Koj lub qhov muag puas zoo li nws nkag mus rau hauv? Cia peb tham txog Silent Sinus Syndrome!

Koj puas tau pom ib sab ntawm koj lub ntsej muag hloov me ntsis, tshwj xeeb tshaj yog nyob ib ncig ntawm qhov muag? Tej zaum koj lub qhov muag poob qis me ntsis, lossis koj lub qhov muag poob qis? Txawm hais tias cov no zoo li yog ib qho teeb meem me me, qee zaum yuav muaj ib qho mob uas peb tsis tau hnov ​​​​dua txog, tab sis nws yog ib qho tseem ceeb kom paub txog. Ib qho mob zoo li no hu ua 'Silent Sinus Syndrome.' Lub npe yuav suab txawv me ntsis, tab sis cia peb ua kom yooj yim.

Kab mob Sinus uas ntsiag to yog dab tsi?

Hais yooj yim xwb, qhov no yog ib qho mob uas cuam tshuam txog cov qhov nyob ib puag ncig peb lub qhov ntswg, hu ua 'sinuses'. Nws cuam tshuam rau cov qhov nyob rau ob sab ntawm peb lub qhov ntswg, hu ua '(Maxillary sinuses)'. Hauv qhov mob no, ib lossis qee zaum ob lub qhov muag nqes mus rau hauv me ntsis ('(Enophthalmos)'). Los yog lub qhov muag nqes mus rau hauv lub qhov muag ('(Eye socket)'). Xav txog nws zoo li lub npas uas poob thiab ntsws, qhov no tshwm sim vim tias phab ntsa ntawm peb cov qhov muag qis qis qis mus rau hauv. Hauv pem teb ntawm lub qhov muag qis qis, uas zoo li lub ru tsev ntawm cov qhov muag qis qis no, raug txo qis rau hauv txoj kev no.

Qhov laj thawj tseem ceeb rau qhov no yog vim tias cov qhov ntswg ntawm lub qhov ntswg raug thaiv. Tom qab ntawd cov kua qaub hauv lub qhov ntswg tsis tuaj yeem tso tawm thiab sib sau ua ke, thiab dhau sijhawm, lawv raug nqus rov qab rau hauv lub cev. Vim li no, muaj qhov nqus tsev nyob hauv lub qhov ntswg, thiab lub qhov ntswg maj mam me me. Thaum ntawd lub qhov muag yuav poob qis.

Lo lus 'ntsiag to' raug ntxiv vim tias qhov mob feem ntau tsis mob. Txawm li cas los xij, cov duab ntawm lub ntsej muag, tshwj xeeb tshaj yog ntawm ib sab, tuaj yeem tsis sib xws. Feem ntau, nws tsuas cuam tshuam rau ib sab ntawm lub ntsej muag xwb, tab sis tsis tshua muaj, nws tuaj yeem cuam tshuam rau ob sab. Kev kho mob yog qhov tseem ceeb kom tiv thaiv cov tsos mob kom tsis txhob hnyav zuj zus thiab kom tiv thaiv cov teeb meem xws li kev pom tsis meej lossis kev pom qhov av.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, tus mob no hu ua "Silent Sinus Syndrome" yog ib qho mob tsawg heev . Nws tau raug tshawb pom thiab piav qhia thawj zaug hauv xyoo 1964. Txij thaum ntawd los, tsuas muaj ob peb tus neeg mob xwb, kwv yees li 100 tus, tau tshaj tawm thoob ntiaj teb. Yog li ntawd, tsis muaj ntau tus neeg tham txog nws.

Cov tsos mob yog dab tsi? Koj yuav hnov ​​​​​​lawv li cas?

Cov tsos mob ntawm "Silent Sinus Syndrome" feem ntau yuav maj mam tshwm sim li ntawm ob peb lub lis piam mus rau ob peb lub hlis. Txawm li cas los xij, qee zaum cov tsos mob no yuav tshwm sim sai dua. Cov tsos mob tseem ceeb uas pom tseeb yog kev hloov pauv ntawm koj lub ntsej muag.

• Enophthalmos: Qhov no yog cov tsos mob feem ntau. Yuav luag txhua tus neeg mob muaj nws. Qhov ntau ntawm qhov muag bulging tuaj yeem yog li ntawm 2 txog 6 millimeters.
• Kev hloov pauv ntawm lub qhov muag mus rau hauv qab (`(Hypoglobus)`):Kwv yees li ib nrab ntawm cov neeg mob muaj cov tsos mob no. Qhov no txhais tau tias lub pob qhov muag tau nqis mus rau hauv lub qhov muag. Qhov no tuaj yeem yog li ntawm 1 txog 6 millimeters.
• Kev Hloov Pauv ntawm daim tawv muag: Kev hloov pauv ntawm qhov chaw ntawm daim tawv muag sab saud tau pom muaj li ntawm 88% ntawm cov neeg mob.
• Pom ob sab (`(Diplopia)`): Ob txoj kev tshawb fawb loj tau pom tias ntawm 28% thiab 65% ntawm cov neeg mob muaj tus mob uas lawv pom ob yam tib lub sijhawm.

Ntxiv rau cov tsos mob tseem ceeb no, tej zaum yuav muaj ntau lwm cov tsos mob:

• Ptosis (los yog Blepharoptosis): Qhov kev poob qis los yog kev poob qis ntawm lub qhov muag sab saud.
• Qaij muag ntswj: Cov qhov muag qis qis, ua rau nws zoo li lub qhov muag ntswj.
• Pom tsis meej: Pom tsis meej thiab tsis tsom ntsoov tau yooj yim.
• Sinusitis: o thiab kis kab mob ntawm cov qhov ntswg sinus.
• Rhinorrhea (ntsws): Ib qho kua dej ntws tawm ntawm lub qhov ntswg zoo li hnoos qeev.
• Cov kua ntswg tom qab qhov ntswg: Cov hnoos qeev ntau dhau los ua ke thiab ntws mus rau tom qab ntawm caj pas.
• Kev nias ntawm lub ntsej muag lossis mob: Hnov mob lossis nruj ntawm cov qhov ntswg, xws li nyob ib ncig ntawm lub qhov muag, hauv pliaj, thiab sab plhu.

Vim li cas thiaj muaj tus kab mob silent sinus syndrome? Dab tsi yog cov ua rau muaj?

Txij li thaum peb pom tus kab mob no, cov kws tshawb fawb tau tsim ntau txoj kev xav txog nws ua rau muaj tus kab mob no. Muaj coob tus ntseeg tias qhov ua rau muaj tus kab mob no yog vim muaj ib feem ntawm peb lub qhov ntswg txhaws hu ua "osteoeatal complex." Qhov "osteoeatal complex" no yog ib qho qauv mos mos uas pab cov hnoos qeev thiab cua ntws tawm ntawm lub qhov ntswg. Yog hais kom meej, nws zoo li qhov nkag mus rau hauv peb lub qhov ntswg.

Cov chaw no tuaj yeem raug thaiv vim ntau yam laj thawj. Thaum lawv raug thaiv, cov kua qaub ncaug yuav sib sau ua ke hauv cov qhov ntswg sinus. Raws li lub sijhawm dhau mus, peb lub cev nqus cov kua qaub ncaug no dua. Qhov tshwm sim yog tias muaj qhov nqus tsev (`(Vacuum effect)`) raug tsim hauv cov qhov ntswg sinus. Vim yog qhov kev nyuaj siab ntev no, cov phab ntsa ntawm cov qhov ntswg sinus maj mam rub mus rau hauv thiab ntsws. Vim li no, hauv pem teb ntawm lub qhov muag (`(Orbital floor)`) saum toj ntawm cov qhov ntswg sinus rub mus rau hauv qab. Qhov no tuaj yeem ua rau cov pob txha nyias dua thiab lawv cov duab hloov pauv.

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Txhua tus neeg yeej muaj peev xwm mob tau tus mob no, hu ua "Silent Sinus Syndrome." Txawm li cas los xij, cov neeg uas muaj lub qhov ntswg txawv txawv muaj feem yuav mob ntau dua. Tshwj xeeb, cov neeg uas muaj lub qhov ntswg deviated septum raug suav hais tias muaj feem yuav mob ntau dua.

Kab mob no feem ntau pom muaj rau cov neeg hnub nyoog 30 thiab 40 xyoo. Tsis tas li ntawd, cov neeg haus luam yeeb muaj feem yuav mob no ntau dua.

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

Xav txog seb yuav muaj li cas yog tias koj lub qhov ntswg me me thiab koj ob lub qhov muag yuav txuas ntxiv mus rau hauv. Yog tias tsis kho, qhov "Silent Sinus Syndrome" no tuaj yeem txuas ntxiv mus rau hauv koj lub qhov ntswg thiab ua rau koj cov tsos mob hnyav dua. Koj lub qhov muag lossis ob lub qhov muag yuav nkag mus ntxiv thiab koj lub qhov muag yuav txav mus rau hauv qab ntxiv. Raws li lub sijhawm dhau mus, qhov no tuaj yeem ua rau "Peripheral vision loss", uas yog ib qho mob uas koj pom tej yam los ntawm ob sab thiab pom zoo li koj tab tom saib los ntawm lub raj. Tsis yog li ntawd xwb, nws tseem tuaj yeem ua rau muaj lwm yam teeb meem kev noj qab haus huv.

Koj kuaj mob no li cas kom meej?

Yog koj muaj cov tsos mob no, thaum koj mus ntsib kws kho mob thawj zaug, nws yuav kuaj koj thiab nug txog koj cov tsos mob. Tom qab ntawd, koj yuav raug xa mus rau kws kho mob pob ntseg, qhov ntswg, thiab caj pas (kws kho mob otolaryngologist, lossis kws kho mob ENT).

Tus kws kho mob tshwj xeeb yuav kuaj koj ob lub qhov muag kom zoo thiab kuaj mob raws li koj cov tsos mob. Nws yuav nrhiav tej yam xws li ob lub qhov muag poob qis, qhov muag poob qis, thiab qhov muag poob qis.

Yuav kom paub meej tias muaj mob no, koj tus kws kho mob kuj yuav hais kom koj ua "CT scan" (Computed Tomography scan). Qhov no yuav pom tseeb tias muaj mob dab tsi ntawm cov qhov ntswg.

Yuav kho qhov no li cas? Puas kho tau?

Qhov xov xwm zoo yog tias, yog lawm, feem ntau , kev phais yog kev kho mob rau tus mob no (Silent Sinus Syndrome). Muaj ob hom kev phais tseem ceeb:

• Kev phais Antrostomy: Qhov no suav nrog kev siv lub endoscope, uas yog ib lub cuab yeej nyias nyias uas muaj lub koob yees duab, los tshem tawm qhov txhaws hauv qhov sinus thiab cia cov kua qaub ntws tawm kom zoo. Nws kuj tseem ua rau qhov qhib ntawm qhov sinus uas ua rau muaj teeb meem loj dua. Qhov no feem ntau poob rau hauv qeb ntawm kev phais endoscopic sinus.
• Kho pem teb Orbital: Qee zaum, kev phais kuj tseem yuav suav nrog kev kho pem teb orbital. Txawm li cas los xij, qee tus kws kho mob hais tias qhov no tsis tas li tsim nyog.

Tom qab cov kev kho mob no, cov qhov ntswg pib ua haujlwm li qub dua, thiab cov tsos mob xws li cov kua muag tawm tuaj yeem rov qab mus rau qhov qub.

Koj muaj kev cia siab li cas tom qab kho mob?

Thaum koj pom tus mob "Silent Sinus Syndrome" no sai npaum li cas, nws yuav zoo dua rau koj. Ces koj tuaj yeem tiv thaiv cov teeb meem loj ntawm qhov muag thiab daws qhov teeb meem nrog "Endoscopic sinus phais", tsis tas yuav phais loj (xws li "Orbital floor repair").

Yog tias tsis kho, raws li tau hais ua ntej lawm, qhov mob tuaj yeem hnyav zuj zus thiab ua rau muaj teeb meem xws li pom kev tsis meej, diplopia, thiab pom kev tsis meej. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau.

Puas muaj ib txoj kev los tiv thaiv qhov no kom tsis txhob tshwm sim?

Qhov tseeb, qhov "Silent Sinus Syndrome" no yog ib qho mob uas tuaj yeem cuam tshuam rau txhua tus. Vim tias cov kws tshawb fawb tseem tsis tau pom qhov ua rau qhov no, tsis muaj txoj hauv kev tshwj xeeb los tiv thaiv nws kom tsis txhob tshwm sim. Txawm li cas los xij, yog tias muaj qhov txawv txav hauv lub qhov ntswg, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob tshiab, xws li qhov muag poob qis, qhov muag poob qis, lossis qhov muag poob qis, nco ntsoov mus ntsib kws kho mob. Tej zaum cov no yuav yog tej yam yooj yim, tab sis nws yog ib qho tseem ceeb kom paub tseeb tias tsis muaj dab tsi loj heev.

Koj yuav tsum nug koj tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, kev nug cov lus nug zoo li no tuaj yeem pab koj nkag siab zoo dua txog qhov xwm txheej:

• Kuv tau tus mob "Silent Sinus Syndrome" no li cas?
• Koj pom zoo kom muaj kev kho mob dab tsi?
• Kuv puas yuav tsum tau phais?
• Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais? Kuv yuav tsum txhawj txog dab tsi thaum lub sijhawm ntawd?
• Puas muaj dab tsi uas kuv ua tau los tiv thaiv qhov "Silent Sinus Syndrome" no kom tsis txhob tshwm sim dua?

Puas muaj lwm lub npe rau qhov no?

Yog lawm, qhov "Silent Sinus Syndrome" no muaj ntau lub npe hu ua lwm yam. Piv txwv li, "Chronic maxillary atelectasis" thiab "Imploding antrum syndrome" yog siv. Txawm li cas los xij, qee cov kws tshawb fawb xav tias cov no yog cov mob sib cais, tshwj xeeb.

Yog li ntawd, yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov ntawm txhua yam no yog dab tsi?

Zoo, yog li kuv vam tias koj tam sim no muaj lub tswv yim zoo dua txog qhov peb tau tham txog, "Silent Sinus Syndrome." Nco ntsoov, txawm hais tias qhov no yog ib qho mob tsis tshua muaj, nws tuaj yeem cuam tshuam rau lub qhov muag vim yog kev thaiv hauv peb cov qhov ntswg.

Qhov tseem ceeb tshaj plaws yog tias yog koj pom muaj tej yam tshiab lossis txawv txawv ntawm koj lub ntsej muag, tshwj xeeb tshaj yog nyob ib ncig ntawm koj lub qhov muag - xws li lub qhov muag poob lossis lub qhov muag poob - tsis txhob tsis quav ntsej nws. Tej zaum nws tsis yog ib yam dab tsi uas yuav tsum txhawj txog. Txawm li cas los xij, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom paub meej tias muaj dab tsi tshwm sim thiab, yog tias tsim nyog, pib kho sai li sai tau. Qhov no yuav pab tiv thaiv cov teeb meem tsis tsim nyog. Koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws rau peb!

Kab mob ntswg ntsiag to, qhov muag ntab, sinuses, enophthalmos, hypoglobus, qhov ntswg, ENT