Loaʻa iā ʻoe nā pilikia sinus pinepine? E aʻo e pili ana i kēia sinusitis fungal!

He ihu paʻa kou i nā manawa a pau? He poʻo kaumaha kou, ʻeha ma nā ʻaoʻao ʻelua o kou mau papālina, kou lae, a i ʻole ka wahi ma waena o kou mau maka? ʻO ka hapa nui o ka manawa, hiki i kēia mau mea ke pili i ka sinus. Akā ua ʻike anei ʻoe ʻaʻole like nā pilikia sinus a pau? Hoʻokumu ʻia kekahi mau maʻi sinus e ka bacteria, a ʻo kekahi e nā virus. Akā i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano sinusitis ʻokoʻa iki i ʻike ʻole ʻia e ka poʻe he nui. ʻO ia kahi maʻi sinus i hoʻokumu ʻia e ka fungus, a i ʻole e ʻoi aku ka pololei, kahi ʻano i kapa ʻia ʻo fungal sinusitis. I kekahi manawa, ua kapa ʻia hoʻi kēia he fungal rhinosinusitis.

He aha ka Fungal Sinusitis? E wehewehe maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka Fungal Sinusitis kahi maʻi o ko mākou mau lua sinus ma muli o ka fungi (ʻo ia hoʻi nā microorganism e like me ka hū a me ka mold). ʻO nā lua sinus nā hakahaka ma waena o kou mau papālina, lae, a me nā maka. Nui nā ʻano sinusitis fungal. Akā i ka hapa nui o ka manawa, ʻo nā hōʻailona maʻamau o kēia mau ʻano āpau he ihu paʻa, mucus, a me ka ʻeha sinus.

ʻO ka hapa pinepine, mālama nā kauka i kēia kūlana me ke ʻoki sinus, akā i kekahi mau hihia koʻikoʻi, pono paha ka lāʻau antifungal.

He aha nā ʻano nui o ka sinusitis fungal?

Hoʻokaʻawale nā ​​​​kauka i ka sinusitis fungal i ʻelua mau ʻano nui:

1. Nā ʻano ʻaʻole invasive: ʻO kēia nā ʻano maʻamau. I kēia ʻano, ua kaupalena ʻia ka maʻi i nā lua ihu a me nā sinus. Kākaʻikahi ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino.

2. Nā ʻano komo: He ʻoi aku ka weliweli o kēia mau mea, akā he kakaikahi loa. I kēia ʻano, hiki i ka maʻi fungal ke laha i nā ʻāpana ʻē aʻe o ke kino, no ka laʻana, nā maka a me ka lolo. Inā ʻaʻole mālama pono ʻia, hiki i kēia kūlana ke hoʻoweliweli i ke ola.

I kēia manawa, e nānā kākou i kēlā me kēia ʻano me nā kikoʻī hou aku.

Nā ʻano sinusitis fungal ʻaʻole invasive

• Sinusitis fungal allergic: Hoʻokumu ʻia kēia e ka pane allergic o ke kino i nā fungi i loko o ka ihu. Ma kēia, piha nā lua sinus me ka mucus mānoanoa, a i kekahi manawa hiki ke ulu nā polyps nasal. ʻOi aku ka nui o ka poʻe me ka hānō a i ʻole nā ​​​​​​allergies e like me ka hay fever e loaʻa i kēia ʻano.
• Pōpō fungal / mycetoma: ʻO kēia ka wā e hōʻiliʻili ai nā fungi i loko o nā lua sinus a hana i kahi pōpō liʻiliʻi a puʻu paha. Hiki i kēia pōpō fungal (mycetoma) ke ulu a ālai i nā ala sinus.
• ʻO ka sinusitis fungal saprophytic: ʻO kēia ka wā e ulu ai nā fungi ma luna o nā ʻōpala mucus i loko o ka ihu.

Nā ʻano o ka Sinusitis Fungal Invasive

• ʻO ka sinusitis fungal invasive acute: I kēia hihia, hoʻopau ka fungus i nā kīʻaha koko i loko o ka ihu. A laila hoʻomaka ka make ʻana o nā ʻiʻo ma ia wahi. 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 poʻe me ka ʻōnaehana pale nāwaliwali e loaʻa i kēia maʻi.
• ʻO ka sinusitis fungal invasive mau loa: Ua like kēia me ke ʻano ʻoi, akā lohi iki ka laha ʻana. ʻOi aku ka nui o ka poʻe me ka maʻi diabetes mellitus e loaʻa i kēia ʻano.
• ʻO ka sinusitis fungal invasive Granulomatous (GIFS): He ʻano kakaikahi loa kēia. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pane ikaika ʻana o ka ʻōnaehana pale o ko mākou kino i ka fungus. A laila hoʻouka ka ʻōnaehana pale i ka uhi o ka ihu, e luku ana i ka ʻiʻo ihu. ʻAʻole maopopo i nā kauka ke kumu o kēia.

Pehea ka maʻamau o kēia mau maʻi sinus fungal? ʻO wai ka mea e loaʻa pinepine ai iā lākou?

ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali , ʻoi aku ka nui o ka loaʻa ʻana o kēia mau maʻi sinus fungal. ʻOi aku ka maʻamau o nā maʻi koʻikoʻi i:

• No ka poʻe i loaʻa i ka maʻi HIV.
• ʻO ka poʻe me ke kanesa (e like me ka leukemia, lymphoma), a i ʻole ka poʻe e loaʻa ana i ka chemotherapy no ke kanesa.
• No nā poʻe me ka maʻi diabetes i kāohi ʻole ʻia.
• ʻO ka poʻe e lawe ana i nā immunosuppressants, no ka laʻana steroids.

He aha nā hōʻailona o ka maʻi fungal sinus?

Hiki i nā hōʻailona o ka sinusitis fungal ke like me nā hōʻailona o ka maʻi sinus maʻamau. Eia nō naʻe, inā loaʻa nā hōʻailona hou aʻe ma muli o ke ʻano o ka maʻi fungal a inā he invasive a ʻaʻole paha.

ʻO ka maʻamau, hōʻike nā ʻano noninvasive i nā ʻano penei:

• Ka emi ʻana o ke ʻala ma o ka ihu.
• Kuni.
• Ka pehu ʻana o ka ihu a me nā lua sinus.
• He mea mānoanoa a pipili paha e like me ke kāpili laholio, he melemele gula ke kala, e puka mai ana mai ka ihu mai.
• Paʻa ka ihu.
• Ihu wai (phlegm).
• Ke manaʻo o ke kaomi a me ke kaumaha i loko o nā lua sinus.
• ʻEha poʻo sinus.
• ʻO ʻoe wale nō ke honi i kahi ʻala ʻino (e like me ke ʻala ʻā, ke ʻala o kahi mea pala) ʻaʻole hiki i kekahi ke honi.

ʻOi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale i nāwaliwali o ka hoʻomohala ʻana i nā hōʻailona koʻikoʻi e like me:

• Nā loli ʻano a me nā pilikia neurological (ka pilikia o ka noʻonoʻo a me ka noʻonoʻo ʻana).
• Nā loli i ke kala o ka ʻili (malia paha e lilo ke kala o ka ʻili i mea keʻokeʻo loa a ʻeleʻele paha).
• Manaʻo o ka mae ʻana o ka maka.
• Nā loli o ka ʻike, malia paha a hiki i ka nalowale loa ʻana o ka ʻike.
• ʻEha poʻo nui.
• Pehu nui o nā papālina a i ʻole nā ​​maka.

No ke aha e kū mai ai kēia sinusitis fungal? He aha ke kumu?

Hiki ke hoʻoulu ʻia nā maʻi sinus e nā ʻano fungi like ʻole. ʻO ka hapa pinepine, ʻo kēia mau maʻi sinus fungal ke kumu ʻia e ka ʻōpala a i ʻole ka hū. Ke hanu mākou, hiki i kēia mau ʻāpana fungal liʻiliʻi ke komo i loko o ko mākou mau lua sinus ma o ko mākou ihu.

E noʻonoʻo e pili ana i ia mea, he nui o kēia mau ʻano fungi e noho maoli ana ma luna a i loko paha o ko kākou kino i nā manawa a pau. Akā, ʻaʻole lākou e hoʻopilikia pinepine iā kākou. ʻO ka mea e lilo i mea weliweli ke nāwaliwali ko kākou ʻōnaehana pale. A laila hiki i kēia mau fungi ke ulu maʻalahi a hoʻoulu i nā maʻi.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia nā maʻi sinus fungal invasive, hiki i ka fungus ke luku i nā ʻiʻo i loko o ka ihu a laha i nā maka a me ka lolo. Hiki i kēia mau pilikia ke alakaʻi i ka hōʻino ʻana o nā ʻiʻo, ka makapō, a me ka make . ʻO ka poʻe me nā kūlana e hoʻonāwaliwali ai i ka ʻōnaehana pale (e.g., diabetes, leukemia) ka poʻe i pilikia nui i kēia mau pilikia.

No laila, inā loaʻa iā ʻoe nā hōʻailona o ka sinusitis fungal, ʻoiai inā he nāwaliwali kou ʻōnaehana pale, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike ai nā kauka i kēia maʻi i kapa ʻia ʻo sinusitis fungal?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe ('hoʻokolohua kino'). E nīnau ʻo ia e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me nā lāʻau lapaʻau āu e lawe ai. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua, e like me:

• Endoscopy: Pili kēia i ke kauka e hoʻokomo i kahi ʻōmole lōʻihi a lahilahi (me kahi kāmela liʻiliʻi ma ka hopena) i loko o kou ihu e nānā i kou mau lua sinus. Hiki ke nānā ʻia nā kiʻi mai ke kāmela ma kahi monitor. He hoʻāʻo maʻalahi kēia a ʻeha ʻole.
• Biopsy: I ka wā o ka endoscopy, hiki i kāu kauka ke lawe i kahi laʻana liʻiliʻi o ka mucus a i ʻole ka ʻiʻo mai kou ihu. Hoʻouna ʻia kēia laʻana i kahi lab e hoʻoholo pono i ke ʻano o ka pathogen e hoʻoulu nei i kāu maʻi sinus - inā he virus, bacteria, fungus, a parasite paha. Hiki iā ia ke haʻi inā he invasive ka maʻi.
• CT scan (computed tomography scan): Ua like kēia me kahi X-ray kūikawā. Hiki iā ia ke nānā pono i loko o kou mau lua sinus, kuhikuhi i kahi kikoʻī o ka maʻi, a nānā pū i kēlā mau pōpō fungal a mākou i kamaʻilio ai ma mua.

He aha nā lāʻau lapaʻau no kēia?

Aia kekahi mau lāʻau lapaʻau no ka sinusitis fungal. ʻO ka lāʻau lapaʻau āu e pono ai e pili ana i kou kūlana.

• Nā lāʻau antifungal: Pono kekahi ʻano maʻi i nā lāʻau antifungal. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me ke ʻoki kino.
• Corticosteroids: Hiki i kāu kauka ke kuhikuhi i nā steroids e hōʻemi i ka pehu a hoʻohaʻahaʻa i ke kaomi sinus.
• Holoi ihu: Ma nā kūlana e like me ka sinusitis fungal saprophytic, wehe nā kauka i ka mucus maloʻo mai ka ihu a holoi pono i nā lua sinus me kahi hopena saline (kahi hui ʻana o ka paʻakai a me ka wai).
• ʻO ke ʻoki ʻana i ka sinus: Ma muli o ke ʻano o ka maʻi, pono paha ke kauka e hana i kahi ʻoki maʻamau. Pili kēia i ka wehe ʻana i nā ʻiʻo i loaʻa i ka maʻi a me ka hoʻomaʻemaʻe pono ʻana i ka wahi. Inā ua pālahalaha nui ka maʻi, hiki i kēia ʻoki ke wehe i nā ʻāpana i hoʻopilikia ʻia.

ʻAʻole paha e pono i kekahi ʻano sinusitis fungal ka mālama nui ʻana no kekahi kanaka me kahi ʻōnaehana pale olakino. Eia nō naʻe, he pilikia olakino nā maʻi sinus fungal invasive a pono e mālama koke ʻia.

Hiki ke pale ʻia kēia maʻi sinusitis fungal?

ʻO kaʻoiaʻiʻo, he paʻakikī ke pale loa i ka maʻi sinus fungal no ka mea he nui nā fungi i ke kaiapuni. Eia nō naʻe, he mea nui e kamaʻilio me ke kauka inā hāʻule ʻoe i kekahi o kēia mau hui pilikia:

• Inā ua loaʻa iā ʻoe kahi maʻi sinus fungal.
• Inā he maʻi kou e hoʻonāwaliwali ai i kou ʻōnaehana pale kino.
• Inā ʻoe e lawe ana i nā lāʻau immunosuppressant a i ʻole e loaʻa ana iā ʻoe ka chemotherapy no ka maʻi kanesa.

Inā he nāwaliwali kou ʻōnaehana pale maʻi a i ʻole he kiʻekiʻe aʻe kou pilikia no nā maʻi sinus fungal, e haʻi i kāu kauka. Hiki iā ia ke kuhikuhi i nā lāʻau antifungal e pale aku i kahi maʻi ma mua o ka hiki ʻana mai.

He aha ka mea e hana ai inā loaʻa iaʻu ka sinusitis fungal? E hoʻomaikaʻi anei ia?

ʻO ka hapa nui o nā maʻi sinus fungal noninvasive, inā mālama pono ʻia , e hoʻopau me ka ʻole o nā pilikia koʻikoʻi. Eia nō naʻe, hiki i kekahi mau ʻano maʻi ke hoʻi hou mai ma hope o ka mālama ʻana.

Eia nō naʻe, he pilikia olakino nā maʻi sinus fungal invasive a pono e mālama koke ʻia.

Eia kekahi laʻana, hiki i ke kūlana "Acute invasive fungal sinusitis" ke make ma kahi o 50% o nā hihia inā ʻaʻole mālama ʻia. No ka mea, ua laha koke kēia maʻi, he mea nui e loaʻa koke ka lāʻau lapaʻau. ʻOiai ma hope o ka lāʻau lapaʻau, hiki i kekahi poʻe ke loaʻa ka hōʻino ʻana o ke aʻalolo, ka ʻeha lōʻihi, a i ʻole nā ​​​​​​deformities o ka maka ma muli o ka hōʻino ʻana o nā ʻiʻo.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he mau hōʻailona kou o ka sinusitis fungal, e ʻike pono i ke kauka no ka nānā ʻana. He mea nui hoʻi e haʻi i kāu kauka inā he mau pilikia sinus mau kou, e like me ka sinusitis mau, ʻaʻole e nalo.

Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi sinus fungal, a hāʻule ʻoe i kekahi o nā ʻano ma lalo nei, e hele koke i kahi lumi pilikia:

• Inā he maʻi kou e hoʻonāwaliwali ai i kou ʻōnaehana pale (e like me ka maʻi HIV, ka maʻi diabetes i kāohi ʻole ʻia, ke kanesa).
• Inā ʻoe e lawe ana i nā lāʻau immunosuppressant.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

I ka wā e pili ana i nā maʻi sinus fungal, hiki iā lākou ke ʻano mai ka maʻalahi a i ka koʻikoʻi. ʻOiai he sinusitis fungal kou, ʻaʻole ia he manaʻo e hopohopo ʻoe. Akā he mea nui e ʻike i ke kauka a loaʻa ka lāʻau kūpono.

E hoʻomanaʻo, ʻoiai inā he nāwaliwali kou ʻōnaehana pale a loaʻa iā ʻoe nā hōʻailona o ka sinusitis fungal, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole. No ka mea, hiki i nā maʻi sinus fungal invasive ke laha koke a hoʻoulu i nā pilikia koʻikoʻi ʻē aʻe, a hiki ke hoʻoweliweli i ke ola.

No laila, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i kou olakino.

ʻO ka Sinusitis Fungal, ka maʻi Sinus, ka ihu paʻa, ka Fungus, nā hōʻailona Sinus, ka mālama ʻana i ka Sinusitis, ka Fungal Sinusitis