Ese nawe ukunze kugira ibibazo bya sinus? Menya kuri iyi sinusitis y'ibihumyo!

Ese uhora uhura n'izuru rizibye? Ese ufite umutwe uremereye, ububabare ku mpande zombi z'amasaya yawe, ku gahanga, cyangwa hagati y'amaso yawe? Akenshi, ibi bishobora kuba ibibazo bifitanye isano na sinus. Ariko se wari uzi ko ibibazo byose bya sinus atari bimwe? Hari ubwandu bwa sinus buterwa na bagiteri, ubundi buterwa na virusi. Ariko uyu munsi tugiye kuvuga ku bwoko butandukanye gato bwa sinus abantu benshi batazi. Ubwo ni ubwandu bwa sinus buterwa na fungus, cyangwa mu by'ukuri, indwara yitwa fungal sinusitis . Rimwe na rimwe, ibi nanone byitwa fungal rhinosinusitis.

Sinusitis yo mu bwoko bwa fungal ni iki? Reka tubisobanure mu buryo bworoshye.

Muri make, Sinusitis yo mu bwoko bwa fungal ni indwara iterwa n’udukoko two mu mazuru (ni ukuvuga udukoko nk’umusemburo n’ibihumyo). Udukoko two mu mazuru ni ahantu hadafite ikintu kiri hagati y’amasaya yawe, agahanga, n’amaso. Hariho ubwoko butandukanye bwa sinusitis yo mu mazuru. Ariko akenshi, ibimenyetso bisanzwe by’ubu bwoko bwose ni ukuziba izuru, amatembabuzi, n’ububabare bwo mu mazuru.

Akenshi, abaganga bavura iyi ndwara bakoresheje kubaga sinus, ariko mu bihe bimwe na bimwe bikomeye, imiti irwanya udukoko ishobora kuba ngombwa.

Ni ubuhe bwoko bw'ingenzi bwa Sinusitis y'ibihumyo?

Abaganga bagabanya ubwoko bubiri bw'ingenzi bwa sinusitis:

1. Ubwoko budatera indwara: Ubu ni bwo bwoko bukunze kugaragara cyane. Muri ubu bwoko, ubwandu bugarukira ku mazuru no mu mwobo w'utuzuru. Ntibukunze gukwirakwira mu bindi bice by'umubiri.

2. Ubwoko bw'ibihumyo: Ibi ni bibi cyane, ariko ni gake cyane. Muri ubu bwoko, ubwandu bw'ibihumyo bushobora gukwirakwira no mu bindi bice by'umubiri, urugero, amaso ndetse no mu bwonko. Iyo bitavuwe neza, iyi ndwara ishobora gushyira ubuzima mu kaga.

Noneho reka turebe buri bwoko muri ubu buryo mu buryo burambuye.

Ubwoko bwa sinusitine idakwirakwira mu bihumyo

• Sinusitine y'ibihumyo iterwa n'ubwivumbure bw'umubiri ku bihumyo biri mu mazuru. Muri ibi, mu mazuru huzuyemo ibicurane byinshi, rimwe na rimwe hashobora kuvuka polyps mu mazuru. Abantu bafite asima cyangwa allergie nk'ibicurane by'ibyatsi bafite amahirwe menshi yo kurwara ubwo bwoko bw'ibihumyo.
• Umupira w'ibihumyo / mycetoma: Iki ni igihe ibihumyo byirundanya mu mwobo wa sinus bigakora umupira muto cyangwa ikibyimba. Uyu mupira w'ibihumyo (mycetoma) ushobora gukura no kuziba inzira za sinus.
• Sinusitiki y'ibihumyo ya Saprophytic: Ibi bibaho igihe ibihumyo bikurira ku bisigazwa by'amacandwe mu mazuru.

Ubwoko bwa Sinusitis y’ibihumyo byibasira

• Sinusitine itera fungus: Muri iki gihe, fungus yangiza imiyoboro y'amaraso iri mu mazuru. Hanyuma ingingo ziri muri ako gace zigatangira gupfa. Iyi ndwara ishobora gukwirakwira vuba cyane mu maso no mu bwonko, bigatera ubuhumyi ndetse n'urupfu. Abantu bafite ubudahangarwa bw'umubiri budakomeye ni bo bashobora kurwara iyi ndwara.
• Sinusitine itera fungal idakira: Iyi ni nk'ubwoko bw'indwara ifata uruhu, ariko ikwirakwira buhoro buhoro. Abantu barwaye diyabete bafite amahirwe menshi yo kurwara iyi ndwara.
• Sinusitine y’ibihumyo itera indwara ya Granulomatous invasive fungal sinusitis (GIFS): Iyi ni ubwoko budasanzwe cyane. Ikibaho muri ibi ni uko ubudahangarwa bw’umubiri wacu burwanya cyane ibihumyo. Hanyuma ubudahangarwa bw’umubiri bugatera igice cy’izuru, bukangiza ingirangingo z’izuru. Abaganga ntibarasobanukirwa neza impamvu ibi bibaho.

Ese izi ndwara zo mu bwoko bwa fungal sinus zikunze kugaragara gute? Ni nde uzirwara kenshi?

Abantu bafite ubudahangarwa bw'umubiri budakomeye muri rusange bafite amahirwe menshi yo kurwara izi ndwara zo mu bwoko bwa fungal sinus. Ubwandu bukomeye cyane cyane bukunze kugaragara muri:

• Ku banduye agakoko gatera SIDA.
• Abantu barwaye kanseri (urugero: leukemia, lymphoma), cyangwa abahabwa imiti ivura kanseri.
• Ku bantu barwaye diyabete idakora neza.
• Abantu bafata imiti igabanya ubudahangarwa bw'umubiri, urugero nka steroid.

Ni ibihe bimenyetso by'indwara ya sinus y'ibihumyo?

Ibimenyetso bya sinusitis y'ibihumyo rimwe na rimwe bishobora gusa n'iby'ubwandu busanzwe bwa sinus. Ariko, niba ibimenyetso by'inyongera bigaragaye cyangwa bitabaho biterwa n'ubwoko bw'ubwandu bwa sinus ndetse niba butera cyangwa butabaho.

Ubusanzwe, ubwoko bw'indwara zitari ubwandu bugaragaza ibi bikurikira:

• Kugabanuka k'impumuro ituruka mu mazuru.
• Umuriro.
• Kubyimba izuru n'umwobo w'inzuki.
• Ikintu kinini kandi gifata gishobora kumera nk'uko bimeze kuri kole ya rubber, ubusanzwe ibara ry'umuhondo wa zahabu, gisohoka mu mazuru.
• Kuziba izuru.
• Izuru riva (ibisebe).
• Kumva umuvuduko n'uburemere mu mwobo wa sinus.
• Kuribwa umutwe mu nsinu.
• Ni wowe wenyine ushobora kumva impumuro mbi (nk'impumuro isharira, impumuro y'ikintu kiboze) nta wundi muntu ushobora kuyumva.

Abantu bafite ubudahangarwa bw'umubiri budakomeye bafite ibyago byinshi byo kurwara ibimenyetso bikomeye nka:

• Impinduka mu myitwarire n'ibibazo by'imitsi (kugorwa no gutekereza no gutekereza).
• Impinduka mu ibara ry'uruhu (ahari ibara ry'uruhu rihinduka ibara ry'umukara cyane cyangwa rikagaragara).
• Kumva ufite ibinya mu maso.
• Ihinduka ry'amaso, ndetse wenda no gutakaza burundu ubushobozi bwo kureba.
• Kuribwa umutwe cyane.
• Kubyimba cyane amatama cyangwa amaso.

Kuki iyi ndwara ya sinusitis iterwa n'ibihumyo? Ni iyihe mpamvu?

Indwara za sinus zishobora guterwa n'ubwoko butandukanye bw'ibihumyo. Akenshi, izi ndwara za sinus ziterwa n'ibihumyo cyangwa umusemburo. Iyo duhumeka, utwo duce duto tw'ibihumyo dushobora kwinjira mu mwobo w'ibihumyo byacu binyuze mu mazuru yacu.

Tekereza nawe, ubwoko bwinshi bw'ibihumyo mu by'ukuri buba mu mibiri yacu cyangwa mu mibiri yacu igihe cyose. Ariko akenshi ntabwo bitubangamira. Ikiba akaga ni uko ubudahangarwa bw'umubiri wacu bugabanuka. Hanyuma ibi bihumyo bishobora gukura byoroshye bigatera indwara.

Ni izihe ngorane zishobora kubaho iyo zitavuwe?

Iyo indwara ziterwa n’udukoko two mu bwoko bwa fungal sinus zidavuwe neza, fungal ishobora kwangiza ingirangingo zo mu mazuru no gukwirakwira mu maso no mu bwonko. Izi ngorane zishobora kwangiza ingirangingo, guhuma, ndetse no gupfa . Abantu bafite indwara zituma ubudahangarwa bw’umubiri bugabanuka (urugero: diyabete, leukemia) ni bo bafite ibyago byinshi byo kugira izi ngorane.

Kubwibyo, niba ufite ibimenyetso bya sinusitine y’ibihumyo, cyane cyane niba ubudahangarwa bw’umubiri bwawe bufite intege nke, ni ngombwa cyane gushaka inama kwa muganga byihutirwa.

Ni gute abaganga basuzuma iyi ndwara yitwa sinusitis y'ibihumyo?

Iyo ugiye kwa muganga, abanza kugusuzuma ('ikizamini cy'umubiri'). Azakubaza ibimenyetso byawe, amateka y'ubuzima bwawe, n'imiti ufata. Hanyuma, bashobora kugutegeka ibizamini bimwe na bimwe, nka:

• Endoskopiya: Ibi bisaba ko muganga ashyira umuyoboro muremure kandi muto (ufite kamera nto ku mpera) mu mazuru yawe kugira ngo asuzume utwenge twa sinus. Amashusho ya kamera arashobora kurebwa kuri ecran. Iki ni ikizamini cyoroshye kandi kidatera ububabare.
• Isuzuma ry’umubiri: Mu gihe cyo gupima mu gihe cy’isuku, muganga wawe ashobora gufata icyitegererezo gito cy’udusimba cyangwa utunyangingo tw’izuru ryawe. Iki cyitegererezo cyoherezwa muri laboratwari kugira ngo hamenyekane neza ubwoko bw’indwara itera ubwandu bw’udukoko twa sinus - yaba ari virusi, bagiteri, fungus, cyangwa parasite. Bishobora kandi kumenya niba ubwandu bwarateye.
• CT scan (computer tomography scan): Ibi bimeze nka X-ray yihariye. Ishobora kureba neza mu mwobo wa sinus yawe, ikamenya neza aho ubwandu bwakorewe, ndetse ikagenzura utwo dusimba twavuze mbere.

Ni ubuhe buryo bwo kuvura ibi?

Hari uburyo butandukanye bwo kuvura sinusitis y'ibihumyo. Uburyo ukeneye bwo kuvura buzaterwa n'uko umeze.

• Imiti irwanya imiyoboro: Hari ubwoko bumwe bw'indwara ziterwa n'imiti irwanya imiyoboro. Iyi miti ikunze gutangwa hamwe n'ubuvuzi bwo kubaga.
• Corticosteroids: Muganga wawe ashobora kukwandikira imiti igabanya kubyimba no kugabanya umuvuduko w'amaraso mu mazuru.
• Gukaraba izuru: Mu gihe abaganga bavura indwara ya sinusitis iterwa n’udukoko, bakuramo uduce tw’amazi twumye mu mazuru hanyuma bagasukura neza utundi duce tw’amazi bakoresheje umuti wa saline (uruvange rw’umunyu n’amazi).
• Kubaga sinusi: Bitewe n'ubwoko bw'ubwandu, muganga ashobora kuba akeneye kubaga muri rusange. Ibi bikubiyemo gukuraho ingingo zanduye no gusukura neza aho hantu. Iyo ubwandu bwakwirakwiriye cyane, ubu buryo bwo kubaga bushobora no gukuraho ibice byanduye.

Ubwoko bumwe na bumwe bwa sinusitine y’ibihumyo bushobora kudakenera ubuvuzi bukomeye ku muntu ufite ubudahangarwa bw’umubiri buzima. Ariko, kwandura sinusitine y’ibihumyo ni ikibazo cyihutirwa cy’ubuvuzi kandi bisaba ubuvuzi bwihuse.

Ese iyi ndwara ya sinusitis ishobora kwirindwa?

Mu by’ukuri, biragoye kwirinda burundu indwara ya sinus y’ibihumyo kuko ibihumyo biba ahantu hose mu bidukikije. Ariko, ni ngombwa kuvugana na muganga niba ugwa muri kimwe muri ibi byiciro by’ibyago:

• Niba warigeze kugira ubwandu bwa sinus y'ibihumyo.
• Niba ufite ikibazo cy'uburwayi gituma ubudahangarwa bw'umubiri wawe bugabanuka.
• Niba ufata imiti igabanya ubudahangarwa bw'umubiri cyangwa uri guhabwa imiti ivura kanseri.

Niba ufite ubudahangarwa bw'umubiri budafite imbaraga cyangwa uri mu kaga ko kwandura indwara ziterwa n'udukoko two mu bwoko bwa fungal sinus, bwira muganga wawe. Ashobora kukwandikira imiti irwanya udukoko kugira ngo wirinde kwandura mbere yuko bibaho.

Bizagenda bite iyo ndwaye sinusitine y'ibihumyo? Ese izakira?

Indwara nyinshi za sinus zitari iz’ibihumyo, iyo zivuwe neza , zihita zikira nta ngorane zikomeye. Ariko, zimwe mu ndwara zishobora kongera kugaruka ndetse na nyuma yo kuvurwa.

Ariko, indwara zandurira mu mitsi yo mu bwoko bwa fungal sinus ni ikibazo cyihutirwa cy’ubuvuzi kandi gisaba kuvurwa byihutirwa.

Urugero, indwara ya "sinusitis itera fungal ikabije" ishobora kwica abantu bagera kuri 50% iyo itavuwe. Kubera ko iyi ndwara ikwirakwira vuba cyane, ni ngombwa kuyivura vuba bishoboka. Ndetse na nyuma yo kuvurwa, hari abantu bashobora kwangirika kw'imitsi, kubabara igihe kirekire, cyangwa kugira ubumuga mu maso bitewe no kwangirika kw'ingingo.

Ni ryari ngomba kujya kwa muganga?

Niba ubona ko ufite ibimenyetso bya sinusitine y'ibihumyo, menya neza ko wagiye kwa muganga kugira ngo agusuzume. Ni ngombwa kandi kubibwira muganga wawe niba ufite ibibazo bya sinusitine bidashira, nka sinusitine idakira, idashira.

Ni ryari ugomba gushaka ubuvuzi bwihutirwa?

Niba ufite ibimenyetso by'indwara ya sinus iterwa n'ibihumyo, kandi ukaba uri mu byiciro bikurikira, jya mu cyumba cy'ubutabazi bwihuse:

• Niba ufite ikibazo cy’uburwayi gituma ubudahangarwa bw’umubiri wawe bugabanuka (urugero: agakoko gatera SIDA, diyabete idakora, kanseri).
• Niba ufata imiti igabanya ubudahangarwa bw'umubiri.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ku bijyanye n'indwara za sinus z'ibihumyo, zishobora kuva ku zoroshye kugeza ku zikomeye. Kuba ufite sinusitis y'ibihumyo ntibivuze ko ugomba kugira ubwoba. Ariko ni ngombwa kujya kwa muganga no kuvurwa neza.

Wibuke, cyane cyane niba ubudahangarwa bw'umubiri bwawe bufite intege nke kandi ukagaragaza ibimenyetso bya sinusitis y'ibihumyo, hita ugana kwa muganga vuba vuba. Kubera ko indwara zandurira mu ruhu zishobora gukwirakwira vuba cyane ndetse zikanatera izindi ngorane zikomeye, ndetse zikanashyira ubuzima mu kaga.

Bityo rero, icy'ingenzi ni ukwita ku buzima bwawe.

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