Ngaba iliso lakho livakala ngathi liyatshona? Masithethe ngeSinus Syndrome eSithuleyo!

Ngaba wakha waphawula utshintsho oluncinci kwelinye icala lobuso bakho, ingakumbi kwindawo ejikeleze iliso? Mhlawumbi iliso lakho litshonile kancinci, okanye iliso lakho ligobile? Nangona oku kunokubonakala ngathi yingxaki encinci, ngamanye amaxesha kunokubakho imeko engasemva kwayo esingakayiva kangako, kodwa kubalulekile ukuyazi. Enye imeko enjalo ibizwa ngokuba yi-'Silent Sinus Syndrome.' Eli gama lisenokuvakala lingaqhelekanga, kodwa masiligcine lilula.

Yintoni iSinus Syndrome eSithuleyo?

Ngamafutshane, le yimeko ebandakanya imingxunya ejikeleze impumlo yethu, ebizwa ngokuba yi-'sinuses'. Ichaphazela imingxunya emacala omabini empumlo yethu, ebizwa ngokuba yi-'(Maxillary sinuses)'. Kule meko, elinye okanye ngamanye amaxesha omabini amehlo atshona ngaphakathi kancinci (`(Enophthalmos)`). Okanye i-eyeball iyehla iye kwi-eye socket (`(Eye socket)`). Cinga ngayo njengebhaluni ephumayo nenciphayo, oku kwenzeka kuba iindonga ze-sinus zethu ziyancipha ngaphakathi. Umgangatho we-eye socket, efana nophahla lwezi sinus cavities, wehliswa ngale ndlela.

Eyona nto iphambili kukuba imingxunya ye-sinus iyavalwa. Emva koko imingxunya engaphakathi kwi-sinus ayinakukhululwa kwaye iqokeleleke, kwaye ngokuhamba kwexesha, ifunxwa kwakhona emzimbeni. Ngenxa yoku, kwakheka i-vacuum ngaphakathi kwi-sinus cavity, kwaye umngxunya uyancipha kancinci kancinci. Kulapho ke iliso litshona khona.

Igama elithi 'ukuthula' longezwa kuba imeko ayibuhlungu. Nangona kunjalo, imilo yobuso, ingakumbi kwicala elinye, inokuba yinto engalinganiyo. Ngokuqhelekileyo, ichaphazela icala elinye lobuso kuphela, kodwa kunqabile, inokuchaphazela amacala omabini. Unyango lubalulekile ukuthintela iimpawu ukuba zingabi zimbi kwaye kuthintelwe iingxaki ezifana nokulahleka kombono okanye umbono we-tunnel.

Ixhaphake kangakanani le meko?

Enyanisweni, le meko ibizwa ngokuba yi-"Silent Sinus Syndrome" ayiqhelekanga kakhulu . Yaqala ukufunyanwa yaza yachazwa ngo-1964. Ukususela ngoko, zimbalwa kakhulu iimeko, malunga ne-100, eziye zaxelwa kwihlabathi liphela. Ngenxa yoko, akukho nto ingako ithethwayo ngayo.

Zithini iimpawu? Ungaziziva njani?

Iimpawu ze-"Silent Sinus Syndrome" zihlala zibonakala kancinci kancinci kangangeeveki ukuya kwiinyanga. Nangona kunjalo, ngamanye amaxesha ezi mpawu zinokubonakala ngokukhawuleza. Iimpawu eziphambili ezibonakalayo kukutshintsha kwendlela obubonakala ngayo ubuso bakho.

• I-Enophthalmos: Olu lolona phawu luqhelekileyo. Phantse bonke abaguli banalo. Ubungakanani bokudumba kweliso bunokwahluka ukusuka kwiimilimitha ezi-2 ukuya kwezi-6.
• Ukuhla kwebhola yeliso (`(Hypoglobus)`):Malunga nesiqingatha sezigulane sifumana olu phawu. Oku kuthetha ukuba i-eyeball ihlile yaya kwisokhethi yeliso. Oku kungaba malunga ne-1 ukuya kwi-6 milimitha.
• Utshintsho kwi-eyelid: Utshintsho kwindawo ye-eyelid ephezulu luye lwabonwa kwizigulane ezimalunga ne-88%.
• Ukubona kabini (`(Diplopia)`): Izifundo ezimbini ezinkulu zifumanise ukuba phakathi kwama-28% nama-65% ezigulana ziba nemeko apho zibona izinto ezimbini ngaxeshanye.

Ukongeza kwezi mpawu ziphambili, kunokubakho nezinye iimpawu ezininzi:

• I-Ptosis (okanye i-Blepharoptosis): Ukugoba okanye ukugoba kwejwabu eliphezulu.
• Ukufinya: Iinkophe ziyancipha, nto leyo eyenza kubonakale ngathi amehlo ayafinya.
• Ukubona okufipheleyo: Ubunzima bokubona izinto ngokucacileyo nokuba nobunzima bokugxila.
• I-Sinusitis: Ukudumba kunye nosulelo lwemingxunya ye-sinus.
• Impumlo egobhozayo (impumlo egobhozayo): Ukuphuma kwamanzi okugobhozayo okufana ne-mucus empumlweni.
• Ukuvuza emva kwempumlo: I-mucus egqithisileyo iyaqokelelana ize ikhuphe amanzi ngasemva komqala .
• Uxinzelelo okanye intlungu yobuso: Ukuziva iintlungu okanye ukuxinana kwiindawo ze-sinus, njengasekujikelezeni kwamehlo, ebunzini, nasezidleleni.

Kutheni kukho i-silent sinus syndrome? Zithini izizathu?

Ukususela oko kwafunyanwa esi sifo, abaphandi baye beza neengcinga ezahlukeneyo malunga nezizathu zaso. Abaninzi bakholelwa ukuba imbangela ephambili yale meko kukuvaleka kwenxalenye yempumlo yethu ebizwa ngokuba yi-"osteomeatal complex." Le "osteomeatal complex" sisakhiwo esithambileyo esinceda ukuba i-mucus nomoya uphume empumlweni. Ukuchaneka, kufana nomnyango we-sinus cavities zethu.

Ezi ndawo zinokuvaleka ngezizathu ezahlukeneyo. Xa zivalekile, iincindi ziqokelelana ngaphakathi kwimiqolo ye-sinus. Ekuhambeni kwexesha, umzimba wethu uyayifunxa le ncindi iqokelelweyo kwakhona. Okwenzekayo kukuba i-vacuum (`(Vacuum effect)`) yenziwe ngaphakathi kwimiqolo ye-sinus. Ngenxa yolu xinzelelo lwexesha elide, iindonga zemiqolo ye-sinus zitsala kancinci kancinci zize zinciphe. Ngenxa yoku, umgangatho wesokethi yeliso (`(Orbital floor)`) ngaphezulu kwemiqolo ye-sinus uyarhoxa. Oku kunokubangela nokuba amathambo abe mancinci kwaye imo yawo itshintshe.

Ngubani onokuthi aphuhlise oku ngakumbi?

Nabani na anokuba nale meko, ebizwa ngokuba yi-"Silent Sinus Syndrome." Nangona kunjalo, abantu abane-anatomy engaqhelekanga yempumlo basengozini enkulu. Ngokukodwa, abantu abane-septum ephambukile bathathwa njengabasengozini enkulu.

Esi sifo sixhaphake kakhulu kubantu abakwiminyaka yabo yama-30 nama-40. Kwakhona, abantu abatshayayo basengozini enkulu yokuhlaselwa sesi sifo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Khawucinge ngento enokwenzeka ukuba imingxunya ye-sinus yakho iyancipha kwaye amehlo akho aqhubeke etshona. Ukuba ayinyangwa, le "Silent Sinus Syndrome" inokuqhubeka ichaphazela i-sinus yakho kwaye ibe mandundu iimpawu zakho. Iliso lakho okanye omabini amehlo anokutshona ngakumbi kwaye amehlo akho anokwehla ngakumbi. Ekuhambeni kwexesha, oku kunokukhokelela "ekulahlekelweni kombono ongaphandle", imeko apho ubona izinto emacaleni kwaye ubone ngathi ujonge ngetyhubhu. Ayipheleli apho, inokukhokelela nakwezinye iingxaki zempilo.

Ungayixilonga njani ngokuchanekileyo le sifo?

Ukuba unale mpawu, xa uqala ukubona ugqirha, uza kukuxilonga aze akubuze ngeempawu zakho. Emva koko, ungathunyelwa kwingcali yendlebe, impumlo, nomqala (ingcali yamehlo, okanye ugqirha we-ENT).

Ingcali iza kuhlola amehlo akho kakuhle ize ichonge imeko ngokusekelwe kwiimpawu zakho. Iya kukhangela izinto ezifana namehlo atshonileyo, iinkophe ezigobileyo, kunye neenkophe ezigobileyo.

Ukuqinisekisa le meko, ugqirha wakho unokucela ukuba wenze i-"CT scan" (i-Computed Tomography scan). Oku kunokubona ngokucacileyo imeko yemingxunya ye-sinus.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Iindaba ezimnandi zezokuba, ewe, kwiimeko ezininzi , utyando lolona nyango lwesi sifo (iSilent Sinus Syndrome). Kukho iintlobo ezimbini eziphambili zotyando:

• Unyango lwe-Anthrostomy: Oku kuquka ukusebenzisa i-endoscope, isixhobo esincinci esinekhamera, ukususa ukuvaleka kwi-sinus cavity kunye nokuvumela ukukhupha amanzi kakuhle. Kwakhona kwandisa ukuvulwa kwe-sinus cavity ebangela ingxaki. Oku kudla ngokuwela phantsi kodidi lotyando lwe-endoscopic sinus.
• Ukulungiswa komgangatho we-orbital: Kwezinye iimeko, utyando lunokubandakanya ukulungiswa komgangatho we-orbital. Nangona kunjalo, abanye oogqirha bathi oku akusoloko kuyimfuneko.

Emva kolu nyango, imingxunya ye-sinus iqala ukusebenza ngokuqhelekileyo kwakhona, kwaye iimpawu ezifana nokukhupha ulwelo emehlweni zinokubuyela esiqhelweni.

Luhlobo luni lwethemba onokuba nalo emva konyango?

Okukhona ukhawuleza uyibone le meko ethi "Silent Sinus Syndrome", kokukhona ingcono kuwe. Emva koko ungathintela iingxaki ezinkulu zamehlo kwaye usombulule ingxaki ngotyando lwe-"Endoscopic sinus" kuphela, ngaphandle kwesidingo sotyando olukhulu (njengokulungiswa komgangatho we-Orbital).

Ukuba ayinyangwa, njengoko bekutshiwo ngaphambili, le meko inokuba mandundu kwaye ikhokelele kwiingxaki ezifana nokulahlekelwa yimbono engaphandle, i-diplopia, kunye nokungaboni kakuhle. Ke ngoko, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Enyanisweni, le "Silent Sinus Syndrome" yimeko enokuchaphazela nabani na. Ekubeni abaphandi bengekafumani unobangela ochanekileyo woku, akukho ndlela ithile yokuthintela ukuba kwenzeke. Nangona kunjalo, ukuba kukho into engaqhelekanga empumlweni, kubalulekile ukufuna ingcebiso kagqirha.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ezintsha, njengokuziva uwile elisweni lakho, ukugoba kweliso, okanye ukugoba kweliso, qiniseka ukuba ubona ugqirha. Ezi zizinto ezilula, kodwa kubalulekile ukuqinisekisa ukuba akukho nto inzulu.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa usiya kugqirha, ukubuza imibuzo efana nale kunokukunceda uyiqonde ngcono imeko:

• Ndiyifumene njani le ``Silent Sinus Syndrome''?
• Loluphi unyango olucebisayo?
• Ngaba kufuneka ndenze utyando?
• Kuza kuthatha ixesha elingakanani ukuze ndilulame emva kotyando? Yintoni endifanele ndiyixhalabele ngelo xesha?
• Ngaba kukho into endinokuyenza ukuthintela le "Silent Sinus Syndrome" ukuba ingaphindi yenzeke?

Ngaba likho elinye igama lale nto?

Ewe, le "Silent Sinus Syndrome" ibizwa ngamanye amagama aliqela. Umzekelo, kusetyenziswa "Chronic maxillary atelectasis" kunye ne "Imploding antrum syndrome". Nangona kunjalo, abanye abaphandi bacinga ukuba ezi ziimeko ezahlukeneyo nezithile.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kuzo zonke ezi zinto?

Kulungile, ngoko ke ndiyathemba ukuba ngoku unombono ongcono wento ebesithetha ngayo, ``Silent Sinus Syndrome``. Khumbula, nangona le yimeko engaqhelekanga, inokuchaphazela amehlo ngenxa yokuvaleka kwemingxuma yeesinus zethu.

Eyona nto ibalulekileyo kukuba ukuba ubona naluphi na utshintsho olutsha okanye olungaqhelekanga ebusweni bakho, ingakumbi kufutshane namehlo akho - njengeliso elitshonileyo okanye iliso eligobileyo - ungaliphosi. Isenokungabi yinto yokukhathazeka ngayo. Nangona kunjalo, kungcono ukubona ugqirha ukuze ufumane ukuba kwenzeka ntoni kanye kanye, kwaye ukuba kuyimfuneko, uqale unyango ngokukhawuleza. Oku kuya kunceda ukuthintela naziphi na iingxaki ezingeyomfuneko. Impilo yakho yeyona nto ibalulekileyo kuthi!

Isifo se-sinus esithuleyo, ii-eye floaters, ii-sinuses, i-enophthalmos, i-hypoglobus, umngxuma wempumlo, i-ENT