He aha nā Polyp Ihu? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO nā polyp ihu he mau ulu palupalu, ʻaʻohe ʻeha e ulu ana i loko o kou ihu a me kou mau sinuses. E noʻonoʻo iā lākou he mau puʻupuʻu liʻiliʻi, e like me nā hua waina, e hana ana i ka wā e pehu a ʻā aʻela ka papa o kou mau ala ihu ma ka manawa lōʻihi.

He maikaʻi loa kēia mau ulu, ʻo ia hoʻi, ʻaʻole lākou he kanesa. ulu mālie lākou a hiki ke ʻokoʻa ko lākou nui mai nā kiko liʻiliʻi a hiki i nā mea nui e hiki ke pani i kou hanu. ʻOiai hiki iā lākou ke hoʻonāukiuki i ka mālama ʻana, he mea maʻamau loa nā polyp ihu a maʻalahi loa ke mālama.

He aha nā hōʻailona o nā polyp ihu?

ʻO ka hōʻailona maʻamau loa āu e ʻike ai, ʻo ia ka pilikia o ka hanu ʻana ma o kou ihu, ʻoi aku hoʻi i ka wā e pani ʻia ai nā lua ihu ʻelua. Hana kēia no ka mea hiki i nā polyp ke pani hapa a piha paha i kou mau ala ihu.

Eia nā hōʻailona āu e ʻike ai, mai ka mea maʻamau loa a hiki i nā mea ʻaʻole pinepine:

• Ihu ʻāʻā ʻaʻole i hoʻomaikaʻi me nā decongestants
• ʻO ka ʻono a i ʻole ka ʻono i emi iho
• Ihu kahe me ka mānoanoa, kala ʻole mucus
• Manaʻo o ke kaomi a i ʻole ka piha i kou maka
• Nā poʻo ʻeha, ʻoi aku ma kou lae a me kou mau papalina
• Snoring a i ʻole ka hoʻopilikia ʻana i ka hiamoe
• Kūmau mau ka ʻōhū, ʻoi aku hoʻi i ka pō

ʻAʻole pinepine, ʻike kekahi poʻe i ka ʻeha o ka maka, ka ʻeha niho i ko lākou mau niho luna, a i ʻole ka manaʻo e like me ka mea i paʻa i ko lākou ʻāʻī. ulu mālie nā hōʻailona ma nā hebedoma a i ʻole nā mahina, no laila ʻaʻole paha ʻoe e ʻike koke iā lākou.

He aha nā ʻano o nā polyp ihu?

ʻO ka hapa nui o nā polyp ihu e komo i loko o ʻelua mau māhele nui ma muli o kahi i ulu ai lākou. Hiki i ka hoʻomaopopo ʻana i ke ʻano ke kōkua i kāu kauka e koho i ke ala mālama maikaʻi loa no ʻoe.

ʻO nā polyp ethmoidal ka ʻano maʻamau loa. Ulu lākou mai nā sinuses ethmoid, kahi i waena o kou ihu a me kou lolo. Hoʻopili pinepine kēia i nā ʻaoʻao ʻelua o kou ihu a pili pinepine ʻia i nā maʻi ʻaleʻale a i ʻole ka maʻi hanu.

ʻAʻole pinepine nā polyp Antrochoanal a ulu pinepine ma ka ʻaoʻao hoʻokahi o kou ihu. Hoʻomaka lākou i ka sinus maxillary (aia ma kou wahi papalina) a hiki ke ulu nui, i kekahi manawa e hoʻolōʻihi i kou ʻāʻī. ʻIke pinepine ʻia kēia i nā keiki a me nā ʻōpio.

He aha ka mea e hoʻokumu ai i nā polyp ihu?

E ulu nā polyp ihu i ka wā e hoʻomau ai ka papa o kou ihu a me nā sinuses no ka manawa lōʻihi. Hoʻokumu kēia mumū maʻi i ka pehu ʻana o ka ʻiʻo a hoʻokumu hope i kēia mau ulu palupalu, ʻāʻī.

Hiki i kekahi mau kūlana ke hoʻonāukiuki i kēia mumū mau:

• Sinusitis maʻi (mau maʻi sinus lōʻihi)
• Rhinitis ʻaleʻale (hay fever) mai ka pollen, nā mite lepo, a i ʻole ka huluhulu holoholona
• Asthma, ʻoi aku hoʻi i ka hui pū ʻia me ka maʻi aspirin
• Cystic fibrosis, kahi kūlana genetic e hoʻopilikia ana i ka hana ʻana o ka mucus
• Sinusitis fungal ʻaleʻale mai ka ʻōpala a i ʻole ka fungal exposure

ʻAʻole pinepine, hiki i kekahi mau kūlana genetic e like me ka Churg-Strauss syndrome a i ʻole nā maʻi sinus hou ke alakaʻi i ka hana ʻana o ka polyp. Hoʻomohala kekahi poʻe i nā polyp me ka ʻole o ke kumu maopopo, kahi i kapa ʻia e nā kauka he nā polyp ihu idiopathic.

I ka wā hea ʻoe e ʻike ai i ke kauka no nā polyp ihu?

Pono ʻoe e hoʻonohonoho i kahi hālāwai inā loaʻa iā ʻoe ka congestion ihu mau no kahi pule ma mua o ka hoʻomaikaʻi ʻole me nā lāʻau lapaʻau ma luna o ka counter. He mea nui loa kēia inā hoʻopilikia ka stuffiness i nā lua ihu ʻelua.

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe ua emi nui kou ʻono a i ʻole kou ʻono. Hiki i kēia mau loli ke hoʻopilikia maoli i kou ola a hiki ke hōʻike i ka hoʻopilikia ʻana o nā polyp i kāu hana ihu.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka ʻeha nui o ka maka, ke kuni kiʻekiʻe, nā loli ʻike koke, a i ʻole nā poʻo ʻeha koʻikoʻi. ʻOiai he mea maʻamau ʻole, hiki i kēia mau mea ke hōʻailona i ka maʻi sinus koʻikoʻi e pono ai ka mālama koke.

He aha nā pilikia o nā polyp ihu?

ʻOiai ʻaʻole weliweli nā polyp ihu iā lākou iho, hiki iā lākou ke alakaʻi i nā pilikia inā waiho ʻia me ka mālama ʻole. ʻO ka mea maikaʻi, hiki ke pale ʻia ka hapa nui o nā pilikia me ka mālama kūpono.

ʻO nā pilikia maʻamau āu e ʻike ai:

• Nā maʻi sinus hou ma muli o ka pani ʻana o ka wai
• Sleep apnea mai ka pani nui ʻana o ka ihu
• Nā nalowale mau o ka ʻala a i ʻole ka ʻono
• Hoʻopilikia ʻana o nā hōʻailona asthma

Hiki ke loaʻa nā pilikia koʻikoʻi ʻaʻole pinepine inā ulu nui nā polyp a i ʻole ke pālahalaha ʻana o nā maʻi. Hiki i kēia ke komo pū me nā pilikia ʻike inā hiki i ka maʻi ke hiki i ka wahi a puni kou mau maka, a i nā hihia maʻamau ʻole loa, nā maʻi lolo. Eia nō naʻe, he mea maʻamau ʻole kēia mau pilikia koʻikoʻi me ka mālama lapaʻau hou.

Pehea e pale aku ai i nā polyp ihu?

ʻOiai ʻaʻole hiki iā ʻoe ke pale mau i nā polyp ihu, ʻoi aku hoʻi inā loaʻa iā ʻoe nā pilikia genetic, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i ka mumū maʻi i kou mau ala ihu. ʻO ka mālama ʻana i nā kūlana maʻi kou pale maikaʻi loa.

E mālama pono i kou mau maʻi ʻaleʻale me nā antihistamines a i ʻole nā mea pīpī ihu e like me ka ʻōlelo a kāu kauka. Hiki i ka hoʻohana mau ʻana i ka humidifier ke kōkua i ka mālama ʻana i kou mau ala ihu a emi iho ka huhū.

E hoʻomaʻamaʻa i ka mālama ihu maikaʻi ma ka hoʻohana ʻana i nā rinses saline, ʻoi aku hoʻi i ka wā o ka wā ʻaleʻale a i ʻole i ka wā e loaʻa ai iā ʻoe ka anu. E pale i nā mea ʻaleʻale i ʻike ʻia i ka hiki, a mai puhi a hōʻike iā ʻoe i ka uahi puhi lua, no ka mea hiki i kēia ke hoʻopilikia i ka mumū ihu.

Pehea e ʻike ʻia ai nā polyp ihu?

Hiki i kāu kauka ke ʻike pinepine i nā polyp ihu i ka wā o ka nānā kino maʻalahi me kahi mea uila kukui i kapa ʻia he nasal speculum. E nānā lākou i loko o kou mau lua ihu e nānā i nā ulu e like me nā hua waina.

Inā liʻiliʻi nā polyp a aia i loko o kou mau sinuses, hiki i kāu kauka ke hoʻohana i kahi tube lahilahi, flexible me kahi kāmela i kapa ʻia he nasal endoscope. ʻAe kēia iā lākou e ʻike i nā wahi ʻaʻole ʻike ʻia i ka wā o ka nānā maʻamau.

I kekahi manawa, he mea kōkua nā hoʻokolohua hou aʻe. Hiki i kahi CT scan ke hōʻike i ka nui a me kahi o nā polyp, ʻoi aku hoʻi inā manaʻo ʻia ka ʻoki kino. Hiki ke ʻōlelo ʻia ka hoʻokolohua ʻaleʻale e ʻike i nā mea hoʻonāukiuki, a i kekahi manawa, lawe ʻia kahi ʻāpana ʻiʻo liʻiliʻi e kāpae i nā kūlana ʻē aʻe.

He aha ka lapaʻau no nā polyp ihu?

Hoʻomaka pinepine ka lapaʻau me nā lāʻau lapaʻau e hoʻemi i ka mumū a hoʻemi i nā polyp. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi ʻana i loko o kekahi mau pule o ka hoʻomaka ʻana o ka lapaʻau.

E hoʻomaka paha kāu kauka me nā mea pīpī corticosteroid ihu, ʻo ia ka lapaʻau mua maikaʻi loa. Hana kēia ma ka hoʻemi ʻana i ka mumū pololei i kou mau ala ihu. ʻO nā koho maʻamau e komo pū me ka fluticasone, mometasone, a i ʻole budesonide.

Inā ʻaʻole lawa nā mea pīpī ihu wale nō, hiki ke kuhikuhi ʻia nā corticosteroids waha e like me ka prednisone no ka manawa pōkole. Hiki i kēia ke hoʻemi nui i nā polyp akā hoʻohana ʻia no kekahi mau pule wale nō ma muli o nā hopena ʻaoʻao.

No nā hihia koʻikoʻi a i ʻole i ka wā e hoʻi hou ai nā polyp, hiki ke ʻōlelo ʻia ka ʻoki kino. ʻO ka ʻoki kino sinus endoscopic he mea liʻiliʻi loa ia a wehe i nā polyp ʻoiai e hoʻomaikaʻi ana i ka wai o ka sinus. Hoʻōla maikaʻi ka hapa nui o nā kānaka a ʻike i ka hoʻomaikaʻi nui ʻana o nā hōʻailona.

Pehea ʻoe e mālama ai i nā polyp ihu ma ka home?

Hiki i ka mālama home ke hoʻokō i kāu mālama lapaʻau a kōkua i ka pale ʻana i nā polyp mai ka hoʻi ʻana. He mea kōkua loa nā saline nasal rinses no ka mālama ʻana i kou mau ala ihu maʻemaʻe a pulu.

E hoʻohana i kahi neti pot a i ʻole saline spray i nā manawa he nui i kēlā me kēia lā, ʻoi aku hoʻi ma hope o ka hōʻike ʻia ʻana i nā mea ʻaleʻale a i ʻole nā mea hoʻonāukiuki. E hōʻoia e hoʻohana i ka wai distilled a i ʻole ka wai i hoʻolapalapa mua ʻia e pale aku i ka hoʻokomo ʻana i nā bacteria.

E mālama i kou wahi home e like me ka mea ʻaleʻale maikaʻi e like me ka hiki. E hoʻohana i nā mea hoʻomaʻemaʻe ea, holoi i nā moe i ka wai wela i kēlā me kēia pule, a mālama i nā pae pulu ma waena o 30-50%. E pale i nā mea ʻala ikaika, nā mea hoʻomaʻemaʻe, a me ka uahi sigareta e hiki ke hoʻonāukiuki i kou mau ala ihu.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu kipa, e kākau i kāu mau hōʻailona a pau a me ka manawa i hoʻomaka ai lākou. E hoʻomaopopo i ka mea e hoʻomaikaʻi ai a i ʻole ka hoʻopilikia ʻana iā lākou, a e papa inoa i nā lāʻau āu e lawe nei i kēia manawa, me nā lāʻau lapaʻau ma luna o ka counter.

E lawe mai i kahi papa inoa o kāu mau maʻi ʻaleʻale i ʻike ʻia a me kekahi mōʻaukala ʻohana o nā polyp ihu, asthma, a i ʻole nā pilikia sinus maʻi. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo i kāu mau pilikia a koho i ke ala mālama maikaʻi loa.

E hoʻomākaukau i nā nīnau e pili ana i nā koho mālama, nā hopena ʻaoʻao, a me ka mea e manaʻo ai i ka wā hoʻōla inā kūkākūkā ʻia ka ʻoki kino. Mai kānalua e noi i ka wehewehe ʻana i kekahi mea āu ʻaʻole i hoʻomaopopo.

He aha ka mea nui e pili ana i nā polyp ihu?

ʻO nā polyp ihu he mau ulu maʻamau, maikaʻi ʻole e hiki ke hoʻopilikia nui i kou hanu a me kou ola, akā he mea maʻalahi loa ke mālama. Me ka mālama lapaʻau kūpono, ʻike ka hapa nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona.

ʻO ke kī i ka mālama holomua, ʻo ia ka hana pū ʻana me kāu mea mālama ola e hoʻoponopono i nā polyp iā lākou iho a me nā kūlana maʻi e kōkua ana i ka mumū maʻi. ʻO ka mālama mua pinepine ke alakaʻi i nā hopena maikaʻi a hiki ke pale aku i nā pilikia.

E hoʻomanaʻo he kaʻina hana mau ka mālama ʻana i nā polyp ihu ma mua o ka hoʻoponopono hoʻokahi. Me ka hui kūpono o ka mālama lapaʻau a me ka mālama home, hiki iā ʻoe ke hanu maʻalahi a hauʻoli i ka olakino ihu maikaʻi.

Nā nīnau pinepine e pili ana i nā polyp ihu

Hiki i nā polyp ihu ke lilo i kanesa?

ʻAʻole, ʻo nā polyp ihu he mau ulu maikaʻi a ʻaʻole lilo i kanesa. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ulu maʻamau ʻole e like ʻole me nā polyp maʻamau, hiki i kāu kauka ke ʻōlelo i kahi biopsy e kāpae i nā kūlana ʻē aʻe. He mea maikaʻi mau nā polyp ihu maoli.

E hele aku anei nā polyp ihu ma o lākou iho?

ʻAʻole pinepine nā polyp ihu e nalowale me ka ʻole o ka mālama. ʻOiai hiki i nā polyp liʻiliʻi ke emi iki i ka wā e hoʻomalu maikaʻi ʻia ai kou mumū maʻi, pono ka hapa nui i ka hoʻopili ʻana i ka lapaʻau e hoʻomaikaʻi i nā hōʻailona. He mea maikaʻi loa ka mālama mua me nā mea pīpī ihu.

Pehea ka lōʻihi o ka hana ʻana o ka mālama polyp ihu?

ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi ʻana i loko o 2-4 mau pule o ka hoʻomaka ʻana o nā mea pīpī corticosteroid ihu. Eia nō naʻe, hiki ke lawe i 2-3 mau mahina e ʻike i ka pono piha. Hana wikiwiki nā steroids waha, hāʻawi pinepine i ka hoʻomaha i loko o nā lā, akā hoʻohana ʻia lākou no ka manawa pōkole ma muli o nā hopena ʻaoʻao.

Hiki i nā keiki ke loaʻa nā polyp ihu?

ʻAʻole maʻamau nā polyp ihu i nā keiki ma lalo o 10 mau makahiki. I ka wā e loaʻa ai lākou i nā keiki, hoʻokolohua pinepine nā kauka no ka cystic fibrosis ʻoiai hiki i nā polyp ke lilo i hōʻailona mua o kēia kūlana. Inā loaʻa i kāu keiki ka congestion ihu mau, ʻoi aku ka nui ma muli o nā maʻi ʻaleʻale a i ʻole nā adenoids nui.

He ʻeha anei ka ʻoki kino no nā polyp ihu?

ʻAʻole pinepine ka ʻeha o ka ʻoki kino sinus endoscopic hou. Wehewehe ka hapa nui o nā kānaka i ka ʻoluʻolu iki ma mua o ka ʻeha nui. E hāʻawi kāu kauka i ka lāʻau ʻeha, a hoʻi hou ka nui o nā mea maʻi i nā hana maʻamau i loko o hoʻokahi pule. ʻOi aku ka nui o nā pono lōʻihi o ka hanu maikaʻi ma mua o ka ʻoluʻolu pōkole.