Ingabe nawe unekhala elicijile ngaso sonke isikhathi? Ingabe unekhanda elinzima nezihlathi ezibuhlungu? Ingabe kukhona ukuntuleka kwe-mucus? Lezi yizimpawu eziyinhloko ze-sinusitis. Esikhathini esiningi, lesi simo singalawulwa ngemithi enqunywe udokotela. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi uthatha umuthi ongakanani, le nkinga ayipheli. Yilapho udokotela wakho angase akuphakamisele khona ukuhlinzwa kwe-sinus. Kuvamile ukuzizwa wesaba kancane uma uzwa igama elithi "ukuhlinzwa". Kodwa ingabe sikhona ngempela isidingo sokwesaba lokhu? Ake sixoxe ngakho konke kalula.
Kuyini ngempela ukuhlinzwa kwe-sinus?
Kalula nje, ukuhlinzwa kwe-sinus inqubo yokuvula kabusha imigudu evalekile kuma-sinus, okuyizimbobo ezisekhanda lakho ezizungeze ikhala lakho. Cabanga ngomsele ovalekile ekhaya lakho. Amanzi awaphumi kahle. Yileyo ndlela uketshezi olukhiqizwa ngaphakathi kwama-sinus luqoqana ngayo bese lutheleleka.
Ngakho-ke lokhu kuhlinzwa kwenziwa ukuze kususwe izinto ezivimba imigudu evalekile. Lezo zinto zingaba izicubu ezithelelekile , izingcezu zamathambo ezengeziwe , noma ama-polyp akhula ngaphakathi kwekhala. Umgomo oyinhloko walokhu kuhlinzwa ukwenza indlela yokuthi ulwelwesi luphume kalula. Lokhu kuzonciphisa amathuba okutheleleka kanye nokungakhululeki okuzwayo.
Ngobuchwepheshe obuthuthukisiwe banamuhla, iningi lalezi zihlinzeko zenziwa ngokusika okuncane kakhulu (okungenangozi kangako), okusho ukuthi ungalulama ngokushesha.
Yiziphi izinhlobo zokuhlinzwa kwe-sinus ezikhona?
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa kwe-sinus. Udokotela wakho uzonquma indlela efanele kakhulu kuwe ngokusekelwe esimweni sakho. Ake sibheke ukuthi yiziphi lezi zindlela eziyinhloko.
| Uhlobo Lokuhlinzwa | Indlela yokukwenza kalula | Lokhu kusetshenziswa kaningi. |
|---|---|---|
| Ukuhlinzwa Kwesinus Okusebenzayo Kwe-Endoscopic (FESS) | Ipayipi elincane elinekhamera encane (i-endoscope) lifakwa ekhaleni, bese kususwa izingcezu zezicubu, inyama, noma amathambo ezivimba imigudu yama-sinus nge-endoscope. Ngezinye izikhathi kusetshenziswa ubuchwepheshe bekhompyutha (uhlelo oluqondiswa yizithombe) ngisho ne-CT scan. | Lena yindlela esetshenziswa kakhulu njengamanje. Le ndlela isetshenziselwa ukususa izinkinga zama-sinus ezingamahlalakhona (i-Chronic Sinusitis) kanye nama-polyps. |
| Ibhaluni i-Sinuplasty | Lokhu kusebenzisa ne-endoscope. Kodwa esikhundleni sokusika nokususa izicubu, kufakwa ibhaluni elincane endaweni ye-sinus evinjiwe bese livuvukala. Indawo evinjiwe bese inwetshwa bese ivulwa. Ibhaluni bese lisuswa. | Lena inqubo engeyiningi kakhulu. Njengoba kungekho zicubu ezidinga ukunqunywa, isikhathi sokululama sifushane. Akuwona wonke umuntu ongakwenza lokhu. Kungudokotela ukuthi anqume. |
| Ukuhlinzwa kweCaldwell Luc | Lena indlela endala kancane. Kwenziwa ukusikwa okuncane ngaphezu kodebe olungaphezulu, esinsinini, bese kungena i-maxillary sinus. Ukusuka lapho, kudalwe indlela entsha yokuthi ikhala likhiphe amanzi esikhumbeni. | Le ndlela ingasetshenziswa ezimweni eziyinkimbinkimbi kakhulu lapho ezinye izindlela zingazange ziveze imiphumela ephumelelayo. |
Ingabe ukuhlinzwa kwe-sinus kanye nokunciphisa i-turbinate kuyinto efanayo?
Yebo. Lezi izinhlobo ezimbili zokuhlinzwa. Ukuhlinzwa kwe-sinus kwenziwa ukuze kusulwe imigudu emihumeni ye-sinus. Ukunciphisa i-turbinate kwenziwa ukuze kuncishiswe ubukhulu bezakhiwo zamathambo ngaphakathi kwekhala ezibizwa ngokuthi ama-turbinates. Uma lokhu kuvuvukala, kungabangela ukuminyana kwamakhala. Ngezinye izikhathi, kokubili lokhu kuhlinzwa kungenziwa ndawonye.
Ingabe lokhu kuhlinzwa kuyingozi? Ingabe kuzolimaza kakhulu?
Lena yinkinga enkulu kubantu abaningi. Uma sikhuluma iqiniso, ukuhlinzwa kwe-sinus ngokuvamile akuyona uhlobo lokuhlinzwa olunezinkinga ezinkulu nezingathi sína. Izinqubo ezintsha, ikakhulukazi i-FESS kanye ne-Balloon Sinuplasty, ziphephile kakhulu.
Uma sikhuluma ngobuhlungu, ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa ngoba odokotela basebenzisa i-anesthesia.
- I-General Anesthesia: Kulokhu, uzobe ulele ngokuphelele. Ngeke uzwe lutho kuze kube yilapho ukuhlinzwa sekuphelile.
- I-Local Anesthesia: Lokhu kuqeda ubuhlungu endaweni ezungeze ikhala kuphela. Ungase uzizwe ucindezelekile ngesikhathi senqubo, kodwa ngeke uzizwe ubuhlungu.
Ngemva kokuhlinzwa, izinsuku ezimbalwa, mhlawumbe isonto,Kungase kube nobuhlungu obuncane kuya kobuphakathi. Udokotela uzokunika amaphilisi okudambisa izinhlungu ngalokho. Ngakho-ke akukho okufanele ukhathazeke ngakho.
Izinto okudingeka uzazi ngaphambi kokuhlinzwa nokuthi uzilungiselela kanjani
Kunezinto ezimbalwa okudingeka uzilungiselele ngaphambi kokuhlinzwa. Udokotela wakho uzokuchazela konke lokhu. Imiyalelo elandelayo ivame ukunikezwa:
- Uma ubhema, zama ukuyeka okungenani amasonto amathathu ngaphambi kokuhlinzwa. Ukubhema kungenza izinkinga zakho ze-sinus zibe zimbi kakhulu futhi kubambezele ukuphulukiswa.
- Uma uthatha imithi yokunciphisa igazi njenge-aspirin , udokotela wakho uzokutshela ukuthi uyeke ukuyithatha okungenani izinsuku eziyi-7 ngaphambi kokuhlinzwa, njengoba le mithi ingandisa ukopha ngesikhathi nangemva kokuhlinzwa.
- Uma unikezwa i-anesthesia ejwayelekile , ungadli noma uphuze lutho kusukela phakathi kwamabili ngosuku lokuhlinzwa.
- Njengoba ungeke ukwazi ukushayela amahora angama-24 ngemuva kokuhlinzwa, yenza amalungiselelo okuba othile akuyise ekhaya ngemoto .
Kwenzekani ngesikhathi sokuhlinzwa?
Ake sibheke kabanzi ukuthi ukuhlinzwa esixoxe ngakho ekuqaleni kuhlukaniswa kanjani.
Indlela yokwenza ukuhlinzwa kwe-FESS
Lena yindlela evame kakhulu.
1. Okokuqala, udokotela uzofaka umuthi wokukhulula ukuminyana ekhaleni lakho.
2. Ngemuva kwalokho, kufakwa umjovo ngaphakathi ekhaleni ukuze lingabi namizwa.
3. Manje, leso sibonakude engisishilo, okungukuthi, ithubhu elincane elinekhamera, elifakwa ekhaleni bese libukwa ngesikrini.
4. Kusetshenziswa amathuluzi amancane okuhlinza ahambisana nepayipi, noma yiziphi izingcezu zamathambo ezengeziwe, izicubu ezigulayo, noma ama-polyp avimba imigudu yama-sinus asuswa ngokucophelela.
5. Okokugcina, uma kukhona ukuphuma kwegazi, ungapakisha ikhala ngezinto ezikhethekile (izinto zokupakisha) ukuze ulimunce.
Indlela i-Balloon Sinuplasty eyenziwa ngayo
Lena indlela elula nakakhulu.
1. Udokotela uzofaka umuthi oqeda izinhlungu ezicutshini ezisekhaleni lakho.
2. I-catheter ifakwa ekhaleni ngaphansi kwesiqondiso se-endoscope.
3. Ngaleyo catheter, ibhaluni elincane lithunyelwa emzileni we-sinus ovalekile.
4. Ngemuva kwalokho indela iphinda igcwalise ibhaluni. Bese umgwaqo ovinjiwe uyanda futhi uvuleka.
5. Bese ukhipha ibhaluni. Yilokho kuphela.
Kwenzekani ngemva kokuhlinzwa? Kufanele ngizinakekele kanjani ekhaya?
Uma unikezwe i-anesthesia ejwayelekile, uzogcinwa ekamelweni lokululama isikhashana uze uvuke ekunikezeni i-anesthesia. Uma unikezwe i-anesthesia yendawo, uzokwazi ukuya ekhaya ngokushesha. Ngaphambi kokuba ubuyele ekhaya, udokotela nabahlengikazi bazokunikeza yonke imiyalelo okudingeka uyilandele ekhaya.
Nakekela izinto ezilandelayo ngesikhathi sokululama kwakho ngemva kokuhlinzwa:
- Ucezu lwe-gauze luzobekwa ngaphansi kwekhala lakho ukuze lumunce uketshezi oluphuma ekhaleni lakho. Kufanele lushintshwe uma selumanzi.
- Uma ulele, phakamisa ikhanda lakho ngemicamelo emibili noma emithathu. Lokhu kungasiza ekunciphiseni ukuvuvukala nokopha.
- Phuza uketshezi oluningi njengamanzi.
- Ezinsukwini ezimbalwa zokuqala, ungase uzizwe ugcwele uqweqwe ekhaleni lakho. Lokhu kuvamile.
- Uma udokotela wakho ekutshela ukuthi usebenzise i-saline spray/washa, kwenze njengoba nje kuqondiswe.
- Kungase kube nobuhlungu obuthile cishe isonto lonke. Thatha imithi yobuhlungu enqunywe ngudokotela ngesikhathi.
Nakuba ubuhlungu obuqhubekayo be-sinus kanye nokuminyana kwamakhala kungasongeli impilo, kungaba yisithiyo esikhulu ekujabuleleni kwakho impilo nemisebenzi yansuku zonke. Ngakho-ke, ukuhlinzwa okufana nalokhu kungakusiza ukuqeda lezo zinkinga futhi ufinyelele izinga lempilo elingcono.
Ingabe zikhona izinkinga zalokhu kuhlinzwa?
Kunezingozi nganoma yikuphi ukuhlinzwa. Kodwa-ke, izinkinga ezivela ekuhlinzweni kwe-sinus azivamile . Udokotela wakho uzokuchazela lezi zingozi ngaphambi kokuhlinzwa. Nazi ezinye zezinkinga ezingaba khona (kodwa ezingavamile kakhulu):
- Ukopha kakhulu kunokujwayelekile: Ukopha okuncane kuyinto evamile. Kodwa ngezinye izikhathi kungaba nokopha okwengeziwe. Uma lokho kwenzeka, udokotela angase aphathe ikhala futhi mhlawumbe akugcine esibhedlela ukuze uhlolwe.
- Ukudabuka: Ukudabuka kunganda ngenxa yokuhlinzwa noma ukuvuvukala kwe-sinus.
- Ukuvuza Komgogodla Wobuchopho (CSF): Lokhu kuyinkinga engavamile kakhulu kodwa engathi sína. Uma lolu ketshezi oluzungeze ubuchopho luvuza, lungabangela izifo ezifana ne-meningitis.
- Izinkinga zokubona: Akuvamile kakhulu ukuthi kube nokulahlekelwa umbono noma ukubona kabili ngemva kokuhlinzwa.
- Ukuqaqamba Kobuso: Ikakhulukazi ngemva kokuhlinzwa kukaCaldwell Luc, ezinye izingxenye zobuso zingase zizizwe ziqaqamba.
- I-Empty Nose Syndrome: Lesi futhi yisimo esingavamile kakhulu. Kulokhu, yize ikhala livulekile, isifuba asizizwa sigcwele lapho uphefumula, futhi ikhala lizizwa livalekile.
Uma unalezi zimpawu ngemva kokuhlinzwa, bona udokotela wakho ngokushesha.
Ngemva kokubuyela ekhaya ngemva kokuhlinzwa, naka umzimba wakho. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Uma ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi yobuhlungu oyinikiwe .
- ImfivaUma ikhona. Umkhuhlane ungaba uphawu lokutheleleka.
- Uma ikhala lakho liqhubeka nokopha kakhulu .
- Uma kukhona ushintsho embonweni (umbono ofiphele, umbono ophindwe kabili).
- Uma unesifo somphimbo noma ikhanda elibuhlungu kakhulu .
Abanye abantu bazizwa bengcono ngokushesha ngemva kokuhlinzwa. Kwabanye, kungathatha amasonto noma izinyanga ukuthi izimpawu zinyamalale ngokuphelele. Ngakho-ke kubalulekile ukubekezela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-sinus kuvame ukunconywa lapho izinkinga ze-sinus zesikhathi eside zingakaqedwa ngemithi.
- Ngenxa yezindlela zesimanje ezifana ne-FESS kanye ne-Balloon Sinuplasty, lokhu kuhlinzwa sekuphephile kakhulu manje, futhi isikhathi sokululama sifushane.
- Akukho ubuhlungu ngesikhathi sokuhlinzwa. Ubuhlungu ngemva kokuhlinzwa bungalawulwa ngezinhlungu zobuhlungu.
- Kubaluleke kakhulu ukuze ululame ngokushesha ukuthi ulandele imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, umkhuhlane) ngemva kokuhlinzwa, ungesabi futhi wazise udokotela wakho ngokushesha.
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