Ese ukunze kugira ibibazo bya sinus? Reka tuvuge kuri sinusitis!

Ese nawe ufite izuru rizibye? Ese wumva hari ibicurane birimo kumanuka mu muhogo, cyangwa hari ibicurane bikomeye biva mu mazuru yawe? Hari igihe ugira ububabare budasanzwe mu maso no mu gahanga, hamwe n'umutwe? Ibi bishobora kuba ibimenyetso by'uko urwaye sinusiti. Abantu benshi banabyita sinusiti. Reka tubiganireho mu buryo burambuye kandi muri iki gihe.

Sinusitis ni iki? Sinusitis ni iki?

Muri make, sinusiti ni ukubyimba kw'uruti rw'imyobo yawe. Noneho ushobora kuba wibaza uti izi myobo ni izihe.

Tekereza, mu maso hawe, hanze y'izuru ryawe, munsi y'amaso yawe, no mu gahanga kawe, hari utwobo tune duto twuzuyemo umwuka (muri tubiri). Tumeze nk'ubuvumo buto. Ibi ni byo twita sinuses. Utwo twobo duhuzwa n'inzira nto. Ubusanzwe, utu twobo twuzuyemo umwuka.

Izi sinuses zikora ururenda rumeze nk'ururenda. Uru rurenda rusohoka mu mazuru. Ibi bifasha amazuru yawe kugira isuku kandi bikayarinda indwara zanduza, nka bagiteri n'ibindi bintu bishobora gutera ubwivumbure.

Ariko, iyo ku mpamvu runaka, urugero, indwara ya bagiteri, indwara ya virusi, cyangwa allergie, igice cy'utu duce tw'utu duce tw'ubuhumekero kirabyimba, bigafunga inzira z'ubuhumekero kugira ngo amazi atemba. Hanyuma ubuhumekero bugafatwa imbere, bigatera umuvuduko mu tundi duce tw'ubuhumekero. Ibyo ni byo twita sinusiti, cyangwa nk'uko bamwe babyita, rhinosinusitis. Ibi nibyo bitera ibimenyetso nko kubabara mu maso no kuziba izuru.

Ese hari ubwoko bwa sinusiti?

Yego, hari ubwoko butandukanye bwa sinusiti. Ubu bwoko bushyirwa mu byiciro bitewe ahanini n'igihe iyi ndwara imaze, ndetse n'icyayiteye.

Shyira ku rutonde ukurikije igihe:

• Sinusitis ikabije: Ibimenyetso (kuzima izuru, amazuru asohoka, kubabara mu maso/umuvuduko, kubura impumuro) bimara igihe kitarenze ibyumweru bine . Akenshi, biterwa n'ubwandu bwa virusi, nk'ibicurane.
• Sinusitis yo mu bwoko bwa Subacute: Ubu bwoko bwa sinusitis bubaho iyo ibimenyetso bimara ibyumweru bine kugeza ku byumweru cumi na bibiri (amezi 3) .
• Sinusitis idakira: Ibimenyetso bimara nibura ibyumweru cumi na bibiri (amezi 3) . Akenshi iterwa n'indwara zandura ziterwa na bagiteri.
• Sinusitis isubira: Iyi ni abantu barwara sinusitis inshuro enye cyangwa zirenga mu mwaka , ibimenyetso bikaba bitarashira ibyumweru bibiri buri gihe.

Gushyira mu byiciro hakurikijwe impamvu:

• Sinusitis ya Bagiteri:Ubwandu bwa virusi rimwe na rimwe bushobora gutera ubwandu bwa bagiteri, bigatera sinusiti. Iyo izuru riva, izuru rizibye, n'ububabare bwo mu maso bitarangiye mu minsi icumi, bishobora kuba ari ubwandu bwa bagiteri. Hari igihe ibimenyetso bishobora kugabanuka hanyuma bikagaruka. Imiti igabanya ubukana bw'ibiyobyabwenge n'imiti igabanya ubukana bw'ibicurane akenshi irakora neza kuri ibi.
• Sinusitis iterwa na virusi: Sinusitis nyinshi iterwa na virusi, nka virusi zitera ibicurane.
• Sinusitis yo mu bwoko bwa fungal: Iyi ndwara ikunze kugaragara gake, ariko ni ngombwa kuyifata nk'ingenzi kurusha izindi ndwara. Ufite amahirwe menshi yo kurwara sinusitis nk'iyi, cyane cyane iyo ubudahangarwa bw'umubiri bwawe budafite imbaraga (urugero, niba urwaye virusi itera SIDA, kanseri, cyangwa ufata imiti imwe n'imwe).

Ese mfite sinusiti, COVID, ibicurane, cyangwa allergie? Nabimenya nte neza?

Iki ni ikibazo gikomeye ku bantu benshi. Kubera ko ibimenyetso by'ibicurane, COVID-19, allergie, n'indwara za sinus byose bisa cyane, bishobora kugorana kubitandukanya.

• Ibicurane: Akenshi biza mu minsi mike, bikarushaho kuba bibi, hanyuma bigashira buhoro buhoro. Bishobora kumara iminsi mike kugeza hafi icyumweru.
• Allergie mu mazuru: Ibimenyetso by'ingenzi ni ukwitsamura kenshi, amazuru n'amaso biraryana, kuziba izuru, amazuru asohoka, no kuzana amazi mu mazuru. Ariko, allergie akenshi ntizitera ububabare mu maso nk'ubwandu bwa sinus.
• COVID-19: Ibi bishobora gutera ibindi bimenyetso nko kugira umuriro no kugorwa no guhumeka.
• Sinusite: Ibimenyetso birimo gufungana mu maso, ububabare, ururenda rwinshi rw'umuhondo cyangwa icyatsi kibisi, no guhumeka nabi (halitosis).

Icy'ingenzi ni uko ubwandu bwa sinus bushobora guterwa n'ibicurane, COVID, cyangwa allergie. Ubu ushobora gupima ubwandu bwa virusi nka COVID-19 na grippe.

Ni ibihe bimenyetso bya sinusiti?

Ibi ni byo bimenyetso bikunze kugaragara by’ubwandu bwa sinus:

• Gutonyanga kw'izuru nyuma yo kurira.
• Izuru rivamo amazi afite umuhondo mwinshi cyangwa icyatsi kibisi.
• Kuziba izuru.
• Kumva ufite igitutu cyangwa uburibwe mu maso (cyane cyane hafi y'izuru, amaso, n'agahanga). Ibi bishobora kuba bibi kurushaho iyo urimo kwimura umutwe cyangwa uryamye.
• Uburibwe bw'amenyo cyangwa igitutu.
• Umuvuduko cyangwa ububabare mu gutwi.
• Umuriro.
• Kunuka mu kanwa (halitosis) cyangwa uburyohe bubi mu kanwa.
• Inkorora.
• Umutwe.
• Ndananiwe.

Ni izihe mpamvu zitera kwandura kwa sinus?

Sinusitis ishobora guterwa na virusi, bagiteri, ibihumyo, n'ibintu bishobora gutera ubwivumbure. Zimwe mu mpamvu zikunze kugaragara ni izi:

• Ubukonje.
• Grippe cyangwa grippe.
• Amoko amwe ya bagiteri, urugero `(Streptococcus pneumoniae)`, `(Haemophilus influenzae)`, `(Moraxella catarrhalis)`.
• Allergie zo mu mazuru n'iz'ibihe by'umwaka.

Ni nde ufite ibyago byinshi byo kurwara sinusiti?

Hari abantu bafite amahirwe menshi yo kurwara sinusiti kurusha abandi. Izi ngingo zishobora gutera ibyago ni izi:

• Ku bafite ubwivumbure mu mazuru.
• Ku bafite asima.
• Ku bantu bafite ibintu nka polyps zo mu mazuru cyangwa ibibyimba byo mu mazuru.
• Ku bafite septum yacitse (agace kari hagati mu mazuru kitwa septum). Iyo ibi byacitse, inzira yo ku ruhande rumwe rw'izuru ishobora kuba nto kandi ikaziba.
• Abantu bafite ubudahangarwa bw'umubiri budakomeye. Ibi bishobora guterwa n'indwara nka virusi itera SIDA cyangwa kanseri, cyangwa imiti imwe n'imwe.
• Ku banywa itabi.

Ese sinusitisi yandura?

Sinusite ubwayo ntabwo yandura. Ariko, virusi na bagiteri ziyitera bishobora kuba ari byo. Kubwibyo, niba urwaye, ni ngombwa cyane gukurikiza isuku nziza nko kwirinda abandi, gukaraba intoki kenshi, no gupfuka umunwa n'amazuru n'inkokora yawe.

Bigenda bite iyo sinusiti itaravurwa?

Si indwara ya sinusiti yose ikenera kuvurwa. Akenshi, irashira ubwayo. Ariko, mu bihe bidasanzwe , iyo itavuwe, iyi ndwara ishobora gukwirakwira mu bwonko, mu maso cyangwa mu magufwa yegereye aho, bigatuma bagiteri cyangwa ibihumyo bikwirakwira bigashyira ubuzima mu kaga. Niyo mpamvu ari ngombwa kwitondera ibimenyetso.

Ni gute umuganga asuzuma indwara ya sinus?

Abaganga basuzuma indwara ya sinusiti bashingiye ku bimenyetso byawe n'amateka y'ubuzima bwawe. Muganga azasuzuma amatwi yawe, izuru, n'umuhogo kugira ngo arebe niba hari ibibyimba, amatembabuzi, cyangwa kuziba. Bashobora kandi gukoresha igikoresho gito, gifite urumuri cyitwa endoscope kugira ngo barebe imbere mu mazuru yawe.

Umuganga wawe w’ibanze ashobora kandi kukwohereza ku muganga w’inzobere, nka muganga w’amaso cyangwa inzobere mu kuvura indwara zo mu mutwe.

Ibipimo byihariye byo gusuzuma sinusiti:

Mu bihe bimwe na bimwe, muganga ashobora gutegeka ibizamini nk'ibi bikurikira:

• Gupima amazuru: Ibi bikubiyemo gushyira umuyoboro ufite kamera nto mu mazuru.
• Gusukura mu mazuru: Hafatwa urugero rw'ibicurane mu mazuru bigapimwa virusi cyangwa izindi mikorobe.
• Gufata amashusho: Hari igihe ushobora gusabwa gukora ""(CT) scan""" ("Computed Tomography scan") kugira ngo urebe neza ibirimo kuba mu nda yawe.
• Gupima indwara ya aleriji: Niba urwaye sinusiti idakira, iki kizamini gishobora gukorwa kugira ngo hamenyekane impamvu ya aleriji itera.
• Gupima: Ni gake cyane, icyitegererezo cy'inyama gishobora gufatirwa mu mazuru kigapimwa.

Sinusiti ivurwa ite?

Hari uburyo bwinshi bwo kuvura sinusiti, bitewe n'ibimenyetso ufite n'igihe umaze uyirwaye. Ushobora kugerageza ibi bintu mu rugo:

• Imiti ifungura izuru (Indabyo zo mu mazuru).
• Imiti ivura ibicurane n'allergie igurishwa muri farumasi (OTC).
• Ibikoresho byo koza mu mazuru birimo umunyu.
• Kunywa amazi menshi.
• Gufata umwuka w'amazi ashyushye.

Niba ibimenyetso bya sinusitine bitagenze neza nyuma y'iminsi 10, muganga ashobora kukwandikira imiti nka:

• Antibiyotike.
• Imiti igabanya ububabare mu mazuru cyangwa mu kanwa.
• Imiti ikoreshwa mu mazuru iterwa na muganga. (Ntugakoreshe imiti ikoreshwa mu mazuru mu gihe kirenze iminsi itatu kugeza kuri itanu, kuko ishobora gutuma izuru ryawe rirushaho kuzura.)

Mu kuvura abantu barwaye sinusiti idakira, impamvu nyamukuru iravurwa. Ibi bishobora kuba birimo:

• Imiti ikoreshwa mu gutera imiti mu mazuru.
• Imiti ivura indwara zo mu mutwe cyangwa ibinini byo kunywa.
• Imiti iri mu itsinda ry'imiti yitwa `Leukotriene antagonists`, urugero `(montelukast)`.
• Kubagwa bishobora kandi kuba ngombwa ku bibazo by’imiterere y’amazuru, polyps, cyangwa indwara z’ibihumyo.

Ni uwuhe muti mwiza wo kuvura indwara ya sinus?

Niba ukeneye umuti urwanya udukoko (antibiotique), ubwoko bw'umuti muganga wawe ashobora kuguha bushobora gutandukana bitewe n'uburwayi bwawe. Ingero zimwe ni izi:

• `(Augmentin)` (amoksilini/clavulanate)
• `(Amoxicillin)`
• `( Doxycycline ( Doxycycline) ) `
• `(Levofloxacin)`
• `(Cefixime)`
• `(Cefpodoxime)`
• `(Clindamycin)`

Icy'ingenzi: Ntukigere ufata imiti yica udukoko ku giti cyawe udafite urupapuro rwa muganga.

Ese uburyo bwo kuvura bwuzuzanya n'ubundi buryo bwo kuvura bufasha muri sinusiti?

Hari abantu basanga uburyo bwo gusifura mu maso hakoreshejwe acupressure, acupuncture, cyangwa massage yo mu maso bishobora kugabanya ibimenyetso bya sinusiti, nk'amatembabuzi, umuvuduko w'amaraso n'ububabare. Ni byiza kubaza muganga wawe niba ubu buryo bwo kuvura bukubereye.

Ese indwara zose zandurira mu ruhu zikenera imiti yica udukoko?

Oya. Abaganga benshi bategereza kureba igihe ibimenyetso byawe bimaze mbere yo gufata icyemezo cyo kuguha imiti yica udukoko. Indwara nyinshi za sinus ziterwa na virusi. Imiti yica udukoko ntivura indwara za virusi. Gukoresha imiti yica udukoko bitari ngombwa, cyangwa kuyikoresha ku ndwara za virusi, bishobora gutera ingaruka mbi kandi bigatera ubudahangarwa bw'imiti yica udukoko, ibyo bikaba byagorana kuvura indwara za nyuma.

Ese sinusiti ishobora kwirindwa?

Bitewe n'impamvu, hari uburyo butandukanye bwo kugabanya ibyago byo kwandura indwara za sinus. Ubwo buryo ni ubu:

• Koza izuru n'amazi y'umunyu (saline) nk'uko muganga yabigutegetse.
• Gufata ingamba zo kwirinda allergie. Ibi birimo imiti, inshinge zo gutera allergie, no kwirinda ibintu uterwa na allergie (urugero: umukungugu, impongo, umwotsi).
• Koresha imiti igabanya ubukana bw'amazuru ya steroid niba muganga wawe abigusabye.
• Kugira ingeso nziza zishobora kurinda indwara zandura, nko gukaraba intoki neza.
• Irinde kunywa itabi. Niba unywa itabi, hari uburyo bwo kugufasha kurireka.

Ni iki umuntu urwaye sinusiti ashobora kwitega?

Ubusanzwe sinusite imara icyumweru kimwe kugeza ku minsi icumi . Kenshi na kenshi, ishobora gukira hakoreshejwe imiti igurishwa ku giciro cya muganga n'imiti yo mu rugo. Ariko, niba urwaye sinusite idakira, cyangwa niba ikunze kubaho, hari izindi mpamvu zishobora kuyitera. Izi mpamvu zigomba kuvurwa.

Ni ryari wagombye kujya kwa muganga kubera indwara ya sinus?

Ubusanzwe ushobora kwita ku bibazo bya sinus uri mu rugo. Ariko niba ufite ibimenyetso bidashira, uhangayikishijwe na byo, cyangwa ukunda kwandura indwara, ni byiza kuvugana na muganga. Ashobora kukubwira icyo ugomba gukora nyuma yaho.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba ufite ibimenyetso by'ubwandu bukomeye , ni ukuvuga kimwe mu bimenyetso biri hepfo, jya mu cyumba cy'ubutabazi cy'ibanze kiri hafi yawe cyangwa ushake inama kwa muganga ako kanya :

• Umuriro mwinshi cyane (uri hejuru ya 103 Fahrenheit/40 Selisiyusi).
• Urujijo cyangwa izindi mpinduka zo mu mutwe.
• Ihinduka ry'amaso, cyane cyane iyo umuntu ababara cyangwa abyimbye hafi y'amaso.
• Gufatwa n'indwara yo mu mutwe ni nk'aho umuntu arwaye indwara yo mu mutwe.
• Ijosi rikomeye.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ni byiza gusaba muganga wawe kukwereka uburyo bwo gukoresha neza ibikoresho agusaba (urugero: imiti ikoreshwa mu guhumeka mu mazuru, ibikoresho byo kuhira mu mazuru). Ni byiza kandi kwibaza ibi bibazo:

• Nigute navura indwara ya sinus mu rugo?
• Ni gute neza neza nkwiye gufata umuti wanjye?
• Ni ryari nkwiye kuzaza kureba?

Ubwandu bwa sinus bukunze kugaragara kandi akenshi ntabwo ari bukomeye. Bushobora guterwa n'ibintu bitandukanye, harimo virusi, bagiteri, polyps zo mu mazuru, cyangwa allergie. Ubusanzwe ushobora kuvura uri mu rugo uruhuka bihagije, ukoresheje imiti igurishwa na muganga, kandi ukanywa ibinyobwa byinshi. Ariko, niba ibimenyetso byawe bitarangiye, birimo kwiyongera, cyangwa niba ufite ibimenyetso biguhangayikishije, gana muganga wawe.

Ubutumwa bwo kujyana mu rugo

Sawa, reka turebere hamwe ibintu by'ingenzi cyane kuri sinusiti twavuzeho.

• Sinusitis ni ukubyimba kw'uduce tw'imyobo mu maso.
• Ibi bishobora guterwa na virusi, bagiteri, ibihumyo, cyangwa allergie.
• Ibimenyetso by'ingenzi ni ukuziba izuru, amatembabuzi menshi, ububabare mu maso, n'umuvuduko w'amaraso.
• Akenshi, ikira ubwayo , cyangwa ikarushaho kuba nziza iyo ivurwa mu rugo.
• Antibiyotike si ngombwa buri gihe. Nta kamaro zifite mu kurwanya indwara zandura.
• Niba ibimenyetso bikomeje iminsi irenga 10 , bikagaragara kenshi, cyangwa bifite ibimenyetso bikomeye nko kugira umuriro mwinshi no guhinduka k'amaso , menya neza ko wagiye kwa muganga.
• Ibintu nk'ingeso nziza ku buzima, kurwanya allergie, no kwirinda kunywa itabi bishobora gufasha kubyirinda .

Rero, ndizera ko aya makuru azakugirira akamaro. Komeza ugire ubuzima bwiza!

Sinusiti , sinusi, izuru rizibye, ibicurane, kuribwa umutwe, kwandura, uburyohe