Kuongororwa kwehutachiona hwe sinus (sinusitis) kazhinji kunobva pane zviratidzo zvako uye kuongorora muviri. Kana zviratidzo zvinopfuurira uye zvisati zvagadziriswa nekurapa, X-rays kana CT scan ingaitwa. Dzimwe nguva kutarisa chiono chekuona nechinguva chiduku chinonzi fiberoptic endoscope chichaitwa uye shanduro inogona kutorwa nokuda kwekuongorora kukuru uye tsika . Kunyange zvazvo zvisati zvese zvinokonzerwa nechivi zvinoda kurapwa, kuzivisa imwe yekutanga-uye kutanga mishonga, kana zvichidikanwa-hazvingokubatsiri kuti unzwe zviri nani munguva pfupi, asi zvinogona kudzivirira kuti utachiona hurege kufambira mberi.
Self-Checks
Kuwanda kwehutachiona hunokonzerwa nehutachiona hwehutachiona hwakafanana nehuwandu hwehutano . Nokuti chiremba wako achada kudzivisa kukupa maantibayoti zvisina kufanira (ivo chete vanoshanda kubhakitiriya sinusitis, kwete chirwere), zvinowanzopiwa zano kuti iwe unomirira uye uone kana zvirwere zvako zvichiramba zviri nani kwemazuva mashomanana kusati kwaitwa kurapwa.
Paunenge wakamirira, cherechedza kana zviratidzo zvako zvatanga uye kuti vakafambira mberi sei. Iyi ruzivo inobatsira chiremba wako kana iwe wapedza kutsvaga kuongorora.
Pasinei nevecheche, vana, kana vanhu vakuru, kutonhora kunofanira kuva nani pashure pevhiki. Utachiona hunogona kusanganisira zvivi uye kubudisa kusvibiswa kwemvura, kudzvinyirirwa kwechivi, uye kukwirira kwemvura kwemazuva gumi. Panguva iyoyo, chirwere chetachiona chetachiona chinofanira kuratidza kuvandudzwa.
Zvisinei, kana yave iri mazuva gumi uye zviratidzo zvisiri kuwedzera-kana zvakagadziridzwa, asi zvakanyanya kuipa (izvo zvinonzi kaviri kurwara) -hutachiona hwechibhakitiriya hunogona kunge hwakatanga.
Zvimwe zviratidzo zvinosanganisira kupfuurira kana kupisa fever; kurwadziwa kukuru kwechivi, kunyanya kune rumwe rutivi; uye kuratidza kusununguka kwemasal, kunyanya kune rumwe rutivi. Izvi zvinofanira kukukurudzira kudana chiremba wako kuti awane musangano wekuongorora uye kuongororwa.
Kana pane imwe nguva iwe uine zviratidzo zvakakomba, kusanganisira kuchinja mune zvawakaratidzwa, kuzvimba pameso kana pahuma, kuora musoro, kana kuvhiringidzika, unofanira kuona chiremba wako pakarepo.
Izvi zviratidzo zvakakomba kuti utachiona hunokonzerwa nebhakitiriya hunopararira.
Kuongorora
Sinus zvirwere zvinogona kuongororwa uye kurapwa nevana vako vevana kana kuti mukuru wekuchengeta vana. Kazhinji, zvirwere zve sinus zvinowanikwa chete pamararamiro emurwere uye kuongororwa kwechiremba.
Iva nechokwadi chekugoverana nezvose zvese zvawakatora zvinyorwa zve: apo utachiona hwako hwakatanga, zviratidzo zvipi zvawave uchiona, uye, kana wakambove nehutachiona, kana zvaitika uye kuti vakatora nguva yakareba sei kuti vagadzirise. Kuva nehutachiona hwechina kana kupfuura mukati megore kunotungamirira chiremba wako kuti aongorore zvinokonzera zvinhu zvinowedzera dambudziko rako. Itai chimwe chezvinhu zvinozivikanwa zvinokonzera njodzi , kusanganisira nhoroondo yemakumbo, chirwere cheputi, uye chero mamiriro ezvinhu angaderedza simba rako rekudzivirira zvirwere.
Kuongorora kwepanyama pachako kunogona kusanganisira kuongorora mukati memhino yako ne speculum uye flashlight. Chiremba wako achacherechedza paunonzwa kurwadziwa kana unyoro sezvo izvi zvinogona kureva kuti ndezvipi zvezvitadzo zvinosanganiswa. Chiremba wako achaonawo purulent drainage mumhino nehuro. Kutarisa mumhino kunogona kubatsira kuona kana pane imwe nyika, kunze kwepasumini, mapapiro, mapundu, kana nosebleed.
Labs uye Miedzo
Chiremba wako angasarudza kuedza zvimwe zviedzo, asi izvi hazviiti pane zvose.
Izvi zvinogona kusanganisira:
- Chimiro chemvura yakasviba inounganidza kuburikidza ne swab yemhino kana sinus
- Kuongorora ropa (erythrocyte sedimentation rate, CBC, C-reactive protein)
- Kuongororwa kwezveruzhinji, kunyanya kune chirwere chisingaperi chisingakanganisi kana kudzokorora zvirwere zve sinus
Kufungidzira uye Nzira
Kufungidzira kazhinji hazviiti muzviitiko zveacute sinusitis. Inonyanya kushandiswa kwechirwere sinusitis kana kuti sinusitis inogara ichidzoka kutarisa zvinokonzera zvikonzero. Zvinogonawo kuitika kana iwe une zviratidzo zvakakomba zvechirwere zvinoratidza kuti utachiona hunogona kupararira.
I-X-ray sinus yakarongwa inogona kuitwa kuti ione mvura inoshandiswa mumasitusi uye mumasango emapapiro.
A CT scan inopa maonero akazara nezvezvitadzo uye ikozvino yakasarudzwa. MISI haasati yashandiswa kushandiswa nekuti haasanisi mweya kubva pfupa.
Mune zvimwe zviitiko, chiremba achaita rhinoscopy (nasal endoscopy) kutarisa mumapapiro aya. Iwe unogona kutumirwa kune an ENT nyanzvi nekuda kweiyi nzira. Iyi endoscope yemapine ipurasitiki inopinza inowanikwa mumhino dzako kuti uone mavara ako uye zvivi. Iine chiedza, fiberoptic cable, uye lens yekuona. Inogona kuiswa kune vhidhiyo kamera kuitira kuti chiremba aone zvidhori pahwindo uye anyore kuongorora.
Kuita kuti iwe uwedzere kunetseka munguva yerinoscopy, iwe uchapiwa chironga chemainestant spray uye nzvimbo yekunyepedzera inoratidzira kuvhara mhino. Uyu muongorori unogona kushandiswa kutarisa mapepa emvura, imwe septum yakasvibiswa, turbinates yakawedzerwa, maronda, uye pus. Inogonawo kushandiswa kubvisa mishonga kuitira kuti chiremba wako awane chetachiona kana hwehutachiona.
Chiremba wako angada kujekesa chimiro chekutakura utachiona hwechi sinus, kunyanya mumamiriro ezvinhu ehutachiona husingapindi ma antibiotic kana kupararira. Ichi chiyeuchidzo chinowanikwa kuburikidza nekuputika kwepascopi kana kuti sinus kuputika kuitira kuti usasvibiswa nemaabhakitiriya anowanikwa mundima dzomumvura. Chigodo chinoshandiswa chinoshandiswa nokupedza nzvimbo yekunyura (kazhinji iri pasi pemhino kana mukati memuromo), kuisa nenyuchi, uye kubvisa aspirate.
Kusiyanisa Kuongorora
Chiremba wako achatanga kuda kuparadzanisa pakati pezvinokonzera zvirwere, utachiona, bhakitiriya, kana kuti zvinokonzera zviratidzo zvehutachiona hwechi sinus. Allergic rhinitis inowanzova nemvura yakachena yakajeka kwete pane yakasvibirira, yerozha kana kuti yakasvibirira mvura inowanikwa mubhakitiriya kana fungal sinusitis. Chiremba anogona kukutaurira kuongororwa kwemawere kana izvi zvichifungidzirwa. Kana iwe unonyanya kurwadziwa kwepamusoro uye nepamusoro wemusoro, chitubu chacho chinogona kunge chiri chekudzivirira pane kutora sinusitis. Kunewo mhaka, kunyanya muvana, yemuviri wokunze wakanamatira mumhino inokonzera kutuka.
Nguva yekumirira usati waporesa nemishonga inorwisa mabhakitiriya inobatsira chiremba kuti ave nechokwadi chokuti haasi kunyanya kupedza ma antibiotic, izvo zvisingakwanisi kugadzirisa chirwere chevirus sinusitis, allergenic rhinitis, kana mamwe maitiro asina kuvhiringidza anoporesa, uye zvinogona kutungamirira mukurwisana.
Kana zviratidzo zvinopfuurira kwemazuva anopfuura gumi uye kuongorora kunoratidza zviratidzo zvekubatana kwechivi, kana kuti iwe une fevha, chiremba anogona kupa mishonga inorwisa mabhakitiriya pamusana pekufungidzira kuti yakaoma bhakitiri sinusitis.
Acute sinusitis ichapedza mavhiki mana. Kana uchinge watora zviratidzo zvemasvondo gumi nemaviri, uchanzi chronic sinusitis. Izvi zvinogona kunge zvichikonzerwa nezvikonzero zvinosanganisira kushaya mishonga, zvinokonzera fungal sinusitis, fungal sinusitis, nhengo dzepasipera, zvirwere zvinouraya kana zvinosuruvarisa zvipembenene, zvinowedzera turbinates, kana septum yakatsauka.
> Sources:
> Acute Sinusitis. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/acute-sinusitis/basics/definition/con-20020609.
> Radojicic C. Sinusitis. Cleveland Clinic. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/.
> Sinusitis. MedlinePlus. http://www.nlm.nih.gov/medlineplus/ency/article/000647.htm.
> Soudry E, Nayak JV. Nasal Endoscopy. Rhinologic American Society. http://care.american-rhinologic.org/nasal_endoscopy.