So wotaa te nka nso sɛ wo hwene asiw? Ɛte sɛ nea ɛyɛ den sɛ wobɛhome, na ɛte sɛ nea ɛyɛ nwini? Ɛtɔ da bi a, yesusuw sɛ ɛyɛ atiridiinini ara kwa. Nanso sɛ saa tebea yi kɔ so a, ebia nea ɛde ba ne "nasal polyps" a enyin wɔ wo hwene mu. Ɛnnɛ, yɛbɛka saa anom aduru yi ho asɛm wɔ ɔkwan a ɛnyɛ den so, sɛnea ɛbɛyɛ a wobɛte ase.
Dɛn ankasa ne anom aduru?
Sɛ yɛbɛka no tiawa a, hwene mu polyps yɛ ntini a ɛyɛ mmerɛw a enyin a ɛnyɛ yaw, ɛnyɛ kokoram (a ɛnyɛ kokoram) a ɛba mframa a ɛwɔ wo hwene mu ne nea atwa ho ahyia no mu (mucosa) so (yɛfrɛ saa ntini ahorow yi). Wɔte sɛ nam akuwakuw. Mpɛn pii no, ɛba wo hwene no afã abien no nyinaa. Sɛ saa polyps yi ho yɛ hyew a, ebetumi ama ayɛ den yiye ama wo sɛ wobɛhome afa wo hwene mu.
Wo de susuw ho hwɛ, nhaban nketewa a ɛyɛ nam no nsɛso te sɛ nusu. Nanso sɛ wonyin a, wɔyɛ te sɛ bobe a wɔatutu. Wobetumi ayɛ pink, kɔkɔɔ, anaa fitaa.
Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso ɛtaa ba mmarima so sen mmea. Ɛtaa ba nnipa a wɔadi fi mfe 30 kosi 40 so kɛse.
So wowɔ saa sɛnkyerɛnne ahorow yi nso?
Sɛ akuru a ɛwɔ wo hwene mu no sua koraa a, ebia worenhu sɛnkyerɛnne biara. Nanso sɛ wofi ase nyin a, ebia wubefi ase anya ɔhaw ahorow. Ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Anom a ɛyɛ mmerɛw | Nkate a ɛkɔ so tra hɔ sɛ hwene mu ayɛ wo yaw, a atiridii nka mpo. |
| Hwene a ɛretu | Hwene a ɛtaa tɔ. |
| Hua ne dɛ a ɛyera | Tumi a obi tumi te nneɛma te sɛ aduan dɛ anaa nhwiren hua nka nkakrankakra so tew anaasɛ ɛyera koraa. |
| Tiyɛ ne anim yaw | Ɛyaw anaasɛ atenka a ɛte sɛ nea emu yɛ duru wɔ moma so, aniwa ase, ne afono mu esiane nhyɛso a ɛwɔ sinus no mu nti. |
| Postnosal nsuo a ɛtɔ | Sɛ́ wobɛte nka sɛ nsu a efi hwene mu no retu mmirika akɔ menewa no mu. |
| Nsu a wɔde bɔ akuturuku | Nsõ a ɛkɔ soro bere a wɔada esiane hwene a ɛyɛ mmerɛw nti. |
| Mogya a ɛba hwene mu | Ɛtaa nsi koraa. |
Sɛ nam a wɔayam no yɛ kɛse dodo a, dɛn na ɛba?
Sɛ honam a ɛyɛ kurukuruwa no yɛ kɛse dodo na esiw hwene kwan ne ahurututu mu ntini no ano a, ɔhaw ahorow a anibere wom kɛse betumi aba.
- Akisikuru a ɛtaa yɛ kɛse wɔ ayarefo a wɔwɔ ayamtu mu .
- Sinus mu yare a ɛsan ba (sinusitis) .
- Dae mu haw ahorow te sɛ nna mu ahomegye a ɛyɛ den .
- Ɔhome a ɛyɛ den wɔ nnipa a wonni ayamtu mpo mu.
Dɛn nti na saa akuru yi ba? Dɛn ne nneɛma a ɛde asiane ba?
Sɛnea nnuruyɛfo nim no, ade titiriw a ɛde hwene mu ntini a ɛyɛ mmerɛw ba ne ɔfe a ɛtra hɔ kyɛ . Ɛne sɛ, ntini a ɛwɔ hwene no mu a ɛho ahonhon. Nanso, ɛda so ara yɛ nea wontumi nhu nea enti a nnipa binom nya polyps esiane ɔfe yi nti, bere a afoforo nnya bi.
Nanso wɔahu asiane ahorow pii a ebetumi ama tebea yi anya nkɔso. Eyi kyerɛ sɛ sɛ wowɔ saa tebea horow yi a, ɛda adi sɛ wubenya hwene mu ntini a ɛyɛ mmerɛw.
- Akisikuru: Asiane yi yɛ kɛse ma nnipa a wɔwɔ ayamtu.
- Allergic rhinitis: Wɔde ma nnipa a wɔn ho nyɛ wɔn den wɔ nneɛma te sɛ mfutuma ne pollen ho.
- Sinus infections a enni sabea: Sinusitis a ɛtra hɔ kyɛ boro asram abiɛsa.
- Cystic fibrosis: Eyi yɛ awosu mu tebea.
- Nnuru bi a wɔde kum ɛyaw a wɔte nka dodo: Wɔn a wɔte nka wɔ nnuru ho wɔ `NSAID` kuw no mu, te sɛ aspirin.
Bio nso, wogye di sɛ ebia awosu mu nneɛma nso di dwuma wɔ eyi mu. Eyi kyerɛ sɛ, sɛ obi wɔ w’abusua mu a, wo nso wowɔ hokwan ketewaa bi sɛ wubenya bi.
So eyi betumi ayɛ aniberesɛm? Nsɛnnennen a ebetumi aba
Mpɛn pii no, hwene mu ntini a ɛyɛ mmerɛw no nyɛ nea asiane wom. Nanso, sɛ wɔansa sinus mu yare a ɛde ba no yiye a, ɛntaa mma sɛ ɛde nsɛnnennen a emu yɛ den bɛba. Eyinom bi ne:
- Ɔyare mmoawa a ɛtrɛw kɔ nnompe mu (osteomyelitis) .
- Akisikuru a ɔyare mmoawa wom a ebetumi atrɛw akɔ aniwa no mu ne amemene no mu.
- Nyarewa a ɛba ntini a ɛkata amemene ne akyi berɛmo so (meningitis) .
Ɛwom sɛ eyinom ho yɛ na koraa de, nanso sɛ hwene mu sɛnkyerɛnne kɔ so a, ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɔbɛyɛ ne sɛ obetie wo yare no ho sɛnkyerɛnne no yiye.
- Wobisa nsɛnnennen a worehyia ne bere tenten a woahyia.
- Wɔbɛhwɛ w’ayaresa ho abakɔsɛm mu ahwɛ sɛ wowɔ tebea afoforo te sɛ ayamtu anaa akisikuru anaa.
- Afei, wɔde afiri a ɛyɛ tratraa (scope) a mfoninitwa afiri ne kanea wom bedi dwuma de ahwɛ wo hwene mu . Eyi bɛma woahu pefee sɛ nam akuwakuw bi wɔ hɔ anaa.
Ɛtɔ mmere bi a, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu sɛnea akisikuru no kɛse te ne baabi a atrɛw akodu.
- CT mfonini (Computed Tomography mfonini) .
- MRI mfonini (Magnetic Resonance Imaging) .
Ebia wɔbɛkamfo akyerɛ wo nso sɛ wɔnyɛ nhwehwɛmu a ɛkyerɛ sɛnea obi ho yɛ no yaw na ama woahu sɛ ebia wowɔ akisikuru bi anaa.
Dɛn ne ayaresa ahorow no?
Anom aduru a wɔde sa anom no gyina sɛnea wo tebea no mu yɛ den so. Ayaresa atitiriw abien na ɛwɔ hɔ: nnuru ne oprehyɛn.
Nnuru a wɔde ma
Mpɛn pii no, nnuru ntumi nyi akisikuru mfi hɔ koraa. Nanso, wobetumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so na wɔtew akisikuru so.
- Steroid a wɔde petepete hwene mu: Eyinom ne ayaresa a wɔtaa de di dwuma. Wɔboa ma ntini a ɛwɔ nipadua no mu no so tew na ɛtew sɛnkyerɛnne ahorow no so.
- Steroid a wɔnom: Wɔde nnuru te sɛ prednisone ma bere tiaa bi.
- Nnuru a wɔde di dwuma wɔ abɔde mu: Nnuru a wɔde bɔ nkurɔfo ho ban te sɛ dupilumab. Eyinom kanyan nipadua no mu tumi a ɛko tia nyarewa no na ɛma honam ani nkwammoaa no twetwe.
Sɛ wowɔ ɔyare mmoawa bi a, Oduruyɛfo.Wɔkamfo nnuru a ekum ɔyare mmoawa nso kyerɛ.
Sɛɛgyiri
Sɛ nnuru ntumi nni tebea no so, anaasɛ sɛ akisikuru no sõ yiye a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi fi hɔ. Eyinom taa yɛ oprehyɛn nketenkete a wɔde fa hwene mu, a wɔmfa ntwitwiridii akɛse.
| Oprehyɛn no din | Sɛnea wɔyɛ no |
|---|---|
| Polypectomy a Wɔtwa | Nnwinnade nketewa paa (te sɛ nkankyee anaa afiri) a wɔde bedi dwuma de akyere ntini a ɛyɛ nam a ɛwɔ hwene no mu no na ayi afi hɔ. |
| Balloon a wɔde yɛ sinuplasty | Wɔde balloon ketewaa bi fa hwene no mu kɔ sinus no mu na wɔde nkakrankakra ma mframa bɔ mu ma ebue akwan a asiw no. Ɛtɔ da bi a, woyi honam no nso bere koro no ara mu. |
| FESS (Adwumayɛ mu Endoscopic Sinus Oprehyɛn) . | Ntini a ɛyɛ nam, ntini a ɛyare, ne biribiara a esiw hwene kwan no a wɔde endoscope mmoa yi fi hɔ. |
Esiane sɛ wɔnam hwene mu na ɛyɛ oprehyɛn ahorow yi nyinaa nti, akuru biara renka w’anim.
Dɛn na ɛba wɔ ayaresa akyi? So eyinom betumi asan aba?
Aane. Eyi ne ade a ɛho hia sen biara. Ɛwom sɛ ayaresa betumi ayi akisikuru no afi hɔ na ama ayɛ mmerɛw ama wo sɛ wobɛhome de, nanso awerɛhosɛm ne sɛ ebetumi asan aba . Ebia ɛho behia sɛ nnipa binom kɔ so nom nnuru a wɔde yɛ steroid anaasɛ wɔyɛ wɔn oprehyɛn mpɛn pii.
Afei nso, wɔ wɔn a wɔn hua ne wɔn dɛ ayera fam no, ebia tebea no rennya ahoɔden koraa bere a wɔasa wɔn yare mpo akyi. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa nea wɔhwɛ kwan sɛ ebefi wo tebea no mu aba no ho.
So akwan bi wɔ hɔ a wobetumi afa so asiw ano?
Ɛwom sɛ wontumi nsiw ano koraa de, nanso nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:
- Fa nnuru a wo duruyɛfo akyerɛw ama wo no di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.Titiriw nnuru a wɔde sa ayamtu ne akisikuru.
- Kwati sɛ wobɛhome nneɛma a ɛma wo ho yɛ wo hyew te sɛ mfutuma ne wusiw.
- Wubetumi ama wo home kwan no ayɛ nwini denam humidifier a wode bedi dwuma wɔ fie na ama mframa no akɔ so ayɛ nwini no so.
- Fa aduru a wɔde petepete hwene mu a nkyene wom di dwuma na ama wo hwene mu ho atew.
- Kura w'ankasa ahotew pa mu .
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa?
Sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no bɛboro nnafua 10 a , akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.
Kae titiriw: Sɛ wuhu akisikuru bi wɔ wo hwene no fã biako pɛ a, ebetumi ayɛ kokoram a enyin sen sɛ ɛbɛyɛ akuru a ɛteɛ. Enti, sɛ wuhu biribi a ɛte saa a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ.
Wo nso wowɔ saa nsɛmmisa yi... (Nsɛmmisa a Wɔtaa Bisa)
So nhaban a ɛyɛ nam yi ankasa bɛkɔ?
Ɛtɔ mmere bi a, akisikuru nketenkete betumi atew ne ho bere a bere kɔ so no. Nanso mpɛn pii no, wɔnkɔ koraa. Akyinnye biara nni ho sɛ nnipa a wɔwɔ yare no ho sɛnkyerɛnne a emu yɛ den hia ayaresa.
So wubetumi ahu eyinom bere a wohwɛ wo hwene mu no?
Mpɛn pii no wuntumi mfa ahwehwɛ nhu eyinom, nanso sɛ ɛsõ yiye a, ebia oduruyɛfo betumi ahu a onni adwinnade titiriw biara (nasoscope).
So wontumi nyi eyinom mfi hɔ wɔ fie?
Ɛnyɛ saa koraa! Mmɔ mmɔden sɛ wubeyi eyinom afi hɔ wɔ fie esiane biribi anaa tebea biara nti. Saa a wɔbɛyɛ no betumi ama obi apirapira kɛse, mogya atu no dodo, na wanya ɔyare mmoawa a emu yɛ den. Hwehwɛ mmoa fi oduruyɛfo a ɔfata hɔ nkutoo ma eyi.
Nasal polyps betumi ama woate nka sɛ wo hwene asiw bere nyinaa. Sɛ wɔansa a, ɔhome mu nsɛnnennen betumi ayɛ kɛse na awiei koraa no ebetumi ama nnompe ne ntini asɛe. Enti sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu.
Nkrasɛm a Wɔde Kɔ Fie
- Anom polyps nyɛ ntini a enyin a ɛnyɛ kokoram, na ɛnyɛ yaw, nanso ebetumi de ɔhaw ahorow bi aba, a ahome a ɛyɛ den ka ho.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ hwene a ɛtaa yɛ wo yaw ne hua ne dɛ a ɛyera bɛboro nnafua 10 a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
- Nnipa a wɔwɔ ayamtu, akisikuru, ne sinus mu yare a enni sabea no wɔ asiane kɛse mu sɛ wobenya saa tebea yi.
- Wobetumi de nnuru ne oprehyɛn asa wɔn yiye, nanso hokwan wɔ hɔ sɛ wɔbɛsan anya bi bio.
- Mmɔ mmɔden da sɛ wubeyi eyinom afi hɔ wɔ fie. Ɛyɛ asiane kɛse.











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