Ake sithi uhlinzwe ikhala elivalekile, futhi ucabanga ukuthi uzokwazi ukuphefumula kangcono manje. Kodwa ngisho nangemva kokuhlinzwa, usazizwa uvalekile futhi kunzima kakhulu ukuphefumula. Lapho udokotela ekuxilonga, uthi akukho ukuvaleka ngaphakathi kwekhala lakho, nokuthi indlela ivulekile ngokuphelele. Lo muzwa ongavamile nophikisanayo yilokho esikhuluma ngakho namuhla, i-Empty Nose Syndrome (ENS). Njengoba igama lisikisela, lesi simo esibizwa ngokuthi 'ikhala elingenalutho' asivamile kakhulu, futhi siyinto ebangela ukucindezeleka okukhulu kubantu abaningi.
Iyini le nkinga ebizwa ngokuthi i-Empty Nose Syndrome?
Kalula nje, i-Empty Nose Syndrome (ENS) yilapho uzizwa sengathi ikhala lakho livalekile futhi awukwazi ukuphefumula, yize kunendawo eningi yokuphefumula ngekhala lakho. Lokhu kuvame ukwenzeka ngemva kokuhlinzwa kwekhala.
Kunezakhiwo ezintathu ezincane ezifana neshelufu ngaphakathi kwekhala lethu ezibizwa ngokuthi 'ama-Turbinates'. Umsebenzi wazo oyinhloko ukuhlanza, ukumanzisa, nokufudumala umoya esiwuphefumulayo bese siwuthumela emaphashini. Ngezinye izikhathi, ngenxa yezinto ezifana nokungezwani komzimba kanye nokutheleleka, la ma-turbinates angavuvukala futhi abangele ukuminyana kwamakhala. Kuleso simo, odokotela benza ukuhlinzwa ukuze banciphise ubukhulu bala ma-turbinates (ukuhlinzwa kokunciphisa i-Turbinate). Ngezinye izikhathi, kuyadingeka ukususa ingxenye yala ma-turbinates (i-Partial turbinectomy) noma ngokuphelele (i-Complete turbinectomy).
Iningi lalezi zinhlinzeko liyaphumelela. Kodwa-ke, akuvamile kakhulu , uma izicubu eziningi ze-turbinate zisusiwe noma zonakele ngesikhathi sokuhlinzwa, i-ENS ingenzeka. Lokhu kungakwenza uzizwe sengathi uyacinana, yize imigudu yakho yamakhala isavulekile. Kufana nephazili.
Yini ebangela i-ENS?
Imbangela eqondile ye-ENS isacwaningwa, kodwa kukholakala ukuthi ibangelwa ukususwa ngokweqile kwezicubu ze-turbinate ngesikhathi sokuhlinzwa kwekhala.
Cabanga ngakho, ikhala lethu aliyona nje ipayipi elivumela umoya ukuthi ungene. Liyisimiso esiyinkimbinkimbi kakhulu.
- Ukulimala kwemizwa: Kunemizwa emincane ebusweni balezi zi-turbinate ezibona izinto ezifana nomfutho womoya kanye nokushisa. Uma siphefumula, lemizwa ithumela isignali ebuchosheni ethi "phefumula manje." Uma lemizwa isuswa noma yonakele ngesikhathi sokuhlinzwa, ubuchopho abuyitholi leyo signali. Ubuchopho buyichaza ngokuthi "Angikwazi ukuphefumula, ikhala lami livaliwe."
- Ukushintsha komoya: Uma isikhala ngaphakathi kwekhala siba sikhulu kakhulu ngemva kokuhlinzwa, indlela yokuphefumula ivele iqonde. Ishaya ama-turbinates, iphenduke, futhi ingabi manzi. Lokhu kungabangela ukuthi ubuchopho bungazizwa sengathi buphefumula kahle.
- Ukungalingani kwamagciwane: Ulwelwesi lwamafinyila olumboze ikhala lusiza ekuvikeleni amagciwane anempilo. Uma lolu ngqimba lonakaliswa ukuhlinzwa, amagciwane anempilo angancipha futhi amagciwane ayingozi angakhula. Lokhu kungandisa ingozi yokutheleleka kanye nezimpawu ze-ENS.
Ziyini izimpawu ze-Empty Nose Syndrome (ENS)?
Izimpawu ze-ENS zingavela emavikini, ezinyangeni, noma ngisho neminyaka ngemva kokuhlinzwa. Lezi zimpawu zingahluka kuye ngomuntu nomuntu.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu ezihlobene nokuphefumula | Ubunzima bokuphefumula, umuzwa ongapheli wokuminyana ekhaleni, umuzwa wokubanda ekhaleni lapho uphefumula, umuzwa wokuminyana noma ukuminza. |
| Izimpawu ezihlobene nekhala nomphimbo | Ukoma ngokweqile kwekhala nomphimbo, ukuphuma kwegazi ekhaleni, ukwehla kokukhiqizwa kwe-mucus, ukuqhekeka kwekhala, kanye nokuvuza kwangemuva kwekhala. |
| Ezinye izici zomzimba | Ubuhlungu bekhanda obuvamile, isiyezi, umuzwa wokuhogela ophelele noma onciphile (anosmia), umuzwa wokunambitha onciphile (ageusia), ukukhathala okukhulu, ukungakwazi ukulala. |
Ubuhlobo phakathi kwe-ENS nempilo yengqondo
Leli iphuzu elibaluleke kakhulu. Ukuzizwa sengathi uhlala unenkinga yokuphefumula futhi ungakholwa kungaba nomthelela omkhulu empilweni yengqondo yomuntu . Phakathi kwalabo abane-ENS:
- Ukukhathazeka
- Ukucindezeleka
- Ukungakwazi ukugxila
- Intukuthelo evame ukwenzeka
Izimo ezinjengalezi: zivamile. Ezinye izifundo zibonise ukuthi abantu abangafika ku-70% abane-ENS bahlushwa ukucindezeleka.
Okubalulekile: Uma wena noma othile omaziyo enemicabango yokuzilimaza, sicela ubone udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze nawe. Kubaluleke kakhulu ukukhuluma ngalokhu nokufuna usizo.
Ingabe i-ENS iyisifo sangempela? Udokotela usixilonga kanjani?
Yebo, i-ENS iyisimo sezokwelapha sangempela, kodwa esingavamile kakhulu. Yingakho ngezinye izikhathi kungaba nzima ukusithola ngoba ukuskena akubonisi ukuvaleka ngaphakathi kwekhala.
Udokotela uzosebenzisa kakhulu izimpawu zakho kanye nomlando wokuhlinzwa ukuze ahlole i-ENS. Ngaphezu kwalokho,
- I-endoscope, ithubhu elincane elinekhamera, ingasetshenziswa ukuhlola ingaphakathi lekhala.
- Kungenziwa i-CT noma i-MRI scan ukuze kutholakale ezinye izimbangela (isib. ama-polyp ekhaleni, umdlavuza).
- "Ukuhlolwa Kokotini": Lolu luvivinyo olulula kakhulu, kodwa olubalulekile. Udokotela ufaka ibhola likakotini elicwiliswe esixazululweni sikasawoti ngaphakathi kwekhala lakho, endaweni lapho kwakukhona khona ama-turbinates. Ngemva kwemizuzu engaba ngu-20-30, bazohlola ukuthi izimpawu zakho ezifana nokuphelelwa umoya kanye nokomisa ziyathuthuka yini. Uma izimpawu ezinjalo zithuthuka ngisho nangesikhashana, kuyisibonakaliso esinamandla sokuthi une-ENS.
Yiziphi izindlela zokwelapha i-ENS?
Akukho ukwelashwa kwe-ENS, kodwa kunezindlela eziningi zokuphatha izimpawu nokuthuthukisa ikhwalithi yokuphila .
- Nciphisa ikhala: Ukusebenzisa izifutho noma ama-gel e-saline, ukuphuza amanzi amaningi usuku lonke, nokusebenzisa i-humidifier ekamelweni lokulala kungasiza ekunciphiseni ukoma kwekhala.
- Umshini we-CPAP: Abanye abantu bathola ukuthi ukusebenzisa umshini we-"CPAP" ngesikhathi belele kusiza ekugcineni umswakama kanye nokuhamba komoya.
- Imithi: Udokotela wakho angase akunike imithi evula imithambo yegazi ekhaleni lakho futhi isize ekunciphiseni ukuvuvukala kwezicubu ezithambile.
- Ukuhlinzwa: Uma izimpawu zinzima, ukuhlinzwa kungenziwa ukuze kufakwe ama-turbinate asusiwe nge-implant. Lokhu kungafaka phakathi ukusebenzisa izinto zokwenziwa ezifana ne-Gore-Tex noma izinto ezithathwe ezicutshini zomuntu ezifana ne-acellular dermis noma i-platelet-rich plasma (PRP). Lokhu kusebenza ngokunciphisa isikhala ngaphakathi kwekhala, ukunciphisa indlela yokuphefumula, nokuzama ukubuyisela umuzwa wokuphefumula ebuchosheni.
Umlayezo Wokuya Nawe Ekhaya
- I-Empty Nose Syndrome (ENS) yisimo sezokwelapha esingavamile kodwa sangempela esingaba khona ngemva kokuhlinzwa kwekhala, lapho impumulo izizwa ivalekile ngisho noma ingenalutho.
- Isizathu esiyinhloko salokhu kubhekwa njengokususwa kwezicubu eziningi ze-turbinate ekhaleni ngesikhathi sokuhlinzwa.
- Izimpawu zomzimba ezifana nobunzima bokuphefumula, ikhala elomile, kanye nokulahlekelwa yiphunga kungavela, kanye nemiphumela yengqondo efana nokucindezeleka nokukhathazeka.
- Uma uke wahlinzwa ikhala futhi uhlangabezana nalezi zimpawu, kubaluleke kakhulu ukukhuluma nodokotela wakho we-ENT ngakho.
- Nakuba kungelapheki ngokuphelele, kunezindlela zokwelapha ezitholakalayo zokulawula izimpawu nokuphila impilo enhle.
- Uma uhlinzwa ekhaleni, xoxa nodokotela wakho ngengozi ye-ENS kanye nokubaluleka kokwenza ukuhlinzwa ngendlela egcina izicubu eziningi ngangokunokwenzeka.
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