Tizilombo ting'onoting'ono m'mphuno
Tizilombo tamphuno tofewa, tofanana ndi zophuka pamphuno kapena m'mphuno.
Mitundu yamphuno imatha kumera kulikonse pamphuno kapena m'mphuno. Nthawi zambiri zimamera pomwe mphuthu zimatsegukira m'mphuno. Ma polyp ang'onoang'ono sangayambitse vuto lililonse. Tinthu ting'onoting'ono tambiri titha kutsekereza ziphuphu zanu kapena njira yampweya.
Tizilombo ting'onoting'ono m'mphuno si khansa. Zikuwoneka kuti zikukula chifukwa chakutupa kwakanthawi komanso kukwiya m'mphuno chifukwa cha chifuwa, mphumu, kapena matenda.
Palibe amene akudziwa chifukwa chake anthu ena amatenga tizilombo tamphuno. Ngati muli ndi izi, mutha kukhala ndi zotupa zamkati:
- Kuzindikira kwa aspirin
- Mphumu
- Matenda a sinus a nthawi yayitali
- Cystic fibrosis
- Chigwagwa
Ngati muli ndi tizilombo tating'onoting'ono, simungakhale ndi zizindikiro zilizonse. Ngati ma polyps amatseka njira zammphuno, matenda amtundu wa sinus amatha.
Zizindikiro zake ndi izi:
- Mphuno yothamanga
- Modzaza mphuno
- Kuswetsa
- Kumva ngati mphuno yako yatsekedwa
- Kutaya kununkhiza
- Kutaya kukoma
- Mutu ndi ululu ngati muli ndi matenda a sinus
- Nthawi zina
Ndi ma polyps, mutha kumva kuti mumakhala ozizira mutu nthawi zonse.
Wothandizira zaumoyo wanu adzayang'ana m'mphuno mwanu. Angafunikire kupanga ma endoscopy ammphuno kuti awone kukula kwake konse. Zipolopolo zimawoneka ngati kukula kwa mphesa kopyola mphesa.
Mutha kukhala ndi CT scan ya machimo anu. Ma polyps adzawoneka ngati mawanga amitambo. Ma polyps achikulire atha kuthyola fupa lina mkati mwamachimo anu.
Mankhwala amathandiza kuthetsa zizindikiro, koma samachotsa tizilombo tating'onoting'ono ta m'mphuno.
- Nasal steroid imapopera tizilombo tating'onoting'ono. Amathandizira kutsuka kwamitsempha yotsekedwa ndi mphuno. Zizindikiro zimabwerera ngati mankhwala ayimitsidwa.
- Mapiritsi a Corticosteroid kapena madzi amathanso kuchepa tizilombo ting'onoting'ono, ndipo titha kuchepetsa kutukusira kwa mphuno. Zotsatira zake zimatenga miyezi ingapo nthawi zambiri.
- Mankhwala ofooketsa ziweto amathandiza kuti tizilombo toyambitsa matenda tisakule.
- Maantibayotiki amatha kuchiza matenda a sinus omwe amabwera chifukwa cha mabakiteriya. Sangathe kuchiza tizilombo tating'onoting'ono kapena matenda a sinus omwe amayambitsidwa ndi kachilombo.
Ngati mankhwala sakugwira ntchito, kapena muli ndi ma polyps akulu kwambiri, mungafunike kuchitidwa opaleshoni kuti muwachotse.
- Opaleshoni ya sinos Endiccopic imagwiritsidwa ntchito pochizira ma polyps. Ndi njirayi, dokotala wanu amagwiritsa ntchito chubu chowonda, chowala ndi zida kumapeto. Chitolirochi chimalowetsedwa munjira yanu yammphuno ndipo adotolo amachotsa ma polyps.
- Nthawi zambiri mumatha kupita kunyumba tsiku lomwelo.
- Nthawi zina ma polyps amabwerera, ngakhale atachitidwa opaleshoni.
Kuchotsa tizilombo tating'onoting'ono ndi opaleshoni nthawi zambiri kumapangitsa kuti kupuma kupume mosavuta. Popita nthawi, komabe, tizilombo tating'onoting'ono tambiri timabwerera.
Kutaya kununkhiza kapena kulawa sikumangokhala bwino nthawi zonse kutsatira chithandizo chamankhwala kapena opaleshoni.
Zovuta zingaphatikizepo:
- Magazi
- Matenda
- Ma polyps amabwerera pambuyo pa chithandizo
Itanani omwe akukuthandizani ngati mumavutika kupuma m'mphuno.
Simungalepheretse tizilombo toyambitsa matenda m'mphuno. Komabe, kupopera m'mphuno, antihistamines, ndi ziwombankhanga zingathandize kupewa tizilombo tomwe timatseka njira yanu. Mankhwala atsopano monga jakisoni wokhala ndi ma anti-IGE antibodies atha kuthandiza kupewa ma polyps kuti asabwerere.
Kuchiza matenda a sinus nthawi yomweyo kungathandizenso.
- Kutupa kwa pakhosi
- Tizilombo ting'onoting'ono m'mphuno
Bachert C, Calus L, Gevaert P. Rhinosinusitis ndi tizilombo tamphuno. Mu: Adkinson NF, Bochner BS, Burks AW, et al, olemba. Ziwombankhanga za Middleton: Mfundo ndi Zochita. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 43.
Haddad J, Dodhia SN. Tizilombo ting'onoting'ono m'mphuno. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 406.
Zowonjezera Yandikirani kwa wodwalayo ndi mphuno, sinus, ndi zovuta zamakutu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 398.
Wozizira ZM, Smith TL. Zotsatira zamankhwala ndi opaleshoni zamankhwala opatsirana a rhinosinusitis okhala ndi ma polyps am'mphuno komanso opanda. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: mutu 44.