Kodi diso lanu likumva ngati likulowa mkati? Tiyeni tikambirane za Silent Sinus Syndrome!

Kodi munayamba mwaonapo kusintha pang'ono mbali imodzi ya nkhope yanu, makamaka mozungulira diso? Mwina diso lanu lalowa pang'ono, kapena chikope chanu chagwa? Ngakhale izi zingawoneke ngati vuto laling'ono, nthawi zina pangakhale vuto lomwe sitinamvepo zambiri, koma ndikofunikira kudziwa za ilo. Limodzi mwa matenda otere limatchedwa 'Silent Sinus Syndrome.' Dzinalo lingamveke lachilendo pang'ono, koma tiyeni tisunge mosavuta.

Kodi Silent Sinus Syndrome ndi chiyani?

Mwachidule, iyi ndi vuto lomwe limakhudza mabowo ozungulira mphuno yathu, otchedwa 'sinuses'. Limakhudza mabowo omwe ali mbali zonse ziwiri za mphuno yathu, otchedwa `(Maxillary sinuses)`. Pa vutoli, diso limodzi kapena nthawi zina onse awiri amalowa mkati pang'ono (`(Enophthalmos)`). Kapena mpira wa diso umatsikira mu soketi ya diso (`(soketi ya diso)`). Taganizirani ngati baluni yomwe imatuluka ndi kuchepera, izi zimachitika chifukwa makoma a mabowo athu a sinus amapindika mkati. Pansi pa soketi ya diso, yomwe ili ngati denga la mabowo awa a sinus, imatsitsidwa motere.

Chifukwa chachikulu cha izi ndi chakuti maenje a sinus amatsekedwa. Kenako ma secretions omwe ali mkati mwa sinus sangatuluke ndi kusonkhana, ndipo pakapita nthawi, amalowanso m'thupi. Chifukwa cha izi, vacuum imapangidwa mkati mwa sinus, ndipo penapake pang'onopang'ono imachepa. Pamenepo ndi pomwe diso limamira.

Mawu oti 'chete' amawonjezeredwa chifukwa vutoli nthawi zambiri silipweteka. Komabe, mawonekedwe a nkhope, makamaka mbali imodzi, amatha kukhala osafanana. Nthawi zambiri, zimakhudza mbali imodzi yokha ya nkhope, koma nthawi zina, amatha kukhudza mbali zonse ziwiri. Chithandizo ndi chofunikira kuti zizindikiro zisakule kwambiri komanso kupewa mavuto monga kutaya masomphenya kapena kuwona kwa ngalande.

Kodi vutoli ndi lofala bwanji?

Ndipotu, vutoli lotchedwa ``Silent Sinus Syndrome'' ndi losowa kwambiri . Linapezeka koyamba ndi kufotokozedwa mu 1964. Kuyambira pamenepo, milandu yochepa chabe, pafupifupi 100, yanenedwa padziko lonse lapansi. Chifukwa chake, palibe nkhani zambiri zokhudza vutoli.

Kodi zizindikiro zake ndi ziti? Kodi mungamve bwanji?

Zizindikiro za ``Silent Sinus Syndrome'' nthawi zambiri zimawonekera pang'onopang'ono kwa milungu ingapo mpaka miyezi ingapo. Komabe, nthawi zina zizindikirozi zimatha kuwonekera mwachangu. Zizindikiro zazikulu zomwe zimaonekera ndi kusintha kwa mawonekedwe a nkhope yanu.

• Enophthalmos: Ichi ndi chizindikiro chofala kwambiri. Pafupifupi odwala onse ali nacho. Kuchuluka kwa kutupa kwa diso kumatha kukhala pakati pa mamilimita awiri mpaka asanu ndi limodzi.
• Kusuntha kwa diso (`(Hypoglobus)`):Pafupifupi theka la odwala amakumana ndi vutoli. Izi zikutanthauza kuti diso lalowa m'malo olumikizirana maso. Izi zitha kukhala pafupifupi milimita imodzi mpaka 6.
• Kusintha kwa chikope: Kusintha kwa malo a chikope chapamwamba kwawonedwa mwa odwala pafupifupi 88%.
• Kuona kawiri (`(Diplopia)`): Kafukufuku awiri akuluakulu apeza kuti pakati pa 28% ndi 65% ya odwala amakumana ndi vuto lomwe amaona zinthu ziwiri nthawi imodzi.

Kuwonjezera pa zizindikiro zazikulu izi, pakhoza kukhala zizindikiro zina zingapo:

• Kupindika kwa chikope (kapena Blepharoptosis): Kupindika kapena kupindika kwa chikope chapamwamba.
• Kutsekereza: Zikope zimatsika, zomwe zimapangitsa kuti ziwoneke ngati maso akutsekereza.
• Kuona zinthu molakwika: Kuvutika kuona zinthu bwino komanso kuvutika kuganizira bwino.
• Sinusitis: Kutupa ndi matenda a m'mphuno.
• Mphuno yotuluka madzi m'mphuno: Kutuluka madzi m'mphuno ngati mamina.
• Kutuluka kwa madzi m'mphuno: Mafinya ochulukirapo amasonkhana ndikutuluka pansi pa mmero .
• Kupsinjika kapena kupweteka kwa nkhope: Kumva kupweteka kapena kupsinjika m'malo ozungulira sinus, monga mozungulira maso, pamphumi, ndi masaya.

N’chifukwa chiyani matenda a sinus osalankhula bwino amayamba? Kodi zimayambitsa chiyani?

Kuyambira pomwe matendawa adapezeka, ofufuza abwera ndi malingaliro osiyanasiyana okhudza zomwe zimayambitsa matendawa. Ambiri amakhulupirira kuti chifukwa chachikulu cha vutoli ndi kutsekeka kwa gawo la mphuno yathu lotchedwa ``osteomeatal complex.'' 'Osteomeatal complex'' iyi ndi kapangidwe kofewa komwe kumathandiza kuti mamina ndi mpweya zituluke m'mphuno. Kunena zoona, ili ngati khomo lolowera m'maenje athu a sinus.

Malo amenewa amatha kutsekedwa pazifukwa zosiyanasiyana. Akatsekedwa, ma secretions amasonkhana mkati mwa ma sinus. Pakapita nthawi, thupi lathu limayamwanso ma secretions omwe asonkhanitsidwawa. Chomwe chimachitika ndichakuti vacuum (`(Vacuum effect)`) imapangidwa mkati mwa sinus cavity. Chifukwa cha kupanikizika kwa nthawi yayitali kumeneku, makoma a sinus cavities amakoka pang'onopang'ono mkati ndikuchepa. Chifukwa cha izi, pansi pa socket ya diso (`(Orbital floor)`) pamwamba pa sinus cavity imatsika. Izi zingayambitsenso mafupa kuonda ndipo mawonekedwe awo amasintha.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Aliyense akhoza kukhala ndi vutoli, lotchedwa ``Silent Sinus Syndrome``. Komabe, anthu omwe ali ndi mawonekedwe osazolowereka a mphuno ali pachiwopsezo chachikulu. Makamaka, anthu omwe ali ndi septum yopotoka amaonedwa kuti ali pachiwopsezo chachikulu.

Matendawa amapezeka kwambiri mwa anthu azaka za m'ma 30 ndi 40. Komanso, osuta fodya ali pachiwopsezo chachikulu chotenga matendawa.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Tangoganizirani zomwe zingachitike ngati ma sinus contour anu atachepa ndipo maso anu akupitiriza kulowa. Ngati sanalandire chithandizo, "Silent Sinus Syndrome" iyi ikhoza kupitiriza kukhudza ma sinus anu ndikuwonjezera zizindikiro zanu. Diso lanu kapena maso onse awiri akhoza kulowa mkati kwambiri ndipo maso anu amatha kuyenda pansi kwambiri. Pakapita nthawi, izi zingayambitse "kutayika kwa masomphenya a m'mbali", komwe ndi vuto lomwe mumawona zinthu kuchokera mbali ndikuwona ngati mukuyang'ana kudzera mu chubu. Sikuti zokhazo, zingayambitsenso mavuto ena azaumoyo.

Kodi mumazindikira bwanji matendawa molondola?

Ngati muli ndi zizindikiro izi, mukayamba kuonana ndi dokotala, adzakuyesani ndikufunsani za zizindikiro zanu. Kenako, mungatumizidwe kwa katswiri wa khutu, mphuno, ndi pakhosi (dokotala wa otolaryngologist, kapena dokotala wa ENT).

Katswiriyu adzayang'ana maso anu bwino ndikuzindikira vutoli kutengera zizindikiro zanu. Adzafufuza zinthu monga maso olowa m'madzi, zikope zopindika, ndi zikope zopindika.

Kuti atsimikizire vutoli, dokotala wanu angakufunseninso kuti muyesedwe ndi ``CT scan`` (Computed Tomography scan). Izi zingathandize kuona bwino momwe ma sinus cavities alili.

Kodi mankhwala ake ndi otani? Kodi angachiritsidwe?

Nkhani yabwino ndi yakuti, inde, nthawi zambiri , opaleshoni ndiyo njira yothetsera vutoli (Silent Sinus Syndrome). Pali mitundu iwiri ikuluikulu ya opaleshoni:

• Kuchotsa ziwalo za m'mimba: Izi zimaphatikizapo kugwiritsa ntchito endoscope, chipangizo chopyapyala chokhala ndi kamera, kuti muchotse kutsekeka kwa m'mphuno mwa sinus ndikulola kutulutsa madzi bwino. Zimakulitsanso kutsegula kwa m'mphuno mwa sinus komwe kumayambitsa vutoli. Izi nthawi zambiri zimagwera m'gulu la opaleshoni ya endoscopic sinus.
• Kukonza pansi pa orbital: Nthawi zina, opaleshoni ingaphatikizeponso kukonza pansi pa orbital. Komabe, madokotala ena amati izi sizimafunikira nthawi zonse.

Pambuyo pa chithandizochi, ma sinus cavities amayamba kugwira ntchito bwino, ndipo zizindikiro monga kutuluka m'maso zimatha kubwerera mwakale.

Kodi mungakhale ndi chiyembekezo chotani mutalandira chithandizo?

Mukazindikira msanga vuto la "Silent Sinus Syndrome", limakhala bwino kwa inu. Kenako mutha kupewa mavuto akuluakulu a maso ndikuthetsa vutoli ndi "opaleshoni ya Endoscopic sinus" yokha, popanda kufunikira opaleshoni yayikulu (monga "kukonzanso pansi pa Orbital").

Ngati sichilandira chithandizo, monga tafotokozera kale, vutoli likhoza kukulirakulira ndikutsogolera ku mavuto monga kutayika kwa masomphenya, diplopia, ndi kusawona bwino. Chifukwa chake, ndikofunikira kupeza upangiri wa dokotala mwachangu momwe mungathere.

Kodi pali njira yopewera izi kuti zisachitike?

Ndipotu, "Silent Sinus Syndrome" iyi ndi vuto lomwe lingakhudze aliyense. Popeza ofufuza sanapeze chomwe chimayambitsa izi, palibe njira yeniyeni yopewera izi kuti zisachitike. Komabe, ngati pali vuto lililonse m'mphuno, ndikofunikira kufunafuna upangiri wa dokotala.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zatsopano, monga kulowa m'diso lanu, chikope chofooka, kapena chikope chofooka, onetsetsani kuti mwawonana ndi dokotala. Izi zitha kukhala zinthu zosavuta, koma ndikofunikira kuonetsetsa kuti palibe vuto lalikulu.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mukapita kwa dokotala, kufunsa mafunso ngati awa kungakuthandizeni kumvetsetsa bwino vutoli:

• Kodi ndinapeza bwanji "Silent Sinus Syndrome" iyi?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndikufunika opaleshoni?
• Kodi zitenga nthawi yayitali bwanji kuti ndichire pambuyo pa opaleshoni? Kodi ndiyenera kuda nkhawa ndi chiyani panthawiyo?
• Kodi pali chilichonse chomwe ndingachite kuti ndipewe "Silent Sinus Syndrome" iyi kuti isabwerenso?

Kodi pali dzina lina la izi?

Inde, "Silent Sinus Syndrome" iyi imatchedwa ndi mayina ena angapo. Mwachitsanzo, "Chronic maxillary atelectasis" ndi "Imploding antrum syndrome" zimagwiritsidwa ntchito. Komabe, ofufuza ena amaona kuti izi ndi matenda osiyana komanso enieni.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zonsezi?

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino zomwe takhala tikulankhula, ``Silent Sinus Syndrome``. Kumbukirani, ngakhale kuti vutoli ndi losowa, lingakhudze maso chifukwa cha kutsekeka kwa ma sinus athu.

Chofunika kwambiri ndichakuti ngati muwona kusintha kulikonse kwatsopano kapena kwachilendo pankhope panu, makamaka pafupi ndi maso anu - monga diso lolowa kapena chikope chopindika - musanyalanyaze. Mwina sichingakhale chinthu chodetsa nkhawa nacho. Komabe, ndibwino kuonana ndi dokotala kuti mudziwe zomwe zikuchitika ndipo, ngati kuli kofunikira, yambani chithandizo mwachangu momwe mungathere. Izi zithandiza kupewa zovuta zilizonse zosafunikira. Thanzi lanu ndiye chinthu chofunikira kwambiri kwa ife!

Matenda a sinus osalankhula, ma disfloat a maso, ma sinus, ma enophthalmos, ma hypoglobus, mphuno, ENT