So wobɛte nka sɛ wo home yɛ wo yaw bere a wɔayɛ wo hwene oprehyɛn akyi? Momma yɛnka Empty Nose Syndrome (ENS) ho asɛm .

Fa no sɛ wɔyɛɛ wo oprehyɛn ma wo hwene a asiw, na wususuwii sɛ afei wubetumi ahome yiye. Nanso oprehyɛn no akyi mpo no, woda so ara te nka sɛ asiw wo kwan na ɛyɛ den yiye sɛ wobɛhome. Sɛ oduruyɛfo no hwehwɛ wo mu a, ɔka sɛ biribiara nsiw wo hwene mu, na ɔkwan no abue koraa. Saa nkate a ɛyɛ nwonwa a ɛbɔ abira yi ne nea yɛreka ho asɛm nnɛ, Empty Nose Syndrome (ENS). Sɛnea edin no kyerɛ no, saa tebea a wɔfrɛ no ‘hwene a ɛda mpan’ yi ho yɛ na koraa, na ɛsan nso yɛ biribi a ɛde adwennwen kɛse ba nnipa pii so.

Dɛn ne tebea yi a wɔfrɛ no Empty Nose Syndrome?

Sɛ yɛbɛka no tiawa a, Empty Nose Syndrome (ENS) yɛ bere a wote nka sɛ wo hwene asiw na wuntumi nhome, ɛwom mpo sɛ baabi pii wɔ hɔ a wubetumi afa wo hwene mu ahome de. Mpɛn pii no, eyi betumi aba bere a wɔayɛ hwene oprehyɛn akyi.

Nneɛma nketenkete abiɛsa a ɛte sɛ shelf na ɛwɔ yɛn hwene mu a wɔfrɛ no ‘Turbinates’. Wɔn adwuma titiriw ne sɛ wɔbɛhohoro mframa a yɛhome no ho, ayɛ nwini, na wɔayɛ no hyew na wɔde akɔ ahurututu mu. Ɛtɔ da bi a, esiane nneɛma te sɛ akisikuru ne ɔyare mmoawa nti, saa turbinates yi betumi ahonhon na ama anom ayɛ mmerɛw. Sɛ ɛba saa a, nnuruyɛfo yɛ oprehyɛn de tew saa turbinate ahorow yi kɛse so (Turbinate reduction surgery). Ɛtɔ da bi a, ɛho hia sɛ woyi saa turbinates yi fã bi (Partial turbinectomy) anaa koraa (Complete turbinectomy).

Oprehyɛn ahorow yi mu dodow no ara di yiye. Nanso, ɛntaa mma koraa , sɛ woyi turbinate ntini no pii dodo anaasɛ ɛsɛe bere a wɔreyɛ oprehyɛn no a, ENS betumi aba. Eyi betumi ama woate nka sɛ wo ho atɔ wo, ɛwom mpo sɛ wo hwene mu akwan da so ara abue de. Ɛte sɛ ahodwiriwde.

Dɛn na ɛde ENS ba?

Wɔda so ara reyɛ nea ɛde ENS ba ankasa ho nhwehwɛmu, nanso wogye di sɛ efi turbinate ntini a woyi fi hɔ dodo bere a wɔreyɛ anom oprehyɛn no.

Susuw ho hwɛ, yɛn hwene nyɛ afiri a ɛma mframa fa mu ara kwa. Ɛyɛ nhyehyɛe a ɛyɛ den yiye.

• Ntini a ɛsɛe: Ntini nketenkete bi wɔ saa turbinates yi ani a ɛma wohu nneɛma te sɛ mframa nhyɛso ne ɔhyew. Sɛ yɛhome a, saa ntini ahorow yi de sɛnkyerɛnne no kɔ amemene no mu sɛ "ɛhome mprempren." Sɛ woyi saa ntini ahorow yi fi hɔ anaasɛ ɛsɛe bere a wɔreyɛ oprehyɛn no a, amemene no nnya saa sɛnkyerɛnne no. Amemene no kyerɛ ase sɛ "Me ntumi nhome, me hwene asiw."
• Mframa a ɛsen no sesa: Sɛ hwene no mu baabi yɛ kɛse dodo wɔ oprehyɛn akyi a, mframa kwan no kɔ tẽẽ kɛkɛ. Ɛbɔ turbinates no, ɛbɔ, na ɛnyɛ nsu. Eyi betumi ama amemene no ante nka sɛ ɛrehome yiye.
• Mmoawa a ɛnkari pɛ: Ntini a ɛkata hwene no so no boa ma wɔbɔ mmoawa a wɔwɔ apɔwmuden ho ban. Sɛ oprehyɛn sɛe saa ɔfa yi a, mmoawa a wɔwɔ apɔwmuden betumi atew na mmoawa a wopira betumi anyin. Eyi betumi ama asiane a ɛwɔ hɔ sɛ wobenya nyarewa ne ENS ho sɛnkyerɛnne no ayɛ kɛse.

Dɛn ne Empty Nose Syndrome (ENS) ho sɛnkyerɛnne ahorow?

ENS ho sɛnkyerɛnne betumi ada adi wɔ oprehyɛn no akyi adapɛn pii, asram pii, anaa mfe pii mpo. Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho.

Abusuabɔ a ɛda ENS ne adwenemyare ntam

Eyi yɛ asɛm a ɛho hia paa. Sɛ wote nka sɛ worehome bere nyinaa na wonnye nni a, ebetumi anya obi adwenemyare so nkɛntɛnso kɛse . Wɔn a wɔwɔ ENS no bi ne:

• Brɛ
• Hahaahayɔ
• Sɛ obi ntumi mfa n’adwene nsi biribi so
• Abufuw a ɛtaa ba

Tebea horow te sɛ: abu so. Nhwehwɛmu ahorow bi ada no adi sɛ nnipa a wɔwɔ ENS no mu bɛyɛ 70% na wɔwɔ adwenemhaw.

So ENS yɛ yare ankasa? Ɔkwan bɛn so na oduruyɛfo hu sɛ ɔwɔ bi?

Yiw, ENS yɛ aduruyɛ mu tebea ankasa, nanso ɛnyɛ nea abu so kɛse. Eyi nti na ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu efisɛ scan nkyerɛ sɛ hwene no mu asiw.

Oduruyɛfo de wo sɛnkyerɛnne ne oprehyɛn ho abakɔsɛm bedi dwuma titiriw de ahu ENS. Bio,

• Wobetumi de endoscope, afiri ketewaa bi a mfoninitwa afiri wom, ahwɛ hwene no mu.
• Wobetumi ayɛ CT anaa MRI scan de ayi nneɛma afoforo a ɛde ba (e.g. nasal polyps, kokoram) afi hɔ.
• "Cotton Test": Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye, nanso ɛho hia. Oduruyɛfo no de kotoku bi a wɔde nkyene afra mu gu wo hwene mu, wɔ baabi a na turbinates no wɔ no. Bɛyɛ simma 20-30 akyi no, wɔbɛhwɛ sɛ wo sɛnkyerɛnne te sɛ ahome a ɛyɛ tiaa ne nea ɛyɛ kusuu no tu mpɔn anaa. Sɛ sɛnkyerɛnne a ɛtete saa no tu mpɔn bere tiaa bi mpo a, ɛkyerɛ denneennen sɛ wowɔ ENS.

Dɛn ne ayaresa ahorow a wɔde sa ENS?

ENS aduru biara nni hɔ, nanso akwan pii wɔ hɔ a wɔfa so di yare no ho sɛnkyerɛnne ahorow ho dwuma na wɔma asetra tu mpɔn .

• Ma hwene mu nsu: Nkyene a wɔde petepete hwene mu anaa gel a wode bedi dwuma, nsu pii a wobɛnom da mũ no nyinaa, ne ade a ɛma hwene mu yɛ nwini a wode bedi dwuma wɔ mpa mu no betumi aboa ma hwene a ɛyɛ nwunu no so atew.
• CPAP afiri: Nnipa binom hu sɛ CPAP afiri a wɔde di dwuma bere a wɔada no boa ma nsu a ɛyɛ nwini ne mframa kɔ so tra hɔ.
• Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru a ɛma mogya ntini a ɛwɔ wo hwene mu no trɛw na ɛboa ma ntini a ɛho ahonhon no so tew.
• Oprehyɛn: Sɛ yare no ho sɛnkyerɛnne no mu yɛ den a, wobetumi ayɛ oprehyɛn de ade a wɔde hyɛ nipadua mu asi turbinates a wɔayi afi hɔ no ananmu. Ebia eyi bɛhwehwɛ sɛ wɔde nneɛma a wɔayɛ te sɛ Gore-Tex anaa nneɛma a wonya fi nnipa ntini mu te sɛ acellular dermis anaa mogya mu nkwammoaa a ɛdɔɔso (PRP) bedi dwuma. Eyi yɛ adwuma denam baabi a ɛwɔ hwene no mu a ɛtew so, mframa kwan a ɛyɛ teateaa, na ɛbɔ mmɔden sɛ wɔbɛma amemene no ate nka sɛ ɔhome bio no so.