Khawucinge ukuba ubutyandwe impumlo evalekileyo, kwaye ubucinga ukuba uza kukwazi ukuphefumla ngcono ngoku. Kodwa nasemva kotyando, usaziva uvalekile kwaye kunzima kakhulu ukuphefumla. Xa ugqirha ekuxilonga, uthi akukho mvalelo ngaphakathi kwempumlo yakho, kwaye indlela ivulekile ngokugqibeleleyo. Olu luvo lungaqhelekanga noluphikisanayo yiloo nto sithetha ngayo namhlanje, i-Empty Nose Syndrome (ENS). Njengoko igama lisitsho, le meko ebizwa ngokuba yi-'empty nose' ayiqhelekanga, kwaye ikwayinto ebangela uxinzelelo olukhulu kubantu abaninzi.
Yintoni le meko ibizwa ngokuba yi-Empty Nose Syndrome?
Ngamafutshane, i-Empty Nose Syndrome (ENS) kuxa uziva ngathi impumlo yakho ivalekile kwaye awukwazi kuphefumla, nangona kukho indawo eyaneleyo yokuphefumla ngempumlo yakho. Oku kunokwenzeka emva kotyando lwempumlo.
Kukho izakhiwo ezintathu ezincinci ezifana neeshelufu ngaphakathi kwempumlo yethu ezibizwa ngokuba yi-'Turbinates'. Umsebenzi wazo ophambili kukucoca, ukufumisa, nokufudumeza umoya esiwuphefumlayo size siwuthumele emiphungeni. Ngamanye amaxesha, ngenxa yezinto ezifana ne-allergies kunye nosulelo, ezi turbinates zinokudumba zize zibangele ukuxinana kwempumlo. Kwimeko enjalo, oogqirha benza utyando lokunciphisa ubukhulu bezi turbinates (utyando lokunciphisa iTurbinate). Ngamanye amaxesha, kuyimfuneko ukususa inxalenye yezi turbinates (i-Partial turbinectomy) okanye ngokupheleleyo (i-Complete turbinectomy).
Uninzi lolu tyando luphumelela. Nangona kunjalo, kunqabile kakhulu , ukuba izicubu ezininzi ze-turbinate zisusiwe okanye zonakele ngexesha lotyando, i-ENS inokwenzeka. Oku kunokubangela ukuba uzive ngathi uyafuthaniseka, nangona imingxunya yakho yempumlo isavulekile. Kufana nephazili.
Yintoni ebangela i-ENS?
Isizathu esichanekileyo se-ENS sisaphandwa, kodwa kukholeleka ukuba sibangelwa kukususwa kakhulu kwezicubu ze-turbinate ngexesha lotyando lwempumlo.
Cinga ngayo, impumlo yethu ayisiyonto nje evumela umoya ukuba ungene. Yinkqubo entsonkothileyo kakhulu.
- Umonakalo wemithambo-luvo: Kukho imithambo-luvo emincinci phezu kwezi turbinates ezibona izinto ezifana noxinzelelo lomoya kunye nobushushu. Xa siphefumla, le mithambo-luvo ithumela umyalezo engqondweni othi "phefumla ngoku." Ukuba le mithambo-luvo isusiwe okanye yonakele ngexesha lotyando, ingqondo ayifumani loo myalezo. Ingqondo iyitolika ngokuthi "Andikwazi kuphefumla, impumlo yam ivaliwe."
- Umoya uyatshintsha: Xa indawo engaphakathi empumlweni iba nkulu kakhulu emva kotyando, indlela yomoya iya ngqo. Ifika kwi-turbinates, ijikeleze, kwaye ayimanzi. Oku kunokubangela ukuba ingqondo ingaziva ngathi iphefumla kakuhle.
- Ukungalingani kweebhaktheriya: Inwebu ye-mucous engaphakathi kwempumlo inceda ekukhuseleni iibhaktheriya ezisempilweni. Xa olu layer lonakalisiwe ngotyando, iibhaktheriya ezisempilweni zinokuncipha kwaye iibhaktheriya eziyingozi zinokukhula. Oku kunokunyusa umngcipheko wosulelo kunye neempawu ze-ENS.
Zithini iimpawu ze-Empty Nose Syndrome (ENS)?
Iimpawu ze-ENS zinokuvela kwiiveki, iinyanga, okanye kwaneminyaka emva kotyando. Ezi mpawu zinokuhluka kumntu nomntu.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu ezinxulumene nokuphefumla | Ubunzima bokuphefumla, ukuziva uxinezelekile empumlweni, ukuziva ubanda empumlweni xa uphefumla, ukuziva ufuthanisekile okanye urhaxwa. |
| Iimpawu ezinxulumene nempumlo nomqala | Ukoma kakhulu kwempumlo nomqala, ukopha kwempumlo, ukwehla kwemveliso ye-mucus, ukuqhekeka kwempumlo, kunye nokuvuza kwempumlo emva kwempumlo. |
| Ezinye iimpawu zomzimba | Iintloko ezibuhlungu rhoqo, isiyezi, ukuva ivumba ngokupheleleyo okanye ukuncipha (anosmia), ukuziva incasa engaphantsi (ageusia), ukudinwa kakhulu, ukungalali. |
Ulwalamano phakathi kwe-ENS nempilo yengqondo
Eli linqaku elibaluleke kakhulu. Ukuziva ngathi uhlala unengxaki yokuphefumla kwaye ungakholelwa ukuba ukholelwe kunokuba nefuthe elikhulu kwimpilo yengqondo yomntu . Phakathi kwabo bane-ENS:
- Ixhala
- Uxinzelelo
- Ukungakwazi ukugxila
- Umsindo oqhelekileyo
Iimeko ezifana nezi: zixhaphakile. Ezinye izifundo zibonise ukuba abantu abafikelela kwi-70% abane-ENS banesifo sokudakumba.
Kubalulekile: Ukuba wena okanye umntu omaziyo uneengcinga zokuzenzakalisa, nceda ubone ugqirha wakho ngoko nangoko, okanye uye kwiSebe leeNgxamiseko (i-ETU) kwisibhedlele esikufutshane nawe. Kubaluleke kakhulu ukuthetha ngale nto nokufuna uncedo.
Ngaba i-ENS sisifo sokwenyani? Ugqirha usixilonga njani?
Ewe, i-ENS yimeko yokwenyani, kodwa ayixhaphakanga kangako. Yiyo loo nto ngamanye amaxesha kunokuba nzima ukuyixilonga kuba iskeni ayibonisi ngxaki ngaphakathi kwempumlo.
Ugqirha uza kusebenzisa kakhulu iimpawu zakho kunye nembali yotyando ukuze afumanise i-ENS. Ukongeza,
- I-endoscope, ityhubhu encinci enekhamera, ingasetyenziselwa ukuhlola ingaphakathi lempumlo.
- Kunokwenziwa i-CT okanye i-MRI scan ukuze kuthintelwe ezinye izizathu (umz. ii-polyps zeempumlo, umhlaza).
- "Uvavanyo lweCotton": Olu luvavanyo olulula kakhulu, kodwa olubalulekileyo. Ugqirha ubeka ibhola yekotoni efakwe kwisisombululo se-saline ngaphakathi kwempumlo yakho, kwindawo apho kwakukho khona ii-turbinates. Emva kwemizuzu engama-20-30, baya kujonga ukuba iimpawu zakho ezifana nokuphefumla kancinci kunye nokoma ziyaphucuka na. Ukuba ezo mpawu ziyaphucuka nokuba lixeshana nje, luphawu oluqinileyo lokuba une-ENS.
Ziziphi iindlela zonyango ze-ENS?
Akukho nyango lwe-ENS, kodwa zininzi iindlela zokulawula iimpawu kunye nokuphucula umgangatho wobomi .
- Nciphisa impumlo: Ukusebenzisa izitshizi zetyuwa okanye iijeli, ukusela amanzi amaninzi imini yonke, kunye nokusebenzisa i-humidifier kwigumbi lokulala kunokunceda ekunciphiseni ukoma kwempumlo.
- Umatshini we-CPAP: Abanye abantu bafumanisa ukuba ukusebenzisa umatshini we-"CPAP" xa belele kunceda ukugcina umswakama kunye nokuhamba komoya.
- Amayeza: Ugqirha wakho unokukunika amayeza avula imithambo yegazi empumlweni yakho aze ancede ekunciphiseni ukudumba kwe-mucous membranes.
- Utyando: Ukuba iimpawu zinzima, utyando lunokwenziwa ukuze kutshintshwe ii-turbinates ezisusiweyo nge-implant. Oku kunokubandakanya ukusebenzisa izinto ezenziweyo ezifana ne-Gore-Tex okanye izinto ezithathwe kwizicubu zomntu ezifana ne-acellular dermis okanye i-platelet-rich plasma (PRP). Oku kusebenza ngokunciphisa isithuba ngaphakathi kwempumlo, ukunciphisa indlela yomoya, kunye nokuzama ukubuyisela imvakalelo yokuphefumla engqondweni.
Umyalezo Wokuya Ekhaya
- I-Empty Nose Syndrome (ENS) yimeko yezonyango engaqhelekanga kodwa yokwenyani enokwenzeka emva kotyando lwempumlo, apho impumlo iziva ngathi ivalekile nokuba ingenanto.
- Isizathu esiphambili sale nto sithathwa njengokususwa kwezicubu ezininzi ze-turbinate empumlweni ngexesha lotyando.
- Iimpawu zomzimba ezifana nobunzima bokuphefumla, impumlo eyomileyo, kunye nokulahlekelwa yivumba zinokubakho, kunye nemiphumo yengqondo efana nokudakumba kunye nokuxhalaba.
- Ukuba ukhe wenziwa utyando lwempumlo kwaye uhlangabezana nezi mpawu, kubaluleke kakhulu ukuthetha nogqirha wakho wendlebe, impumlo, nomqala (ENT) ngale nto.
- Nangona ingenakunyangwa ngokupheleleyo, kukho unyango olufumanekayo lokulawula iimpawu nokuphila ubomi obulungileyo.
- Ukuba utyando lwempumlo, thetha nogqirha wakho ngengozi ye-ENS kunye nokubaluleka kokwenza olu tyando ngendlela egcina izicubu ezininzi kangangoko kunokwenzeka.
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