Nasal Sinus Surgery Complication
Iyo inozivikanwawo se : cerebrospinal fluid (CSF) inokonzera
Irorebrospinal fluid (CSF) rhinorrhea ndiyo izwi rezvokurapa nokuda kwechimwe chinhu chisingawanzoitiki iyo inoshandiswa mumvura inowanzosveta uropi nemutsipa wesipinha, cerebrospinal fluid, inobva mumhino. Kuti izvi zviitike nenzira isina kukodzera pakati penzvimbo ye subarachnoid yeuropi uye nasal / sinus cavities isingazivikanwi yakasikwa.
Iyi nzvimbo isina kukwana ingakonzerwa ne:
- chirwere chinoshandiswa pakuvhiya chinetso
- zvimwe kuberekwa kukanganisa
- kuvharwa kwakanyanya kwemaitiro ekurara kunokonzera kuwedzera kwechisimba chisingaiti (ICP)
- kushungurudzika kumusoro uye chiso chinokonzera kuparadzaniswa kwe-naso-orbito-ethmoid uye kukanganisa kubheti ye cribriform (chikamu chelogi rinotangira rinoumba "denga" rechivi)
Chiitiko chaicho cheScf rhinorrhea hachizivikanwi asi dzimwe dzidzo dzakaratidza kuti chiyero cheCFF rhinorrhea zvinokonzerwa nekuvhiyiwa kwechivi ndi 0.5%. Zvinofadza, kubva pakushandiswa kwemitemo yebhanhire remakumbo, chiitiko cheCFF rhinorrhea chinokonzerwa nekushungurudzika kwakaderera.
Zviratidzo zveScf Rhinorrhea
Rhinorrhea (runny nose) iyo yakajeka uye mvura inogona kuva chiratidzo chokutanga cheperebrospinal fluid rhinorrhea. Zvimwe zviratidzo nezviratidzo zvinogona kusanganisira:
- headache
- manyowa emvura ane salty kana metallic taste
- mvura inowedzera ichiramba ichimire mberi uye musoro pasi
- kusava nekunhuwira (anosmia)
- manyore kusanganiswa
Zvakakosha kuona kuti zviratidzo izvi zvinowanzoitika mune dzimwe dzakawanda, zvakajairika, mamiriro ezvinhu uye dzinofanira kuongororwa ne otolaryngologist (nzeve, mumhino, muhuro wehuro kana ENT). Zvisinei kana uine zviratidzo zvakanyorwa pamusoro apa, haufaniri kunonoka kuongorora sezvo CSF rhinorrhea inogona kutungamirira kumatambudziko akakomba.
Zvaunofanira Kuita Kana Iwe Uchinge Uchinge Uchinge Wakanganisa Cerebrospinal Fluid Rhinorrhea
Kana iwe uine zviratidzo zvakanyorwa pamusoro apa, unofanira kutsvaga kuongororwa ne otolaryngologist. Kana iwe waive uchivhiyiwa, unofanira kuenda kumuchiremba avhiya uyo akaita basa rako. Zvisinei, kana iwe usina kumboita chirwere chinonzi nasal, iwe unofanirwa kuwana chero mutsara weC CT kana mamwe mifananidzo ye radiographic yezvivi zvako zvaungave wakave nazvo kare uye uende nazvo kune ENT nyanzvi yekuongorora.
Munguva iyi musarudzo iwe unogona kukumbirwa kuti uite Inhu Hwokuongorora Chiziviso kuti uone kana kune hufactory (kunhuwa) kusakosha. Uyu muedzo unofanirwa kuitwa musati wapi kurapwa kuitira kuti uone basa rekutanga. Chiremba wako anogona kuita endoscopy , izvi zvinosanganisira chiremba achishandisa kamera kadiki kuti aone sechinhu chisina kufanira kune plate cribriform. Zvimwe kuedzwa zvinogona kurairwa nachiremba wako zvinosanganisira:
- CT scan
- MRI
- Β-2 transferrin assay (laboratory test on nasal drainage)
- Dhiyabhorosi yakabhadhara kuongorora
- Intrathecal fluorescein
Kurapa Zvokudya zveCerebrospinal Fluid Rhinorrhea
Kana uine cerebrospinal fluid rhinorrhea zvakakosha kuti iwe ugamuchire kurapwa kwakakodzera kuti udzivirire meningitis kana pneumocephalus (mhepo iri mumugwagwa wakaoma).
Kurapa cerebrospinal fluid rhinorrhea, chirwere chichave chakakosha. Chirwere chekuvhiyiwa chinodiwa chinobva pane chinokonzera mamiriro ako (kuvhiyiwa, kushungurudzika, kurara kweperesi ...). Kubudirira kwekuvhiya kunobatsira, zvisinei zvipingamupinyi zvingaitika kune chero nzira yekuvhiya, kunyanya iyo inosanganisira anesthesia inowanzo . Iwe unofanirana kukurukura nezvehutano pamwe nekubatsira kwekuvhiyiwa nachiremba wako uye kutevera chero mirayiridzo yavanokupa pamusoro pekutsanya zuva risati rasvika uye zuva rekuvhiyiwa kwako uye chero mirayiridzo yekuti unofanira kuzvitarisira sei mushure mekuita.
Kunyange zvazvo cerebrospinal fluid rhinorrhea isingawanzoitiki, zvinetso (eg meningitis) zvinogona kuva zvakakomba uye hazvifaniri kutorwa zvishoma.
Sources:
Goldenberg, D. & Goldstein, BJ (2011). Handbook of Otolaryngology - Musoro uye Neck Surgery. New York City, NY: Thieme Medical Publishers, Inc.
Kuzniar, TJ, Gruber, B. & Gokhan, MM (2005). Cerebrospinal Fluid Leak ne Meningitis Yakasangana neNasal Inoenderera mberi Positive Airway Pressure Therapy. Chest. Yakasvika: March 11, 2012 kubva http://journal.publications.chestnet.org/article.aspx?articleid=1083773