Ukutheleleka kwe-sinus kungenye yezinkinga ezivame kakhulu ezenzeka ngemuva kokuhlaselwa okubandayo noma ukuhlasela komzimba. Kungaba nzima ukutshela ukuthi ukushisa okuvamile kuvamise ukutheleleka kwe-sinus, okubizwa nangokuthi sinusitis, kodwa ezinye izinkomba eziyinhloko zifaka ubuhlungu nokucindezela ebusweni; umqubu obuhlaza obomvu noma obuphuzi; futhi phezulu / emuva kwamazinyo. Nakuba izimpawu eziningi zixazulula ngamasonto amabili noma ngaphansi (ngaphandle noma ukwelashwa, kuye ngokuthi imbangela), ungase futhi uhlakulele isifo esingenasifo se-sinus esingahlala isikhathi eside izinyanga.
Izimpawu Ezivamile
Izimpawu zesifo se-sinus zivame ukuthuthukisa ukulandela ukutheleleka kokuphefumula njengomkhuhlane noma ngemuva kokuphefumula kwe-rhinitis. I-sinusitis ihlukaniswa ngokusekelwe ukuthi uke waba nezimpawu isikhathi eside kangakanani:
- I-sinusitis enamandla: Izimpawu ezingaphansi kwamasonto amane
- I-sinbaitis sinusitis: Izimpawu zamasonto amane kuya kwangu-12
- Sinusitis engapheli: Izimpawu zamasonto angu-12 noma ngaphezulu, kaningi ngezimpawu ezinzima ezingase ziphuthelwe ngenxa yezifo zomzimba
- I-sinusitis ejwayelekile: Izifo ezine ze-sinus ezingaphezu konyaka, ngalinye lihlala okungenani izinsuku eziyisikhombisa kodwa likwazi ukuhamba kahle phakathi kweziqephu
Ukutheleleka okunamandla kwe-Sinus
Izimpawu zesifo se-sinus esiyingozi zihlanganisa:
- Ubuhlungu, ukucindezela, nokuzwela ebusweni, ngokuvamile okuzungezile amehlo akho, ebunzini nasemasaya, okungase kubonise ukuvuvukala. Kuvame ukukhathazeka uma usukele phambili.
- Ukungqubuzana kwe-nasal okwenza kube nzima ukuphefumula ngekhala lakho
- I-mucus ebomvu noma ephuzi idonsa ekhaleni lakho bese phansi phansi umphimbo wakho
- Ukudonsa kwe-postnasal okungase kunambithe kabi
- Umphimbo obuhlungu
- Izinwele
- Isikhukhula esingadala ebusuku
- Ama-toothache aphezulu / emuva
- Umoya omubi
- Ukunciphisa noma ukulahlekelwa umuzwa wokuhogela
- Umzwelo jikelele wokugula nokukhathala
- I-Fever (ngezinye izikhathi)
Izimpawu zesifo se-sinus ezinzima ezinganeni zifana nalabo abadala, nakuba kubalulekile ukuba abazali bakhumbule ukuthi izingane zingase zingakwazi ukuchaza ngokugcwele ukuthi zizwa kanjani.
Ezinye izimpawu zokubheka ezinganeni zifaka:
- Ukucasula noma ukukhathala
- Ukudabuka noma ukuhlanza
- Umkhuhlane ohlala izinsuku ezintathu noma ngaphezulu ubhekene nokukhishwa kwamanzi omnyama
Eziningi zalezi zimpawu zihambisana nalabo abanda, futhi uma uke waba nazo izinsuku ezimbalwa kuya kwesonto, cishe awunayo i-sinusitis. Kodwa-ke, uma unezinye izimpawu ezingenhla futhi ziye zaqhubeka izinsuku ezingaphezu kwezingu-10 noma zibi kakhulu, ungase ube nesifo se-sinus.
Uma izimpawu zakho ezinzima ziye zadlulela emasontweni amane, kuchazwa ngokuthi i- subacute sinusitis . Izimpawu zesinusitis eziphindaphindiwe zifana ne-sinusitis enzima. Izimpawu zixazulula ngokuphelele phakathi kweziqephu.
Ukutheleleka kweSinus engapheli
Izimpawu ze-sinusitis engapheli zifana nesifo esibucayi, kodwa sinamandla futhi sezikhona emavikini angaphezu kwengu-12. Kumele ube nezimpawu ezimbili noma ngaphezulu ukuze kutholakale ukuthi:
- Ukungqubuzana kwe-nasal
- Ukudonsa ngemuva noma ikhala eligijima nge-mucus
- Ukuzwa ubuhlungu noma ukucindezeleka ebusweni
- Umqondo owehla wephunga nokunambitha
- Isikhukhula (ezinganeni)
Ezinye izimpawu zokutheleleka kwesifo esingapheli zingahlanganisa izinyo nezinhlungu zomhlathi, ubuhlungu bezindlebe, ukuphefumula okubi, nokukhwehlela okubi kakhulu ebusuku. Ngokuvamile, abantu babika ukukhathala.
Izimpawu ezijwayelekile
I-sinusitis ejwayelekile ivame ukubangelwa igciwane, kodwa amabhaktheriya angabanjwa ngaphakathi kwesinasi esinezinambuzane futhi akhiqize ukutheleleka kwebhaktheriya.
Kulinganiselwa ukuthi amaphesenti angu-2 kuphela we-acute sinus infections angama-bacterial. Ngenxa yokuthi ukuvuvukala kwamagciwane kumele kuthuthuke futhi kuhambe ngemva kwezinsuku ezimbalwa, ukutheleleka kwe-bacterial kuyasolwa uma izimpawu zenze izinsuku ezingaphezu kwezingu-10 ngaphandle kokuthuthukiswa noma ziphuthumayo, bese zibi kakhulu (okubizwa ngokuthi "ukugula okuphindwe kabili").
Lona uhlobo lokutheleleka kwesono olungadinga i-antibiotic. Izono ziseduze nezinhlaka ezibalulekile ezihlanganisa amehlo nobuchopho. Ukutheleleka kwesifo se-bacteria kunendlela encane yokusabalalisa kulezi zindawo.
Izibonakaliso zesifo esibucayi esidinga ukuhlolwa kwesidakamizwa ngokushesha kufaka phakathi:
- Ifila ngaphezu kwama-degree angu-101
- Ukuvuvukala noma ukubomvu eduze kwamehlo noma amajwabu amehlo; kunzima ukuvula noma ukuhambisa iso lakho; i-eyeball ehamba phambili
- Izinguquko embonweni wakho, kufaka phakathi ukulahlekelwa kwe-acuity noma umbono kabili
- Ukudideka
- Ukulala ngokweqile noma ubunzima bokuvuka
- Intamo yentamo
- Inhloko ekhanda phambi kwekhanda lakho, owodwa ongakubeka njengenye yezinto ezimbi kakhulu ekuphileni kwakho
Izinkinga
Umqondo wakho wephunga ungancishiswa noma ungase ulahlekelwe ngokuphelele nge-sinusitis. Lokhu kungenxa yokuvinjelwa, noma kungenzeka ngenxa yokulimala kwamanye amazinyo nezinye izinhlaka. Nakuba ukulahlekelwa iphunga kuvamise okwesikhashana, ungaba nezinguquko noma ukulahlekelwa okuphakade.
Ngenkinga ye-bacterial sinusitis ngokuqondile, izinkinga ezinkulu zingavamile futhi zibonwa ngamacala angu-1 000. Okuvame kakhulu kulaba ukusabalala kokutheleleka emasokweni esiso kanye nezakhiwo zamehlo ahlobene. Noma yiziphi izinguquko zokuvuvukala, zobomvu, noma zombono kufanele zihlolwe ngokushesha udokotela ukuze uthole ukwelashwa. Ukutheleleka kungabandakanya izicubu ezithambile (cellulitis) noma zenze i-abscess esitokisini sehlo. Okuphathelene nobunzima bezinyosi ezingavamile ukubunjwa kwezindwangu emithanjeni yegazi ngemuva kweso. Lokhu kungabangela ukukhubazeka kombono unomphela noma ubumpumputhe. I-sinusitis ye-fungal evamile noma engapheli ingaphazamisa nezakhiwo zeso naseduze kweso.
Ngokuvamile, isifo se-sinus se-bacterial noma fungal singasakazeka emathanjeni e-skull (osteomyelitis) noma ebuchosheni, okwenza i-meningitis noma i-abscess ebuchosheni. Izimpawu zokudideka, ukulala, ikhanda elibi kakhulu noma intamo eqinile kungase kubhekisele kule nkinga.
Uhlobo lwe-cyst olubizwa ngokuthi i-paranasal sinus mucocele lungathuthuka uma une-sinusitis engapheli. Kungakhula futhi kubeke ingcindezi ezenzweni nezakhiwo eziseduze. Kungase kungalungiswa ngama-antibiotics noma ama-corticosteroids ngoba yakha udonga oluzungezile. Kungase kudingeke ukuthi igonywe ngokuhlinzwa.
I-polyp nasal ayiyona ingculaza engumdlavuza emakhaleni nasezenzweni ezenzeka kaningi kubantu abanezifo ezingapheliyo zokuvuvukala noma izifo zesinus. Lezi zikhula zenza kube nzima kakhulu ukuthi izidakamizwa zivuthwe, okwandisa ingozi yezifo ezithathelwanayo zesono. Isiguli singase sibe nezinye izinkinga zesinasi ezifana ne- turbinates ekhulisiwe (concha bullosa) noma i- septum ephukile . Ukuhlinzwa kwesinasi kungadingeka ukuze ususe ama-polyps noma ulungise inkinga ukuze uvumele imithombo engcono ye-sinus.
Nini Ukubona Udokotela
Iningi lesikhathi sinusitis sizoxazulula ezinsukwini ezingu-10 noma ngaphansi ngaphandle kwesidingo sokubona umhlinzeki wakho wezempilo ukuze ukwelashwa noma umuthi. Uma ngabe ubhekene nezinkinga zakho izinsuku ezingu-10 kuya kwamasonto amabili futhi izimpawu zakho zingaphuthuki, yisikhathi sokucabangela ukuxhumana nodokotela wakho.
Kufanele ubone udokotela wakho ngokushesha uma unayo yalezi zimpawu:
- Izimpawu zakho zinzima noma ziqhubeka zimbi nakakhulu emva kwezinsuku eziyisikhombisa.
- Amakhanda akho anzima kakhulu futhi aphulukisa ubuhlungu obukhulu kunakho ukufaka i-dent kuwo.
- Uqhuba umkhuhlane wezingu-100.4 noma ngaphezulu.
- Uqedile inkambo yama-antibiotics anqunyiwe, kodwa usenayo izimpawu.
Uma uye waba nezikhathi eziningi ze-sinusitis, kufanele ubone udokotela wakho ukuze ahlolwe ngokugcwele futhi ahlole izinkinga ezingase zibe neqhaza eziqhingini zakho.
> Imithombo:
> I-American College yezokwelapha, i-Asthma & Immunology. Isifo soSinus. https://acaai.org/allergies/types/sinus-infection.
> Litvack, J. Izinkinga zeSinusitis. I-American Rhinologic Society. http://care.american-rhinologic.org/complications_sinusitis.
> I-MedlinePlus. Sinusitis. https://medlineplus.gov/ency/article/000647.htm.
> NHS Yazisa. Sinusitis. https://www.nhsinform.scot/illnesses-and-conditions/ears-nose-and-throat/sinusitis.