He ihu pūmau tōu i ngā wā katoa? He taumaha tōu mahunga, he mamae hoki ōu paparinga? Kāore he hūpē? Koinei ngā tohu matua o te sinusitis. I te nuinga o te wā, ka taea te whakahaere i tēnei mate mā te rongoā i whakaritea e te tākuta. Engari i ētahi wā, ahakoa te nui o te rongoā e tangohia ana e koe, kāore tēnei raruraru e memeha. Koinei te wā ka tūtohu pea tō tākuta kia pokanga sinus. He mea noa te mataku ina rongo koe i te kupu "pokanga". Engari he take pono rānei kia wehi koe i tēnei? Me kōrero noa tātou mō ngā mea katoa.
He aha tonu te pokanga ihu?
Ki te whakarapopoto, ko te pokanga ihu he tukanga whakatuwhera anō i ngā ara kua āraia i roto i ngā ihu, arā, ngā kōhao i roto i tō angaanga huri noa i tō ihu. Whakaarohia he paipa kua āraia i roto i tō whare. Kāore te wai e rere tika ana. Koinei te āhua o te hanga o te hūpē i roto i ngā ihu, ā, ka pangia.
Nō reira, ka mahia tēnei pokanga hei tango i ngā mea e aukati ana i ngā ara kua aukatia. Ko aua mea pea he kiko pangia , he kongakonga wheua tāpiri , he polyp rānei e tipu ana i roto i te ihu. Ko te whāinga matua o tēnei pokanga he hanga i tētahi ara mō te hūpē kia ngāwari ake te rere. Mā tēnei ka whakaiti i te tūponotanga o te mate me te kore whakamarie e pā ki a koe.
I runga i ngā hangarau matatau o ēnei rā, he iti noa ngā tapahi ka mahia i te nuinga o ēnei pokanga (he iti noa te urutomo), arā, ka tere te ora.
He aha ngā momo pokanga sinus e wātea ana?
He maha ngā momo pokanga ihu matua. Mā tō tākuta e whakatau te tikanga tino tika māu i runga i tō āhua. Me titiro tātou ki ēnei tikanga matua.
| Momo Pokanga | Me pēhea te mahi i te mea ngāwari noa iho | He maha ngā wā e whakamahia ana tēnei. |
|---|---|---|
| Pokanga Sinus Endoscopic Mahi (FESS) | Ka whakauruhia he ngongo angiangi me te kāmera iti (endoscope) ki roto i te ihu, ā, mā te endoscope ka tangohia ngā kongakonga kiko, kikokiko, wheua rānei e ārai ana i ngā ara sinus. I ētahi wā ka whakamahia te hangarau rorohiko (pūnaha ārahi-ahua) me ngā karapa CT. | Koinei te tikanga e whakamahia whānuitia ana i tēnei wā. Ka whakamahia hei tango i ngā raruraru sinus mau tonu (Chronic Sinusitis) me ngā polyps. |
| Te Tātaritanga Poihau | Ka whakamahia hoki he endoscope. Engari hei utu mō te tapahi me te tango i te kiko, ka whakauruhia he poihau iti ki roto i te ara sinus kua āraihia, ka pupuhihia. Kātahi ka whānuihia te ara kua āraihia, ka whakatuwheratia. Kātahi ka tangohia te poihau. | He tikanga tino iti te whakaekenga o tēnei. Nā te mea kāore he kiko e hiahiatia ana kia tapahia, he poto te wā whakaora. Kāore e taea e te katoa te mahi i tēnei. Kei te tākuta te whakatau. |
| Te Whare Pokanga o Caldwell Luc | He tikanga tawhito tēnei. Ka tapahia he wahi iti ki runga ake i te ngutu o runga, ki roto i te kapia, kātahi ka tomohia te ihu maxillary. Mai i reira, ka hangaia he ara hou mō te ihu hei tango i te hūpē. | Ka taea te whakamahi i tēnei tikanga i roto i ngā take uaua ake ina kore e puta he hua angitu mai i ētahi atu tikanga. |
He rite tonu te pokanga ihu me te whakaiti i te turbinate?
Āe. E rua ēnei momo pokanga. Ka mahia he pokanga sinus hei whakawātea i ngā ara i roto i ngā kōhao sinus. Ka mahia he whakaiti turbinate hei whakaiti i te rahi o ngā hanganga wheua i roto i te ihu e kiia nei ko ngā turbinate. Ina pupuhi ēnei, ka taea e rātou te whakapūpū i te ihu. I ētahi wā, ka taea te mahi ngātahi i ēnei pokanga e rua.
He morearea tēnei pokanga? Ka tino mamae?
Koinei te raruraru nui rawa atu mō te tini o te tangata. Ki te pono, ehara te pokanga ihu i te momo pokanga e pāngia ana e ngā raruraru nui, kino hoki. He tino haumaru ngā tikanga hou, inā koa ko te FESS me te Balloon Sinuplasty.
Mō te mamae, kāore koe e rongo i te mamae i te wā e pokangahia ana nā te mea ka whakamahia e ngā tākuta te rongoā whakamoe.
- Whakamoemiti Whānui: I roto i tēnei, ka moe rawa koe. Kāore koe e rongo i tetahi mea kia oti rā anō te pokanga.
- Whakamoemiti ā-Rohe: Ka whakangāwari noa iho tēnei i te rohe huri noa i te ihu. Tērā pea ka pēhia koe i te wā o te mahi, engari kāore koe e mamae.
I muri i te pokanga, mō ētahi rā, mō te wiki pea,Tērā pea he mamae ngawari ki te mamae pōturi. Ka hoatu e te tākuta he rongoā whakamamae mō tēnā. Nō reira, kāore he mea hei manukanuka.
Ngā mea me mōhio koe i mua i te pokanga me pēhea te whakarite
He iti noa ngā mea hei whakarite māu i mua i te pokanga. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe. Ko ngā tohutohu e whai ake nei te tikanga ka hoatu:
- Mena he kaipaipa koe, ngana ki te whakamutu i te kaipaipa i te toru wiki i mua i te pokanga. Ka taea e te kaipaipa te whakanui ake i ō raruraru ihu me te whakaroa i te whakaora.
- Mena kei te tango koe i ngā rongoā whakaiti toto pēnei i te aspirin , ka kī atu tō tākuta kia mutu te tango i aua rongoā i te iti rawa i te 7 ngā rā i mua i te pokanga, nā te mea ka taea e ēnei rongoā te whakanui ake i te toto i te wā e pokanga ana, me muri hoki i te pokanga.
- Ki te tukuna koe ki te rongoā whakamoe whānui , kaua e kai, kaua e inu i tetahi mea mai i waenganui pō o te rā o te pokanga.
- I te mea kāore e taea e koe te taraiwa mō ngā haora 24 i muri i te pokanga, whakaritea kia taraiwahia koe e tetahi ki te kāinga .
He aha ngā mea ka tupu i te wā o te pokanga?
Kia tirohia ake ngā taipitopito o te whakarōpūtanga o ngā pokanga i kōrerotia i mua ake nei.
Me pēhea te mahi i te pokanga FESS
Koinei te tikanga tino noa.
1. Tuatahi, ka tāpirihia e te tākuta he rongoā whakaiti i te pupuhi o tō ihu.
2. Kātahi ka werohia te ihu ki roto i te ihu hei whakangā.
3. Nā, ko te endoscope i kōrerotia e au, arā, he ngongo angiangi me te kāmera, ka whakaurua ki roto i te ihu ka tirohia i runga i te mata tirotiro.
4. Mā te whakamahi i ngā taputapu pokanga iti e haere tahi mai ana me te ngongo, ka tangohia marietia ngā kongakonga wheua tāpiri, ngā kiko mate, ngā polyp rānei e aukati ana i ngā ara sinus.
5. Hei whakamutunga, ki te puta he toto, ka taea e koe te tākai i te ihu ki tētahi rauemi motuhake (he rauemi tākai) hei mimiti.
Me pēhea te mahi i te Balloon Sinuplasty
He tikanga māmā ake anō tēnei.
1. Ka werohia e te tākuta he rongoā whakangoikore ki roto i ngā kiko o roto i tō ihu.
2. Ka whakaurua he catheter ki roto i te ihu i raro i te arataki a te endoscope.
3. Mā roto i taua katitere, ka tukuna he poihau iti ki roto i te ara ihu kua āraia.
4. Kātahi ka pupuhi anō te mōneka i te poihau. Kātahi ka whānui te ara kua āraia, ka tuwhera.
5. Kātahi ka tangohia te poihau. Koia rā.
He aha ngā mea ka tupu i muri i te pokanga? Me pēhea taku tiaki i ahau anō i te kāinga?
Mena i tukuna he rongoā whakamoe whānui ki a koe, ka puritia koe i roto i te rūma whakaora mō tētahi wā tae noa ki te oho ake i te rongoā whakamoe. Mena i tukuna he rongoā whakamoe ā-rohe ki a koe, ka taea e koe te hoki ki te kāinga tonu. I mua i tō hokinga ki te kāinga, ka hoatu e te tākuta me ngā nēhi ngā tohutohu katoa me whai e koe ki te kāinga.
Kia mau ki ngā mea e whai ake nei i a koe e ora ana i muri i te pokanga:
- Ka whakatakotoria he kākahu tauera ki raro i tō ihu hei mimiti i ngā waikeri e puta mai ana i tō ihu. Me whakawhiti ina mākū.
- I a koe e moe ana, tautokohia tō mahunga ki ngā urunga e rua, e toru rānei. Ka āwhina tēnei ki te whakaiti i te pupuhi me te toto.
- Inumia he nui ngā wai pērā i te wai.
- Mō ngā rā tuatahi, tera pea ka rongo koe i te ahua kiripaka, pūngāwerewere i roto i tō ihu. He mea noa tēnei.
- Ki te mea atu tō tākuta kia whakamahia he rehu/horoi tote, me mahi kia rite ki ngā tohutohu.
- Tērā pea ka pāngia koe e te mamae mō te wiki pea. Tangohia ngā rongoā whakamamae kua tohua i te wā tika.
Ahakoa ehara te mamae tonu o te ihu me te ihu pupū i te mea mōrearea ki te ora, ka taea e ēnei te waiho hei arai nui ki tō oranga me ngā mahi o ia rā. Nō reira, mā te pokanga pēnei ka taea e koe te whakakore i aua raruraru me te whakatutuki i te kounga pai ake o te oranga.
He raruraru kei te puta mai i tēnei pokanga?
He tūponotanga kei roto i tētahi pokanga. Heoi, he tino onge ngā raruraru mai i te pokanga ihu. Mā tō tākuta ēnei tūponotanga e whakamārama ki a koe i mua i te pokanga. Anei ētahi o ngā raruraru ka taea (engari he tino onge):
- Te toto nui atu i te tikanga: He mea noa te toto iti. Engari i ētahi wā ka nui ake te toto. Ki te tupu tēnā, ka ārai pea te tākuta i te ihu, ā, ka noho pea koe ki te hōhipera hei tirotiro māu.
- Te haehae: Ka piki ake pea te haehae nā te pokanga, nā te mumura rānei o te ihu.
- Te turuturu o te wai o te tuaiwi roro (CSF): He tino onge tēnei raruraru engari he tino kino. Mēnā ka turuturu tēnei wai huri noa i te roro, ka arahi pea ki ngā mate pēnei i te meningitis.
- Ngā raruraru tirohanga: He tino onge, ka ngaro te tirohanga, ka rua rānei te tirohanga i muri i te pokanga.
- Te Mangere o te Kanohi: Tērā pea ka mangere ētahi wāhanga o te mata, inā koa i muri i te pokanga a Caldwell Luc.
- Te Mate Ihu Kore: He tino onge hoki tēnei mate. Ahakoa e tuwhera ana te ihu, kāore te uma e kī ana i te wā e manawa ana, ā, e ahua pupū ana te ihu.
Mena ka puta ēnei tohu i muri i te pokanga, me toro atu ki tō tākuta tonu.
I muri i tō hokinga ki te kāinga i muri i te pokanga, kia aro ki tō tinana. Mena kei a koe ētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Ki te pāngia koe e te mamae nui, ā, kāore e memeha ahakoa kua tangohia ngā rongoā whakamamae i hoatu ki a koe .
- KirikaMena kei te pā mai. He tohu pea te kirika mō tētahi mate pāwera.
- Ki te toto tonu tō ihu me te nui o te toto .
- Mena he panoni kei roto i te tirohanga (tirohanga pōuri, tirohanga takirua).
- Mena he mamae tō korokoro , he ānini nui rānei tōu .
Ka pai ake te ahua o ētahi tāngata i muri tonu i te pokanga. Mō ētahi atu, ka roa pea he wiki, he marama rānei kia ngaro katoa ai ngā tohu. Nō reira, he mea nui kia manawanui.
Karere Tangohia ki te Kāinga
- Ko te pokanga ihu te mea e taunakitia ana ina kore ngā raruraru ihu e whakaorangia e te rongoā.
- Nā ngā tikanga hou pēnei i te FESS me te Balloon Sinuplasty, kua nui ake te haumaru o ēnei pokanga, ā, kua poto ake te wā whakaora.
- Kāore he mamae i te wā e pokangahia ana. Ka taea te whakahaere i te mamae i muri i te pokanga mā te whakamahi i ngā rongoā whakamamae mamae.
- He mea tino nui kia tere ai te ora me whai koe i ngā tohutohu a tō tākuta i mua atu, ā, i muri hoki i te pokanga.
- Ki te pāngia koe e ētahi tohu rerekē (mamae nui, kirika) i muri i te pokanga, kaua e mataku, engari me whakamōhio tonu atu ki tō tākuta.





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