Izipolyps Zesifundeni: Izimpawu, Izimbangela, Nokwelapha

Izipolyps zesifundeni yizikhula ezithambile, ezingabuli mali ezikhula ngaphakathi ekhaleni lakho lesifunda. Cabanga ngazo njengezicucu ezincane, ezifana neqanda elikhula lapho ukugqwala kwesikhumba sezingxenye zakho zesifunda kuqhuma futhi kuqale ukuvuvukala isikhathi eside.

Lezi zikhula azinawo ubuthi, okusho ukuthi azinawo umdlavuza. Zikhula kancane kancane futhi zingaba khulu kusuka ezincane kuya ezinkulu ezingase zivikele ukuqeda kwakho. Nakuba zingase zibe nzima ukubhekana nazo, izipolyps zesifundeni zivame kakhulu futhi zilapheka kakhulu.

Ziyini izimpawu zezipolyps zesifundeni?

Uphawu oluvamile kakhulu ongalubona ukungakwazi ukuqeda ngekhala lakho, ikakhulukazi uma kokubili ama-nostril azizwa evaliwe. Lokhu kwenzeka ngoba izipolyps zingase zivaliwe ngokuphelele noma ngokuphelele izindlela zakho zesifunda.

Nawa ama-symptom ongawahlangabezana nawo, kusuka kwavamile kuya kwabambalwa:

• Ikhala elivaliwe elingathuthuki ngama-decongestants
• Ukuncipha komuzwa wokunuka noma ukunambitha
• Ikhala eligeleza nge-mucus ebukhulu, enombala
• Ukuzizwa kokucindezela noma ukugcwaliswa ebusweni bakho
• Izinhlungu zikhanda, ikakhulukazi ezingqondweni nasemahlombe
• Ukukhwama noma ukuphazamiseka kokulala
• Ukuhlanza okuqhubekayo, ikakhulukazi ebusuku

Ngokungavamile, abanye abantu bahlangabezana nobuhlungu ebusweni, ubuhlungu bamazinyo emazinyweni abo aphezulu, noma ukuzizwa sengathi kukhona okuvalekile ehlombe labo. Izimpawu zivame ukuqala kancane kancane ezinyangeni noma ezinyangeni ezimbalwa, ngakho ungase ungaziboni ngokushesha.

Ziyini izinhlobo zezipolyps zesifundeni?

Izipolyps zesifundeni eziningi zifaka izigaba ezimbili eziyinhloko ngokusekelwe lapho zikhula khona. Ukuqonda uhlobo kungasiza udokotela wakho ukukhetha indlela yokwelapha engcono kuwe.

Izipolyps ze-Ethmoidal yilona hlobo oluvamile. Zikhula kusuka e-ethmoid sinuses, ezikhona phakathi kwekhala lakho nobuchopho. Lezi zivame ukuphazamisa kokubili izinhlangothi zekhala lakho futhi zivame ukuxhumana nezifo zokuxhaphaza noma i-asthma.

Izipolyps ze-Antrochoanal azivamile futhi zivame ukuqala ngecala elilodwa lekhala lakho. Ziqala e-maxillary sinus (ekhona endaweni yobuso bakho) futhi zingakhula kakhulu, ngezinye izikhathi zifinyelela ehlombe lakho. Lezi zibonakala kakhulu kubantwana nabantu abadala abasebancane.

Yini ebangela izipolyps zesifundeni?

Izipolyps zesifundeni zikhula lapho ukugqwala kwekhala lakho lesifunda nokusuka kuhlala kuqhuma isikhathi eside. Lokhu kuqhuma okuqhubekayo kubangela ukuthi isikhumba siqale ukuvuvukala futhi ekugcineni sikhiqize lezi zikhula ezithambile, eziqondile.

Izimo eziningi zingase zibangele lokhu kuqhuma okuqhubekayo:

• I-sinusitis ehlala njalo (izifo zesifunda ezihlala njalo)
• I-rhinitis yokuxhaphaza (i-hay fever) evela e-pollen, ama-dust mites, noma i-dander yesilwane
• I-Asthma, ikakhulukazi uma ihlangene nokuqabuka kwe-aspirin
• I-Cystic fibrosis, isifo sokuzalwa esithinta ukukhiqizwa kwe-mucus
• I-Allergic fungal sinusitis evela e-mold noma ekudaleni okungalungile

Ngokungavamile, izimo ezithile zofuzo ezinjenge-Churg-Strauss syndrome noma izifo zesifunda eziphindaphindayo zingabangela ukwakheka kwezipolyps. Abanye abantu baqala izipolyps ngaphandle kwesizathu esicacile, abaguli ababiza ngokuthi izipolyps zesifundeni ze-idiopathic.

Kufanele ubone nini udokotela ngezipolyps zesifundeni?

Kufanele uhlele i-aphoyintimenti uma unekhala elivaliwe isikhathi esingaphezu kweviki elingathuthuki ngezinhlanganisela ezingaphezu kwekhauntari. Lokhu kubaluleke kakhulu uma ukungakwazi ukuqeda kuchaphazela kokubili ama-nostril.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ukuthi umuzwa wakho wokunuka noma ukunambitha uyancipha kakhulu. Lezi zinguquko zingase zichaphazele ikhwalithi yakho yokuphila futhi zingase zibonise ukuthi izipolyps ziyavimba umsebenzi wekhala lakho.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nezimpawu ezinkulu ezinjengobuningi ebusweni, ubushushu obukhulu, ukuguquka kokubona okungazelelwe, noma izinhlungu zikhanda ezinkulu. Nakuba kungavamile, lokhu kungase kubonise ukutheleleka okukhulu kwesifunda okudinga ukwelashwa ngokushesha.

Ziyini izinto ezingase zikwenze ube sengozini yezipolyps zesifundeni?

Izinto ezithile zingase zikwenze ube sengozini enkulu yokuthola izipolyps zesifundeni, nakuba ukuba nalezi zinto akusho ukuthi uzithola. Ukuqonda ingozi yakho kungakusiza ukuthi uthathe izinyathelo zokuvimbela.

Izinto eziyinhloko ezingase zikwenze ube sengozini yilezi:

• Ukuba ne-asthma, ikakhulukazi uma uphinde uqabukeke yi-aspirin
• Izifo zesifunda ezivame noma i-sinusitis ehlala njalo
• Izifo zokuxhaphaza zesizini noma unyaka wonke
• Umlando womndeni wezipolyps zesifundeni
• I-Cystic fibrosis
• Ukuba phakathi kweminyaka engama-40 nama-60

Amadoda avame ukuba nezipolyps zesifundeni kuneabesifazane. Ngaphezu kwalokho, uma une-condition ebizwa ngokuthi i-aspirin-exacerbated respiratory disease, ingozi yakho iyanda kakhulu.

Ziyini izinhlanganisela ezingase zenzeke ngezipolyps zesifundeni?

Nakuba izipolyps zesifundeni ngokwazo zingabi yingozi, zingabangela izinhlanganisela uma zingalashwa. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka ngokwelashwa okuqondile.

Izinhlanganisela ezivamile ongazihlangabezana nazo zifaka:

• Izifo zesifunda eziphindaphindayo ngenxa yokungakwazi ukuqeda
• I-Sleep apnea evela ekungakwazi ukuqeda okukhulu
• Ukulahlekelwa okungapheli komuzwa wokunuka noma ukunambitha
• Ukubi kakhulu kwezimpawu ze-asthma

Izinhlanganisela ezingavamile kodwa ezingathi sína zingase zenzeke uma izipolyps zikhula kakhulu noma uma ukutheleleka kukhula. Lokhu kungase kufaka izinkinga zokubona uma ukutheleleka kufinyelela endaweni eseduze nemihlobiso yakho, noma ezimweni ezingavamile kakhulu, ukutheleleka kobuchopho. Noma kunjalo, lezi zinhlanganisela ezinkulu azivamile ngenxa yokunakekelwa kwezokwelapha kwamanje.

Izipolyps zesifundeni zingavikeleka kanjani?

Nakuba ungakwazi ukugwema izipolyps zesifundeni, ikakhulukazi uma unezinto ezingase zikwenze ube sengozini, ungathatha izinyathelo zokunciphisa ukuqhuma okuqhubekayo ezingxenyeni zakho zesifunda. Ukuphatha izimo eziyinhloko yilona thuluzi lakho elihle kakhulu.

Gcina izifo zakho zokuxhaphaza zilawulwa kahle ngama-antihistamines noma ama-sprays ekhala njengoba kunconywe udokotela wakho. Ukusebenzisa i-humidifier njalo kungasiza ukugcina izindlela zakho zesifunda zimanzi futhi zingathandeki ukucasuka.

Yenza ukuhlanzeka okuhle kwekhala ngokusebenzisa ama-saline rinses, ikakhulukazi ngesikhathi sesizini yokuxhaphaza noma uma une-cold. Gwema izinto ezibangela ukuxhaphaza uma kungenzeka, futhi ungabhemi noma ungazivezi emukeni wokubhema, njengoba lokhu kungase kwenze ukuqhuma kwekhala lakho kube kubi kakhulu.

Izipolyps zesifundeni zitholakala kanjani?

Udokotela wakho uhlale ehlangabezana nezipolyps zesifundeni ngokuhlola okulula komzimba usebenzisa ithuluzi elikhanyayo elibizwa nge-nasal speculum. Uzobheka ngaphakathi kwama-nostril akho ukuhlola ukukhula okuvamile kweqanda.

Uma izipolyps zincane noma zikhona ezinzwaneni zakho zesifunda, udokotela wakho angase asebenzise i-tube encane, egubekile enenkamera ebizwa nge-nasal endoscope. Lokhu kuyamvumela ukuba abone izindawo ezingabonakali ngesikhathi sokuhlola okuvamile.

Ngezinye izikhathi ukuhlolwa okwengeziwe kuwusizo. I-CT scan ingabonisa usayizi kanye nendawo eyiqiniso yezipolyps, ikakhulukazi uma kucatshangelwa ukuhlinzwa. Ukuhlolwa kokuxhaphaza kungase kunconywe ukuthola izinto ezibangela ukuxhaphaza, futhi ngezinye izikhathi, i-tissue sample encane ithathwa ukuqeda ezinye izimo.

Yikuphi ukwelashwa kwezipolyps zesifundeni?

Ukwelashwa kuvame ukuqala ngemithi yokunciphisa ukuqhuma nokuncipha kwezipolyps. Abantu abaningi babona ukuthuthuka ezinyangeni ezimbalwa zokuqala ukwelashwa.

Udokotela wakho uzokuqala ngama-nasal corticosteroid sprays, okuyona ukwelashwa okuphumelelayo kakhulu. Lokhu kusebenza ngokunciphisa ukuqhuma ngqo ezingxenyeni zakho zesifunda. Izinketho ezivamile zifaka i-fluticasone, i-mometasone, noma i-budesonide.

Uma ama-sprays ekhala ayanele, ama-corticosteroids omdlavuza njenge-prednisone angase anconywe isikhathi esifushane. Lokhu kungase kunciphise izipolyps kodwa kuvame ukusetshenziswa izinyanga ezimbalwa ngenxa yezinto ezingase zenzeke.

Ezimeni ezinkulu noma lapho izipolyps ziphinde zibuyele, ukuhlinzwa kungase kunconywe. Ukuhlinzwa kwe-sinus kwe-Endoscopic kuncane futhi kususa izipolyps ngenkathi kuthuthukisa ukuqeda kwesifunda. Abantu abaningi bayaphila futhi bahlangabezana nokuthuthuka okukhulu kwezimpawu.

Ungaphatha kanjani izipolyps zesifundeni ekhaya?

Ukukhathalela ekhaya kungase kusize ukwelashwa kwakho kwezokwelapha futhi kusize ukuvimbela izipolyps ekuphindeni. Ama-saline nasal rinses awusizo kakhulu ekugcineni izindlela zakho zesifunda zihlanzekile futhi zimanzi.

Sebenzisa i-neti pot noma i-saline spray izikhathi eziningi ngosuku, ikakhulukazi ngemuva kokuba uvezwe ezintweni ezibangela ukuxhaphaza noma izinto ezicasulayo. Qiniseka ukuthi usebenzisa amanzi ahlanzekile noma amanzi abilisiwe ngaphambili ukuze ugweme ukufaka ama-bacteria.

Gcina indawo yakho yasekhaya ibe yindawo engathandeki ukuxhaphaza. Sebenzisa ama-air purifiers, geza izinto zokulala emanzini ashisayo masonto onke, futhi ugcine amazinga okuncipha phakathi kwama-30-50%. Gwema izinto ezinuka kakhulu, izinto zokuhlanza, nokubhema okuthinta izindlela zakho zesifunda.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ngaphambi kokuya kwakho, bhala zonke izimpawu zakho nokuthi zaqala nini. Qaphela ukuthi yini eyenza zibe ngcono noma zibe zimbi, futhi ubhale noma iyiphi imithi oyithatha njengamanje, kufaka phakathi izinto zokwelapha ezingaphezu kwekhauntari.

Letha uhlu lwezinto ozixhaphazayo kanye nanoma yimuphi umlando womndeni wezipolyps zesifundeni, i-asthma, noma izinkinga zesifunda ezihlala njalo. Lolu lwazi lusiza udokotela wakho ukuqonda izinto ezingase zikwenze ube sengozini futhi ukhethe indlela yokwelapha engcono.

Lungiselela imibuzo mayelana nezinketho zokwelapha, izinto ezingase zenzeke, nokuthi yini okulindelekile ngesikhathi sokuphulukana uma ukuhlinzwa kuchazwa. Unganqikazi ukucela incazelo kunoma yini ongayiqondi.

Iyini into ebaluleke kakhulu mayelana nezipolyps zesifundeni?

Izipolyps zesifundeni yizikhula ezivamile, ezingabuli mali ezingase zichaphazele kakhulu ukuqeda kwakho nekhalithi yakho yokuphila, kodwa zilapheka kakhulu. Ngokunakekelwa okuqondile kwezokwelapha, abantu abaningi bahlangabezana nokuthuthuka okukhulu kwezimpawu zabo.

Ukuthola ukwelashwa okuphumelelayo ukusebenzisana nodokotela wakho ukuqondisa kokubili izipolyps ngokwazo kanye nanoma yiziphi izimo eziyinhloko ezibangela ukuqhuma okuqhubekayo. Ukwelashwa okusheshayo kuvame ukuletha imiphumela emihle futhi kungavimbela izinhlanganisela.

Khumbula ukuthi ukuphatha izipolyps zesifundeni kuvame ukuba inqubo eqhubekayo kunokuba yilokho okwenzeka kanye. Ngokusebenzisana okuqondile kokwelashwa kwezokwelapha nokukhathalela ekhaya, ungaqeda kalula futhi ujabulele impilo enhle yekhala.

Imibuzo evamile mayelana nezipolyps zesifundeni

Ingabe izipolyps zesifundeni zingase zibe umdlavuza?

Cha, izipolyps zesifundeni yizikhula ezingabuli mali futhi aziguquki zibe umdlavuza. Noma kunjalo, uma unezimpawu ezingavamile noma ukukhula okubonakala kuhlukile kwezipolyps ezivamile, udokotela wakho angase ancome i-biopsy ukuqeda ezinye izimo. Izipolyps zesifundeni zihlala zingabuli mali.

Ingabe izipolyps zesifundeni ziyanyamalala zodwa?

Izipolyps zesifundeni azinyamali ngaphandle kokwelashwa. Nakuba izipolyps ezincane zingase zinciphe ngezikhathi lapho ukuqhuma okuyinhloko kulawulwa kahle, eziningi zidinga ukwelashwa kwezokwelapha ukuthuthukisa izimpawu. Ukwelashwa okusheshayo ngama-sprays ekhala kuvame ukuba nomphumela omuhle.

Kuthatha isikhathi esingakanani ukwelashwa kwezipolyps zesifundeni ukusebenza?

Abantu abaningi baqaphela ukuthuthuka okuthile ezinyangeni ezingu-2-4 zokuqala ukusebenzisa ama-nasal corticosteroid sprays. Noma kunjalo, kungathatha izinyanga ezingu-2-3 ukubona inzuzo ephelele. Ama-steroids omdlavuza asebenza ngokushesha, ngokuvamile anikeza impumuzo ezinsukwini ezimbalwa, kodwa avame ukusetshenziswa isikhathi esifushane ngenxa yezinto ezingase zenzeke.

Ingabe abantwana bangathola izipolyps zesifundeni?

Izipolyps zesifundeni azivamile kubantwana abaneminyaka engaphansi kwengu-10. Uma zikhona kubantwana, odokotela bavame ukuhlola i-cystic fibrosis njengoba izipolyps zingaba uphawu lokuqala lalesi simo. Uma ingane yakho inekhala elivaliwe njalo, kungenzeka kakhulu ukuthi kubangelwa ukuxhaphaza noma ama-adenoids amakhulu.

Ingabe ukuhlinzwa kwezipolyps zesifundeni kubhlungu?

Ukuhlinzwa kwe-sinus kwe-Endoscopic kwamanje akuvame ukuba buhlungu kakhulu. Abantu abaningi bachaza ubuhlungu obuthambile kunokuba buhlungu obukhulu. Udokotela wakho uzokunika imithi yobuningi, futhi abantu abaningi babuyela emisebenzini yabo evamile ngaphakathi kweviki. Izinzuzo zesikhathi eside zokuthuthuka kokuphefumula ngokuvamile zidlula ubuhlungu besikhashana.