He harore te take o ngā raruraru sinus pumau? (Harore Sinusitis) Kia tino mōhio tātou!

He maha ngā wā ka pāngia koe e ngā raruraru sinus? He mea noa te ihu pupū, te mamae o te upoko, me te mamae o ngā paparinga me te rae? He tokomaha o tātou e kī ana i tēnei ko te "sinusitis." Engari i mōhio koe i ētahi wā ko te take o tēnei raruraru sinus ehara i te iroriki noa (huakita), engari he harore (fungus). Koinei te mea e kīia ana e tātou ko te Fungal Sinusitis, ko te Fungal Rhinosinusitis rānei i roto i te rongoā. I tēnei rā, ka kōrerohia e tātou tēnei mea mā te ngāwari, i roto i te huarahi e mārama ai koe.

He aha te tikanga o te sinusitis harore?

Āe, tuatahi, me titiro tātou ki ngā ihu. Ko ngā ihu ko ngā kōhao hau kau i roto i ngā wheua o tō mata, huri noa i tō ihu. E hono ana ēnei ki tō ihu. I te nuinga o te wā, ka kī tonu ēnei kōhao i te hau.

Whakaarohia, ki te uru he harore - he momo pokepokea ai - ki roto i ēnei kōhao ihu ka puta he mate, koia te mea e kiia nei e tātou ko te Fungal Sinusitis . Pērā i te tupu o te pokepokea ai i runga i te poro taro, ka taea e te harore te tupu i roto i ngā kōhao ihu. Ka puta ngā tohu pēnei i te ihu pupuhi me te mamae o te ihu.

E rua ngā momo matua o te sinusitis harore:

He mea tino nui kia mārama tika ki tēnei, nā te mea ahakoa kāore tētahi momo i te mōrearea i te nuinga o te wā, ka taea e tētahi atu te whakamomori.

1. Momo kore-whakaeke: Koinei te momo tino noa. I konei, ka noho te harore ki ngā kōhao o te ihu me te sinus. He rite ki te harore e tipu ana i runga i te pakitara o te whare, engari kāore e pakaru i te pakitara ka horapa ki roto i te whare. He iti ake te mōrearea o tēnei momo.

2. Momo whakaeke: Koinei te momo tino morearea. I konei, ka whakangaromia e te harore ngā pakitara o ngā kōhao ihu ka tīmata te horapa ki ngā kiko e karapoti ana, ki ngā kanohi, tae noa ki te roro. Pērā i te harore i tupu i runga i te pakitara, i kai i te pakitara ka horapa puta noa i te whare. Ka mate pea tēnei mena kāore e tere te rongoā.

Nā, me titiro tātou ki ngā wehewehenga i raro i ēnei momo e rua me ētahi atu taipitopito.

Ngā momo kore-whakaekenga

• Mate pāwera ki te Sinusitis harore: Koinei te wā ka pāngia tō tinana e te mate pāwera ki tētahi harore e uru ana ki tō ihu. Ka whakakīia ngā kōhao sinus ki te hūpē matotoru, ā, i ētahi wā ka puta he mea pēnei i te polyps ihu. Ko te hunga he mate huango, he mate pāwera rānei ki ngā mea pēnei i te mite puehu (mate pāwera ki te rhinitis) ka nui ake te tūponotanga ka pāngia rātou e tēnei mate.
• Pōro Harore (Mycetoma): Koinei te wā e hanga ai e ngā harore he puranga rite ki te pōro i roto i te kōhao ihu. I te tipu haere o tēnei pōro harore, ka taea e ia te aukati i te kōhao ihu, ka puta te pēhanga me te mamae.
• Te Sinusitis Harore Saprophytic:Koinei te wāhi e tupu ai te harore i runga i ngā kiriuhi maroke o roto i te ihu. Kāore e nui te kino e puta mai i tēnei.

Ngā momo whakaeke - koinei ngā mea morearea!

• Te Sinusitis Harore Whakaekenga Kino: He mate ohorere, he kino hoki tēnei. I konei, ka whakangaromia e te harore ngā oko toto i roto i te ihu. Nō reira, ka tīmata te mate o te kiko. Ka horapa tere tēnei mate ki ngā kanohi me te roro, ka matapo, ka mate hoki. Ko te hunga he ngoikore te pūnaha ārai mate (hei tauira, ngā tūroro mate pukupuku, ngā tāngata kua pangia e te HIV) he nui ake te mōrearea ki te whakawhanake i tēnei mate.
• Te Sinusitis Harore Mau tonu: He rite tēnei ki te momo Koretake kua whakahuatia ake nei, engari he puhoi ake te tere o te horapa. Ka puhoi te horapa i roto i te wā. Ko te hunga mate huka he nui ake te tūponotanga ka pāngia e tēnei momo.
• Te Sinusitis Harore Whakaeke Granulomatous (GIFS): He momo tino onge tēnei. Ko te mea e tupu ana i konei ko te whakaekenga a te pūnaha ārai mate o te tinana i tētahi urupare kaha ki te harore, ka whakangaro i ngā kiko o te ihu. Kāore anō kia mōhiotia he aha i puta ai tēnei.

Ko wai ka nui ake te tūponotanga ka pāngia e ēnei mate pāwera harore?

I te nuinga o te wā, kāore i te maha ngā tāngata hauora e pāngia e ēnei mate harore, inā koa ko ngā momo mate urutā kino. Heoi, he nui ake te mōrearea o te hunga ngoikore te pūnaha ārai mate . Hei tauira:

• Mō te hunga kua pangia e te HIV
• Ngā tūroro matepukupuku (ina koa ko te leukemia, te lymphoma) me te hunga e whiwhi ana i te chemotherapy
• Mō te hunga he mate huka kino kāore i te taea te whakahaere
• Ko te hunga e tango ana i ngā rongoā pēnei i ngā immunosuppressants me ngā steroids mō te wā roa (hei tauira, ko ngā tūroro whakawhitinga okana)

He aha ngā tohu o te sinusitis harore?

He tino rite ngā tohu ki ērā o tētahi raruraru sinus noa. Heoi anō, tera pea ka puta ake ētahi atu tohu i runga i te momo mate me te kaha o te mate, kāore rānei. Me titiro tātou ki ēnei i roto i tētahi ripanga.

Me pēhea te tautuhi tika i tēnei mate?

Ina kite koe i te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, ō mate kē atu, me ngā rongoā e tangohia ana e koe. Kātahi ka whakahaerehia pea e ia ētahi whakamātautau hei whakaū i te mate.

• Endoscopy: Ko te whakaurunga o tētahi ngongo angiangi me tētahi kāmera ki roto i te ihu hei tirotiro i te roto o ngā kōhao sinus. Mā tēnei ka taea te kite i te āhua o roto o ngā sinus i runga i te aroturuki.
• Biopsy: I te wā o te endoscopy, ka tangohia pea e te tākuta he tauira iti o te hūpē, te kiko rānei i roto i te ihu, i te kōhao sinus rānei, ka tukuna ki te taiwhanga hei whakamātautau. Ka taea e tēnei whakamātautau te tino mōhio mēnā he huakita, he huaketo, he harore rānei te take o te mate. Ka taea hoki te whakatau mēnā he mate urutā te mate.
• Matawai CT: He whakamātautau whakaahua tēnei e rite ana ki te hihi-X. Ka taea e ia te whakaputa whakaahua toru-ahu o roto o ngā kōhao ihu. Ka āwhina tēnei ki te kite mārama i te horapa o te mate me te kite mēnā he pōro harore.

He aha ngā maimoatanga mō tēnei?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te momo sinusitis harore kei a koe me te āhua o tō pūnaha ārai mate.

• Pokanga Sinus:I te nuinga o te wā, me pokanga hei rongoā i tēnei. Ko te pokanga he tango i ngā kiko kua pangia, ngā pōro harore, me te hūpē matotoru, me te horoi pai i ngā kōhao ihu. I roto i ngā momo whakaeke, me tango pea ngā kiko e karapoti ana i te wāhi kua horapa te harore.
• Ngā rongoā ārai harore: Mō ētahi momo mate pukupuku, inā koa ko ngā momo mate urutā, ka hoatu ngā rongoā ārai harore (ā-waha, ā-injectable rānei) i te wā kotahi e pokanga ana.
• Corticosteroids: Ka taea te hoatu steroids (rehu ihu, pire rānei) hei whakaiti i te pupuhi me te pēhanga i roto i ngā kōhao sinus. Ko ēnei te mea e whakamahia whānuitia ana mō te mate pāwera fungal Sinusitis.
• Horoi Ihu: I ngā take māmā noa iho, pērā i te momo waikura, ka tangohia te hūpē maroke i roto i te ihu, ā, ka horoia ngā kōhao ihu ki te wai tote.

He aha te mea ka tupu i muri i te maimoatanga?

Ngā momo kore-whakaekenga: I te nuinga o te wā ka memeha katoa ēnei i muri i te maimoatanga, engari ko ētahi momo (ina koa ko te mate pāwera me te sinusitis harore) ka hoki anō pea i muri i te maimoatanga.

Ngā momo whakaekenga: He tino morearea ēnei. Mō ngā mate kino pēnei i te Acute Invasive Fungal Sinusitis, ko te mōrearea o te mate he tata ki te 50% ahakoa te maimoatanga tere. Koia te take e taunakihia ana kia kite wawe koe i te tākuta, ahakoa he iti noa ngā tohu. Ahakoa ka ora tō oranga i muri i te maimoatanga, tera pea ētahi tāngata ka pāngia e te kino o ngā io me ngā āhua rerekē o te mata (nā te tango i ngā kiko).

Āhea ahau me toro atu ki te tākuta? Āhea ahau me haere ki te ETU?

• Mena kei a koe ngā tohu o te Sinusitis Fungal kua whakahuatia ake nei, ina koa kua roa te wā e pāngia ana (Sinusitis Mau tonu), me toro atu koe ki te tākuta mō tētahi tirotiro hauora.
• Mena kua pāngia koe e te mate sinusitis harore i mua, he mate rānei kei a koe e whakaiti ana i tō pūnaha ārai mate, me kōrero tonu ki tō tākuta.

Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU)!

Mena kei te ngoikore tō pūnaha ārai mate (hei tauira, he tūroro mate pukupuku, he pangia e te HIV, he rongoā ārai mate) ā, ka pāngia koe e tētahi o ngā tohu o tētahi mate urutā (pēnei i te ngoikore o te kanohi, te pupuhi o ngā kanohi, te panoni o te tirohanga), haere tonu ki te rūma ohorere o te hōhipera tata (ETU). Tērā pea he āhuatanga ora, he mate rānei tēnei.