Koj puas muaj teeb meem ntawm lub qhov ntswg thiab? Kawm txog qhov teeb meem ntawm lub qhov ntswg uas ua rau mob fungal no!

Koj puas muaj lub qhov ntswg txhaws tas li? Koj puas muaj lub taub hau hnyav, mob ob sab ntawm koj lub puab tsaig, koj lub hauv pliaj, lossis thaj tsam ntawm koj lub qhov muag? Feem ntau, cov no tuaj yeem yog cov teeb meem cuam tshuam nrog sinus. Tab sis koj puas paub tias tsis yog txhua qhov teeb meem sinus zoo ib yam? Qee qhov kev kis kab mob sinus yog tshwm sim los ntawm cov kab mob, qee qhov los ntawm cov kab mob. Tab sis hnub no peb yuav tham txog ib hom sinusitis sib txawv me ntsis uas ntau tus neeg tsis paub txog. Qhov ntawd yog kev kis kab mob sinus los ntawm fungus, lossis kom meej dua, ib qho mob hu ua fungal sinusitis . Qee zaum, qhov no kuj hu ua fungal rhinosinusitis.

Kab mob Fungal Sinusitis yog dab tsi? Cia peb piav qhia yooj yim.

Hais yooj yim xwb, Fungal Sinusitis yog kev kis kab mob ntawm peb cov qhov ntswg vim yog cov fungi (piv txwv li cov kab mob me me xws li cov poov xab thiab pwm). Cov qhov ntswg yog qhov chaw khoob ntawm koj lub puab tsaig, hauv pliaj, thiab qhov muag. Muaj ntau hom fungal sinusitis. Tab sis feem ntau, cov tsos mob ntawm txhua hom no yog qhov ntswg txhaws, hnoos qeev, thiab mob sinus.

Feem ntau, cov kws kho mob kho qhov mob no los ntawm kev phais mob sinus, tab sis qee zaum mob hnyav, kev kho mob fungal yuav tsim nyog.

Cov hom mob Fungal Sinusitis tseem ceeb yog dab tsi?

Cov kws kho mob faib cov kab mob fungal sinusitis ua ob hom tseem ceeb:

1. Hom uas tsis kis rau lwm tus: Cov no yog cov hom uas feem ntau kis. Hauv hom no, tus kab mob tsuas yog kis rau ntawm lub qhov ntswg thiab qhov ntswg xwb. Nws tsis tshua kis mus rau lwm qhov ntawm lub cev.

2. Hom kab mob kis tau: Cov no muaj kev phom sij me ntsis, tab sis tsis tshua muaj. Hauv hom kab mob no, cov kab mob fungal tuaj yeem kis mus rau lwm qhov ntawm lub cev, piv txwv li, qhov muag thiab txawm tias lub hlwb. Yog tias tsis kho kom zoo, qhov mob no tuaj yeem ua rau tuag taus.

Tam sim no cia peb saib txhua hom no kom meej me ntsis.

Cov hom kab mob fungal sinusitis uas tsis kis tau

• Kab mob ua xua rau cov kab mob fungal sinusitis: Qhov no yog tshwm sim los ntawm lub cev ua xua rau cov kab mob fungal hauv lub qhov ntswg. Hauv qhov no, cov qhov ntswg puv nrog cov hnoos qeev tuab, thiab qee zaum cov pob ntswg tuaj yeem tshwm sim. Cov neeg uas muaj mob hawb pob lossis ua xua xws li mob ua xua rau paj ntoos feem ntau yuav tshwm sim hom no.
• Pob kab mob fungal / mycetoma: Qhov no yog thaum cov kab mob fungal sib sau ua ke hauv cov qhov ntswg thiab tsim ua ib lub pob me me. Cov pob kab mob fungal no (mycetoma) tuaj yeem loj hlob thiab thaiv cov kev hla ntawm cov qhov ntswg.
• Saprophytic fungal sinusitis: Qhov no yog thaum cov fungi loj hlob ntawm cov tawv nqaij ntawm cov hnoos qeev hauv lub qhov ntswg.

Hom Kab Mob Sinusitis Uas Kis Tau Los Ntawm Kab Mob Fungal

• Kab mob ua rau mob ntsws (acute invasive fungal sinusitis): Hauv qhov no, cov kab mob ua rau cov hlab ntsha hauv lub qhov ntswg puas tsuaj. Tom qab ntawd cov nqaij ntawm thaj chaw ntawd pib tuag. Cov kab mob no tuaj yeem kis mus rau qhov muag thiab lub hlwb sai heev, ua rau dig muag thiab tuag taus. Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog yuav muaj tus mob no ntau dua.
• Kab mob ua rau mob ntsws ntev ntev: Qhov no zoo ib yam li hom mob ntsws ceev ceev, tab sis nws kis qeeb me ntsis. Cov neeg uas muaj mob ntshav qab zib feem ntau yuav mob hom mob no.
• Kab mob Granulomatous invasive fungal sinusitis (GIFS): Qhov no yog ib hom kab mob tsis tshua muaj. Qhov tshwm sim hauv qhov no yog tias peb lub cev tiv thaiv kab mob ua rau muaj zog tiv thaiv cov kab mob fungal. Tom qab ntawd lub cev tiv thaiv kab mob tawm tsam lub qhov ntswg, rhuav tshem cov ntaub so ntswg ntawm lub qhov ntswg. Cov kws kho mob tseem tsis tau paub meej tias vim li cas qhov no tshwm sim.

Cov kab mob fungal sinus no feem ntau tshwm sim li cas? Leej twg thiaj raug cov kab mob no ntau zaus?

Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog feem ntau yuav muaj cov kab mob fungal sinus no ntau dua. Cov kab mob hnyav tshwj xeeb feem ntau tshwm sim hauv:

• Rau cov neeg uas muaj tus kab mob HIV.
• Cov neeg uas muaj mob qog noj ntshav (piv txwv li leukemia, lymphoma), lossis cov neeg uas tau txais chemotherapy rau mob qog noj ntshav.
• Rau cov neeg uas muaj tus kab mob ntshav qab zib uas tsis tswj tau hnyav heev.
• Cov neeg noj cov tshuaj uas tiv thaiv kab mob, piv txwv li cov tshuaj steroids.

Cov tsos mob ntawm tus kab mob fungal sinus yog dab tsi?

Cov tsos mob ntawm tus kab mob fungal sinusitis qee zaum yuav zoo ib yam li cov kab mob sinusitis ib txwm muaj. Txawm li cas los xij, seb puas muaj cov tsos mob ntxiv tshwm sim nyob ntawm hom kab mob fungal thiab seb nws puas yog kev kis mus rau lwm qhov lossis tsis yog.

Feem ntau, cov hom tsis muaj kev cuam tshuam muaj cov yam ntxwv hauv qab no:

• Txo qhov kev hnov ​​tsw ntxhiab ntawm lub qhov ntswg.
• Ua npaws.
• Kev o ntawm lub qhov ntswg thiab qhov sinus.
• Ib yam khoom tuab, nplaum uas zoo li kua nplaum roj hmab, feem ntau yog xim daj kub, tawm hauv lub qhov ntswg.
• Qhov ntswg txhaws.
• Qhov ntswg ntws (phlegm).
• Kev xav ntawm qhov siab thiab hnyav hauv cov qhov sinus.
• Mob taub hau ntawm qhov ntswg.
• Tsuas yog koj thiaj li hnov ​​tsw ntxhiab tsw phem (xws li ntxhiab kub hnyiab, ntxhiab ntawm ib yam dab tsi lwj) uas lwm tus tsis hnov ​​tsw.

Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog yuav muaj feem ntau dua los tsim cov tsos mob hnyav xws li:

• Kev hloov pauv tus cwj pwm thiab teeb meem ntawm lub paj hlwb (kev xav thiab kev xav tsis meej).
• Kev hloov xim tawv nqaij (tej zaum xim tawv nqaij yuav dawb los yog tsaus heev).
• Kev xav tias tsis muaj zog ntawm lub ntsej muag.
• Kev pom kev hloov pauv, tej zaum yuav pom kev tsis meej kiag li.
• Mob taub hau hnyav heev.
• o ntawm sab plhu lossis qhov muag heev.

Vim li cas thiaj muaj tus kab mob fungal sinusitis no? Dab tsi yog qhov ua rau?

Kev kis kab mob ntawm lub qhov ntswg tuaj yeem tshwm sim los ntawm ntau hom kab mob fungal. Feem ntau, cov kab mob fungal sinus no yog tshwm sim los ntawm pwm lossis poov xab. Thaum peb ua pa, cov kab mob me me no tuaj yeem nkag mus rau hauv peb lub qhov ntswg los ntawm peb lub qhov ntswg.

Xav txog nws, ntau hom kab mob fungi no yeej nyob hauv lossis sab hauv peb lub cev txhua lub sijhawm. Tab sis feem ntau lawv tsis ua rau peb txhawj. Qhov txaus ntshai yog thaum peb lub cev tiv thaiv kab mob tsis muaj zog. Tom qab ntawd cov kab mob fungi no tuaj yeem loj hlob thiab ua rau muaj kev kis kab mob.

Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?

Yog tias cov kab mob fungal sinus tsis raug kho kom zoo, cov kab mob fungal tuaj yeem rhuav tshem cov ntaub so ntswg hauv lub qhov ntswg thiab kis mus rau lub qhov muag thiab lub hlwb. Cov teeb meem no tuaj yeem ua rau cov ntaub so ntswg puas tsuaj, dig muag, thiab txawm tias tuag . Cov neeg uas muaj cov mob uas ua rau lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, ntshav qab zib, leukemia) yog cov muaj feem yuav muaj cov teeb meem no.

Yog li ntawd, yog tias koj muaj cov tsos mob ntawm tus kab mob fungal sinusitis, tshwj xeeb tshaj yog tias koj lub cev tiv thaiv kab mob tsis muaj zog, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev kho mob tam sim ntawd.

Cov kws kho mob kuaj mob li cas rau tus mob hu ua fungal sinusitis?

Thaum koj mus ntsib kws kho mob, nws yuav xub kuaj koj ("kev kuaj lub cev"). Nws yuav nug txog koj cov tsos mob, koj keeb kwm kev noj qab haus huv, thiab cov tshuaj uas koj noj. Tom qab ntawd, lawv yuav xaj qee qhov kev kuaj mob, xws li:

• Kev kuaj mob hauv qhov ntswg: Qhov no yog tus kws kho mob muab ib lub raj ntev thiab nyias (nrog lub koob yees duab me me rau ntawm qhov kawg) rau hauv koj lub qhov ntswg los kuaj koj cov qhov ntswg. Cov duab los ntawm lub koob yees duab tuaj yeem saib tau ntawm lub monitor. Qhov no yog ib qho kev kuaj yooj yim, tsis mob.
• Kev kuaj mob: Thaum lub sijhawm endoscopy, koj tus kws kho mob yuav muab ib qho qauv me me ntawm cov hnoos qeev lossis cov ntaub so ntswg los ntawm koj lub qhov ntswg. Cov qauv no raug xa mus rau chav kuaj mob kom paub meej tias hom kab mob twg ua rau koj tus kab mob sinus - txawm tias nws yog kab mob, kab mob bacteria, fungus, lossis parasite. Nws kuj tseem tuaj yeem qhia tau tias tus kab mob yog invasive.
• CT scan (computed tomography scan): Qhov no zoo li daim duab X-ray tshwj xeeb. Nws tuaj yeem saib tau meej heev hauv koj lub qhov ntswg, qhia qhov chaw tseeb ntawm tus kab mob, thiab txawm tias kuaj xyuas cov pob fungal uas peb tau tham txog ua ntej.

Cov kev kho mob rau qhov no yog dab tsi?

Muaj ntau txoj kev kho mob rau cov kab mob fungal sinusitis. Txoj kev kho mob uas koj xav tau yuav nyob ntawm koj tus mob.

• Cov Tshuaj Tiv Thaiv Kab Mob Fungal: Qee hom kev kis kab mob yuav tsum tau siv cov tshuaj tiv thaiv kab mob fungal. Cov tshuaj no feem ntau raug sau ua ke nrog kev phais.
• Cov tshuaj Corticosteroids: Koj tus kws kho mob yuav sau ntawv rau koj kom txo qhov o thiab txo qhov siab ntawm lub qhov ntswg.
• Ntxuav Qhov Ntswg: Hauv cov mob zoo li saprophytic fungal sinusitis, cov kws kho mob tshem cov hnoos qhuav tawm ntawm lub qhov ntswg thiab yaug cov qhov ntswg kom huv si nrog cov kua saline (sib tov ntawm ntsev thiab dej).
• Kev phais mob qhov ntswg: Nyob ntawm seb hom kab mob kis li cas, tus kws kho mob yuav tsum tau phais dav dav. Qhov no suav nrog kev tshem tawm cov nqaij mob thiab ntxuav thaj chaw kom huv si. Yog tias tus kab mob kis tau sai heev, kev phais mob no yuav tshem tawm cov khoom uas cuam tshuam.

Tej hom kab mob fungal sinusitis tej zaum yuav tsis tas yuav kho mob loj rau ib tus neeg uas muaj lub cev tiv thaiv kab mob zoo. Txawm li cas los xij, kev kis kab mob fungal sinus yog qhov xwm txheej ceev thiab xav tau kev kho mob tam sim ntawd.

Puas tiv thaiv tau tus mob fungal sinusitis no?

Qhov tseeb, nws nyuaj rau tiv thaiv kom tsis txhob muaj kab mob fungal sinus vim tias cov kab mob fungal muaj nyob txhua qhov chaw hauv ib puag ncig. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tham nrog kws kho mob yog tias koj poob rau hauv ib qho ntawm cov pab pawg muaj kev pheej hmoo no:

• Yog tias koj tau muaj tus kab mob fungal sinus.
• Yog koj muaj mob uas ua rau koj lub cev tiv thaiv kab mob tsis muaj zog.
• Yog tias koj noj tshuaj immunosuppressant lossis tab tom txais chemotherapy rau mob qog noj ntshav.

Yog tias koj lub cev tiv thaiv kab mob tsis muaj zog lossis muaj feem yuav kis tau kab mob fungal sinus, qhia rau koj tus kws kho mob. Nws yuav sau ntawv kom koj noj tshuaj tua kab mob fungal kom tiv thaiv kev kis kab mob ua ntej nws tshwm sim.

Yog tias kuv muaj mob ntsws ua rau mob ntsws, yuav ua li cas?

Feem ntau cov kab mob fungal sinus uas tsis kis tau rau lwm tus, yog tias kho kom zoo , yuav zoo li qub yam tsis muaj teeb meem loj. Txawm li cas los xij, qee hom kab mob tuaj yeem rov tshwm sim dua txawm tias tom qab kho tas lawm los xij.

Txawm li cas los xij, cov kab mob fungal sinus yog qhov xwm txheej ceev thiab xav tau kev kho mob tam sim ntawd.

Piv txwv li, tus mob "Acute invasive fungal sinusitis" tuaj yeem ua rau tuag taus li ntawm 50% ntawm cov neeg mob yog tias tsis kho. Vim tias tus kab mob no kis tau sai heev, nws yog ib qho tseem ceeb kom tau txais kev kho mob sai li sai tau. Txawm tias tom qab kho mob lawm los xij, qee tus neeg kuj yuav muaj kev puas tsuaj rau cov hlab ntsha, mob ntev, lossis lub ntsej muag tsis zoo vim yog kev puas tsuaj ntawm cov nqaij.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj xav tias koj muaj cov tsos mob ntawm tus kab mob fungal sinusitis, nco ntsoov mus ntsib kws kho mob kom kuaj xyuas. Nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob yog tias koj muaj teeb meem ntawm lub qhov ntswg tas li, xws li mob sinusitis ntev, uas tsis ploj mus.

Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?

Yog tias koj muaj cov tsos mob ntawm tus kab mob fungal sinus, thiab koj poob rau hauv ib qho ntawm cov pawg hauv qab no, mus rau chav kho mob ceev tam sim ntawd:

• Yog koj muaj mob uas ua rau koj lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li HIV, ntshav qab zib uas tsis tswj tau, mob qog noj ntshav).
• Yog tias koj noj cov tshuaj immunosuppressants.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Thaum nws los txog rau cov kab mob fungal sinusitis, lawv tuaj yeem sib txawv ntawm qhov me me mus rau qhov hnyav. Tsuas yog vim koj muaj fungal sinusitis tsis tau txhais hais tias koj yuav tsum ntshai. Tab sis nws yog ib qho tseem ceeb kom mus ntsib kws kho mob thiab tau txais kev kho mob kom raug.

Nco ntsoov, tshwj xeeb tshaj yog tias koj lub cev tiv thaiv kab mob tsis muaj zog thiab koj muaj cov tsos mob ntawm tus kab mob fungal sinusitis, nrhiav kev kho mob tam sim ntawd yam tsis muaj kev ncua. Vim tias cov kab mob fungal sinus tuaj yeem kis tau sai heev thiab ua rau muaj lwm yam teeb meem loj, txawm tias muaj kev phom sij rau lub neej.

Yog li ntawd, qhov tseem ceeb tshaj plaws yog saib xyuas koj txoj kev noj qab haus huv.

` Kab mob Sinusitis, Kab mob Sinus, Qhov ntswg txhaws, Kab mob Fungus, Cov tsos mob ntawm Sinus, Kev kho mob Sinus, Kab mob Sinusitis