Ingabe nawe unomkhuhlane obonakala ungapheli izinyanga? Ingabe unekhala elicijile, ikhanda elibuhlungu, kanye noketshezi oluluhlaza okwesibhakabhaka, olujiyile oluphumayo, futhi uzwa ubuhlungu ebusweni bakho? Abantu abaningi bacabanga ukuthi lokhu kumane kuyimfuluwenza evamile, kodwa kungaba yinto engathi sína kakhulu, i-sinusitis engapheli. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula nje.
Kuyini i-Sinusitis Engapheli?
Kulungile, ake siqale sibheke ukuthi ziyini lezi zifo. Kalula nje, sibiza ama-sinuse ngokuthi izikhala ezincane ezigcwele umoya ekhanda lethu, ezizungeze ikhala, ngaphansi kwamehlo, kanye nasebunzini. Uma siphefumula, umoya ongena ngekhala udlula kulezi zimbobo ngaphambi kokuya emaphashini. La ma-sinuse agcwele ulwelwesi oluncane. Aphinde akhiqize inani elincane le-mucus elisiza ukugcina ingaphakathi lekhala limanzi futhi libambe izinto ezifana nothuli namagciwane emoyeni esiwuphefumulayo.
Ngokuvamile, lo mucus uphuma ngekhala. Kodwa uma ngesizathu esithile ulwelwesi olungaphakathi kwalezi zimbobo ze-sinus luvuvukala noma lutheleleke, izindlela zokukhipha lowo mucus ziyavaleka. Bese u-mucus uvaleleka ngaphakathi, amagciwane angene, bese kuvela ukuvuvukala. Lokhu sikubiza ngokuthi i-sinusitis.
Manje, i-sinusitis ebukhali, eyenzeka ngomkhuhlane ovamile, ivame ukuphela zingakapheli izinsuku eziyi-10. Kodwa-ke, uma lezi zimpawu ziqhubeka isikhathi esingaphezu kwamasonto ayi-12 , siyibiza ngokuthi i-sinusitis engapheli . Nakuba lesi kuyisimo esicasulayo kancane, singelapheka ngokuphelele ngokwelashwa okufanele.
Ingabe nawe unalezi zimpawu?
Umuntu onesifo se-sinus esingamahlalakhona angaba nezimpawu ezahlukahlukene. Ngezinye izikhathi lezi ziyafika zidlule, ngakho-ke singase singazinaki kakhulu. Bona ukuthi lezi zimpawu zizwakala zijwayelekile yini kuwe.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu bobuso noma ubunzima | Ubuhlungu obuzwakalayo uma ucindezela ezinhlangothini zekhala, ngaphansi kwamehlo, ezihlathini, kanye nasebunzini. Lobuhlungu bungase bubonakale bukhula uma ugoba phambili. |
| I-mucus ejiyile, enombala oshintshile | Ulwelwesi olujiyile, oluphuzi noma oluluhlaza oluphuma ekhaleni. Ngezinye izikhathi, ulwelwesi aluphumi ekhaleni, kodwa lugeleza emphinjeni (i-postnasal drip). Lokhu kungabangela umphimbo obuhlungu njalo. |
| Ukuminyana kwekhala | Ikhala liminyene kangangokuthi kunzima ukuphefumula. Lokhu kungabangela ushintsho ezwini ngisho nalapho kukhulunywa. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivela ikakhulukazi ekuseni futhi elizwakala nasebusweni. |
| Ezinye izici | Izimpawu ezifana nobuhlungu bamazinyo (ikakhulukazi emhlathini ongaphezulu), ubuhlungu bendlebe, ukukhwehlela, ukukhathala okukhulu, ukulahlekelwa yiphunga nokunambitha (i-anosmia/ageusia), kanye nomlomo omubi (i-halitosis) nakho kungabonakala. |
Khumbula, ukuba nezimpawu ezimbili noma ngaphezulu kwalezi akusho ukuthi une-Chronic Sinusitis. Kodwa-ke, uma ziqhubeka isikhathi eside, kubalulekile ukufuna iseluleko sezokwelapha.
Kungani le nkinga yama-sinus iqhubeka?
Kunezizathu eziningana zalokhu. Eziyinhloko ukuvuvukala emigodini yama-sinus kanye nokuvaleka kwemisele yokukhipha amanzi emathunjini. Nazi ezinye zezizathu eziyinhloko zalesi simo:
- Ama-Polyp asekhaleni: Lawa amahlumela athambile, afana namagilebhisi akha ngaphakathi kwekhala noma emathunjini e-sinus. Uma ekhula abe makhulu, angavimba izindlela ezikhipha ulwelwesi.
- Ukungezwani Nomzimba Ne-Asthma: Abantu abangezwani nezinto ezifana nothuli, impova, kanye ne-dander yezilwane bavame ukuzwa ukuvuvukala kolwelwesi lwekhala. Iziguli ze-asthma nazo zisengozini enkulu.
- I-Septum Ephambukile: Uma udonga lwe-cartilaginous oluhlukanisa ikhala lethu luphambukile kolunye uhlangothi, lungavimba nezindlela ze-sinus.
- Ezinye izimo zezokwelapha: Izifo ezenza buthaka amasosha omzimba (isib. i-HIV), izifo zofuzo ezifana ne-cystic fibrosis, ngisho nokutheleleka kwamazinyo ngezinye izikhathi kungabangela i-sinusitis.
- Izifo zokuphefumula ezivame ukwenzeka:Umuntu ovame ukuthola umkhuhlane kanye ne-flu angalimaza futhi aqinise ulwelwesi lwama-sinus, okuholela esimweni se-sinus sesikhathi eside.
Udokotela ukuthole kanjani lokhu ngempela?
Uma usitshela ngezimpawu zakho, udokotela uzoqala akuhlole. Ngemuva kwalokho, uma kudingeka, bangakuthumela ukuze uthole izivivinyo ezinjengalezi ukuqinisekisa ukuxilongwa.
- I-Endoscopy Yamakhala: Kulokhu, kufakwa ipayipi elincane, eliguquguqukayo elinekhamera encane enamathiselwe ekhaleni bese lihlolwa emnyango wezimbobo zama-sinus. Lokhu kungabona ngokucacile ukuthi kukhona ama-polyps noma ukuvuvukala.
- Izikena ze-CT noma ze-MRI: Lezi zingathatha izithombe ezinemininingwane zekhanda lakho kanye nemigodi yama-sinus. Zingasiza ekuboneni ukuthi kungakanani ukuvuvukala okukhona ngaphakathi kwama-sinus nokuthi kukhona yini ukuvaleka okujulile.
- I-Biopsy: Akuvamile kakhulu, futhi kuphela uma kukhona ukusola kwesinye isimo esibucayi, lapho kungathathwa khona ingcezu encane yezicubu ekhaleni bese ithunyelwa ukuze iyohlolwa.
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi kunezindlela zokwelapha ezisebenza kahle kakhulu kulokhu. Udokotela wakho uzonquma ukwelashwa ngokusekelwe embangela yesimo sakho kanye nobukhulu bezimpawu zakho.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Izifutho Ze-steroid Zasekhaleni | Lezi izindlela zokwelapha ezisetshenziswa kakhulu. Zisiza ekunciphiseni ukuvuvukala ngaphakathi kwekhala. Uma kukhona ama-polyp ekhaleni, zingasiza futhi ukuwanciphisa. |
| Ukunisela Nge-Saline Yasekhaleni | Ukuhlanza impumulo yakho ngesisombululo sikasawoti, esitholakala ekhemisi, noma emanzini anosawoti enziwe ekhaya, kungasiza ekususeni i-mucus kanye nezinto ezibangela ukungezwani komzimba ezivaleleke ngaphakathi. |
| Ukwelashwa kokungezwani komzimba | Uma izinkinga zakho ze-sinus zibangelwa ukungezwani komzimba, ungase ukwazi ukuthola impumuzo ngama-antihistamine noma imijovo yokungezwani komzimba. |
| Ama-antibiotic | Kuphela uma udokotela ethola ukuthi lesi simo sibangelwa ukutheleleka ngamagciwane lapho anganikeza khona ama-antibiotic okufanele athathwe amasonto amaningana. |
| Ukuhlinzwa | Uma imithi ingasizi futhi kukhona ukuvaleka komzimba okufana nama-polyp ekhaleni noma ukuminyana, kungase kudingeke ukuhlinzwa. Ngokuhlinzwa kwe-sinus yesimanje okwenziwa nge-endoscopic, ukuvaleka kungasuswa ngaphakathi kwekhala futhi imigodi ye-sinus ingavulwa ngaphandle kokwenza noma yikuphi ukusikwa ngaphandle. Ngaphezu kwalokho, kunezindlela zesimanje ezifana ne-'Balloon Sinuplasty'. |
Yini ongayenza ukuze uyivimbele futhi uthole impumuzo ekhaya?
Nakuba kunzima ukugwema ngokuphelele lesi simo esicasulayo, kunezinto eziningana ongazenza ukuze unciphise ingozi yakho futhi uphathe izimpawu zakho.
- Lawula ukungezwani komzimba: Gwema izinto ezifana nothuli, intuthu, umusi wemoto, kanye nama-perfume anamandla. Hlanza indlu kahle.
- Gwema ukubhema: Uma ubhema, yeka. Futhi, gwema ukuba sezindaweni lapho abanye abantu bebhema khona (ukubhema okubhemayo).
- Geza izandla zakho njalo: Geza izandla zakho kahle ngensipho namanzi njalo ukuze uvimbele ukusabalala kwamagciwane.
- Gcina impumulo yakho imanzi: Uma uhlala endaweni eyomile kakhulu, ungasebenzisa i-humidifier. Futhi, phuza amanzi amaningi usuku lonke.
- Ukuphefumula Ngomusi: Ukuphefumula umusi osuka esitsheni samanzi ashisayo kungasiza ekunciphiseni ukuminyana kwamakhala kanye nokuminyana kwamakhala.
- Ukucindezela Okushisayo: Ukukhama indwangu ecwiliswe emanzini ashisayo bese uyisebenzisa ezindaweni ezibuhlungu zobuso kunikeza impumuzo.
- Ukuphumula: Ukuphumula umzimba wakho kusiza amasosha omzimba wakho, ngakho-ke lala ngokwanele.
Into ebaluleke kakhulu ukuthi uma unezimpawu zomkhuhlane isikhathi esingaphezu kwamasonto amabili noma amathathu, kufanele nakanjani ubone udokotela futhi uthole iseluleko esifanele, kunokuba uthathe noma yimiphi imithi ozizwa uyithanda.
Umlayezo Wokuya Nawe Ekhaya
- I-sinusitis engapheli ukuvuvukala kwemigodi yama-sinus okuhlala isikhathi esingaphezu kwamasonto ayi-12. Kuhlukile kumkhuhlane ovamile.
- Izimpawu eziyinhloko ubuhlungu bobuso, ukuminyana kwamakhala, ulwelwesi olujiyile oluphuzi/oluhlaza okotshani, kanye nekhanda elibuhlungu.
- Lokhu kungabangelwa yizinto eziningana, okuhlanganisa ukungezwani komzimba, ama-polyp ekhala, kanye nokuminyana kwamakhala.
- Nakuba lesi kuyisimo esikhathazayo, kunezindlela zokwelapha ezisebenzayo ezitholakalayo, njengezifutho zamakhala, imithi, kanye nokuhlinzwa uma kudingeka.
- Uma izimpawu ziqhubeka, ungenzi izinqumo wedwa, kodwa bonana nodokotela wakho ngokushesha ngangokunokwenzeka bese ucela ukwelashwa okufanele.
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