Ngaba nawe uneengxaki ze-sinus ezihlala zikhona? Funda ngale sinusitis yefungal!

Ngaba nawe unempumlo exineneyo ngalo lonke ixesha? Ngaba unentloko enzima, iintlungu kumacala omabini ezidlele zakho, ebunzini lakho, okanye kwindawo ephakathi kwamehlo akho? Uninzi lwexesha, ezi zinokuba ziingxaki ezinxulumene ne-sinus. Kodwa ubusazi ukuba azizo zonke iingxaki ze-sinus ezifanayo? Ezinye izifo ze-sinus zibangelwa ziibhaktheriya, ezinye ziintsholongwane. Kodwa namhlanje siza kuthetha ngohlobo olwahlukileyo kancinci lwe-sinusitis abantu abaninzi abangalwaziyo. Olu luhlobo lwe-sinus olubangelwa yi-fungus, okanye ukuba ngokuchanekileyo, imeko ebizwa ngokuba yi-fungal sinusitis . Ngamanye amaxesha, oku kukwabizwa ngokuba yi-fungal rhinosinusitis.

Yintoni i-Fungal Sinusitis? Masiyicacise ngokulula.

Ngamafutshane, i-Fungal Sinusitis lusulelo lwe-sinus cavities zethu olubangelwa yi-fungi (oko kukuthi, iintsholongwane ezifana ne-yeast kunye ne-mold). I-sinus cavities zizithuba ezingenanto phakathi kwezidlele zakho, ibunzi, kunye namehlo. Kukho iintlobo ezahlukeneyo ze-sinusitis ye-fungal. Kodwa uninzi lwexesha, iimpawu eziqhelekileyo zazo zonke ezi ntlobo kukuxinana kwempumlo, i-mucus, kunye nentlungu ye-sinus.

Amaxesha amaninzi, oogqirha bayayinyanga le meko ngotyando lwe-sinus, kodwa kwezinye iimeko ezinzima, unyango lwe-fungus lunokufuneka.

Ziziphi iintlobo eziphambili zeSinusitis yeFungal?

Oogqirha bahlula i-sinusitis yefungal kwiintlobo ezimbini eziphambili:

1. Iintlobo ezingahlaseliyo: Ezi zezona zixhaphakileyo. Kolu hlobo, usulelo luphelela empumlweni nakwimingxunya ye-sinus. Alufane lusasazeke kwamanye amalungu omzimba.

2. Iintlobo ezihlaselayo: Ezi ziyingozi kancinci, kodwa azixhaphakanga kakhulu. Kolu hlobo, usulelo lwefungus lunokusasazeka kwezinye iindawo zomzimba, umzekelo, amehlo kwanobuchopho. Ukuba alunyangwa ngokufanelekileyo, le meko inokuba yingozi ebomini.

Ngoku makhe sijonge nganye kwezi ntlobo ngeenkcukacha ezithe vetshe.

Iintlobo ze-sinusitis yefungal engangenisi

• I-allergic fungal sinusitis: Oku kubangelwa yimpendulo yomzimba kwi-fungi empumlweni. Kule meko, imingxunya ye-sinus izaliswe yi-mucus etyebileyo, kwaye ngamanye amaxesha ii-polyps zempumlo zinokuvela. Abantu abane-asthma okanye ii-allergies ezifana ne-hay fever banamathuba amaninzi okufumana olu hlobo.
• Ibhola yefungus / i-mycetoma: Oku kuxa ifungus iqokelelana ngaphakathi kwimingxuma ye-sinus ize yenze ibhola encinci okanye ubunzima. Le bhola yefungus (i-mycetoma) inokukhula ize ivale imijelo ye-sinus.
• I-Saprophytic fungal sinusitis: Oku kwenzeka xa i-fungi ikhula kwi-crusts ye-mucus ngaphakathi kwempumlo.

Iintlobo zeSinusitis ye-Invasive Fungal

• I-Acute invasive fungal sinusitis: Kwimeko enjalo, i-fungus itshabalalisa imithambo yegazi engaphakathi kwempumlo. Emva koko izicubu ezikuloo ndawo ziqala ukufa. Olu sulelo lunokusasazeka ngokukhawuleza emehlweni nasebuchotsheni, nto leyo ebangela ubumfama nokufa. Abantu abane-immune system ebuthathaka banamathuba amaninzi okufumana le meko.
• I-sinusitis yefungal engapheliyo: Le ifana nohlobo olukhawulezileyo, kodwa isasazeka kancinci. Abantu abanesifo seswekile banamathuba amaninzi okufumana olu hlobo.
• I-Granulomatous invasive fungal sinusitis (GIFS): Olu luhlobo olungaqhelekanga kakhulu. Okwenzekayo koku kukuba inkqubo yomzimba wethu yokuzikhusela isabela ngamandla kwi-fungus. Emva koko inkqubo yomzimba yokuzikhusela ihlasela ulwelo lwempumlo, itshabalalisa izicubu zempumlo. Oogqirha abakaqondi kakuhle ukuba kutheni oku kusenzeka.

Zixhaphake kangakanani ezi zifo ze-fungi sinus? Ngubani ozifumana rhoqo?

Abantu abaneenkqubo zomzimba ezibuthathaka badla ngokuba namathuba amaninzi okufumana ezi zifo ze-fungus sinus. Ingakumbi izifo ezinzima zixhaphake kakhulu kwezi:

• Kwabo banentsholongwane kaGawulayo.
• Abantu abanomhlaza (umz. i-leukemia, i-lymphoma), okanye abo bafumana unyango lwe-chemotherapy ngenxa yomhlaza.
• Kubantu abanesifo seswekile esingalawulekiyo.
• Abantu abasebenzisa amayeza okunciphisa amajoni omzimba, umzekelo ii-steroids.

Zithini iimpawu zosulelo lwe-fungi sinus?

Iimpawu ze-fungal sinusitis ngamanye amaxesha zinokufana nezo zosulelo lwe-sinus oluqhelekileyo. Nangona kunjalo, ukuba iimpawu ezongezelelweyo ziyavela okanye azikho kuxhomekeke kuhlobo losulelo lwe-fungus kwaye nokuba luhlasela okanye alungeni.

Ngokwesiqhelo, iintlobo ezingahlaseliyo zibonisa ezi mpawu zilandelayo:

• Ukuncipha kwemvakalelo yokuvumba ngempumlo.
• Ifiva.
• Ukudumba kwempumlo kunye nemingxuma ye-sinus.
• Into etyebileyo, enamathelayo enokubonakala ngathi yiglu yerabha, edla ngokuba nombala otyheli ngegolide, ephuma empumlweni.
• Ukuxinana kweempumlo.
• Impumlo egobhozayo (phlegm).
• Ukuziva uxinzelelo kunye nobunzima kwimingxunya ye-sinus.
• Intloko ebuhlungu yeSinus.
• Nguwe wedwa onokuva ivumba elibi (njengevumba elivuthayo, ivumba lento ebolileyo) ekungekho mntu unokuliva .

Abantu abaneenkqubo zomzimba ezibuthathaka basengozini enkulu yokufumana iimpawu ezinzima ezifana nezi:

• Utshintsho kwindlela yokuziphatha kunye neengxaki zemithambo-luvo (ubunzima bokucinga nokuqiqa).
• Utshintsho kumbala wolusu (mhlawumbi umbala wolusu uba mthubi kakhulu okanye ube mnyama).
• Ukuziva ngathi ubuso abunangqondo.
• Umbono uyatshintsha, mhlawumbi ude ulahlekelwe ngokupheleleyo ngumbono.
• Intloko ebuhlungu kakhulu.
• Ukudumba okukhulu kwezidlele okanye amehlo.

Kutheni le nto kukho le sinusitis yefungal? Yintoni unobangela?

Usulelo lweSinus lunokubangelwa ziintlobo ezahlukeneyo zefungi. Ngokuqhelekileyo, olu sulelo lweSinus yefungi lubangelwa yisikhunta okanye yimvubelo. Xa siphefumla, la masuntswana mancinci efungi anokungena kwimingxunya yeSinus yethu ngeempumlo zethu.

Cinga nje, uninzi lwezi ntlobo zeefungus zihlala emizimbeni yethu ngamaxesha onke. Kodwa azisoloko zisikhathaza. Okuba yingozi kukuba xa inkqubo yethu yokuzikhusela yomzimba ibuthathaka. Emva koko ezi fungus zinokukhula ngokulula zize zibangele usulelo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba usulelo lwe-fungi oluhlaselayo alunyangwa ngokufanelekileyo, i-fungus inokutshabalalisa izicubu ezingaphakathi kwempumlo ize isasazeke emehlweni nasebuchotsheni. Ezi ngxaki zinokukhokelela ekonakaleni kwezicubu, ubumfama, kwanokufa . Abantu abaneemeko ezibuthathaka kwinkqubo yomzimba yokuzikhusela (umz. isifo seswekile, i-leukemia) ngabona basengozini enkulu yezi ngxaki.

Ngoko ke, ukuba uneempawu ze-fungal sinusitis, ingakumbi ukuba une-immune system ebuthathaka, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza.

Oogqirha bayixilonga njani le meko ibizwa ngokuba yi-fungal sinusitis?

Xa usiya kugqirha, uza kuqala akuhlole ('uvavanyo lomzimba'). Uza kukubuza ngeempawu zakho, imbali yakho yempilo, kunye namayeza owaselayo. Emva koko, baya kuyalela iimvavanyo ezithile, ezifana nezi:

• I-Endoscopy: Oku kubandakanya ugqirha ukufaka ityhubhu ende, ebhityileyo (enekhamera encinci esiphelweni) empumlweni yakho ukuze ahlole imingxunya ye-sinus yakho. Imifanekiso evela kwikhamera inokubonwa kwisikrini. Olu luvavanyo olulula nolungenabuhlungu.
• I-Biopsy: Ngexesha le-endoscopy, ugqirha wakho unokuthatha isampuli encinci ye-mucus okanye i-tissue empumlweni yakho. Le sampuli ithunyelwa kwilebhu ukuze kuchongwe ukuba loluphi uhlobo lwe-pathogen ebangela usulelo lwakho lwe-sinus - nokuba yintsholongwane, ibhaktheriya, i-fungus, okanye i-parasite. Ingabonisa nokuba usulelo lungene.
• I-CT scan (i-computed tomography scan): Oku kufana ne-X-ray ekhethekileyo. Ingajonga ngokucacileyo ngaphakathi kwimingxunya ye-sinus yakho, ibonise indawo echanekileyo yosulelo, kwaye ijonge nezo bhola zefungus sithethe ngazo ngaphambili.

Zithini iindlela zonyango zoku?

Kukho iindlela ezahlukeneyo zonyango lwe-fungal sinusitis. Unyango olufunekayo luxhomekeke kwimeko yakho.

• Imithi yokulwa nefungus: Ezinye iintlobo zezifo zifuna amayeza okulwa nefungus. La mayeza adla ngokunikwa kunye notyando.
• Ii-Corticosteroids: Ugqirha wakho unokukunika ii-steroids ukunciphisa ukudumba kunye nokunciphisa uxinzelelo lwe-sinus.
• Ukuhlamba impumlo: Kwiimeko ezifana ne-saprophytic fungal sinusitis, oogqirha basusa i-mucus eyomileyo empumlweni baze bahlambe kakuhle imingxunya ye-sinus ngesisombululo se-saline (umxube wetyuwa namanzi).
• Utyando lweSinus: Ngokuxhomekeke kuhlobo losulelo, ugqirha unokufuna ukwenza utyando oluqhelekileyo. Oku kuquka ukususa izicwili ezisulelekileyo nokucoca indawo kakuhle. Ukuba usulelo lusasazeke ngamandla, olu tyando lunokususa neendawo ezichaphazelekileyo.

Ezinye iintlobo ze-fungal sinusitis zisenokungadingi unyango olukhulu kumntu one-immune system ephilileyo. Nangona kunjalo, usulelo lwe-fungal sinus olungena emzimbeni lungxamiseko lwezonyango kwaye lufuna unyango olukhawulezileyo.

Ngaba le meko ye-fungi sinusitis ingathintelwa?

Enyanisweni, kunzima ukuthintela ngokupheleleyo usulelo lwe-fungi sinus kuba i-fungi ifumaneka kuyo yonke indawo. Nangona kunjalo, kubalulekile ukuthetha nogqirha ukuba uwela kwelinye lala maqela anobungozi:

• Ukuba wakha waba nosulelo lwe-fungi sinus.
• Ukuba unesifo esibangela ukuba amajoni akho omzimba abe buthathaka.
• Ukuba uthatha amayeza okunciphisa amasosha omzimba okanye ufumana i-chemotherapy yomhlaza.

Ukuba unenkqubo yomzimba yokuzikhusela ebuthathaka okanye usemngciphekweni omkhulu wosulelo lwe-fungi sinus, xelela ugqirha wakho. Usenokukunika amayeza okulwa ne-fungus ukuthintela usulelo ngaphambi kokuba lwenzeke.

Kuza kwenzeka ntoni ukuba ndine-fungi sinusitis? Ngaba iya kuba bhetele?

Uninzi lwezifo ze-fungal sinus ezingangenisi ntsholongwane, ukuba zinyangwa ngokufanelekileyo , ziyaphela ngaphandle kweengxaki ezinkulu. Nangona kunjalo, ezinye iintlobo zezifo zinokuphinda zibuye nasemva konyango.

Nangona kunjalo, usulelo lwe-fungi sinus olungena ngaphakathi lungxamiseko lwezonyango kwaye lufuna unyango olukhawulezileyo.

Umzekelo, imeko ethi "Acute invasive fungal sinusitis" inokubulala malunga nama-50% eemeko ukuba ayinyangwa. Ngenxa yokuba olu sulelo lusasazeka ngokukhawuleza, kubalulekile ukufumana unyango ngokukhawuleza. Kwanasemva konyango, abanye abantu banokuba nomonakalo wemithambo-luvo, iintlungu ezinde, okanye ukukhubazeka kobuso ngenxa yomonakalo wezicubu.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba uneempawu ze-fungal sinusitis, qiniseka ukuba ubona ugqirha ukuze akuhlole. Kubalulekile ukuxelela ugqirha wakho ukuba uneengxaki ze-sinus ezingapheliyo, njenge-sinusitis engapheliyo, engapheliyo.

Ufanele ufune nini unyango olungxamisekileyo?

Ukuba uneempawu zosulelo lwe-fungal sinus, kwaye uwela kwenye yezi ndidi zilandelayo, yiya kwigumbi likaxakeka ngokukhawuleza:

• Ukuba unesifo esibangela ukuba amajoni akho omzimba abe buthathaka (umz. i-HIV, isifo seswekile esingalawulekiyo, umhlaza).
• Ukuba uthatha amayeza okunciphisa umzimba.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Xa kufikwa kwizifo ze-fungal sinus, zinokuqala kwezincinci ukuya kwezinzima. Ukuba une-fungal sinusitis akuthethi ukuba kufuneka woyike. Kodwa kubalulekile ukubona ugqirha kwaye ufumane unyango olufanelekileyo.

Khumbula, ingakumbi ukuba unenkqubo yomzimba yokuzikhusela ebuthathaka kwaye ubonakalisa iimpawu ze-fungal sinusitis, funa uncedo lwezonyango ngokukhawuleza ngaphandle kokulibazisa. Njengoko usulelo lwe-fungal sinus olungena ngaphakathi lunokusasazeka ngokukhawuleza kwaye lubangele ezinye iingxaki ezinzulu, ezisongela ubomi.

Ngoko ke, eyona nto ibalulekileyo kukunyamekela impilo yakho.

I- Sinusitis yefungus, usulelo lwe-Sinus, ukuxinana kwempumlo, i-fungus, iimpawu ze-sinus, unyango lwe-sinus, i-sinusitis yefungus