Ama-polyp nasal yizikhukhula ezibangelwa izikhwama ezinamahlombe ezikhukhulayo ezisezintweni nasezingxenyeni zomzimba. Bangakwazi ukwelulela ekuvuleni kwamakha, noma ngisho nasezindaweni zomphimbo futhi bangavimbela amavesi aso.
Ama-polyp nasal ngokuvamile ahlobana nezinye izifo ezingapheli futhi athambekele isikhathi eside. Bangakwazi ngisho nokubuyela ngemuva kwezokwelapha noma ukususwa okuhlinzekwayo.
Izifo Ezihlobene Ne-Polyal Nasal
Ama-polyp nasal angenziwa nezinye izifo eziningi zokuphefumula, ezifana ne- allergenic rhinitis , i-sinusitis engapheli (ngenxa yokutheleleka kwama-bacterial and fungal), i- asthma , ne- aspirin yokungezwani komzimba . Kubonakala sengathi ama-polyp nasal avame kakhulu kubantu abane -rhinitis engelahleki kanye ne-asthma engeyona i-allergic, kunokuba kunezinhlobo ze-allerergic yalezi zimo.
Ama-polyp nasal angase abe uphawu lwezifo ze-immunodeficiency. Isibonelo, ama-polyp nasal ezinganeni angaba uphawu lwe-cystic fibrosis. Amanye ama-immunodefaces, njenge-primary ciliary dyskinesia, i-Churg-Strauss syndrome, i-IgA yokuntuleka kwe-IgA, ne- common variable immunodeficiency (CVID), ingahlanganiswa nama-polyp nasal, futhi.
Ngokuvamile, ama-polyps angamazinyo ayengavamile, avela kuphela ngo-4% wabantu. Noma kunjalo, le nombolo iphezulu kakhulu kubantu abanezinye izifo, njengalezo ezibalwe ngenhla.
Izimpawu Nezibonakaliso Ze-Polyal Nasp
Iningi labantu abanezintambo ezinamazinyo lizobhekana nokuxubana kwamasal, okungaba nzima, okungasizwa ngemithi ejwayelekile yokuthola imithi.
Ezinye izimpawu ezivamile zihlanganisa:
- Iphutha le-Runny elinamabala ecacile noma enemibala
- Ukulahlekelwa noma ukunciphisa umzwelo nokunambitha
- Izinwele
- Ukucindezelwa kwesinasi
Noma kunjalo, ubuhlungu bomzimba buvame kakhulu kubantu abane-sinusitis engapheli uma kuqhathaniswa nalabo abanezintambo zomzimba.
Umuntu onama-polyps anamanzi angamazinyo angakwazi ngempela ukubona ama-polyps emakhaleni azo afana nama-clumps we-Jello-O ecacile.
Ama-polyps angama-long-standing angabangela ukukhuliswa kwebhuloho elingasese, okungaholela ekutheni amehlo avela kude.
I-Nasal Polyps ifunwa kanjani?
Kwezinye izimo, udokotela angenza isifo se-polyp diagnosis ngokuhlola izingxenye zomzimba. Lokhu kungafaka i-endoscopy yama-nasal, okubandakanya ukubeka ikhamera encane emakhaleni ukuze ibheke kangcono amavesi aso. Ngokuvamile, ngokuvamile, i-CT ("i-cat scan") yezidakamizwa iyadingeka ukuze ihlolwe.
Njengoba ezinye izifo zivame ukutholakala lapho umuntu enama-polyp nasal, ukuhlolwa okuqhubekayo okungase kudingeke kwenziwe.
I-Nasal Polyps iphathwa kanjani?
Ama-polyp nasal angaphathwa yizo zombili zokwelapha nezokudokotela. Ezimweni ezimbi, ukuhlinzwa kwesiniso kuvame ukudingwa ukuze ususe ama-polyp nasal noma yisiphi isifo esithintekayo . Kodwa-ke, njengoba ama-polyp nasal avame ukukhula emuva okungenani ingxenye eyodwa kwezintathu zeziguli, ukusetshenziswa ngokweqile kokuhlinzekwa kufanele kugwenywe.
Ukwelashwa okungcono kakhulu kwama-polyp nasal ngokuvamile kuhilela ukusetshenziswa kwezikhungo zokwelapha ezilandelwa yizokwelapha, njengoba le ndlela isiza ukunciphisa ithuba lokuthi ama-polyps azokhula.
- I-Nasal Steroid Sprays kanye ne-Drops
Izitshalo ze-steroid yama-nasal , ezifana ne-Flonase (fluticasone propionate) ne-Nasonex (i-mometasone furoate), zingasiza ukunciphisa ubukhulu bezintambo zangasese futhi zivimbele ama-polyps ekukhuleni ngemuva kokuhlinzwa. Abanye odokotela basebenzisa ama-nasal steroid amaconsi, kunokuba ahlasele, ukuze angene kahle emaqenjini angasese futhi afinyelele ama-polyp nasal.
- Corticosteroids
I- corticosteroids yomlomo, njenge-prednisone, ingashesha ngokushesha ukwehlisa ubukhulu bezintambo zangasese futhi iyasiza kubantu abanezimpawu ezinzima. Ngemuva kweklasi elifushane lama-corticosteroids (amasonto angaba ngu-1 kuya kwangu-2), noma kunjalo, ama-sprays angama-sophistical nasal ephezulu angakwazi ukulawula izimpawu ezingcono futhi avimbele ama-polyps ukuba angakhuli amakhulu.
Kwezinye izimo, njengalapho i- sinusitis yefungal iyimbangela yama-polyps yama-nasal, i-corticosteroids yomlomo ophansi ingadingeka amasonto izinyanga emva kokuhlinzwa ukuze kuvinjelwe ama-polyps ekukhuleni.
- Imithi ye-Antileukotriene
Imithi ye-antileukotriene yomlomo, efana ne-Singulair (i-montelukast), izuzisa ngokweqile kubantu abanezintambo zomzimba - ikakhulukazi labo abane-aspirin yokungezwani komzimba. Abantu abane-aspirin yokungezwani komzimba bayaziwa ukuthi banamazinga aphezulu e- leukotriene , ngakho imishanguzo evimbela la makhemikhali kufanele isetshenziselwe ukunciphisa izimpawu zesifo esingapheli nesifo se-polyp.
- Ukunisela kwe-Nasal Saline
Ukunisela okune-salt salin kungaba usizo ikakhulukazi kubantu abanama-polyp nasal nezifo ezingapheliyo. Lokhu kuyiqiniso ngokukhethekile kulabo ababenokuhlinzwa okuyisono, njengoba i-saline ingasusa izidakamizwa hhayi nje amavesi aso.
- Ukuzibulala komzimba
Abaningi be-allergists bangasebenzisa isibhamu sokungabi namagciwane ngomzamo wokuphatha noma ukuvimbela ama-polyp nasal ekukhuleni ngemuva kokuhlinzwa. Idatha engcono kakhulu ekusetshenzisweni kwezidakamizwa zokungezwani komzimba kulabo abane-sinusitis ye-fungal ye-fungal; ukukhishwa kwesifo sengqondo kungase kube usizo kulabo abanezintambo zomnsalo kanye nobufakazi bokuthi kunezifo ezibangela ukugula.
Imithombo:
> Bachert C, van Cauwenberge P. Nasal Polyps neSinusitis. Ku: Adkinson NF, Yunginger JW, Busse WW, et al, eds. Izinkinga zokungezwani komzimba zikaMiddleton, izimiso nezenzo. 6th ed. Philadelphia: Mosby; 2003: 1421-36.
> Pawankar R. Nasal Polyposis: Isibuyekezo. I-Curr Opin Allergy Clin Immunol. 2003; 3 (1): 1-6.
> Ukukhwabanisa i-GK. Ukuqhathaniswa Nezokwelapha Nezokwelapha ZaseNasal Polyposis. Imibiko Yezifo Zezifo Eziphuthumayo Nama-Asthma. 2002; 2: 494-9.