Kei a koe anō hoki te makariri e kore e memeha mō ngā marama? He ihu pūmau tōu, he ānini te upoko, he hūpē matotoru, he kōwhai-kakariki e puta mai ana, ā, kei te mamae tō mata? He tokomaha e whakaaro ana he makariri noa iho tēnei, engari tera pea he mea kino ake, he sinusitis mau tonu. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea, he tino māmā noa iho.
He aha te Sinusitis Mau tonu?
Āe, me titiro tuatahi tātou ki ēnei ihu. He māmā noa iho, ka tapaina ngā ihu ko ngā āputa iti kī tonu i te hau i roto i tō tātou angaanga, i te taha o te ihu, i raro i ngā kanohi, me te rohe rae. Ina manawa tātou, ka haere te hau e tomo ana mā te ihu mā roto i ēnei kōhao i mua i te haere ki ngā pukahukahu. He kiriuhi angiangi kei roto i ēnei ihu. Ka puta hoki he iti noa te hūpē e āwhina ana ki te pupuri i te roto o te ihu kia makuku, ā, ka mau hoki ngā mea pēnei i te puehu me ngā huakita ki te hau e manawahia ana e tātou.
I te nuinga o te wā, ka puta te hūpē mā te ihu. Engari, ki te mumura, ki te pangia rānei ngā kiriuhi i roto i ēnei kōhao ihu, ka āraia ngā ara e rere ai te hūpē. Kātahi ka mau te hūpē ki roto, ka uru mai ngā iroriki, ka puta te mumura. Ka kiia tēnei he sinusitis.
Ināianei, ko te sinusitis whakapeka, e pā mai ana me te makariri noa, ka memeha i roto i ngā rā 10. Heoi, ki te roa atu i te 12 wiki te roa o ēnei tohu, ka kiia e mātou he sinusitis mau tonu . Ahakoa he āhua whakarihariha tēnei mate, ka taea te whakaora katoa mā te maimoatanga hauora tika.
Kei a koe anō ēnei tohu?
Ka pāngia te tangata e te mate sinus mau tonu e ngā momo tohu. I ētahi wā ka haere mai, ka haere atu ēnei, nō reira kāore pea tātou e aro nui atu ki a rātou. Tirohia mēnā he rite ēnei tohu ki a koe.
| Tohu | He whakamārama māmā |
|---|---|
| Te mamae o te kanohi, te taumaha rānei | He mamae e pā ana ina pēhia ngā taha o te ihu, i raro i ngā kanohi, i ngā paparinga, me te rae. Tērā pea ka piki ake te mamae ina piko whakamua. |
| Huhu matotoru, kua memeha te tae | He hūpē matotoru, kōwhai, kākāriki rānei e puta mai ana i te ihu. I ētahi wā, kāore te hūpē e puta mai i te ihu, engari e rere ana ki raro i te korokoro (postnasal drip). Ka taea e tēnei te whakararu i te korokoro tonu. |
| Te pupuhi o te ihu | He tino kikī te ihu, ā, he uaua ki te manawa. Ka rerekē pea te reo ahakoa e kōrero ana. |
| Ānini | He mamae upoko e pā mai ana i te ata, ā, ka pāngia hoki te kanohi. |
| Ētahi atu āhuatanga | Tērā pea ka kitea anō ngā tohu pēnei i te mamae niho (ina koa i te kauae o runga), te mamae taringa, te mare, te ngenge nui, te ngaronga o te hongi me te reka (anosmia/ageusia), me te manawa kino (halitosis). |
Kia maumahara, ki te pāngia koe e tētahi, e rua rānei o ēnei tohu, ehara i te mea kei te pāngia koe e te mate sinusitis mau tonu. Heoi, ki te roa te wā e mau tonu ana, he mea nui kia rapu tohutohu hauora.
He aha i mau tonu ai tēnei raruraru sinus?
He maha ngā take mō tēnei. Ko ngā take matua ko te pupuhi i roto i ngā kōhao o te sinus me te aukati i ngā awaawa rerenga huware. Anei ētahi o ngā take matua mō tēnei mate:
- Ngā Polyp Ihu: He tupu ngawari ēnei, he rite ki te karepe, e puta mai ana i roto i ngā kōhao ihu, i ngā pūkahukahu rānei. Ina nui, ka ārai i ngā ara e mimiti ai te hūpē.
- Mate Pāwera me te Hua Huango: Ko te hunga e mate pāwera ana ki ngā mea pēnei i te puehu, te hae, me te kiri kararehe ka pupuhi te arai o te ihu. He nui ake te mōrearea o ngā tūroro huango.
- Septum kua hē: Mena ka hē te pakitara wheua e wehe ana i ō tātou pongaponga ki tetahi taha, ka taea hoki e ia te aukati i ngā ara sinus.
- Ētahi atu āhuatanga hauora: Ko ngā mate e whakaiti ana i te pūnaha ārai mate o te tinana (hei tauira, te HIV), ngā mate ira pērā i te cystic fibrosis, tae atu ki ngā mate niho ka puta ai te sinusitis i ētahi wā.
- Ngā mate manawa auau:Ka taea e te tangata e pāngia pinepine ana e te makariri me te rewharewha te kino me te matotoru o ngā kiriuhi sinus, ka arahi atu ki te mate sinus mō te wā roa.
He pēhea rawa te kitenga a te tākuta i tēnei?
Ina kōrero mai koe mō ō tohumate, ka tirohia koe e te tākuta i te tuatahi. Kātahi, ki te tika, ka tukuna pea koe e rātou mō ēnei whakamātautau hei whakaū i te mate.
- Endoscopy Ihu: I roto i tēnei mahi, ka whakauruhia he ngongo angiangi, ngāwari me te kāmera iti e piri ana ki roto i te ihu, ā, ka tirohia ki te tomokanga ki ngā kōhao sinus. Ka kitea mārama mēnā he polyps, he pupuhi rānei.
- Ngā matawai CT, MRI rānei: Ka taea e ēnei te tango pikitia taipitopito o tō angaanga me ngā kōhao ihu. Ka taea e rātou te āwhina ki te kite i te nui o te pupuhi i roto i ngā ihu me te kite mēnā he ārai hohonu kei reira.
- Kohikohi: He tino onge, ā, mēnā anake ka whakapaetia he mate kino kē atu, ka taea te tango i tētahi wahi kiko iti mai i te ihu ka tukuna kia tirotirohia.
He aha ngā maimoatanga mō tēnei?
Ko te mea pai rawa atu, he tino whai hua ngā maimoatanga mō tēnei. Mā tō tākuta e whakatau te maimoatanga i runga i te pūtake o tō mate me te kaha o ō tohumate.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā Rehu Steroid Ihu | Koinei ngā maimoatanga e whakamahia whānuitia ana. Ka āwhina i te whakaiti i te pupuhi i roto i te ihu. Mena he polyp kei roto i te ihu, ka taea hoki e rātou te āwhina ki te whakaiti i a rātou. |
| Te Whakamakuku i te Ihu me te Tote | Mā te horoi i tō ihu ki te wai tote e hokona ana i te whare rongoā, ki te wai tote rānei i hangaia i te kāinga, ka āwhina i te tango i te hūpē me ngā mate pāwera e mau ana i roto. |
| Te maimoatanga mō ngā mate pāwera | Mena he mate pāwera te take o ō raruraru ihu, tera pea ka taea e koe te whakaora mā te whakamahi i ngā rongoā antihistamine, i ngā werohanga mate pāwera rānei. |
| Ngā rongoā paturopi | Mēnā ka whakatauhia e te tākuta he mate kitakita te take o te mate, ka taea e ia te tohu rongoā paturopi hei tango mō ētahi wiki. |
| Pokanga | Mena kāore te rongoā e āwhina, ā, he ārai tinana pērā i te polyps ihu, te pupū rānei, me mahi pea te pokanga. Mā te pokanga sinus endoscopic hou, ka taea te tango i te aukati mai i roto i te ihu, ā, ka taea te whakatuwhera i ngā kōhao sinus me te kore e tapahia te taha waho. Hei tāpiri, kei reira ngā tikanga hou pērā i te 'Balloon Sinuplasty'. |
Me aha koe hei ārai i tēnei, hei whakaora hoki i a koe anō i te kāinga?
Ahakoa he uaua ki te karo katoa i tēnei mate whakarihariha, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō mōrearea me te whakahaere i ō tohumate.
- Whakahaerehia ngā mate pāwera: Me noho tawhiti atu i ngā mea pēnei i te puehu, te paoa, ngā paoa o te motuka, me ngā hinu kakara kaha. Horoia pai te whare.
- Kaua e kai paipa: Ki te kai paipa koe, kati. Kaua hoki e noho ki ngā wāhi e kai paipa ana ētahi atu (auahi tuarua).
- Horoia ō ringaringa i ngā wā katoa: Horoia ō ringaringa ki te hopi me te wai i ngā wā katoa hei ārai i te horapa o ngā iroriki.
- Kia makuku tō ihu: Ki te noho koe i tētahi taiao tino maroke, ka taea e koe te whakamahi i tētahi mea whakamakuku hau. Me inu hoki he nui te wai i te roanga o te rā.
- Manawa Kohu: Mā te manawa i te mamaoa mai i tētahi peihana wai wera ka āwhina i te whakamama i te pupū o te ihu me te ihu pupuhi.
- Pūwero wera: Mā te kōmi i tētahi wahi kakahu kua rumakina ki te wai wera ka pania ki ngā wāhi mamae o te mata ka whakaora.
- Okiokinga: Mā te okioki i tō tinana ka āwhina i tō pūnaha ārai mate, nō reira kia nui te moe.
Ko te mea nui, ki te mea kei te pāngia koe e ngā tohumate makariri mō ngā wiki e rua, e toru rānei, me toro atu koe ki te tākuta me te tiki tohutohu tika, kaua e tango i tētahi rongoā e pai ana koe.
Karere Tangohia ki te Kāinga
- Ko te sinusitis mau tonu he mumura o ngā kōhao sinus e roa ana mō te neke atu i te 12 wiki. He rerekē tēnei i te makariri noa.
- Ko ngā tohu matua ko te mamae o te mata, te ihu pupū, te hūpē matotoru kōwhai/kakariki, me te ānini.
- He maha ngā āhuatanga ka pā mai ai tēnei, tae atu ki ngā mate pāwera, ngā polyp ihu, me te ihu pupū.
- Ahakoa he mate hoha tēnei, kei reira ngā maimoatanga whai hua e wātea ana, pērā i ngā rehu ihu, ngā rongoā, ā, mēnā e tika ana, te pokanga.
- Ki te mau tonu ngā tohu, kaua e whakatau i a koe anō, engari me toro atu ki tō tākuta i te wā e taea ai, ka rapu maimoatanga tika.
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