Kodi mulinso ndi mphuno yotsekeka? Zili ngati chimfine, koma sizimachepa. Mumapanga phokoso la mphuno mukamalankhula, mumakodola usiku, ndipo nthawi zina simunganunkhize bwino chakudya kapena maluwa. Ngati mukudziwa bwino zinthu izi, mwina muli ndi vuto lotchedwa nasal polyps. Musadandaule, izi si zoopsa ngati khansa. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.
Kodi ma polyps a m'mphuno awa ndi chiyani?
Mwachidule, ma polyps a m'mphuno ndi tinthu tating'onoting'ono ta mnofu topanda ululu tomwe timapanga m'kati mwa mpweya womwe uli mkati ndi mozungulira mphuno yanu (wotchedwa sinuses). Sizimayambitsa khansa, zomwe zikutanthauza kuti ndi zopanda vuto . Nthawi zambiri zimayamba mbali zonse ziwiri za mphuno yanu.
Tangoganizirani, masamba a mnofu awa amakhala ngati madontho a misozi akakhala ang'onoang'ono. Akakula pang'ono, amawoneka ngati mphesa yodulidwa. Mtundu wake ukhoza kukhala wa pinki, wachikasu, kapena imvi. Akakhalapo, nthawi zina amatha kutupa, kutseka mphuno, ndikupangitsa kuti zikhale zovuta kupuma.
Matendawa ndi ofala kwambiri kuposa momwe timaganizira. Ngakhale kuti amatha kufalikira mwa aliyense, amapezeka kwambiri mwa amuna. Nthawi zambiri amapezeka mwa anthu azaka za m'ma 30 ndi 40.
Kodi zizindikiro za kukhala ndi mipira ya nyama ndi ziti?
Ngati ziphuphu mkati mwa mphuno mwanu ndi zazing'ono kwambiri , simungamve zizindikiro zilizonse. Koma mavuto amayamba pamene ayamba kukula. Nazi zinthu zina zofunika kuziganizira:
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kutsekeka kwa mphuno | Kumva ngati mphuno yako yatsekedwa nthawi zonse. N'kovuta kupuma. |
| Mphuno yotuluka madzi | Kutuluka magazi m'mphuno pafupipafupi. |
| Mutu ndi kupweteka pankhope | Kupweteka kapena kumva kulemera m'malo monga pamphumi ndi masaya chifukwa cha kupanikizika m'maenje a sinus. |
| Kutaya fungo ndi kukoma | Kutha kumva zinthu monga kukoma kwa chakudya ndi fungo la maluwa kumachepa kwambiri kapena kutayika kwathunthu. |
| Kutuluka magazi m'mphuno | Kutuluka magazi m'mphuno nthawi zina. |
| Kudontha kwa madzi pambuyo pa mphuno | Kumva ngati mamina akutuluka m'mphuno kupita kukhosi. |
| Kugona usiku | Kuchuluka kwa kukodola usiku pamene munthu akugona chifukwa cha kutsekeka kwa mphuno. |
| Zinthu zomwe zingachitike pamene vuto lili lalikulu: | |
| Kuukira pafupipafupi kwa mphumu | Kwa munthu amene ali ndi mphumu, mphumu imakulanso nthawi zambiri. |
| Matenda a sinus (Sinusitis) | Matenda a sinus nthawi zambiri amayamba chifukwa cha kutsekeka kwa maenje a sinus. |
| Kupuma movutikira | Vuto loopsa lomwe kupuma kumasiya kwakanthawi panthawi yogona. |
N’chifukwa chiyani timapeza mikwingwirima ya nyama imeneyi?
Madokotala amadziwa kuti ziphuphuzi zimayambitsidwa ndi kutupa kosatha m'mphuno ndi m'mphuno. Komabe, sakudziwabe chifukwa chake si onse omwe ali ndi kutupa kwamtunduwu omwe amadwala matendawa komanso chifukwa chake anthu ena okha ndi omwe amadwala matendawa.
Komabe, chifukwa chachikulu cha izi chimaganiziridwa kuti ndi matenda osatha a sinusitis , omwe ndi kutupa ndi matenda a mphuno ndi m'mphuno zomwe zimatha kwa miyezi yoposa itatu.
Kuphatikiza apo, pali zinthu zina zingapo zoopsa.
- Mphumu: Anthu omwe ali ndi mphumu ali ndi mwayi waukulu wopeza ming'oma.
- Ziwengo: Anthu omwe nthawi zambiri amakhala ndi ziwengo ku zinthu monga fumbi ndi mungu (`Allergy rhinitis` kapena `hay fever`) ali pachiwopsezo.
- Kumva kupweteka kwa minofu: Ngati thupi lili ndi vuto lalikulu la mankhwala ochepetsa ululu a NSAID monga aspirin ndi ibuprofen, kupweteka kwa minofu kungachitike.
- Matenda a cystic fibrosis: Ichi ndi matenda omwe amabwera chifukwa cha majini. Anthu omwe ali ndi matendawa amathanso kukhala ndi matenda a cysts.
- Mphamvu ya majini: Nthawi zina pangakhale vuto la majini lomwe lingayambitse vutoli ngati wina m'banjamo ali nalo.
Kodi izi zingakhale zowopsa?
Izi sizimachitika kawirikawiri. Komabe, nthawi zambiri, mavuto aakulu amatha kuchitika ngati matenda a sinus okhudzana ndi ma polyps awa sanachiritsidwe kwa nthawi yayitali. Ndikofunikira kudziwa izi.
- Kufalikira kwa matenda m'mafupa (Osteomyelitis): Matendawa amatha kufalikira m'mafupa ozungulira mphuno.
- Kufalikira kwa matenda m'maso ndi muubongo: Matendawa amatha kufalikira mpaka m'maso kapena muubongo, zomwe zimayambitsa zilonda.
- Matenda a Meningitis: Matenda omwe amafalikira mpaka ku nembanemba zomwe zimaphimba ubongo ndi msana.
Kumbukirani kuti izi ndi zochitika zachilendo kwambiri. Komabe, ngati muli ndi zizindikiro, ndikofunikira kuonana ndi dokotala nthawi yomweyo ndikupeza chithandizo kuti zinthuzi zisachitike.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala, chinthu choyamba chimene amachita ndikufunsani za mbiri yanu yachipatala ndikukuyesani.
1. Kufunsa zambiri: Kodi zizindikiro zanu ndi ziti, zakhalapo kwa nthawi yayitali bwanji, komanso ngati muli ndi matenda ena monga mphumu kapena ziwengo.
2. Kufufuza mphuno: Chida choonda kwambiri, chofanana ndi chubu ('scope') chokhala ndi kamera ndi kuwala chimagwiritsidwa ntchito pofufuza mkati mwa mphuno yanu. Izi zingathandize kuona ngati pali zotupa zilizonse komanso kukula kwake.
3. Mayeso ena ngati kuli kofunikira: Nthawi zina ``CT`` scan`` (``computed tomography scan``) kapena ``MRI`` scan`` (``magnetic resonance imaging scan``) ikhoza kuyitanidwa kuti idziwe kukula kwenikweni ndi malo a ziphuphu za nyama.
4. Kuyesa ziwengo:Mayesowa angachitikenso kuti adziwe ngati mphuno yanu yatsekedwa chifukwa cha ziwengo.
Kodi chimachiritsidwa bwanji?
Pali njira ziwiri zazikulu zochizira hernia: mankhwala ndi opaleshoni. Dokotala wanu adzasankha chithandizo choyenera kwambiri kutengera kuopsa kwa vuto lanu.
| Njira yochizira | Kufotokozera |
|---|---|
| Mankhwala | |
| Mankhwala opopera a steroid m'mphuno | Mankhwala opopera omwe amapopera mwachindunji m'mphuno kuti achepetse mamina ndikuchepetsa zizindikiro ndi omwe amagwiritsidwa ntchito kwambiri. |
| Mankhwala oletsa kutupa m'kamwa | Mapiritsi monga prednisone. Awa amaperekedwa kwa nthawi yochepa, pamene zizindikiro zake zimakhala zazikulu. |
| Mankhwala achilengedwe | Katemera monga `dupilumab`. Izi zimakhudza chitetezo cha mthupi ndipo zimapangitsa kuti mnofu uchepe. |
| Opaleshoni | |
| Kuchotsa opaleshoni ya polypectomy | Ngati pali ziphuphu zazikulu zomwe sizingathe kuthetsedwa ndi mankhwala, zimachotsedwa opaleshoni. Izi zimachitika kudzera m'mphuno, kotero kuti mabalawo asawonekere kuchokera kunja. |
| Opaleshoni ya Endoscopic sinus (FESS) | Iyi ndi njira yochitira opaleshoni yomwe kamera imadutsa m'mphuno. Izi zimaphatikizapo kuchotsa zotupa za minofu ndi minofu ina yotseka mabowo a sinus, ndikutsegula njira za sinus. |
Kodi mabala a thupi angabwererenso?
Ili ndi vuto lomwe anthu ambiri ali nalo. Inde, nthawi zina ziphuphu zimatha kumeranso . Ngakhale zitachotsedwa opaleshoni, zimatha kubwereranso pakapita nthawi. Chifukwa chake, anthu ena angafunike kupitiriza kugwiritsa ntchito mankhwala monga ma steroid sprays kapena kuchitidwa opaleshoni kachiwiri. Kwa iwo omwe ataya fungo ndi kukoma kwawo, sizingakonzedwenso kwathunthu ngakhale atalandira chithandizo. Lankhulani ndi dokotala wanu kuti akuuzeni momveka bwino za vuto lanu.
Kodi simungathe kuletsa mapangidwe a madontho a thupi?
Ngakhale kuti kupewa matenda sikophweka nthawi zonse, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu.
- Gwiritsani ntchito mankhwala anu moyenera: Ngati dokotala wanu wakupatsani mankhwala a mphumu kapena ziwengo, gwiritsani ntchito monga momwe mwalangizidwira.
- Pewani zinthu zomwe zimayambitsa matenda a allergen: Pewani kupuma zinthu zomwe zimayambitsa kutsekeka kwa mphuno, monga fumbi, utsi, ndi mankhwala.
- Pumirani mpweya woipa: Mutha kusunga mpweya wanu woipa pogwiritsa ntchito chotenthetsera mpweya kuti musunge chinyezi m'nyumba mwanu kapena kungopuma mpweya woipa.
- Tsukani mphuno yanu: Kutsuka mphuno yanu ndi madzi amchere (saline nasal rinse) kungathandize kuchotsa zinthu zomwe zimayambitsa ziwengo ndi zinyalala zina.
- Ukhondo: Sambani m'manja nthawi zonse. Izi zingathandize kupewa matenda opatsirana ndi mavairasi ndi mabakiteriya komanso kuchepetsa chiopsezo cha kutsekeka kwa mphuno.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, makamaka kutsekeka kwa mphuno ndi kutaya fungo, zomwe zimapitirira masiku opitilira 10, onetsetsani kuti mwaonana ndi dokotala.
Komanso, pali chinthu china chofunika kwambiri. Ngati muwona chinthu chonga chotupa cha mnofu mbali imodzi ya mphuno yanu, sichingakhale chotupa, koma mtundu wina wa chotupa. Choncho ngati muwona chinthu chonga chimenecho , chiwonetseni kwa dokotala nthawi yomweyo popanda kuchedwa.
Uthenga Wopita Nawo Kunyumba
- Ma polyps a m'mphuno ndi zotupa zopanda khansa, zopanda ululu zomwe zimayamba chifukwa cha kutupa kosatha mkati mwa mphuno.
- Zizindikiro zazikulu za matendawa ndi kutsekeka kwa mphuno pafupipafupi, kutuluka madzi m'mphuno, komanso kutayika kwa fungo ndi kukoma.
- Mankhwalawa amaphatikizapo mankhwala opopera a steroid, mapiritsi, ndipo, ngati kuli kofunikira, opaleshoni. Komabe, ngakhale mutalandira chithandizo, nthawi zina izi zimatha kubwereranso.
- Musayese kuchotsa masamba a minofu awa kunyumba nokha pazifukwa zilizonse. Izi zingayambitse kutuluka magazi ambiri, matenda, komanso kuvulala kwambiri.
- Ngati zizindikirozo zipitirira masiku 10 kapena mukuona chotupa chachilendo mbali imodzi ya mphuno yanu, onetsetsani kuti mwaonana ndi dokotala.
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