Koj puas tau muaj ib zaug uas koj hnov tsw ntxhiab uas tsis muaj tiag, tsis muaj laj thawj dab tsi li? Tej zaum nws yog ntxhiab roj hmab kub hnyiab, zaub mov lwj, lossis rau qee tus neeg, nws yog ib qho ntxhiab tsw zoo li tshuaj tsw qab. Qhov no yog qhov peb hu ua 'Phantosmia', uas yog thaum peb hnov tsw ntxhiab uas tsis muaj tiag. Txawm hais tias qhov no yog ib qho kev paub txawv txawv me ntsis, tsis muaj dab tsi yuav tsum ntshai, cia peb tham txog nws kom meej.
Phantosmia yog dab tsi tiag?
Hais yooj yim xwb, phantosmia yog kev xav txog cov ntxhiab uas tsis muaj tiag. Lwm lub npe rau qhov no yog "olfactory hallucinations." Cov ntxhiab no yuav hnov tau hauv ib lub qhov ntswg xwb, lossis lawv yuav hnov tau hauv ob lub qhov ntswg. Qee zaum cov ntxhiab no yuav hnov tas li, thaum lwm lub sijhawm lawv yuav tsis tshua muaj.
Xav txog seb, koj nyob hauv chav nyob hauv tsev, tsis muaj dab tsi kub hnyiab, tsis muaj leej twg haus luam yeeb, tab sis koj mam li hnov ntxhiab luam yeeb kub hnyiab. Qhov no yog qhov no. Feem ntau, qhov no tsis yog qhov loj heev, thiab nws yuav zoo dua tom qab ib pliag. Txawm li cas los xij, tsis tshua muaj , qhov no tuaj yeem yog ib qho tsos mob ntawm tus kab mob loj xws li tus kab mob Parkinson, mob stroke, lossis mob qog hauv hlwb. Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov no.
Tus mob no feem ntau tshwm sim li cas?
Qhov tseeb, qhov kev xav tsis thoob no tsis yog ib qho uas tshwm sim ntau. Muaj li ntawm 10% thiab 20% ntawm cov kab mob uas cuam tshuam rau peb lub cev hnov tsw, uas yog, qhov kev hnov tsw, tau tshaj tawm tias yog Phantosmia. Qhov no txhais tau tias nws tsis tshwm sim rau txhua tus.
Cov tsos mob ntawm cov "ntxhiab tsw ploj" no yog dab tsi?
Qhov tsw ntawm tus kab mob phantosmia no txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus neeg, nws yuav yog ib qho tsw qab zoo, zoo li tsw ntawm ncuav mog qab zib ci tshiab. Tab sis rau ntau tus neeg, nws yuav yog ib qho tsw tsis zoo . Nov yog ob peb yam piv txwv:
- Qhov tsw ntawm roj hmab hlawv
- Cov ntxhiab tsw ntawm cov khib nyiab
- Qhov tsw ntawm cov khoom noj uas lwj lawm
- Qhov tsw ntawm cov mov ci hlawv
- Qhov tsw ntawm cov pa luam yeeb
- Qhov tsw ntawm tshuaj lom neeg
- Ib qho ntxhiab tsw ntawm hlau
- Ib qho ntxhiab tsw phem, ntxhiab tsw phem.
Qee zaum, koj yuav pom ib qho ntxhiab tsw txawv txawv uas koj tsis tau hnov dua li. Qhov ntxhiab tsw no yuav nyob ntev mus, lossis nws yuav tuaj thiab ploj mus.
Vim li cas peb thiaj hnov cov ntxhiab tsw txawv txawv no? Yog vim li cas?
Tej zaum yuav muaj ntau yam ua rau qhov no. Cia peb saib cov yam tseem ceeb uas ua rau muaj qhov teeb meem no.
Cov ua rau pom ntau:
- Mob Khaub Thuas: Thaum koj mob khaub thuas, koj lub qhov ntswg yuav raug thaiv thiab cov hlwb uas hnov tsw yuav raug cuam tshuam.
- Kab mob Sinus: Tus mob no kuj tuaj yeem tshwm sim los ntawm kev kis kab mob hauv cov qhov cua (sinuses) nyob ib puag ncig lub qhov ntswg.
- Cov kab mob ua pa sab saud: Lwm cov kab mob uas cuam tshuam nrog caj pas thiab qhov ntswg.
- Kev ua xua:Ib txhia neeg kuj tseem tuaj yeem muaj teeb meem ntawm lub qhov ntswg vim yog ua xua rau tej yam xws li hmoov av thiab paj ntoos, ua rau muaj kev xav tsis thoob.
- Cov pob qhov ntswg: Cov pob me me hauv lub qhov ntswg tuaj yeem thaiv qhov hnov tsw.
- Mob taub hau migraine: Qee tus neeg uas muaj mob taub hau migraine yuav muaj cov ntxhiab tsw txawv txawv no ua ntej lossis thaum lub sijhawm mob taub hau.
- Noj qee yam tshuaj: Qhov no kuj tuaj yeem tshwm sim los ntawm qee cov tshuaj uas koj noj.
- Kev raug tshuaj lom: Kev raug tshuaj lom xws li cov hlau lead thiab mercury kuj yog ib qho ua rau.
- Teeb meem hniav thiab pos hniav: Nws kuj tseem tuaj yeem tshwm sim los ntawm tej yam xws li kab mob pos hniav thiab qhov ncauj qhuav.
- Haus luam yeeb: Qhov kev pheej hmoo no kuj siab dua rau cov neeg haus luam yeeb.
- Tom qab kis tus kab mob COVID-19: Muaj ntau tus neeg tau tshaj tawm tias lawv tau ntsib cov kev hloov pauv no hauv lawv txoj kev hnov ntxhiab tsw, suav nrog kev tsis hnov tsw, txawm tias tom qab rov zoo los ntawm COVID.
Cov laj thawj tsis tshua muaj tab sis txhawj xeeb:
Cov no yog qhov loj me ntsis, tab sis nco ntsoov tias lawv tsis yog ib txwm muaj .
- Kab mob Parkinson
- Mob qog hauv hlwb
- Mob stroke
- Kev raug mob taub hau
- Kab mob qaug dab peg
- Kab mob Alzheimer
- Neuroblastoma (ib hom mob qog noj ntshav uas feem ntau tshwm sim rau cov menyuam yaus)
Qhov tseem ceeb tshaj plaws yog nrhiav seb yog dab tsi ua rau muaj cov tsos mob no yog tias koj muaj. Rau qhov no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.
Tus kws kho mob yuav kuaj pom qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nrhiav seb yog dab tsi ua rau koj lub qhov ncauj tsw phem. Tsuas yog nrhiav pom qhov ua rau koj thiaj li kho tau zoo.
Tus kws kho mob yuav kuaj koj lub qhov ntswg, pob ntseg, taub hau, thiab caj dab. Tsis tas li ntawd, lawv yuav nug koj cov lus nug txog cov tsos mob no:
- Koj tsw ntxhiab dab tsi?
- Qhov tsw ntxhiab no nyob ntawd ntev npaum li cas lawm?
- Koj puas hnov nws hauv ib lub qhov ntswg lossis ob qho tib si?
Cov lus nug zoo li no tuaj yeem pab tus kws kho mob kom nkag siab zoo dua txog koj tus mob.
Koj ua hom kev ntsuam xyuas dab tsi?
Qee zaum, yuav tsum tau kuaj ntxiv kom paub tseeb tias yog vim li cas. Nov yog qee qhov kev kuaj uas yuav ua tau:
- Kev kuaj xyuas qhov ntswg: Qhov no yog thaum tus kws kho mob ntxig ib lub raj nyias nyias, yoog tau (hu ua endoscope, uas muaj lub koob yees duab me me thiab lub teeb) rau hauv koj lub qhov ntswg los kuaj xyuas koj cov txoj hlab ntswg thiab cov qhov ntswg. Qhov no tuaj yeem pab kuaj xyuas seb puas muaj teeb meem hauv koj lub qhov ntswg.
- Kev ntsuam xyuas duab:Cov no suav nrog CT scans thiab MRI scans. Cov hom scans no thaij duab ntawm cov cheeb tsam hauv lub taub hau, xws li lub hlwb, kom pom seb puas muaj qhov tsis zoo.
- Kev ntsuas hluav taws xob ntawm lub hlwb (EEG): Qhov no yog ib qho kev kuaj uas tsis mob thiab muaj kev nyab xeeb uas ntsuas kev ua haujlwm hluav taws xob ntawm koj lub hlwb. Nws tuaj yeem pab nrhiav tau txhua yam mob ntsig txog lub hlwb, xws li qaug dab peg.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob rau phantosmia nyob ntawm seb qhov ua rau muaj teeb meem yog dab tsi .
- Yog qhov no yog los ntawm tej yam xws li mob khaub thuas, ua xua, lossis mob ntsws, qhov tsw ntxhiab yuav tsis hnov qab thaum tus mob kho tau zoo lawm.
- Txawm li cas los xij, yog tias tus kab mob phantosmia yog los ntawm ib qho mob ntawm lub hlwb (piv txwv li, muaj feem cuam tshuam rau lub hlwb), kev kho mob yuav nyuaj me ntsis. Txawm li ntawd los, kev kho mob sib txawv nyob ntawm qhov ua rau muaj tseeb. Piv txwv li, ib tus neeg uas muaj tus kab mob qaug dab peg yuav xav tau tshuaj lossis phais. Ib tus neeg uas muaj qog hauv lub hlwb yuav xav tau kev kho mob chemotherapy thiab/lossis kev kho mob hluav taws xob.
Thaum tus kws kho mob pom qhov ua rau koj mob, nws yuav sau ntawv kho kom raug.
Puas muaj tej yam uas koj ua tau hauv tsev?
Yog lawm, qee tus neeg uas muaj tus kab mob phantosmia tuaj yeem nrhiav kev pab los ntawm cov yam no uas lawv ua tau hauv tsev:
- Kev ntxuav qhov ntswg: Siv lub lauj kaub neti lossis cov kua ntsev los ntawm lub tsev muag tshuaj los ntxuav koj cov qhov ntswg. Qhov no yuav pab ntxuav cov khib nyiab thiab ua kom cov qhov ntswg huv si.
- Tshuaj tsuag rau qhov ntswg: Koj siv tau cov tshuaj tsuag rau qhov ntswg uas muaj oxymetazoline los pab kom qhov ntswg tsis txhob txhaws. Cov tshuaj no muaj nyob rau ntawm cov khw muag tshuaj. Txawm li cas los xij, tsis pom zoo kom siv cov tshuaj tsuag no tas li , thiab nws yog qhov zoo tshaj plaws kom sab laj nrog kws kho mob yog tias koj siv lawv ntau tshaj ob peb hnub.
Qhov no puas tiv thaiv tau?
Vim tias qhov kev ntshai ntshai feem ntau yog ib qho tsos mob ntawm lwm yam mob, nws nyuaj rau tiv thaiv kom tsis txhob muaj qhov kev ntshai ntshai no yog tias qhov mob hauv qab no tsis tuaj yeem tiv thaiv tau. Txawm li cas los xij, thaum koj paub tias dab tsi ua rau muaj kev ntshai ntshai, koj tuaj yeem ua cov kauj ruam los txo koj qhov kev pheej hmoo.
Yuav ua li cas thiaj txo tau qhov kev pheej hmoo?
Cov no tuaj yeem pab txo qhov kev pheej hmoo ntawm kev mob phantosmia:
- Yog koj haus luam yeeb, tsum.
- Yog koj xav tias qhov mob no yog los ntawm cov tshuaj uas koj noj, nrog koj tus kws kho mob tham txog nws thiab saib seb koj puas hloov tau lwm yam tshuaj.
- Yog koj muaj kev ua xua, tswj lawv.
- Nrhiav kev kho mob sai sai yog tias koj mob khaub thuas lossis lwm yam kab mob.
- Yog tias koj muaj teeb meem nrog koj cov hniav lossis cov pos hniav, mus kho lawv.
- Ntxuav koj txhais tes ntau zaus thiab nyob kom huv si. Qhov no yuav txo tau qhov kev pheej hmoo ntawm kev kis kab mob.
Qhov teeb meem no puas yuav ploj mus? Nws yuav kav ntev npaum li cas?
Feem ntau, qhov kev xav tsis thoob tsuas yog ib ntus xwb . Nws tuaj yeem ploj mus nws tus kheej hauv ob peb lub lis piam. Txawm li cas los xij, yog tias nws yog los ntawm teeb meem ntawm lub paj hlwb, cov tsos mob yuav kav ntev me ntsis. Yog tias koj tseem muaj cov ntxhiab tsw txawv txawv no ntau tshaj ob peb lub lis piam, koj yuav tsum mus ntsib kws kho mob.
Qhov no yuav kav ntev npaum li cas nyob ntawm ib tus neeg mus rau ib tus neeg. Yog tias nws yog vim muaj mob khaub thuas lossis muaj kab mob, nws yuav ploj mus thaum tus mob tas. Tab sis yog tias nws yog teeb meem nrog lub paj hlwb, cov tsos mob no tuaj yeem kav ntev ntau xyoo.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj tau hnov cov ntxhiab tsw txawv txawv no ntau tshaj peb lub lis piam , koj yuav tsum tau nrog kws kho mob tham. Feem ntau, phantosmia yuav ploj mus thaum kho qhov mob tseem ceeb. Tab sis yog tias tsis yog, nws yog ib qho tseem ceeb kom nrhiav tau qhov ua rau.
Koj yuav tsum nug tus kws kho mob li cas?
Yog tias koj lossis ib tus neeg koj paub muaj tus kab mob phantosmia, nws yuav pab tau yog tias koj nug koj tus kws kho mob cov lus nug no:
- Vim li cas kuv thiaj hnov cov ntxhiab tsw txawv txawv no?
- Qhov no yuav kav ntev npaum li cas?
- Kuv puas yuav tsum tau kho mob rau lwm yam mob uas tseem ceeb?
- Muaj tej txoj hauv kev twg uas kuv thiaj li txo tau cov tsos mob no?
- Kuv puas yuav tsum tau mus ntsib kws kho mob pob ntseg, qhov ntswg, thiab caj pas (otolaryngologist) lossis lwm tus kws kho mob tshwj xeeb?
Qhov txawv ntawm Phantosmia thiab Parosmia yog dab tsi?
Ob qho no yog cov teeb meem ntsig txog kev hnov ntxhiab tsw.
- Phantosmia yog qhov kev xav ntawm kev hnov tsw ntawm ib yam dab tsi uas tsis muaj tiag.
- Parosmia yog qhov tsis hnov tsw ntxhiab ib txwm muaj, ua rau nws pom txawv. Piv txwv li, es tsis txhob hnov tsw kas fes, koj yuav hnov tsw ntxhiab roj hmab kub hnyiab.
Cov ua rau ob qho mob no zoo sib xws heev. Kev kho mob rau ob qho tib si phantosmia thiab parosmia nyob ntawm qhov ua rau muaj.
Qhov no puas yog ib qho mob hlwb?
Tsis yog, qhov kev xav tsis thoob tsis yog ib qho mob hlwb. Txawm li cas los xij, qee zaum qhov kev xav tsis thoob no tuaj yeem pom tias yog ib qho tsos mob ntawm qee yam mob hlwb, xws li schizophrenia . Tab sis nws tsis tshua muaj.
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Yog li, phantosmia yog kev pom ntawm cov ntxhiab tsw uas tsis muaj tiag. Nws feem ntau cuam tshuam nrog cov mob xws li mob khaub thuas, ua xua, thiab mob ntsws. Tab sis, tsis tshua muaj, nws tuaj yeem yog ib qho cim ntawm mob hlwb loj xws li qaug dab peg, mob stroke, lossis Alzheimer's.
Yog tias koj tau muaj kev ua pa tsw phem ntau tshaj ob peb lub lis piam, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob. Koj tus kws kho mob tuaj yeem txiav txim siab seb dab tsi ua rau nws thiab pom zoo rau kev kho mob zoo tshaj plaws. Tsis txhob txhawj, feem ntau nws kho tau!
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Kab mob Phantosmia (Phantosmia / Olfactory Hallucination) yog hom kab mob dab tsi?
Phantom txhais tau tias 'dab/ib yam dab tsi uas tsis nyob ntawd'. Nws yog hais txog ib qho mob hlwb uas ib tug neeg tseem hnov ntxhiab tsw txawv txawv, ntxhiab tsw ntxhiab, ntxhiab roj hmab kub hnyiab, ntxhiab nqaij lwj, lossis lwm yam ntxhiab tsw txawv txawv (kev xav tsis thoob) txawm tias tsis muaj lwm yam ntxhiab tsw hauv ib puag ncig (piv txwv li, thaum nyob hauv chav huv).
💬 Vim li cas peb thiaj li tsw ntxhiab li ntawd yam tsis tau hnov tsw tiag tiag?
Qhov no yog teeb meem ntau dua nrog peb lub hlwb nyeem cov teeb liab dua li qhov teeb meem ntawm qhov ntswg polyps / sinusitis. Rau qee tus neeg, tom qab raug mob taub hau hnyav, ua ntej mob taub hau migraine, thaum lub sijhawm qaug dab peg ntawm lub cev, lossis thaum cov hlab ntsha raug puas tsuaj los ntawm tus kab mob zoo li Covid-19, lub hlwb tsim cov ntxhiab tsw cuav.
💬 Qhov no puas yog ib qho mob hlwb? Puas muaj kev kho rau qhov no?
Qhov no tsis yog kev vwm lossis kev mob hlwb. Qhov no yog teeb meem ntawm lub cev thiab lub paj hlwb. Feem ntau, qhov tsw ntxhiab no yuav ploj mus li ob peb lub lis piam. Tab sis yog tias nws tseem muaj, cov kws kho mob (ENT Specialist/Neurologist) yuav ua qhov MRI scan thiab kuaj xyuas seb puas muaj qog hauv hlwb. Qhov no tuaj yeem tswj tau zoo nrog cov tshuaj steroid lossis cov tshuaj tiv thaiv qaug dab peg.
Kev xav tsis thoob, tsis hnov tsw ntxhiab, kev hnov tsw ntxhiab, cov kab mob ntawm lub qhov ntswg, kev hnov tsw tsis meej, kev pom tsis meej ntawm cov ntxhiab
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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