Ngaba nawe uhlala uneengxaki zeempumlo? Ngaba kuyinto eqhelekileyo ukuba nempumlo exineneyo, exineneyo, intloko ebuhlungu, kunye nezidlele ezibuhlungu kunye nebunzi? Uninzi lwethu lubiza oku ngokuthi "sinusitis." Kodwa ubusazi na ukuba ngamanye amaxesha unobangela wale ngxaki yeempumlo ayisiyontsholongwane eqhelekileyo (iibhaktheriya), kodwa yifungus (fungus). Yiyo loo nto siyibiza ngokuba yiFungal Sinusitis, okanye iFungal Rhinosinusitis kunyango. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-Fungal Sinusitis?
Kulungile, masiqale sijonge ukuba ziintoni ii-sinuses. Ii-sinuses ziingxobo zomoya ezingenanto ngaphakathi kwamathambo obuso bakho, ezijikeleze impumlo yakho. Ezi zidibene nempumlo yakho. Ngokwesiqhelo, ezi ngxobo zizaliswe ngumoya.
Khawucinge nje, ukuba i-fungus - uhlobo lwe-mold - ingena kwezi ngxunya ze-sinus ize ibangele usulelo, yiloo nto siyibiza ngokuba yi-Fungal Sinusitis . Njengokuba i-mold ikhula kwiqhekeza lesonka, i-fungi inokukhula ngaphakathi kwingxunya ye-sinus yethu. Oku kubangela iimpawu ezifana nokuxinana kwempumlo kunye nentlungu ye-sinus.
Kukho iintlobo ezimbini eziphambili ze-Fungal Sinusitis:
Kubaluleke kakhulu ukukuqonda oku ngokuchanekileyo, kuba nangona olunye uhlobo ludla ngokungaba yingozi, olunye uhlobo lunokuba yingozi ebomini.
1. Uhlobo olungangenisi: Olu lolona hlobo luxhaphakileyo. Apha, ifungus ivalelwe empumlweni nakwimingxuma ye-sinus. Ifana nesikhunta esikhula eludongeni endlwini, kodwa asiphuli eludongeni size sisasazeke endlwini. Olu hlobo alunabungozi kangako.
2. Uhlobo oluhlaselayo: Olu lolona hlobo luyingozi kakhulu. Apha, i-fungus itshabalalisa iindonga ze-sinus cavities ize iqale ukusasazeka kwizicwili ezijikelezileyo, emehlweni, kwanasebuchotsheni. Kanye njengaloo mngundo owakhula eludongeni, wadla udonga waza wasasazeka kuyo yonke indlu. Oku kunokuba yingozi ukuba akunyangwa ngokukhawuleza.
Ngoku makhe sijonge ulwahlulo phantsi kwezi ntlobo zimbini ngeenkcukacha ezithe vetshe.
Iintlobo ezingahlaseliyo
- I-Allergic Fungal Sinusitis: Oku kulapho umzimba wakho une-allergic reaction kwi-fungus engena empumlweni yakho. Oku kubangela ukuba imingxunya ye-sinus izaliswe yi-mucus etyebileyo, kwaye ngamanye amaxesha kubangela ukuba kwenzeke izinto ezifana ne-nasal polyps. Abantu abane-asthma okanye i-allergies kwizinto ezifana ne-dust mites (i-allergic rhinitis) banamathuba amaninzi okuba nale meko.
- Ibhola yefungus (Mycetoma): Kulapho ifungus ibumba khona into efana nebhola ngaphakathi komngxuma we-sinus. Njengoko le bhola yefungus ikhula, inokuwuvala umngxuma we-sinus, ibangele uxinzelelo kunye nentlungu.
- I-Saprophytic Fungal Sinusitis:Kulapho i-fungus ikhula khona kwi-mucous membranes eyomileyo (ii-crusts) ngaphakathi kwempumlo. Oku akudli ngokubangela monakalo mkhulu.
Izilwanyana ezihlaselayo - ezi zezona ziyingozi!
- I-Acute Invasive Fungal Sinusitis: Le yimeko eyenzeka ngequbuliso kwaye inzima kakhulu. Apha, i-fungus itshabalalisa imithambo yegazi engaphakathi kwempumlo. Ngenxa yoko, izicwili ziqala ukufa. Olu sulelo lunokusasazeka ngokukhawuleza emehlweni nasebuchotsheni, lubangele ubumfama kwanokufa. Abantu abaneenkqubo zomzimba ezibuthathaka (umz., izigulana ezinomhlaza, abantu abane-HIV) basengozini enkulu yokuhlaselwa yile meko.
- I-Chronic Invasive Fungal Sinusitis: Le ifana nohlobo lwe-Acute olukhankanyiweyo apha ngasentla, kodwa izinga lokusasazeka kwayo lihamba kancinci. Isasazeka kancinci ngokuhamba kwexesha. Abantu abanesifo seswekile banamathuba amaninzi okufumana olu hlobo.
- I-Granulomatous Invasive Fungal Sinusitis (GIFS): Olu luhlobo olungaqhelekanga kakhulu. Okwenzekayo apha kukuba inkqubo yomzimba yokuzikhusela isabela ngamandla kwi-fungus, itshabalalisa izicubu zempumlo. Akukaziwa ukuba kutheni oku kusenzeka.
Ngubani onokuba nethuba elikhulu lokufumana ezi zifo ze-fungi sinus?
Ngokwesiqhelo, abantu abasempilweni abafane babe nosulelo lwefungus, ingakumbi oluyingozi. Nangona kunjalo, abantu abaneenkqubo zomzimba ezibuthathaka basengozini enkulu. Umzekelo:
- Kwabo bane-HIV
- Izigulane ezinomhlaza (ingakumbi i-leukemia, i-lymphoma) kunye nezo zifumana unyango lwe-chemotherapy
- Kwabo banesifo seswekile esingalawulekiyo
- Abantu abasebenzisa amayeza anjengee-immunosuppressants kunye nee-steroids ixesha elide (umz. izigulana ezifakelwe amalungu omzimba)
Ukuba ukule qela lomngcipheko, kufuneka ulumke kakhulu malunga neempawu ze-sinus. Kubaluleke kakhulu ukubona ugqirha ngokukhawuleza, nokuba uneempawu ezincinci.
Ziziphi iimpawu zeSinusitis yefungal?
Iimpawu zifana kakhulu nezo zengxaki eqhelekileyo ye-sinus. Nangona kunjalo, iimpawu ezongezelelweyo zinokuvela ngokuxhomekeke kuhlobo losulelo kunye nokuba lunobundlongondlongo okanye akunjalo. Makhe sijonge ezi kwitheyibhile.
| Uhlobo lwempawu | Iimpawu ezibonakalayo |
|---|---|
| Iimpawu ezingangenisi gazi |
|
| Iimpawu eziyingozi (ezihlaselayo) ekufuneka uziqaphele!!! | |
| Iimpawu zosulelo olunzima nolungena emzimbeni (funa ingcebiso kagqirha ngoko nangoko!) |
|
Ungayixilonga njani ngokuchanekileyo le sifo?
Xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho, naziphi na ezinye izifo onazo, kunye namayeza owasebenzisayo. Emva koko, angenza iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- I-Endoscopy: Oku kuquka ukufaka ityhubhu encinci enekhamera empumlweni ukuze kuhlolwe ingaphakathi leembobo ze-sinus. Oku kuvumela ukuba imeko engaphakathi kwe-sinus ibonakale kwisikrini.
- I-Biopsy: Ngexesha le-endoscopy, ugqirha usenokuthatha isampuli encinci ye-mucus okanye i-tissue ngaphakathi kwempumlo okanye kwi-sinus cavity aze ayithumele kwilebhu ukuze ivavanywe. Olu vavanyo lunokubonisa ngokuqinisekileyo ukuba usulelo lubangelwa yibhaktheriya, intsholongwane, okanye i-fungus. Lunokuqinisekisa nokuba usulelo lungene.
- I-CT Scan: Olu luvavanyo lomfanekiso olufana ne-X-ray. Lunokuvelisa imifanekiso enamacala amathathu yangaphakathi kwimingxunya ye-sinus. Oku kunokunceda ukubona ngokucacileyo ukuba usulelo lusasazeke kangakanani na kwaye nokuba kukho naziphi na iibhola zefungus.
Zithini iindlela zonyango zoku?
Indlela yonyango ixhomekeke kuhlobo lwe-fungal sinusitis onayo kunye nemeko yenkqubo yakho yomzimba yokuzikhusela.
- Utyando lweSinus:Kwiimeko ezininzi, kufuneka utyando ukuze kunyangwe oku. Olu tyando lubandakanya ukususa zonke izicwili ezinentsholongwane, iibhola zefungus, kunye ne-mucus etyebileyo, kunye nokucoca kakuhle imingxuma ye-sinus. Kwiintlobo ezihlaselayo, kunokufuneka nokuba kususwe izicwili ezingqongileyo apho ifungus isasazeke khona.
- Amayeza okulwa nefungus: Kwiintlobo ezithile zezifo, ingakumbi iintlobo ezihlaselayo, amayeza okulwa nefungus (omlomo okanye otofwayo) anikwa ngaxeshanye notyando.
- IiCorticosteroids: Iisteroids (izitshizi zempumlo okanye iipilisi) zinokunikwa ukunciphisa ukudumba kunye noxinzelelo kwimingxunya ye-sinus. Ezi zisetyenziswa kakhulu kwi-Allergic Fungal Sinusitis.
- Ukuhlamba Impumlo: Kwiimeko ezilula, ezifana nohlobo lwe-saprophytic, i-mucus eyomileyo ngaphakathi kwempumlo iyasuswa kwaye imingxunya ye-sinus ihlanjululwe ngesisombululo se-saline.
Okubaluleke kakhulu, usulelo lwe-fungi sinus olungena ngaphakathi lungxamiseko lwezonyango kwaye lufuna unyango olukhawulezileyo.
Kwenzeka ntoni emva konyango?
Iintlobo ezingahlaseliyo: Ezi zihlala ziphela ngokupheleleyo ngonyango, kodwa ezinye iintlobo (ingakumbi i-Allergic Fungal Sinusitis) zinokuphinda zibuye emva konyango.
Iintlobo ezihlaselayo: Ezi ziyingozi kakhulu. Kwizifo ezinzima ezifana ne-Acute Invasive Fungal Sinusitis, umngcipheko wokufa umalunga nama-50% nokuba unyango lukhawulezileyo. Yiyo loo nto kucetyiswa ukuba ubone ugqirha ngokukhawuleza, nokuba uneempawu ezincinci. Nokuba ubomi bakho busindiswa emva konyango, abanye abantu banokuba nomonakalo wemithambo-luvo kunye nokukhubazeka kobuso (ngenxa yokususwa kwezicubu).
Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?
- Ukuba uneempawu ze-Fungal Sinusitis ezikhankanyiweyo apha ngasentla, ingakumbi ukuba sele zikhona ixesha elide (Chronic Sinusitis), qiniseka ukuba ubona ugqirha ukuze akuhlole.
- Ukuba ukhe waba ne-fungal sinusitis okanye unesifo esinciphisa amandla akho omzimba okuzikhusela, thetha nogqirha wakho ngaso sonke ixesha.
Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko!
Ukuba amasosha omzimba wakho abuthathaka (umz., isigulana somhlaza, esosulelwe yi-HIV, okanye umntu othintela amasosha omzimba) kwaye ubonakalisa naziphi na iimpawu zosulelo oluhlaselayo (ezifana nokungaziva mnandi kobuso, ukudumba kwamehlo, utshintsho ekuboneni), yiya kwigumbi likaxakeka lesibhedlele esikufutshane (ETU) ngaphandle kokulibazisa. Oku kunokuba yimeko yobomi okanye ukufa.
Umyalezo Wokuya Ekhaya
- I-Sinusitis yefungal sisifo sosulelo lwemingxunya ye-sinus esibangelwa yi-fungus. Zimbini iintlobo eziphambili zale nto: engeyiyo ehlaselayo neyingenayo.
- Abantu abaneenkqubo zomzimba ezibuthathaka (abaguli abanomhlaza, abanesifo seswekile, abantu abane-HIV) basengozini enkulu yokuhlaselwa sisifo esihlaselayo.
- Ukongeza kwiimpawu eziqhelekileyo ze-sinus, ukuba ufumana iimpawu ezifana nokungaziva buso, ukudumba kwamehlo, kunye nokutshintsha kombono, oko kungaba luphawu lwemeko eyingozi.
- Uvavanyo olufana ne-endoscopy, i-biopsy, kunye ne-CT scan ziyafuneka ukuze kufunyaniswe esi sifo ngokuchanekileyo.
- Utyando kunye namayeza okulwa nentsholongwane asetyenziswa kakhulu njengonyango.
- Ukuba ukwiqela elisengozini, musa ukuzityeshela iimpawu ze-sinus. Bona ugqirha wakho ngoko nangoko. Ukuba kuvela iimpawu eziyingozi, yiya kwi-ETU ngoko nangoko.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho