Wati wambonzwa here mutsara, "kufema mukati memhino dzako uye kunze nemuromo wako?" Uyu mutsara unowanzobva pasayenzi. Paunopfuurira mukati nemhino dzako, zvinhu zvakawanda zvinoitika kusanganisira humidification yemhepo. Kugunun'una kunoitika semhepo inofamba-famba pamakona matatu kusvika ku4. Makono aimbove anonzi turbinates.
Iko konei yakagadzirwa nemapuranga akaumbwa nemapuranga kune rumwe rutivi rutivi rwenyama yako seanal septum, iyo inoparadzanisa kuruboshwe uye kurudyi rwemhino dzako.
Miti miduku yakawanda yeropa mukati memumhino yemukati inoputika conuki. Izvo zvakaderera concha, kana kuti pasi shoma concha, inzvimbo yakazvimirira bony, asi pakati nepakakwirira (yakakwirira) concha ndeyechokwadi chikamu chetema guru revahedheni. Izvi zvinogadzira mapepa matatu emhepo kuti mhepo ipinde.
Chimwe nechimwe chezvikamu izvi, izvo zvinoparadzaniswa nekona, zvine mavhenekeri kumatanda ako. Pakati pechitsiko chemukati nechepasi pemadziro emumvura ndeye girasi risina kukwana, kana kuti kubvarura duct. Mumugwagwa wepakati ndiko kuzarurirwa kune zvose maximillary uye pamberi pechivi. Icho apo nzvimbo yepamusoro inotanga kuzarura sinus spidoidal.
Overview
Concha bullosa inonziwo pneumatization yepakati turbinate. Izvi zvinongoreva kuti kune homwe yepakati mukati mekuta. Concha bullosa inonyanya kuparadzanisa kushanduka kwezvinhu zvinogara zvichiita kuti iwe uine zvinetso zve sinus . Zvisinei, kuwedzera kwe turbinates uye concha bullosa kunogona kukonzera kuvhara kunogona kudzivirira zvivi zvako kuti zvirege kubuda zvakanaka.
Zvivi zvisina mvura yakakwana zvinogona kukonzera kuwanda kwechivi chetachiona . Concha bullosa inogona kukugadzirira iwe kuva nechinomwe chinoparadzaniswa .
Zviratidzo
Zviratidzo zve concha bullosa zvakabatanidzwa nehuwandu hwemhepo huri mukati me turbinate. Iyo yakawanda iyo yakawanda, iyo inowanzove iwe kuva yezviratidzo uye zvakanyanya kuoma zviratidzo zvichave.
Zviratidzo zvinogona kusanganisira:
- Urombo hwakapoteredza maziso angagara kubva maawa akawanda kusvika mazuva akawanda
- Nzira yekudzivirira
Kuziva
Concha bullosa ndiyo inonyanya kuwanikwa ine CT scan uye inofungidzirwa kuti inowanikwa muna 16 kusvika ku5 kubva pamatatu zana. Iyo turbinates inowanzotaridzika sechiedza chakachena, kunyange zvakadaro munyaya ya concha bullosa, pachava nehomwe yakasviba yemhepo pakati pe gray gray turbinates. Iko maonero ekutsvaga achabvumirawo chiremba wako kuti aone kana concha bullosa inowanzoitika kune rumwe rutivi rwemhino kana mapande maviri. Chiremba wako achakwanisawo kutarisa kubva kuT CT scan kana iwe usina imwe septum yakatsauka.
Mishonga
Kazhinji nguva, concha bullosa zviratidzo hazvirevi zvakakwana kuti zvinoda kurapwa. Zvisinei, kana kurapa kuchidikanwa, chirwere ndicho choga chisarudzo chokubvisa mhepo yehomwe. Iyi nzira nhatu dzokuvhiya dzinosanganisira: kupwanya, resection, uye turbinoplasty.
Kupwanya inzira inowanzoshandiswa yekubata concha bullosa. Izvi zvinowanikwa pasi peanesthesia yakawanda ine endoscope. Chiremba wako achazora yako concha ne epinephrine kuti vasoconstrict, kana kuita kuti midzi yeropa ive duku. Izvi zvingabatsira kuderedza kusuruvara uye kuderedza kubuda ropa. Kana chirwere chechi sinus chinodawo, zvivi zvichatanga kushandiswa pakutanga.
Kamwe chirwere chesusus chikapera, simbasi inoshandiswa kufambisa concha bullosa kubva kumusoro kusvika pasi ndokubva yanyura kumberi kuti kuderedza kusvibiswa kwe turbinate. Nzira yekudzvinyirira ine purogiramu yakabudirira zvikuru ine madambudziko asina kunaka, kunyange kubuda mushure mokunge basa racho richibvira. Kupwanya kunotakurawo pangozi yakawanda yekukanganisa pfungwa yako yekunhuwa.
Turbinate resection ndiyo yekubviswa kwechikamu che concha kana kubviswa zvakakwana kwe concha. Izvi zvinobvumira kufambisa mhepo inobuda uye inobvisa concha bullosa. Zvisikwa zvakasara zvino zvinogadziriswa uye kuiswa kwepasi kunowanikwa kuti kuderedze kubuda ropa.
Turbinoplasty inosanganisira kudonha kuzarura turbinate uye kubvisa mishonga uye shoma shoma. Kana imwechete yenyama yacho yakabviswa zvakakwana iyo incision yakavharwa.
> Sources:
> American Journal of Neuroradiology. Kuitika kwaConcha Bullosa uye kuri hukama neNasal Septal Kuparara uye Paranasal Sinus Zvirwere. http://www.ajnr.org/content/25/9/1613
> Hatipoğlu, HG, Çetin, MA & Yüksel E. (2005). Concha bullosa marudzi: ukama hwavo ne sinusitis, ostiomeatal uye zvirwere zvekupedzisira zvekare. Diagn Intervent Radiol. 11: 145-149
> O'Rahilly, Müller, Carpenter & Swenson. (2008). Kubata Kwevanhu Anatomy - Chitsauko 52: Mhino nemapasanasal sinus. https://www.dartmouth.edu/~humananatomy/part_8/chapter_52.html
> Tanyeri, H., Aksoy, EA, Serin, GM, Polat, S., Türk, A. & Ünal, OF (2012). Ko rakaputsika concha bullosa ronga zvakare? The Laryngoscope. 122 (5). 956-960. DOI: 10.1002 / lary.23234
> Zapanta, PE, Khoury, T., DeVries, GM & Meyers, AD (2014). Turbinectomy. http://emedicine.medscape.com/article/2051775-overview#showall