I-Rhinosinusitis yintlupheko eqhelekileyo ehambelana nokuvuvukala kweendinyana zakho zomzimba kunye nezicathulo zesono. Malunga no-1 kwabangama-8 abantu abanama-rhino sinusitis minyaka yonke, ngoko kuya kwenzeka ukuba ube nakho oku; ngokukodwa ukuba unayo nayiphi na ingozi yemeko ebandakanya: ukutshaya, ukuguga, ukuhamba ngomoya okanye ezinye izinto ezitshintsha uxinzelelo lomoya (njenge-scuba diving), ukubhukuda, i-asthma, i-allergies, iingxaki zezinyo, okanye i-immune system.
Uninzi lweziganeko ze-rhinosinusitis zibangelwa ukugula okanye unyango. I-Rhinosinusitis ihlukaniswe kwiindidi ezi-4 kuxhomekeke kwithuba elide ixesha lokugula kugcina.
- i-rhiniosinusitis ephawulekayo - iimpawu ezidlulileyo zingaphantsi kweeveki ezine
- ukuxhathisa i-rhinosinusitis - iimpawu ezidlulileyo phakathi kweeveki ezi-4 ne-12
- i-rhinosinusitis engapheliyo-iimpawu zingaphelanga ngaphezu kweveki ezili-12
- i-rhinosinusitis ephindaphindiweyo-iziqhelo eziqhelekileyo ze-rhinino sinusitis kunyaka wonke (iziganeko ezine okanye ngaphezulu ngonyaka)
I-sinusitis eqhelekileyo isoloko iyenzeka emva kokuba ugula ngentsholongwane ebandayo okanye intsholongwane ephezulu yokuphefumula. I-sinusitis engapheliyo ngesinye isandla isoloko ibangelwa yintlungu okanye i-fungus.
Iimpawu zeRhinosinusitis
Iimpawu ze-rhinosinusitis zifana naluphi na ixesha okanye isizathu. Izimpawu eziqhelekileyo ziquka:
- Umsele wamanzi - kuquka neempumlo ze-pitny kunye ne- post-nasal drip
- ukudibanisa kwamanzi
- intlungu, uxinzelelo, okanye ukuvakalelwa kwiphepheni, amehlo, okanye iindlebe
- iintlanzi
- ukuphuka kwento yokunuka
- intloko
- halitosis (umoya ombi)
Ngenxa yokuba kungekhona zonke iimpawu ezivakalelwa ngathi zinamazinyo okanye i-sinus, unokuqala ngezinye iinkcukacha kwi-dentist okanye i-optometrist (ugqirha weziliso) kwaye kamva uhanjiswe kwi-otolaryngologist (ugqirha onguchwepheshe kwiindlebe, impumlo, nomqala). Abantwana nabo baya kuba nekhwehlo, ngelixa abantu abadala bengasayi kuba nekhwehlo ehlobene ne-rhinosinusitis, ngaphandle kokuba ukukhwehlela kuhambelana nenye yezinto ezibangela.
Ukuchonga iRhinosinusitis
Ugqirha wakho akayi kuyenza nayiphi na imvavanyo ngaphaya kovavanyo lwabo jikelele kwi-rhinosinusitis. Oku kudla ukufunyaniswa ngokusekelwe kwimbali yeempawu zakho kunye neziphumo zokuhlola umzimba. Noko ke ukuba ugqirha ugxeka intsholongwane, baya kuthi bathumele inkcubeko kwaye mhlawumbi bahlalise i-CT scan ukuze bancede bafumane ubungakanani bentsholongwane kwaye bancedise ukukhetha kwabo amayeza. I-specimen eqokelelwe kwi-sinus ingcono kune-swab yangasese okanye ukuqokelela amanzi. Ukuba ugqirha wakho akanako ukufikelela kwiimfuno ezifunekayo ukuqokelela i-specimen kwiimonsi zakho, mhlawumbi uzothumela i-swab yangasese okanye i-sample ye drainage ye-drain ebhodini.
Ukuba ugqirha wakho ukholelwa ukuba i-rhinosinusitis yakho inxulumene nokugula, mhlawumbi uya kuhanjiswa kumntu ongu-allerger ukuze uphonononge ngokuthe tye. Ukuze ufumane ukukhululeka okukhulu, kuya kufuneka ufune ukuphepha izifo ezibangele iimpawu zakho.
Unyango lweRhinosinusitis
Ukwelashwa kwe-rhinosinusitis kuyahluka, kwaye ngokuqhelekileyo kusekelwe kwisithuba kunye nobukhulu beempawu. Ukuba uvavanyo lwakho logqirha lubonisa ukuba isifo sisifo se-bacterial, i-antibiotics iya ku miselwa. I-antibiotics ayiyi kunikwa izifo ezibangelwa ziintsholongwane, kuba i-antibiotics ayiyi kuba nantoni na into kulezi zifo.
Uninzi lweempawu ezinxulumene ne-rhinosinusitis zinokulawulwa kusetyenziswa ukuxilwa kweentlungu ezingaphezulu kwe-counter, (ezifana ne-acetaminophen okanye ibuprofen), i-decongestants (njengepseudoephedrine), ukunkcenkceshela kwamanzi okanye i -steroids ye-topical . I-rhinosinusitis ye-allergen ivame ukuphathwa ngama-antihistamines afana noClaritin , iZyrtec , okanye i- Allegra .
I-decongestants yama-nasal asetyenziswa ngokuqhelekileyo ekuncedeni ukunciphisa ukuvuvukala kwimihlathi yakho. Ekubeni ama-decongestants amaninzi ayifumaneka ngaphezu kwe-counter-common-to-counter ayinto eqhelekileyo ekuziphatheni ngamachiza phambi kokubona ugqirha. Kufuneka kuqatshelwe ukuba xa kusetshenziselwa kakubi i-decongestants yomzimba, njengesi-Afrin (oxymetazoline), kunokukhokelela kwimeko ebizwa ngokuba yinkcenkceshela yokuhlaselwa okanye umlutha we-spray.
I-sinusitis engapheliyo iboniswe ukuba i-self-diagnostic incorrectly by many people who mistakenly believe that they are suffering from the seasonal and use therapy over-the-counter medication to treat their symptoms, (olunye uphando lubonisa ukuba yinyaniso kwi-50% ye-sinusitis engapheliyo matyala). Ngenxa yesi sizathu, nokuba ucinga ukuba uyazi oko kubangela iimpawu zakho, kuhlale kuluvo oluhle lokuvavanywa ngumqeqeshi wezempilo.
I-rhinosinusitis engabonakaliyo ingaphazamisa umgangatho wobomi kwaye iholele kwezinye iimeko ezifana ne- polyp nasal , ukukhula kweethambo ezingaqhelekanga kwiimonsi okanye ku-apnea yokulala. I-Rhinosinusitis - Iimpawu, Ukuxilongwa nokuPhathwa
> Imithombo:
> I-sinusitis enobuchule kunye ne-rhinosinusitis kubantu abadala: ukubonakaliswa kweklinikhi nokuxilongwa. KwiWebhu yeToDate. http://www.uptodate.com (Ubhaliso olufunekayo). Ukuhlaziywa ngoNovemba 8, 2016. Kufumaneka ngoJulayi 7, 2017.
> I-rhinosinusitis engapheliyo: Ukubonakaliswa kwekliniki, i-pathophysiology, kunye nokuxilongwa. KwiWebhu yeToDate. http://www.uptodate.com (Ubhaliso olufunekayo). Ukuhlaziywa kwe-Oktobha 28, 2016. Kufumaneka ngoJulayi 7, 2017.