I-Rhinosinusitis yinkinga evamile ehlobene nokuvuvukala kwezingxenye zakho zangasese nezigxobo zesono. Abangu-1 kwabayisishiyagalombili abantu bahlangabezana nesifo se-rhino sinusitis njalo ngonyaka, ngakho-ke cishe uzothola lokhu; ikakhulukazi uma unezici ezinobungozi ezibandakanya: ukubhema, ukuguga, ukuhamba emoyeni noma ezinye izinto ezishintsha ingcindezi yomoya (njenge-scuba diving), ukubhukuda, i-asthma, ukugula, izinkinga zamazinyo noma isimiso somzimba sokuzivikela.
Amacala amaningi e-rhinosinusitis abangelwa ukugula noma ukutheleleka. I-Rhinosinusitis ihlukaniswe ngezigaba ezingu-4 kuye ngokuthi ingabe isikhathi eside ukugula kugcina nini.
- i-rhiniosinusitis ephawulekayo - izimpawu zingaphansi kwamaviki amane
- ukuhlukumeza i-rhinosinusitis - izimpawu zigcina phakathi kwamasonto amane no-12
- i-rhinosinusitis engapheli - izimpawu zihlala isikhathi eside kunamaviki angu-12
- i-rhinosinusitis ephindaphindiwe - iziqephu eziningi ze-rhino sinusitis unyaka wonke (iziqephu ezine noma ngaphezulu ngonyaka)
I-sinusitis enamandla ngokuvamile ivele ngemva kokuba ugula ngegciwane elibandayo noma ukutheleleka okuphezulu kokuphefumula. Ngakolunye uhlangothi sinusitis isifo esiningi ngenxa yomzimba noma ngisho nefungus.
Izimpawu ze-Rhinosinusitis
Izimpawu ze-rhinosinusitis ziyafana kungakhathaliseki isikhathi noma imbangela. Izimpawu ezivamile zihlanganisa:
- umsele wamanzi - kuhlanganise nephunga eligijima ne- post-nasal drip
- ukunyanyiswa kwamanzi
- ubuhlungu, ukucindezelwa, noma umuzwa wokugcwalisa emakhaleni akho, amehlo, noma izindlebe
- amazinyo
- umqondo owehla wephunga
- ikhanda
- i-halitosis (umoya omubi)
Ngenxa yokuthi akuzona zonke izimpawu ezizwa sengathi zinamazinyo noma isinus, ungase uqale ngezikhathi ezithile kudokotela wamazinyo noma optometrist (udokotela weso) futhi kamuva uthunyelwe ku-otolaryngologist (udokotela onguchwepheshe ezindlebeni, ekhaleni nasemphinjeni). Izingane cishe zizoba nokukhwehlela, kuyilapho abadala ngokuvamile bengaboni ukukhwehlela okuhlobene ne-rhinosinusitis, ngaphandle kokuba ukukhwehlela kuhlobene nenye yezinto ezibangela.
Ukuthola i-Rhinosinusitis
Udokotela wakho cishe ngeke enze noma yikuphi ukuhlolwa ngaphandle kokuhlolwa kwabo jikelele nge-rhinosinusitis. Lokhu kungase kutholakale ukuthi kuncike emlandweni wezimpawu zakho kanye nokuhlolwa kokuhlolwa komzimba. Kodwa uma udokotela wakho esolwa ukuthi une-infection, kungenzeka ukuthi athumele isiko futhi mhlawumbe ahlele i-CT scan ukuze abasize banqume ubukhulu bokutheleleka futhi basize ekuqondeni ukhetho lwabo lwe-antibiotics. I-specimen eqoqwe esonus ingcono kune-swab yangasese noma iqoqo lemanzi. Uma udokotela wakho engenawo ama-scopes adingekayo ukuqoqa isampula ezenzweni zakho, cishe uzothumela isampula somswakama noma umsele wamanzi ebhodini.
Uma udokotela wakho ekholelwa ukuthi i-rhinosinusitis yakho ihlotshaniswa nemithi, cishe uzobhekwa ku-allergen ukuze uthole ukuhlolwa okuphelele kwe-allergies yakho. Ukuze uzuze ukukhululeka okukhulu, kuzodingeka ugweme izifo ezibangelwa izimpawu zakho.
Ukwelashwa Nge-Rhinosinusitis
Ukwelashwa kwe-rhinosinusitis kuyahlukahluka futhi kuvame ukususelwa esikhathini nobukhulu bezimpawu. Uma ukuhlolwa kukadokotela wakho kukhombisa ukuthi ukutheleleka yi-bacterial, imithi elwa namagciwane iyobekwa. Ama-antibiotics ngeke anikezwe ngenxa yezifo ezibangelwa amagciwane, ngoba ama-antibiotics ngeke abe nomthelela kunoma yiziphi izifo.
Izimpawu eziningi ezihlobene ne-rhinosinusitis zingaphathwa ngokusebenzisa ukuxoshwa kwamaphilisi amaningi, (njenge-acetaminophen noma ibuprofen), ama-decongestants (njenge-pseudoephedrine), ukuchelela kwamanzi noma ama-steroids angama-topical . I-rhinosinusitis ye-allergen ivame ukuphathwa ngama-antihistamine njengoClaritin , iZyrtec , noma i- Allegra .
Ama-decongestants asetshenziswayo asetshenziselwa ukusiza ukunciphisa ukuvuvukala emaqenjini akho. Njengoba izidakamizwa eziningi manje zitholakala ngaphezu kwe-counter zivame ukuzitholela imithi nalezi zidakamizwa ngaphambi kokubona udokotela. Kumele kuqashelwe ukuthi uma kusetshenziselwa kabi izidonestants ezinamazinyo, njenge-Afrin (oxymetazoline), zingaholela esimweni esibizwa ngokuthi ukuxubana okuxubile noma umlutha we-spray.
Isifo sosusitis esingapheli siye saboniswa ukuthi singaboni kahle abantu abaningi abakholelwa ngokungaqondile ukuthi banenkinga yokungena kwesikhashana futhi basebenzisa imithi engaphezu kwemithi yokuphatha izimpawu zabo, (ukuhlolwa okukodwa kubonise ukuthi lokhu kuyiqiniso ku-50% yesifo esingapheliyo amacala). Ngenxa yalesi sizathu, ngisho noma ucabanga ukuthi uyazi ukuthi yini ebangela izimpawu zakho, ngaso sonke isikhathi umqondo omuhle uhlolwe ngumqeqeshi wezempilo oqeqeshiwe.
I-rhinosinusitis engabonakali ingaphazamisa ikhwalithi yakho yokuphila futhi iholele kwezinye izimo ezinjengezintambo zangasese , ukukhula kwezicubu ezingavamile ezingosini noma ku-apnea yokulala. I-Rhinosinusitis - Izimpawu, Ukuxilongwa Nokunakekelwa
> Imithombo:
> Sinusitis ejulile ne-rhinosinusitis kubantu abadala: Ukubonakaliswa kwemitholampilo nokuxilongwa. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (Okubhaliselwe Kudingeka). Kubuyekezwe ngoNovemba 8, 2016. Kufinyelelwe ngoJulayi 7, 2017.
> I-rhinosinusitis engapheli: Ukubonakaliswa kwemitholampilo, ukuphazamiseka kwemithi, nokuxilongwa. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (Okubhaliselwe Kudingeka). Ibuyekezwe ngo-Okthoba 28, 2016. Ifinyelele ngo-Julayi 7, 2017.