Nasal polyps ndeyekukura kunokonzerwa nekuputika mumuchere membrane mune zve sinus uye pamapapiro. Vanogona kupfuurira kusvika kumumvuri wemhino, kana kusvika pasi kusvika kumutsipa uye vanogona kuvhiringidza ndima dzemapapiro.
Nasal polyps inowanzobatanidzwa kune dzimwe zvirwere zvisingaperi uye inogara kwenguva refu. Vanokwanisa kunyange kukura shure kwekurapa kwechiremba kana kubviswa kushandiswa.
Zvirwere Zvishamwari Na Nasal Polyps
Nasal polyps inogona kuitika pamwe chete nezvimwe zvirwere zvakawanda zvekufema, zvakadai severgenic rhinitis , chronic sinusitis (nemhaka yezvirwere zvebhakitiriya uye fungal), chirwere cheputi , uye aspirin zvirwere . Zvinoratidzika kuti mapapiro emapapiro anowanzoonekwa kune vanhu vasina-allergenic rhinitis uye isiri-allergenic asthma, panzvimbo yeiriniki yemhando dzemamiriro aya.
Nasal polyps inogonawo kuva chiratidzo chezvirwere zve immunodeficiency. Semuenzaniso, manical polyps muvana anogona kuva chiratidzo che cystic fibrosis. Zvimwe zvirwere zvisingatauriki, zvakadai sokutanga ciliary dyskinesia, Churg-Strauss syndrome, kusarudzwa kweAgA, uye zvinowanzosiyana zvirwere zvinokonzerwa nekudzivirira muviri (CVID), zvinogona kusanganiswa neanal polyps, zvakare.
Pasi pose, mapapiro emaspine haawanzoitiki, anowanikwa ne4% chete yevanhu. Zvisinei, nhamba iyi yakakwirira zvikuru kune vanhu vane dzimwe zvirwere, zvakadai sezvinoratidzwa pamusoro apa.
Zviratidzo nezviratidzo zveNasal Polyps
Ruzhinji rwevanhu vane nhengo dzepaspipu dzichava nekusanganiswa kwemasese, izvo zvingangove zvakanyanya, izvo hazvibatsirwi nemitoo inowanzoitwa nemishonga.
Zvimwe zviratidzo zvinowanzosanganisira:
- Runny mhuno nemukati wakajeka kana mavara
- Kurasikirwa kana kuderera kwekunzwa kunhuhwira uye kuravira
- Headache
- Sinus pressure
Zvisinei, kurwadziwa kwepiso kunonyanya kuonekwa kune vanhu vane chisingagumi sinusitis vachienzaniswa nevaya vane mapepa emasasa.
Munhu ane mapuropa akaoma anokwanisa kunyatsoona mazamu mumhino dzawo anotaridzika semagetsi ejekesa Jello-O.
Nguva yakareba-yakasviba yemapurasitiki inogona kutungamirira pakuwedzera kwebhiriji remvura, izvo zvingaguma maziso achiita kunge ari kure.
Nayo Nasal Polyps Inozivikanwa Sei?
Mune mamwe mamiriro ezvinhu, chiremba anokwanisa kuita nharo yemapuropipu kuongorora kuburikidza nekuongorora ndima dzomumvura. Izvi zvinogona kusanganisira kumiswa kwepineko, iyo inosanganisira kuisa kamera kadiki mumhino kuti uone kutarisisa kwemavara emumvuri. Zvimwe zvinowanzoitika, asi, CT ("cat scan") yezvitema inodiwa kuti iongororwe.
Kubva pane dzimwe zvirwere zvinowanzovapo apo munhu ane mapuropa emapfupa, zvinowedzera kuongororwa zvinogona kudiwa.
Nhamba yeNayal Polyps Inobatwa Sei?
Nasal polyps inogona kurapwa nemishonga yose yekuvhiya uye yezvechiremba. Muzviitiko zvakakomba, kuvhiyiwa kwechivi kunowanzotarisirwa kuti abvise mapapiro emvura uye chero hutachiona hwechi sinus . Zvisinei, sezvo puraspips dzinowanzokura zvakare mune imwe chetatu yevarwere, kunyanya kushandiswa kwekuvhiya kunofanira kudziviswa.
Iyo yakanakisisa kurapwa kwemaspalpine inosanganisa inosanganisira kushandiswa kwemishonga yekuvhiya inoteverwa nemishonga yerapa, sezvo nzira iyi inobatsira kuderedza mukana wekuti mapepa acho achakura zvakare.
- Nasal Steroid Sprays nemadonho
Nyaya dzepamusoro dzakasvibiswa steroid sprays , dzakadai saFlonase (fluticasone propionate) uye Nasonex (mometasone furoate), inogona kubatsira kuderedza ukuru hwemapapiro emvura uye kudzivirira mapuropa kubva pakukura shure mushure mekuvhiyiwa. Vamwe vanachiremba vanoshandisa nasal steroid madonhwe, panzvimbo pematafura, kuitira kuti zvive nani kupinda mumapapiro emvura uye kusvika kumapurasitiki.
- Corticosteroids
Oral corticosteroids , yakadai sa prednisone, inogona kukurumidza kukurumidza kusimba ukuru hwemapapiro emvura uye inobatsira kune vanhu vane zviratidzo zvakakomba. Pashure penguva pfupi ye corticosteroids (anenge masvondo 1 kusvika ku2), zvisinei, zvinyorwa zvepicheni nasal steroid zvinokwanisa kudzora zviratidzo zviri nani uye kudzivirira mapuropa ekukura achikura.
Mune zvimwe zviitiko, zvakadai sekuti fungal sinusitis ndeipi iyo inokonzera manal polyps, chirwere chakanyanya muromo corticosteroids chinogona kudikanwa kwevhiki kusvikira mwedzi mushure mekuvhiyiwa kuitira kudzivirira mapuropa kubva pakukura.
- Antileukotriene Mishonga
Mishonga yemukanwa antileukotriene, yakadai sa Singulair (montelukast), inobatsira zvikuru kune vanhu vane mapapiro emaspine - kunyanya avo vane aspirin allergies. Vanhu vane aspirin allergies vanozivikanwa kuti vane mazinga eukodrien , saka mishonga inodzivisa izvi makemikirwo inofanira kubatsira kuderedza zviratidzo zvechirwere chisingaperi chechivi uye mapurogiramu akaumbwa.
- Nasal Saline Irrigation
Nerial saline irrigation inogona kubatsira zvikuru kune vanhu vane nhengo dzepaspine uye dzisina kukwana mawere. Izvi zvinonyanya kukosha kune avo vakave nekuvhiyiwa kwechivi, sezvo saline inogona kusunungura zvitadzo kwete kungoita mapapiro.
- Allergy Shots
Vazhinji vese allergists vanogona kushandisa zvirwere zvese zvinoshandiswa mukuedza kurapa kana kudzivirira mapuropa emvura kubva pakukura shure mushure mekuvhiyiwa. Nyaya yakanakisisa yekushandiswa kwezvinonzi allergy shots ndeyevaya vane allergenic fungal sinusitis; kushanda kwemazuva ose kunogona kubatsirawo mune avo vane mapuropa emvura uye uchapupu hwehukuru hunokonzerwa nezvinokonzera.
Sources:
> Bachert C, van Cauwenberge P. Nasal Polyps uye Sinusitis. Mu: Adkinson NF, Yunginger JW, Busse WW, et al, eds. Middleton's Allergy, Principles and Practice. 6th ed. Philadelphia: Mosby; 2003: 1421-36.
> Pawankar R. Nasal Polyposis: An Update. Curr Opin Allergy Clin Immunol. 2003; 3 (1): 1-6.
> Scadding GK. Kufananidza kweMishonga uye Kuvhiyiwa Kuchengetedzwa kweNasal Polyposis. Mhirizhonga Yemazuva Ano uye Nyaya dzeAsafu. 2002; 2: 494-9.