Yu nos kin dray ɔltɛm? I gɛt bad smel ɛn i gɛt krɔkrɔs? I kin bi (Atrophic Rhinitis)!

Yu kin fil bak se yu nos kin dray ɔltɛm? Sɔntɛnde yu kin fil lɛk se yu nos de smɛl bad, ɔ yu kin fil lɛk se tin dɛn we gɛt krɔs de fɔm insay yu nos? Dɔn dis na sɔntin we go impɔtant to yu. Wi kin kɔl dis kɔndishɔn `(Atrophic Rhinitis)`. Lɛ wi tɔk bɔt am simpul wan ɛn di we we izi fɔ ɔndastand.

Wetin na `(Atrofik Raynayt)`?

Fɔ tɔk am simpul wan, `(Atrophic Rhinitis)` na wan kɔndishɔn we di tisu we de insay yu nos de dray ɛn shrink. Tink bɔt am lɛk plant we de dray we nɔ gɛt wata. As tɛm de go, dis tisu kin tan lɛk tin ɛn sɔntɛnde i kin at . Dis kin mek di say dɛn we di briz de pas na yu nos kin big. Bɔt di prɔblɛm na dat, bikɔs wata nɔ de insay yu nos, wan krɔkrɔs kin kam insay yu nos we kin smɛl bad bad wan . Dis na kɔndishɔn we rili de mek pɔsin vɛks.

Wetin di wɔd dɛn "Atrophic" ɛn "Rhinitis" min?

Fɔ ɔndastand dis tin we de apin mɔ, lɛ wi stɔdi dɛn tu wɔd ya smɔl.

• Atrophic ɔ atrophy na wan mɛrɛsin we dɛn kin yuz fɔ kɔl di tisu we de shrink, tan, ɔ lɔs. Insay atrofik raynaytis, di tin, tin layn (we fiba di skin) insay yu nos we dɛn kɔl di mucosa kin tan ɛn afta dat i kin at . Dis mכkus de kכba di sכm sכm bon dεm we de insay yu nos we dεn kכl di tכbinat, we de wam, wet, εn filta di briz we wi de blo. Sɔntɛnde dɛn tɔbinat ya kin shrink ɔ tin bak.
• Raynayt na di swel (dεn kin kכl am bak εdima) εn inflameshn na di nos pasεj dεm. Dis inflamɛns kin afɛkt yu respiratory system ɛn mek i nɔ izi fɔ blo.

So, i klia to yu naw se `(Atrophic Rhinitis)` na kכndyushכn we di tisu dεm we de insay di nos kin shrunk, swεla, εn inflamed.

Aw kɔmɔn tin na `(Atrophic Rhinitis)`?

Atrophic Rhinitis na wan kayn raynitis we nɔ kin kɔmɔt frɔm alɛji . Di kɔmɔn kol na ɔda ɛgzampul fɔ dis. Ɛni tɛm, dɛn se na lɛk 30 milyɔn pipul dɛn na Amɛrika kin gɛt sɔm kayn raynayt we nɔ gɛt alɛji. Sri Lanka nɔ de pan dis kɔndishɔn.

Di difrɛns bitwin raynaytis we nɔ gɛt alɛji ɛn raynaytis we nɔ gɛt alɛji

Smɔl difrɛns de bitwin dɛn tu tin ya.

• Alɛji raynayt ( we dɛn kin kɔl bak hay fiva) kin kam wit sɔm tin dɛn (alɛrjen) we kin mek wi bɔdi in imyun sistɛm (immune response). Sɔm ɛgzampul dɛn na pɔlin, mold, ɛn animal dɛn we dɛn kɔl dander. Di sayn dɛm na we yu nos de rɔn, yu de snis, ɛn yu yay de it .Di sayn dɛm kin bi we yu nos de rɔn, yu de sniz, yu trot de at, ɛn yu de drip afta yu nos.
• Insay non-allergic rhinitis , sniz ɛn rɔn na yu nos kin kam bikɔs ɔf tin dɛm lɛk smel, smok, sɔm mɛrɛsin dɛm, ɛn ɔmon dɛm we nɔ balans. Postnasal drip kin mek bak yu kɔf ɔltɛm. Atrofik raynayt de insay dis kategori.

Wetin na di kayn `(Atrophic Rhinitis)`?

Tu men kayn `(Atrophic Rhinitis)` de:

1. Primary Atrophic Rhinitis : Dis nɔ kin apin so ɔltɛm na kɔntri dɛn lɛk Nɔt Amɛrika. Bɔt na kɔntri dɛn we gɛt wam ɛn dray klaymat lɛk India, Afrika, ɛn Saudi Arabia, lɛk 1% pan di big pipul dɛn kin gɛt dis. I sɔprayz fɔ no se dis kayn kin divɛlɔp bak pan animal dɛn lɛk kaw ɛn pig.

2. Sɛkɔndari Atrofik Raynayt : Dis kin mɔs afɛkt pipul dɛn we dɔn gɛt sayn ɔpreshɔn. Dis kin apin mɔ afta dɛn dɔn du ɔpreshɔn fɔ ridyus di tɔbinat. Dis ɔpreshɔn kin min fɔ pul sɔm ɔ ɔl di tɔbina dɛn. dis kin mek di mכkus de shrink.

Yu fɔ mɛmba bak di kɔndishɔn we dɛn kɔl `(Rhinitis Medicamentosa)`: Sɔm pipul dɛn kin yuz `(nasal decongestants)` (fɔ ɛgzampul `(spray)` lɛk `(oxymetazoline)` ɛn `(phenylephrine)`) fɔ lɔng tɛm. Jɛnɛral wan i nɔ kin fayn fɔ yuz `(spray)` lɛk dis fɔ pas tri dez insay wan row. If yu kɔntinyu fɔ yuz am, yu kin gɛt wan sik we dɛn kɔl `(Rhinitis Medicamentosa)`, we kin ivin mek yu gɛt `(Atrophic Rhinitis)`. So, i bεst fכ yuz nasal `(spray)` כnli lεk aw dכkta tɛl yu.

Wetin na di kɔz dɛm fɔ praymari `(Atrophic Rhinitis)`?

Bɔku tin dɛn de we kin mek pɔsin gɛt praymari atrofik raynayt:

• Alɛji dɛn we pɔsin kin gɛt.
• Baktri infεkshכn dεm.
• Di ɔmon we dɛn kɔl ɛstrojen nɔ balans.
• If pɔsin na di famili gɛt `(Atrophic Rhinitis)` (sɔntin we pɔsin kin gɛt frɔm in mama ɛn papa).
• We yu nɔ gɛt bɛtɛ tin dɛn lɛk ayɔn, vaytamɛn A, ɔ vaytamɛn D.
• if di chenj dεm we dεn kin bכn (`(congenital)`) strכkchכral chenj dεm de na di nos pasej dεm.

Wetin na di kɔz dɛm fɔ sɛkɔndari `(Atrophic Rhinitis)`?

apat frכm di nos כpεrayshכn, sεvεra כda risk fכ divεlכp sεkכnd ``Atrophic Rhinitis``:

• Autoimyun sik dεm (sik dεm we wi bכdi in כwn difεns sistεm de atak wi כwn bכdi).
• Sik dεm lεk `(Granulomatosis wit polyangiitis (GPA))` (dεn bin kכl dεm fכs `(Wegener's)`).
• Ɔda infɛkshɔn dɛn, lɛk sayn infɛkshɔn.
• Redyushɔn tɛrapi fɔ kansa.
• Wan sik we dɛn kɔl ``Sarcoidosis``.
• Sifi dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs lɛk sifilis.
• Aksidɛnt ɔ injuri na di nos.
• As wi bin dɔn tɔk, fɔ yuz sprɛy we de mek yu nɔs nɔ klin fɔ lɔng tɛm.

Wetin na di sayn dɛm fɔ `(Atrophic Rhinitis)`?

Di men sayn, ɛn wan we ɔda pipul dɛn kin notis izi wan, na we wan krɔkrɔs kin kam insay di nos we kin smɛl bad bad wan . If yu tray fɔ pul di krɔkrɔs wit yu an ɔ ɔda tin, yu kin gɛt blɔd na yu nos (`(epistaxis)`). Yu kin gɛt bad bad smel bak frɔm yu mɔt (`(halitosis)`).

Di strenj tin na dat, yu nɔ go notis dis bad smel! Bɔt di pipul dɛn we de rawnd yu go mɔs notis am. Dis kin mek yu nɔ fil fayn we yu de na pɔblik.

Ɔda sayn dɛm wae yu kin si na:

• blɔd we de kɔmɔt na yu nos ɔltɛm (epistaxis).
• Wan wata we tan lɛk pus we de kɔmɔt na di nos.
• Dray ɛn krɔsti nos (dis na wetin yu kin fil fɔs).
• Sayn infεkshכn (sinusitis).

Imajin, wan pɔsin de we nem Nilanthi, we dɔn de divɛlɔp dɛn kayn krɔkrɔs ya na in nos fɔ sɔm tɛm, ɛn i de smɛl bad bak. I dɔn de ignore am. Leta, in padi dɛn se, "Nilanthi, sɔntɛnde we a de rawnd yu, a kin smɛl smɔl strenj." Na da tɛm de Nilanthi disayd fɔ luk insay dis. So, sɔntɛnde wi kin fil bad fɔ ɔda pipul dɛn we wi nɔ ivin no.

Aw fɔ no bɔt `(Atrophic Rhinitis)`?

If yu gɛt dɛn sik ya, yu fɔ go to spɛshal pɔsin we de mɛn yu yes, nos, ɛn trot (ɔtolaryngɔlɔjis, ɔ ENT dɔktɔ). I go chɛk yu ɛn fɔs no di sik bay di sayn dɛm we yu gɛt.

Apat frɔm dat, yu kin du tɛst dɛn bak lɛk dɛn wan ya:

• Alɛji tɛst fɔ no if yu gɛt alɛji ɔ yu nɔ gɛt alɛji.
• Tek ditayla pikchɔ dɛm fɔ di nos kaviti dɛm (CT scan).
• wan tεst we dεn kכl nos εndoskopi na fכ put wan fleksibul tכb (εndoskop) wit kεmεra insay di nos fכ luk fכ polip (gכd) כ כda prכblεm dεm insay di nos.
• ``Nasal inspiratory flow test'' de mכsu aw mכch briz de go insay tru di nos we yu de brith.

Aw dɛn kin trit `(Atrophic Rhinitis)`?

Fɔ tɔk tru, naw, no mɛrɛsin nɔ de fɔ `(Atrophic Rhinitis)`. Bɔt tritmɛnt dɛn de fɔ ridyus da bad bad smel de ɛn kɔntrol di sik dɛn. Nɔ wɔri, yu kin gɛt rilif wit dɛn tritmɛnt ya.

Jɛnɛral tritmɛnt

• Put antibayɔtik ɔntmɛnt insay di nos (if infɛkshɔn de).
• Dɛn kin gi di nos ɔntmɛnt dɛn we de mek di nos wet fɔ mek di nos wet.
• Pil dɛn we gɛt ɛstrojen ɔ sprɛy na yu nos.
• Vitamin dɛn we dɛn kin yuz.
• Yuz humidifier fɔ mek di humidity we de na di ays na os go ɔp.

Ɔspitul tritmɛnt

Dis nɔ kin apin so ɔltɛm, bɔt sɔm pipul dɛn kin nid ɔpreshɔn fɔ trit dis sik. Difrɛn we dɛn de fɔ du ɔpreshɔn. Yu dɔktɔ go ɛksplen to yu us opshɔn go fayn fɔ yu.

Ɔpreshɔn kin du tin dɛn lɛk:

• di kכloshכn fכ wan nos εn di nos kכva (sכmtεm dεn kin yuz prosthεtik divays).
• Narrowing di nos pasej dɛn.
• Injɛkshɔn dɛn we dɛn kin put insay di nos.

Us mɛrɛsin dɛn kin du na os?

Yu kin du dɛn tin ya na os fɔ ridyus di sayn dɛm fɔ `(Atrophic Rhinitis)`:

• Kip yu nos pasej dɛn wet : Yuz sprɛy ɔ drɔp na yu nos lɛk aw yu dɔktɔ se. I fayn fɔ was yu nos wit salin wata.
• Ad mɔstɔ to di briz : Yuz humidifier fɔ mek di ays kɔntinyu fɔ gɛt mɔs na os, mɔ na di bedrum.
• Nasal irigashɔn : If yu was di nos pas wit sɔl wata sɔlvushɔn (we dɛn mek bay we yu ad smɔl sɔl to bɔyl wata) i kin ɛp fɔ pul di krɔst ɛn klia di nos. Yu kin yuz sɔntin lɛk neti pɔt fɔ dis.

Wetin na di poshubul komplikashɔn dɛm fɔ `(Atrophic Rhinitis)`?

I nɔ kin apin so ɔltɛm, bɔt atrofik raynaytis kin mek yu lɔs yu sɛns fɔ smɛl ɔltogɛda (anosmia) . Yu kin gɛt wan sik bak we dɛn kɔl ɛmti nos sindrom . Dis na wan strenj kɔndishɔn. Dis na we yu nos de opin ɛn wayd, bɔt yu stil fil lɛk se sɔntin dɔn stɔp na yu nos. So, pan ɔl we yu lɔng dɛn de gɛt inof ɔksijɛn, yu kin stil fil se yu nɔ ebul fɔ blo fayn.

Yu kin ebul fɔ protɛkt `(Atrophic Rhinitis)`?

כnכfכs, naw nכ we nכ de fכ mek di `(Atrophic Rhinitis)` nכ apin.

Wetin na di luk fɔ pɔsin we gɛt `(Atrophic Rhinitis)`?

Atrophic Rhinitis na wan sik wae de kam fɔ lɔng tɛm (we nɔr de mɛn) . Dis min se i nɔ de go kpatakpata insay shɔt tɛm. Bɔt nɔ wɔri. Yu kin du tin dɛm lɛk fɔ kip yu nos wet, fɔ mek yu nɔr gɛt bɛtɛ sik, ɛn liv nɔrmal layf. Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ fɔ advays:

• If yu gɛt prɔblɛm fɔ blo.
• If i tan lɛk se yu sɛns fɔ smɛl dɔn go dɔŋ.
• If yu gɛt kɔf we nɔ de dɔn.
• If di nos kɔntinyu fɔ dray ɛn krɔs.
• If yu gɛt filin se sɔntin dɔn blok (`(nasal obstruction)`) pan ɔl we yu nos pasej dɛn opin.
• If yu gɛt blɔd we de kɔmɔt na yu nos ɔltɛm.

Pan ɔl we dɛn tin ya kin apin wit kɔmɔn kol, if dɛn kɔntinyu fɔ de, yu fɔ rili go to dɔktɔ.

Tin dɛn fɔ aks yu dɔktɔ

We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Wetin mek a gɛt `(Atrophic Rhinitis)`?
• Us mɛrɛsin dɛn go ɛp mi?
• Wetin a kin du na os fɔ ridyus di sayn dɛm?
• Yu tink se a go nid ɔpreshɔn?
• A fɔ no bɔt prɔblɛm dɛn we kin apin?

Tin dɛn we wi nid fɔ mɛmba frɔm dis stori

If yu gɛt nos we dray ɛn we gɛt krɔs, dat kin rili mek yu vɛks. Yu de pan risk mɔ fɔ gɛt atrofik raynayt afta yu dɔn ɔpreshɔn yu sayn lɛk tɔbinɛktɔmi. Bɔt dis kayn we we nɔ kin apin so ɔltɛm we nɔ gɛt alɛji kin apin bak bikɔs ɔf ɔda tin dɛn lɛk injuri na in fes ɔ baktriyal infɛkshɔn.

De tin wae impɔtant pas ɔl na dat, if yu gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn gɛt advays. Dɔn yu kin tɔk bɔt di rayt tritmɛnt fɔ yu. Yu kin gɛt fridɔm wit mɛrɛsin ɛn mɛrɛsin dɛn we yu kin yuz na os. I nɔ kin izi fɔ mek yu gɛt fɔ du ɔpreshɔn. So, i rili impɔtant fɔ no bɔt dis.

` Atrofik raynayt, dray nos, nos krεs, bad briz, nos blɔd, ENT, sik dεm we de mek yu nɔr de blo