Yu tink se na fungus de mek yu gɛt prɔblɛm wit di sayn we nɔ de dɔn? (Fungal Sinusitis) Mek wi fain out fo sho!

Yu kin gɛt sayn prɔblɛm bak bɔku tɛm? Yu tink se i nɔmal fɔ mek yu nos stɔf, stɔf, yu ed de at, ɛn yu chɛst ɛn fɔrɛst de at? Bɔku pan wi kin kɔl dis "sinusitis." Bɔt yu no se sɔntɛnde di tin we kin mek dis sayn prɔblɛm nɔ kin bi nɔmal jem (baktri), bɔt na fɔŋs (fɔngus). Na dat wi kin kɔl Fɔngal Saynaytis, ɔ Fɔngal Raynosinusitis insay mɛrɛsin. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na Fungal Sinusitis?

Okay, fɔs lɛ wi luk wetin na sayn. Sayn na di ɛmti briz we de insay di bon dɛn na yu fes, rawnd yu nos. Dɛn tin ya kin kɔnɛkt to yu nos. Nɔmal wan, dɛn kɔva dɛn ya kin ful-ɔp wit briz.

Naw imajin, if wan fכns - we na wan kayn mכld- go insay dεn sayn kכva dεm ya εn mek infεkshכn, na dat wi kin kכl Fכn Saynsaytis . Jɔs lɛk aw mold kin gro pan bred, na so di fεnshכn kin gro insay wi sayn kכva dεm. Dis kin mek yu gɛt sɔm sayn dɛm lɛk we yu nos kin rɔtin ɛn we yu kin gɛt pen na yu sayn.

Tu men kayn Fungal Sinusitis de:

I rili impɔtant fɔ ɔndastand dis kɔrɛkt wan, bikɔs pan ɔl we wan kayn nɔ kin denja, di ɔda kayn kin mek pɔsin in layf de pan denja.

1. Noninvasive type: Dis na di kayn we we pipul dɛn kin gɛt mɔ. na ya, di fכns de kכnfyus na di nos εn di sayn kכva dεm. I tan lɛk se mɔld de gro pan wɔl na os, bɔt i nɔ de brok di wɔl ɛn skata insay di os. Dis kayn tin nɔ kin rili denja.

2. Invasive type: Dis na di kayn we we denja pas ɔl. na ya, di fכns de pwεl di wכl dεm na di sayn kכva dεm εn bigin fכ spre to di tisu dεm we de rawnd am, di yay dεm, εn ivin di bren. Jɔs lɛk da mol we bin de gro na di wɔl, it di wɔl ɛn skata ɔlsay na di os. Dis kin kil pɔsin if dɛn nɔ trit am kwik.

Naw lɛ wi luk di sabdivishɔn dɛn ɔnda dɛn tu kayn ya smɔl mɔ.

Di kayn dɛn we nɔ de ambɔg pɔsin

• Alɛji Fɔngal Saynaytis: Dis na we yu bɔdi gɛt alɛji fɔ wan fɛns we de kam insay yu nos. dis kin mek di saynכs kכva fulכp wit tik mכkus, εn sכmtεm i kin mek tin dεm lεk nos polip dεm fכm. Pipul wae gɛt asma ɔr alɛji to tin dɛm lɛk dɔst mit (allergic rhinitis) kin gɛt dis sik.
• Fכngal Bol (Mycetoma): Dis na we fכn dεm de fכm wan mas we lεk bכl insay wan sayn kכva. as dis bכl fכ fכn de gro, i kin blכk di sayn kכva, we kin mek i prεshכn εn pen.
• Saprofayt Fɔngal Saynaytis: .dis na di say we fכns de gro pan di dray mכkus mεmbran dεm (krכst) insay di nos. Bɔku tɛm, dis nɔ kin kɔz bɔku bad tin.

Invasive species - na dɛn wan ya denja!

• Acute Invasive Fungal Sinusitis: Dis na wan sik we kin apin wantɛm wantɛm ɛn we kin rili bad. Na ya, di fεns de pwεl di bכdi we de insay di nos. Dis kin mek di tisu kin bigin fɔ day. Dis infεkshכn kin spre kwik kwik wan na di yay εn di bren, we kin mek yu blayn εn ivin day. Pipul wae gɛt wik imyun sistɛm (e.g., pipul dɛm wae gɛt kansa, pipul dɛm wae gɛt HIV) kin gɛt bɔrku risk fɔ gɛt dis sik.
• Chronic Invasive Fungal Sinusitis: Dis kin fiba di Acute tayp we wi bin dɔn tɔk bɔt, bɔt di rit we i kin skata kin slo smɔl. I kin skata smɔl smɔl as tɛm de go. Pipul wae gɛt dis kayn sik kin gɛt dis kayn sik.
• Granulomatous Invasive Fungal Sinusitis (GIFS): Dis na wan kayn we we nɔ kin bɔku. wetin de apin ya na di bכdi in imyun sistεm de mכunt wan siriכs rispכns agens di fכns, we de pwεl di tisu dεm na di nos. Dɛn nɔ no yet klia wan wetin mek dis kin apin.

Udat kin gɛt dɛn fεnshכn sayn infεkshכn ya?

Jɛnɛral wan, pipul dɛn we gɛt wɛlbɔdi nɔ kin gɛt dɛn fεn infεkshכn ya, mɔ di denja invayv tεyp dεm. Bɔt pipul dɛm wae gɛt wik imyun sistɛm kin gɛt bɔrku risk. Fɔ ɛgzampul:

• Fɔ di wan dɛn we gɛt HIV
• Di wan dɛn we gɛt kansa (especially leukemia, lymphoma) ɛn di wan dɛn we de du kemotɛrapi
• Fɔ di wan dɛn we gɛt siriɔs dayabitis we dɛn nɔ ebul fɔ kɔntrol
• Pipul dεm we de tek mεdikeshכn lεk immunosuppressant εn stεroyd fכ lכng tεm (e.g. כgan transplant pasεnshכn) .

Wetin na di sayn dɛm fɔ Fungal Sinusitis?

Di sayn dɛm kin rili fiba di wan dɛm wae kin kam wit wan kɔmɔn sayn prɔblɛm. Bɔt ɔda sayn dɛn kin apin dipen pan di kayn infekshɔn ɛn if i agresiv ɔ nɔ agresiv. Lɛ wi luk dɛn tin ya na wan tebul.

Aw yu kin no dis sik kɔrɛkt wan?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt, ɛni ɔda sik we yu gɛt, ɛn ɛni mɛrɛsin we yu de tek. Dɔn, i kin du bɔku tɛst fɔ no if i gɛt di sik.

• εndoskopi: dis na fכ put wan tin tכb wit kεmεra insay di nos fכ egzamin di insay pat pan di sayn kכva dεm. dis de mek dεn si di kכndishכn insay di sayn dεm pan monita.
• Bayopsi: We dɛn de du di ɛndoskopi, di dɔktɔ kin tek smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dis tɛst kin no fɔ tru if na baktri, vayrɔs, ɔ fɛns de mek di sik kam. I kin no bak if di infεkshכn de invayv.
• CT Scan: Dis na imej tɛst we fiba ɛkstrem rayt. i kin mek tri dimenshכnal imej dεm fכ di insay pan di sayn kכva dεm. Dis kin ɛp fɔ si klia wan aw fa di infekshɔn dɔn skata ɛn if ɛni fɛns bɔl de.

Wetin na di tritmɛnt dɛm fɔ dis?

Di we aw dɛn de trit yu dipen pan di kayn fɛns saynayz we yu gɛt ɛn di kɔndishɔn we yu imyun sistɛm de.

• Sayn Ɔpreshɔn:Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn fɔ mɛn dis. Di ɔpreshɔn na fɔ pul ɔl di tisu dɛn we gɛt di sik, di fɛns bɔl dɛn, ɛn tik tik mɔk, ɛn klin di sayn dɛn fayn fayn wan. insay invasive tכp dεm, i kin ivin nid fכ pul di tisu dεm we de rawnd usay di fכns dεn dכn spre.
• Antifungals: Fɔ sɔm kayn infekshɔn, mɔ di kayn invasive, dɛn kin gi antifungal mɛrɛsin (we dɛn kin it ɔ we dɛn kin injɛkt) di sem tɛm we dɛn de du ɔpreshɔn.
• Kɔtikosterɔyd: Dɛn kin gi stɛroyd (nasal spray ɔ pils) fɔ ridyus di swel ɛn prɛshɔn na di sayn dɛn. Dɛn kin yuse dɛn tin ya mɔ fɔ Alɛji Fɔngal Saynaytis.
• Nasal Wash: Insay simpul kes dɛm, lɛk di saprophytic tayp, dɛn kin pul di dray mכkus insay di nos εn klin di sayn kכva dεm wit salin sכlushכn.

Wetin kin apin afta dɛn dɔn trit am?

Di kayn dɛn we nɔ de ambɔg pɔsin: Dɛn wan ya kin sɔlv ɔltogɛda wit tritmɛnt, bɔt sɔm kayn dɛn (especially Allergic Fungal Sinusitis) kin kam bak afta dɛn dɔn trit am.

Invasive types: Dɛn tin ya kin rili denja. Insay siriɔs infɛkshɔn lɛk Acute Invasive Fungal Sinusitis, di risk fɔ day na lɛk 50% ivin if dɛn trit am kwik kwik wan. Na dat mek i fayn fɔ go to dɔktɔ kwik kwik wan, ilɛksɛf yu gɛt smɔl smɔl sayn dɛn. Ivin if yu layf sev afta tritmɛnt, sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn nerv ɛn dɛn fes kin pwɛl (bikɔs dɛn kin pul di tisu).

Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?

• If yu gɛt di sayn dɛm fɔ Fungal Sinusitis we wi bin dɔn tɔk bɔt, mɔ if dɛn dɔn de fɔ lɔng tɛm (Chronic Sinusitis), mek shɔ se yu go to dɔktɔ fɔ mek dɛn chɛk yu.
• If yu bin dɔn gɛt fɔngal saynsaytis bifo ɔ yu gɛt sik we de mek yu imyun sistɛm go dɔŋ, tɔk bɔt am wit yu dɔktɔ ɔltɛm.

Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm!

If yu imyun kɔmprɔmis (e.g., kansa pɔsin, HIV infɛkshɔn, imyunɔsuprɛsant) ɛn yu gɛt ɛni wan pan di simptom dɛm fɔ wan invasive infection (lɛk we yu fes de swɛla, yu yay de swel, we yu de si chenj), go na di ɔspitul imejensi rum we de nia yu (ETU) we yu nɔ de te. Dis kin bi tin we kin mek pɔsin day ɔ day.