Ukuxilongwa kwesifo se- sinus (sinusitis) ngokuqhelekileyo kusekelwe kwiimpawu zakho kunye nokuhlolwa komzimba. Ukuba iimpawu ziyaqhubeka kwaye zingasombululwanga ngonyango, i-X ray okanye i- CT scan ingenziwa. Ngamanye amaxesha i-sinus yokuboniswa ngokubonakalayo kunye ne- endoscope encinci ye-fiberoptic iya kwenziwa kwaye i-specimen ingathathwa ukuze ihlolwe i-microscopic test and culture . Nangona zonke iintsholongwane ze-sinus zidinga unyango, ukuchonga enye yeyeza-nokuqala imithi, ukuba kuyimfuneko-ayikwazi kukukunceda ukuba uzive ungcono kungekudala, kodwa unokuthintela ukusuleleka kwintsholongwane.
I-Self-Checks
Uninzi lwasulelo lwe-sinus lubangelwa usuleleko lwentsholongwane njengobanda obuqhelekileyo . Ngenxa yokuba ugqirha wakho uya kuphepheka ukukunika ama-antibiotics ngokungadingekile (asebenza kuphela kwi-bacterium sinusitis, ingabi yintsholongwane), ngokuqhelekileyo ucebise ukuba ulinde uze ubone ukuba iimpawu zakho ziba ngcono ngaphantsi kweentsuku ezimbalwa ngaphambi kokuba unyango luqwalaselwe.
Ngelixa ulindile, qaphela xa iimpawu zakho ziqala kunye nendlela abaye baqhuba ngayo. Le ngcaciso iya kuba luncedo kumgqirha wakho ukuba ugqiba ukufuna uvavanyo.
Ingaba kwiintsana, abantwana okanye abadala, kubanda kufuneka kuphucule emva kweveki. Intsholongwane inokubandakanya ama-sinus kwaye ivelise ukuxinaniswa kwe-nasal, ingcinezelo ye-sinus, kunye ne-drapu ye-mucus kangangeentsuku ezili-10. Ngelo xesha, intsholongwane ye-viral sinus ibonise ukuphuculwa.
Nangona kunjalo, ukuba bekuyiintsuku ezili-10 kwaye iimpawu aziphuculanga-okanye ziphuculwe, kodwa zigqithise (okubizwa ngokuba yi-doubleening disease) -i-infection ye-bacterial sinus ingaba yenzeke.
Ezinye iimpawu ziquka umkhuhlane oqhubekayo okanye ophezulu; ubuhlungu obukhulu besono, ngokukodwa kwicala elinye; kwaye ichaza ukukhutshwa kwamanzi, ngokukodwa kwicala elinye. Ezi zifanele kukukhuthaza ukuba ugqirha ugqirha wakho ukuze uthole i-aphoyintimenti yoviwo kunye nokuxilongwa.
Ukuba ngaba naliphi na ixesha ufumana iimpawu ezinzima, kuquka ukuguqulwa kwimbono yakho, ukuvuvukala kwamehlo okanye ebunzini, ikhanda elibi, okanye ukudideka, kufuneka ubone ugqirha wakho ngokukhawuleza.
Ezi ziimpawu ezinzulu ukuba isifo sesifo se-bacterial sinus sisasazeka.
Uviwo
Izifo zonyango zingasifumana kwaye ziphathwe ngunyango wezilwanyana okanye umboneleli wonyango. Ngokuqhelekileyo, izifo zonyango zifunyanwe kuphela kwiimpawu zesigulane kunye noviwo lwezonyango.
Qinisekisa ukwabelana ngolwazi lonke owathathe ngalo ingqalelo: xa isifo sakho sesifo siphelile, yiziphi iimpawu oye wahlangabezana nazo, kwaye, ukuba unayo izifo zangaphambili, xa zenzeke kwaye zide zithatha njani ukulungisa. Ukuba nezifo ezine okanye ngaphezulu kwe-year ziza kukhokelela ugqirha wakho ukuba afune izinto ezibangela ukunyusa umngcipheko. Yabelana nayiphi na into ebungozi eyaziwayo , kubandakanywa nembali yokubandezeleka, i-asthma, kunye nayiphi na imimiselo engayenza buthathaka isimiso sakho somzimba.
Uvavanyo lomzimba luya kubandakanya ukujonga ngaphakathi kwempumlo yakho nge-speculum kunye ne-flashlight. Ugqirha wakho uya kuqaphela apho uziva buhlungu okanye utyeshelo njengoko oku kungayichazela ukuba yeyiphi na isono. Ugqirha wakho uya kujonga kwakhona amanzi empumlo nasemqaleni. Ukujonga empumeni kunokukunceda ukuba kukho umzimba wasemzini, i-septum ephumayo, i-polyps yamanzi, i-tumor, okanye i-nosebleed.
IiLabs kunye novavanyo
Ugqirha wakho unokukhetha ukuqhuba iimvavanyo ezithile, kodwa oku akwenziwanga ngaso sonke isikhathi.
Ezi ziquka:
- Inkcubeko yemifuno yamanzi iqokelelwe nge-swab yempumlo okanye i-sinus
- Iimvavanyo zegazi (izinga le-sedimentation sedrythrocyte, i-CBC, i-pro-protein e-C)
- Ukuvavanyelwa kwezilwanyana, ngakumbi kwi-infection ye-sinus engapheliyo okanye ukuphinda ukusuleleka kwizifo
UkuCatshulwa kunye neNkqubo
Ukufanekisa ngokuqhelekileyo akukwenziwanga kwiimeko zesimo se sinusitis. Ininzi isetyenziswa kwi-sinusitis engapheliyo okanye i-sinusitis ephindaphindiweyo ukukhangela izizathu ezakhiweyo. Kungenziwa kwakhona xa unempawu ezinzima ezibonisa ukuba usulelo luya kusasazeka.
Uchungechunge lwe-X-ray sinus lunokwenziwa ukuze lubone ukusetyenziswa kwamanzi kunye neengqungquthela zamanzi.
I- scan ye-CT inikeza umbono ogqithiseleyo wezono kwaye ngoku sele ukhetha. I-MRIs ayisebenzisekanga ngokuqhelekileyo ngenxa yokuba ayifani ukwahlula umoya kwithambo.
Kwezinye iimeko, ugqirha uya kwenza i-rhinoscopy (endoscopy yamasongo) ukujonga kwiindinyana zomntu. Ungathunyelwa kwi-ENT ingcali kule nkqubo. I-endoscope yamasongo ibhubhe elincinci elifakwe kwimpumlo ukuze ubone amavesi akho kunye nezono. Iqukethe i-cable, i-fiberoptic cable kunye ne-lens yokubukela. Inokuthi ifakwe kwikhamera yevidiyo ukuze ugqirha abone imifanekiso kwisikrini aze abhale ingxelo.
Ukuze ukwenze ukhululeke ngakumbi ngexesha le-rhinoscopy, uya kunikwa i-spongestant spray yangasese kunye ne-anesthetic yendawo ye-anesthetic spray ukuze unxweme. Le mvavanyo ingasetyenziselwa ukuhlolisisa i-polyp nasal, i-septum ekhethiweyo, i-turbinates ekhulisiweyo, i-tumor kunye ne-pus. Ingasetyenziselwa ukususa izicubu ukuze ugqirha wakho ahlole ukusuleleka kwintsholongwane okanye i-fungal.
Ugqirha wakho angathanda ukufumanisa ngokuqinisekileyo umzimba onoxanduva lokusuleleka kwintsholongwane ye-sinus, ingakumbi kwiimeko zokusuleleka kwintsholongwane engaphenduliyo kwi-antibiotic okanye isasazeka. Le sampuli ifunyenwe nge-endoscopy yama-nasal okanye i-sinus puncture ukuze kuphephe ukungcola ngeebhaktheriya ezitholakala kwiindinyana zomntu. I-sinus ithotshiwe yenziwa ngokugxotha indawo yokucima (ngokuqhelekileyo ingaphantsi kwempumlo okanye ngaphakathi emlonyeni), ukufaka inaliti, nokurhoxisa i-aspirate.
Ukuxilongwa okuhlukeneyo
Ugqirha wakho uya kuqala ukufuna ukwahlula phakathi kwezilwanyana ezinobungozi, iintsholongwane, iintsholongwane, okanye izifungo zezifo zesifo se sinus. I-rhinitis ye-allergen ibonisa imithombo yamanzi emacaleni kunokuba i-drainage eluhlaza, eluhlaza okanye eluhlaza ibonakala kwi-sinusitis ye-bacterial or fungal sinusitis. Ugqirha unokukuthumela ukuhlolwa kokunyamezela ukuba kukhankanywa ukuba oku kukhankanywa. Ukuba ngokuyinene ubuhlungu bomzimba kunye nentloko, umthombo unokuba yimigraine kune-sinusitis. Kukho neemeko, ingakumbi kubantwana, kwelinye ilungu elithile linyanzele impumlo ebangela ukuvuvukala.
Isikhathi sokulinda ngaphambi kokuba unyango lwe-antibiotics lunceda ugqirha ukuqinisekisa ukuba akagqithisi kakhulu iintsholongwane ze-antibiotics, ezingenakunceda ukulungisa isifo se-virus sinusitis, irhinitis ye-allergen, okanye ezinye iziganeko ezingabandakanyekanga, kwaye zingakhokelela ekumanyeni.
Ukuba iimpawu ziyaqhubeka kwiintsuku ezingama-10 kwaye uviwo lubonisa iimpawu zesininzi sokubandakanyeka kwe-sinus, okanye ukuba unomkhuhlane, ugqirha unokumisela i-antibiotics ngokuzimela ukuba yi-bacterial sinusitis.
I-sinusitis echanekileyo iza kucinywa ngeeveki ezine. Emva kokuba sele unemiqondiso yeeveki ezili-12 iya kuthiwa yi-sinusitis engapheliyo. Oku kungenxa yezizathu ezibandakanya ukuhamba, i-sinusitis yefungal, i-sinusitis ye-fungal, i-polyps yangasese, izilwanyana ezinobunzima okanye izibilini ezingekho embi, i-turbinates ephakamileyo okanye i-septum ekhethiweyo.
> Imithombo:
> I-Sinusitis eyiyo. Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/acute-sinusitis/basics/definition/con-20020609.
> Radojicic C. Sinusitis. Kliniki yaseCleveland. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/.
> Sinusitis. MedlinePlus. http://www.nlm.nih.gov/medlineplus/ency/article/000647.htm.
> USoudry E, i-Nayak JV. I-Nasal Endoscopy. I-American Rhinologic Society. http://care.american-rhinologic.org/nasal_endoscopy.