I-Cerebrospinal Fluid Rhinorrhea
Wonke umntu uye wabhekana neempumlo ze-runny ngexesha elithile. Ngokuqhelekileyo, impumlo ehambayo ibangelwa yi -rhinitis okanye i- cold common . Ezinye izimbangela ze-runny nees zibandakanya i- rhinitis ebangelwa yimozulu ebanda okanye ukutya ukutya okunesonka, kunye ne- vasomotor rhinitis ebangelwa yimisindo engamanzi efana nefuthe elinamandla okanye utshintsho lwemozulu. Ezi zizathu eziqhelekileyo zeempumlo ze-runny zingapheli ixesha elifutshane, ezifana neqanda eliqhelekileyo, okanye ukuphendula kwonyango ngamayeza angenayo i-allergies, njenge- oral antihistamines , i-coralosteroid yomlomo okanye i-anticholinergic sprays.
Abanye abantu banokuthi bafumane iisyss ngexesha lonke elingaphenduli naluphi na uhlobo lwezonyango zonyango - aba bantu banokuba nesimo esinqabileyo esibizwa ngokuba yi-cerebrospinal fluid (CSF), i-rhinorrhea, ebangelwa ukukhupha kwengqondo yomkhuhlane ngaphandle kwempumlo.
Iimbangela, iimpawu kunye nezibonakaliso ze-CSF iRhinorrhea
I-CSF i-rhinorrhea yimeko engavumelekanga eyenzeka emva kokulimala kwentloko, njengengxaki ye-sinus okanye ukuhlinzwa kwengqondo, okanye ngenxa yesifo okanye isifo esithile sokuzalwa kwesisu. Abantu abane-CSF i-rhinorrheya banokukhalaza ngeempumlo ze-runny eziba zibi kakhulu ngokutshintshwa kwisimo (njengokumisa) okanye kunye ne- Valsalva yokuqhuba (ukucutha okanye ukuphakamisa izinto ezinzima). Umbane kwi-CSF i-rhinorrhea inqabile kwaye icacile, kwaye umntu ochaphazelekayo unokubona ukunambitheka okumnandi okanye okunamanzi ngenxa yokwanda kwe-glucose kunye ne-electrolytes ekhoyo kwi-cerebrospinal fluid. Indlela echanekileyo yokuxilonga i-CSF i-rhinorrhea kukubonisa ubukho be-beta-2 transferrin ekukhutsheni komzimba.
Ukuba umntu une-rhinorrhea ye-CSF, kubalulekile ukuba imeko ilungiswe ngenxa yokuba kukho ingozi eyongezelelweyo yokuphuhlisa i- meningitis ye-bacteria-eyona ntsholongwane ebungozi emhlabeni. Iibhaktheriya ziyakwazi ukusasazeka ngaphakathi kwimihlathi engamanzi kunye neyesono ngokusebenzisa umda wokuhlala (izicubu ezijikeleze ingqondo kunye nomgudu womgogodla) kunye nakwindawo yokujikeleza ingqondo, okubangelwa ukuba i-meningitis.
Abantu abaye bavelisa isiqendu esinye se-bacterial meningitis kufuneka bavavanywe kwi-CSF ye-rhinorrhea, kwakunye nokuvavanywa kwe-immunodeficiency ye-primary immunodeistist.
Ukuxilongwa kunye nokunyangwa kwe-CSF iRhinorrhea
Emva kokuba i-CSF i-rhinorrhea ikhunjulwe okanye iqinisekiswe ngobukho be-beta-2 transferrin, ukuvuza kufuneka kufikelelwe kwindawo yokulungiswa kocwangco. Izindlela ezahlukahlukeneyo ziye zasetyenziselwa ukufumana i-rhinorrhea ye-CSF, ngokuqhelekileyo i- MRI yengqondo , i- CT yesisombululo esiphezulu seengqondo , kunye nokusetyenziswa kwe-intrathecal fluorescein-equka ukujola kwedayi kumanzi ojikelezayo ngentambo yomgudu, nokukhangela idayi ekukhutshweni kwamanzi. Xa isayithi ye-CSF ifikelelekile, inokulungiswa ngokugqithiseleyo isebenzisa ubuninzi beendlela ezahlukeneyo. Ngokuqhelekileyo, ukuvuza kwe-CSF kugqityiwe nge-endoscopy yamanqa usebenzisa isikhumba okanye i-graft graft ukucoca umgodi.
Nangona i-CSF i-rhinorrhea ayikho imeko eqhelekileyo, oku kuhlolisiswa kufuneka kuthathelwe ingqalelo kumntu onomphunga ongapheliyo, ngaphandle kweminye impawu ye-rhinitis ephazamisayo, engayiphenduliyo kwimithi echaphazelekayo. Nabani na oye wafumana iziganeko eziphindaphindiweyo ze-bacteria meningitis kufuneka kwakhona zihlolwe i-CSF i-rhinorrhea.
Ukuba uye wafumana impumlo ye-runny ngaphandle kweminye impawu zokungenwa kwempilo, okanye impumlo ehambayo engaphumelelanga ngexesha okanye ngemishanguzo yokungena emzimbeni, cela udokotela wakho ukuba unokufumana ukuvuza kwe-CSF. Oku kuya kuba kubaluleke kakhulu ukuba unokulimala kwentloko ngaphambi kokuba iphunga lempompo liqalise, okanye ukuba uke wafumana isifo se-meningitis.
Umthombo:
Kerr JT, Chu FWK, Bayles SW. I-Cerebrospinal Fluid Rhinorrhea: Ukuxilongwa noLawulo. I-Otolaryngol Clinic N Am. 2005: 38: 597-611.