Unoziva here nezvemapundu emumhino nepanasal? Ngatikurukurei nezvazvo!

Unogara uine mhino yakavharika here? Kana kuti inongonzwa sekunge iri kudivi rimwe chete here? Dzimwe nguva unobuda ropa mumhino here? Kunyangwe ungafunga kuti ingori dzihwa, dzimwe nguva panogona kunge paine chimwe chikonzero chiripo. Nhasi tichataura nezvemhando dzemapundu anogona kuumbwa mumhino pamwe nemaburi akabatana nawo (sinuses).

Chii chinonzi bundu remhino?

Zvichitaurwa zviri nyore, nasal polyp kukura kusingawanzoitika kwemasero kunoitika mumhino kana mumakomba akazadzwa nemhepo akakomberedza mhino yako (paranasal sinuses). Mamwe acho anogona kunge asina njodzi , zvichireva kuti haana kenza. Mamwe anogona kunge aine kenza , zvichireva kuti ane kenza.

Kune mhando dzakasiyana dzemabundu emumhino asina kenza (asina kuipa):

Idzi dzinowanzova bundu riri nyore, risingaurayise.

• Mapopu emumhino: Ungave wakambonzwa nezvazvo. Mapupu akapfava, asingarwadzi anoumbwa mukati memhino. Vamwe vanhu vanoakura nekuzara kwemhino nguva nenguva.
• Hemangioma: Aya mabundu anoumbwa netsinga dzeropa. Dzimwe nguva anogona kutaridzika semapundu madiki matsvuku.

Kune mhando dzakasiyana dzemapundu emumhino ane malignant:

Izvi zvakanyanya kuipa, nekuti igomarara. Zvinoda kurapwa nekukasika.

• Kansa yemasero emudumbu
• Adenocarcinoma
• Neuroblastoma : Iyi ikenza inotangira mumasero etsinga.
• Kansa yeAdenoid cystic
• Sarcoma: Iyi igomarara rinobva munyama dzinobatana dzakadai semapfupa, cartilage, uye mafuta.

Ndeupi musiyano uripo pakati pebundu remhino nebundu reparanasal sinus?

Musiyano mukuru pakati pezviviri izvi ndepanowanikwa bundu iri. Funga nezvaro semakamuri maviri mumba.

• Bundu remhino: Rinotangira mukati memhino yako. Kureva, kuseri kwemhino, munzira huru yatinofema nayo.
• Bundu reParanasal sinus: Iri rinotanga mumipata yakazara nemhepo yakakomberedza mhino (paranasal sinuses). Mipata iyi ndipo panoitika sinusitis, uye inoumbwa. Mipata iyi inobatsira kuderedza huremu hwedehenya uye inopa ruzha rwezwi.

Ndiani anobatwa nemaronda aya?

Kutaura zvazviri, chero ani zvake anogona kuva neizvi. Mwana, munhu wechidiki, munhu mukuru, munhu wese ari panjodzi. Zvisinei, mapolyps emumhino ane cancer anowanzoonekwa muvanhu vane makore anopfuura makumi mashanu nemashanu. Dzimwe ongororo dzakaratidza kuti varume vane mukana wakapetwa kaviri wekuva nepolyps yemumhino kupfuura vakadzi .

Ma polyps emumhino akajairika here?

Kwete, ma polyps emumhino haawanzoitiki.Chimwe chinhu. Izvi zvinoreva kuti hachisi chirwere chinokanganisa munhu wese. Kenza dzemhino nedzepanasal sinuses dzinoita chikamu chidiki kwazvo chekenza dzese dzemusoro nemutsipa. Saka hapana chekunetseka nazvo, asi zvakakosha kuziva zviratidzo.

Ndezvipi zviratidzo zvebundu remhino?

Unofanira kunetseka zvishoma nezvezviratidzo izvi, sezvo zvimwe zvacho zvingafanana nezviratidzo zvechikosoro kana chirwere chesinus.

• Kuzara kwemhino kana kuzara kwe sinus, kunyanya kune rimwe divi , kana zvikaramba zviripo.
• Kurasikirwa kana kudzikira kwekunzwa kwekunhuhwidza (anosmia) . Iva nehanya kana ukangoerekana warasikirwa nekugona kwako kunhuhwidza kunhuhwidza kwawagara uchiziva.
• Kubuda ropa mumhino , kunyanya kana kuchiitika kakawanda uye kudivi rimwe chete.
• Musoro unorwadza , kunyanya unoramba uripo uye usingaderedzi kunyangwe uchishandisa mishonga.
• Kudonhedza mvura mushure memhino, kunova kunzwa kwemvura inobuda mumhino ichienda muhuro .
• Mvura yero kana yegirini, yakafanana neurwa, inoyerera ichibva mumhino .
• Kubvaruka kwemaziso kakawanda (kupfuura zvakajairika).
• Kuchinja kwezwi , sekunge kutaura nemhino.
• Kunzwa kurwadziwa kana kusanzwa zvakanaka pamhino, maziso, nzeve, matama, kana pahuma .
• Bundu kana kuzvimba pachiso, mhino, pamusoro pemuromo, kana mutsipa .
• Kugara uchibatwa nezvirwere munzeve kana kuti kubuda kwemvura munzeve.
• Kunzwa matambudziko kana kunzwa kurira munzeve nguva dzose.
• Matambudziko emaziso: Maziso akazvimba kana ziso rimwe rakabuda mberi, kuona zvisipo, kuona kaviri, nezvimwewo.
• Kuoma kuvhura muromo wako kana kurwadziwa munharaunda yeshaya.

Chii chinokonzera mamota mumhino?

Kutaura zvazviri, ma polyps emumhino anokonzerwa nekukuvara kana shanduko dzisina kujairika mumajini anodzora kukura kwemasero mumuviri wedu. Nyanzvi dzichiri kuedza kuona kuti sei shanduko idzi dzemajini dzichiitika.

Zvisinei, zvimwe zvinhu zvinogona kukonzera njodzi zvakaonekwa kuti zvinowedzera njodzi yekubatwa nemhino dzinonzi polyps.

• Utsi hwefodya: Kusvuta fodya nebidis hakungokuvadzi chete, asiwo kufema utsi hwefodya dzevamwe vanhu (kusvuta kwechipiri) kunokuvadza.
• Kugara kwenguva refu uchisangana neguruva rehuni kana guruva redehwe . Izvi zvakakosha zvikuru kune avo vanoita basa rekuveza, fenicha, uye shangu.
• Kusangana nemamwe makemikari nehutsi: Semuenzaniso, kusangana neglue, radium, solvents, nickel, chromium, uye formaldehyde.
• Kune humbowo hunoratidza kuti zvimwe zvirwere zvehutachiona (semuenzaniso Human Papillomavirus - HPV) zvinogona kunge zvichibatanidzwa.

Ndezvipi zvinetso zvinogona kuitika kana mapundu emumhino akasiyiwa asina kurapwa?

Kana iri bundu regomarara riri mumhino, rinogona kupararira kune dzimwe nhengo dzemuviri (metastasis) . Ndicho chinhu chine njodzi zvikuru. Semuenzaniso, rinogona kupararira kusvika kuma lymph nodes mumutsipa, mapapu, chiropa, nemapfupa. Zvisinei, kana chiremba akaona bundu iri nekukurumidza , njodzi yekupararira uku inogona kuderedzwa zvakanyanya. Ndosaka zvichikurudzirwa kutsvaga mazano echiremba nekukurumidza kana zviratidzo zvaonekwa.

Matanho ekenza yemhino neparanasal sinus

Vanachiremba vanoshandisa nzira yekuongorora kuti bundu riri mumhino kana paranasal sinuses rapararira kusvika papi. Izvi zvinoshandiswa kuronga kurapwa. Pane matanho mana makuru:

• Danho rekutanga: Bundu iri richiri mukati memhino kana musinasi yepanasal. Harisati rapararira.
• Danho rechipiri: Bundu iri rapararira kune dzimwe nzvimbo dzemhino kana paranasal sinuses, asi richiri mukati memuganhu iwoyo.
• Danho rechitatu: Bundu iri rapararira kusvika kumapfupa e sinus kana muburi reziso. Rinogonawo kunge rapararira kusvika kune lymph node iri pedyo.
• Danho rechina: Iri ndiro danho rakanyanya kuoma. Bundu iri rapararira kunhengo dziri pedyo, dzakadai seuropi, pasi pedehenya, kana munzvimbo dzakadzika dzemutsipa. Rinogonawo kunge rapararira kuma lymph nodes ari kure kana kune dzimwe nzvimbo dziri kure dzemuviri (senge mapapu).

Kana muine mibvunzo nezvedanho iri regomarara, taurai pachena nachiremba wenyu. Ndiye munhu akakodzera kukuudzai chaizvo kuti chirwere chenyu chii. Musatya kubvunza.

Ungaziva sei bundu riri mumhino?

Kutanga, kana ukaona chiremba ane zviratidzo zvako, iye achakubvunza nezvezviratidzo zvako, nhoroondo yezveutano hwemhuri yako, uye basa rako. Zvadaro, vachakurudzira mimwe miedzo inoenderana nemamiriro ako ezvinhu. Izvi zvinogona kusanganisira:

• Endoscopy yemhino: Mukuita uku, chiremba anoisa chubhu yakatetepa, inochinjika (ine chiedza chidiki nekamera) mumhino kuti atarise mukati memhino nemukati mesinus. Izvi zvinogona kutarisa chero chinhu chisina kujairika, senge bundu. Kana zvichidikanwa, chidimbu chidiki chenyama chinogona kutorwa kuti chiongororwe (biopsy) panguva ino.
• Kuongororwa kweropa: Muenzaniso weropa rako unotorwa woongororwa murabhoritari kuti utarise mamiriro ehutano pamwe nezvimwe zviratidzo zvegomarara.
• Miedzo yekufungidzira: Izvi zvinogona kusanganisira maX-ray , MRI (magnetic resonance imaging) scans , kana CT (computed tomography) . Ma scans aya anogona kuratidza zvakawanda nezve bundu, zvakaita sehukuru hwaro, nzvimbo yaro, kana rakapararira kune nyama dziri pedyo, uye kana lymph nodes dzakakanganiswa.
• Kuongororwa kwemuviri: Iyi bvunzo inokosha zvikuru. Pano, chiremba anotora sampuli diki yenyama kubva mubundu oitumira kurabhoritari kuti iongororwe histopathological. Kuongororwa uku kunoshandiswa kuona kana bundu iri riri rekenza kana kuti kwete, uye kana zvakadaro, rudzii rwekenza.

Unorapa sei ma cysts emumhino?

Kurapwa kwebundu remhino kunoenderana nezvinhu zvakawanda, zvinosanganisira hutano hwako hwese, rudzi rwebundu (rekenza kana kuti kwete), saizi nenzvimbo yebundu, danho rekenza, uye zvaunoda iwe pachako.

Kazhinji, vanachiremba vanokurudzira kubviswa kwebundu remhino risiri rekenza.

Pamabundu emumhino ane kenza, musanganiswa weimwe kana kupfuura yemishonga inotevera ndiyo inonyanya kushandiswa: kuvhiyiwa, kurapwa nemwaranzi, uye dzimwe nguva chemotherapy.

Kuvhiya

Chinangwa chikuru chekuvhiyiwa ndechekubvisa bundu remhino rakawanda sezvinobvira. Kana kenza yapararira kuma lymph nodes ari pedyo, chiremba anozobvisawo (kuchekwa kwemutsipa). Dzimwe nguva, zvichienderana nenzvimbo yebundu, kuvhiyiwa kunogona kuitwa mukati memhino uchishandisa endoscope (kuvhiyiwa kwe endoscopic), pasina kucheka kunze. Zvisinei, kune mamwe mabundu makuru, kucheka kungada kuitwa kunze kwechiso kana musoro. Zvichienderana nemamiriro ako ezvinhu, timu yako yezvekurapa inogona kusanganisira vanachiremba vemuromo, vanachiremba veneurosurgeon, uye nyanzvi dzenzeve, mhino, nehuro (nyanzvi dzeENT).

Kurapa Nemwaranzi

Izvi zvinosanganisira kushandisa mwaranzi ine simba guru kuuraya masero ekenza. Chiremba wako anogona kukurudzira kurapwa nemwaranzi chete kana pamwe chete nekuvhiyiwa. Dzimwe nguva, kurapwa nemwaranzi kunopiwa usati wavhiyiwa kuderedza bundu (neoadjuvant therapy). Kana, kurapwa nemwaranzi kunopiwa mushure mekuvhiyiwa kuuraya masero ekenza asara (adjuvant therapy). Kune vanhu vasingakwanise kuvhiyiwa kana vasingade kuvhiyiwa, kurapwa nemwaranzi chete kunogona kushandiswa panzvimbo pekuvhiyiwa.

Kurapwa nemakemikari

Chemotherapy kushandiswa kwemishonga yekurwisa kenza kuuraya masero ekenza. Iyi mishonga inogona kupiwa nemuromo kana netsinga. Chemotherapy haiwanzo shandiswa kurapa ma polyps emumhino sekushandiswa kwekuvhiyiwa kana kurapwa nemwaranzi. Zvisinei, mune dzimwe nguva dzakakomba, kana kenza yapararira, kana kuwedzera mhedzisiro yekurapa nemwaranzi (chemoradiation), chiremba wako anogona kukurudzira chemotherapy.

Chii chaungatarisira kana uine bundu mumhino dzako?

Kana uine bundu remhino risiri rekenza, chiremba wako angangokurudzira kubviswa kwaro nekuvhiyiwa.Mabundu emhino asiri ekenza haawanzo kukonzera njodzi kuhupenyu uye ane mukana mudiki wekudzokazve.

Zvisinei, kana uine bundu remumhino rine kenza, timu yako yezvekurapa ichagadzira hurongwa hwekurapa hwakakodzera iwe. Hunogona kusanganisira kuvhiyiwa, kurapwa nemwaranzi, chemotherapy, kana musanganiswa wemishonga iyi. Uchafanira kuramba uchiongororwa mushure mekurapwa kuti uone kana kenza yadzoka.

Ko ma cysts mumhino ne paranasal sinuses anogona kurapwa here?

Mapolyps mazhinji emumhino ane kenza anorapika, kunyanya kana akaonekwa nekukasika. Sezvakaita mamwe marudzi ekenza, kana polyp yemumhino isingaonekwe kwenguva refu, mikana yekukura nekupararira inowedzera. Izvi zvinogona kuderedza mikana yekupora. Ndosaka tichiti ziva zviratidzo uye ona chiremba nekukurumidza kana uine zvinokunetsa.

Kupona Kwevanhu Vane Kenza Yemhino Nemaburi EParanasal

Mwero wekurarama kwemakore mashanu echirwere chemhino chinosiyana, zvichienderana nekuti kenza yacho yapararira kusvika papi.

• Kana bundu iri rakangogara mumhino kana musinasi yepananasal (iri munzvimbo), mwero wekurarama kwemakore mashanu ungangoita 82% . Izvi zvinoreva kuti vanhu 82 pavanhu 100 vane rudzi urwu rwebundu vachiri vapenyu makore mashanu mushure mekuonekwa kuti vane chirwere ichi.
• Kana kenza yapararira kumatishu ari pedyo kana kuma lymph nodes (regional nodes), chiyero ichi chinosvika 52% .
• Kana kenza yapararira kunzvimbo dziri kure dzemuviri, huwandu uhwu hunokwira kusvika pa42% .

Asi zvakakosha kuyeuka izvi: Mwero wekupona inhamba, kureva kuti, fungidziro. Hazvikuudzi kuti uchararama kwenguva yakareba sei kana kuti kurapwa kwako kuchabudirira sei. Mamiriro emunhu wese akasiyana. Kana uine mibvunzo chaiyo nezveizvi, zvakanaka kutaura nachiremba wako. Usarasa tariro.

Ma polyps emumhino anogona kudzivirirwa here?

Hapana nzira yekudzivirira zvachose mapundu emumhino. Zvisinei, unogona kuderedza njodzi yako nekurega kusvuta, kurega kusvuta utsi hwemunhu, uye kuderedza kusviba kwako neutsi hwemakemikari neguruva . ​​Kana uchishanda munzvimbo ine makemikari kana guruva rinokuvadza (senge guruva rehuni, guruva redehwe), iva nechokwadi chekutevedzera matanho akakodzera ekuchengetedza uye kupfeka midziyo yekudzivirira yakakodzera (senge mamasiki ekumeso, ma respirators).

Unofanira kuona chiremba rini?

Kana uine zviratidzo zvebundu remhino, zvakaita sekubuda ropa mumhino nguva nenguva, kurasikirwa nekunhuhwirira, kuzara kwemhino nguva dzose (kunyanya kune rumwe rutivi), kurwadziwa kwechiso kana kuzvimba, unofanira kuona chiremba nekukurumidza.Mushure mekuona chiremba wezvekurapa, kana vakaona zvichidikanwa, vachakutumira kuna chiremba wezvenzeve, mhuno, nehuro (ENT specialist).

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Kana iwe kana mumwe munhu ari pedyo newe akaonekwa kuti ane bundu remhino, usatya kana kuzeza kubvunza chiremba wako mibvunzo iyi:

• Bundu iri rine kenza here kana kuti harina kenza?
• Bundu iri riri kupi chaizvo?
• Bundu iri rakakura sei?
• Zvakapararira here? Kana zvakadaro, kupi? (Zvapararira here? Kana zvakadaro, kupi?)
• Chii chiri padanho iri?
• Munokurudzira rudzii rwekurapa? Uye sei? (Munokurudzira rudzii rwekurapa? Uye nei?)
• Kurapwa kunotora nguva yakareba sei?
• Ndichafanira kuuya kuzorapwa kangani?
• Ndezvipi migumisiro yekurapwa? Zvingagadziriswa sei?
• Ndichakwanisa kushanda here kana kuenda kuchikoro panguva yandinorapwa?
• Hupenyu hwangu huchava hwakaita sei mushure mekurapwa? Ndingatarisira kupora zvachose here?
• Pane mamwe marapirwo andingashandisa here?

Unonzwa sei kana uine bundu mumhino dzako?

Pakutanga, zviratidzo zve nasal polyp zvakafanana zvikuru nezvinokonzerwa nefuruwenza. Ndosaka vanhu vazhinji vasingazvitarisiri zvakanyanya. Sezvo chirwere ichi chichienderera mberi, unogona kunzwa mhino yakavharika kune rumwe rutivi isinganyanyi kupora uye inoramba iripo. Zvimwe zviratidzo zvinogona kusanganisira kubuda ropa mumhino, kurwadziwa kwechiso, uye kurasikirwa nekunhuhwirira. Kana uine mhino yakavharika kana sinus yakavharika, kana chimwe chezviratidzo zvataurwa pamusoro apa, enda kuna chiremba nekukasika.

Pakupedzisira, zvinhu zvekurangarira

Maporipu emumhino mabukira asina kujairika anoumbwa mukati memhino kana musinasi yepananasal. Anogona kunge aine kenza kana kuti kwete. Zvakajairika kuti unzwe kutya uye kunetseka paunonzwa kuti une poripu. Izvi zvinoitika kune wese munhu.

Kana iwe kana mumwe munhu waunoziva ane kenza, taura pachena nachiremba wako nezvesarudzo dzekurapa uye zvirongwa zvekutsigira. Wana ruzivo. Bvunza mibvunzo. Zvinogonawo kubatsira kutaura nemupi wezano kuti akubatsire kubata nekushushikana, kutya, uye kuzvidya mwoyo zvinouya nenguva ino. Kana uchikwanisa, batana neboka rekutsigira kenza, kungave kwemuno kana online. Kutaura nevamwe vari kusangana nezvinhu zvakafanana newe uye kugovana mazano zvakanaka pahutano hwako hwepfungwa. Zvinogona kukubatsira kuti unzwe sekunge hausi wega.

` Mabundu emhino, bundu repanasal, kenza yemhino, kenza ye sinus, kuzara kwemhino, kubuda ropa mumhino, kurasikirwa nekunhuhwirira