Yu gɛt nos we stɔf bak? I tan lɛk kol, bɔt i nɔ kin bɛtɛ. Yu kin mek nos sawnd we yu de tɔk, yu kin snor na nɛt, ɛn sɔntɛnde yu nɔ kin ebul fɔ smɛl it ɔ flawa fayn fayn wan. If yu sabi dɛn tin ya, yu kin gɛt wan sik we dɛn kɔl nasal polyps. Nɔ wɔri, dis nɔto sɔntin we denja lɛk kansa. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na dɛn nos polip ya?
Fɔ tɔk am simpul wan, nasal polip na bɔdi we nɔ gɛt pen we de fɔm na di sɔft layn na di say dɛn we di briz de pas insay ɛn rawnd yu nos (we dɛn kɔl yu sayn dɛn). Dɛn nɔ gɛt kansa, we min se dɛn nɔ gɛt ɛni prɔblɛm . Dɛn kin de na ɔl tu di say dɛn na yu nos.
Imajin, dɛn lif dɛn ya we gɛt bɔdi kin tan lɛk wata we dɛn smɔl. We dɛn big smɔl, dɛn kin tan lɛk greps we dɛn dɔn pul. Di kɔlɔ kin bi pink, yɔlɔ, ɔ grey. We dɛn de de, sɔntɛnde dɛn kin swel, blok di nos, ɛn mek i nɔ izi fɔ blo.
Dis sik kin bɔku pas aw wi kin tink. Pan ɔl we i kin kam pan ɛnibɔdi, i kin apin mɔ pan man dɛn. Bɔrku tɛm e kin apun pan pipul dɛm wae dɔn pas 30 ɛn 40 ia.
Wetin na di sayn dɛm we pɔsin kin gɛt we i gɛt mitbɔl?
If di bɔmp dɛn we de insay yu nos rili smɔl, yu nɔ go fil ɛni sayn. Bɔt na we dɛn bigin fɔ big, na in prɔblɛm kin kam. Na sɔm tin dɛn we yu fɔ tek tɛm luk fɔ:
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Nasal kɔnjɛshɔn | Fɔ fil lɛk se yu nos kin blok ɔltɛm. I at fɔ blo. |
| Nɔs we de rɔn | Di wata we kin kɔmɔt na yu nos ɔltɛm. |
| Ed we de at ɛn fes pen | Pen ɔ filin fɔ ebi na say dɛn lɛk di fɔrɛst ɛn di chɛst bikɔs ɔf prɛshɔn na di sayn dɛn. |
| Lɔs fɔ smɛl ɛn teist | di ebul fכ no tin dεm lεk di tεst fכ it εn di smεl fכ flawa dεm de rεdכks bכku כ lכs kכmplit. |
| Blɔd we de kɔmɔt na di nos | Wan wan tɛm, blɔd kin kɔmɔt na yu nos. |
| Drip we de afta di nos | Fכ fil lεk mכkus de fכlכ frכm di nos insay di trot. |
| Snor na nɛt | Inkris snor we yu de slip na nɛt bikɔs ɔf di nos kɔnjɛshɔn. |
| Tin dɛn we kin apin we di tin siriɔs: | |
| Asma kin atak am ɔltɛm | Fɔ pɔrsin wae gɛt asma, kin mek asma wɔs ɔltɛm. |
| Sayn infεkshכn dεm we kin kam fכs fכs (Sinusitis) . | Bɔku tɛm, di sayn infɛkshɔn kin kam bikɔs di sayn dɛn kin blok. |
| Slip apnɛa fɔ slip | Na denja tin wae de mek yu de blo stɔp fɔ shɔt tɛm we yu de slip. |
Wetin mek wi kin gɛt dɛn smɔl smɔl bɔdi ya?
Dɔktɔ dɛn no se dɛn bɔmp ya kin kam bikɔs ɔf di inflamɛns we nɔ de dɔn na di nos ɛn sayn. Bɔt dɛn stil nɔ no wetin mek nɔto ɔlman we gɛt dis kayn inflamɛns kin gɛt dɛn ɛn wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt dɛn.
Bɔt dɛn tink se di men tin we kin mek dis apin na di saynsaytis we nɔ de mɛn , we na fɔ swel ɛn gɛt infɛkshɔn na di nos ɛn sayn dɛn we kin las fɔ pas tri mɔnt.
Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik.
- Asma: Pipul wae gɛt asma kin gɛt ayv.
- Alɛji: Pipul dɛm wae kin gɛt alɛji to tin dɛm lɛk dɔst ɛn pɔlin (`Allergic rhinitis` ɔ `hay fever`) kin de pan denja.
- Sεnsitiviti to sɔm pen kil dεm: If di bכdi de haypa sεnsitiv to NSAID pen kil dεm lεk aspirin εn ibuprofen, mכsul dεm kin kramp.
- Sistik fibrosis: Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. Pipul wae gɛt dis sik kin gɛt sist bak.
- Jɛnɛtik inflɔwɛns: Sɔntɛnde, jɛnɛtik prɛdispɔzishɔn kin de fɔ dis sik if sɔmbɔdi na di famili gɛt am.
Yu tink se dis kin rili siriɔs?
Dis nɔ kin apin bɔku tɛm. Bɔt, na smɔl tɛm nɔmɔ, siriɔs kɔmplikeshɔn kin apin if di sayn infɛkshɔn we gɛt fɔ du wit dɛn polip ya nɔ trit fɔ lɔng tɛm. I impɔtant fɔ no bɔt dis.
- di infεkshכn we de spre to di bon dεm (Osteomyelitis): Di infεkshכn kin spre to di bon dεm we de rawnd di nos.
- di infεkshכn we de spre to di yay εn di bren: Di infεkshכn kin spre to di yay sכkεt כ di bren, fכ mek absεs.
- Meningitis: Na wan sik we infεkshכn de spre to di mεmbran dεm we de kכba di bren εn di spεnal kכd.
Yu fɔ mɛmba se dɛn tin ya kin apin we nɔ kin apin so ɔltɛm. Bɔt if yu gɛt sɔm sayn dɛn, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn go to tritmɛnt fɔ mek dɛn tin ya nɔ apin.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, di fɔs tin we i kin du na fɔ aks yu bɔt yu mɛdikal istri ɛn chɛk yu.
1. Aks fɔ di ditel dɛm: Wetin na yu sayn dɛm, aw lɔng dɛn dɔn de, ɛn if yu gɛt ɔda tin dɛm lɛk asma ɔr alɛji.
2. Nasal egzamin: dεn de yuz wan tin we rili tin, we lεk tiub (a `scope`) wit kεmεra εn layt fכ egzamin insay yu nos. Dis kin ɛp fɔ si if ɛni lumps de ɛn aw dɛn big.
3. Ɔda tɛst dɛn if nid de: Sɔntɛnde dɛn kin ɔda fɔ du ``CT`` skan (``computed tomography scan``) ɔ ``MRI`` skan (``magnetic resonance imaging scan``) fɔ no di rayt saiz ɛn di say we di mit lɔmp dɛn de.
4. Test fɔ alɛji:Dɛn kin du dis tɛst bak fɔ no if yu nos kɔnjɛshɔn na bikɔs ɔf alɛji.
Aw dɛn kin trit am?
Tu men we dɛn de fɔ trit ɛnia: mɛrɛsin ɛn ɔpreshɔn. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay aw yu sik bad.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Mɛrɛsin we dɛn kin gi | |
| Stɛroyd nasal sprɛy dɛn | Sprɛy we dɛn kin sprɛy dairekt insay di nos fɔ mek di mucus shrink ɛn ridyus di simptom dɛn na dɛn dɛn kin yuz mɔ. |
| Sterɔyd dɛn we dɛn kin tek bay mɔt | Pil dɛn lɛk prɛdnisɔn. Dɛn kin gi dɛn tin ya fɔ shɔt tɛm, we di sayn dɛn kin rili bad. |
| Bayolojikal mɛrɛsin dɛn | Vaksin dɛn lɛk `dupilumab`. Dɛn tin ya kin afɛkt di bɔdi in imyun sistɛm ɛn mek di bɔdi smɔl. |
| Ɔpreshɔn | |
| Polypectomy we dɛn kin du | If big big lumps de we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, dɛn kin pul am bay ɔpreshɔn. Dɛn kin du dis tru di nos, so dɛn nɔ kin si di say dɛn we dɛn kɔt frɔm do. |
| Ɛndoskopik sayn ɔpreshɔn (FESS) . | Dis na ɔpreshɔn bak we dɛn kin pas kamɛra na di nos. dis involv fכ pul di fכs lכmp dεm εn כda tisu dεm we de blכk di sayn kכva dεm, εn opin di sayn pasεj dεm. |
Yu tink se di bɔdi we gɛt dɔti kin gro bak?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Yɛs, sɔntɛnde, di wɔt kin gro bak . Ivin if dɛn du ɔpreshɔn fɔ pul dɛn, dɛn kin kam bak as tɛm de go. So, sɔm pipul dɛn kin nid fɔ kɔntinyu fɔ yuz mɛrɛsin lɛk stɛroyd sprɛy ɔ dɛn kin gɛt ɔpreshɔn bak. Fɔ di wan dɛn we dɔn lɔs dɛn sɛns fɔ smɛl ɛn teist, i nɔ kin kam bak ɔlsay ivin afta dɛn dɔn trit am. Tɔk to yu dɔktɔ fɔ mek i no klia wan bɔt yu sik.
Yu nɔ go ebul fɔ mek di bɔdi nɔ gɛt dɔti?
Pan ɔl we nɔto ɔltɛm i pɔsibul fɔ mek yu nɔ gɛt dis sik kɔmplit wan, bɔku tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt.
- Yuz yu mɛrɛsin dɛn kɔrɛkt wan: If yu dɔktɔ dɔn tɛl yu mɛrɛsin fɔ asma ɔ alɛji, yuz dɛn jɔs lɛk aw dɛn tɛl yu.
- Yu fɔ de fa frɔm di tin dɛn we de mek yu nɔ fil fayn: Nɔ blo tin dɛn we de mek yu nos rɔtin, lɛk dɔst, smok, ɛn kemikal dɛn.
- Briz stim: Yu kin mek yu aywe dɛn wet bay we yu yuz humidifier fɔ mek di ples wam na yu os ɔ bay we yu jɔs blo stim.
- Klin yu nos: If yu was yu nos wit salin wata (saline nasal rinse) i kin ɛp fɔ pul di tin dɛn we de mek yu nɔ gɛt alɛrjens ɛn ɔda dɔti tin dɛn.
- Gud hajɛns: Was yu an ɔltɛm. Dis kin ɛp fɔ mek yu nɔ gɛt vayral ɛn baktriyal infɛkshɔn ɛn ridyus di risk fɔ mek yu nos nɔ klin.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛn we wi bin dɔn tɔk bɔt, mɔ we yu nos kin rɔtin ɛn we yu nɔ de smɛl, we kin de fɔ pas 10 dez, mek shɔ se yu go to yu dɔktɔ.
Dɔn bak, wan ɔda tin de we rili impɔtant. If yu si sɔntin lɛk wan smɔl smɔl bɔdi na wan say nɔmɔ na yu nos, i nɔ kin bi polip, bɔt na ɔda kayn tumbu. So if yu si sɔntin lɛk dat , sho am to dɔktɔ wantɛm wantɛm ɛn nɔ delay.
Mɛsej we dɛn kin kɛr go na os
- di nos polip dεm na di tisu dεm we nכ de gכt kεnsar, we nכ de mek pen we de divεlכp bikoz fכ di inflameshn we de te insay di nos.
- We yu nos kin rɔtin ɔltɛm, yu nos kin rɔn, ɛn yu nɔ kin smɛl ɛn te na di men sayn dɛm.
- Di tritmɛnt dɛn na fɔ sprɛy stɛroyd, pils, ɛn if nid de, ɔpreshɔn. Bɔt ivin wit tritmɛnt, dɛn tin ya kin kam bak sɔntɛnde.
- Nɔ tray fɔ pul dɛn lif ya we gɛt bɔdi na os fɔ yusɛf fɔ ɛni rizin. Dis kin mek pɔsin blɔd pasmak, infekshɔn, ɛn i kin wund bad bad wan.
- If di sik dɔn pas 10 dez ɔ yu notis wan say we nɔ kɔmɔn na yu nos, mek shɔ se yu go to yu dɔktɔ.
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