He pinepine kou ihu paʻa? Ke ala ʻoe i ke kakahiaka, ke kaumaha nei ke poʻo, e ʻeha ana ma kou lae, ma lalo o kou mau maka, a i ʻole ma kou mau papālina? He mānoanoa kou ʻūlū melemele a ʻōmaʻomaʻo paha? He mau pilikia kēia i loaʻa i nā kānaka he nui. I ka hapa nui o ka manawa, manaʻo mākou he anu maʻamau wale nō kēia. Akā i kekahi manawa hiki ke lilo i maʻi e hele iki aʻe, ʻo ia hoʻi, sinusitis. Mai hopohopo, he maʻi kēia i loaʻa i nā kānaka he nui a hiki ke ho'ōla ʻia. E kamaʻilio wale kākou e pili ana i kēia i kēia lā.
He aha maoli ka sinusitis?
I ka ʻōlelo maʻalahi, ʻo ka sinusitis kahi mumū o ka uhi palupalu o kou mau sinuses. ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau sinuses.
I loko o ko kākou helehelena, ma nā wahi e like me ko kākou lae, nā papālina, a ma waena o ko kākou mau maka, aia ʻehā mau lua liʻiliʻi i piha i ka ea i loko o nā iwi o ko kākou iwi poʻo. ʻO kēia nā mea a kākou e kapa nei he mau lua sinus. ʻO ka maʻamau, aia wale nō ka ea i loko o lākou. Hoʻopuka mau ʻia kahi liʻiliʻi o ka mucus mai kēia mau lua, kahi e komo ai i loko o ka ihu a kōkua i ka mālama ʻana i ka ihu i maʻemaʻe a pulu. Ua like kēia me kahi ʻōnaehana hoʻomaʻemaʻe kūlohelohe i loko o ko kākou ihu.
Eia nō naʻe, i ka wā e pehu ai ka uhi o kēia mau lua sinus ma muli o kahi maʻi, bacteria, a i ʻole kahi allergy, e kahe ana ka mucus i waho. A laila hōʻiliʻili ka mucus i loko a hoʻomaka e hūnā i nā germs. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona e like me ke poʻo kaumaha, ka ʻeha o ka maka, a me ka ihu paʻa. ʻO kēia ka mea a mākou e kapa nei ʻo sinusitis, i kekahi manawa i kapa ʻia ʻo rhinosinusitis.
He aha nā ʻano nui o ka sinusitis?
Hoʻokaʻawale mākou i ka sinusitis i kekahi mau ʻano ma muli o ka lōʻihi o kona loaʻa ʻana a me ke kumu.
Hoʻokaʻawale ma ka manawa i loaʻa
- Sinusitis ʻoi: He maʻi koke kēia, he manawa pōkole. ʻO nā hōʻailona (ihu paʻa, ihu wai, ʻeha maka) e mau ana ma lalo o ʻehā pule . Hoʻokumu pinepine ʻia e kahi maʻi viral, e like me ke anu maʻamau.
- ʻO Subacute Sinusitis: ʻO kēia ka inoa a mākou e hāʻawi ai i nā hōʻailona e mau ana mai ʻehā pule a i ʻumikūmālua pule (3 mahina) .
- Sinusitis Mau Loa: He pilikia sinus lōʻihi kēia. Hoʻomau nā hōʻailona no nā pule he ʻumikūmālua a ʻoi (3 mahina) . ʻO ka pinepine, ma muli kēia o kahi maʻi bacteria a i ʻole kekahi kumu ʻē aʻe.
- ʻO ka Sinusitis ʻAkika Hou: ʻO kēia ka wā e loaʻa ai ka sinusitis ʻehā a ʻoi aku paha mau manawa i loko o hoʻokahi makahiki, a i kēlā me kēia manawa e maikaʻi aʻe ia i loko o ʻelua pule.
Ka hoʻokaʻawale ʻana e like me ke kumu o ka maʻi
- ʻO ka Sinusitis Viral: ʻO ka hapa nui o nā hihia sinusitis i hoʻokumu ʻia e nā virus, e like me nā virus e hoʻoulu ai i ke anu maʻamau. ʻAʻole kūpono nā antibiotics i kēia mau mea, a hoʻopau pinepine lākou iā lākou iho i loko o kekahi mau lā.
- Sinusitis bacteria:I kekahi manawa, hiki i ka bacteria ke ulu i loko o kou mau sinuses ma hope o kahi maʻi viral. Inā he ihu wai kou no nā lā he ʻumi a ʻoi, loaʻa ka ʻeha o ka maka, a hoʻi mai ka ʻeha ma hope o kekahi manawa pōkole, he maʻi bacteria paha ia. Hiki i kāu kauka ke kuhikuhi i nā antibiotics no kēia.
- Sinusitis Fungal: He mea kākaʻikahi iki kēia, a hiki ke ʻoi aku ka koʻikoʻi. ʻOi aku ka nui o ka poʻe me nā ʻōnaehana pale nāwaliwali (no ka laʻana, nā maʻi HIV a me ke kanesa) e loaʻa i kēia maʻi.
He sinusitis kēia, he anu, a he allergy paha?
ʻOiai he like loa nā ʻano o nā mea ʻekolu, he mea paʻakikī ke hoʻokaʻawale iā lākou. E nānā kākou i nā ʻokoʻa nui ma waena o lākou.
| Ke kūlana maʻi | Nā hiʻohiʻona nui | Ka lōʻihi |
|---|---|---|
| Anu maʻamau | Ihu kahe, ʻūhū, ʻāʻī ʻāʻī, kuni iki. ʻAʻohe ʻeha nui ma ka maka. | E ola maikaʻi ia ma kāna iho i loko o 5-10 mau lā. |
| ʻAleʻaleʻa | Nā maka ʻāʻī a me ka ihu, ke kihe mau ʻana, ka wai kahe mai ka ihu. ʻAʻohe kuni. ʻAʻohe ʻeha o ka maka. | Hiki ke hoʻomau nā hōʻailona inā loaʻa ke kumu o ka maʻi ʻaleka (e like me ka lepo, ka pollen). |
| Sinusitis | Hūpē mānoanoa melemele a ʻōmaʻomaʻo paha , ʻeha a me ke kaumaha o ka maka (lae, papālina, a puni nā maka), ʻeha e hoʻonui ana i ka wā e hoʻokiʻekiʻe ai i ke poʻo, ʻeha niho, hanu ʻino. | Hiki iā ia ke mau mai hoʻokahi pule a i kekahi mau mahina. |
ʻO ka mea nui, hiki ke hana ʻia ka sinusitis e ke anu a i ʻole ka maʻi allergy. ʻO ia hoʻi, hiki i kekahi ke alakaʻi i kekahi.
He aha nā hōʻailona nui o ka sinusitis?
Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona:
- Ihu paʻa: Manaʻo ʻia ua pani loa ʻia ka ihu, e paʻakikī ai ka hanu ʻana.
- Huhu mānoanoa: Huhu mānoanoa melemele a ʻōmaʻomaʻo paha e puka mai ana mai loko mai o ka ihu.
- Postnasal drip: He manaʻo o ka mucus e holo ana i lalo o kou puʻu ma kahi o ka puka ʻana mai loko mai o kou ihu. Hiki i kēia ke hana i ka ʻeha mau o ka puʻu a me ke kuni ʻana.
- ʻEha a me ke kaomi o ka maka: He manaʻo o ke kaomi a ʻeha paha ma ka lae, a puni nā maka, a ma nā papālina. Inā piʻi aʻe kēia ʻeha ke hoʻokiʻekiʻe ʻoe i kou poʻo i mua , he hōʻailona koʻikoʻi ia o ka sinusitis.
- Nalowale o ke ʻala a me ka ʻono: Hiki ke emi a nalowale loa paha ke ʻano o ka ʻala.
- Nā hiʻohiʻona ʻē aʻe:
- Hanu ʻino (Halitosis)
- ʻO ka ʻeha ma nā niho o luna
- Kaomi a ʻeha paha i nā pepeiao
- kuni iki
- ʻEha poʻo
- Luhi mau
Nā kumu a me nā pilikia o ka sinusitis
ʻAʻohe kumu hoʻokahi no ka sinusitis. Hiki ke loaʻa kekahi mau kumu e kōkua ai i ia.
Nā kumu nui:
- Nā maʻi: ʻO nā maʻi e like me ke anu a me ka maʻi palū ke kumu nui.
- Nā bacteria: Nā bacteria e like me 'Streptococcus pneumoniae' a me 'Haemophilus influenzae'.
- Nā Allergies: ʻO nā allergies i nā mea e like me ka lepo a me ka pollen hiki ke hoʻoulu i nā membrane i loko o ka ihu e pehu a ālai i nā lua sinus.
Nā kumu e hoʻonui ai i ka pilikia:
ʻOi aku ka nui o ka loaʻa ʻana o ka sinusitis i kekahi poʻe ma mua o kekahi. Eia kekahi mau kumu e hiki ke kōkua i ia.
| Kumu pilikia | Pehea e pili ai |
|---|---|
| Nā polyps ihu | Ua like kēia me nā puʻupuʻu ʻiʻo e hana ʻia ana i loko o ka ihu. Hiki iā lākou ke ālai i nā ala e hoʻokahe ai i ka mucus mai nā lua sinus. |
| Septum ʻē | Ke kīkoʻo ʻia ka paia ma waenakonu o ka ihu, ʻoi aku ka nui o ka manawa e ālai ʻia ai kekahi ʻaoʻao a hōʻiliʻili ka mucus. |
| ʻŌnaehana pale kino nāwaliwali | Hiki i nā kūlana e like me ka maʻi HIV, ke kanesa, a i ʻole kekahi mau lāʻau lapaʻau ke hōʻemi i ka hiki o ke kino ke hakakā i nā maʻi. |
| Puhipaka | Hoʻopōʻino ka puhipaka i nā membrane palupalu i loko o ka ihu a hoʻonui i ka pehu. Pili pū kēia pilikia i ka poʻe e noho kokoke ana i ka poʻe puhipaka. |
| ʻO ka Asthma a me nā maʻi ʻaleka | ʻO kēia mau kūlana ʻelua ke kumu o ka pehu ʻana i loko o ka ʻōnaehana hanu, e hoʻonui ana i ka pilikia o ka sinusitis. |
Pehea e ʻike ai ke kauka i kēia?
I ka hapa nui o ka manawa, hiki i kāu kauka ke haʻi inā he sinusitis kou ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana iā ʻoe. E nānā ʻo ia i kou mau pepeiao, ihu, a me ka ʻāʻī e ʻike inā he pehu a mucus paha.
I kekahi manawa, ʻoiai inā loaʻa iā ʻoe ka sinusitis mau loa, pono paha nā hoʻokolohua hou aʻe.
- ʻEndoscopy Nasal: Hoʻokomo ʻia kahi ʻōmole lahilahi i hoʻolako ʻia me ke kāmela i loko o ka ihu e nānā i nā puka o nā lua sinus.
- CT Scan: Hiki i kēia ke kiʻi i kahi kiʻi maopopo o loko o nā lua sinus. Hiki i kēia ke kōkua i ka ʻike ʻana i ka nui o ka mucus i loko a inā he mau pilikia ʻē aʻe.
- Hoʻāʻo ʻAleʻaleʻa: Hiki ke hana ʻia kēia hoʻāʻo e ʻike ai inā loaʻa kāu mau pilikia sinus i nā maʻi aleʻaleʻa.
Pehea e mālama ai? Nā mea hiki iā ʻoe ke hana ma ka home
ʻAʻole maʻamau ka sinusitis i ka maʻi koʻikoʻi a hiki ke hoʻomaha ʻia me nā mea maʻalahi hiki iā ʻoe ke hana ma ka home.
Nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home:
- Inu i nā wai he nui: E inu i nā wai he nui i ka lā a pau, e like me ka wai, ka wai huaʻai, a me ka porridge. E kōkua kēia i ka hoʻomāmā ʻana i ka mucus a e maʻalahi ai ka puka ʻana i waho.
- Ka hopu ʻana i ka mahu:He mea maikaʻi loa ka mahu ʻana i kahi pola wai wela. Hoʻēmi kēia i ka ihu paʻa a hoʻokuʻu i ka mucus. E hana i kēia no kahi o 10-15 mau minuke ʻelua a ʻekolu paha manawa i ka lā.
- Holoi ʻAila Ihu: ʻO ka holoi ʻana i kou ihu me ka wai saline, i loaʻa ma ka hale kūʻai lāʻau lapaʻau, a i ʻole ka wai saline i hana ʻia ma ka home, hiki ke kōkua i ka hoʻokahe ʻana i ka mucus, ka lepo, a me nā mea hoʻonāukiuki. E nīnau i kāu kauka pehea e hana ai i kēia.
- Hoʻomaha: He mea nui loa ka hoʻomaha ʻana i kou kino. Hāʻawi kēia i kou ʻōnaehana pale i ka ikaika e hakakā ai i ka maʻi.
- ʻUmi wela: ʻO ke kau ʻana i kahi lole i hoʻomoʻa ʻia i ka wai wela ma nā wahi ʻeha (lae, papālina) hiki ke hāʻawi i ka hōʻoluʻolu.
ʻO ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka:
Inā ʻoi aku kou mau hōʻailona ma mua o 10 mau lā, e ʻoi aku ka ʻino, a i ʻole he kuni nui kou, e ʻike pono i ke kauka. Hiki iā ia ke kuhikuhi iā ʻoe i nā lāʻau lapaʻau e like me:
- Nā lāʻau lapaʻau antibiotic: Kuhikuhi ʻia kēia mau mea inā manaʻo ʻoe he maʻi bacteria kou. He mea nui loa ia e lawe i ka papa holoʻokoʻa o ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka.
- Nā ʻŌpī Ihu: Hiki ke kuhikuhi ʻia nā ʻōpī e loaʻa ana nā steroid e hōʻemi i ka pehu.
- Nā lāʻau hoʻopau ʻeha: Hiki i nā lāʻau hoʻopau ʻeha e like me ka paracetamol ke kōkua i ka hōʻemi ʻana i ke poʻo ʻeha a me ka ʻeha o ka maka.
ʻAʻole pono nā lāʻau antibiotic i nā pilikia sinus a pau. ʻO ka hoʻohana ʻana i nā lāʻau antibiotic me ke kumu ʻole hiki ke alakaʻi i ka ulu ʻana o nā bacteria kūʻē i ka lāʻau i ka wā e hiki mai ana. No laila, e hoʻohana wale iā lākou inā i kuhikuhi ʻia e ke kauka.
I ka manawa e ʻimi koke ai i ke aʻo lapaʻau
ʻOiai ʻaʻole ia he mea weliweli ka sinusitis, he mea kakaikahi loa ka laha ʻana o ka maʻi i nā maka a i ʻole ka lolo. He pilikia ia. Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU) .
- Kuni kiʻekiʻe loa (ʻoi aku ma luna o 40 Celsius / 103 Fahrenheit).
- ʻEha poʻo nui a me ka ʻoʻoleʻa o ka ʻāʻī .
- Ka poniuniu a i ʻole ke ʻano hoʻonāukiuki.
- Nā loli o ka ʻike (ʻike pālua, ʻike pōwehiwehi) a i ʻole ka pehu a me ka ʻulaʻula a puni nā maka .
- Nā ʻōʻili.
Leka Lawe-Home
- ʻO ka sinusitis kahi mumū o ka uhi o nā lua sinus ma ka maka. He kūlana maʻamau loa kēia.
- ʻO nā hōʻailona nui ka huʻa mānoanoa melemele a ʻōmaʻomaʻo paha, ka ʻeha o ka maka, a me ka ʻeha e hoʻonui ana i ka wā e hoʻokiʻekiʻe ʻia ai ke poʻo.
- ʻO ka hapa nui o nā maʻi sinus i hoʻoulu ʻia e nā virus a ʻaʻole pono nā antibiotics.
- ʻO nā mea maʻalahi e like me ka mahu ʻana, ka inu ʻana i ka wai he nui, a me ka hoʻomaha ʻana e hāʻawi pinepine mai i ka hōʻoluʻolu.
- Inā hoʻomau nā hōʻailona no nā lā he 10 a ʻoi, inā koʻikoʻi ke kuni, a inā e ʻoi aku ka ʻino o nā hōʻailona, e ʻike pono i ke kauka.
- Inā ʻike ʻoe i nā hōʻailona e like me ka pehu ʻana a puni nā maka, nā loli o ka ʻike, a i ʻole ka ʻeha poʻo nui, e hele koke i ka haukapila.
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