He ihu paʻa kou? Manaʻo anei ʻoe e like me ka mucus e iho ana i lalo o kou puʻu, a i ʻole e puka mai ana ka mucus mānoanoa mai kou ihu? I kekahi manawa, loaʻa iā ʻoe kahi ʻeha a me ka paʻa ʻē ma kou maka a me kou lae, me ke poʻo ʻeha? He mau hōʻailona paha kēia e loaʻa ana iā ʻoe ka sinusitis. He nui ka poʻe e kapa nei i kēia he sinusitis. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi i kēia lā.
He aha ka Sinusitis? He aha nā Sinuses?
I ka ʻōlelo maʻalahi, ʻo ka sinusitis ka mumū o ka uhi o kou mau sinuses. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau sinuses.
E noʻonoʻo, i loko o kou alo, ma waho o kou mau puka ihu, ma lalo o kou mau maka, a ma kou lae, aia ʻehā mau lua liʻiliʻi i piha i ka ea (ma nā pālua). Ua like lākou me nā ana liʻiliʻi. ʻO kēia nā mea a mākou e kapa nei he sinuses. Hoʻopili ʻia kēia mau lua kekahi i kekahi e nā ala lahilahi. ʻO ka maʻamau, ua piha kēia mau sinuses i ka ea.
Hoʻopuka kēia mau sinuses i kahi mea huna e like me ka mucus. Hoʻokahe kēia mea huna ma o nā ala ihu. Kōkua kēia i ka mālama ʻana i kou ihu i ka maʻemaʻe a pale iā ia mai nā pathogens, e like me ka bacteria a me nā allergens.
Eia nō naʻe, inā no kekahi kumu, no ka laʻana, he maʻi bacteria, he maʻi viral, a i ʻole he allergy, e pehu ka uhi o kēia mau sinuses, e ālai ana i nā ala no ka hoʻokahe ʻana o ka mucus. A laila paʻa ka mucus i loko, e hana ana i ke kaomi i loko o nā sinuses. ʻO ia ka mea a mākou e kapa nei he sinusitis, a i ʻole e like me ka kapa ʻana o kekahi, rhinosinusitis. ʻO kēia ke kumu o nā hōʻailona e like me ka ʻeha o ka maka a me ka ihu paʻa.
Aia kekahi mau ʻano o ka sinusitis?
ʻAe, aia kekahi mau ʻano sinusitis. Hoʻokaʻawale ʻia kēia mau mea ma muli o ka lōʻihi o ke kūlana, a me ke kumu.
Hoʻokaʻawale ma ka manawa:
- Sinusitis ʻoi: ʻO nā hōʻailona (ihu paʻa, ihu wai, ʻeha/kaomi o ka maka, nalowale o ke ʻala) ʻaʻole i ʻoi aku ma mua o ʻehā pule . Hoʻokumu pinepine ʻia e kahi maʻi viral, e like me ke anu.
- Sinusitis Subacute: Hana ʻia kēia ʻano sinusitis ke mau nā hōʻailona mai ʻehā pule a i ʻumikūmālua pule (3 mahina) .
- Sinusitis Mau: Ke mau nei nā hōʻailona no ka liʻiliʻi he ʻumikūmālua pule (3 mahina) . Hoʻokumu pinepine ʻia e nā maʻi bacteria.
- ʻO ka Sinusitis ʻAkika Hou: Pili kēia i nā poʻe i loaʻa ka sinusitis ʻehā a ʻoi aku paha i ka makahiki , me nā hōʻailona e mau ana ma lalo o ʻelua pule i kēlā me kēia manawa.
Ka hoʻokaʻawale ʻana ma ke kumu:
- Sinusitis bacteria:Hiki i kahi maʻi viral ke alakaʻi i kahi maʻi bacteria, e hoʻoulu ai i ka sinusitis. Inā ʻaʻole e nalowale ka ihu wai, ka ihu paʻa, a me ka ʻeha o ka maka i loko o kahi o ʻumi mau lā, he maʻi bacteria paha ia. I kekahi manawa e emi iho nā hōʻailona a laila hoʻi mai. ʻO ka maʻamau, he kūpono nā antibiotics a me nā decongestants no kēia.
- ʻO ka Sinusitis Viral: ʻO ka hapa nui o ka sinusitis i hoʻokumu ʻia e nā virus, e like me nā virus e hoʻoulu ai i ke anu maʻamau.
- ʻO ka Sinusitis Fungal: He mea kakaikahi iki kēia, akā pono ke lawe koʻikoʻi iki ma mua o nā ʻano ʻē aʻe. ʻOi aku ka nui o kou loaʻa ʻana i kēia ʻano sinusitis, ʻoiai inā nāwaliwali kou ʻōnaehana pale (no ka laʻana, inā loaʻa iā ʻoe ka maʻi HIV, ka maʻi ʻaʻai, a i ʻole ke lawe nei i kekahi mau lāʻau lapaʻau).
Loaʻa iaʻu ka sinusitis, COVID, ke anu, a i ʻole nā maʻi ʻaleka? Pehea wau e ʻike pono ai?
He pilikia maoli kēia no nā kānaka he nui. No ka mea, ua like loa nā hōʻailona o ke anu, COVID-19, nā maʻi ʻaleka, a me nā maʻi sinus, hiki ke paʻakikī iki ke hoʻokaʻawale iā lākou.
- Anu: ʻO ka maʻamau, e hōʻike mai i loko o kekahi mau lā, e ʻoi aku ka ʻino, a laila e emi mālie. Hiki iā lākou ke mau mai kekahi mau lā a i hoʻokahi pule paha.
- Nā maʻi ʻaleka ihu: ʻO nā hōʻailona nui ka ʻū pinepine ʻana, ka ihu ʻāʻī a me nā maka, ka ihu paʻa, ka ihu wai, a me ke kahe ʻana o ka ihu ma hope o ka ihu. Eia nō naʻe, ʻaʻole pinepine nā maʻi ʻaleka i ka ʻeha o ka maka e like me nā maʻi sinus.
- COVID-19: Hiki i kēia ke hana i nā hōʻailona hou aʻe e like me ke kuni a me ka paʻakikī o ka hanu ʻana.
- Sinusitis: ʻO nā hōʻailona e pili ana i ka paʻa o ka maka, ka ʻeha, ka huʻa melemele a ʻōmaʻomaʻo paha, a me ka hanu ʻino (halitosis).
ʻO ka mea nui, hiki ke hana ʻia kahi maʻi sinus e ke anu, COVID, a i ʻole nā maʻi allergies. I kēia manawa hiki iā ʻoe ke hoʻāʻo no nā maʻi viral e like me COVID-19 a me ka maʻi influenza.
He aha nā hōʻailona o ka sinusitis?
ʻO kēia nā hōʻailona maʻamau o ka maʻi sinus:
- Ka kulu ʻana ma hope o ka ihu.
- Ihu kahe me ka huʻa mānoanoa melemele a ʻōmaʻomaʻo paha.
- Paʻa ka ihu.
- He manaʻo o ke kaomi a i ʻole ka ʻūmiʻi ma ka maka (ʻoi aku hoʻi a puni ka ihu, nā maka, a me ka lae). Hiki ke ʻoi aku ka ʻino o kēia i ka wā e neʻe ai ke poʻo a i ʻole e moe ana.
- Kaomi a ʻeha paha i nā niho.
- Kaomi a ʻeha paha i loko o ka pepeiao.
- Kuni.
- Hanu ʻino (halitosis) a i ʻole kahi ʻono ʻino i loko o ka waha.
- Kuke.
- ʻEha poʻo.
- Luhi.
He aha nā kumu o nā maʻi sinus?
Hiki ke hana ʻia ka sinusitis e nā virus, bacteria, fungi, a me nā allergens. ʻO kekahi o nā kumu maʻamau:
- Anuanu.
- Ka maʻi palū a i ʻole ka maʻi palū.
- ʻO kekahi ʻano bacteria, no ka laʻana `(Streptococcus pneumoniae)`, `(Haemophilus influenzae)`, `(Moraxella catarrhalis)`.
- Nā maʻi ʻaleka ihu a me nā kau.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka sinusitis?
ʻOi aku ka nui o ka loaʻa ʻana o ka sinusitis i kekahi poʻe ma mua o kekahi. ʻO kēia mau mea pilikia:
- No ka poʻe me nā maʻi ʻaleka ihu.
- No ka poʻe me ka hānō.
- No nā poʻe me nā mea e like me nā polyps nasal a i ʻole nā pūpū nasal.
- No ka poʻe me kahi septum deviated (ʻo ka ʻiʻo ma waenakonu o ka ihu i kapa ʻia ʻo septum). Inā deviated kēia, hiki i ke alahele ma kekahi ʻaoʻao o ka ihu ke lilo i ololi a ālai ʻia.
- Nā kānaka me ka ʻōnaehana pale kino nāwaliwali. Hiki ke hana ʻia kēia e nā maʻi e like me ka maʻi HIV a i ʻole ke kanesa, a i ʻole e kekahi mau lāʻau lapaʻau.
- No ka poʻe puhi paka.
He maʻi lele anei ka sinusitis?
ʻAʻole laha ka sinusitis ponoʻī. Eia nō naʻe, hiki i nā virus a me nā bacteria ke kumu. No laila, inā maʻi ʻoe, he mea nui loa ia e hahai i nā hana hoʻomaʻemaʻe maikaʻi e like me ka noho mamao ʻana mai nā poʻe ʻē aʻe, ka holoi pinepine ʻana i kou mau lima, a me ka uhi ʻana i kou waha a me kou ihu me kou kuʻekuʻe lima.
He aha ka mea e hana inā ʻaʻole mālama ʻia ka sinusitis?
ʻAʻole pono e mālama ʻia nā sinusitis āpau. I ka hapa nui o ka manawa, e nalo wale ia. Eia nō naʻe, i nā hihia kakaikahi , inā waiho ʻole ʻia, hiki i kēia maʻi ke laha i ka lolo, nā maka, a i ʻole nā iwi kokoke, e hoʻolaha ana i ka bacteria a i ʻole nā haʻi a lilo i mea hoʻoweliweli i ke ola. No laila he mea nui e makaʻala i nā hōʻailona.
Pehea e ʻike ai ke kauka i kahi maʻi sinus?
Hoʻoholo nā kauka i ka sinusitis ma muli o kāu mau hōʻailona a me kou mōʻaukala olakino. E nānā ke kauka i kou mau pepeiao, ihu, a me ka puʻu e ʻimi i ka pehu, ka mucus, a i ʻole ka paʻa. Hiki iā lākou ke hoʻohana i kahi mea liʻiliʻi i hoʻomālamalama ʻia i kapa ʻia ʻo endoscope e nānā i loko o kou ihu.
Hiki i kāu mea mālama ola mua ke kuhikuhi iā ʻoe i kahi loea, e like me kahi otolaryngologist a i ʻole loea ENT.
Nā hoʻokolohua kūikawā no ka ʻike ʻana i ka sinusitis:
I kekahi mau hihia, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me kēia:
- ʻO ka endoscopy nasal: Pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela liʻiliʻi i loko o ka ihu.
- Nā ʻūpā ihu: Lawe ʻia kahi hāpana o ka mucus mai ka ihu a hoʻāʻo ʻia no nā maʻi a i ʻole nā huakini ʻē aʻe.
- Kiʻi: I kekahi manawa e noi ʻia paha ʻoe e hana i kahi "(CT) scan" (Computed Tomography scan) e ʻike pono i ka mea e hana nei i loko o kou mau sinuses.
- Ka hoʻāʻo ʻana i ka maʻi ʻaleka: Inā loaʻa iā ʻoe ka sinusitis mau, hiki ke hana ʻia kēia hoʻāʻo e ʻike ai i nā mea maʻi ʻaleka e hoʻokumu nei.
- Biopsy: He mea kākaʻikahi loa, hiki ke lawe ʻia kahi hāpana ʻiʻo mai ka ihu a hoʻāʻo ʻia.
Pehea e mālama ʻia ai ka sinusitis?
Nui nā lāʻau lapaʻau no ka sinusitis, ma muli o kou mau hōʻailona a me ka lōʻihi o kou loaʻa ʻana. Hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma ka home:
- Nā lāʻau lapaʻau e wehe ai i ka ihu (Decongestants).
- Nā lāʻau lapaʻau anu a me nā lāʻau allergy i kūʻai ʻia ma luna o ke kūʻai aku (OTC) i hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau lapaʻau.
- Nā holoi ʻana i ka ihu me ka saline.
- Ke inu nei i ka nui o ka wai.
- Ka hopu ʻana i ka mahu wai wela.
Inā ʻaʻole hoʻomaikaʻi kou mau hōʻailona sinusitis ma hope o 10 mau lā, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:
- Nā lāʻau antibiotic.
- Nā lāʻau wehe ihu a i ʻole nā lāʻau hoʻomaʻemaʻe waha.
- Nā pīpī steroid intranasal i kuhikuhi ʻia. (Mai hoʻohana i nā pīpī ma luna o ke kauka no nā lā ʻekolu a ʻelima, no ka mea hiki iā lākou ke hoʻonui i kou ihu.)
I ka mālama ʻana i nā poʻe me ka sinusitis mau loa, mālama ʻia ke kumu kumu. Hiki i kēia ke komo pū me:
- Nā pīpī steroid intranasal.
- ʻO nā ʻōpala antihistamine topical a i ʻole nā papa waha.
- Nā lāʻau lapaʻau i loko o ka hui o nā lāʻau i kapa ʻia ʻo 'Leukotriene antagonists', no ka laʻana '(montelukast)'.
- Pono paha ke ʻoki ʻana no nā pilikia kūkulu i ka ihu, nā polyps, a i ʻole nā maʻi fungal.
He aha ka lāʻau lapaʻau maikaʻi loa no ka maʻi sinus?
Inā makemake ʻoe i kahi lāʻau antibiotic, ʻokoʻa paha ke ʻano a kāu kauka e kuhikuhi ai ma muli o kou kūlana. Eia kekahi mau laʻana:
- `(Augmentin)` (amoxicillin/clavulanate)
- ʻAmoxicillin
- ʻO Doxycycline (Doxycycline)
- ʻO ka Levofloxacin
- `(Cefixime)`
- ʻO Cefpodoxime
- ʻO Clindamycin
Mea nui: Mai lawe i nā lāʻau antibiotic iā ʻoe iho me ke kauoha ʻole ʻia e ke kauka.
Kōkua anei nā lāʻau lapaʻau kōkua a me nā ʻano ʻē aʻe me ka sinusitis?
Ua ʻike kekahi poʻe he hiki i ka acupressure, acupuncture, a i ʻole ka lomilomi maka ke kōkua i ka hōʻemi ʻana i nā hōʻailona sinusitis, e like me ka mucus, ke kaomi, a me ka ʻeha. He manaʻo maikaʻi e nīnau i kāu kauka inā kūpono kēia mau lāʻau lapaʻau iā ʻoe.
Pono anei nā lāʻau antibiotic i nā maʻi sinus a pau?
ʻAʻole. E kali ka hapa nui o nā kauka e ʻike i ka lōʻihi o kou mau hōʻailona ma mua o ka hoʻoholo ʻana inā e hāʻawi iā ʻoe i nā antibiotics. ʻO ka hapa nui o nā maʻi sinus i hoʻokumu ʻia e nā virus. ʻAʻole mālama nā antibiotics i nā maʻi viral. ʻO ka hoʻohana ʻana i nā antibiotics me ke kumu ʻole, a i ʻole ka hoʻohana ʻana iā lākou no nā maʻi viral, hiki ke hana i nā hopena ʻaoʻao a hiki ke alakaʻi i ke kūʻē ʻana i ka antibiotic, kahi e paʻakikī ai ka mālama ʻana i nā maʻi ma hope.
Hiki ke pale ʻia ka sinusitis?
Ma muli o ke kumu, aia kekahi mau ala e hōʻemi ai i ka pilikia o ka loaʻa ʻana o nā maʻi sinus. ʻO lākou kēia:
- Ka holoi ʻana i ka ihu me ka wai paʻakai (saline) e like me ka ʻōlelo a ke kauka.
- Ke hana ʻana i nā hana e pale aku ai i nā maʻi ʻaleka. Hoʻokomo pū kēia i nā lāʻau lapaʻau, nā pana allergy, a me ka pale ʻana i nā mea āu e maʻi ai (e laʻa me ka lepo, ka pollen, ka uahi).
- E hoʻohana i nā pū ihu steroid inā ʻōlelo ʻia e kāu kauka.
- Ka hoʻomohala ʻana i nā hana maikaʻi e hiki ai ke pale aku i nā maʻi lele, e like me ka holoi pono ʻana i kou mau lima.
- E pale i ka puhipaka. Inā ʻoe e puhipaka, aia nā ala e kōkua iā ʻoe e haʻalele.
He aha ka mea hiki i kekahi me ka sinusitis ke manaʻo?
ʻO ka maʻamau, ʻo ka sinusitis ka lōʻihi ma kahi o hoʻokahi pule a ʻumi lā . I ka hapanui o nā hihia, hiki ke ho'ōla ʻia me nā lāʻau lapaʻau maʻamau a me nā lāʻau lapaʻau home. Eia nō naʻe, inā loaʻa iā ʻoe ka sinusitis mau, a inā pinepine ia, aia paha kekahi mau kumu ʻē aʻe. Pono e mālama ʻia kēia mau mea.
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka no ka maʻi sinus?
Hiki iā ʻoe ke mālama i nā pilikia sinus ma ka home. Akā inā loaʻa iā ʻoe nā hōʻailona mau, hopohopo e pili ana iā lākou, a i ʻole ke loaʻa pinepine nei i nā maʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Hiki iā ia ke haʻi iā ʻoe i ka mea e hana ai ma hope.
Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi , ʻo ia hoʻi kekahi o nā hōʻailona ma lalo nei, e hele i ka lumi pilikia kokoke loa a i ʻole e ʻimi koke i ke kōkua lapaʻau :
- Kuni nui loa (ma luna o 103 Fahrenheit/40 Celsius).
- Ka huikau a i ʻole nā loli noʻonoʻo ʻē aʻe.
- Hoʻololi ka ʻike, ʻoiai me ka ʻeha a i ʻole ka pehu a puni nā maka.
- Ua like nā ʻūlū me ka maʻi ʻeha.
- ʻĀʻī paʻakikī.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He manaʻo maikaʻi ke noi aku i kāu kauka e hōʻike iā ʻoe pehea e hoʻohana pono ai i nā mea hana āna e ʻōlelo ai (e laʻa me nā mea hoʻoheheʻe ihu, nā mea hoʻoinu wai ihu). He mea kōkua nō hoʻi ke nīnau i kēia mau nīnau:
- Pehea e mālama ai i ka sinusitis ma ka home?
- Pehea pololei e pono ai iaʻu ke lawe i kaʻu lāʻau lapaʻau?
- Āhea wau e hele hou mai ai e ʻike iā ʻoe?
He mea maʻamau nā maʻi sinus a ʻaʻole maʻamau ka koʻikoʻi. Hiki ke hana ʻia e nā ʻano mea like ʻole, me nā virus, bacteria, polyps nasal, a i ʻole nā allergies. Hiki iā ʻoe ke mālama iā lākou ma ka home ma ka loaʻa ʻana o ka nui o ka hoʻomaha, ka hoʻohana ʻana i nā lāʻau lapaʻau ma luna o ke kauka, a me ka inu ʻana i nā wai he nui. Eia nō naʻe, inā ʻaʻole e nalowale kāu mau hōʻailona, e ʻoi aku ka ʻino, a inā he mau hōʻailona kāu e hopohopo nei iā ʻoe, e ʻike i kāu kauka.
Leka Lawe-Home
ʻAe, e nānā hou kākou i nā ʻoiaʻiʻo koʻikoʻi e pili ana i ka sinusitis a mākou i kamaʻilio ai.
- ʻO Sinusitis ka mumū o ka uhi o nā sinuses ma kou alo.
- Hiki ke hana ʻia kēia e nā virus, bacteria, fungi, a i ʻole nā allergies.
- ʻO nā hōʻailona nui ka ihu paʻa, ka huʻa mānoanoa, ka ʻeha o ka maka, a me ke kaomi.
- ʻO ka hapa nui o ka manawa, ho'ōla ia iā ia iho , a i ʻole e hoʻomaikaʻi ʻia me nā lāʻau lapaʻau maʻalahi ma ka home.
- ʻAʻole pono nā lāʻau antibiotic i nā manawa a pau. He mea ʻole lākou no nā maʻi viral.
- Inā hoʻomau nā hōʻailona no nā lā he 10 a ʻoi , kū pinepine, a i ʻole he mau hōʻailona koʻikoʻi e like me ke kuni nui a me nā loli o ka ʻike maka , e ʻike pono i ke kauka.
- Hiki i nā mea e like me nā ʻano olakino maikaʻi, ka kaohi ʻana i nā maʻi allergies, a me ka pale ʻana i ka puhipaka ke kōkua i ka pale ʻana .
No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He anu wale nō anei ka sinusitis?
ʻAʻole. Hoʻomaka ke anu maʻamau i loko o ko kākou lua ihu. Akā, ʻo nā sinuses he mau lua i piha i ka ea (sinuses) i loko o nā iwi o ko kākou lae, ma lalo o ko kākou mau maka, a ma nā ʻaoʻao ʻelua o ko kākou ihu. Ke hiki mai ke anu a komo nā germs i loko o kēlā mau lua a hoʻopiha iā lākou me ka mucus a lilo i mumū, ʻo ia ka manawa a mākou e kapa ai he sinusitis (ma ka ʻōlelo maʻamau, sinusitis).
💬 Inā loaʻa iaʻu kahi ʻeha poʻo, he pilikia sinus anei ia?
ʻAʻole nā poʻo ʻeha a pau he poʻo sinus. ʻO kahi hiʻohiʻona o nā poʻo sinus, ʻo ia ke kūlou ʻoe i lalo (no ka laʻana, e hāpai i kahi peni ma ka papahele), ʻeha kou maka a me kou lae me he mea lā e pahū ana. Eia kekahi, inā he ʻulaʻula melemele a ʻōmaʻomaʻo paha kou e puka mai ana mai kou ihu, he maʻi sinus maoli nō ia.
💬 Pono anei au e ʻike i ke kauka no kēia?
ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia e kahi maʻi (sinusitis viral) a e hoʻomaikaʻi wale ia ma kahi o 10 mau lā. ʻO ka hanu mahu ka mea maikaʻi loa. Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi ma hope o 10 mau lā a loaʻa iā ʻoe kahi ʻeha poʻo nui me ke kuni, hiki ke lilo i maʻi bacteria (sinusitis bacteria). I kēlā hihia, pono ʻoe e ʻike i ke kauka a lawe i nā antibiotics.
Sinusitis , sinus, ihu paʻa, anu, ʻeha poʻo, maʻi, lāʻau lapaʻau











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