Xav txog tias koj tau phais qhov ntswg uas txhaws, thiab koj xav tias koj yuav ua pa tau zoo dua tam sim no. Tab sis txawm tias tom qab phais lawm los, koj tseem hnov tias txhaws thiab nws nyuaj heev rau ua pa. Thaum tus kws kho mob kuaj koj, nws hais tias tsis muaj qhov txhaws hauv koj lub qhov ntswg, thiab tias txoj kev hla tau qhib zoo heev. Qhov kev xav txawv txawv thiab tsis sib haum xeeb no yog qhov peb tab tom tham txog hnub no, Empty Nose Syndrome (ENS). Raws li lub npe qhia, qhov mob no hu ua 'qhov ntswg khoob' yog qhov tsis tshua muaj, thiab nws kuj yog ib yam dab tsi uas ua rau ntau tus neeg ntxhov siab.
Qhov mob no hu ua Empty Nose Syndrome yog dab tsi?
Hais yooj yim xwb, mob qhov ntswg khoob (ENS) yog thaum koj xav tias koj lub qhov ntswg raug txhaws thiab koj ua tsis tau pa, txawm tias muaj chaw ntau los ua pa los ntawm koj lub qhov ntswg. Qhov no feem ntau tuaj yeem tshwm sim tom qab phais qhov ntswg.
Muaj peb lub qauv me me, zoo li txee hauv peb lub qhov ntswg hu ua 'Turbinates'. Lawv lub luag haujlwm tseem ceeb yog ntxuav, ua kom noo, thiab ua kom sov cov huab cua uas peb ua pa thiab xa mus rau lub ntsws. Qee zaum, vim muaj tej yam xws li kev ua xua thiab kev kis kab mob, cov turbinates no tuaj yeem o thiab ua rau lub qhov ntswg txhaws. Yog li ntawd, cov kws kho mob ua phais kom txo qhov loj ntawm cov turbinates no (Phais txo Turbinate). Qee zaum, nws yog qhov tsim nyog yuav tsum tshem tawm ib feem ntawm cov turbinates no (Partial turbinectomy) lossis tag nrho (Complete turbinectomy).
Feem ntau ntawm cov kev phais no yeej ua tiav. Txawm li cas los xij, tsis tshua muaj , yog tias cov nqaij turbinate raug tshem tawm ntau dhau lossis puas thaum lub sijhawm phais, ENS tuaj yeem tshwm sim. Qhov no tuaj yeem ua rau koj xav tias koj ua tsis taus pa, txawm tias koj cov hlab ntsha tseem qhib. Nws zoo li ib qho kev sib tw.
Dab tsi ua rau muaj ENS?
Tseem tsis tau muaj kev tshawb nrhiav txog qhov ua rau muaj ENS, tab sis ntseeg tias nws yog vim muaj kev tshem tawm cov nqaij ntshiv turbinate ntau dhau thaum lub sijhawm phais qhov ntswg.
Xav txog nws, peb lub qhov ntswg tsis yog ib lub raj uas cia cua nkag mus xwb. Nws yog ib lub cev nyuaj heev.
- Kev puas tsuaj rau cov hlab ntsha: Muaj cov hlab ntsha me me ntawm qhov chaw ntawm cov turbinates no uas ntes tau tej yam xws li cua siab thiab kub. Thaum peb ua pa, cov hlab ntsha no xa cov cim mus rau lub hlwb tias "ua pa tam sim no." Yog tias cov hlab ntsha no raug tshem tawm lossis puas tsuaj thaum lub sijhawm phais, lub hlwb yuav tsis tau txais cov cim ntawd. Lub hlwb txhais nws tias "Kuv ua tsis tau pa, kuv lub qhov ntswg raug thaiv."
- Kev hloov pauv ntawm cov cua: Thaum qhov chaw sab hauv lub qhov ntswg loj dhau tom qab phais, txoj hlab pa tsuas yog mus ncaj. Nws ntaus cov turbinates, swirls, thiab tsis ntub. Qhov no tuaj yeem ua rau lub hlwb tsis hnov zoo li nws ua pa zoo.
- Kev tsis sib npaug ntawm cov kab mob: Cov ntaub so ntswg uas nyob hauv lub qhov ntswg pab tiv thaiv cov kab mob zoo. Thaum lub txheej no raug puas tsuaj los ntawm kev phais, cov kab mob zoo tuaj yeem txo qis thiab cov kab mob phem tuaj yeem loj hlob. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev kis kab mob thiab cov tsos mob ntawm ENS.
Cov tsos mob ntawm tus mob qhov ntswg khoob (ENS) yog dab tsi?
Cov tsos mob ntawm ENS yuav tshwm sim ntau lub lis piam, ntau lub hlis, lossis ntau xyoo tom qab phais. Cov tsos mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
| Hom tsos mob | Kev piav qhia |
|---|---|
| Cov tsos mob ntsig txog kev ua pa | Ua pa nyuaj, muaj qhov ntswg txhaws tas li, muaj qhov ntswg txias thaum ua pa, muaj qhov xav tias yuav tuag lossis poob dej. |
| Cov tsos mob ntsig txog lub qhov ntswg thiab caj pas | Qhov ntswg thiab caj pas qhuav dhau, ntshav ntswg los, cov hnoos qeev tsim tsawg dua, qhov ntswg ua pob, thiab cov kua ntswg ntws tom qab qhov ntswg. |
| Lwm yam ntxwv ntawm lub cev | Mob taub hau ntau zaus, kiv taub hau, tsis hnov ntxhiab kiag li lossis tsis hnov saj zoo (anosmia), tsis hnov saj zoo (ageusia), qaug zog heev, thiab pw tsis tsaug zog. |
Kev sib raug zoo ntawm ENS thiab kev noj qab haus huv ntawm lub hlwb
Qhov no yog ib qho tseem ceeb heev. Kev xav tias koj ua pa tsis tau zoo tas li thiab tsis muaj leej twg ntseeg koj tuaj yeem muaj kev cuam tshuam loj rau kev noj qab haus huv ntawm lub hlwb ntawm ib tus neeg . Ntawm cov neeg uas muaj ENS:
- Kev ntxhov siab
- Kev Nyuaj Siab
- Tsis muaj peev xwm tsom ntsoov
- Kev npau taws ntau zaus
Cov mob xws li: yog ib qho uas muaj ntau. Qee qhov kev tshawb fawb tau qhia tias txog li 70% ntawm cov neeg uas muaj ENS raug kev nyuaj siab.
Tseem Ceeb: Yog tias koj lossis ib tus neeg koj paub muaj kev xav ua phem rau lawv tus kheej, thov mus ntsib koj tus kws kho mob tam sim ntawd, lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws. Nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no thiab nrhiav kev pab.
Puas yog ENS yog ib yam kab mob tiag tiag? Tus kws kho mob yuav kuaj mob li cas?
Yog, ENS yog ib qho mob tiag tiag, tab sis tsis yog ib qho mob uas pom ntau heev. Qhov no yog vim li cas qee zaum nws thiaj li nyuaj rau kuaj mob vim tias kev thaij duab tsis qhia txog qhov txhaws hauv lub qhov ntswg.
Tus kws kho mob yuav siv koj cov tsos mob thiab keeb kwm phais los kuaj mob ENS. Tsis tas li ntawd,
- Ib lub endoscope, ib lub raj me me nrog lub koob yees duab, siv tau los kuaj sab hauv ntawm lub qhov ntswg.
- Yuav ua tau ib daim CT lossis MRI scan kom tshem tawm lwm yam ua rau (piv txwv li, polyps hauv qhov ntswg, mob qog noj ntshav).
- "Kev Ntsuas Paj Rwb": Qhov no yog ib qho kev ntsuam xyuas yooj yim heev, tab sis tseem ceeb. Tus kws kho mob muab ib lub pob paj rwb uas ntub dej ntsev rau hauv koj lub qhov ntswg, rau thaj chaw uas cov turbinates tau nyob. Tom qab li 20-30 feeb, lawv yuav kuaj xyuas seb koj cov tsos mob xws li ua pa luv luv thiab qhuav puas zoo dua. Yog tias cov tsos mob zoo dua ib ntus, nws yog ib qho cim qhia tias koj muaj ENS.
Cov kev kho mob rau ENS yog dab tsi?
Tsis muaj tshuaj kho tau tus kab mob ENS, tab sis muaj ntau txoj hauv kev los tswj cov tsos mob thiab txhim kho lub neej zoo .
- Ua kom lub qhov ntswg ntub: Siv cov tshuaj tsuag saline lossis gels, haus dej ntau thoob plaws hnub, thiab siv lub tshuab ua kom noo noo hauv chav pw tuaj yeem pab txo qhov ntswg qhuav.
- Tshuab CPAP: Ib txhia neeg pom tias siv tshuab CPAP thaum pw tsaug zog pab tswj kom cov av noo thiab cua nkag tau.
- Tshuaj: Koj tus kws kho mob yuav sau ntawv kom muab tshuaj uas ua rau cov hlab ntsha hauv koj lub qhov ntswg nthuav dav thiab pab txo qhov o ntawm cov ntaub so ntswg.
- Kev Phais Mob: Yog tias cov tsos mob hnyav heev, yuav muaj kev phais mob los hloov cov turbinates uas raug tshem tawm nrog ib qho implant. Qhov no yuav suav nrog kev siv cov khoom siv hluavtaws xws li Gore-Tex lossis cov ntaub so ntswg tib neeg xws li acellular dermis lossis platelet-rich plasma (PRP). Qhov no ua haujlwm los ntawm kev txo qhov chaw hauv lub qhov ntswg, ua kom txoj hlab pa nqaim, thiab sim rov qab ua pa rau lub hlwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab Mob Qhov Ntswg Tsis Muaj Qhov Ntswg (ENS) yog ib qho mob uas tsis tshua muaj tab sis muaj tseeb tiag uas tuaj yeem tshwm sim tom qab phais qhov ntswg, uas lub qhov ntswg zoo li raug txhaws txawm tias nws khoob los xij.
- Qhov laj thawj tseem ceeb rau qhov no yog vim muaj cov nqaij turbinate raug tshem tawm ntau dhau ntawm lub qhov ntswg thaum lub sijhawm phais.
- Tej yam tsos mob ntawm lub cev xws li ua pa nyuaj, qhov ntswg qhuav, thiab tsis hnov tsw ntxhiab, thiab tej yam cuam tshuam rau lub hlwb xws li kev nyuaj siab thiab kev ntxhov siab.
- Yog tias koj tau phais qhov ntswg thiab muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws phais pob ntseg, qhov ntswg, thiab caj pas (ENT).
- Txawm hais tias nws tsis tuaj yeem kho tau tag nrho los xij, muaj kev kho mob uas muaj los tswj cov tsos mob thiab ua lub neej zoo.
- Yog koj phais qhov ntswg, nrog koj tus kws kho mob tham txog qhov kev pheej hmoo ntawm ENS thiab qhov tseem ceeb ntawm kev phais kom khaws cov nqaij ntau li ntau tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus