba baphumelele bangene kumanqanaba omdaka baze bafinyelele ama-polyp nasal.
- Corticosteroids
I- corticosteroids yomlomo, efana ne-prednisone, inokukhawuleza ukunciphisa ubungakanani be-polyps yangasese kwaye incedo kubantu abaneempawu ezinzima. Emva kwesikhosi esifutshane se-corticosteroids (malunga neveki ezi-1 ukuya kwezi-2), nangona kunjalo, iiproysi ze-nasal steroid zitshatyalaliswa zikwazi ukulawula iimpawu ezingcono kunye nokuthintela iipolisi ukuba zingakhudlwana.
Kwezinye iimeko, njenge -sinusitis ye-fungal yimbangela ye-polyps yamanzi, i-corticosteroids yomlomo ophantsi i-oral corticosteroids ingafuneka kwiiveki emva kweenyanga emva kokuhlinzwa ukwenzela ukukhusela iipolisi ukuba zingakhuli.
- Antileukotriene Medication
Amachiza e-antileukotriene yomlomo, njenge-Singulair (i-montelukast), ayanceda ngokwenene kubantu abaneengqungquthela zamanzi - ngakumbi abo abane-aspirin. Abantu abane-aspirin allergies bayaziwa ukuba banamanqanaba aphezulu e- leukotrienes , ngoko ke unyango olunqanda le michiza kufuneka luncede ukunciphisa iimpawu zesifo esingapheliyo nesifo se-polyp.
- I-Nasal Saline Irrigation
Ukunkcenkceshela kokunkcenkceshela kunokuba luncedo ngakumbi kubantu abaneengxaki ze-nasp and infections sinus. Oku kuyinyani ngokukhethekileyo kulabo ababenokuhlinzwa, njengokuba i-saline iyakususa ii sinus kwaye kungekhona nje iindinyana zomzimba.
- Allergy Shots
Uninzi lwe-allergists lunokusebenzisa izibhengezo zokungabikho komzimba kwizame zokunyanga okanye ukuthintela iipolisi zamanzi ukuba zingabuyi emva kokuhlinzwa. Idatha engcono kakhulu yokusetyenziswa kwezibhengezo zokungabikho komzimba kulabo abanesifo sengqondo esinesisindo; ukukhwabanisa kwamanzi kungabonakala kuncedo kulabo abaneengqungquthela zamanzi kunye nobungqina obunzima bokubangela izifo.
Imithombo:
> Bachert C, van Cauwenberge P. Nasal Polyps kunye neSinusitis. Ku: Adkinson NF, Yunginger JW, Busse WW, et al, eds. I-Middleton's Allergy, Imigaqo kunye nokuSebenza. 6th. Philadelphia: Mosby; 2003: 1421-36.
> Pawankar R. Nasal Polyposis: Isibuyekezo. I-Curr Opin Allergy Clinic Immunol. 2003; 3 (1): 1-6.
> Ukwahluleka kweGK. Uthelekiso lwezoNyango kunye noPhepha loPhephelo lweNasal Polyposis. Iingxelo zeNtsholongwane kunye neengxelo ze-Asthma. 2002; 2: 494-9.