So wotaa nya sinus ho haw ahorow? Momma yɛnka sinusitis ho asɛm!

So wo hwene nso ayɛ wo yaw? So ɛte sɛ nea nsu reba wo menewam, anaasɛ nsu a ɛyɛ den fi wo hwene mu? So ɛtɔ mmere bi a w’anim ne wo moma so yɛ wo yaw na ɛyɛ wo yaw a ɛyɛ nwonwa, na wo ti yɛ wo yaw? Eyinom betumi ayɛ nsɛnkyerɛnne a ɛkyerɛ sɛ wowɔ sinusitis. Nnipa pii nso frɛ eyi sɛ sinusitis. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra na ɛnyɛ den nnɛ.

Dɛn ne Sinusitis? Dɛn ne Sinus ahorow no?

Sɛ yɛbɛka no tiawa a, sinusitis yɛ wo sinusitis a ɛyɛ wo sinusis no mu nneɛma a ɛyɛ hyew. Afei ebia woresusuw nea ɛyɛ saa ntini ahorow yi ho.

Fa no sɛ, w’anim mu, wo hwene akyi, w’ani ase, ne wo moma so no, ntokuru nketewa anan a mframa ahyɛ mu ma (a ɛyɛ abien abien) wɔ hɔ. Wɔte sɛ abodan nketewa. Eyinom ne nea yɛfrɛ no sinus. Wɔnam akwan a ɛyɛ tratraa so na ɛka saa abura yi bom. Mpɛn pii no, mframa hyɛ saa ntini ahorow yi ma.

Saa ntini ahorow yi ma nsu a ɛte sɛ nsu a ɛyɛ nwini no ba. Saa nsuo a ɛtwetwe yi fa hwene mu akwan no mu. Eyi boa ma wo hwene ho tew na ɛbɔ ho ban fi ɔyare mmoawa te sɛ mmoawa ne nneɛma a ɛma wo ho yɛ wo hyew ho.

Nanso, sɛ nhwɛso no, sɛ biribi nti, ɔyare mmoawa, ɔyare mmoawa, anaasɛ akisikuru bi a, saa ntini yi mu ntini no ho hyew, na esiw akwan a nsu no fa so no. Afei nsu no kɔhyɛ mu, na ɛma nhyɛso ba ntini no mu. Ɛno ne nea yɛfrɛ no sinusitis, anaa sɛnea ebinom frɛ no no, rhinosinusitis. Eyi ne nea ɛde sɛnkyerɛnne ahorow te sɛ anim yaw ne hwene a ɛyɛ mmerɛw ba.

So sinusitis ahorow bi wɔ hɔ?

Yiw, sinusitis ahorow pii wɔ hɔ. Wɔkyekyɛ eyinom mu titiriw gyina bere tenten a tebea no atra hɔ, ne nea ɛde ba so.

Hyehyɛ no sɛnea bere tenten te:

• Sinusitis a Ɛyɛ Hu: Nsɛnkyerɛnne (anom a ɛyɛ den, hwene a ɛtwetwe, anim yaw/nhyɛso, hua a ɛyera) nnu adapɛn anan . Mpɛn pii no, ɔyare mmoawa bi te sɛ atiridiinini na ɛde ba.
• Subacute Sinusitis: Saa sinusitis yi ba bere a sɛnkyerɛnne ahorow no kɔ so fi adapɛn anan kosi adapɛn dumien (asram 3) .
• Sinusitis a Enni sabea: Anyɛ yiye koraa no, sɛnkyerɛnne ahorow no kɔ so adapɛn dumien (asram 3) . Mpɛn pii no, mmoawa a wɔde nyarewa ba na ɛde ba.
• Sinusitis a Ɛsan Ba: Eyi kyerɛ nnipa a wɔwɔ sinusitis mpɛn anan anaa nea ɛboro saa afe biara , a bere biara mu no, wɔn sɛnkyerɛnne no nnu adapɛn abien.

Nkyekyɛmu a ɛnam nea ɛde ba so:

• Mmoawa a Ɛma Ntini Mu Nyarewa:Ɛtɔ mmere bi a, ɔyare mmoawa betumi ama obi anya ɔyare mmoawa, na ɛde sinusitis aba. Sɛ hwene a ɛretu, hwene a ɛyɛ yaw, ne anim yaw no ankɔ wɔ bɛyɛ nna du ntam a, ebetumi ayɛ ɔyare mmoawa. Ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne no betumi ano abrɛ ase na afei asan aba bio. Mpɛn pii no, nnuru a ekum ɔyare mmoawa ne nnuru a ɛma obi ho kyere no yɛ nea etu mpɔn ma eyi.
• Viral Sinusitis: Nkwammoaa te sɛ mmoawa a wɔde atiridiinini ba no na ɛde sinusitis dodow no ara ba.
• Fungal Sinusitis: Eyi ho yɛ na kakra, nanso ɛfata sɛ wobu no aniberesɛm kakra sen ahorow afoforo no. Ɛda adi sɛ wubenya saa sinusitis yi, titiriw sɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no yɛ mmerɛw (sɛ nhwɛso no, sɛ wowɔ HIV, kokoram, anaasɛ worenom nnuru bi a).

So mewɔ sinusitis, COVID, atiridii, anaasɛ akisikuru? Mɛyɛ dɛn ahu no yiye?

Eyi yɛ ɔhaw ankasa ma nnipa pii. Esiane sɛ atiridiinini, COVID-19, akisikuru, ne sinus infections ho sɛnkyerɛnne nyinaa di nsɛ yiye nti, ebetumi ayɛ den kakra sɛ wobɛkyerɛ nsonsonoe.

• Atiridiinini: Mpɛn pii no, ɛba nna kakraa bi mu, na ɛyɛ kɛse, na afei ɛde nkakrankakra ano brɛ ase. Wotumi di nna kakraa bi kosi bɛyɛ dapɛn biako.
• Hwene mu akisikuru: Nsɛnkyerɛnne titiriw ne sɛ ɔtaa fefe, hwene ne aniwa a ɛyɛ wo yaw, hwene a ɛyɛ den, hwene a ɛsen, ne hwene akyi nsu a ɛtɔ. Nanso, allergy ntaa mma anim yaw te sɛ sinus infections.
• COVID-19: Eyi betumi de sɛnkyerɛnne foforo te sɛ atiridiinini ne ahome a ɛyɛ den aba.
• Sinusitis: Nsɛnkyerɛnne no bi ne anim a ɛyɛ den, ɛyaw, nsu a ɛyɛ kɔkɔɔ anaa ahabammono a ɛyɛ den, ne ɔhome bɔne (halitosis).

Adeɛ a ɛho hia ne sɛ, atiridiinini, COVID, anaa allergies betumi ama sinus infection aba. Seesei wobɛtumi asɔ ɔyare mmoawa te sɛ COVID-19 ne influenza ahwɛ.

Dɛn ne sinusitis ho sɛnkyerɛnne ahorow?

Eyinom ne sɛnkyerɛnne ahorow a ɛtaa ba a ɛkyerɛ sɛ obi anya sinus yare:

• Postnosal nsuo a ɛtɔ.
• Hwene a ɛsen a ɛwɔ nsu a ɛyɛ kɔkɔɔ anaa ahabammono a ɛyɛ den.
• Anom a ɛyɛ mmerɛw.
• Nhyɛso anaa anim a ɛyɛ den (titiriw wɔ hwene, aniwa, ne moma so ho ahyia). Eyi betumi asɛe kɛse bere a woretutu ne ti anaa ɔda fam no.
• Nhyɛso anaa ɛyaw a ɛba sẽ mu.
• Nhyɛso anaa ɛyaw a ɛba aso mu.
• Huraeɛ.
• Ahome bɔne (halitosis) anaasɛ anom dɛ bɔne.
• Ɛwa.
• Tipaeɛ.
• Brɛ.

Dɛn ne nneɛma a ɛde sinus mu yare ba?

Nkwammoaa, mmoawa, fungi, ne nneɛma a ɛma obi ho yɛ no yaw betumi de sinusitis aba. Nneɛma a ɛtaa de ba no bi ne:

• Nwunu.
• Influensa anaa atiridiinini.
• Mmoawa ahorow bi, sɛ nhwɛso no `(Streptococcus pneumoniae)`, `(Haemophilus influenzae)`, `(Moraxella catarrhalis)`.
• Anom ne mmere mu akisikuru.

Hena na ɔwɔ asiane kɛse sɛ obenya sinusitis?

Nnipa binom taa nya sinusitis sen afoforo. Saa nneɛma a ɛde asiane ba yi ne:

• Wɔn a wɔn hwene mu yɛ wɔn yaw no fam.
• Wɔn a wɔwɔ ayamtu no fam.
• Wɔ nnipa a wɔwɔ nneɛma te sɛ hwene mu ntini anaa hwene mu akisikuru fam.
• Wɔn a wɔn hwene mu ntini a ɛtwetwe (ntini a ɛwɔ hwene mfinimfini a wɔfrɛ no septum) no fam. Sɛ eyi fi hɔ a, ɔkwan a ɛwɔ hwene no fã biako no betumi ayɛ teateaa na asiw kwan.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw. Eyi betumi afi nyarewa te sɛ HIV anaa kokoram, anaa nnuru bi mu aba.
• Wɔn a wɔnom sigaret no fam.

So sinusitis yɛ ɔyare mmoawa?

Sinusitis ankasa nyɛ nea wɔde yare mmoawa ba. Nanso, mmoawa ne mmoawa a wɔde ba no betumi ayɛ saa. Enti, sɛ woyare a, ɛho hia paa sɛ wudi ahotew ho nhyehyɛe pa te sɛ afoforo a wobɛtwe wo ho afi afoforo ho, wo nsa a wobɛhohoro mpɛn pii, ne wo nsateaa a wode bɛkata w’ano ne wo hwene so no akyi.

Sɛ wɔannya sinusitis a wɔansa a, dɛn na ɛba?

Ɛnyɛ sinusitis nyinaa na ɛsɛ sɛ wɔsa. Mpɛn pii no, ɛno ara bɛkɔ. Nanso, wɔ nsɛm a ɛntaa nsi mu no , sɛ wɔansa yare yi a, ebetumi atrɛw akɔ amemene, aniwa, anaa nnompe a ɛbɛn hɔ no mu, na ama mmoawa anaa ntontom atrɛw na ɛde nkwa ato asiane mu. Ɛno nti na ɛho hia sɛ yɛhwɛ yare no ho sɛnkyerɛnne ahorow no.

Ɔkwan bɛn so na oduruyɛfo hu sɛ obi anya sinus yare?

Nnuruyɛfo gyina wo sɛnkyerɛnne ne w’akwahosan ho abakɔsɛm so hu sinusitis. Oduruyɛfo bɛhwɛ w’aso, wo hwene, ne wo menewa mu ahwɛ sɛ wohonhon, nsõ, anaa asiw. Ebia wɔde adwinnade ketewaa bi a kanea wom a wɔfrɛ no endoscope nso bedi dwuma de ahwɛ wo hwene mu.

Oduruyɛfo a ɔhwɛ wo titiriw no nso betumi de wo akɔ oduruyɛfo titiriw bi nkyɛn, te sɛ otolaryngologist anaa ENT ho ɔbenfo.

Nhwehwɛmu titiriw a wɔyɛ de hu sinusitis:

Wɔ tebea horow bi mu no, oduruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom:

• Nasal endoscopy: Eyi hwehwɛ sɛ wɔde afiri bi a mfoninitwa afiri ketewaa bi wom hyɛ hwene no mu.
• Anom nsuo a wɔde hyɛ hwene mu: Wɔfa nsuo a ɛfiri hwene mu na wɔsɔ hwɛ sɛ ebia mmoawa anaa mmoawa foforɔ bi wɔ hɔ anaa.
• Mfoniniyɛ: Ɛtɔ da bi a wobetumi aka akyerɛ wo sɛ yɛ ``(CT) scan`` (Computed Tomography scan) na woahu nea ɛrekɔ so wɔ wo sinus mu pɛpɛɛpɛ.
• Allergy nhwehwɛmu: Sɛ wowɔ sinusitis a enni sabea a, wobetumi ayɛ nhwehwɛmu yi de ahu allergy a ɛde ba.
• Biopsy: Ɛntaa mma koraa sɛ wobetumi ayi ntini bi afi hwene no mu na wɔasɔ ahwɛ.

Ɔkwan bɛn so na wɔsa sinusitis?

Ayaresa pii wɔ hɔ a wɔde sa sinusitis, a egyina wo sɛnkyerɛnne ne bere tenten a woanya so. Wubetumi asɔ saa nneɛma yi ahwɛ wɔ fie:

• Nnuru a ɛbue hwene (Decongestants).
• Nnuru a wɔtɔn wɔ aduruyɛdan mu (OTC) a wɔde yɛ atiridii ne akisikuru a wobetumi atɔ wɔ nnurutɔnbea.
• Nkyene a wɔde hohoro hwene mu.
• Nsu pii a wɔnom.
• Nsu a ɛyɛ hyew a wɔkyere.

Sɛ wo sinusitis ho sɛnkyerɛnne no ankɔ yiye wɔ bɛyɛ nnafua 10 akyi a, oduruyɛfo betumi akyerɛw wo nnuru te sɛ:

• Nnuru a ekum ɔyare mmoawa.
• Nnuru a wɔde ma anom anaa hwene mu yɛ den.
• Steroid a wɔde petepete anom a wɔkyerɛw ma obi. (Mfa nnuru a wɔde petepete wo hwene mu a wɔmfa nnuru nhyɛ mu nni dwuma bɛboro nnansa kosi anum, efisɛ ebetumi ama wo hwene ayɛ mmerɛw kɛse.)

Sɛ wɔresa nnipa a wɔwɔ sinusitis a enni sabea a, wɔsa nea ɛde ba no. Ebia eyi bi ne:

• Steroid a wɔde petepete anom.
• Nnuru a wɔde petepete nipadua no so a wɔde ko tia histamine anaasɛ nnuru a wɔnom.
• Nnuru a ɛwɔ nnuru kuw a wɔfrɛ no `Leukotriene antagonists` mu, sɛ nhwɛso no `(montelukast)`.
• Ebia ɛho behia nso sɛ wɔyɛ oprehyɛn wɔ nhyehyɛe mu ɔhaw ahorow a ɛwɔ hwene mu, polyps, anaa fungal infections ho.

Dɛn ne aduru a eye sen biara a wɔde sa sinus yare?

Sɛ wuhia aduru a ekum ɔyare mmoawa a, nea wo duruyɛfo bɛkyerɛw ama wo no betumi ayɛ soronko a egyina wo tebea no so. Nhwɛso ahorow bi ne:

• `(Augmentin)` (amoxicillin/aduru a wɔde hyɛ nipadua mu) .
• `(Amoxicillin)`
• `( Doxycycline ( Doxycycline) ) ) Ɔkwan a wɔfa so yɛ aduru a ɛma obi nya apɔwmuden
• `(Levofloxacin)`
• `(Nhyɛaseɛ)`
• `(Cefpodoxime)`
• `(Clindamycin)`

Nea ɛho hia: Mma w’ankasa nnom nnuru a ekum ɔyare mmoawa da a wunni oduruyɛfo krataa.

So ayaresa a wɔde ka ho ne ayaresa foforo boa ma obi nya sinusitis?

Nnipa binom hu sɛ acupressure, acupuncture, anaa anim a wɔde twitwiw nipadua no betumi aboa ma sinusitis ho sɛnkyerɛnne te sɛ nsu a ɛyɛ nwini, nhyɛso, ne ɛyaw so atew. Ɛyɛ papa sɛ wubebisa wo duruyɛfo sɛ saa ayaresa ahorow yi fata wo anaa.

So sinus mu nyarewa nyinaa hia nnuru a ekum ɔyare mmoawa?

Dabi, nnuruyɛfo dodow no ara bɛtwɛn ahwɛ bere tenten a wo yare no ho sɛnkyerɛnne no adi ansa na wɔasi gyinae sɛ wɔbɛma wo nnuru a ekum ɔyare mmoawa anaa. Nkwammoaa na ɛde sinus mu yare dodow no ara ba. Nnuru a ekum ɔyare mmoawa nsa ɔyare mmoawa. Sɛ wɔde nnuru a ekum ɔyare mmoawa di dwuma a ɛho nhia, anaasɛ wɔde di dwuma ma ɔyare mmoawa a, ebetumi de ɔhaw ahorow aba na ebetumi ama wɔako atia nnuru a ekum ɔyare mmoawa, na ɛno betumi ama ayɛ den sɛ wɔbɛsa ɔyare mmoawa a ɛba akyiri yi.

So wobetumi asiw sinusitis ano?

Ɛdenam nea ɛde ba so no, akwan pii wɔ hɔ a wɔfa so tew asiane a ɛwɔ hɔ sɛ wobenya sinus mu yare no so. Wɔne:

• Nkyene nsu (nkyene) a wode bɛhohoro hwene mu sɛnea oduruyɛfo no afotu no.
• Anamɔn a wɔbɛyɛ de asiw akisikuru ano. Nea ɛka eyi ho ne nnuru, nnuru a wɔde sa akisikuru, ne nneɛma a wo ho yɛ wo hyew (sɛ nhwɛso no, mfutuma, nsu mu nsu, wusiw) a wobɛkwati.
• Fa steroid a wɔde petepete hwene mu di dwuma sɛ wo duruyɛfo kamfo kyerɛ a.
• Suban pa a ebetumi abɔ wo ho ban afi nyarewa a wɔde yare mmoawa ba te sɛ nsa a wobɛhohoro ho yiye a wubenya.
• Kwati sigaretnom. Sɛ wonom sigaret a, akwan bi wɔ hɔ a ɛbɛboa wo ma woagyae.

Dɛn na obi a ɔwɔ sinusitis betumi ahwɛ kwan?

Sinusitis taa di bɛyɛ dapɛn biako kosi nna du . Mpɛn pii no, wobetumi de nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu ne nnuru a wɔde sa fie asa. Nanso, sɛ wowɔ sinusitis a enni sabea, anaasɛ ɛtaa ba a, ebia nneɛma afoforo bi wɔ hɔ a ɛde ba. Ɛsɛ sɛ wɔsa eyinom yare.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wowɔ sinus yare bi?

Mpɛn pii no wubetumi adi sinus haw ahorow ho dwuma wɔ fie. Nanso sɛ wowɔ sɛnkyerɛnne ahorow a ɛkɔ so daa, ɛhaw wo, anaasɛ wotaa nya ɔyare mmoawa a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa. Obetumi akyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa a emu yɛ den , a ɛkyerɛ sɛnkyerɛnne ahorow a ɛwɔ ase ha no mu biara a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo anaa hwehwɛ aduruyɛfo afotu ntɛm ara :

• Atiridiinini a ano yɛ den yiye (boro 103 Fahrenheit/40 Celsius).
• Adwene a ɛyɛ basaa anaa adwene mu nsakrae afoforo.
• Anisoadehu sesa, titiriw bere a ɛyaw anaa ɛho ahonhon atwa aniwa no ho ahyia no.
• Akisikuru te sɛ akisikuru.
• Kɔn a ɛyɛ den.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ɛyɛ adwene pa sɛ wobɛka akyerɛ wo duruyɛfoɔ sɛ ɔnkyerɛ wo sɛdeɛ wode mfiri a ɔkamfo kyerɛ no bedi dwuma yie (e.g., nnuru a wɔde petepete hwene mu, mfiri a wɔde gugu hwene mu nsuo). Ɛboa nso sɛ wubebisa nsɛm yi:

• Mɛyɛ dɛn asa sinus yare wɔ fie?
• Ɔkwan bɛn so ankasa na ɛsɛ sɛ menom m’aduru?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

Sinus mu yare abu so na mpɛn pii no ɛnyɛ nea emu yɛ den. Ebetumi afi nneɛma ahorow mu aba, a mmoawa, mmoawa, hwene mu ntini, anaa akisikuru ka ho. Mpɛn pii no wubetumi asa wɔn yare wɔ fie denam ahomegye pii a wubenya, nnuru a wɔmfa nnuru nhyɛ mu a wode bedi dwuma, ne nsu pii a wobɛnom so. Nanso, sɛ wo yare no ho sɛnkyerɛnne no ankɔ, ɛreyɛ kɛse, anaasɛ wowɔ sɛnkyerɛnne bi a ɛhaw wo a, kɔ wo duruyɛfo nkyɛn.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti momma yɛnsan nhwɛ nokwasɛm ahorow a ɛho hia sen biara a ɛfa sinusitis ho a yɛkaa ho asɛm no mu.

• Sinusitis yɛ ɔfe a ɛba w’anim ntini a ɛwɔ w’anim no so.
• Eyi betumi afi mmoawa, mmoawa, fungi, anaa akisikuru.
• Nsɛnkyerɛnne titiriw ne hwene a ɛyɛ den, nsu a ɛyɛ den, anim yaw, ne nhyɛso.
• Mpɛn pii no, ɛno ankasa sa yare , anaasɛ ɛyɛ yiye denam ofie ayaresa a ɛnyɛ den so.
• Ɛnyɛ bere nyinaa na nnuru a ekum ɔyare mmoawa ho hia. Mfaso biara nni so wɔ mmoawa a wɔde nyarewa ba ho.
• Sɛ sɛnkyerɛnne no kɔ so bɛboro nnafua 10 , ɛtaa ba, anaasɛ wowɔ sɛnkyerɛnne a emu yɛ den te sɛ atiridiinini kɛse ne nsakrae a ɛba w’ani so , hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
• Nneɛma te sɛ akwahosan ho su pa, akisikuru ano aduru, ne sigaretnom a wɔkwati betumi aboa ma wɔasiw ano .

Enti, mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Sinusitis, sinus, hwene a ɛyɛ mmerɛw, atiridii, tiyɛ, ɔyare mmoawa, ayaresa