Fungidzira kuti wakavhiyiwa mhino yakavharika, uye waifunga kuti waizokwanisa kufema zviri nani ikozvino. Asi kunyangwe mushure mekuvhiyiwa, uchiri kunzwa wakavharika uye zvakaoma kufema. Chiremba paanokuongorora, anoti hapana chakavharika mumhino yako, uye kuti nzira yacho yakavhurika zvakakwana. Kunzwa uku kusinganzwisisike, kunopesana ndiko kwatiri kutaura nezvako nhasi, Empty Nose Syndrome (ENS). Sezvinoreva zita racho, chirwere ichi chinonzi 'empty nose' hachiwanzoitiki, uye chimwe chinhu chinokonzera kushushikana kukuru kuvanhu vazhinji.
Chii chinonzi Empty Nose Syndrome?
Muchidimbu, Empty Nose Syndrome (ENS) inguva yaunonzwa sekuti mhino yako yavharika uye haugone kufema, kunyangwe paine nzvimbo yakakwana yekufema nemhino dzako. Izvi zvinowanzoitika mushure mekuvhiyiwa kwemhino.
Mumhino dzedu mune zvimiro zvitatu zvidiki zvakaita sesherufu zvinonzi 'Turbinates'. Basa razvo guru kuchenesa, kunyorovesa, uye kudziya mweya watinofema uye kuutumira kumapapu. Dzimwe nguva, nekuda kwezvinhu zvakaita seallergies nehutachiona, ma turbinates aya anogona kuzvimba uye kukonzera kuvharika kwemhino. Kana zvakadaro, vanachiremba vanoita oparesheni yekuderedza saizi yema turbinates aya (Turbinate reduction surgery). Dzimwe nguva, zvinodikanwa kubvisa chikamu cheaya ma turbinates (Partial turbinectomy) kana zvachose (Complete turbinectomy).
Kuvhiyiwa uku kwakawanda kunobudirira. Zvisinei, kashoma , kana turbinate tissue yakawanda ikabviswa kana kukuvara panguva yekuvhiyiwa, ENS inogona kuitika. Izvi zvinogona kuita kuti unzwe sekunge uri kudzipwa, kunyangwe mhino dzako dzichiri dzakavhurika. Zvakafanana nepuzzle.
Chii chinokonzera ENS?
Chikonzero chaicho cheENS chichiri kuongororwa, asi zvinofungidzirwa kuti chinokonzerwa nekubviswa kwakanyanya kwenyama ye turbinate panguva yekuvhiyiwa kwemhino.
Funga nezvazvo, mhino dzedu hadzisi chubhu inongoburitsa mweya chete. Ihurongwa hwakaoma kunzwisisa.
- Kukuvara kwetsinga: Kune tsinga diki pamusoro pema turbinates aya dzinoona zvinhu zvakaita sekumanikidzwa kwemhepo nekupisa. Patinofema, tsinga idzi dzinotumira chiratidzo kuuropi chinoti "fema izvozvi." Kana tsinga idzi dzikabviswa kana kukuvara panguva yekuvhiyiwa, uropi hahugamuchire chiratidzo ichocho. Uropi hunoti "Handigoni kufema, mhino dzangu dzakavharwa."
- Kufamba kwemhepo kunochinja: Kana nzvimbo iri mukati memhino yakura zvakanyanya mushure mekuvhiyiwa, nzira yekufema inongofamba yakatwasuka. Inorova ma turbinates, inotenderera, uye hainyorove. Izvi zvinogona kukonzera kuti uropi husanzwe sekunge huri kufema zvakanaka.
- Kusawirirana kwemabhakitiriya: Kamuro kari mumhino kanobatsira kuchengetedza mabhakitiriya ane hutano. Kana jira iri rikakuvadzwa nekuvhiyiwa, mabhakitiriya ane hutano anogona kudzikira uye mabhakitiriya ane njodzi anogona kukura. Izvi zvinogona kuwedzera njodzi yehutachiona uye zviratidzo zveENS.
Ndezvipi zviratidzo zveEmpty Nose Syndrome (ENS)?
Zviratidzo zveENS zvinogona kuonekwa mavhiki, mwedzi, kana kunyange makore mushure mekuvhiyiwa. Zviratidzo izvi zvinogona kusiyana kubva pamunhu kusvika pamunhu.
| Rudzi rwechiratidzo | Tsananguro |
|---|---|
| Zviratidzo zvine chekuita nekufema | Kutadza kufema zvakanaka, kunzwa mhino dzakazadzwa nguva dzose, kunzwa dzihwa mumhino paunenge uchifema, kunzwa kudzipwa kana kunyura mumvura. |
| Zviratidzo zvine chekuita nemhino nehuro | Kuoma kwemhino nepahuro zvakanyanya, kubuda ropa mumhino, kudzikira kwekugadzirwa kwemadzihwa, ganda mumhino, uye kudonha kwemvura mushure memhino. |
| Humwe hunhu hwemuviri | Kurwadziwa nemusoro nguva nenguva, dzungu, kunzwa kunhuhwirira kwakakwana kana kushoma (anosmia), kunzwa kuravira kushoma (ageusia), kuneta zvakanyanya, kushaya hope. |
Hukama huripo pakati peENS nehutano hwepfungwa
Iyi ipfungwa inokosha zvikuru. Kunzwa sekuti uri kugara uchinetseka kufema uye kusatenderwa kunogona kukanganisa hutano hwepfungwa dzemunhu . Pakati peavo vane ENS:
- Kunetseka
- Kuora mwoyo
- Kusakwanisa kuisa pfungwa pachinhu chimwe chete
- Hasha dzinogara dzichiitika
Zvirwere zvakaita se: zvinowanzoitika. Dzimwe ongororo dzakaratidza kuti vanhu vanosvika 70% vane ENS vanotambura nekuora mwoyo.
Zvakakosha: Kana iwe kana mumwe munhu waunoziva ari kufunga zvekuzvikuvadza, ndapota ona chiremba wako nekukasika, kana kuenda kuEmergency Department (ETU) kuchipatara chiri pedyo newe. Zvakakosha zvikuru kutaura nezvazvo uye kutsvaga rubatsiro.
ENS chirwere chaicho here? Chiremba anochiongorora sei?
Ehe, ENS chirwere chechokwadi, asi hachiwanzoitika kakawanda. Ndosaka dzimwe nguva zvichinetsa kuona chirwere ichi nekuti scan haina kuratidza kuti mhino dzakavharwa.
Chiremba achanyanya kushandisa zviratidzo zvako uye nhoroondo yekuvhiyiwa kuti aongorore ENS. Pamusoro pezvo,
- Endoscope, chubhu diki ine kamera, inogona kushandiswa kuongorora mukati memhino.
- Kuongororwa kweCT kana MRI kunogona kuitwa kuti pasave nezvimwe zvinokonzera (semuenzaniso mapundu emumhino, kenza).
- "Kuongororwa kweDonje": Iyi bvunzo iri nyore kwazvo, asi yakakosha. Chiremba anoisa donje rakanyikwa mumunyu mumhino dzako, munzvimbo yaimbova neturbinates. Mushure memaminitsi angangoita 20-30, vanozoongorora kana zviratidzo zvako zvakaita sekushaya mweya uye kuoma zviri nani. Kana zviratidzo zvakadaro zvikava nani kunyange kwenguva pfupi, chiratidzo chakasimba chekuti une ENS.
Ndezvipi zvinorapwa zveENS?
Hakuna mushonga weENS, asi kune nzira dzakawanda dzekugadzirisa zviratidzo uye kuvandudza hupenyu .
- Nyorovesa mhino: Kushandisa saline sprays kana magels, kunwa mvura yakawanda zuva rese, uye kushandisa humidifier muimba yekurara kunogona kubatsira kuderedza kuoma kwemhino.
- Muchina weCPAP: Vamwe vanhu vanoona kuti kushandisa muchina we "CPAP" pavanenge vakarara kunobatsira kuchengetedza hunyoro uye kufamba kwemhepo.
- Mishonga: Chiremba wako anogona kukupa mishonga inotambanudza tsinga dzeropa dziri mumhino dzako uye inobatsira kuderedza kuzvimba kwemukati memhino.
- Kuvhiyiwa: Kana zviratidzo zvikanyanya, kuvhiyiwa kunogona kuitwa kuti turbinates dzakabviswa dzitsiviwe ne implant. Izvi zvinogona kusanganisira kushandisa zvinhu zvakagadzirwa zvakaita seGore-Tex kana zvinhu zvinobva munyama yemunhu zvakaita se acellular dermis kana platelet-rich plasma (PRP). Izvi zvinoshanda nekuderedza nzvimbo iri mukati memhino, kuderedza nzira yekufema, uye kuedza kudzorera kunzwa kwekufema kuuropi.
Mharidzo Yekuenda Nayo Kumba
- Empty Nose Syndrome (ENS) chirwere chisingawanzoitiki asi chaicho chinogona kuitika mushure mekuvhiyiwa kwemhino, apo mhino inonzwa yakavharwa kunyangwe isina chinhu.
- Chikonzero chikuru cheizvi chinoonekwa sekubvisa turbinate tissue yakawandisa kubva mumhino panguva yekuvhiyiwa.
- Zviratidzo zvemuviri zvakaita sekuoma kwekufema, mhino yakaoma, uye kurasikirwa nekunhuhwirira zvinogona kuitika, pamwe nemhedzisiro yepfungwa dzakadai sekuora mwoyo nekuzvidya mwoyo.
- Kana wakambovhiyiwa mhino uye uri kuona zviratidzo izvi, zvakakosha zvikuru kutaura nachiremba wako wezvenzeve, mhino, nepahuro (ENT) nezvazvo.
- Kunyange hazvo isingarapike zvachose, kune mishonga iripo yekudzora zviratidzo uye kurarama hupenyu hwakanaka.
- Kana uri kuvhiyiwa mhino, kurukura nachiremba wako nezvenjodzi yeENS uye kukosha kwekuita kuvhiyiwa nenzira inochengetedza nyama yakawanda sezvinobvira.
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