I-Cerebrospinal Fluid Rhinorrhea
Wonke umuntu ubhekene nekhala eligijima ngesikhathi esithile. Ngokuvamile, impumu egijima ibangelwa i- rhinitis ye-allergen noma i- cold common . Ezinye izimbangela zezinyosi eziqubuzelayo zibandakanya i- rhinitis ekhanda ebangelwa ukushisa kwesimo sezulu noma ukudla ukudla okunomsoco, kanye ne- vasomotor rhinitis ebangelwa ama-irritants omzimba njengamakha amahle noma ushintsho sezulu. Lezi zimbangela ezivamile zempuphu egijimayo zihlala isikhathi esifushane, njengengqamuzana evamile, noma ziphendule ekwelapheni ngemithi yokwelashwa, njengama- antihistamine omlomo , ama-sprays e-nasal corticosteroid , noma ama-sprays ase-nasal anticholinergic.
Abanye abantu bangathola ama-runny noses ngaso sonke isikhathi abangaphenduli kunoma yiluphi uhlobo lwemithi yokwelashwa - laba bantu bangase babe nesimo esingavamile esibizwa ngokuthi i-cerebrospinal fluid (CSF) ye-rhinorrhea, ebangelwa ukuvuza okukhipha ubuchopho emakhaleni.
Izimbangela, Izimpawu, Nezibonakaliso ze-CSF Rhinorrhea
I-CSF i-rhinorrhea yisimo esingavamile esingase senzeke ngemva kokulimala kwekhanda elibuhlungu, njengenkinga ye-sinus noma ukuhlinzwa kobuchopho, noma ngenxa yecala noma ukukhubazeka kokuzalwa kwesisu. Abantu abane-CSF i-rhinorrhea bangase bakhononde ngekhala eligijima elibi kakhulu ngokushintsha kwesikhundla (njengokumisa) noma nge- Valsalva yokuhamba (ukucindezela noma ukuphakamisa izinto ezinzima). I-liquid e-CSF i-rhinorrhea ilula futhi icacile, futhi umuntu othintekile angase abone ukunambitheka okumnandi noma okusawoti ngenxa ye-glucose eyandisiwe nama-electrolyte akhona ku-cerebrospinal fluid. Indlela enembile kunazo zonke yokuxilonga i-CSF rhinorrhea ukukhombisa ukuthi kukhona i-beta-2 transferrin ekukhuleni komzimba.
Uma umuntu ene-CSF i-rhinorrhea, kubalulekile ukuthi isimo silungiswe ngoba kukhona ingozi eyengeziwe yokuthuthukisa i- bacterial meningitis - okuyinto isifo esongela ukuphila emhlabeni wonke. Ama-bacteria angasakazeka ngaphakathi kwezingxenye ezisemkhathini nezono ngokusebenzisa umgodi wokuhlala (izicubu ezizungezile ubuchopho kanye nomgogodla) nasezindaweni ezizungezile ebuchosheni, okubangelwa ukuthi i-meningitis.
Abantu abaye bahlakulela ingxenyana eyodwa ye-bacteria meningitis kufanele bahlolwe ukuthi kungenzeka i-CSF rhinorrhea, kanye nokuhlolwa kwe-primary immunodeficiency yi-immunodeistist ekliniki .
Ukuxilongwa Nokunakekelwa kwe-CSF Rhinorrhea
Uma i-CSF i-rhinorrhea imangelwa noma iqinisekiswe ukuthi kukhona i-beta-2 transferrin, ukuvuza kudingeke kubekwe endaweni ngenhloso yokulungiswa kokuhlinzwa. Izindlela ezehlukene ziye zasetshenziselwa ukuthola i-rhinorrhea ye-CSF, ngokuvamile i- MRI yobuchopho , i- CT yokuxazulula ubuchopho , kanye nokusetshenziswa kwe-intrathecal fluorescein - okufaka umjovo wedayi ngaphakathi komswakama ozungeza intambo yomgogodla, futhi ufuna idayi ekukhuleni komzimba. Uma isayithi le-CSF lisendaweni yangakini, lingalungiswa ngokuhlinzwa ngokusebenzisa amanani amaningi ahlukene. Ngokuvamile, ukuvuza kwe-CSF kunqunywa ngokusebenzisa i-endoscopy ye-nasal usebenzisa isikhumba noma i-bone graft ukuxhuma umgodi.
Nakuba i-CSF i-rhinorrhea ayiyona into evamile, lokhu kuhlolisiswa kufanele kubhekwe kumuntu onomphuza ongapheli, ngaphandle kweminye impawu ye-rhinitis ye-allergen, engaphenduli emithini yemithi yokwelashwa ejwayelekile. Noma ubani oye waba neziqephu eziphindaphindiwe ze-bacterial meningitis kufanele futhi ahlolwe nge-CSF rhinorrhea.
Uma uke wabhekana nekhala eligijimayo ngaphandle kweminye impawu yokugula, noma impumu egijima engaphumeleli ngesikhathi noma ngemithi yokwelashwa, cela udokotela wakho uma ungaba nokuvuza kwe-CSF. Lokhu kuzoba kubaluleke kakhulu uma ulimala ikhanda ngaphambi kokuba iphumu eligijima liqale, noma uma uke wathola i-meningitis.
Umthombo:
Kerr JT, Chu FWK, Bayles SW. I-Cerebrospinal Fluid Rhinorrhea: Ukuxilongwa Nokuphathwa. I-Otolaryngol Clin N N Am. 2005; 38: 597-611.