Ingabe iso lakho lizwa sengathi liyashona? Ake sixoxe nge-Silent Sinus Syndrome!

Wake waphawula ushintsho oluncane kolunye uhlangothi lobuso bakho, ikakhulukazi eduze kwendawo yeso? Mhlawumbe iso lakho lishone kancane, noma ijwabu lakho liyagoba? Nakuba lokhu kungase kubonakale kuyinkinga encane, ngezinye izikhathi kungaba khona isimo ngemuva kwaso esingakazwa okuningi ngaso, kodwa kubalulekile ukwazi ngaso. Esinye isimo esinjalo sibizwa ngokuthi 'i-Silent Sinus Syndrome.' Igama lingase lizwakale lingavamile, kodwa masiligcine lilula.

Iyini i-Sinus Syndrome Ethule?

Kalula nje, lesi yisimo esihilela imigodi ezungeze ikhala lethu, esibizwa ngokuthi 'ama-sinuses'. Sithinta imigodi ezinhlangothini zombili zekhala lethu, ebizwa ngokuthi '(ama-Maxillary sinuses)'. Kulesi simo, iso elilodwa noma ngezinye izikhathi womabili lishona ngaphakathi kancane (`(Enophthalmos)`). Noma inhlamvu yeso yehlela phansi engosini yeso (`(isokhethi leso)`). Cabanga ngakho njengebhaluni eliphumayo futhi lincipha, lokhu kwenzeka ngoba izindonga zemigodi yethu ye-sinus ziyafinyela ngaphakathi. Iphansi lengonsi yeso, efana nophahla lwale migodi ye-sinus, lehliswa ngale ndlela.

Isizathu esiyinhloko salokhu ukuthi imigodi ye-sinus iyavalwa. Ngemuva kwalokho imfucuza engaphakathi kwe-sinus ayikwazi ukukhululwa futhi iqongelelane, futhi ngokuhamba kwesikhathi, iyamuncwa iphinde ibuyele emzimbeni. Ngenxa yalokhu, kwakheka i-vacuum ngaphakathi kwe-sinus cavity, futhi imbobo iyancipha kancane kancane. Yilapho iso licwila khona.

Igama elithi 'ukuthula' liyanezelwa ngoba lesi simo ngokuvamile asibuhlungu. Kodwa-ke, ukuma kobuso, ikakhulukazi ohlangothini olulodwa, kungaba okungalingani. Ngokuvamile, kuthinta uhlangothi olulodwa lobuso kuphela, kodwa akuvamile, kungathinta izinhlangothi zombili. Ukwelashwa kubalulekile ukuvimbela izimpawu ukuthi zingabi zimbi kakhulu nokuvimbela izinkinga ezifana nokulahlekelwa umbono noma umbono womhubhe.

Sivame kangakanani lesi simo?

Eqinisweni, lesi simo esibizwa ngokuthi "i-Silent Sinus Syndrome" asivamile kakhulu . Saqala ukutholakala futhi sachazwa ngo-1964. Kusukela ngaleso sikhathi, inani elincane kuphela lamacala, cishe ayi-100, abikwe emhlabeni wonke. Ngakho-ke, akukho okuningi okukhuluma ngakho.

Ziyini izimpawu? Ungazizwa kanjani?

Izimpawu ze-"Silent Sinus Syndrome" zivame ukuvela kancane kancane esikhathini esingamasonto kuya ezinyangeni. Kodwa-ke, ngezinye izikhathi lezi zimpawu zingavela ngokushesha. Izimpawu eziyinhloko ezibonakalayo izinguquko ekubukekeni kobuso bakho.

• I-Enophthalmos: Lesi yisibonakaliso esivame kakhulu. Cishe bonke abaguli banaso. Inani lokuvuvuka kweso lingasukela kumamilimitha amabili kuya kwayisithupha.
• Ukuhla kwebhola leso (`(Hypoglobus)`):Cishe isigamu seziguli sibhekana nalesi sibonakaliso. Lokhu kusho ukuthi inhlamvu yeso yehlele engosini yeso. Lokhu kungaba ngamamilimitha ayi-1 kuya kwayi-6 ubude.
• Izinguquko embonweni wejwabu: Izinguquko endaweni yejwabu eliphezulu ziye zabonwa cishe ku-88% weziguli.
• Ukubona okuphindwe kabili (`(Diplopia)`): Izifundo ezimbili ezinkulu zithole ukuthi phakathi kuka-28% no-65% weziguli babhekana nesimo lapho bebona izinto ezimbili ngesikhathi esisodwa.

Ngaphezu kwalezi zimpawu eziyinhloko, kungase kube nezinye izimpawu eziningana:

• I-Ptosis (noma i-Blepharoptosis): Ukugoba noma ukugoba kwejwabu elingaphezulu.
• Ukufiphaza: Amajwabu amehlo aphansi, okwenza kubukeke sengathi amehlo ayafiphaza.
• Ukubona okufiphele: Ubunzima bokubona izinto ngokucacile nokuba nobunzima bokugxilisa ingqondo.
• I-Sinusitis: Ukuvuvukala kanye nokutheleleka kwemigodi yama-sinus.
• Impumulo egobhozayo (ikhala eligobhozayo): Ukuphuma kwamanzi okugobhozayo okufana ne-mucus ekhaleni.
• Ukuvuza kwangemuva kwempumulo: Uketshezi oluningi luyanqwabelana bese luphuma luze luphume ngemuva komphimbo .
• Ukucindezeleka noma ubuhlungu bobuso: Ukuzwa ubuhlungu noma ukuqina ezindaweni zama-sinus, njengasezindaweni ezizungezile amehlo, ebunzini, nasezihlathini.

Kungani kwenzeka lesi sifo se-sinus esingapheli? Ziyini izimbangela?

Kusukela kwatholakala lesi sifo, abacwaningi baye baqhamuka nemibono ehlukahlukene mayelana nezimbangela zaso. Abaningi bakholelwa ukuthi imbangela eyinhloko yalesi simo ukuvaleka kwengxenye yekhala lethu ebizwa ngokuthi "i-osteomeatal complex." Le "osteomeatal complex" iyisakhiwo esibucayi esisiza ukugeleza komoya kanye ne-mucus ekhaleni. Uma sikhuluma iqiniso, ifana nomnyango we-sinus cavities yethu.

Lezi zikhala zingavalwa ngezizathu ezahlukahlukene. Uma zivalwa, uketshezi luqoqana ngaphakathi kwemigodi ye-sinus. Ngokuhamba kwesikhathi, umzimba wethu uphinda umunce lokhu ketshezi oluqongelelekile. Okwenzekayo ukuthi kudalwa i-vacuum (`(Vacuum effect)`) ngaphakathi kwemigodi ye-sinus. Ngenxa yalokhu kucindezela kwesikhathi eside, izindonga zemigodi ye-sinus zidonsa kancane kancane ngaphakathi futhi zinciphe. Ngenxa yalokhu, phansi kwesokhethi (`(Orbital floor)`) ngaphezu kwemigodi ye-sinus kuyadonsa phansi. Lokhu kungabangela ngisho namathambo ukuba abe mancane futhi isimo sawo sishintshe.

Ubani onamathuba amaningi okuthuthukisa lokhu?

Noma ubani angaba nalesi simo, esibizwa ngokuthi "i-Silent Sinus Syndrome." Kodwa-ke, abantu abane-anatomy engavamile yekhala basengozini enkulu. Ikakhulukazi, abantu abane-septum ephambukile babhekwa njengabasengozini enkulu.

Lesi sifo sivame ukutholakala kubantu abaneminyaka engu-30 no-40. Futhi, abantu ababhemayo basengozini enkulu yokuthola lesi simo.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Cabanga ukuthi bekuzokwenzekani uma imigodi yakho ye-sinus ingancipha futhi amehlo akho aqhubeke nokucwila. Uma ingelashwa, le "Silent Sinus Syndrome" ingaqhubeka nokuthinta ama-sinus akho futhi ibe yimbi kakhulu izimpawu zakho. Iso lakho noma amehlo akho womabili angase acwile kakhulu futhi amehlo akho angase aqhubeke ehla kakhulu. Ngokuhamba kwesikhathi, lokhu kungaholela "ekulahlekelweni kombono ongaphandle", okuyisimo lapho ubona izinto emaceleni futhi ubone sengathi ubheka ngepayipi. Akukhona lokho kuphela, kungaholela nakwezinye izinkinga zempilo.

Uyithola kanjani ngokunembile lesi sifo?

Uma unalezi zimpawu, lapho uqala ukubona udokotela, uzokuhlola futhi akubuze ngezimpawu zakho. Ngemuva kwalokho, ungathunyelwa kuchwepheshe wezindlebe, impumulo, nomphimbo (udokotela we-otolaryngologist, noma udokotela we-ENT).

Uchwepheshe uzohlola amehlo akho kahle futhi ahlole isimo ngokusekelwe ezimpawini zakho. Uzobheka izinto ezifana namehlo atshonile, izinkophe ezigobile, kanye nezinkophe ezigobile.

Ukuze kuqinisekiswe lesi simo, udokotela wakho angase akucele nokuthi wenze i-"CT scan" (i-Computed Tomography scan). Lokhu kungasibona kahle isimo semingxunya ye-sinus.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Izindaba ezinhle ukuthi, yebo, ezimweni eziningi , ukuhlinzwa kuyindlela yokwelapha lesi simo (i-Silent Sinus Syndrome). Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa:

• I-Anthrostomy: Lokhu kuhilela ukusebenzisa i-endoscope, idivayisi encane efakwe ikhamera, ukususa ukuvaleka kwesikhala se-sinus nokuvumela uketshezi ukuthi luphume kahle. Kuphinde kwandise ukuvulwa kwesikhala se-sinus okubangela inkinga. Lokhu kuvame ukuwela ngaphansi kwesigaba sokuhlinzwa kwe-sinus endoscopic.
• Ukulungiswa kwephansi le-orbital: Kwezinye izimo, ukuhlinzwa kungase kuhlanganise nokulungisa iphansi le-orbital. Kodwa-ke, abanye odokotela bathi lokhu akudingeki ngaso sonke isikhathi.

Ngemva kwalokhu kwelashwa, imigodi ye-sinus iqala ukusebenza kahle futhi, futhi izimpawu ezifana nokukhishwa kwamehlo zingase zibuyele esimweni sazo esijwayelekile.

Luhlobo luni lwethemba ongaba nalo ngemva kokwelashwa?

Uma usheshe ulubone lolu hlobo lwe-"Silent Sinus Syndrome", lungcono kakhulu kuwe. Khona-ke ungavimbela izinkinga ezinkulu zamehlo futhi uxazulule inkinga ngokuhlinzwa kwe-"Endoscopic sinus" kuphela, ngaphandle kwesidingo sokuhlinzwa okukhulu (njengokulungiswa kwephansi le-Orbital).

Uma singelashwa, njengoba kushiwo ngaphambili, lesi simo singaba sibi kakhulu futhi siholele ezinkingeni ezifana nokulahlekelwa umbono ongaphandle, i-diplopia, kanye nokungaboni kahle. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Eqinisweni, lesi "Silent Sinus Syndrome" siyisimo esingathinta noma ubani. Njengoba abacwaningi bengakayitholi imbangela eqondile yalokhu, ayikho indlela eqondile yokukuvimbela ukuthi kungenzeki. Kodwa-ke, uma kukhona okungajwayelekile ekhaleni, kubalulekile ukufuna iseluleko sezokwelapha.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ezintsha, njengokuzwa ukushona esweni lakho, ijwabu eligobile, noma ijwabu eligobile, qiniseka ukuthi ubona udokotela. Lezi kungaba izinto ezilula, kodwa kubalulekile ukuqinisekisa ukuthi akukho lutho olungathi sína.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uya kudokotela, ukubuza imibuzo efana nale kungakusiza ukuthi uqonde kangcono isimo:

• Ngithole kanjani le "Silent Sinus Syndrome"?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ngidinga ukuhlinzwa?
• Kuzothatha isikhathi esingakanani ukululama ngemva kokuhlinzwa? Yini okufanele ngikhathazeke ngayo phakathi naleso sikhathi?
• Ingabe kukhona engingakwenza ukuvimbela lesi "Silent Sinus Syndrome" ukuthi singaphinde senzeke?

Ingabe likhona elinye igama lalokhu?

Yebo, le "Silent Sinus Syndrome" ibizwa ngamanye amagama amaningana. Isibonelo, kusetshenziswa i-"Chronic maxillary atelectasis" kanye ne-"Imploding antrum syndrome". Kodwa-ke, abanye abacwaningi babheka lezi njengezimo ezihlukile neziqondile.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kukho konke lokhu?

Kulungile, ngakho-ke ngithemba ukuthi usunombono ongcono ngalokho ebesikhuluma ngakho, "I-Silent Sinus Syndrome." Khumbula, nakuba lesi kuyisimo esingavamile, singathinta amehlo ngenxa yokuvaleka kwemigodi yethu yama-sinus.

Into ebaluleke kakhulu ukuthi uma ubona noma yiziphi izinguquko ezintsha noma ezingavamile ebusweni bakho, ikakhulukazi eduze kwamehlo akho - njengeso eligobile noma ijwabu eligobile - ungakushayi indiva. Kungase kungabi yinto okufanele ukhathazeke ngayo. Kodwa-ke, kungcono ukubona udokotela ukuze uthole ukuthi kwenzekani kahle futhi, uma kudingeka, uqale ukwelashwa ngokushesha okukhulu. Lokhu kuzosiza ekuvimbeleni noma yiziphi izinkinga ezingadingekile. Impilo yakho iyinto ebaluleke kakhulu kithi!

I- sinus syndrome ethule, ama-eye floaters, ama-sinuses, ama-enophthalmos, i-hypoglobus, umgodi wempumulo, i-ENT