Cerebrospinal Fluid Rhinorrhea
Munhu wose akawana mhepo inomhanya pane imwe nguva. Kazhinji kacho, mhino inoputika inokonzerwa neanergic rhinitis kana kuti inotonhora . Zvimwe zvinokonzera mhepo dzinomhanya zvinosanganisira gustatory rhinitis inokonzerwa nechitonhora kana kudya zvokudya zvinonaka, uye vasomotor rhinitis inokonzerwa nehasha dzinopisa dzakadai sekunhuhwirira kwakasimba kana kuchinja kwehupenyu. Izvi zvinowanzokonzera mhino inopisa inogona kupedza nguva pfupi, yakadai seyeya inotonhora, kana kupindura kurapwa nemishonga yekurapa, zvakadai semuromo antihistamines , nasal corticosteroid sprays , kana nasal anticholinergic sprays.
Vamwe vanhu vangave vaine runny nenge nguva dzose dzisingabvumi kune mhando ipi zvayo yekurapa mishonga - vanhu ava vanogona kunge vane chinhu chisingawanzozivikanwa chinonzi cerebrospinal fluid (CSF) rhinorrhea, inokonzerwa nekuputika kweuropi fluid kubva mumhino.
Zvinokonzera, Zviratidzo, uye Zviratidzo zveScf Rhinorrhea
CSF rhinorrhea chirwere chisingawanzoitiki chinogona kuitika mushure mekurwadziwa kwekurwa kwemweya, sechinhu chinokonzera sinus kana chirwere chepfungwa, kana sechikonzero chechirwere kana kuberekwa kwepabonde. Vanhu vane CSF rhinorrhea vangave vachinyunyutira nemhino inoputika iyo inowedzera nekuchinja panzvimbo (yakadai kusimuka) kana neValsalva kufamba (kusina kana kusimudza zvinhu zvakakomba). Mvura iri muCSF rhinorrhea inonda uye yakajeka, uye munhu akatarisana angaona kunakirwa kana kunyukwa kwakasviba kunokonzerwa nekuwedzera kweglucose uye electrolytes iri mune cerebrospinal fluid. Nzira yakarurama kupfuura dzose yekuona kuti CSF rhinorrhea ndiyo kuratidza kuvapo kwe beta-2 transferrin mumvura yakasununguka.
Kana munhu ane CSF rhinorrhea, zvakakosha kuti mamiriro acho akagadziriswa nokuti kune ngozi yakawedzerwa yekuvandudza bhakitiriya meningitis - iyo inoparadza upenyu hunopoteredza uropi. Mabhakitiriya anokwanisa kupararira kubva mukati memapapiro nemasitini kuburikidza nehuni muhuturo (mhuka inopoteredza uropi nemutsipa wepelinha) uye muchikomberedza chakakomberedza uropi, zvichiita kuti iite meningitis.
Vanhu vakagadzira zvinopfuura chikamu chimwe chebhakitiriya meningitis vanofanira kuongororwa kuti zvigoneke CSF rhinorrhea, uyewo kuongororwa kwekutanga kwemaunoda immunodeficiency nekliniki yemununologist .
Kuongororwa uye Kurapa kweCSF Rhinorrhea
Kana kamwe CSF rhinorrhea ichifungidzirwa kana yakasimbiswa nekuvapo kwe beta-2 transferrin, kunyura kunofanira kuwanikwa panzvimbo yechinangwa chokugadzirisa chirwere. Nzira dzakasiyana-siyana dzave dzichishandiswa pakuona maSCF rhinorrhea, kazhinji kuropi MRI , yakagadziriswa CT yeuropi , pamwe nekushandiswa kwe intrathecal fluorescein - iyo inosanganisira kuvhara dye mumvura inenge yakakomberedza rwonzi rwepelinha, uye kutsvaga dhayi iri mumvura yakasununguka. Kana imwe nzvimbo yeCSF iine nzvimbo, inogona kugadzirwa chirongedzo kuburikidza nemhando dzakasiyana-siyana. Kazhinji kacho, chikwata cheCSF chinogadziriswa kuburikidza nekusingaperi kwenzara uchishandisa ganda kana pfupa rekufukidzira kuvhara gomba.
Kunyange zvazvo CSF ​​rhinorrhea isiri iyo yakajairika, izvi zvinotaridzirwa zvinofanira kuonekwa mumunhu ane chirwere chisingaperi chine mhuno, pasina zvimwe zviratidzo zveanoric rhinitis, izvo hazvingapinduri nemishonga yemishonga. Chero ani zvake akave akadzokorora zvikamu zvebhakitiriya meningitis inofanirawo kuongororwa ne CSF rhinorrhea.
Kana iwe wakambova nemhino yemhino isina zviratidzo zvekunetseka, kana muromo unomhanya usina kuve nani kana nguva kana nemishonga yekurapa, bvunza chiremba wako kana iwe unogona kuva nechikwereti cheScF. Izvi zvingave zvakakosha zvakanyanya kudai iwe wakanga uchikuvadzwa musoro musati mhepo yakatanga, kana iwe wakatombotora chirwere cheminingitis.
Kunobva:
Kerr JT, Chu FWK, Bayles SW. Chirwere Chisina Kuchena Rhinorrhea: Kuongororwa uye Kutungamirirwa. Otolaryngol Clin N Am. 2005; 38: 597-611.