He fungus anei ke kumu o nā pilikia sinus mau? (Fungal Sinusitis) E ʻike pono kākou!

Loaʻa pinepine iā ʻoe nā pilikia sinus? He mea maʻamau anei ka loaʻa ʻana o ka ihu paʻa, ka ihu ʻeha, ka ʻeha poʻo, a me nā papālina ʻeha a me ka lae? He nui o mākou e kapa nei i kēia he "sinusitis." Akā ua ʻike anei ʻoe i kekahi manawa ʻaʻole ke kumu o kēia pilikia sinus he germ maʻamau (bacteria), akā he fungus (fungus). ʻO ia ka mea a mākou e kapa nei ʻo Fungal Sinusitis, a i ʻole Fungal Rhinosinusitis i ka lāʻau lapaʻau. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Fungal Sinusitis?

ʻAe, e nānā mua kākou i ke ʻano o nā sinuses. ʻO nā sinuses nā lua ea hakahaka i loko o nā iwi o kou maka, a puni kou ihu. Hoʻopili ʻia kēia mau mea i kou ihu. ʻO ka maʻamau, ua piha kēia mau lua i ka ea.

I kēia manawa, e noʻonoʻo, inā komo kahi fungus - kahi ʻano mold - i loko o kēia mau lua sinus a hoʻoulu i kahi maʻi, ʻo ia ka mea a mākou e kapa nei he Fungal Sinusitis . E like me ka ulu ʻana o ka mold ma kahi ʻāpana berena, hiki i nā fungi ke ulu i loko o ko mākou mau lua sinus. Hoʻoulu kēia i nā hōʻailona e like me ka ihu paʻa a me ka ʻeha sinus.

ʻElua mau ʻano nui o ka sinusitis fungal:

He mea nui loa e hoʻomaopopo pono i kēia, no ka mea, ʻoiai ʻaʻole hoʻokahi ʻano i mea weliweli, hiki i kekahi ʻano ke hoʻoweliweli i ke ola.

1. ʻAno ʻaʻole invasive: ʻO kēia ke ʻano maʻamau. Maanei, ua kaupalena ʻia ka fungus i nā lua ihu a me nā sinus. Ua like ia me ka ʻōpala e ulu ana ma ka paia o kahi hale, akā ʻaʻole ia e uhaʻi i ka paia a laha i loko o ka hale. ʻAʻole ʻoi aku ka weliweli o kēia ʻano.

2. ʻAno komo: ʻO kēia ke ʻano weliweli loa. Maanei, hoʻopau ka fungus i nā paia o nā lua sinus a hoʻomaka e laha i nā ʻiʻo a puni, nā maka, a me ka lolo. E like me kēlā ʻōpala i ulu ma ka paia, ʻai i ka paia a laha ma loko o ka hale. Hiki i kēia ke make inā ʻaʻole mālama koke ʻia.

I kēia manawa, e nānā kākou i nā mahele ma lalo o kēia mau ʻano ʻelua me nā kikoʻī hou aku.

Nā ʻano komo ʻole

• Sinusitis Fungal Allergic: ʻO kēia ka wā e loaʻa ai i kou kino kahi hopena allergic i kahi fungus e komo i loko o kou ihu. Hoʻopiha kēia i nā lua sinus me ka mucus mānoanoa, a i kekahi manawa ke kumu o nā mea e like me nā polyps nasal. ʻOi aku ka nui o ka poʻe me ka hānō a i ʻole nā ​​​​​​mea maʻi allergies i nā mea e like me nā mites lepo (allergic rhinitis) e loaʻa i kēia maʻi.
• Pōpō Fungal (Mycetoma): ʻO kēia ka wā e hana ai nā fungi i kahi puʻu e like me ka pōpō i loko o kahi lua sinus. I ka ulu ʻana o kēia pōpō fungus, hiki iā ia ke ālai i ka lua sinus, e hana ana i ke kaomi a me ka ʻeha.
• ʻO ka Sinusitis Fungal Saprophytic:ʻO kēia kahi e ulu ai ka haʻihaʻi ma luna o nā membrane mucous maloʻo (ʻili) i loko o ka ihu. ʻAʻole pinepine kēia e hōʻeha nui.

Nā ʻano komo hewa - ʻo ia nā mea weliweli!

• ʻO ka Sinusitis Fungal Invasive Acute: He maʻi koke a koʻikoʻi loa kēia. Maanei, hoʻopau ka fungus i nā kīʻaha koko i loko o ka ihu. ʻO ka hopena, hoʻomaka ka make o nā ʻiʻo. Hiki i kēia maʻi ke laha koke i nā maka a me ka lolo, e hoʻoulu ai i ka makapō a me ka make. ʻOi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale nāwaliwali (e.g., nā maʻi kanesa, nā poʻe i loaʻa i ka maʻi HIV) i ka loaʻa ʻana o kēia maʻi.
• ʻO ka Sinusitis Fungal Invasive Chronic: Ua like kēia me ke ʻano Acute i ʻōlelo ʻia ma luna, akā lohi iki ka wikiwiki o ka laha ʻana. Hoʻolaha mālie ia i ka hala ʻana o ka manawa. ʻOi aku ka nui o ka poʻe me ka maʻi diabetes e loaʻa i kēia ʻano.
• ʻO Granulomatous Invasive Fungal Sinusitis (GIFS): He ʻano laha ʻole kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka ʻana o ka ʻōnaehana pale o ke kino i kahi pane koʻikoʻi e kūʻē i ka fungus, e luku ana i nā ʻiʻo o ka ihu. ʻAʻole maopopo loa ke kumu o kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau maʻi sinus fungal?

Ma keʻano laulā, ʻaʻole pinepine ka poʻe olakino i kēia mau maʻi fungal, ʻoiai nā ʻano invasive weliweli. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale nāwaliwali . Eia kekahi laʻana:

• No ka poʻe i loaʻa i ka maʻi HIV
• ʻO nā poʻe maʻi kanesa (ʻoi aku ka leukemia, lymphoma) a me ka poʻe e hana ana i ka chemotherapy
• No ka poʻe me ka maʻi diabetes koʻikoʻi i kāohi ʻole ʻia
• ʻO ka poʻe e lawe ana i nā lāʻau lapaʻau e like me nā immunosuppressants a me nā steroids no ka manawa lōʻihi (e.g. nā poʻe maʻi hoʻoili kino)

He aha nā hōʻailona o ka sinusitis fungal?

Ua like loa nā hōʻailona me nā pilikia sinus maʻamau. Eia nō naʻe, hiki ke loaʻa nā hōʻailona hou aʻe ma muli o ke ʻano o ka maʻi a inā he ʻino a ʻaʻole paha. E nānā kākou i kēia mau mea ma kahi papa.

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​nā maʻi ʻē aʻe āu e loaʻa nei, a me nā lāʻau lapaʻau āu e lawe nei. A laila, hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Endoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela i loko o ka ihu e nānā i loko o nā lua sinus. ʻAe kēia i ke kūlana i loko o nā sinuses e ʻike ʻia ma kahi monitor.
• Biopsy: I ka wā o ka endoscopy, hiki i ke kauka ke lawe i kahi laʻana liʻiliʻi o ka mucus a i ʻole ka ʻiʻo mai loko mai o ka ihu a i ʻole ka lua sinus a hoʻouna aku i ka lab no ka hoʻāʻo ʻana. Hiki i kēia hoʻāʻo ke haʻi maopopo inā ua hoʻokumu ʻia ka maʻi e ka bacteria, kahi virus, a i ʻole kahi fungus. Hiki iā ia ke hoʻoholo inā he invasive ka maʻi.
• CT Scan: He hoʻāʻo kiʻi kēia e like me ka X-ray. Hiki iā ia ke hana i nā kiʻi ʻekolu-dimensional o loko o nā lua sinus. Hiki i kēia ke kōkua i ka ʻike maopopo ʻana i ka mamao o ka laha ʻana o ka maʻi a inā he mau pōpō fungal.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka sinusitis fungal āu e loaʻa ai a me ke kūlana o kāu ʻōnaehana pale.

• ʻO ke ʻoki kino Sinus:I ka hapanui o nā hihia, pono ke ʻoki kino e mālama i kēia. ʻO ke ʻoki kino e pili ana i ka wehe ʻana i nā ʻiʻo āpau i loaʻa i ka maʻi, nā pōpō fungal, a me ka mucus mānoanoa, a me ka hoʻomaʻemaʻe pono ʻana i nā lua sinus. I nā ʻano invasive, pono paha e wehe i nā ʻiʻo a puni kahi i laha ai ka fungus.
• Nā lāʻau antifungal: No kekahi ʻano maʻi, ʻoi aku hoʻi nā ʻano invasive, hāʻawi ʻia nā lāʻau antifungal (waha a injectable paha) i ka manawa like me ke ʻoki ʻana.
• Corticosteroids: Hiki ke hāʻawi ʻia nā steroids (nā pīpī ihu a i ʻole nā ​​​​pile) e hōʻemi i ka pehu a me ke kaomi i loko o nā lua sinus. Hoʻohana pinepine ʻia kēia mau mea no ka Allergic Fungal Sinusitis.
• Holoi Ihu: I nā hihia maʻalahi, e like me ke ʻano saprophytic, wehe ʻia ka mucus maloʻo i loko o ka ihu a hoʻomaʻemaʻe ʻia nā lua sinus me kahi wai saline.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Nā ʻano invasive ʻole: Hoʻopau loa kēia mau mea me ka lāʻau lapaʻau, akā hiki i kekahi mau ʻano (ʻoi aku ka Allergic Fungal Sinusitis) ke hana hou ma hope o ka lāʻau lapaʻau.

ʻAno hoʻouka kaua: He mea weliweli loa kēia. I nā maʻi koʻikoʻi e like me ka Acute Invasive Fungal Sinusitis, ʻo ka pilikia o ka make ma kahi o 50% ʻoiai me ka mālama koke ʻana. No laila ua ʻōlelo ʻia e ʻike koke i ke kauka, ʻoiai inā he mau hōʻailona liʻiliʻi kou. ʻOiai inā ua hoʻopakele ʻia kou ola ma hope o ka mālama ʻana, hiki i kekahi poʻe ke ʻeha i ka hōʻino ʻana o ke aʻalolo a me nā ʻano ʻē o ka maka (ma muli o ka wehe ʻana i nā ʻiʻo).

Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?

• Inā loaʻa iā ʻoe nā hōʻailona o ka Fungal Sinusitis i ʻōlelo ʻia ma luna, ʻoiai inā ua lōʻihi ko lākou noho ʻana (Chronic Sinusitis), e ʻike pono i ke kauka no ka nānā ʻana.
• Inā ua loaʻa iā ʻoe ka sinusitis fungal ma mua a i ʻole he maʻi e hoʻohaʻahaʻa ana i kāu ʻōnaehana pale, e kūkākūkā mau me kāu kauka.

E hele koke i ka Emergency Treatment Unit (ETU)!

Inā ua nāwaliwali kou pale ʻana i ke kino (e.g., he maʻi kanesa, maʻi HIV, immunosuppressant) a loaʻa iā ʻoe kekahi o nā hōʻailona o kahi maʻi invasive (e like me ka mae ʻana o ka maka, ka pehu ʻana o ka maka, nā loli o ka ʻike), e hele koke i ka lumi pilikia haukapila kokoke loa (ETU). Hiki i kēia ke lilo i kūlana ola a make paha.